Persediaan Obat 2023jan-Juni

REKAP PERSEDIAAN BULAN JANUARI
UPTD GUDANG FARMASI
Pengurangan
Penamb
No Uraian (Nama Barang) Saldo Awal Harga Satuan Jumlah
ahan
banjarejo blora bogorejo cepu doplang gondoryo japah jepon jiken kapuankedungtubanketuan kunduran kutukanmedangmendenngawen ngrotopuledagel
randublatung
randulawang
rowobungkul
sambong
sonokidultodanan
1 Alat Suntik 10 ml 700 Pcs Rp 900,900.00 Rp 1,287.00 200 100 100

2 Alat Suntik 10 ml 2,000 Pcs Rp 1,828,000.00 Rp 914.00
3 Alat Suntik 1ml 12,200 pcs Rp 11,809,600.00 Rp 968.00 400 300 300 200 200 400 100 100
4 Alat Suntik 3ml 4,600 pcs Rp 6,250,020.00 Rp 1,358.70 500 400 200 400 200 300 400 200 300 300
5 Alat Suntik 3ml 20,000 PCS Rp 17,291,200.00 Rp 864.56

6 Alat Suntik 5ml 3,400 pcs Rp 2,601,000.00 Rp 765.00 200 200 200 100 100 100
7 Albendazol 400mg tab 468,000 Tablet Rp 134,784,000.00 Rp 288.00 12000 6000 6000 6000 6000 6000 6000
8 Alkohol Swab 48,600 Set Rp 5,832,000.00 Rp 120.00 2400 2400 2400 2400 2400
9 Alopurinol 100mg tab 18,400 tablet Rp 1,600,800.00 Rp 87.00 500 1000 1000 500 500
10 Alopurinol 300 mg 2,700 Tablet Rp 1,485,000.00 Rp 550.00 300
11 Alprazolam 0,5 mg 100 Tablet Rp 7,800.00 Rp 78.00 100
12 Alprazolam 0,5 mg 300 Tablet Rp 29,700.00 Rp 99.00
13 Aminofilin tab 200 mg 27,000 Tablet Rp 9,045,000.00 Rp 335.00 500 300 300 500
14 Aminophylline 24mg/ml inj 1,110 ampul Rp 2,890,440.00 Rp 2,604.00 30 30
15 Amitriptyline 25 mg tab 1,200 Tablet Rp 211,908.00 Rp 176.59
16 Amlodipin 10 mg 121,100 tablet Rp 18,415,677.00 Rp 152.07 3000 100 3000 200 2000 1000 2000 500 2000 1500 2000 2000 1000 500 500
17 Amlodipin 5 mg 204,400 tablet Rp 26,318,544.00 Rp 128.76 1000 3000 1000 1000
18 Amoksisilin 125/5ml syrup 920 botol Rp 4,669,000.00 Rp 5,075.00 50 50 30 30 50 30 30 50 30
19 Amoksisilin kapl 500 mg 21,000 tablet Rp 9,219,210.00 Rp 439.01
20 Amoksisilin kapl 500 mg 43,500 tablet Rp 8,743,500.00 Rp 201.00
21 Amoksisilin kapl 500 mg 204,400 Tablet Rp 41,084,400.00 Rp 201.00 8000 2200 5000 5000 3000 3000 6000 4000 5000 2000 2000 1600 4000 2000
22 Ampisilin serbuk 1000mg/ml 940 vial Rp 8,075,540.00 Rp 8,591.00 30 100 50
23 Antasida DOEN tab 50,000 tablet Rp 2,900,000.00 Rp 58.00
24 Antasida DOEN tab 114,400 Tablet Rp 6,177,600.00 Rp 54.00 1000 5000 3000
25 Antifungi salep komb 731 pot Rp 2,541,687.00 Rp 3,477.00 25 20
26 Antihemoroid DOEN 570 Suppositoria Rp 1,852,500.00 Rp 3,250.00 20 30 30 20 20 10
27 Antiza syrup 32 botol Rp 1,024,000.00 Rp 32,000.00 1 5 5
28 Asam Askorbat /Vitamin C 50 mg) 75,500 tablet Rp 3,171,000.00 Rp 42.00 4000 3000 2000 2000 2000 2000 2000 2000 1000 1000 1000
29 Asam Folat 1 mg 19,000 tablet Rp 1,064,000.00 Rp 56.00 500 100 500 500 500
30 Asetil Sistein 13,200 tablet Rp 4,009,368.00 Rp 303.74 600 600 300 600 600 600 600 300 600
31 Asetosal 80 mg (Miniaspi tab) 3,500 Tablet Rp 367,500.00 Rp 105.00 300 200
32 Asiklovir cr 10 tube Rp 47,552.40 Rp 4,755.24 10
33 Asiklovir cr 500 tube Rp 2,275,000.00 Rp 4,550.00 20 20
34 Atropin inj 0.25mg 257 Ampul Rp 441,526.00 Rp 1,718.00 5 10 10
35 BIO ATP 12,800 Kaplet Rp 30,430,720.00 Rp 2,377.40 100 300 300
36 Borax Gliserin 24 POT Rp 102,715.44 Rp 4,279.81
37 Bracket 114 Pcs Rp 2,508,000.00 Rp 22,000.00 3
38 Canula Anak 150 pcs Rp 1,125,000.00 Rp 7,500.00
39 Canule O2 Anak 240 Pcs Rp 1,224,000.00 Rp 5,100.00 20
40 Canule O2 Bayi 120 Buah Rp 624,000.00 Rp 5,200.00 10
41 Canule O2 dewasa 150 pcs Rp 1,125,000.00 Rp 7,500.00
42 Canule O2 dewasa 260 Buah Rp 1,593,800.00 Rp 6,130.00 20 40 20
43 Catgut cromic 2/0 564 pcs Rp 5,146,500.00 Rp 9,125.00
45 Catgut cromic 3/0 492 pcs Rp 12,662,112.00 Rp 25,736.00 24 48
46 Catried TCM 2,500 test Rp 632,555,575.00 Rp 253,022.23
47 Cefadroxil syrup 125 mg/5ml 50 botol Rp 190,000.00 Rp 3,800.00
48 Ciprofloxacin 500 mg 38,000 Tablet Rp 9,424,000.00 Rp 248.00 1000 200 500 500 3000 200 300 1800 300
49 Coverall/Hazmat Axeel 100 pcs Rp 12,300,000.00 Rp 123,000.00
50 Curcuma/Curlysin Syrup 300 botol Rp 5,328,000.00 Rp 17,760.00
51 Deksametason 0.5 mg tab 10,400 tab Rp 353,600.00 Rp 34.00 400 600 400 400 400 400 400 400 400 400 400
52 Deksametason Inj 5 mg/ml 63 Ampul Rp 58,212.00 Rp 924.00 20 23 20
53 Desinfektan 4 jerigen 5L Rp 260,000.00 Rp 65,000.00
54 Diazepam 5 mg Tab 16,800 Tablet Rp 1,814,400.00 Rp 108.00 300 200 200 100 200 300 100
55 DIAZEPAM INJ 310 ampul Rp 478,950.00 Rp 1,545.00 10 20
56 DIAZEPAM INJ 3,500 ampul Rp 5,407,500.00 Rp 1,545.00
57 Diazepam rektal 10 mg/2,5 ml 45 Suppositoria Rp 886,185.00 Rp 19,693.00
58 Dimenhidrinate 50mg 2,800 TABLET Rp 302,400.00 Rp 108.00 200 200 200 200
59 Domperidon tablet 43,300 tablet Rp 7,317,700.00 Rp 169.00 500 1000 1000 200 1000 200 1000 500
60 Epinephrine 1mg inj 288 Ampul Rp 436,320.00 Rp 1,515.00 20
61 Etanol 70 % 100 ml 456 Botol Rp 1,272,240.00 Rp 2,790.00
62 Etanol 70 % 1L 114 botol Rp 6,384,000.00 Rp 56,000.00 1
63 Etanol 70 % 1L 200 botol Rp 4,719,000.00 Rp 23,595.00

64 Etil Klorida 95 botol Rp 11,305,000.00 Rp 119,000.00 1 2 1 1 1 1 1 2 1
65 Eugenol 16 botol Rp 322,400.00 Rp 20,150.00
66 FDC Kategori 1 33 Paket Rp 13,750,968.00 Rp 416,696.00 16 16
67 FDC Kategori 1 500 paket Rp 208,348,000.00 Rp 416,696.00 51 32 2 5 15 16
68 FDC Kategori 1 harian 8 paket Rp 2,879,880.00 Rp 359,985.00 2 2 2
69 FDC Kategori Anak 5 Paket Rp 1,241,550.00 Rp 248,310.00 3 2
70 Fenitoin 100 mg 11,300 kapsul Rp 6,759,660.00 Rp 598.20 300 400
71 Fenitoin inj 50 ampul Rp 50.00 Rp 1.00
72 Fenobarbital 30 mg 3,000 Tablet Rp 513,000.00 Rp 171.00
73 Fenobarbital 30 mg 5,100 Tablet Rp 872,100.00 Rp 171.00 500 200 200
74 Fitomenadion inj 2 mg/ml 1,560 ampul Rp 2,162,160.00 Rp 1,386.00 60 30 30 30 90 30 90 60
75 Fitomenadion inj 2 mg/ml 9,045 ampul Rp 12,536,370.00 Rp 1,386.00
76 Fluphenazine/Sikzonoate 25 inj 5,610 Ampul Rp 356,235,000.00 Rp 63,500.00 10
77 Folley Cath No.16 90 pcs Rp 918,000.00 Rp 10,200.00 10 30 20 10
78 Folley Cath No.18 130 pcs Rp 1,326,000.00 Rp 10,200.00 20 10 10
79 Furosemid tab 9,600 Tablet Rp 2,107,008.00 Rp 219.48 300 200 300 300 500 300 200
80 Garam oralit 1,300 sachet Rp 334,100.00 Rp 257.00 100 100 100 100 100
81 Garam oralit 20,700 sachet Rp 5,796,000.00 Rp 280.00
82 Gentamisin Injeksi 15 ampul Rp 50,325.00 Rp 3,355.00
83 Gentian Violet 1% 10ml 144 POT Rp 607,392.00 Rp 4,218.00 24 24
84 Glass Ionomer FX 5 buah Rp 4,928,700.00 Rp 985,740.00 1
85 Glukosa 10% 50 botol Rp 360,000.00 Rp 7,200.00
86 Glukosa infus 5% 2,360 botol Rp 15,639,720.00 Rp 6,627.00 40 20 20 20
87 Griseofulvin 125 mg tab 45,600 tablet Rp 9,576,000.00 Rp 210.00
88 Hair Cup/Tutup Kepala 350 pcs Rp 241,500.00 Rp 690.00
89 Haldol Decanoas 50 mg inj 500 Ampul Rp 54,500,000.00 Rp 109,000.00 5
90 Haloperidol 5 mg tab 31,300 Tablet Rp 1,690,200.00 Rp 54.00 800 1000 200 1000 3000 500
91 Haloperidol tablet 5 mg 75,100 Tablet Rp 4,055,400.00 Rp 54.00
92 Hand Sanitizer 30 jerigen 5L Rp 3,180,000.00 Rp 106,000.00
93 Hand Sanitizer (Aseptic gel VIOREX) 200botol @500ml Rp 13,068,000.00 Rp 65,340.00
94 Hand Sanitizer (Aseptic gel) 51 Paket Rp 1,351,500.00 Rp 26,500.00 2 5 5
95 Handsanitizer 500ml(HECLIN) 191 botol Rp 14,181,750.00 Rp 74,250.00
96 Handscoen Non Steril L 500 Pasang Rp 1,094,500.00 Rp 2,189.00
97 Handscoen Non Steril M 1,250 Pasang Rp 2,736,250.00 Rp 2,189.00
98 Handscoen Panjang Gynaecological 320 pasang Rp 13,728,000.00 Rp 42,900.00
99 Handscoon non steril L 3,050 pasang Rp 5,041,009.50 Rp 1,652.79 200 100 100 100
100 Handscoon non steril M 2,500 Pcs Rp 4,795,000.00 Rp 1,918.00
101 Handscoon non steril M 10,000 pasang Rp 16,527,900.00 Rp 1,652.79
102 Handscoon non steril M 20,550 Pasang Rp 40,915,050.00 Rp 1,991.00 50 250 250 250 250 250 250 250 250
103 Handscoon non steril S 7,000 pasang Rp 10,411,800.00 Rp 1,487.40 100 100 100 100 100 100
104 Handscoon Steril No 7 1,000 pasang Rp 8,250,000.00 Rp 8,250.00
105 Handscoon Steril No 7 1,550 pcs Rp 8,680,000.00 Rp 5,600.00 100 50 50
106 Handscoon Steril No 7.5 1,900 pasang Rp 16,720,000.00 Rp 8,800.00
107 Handscoon Steril No 7.5 3,550 pasang Rp 20,123,020.22 Rp 5,668.46 50
108 Hepagard 540 kapsul Rp 1,509,354.00 Rp 2,795.10 210 120 210
109 Herbakof 81 Botol Rp 1,156,113.00 Rp 14,273.00 10 10 10 10
110 Hidroklorotiazid (HCT) 25mg 4,400 tablet Rp 651,200.00 Rp 148.00
111 Hidrokortison salep 12,000 tube Rp 27,900,000.00 Rp 2,325.00 72 96 96 24 24 48 24 48 48 72 48 24 24
112 Ichtyol Salep 48 pot Rp 339,054.72 Rp 7,063.64 12 12
113 ISONIAZID 300 MG TAB 4,300 tablet Rp 645,000.00 Rp 150.00
114 IV Catheter No 18 NOUSHED 900 pcs Rp 5,395,500.00 Rp 5,995.00 100 50 50
115 Kalium Diklofenak 50 mg / Nacoflar 50mg 7,050 Tablet Rp 14,657,796.00 Rp 2,079.12 500 500 500 500 500 500 500 500 500 300
116 Kalium Permanganat 240 pot Rp 1,908,756.00 Rp 7,953.15 24 24 24
117 Kalsium Glukonat Inj 10% 41 ampul Rp 236,775.00 Rp 5,775.00 5
118 Kalsium Laktat 75,000 Tablet Rp 4,500,000.00 Rp 60.00 2000 3000 1000 1000 500 3000 3000 1000 1000 2000
119 Kapas absorben 250 gr 131 pcs Rp 3,410,716.00 Rp 26,036.00 2 5 2
120 Kaptopril 25 mg 500 tablet Rp 37,500.00 Rp 75.00
121 Karbamazepin 200 mg 1,000 Tablet Rp 245,000.00 Rp 245.00
122 Karbamazepin 200 mg 2,300 Tablet Rp 434,700.00 Rp 189.00 300 200 500
123 Kartu Golongan Darah 38,400 Rol Rp 13,440,000.00 Rp 350.00 200 200 200 200
124 Kasa hydrophyl 16x16 53,328 pcs Rp 23,497,650.00 Rp 440.63 1600
125 Kassa 4 x 3 580 pcs Rp 674,540.00 Rp 1,163.00 50 50 30
126 Kassa Pembalut Hidrofil 4 x 15 610 pcs Rp 2,419,870.00 Rp 3,967.00 50
127 Ketokonazol 200 mg tab 500 Tablet Rp 126,000.00 Rp 252.00 200
128 Ketokonazol krim 2% 372 tube Rp 873,828.00 Rp 2,349.00 12 12 24 12 12 12
129 Ketokonazol krim 2% 600 tube Rp 3,138,000.00 Rp 5,230.00
130 Klem umbilical 1,000 pcs Rp 1,800,000.00 Rp 1,800.00 50 50 50
131 Kloramfenikol salep mata 970 tube Rp 9,286,780.00 Rp 9,574.00 30 10 20 20 50
132 Klorfeniramin 4 mg (Orphen Kaplet) 65,800 Tablet Rp 6,079,920.00 Rp 92.40 5000 2000 3000 1000 2000
133 Klorpromazin 100 mg 35,700 Tablet Rp 14,101,500.00 Rp 395.00 500 1500 1000 1000 500 2000 1000 1000
134 Klorpromazin 100 mg 40,900 Tablet Rp 16,137,095.00 Rp 394.55
135 Klorpromazin 100mg tab/ Cepezet 100mg 35,000 Tablet Rp 13,825,000.00 Rp 395.00
136 Kotrimoksasol suspensi 240mg 2,000 botol Rp 4,200,000.00 Rp 2,100.00
137 Larutan Ziehl Nielsen 15 paket Rp 15,000,000.00 ### 2 2 2 2 2
138 Levofloksasin 6,900 Kapsul Rp 3,408,600.00 Rp 494.00 500
139 Lidocain komp injeksi 2,010 ampul Rp 1,614,030.00 Rp 803.00 60 60 30 30 90 60 60 60 90 90
140 Magnesium Sulfat 40% 150 Ampul Rp 613,500.00 Rp 4,090.00 10 12
141 Masker Altamed 25,000 Buah Rp 41,250,000.00 Rp 1,650.00
142 Masker Bedah Hijab 7,500 Pcs Rp 7,875,000.00 Rp 1,050.00 500 500 500 500 500 500 500 500 500 500 500 500
143 Masker Earloop 1,250 pcs Rp 756,825.00 Rp 605.46
144 masker earloop (non hijab) 12,500 pcs Rp 6,000,000.00 Rp 480.00
145 masker Earloop GF 10,000 pcs Rp 6,054,600.00 Rp 605.46
146 Masker Earloop stupamed (Program HIV) 10,000 pcs Rp 22,900,000.00 Rp 2,290.00
147 Masker Headloop 1,250 pcs Rp 882,950.00 Rp 706.36
148 Masker Headloop 15,000 pcs Rp 10,595,400.00 Rp 706.36
149 masker headloop (hijab) 12,500 pcs Rp 6,737,500.00 Rp 539.00
150 Masker Kain 600 pcs Rp 1,500,000.00 Rp 2,500.00
151 Masker N95 2,000 pcs Rp 35,500,000.00 Rp 17,750.00
152 Masker N95 4,800 pcs Rp 95,520,000.00 Rp 19,900.00
153 Masker N95 EKOMED 50 pcs Rp 2,250,000.00 Rp 45,000.00
154 Masker N95 Play P Particulate 400 pcs Rp 11,000,000.00 Rp 27,500.00
155 MDT Kusta MB Anak 6 blister Rp 152,124.00 Rp 25,354.00 6
156 MDT Kusta MB Dewasa 102 Paket Rp 4,093,056.00 Rp 40,128.00 12 6 6 12
157 MDT Kusta PB Anak 6 blister Rp 73,968.00 Rp 12,328.00 6
158 Metilergometrin 0.125mg tablet 3,300 tablet Rp 706,200.00 Rp 214.00 200 200
159 Metilprednisolon 4 mg tab 25,700 tablet Rp 2,621,400.00 Rp 102.00 1000 500 1000 500 500 500 500 1000 500
160 Metoklopramid 10 mg/2ml injeksi 1,790 ampul Rp 3,012,570.00 Rp 1,683.00
161 Metoklopramid 5 mg 3,800 Tablet Rp 444,600.00 Rp 117.00 100 200 200
162 Metronidazol 500 mg 48,800 Tablet Rp 18,056,000.00 Rp 370.00 1000 1000 500 500 500
163 Mikonazol 2% krim 456 Tube Rp 866,400.00 Rp 1,900.00 24 24
164 Mikropipet Ukuran 60 1,000 pcs Rp 179,200.00 Rp 179.20
165 Mikropipet Ukuran 61 1,000 pcs Rp 230,600.00 Rp 230.60
166 Mineral Mix 460 sachet Rp 1,371,260.00 Rp 2,981.00
167 Minyak Kayu Putih 30 botol Rp 600,000.00 Rp 20,000.00 3 6 3
168 Molexflu tab 26,700 Tablet Rp 12,931,611.00 Rp 484.33 750 150 750 750 750 750 750 750 750 300 750 450
169 Multivitamin/Becefort 54,000 Tablet Rp 68,931,000.00 Rp 1,276.50 300 100 200 300 200
170 Multivitamin/Bionicom Zinc 200 Tablet Rp 112,600.00 Rp 563.00 200
171 Multivitamin/Casavit 500mg tab 15,600 TABLET Rp 100,432,800.00 Rp 6,438.00
172 Multivitamin/Pritavit 12,100 tablet Rp 12,557,985.00 Rp 1,037.85
173 Natrium Chlorida infus 0,9% 140 botol Rp 952,000.00 Rp 6,800.00 40 40 20 20
174 Neocenta / Bioplacenton krim 166 tube Rp 2,732,360.00 Rp 16,460.00 20 10 10 20 6
175 New Antides/Attapulgite 500 Tablet Rp 117,830.00 Rp 235.66
176 Nipro Premier Blood Glucose Monitoring System 6 unit Rp - Rp -
177 Nipro Premier Blood Glucose Test Strip 42 box Rp 5,174,820.00 Rp 123,210.00
178 Nistatin Drop 220 botol Rp 5,566,000.00 Rp 25,300.00 10 6 10
179 OBH Molex syrup 1,460 botol Rp 7,576,305.00 Rp 5,189.25 30 30 30
180 Object Glass 435 Buah Rp 33,795,150.00 Rp 77,690.00 5 30 5 5 5 5 5 5 5 5 5 5
181 Oksitetrasiklin SM 1% 1,450 tube Rp 5,075,000.00 Rp 3,500.00 25 25 25
182 Oksitosin Inj 3,100 Ampul Rp 3,490,600.00 Rp 1,126.00
183 Ostela Forte 4,200 Kaplet Rp 36,988,014.00 Rp 8,806.67 90 90 60
184 Parasetamol 500 mg tab 275,900 Tablet Rp 55,180,000.00 Rp 200.00 3000 1200 2000 2000 2000 2000 1000 1000 2000 2000 3000 2000 2000 2000 1000 2000 1000 1000 1000 1000 1000 2000
185 Parasetamol sirup 120 mg/5ml 5,000 Botol Rp 5,800,000.00 Rp 1,160.00 200 200 100 100 100
186 Pehacain Inj 3,040 ampul Rp 9,549,704.00 Rp 3,141.35 40 100
187 Piroxicam 20 mg 4,600 Tablet Rp 673,072.00 Rp 146.32 500 500 300 500 300 500 500 500 500 200
188 Plester (Leukoplast 7,5 cm x 4,5 cm) 3 Paket Rp 178,500.00 Rp 59,500.00
189 Plesterin bulat 400 Rol Rp 70,000.00 Rp 175.00 200 200
190 Povidon Iodida 10 % 30 ml 240 botol Rp 1,812,000.00 Rp 7,550.00 12 24 24
191 Povidon Iodida 10 % 300 ml 219 botol Rp 9,307,500.00 Rp 42,500.00 3
192 Prednison 5 mg 26,200 Tablet Rp 1,781,600.00 Rp 68.00 500 2000 2000 5000 1000 3000 2000
193 Propanolol 10 mg tab 15,600 Tablet Rp 873,600.00 Rp 56.00 500
194 R.Hema OL 2100 Kertas print 3 Pcs Rp 120,000.00 Rp 40,000.00 3
195 Ranitidin 150 mg 15,500 tablet Rp 1,317,500.00 Rp 85.00 600 500 1000 500 1000 1000 1000 2000 500 500 500 500
196 Rapid Test HIV 1 7,550 test Rp 59,486,450.00 Rp 7,879.00 150 100
197 Rapid Test HIV 2 425 test Rp 4,887,500.00 Rp 11,500.00 25
198 RDT Frambusia Syphilis 200 test Rp 1,927,800.00 Rp 9,639.00
199 Reagent Syphillis 450 test Rp 9,180,000.00 Rp 20,400.00 25 100
200 retinol (vit A ) 100000 IU 33,600 Kapsul Rp 10,248,000.00 Rp 305.00 450 200 250 250 350 550 300 200 100 250 250 350 200 150 400 300 100 150 350 100 350 200 350
201 retinol (vit A ) 200000 IU 308,650 Kapsul Rp 170,683,450.00 Rp 553.00 3650 1050 2700 2000 700 4200 2600 1800 850 1950 1000 2600 1650 1650 2100 2200 1000 850 2200 700 1550 1450 3050
202 Ringer Laktat larutan infus 1,200 botol Rp 9,156,000.00 Rp 7,630.00 40 40 40 40 20 40 40 40 40 40
203 Risperidon 2 mg 17,000 tablet Rp 6,409,000.00 Rp 377.00 500 1000 2000 500 1000 1000 2000 1000
204 Risperidon 2mg tab 70,000 Tablet Rp 29,330,000.00 Rp 419.00
205 Salbutamol 2 mg 17,100 Tablet Rp 1,197,000.00 Rp 70.00 2000 3000 2000 2000 1000
206 Salbutamol 2mg tab 21,000 tablet Rp 1,008,000.00 Rp 48.00
207 Salisil bedak 2 % 3,000 Dus Rp 2,760,000.00 Rp 920.00 100 100
208 Scabicid krim/Permetrin krim 5% 15 tube Rp 357,309.00 Rp 23,820.60 5 5 5
209 Serum ABU 128 vial Rp 66,192,896.00 Rp 517,132.00 3 5 10 2
210 Serum ATS 88 ampul Rp 12,336,544.00 Rp 140,188.00 3 6 3 5 2 5 3 5 2 5
211 Silk 2/0 540 pcs Rp 835,428.60 Rp 1,547.09 24
212 Silk 3/0 360 pcs Rp 537,361.20 Rp 1,492.67 24 24 24
213 Stomach 14 32 pcs Rp 247,808.00 Rp 7,744.00
214 Stomach 16 42 pcs Rp 325,248.00 Rp 7,744.00
215 Strip Asam Urat EASY TOUCH 300 Test Rp 1,566,000.00 Rp 5,220.00
216 Strip Glukosa EASY TOUCH 500 Test Rp 2,465,000.00 Rp 4,930.00
217 Strip Kolesterol EASY TOUCH 500 Test Rp 11,600,000.00 Rp 23,200.00
218 Strip Kolesterol NESCO 2,250 Test Rp 53,831,250.00 Rp 23,925.00
219 Tablet Tambah Darah 5,980 Tablet Rp 1,351,480.00 Rp 226.00
220 Tensigard 300 kapsul Rp 637,995.00 Rp 2,126.65 300
221 Tetrasiklin 500mg kapsul 16,800 kapsul Rp 15,002,400.00 Rp 893.00 1000 500 500
222 THIAMIN (VIT B1) TAB 50 MG 139,400 Tablet Rp 11,849,000.00 Rp 85.00 1500 10000 5000 600 4000 2000 3000 4000 2000
223 Trifluoperazine 5 mg 15,200 Tablet Rp 4,362,400.00 Rp 287.00 300
224 Triheksipenidil 2 mg 17,800 Tablet Rp 1,619,800.00 Rp 91.00 1200 2000 2000 400 2000 1000 2000 500 2500 1000
225 Triheksipenidil 2 mg 20,000 Tablet Rp 1,260,000.00 Rp 63.00
226 Triheksipenidil 2 mg 200,000 Tablet Rp 12,714,000.00 Rp 63.57
227 Tuberculin PPD RT 23 SSI 131 vial Rp 79,684,680.00 Rp 608,280.00 10 3
228 Ultrasonic gel/USG GEL 9 botol Rp 124,740.00 Rp 13,860.00 1
229 Urine Bag 250 pcs Rp 2,150,000.00 Rp 8,600.00
230 Urine Bag 400 pcs Rp 2,744,800.00 Rp 6,862.00
231 Urine bag(KMP/SCP) 420 Pcs Rp 2,394,000.00 Rp 5,700.00 20 30
232 Vitamin D3/PEHAVIT D3 7,800 kapsul Rp 19,447,896.00 Rp 2,493.32 300 300 300 300 300 300 300 300 300 300 300
233 Yellow Tip 3,200 pcs Rp 103,584.00 Rp 32.37 200 200 100
234 Zink 20 mg tab 400 Tablet Rp 83,200.00 Rp 208.00 100 200
JUMLAH Rp 3,469,985,766.08
Rp 3,602,443,866.08
-Rp 132,458,100.00
Sisa 31 Januari 2022
Sisa BaikSisa Kadaluarsa
RETURN JUMLAH HARGA BATCH ED SUMBER DANA
UMLAH
tunjungan Jumlah Jumlah
Jumlah
400 300 Rp 386,100.00 21C1910J 2/1/2026 DAK

0 2000 Rp 1,828,000.00 215502 2/1/2026 DAK
100 2100 10100 Rp 9,776,800.00 14101988 9/1/2024 DAK
500 3700 900 Rp 1,222,830.00 6102188 9/1/2026 DAK
0 20000 Rp 17,291,200.00 221367/33169 3/1/2027 DAK
900 2500 Rp 1,912,500.00 310 3/1/2027 DAK
6000 54000 414000 Rp 119,232,000.00 366640 7/1/2023 APBD1
2400 14400 34200 Rp 4,104,000.00 18082188 7/1/2024 DAK
3500 14900 Rp 1,296,300.00 DAK
300 2400 Rp 1,320,000.00 210701178 7/1/2023 DAK
100 0 Rp - A11364 8/1/2024 DAK
0 300 Rp 29,700.00 A1230J 12/1/2024 DAK
1600 25400 Rp 8,509,000.00 21CL021 11/1/2023 DAK
60 1050 Rp 2,734,200.00 RS PERMATA pinja 56307011-1 6/1/2024 DAK
0 1200 Rp 211,908.00 2AT1001 4/1/2026 DAK
21300 99800 Rp 15,176,586.00 5201BD 4/30/2025 DAK
6000 198400 Rp 25,545,984.00 5101BD 4/30/2025 DAK
350 570 Rp 2,892,750.00 DAK
0 21000 Rp 9,219,210.00 220623115 6/1/2026 DAK
0 43500 Rp 8,743,500.00 DAK
3000 55800 148600 Rp 29,868,600.00 TAM04812959 12/1/2023 DAK
180 760 Rp 6,529,160.00 56436045 5/31/2026 DAK
0 50000 Rp 2,900,000.00 A11924 10/1/2024 APBD1
1000 10000 104400 Rp 5,637,600.00 A11538 9/1/2024 DAK
45 686 Rp 2,385,222.00 K37124 11/1/2024 DAK
130 440 Rp 1,430,000.00 B20348W 2/1/2024 DAK
11 21 Rp 672,000.00 DAK
1000 23000 52500 Rp 2,205,000.00 H11028BJ 7/1/2024 DAK
2100 16900 Rp 946,400.00 220707329 01/04/2024 DAK
300 5100 8100 Rp 2,460,294.00 22A51148 7/1/2024 DAK
500 3000 Rp 315,000.00 Jan-23 1/1/2023 DAK
10 0 Rp - 2827 2/28/2025 DAK
40 460 Rp 2,093,000.00 DAK
25 232 Rp 398,576.00 9621M03398A 12/1/2024 DAK
700 12100 Rp 28,766,540.00 58006008 01/07/2024 DAK
0 24 Rp 102,715.44 V10052 5/1/2025 DAK
3 111 Rp 2,442,000.00 27042188 12/30/1899 DAK
0 150 Rp 1,125,000.00 22210618 6/1/2026 DAK
20 220 Rp 1,122,000.00 7200302 3/1/2025 DAK
10 110 Rp 572,000.00 2040205 2/1/2026 DAK
0 150 Rp 1,125,000.00 21220607 6/1/2027 DAK
80 180 Rp 1,103,400.00 422023 2/1/2027 DAK
0 564 Rp 5,146,500.00 180605 6/1/2023 DAK
0 600 Rp 15,441,600.00 211201 11/1/2026 DAK
24 96 396 Rp 10,191,456.00 211001 9/1/2026 DAK
0 2500 Rp 632,555,575.00 DAK
0 50 Rp 190,000.00 220304188 3/1/2024 DAK
500 8300 29700 Rp 7,365,600.00 HTCFX16705 12/1/2025 DAK
0 100 Rp 12,300,000.00 DAK
0 300 Rp 5,328,000.00 56203020LD 01/07/2024 DAK
4600 5800 Rp 197,200.00 26002203 3/1/2026 DAK
63 0 Rp - 4633708 6/1/2024 DAK
0 4 Rp 260,000.00 APBDI
1400 15400 Rp 1,663,200.00 RSU BLORA pinjam 50 A11998 10/1/2025 DAK
30 280 Rp 432,600.00 RSU BLORA pinjam 50 F16264 7/1/2025 APBD1
0 3500 Rp 5,407,500.00 F2E035 5/1/2024 DAK
0 45 Rp 886,185.00 A2670202 01/12/2024 DAK
200 1000 1800 Rp 194,400.00 210249N 12/1/2023 DAK
200 5600 37700 Rp 6,371,300.00 DAK
20 268 Rp 406,020.00 9621L034GA 11/1/2023 DAK
24 24 432 Rp 1,205,280.00 1116101 8/1/2024 DAK
3 4 110 Rp 6,160,000.00 220406205 4/1/2026 DAK
0 200 Rp 4,719,000.00 22001527 6/1/2027 DAK
1 12 83 Rp 9,877,000.00 22042288/23062288/05072288 JAN 25,MEI 25,JUNIDAK
0 16 Rp 322,400.00 F81648W/H22428W 01/06/2023 DAN 8DAK
32 1 Rp 416,696.00 F20996J 01/04/2025 APBD1
121 379 Rp 157,927,784.00 APBD1
6 2 Rp 719,970.00 A003134 5/1/2023 DAK
5 0 Rp - 56493007 01/03/2025 APBD1
700 10600 Rp 6,340,920.00 320406 4/1/2024 DAK
0 50 Rp 50.00 FOF615 6/1/2022 APBD 1
0 3000 Rp 513,000.00 dpinjam RSU CEPU 3000 DAK
900 4200 Rp 718,200.00 RSU CEPU Pinjam 3 H005748 7/1/2023 DAK
420 1140 Rp 1,580,040.00 56478023 01/07/2024 DAK
0 9045 Rp 12,536,370.00 56478005 01/05/2024 APBD 1
10 5600 Rp 355,600,000.00 IEA03161 3/1/2024 APBD1
70 20 Rp 204,000.00 20210930 9/1/2026 DAK
40 90 Rp 918,000.00 20210930 9/1/2026 DAK
2100 7500 Rp 1,646,100.00 RSU BLORA pinjam 50 52413 12/1/2026 DAK
500 800 Rp 205,600.00 APBD1
0 20700 Rp 5,796,000.00 APBD1
0 15 Rp 50,325.00 22613006 2/1/2024 APBD1
48 96 Rp 404,928.00 V16123 12/1/2025 DAK
1 4 Rp 3,942,960.00 82102 5/1/2025 DAK
0 50 Rp 360,000.00 DAK
100 2260 Rp 14,977,020.00 H122A35 1/1/2024 DAK
0 45600 Rp 9,576,000.00 F20420B 01/07/2027 DAK
0 350 Rp 241,500.00 113004001 01/04/2027 DAK
5 495 Rp 53,955,000.00 XXX 10/1/2023 APBD1
6500 24800 Rp 1,339,200.00 XXXX 7/1/2024 APBD1
0 75100 Rp 4,055,400.00 A11716 7/1/2024 DAK
0 30 Rp 3,180,000.00 APBDI
0 200 Rp 13,068,000.00 21202 10/1/2024 DAK
12 39 Rp 1,033,500.00 10062188 5/31/2024 DAK
0 191 Rp 14,181,750.00 ICLH09151 7/1/2024 DAK
0 500 Rp 1,094,500.00 APBDI
0 1250 Rp 2,736,250.00 APBDI
0 320 Rp 13,728,000.00 SPM101G/AKD11603112C025 3/26 DAN 4/26 DAK
500 2550 Rp 4,214,614.50 2207100038 7/1/2027 DAK
0 2500 Rp 4,795,000.00 1270322 3/1/2027 DAK
0 10000 Rp 16,527,900.00 220710002B 6/1/2027 DAK
2050 18500 Rp 36,833,500.00 1092108 8/1/2024 DAK
600 6400 Rp 9,519,360.00 DAK
0 1000 Rp 8,250,000.00 22052306 01/04/2027 DAK
200 1350 Rp 7,560,000.00 20220228 2/1/2027 DAK
0 1900 Rp 16,720,000.00 22041703 01/03/2027 DAK
50 3500 Rp 19,839,597.40 S2109035 8/1/2026 DAK
540 0 Rp - 36602003/56602001 01/10/2023 dan 02DAK
40 41 Rp 585,193.00 4611153A 6/1/2023 DAK
0 4400 Rp 651,200.00 L11766BJ 3/1/2027 DAK
24 672 11328 Rp 26,337,600.00 F21206W 6/1/2024 DAK
24 24 Rp 169,527.36 21111002 12/1/2026 DAK
0 4300 Rp 645,000.00 610935BJ Jun-23 APBD 1
200 700 Rp 4,196,500.00 4210616 6/1/2026 DAK
300 5100 1950 Rp 4,054,284.00 DAK
72 168 Rp 1,336,129.20 DAK
5 36 Rp 207,900.00 4620982 01/06/2025 DAK
3000 20500 54500 Rp 3,270,000.00 A11737 9/1/2024 DAK
9 122 Rp 3,176,392.00 04O52020 5/1/2025 DAK
0 500 Rp 37,500.00 56324020 1/1/2024 DAK
0 1000 Rp 245,000.00 A9798 10/1/2022 DAK
1000 1300 Rp 245,700.00 A11747 9/1/2024 DAK
800 37600 Rp 13,160,000.00 XXXXX XXXXX DAK
1600 51728 Rp 22,792,650.00 11021 10/1/2026 DAK
130 450 Rp 523,350.00 20322 3/1/2027 DAK
50 560 Rp 2,221,520.00 40322 3/1/2027 DAK
200 400 100 Rp 25,200.00 HT1202E6171 12/1/2023 DAK
12 96 276 Rp 648,324.00 4620919 11/1/2024 DAK
0 600 Rp 3,138,000.00 DAK
150 850 Rp 1,530,000.00 9032288 2/1/2027 DAK
130 840 Rp 8,042,160.00 15062200 6/1/2025 DAK
13000 52800 Rp 4,878,720.00 RSU BLORA pinjam 10 TEV72 3/1/2024 DAK
100 8600 27100 Rp 10,704,500.00 RSU BLORA pinjam 1500 DAK
0 40900 Rp 16,137,095.00 A20237 2/1/2026 DAK
0 35000 Rp 13,825,000.00 DAK
0 2000 Rp 4,200,000.00 A112176 11/1/2024 DAK
2 12 3 Rp 3,000,000.00 030722ZN 01/09/2024 DAK
500 6400 Rp 3,161,600.00 21MTLG02 8/1/2023 DAK
630 1380 Rp 1,108,140.00 56815009 01/07/2026 DAK
22 128 Rp 523,520.00 DAK
0 25000 Rp 41,250,000.00 1012001 1/1/2025 DAK
500 6500 1000 Rp 1,050,000.00 20210102 2/1/2026 DAK
0 1250 Rp 756,825.00 23H21 8/1/2026 DAK
0 12500 Rp 6,000,000.00 113003001 3/1/2027 DAK
0 10000 Rp 6,054,600.00 22C22 3/1/2027 DAK
0 10000 Rp 22,900,000.00 APBDI
0 1250 Rp 882,950.00 23H21 8/1/2026 DAK
0 15000 Rp 10,595,400.00 02H22 8/1/2027 DAK
0 12500 Rp 6,737,500.00 113005001 5/1/2027 DAK
0 600 Rp 1,500,000.00 APBDI
0 2000 Rp 35,500,000.00 07220201 01/02/2027 DAK
0 4800 Rp 95,520,000.00 MF01L 01/12/2022 APBD1
0 50 Rp 2,250,000.00 22626200KM75 APBDI
0 400 Rp 11,000,000.00 6211014 01/10/2026 APBDI
6 0 Rp - 01/03/2024 APBD1
12 48 54 Rp 2,166,912.00 BKM9662 11/1/2023 APBD1
6 0 Rp - 01/04/2024 APBD1
400 2900 Rp 620,600.00 D20824J 01/04/2027 DAK
500 6500 19200 Rp 1,958,400.00 DAK
0 1790 Rp 3,012,570.00 DAK
500 3300 Rp 386,100.00 J11245B 9/1/2026 DAK
500 4000 44800 Rp 16,576,000.00 DAK
48 408 Rp 775,200.00 F21120W 6/1/2025 DAK
0 1000 Rp 179,200.00 APBDI
0 1000 Rp 230,600.00 APBDI
0 460 Rp 1,371,260.00 2201001 01/01/2024 APBDI
12 18 Rp 360,000.00 DAK
7650 19050 Rp 9,226,486.50 DAK
200 1300 52700 Rp 67,271,550.00 460903129 9/30/2025 DAK
200 0 Rp - J13311 01/09/2023 APBDI
0 15600 Rp 100,432,800.00 T171AAV 1/31/2025 DAK
0 12100 Rp 12,557,985.00 P15ES032 01/09/2025 DAK
120 20 Rp 136,000.00 F222812 2/1/2025 DAK
66 100 Rp 1,646,000.00 DAK
0 500 Rp 117,830.00 RII0991 9/1/2024 DAK
0 6 Rp - DAK
0 42 Rp 5,174,820.00 DAK
20 46 174 Rp 4,402,200.00 DAK
50 140 1320 Rp 6,849,810.00 DAK
5 90 345 Rp 26,803,050.00 7105 XXXXX DAK
75 1375 Rp 4,812,500.00 E20985W 01/05/2025 APBD1
0 3100 Rp 3,490,600.00 9621M0371A 12/1/2024 DAK
240 3960 Rp 34,874,413.20 DAK
2000 39200 236700 Rp 47,340,000.00 DAK
100 800 4200 Rp 4,872,000.00 A12194 11/1/2024 DAK
140 2900 Rp 9,109,915.00 56052031 5/1/2026 DAK
4300 300 Rp 43,896.00 220303144 3/1/2024 DAK
0 3 Rp 178,500.00 1618809 3/1/2025 DAK
400 0 Rp - 27052188 4/1/2026 DAK
60 180 Rp 1,359,000.00 226401208 4/1/2025 DAK
3 216 Rp 9,180,000.00 220401209 4/1/2024 DAK
2000 17500 8700 Rp 591,600.00 11110259 10/1/2023 DAK
500 15100 Rp 845,600.00 110261 10/1/2024 DAK
3 0 Rp - DAK
500 10100 5400 Rp 459,000.00 HTRNTB22153 01/04/2024 DAK
250 7300 Rp 57,516,700.00 APBD1
25 400 Rp 4,600,000.00 APBD1
0 200 Rp 1,927,800.00 K22043 01/10/2024 APBD1
125 325 Rp 6,630,000.00 D21010 4/1/2023 APBD1
6150 27450 Rp 8,372,250.00 H1230W 8/1/2024 APBD1
43500 265150 Rp 146,627,950.00 J1248W/K13402W 01/09/2024 DAN 1APBD1
380 820 Rp 6,256,600.00 300607/SDC0DA/300607 mei 25,maret 25, mAPBD1
9000 8000 Rp 3,016,000.00 A12629 12/1/2025 DAK
0 70000 Rp 29,330,000.00 DAK
10000 7100 Rp 497,000.00 100528BJ 8/1/2024 DAK
0 21000 Rp 1,008,000.00 27401203 2/1/2024 DAK
200 2800 Rp 2,576,000.00 HH41KD0050 9/1/2024 DAK
15 0 Rp - 12001 9/1/2023 DAK
20 108 Rp 55,850,256.00 RSU Blora pinjam 15 d 4700421 8/1/2023 DAK
39 49 Rp 6,869,212.00 4200622 3/1/2024 DAK
24 516 Rp 798,298.44 220501 4/1/2027 DAK
72 288 Rp 429,888.96 210401 3/1/2026 DAK
0 32 Rp 247,808.00 13022882 2/1/2025 DAK
0 42 Rp 325,248.00 13052288 4/1/2027 DAK
0 300 Rp 1,566,000.00 DAK
0 500 Rp 2,465,000.00 DAK
0 500 Rp 11,600,000.00 DAK
0 2250 Rp 53,831,250.00 CHS21910BBU 8/1/2023 DAK
0 5980 Rp 1,351,480.00 46818075 5/1/2024 APBD1
300 0 Rp - DAK
2000 14800 Rp 13,216,400.00 22040152 4/1/2024 DAK
32100 107300 Rp 9,120,500.00 191004158 10/1/2023 APBD 1
300 14900 Rp 4,276,300.00 A11191 7/1/2025 APBD1
14600 3200 Rp 291,200.00 A10836 5/1/2024 APBD1
0 20000 Rp 1,260,000.00 A11676 9/1/2024 DAK
0 200000 Rp 12,714,000.00 DAK
1 14 117 Rp 71,168,760.00 APBD1
1 8 Rp 110,880.00 77032288 2/1/2024 DAK
0 250 Rp 2,150,000.00 07220203 2/28/2027 DAK
0 400 Rp 2,744,800.00 11220531 12/31/2025 DAK
50 370 Rp 2,109,000.00 070190302 3/31/2024 DAK
300 3600 4200 Rp 10,471,944.00 46200037LD 01/10/2023 DAK
500 2700 Rp 87,399.00 24092188 9/1/2026 DAK
300 100 Rp 20,800.00 1109079 9/1/2023 DAK
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
6.655E+09 Rp 3,169,182,028.00
REKAP PERSEDIAAN BULAN FEBRUARI
UPTD GUDANG FARMASI
Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022)

Harga Penambah
No Uraian (Nama Barang) Saldo Awal
Satuan an Pengurangan
Jumlah
kedungtuba
banjarejo blora bogorejo cepu doplang gondoryo japah jepon jiken kapuan ketuan kunduran kutukan medang menden
n
1 Alat Suntik 10 ml 300 Pcs ### ###

2 Alat Suntik 10 ml 2,000 Pcs ### Rp 914.00 100
3 Alat Suntik 1ml 10,100 pcs ### Rp 968.00 100 200
4 Alat Suntik 3ml 900 pcs ### ### 300
5 Alat Suntik 3ml 20,000 PCS ### Rp 864.56 200 300
7 Albendazol 400mg tab 414,000 Tablet ### Rp 288.00 7600 18000 6000 6000 6000 6000 6000
8 Alkohol Swab 34,200 Set ### Rp 120.00
9 Alopurinol 100mg tab 14,900 tablet ### Rp 87.00 100 300 300 200 200
10 Alopurinol 300 mg 2,400 Tablet ### Rp 550.00 300 300
11 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00
12 Alprazolam 0,5 mg 300 Tablet ### Rp 99.00
13 Aminofilin tab 200 mg 25,400 Tablet ### Rp 335.00
14 Aminophylline 24mg/ml inj 1,050 ampul ### ###
15 Amitriptyline 25 mg tab 1,200 Tablet ### Rp 176.59 200
16 Amlodipin 10 mg 99,800 tablet ### Rp 152.07 2000 2000 2000 1000 2000
17 Amlodipin 5 mg 198,400 tablet ### Rp 128.76 500 500 500 1000 1000
18 Amoksisilin 125/5ml syrup 570 botol ### ### 30 30 10 30
19 Amoksisilin kapl 500 mg 21,000 tablet ### Rp 439.01
20 Amoksisilin kapl 500 mg 43,500 tablet ### Rp 201.00
21 Amoksisilin kapl 500 mg 148,600 Tablet ### Rp 201.00 8400 5000 5000 2000 5000
22 Ampisilin serbuk 1000mg/ml 760 vial ### ###
23 Antasida DOEN tab 50,000 tablet ### Rp 58.00
24 Antasida DOEN tab 104,400 Tablet ### Rp 54.00 3100 3000 2000
25 Antifungi salep komb 686 pot ### ### 50
26 Antihemoroid DOEN 440 Suppositoria ### ### 30 30 30
27 Antiza syrup 21 botol ### ### 5
28 Asam Askorbat /Vitamin C 50 mg) 52,500 tablet ### Rp 42.00 3100 1000 2000 500 2000
29 Asam Folat 1 mg 16,900 tablet ### Rp 56.00 500 500
30 Asetil Sistein 8,100 tablet ### Rp 303.74 600 600 600 600
31 Asetosal 80 mg (Miniaspi tab) 3,000 Tablet ### Rp 105.00 200 200 300
32 Asiklovir cr 0 tube Rp - ###
33 Asiklovir cr 460 tube ### ### 30 10 10 20
34 Atropin inj 0.25mg 232 Ampul ### ### 30
35 BIO ATP 12,100 Kaplet ### ### 200
36 Borax Gliserin 24 POT ### ###
37 Bracket 111 Pcs ### ###
38 Canula Anak 150 pcs ### ###
39 Canule O2 Anak 220 Pcs ### ### 20
40 Canule O2 Bayi 110 Buah ### ###
41 Canule O2 dewasa 150 pcs ### ###
42 Canule O2 dewasa 180 Buah ### ###
43 Catgut cromic 2/0 564 pcs ### ###
46 Catried TCM 2,500 test ### ###
47 Cefadroxil syrup 125 mg/5ml 50 botol ### ###
48 Ciprofloxacin 500 mg 29,700 Tablet ### Rp 248.00 2000 1000 500
49 Coverall/Hazmat Axeel 100 pcs ### ###
50 Curcuma/Curlysin Syrup 300 botol ### ###
51 Deksametason 0.5 mg tab 5,800 tab ### Rp 34.00 200
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00
53 Desinfektan 4 jerigen 5L ### ###
54 Diazepam 5 mg Tab 15,400 Tablet ### Rp 108.00 300 200
55 DIAZEPAM INJ 280 ampul ### ### 10
56 DIAZEPAM INJ 3,500 ampul ### ###
57 Diazepam rektal 10 mg/2,5 ml 45 Suppositoria ### ### 10
58 Dimenhidrinate 50mg 1,800 TABLET ### Rp 108.00 100 200 200 200 200 100
59 Domperidon tablet 37,700 tablet ### Rp 169.00 1000 1000
60 Epinephrine 1mg inj 268 Ampul ### ### 30 30
61 Etanol 70 % 100 ml 432 Botol ### ### 12
62 Etanol 70 % 1L 110 botol ### ### 3 2
63 Etanol 70 % 1L 200 botol ### ###
64 Etil Klorida 83 botol ### ### 2 1 2
65 Eugenol 16 botol ### ###
66 FDC Kategori 1 1 Paket ### ### 1
67 FDC Kategori 1 379 paket ### ### 8 5 32 32 5
68 FDC Kategori 1 harian 2 paket ### ### 1
69 FDC Kategori Anak 0 Paket Rp - ###
70 Fenitoin 100 mg 10,600 kapsul ### Rp 598.20 100
72 Fenobarbital 30 mg 3,000 Tablet ### Rp 171.00
73 Fenobarbital 30 mg 4,200 Tablet ### Rp 171.00
74 Fitomenadion inj 2 mg/ml 1,140 ampul ### ### 60 90 60
75 Fitomenadion inj 2 mg/ml 9,045 ampul ### ###
76 Fluphenazine/Sikzonoate 25 inj 5,600 Ampul ### ###
77 Folley Cath No.16 20 pcs ### ###
78 Folley Cath No.18 90 pcs ### ### 10 10
79 Furosemid tab 7,500 Tablet ### Rp 219.48 500 200
80 Garam oralit 800 sachet ### Rp 257.00 100 100 100
81 Garam oralit 20,700 sachet ### Rp 280.00 100
82 Gentamisin Injeksi 15 ampul ### ###
83 Gentian Violet 1% 10ml 96 POT ### ### 24
84 Glass Ionomer FX 4 buah ### ### 1
85 Glukosa 10% 50 botol ### ###
86 Glukosa infus 5% 2,260 botol ### ###
87 Griseofulvin 125 mg tab 45,600 tablet ### Rp 210.00
88 Hair Cup/Tutup Kepala 350 pcs ### Rp 690.00
89 Haldol Decanoas 50 mg inj 495 Ampul ### ### 20
90 Haloperidol 5 mg tab 24,800 Tablet ### Rp 54.00 1000
91 Haloperidol tablet 5 mg 75,100 Tablet ### Rp 54.00
92 Hand Sanitizer 30 jerigen 5L ### ###
93 Hand Sanitizer (Aseptic gel VIOREX) 200botol @500ml ### ###
94 Hand Sanitizer (Aseptic gel) 39 Paket ### ###
95 Handsanitizer 500ml(HECLIN) 191 botol ### ###
96 Handscoen Non Steril L 500 Pasang ### ###
97 Handscoen Non Steril M 1,250 Pasang ### ###
98 Handscoen Panjang Gynaecological 320 pasang ### ###
99 Handscoon non steril L 2,550 pasang ### ### 100 100
100 Handscoon non steril M 2,500 Pcs ### ###
101 Handscoon non steril M 10,000 pasang ### ###
102 Handscoon non steril M 18,500 Pasang ### ### 250 100 100
103 Handscoon non steril S 6,400 pasang ### ### 100 100 100
104 Handscoon Steril No 7 1,000 pasang ### ###
105 Handscoon Steril No 7 1,350 pcs ### ###
106 Handscoon Steril No 7.5 1,900 pasang ### ###
107 Handscoon Steril No 7.5 3,500 pasang ### ###
108 Hepagard 0 kapsul Rp - ###
109 Herbakof 41 Botol ### ###
110 Hidroklorotiazid (HCT) 25mg 4,400 tablet ### Rp 148.00 200 200
111 Hidrokortison salep 11,328 tube ### ### 96 72 48
112 Ichtyol Salep 24 pot ### ###
113 ISONIAZID 300 MG TAB 4,300 tablet ### Rp 150.00
114 IV Catheter No 18 NOUSHED 700 pcs ### ### 50
115 Kalium Diklofenak 50 mg / Nacoflar 50mg 1,950 Tablet ### ### 300 300
116 Kalium Permanganat 168 pot ### ### 12 12 12
117 Kalsium Glukonat Inj 10% 36 ampul ### ### 5 10
118 Kalsium Laktat 54,500 Tablet ### Rp 60.00 5000 2000 3000 3000 3000
119 Kapas absorben 250 gr 122 pcs ### ### 2 2 3 2
120 Kaptopril 25 mg 500 tablet ### Rp 75.00 300
121 Karbamazepin 200 mg 1,000 Tablet ### Rp 245.00
122 Karbamazepin 200 mg 1,300 Tablet ### Rp 189.00
123 Kartu Golongan Darah 37,600 Rol ### Rp 350.00 100
124 Kasa hydrophyl 16x16 51,728 pcs ### Rp 440.63
125 Kassa 4 x 3 450 pcs ### ###
126 Kassa Pembalut Hidrofil 4 x 15 560 pcs ### ### 50
127 Ketokonazol 200 mg tab 100 Tablet ### Rp 252.00
128 Ketokonazol krim 2% 276 tube ### ### 24 12 12 12 24
129 Ketokonazol krim 2% 600 tube ### ###
130 Klem umbilical 850 pcs ### ### 50 50
131 Kloramfenikol salep mata 840 tube ### ### 50 20 20 30
132 Klorfeniramin 4 mg (Orphen Kaplet) 52,800 Tablet ### Rp 92.40 3000 2000 2000 1000
133 Klorpromazin 100 mg 27,100 Tablet ### Rp 395.00 1000 200 500
134 Klorpromazin 100 mg 40,900 Tablet ### Rp 394.55
135 Klorpromazin 100mg tab/ Cepezet 100mg 35,000 Tablet ### Rp 395.00
136 Kotrimoksasol suspensi 240mg 2,000 botol ### ###
137 Larutan Ziehl Nielsen 3 paket ### ###
138 Levofloksasin 6,400 Kapsul ### Rp 494.00 300 200
139 Lidocain komp injeksi 1,380 ampul ### Rp 803.00 150 90 30 90 30
140 Magnesium Sulfat 40% 128 Ampul ### ### 20 6
141 Masker Altamed 25,000 Buah ### ### 500 500 500 500 500
142 Masker Bedah Hijab 1,000 Pcs ### ###
143 Masker Earloop 1,250 pcs ### Rp 605.46
144 masker earloop (non hijab) 12,500 pcs ### Rp 480.00
145 masker Earloop GF 10,000 pcs ### Rp 605.46
146 Masker Earloop stupamed (Program HIV) 10,000 pcs ### ###
147 Masker Headloop 1,250 pcs ### Rp 706.36
148 Masker Headloop 15,000 pcs ### Rp 706.36
149 masker headloop (hijab) 12,500 pcs ### Rp 539.00
150 Masker Kain 600 pcs ### ###
151 Masker N95 2,000 pcs ### ###
152 Masker N95 TB 4,800 pcs ### ###
153 Masker N95 EKOMED 50 pcs ### ###
154 Masker N95 Play P Particulate 400 pcs ### ###
155 MDT Kusta MB Anak 0 blister Rp - ###
156 MDT Kusta MB Dewasa 54 Paket ### ### 6 6 12
157 MDT Kusta PB Anak 0 blister Rp - ###
158 Metilergometrin 0.125mg tablet 2,900 tablet ### Rp 214.00 500
159 Metilprednisolon 4 mg tab 19,200 tablet ### Rp 102.00 500 500
160 Metoklopramid 10 mg/2ml injeksi 1,790 ampul ### ###
161 Metoklopramid 5 mg 3,300 Tablet ### Rp 117.00 600
162 Metronidazol 500 mg 44,800 Tablet ### Rp 370.00 2000 500 1000 500 500
163 Mikonazol 2% krim 408 Tube ### ###
164 Mikropipet Ukuran 60 1,000 pcs ### Rp 179.20
165 Mikropipet Ukuran 61 1,000 pcs ### Rp 230.60
166 Mineral Mix 460 sachet ### ### 9 9 18 6 54 54 18 9 25 18
167 Minyak Kayu Putih 18 botol ### ###
168 Molexflu tab 19,050 Tablet ### Rp 484.33 900 600 750 750 600
169 Multivitamin/Becefort 52,700 Tablet ### ### 300 300 300 300 300
170 Multivitamin/Bionicom Zinc 0 Tablet Rp - Rp 563.00
171 Multivitamin/Casavit 500mg tab 15,600 TABLET ### ###
172 Multivitamin/Pritavit 12,100 tablet ### ###
173 Natrium Chlorida infus 0,9% 20 botol ### ### 20
174 Neocenta / Bioplacenton krim 100 tube ### ### 20 10 10
175 New Antides/Attapulgite 500 Tablet ### Rp 235.66
176 Nipro Premier Blood Glucose Monitoring S 6 unit Rp - Rp -
177 Nipro Premier Blood Glucose Test Strip 42 box ### ###
178 Nistatin Drop 174 botol ### ###
179 OBH Molex syrup 1,320 botol ### ### 30
180 Object Glass 345 Buah ### ### 5 5 5 5 5
181 Oksitetrasiklin SM 1% 1,375 tube ### ### 50 25
182 Oksitosin Inj 3,100 Ampul ### ###
183 Ostela Forte 3,960 Kaplet ### ### 300 30 90
184 Parasetamol 500 mg tab 236,700 Tablet ### Rp 200.00 1000 3000 2000 1500 2000 2000 2000
185 Parasetamol sirup 120 mg/5ml 4,200 Botol ### ### 200 100
186 Pehacain Inj 2,900 ampul ### ### 60 60
187 Piroxicam 20 mg 300 Tablet ### Rp 146.32
188 Plester (Leukoplast 7,5 cm x 4,5 cm) 3 Paket ### ###
189 Plesterin bulat 0 Rol Rp - Rp 175.00
190 Povidon Iodida 10 % 30 ml 180 botol ### ### 24 24
191 Povidon Iodida 10 % 300 ml 216 botol ### ###
192 Prednison 5 mg 8,700 Tablet ### Rp 68.00 1000 500 500 1000
193 Propanolol 10 mg tab 15,100 Tablet ### Rp 56.00 200
194 R.Hema OL 2100 Kertas print 0 Pcs Rp - ###
195 Ranitidin 150 mg 5,400 tablet ### Rp 85.00 500 500 500 400
196 Rapid Test HIV 1 7,300 test ### ### 350
197 Rapid Test HIV 2 400 test ### ###
198 RDT Frambusia Syphilis 200 test ### ### 150
199 Reagent Syphillis 325 test ### ### 25 50
200 retinol (vit A ) 100000 IU 27,450 Kapsul ### Rp 305.00 450 200 200 200
201 retinol (vit A ) 200000 IU 265,150 Kapsul ### Rp 553.00 3750 5000
202 Ringer Laktat larutan infus 820 botol ### ### 20 40 20 20 20 20
203 Risperidon 2 mg 8,000 tablet ### Rp 377.00 2000 500 1200
204 Risperidon 2mg tab 70,000 Tablet ### Rp 419.00 1000 500
205 Salbutamol 2 mg 7,100 Tablet ### Rp 70.00 1000 500
206 Salbutamol 2mg tab 21,000 tablet ### Rp 48.00
207 Salisil bedak 2 % 2,800 Dus ### Rp 920.00 100 100 100
208 Scabicid krim/Permetrin krim 5% 0 tube Rp - ###
209 Serum ABU 108 vial ### ### 1 5 5
210 Serum ATS 49 ampul ### ### 3 5 3 3 3
211 Silk 2/0 516 pcs ### ### 24
212 Silk 3/0 288 pcs ### ### 24
213 Stomach 14 32 pcs ### ###
214 Stomach 16 42 pcs ### ###
215 Strip Asam Urat EASY TOUCH 300 Test ### ###
216 Strip Glukosa EASY TOUCH 500 Test ### ###
217 Strip Kolesterol EASY TOUCH 500 Test ### ###
218 Strip Kolesterol NESCO 2,250 Test ### ###
219 Tablet Tambah Darah 5,980 Tablet ### Rp 226.00 3000 1000
220 Tensigard 0 kapsul Rp - ###
221 Tetrasiklin 500mg kapsul 14,800 kapsul ### Rp 893.00 500
222 THIAMIN (VIT B1) TAB 50 MG 107,300 Tablet ### Rp 85.00 6000 2000 1000 2000 3000
223 Trifluoperazine 5 mg 14,900 Tablet ### Rp 287.00 200
224 Triheksipenidil 2 mg 3,200 Tablet ### Rp 91.00 700
225 Triheksipenidil 2 mg 20,000 Tablet ### Rp 63.00 2000 1000 1000
226 Triheksipenidil 2 mg 200,000 Tablet ### Rp 63.57
227 Tuberculin PPD RT 23 SSI 117 vial ### ### 8
228 Ultrasonic gel/USG GEL 8 botol ### ### 1 1
229 Urine Bag 250 pcs ### ###
230 Urine Bag 400 pcs ### ###
231 Urine bag(KMP/SCP) 370 Pcs ### ### 10
232 Vitamin D3/PEHAVIT D3 4,200 kapsul ### ### 300 300 300 300 300
233 Yellow Tip 2,700 pcs ### Rp 32.37 100
234 Zink 20 mg tab 100 Tablet ### Rp 208.00
235 0 0 0 Rp - Rp -
SALDO AWAL BULAN INI ###
Sisa (22 Februari
uari s/d 28 Februari 2022)
2022 )
Sisa Baik
Jumlah
randublatun randulawan rowobungk
ngawen ngroto puledagel sambong sonokidul todanan tunjungan
g g ul
JUMLAH
200 100 300 0
200 300 1700
200 200 200 900 9200
100 500 900 0
400 300 300 200 1700 18300
200 800 1700
6000 6000 6000 12600 86200 327800
0 34200
200 200 300 500 500 500 3300 11600
300 300 200 1400 1000
0 0
0 300
300 500 800 24600
60 30 90 960
200 400 800
3000 1000 2000 1000 1000 2000 19000 80800
2000 2000 1000 1000 500 500 500 11000 187400
50 30 30 30 30 30 30 50 380 190
0 21000
0 43500
5000 3000 8000 2000 3000 3000 5000 6000 60400 88200
100 100 100 100 400 360
0 50000
1000 3000 2000 3000 4000 21100 83300
20 30 100 586
50 20 30 10 20 10 230 210
5 5 6 21 0
1000 2000 500 2000 1000 2000 2000 2000 3000 24100 28400
1000 500 500 300 500 500 4300 12600
300 600 600 300 600 600 600 6000 2100
500 200 500 1900 1100
0 0
20 10 20 20 20 160 300
20 10 60 172
300 500 11600
24 24 0
5 5 106
0 150
60 20 100 120
50 20 20 90 20
0 150
60 60 60 180 0
12 12 24 48 516
0 600
12 12 24 48 348
450 450 2050
20 20 30
1000 500 500 1000 1000 1000 8500 21200
0 100
0 300
200 400 5400
0 0
0 4
100 300 100 200 1200 14200
30 10 50 230
0 3500
10 20 25
100 200 200 200 1700 100
1500 500 1000 500 500 500 500 7000 30700
20 10 90 178
24 24 60 372
5 2 5 17 93
0 200
3 1 2 2 13 70
0 16
1 0
16 3 3 16 120 259
1 1
0 0
100 200 400 10200
0 50
0 3000
200 100 100 400 3800
60 270 870
0 9045
30 10 40 5560
20 20 0
10 10 10 50 40
500 200 200 200 300 2100 5400
100 100 100 100 100 800 0
100 100 300 20400
0 15
24 48 48
1 1 3 1
0 50
0 2260
0 45600
0 350
20 40 455
3000 1000 1000 300 300 500 200 7300 17500
0 75100
0 30
0 200
5 5 2 12 27
0 191
0 500
0 1250
0 320
50 50 50 350 2200
0 2500
0 10000
250 250 250 1200 17300
100 100 100 100 200 900 5500
0 1000
50 50 1300
0 1900
0 3500
0 0
11 10 10 10 41 0
500 900 3500
24 96 96 24 48 24 24 24 576 10752
0 24
0 4300
50 50 50 200 500
300 150 200 200 500 1950 0
12 12 12 5 12 89 79
12 4 5 36 0
2000 2000 3000 2000 2000 2000 3000 32000 22500
3 2 14 108
200 500 0
0 1000
300 1000 1300 0
100 200 100 500 37100
1600 1600 50128
0 450
50 50 50 50 50 300 260
100 100 0
24 12 24 12 12 12 180 96
0 600
50 150 700
30 50 20 20 240 600
2000 3000 1000 2000 2000 18000 34800
2000 1000 400 1000 6100 21000
0 40900
0 35000
0 2000
0 3
300 100 200 200 1300 5100
150 150 30 90 60 60 120 1050 330
30 10 20 5 10 101 27
500 500 500 500 500 500 5500 19500
500 500 1000 0
0 1250
0 12500
0 10000
0 10000
0 1250
0 15000
0 12500
0 600
0 2000
0 4800
0 50
0 400
0 0
6 12 12 54 0
0 0
500 2400
1000 500 500 500 500 300 4300 14900
10 50 60 1730
500 1100 2200
500 500 500 1000 7000 37800
24 24 48 360
0 1000
0 1000
18 18 54 6 18 9 54 63 460 0
3 3 3 3 12 6
750 750 300 750 750 600 750 600 8850 10200
300 300 300 300 300 3000 49700
0 0
0 15600
0 12100
20 0
20 10 10 10 10 100 0
0 500
0 6
0 42
20 10 10 20 60 114
30 30 30 30 30 30 30 240 1080
5 5 5 5 5 5 5 5 65 280
25 100 1275
0 3100
150 90 150 60 60 930 3030
3000 2000 1000 2000 2000 2000 2000 2000 3000 32500 204200
100 100 100 200 100 100 1000 3200
60 40 220 2680
300 300 0
0 3
0 0
12 60 120
5 5 211
500 1000 500 5000 3700
1000 1200 13900
0 0
1000 500 500 500 1000 5400 0
200 550 6750
0 400
150 50
50 100 100 325 0
100 200 400 1750 25700
1200 1300 2750 14000 251150
40 20 40 20 40 40 20 360 460
2000 500 300 1500 8000 0
1000 1000 500 4000 66000
500 1000 1000 1000 1000 6000 1100
0 21000
100 100 100 600 2200
0 0
5 3 19 89
3 2 3 3 28 21
12 12 12 60 456
12 12 48 96 192
0 32
0 42
0 300
0 500
0 500
200 50 100 100 450 1800
4000 1980
0 0
500 500 500 2000 12800
2000 2000 3000 1000 2000 2000 2000 28000 79300
300 100 600 14300
2000 500 3200 0
300 500 500 5300 14700
0 200000
2 10 107
1 3 5
0 250
0 400
50 60 310
300 300 300 300 300 300 300 300 3900 300
500 200 200 1000 1700
0 100
0 0
No Uraian (Nama Barang) Saldo Awal Harga Satuan Penamba Pengurangan
Jumlah Jumlah
banjarejo blora bogorejo cepu doplanggondoryo japah jepon jiken kapuan
kedungtuban
ketuankundurankutukanmedangmendenngawen ngrotopuledagel
randublatung
randulawang
rowobungkul
sambong
sonokidultodanantunjunganUMLAH
1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0
2 Alat Suntik 10 ml 1,700 Pcs Rp 1,553,800.00 Rp 914.00 100 100 200
3 Alat Suntik 1ml 9,200 pcs Rp 8,905,600.00 Rp 968.00 100 200 100 200 100 200 100 1000
4 Alat Suntik 3ml 0 pcs Rp - Rp 1,358.70 0
5 Alat Suntik 3ml 18,300 PCS Rp 15,821,448.00 Rp 864.56 400 100 500 200 500 200 300 400 200 300 3100
6 Alat Suntik 5ml 1,700 pcs Rp 1,300,500.00 Rp 765.00 300 200 200 700
7 Albendazol 400mg tab 327,800 Tablet Rp 94,406,400.00 Rp 288.00 0
8 Alkohol Swab 34,200 Set Rp 4,104,000.00 Rp 120.00 200 2400 2400 2400 2400 2400 ###
9 Alopurinol 100mg tab 11,600 tablet Rp 1,009,200.00 Rp 87.00 300 1000 500 500 500 300 3100
10 Alopurinol 300 mg 1,000 Tablet Rp 550,000.00 Rp 550.00 300 100 100 300 200 1000
11 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0
12 Alprazolam 0,5 mg 300 Tablet Rp 29,700.00 Rp 99.00 0
13 Aminofilin tab 200 mg 24,600 Tablet Rp 8,241,000.00 Rp 335.00 100 500 3000 3600
14 Aminophylline 24mg/ml inj 960 ampul Rp 2,499,840.00 Rp 2,604.00 0
15 Amitriptyline 25 mg tab 800 Tablet Rp 141,272.00 Rp 176.59 100 100
16 Amlodipin 10 mg 80,800 tablet Rp 12,287,256.00 Rp 152.07 2000 2000 500 2000 500 2000 500 3000 500 2000 1000 1000 ###
17 Amlodipin 5 mg 187,400 tablet Rp 24,129,624.00 Rp 128.76 2000 3000 1000 1000 1000 3000 1000 1000 1000 2000 1000 1000 ###
18 Amoksisilin 125/5ml syrup 190 botol Rp 964,250.00 Rp 5,075.00 20 30 30 30 30 30 170
19 Amoksisilin kapl 500 mg 21,000 tablet Rp 9,219,210.00 Rp 439.01 0
21 Amoksisilin kapl 500 mg 88,200 Tablet Rp 17,728,200.00 Rp 201.00 8000 200 5000 2000 2000 5000 3000 4000 6000 3000 2000 8000 2000 4000 1000 1000 ###
23 Antasida DOEN tab 50,000 tablet Rp 2,900,000.00 Rp 58.00 0
24 Antasida DOEN tab 83,300 Tablet Rp 4,498,200.00 Rp 54.00 5000 2000 2000 2000 3000 3000 5000 1000 1000 ###
25 Antifungi salep komb 586 pot Rp 2,037,522.00 Rp 3,477.00 30 48 20 30 128
26 Antihemoroid DOEN 210 Suppositoria Rp 682,500.00 Rp 3,250.00 20 30 20 20 10 20 20 140
27 Antiza syrup 0 botol Rp - Rp 32,000.00 0
28 Asam Askorbat /Vitamin C 50 mg) 28,400 tablet Rp 1,192,800.00 Rp 42.00 2000 500 2000 2000 500 2000 2000 2000 1500 1000 2000 1000 1000 ###
29 Asam Folat 1 mg 12,600 tablet Rp 705,600.00 Rp 56.00 500 1000 200 200 500 300 2700
30 Asetil Sistein 2,100 tablet Rp 637,854.00 Rp 303.74 300 600 300 300 300 300 2100
31 Asetosal 80 mg (Miniaspi tab) 1,100 Tablet Rp 115,500.00 Rp 105.00 100 200 300 300 200 1100
32 Asiklovir cr 0 tube Rp - Rp 4,755.24 0
33 Asiklovir cr 300 tube Rp 1,365,000.00 Rp 4,550.00 30 10 20 20 30 20 20 20 20 190
35 BIO ATP 11,600 Kaplet Rp 27,577,840.00 Rp 2,377.40 100 300 400
36 Borax Gliserin 0 POT Rp - Rp 4,279.81 0
37 Bracket 106 Pcs Rp 2,332,000.00 Rp 22,000.00 0
38 Canula Anak 150 pcs Rp 1,125,000.00 Rp 7,500.00 0
39 Canule O2 Anak 120 Pcs Rp 612,000.00 Rp 5,100.00 20 20
40 Canule O2 Bayi 20 Buah Rp 104,000.00 Rp 5,200.00 0
41 Canule O2 dewasa 150 pcs Rp 1,125,000.00 Rp 7,500.00 5 30 20 50 105
42 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0
43 Catgut cromic 2/0 516 pcs Rp 4,708,500.00 Rp 9,125.00 12 12 24
44 Catgut cromic 2/0 600 pcs Rp 15,441,600.00 Rp 25,736.00 0
45 Catgut cromic 3/0 348 pcs Rp 8,956,128.00 Rp 25,736.00 12 12 24
46 Catried TCM 2,050 test Rp 518,695,571.50 Rp 253,022.23 750 500 1250
47 Cefadroxil syrup 125 mg/5ml 30 botol Rp 114,000.00 Rp 3,800.00 10 10
48 Ciprofloxacin 500 mg 21,200 Tablet Rp 5,257,600.00 Rp 248.00 1000 1000 1000 1000 200 1000 500 5700
49 Coverall/Hazmat Axeel 100 pcs Rp 12,300,000.00 Rp 123,000.00 0
50 Curcuma/Curlysin Syrup 300 botol Rp 5,328,000.00 Rp 17,760.00 0
51 Deksametason 0.5 mg tab 5,400 tab Rp 183,600.00 Rp 34.00 400 400 400 400 400 400 400 200 400 400 200 200 400 4600
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0
53 Desinfektan 4 jerigen 5L Rp 260,000.00 Rp 65,000.00 0
54 Diazepam 5 mg Tab 14,200 Tablet Rp 1,533,600.00 Rp 108.00 300 300 200 500 100 500 300 300 100 2600
55 DIAZEPAM INJ 230 ampul Rp 355,350.00 Rp 1,545.00 10 10 10 30
56 DIAZEPAM INJ 3,500 ampul Rp 5,407,500.00 Rp 1,545.00 0
57 Diazepam rektal 10 mg/2,5 ml 25 Suppositoria Rp 492,325.00 Rp 19,693.00 5 5 10
58 Dimenhidrinate 50mg 100 TABLET Rp 10,800.00 Rp 108.00 100 100
59 Domperidon tablet 30,700 tablet Rp 5,188,300.00 Rp 169.00 500 100 1000 200 500 200 1000 500 500 300 4800
60 Epinephrine 1mg inj 178 Ampul Rp 269,670.00 Rp 1,515.00 30 20 50
61 Etanol 70 % 100 ml 372 Botol Rp 1,037,880.00 Rp 2,790.00 24 24
62 Etanol 70 % 1L 93 botol Rp 5,208,000.00 Rp 56,000.00 3 5 1 9
64 Etil Klorida 70 botol Rp 8,330,000.00 Rp 119,000.00 1 2 1 1 2 2 1 10
65 Eugenol 16 botol Rp 322,400.00 Rp 20,150.00 2 2
66 FDC Kategori 1 0 Paket Rp - Rp 416,696.00 0
67 FDC Kategori 1 259 paket Rp 107,924,264.00 Rp 416,696.00 16 32 1 5 16 70
68 FDC Kategori 1 harian 1 paket Rp 359,985.00 Rp 359,985.00 1 1
69 FDC Kategori Anak 0 Paket Rp - Rp 248,310.00 0
70 Fenitoin 100 mg 10,200 kapsul Rp 6,101,640.00 Rp 598.20 600 100 700
71 Fenitoin inj 50 ampul Rp 50.00 Rp 1.00 0
72 Fenobarbital 30 mg 3,000 Tablet Rp 513,000.00 Rp 171.00 0
73 Fenobarbital 30 mg 3,800 Tablet Rp 649,800.00 Rp 171.00 200 200
74 Fitomenadion inj 2 mg/ml 870 ampul Rp 1,205,820.00 Rp 1,386.00 30 60 120 30 240
75 Fitomenadion inj 2 mg/ml 9,045 ampul Rp 12,536,370.00 Rp 1,386.00 0
76 Fluphenazine/Sikzonoate 25 inj 5,560 Ampul Rp 353,060,000.00 Rp 63,500.00 5 20 15 40
77 Folley Cath No.16 0 pcs Rp - Rp 10,200.00 0
78 Folley Cath No.18 40 pcs Rp 408,000.00 Rp 10,200.00 10 10 10 30
Sisa (31 Maret 2022 )
Sisa Baik
Jumlah
0
1500
8200
0
15200
1000
327800
22000
8500
0
0
300
21000
960
700
63800
169400
20
21000
43500
32000
260
50000
59300
458
70
0
8900
9900
0
0
0
110
132
11200
0
106
150
100
20
45
0
492
600
324
800
20
15500
100
300
800
0
4
11600
200
3500
15
0
25900
128
348
84
200
60
14
0
189
0
0
9500
50
3000
3600
630
9045
5520
0
10
Jumlah Barang yang diterima/dikeluarkan ( 1 April s/d 30 April 2022)
No Uraian (Nama Barang) Saldo Awal Harga SatuanPenambahan Pengurangan
Jumlah Jumlah
banjarejo blorabogorejo
cepudoplang
gondoryo
japah jepon jikenkapuan
kedungtuban
ketuan
kunduran
kutukan
medang
menden
ngawenngroto
puledagel
randublatung
randulawang
rowobungkul sonokidul
sambong tunjungan
todanan JUMLAH
1 Alat
Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0
2 Alat Suntik 10 ml 1,500 Pcs Rp 1,371,000.00 Rp 914.00 200 300 500
3 Alat Suntik 1ml 8,200 pcs Rp 7,937,600.00 Rp 968.00 100 100 200 200 300 100 1000
5 Alat Suntik 3ml 15,200 PCS Rp 13,141,312.00 Rp 864.56 300 300 500 100 200 300 200 500 2400
6 Alat Suntik 5ml 1,000 pcs Rp 765,000.00 Rp 765.00 100 300 100 100 600
7 Albendazol 400mg tab 327,800 Tablet Rp 94,406,400.00 Rp 288.00 0
8 Alkohol Swab 22,000 Set Rp 2,640,000.00 Rp 120.00 100 2400 2400 4900
9 Alopurinol 100mg tab 8,500 tablet Rp 739,500.00 Rp 87.00 500 500 500 300 500 2300
10 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0
12 Alprazolam 0,5 mg 300 Tablet Rp 29,700.00 Rp 99.00 200 100 300
13 Aminofilin tab 200 mg 21,000 Tablet Rp 7,035,000.00 Rp 335.00 0
15 Amitriptyline 25 mg tab 700 Tablet Rp 123,613.00 Rp 176.59 0
16 Amlodipin 10 mg 63,800 tablet Rp 9,702,066.00 Rp 152.07 2000 ### 1000 2000 2000 2000 ### 2000 ### 1000 1000 2000 20500
17 Amlodipin 5 mg 169,400 tablet Rp 21,811,944.00 Rp 128.76 2000 ### 500 2000 500 ### 1000 ### 500 ### 1000 500 12000
18 Amoksisilin 125/5ml syrup 20 botol Rp 101,500.00 Rp 5,075.00 20 20
20 Amoksisilin kapl 500 mg 43,500 tablet Rp 8,743,500.00 Rp 201.00 200 ### 3000 ### ### 11200
21 Amoksisilin kapl 500 mg 32,000 Tablet Rp 6,432,000.00 Rp 201.00 5000 2000 3000 ### 5000 5000 5000 ### 1000 3000 32000
23 Antasida DOEN tab 50,000 tablet Rp 2,900,000.00 Rp 58.00 0
24 Antasida DOEN tab 59,300 Tablet Rp 3,202,200.00 Rp 54.00 2200 2000 1000 ### 1000 ### 2000 3000 15200
25 Antifungi salep komb 458 pot Rp 1,592,466.00 Rp 3,477.00 30 30 60
26 Antihemoroid DOEN 70Suppositoria Rp 227,500.00 Rp 3,250.00 30 20 20 70
28 Asam Askorbat /Vitamin C 50 mg) 8,900 tablet Rp 373,800.00 Rp 42.00 2000 2000 2000 2000 900 8900
29 Asam Folat 1 mg 9,900 tablet Rp 554,400.00 Rp 56.00 300 300 500 300 500 200 500 500 3100
30 Asetil Sistein 0 tablet Rp - Rp 303.74 0
31 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0
33 Asiklovir cr 110 tube Rp 500,500.00 Rp 4,550.00 20 20 20 20 20 10 110
35 BIO ATP 11,200 Kaplet Rp 26,626,880.00 Rp 2,377.40 300 300 200 200 1000
37 Bracket 106 Pcs Rp 2,332,000.00 Rp 22,000.00 5 5 2 12
38 Canula Anak 150 pcs Rp 1,125,000.00 Rp 7,500.00 20 20
39 Canule O2 Anak 100 Pcs Rp 510,000.00 Rp 5,100.00 60 40 100
40 Canule O2 Bayi 20 Buah Rp 104,000.00 Rp 5,200.00 20 20
41 Canule O2 dewasa 45 pcs Rp 337,500.00 Rp 7,500.00 45 45
43 Catgut cromic 2/0 492 pcs Rp 4,489,500.00 Rp 9,125.00 12 12 12 24 12 72
45 Catgut cromic 3/0 324 pcs Rp 8,338,464.00 Rp 25,736.00 12 12 12 24 12 12 84
46 Catried TCM 800 test Rp 202,417,784.00 Rp 253,022.23 300 300
47 Cefadroxil syrup 125 mg/5ml 20 botol Rp 76,000.00 Rp 3,800.00 20 20
48 Ciprofloxacin 500 mg 15,500 Tablet Rp 3,844,000.00 Rp 248.00 1500 500 1000 1000 500 1000 500 500 500 1000 8000
51 Deksametason 0.5 mg tab 800 tab Rp 27,200.00 Rp 34.00 0
53 Desinfektan 4 jerigen 5L Rp 260,000.00 Rp 65,000.00 0
54 Diazepam 5 mg Tab 11,600 Tablet Rp 1,252,800.00 Rp 108.00 200 200 100 100 500 500 1600
55 DIAZEPAM INJ 200 ampul Rp 309,000.00 Rp 1,545.00 10 10 20
57 Diazepam rektal 10 mg/2,5 ml 15Suppositoria Rp 295,395.00 Rp 19,693.00 10 10
58 Dimenhidrinate 50mg 0 TABLET Rp - Rp 108.00 0
59 Domperidon tablet 25,900 tablet Rp 4,377,100.00 Rp 169.00 1000 500 300 500 1000 500 500 500 4800
60 Epinephrine 1mg inj 128 Ampul Rp 193,920.00 Rp 1,515.00 30 10 10 10 60
61 Etanol 70 % 100 ml 348 Botol Rp 970,920.00 Rp 2,790.00 24 24 24 24 96
62 Etanol 70 % 1L 84 botol Rp 4,704,000.00 Rp 56,000.00 10 5 5 2 5 27
64 Etil Klorida 60 botol Rp 7,140,000.00 Rp 119,000.00 3 1 1 1 1 1 1 1 10
65 Eugenol 14 botol Rp 282,100.00 Rp 20,150.00 0
67 FDC Kategori 1 189 paket Rp 78,755,544.00 Rp 416,696.00 26 6 3 7 5 16 63
68 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0
70 Fenitoin 100 mg 9,500 kapsul Rp 5,682,900.00 Rp 598.20 200 500 600 200 1500
73 Fenobarbital 30 mg 3,600 Tablet Rp 615,600.00 Rp 171.00 100 100
74 Fitomenadion inj 2 mg/ml 630 ampul Rp 873,180.00 Rp 1,386.00 30 60 30 60 30 30 240
76 Fluphenazine/Sikzonoate 25 inj 5,520 Ampul Rp 350,520,000.00 Rp 63,500.00 5 20 5 30
78 Folley Cath No.18 10 pcs Rp 102,000.00 Rp 10,200.00 10 10
Sisa (31 Desember 2020 )
Sisa Baik Sisa Kadaluarsa
Jumlah Jumlah
0
1000
7200
0
12800
400
327800
17100
6200
0
0
0
21000
960
700
43300
157400
0
21000
32300
0
130
50000
44100
398
0
0
0
6800
0
0
0
0
82
10200
0
94
130
0
0
0
0
420
600
240
500
0
7500
100
300
800
0
4
10000
180
3500
5
0
21100
68
252
57
200
50
14
0
126
0
0
8000
50
3000
3500
390
9045
5490
0
0
Sisa (31
Harga Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022) Desember
No Uraian (Nama Barang) Saldo Awal SatuaPenambahan Pengurangan Sisa2020
Baik )Kadaluarsa
Sisa
n Jumlah Jumlah Jumlah Juml
banjarejo
blora
bogorejo
cepudoplang
gondoryo
japahjeponjikenkapuan
kedungtuban
ketuan
kunduran
kutukan
medang
menden
ngawen
ngroto
puledagel
randublatung
randulawang
rowobungkul
sambong
sonokidul
todanan MLAH
tunjungan
1 Alat Suntik 10 ml 0 Pcs Rp - ### 0 0
2 Alat Suntik 10 ml 1,000 Pcs Rp 914,000.00 ### 100 100 200 800
3 Alat Suntik 1ml 7,200 pcs Rp 6,969,600.00 ### 100 100 100 200 500 6700
4 Alat Suntik 3ml 0 pcs Rp - ### 0 0
5 Alat Suntik 3ml 12,800 PCS Rp 11,066,368.00 ### 300 500 100 200 300 200 200 300 ### 2300 10500
6 Alat Suntik 5ml 400 pcs Rp 306,000.00 ### 100 100 200 200
7 Albendazol 400mg tab 327,800 Tablet Rp 94,406,400.00 ### 0 327800
8 Alkohol Swab 17,100 Set Rp 2,052,000.00 ### 0 17100
9 Alopurinol 100mg tab 6,200 tablet Rp 539,400.00 ### 100 500 1000 1000 500 500 ### 3900 2300
10 Alopurinol 300 mg 0 Tablet Rp - ### 0 0
11 Alprazolam 0,5 mg 0 Tablet Rp - ### 0 0
12 Alprazolam 0,5 mg 0 Tablet Rp - ### 0 0
13 Aminofilin tab 200 mg 21,000 Tablet Rp 7,035,000.00 ### 1000 1000 200 1000 500 1000 500 1000 1000 1000 500 ### 9200 11800
14 Aminophylline 24mg/ml inj 960 ampul Rp 2,499,840.00 ### 0 960
15 Amitriptyline 25 mg tab 700 Tablet Rp 123,613.00 ### 0 700
16 Amlodipin 10 mg 43,300 tablet Rp 6,584,631.00 ### 1000 1000 300 1000 1000 1000 1000 1000 500 1000 500 1000 10300 33000
17 Amlodipin 5 mg 157,400 tablet Rp 20,266,824.00 ### 2000 3000 1000 2000 300 1000 1000 3000 1000 500 14800 142600
18 Amoksisilin 125/5ml syrup 0 botol Rp - ### 0 0
19 Amoksisilin kapl 500 mg 21,000 tablet Rp 9,219,210.00 ### 0 21000
20 Amoksisilin kapl 500 mg 32,300 tablet Rp 6,492,300.00 ### 2000 1000 3000 2000 500 3000 2000 2000 500 2000 2000 3000 500 1000 1000 500 ### 27000 5300
21 Amoksisilin kapl 500 mg 0 Tablet Rp - ### 0 0
22 Ampisilin serbuk 1000mg/ml 130 vial Rp 1,116,830.00 ### 10 10 50 70 60
23 Antasida DOEN tab 50,000 tablet Rp 2,900,000.00 ### 0 50000
24 Antasida DOEN tab 44,100 Tablet Rp 2,381,400.00 ### 3000 3000 500 2000 1000 2000 2000 2000 1000 16500 27600
25 Antifungi salep komb 398 pot Rp 1,383,846.00 ### 20 10 20 20 20 90 308
26 Antihemoroid DOEN 0SuppositoriaRp - ### 0 0
27 Antiza syrup 0 botol Rp - ### 0 0
28 Asam Askorbat /Vitamin C 50 mg) 0 tablet Rp - ### 0 0
29 Asam Folat 1 mg 6,800 tablet Rp 380,800.00 ### 500 500 200 500 300 2000 4800
30 Asetil Sistein 0 tablet Rp - ### 0 0
31 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - ### 0 0
32 Asiklovir cr 0 tube Rp - ### 0 0
33 Asiklovir cr 0 tube Rp - ### 0 0
34 Atropin inj 0.25mg 82 Ampul Rp 140,876.00 ### 0 82
35 BIO ATP 10,200 Kaplet Rp 24,249,480.00 ### 300 300 9900
36 Borax Gliserin 0 POT Rp - ### 0 0
37 Bracket 94 Pcs Rp 2,068,000.00 ### 2 2 92
38 Canula Anak 130 pcs Rp 975,000.00 ### 20 10 30 100
39 Canule O2 Anak 0 Pcs Rp - ### 0 0
40 Canule O2 Bayi 0 Buah Rp - ### 0 0
41 Canule O2 dewasa 0 pcs Rp - ### 0 0
42 Canule O2 dewasa 0 Buah Rp - ### 0 0
43 Catgut cromic 2/0 420 pcs Rp 3,832,500.00 ### 60 24 60 36 60 60 60 60 420 0
44 Catgut cromic 2/0 600 pcs Rp 15,441,600.00 ### 0 600
45 Catgut cromic 3/0 240 pcs Rp 6,176,640.00 ### 12 12 12 12 48 192
46 Catried TCM 500 test Rp 126,511,115.00 ### 300 300 200
47 Cefadroxil syrup 125 mg/5ml 0 botol Rp - ### 0 0
48 Ciprofloxacin 500 mg 7,500 Tablet Rp 1,860,000.00 ### 500 500 200 200 500 500 500 300 3200 4300
49 Coverall/Hazmat Axeel 100 pcs Rp 12,300,000.00 ### 0 100
50 Curcuma/Curlysin Syrup 300 botol Rp 5,328,000.00 ### 0 300
51 Deksametason 0.5 mg tab 800 tab Rp 27,200.00 ### 0 800
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - ### 0 0
53 Desinfektan 4 jerigen 5L Rp 260,000.00 ### 0 4
54 Diazepam 5 mg Tab 10,000 Tablet Rp 1,080,000.00 ### 100 100 100 100 100 300 200 1000 9000
55 DIAZEPAM INJ 180 ampul Rp 278,100.00 ### 0 180
56 DIAZEPAM INJ 3,500 ampul Rp 5,407,500.00 ### 0 3500
57 Diazepam rektal 10 mg/2,5 ml 5SuppositoriaRp 98,465.00 ### 0 5
58 Dimenhidrinate 50mg 0 TABLET Rp - ### 0 0
59 Domperidon tablet 21,100 tablet Rp 3,565,900.00 ### 300 500 500 500 300 200 500 300 300 3400 17700
60 Epinephrine 1mg inj 68 Ampul Rp 103,020.00 ### 0 68
61 Etanol 70 % 100 ml 252 Botol Rp 703,080.00 ### 12 12 12 36 216
62 Etanol 70 % 1L 57 botol Rp 3,192,000.00 ### 2 1 3 54
63 Etanol 70 % 1L 200 botol Rp 4,719,000.00 ### 0 200
64 Etil Klorida 50 botol Rp 5,950,000.00 ### 2 1 2 1 2 2 2 1 1 14 36
65 Eugenol 14 botol Rp 282,100.00 ### 0 14
66 FDC Kategori 1 0 Paket Rp - ### 0 0
67 FDC Kategori 1 126 paket Rp 52,503,696.00 ### 16 32 16 16 5 5 16 106 20
68 FDC Kategori 1 harian 0 paket Rp - ### 0 0
69 FDC Kategori Anak 0 Paket Rp - ### 0 0
70 Fenitoin 100 mg 8,000 kapsul Rp 4,785,600.00 ### 200 200 200 600 1200 6800
71 Fenitoin inj 50 ampul Rp 50.00 Rp1.00 0 50
72 Fenobarbital 30 mg 3,000 Tablet Rp 513,000.00 ### 0 3000
73 Fenobarbital 30 mg 3,500 Tablet Rp 598,500.00 ### 0 3500
74 Fitomenadion inj 2 mg/ml 390 ampul Rp 540,540.00 ### 30 30 30 30 30 30 120 30 330 60
75 Fitomenadion inj 2 mg/ml 9,045 ampul Rp 12,536,370.00 ### 0 9045
76 Fluphenazine/Sikzonoate 25 inj 5,490 Ampul Rp 348,615,000.00 ### 10 20 30 5460
77 Folley Cath No.16 0 pcs Rp - ### 0 0
78 Folley Cath No.18 0 pcs Rp - ### 0 0
Sisa (31 Desember
2020 )
No Uraian (Nama Barang) Saldo Awal Harga Satuan Penambahan Pengurangan Sisa Baik
Sisa Kadaluarsa
Jumlah Jumlah
blora bogorejocepu
banjarejo doplang
gondoryo jeponjiken kapuankedungtubanketuan
japah kunduran
kutukan
medang ngawenngroto
menden randublatung
puledagel randulawang
rowobungkul
sambong
sonokidul
todanan
tunjunganJUMLAH Jumlah Jumlah
1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 0
2 Alat Suntik 10 ml 800 Pcs ### Rp 914.00 100 100 100 100 400 400
3 Alat Suntik 1ml 6,700 pcs ### Rp 968.00 100 100 100 200 300 100 100 100 200 1300 5400
4 Alat Suntik 3ml 0 pcs Rp - Rp 1,358.70 0 0
5 Alat Suntik 3ml 10,500 PCS ### Rp 864.56 300 300 300 300 200 200 200 300 300 2400 8100
6 Alat Suntik 5ml 200 pcs ### Rp 765.00 100 100 200 0
7 Albendazol 400mg tab 327,800Tablet ### Rp 288.00 0 327800
8 Alkohol Swab 17,100 Set ### Rp 120.00 0 17100
9 Alopurinol 100mg tab 2,300 tablet ### Rp 87.00 300 300 200 500 500 500 2300 0
10 Alopurinol 300 mg 0Tablet Rp - Rp 550.00 0 0
11 Alprazolam 0,5 mg 0Tablet Rp - Rp 78.00 0 0
12 Alprazolam 0,5 mg 0Tablet Rp - Rp 99.00 0 0
13 Aminofilin tab 200 mg 11,800Tablet ### Rp 335.00 1000 1000 ### ### 1000 800 ### 1000 ### ### ### ### 11800 0
14 Aminophylline 24mg/ml inj 960 ampul ### Rp 2,604.00 30 30 30 90 870
15 Amitriptyline 25 mg tab 700Tablet ### Rp 176.59 0 700
16 Amlodipin 10 mg 33,000 tablet ### Rp 152.07 2000 1000 ### ### 1000 2000 ### ### 1000 ### ### ### 17000 16000
17 Amlodipin 5 mg 142,600 tablet ### Rp 128.76 2000 1000 ### ### 1000 500 ### 500 500 ### ### ### ### 15500 127100
18 Amoksisilin 125/5ml syrup 0 botol Rp - Rp 5,075.00 0 0
19 Amoksisilin kapl 500 mg 21,000 tablet ### Rp 439.01 2200 ### ### 2000 ### ### 2000 ### ### ### 20200 800
20 Amoksisilin kapl 500 mg 5,300 tablet ### Rp 201.00 1000 500 ### 2000 ### 5300 0
21 Amoksisilin kapl 500 mg 0Tablet Rp - Rp 201.00 0 0
22 Ampisilin serbuk 1000mg/ml 60 vial ### Rp 8,591.00 20 10 30 30
23 Antasida DOEN tab 50,000 tablet ### Rp 58.00 0 50000
24 Antasida DOEN tab 27,600Tablet ### Rp 54.00 2300 1000 2000 2000 ### ### 1000 ### ### ### 16300 11300
25 Antifungi salep komb 308 pot ### Rp 3,477.00 20 20 20 20 80 228
26 Antihemoroid DOEN 0
Suppositoria
Rp - Rp 3,250.00 0 0
27 Antiza syrup 0 botol Rp - Rp 32,000.00 0 0
28 Asam Askorbat /Vitamin C 50 mg) 0 tablet Rp - Rp 42.00 0 0
29 Asam Folat 1 mg 4,800 tablet ### Rp 56.00 500 500 300 500 200 300 300 500 3100 1700
30 Asetil Sistein 0 tablet Rp - Rp 303.74 0 0
31 Asetosal 80 mg (Miniaspi tab) 0Tablet Rp - Rp 105.00 0 0
32 Asiklovir cr 0 tube Rp - Rp 4,755.24 0 0
34 Atropin inj 0.25mg 82Ampul ### Rp 1,718.00 10 10 72
35 BIO ATP 9,900Kaplet ### Rp 2,377.40 300 100 300 300 1000 8900
36 Borax Gliserin 0 POT Rp - Rp 4,279.81 0 0
37 Bracket 92 Pcs ### Rp 22,000.00 3 5 2 4 14 78
38 Canula Anak 100 pcs ### Rp 7,500.00 20 20 20 40 100 0
39 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 0
40 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 0
41 Canule O2 dewasa 0 pcs Rp - Rp 7,500.00 0 0
42 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 0
43 Catgut cromic 2/0 0 pcs Rp - Rp 9,125.00 0 0
44 Catgut cromic 2/0 600 pcs ### Rp 25,736.00 12 12 24 24 24 24 12 24 156 444
45 Catgut cromic 3/0 192 pcs ### Rp 25,736.00 24 24 12 12 12 24 108 84
46 Catried TCM 200 test ### Rp 253,022.23 200 200 0
47 Cefadroxil syrup 125 mg/5ml 0 botol Rp - Rp 3,800.00 0 0
48 Ciprofloxacin 500 mg 4,300Tablet ### Rp 248.00 500 500 300 600 300 500 200 300 300 500 300 4300 0
49 Coverall/Hazmat Axeel 100 pcs ### Rp 123,000.00 0 100
50 Curcuma/Curlysin Syrup 300 botol ### Rp 17,760.00 0 300
51 Deksametason 0.5 mg tab 800 tab ### Rp 34.00 0 800
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 0
53 Desinfektan j4erigen 5L ### Rp 65,000.00 0 4
54 Diazepam 5 mg Tab 9,000Tablet ### Rp 108.00 100 200 500 200 200 1200 7800
55 DIAZEPAM INJ 180 ampul ### Rp 1,545.00 0 180
56 DIAZEPAM INJ 3,500 ampul ### Rp 1,545.00 0 3500
57 Diazepam rektal 10 mg/2,5 ml 5
Suppositoria ### Rp 19,693.00 0 5
58 Dimenhidrinate 50mg 0TABLETRp - Rp 108.00 0 0
59 Domperidon tablet 17,700 tablet ### Rp 169.00 500 500 500 500 500 500 500 500 300 500 4800 12900
60 Epinephrine 1mg inj 68Ampul ### Rp 1,515.00 10 10 20 48
61 Etanol 70 % 100 ml 216 Botol ### Rp 2,790.00 12 12 12 12 48 168
62 Etanol 70 % 1L 54 botol ### Rp 56,000.00 5 2 3 5 5 5 5 30 24
63 Etanol 70 % 1L 200 botol ### Rp 23,595.00 0 200
64 Etil Klorida 36 botol ### Rp 119,000.00 4 2 2 2 2 1 2 1 2 2 2 22 14
65 Eugenol 14 botol ### Rp 20,150.00 1 1 13
66 FDC Kategori 1 0 Paket Rp - Rp 416,696.00 0 0
67 FDC Kategori 1 20 paket ### Rp 416,696.00 20 20 0
68 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 0
69 FDC Kategori Anak 0 Paket Rp - Rp 248,310.00 0 0
70 Fenitoin 100 mg 6,800kapsul ### Rp 598.20 300 100 300 500 1200 5600
71 Fenitoin inj 50 ampul ### Rp 1.00 0 50
72 Fenobarbital 30 mg 3,000Tablet ### Rp 171.00 0 3000
73 Fenobarbital 30 mg 3,500Tablet ### Rp 171.00 0 3500
74 Fitomenadion inj 2 mg/ml 60 ampul ### Rp 1,386.00 30 30 60 0
75 Fitomenadion inj 2 mg/ml 9,045 ampul ### Rp 1,386.00 30 30 30 30 30 150 8895
76 Fluphenazine/Sikzonoate 25 inj 5,460Ampul ### Rp 63,500.00 0 5460
77 Folley Cath No.16 0 pcs Rp - Rp 10,200.00 0 0
UPTD GUDANG FARMASI
Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022) Sisa (31 Juli 2022 )
No Uraian (Nama Barang) Saldo Awal Harga Satuan Penambahan Pengurangan Sisa Baik Sisa Kadaluarsa
Jumlah Jumlah Jumlah Jumlah
banjarejo blorabogorejocepudoplang
gondoryo
japah jepon jikenkapuan
kedungtuban
ketuan
kunduran
kutukan
medang
menden
ngawenngroto
puledagel
randublatung
randulawang
rowobungkul
sambong
sonokidul
todanan
tunjungan
JUMLAH
1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 0

2 Alat Suntik 10 ml 400 Pcs ### Rp 914.00 0 400
4 Alat Suntik 3ml 0 pcs Rp - Rp 1,358.70 0 0
5 Alat Suntik 3ml 8,100 PCS ### Rp 864.56 0 8100
6 Alat Suntik 5ml 0 pcs Rp - Rp 765.00 0 0
7 Albendazol 400mg tab 327,800 Tablet ### Rp 288.00 0 0 327800
8 Alkohol Swab 17,100 Set ### Rp 120.00 0 17100
9 Alopurinol 100mg tab 0 tablet Rp - Rp 87.00 0 0
10 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 0
11 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 0
12 Alprazolam 0,5 mg 0 Tablet Rp - Rp 99.00 0 0
13 Aminofilin tab 200 mg 0 Tablet Rp - Rp 335.00 0 0
14 Aminophylline 24mg/ml inj 870 ampul ### Rp 2,604.00 0 870
15 Amitriptyline 25 mg tab 700 Tablet ### Rp 176.59 0 700
16 Amlodipin 10 mg 16,000 tablet ### Rp 152.07 0 16000
17 Amlodipin 5 mg 127,100 tablet ### Rp 128.76 0 127100
18 Amoksisilin 125/5ml syrup 0 botol Rp - Rp 5,075.00 0 0
19 Amoksisilin kapl 500 mg 800 tablet ### Rp 439.01 0 800
20 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 201.00 0 0
21 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 0 0
22 Ampisilin serbuk 1000mg/ml 30 vial ### Rp 8,591.00 0 30
23 Antasida DOEN tab 50,000 tablet ### Rp 58.00 0 50000
24 Antasida DOEN tab 11,300 Tablet ### Rp 54.00 0 11300
25 Antifungi salep komb 228 pot ### Rp 3,477.00 0 228
26 Antihemoroid DOEN Suppositoria
0 Rp - Rp 3,250.00 0 0
27 Antiza syrup 0 botol Rp - Rp 32,000.00 0 0
28 Asam Askorbat /Vitamin C 50 mg) 0 tablet Rp - Rp 42.00 0 0
29 Asam Folat 1 mg 1,700 tablet ### Rp 56.00 0 1700
30 Asetil Sistein 0 tablet Rp - Rp 303.74 0 0
31 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 0
34 Atropin inj 0.25mg 72 Ampul ### Rp 1,718.00 0 72
35 BIO ATP 8,900 Kaplet ### Rp 2,377.40 0 8900
36 Borax Gliserin 0 POT Rp - Rp 4,279.81 0 0
37 Bracket 78 Pcs ### Rp 22,000.00 0 78
38 Canula Anak 0 pcs Rp - Rp 7,500.00 0 0
39 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 0
40 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 0
41 Canule O2 dewasa 0 pcs Rp - Rp 7,500.00 0 0
42 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 0
43 Catgut cromic 2/0 0 pcs Rp - Rp 9,125.00 0 0
44 Catgut cromic 2/0 444 pcs ### Rp 25,736.00 0 444
45 Catgut cromic 3/0 84 pcs ### Rp 25,736.00 0 84
46 Catried TCM 0 test Rp - Rp 253,022.23 0 0
47 Cefadroxil syrup 125 mg/5ml 0 botol Rp - Rp 3,800.00 0 0
48 Ciprofloxacin 500 mg 0 Tablet Rp - Rp 248.00 0 0
49 Coverall/Hazmat Axeel 100 pcs ### Rp 123,000.00 0 100
50 Curcuma/Curlysin Syrup 300 botol ### Rp 17,760.00 0 300
51 Deksametason 0.5 mg tab 800 tab ### Rp 34.00 0 800
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 0
53 Desinfektan 4jerigen 5L ### Rp 65,000.00 0 4
54 Diazepam 5 mg Tab 7,800 Tablet ### Rp 108.00 0 7800
55 DIAZEPAM INJ 180 ampul ### Rp 1,545.00 0 180
56 DIAZEPAM INJ 3,500 ampul ### Rp 1,545.00 0 3500
57 Diazepam rektal 10 mg/2,5 ml Suppositoria
5 ### Rp 19,693.00 0 5
58 Dimenhidrinate 50mg 0 TABLET Rp - Rp 108.00 0 0
59 Domperidon tablet 12,900 tablet ### Rp 169.00 0 12900
60 Epinephrine 1mg inj 48 Ampul ### Rp 1,515.00 0 48
61 Etanol 70 % 100 ml 168 Botol ### Rp 2,790.00 0 168
62 Etanol 70 % 1L 24 botol ### Rp 56,000.00 0 24
63 Etanol 70 % 1L 200 botol ### Rp 23,595.00 0 200
64 Etil Klorida 14 botol ### Rp 119,000.00 0 14
65 Eugenol 13 botol ### Rp 20,150.00 0 13
66 FDC Kategori 1 0 Paket Rp - Rp 416,696.00 0 0
67 FDC Kategori 1 0 paket Rp - Rp 416,696.00 0 0
68 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 0
69 FDC Kategori Anak 0 Paket Rp - Rp 248,310.00 0 0
70 Fenitoin 100 mg 5,600 kapsul ### Rp 598.20 0 5600
71 Fenitoin inj 50 ampul ### Rp 1.00 0 50
72 Fenobarbital 30 mg 3,000 Tablet ### Rp 171.00 0 3000
73 Fenobarbital 30 mg 3,500 Tablet ### Rp 171.00 0 3500
74 Fitomenadion inj 2 mg/ml 0 ampul Rp - Rp 1,386.00 0 0
75 Fitomenadion inj 2 mg/ml 8,895 ampul ### Rp 1,386.00 0 8895
76 Fluphenazine/Sikzonoate 25 inj 5,460 Ampul ### Rp 63,500.00 0 5460
UPTD GUDANG FARMASI

Penambahan Pengurangan
No Uraian (Nama Barang) Saldo Awal Harga Satuan
Jumlah Jumlah
banjarejo blora bogorejocepu

doplang
gondoryo
japah
jepon
kedungtuban
jiken
kapuan
ketuan
kunduran
kutukan medang menden ngawen ngroto puledagel randublatungrandulawangrowobungkul sambong sonokidul todanan tunjungan JUMLAH
1 Alat
Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0
2 Alat Suntik 10 ml 400 Pcs Rp 365,600.00 Rp 914.00 0
3 Alat Suntik 1ml 5,400 pcs Rp 5,227,200.00 Rp 968.00 0
5 Alat Suntik 3ml 8,100 PCS Rp 7,002,936.00 Rp 864.56 0
6 Alat Suntik 5ml 0 pcs Rp - Rp 765.00 0
7 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 0
8 Alkohol Swab 17,100 Set Rp 2,052,000.00 Rp 120.00 100 100
9 Alopurinol 100mg tab 0 tablet Rp - Rp 87.00 0
10 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0
13 Aminofilin tab 200 mg 0 Tablet Rp - Rp 335.00 0
15 Amitriptyline 25 mg tab 700 Tablet Rp 123,613.00 Rp 176.59 0
16 Amlodipin 10 mg 16,000 tablet Rp 2,433,120.00 Rp 152.07 0
17 Amlodipin 5 mg 127,100 tablet Rp 16,365,396.00 Rp 128.76 0
18 Amoksisilin 125/5ml syrup 0 botol Rp - Rp 5,075.00 0
19 Amoksisilin kapl 500 mg 800 tablet Rp 351,208.00 Rp 439.01 0
20 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 201.00 0
21 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 0
22 Ampisilin serbuk 1000mg/ml 30 vial Rp 257,730.00 Rp 8,591.00 0
23 Antasida DOEN tab 50,000 tablet Rp 2,900,000.00 Rp 58.00 200 ### 500 1000
24 Antasida DOEN tab 11,300 Tablet Rp 610,200.00 Rp 54.00 0
25 Antifungi salep komb 228 pot Rp 792,756.00 Rp 3,477.00 0
0 Rp - Rp 3,250.00 0
28 Asam Askorbat /Vitamin C 50 mg) 0 tablet Rp - Rp 42.00 0
29 Asam Folat 1 mg 1,700 tablet Rp 95,200.00 Rp 56.00 0
30 Asetil Sistein 0 tablet Rp - Rp 303.74 0
31 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0
34 Atropin inj 0.25mg 72 Ampul Rp 123,696.00 Rp 1,718.00 0
35 BIO ATP 8,900 Kaplet Rp 21,158,860.00 Rp 2,377.40 0
37 Bracket 78 Pcs Rp 1,716,000.00 Rp 22,000.00 0
38 Canula Anak 0 pcs Rp - Rp 7,500.00 0
39 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0
40 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0
41 Canule O2 dewasa 0 pcs Rp - Rp 7,500.00 0
43 Catgut cromic 2/0 0 pcs Rp - Rp 9,125.00 0
46 Catried TCM 0 test Rp - Rp 253,022.23 0
47 Cefadroxil syrup 125 mg/5ml 0 botol Rp - Rp 3,800.00 0
48 Ciprofloxacin 500 mg 0 Tablet Rp - Rp 248.00 0
51 Deksametason 0.5 mg tab 800 tab Rp 27,200.00 Rp 34.00 0
53 Desinfektan 4jerigen 5L Rp 260,000.00 Rp 65,000.00 0
54 Diazepam 5 mg Tab 7,800 Tablet Rp 842,400.00 Rp 108.00 0
55 DIAZEPAM INJ 180 ampul Rp 278,100.00 Rp 1,545.00 0
5 Rp 98,465.00 Rp 19,693.00 0
58 Dimenhidrinate 50mg 0 TABLET Rp - Rp 108.00 0
59 Domperidon tablet 12,900 tablet Rp 2,180,100.00 Rp 169.00 0
60 Epinephrine 1mg inj 48 Ampul Rp 72,720.00 Rp 1,515.00 0
61 Etanol 70 % 100 ml 168 Botol Rp 468,720.00 Rp 2,790.00 0
64 Etil Klorida 14 botol Rp 1,666,000.00 Rp 119,000.00 0
65 Eugenol 13 botol Rp 261,950.00 Rp 20,150.00 0
67 FDC Kategori 1 0 paket Rp - Rp 416,696.00 0
68 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0
70 Fenitoin 100 mg 5,600 kapsul Rp 3,349,920.00 Rp 598.20 0
74 Fitomenadion inj 2 mg/ml 0 ampul Rp - Rp 1,386.00 0
76 Fluphenazine/Sikzonoate 25 inj 5,460 Ampul Rp 346,710,000.00 Rp 63,500.00 10 10
Sisa (31 Desember
2020 )
Sisa BaikSisa Kadaluarsa
Jumlah Jumlah
0
400
5400
0
8100
0
0
17000
0
0
0
0
0
870
700
16000
127100
0
800
0
0
30
49000
11300
228
0
0
0
1700
0
0
0
0
72
8900
0
78
0
0
0
0
0
0
444
84
0
0
0
100
300
800
0
4
7800
180
3500
5
0
12900
48
168
24
200
14
13
0
0
0
0
5600
50
3000
3500
0
8895
5450
0
0
UPTD GUDANG FARMASI

Jumlah Jumlah
banjarejo blora bogorejo cepu doplang gondoryo japah jepon jiken kapuan kedungtuban ketuan kunduran kutukan medang menden
1 Alat
Suntik 10 ml 0 Pcs Rp - Rp 1,287.00
2 Alat Suntik 10 ml 400 Pcs Rp 365,600.00 Rp 914.00
3 Alat Suntik 1ml 5,400 pcs Rp 5,227,200.00 Rp 968.00
4 Alat Suntik 3ml 0 pcs Rp - Rp 1,358.70
6 Alat Suntik 5ml 0 pcs Rp - Rp 765.00
7 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00
8 Alkohol Swab 17,000 Set Rp 2,040,000.00 Rp 120.00
9 Alopurinol 100mg tab 0 tablet Rp - Rp 87.00
10 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00
13 Aminofilin tab 200 mg 0 Tablet Rp - Rp 335.00
14 Aminophylline 24mg/ml inj 870 ampul Rp 2,265,480.00 Rp 2,604.00
15 Amitriptyline 25 mg tab 700 Tablet Rp 123,613.00 Rp 176.59
16 Amlodipin 10 mg 16,000 tablet Rp 2,433,120.00 Rp 152.07
18 Amoksisilin 125/5ml syrup 0 botol Rp - Rp 5,075.00
19 Amoksisilin kapl 500 mg 800 tablet Rp 351,208.00 Rp 439.01
20 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 201.00
21 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00
22 Ampisilin serbuk 1000mg/ml 30 vial Rp 257,730.00 Rp 8,591.00
24 Antasida DOEN tab 11,300 Tablet Rp 610,200.00 Rp 54.00
25 Antifungi salep komb 228 pot Rp 792,756.00 Rp 3,477.00
0 Rp - Rp 3,250.00
27 Antiza syrup 0 botol Rp - Rp 32,000.00
28 Asam Askorbat /Vitamin C 50 mg) 0 tablet Rp - Rp 42.00
29 Asam Folat 1 mg 1,700 tablet Rp 95,200.00 Rp 56.00
30 Asetil Sistein 0 tablet Rp - Rp 303.74
31 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00
32 Asiklovir cr 0 tube Rp - Rp 4,755.24
34 Atropin inj 0.25mg 72 Ampul Rp 123,696.00 Rp 1,718.00
35 BIO ATP 8,900 Kaplet Rp 21,158,860.00 Rp 2,377.40
36 Borax Gliserin 0 POT Rp - Rp 4,279.81
37 Bracket 78 Pcs Rp 1,716,000.00 Rp 22,000.00
38 Canula Anak 0 pcs Rp - Rp 7,500.00
39 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00
40 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00
41 Canule O2 dewasa 0 pcs Rp - Rp 7,500.00
42 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00
43 Catgut cromic 2/0 0 pcs Rp - Rp 9,125.00
46 Catried TCM 0 test Rp - Rp 253,022.23
47 Cefadroxil syrup 125 mg/5ml 0 botol Rp - Rp 3,800.00
48 Ciprofloxacin 500 mg 0 Tablet Rp - Rp 248.00
51 Deksametason 0.5 mg tab 800 tab Rp 27,200.00 Rp 34.00
53 Desinfektan j4erigen 5LRp 260,000.00 Rp 65,000.00
54 Diazepam 5 mg Tab 7,800 Tablet Rp 842,400.00 Rp 108.00
55 DIAZEPAM INJ 180 ampul Rp 278,100.00 Rp 1,545.00
5 Rp 98,465.00 Rp 19,693.00
58 Dimenhidrinate 50mg 0TABLET Rp - Rp 108.00
59 Domperidon tablet 12,900 tablet Rp 2,180,100.00 Rp 169.00
60 Epinephrine 1mg inj 48 Ampul Rp 72,720.00 Rp 1,515.00
61 Etanol 70 % 100 ml 168 Botol Rp 468,720.00 Rp 2,790.00
64 Etil Klorida 14 botol Rp 1,666,000.00 Rp 119,000.00
66 FDC Kategori 1 0 Paket Rp - Rp 416,696.00
67 FDC Kategori 1 0 paket Rp - Rp 416,696.00
68 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00
69 FDC Kategori Anak 0 Paket Rp - Rp 248,310.00
70 Fenitoin 100 mg 5,600 kapsul Rp 3,349,920.00 Rp 598.20
74 Fitomenadion inj 2 mg/ml 0 ampul Rp - Rp 1,386.00
76 Fluphenazine/Sikzonoate 25 inj 5,450 Ampul Rp 346,075,000.00 Rp 63,500.00
77 Folley Cath No.16 0 pcs Rp - Rp 10,200.00
ebruari s/d 28 Februari 2022) Sisa (31 Desember 2020 )
Jumlah Jumlah
ngawen ngroto puledagelrandublatung
randulawang
rowobungkulsambong sonokidul todanan tunjungan JUMLAH
0 0
0 400
0 5400
0 0
0 8100
0 0
0 0
0 17000
0 0
0 0
0 0
0 0
0 0
0 870
0 700
0 16000
0 127100
0 0
0 800
0 0
0 0
0 30
0 49000
0 11300
0 228
0 0
0 0
0 0
0 1700
0 0
0 0
0 0
0 0
0 72
0 8900
0 0
0 78
0 0
0 0
0 0
0 0
0 0
0 0
0 444
0 84
0 0
0 0
0 0
0 100
0 300
0 800
0 0
0 4
0 7800
0 180
0 3500
0 5
0 0
0 12900
0 48
0 168
0 24
0 200
0 14
0 13
0 0
0 0
0 0
0 0
0 5600
0 50
0 3000
0 3500
0 0
0 8895
0 5450
0 0
0 0
UPTD GUDANG FARMASI

Jumlah Jumlah
banjarejo blora bogorejo cepu doplang gondoryo japah jepon jiken kapuankedungtubanketuan kunduran kutukan medang menden ngawen ngroto puledagel
randublatung
randulawang
rowobungkulsambong sonokidul
1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00

26 Antihemoroid DOEN 0 Suppositoria Rp - Rp 3,250.00
37 Bracket 78 Pcs Rp 1,716,000.00 Rp 22,000.00
58 Dimenhidrinate 50mg 0 TABLET Rp - Rp 108.00
Sisa (31 Desember 2020 )
Jumlah Jumlah
todanan tunjunganJUMLAH
0 0
0 400
0 5400
0 0
0 8100
0 0
0 0
0 17000
0 0
0 0
0 0
0 0
0 0
0 870
0 700
0 16000
0 127100
0 0
0 800
0 0
0 0
0 30
0 49000
0 11300
0 228
0 0
0 0
0 0
0 1700
0 0
0 0
0 0
0 0
0 72
0 8900
0 0
0 78
0 0
0 0
0 0
0 0
0 0
0 0
0 444
0 84
0 0
0 0
0 0
0 100
0 300
0 800
0 0
0 4
0 7800
0 180
0 3500
0 5
0 0
0 12900
0 48
0 168
0 24
0 200
0 14
0 13
0 0
0 0
0 0
0 0
0 5600
0 50
0 3000
0 3500
0 0
0 8895
0 5450
0 0
0 0
Jumlah
Barang REKAP PERSEDIAAN BULAN NOVEMBER
yang UPTD GUDANG FARMASI
diterima/dik
eluarkan
(1
NOVEMBE P
PenambahanR s/d 30 Jum
banjarejo
NOVEMBE blora bogorejo cepu doplang gondoryo japah jepon jiken kapuan kedungtuban
1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 R 2022
P
Penambahan Jum
37 Bracket 78 Pcs Rp 1,716,000.00 Rp 22,000.00
P
Penambahan Jum
DIAAN BULAN NOVEMBER
GUDANG FARMASI
Sisa (31 November 2022 )

Sisa
Pengurangan Kadal
Jumlah Sisa Baik uarsa
ketuan kunduran kutukan medang menden ngawen ngroto puledagel randublatungrandulawangrowobungkul sambong sonokidul todanan tunjungan JUMLAH
0 0
0 400
0 5400
0 0
0 8100
0 0
0 0
0 17000
0 0
0 0
0 0
0 0
0 0
0 870
0 700
0 16000
0 127100
0 0
0 800
0 0
0 0
0 30
0 49000
0 11300
0 228
0 0
0 0
0 0
0 1700
0 0
0 0
0 0
0 0
0 72
Sisa
Pengurangan Kadal
0 8900
0 0
0 78
0 0
0 0
0 0
0 0
0 0
0 0
0 444
0 84
0 0
0 0
0 0
0 100
0 300
0 800
0 0
0 4
0 7800
0 180
0 3500
0 5
0 0
0 12900
0 48
0 168
0 24
0 200
0 14
0 13
0 0
0 0
0 0
0 0
0 5600
0 50
0 3000
0 3500
Sisa
Pengurangan Kadal
0 0
0 8895
0 5450
0 0
0 0
Jumlah REKAP PERSEDIAAN BULAN DESEMBER
Barang
yang UPTD GUDANG FARMASI
diterima/
dikeluark
an ( 1
NOVEM
BER s/d Pengurangan
No Uraian (Nama Barang) Saldo Awal Harga Satuan 30
Penambahan
NOVEM Jumlah
BER
banjarejo
2022 blora bogorejo cepu doplang gondoryo japah jepon jiken kapuankedungtuban ketuan kunduran kutukan medang menden ngawen ngroto puledagelrandublatung
randulawang
rowobungkul
1 Alat
Suntik 10 ml 0 Pcs Rp - Rp 1,287.00
2 Alat
Suntik 10 ml 400 Pcs Rp 365,600.00 Rp 914.00
37 Bracket 78 Pcs Rp 1,716,000.00 Rp 22,000.00
Sisa
Sisa(31 Desember 2022 )
Kadalua
Sisa Baik rsa
UMLAH
sambong sonokidul todanan tunjungan
0 0
0 400
0 5400
0 0
0 8100
0 0
0 0
0 17000
0 0
0 0
0 0
0 0
0 0
0 870
0 700
0 16000
0 127100
0 0
0 800
0 0
0 0
0 30
0 49000
0 11300
0 228
0 0
0 0
0 0
0 1700
0 0
0 0
0 0
0 0
0 72
0 8900
0 0
0 78
0 0
0 0
0 0
0 0
0 0
0 0
0 444
0 84
0 0
0 0
0 0
0 100
0 300
0 800
0 0
0 4
0 7800
0 180
0 3500
0 5
0 0
0 12900
0 48
0 168
0 24
0 200
0 14
0 13
0 0
0 0
0 0
0 0
0 5600
0 50
0 3000
0 3500
0 0
0 8895
0 5450
0 0
0 0
Jumlah Barang yang
diterima/dikeluarkan ( 1 Januari s/d
No Uraian (Nama Barang) Harga Satuan 31 Desember 2022)
Jumlah Jumlah
medang Return
1 Alat Suntik 10 ml Rp 1,287.00 0 100 0
2 Alat Suntik 10 ml Rp 914.00 0 0 0
3 Alat Suntik 1ml Rp 968.00 0 100 0
4 Alat Suntik 3ml Rp 1,358.70 0 300 0
7 Albendazol 400mg tab Rp 288.00 0 6000 0
8 Alkohol Swab Rp 120.00 0 2400 0
9 Alopurinol 100mg tab Rp 87.00 0 500 0
10 Alopurinol 300 mg Rp 550.00 0 200 0
11 Alprazolam 0,5 mg Rp 78.00 0 0 0
12 Alprazolam 0,5 mg Rp 99.00 0 0 0
13 Aminofilin tab 200 mg Rp 335.00 0 1000 0
14 Aminophylline 24mg/ml inj Rp 2,604.00 0 0 0
15 Amitriptyline 25 mg tab Rp 176.59 0 0 0
16 Amlodipin 10 mg Rp 152.07 0 3500 0
17 Amlodipin 5 mg Rp 128.76 0 2000 0
18 Amoksisilin 125/5ml syrup Rp 5,075.00 0 60 0
19 Amoksisilin kapl 500 mg Rp 439.01 0 0 0
22 Ampisilin serbuk 1000mg/ml Rp 8,591.00 0 0 0
23 Antasida DOEN tab Rp 58.00 0 0 0
25 Antifungi salep komb Rp 3,477.00 0 20 0
26 Antihemoroid DOEN Rp 3,250.00 0 30 0
27 Antiza syrup Rp 32,000.00 0 0 0
28 Asam Askorbat /Vitamin C 50 m Rp 42.00 0 3000 0
29 Asam Folat 1 mg Rp 56.00 0 900 0
30 Asetil Sistein Rp 303.74 0 600 0
31 Asetosal 80 mg (Miniaspi tab) Rp 105.00 0 0 0
32 Asiklovir cr Rp 4,755.24 0 0 0
33 Asiklovir cr Rp 4,550.00 0 20 0
34 Atropin inj 0.25mg Rp 1,718.00 0 0 0
35 BIO ATP Rp 2,377.40 0 0 0
36 Borax Gliserin Rp 4,279.81 0 0 0
37 Bracket Rp 22,000.00 0 0 0
38 Canula Anak Rp 7,500.00 0 0 0
39 Canule O2 Anak Rp 5,100.00 0 20 0
40 Canule O2 Bayi Rp 5,200.00 0 10 0
41 Canule O2 dewasa Rp 7,500.00 0 20 0
42 Canule O2 dewasa Rp 6,130.00 0 0 0
43 Catgut cromic 2/0 Rp 9,125.00 0 0 0
44 Catgut cromic 2/0 Rp 25,736.00 0 0 0
45 Catgut cromic 3/0 Rp 25,736.00 0 0 0
46 Catried TCM Rp 253,022.23 0 0 0
47 Cefadroxil syrup 125 mg/5ml Rp 3,800.00 0 0 0
48 Ciprofloxacin 500 mg Rp 248.00 0 500 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
49 Coverall/Hazmat Axeel Rp 123,000.00 0 0 0
50 Curcuma/Curlysin Syrup Rp 17,760.00 0 0 0
51 Deksametason 0.5 mg tab Rp 34.00 0 800 0
52 Deksametason Inj 5 mg/ml Rp 924.00 0 0 0
53 Desinfektan Rp 65,000.00 0 0 0
54 Diazepam 5 mg Tab Rp 108.00 0 0 0
55 DIAZEPAM INJ Rp 1,545.00 0 0 0
56 DIAZEPAM INJ Rp 1,545.00 0 0 0
57 Diazepam rektal 10 mg/2,5 ml Rp 19,693.00 0 0 0
58 Dimenhidrinate 50mg Rp 108.00 0 0 0
59 Domperidon tablet Rp 169.00 0 0 0
60 Epinephrine 1mg inj Rp 1,515.00 0 0 0
61 Etanol 70 % 100 ml Rp 2,790.00 0 0 0
62 Etanol 70 % 1L Rp 56,000.00 0 5 0
63 Etanol 70 % 1L Rp 23,595.00 0 0 0
64 Etil Klorida Rp 119,000.00 0 2 0
65 Eugenol Rp 20,150.00 0 0 0
66 FDC Kategori 1 Rp 416,696.00 0 16 0
67 FDC Kategori 1 Rp 416,696.00 0 0 0
68 FDC Kategori 1 harian Rp 359,985.00 0 0 0
69 FDC Kategori Anak Rp 248,310.00 0 0 0
70 Fenitoin 100 mg Rp 598.20 0 0 0
71 Fenitoin inj Rp 1.00 0 0 0
72 Fenobarbital 30 mg Rp 171.00 0 0 0
73 Fenobarbital 30 mg Rp 171.00 0 0 0
74 Fitomenadion inj 2 mg/ml Rp 1,386.00 0 60 0
75 Fitomenadion inj 2 mg/ml Rp 1,386.00 0 0 0
76 Fluphenazine/Sikzonoate 25 inj Rp 63,500.00 0 55 0
77 Folley Cath No.16 Rp 10,200.00 0 0 0
78 Folley Cath No.18 Rp 10,200.00 0 0 0
79 Furosemid tab Rp 219.48 0 500 0
80 Garam oralit Rp 257.00 0 0 0
81 Garam oralit Rp 280.00 0 100 0
82 Gentamisin Injeksi Rp 3,355.00 0 0 0
83 Gentian Violet 1% 10ml Rp 4,218.00 0 48 0
84 Glass Ionomer FX Rp 985,740.00 0 0 0
85 Glukosa 10% Rp 7,200.00 0 0 0
86 Glukosa infus 5% Rp 6,627.00 0 20 0
87 Griseofulvin 125 mg tab Rp 210.00 0 0 0
88 Hair Cup/Tutup Kepala Rp 690.00 0 0 0
89 Haldol Decanoas 50 mg inj Rp 109,000.00 0 0 0
90 Haloperidol 5 mg tab Rp 54.00 0 5000 0
91 Haloperidol tablet 5 mg Rp 54.00 0 0 0
92 Hand Sanitizer Rp 106,000.00 0 0 0
93 Hand Sanitizer (Aseptic gel VI Rp 65,340.00 0 0 0
94 Hand Sanitizer (Aseptic gel) Rp 26,500.00 0 0 0
95 Handsanitizer 500ml(HECLIN) Rp 74,250.00 0 0 0
96 Handscoen Non Steril L Rp 2,189.00 0 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
97 Handscoen Non Steril M Rp 2,189.00 0 0 0
98 Handscoen Panjang GynaecologRp 42,900.00 0 0 0
99 Handscoon non steril L Rp 1,652.79 0 0 0
100 Handscoon non steril M Rp 1,918.00 0 0 0
103 Handscoon non steril S Rp 1,487.40 0 300 0
104 Handscoon Steril No 7 DBHCT Rp 8,250.00 0 0 0
105 Handscoon Steril No 7 Rp 5,600.00 0 0 0
106 Handscoon Steril No 7.5 Rp 8,800.00 0 0 0
107 Handscoon Steril No 7.5 Rp 5,668.46 0 0 0
108 Hepagard Rp 2,795.10 0 0 0
109 Herbakof Rp 14,273.00 0 0 0
110 Hidroklorotiazid (HCT) 25mg Rp 148.00 0 0 0
111 Hidrokortison salep Rp 2,325.00 0 168 0
112 Ichtyol Salep Rp 7,063.64 0 12 0
113 ISONIAZID 300 MG TAB Rp 150.00 0 0 0
114 IV Catheter No 18 NOUSHED Rp 5,995.00 0 0 0
115 Kalium Diklofenak 50 mg / Naco Rp 2,079.12 0 500 0
116 Kalium Permanganat Rp 7,953.15 0 0 0
117 Kalsium Glukonat Inj 10% Rp 5,775.00 0 0 0
118 Kalsium Laktat Rp 60.00 0 2000 0
119 Kapas absorben 250 gr Rp 26,036.00 0 0 0
120 Kaptopril 25 mg Rp 75.00 0 0 0
121 Karbamazepin 200 mg Rp 245.00 0 0 0
123 Kartu Golongan Darah Rp 350.00 0 0 0
124 Kasa hydrophyl 16x16 Rp 440.63 0 0 0
125 Kassa 4 x 3 Rp 1,163.00 0 30 0
126 Kassa Pembalut Hidrofil 4 x 15 Rp 3,967.00 0 50 0
127 Ketokonazol 200 mg tab Rp 252.00 0 0 0
128 Ketokonazol krim 2% Rp 2,349.00 0 24 0
130 Klem umbilical Rp 1,800.00 0 50 0
131 Kloramfenikol salep mata Rp 9,574.00 0 100 0
132 Klorfeniramin 4 mg (Orphen KaplRp 92.40 0 2600 0
133 Klorpromazin 100 mg Rp 395.00 0 4500 0
134 Klorpromazin 100 mg Rp 394.55 0 0 0
135 Klorpromazin 100mg tab/ Cepe Rp 395.00 0 0 0
136 Kotrimoksasol suspensi 240mg Rp 2,100.00 0 0 0
137 Larutan Ziehl Nielsen Rp 1,000,000.00 0 0 0
138 Levofloksasin Rp 494.00 0 0 0
139 Lidocain komp injeksi Rp 803.00 0 90 0
140 Magnesium Sulfat 40% Rp 4,090.00 0 0 0
141 Masker Altamed Rp 1,650.00 0 1000 0
142 Masker Bedah Hijab Rp 1,050.00 0 500 0
143 Masker Earloop Rp 605.46 0 0 0
144 masker earloop (non hijab) Rp 480.00 0 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
145 masker Earloop GF Rp 605.46 0 0 0
146 Masker Earloop stupamed (Pro Rp 2,290.00 0 0 0
147 Masker Headloop Rp 706.36 0 0 0
148 Masker Headloop Rp 706.36 0 0 0
149 masker headloop (hijab) Rp 539.00 0 0 0
150 Masker Kain Rp 2,500.00 0 0 0
151 Masker N95 Rp 17,750.00 0 0 0
152 Masker N95 TB Rp 19,900.00 0 0 0
153 Masker N95 EKOMED Rp 45,000.00 0 0 0
154 Masker N95 Play P Particulate Rp 27,500.00 0 0 0
155 MDT Kusta MB Anak Rp 25,354.00 0 0 0
156 MDT Kusta MB Dewasa Rp 40,128.00 0 6 0
157 MDT Kusta PB Anak Rp 12,328.00 0 0 0
158 Metilergometrin 0.125mg tablet Rp 214.00 0 0 0
159 Metilprednisolon 4 mg tab Rp 102.00 0 1000 0
160 Metoklopramid 10 mg/2ml injeks Rp 1,683.00 0 0 0
161 Metoklopramid 5 mg Rp 117.00 0 0 0
162 Metronidazol 500 mg Rp 370.00 0 500 0
163 Mikonazol 2% krim Rp 1,900.00 0 0 0
164 Mikropipet Ukuran 60 Rp 179.20 0 0 0
165 Mikropipet Ukuran 61 Rp 230.60 0 0 0
166 Mineral Mix Rp 2,981.00 0 25 0
167 Minyak Kayu Putih Rp 20,000.00 0 0 0
168 Molexflu tab Rp 484.33 0 1200 0
169 Multivitamin/Becefort Rp 1,276.50 0 0 0
170 Multivitamin/Bionicom Zinc Rp 563.00 0 0 0
171 Multivitamin/Casavit 500mg tab Rp 6,438.00 0 0 0
172 Multivitamin/Pritavit Rp 1,037.85 0 0 0
173 Natrium Chlorida infus 0,9% Rp 6,800.00 0 0 0
174 Neocenta / Bioplacenton krim Rp 16,460.00 0 6 0
175 New Antides/Attapulgite Rp 235.66 0 0 0
176 Nipro Premier Blood Glucose MoRp - 0 0 0
177 Nipro Premier Blood Glucose TesRp 123,210.00 0 1 0
178 Nistatin Drop Rp 25,300.00 0 0 0
179 OBH Molex syrup Rp 5,189.25 0 0 0
180 Object Glass Rp 77,690.00 0 15 0
181 Oksitetrasiklin SM 1% Rp 3,500.00 0 25 0
182 Oksitosin Inj Rp 1,126.00 0 0 0
183 Ostela Forte Rp 8,806.67 0 60 0
184 Parasetamol 500 mg tab Rp 200.00 0 7000 0
185 Parasetamol sirup 120 mg/5ml Rp 1,160.00 0 0 0
186 Pehacain Inj Rp 3,141.35 0 60 0
187 Piroxicam 20 mg Rp 146.32 0 500 0
188 Plester (Leukoplast 7,5 cm x 4, Rp 59,500.00 0 0 0
189 Plesterin bulat Rp 175.00 0 200 0
190 Povidon Iodida 10 % 30 ml Rp 7,550.00 0 36 0
191 Povidon Iodida 10 % 300 ml Rp 42,500.00 0 4 0
192 Prednison 5 mg Rp 68.00 0 3000 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
193 Propanolol 10 mg tab Rp 56.00 0 0 0
194 R.Hema OL 2100 Kertas print Rp 40,000.00 0 0 0
195 Ranitidin 150 mg Rp 85.00 0 500 0
196 Rapid Test HIV 1 Rp 7,879.00 0 0 0
197 Rapid Test HIV 2 Rp 11,500.00 0 25 0
198 RDT Frambusia Syphilis Rp 9,639.00 0 0 0
199 Reagent Syphillis Rp 20,400.00 0 0 0
200 retinol (vit A ) 100000 IU Rp 305.00 0 150 0
201 retinol (vit A ) 200000 IU Rp 553.00 0 1650 0
202 Ringer Laktat larutan infus Rp 7,630.00 0 60 0
203 Risperidon 2 mg Rp 377.00 0 2000 0
204 Risperidon 2mg tab Rp 419.00 0 500 0
205 Salbutamol 2 mg Rp 70.00 0 2000 0
206 Salbutamol 2mg tab Rp 48.00 0 0 0
207 Salisil bedak 2 % Rp 920.00 0 100 0
208 Scabicid krim/Permetrin krim 5 Rp 23,820.60 0 0 0
209 Serum ABU Rp 517,132.00 0 0 0
210 Serum ATS Rp 140,188.00 0 10 0
211 Silk 2/0 Rp 1,547.09 0 24 0
212 Silk 3/0 Rp 1,492.67 0 48 0
213 Stomach 14 Rp 7,744.00 0 0 0
214 Stomach 16 Rp 7,744.00 0 0 0
215 Strip Asam Urat EASY TOUCH Rp 5,220.00 0 0 0
216 Strip Glukosa EASY TOUCH Rp 4,930.00 0 0 0
217 Strip Kolesterol EASY TOUCH Rp 23,200.00 0 0 0
218 Strip Kolesterol NESCO Rp 23,925.00 0 50 0
219 Tablet Tambah Darah Rp 226.00 0 1000 0
220 Tensigard Rp 2,126.65 0 0 0
221 Tetrasiklin 500mg kapsul Rp 893.00 0 0 0
222 THIAMIN (VIT B1) TAB 50 MG Rp 85.00 0 5500 0
223 Trifluoperazine 5 mg Rp 287.00 0 0 0
224 Triheksipenidil 2 mg Rp 91.00 0 2500 0
227 Tuberculin PPD RT 23 SSI Rp 608,280.00 0 0 0
228 Ultrasonic gel/USG GEL Rp 13,860.00 0 0 0
229 Urine Bag Rp 8,600.00 0 0 0
230 Urine Bag Rp 6,862.00 0 0 0
231 Urine bag(KMP/SCP) Rp 5,700.00 0 0 0
232 Vitamin D3/PEHAVIT D3 Rp 2,493.32 0 300 0
233 Yellow Tip Rp 32.37 0 0 0
234 Zink 20 mg tab Rp 208.00 0 0 0
235 Handscoon non steril S Rp 1,487.40 10000 0 0
237 Handscoon non steril L Rp 1,487.40 10000 0 0
238 Alat Suntik 1 ml Rp 999.00 1000 0 0
239 Alat Suntik 3 ml Rp 888.00 2000 0 0
240 Alat Suntik 5 ml Rp 999.00 1000 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
241 Alat Suntik 10 ml Rp 1,443.00 1000 0 0
242 Underpad Rp 3,300.00 5000 50 0
243 Klem Umbilical Rp 1,746.00 2000 0 0
244 Handscoon steril No 7 Rp 7,992.00 1000 0 0
245 Handscoon steril No 7.5 Rp 7,992.00 1000 0 0
246 Etanol 70% 100 ml Rp 6,600.00 150 0 0
247 OBH Molex Rp 5,550.00 2600 0 0
248 Molexflu kaplet Rp 485.00 30000 450 0
249 Catgut Plain 3/0 Rp 32,210.00 300 0 0
250 Catgut Cromic 3/0 Rp 30,822.00 300 0 0
251 Silk 3/0 Rp 21,244.00 3000 0 0
252 Hypafix Rp 82,300.00 1000 3 0
253 Akita/Molagit Rp 519.98 6000 300 0
254 Asering Rp 8,750.00 1200 0 0
255 Natrium Clorida Infus Rp 7,673.26 920 40 0
256 Ringer Laktat Infus Rp 8,497.99 35700 40 0
257 Canula Anak Rp 9,097.50 2000 0 0
258 Canula Bayi Rp 9,097.50 2000 0 0
259 Canula Dewasa Rp 9,097.50 5000 0 0
260 Infus Set Dewasa Rp 6,997.50 5000 50 0
261 IV Catheter No 18 G Rp 5,995.00 3000 0 0
265 Lancet Rp 143.77 5000 100 0
266 Ultrasonic gel/USG GEL Rp 16,048.00 100 0 0
267 Kassa 4 x 15 Rp 3,191.25 1000 50 0
268 Kassa 4 x 3 Rp 720.00 1000 0 0
269 Kassa 40 x 40 Rp 1,158.30 2450 0 0
270 Klorfeniramin Maleat (CTM) 4 m Rp - 20000 0 0
271 Infus Set Anak Rp 7,238.00 2000 0 0
272 Ambroksol 30mg Rp - 30000 1100 0
273 Salbutamol 4mg Rp - 10000 0 0
274 Prednison 5mg Rp - 3400 300 0
275 Ibuprofen 400mg Rp - 30000 500 0
276 Kapas absorben 250 gr Rp 19,800.00 1000 0 0
277 Kassa 2 x 80 Rp 19,000.00 500 0 0
278 Betahistine 6mg tab Rp 190.00 50000 500 0
279 Propiltiourasil tablet 100 m Rp 450.00 1000 0 0
280 Clozapine 100mg tab Rp 997.00 1000 0 0
281 Metilergometrin inj Rp 2,050.00 1000 0 0
282 Nifedipin 10 mg Rp 149.00 5000 100 0
283 Omeprazole 20 mg kapsul Rp 230.00 15000 0 0
284 Strip Glukosa NESCO Rp 5,487.50 2000 0 0
285 Strip HB NESCO Rp 6,692.31 1300 0 0
286 Alkohol Swab Rp 122.00 12500 0 0
287 Etil Klorida Rp 89,910.00 166 2 0
288 Lidocain injeksi Rp 1,166.00 2000 30 0
289 Parasetamol 500mg tab Rp 155.00 712400 0 0
290 Folley Cath No.16 Rp 9,990.00 3000 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
291 Folley Cath No.18 Rp 9,990.00 3000 10 0
292 Yellow Tips Rp 32.37 3000 0 0
293 Alopurinol 100mg tab Rp 164.00 7000 0 0
294 Ciprofloxacin 500mg tab Rp 455.00 5000 0 0
295 Ketokonazole 200mg tab Rp 400.00 5000 200 0
296 Asam Mefenamat 500mg tab Rp 180.00 27700 1100 0
297 Metformin 200mg tab Rp 342.00 200000 1000 0
298 Metilprednisolon 4mg tab Rp 170.00 27500 0 0
299 Ranitidin Tab Rp 163.00 24500 500 0
300 Betametason krim Rp 1,999.11 2000 25 0
301 Hidroklorotiazid (HCT) 25mg Rp 148.00 5000 0 0
302 Hidrokortison salep Rp 2,799.42 2000 0 0
303 Mikonazol 2% krim Rp 3,916.08 1200 24 0
305 Propanolol 10mg tab Rp 70.00 1000 0 0
306 Glimepiride 2mg tab Rp 200.00 90000 1000 0
307 Metampiron 500mg tab Rp - 30000 0 0
308 Asiklovir krim Rp - 1300 20 0
309 Kalium Permanganat Rp - 360 0 0
310 Kloramfenikol TM/Reco TM Rp - 3000 25 0
311 Neocenta salep Rp - 300 10 0
312 New Antides/Attapulgite Rp - 23500 0 0
313 Klorpromazin 100mg tab/ Cepe Rp - 5000 1000 0
314 Thiamphenicol /Zenicol 500 mg Rp - 5000 0 0
315 Surgical Blade no 11 Rp 85,000.00 5 0 0
316 Surgical Blade no 20 Rp 85,000.00 10 0 0
317 Daryatulle/Tamacare Rp 133,200.00 1300 0 0
318 Amoksisilin 125/5ml SK Rp 3,480.00 2300 0 0
319 Kalsium Laktat Rp 88.00 7000 0 0
320 Kotrimoksasol 480mg Tab Rp 240.00 1000 0 0
322 Atropin inj 0.25mg Rp 3,778.02 200 0 0
323 Epinephrine 1mg inj Rp 10,500.00 100 0 0
324 Scabicid krim/Permetrin krim 5 Rp 6,324.78 300 0 0
325 Simvastatin 10mg tab Rp 56.00 5400 0 0
326 Domperidone 10mg tab Rp 169.00 30000 0 0
327 Amlodipin 5mg tab Rp 124.99 50000 0 0
328 Rapid Test Malaria Rp - 104 0 0
329 SD Bioline HIV/Syphillis Duo Rp - 472 0 0
330 Asiklovir 400mg tab Rp 329.99 10000 500 0
331 Captopril 12.5mg tab Rp 83.99 50000 1000 0
332 Captopril 25mg tab Rp 118.99 50000 1000 0
333 Ranitidin 25mg/ml Inj Rp 1,276.99 2600 0 0
334 Metaneuron Rp 1,152.38 30000 0 0
335 Ketoprofen Suppositoria Rp 7,010.98 500 0 0
339 Transport Swab Rp 27,200.00 300 0 0
340 Blue Tips Rp 87.02 5000 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
341 Kasa hydrophyl 18x22 Rp 7,500.00 2400 0 0
342 Larutan Ziehl Nielsen Rp 228,800.00 30 1 0
343 Magnesium Sulfat 40% Rp 5,661.00 360 0 0
344 Plester (Leukoplast 7,5 cm x 4, Rp 47,400.00 300 0 0
346 Metilergometrin 0.125mg tablet Rp 297.99 5000 0 0
347 Piridoksin Rp 73.99 2400 0 0
348 Vitamin B-Compleks Rp 120.99 30 0 0
349 Antihemoroid DOEN Rp 3,249.97 360 0 0
350 Deksametason Inj 5 mg/ml Rp 999.00 300 0 0
351 Difenhidramin Injeksi Rp 1,110.00 50000 0 0
352 Glass Ionomer / Fuji IX ART Rp 1,143,300.00 1000 0 0
353 Kloramfenikol salep kulit Rp 11,766.00 15000 0 0
354 Kloramfenikol salep mata Rp 8,880.00 4000 0 0
355 Kloramfenikol TT Rp 11,655.00 500 0 0
356 Kloramfenikol sirup Rp 12,210.00 2000 0 0
357 Alprazolam 0,5 mg Rp 156.00 3000 0 0
358 Diazepam 5 mg Tab Rp 216.00 12 0 0
359 Gentian Violet Rp - 1200 0 0
360 Ichtyol Salep Rp - 300 0 0
361 Ampisilin serbuk 1000mg/ml Rp 8,500.00 1000 0 0
362 Aqua PI Rp 36,630.00 200 0 0
363 Zinc Sulfat Syrup Rp 4,440.00 1000 0 0
364 Dimenhidrinat 50 mg Rp 146.00 5000 0 0
366 Kalsium Glukonat Inj 10% Rp 11,000.00 360 0 0
367 Lancet Rp 178.20 1000 0 0
368 Asetil Sistein Rp 360.00 1000 0 0
370 Kloramfenikol 250mg kapsul Rp 586.99 10000 0 0
371 Metronidazol 500 mg Rp 211.00 10000 0 0
372 Salep 2-4 Rp 3,949.38 192 0 0
373 Digoksin 0.25mg Rp 129.99 0 0 0
374 Amitriptyline 25 mg tab Rp 180.00 6000 0 0
375 Nistatin Drop Rp 13,099.11 10000 0 0
376 Amlodipin 10 mg Rp 131.98 5000 0 0
377 Asam Folat 4mcg Rp 56.00 10000 0 0
378 Natrium Diklofenak 50mg Rp 132.98 1000 0 0
379 Hyoscine Butylbromide tab 10 Rp 694.99 10000 0 0
380 Zink 20 mg tab Rp 180.00 1000 0 0
381 Asam Traneksamat 500 mg Rp - 5200 0 0
382 serum Abu Rp - 50010 0 0
383 Lidocain injeksi Rp - 12000 0 0
384 Serum ATS Rp - 50180 0 0
385 Asetosal 80 mg (Miniaspi tab) Rp - 10000 0 0
386 Handscoon Steril No 7 Meddis Rp - 5700 0 0
387 Handscoon Steril No 7.5 Meddis Rp - 1500 0 0
388 Handscoon Steril No 8 Meddis Rp - 300 0 0
389 0 Rp - 0 0 0
390 0 Rp - 0 0 0
Jumlah Barang yang
Jumlah Jumlah
medang Return
391 0 Rp - 0 0 0
392 0 Rp - 0 0 0
393 0 Rp - 0 0 0
REKAPITULASI PENERIMAAN OBAT PROGRAM HIV DARI DIN
TAHUN 2022
Tanggal NO Uraian (Nama Barang) Batch ED

T PROGRAM HIV DARI DINAS KESEHATAN PROVINSI JATENG
TAHUN 2022
satuan Jumlah Harga Satuan JUMLAH HARGA Penerima

KET
BERITA
1
Pada hari ini Kamis

t Tanggal Tiga Puluh Satu Desember Tahun Dua Ribu Dua Puluh telah dilaksanakan pelaporan mutasi obat UPTD Gudang Farmasi dengan has
Das Barang-barang bulan lalu ( 1 Januari 2022)
Tan ar
No Uraian (Nama Barang) Saldo Harga Satuan
ggal Pen
erim Jumlah Nilai Harga
aan/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH Rp -
Rp -
Rp -
Rp -
BERITA ACARA MUTASI OBAT DAN PERBEKKES
1 Januari 2022 s/d 31 Desember 2022
UPTD GUDANG FARMASI
si obat UPTD Gudang Farmasi dengan hasil sebagai berikut:
Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31 Desember 2022)
Penambahan Pengurangan Sisa Baik
Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
Rp - Rp -
Sisa (31 Maret 2022 )
Harga Jumlah Nilai Harga
Rp -
Rp - Rp -
0 0 Rp - Pengembalian RSU Cepu

Persediaan Obat 2023jan-Juni

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Persediaan Obat 2023jan-Juni

Uploaded by

Copyright:

Available Formats

REKAP PERSEDIAAN BULAN JANUARI

UPTD GUDANG FARMASI

1 Alat Suntik 10 ml 700 Pcs Rp 900,900.00 Rp 1,287.00 200 100 100

5 Alat Suntik 3ml 20,000 PCS Rp 17,291,200.00 Rp 864.56

63 Etanol 70 % 1L 200 botol Rp 4,719,000.00 Rp 23,595.00

400 300 Rp 386,100.00 21C1910J 2/1/2026 DAK

UPTD GUDANG FARMASI

Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022)

1 Alat Suntik 10 ml 300 Pcs ### ###

UPTD GUDANG FARMASI

1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 0

UPTD GUDANG FARMASI

Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022)

banjarejo blora bogorejocepu

Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022)

Jumlah Barang yang diterima/dikeluarkan ( 1 Februari s/d 28 Februari 2022)

1 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00

Sisa (31 November 2022 )

Tanggal NO Uraian (Nama Barang) Batch ED

satuan Jumlah Harga Satuan JUMLAH HARGA Penerima

Pada hari ini Kamis

You might also like