UPTD PUSKESMAS PULO BANDRING

SALDO AKHIR PER 31 DESEMBER 2022

NO JENIS BARANG SATUAN BARANG JUMLAH OBAT/BMHP HARGA SATUAN JUMLAH HARGA

I. OBAT DAK
1 Glibenklamid 5 mg (DAK 2018) tablet - 125 -
2 Klorfeniramin tab 4 mg (DAK 2018) tablet - 23 -
3 Molavir krim (DAK 2018) tube - 10,835 -
4 Aciblok 150 (DAK 2019) tablet - 618.75 -
5 Alphamol tab (DAK 2019) tablet - 358.87 -
6 Alopurinol tab 100mg (DAK 2019) tablet 44 104 4,576
7 Amlodipin 5mg tab (DAK 2019) tablet - 73 -
8 Antasida tab (DAK 2019) tablet - 60 -
9 Asam askorbat (vitamin C) tab 50 mg (DAK 2019) tablet - 110 -
10 Captopril 12,5mg (DAK 2019) tablet - 68 -
11 Clindamycin 150 mg tab (DAK 2019) tablet - 770 -
12 Codein 10 mg (DAK 2019) tablet - 600 -
13 Cover All (program 2019) pcs - - -
14 Diazepam tab (DAK 2019) tablet 55 86 4,730
15 Difenhidramin inj (DAK 2019) ampul - 1,151 -
16 Domperidone tab (DAK 2019) tablet - 86 -
17 Fenobarbital Injeksi ( DAK 2019 ) ampul 1,700 -
18 Fenobarbital 30 mg tab (DAK 2019) tablet - 180 -
19 Fitomenadion (VIT K) (DAK 2019) tablet 70 747 52,290
20 Furosemid tab (DAK 2019) tablet - 82 -
21 Garam oralit ( DAK 2019) sachet - 280 -
22 Glimpiride 1 mg (DAK 2019) tablet - 174 -
23 Glimpiride 2 mg (DAK 2019) tablet - 207 -
24 Glukosa lar infus 5% (DAK 2019) botol 18 6,900 124,200
25 Hidrokortison krim 2% (DAK 2019) tube - 2,475 -
26 Kalsium laktat (DAK 2019) tablet - 63 -
27 Ketokonazol tab 200 mg (DAK 2019) tablet - 297 -
28 Kloramfeniramin Maleat(CTM ) tab (DAK 2019) tablet - 25 -
29 Kloramfenikol salep mata 1% (DAK 2019) tube - 2,007 -
30 Kotrimoksazol sirup (DAK 2019) botol - 2,190 -
31 Kotrimoksazol tab (DAK 2019) tablet - 133 -
32 Laxana tab (DAK 2019) tablet 150 683 102,450
33 Metoklopramid 5mg (DAK 2019) tablet - 121 -
34 Methylergometrin Tablet (DAK 2019) tablet - 222 -
35 Miconazol krim 2% (DAK 2019) tube - 3,585 -
36 Miniaspi 80 mg/ Asetosal (DAK 2019) tablet - 105 -
37 Natrium diklofenak tab salut enterik 25 mg (DAK 2019) tablet - 127 -
38 New antides tab (DAK 2019) tablet - 145 -
39 OAT KAT II (DAK 2019) paket - 1,454,232 -
40 Paracetamol drop (DAK 2019) botol - 6,981 -
41 Paracetamol sirup (2019) botol - 1,184 -
42 Piridoksin (vitamin B6) tab 10 mg (DAK 2019) tablet - 138 -
43 Salep 2-4 (DAK 2019) pot - 2,753 -
44 Salbutamol tab 2 mg (DAK 2019) tablet - 67 -
45 Tiamin (vit B1) tab (DAK 2019) tablet - 92 -
46 Topikan ointment (DAK 2019) tube - 19,344.60 -
47 Vitamin B12 50mg (DAK 2019) tablet - 47 -
48 Alphamol tab ( DAK 2020) tablet - 366 -
49 Amoksisilin syrup forte 250/5 ml (DAK 2020) botol - 3,498 -
50 Amoksisilin tab 500 mg(DAK 2020) tablet - 261 -
51 Amlodipine tab 5mg (DAK 2020) tablet - 78 -
52 Antasida tab (DAK 2020) tablet 396 60 23,760
53 Antasida sirup (DAK 2020) botol - 2,189 -
54 Antifungi salep (DAK 2020) tube - 5,038 -
55 Asam askorbat (vitamin C) tab 50 mg (DAK 2020) tablet - 110 -
56 Asetosal 100 mg tablet ( DAK 2020 ) tablet - - -
57 Betahistin tab (DAK 2020) tablet - 110 -
58 Betametason cream (DAK 2020) tube - 3,350 -
59 Biosat (DAK 2020) ampul - 130,999 -
60 Bronex tab ( DAK 2020) tablet - 362 -
61 Chlorethyl spray ( DAK 2020) botol - 269,500 -
62 Codein tab (DAK 2020 ) tablet - 600 -
63 Deksametason inj (DAK 2020) ampul 12 1,152 13,824
64 Dextral kaplet ( DAK 2020) kaplet - 640 -
65 Dextral sirup (DAK 2020) botol - 11,005 -
66 Diazepam inj 5 mg/ml (DAK 2020) ampul 6 1,822 10,932
67 Diazepam tab (DAK 2020) tablet - 86 -
68 Digoksin 0,25 mg tablet (DAK 2020 ) tablet - - -
69 Dipenhidramin inj (DAK 2020) ampul 77 1,228 94,556
70 Domperidon tablet (dak 2020) tablet 533 86 45,838
71 Domperidone sirup (DAK 2020) botol - 2,781 -
72 Epinefrin hcl/ditartan (adrenalin) injeksi 0,1%-1ml (DAK2020) ampul - - -
73 Etamox sirup ( DAK 2020) botol - 7,462 -
74 Etil Klorida 100ml (DAK 2020) botol - 245,000 -
75 Eugenol cairan (DAK 2020) botol 1 21,091 21,091
76 Fenobarbital 30 mg tab (DAK 2020) tablet - 180 -
77 Fitomenadion inj 2mg/ml (DAK 2020) vial - 3,867 -
78 Fitomenadion tab 10mg (DAK 2020) tablet - 797 -
79 Furosemide tab ( DAK 2020) tablet 110 82 9,020
80 Garam oralit ( DAK 2020) sachet - 274 -
81 Gentalex tube ( DAK 2020) tube - 4,110 -
82 Gentamicin tetes mata 0,3% ( DAK 2020) botol 30 4,452 133,560
83 Glibenklamid 5 mg (DAK 2020) tablet - 125 -
84 Glimepiride 1mg (DAK 2020) tablet - 174 -
85 Glimepiride 2mg (dak 2020) tablet - 207 -
86 Glukosa lar infus 5% (DAK 2020) botol - 7,363 -
87 Glukosa 10% larutan Infus (DAK 2020) botol - 15,000 -
88 Grafacetin tab (DAK 2020 ) tablet - 928 -
89 Haloperidol Injeksi (DAK 2020) ampul - 1,190 -
90 Haloperidol tab 5 mg (DAK 2020) tablet - 60 -
91 Hidrokortison krim 2% (DAK 2020) Tube 11 2,475 27,225
92 Ibuprofen sirup 100/5ml (DAK 2020) botol - 2,776 -
93 Ketokonazol krim 2% ( DAK 2020) Tube - 2,518 -
94 Ketokonazol tab 200 mg (DAK 2020) tablet - 297 -
95 Klindamicin kap 150mg (DAK 2020) kapsul - 770 -
96 Kloramfeniramin Maleat(CTM)tab 4 mg (DAK 2020) tablet 1,928 25 48,200
97 Kotrimoksazol tab (DAK 2020) tablet - 133 -
98 Kotrimoksazol sirup (DAK 2020) botol - 2,190 -
99 Laxana tab (DAK 2020) tablet - 683 -
100 Lexavon sirup ( DAK 2020) botol - 6,957 -
101 Loratadine tab (DAK 2020) tablet - 133 -
102 Magnesium sulfat inj 20% (DAK 2020) ampul - 3,760 -
103 Magnesium sulfat inj 40% (DAK 2020) ampul - 3,796 -
104 Metilergometrin tab salut (DAK 2020) tablet - 237 -
105 Metformin tab 500mg (DAK 2020) tablet - 106 -
106 Molacort 0,5 ( DAK 2020) tablet - 177 -
107 Molasic ( DAK 2020) kaplet - 506 -
108 Nacl 0.9 % Larutan ( DAK 2020) Fls 40 6,840 273,600
109 Natrium diklofenak tab salut enterik 50 mg (DAK 2020) tablet - 136 -
110 New antides tab (dak 2020) tablet - 155 -
111 NB Topical Ointment salap(DAK 2020) tube - 19,344 -
112 OAT KAT 1 (DAK 2020) paket - 436,241 -
113 Ondansetron inj ( DAK 2020) ampul - 1,153 -
114 Paracetamol sirup ( DAK 2020) botol - 1,181 -
115 Paracetamol tab (DAK 2020) tablet - 252 -
116 Pehavral tab ( DAK 2020) tablet - 1,075 -
117 Piridoksin vit B6 ( DAK 2020) tablet - 138 -
118 Povidone 10% (DAK 2020) botol - 5,286 -
119 Prednison tab 5 mg (DAK 2020) tablet - 76 -
120 Pritanol 100mg ( DAK 2020) tablet - 328 -
121 Raniphil 150mg ( DAK 2020) tablet - 569 -
122 Reco tetes telinga 5ml ( DAK 2020) botol - 9,487 -
123 Risperidon tab (DAK 2020) tablet - 287 -
124 Ringer Lactat Fls (DAK 2020 ) botol 97 7,630 740,110
125 Salep 2-4 ( DAK 2020) pot 52 2,938 152,776
126 Salbutamol tab 2 mg (DAK 2020) tablet - - -
127 Sefadroksil syrup ( DAK 2020) Botol - 4,180 -
128 Seterizin sirup 5mg/5ml (DAK 2020) botol - 2,153 -
129 Simvastatin tab ( DAK 2020 ) tablet - -
130 Tablet tambah darah ( DAK 2020) tablet - 372 -
131 Thiamin Tab ( DAK 2020 ) tablet - 92 -
132 Vitamin B komplek ( DAK 2020) tablet - 123 -
133 Zink sirup (DAK 2020) botol - 3,322 -
134 Zink Tab 20mg (DAK 2020) tablet - - -
135 Allopurinol tab 100mg (DAK 2021) tablet - 87 -
136 Allopurinol tab 300mg (DAK 2021) tablet - 200 -
137 Amlodipine tab 5mg (DAK 2021) tablet - 53 -
138 Amlodipin tab 10mg (DAK 2021) tablet 665 72 47,880
139 Amoksisilin tab 500mg (DAK 2021) tablet 5 211 1,055
140 Amoksisilin sirup forte 250mg/5ml (DAK 2021) botol 141 3,498 493,218
141 Anastetik lokal gigi kombinasi (DAK 2020) ampul - 847 -
142 Asam mefenamat 500mg (DAK 2021) tablet 1,930 111 214,230
143 Asiklovir 400mg (DAK 2021) tablet - 429 -
Antasida, kominasi: aluminium hidroksida 200mg+magnesium
144 tablet - 54 -
hidroksida 200mg (DAK
Antasida kombinasi 2021) hidroksida 200mg+magnesium
aluminium
145 botol - 1,725 -
hidroksida 200mg (DAK 2021)
146 Antifungi salepkombinasi:
Antihemoroid (DAK 2021)bismuth subgalat 150mg+ tube - 3,573 -
147 heksaklorofen 2,5mg + lidokain 10mg + senk oksida 120mg + supp 2 3,250 6,500
148 supp ad 2gCream
Bufacetin (DAK(DAK
2021) 2021) tube 23 6,385 146,855
149 Captopril 12,5mg (DAK 2021) tablet 2,070 68 140,760
150 Captopril tab 25 mg (DAK 2021) tablet 160 75 12,000
151 Ciprofloksasin tablet (DAK 2021) tablet 820 250 205,000
152 Clindamycin 300 mg tab (DAK 2021) tablet - 522 -
153 Clobazam 50 mg tab (DAK 2021) tablet - 137 -
154 Chlorpromazin tab ( DAK 2021) tablet - 875 -
155 Codein 10mg (DAK 2021) tablet - 600 -
156 Deksametason injeksi (DAK 2021) amp/vial - 968 -
157 Diazepam inj 5 mg/ml (DAK 2021) amp/vial - 1,545 -
158 Difenhidramin injeksi 10mg/ml (DAK 2021) amp/vial - 825 -
159 Domperidon tab (DAK 2021) tablet - 73 -
160 Domperidon suspensi (DAK 2021) botol - 2,359 -
161 Eugenol cairan 10ml (DAK 2021) botol - 20,150 -
162 Fitomenadion inj 2mg/ml (DAK 2021) amp/vial - 1,452 -
163 Fitomenadion tab (DAK 2021) tablet - 781 -
164 Furosemide injeksi (DAK 2021) amp/inj - 923 -
165 Gentamisin tetes mata 0,3%(DAK 2021) botol - 4,720 -
166 Glibenklamide Tablet ( DAK 2021 ) tablet - 125 -
167 Glimepiride 1mg (DAK 2021) tablet 900 93 83,700
168 Glukosa lar inf 5% steril 500ml (DAK 2021) botol - 6,627 -
169 Hidrokortison krim 2% (DAK 2021) tube - 2,325 -
170 Ibuprofen sirup 100mg/5ml (DAK 2021) botol - 2,298 -
171 Kalsium Laktat 500mg (DAK 2021) tablet 1,190 60 71,400
172 Ketokonazole 200mg tab (DAK 2021) tablet 390 260 101,400
173 Ketoconazole krim (DAK 2021) tube 160 2,399 383,840
174 Klindamicin 150 kap (DAK 2021) kapsul - 522 -
175 Klindamicin 300 mg kaplet ( DAK 2021 ) tablet 240 522 125,280
176 Kloramfenicol salep mata 1% (DAK 2021) tube - - -
177 Kloramfenicol salep kulit 2% (DAK 2021) tube - 3,431 -
Kombinasi: ferro fumarat 60mg+ as folat 0,4mg tab salut (DAK
178 tablet - 238 -
2021)
Kotrimoksazol kombinasi tiap 5ml suspensi : sulfametoksazol
179 botol 100 2,100 210,000
200mg =trimetoprin 40mg (DAK 2021)
180 Kotrimoksazol tablet (DAK 2021) tablet 688 126 86,688
181 Lidokain inj (DAK 2021) Ampul 45 847 38,115
182 loratadine tab (DAK 2021) tablet 316 111 35,076
183 Magnesium sulfat inj 20% (DAK 2021) amp/vial - 3,760 -
184 Magnesium sulfat inj 40% (DAK 2021) amp/vial - 4,290 -
185 Metilergometrin injeksi (DAK 2021) amp/vial - 1,023 -
186 Metilprednisolon tab 4 mg (DAK 2021) tablet 1,234 102 125,868
187 Metronidazole suspensi 125mg/5ml botol 42 3,765 158,130
188 Metformin tab 500mg (DAK 2021) tablet 430 77 33,110
189 Mikonazole krim 2% tube 31 1,900 58,900
190 NaCl 0,9% larutan (DAK 2021) botol - 6,900 -
191 Natrium diklofenak tab 25mg (DAK 2021) tablet 2,459 115 282,785
192 Nistatin tab vaginal 100000 UI(DAK 2021) tablet 190 550 104,500
193 Omeprazole tab 20mg (DAK 2021) tablet 85 129 10,965
194 Ondansetron inj (DAK 2021) amp/vial 16 873 13,968
195 Paracetamol sirup (DAK 2021) tablet 380 1,160 440,800
196 Paracetamol drop (DAK 2021) botol - 5,113 -
197 Povidon iodin (DAK 2021) botol 5 - -
198 Prednison 5mg (DAK 2021) tablet - 71 -
199 Ranitidine injeksi (DAK 2021) ampul 26 858 22,308
200 Reco tetes telinga 5ml ( DAK 2021) botol - 7,920 -
201 Ringer lactat larutan (DAK 2021) botol - 7,703 -
202 Risperidon 2mg (DAK 2021) tablet - 123 -
203 Salbutamol 2mg (DAK 2021) tablet - 50 -
Salep 2-4 kombinasi : as.salisilat 2% +belerang endap 4% (DAK
204 botol - 1,449 -
2021)
205 Sefadroksil sirup (DAK 2021) Botol 62 3,914 242,668
206 Seterizin sirup 5mg/5ml (DAK 2021) botol - 2,153 -
207 Simvastatin tab 10mg (DAK 2021) tablet 200 68 13,600
208 Simvastatin tab 20mg (DAK 2021) tablet - 68 -
209 Thiamin Tab ( DAK 2021 ) tablet - 92 -
210 Vitamin B12 Sianokobalamin 50mcg (DAK 2021) tablet 850 44 37,400
211 Zink Syrup (DAK 2021) - 4,575 -
212 Zink tab 20mg (DAK 2021) tablet 1,028 253 260,084
213 Metoklopramid 5mg (DAK 2020) tablet - 121 -
214 Stesolid supp/Diazepam supp supp - - -
SUB TOTAL I 6,090,821

II.ALAT KESEHATAN HABIS PAKAI

215 Kasa Pembalut Hidrofil Steril 16x16 (DAK 2017) pcs - 8,800 -
216 Cannofix-PU 6cm x 8cm (DAK 2018) pcs - 7,535 -
217 Kapas pembalut / absorben 250 gr (DAK 2018) roll - 13,750 -
218 Kasa Pembalut Hidrofil steril 16 x 16 (DAK 2018) pcs - 8,800 -
219 Alkohol 70% (DAK 2019) botol - 28,750 -
220 Blood lancet (DAK 2019) pcs - 154.0 -
221 Cannofix-PU 6cm x 8cm (DAK 2019) pcs - 7,535.0 -
222 Chirugic Gloves Size 7,0 (DAK 2019) pcs - 8,659 -
223 Dermafix T 10x12 cm (DAK 2019) roll - 6,940 -
224 Dermafix T 10x15 cm (DAK 2019) roll - 9,148 -
225 Surgical Gloves Size 7,5 (DAK 2019) pcs - 8,659 -
226 Examination Gloves Size M (DAK 2019) pcs - 532 -
227 Examination Gloves Size L (DAK 2019) pcs - 532 -
228 Hand Rub 500ml (DAK 2019) botol - 74,450 -
229 Hydrex Surgical Scrub 500 ml ( DAK 2019 ) botol - 86,616 -
230 Infusion set Dewasa (DAK 2019) pcs - 8,867 -
231 IV-Cath WP,No 20 (DAK 2019) pcs - 6,748 -
232 IV-CATH No.22 (DAK 2019) pcs - 7,423 -
233 IV-CATH No.24 (DAK 2019) pcs - 7,354 -
234 Kapas pembalut 250mg (DAK 2019) roll - 13,750 -
235 Kasa pembalut Hydrophil 4x10cm (DAK 2019) roll - 1,650 -
236 Kasa pembalut hydrophil 4x5cm (DAK 2019) roll - 825 -
237 Kasa hydrophil steril 16x16 (DAK 2019) pcs - 8,800 -
238 Kasa Kompres 40x40 cm (DAK 2019) pcs - 1,760 -
239 Masker Headloop (DAK 2019) pcs - 462 -
240 Infus set Pediatic (DAK 2019) pcs - 5,957 -
241 Plester 5 Yard x 2 Inchi ( 2,5 x 4,5 cm ) (DAK 2019) roll - 16,250 -
242 Povidon iodin (STARDIN) (DAK 2019) botol - 9,500 -
243 Syringe 10 cc (DAK 2019) pcs - 1,521 -
244 Syringe 3 cc (DAK 2019) pcs - 977 -
245 Syringe 5 cc (DAK 2019) pcs - 1,083 -
246 Three Way Stop Chock ( DAK 2019 ) pcs 2,150 -
247 Umbilical Cord Klem Steril Nylon (DAK 2019) pcs - 1,430 -
248 Alkohol 70% (2020) botol - 20,700 -
249 Abadinusa hand rub (2020) botol - 60,836 -
250 Antiseptic Hand Rub 500 ml ( DAK penugasan 2020) Botol - 51,094 -
251 Alcohol Swab CHG2 2 % ( DAK penugasan 2020) pcs - 176 -
252 Blood Lancet No. 26 G ( DAK penugasan 2020) pcs - 154 -
253 Catgut Chromic 2/0 ( DAK 2020 ) pcs - 33,538 -
254 Catgut chrom 3/0 (DAK 2020) pcs - 33,538 -
255 Dengue Combo Rapid Test Casette ( DAK penugasan2020) Kotak - 251,450 -
256 Diagnostic kit for hiv (1+2)antibody (DAK penugasan 2020) paket - 695,294 -
257 Handrub fresco (DAK 2020) botol - 66,700 -
258 Infus Set Anak ( DAK 2020 ) pcs - 5,957 -
259 IV 20 G (DAK 2020) pcs - 5,059 -
260 IV 22G (DAK 2020) pcs - 8,967 -
261 IV 24G (DAK 2020) pcs - 8,950 -
262 Infus set dewasa (DAK 2020) pcs - 9,434 -
263 Kapas Pembalut / Absorben (DAK 2020 ) pcs - 15,581 -
264 Kasa hydrophil steril 16x16 (DAK 2020) Kotak - 8,800 -
265 New HIV 1/2 3 Line( DAK penugasan 2020) Pcs - 14,397 -
266 Plastik limbah biohazard+kuning uk 5 (DAK penugasan 2020) botol - 35,200 -
267 Stik Asam urat (DAK 2020) botol - 150,000 -
268 Stik Glukosa (DAK 2020) botol - 160,000 -
269 Stik Kolesterol (DAK 2020) botol - 250,000 -
270 Silk 3/0 (DAK 2020) pcs 25 20,951 523,775
271 Syphilis cassette (2020) ( DAK penugasan 2020) pcs - 15,180 -
272 Umbilical Cord Klem (DAK 2020) pcs - 1,430 -
273 Xpert mtb/rif assay kit (2020) ( DAK penugasan 2020) Set - 259,175 -
274 Handscoon Double Crown Glove ( DAK penugasan 2020) pcs - 615 -
275 Alat suntik 3ml (DAK 2021) pcs 734 924 678,216
276 Alat suntik 5ml (DAK 2021) pcs 40 1,083 43,320
277 Alat suntik 10ml ( DAK 2021 ) Pcs 56 1,521 85,176
278 Alkohol 70 % ( DAK 2021) botol 10 20,700 207,000
279 Alkohol swab with isopropyl (DAK 2021) pcs - 155 -
280 Blood lancet (DAK 2021) pcs 800 157 125,600
281 Benecheck plus blood glukosa (DAK 2021) pcs 6 165,000 990,000
282 Benecheck plus Kolesterol (DAK 2021) pcs 7 255,425 1,787,975
283 Benecheck plus asam urat (DAK 2021) pcs - 155,495 -
284 Catgut chrom 3/0 (DAK 2021) pcs 30 65,142 1,954,260
285 Chlorhexidine 4% 500ml (DAK 2021) botol - 39,829 -
286 Chlorhexidine 0,5% 500ml (DAK 2021) botol - 34,831 -
287 Chlorhexidine 0,5% 500ml (DANA BOK 2021) botol - 34,831 -
288 Cover All (DANA BOK 2021) pcs 82 116,130 9,522,660
289 Dispoiable face mask ear loop (DAK recofusing 2021) pcs - 1,575 -
290 Examination gloves size M (DAK 2021) pcs 900 1,208 1,087,200
291 Examination glove size L (DAK recofusing 2021) pcs 500 1,875 937,500
292 Examination glove (dana BOK) pcs - 1,213 -
293 Face Mask Ear LOOP/ Masker Dewasa (dana BOK) pcs - 1,008 -
294 Infus set dewasa(DAK 2021) pcs 29 7,484 217,036
295 Hand Rub 500 ml (DAK 2021 ) botol 16 34,831 557,296
296 Hand Rub Fresco 500 ml ( DAK 2021 ) botol - 65,797 -
297 Hand Soap 500 ml (DAK 2021 ) botol 27 39,829 1,075,383
298 IV NO 20 (DAK 2021) pcs 74 5,059 374,366
299 IV NO 22 (DAK 2021) pcs 20 5,059 101,180
300 IV NO 24 (DAK 2021) pcs 19 5,059 96,121
301 Kapas pembalut / absorben 250 gr (DAK 2021) roll 7 15,581 109,067
302 Kassa Hidrofil 4x5 (DAK 2021) roll - 825 -
303 Kassa Hidrofil 4x10 (DAK 2021) roll 177 1,380 244,260
304 Kasa hidrofil 16x16cm (DAK 2021) Kotak 28 4,830 135,240
305 Kasa hidrofil 3x10cm (DAK 2021) roll - 1,524 -
306 Masker Anak (DAK 2021) pcs 800 706 564,800
307 Non woven fixation 5x10m (DAK 2021) pcs 8 41,861 334,888
308 Povidon iodin (DAK 2021) botol - 5,287 -
309 Pediatric set (DAK 2021) pcs 10 6,300 63,000
310 Safety Boots (DANA BOK) psg 5 110,000 550,000
311 Silk 3/0 (DAK 2021) pcs - 47,355 -
312 Surgical glove Steril size 7.0 (DAK 2021) pasang 89 8,635 768,515
313 Surgical Glove Steril size 7.5 (DAK 2021) pasang - 8,659 -
314 Surgical face mask headloop (DAK 2021) pcs - 1,080 -
315 Cover Set (dinkes provsu) Pcs - - -
316 Kaca Mata Google pcs - 38,000 -
317 Masker Bedah (DAK 2021) Pcs 950 960 912,000
318 Hand Sanitizer 10 ml ( DID ) botol - 15,000 -
319 Hand Sanitizer 1 Liter ( DID ) botol - 13,500 -
SUB TOTAL II 24,045,834

III. OBAT PROGRAM (DINKES PROV)

320 Kaca Slide (Program TA. 2018) kotak - 30,000 -
321 ADS 0,05 ml (Program 2018) pcs - 1,240 -
322 Reagen Ziehl Nelson (Program 2018) kit - 276,000 -
323 Safety Box 2,5 (Program TA. 2019) pcs - 12,500 -
324 Safety Box 5 (Program TA. 2019) pcs - 20,394 -
325 Box slide (P2P TA.2019) kotak - 41,342 -
326 Kaca slide (Program TA 2019) pcs - 30,000 -
327 Kelambu GF (Program 2019) pcs - 61,077 -
328 Pot sputum (Program 2019) pcs - 2,500 -
329 Alat Rapid Tes (Prog 2020) pcs - - -
330 ADS Oneject 0,5ml (2020) pcs - 1,200 -
331 ADS Oneject 0,05ml (2020) pcs - 1,518 -
332 ADS Oneject 5ml (2020) pcs - 1,470 -
333 Albendazol tab (Program 2020) tablet - 423 -
334 Amphiciline inj 1000 mg/ml (Prog 2020) vial - - -
335 Ca Glukonas Injeksi (prog 2020) ampul - 10,351 -
336 Catridge TCM (prog 2020) kit - 190,960 -
337 Clobazam 10mg (prog 2020) tablet - 776 -
338 Clozapine 25mg (prog 2020) tablet - 1,121 -
339 Chlopromazine 100mg (prog 2020) tablet - 157 -
340 Diazepam inj 5mg (prog 2020) ampul - 1,822 -
341 Fitomenadion inj (prog 2020) ampul - 3,867 -
342 Garam oralit (prog 2020) sachet - 257 -
343 Kelambu (prog 2020) pcs - 44,445 -
344 Kondom (prog 2020) test - 358 -
345 HB Imuno globulin (prog 2020) kotak - 1,325,000 -
346 Masker HIV(prog 2020) pcs - 2,290 -
347 Masker Hijab(program 2020) pcs - 431 -
348 Masker stupamed (prog 2020) pcs - 2,290 -
349 Metilergometrin inj (prog 2020) ampul - 3,102 -
350 Multivitamin (prog 2020) tablet - - -
351 OAT KAT I (prog 2020) paket - - -
352 OAT FDC KAT 1 (prog 2020) paket - 436,241 -
353 Oksitotosin inj (prog 2020) ampul - 1,199 -
354 Oksitetrasiklin 1 % salep mata (Prog 2020) tube - 2,600 -
355 Paracetamol sirup (prog 2020) botol - 1,074 -
356 Phenobarbital inj 50ml (Prog 2020) Ampul - 2,081 -
357 Plester ( dinkes provsu 2020) rol - - -
358 Pot dahak (prog 2020) pcs 425 2,317 984,725
359 Rapid 1 (sd hiv 1/2 bioline)(prog 2020) test - 11,975 -
360 Rapid 2 (khb diagnostic kit for hiv) (prog 2020) test - 12,500 -
361 Rapid 3 (diagnostic ds hiv 1/2 one) (prog 2020) test - 13,771 -
362 Rapid sypilis (prog 2020) test - 9,697 -
363 Rapid test SD Bioline HBsAG (prog 2020) test - 8,050 -
364 RPR test sifilis fokus (prog 2020) test - 4,250 -
365 Reagen Zielh neelsen (prog 2020) kit 7 237,435 1,662,045
366 Selkom C (Prog 2020) kapsul - - -
367 Selviplex (prog 2020) kapsul - - -
368 Triheksipenidil 2mg (prog 2020) tablet - 91 -
369 Vit C (Prog 2020) tablet - 110 -
370 Vitamin A 200000 IU (Prog 2020) tablet - 581 -
371 Zink tablet (prog 2020) tablet - 551 -
372 plester (2021) rol 4 8,500 34,000
373 Laboratorium KIT (2021) paket - 1,016,565 -
374 Giemsa (2021) botol - 875,065 -
375 Haloperidol inj 5mg (prog 2021) ampul - 1,190 -
376 Hand Sanitizer 500 ml ( dinkes Provsu 2021 ) botol - 71,960 -
377 Hand Soap 500 ml ( dinkes Provsu 2021 ) botol - 39,829 -
378 Imersi Oil (2021) botol - 1,123,065 -
379 Immunace (ta 2021) tablet - 5,792 -
380 Slide Box (2021) buah - 66,065 -
381 Biostrach (ta 2021) tablet - 5,635 -
382 Box slide (2021) kotak - 41,065 -
383 Insektisida (Organofosfat) (2021) botol - 622,500 -
384 Spraycan Malaria (2021) unit - 4,290,000 -
385 Cover All ( dana BOK 2021) pcs - 110,600 -
386 Masker Kaltech KN95 (prog 2021) pcs - - -
387 Masker KN 95 (2021) pcs - - -
388 Masker KN 95 (2021) pcs 40 - -
389 Masker N95 (2021) pcs 11 14,323 157,553
390 Masker N95 pcs - 14,323 -
391 Masker N95 pcs - 23,427 -
392 Masker N95 type 1860 (prog 2021) pcs - 23,427 -
393 Masker earloop hijab (prog 2021) pcs - 431 -
394 Masker stupamed earloop (prog 2021) pcs - 2,290 -
395 Panbio covid 19 Ag (Prog 2021) test - - -
396 Proxidan (ta 2021) tablet - 4,317 -
397 Hand Sanitiser 500 ml (2021) botol - - -
398 Rapid 2 HIV ( diagnostic kit for hiv) (prog 2021) tes - 11,500 -
399 Rapid 3 (diagnostic hiv 1/2 3 line) (prog 2021) tes - 11,675 -
400 Rapid sypilis (prog 2021) tes - 9,697 -
401 Rapid sypilis trepocheck (prog 2021) tes - - -
402 Rapid Test SD Bioline HBsAG (prog 2021) test 9 9,878 88,902
403 Benzatin Penisillin 2,4 jt iu (2021) vial - 14,500 -
404 Cefixim + Azitromicin (kombipak) (2021) paket - 31,231 -
405 Flukonazol 150 mg paket - 18,720 -
406 Kelambu (2021) pcs - 44,445 -
407 Abcavir 300mg (Prog 2021) botol - 133,137 -
408 ADS Oneject 0,05ml (Program 2021) pcs 130 1,518 197,340
409 ADS Oneject 0,5ml (Program 2021) pcs 10,117 1,200 12,140,400
410 ADS Oneject 5ML (Program 2021) pcs 689 1,470 1,012,830
411 Albendazol tab (program 2021) tablet - 431 -
412 APD Set ( dinkes Provsu 2021) set - 20,000 -
413 Cotrimoksazol tab 960mg (Prog 2021) tablet - 325 -
414 Duviral (Prog 2021) botol - 230,880 -
415 Kondom (Program 2021) pcs - 358 -
416 Lamivudin 150mg (Prog 2021) tablet - 90,000 -
417 Lopinapir/ritonavir 100/25gr (Prog 2021) botol - 2,772 -
418 Masker supercare (Prog 2021) pcs - 35,321 -
419 Masker supercare/Bedah (Prog 2021) pcs - 706 -
420 Garam oralit (prog 2021) sachet 1,430 280 400,400
421 Zink tablet (prog 2021) tablet - 551 -
422 Clozapine 25mg (prog 2021) tablet - 1,121 -
423 Haloperidol 5mg (tab 2021) tablet 200 60 12,000
424 OAT Kat 1 ( program 2021) paket 4 436,241 1,744,964
425 OAT KDR Dosis Harian Daily Dose (Prog 2021) paket - 409,461 -
426 OAT FDC KAT ANAK (Prog 2021) paket 4 260,526 1,042,104
427 Rapid 1 HIV (1/2 HIV) (PROG 2021) test - 8,441 -
428 RDT Malaria (2021) test 17 4,830 82,110
429 Santa e (ta 2021) tablet - 2,395 -
430 Selviplex (prog 2021) tablet - 1,680 -
431 Mineral Mix sachet - 2,920 -
432 Tablet tambah darah (Prog 2021) tablet 44,250 367 16,239,750
433 Tablet tambah darah (Prog 2021) tablet - 367 -
434 Tablet tambah darah (Prog 2021) tablet - 367 -
435 Tenofofir 300mg+lamivudine+efaviren 600mg (Prog 2021) botol - 204,000 -
436 Triheksipenidil 2mg (prog 2021) tablet - 91 -
437 Vitamin A 200000 IU merah (Prog 2021) tablet 5,000 304 1,520,000
438 Vitamin A 100000 IU biru (Prog 2021) tablet - 304 -
439 Albendazole 400 mg ( Program 2022 ) tablet 3,125 - -
440 Bedaquilin 100mg (prog 2022) tablet - 1,316 -
441 Clobazam 10mg (prog 2022) tablet - 739 -
442 Clofazimine 100mg (prog 2022) tablet - 1,500 -
443 Clozapin 25 mg tab (dinkes Provsu ) tablet - - -
444 Cycloserine 250mg (prog 2022) tablet - 200 -
445 Diazepam Inj 5mg/ml ( Dinkes Provsu 2022 ) ampul - 1,735 -
446 Diazepam tab ( Dinkes Provsu 2022 ) tablet - 114 -
447 Ethambutol 400mg(prog 2022) tablet - 4,032 -
448 Ethionamide 250mg (prog 2022) tablet - 2,600 -
449 Halloperidol 5 mg Injeksi ( Dinkes Provsu 2022 ) ampul - - -
450 Halloperidol 5 mg Tab ( Dinkes Provsu 2022 ) tablet 430 60 25,800
451 Isoniazid 300mg (prog 2022) tablet - 1,000 -
452 Levofloxacin 250mg (prog 2022) tablet - 3,700 -
453 Vitamin B6 (Program 2022) tablet - 1,800 -
454 Pyrazinamide 500mg (Program 2022) tablet - 3,200 -
455 Masker N95 (Program 2022) pcs - 125 -
456 Masker Bedah Anak ( Dinkes 2022 ) pcs - 706 -
457 Masker Bedah ( Program 2021 ) pcs - - -
458 Paracetamol tab (dinkes 2022) tablet - - -
459 Kelambu (dinkes 2022) pcs - 44,445 -
460 OAT KDR Dosis Harian Daily Dose (Prog 2022) paket - 409,461 -
461 PP INH 300mg (dinkes provsu 2022) tablet - - -
462 Rapid 1 HIV (1/2 HIV) (dinkes provsu 2022) pcs - - -
463 Rapid 1 HIV (1/2 HIV) (PROG 2022) pcs - 8,441 -
464 Rapid 2 HIV ( diagnostic kit for hiv) (prog 2022) pcs - 11,500 -
465 Rapid 3 (diagnostic hiv 1/2 3 line) (prog 2022) pcs - 11,675 -
466 Rapid antigen (prog 2022) pcs - - -
467 RDT Malaria (2022) test - 6,476 -
468 Amytriptilin (dinkes provsu 2022) tablet 110 167 18,370
469 Risperidon 2 mg tab ( dinkes Provsu 2022 ) tablet - - -
470 Safety box (program 2022) pcs 43 14,000 602,000
471 Triheksifenidil 2 mg tablet (dinkes Provsu 2022 ) tablet 320 91 29,120
472 Ultra Vit C (PROG 2022) PCS - 3,950 -
473 Vitamin C (dinkes 2022) tablet - 198 -
474 Masker bedah anak (program 2022) pcs - 706 -
475 APD Set ( dinkes Provsu ) set - - -
476 Baju Hazmat 70 PVC (Set ) set - 197,000 -
477 Cover All ( Dinkes Provsu ) pcs - 110,600 -
478 E-Care Hand Rub botol - 97,000 -
479 Face Shield ( dinkes Provsu ) pcs 12 16,750 201,000
480 Goldtrion kap (dinkes Provsu ) pcs - - -
481 Gown solida pcs - 36,500 -
482 Hand Soap 5 Liter Jerigen - 45,000 -
483 Helm (set ) set - 185,500 -
484 HB Vit ( program ) tablet - - -
485 Kaca Mata Google ( set ) set - 115,750 -
486 Masker N95 ( set ) set - 176,250 -
487 Masker N95 ( Dream Can ) pcs - 995 -
488 Rapid Test SARS Covid ( Program 2020 ) Test - - -
489 Risperidon 2 mg tab ( dinkes Provsu 2022 ) tablet - - -
490 Sarung Tangan ( set ) set - 127,000 -
 491 Sepatu Boot ( set ) set - 187,600 -
492 Sivit Zink Tab ( Dinkes Provsu 2021 ) tablet - - -
493 Thermometer Infra Red pcs - - -
494 Vitamin C 500 mg ( Dinkes Provsu 2021 ) tablet - - -
495 Clozapin 25 mg tab (dinkes Provsu 2022 ) tablet - 1,121 -
496 Epineprin Injeksi ampul 16,500 -
SUB TOTAL III 38,195,413
IV.VAKSIN/SERUM
497 BCG/pelarut vial 13 61,996 805,948
498 DPTHB-Hib vial 30 78,991 2,369,730
499 DT vial - 17,996 -
500 HB-0-24 JAM pcs 35 23,991 839,685
501 IPV vial 7 144,540 1,011,780
502 POLIO/pelarut vial 10 19,954 199,540
503 MR/pelarut vial 32 155,813 4,986,016
504 Td vial 1 16,995 16,995
505 Indovac vial 160 10,000 1,600,000
506 Pfizer vial 36 96,000 3,456,000
507 PCV 20 - -

SUB TOTAL IV 15,285,694

JUMLAH TOTAL I+II+III+IV 25,787,761

Mengetahui
Kepala UPTD Puskesmas Pulo Bandring Pengelola Obat Puskesmas

Vinny Shari Hasibuan, SKM Corry Aquino Pakpahan, A.Md.Far

NIP. 19760621 200502 2 002 NIP. 19860731 201903 2 003