Lplpo Print 2023

Lampiran.
1
LAPORAN MUTASI OBAT DAN BMHP
UPT. PUSKESMAS BELUSUH DINAS KESEHATAN KABUPATEN KUTAI BARAT
DESEMBER 2021
DATA OBAT NOMINAL NILAI OBAT (Rp)

Pengeluaran Desember 2021 Pengeluaran Desember 2021
No.
No. Nama Obat Harga Sisa Stok Per
Batch Sisa Stok Per 30
November 2021
Penerimaan
Desember 2021
Distribusi ke
Exipre Date / 31 Desember
Sisa Stok Per 30
November 2021
Penerimaan
Desember 2021
Distribusi ke
Exipre Date /
PKM & 2021 PKM &
Jaringannya Rusak Jaringannya Rusak
1 2 3 4 5 6 7 8 9 = (5+6) - (7+8) 10 = 4 x 5 11 = 4 x 6 12 = 4 x 7 13 = 4 x 8
1 617361 Cavit G() 162,800 0 - - - - -

ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10
KAPSUL)
2 G15C13308 440 - - - - - -
ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10
KAPSUL) 720
3 412 1,620 3,000 3,900 667,440 1,236,000 296,640 -
ACYCLOVIR TABLET 200 MG(DUS, 10 STRIP @ 10 TABLET)
4 E9E081 236 - - - - - -
5 A1306HT 454 - - - - - -
AFOLAT Tablet 400 Mcg(AFOLAT TABLET BOX 10X10
(AS.FOLAT 400 MCG))
6 DG0805J 68 - - - - - -
ALBENDAZOLE SUSPENSI 200 MG/5 ML(DUS, 10 DUS @ 1
BOTOL @ 10 ML)
7 I3096AF 4,600 - - - - - -
ALBENDAZOLE TABLET 400 MG(DUS, 5 STRIP @ 6 TABLET
(INPRES))
8 1503005 463 - - - - - -
ALKOHOL CAIRAN OBAT LUAR 70 %(BOTOL @ 100 ML)
9 C150501B 2,625 - - - - - -
ALLOPURINOL TABLET 100 MG(DUS, 10 STRIP @ 10 TABLET)
10 150740203 105 - - - - - -
11 99 2,300 2,000 300 4,000 227,700 198,000 29,700 -
12 18C025 200 - 1,000 100 900 - 200,000 20,000 -
ALPRAZOLAM TABLET 1 MG(DUS, 10 STRIP @ 10 TABLET)
13 TPJ81145 239 - - - - - -
AMINOPHYLLINE CAIRAN INJEKSI 24 MG/ML(30 AMPUL @ 10
ML)
14 CD2122J 3,071 - - - - - -
AMINOPHYLLINE TABLET 150 MG(BOTOL @ 100 TABLET)
15 95307013-1 86 - - - - - -
16 T044826 97 - - - - - -
AMITRIPTYLINE TABLET SALUT SELAPUT 25 MG(DUS, 10
STRIP @ 10 TABLET SALUT SELAPUT)
17 T2550010 168 100 100 16,800 - - -
AMLODIPINE TABLET 10 MG(DUS, 3 STRIP @ 10 TABLET)
18 A1412FT 95 1,300 2,000 700 2,600 123,500 190,000 66,500 -
19 18C032 74 - 1,000 200 800 - 74,000 14,800 -
AMOXICILLIN CAPSUL 250 MG(DUS, 10 STRIP @ 10 KAPSUL)
20 18C044 196 1,000 100 900 196,000 - 19,600 -
AMOXICILLIN CAPTABS 500 MG(DUS, 10 STRIP @ 10 KAPLET)
21 1503-14-96 265 - - - - - -
22 233 2,000 2,000 700 3,300 466,000 466,000 163,100 -
AMOXICILLIN SIRUP KERING 250MG/5 ML(BOTOL @ 60 ML)
23 1606-46-51 2,560 30 30 76,800 - - -
ANTASIDA DOEN SUSPENSI (DUS, BOTOL @ 60 ML)
24 PH018206 2,098 130 300 45 385 272,740 629,400 94,410 -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DUS, 10 STRIP @
10 TABLET KUNYAH)
25 5406013 60 - - - - - -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DUS, 10 STRIP @
10 TABLET KUNYAH) 400
26 56 4,100 3,700 229,600 - 22,400 -
ANTI PARKINSON DOEN TABLET 100 MG + 25 MG(5 STRIP a
10 TABLET)
27 S3136AF 1,350 - - - - - -
ANTIFUNGI DOEN SALEP (DUS, 24 POT PLASTIK @ 30 G)
28 5549650 5,517 - - - - - -
ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2
GRAM(STRIP a 10 SUPPOSITORIA)
29 A4F186 3,642 20 20 72,840 - - -
AQUA PRO INJECTION CAIRAN INJEKSI (DUS, 10 VIAL @ 20
ML) 10
30 202304135 2,860 - 50 40 - 143,000 28,600 -
ARTEMETHER INJEKSI 80 Mg(ARTEMETHER INJEKSI 1 ML)
31 046013W 25,490 - - - - - -
ARTESUNATE CAIRAN INJEKSI 60 MG(DUS, 1 VIAL @ 60 MG +
1 AMP PEL @ 1 ML)
32 P1H85442 42,900 - - - - - -
ASAM ASKORBAT Tablet 250 Mg(ASAM ASKORBAT (VIT C)
250 MG)
33 20140602 124 - - - - - -
ASAM ASKORBAT Tablet 50 Mg(ASAM ASKORBAT (VIT C) 50
MG) 600
34 LA160517 120 2,700 4,000 6,100 324,000 480,000 72,000 -
ASAM FOLAT TABLET 1 MG(DUS, BOTOL COKLAT @ 100
TABLET) 200
35 B150182B 86 2,700 2,500 232,200 - 17,200 -
ASAM MEFENAMAT CAPSUL 250 MG(DUS,10 BLS @ 12 CAP)
36 D150529B 175 - - - - - -
ASAM MEFENAMAT CAPTABS SALUT SELAPUT 500 MG(10
STR @ 10 CAPTABS) 900
37 681603151 103 2,700 5,000 6,800 278,100 515,000 92,700 -
ASEPTAN GEL + DISP 500
38 623514 36,225 - - - - - -
ATROPINE CAIRAN INJEKSI 0.25 MG/ML(DUS, 100 AMPUL @
1 ML)
39 FG1526 1,815 - - - - - -
ATROPINE TABLET 0,5 MG(DUS, 10 STRIP @ 10 TABLET)
40 1071597 81 - - - - - -
ATROVENT CAIRAN INHALASI 0,025 %(DUS, BOTOL @ 20 ML)
41 15L0115 83,500 - - - - - -
BACITRACIN - POLYMYXIN B SALEP (DUS, 25 TUBE @ 5
GRAM)
42 1407013 7,700 - - - - - -
BEDAK SALICYL SERBUK OBAT LUAR 2 %(DUS 50 GRAM)
43 15102155 5,000 - - - - - -
44 1,071 19 19 20,349 - - -
BETABLOK TABLET 100 MG(DUS, 3 STRIP @ 10 TABLET)
45 1505004 864 - - - - - -
BETAMETASON CREAM 0.1 %(DUS, 25 TUBE @ 5 GRAM)
46 HFY0310 1,465 11 11 - 16,115 - 16,115 -
3,350 100 25 75 335,000 - 83,750 -
BISOPROLOL FUMARATE TABLET SALUT SELAPUT 5 MG(DUS,
3 STRIP @ 10 TABLET SALUT SELAPUT)
47 723144 695 - - - - - -
BIVALENT ORAL POLIOMYELITIS VACCINE TYPES 1& 3 DROPS
(DUS, 50 VIAL @ 2 ML (20 DOSIS))
48 D50389T 19,954 18 18 359,172 - - -
BLOOD LANCET()
49 E10011 153 700 100 600 107,100 - 15,300 -
BRONSOLVAN TABLET (DUS, 10 STRIP @ 10 TABLET)
50 2051115 310 - - - - - -
BUFACETIN SALEP 2 %(DUS, TUBE @ 15 G)
51 2051115 3,360 78 24 54 262,080 - 80,640 -
BURNAZIN CREAM 10 MG/G(DUS, TUBE @ 35 G)
52 2051115 20,700 39 1 38 807,300 - 20,700 -
CALCIUM LACTATE TABLET 500 MG(DUS, 10 STRIP @ 10
TABLET)
53 2052116 63 - - - - - -
TABLET)
54 59 4,200 4,200 247,800 - - -
CAPTOPRIL TABLET 12,5 MG(DUS, 10 STRIP @ 10 TABLET)
55 11111488 69 3,200 500 2,700 220,800 - 34,500 -
CAPTOPRIL TABLET 25 MG(DUS, 10 STRIP @ 10 TABLET)
56 731464 80 2,300 3,000 500 4,800 184,000 240,000 40,000 -
57 5413 143 - - - - - -
CARBAMAZEPINE TABLET 200 MG(DUS,10 BLISTER @ 10
TABLET)
58 1081RS 250 - - - - - -
CAT GUT CHROMIC 2 - 0 (75C X 37M)KULIT
59 161112 30,334 - - - - - -
CAT GUT CHROMIC 2 - 0 (75C X 24MM)KULIT
41,154 - 24 24 - 987,696 - -
CAT GUT CHROMIC 2 - 0(75C X 37mM)
60 1503022 23,400 43 43 1,006,200 - - -
CAT GUT CHROMIC 2 - 0(90Cm X 37mm) otot
61 48,380 24 24 1,161,120 - - -
CAT GUT CHROMIC 3 - 0(75C X 17M)
62 85324015 29,900 10 10 299,000 - - -
CAT GUT PLAIN 2 - 0 (70C X 25M)
63 1505022 26,667 9 9 240,003 - - -
CAT GUT PLAIN 3 - 0(70C X 25M)
64 1304030 24,584 43 43 1,057,112 - - -
CATHEJELL()
65 UU113-15 49,186 - - - - - -
CEFOTAXIME SERBUK INJEKSI 1 G(DUS, 10 VIAL @ 1 G)
66 UU129-15 3,500 - - - - - -
CEMENT ELITE CEMEN LIQUID
67 QQ110-15 429,000 - - - - - -
CEMENT ELITE CEMEN POWDER
68 UU132-15 462,000 - - - - - -
CETIRIZINE CAPSUL 10 MG(DUS, 5 STRIP @ 10 CAPSUL)
69 WW120-15 115 - - - - - -
CETIRIZINE SIRUP 5 MG/5 ML(DUS, BOTOL @ 60 ML)
70 130988 2,993 185 30 155 553,705 - 89,790 -
CHLORAMPHENICOL KAPSUL 500 MG
71 GG15715 329 - - - - - -
CHLORAMPHENICOL SALEP MATA 1%(TUBE @ 5 G)
72 8471 2,054 - - - - - -
73 1,925 45 45 86,625 - - -
CHLOROQUINE TABLET 150 MG(DUS, BOTOL PLASTIK @
1000 TABLET)
74 P5J46142 94 - - - - - -
CHLORPHENIRAMINE TABLET 4 MG(BOTOL PLASTIK 1000
TABLET)
75 1505011 26 - - - - - -
TABLET) 700
76 24 2,000 1,300 48,000 - 16,800 -
CHLORPROMAZINE CAIRAN INJEKSI 25 MG/ML(30 AMPUL a 1
ML)
77 1602161 1,531 - - - - - -
CHLORPROMAZINE TABLET SALUT SELAPUT 100 MG(DUS, 10
BLISTER @ 10 TABLET SALUT SELAPUT)
78 18F022 144 - - - - - -
CHLORPROMAZINE TABLET SALUT SELAPUT 25 MG(10
BLISTER @ 10 TABLET)
79 1508032 75 - - - - - -
CIMETIDINE TABLET 200 MG(DUS, 10 STRIP @ 10 TABLET)
80 T2388113 106 - - - - - -
CIPROFLOXACIN TABLET SALUT SELAPUT 500 MG(DUS, 10
BLISTER @ 10 TABLET SALUT SELAPUT)
81 066124W 281 1,800 1,800 505,800 - - -
CLINDAMYCIN CAPSUL 300 MG(DUS, 5 BLISTER @ 10 KAPSUL)
82 H111384B 589 - - - - - -
CLOBAZAM TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
83 T3063 967 - - - - - -
CLONIDINE TABLET 0.15 MG(DUS, 10 STRIP @ 10 TABLET)
84 1131218B 201 - - - - - -
CLOZAPINE 100 TABLET 100 MG(DUS, 5 BLISTER @ 10
TABLET)
85 75329001 5,000 - - - - - -
CLOZAPINE 25 TABLET 25 MG(DUS, 5 BLISTER @ 10 TABLET)
86 160298 1,121 - - - - - -
CODEINE TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
87 85328002 657 118 10 108 77,526 - 6,570 -
88 1309-0635 880 - - - - - -
89 1607-27-108 1,210 - - - - - -
COMBIVENT UDV CAIRAN INHALER (DUS, 20 VIAL @ 2,5 ML)
90 160506 4,550 - - - - - -
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(DUS, 10 BLISTER
@ 10 TABLET)
91 47A0444 133 100 100 13,300 - - -
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(DUS, 10 BLISTER
@ 10 TABLET)
92 131 1,000 1,000 131,000 - - -
COTRIMOXAZOLE FORTE CAPTABS 800 MG + 160 MG(10
STRIP @ 10 CAPTABS)
93 L151607B 319 400 400 127,600 - - -
COTRIMOXAZOLE SUSPENSI (200MG + 40MG)/5 ML(DUS,
BOTOL @ 60 ML) 20
94 13178 2,190 50 30 109,500 - 43,800 -
CUTICELL CLASIC 10 X 10()
95 160662 5,520 35 35 193,200 - - -
96 14,689 100 100 1,468,900 - - -
DEMETECH Chromic Catgut Surgical Suture(2-0)
97 ME3130J 65,000 - - - - - -
DEVITALISASI PASTA NON ARSEN ( PULP-X ) POWDER -(Box)
98 IC2411J 286,000 - - - - - -
DEXAMETHASON TABLET 0.5 MG(DUS, 10 STRIP @ 10
TABLET)
99 ID1718J 75 - - - - - -
DEXAMETHASONE CAIRAN INJEKSI 5 MG/ML(DUS, 100
AMPUL @ 1 ML)
100 5984011 1,210 40 40 48,400 - - -
DHP FRIMAL (DIHYDROARTEMISININ PIPERAQUINE) TABLET
(KOTAK 9 TABLET)
101 1606001 2,160 - - - - - -
DIAZEPAM CAIRAN INJEKSI 5 MG/ML(DUS, 30 AMPUL @ 2
ML)
102 TPF50145 1,913 7 7 13,391 - - -
DIAZEPAM TABLET 2 MG(BOTOL PLASTIK @ 100 TABLET)
103 250512 28 - - - - - -
DIAZEPAM TABLET 5 MG(DUS, 10 STRIP @ 10 TABLET)
104 552158 105 104 3 101 10,920 - 315 -
105 134 300 300 40,200 - - -
DIGOXIN TABLET 0,25 MG(DUS, 10 STRIP @ 10 TABLET)
106 JJ12314 104 200 200 20,800 - - -
DILTIAZEM TABLET 30 MG(DUS, 10 STRIP @ 10 TABLET)
107 1881505 145 - - - - - -
Diluent 20L()
108 Y8303 1,980,000 - - - - - -
DIMENHYDRINATE TABLET 50 MG(BOTOL PLASTIK @ 100
TABLET)
109 PIL36845 129 - - - - - -
TABLET)
110 121 600 600 72,600 - - -
DIPHENHYDRAMINE CAIRAN INJEKSI 10 MG/ML(DUS, 30
AMPUL @ 1 ML)
111 SQ150806 1,262 60 60 75,720 - - -
DOMPERIDON SUSPENSI 5 MG/5 ML(DUS, BOTOL 60 ML)
112 1503002 2,862 65 10 55 186,030 - 28,620 -
DOMPERIDON TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
113 1049 96 200 200 - 19,200 - 19,200 -
114 90 2,000 100 1,900 180,000 - 9,000 -
DOMPERIDONE DROPS 5 MG/ML(DUS, BOTOL @ 10 ML)
115 1607003 17,100 - - - - - -
DOXYCYCLINE CAPSUL 100 MG(DUS, 10 STRIP @ 10 CAPSUL)
116 A1610GR 280 - - - - - -
117 264 500 500 132,000 - - -
DULCOLAX SUPPOSITORIA 10 MG(DUS, 10 STRIP @ 5
SUPPOSITORIA DEWASA) 5
118 F140695B 5,900 25 20 147,500 - 29,500 -
SUPPOSITORIA)
119 2016052801 6,000 18 18 108,000 - - -
EPHEDRINE TABLET 25 MG(DUS, 10 STRIP @ 10 TABLET)
120 E130680B 68 - - - - - -
EPINEPRINE CAIRAN INJEKSI 1 MG/ML(DUS, 100 AMP @ 1
ML)
121 85342021-2 1,518 - - - - - -
ERGOTAMINE CAFFEINE TABLET SALUT SELAPUT 1 MG + 50
MG(BOTOL PLASTIK @ 100 TABLET SALUT SELAPUT)
122 140914186 212 811 811 171,932 - - -
ERYTHROMYCIN CAPSUL 250 MG (BASE)(DUS, 10 STRIP @10
KAPSUL)
123 1606-07-149 636 - - - - - -
ERYTHROMYCIN SIRUP KERING 200 MG/5 ML(BOTOL 60 ML)
124 SCD11444 6,461 - - - - - -
ETHAMBUTOL TABLET SALUT SELAPUT 500 MG(DUS,10 STRIP
@ 10 TABLET)
125 C0323IS 543 - - - - - -
EUGENOL 10 Ml(EUGENOL CAIRAN)
126 15020456 23,101 - - - - - -
EZ CLEANER()
127 15020298 665,500 - - - - - -
FAMOTIDINE TABLET SALUT SELAPUT 20 MG(DUS, 5 STRIP @
10 TABLET SALUT SELAPUT)
128 1209015 124 - - - - - -
FARIZOL SUSPENSI 125 MG/5 ML(DUS,BOTOL 60 ML)
129 97KA0074 3,950 - - - - - -
FLETCHER (TEMPORARY STOPPING FLETCHER CAIRAN)
130 151308 6,244 - - - - - -
FLETCHER LAIN-LAIN 100 Gram(TEMPORARY STOPPING
FLETCHER SERBUK)
131 AE92033 6,244 - - - - - -
FOLEY CATHETER 1 WAY NO 10()
132 16CF009 30,000 - - - - - -
FOLEY CATHETER 1 WAY NO 12 ()
133 YF9206 8,000 - - - - - -
FOLEY CATHETER 2 WAY N0 16 WRP()
134 150909 7,940 10 10 79,400 - - -
135 045098W 8,000 - - - - - -
136 2016010601 8,000 - - - - - -
137 130600403 10,070 - - - - - -
138 8,000 10 10 80,000 - - -
FOLEY CATHETER 2 WAY NO 18 WRP()
139 50205 10,070 - - - - - -
140 7,941 10 10 79,410 - - -
141 10917 8,000 - - - - - -
142 010917A 8,000 - - - - - -
143 1101000 8,000 - - - - - -
144 1101200 30,000 - - - - - -
145 2121630 32,500 - - - - - -
146 5111005 32,500 - - - - - -
FOLEY CATHETER 3 WAY NO 2O()
147 2121230 32,500 - - - - - -
FORANSI CAPSUL 10 MG(DUS, 3 STRIP @ 10 KAPSUL)
148 2121430 462 - - - - - -
FUJI IX GP A3 1 - 1 PKG()
149 3063841 990,000 - - - - - -
FUROSEMIDE CAIRAN INJEKSI 10 MG/ML(DUS, 25 AMPUL @
2 ML)
150 2122030 1,555 10 10 15,550 - - -
GEMFIBROZIL CAPSUL 300 MG(DUS, 10 BLISTER @ 12
KAPSUL)
151 2122230 318 - - - - - -
Glass Ionomer Cement ART Fuji IX()
152 2122430B 478,500 - - - - - -
GLIBENCLAMIDE CAPTABS 5 MG(DUS, 10 BLISTER @ 10
KAPTAB) 500
153 5110805 137 3,300 2,800 452,100 - 68,500 -
GLIMEPIRIDE TABLET 1 MG(DUS, 5 STRIP @ 10 TABLET)
154 3112030 174 - 0 - - - - -
155 3112230 207 1,300 1,300 269,100 - - -
GLUCOTROL XL TABLET PELEPASAN LAMBAT 5 MG(DUS,
BOTOL 30 TABLET)
156 3112030 3,000 - - - - - -
GLUKOSA INFUS 10 %(BOTOL PLASTIK @ 500 ML)
157 ME024 8,003 20 20 160,060 - - -
GLUKOSA INFUS 5 %(BOTOL PLASTIK PE @ 500 ML)
158 1603091 7,363 40 40 294,520 - - -
GRISEOFULVIN TABLET 125 MG(DUS, 10 BLISTER @ 10
TABLET)
159 1503028 223 200 200 44,600 - - -
HALDOL DECANOAS CAIRAN INJEKSI 50 MG/ML(DUS, 5
AMPUL @ 1 ML)
160 1057064 97,500 - - - - - -
HALOPERIDOL TABLET 0,5 MG(DUS, 10 STRIP @ 10 TABLET)
161 1511051 55 - - - - - -
HALOPERIDOL TABLET 1.5 MG(DUS, 10 BLISTER @ 10 TABLET)
162 1405036 74 - - - - - -
HALOPERIDOL TABLET 5 MG(DUS, 10 BLISTER @ 10 TABLET)
163 IC2340J 60 - - - - - -
164 96 430 500 30 900 41,280 48,000 2,880 -
Hematology Control Normal (N) MEK-3DN()
165 HG1449J 708,000 - - - - - -
HERBESSER CD 100 CAPSUL PELEPASAN LAMBAT 100
MG(DUS, 3 BLISTER @ 10 KAPSUL)
166 292008 4,290 - - - - - -
HIDROKORTISON CREAM 2,5 %(TUBE)
167 260703 2,533 137 34 103 347,021 - 86,122 -
HYDROCHLORTHIAZIDE TABLET 25 MG(BOTOL @ 100
TABLET) 100
168 260609 178 100 - 17,800 - - 17,800
IBUPROFEN SUSPENSI 100 MG/5 ML(DUS, BOTOL @ 60 ML)
169 1112029 2,678 70 100 30 140 187,460 267,800 80,340 -
170 EAB4M03 4,949 - - - - - -
IBUPROFEN TABLET 200 MG(BOTOL PLASTIK @ 100 TABLET)
171 1605003 112 - - - - - -
IBUPROFEN TABLET 400 MG(DUS,10 BLISTER @ 10 TABLET)
172 1502002 113 3,100 500 2,600 350,300 - 56,500 -
ILIADIN SEMPROT HIDUNG 0.05 %(DUS, BOTOL @10 ML)
173 1211036 39,468 - 5 5 - 197,340 - -
INDOREAGEN - EDTA 10%()
174 BC20716N-1 325,197 - - - - - -
INDOREAGEN - HCI 0,1 N()
175 HL948 51,597 - - - - - -
INSULIN HUMAN LONG ACTING CAIRAN INJEKSI 100
IU/ML(DUS, 5 CARTRIDGE @ 3 ML)
176 150994T 85,000 - - - - - -
IODINE POVIDON CAIRAN OBAT LUAR (BOTOL 1000 ML)
177 1131109B 40,202 - - - - - -
178 150966T 19,800 - - - - - -
IODINE POVIDON CAIRAN OBAT LUAR 10 %(BOTOL 30 ML)
179 S3174AF 3,190 - - - - - -
Iodoform (Mummifying Pasta)()
180 1505022 125,444 - - - - - -
ISONIAZID TABLET 100 MG(DUS, 10 STRIP @ 10 TABLET)
181 1607-21-177 85 - - - - - -
182 AH911932 182 - - - - - -
ISOSORBIDE DINITRATE TABLET SUBLINGUAL 5 MG(DUS, 10
STRIP @ 10 TABLET SUBLINGUAL)
183 Z0595463 89 - - - - - -
IV CATHETER NO 18 TROGE()
184 810201 14,625 100 100 1,462,500 - - -
185 1062017 14,625 155 155 2,266,875 - - -
186 4F901A 14,625 28 28 409,500 - - -
187 J28403 14,625 100 100 1,462,500 - - -
JARUM JAHIT KULIT G 12 SUTURA()
188 D38506 1,666 - - - - - -
JARUM JAHIT KULIT NO 13()
189 K39410 1,666 - - - - - -
JARUM JAHIT OTOT GR 12 ()
190 212 1,666 - - - - - -
191 1605059 1,666 - - - - - -
Kalsium Hidroksida Serbuk()
192 E160481B 209,000 - - - - - -
KAPAS ONEMED 500(KAPAS ONEMED 500 GRAM)
193 1408048 28,644 - - - - - -
KAPAS PEMBALUT ALAT KESEHATAN 250 Gram(KAPAS
PEMBALUT MEDIKASA 250 GRAM)
194 14039-03 25,200 9 9 226,800 - - -
KARTU GOLONGAN DARAH
195 14039-05 28,779 - - - - - -
KASA HIDROPHILE ALAT KESEHATAN 1 UNIT(KASA
HIDROPHILE 40yardx80cm MEDIKASA)
196 14065-04 115,500 3 5 8 346,500 577,500 - -
HIDROPHILE 16X16 cm MEDIKASA) 272
197 14217-03 550 560 960 1,248 308,000 528,000 149,600 -
KASA PEMBALUT HYDROFIL 4 M X 5 CM
198 KULIT12 1,155 210 210 242,550 - - -
Kasa Pembalut Hydrofil(4M X 10CM)
199 9036 2,415 230 10 220 555,450 - 24,150 -
KETAMINE CAIRAN INJEKSI 10 MG/ML(10 VIAL a 10 ML)
200 12930804 110,000 - - - - - -
KETOCONAZOLE TABLET 200 MG(DUS, 5 STRIP @ 10 TABLET)
201 13934810 305 - - - - - -
202 286 250 200 50 71,500 - 57,200 -
KETOKONAZOL CREAM 5 Gram(KETOKONAZOL HEXPARM
CREAM 2% 5 GRAM)
203 16011 3,135 - - - - - -
KINA TABLET SALUT GULA 200 MG(DUS,24 DUS @ 1 STR @
12 TAB)
204 250111 460 - - - - - -
KLORAMFENICOL Capsul Mg(KLORAMFENICOL KAPSUL 250
Mg) 200
205 082088L 329 1,700 1,500 559,300 - 65,800 -
KLORAMFENIKOL SIRUP 125 mg/5 ml(BTL PLS 60)
206 10119 5,319 - - - - - -
207 4,982 35 35 174,370 - - -
Klorfenol Kamfer Menthol (CHKM)()
208 19101588A 115,500 - - - - - -
Lancing Device()
209 032088MX 86,336 - - - - - -
LAXADINE EMULSI (BOTOL 60 ML)
210 9051688 12,450 - - - - - -
LEUKOMED IV FILM(6 X 8 CM)
211 052017MX 2,461 70 70 172,270 - - -
LEUKOPLAST 1 INCHI()
212 kasahidrofil4X 20,000 - - - - - -
LEUKOPLAST 1/2 INCHI()
213 1308011 10,500 - - - - - -
214 150306103 38,000 - - - - - -
LEUKOPLAST(1X5)
215 728756 12,675 - - - - - -
LEUKOPLAST(3X5)
216 140379 35,532 - - - - - -
LEVOPAR TABLET 100 MG(DUS, 5 STRIP @ 10 TABLET)
217 C50363T 1,035 - - - - - -
LEXAPRAM SIRUP 5 MG/5 ML(BOTOL 60 ML)
218 FG2136 2,900 - - - - - -
LIDOCAIN CAIRAN INJEKSI 2 %(DUS, 100 AMPUL a 2 ML)
219 N0212 1,403 145 145 203,435 - - -
1,315 100 100 131,500 - - -
LIDOCAINE COMPOSITUM CAIRAN INJEKSI 2 %(DUS, 30
AMPUL @ 2 ML)
220 488111 2,122 - - - - - -
LODOMER CAIRAN INJEKSI 5 MG/ML(DUS, 12 AMPUL @ 1
ML)
221 L034F1503 6,250 - - - - - -
LODOMER TABLET SALUT SELAPUT 2 MG(DUS, 10 STRIP @ 10
TABLET SALUT SELAPUT)
222 53940812 115 - - - - - -
LOPERAMIDE TABLET 2 MG(DUS, 10 STRIP @ 10 TABLET)
223 50817848 85 500 500 42,500 - - -
LORATADINE TABLET 10 MG(DUS, 5 STRIP @ 10 TABLET)
224 45143148 127 3,250 700 2,550 412,750 - 88,900 -
MAGNESIUM SULFAT INJ. USP CAIRAN INJEKSI 40%(AMPUL
25)
225 43910648 3,650 - - - - - -
MAGNESIUM SULFATE CAIRAN INJEKSI 20 %
226 54411709 3,328 13 13 43,264 - - -
MASKER HIJAU EAR LOP()
227 54311309 420 1,650 500 1,150 693,000 - 210,000 -
MAXTER Examination Glove Non Powder(L)
228 A6E017 434 - - - - - -
MAXTER Examination Glove Non Powder(M)
229 XY032 434 - - - - - -
MAXTER Examination Glove Non Powder(S)
230 PIF05242 434 - - - - - -
231 1,100 - - - - - -
232 1,180 2,000 800 1,200 2,360,000 - 944,000 -
233 1,180 500 1,000 800 700 590,000 1,180,000 944,000 -
234 613 2,000 200 1,800 1,226,000 - 122,600 -
MEBENDAZOLE SIRUP 100 MG/5 ML(BOTOL PLASTIK 30 ML)
235 1GIH021 3,887 - - - - - -
MEBENDAZOLE TABLET 100 MG(DUS, 5 BLISTER @ 6 TABLET)
236 450043 248 - - - - - -
MEBENDAZOLE TABLET 500 MG(24 BLISTER a 1 TABLET)
237 140288 9,150 - - - - - -
MELOXICAM TABLET 15 MG(DUS, 5 STRIP @ 10 TABLET)
238 60806 348 - - - - - -
MELOXICAM TABLET 7.5 MG(DUS, 5 STRIP @ 10 TABLET)
239 TPL04345 234 - - - - - -
METFORMIN CAPTABS 850 MG(DUS, 10 BLISTER @ 10
KAPLET) 400
240 1021460100 167 200 1,000 800 33,400 167,000 66,800 -
METFORMIN TABLET 500 MG(DUS, 10 BLISTER @ 10 TABLET)
241 91E45A 109 - - - - - -
242 102 - - - - - -
METHYLPREDNISOLONE CAPTABS 4 MG(DUS, 10 STRIP @ 10
KAPLET)
243 98545A 192 - - - - - -
METIL ERGOMETRIN MALEAT CAIRAN INJEKSI 0,2 MG/ML
244 77F46A 3,399 8 8 - 27,192 - - 27,192
METILERGOMETRIN MALEAT TABLET SALUT SELAPUT 0,125
mg
245 5011587 258 400 400 103,200 - - -
METOCLOPRAMIDA TABLET 10 MG(DUS, 10 STRIP @ 10
TABLET)
246 10903906888 89 - - - - - -
TABLET)
247 83 1,300 1,300 107,900 - - -
METOCLOPRAMIDA TABLET 5 MG(10 STRIP a 10 TABLET)
248 HANSCOONM 124 - - - - - -
METRONIDAZOL INFUS 5 MG/ML(DUS, 1 BOTOL @ 100 ML)
249 HANSCOONS 8,250 - - - - - -
METRONIDAZOL TABLET 500 MG(DUS, 10 STRIP @ 10
TABLET)
250 1309002 140 - - - - - -
MICONAZOLE CREAM 2 %(DUS, 24 TUBE @ 10 G)
251 1305001 3,926 90 90 353,340 - - -
MINDRAY M-30R Rinse()
252 587131 1,980,000 - - - - - -
MINIASPI TABLET SALUT ENTERIK 80 MG(DUS, 10 STRIP @ 10
TABLET SALUT ENTERIK)
253 1306011 105 100 100 10,500 - - -
MISSION Urinalysis Reagent Strip (10 Parameter)()
254 1306006 224,400 1 1 224,400 - - -
255 TPF42644 100,000 - - - - - -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS,
5 STRIP @ 10 TABLET SALUT ENTERIK)
256 TPJ70044 142 - - - - - -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 50 MG(5
STRIP a 10 TABLET) 800
257 60016 320 1,500 700 480,000 - 256,000 -
STRIP a 10 TABLET)
258 136 2,800 2,800 380,800 - - -
NATRIUM KLORIDA INFUS 0,9 %(DUS, BOTOL PLASTIK PE @
500 ML)
259 H10046605 6,840 46 46 314,640 - - -
NATRIUM PHENYTOIN CAIRAN INJEKSI 50 MG/ML(DUS, 10
AMPUL @ 2 ML)
260 15D0365 4,121 - - - - - -
NESCO MultiCheck Cholesterol Test Strip()
261 AE0147J 19,600 - - - - - -
NESCO MultiCheck Uric Acid Test Strip()
262 JI0046505 4,400 - - - - - -
NEW ANTIDES TABLET 600 MG(10 CATCH COVER a 10
TABLET)
263 1141044B 149 2,800 2,800 417,200 - - -
NIFEDIPINE TABLET SALUT SELAPUT 10 MG(DUS, 10 STRIP @
264 K131459B 120 - - - - - -
NITRAL TABLET SUBLINGUAL 500 MCG(DUS, BOTOL @ 30
TABLET)
265 XY018 1,485 - - - - - -
NYSTATIN TABLET VAGINAL 100.000 IU(10 STRIP a 10 TABLET)
266 E10176525 688 500 500 344,000 - - -
OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP @ 10 KAPSUL)
267 E6E657 147 - - - - - -
268 138 3,200 690 2,510 441,600 - 95,220 -
OMEPRAZOLE SERBUK INJEKSI 40 MG(DUS, 1 VIAL @ 40 MG
+ 1 AMPUL @ 10 ML) 10
269 AE912612 11,868 10 - 118,680 - 118,680 -
ONELAB Golongan darah Test A()
270 056043W 71,235 1 1 71,235 - - -
ONELAB Golongan darah Test AB()
271 2016042201 95,635 1 1 95,635 - - -
ONELAB Golongan darah Test B()
272 160737 71,235 1 1 71,235 - - -
ONELAB Golongan darah test D()
273 UR56070215 117,195 1 1 117,195 - - -
ONEMED Disposable Syringe 0,5ml()
274 1,240 300 300 372,000 - - -
ONEMED Disposable Syringe 1 ml()
275 URS5100083 647 100 100 64,700 - - -
276 95364019 933 340 340 317,220 - - -
277 85365018 1,550 20 20 31,000 - - -
278 140909 1,194 220 200 30 390 262,680 238,800 35,820 -
279 160515 825 - - - - - -
280 1,500 100 100 150,000 - - -
281 95366001 3,550 - - - - - -
ONEMED Hecting Nald()
282 CH516516B62 20,000 - - - - - -
ORAL POLIOMYELITIS VACCINE LARUTAN / CAIRAN (VIAL 1
ML)
283 UAS16608A71 158,994 - - - - - -
ORALIT SERBUK (DUS. 100 SACHET @ 4,129 G)
284 AH0191 281 - - - - - -
285 273 300 200 100 100 300 81,900 54,600 27,300 27,300
OTSUKA Infusion Set(ANAK OT-24)
286 46E0363 3,675 50 50 183,750 - - -
OTSUKA Infusion Set(DEWASA)
287 P2173102 3,024 - - - - - -
288 3,520 46 100 146 161,920 352,000 - -
OXYTOCIN S CAIRAN INJEKSI 10 iu/ml(DUS, 100 AMPUL @ 1
ML)
289 95372006 1,232 43 43 52,976 - - -
PADUAN OAT KATEGORI 1 KOMBINASI BEBERAPA BENTUK
SEDIAAN DLM SATU KEMASAN (60 BLS THP INTENSIF + 54 2
290 FG1517 BLS THP LANJUTAN) 447,747 2 2 2 895,494 895,494 895,494 -
PADUAN OAT KATEGORI 2 KOMBINASI BEBERAPA BENTUK
SEDIAAN DLM SATU KEMASAN (90 BLS THP INTENSIF + 66
291 6D6802 BLS THP LANJUTAN + 30 VIA) 1,592,726 - - - - - -
PADUAN OAT KATEGORI ANAK KOMBINASI BEBERAPA
BENTUK SEDIAAN DLM SATU KEMASAN (60 BLS THP
292 1016261P INTENSIF @ 5 TAB + 120 BLS THP LANJUTA) 285,339 1 1 285,339 - - -
PADUAN OAT SISIPAN KOMBINASI BEBERAPA BENTUK
SEDIAAN DLM SATU KEMASAN (30 BLS THP INTENSIF)
293 1036091P 183,984 - - - - - -
PANTOCAIN TETES MATA
294 102627IP 11,500 - - - - - -
PARACETAMOL DROPS 100 MG/ML(DUS, BOTOL @ 15 ML)
295 1056141P 5,960 - - - - - -
PARACETAMOL TABLET 500 MG(DUS,10 STRIP @ 10 TABLET)
296 SPET1B 60 2,300 5,000 2600 4,700 138,000 300,000 156,000 -
PARASETAMOL SIRUP 120 mg/5ml(BOTOL 60)
297 SPET10C 3,200 - - - - - -
298 1,160 185 30 155 214,600 - 34,800 -
PENTABIO VAKSIN DTP-HB-HIB INJEKSI 2,5 Ml(Pentabio
Injeksi 2,5 ml Vial)
299 SPET20 78,991 12 10 22 947,892 789,910 - -
PETIDIN INJEKSI 50 MG/ML
300 spet3CCc 15,950 - - - - - -
PHARMAFIX Wound Dressing(10 CM X 500 CM)
301 spet5ccc 30,000 13 13 390,000 - - -
PHENOBARBITAL CAIRAN INJEKSI 50 MG/ML(DUS, 30 AMPUL
@ 1 ML)
302 SPET50 1,925 - - - - - -
PHENOBARBITAL TABLET 100 MG(10 STRIP A 10 TABLET)
303 30012015 242 - - - - - -
PHENOBARBITAL TABLET 30 MG(BOTOL @ 100 TABLET)
304 IPQ001A16 197 200 200 39,400 - - -
PHENOL GLYCEROL TETES TELINGA
305 85373554 2,500 52 52 130,000 - - -
PHENYTOIN CAPSUL 30 MG(BOTOL PLASTIK @ 250 CAPSUL)
306 ANAK 142 - - - - - -
PHENYTOIN SODIUM CAPSUL 100 MG(BOTOL @ 100 KAPSUL)
307 DEWASA 158 - - - - - -
PHYTOMENADIONE CAIRAN INJEKSI 10 MG/ML(DUS, 30
AMPUL @ 1 ML)
308 97KG0030 4,167 - - - - - -
PHYTOMENADIONE TABLET SALUT SELAPUT 10 MG(BOTOL
PLASTIK @ 100 TABLET SALUT SELAPUT)
309 1608109 818 1,200 1,200 981,600 - - -
POVIDONE IODINE CAIRAN OBAT LUAR 10 %(BOTOL PLASTIK
60 ML)
310 1605003 4,070 - - - - - -
PREDNISON TABLET 5 MG(DUS, 10 STRIP @ 10 TABLET)
311 1606004 79 - - - - - -
312 74 1,600 100 1,500 118,400 - 7,400 -
PROBENECID TABLET SALUT SELAPUT 500 MG(DUS, 10 STRIP
@ 10 TABLET SALUT SELAPUT)
313 14020001 1,815 - - - - - -
PROPRANOLOL TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
314 4P10411 63 - - - - - -
PROPRANOLOL TABLET 40 MG(10 STRIP a 10 TABLET)
315 161169 114 - - - - - -
PYRANTEL SUSPENSI 125 MG/5 ML(BOTOL 60 ML)
316 1605028 11,791 15 15 - 176,865 - 176,865 -
317 11,050 50 50 552,500 - - -
PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 4 TABLET)
318 00814H0500 354 - - - - - -
319 332 500 200 300 166,000 - 66,400 -
PYRAZINAMIDE TABLET 500 MG(10 STRIP a 10 TABLET)
320 EG2122 233 - - - - - -
PYRIDOXINE CAIRAN INJEKSI 100 mg/ml(100 AMPOULE a 1
ML)
321 5041915 1,030 - - - - - -
RANITIDINE HCL CAIRAN INJEKSI 50 MG/ML(DUS, 10 AMPUL
@ 2 ML)
322 CD0302J 1,454 - - - - - -
RANITIDINE TABLET SALUT SELAPUT 150 MG(DUS, 10 STRIP
@ 10 TABLET SALUT SELAPUT)
323 20A16 110 2,800 2,800 308,000 - - -
RESERPINE TABLET 0,25 MG(KOTAK, 10 STRIP @ 10 TABLET)
324 658030021 97 - - - - - -
RIFAMPICIN CAPSUL 300 MG(DUS, 10 STRIP @ 10 KAPSUL)
325 1209010 834 - - - - - -
RIFAMPICIN CAPTABS SALUT SELAPUT 600 MG(DUS, 10 STRIP
@ 10 KAPLET SALUT SELAPUT)
326 1309009 863 - - - - - -
RISPERIDONE TABLET SALUT SELAPUT 2 MG(DUS, 5 STRIP @
327 13LE005 273 - - - - - -
RIVANOL CAIRAN OBAT LUAR 0,1%(BOTOL PLASTIK 300 ML)
328 13CG007 2,178 - - - - - -
SAFEGLOVE EXAM XS ALAT KESEHATAN (SAFEGLOVE EXAM
XS)
329 340405 434 - - - - - -
SALBUTAMOL SIRUP 2 MG/5 ML(DUS, BOTOL @ 100 ML)
330 85478025 4,446 20 20 88,920 - - -
SALBUTAMOL TABLET 4 MG(DUS, 10 STRIP @ 10 TABLET)
331 95381007 77 1,400 200 1,200 107,800 - 15,400 -
SALEP 2-4 SALEP (POT 30 GRAM)
332 056134W 3,219 54 54 173,826 - - -
SARUNG TANGAN GAMEX NO 8,5()
333 1505114 6,985 - - - - - -
SARUNG TANGAN STERIL N0 7()
334 4503359 3,465 - - - - - -
4,935 100 100 493,500 - - -
SARUNG TANGAN STERIL N0 7,5 ()
335 4504044 3,465 - - - - - -
336 4,935 150 150 740,250 - - -
SARUNG TANGAN STERIL NO 6.5
337 1405056 3,465 - - - - - -
338 6,594 200 50 150 1,318,800 - 329,700 -
SCABIMITE CREAM 5 %(DUS,TUBE @ 10 G)
339 1503136 12,155 5 5 60,775 - - -
Semen Seng Fosfat Sebuk dan cairan()
340 2507013 214,500 - - - - - -
SIKZONOATE CAIRAN INJEKSI 25 MG/ML(DUS, 5 AMPUL @ 1
ML)
341 1605051 59,800 - - - - - -
SIMVASTATIN CAPTABS SALUT SELAPUT 10 MG(DUS,3 STRIP
@ 10 CAPTABS)
342 1604050 117 - - - - - -
SIMVASTATIN CAPTABS SALUT SELAPUT 10 MG(DUS,3 STRIP
@ 10 CAPTABS) 350
343 110 - 1,000 650 - 110,000 38,500 -
SIMVASTATIN TABLET SALUT SELAPUT 20 MG
344 D7811572 237 - - - - - -
345 225 780 1,000 1,780 175,500 225,000 - -
SODIUM BICARBONATE TABLET 500 MG(BOTOL PLASTIK @
1000 TABLET)
346 H10356606 184 - - - - - -
SPINAL NEDLE NO 24 TERUMO()
347 C0350029 347 - - - - - -
348 1308004 347 - - - - - -
SPIRONOLACTONE TABLET 100 MG(DUS,10 STRIP @ 10
TABLET)
349 1511046 1,000 - - - - - -
TABLET)
350 1212024 226 400 400 90,400 - - -
STANBIO Cholesterol Liquicolor()
351 1606185 2,241,000 - - - - - -
STANBIO Glucose Liquicolor()
352 8200813 473,000 - - - - - -
STANBIO Triglyceride Liquicolor()
353 109033124SS 5,134,000 - - - - - -
STANBIO Uric Acid Liquicolor()
354 1606009 4,730,000 - - - - - -
STERA Infusion Set Anak()
355 G160923B 3,850 - - - - - -
STERA Infusion Set Dewasa()
356 16SE093C 3,520 - - - - - -
STERACATH I.V catheter(16)
357 2627285 3,800 - - - - - -
358 203015147SPZ 3,800 - - - - - -
STESOLID ENEMA 10 MG/2,5 ML(DUS, 5 ALUBAG @ TUBE @
2,5 ML)
359 203012353SPZ 21,021 5 5 105,105 - - -
STESOLID ENEMA 5 MG/2,5 ML(DUS, 5 ALUBAG @ TUBE @
2,5 ML) 2
360 203012365SPZ 14,459 5 3 72,295 - 28,918 -
STREPTOMYCIN SULPHATE SERBUK INJEKSI 1000 MG/VIAL
361 C083F1504 5,980 - - - - - -
Strip Glukos
362 753213 4,400 - - - - - -
SULFADOXINE- PYRIMETHAMINE TABLET 500 MG + 25
MG(DUS, 10 BLISTER @ 10 TABLET)
363 5EA03053 655 - - - - - -
SURYA HUSADA Kapas Berlemak(500 gr)
364 1AF022 18,150 - - - - - -
SUSPENSI KUMAN S PARATHYPI A-H CAIRAN DIAGNOSTIK
365 F10306502 71,299 - - - - - -
SUSPENSI KUMAN S PARATHYPI A-O CAIRAN DIAGNOSTIK
366 290210124 71,299 - - - - - -
SUSPENSI KUMAN S PARATHYPI H
367 1311213 69,993 - - - - - -
SUSPENSI KUMAN S PARATHYPI O
368 130415D 69,993 - - - - - -
TABLET TAMBAH DARAH TABLET SALUT SELAPUT (DUS, 100
SACHET @30 TABLET SALUT SELAPUT) 750
369 4507474 409 4,950 4,200 2,024,550 - 306,750 -
TEST KEHAMILAN (TEST KEHAMILAN ONE MED)
370 6D0336 1,265 207 207 261,855 - - -
TETRACYCLINE CAPSUL 250 MG(10 STRIP a 10 CAPSUL)
371 160481 181 - - - - - -
TETRACYCLINE CAPSUL 500 MG(DUS, 10 STRIP @ 10 KAPSUL)
372 160821 331 - - - - - -
THIAMFENICOL CAPSUL 500 MG(DUS, 10 STRIP @ 10 KAPSUL)
373 152601 440 - - - - - -
TRAMADOL CAIRAN INJEKSI 50 MG/ML(KOTAK, 5 AMPUL @
2 ML)
374 152471 2,680 - - - - - -
TRICRESOL - FORMALIN
375 infusanak 85,800 - - - - - -
TRIHEXYPHENIDYL TABLET 2 MG(DUS, 10 BLISTER @ 10
TABLET)
376 infusdewasa 101 - - - - - -
TABLET) 50
377 95 130 500 580 12,350 47,500 4,750 -
URINE BAG
378 31073 4,011 - - - - - -
URINE BAG
379 3,150 14 14 44,100 - - -
VAKSIN BCG INJEKSI 4 Ml(VAKSIN BCG KERING & PELARUT)
380 12015 61,996 - - - - - -
381 59,950 1 10 11 59,950 599,500 - -
VAKSIN CAMPAK KERING SERBUK INJEKSI 1000 CCID 50(DUS,
10 VIAL @ 10 DOSIS + 10 AMPUL PELARUT @ 5 ML)
382 R23691703 28,204 - - - - - -
VAKSIN HEPATITIS B REKOMBINAN CAIRAN INJEKSI 20
MCG/ML(DUS, 100 SACHET @ 1 PREFILLEDSYRINGE
383 R23681704 (UNIJECT) @ 0) 20,900 5 10 15 104,500 209,000 - -
VAKSIN JERAP DT (ABSORBED DT VACCINE) CAIRAN INJEKSI
(40 + 15) Lf/ML(DUS, 10 VIAL @ 5 ML (10 DOSIS))
384 PK9990 17,996 5 5 89,980 - - -
VAKSIN JERAP Td (ADSORBED Td VACCINE) CAIRAN INJEKSI (4
+ 15) Lf/ML(DUS, 10 VIAL @ 5 ML (10 DOSIS))
385 85395029 16,995 29 29 492,855 - - -
VAKSIN TT CAIRAN INJEKSI 1 DOSIS(DUS, 10 VIAL @ 5 ML (10
DOSIS))
386 G16E27208 14,498 - - - - - -
VENTOLIN NEBULES CAIRAN INHALER 0,2 %(DUS,4 X 5 BOTOL
PLASTIK @ 2,5 ML)
387 F140651B 4,000 - - - - - -
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTOL PLASTIK @ 50
KAPSUL)
388 250111 331 150 150 49,650 - - -
VITAMIN B COMPLEX TABLET (DUS, 10 STRIP @ 10 TABLET)
389 403604 135 3,600 - 300 3,300 486,000 - 40,500 -
VITAMIN B1 TABLET (DUS 10STRIP@10TABLET)
390 406606 94 - - - - - -
VITAMIN B12 CAIRAN INJEKSI 500 MCG/ML(DUS, 100 AMPUL
@ 1 ML)
391 402608 1,067 - - - - - -
VITAMIN B6 TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
392 401606 150 200 200 - 30,000 - 30,000 -
141 2,000 100 1,900 282,000 - 14,100 -
WIDA D5 1/4 NS INFUS (B0T0L PLASTIK @ 500 ML)
393 C1550139 6,500 - - - - - -
WIDA RL INFUS (BOTOL PLASTIK PE @ 500 ML)
394 A809DK0110 7,630 43 40 83 328,090 305,200 - -
WING NEEDLE NO 23 TERUMO()
395 1041688 1,506 - - - - - -
WING NEEDLE NO 25 ()
396 1605035 1,540 - - - - - -
WING NEEDLE NO 27 JMS()
397 1606-09-52 1,540 - - - - - -
XYLOCAINE GEL 2 %(DUS, 10 SYRINGE PLASTIK @ 10 G)
398 1310009 41,600 - - - - - -
XYLOCAINE SPRAY ORAL 10 %(DUS, BOTOL @ 10 ML
399 F10346406 177,216 - - - - - -
ZINK TABLET DISPERSIBLE 20 MG(DUS, 10 STRIP @ 10 TABLET
DISPERSIBEL)
400 213 604 1,400 1,400 845,600 - - -
ZINKID SIRUP 10 MG/ ML
401 160577 16,478 - - - - - -
ZIRCUM SIRUP 20 MG/5 ML(DUS, BOTOL @ 60 ML)
402 20051588 3,285 110 10 100 361,350 - 32,850 -
Analog Insulin Rapid Acting
403 037G5240 85,345 - - - - - -
Asiklovir 5%
404 2501615 2,367 - - - - - -
Atrovent HFA (ipratropium isi ulang)
405 3652615 80,000 - - - - - -
Betadine kumur
406 400116 12,500 - - - - - -
Cairan Infus ( Manitol lar.inf)
407 413915 65,000 - - - - - -
Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120
408 200515 mg 3,220 - - - - - -
Combiven Nebul
409 FV0425 12,252 - - - - - -
Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

410 YW0514 680 - - - - - -
Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

411 093056W 8,000 - - - - - -
Fenitoin inj 50 mg/ml
412 D60462T 4,121 - - - - - -
Furosemid tab 40 mg
413 1212016 84 - - - - - -
Furosemid tab 40 mg
414 79 700 100 600 55,300 - 7,900 -
Gentamisin inj 40 mg/ml
415 1202008 4,036 - - - - - -
Iliadin drops(Oksimetazolin tts hidung 0,025 %)

416 23602608 37,433 - - - - - -
Ketorolac inj 10 mg
417 2410018 2,665 - - - - - -
Kotrimoksazol Doen I (pediatrik)
418 160604 138 - - - - - -
Levosol(Norepinefrin inj 1 mg/ml
419 15022015 55,248 - - - - - -
Morpin inj 10 mg/ml
420 15022015 11,549 - - - - - -
Multivitamin kapsul(Solvitral)
421 wingneedle27 365 - - - - - -
Multivitamin syr(Solvita)
422 SB2699 7,150 - - - - - -
Fonflu syr
423 LAEZ 11,190 - - - - - -
Fonflu tab
424 95496029 619 - - - - - -
Papaverin inj 40 mg/ml
425 1503020 1,275 - - - - - -
Piracetam inj 3 g/15 ml
426 E6E649 4,500 - - - - - -
povidon iodin lar 1000 mg/ml
427 40,202 - - - - - -
Povidon iodin lar 100 mg/ml
428 15,386 - - - - - -
Primaquin 15mg
429 253 - - - - - -
Prokain Benjilpenisilin serbuk inj
430 - - - - - - -
Propiltiourasil
431 351 - - - - - -
Pularex
220
432 - - - - - -
Rifampisin 450mg
433 624 - - - - - -
Salbutamol 2 mg
64
434 - - - - - -
SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000

435 - - - - - -
SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

436 14,750 - - - - - -
Trifluoperazin 5 mg
437 445 - - - - - -
Zinc sir 10mg/ml(drop)
438 6,281 - - - - - -
Alat suntik sekali pakai 50cc
848
439 - - - - - -
Bisturi no.12
440 98,000 - - - - - -
Bisturi no.15
441 7,500 - - - - - -
Kasa P.Elastis 4x15
442 21,840 - - - - - -
Nald no.25
443 15,125 - - - - - -
Pembalut gips uk 3(7,5 cm x 2,7 m)
444 6,071 - - - - - -
Pembalut gips uk 4
445 3,500 - - - - - -
Pembalut gips uk 6
446 1,957 - - - - - -
Selang o2 anak
447 5,040 32 32 161,280 - - -
Silk(benang bedah sutera) no.3/0 dengan jarum bedah

448 2,200 - - - - - -
Wing needle no.21
449 500 - - - - - -
Nelaton Fr no.10
450 8,351 - - - - - -
Nelaton Fr no.12
451 8,351 - - - - - -
Folay catheter ped no.8
452 4,004 - - - - - -
Reagen turk,kemasan 100ml
453 28,779 - - - - - -
454 Cefadroxil 500 mg 557 - - - - - -
455 Gentian violet 1,420 - - - - - -
456 Rapid test SD HBsAg WB 9,879 50 25 25 493,950 - 246,975 -
457 DIPSAMOL INHALER 41,250 - - - - - -
458 Cat Gut Chromic 3-0 (70c x 19m)C 32,934 - - - - - - -
459 Cat Gut Chromic 3-0 (90c x 37m)C 41,205 24 34 58 988,920 1,400,970 - -
460 NySTATIN TABLET 500.000 IU(10 S 910 - 500 200 300 - 455,000 182,000 -
461 Asam Valproat 250mg/5ml 17,789 - - - - - -
462 Cardura 3,395 - - - - - -
463 Obucort Swinghaler 94,455 - - - - - -
464 Patanol 0,1 % 72,500 - - - - - -
465 Onmed alkohol 70% 1 L 27,500 - - - - - -
ALKOHOL 95% 9,279 10 10 92,790 - - -
466 Betablok 50 mg 310 - - - - - -
467 Skizon cream 5g 3,388 - - - - - -
468 interzinc syrup 60 ml 6,600 - - - - - -
469 indoreagen Rees Ecker 500 ml 214,520 - - - - - -
470 Indoreagen Turk 500 ml 81,045 - - - - - -
471 Phytomenadion inj 2 mg/ml 4,236 30 30 127,080 - - -
472 Erytromicin 500 mg 781 1,000 100 900 781,000 - 78,100 -
473 Magnesium Sulfat 40% 3,796 6 6 22,776 - - -
474 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 120 100 30 190 230,400 192,000 57,600 -
475 Benechek Plus Uric Acid 6,096 - - - - - -
476 Benechek Plus Uric Acid 5,313 150 50 100 796,950 - 265,650 -
477 Benechek Plus Glucose 3,302 - - - - - -
478 Benechek Plus Glucose 3,142 650 300 350 600 2,042,300 942,600 1,099,700 -
479 Benechek Plus Total Cholestrol 25,238 - - - - - -
480 Benechek Plus Total Cholestrol 23,821 480 20 460 11,434,080 - 476,420 -
481 Remidi alkohol swab 108 - - - - - -
482 Serenity Nasal 02 Canulla Infant 4,300 - - - - - -
483 Serenity Nasal 02 Canulla Infant 5,040 8 8 40,320 - - -
484 Serenity Mucus Ext Wkt 35 FR 10-25 7,245 - - - - - -
485 Serenity silk 3/0 4,256 14 14 59,584 - - -
486 Serenity Silk 2/0 4,256 - - - - - -
487 Serenity silk 3/0 4,157 24 24 99,768 - - -
488 Serenity Silk 2/0 4,157 24 24 99,768 - - -
489 Remidi exam Glove Gynecolog No 6,5 18,270 - - - - - -
490 Remidi exam Glove Gynecolog No 7 ( 18,270 - - - - - -
491 Remidi exam Glove Gynecolog No 7,5 18,270 - - - - - -
492 Decacetine Tetes mata 3,850 - - - - - -
493 Cholestrol FS 961,376 - - - - - -
494 Glucosa GOD Fs 381,584 - - - - - -
495 Triglycerid FS 10' Version 1,573,963 - - - - - -
496 Uric Acid Fs TBHBA 149,342 - - - - - -
497 Dietilkarbamazin 100 mg 192 - - - - - -
498 Biosat 130,999 - 2 2 - 261,998 - -
499 Serenity Nasal 02 Canulla Adult ( Dew 5,040 10 20 30 50,400 100,800 - -
500 Sianokobalamin ( vit B12) 52 1,500 1,500 78,000 - - -
501 Carestar malaria HRP 2 6,476 - - - - - -
502 Carestar malaria HRP 2 5,271 25 25 131,775 - - -
503 Bisakodil 5 mg 316 - 500 100 400 - 158,000 31,600 -
504 Metronidazol 250 mg 94 - - - - - -
505 Diluen 20 L Mindray 3 Diff M-30 1,164,625 - - - - - -
506 Rinse 20 L Mindray M-30 Barcode 1,220,120 - - - - - -
507 Multi Drug Panel 25 S Answer 37,009 - - - - - -
508 Blue Tip OM 500 S 146 - - - - - -
509 Yellow Tips Dragon 1000 S 207 - - - - - -
510 Trucal U 1,549,779 - - - - - -
511 Ventolin Rotahaler (alat hirup salbutam 6,550 - - - - - -
512 klorpromazine 5mg/ml 1,735 - - - - - -
513 Vitamin A Kapsul 200.000 IU 596 - - - - - -
514 Vitamin A Kapsul 200.000 IU 462 300 300 138,600 - - -
515 onmed USG 250 ml 13,214 3 1 2 39,642 - 13,214 -
ONEMED USG 250 ML 13,213 - 5 5 - 66,065 -
516 Alkazyme 25 mg 801,000 - - - - - -
517 Alkacid 1 L 2,702,700 - - - - - -
518 Trulab 2,254,214 - - - - - -
519 Vaksin MR 10 Ds 155,813 11 11 1,713,943 - - -
520 Onmed water one 1 L 15,708 - - - - - -
521 Umbilical Cord Cleam 1,365 - - - - - -
522 Farnomin Tab 297 - - - - - -
523 Decafil 145 100 100 14,500 - - -
524 Tensidox 2,064 - - - - - -
525 Lysol 1 L 44,690 9 9 402,210 - - -
526 Lyse M30 500 ml 1,375,000 - - - - - -
527 Probe cleanser M30 17 ml 97,625 - - - - - -
528 Terumo Agani needle 25 347 - - - - - -
529 Ampicillin inj 9,473 - - - - - -
530 Oksitetrasiklin 1 % Salep mata 2,774 - - - - - -
531 Oksitetrasiklin 1 % Salep mata 2,600 50 50 130,000 - - -
532 Euthyrox 735 - - - - - -
533 Masker oksigen dewasa 10,150 8 8 81,200 - - -
534 Masker oksigen anak 10,150 - - - - - -
535 Hidrogen Piroksida 3,528 - - - - - -
536 Rapid HIV 11,975 - - - - - -
537 Calcium glukonat 10,351 6 6 62,106 - - -
538 Alprazolam 0.5 mg 108 - - - - - -
539 IV Catheter no 26 11,700 93 93 1,088,100 - - -
540 Gynosurge S (6.5) 40,733 - - - - - -
541 Gynosurge M (7.5) 40,733 - - - - - -
542 Gynosurge S (8.5) 40,733 - - - - - -
543 Masker oksigen Pediatric 10,150 2 2 20,300 - - -
544 Tetagam 188,663 3 2 3 2 565,989 377,326 - 565,989
545 Metronidazol suspensi 125 mg/5ml 3,950 - - - - - -
546 Hidrogen piroksidA 3,528 - - - - - -
547 sarung tangan steril 8.0 3,465 - - - - - -
548 Hemoglobin Strip 50 tes mission 412,000 - - - - - -
549 Hemoglobin Strip 50 tes mission 400,000 5 5 2,000,000 - - -
550 Fluoksetin 20 mg 225 - - - - - -
551 Kasa Hidrofil 3y x 10 cm 1,491 - - - - - -
552 Masker oksigen Dewasa 10,150 - - - - - -
553 spinal Needle 25 G x 90 mm with guide n 30,398 - - - - - -
554 spinal Needle 27 G x 90 mm with guide n 30,398 - - - - - -
555 Parasetamol drop 60 mg/ 0.6 ml 7,646 - - - - - -
556 Rapid HIV@ 25 11,975 - 125 125 - 1,496,875 - -
557 Rapid HIV@ 30 26,060 - - - - - -
558 Trepocek/Rapid tes spilis 10,645 50 40 10 80 532,250 425,800 106,450 -
559 MB Dewasa 41,784 3 3 125,352 - - -
560 Diagnostar HIV 15,026 - - - - - -
561 KHB diagnostic HIV 12,500 - - - - - -
562 Verorab 150,000 - - - - - -
563 Hepatitis B imune globulin 1,325,000 - - - - - -
564 Fyrom international O2 portable 6,363,906 - - - - - -
565 Mineral mix 2,920 - - - - - -
566 Cetirizine kapsul 10 mg (dana jkn) 313 - - - - - -
567 Haloperidol 5 mg (dana jkn) 292 - - - - - -
568 Clozapine 25 mg (dana jkn) 1,144 400 30 370 457,600 - 34,320 -
569 Clozapine 100 mg ((dana jkn) 3,344 730 30 700 2,441,120 - 100,320 -
570 Onemed test hamil ( dana jkn) 1,472 - - - - - -
571 B Braun Bisturi no 15 ( dana jkn) 4,401 15 15 66,015 - - -
572 B Braun Bisturi no 20( dana jkn ) 4,401 82 82 360,882 - - -
573 BISTURI BLADE No 15 JKN 126,500 2 2 253,000 - - -
574 BISTURI BLADE No 20 JKN 126,500 1 1 126,500 - - -
575 Sendok Obat( dana jkn ) 600 - - - - - -
576 Sendok Obat( dana jkn ) 495 380 380 188,100 - - -
577 Pipet Obat( dana jkn ) 6,600 147 147 970,200 - - -
578 Pot Sputum 2,354 520 520 1,224,080 - - -
579 REAGEN ZN 250,333 - - - - - -
580 KACA SLIDE 22,097 3 3 66,291 - - -
581 PARACETAMOL ( JKN ) 110 - - - - - -
582 IBUPROFEN 400 MG JKN 294 - - - - - -
583 NATRIUM DIKLOFENAK 50 MG ( JKN ) 373 - - - - - -
584 CETIRIZINE 10 MG ( JKN KF ) 403 - - - - - -
585 PARACETAMOL 120 MG SYR (JKN) 4,663 - - - - - -
586 Baju Hazmat JKN 239,850 - - - - - -
587 COVERALL/ BAJU HAZMAT 231,000 - - - - - -
588 KACAMATA GOOGLE 259,875 - - - - - -
589 TOPI OPERASI REMIDI 1,408 - - - - - -
590 SEPATU BOOT 132,000 - - - - - -
591 SAFETY GOOGLE 115,000 - - - - - -
592 HELMET FACE SHIELD 297,000 - - - - - -
593 MASKER KN95 145,000 - - - - - -
594 TERMOMETER INFRARED 1,505,250 - - - - - -
595 RAPID TEST COVID 19 220,000 - - - - - -
596 JAS OPERASI JKL+MASKER+KERUDU 225,000 - - - - - -
597 MALARIA PV/PF TEST CASETTE (JKN ) 22,000 - - - - - -
598 GEA NON REBREATING MASK ADULT 17,050 3 3 51,150 - - -
599 GEA NON REBREATING MASK CHILD 17,050 18 18 306,900 - - -
600 GEA NEBULIZER MASK WITH CHAMBE 14,000 20 20 280,000 - - -
601 GEA NEBULIZER MASK WITH CHAMBE 14,000 20 20 280,000 - - -
602 ONEMED MEDICREPE 3 " 17,600 - - - - - -
603 HALOPERIDOL 5 MG (DANA JKN JUNI) 153 - - - - - -
604 BETAMETASON CR 0,1% ( JKN ) 3,520 - - - - - -
605 CAPTOPRIL 25 MG (JKN) 122 - - - - - -
606 CIPROFLOXACIN 500 MG (JKN ) 516 - - - - - -
607 KETOROLAC INJ 30 MG/ML (JKN ) 1,834 60 60 110,040 - - -
608 NIFEDIPINE 10 MG ( JKN ) 243 1,500 1,500 364,500 - - -
609 AMBROXOL SYR JKN 3,350 - - - - - -
610 RANITIDINE INJEKSI JKN 1,650 - - - - - -
611 PHYTOMENADION INJEKSI 2 MG JKN 4,236 - - - - - -
612 IMERSION OIL 500 ML JKN 2,149,400 - - - - - -
613 ASAM MEFENAMAT 500 MG JKN 322 - - - - - -
614 DEXAMETHASONE O,5 MG JKN 122 - - - - - -
615 ULTRASONIC GEL 5 LITER JKN 239,000 - - - - - -
616 ALAT SUNTIK 10 ML JKN 1,064 - - - - - -
617 RISPERIDONE TAB 2 mg 286 740 60 680 211,640 - 17,160 -
618 VTM 54,000 - - - - - -
619 PARAFILM 4 IN. X 125 FT 895,471 - - - - - -
620 BETAHISTIN 6 MG 119 1,400 1,400 166,600 - - -
621 LACTULOSA SYRUP 15,060 18 18 271,080 - - -
622 ANTASIDA DOEN SYRUP 4,290 - - - - - -
623 SARUNG TANGAN NON STERIL S 1,430 - - - - - -
624 SARUNG TANGAN NON STERIL M 1,485 - - - - - -
625 SARUNG TANGAN NON STERIL L 1,430 - - - - - -
626 CHLORAMPHENICOL TETES MATA 8,480 34 5 29 288,320 - 42,400 -
627 CHLORAMPHENICOL TETES TELINGA 9,223 35 35 322,805 - - -
628 NYSTATIN DROP 21,529 12 12 258,348 - - -
629 VAKSIN COVID-19/SINOVAC 232,410 - - - - - -
630 CLINDAMYCIN 150 MG 803 100 100 80,300 - - -
631 SERUM ANTI BISA ULAR ABU I INJ 512,204 2 2 1,024,408 - - -
632 OBAT BATUK HITAM 3,500 25 25 87,500 - - -
633 HIOSINA BUTILBROMIDA(SCOPMA) 1,110 900 900 999,000 - - -
634 FOLLEY CATHETER 2 WAY NO 16 JKN 14,520 10 10 145,200 - - -
635 INFUS SET ANAK JKN 5,429 - - - - - -
636 INFUS SET DEWASA JKN 5,429 - - - - - -
637 LARUTAN GIEMSA 875,065 - - - - - -
638 IODINE POVIDONE 300ML JKN 25,199 2 2 50,398 - - -
639 URINE BAG JKN 5,865 10 10 58,650 - - -
640 STOMACH TUBE 12 TERUMO 31,350 1 1 31,350 - - -
644 MULTIVITAMIN 585 - - - - - -
645 ASAM ASKORBAT 500 mg 198 600 200 400 118,800 - 39,600 -
646 SALBULIN 33,294 - - - - - -
647 BISTURI NO 12 2,990 200 200 598,000 - - -
648 BISTURI NO 11 2,948 185 185 545,380 - - -
649 FARBIVENT 2,5 ML 3,916 30 30 117,480 - - -
650 ONEMED ALKOHOL 70% 1 Lt 33,000 78 1 77 2,574,000 - 33,000 -
651 ONEMED ALKOHOL SWAB 13,799 15 2 13 206,985 - 27,598 -
652 ONEMED POVIDONE IODINE 60CC 5,412 100 100 541,200 - - -
653 OCTADIN 0,1% SPRAY 33,000 - 10 10 - 330,000 - -
654 LARVAGO 33,000 - 150 150 - 4,950,000 - -
655 - - - -
- - - - - -
JUMLAH 91,194,829 23,609,174 10,011,096 638,281
Sendawar, 30 Oktober 2021

Mengetahui,
Kepala UPT. Puskesmas Belusuh
dr. IIM IBRAHIM

NIP. 19690503 201001 1 006
(Rp)
Sisa Stok Per 31 Keterangan

Desember 2021
14 = 4 x 9 15
1,606,800.00
396,000.00
180,000.00
16,800.00
247,000.00
59,200.00
176,400.00
768,900.00
76,800.00
807,730.00
207,200.00
72,840.00
114,400.00
732,000.00
215,000.00
700,400.00
20,349.00
-
-
251,250.00
359,172.00
91,800.00
181,440.00
786,600.00
247,800.00
186,300.00
384,000.00
987,696.00
1,006,200.00
1,161,120.00
299,000.00
240,003.00
1,057,112.00
-
463,915.00
86,625.00
31,200.00
505,800.00
70,956.00
13,300.00
131,000.00
127,600.00
65,700.00
193,200.00
1,468,900.00
48,400.00
13,391.00
10,605.00
40,200.00
20,800.00
72,600.00
75,720.00
157,410.00
171,000.00
132,000.00
118,000.00
108,000.00
-
171,932.00
79,400.00
80,000.00
79,410.00
-
-
15,550.00
383,600.00
269,100.00
160,060.00
294,520.00
44,600.00
86,400.00
260,899.00
374,920.00
293,800.00
197,340.00
-
1,462,500.00
2,266,875.00
409,500.00
1,462,500.00
226,800.00
924,000.00
686,400.00
242,550.00
531,300.00
-
14,300.00
493,500.00
174,370.00
172,270.00
203,435.00
131,500.00
42,500.00
323,850.00
-
43,264.00
483,000.00
1,416,000.00
826,000.00
1,103,400.00
133,600.00
103,200.00
107,900.00
-
353,340.00
10,500.00
224,400.00
224,000.00
380,800.00
314,640.00
417,200.00
344,000.00
346,380.00
71,235.00
95,635.00
71,235.00
117,195.00
372,000.00
64,700.00
317,220.00
31,000.00
465,660.00
150,000.00
81,900.00
183,750.00
513,920.00
52,976.00
895,494.00
285,339.00
282,000.00
179,800.00
1,737,802.00
390,000.00
-
-
39,400.00
130,000.00
981,600.00
111,000.00
552,500.00
99,600.00
308,000.00
-
-
88,920.00
92,400.00
173,826.00
493,500.00
740,250.00
989,100.00
60,775.00
71,500.00
400,500.00
90,400.00
-
-
105,105.00
43,377.00
1,717,800.00
261,855.00
55,100.00
44,100.00
-
659,450.00
313,500.00
89,980.00
492,855.00
49,650.00
445,500.00
267,900.00
633,290.00
845,600.00
328,500.00
-
-
47,400.00
-
-
161,280.00
-
-
-
246,975.00
-
-
2,389,890.00
273,000.00
-
-
-
-
-
92,790.00
-
-
-
-
-
127,080.00
702,900.00
22,776.00
364,800.00
-
531,300.00
-
1,885,200.00
-
10,957,660.00
-
-
40,320.00
-
59,584.00
-
99,768.00
99,768.00
-
-
-
-
-
-
-
-
-
261,998.00
151,200.00
78,000.00
-
131,775.00
126,400.00
-
-
-
-
-
-
-
-
-
-
138,600.00
26,428.00
66,065.00
-
-
-
1,713,943.00
-
-
-
14,500.00
-
402,210.00
-
-
-
-
-
130,000.00
-
81,200.00
-
-
-
62,106.00
-
1,088,100.00
-
-
-
20,300.00
377,326.00
-
-
-
-
2,000,000.00
-
-
-
-
-
-
1,496,875.00
-
851,600.00
125,352.00
-
-
-
-
-
-
-
-
423,280.00
2,340,800.00
-
66,015.00
360,882.00
253,000.00
126,500.00
-
188,100.00
970,200.00
1,224,080.00
-
66,291.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
51,150.00
306,900.00
280,000.00
280,000.00
-
-
-
-
-
110,040.00
364,500.00
-
-
-
-
-
-
-
-
194,480.00
-
-
166,600.00
271,080.00
-
-
-
-
245,920.00
322,805.00
258,348.00
-
80,300.00
1,024,408.00
87,500.00
999,000.00
145,200.00
-
-
-
50,398.00
58,650.00
31,350.00
62,700.00
62,700.00
62,700.00
-
79,200.00
-
598,000.00
545,380.00
117,480.00
2,541,000.00
179,387.00
541,200.00
330,000.00
4,950,000.00
-
-
104,154,626
Apoteker Penanggung jawab
TRI HARYANTI, S.Farm., Apt

NIP.19820126 201101 2 008
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : DESEMBER/JANUARI
Kecamatan : BARONG TONGKOK Tahun : 2023
Kabupaten : KUTAI BARAT
Provinsi : KALIMANTAN TIMUR
DATA OBAT
Pengeluaran Januari 2023
No. Stock
No. Nama Obat Harga Permintaan Pemberian Keterangan
Desember 2022
Penerimaan
Januari 2023
Sisa Stok Per 31
Januari 2023
Optimum
Distribusi Distribusi ke Exipre Date /
Pemakaian
keJaringannya poli layanan Rusak
1 Cavit G() 162,800 -

ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL)
2 440 -
3 412 1,260 2,640 - 3400 500
2 236 -
3 454 -
4 425 1,600 200 700 700
AFOLAT Tablet 400 Mcg(AFOLAT TABLET BOX 10X10 (AS.FOLAT 400 MCG))
3 68 -
ALBENDAZOLE SUSPENSI 200 MG/5 ML(DUS, 10 DUS @ 1 BOTOL @ 10 ML)
4 4,600 -
ALBENDAZOLE TABLET 400 MG(DUS, 5 STRIP @ 6 TABLET (INPRES))
5 463 1,000 1,000
4 2,625 -
5 25,595 29 2 27
6 105 -
5 99 -
6 200 -
7 239 -
AMINOPHYLLINE CAIRAN INJEKSI 24 MG/ML(30 AMPUL @ 10 ML)
6 3,071 -
7 86 -
8 97 -
AMITRIPTYLINE TABLET SALUT SELAPUT 25 MG(DUS, 10 STRIP @ 10 TABLET
SALUT SELAPUT)
7 168 -
8 95 7,500 3,200 4100 200
9 74 16,000 5,700 2300 8,000
8 196 -
9 265 -
10 233 -
9 2,560 318 318 -
10 2,098 -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DUS, 10 STRIP @ 10 TABLET
KUNYAH)
11 60 -
KUNYAH)
10 56 700 700 -
ANTI PARKINSON DOEN TABLET 100 MG + 25 MG(5 STRIP a 10 TABLET)
11 1,350 -
12 3,637 - 0 -
11 5,170 -
ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2 GRAM(STRIP a 10
SUPPOSITORIA)
12 3,642 -
AQUA PRO INJECTION CAIRAN INJEKSI (DUS, 10 VIAL @ 20 ML)
13 2,860 80 80
12 25,490 -
ARTESUNATE CAIRAN INJEKSI 60 MG(DUS, 1 VIAL @ 60 MG + 1 AMP PEL @ 1
ML)
13 42,900 -
ASAM ASKORBAT Tablet 250 Mg(ASAM ASKORBAT (VIT C) 250 MG)
14 124 -
13 120 36,200 - 10,000 6800 19,400
ASAM FOLAT TABLET 1 MG(DUS, BOTOL COKLAT @ 100 TABLET)
14 86 -
15 81 5,400 700 1000 3,700
14 175 -
ASAM MEFENAMAT CAPTABS SALUT SELAPUT 500 MG(10 STR @ 10 CAPTABS)
15 103 4,500 2,000 2500 -
16 36,225 -
ATROPINE CAIRAN INJEKSI 0.25 MG/ML(DUS, 100 AMPUL @ 1 ML)
15 1,815 -
16 81 -
17 83,500 -
ATTAPULGITE 600 MG
16 317 -
BACITRACIN - POLYMYXIN B SALEP (DUS, 25 TUBE @ 5 GRAM)
17 7,700 -
18 5,000 -
17 1,071 45 15 15 15
18 864 -
19 1,520 -
18 3,350 20 - 14 6 -
BISOPROLOL FUMARATE TABLET SALUT SELAPUT 5 MG(DUS, 3 STRIP @ 10
19 695 -
BIVALENT ORAL POLIOMYELITIS VACCINE TYPES 1& 3 DROPS (DUS, 50 VIAL @ 2
ML (20 DOSIS))
20 19,954 30 30 -
BLOOD LANCET()
19 153 -
BLOOD LANCET()
20 179 2,000 2,000
BLOOD SLIDE
21 20,000 2 2
20 310 -
21 3,794 -
22 20,700 8 1 7
CALCIUM LACTATE TABLET 500 MG(DUS, 10 STRIP @ 10 TABLET)
21 63 -
22 59 3,100 5,000 2,000 2900 3,200
23 69 -
22 65 8,000 1,700 700 5,600
23 80 4,500 1,000 700 2,800
24 143 -
CARBAMAZEPINE TABLET 200 MG(DUS,10 BLISTER @ 10 TABLET)
23 250 -
24 30,334 -
25 41,154 27 27
24 23,400 -
25 48,380 -
26 29,900 -
25 30,043 -
26 26,667 -
27 24,584 48 24 72
CATHEJELL()
26 49,186 -
27 3,500 -
28 429,000 -
27 462,000 -
28 115 -
29 2,993 174 174 -
28 329 -
29 2,054 -
30 7,848 -
CHLOROQUINE TABLET 150 MG(DUS, BOTOL PLASTIK @ 1000 TABLET)
29 94 -
CHLORPHENIRAMINE TABLET 4 MG(BOTOL PLASTIK 1000 TABLET)
30 26 -
31 24 15,800 5,300 2400 8,100
CHLORPROMAZINE CAIRAN INJEKSI 25 MG/ML(30 AMPUL a 1 ML)
30 1,531 -
CHLORPROMAZINE TABLET SALUT SELAPUT 100 MG(DUS, 10 BLISTER @ 10
31 583 -
CHLORPROMAZINE TABLET SALUT SELAPUT 25 MG(10 BLISTER @ 10 TABLET)
32 75 -
31 106 -
CIPROFLOXACIN TABLET SALUT SELAPUT 500 MG(DUS, 10 BLISTER @ 10
32 281 - -
33 594 -
32 967 -
33 201 -
34 5,000 -
33 1,550 -
34 657 -
35 880 -
34 1,210 -
35 4,550 -
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(DUS, 10 BLISTER @ 10 TABLET)
36 133 -
35 131 - -
COTRIMOXAZOLE FORTE CAPTABS 800 MG + 160 MG(10 STRIP @ 10 CAPTABS)
36 299 500 500 -
COTRIMOXAZOLE SUSPENSI (200MG + 40MG)/5 ML(DUS, BOTOL @ 60 ML)
37 2,190 -
36 2,052 - -
37 5,520 -
38 14,689 55 - - 10 45
37 65,000 -
38 286,000 -
DEXAMETHASON TABLET 0.5 MG(DUS, 10 STRIP @ 10 TABLET)
39 75 -
DEXAMETHASONE CAIRAN INJEKSI 5 MG/ML(DUS, 100 AMPUL @ 1 ML)
38 1,210 18 18
DHP FRIMAL (DIHYDROARTEMISININ PIPERAQUINE) TABLET (KOTAK 9 TABLET)
39 2,160 -
DIAZEPAM CAIRAN INJEKSI 5 MG/ML(DUS, 30 AMPUL @ 2 ML)
40 1,913 -
39 28 -
40 105 -
41 134 -
40 104 -
41 136 -
Diluent 20L()
42 1,980,000 -
DIMENHYDRINATE TABLET 50 MG(BOTOL PLASTIK @ 100 TABLET)
41 129 -
42 121 - 500 500
DIPHENHYDRAMINE CAIRAN INJEKSI 10 MG/ML(DUS, 30 AMPUL @ 1 ML)
43 1,262 31 - 31 -
42 2,862 -
43 96 -
44 90 1,200 500 500 200 1,000
43 17,100 -
44 280 -
45 264 -
DULCOLAX SUPPOSITORIA 10 MG(DUS, 10 STRIP @ 5 SUPPOSITORIA DEWASA)
44 5,900 -
DULCOLAX SUPPOSITORIA 5 MG(DUS, 1 STRIP @ 6 SUPPOSITORIA)
45 6,000 -
46 68 -
EPINEPRINE CAIRAN INJEKSI 1 MG/ML(DUS, 100 AMP @ 1 ML)
45 1,518 54 54 -
ERGOTAMINE CAFFEINE TABLET SALUT SELAPUT 1 MG + 50 MG(BOTOL
46 212 -
ERYTHROMYCIN CAPSUL 250 MG (BASE)(DUS, 10 STRIP @10 KAPSUL)
47 636 2,800 2,000 700 800 3,300
46 6,461 -
ETHAMBUTOL TABLET SALUT SELAPUT 500 MG(DUS,10 STRIP @ 10 TABLET)
47 543 -
48 23,101 -
EZ CLEANER()
47 665,500 -
FAMOTIDINE TABLET SALUT SELAPUT 20 MG(DUS, 5 STRIP @ 10 TABLET SALUT
SELAPUT)
48 124 -
49 3,950 - -
48 6,244 -
FLETCHER LAIN-LAIN 100 Gram(TEMPORARY STOPPING FLETCHER SERBUK)
49 6,244 -
50 30,000 -
49 8,000 -
50 43,710 - -
51 8,000 -
50 8,000 -
51 10,070 -
52 8,000 -
51 10,070 -
52 7,941 -
53 43,710 -
52 43,710 -
53 43,710 -
54 30,000 -
53 32,500 -
54 32,500 -
55 32,500 -
54 462 -
55 990,000 -
FUROSEMIDE CAIRAN INJEKSI 10 MG/ML(DUS, 25 AMPUL @ 2 ML)
56 1,555 -
GEMFIBROZIL CAPSUL 300 MG(DUS, 10 BLISTER @ 12 KAPSUL)
55 318 -
56 478,500 -
GLIBENCLAMIDE CAPTABS 5 MG(DUS, 10 BLISTER @ 10 KAPTAB)
57 137 -
56 174 - -
57 207 -
GLUCOTROL XL TABLET PELEPASAN LAMBAT 5 MG(DUS, BOTOL 30 TABLET)
58 3,000 -
57 8,003 -
58 7,363 53 53 -
GRISEOFULVIN TABLET 125 MG(DUS, 10 BLISTER @ 10 TABLET)
59 223 1,200 1,200 -
HALDOL DECANOAS CAIRAN INJEKSI 50 MG/ML(DUS, 5 AMPUL @ 1 ML)
58 97,500 -
59 55 -
60 74 -
59 60 -
60 96 -
61 708,000 -
HERBESSER CD 100 CAPSUL PELEPASAN LAMBAT 100 MG(DUS, 3 BLISTER @ 10
KAPSUL)
60 4,290 -
61 2,533 70 20 50 -
HYDROCHLORTHIAZIDE TABLET 25 MG(BOTOL @ 100 TABLET)
62 178 -
61 2,678 -
62 4,949 -
63 112 - - -
62 215 - -
63 39,468 -
64 325,197 -
63 58,950 -
INSULIN HUMAN LONG ACTING CAIRAN INJEKSI 100 IU/ML(DUS, 5 CARTRIDGE
@ 3 ML)
64 85,000 -
65 40,202 -
64 19,800 -
65 3,190 -
66 125,444 -
65 85 -
66 182 -
ISOSORBIDE DINITRATE TABLET SUBLINGUAL 5 MG(DUS, 10 STRIP @ 10
TABLET SUBLINGUAL)
67 89 -
66 14,625 139 139 -
67 14,625 - -
68 14,625 19 19 -
67 14,625 2 2 -
68 1,666 -
69 1,666 -
68 1,666 -
69 1,666 -
70 209,000 -
69 28,644 -
KAPAS PEMBALUT ALAT KESEHATAN 250 Gram(KAPAS PEMBALUT MEDIKASA
250 GRAM)
70 25,200 -
250 GRAM)
71 16,800 1 1 -
70 440 -
KASA HIDROPHILE ALAT KESEHATAN 1 UNIT(KASA HIDROPHILE 40yardx80cm
MEDIKASA)
71 115,500 5 2 3
KASA HIDROPHILE ALAT KESEHATAN 12 UNIT(KASA HIDROPHILE 16X16 cm
MEDIKASA)
72 560 -
MEDIKASA)
71 407 432 480 128 432 352
72 1,155 -
73 2,415 100 100 -
72 2,415 5 5 -
73 110,000 -
74 305 -
73 286 -
KETOKONAZOL CREAM 5 Gram(KETOKONAZOL HEXPARM CREAM 2% 5 GRAM)
74 3,135 -
KINA TABLET SALUT GULA 200 MG(DUS,24 DUS @ 1 STR @ 12 TAB)
75 460 -
KLORAMFENICOL Capsul Mg(KLORAMFENICOL KAPSUL 250 Mg)
74 329 -
75 5,319 -
76 4,982 -
75 115,500 -
Lancing Device()
76 86,336 -
77 12,450 -
76 2,461 -
77 20,000 -
78 10,500 -
77 38,000 -
LEUKOPLAST(1X5)
78 12,675 -
LEUKOPLAST(3X5)
79 35,532 -
78 1,035 -
79 2,900 -
80 1,403 -
79 1,315 190 17 100 73
LIDOCAINE COMPOSITUM CAIRAN INJEKSI 2 %(DUS, 30 AMPUL @ 2 ML)
80 2,122 - -
LODOMER CAIRAN INJEKSI 5 MG/ML(DUS, 12 AMPUL @ 1 ML)
81 6,250 -
LODOMER TABLET SALUT SELAPUT 2 MG(DUS, 10 STRIP @ 10 TABLET SALUT
SELAPUT)
80 115 -
81 85 -
82 127 - -
MAGNESIUM SULFAT INJ. USP CAIRAN INJEKSI 40%(AMPUL 25)
81 3,796 40 40
82 3,328 -
83 420 5,550 5,550
82 - -
83 434 -
84 434 -
83 613 2,300 2,300
84 1,100 -
85 1,180 -
84 613 1,300 1,300
85 1,180 -
86 613 2,250 550 900 800
85 3,887 -
86 248 -
87 9,150 -
86 348 -
87 234 -
METFORMIN CAPTABS 850 MG(DUS, 10 BLISTER @ 10 KAPLET)
88 167 900 1,000 500 900 500
87 109 -
88 102 -
METHYLPREDNISOLONE CAPTABS 4 MG(DUS, 10 STRIP @ 10 KAPLET)
89 192 -
88 3,278 5 5
METILERGOMETRIN MALEAT TABLET SALUT SELAPUT 0,125 mg
89 242 100 100
90 258 -
METOCLOPRAMIDA TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET)
89 89 -
90 83 450 0 450
91 124 -
90 8,250 -
METRONIDAZOL TABLET 500 MG(DUS, 10 STRIP @ 10 TABLET)
91 140 500 0 500
92 3,926 87 48 39
91 1,980,000 -
MINIASPI TABLET SALUT ENTERIK 80 MG(DUS, 10 STRIP @ 10 TABLET SALUT
ENTERIK)
92 90 -
93 224,400 1 1 -
92 100,000 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS, 5 STRIP @ 10
93 142 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 50 MG(5 STRIP a 10 TABLET)
94 320 -
93 136 -
NATRIUM KLORIDA INFUS 0,9 %(DUS, BOTOL PLASTIK PE @ 500 ML)
94 6,840 89 2 10 77
NATRIUM PHENYTOIN CAIRAN INJEKSI 50 MG/ML(DUS, 10 AMPUL @ 2 ML)
95 4,121 -
94 19,600 -
95 4,400 -
NEW ANTIDES TABLET 600 MG(10 CATCH COVER a 10 TABLET)
96 149 -
NIFEDIPINE TABLET SALUT SELAPUT 10 MG(DUS, 10 STRIP @ 10 TABLET SALUT
SELAPUT)
95 120 -
NITRAL TABLET SUBLINGUAL 500 MCG(DUS, BOTOL @ 30 TABLET)
96 1,485 -
97 645 70 70
96 688 -
97 147 -
98 138 3,100 2,000 3100 2,000
OMEPRAZOLE SERBUK INJEKSI 40 MG(DUS, 1 VIAL @ 40 MG + 1 AMPUL @ 10
ML)
97 11,868 - -
98 71,235 -
99 95,635 -
98 71,235 -
99 117,195 -
100 1,240 200 200
99 647 -
100 933 557 557
101 1,550 -
100 1,194 -
101 825 -
102 1,230 313 313 -
101 3,550 -
102 20,000 -
ORAL POLIOMYELITIS VACCINE LARUTAN / CAIRAN (VIAL 1 ML)
103 153,736 - 10 10 -
102 281 -
103 273 1,500 650 350 500
104 3,675 -
103 3,024 -
104 3,520 -
OXYTOCIN S CAIRAN INJEKSI 10 iu/ml(DUS, 100 AMPUL @ 1 ML)
105 1,232 -
PADUAN OAT KATEGORI 1 KOMBINASI BEBERAPA BENTUK SEDIAAN DLM SATU
KEMASAN (60 BLS THP INTENSIF + 54 BLS THP LANJUTAN)
104 447,747 -
KEMASAN (90 BLS THP INTENSIF + 66 BLS THP LANJUTAN + 30 VIA)
105 1,592,726 -
PADUAN OAT KATEGORI ANAK KOMBINASI BEBERAPA BENTUK SEDIAAN DLM
SATU KEMASAN (60 BLS THP INTENSIF @ 5 TAB + 120 BLS THP LANJUTA)
106 285,339 -
PADUAN OAT SISIPAN KOMBINASI BEBERAPA BENTUK SEDIAAN DLM SATU
KEMASAN (30 BLS THP INTENSIF)
105 183,984 -
106 11,500 -
107 5,960 -
106 60 7,100 1,900 5200 -
107 3,200 -
108 1,160 367 26 90 251
PENTABIO VAKSIN DTP-HB-HIB INJEKSI 2,5 Ml(Pentabio Injeksi 2,5 ml Vial)
107 78,991 -
108 15,950 -
109 30,000 -
108 27,000 32 32
HYPAFIX 10 CM X 5 M
109 45,496 14 14
HYPAFIX 5 CM X 5 M
110 26,635 10 - 1 9
PHENOBARBITAL CAIRAN INJEKSI 50 MG/ML(DUS, 30 AMPUL @ 1 ML)
109 1,700 -
110 242 -
111 197 -
110 2,500 -
111 142 -
112 158 -
PHYTOMENADIONE CAIRAN INJEKSI 10 MG/ML(DUS, 30 AMPUL @ 1 ML)
111 4,167 - -
PHYTOMENADIONE TABLET SALUT SELAPUT 10 MG(BOTOL PLASTIK @ 100
112 818 -
POVIDONE IODINE CAIRAN OBAT LUAR 10 %(BOTOL PLASTIK 60 ML)
113 4,070 -
112 79 -
113 74 800 400 400
PROBENECID TABLET SALUT SELAPUT 500 MG(DUS, 10 STRIP @ 10 TABLET
SALUT SELAPUT)
114 1,815 -
113 59 100 100
114 114 -
115 11,791 -
114 11,050 -
115 354 -
116 332 -
115 233 -
PYRIDOXINE CAIRAN INJEKSI 100 mg/ml(100 AMPOULE a 1 ML)
116 1,030 -
RANITIDINE HCL CAIRAN INJEKSI 50 MG/ML(DUS, 10 AMPUL @ 2 ML)
117 1,454 -
RANITIDINE TABLET SALUT SELAPUT 150 MG(DUS, 10 STRIP @ 10 TABLET
SALUT SELAPUT)
116 110 2,400 2,000 1,200 300 2,900
117 97 -
118 834 -
RIFAMPICIN CAPTABS SALUT SELAPUT 600 MG(DUS, 10 STRIP @ 10 KAPLET
SALUT SELAPUT)
117 863 -
RISPERIDONE TABLET SALUT SELAPUT 2 MG(DUS, 5 STRIP @ 10 TABLET SALUT
SELAPUT)
118 1,008 -
119 2,178 -
SAFEGLOVE EXAM XS ALAT KESEHATAN (SAFEGLOVE EXAM XS)
118 434 -
119 4,446 -
120 77 850 850
119 3,219 -
120 6,985 -
SARUNG TANGAN GAMEX NO 8 (P2P)
121 13,200 50 50 -
120 3,465 -
121 4,935 120 15 10 95
122 3,465 -
121 4,935 120 30 90
122 3,465 -
123 3,645 32 2 30
122 12,155 3 3 -
123 214,500 -
SIKZONOATE CAIRAN INJEKSI 25 MG/ML(DUS, 5 AMPUL @ 1 ML)
124 59,800 -
SIMVASTATIN CAPTABS SALUT SELAPUT 10 MG(DUS,3 STRIP @ 10 CAPTABS)
123 117 -
124 110 - -
125 150 6,250 600 1750 3,900
124 225 -
SODIUM BICARBONATE TABLET 500 MG(BOTOL PLASTIK @ 1000 TABLET)
125 184 -
126 347 -
125 347 -
SPIRONOLACTONE TABLET 100 MG(DUS,10 STRIP @ 10 TABLET)
126 1,000 -
127 212 -
126 2,241,000 -
127 473,000 -
128 5,134,000 -
127 4,730,000 -
128 3,940 24 1 23
129 3,600 24 24 -
128 3,800 -
129 3,800 -
STESOLID ENEMA 10 MG/2,5 ML(DUS, 5 ALUBAG @ TUBE @ 2,5 ML)
130 21,021 -
129 14,459 -
130 5,980 -
Strip Glukos
131 4,400 -
SULFADOXINE- PYRIMETHAMINE TABLET 500 MG + 25 MG(DUS, 10 BLISTER @
10 TABLET)
130 655 -
131 18,150 -
132 71,299 -
131 71,299 -
132 69,993 -
133 69,993 -
TABLET TAMBAH DARAH TABLET SALUT SELAPUT (DUS, 100 SACHET @30
132 409 14,900 2,100 9200 3,600
133 1,265 195 - 100 95
134 181 -
133 331 -
134 440 -
TRAMADOL CAIRAN INJEKSI 50 MG/ML(KOTAK, 5 AMPUL @ 2 ML)
135 2,680 -
134 85,800 -
TRIHEXYPHENIDYL TABLET 2 MG(DUS, 10 BLISTER @ 10 TABLET)
135 101 -
136 95 -
URINE BAG
135 4,795 24 24
URINE BAG
136 3,150 -
137 61,996 - -
136 59,950 25 25
VAKSIN CAMPAK KERING SERBUK INJEKSI 1000 CCID 50(DUS, 10 VIAL @ 10
DOSIS + 10 AMPUL PELARUT @ 5 ML)
137 28,204 -
VAKSIN HEPATITIS B REKOMBINAN CAIRAN INJEKSI 20 MCG/ML(DUS, 100
SACHET @ 1 PREFILLEDSYRINGE (UNIJECT) @ 0)
138 20,900 20 20
VAKSIN JERAP DT (ABSORBED DT VACCINE) CAIRAN INJEKSI (40 + 15)
Lf/ML(DUS, 10 VIAL @ 5 ML (10 DOSIS))
137 17,996 -
VAKSIN JERAP Td (ADSORBED Td VACCINE) CAIRAN INJEKSI (4 + 15) Lf/ML(DUS,
10 VIAL @ 5 ML (10 DOSIS))
138 16,995 -
VAKSIN PCV
139 190,657 50 50 -
VAKSIN TT CAIRAN INJEKSI 1 DOSIS(DUS, 10 VIAL @ 5 ML (10 DOSIS))
138 14,498 -
VENTOLIN NEBULES CAIRAN INHALER 0,2 %(DUS,4 X 5 BOTOL PLASTIK @ 2,5
ML)
139 4,000 -
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTOL PLASTIK @ 50 KAPSUL)
140 331 -
139 305 -
140 352 -
141 135 6,600 8,000 3,000 5000 0 6,600
140 88 -
141 94 -
VITAMIN B12 CAIRAN INJEKSI 500 MCG/ML(DUS, 100 AMPUL @ 1 ML)
142 1,067 -
141 150 -
142 141 -
143 6,500 -
142 7,630 50 50
143 1,506 -
144 1,540 -
143 1,540 -
144 41,600 -
145 177,216 -
ZINK TABLET DISPERSIBLE 20 MG(DUS, 10 STRIP @ 10 TABLET DISPERSIBEL)
144 604 1,500 1200 300
ZINK TABLET (PROPINSI)
145 524 -
146 16,478 -
145 3,285 130 39 91 -
146 85,345 -
Asiklovir 5%
147 2,367 -
146 80,000 -
Betadine kumur
147 12,500 -
148 65,000 -
Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120 mg

147 3,220 -
Combiven Nebul
148 12,252 -

149 680 -

148 8,000 -
149 4,121 -
Furosemid tab 40 mg
150 84 -
Furosemid tab 40 mg
149 79 -
150 4,036 -

151 37,433 -
Ketorolac inj 10 mg
150 2,665 -
151 138 -
152 55,248 -
Morpin inj 10 mg/ml
151 11,549 -
152 365 -
153 7,150 -
Fonflu syr
152 11,190 -
Fonflu tab
153 619 -
154 1,275 -
153 4,500 -
154 40,202 -
155 15,386 -
Primaquin 15mg
154 258 200 200
155 - -
Propiltiourasil
156 351 -
Pularex
220
155 -
Rifampisin 450mg
156 624 -
Salbutamol 2 mg
64
157 -

156 -

157 14,750 -
Trifluoperazin 5 mg
158 445 -
157 6,281 -
848
158 -
Bisturi no.12
159 98,000 -
Bisturi no.15
158 7,500 -
Kasa P.Elastis 4x15
159 21,840 -
Nald no.25
160 15,125 -
159 6,071 -
Pembalut gips uk 4
160 3,500 -
Pembalut gips uk 6
161 1,957 -
Selang o2 anak
160 5,040 -

161 2,200 12 12
Wing needle no.21
162 500 -
Nelaton Fr no.10
161 8,351 -
Nelaton Fr no.12
162 8,351 -
163 4,004 -
162 28,779 -
163 Cefadroxil 500 mg 557 -

164 Gentian violet 1,420 -
163 Rapid test SD HBsAg WB 9,870 -
164 DIPSAMOL INHALER 41,250 -
165 Cat Gut Chromic 3-0 (70c x 19m)C 32,934 -
165 NySTATIN TABLET 500.000 IU(10 STRIP a 10 TABLET) 910 -
166 Asam Valproat 250mg/5ml 17,789 -
165 Cardura 3,395 -
166 Obucort Swinghaler 94,455 -
167 Patanol 0,1 % 72,500 -
166 Onmed alkohol 70% 1 L 27,500 -
167 ALKOHOL 95% 9,279 -
168 Betablok 50 mg 310 -
167 Skizon cream 5g 3,388 -
168 interzinc syrup 60 ml 6,600 -
169 indoreagen Rees Ecker 500 ml 214,520 -
168 Indoreagen Turk 500 ml 81,045 -
169 Phytomenadion inj 2 mg/ml 4,236 - -
170 Erytromicin 500 mg 781 -
169 Magnesium Sulfat 40% 3,796 -
170 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 - -
171 Strip Asam urat Autochek 3,881 350 350 -
170 Strip Cholesterol Autochek 15,164 300 300 -
171 Benechek Plus Uric Acid 5,313 -
172 Benechek Plus Glucose 3,142 -
171 Benechek Plus Total Cholestrol 25,238 -
173 Remidi alkohol swab 128 800 800 -
172 Serenity Nasal 02 Canulla Infant 4,300 -
173 Serenity Nasal 02 Canulla Infant 5,040 4 10 3 11
174 Serenity Mucus Ext Wkt 35 FR 10-25 ml 7,245 -
173 Serenity silk 3/0 4,256 -
174 Serenity Silk 2/0 4,256 -
175 Serenity silk 3/0 4,157 30 12 12 30
175 Remidi exam Glove Gynecolog No 6,5 (P) 18,270 -
176 Remidi exam Glove Gynecolog No 7 (P) 18,270 -
176 Decacetine Tetes mata 3,850 -
177 Cholestrol FS 961,376 -
176 Glucosa GOD Fs 381,584 -
177 Triglycerid FS 10' Version 1,573,963 -
178 Uric Acid Fs TBHBA 149,342 -
177 Dietilkarbamazin 100 mg 192 -
178 Biosat 130,999 -
179 Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040 -
178 Sianokobalamin ( vit B12) 52 -
179 Sianokobalamin ( vit B12) 49 5,200 2,200 1500 1,500
180 Carestar malaria HRP 2 6,476 -
180 Bisakodil 5 mg 316 -
181 Metronidazol 250 mg 94 -
180 Diluen 20 L Mindray 3 Diff M-30 1,164,625 -
181 Rinse 20 L Mindray M-30 Barcode 1,220,120 -
182 Multi Drug Panel 25 S Answer 37,009 -
181 Blue Tip OM 500 S 146 -
182 Yellow Tips Dragon 1000 S 207 -
183 Trucal U 1,549,779 -
182 Ventolin Rotahaler (alat hirup salbutamol) 6,550 -
183 klorpromazine 5mg/ml 1,735 -
184 Vitamin A Kapsul 200.000 IU 596 -
184 onmed USG 250 ml 13,214 -
185 ONEMED USG 250 ML 13,213 -
184 Alkazyme 25 mg 801,000 -
185 Alkacid 1 L 2,702,700 -
186 Trulab 2,254,214 -
185 Vaksin MR 10 Ds 155,813 -
186 Onmed water one 1 L 15,708 -
187 Umbilical Cord Cleam 1,417 -
186 Farnomin Tab 297 -
187 Decafil 145 -
188 Tensidox 2,064 -
187 Lysol 1 L 44,690 -
188 Lyse M30 500 ml 1,375,000 -
189 Probe cleanser M30 17 ml 97,625 -
188 Terumo Agani needle 25 347 -
189 Ampicillin inj 9,473 -
190 Oksitetrasiklin 1 % Salep mata 2,774 -
190 Euthyrox 735 -
191 Masker oksigen dewasa 10,150 10 10 10 10
190 Masker oksigen anak 10,150 20 10 10 20
191 Hidrogen Piroksida 33,034 4 4
192 Rapid HIV 11,975 -
191 Calcium glukonat 6,255 -
192 Alprazolam 0.5 mg 108 -
193 IV Catheter no 26 11,700 -
192 Gynosurge S (6.5) 40,733 -
193 Gynosurge M (7.5) 40,733 -
194 Gynosurge S (8.5) 40,733 -
193 Masker oksigen Pediatric 10,150 -
194 Tetagam 188,663 -
195 Metronidazol suspensi 125 mg/5ml 3,950 -
194 Hidrogen piroksidA 3,528 -
195 sarung tangan steril 8.0 3,465 -
196 Hemoglobin Strip 50 tes mission 412,000 -
196 Fluoksetin 20 mg 225 -
197 Kasa Hidrofil 3y x 10 cm 1,491 -
196 Masker oksigen Dewasa 1,491 -
197 spinal Needle 25 G x 90 mm with guide needle 30,398 -
197 Parasetamol drop 60 mg/ 0.6 ml 7,646 -
198 Rapid HIV@ 25 11,975 -
199 Rapid HIV@ 30 26,060 -
198 Trepocek/Rapid tes spilis 10,645 -
199 MB Dewasa 41,784 18 18 -
200 Diagnostar HIV 15,026 -
199 KHB diagnostic HIV 12,500 -
200 Verorab 150,000 -
201 Hepatitis B imune globulin 1,325,000 -
200 Fyrom international O2 portable 6,363,906 -
201 Mineral mix 2,920 -
202 BISTURI BLADE No 15 JKN 126,500 -
202 Sendok Obat( dana jkn ) 499 -
202 Pipet Obat( dana jkn ) 6,600 -
203 Pot Sputum 2,354 -
204 REAGEN ZN 250,333 -
203 KACA SLIDE 22,097 -
204 TOPI OPERASI REMIDI 1,408 -
205 GEA NON REBREATING MASK CHILD 17,050 -
204 GEA NEBULIZER MASK WITH CHAMBER ADULT 14,000 -
205 GEA NEBULIZER MASK WITH CHAMBER CHILD 14,000 -
206 ONEMED MEDICREPE 3 " JKN 20,535 -
205 LACTULOSA SYRUP 15,060 -
206 CHLORAMPHENICOL TETES MATA 8,480 -
207 CHLORAMPHENICOL TETES TELINGA 9,223 57 17 40
206 NYSTATIN DROP 21,529 -
207 CLINDAMYCIN 150 MG 803 -
208 SERUM ANTI BISA ULAR ABU I INJ 512,204 -
207 OBAT BATUK HITAM 3,500 -
208 HIOSINA BUTILBROMIDA(SCOPMA) 1,110 -
209 FOLLEY CATHETER 2 WAY NO 16 43,710 2 2 -
208 FOLLEY CATHETER 2 WAY NO 18 43,710 1 1
210 STOMACH TUBE 12 TERUMO 31,350 -
212 MULTIVITAMIN 585 -
211 ASAM ASKORBAT 500 mg 198 -
212 SALBULIN 33,294 -
213 BISTURI NO 12 2,990 -
212 BISTURI NO 11 2,948 178 178
213 FARBIVENT 2,5 ML 3,916 -
214 ONEMED ALKOHOL 70% 1 Lt jkn 33,000 -
213 ONEMED ALKOHOL SWAB 13,799 -
214 ONEMED POVIDONE IODINE 60CC 5,412 -
215 OCTADIN 0,1% SPRAY 33,000 -
214 LARVAGO 33,000 -
215 ADS 0,5ML 1,165 600 600 -
216 ADS 0,5ML 1,240 200 200 -
215 ADS 0,3 ML 1,255 -
216 ADS 3 ML 569 -
217 ALKOHOL SWAB Vaksin 79 -
216 SAFETY BOX 5L COVID19 14,000 -
217 PELARUT PFIZER 3,280 -
218 VAKSIN PFIZER 6 DS 0 -
217 VAKSIN MODERNA 14 DOSIS 0 -
218 VAKSIN SINOVAC 2 DOSIS 0 -
219 VAKSIN SINOPHARM 2 DOSIS 0 -
218 Favipiravir 14,850 -
219 SWAB TEST ANTIGEN P2P - -
220 ASTRAZENECA 10 DS 581,607 -
219 FACESHIELD PLASTIK 14,700 -
220 SARUNG TANGAN (KBKR) 6,900 -
221 MASKER MEDIS JSP (KBKR) 30,500 -
220 HAZMAT (KBKR) 136,000 -
221 AMOXICILIN DROP 100ml 10,834 70 70 -
221 Multivitamin (Prov) 549 -
222 MASKER KN95 (P2P) 19,000 30 30 -
223 MILRUB ANTISEPTIC 63,000 -
222 VAKSIN COVOVAX 10ds 1,157,525 -
223 SPEKULUM M 4,000 -
224 IV CATHETER NO 20 JKN 24,420 -
224 BD Needle no 24 JKN 786 -
225 BENECHEK GLUCOSA JKN 3,718 -
226 BENECHEK ASAM URAT JKN 3,454 -
225 PHYTOMENADION 10 MG JKN 1,221 -
226 MINI PIL 4,017 -
227 SUSUK KB II TIGA BULANAN 172,485 -
226 NATRIUM DIKLOFENAK 205 -
227 LIDOCAIN INJEKSI 891 -
228 IODINE POVIDONE KB 60 ML 8,045 -
227 DERMAFIX 4,212 -
228 DUK PELUBANG IMPLAN 6,863 -
229 MASKER KB 1,108 -
228 SARUNG TANGAN KB 4,645 -
229 ADS IMPLAN 817 -
230 FORM. K/I/KB 400 -
229 ADS 0,05ML 1,460 200 200 -
230 SUNTIK KB 1CC 3 BULAN 4,825 -
231 PIL KOMBINASI 1,350 -
230 IUD COPPER T 11,800 -
231 KONDOM 123,910 -
232 AUTO DISPOSIBLE SUNTIK 818 -
231 ASAM MEFENAMAT KB 117 -
232 PB DEWASA 15,014 -
234 MASKER KB 960 -
233 ADS IMPLAN 1,138 -
234 TETRAKAIN TETES MATA 0,5% 13,991 -
235 INDEC HIV 1/2 & SYPHILIS COMBO 19,381 -
234 SURGICAL FACE MASK (MALARIA) 379 -
235 DISPOSIBLE NITRILE EXM GLOVE (MALARIA) 216 -
236 GIEMSA 875,065 -
235 ALTOSID 1,3 G(DINKES) 1,269,000 -
236 VIROTEC DENGUE COMBO 45,523 250 250 -
237 RDT DBD COMBO 11 506,000 3 3 -
236 RDT DBD COMBO III 49,205 20 20 -
237 RDT COVID 19 220,000 20 0 20 -
238 STOPPING FLETCHER SERBUK DAN CAIRAN 6,244 3 0 0 3
237 PENUTUP KEPALA/HEAD CAP (P2P) 1,408 100 0 100 0 -
238 ENDO EKG 80X90/280-GE 264,000 4 0 4 -
239 KERTAS PUYER KECIL 100'S 35,000 8 0 8 -
JUMLAH
MENGETAHUI YANG MENERIMA LAPORAN

KEPALA UPT. PUSKESMAS BARONG TONGKOK PENANGGUNG JAWAB GUDANG OBAT PUSKESMAS PENANGGUNG JAWAB GUDANG FARMASI
MARGARITHA SUSTANTI, A.MD., KEB. APT. NOVELITA, S.SI APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : JANUARI/FEBRUARI
DATA OBAT
Pengeluaran Februari 2023
No.
No. Nama Obat Harga Stock Optimum Permintaan Pemberian Keterangan
Januari 2023
Penerimaan
Februari 2023
Sisa Stok Per 28
Februari 2023
Distribusi Distribusi ke Exipre Date /
Pemakaian
1 2 3 4 5 6 7 8 9 10 11 18 19 20 21
1 617361 Cavit G() 162,800 - -
2 G15C13308 440 -
3 412 500 4,740 1,400 3840 -
2 E9E081 236 -
3 A1306HT 454 -
4 A1306HT 425 700 100 600
3 DG0805J 68 -
4 I3096AF 4,600 -
5 1503005 463 -
4 C150501B 2,625 -
5 C150501B 25,595 27 4 23
6 150740203 105 -
5 99 -
6 18C025 200 -
7 TPJ81145 239 -
6 CD2122J 3,071 -
7 95307013-1 86 -
8 T044826 97 -
SALUT SELAPUT)
7 T2550010 168 -
8 A1412FT 95 200 15,000 3,100 2100 10,000
9 18C032 74 8,000 16,500 3,400 8000 13,100
8 18C044 196 -
9 1503-14-96 265 -
10 233 0 400 400 -
9 1606-46-51 2,560 -
10 PH018206 2,098 -
KUNYAH)
11 5406013 60 -
KUNYAH)
10 56 -
11 S3136AF 1,350 -
12 5549650 3,637 20 6 4 10
11 5549650 5,170 -
SUPPOSITORIA)
12 A4F186 3,642 20 20
13 202304135 2,860 -
12 046013W 25,490 -
ML)
13 P1H85442 42,900 -
14 20140602 124 -
13 LA160517 120 19,400 3,000 2100 14,300
14 B150182B 86 -
15 81 3,700 1,200 600 1,900
14 D150529B 175 -
15 681603151 103 -
16 623514 36,225 -
15 FG1526 1,815 -
16 1071597 81 -
17 15L0115 83,500 -
16 1407013 7,700 -
17 15102155 5,000 -
18 1,071 15 40 15 40
17 1505004 864 -
18 HFY0310 1,520 -
19 3,350 - 50 23 10 17
18 723144 695 -
ML (20 DOSIS))
19 D50389T 19,954 -
BLOOD LANCET()
20 E10011 153 -
19 2051115 310 -
20 2051115 3,794 0 48 48
21 2051115 20,700 7 5 2 10
20 2052116 63 -
21 59 3,200 6,900 3200 6,900
22 11111488 69 -
21 65 5,600 5,000 1,100 1500 8,000
22 731464 80 2,800 5,000 700 1300 5,800
23 5413 143 -
22 1081RS 250 -
23 161112 30,334 -
24 41,154 -
23 1503022 23,400 -
24 48,380 -
25 85324015 29,900 -
24 85324015 30,043 -
25 1505022 26,667 -
26 1304030 24,584 -
CATHEJELL()
25 UU113-15 49,186 -
26 UU129-15 3,500 -
27 QQ110-15 429,000 -
26 UU132-15 462,000 -
27 WW120-15 115 -
28 130988 2,993 -
27 GG15715 329 -
28 8471 2,054 -
29 1,925 -
28 P5J46142 94 -
29 1505011 26 -
30 24 8,100 - 1,500 2800 3,800
29 1602161 1,531 -
30 18F022 583 -
31 1508032 75 -
30 T2388113 106 -
31 066124W 281 -
32 H111384B 594 -
31 T3063 967 -
32 1131218B 201 -
33 75329001 5,000 -
32 160298 1,550 -
33 85328002 657 -
34 1309-0635 880 -
33 1607-27-10 1,210 -
34 160506 4,550 -
35 47A0444 133 -
34 131 - 1,000 200 500 300
35 L151607B 299 - 1,000 - 300 700
36 13178 2,190 -
35 2,052 -
36 160662 5,520 -
37 14,689 45 5 40
36 ME3130J 65,000 -
37 IC2411J 286,000 -
38 ID1718J 75 -
37 5984011 1,210 -
38 1606001 2,163 - -
39 1606002 1,900 144 144
38 TPF50145 1,913 -
39 250512 28 -
40 552158 105 -
39 134 -
40 JJ12314 104 -
41 1881505 136 -
Diluent 20L()
40 Y8303 1,980,000 -
41 PIL36845 129 -
42 121 500 100 100 300
41 SQ150806 1,262 0 0 -
42 1503002 2,862 -
43 1049 96 -
42 90 1,000 500 300 200 1,000
43 1607003 17,100 -
44 A1610GR 280 -
43 264 -
44 F140695B 5,900 -
45 2.016E+09 6,000 -
44 E130680B 68 -
45 85342021-2 1,518 -
46 140914186 212 -
45 1606-07-14 636 3,300 800 400 2,100
46 SCD11444 6,461 -
47 C0323IS 543 -
46 15020456 23,101 -
47 88,000 5 5 -
EZ CLEANER()
48 15020298 665,500 -
SELAPUT)
47 1209015 124 -
48 97KA0074 3,950 -
49 151308 6,244 -
48 AE92033 6,244 -
49 16CF009 30,000 -
50 YF9206 8,000 -
49 045098W 8,000 -
50 2.016E+09 8,000 -
51 130600403 10,070 -
50 8,000 -
51 50205 10,070 -
52 7,941 -
51 150909 43,710 - -
52 10917 43,710 1 1
53 10917 43,710 3 3
52 010917A 43,710 6 6
53 1101000 43,710 9 9
54 1101200 30,000 -
53 2121630 32,500 -
54 5111005 32,500 -
55 2121230 32,500 -
54 2121430 462 -
55 3063841 990,000 -
56 2122030 1,555 -
55 2122230 318 -
56 2122430B 478,500 -
57 5110805 137 -
56 3112030 174 -
57 3112230 207 -
58 3112030 3,000 -
57 ME024 8,003 -
58 1603091 7,363 -
59 1503028 223 -
58 1057064 97,500 -
59 1511051 55 -
60 1405036 74 -
59 IC2340J 60 -
60 96 -
61 HG1449J 708,000 -
KAPSUL)
60 292008 4,290 -
61 260703 2,533 - -
62 260609 178 -
61 1112029 2,678 -
62 EAB4M03 4,949 -
63 1605003 112 - 1,000 500 500
62 1502002 215 1,000 1000 -
63 1211036 39,468 -
64 BC20716N- 325,197 -
63 HL948 58,950 -
@ 3 ML)
64 150994T 85,000 -
65 1131109B 40,202 -
64 150966T 19,800 -
65 S3174AF 3,190 -
66 1505022 125,444 -
65 1607-21-17 85 -
66 AH911932 182 -
TABLET SUBLINGUAL)
67 Z0595463 89 -
66 810201 14,625 - -
67 1062017 14,625 -
68 5,348 -
67 4F901A 14,625 -
68 J28403 14,625 50 50
69 D38506 1,666 -
68 K39410 1,666 -
69 212 1,666 -
70 1605059 1,666 -
69 E160481B 209,000 -
70 1408048 28,644 -
250 GRAM)
71 14039-03 25,200 -
70 14039-05 440 -
MEDIKASA)
71 14065-04 115,500 3 3 2 4
MEDIKASA)
72 560 -
MEDIKASA)
71 14217-03 407 352 480 96 48 688
72 KULIT12 1,155 -
73 9036 2,415 -
72 12930804 110,000 -
73 13934810 305 -
74 286 -
73 16011 3,135 -
74 250111 460 -
75 082088L 329 -
74 10119 5,319 -
75 4,982 -
76 19101588A 115,500 -
Lancing Device()
75 032088MX 86,336 -
76 9051688 12,450 -
77 052017MX 2,461 -
76 kasahidrofi 20,000 -
77 1308011 10,500 -
78 150306103 38,000 -
LEUKOPLAST(1X5)
77 728756 12,675 -
LEUKOPLAST(3X5)
78 140379 35,532 -
79 C50363T 1,035 -
78 FG2136 2,900 -
79 N0212 1,403 -
80 1,315 73 100 11 70 92
79 488111 2,122 - -
80 L034F1503 6,250 -
SELAPUT)
81 53940812 115 -
80 50817848 85 -
81 45143148 127 -
82 43910648 3,650 -
81 54411709 3,328 -
82 54311309 420 -
83 - -
82 A6E017 434 -
83 XY032 613 1,000 1,000
84 PIF05242 613 1,000 1,000
83 1,100 -
84 1,180 -
85 1,180 -
84 613 800 400 100 300
85 1GIH021 3,887 -
86 450043 248 -
85 140288 9,150 -
86 60806 348 -
87 TPL04345 234 -
86 1.021E+09 167 500 500 -
87 91E45A 109 -
88 102 -
87 98545A 192 -
88 77F46A 3,278 -
89 5011587 258 -
88 1.09E+10 89 -
89 83 450 450
90 HANSCOON 124 -
89 HANSCOON 8,250 -
90 1309002 140 500 200 100 200
91 1305001 3,926 39 96 3 132
90 587131 1,980,000 -
ENTERIK)
91 1306011 90 -
92 1306006 224,400 1 1
91 TPF42644 100,000 -
92 TPJ70044 142 1,000 800 200
93 60016 320 -
92 136 0 2,800 450 500 1,850
93 H10046605 6,840 77 5 2 70
94 15D0365 4,121 -
93 AE0147J 19,600 -
94 JI0046505 4,400 -
95 1141044B 149 -
SELAPUT)
94 K131459B 120 -
95 XY018 1,485 -
96 E10176525 645 -
95 E10176525 688 -
96 E6E657 147 -
97 138 2,000 2,000 2000 2000 -
ML)
96 AE912612 11,868 - 20 20 -
97 056043W 71,235 3 3
98 2.016E+09 95,635 -
97 160737 71,235 3 3
98 UR5607021 117,195 3 3
99 1,240 0 - -
98 URS510008 647 -
99 95364019 933 -
100 85365018 1,550 -
99 140909 1,194 500 500
100 160515 825 -
101 1,230 -
100 95366001 3,550 -
101 CH516516B 20,000 -
102 UAS16608A 153,736 20 20
101 AH0191 281 -
102 273 500 400 100
103 46E0363 3,675 -
102 P2173102 3,024 -
103 3,520 -
104 95372006 1,232 -
103 FG1517 447,747 16 16
104 6D6802 1,592,726 -
105 1016261P 285,339 -
104 1036091P 183,984 -
105 102627IP 11,500 -
106 1056141P 5,960 -
105 SPET1B 60 - 15,000 3,500 3300 8,200
106 SPET10C 3,200 -
107 1,160 251 200 28 111 312
106 SPET20 78,991 60 60
107 spet3CCc 15,950 -
108 spet5ccc 30,000 -
107 27,000 -
HYPAFIX 10 CM X 5 M
108 45,496 14 14
HYPAFIX 5 CM X 5 M
109 26,635 9 - 1 8
108 SPET50 1,700 -
109 30012015 242 -
110 IPQ001A16 197 -
109 85373554 2,500 -
110 ANAK 142 -
111 DEWASA 158 -
110 97KG0030 4,167 - -
111 1608109 818 -
112 1605003 4,070 -
111 1606004 79 -
112 74 400 - 300 100
SALUT SELAPUT)
113 14020001 1,815 -
112 4P10411 59 100 100
113 161169 114 -
114 1605028 11,791 -
113 11,050 -
114 00814H050 354 -
115 332 -
114 EG2122 233 -
115 5041915 1,030 -
116 CD0302J 1,454 - -
SALUT SELAPUT)
115 20A16 110 2,900 2,000 400 700 3,800
116 658030021 97 -
117 1209010 834 -
SALUT SELAPUT)
116 1309009 863 -
SELAPUT)
117 13LE005 1,008 -
118 13CG007 2,178 -
117 340405 434 -
118 85478025 4,446 -
119 95381007 77 2,000 2,000
118 056134W 3,219 -
119 1505114 6,985 -
120 4503359 3,465 -
119 4,935 95 10 85
120 4504044 3,465 -
121 4,935 90 10 80
120 1405056 3,465 -
121 3,645 30 30
122 1503136 12,155 -
121 2507013 214,500 -
122 1605051 59,800 -
123 1604050 117 -
122 110 -
123 D7811572 150 3,900 1,100 1700 1,100
124 225 -
123 H10356606 184 -
124 C0350029 347 -
125 1308004 347 -
124 1511046 1,000 -
125 1212024 212 -
126 1606185 2,241,000 -
125 8200813 473,000 -
126 109033124S 5,134,000 -
127 1606009 4,730,000 -
126 G160923B 3,940 23 23
127 16SE093C 3,600 - -
128 2627285 3,800 -
127 203015147 3,800 -
128 203012353 21,021 -
129 203012365 14,459 -
128 C083F1504 5,980 -
Strip Glukos
129 753213 4,400 -
10 TABLET)
130 5EA03053 655 -
129 1AF022 18,150 -
130 F10306502 71,299 -
131 290210124 71,299 -
130 1311213 69,993 -
131 130415D 69,993 -
132 4507474 409 3,600 87,500 4,800 86000 300
131 6D0336 1,265 95 95
132 160481 181 -
133 160821 331 -
132 152601 440 -
133 152471 2,680 -
134 infusanak 85,800 -
133 infusdewas 101 -
134 95 -
URINE BAG
135 31073 4,795 -
URINE BAG
134 3,150 -
135 12015 61,996 -
136 59,950 20 20 -
135 R23691703 28,204 -
136 R23681704 20,900 20 20 -
137 PK9990 17,996 -
136 85395029 16,995 -
137 G16E27208 14,498 -
VAKSIN PCV
138 190,657 50 50 -
ML)
137 F140651B 4,000 -
138 250111 331 -
139 305 -
138 352 -
139 403604 135 6,600 5,000 6,600 5000 -
140 406606 88 -
139 406606 94 -
140 402608 1,067 -
141 401606 150 -
140 141 -
141 C1550139 6,500 -
142 A809DK011 7,630 -
141 1041688 1,506 -
142 1605035 1,540 -
143 1606-09-52 1,540 -
142 1310009 41,600 -
143 F10346406 177,216 -
144 213 604 300 150 150
143 524 -
144 16,478 -
145 160577 3,285 -
144 20051588 85,345 -
Asiklovir 5%
145 037G5240 2,367 -
146 2501615 80,000 -
Betadine kumur
145 3652615 12,500 -
146 400116 65,000 -

147 413915 3,220 -
Combiven Nebul
146 200515 12,252 -

147 FV0425 680 -

148 YW0514 8,000 -
147 093056W 4,121 -
Furosemid tab 40 mg
148 D60462T 84 -
Furosemid tab 40 mg
149 1212016 79 -
148 4,036 -

149 1202008 37,433 -
Ketorolac inj 10 mg
150 23602608 2,665 -
149 2410018 138 -
150 160604 55,248 -
Morpin inj 10 mg/ml
151 15022015 11,549 -
150 15022015 365 -
151 wingneedle 7,150 -
Fonflu syr
152 SB2699 11,190 -
Fonflu tab
151 LAEZ 619 -
152 95496029 1,275 -
153 1503020 4,500 -
152 E6E649 40,202 -
153 15,386 -
Primaquin 15mg
154 258 -
153 - -
Propiltiourasil
154 351 -
Pularex
220
155 -
Rifampisin 450mg
154 624 -
Salbutamol 2 mg
64
155 -

156 -

155 14,750 -
Trifluoperazin 5 mg
156 445 -
157 6,281 -
848
156 -
Bisturi no.12
157 98,000 -
Bisturi no.15
158 7,500 -
Kasa P.Elastis 4x15
157 21,840 -
Nald no.25
158 15,125 -
159 6,071 -
Pembalut gips uk 4
158 3,500 -
Pembalut gips uk 6
159 1,957 -
Selang o2 anak
160 5,040 -

159 2,200 -
Wing needle no.21
160 500 -
Nelaton Fr no.10
161 8,351 -
Nelaton Fr no.12
160 8,351 -
161 4,004 -
162 28,779 -

163 Rapid test SD HBsAg WB 9,870 100 100 -
165 Cardura 3,395 -
165 Patanol 0,1 % 72,500 -
166 Onmed alkohol 70% 1 L 27,500 -
165 ALKOHOL 95% 9,279 -
168 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 -
169 Strip Asam urat Autochek 3,881 -
170 Strip Cholesterol Autochek 15,164 -
171 Remidi alkohol swab 128 1,000 - 1000 -
171 Serenity Nasal 02 Canulla Infant 5,040 10 10
173 Serenity silk 3/0 4,157 30 12 18
175 Cholestrol FS 3,813,370 5 5 -
176 Glucosa GOD Fs 381,410 5 5 -
175 Triglycerid FS 10' Version 905,800 4 4 -
176 Uric Acid Fs TBHBA 694,900 5 5 -
176 Biosat 130,999 -
177 Sianokobalamin ( vit B12) 49 1,500 - 800 700 -
178 Sianokobalamin ( vit B12) 44 - 3,000 1000 2,000
180 Blue Tip OM 500 S 146 -
181 Yellow Tips Dragon 1000 S 63 2,000 2000 -
182 Trucal U 1,549,779 -
183 onmed USG 250 ml 13,214 -
184 ONEMED USG 250 ML 13,213 -
183 Alkazyme 25 mg 801,000 -
184 Alkacid 1 L 2,702,700 -
185 Trulab 2,254,214 -
184 Vaksin MR 10 Ds 155,813 10 10 -
186 Decafil 145 -
186 Lysol 1 L 44,690 -
187 Lyse M30 500 ml 1,375,000 -
189 Euthyrox 735 -
190 Masker oksigen dewasa 10,150 10 10 10 10
189 Masker oksigen anak 10,150 20 10 10 20
190 Hidrogen Piroksida 33,034 -
191 Rapid HIV 11,975 -
191 Gynosurge S (6.5) 40,733 -
192 Gynosurge M (7.5) 40,733 -
193 Gynosurge S (8.5) 40,733 -
193 Tetagam 188,663 -
197 Rapid HIV@ 25 11,975 -
198 Rapid HIV@ 30 26,060 -
198 MB Dewasa 41,784 -
199 Verorab 153,000 170 170 -
203 REAGEN ZN 250,333 -
202 KACA SLIDE 22,097 3 3 -
206 CHLORAMPHENICOL TETES TELINGA 9,223 40 40 -
208 FOLLEY CATHETER 2 WAY NO 16 JKN 14,520 -
209 SALBULIN 33,294 -
210 BISTURI NO 12 2,990 -
211 BISTURI NO 11 2,948 178 5 173
210 FARBIVENT 2,5 ML 3,916 -
212 OCTADIN 0,1% SPRAY 33,000 -
213 LARVAGO 33,000 -
212 ADS 0,5ML 1,165 -
213 ADS 0,5ML 1,240 -
214 ADS 0,3 ML 1,255 -
213 ADS 3 ML 569 -
214 ALKOHOL SWAB PROPINSI 110 -
218 HAZMAT (KBKR) 136,000 -
219 AMOXICILIN DROP 100ml 10,834 -
220 MASKER N95 - -
224 MINI PIL 4,017 -
227 MASKER KB 1,108 -
228 FORM. K/I/KB 400 -
227 FORM. K/IV/KB 750 -
228 ADS 0,05ML 1,460 -
230 KONDOM 123,910 -
230 ASAM MEFENAMAT KB 1,170 -
231 PB DEWASA 15,014 -
231 MASKER KB 960 -
233 FORM INFORMED CONSENT 1,000 -
234 GIEMSA 875,065 -
235 ALTOSID 1,3 G(DINKES) 1,269,000 -
234 VIROTEC DENGUE COMBO 45,523 -
235 RDT DBD COMBO 11 506,000 3 3 -
236 RDT DBD COMBO III 49,205 20 20 -
235 IODIUM TEST 34,000 22 22 -
236 ALAT (GPT) FS 1,083,400 1 1 -
237 ALAT (GOT) FS 1,083,400 1 1 -
JUMLAH

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : FEBRUARI/MARET
DATA OBAT
PengeluaranMaret 2023
No. Stock
Februari 2023
Penerimaan
Maret 2023 Distribusi Distribusi ke Exipre Date /
Sisa Stok Per 31
Maret 2023
Optimum
keJaringannya poli layanan Rusak Pemakaian
1 617361 Cavit G() 162,800 -

2 G15C13308 440 -
2 412 - 2,040 700 1340 -
3 E9E081 236 -
3 A1306HT 454 -
4 A1306HT 425 600 200 600 200
4 DG0805J 68 -
5 I3096AF 4,600 -
5 1503005 463 -
6 C150501B 2,625 -
6 C150501B 25,595 23 2 21
7 150740203 105 -
7 99 -
8 18C025 200 -
8 TPJ81145 239 -
9 CD2122J 3,071 -
9 95307013-1 86 -
10 T044826 97 -
SALUT SELAPUT)
10 T2550010 168 -
11 A1412FT 95 10,000 5,000 4,300 3500 7,200
11 18C032 74 13,100 5,500 4,600 1600 12,400
12 18C044 196 -
12 1503-14-96 265 -
13 233 - 5,000 1,500 0 3,500
13 1606-46-51 2,560 -
14 PH018206 2,098 -
KUNYAH)
14 5406013 60 -
KUNYAH)
15 56 -
15 S3136AF 1,350 -
16 5549650 3,637 10 20 10 5 15
16 5549650 5,170 -
SUPPOSITORIA)
17 A4F186 3,642 20 20
17 202304135 2,860 -
18 046013W 25,490 -
ML)
18 P1H85442 42,900 -
19 20140602 124 -
19 LA160517 120 14,300 3,950 2250 8,100
20 B150182B 86 -
20 81 1,900 2,000 100 1900 1,900
21 D150529B 175 -
21 681603151 103 -
22 623514 36,225 -
22 FG1526 1,815 -
23 1071597 81 -
23 15L0115 83,500 -
24 1407013 7,700 -
24 15102155 5,000 -
25 1,071 40 40 16 64
25 1505004 864 -
26 HFY0310 1,520 -
26 3,350 17 50 12 17 38
27 723144 695 -
ML (20 DOSIS))
27 D50389T 19,954 -
BLOOD LANCET()
28 E10011 153 -
28 2051115 310 -
29 2051115 3,794 48 48 24 72
29 2051115 20,700 10 5 15
30 2052116 63 -
30 59 6,900 6,900 4,300 4000 5,500
31 11111488 69 -
31 65 8,000 5,200 900 12,300
32 731464 80 5,800 1,800 800 3,200
32 5413 143 -
33 1081RS 250 -
33 161112 30,334 -
34 41,154 -
34 1503022 23,400 -
35 48,380 -
35 85324015 29,900 -
36 85324015 30,043 -
36 1505022 26,667 -
37 1304030 24,584 -
CATHEJELL()
37 UU113-15 49,186 -
38 UU129-15 3,500 -
38 QQ110-15 429,000 -
39 UU132-15 462,000 -
39 WW120-15 115 -
40 130988 2,993 -
40 GG15715 329 -
41 8471 2,054 -
41 1,925 -
42 P5J46142 94 -
42 1505011 26 -
43 24 3,800 600 2700 500
43 1602161 1,531 -
44 18F022 583 -
44 1508032 75 -
45 T2388113 106 -
45 066124W 281 -
46 H111384B 594 -
46 T3063 967 -
47 1131218B 201 -
47 75329001 5,000 -
48 160298 1,550 -
48 85328002 657 -
49 1309-0635 880 -
49 1607-27-10 1,210 -
50 160506 4,550 -
50 47A0444 133 -
51 131 300 1,000 100 1,200
51 L151607B 299 700 - 100 200 400
52 13178 2,190 -
52 2,052 -
53 160662 5,520 -
53 14,689 40 3 37
54 ME3130J 65,000 -
54 IC2411J 286,000 -
55 ID1718J 75 -
55 5984011 1,210 -
56 1606001 2,160 -
56 TPF50145 1,913 -
57 250512 28 -
57 552158 105 -
58 134 -
58 JJ12314 104 -
59 1881505 136 -
Diluent 20L()
59 Y8303 1,980,000 -
60 PIL36845 129 -
60 121 300 500 500 300
61 SQ150806 1,262 -
61 1503002 2,862 -
62 1049 96 -
62 90 1,000 500 400 300 800
63 1607003 17,100 -
63 A1610GR 280 -
64 264 -
64 F140695B 5,900 -
65 2.016E+09 6,000 -
65 E130680B 68 -
66 85342021-2 1,518 -
66 140914186 212 -
67 1606-07-14 636 2,100 400 400 1,300
67 SCD11444 6,461 -
68 C0323IS 543 -
68 15020456 88,000 5 5 -
EZ CLEANER()
69 15020298 665,500 -
SELAPUT)
69 1209015 124 -
70 97KA0074 3,950 -
70 151308 6,244 -
71 AE92033 6,244 -
71 16CF009 30,000 -
72 YF9206 8,000 -
72 150909 43,710 -
73 045098W 8,000 -
73 2.016E+09 8,000 -
74 130600403 10,070 -
74 8,000 -
75 50205 10,070 -
75 43,710 1 1
76 10917 43,710 3 3
76 010917A 43,710 6 6
77 1101000 43,710 9 9
77 1101200 30,000 -
78 2121630 32,500 -
78 5111005 32,500 -
79 2121230 32,500 -
79 2121430 462 -
80 3063841 990,000 -
80 2122030 1,555 -
81 2122230 318 -
81 2122430B 478,500 -
82 5110805 137 -
82 3112030 174 -
83 3112230 207 -
83 3112030 3,000 -
84 ME024 8,003 -
84 1603091 7,363 -
85 6,900 -
85 1503028 223 -
86 1057064 97,500 -
86 1511051 55 -
87 1405036 74 -
87 IC2340J 60 -
88 96 -
88 HG1449J 708,000 -
KAPSUL)
89 292008 4,290 -
89 260703 2,533 -
90 260609 178 -
90 1112029 2,678 -
91 EAB4M03 4,949 -
91 1605003 112 500 100 400
92 1502002 215 2,000 500 1000 500
92 1211036 39,468 -
93 BC20716N- 325,197 -
93 HL948 58,950 -
@ 3 ML)
94 150994T 85,000 -
94 1131109B 40,202 -
95 150966T 19,800 -
95 S3174AF 3,190 -
96 1505022 125,444 -
96 1607-21-17 85 -
97 AH911932 182 -
TABLET SUBLINGUAL)
97 Z0595463 89 -
98 810201 14,625 -
98 1062017 14,625 -
99 5,348 -
99 4F901A 14,625 -
100 J28403 14,625 -
100 D38506 1,666 -
101 K39410 1,666 -
101 212 1,666 -
102 1605059 1,666 -
102 E160481B 209,000 -
103 1408048 28,644 -
250 GRAM)
103 14039-03 25,200 -
104 14039-05 440 -
MEDIKASA)
104 14065-04 115,500 4 2 2
MEDIKASA)
105 560 -
MEDIKASA)
105 14217-03 407 688 480 - 320 848
106 KULIT12 1,155 -
106 9036 2,415 -
107 12930804 110,000 -
107 13934810 305 -
108 286 -
108 16011 3,135 -
109 250111 460 -
109 082088L 329 -
110 10119 5,319 -
110 4,982 -
111 19101588A 115,500 -
Lancing Device()
111 032088MX 86,336 -
112 9051688 12,450 -
112 052017MX 2,461 -
113 kasahidrofi 20,000 -
113 1308011 10,500 -
114 150306103 38,000 -
LEUKOPLAST(1X5)
114 728756 12,675 -
LEUKOPLAST(3X5)
115 140379 35,532 -
115 C50363T 1,035 -
116 FG2136 2,900 -
116 N0212 1,403 -
117 1,315 92 100 5 100 87
117 488111 2,122 - -
118 L034F1503 6,250 -
SELAPUT)
118 53940812 115 -
119 50817848 85 -
119 45143148 127 -
120 43910648 3,650 -
120 54411709 3,328 -
121 54311309 420 -
121 - -
122 A6E017 434 -
122 XY032 613 -
123 PIF05242 613 -
123 1,100 -
124 1,180 -
124 1,180 -
125 613 300 100 100 100
125 1GIH021 3,887 -
126 450043 248 -
126 140288 9,150 -
127 60806 348 -
127 TPL04345 234 -
128 1.021E+09 167 - -
128 91E45A 109 -
129 102 -
129 98545A 192 -
130 77F46A 3,278 -
130 5011587 258 -
131 1.09E+10 89 -
131 83 450 50 400
132 HANSCOON 124 -
132 HANSCOON 8,250 -
133 1309002 140 200 200
133 1305001 3,926 132 96 - 48 180
134 587131 1,980,000 -
ENTERIK)
134 1306011 90 -
135 1306006 224,400 3 3 -
135 TPF42644 100,000 -
136 TPJ70044 142 200 2,000 900 1,300
136 60016 320 -
137 136 1,850 750 550 550
137 H10046605 6,840 70 9 20 41
138 15D0365 4,121 -
138 AE0147J 19,600 -
139 JI0046505 4,400 -
139 1141044B 149 -
SELAPUT)
140 K131459B 120 -
140 XY018 1,485 -
141 E10176525 645 -
141 E10176525 688 -
142 E6E657 147 -
142 138 - 2,000 1,000 1000 -
ML)
143 AE912612 11,868 - -
143 056043W 71,235 -
144 2.016E+09 95,635 -
144 160737 71,235 -
145 UR5607021 117,195 -
145 1,240 -
146 URS510008 647 500 500 -
146 95364019 933 -
147 85365018 1,550 -
147 140909 1,194 -
148 160515 825 -
148 1,230 -
149 95366001 3,550 -
149 CH516516B 20,000 -
150 UAS16608A 153,736 20 20 -
150 AH0191 281 -
151 273 100 100 -
151 46E0363 3,675 -
152 P2173102 3,024 -
152 3,520 -
153 95372006 1,232 -
153 FG1517 447,747 16 16 -
154 6D6802 1,592,726 -
154 1016261P 285,339 -
155 1036091P 183,984 -
155 102627IP 11,500 -
156 1056141P 5,960 -
156 SPET1B 60 8,200 10,000 3,000 1700 13,500
157 SPET10C 3,200 -
157 1,160 312 31 51 230
158 SPET20 78,991 60 60 -
158 spet3CCc 15,950 -
159 spet5ccc 30,000 -
159 27,000 -
HYPAFIX 10 CM X 5 M
160 45,496 14 14
HYPAFIX 5 CM X 5 M
160 26,635 8 - 1 7
161 SPET50 1,700 -
161 30012015 242 -
162 IPQ001A16 197 -
162 85373554 2,500 -
163 ANAK 142 -
163 DEWASA 158 -
164 97KG0030 4,167 - -
164 1608109 818 -
165 1605003 4,070 -
165 1606004 79 -
166 74 100 - 100
SALUT SELAPUT)
166 14020001 1,815 -
167 4P10411 59 100 100
167 161169 114 -
168 1605028 11,791 -
168 11,050 -
169 00814H050 354 -
169 332 -
170 EG2122 233 -
170 5041915 1,030 -
171 CD0302J 1,454 -
SALUT SELAPUT)
171 20A16 110 3,800 1,000 1300 1,500
172 658030021 97 -
172 1209010 834 -
SALUT SELAPUT)
173 1309009 863 -
SELAPUT)
173 13LE005 1,008 -
174 13CG007 2,178 -
174 340405 434 -
175 85478025 4,446 -
175 95381007 77 500 500
176 056134W 3,219 -
176 1505114 6,985 -
177 4503359 3,465 -
177 4,935 85 15 10 60
178 4504044 3,465 -
178 4,935 80 80
179 1405056 3,465 -
179 3,645 30 30
180 1503136 12,155 -
180 2507013 214,500 -
181 1605051 59,800 -
181 1604050 117 -
182 110 -
182 D7811572 150 1,100 1,100 -
183 225 -
183 H10356606 184 -
184 C0350029 347 -
184 1308004 347 -
185 1511046 1,000 -
185 1212024 212 -
186 1606185 2,241,000 -
186 8200813 473,000 -
187 109033124S 5,134,000 -
187 1606009 4,730,000 -
188 G160923B 3,940 23 23
188 16SE093C 3,600 -
189 2627285 3,800 -
189 203015147 3,800 -
190 203012353 21,021 -
190 203012365 14,459 -
191 C083F1504 5,980 -
Strip Glukos
191 753213 4,400 -
10 TABLET)
192 5EA03053 655 -
192 1AF022 18,150 -
193 F10306502 71,299 -
193 290210124 71,299 -
194 1311213 69,993 -
194 130415D 69,993 -
195 4507474 409 300 7,560 1360 6,500
195 6D0336 1,265 -
196 160481 181 -
196 160821 331 -
197 152601 440 -
197 152471 2,680 -
198 infusanak 85,800 -
198 infusdewas 101 -
199 95 -
URINE BAG
199 31073 4,795 -
URINE BAG
200 3,150 -
200 12015 61,996 -
201 59,950 15 15 -
201 R23691703 28,204 -
202 R23681704 20,900 -
202 PK9990 17,996 -
203 85395029 16,995 10 10 -
203 G16E27208 14,498 -
VAKSIN PCV
204 190,657 - -
ML)
204 F140651B 4,000 -
205 250111 331 -
205 305 -
206 352 -
206 403604 135 - 13,600 5,000 6400 2,200
207 406606 88 -
207 406606 94 -
208 402608 1,067 -
208 401606 150 -
209 141 -
209 C1550139 6,500 -
210 A809DK011 7,630 -
210 1041688 1,506 -
211 1605035 1,540 -
211 1606-09-52 1,540 -
212 1310009 41,600 -
212 F10346406 177,216 -
213 213 604 150 150 -
213 524 -
214 16,478 -
214 160577 3,285 -
215 20051588 85,345 -
Asiklovir 5%
215 037G5240 2,367 -
216 2501615 80,000 -
Betadine kumur
216 3652615 12,500 -
217 400116 65,000 -

217 413915 3,220 -
Combiven Nebul
218 200515 12,252 -

218 FV0425 680 -

219 YW0514 8,000 -
219 093056W 4,121 -
Furosemid tab 40 mg
220 D60462T 84 -
Furosemid tab 40 mg
220 1212016 79 -
221 4,036 -

221 1202008 37,433 -
Ketorolac inj 10 mg
222 23602608 2,665 -
222 2410018 138 -
223 160604 55,248 -
Morpin inj 10 mg/ml
223 15022015 11,549 -
224 15022015 365 -
224 wingneedle 7,150 -
Fonflu syr
225 SB2699 11,190 -
Fonflu tab
225 LAEZ 619 -
226 95496029 1,275 -
226 1503020 4,500 -
227 E6E649 40,202 -
227 15,386 -
Primaquin 15mg
228 258 -
228 - -
Propiltiourasil
229 351 -
Pularex
220
229 -
Rifampisin 450mg
230 624 -
Salbutamol 2 mg
64
230 -

231 -

231 14,750 -
Trifluoperazin 5 mg
232 445 -
232 6,281 -
848
233 -
Bisturi no.12
233 98,000 -
Bisturi no.15
234 7,500 -
Kasa P.Elastis 4x15
234 21,840 -
Nald no.25
235 15,125 -
235 6,071 -
Pembalut gips uk 4
236 3,500 -
Pembalut gips uk 6
236 1,957 -
Selang o2 anak
237 5,040 -

237 2,200 -
Wing needle no.21
238 500 -
Nelaton Fr no.10
238 8,351 -
Nelaton Fr no.12
239 8,351 -
239 4,004 -
240 28,779 -

241 Rapid test SD HBsAg WB 9,870 250 250 -
244 Cardura 3,395 -
245 Patanol 0,1 % 72,500 -
246 Onmed alkohol 70% 1 L 27,500 -
246 ALKOHOL 95% 9,279 -
250 Phytomenadion inj 2 mg/ml 1,452 -
251 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 -
255 Remidi alkohol swab 128 500 500 -
258 Serenity silk 3/0 4,157 18 7 11
263 Biosat 130,999 -
265 Sianokobalamin ( vit B12) 44 2,000 1,400 400 200
269 Blue Tip OM 500 S 146 -
270 Trucal U 1,549,779 -
272 onmed USG 250 ml 13,214 -
273 ONEMED USG 250 ML 13,213 -
273 Alkazyme 25 mg 801,000 -
274 Alkacid 1 L 2,702,700 -
274 Trulab 2,254,214 -
275 Vaksin MR 10 Ds 155,813 20 20 -
277 Decafil 145 -
278 Lysol 1 L 44,690 -
278 Lyse M30 500 ml 1,375,000 -
281 Euthyrox 735 -
282 Masker oksigen dewasa 10,150 10 10
282 Masker oksigen anak 10,150 20 20
283 Rapid HIV 11,975 100 100 -
285 Gynosurge S (6.5) 40,733 -
286 Gynosurge M (7.5) 40,733 -
286 Gynosurge S (8.5) 40,733 -
287 Tetagam 188,663 -
293 Rapid HIV@ 25 11,975 -
294 Rapid HIV@ 30 26,060 -
294 Trepocek/Rapid tes spilis 10,645 100 100 -
295 MB Dewasa 41,784 -
296 Verorab 150,000 -
301 Pot Sputum 2,354 200 200 -
301 REAGEN ZN 250,333 -
302 KACA SLIDE 22,097 -
306 CHLORAMPHENICOL TETES TELINGA 9,223 - 5 10 (15)
312 SALBULIN 33,294 -
313 BISTURI NO 12 2,990 -
313 BISTURI NO 11 2,948 173 35 43 95
314 FARBIVENT 2,5 ML 3,916 -
316 OCTADIN 0,1% SPRAY 33,000 -
316 LARVAGO 33,000 -
317 ADS 0,5ML 1,165 -
317 ADS 0,5ML 1,240 -
318 ADS 0,3 ML 1,255 -
318 ADS 3 ML 569 -
326 HAZMAT (KBKR) 136,000 -
328 MASKER N95 - -
334 MINI PIL 4,017 -
337 MASKER KB 1,108 -
339 FORM. K/I/KB 400 -
339 FORM. K/IV/KB 750 -
340 ADS 0,05ML 1,460 -
342 KONDOM 123,910 -
344 PB DEWASA 15,014 -
345 MASKER KB 960 -
349 GIEMSA 875,065 -
349 ALTOSID 1,3 G(DINKES) 1,269,000 -
350 IODIUM TEST 34,000 -
351 CHRONALIFE BANDAGE CREPE 3" 48,500 -
351 ADS 5 ML 1,500 -
352 RDT DBD COMBO 11 506,000 -
352 RDT DBD COMBO III 49,205 -
353 ALAT (GPT) FS 1,083,400 -
354 ALAT (GOT) FS 1,083,400 -
354 BTI Larvasida 64,691 4 4 -
-
-
JUMLAH

MARGARITHA SUSTANTI, A.MD., KEB. APT. NURLITA, S.FARM APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19890228 201101 2 006 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : MARET/APRIL
DATA OBAT
Pengeluaran April 2023
No. No. Batch Nama Obat Harga Sisa Stok Per 31 Penerimaan April Sisa Stok Per 30 Stock Optimum Permintaan Pemberian Keterangan
Maret 2023 2023 Distribusi Distribusi ke Exipre Date / April 2023
Pemakaian
1 617361 Cavit G() 162,800 -

2 G15C13308 440.00 -
3 412.00 - 2,640 1,640 1000 -
2 E9E081 236.00 -
3 A1306HT 454.00 -
4 A1306HT 425.00 200 200 -
3 DG0805J 68.00 -
4 I3096AF 4,600.00 -
5 1503005 463.00 6,500 6,500
4 C150501B 2,625.00 -
5 C150501B 25,595.00 21 21
6 150740203 105.00 -
5 99.00 -
6 18C025 200.00 -
7 TPJ81145 239.00 -
6 CD2122J 3,071.00 -
7 95307013-1 86.00 -
8 T044826 97.00 -
SALUT SELAPUT)
7 T2550010 168.00 -
8 A1412FT 95.00 7,200 5,000 7,900 3000 1,300
9 18C032 74.00 12,400 5,500 8,400 2000 7,500
8 18C044 196.00 -
9 1503-14-96 265.00 -
10 233.00 3,500 600 1800 1,100
9 1606-46-51 2,560.00 -
10 PH018206 2,098.00 -
KUNYAH)
11 5406013 60.00 -
KUNYAH)
10 56.00 -
11 S3136AF 1,350.00 -
12 5549650 3,637.00 15 - 10 5
11 5549650 5,170.00 -
SUPPOSITORIA)
12 A4F186 3,642.00 20 20 -
13 202304135 2,860.00 -
12 046013W 25,490.00 -
ML)
13 P1H85442 42,900.00 -
14 20140602 124.00 -
13 LA160517 120.00 8,100 700 2500 4,900
14 B150182B 86.00 -
15 81.00 1,900 - 100 1,800
14 D150529B 175.00 -
15 681603151 103.00 2,000 2000 -
16 623514 36,225.00 -
15 FG1526 1,815.00 -
16 1071597 81.00 -
17 15L0115 83,500.00 -
16 1407013 7,700.00 -
17 15102155 5,000.00 -
18 1,071.00 64 8 40 16
17 1505004 864.00 -
18 HFY0310 1,520.00 -
19 3,350.00 38 - 4 13 21
18 723144 695.00 -
ML (20 DOSIS))
19 D50389T 19,954.00 40 40 -
BLOOD LANCET()
20 E10011 153.00 -
19 2051115 310.00 -
20 2051115 3,794.00 72 48 10 48 62
21 2051115 20,700.00 15 5 10
20 2052116 63.00 -
21 59.00 5,500 - 500 4400 600
22 11111488 69.00 -
21 65.00 12,300 400 500 11,400
22 731464 80.00 3,200 600 1300 1,300
23 5413 143.00 -
22 1081RS 250.00 -
23 161112 30,334.00 -
24 41,154.00 -
23 1503022 23,400.00 -
24 48,380.00 -
25 85324015 29,900.00 -
24 85324015 30,043.00 -
25 1505022 26,667.00 -
26 1304030 24,584.00 -
CATHEJELL()
25 UU113-15 49,186.00 -
26 UU129-15 3,500.00 -
27 QQ110-15 429,000.00 -
26 UU132-15 462,000.00 -
27 WW120-15 115.00 -
28 130988 2,993.00 -
27 GG15715 329.00 -
28 8471 2,054.00 -
29 1,925.00 -
28 P5J46142 93.50 -
29 1505011 26.00 - -
30 24.00 500 500 -
29 1602161 1,531.00 -
30 18F022 583.00 -
31 1508032 75.00 -
30 T2388113 105.97 -
31 066124W 281.00 -
32 H111384B 594.00 -
31 T3063 967.00 -
32 1131218B 201.00 -
33 75329001 5,000.00 -
32 160298 1,550.00 -
33 85328002 657.00 -
34 1309-0635 880.00 -
33 1607-27-10 1,210.00 -
34 160506 4,550.00 -
35 47A0444 133.00 -
34 131.00 1,200 1,000 100 500 1,600
35 L151607B 299.00 400 1,000 200 200 1,000
36 13178 2,190.00 -
35 2,052.00 -
36 160662 5,520.00 -
37 14,689.00 37 4 33
36 ME3130J 65,000.00 -
37 IC2411J 286,000.00 -
38 ID1718J 75.00 -
37 5984011 1,210.00 10 10
38 1606001 2,160.00 -
39 TPF50145 1,913.00 1 1 -
38 250512 28.00 -
39 552158 105.00 -
40 134.00 -
39 JJ12314 104.00 -
40 1881505 136.00 -
Diluent 20L()
41 Y8303 1,980,000.00 -
40 PIL36845 129.00 -
41 121.00 300 500 300 300 200
42 SQ150806 1,262.00 -
41 1503002 2,862.00 -
42 1049 96.00 -
43 90.00 800 800
42 1607003 17,100.00 -
43 A1610GR 280.00 -
44 264.00 -
43 F140695B 5,900.00 -
44 2.016E+09 6,000.00 -
45 E130680B 68.00 -
44 85342021-2 1,518.00 -
45 140914186 212.00 -
46 1606-07-14 636.00 1,300 200 300 800
45 SCD11444 6,461.00 -
46 C0323IS 543.00 -
47 15020456 88,000.00 5 5 -
EZ CLEANER()
46 15020298 665,500.00 -
SELAPUT)
47 1209015 124.00 -
48 97KA0074 3,950.00 -
47 151308 6,244.00 -
48 AE92033 6,244.00 -
49 16CF009 30,000.00 -
48 YF9206 8,000.00 -
49 150909 43,710.00 -
50 045098W 8,000.00 -
49 2.016E+09 8,000.00 -
50 130600403 10,070.00 -
51 8,000.00 -
50 50205 43,710.00 1 1
51 10917 43,710.00 3 3
52 010917A 43,710.00 6 6
51 1101000 43,710.00 9 9
52 1101200 30,000.00 -
53 2121630 32,500.00 -
52 5111005 32,500.00 -
53 2121230 32,500.00 -
54 2121430 462.00 -
53 3063841 990,000.00 -
54 2122030 1,555.00 -
55 2122230 318.00 -
54 2122430B 478,500.00 -
55 5110805 137.00 -
56 3112030 174.00 -
55 3112230 207.00 -
56 3112030 3,000.00 -
57 ME024 8,003.00 -
56 1603091 6,900.00 -
57 1503028 223.00 -
58 1057064 97,500.00 -
57 1511051 55.00 -
58 1405036 74.00 -
59 IC2340J 60.00 -
58 96.00 -
59 HG1449J 708,000.00 -
KAPSUL)
60 292008 4,290.00 -
59 260703 2,533.00 -
60 260609 178.00 -
61 1112029 2,678.00 -
60 EAB4M03 4,949.00 -
61 1605003 112.00 400 400
62 1502002 215.00 500 2,000 500 1000 1,000
61 1211036 39,468.00 -
62 BC20716N- 325,197.00 -
63 HL948 58,950.00 -
@ 3 ML)
62 150994T 85,000.00 -
63 1131109B 40,202.00 -
64 150966T 19,800.00 -
63 S3174AF 3,190.00 -
64 1505022 125,444.00 -
65 1607-21-17 85.00 -
64 AH911932 182.00 -
TABLET SUBLINGUAL)
65 Z0595463 89.00 -
66 810201 14,625.00 -
65 1062017 14,625.00 -
66 5,348.00 -
67 4F901A 14,625.00 -
66 J28403 14,625.00 -
67 D38506 1,666.00 -
68 K39410 1,666.00 -
67 212 1,666.00 -
68 1605059 1,666.00 -
69 E160481B 209,000.00 -
68 1408048 28,644.00 -
250 GRAM)
69 14039-03 25,200.00 -
70 14039-05 440.00 -
MEDIKASA)
69 14065-04 115,500.00 2 5 7
MEDIKASA)
70 560.00 -
MEDIKASA)
71 14217-03 407.00 848 800 480 480 688
70 KULIT12 1,155.00 -
71 9036 2,415.00 -
72 12930804 110,000.00 -
71 13934810 305.00 -
72 286.00 -
73 16011 3,135.00 -
72 250111 459.80 -
73 082088L 329.00 -
74 10119 5,319.00 -
73 4,982.00 -
74 19101588A 115,500.00 -
Lancing Device()
75 032088MX 86,336.00 -
74 9051688 12,450.00 -
75 052017MX 2,461.00 -
76 kasahidrofi 20,000.00 -
75 1308011 10,500.00 -
76 150306103 38,000.00 -
LEUKOPLAST(1X5)
77 728756 12,675.00 -
LEUKOPLAST(3X5)
76 140379 35,532.00 -
77 C50363T 1,035.00 -
78 FG2136 2,900.00 -
77 N0212 1,403.00 -
78 1,315.00 87 100 - 87 100
79 488111 2,122.00 - -
78 L034F1503 6,250.00 -
SELAPUT)
79 53940812 115.00 -
80 50817848 85.00 -
79 45143148 127.00 -
80 43910648 3,650.00 -
81 54411709 3,328.00 -
80 54311309 420.00 -
81 - -
82 A6E017 434.00 -
81 XY032 613.00 1,000 1,000
82 PIF05242 613.00 1,000 1,000
83 1,100.00 -
82 1,180.00 -
83 1,180.00 -
84 613.00 100 100 -
83 1GIH021 3,887.00 -
84 450043 248.00 -
85 140288 9,150.00 -
84 60806 348.00 -
85 TPL04345 234.00 -
86 1.021E+09 167.00 -
85 91E45A 109.00 -
86 102.00 -
87 98545A 192.00 -
86 77F46A 3,278.00 -
87 5011587 258.00 -
88 1.09E+10 89.00 -
87 83.00 400 400
88 HANSCOON 124.00 -
89 HANSCOON 8,250.00 -
88 1309002 140.00 200 200
89 1305001 3,926.00 180 48 132
90 587131 1,980,000.00 -
ENTERIK)
89 1306011 90.00 -
90 1306006 224,400.00 3 3 -
91 TPF42644 100,000.00 -
90 TPJ70044 142.00 1,300 2,800 1,600 2000 500
91 60016 320.00 -
92 136.00 550 - - 550 -
91 H10046605 6,840.00 41 41
92 15D0365 4,121.00 -
93 AE0147J 19,600.00 -
92 JI0046505 4,400.00 -
93 1141044B 149.00 -
SELAPUT)
94 K131459B 120.00 -
93 XY018 1,485.00 -
94 E10176525 645.00 -
95 E10176525 688.00 -
94 E6E657 147.00 -
95 138.00 - 2,000 1,000 1000 -
ML)
96 AE912612 11,868.00 - -
95 056043W 71,235.00 -
96 2.016E+09 95,635.00 -
97 160737 71,235.00 -
96 UR5607021 117,195.00 -
97 1,240.00 -
98 URS510008 647.00 500 500
97 95364019 933.00 -
98 85365018 1,550.00 -
99 140909 1,194.00 -
98 160515 825.00 -
99 1,230.00 -
100 95366001 3,550.00 -
99 CH516516B 20,000.00 -
100 UAS16608A 153,736.00 20 20 -
101 AH0191 281.00 -
100 273.00 - -
101 46E0363 3,675.00 -
102 P2173102 3,024.00 -
101 3,520.00 -
102 95372006 1,232.00 -
103 FG1517 447,747.00 -
102 6D6802 1,592,726.00 -
103 1016261P 285,339.00 -
104 1036091P 183,984.00 -
OAT KDT DOSIS HARIAN
103 409,461.00 10 10 -
104 102627IP 11,500.00 -
105 1056141P 5,960.00 -
104 SPET1B 60.00 13,500 - 3,300 3600 6,600
105 SPET10C 3,200.00 -
106 1,160.00 230 70 160
105 SPET20 78,991.00 40 40 -
106 spet3CCc 15,950.00 -
107 spet5ccc 30,000.00 -
106 27,000.00 -
HYPAFIX 10 CM X 5 M
107 45,496 14 14
HYPAFIX 5 CM X 5 M
108 26,635 7 - 1 6
107 SPET50 1,700.00 -
108 30012015 242.00 -
109 IPQ001A16 197.00 -
108 85373554 2,500.00 -
109 ANAK 142.00 -
110 DEWASA 158.00 -
109 97KG0030 4,167.00 - -
110 1608109 818.00 -
111 1605003 4,070.00 -
110 1606004 79.00 -
111 74.00 100 100
SALUT SELAPUT)
112 14020001 1,815.00 -
111 4P10411 59.00 100 100
112 161169 114.00 -
113 1605028 11,791.00 -
112 11,050.00 -
113 00814H050 354.00 -
114 332.00 -
113 EG2122 233.00 -
114 5041915 1,030.00 -
115 CD0302J 1,454.00 -
SALUT SELAPUT)
114 20A16 110.00 1,500 500 700 300
115 658030021 97.00 -
116 1209010 834.00 -
SALUT SELAPUT)
115 1309009 863.00 -
SELAPUT)
116 13LE005 1,008.00 -
117 13CG007 2,178.00 -
116 340405 434.00 -
117 85478025 4,446.00 -
118 95381007 77.00 -
117 056134W 3,219.00 -
118 1505114 6,985.00 -
119 4503359 3,465.00 -
118 4,935.00 60 60
119 4504044 3,465.00 -
120 4,935.00 80 80
119 1405056 3,465.00 -
120 3,645.00 30 30
121 1503136 12,155.00 -
120 2507013 214,500.00 -
121 1605051 59,800.00 -
122 1604050 117.00 -
121 110.00 -
122 D7811572 150.00 - -
123 225.00 -
122 H10356606 184.48 -
123 C0350029 347.00 -
124 1308004 347.00 -
123 1511046 1,000.00 -
124 1212024 212.00 -
125 1606185 2,241,000.00 -
124 8200813 473,000.00 -
125 109033124S 5,134,000.00 -
126 1606009 4,730,000.00 -
125 G160923B 3,940.00 23 23
126 16SE093C 3,600.00 -
127 2627285 3,800.00 -
126 203015147 3,800.00 -
127 203012353 21,021.00 -
128 203012365 14,459.00 -
127 C083F1504 5,980.00 -
Strip Glukos
128 753213 4,400.00 -
10 TABLET)
129 5EA03053 655.00 -
128 1AF022 18,150.00 -
129 F10306502 71,299.00 -
130 290210124 71,299.00 -
129 1311213 69,993.00 -
130 130415D 69,993.00 -
131 4507474 409.00 6,500 7,560 180 4470 9,410
130 6D0336 1,265.00 -
131 160481 181.00 -
132 160821 331.00 -
131 152601 440.00 -
132 152471 2,680.00 -
133 infusanak 85,800.00 -
132 infusdewas 101.00 -
133 95.00 500 500 -
URINE BAG
134 31073 4,795.00 -
URINE BAG
133 3,150.00 -
134 12015 61,996.00 -
135 59,950.00 15 15 -
134 R23691703 28,204.00 -
135 R23681704 20,900.00 -
136 PK9990 17,996.00 -
135 85395029 16,995.00 -
136 G16E27208 14,498.00 -
VAKSIN PCV
137 190,657 20 20 -
ML)
136 F140651B 4,000.00 -
137 250111 331.00 -
138 305.00 -
137 352.00 -
138 403604 135.00 2,200 10,000 5,000 6400 800
139 406606 88.00 -
138 406606 94.00 -
139 402608 1,067.00 -
140 401606 150.00 -
139 141.00 -
140 C1550139 6,500.00 -
141 A809DK011 7,630.00 -
140 7,150.00 -
141 1041688 1,506.00 -
142 1605035 1,540.00 -
141 1606-09-52 1,540.00 -
142 1310009 41,600.00 -
143 F10346406 177,216.00 -
142 213 604.00 2,000 2,000
143 524.00 -
144 16,478.00 -
143 160577 3,285.00 -
144 20051588 85,345.00 -
Asiklovir 5%
145 037G5240 2,367.00 -
144 2501615 80,000.00 -
Betadine kumur
145 3652615 12,500.00 -
146 400116 65,000.00 -

145 413915 3,220.00 -
Combiven Nebul
146 200515 12,252.00 -

147 FV0425 680.00 -

146 YW0514 8,000.00 -
147 093056W 4,121.00 -
Furosemid tab 40 mg
148 D60462T 84.00 -
Furosemid tab 40 mg
147 1212016 79.00 -
148 4,036.00 -

149 1202008 37,433.00 -
Ketorolac inj 10 mg
148 23602608 2,665.00 -
149 2410018 138.00 -
150 160604 55,248.00 -
Morpin inj 10 mg/ml
149 15022015 11,549.00 -
150 15022015 365.00 -
151 wingneedle 7,150.00 -
Fonflu syr
150 SB2699 11,190.00 -
Fonflu tab
151 LAEZ 619.00 -
152 95496029 1,275.00 -
151 1503020 4,500.00 -
152 E6E649 40,202.00 -
153 15,386.00 -
Primaquin 15mg
152 258.00 -
153 - -
Propiltiourasil
154 351.00 -
Pularex
220.00
153 -
Rifampisin 450mg
154 624.00 -
Salbutamol 2 mg
64.00
155 -
SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000.00

154 -

155 14,750.00 -
Trifluoperazin 5 mg
156 445.00 -
155 6,281.00 -
848.00
156 -
Bisturi no.12
157 98,000.00 -
Bisturi no.15
156 7,500.00 -
Kasa P.Elastis 4x15
157 21,840.00 -
Nald no.25
158 15,125.00 -
157 6,071.00 -
Pembalut gips uk 4
158 3,500.00 -
Pembalut gips uk 6
159 1,957.00 -
Selang o2 anak
158 5,040.00 -

159 2,200.00 -
Wing needle no.21
160 500.00 -
Nelaton Fr no.10
159 8,351.00 -
Nelaton Fr no.12
160 8,351.00 -
161 4,004.00 -
160 28,779.00 -
161 Cefadroxil 500 mg 557.00 -

162 Gentian violet 1,420.00 -
161 Rapid test SD HBsAg WB 9,870.00 100 100 -
162 DIPSAMOL INHALER 41,250.00 -
163 Cat Gut Chromic 3-0 (70c x 19m)C 32,934.00 -
162 Cat Gut Chromic 3-0 (90c x 37m)C 41,205.00 -
163 NySTATIN TABLET 500.000 IU(10 STRIP a 10 TABLET) 910.00 -
164 Asam Valproat 250mg/5ml 17,789.00 -
163 Cardura 3,395.00 -
164 Obucort Swinghaler 94,455.00 -
165 Patanol 0,1 % 72,500.00 -
164 Onmed alkohol 70% 1 L 27,500.00 -
165 ALKOHOL 95% 9,279.00 -
166 Betablok 50 mg 310.00 -
165 Skizon cream 5g 3,388.00 -
166 interzinc syrup 60 ml 6,600.00 -
167 indoreagen Rees Ecker 500 ml 214,520.00 -
166 Indoreagen Turk 500 ml 81,045.00 -
167 Phytomenadion inj 2 mg/ml 4,236.00 - -
168 Phytomenadion inj 2 mg/ml 1,452.00 -
167 Erytromicin 500 mg 781.00 -
168 Magnesium Sulfat 40% 3,796.00 -
169 Amoxcillin dry sirup 125 mg/ 5 ml 1,920.00 -
168 Strip Asam urat Autochek 3,881.00 -
169 Strip Cholesterol Autochek 15,164.00 -
170 Benechek Plus Uric Acid 5,313.00 -
169 Benechek Plus Glucose 3,142.00 -
170 Benechek Plus Total Cholestrol 25,238.00 -
171 Benechek Plus Total Cholestrol 23,821.00 -
170 Remidi alkohol swab 128.00 1,000 1000 -
171 Serenity Nasal 02 Canulla Infant 4,300.00 -
172 Serenity Nasal 02 Canulla Infant 5,040.00 -
171 Serenity Mucus Ext Wkt 35 FR 10-25 ml 7,245.00 -
172 Serenity silk 3/0 4,256.00 -
173 Serenity Silk 2/0 4,256.00 -
172 Serenity silk 3/0 4,157.00 12 12
173 Serenity Silk 2/0 4,157.00 -
174 Remidi exam Glove Gynecolog No 6,5 (P) 18,270.00 -
173 Remidi exam Glove Gynecolog No 7 (P) 18,270.00 -
174 Remidi exam Glove Gynecolog No 7,5 (P) 18,270.00 -
175 Decacetine Tetes mata 3,850.00 -
174 Cholestrol FS 3,813,370.00 4 4
175 Glucosa GOD Fs 384,100.00 5 5
176 Triglycerid FS 10' Version 905,800.00 4 4
175 Uric Acid Fs TBHBA 694,900.00 2 2
176 Dietilkarbamazin 100 mg 192.00 -
177 Biosat 130,999.00 -
176 Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040.00 -
177 Sianokobalamin ( vit B12) 44.00 200 5,000 - 200 5,000
178 Sianokobalamin ( vit B12) 49.00 - -
177 Carestar malaria HRP 2 6,476.00 -
178 Carestar malaria HRP 2 5,271.00 -
179 Bisakodil 5 mg 316.00 -
178 Metronidazol 250 mg 94.00 -
179 Diluen 20 L Mindray 3 Diff M-30 1,164,625.00 -
180 Rinse 20 L Mindray M-30 Barcode 1,220,120.00 -
179 Multi Drug Panel 25 S Answer 37,009.00 -
180 Blue Tip OM 500 S 146.00 -
181 Yellow Tips Dragon 1000 S 207.00 -
180 Trucal U 1,549,779.00 -
181 Ventolin Rotahaler (alat hirup salbutamol) 6,550.00 -
182 klorpromazine 5mg/ml 1,735.00 -
181 Vitamin A Kapsul 200.000 IU 596.00 -
182 Vitamin A Kapsul 200.000 IU 462.00 -
183 onmed USG 250 ml 13,214.00 -
182 ONEMED USG 250 ML 13,213.00 -
183 Alkazyme 25 mg 801,000.00 -
184 Alkacid 1 L 2,702,700.00 -
183 Trulab 2,254,214.00 -
184 Vaksin MR 10 Ds 155,813.00 20 20 -
185 Onmed water one 1 L 16,306.00 -
184 Umbilical Cord Cleam 1,417.00 -
185 Farnomin Tab 297.00 -
186 Decafil 145.00 -
185 Tensidox 2,064.00 -
186 Lysol 1 L 44,690.00 -
187 Lyse M30 500 ml 1,375,000.00 -
186 Probe cleanser M30 17 ml 97,625.00 -
187 Terumo Agani needle 25 347.00 -
188 Ampicillin inj 9,473.00 -
187 Oksitetrasiklin 1 % Salep mata 2,774.00 -
188 Oksitetrasiklin 1 % Salep mata 2,600.00 -
189 Euthyrox 735.00 -
188 Masker oksigen dewasa 10,150.00 10 10

189 Masker oksigen anak 10,150.00 20 20
190 Hidrogen Piroksida 33,034.00 -
189 Rapid HIV 11,975.00 100 100 -
190 Calcium glukonat 6,255.00 -
191 Alprazolam 0.5 mg 108.00 -
190 IV Catheter no 26 11,700.00 -
191 Gynosurge S (6.5) 40,733.00 -
192 Gynosurge M (7.5) 40,733.00 -
191 Gynosurge S (8.5) 40,733.00 -
192 Masker oksigen Pediatric 10,150.00 -
193 Tetagam 188,663.00 -
192 Metronidazol suspensi 125 mg/5ml 3,950.00 -
194 sarung tangan steril 8.0 3,465.00 -
193 Hemoglobin Strip 50 tes mission 412,000.00 -
194 Hemoglobin Strip 50 tes mission 400,000.00 -
195 Fluoksetin 20 mg 225.00 -
194 Kasa Hidrofil 3y x 10 cm 1,491.00 -
195 Masker oksigen Dewasa 1,491.00 -
196 spinal Needle 25 G x 90 mm with guide needle 30,398.00 -
195 spinal Needle 27 G x 90 mm with guide needle 30,398.00 -
196 Parasetamol drop 60 mg/ 0.6 ml 7,646.00 -
197 Rapid HIV@ 25 11,975.00 -
196 Rapid HIV@ 30 26,060.00 -
197 Trepocek/Rapid tes spilis 10,645.00 100 100 -
198 MB Dewasa 41,784.00 -
197 Diagnostar HIV 15,026.00 -
198 KHB diagnostic HIV 12,500.00 -
199 Verorab 150,000.00 -
198 Hepatitis B imune globulin 1,325,000.00 -
199 Fyrom international O2 portable 6,363,906.25 -
200 Mineral mix 2,920.00 -
199 BISTURI BLADE No 15 JKN 126,500.00 -
200 BISTURI BLADE No 20 JKN 126,500.00 -
201 Sendok Obat( dana jkn ) 499.00 -
200 Sendok Obat( dana jkn ) 495.00 -
201 Pipet Obat( dana jkn ) 6,600.00 -
202 Pot Sputum 2,354.00 200 200 -
201 REAGEN ZN 250,333.00 -
202 KACA SLIDE 22,097.00 -
203 TOPI OPERASI REMIDI 1,408.00 -
202 GEA NON REBREATING MASK CHILD 17,050.00 -
203 GEA NEBULIZER MASK WITH CHAMBER ADULT 14,000.00 -
204 GEA NEBULIZER MASK WITH CHAMBER CHILD 14,000.00 -
203 ONEMED MEDICREPE 3 " JKN 20,535.00 -
204 LACTULOSA SYRUP 15,060.00 -
205 CHLORAMPHENICOL TETES MATA 8,480.00 -
204 CHLORAMPHENICOL TETES TELINGA 9,223.00 -
205 NYSTATIN DROP 21,529.00 -
206 CLINDAMYCIN 150 MG 803.00 -
205 SERUM ANTI BISA ULAR ABU I INJ 512,204.00 -
206 OBAT BATUK HITAM 3,500.00 -
207 HIOSINA BUTILBROMIDA(SCOPMA) 1,110.00 -
206 FOLLEY CATHETER 2 WAY NO 16 JKN 14,520.00 -
207 STOMACH TUBE 12 TERUMO 31,350.00 -
209 MULTIVITAMIN 585.00 -
208 ASAM ASKORBAT 500 mg 198.00 -
209 SALBULIN 33,294.00 -
210 BISTURI NO 12 2,990.00 -
209 BISTURI NO 11 2,948.00 95 100 195
210 FARBIVENT 2,5 ML 3,916.00 -
211 ONEMED ALKOHOL 70% 1 Lt jkn 33,000.00 -
210 ONEMED ALKOHOL SWAB 13,799.00 -
211 ONEMED POVIDONE IODINE 60CC 5,412.00 -
212 OCTADIN 0,1% SPRAY 33,000.00 -
211 LARVAGO 33,000.00 -
212 ADS 0,5ML 1,165.00 -
213 ADS 0,5ML 1,240.00 -
212 ADS 0,3 ML 1,255.00 -
213 ADS 3 ML 569.00 -
214 ALKOHOL SWAB PROPINSI 110.00 -
213 ALKOHOL SWAB Vaksin 79.00 -
214 SAFETY BOX 5L COVID19 14,000.00 -
215 PELARUT PFIZER 3,280.00 -
214 VAKSIN PFIZER 6 DS - -
215 VAKSIN MODERNA 14 DOSIS - -
216 VAKSIN SINOVAC 2 DOSIS - -
215 VAKSIN SINOPHARM 2 DOSIS - -
216 Favipiravir 14,850.00 -
216 ASTRAZENECA 10 DS 581,607.00 -
217 FACESHIELD PLASTIK 14,700.00 -
218 SARUNG TANGAN (KBKR) 6,900.00 -
217 MASKER MEDIS JSP (KBKR) 30,500.00 -
218 HAZMAT (KBKR) 136,000.00 -
219 AMOXICILIN DROP 100ml 10,834.00 -
218 Favipiravir 4,333.00 -
219 Multivitamin (Prov) 549.00 -
220 MASKER N95 - -
219 MILRUB ANTISEPTIC 63,000.00 -
220 VAKSIN COVOVAX 10ds 1,157,524.56 -
221 SPEKULUM M 4,000.00 -
220 IV CATHETER NO 20 JKN 24,420.00 -
221 IV CATHETER NO 22 JKN 24,420.00 -
222 BD Needle no 24 JKN 786.00 -
223 BENECHEK GLUCOSA JKN 3,718.00 -
222 BENECHEK ASAM URAT JKN 3,454.00 -
223 PHYTOMENADION 10 MG JKN 1,221.00 -
224 MINI PIL 4,017.00 -
223 SUSUK KB II TIGA BULANAN 172,485.00 -
224 NATRIUM DIKLOFENAK 205.00 -
225 LIDOCAIN INJEKSI 891.00 -
224 IODINE POVIDONE KB 60 ML 8,045.00 -
225 DERMAFIX 4,212.00 -
226 DUK PELUBANG IMPLAN 6,863.00 -
225 MASKER KB 1,108.00 -
226 SARUNG TANGAN KB 4,645.00 -
227 ADS IMPLAN 818.00 -
226 FORM. K/I/KB 400.00 -
227 FORM. K/IV/KB 750.00 -
228 ADS 0,05ML 1,460.00 -
227 SUNTIK KB 1CC 3 BULAN 4,825.00 -
228 PIL KOMBINASI 1,153.00 -
229 IUD COPPER T 11,800.00 -
228 KONDOM 123,910.00 -
229 AUTO DISPOSIBLE SUNTIK 818.00 -
230 ASAM MEFENAMAT KB 1,170.00 -
229 IODINE POVIDONE KB 30 ML 3,079.00 -
230 DERMAFIX 3,850.00 -
231 PB DEWASA 15,014.00 -
230 DUK PELUBANG IMPLAN 5,727.00 -
231 MASKER KB 960.00 -
232 ADS IMPLAN 1,138.00 -
231 FORM INFORMED CONSENT 1,000.00 -
232 TETRAKAIN TETES MATA 0,5% 13,991.00 -
233 INDEC HIV 1/2 & SYPHILIS COMBO 19,381.00 -
232 SURGICAL FACE MASK (MALARIA) 379.00 -
233 DISPOSIBLE NITRILE EXM GLOVE (MALARIA) 216.00 -
234 GIEMSA 875,065.00 -
233 ALTOSID 1,3 G(DINKES) 1,269,000.00 -
234 VIROTEC DENGUE COMBO 45,523.00 -
235 IODIUM TEST 34,000.00 -
234 CHRONALIFE BANDAGE CREPE 3" 48,500.00 -
235 ADS 5 ML 1,500.00 -
236 VAKSIN PCV 190,657.00 -
235 ASEPTAN 500ML PROPINSI 52,000.00 -
236 FACE SHILD PROPINSI 185,000.00 -
237 MASKER 3 PLY PROPINSI 2,290.00 -
236 SARUNG TANGAN PROPINSI 3,375.00 -
237 ALLOPURINOL 100 MG PIM 222.00 -
238 ANTASIDA DOEN TAB ERELA 162.06 -
237 CIPROFLOXACIN 500MG PROMED 788.10 -
238 CTM STRIP 24 KTK 994.37 -
239 BETAHISTIN6 MG 30'S 991.60 -
238 ERLAMICETIN SALEP MATA 10,545.00 -
239 LORATADINE 10 MG NOVA 290.82 -
240 RECO TETES MATA 9,435.00 -
239 GLIBENCLAMIDE 5 MG FM 176.82 -
240 METFORMIN 500 MG SHJ 233.10 -
241 METFORMIN 850 MG DEXA 604.95 -
240 NIFEDIPINE 10 MG DEXA 222.00 -
241 PHYTOMENADION 10 MG KF 1,332.00 -
242 ACICLOVIR CREAM KF 3,864.68 -
241 NEEDLE 25 TERUMO 1,221.00 -
242 ONEMED USG GEL 250ML 19,375.00 -
243 KERTAS PUYER KECIL 100'S 41,070.00 -
242 RDT DBD COMBO 11 506,000 -
243 ALAT (GPT) FS 1,083,400 -
244 ALAT (GOT) FS 1,083,400 -
245 BTI Larvasida 64,691 4 4 -
244 ONEMED VACUM BLOOD TUBE EDTA K3 3ML 98,560.00 5 5 -
245 CAVITON PINK - 10 10 -
246 -
JUMLAH

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : APRIL/MEI
Kecamatan : BARONG TONGKOK Tahun : 2023 N
O
SM
Provinsi : KALIMANTAN TIMUR Ii
N
s
aA
L
S
tN
I
o
Lk
DATA OBAT A
I
P
Pengeluaran Mei 2023 e
O
r
No. No. Batch Nama Obat Harga Sisa Stok Per 30 Penerimaan Mei Sisa Stok Per 31 B Stock Optimum Permintaan Pemberian Keterangan
April 2023 2023 Distribusi Distribusi ke Exipre Date / Mei 2023 A
3
Pemakaian T0
(
A
R
1 617361 Cavit G() 162,800 - p
###
rp
ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL) )i
l
2 G15C13308 440 - ###
-
2
3 412 - 2,640 1,640 1000 ###
- 0
ACYCLOVIR TABLET 200 MG(DUS, 10 STRIP @ 10 TABLET) 2
3
4 E9E081 236 ###
-
5 A1306HT 454 ###
-
6 A1306HT 425 - ###
-
7 DG0805J 68 ###
-
8 I3096AF 4,600 ###
-
9 1503005 463 ###
-
9 C150501B 2,625 ###
-
10 C150501B 25,595 21 1 1 ###
19
11 150740203 242 ###
-
12 99 ###
-
13 18C025 536 500 500 ###
-
14 TPJ81145 239 ###
-
15 CD2122J 3,071 ###
-
16 95307013-1 86 ###
-
17 T044826 97 ###
-
SALUT SELAPUT)
18 T2550010 168 ###
-
19 A1412FT 95 1,300 10,000 6,300 5000 ###
-
20 18C032 74 7,500 5,500 3,350 2800 6,850
###
21 18C044 196 ###
-
22 1503-14-96 647 1,000 1,000
###
23 233 1,100 - - 1100 ###
-
24 647 - 1,000 - 1000 ###
-
24 1606-46-51 2,560 ###
-
25 PH018206 2,098 ###
-
KUNYAH)
26 5406013 60 ###
-
KUNYAH)
27 56 ###
-
28 S3136AF 1,350 ###
-
29 5549650 3,637 5 20 5 ###
20
30 5549650 5,170 ###
-
SUPPOSITORIA)
31 A4F186 3,642 20 20 ###
-
32 202304135 2,860 ###
-
33 046013W 25,490 ###
-
ML)
34 P1H85442 42,900 ###
-
35 20140602 144 5,000 3000 2,000
###
36 LA160517 120 4,900 1,100 2800 1,000
###
37 B150182B 86 ###
-
38 81 1,800 2,000 - 1000 2,800
###
39 D150529B 175 ###
-
40 681603151 103 - ###
-
41 623514 36,225 ###
-
42 FG1526 1,815 ###
-
43 1071597 81 ###
-
44 15L0115 83,500 ###
-
45 1407013 7,700 ###
-
46 15102155 5,000 ###
-
47 1,071 16 8 8 ###
-
48 1505004 864 ###
-
49 HFY0310 1,520 ###
-
50 3,350 21 50 7 14 ###
50
51 723144 695 ###
-
ML (20 DOSIS))
52 D50389T 19,954 60 60 ###
-
BLOOD LANCET()
53 E10011 153 ###
-
54 2051115 310 ###
-
55 2051115 3,794 62 - - 10 ###
52
56 2051115 20,700 10 5 2 ###
13
57 2052116 63 ###
-
58 59 600 5,000 1,700 2700 1,200
###
59 11111488 69 ###
-
60 65 11,400 300 500 10,600
###
61 731464 80 1,300 100 100 1,100
###
62 5413 143 ###
-
63 1081RS 250 ###
-
64 161112 30,334 ###
-
65 41,154 ###
-
66 1503022 23,400 ###
-
67 48,380 ###
-
68 85324015 29,900 ###
-
69 85324015 30,043 ###
-
70 1505022 26,667 ###
-
71 1304030 24,584 ###
-
CATHEJELL()
72 UU113-15 49,186 ###
-
73 UU129-15 3,500 ###
-
74 QQ110-15 429,000 ###
-
75 UU132-15 462,000 ###
-
76 WW120-15 115 ###
-
77 130988 2,993 ###
-
78 GG15715 329 ###
-
79 8471 2,054 ###
-
80 1,925 ###
-
81 P5J46142 94 ###
-
82 1505011 24 ###
-
CHLORPHENIRAMINE (CTM) TABLET 4 MG
83 51 - 3,000 1000 2,000
###
84 1602161 1,531 ###
-
85 18F022 583 ###
-
86 1508032 75 ###
-
87 T2388113 106 ###
-
88 066124W 281 ###
-
89 H111384B 594 ###
-
90 T3063 967 ###
-
91 1131218B 201 ###
-
92 75329001 5,000 ###
-
CLOZAPINE 25 TABLET 25 MG(DUS, 5 BLISTER @ 10 TABLET) provinsi
93 160298 473 1,000 1000 ###
-
94 85328002 657 ###
-
95 1309-0635 880 ###
-
96 1607-27-10 1,210 ###
-
97 160506 4,550 ###
-
98 47A0444 133 ###
-
99 131 1,600 1,000 300 1000 1,300
###
100 L151607B 299 1,000 800 200
###
101 13178 2,190 ###
-
102 2,052 ###
-
103 160662 5,520 ###
-
104 14,689 33 3 ###
30
105 ME3130J 65,000 ###
-
106 IC2411J 286,000 ###
-
107 ID1718J 75 ###
-
108 5984011 1,210 ###
-
109 1606001 2,160 ###
-
110 TPF50145 1,913 ###
-
111 250512 28 ###
-
112 552158 108 500 500 ###
-
113 134 ###
-
114 JJ12314 104 ###
-
115 1881505 136 ###
-
Diluent 20L()
116 Y8303 1,980,000 ###
-
117 PIL36845 129 ###
-
118 121 200 500 100 500 100
###
119 SQ150806 1,262 ###
-
825 30 30 ###
-
120 1503002 2,862 ###
-
121 1049 96 ###
-
122 90 800 200 500 100
###
123 1607003 17,100 ###
-
124 A1610GR 280 ###
-
125 264 ###
-
126 F140695B 5,900 ###
-
127 2.016E+09 6,000 ###
-
128 E130680B 68 ###
-
129 85342021-2 1,518 ###
-
130 140914186 212 ###
-
131 1606-07-14 636 800 400 400
###
132 SCD11444 6,461 ###
-
133 C0323IS 543 ###
-
134 15020456 23,101 ###
-
EZ CLEANER()
135 15020298 665,500 ###
-
SELAPUT)
136 1209015 124 ###
-
137 97KA0074 3,950 ###
-
138 151308 6,244 ###
-
139 AE92033 6,244 ###
-
140 16CF009 30,000 ###
-
141 YF9206 8,000 ###
-
142 150909 43,710 ###
-
143 045098W 8,000 ###
-
144 2.016E+09 8,000 ###
-
145 130600403 10,070 ###
-
146 8,000 ###
-
147 50205 43,710 ###
-
148 43,710 1 ###
1
149 10917 43,710 3 ###
3
150 010917A 43,710 6 ###
6
151 1101000 43,710 9 ###
9
152 1101200 30,000 ###
-
153 2121630 32,500 ###
-
154 5111005 32,500 ###
-
155 2121230 32,500 ###
-
156 2121430 462 ###
-
157 3063841 990,000 ###
-
158 2122030 1,555 ###
-
159 2122230 318 ###
-
160 2122430B 478,500 ###
-
161 5110805 137 ###
-
162 3112030 174 ###
-
163 3112230 207 ###
-
164 3112030 3,000 ###
-
165 ME024 8,003 ###
-
166 1603091 7,363 20 ###
20
167 1503028 223 ###
-
168 1057064 97,500 ###
-
169 1511051 55 ###
-
170 1405036 74 ###
-
171 IC2340J 60 ###
-
172 96 ###
-
173 HG1449J 708,000 ###
-
KAPSUL)
174 292008 4,290 ###
-
175 260703 2,533 ###
-
176 260609 178 ###
-
177 1112029 2,678 ###
-
178 EAB4M03 4,949 ###
-
179 1605003 112 400 400
###
180 1502002 215 1,000 2,000 1,000 1000 1,000
###
181 1211036 39,468 ###
-
182 BC20716N- 325,197 ###
-
183 HL948 58,950 ###
-
@ 3 ML)
184 150994T 85,000 ###
-
185 1131109B 40,202 ###
-
186 150966T 19,800 ###
-
187 S3174AF 3,190 ###
-
188 1505022 125,444 ###
-
189 1607-21-17 85 ###
-
190 AH911932 182 ###
-
TABLET SUBLINGUAL)
191 Z0595463 89 ###
-
192 810201 14,625 ###
-
193 1062017 14,625 ###
-
194 5,348 ###
-
195 4F901A 14,625 ###
-
196 J28403 14,625 ###
-
197 D38506 1,666 ###
-
198 K39410 1,666 ###
-
199 212 1,666 ###
-
200 1605059 1,666 ###
-
201 E160481B 209,000 ###
-
202 1408048 28,644 ###
-
250 GRAM)
203 14039-03 25,200 ###
-
204 14039-05 440 ###
-
MEDIKASA)
205 14065-04 115,500 7 1 ###
6
MEDIKASA)
206 560 ###
-
MEDIKASA)
207 14217-03 407 688 480 160 1,008
###
208 KULIT12 1,155 ###
-
209 9036 2,415 ###
-
210 12930804 110,000 ###
-
211 13934810 305 ###
-
212 286 ###
-
213 16011 3,135 ###
-
214 250111 460 ###
-
215 082088L 329 ###
-
216 10119 5,319 ###
-
217 4,982 ###
-
218 19101588A 115,500 ###
-
Lancing Device()
219 032088MX 86,336 ###
-
220 9051688 12,450 ###
-
221 052017MX 2,461 ###
-
222 kasahidrofi 20,000 ###
-
223 1308011 10,500 ###
-
224 150306103 38,000 ###
-
LEUKOPLAST(1X5)
225 728756 12,675 ###
-
LEUKOPLAST(3X5)
226 140379 35,532 ###
-
227 C50363T 1,035 ###
-
228 FG2136 2,900 ###
-
229 N0212 1,403 ###
-
230 1,315 100 30 2 128
###
231 488111 2,122 - - - 0 ###
-
232 L034F1503 6,250 ###
-
SELAPUT)
233 53940812 115 ###
-
234 50817848 85 ###
-
235 45143148 127 ###
-
236 43910648 3,650 ###
-
237 54411709 3,328 ###
-
4,120 ###
-
238 54311309 420 ###
-
239 - ###
-
240 A6E017 434 ###
-
241 XY032 613 1,000 1,000
###
242 PIF05242 613 1,000 1,000
###
243 1,100 ###
-
244 1,180 ###
-
245 1,180 ###
-
246 613 ###
-
247 1GIH021 3,887 ###
-
248 450043 248 ###
-
249 140288 9,150 ###
-
250 60806 348 ###
-
251 TPL04345 234 ###
-
252 1.021E+09 167 ###
-
253 91E45A 109 ###
-
254 102 ###
-
255 98545A 192 ###
-
256 77F46A 3,278 ###
-
257 5011587 258 ###
-
258 1.09E+10 89 ###
-
259 83 400 400
###
260 HANSCOON 124 ###
-
261 HANSCOON 8,250 ###
-
262 1309002 140 200 100 100
###
263 1305001 3,926 132 12 120
###
264 587131 1,980,000 ###
-
ENTERIK)
265 1306011 90 ###
-
266 1306006 224,400 3 3 ###
-
267 TPF42644 100,000 ###
-
268 TPJ70044 142 500 2,800 500 2,800
###
269 60016 320 ###
-
270 136 - 2,000 1300 700
###
271 H10046605 6,840 41 ###
41
272 15D0365 4,121 ###
-
273 AE0147J 19,600 ###
-
274 JI0046505 4,400 ###
-
275 1141044B 149 ###
-
SELAPUT)
276 K131459B 120 ###
-
277 XY018 1,485 ###
-
278 E10176525 645 ###
-
279 E10176525 688 ###
-
280 E6E657 147 ###
-
281 138 - ###
-
ML)
282 AE912612 11,868 - ###
-
283 056043W 71,235 ###
-
284 2.016E+09 95,635 ###
-
285 160737 71,235 ###
-
286 UR5607021 117,195 ###
-
287 1,240 1,000 1,000
###
288 URS510008 647 500 500
###
289 95364019 933 ###
-
290 85365018 1,550 ###
-
291 140909 1,194 ###
-
292 160515 825 ###
-
293 1,230 ###
-
294 95366001 3,550 ###
-
295 CH516516B 20,000 ###
-
296 UAS16608A 153,736 30 30 ###
-
297 AH0191 281 ###
-
298 273 - 1,000 - 100 900
###
299 46E0363 3,675 ###
-
300 P2173102 3,024 ###
-
301 3,520 ###
-
302 95372006 1,232 ###
-
303 FG1517 447,747 ###
-
304 6D6802 1,592,726 ###
-
305 1016261P 285,339 ###
-
306 1036091P 183,984 ###
-
307 102627IP 11,500 ###
-
308 1056141P 5,960 ###
-
309 SPET1B 60 6,600 10,000 8,200 3500 4,900
###
310 SPET10C 3,200 ###
-
311 1,160 160 110 ###
50
312 SPET20 78,991 85 85 ###
-
313 spet3CCc 15,950 ###
-
314 spet5ccc 30,000 ###
-
315 27,000 ###
-
HYPAFIX 10 CM X 5 M
45,496 14 ###
14
HYPAFIX 5 CM X 5 M
26,635 6 - 0 ###
6
316 SPET50 1,700 ###
-
317 30012015 242 ###
-
318 IPQ001A16 197 ###
-
319 85373554 2,500 ###
-
320 ANAK 142 ###
-
321 DEWASA 158 ###
-
322 97KG0030 4,167 - ###
-
323 1608109 818 ###
-
324 1605003 4,070 ###
-
325 1606004 79 ###
-
326 74 100 100
###
SALUT SELAPUT)
327 14020001 1,815 ###
-
328 4P10411 59 100 100
###
329 161169 114 ###
-
330 1605028 11,791 ###
-
331 11,050 ###
-
332 00814H050 354 ###
-
333 332 ###
-
334 EG2122 233 ###
-
335 5041915 1,030 ###
-
336 CD0302J 1,454 ###
-
SALUT SELAPUT)
337 20A16 110 300 300 ###
-
338 658030021 97 ###
-
339 1209010 834 ###
-
SALUT SELAPUT)
340 1309009 863 ###
-
SELAPUT)
341 13LE005 1,008 1,000 1000 ###
-
342 13CG007 2,178 ###
-
343 340405 434 ###
-
344 85478025 4,446 ###
-
345 95381007 77 ###
-
346 056134W 3,219 ###
-
347 1505114 6,985 ###
-
348 4503359 3,465 ###
-
349 4,935 60 ###
60
350 4504044 3,465 ###
-
351 4,935 80 ###
80
352 1405056 3,465 ###
-
353 3,645 30 ###
30
354 1503136 12,155 ###
-
355 2507013 214,500 ###
-
356 1605051 62,000 100 100 ###
-
357 1604050 117 ###
-
358 110 ###
-
359 D7811572 150 - ###
-
360 225 5,000 5,000
###
361 H10356606 184 ###
-
362 C0350029 347 ###
-
363 1308004 347 ###
-
364 1511046 1,000 ###
-
365 1212024 212 ###
-
366 1606185 2,241,000 ###
-
367 8200813 473,000 ###
-
368 109033124S 5,134,000 ###
-
369 1606009 4,730,000 ###
-
370 G160923B 3,940 23 ###
23
371 16SE093C 3,600 ###
-
372 2627285 3,800 ###
-
373 203015147 3,800 ###
-
374 203012353 21,021 ###
-
375 203012365 14,459 ###
-
376 C083F1504 5,980 ###
-
Strip Glukos
377 753213 4,400 ###
-
10 TABLET)
378 5EA03053 655 ###
-
379 1AF022 18,150 ###
-
380 F10306502 71,299 ###
-
381 290210124 71,299 ###
-
382 1311213 69,993 ###
-
383 130415D 69,993 ###
-
384 4507474 409 9,410 200 4360 4,850
###
385 6D0336 1,265 ###
-
386 160481 181 ###
-
387 160821 331 ###
-
388 152601 440 ###
-
389 152471 2,680 ###
-
390 infusanak 85,800 ###
-
391 infusdewas 101 ###
-
392 95 500 500 ###
-
URINE BAG
393 31073 4,795 ###
-
URINE BAG
394 3,150 ###
-
395 12015 61,996 ###
-
396 59,950 40 40 ###
-
397 R23691703 28,204 ###
-
398 R23681704 20,900 ###
-
399 PK9990 17,996 ###
-
400 85395029 16,995 10 10 ###
-
401 G16E27208 14,498 ###
-
VAKSIN PCV
190,657 - ###
-
ML)
402 F140651B 4,000 ###
-
403 250111 331 ###
-
404 305 ###
-
405 352 ###
-
406 403604 135 800 13,600 3,800 6400 4,200
###
407 406606 88 ###
-
408 406606 94 ###
-
409 402608 1,067 ###
-
410 401606 150 ###
-
411 141 ###
-
412 C1550139 6,500 ###
-
413 A809DK011 7,630 ###
-
7,150 ###
-
414 1041688 1,506 ###
-
415 1605035 1,540 ###
-
416 1606-09-52 1,540 ###
-
417 1310009 41,600 ###
-
418 F10346406 177,216 ###
-
419 213 604 2,000 200 800 1,000
###
420 524 ###
-
421 16,478 ###
-
422 160577 3,285 ###
-
423 20051588 85,345 ###
-
Asiklovir 5%
424 037G5240 2,367 ###
-
425 2501615 80,000 ###
-
Betadine kumur
426 3652615 12,500 ###
-
427 400116 65,000 ###
-

428 413915 3,220 ###
-
Combiven Nebul
429 200515 12,252 ###
-

430 FV0425 680 ###
-

431 YW0514 8,000 ###
-
432 093056W 4,121 ###
-
Furosemid tab 40 mg
433 D60462T 84 ###
-
Furosemid tab 40 mg
434 1212016 79 ###
-
435 3,355 ###
-

436 1202008 37,433 ###
-
Ketorolac inj 10 mg
437 23602608 2,665 ###
-
438 2410018 138 ###
-
439 160604 55,248 ###
-
Morpin inj 10 mg/ml
440 15022015 11,549 ###
-
441 15022015 365 ###
-
442 wingneedle 7,150 ###
-
Fonflu syr
443 SB2699 11,190 ###
-
Fonflu tab
444 LAEZ 619 ###
-
445 95496029 1,275 ###
-
446 1503020 4,500 ###
-
447 E6E649 40,202 ###
-
448 15,386 ###
-
Primaquin 15mg
449 258 ###
-
450 - ###
-
Propiltiourasil
451 351 ###
-
Pularex
220
452 ###
-
Rifampisin 450mg
453 624 ###
-
Salbutamol 2 mg
64
454 ###
-

455 ###
-

456 14,750 ###
-
Trifluoperazin 5 mg
457 445 ###
-
458 6,281 ###
-
848
459 ###
-
Bisturi no.12
460 98,000 ###
-
Bisturi no.15
461 7,500 ###
-
Kasa P.Elastis 4x15
462 21,840 ###
-
Nald no.25
463 15,125 ###
-
464 6,071 ###
-
Pembalut gips uk 4
465 3,500 ###
-
Pembalut gips uk 6
466 1,957 ###
-
Selang o2 anak
467 5,040 ###
-

468 2,200 ###
-
Wing needle no.21
469 500 ###
-
Nelaton Fr no.10
470 8,351 ###
-
Nelaton Fr no.12
471 8,351 ###
-
472 4,004 ###
-
473 28,779 ###
-
474 Cefadroxil 500 mg 557 ###

-
475 Gentian violet 1,420 ###
-
476 Rapid test SD HBsAg WB 9,870 ###
-
477 DIPSAMOL INHALER 41,250 ###
-
478 Cat Gut Chromic 3-0 (70c x 19m)C 32,934 ###
-
479 Cat Gut Chromic 3-0 (90c x 37m)C 41,205 ###
-
480 NySTATIN TABLET 500.000 IU(10 STRIP a 10 TABLET) 910 ###
-
481 Asam Valproat 250mg/5ml 17,789 ###
-
482 Cardura 3,395 ###
-
483 Obucort Swinghaler 94,455 ###
-
484 Patanol 0,1 % 72,500 ###
-
485 Onmed alkohol 70% 1 L 27,500 ###
-
486 ALKOHOL 95% 9,279 ###
-
487 Betablok 50 mg 310 ###
-
488 Skizon cream 5g 3,388 ###
-
489 interzinc syrup 60 ml 6,600 ###
-
490 indoreagen Rees Ecker 500 ml 214,520 ###
-
491 Indoreagen Turk 500 ml 81,045 ###
-
492 Phytomenadion inj 2 mg/ml 4,236 - ###
-
Phytomenadion inj 2 mg/ml 1,452 ###
-
493 Erytromicin 500 mg 781 ###
-
494 Magnesium Sulfat 40% 3,796 ###
-
495 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 ###
-
496 Strip Asam urat Autochek 3,881 ###
-
497 Strip Cholesterol Autochek 15,164 ###
-
498 Benechek Plus Uric Acid 5,313 ###
-
499 Benechek Plus Glucose 3,142 ###
-
500 Benechek Plus Total Cholestrol 25,238 ###
-
-
502 Remidi alkohol swab 128 ###
-
503 Serenity Nasal 02 Canulla Infant 4,300 ###
-
-
505 Serenity Mucus Ext Wkt 35 FR 10-25 ml 7,245 ###
-
506 Serenity silk 3/0 4,256 ###
-
507 Serenity Silk 2/0 4,256 ###
-
508 Serenity silk 3/0 4,157 ###
-
509 Serenity Silk 2/0 4,157 ###
-
510 Remidi exam Glove Gynecolog No 6,5 (P) 18,270 ###
-
511 Remidi exam Glove Gynecolog No 7 (P) 18,270 ###
-
-
513 Decacetine Tetes mata 3,850 ###
-
514 Cholestrol FS 961,376 ###
-
515 Glucosa GOD Fs 381,584 ###
-
516 Triglycerid FS 10' Version 1,573,963 ###
-
517 Uric Acid Fs TBHBA 149,342 ###
-
518 Dietilkarbamazin 100 mg 192 ###
-
519 Biosat 130,999 ###
-
520 Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040 ###
-
521 Sianokobalamin ( vit B12) 44 5,000 1100 3,900
###
522 Sianokobalamin ( vit B12) 49 ###
-
523 Carestar malaria HRP 2 6,476 ###
-
-
525 Bisakodil 5 mg 316 ###
-
526 Metronidazol 250 mg 94 ###
-
527 Diluen 20 L Mindray 3 Diff M-30 1,164,625 ###
-
528 Rinse 20 L Mindray M-30 Barcode 1,220,120 ###
-
529 Multi Drug Panel 25 S Answer 37,009 ###
-
530 Blue Tip OM 500 S 146 ###
-
531 Yellow Tips Dragon 1000 S 207 ###
-
532 Trucal U 1,549,779 ###
-
533 Ventolin Rotahaler (alat hirup salbutamol) 6,550 ###
-
534 klorpromazine 5mg/ml 1,735 ###
-
535 Vitamin A Kapsul 200.000 IU 596 ###
-
-
537 onmed USG 250 ml 13,214 ###
-
538 ONEMED USG 250 ML 13,213 ###
-
539 Alkazyme 25 mg 801,000 ###
-
540 Alkacid 1 L 2,702,700 ###
-
541 Trulab 2,254,214 ###
-
542 Vaksin MR 10 Ds 155,813 40 40 ###
-
543 Onmed water one 1 L 16,306 ###
-
544 Umbilical Cord Cleam 1,417 ###
-
545 Farnomin Tab 297 ###
-
546 Decafil 145 ###
-
547 Tensidox 2,064 ###
-
548 Lysol 1 L 44,690 ###
-
549 Lyse M30 500 ml 1,375,000 ###
-
550 Probe cleanser M30 17 ml 97,625 ###
-
551 Terumo Agani needle 25 347 ###
-
552 Ampicillin inj 9,473 ###
-
553 Oksitetrasiklin 1 % Salep mata 2,774 ###
-
-
555 Euthyrox 735 ###
-
556 Masker oksigen dewasa 10,150 10 ###
10
557 Masker oksigen anak 10,150 20 ###
20
558 Hidrogen Piroksida 33,034 ###
-
559 Rapid HIV 11,975 ###
-
560 Calcium glukonat 6,255 ###
-
561 Alprazolam 0.5 mg 108 ###
-
562 IV Catheter no 26 11,700 ###
-
563 Gynosurge S (6.5) 40,733 ###
-
564 Gynosurge M (7.5) 40,733 ###
-
565 Gynosurge S (8.5) 40,733 ###
-
566 Masker oksigen Pediatric 10,150 ###
-
567 Tetagam 188,663 ###
-
568 Metronidazol suspensi 125 mg/5ml 3,950 ###
-
569 Hidrogen piroksidA 3,528 ###
-
570 sarung tangan steril 8.0 3,465 ###
-
571 Hemoglobin Strip 50 tes mission 412,000 ###
-
-
573 Fluoksetin 20 mg 225 ###
-
574 Kasa Hidrofil 3y x 10 cm 1,491 ###
-
575 Masker oksigen Dewasa 1,491 ###
-
576 spinal Needle 25 G x 90 mm with guide needle 30,398 ###
-
-
578 Parasetamol drop 60 mg/ 0.6 ml 7,646 ###
-
579 Rapid HIV@ 25 11,975 ###
-
580 Rapid HIV@ 30 26,060 ###
-
581 Trepocek/Rapid tes spilis 10,645 ###
-
582 MB Dewasa 41,784 6 6 ###
-
583 Diagnostar HIV 15,026 ###
-
584 KHB diagnostic HIV 12,500 ###
-
585 Verorab 150,000 ###
-
586 Hepatitis B imune globulin 1,325,000 ###
-
587 Fyrom international O2 portable 6,363,906 ###
-
588 Mineral mix 2,920 ###
-
589 BISTURI BLADE No 15 JKN 126,500 ###
-
-
591 Sendok Obat( dana jkn ) 499 ###
-
-
593 Pipet Obat( dana jkn ) 6,600 ###
-
594 Pot Sputum 2,354 400 400 ###
-
595 REAGEN ZN 250,333 ###
-
596 KACA SLIDE 22,097 ###
-
597 TOPI OPERASI REMIDI 1,408 ###
-
598 GEA NON REBREATING MASK CHILD 17,050 ###
-
599 GEA NEBULIZER MASK WITH CHAMBER ADULT 14,000 ###
-
600 GEA NEBULIZER MASK WITH CHAMBER CHILD 14,000 ###
-
601 ONEMED MEDICREPE 3 " JKN 20,535 ###
-
602 LACTULOSA SYRUP 15,060 ###
-
603 CHLORAMPHENICOL TETES MATA 8,480 ###
-
604 CHLORAMPHENICOL TETES TELINGA 9,223 ###
-
605 NYSTATIN DROP 21,529 ###
-
606 CLINDAMYCIN 150 MG 803 ###
-
607 SERUM ANTI BISA ULAR ABU I INJ 512,204 ###
-
608 OBAT BATUK HITAM 3,500 ###
-
609 HIOSINA BUTILBROMIDA(SCOPMA) 1,110 ###
-
610 FOLLEY CATHETER 2 WAY NO 16 JKN 14,520 ###
-
611 STOMACH TUBE 12 TERUMO 31,350 ###
-
-
-
-
615 MULTIVITAMIN 585 ###
-
616 ASAM ASKORBAT 500 mg 198 ###
-
617 SALBULIN 33,294 ###
-
618 BISTURI NO 12 2,990 ###
-
619 BISTURI NO 11 2,948 195 30 165
###
620 FARBIVENT 2,5 ML 3,916 ###
-
621 ONEMED ALKOHOL 70% 1 Lt jkn 33,000 ###
-
622 ONEMED ALKOHOL SWAB 13,799 ###
-
623 ONEMED POVIDONE IODINE 60CC 5,412 ###
-
624 OCTADIN 0,1% SPRAY 33,000 ###
-
625 LARVAGO 33,000 ###
-
626 ADS 0,5ML 1,165 ###
-
627 ADS 0,5ML 1,240 ###
-
628 ADS 0,3 ML 1,255 ###
-
629 ADS 3 ML 569 ###
-
630 ALKOHOL SWAB PROPINSI 110 ###
-
631 ALKOHOL SWAB Vaksin 79 ###
-
632 SAFETY BOX 5L COVID19 14,000 ###
-
633 PELARUT PFIZER 3,280 ###
-
634 VAKSIN PFIZER 6 DS - ###
-
635 VAKSIN MODERNA 14 DOSIS - ###
-
636 VAKSIN SINOVAC 2 DOSIS - ###
-
637 VAKSIN SINOPHARM 2 DOSIS - ###
-
638 Favipiravir 14,850 ###
-
639 SWAB TEST ANTIGEN P2P - ###
-
640 ASTRAZENECA 10 DS 581,607 ###
-
641 FACESHIELD PLASTIK 14,700 ###
-
642 SARUNG TANGAN (KBKR) 6,900 ###
-
643 MASKER MEDIS JSP (KBKR) 30,500 ###
-
644 HAZMAT (KBKR) 136,000 ###
-
645 AMOXICILIN DROP 100ml 10,834 ###
-
-
647 Multivitamin (Prov) 549 ###
-
648 MASKER N95 - ###
-
649 MILRUB ANTISEPTIC 63,000 ###
-
650 VAKSIN COVOVAX 10ds 1,157,525 ###
-
651 SPEKULUM M 4,000 ###
-
652 IV CATHETER NO 20 JKN 24,420 ###
-
653 IV CATHETER NO 22 JKN 24,420 ###
-
654 BD Needle no 24 JKN 786 ###
-
-
-
657 BENECHEK GLUCOSA JKN 3718 ###
-
658 BENECHEK ASAM URAT JKN 3454 ###
-
659 PHYTOMENADION 10 MG JKN 1,221 ###
-
660 MINI PIL 4,017 ###
-
661 SUSUK KB II TIGA BULANAN 172,485 ###
-
662 NATRIUM DIKLOFENAK 205 ###
-
663 LIDOCAIN INJEKSI 891 ###
-
664 IODINE POVIDONE KB 60 ML 8,045 ###
-
665 DERMAFIX 4,212 ###
-
666 DUK PELUBANG IMPLAN 6,863 ###
-
667 MASKER KB 1,108 ###
-
668 SARUNG TANGAN KB 4,645 ###
-
669 ADS IMPLAN 818 ###
-
670 FORM. K/I/KB 400 ###
-
671 FORM. K/IV/KB 750 ###
-
672 ADS 0,05ML 1,460 100 100 ###
-
673 SUNTIK KB 1CC 3 BULAN 4,825 ###
-
674 PIL KOMBINASI 1,153 ###
-
675 IUD COPPER T 11,800 ###
-
676 KONDOM 123,910 ###
-
677 AUTO DISPOSIBLE SUNTIK 818 ###
-
678 ASAM MEFENAMAT KB 1,170 ###
-
-
680 DERMAFIX 3,850 ###
-
681 PB DEWASA 15,014 ###
-
-
683 MASKER KB 960 ###
-
684 ADS IMPLAN 1,138 ###
-
685 FORM INFORMED CONSENT 1,000 ###
-
686 TETRAKAIN TETES MATA 0,5% 13,991 ###
-
687 INDEC HIV 1/2 & SYPHILIS COMBO 19,381 ###
-
688 SURGICAL FACE MASK (MALARIA) 379 ###
-
689 DISPOSIBLE NITRILE EXM GLOVE (MALARIA) 216 ###
-
690 GIEMSA 875,065 ###
-
691 ALTOSID 1,3 G(DINKES) 1,269,000 ###
-
692 VIROTEC DENGUE COMBO 45,523 ###
-
693 IODIUM TEST 34,000 ###
-
694 CHRONALIFE BANDAGE CREPE 3" 48,500.00 ###
-
695 ADS 5 ML 1,500.00 ###
-
696 VAKSIN PCV 190,657.00 ###
-
697 ASEPTAN 500ML PROPINSI 52,000.00 ###
-
698 FACE SHILD PROPINSI 185,000.00 ###
-
699 MASKER 3 PLY PROPINSI 2,290.00 ###
-
700 SARUNG TANGAN PROPINSI 3,375.00 ###
-
701 ALLOPURINOL 100 MG PIM 222.00 ###
-
702 ANTASIDA DOEN TAB ERELA 162.06 ###
-
703 CIPROFLOXACIN 500MG PROMED 788.10 ###
-
704 CTM STRIP 24 KTK 994.37 ###
-
705 BETAHISTIN6 MG 30'S 991.60 ###
-
706 ERLAMICETIN SALEP MATA 10,545.00 ###
-
707 LORATADINE 10 MG NOVA 290.82 ###
-
708 RECO TETES MATA 9,435.00 ###
-
709 GLIBENCLAMIDE 5 MG FM 176.82 ###
-
710 METFORMIN 500 MG SHJ 233.10 ###
-
711 METFORMIN 850 MG DEXA 604.95 ###
-
712 NIFEDIPINE 10 MG DEXA 222.00 ###
-
713 PHYTOMENADION 10 MG KF 1,332.00 ###
-
714 ACICLOVIR CREAM KF 3,864.68 ###
-
715 NEEDLE 25 TERUMO 1,221.00 ###
-
716 ONEMED USG GEL 250ML 19,375.00 ###
-
717 KERTAS PUYER KECIL 100'S 41,070.00 ###
-
718 MASKER KB PENGADAAN 60,000.00 ###
-
719 SARUNG TANGAN KB PENGADAAN 7,200.00 ###
-
720 OAT KDT DOSIS HARIAN 409,461.00 3 3 ###
-
721 PLESTER ROL 10cm x 5cm 45,496.00 ###
-
722 RDT VIROTEC DENGUE COMBO 45,360.00 20 20 ###
-
721 IODIUM TEST 34,000 ###
-
722 ALAT (GPT) FS 1,083,400 ###
-
723 ALAT (GOT) FS 1,083,400 ###
-
721 BTI Larvasida 64,691 ###
-
721 ONEMED VACUM BLOOD TUBE EDTA K3 3ML 98,560.00 ###
-
723 ###
-
JUMLAH ###

MARGARITHA SUSTANTI, A.MD., KEB. APT. NURLITA, S.FARM APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19890228 201101 2 006 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : MEI/JUNI
DATA OBAT
Pengeluaran Juni 2023
No. Stock
Mei 2023
Penerimaan Juni
2023 Distribusi Distribusi ke Exipre Date /
Sisa Stok Per 30
Juni 2023
Optimum
1 Cavit G() 162,800 - -

2 440 -
3 412 -
2 236 -
2 454 -
3 425 - -
4 68 -
3 4,600 -
3 463 -
4 2,625 -
5 25,595 19 7 1 11
4 242 -
4 99 -
5 378 - -
ALLOPURINOL TABLET 300 MG(DUS, 10 STRIP @ 10 TABLET) PROPINSI
6 536 -
5 239 -
5 3,071 -
6 86 -
7 97 -
SALUT SELAPUT)
6 158 100 100
6 95 - 10,000 3,100 3900 0 3,000
7 74 6,850 11,000 2,950 2400 12,500
8 196 -
7 647 - 1,500 1500 -
7 233 - - -
8 2,560 - 100 50 50
9 2,098 -
KUNYAH)
8 60 -
KUNYAH)
8 56 -
9 1,350 -
10 3,637 20 5 15
9 5,170 -
SUPPOSITORIA)
9 3,642 -
10 2,860 -
11 25,490 -
ML)
10 42,900 -
10 144 2,000 2000 0 -
11 120 1,000 700 300 -
12 86 -
11 81 2,800 - - 1000 1,800
11 175 -
12 103 -
13 36,225 -
12 1,815 -
12 81 -
13 83,500 -
14 7,700 -
13 5,000 -
13 1,071 -
14 864 -
15 1,520 -
14 3,350 50 50 20 20 60
14 695 -
ML (20 DOSIS))
15 19,954 30 30 -
BLOOD LANCET()
16 153 -
15 310 -
15 3,794 52 48 5 10 85
16 20,700 13 5 6 12
17 63 -
16 59 1,200 5,000 2,600 2700 900
16 69 -
17 65 10,600 - 500 500 9,600
18 80 1,100 5,000 600 100 5,400
17 143 -
17 250 -
18 30,334 -
19 41,154 -
18 23,400 -
18 48,380 -
19 29,900 -
20 30,043 -
19 26,667 -
19 24,584 -
CATHEJELL()
20 49,186 -
21 3,500 -
20 429,000 -
20 462,000 -
21 115 -
22 2,993 -
21 329 -
21 2,054 -
22 1,925 -
23 94 -
22 26 -
CHLORPHENIRAMINE (CTM)TABLET 4 MG
22 51 2,000 5,000 - 900 6,100
23 1,531 -
24 583 -
23 75 -
23 106 -
24 281 -
25 594 -
24 967 -
24 201 -
25 5,000 -
26 1,550 -
25 657 -
25 880 -
26 1,210 -
27 4,550 -
26 133 -
26 131 1,300 1,000 200 2,100
27 299 200 200
28 2,190 -
27 2,052 -
27 5,520 -
28 14,689 30 1 29
29 65,000 -
28 286,000 -
28 75 -
29 1,210 -
30 2,160 -
29 1,900 -
29 1,913 -
30 28 -
31 108 -
30 134 -
30 104 -
31 136 -
Diluent 20L()
32 1,980,000 -
31 129 -
31 121 100 200 300 -
32 1,262 -
33 1,332 30 30 -
32 2,862 -
32 96 -
33 90 100 100 -
34 17,100 -
33 280 -
33 264 -
34 5,900 -
35 6,000 -
34 68 -
34 1,518 -
35 212 -
36 636 400 1,000 1,000 400 -
35 6,461 -
35 543 -
36 23,101 -
EZ CLEANER()
37 665,500 -
SELAPUT)
36 124 -
36 3,950 -
37 6,244 -
38 6,244 -
37 30,000 -
37 8,000 -
38 43,710 -
39 8,000 -
38 8,000 -
38 10,070 -
39 8,000 -
40 43,710 -
39 43,710 1 1
39 43,710 3 3
40 43,710 6 6
41 43,710 9 9
40 30,000 -
40 32,500 -
41 32,500 -
42 32,500 -
41 462 -
41 990,000 -
42 1,555 -
43 318 -
42 478,500 -
42 137 -
43 174 -
44 207 -
43 3,000 -
43 8,003 -
44 6,900 -
45 223 -
44 97,500 -
44 55 -
45 74 -
46 60 -
45 96 -
45 708,000 -
KAPSUL)
46 4,290 -
47 2,533 -
46 178 -
46 2,678 -
47 4,949 -
48 112 400 200 0 200
47 215 1,000 2,000 1,000 1500 500
47 39,468 -
48 325,197 -
49 58,950 -
@ 3 ML)
48 85,000 -
48 40,202 -
49 19,800 -
50 3,190 -
49 125,444 -
49 85 -
50 182 -
TABLET SUBLINGUAL)
51 89 -
50 14,625 -
50 14,625 -
51 5,348 -
52 14,625 -
51 14,625 -
51 1,666 -
52 1,666 -
53 1,666 -
52 1,666 -
52 209,000 -
53 28,644 -
250 GRAM)
54 25,200 -
53 440 -
MEDIKASA)
53 115,500 6 1 5
MEDIKASA)
54 560 -
MEDIKASA)
55 407 1,008 480 480 1,008
54 1,155 -
54 2,415 -
55 110,000 -
56 305 -
55 286 -
55 3,135 -
56 460 -
57 329 -
56 5,319 -
56 4,982 -
57 115,500 -
Lancing Device()
58 86,336 -
57 12,450 -
57 2,461 -
58 20,000 -
59 10,500 -
58 38,000 -
LEUKOPLAST(1X5)
58 12,675 -
LEUKOPLAST(3X5)
59 35,532 -
60 1,035 -
59 2,900 -
59 1,403 -
60 1,315 128 10 40 78
61 2,122 - -
60 6,250 78 78
SELAPUT)
60 115 -
61 85 -
62 127 -
61 3,650 -
61 3,328 -
62 4,120 -
63 420 -
62 - -
62 434 -
63 613 1,000 1,000
64 613 1,000 1,000
63 1,100 -
63 1,180 -
64 1,180 -
65 613 100 100 -
64 3,887 -
64 248 -
65 9,150 -
66 348 -
65 234 -
65 167 -
66 109 -
67 102 -
66 192 -
66 3,278 -
67 258 -
68 89 -
67 83 400 400
67 124 -
68 8,250 -
69 140 100 100 -
68 3,926 120 48 24 144
68 1,980,000 -
ENTERIK)
69 90 -
70 224,400 3 3 -
69 100,000 -
69 142 2,800 - 1,500 1300 -
70 320 -
71 136 700 4,800 600 4,900
70 6,840 41 20 21
70 4,121 -
71 19,600 -
72 4,400 -
71 149 -
SELAPUT)
71 120 -
72 1,485 -
73 645 -
72 688 -
72 147 -
73 138 - 2,000 1,000 1000 -
ML)
74 11,868 - -
73 71,235 -
73 95,635 -
74 71,235 -
75 117,195 -
74 1,240 500 500
74 647 500 500
75 933 -
76 1,550 -
75 1,194 -
75 - 1,000 1000 -
76 825 -
77 1,230 -
76 3,550 -
76 20,000 -
77 153,736 20 20 -
78 281 -
77 273 900 100 800
77 3,675 -
78 3,024 -
79 3,520 -
78 1,232 -
78 447,747 -
79 1,592,726 -
80 285,339 -
79 183,984 -
79 11,500 -
80 5,960 -
81 60 4,900 2,300 2600 -
80 3,200 -
80 1,160 50 20 30 -
81 78,991 60 60 -
82 15,950 -
81 30,000 -
81 27,000 -
HYPAFIX 10 CM X 5 M
82 45,496 14 14
HYPAFIX 5 CM X 5 M
83 26,635 6 - 0 6
82 1,700 -
82 242 -
83 197 -
84 2,500 -
83 142 -
83 158 -
84 4,167 - -
85 818 -
84 4,070 -
84 79 -
85 74 100 100
SALUT SELAPUT)
86 1,815 -
85 59 100 100
85 114 -
86 11,791 -
87 11,050 -
86 354 -
86 332 -
87 233 -
88 1,030 -
PYRIDOXINE 10 MG TABLET
87 141 6,000 1000 5,000
87 1,454 -
SALUT SELAPUT)
88 110 - -
89 97 -
88 834 -
SALUT SELAPUT)
88 863 -
SELAPUT)
89 1,008 -
90 2,178 -
89 434 -
89 4,446 -
90 77 -
91 3,219 -
90 6,985 -
90 3,465 -
91 4,935 60 60
92 3,465 -
91 4,935 80 80
91 3,465 -
92 3,645 30 30
93 12,155 -
92 214,500 -
92 59,800 -
93 117 -
94 110 -
93 150 - -
93 225 - 5,000 2,050 1050 1,900
94 184 -
95 347 -
94 347 -
94 1,000 -
95 212 -
96 2,241,000 -
95 473,000 -
95 5,134,000 -
96 4,730,000 -
97 3,940 23 23
96 3,600 -
96 3,800 -
97 3,800 -
98 21,021 -
97 14,459 -
97 5,980 -
Strip Glukosa Autocheck
98 5,505 500 500 -
10 TABLET)
99 655 -
98 18,150 -
98 71,299 -
99 71,299 -
100 69,993 -
99 69,993 -
99 409 4,850 5,010 1,380 3290 5,190
100 1,265 -
101 181 -
100 331 -
100 440 -
101 2,680 -
102 85,800 -
101 101 -
101 95 -
URINE BAG
102 4,795 -
URINE BAG
103 3,150 -
102 61,996 -
102 59,950 10 10
103 28,204 -
104 20,900 -
103 17,996 -
103 16,995 -
104 14,498 -
ML)
105 4,000 -
104 331 -
104 305 -
105 352 -
106 135 4,200 10,000 5,000 4700 4,500
105 88 -
105 94 -
106 1,067 -
107 150 -
106 141 6,000 6,000
106 6,500 -
107 7,630 -
108 7,150 -
107 1,506 -
107 1,540 -
108 1,540 -
109 41,600 -
108 177,216 -
108 604 1,000 400 600
109 524 -
110 16,478 -
109 3,285 -
109 85,345 -
Asiklovir 5%
110 2,367 -
111 80,000 -
Betadine kumur
110 12,500 -
110 65,000 -

111 3,220 -
Combiven Nebul
112 12,252 -

111 680 -

111 8,000 -
112 4,121 -
Furosemid tab 40 mg
113 84 -
Furosemid tab 40 mg
112 79 -
112 3,355 -

113 37,433 -
Ketorolac inj 10 mg
114 2,665 -
113 138 -
113 55,248 -
Morpin inj 10 mg/ml
114 11,549 -
115 365 -
114 7,150 -
Fonflu syr
114 11,190 -
Fonflu tab
115 619 -
116 1,275 -
115 4,500 -
115 40,202 -
116 15,386 -
Primaquin 15mg
117 258 -
116 - -
Propiltiourasil
116 351 -
Pularex
220
117 -
Rifampisin 450mg
118 624 -
Salbutamol 2 mg
64
117 -

117 -

118 14,750 -
Trifluoperazin 5 mg
119 445 -
118 6,281 -
848
118 -
Bisturi no.12
119 98,000 -
Bisturi no.15
120 7,500 -
Kasa P.Elastis 4x15
119 21,840 -
Nald no.25
119 15,125 -
120 6,071 -
Pembalut gips uk 4
121 3,500 -
Pembalut gips uk 6
120 1,957 -
Selang o2 anak
120 5,040 -

121 2,200 -
Wing needle no.21
122 500 -
Nelaton Fr no.10
121 8,351 -
Nelaton Fr no.12
121 8,351 -
122 4,004 -
123 28,779 -

123 Rapid test SD HBsAg WB 9,870 100 100
124 Cardura 3,395 -
125 Patanol 0,1 % 72,500 -
126 Onmed alkohol 70% 1 L 27,500 -
125 ALKOHOL 95% 9,279 -
127 Phytomenadion inj 2 mg/ml 4,236 - 30 30
128 Magnesium Sulfat 40% PROPINSI 4,700 -
129 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 - 300 300
128 Strip Asam urat Autochek 3,881 - 500 500 -
128 Strip Cholesterol Autochek 15,164 - 250 250 -
130 Remidi alkohol swab 128 -
133 Cholestrol FS 617,200 4 4
134 Glucosa GOD Fs 381,584 4 4
133 Triglycerid FS 10' Version 905,800 4 4
135 Biosat 130,999 -
134 Sianokobalamin ( vit B12) 44 3,900 1,900 800 1,200
135 RDT COMBO MALARIA (FIRST REONSE) 15,800 10 10
137 Blue Tip OM 500 S 146 -
137 Trucal U 1,549,779 -
138 onmed USG 250 ml 13,214 -
139 ONEMED USG 250 ML 13,213 -
140 Alkazyme 25 mg 801,000 -
139 Alkacid 1 L 2,702,700 -
139 Trulab 2,254,214 -
140 Vaksin MR 10 Ds 155,813 25 25
141 Decafil 145 -
141 Lysol 1 L 44,690 -
141 Lyse M30 500 ml 1,375,000 -
144 Euthyrox 735 -
145 Rapid HIV 11,975 50 50
146 Gynosurge S (6.5) 40,733 -
145 Gynosurge M (7.5) 40,733 -
145 Gynosurge S (8.5) 40,733 -
147 Tetagam 188,663 -
150 Rapid HIV@ 25 11,975 -
149 Rapid HIV@ 30 26,060 -
150 MB Dewasa 41,784 -
150 Verorab 150,000 -
151 Rabivax-S Vaksin 154,880 75 75
152 Pelarut @jarum disposible rabivax - 75 75
153 REAGEN ZN 250,333 -
154 KACA SLIDE 22,097 -
156 CHLORAMPHENICOL TETES TELINGA 9,223 -
160 SALBULIN 33,294 -
159 BISTURI NO 12 2,990 -
159 BISTURI NO 11 2,948 165 165
160 FARBIVENT 2,5 ML 3,916 -
161 OCTADIN 0,1% SPRAY 33,000 -
162 LARVAGO 33,000 -
161 ADS 0,5ML 1,165 -
161 ADS 0,5ML 1,240 -
162 ADS 0,3 ML 1,255 -
163 ADS 3 ML 569 -
166 HAZMAT (KBKR) 136,000 -
167 MASKER N95 - -
170 BENECHEK GLUCOSA JKN 3718 -
169 BENECHEK ASAM URAT JKN 3454 -
170 MINI PIL 4,017 -
171 MASKER KB 1,108 -
172 FORM. K/I/KB 400 -
172 FORM. K/IV/KB 750 -
173 ADS 0,05ML 1,460 100 100
174 KONDOM 123,910 -
176 PB DEWASA 15,014 -
175 MASKER KB 960 -
177 GIEMSA 875,065 -
177 ALTOSID 1,3 G(DINKES) 1,269,000 -
178 ADS 5 ML 1,500.00 -
179 VAKSIN PCV 190,657.00 -
179 MASKER 3 PLY PROVINSI 2,290.00 50 50
181 CTM STRIP 24 KTK 994.37 -
183 NEEDLE 25 TERUMO 1,221.00 -
184 ONEMED USG GEL 250ML 19,375.00 -
184 MASKER KB PENGADAAN 60,000.00 -
184 SARUNG TANGAN KB PENGADAAN 7,200.00 -
185 OAT KDT DOSIS HARIAN 409,461.00 -
186 PLESTER ROL 10cm x 5cm 45,496.00 -
185 RDT VIROTEC DENGUE COMBO 45,360.00 -
186 ALAT (GPT) FS 1,083,400 -
187 ALAT (GOT) FS 1,083,400 -
186 BTI Larvasida 64,691 -
186 ONEMED VACUM BLOOD TUBE EDTA K3 3ML 98,560.00 7 7
187 -
JUMLAH

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : JUNI/JULI
DATA OBAT
Pengeluaran Juli 2023
No. Stock
Juni 2023
Penerimaan Juli
2023 Distribusi Distribusi ke Exipre Date /
Sisa Stok Per 31
Juli 2023
Optimum
Pemakaian
1 Cavit G() 162,800 -

2 440 -
3 412 -
2 519 - -
3 425 - 1,000 200 300 500
4 425 -
3 68 -
4 4,600 -
5 463 -
4 2,625 -
5 25,595 11 1 2 8
6 242 -
5 99 -
6 200 -
7 536 -
6 239 -
7 3,071 -
8 86 -
7 97 -
SALUT SELAPUT)
8 158 -
9 95 3,000 5,000 2400 5,600
8 74 12,500 11,000 14,000 4000 5,500
9 196 -
10 490 - 10,000 600 9,400
9 647 - - -
10 233 -
11 2,560 50 200 50 200
10 2,098 -
KUNYAH)
11 60 -
KUNYAH)
12 56 -
11 1,350 -
12 3,637 15 10 5 -
13 5,170 -
SUPPOSITORIA)
12 3,642 -
13 2,860 -
14 25,490 -
ML)
13 42,900 -
14 144 - -
15 120 - 6,000 6,000
14 86 -
15 81 1,800 3,000 800 1500 2,500
16 175 -
15 103 -
16 36,225 -
17 1,815 -
16 81 -
17 83,500 -
18 7,700 -
17 5,000 -
18 1,071 -
19 864 -
18 1,520 -
19 3,350 60 25 4 28 53
20 695 -
ML (20 DOSIS))
19 19,954 40 40 -
BLOOD LANCET()
20 153 -
21 310 -
20 3,794 85 48 45 40 48
21 20,700 12 12
22 63 -
21 59 900 10,000 2,200 3900 4,800
22 69 -
23 65 9,600 5,000 1,200 600 12,800
22 80 5,400 500 500 4,400
23 143 -
24 250 -
23 30,334 -
24 41,154 -
25 23,400 -
24 48,380 -
25 29,900 -
26 30,043 -
25 26,667 -
26 24,584 -
CATHEJELL()
27 49,186 -
26 3,500 -
27 429,000 -
28 462,000 -
27 115 -
28 2,993 -
29 329 -
28 2,054 -
29 1,925 -
30 94 -
29 26 -
30 51 6,100 5,000 11,100
31 51 - -
30 1,531 -
31 583 -
32 75 -
31 106 -
32 281 -
33 594 -
32 967 -
33 201 -
34 5,000 -
33 1,550 -
34 657 -
35 880 -
34 1,210 -
35 4,550 -
36 133 -
35 131 2,100 1,000 400 800 1,900
36 299 200 1,000 200 1,000
37 2,190 -
36 2,052 -
37 5,520 -
38 14,689 29 29
37 65,000 -
38 286,000 -
39 75 -
38 1,210 20 2 18
39 2,160 -
40 1,900 -
39 1,913 -
40 28 -
41 108 -
40 134 -
41 104 -
42 136 -
Diluent 20L()
41 1,980,000 -
42 129 -
43 121 - 2,000 1800 200
42 1,262 -
43 1,332 60 2 58
44 2,862 -
43 96 -
44 90 - 2,000 500 1,500
45 17,100 -
44 280 -
45 264 -
46 5,900 -
45 6,000 -
46 68 -
47 1,518 20 20 -
46 212 -
47 636 - 1,000 200 100 700
48 6,461 -
47 543 -
48 23,101 -
EZ CLEANER()
49 665,500 -
SELAPUT)
48 124 -
49 3,950 -
50 6,244 -
49 6,244 -
50 30,000 -
51 8,000 -
50 43,710 -
51 8,000 -
52 8,000 -
51 10,070 -
52 8,000 -
53 43,710 -
52 43,710 1 1
53 43,710 3 1 2
54 43,710 6 6
53 43,710 9 9
54 30,000 -
55 32,500 -
54 32,500 -
55 32,500 -
56 462 -
55 990,000 -
56 1,555 -
57 318 -
56 478,500 -
57 137 -
58 120 1,000 500 500
57 207 -
58 3,000 -
59 8,003 -
58 6,900 -
59 223 -
60 97,500 -
59 55 -
60 74 -
61 60 -
60 96 -
61 708,000 -
KAPSUL)
62 4,290 -
61 2,533 - 96 96
62 178 -
63 170 -
62 2,678 -
63 4,949 -
64 112 200 200 -
63 215 500 5,000 1,300 2800 1,400
64 39,468 -
65 325,197 -
64 58,950 -
@ 3 ML)
65 85,000 -
66 40,202 -
65 19,800 -
66 3,190 -
67 125,444 -
66 85 -
67 182 -
TABLET SUBLINGUAL)
68 89 -
67 14,625 -
68 14,625 -
69 5,348 -
68 14,625 -
69 14,625 -
70 1,666 -
69 1,666 -
70 1,666 -
71 1,666 -
70 209,000 -
71 28,644 -
250 GRAM)
72 25,200 -
71 440 -
MEDIKASA)
72 115,500 5 1 4
MEDIKASA)
73 560 -
MEDIKASA)
72 407 1,008 480 438 410 640
73 1,155 -
74 2,415 -
73 110,000 -
74 305 -
75 495 -
74 3,135 -
75 460 -
76 329 -
75 5,319 -
76 4,982 -
77 115,500 -
Lancing Device()
76 86,336 -
77 12,450 -
78 2,461 -
77 20,000 -
78 10,500 -
79 38,000 -
LEUKOPLAST(1X5)
78 12,675 -
LEUKOPLAST(3X5)
79 35,532 -
80 1,035 -
79 2,900 -
80 1,403 -
81 1,315 78 100 78 100
80 2,122 - -
81 6,250 -
SELAPUT)
82 115 -
81 85 -
82 127 -
83 3,650 -
82 3,328 -
83 4,120 -
84 420 2,000 2,000
83 - -
84 434 -
85 613 -
84 613 -
85 1,100 -
86 1,180 -
85 1,180 -
86 613 - -
87 3,887 -
86 248 -
87 9,150 -
88 348 -
87 234 -
88 167 -
89 109 -
88 102 -
89 192 -
90 3,278 -
89 258 -
90 89 -
91 83 400 400
90 124 -
91 8,250 -
92 140 - 1,000 200 800
91 3,926 144 24 120
92 1,980,000 -
ENTERIK)
93 90 -
92 224,400 -
93 100,000 -
94 142 - 3,000 1,500 1500 -
93 320 -
94 136 4,900 5,600 1,400 1000 8,100
95 6,840 21 20 7 21 13
94 4,121 -
95 19,600 -
96 4,400 -
95 149 -
SELAPUT)
96 164 - 1,000 100 100 800
97 1,485 -
96 645 -
97 688 -
98 147 -
97 138 - 5,000 1,300 700 3,000
ML)
98 11,868 - 20 0 20
99 71,235 -
98 95,635 -
99 71,235 -
100 117,195 -
99 1,540 100 100 -
100 647 -
101 933 -
100 1,550 -
101 1,194 -
102 825 -
101 1,230 -
102 3,550 -
103 20,000 -
102 153,736 20 20 -
103 281 -
104 273 800 400 200 200
103 3,675 -
104 3,024 -
105 3,520 -
104 1,232 -
105 447,747 -
106 1,592,726 -
105 285,339 -
106 183,984 -
107 11,500 -
106 5,960 -
107 60 - 10,000 - 2400 7,600
108 3,200 -
107 1,160 - 200 20 180
108 78,991 60 60 -
109 15,950 -
108 30,000 -
109 27,000 -
HYPAFIX 10 CM X 5 M
110 45,496 14 14
HYPAFIX 5 CM X 5 M
109 26,635 6 - 0 6
110 1,700 -
111 242 -
110 197 -
111 2,500 -
112 142 -
111 158 -
112 4,167 30 60 90
113 818 -
112 4,070 -
113 79 -
114 74 100 100
SALUT SELAPUT)
113 1,815 -
114 59 100 100
115 114 -
114 11,791 -
115 11,050 -
116 354 -
115 332 -
116 233 -
117 1,030 -
PYRIDOXINE 10 MG
116 141 5,000 1,000 6,000
117 1,454 -
SALUT SELAPUT)
118 110 - -
117 97 -
118 834 -
SALUT SELAPUT)
119 863 -
SELAPUT)
118 1,008 -
119 2,178 -
120 434 -
119 4,446 -
120 77 -
121 3,219 -
120 6,985 -
121 3,465 -
122 4,935 60 60
121 3,465 -
122 4,935 80 30 50
123 3,465 -
122 3,645 30 30
123 12,155 -
124 214,500 -
123 59,800 -
124 117 -
125 110 - 1,980 1,980
124 150 -
125 225 1,900 5,000 1,250 1800 3,850
126 184 -
125 347 -
126 347 -
127 1,000 -
126 212 -
127 2,241,000 -
128 473,000 -
127 5,134,000 -
128 4,730,000 -
129 3,940 23 50 12 61
128 3,600 -
129 3,800 -
130 3,800 -
129 21,021 -
130 14,459 -
131 5,980 -
Strip Glukos
130 4,400 -
10 TABLET)
131 655 -
132 18,150 -
131 71,299 -
132 71,299 -
133 69,993 -
132 69,993 -
133 409 5,190 10,000 6,190 4080 4,920
134 1,265 -
133 181 -
134 331 -
135 440 -
134 2,680 -
135 85,800 -
136 101 -
135 95 -
URINE BAG
136 4,795 -
URINE BAG
137 3,150 -
136 61,996 -
137 59,950 20 20 -
138 28,204 -
137 20,900 -
138 17,996 -
139 16,995 10 10 -
138 14,498 -
ML)
139 4,000 -
140 331 -
139 305 -
140 352 -
141 135 4,500 10,000 3,600 4000 6,900
140 88 -
141 94 -
142 1,067 -
141 150 -
142 141 -
143 6,500 -
142 7,630 -
143 7,150 -
144 1,506 -
143 1,540 -
144 1,540 -
145 41,600 -
144 177,216 -
145 604 600 4,000 100 2500 2,000
146 524 -
145 16,478 -
146 3,285 -
147 85,345 -
Asiklovir 5%
146 2,367 -
147 80,000 -
Betadine kumur
148 12,500 -
147 65,000 -

148 3,220 -
Combiven Nebul
149 12,252 -

148 680 -

149 8,000 -
150 4,121 -
Furosemid tab 40 mg
149 84 -
Furosemid tab 40 mg
150 79 - 200 200
151 3,355 -

150 37,433 -
Ketorolac inj 10 mg
151 2,665 -
152 138 -
151 55,248 -
Morpin inj 10 mg/ml
152 11,549 -
153 365 -
152 7,150 -
Fonflu syr
153 11,190 -
Fonflu tab
154 619 -
153 1,275 -
154 4,500 -
155 40,202 -
154 15,386 -
Primaquin 15mg
155 258 -
156 - -
Propiltiourasil
155 351 -
Pularex
220
156 -
Rifampisin 450mg
157 624 -
Salbutamol 2 mg
64
156 -

157 -

158 14,750 -
Trifluoperazin 5 mg
157 445 -
158 6,281 -
848
159 -
Bisturi no.12
158 98,000 -
Bisturi no.15
159 7,500 -
Kasa P.Elastis 4x15
160 21,840 -
Nald no.25
159 15,125 -
160 6,071 -
Pembalut gips uk 4
161 3,500 -
Pembalut gips uk 6
160 1,957 -
Selang o2 anak
161 5,040 -

162 2,200 -
Wing needle no.21
161 500 -
Nelaton Fr no.10
162 8,351 -
Nelaton Fr no.12
163 8,351 -
162 4,004 -
163 28,779 -

166 Cardura 3,395 -
166 Patanol 0,1 % 72,500 -
167 Onmed alkohol 70% 1 L 27,500 -
168 ALKOHOL 95% 9,279 -
170 Phytomenadion inj 2 mg/ml 4,167 120 30 90
171 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 300 45 105 150
179 Biosat 130,999 -
179 Sianokobalamin ( vit B12) 44 1,200 200 1000 -
180 RDT COMBO MALARIA (FIRST REONSE) 15,800 -
182 Blue Tip OM 500 S 146 -
184 Trucal U 1,549,779 -
185 onmed USG 250 ml 13,214 -
186 ONEMED USG 250 ML 13,213 -
185 Alkazyme 25 mg 801,000 -
186 Alkacid 1 L 2,702,700 -
187 Trulab 2,254,214 -
186 Vaksin MR 10 Ds 155,813 20 20 -
188 Decafil 145 -
188 Lysol 1 L 44,690 -
189 Lyse M30 500 ml 1,375,000 -
191 Euthyrox 735 -
193 Rapid HIV 11,975 -
193 Gynosurge S (6.5) 40,733 -
194 Gynosurge M (7.5) 40,733 -
195 Gynosurge S (8.5) 40,733 -
195 Tetagam 188,663 -
199 Rapid HIV@ 25 11,975 -
200 Rapid HIV@ 30 26,060 -
200 MB Dewasa 41,784 -
201 Verorab 150,000 -
205 REAGEN ZN 250,333 -
204 KACA SLIDE 22,097 -
211 SALBULIN 33,294 -
212 BISTURI NO 12 2,990 -
213 BISTURI NO 11 2,948 165 65 100
212 FARBIVENT 2,5 ML 3,916 -
214 OCTADIN 0,1% SPRAY 33,000 -
215 LARVAGO 33,000 -
214 ADS 0,5ML 1,165 -
215 ADS 0,5ML 1,240 -
216 ADS 0,3 ML 1,255 -
215 ADS 3 ML 569 -
220 HAZMAT (KBKR) 136,000 -
222 MASKER N95 - -
225 BENECHEK GLUCOSA JKN 3718 -
226 BENECHEK ASAM URAT JKN 3454 -
226 MINI PIL 4,017 -
229 MASKER KB 1,108 -
230 FORM. K/I/KB 400 -
229 FORM. K/IV/KB 750 -
230 ADS 0,05ML 1,460 -
232 KONDOM 123,910 -
233 PB DEWASA 15,014 -
233 MASKER KB 960 -
236 GIEMSA 875,065 -
237 ALTOSID 1,3 G(DINKES) 1,269,000 -
237 ADS 5 ML 1,500.00 100 100 -
238 VAKSIN PCV 190,657.00 -
240 CTM STRIP 24 KTK 994.37 -
245 NEEDLE 25 TERUMO 1,221.00 -
244 ONEMED USG GEL 250ML 19,375.00 -
246 OAT KDT DOSIS HARIAN 409,461.00 -
248 ALAT (GPT) FS 1,083,400 -
247 ALAT (GOT) FS 1,083,400 -
248 BTI Larvasida 64,691 -
249 ONEMED VACUM BLOOD TUBE EDTA K3 3ML 98,560.00 -
-
JUMLAH

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : JULI/AGUSTUS
DATA OBAT
Pengeluaran Agustus 2023
No. Stock
Juli 2023
Penerimaan
Agustus 2023 Distribusi Distribusi ke Exipre Date /
Sisa Stok Per 31
Agustus 2023
Optimum
Pemakaian
1 Cavit G() 162,800 -

ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL)jkn
2 - 5,000 2,600 2400 -
3 412 -
4 519 -
5 425 500 - 200 300
ACYCLOVIR TABLET 400 MG PROVINSI
6 710 1,000 1,000
7 68 -
8 4,600 -
9 463 -
10 2,625 -
11 25,595 8 1 4 3
12 242 -
13 99 -
14 200 -
15 536 -
16 239 -
17 2,736 -
18 86 -
19 97 -
SALUT SELAPUT)
20 158 -
21 95 5,600 10,800 1,800 5600 9,000
22 74 5,500 11,000 4,500 9700 2,300
23 196 -
24 647 -
25 490 9,400 - 1,500 3900 4,000
26 2,560 200 50 150
27 2,098 -
KUNYAH)
28 60 -
KUNYAH)
29 56 -
30 1,350 -
31 3,637 - -
32 5,170 -
SUPPOSITORIA)
33 3,642 -
34 2,860 -
35 25,490 -
ML)
36 42,900 -
37 144 - -
38 120 6,000 1,100 1000 3,900
39 86 -
40 81 2,500 600 1500 400
41 175 -
42 103 -
ASAM MEFENAMAT CAPTABS SALUT SELAPUT 500 MG jkn
43 - 3,000 1,800 1200 -
44 36,225 -
45 1,815 -
46 81 -
47 83,500 -
48 7,700 -
49 5,000 -
50 1,071 -
51 864 -
52 1,520 -
53 3,350 53 25 9 44 25
54 695 -
ML (20 DOSIS))
55 19,954 -
BLOOD LANCET()
56 153 -
57 310 -
58 3,794 48 3 45
59 20,700 12 2 10
60 63 -
61 59 4,800 3,000 1,400 3400 3,000
62 69 -
63 65 12,800 5,000 3,200 4800 9,800
64 80 4,400 1,100 700 2600 -
65 143 -
66 250 -
67 30,334 -
68 41,154 -
69 23,400 -
70 48,380 -
71 29,900 -
CAT GUT CHROMIC 3 - 0(75C X 17M)JKN
72 - 24 12 12
73 26,667 -
74 24,584 -
CATHEJELL()
75 49,186 -
76 3,500 -
77 429,000 -
78 462,000 -
79 115 -
80 2,993 200 200
81 329 -
82 2,054 -
83 7,848 - 48 1 47
84 94 -
85 26 -
86 51 11,100 - 2,500 500 8,100
87 1,531 -
88 583 -
89 75 -
90 106 -
91 281 -
92 594 -
93 967 -
94 201 -
95 5,000 -
96 1,550 -
97 657 -
98 880 -
99 1,210 -
100 4,550 -
101 133 -
102 131 1,900 1200 700
103 299 1,000 1,000
104 2,190 -
105 2,052 -
106 5,520 -
107 14,689 29 7 22
108 65,000 -
109 286,000 -
110 75 -
111 1,210 18 18
112 2,160 -
113 1,900 -
114 1,913 -
115 28 -
116 108 -
117 134 -
118 104 -
119 136 -
Diluent 20L()
120 1,980,000 -
121 129 -
122 121 200 1,000 1,200
123 1,262 -
124 1,332 58 58
125 2,862 -
126 96 -
127 90 1,500 100 200 1,200
128 17,100 -
129 280 -
130 264 -
131 5,900 -
132 6,000 -
133 68 -
134 1,518 -
135 212 -
136 636 700 100 100 500
137 6,461 -
138 543 -
139 23,101 -
EZ CLEANER()
140 665,500 -
SELAPUT)
141 124 -
142 3,950 -
143 6,244 -
144 6,244 -
145 30,000 -
146 8,000 -
147 43,710 -
148 34,561 -
149 11,189 -
150 10,070 -
151 8,000 -
152 43,710 -
153 43,710 1 1
154 43,710 2 2
155 43,710 6 6
156 43,710 9 9
157 30,000 -
158 32,500 -
159 32,500 -
160 32,500 -
161 462 -
162 990,000 -
163 1,555 -
164 318 -
165 478,500 -
166 137 -
167 120 500 200 300
168 207 -
169 3,000 -
170 8,003 -
171 7,500 -
172 6,900 -
173 223 -
174 97,500 -
175 55 -
176 74 -
177 60 -
178 96 -
179 708,000 -
KAPSUL)
180 4,290 -
181 2,533 96 12 25 59
182 178 -
183 170 -
184 2,678 -
185 4,949 -
186 112 - 3,000 3,000
187 215 1,400 1400 -
188 39,468 -
189 325,197 -
190 58,950 -
@ 3 ML)
191 85,000 -
192 40,202 -
193 19,800 -
194 3,190 -
195 125,444 -
196 85 -
197 182 -
TABLET SUBLINGUAL)
198 89 -
199 14,625 50 - 50
200 14,625 -
201 5,348 -
202 14,625 50 50
WING CATH ETFE 20G X 1INCH
203 14,625 50 50
204 14,625 50 20 30
205 6,423 -
206 1,666 -
207 1,666 -
208 1,666 -
209 1,666 -
210 209,000 -
211 27,280 -
250 GRAM)
212 25,200 -
213 440 -
MEDIKASA)
214 115,500 4 4
MEDIKASA)
215 560 -
MEDIKASA)
216 407 640 320 320
217 1,155 -
218 2,415 -
219 110,000 -
220 305 -
221 495 -
222 3,135 -
223 460 -
224 329 -
225 5,319 -
226 4,982 -
227 115,500 -
Lancing Device()
228 86,336 -
229 12,450 -
230 2,461 -
231 20,000 -
232 10,500 -
233 38,000 -
LEUKOPLAST(1X5)
234 12,675 -
LEUKOPLAST(3X5)
235 35,532 -
236 1,035 -
237 2,900 -
238 1,403 -
239 1,315 100 50 50
240 2,122 - -
241 6,250 -
SELAPUT)
242 115 -
243 85 -
244 127 -
245 3,650 -
246 3,328 -
247 4,120 -
248 420 -
249 - -
250 434 -
251 613 -
252 613 -
253 1,100 -
254 1,180 -
255 1,180 -
256 613 - -
257 3,887 -
258 248 -
259 9,150 -
260 348 -
261 234 -
262 167 - 1,000 400 600
263 109 -
264 195 -
265 192 -
266 3,278 -
267 258 -
268 89 -
269 83 400 400
270 124 -
271 8,250 -
272 140 800 800
273 3,926 120 10 110
274 1,980,000 -
ENTERIK)
275 90 -
276 224,400 -
277 100,000 -
278 142 - 1,600 950 100 550
279 320 -
280 136 8,100 5,600 200 13,500
281 6,840 13 20 20 3 10
282 4,121 -
283 19,600 -
284 4,400 -
285 149 -
SELAPUT)
286 164 800 - 100 700
287 1,485 -
288 645 -
289 894 -
290 147 -
291 138 3,000 3,000 200 1200 4,600
ML)
292 11,868 20 40 20 40
293 71,235 -
294 95,635 -
295 71,235 -
296 117,195 -
297 1,240 -
298 647 -
299 933 -
300 1,550 -
301 1,194 -
302 825 -
303 1,230 -
304 3,550 -
305 20,000 -
306 153,736 -
307 281 -
308 273 200 500 100 100 500
309 3,675 -
310 3,024 -
311 3,520 -
312 1,232 -
313 447,747 -
314 1,592,726 -
315 285,339 -
316 183,984 -
317 11,500 -
318 5,960 -
319 60 7,600 10,000 3,800 3800 10,000
320 3,200 -
321 1,160 180 - 90 90 -
322 78,991 -
323 15,950 -
324 30,000 -
325 27,000 -
HYPAFIX 10 CM X 5 M
326 45,496 14 14
HYPAFIX 5 CM X 5 M
327 26,635 6 - 0 6
328 1,700 -
329 242 -
330 197 -
331 2,500 -
332 142 -
333 158 -
334 4,167 90 90
335 818 -
336 4,070 -
337 74 100 100
338 73 -
SALUT SELAPUT)
339 1,815 -
340 59 100 100
341 114 -
342 11,791 -
343 11,050 -
344 354 -
345 332 -
346 233 -
347 1,030 -
PYRIDOXINE 10 MG
348 141 6,000 1,000 600 4,400
349 1,454 -
SALUT SELAPUT)
350 110 - -
351 97 -
352 834 -
SALUT SELAPUT)
353 863 -
SELAPUT)
354 1,008 -
355 2,178 -
356 434 -
357 4,446 -
358 77 -
359 3,219 -
360 6,985 -
361 3,465 -
362 4,935 60 60
363 3,465 -
364 4,935 50 50
365 3,465 -
366 3,645 30 5 25
367 12,155 -
368 214,500 -
369 59,800 -
370 117 -
371 110 1,980 1,980
372 150 -
373 225 3,850 20,000 10,900 9950 3,000
374 184 -
375 3,940 61 10 51
376 3,600 -
377 18,150 -
378 71,299 -
379 71,299 -
380 69,993 -
381 69,993 -
382 409 4,920 10,000 1,560 2800 10,560
383 2,437 -
384 181 -
385 331 -
386 440 -
387 2,680 -
388 85,800 -
389 101 -
390 95 -
URINE BAG
391 4,795 -
URINE BAG
392 3,150 -
393 61,996 -
394 59,950 -
395 28,204 -
396 20,900 -
397 17,996 -
398 16,995 -
399 14,498 -
ML)
400 4,000 -
401 331 -
402 305 -
403 352 -
404 135 6,900 10,000 1,700 4000 11,200
405 88 -
406 94 -
407 1,067 -
408 150 -
409 141 -
410 6,500 -
411 7,630 -
412 7,150 -
413 1,467 100 100
414 1,467 100 100
415 1,540 -
416 41,600 -
417 177,216 -
418 604 2,000 - 500 1100 400
419 524 -
420 16,478 -
421 3,285 -
422 85,345 -
Asiklovir 5%
423 2,367 -
424 80,000 -
Betadine kumur
425 12,500 -
426 65,000 -

427 3,220 -
Combiven Nebul
428 12,252 -

429 680 -

430 8,000 -
431 4,121 -
Furosemid tab 40 mg
432 84 -
Furosemid tab 40 mg
433 79 200 100 100 200
434 3,355 -
Pembalut gips uk 6
435 1,957 -
Selang o2 anak
436 5,040 19 5 14
437 Phytomenadion inj 2 mg/ml 4,167 90 90 -
442 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 150 50 100
446 Sianokobalamin ( vit B12) 44 - -
448 Euthyrox 735 -
451 Hidrogen Piroksida 33,034 4 1 3
452 Rapid HIV 11,975 -
455 SALBULIN 33,294 -
456 BISTURI NO 12 2,990 -
457 BISTURI NO 11 2,948 100 100
458 ANTASIDA DOEN TAB ERELA (JKN) 162.06 5000 2800 900 1,300
460 OAT KDT DOSIS HARIAN 409,461.00 4 4 -
463 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 98,560.00 -
464 RDT DBD COMBO 11 506,000 -
467 ALAT (GPT) FS 1,083,400 -
468 ALAT (GOT) FS 1,083,400 -
469 BTI Larvasida 64,691 0 -
470 VAKSIN HPV 178,750.00 -
471 SAFETY BOX - -
472 LAB KIT MALARIA 1,472,268.00 -
473 SILK/SUTERA 2-0(76CMX25MM) 46,620.00 -
474 KASSA ROLL KB 145,000.00 -
475 KASSA STERIL KOTAK KB 8,000.00 -
476 TEST PACK KB 110,000.00 -
JUMLAH

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : AGUSTUS/SEPTEMBER N
O
Kecamatan : BARONG TONGKOK Tahun : 2023 M
SI
Kabupaten : KUTAI BARAT iN
sA
Provinsi : KALIMANTAN TIMUR aL
SN
tI
o
L
DATA OBAT kA
I
P
Pengeluaran September 2023 e
O
rB
No. No. Batch Nama Obat Harga Sisa Stok Per A Stock Optimum Permintaan Pemberian Keterangan
Sisa Stok Per 31 Penerimaan
30 September 3
T
Agustus 2023 September 2023
Distribusi Distribusi ke Exipre Date / 2023 1
(
A
R
gp
Cavit G() u
)
1 162,800 ###
- s
ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL) t
u
2 440 ###
- s
2
3 412 - 0
###
2
4 519 ###
-
5 425 300 300 ###
-
ACYCLOVIR TABLET 400 MG(DUS, 10 STRIP @ 10 TABLET) PROVINSI
6 710 1,000 1,000 500 200 1,300
###
7 68 ###
-
8 4,600 2,000 2000 ###
-
9 463 5,000 5000 ###
-
10 2,625 ###
-
11 25,595 3 3 ###
-
12 242 ###
-
13 99 ###
-
14 200 ###
-
15 536 ###
-
16 239 ###
-
17 2,736 ###
-
18 86 ###
-
19 97 ###
-
SALUT SELAPUT)
20 158 ###
-
21 95 9,000 5,400 5,200 2800 6,400
###
22 74 2,300 16,500 8,500 1000 9,300
###
23 196 ###
-
24 647 ###
-
25 490 4,000 3,000 1,500 3300 2,200
###
26 2,560 150 150
###
27 2,098 ###
-
KUNYAH)
28 60 ###
-
KUNYAH)
29 99 ###
-
30 1,350 ###
-
31 3,637 - ###
-
32 5,170 ###
-
SUPPOSITORIA)
33 3,642 ###
-
34 2,860 ###
-
35 25,490 ###
-
ML)
36 42,900 ###
-
37 144 - ###
-
38 120 3,900 3,000 3,000 1800 2,100
###
39 86 ###
-
40 81 400 4,000 600 1100 2,700
###
41 175 ###
-
42 103 ###
-
ASAM MEFENAMAT CAPTABS SALUT SELAPUT 500 MGjkn
43 - ###
-
44 36,225 ###
-
45 1,815 ###
-
46 81 ###
-
47 83,500 ###
-
48 7,700 ###
-
49 5,000 ###
-
50 1,071 ###
-
51 864 ###
-
52 1,520 ###
-
53 3,350 25 25 15 ###
35
54 695 ###
-
ML (20 DOSIS))
55 19,954 ###
-
BLOOD LANCET()
56 153 ###
-
57 310 ###
-
58 3,794 45 12 ###
33
59 20,700 10 ###
10
60 63 ###
-
61 59 3,000 3,000 1,000 2000 3,000
###
62 69 ###
-
63 65 9,800 4,100 2900 2,800
###
64 80 - ###
-
65 143 ###
-
66 250 ###
-
67 30,334 ###
-
CAT GUT CHROMIC 2 - 0 (75C X 25MM)
68 62,715 ###
-
69 23,400 ###
-
70 48,380 ###
-
71 29,900 ###
-
72 67,488 12 ###
12
CAT GUT CHROMIC 3 - 0(75C X 17M)JKN
73 - 12 12 ###
-
74 26,667 ###
-
75 24,584 24 ###
24
CATHEJELL()
76 49,186 ###
-
77 3,500 ###
-
78 429,000 ###
-
79 462,000 ###
-
80 115 ###
-
81 2,993 ###
-
82 329 ###
-
83 2,054 ###
-
84 7,848 47 48 32 6 ###
57
85 94 ###
-
86 26 ###
-
87 51 8,100 5,000 3,500 4300 5,300
###
88 1,531 ###
-
89 583 ###
-
90 75 ###
-
91 106 ###
-
92 281 ###
-
93 594 ###
-
94 967 ###
-
95 201 ###
-
96 5,000 ###
-
97 1,550 ###
-
98 657 ###
-
99 880 ###
-
100 1,210 ###
-
101 4,550 ###
-
102 240 ###
-
103 131 700 300 200 200
###
104 299 1,000 1000 ###
-
105 2,190 ###
-
106 2,052 ###
-
107 5,520 ###
-
108 14,689 22 ###
22
109 65,000 ###
-
110 286,000 ###
-
111 75 ###
-
112 1,210 18 10 ###
8
113 2,160 ###
-
114 1,900 ###
-
115 1,913 ###
-
116 28 ###
-
117 108 ###
-
118 134 ###
-
119 104 ###
-
120 136 ###
-
Diluent 20L()
121 1,387,500 ###
-
122 129 ###
-
123 121 1,200 1,000 400 200 1,600
###
124 1,262 ###
-
125 1,332 58 48 ###
10
126 2,862 ###
-
127 96 ###
-
128 90 1,200 700 200 300
###
129 17,100 ###
-
130 280 ###
-
131 264 ###
-
132 5,900 ###
-
133 6,000 ###
-
134 68 ###
-
135 1,518 ###
-
136 212 ###
-
137 636 500 300 200 ###
-
138 6,461 ###
-
139 543 ###
-
140 23,101 ###
-
EZ CLEANER()
141 745,420 ###
-
SELAPUT)
142 124 ###
-
143 3,950 ###
-
144 6,244 ###
-
145 6,244 ###
-
146 30,000 ###
-
147 8,000 ###
-
148 43,710 ###
-
149 34,561 ###
-
150 11,189 ###
-
151 10,070 ###
-
152 8,000 ###
-
153 43,710 ###
-
154 43,710 1 ###
1
155 43,710 2 1 ###
1
156 43,710 6 4 ###
2
157 43,710 9 ###
9
158 30,000 ###
-
159 32,500 ###
-
160 32,500 ###
-
161 32,500 ###
-
162 462 ###
-
163 990,000 ###
-
164 1,555 ###
-
165 318 ###
-
166 478,500 ###
-
167 137 5,000 1,000 500 3,500
###
168 120 300 300
###
169 220 4,500 4,500
###
170 3,000 ###
-
171 7,500 ###
-
172 6,900 ###
-
173 223 ###
-
174 97,500 ###
-
175 55 ###
-
176 74 ###
-
177 60 ###
-
178 96 ###
-
179 708,000 ###
-
KAPSUL)
180 4,290 ###
-
181 2,533 59 96 33 25 ###
97
182 178 ###
-
183 170 ###
-
184 2,678 ###
-
185 4,949 ###
-
186 112 3,000 5,000 800 600 6,600
###
187 215 5,000 1,700 3,300
###
188 39,468 ###
-
189 325,197 ###
-
190 58,950 ###
-
@ 3 ML)
191 85,000 ###
-
192 40,202 ###
-
193 19,800 ###
-
194 3,190 ###
-
195 125,444 ###
-
196 85 ###
-
197 182 ###
-
TABLET SUBLINGUAL)
198 89 ###
-
199 14,625 50 7 ###
43
200 14,625 ###
-
201 5,348 ###
-
202 14,625 50 12 ###
38
203 14,625 50 28 ###
22
204 14,625 30 30 ###
-
205 6,423 ###
-
206 1,666 ###
-
207 1,666 ###
-
208 1,666 ###
-
209 1,666 ###
-
210 209,000 ###
-
211 27,280 ###
-
250 GRAM)
212 25,200 ###
-
213 440 ###
-
MEDIKASA)
214 115,500 4 ###
4
MEDIKASA)
215 560 ###
-
MEDIKASA)
216 407 320 16 160 144
###
217 1,155 ###
-
218 2,415 ###
-
219 110,000 ###
-
220 305 ###
-
221 495 ###
-
222 3,135 ###
-
223 460 ###
-
224 329 ###
-
225 5,319 ###
-
226 4,982 ###
-
227 115,500 ###
-
Lancing Device()
228 86,336 ###
-
229 12,450 ###
-
230 2,461 ###
-
231 20,000 ###
-
232 10,500 ###
-
233 38,000 ###
-
LEUKOPLAST(1X5)
234 12,675 ###
-
LEUKOPLAST(3X5)
235 35,532 ###
-
236 1,035 ###
-
237 2,900 ###
-
238 1,403 ###
-
239 1,315 50 - 50 ###
-
240 1,532 - 5 5 ###
-
241 6,250 ###
-
SELAPUT)
242 115 ###
-
243 85 ###
-
244 127 - 1,000 1,000
###
245 3,650 ###
-
246 3,328 ###
-
247 4,120 ###
-
248 420 ###
-
249 - ###
-
250 613 ###
-
251 613 ###
-
252 613 ###
-
253 1,100 ###
-
254 1,180 ###
-
255 1,180 ###
-
256 613 - 1,000 100 900
###
257 3,887 ###
-
258 248 ###
-
259 9,150 ###
-
260 348 ###
-
261 234 ###
-
262 167 600 2,000 800 1,800
###
263 109 ###
-
264 195 ###
-
265 192 ###
-
266 3,278 ###
-
267 258 ###
-
268 89 ###
-
269 83 400 200 200
###
270 124 ###
-
271 8,250 ###
-
272 140 800 300 300 200
###
273 3,926 110 23 24 ###
63
274 1,980,000 ###
-
ENTERIK)
275 90 ###
-
276 224,400 ###
-
277 100,000 ###
-
278 142 550 400 150 ###
-
279 320 ###
-
280 136 13,500 2,200 1300 10,000
###
281 6,840 10 20 15 15 ###
-
282 4,121 ###
-
283 19,600 ###
-
284 4,400 ###
-
285 317 ###
-
SELAPUT)
286 164 ###
-
287 1,485 ###
-
288 645 ###
-
289 894 ###
-
290 147 ###
-
291 138 4,600 3,000 1,400 600 5,600
###
ML)
292 11,868 40 20 40 ###
20
293 71,235 ###
-
294 95,635 ###
-
295 71,235 ###
-
296 117,195 ###
-
297 1,240 ###
-
298 647 ###
-
299 933 ###
-
300 1,550 ###
-
301 1,194 - 2,000 280 700 1,020
###
302 825 ###
-
303 1,229 200 20 180
###
304 3,550 ###
-
305 20,000 ###
-
306 153,736 ###
-
307 281 ###
-
308 273 500 500 300 100 600
###
309 3,675 ###
-
310 3,024 ###
-
311 3,520 ###
-
312 1,232 ###
-
313 447,747 ###
-
314 1,592,726 ###
-
315 285,339 ###
-
316 183,984 ###
-
317 11,500 ###
-
318 5,960 ###
-
319 60 10,000 6,000 4000 ###
-
320 160 - 6,900 400 6,500
###
321 3,200 ###
-
322 1,160 - ###
-
323 78,991 ###
-
324 15,950 ###
-
325 30,000 ###
-
326 27,000 ###
-
HYPAFIX 10 CM X 5 M
327 45,496 14 ###
14
HYPAFIX 5 CM X 5 M
328 26,635 6 1 1 ###
4
329 1,700 ###
-
330 242 ###
-
331 197 ###
-
332 2,500 ###
-
333 142 ###
-
334 158 ###
-
335 4,167 90 29 1 ###
60
336 799 ###
-
337 4,070 ###
-
338 74 100 100 ###
-
339 73 ###
-
SALUT SELAPUT)
340 1,815 ###
-
341 59 100 100
###
342 114 ###
-
343 11,791 ###
-
344 11,050 ###
-
345 354 ###
-
346 332 ###
-
347 233 ###
-
348 1,030 ###
-
PYRIDOXINE 10 MG
349 141 4,400 1,400 800 2,200
###
350 1,454 ###
-
SALUT SELAPUT)
351 110 - ###
-
352 97 ###
-
353 834 ###
-
SALUT SELAPUT)
354 863 ###
-
SELAPUT)
355 1,008 ###
-
SELAPUT)
356 123 ###
-
357 2,178 ###
-
358 434 ###
-
359 4,446 ###
-
360 77 ###
-
361 3,219 ###
-
362 6,985 ###
-
363 3,465 ###
-
364 4,935 60 ###
60
365 3,465 ###
-
366 4,935 50 10 ###
40
367 3,465 ###
-
368 3,645 25 ###
25
369 12,155 ###
-
370 214,500 ###
-
371 59,800 ###
-
372 117 ###
-
373 110 1,980 520 840 620
###
374 150 ###
-
375 225 3,000 1,700 1300 ###
-
376 184 ###
-
377 347 ###
-
378 347 ###
-
379 1,000 ###
-
380 212 ###
-
381 2,241,000 ###
-
382 473,000 ###
-
383 5,134,000 ###
-
384 4,730,000 ###
-
385 3,940 51 0 ###
51
386 3,600 ###
-
387 3,800 ###
-
388 3,800 ###
-
389 21,021 ###
-
390 14,459 ###
-
391 5,980 ###
-
Strip Glukos
392 4,400 ###
-
10 TABLET)
393 655 ###
-
394 18,150 ###
-
395 71,299 ###
-
396 71,299 ###
-
397 69,993 ###
-
398 69,993 ###
-
399 409 10,560 10,000 760 4400 15,400
###
400 2,437 50 50 ###
-
401 181 ###
-
402 331 ###
-
403 440 ###
-
404 2,680 ###
-
405 85,800 ###
-
406 101 ###
-
407 95 ###
-
URINE BAG
408 4,795 24 10 ###
14
URINE BAG
409 3,150 ###
-
410 61,996 ###
-
411 59,950 ###
-
412 28,204 ###
-
413 20,900 ###
-
414 17,996 ###
-
415 16,995 ###
-
416 14,498 ###
-
ML)
417 4,000 ###
-
418 331 ###
-
419 305 ###
-
420 352 ###
-
421 135 11,200 3,000 2,400 8800 3,000
###
422 88 ###
-
423 94 ###
-
424 1,067 ###
-
425 150 ###
-
426 141 ###
-
427 6,500 ###
-
428 7,630 ###
-
429 7,150 ###
-
430 1,467 100 100 200
###
431 1,467 100 100 200
###
432 1,540 ###
-
433 41,600 ###
-
434 177,216 ###
-
435 604 400 500 500 400 ###
-
436 524 ###
-
437 16,478 ###
-
438 3,285 ###
-
439 85,345 ###
-
Asiklovir 5%
440 2,367 ###
-
441 80,000 ###
-
Betadine kumur
442 12,500 ###
-
443 65,000 ###
-

444 3,220 ###
-
Combiven Nebul
445 12,252 ###
-

446 680 ###
-

447 8,000 ###
-
448 4,121 ###
-
Furosemid tab 40 mg
449 84 ###
-
Furosemid tab 40 mg
450 79 200 200 150 100 150
###
451 3,355 ###
-

452 40,326 ###
-
Ketorolac inj 10 mg
453 2,665 ###
-
454 138 ###
-
455 55,248 ###
-
Morpin inj 10 mg/ml
456 11,549 ###
-
457 365 ###
-
458 7,150 ###
-
Fonflu syr
459 11,190 ###
-
Fonflu tab
460 619 ###
-
461 1,275 ###
-
462 4,500 ###
-
463 40,202 ###
-
464 15,386 ###
-
Primaquin 15mg
465 258 ###
-
466 - ###
-
Propiltiourasil
467 351 ###
-
Pularex
220
468 ###
-
Rifampisin 450mg
469 624 ###
-
Salbutamol 2 mg
51
470 ###
-

471 ###
-

472 14,750 ###
-
Trifluoperazin 5 mg
473 445 ###
-
474 6,281 ###
-
848
475 ###
-
Bisturi no.12
476 98,000 ###
-
Bisturi no.15
477 7,500 ###
-
Kasa P.Elastis 4x15
478 21,840 ###
-
Nald no.25
479 15,125 ###
-
480 6,071 ###
-
Pembalut gips uk 4
481 3,500 ###
-
Pembalut gips uk 6
482 1,957 ###
-
Selang o2 anak
483 5,040 14 3 ###
11

484 2,200 ###
-
Wing needle no.21
485 500 ###
-
Nelaton Fr no.10
486 8,351 ###
-
Nelaton Fr no.12
487 8,351 ###
-
488 4,004 ###
-
489 28,779 ###
-

-
-
-
493 FASTCLEAR Q HBSAG TEST 5,880 ###
-
-
495 Cat Gut Chromic 3-0 (75 x 24MM) 63,603 ###
-
496 Cat Gut Chromic 3-0 (75cmx22mm) 67,488 ###
-
-
-
499 Cardura 3,395 ###
-
-
501 Patanol 0,1 % 72,500 ###
-
502 Onmed alkohol 70% 1 L 27,500 ###
-
503 ALKOHOL 95% 9,279 ###
-
504 Betablok 50 mg 310 ###
-
-
-
-
-
509 Phytomenadion inj 2 mg/ml 4,236 ###
-
-
-
-
513 Magnesium Sulfat 40% PROPINSI 4,700 ###
-
514 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 100 100 ###
-
-
-
-
518 Masker oksigen dewasa 10,150 10 ###
10
20
520 Hidrogen Piroksida 33,034 3 1 ###
2
521 Rapid HIV 11,975 ###
-
522 FOLLEY CATHETER 2 WAY NO 16 JKN 14,520 ###
-
523 STOMACH TUBE 12 FR 125cm 8,952 ###
-
-
-
-
-
-
529 SALBULIN 33,294 ###
-
530 BISTURI NO 12 2,990 ###
-
531 BISTURI NO 11 2,948 100 100
###
-
-
-
535 MASKER N95 - ###
-
-
-
538 MINI PIL 4,017 ###
-
-
-
-
-
543 DERMAFIX 4,212 ###
-
-
545 MASKER KB 1,108 ###
-
-
-
-
-
550 FORM. K/I/KB 400 ###
-
551 FORM. K/IV/KB 750 ###
-
552 ADS 0,05ML 1,460 ###
-
-
554 SUNTIK GESTIN F3 11,875 ###
-
-
556 IUD COPPER T 13,750 ###
-
557 KONDOM 123,910 ###
-
-
-
-
-
562 DERMAFIX 3,850 ###
-
563 PB DEWASA 15,014 ###
-
-
565 MASKER KB 960 ###
-
-
-
-
-
-
-
572 GIEMSA 875,065 ###
-
573 ALTOSID 1,3 G(DINKES) 1,269,000 ###
-
-
575 RDT VIROTEC DENGUE COMBO 45,360 ###
-
576 IODIUM TEST 34,000 ###
-
-
578 ADS 5 ML 1,500.00 ###
-
579 VAKSIN PCV 190,657.00 ###
-
-
-
-
583 SURGICAL MASK EARLOP 3 PLAY 16,428.00 ###
-
-
585 ANTASIDA DOEN TAB ERELA 162.06 1,300 1000 200 100
###
-
587 OAT KDT DOSIS HARIAN 409,461.00 ###
-
-
589 RDT VIROTEC DENGUE COMBO 45,360.00 ###
-
590 RDT DBD COMBO 11 506,000 ###
-
591 RDT DBD COMBO III 49,205 ###
-
592 IODIUM TEST 34,000 ###
-
593 ALAT (GPT) FS 1,083,400 ###
-
594 ALAT (GOT) FS 1,083,400 ###
-
595 BTI Larvasida 64,691 0 ###
-
596 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 98,560.00 ###
-
597 ONEMED VACUM BLOOD COLLECTION TUBE PLAIN K3 3ML 157,950.00 ###
-
598 CAVITON PINK - 3 3 ###
-
599 VAKSIN HPV 178,750.00 ###
-
JUMLAH ###

KEPALAUPT. PUSKESMAS BARONG TONGKOK PENANGGUNG JAWAB GUDANG OBAT PUSKESMAS PENANGGUNG JAWAB GUDANG FARMASI
MARGARITHA SUSTANTI,S.Tr, KEB. APT. NOVELITA, S.SI APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
###
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : SEPTEMBER/OKTOBER
DATA OBAT
Pengeluaran Oktober 2023
No. No. Nama Obat Harga Sisa Stok Per

Stock Permintaan Pemberian Keterangan
September 2023
Penerimaan
Oktober 2023 Distribusi Distribusi ke Exipre Date / 31 Oktober Optimum
Pemakaian 2023
1 Cavit G() 162,800 -

2 440 -
ACETYLCYSTEINE CAPSUL 200 MG JKN
3 - 7,100 3,000 4100 -
4 412 -
5 519 -
6 425 - -
7 710 1,300 1,300
8 68 -
9 4,600 -
10 463 -
11 2,625 -
12 242 -
13 99 -
14 200 -
15 536 -
16 239 -
17 2,736 -
18 86 -
19 97 -
SALUT SELAPUT)
20 158 -
21 95 6,400 5,400 9,800 2000 -
22 74 9,300 5,500 4,500 5000 5,300
23 196 -
24 647 -
25 490 2,200 3,000 2,200 1500 1,500
26 2,560 150 150
27 2,098 -
KUNYAH)
28 60 -
KUNYAH)
29 99 10,000 10000 -
ANTASIDA DOEN SYR JKN
30 - 200 30 10 0 160
31 ANTASIDA DOEN TAB ERELA (JKN) - - 10000 2300 200 7,500
32 1,350 -
33 3,637 - -
34 5,170 -
SUPPOSITORIA)
35 3,642 -
36 2,860 -
37 25,490 -
ML)
38 42,900 -
39 144 - 12,000 200 6000 5,800
40 120 2,100 6,000 2,600 2100 3,400
41 86 -
42 81 2,700 - 2300 400
43 175 -
44 103 -
45 - 4,200 1,400 200 2,600
46 36,225 -
47 1,815 -
48 81 -
49 83,500 -
50 ATTAPULGIT 600 MG 317.00 5000 500 400 4,100
51 7,700 -
52 5,000 -
53 1,071 -
54 864 -
55 1,520 -
56 3,350 35 50 22 20 43
57 695 -
ML (20 DOSIS))
58 19,954 -
BLOOD LANCET()
59 153 -
60 310 -
61 3,794 33 216 26 45 178
62 20,700 10 2 2 6
63 63 -
64 59 3,000 5,000 3,100 1600 3,300
65 69 -
66 65 2,800 3,000 2,600 500 2,700
67 80 - 3,000 2,000 500 500
68 143 -
69 250 -
70 30,334 -
71 62,715 -
72 23,400 -
73 48,380 -
74 29,900 -
CAT GUT CHROMIC 3 - 0(75C X 22mm)
75 67,488 12 12 12 12
76 58,053 -
77 24,584 24 16 8
78 62,715 -
CATHEJELL()
79 49,186 -
80 3,500 -
81 429,000 -
82 462,000 -
83 115 -
84 2,993 -
85 329 -
86 2,054 -
87 7,848 57 48 21 24 60
88 94 -
89 26 -
90 51 5,300 5,000 3,000 3500 3,800
91 1,531 -
92 583 -
93 75 -
94 106 -
95 281 -
96 594 -
97 967 -
98 201 -
99 5,000 -
100 1,550 -
101 473 -
102 657 -
103 880 -
104 1,210 -
105 4,550 -
106 240 -
107 131 200 0 200
108 299 -
109 2,190 -
110 2,052 -
111 5,520 -
112 14,689 22 100 22 100
113 65,000 -
114 286,000 -
115 75 -
116 1,210 8 8
117 2,160 -
118 1,900 -
119 1,913 -
120 28 -
121 108 -
122 134 -
123 104 -
124 136 -
Diluent 20L()
125 1,980,000 -
126 129 -
127 121 1,600 1,000 400 0 2,200
128 1,262 -
129 1,332 10 - 10
130 2,862 -
131 96 -
132 90 300 2,000 300 500 1,500
133 17,100 -
134 280 -
135 264 -
136 5,900 -
137 6,000 -
138 68 -
139 1,518 -
140 212 -
141 636 -
142 12,830 -
143 543 -
144 23,101 -
EZ CLEANER()
145 665,500 -
SELAPUT)
146 124 -
147 3,950 -
148 6,244 -
149 6,244 -
150 30,000 -
151 8,000 -
152 43,710 -
153 34,561 -
154 11,189 -
155 10,070 -
156 8,000 -
157 43,710 -
158 43,710 1 1
159 43,710 1 1
160 43,710 2 1 1
161 43,710 9 9
162 30,000 -
163 32,500 -
164 32,500 -
165 32,500 -
166 462 -
167 990,000 -
168 1,555 -
169 318 -
170 478,500 -
171 137 3,500 5,000 3,900 1200 3,400
172 120 300 0 300
173 220 4,500 1,000 2,500 1500 1,500
174 3,000 -
175 7,500 -
176 6,900 -
177 223 -
178 306 - 500 500 -
179 97,500 -
180 55 -
181 74 -
182 60 -
183 96 -
184 708,000 -
KAPSUL)
185 4,290 -
186 2,533 97 11 24 62
187 178 -
188 170 -
189 2,678 - 100 100
190 4,949 -
191 112 6,600 2,600 4,000
192 215 3,300 800 2,500
193 39,468 -
194 325,197 -
195 58,950 -
@ 3 ML)
196 85,000 -
197 40,202 -
198 19,800 -
199 3,190 -
200 125,444 -
201 85 -
202 182 -
TABLET SUBLINGUAL)
203 89 -
204 14,625 43 4 39
205 14,625 -
206 5,348 38 - 9 29
207 14,625 22 2 10 10
208 6,423 -
209 14,625 -
210 6,423 -
211 1,666 -
212 1,666 -
213 1,666 -
214 1,666 -
215 209,000 -
216 27,280 -
250 GRAM)
217 25,200 -
218 440 -
MEDIKASA)
219 115,500 4 4
MEDIKASA)
220 560 -
MEDIKASA)
221 407 144 144 -
222 1,155 -
223 2,415 -
224 110,000 -
225 305 -
226 495 - 1,000 650 350
227 3,135 -
228 460 - -
229 329 -
230 5,319 -
231 4,982 - 50 50
232 115,500 -
Lancing Device()
233 86,336 -
234 12,450 -
235 2,461 -
236 20,000 -
237 10,500 -
238 38,000 -
LEUKOPLAST(1X5)
239 12,675 -
LEUKOPLAST(3X5)
240 35,532 -
241 1,035 -
242 2,900 -
243 1,403 -
244 1,315 - - 0 -
245 1,532 - 100 100 -
246 6,250 -
SELAPUT)
247 115 -
248 85 -
249 127 1,000 5,000 800 1000 4,200
250 3,650 -
251 3,328 -
252 4,120 -
253 420 -
254 - -
255 434 -
256 613 -
257 613 -
258 1,100 -
259 1,180 -
260 1,180 -
261 613 900 100 200 600
262 3,887 -
263 248 -
264 9,150 -
265 348 -
266 234 -
267 167 1,800 1,000 100 1300 1,400
268 109 -
269 195 -
270 192 -
271 3,278 -
272 258 -
273 89 -
274 83 200 100 100
275 124 -
276 8,250 -
277 140 200 200
278 3,926 63 20 24 19
279 1,980,000 -
ENTERIK)
280 90 -
281 224,400 -
282 100,000 -
283 142 -
284 320 -
285 136 10,000 2,200 1000 6,800
286 6,840 - 20 20 -
287 4,121 -
288 19,600 -
289 4,400 -
290 317 -
SELAPUT)
291 164 -
292 1,485 -
293 645 -
294 894 -
295 147 -
296 138 5,600 2,000 2,800 1500 3,300
ML)
297 11,868 20 20 1 39
298 71,235 -
299 95,635 -
300 71,235 -
301 117,195 -
302 1,240 -
303 647 -
304 933 -
305 1,550 -
306 1,194 1,020 15 500 505
307 825 -
308 1,229 180 180
309 3,550 -
310 20,000 -
311 153,736 -
312 281 -
313 273 600 200 100 100 600
314 3,675 -
315 3,024 -
UNICORN Infusion Set(DEWASA)
316 8,742 -
317 1,232 -
318 1,248 -
319 447,747 -
320 1,592,726 -
321 285,339 -
322 183,984 -
323 11,500 -
324 5,960 -
325 60 -
326 160 6,500 10,000 3,100 5800 7,600
327 3,200 -
328 1,160 - 100 15 50 35
329 78,991 -
330 15,950 -
331 30,000 -
332 27,000 -
HYPAFIX 10 CM X 5 M
333 45,496 14 14
HYPAFIX 5 CM X 5 M
334 26,635 4 - 1 3
335 1,700 -
336 242 -
337 197 -
338 2,500 -
339 142 -
340 158 -
341 4,167 60 5 0 55
342 799 -
343 4,070 -
344 74 - 1,000 600 400
345 73 -
SALUT SELAPUT)
346 1,815 -
347 59 100 200 300
348 114 -
349 11,791 -
350 11,050 -
351 354 -
352 332 -
353 233 -
354 1,030 -
PYRIDOXINE 10 MG
355 141 2,200 2,000 1,200 400 2,600
356 1,454 -
SALUT SELAPUT)
357 110 - 0 -
358 97 -
359 834 -
SALUT SELAPUT)
360 863 -
SELAPUT)
361 1,008 -
SELAPUT)
362 123 -
363 2,178 -
364 434 -
365 4,446 -
366 77 1,000 800 200
367 3,219 -
368 6,985 -
369 3,465 -
370 4,935 60 50 10
371 3,465 -
372 4,935 40 40
373 3,465 -
374 3,645 25 25
375 12,155 -
376 214,500 -
377 59,800 -
378 117 -
379 110 620 3,960 620 3,960
380 150 -
381 225 - 5,000 1,400 1000 2,600
382 184 -
383 347 -
384 347 -
385 1,000 -
386 212 -
387 2,241,000 -
388 473,000 -
389 5,134,000 -
390 4,730,000 -
391 3,940 51 11 40
392 3,600 -
393 3,800 -
394 3,800 -
395 21,021 -
396 14,459 -
397 5,980 -
Strip Glukos
398 4,400 -
10 TABLET)
399 655 -
400 18,150 -
401 71,299 -
402 71,299 -
403 69,993 -
404 69,993 -
405 409 15,400 2,000 4000 9,400
406 2,437 -
407 181 -
408 331 -
409 440 -
410 2,680 -
411 85,800 -
412 101 -
413 95 -
URINE BAG
414 4,795 -
URINE BAG
415 3,150 -
416 61,996 -
417 59,950 -
418 28,204 -
419 20,900 -
420 17,996 -
421 16,995 -
422 14,498 -
423 331 -
424 305 -
425 352 -
426 135 3,000 13,600 8800 7,800
427 88 -
428 94 -
429 1,067 -
430 150 -
431 141 -
432 6,500 -
433 7,630 -
434 7,150 -
435 1,467 200 100 300
436 1,467 200 100 300
437 1,540 -
438 41,600 -
439 177,216 -
440 604 - 3,000 700 800 1,500
441 524 -
442 16,478 -
443 3,285 104 108 49 163
444 85,345 -
Asiklovir 5%
445 2,367 -
446 80,000 -
Betadine kumur
447 12,500 -
448 65,000 -

449 3,220 -
Combiven Nebul
450 12,252 -

451 680 -

452 8,000 -
453 4,121 -
Furosemid tab 40 mg
454 84 -
Furosemid tab 40 mg
455 79 150 100 150 100
456 3,355 -
457 40,326 -
Ketorolac inj 10 mg
458 2,665 -
459 138 -
460 55,248 -
Morpin inj 10 mg/ml
461 11,549 -
462 365 -
463 7,150 -
Fonflu syr
464 11,190 -
Fonflu tab
465 619 -
466 1,275 -
467 4,500 -
468 40,202 -
469 15,386 -
Primaquin 15mg
470 258 -
471 - -
Propiltiourasil
472 351 -
Pularex
220
473 -
Rifampisin 450mg
474 624 -
Salbutamol 2 mg
51
475 -

476 -

477 14,750 -
Trifluoperazin 5 mg
478 445 -
479 6,281 -
848
480 -
Bisturi no.12
481 98,000 -
Bisturi no.15
482 7,500 -
Kasa P.Elastis 4x15
483 21,840 -
Nald no.25
484 15,125 -
485 6,071 -
Pembalut gips uk 4
486 3,500 -
Pembalut gips uk 6
487 1,957 -
Selang o2 anak
488 5,040 11 11

489 2,200 -
Wing needle no.21
490 500 -
Nelaton Fr no.10
491 8,351 -
Nelaton Fr no.12
492 8,351 -
493 4,004 -
494 28,779 -

498 FASTCLEAR Q HBSAG TEST 5,880 -
500 Cat Gut Chromic 3-0 (75 x 24MM) 63,603 -
501 Cat Gut Chromic 3-0 (75cmx22mm) 67,488 -
504 Cardura 3,395 -
506 Patanol 0,1 % 72,500 -
507 Onmed alkohol 70% 1 L 27,500 -
508 ALKOHOL 95% 9,279 -
519 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 - 100 15 70 15
543 Biosat 130,999 -
548 RDT COMBO MALARIA (FIRST REONSE) 15,800 -
554 Blue Tip OM 500 S 146 -
556 Trucal U 1,549,779 -
561 onmed USG 250 ml 13,214 -
562 ONEMED USG 250 ML 13,213 -
563 Alkazyme 25 mg 801,000 -
564 Alkacid 1 L 2,702,700 -
565 Trulab 2,254,214 -
566 Vaksin MR 10 Ds 155,813 -
570 Decafil 145 -
572 Lysol 1 L 44,690 -
573 Lyse M30 500 ml 1,375,000 -
579 Euthyrox 735 -
580 Masker oksigen dewasa 10,150 10 3 7
581 Masker oksigen anak 10,150 20 16 4
582 Hidrogen Piroksida 33,034 2 1 1
583 Rapid HIV 11,975 -
587 Gynosurge S (6.5) 40,733 -
588 Gynosurge M (7.5) 40,733 -
589 Gynosurge S (8.5) 40,733 -
591 Tetagam 188,663 -
603 Rapid HIV@ 25 11,975 -
604 Rapid HIV@ 30 26,060 -
606 MB Dewasa 41,784 -
609 Verorab 150,000 -
619 REAGEN ZN 250,333 -
620 KACA SLIDE 22,097 -
635 STOMACH TUBE 12 FR 125cm 8,952 -
641 SALBULIN 33,294 -
642 BISTURI NO 12 2,990 -
643 BISTURI NO 11 2,948 100 8 0 92
JUMLAH

MARGARITHA SUSTANTI, S.Tr., KEB. APT. NOVELITA, S.SI APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : OKTOBER/NOVEMBER S
i
Kecamatan : BARONG TONGKOK Tahun : 2023 s
a
Provinsi : KALIMANTAN TIMUR S
t
o
k
DATA OBAT
P
Pengeluaran November 2023 e
r
No. No. Batch Nama Obat Harga Sisa Stok Per 31 Penerimaan Sisa Stok Per 30 Stock Optimum Permintaan Pemberian Keterangan
Distribusi Distribusi ke Exipre Date / 3
Oktober 2023 November 2023 Pemakaian November 2023
keJaringannya poli layanan Rusak 1
O
k
1 Cavit G() 162,800 ###
- t
ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL) o
b
2 440 - - e
###
r
3 412 5,000 ### 2
5,000
0
4 519 - 3
###
5 425 - ###
-
6 710 1,300 100 800 400
###
7 68 ###
-
8 4,600 500 70 430
###
9 463 ###
-
10 2,625 ###
-
11 242 ###
-
12 99 2,000 2,000
###
13 378 1,000 1,000 0 ###
-
14 536 ###
-
15 239 ###
-
16 2,736 ###
-
17 86 ###
-
18 97 ###
-
SALUT SELAPUT)
19 158 ###
-
20 95 - 10,800 2,400 3000 5,400
###
21 74 5,300 15,500 5,400 5000 10,400
###
AMLODIPINE TABLET 5 MG(PROVINSI)
22 70 - ###
-
23 196 ###
-
24 647 ###
-
25 490 1,500 3,000 900 500 3,100
###
26 2,560 150 120 150 120
###
27 2,098 ###
-
KUNYAH)
28 60 ###
-
29 KUNYAH) 99 ###
-
30 ANTASIDA DOEN SYR JKN - 160 15 15 130

###
31 ANTASIDA DOEN TAB ERELA JKN - 5,300 2500 900 1,900

###
32 1,350 ###
-
33 3,637 - 24 ###
24
34 5,170 ###
-
SUPPOSITORIA)
35 3,642 ###
-
36 2,860 ###
-
37 25,490 ###
-
ML)
38 42,900 ###
-
39 144 5,800 0 5,800
###
40 120 3,400 3,000 1,400 2000 3,000
###
41 86 - - 0 ###
-
42 81 400 3,000 1900 1,500
###
43 175 ###
-
44 103 ###
-
45 - 2,600 900 700 1,000
###
46 36,225 ###
-
47 1,815 ###
-
48 81 ###
-
49 83,500 ###
-
ATTAPULGITE 600 MG
50 317 4,100 200 3,900
###
51 7,700 ###
-
52 5,000 ###
-
53 1,071 - 24 24 ###
-
54 864 ###
-
55 1,520 ###
-
56 3,350 43 50 20 20 ###
53
57 695 ###
-
ML (20 DOSIS))
58 19,954 ###
-
BLOOD LANCET()
59 153 ###
-
60 310 ###
-
61 3,794 178 48 29 96 101
###
62 20,700 6 0 ###
6
63 63 ###
-
64 59 3,300 5,000 3300 5,000
###
65 69 ###
-
66 65 2,700 3,000 3,700 600 1,400
###
67 80 500 3,000 300 200 3,000
###
68 143 ###
-
69 250 ###
-
70 30,334 ###
-
71 62,715 - - ###
-
72 23,400 ###
-
73 48,380 ###
-
74 29,900 ###
-
75 67,488 12 ###
12
76 58,053 ###
-
77 24,584 ###
-
78 62,715 8 ###
8
CATHEJELL()
79 49,186 ###
-
80 3,500 ###
-
81 429,000 ###
-
82 462,000 ###
-
83 115 ###
-
84 2,993 35 10 ###
25
85 329 ###
-
86 2,054 ###
-
87 7,848 60 48 0 108
###
88 94 ###
-
89 26 ###
-
90 51 3,800 5,000 4,500 2300 2,000
###
91 1,531 ###
-
92 583 ###
-
93 75 ###
-
94 106 ###
-
95 281 ###
-
96 594 ###
-
97 967 ###
-
98 201 ###
-
99 5,000 ###
-
100 1,550 ###
-
101 473 ###
-
102 657 ###
-
103 880 ###
-
104 1,210 ###
-
105 4,550 ###
-
106 240 ###
-
107 131 200 200 ###
-
108 299 ###
-
109 2,190 ###
-
110 2,052 ###
-
111 5,520 ###
-
112 14,689 100 0 100
###
113 65,000 ###
-
114 286,000 ###
-
115 75 ###
-
116 1,210 8 ###
8
117 2,160 ###
-
118 1,900 ###
-
119 1,913 ###
-
120 28 ###
-
121 108 ###
-
122 134 ###
-
123 104 ###
-
124 136 ###
-
Diluent 20L()
125 1,980,000 ###
-
126 129 ###
-
127 121 2,200 300 100 1,800
###
128 1,262 ###
-
129 1,332 10 90 100
###
130 7,623 - 60 30 ###
30
131 96 ###
-
132 90 1,500 2,000 100 3,400
###
133 17,100 ###
-
134 280 ###
-
135 264 ###
-
136 5,900 ###
-
137 6,000 ###
-
138 68 ###
-
139 10,500 ###
-
140 212 ###
-
141 636 ###
-
142 12,830 ###
-
143 543 ###
-
144 23,101 ###
-
EZ CLEANER()
145 665,500 ###
-
SELAPUT)
146 124 ###
-
147 3,950 ###
-
148 6,244 ###
-
149 6,244 ###
-
150 30,000 ###
-
151 8,000 ###
-
152 43,710 ###
-
153 34,561 ###
-
154 11,189 ###
-
155 10,070 ###
-
156 8,000 ###
-
157 43,710 ###
-
158 43,710 1 ###
1
159 43,710 1 ###
1
160 43,710 1 ###
1
161 43,710 9 ###
9
162 30,000 ###
-
163 32,500 ###
-
164 32,500 ###
-
165 32,500 ###
-
166 462 ###
-
167 990,000 ###
-
168 1,555 ###
-
169 318 ###
-
170 478,500 ###
-
171 137 6,100 10,000 1200 0 14,900
###
172 120 300 300 ###
-
173 220 1,500 1,000 - 500 2,000
###
174 3,000 ###
-
175 7,500 ###
-
176 6,900 - ###
-
177 223 - - 0 0 ###
-
178 306 1,000 600 400
###
179 97,500 ###
-
180 55 ###
-
181 74 ###
-
182 60 ###
-
183 96 ###
-
184 708,000 ###
-
KAPSUL)
185 4,290 ###
-
186 2,533 62 - 22 28 ###
12
187 178 ###
-
188 170 ###
-
189 2,678 100 - 50 ###
50
190 4,949 ###
-
191 112 4,000 100 0 3,900
###
192 215 2,500 1,000 1,700 900 900
###
193 39,468 ###
-
194 325,197 ###
-
195 58,950 ###
-
@ 3 ML)
196 85,000 ###
-
197 40,202 ###
-
198 19,800 ###
-
199 3,190 ###
-
200 125,444 ###
-
201 85 ###
-
202 182 ###
-
TABLET SUBLINGUAL)
203 89 ###
-
204 14,625 39 ###
39
205 14,625 29 ###
29
206 5,348 10 10 ###
-
207 6,423 ###
-
208 14,625 10 0 ###
10
209 6,423 ###
-
210 14,625 - 0 ###
-
211 6,423 ###
-
212 1,666 ###
-
213 1,666 ###
-
214 1,666 ###
-
215 1,666 ###
-
216 209,000 ###
-
217 27,280 ###
-
250 GRAM)
218 25,200 ###
-
219 440 ###
-
MEDIKASA)
220 115,500 4 ###
4
MEDIKASA)
221 560 - - 0 ###
-
MEDIKASA)
222 407 - 320 80 240
###
223 1,155 ###
-
224 2,415 ###
-
225 110,000 ###
-
226 305 ###
-
227 495 350 50 100 200
###
228 3,135 ###
-
229 460 ###
-
230 329 ###
-
231 5,319 ###
-
232 4,982 50 100 50 100
###
233 115,500 ###
-
Lancing Device()
234 86,336 ###
-
235 12,450 ###
-
236 2,461 ###
-
237 20,000 ###
-
238 10,500 ###
-
239 38,000 ###
-
LEUKOPLAST(1X5)
240 12,675 ###
-
LEUKOPLAST(3X5)
241 35,532 ###
-
242 1,035 ###
-
243 2,900 ###
-
244 1,341 200 100 100
###
245 1,532 - - 0 ###
-
246 1,532 - 100 100 ###
-
247 6,250 ###
-
SELAPUT)
248 115 ###
-
249 85 ###
-
250 127 4,200 - 1,200 3,000
###
251 3,650 ###
-
252 3,328 ###
-
253 4,120 ###
-
254 420 ###
-
255 - ###
-
256 434 ###
-
257 613 200 2,000 800 1,400
###
258 613 1,000 1000 ###
-
259 1,100 ###
-
260 1,180 ###
-
261 1,180 ###
-
262 613 600 1,000 100 300 1,200
###
263 3,887 ###
-
264 248 ###
-
265 9,150 ###
-
266 348 ###
-
267 234 ###
-
268 167 1,400 5,000 1400 5,000
###
269 109 ###
-
270 221 11,800 6,400 6200 12,000
###
271 192 ###
-
272 3,278 ###
-
273 258 ###
-
274 89 ###
-
275 83 100 0 100
###
276 124 ###
-
277 8,250 ###
-
278 140 ###
-
279 3,926 19 3 5 ###
11
280 1,980,000 ###
-
ENTERIK)
281 90 ###
-
282 224,400 ###
-
283 100,000 ###
-
284 142 ###
-
TABLET SALUT ENTERIK) PROPINSI
285 156 - ###
-
286 320 ###
-
287 136 6,800 600 1300 4,900
###
288 6,840 - 40 10 ###
30
289 4,121 ###
-
290 19,600 ###
-
291 4,400 ###
-
292 317 ###
-
SELAPUT)
293 164 ###
-
294 1,485 ###
-
295 645 ###
-
296 894 ###
-
297 147 ###
-
298 138 3,300 1,000 2,400 800 1,100
###
ML)
299 11,868 39 19 ###
20
300 71,235 ###
-
301 95,635 ###
-
302 71,235 ###
-
303 117,195 ###
-
304 1,240 ###
-
305 647 - 500 500 ###
-
306 933 390 20 370
###
307 1,550 ###
-
308 1,194 505 1,000 205 320 980
###
309 825 ###
-
310 1,229 180 20 100 ###
60
311 3,550 ###
-
312 20,000 ###
-
313 153,736 ###
-
314 281 ###
-
315 273 600 250 100 250
###
316 3,675 ###
-
317 3,024 ###
-
318 8,742 10 100 100 ###
10
319 1,232 ###
-
320 1,248 ###
-
321 447,747 ###
-
322 1,592,726 ###
-
323 285,339 ###
-
324 267,397 ###
-
325 183,984 ###
-
326 11,500 ###
-
327 5,960 ###
-
328 60 ###
-
329 160 7,600 10,000 2,400 4600 10,600
###
330 3,200 ###
-
331 1,160 35 400 55 85 295
###
332 78,991 ###
-
333 15,950 ###
-
334 30,000 ###
-
335 27,000 ###
-
HYPAFIX 10 CM X 5 M
336 45,496 14 ###
14
HYPAFIX 5 CM X 5 M
337 26,635 3 - 1 ###
2
338 1,700 ###
-
339 242 ###
-
340 197 ###
-
341 2,500 ###
-
342 142 ###
-
343 158 ###
-
344 4,167 55 55 ###
-
345 799 ###
-
346 4,070 ###
-
347 74 400 - 300 100 ###
-
348 73 1,000 1000 ###
-
SALUT SELAPUT)
349 1,815 ###
-
350 59 300 300
###
351 114 ###
-
352 11,791 ###
-
353 11,050 ###
-
354 354 ###
-
355 332 ###
-
356 233 ###
-
357 1,030 ###
-
PYRIDOXINE 10 MG
358 141 2,600 1,200 400 1,000
###
359 1,454 ###
-
SALUT SELAPUT)
360 110 - ###
-
361 97 ###
-
362 834 ###
-
SALUT SELAPUT)
363 863 ###
-
SELAPUT)
364 1,008 ###
-
SELAPUT)
365 123 ###
-
366 2,178 ###
-
367 434 ###
-
368 4,446 ###
-
369 77 200 - 100 100
###
370 3,017 - 24 0 ###
24
371 6,985 ###
-
372 3,465 ###
-
373 4,935 10 10 ###
-
374 3,465 ###
-
375 4,935 40 - 0 ###
40
376 3,465 - 0 ###
-
377 3,645 25 ###
25
378 12,155 ###
-
379 214,500 ###
-
380 59,800 ###
-
381 117 ###
-
382 110 3,960 1,980 120 600 5,220
###
383 150 ###
-
384 225 2,600 2,000 1,200 1400 2,000
###
385 184 ###
-
386 347 ###
-
387 347 ###
-
388 1,000 ###
-
389 212 ###
-
390 2,241,000 ###
-
391 473,000 ###
-
392 5,134,000 ###
-
393 4,730,000 ###
-
394 3,940 40 10 ###
30
395 3,600 - - ###
-
396 3,800 ###
-
397 3,800 ###
-
398 21,021 ###
-
399 14,459 ###
-
400 5,980 ###
-
Strip Glukos
401 4,400 ###
-
10 TABLET)
402 655 ###
-
403 18,150 ###
-
404 71,299 ###
-
405 71,299 ###
-
406 69,993 ###
-
407 69,993 ###
-
408 409 9,400 - 2,100 4000 3,300
###
409 2,437 ###
-
410 181 ###
-
411 331 ###
-
412 440 ###
-
413 2,680 ###
-
414 85,800 ###
-
415 101 ###
-
416 95 ###
-
URINE BAG
417 4,795 ###
-
URINE BAG
418 3,150 14 - ###
14
419 61,996 ###
-
420 59,950 ###
-
421 28,204 ###
-
422 20,900 ###
-
423 17,996 ###
-
424 16,995 ###
-
425 14,498 ###
-
ML)
426 4,000 ###
-
427 331 ###
-
428 305 ###
-
429 352 ###
-
430 135 7,800 3,000 2,000 5800 3,000
###
431 88 ###
-
432 94 ###
-
433 1,067 ###
-
434 150 ###
-
435 141 2,000 2,000
###
436 6,500 ###
-
437 7,630 8 ###
8
438 7,150 - 0 ###
-
439 1,506 300 100 200
###
440 1,467 300 100 200
###
441 1,540 ###
-
442 41,600 ###
-
443 177,216 ###
-
444 604 1,500 - 500 300 700
###
445 524 ###
-
446 16,478 ###
-
447 3,285 163 39 0 124
###
448 85,345 ###
-
Asiklovir 5%
449 2,367 ###
-
450 80,000 ###
-
Betadine kumur
451 12,500 ###
-
452 65,000 ###
-

453 3,220 ###
-
Combiven Nebul
454 12,252 ###
-

455 680 ###
-

456 8,000 ###
-
457 4,121 ###
-
Furosemid tab 40 mg
458 84 ###
-
Furosemid tab 40 mg
459 79 100 - 100 ###
-
460 3,355 ###
-

461 40,326 ###
-
Ketorolac inj 10 mg
462 2,665 ###
-
463 138 ###
-
464 55,248 ###
-
Morpin inj 10 mg/ml
465 11,549 ###
-
466 365 ###
-
467 7,150 ###
-
Fonflu syr
468 11,190 ###
-
Fonflu tab
469 619 ###
-
470 1,275 ###
-
471 4,500 ###
-
472 40,202 ###
-
473 15,386 ###
-
Primaquin 15mg
474 258 ###
-
475 - ###
-
Propiltiourasil
476 351 ###
-
Pularex
220
477 ###
-
Rifampisin 450mg
478 624 ###
-
Salbutamol 2 mg
51
479 ###
-

480 ###
-

481 14,750 ###
-
Trifluoperazin 5 mg
482 445 ###
-
483 6,281 ###
-
848
484 ###
-
Bisturi no.12
485 98,000 ###
-
Bisturi no.15
486 7,500 ###
-
Kasa P.Elastis 4x15
487 21,840 ###
-
Nald no.25
488 15,125 ###
-
489 6,071 ###
-
Pembalut gips uk 4
490 3,500 ###
-
Pembalut gips uk 6
491 1,957 ###
-
Selang o2 anak
492 5,040 11 ###
11

493 2,200 ###
-
Wing needle no.21
494 500 ###
-
Nelaton Fr no.10
495 8,351 ###
-
Nelaton Fr no.12
496 8,351 ###
-
497 4,004 ###
-
498 28,779 ###
-

-
-
-
502 FASTCLEAR Q HBSAG TEST 5,880 ###
-
-
504 Cat Gut Chromic 3-0 (75 x 24MM) 63,603 ###
-
505 Cat Gut Chromic 3-0 (75cmx22mm) 67,488 ###
-
-
-
508 Cardura 3,395 ###
-
-
510 Patanol 0,1 % 72,500 ###
-
511 Onmed alkohol 70% 1 L 25,595 10 ###
10
512 ALKOHOL 95% 9,279 ###
-
513 Betablok 50 mg 310 ###
-
-
-
-
-
-
-
-
-
522 Magnesium Sulfat 40% PROPINSI 4,700 ###
-
523 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 15 200 40 15 160
###
524 Strip Asam urat Autochek 3,881 ###
-
525 Strip Cholesterol Autochek 15,164 ###
-
526 Benechek Plus Uric Acid 5,313 ###
-
527 Benechek Plus Glucose 3,142 ###
-
-
-
530 Remidi alkohol swab 128 ###
-
-
-
533 Serenity Mucus Ext Wkt 35 FR 10-25 ml 7,245 ###
-
534 Serenity silk 3/0 4,256 12 12 13 ###
11
535 Serenity Silk 2/0 4,256 ###
-
536 Serenity silk 3/0 4,157 ###
-
537 Serenity Silk 2/0 4,157 ###
-
-
539 Remidi exam Glove Gynecolog No 7 (P) 18,270 ###
-
-
541 Decacetine Tetes mata 3,850 ###
-
542 Cholestrol FS 617,202 ###
-
543 Glucosa GOD Fs 384,102 ###
-
544 Triglycerid FS 10' Version 1,573,963 ###
-
545 Uric Acid Fs TBHBA 694,900 ###
-
546 Dietilkarbamazin 100 mg 192 ###
-
547 Biosat 130,999 ###
-
548 Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040 ###
-
549 Sianokobalamin ( vit B12) 44 - ###
-
550 Sianokobalamin ( vit B12) 49 ###
-
-
552 RDT COMBO MALARIA (FIRST REONSE) 15,800 ###
-
553 Bisakodil 5 mg 316 ###
-
554 Metronidazol 250 mg 94 ###
-
555 Diluen 20 L Mindray 3 Diff M-30 1,164,625 ###
-
556 Rinse 20 L Mindray M-30 Barcode 1,220,120 ###
-
557 Multi Drug Panel 25 S Answer 37,009 ###
-
558 Blue Tip OM 500 S 146 ###
-
559 Yellow Tips Dragon 1000 S 63 ###
-
560 Trucal U 1,549,779 ###
-
561 Ventolin Rotahaler (alat hirup salbutamol) 6,550 ###
-
562 klorpromazine 5mg/ml 1,735 ###
-
-
-
565 onmed USG 250 ml 13,214 ###
-
566 ONEMED USG 250 ML 13,213 ###
-
567 Alkazyme 25 mg 801,000 ###
-
568 Alkacid 1 L 2,702,700 ###
-
569 Trulab 2,254,214 ###
-
570 Vaksin MR 10 Ds 155,813 ###
-
571 Onmed water one 1 L 16,306 ###
-
572 Umbilical Cord Cleam 1,417 ###
-
573 Farnomin Tab 297 ###
-
574 Decafil 145 ###
-
575 Tensidox 2,064 ###
-
576 Lysol 1 L 44,690 ###
-
577 Lyse M30 500 ml 1,375,000 ###
-
578 Probe cleanser M30 17 ml 97,625 ###
-
579 Terumo Agani needle 25 347 ###
-
580 Ampicillin inj 9,473 ###
-
-
-
-
584 Masker oksigen dewasa 10,150 7 100 100 ###

7
4
586 Hidrogen Piroksida 33,034 1 ###
1
587 Rapid HIV 11,975 - 50 50 ###
-
588 Calcium glukonat 6,255 ###
-
589 Alprazolam 0.5 mg 108 ###
-
590 IV Catheter no 26 11,700 ###
-
591 Gynosurge S (6.5) 40,733 ###
-
592 Gynosurge M (7.5) 40,733 ###
-
593 Gynosurge S (8.5) 40,733 ###
-
594 Masker oksigen Pediatric 8,000 ###
-
595 Tetagam 188,663 ###
-
596 Metronidazol suspensi 125 mg/5ml 3,950 ###
-
597 Hidrogen piroksidA 3,528 ###
-
598 sarung tangan steril 8.0 3,465 ###
-
-
-
601 Fluoksetin 20 mg 225 ###
-
602 Kasa Hidrofil 3y x 10 cm 1,491 ###
-
603 Masker oksigen Dewasa 1,491 ###
-
-
-
606 Parasetamol drop 60 mg/ 0.6 ml 7,646 ###
-
607 Rapid HIV@ 25 11,975 ###
-
608 Rapid HIV@ 30 26,060 ###
-
609 Trepocek/Rapid tes spilis 10,645 10 10 ###
-
610 MB Dewasa 41,784 ###
-
611 Diagnostar HIV 15,026 ###
-
612 KHB diagnostic HIV 12,500 ###
-
613 Verorab 150,000 ###
-
614 Hepatitis B imune globulin 1,325,000 ###
-
615 Fyrom international O2 portable 6,363,906 ###
-
616 Mineral mix 2,920 ###
-
-
-
-
-
621 Pipet Obat( dana jkn ) 6,600 ###
-
622 Pot Sputum 2,354 ###
-
623 REAGEN ZN 250,333 ###
-
624 KACA SLIDE 22,097 ###
-
625 TOPI OPERASI REMIDI 1,408 ###
-
626 GEA NON REBREATING MASK CHILD 17,050 ###
-
627 GEA NEBULIZER MASK WITH CHAMBER ADULT 14,000 ###
-
628 GEA NEBULIZER MASK WITH CHAMBER CHILD 14,000 ###
-
629 ONEMED MEDICREPE 3 " JKN 20,535 ###
-
630 LACTULOSA SYRUP 15,060 ###
-
631 CHLORAMPHENICOL TETES MATA 8,480 ###
-
632 CHLORAMPHENICOL TETES TELINGA 9,223 ###
-
633 NYSTATIN DROP 21,529 ###
-
634 CLINDAMYCIN 150 MG 803 ###
-
635 SERUM ANTI BISA ULAR ABU I INJ 512,204 ###
-
636 OBAT BATUK HITAM 3,500 ###
-
637 HIOSINA BUTILBROMIDA(SCOPMA) 1,110 ###
-
638 FOLLEY CATHETER 2 WAY NO 18 - 1 ###
1
1
640 FOLLEY CATHETER 2 WAY NO 22 - 3 1 ###
2
9
642 FOLLEY CATHETER 2 WAY NO 16 14,520 2 ###
2
-
-
-
-
-
-
649 SALBULIN 33,294 ###
-
650 BISTURI NO 12 2,990 ###
-
651 BISTURI NO 11 2,948 92 ###
92
652 FARBIVENT 2,5 ML 3,916 ###
-
653 ONEMED ALKOHOL 70% 1 Lt jkn 33,000 ###
-
654 ONEMED ALKOHOL SWAB 13,799 ###
-
655 ONEMED POVIDONE IODINE 60CC 5,412 ###
-
656 OCTADIN 0,1% SPRAY 33,000 ###
-
657 LARVASIDA DBD (ABATE 1Gr) 73,500 ###
-
658 ADS 0,5ML 1,165 ###
-
659 ADS 0,5ML 1,240 ###
-
660 ADS 0,3 ML 1,255 ###
-
661 ADS 3 ML 569 ###
-
662 ALKOHOL SWAB PROPINSI 110 ###
-
663 ALKOHOL SWAB 141 1000 1,000
###
664 ALKOHOL SWAB Vaksin 79 ###
-
665 SAFETY BOX 5L COVID19 14,000 ###
-
666 PELARUT PFIZER 3,280 ###
-
667 VAKSIN PFIZER 6 DS - ###
-
668 VAKSIN MODERNA 14 DOSIS - ###
-
669 VAKSIN SINOVAC 2 DOSIS - ###
-
670 VAKSIN SINOPHARM 2 DOSIS - ###
-
-
672 SWAB TEST ANTIGEN P2P - ###
-
673 ASTRAZENECA 10 DS 581,607 ###
-
674 FACESHIELD PLASTIK 14,700 ###
-
675 SARUNG TANGAN (KBKR) 6,900 ###
-
676 MASKER MEDIS JSP (KBKR) 30,500 ###
-
677 HAZMAT (KBKR) 136,000 ###
-
-
-
-
681 MASKER N95 - ###
-
-
-
684 MINI PIL 4,017 ###
-
-
-
-
-
689 DERMAFIX 4,212 ###
-
-
691 MASKER KB 1,108 ###
-
-
-
-
-
696 FORM. K/I/KB 400 ###
-
697 FORM. K/IV/KB 750 ###
-
698 ADS 0,05ML 1,460 ###
-
-
700 SUNTIK KB GESTIN 11,875 ###
-
-
702 IUD COPPER T 13,750 ###
-
703 KONDOM 123,910 ###
-
-
-
-
-
708 DERMAFIX 3,850 ###
-
709 PB DEWASA 15,014 ###
-
-
711 MASKER KB 960 ###
-
-
-
-
-
-
-
718 GIEMSA 875,065 ###
-
719 ALTOSID 1,3 G(DINKES) 1,269,000 ###
-
-
721 RDT VIROTEC DENGUE COMBO 45,360 ###
-
722 IODIUM TEST 34,000 ###
-
-
724 ADS 5 ML 1,500.00 180 0 20 160
###
725 VAKSIN PCV 190,657.00 ###
-
-
-
-
729 SURGICAL MASK EARLOP 3 PLAY 16,420.00 ###
-
-
731 CIPROFLOXACIN 500MG PROMED 788.10 ###
-
732 CTM STRIP 24 KTK 994.37 ###
-
733 BETAHISTIN6 MG 30'S 991.60 ###
-
734 ERLAMICETIN SALEP MATA 10,545.00 ###
-
735 LORATADINE 10 MG NOVA 290.82 ###
-
736 RECO TETES MATA 9,435.00 ###
-
737 GLIBENCLAMIDE 5 MG FM 176.82 ###
-
738 METFORMIN 500 MG SHJ 233.10 ###
-
739 METFORMIN 850 MG DEXA 604.95 ###
-
740 NIFEDIPINE 10 MG DEXA 222.00 ###
-
741 PHYTOMENADION 10 MG KF 1,332.00 ###
-
742 ACICLOVIR CREAM KF 3,864.68 ###
-
743 NEEDLE 25 TERUMO 1,221.00 ###
-
744 ONEMED USG GEL 250ML 19,375.00 ###
-
745 KERTAS PUYER KECIL 100'S 41,070.00 ###
-
746 MASKER KB PENGADAAN 60,000.00 ###
-
-
748 OAT KDT DOSIS HARIAN 559,995.00 ###
-
-
750 RDT VIROTEC DENGUE COMBO 45,360.00 ###
-
751 RDT DBD COMBO 11 506,000 ###
-
752 RDT DBD COMBO III 49,205 ###
-
753 IODIUM TEST 34,000 ###
-
754 ALAT (GPT) FS 1,083,400 ###
-
755 ALAT (GOT) FS 1,083,400 ###
-
756 BTI Larvasida 64,691 0 ###
-
757 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 98,560.00 ###
-
758 VAKSIN HPV 178,750.00 ###
-
759 SAFETY BOX - ###
-
760 LAB KIT MALARIA 1,472,268.00 ###
-
761 SILK/SUTERA 2-0(76CMX25MM) 46,620.00 ###
-
762 KASSA ROLL KB 145,000.00 ###
-
763 KASSA STERIL KOTAK KB 8,000.00 ###
-
764 TEST PACK KB 110,000.00 ###
-
765 VAKSIN ROTAVAC 249,750.00 ###
-
766 ACETHYLCYSTEIN 794.76 ###
-
767 ANTASIDA DOEN SYRUP 5,439.00 ###
-
768 CETIRIZINE 10 MG 111.00 ###
-
769 ASAM MEFENAMAT JKN 216.45 ###
-
770 VACUM BLOOD COLLECTION TUBE PLAIN 3ml 157,950.00 ###
-
771 ONEMED PLESTERIN BULAT 200'S 39,316.20 ###
-
772 GEA IV CATHETER 26'S 4,995.00 ###
-
773 ONEMED FEEDING TUBE 5FR 40CM 8,807.85 ###
- -
774 SARUNG TANGAN OBGYN 20,900.00 ###
-
775 RDT CHIKUNGUNYA 64,998.00 50 50 ###
-
776 BAHAN PEMERIKSAAN MALARIA 784,800.00 1 1 ###
-
777 AZITROMISIN 500MG 1,400.00 30 30 ###
-
778 ENDO EGG ROLL 50X30 M VAROIUS 1 CH 29,900.00 ###
-
779 ENDO EGG ROLL 80X30 M VAROIUS 3 CH 149,000.00 ###
-
780 SET KEBUGARAN KIT 5,800,000.00 ###
-
- -
###
JUMLAH ###

MARGARITHA SUSTANTI, S.Tr., KEB. APT. NURLITA, S.FARM APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19890228 201101 2 006 NIP. 19930120 201903 1 011
(LPLPO)
No. Surat : 449.1-442.1/ /TU/2023

Unit Penerima : UPT. PUSKESMAS BARONG TONGKOK Bulan : NOVEMBER/DESEMBER
DATA OBAT
Pengeluaran Desember 2023
No. No. Batch Nama Obat Harga Sisa Stok Per 30 Penerimaan Sisa Stok Per 30 Desember Stock Optimum Permintaan Pemberian Keterangan
November 2023 Desember 2023 Distribusi Distribusi ke Exipre Date / 2023
1 Cavit G() 162,800 -

2 440 -
3 412 5,000 2,000 1,800 1600 3,600
4 519 -
5 425 - - 0 0 -
6 710 400 400
7 68 -
8 4,600 430 0 430
9 463 -
10 2,625 -
11 242 -
12 99 2,000 2,000 300 3,700
13 378 1,000 100 900
14 536 -
15 239 -
16 2,736 -
17 86 -
18 97 -
AMITRIPTYLINE TABLET SALUT SELAPUT 25 MG(DUS, 10 STRIP @ 10 TABLET SALUT
SELAPUT)
19 158 -
20 95 5,400 10,800 6,800 8600 0 800
21 74 10,400 3,400 7000 -
22 70 - 10,000 3,000 2000 0 5,000
23 196 -
24 647 -
25 490 3,100 5,000 2,800 4100 1,200
26 2,560 120 100 20
27 2,098 -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DUS, 10 STRIP @ 10 TABLET KUNYAH)
28 60 -
29 ANTASIDA DOEN SYR JKN 130 40 90 -
30 ANTASIDA DOEN TAB ERELA JKN 1,900 1400 500 -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DUS, 10 STRIP @ 10 TABLET KUNYAH)
31 99 -
32 1,350 -
33 3,637 24 50 50 14 10
34 5,170 -
ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2 GRAM(STRIP a 10 SUPPOSITORIA)
35 3,642 20 0 20
36 2,860 -
37 25,490 -
ARTESUNATE CAIRAN INJEKSI 60 MG(DUS, 1 VIAL @ 60 MG + 1 AMP PEL @ 1 ML)
38 42,900 -
39 144 5,800 - 100 5,700
40 120 3,000 1,000 3,400 600 -
41 86 -
42 81 1,500 3,000 2000 2,500
43 175 -
44 103 -
45 - 1,000 300 700 -
46 34,810 -
47 1,815 -
48 81 -
49 83,500 -
ATTAPULGITE 600 MG
50 317 3,900 400 400 3,100
51 7,700 -
52 5,000 -
53 1,071 - 24 7 17 -
54 864 -
55 1,520 -
56 3,350 53 12 16 25
BISOPROLOL FUMARATE TABLET SALUT SELAPUT 5 MG(DUS, 3 STRIP @ 10 TABLET
SALUT SELAPUT)
57 695 -
BIVALENT ORAL POLIOMYELITIS VACCINE TYPES 1& 3 DROPS (DUS, 50 VIAL @ 2 ML
(20 DOSIS))
58 19,954 -
BLOOD LANCET()
59 153 -
BLOOD LANCET()
60 144 -
61 310 -
62 3,794 101 5 96 -
63 20,700 6 6 -
64 63 -
65 59 5,000 1,000 - 1000 5,000
66 69 0 -
67 65 1,400 3,000 1,500 2400 0 500
68 80 3,000 - 1,700 1100 0 200
69 143 -
70 250 -
71 30,334 -
72 62,715 -
73 23,400 -
74 48,380 -
75 29,900 -
76 67,488 12 12 -
77 58,053 -
78 24,584 -
79 62,715 8 0 8
CATHEJELL()
80 79,970 5 5
81 3,500 -
82 429,000 -
83 462,000 -
84 115 -
85 2,993 25 25 -
86 329 -
87 2,054 -
88 7,848 108 48 6 50 100
89 94 -
90 26 -
91 51 3,000 5,000 4,300 2500 1,200
92 51 - - 0 -
93 1,531 -
CHLORPROMAZINE TABLET SALUT SELAPUT 100 MG(DUS, 10 BLISTER @ 10 TABLET
SALUT SELAPUT)
94 583 -
95 75 -
96 106 -
CIPROFLOXACIN TABLET SALUT SELAPUT 500 MG(DUS, 10 BLISTER @ 10 TABLET
SALUT SELAPUT)
97 281 - 1,000 200 200 0 600
98 594 -
99 967 -
100 201 -
101 5,000 -
102 1,550 -
103 473 200 200 -
104 657 -
105 880 -
106 1,210 -
107 4,550 -
108 240 -
109 131 - - 0 0 -
110 299 - - 0 0 -
111 2,190 -
112 2,052 -
113 5,520 -
114 14,689 100 20 80
115 65,000 -
116 286,000 -
117 75 -
118 1,210 8 8
119 2,160 -
120 1,900 -
121 1,913 -
122 28 -
123 108 -
124 134 -
125 104 -
126 136 -
Diluent 20L()
127 1,980,000 -
128 129 -
129 121 1,800 - 200 300 1,300
130 1,262 -
131 825 100 - 90 10
132 7,623 30 - 0 30
133 96 -
134 90 3,400 700 2700 -
135 17,100 -
136 280 -
137 264 -
138 5,900 -
139 6,000 -
140 68 -
141 10,500 -
ERGOTAMINE CAFFEINE TABLET SALUT SELAPUT 1 MG + 50 MG(BOTOL PLASTIK @
142 212 -
143 636 - - 0 0 -
144 12,830 -
145 543 -
146 88,000 - 12 12 -
EZ CLEANER()
147 745,420 1 1 -
SELAPUT)
148 124 -
149 3,950 -
150 6,244 -
151 6,244 -
152 30,000 -
153 8,000 -
154 43,710 -
155 34,561 -
156 11,189 -
157 10,070 -
158 8,000 -
159 43,710 -
160 43,710 -
161 43,710 -
162 43,710 -
163 43,710 -
164 43,710 - -
165 43,710 -
166 30,000 -
167 32,500 -
168 32,500 -
169 32,500 -
170 462 -
171 990,000 -
172 1,555 -
173 318 -
174 478,500 -
175 179 14,900 - 2,500 2500 0 9,900
176 120 - - 0 0 -
177 220 2,000 - 1,300 700 0 -
178 3,000 -
179 7,500 -
180 6,900 43 3 40 -
181 223 -
182 306 400 0 400
183 97,500 -
184 55 -
185 74 -
186 60 -
187 96 -
188 708,000 -
KAPSUL)
189 4,290 -
190 2,533 12 48 16 20 24
191 178 -
192 170 -
193 2,678 50 30 10 10
194 4,949 -
195 112 3,900 200 1400 2,300
196 215 900 300 600 -
197 39,468 -
198 325,197 -
199 58,950 -
INSULIN HUMAN LONG ACTING CAIRAN INJEKSI 100 IU/ML(DUS, 5 CARTRIDGE @ 3
ML)
200 85,000 -
201 40,202 -
202 19,800 -
203 3,190 -
204 125,444 -
205 85 -
206 182 -
ISOSORBIDE DINITRATE TABLET SUBLINGUAL 5 MG(DUS, 10 STRIP @ 10 TABLET
SUBLINGUAL)
207 89 -
208 14,625 39 10 29
209 14,625 29 10 19
210 5,348 - -
211 6,423 -
212 14,625 10 10 -
213 6,423 -
214 14,625 - 0 -
215 6,423 -
216 1,666 -
217 1,666 -
218 1,666 -
219 1,666 -
220 209,000 -
221 27,280 -
KAPAS PEMBALUT ALAT KESEHATAN 250 Gram(KAPAS PEMBALUT MEDIKASA 250
GRAM)
222 25,200 -
223 440 -
KARTU IMUNISASI HEPATITIS
224 - 88 88 -
MEDIKASA)
225 115,500 4 1 3
MEDIKASA)
226 560 -
MEDIKASA)
227 407 240 480 256 464
228 1,155 -
229 2,415 -
230 110,000 -
231 305 -
232 495 200 - 200 -
233 3,135 -
234 460 -
235 329 -
236 5,319 -
237 4,982 100 20 0 80
238 115,500 -
Lancing Device()
239 86,336 -
240 12,450 -
241 2,461 -
242 20,000 -
243 10,500 -
244 38,000 -
LEUKOPLAST(1X5)
245 12,675 -
LEUKOPLAST(3X5)
246 35,532 -
247 1,035 -
248 2,900 -
249 1,341 100 100 100 100
250 1,532 - - 0 -
251 1,532 - 100 100 -
252 6,250 -
SELAPUT)
253 115 -
254 85 -
255 127 3,000 - 400 1000 1,600
256 3,650 -
257 3,328 -
258 4,120 -
259 420 -
260 - -
261 434 -
262 613 1,400 1100 300
263 613 -
264 1,100 -
265 1,180 -
266 1,180 -
267 613 1,200 0 1,200
268 3,887 -
269 248 -
270 9,150 -
271 348 -
272 234 -
273 167 5,000 - 1,000 4000 -
274 109 5,000 - 5000 -
275 221 12,000 - 7700 4,300
276 192 -
277 3,278 -
278 258 -
279 89 -
280 83 100 0 100
281 124 -
282 8,250 -
283 140 200 - 200
284 3,926 11 11 -
285 1,980,000 -
MINIASPI TABLET SALUT ENTERIK 80 MG(DUS, 10 STRIP @ 10 TABLET SALUT ENTERIK)
286 90 -
287 224,400 -
288 100,000 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS, 5 STRIP @ 10 TABLET
SALUT ENTERIK)
289 142 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS, 5 STRIP @ 10 TABLET
SALUT ENTERIK) PROPINSI
290 156 - -
291 320 -
292 136 4,900 1,900 600 2,400
293 6,840 30 20 10 20 20
294 4,121 -
295 19,600 -
296 4,400 -
297 317 -
SELAPUT)
298 164 700 - 0 0 700
299 1,485 -
300 645 -
301 894 -
302 147 -
303 138 1,100 2,000 1,700 1300 100
OMEPRAZOLE SERBUK INJEKSI 40 MG(DUS, 1 VIAL @ 40 MG + 1 AMPUL @ 10 ML)
304 11,868 20 20 20 20
305 71,235 1 1 -
306 95,635 1 1 -
307 71,235 1 1 -
308 117,195 1 1 -
309 1,240 -
310 647 - 200 100 100
311 933 370 170 200
312 1,550 -
313 1,194 980 - 10 770 200
314 825 -
315 1,229 60 60 -
316 1,500 100 100 -
317 3,550 -
318 20,000 -
319 153,736 -
320 281 -
321 273 250 250 -
322 3,675 -
323 3,024 -
324 8,742 -
325 1,232 -
326 1,248 -
327 447,747 -
328 1,592,726 -
PADUAN OAT KATEGORI ANAK KOMBINASI BEBERAPA BENTUK SEDIAAN DLM SATU
KEMASAN (60 BLS THP INTENSIF @ 5 TAB + 120 BLS THP LANJUTA)
329 285,339 -
PADUAN OAT KATEGORI ANAK KOMBINASI BEBERAPA BENTUK SEDIAAN DLM SATU
KEMASAN (60 BLS THP INTENSIF @ 5 TAB + 120 BLS THP LANJUTA)
330 267,397 -
PADUAN OAT SISIPAN KOMBINASI BEBERAPA BENTUK SEDIAAN DLM SATU KEMASAN
(30 BLS THP INTENSIF)
331 183,984 -
332 11,500 -
333 5,960 -
334 60 -
335 160 10,600 2,000 8,800 3000 800
336 3,200 -
337 1,160 295 100 75 70 250
338 78,991 -
339 15,950 -
340 30,000 -
341 27,000 - 13 6 7
HYPAFIX 10 CM X 5 M
342 45,496 14 14 -
HYPAFIX 5 CM X 5 M
343 26,635 2 - 2 -
344 1,700 -
345 242 -
346 197 -
347 2,500 -
348 142 -
349 158 -
350 4,167 -
PHYTOMENADIONE TABLET SALUT SELAPUT 10 MG(BOTOL PLASTIK @ 100 TABLET
SALUT SELAPUT)
351 799 -
352 4,070 -
353 74 - -
354 73 - -
PROBENECID TABLET SALUT SELAPUT 500 MG(DUS, 10 STRIP @ 10 TABLET SALUT
SELAPUT)
355 1,815 -
356 59 300 300
357 114 - - 0 0 -
358 11,791 -
359 11,050 -
360 354 -
361 332 -
362 233 -
363 1,030 -
PYRIDOXINE 10 MG
364 141 1,000 2,000 400 1000 1,600
365 1,454 -
RANITIDINE TABLET SALUT SELAPUT 150 MG(DUS, 10 STRIP @ 10 TABLET SALUT
SELAPUT)
366 110 - -
367 97 -
368 834 -
RIFAMPICIN CAPTABS SALUT SELAPUT 600 MG(DUS, 10 STRIP @ 10 KAPLET SALUT
SELAPUT)
369 863 -
SELAPUT)
370 1,008 -
SELAPUT)
371 123 200 200 -
372 2,178 -
373 434 -
374 4,446 -
375 76 100 100
376 3,017 24 50 64 10
377 6,985 -
378 3,465 -
379 4,935 - 0 -
380 3,465 -
381 4,935 40 10 30
382 3,465 - 0 -
383 3,645 25 3 10 12
384 12,155 -
385 214,500 -
386 62,000 100 100 -
387 117 4,020 - - 4020 -
388 110 5,220 - 750 2400 2,070
389 150 -
390 225 2,000 - 900 1100 -
391 184 -
392 347 -
393 347 -
394 1,000 -
395 212 -
396 2,241,000 -
397 473,000 -
398 5,134,000 -
399 4,730,000 -
400 3,940 30 0 30
401 3,600 100 90 10
402 3,800 -
403 3,800 -
404 21,021 -
405 14,459 -
406 5,980 -
Strip Glukos
407 4,400 -
SULFADOXINE- PYRIMETHAMINE TABLET 500 MG + 25 MG(DUS, 10 BLISTER @ 10
TABLET)
408 655 -
409 18,150 -
410 71,299 -
411 71,299 -
412 69,993 -
413 69,993 -
TABLET TAMBAH DARAH TABLET SALUT SELAPUT (DUS, 100 SACHET @30 TABLET
SALUT SELAPUT)
414 409 3,300 5,000 800 7500 -
415 2,437 -
416 181 -
417 331 -
418 440 -
419 2,680 -
420 85,800 -
421 101 -
422 95 -
URINE BAG
423 4,795 -
URINE BAG
424 3,150 14 14
425 61,996 -
426 59,950 -
VAKSIN CAMPAK KERING SERBUK INJEKSI 1000 CCID 50(DUS, 10 VIAL @ 10 DOSIS +
10 AMPUL PELARUT @ 5 ML)
427 28,204 -
VAKSIN HEPATITIS B REKOMBINAN CAIRAN INJEKSI 20 MCG/ML(DUS, 100 SACHET @
1 PREFILLEDSYRINGE (UNIJECT) @ 0)
428 20,900 -
VAKSIN HEPATITIS (ADULT 1.0ML)
429 57,000 88 88 -
VAKSIN JERAP DT (ABSORBED DT VACCINE) CAIRAN INJEKSI (40 + 15) Lf/ML(DUS, 10
VIAL @ 5 ML (10 DOSIS))
430 17,996 -
VAKSIN JERAP Td (ADSORBED Td VACCINE) CAIRAN INJEKSI (4 + 15) Lf/ML(DUS, 10
VIAL @ 5 ML (10 DOSIS))
431 16,995 -
432 14,498 -
VENTOLIN NEBULES CAIRAN INHALER 0,2 %(DUS,4 X 5 BOTOL PLASTIK @ 2,5 ML)
433 4,000 -
434 331 -
435 305 -
436 352 -
437 135 3,000 - 2600 400
438 80 -
439 94 -
440 1,067 -
441 150 -
442 141 - - 0 -
443 6,500 -
444 7,150 8 20 18 10
445 7,150 -
446 1,467 200 100 100
447 1,467 200 100 100
448 1,540 -
449 41,600 -
450 177,216 -
451 604 700 - 100 500 100
452 524 -
453 16,478 -
454 3,285 124 33 91 -
455 85,345 -
Asiklovir 5%
456 2,367 -
457 80,000 -
Betadine kumur
458 12,500 -
459 65,000 -

460 3,220 -
Combiven Nebul
461 12,252 -

462 680 -

463 8,000 -
464 4,121 -
Furosemid tab 40 mg
465 84 -
Furosemid tab 40 mg
466 79 - 100 0 0 100
467 3,355 -

468 40,326 -
Ketorolac inj 10 mg
469 2,665 -
470 138 -
471 55,248 -
Morpin inj 10 mg/ml
472 11,549 -
473 365 -
474 7,150 -
Fonflu syr
475 11,190 -
Fonflu tab
476 619 -
477 1,275 -
478 4,500 -
479 40,202 -
480 15,386 -
Primaquin 15mg
481 258 100 100 -
482 - -
Propiltiourasil
483 351 -
Pularex
220
484 -
Rifampisin 450mg
485 624 -
Salbutamol 2 mg
51
486 -

487 -
488 14,750 -
Trifluoperazin 5 mg
489 445 -
490 6,281 -
848
491 -
Bisturi no.12
492 98,000 -
Bisturi no.15
493 7,500 -
Kasa P.Elastis 4x15
494 21,840 -
Nald no.25
495 15,125 -
496 6,071 -
Pembalut gips uk 4
497 3,500 -
Pembalut gips uk 6
498 1,957 -
Selang o2 anak
499 5,040 - -

500 2,200 -
Wing needle no.21
501 500 -
Nelaton Fr no.10
502 8,351 -
Nelaton Fr no.12
503 8,351 -
504 4,004 -
505 28,779 -

509 FASTCLEAR Q HBSAG TEST 5,880 100 100 -
511 Cat Gut Chromic 3-0 (75 x 24MM) 63,603 -
512 Cat Gut Chromic 3-0 (75cmx22mm) 67,488 -
515 Cardura 3,395 -
517 Patanol 0,1 % 72,500 -
518 Onmed alkohol 70% 1 L 27,500 -
519 ALKOHOL 95% 9,279 -
530 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 160 120 40
532 Strip Cholesterol Autochek 15,164 550 550 -
539 Serenity Nasal 02 Canulla Infant 5,040 11 0 11
541 Serenity silk 3/0 4,256 11 5 0 6
550 Glucosa GOD Fs 384,102 3 3 -
551 Triglycerid FS 10' Version 905,800 3 3 -
552 Uric Acid Fs TBHBA 694,900 4 4 -
554 Biosat 130,999 -
559 RDT COMBO MALARIA (FIRST REONSE) 15,800 25 25 -
565 Blue Tip OM 500 S 146 -
566 Yellow Tips Dragon 1000 S 63 2,000 2000 -
567 Trucal U 1,549,779 -
572 onmed USG 250 ml 13,214 -
573 ONEMED USG 250 ML 13,213 -
574 Alkazyme 25 mg 801,000 -
575 Alkacid 1 L 2,702,700 -
576 Trulab 2,254,214 -
577 Vaksin MR 10 Ds 155,813 -
581 Decafil 145 -
583 Lysol 1 L 44,690 -
584 Lyse M30 500 ml 1,665,000 1 1 -
590 Euthyrox 735 -
593 Hidrogen Piroksida 33,034 1 1
594 Rapid HIV 11,975 50 50 -
598 Gynosurge S (6.5) 40,733 -
599 Gynosurge M (7.5) 40,733 -
600 Gynosurge S (8.5) 40,733 -
602 Tetagam 188,663 -
614 Rapid HIV@ 25 11,975 -
615 Rapid HIV@ 30 26,060 -
616 Trepocek/Rapid tes spilis 10,645 50 50 -
617 MB Dewasa 41,784 -
620 Verorab 150,000 -
621 Rabivax-S Vaksin 154,880 100 100 -
630 Pot Sputum 2,354 400 400 -
631 REAGEN ZN 250,333 -
632 KACA SLIDE 22,097 -
640 CHLORAMPHENICOL TETES TELINGA 9,223 - 0 0 0 -
656 SALBULIN 33,294 -
657 BISTURI NO 12 2,990 -
658 BISTURI NO 11 2,948 92 92 -
659 FARBIVENT 2,5 ML 3,916 -
661 ALKOHOL SWAB 141 -
663 OCTADIN 0,1% SPRAY 33,000 -
664 LARVASIDA DBD (ABATE 1Gr) 73,500 -
665 ADS 0,5ML 1,165 -
666 ADS 0,5ML 1,240 -
667 ADS 0,3 ML 1,255 -
668 ADS 3 ML 569 -
683 HAZMAT (KBKR) 136,000 -
687 MASKER N95 - -
690 MINI PIL 4,017 -
697 MASKER KB 1,108 -
702 FORM. K/I/KB 400 -
703 FORM. K/IV/KB 750 -
704 ADS 0,05ML 1,460 -
706 SUNTIK KB GESTIN 11,875 -
709 KONDOM 123,910 -
715 PB DEWASA 15,014 -
717 MASKER KB 960 -
724 GIEMSA 875,065 -
725 ALTOSID 1,3 G(DINKES) 1,269,000 -
727 RDT VIROTEC DENGUE COMBO 45,360 -
730 ADS 5 ML 1,500.00 160 60 100
731 VAKSIN PCV 190,657.00 -
735 SURGICAL MASK EARLOP 3 PLAY 16,420.00 -
738 CTM STRIP 24 KTK 994.37 -
749 NEEDLE 25 TERUMO 1,221.00 -
750 ONEMED USG GEL 250ML 19,375.00 -
754 OAT KDT DOSIS HARIAN 559,995.00 16 16 -
757 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 98,560.00 -
758 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 159,034.00 5 5 -
759 ONEMED VACUM BLOOD COLLECTION TUBE PLAIN K3 3ML 157,950.00 5 5 -
760 RDT DBD COMBO 11 506,000 -
763 ALAT (GPT) FS 1,083,400 -
764 ALAT (GOT) FS 1,083,400 -
765 BTI Larvasida 64,691 0 -
766 VAKSIN HPV 178,750.00 -
767 SAFETY BOX - -
768 LAB KIT MALARIA 1,472,268.00 -
- -
JUMLAH

MARGARITHA SUSTANTI, S.Tr., KEB. APT. NOVELITA, S.SI APT. CHRISTIAN JANUARI PRATAMA, S.FARM.
NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009 NIP. 19930120 201903 1 011
Lampiran. 1
STOCK OPNAME OBAT DAN BMHPS
i
UPT. PUSKESMAS BARONG TONGKOKs
a
DINAS KESEHATAN KABUPATEN KUTAI BARAT
S
DESEMBER 2023 t
o
k
NOMINAL NILAI
P DATA OBAT
OBAT (Rp)
e
r
No.
No. Nama Obat Harga Ket
Batch 3 Sisa Stok Per 30
0 Desember 2023
Sisa Stok Per 30 Desember 2023
N
o
v
e
OBAT m
b
ACETYLCYSTEINE CAPSUL 200 MG(DUS, 10 STRIP @ 10 KAPSUL) e
r
1 ###
412 3,600 1,483,200.00
0
2 ###
710 2 400 284,000.00
ALBENDAZOLE SUSPENSI 200 MG/5 ML(DUS, 10 DUS @ 1 BOTOL @ 10 ML) 3
3 ###
4,600 430 1,978,000.00
4 ###
99 3,700 366,300.00
5 378 900 340,200.00
6 ###
95 800 76,000.00
7 ###
70 5,000 350,000.00
8 ###
490 1,200 588,000.00
9 ###
2,560 20 51,200.00
10 Amoxcillin dry sirup 125 mg/ 5 ml ###
1,920 40 76,800.00
11 3,642 20 72,840.00
12 ###
144 5,700 820,800.00
13 ###
81 2,500 202,500.00
14 ATTAPULGIT 600 MG ###
317.00 3,100 982,700.00
15 ###
3,350 25 83,750.00
16 ###
59 5,000 295,000.00
17 ###
65 500 32,500.00
18 ###
80 200 16,000.00
19 ###
7,848 100 784,800.00
20 ###
51 1,200 61,200.00
SALUT SELAPUT) 600
21 ###
281 168,600.00
22 473 - -
23 ###
1,210 8 9,680.00
24 ###
121 1,300 157,300.00
25 1,332 10 13,320.00
26 ###
825 10 8,250.00
27 ###
7,623 30 228,690.00
Furosemid tab 40 mg
28 1212016 ###
79 100 7,900.00
29 ###
179 9,900 1,772,100.00
30 ###
120 - -
31 ###
220 - -
32 ###
6,900 - -
33 ###
306 400 122,400.00
34 ###
2,533 24 60,792.00
35 ###
2,678 10 26,780.00
36 ###
112 2,300 257,600.00
37 ###
215 - -
38 477537 ###
4,982 80 398,560.00
39 634475 ###
1,341 100 134,100.00
40 ###
1,532 - -
41 ###
127 1,600 203,200.00
42 ###
109 - -
43 597011 ###
221 4,300 950,300.00
44 ###
83 100 8,300.00
45 ###
140 200 28,000.00
46 ###
3,926 - -
47 ###
136 2,400 326,400.00
48 ###
6,840 20 136,800.00
SELAPUT) 700
49 507012 ###
164 114,800.00
50 OAT KDT DOSIS HARIAN 559,995.00 - -
51 477563 ###
138 100 13,800.00
52 477564 11,868 20 237,360.00
53 ###
273 - -
54 601538 ###
160 800 128,000.00
55 477582 ###
1,160 250 290,000.00
56 477590 ###
59 300 17,700.00
SELAPUT) -
57 123 -
58 95381007 ###
76 100 7,600.00
59 477598 ###
3,017 10 30,170.00
60 62,000 - -
61 477603 ###
110 2,070 227,700.00
62 ###
110 - -
63 ###
225 - -
SALUT SELAPUT) -
64 ###
409 -
65 57,000 - -
66 ###
135 400 54,000.00
67 509417 ###
141 1,600 225,600.00
68 477623 ###
7,150 10 71,500.00
69 477624 ###
604 100 60,400.00
70 ###
3,285 - -
Furosemid tab 40 mg
71 ###
79 100 7,900.00
Primaquin 15mg
72 258 - -
15,451,392.00
OBAT JKN
1 -
ACETYL SISTEIN 2OOMG
2 ###
79,476 - -
ANTASIDA DOEN TABLET
3 ###
16,206 -
4 ###
16,095 -
ANTASIDA DOEN SYR
5 ###
4,662 -
ASAM MEFNAMAT 500 MG
6 ###
21,645 -
GLIMEPIRIDE 2 MG
7 ###
1,110 - -
JUMLAH OBAT -
BMHP

1 ###
67,488 - -
2 ###
62,715 8 501,720.00
CATHEJELL()
3 79,970 5 399,850.00
4 477489 ###
14,689 80 1,175,120.00
5 88,000 - -
EZ CLEANER()
6 745,420 - -
7 FASTCLEAR Q HBSAG TEST 5,880 - -
8 Strip Cholesterol Autochek 15,164 - -
9 Serenity silk 3/0 ###
4,256 6 25,536.00
10 Glucosa GOD Fs 384,102 - -
11 Triglycerid FS 10' Version 905,800 - -
12 Uric Acid Fs TBHBA 694,900 - -
13 RDT COMBO MALARIA (FIRST REONSE) 15,800 - -

14 Yellow Tips Dragon 1000 S 63 - -
15 Lyse M30 500 ml 1,665,000 - -
16 Masker oksigen dewasa ###
10,150 7 71,050.00
17 Masker oksigen anak ###
10,150 4 40,600.00
18 Hidrogen Piroksida ###
33,034 1 33,034.00
19 Rapid HIV 11,975 - -
20 Trepocek/Rapid tes spilis 10,645 - -
21 Rabivax-S Vaksin 154,880 - -
22 Pot Sputum 2,354 - -
23 452938 FOLLEY CATHETER 2 WAY NO 18 ###
7,941 1 7,941.00
24 FOLLEY CATHETER 2 WAY NO 20 ###
7,941 1 7,941.00
25 FOLLEY CATHETER 2 WAY NO 22 ###
7,941 1 7,941.00
26 477509 FOLLEY CATHETER 2 WAY NO 24 ###
43,710 9 393,390.00
27 ADS 5 ML ###
1,500.00 100 150,000.00
28 ###
14,625 29 424,125.00
29 ###
14,625 19 277,875.00
30 - - -
MEDIKASA) 3
31 ###
115,500 346,500.00
MEDIKASA) -
32 560 -
MEDIKASA) 464
33 ###
407 188,848.00
34 ###
613 300 183,900.00
35 ###
613 1,200 735,600.00
36 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 159,034.00 - -
37 ONEMED VACUM BLOOD COLLECTION TUBE PLAIN K3 3ML 157,950.00 - -
38 71,235 - -
39 95,635 - -
40 71,235 - -
41 117,195 - -
42 ###
647 100 64,700.00
43 ###
933 200 186,600.00
44 ###
1,194 200 238,800.00
45 ###
27,000 7 189,000.00
46 ###
4,935 30 148,050.00
47 ###
3,465 12 41,580.00
48 ###
3,940 30 118,200.00
49 ###
3,600 10 36,000.00
Selang o2 bayi
50 ###
5,040 11 55,440.00
URINE BAG
51 ###
3,150 14 44,100.00
52 ###
1,467 100 146,700.00
53 ###
1,467 100 146,700.00
JUMLAH BMHP 6,386,841.00
BMHP JKN
NEEDLE FLASHBACK 22G BD 50S
1 ###
147,741 - -
2 ###
155,400 - -
KERTAS EKG GE MAC 400
3 ###
150,960 - -
THERMAL PAPER U/ MINDRAY
4 29,970 - -
LYSE 500ML MINDRAY
5 2,109,000 - -
LYSE 500ML MINDRAY
6 ###
1,665,000 - -
EZ CLEANSER M30
7 ###
976,800 - -
HOLDER VACUTAINER ONEMED
8 ###
1,221 - -
ONEMED KAPAS 500 GR
9 ###
33,395 - -
RINSE 20 L MINDRAY
10 ###
2,197,800 - -
RINSE 20 L MINDRAY
11 ###
1,648,350 - -
DILUENT 20L MINDRAY
12 ###
1,648,350 - -
DILUENT 20L MINDRAY
13 ###
1,387,500 - -
DISSPOSIBLE SYRINGE 3 CC GIDCARE
14 ###
88,800 - -
COVER GLASS 18X18 ONEMED
15 ###
19,980 - -
ABBOTH AFFINION HBA1C
16 ###
1,443,000 - -
HCG TEST ONE STEO ONE HEALTH
17 ###
73,260 - -
KERTAS PERKAMEN POTONG BURAM
18 ###
20,535 - -
KERTAS PUYER SCI 1200S LOGO
19 ###
127,650 - -
KAPAS 100 GR
20 ###
104,895 - -
INFUS SET DEWASA TYPE Y GIDCARE
21 ###
5,550 - -
IV CATH UK.24 WITH WING FRESCO
22 ###
8,880 - -
CAT GUT CHROMIV 3/0 WITH NEEDLE 75 CM GEA
23 ###
9,990 - -
MICRO APPLICATIONS
24 ###
49,950 - -
CAVITON PINK
25 ###
194,000 - -
COTTON ROLL PRODENTAL
26 ###
105,450 - -
UREA LIQ UV 4X30 ML STANDBIO
27 ###
1,998,000 - -
ONEMED NO PAIN SPRAY
28 ###
97,200 - -
ONEMED BLUE TIP ISI 500
29 ###
48,530 - -
TOTAL BMHP JKN -
TOTAL OBAT DAN BMHP JKN -
TOTAL SISA STOCK OBAT DAN BMHP GFK 21,838,233
MENGETAHUI BARONG TONGKOK. 30 DESEMBER 2023
KEPALA UPT. PUSKESMAS BARONG TONGKOK PENANGGUNG JAWAB GUDANG OBAT PUSKESMAS
MARGARITHA SUSTANTI, S.Tr., KEB. APT. NOVELITA, S.SI

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009
Lampiran. 1
UPT. PUSKESMAS BARONG TONGKOK
DESEMBER 2023
DATA OBAT NOMINAL NILAI OBAT (Rp)

Pengeluaran Desember 2023 Pengeluaran Desember 2023
No.
No. Nama Obat Harga Penerimaan
November 2023
Desember Distribusi
Distribusi ke poli Exipre Date /
Sisa Stok Per 30
Desember 2023
Sisa Stok Per 30 November
2023
Penerimaan Desember
2023 Exipre Date /
2023 keJaringann Distribusi keJaringannya Distribusi ke poli layanan
ya layanan Rusak Rusak
1 2 3 4 5 6 7 8 9 10 = 4 x 5 11 = 4 x 6 12 = 4 x 7 13 = 4 x 8
OBAT
1 412 5,500 2,000 3900 3,600 2,266,000 824,000 - 1,606,800 -
2 710 400 - 0 0 400 284,000 - - - -
3 4,600 430 0 430 1,978,000 - - - -
4 99 2,000 2,000 300 3,700 198,000 198,000 - 29,700 -
4 378 1,000 100 900 - 378,000 - 37,800 -
4 95 3,100 10,800 13100 0 800 294,500 1,026,000 - 1,244,500 -
5 70 3,900 10,000 8900 0 5,000 273,000 700,000 - 623,000 -
5 490 800 2,000 1600 1,200 392,000 980,000 - 784,000 -
6 2,560 120 100 20 307,200 - - 256,000 -
6 Amoxcillin dry sirup 125 mg/ 5 ml 1,920 140 100 40 268,800 - - 192,000 -
7 3,642 20 20 - 72,840 - - -
7 144 6,800 - 1100 5,700 979,200 - - 158,400 -
8 81 4,500 - 2000 2,500 364,500 - - 162,000 -
8 ATTAPULGIT 600 MG 317.00 3,900 0 800 3,100 1,236,300 - - 253,600 -
9 3,350 53 28 25 177,550 - - 93,800 -
9.615385 59 3,300 5,000 3300 5,000 194,700 295,000 - 194,700 -
9 65 4,000 - 3500 0 500 260,000 - - 227,500 -
10 80 3,000 - 2800 0 200 240,000 - - 224,000 -
10 7,848 108 48 56 100 847,584 376,704 - 439,488 -
10 51 5,200 2,000 6000 1,200 265,200 102,000 - 306,000 -
SALUT SELAPUT) 400 0 600
11 281 - 1,000 - 281,000 - 112,400 -
11 473 200 200 - - 94,600 - 94,600 -
12 1,210 8 0 8 9,680 - - - -
12 121 2,000 - 700 1,300 242,000 - - 84,700 -
13 1,262 - - - - - -
13 825 90 - 80 10 74,250 - - 66,000 -
14 7,623 30 - 0 30 228,690 - - - -
Furosemid tab 40 mg
14.69231 1212016 79 - 100 0 0 100 - 7,900 - - -
14 179 14,900 - 5000 0 9,900 2,667,100 - - 895,000 -
15 120 - - 0 0 - - - - - -
15 220 100 2,000 2100 0 - 22,000 440,000 - 462,000 -
16 6,900 43 3 40 - 296,700 - - 20,700 276,000
16 306 400 0 400 122,400 - - - -
16 2,533 10 48 34 24 25,330 121,584 - 86,122 -
17 2,678 100 90 10 267,800 - - 241,020 -
17 112 3,900 1600 2,300 436,800 - - 179,200 -
18 215 900 900 - 193,500 - - 193,500 -
18 477537 4,982 100 20 80 498,200 - - 99,640 -
19 634475 1,341 - 100 100 - 134,100 - - -
19 1,532 - - 0 - - - - - -
20 127 3,000 1400 1,600 381,000 - - 177,800 -
20 109 - 5,000 5000 - - 545,000 - 545,000 -
21 597011 221 12,000 - 7700 4,300 2,652,000 - - 1,701,700 -
21 83 100 100 8,300 - - - -
22 140 200 - 200 28,000 - - - -
22 3,926 14 14 - 54,964 - - 54,964 -
22 136 4,900 2500 2,400 666,400 - - 340,000 -
23 6,840 30 60 70 20 205,200 410,400 - 478,800 -
SELAPUT) 0 0 700
23 507012 164 700 - 114,800 - - - -
24 OAT KDT DOSIS HARIAN 559,995.00 16 16 - - 8,959,920 - 8,959,920 -
24 477563 138 2,100 2,000 4000 100 289,800 276,000 - 552,000 -
25 477564 11,868 20 20 - 237,360 - - -
25 273 250 250 - 68,250 - - - 68,250
26 601538 160 9,000 2,000 10200 800 1,440,000 320,000 - 1,632,000 -
26 477582 1,160 295 100 145 250 342,200 116,000 - 168,200 -
27 477590 59 300 - 0 0 300 17,700 - - - -
SELAPUT) 200 -
27 123 200 - 24,600 - 24,600 -
28.07692 95381007 76 100 100 7,600 - - - -
28 477598 3,017 24 50 64 10 72,408 150,850 - 193,088 -
28 62,000 100 100 - - 6,200,000 - 6,200,000 -
28 477603 110 4,020 - 1950 2,070 442,200 - - 214,500 -
29 110 - - 0 - - - - - -
29 225 1,200 - 1200 - 270,000 - - 270,000 -
SALUT SELAPUT) 3300 -
30 409 3,300 - 1,349,700 - - 1,349,700 -
30 57,000 88 88 - - 5,016,000 - 5,016,000 -
31 135 - 10,000 9600 400 - 1,350,000 - 1,296,000 -
31 509417 141 3,000 - 1400 1,600 423,000 - - 197,400 -
32 477623 7,150 8 20 18 10 57,200 143,000 - 128,700 -
32 477624 604 1,300 - 1200 100 785,200 - - 724,800 -
33 3,285 124 33 91 - 407,340 - - 108,405 298,935
Furosemid tab 40 mg
33 79 - 100 0 0 100 - 7,900 - - -
Primaquin 15mg
34 258 100 100 - - 25,800 - 25,800 -
25,994,246 29,814,558 - 39,727,547 643,185

OBAT JKN
1 - - - -
ACETYL SISTEIN 2OOMG
2 79,476 - 100 100 - - 7,947,600 7,947,600 -
3 16,206 - 50 50 - - 810,300 810,300 -
4 16,095 - 100 100 - - 1,609,500 1,609,500 -
ANTASIDA DOEN SYR
5 4,662 - 200 200 - - 932,400 932,400 -
ASAM MEFNAMAT 500 MG
6 21,645 - 42 42 - - 909,090 909,090 -
GLIMEPIRIDE 2 MG
7 1,110 - 12,030 12030 - - 13,353,300 13,353,300 -
JUMLAH OBAT - 25,562,190 - 25,562,190 -

BMHP

1 67,488 12 12 - 809,856 - 809,856 -
2 62,715 8 8 501,720 - - -
CATHEJELL()
3 79,970 5 5 - 399,850 - -
4 477489 14,689 100 20 80 1,468,900 - 293,780 -
5 88,000 12 12 - - 1,056,000 1,056,000 -
EZ CLEANER()
6 745,420 1 1 - - 745,420 745,420 -
7 FASTCLEAR Q HBSAG TEST 5,880 100 100 - - 588,000 588,000 -
8 Strip Cholesterol Autochek 15,164 550 550 - - 8,340,200 - 8,340,200
9 Serenity silk 3/0 4,256 11 5 0 6 46,816 - 21,280 -
10 Glucosa GOD Fs 384,102 3 3 - - 1,152,306 1,152,306 -
11 Triglycerid FS 10' Version 905,800 3 3 - - 2,717,400 2,717,400 -
12 Uric Acid Fs TBHBA 694,900 4 4 - - 2,779,600 2,779,600 -
13 RDT COMBO MALARIA (FIRST REONSE) 15,800 25 25 - - 395,000 395,000 -

14 Yellow Tips Dragon 1000 S 63 2,000 2000 - - 126,000 126,000 -
15 Lyse M30 500 ml 1,665,000 1 1 - - 1,665,000 1,665,000 -
16 Masker oksigen dewasa 10,150 7 7 71,050 - - -
17 Masker oksigen anak 10,150 4 4 40,600 - - -
18 Hidrogen Piroksida 33,034 1 1 33,034 - - -
19 Rapid HIV 11,975 50 50 - - 598,750 598,750 -
20 Trepocek/Rapid tes spilis 10,645 50 50 - - 532,250 532,250 -
21 Rabivax-S Vaksin 154,880 100 100 - - 15,488,000 15,488,000 -
22 Pot Sputum 2,354 400 400 - - 941,600 941,600 -
23 452938 FOLLEY CATHETER 2 WAY NO 18 7,941 1 1 7,941 - - -
24 FOLLEY CATHETER 2 WAY NO 20 7,941 1 1 7,941 - - -
25 FOLLEY CATHETER 2 WAY NO 22 7,941 1 1 7,941 - - -
26 477509 FOLLEY CATHETER 2 WAY NO 24 43,710 9 9 393,390 - - -
27 ADS 5 ML 1,500.00 160 60 100 240,000 -
28 14,625 39 10 29 570,375 - 146,250 -
29 14,625 23 4 19 336,375 - 58,500 -
30 - 88 88 - - - - -
MEDIKASA) 1 3
31 115,500 4 462,000 - 115,500 -
MEDIKASA) -
32 560 - - - -
MEDIKASA) 256 464
33 407 240 480 97,680 195,360 104,192 -
34 613 1,400 1100 300 858,200 - 674,300 -
35 613 1,300 100 1,200 796,900 - 61,300 -
36 ONEMED VACUM BLOOD COLLECTION TUBE EDTA K3 3ML 159,034.00 5 5 - - 795,170 795,170 -
37 ONEMED VACUM BLOOD COLLECTION TUBE PLAIN K3 3ML 157,950.00 5 5 - - 789,750 789,750 -
38 71,235 1 1 - - 71,235 71,235 -
39 95,635 1 1 - - 95,635 95,635 -
40 71,235 1 1 - - 71,235 71,235 -
41 117,195 1 1 - - 117,195 117,195 -
42 647 - 200 100 100 - 129,400 64,700 -
43 933 370 170 200 345,210 - 158,610 -
44 1,194 600 - 400 200 716,400 - 477,600 -
45 27,000 - 13 6 7 - 351,000 162,000 -
46 4,935 110 80 30 542,850 - 394,800 -
47 3,465 25 13 12 86,625 - 45,045 -
48 3,940 40 10 30 157,600 - 39,400 -
49 3,600 100 90 10 360,000 - 324,000 -
Selang o2 bayi
50 5,040 11 11 55,440 - - -
URINE BAG
51 3,150 14 0 14 44,100 - - -
52 1,467 200 100 100 293,400 - 146,700 -
53 1,467 200 100 100 293,400 - 146,700 -
JUMLAH BMHP 9,645,744.00 40,141,356.00 - 34,970,059.00 8,340,200.00
BMHP JKN
1 147,741 - 4 4 - - 590,964 590,964 -
2 155,400 - 4 4 - - 621,600 621,600 -
KERTAS EKG GE MAC 400
3 150,960 - 2 2 - - 301,920 301,920 -
THERMAL PAPER U/ MINDRAY
4 29,970 1 1 - - 29,970 29,970 -
LYSE 500ML MINDRAY
5 2,109,000 2 2 - - 4,218,000 4,218,000 -
LYSE 500ML MINDRAY
6 1,665,000 - 2 2 - - 3,330,000 3,330,000 -
EZ CLEANSER M30
7 976,800 - 1 1 - - 976,800 976,800 -
HOLDER VACUTAINER ONEMED
8 1,221 - 1 1 - - 1,221 1,221 -
ONEMED KAPAS 500 GR
9 33,395 - 1 1 - - 33,395 33,395 -
RINSE 20 L MINDRAY
10 2,197,800 - 1 1 - - 2,197,800 2,197,800 -
RINSE 20 L MINDRAY
11 1,648,350 - 2 2 - - 3,296,700 3,296,700 -
DILUENT 20L MINDRAY
12 1,648,350 - 3 3 - - 4,945,050 4,945,050 -
DILUENT 20L MINDRAY
13 1,387,500 - 4 4 - - 5,550,000 5,550,000 -
DISSPOSIBLE SYRINGE 3 CC GIDCARE
14 88,800 - 10 10 - - 888,000 888,000 -
COVER GLASS 18X18 ONEMED
15 19,980 - 1 1 - - 19,980 19,980 -
ABBOTH AFFINION HBA1C
16 1,443,000 - 14 14 - - 20,202,000 20,202,000 -
HCG TEST ONE STEO ONE HEALTH
17 73,260 - 6 6 - - 439,560 439,560 -
KERTAS PERKAMEN POTONG BURAM
18 20,535 - 46 46 - - 944,610 944,610 -
KERTAS PUYER SCI 1200S LOGO
19 127,650 - 25 25 - - 3,191,250 3,191,250 -
KAPAS 100 GR
20 104,895 - 10 10 - - 1,048,950 1,048,950 -
INFUS SET DEWASA TYPE Y GIDCARE
21 5,550 - 50 50 - - 277,500 277,500 -
IV CATH UK.24 WITH WING FRESCO
22 8,880 - 50 50 - - 444,000 444,000 -
CAT GUT CHROMIV 3/0 WITH NEEDLE 75 CM GEA
23 9,990 - 24 24 - - 239,760 239,760 -
MICRO APPLICATIONS
24 49,950 - 1 1 - - 49,950 49,950 -
CAVITON PINK
25 194,000 - 11 11 - - 2,134,000 2,134,000 -
COTTON ROLL PRODENTAL
26 105,450 - 1 1 - - 105,450 105,450 -
UREA LIQ UV 4X30 ML STANDBIO
27 1,998,000 - 2 2 - - 3,996,000 3,996,000 -
ONEMED NO PAIN SPRAY
28 97,200 - 10 10 - - 972,000 972,000 -
ONEMED BLUE TIP ISI 500
29 48,530 - 10 10 - - 485,300 485,300 -
TOTAL BMHP JKN - 61,531,730.00 - 61,531,730.00 -
TOTAL OBAT DAN BMHP JKN 87,093,920.00 25,562,190.00 -
TOTAL SISA STOCK OBAT DAN BMHP GFK 69,955,914.00 74,697,606.00 8,983,385.00
MENGETAHUI BARONG TONGKOK. 30 DESEMBER 2023
KEPALA TATA USAHA UPT. PUSKESMAS BARONG TONGKOK PENANGGUNG JAWAB GUDANG OBAT PU
MARGARITHA SUSTANTI, S.Tr., KEB. APT. NOVELITA, S.SI

NIP.19760218 200502 2 004 NIP. 19851113 201101 2 009
Sisa Stok Per 30 Ket
Desember 2023
14 = 4 x 9 15
1,483,200.00
284,000.00
1,978,000.00
366,300.00
340,200.00
76,000.00
350,000.00
588,000.00
51,200.00
76,800.00
72,840.00
820,800.00
202,500.00
982,700.00
83,750.00
295,000.00
32,500.00
16,000.00
784,800.00
61,200.00
168,600.00
9,680.00
157,300.00
8,250.00
228,690.00
7,900.00
1,772,100.00
122,400.00
60,792.00
26,780.00
257,600.00
398,560.00
134,100.00
203,200.00
950,300.00
8,300.00
28,000.00
326,400.00
136,800.00
114,800.00
-
13,800.00
237,360.00
128,000.00
290,000.00
17,700.00
7,600.00
30,170.00
227,700.00
54,000.00
225,600.00
71,500.00
60,400.00
7,900.00
15,438,072.00
-
-
501,720.00
399,850.00
1,175,120.00
-
-
-
25,536.00
-
-
-
-
-
-
71,050.00
40,600.00
33,034.00
-
-
-
-
7,941.00
7,941.00
7,941.00
393,390.00
150,000.00
424,125.00
277,875.00
346,500.00
188,848.00
183,900.00
735,600.00
-
-
64,700.00
186,600.00
238,800.00
189,000.00
148,050.00
41,580.00
118,200.00
36,000.00
55,440.00
44,100.00
146,700.00
146,700.00
6,386,841.00
-
-
-
-
-
21,824,913
GKOK. 30 DESEMBER 2023
NG JAWAB GUDANG OBAT PUSKESMAS
APT. NOVELITA, S.SI

IP. 19851113 201101 2 009
1 ACYCLOVIR TABLET 200 MG(DUS, 10 STRIP @ 10 TABLE 519.00 1,000
2 ACYCLOVIR TABLET 400 MG(DUS, 10 STRIP @ 10 TABLE 425.00 2,000
3 ADS 0,05ML 1,460.00 100
4 ALLOPURINOL TABLET 100 MG(DUS, 10 STRIP @ 10 TA 99.00 3,000
5 ALLOPURINOL TABLET 300 MG(DUS, 10 STRIP @ 10 TA 378.00 1,000
6 Amoxcillin dry sirup 125 mg/ 5 ml 1,920.00 100
7 ASAM ASKORBAT Tablet 250 Mg(ASAM ASKORBAT (VIT 144.00 2,000
8 ASAM ASKORBAT Tablet 50 Mg(ASAM ASKORBAT (VIT C 120.00 3,000
9 ASAM FOLAT TABLET 1 MG(DUS, BOTOL COKLAT @ 100 81.00 3,000
10 AZITROMISIN 500MG 1,400.00 30
11 BAHAN PEMERIKSAAN MALARIA 784,800.00 1
12 BEDAK SALICYL SERBUK OBAT LUAR 2 %(DUS 50 GRAM 1,071.00 50
13 CETIRIZINE SIRUP 5 MG/5 ML(DUS, BOTOL @ 60 ML) 2,993.00 100
14 DOMPERIDON SUSPENSI 5 MG/5 ML(DUS, BOTOL 60 M 7,623.00 50
15 ENDO EGG ROLL 50X30 M VAROIUS 1 CH 29,900.00 1
16 ENDO EGG ROLL 80X30 M VAROIUS 3 CH 149,000.00 1
17 EPINEPRINE CAIRAN INJEKSI 1 MG/ML(DUS, 100 AMP 10,500.00 10
18 GLIBENCLAMIDE CAPTABS 5 MG(DUS, 10 BLISTER @ 10 137.00 5,000
19 GLUKOSA INFUS 5 %(BOTOL PLASTIK PE @ 500 ML) 6,900.00 20
20 GRISEOFULVIN TABLET 125 MG(DUS, 10 BLISTER @ 10 306.00 500
21 IBUPROFEN SUSPENSI 100 MG/5 ML(DUS, BOTOL @ 60 2,678.00 100

22 IBUPROFEN TABLET 400 MG(DUS,10 BLISTER @ 10 TAB 215.00 3,000
23 KASA HIDROPHILE ALAT KESEHATAN 1 UNIT(KASA HID 115,500.00 5
24 KLORAMFENICOL Capsul Mg(KLORAMFENICOL KAPSUL 329.00 2,000
25 LEUKOMED IV FILM(6 X 8 CM) 2,461.00 50
26 LIDOCAIN CAIRAN INJEKSI 2 %(DUS, 100 AMPUL a 2 ML 1,341.00 100
27 MAXTER Examination Glove Non Powder(S) 613.00 2,000
28 METFORMIN CAPTABS 850 MG(DUS, 10 BLISTER @ 10 167.00 1,000
29 METIL ERGOMETRIN MALEAT CAIRAN INJEKSI 0,2 MG/ 3,278.00 10
30 NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(D 156.00 3,000
31 OAT KDT DOSIS HARIAN 559,995.00 8
32 OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP @ 10 KAPS 138.00 3,000
33 ONEMED Disposable Syringe 3 ml() 1,194.00 300
34 ORALIT SERBUK (DUS. 100 SACHET @ 4,129 G) 273.00 500
35 PADUAN OAT KATEGORI 1 KOMBINASI BEBERAPA BENTU 447,747.00 3
36 PADUAN OAT KATEGORI ANAK KOMBINASI BEBERAPA BE 267,397.00 1
37 PARACETAMOL TABLET 500 MG(DUS,10 STRIP @ 10 TA 160.00 5,000
38 PENTABIO VAKSIN DTP-HB-HIB INJEKSI 2,5 Ml(Pentabio I 78,991.00 30
39 PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 4 TABLET) 332.00 500
40 RDT CHIKUNGUNYA 64,998.00 25
41 SALEP 2-4 SALEP (POT 30 GRAM) 3,017.00 48
42 SARUNG TANGAN OBGYN 20,900.00 50
43 Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040.00 20

44 SET KEBUGARAN KIT 5,800,000.00 1
45 SIMVASTATIN CAPTABS SALUT SELAPUT 10 MG(DUS,3 110.00 1,980
46 SIMVASTATIN TABLET SALUT SELAPUT 20 MG 225.00 2,000
47 STERA Infusion Set Anak() 3,940.00 50
48 Strip Asam urat Autochek 3,881.00 800
49 Strip Cholesterol Autochek 15,164.00 250
50 TABLET TAMBAH DARAH TABLET SALUT SELAPUT (DUS, 409.00 5,000
51 Trepocek/Rapid tes spilis 10,645.00 8
52 UNICORN Infusion Set(DEWASA) 8,742.00 100
53 VAKSIN BCG INJEKSI 4 Ml(VAKSIN BCG KERING & PELA 59,950.00 10
54 VAKSIN JERAP DT (ABSORBED DT VACCINE) CAIRAN INJEK 17,996.00 11
55 VAKSIN JERAP Td (ADSORBED Td VACCINE) CAIRAN INJEK 16,995.00 26
56 VAKSIN PCV 190,657.00 20
57 VIROTEC DENGUE COMBO 45,523.00 200
58 WIDA RL INFUS (BOTOL PLASTIK PE @ 500 ML) 7,150.00 100
59 WING CATH ETFE 20G X 1INCH 6,423.00 50
60 WING CATH ETFE 22G X 1INCH 6,423.00 100

519,000.00
850,000.00
146,000.00
297,000.00
378,000.00
192,000.00
288,000.00
360,000.00
243,000.00
42,000.00
784,800.00
53,550.00
299,300.00
381,150.00
29,900.00
149,000.00
105,000.00
685,000.00
138,000.00
153,000.00
267,800.00
645,000.00
577,500.00
658,000.00
123,050.00
134,100.00
1,226,000.00
167,000.00
32,780.00
468,000.00
4,479,960.00
414,000.00
358,200.00
136,500.00
1,343,241.00
267,397.00
800,000.00
2,369,730.00
166,000.00
1,624,950.00
144,816.00
1,045,000.00
100,800.00
5,800,000.00
217,800.00
450,000.00
197,000.00
3,104,800.00
3,791,000.00
2,045,000.00
85,160.00
874,200.00
599,500.00
197,956.00
441,870.00
3,813,140.00
9,104,600.00
715,000.00
321,150.00
642,300.00
56,044,000.00
50,211,400.00
- 5,832,600.00
ACYCLOVIR TABLET 200 MG(DUS, 10 STRIP 519 1,300 674,700.00
ACYCLOVIR TABLET 400 MG(DUS, 10 STRIP 425 2,150 913,750.00
ACYCLOVIR TABLET 400 MG(DUS, 10 STRIP 425 - -
AFOLAT Tablet 400 Mcg(AFOLAT TABLET BO 68 - -
ALBENDAZOLE SUSPENSI 200 MG/5 ML(DUS, 4600 - -
ALBENDAZOLE TABLET 400 MG(DUS, 5 STRIP 463 700 324,100.00
ALKOHOL CAIRAN OBAT LUAR 70 %(BOTOL 2625 - -
ALLOPURINOL TABLET 100 MG(DUS, 10 STRI 242 100 24,200.00
ALLOPURINOL TABLET 100 MG(DUS, 10 STRI 99 3,000 297,000.00
ALLOPURINOL TABLET 300 MG(DUS, 10 STRI 378 1,000 378,000.00
ALLOPURINOL TABLET 300 MG(DUS, 10 STRI 536 100 53,600.00
ALPRAZOLAM TABLET 1 MG(DUS, 10 STRIP @ 239 - -
AMINOPHYLLINE CAIRAN INJEKSI 24 MG/ML 2736 5 13,680.00
AMINOPHYLLINE TABLET 150 MG(BOTOL @ 86 - -
AMINOPHYLLINE TABLET 200 MG(BOTOL @ 97 300 29,100.00
AMITRIPTYLINE TABLET SALUT SELAPUT 25 158 100 15,800.00
AMLODIPINE TABLET 10 MG(DUS, 3 STRIP @ 95 3,000 285,000.00
AMLODIPINE TABLET 5 MG(DUS, 3 STRIP @ 74 3,200 236,800.00
AMOXICILLIN CAPSUL 250 MG(DUS, 10 STRI 196 - -
AMOXICILLIN CAPTABS 500 MG(DUS, 10 STR 647 - -
AMOXICILLIN CAPTABS 500 MG(DUS, 10 STR 490 5,800 2,842,000.00
AMOXICILLIN SIRUP KERING 250MG/5 ML(B 2560 43 110,080.00
ANTASIDA DOEN SUSPENSI (DUS, BOTOL @ 2098 - -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DU 60 - -
ANTASIDA DOEN TABLET KUNYAH 400 MG(DU 99 0 -
ANTI PARKINSON DOEN TABLET 100 MG + 25 1350 0 -
ANTIFUNGI DOEN SALEP (DUS, 24 POT PLAST 3637 42 152,754.00
ANTIFUNGI DOEN SALEP (DUS, 24 POT PLAST 5170 0 -
ANTIHEMOROID SUPPOSITORIA SUPPOSITORI 3642 40 145,680.00
AQUA PRO INJECTION CAIRAN INJEKSI (DUS, 2860 52 148,720.00
ARTEMETHER INJEKSI 80 Mg(ARTEMETHER IN 25490 0 -
ARTESUNATE CAIRAN INJEKSI 60 MG(DUS, 1 42900 0 -
ASAM ASKORBAT Tablet 250 Mg(ASAM ASKO 144 4000 576,000.00
ASAM ASKORBAT Tablet 50 Mg(ASAM ASKOR 120 4900 588,000.00
ASAM FOLAT TABLET 1 MG(DUS, BOTOL COK 86 0 -
ASAM FOLAT TABLET 1 MG(DUS, BOTOL COK 81 2800 226,800.00
ASAM MEFENAMAT CAPSUL 250 MG(DUS,10 175 0 -
ASAM MEFENAMAT CAPTABS SALUT SELAPUT 103 0 -
ASEPTAN GEL + DISP 500 36225 0 -
ATROPINE CAIRAN INJEKSI 0.25 MG/ML(DUS 1815 5 9,075.00
ATROPINE TABLET 0,5 MG(DUS, 10 STRIP @ 81 0 -
ATROVENT CAIRAN INHALASI 0,025 %(DUS, 83500 0 -
BACITRACIN - POLYMYXIN B SALEP (DUS, 2 7700 0 -
BEDAK SALICYL SERBUK OBAT LUAR 2 %(DU 5000 0 -
BEDAK SALICYL SERBUK OBAT LUAR 2 %(DU 1071 35 37,485.00
BETABLOK TABLET 100 MG(DUS, 3 STRIP @ 864 0 -
BETAMETASON CREAM 0.1 %(DUS, 25 TUBE 1520 0 -
BETAMETASON CREAM 0.1 %(DUS, 25 TUBE 3350 80 268,000.00
BISOPROLOL FUMARATE TABLET SALUT SELAP 695 0 -
BIVALENT ORAL POLIOMYELITIS VACCINE TYP 19954 3 59,862.00
BLOOD LANCET() 153 200 30,600.00
BRONSOLVAN TABLET (DUS, 10 STRIP @ 10 310 0 -
BUFACETIN SALEP 2 %(DUS, TUBE @ 15 G) 3794 54 204,876.00
BURNAZIN CREAM 10 MG/G(DUS, TUBE @ 3 20700 20 414,000.00
CALCIUM LACTATE TABLET 500 MG(DUS, 10 63 0 -
CALCIUM LACTATE TABLET 500 MG(DUS, 10 59 3700 218,300.00
CAPTOPRIL TABLET 12,5 MG(DUS, 10 STRIP 69 0 -
CAPTOPRIL TABLET 12,5 MG(DUS, 10 STRIP 65 900 58,500.00
CAPTOPRIL TABLET 25 MG(DUS, 10 STRIP @ 80 6200 496,000.00
CAPTOPRIL TABLET 50 MG(DUS, 10 STRIP @ 143 0 -
CARBAMAZEPINE TABLET 200 MG(DUS,10 BL 250 0 -
CAT GUT CHROMIC 2 - 0 (75C X 37M)KULIT 30334 0 -
CAT GUT CHROMIC 2 - 0 (75C X 25MM) 62715 72 4,515,480.00
CAT GUT CHROMIC 2 - 0(75C X 37mM) 23400 17 397,800.00
CAT GUT CHROMIC 2 - 0(90Cm X 37mm) oto 48380 0 -
CAT GUT CHROMIC 3 - 0(75C X 17M) 29900 0 -
CAT GUT CHROMIC 3 - 0(75C X 22mm) 67488 36 2,429,568.00
CAT GUT PLAIN 2 - 0 (75C X 25M) 58053 22 1,277,166.00
CAT GUT PLAIN 3 - 0(70C X 25M) 24584 49 1,204,616.00
CAT GUT PLAIN 3 - 0(70C X 25M) 62715 -
CATHEJELL() 49186 0 -
CEFOTAXIME SERBUK INJEKSI 1 G(DUS, 10 VI 3500 0 -
CEMENT ELITE CEMEN LIQUID 429000 0 -
CEMENT ELITE CEMEN POWDER 462000 0 -
CETIRIZINE CAPSUL 10 MG(DUS, 5 STRIP @ 115 0 -
CETIRIZINE SIRUP 5 MG/5 ML(DUS, BOTOL 2993 75 224,475.00
CHLORAMPHENICOL KAPSUL 500 MG 329 0 -
CHLORAMPHENICOL SALEP MATA 1%(TUBE 2054 0 -
CHLORAMPHENICOL SALEP MATA 1%(TUBE 7848 32 251,136.00
CHLOROQUINE TABLET 150 MG(DUS, BOTOL 93.5 0 -
CHLORPHENIRAMINE TABLET 4 MG(BOTOL PL 26 0 -
CHLORPHENIRAMINE TABLET 4 MG(BOTOL PL 51 1000 51,000.00
CHLORPROMAZINE CAIRAN INJEKSI 25 MG/M 1531 0 -
CHLORPROMAZINE TABLET SALUT SELAPUT 1 583 70 40,810.00
CHLORPROMAZINE TABLET SALUT SELAPUT 2 75 0 -
CIMETIDINE TABLET 200 MG(DUS, 10 STRIP 105.97 0 -
CIPROFLOXACIN TABLET SALUT SELAPUT 500 281 0 -
CLINDAMYCIN CAPSUL 300 MG(DUS, 5 BLIST 594 50 29,700.00
CLOBAZAM TABLET 10 MG(DUS, 10 STRIP @ 967 0 -
CLONIDINE TABLET 0.15 MG(DUS, 10 STRIP 201 0 -
CLOZAPINE 100 TABLET 100 MG(DUS, 5 BLIS 5000 0 -
CLOZAPINE 25 TABLET 25 MG(DUS, 5 BLISTE 1550 280 434,000.00
CLOZAPINE 25 TABLET 25 MG(DUS, 5 BLISTE 473 300 141,900.00
CODEINE TABLET 10 MG(DUS, 10 STRIP @ 10 657 80 52,560.00
CODEINE TABLET 15 MG(DUS, 10 STRIP @ 10 880 0 -
CODEINE TABLET 20 MG(DUS, 10 STRIP @ 10 1210 0 -
COMBIVENT UDV CAIRAN INHALER (DUS, 20 4550 0 -
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(D 240 300 72,000.00
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(D 131 600 78,600.00
COTRIMOXAZOLE FORTE CAPTABS 800 MG + 299 1700 508,300.00
COTRIMOXAZOLE SUSPENSI (200MG + 40MG 2190 0 -
COTRIMOXAZOLE SUSPENSI (200MG + 40MG 2052 239 490,428.00
CUTICELL CLASIC 10 X 10() 5520 0 -
CUTICELL CLASIC 10 X 10() 14689 70 1,028,230.00
DEMETECH Chromic Catgut Surgical Suture(2 65000 0 -
DEVITALISASI PASTA NON ARSEN ( PULP-X ) 286000 0 -
DEXAMETHASON TABLET 0.5 MG(DUS, 10 ST 75 0 -
DEXAMETHASONE CAIRAN INJEKSI 5 MG/ML 1210 29 35,090.00
DHP FRIMAL (DIHYDROARTEMISININ PIPERAQ 2160 0 -
DHP FRIMAL (DIHYDROARTEMISININ PIPERAQ 1900 45 85,500.00
DIAZEPAM CAIRAN INJEKSI 5 MG/ML(DUS, 1913 10 19,130.00
DIAZEPAM TABLET 2 MG(BOTOL PLASTIK @ 28 0 -
DIAZEPAM TABLET 5 MG(DUS, 10 STRIP @ 1 108 400 43,200.00
DIAZEPAM TABLET 5 MG(DUS, 10 STRIP @ 1 134 0 -
DIGOXIN TABLET 0,25 MG(DUS, 10 STRIP @ 104 0 -
DILTIAZEM TABLET 30 MG(DUS, 10 STRIP @ 136 100 13,600.00
Diluent 20L() 1980000 0 -
DIMENHYDRINATE TABLET 50 MG(BOTOL PLA 129 0 -
DIMENHYDRINATE TABLET 50 MG(BOTOL PLA 121 2500 302,500.00
DIPHENHYDRAMINE CAIRAN INJEKSI 10 MG/ 1262 0 -
DIPHENHYDRAMINE CAIRAN INJEKSI 10 MG/ 1332 60 79,920.00
DOMPERIDON SUSPENSI 5 MG/5 ML(DUS, B 7623 35 266,805.00
DOMPERIDON TABLET 10 MG(DUS, 10 STRIP 96 0 -
DOMPERIDON TABLET 10 MG(DUS, 10 STRIP 90 1700 153,000.00
DOMPERIDONE DROPS 5 MG/ML(DUS, BOTO 17100 0 -
DOXYCYCLINE CAPSUL 100 MG(DUS, 10 STRI 280 0 -
DOXYCYCLINE CAPSUL 100 MG(DUS, 10 STRI 264 0 -
DULCOLAX SUPPOSITORIA 10 MG(DUS, 10 S 5900 30 177,000.00
DULCOLAX SUPPOSITORIA 5 MG(DUS, 1 STRI 6000 24 144,000.00
EPHEDRINE TABLET 25 MG(DUS, 10 STRIP @ 68 0 -
EPINEPRINE CAIRAN INJEKSI 1 MG/ML(DUS, 10500 0 -
ERGOTAMINE CAFFEINE TABLET SALUT SELA 212 0 -
ERYTHROMYCIN CAPSUL 250 MG (BASE)(DUS 636 0 -
ERYTHROMYCIN SIRUP KERING 200 MG/5 M 12830 30 384,900.00
ETHAMBUTOL TABLET SALUT SELAPUT 500 M 543 0 -
EUGENOL 10 Ml(EUGENOL CAIRAN) 23101 0 -
EZ CLEANER() 665500 0 -
FAMOTIDINE TABLET SALUT SELAPUT 20 MG( 124 0 -
FARIZOL SUSPENSI 125 MG/5 ML(DUS,BOTO 3950 40 158,000.00
FLETCHER (TEMPORARY STOPPING FLETCHE 6244 0 -
FLETCHER LAIN-LAIN 100 Gram(TEMPORARY 6244 0 -
FOLEY CATHETER 1 WAY NO 10() 30000 0 -
FOLEY CATHETER 1 WAY NO 12 () 8000 0 -
FOLEY CATHETER 2 WAY N0 16 WRP() 43710 5 218,550.00
FOLEY CATHETER 2 WAY NO 10() 34561 5 172,805.00
FOLEY CATHETER 2 WAY NO 18 WRP() 43710 5 218,550.00
FOLEY CATHETER 2 WAY NO 18 WRP() 7941 0 -
FOLEY CATHETER 3 WAY NO 22 () 32500 0 -
FOLEY CATHETER 3 WAY NO 2O() 32500 0 -
FORANSI CAPSUL 10 MG(DUS, 3 STRIP @ 10 462 0 -
FUJI IX GP A3 1 - 1 PKG() 990000 0 -
FUROSEMIDE CAIRAN INJEKSI 10 MG/ML(DU 1555 0 -
GEMFIBROZIL CAPSUL 300 MG(DUS, 10 BLIS 318 0 -
Glass Ionomer Cement ART Fuji IX() 478500 0 -
GLIBENCLAMIDE CAPTABS 5 MG(DUS, 10 BLI 137 4500 616,500.00
GLIMEPIRIDE TABLET 1 MG(DUS, 5 STRIP @ 120 500 60,000.00
GLIMEPIRIDE TABLET 2 MG(DUS, 5 STRIP @ 220 800 176,000.00
GLUCOTROL XL TABLET PELEPASAN LAMBAT 3000 0 -
GLUKOSA INFUS 10 %(BOTOL PLASTIK @ 50 7500 20 150,000.00
GLUKOSA INFUS 5 %(BOTOL PLASTIK PE @ 5 6900 15 103,500.00
GRISEOFULVIN TABLET 125 MG(DUS, 10 BLI 223 1000 223,000.00
GRISEOFULVIN TABLET 125 MG(DUS, 10 BLI 306 500 153,000.00
HALDOL DECANOAS CAIRAN INJEKSI 50 MG/ 97500 0 -
HALOPERIDOL TABLET 0,5 MG(DUS, 10 STRI 55 0 -
HALOPERIDOL TABLET 1.5 MG(DUS, 10 BLIS 74 0 -
HALOPERIDOL TABLET 5 MG(DUS, 10 BLISTE 60 0 -
HALOPERIDOL TABLET 5 MG(DUS, 10 BLISTE 96 350 33,600.00
Hematology Control Normal (N) MEK-3DN() 708000 0 -
HERBESSER CD 100 CAPSUL PELEPASAN LAMB 4290 0 -
HIDROKORTISON CREAM 2,5 %(TUBE) 2533 104 263,432.00
HYDROCHLORTHIAZIDE TABLET 25 MG(BOTO 178 0 -
HYDROCHLORTHIAZIDE TABLET 25 MG(BOTO 170 400 68,000.00
IBUPROFEN SUSPENSI 100 MG/5 ML(DUS, B 2678 130 348,140.00
IBUPROFEN SUSPENSI 200 MG/5 ML(DUS, B 4949 0 -
IBUPROFEN TABLET 200 MG(BOTOL PLASTIK 112 4300 481,600.00
IBUPROFEN TABLET 400 MG(DUS,10 BLISTER 215 4600 989,000.00
ILIADIN SEMPROT HIDUNG 0.05 %(DUS, BO 39468 5 197,340.00
INDOREAGEN - EDTA 10%() 325197 0 -
INDOREAGEN - HCI 0,1 N() 58950 1 58,950.00
INSULIN HUMAN LONG ACTING CAIRAN INJEK 85000 0 -
IODINE POVIDON CAIRAN OBAT LUAR (BOTO 40202 0 -
IODINE POVIDON CAIRAN OBAT LUAR (BOTO 19800 0 -
IODINE POVIDON CAIRAN OBAT LUAR 10 %( 3190 0 -
Iodoform (Mummifying Pasta)() 125444 0 -
ISONIAZID TABLET 100 MG(DUS, 10 STRIP @ 85 100 8,500.00
ISONIAZID TABLET 300 MG(DUS, 10 STRIP @ 182 0 -
ISOSORBIDE DINITRATE TABLET SUBLINGUAL 89 300 26,700.00
IV CATHETER NO 18 TROGE() 14625 80 1,170,000.00
IV CATHETER NO 20 TROGE() 14625 0 -
IV CATHETER NO 20 TROGE() 5348 40 213,920.00
WING CATH ETFE 20G X 1INCH 6423 50 321,150.00
JARUM JAHIT KULIT G 12 SUTURA() 1666 0 -
JARUM JAHIT KULIT NO 13() 1666 0 -
JARUM JAHIT OTOT GR 12 () 1666 0 -
JARUM JAHIT OTOT GR 13 () 1666 0 -
Kalsium Hidroksida Serbuk() 209000 0 -
KAPAS ONEMED 500(KAPAS ONEMED 500 27280 2 54,560.00
KAPAS PEMBALUT ALAT KESEHATAN 250 G 25200 0 -
KARTU GOLONGAN DARAH 440 200 88,000.00
KASA HIDROPHILE ALAT KESEHATAN 1 UNIT 115500 7 808,500.00
KASA HIDROPHILE ALAT KESEHATAN 12 UNI 560 0 -
KASA HIDROPHILE ALAT KESEHATAN 12 UNI 407 0 -
KASA PEMBALUT HYDROFIL 4 M X 5 CM 1155 30 34,650.00
Kasa Pembalut Hydrofil(4M X 10CM) 2415 70 169,050.00
KETAMINE CAIRAN INJEKSI 10 MG/ML(10 VIA 110000 0 -
KETOCONAZOLE TABLET 200 MG(DUS, 5 STRI 305 0 -
KETOCONAZOLE TABLET 200 MG(DUS, 5 STRI 495 1700 841,500.00
KETOKONAZOL CREAM 5 Gram(KETOKONAZ 3135 0 -
KINA TABLET SALUT GULA 200 MG(DUS,24 D 459.8 0 -
KLORAMFENICOL Capsul Mg(KLORAMFENICO 329 2200 723,800.00
KLORAMFENIKOL SIRUP 125 mg/5 ml(BTL PL 5319 0 -
KLORAMFENIKOL SIRUP 125 mg/5 ml(BTL PL 4982 80 398,560.00
Klorfenol Kamfer Menthol (CHKM)() 115500 0 -
Lancing Device() 86336 0 -
LAXADINE EMULSI (BOTOL 60 ML) 12450 0 -
LEUKOMED IV FILM(6 X 8 CM) 2461 50 123,050.00
LEUKOPLAST 1 INCHI() 20000 0 -
LEUKOPLAST 1/2 INCHI() 10500 0 -
LEUKOPLAST 2 INCHI() 38000 0 -
LEUKOPLAST(1X5) 12675 0 -
LEUKOPLAST(3X5) 35532 0 -
LEVOPAR TABLET 100 MG(DUS, 5 STRIP @ 1 1035 0 -
LEXAPRAM SIRUP 5 MG/5 ML(BOTOL 60 ML) 2900 0 -
LIDOCAIN CAIRAN INJEKSI 2 %(DUS, 100 AM 1341 100 134,100.00
LIDOCAIN CAIRAN INJEKSI 2 %(DUS, 100 AM 1315 25 32,875.00
LIDOCAINE COMPOSITUM CAIRAN INJEKSI 2 2122 0 -
LODOMER CAIRAN INJEKSI 5 MG/ML(DUS, 1 6250 0 -
LODOMER TABLET SALUT SELAPUT 2 MG(DUS, 115 0 -
LOPERAMIDE TABLET 2 MG(DUS, 10 STRIP @ 85 900 76,500.00
LORATADINE TABLET 10 MG(DUS, 5 STRIP @ 127 3600 457,200.00
MAGNESIUM SULFAT INJ. USP CAIRAN INJEK 3650 0 -
MAGNESIUM SULFATE CAIRAN INJEKSI 20 % 3328 0 -
MAGNESIUM SULFATE CAIRAN INJEKSI 20 % 4120 6 24,720.00
MASKER HIJAU EAR LOP() 420 1850 777,000.00
MASKER HIJAU EAR LOP() 0 0 -
MAXTER Examination Glove Non Powder(L) 434 0 -
MAXTER Examination Glove Non Powder(M) 613 1100 674,300.00
MAXTER Examination Glove Non Powder(S) 613 2000 1,226,000.00
MAXTER Examination Glove Non Powder(L) 1100 0 -
MAXTER Examination Glove Non Powder(M) 1180 0 -
MAXTER Examination Glove Non Powder(S) 1180 0 -
MAXTER Examination Glove Non Powder(L) 613 700 429,100.00
MEBENDAZOLE SIRUP 100 MG/5 ML(BOTOL P 3887 0 -
MEBENDAZOLE TABLET 100 MG(DUS, 5 BLIS 248 0 -
MEBENDAZOLE TABLET 500 MG(24 BLISTER a 9150 0 -
MELOXICAM TABLET 15 MG(DUS, 5 STRIP @ 348 0 -
MELOXICAM TABLET 7.5 MG(DUS, 5 STRIP @ 234 0 -
METFORMIN CAPTABS 850 MG(DUS, 10 BLIS 167 1000 167,000.00
METFORMIN TABLET 500 MG(DUS, 10 BLIST 109 0 -
METFORMIN TABLET 500 MG(DUS, 10 BLIST 195 5000 975,000.00
METHYLPREDNISOLONE CAPTABS 4 MG(DUS, 192 0 -
METIL ERGOMETRIN MALEAT CAIRAN INJEKS 3278 10 32,780.00
METILERGOMETRIN MALEAT TABLET SALUT 258 0 -
METOCLOPRAMIDA TABLET 10 MG(DUS, 10 S 89 0 -
METOCLOPRAMIDA TABLET 10 MG(DUS, 10 S 83 3300 273,900.00
METOCLOPRAMIDA TABLET 5 MG(10 STRIP a 124 0 -
METRONIDAZOL INFUS 5 MG/ML(DUS, 1 BO 8250 0 -
METRONIDAZOL TABLET 500 MG(DUS, 10 ST 140 1700 238,000.00
MICONAZOLE CREAM 2 %(DUS, 24 TUBE @ 1 3926 67 263,042.00
MINDRAY M-30R Rinse() 1980000 0 -
MINIASPI TABLET SALUT ENTERIK 80 MG(DUS 90 100 9,000.00
MISSION Urinalysis Reagent Strip (10 Parame 224400 4 897,600.00
MISSION Urinalysis Reagent Strip (3 Paramet 100000 0 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERI 142 50 7,100.00
NATRIUM DIKLOFENAK TABLET SALUT ENTERI 320 0 -
NATRIUM KLORIDA INFUS 0,9 %(DUS, BOTOL 6840 73 499,320.00
NATRIUM PHENYTOIN CAIRAN INJEKSI 50 M 4121 10 41,210.00
NESCO MultiCheck Cholesterol Test Strip() 19600 0 -
NESCO MultiCheck Uric Acid Test Strip() 4400 0 -
NEW ANTIDES TABLET 600 MG(10 CATCH CO 317 1800 570,600.00
NIFEDIPINE TABLET SALUT SELAPUT 10 MG(D 164 2000 328,000.00
NITRAL TABLET SUBLINGUAL 500 MCG(DUS, 1485 0 -
NYSTATIN TABLET VAGINAL 100.000 IU(10 ST 645 0 -
NYSTATIN TABLET VAGINAL 100.000 IU(10 ST 894 400 357,600.00
OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP 147 0 -
OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP 138 6100 841,800.00
OMEPRAZOLE SERBUK INJEKSI 40 MG(DUS, 1 11868 40 474,720.00
ONELAB Golongan darah Test A() 71235 0 -
ONELAB Golongan darah Test AB() 95635 0 -
ONELAB Golongan darah Test B() 71235 0 -
ONELAB Golongan darah test D() 117195 1 117,195.00
ONEMED Disposable Syringe 0,5ml() 1240 752 932,480.00
ONEMED Disposable Syringe 1 ml() 647 200 129,400.00
ONEMED Disposable Syringe 20 ml() 1550 0 -
ONEMED Hecting Nald() 20000 0 -
ORAL POLIOMYELITIS VACCINE LARUTAN / CA 153736 15 2,306,040.00
ORALIT SERBUK (DUS. 100 SACHET @ 4,129 281 0 -
ORALIT SERBUK (DUS. 100 SACHET @ 4,129 273 500 136,500.00
OTSUKA Infusion Set(ANAK OT-24) 3675 0 -
OTSUKA Infusion Set(DEWASA) 3024 0 -
UNICORN Infusion Set(DEWASA) 8742 145 1,267,590.00
OXYTOCIN S CAIRAN INJEKSI 10 iu/ml(DUS, 1232 0 -
OXYTOCIN S CAIRAN INJEKSI 10 iu/ml(DUS, 1248 46 57,408.00
PADUAN OAT KATEGORI 1 KOMBINASI BEBER 447747 6 2,686,482.00
PADUAN OAT KATEGORI 2 KOMBINASI BEBERA1592726 0 -
PADUAN OAT KATEGORI ANAK KOMBINASI BE 285339 0 -
PADUAN OAT KATEGORI ANAK KOMBINASI BE 267397 1 267,397.00
PADUAN OAT SISIPAN KOMBINASI BEBERAPA 183984 0 -
PANTOCAIN TETES MATA 11500 0 -
PARACETAMOL DROPS 100 MG/ML(DUS, BO 5960 0 -
PARACETAMOL TABLET 500 MG(DUS,10 STRI 60 0 -
PARACETAMOL TABLET 500 MG(DUS,10 STRI 160 9300 1,488,000.00
PARASETAMOL SIRUP 120 mg/5ml(BOTOL 6 3200 0 -
PARASETAMOL SIRUP 120 mg/5ml(BOTOL 6 1160 75 87,000.00
PENTABIO VAKSIN DTP-HB-HIB INJEKSI 2,5 Ml( 78991 36 2,843,676.00
PETIDIN INJEKSI 50 MG/ML 15950 0 -
PHARMAFIX Wound Dressing(10 CM X 500 30000 0 -
PHARMAFIX Wound Dressing(10 CM X 500 27000 0 -
PHENOBARBITAL CAIRAN INJEKSI 50 MG/ML 1700 5 8,500.00
PHENOBARBITAL TABLET 100 MG(10 STRIP A 242 0 -
PHENOBARBITAL TABLET 30 MG(BOTOL @ 1 197 420 82,740.00
PHENOL GLYCEROL TETES TELINGA 2500 57 142,500.00
PHENYTOIN CAPSUL 30 MG(BOTOL PLASTIK 142 0 -
PHENYTOIN SODIUM CAPSUL 100 MG(BOTOL 158 0 -
PHYTOMENADIONE CAIRAN INJEKSI 10 MG/ 4167 0 -
PHYTOMENADIONE TABLET SALUT SELAPUT 1 799 1000 799,000.00
POVIDONE IODINE CAIRAN OBAT LUAR 10 %( 4070 0 -
PREDNISON TABLET 5 MG(DUS, 10 STRIP @ 74 1300 96,200.00
PREDNISON TABLET 5 MG(DUS, 10 STRIP @ 73 3000 219,000.00
PROBENECID TABLET SALUT SELAPUT 500 MG 1815 0 -
PROPRANOLOL TABLET 10 MG(DUS, 10 STRIP 59 400 23,600.00
PROPRANOLOL TABLET 40 MG(10 STRIP a 10 114 0 -
PYRANTEL SUSPENSI 125 MG/5 ML(BOTOL 6 11791 0 -
PYRANTEL SUSPENSI 125 MG/5 ML(BOTOL 6 11050 35 386,750.00
PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 354 0 -
PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 332 600 199,200.00
PYRAZINAMIDE TABLET 500 MG(10 STRIP a 233 0 -
PYRIDOXINE CAIRAN INJEKSI 100 mg/ml(10 1030 0 -
RANITIDINE HCL CAIRAN INJEKSI 50 MG/ML 1454 0 -
RANITIDINE TABLET SALUT SELAPUT 150 MG 110 3100 341,000.00
RESERPINE TABLET 0,25 MG(KOTAK, 10 STRI 97 0 -
RIFAMPICIN CAPSUL 300 MG(DUS, 10 STRIP 834 0 -
RIFAMPICIN CAPTABS SALUT SELAPUT 600 M 863 0 -
RISPERIDONE TABLET SALUT SELAPUT 2 MG( 1008 0 -
RISPERIDONE TABLET SALUT SELAPUT 2 MG( 123 385 47,355.00
RIVANOL CAIRAN OBAT LUAR 0,1%(BOTOL PL 2178 0 -
SAFEGLOVE EXAM XS ALAT KESEHATAN (SA 434 0 -
SALBUTAMOL SIRUP 2 MG/5 ML(DUS, BOTO 4446 0 -
SALBUTAMOL TABLET 4 MG(DUS, 10 STRIP @ 76 900 68,400.00
SALEP 2-4 SALEP (POT 30 GRAM) 3017 38 114,646.00
SARUNG TANGAN GAMEX NO 8,5() 6985 0 -
SARUNG TANGAN STERIL N0 7() 3465 0 -
SARUNG TANGAN STERIL N0 7() 4935 150 740,250.00
SARUNG TANGAN STERIL N0 7,5 () 3465 0 -
SARUNG TANGAN STERIL N0 7,5 () 4935 135 666,225.00
SARUNG TANGAN STERIL NO 6.5 3465 0 -
SARUNG TANGAN STERIL NO 6.5 6594 230 1,516,620.00
SCABIMITE CREAM 5 %(DUS,TUBE @ 10 G) 12155 0 -
Semen Seng Fosfat Sebuk dan cairan() 214500 0 -
SIKZONOATE CAIRAN INJEKSI 25 MG/ML(DU 59800 0 -
SIMVASTATIN CAPTABS SALUT SELAPUT 10 117 0 -
SIMVASTATIN CAPTABS SALUT SELAPUT 10 110 1980 217,800.00
SIMVASTATIN TABLET SALUT SELAPUT 20 M 150 0 -
SIMVASTATIN TABLET SALUT SELAPUT 20 M 225 3100 697,500.00
SODIUM BICARBONATE TABLET 500 MG(BOTO 184.48 0 -
SPINAL NEDLE NO 24 TERUMO() 347 0 -
SPINAL NEDLE NO 27 TERUMO() 347 0 -
SPIRONOLACTONE TABLET 100 MG(DUS,10 S 1000 0 -
SPIRONOLACTONE TABLET 25 MG(DUS,10 ST 212 400 84,800.00
STANBIO Cholesterol Liquicolor() 2241000 0 -
STANBIO Glucose Liquicolor() 473000 0 -
STANBIO Triglyceride Liquicolor() 5134000 0 -
STANBIO Uric Acid Liquicolor() 4730000 0 -
STERA Infusion Set Anak() 3940 91 358,540.00
STERA Infusion Set Dewasa() 3600 0 -
STERACATH I.V catheter(16) 3800 0 -
STERACATH I.V catheter(22) 3800 0 -
STESOLID ENEMA 10 MG/2,5 ML(DUS, 5 AL 21021 0 -
STESOLID ENEMA 5 MG/2,5 ML(DUS, 5 ALU 14459 2 28,918.00
STREPTOMYCIN SULPHATE SERBUK INJEKSI 5980 0 -
Strip Glukos 4400 0 -
SULFADOXINE- PYRIMETHAMINE TABLET 500 655 0 -
SURYA HUSADA Kapas Berlemak(500 gr) 18150 0 -
SUSPENSI KUMAN S PARATHYPI A-H CAIRAN 71299 1 71,299.00
SUSPENSI KUMAN S PARATHYPI A-O CAIRAN 71299 1 71,299.00
SUSPENSI KUMAN S PARATHYPI H 69993 1 69,993.00
SUSPENSI KUMAN S PARATHYPI O 69993 1 69,993.00
TABLET TAMBAH DARAH TABLET SALUT SELA 409 9400 3,844,600.00
TEST KEHAMILAN (TEST KEHAMILAN ONE M 2437 130 316,810.00
TETRACYCLINE CAPSUL 250 MG(10 STRIP a 1 181 0 -
TETRACYCLINE CAPSUL 500 MG(DUS, 10 STR 331 0 -
THIAMFENICOL CAPSUL 500 MG(DUS, 10 STR 440 0 -
TRAMADOL CAIRAN INJEKSI 50 MG/ML(KOTA 2680 0 -
TRICRESOL - FORMALIN 85800 0 -
TRIHEXYPHENIDYL TABLET 2 MG(DUS, 10 BL 101 0 -
TRIHEXYPHENIDYL TABLET 2 MG(DUS, 10 BL 95 440 41,800.00
URINE BAG 4795 18 86,310.00
URINE BAG 3150 0 -
VAKSIN BCG INJEKSI 4 Ml(VAKSIN BCG KERI 61996 0 -
VAKSIN BCG INJEKSI 4 Ml(VAKSIN BCG KERI 59950 15 899,250.00
VAKSIN CAMPAK KERING SERBUK INJEKSI 100 28204 0 -
VAKSIN HEPATITIS B REKOMBINAN CAIRAN I 20900 14 292,600.00
VAKSIN JERAP DT (ABSORBED DT VACCINE) CA 17996 24 431,904.00
VAKSIN JERAP Td (ADSORBED Td VACCINE) CAI 16995 38 645,810.00
VAKSIN TT CAIRAN INJEKSI 1 DOSIS(DUS, 10 14498 0 -
VENTOLIN NEBULES CAIRAN INHALER 0,2 %(D 4000 0 -
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTO 331 0 -
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTO 305 0 -
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTO 352 300 105,600.00
VITAMIN B COMPLEX TABLET (DUS, 10 STRIP 135 3400 459,000.00
VITAMIN B1 TABLET (DUS 10STRIP@10TABL 88 0 -
VITAMIN B1 TABLET (DUS 10STRIP@10TABL 94 0 -
VITAMIN B12 CAIRAN INJEKSI 500 MCG/ML( 1067 0 -
VITAMIN B6 TABLET 10 MG(DUS, 10 STRIP @ 150 0 -
VITAMIN B6 TABLET 10 MG(DUS, 10 STRIP @ 141 2700 380,700.00
WIDA D5 1/4 NS INFUS (B0T0L PLASTIK @ 5 6500 0 -
WIDA RL INFUS (BOTOL PLASTIK PE @ 500 7630 0 -
WIDA RL INFUS (BOTOL PLASTIK PE @ 500 7150 60 429,000.00
WING NEEDLE NO 23 TERUMO() 1506 0 -
WING NEEDLE NO 25 () 1467 100 146,700.00
WING NEEDLE NO 27 JMS() 1540 0 -
XYLOCAINE GEL 2 %(DUS, 10 SYRINGE PLAST 41600 0 -
XYLOCAINE SPRAY ORAL 10 %(DUS, BOTOL @ 177216 0 -
ZINK TABLET DISPERSIBLE 20 MG(DUS, 10 ST 604 1500 906,000.00
ZINK TABLET (PROPINSI) 524 0 -
ZINKID SIRUP 10 MG/ ML 16478 0 -
ZIRCUM SIRUP 20 MG/5 ML(DUS, BOTOL @ 3285 25 82,125.00
Analog Insulin Rapid Acting 85345 0 -
Asiklovir 5% 2367 0 -
Atrovent HFA (ipratropium isi ulang) 80000 0 -
Betadine kumur 12500 0 -
Cairan Infus ( Manitol lar.inf) 65000 0 -
Coartem(Kombinasi : Artemether 20 mg + l 3220 0 -
Combiven Nebul 12252 0 -
Ergokalsiferol(vitamin D2)kaps 50.000 UI(D- 680 0 -
Ergokalsiferol(vitamin D2)susp 10.000 UI/mL 8000 0 -
Fenitoin inj 50 mg/ml 4121 0 -
Furosemid tab 40 mg 84 0 -
Furosemid tab 40 mg 79 500 39,500.00
Gentamisin inj 40 mg/ml 3355 10 33,550.00
Iliadin drops(Oksimetazolin tts hidung 0,025 40326 5 201,630.00
Ketorolac inj 10 mg 2665 0 -
Kotrimoksazol Doen I (pediatrik) 138 0 -
Levosol(Norepinefrin inj 1 mg/ml 55248 0 -
Morpin inj 10 mg/ml 11549 0 -
Multivitamin kapsul(Solvitral) 365 0 -
Multivitamin syr(Solvita) 7150 0 -
Fonflu syr 11190 0 -
Fonflu tab 619 0 -
Papaverin inj 40 mg/ml 1275 0 -
Piracetam inj 3 g/15 ml 4500 0 -
povidon iodin lar 1000 mg/ml 40202 0 -
Povidon iodin lar 100 mg/ml 15386 0 -
Primaquin 15mg 258 100 25,800.00
Prokain Benjilpenisilin serbuk inj 0 0 -
Propiltiourasil 351 0 -
Pularex 220 0 -
Rifampisin 450mg 624 0 -
Salbutamol 2 mg 51 0 -
SPIRIVA 10s + hdhlr(tiotropium serb ih 18 m 162000 0 -
SPIRIVA powder(tiotropium serb ih 18 mcg,re 14750 0 -
Trifluoperazin 5 mg 445 0 -
Zinc sir 10mg/ml(drop) 6281 0 -
Alat suntik sekali pakai 50cc 848 0 -
Bisturi no.12 98000 0 -
Bisturi no.15 7500 0 -
Kasa P.Elastis 4x15 21840 0 -
Nald no.25 15125 0 -
Pembalut gips uk 3(7,5 cm x 2,7 m) 6071 5 30,355.00
Pembalut gips uk 4 3500 0 -
Pembalut gips uk 6 1957 0 -
Selang o2 anak 5040 31 156,240.00
Silk(benang bedah sutera) no.3/0 dengan j 2200 0 -
Wing needle no.21 500 0 -
Nelaton Fr no.10 8351 0 -
Nelaton Fr no.12 8351 0 -
Folay catheter ped no.8 4004 0 -
Reagen turk,kemasan 100ml 28779 0 -
Cefadroxil 500 mg 557 0 -
Gentian violet 1420 0 -
Rapid test SD HBsAg WB 9870 0 -
FASTCLEAR Q HBSAG TEST 5880 75 441,000.00
DIPSAMOL INHALER 41250 0 -
Cat Gut Chromic 3-0 (75 x 24MM) 63603 0 -
Cat Gut Chromic 3-0 (75cmx22mm) 67488 48 3,239,424.00
NySTATIN TABLET 500.000 IU(10 STRIP a 10 910 0 -
Asam Valproat 250mg/5ml 17789 0 -
Cardura 3395 0 -
Obucort Swinghaler 94455 0 -
Patanol 0,1 % 72500 0 -
Onmed alkohol 70% 1 L 27500 0 -
ALKOHOL 95% 9279 10 92,790.00
Betablok 50 mg 310 0 -
Skizon cream 5g 3388 0 -
interzinc syrup 60 ml 6600 0 -
indoreagen Rees Ecker 500 ml 214520 0 -
Indoreagen Turk 500 ml 81045 0 -
Phytomenadion inj 2 mg/ml 4236 0 -
Phytomenadion inj 2 mg/ml 1452 60 87,120.00
Erytromicin 500 mg 781 0 -
Magnesium Sulfat 40% 3796 6 22,776.00
Magnesium Sulfat 40% PROPINSI 4700 1 4,700.00
Amoxcillin dry sirup 125 mg/ 5 ml 1920 130 249,600.00
Strip Asam urat Autochek 3881 650 2,522,650.00
Strip Cholesterol Autochek 15164 300 4,549,200.00
Benechek Plus Uric Acid 5313 0 -
Benechek Plus Glucose 3142 0 -
Benechek Plus Total Cholestrol 25238 0 -
Benechek Plus Total Cholestrol 23821 0 -
Remidi alkohol swab 128 500 64,000.00
Serenity Nasal 02 Canulla Infant 4300 0 -
Serenity Nasal 02 Canulla Infant 5040 24 120,960.00
Serenity Mucus Ext Wkt 35 FR 10-25 ml 7245 9 65,205.00
Serenity silk 3/0 4256 0 -
Serenity Silk 2/0 4256 0 -
Serenity silk 3/0 4157 34 141,338.00
Serenity Silk 2/0 4157 21 87,297.00
Remidi exam Glove Gynecolog No 6,5 (P) 18270 0 -
Remidi exam Glove Gynecolog No 7 (P) 18270 0 -
Remidi exam Glove Gynecolog No 7,5 (P) 18270 0 -
Decacetine Tetes mata 3850 0 -
Cholestrol FS 617202 1 617,202.00
Glucosa GOD Fs 384102 1 384,102.00
Triglycerid FS 10' Version 1573963 0 -
Uric Acid Fs TBHBA 694900 1 694,900.00
Dietilkarbamazin 100 mg 192 0 -
Biosat 130999 0 -
Serenity Nasal 02 Canulla Adult ( Dewasa) 5040 27 136,080.00
Sianokobalamin ( vit B12) 44 2400 105,600.00
Sianokobalamin ( vit B12) 49 0 -
Carestar malaria HRP 2 6476 0 -
RDT COMBO MALARIA (FIRST REONSE) 15800 25 395,000.00
Bisakodil 5 mg 316 180 56,880.00
Metronidazol 250 mg 94 0 -
Diluen 20 L Mindray 3 Diff M-30 1164625 0 -
Rinse 20 L Mindray M-30 Barcode 1220120 0 -
Multi Drug Panel 25 S Answer 37009 0 -
Blue Tip OM 500 S 146 0 -
Yellow Tips Dragon 1000 S 63 0 -
Trucal U 1549779 0 -
Ventolin Rotahaler (alat hirup salbutamol) 6550 0 -
klorpromazine 5mg/ml 1735 0 -
Vitamin A Kapsul 200.000 IU 596 0 -
Vitamin A Kapsul 200.000 IU 462 600 277,200.00
onmed USG 250 ml 13214 0 -
ONEMED USG 250 ML 13213 0 -
Alkazyme 25 mg 801000 0 -
Alkacid 1 L 2702700 0 -
Trulab 2254214 0 -
Vaksin MR 10 Ds 155813 10 1,558,130.00
Onmed water one 1 L 16306 4 65,224.00
Umbilical Cord Cleam 1417 50 70,850.00
Farnomin Tab 297 0 -
Decafil 145 0 -
Tensidox 2064 0 -
Lysol 1 L 44690 0 -
Lyse M30 500 ml 1375000 0 -
Probe cleanser M30 17 ml 97625 0 -
Terumo Agani needle 25 347 0 -
Ampicillin inj 9473 0 -
Oksitetrasiklin 1 % Salep mata 2774 0 -
Oksitetrasiklin 1 % Salep mata 6231 50 311,550.00
Euthyrox 735 0 -
Masker oksigen dewasa 10150 41 416,150.00
Masker oksigen anak 10150 15 152,250.00
Hidrogen Piroksida 33034 5 165,170.00
Rapid HIV 11975 0 -
Calcium glukonat 6255 8 50,040.00
Alprazolam 0.5 mg 108 0 -
IV Catheter no 26 11700 0 -
Gynosurge S (6.5) 40733 0 -
Gynosurge M (7.5) 40733 0 -
Gynosurge S (8.5) 40733 0 -
Masker oksigen Pediatric 8000 10 80,000.00
Tetagam 188663 0 -
Metronidazol suspensi 125 mg/5ml 3950 0 -
Hidrogen piroksidA 3528 0 -
sarung tangan steril 8.0 3465 0 -
Hemoglobin Strip 50 tes mission 412000 0 -
Hemoglobin Strip 50 tes mission 400000 4 1,600,000.00
Fluoksetin 20 mg 225 0 -
Kasa Hidrofil 3y x 10 cm 1491 0 -
Masker oksigen Dewasa 1491 0 -
spinal Needle 25 G x 90 mm with guide need 30398 0 -
spinal Needle 27 G x 90 mm with guide need 19643 30 589,290.00
Parasetamol drop 60 mg/ 0.6 ml 7646 0 -
Rapid HIV@ 25 11975 25 299,375.00
Rapid HIV@ 30 26060 0 -
Trepocek/Rapid tes spilis 10645 58 617,410.00
MB Dewasa 41784 0 -
Diagnostar HIV 15026 0 -
KHB diagnostic HIV 12500 0 -
Verorab 150000 0 -
Hepatitis B imune globulin 1325000 2 2,650,000.00
Fyrom international O2 portable 6363906 0 -
Mineral mix 2920 0 -
BISTURI BLADE No 15 JKN 126500 0 -
BISTURI BLADE No 20 JKN 126500 1 126,500.00
Sendok Obat( dana jkn ) 499 50 24,950.00
Sendok Obat( dana jkn ) 495 0 -
Pipet Obat( dana jkn ) 6600 20 132,000.00
Pot Sputum 2354 550 1,294,700.00
REAGEN ZN 250333 1 250,333.00
KACA SLIDE 22097 5 110,485.00
TOPI OPERASI REMIDI 1408 200 281,600.00
GEA NON REBREATING MASK CHILD 17050 16 272,800.00
GEA NEBULIZER MASK WITH CHAMBER ADU 14000 2 28,000.00
GEA NEBULIZER MASK WITH CHAMBER CHI 14000 7 98,000.00
ONEMED MEDICREPE 3 " JKN 20535 0 -
LACTULOSA SYRUP 15060 33 496,980.00
CHLORAMPHENICOL TETES MATA 8480 0 -
CHLORAMPHENICOL TETES TELINGA 9223 0 -
NYSTATIN DROP 21529 0 -
CLINDAMYCIN 150 MG 803 0 -
SERUM ANTI BISA ULAR ABU I INJ 512204 0 -
OBAT BATUK HITAM 3500 0 -
HIOSINA BUTILBROMIDA(SCOPMA) 1110 0 -
FOLLEY CATHETER 2 WAY NO 16 JKN 14520 0 -
STOMACH TUBE 12 FR 125cm 8952 5 44,760.00
MULTIVITAMIN 585 0 -
ASAM ASKORBAT 500 mg 198 0 -
SALBULIN 33294 0 -
BISTURI NO 12 2990 90 269,100.00
BISTURI NO 11 2948 100 294,800.00
FARBIVENT 2,5 ML 3916 0 -
ONEMED ALKOHOL 70% 1 Lt jkn 33000 40 1,320,000.00
ONEMED ALKOHOL SWAB 13799 0 -
ONEMED POVIDONE IODINE 60CC 5412 73 395,076.00
OCTADIN 0,1% SPRAY 33000 3 99,000.00
LARVASIDA DBD (ABATE 1Gr) 73500 0 -
ADS 0,5ML 1165 1100 1,281,500.00
ADS 0,5ML 1240 42 52,080.00
ADS 0,3 ML 1255 3133 3,931,915.00
ADS 3 ML 569 111 63,159.00
ALKOHOL SWAB PROPINSI 110 0 -
ALKOHOL SWAB Vaksin 79 6187 488,773.00
SAFETY BOX 5L COVID19 14000 94 1,316,000.00
PELARUT PFIZER 3280 0 -
VAKSIN PFIZER 6 DS 0 0 -
VAKSIN MODERNA 14 DOSIS 0 0 -
VAKSIN SINOVAC 2 DOSIS 0 0 -
VAKSIN SINOPHARM 2 DOSIS 0 0 -
Favipiravir 14850 0 -
SWAB TEST ANTIGEN P2P 0 0 -
ASTRAZENECA 10 DS 581607 0 -
FACESHIELD PLASTIK 14700 0 -
SARUNG TANGAN (KBKR) 6900 0 -
MASKER MEDIS JSP (KBKR) 30500 0 -
HAZMAT (KBKR) 136000 0 -
AMOXICILIN DROP 100ml 10834 0 -
Favipiravir 4333 0 -
Multivitamin (Prov) 549 0 -
MASKER N95 0 20 -
BD Needle no 24 JKN 786 140 110,040.00
BD Needle no 23 JKN 786 100 78,600.00
MINI PIL 4017 100 401,700.00
SUSUK KB II TIGA BULANAN 172485 30 5,174,550.00
NATRIUM DIKLOFENAK 205 0 -
LIDOCAIN INJEKSI 891 20 17,820.00
IODINE POVIDONE KB 60 ML 8045 0 -
DERMAFIX 4212 0 -
DUK PELUBANG IMPLAN 6863 9 61,767.00
MASKER KB 1108 0 -
SARUNG TANGAN KB 4645 0 -
SARUNG TANGAN KB 5597 10 55,970.00
SARUNG TANGAN KB 5332 10 53,320.00
ADS IMPLAN 818 10 8,180.00
FORM. K/I/KB 400 100 40,000.00
FORM. K/IV/KB 750 0 -
ADS 0,05ML 1460 200 292,000.00
SUNTIK KB 1CC 3 BULAN 4825 320 1,544,000.00
SUNTIK KB GESTIN 11875 20 237,500.00
PIL KOMBINASI 1153 300 345,900.00
IUD COPPER T 13750 1 13,750.00
KONDOM 123910 1 123,910.00
AUTO DISPOSIBLE SUNTIK 818 320 261,760.00
ASAM MEFENAMAT KB 1170 0 -
IODINE POVIDONE KB 30 ML 3079 4 12,316.00
IODINE POVIDONE KB 30 ML 4551 7 31,857.00
DERMAFIX 3850 10 38,500.00
PB DEWASA 15014 5 75,070.00
DUK PELUBANG IMPLAN 6500 41 266,500.00
MASKER KB 960 30 28,800.00
ADS IMPLAN 888 10 8,880.00
FORM INFORMED CONSENT 1000 0 -
TETRAKAIN TETES MATA 0,5% 13991 0 -
INDEC HIV 1/2 & SYPHILIS COMBO 19381 0 -
SURGICAL FACE MASK (MALARIA) 379 0 -
DISPOSIBLE NITRILE EXM GLOVE (MALARIA) 216 0 -
GIEMSA 875065 1 875,065.00
ALTOSID 1,3 G(DINKES) 1269000 1 1,269,000.00
VIROTEC DENGUE COMBO 45523 0 -
RDT VIROTEC DENGUE COMBO 45360 0 -
IODIUM TEST 34000 16 544,000.00
CHRONALIFE BANDAGE CREPE 3" 48500 7 339,500.00
ADS 5 ML 1500 285 427,500.00
VAKSIN PCV 190657 20 3,813,140.00
ASEPTAN 500ML PROPINSI 52000 11 572,000.00
FACE SHILD PROPINSI 185000 8 1,480,000.00
MASKER 3 PLY PROPINSI 2290 0 -
SURGICAL MASK EARLOP 3 PLAY 16420 5 82,100.00
ALLOPURINOL 100 MG PIM 222 0 -
ANTASIDA DOEN TAB ERELA 162.06 0 -
CIPROFLOXACIN 500MG PROMED 788.1 0 -
CTM STRIP 24 KTK 994.37 38 37,786.06
BETAHISTIN6 MG 30'S 991.6 240 237,984.00
ERLAMICETIN SALEP MATA 10545 0 -
LORATADINE 10 MG NOVA 290.82 0 -
RECO TETES MATA 9435 0 -
GLIBENCLAMIDE 5 MG FM 176.823 0 -
METFORMIN 500 MG SHJ 233.1 0 -
METFORMIN 850 MG DEXA 604.95 700 423,465.00
NIFEDIPINE 10 MG DEXA 222 400 88,800.00
PHYTOMENADION 10 MG KF 1332 400 532,800.00
ACICLOVIR CREAM KF 3864.68 9 34,782.12
NEEDLE 25 TERUMO 1221 85 103,785.00
ONEMED USG GEL 250ML 19375 3 58,125.00
KERTAS PUYER KECIL 100'S 41070 3 123,210.00
MASKER KB PENGADAAN 60000 0 -
SARUNG TANGAN KB PENGADAAN 7200 20 144,000.00
OAT KDT DOSIS HARIAN 559995 6 3,359,970.00
PLESTER ROL 10cm x 5cm 45496 27 1,228,392.00
RDT VIROTEC DENGUE COMBO 45360 180 8,164,800.00
ONEMED VACUM BLOOD COLLECTION TUBE 98560 3 295,680.00
VAKSIN HPV 178750 0 -
SAFETY BOX 0 25 -
LAB KIT MALARIA 1472268 1 1,472,268.00
SILK/SUTERA 2-0(76CMX25MM) 46620 24 1,118,880.00
KASSA ROLL KB 145000 2 290,000.00
KASSA STERIL KOTAK KB 8000 65 520,000.00
TEST PACK KB 110000 2 220,000.00
VAKSIN ROTAVAC 249750 2 499,500.00
ACETHYLCYSTEIN 794.76 3400 2,702,184.00
ANTASIDA DOEN SYRUP 5439 350 1,903,650.00
CETIRIZINE 10 MG 111 6700 743,700.00
ASAM MEFENAMAT JKN 216.45 3800 822,510.00
VACUM BLOOD COLLECTION TUBE PLAIN 3m 157950 1 157,950.00
ONEMED PLESTERIN BULAT 200'S 39316.2 20 786,324.00
GEA IV CATHETER 26'S 4995 140 699,300.00
ONEMED FEEDING TUBE 5FR 40CM 8807.85 30 264,235.50
SARUNG TANGAN OBGYN 20900 40 836,000.00
RDT CHIKUNGUNYA 64998 25 1,624,950.00
BAHAN PEMERIKSAAN MALARIA 784800 1 784,800.00
AZITROMISIN 500MG 1400 30 42,000.00
ENDO EGG ROLL 50X30 M VAROIUS 1 CH 29900 0 -
ENDO EGG ROLL 80X30 M VAROIUS 3 CH 149000 1 149,000.00
SET KEBUGARAN KIT 5800000 1 5,800,000.00
-
-
-
167,097,909.68
674,700.00 ACYCLOVIR TABLET 200 M 519 1,300
913,750.00 ACYCLOVIR TABLET 400 M 425 2,150
- ACYCLOVIR TABLET 400 M 425 -
- AFOLAT Tablet 400 Mcg( 68 -
- ALBENDAZOLE SUSPENSI 4,600 -
324,100.00 ALBENDAZOLE TABLET 400 463 700
- ALKOHOL CAIRAN OBAT L 2,625 -
24,200.00 ALLOPURINOL TABLET 10 242 100
297,000.00 ALLOPURINOL TABLET 10 99 3,000
378,000.00 ALLOPURINOL TABLET 30 378 1,000
53,600.00 ALLOPURINOL TABLET 30 536 100
- ALPRAZOLAM TABLET 1 M 239 -
13,680.00 AMINOPHYLLINE CAIRAN 2,736 5
- AMINOPHYLLINE TABLET 86 -
29,100.00 AMINOPHYLLINE TABLET 97 300
15,800.00 AMITRIPTYLINE TABLET 158 100
285,000.00 AMLODIPINE TABLET 10 M 95 3,000
236,800.00 AMLODIPINE TABLET 5 MG 74 3,200
- AMOXICILLIN CAPSUL 250 196 -
- AMOXICILLIN CAPTABS 50 647 -
2,842,000.00 AMOXICILLIN CAPTABS 50 490 5,800
110,080.00 AMOXICILLIN SIRUP KER 2,560 43
- ANTASIDA DOEN SUSPENS 2,098 -
- ANTASIDA DOEN TABLET 60 -
- ANTASIDA DOEN TABLET 99 -
- ANTI PARKINSON DOEN TA 1,350 -
152,754.00 ANTIFUNGI DOEN SALEP ( 3,637 42
- ANTIFUNGI DOEN SALEP ( 5,170 -
145,680.00 ANTIHEMOROID SUPPOSITORIA 3642 40
148,720.00 AQUA PRO INJECTION CAIRAN 2860 52
- ARTEMETHER INJEKSI 80 Mg( 25490 0
- ARTESUNATE CAIRAN INJEKSI 42900 0
576,000.00 ASAM ASKORBAT Tablet 250 144 4000
588,000.00 ASAM ASKORBAT Tablet 50 M 120 4900
- ASAM FOLAT TABLET 1 MG(DU 86 0
226,800.00 ASAM FOLAT TABLET 1 MG(DU 81 2800
- ASAM MEFENAMAT CAPSUL 25 175 0
- ASAM MEFENAMAT CAPTABS S 103 0
- ASEPTAN GEL + DISP 500 34810 0
9,075.00 ATROPINE CAIRAN INJEKSI 0 1815 5
- ATROPINE TABLET 0,5 MG(DUS 81 0
- ATROVENT CAIRAN INHALASI 83500 0
- BACITRACIN - POLYMYXIN B S 7700 0
- BEDAK SALICYL SERBUK OBAT 5000 0
37,485.00 BEDAK SALICYL SERBUK OBAT 1071 35
- BETABLOK TABLET 100 MG(DUS 864 0
- BETAMETASON CREAM 0.1 %( 1520 0
268,000.00 BETAMETASON CREAM 0.1 %( 3350 80
- BISOPROLOL FUMARATE TABLE 695 0
59,862.00 BIVALENT ORAL POLIOMYELITIS 19954 3
30,600.00 BLOOD LANCET() 153 200
- BLOOD LANCET() 144
- BRONSOLVAN TABLET (DUS, 10 310 0
204,876.00 BUFACETIN SALEP 2 %(DUS, T 3794 54
414,000.00 BURNAZIN CREAM 10 MG/G(D 20700 20
- CALCIUM LACTATE TABLET 500 63 0
218,300.00 CALCIUM LACTATE TABLET 500 59 3700
- CAPTOPRIL TABLET 12,5 MG(D 69 0
58,500.00 CAPTOPRIL TABLET 12,5 MG(D 65 900
496,000.00 CAPTOPRIL TABLET 25 MG(DUS 80 6200
- CAPTOPRIL TABLET 50 MG(DUS 143 0
- CARBAMAZEPINE TABLET 200 250 0
- CAT GUT CHROMIC 2 - 0 (75C 30334 0
4,515,480.00 CAT GUT CHROMIC 2 - 0 (75C 62715 72
397,800.00 CAT GUT CHROMIC 2 - 0(75C 23400 17
- CAT GUT CHROMIC 2 - 0(90Cm 48380 0
- CAT GUT CHROMIC 3 - 0(75C 29900 0
2,429,568.00 CAT GUT CHROMIC 3 - 0(75C 67488 36
1,277,166.00 CAT GUT PLAIN 2 - 0 (75C X 2 58053 22
1,204,616.00 CAT GUT PLAIN 3 - 0(70C X 2 24584 49
- CAT GUT PLAIN 3 - 0(70C X 2 62715
- CATHEJELL() 49186 0
- CEFOTAXIME SERBUK INJEKSI 1 3500 0
- CEMENT ELITE CEMEN LIQUID 429000 0
- CEMENT ELITE CEMEN POWD 462000 0
- CETIRIZINE CAPSUL 10 MG(DU 115 0
224,475.00 CETIRIZINE SIRUP 5 MG/5 ML 2993 75
- CHLORAMPHENICOL KAPSUL 329 0
- CHLORAMPHENICOL SALEP MA 2054 0
251,136.00 CHLORAMPHENICOL SALEP MA 7848 32
- CHLOROQUINE TABLET 150 MG 93.5 0
- CHLORPHENIRAMINE TABLET 4 26 0
51,000.00 CHLORPHENIRAMINE TABLET 4 51 1000
- CHLORPROMAZINE CAIRAN INJ 1531 0
40,810.00 CHLORPROMAZINE TABLET SAL 583 70
- CHLORPROMAZINE TABLET SAL 75 0
- CIMETIDINE TABLET 200 MG(D 105.97 0
- CIPROFLOXACIN TABLET SALUT 435 0
29,700.00 CLINDAMYCIN CAPSUL 300 MG 594 50
- CLOBAZAM TABLET 10 MG(DUS 967 0
- CLONIDINE TABLET 0.15 MG(D 201 0
- CLOZAPINE 100 TABLET 100 M 5000 0
434,000.00 CLOZAPINE 25 TABLET 25 MG( 1550 280
141,900.00 CLOZAPINE 25 TABLET 25 MG( 473 300
52,560.00 CODEINE TABLET 10 MG(DUS, 657 80
- CODEINE TABLET 15 MG(DUS, 880 0
- CODEINE TABLET 20 MG(DUS, 1210 0
- COMBIVENT UDV CAIRAN INHAL 4550 0
72,000.00 COTRIMOKSAZOLE TABLET 400 240 300
78,600.00 COTRIMOKSAZOLE TABLET 400 131 600
508,300.00 COTRIMOXAZOLE FORTE CAPTA 299 1700
- COTRIMOXAZOLE SUSPENSI (2 2190 0
490,428.00 COTRIMOXAZOLE SUSPENSI (2 2052 239
- CUTICELL CLASIC 10 X 10() 5520 0
1,028,230.00 CUTICELL CLASIC 10 X 10() 14689 70
- DEMETECH Chromic Catgut Sur 65000 0
- DEVITALISASI PASTA NON ARS 286000 0
- DEXAMETHASON TABLET 0.5 M 75 0
35,090.00 DEXAMETHASONE CAIRAN INJ 1210 29
- DHP FRIMAL (DIHYDROARTEMI 2160 0
85,500.00 DHP FRIMAL (DIHYDROARTEMI 1900 45
19,130.00 DIAZEPAM CAIRAN INJEKSI 5 1913 10
- DIAZEPAM TABLET 2 MG(BOTO 28 0
43,200.00 DIAZEPAM TABLET 5 MG(DUS, 108 400
- DIAZEPAM TABLET 5 MG(DUS, 134 0
- DIGOXIN TABLET 0,25 MG(DUS 104 0
13,600.00 DILTIAZEM TABLET 30 MG(DUS 136 100
- Diluent 20L() 1980000 0
- DIMENHYDRINATE TABLET 50 129 0
302,500.00 DIMENHYDRINATE TABLET 50 121 2500
- DIPHENHYDRAMINE CAIRAN IN 1262 0
79,920.00 DIPHENHYDRAMINE CAIRAN IN 1332 60
266,805.00 DOMPERIDON SUSPENSI 5 MG 7623 35
- DOMPERIDON TABLET 10 MG(D 96 0
153,000.00 DOMPERIDON TABLET 10 MG(D 90 1700
- DOMPERIDONE DROPS 5 MG/M 17100 0
- DOXYCYCLINE CAPSUL 100 MG 280 0
- DOXYCYCLINE CAPSUL 100 MG 264 0
177,000.00 DULCOLAX SUPPOSITORIA 10 5900 30
144,000.00 DULCOLAX SUPPOSITORIA 5 M 6000 24
- EPHEDRINE TABLET 25 MG(DUS 68 0
- EPINEPRINE CAIRAN INJEKSI 10500 0
- ERGOTAMINE CAFFEINE TABLE 212 0
- ERYTHROMYCIN CAPSUL 250 M 636 0
384,900.00 ERYTHROMYCIN SIRUP KERING 12830 30
- ETHAMBUTOL TABLET SALUT S 543 0
- EUGENOL 10 Ml(EUGENOL CA 23101 0
- EZ CLEANER() 665500 0
- FAMOTIDINE TABLET SALUT SE 124 0
158,000.00 FARIZOL SUSPENSI 125 MG/5 3950 40
- FLETCHER (TEMPORARY STOPP 6244 0
- FLETCHER LAIN-LAIN 100 Gr 6244 0
- FOLEY CATHETER 1 WAY NO 1 30000 0
218,550.00 FOLEY CATHETER 2 WAY N0 1 43710 5
172,805.00 FOLEY CATHETER 2 WAY NO 1 34561 5
- FORANSI CAPSUL 10 MG(DUS, 462 0
- FUJI IX GP A3 1 - 1 PKG() 990000 0
- FUROSEMIDE CAIRAN INJEKSI 1555 0
- GEMFIBROZIL CAPSUL 300 MG( 318 0
- Glass Ionomer Cement ART Fuj 478500 0
616,500.00 GLIBENCLAMIDE CAPTABS 5 M 137 4500
60,000.00 GLIMEPIRIDE TABLET 1 MG(DU 120 500
176,000.00 GLIMEPIRIDE TABLET 2 MG(DU 220 800
- GLUCOTROL XL TABLET PELEP 3000 0
150,000.00 GLUKOSA INFUS 10 %(BOTOL 7500 20
103,500.00 GLUKOSA INFUS 5 %(BOTOL PL 6900 15
223,000.00 GRISEOFULVIN TABLET 125 MG 223 1000
153,000.00 GRISEOFULVIN TABLET 125 MG 306 500
- HALDOL DECANOAS CAIRAN IN 97500 0
- HALOPERIDOL TABLET 0,5 MG( 55 0
- HALOPERIDOL TABLET 1.5 MG( 74 0
- HALOPERIDOL TABLET 5 MG(DU 60 0
33,600.00 HALOPERIDOL TABLET 5 MG(DU 96 350
- Hematology Control Normal ( 708000 0
- HERBESSER CD 100 CAPSUL P 4290 0
263,432.00 HIDROKORTISON CREAM 2,5 2533 104
- HYDROCHLORTHIAZIDE TABLE 178 0
68,000.00 HYDROCHLORTHIAZIDE TABLE 170 400
348,140.00 IBUPROFEN SUSPENSI 100 MG 2678 130
- IBUPROFEN SUSPENSI 200 MG 4949 0
481,600.00 IBUPROFEN TABLET 200 MG(B 112 4300
989,000.00 IBUPROFEN TABLET 400 MG(D 215 4600
197,340.00 ILIADIN SEMPROT HIDUNG 0. 39468 5
- INDOREAGEN - EDTA 10%() 325197 0
58,950.00 INDOREAGEN - HCI 0,1 N() 58950 1
- INSULIN HUMAN LONG ACTING 85000 0
- IODINE POVIDON CAIRAN OBA 40202 0
- Iodoform (Mummifying Pasta) 125444 0
8,500.00 ISONIAZID TABLET 100 MG(DU 85 100
- ISONIAZID TABLET 300 MG(DU 182 0
26,700.00 ISOSORBIDE DINITRATE TABLE 89 300
1,170,000.00 IV CATHETER NO 18 TROGE() 14625 80
- IV CATHETER NO 20 TROGE() 14625 0
213,920.00 IV CATHETER NO 20 TROGE() 5348 40
321,150.00 WING CATH ETFE 20G X 1INC 6423 50
- JARUM JAHIT KULIT G 12 SUT 1666 0
- JARUM JAHIT KULIT NO 13() 1666 0
- JARUM JAHIT OTOT GR 12 () 1666 0
- JARUM JAHIT OTOT GR 13 () 1666 0
- Kalsium Hidroksida Serbuk() 209000 0
54,560.00 KAPAS ONEMED 500(KAPAS 27280 2
- KAPAS PEMBALUT ALAT KESE 25200 0
88,000.00 KARTU GOLONGAN DARAH 440 200
808,500.00 KASA HIDROPHILE ALAT KESE 115500 7
- KASA HIDROPHILE ALAT KESE 560 0
- KASA HIDROPHILE ALAT KESE 407 0
34,650.00 KASA PEMBALUT HYDROFIL 4 1155 30
169,050.00 Kasa Pembalut Hydrofil(4M X 2415 70
- KETAMINE CAIRAN INJEKSI 10 110000 0
- KETOCONAZOLE TABLET 200 M 305 0
841,500.00 KETOCONAZOLE TABLET 200 M 495 1700
- KETOKONAZOL CREAM 5 Gra 3135 0
- KINA TABLET SALUT GULA 200 459.8 0
723,800.00 KLORAMFENICOL Capsul Mg( 329 2200
- KLORAMFENIKOL SIRUP 125 mg 5319 0
398,560.00 KLORAMFENIKOL SIRUP 125 mg 4982 80
- Klorfenol Kamfer Menthol (C 115500 0
- Lancing Device() 86336 0
- LAXADINE EMULSI (BOTOL 60 12450 0
123,050.00 LEUKOMED IV FILM(6 X 8 CM) 2461 50
- LEUKOPLAST 1 INCHI() 20000 0
- LEUKOPLAST 1/2 INCHI() 10500 0
- LEUKOPLAST 2 INCHI() 38000 0
- LEUKOPLAST(1X5) 12675 0
- LEUKOPLAST(3X5) 35532 0
- LEVOPAR TABLET 100 MG(DUS, 1035 0
- LEXAPRAM SIRUP 5 MG/5 ML( 2900 0
134,100.00 LIDOCAIN CAIRAN INJEKSI 2 1341 100
32,875.00 LIDOCAIN CAIRAN INJEKSI 2 1315 25
- LIDOCAINE COMPOSITUM CAIR 2122 0
- LODOMER CAIRAN INJEKSI 5 6250 0
- LODOMER TABLET SALUT SELA 115 0
76,500.00 LOPERAMIDE TABLET 2 MG(DUS 85 900
457,200.00 LORATADINE TABLET 10 MG(DU 127 3600
- MAGNESIUM SULFAT INJ. USP 3650 0
- MAGNESIUM SULFATE CAIRAN 3328 0
24,720.00 MAGNESIUM SULFATE CAIRAN 4120 6
777,000.00 MASKER HIJAU EAR LOP() 420 1850
- MASKER HIJAU EAR LOP() 0 0
- MAXTER Examination Glove N 434 0
674,300.00 MAXTER Examination Glove 613 1100
1,226,000.00 MAXTER Examination Glove N 613 2000
- MAXTER Examination Glove 1180 0
429,100.00 MAXTER Examination Glove N 613 700
- MEBENDAZOLE SIRUP 100 MG/ 3887 0
- MEBENDAZOLE TABLET 100 MG 248 0
- MEBENDAZOLE TABLET 500 MG 9150 0
- MELOXICAM TABLET 15 MG(DU 348 0
- MELOXICAM TABLET 7.5 MG(DU 234 0
167,000.00 METFORMIN CAPTABS 850 MG( 167 1000
- METFORMIN TABLET 500 MG(D 109 0
975,000.00 METFORMIN TABLET 500 MG(D 195 5000
- METHYLPREDNISOLONE CAPTAB 192 0
32,780.00 METIL ERGOMETRIN MALEAT C 3278 10
- METILERGOMETRIN MALEAT T 258 0
- METOCLOPRAMIDA TABLET 10 89 0
273,900.00 METOCLOPRAMIDA TABLET 10 83 3300
- METOCLOPRAMIDA TABLET 5 M 124 0
- METRONIDAZOL INFUS 5 MG/ 8250 0
238,000.00 METRONIDAZOL TABLET 500 M 140 1700
263,042.00 MICONAZOLE CREAM 2 %(DUS, 3926 67
- MINDRAY M-30R Rinse() 1980000 0
9,000.00 MINIASPI TABLET SALUT ENTE 90 100
897,600.00 MISSION Urinalysis Reagent St 224400 4
- MISSION Urinalysis Reagent St 100000 0
7,100.00 NATRIUM DIKLOFENAK TABLET 142 50
- NATRIUM DIKLOFENAK TABLET 320 0
499,320.00 NATRIUM KLORIDA INFUS 0,9 6840 73
41,210.00 NATRIUM PHENYTOIN CAIRAN 4121 10
- NESCO MultiCheck Cholesterol 19600 0
- NESCO MultiCheck Uric Acid Te 4400 0
570,600.00 NEW ANTIDES TABLET 600 MG 317 1800
328,000.00 NIFEDIPINE TABLET SALUT SE 164 2000
- NITRAL TABLET SUBLINGUAL 1485 0
- NYSTATIN TABLET VAGINAL 100 645 0
357,600.00 NYSTATIN TABLET VAGINAL 100 894 400
- OMEPRAZOLE CAPSUL 20 MG(D 147 0
841,800.00 OMEPRAZOLE CAPSUL 20 MG(D 138 6100
474,720.00 OMEPRAZOLE SERBUK INJEKSI 11868 40
- ONELAB Golongan darah Test 71235 0
117,195.00 ONELAB Golongan darah test 117195 1
932,480.00 ONEMED Disposable Syringe 0 1240 752
- ONEMED Disposable Syringe 2 1550 0
- ONEMED Hecting Nald() 20000 0
2,306,040.00 ORAL POLIOMYELITIS VACCINE 153736 15
- ORALIT SERBUK (DUS. 100 SA 281 0
136,500.00 ORALIT SERBUK (DUS. 100 SA 273 500
- OTSUKA Infusion Set(ANAK OT 3675 0
- OTSUKA Infusion Set(DEWASA 3024 0
1,267,590.00 UNICORN Infusion Set(DEWAS 8742 145
- OXYTOCIN S CAIRAN INJEKSI 1232 0
57,408.00 OXYTOCIN S CAIRAN INJEKSI 1248 46
2,686,482.00 PADUAN OAT KATEGORI 1 KOM 447747 6
- PADUAN OAT KATEGORI 2 KOM1592726 0
- PADUAN OAT KATEGORI ANAK 285339 0
267,397.00 PADUAN OAT KATEGORI ANAK 267397 1
- PADUAN OAT SISIPAN KOMBIN 183984 0
- PANTOCAIN TETES MATA 11500 0
- PARACETAMOL DROPS 100 MG 5960 0
- PARACETAMOL TABLET 500 MG 60 0
1,488,000.00 PARACETAMOL TABLET 500 MG 160 9300
- PARASETAMOL SIRUP 120 mg/ 3200 0
87,000.00 PARASETAMOL SIRUP 120 mg/ 1160 75
2,843,676.00 PENTABIO VAKSIN DTP-HB-HIB I 78991 36
- PETIDIN INJEKSI 50 MG/ML 15950 0
- PHARMAFIX Wound Dressing( 30000 0
- PHARMAFIX Wound Dressing( 27000 0
8,500.00 PHENOBARBITAL CAIRAN INJE 1700 5
- PHENOBARBITAL TABLET 100 M 242 0
82,740.00 PHENOBARBITAL TABLET 30 M 197 420
142,500.00 PHENOL GLYCEROL TETES TEL 2500 57
- PHENYTOIN CAPSUL 30 MG(BO 142 0
- PHENYTOIN SODIUM CAPSUL 158 0
- PHYTOMENADIONE CAIRAN IN 4167 0
799,000.00 PHYTOMENADIONE TABLET SAL 799 1000
- POVIDONE IODINE CAIRAN OB 4070 0
96,200.00 PREDNISON TABLET 5 MG(DUS, 74 1300
219,000.00 PREDNISON TABLET 5 MG(DUS, 73 3000
- PROBENECID TABLET SALUT SE 1815 0
23,600.00 PROPRANOLOL TABLET 10 MG( 59 400
- PROPRANOLOL TABLET 40 MG(1 114 0
- PYRANTEL SUSPENSI 125 MG/ 11791 0
386,750.00 PYRANTEL SUSPENSI 125 MG/ 11050 35
- PYRANTEL TABLET 125 MG(DUS 354 0
199,200.00 PYRANTEL TABLET 125 MG(DUS 332 600
- PYRAZINAMIDE TABLET 500 MG 233 0
- PYRIDOXINE CAIRAN INJEKSI 1030 0
- RANITIDINE HCL CAIRAN INJE 1454 0
341,000.00 RANITIDINE TABLET SALUT SE 110 3100
- RESERPINE TABLET 0,25 MG(K 97 0
- RIFAMPICIN CAPSUL 300 MG(D 834 0
- RIFAMPICIN CAPTABS SALUT S 863 0
- RISPERIDONE TABLET SALUT S 1008 0
47,355.00 RISPERIDONE TABLET SALUT S 123 385
- RIVANOL CAIRAN OBAT LUAR 2178 0
- SAFEGLOVE EXAM XS ALAT KE 434 0
- SALBUTAMOL SIRUP 2 MG/5 M 4446 0
68,400.00 SALBUTAMOL TABLET 4 MG(DU 76 900
114,646.00 SALEP 2-4 SALEP (POT 30 GR 3017 38
- SARUNG TANGAN GAMEX NO 8 6985 0
- SARUNG TANGAN STERIL N0 7 3465 0
740,250.00 SARUNG TANGAN STERIL N0 7 4935 150
- SARUNG TANGAN STERIL N0 7, 3465 0
666,225.00 SARUNG TANGAN STERIL N0 7, 4935 135
- SARUNG TANGAN STERIL NO 6 3465 0
1,516,620.00 SARUNG TANGAN STERIL NO 6 6594 230
- SCABIMITE CREAM 5 %(DUS,T 12155 0
- Semen Seng Fosfat Sebuk dan 214500 0
- SIKZONOATE CAIRAN INJEKSI 59800 0
- SIMVASTATIN CAPTABS SALUT 117 0
217,800.00 SIMVASTATIN CAPTABS SALUT 110 1980
- SIMVASTATIN TABLET SALUT 150 0
697,500.00 SIMVASTATIN TABLET SALUT 225 3100
- SODIUM BICARBONATE TABLET 184.48 0
- SPINAL NEDLE NO 24 TERUMO 347 0
- SPINAL NEDLE NO 27 TERUMO 347 0
- SPIRONOLACTONE TABLET 100 1000 0
84,800.00 SPIRONOLACTONE TABLET 25 212 400
- STANBIO Cholesterol Liquicolo 2241000 0
- STANBIO Glucose Liquicolor() 473000 0
- STANBIO Triglyceride Liquicolo 5134000 0
- STANBIO Uric Acid Liquicolor( 4730000 0
358,540.00 STERA Infusion Set Anak() 3940 91
- STERA Infusion Set Dewasa() 3600 0
- STERACATH I.V catheter(16) 3800 0
- STERACATH I.V catheter(22) 3800 0
- STESOLID ENEMA 10 MG/2,5 21021 0
28,918.00 STESOLID ENEMA 5 MG/2,5 M 14459 2
- STREPTOMYCIN SULPHATE SER 5980 0
- Strip Glukos 4400 0
- SULFADOXINE- PYRIMETHAMIN 655 0
- SURYA HUSADA Kapas Berlema 18150 0
71,299.00 SUSPENSI KUMAN S PARATHYP 71299 1
3,844,600.00 TABLET TAMBAH DARAH TABLE 409 9400
316,810.00 TEST KEHAMILAN (TEST KEH 2437 130
- TETRACYCLINE CAPSUL 250 MG 181 0
- TETRACYCLINE CAPSUL 500 MG 331 0
- THIAMFENICOL CAPSUL 500 M 440 0
- TRAMADOL CAIRAN INJEKSI 5 2680 0
- TRICRESOL - FORMALIN 85800 0
- TRIHEXYPHENIDYL TABLET 2 M 101 0
41,800.00 TRIHEXYPHENIDYL TABLET 2 M 95 440
86,310.00 URINE BAG 4795 18
- URINE BAG 3150 0
- VAKSIN BCG INJEKSI 4 Ml(VA 61996 0
899,250.00 VAKSIN BCG INJEKSI 4 Ml(VA 59950 15
- VAKSIN CAMPAK KERING SERBU 28204 0
292,600.00 VAKSIN HEPATITIS B REKOMBI 20900 14
431,904.00 VAKSIN JERAP DT (ABSORBED D 17996 24
645,810.00 VAKSIN JERAP Td (ADSORBED T 16995 38
- VAKSIN TT CAIRAN INJEKSI 1 D 14498 0
- VENTOLIN NEBULES CAIRAN IN 4000 0
- VITAMIN A CAPSUL LUNAK 100 331 0
- VITAMIN A CAPSUL LUNAK 100 305 0
105,600.00 VITAMIN A CAPSUL LUNAK 100 352 300
459,000.00 VITAMIN B COMPLEX TABLET ( 135 3400
- VITAMIN B1 TABLET (DUS 10 80 0
- VITAMIN B1 TABLET (DUS 10 94 0
- VITAMIN B12 CAIRAN INJEKS 1067 0
- VITAMIN B6 TABLET 10 MG(DU 150 0
380,700.00 VITAMIN B6 TABLET 10 MG(DU 141 2700
- WIDA D5 1/4 NS INFUS (B0T0 6500 0
- WIDA RL INFUS (BOTOL PLAST 7630 0
429,000.00 WIDA RL INFUS (BOTOL PLAST 7150 60
- WING NEEDLE NO 23 TERUMO 1506 0
146,700.00 WING NEEDLE NO 25 () 1467 100
- WING NEEDLE NO 27 JMS() 1540 0
- XYLOCAINE GEL 2 %(DUS, 10 41600 0
- XYLOCAINE SPRAY ORAL 10 % 177216 0
906,000.00 ZINK TABLET DISPERSIBLE 20 604 1500
- ZINK TABLET (PROPINSI) 524 0
- ZINKID SIRUP 10 MG/ ML 16478 0
82,125.00 ZIRCUM SIRUP 20 MG/5 ML(D 3285 25
- Analog Insulin Rapid Acting 85345 0
- Asiklovir 5% 2367 0
- Atrovent HFA (ipratropium isi 80000 0
- Betadine kumur 12500 0
- Cairan Infus ( Manitol lar.inf) 65000 0
- Coartem(Kombinasi : Artemet 3220 0
- Combiven Nebul 12252 0
- Ergokalsiferol(vitamin D2)kaps 680 0
- Ergokalsiferol(vitamin D2)sus 8000 0
- Fenitoin inj 50 mg/ml 4121 0
- Furosemid tab 40 mg 84 0
39,500.00 Furosemid tab 40 mg 79 500
33,550.00 Gentamisin inj 40 mg/ml 3355 10
201,630.00 Iliadin drops(Oksimetazolin tt 40326 5
- Ketorolac inj 10 mg 2665 0
- Kotrimoksazol Doen I (pediatr 138 0
- Levosol(Norepinefrin inj 1 mg 55248 0
- Morpin inj 10 mg/ml 11549 0
- Multivitamin kapsul(Solvitral) 365 0
- Multivitamin syr(Solvita) 7150 0
- Fonflu syr 11190 0
- Fonflu tab 619 0
- Papaverin inj 40 mg/ml 1275 0
- Piracetam inj 3 g/15 ml 4500 0
- povidon iodin lar 1000 mg/ml 40202 0
- Povidon iodin lar 100 mg/ml 15386 0
25,800.00 Primaquin 15mg 258 100
- Prokain Benjilpenisilin serbuk 0 0
- Propiltiourasil 351 0
- Pularex 220 0
- Rifampisin 450mg 624 0
- Salbutamol 2 mg 51 0
- SPIRIVA 10s + hdhlr(tiotropiu 162000 0
- SPIRIVA powder(tiotropium ser 14750 0
- Trifluoperazin 5 mg 445 0
- Zinc sir 10mg/ml(drop) 6281 0
- Alat suntik sekali pakai 50cc 848 0
- Bisturi no.12 98000 0
- Bisturi no.15 7500 0
- Kasa P.Elastis 4x15 21840 0
- Nald no.25 15125 0
30,355.00 Pembalut gips uk 3(7,5 cm x 2 6071 5
- Pembalut gips uk 4 3500 0
- Pembalut gips uk 6 1957 0
156,240.00 Selang o2 anak 5040 31
- Silk(benang bedah sutera) no 2200 0
- Wing needle no.21 500 0
- Nelaton Fr no.10 8351 0
- Nelaton Fr no.12 8351 0
- Folay catheter ped no.8 4004 0
- Reagen turk,kemasan 100ml 28779 0
- Cefadroxil 500 mg 557 0
- Gentian violet 1420 0
- Rapid test SD HBsAg WB 9870 0
441,000.00 FASTCLEAR Q HBSAG TEST 5880 75
- DIPSAMOL INHALER 41250 0
- Cat Gut Chromic 3-0 (75 x 2 63603 0
3,239,424.00 Cat Gut Chromic 3-0 (75cmx 67488 48
- NySTATIN TABLET 500.000 IU 910 0
- Asam Valproat 250mg/5ml 17789 0
- Cardura 3395 0
- Obucort Swinghaler 94455 0
- Patanol 0,1 % 72500 0
- Onmed alkohol 70% 1 L 27500 0
92,790.00 ALKOHOL 95% 9279 10
- Betablok 50 mg 310 0
- Skizon cream 5g 3388 0
- interzinc syrup 60 ml 6600 0
- indoreagen Rees Ecker 500 m 214520 0
- Indoreagen Turk 500 ml 81045 0
- Phytomenadion inj 2 mg/ml 4236 0
87,120.00 Phytomenadion inj 2 mg/ml 1452 60
- Erytromicin 500 mg 781 0
22,776.00 Magnesium Sulfat 40% 3796 6
4,700.00 Magnesium Sulfat 40% PROPI 4700 1
249,600.00 Amoxcillin dry sirup 125 mg/ 1920 130
2,522,650.00 Strip Asam urat Autochek 3881 650
4,549,200.00 Strip Cholesterol Autochek 15164 300
- Benechek Plus Uric Acid 5313 0
- Benechek Plus Glucose 3142 0
- Benechek Plus Total Cholestro 25238 0
- Benechek Plus Total Cholestro 23821 0
64,000.00 Remidi alkohol swab 128 500
- Serenity Nasal 02 Canulla Infa 4300 0
120,960.00 Serenity Nasal 02 Canulla Infa 5040 24
65,205.00 Serenity Mucus Ext Wkt 35 FR 7245 9
- Serenity silk 3/0 4256 0
- Serenity Silk 2/0 4256 0
141,338.00 Serenity silk 3/0 4157 34
87,297.00 Serenity Silk 2/0 4157 21
- Remidi exam Glove Gynecolog 18270 0
- Decacetine Tetes mata 3850 0
617,202.00 Cholestrol FS 617202 1
384,102.00 Glucosa GOD Fs 384102 1
- Triglycerid FS 10' Version 1573963 0
694,900.00 Uric Acid Fs TBHBA 694900 1
- Dietilkarbamazin 100 mg 192 0
- Biosat 130999 0
136,080.00 Serenity Nasal 02 Canulla Adu 5040 27
105,600.00 Sianokobalamin ( vit B12) 44 2400
- Sianokobalamin ( vit B12) 49 0
- Carestar malaria HRP 2 6476 0
395,000.00 RDT COMBO MALARIA (FIRST 15800 25
56,880.00 Bisakodil 5 mg 316 180
- Metronidazol 250 mg 94 0
- Diluen 20 L Mindray 3 Diff M- 1164625 0
- Rinse 20 L Mindray M-30 Bar 1220120 0
- Multi Drug Panel 25 S Answer 37009 0
- Blue Tip OM 500 S 146 0
- Yellow Tips Dragon 1000 S 63 0
- Trucal U 1549779 0
- Ventolin Rotahaler (alat hiru 6550 0
- klorpromazine 5mg/ml 1735 0
- Vitamin A Kapsul 200.000 IU 596 0
277,200.00 Vitamin A Kapsul 200.000 IU 462 600
- onmed USG 250 ml 13214 0
- ONEMED USG 250 ML 13213 0
- Alkazyme 25 mg 801000 0
- Alkacid 1 L 2702700 0
- Trulab 2254214 0
1,558,130.00 Vaksin MR 10 Ds 155813 10
65,224.00 Onmed water one 1 L 16306 4
70,850.00 Umbilical Cord Cleam 1417 50
- Farnomin Tab 297 0
- Decafil 145 0
- Tensidox 2064 0
- Lysol 1 L 44690 0
- Lyse M30 500 ml 1375000 0
- Probe cleanser M30 17 ml 97625 0
- Terumo Agani needle 25 347 0
- Ampicillin inj 9473 0
- Oksitetrasiklin 1 % Salep mat 2774 0
311,550.00 Oksitetrasiklin 1 % Salep mat 6231 50
- Euthyrox 735 0
416,150.00 Masker oksigen dewasa 10150 41
152,250.00 Masker oksigen anak 10150 15
165,170.00 Hidrogen Piroksida 33034 5
- Rapid HIV 11975 0
50,040.00 Calcium glukonat 6255 8
- Alprazolam 0.5 mg 108 0
- IV Catheter no 26 11700 0
- Gynosurge S (6.5) 40733 0
- Gynosurge M (7.5) 40733 0
- Gynosurge S (8.5) 40733 0
80,000.00 Masker oksigen Pediatric 8000 10
- Tetagam 188663 0
- Metronidazol suspensi 125 m 3950 0
- Hidrogen piroksidA 3528 0
- sarung tangan steril 8.0 3465 0
- Hemoglobin Strip 50 tes miss 412000 0
1,600,000.00 Hemoglobin Strip 50 tes miss 400000 4
- Fluoksetin 20 mg 225 0
- Kasa Hidrofil 3y x 10 cm 1491 0
- Masker oksigen Dewasa 1491 0
- spinal Needle 25 G x 90 mm w 30398 0
589,290.00 spinal Needle 27 G x 90 mm w 19643 30
- Parasetamol drop 60 mg/ 0.6 7646 0
299,375.00 Rapid HIV@ 25 11975 25
- Rapid HIV@ 30 26060 0
617,410.00 Trepocek/Rapid tes spilis 10645 58
- MB Dewasa 41784 0
- Diagnostar HIV 15026 0
- KHB diagnostic HIV 12500 0
- Verorab 150000 0
2,650,000.00 Hepatitis B imune globulin 1325000 2
- Fyrom international O2 porta 6363906 0
- Mineral mix 2920 0
- BISTURI BLADE No 15 JKN 126500 0
126,500.00 BISTURI BLADE No 20 JKN 126500 1
24,950.00 Sendok Obat( dana jkn ) 499 50
- Sendok Obat( dana jkn ) 495 0
132,000.00 Pipet Obat( dana jkn ) 6600 20
1,294,700.00 Pot Sputum 2354 550
250,333.00 REAGEN ZN 250333 1
110,485.00 KACA SLIDE 22097 5
281,600.00 TOPI OPERASI REMIDI 1408 200
272,800.00 GEA NON REBREATING MASK 17050 16
28,000.00 GEA NEBULIZER MASK WITH 14000 2
98,000.00 GEA NEBULIZER MASK WITH 14000 7
- ONEMED MEDICREPE 3 " JKN 20535 0
496,980.00 LACTULOSA SYRUP 15060 33
- CHLORAMPHENICOL TETES M 8480 0
- CHLORAMPHENICOL TETES TE 9223 0
- NYSTATIN DROP 21529 0
- CLINDAMYCIN 150 MG 803 0
- SERUM ANTI BISA ULAR ABU I 512204 0
- OBAT BATUK HITAM 3500 0
- HIOSINA BUTILBROMIDA(SCO 1110 0
- FOLLEY CATHETER 2 WAY NO 14520 0
44,760.00 STOMACH TUBE 12 FR 125cm 8952 5
- MULTIVITAMIN 585 0
- ASAM ASKORBAT 500 mg 198 0
- SALBULIN 33294 0
269,100.00 BISTURI NO 12 2990 90
294,800.00 BISTURI NO 11 2948 100
- FARBIVENT 2,5 ML 3916 0
1,320,000.00 ONEMED ALKOHOL 70% 1 Lt j 33000 40
- ONEMED ALKOHOL SWAB 13799 0
395,076.00 ONEMED POVIDONE IODINE 5412 73
99,000.00 OCTADIN 0,1% SPRAY 33000 3
- LARVASIDA DBD (ABATE 1Gr) 73500 0
1,281,500.00 ADS 0,5ML 1165 1100
52,080.00 ADS 0,5ML 1240 42
3,931,915.00 ADS 0,3 ML 1255 3133
63,159.00 ADS 3 ML 569 111
- ALKOHOL SWAB PROPINSI 110 0
488,773.00 ALKOHOL SWAB Vaksin 79 6187
1,316,000.00 SAFETY BOX 5L COVID19 14000 94
- PELARUT PFIZER 3280 0
- VAKSIN PFIZER 6 DS 0 0
- VAKSIN MODERNA 14 DOSIS 0 0
- VAKSIN SINOVAC 2 DOSIS 0 0
- VAKSIN SINOPHARM 2 DOSIS 0 0
- Favipiravir 14850 0
- SWAB TEST ANTIGEN P2P 0 0
- ASTRAZENECA 10 DS 581607 0
- FACESHIELD PLASTIK 14700 0
- SARUNG TANGAN (KBKR) 6900 0
- MASKER MEDIS JSP (KBKR) 30500 0
- HAZMAT (KBKR) 136000 0
- AMOXICILIN DROP 100ml 10834 0
- Favipiravir 4333 0
- Multivitamin (Prov) 549 0
- MASKER N95 0 20
110,040.00 BD Needle no 24 JKN 786 140
78,600.00 BD Needle no 23 JKN 786 100
401,700.00 MINI PIL 4017 100
5,174,550.00 SUSUK KB II TIGA BULANAN 172485 30
- NATRIUM DIKLOFENAK 205 0
17,820.00 LIDOCAIN INJEKSI 891 20
- IODINE POVIDONE KB 60 ML 8045 0
- DERMAFIX 4212 0
61,767.00 DUK PELUBANG IMPLAN 6863 9
- MASKER KB 1108 0
- SARUNG TANGAN KB 4645 0
55,970.00 SARUNG TANGAN KB 5597 10
53,320.00 SARUNG TANGAN KB 5332 10
8,180.00 ADS IMPLAN 818 10
40,000.00 FORM. K/I/KB 400 100
- FORM. K/IV/KB 750 0
292,000.00 ADS 0,05ML 1460 200
1,544,000.00 SUNTIK KB 1CC 3 BULAN 4825 320
237,500.00 SUNTIK KB GESTIN 11875 20
345,900.00 PIL KOMBINASI 1153 300
13,750.00 IUD COPPER T 13750 1
123,910.00 KONDOM 123910 1
261,760.00 AUTO DISPOSIBLE SUNTIK 818 320
- ASAM MEFENAMAT KB 1170 0
12,316.00 IODINE POVIDONE KB 30 ML 3079 4
31,857.00 IODINE POVIDONE KB 30 ML 4551 7
38,500.00 DERMAFIX 3850 10
75,070.00 PB DEWASA 15014 5
266,500.00 DUK PELUBANG IMPLAN 6500 41
28,800.00 MASKER KB 960 30
8,880.00 ADS IMPLAN 888 10
- FORM INFORMED CONSENT 1000 0
- TETRAKAIN TETES MATA 0,5% 13991 0
- INDEC HIV 1/2 & SYPHILIS C 19381 0
- SURGICAL FACE MASK (MALAR 379 0
- DISPOSIBLE NITRILE EXM GLO 216 0
875,065.00 GIEMSA 875065 1
1,269,000.00 ALTOSID 1,3 G(DINKES) 1269000 1
- VIROTEC DENGUE COMBO 45523 0
- RDT VIROTEC DENGUE COMB 45360 0
544,000.00 IODIUM TEST 34000 16
339,500.00 CHRONALIFE BANDAGE CREPE 48500 7
427,500.00 ADS 5 ML 1500 285
3,813,140.00 VAKSIN PCV 190657 20
572,000.00 ASEPTAN 500ML PROPINSI 52000 11
1,480,000.00 FACE SHILD PROPINSI 185000 8
- MASKER 3 PLY PROPINSI 2290 0
82,100.00 SURGICAL MASK EARLOP 3 PL 16420 5
- ALLOPURINOL 100 MG PIM 222 0
- ANTASIDA DOEN TAB ERELA 162.06 0
- CIPROFLOXACIN 500MG PRO 788.1 0
37,786.06 CTM STRIP 24 KTK 994.37 38
237,984.00 BETAHISTIN6 MG 30'S 991.6 240
- ERLAMICETIN SALEP MATA 10545 0
- LORATADINE 10 MG NOVA 290.82 0
- RECO TETES MATA 9435 0
- GLIBENCLAMIDE 5 MG FM 176.823 0
- METFORMIN 500 MG SHJ 233.1 0
423,465.00 METFORMIN 850 MG DEXA 604.95 700
88,800.00 NIFEDIPINE 10 MG DEXA 222 400
532,800.00 PHYTOMENADION 10 MG KF 1332 400
34,782.12 ACICLOVIR CREAM KF 3864.68 9
103,785.00 NEEDLE 25 TERUMO 1221 85
58,125.00 ONEMED USG GEL 250ML 19375 3
123,210.00 KERTAS PUYER KECIL 100'S 41070 3
- MASKER KB PENGADAAN 60000 0
144,000.00 SARUNG TANGAN KB PENGA 7200 20
3,359,970.00 OAT KDT DOSIS HARIAN 559995 6
1,228,392.00 PLESTER ROL 10cm x 5cm 45496 27
8,164,800.00 RDT VIROTEC DENGUE COMB 45360 180
295,680.00 ONEMED VACUM BLOOD COLL 98560 3
- ONEMED VACUM BLOOD COLL 159034
- VAKSIN HPV 178750 0
- SAFETY BOX 0 25
1,472,268.00 LAB KIT MALARIA 1472268 1
1,118,880.00 SILK/SUTERA 2-0(76CMX25M 46620 24
290,000.00 KASSA ROLL KB 145000 2
520,000.00 KASSA STERIL KOTAK KB 8000 65
220,000.00 TEST PACK KB 110000 2
499,500.00 VAKSIN ROTAVAC 249750 2
2,702,184.00 ACETHYLCYSTEIN 794.76 3400
1,903,650.00 ANTASIDA DOEN SYRUP 5439 350
743,700.00 CETIRIZINE 10 MG 111 6700
822,510.00 ASAM MEFENAMAT JKN 216.45 3800
157,950.00 VACUM BLOOD COLLECTION T 157950 1
786,324.00 ONEMED PLESTERIN BULAT 20 39316.2 20
699,300.00 GEA IV CATHETER 26'S 4995 140
264,235.50 ONEMED FEEDING TUBE 5FR 8807.85 30
836,000.00 SARUNG TANGAN OBGYN 20900 40
1,624,950.00 RDT CHIKUNGUNYA 64998 25
784,800.00 BAHAN PEMERIKSAAN MALAR 784800 1
42,000.00 AZITROMISIN 500MG 1400 30
- ENDO EGG ROLL 50X30 M VAR 29900 0
149,000.00 ENDO EGG ROLL 80X30 M VAR 149000 1
5,800,000.00 SET KEBUGARAN KIT 5800000 1
- CODE FREE BLOOD GLUKOSA T 3567
167,097,909.68 TOURNIQUET ONEMED 17800
BEAKER GLASS IWAKI 1OOML 63200
MORTIR STAMPER 13 CM RRC 72000
UKURAN LKRN ATAS BUMIL (PI 6600
PULSE OXIMETER FOX-2 923500
PULSE OXIMETER BABY 3387500
STETHOSCOPE FOR CHOLDRE 576300
ONETECH Diluent Hematology A1230769
ONETECH Detergent Hematology
1230769
ONETECH Lyse Hematology An 1846154
januari februari maret
Rp 19,699,090 Rp 63,783,586 Rp 470,800
Rp 3,813,140 Rp 19,890,000 Rp 408,500
Rp 10,312,440 Rp 33,742,500 Rp 23,759,324
Rp 21,732,700 Rp 11,999,640
Rp 33,824,670 Rp 139,148,786 Rp 36,638,264

april mei juni
Rp 49,322,999 Rp 235,400 Rp 11,616,000
Rp 14,861,170 Rp 14,670,770 Rp 13,673,625
Rp 23,832,799 Rp 33,857,812
Rp 620,000
Rp 7,034,655
Rp 64,184,169 Rp 46,393,624 Rp 59,147,437

DAFTAR RINCIAN PENERIMAAN OBAT DAB BMHP DARI DINKES
juli agust sept
Rp 8,312,444 Rp 32,147,310 Rp 17,132,290
Rp 13,867,550 Rp 37,110,045 Rp 1,072,500
Rp 30,976,000 Rp 68,036,044
Rp 29,359,800
Rp 22,179,994 Rp 129,593,155 Rp 86,240,834

RI DINKES
okt nov des
Rp 4,023,834 Rp 64,857,083 Rp 7,744,000
Rp 8,882,512 Rp 16,238,340 Rp 10,535,120
Rp 39,499,729 Rp 46,398,636
Rp 23,302,560 Rp 6,319,200
Rp 75,708,635 Rp 81,095,423 Rp 70,996,956

Rp 798,758,323
Lampiran. 1
UPT. PUSKESMAS BARONG TONGKOK
DESEMBER 2023
NOMINAL NILAI
DATA OBAT
OBAT (Rp)
No.
No. Nama Obat Harga Sisa Stok Per
30 November
November 2023
2023
1 2 3 4 5 10 = 4 x 5
1 617361 Cavit G() 162,800 0 -
### E9E081 519 1,300 674,700 1300 674,700
### A1306HT 425 2,150 913,750 2050 871,250
ALBENDAZOLE TABLET 400 MG(DUS, 5 STRIP @ 6 TABLET
### 2E+06 (INPRES)) 463 700 324,100 700 324,100
ALLOPURINOL TABLET 100 MG(DUS, 10 STRIP @ 10
### 2E+08 TABLET) 242 100 24,200 0 -
### TABLET) 99 3,000 297,000 2900 287,100
### 18C025 TABLET) 378 1,000 378,000 1000 378,000
TABLET) PROPINSI 536 100 53,600 100 53,600
AMINOPHYLLINE CAIRAN INJEKSI 24 MG/ML(30 AMPUL
### CD2122J @ 10 ML) 2,736 5 13,680 15 41,040
### T044826 97 300 29,100 300 29,100
AMITRIPTYLINE TABLET SALUT SELAPUT 25 MG(DUS, 10
### T255001 STRIP @ 10 TABLET SALUT SELAPUT) 158 100 15,800 100 15,800
### A1412FT 95 3,000 285,000 2800 266,000
### 18C032 74 3,200 236,800 3100 229,400
AMOXICILLIN CAPTABS 500 MG(DUS, 10 STRIP @ 10
### KAPLET) 490 5,800 2,842,000 5100 2,499,000
AMOXICILLIN SIRUP KERING 250MG/5 ML(BOTOL @ 60
### 1606-46 ML) 2,560 43 110,080 43 110,080
### 6E+06 3,637 42 152,754 42 152,754
ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2
### A4F186 GRAM(STRIP a 10 SUPPOSITORIA) 3,642 40 145,680 40 145,680
AQUA PRO INJECTION CAIRAN INJEKSI (DUS, 10 VIAL @
### 2E+08 20 ML) 2,860 52 148,720 52 148,720
ASAM ASKORBAT Tablet 250 Mg(ASAM ASKORBAT (VIT
### 2E+07 C) 250 MG) 144 4,000 576,000 3500 504,000
ASAM ASKORBAT Tablet 50 Mg(ASAM ASKORBAT (VIT C)
### LA16051 50 MG) 120 4,900 588,000 4100 492,000
ASAM FOLAT TABLET 1 MG(DUS, BOTOL COKLAT @ 100
### TABLET) 81 2,800 226,800 2800 226,800
ATROPINE CAIRAN INJEKSI 0.25 MG/ML(DUS, 100 AMPUL
### FG1526 @ 1 ML) 1,815 5 9,075 5 9,075
### 1,071 35 37,485 20 21,420
### 3,350 80 268,000 70 234,500
BIVALENT ORAL POLIOMYELITIS VACCINE TYPES 1& 3
### D50389TDROPS (DUS, 50 VIAL @ 2 ML (20 DOSIS)) 19,954 1 19,954 1 19,954
BLOOD LANCET()
### E10011 153 200 30,600 200 30,600
BLOOD LANCET()
144 - 500 72,000
### 2E+06 3,794 54 204,876 44 166,936
### 2E+06 20,700 20 414,000 20 414,000
### TABLET) 59 3,700 218,300 5900 348,100
### 65 900 58,500 700 45,500
### 731464 80 6,200 496,000 6200 496,000
### 62,715 72 4,515,480 72 4,515,480
### 2E+06 23,400 17 397,800 17 397,800
### 9E+07 67,488 36 2,429,568 36 2,429,568
### 2E+06 58,053 22 1,277,166 22 1,277,166
### 1E+06 24,584 49 1,204,616 49 1,204,616
### 130988 2,993 75 224,475 0 -
### 7,848 32 251,136 32 251,136
### TABLET) 51 1,000 51,000 700 35,700
CHLORPROMAZINE TABLET SALUT SELAPUT 100
### 18F022 MG(DUS, 10 BLISTER @ 10 TABLET SALUT SELAPUT) 583 70 40,810 70 40,810
CIPROFLOXACIN TABLET SALUT SELAPUT 500 MG(DUS,
### 066124 10 BLISTER @ 10 TABLET SALUT SELAPUT) 435 - - 2500 1,087,500
CLINDAMYCIN CAPSUL 300 MG(DUS, 5 BLISTER @ 10
### H111384KAPSUL) 594 50 29,700 50 29,700
### 160298 TABLET) 1,550 280 434,000 280 434,000
TABLET) 473 300 141,900 300 141,900
### 9E+07 657 80 52,560 70 45,990
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(DUS, 10
### 47A0444BLISTER @ 10 TABLET) 240 300 72,000 100 24,000
COTRIMOKSAZOLE TABLET 400 MG + 80 MG(DUS, 10
### BLISTER @ 10 TABLET) 131 600 78,600 600 78,600
COTRIMOXAZOLE FORTE CAPTABS 800 MG + 160 MG(10
### L151607 STRIP @ 10 CAPTABS) 299 1,700 508,300 1700 508,300
COTRIMOXAZOLE SUSPENSI (200MG + 40MG)/5 ML(DUS,
### BOTOL @ 60 ML) 2,052 239 490,428 199 408,348
### 14,689 70 1,028,230 60 881,340
DEXAMETHASONE CAIRAN INJEKSI 5 MG/ML(DUS, 100
### 6E+06 AMPUL @ 1 ML) 1,210 29 35,090 29 35,090
DHP FRIMAL (DIHYDROARTEMISININ PIPERAQUINE)
TABLET (KOTAK 9 TABLET) 1,900 45 85,500 45 85,500
DIAZEPAM CAIRAN INJEKSI 5 MG/ML(DUS, 30 AMPUL @
### TPF5014 2 ML) 1,913 10 19,130 10 19,130
### 552158 108 400 43,200 330 35,640
### 2E+06 136 100 13,600 100 13,600
### TABLET) 121 2,500 302,500 2000 242,000
DIPHENHYDRAMINE CAIRAN INJEKSI 10 MG/ML(DUS, 30
AMPUL @ 1 ML) 1,332 60 79,920 60 79,920
### 2E+06 7,623 35 266,805 120 914,760
DOMPERIDON TABLET 10 MG(DUS, 10 STRIP @ 10
### TABLET) 90 1,700 153,000 1600 144,000
### F140695 SUPPOSITORIA DEWASA) 5,900 30 177,000 25 147,500
### 2E+09 SUPPOSITORIA) 6,000 24 144,000 24 144,000
EPINEPRINE CAIRAN INJEKSI 1 MG/ML(DUS, 100 AMP @
### 8534202 1 ML) 10,500 - - 10 105,000
ERYTHROMYCIN SIRUP KERING 200 MG/5 ML(BOTOL 60
### SCD1144ML) 12,830 30 384,900 20 256,600
### 97KA007 3,950 40 158,000 40 158,000
### 150909 43,710 5 218,550 5 218,550
### 045098 34,561 5 172,805 5 172,805
### 2E+09 11,189 5 55,945 5 55,945
### 50205 43,710 5 218,550 5 218,550
43,710 5 218,550 5 218,550
43,710 5 218,550 5 218,550
### 1E+06 43,710 5 218,550 5 218,550
GLIBENCLAMIDE CAPTABS 5 MG(DUS, 10 BLISTER @ 10
### 5E+06 KAPTAB) 137 4,500 616,500 4100 561,700
### 3E+06 120 500 60,000 500 60,000
### 3E+06 220 800 176,000 800 176,000
### ME024 7,500 20 150,000 20 150,000
### 2E+06 6,900 15 103,500 15 103,500
### 2E+06 TABLET) 223 1,000 223,000 1000 223,000
TABLET) 306 500 153,000 500 153,000
HALOPERIDOL TABLET 5 MG(DUS, 10 BLISTER @ 10
### TABLET) 96 350 33,600 0 -
### 260703 2,533 104 263,432 94 238,102
HYDROCHLORTHIAZIDE TABLET 25 MG(BOTOL @ 100
TABLET) 170 400 68,000 400 68,000
IBUPROFEN SUSPENSI 100 MG/5 ML(DUS, BOTOL @ 60
### 1E+06 ML) 2,678 130 348,140 80 214,240
IBUPROFEN TABLET 200 MG(BOTOL PLASTIK @ 100
### 2E+06 TABLET) 112 4,300 481,600 4100 459,200
IBUPROFEN TABLET 400 MG(DUS,10 BLISTER @ 10
### 2E+06 TABLET) 215 4,600 989,000 4600 989,000
### 1E+06 39,468 5 197,340 5 197,340
### HL948 58,950 1 58,950 1 58,950
### 1607-21 85 100 8,500 100 8,500
ISOSORBIDE DINITRATE TABLET SUBLINGUAL 5 MG(DUS,
### Z059546 10 STRIP @ 10 TABLET SUBLINGUAL) 89 300 26,700 300 26,700
### 810201 14,625 80 1,170,000 80 1,170,000
### 5,348 40 213,920 20 106,960
6,423 50 321,150 50 321,150
6,423 130 834,990 110 706,530
### 6,423 15 96,345 15 96,345
### 1E+06 27,280 2 54,560 2 54,560
### 14039-0 440 200 88,000 200 88,000
### 14065-0 HIDROPHILE 40yardx80cm MEDIKASA) 115,500 7 808,500 5 577,500
### 14217-0 HIDROPHILE 16X16 cm MEDIKASA) 407 - - 480 195,360
### KULIT12 1,155 30 34,650 30 34,650
### 9036 2,415 70 169,050 60 144,900
KETOCONAZOLE TABLET 200 MG(DUS, 5 STRIP @ 10
### TABLET) 495 1,700 841,500 1700 841,500
KLORAMFENICOL Capsul Mg(KLORAMFENICOL KAPSUL
### 082088L 250 Mg) 329 2,200 723,800 1500 493,500
### 4,982 80 398,560 70 348,740
### 052017 2,461 50 123,050 50 123,050
### N0212 1,341 100 134,100 100 134,100
### 1,315 25 32,875 15 19,725
### 5E+07 85 900 76,500 700 59,500
### 5E+07 127 3,600 457,200 3000 381,000
4,120 6 24,720 6 24,720
### 5E+07 420 1,850 777,000 2100 882,000
### XY032 613 1,100 674,300 900 551,700
### PIF0524 613 2,000 1,226,000 2000 1,226,000
### 613 700 429,100 700 429,100
METFORMIN CAPTABS 850 MG(DUS, 10 BLISTER @ 10
### 1E+09 KAPLET) 167 1,000 167,000 1000 167,000
METFORMIN TABLET 500 MG(DUS, 10 BLISTER @ 10
### TABLET) 195 5,000 975,000 4400 858,000
### 77F46A 3,278 10 32,780 10 32,780
### TABLET) 83 3,300 273,900 3300 273,900
METRONIDAZOL TABLET 500 MG(DUS, 10 STRIP @ 10
### 1E+06 TABLET) 140 1,700 238,000 1600 224,000
### 1E+06 3,926 67 263,042 57 223,782
MINIASPI TABLET SALUT ENTERIK 80 MG(DUS, 10 STRIP
### 1E+06 @ 10 TABLET SALUT ENTERIK) 90 100 9,000 100 9,000
### 1E+06 224,400 4 897,600 4 897,600
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25
### TPJ7004 MG(DUS, 5 STRIP @ 10 TABLET SALUT ENTERIK) 142 50 7,100 0 -
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25
MG(DUS, 5 STRIP @ 10 TABLET SALUT ENTERIK) 156 3,000 468,000 2750 429,000
PROPINSI
### STRIP a 10 TABLET) 136 2,800 380,800 2800 380,800
NATRIUM KLORIDA INFUS 0,9 %(DUS, BOTOL PLASTIK PE
### H100466@ 500 ML) 6,840 73 499,320 53 362,520
NATRIUM PHENYTOIN CAIRAN INJEKSI 50 MG/ML(DUS,
### 15D036510 AMPUL @ 2 ML) 4,121 10 41,210 10 41,210
NEW ANTIDES TABLET 600 MG(10 CATCH COVER a 10
### 1141044 TABLET) 317 1,800 570,600 1800 570,600
NIFEDIPINE TABLET SALUT SELAPUT 10 MG(DUS, 10
### K131459STRIP @ 10 TABLET SALUT SELAPUT) 164 2,000 328,000 2000 328,000
NYSTATIN TABLET VAGINAL 100.000 IU(10 STRIP a 10
### E101765 TABLET) 894 400 357,600 400 357,600
OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP @ 10
### KAPSUL) 138 6,100 841,800 5400 745,200
OMEPRAZOLE SERBUK INJEKSI 40 MG(DUS, 1 VIAL @ 40
### AE91261MG + 1 AMPUL @ 10 ML) 11,868 40 474,720 40 474,720
### UR56070 117,195 1 117,195 1 117,195
### 1,240 752 932,480 752 932,480
### URS5100 647 200 129,400 0 -
### 1E+08 933 90 83,970 90 83,970
### 140909 1,194 450 537,300 340 405,960
ORAL POLIOMYELITIS VACCINE LARUTAN / CAIRAN (VIAL
### UAS16601 ML) 153,736 2 307,472 11 1,691,096
### 273 500 136,500 380 103,740
### 8,742 145 1,267,590 50 437,100
OXYTOCIN S CAIRAN INJEKSI 10 iu/ml(DUS, 100 AMPUL
@ 1 ML) 1,248 46 57,408 46 57,408
PADUAN OAT KATEGORI 1 KOMBINASI BEBERAPA
### FG1517 BENTUK SEDIAAN DLM SATU KEMASAN (60 BLS THP 447,747 6 2,686,482 6 2,686,482
INTENSIF
PADUAN OAT+ 54 KATEGORI
BLS THP LANJUTAN)
ANAK KOMBINASI BEBERAPA
BENTUK SEDIAAN DLM SATU KEMASAN (60 BLS THP 267,397 1 267,397 2 534,794
INTENSIF @ 5 TAB
PARACETAMOL + 120500
TABLET BLSMG(DUS,10
THP LANJUTA)
STRIP @ 10
TABLET) 160 9,300 1,488,000 7500 1,200,000
### 1,160 75 87,000 50 58,000
PENTABIO VAKSIN DTP-HB-HIB INJEKSI 2,5 Ml(Pentabio
### SPET20 Injeksi 2,5 ml Vial) 78,991 17 1,342,847 0 -
PHENOBARBITAL CAIRAN INJEKSI 50 MG/ML(DUS, 30
### SPET50 AMPUL @ 1 ML) 1,700 5 8,500 5 8,500
### IPQ001A 197 420 82,740 420 82,740
### 9E+07 2,500 57 142,500 57 142,500
PHYTOMENADIONE TABLET SALUT SELAPUT 10
### 2E+06 MG(BOTOL PLASTIK @ 100 TABLET SALUT SELAPUT) 799 1,000 799,000 1000 799,000
### 2E+06 74 1,300 96,200 500 37,000
### 73 3,000 219,000 3000 219,000
PROPRANOLOL TABLET 10 MG(DUS, 10 STRIP @ 10
### 4P10411 TABLET) 59 400 23,600 400 23,600
### 11,050 35 386,750 35 386,750
### 332 600 199,200 600 199,200
RANITIDINE TABLET SALUT SELAPUT 150 MG(DUS, 10
### 20A16 STRIP @ 10 TABLET SALUT SELAPUT) 110 3,100 341,000 2300 253,000
RISPERIDONE TABLET SALUT SELAPUT 2 MG(DUS, 5 STRIP
@ 10 TABLET SALUT SELAPUT) 123 385 47,355 385 47,355
### 1E+08 76 900 68,400 800 60,800
### 056134 3,017 38 114,646 33 99,561
### 4,935 150 740,250 100 493,500
### 4,935 135 666,225 135 666,225
### 6,594 230 1,516,620 230 1,516,620
SIMVASTATIN CAPTABS SALUT SELAPUT 10 MG(DUS,3
### STRIP @ 10 CAPTABS) 110 1,980 217,800 1980 217,800
### 225 3,100 697,500 3100 697,500
### 1E+06 TABLET) 212 400 84,800 400 84,800
### G160923 3,940 91 358,540 71 279,740
STESOLID ENEMA 5 MG/2,5 ML(DUS, 5 ALUBAG @ TUBE
### 2030123 @ 2,5 ML) 14,459 2 28,918 2 28,918
### F103065 71,299 1 71,299 1 71,299
### 3E+08 71,299 1 71,299 1 71,299
### 1E+06 69,993 1 69,993 1 69,993
### 130415D 69,993 1 69,993 1 69,993
TABLET TAMBAH DARAH TABLET SALUT SELAPUT (DUS,
### 5E+06 100 SACHET @30 TABLET SALUT SELAPUT) 409 9,400 3,844,600 8000 3,272,000
### 6D0336 2,437 130 316,810 130 316,810
### TABLET) 95 440 41,800 380 36,100
URINE BAG
### 31073 4,795 18 86,310 18 86,310
VAKSIN BCG INJEKSI 4 Ml(VAKSIN BCG KERING &
### PELARUT) 59,950 10 599,500 6 359,700
VAKSIN HEPATITIS B REKOMBINAN CAIRAN INJEKSI 20
### R236817MCG/ML(DUS, 100 SACHET @ 1 PREFILLEDSYRINGE 20,900 7 146,300 3 62,700
(UNIJECT) @ 0)DT (ABSORBED DT VACCINE) CAIRAN
VAKSIN JERAP
### PK9990 INJEKSI (40 + 15) Lf/ML(DUS, 10 VIAL @ 5 ML (10 DOSIS)) 17,996 7 125,972 5 89,980
VAKSIN JERAP Td (ADSORBED Td VACCINE) CAIRAN
### 9E+07 INJEKSI (4 + 15) Lf/ML(DUS, 10 VIAL @ 5 ML (10 DOSIS)) 16,995 11 186,945 1 16,995
VITAMIN A CAPSUL LUNAK 100.000 IU(BOTOL PLASTIK @
### 50 KAPSUL) 352 300 105,600 300 105,600
VITAMIN B COMPLEX TABLET (DUS, 10 STRIP @ 10
### 403604 TABLET) 135 3,400 459,000 2600 351,000
### 406606 80 - - 2000 160,000
### 141 2,700 380,700 2400 338,400
7,150 60 429,000 80 572,000
### 2E+06 1,467 100 146,700 100 146,700
ZINK TABLET DISPERSIBLE 20 MG(DUS, 10 STRIP @ 10
### 213 TABLET DISPERSIBEL) 604 1,500 906,000 1500 906,000
### 160577 3,285 25 82,125 25 82,125
Furosemid tab 40 mg
### 1E+06 79 500 39,500 500 39,500
### 3,355 10 33,550 10 33,550
### 1E+06 Iliadin drops(Oksimetazolin tts hidung 0,025 %) 40,326 5 201,630 5 201,630
Primaquin 15mg
### 258 100 25,800 100 25,800
### 6,071 5 30,355 5 30,355
Selang o2 anak
### 5,040 31 156,240 29 146,160
### FASTCLEAR Q HBSAG TEST 5,880 75 441,000 75 441,000
### Cat Gut Chromic 3-0 (75cmx22mm) 67,488 48 3,239,424 48 3,239,424
### ALKOHOL 95% 9,279 10 92,790 10 92,790
Phytomenadion inj 2 mg/ml 1,452 60 87,120 60 87,120
### Magnesium Sulfat 40% 3,796 6 22,776 6 22,776
Magnesium Sulfat 40% PROPINSI 4,700 1 4,700 1 4,700
### Amoxcillin dry sirup 125 mg/ 5 ml 1,920 130 249,600 130 249,600
### Strip Asam urat Autochek 3,881 650 2,522,650 850 3,298,850
### Strip Cholesterol Autochek 15,164 300 4,549,200 200 3,032,800
### Remidi alkohol swab 128 500 64,000 500 64,000
### Serenity Nasal 02 Canulla Infant 5,040 24 120,960 24 120,960
### Serenity Mucus Ext Wkt 35 FR 10-25 ml 7,245 9 65,205 9 65,205
### Serenity silk 3/0 4,157 34 141,338 34 141,338
### Serenity Silk 2/0 4,157 21 87,297 21 87,297
### Cholestrol FS 617,202 1 617,202 0 -
### Glucosa GOD Fs 384,102 1 384,102 0 -
### Uric Acid Fs TBHBA 694,900 1 694,900 0 -
### Serenity Nasal 02 Canulla Adult ( Dewasa) 5,040 27 136,080 25 126,000
### Sianokobalamin ( vit B12) 44 900 39,600 900 39,600
Sianokobalamin ( vit B12) 49 1,500 73,500 1,500 73,500
### RDT COMBO MALARIA (FIRST REONSE) 15,800 25 395,000 25 395,000
### Bisakodil 5 mg 316 180 56,880 180 56,880
### Vitamin A Kapsul 200.000 IU 462 600 277,200 600 277,200
### Vaksin MR 10 Ds 155,813 3 467,439 9 1,402,317
### Onmed water one 1 L 16,306 4 65,224 4 65,224
### Umbilical Cord Cleam 1,417 50 70,850 50 70,850
### Oksitetrasiklin 1 % Salep mata 6,231 50 311,550 50 311,550
### Masker oksigen dewasa 10,150 41 416,150 39 395,850
### Masker oksigen anak 10,150 15 152,250 13 131,950
### Hidrogen Piroksida 33,034 5 165,170 5 165,170
### Calcium glukonat 6,255 8 50,040 8 50,040
### Masker oksigen Pediatric 8,000 10 80,000 10 80,000
### Hemoglobin Strip 50 tes mission 400,000 4 1,600,000 4 1,600,000
### spinal Needle 27 G x 90 mm with guide needle 19,643 30 589,290 30 589,290
### Rapid HIV@ 25 11,975 25 299,375 25 299,375
### Trepocek/Rapid tes spilis 10,645 58 617,410 58 617,410
### Hepatitis B imune globulin 1,325,000 2 2,650,000 2 2,650,000
### BISTURI BLADE No 20 JKN 126,500 1 126,500 0 -
### Sendok Obat( dana jkn ) 499 50 24,950 50 24,950
### Pipet Obat( dana jkn ) 6,600 20 132,000 20 132,000
### Pot Sputum 2,354 550 1,294,700 550 1,294,700
### REAGEN ZN 250,333 1 250,333 1 250,333
### KACA SLIDE 22,097 5 110,485 5 110,485
### TOPI OPERASI REMIDI 1,408 200 281,600 100 140,800
### GEA NON REBREATING MASK CHILD 17,050 16 272,800 16 272,800
### GEA NEBULIZER MASK WITH CHAMBER ADULT 14,000 2 28,000 2 28,000
### GEA NEBULIZER MASK WITH CHAMBER CHILD 14,000 7 98,000 7 98,000
### LACTULOSA SYRUP 15,060 33 496,980 33 496,980
### STOMACH TUBE 12 FR 125cm 8,952 5 44,760 5 44,760
### BISTURI NO 12 2,990 90 269,100 90 269,100
### BISTURI NO 11 2,948 100 294,800 100 294,800
### FARBIVENT 2,5 ML 3,916 - - 20 78,320
### ONEMED ALKOHOL 70% 1 Lt jkn 33,000 40 1,320,000 39 1,287,000
### ONEMED POVIDONE IODINE 60CC 5,412 73 395,076 73 395,076
### OCTADIN 0,1% SPRAY 33,000 3 99,000 3 99,000
### ADS 0,5ML 1,165 1,100 1,281,500 1100 1,281,500
### ADS 0,5ML 1,240 42 52,080 42 52,080
### ADS 0,3 ML 1,255 3,133 3,931,915 3133 3,931,915
### ADS 3 ML 569 111 63,159 111 63,159
### ALKOHOL SWAB Vaksin 79 6,187 488,773 6187 488,773
### SAFETY BOX 5L COVID19 14,000 94 1,316,000 94 1,316,000
### MASKER N95 - 20 - 20 -
### BD Needle no 24 JKN 786 140 110,040 120 94,320
### BD Needle no 23 JKN 786 100 78,600 100 78,600
### MINI PIL 4,017 100 401,700 100 401,700
### SUSUK KB II TIGA BULANAN 172,485 30 5,174,550 0 -
### LIDOCAIN INJEKSI 891 20 17,820 0 -
### DUK PELUBANG IMPLAN 6,863 9 61,767 0 -
### SARUNG TANGAN KB 5,597 10 55,970 0 -
SARUNG TANGAN KB 5,332 10 53,320 0 -
### ADS IMPLAN 818 10 8,180 0 -
### FORM. K/I/KB 400 100 40,000 0 -
### ADS 0,05ML 1,460 200 292,000 200 292,000
SUNTIK KB 1CC 3 BULAN 4,825 320 1,544,000 300 1,447,500
SUNTIK KB GESTIN 11,875 20 237,500 20 237,500
### PIL KOMBINASI 1,153 300 345,900 300 345,900
### IUD COPPER T 13,750 1 13,750 1 13,750
### KONDOM 123,910 1 123,910 1 123,910
### AUTO DISPOSIBLE SUNTIK 818 320 261,760 320 261,760
### IODINE POVIDONE KB 30 ML 3,079 4 12,316 0 -
### IODINE POVIDONE KB 30 ML 4,551 7 31,857 7 31,857
### DERMAFIX 3,850 10 38,500 0 -
### PB DEWASA 15,014 5 75,070 5 75,070
### DUK PELUBANG IMPLAN 6,500 41 266,500 20 130,000
### MASKER KB 960 30 28,800 30 28,800
### ADS IMPLAN 888 10 8,880 0 -
### GIEMSA 875,065 1 875,065 1 875,065
### ALTOSID 1,3 G(DINKES) 1,269,000 1 1,269,000 1 1,269,000
### IODIUM TEST 34,000 16 544,000 16 544,000
### CHRONALIFE BANDAGE CREPE 3" 48,500.00 7 339,500 7 339,500
### ADS 5 ML 1,500.00 285 427,500 285 427,500
### VAKSIN PCV 190,657.00 12 2,287,884 4 762,628
### ASEPTAN 500ML PROPINSI 52,000.00 11 572,000 11 572,000
### FACE SHILD PROPINSI 185,000.00 8 1,480,000 8 1,480,000
### SURGICAL MASK EARLOP 3 PLAY 16,420.00 5 82,100 5 82,100
### CTM STRIP 24 KTK 994.37 38 37,786 18 17,899
### BETAHISTIN6 MG 30'S 991.60 240 237,984 240 237,984
### METFORMIN 850 MG DEXA 604.95 700 423,465 700 423,465
### NIFEDIPINE 10 MG DEXA 222.00 400 88,800 400 88,800
### PHYTOMENADION 10 MG KF 1,332.00 400 532,800 397 528,804
### ACICLOVIR CREAM KF 3,864.68 9 34,782 9 34,782
### NEEDLE 25 TERUMO 1,221.00 85 103,785 85 103,785
### ONEMED USG GEL 250ML 19,375.00 3 58,125 2 38,750
### KERTAS PUYER KECIL 100'S 41,070.00 3 123,210 3 123,210
### SARUNG TANGAN KB PENGADAAN 7,200.00 20 144,000 20 144,000
### OAT KDT DOSIS HARIAN 559,995.00 6 3,359,970 6 3,359,970
### PLESTER ROL 10cm x 5cm 45,496.00 27 1,228,392 27 1,228,392
### RDT VIROTEC DENGUE COMBO 45,360.00 180 8,164,800 120 5,443,200
### ONEMED VACUM BLOOD COLLECTION TUBE EDT 98,560.00 3 295,680 0 -
ONEMED VACUM BLOOD COLLECTION TUBE EDT 159,034.00 - 3 477,102
### SAFETY BOX - 25 - 25 -
### LAB KIT MALARIA 1,472,268.00 1 1,472,268 1 1,472,268
### SILK/SUTERA 2-0(76CMX25MM) 46,620.00 24 1,118,880 24 1,118,880
### KASSA ROLL KB 145,000.00 2 290,000 2 290,000
### KASSA STERIL KOTAK KB 8,000.00 65 520,000 45 360,000
### TEST PACK KB 110,000.00 2 220,000 2 220,000
### VAKSIN ROTAVAC 249,750.00 - - 0 -
### ACETHYLCYSTEIN 794.76 3,400 2,702,184 2600 2,066,376
### ANTASIDA DOEN SYRUP 5,439.00 350 1,903,650 300 1,631,700
### CETIRIZINE 10 MG 111.00 6,700 743,700 6000 666,000
### ASAM MEFENAMAT JKN 216.45 3,800 822,510 3400 735,930
### VACUM BLOOD COLLECTION TUBE PLAIN 3ml 157,950.00 1 157,950 1 157,950
### ONEMED PLESTERIN BULAT 200'S 39,316.20 20 786,324 18 707,692
### GEA IV CATHETER 26'S 4,995.00 140 699,300 140 699,300
### ONEMED FEEDING TUBE 5FR 40CM 8,807.85 30 264,236 30 264,236
### SARUNG TANGAN OBGYN 20,900.00 40 836,000 40 836,000
### RDT CHIKUNGUNYA 64,998.00 25 1,624,950 25 1,624,950
### BAHAN PEMERIKSAAN MALARIA 784,800.00 1 784,800 0 -
### AZITROMISIN 500MG 1,400.00 30 42,000 30 42,000
### ENDO EGG ROLL 80X30 M VAROIUS 3 CH 149,000.00 1 149,000 1 149,000
### SET KEBUGARAN KIT 5,800,000.00 1 5,800,000 0 -
### CODE FREE BLOOD GLUKOSA TEST STRIP 3,567.00 - 200 713,400
### TOURNIQUET ONEMED 17,800.00 - 10 178,000
### BEAKER GLASS IWAKI 1OOML 63,200.00 - 3 189,600
### MORTIR STAMPER 13 CM RRC 72,000.00 - 12 864,000
### UKURAN LKRN ATAS BUMIL (PITA LILA) 6,600.00 - 18 118,800
### PULSE OXIMETER FOX-2 923,500.00 - 2 1,847,000
### PULSE OXIMETER BABY 3,387,500.00 - 2 6,775,000
### STETHOSCOPE FOR CHOLDREN 576,300.00 - 1 576,300
- -
### - - -
JUMLAH 159,239,810.68 ### 147,588,130.88
149,352,649.64
9,887,161.04
NaCL Total
RL JKN
B12
Sendawar, 31 Mei 2023
Mengetahui,
Kepala UPT. Puskesmas Belusuh
dr. IIM IBRAHIM

NIP. 19690503 201001 1 006

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Lampiran.

DATA OBAT NOMINAL NILAI OBAT (Rp)

1 617361 Cavit G() 162,800 0 - - - - -

Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

Iliadin drops(Oksimetazolin tts hidung 0,025 %)

SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000

SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

Silk(benang bedah sutera) no.3/0 dengan jarum bedah

Sendawar, 30 Oktober 2021

dr. IIM IBRAHIM

Sisa Stok Per 31 Keterangan

TRI HARYANTI, S.Farm., Apt

No. Surat : 449.1-442.1/ /TU/2023

1 Cavit G() 162,800 -

Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120 mg

Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

Iliadin drops(Oksimetazolin tts hidung 0,025 %)

SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000

SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

Silk(benang bedah sutera) no.3/0 dengan jarum bedah

163 Cefadroxil 500 mg 557 -

MENGETAHUI YANG MENERIMA LAPORAN

No. Surat : 449.1-442.1/ /TU/2023

Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120 mg

Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

Iliadin drops(Oksimetazolin tts hidung 0,025 %)

SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000

SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

Silk(benang bedah sutera) no.3/0 dengan jarum bedah

161 Cefadroxil 500 mg 557 -

MENGETAHUI YANG MENERIMA LAPORAN

No. Surat : 449.1-442.1/ /TU/2023

1 617361 Cavit G() 162,800 -

Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120 mg

Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

Iliadin drops(Oksimetazolin tts hidung 0,025 %)

SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000

SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

Silk(benang bedah sutera) no.3/0 dengan jarum bedah

240 Cefadroxil 500 mg 557 -

MENGETAHUI YANG MENERIMA LAPORAN

No. Surat : 449.1-442.1/ /TU/2023

1 617361 Cavit G() 162,800 -

Coartem(Kombinasi : Artemether 20 mg + lumefantrin 120 mg

Ergokalsiferol(vitamin D2)kaps 50.000 UI(D-Fit FZ)

Ergokalsiferol(vitamin D2)susp 10.000 UI/mL(D-Vit Syrup)

Iliadin drops(Oksimetazolin tts hidung 0,025 %)

SPIRIVA 10s + hdhlr(tiotropium serb ih 18 mcg +hdihler) 162,000.00

SPIRIVA powder(tiotropium serb ih 18 mcg,refill)

Silk(benang bedah sutera) no.3/0 dengan jarum bedah

161 Cefadroxil 500 mg 557.00 -

188 Masker oksigen dewasa 10,150.00 10 10

MENGETAHUI YANG MENERIMA LAPORAN

No. Surat : 449.1-442.1/ /TU/2023