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REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020

UPT. PUSKESMAS WARU


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PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - 100 - 100 412 41,200
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 - 236 - 70
3 Allopurinol 100 mg Tab. ktk 100 100 200 10 290 99 28,710 70 100 50 120 99 11,880 90
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 40 100 50 90 74 6,660
7 Amoksisilin 250 mg ktk 10x 10 - 200 - 200 188 37,600 110 10 100 188 18,800
8 Amoksisilin 500 mg ktk 10x 11 90 200 10 280 266 74,480 120 100 40 180 266 47,880
9 Antasida syr. Botol 10 20 1 29 2,098 60,842 6 10 4 12 2,098 25,176 7
10 Antasida Tab. ktk 10x 10 240 60 180 60 10,800 80 100 80 100 60 6,000 140
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 240 30 210 120 25,200 30 100 30 100 120 12,000 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 100 100 - 175 - 100 - 100 175 17,500
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 200 15 185 119 22,015 100 - 100 119 11,900
18 Betamethason Salep ktk 25 3 19 1 21 1,920 40,320 - 10 1 9 1,920 17,280
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 530 500 150 880 67 58,960 510 350 160 67 10,720 20
20 Captopril 12,5 mg ktk 10 x 10 200 130 70 65 4,550 20 20 - 65 - 80
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 300 25 275 104 28,600 100 - 100 104 10,400
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 210 10 200 49 9,800 30 100 40 90 49 4,410 120
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 235 235 75 - - 75 - 130
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 - -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Dimenhydrinat tab ktk 100 - 121 - - 121 -
30 Domperidone tab. ktk 100 50 - 50 90 4,500 80 - 80 90 7,200
31 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
32 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 - - 199 -
34 Furosemide Tab. ktk 100 - 84 - - 84 - 90
35 Garam Oralit ktk 100 71 - 71 281 19,951 - 281 - 2
36 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 20
37 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
40 HBO unijeck Pcs - 25,597 - - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g 4 14 3 15 2,533 37,995 6 2 4 2,533 10,132
42 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
44 Ketoconazole salep ktk 25 tube 2 - 2 2,577 5,154 2 5 - 7 2,577 18,039 1
45 Ketorolak Inj - 1,383 - - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
48 Kloramfenikol salep mata Tube - 1,925 - - 1,925 - 2
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 200 100 60 240 45 10,800 60 30 30 45 1,350 20
50 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 130 - 130 220 28,600
51 Kotrimoksasol syr. Btl 9 - 9 2,225 20,025 - 2,225 -
52 Lidocain 2 % comp. inj. Ampul 10 - 10 2,122 21,220 - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 - - 875 - 9
54 Lysol btl - 45,100 - - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
58 Metformin 500 mg ktk 10x 10 10 200 10 200 109 21,800 70 10 60 109 6,540
59 Metilergometrin inj ktk 100 3,399 3,399
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 110
61 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
62 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 100 - 100 140 14,000 - 140 -
64 Miconazole 2% krem ktk 24 3 1 2 3,500 7,000 - 3,500 -
65 NaCl infus Box @ 20 - 6,410 - - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 50 200 - 250 145 36,250 30 100 50 80 145 11,600 110
67 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
69 OAT Kat 1 Paket - 447,791 - - 447,791 -
70 OBH syr. Btl - 3,500 - - 3,500 -
71 Oxytetracycline Salep mata Tube 20 - 20 2,600 52,000 4 5 - 9 2,600 23,400
72 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
73 paracetamil syr btl 30 5 25 1,160 29,000 2 10 2 10 1,160 11,600
74 Paracetamol tab 500 mg ktk 100 tablet 235 100 45 290 60 17,400 95 100 100 95 60 5,700 10
75 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
78 Povidone Iodida Botol - 21,150 - - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 - - 285 -
80 Primaquin Tab. Box @ 100 - 242 - - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 65 200 40 225 141 31,725 100 40 60 141 8,460 90
82 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 2
83 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
84 Risperidone tab. ktk 100 - 273 - - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 90 10 80 65 5,200 20
86 SF / Tablet tambah darah ktk 100 550 990 220 1,320 409 539,880 - 510 510 - 409 - 90
87 Simvastatin 10 mg ktk 30 240 30 210 117 24,570 70 60 10 117 1,170 20
88 Thiamin ( vitamin B1 ) kotak 100 400 40 360 94 33,840 100 30 70 94 6,580 120
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Vit A Biru btl 50 - 331 - - 331 -
90 Vit A merah btl 50 - 596 - - 596 -
91 Vit B Komplek Tablet btl 100 370 50 320 135 43,200 - - 135 - 90
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
94 Zink tablet ktk 10 x 10 130 - 130 604 78,520 140 - 140 604 84,560
95 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
96 Eugenol Btl - 50,417 - - 50,417 -
97 Aseptik gel - - - - -
98 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
101 HIV test - 11,975 - - 11,975 -
102 Larutan giemsa Btl - 263,184 - - 263,184 -
103 Pot dahak pcs - 2,354 - - 2,354 -
104 Rapid test HbsAg - 8,100 - - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
106 Reagen Zn Paket - 250,333 - - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 - - 271 -
109 Slide kaca prosted ktk 50 - 442 - - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
113 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 5
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 - 20
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 - 924 - 6
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - 100 100 - 494 - 20
12 Hand Scoon M ktk 100 100 100 - 494 - - 494 - 100
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 - 5 8,900 44,500 - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 - - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 50 - 50 567 28,350 - - 567 - -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
TOTAL OBAT & BMHP APBD 1,818,363 471,937
RDT COV-19 30 175 151 54 300,000 16,200,000 - 300,000 -
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 60 - 60 832 49,920 - 832 - 50
3 Acyclovir Cream Tube 14 1 13 3,751 48,763 - 3,751 - 2
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol 9 10 - 19 4,840 91,960 4 10 1 13 4,840 62,920 1
6 Ambroxol Tab. ktk 100 170 100 - 270 191 51,570 110 100 60 150 191 28,650 100
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - 20
8 Amlodipin 5 mg ktk 30 105 200 65 240 297 71,280 - 297 - 30
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol 17 4 13 5,478 71,214 - 10 - 10 5,478 54,780 8
11 Asam Mefenamat 500 mg kotak 10 x 10 50 200 - 250 362 90,500 60 100 20 140 362 50,680 160
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - - 839 - 60 10 50 839 41,950
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - 5 1 4 9,395 37,580
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 1
23 Chloramfenikol tetes telinga (Reco) Botol 10 - 10 9,460 94,600 - 9,460 - -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
25 Deksamethasone Tab. ktk 100 235 - 235 137 32,195 90 90 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol 6 - 6 9,405 56,430 8 - 8 9,405 75,240
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - 40 - 40 496 19,840
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
36 Gentian violet Botol 12 - 12 3,023 36,276 4 - 4 3,023 12,092
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 200 100 75 225 380 85,500 - 380 -
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 50 - 50 213 10,650 80 40 40 213 8,520
45 Nystatin drop. Botol 10 10 21,300 - 9 - 9 21,300 191,700
46 Nistatin Vagina Ktk 100 10 - 10 828 8,280 - 828 -
47 Omeprazol 20 mg ktk 3x 10 190 90 70 210 414 86,940 50 50 - 414 - 20
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 100 - 100 320 32,000 - 320 - 70
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil 2 - 2 6,426 12,852 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol 7 - 7 7,000 49,000 - 7,000 -
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 979,930 583,952

TOTAL KESELURUHAN 2,798,293 1,055,889


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 70 236 16,520
3 Allopurinol 100 mg Tab. ktk 100 10 80 99 7,920
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 100 70 30 266 7,980
9 Antasida syr. Botol 2 5 2,098 10,490
10 Antasida Tab. ktk 10x 10 90 50 60 3,000
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 100 50 50 120 6,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 100 - 120 67 8,040
20 Captopril 12,5 mg ktk 10 x 10 40 40 65 2,600
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 60 40 104 4,160
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 90 30 49 1,470
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 60 70 75 5,250
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Dimenhydrinat tab ktk 100 - 121 -
30 Domperidone tab. ktk 100 - 90 -
31 Doxycicline 100 mg Cap. ktk 100 - 309 -
32 Ephineprine Inj. Ktk 30 - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 -
34 Furosemide Tab. ktk 100 - 90 84 7,560
35 Garam Oralit ktk 100 - 2 281 562
36 Glibenclamide 5 mg Tab. ktk 100 - 20 137 2,740
37 Glucosa Infus 5% Box @ 20 - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 -
40 HBO unijeck Pcs - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g 5 2 3 2,533 7,599
42 Ibuprofen sirup btl 60 ml - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 -
44 Ketoconazole salep ktk 25 tube 5 4 2 2,577 5,154
45 Ketorolak Inj - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
48 Kloramfenikol salep mata Tube 2 - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 100 60 60 45 2,700
50 Kotrimoksasol 480 Tab. ktk 100 - 220 -
51 Kotrimoksasol syr. Btl - 2,225 -
52 Lidocain 2 % comp. inj. Ampul - 2,122 -
53 Lidocain 2 % inj ktk 100 2 7 875 6,125
54 Lysol btl - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 -
58 Metformin 500 mg ktk 10x 10 - 109 -
59 Metilergometrin inj ktk 100 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 90 20 139 2,780
61 Metoclopramide Syr (Lexapram) Botol - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
64 Miconazole 2% krem ktk 24 - 3,500 -
65 NaCl infus Box @ 20 - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 30 80 145 11,600
67 Nystatin Vag. ktk 10x 10 - 10 528 5,280
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
69 OAT Kat 1 Paket - 447,791 -
70 OBH syr. Btl - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 -
72 Oxytocin Inj. ktk 100 - 1,232 -
73 paracetamil syr btl - 1,160 -
74 Paracetamol tab 500 mg ktk 100 tablet 100 110 - 60 -
75 Phenol Glycerol Tetes Telinga Btl - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
78 Povidone Iodida Botol - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 -
80 Primaquin Tab. Box @ 100 - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 - 90 141 12,690
82 Ranitidine Inj. ktk 100 5 5 2 1,155 2,310
83 Ringer laktat Infus Box@ 20 - 7,630 -
84 Risperidone tab. ktk 100 - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 20 65 1,300
86 SF / Tablet tambah darah ktk 100 - 90 409 36,810
87 Simvastatin 10 mg ktk 30 - 20 117 2,340
88 Thiamin ( vitamin B1 ) kotak 100 80 40 94 3,760
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Vit A Biru btl 50 - 331 -
90 Vit A merah btl 50 - 596 -
91 Vit B Komplek Tablet btl 100 60 30 135 4,050
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
94 Zink tablet ktk 10 x 10 - 604 -
95 Methyl ergometrin - 242 -
OBAT GIGI : - - -
96 Eugenol Btl - 50,417 -
97 Aseptik gel - - -
98 yellow tip - 110 -
REAGEN / LAB : - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
101 HIV test - 11,975 -
102 Larutan giemsa Btl - 263,184 -
103 Pot dahak pcs - 2,354 -
104 Rapid test HbsAg - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 -
106 Reagen Zn Paket - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 -
109 Slide kaca prosted ktk 50 - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 -
113 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 5 1,023 5,115
2 Alat suntik 2,5 mL Box @ 100 10 10 683 6,830
3 Alat suntik 3 mL Box @ 100 1 5 924 4,620
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 100 20 100 494 49,400
12 Hand Scoon M ktk 100 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 50 50 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
TOTAL OBAT & BMHP APBD 254,755
RDT COV-19 - 300,000 -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
3 Acyclovir Cream Tube 2 4 - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 479 -
5 Ambroxol Syr. Botol 10 3 8 4,840 38,720
6 Ambroxol Tab. ktk 100 50 50 191 9,550
7 Amlodipin 10 mg ktk 30 20 - 1,015 -
8 Amlodipin 5 mg ktk 30 10 20 297 5,940
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol 6 2 5,478 10,956
11 Asam Mefenamat 500 mg kotak 10 x 10 70 90 362 32,580
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
13 Bioplacenton salep Tube - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
21 Cetirizine sirup botol - 9,395 -
22 Chloramfenikol tetes mata (Reco) Botol 5 - 6 9,460 56,760
23 Chloramfenikol tetes telinga (Reco) Botol 5 2 3 9,460 28,380
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
25 Deksamethasone Tab. ktk 100 - 137 -
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol 5 2 3 12,650 37,950
36 Gentian violet Botol 5 2 3 3,023 9,069
37 Guanistrep syr. Botol - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 200 100 100 380 38,000
40 ISDN Tab. ktk 100 - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 -
45 Nystatin drop. Botol - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 -
47 Omeprazol 20 mg ktk 3x 10 30 20 30 414 12,420
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 30 40 320 12,800
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube - 46,750 -
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol - 7,000 -
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 334,725

TOTAL KESELURUHAN 589,480


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 70 - 70 236 16,520
3 Allopurinol 100 mg Tab. ktk 100 40 - 40 99 3,960 80 50 30 99 2,970 100
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 - -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 90 10 80 74 5,920
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 100 - 40 140 188 26,320 235
8 Amoksisilin 500 mg ktk 10x 11 80 30 50 266 13,300 90 30 60 266 15,960 40
9 Antasida syr. Botol 2 - 2 2,098 4,196 2 5 2 5 2,098 10,490
10 Antasida Tab. ktk 10x 10 40 - 40 60 2,400 20 100 30 90 60 5,400 255
11 Antihaemoroid Supp Box @ 10 - 3,642 - 3 - 3 3,642 10,926
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 30 - 30 120 3,600 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 - 100
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 90 20 70 119 8,330 100
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - 3
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 40 - 40 67 2,680 90 10 80 67 5,360 380
20 Captopril 12,5 mg ktk 10 x 10 - - 65 - 110 10 100 65 6,500 440
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 50 10 40 104 4,160 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 80 30 50 49 2,450 90 20 70 49 3,430 220
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 50 - 50 75 3,750 90 50 40 75 3,000
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Dimenhydrinat tab ktk 100 - 121 - - 121 -
30 Domperidone tab. ktk 100 - 90 - - 90 - 100
31 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
32 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 - - 199 -
34 Furosemide Tab. ktk 100 - 84 - - 84 -
35 Garam Oralit ktk 100 - 281 - 50 10 40 281 11,240
36 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 250
37 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
40 HBO unijeck Pcs - 25,597 - - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g 3 3 - 2,533 - - 5 - 5 2,533 12,665
42 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
44 Ketoconazole salep ktk 25 tube 2 2 - 2,577 - - 2,577 - 1
45 Ketorolak Inj - 1,383 - - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - 3 - 3 3,360 10,080
48 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 45 - 50 - 10 60 45 2,700 225
50 Kotrimoksasol 480 Tab. ktk 100 80 - 80 220 17,600 45 5 40 220 8,800
51 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
52 Lidocain 2 % comp. inj. Ampul - 2,122 - - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 - - 875 -
54 Lysol btl - 45,100 - - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
58 Metformin 500 mg ktk 10x 10 100 20 80 109 8,720 - 109 - 440
59 Metilergometrin inj ktk 100 3,399 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 260
61 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 - - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 80 5 75 140 10,500
64 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
65 NaCl infus Box @ 20 - 6,410 - - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 - 325
67 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
69 OAT Kat 1 Paket - 447,791 - - 447,791 -
70 OBH syr. Btl - 3,500 - - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
72 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
73 paracetamil syr btl 2 2 - 1,160 - 6 - 6 1,160 6,960
74 Paracetamol tab 500 mg ktk 100 tablet 20 20 - 60 - 120 20 100 60 6,000
75 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
78 Povidone Iodida Botol - 21,150 - - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 - - 285 -
80 Primaquin Tab. Box @ 100 - 242 - - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 20 20 - 141 - 50 10 40 141 5,640 100
82 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
83 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
84 Risperidone tab. ktk 100 - 273 - - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
86 SF / Tablet tambah darah ktk 100 50 - 50 409 20,450 40 210 20 230 409 94,070 160
87 Simvastatin 10 mg ktk 30 - 117 - - 117 - 170
88 Thiamin ( vitamin B1 ) kotak 100 - 94 - 60 - 60 94 5,640 455
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
89 Vit A Biru btl 50 - 331 - - 331 -
90 Vit A merah btl 50 - 596 - - 596 -
91 Vit B Komplek Tablet btl 100 - 135 - - - 135 - -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
94 Zink tablet ktk 10 x 10 - 604 - 50 - 50 604 30,200
95 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
96 Eugenol Btl - 50,417 - - 50,417 -
97 Aseptik gel - - - - - -
98 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
101 HIV test - 11,975 - - 11,975 -
102 Larutan giemsa Btl - 263,184 - - 263,184 -
103 Pot dahak pcs - 2,354 - - 2,354 -
104 Rapid test HbsAg - 8,100 - - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
106 Reagen Zn Paket - 250,333 - - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 - - 271 -
109 Slide kaca prosted ktk 50 - 442 - - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
113 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - - 494 -
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,900 - - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 - - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 100 10 90 567 51,030
23 Polifix 5 x 10 m Roll - 45,662 - 1 - 1 45,662 45,662
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
TOTAL OBAT & BMHP APBD 87,266 422,313
RDT COV-19 - 300,000 - - 300,000 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 120
5 Ambroxol Syr. Botol - 4,840 - 6 1 5 4,840 24,200
6 Ambroxol Tab. ktk 100 30 30 - 191 - 130 20 110 191 21,010 180
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 - -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - 3 - 3 5,478 16,434
11 Asam Mefenamat 500 mg kotak 10 x 10 100 100 - 362 - 100 - 100 362 36,200
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol 3 3 - 9,395 - - 9,395 -
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 - 137 - 90 90 - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet 20 - 20 496 9,920 - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol 3 - 3 12,650 37,950 - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 - 80
39 Ibuprofen 400 mg tab. ktk 100 - 380 - 50 100 30 120 380 45,600 265
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 - -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - 2 - 2 6,426 12,852
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - 2 1 1 7,000 7,000
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 47,870 163,296

TOTAL KESELURUHAN 135,136 585,609


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 100 99 9,900
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 235 188 44,180
8 Amoksisilin 500 mg ktk 10x 11 - 40 266 10,640
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 - 255 60 15,300
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 100 175 17,500
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 100 119 11,900
18 Betamethason Salep ktk 25 - 3 1,920 5,760
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 380 67 25,460
20 Captopril 12,5 mg ktk 10 x 10 - 440 65 28,600
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 220 49 10,780
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Dimenhydrinat tab ktk 100 - 121 -
30 Domperidone tab. ktk 100 - 100 90 9,000
31 Doxycicline 100 mg Cap. ktk 100 - 309 -
32 Ephineprine Inj. Ktk 30 - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 -
34 Furosemide Tab. ktk 100 - 84 -
35 Garam Oralit ktk 100 - 281 -
36 Glibenclamide 5 mg Tab. ktk 100 - 250 137 34,250
37 Glucosa Infus 5% Box @ 20 - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 -
40 HBO unijeck Pcs - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
42 Ibuprofen sirup btl 60 ml - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 -
44 Ketoconazole salep ktk 25 tube - 1 2,577 2,577
45 Ketorolak Inj - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
48 Kloramfenikol salep mata Tube - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 225 45 10,125
50 Kotrimoksasol 480 Tab. ktk 100 - 220 -
51 Kotrimoksasol syr. Btl - 2,225 -
52 Lidocain 2 % comp. inj. Ampul - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 -
54 Lysol btl - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 -
58 Metformin 500 mg ktk 10x 10 - 440 109 47,960
59 Metilergometrin inj ktk 100 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 260 139 36,140
61 Metoclopramide Syr (Lexapram) Botol - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
64 Miconazole 2% krem ktk 24 - 3,500 -
65 NaCl infus Box @ 20 - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 - 325 145 47,125
67 Nystatin Vag. ktk 10x 10 - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
69 OAT Kat 1 Paket - 447,791 -
70 OBH syr. Btl - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 -
72 Oxytocin Inj. ktk 100 - 1,232 -
73 paracetamil syr btl - 1,160 -
74 Paracetamol tab 500 mg ktk 100 tablet - 60 -
75 Phenol Glycerol Tetes Telinga Btl - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
78 Povidone Iodida Botol - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 -
80 Primaquin Tab. Box @ 100 - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 - 100 141 14,100
82 Ranitidine Inj. ktk 100 - 1,155 -
83 Ringer laktat Infus Box@ 20 - 7,630 -
84 Risperidone tab. ktk 100 - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
86 SF / Tablet tambah darah ktk 100 - 160 409 65,440
87 Simvastatin 10 mg ktk 30 - 170 117 19,890
88 Thiamin ( vitamin B1 ) kotak 100 - 455 94 42,770
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
89 Vit A Biru btl 50 - 331 -
90 Vit A merah btl 50 - 596 -
91 Vit B Komplek Tablet btl 100 - - 135 -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
94 Zink tablet ktk 10 x 10 - 604 -
95 Methyl ergometrin - 242 -
OBAT GIGI : - - -
96 Eugenol Btl - 50,417 -
97 Aseptik gel - - -
98 yellow tip - 110 -
REAGEN / LAB : - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
101 HIV test - 11,975 -
102 Larutan giemsa Btl - 263,184 -
103 Pot dahak pcs - 2,354 -
104 Rapid test HbsAg - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 -
106 Reagen Zn Paket - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 -
109 Slide kaca prosted ktk 50 - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 -
113 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
TOTAL OBAT & BMHP APBD 509,397
RDT COV-19 - 300,000 -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 832 -
3 Acyclovir Cream Tube - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 120 479 57,480
5 Ambroxol Syr. Botol - 4,840 -
6 Ambroxol Tab. ktk 100 - 180 191 34,380
7 Amlodipin 10 mg ktk 30 - 1,015 -
8 Amlodipin 5 mg ktk 30 - - 297 -
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
13 Bioplacenton salep Tube - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
21 Cetirizine sirup botol - 9,395 -
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 - 137 -
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 -
36 Gentian violet Botol - 3,023 -
37 Guanistrep syr. Botol - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 80 1,364 109,120
39 Ibuprofen 400 mg tab. ktk 100 - 265 380 100,700
40 ISDN Tab. ktk 100 - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 -
45 Nystatin drop. Botol - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 -
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube - 46,750 -
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol - 7,000 -
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 301,680

TOTAL KESELURUHAN 811,077


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 512
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 - 345 500
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 - 450
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 - 394 500
9 Antasida syr. Botol 8 10 9 9 2,098 18,882 - 2,098 - 8 30
10 Antasida Tab. ktk 10x 10 - 130 20 110 60 6,600 - 60 - 360 600
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 116 50 66 120 7,920 - 120 - 224 600
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 133 50 83 175 14,525 - 175 - 135 200
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 48 100 68 80 119 9,520 - 119 - 539
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - 2 25
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 100 - 100 67 6,700 - 67 - 360 500
20 Captopril 12,5 mg ktk 10 x 10 60 - 60 65 3,900 - 65 - 535 100
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 - 10 110 104 11,440 - 104 - 175 600
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - 115 600
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 22 14 8 2,336 18,688 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
30 Domperidone tab. ktk 100 - 100 - 100 90 9,000 - 90 - 160 500
31 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - 200
32 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 - - 199 - 200 300
34 Furosemide Tab. ktk 100 - 84 - - 84 - 112
35 Garam Oralit ktk 100 - 281 - - 281 - 89 50
36 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 420
37 Glucosa Infus 5% Box @ 20 - - 7,363 - - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
40 HBO unijeck Pcs - 25,597 - - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 6 48
42 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
44 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 10 25
45 Ketorolak Inj 11 12 10 13 1,383 17,979 - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 110
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 19
48 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 74 100 40 134 45 6,030 - 45 - 258 600
50 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 190
51 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
52 Lidocain 2 % comp. inj. Ampul 61 3 58 2,122 123,076 - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 - - 875 -
54 Lysol btl - 45,100 - - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
58 Metformin 500 mg ktk 10x 10 111 - 111 109 12,099 - 109 - 930 1,000
59 Metilergometrin inj ktk 100 3,399 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 39 100 20 119 139 16,541 - 139 - 755
61 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 - - 111 - 170
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 60
64 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
65 NaCl infus Box @ 20 - 6 5 1 6,410 6,410 - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 189 83 106 145 15,370 - 145 - 270 500
67 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 79
69 OAT Kat 1 Paket - 447,791 - - 447,791 -
70 OBH syr. Btl - 3,500 - - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 29
72 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
73 paracetamil syr btl 8 20 12 16 1,160 18,560 - 1,160 - 7 50
74 Paracetamol tab 500 mg ktk 100 tablet 120 400 272 248 60 14,880 - 60 - 375 1,000
75 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 - 17
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
78 Povidone Iodida Botol - 1 1 - 21,150 - - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 - - 285 - 250
80 Primaquin Tab. Box @ 100 - 242 - - 242 - 109 97
81 Pyridoxin Tab. (Vit B6) ktk 100 - 141 - - 141 - 780 600
82 Ranitidine Inj. ktk 100 80 15 61 34 1,155 39,270 - 1,155 -
83 Ringer laktat Infus Box@ 20 8 60 14 54 7,630 412,020 - 7,630 -
84 Risperidone tab. ktk 100 - 273 - - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet 49 100 20 129 65 8,385 - 65 - 215
86 SF / Tablet tambah darah ktk 100 10 90 40 60 409 24,540 - 409 - 539 600
87 Simvastatin 10 mg ktk 30 - 117 - - 117 - 225 600
88 Thiamin ( vitamin B1 ) kotak 100 100 50 50 94 4,700 - 94 - 155
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
89 Vit A Biru btl 50 - 331 - - 331 -
90 Vit A merah btl 50 - 596 - - 596 -
91 Vit B Komplek Tablet btl 100 10 10 - 135 - - 135 - -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
94 Zink tablet ktk 10 x 10 155 55 100 604 60,400 - 604 - 170
95 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
96 Eugenol Btl - 50,417 - - 50,417 -
97 Aseptik gel - - - - - -
98 yellow tip - 110 - - 1,000 200 800 110 88,000
REAGEN / LAB : - - - - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - 25 - 25 12,500 312,500
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - 69 - 69 12,527 864,363
101 HIV test - 11,975 - 45 45 11,975 -
102 Larutan giemsa Btl - 263,184 - 1 - 1 263,184 263,184
103 Pot dahak pcs - 2,354 - - 2,354 -
104 Rapid test HbsAg - 8,100 - 128 25 103 8,100 834,300
105 RDT malaria Ktk @ 25 - 7,710 - 26 21 5 7,710 38,550
106 Reagen Zn Paket - 250,333 - - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 - 18 18 - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 - - 271 -
109 Slide kaca prosted ktk 50 - 442 - - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 - 75 29 46 6,245 287,270
111 Stik GDS Benecek Ktk 50 - 3,416 - 50 100 124 26 3,416 88,816
112 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
113 Stik HB - 9,900 - 100 34 66 9,900 653,400
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 168 48 120 1,023 122,760 - 100 40 60 1,023 61,380
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 11 200 147 64 924 59,136 100 20 80 924 73,920
4 Alat suntik 5 mL Box @ 100 2 100 4 98 1,029 100,842 - 1,029 -
5 Alkohol 70 % btl 1 liter 3 2 1 29,375 29,375 1 1 - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 400 200 200 140 28,000
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 6 68 6 68 3,090 210,120 - 3,090 -
9 Blood Lancet Box @100 - 153 - 100 100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 600 300 300 494 148,200 140 100 200 40 494 19,760
12 Hand Scoon M ktk 100 100 200 300 - 494 - 100 100 - 494 -
13 Hand Scoon S ktk 100 1,000 600 400 685 274,000 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 7 2 5 6,270 31,350 - 6,270 -
16 Infuset dewasa ktk 50 40 50 34 56 2,880 161,280 - 2,880 -
17 IV cateter 18 G ktk 50 1 - 1 8,355 8,355 - 8,355 -
18 IV cateter 22 G ktk 50 30 50 30 50 8,900 445,000 - 8,900 -
19 IV cateter 24 G ktk 50 44 100 77 67 7,369 493,723 - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 50 100 50 100 567 56,700
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - 64 64 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - 3 3 - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 17 7 10 3,472 34,720 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - 100 100 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 75 75 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - 50 50 3,416 -
34 Tes kehamilan Pcs - 2,181 - 40 14 26 2,181 56,706
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 5 2 3 3,150 9,450 - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
TOTAL OBAT & BMHP APBD 3,015,746 3,726,849
RDT COV-19 - 300,000 - 30 175 151 54 300,000 16,200,000
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 - 272
3 Acyclovir Cream Tube - 3,751 - - 3,751 - 28
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 90
5 Ambroxol Syr. Botol - 4,840 - - 4,840 - 17 25
6 Ambroxol Tab. ktk 100 31 100 61 70 191 13,370 - 191 - 145 600
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - 232
8 Amlodipin 5 mg ktk 30 70 100 110 60 297 17,820 - 297 - 70 1,200
9 Amokxyllin 500 mg 153 200 153 200 407 81,400 - 407 -
10 Amoxycillin Syr. Botol 6 2 4 5,478 21,912 - 5,478 - 12 50
11 Asam Mefenamat 500 mg kotak 10 x 10 200 200 133 267 362 96,654 - 362 - 40 500
12 Asam tranexamat (Nexitra) kotak 10 x 10 110 - 110 1,712 188,320 - 1,712 - 304
13 Bioplacenton salep Tube - 17,650 - - 17,650 - 1
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 6
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 69
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol 6 - 6 7,766 46,596 - 7,766 - 13
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 - 5
21 Cetirizine sirup botol 5 - 5 9,395 46,975 - 9,395 - 12 40
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 8
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 5 25
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 100 40 60 137 8,220 - 137 - 610 600
26 Diatro Cleaner Botol - 759,000 - 1 1 - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - 1 1 - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol 14 8 6 9,405 56,430 - 9,405 - 13 45
31 Dumin Rektal 125 mg ktk 5 1 5 3 3 19,360 58,080 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet 51 24 27 496 13,392 - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 - -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 11
36 Gentian violet Botol - 3,023 - - 3,023 - 16
37 Guanistrep syr. Botol - - 8,470 - - 8,470 - 15
38 Hyoscine-N-Bromida ktk 100 - - 1,364 - - 1,364 - 60
39 Ibuprofen 400 mg tab. ktk 100 47 100 39 108 380 41,040 - 380 - 409 600
40 ISDN Tab. ktk 100 61 5 56 165 9,240 - 165 - 442
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 109 11 98 213 20,874 - 213 - 87
45 Nystatin drop. Botol - 21,300 - - 21,300 - 10
46 Nistatin Vagina Ktk 100 - 828 - - 828 - 51
47 Omeprazol 20 mg ktk 3x 10 60 60 17 103 414 42,642 - 414 - 74 750
48 Ondancentron inj. Ktk @ 10 1 30 8 23 6,050 139,150 - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 50 100 50 100 320 32,000 - 320 - 119 200
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 - - 6
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - 94 61 33 1,870 61,710
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol 5 10 5 10 7,000 70,000 - 7,000 - 23
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,004,115 61,710

TOTAL KESELURUHAN 4,019,861 3,788,559


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 20 492 236 116,112
3 Allopurinol 100 mg Tab. ktk 100 360 485 99 48,015
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 70 380 188 71,440
8 Amoksisilin 500 mg ktk 10x 11 819 75 266 19,950
9 Antasida syr. Botol 31 7 2,098 14,686
10 Antasida Tab. ktk 10x 10 370 590 60 35,400
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 675 149 120 17,880
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 60 275 175 48,125
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 350 189 119 22,491
18 Betamethason Salep ktk 25 27 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 500 360 67 24,120
20 Captopril 12,5 mg ktk 10 x 10 490 145 65 9,425
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 510 265 104 27,560
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 440 275 49 13,475
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Dimenhydrinat tab ktk 100 - 100 121 12,100
30 Domperidone tab. ktk 100 300 360 90 32,400
31 Doxycicline 100 mg Cap. ktk 100 50 150 309 46,350
32 Ephineprine Inj. Ktk 30 - 1,518 -
33 Ergotamine + Caffein Btl 100 200 300 199 59,700
34 Furosemide Tab. ktk 100 - 112 84 9,408
35 Garam Oralit ktk 100 65 74 281 20,794
36 Glibenclamide 5 mg Tab. ktk 100 290 130 137 17,810
37 Glucosa Infus 5% Box @ 20 - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 -
40 HBO unijeck Pcs - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g 22 32 2,533 81,056
42 Ibuprofen sirup btl 60 ml - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 -
44 Ketoconazole salep ktk 25 tube 15 20 2,577 51,540
45 Ketorolak Inj - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 110 329 36,190
47 Kloramfenikol salep kulit (Bufacetin) Tube 15 4 3,360 13,440
48 Kloramfenikol salep mata Tube - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 270 588 45 26,460
50 Kotrimoksasol 480 Tab. ktk 100 - 190 220 41,800
51 Kotrimoksasol syr. Btl - 2,225 -
52 Lidocain 2 % comp. inj. Ampul - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 -
54 Lysol btl - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 -
58 Metformin 500 mg ktk 10x 10 1,530 400 109 43,600
59 Metilergometrin inj ktk 100 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 340 415 139 57,685
61 Metoclopramide Syr (Lexapram) Botol - 2,750 -
62 Metoclopramide tab. Box @ 100 5 165 111 18,315
63 Metronidazole 500 mg Tab. ktk 10x 10 - 60 140 8,400
64 Miconazole 2% krem ktk 24 - 3,500 -
65 NaCl infus Box @ 20 - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 570 200 145 29,000
67 Nystatin Vag. ktk 10x 10 - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 72 7 2,134 14,938
69 OAT Kat 1 Paket - 447,791 -
70 OBH syr. Btl - 3,500 -
71 Oxytetracycline Salep mata Tube - 29 2,600 75,400
72 Oxytocin Inj. ktk 100 - 1,232 -
73 paracetamil syr btl 36 21 1,160 24,360
74 Paracetamol tab 500 mg ktk 100 tablet 730 645 60 38,700
75 Phenol Glycerol Tetes Telinga Btl 2 15 2,500 37,500
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
78 Povidone Iodida Botol - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 250 285 71,250
80 Primaquin Tab. Box @ 100 79 127 242 30,734
81 Pyridoxin Tab. (Vit B6) ktk 100 1,170 210 141 29,610
82 Ranitidine Inj. ktk 100 - 1,155 -
83 Ringer laktat Infus Box@ 20 - 7,630 -
84 Risperidone tab. ktk 100 - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet 40 175 65 11,375
86 SF / Tablet tambah darah ktk 100 839 300 409 122,700
87 Simvastatin 10 mg ktk 30 450 375 117 43,875
88 Thiamin ( vitamin B1 ) kotak 100 155 - 94 -
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
89 Vit A Biru btl 50 - 331 -
90 Vit A merah btl 50 - 596 -
91 Vit B Komplek Tablet btl 100 - 135 -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
94 Zink tablet ktk 10 x 10 50 120 604 72,480
95 Methyl ergometrin - 242 -
OBAT GIGI : - - -
96 Eugenol Btl - 50,417 -
97 Aseptik gel - - -
98 yellow tip - 110 -
REAGEN / LAB : - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
101 HIV test - 11,975 -
102 Larutan giemsa Btl - 263,184 -
103 Pot dahak pcs - 2,354 -
104 Rapid test HbsAg - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 -
106 Reagen Zn Paket - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 -
109 Slide kaca prosted ktk 50 - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 -
113 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
TOTAL OBAT & BMHP APBD 1,647,649
RDT COV-19 - 300,000 -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 30 242 832 201,344
3 Acyclovir Cream Tube 4 24 3,751 90,024
4 Allopurinol 300 mg Tab. ktk 100 60 30 479 14,370
5 Ambroxol Syr. Botol 12 30 4,840 145,200
6 Ambroxol Tab. ktk 100 260 485 191 92,635
7 Amlodipin 10 mg ktk 30 222 10 1,015 10,150
8 Amlodipin 5 mg ktk 30 740 530 297 157,410
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol 42 20 5,478 109,560
11 Asam Mefenamat 500 mg kotak 10 x 10 390 150 362 54,300
12 Asam tranexamat (Nexitra) kotak 10 x 10 70 234 1,712 400,608
13 Bioplacenton salep Tube 1 - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 2 4 20,717 82,868
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 23 46 2,406 110,676
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol 4 9 7,766 69,894
19 Cefadroxil 500 mg Kap. ktk 100 - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 5 5,130 -
21 Cetirizine sirup botol 17 35 9,395 328,825
22 Chloramfenikol tetes mata (Reco) Botol 3 5 9,460 47,300
23 Chloramfenikol tetes telinga (Reco) Botol 5 25 9,460 236,500
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 711 499 137 68,363
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol 9 49 9,405 460,845
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol 5 6 12,650 75,900
36 Gentian violet Botol - 16 3,023 48,368
37 Guanistrep syr. Botol 7 8 8,470 67,760
38 Hyoscine-N-Bromida ktk 100 60 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 399 610 380 231,800
40 ISDN Tab. ktk 100 20 422 165 69,630
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 30 57 213 12,141
45 Nystatin drop. Botol 7 3 21,300 63,900
46 Nistatin Vagina Ktk 100 10 41 828 33,948
47 Omeprazol 20 mg ktk 3x 10 670 154 414 63,756
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 189 130 320 41,600
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube 2 4 46,750 187,000
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol 7 16 7,000 112,000
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 3,688,675

TOTAL KESELURUHAN 5,336,324


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
ok OK
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Dimenhydrinat tab ktk 100 - 121 - - 121 -
30 Domperidone tab. ktk 100 - 90 - - 90 -
31 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
32 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 - 10
33 Ergotamine + Caffein Btl 100 - 199 - - 199 -
34 Furosemide Tab. ktk 100 - 84 - - 84 -
35 Garam Oralit ktk 100 - 281 - - 281 -
36 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
37 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
40 HBO unijeck Pcs - 25,597 - - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
42 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
44 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
45 Ketorolak Inj - 1,383 - - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
48 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
50 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
51 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
52 Lidocain 2 % comp. inj. Ampul 1 30 17 14 2,122 29,708 - 2,122 -
53 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
54 Lysol btl - 45,100 - - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
58 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
59 Metilergometrin inj ktk 100 3,399 - 3,399 - 5
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
61 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 - - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
64 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
65 NaCl infus Box @ 20 - 6,410 - - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
67 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
69 OAT Kat 1 Paket - 447,791 - - 447,791 -
70 OBH syr. Btl - 3,500 - - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
72 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 12
73 paracetamil syr btl - 1,160 - - 1,160 -
74 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
75 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 31
78 Povidone Iodida Botol - 21,150 - - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 - - 285 -
80 Primaquin Tab. Box @ 100 - 242 - - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 - 141 - - 141 -
82 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
83 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
84 Risperidone tab. ktk 100 - 273 - - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
86 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
87 Simvastatin 10 mg ktk 30 - 117 - - 117 -
88 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Vit A Biru btl 50 - 331 - - 331 -
90 Vit A merah btl 50 - 596 - - 596 -
91 Vit B Komplek Tablet btl 100 - 135 - - 135 -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
94 Zink tablet ktk 10 x 10 - 604 - - 604 -
95 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
96 Eugenol Btl - 50,417 - - 50,417 -
97 Aseptik gel - - - - - -
98 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
101 HIV test - 11,975 - - 11,975 -
102 Larutan giemsa Btl - 263,184 - - 263,184 -
103 Pot dahak pcs - 2,354 - - 2,354 -
104 Rapid test HbsAg - 8,100 - - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
106 Reagen Zn Paket - 250,333 - - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 - - 271 -
109 Slide kaca prosted ktk 50 - 442 - - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
113 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 40 5 35 1,023 35,805 - 1,023 - 57
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 20 5 15 924 13,860 - 924 - 56
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 10 10 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - - 494 - 50 50 - 494 - 100
13 Hand Scoon S ktk 100 - 685 - - 685 - 100
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 12
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 - 9
18 IV cateter 22 G ktk 50 - 8,900 - - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 - - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 40
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - 20
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - 2
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
TOTAL OBAT & BMHP APBD 79,373 -
RDT COV-19 - 300,000 - - 300,000 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol - 4,840 - - 4,840 -
6 Ambroxol Tab. ktk 100 - 191 - - 191 -
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - - 9,395 -
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 - 137 - - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml 1 1 - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - - 27,500 - 2
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - - 7,000 -
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN 79,373 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN DESEMBER 2020
UPT. PUSKESMAS WARU
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Dimenhydrinat tab ktk 100 - 121 - - 121 -
30 Domperidone tab. ktk 100 - 90 - - 90 -
31 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
32 Ephineprine Inj. Ktk 30 - 10 1,518 15,180 - 1,518 -
33 Ergotamine + Caffein Btl 100 - 199 - - 199 -
34 Furosemide Tab. ktk 100 - 84 - - 84 -
35 Garam Oralit ktk 100 - 281 - - 281 -
36 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
37 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
38 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
39 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
40 HBO unijeck Pcs - 25,597 - - 25,597 -
41 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
42 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
43 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
44 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
45 Ketorolak Inj - 1,383 - - 1,383 -
46 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
47 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
48 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
49 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
50 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
51 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
52 Lidocain 2 % comp. inj. Ampul - 2,122 - - 2,122 -
53 Lidocain 2 % inj ktk 100 - 4 875 3,500 - 875 -
54 Lysol btl - 45,100 - - 45,100 -
55 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
56 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
57 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
58 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
59 Metilergometrin inj ktk 100 2 3,399 6,798 3,399 -
60 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
61 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
62 Metoclopramide tab. Box @ 100 - 111 - - 111 -
63 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
64 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
65 NaCl infus Box @ 20 - 6,410 - - 6,410 -
66 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
67 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
68 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
69 OAT Kat 1 Paket - 447,791 - - 447,791 -
70 OBH syr. Btl - 3,500 - - 3,500 -
71 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
72 Oxytocin Inj. ktk 100 1 11 1,232 13,552 - 1,232 -
73 paracetamil syr btl - 1,160 - - 1,160 -
74 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
75 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
76 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
77 Phytomenadion inj. (Vit K) Box @ 30 6 25 4,236 105,900 - 4,236 -
78 Povidone Iodida Botol - 21,150 - - 21,150 -
79 Prednison 5 mg Tab. Box @ 100 - 285 - - 285 -
80 Primaquin Tab. Box @ 100 - 242 - - 242 -
81 Pyridoxin Tab. (Vit B6) ktk 100 - 141 - - 141 -
82 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
83 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
84 Risperidone tab. ktk 100 - 273 - - 273 -
85 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
86 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
87 Simvastatin 10 mg ktk 30 - 117 - - 117 -
88 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Vit A Biru btl 50 - 331 - - 331 -
90 Vit A merah btl 50 - 596 - - 596 -
91 Vit B Komplek Tablet btl 100 - 135 - - 135 -
92 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
93 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
94 Zink tablet ktk 10 x 10 - 604 - - 604 -
95 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
96 Eugenol Btl - 50,417 - - 50,417 -
97 Aseptik gel - - - - - -
98 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
99 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
100 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
101 HIV test - 11,975 - - 11,975 -
102 Larutan giemsa Btl - 263,184 - - 263,184 -
103 Pot dahak pcs - 2,354 - - 2,354 -
104 Rapid test HbsAg - 8,100 - - 8,100 -
105 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
106 Reagen Zn Paket - 250,333 - - 250,333 -
107 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
108 Slide Kaca Biasa ktk 72 - 271 - - 271 -
109 Slide kaca prosted ktk 50 - 442 - - 442 -
110 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
111 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
112 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
113 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 8 49 1,023 50,127 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 21 35 924 32,340 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 100 100 494 49,400 - 494 -
13 Hand Scoon S ktk 100 200 100 200 685 137,000 - 685 -
14 Hand Scoon Steril 7 ktk 100 30 19 23 8,029 184,667 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 20 9 20 8,355 167,100 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,900 - - 8,900 -
19 IV cateter 24 G ktk 50 - 7,369 - - 7,369 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 40 567 22,680 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs 20 15 25 4,696 117,400 - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor 5 2 5 8,040 40,200 - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
TOTAL OBAT & BMHP APBD 945,844 -
RDT COV-19 - 300,000 - - 300,000 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol - 4,840 - - 4,840 -
6 Ambroxol Tab. ktk 100 - 191 - - 191 -
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - - 9,395 -
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
25 Deksamethasone Tab. ktk 100 - 137 - - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 2 27,500 55,000 - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - - 7,000 -
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 55,000 -

TOTAL KESELURUHAN 1,000,844 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - 100 100 412 -
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 - 236 - 70
3 Allopurinol 100 mg Tab. ktk 100 290 10 280 99 27,720 120 200 60 260 99 25,740 80
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 90 200 150 140 74 10,360
7 Amoksisilin 250 mg ktk 10x 10 200 10 190 188 35,720 100 20 80 188 15,040
8 Amoksisilin 500 mg ktk 10x 11 280 35 245 266 65,170 180 50 100 130 266 34,580 30
9 Antasida syr. Botol 29 3 26 2,098 54,548 12 8 4 2,098 8,392 5
10 Antasida Tab. ktk 10x 10 180 200 40 340 60 20,400 100 200 20 280 60 16,800 50
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 210 100 80 230 120 27,600 100 30 70 120 8,400 50
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 100 - 100 175 17,500 100 20 80 175 14,000
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 185 15 170 119 20,230 100 40 60 119 7,140
18 Betamethason Salep ktk 25 21 5 16 1,920 30,720 9 - 9 1,920 17,280
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 880 330 550 67 36,850 160 500 400 260 67 17,420 120
20 Captopril 12,5 mg ktk 10 x 10 70 70 - 65 - - - 65 - 40
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 275 80 195 104 20,280 100 20 80 104 8,320 40
23 Ciprofloxacin 500 mg Tab. Box@100 100 - 100 281 28,100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 200 40 160 49 7,840 90 100 90 100 49 4,900 30
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 - 70
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 50 - 50 90 4,500 80 100 - 180 90 16,200
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 - 90
36 Garam Oralit ktk 100 71 30 41 281 11,521 - 281 - 2
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 20
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 15 1 14 2,533 35,462 4 10 2 12 2,533 30,396 3
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube 2 24 - 26 2,577 67,002 7 1 6 2,577 15,462 2
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 - -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 240 60 180 45 8,100 30 200 20 210 45 9,450 60
51 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 130 - 130 220 28,600
52 Kotrimoksasol syr. Btl 9 - 9 2,225 20,025 - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 10 - 10 1,405 14,050 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 7
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 200 100 40 260 109 28,340 60 100 30 130 109 14,170
60 Metilergometrin inj ktk 100 3,399 3,399
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 20
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 100 - 100 140 14,000 - 140 -
65 Miconazole 2% krem ktk 24 2 1 1 3,500 3,500 - 3,500 -
66 Mineral Mix Sachet 3,116 3,116 -
67 NaCl infus Box @ 20 5 - 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 250 60 190 145 27,550 80 150 70 160 145 23,200 80
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube 20 - 20 2,600 52,000 9 9 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 25 4 21 1,160 24,360 10 10 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet 290 100 30 360 60 21,600 95 200 95 200 60 12,000 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 100 - 100 818 81,800 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 225 50 175 150 26,250 60 100 60 100 150 15,000 90
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 2
85 Ringer laktat Infus Box@ 20 5 - 5 7,630 38,150 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 80 200 20 260 65 16,900 20
88 SF / Tablet tambah darah ktk 100 1,320 390 930 409 380,370 - 510 510 - 409 - 90
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 210 50 160 117 18,720 10 90 10 90 117 10,530 20
90 Thiamin ( vitamin B1 ) kotak 100 360 30 330 94 31,020 70 - 70 94 6,580 40
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 320 40 280 135 37,800 100 100 - 135 - 30
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 130 30 100 604 60,400 140 10 130 604 78,520
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 5
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 - 10
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 - 924 - 5
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - - 494 - 100
12 Hand Scoon M ktk 100 - - 494 - - 494 - -
13 Hand Scoon S ktk 100 100 - 100 685 68,500 100 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 - 5 8,750 43,750 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 50 50 - 567 - 50 50 - 567 - -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,838,304 465,380
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 60 - 60 832 49,920 - 832 - 50
3 Acyclovir Cream Tube 13 - 13 3,751 48,763 5 - 5 3,751 18,755 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol 19 1 18 4,840 87,120 13 - 13 4,840 62,920 8
6 Ambroxol Tab. ktk 100 270 25 245 191 46,795 150 200 90 260 191 49,660 50
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - -
8 Amlodipin 5 mg ktk 30 240 150 90 297 26,730 - 297 - 20
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol 13 1 12 5,478 65,736 10 - 10 5,478 54,780 2
11 Asam Mefenamat 500 mg kotak 10 x 10 250 20 230 362 83,260 140 30 110 362 39,820 90
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 100 - 100 839 83,900 50 10 40 839 33,560
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - 4 1 3 9,395 28,185
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 6
23 Chloramfenikol tetes telinga (Reco) Botol 10 - 10 9,460 94,600 - 9,460 - 3
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
25 Deksamethasone Tab. ktk 100 235 80 155 137 21,235 100 - 100 137 13,700
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol 6 1 5 9,405 47,025 8 1 7 9,405 65,835
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - 40 - 40 496 19,840
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - 10 1 9 12,650 113,850 3
36 Gentian violet Botol 12 - 12 3,023 36,276 4 - 4 3,023 12,092 3
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 225 85 140 380 53,200 - 380 - 100
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 50 30 20 213 4,260 40 100 30 110 213 23,430
45 Nystatin drop. Botol - 21,300 - 9 - 9 21,300 191,700
46 Nistatin Vagina Ktk 100 10 - 10 828 8,280 - 828 -
47 Omeprazol 20 mg ktk 3x 10 210 70 140 414 57,960 - - 414 - 30
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 100 - 100 320 32,000 - 320 - 40
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil 2 1 1 6,426 6,426 - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol 7 7 7,000 - 10 2 8 7,000 56,000
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 853,486 784,127

TOTAL KESELURUHAN 2,691,790 1,249,507


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 40 30 236 7,080
3 Allopurinol 100 mg Tab. ktk 100 30 50 99 4,950
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 50 50 30 266 7,980
9 Antasida syr. Botol 1 4 2,098 8,392
10 Antasida Tab. ktk 10x 10 100 80 70 60 4,200
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 50 120 6,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 10 110 67 7,370
20 Captopril 12,5 mg ktk 10 x 10 30 10 65 650
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 70 70 104 7,280
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 100 40 90 49 4,410
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 50 20 75 1,500
27 Dexamethasone inj. ktk 10 10 3 7 2,336 16,352
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 90 84 7,560
36 Garam Oralit ktk 100 - 2 281 562
37 Glibenclamide 5 mg Tab. ktk 100 20 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 2 1 2,533 2,533
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 5 - 7 2,577 18,039
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 100 20 140 45 6,300
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 7 875 6,125
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 100 30 90 139 12,510
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 10 70 145 10,150
69 Nystatin Vag. ktk 10x 10 - 10 528 5,280
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet 200 120 80 60 4,800
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 90 150 13,500
84 Ranitidine Inj. ktk 100 10 3 9 1,155 10,395
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 20 65 1,300
88 SF / Tablet tambah darah ktk 100 40 50 409 20,450
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 - 20 117 2,340
90 Thiamin ( vitamin B1 ) kotak 100 20 20 94 1,880
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 100 20 110 135 14,850
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 5 1,023 5,115
2 Alat suntik 2,5 mL Box @ 100 10 - 683 -
3 Alat suntik 3 mL Box @ 100 - 5 924 4,620
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 100 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 50 50 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 224,473
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
3 Acyclovir Cream Tube 5 3 2 3,751 7,502
4 Allopurinol 300 mg Tab. ktk 100 479 -
5 Ambroxol Syr. Botol 5 3 4,840 14,520
6 Ambroxol Tab. ktk 100 100 30 120 191 22,920
7 Amlodipin 10 mg ktk 30 - 1,015 -
8 Amlodipin 5 mg ktk 30 10 10 297 2,970
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol 10 5 7 5,478 38,346
11 Asam Mefenamat 500 mg kotak 10 x 10 30 60 362 21,720
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
13 Bioplacenton salep Tube - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
21 Cetirizine sirup botol - 9,395 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
22 Chloramfenikol tetes mata (Reco) Botol 3 3 9,460 28,380
23 Chloramfenikol tetes telinga (Reco) Botol 1 2 9,460 18,920
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
25 Deksamethasone Tab. ktk 100 - 137 -
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol - 3 12,650 37,950
36 Gentian violet Botol - 3 3,023 9,069
37 Guanistrep syr. Botol - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 100 160 40 380 15,200
40 ISDN Tab. ktk 100 - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 -
45 Nystatin drop. Botol - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 -
47 Omeprazol 20 mg ktk 3x 10 20 10 414 4,140
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl 10 5 5 3,762 18,810
50 Piroxicam 10 mg Tab. Box @ 100 - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 100 40 100 320 32,000
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube - 46,750 -
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol - 7,000 -
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 314,047

TOTAL KESELURUHAN 538,520


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
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PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 70 - 70 236 16,520
3 Allopurinol 100 mg Tab. ktk 100 40 - 40 99 3,960 30 100 20 110 99 10,890 100
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 - -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 80 20 60 74 4,440
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 140 30 110 188 20,680 235
8 Amoksisilin 500 mg ktk 10x 11 50 - 50 266 13,300 60 60 - 266 - 40
9 Antasida syr. Botol 2 2 - 2,098 - 5 - 5 2,098 10,490
10 Antasida Tab. ktk 10x 10 40 10 30 60 1,800 90 20 70 60 4,200 255
11 Antihaemoroid Supp Box @ 10 - 3,642 - 3 3 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 30 - 30 120 3,600 45 20 25 120 3,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 - 100
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 70 20 50 119 5,950 100
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - 3
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 40 - 40 67 2,680 80 20 60 67 4,020 380
20 Captopril 12,5 mg ktk 10 x 10 - 65 - 100 20 80 65 5,200 440
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 40 - 40 104 4,160 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 50 - 50 49 2,450 70 10 60 49 2,940 220
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 50 - 50 75 3,750 40 100 60 80 75 6,000
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 - 100
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - 40 - 40 281 11,240
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 250
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - - 2,533 - 5 3 2 2,533 5,066
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - - 2,577 - - 2,577 - 1
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - 3 1 2 3,360 6,720
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - 60 20 40 45 1,800 225
51 Kotrimoksasol 480 Tab. ktk 100 80 - 80 220 17,600 40 - 40 220 8,800
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 80 80 109 - - 109 - 440
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 260
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 75 - 75 140 10,500
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 - 325
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl - - 1,160 - 6 2 4 1,160 4,640
76 Paracetamol tab 500 mg ktk 100 tablet - - 60 - 100 30 70 60 4,200
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - - 150 - 40 - 40 150 6,000 100
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 50 - 50 409 20,450 230 50 180 409 73,620 160
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 170
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - 60 30 30 94 2,820 455
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - 100 10 90 135 12,150 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - 50 - 50 604 30,200
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - 10 - 10 924 9,240
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 27 6 21 140 2,940
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - 5 - 5 6,142 30,710
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 76 6 70 494 34,580
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 90 10 80 567 45,360
23 Polifix 5 x 10 m Roll - 45,662 - 1 - 1 45,662 45,662
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 73,750 440,578
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 120
5 Ambroxol Syr. Botol - 4,840 - 5 3 2 4,840 9,680
6 Ambroxol Tab. ktk 100 - - 191 - 110 40 70 191 13,370 180
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 - -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - 3 3 - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - - 362 - 100 30 70 362 25,340
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - - 9,395 - - 9,395 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
25 Deksamethasone Tab. ktk 100 - 137 - - - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet 20 - 20 496 9,920 - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol 3 - 3 12,650 37,950 - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 - 80
39 Ibuprofen 400 mg tab. ktk 100 - 380 - 120 10 110 380 41,800 265
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 - -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - 2 2 - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - 1 - 1 7,000 7,000
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 47,870 97,190

TOTAL KESELURUHAN 121,620 537,768


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 100 - 99 -
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 235 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 40 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 255 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 100 - 119 -
18 Betamethason Salep ktk 25 3 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 380 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 440 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 220 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 250 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 1 - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 225 - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 440 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 260 - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 325 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 100 - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
88 SF / Tablet tambah darah ktk 100 160 - 409 -
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 170 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 455 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 832 -
3 Acyclovir Cream Tube - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 120 - 479 -
5 Ambroxol Syr. Botol - 4,840 -
6 Ambroxol Tab. ktk 100 180 - 191 -
7 Amlodipin 10 mg ktk 30 - 1,015 -
8 Amlodipin 5 mg ktk 30 - - 297 -
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
13 Bioplacenton salep Tube - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
21 Cetirizine sirup botol - 9,395 -
USILA
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
25 Deksamethasone Tab. ktk 100 - 137 -
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 -
36 Gentian violet Botol - 3,023 -
37 Guanistrep syr. Botol - 8,470 -
38 Hyoscine-N-Bromida ktk 100 80 - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 265 - 380 -
40 ISDN Tab. ktk 100 - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 -
45 Nystatin drop. Botol - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 -
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube - 46,750 -
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol - 7,000 -
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN -

TOTAL KESELURUHAN -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 492
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 - 485 500
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 - 1,040
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 - 380
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 - 75 400
9 Antasida syr. Botol 9 15 13 11 2,098 23,078 - 2,098 - 7
10 Antasida Tab. ktk 10x 10 110 100 115 95 60 5,700 - 60 - 590
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 - 20
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 66 100 136 30 120 3,600 - 120 - 149 300
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 83 100 52 131 175 22,925 - 175 - 275
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 80 100 42 138 119 16,422 - 119 - 189
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 100 10 90 67 6,030 - 67 - 360 1,000
20 Captopril 12,5 mg ktk 10 x 10 60 50 10 65 650 - 65 - 145
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 110 110 - 104 - - 104 - 265 1,000
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - 275 400
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 8 50 36 22 2,336 51,392 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
31 Domperidone tab. ktk 100 100 200 145 155 90 13,950 - 90 - 360
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - 150
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 - 300
35 Furosemide Tab. ktk 100 - 84 - - 84 - 112
36 Garam Oralit ktk 100 - 281 - - 281 - 74 100
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 130
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 32 24
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 20 25
46 Ketorolak Inj 13 24 21 16 1,383 22,128 - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 110
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 4
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 134 100 121 113 45 5,085 - 45 - 588
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 190
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 58 36 22 1,405 30,910 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 111 41 70 109 7,630 - 109 - 400 2,000
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 119 100 74 145 139 20,155 - 139 - 415 700
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 - 165
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 60 100
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 1 5 1 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 106 200 206 100 145 14,500 - 145 - 200 1,000
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 7 180
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 29
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 16 10 19 7 1,160 8,120 - 1,160 - 21
76 Paracetamol tab 500 mg ktk 100 tablet 248 500 650 98 60 5,880 - 60 - 645 1,000
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 - 15
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 1 1 - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 - 250
82 Primaquin Tab. Box @ 100 - 242 - - 242 - 127
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 - 210 1,000
84 Ranitidine Inj. ktk 100 34 90 94 30 1,155 34,650 - 1,155 -
85 Ringer laktat Infus Box@ 20 54 100 107 47 7,630 358,610 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 129 60 69 65 4,485 - 65 - 175
88 SF / Tablet tambah darah ktk 100 60 120 40 140 409 57,260 - 409 - 300 1,050
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 375 300
90 Thiamin ( vitamin B1 ) kotak 100 50 50 - 94 - - 94 - -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - - 135 - - 135 - 500
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 100 200 170 130 604 78,520 - 604 - 120 200
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - 800 400 400 110 44,000
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - 25 - 25 12,500 312,500
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - 69 - 69 12,527 864,363
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - 1 1 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - 103 100 35 168 8,100 1,360,800
107 RDT malaria Ktk @ 25 - 7,710 - 5 50 20 35 7,710 269,850
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 - - 50 10 40 20,400 816,000
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - 46 46 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - 26 26 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - 66 48 18 9,900 178,200
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 120 23 97 1,023 99,231 60 20 40 1,023 40,920
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 64 200 213 51 924 47,124 80 65 15 924 13,860
4 Alat suntik 5 mL Box @ 100 98 34 64 1,029 65,856 - 1,029 -
5 Alkohol 70 % btl 1 liter 1 1 1 1 29,375 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 200 100 200 100 140 14,000
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 68 8 60 3,090 185,400 - 3,090 -
9 Blood Lancet Box @100 - 153 - - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 300 500 800 - 494 - 40 200 170 70 494 34,580
12 Hand Scoon M ktk 100 - - 494 - - - 494 -
13 Hand Scoon S ktk 100 400 1,000 1,300 100 685 68,500 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 5 20 3 22 6,270 137,940 - 6,270 -
16 Infuset dewasa ktk 50 56 50 73 33 2,880 95,040 - 2,880 -
17 IV cateter 18 G ktk 50 1 1 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 50 45 90 5 8,750 43,750 - 8,750 -
19 IV cateter 24 G ktk 50 67 18 49 8,750 428,750 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 100 50 50 100 567 56,700
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - 41 34 7 2,354 16,478
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs 1 1 - 24,254 - - 2 - 2 24,254 48,508
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 10 20 25 5 3,472 17,360 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 10 25 14 21 6,000 126,000
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - 26 100 8 118 2,181 257,358
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs 3 5 3 5 3,150 15,750 - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 2,057,806 4,454,117
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 - 242
3 Acyclovir Cream Tube - 3,751 - - 3,751 - 24
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 30
5 Ambroxol Syr. Botol - 4,840 - - 4,840 - 30
6 Ambroxol Tab. ktk 100 70 100 72 98 191 18,718 - 191 - 485 500
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - 10
8 Amlodipin 5 mg ktk 30 60 200 200 60 297 17,820 - 297 - 530
9 Amokxyllin 500 mg 200 500 570 130 407 52,910 - 407 -
10 Amoxycillin Syr. Botol 4 10 5 9 5,478 49,302 - 5,478 - 20 50
11 Asam Mefenamat 500 mg kotak 10 x 10 267 267 - 362 - - 362 - 150
12 Asam tranexamat (Nexitra) kotak 10 x 10 110 21 89 1,712 152,368 - 1,712 - 234
13 Bioplacenton salep Tube - 17,650 - - 17,650 - -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 - 5
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 4 6
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 46
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol 6 1 5 7,766 38,830 - 7,766 - 9 30
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol 5 5 9,395 - - 9,395 - 35
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan
Sisa Harga satuan Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 5 10
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 25
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
25 Deksamethasone Tab. ktk 100 60 300 131 229 137 31,373 - 137 - 499
26 Diatro Cleaner Botol - 759,000 - - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol 6 10 8 8 9,405 75,240 - 9,405 - 49
31 Dumin Rektal 125 mg ktk 5 3 - 3 19,360 58,080 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet 27 50 22 55 496 27,280 - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 6 18
36 Gentian violet Botol - 3,023 - - 3,023 - 16
37 Guanistrep syr. Botol 10 2 8 8,470 67,760 - 8,470 - 8
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 108 200 110 198 380 75,240 - 380 - 610
40 ISDN Tab. ktk 100 56 10 46 165 7,590 - 165 - 422
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 98 5 93 213 19,809 - 213 - 57
45 Nystatin drop. Botol - 21,300 - - 21,300 - 3 30
46 Nistatin Vagina Ktk 100 - 828 - - 828 - 41
47 Omeprazol 20 mg ktk 3x 10 103 90 188 5 414 2,070 - 414 - 154 90
48 Ondancentron inj. Ktk @ 10 23 35 43 15 6,050 90,750 - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 - 50
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 100 200 264 36 320 11,520 - 320 - 130 600
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 - 4
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - 33 200 68 165 1,870 308,550
64 Utrasonic Gell Botol - 27,500 - - 27,500 -
65 Ventolin Neb. Ktk 20 27 15 12 13,860 166,320 - 13,860 -
66 Zink syr Botol 10 10 7 13 7,000 91,000 - 7,000 - 16
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,053,980 308,550

TOTAL KESELURUHAN 3,111,786 4,762,667


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 280 212 236 50,032
3 Allopurinol 100 mg Tab. ktk 100 420 565 99 55,935
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 890 150 74 11,100
7 Amoksisilin 250 mg ktk 10x 10 140 240 188 45,120
8 Amoksisilin 500 mg ktk 10x 11 290 185 266 49,210
9 Antasida syr. Botol - 5 12 2,098 25,176
10 Antasida Tab. ktk 10x 10 320 270 60 16,200
11 Antihaemoroid Supp Box @ 10 - 20 3,642 72,840
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 405 44 120 5,280
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 100 175 175 30,625
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 166 355 119 42,245
18 Betamethason Salep ktk 25 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 1,360 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 140 5 65 325
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 600 665 104 69,160
23 Ciprofloxacin 500 mg Tab. Box@100 - 170 170 281 47,770
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 510 165 49 8,085
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 100 121 12,100
31 Domperidone tab. ktk 100 150 210 90 18,900
32 Doxycicline 100 mg Cap. ktk 100 40 110 309 33,990
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 80 220 199 43,780
35 Furosemide Tab. ktk 100 - 112 84 9,408
36 Garam Oralit ktk 100 100 74 281 20,794
37 Glibenclamide 5 mg Tab. ktk 100 - 50 180 137 24,660
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 33 23 2,533 58,259
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 200 200 286 57,200
45 Ketoconazole salep ktk 25 tube 27 18 2,577 46,386
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 110 329 36,190
48 Kloramfenikol salep kulit (Bufacetin) Tube 1 3 3,360 10,080
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 390 198 45 8,910
51 Kotrimoksasol 480 Tab. ktk 100 30 160 220 35,200
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 1,592 808 109 88,072
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 560 555 139 77,145
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 165 111 18,315
64 Metronidazole 500 mg Tab. ktk 10x 10 60 100 140 14,000
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 570 630 145 91,350
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 45 142 2,134 303,028
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube 5 24 2,600 62,400
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl 21 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet 1,375 270 60 16,200
77 Phenol Glycerol Tetes Telinga Btl 1 14 2,500 35,000
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 95 95 818 77,710
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 250 79 -
82 Primaquin Tab. Box @ 100 59 68 242 16,456
83 Pyridoxin Tab. (Vit B6) ktk 100 450 760 150 114,000
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 80 95 65 6,175
88 SF / Tablet tambah darah ktk 100 790 560 409 229,040
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 470 205 117 23,985
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 160 340 135 45,900
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 140 180 604 108,720
97 Methyl ergometrin - 90 90 242 21,780
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 2,294,236
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
Acyclovir 200 mg Tab 102
2 Acyclovir 400 mg Tab ktk 100 242 832 -
3 Acyclovir Cream Tube 9 15 3,751 56,265
4 Allopurinol 300 mg Tab. ktk 100 30 479 -
5 Ambroxol Syr. Botol 3 27 4,840 130,680
6 Ambroxol Tab. ktk 100 400 585 191 111,735
7 Amlodipin 10 mg ktk 30 10 1,015 -
8 Amlodipin 5 mg ktk 30 530 297 -
9 Amokxyllin 500 mg - 407 -
10 Amoxycillin Syr. Botol 50 20 5,478 109,560
11 Asam Mefenamat 500 mg kotak 10 x 10 150 - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 39 195 1,712 333,840
13 Bioplacenton salep Tube - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 1 4 28,600 114,400
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 10 20,717 207,170
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 18 28 2,406 67,368
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
18 Cefadroxil 125 mg syr Botol 5 34 7,766 264,044
19 Cefadroxil 500 mg Kap. ktk 100 - 340 340 839 285,260
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
21 Cetirizine sirup botol 5 30 9,395 281,850
APOTEK
No. Nama Obat Satuan Stok akhir
Pemakaian Total
Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol 2 13 9,460 122,980
23 Chloramfenikol tetes telinga (Reco) Botol 3 22 9,460 208,120
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
25 Deksamethasone Tab. ktk 100 195 304 137 41,648
26 Diatro Cleaner Botol - 759,000 -
27 Diatro Diluent Botol - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 -
30 Domperidone syr Botol 10 39 9,405 366,795
31 Dumin Rektal 125 mg ktk 5 - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 -
33 Garam Oralit sachet - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 -
35 Gentamicine Tetes mata Botol 5 19 12,650 240,350
36 Gentian violet Botol 16 3,023 -
37 Guanistrep syr. Botol 3 5 8,470 42,350
38 Hyoscine-N-Bromida ktk 100 - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 370 240 380 91,200
40 ISDN Tab. ktk 100 - 422 165 69,630
41 Kotrimoksasol 480 mg ktk 100 - 265 -
42 Loratadine Tab. ktk 50 - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 -
44 Nifedipine Tab. ktk 10x 10 20 37 213 7,881
45 Nystatin drop. Botol 3 30 21,300 639,000
46 Nistatin Vagina Ktk 100 16 25 828 20,700
47 Omeprazol 20 mg ktk 3x 10 244 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 -
49 Parasetamol Sirup btl 20 30 3,762 112,860
50 Piroxicam 10 mg Tab. Box @ 100 - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
52 Ranitidine Tab. ktk 100 180 550 320 176,000
53 Salmonella Thyppy AO Botol - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 -
57 Scabimide salep Tube 1 3 46,750 140,250
58 Simvastatin 10 mg - 564 -
59 Spiritus Botol - 55,000 -
60 Stik Hb btl 50 - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 -
62 Salisil - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 -
64 Utrasonic Gell Botol - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 -
66 Zink syr Botol 7 9 7,000 63,000
67 Golda anti A Botol - 148,500 -
68 Silk 4/0 pcs - 11,000 -
69 Iv catheter 22 G pcs - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 -
72 Golda anti B - 148,500 -
73 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 4,304,936

TOTAL KESELURUHAN 6,599,172


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
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Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 - 10
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 1 30 17 14 1,405 19,670 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 - 3,399 - 2
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 11
75 paracetamil syr btl - 1,160 - - 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 25
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 40 5 35 1,023 35,805 - 1,023 - 49
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 20 5 15 924 13,860 - 924 - 35
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - - 494 - - 100 60 40 494 19,760 100
13 Hand Scoon S ktk 100 - 685 - - 685 - 200
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 23
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 - 20
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 40
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - 25
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - 5
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 69,335 19,760
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol - 4,840 - - 4,840 -
6 Ambroxol Tab. ktk 100 - 191 - - 191 -
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - - 9,395 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
25 Deksamethasone Tab. ktk 100 - 137 - - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml 1 1 - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 27,500 - - 27,500 - 2
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - - 7,000 -
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN 69,335 19,760


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2021
UPT. PUSKESMAS WARU
ok
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 10 1,518 15,180 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 4 875 3,500 - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 30,595 - - 30,595 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 10 12 3,399 40,788 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 10 7 14 1,232 17,248 - 1,232 -
75 paracetamil syr btl - 1,160 - - 1,160 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 5 20 4,236 84,720 - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 331 - - 331 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @ 25 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 8 41 1,023 41,943 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 28 7 924 6,468 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 - 494 - - 494 -
13 Hand Scoon S ktk 100 100 100 685 68,500 - 685 -
14 Hand Scoon Steril 7 ktk 100 20 19 24 8,029 192,696 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 11 9 8,355 75,195 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 10 30 567 17,010 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs 15 13 27 4,696 126,792 - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor 4 1 8,040 8,040 - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 698,080 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
Acyclovir 200 mg Tab
2 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
3 Acyclovir Cream Tube - 3,751 - - 3,751 -
4 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
5 Ambroxol Syr. Botol - 4,840 - - 4,840 -
6 Ambroxol Tab. ktk 100 - 191 - - 191 -
7 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
8 Amlodipin 5 mg ktk 30 - 297 - - 297 -
9 Amokxyllin 500 mg - 407 - - 407 -
10 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
11 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
12 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
13 Bioplacenton salep Tube - 17,650 - - 17,650 -
14 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
15 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
16 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
17 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
18 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
19 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
20 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
21 Cetirizine sirup botol - 9,395 - - 9,395 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
22 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
23 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
24 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
25 Deksamethasone Tab. ktk 100 - 137 - - 137 -
26 Diatro Cleaner Botol - 759,000 - - 759,000 -
27 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
28 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
29 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
30 Domperidone syr Botol - 9,405 - - 9,405 -
31 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
32 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
33 Garam Oralit sachet - 496 - - 496 -
34 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
35 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
36 Gentian violet Botol - 3,023 - - 3,023 -
37 Guanistrep syr. Botol - 8,470 - - 8,470 -
38 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
39 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
40 ISDN Tab. ktk 100 - 165 - - 165 -
41 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
42 Loratadine Tab. ktk 50 - 333 - - 333 -
43 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
44 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
45 Nystatin drop. Botol - 21,300 - - 21,300 -
46 Nistatin Vagina Ktk 100 - 828 - - 828 -
47 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
48 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
49 Parasetamol Sirup btl - 3,762 - - 3,762 -
50 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
51 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
52 Ranitidine Tab. ktk 100 - 320 - - 320 -
53 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
54 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
56 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
57 Scabimide salep Tube - 46,750 - - 46,750 -
58 Simvastatin 10 mg - 564 - - 564 -
59 Spiritus Botol - 55,000 - - 55,000 -
60 Stik Hb btl 50 - 9,900 - - 9,900 -
61 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
62 Salisil - 6,426 - - 6,426 -
63 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
64 Utrasonic Gell Botol - 2 27,500 55,000 - 27,500 -
65 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
66 Zink syr Botol - 7,000 - - 7,000 -
67 Golda anti A Botol - 148,500 - - 148,500 -
68 Silk 4/0 pcs - 11,000 - - 11,000 -
69 Iv catheter 22 G pcs - 6,050 - - 6,050 -
70 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
71 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
72 Golda anti B - 148,500 - - 148,500 -
73 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 55,000 -

TOTAL KESELURUHAN 753,080 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
OK ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 - 236 - 30
3 Allopurinol 100 mg Tab. ktk 100 280 - 280 99 27,720 260 50 210 99 20,790 50
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 140 40 100 74 7,400
7 Amoksisilin 250 mg ktk 10x 10 190 30 160 188 30,080 80 - 80 188 15,040
8 Amoksisilin 500 mg ktk 10x 11 245 10 235 266 62,510 130 100 30 266 7,980 30
9 Antasida syr. Botol 26 2 24 2,098 50,352 4 2 2 2,098 4,196 4
10 Antasida Tab. ktk 10x 10 340 30 310 60 18,600 280 40 240 60 14,400 70
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 230 10 220 120 26,400 70 30 40 120 4,800 50
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 100 175 17,500 80 - 80 175 14,000
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 170 40 130 119 15,470 60 30 30 119 3,570
18 Betamethason Salep ktk 25 16 1 15 1,920 28,800 9 4 5 1,920 9,600
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 550 280 270 67 18,090 260 260 - 67 - 110
20 Captopril 12,5 mg ktk 10 x 10 - - 65 - - 65 - 10
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 195 20 175 104 18,200 80 20 60 104 6,240 70
23 Ciprofloxacin 500 mg Tab. Box@100 100 - 100 281 28,100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 160 - 160 49 7,840 100 60 40 49 1,960 90
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 - 20
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 - 7
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 50 - 50 90 4,500 180 - 180 90 16,200
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 - 90
36 Garam Oralit ktk 100 41 18 23 281 6,463 - 281 - 2
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 14 3 11 2,533 27,863 12 3 9 2,533 22,797 1
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube 26 - 26 2,577 67,002 6 - 6 2,577 15,462 7
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 180 25 155 45 6,975 210 30 180 45 8,100 140
51 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 130 - 130 220 28,600
52 Kotrimoksasol syr. Btl 9 - 9 2,225 20,025 - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 10 3 7 1,405 9,835 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 7
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 260 40 220 109 23,980 130 40 90 109 9,810
60 Metilergometrin inj ktk 100 3,399 3,399
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 90
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 100 - 100 140 14,000 - 140 -
65 Miconazole 2% krem ktk 24 1 - 1 3,500 3,500 - 3,500 -
66 Mineral Mix Sachet 3,116 3,116 -
67 NaCl infus Box @ 20 5 - 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 190 - 190 145 27,550 160 - 160 145 23,200 70
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube 20 - 20 2,600 52,000 - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 21 6 15 4,180 62,700 - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 360 40 320 60 19,200 200 90 110 60 6,600 80
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 100 - 100 818 81,800 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 175 - 175 150 26,250 100 10 90 150 13,500 90
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 9
85 Ringer laktat Infus Box@ 20 5 - 5 7,630 38,150 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 260 - 260 65 16,900 20
88 SF / Tablet tambah darah ktk 100 930 630 300 409 122,700 - - 409 - 50
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 160 40 120 117 14,040 90 30 60 117 7,020 20
90 Thiamin ( vitamin B1 ) kotak 100 330 50 280 94 26,320 70 10 60 94 5,640 20
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 280 80 200 135 27,000 - - 135 - 110
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 100 100 - 604 - 130 30 100 604 60,400
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 5
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 - -
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 - 924 - 5
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 - -
12 Hand Scoon M ktk 100 - 494 - - 494 -
13 Hand Scoon S ktk 100 100 - 100 685 68,500 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 - 5 8,750 43,750 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - - 567 - - - 567 - -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,470,621 344,205
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 60 - 60 832 49,920 - 832 - 50
4 Acyclovir Cream Tube 13 - 13 3,751 48,763 5 - 5 3,751 18,755 2
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 18 1 17 4,840 82,280 13 3 10 4,840 48,400 3
7 Ambroxol Tab. ktk 100 245 - 245 191 46,795 260 30 230 191 43,930 120
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 90 90 - 297 - - 297 - 10
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol 12 2 10 5,478 54,780 10 1 9 5,478 49,302 7
12 Asam Mefenamat 500 mg kotak 10 x 10 230 40 190 362 68,780 110 10 100 362 36,200 60
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 100 - 100 839 83,900 40 - 40 839 33,560
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - 3 - 3 9,395 28,185
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 3
24 Chloramfenikol tetes telinga (Reco) Botol 10 - 10 9,460 94,600 - 9,460 - 2
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 155 30 125 137 17,125 100 30 70 137 9,590
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 5 2 3 9,405 28,215 7 - 7 9,405 65,835
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - 40 - 40 496 19,840
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - 9 - 9 12,650 113,850 3
37 Gentian violet Botol 12 - 12 3,023 36,276 4 - 4 3,023 12,092 3
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 140 75 65 380 24,700 - 380 - 40
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 20 10 10 213 2,130 110 - 110 213 23,430
46 Nystatin drop. Botol - 21,300 - 9 9 21,300 -
47 Nistatin Vagina Ktk 100 10 - 10 828 8,280 - 828 -
48 Omeprazol 20 mg ktk 3x 10 140 40 100 414 41,400 - 414 - 10
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 5
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 100 - 100 320 32,000 - 320 - 100
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil 1 1 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - 8 - 8 3,285 26,280
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 719,944 529,249

TOTAL KESELURUHAN 2,190,565 873,454


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 20 10 236 2,360
3 Allopurinol 100 mg Tab. ktk 100 20 30 99 2,970
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 30 - 266 -
9 Antasida syr. Botol 3 1 2,098 2,098
10 Antasida Tab. ktk 10x 10 60 10 60 600
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 50 120 6,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 110 67 7,370
20 Captopril 12,5 mg ktk 10 x 10 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 50 20 104 2,080
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 90 49 4,410
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 20 75 -
27 Dexamethasone inj. ktk 10 3 4 2,336 9,344
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 10 80 84 6,720
36 Garam Oralit ktk 100 - 2 281 562
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 1 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 3 4 2,577 10,308
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 90 50 45 2,250
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 7 875 6,125
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 90 - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 30 40 145 5,800
69 Nystatin Vag. ktk 10x 10 - 10 528 5,280
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 50 30 60 1,800
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 40 50 150 7,500
84 Ranitidine Inj. ktk 100 5 4 1,155 4,620
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 20 65 1,300
88 SF / Tablet tambah darah ktk 100 40 10 409 4,090
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 20 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 20 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 10 100 135 13,500
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 5 1,023 5,115
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 5 924 4,620
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 100 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 116,822
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
4 Acyclovir Cream Tube 2 - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 479 -
6 Ambroxol Syr. Botol 3 - 4,840 -
7 Ambroxol Tab. ktk 100 30 90 191 17,190
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 10 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol 3 4 5,478 21,912
12 Asam Mefenamat 500 mg kotak 10 x 10 30 30 362 10,860
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
23 Chloramfenikol tetes mata (Reco) Botol 2 1 9,460 9,460
24 Chloramfenikol tetes telinga (Reco) Botol 1 1 9,460 9,460
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 1 2 12,650 25,300
37 Gentian violet Botol 1 2 3,023 6,046
38 Guanistrep syr. Botol - 8,470 -
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 40 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl 4 1 3,762 3,762
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 100 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 145,590

TOTAL KESELURUHAN 262,412


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
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PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 70 - 70 236 16,520
3 Allopurinol 100 mg Tab. ktk 100 40 - 40 99 3,960 110 - 110 99 10,890 100
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 - -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 60 - 60 74 4,440
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 110 - 110 188 20,680 235
8 Amoksisilin 500 mg ktk 10x 11 50 10 40 266 10,640 - - 266 - 40
9 Antasida syr. Botol - - 2,098 - 5 - 5 2,098 10,490
10 Antasida Tab. ktk 10x 10 30 - 30 60 1,800 70 70 60 - 255
11 Antihaemoroid Supp Box @ 10 - 3,642 - - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 30 10 20 120 2,400 25 - 25 120 3,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 - 100
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 50 - 50 119 5,950 100
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - 3
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 40 - 40 67 2,680 60 - 60 67 4,020 380
20 Captopril 12,5 mg ktk 10 x 10 - 65 - 80 - 80 65 5,200 440
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 40 - 40 104 4,160 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 50 - 50 49 2,450 60 - 60 49 2,940 220
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 50 50 - 75 - 80 - 80 75 6,000
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 - 100
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - 40 - 40 281 11,240
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 250
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - 2 - 2 2,533 5,066
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 1
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - 2 - 2 3,360 6,720
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - 40 - 40 45 1,800 225
51 Kotrimoksasol 480 Tab. ktk 100 80 - 80 220 17,600 40 - 40 220 8,800
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 80 40 40 109 4,360 - 109 - 440
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - 260
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 75 - 75 140 10,500
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 - 325
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl - 4,180 - 4 - 4 4,180 16,720
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - 70 - 70 60 4,200
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - 40 - 40 150 6,000 100
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 50 - 50 409 20,450 180 - 180 409 73,620 160
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 170
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - 30 - 30 94 2,820 455
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - 90 - 90 135 12,150 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - 50 - 50 604 30,200
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - 10 - 10 924 9,240
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 21 - 21 140 2,940
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - 5 - 5 6,142 30,710
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 70 - 70 494 34,580
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 80 - 80 567 45,360
23 Polifix 5 x 10 m Roll - 45,662 - 1 - 1 45,662 45,662
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 70,500 448,458
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 120
6 Ambroxol Syr. Botol - 4,840 - 2 - 2 4,840 9,680
7 Ambroxol Tab. ktk 100 - 191 - 70 - 70 191 13,370 180
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 - -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - 70 - 70 362 25,340
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet 20 20 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol 3 3 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 - 80
40 Ibuprofen 400 mg tab. ktk 100 - 380 - 110 - 110 380 41,800 265
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 - -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - 1 1 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - 90,190

TOTAL KESELURUHAN 70,500 538,648


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 100 - 99 -
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 235 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 40 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 255 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 100 - 119 -
18 Betamethason Salep ktk 25 3 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 380 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 440 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 220 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 250 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 1 - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 225 - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 440 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 260 - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 325 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 100 - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
88 SF / Tablet tambah darah ktk 100 160 - 409 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 170 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 455 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 -
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 120 - 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 180 - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 -
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
39 Hyoscine-N-Bromida ktk 100 80 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 265 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN -

TOTAL KESELURUHAN -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 212
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 - 565
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 - 150
7 Amoksisilin 250 mg ktk 10x 10 300 290 10 188 1,880 - 188 - 240
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 - 185
9 Antasida syr. Botol 11 10 13 8 2,098 16,784 - 2,098 - 12
10 Antasida Tab. ktk 10x 10 95 200 177 118 60 7,080 - 60 - 270
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 - 20
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 30 30 - 120 - - 120 - 44
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 131 75 56 175 9,800 - 175 - 175
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 138 89 49 119 5,831 - 119 - 355
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 90 - 90 67 6,030 - 67 - -
20 Captopril 12,5 mg ktk 10 x 10 10 100 20 90 65 5,850 - 65 - 5
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 100 - 100 104 10,400 - 104 - 665
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 - 170
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - 165
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 22 3 19 2,336 44,384 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
31 Domperidone tab. ktk 100 155 116 39 90 3,510 - 90 - 210
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - 110
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 - 220
35 Furosemide Tab. ktk 100 - 84 - - 84 - 112
36 Garam Oralit ktk 100 - 281 - - 281 - 74
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 180
38 Glucosa Infus 5% Box @ 20 10 - 10 7,363 73,630 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 23
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 - 200
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 18
46 Ketorolak Inj 16 12 12 16 1,383 22,128 - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 110
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 3
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 113 100 84 129 45 5,805 - 45 - 198
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 160
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 22 90 5 107 1,405 150,335 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 70 14 56 109 6,104 - 109 - 808
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 145 26 119 139 16,541 - 139 - 555
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 - 165
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 100
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 5 9 7 7 6,410 44,870 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 100 58 42 145 6,090 - 145 - 630
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 142
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 24
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 7 10 10 7 4,180 29,260 - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 98 400 403 95 60 5,700 - 60 - 270
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 - 14
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 - 95
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 1 1 - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 - 68
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 - 760
84 Ranitidine Inj. ktk 100 30 88 110 8 1,155 9,240 - 1,155 -
85 Ringer laktat Infus Box@ 20 47 60 87 20 7,630 152,600 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 69 31 38 65 2,470 - 65 - 95
88 SF / Tablet tambah darah ktk 100 140 50 90 409 36,810 - 409 - 560
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 205
90 Thiamin ( vitamin B1 ) kotak 100 - - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 - 340
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 130 120 10 604 6,040 - 604 - 180
97 Methyl ergometrin - 242 - - 242 - 90
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - 400 200 200 110 22,000
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - 25 - 25 12,500 312,500
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - 69 - 69 12,527 864,363
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - 1 - 1 263,184 263,184
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - 168 20 148 8,100 1,198,800
107 RDT malaria Ktk @ 25 - 7,710 - 35 14 21 7,710 161,910
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - 40 10 30 20,400 612,000
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - 18 18 - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 97 28 69 1,023 70,587 40 10 30 1,023 30,690
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 51 190 163 78 924 72,072 15 100 55 60 924 55,440
4 Alat suntik 5 mL Box @ 100 64 27 37 1,029 38,073 - 1,029 -
5 Alkohol 70 % btl 1 liter 1 1 2 - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 100 200 200 100 140 14,000
7 Bioplacenton Tulle Box @ 10 10 4 6 10,733 64,398 - 10,733 -
8 Bisturi Box @ 100 60 6 54 3,090 166,860 - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - - 494 - 70 100 120 50 494 24,700
12 Hand Scoon M ktk 100 800 600 200 494 98,800 200 200 - 494 -
13 Hand Scoon S ktk 100 100 800 800 100 685 68,500 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 22 - 22 6,270 137,940 - 6,270 -
16 Infuset dewasa ktk 50 33 45 68 10 2,880 28,800 - 2,880 -
17 IV cateter 18 G ktk 50 - - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 80 64 21 8,750 183,750 - 8,750 -
19 IV cateter 24 G ktk 50 49 50 48 51 8,750 446,250 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 100 100 100 100 567 56,700
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - 7 200 20 187 2,354 440,198
25 Rapid HbSAg test ktk 100 - 5,610 - 168 20 148 5,610 830,280
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - - 24,254 - 2 2 - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 5 - 5 3,472 17,360 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 21 17 4 6,000 24,000
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - 118 12 106 2,181 231,186
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs 5 - 5 3,150 15,750 - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 2,088,312 5,141,951
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab 102
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 - 15
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 - 27
7 Ambroxol Tab. ktk 100 98 100 108 90 191 17,190 - 191 - 585
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 60 300 57 303 297 89,991 - 297 -
10 Amokxyllin 500 mg 130 130 - 407 - - 407 -
11 Amoxycillin Syr. Botol 9 4 5 5,478 27,390 - 5,478 - 20
12 Asam Mefenamat 500 mg kotak 10 x 10 - - 362 - - 362 - -
13 Asam tranexamat (Nexitra) kotak 10 x 10 89 20 69 1,712 118,128 - 1,712 - 195
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 - 4
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 10
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 28
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol 5 - 5 7,766 38,830 - 7,766 - 34
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 - 340
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 - 30
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 13
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 22
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 229 108 121 137 16,577 - 137 - 304
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 8 3 5 9,405 47,025 - 9,405 - 39
32 Dumin Rektal 125 mg ktk 5 3 5 3 5 19,360 96,800 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet 55 13 42 496 20,832 - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 19
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol 8 - 8 8,470 67,760 - 8,470 - 5
39 Hyoscine-N-Bromida ktk 100 85 11 74 1,364 100,936 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 198 198 - 380 - - 380 - 240
41 ISDN Tab. ktk 100 46 - 46 165 7,590 - 165 - 422
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 93 2 91 213 19,383 - 213 - 37
46 Nystatin drop. Botol - 21,300 - - 21,300 - 30
47 Nistatin Vagina Ktk 100 - 828 - - 828 - 25
48 Omeprazol 20 mg ktk 3x 10 5 5 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 15 15 30 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 30
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 36 300 233 103 320 32,960 - 320 - 550
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 - 3
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - 165 165 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 12 8 4 13,860 55,440 - 13,860 -
67 Zink syr Botol 13 1 12 3,285 39,420 - 3,285 - 9
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 796,252 -

TOTAL KESELURUHAN 2,884,564 5,141,951


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 212 236 50,032
3 Allopurinol 100 mg Tab. ktk 100 200 180 585 99 57,915
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 270 270 520 140,400
6 Amlodipin 5 mg Tab. Ktk 50 600 750 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 270 510 188 95,880
8 Amoksisilin 500 mg ktk 10x 11 40 225 - 266 -
9 Antasida syr. Botol 50 40 22 2,098 46,156
10 Antasida Tab. ktk 10x 10 - 230 500 60 30,000
11 Antihaemoroid Supp Box @ 10 9 11 3,642 40,062
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 500 - 356 900 120 108,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 50 60 165 175 28,875
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 160 195 119 23,205
18 Betamethason Salep ktk 25 2 2 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 830 590 240 67 16,080
20 Captopril 12,5 mg ktk 10 x 10 5 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 480 185 104 19,240
23 Ciprofloxacin 500 mg Tab. Box@100 40 130 281 36,530
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 70 20 215 49 10,535
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 100 121 12,100
31 Domperidone tab. ktk 100 100 190 120 90 10,800
32 Doxycicline 100 mg Cap. ktk 100 10 100 309 30,900
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 170 50 199 9,950
35 Furosemide Tab. ktk 100 - 112 84 9,408
36 Garam Oralit ktk 100 55 19 281 5,339
37 Glibenclamide 5 mg Tab. ktk 100 810 140 850 137 116,450
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 24 32 15 2,533 37,995
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 50 150 286 42,900
45 Ketoconazole salep ktk 25 tube 14 4 2,577 10,308
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 110 329 36,190
48 Kloramfenikol salep kulit (Bufacetin) Tube 24 25 2 3,360 6,720
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 660 305 553 45 24,885
51 Kotrimoksasol 480 Tab. ktk 100 10 150 220 33,000
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 328 480 109 52,320
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 140 260 435 139 60,465
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 165 111 18,315
64 Metronidazole 500 mg Tab. ktk 10x 10 - 100 140 14,000
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 240 390 145 56,550
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 63 79 2,134 168,586
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube 5 19 2,600 49,400
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 1,100 880 490 60 29,400
77 Phenol Glycerol Tetes Telinga Btl 14 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 10 85 818 69,530
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 68 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 530 230 150 34,500
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 215 310 65 20,150
88 SF / Tablet tambah darah ktk 100 60 140 480 409 196,320
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 300 310 195 117 22,815
90 Thiamin ( vitamin B1 ) kotak 100 400 70 330 94 31,020
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 140 200 135 27,000
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 100 280 604 169,120
97 Methyl ergometrin 90 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 2,109,346
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 322 322 832 267,904
4 Acyclovir Cream Tube 5 10 3,751 37,510
5 Allopurinol 300 mg Tab. ktk 100 100 40 60 479 28,740
6 Ambroxol Syr. Botol 20 7 4,840 33,880
7 Ambroxol Tab. ktk 100 110 265 430 191 82,130
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol - 1 21 5,478 115,038
12 Asam Mefenamat 500 mg kotak 10 x 10 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 10 185 1,712 316,720
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 4 28,600 114,400
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 10 20,717 207,170
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 20 8 2,406 19,248
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
19 Cefadroxil 125 mg syr Botol 3 31 7,766 240,746
20 Cefadroxil 500 mg Kap. ktk 100 - 190 530 839 444,670
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 20 50 9,395 469,750
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol 9 4 9,460 37,840
24 Chloramfenikol tetes telinga (Reco) Botol 6 16 9,460 151,360
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 1,000 760 544 137 74,528
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol 7 32 9,405 300,960
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 3 16 12,650 202,400
37 Gentian violet Botol - 16 16 3,023 48,368
38 Guanistrep syr. Botol 3 2 8,470 16,940
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 700 350 590 380 224,200
41 ISDN Tab. ktk 100 30 392 165 64,680
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 11 26 213 5,538
46 Nystatin drop. Botol 11 19 21,300 404,700
47 Nistatin Vagina Ktk 100 5 20 828 16,560
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 16 46 3,762 173,052
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 - 130 680 320 217,600
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube 3 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol 4 5 3,285 16,425
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 4,333,057

TOTAL KESELURUHAN 6,442,403


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
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Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 - 10
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 1 30 17 14 1,405 19,670 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 - 3,399 - 12
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 14
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 20
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 40 5 35 1,023 35,805 - 1,023 - 41
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 20 5 15 924 13,860 - 924 - 7
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - - 494 - 40 200 140 100 494 49,400 -
13 Hand Scoon S ktk 100 - 685 - - 685 - 100
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 24
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 - 9
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 30
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - 27
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - 1
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 69,335 49,400
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml 1 1 - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 - 2
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN 69,335 49,400


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2021
UPT. PUSKESMAS WARU
ok
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 10 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 4 875 3,500 - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 1 11 3,399 37,389 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 20 16 18 1,232 22,176 - 1,232 -
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 12 8 4,236 33,888 - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 10 31 1,023 31,713 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 100 37 70 924 64,680 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 100 - 494 - - 494 -
13 Hand Scoon S ktk 100 200 200 100 685 68,500 - 685 -
14 Hand Scoon Steril 7 ktk 100 10 22 12 8,029 96,348 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 9 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 20 9 11 8,750 96,250 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 10 20 567 11,340 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs 19 8 4,696 37,568 - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 1 8,040 8,040 - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 511,392 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 2 27,500 55,000 - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 55,000 -

TOTAL KESELURUHAN 566,392 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 120 - 120 236 28,320 10
3 Allopurinol 100 mg Tab. ktk 100 280 10 270 99 26,730 210 50 160 99 15,840 30
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 200 - 200 74 14,800 100 300 150 250 74 18,500
7 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 80 10 70 188 13,160
8 Amoksisilin 500 mg ktk 10x 11 235 20 215 266 57,190 30 30 - 266 - -
9 Antasida syr. Botol 24 4 20 2,098 41,960 2 5 2 5 2,098 10,490 1
10 Antasida Tab. ktk 10x 10 310 60 250 60 15,000 240 200 60 380 60 22,800 10
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 220 200 70 350 120 42,000 40 200 20 220 120 26,400 50
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 100 175 17,500 80 100 80 100 175 17,500
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 130 200 140 190 119 22,610 30 20 10 119 1,190
18 Betamethason Salep ktk 25 15 2 13 1,920 24,960 5 5 2 8 1,920 15,360
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 270 500 240 530 67 35,510 900 - 900 67 60,300 110
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 - -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 175 300 55 420 104 43,680 60 100 - 160 104 16,640 20
23 Ciprofloxacin 500 mg Tab. Box@100 100 - 100 281 28,100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 160 40 120 49 5,880 40 200 50 190 49 9,310 90
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 - 4
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 50 - 50 90 4,500 180 10 170 90 15,300
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 - 80
36 Garam Oralit ktk 100 23 100 6 117 281 32,877 - 281 - 2
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 11 24 4 31 2,533 78,523 9 3 6 2,533 15,198
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube 26 - 26 2,577 67,002 6 2 4 2,577 10,308 4
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 155 200 55 300 45 13,500 180 200 80 300 45 13,500 50
51 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 130 10 120 220 26,400
52 Kotrimoksasol syr. Btl 9 - 9 2,225 20,025 - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 7 - 7 1,405 9,835 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - 10 - 10 875 8,750 7
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 220 30 190 109 20,710 90 300 20 370 109 40,330
60 Metilergometrin inj ktk 100 3,399 3,399
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 100 - 100 140 14,000 - 140 -
65 Miconazole 2% krem ktk 24 1 1 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 3,116 -
67 NaCl infus Box @ 20 5 - 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 190 - 190 145 27,550 160 200 50 310 145 44,950 40
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube 20 - 20 2,600 52,000 - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 15 15 6 24 4,180 100,320 10 - 4 14 4,180 58,520
76 Paracetamol tab 500 mg ktk 100 tablet 320 60 260 60 15,600 110 200 80 230 60 13,800 30
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 100 - 100 818 81,800 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 175 - 175 150 26,250 90 200 30 260 150 39,000 50
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 4
85 Ringer laktat Infus Box@ 20 5 - 5 7,630 38,150 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 260 20 240 65 15,600 20
88 SF / Tablet tambah darah ktk 100 300 500 410 390 409 159,510 - 409 - 10
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 120 100 - 220 117 25,740 60 300 30 330 117 38,610 -
90 Thiamin ( vitamin B1 ) kotak 100 280 50 230 94 21,620 60 50 10 94 940 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 200 200 - 400 135 54,000 200 - 200 135 27,000 100
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 100 10 90 604 54,360 100 100 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 5
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 - 924 - 5
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - - 494 -
13 Hand Scoon S ktk 100 100 100 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 - 5 8,750 43,750 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,694,478 624,016
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 60 - 60 832 49,920 - 832 - 50
4 Acyclovir Cream Tube 13 - 13 3,751 48,763 5 - 5 3,751 18,755 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 17 - 17 4,840 82,280 10 2 8 4,840 38,720 -
7 Ambroxol Tab. ktk 100 245 35 210 191 40,110 230 300 60 470 191 89,770 90
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - - 297 - - 297 - -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol 10 10 - 20 5,478 109,560 9 1 8 5,478 43,824 4
12 Asam Mefenamat 500 mg kotak 10 x 10 190 60 130 362 47,060 100 40 60 362 21,720 30
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 100 - 100 839 83,900 40 100 40 100 839 83,900
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - 3 - 3 9,395 28,185
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 1
24 Chloramfenikol tetes telinga (Reco) Botol 10 - 10 9,460 94,600 - 9,460 - 1
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 125 200 45 280 137 38,360 70 200 40 230 137 31,510
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 3 10 1 12 9,405 112,860 7 - 7 9,405 65,835
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - 40 - 40 496 19,840
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - 9 - 9 12,650 113,850 2
37 Gentian violet Botol 12 - 12 3,023 36,276 4 - 4 3,023 12,092 2
38 Guanistrep syr. Botol - 8,470 - 10 - 10 8,470 84,700
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 65 300 45 320 380 121,600 - 380 - -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 10 10 - 213 - 110 100 10 200 213 42,600
46 Nystatin drop. Botol 10 - 10 21,300 213,000 10 1 9 21,300 191,700
47 Nistatin Vagina Ktk 100 10 - 10 828 8,280 9 - 9 828 7,452
48 Omeprazol 20 mg ktk 3x 10 100 40 60 414 24,840 - 414 - -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 1
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 100 10 90 320 28,800 - 320 - 70
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol 4 10 - 14 3,285 45,990 8 1 7 3,285 22,995
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs 3 - 3 22,000 66,000 - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,252,199 917,448

TOTAL KESELURUHAN 2,946,677 1,541,464


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 10 236 2,360
3 Allopurinol 100 mg Tab. ktk 100 100 20 110 99 10,890
4 Ambroxol syr. btl 10 4 6 3,639 21,834
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol 10 4 7 2,098 14,686
10 Antasida Tab. ktk 10x 10 100 40 70 60 4,200
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 30 20 120 2,400
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 110 67 7,370
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 70 50 104 5,200
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 60 30 49 1,470
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 1 3 2,336 7,008
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 80 84 6,720
36 Garam Oralit ktk 100 2 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 5 2 3 2,533 7,599
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 3 1 2,577 2,577
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube 5 2 3 3,360 10,080
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 100 60 90 45 4,050
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 1 6 875 5,250
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 100 100 - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 100 20 120 145 17,400
69 Nystatin Vag. ktk 10x 10 - 10 528 5,280
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl 10 5 5 4,180 20,900
76 Paracetamol tab 500 mg ktk 100 tablet 100 130 - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 50 150 7,500
84 Ranitidine Inj. ktk 100 3 1 1,155 1,155
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 20 65 1,300
88 SF / Tablet tambah darah ktk 100 120 30 100 409 40,900
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 90 20 70 117 8,190
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 70 30 135 4,050
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 1 4 1,023 4,092
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 5 924 4,620
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 100 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 229,081
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 40 50 191 9,550
8 Amlodipin 10 mg ktk 30 50 50 - 1,015 -
9 Amlodipin 5 mg ktk 30 30 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol 5 6 3 5,478 16,434
12 Asam Mefenamat 500 mg kotak 10 x 10 - 30 362 10,860
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
23 Chloramfenikol tetes mata (Reco) Botol - 1 9,460 9,460
24 Chloramfenikol tetes telinga (Reco) Botol 5 3 3 9,460 28,380
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 200 60 140 137 19,180
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 2 12,650 25,300
37 Gentian violet Botol 2 - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab. 100 80
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 100 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol 5 2 3 21,300 63,900
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl 1 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 30 40 320 12,800
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 237,464

TOTAL KESELURUHAN 466,545


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 70 40 30 236 7,080
3 Allopurinol 100 mg Tab. ktk 100 40 20 20 99 1,980 110 - 110 99 10,890 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 - -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 60 20 40 74 2,960
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 110 40 70 188 13,160 -
8 Amoksisilin 500 mg ktk 10x 11 40 40 - 266 - - 266 - -
9 Antasida syr. Botol - 2,098 - 5 3 2 2,098 4,196
10 Antasida Tab. ktk 10x 10 30 100 20 110 60 6,600 - 60 - -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 20 10 10 120 1,200 25 10 15 120 1,800
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 - -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 50 40 10 119 1,190 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 40 30 10 67 670 60 10 50 67 3,350 -
20 Captopril 12,5 mg ktk 10 x 10 50 20 30 65 1,950 80 30 50 65 3,250 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 40 20 20 104 2,080 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 50 - 50 49 2,450 60 30 30 49 1,470 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 100 10 90 75 6,750 80 30 50 75 3,750
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 - -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 20 - 20 281 5,620 40 - 40 281 11,240
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - 2 2 - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 5 2 3 286 858 - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - 2 2 - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - 40 40 - 45 - -
51 Kotrimoksasol 480 Tab. ktk 100 80 - 80 220 17,600 40 - 40 220 8,800
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 40 40 - 109 - - 109 - -
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 75 25 50 140 7,000
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 - -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl - 4,180 - 4 2 2 4,180 8,360
76 Paracetamol tab 500 mg ktk 100 tablet 100 35 65 60 3,900 70 35 35 60 2,100
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - 40 40 - 150 - -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 50 10 40 409 16,360 180 50 130 409 53,170 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - 30 30 - 94 - -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - 90 40 50 135 6,750 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - 50 30 20 604 12,080
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - 10 3 7 924 6,468
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 21 4 17 140 2,380
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - 5 - 5 6,142 30,710
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 70 34 36 494 17,784
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 80 20 60 567 34,020
23 Polifix 5 x 10 m Roll - 45,662 - 1 - 1 45,662 45,662
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 68,018 299,620
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - -
6 Ambroxol Syr. Botol - 4,840 - 2 2 - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - 70 20 50 191 9,550 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 - -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - 70 50 20 362 7,240
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 - -
40 Ibuprofen 400 mg tab. ktk 100 - 380 - 110 - 110 380 41,800 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 - -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - 58,590

TOTAL KESELURUHAN 68,018 358,210


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 -
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 -
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 -
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN -

TOTAL KESELURUHAN -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 212
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 - 585
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 - 270
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 - -
7 Amoksisilin 250 mg ktk 10x 10 10 10 188 - - 188 - 510
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 - -
9 Antasida syr. Botol 8 10 14 4 2,098 8,392 - 2,098 - 22
10 Antasida Tab. ktk 10x 10 118 108 10 60 600 - 60 - 500
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 - 11
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 100 35 65 120 7,800 - 120 - 900
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 56 100 21 135 175 23,625 - 175 - 165
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 49 16 33 119 3,927 - 119 - 195
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 90 - 90 67 6,030 - 67 - 240
20 Captopril 12,5 mg ktk 10 x 10 90 10 80 65 5,200 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 100 104 - - 104 - 185
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 - 130
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - 215
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 19 10 15 14 2,336 32,704 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
31 Domperidone tab. ktk 100 39 100 64 75 90 6,750 - 90 - 120
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - 100
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 - 50
35 Furosemide Tab. ktk 100 - 84 - - 84 - 112
36 Garam Oralit ktk 100 - 281 - - 281 - 19
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - 850
38 Glucosa Infus 5% Box @ 20 10 6 4 7,363 29,452 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 15
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 - 150
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 4
46 Ketorolak Inj 16 8 8 1,383 11,064 - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 110
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 2
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 129 129 - 45 - - 45 - 553
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 150
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 107 35 72 1,405 101,160 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 56 10 46 109 5,014 - 109 - 480
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 119 55 64 139 8,896 - 139 - 435
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 - 165
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 100
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 7 6 1 6,410 6,410 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 42 200 162 80 145 11,600 - 145 - 390
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 79
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 19
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 7 10 14 3 4,180 12,540 - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 95 400 375 120 60 7,200 - 60 - 490
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 - 85
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 - -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 - 230
84 Ranitidine Inj. ktk 100 8 25 32 1 1,155 1,155 - 1,155 -
85 Ringer laktat Infus Box@ 20 20 40 44 16 7,630 122,080 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 38 24 14 65 910 - 65 - 310
88 SF / Tablet tambah darah ktk 100 90 50 40 409 16,360 - 409 - 480
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 195
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 - 330
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 - 200
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 10 100 30 80 604 48,320 - 604 - 280
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - 200 100 100 110 11,000
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - 25 - 25 12,500 312,500
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - 69 1 68 12,527 851,836
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - 1 - 1 263,184 263,184
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - 148 4 144 8,100 1,166,400
107 RDT malaria Ktk @ 25 - 7,710 - 21 50 21 50 7,710 385,500
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - 30 - 30 20,400 612,000
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 69 19 50 1,023 51,150 30 30 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 78 78 - 924 - 60 60 - 924 -
4 Alat suntik 5 mL Box @ 100 37 12 25 1,029 25,725 - 1,029 -
5 Alkohol 70 % btl 1 liter - 1 1 - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 100 100 - 140 -
7 Bioplacenton Tulle Box @ 10 6 4 2 10,733 21,466 - 10,733 -
8 Bisturi Box @ 100 54 32 22 3,090 67,980 - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - 50 100 150 - 494 -
12 Hand Scoon M ktk 100 200 200 - 494 - - 100 100 - 494 -
13 Hand Scoon S ktk 100 100 500 400 200 685 137,000 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 22 2 20 6,270 125,400 - 6,270 -
16 Infuset dewasa ktk 50 10 100 44 66 2,880 190,080 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 21 50 40 31 8,750 271,250 - 8,750 -
19 IV cateter 24 G ktk 50 51 40 11 8,750 96,250 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 100 100 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - 187 187 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - 148 22 126 5,610 706,860
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 5 10 5 10 3,472 34,720 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 100 9 91 6,000 546,000
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - 100 7 93 25,000 2,325,000
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - 106 19 87 2,181 189,747
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs 5 5 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,498,210 7,370,027
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 - 322
4 Acyclovir Cream Tube - 3,751 - - 3,751 - 10
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 60
6 Ambroxol Syr. Botol - 4,840 - - 4,840 - 7
7 Ambroxol Tab. ktk 100 90 46 44 191 8,404 - 191 - 430
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 303 85 218 297 64,746 - 297 -
10 Amokxyllin 500 mg - 100 - 100 407 40,700 - 407 -
11 Amoxycillin Syr. Botol 5 5 5 5 5,478 27,390 - 5,478 - 21
12 Asam Mefenamat 500 mg kotak 10 x 10 200 85 115 362 41,630 - 362 - -
13 Asam tranexamat (Nexitra) kotak 10 x 10 69 69 - 1,712 - - 1,712 - 185
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 - 4
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 10
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 8
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol 5 1 4 7,766 31,064 - 7,766 - 31
20 Cefadroxil 500 mg Kap. ktk 100 100 92 8 839 6,712 - 839 - 530
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 - 50
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 4
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 16
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 121 100 106 115 137 15,755 - 137 - 544
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 5 10 5 10 9,405 94,050 - 9,405 - 32
32 Dumin Rektal 125 mg ktk 5 5 3 2 19,360 38,720 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet 42 14 28 496 13,888 - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 16
37 Gentian violet Botol - 3,023 - - 3,023 - 16
38 Guanistrep syr. Botol 8 3 5 8,470 42,350 - 8,470 - 2
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 74 15 59 1,364 80,476 - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 200 25 175 380 66,500 - 380 - 590
41 ISDN Tab. ktk 100 46 - 46 165 7,590 - 165 - 392
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 91 2 89 213 18,957 - 213 - 26
46 Nystatin drop. Botol - 21,300 - - 21,300 - 19
47 Nistatin Vagina Ktk 100 - 828 - - 828 - 20
48 Omeprazol 20 mg ktk 3x 10 - 60 35 25 414 10,350 - 414 -
49 Ondancentron inj. Ktk @ 10 - 25 8 17 6,050 102,850 - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 46
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 103 100 123 80 320 25,600 - 320 - 680
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - 94 67 27 1,870 50,490
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 4 20 14 10 13,860 138,600 - 13,860 -
67 Zink syr Botol 12 7 5 3,285 16,425 - 3,285 - 5
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 892,757 50,490

TOTAL KESELURUHAN 2,390,967 7,420,517


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 212 236 50,032
3 Allopurinol 100 mg Tab. ktk 100 130 455 99 45,045
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 270 520 -
6 Amlodipin 5 mg Tab. Ktk 50 900 620 280 74 20,720
7 Amoksisilin 250 mg ktk 10x 10 510 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - - 266 -
9 Antasida syr. Botol 50 72 - 2,098 -
10 Antasida Tab. ktk 10x 10 500 500 500 60 30,000
11 Antihaemoroid Supp Box @ 10 11 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 1,000 750 1,150 120 138,000
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 30 135 175 23,625
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 500 180 515 119 61,285
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 400 400 240 67 16,080
20 Captopril 12,5 mg ktk 10 x 10 500 270 230 65 14,950
21 Captopril 25 mg ktk 10 x 10 500 70 430 80 34,400
22 Cetirizine 10 mg ktk 10 x 10 500 500 185 104 19,240
23 Ciprofloxacin 500 mg Tab. Box@100 130 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 215 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 100 121 12,100
31 Domperidone tab. ktk 100 500 210 410 90 36,900
32 Doxycicline 100 mg Cap. ktk 100 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 400 170 280 199 55,720
35 Furosemide Tab. ktk 100 - 112 84 9,408
36 Garam Oralit ktk 100 150 60 109 281 30,629
37 Glibenclamide 5 mg Tab. ktk 100 850 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 24 24 15 2,533 37,995
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 140 290 286 82,940
45 Ketoconazole salep ktk 25 tube 25 18 11 2,577 28,347
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 110 329 36,190
48 Kloramfenikol salep kulit (Bufacetin) Tube 24 16 10 3,360 33,600
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 553 - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 150 220 33,000
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 3,000 2,570 910 109 99,190
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 700 440 695 139 96,605
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 165 111 18,315
64 Metronidazole 500 mg Tab. ktk 10x 10 20 80 140 11,200
65 Miconazole 2% krem ktk 24 24 - 24 3,500 84,000
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 500 555 335 145 48,575
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 90 108 61 2,134 130,174
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 19 2,600 49,400
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 1,000 980 510 60 30,600
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 85 818 69,530
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 500 530 200 150 30,000
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 30 280 65 18,200
88 SF / Tablet tambah darah ktk 100 - 480 409 196,320
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 130 65 117 7,605
90 Thiamin ( vitamin B1 ) kotak 100 140 190 94 17,860
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 200 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 280 604 169,120
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 1,926,900
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 55 267 832 222,144
4 Acyclovir Cream Tube 25 9 26 3,751 97,526
5 Allopurinol 300 mg Tab. ktk 100 40 20 479 9,580
6 Ambroxol Syr. Botol 70 13 64 4,840 309,760
7 Ambroxol Tab. ktk 100 1,500 350 1,580 191 301,780
8 Amlodipin 10 mg ktk 30 300 - 300 1,015 304,500
9 Amlodipin 5 mg ktk 30 - - 297 -
10 Amokxyllin 500 mg 900 20 880 407 358,160
11 Amoxycillin Syr. Botol 60 22 59 5,478 323,202
12 Asam Mefenamat 500 mg kotak 10 x 10 500 220 280 362 101,360
13 Asam tranexamat (Nexitra) kotak 10 x 10 45 140 1,712 239,680
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 4 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 4 6 20,717 124,302
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 100 31 77 2,406 185,262
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 600 380 220 210 46,200
19 Cefadroxil 125 mg syr Botol 5 26 7,766 201,916
20 Cefadroxil 500 mg Kap. ktk 100 360 170 839 142,630
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol 23 27 9,395 253,665
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol 25 15 14 9,460 132,440
24 Chloramfenikol tetes telinga (Reco) Botol 5 5 16 9,460 151,360
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 1,000 800 744 137 101,928
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol 4 28 9,405 263,340
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 16 12,650 202,400
37 Gentian violet Botol - 16 3,023 48,368
38 Guanistrep syr. Botol 30 4 28 8,470 237,160
Glibenclamide 5 mg Tab. 260
Gliceril guaikolat Botol 500 430
39 Hyoscine-N-Bromida ktk 100 300 - 300 1,364 409,200
40 Ibuprofen 400 mg tab. ktk 100 500 530 560 380 212,800
41 ISDN Tab. ktk 100 31 361 165 59,565
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 20 6 213 1,278
46 Nystatin drop. Botol 10 9 21,300 191,700
47 Nistatin Vagina Ktk 100 13 7 828 5,796
48 Omeprazol 20 mg ktk 3x 10 450 250 200 414 82,800
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl 40 40 46 3,762 173,052
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 700 860 520 320 166,400
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube 10 3 7 46,750 327,250
59 Simvastatin 10 mg 270 - 270 564 152,280
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 5 3,285 16,425
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 6,157,209

TOTAL KESELURUHAN 8,084,109


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
ok
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 1 30 17 14 1,405 19,670 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 - 3,399 - 11
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 18
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 8
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 40 5 35 1,023 35,805 - 1,023 - 31
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 20 5 15 924 13,860 - 924 - 70
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - - 494 - 40 200 140 100 494 49,400 -
13 Hand Scoon S ktk 100 - 685 - - 685 - 100
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 12
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 - -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 - 11
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 20
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - 8
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - 1
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 69,335 49,400
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml 1 1 - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 - 2
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN 69,335 49,400


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2021
UPT. PUSKESMAS WARU
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 4 875 3,500 - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 - 11 3,399 37,389 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 12 6 1,232 7,392 - 1,232 -
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 30 3 35 4,236 148,260 - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 8 23 1,023 23,529 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 10 60 924 55,440 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 - 100 494 49,400 - 494 -
13 Hand Scoon S ktk 100 200 200 100 685 68,500 - 685 -
14 Hand Scoon Steril 7 ktk 100 10 2 8,029 16,058 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 20 7 24 8,750 210,000 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 20 567 11,340 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs 8 - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor 1 - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 630,808 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol 2 - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - -

TOTAL KESELURUHAN 630,808 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 120 - 120 236 28,320 10
3 Allopurinol 100 mg Tab. ktk 100 270 10 260 99 25,740 160 30 130 99 12,870 110
4 Ambroxol syr. btl - 3,639 - - 3,639 - 6
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 200 40 160 74 11,840 250 300 120 430 74 31,820
7 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 70 10 60 188 11,280
8 Amoksisilin 500 mg ktk 10x 11 215 45 170 266 45,220 - - 266 -
9 Antasida syr. Botol 20 2 18 2,098 37,764 5 5 4 6 2,098 12,588 7
10 Antasida Tab. ktk 10x 10 250 20 230 60 13,800 380 30 350 60 21,000 70
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 350 30 320 120 38,400 220 10 210 120 25,200 20
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 100 175 17,500 100 100 - 200 175 35,000
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 190 100 - 290 119 34,510 10 100 - 110 119 13,090
18 Betamethason Salep ktk 25 13 1 12 1,920 23,040 8 - 8 1,920 15,360
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 530 500 380 650 67 43,550 900 900 67 - 110
20 Captopril 12,5 mg ktk 10 x 10 300 - 300 65 19,500 300 - 300 65 19,500
21 Captopril 25 mg ktk 10 x 10 300 - 300 80 24,000 100 - 100 80 8,000
22 Cetirizine 10 mg ktk 10 x 10 420 40 380 104 39,520 160 - 160 104 16,640 50
23 Ciprofloxacin 500 mg Tab. Box@100 100 10 90 281 25,290 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 120 10 110 49 5,390 190 40 150 49 7,350 30
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 - 3
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 50 - 50 90 4,500 170 - 170 90 15,300
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 - 80
36 Garam Oralit ktk 100 117 17 100 281 28,100 - 281 - -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 31 2 29 2,533 73,457 6 2 4 2,533 10,132 3
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube 26 - 26 2,577 67,002 4 3 - 7 2,577 18,039 1
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 3
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 300 300 - 45 - 300 300 45 - 90
51 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 120 - 120 220 26,400
52 Kotrimoksasol syr. Btl 9 9 - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 7 4 3 1,405 4,215 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - 10 10 - 875 - 6
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 190 100 30 260 109 28,340 370 - 370 109 40,330
60 Metilergometrin inj ktk 100 3,399 3,399
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 100 - 100 140 14,000 - 140 -
65 Miconazole 2% krem ktk 24 - - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 3,116 -
67 NaCl infus Box @ 20 5 - 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 190 - 190 145 27,550 310 20 290 145 42,050 120
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube 20 - 4 24 2,600 62,400 - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 24 5 19 4,180 79,420 14 1 13 4,180 54,340 5
76 Paracetamol tab 500 mg ktk 100 tablet 260 200 40 420 60 25,200 230 80 150 60 9,000 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 100 - 100 818 81,800 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 175 - 175 150 26,250 260 60 200 150 30,000 50
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 1
85 Ringer laktat Infus Box@ 20 5 - 5 7,630 38,150 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 240 10 230 65 14,950 20
88 SF / Tablet tambah darah ktk 100 390 300 360 330 409 134,970 - 409 - 100
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 220 120 100 117 11,700 330 50 280 117 32,760 70
90 Thiamin ( vitamin B1 ) kotak 100 230 50 180 94 16,920 10 10 - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 400 20 380 135 51,300 200 - 200 135 27,000 30
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 90 100 - 190 604 114,760 - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 4
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 20 20 - 924 - 5
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter 1 1 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 100 - 494 - - 494 - -
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 10 10 8,029 - 10 - 10 8,029 80,290
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 5 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 50 50 - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,652,034 658,609
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 60 10 50 832 41,600 - 832 - 50
4 Acyclovir Cream Tube 13 2 11 3,751 41,261 5 - 5 3,751 18,755
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 17 2 15 4,840 72,600 8 2 6 4,840 29,040
7 Ambroxol Tab. ktk 100 210 100 - 310 191 59,210 470 30 440 191 84,040 50
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 - -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol 20 5 15 5,478 82,170 8 1 7 5,478 38,346 3
12 Asam Mefenamat 500 mg kotak 10 x 10 130 100 50 180 362 65,160 60 100 10 150 362 54,300 30
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 100 - 100 839 83,900 100 100 10 190 839 159,410
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol 10 - 10 9,395 93,950 3 3 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - 10 1 9 9,460 85,140 1
24 Chloramfenikol tetes telinga (Reco) Botol 10 1 9 9,460 85,140 - 9,460 - 3
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 280 70 210 137 28,770 230 10 220 137 30,140 140
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 12 - 12 9,405 112,860 7 - 7 9,405 65,835
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - 40 - 40 496 19,840
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - 9 - 9 12,650 113,850 2
37 Gentian violet Botol 12 2 10 3,023 30,230 4 - 4 3,023 12,092 -
38 Guanistrep syr. Botol - 8,470 - 10 1 9 8,470 76,230
Glibenclamide 5 mg Tab. 80
Gliceril guaikolat Botol 500 500
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100 200 200
40 Ibuprofen 400 mg tab. ktk 100 320 80 240 380 91,200 - 380 - -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 200 - 200 213 42,600 200 200 213 -
46 Nystatin drop. Botol 10 5 5 21,300 106,500 9 - 9 21,300 191,700 3
47 Nistatin Vagina Ktk 100 10 - 10 828 8,280 9 - 9 828 7,452
48 Omeprazol 20 mg ktk 3x 10 60 300 30 330 414 136,620 180 20 160 414 66,240
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 90 - 90 320 28,800 - 320 - 40
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol 14 3 11 3,285 36,135 7 1 6 3,285 19,710
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs 3 - 3 22,000 66,000 - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,312,986 1,072,120

TOTAL KESELURUHAN 2,965,020 1,730,729


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 10 236 2,360
3 Allopurinol 100 mg Tab. ktk 100 40 70 99 6,930
4 Ambroxol syr. btl 6 - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol 7 - 2,098 -
10 Antasida Tab. ktk 10x 10 70 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 20 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 20 90 67 6,030
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 105 45 104 4,680
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 30 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 3 2,336 7,008
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 80 84 6,720
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 3 - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube 1 - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube 3 - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 30 60 45 2,700
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 6 875 5,250
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 100 100 - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 30 90 145 13,050
69 Nystatin Vag. ktk 10x 10 - 10 528 5,280
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl 5 10 - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 200 200 - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 50 150 7,500
84 Ranitidine Inj. ktk 100 25 9 17 1,155 19,635
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 20 65 1,300
88 SF / Tablet tambah darah ktk 100 20 80 409 32,720
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 70 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 30 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 2 2 1,023 2,046
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 5 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter 1 - 1 29,375 29,375
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 30 30 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 152,584
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 50 - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol 3 - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 30 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol 5 2 4 9,460 37,840
24 Chloramfenikol tetes telinga (Reco) Botol 5 3 5 9,460 47,300
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 20 120 137 16,440
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 2 - 12,650 -
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab. 80
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 100 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol 3 - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 60 40 20 414 8,280
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 100 20 120 320 38,400
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 189,860

TOTAL KESELURUHAN 342,444


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 30 - 30 236 7,080
3 Allopurinol 100 mg Tab. ktk 100 20 100 10 110 99 10,890 110 - 110 99 10,890
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 40 - 40 74 2,960
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 70 - 70 188 13,160
8 Amoksisilin 500 mg ktk 10x 11 - - 266 - - 266 -
9 Antasida syr. Botol 5 1 4 2,098 8,392 2 5 1 6 2,098 12,588
10 Antasida Tab. ktk 10x 10 110 50 60 60 3,600 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 10 100 10 100 120 12,000 15 100 10 105 120 12,600
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 10 100 10 100 119 11,900
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 10 10 67 - 50 20 30 67 2,010
20 Captopril 12,5 mg ktk 10 x 10 30 30 65 - 50 100 - 150 65 9,750
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 20 20 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 50 50 49 - 30 - 30 49 1,470
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 90 90 75 - 50 - 50 75 3,750
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 20 20 281 - 40 12 28 281 7,868
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 7 - 7 2,533 17,731
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 3 3 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 5 - 5 3,360 16,800
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 100 100 - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 80 80 220 - 40 - 40 220 8,800
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 50 20 30 140 4,200
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl - 4,180 - 2 5 - 7 4,180 29,260
76 Paracetamol tab 500 mg ktk 100 tablet 65 65 60 - 35 100 100 35 60 2,100
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 40 40 409 - 130 - 130 409 53,170
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - 50 - 50 135 6,750
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - 20 20 - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - 7 7 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 17 17 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - 5 5 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 36 7 29 494 14,326
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 60 13 47 567 26,649
23 Polifix 5 x 10 m Roll - 45,662 - 1 - 1 45,662 45,662
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 34,882 321,474
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 5 1 4 4,840 19,360 - 5 - 5 4,840 24,200
7 Ambroxol Tab. ktk 100 100 10 90 191 17,190 50 20 30 191 5,730
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - - - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 100 30 70 362 25,340 20 - 20 362 7,240
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100 - 20 20 - -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - 110 - 110 380 41,800
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 61,890 78,970

TOTAL KESELURUHAN 96,772 400,444


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 -
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 -
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 -
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN -

TOTAL KESELURUHAN -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 212
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 - 455
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 - 280
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 - -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 - -
9 Antasida syr. Botol 4 20 10 14 2,098 29,372 - 2,098 - -
10 Antasida Tab. ktk 10x 10 10 200 175 35 60 2,100 - 60 - 500
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 - -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 65 100 115 50 120 6,000 - 120 - 1,150
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 135 100 130 105 175 18,375 - 175 - 135
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 33 100 38 95 119 11,305 - 119 - 515
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 90 80 10 67 670 - 67 - 240
20 Captopril 12,5 mg ktk 10 x 10 80 40 40 65 2,600 - 65 - 230
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 - 430
22 Cetirizine 10 mg ktk 10 x 10 100 7 93 104 9,672 - 104 - 185
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 - -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 14 10 10 14 2,336 32,704 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
31 Domperidone tab. ktk 100 75 100 - 175 90 15,750 - 90 - 410
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 - 280
35 Furosemide Tab. ktk 100 - 84 - - 84 - 112
36 Garam Oralit ktk 100 100 72 28 281 7,868 - 281 - 109
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - -
38 Glucosa Infus 5% Box @ 20 4 3 1 7,363 7,363 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 15
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 - 290
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 11
46 Ketorolak Inj 8 - 8 1,383 11,064 - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 110
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 10
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 100 95 5 45 225 - 45 - -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 150
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 72 72 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 46 26 20 109 2,180 - 109 - 910
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 64 100 95 69 139 9,591 - 139 - 695
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 - 165
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 80
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 - 24
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 1 20 11 10 6,410 64,100 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 80 100 145 35 145 5,075 - 145 - 335
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 61
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 19
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 3 10 12 1 4,180 4,180 - 4,180 - -
76 Paracetamol tab 500 mg ktk 100 tablet 120 300 260 160 60 9,600 - 60 - 510
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 - 85
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 - 200
84 Ranitidine Inj. ktk 100 1 110 84 27 1,155 31,185 - 1,155 -
85 Ringer laktat Infus Box@ 20 16 60 42 34 7,630 259,420 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 14 100 34 80 65 5,200 - 65 - 280
88 SF / Tablet tambah darah ktk 100 40 - 40 409 16,360 - 409 - 480
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - 65
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 - 190
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 - -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 80 80 - 604 - - 604 - 280
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - 100 50 50 110 5,500
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - 25 25 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - 68 68 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - 1 - 1 263,184 263,184
105 Pot dahak pcs - 2,354 - 144 56 88 2,354 207,152
106 Rapid test HbsAg - 8,100 - 126 16 110 8,100 891,000
107 RDT malaria Ktk @ 25 - 7,710 - 50 16 34 7,710 262,140
108 Reagen Zn Paket - 250,333 - 2 1 1 250,333 250,333
109 Sik shypillis Ktk @50 - 20,400 - 30 - 30 20,400 612,000
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 50 40 10 1,023 10,230 - 100 30 70 1,023 71,610
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 100 45 55 924 50,820 - 100 20 80 924 73,920
4 Alat suntik 5 mL Box @ 100 25 18 7 1,029 7,203 - 1,029 -
5 Alkohol 70 % btl 1 liter - 1 1 - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 200 100 100 140 14,000 - 300 100 200 140 28,000
7 Bioplacenton Tulle Box @ 10 2 10 8 4 10,733 42,932 - 10,733 -
8 Bisturi Box @ 100 22 7 15 3,090 46,350 - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 200 100 100 494 49,400 - - 494 -
12 Hand Scoon M ktk 100 - 600 500 100 494 49,400 - 200 200 - 494 -
13 Hand Scoon S ktk 100 200 400 500 100 685 68,500 200 200 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - 100 30 70 8,029 562,030
15 Infuset Anak ktk 50 20 3 17 6,270 106,590 - 6,270 -
16 Infuset dewasa ktk 50 66 50 36 80 2,880 230,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 31 50 54 27 8,750 236,250 - 8,750 -
19 IV cateter 24 G ktk 50 11 50 11 50 8,750 437,500 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak 10 8 2 7,770 15,540 - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - 126 126 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - 3 3 - 24,254 -
29 Silk Ktk @ 24 10 20 10 20 3,472 69,440 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 91 100 65 126 6,000 756,000
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - 93 100 63 130 25,000 3,250,000
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - 300 90 210 3,416 717,360
34 Tes kehamilan Pcs - 2,181 - 87 13 74 2,181 161,394
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs 4 3 1 3,150 3,150 - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue 200 -
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,999,664 8,111,623
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 - 267
4 Acyclovir Cream Tube - 3,751 - - 3,751 - 26
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 20
6 Ambroxol Syr. Botol - 4,840 - - 4,840 - 64
7 Ambroxol Tab. ktk 100 44 100 74 70 191 13,370 - 191 - 1,580
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - 300
9 Amlodipin 5 mg ktk 30 218 140 78 297 23,166 - 297 - -
10 Amokxyllin 500 mg 100 300 115 285 407 115,995 - 407 - 880
11 Amoxycillin Syr. Botol 5 1 4 5,478 21,912 - 5,478 - 59
12 Asam Mefenamat 500 mg kotak 10 x 10 115 100 40 175 362 63,350 - 362 - 280
13 Asam tranexamat (Nexitra) kotak 10 x 10 - - 1,712 - - 1,712 - 140
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 - -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 6
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 77
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 - 220
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol 4 3 1 7,766 7,766 - 7,766 - 26
20 Cefadroxil 500 mg Kap. ktk 100 8 100 40 68 839 57,052 - 839 - 170
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 - 27
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 14
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 16
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 115 100 105 110 137 15,070 - 137 - 744
27 Diatro Cleaner Botol - 759,000 - 1 1 - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - 1 1 - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - 1 1 - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 10 2 8 9,405 75,240 - 9,405 - 28
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 2 5 2 5 19,360 96,800 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet 28 28 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 16
37 Gentian violet Botol - 3,023 - - 3,023 - 16
38 Guanistrep syr. Botol 5 2 3 8,470 25,410 - 8,470 - 28
Glibenclamide 5 mg Tab. 260
Gliceril guaikolat Botol 430
39 Hyoscine-N-Bromida ktk 100 59 100 135 24 1,364 32,736 - 1,364 - 300
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 175 125 50 380 19,000 - 380 - 560
41 ISDN Tab. ktk 100 46 45 1 165 165 - 165 - 361
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 89 9 80 213 17,040 - 213 - 6
46 Nystatin drop. Botol - 21,300 - - 21,300 - 9
47 Nistatin Vagina Ktk 100 - 828 - - 828 - 7
48 Omeprazol 20 mg ktk 3x 10 25 180 167 38 414 15,732 - 414 - 200
49 Ondancentron inj. Ktk @ 10 17 60 35 42 6,050 254,100 - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 46
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 80 100 100 80 320 25,600 - 320 - 520
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 - 7
59 Simvastatin 10 mg - 564 - - 564 - 270
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - 27 200 66 161 1,870 301,070
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 10 20 10 20 13,860 277,200 - 13,860 -
67 Zink syr Botol 5 2 3 3,285 9,855 - 3,285 - 5
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,166,559 301,070

TOTAL KESELURUHAN 3,166,223 8,412,693


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 60 152 236 35,872
3 Allopurinol 100 mg Tab. ktk 100 455 99 -
4 Ambroxol syr. btl - 165 165 3,639 600,435
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 600 875 5 74 370
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 250 250 60 15,000
11 Antihaemoroid Supp Box @ 10 - 17 17 3,642 61,914
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 520 630 120 75,600
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 200 70 265 175 46,375
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 130 645 119 76,755
18 Betamethason Salep ktk 25 - 12 12 1,920 23,040
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 20 260 67 17,420
20 Captopril 12,5 mg ktk 10 x 10 - 950 1,180 65 76,700
21 Captopril 25 mg ktk 10 x 10 230 200 80 16,000
22 Cetirizine 10 mg ktk 10 x 10 500 75 610 104 63,440
23 Ciprofloxacin 500 mg Tab. Box@100 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 779 779 75 58,425
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 100 121 12,100
31 Domperidone tab. ktk 100 410 90 -
32 Doxycicline 100 mg Cap. ktk 100 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 180 100 199 19,900
35 Furosemide Tab. ktk 100 - 112 84 9,408
36 Garam Oralit ktk 100 44 65 281 18,265
37 Glibenclamide 5 mg Tab. ktk 100 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 370 370 157 58,090
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 9 24 2,533 60,792
43 Ibuprofen sirup btl 60 ml - 25 25 2,678 66,950
44 Ketoconazole 200 mg Tab. ktk 50 30 260 286 74,360
45 Ketoconazole salep ktk 25 tube 4 7 2,577 18,039
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 200 20 290 329 95,410
48 Kloramfenikol salep kulit (Bufacetin) Tube - 10 20 3,360 67,200
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 160 160 45 7,200
51 Kotrimoksasol 480 Tab. ktk 100 - 60 210 220 46,200
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 1,000 1,210 700 109 76,300
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 210 485 139 67,415
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 165 111 18,315
64 Metronidazole 500 mg Tab. ktk 10x 10 20 60 140 8,400
65 Miconazole 2% krem ktk 24 - 1 25 3,500 87,500
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 600 - 100 1,035 145 150,075
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 36 25 2,134 53,350
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube 2 17 2,600 44,200
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 1,000 1,160 350 60 21,000
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 20 65 818 53,170
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 600 330 470 150 70,500
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 10 270 65 17,550
88 SF / Tablet tambah darah ktk 100 600 1,080 - 409 -
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 65 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 190 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 280 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 2,389,035
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 139 128 832 106,496
4 Acyclovir Cream Tube 17 9 3,751 33,759
5 Allopurinol 300 mg Tab. ktk 100 10 10 479 4,790
6 Ambroxol Syr. Botol 9 55 4,840 266,200
7 Ambroxol Tab. ktk 100 245 1,335 191 254,985
8 Amlodipin 10 mg ktk 30 165 135 1,015 137,025
9 Amlodipin 5 mg ktk 30 - - 297 -
10 Amokxyllin 500 mg 460 420 407 170,940
11 Amoxycillin Syr. Botol 26 33 5,478 180,774
12 Asam Mefenamat 500 mg kotak 10 x 10 500 300 480 362 173,760
13 Asam tranexamat (Nexitra) kotak 10 x 10 70 70 1,712 119,840
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 10 10 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 4 2 20,717 41,434
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 15 62 2,406 149,172
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 220 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol 26 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 400 295 275 839 230,725
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol 27 - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 5 19 9,460 179,740
24 Chloramfenikol tetes telinga (Reco) Botol - 1 17 9,460 160,820
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 1,000 1,744 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol 11 17 9,405 159,885
Doxycicline 100 mg Cap. 180
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 4 12 12,650 151,800
37 Gentian violet Botol 4 12 3,023 36,276
38 Guanistrep syr. Botol 11 17 8,470 143,990
Glibenclamide 5 mg Tab. 500
Gliceril guaikolat Botol 300 -
39 Hyoscine-N-Bromida ktk 100 90 210 1,364 286,440
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 170 730 380 277,400
41 ISDN Tab. ktk 100 25 336 165 55,440
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 6 213 1,278
46 Nystatin drop. Botol 9 21,300 -
47 Nistatin Vagina Ktk 100 - 52 59 828 48,852
48 Omeprazol 20 mg ktk 3x 10 600 210 590 414 244,260
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl 15 31 3,762 116,622
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 940 940 23,598 22,182,120
53 Ranitidine Tab. ktk 100 1,000 1,520 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 6 13 46,750 607,750
59 Simvastatin 10 mg 270 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 36 41 3,285 134,685
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 26,657,258

TOTAL KESELURUHAN 29,046,293


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
ok
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 14 14 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 - 3,399 - 11
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 6
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 35
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 35 35 1,023 - - 1,023 - 23
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 15 15 924 - - 924 - 60
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 100 100 494 - 100
13 Hand Scoon S ktk 100 - 685 - - 685 - 100
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 2
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 - 24
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 20
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 - -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN - -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2021
UPT. PUSKESMAS WARU
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 4 875 3,500 - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 - 11 3,399 37,389 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 15 5 16 1,232 19,712 - 1,232 -
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 3 32 4,236 135,552 - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 23 1,023 23,529 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 5 55 924 50,820 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 100 494 49,400 - 494 -
13 Hand Scoon S ktk 100 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 60 16 46 8,029 369,334 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 50 13 37 8,355 309,135 - 8,355 -
18 IV cateter 22 G ktk 50 - 24 8,750 210,000 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 20 567 11,340 - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs 10 10 - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor 5 2 3 8,040 24,120 - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,243,831 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs 5 - 5 22,000 110,000 - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 110,000 -

TOTAL KESELURUHAN 1,353,831 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 200 - 200 236 47,200 120 - 120 236 28,320 10
3 Allopurinol 100 mg Tab. ktk 100 260 - 260 99 25,740 130 30 100 99 9,900 70
4 Ambroxol syr. btl - 3,639 - - 3,639 - -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 160 110 50 74 3,700 430 110 320 74 23,680
7 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 60 40 20 188 3,760
8 Amoksisilin 500 mg ktk 10x 11 170 100 30 240 266 63,840 - 266 -
9 Antasida syr. Botol 18 10 - 28 2,098 58,744 6 6 - 2,098 - -
10 Antasida Tab. ktk 10x 10 230 100 80 250 60 15,000 350 20 330 60 19,800 -
11 Antihaemoroid Supp Box @ 10 13 - 13 3,642 47,346 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 320 100 220 120 26,400 210 60 150 120 18,000 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 100 - 100 175 17,500 200 - 200 175 35,000
16 Benzatin benzil penicillin inj ktk 10 - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 290 20 270 119 32,130 110 - 110 119 13,090
18 Betamethason Salep ktk 25 12 2 10 1,920 19,200 8 1 7 1,920 13,440
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 650 500 250 900 67 60,300 - 67 - 90
20 Captopril 12,5 mg ktk 10 x 10 300 80 220 65 14,300 300 30 270 65 17,550
21 Captopril 25 mg ktk 10 x 10 300 - 300 80 24,000 100 50 50 80 4,000
22 Cetirizine 10 mg ktk 10 x 10 380 190 190 104 19,760 160 30 130 104 13,520 45
23 Ciprofloxacin 500 mg Tab. Box@100 90 - 90 281 25,290 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 110 - 110 49 5,390 150 50 100 49 4,900 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 - 3
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 50 - 50 90 4,500 170 170 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 - 80
36 Garam Oralit ktk 100 100 6 94 281 26,414 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 29 4 25 2,533 63,325 4 2 2 2,533 5,066 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube 26 - 26 2,577 67,002 7 - 7 2,577 18,039 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 300 20 280 45 12,600 100 - 100 45 4,500 60
51 Kotrimoksasol 480 Tab. ktk 100 60 - 60 220 13,200 120 - 120 220 26,400
52 Kotrimoksasol syr. Btl - - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 3 5 - 8 1,405 11,240 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - - 875 - 6
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 260 30 230 109 25,070 370 - 370 109 40,330
60 Metilergometrin inj ktk 100 3,399 3,399
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 - -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 90 - 90 111 9,990 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 100 - 100 140 14,000 - 140 -
65 Miconazole 2% krem ktk 24 24 - 24 3,500 84,000 - 3,500 -
66 Mineral Mix Sachet 3,116 3,116 -
67 NaCl infus Box @ 20 5 - 5 6,410 32,050 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 190 - 190 145 27,550 290 10 280 145 40,600 90
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 - 10
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube 24 2 22 2,600 57,200 - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 19 10 9 4,180 37,620 13 5 8 4,180 33,440 -
76 Paracetamol tab 500 mg ktk 100 tablet 420 125 295 60 17,700 150 120 30 60 1,800 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 100 - 100 818 81,800 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 175 100 - 15 290 150 43,500 200 - 200 150 30,000 50
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 - 17
85 Ringer laktat Infus Box@ 20 5 - 5 7,630 38,150 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 60 65 3,900 230 - 230 65 14,950 20
88 SF / Tablet tambah darah ktk 100 330 180 150 409 61,350 - 409 - 80
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 100 5 95 117 11,115 280 - 280 117 32,760 -
90 Thiamin ( vitamin B1 ) kotak 100 180 40 140 94 13,160 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 380 40 340 135 45,900 200 200 135 - -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 190 20 170 604 102,680 - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - -
1 Alat suntik 1 mL Box @ 100 50 - 50 1,023 51,150 - 1,023 - 2
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 50 - 50 924 46,200 - - 924 - -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 - 1
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 10 - 10 6,142 61,420 - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - - 494 - - 494 -
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 10 - 10 8,029 80,290 10 10 8,029 - -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 5 - 5 2,880 14,400 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 5 - 5 8,750 43,750 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,738,146 452,845
OBAT & BMHP JKN : - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 50 - 50 832 41,600 - 832 - 50
4 Acyclovir Cream Tube 11 - 11 3,751 41,261 5 - 5 3,751 18,755
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 15 11 4 4,840 19,360 6 1 5 4,840 24,200
7 Ambroxol Tab. ktk 100 310 70 240 191 45,840 440 60 380 191 72,580 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol 15 4 11 5,478 60,258 7 7 5,478 - -
12 Asam Mefenamat 500 mg kotak 10 x 10 180 100 10 270 362 97,740 150 20 130 362 47,060
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 100 10 90 839 75,510 190 - 190 839 159,410
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian TOTAL Stok awal
Sisa Harga satuan Sisa Harga Satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol 10 6 4 9,395 37,580 - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - 9 2 7 9,460 66,220 4
24 Chloramfenikol tetes telinga (Reco) Botol 9 - 9 9,460 85,140 - 9,460 - 5
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 210 100 110 200 137 27,400 220 10 210 137 28,770 120
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 12 2 10 9,405 94,050 7 - 7 9,405 65,835
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - 40 40 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - 9 9 12,650 - -
37 Gentian violet Botol 10 - 10 3,023 30,230 4 4 3,023 -
38 Guanistrep syr. Botol - 8,470 - 9 - 9 8,470 76,230
Glibenclamide 5 mg Tab. - 80
Gliceril guaikolat Botol 500 50 450
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100 200 - 200
40 Ibuprofen 400 mg tab. ktk 100 240 80 160 380 60,800 - 380 - -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 200 10 190 213 40,470 200 - 200 213 42,600
46 Nystatin drop. Botol 5 - 5 21,300 106,500 9 - 9 21,300 191,700 -
47 Nistatin Vagina Ktk 100 10 - 10 828 8,280 9 - 9 828 7,452
48 Omeprazol 20 mg ktk 3x 10 330 60 270 414 111,780 160 20 140 414 57,960 20
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 90 - 90 320 28,800 - 320 - 120
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol 11 1 10 3,285 32,850 6 1 5 3,285 16,425
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs 3 3 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 1,045,449 875,197

TOTAL KESELURUHAN 2,783,595 1,328,042


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 10 236 2,360
3 Allopurinol 100 mg Tab. ktk 100 10 60 99 5,940
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol 10 1 9 2,098 18,882
10 Antasida Tab. ktk 10x 10 100 50 50 60 3,000
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 100 10 90 120 10,800
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 10 7 3 1,920 5,760
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 10 80 67 5,360
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 100 40 60 80 4,800
22 Cetirizine 10 mg ktk 10 x 10 20 25 104 2,600
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 3 2,336 7,008
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 80 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 10 6 4 2,533 10,132
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube 4 - 4 3,360 13,440
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 50 10 45 450
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 6 875 5,250
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 100 95 5 139 695
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 10 6 4 3,500 14,000
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 20 70 145 10,150
69 Nystatin Vag. ktk 10x 10 - 10 528 5,280
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 200 110 90 60 5,400
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 50 150 7,500
84 Ranitidine Inj. ktk 100 10 7 1,155 8,085
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 20 - 65 -
88 SF / Tablet tambah darah ktk 100 30 50 409 20,450
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Simvastatin 10 mg ktk 30 50 - 50 117 5,850
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 2 1,023 2,046
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 10 5 5 924 4,620
4 Alat suntik 5 mL Box @ 100 5 2 3 1,029 3,087
5 Alkohol 70 % btl 1 liter - 1 29,375 29,375
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 100 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll 25 5 20 1,167 23,340
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 235,660
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 50 832 41,600
4 Acyclovir Cream Tube 5 - 5 3,751 18,755
5 Allopurinol 300 mg Tab. ktk 100 479 -
6 Ambroxol Syr. Botol 10 3 7 4,840 33,880
7 Ambroxol Tab. ktk 100 100 60 40 191 7,640
8 Amlodipin 10 mg ktk 30 60 20 40 1,015 40,600
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg 100 95 5 407 2,035
11 Amoxycillin Syr. Botol - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 100 100 - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
Captopril 12,5 mg Tab. ktk 100 100 100
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
PUSBAN API-API
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 4 9,460 37,840
24 Chloramfenikol tetes telinga (Reco) Botol - 5 9,460 47,300
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 120 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 6 - 6 12,650 75,900
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab. 60
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
Ibuprofen 200 mg tab ktk 100 200 60
40 Ibuprofen 400 mg tab. ktk 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 60 20 60 414 24,840
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 80 40 320 12,800
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 343,190

TOTAL KESELURUHAN 578,850


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
ok ok ok
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - 30 20 10 236 2,360
3 Allopurinol 100 mg Tab. ktk 100 110 - 110 99 10,890 110 - 110 99 10,890
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - 40 10 30 74 2,220
7 Amoksisilin 250 mg ktk 10x 10 - 188 - 70 40 30 188 5,640
8 Amoksisilin 500 mg ktk 10x 11 500 410 90 266 23,940 30 100 70 60 266 15,960
9 Antasida syr. Botol 4 1 3 2,098 6,294 6 2 4 2,098 8,392
10 Antasida Tab. ktk 10x 10 60 40 20 60 1,200 20 20 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 100 - 100 120 12,000 105 20 85 120 10,200
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - 100 10 90 119 10,710
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 90 40 50 67 3,350 30 - 30 67 2,010
20 Captopril 12,5 mg ktk 10 x 10 - 65 - 150 10 140 65 9,100
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 100 10 90 104 9,360 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 50 - 50 49 2,450 30 - 30 49 1,470
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - 50 100 60 90 75 6,750
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 20 - 20 281 5,620 28 - 28 281 7,868
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 5 1 4 2,533 10,132 7 2 5 2,533 12,665
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 50 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - 5 - 5 3,360 16,800
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 100 - 100 45 4,500 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 80 80 80 220 17,600 40 - 40 220 8,800
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 100 - 100 109 10,900 - 109 -
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - 30 - 30 140 4,200
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 70 40 30 145 4,350 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 3 - 3 4,180 12,540 7 1 6 4,180 25,080
76 Paracetamol tab 500 mg ktk 100 tablet 15 15 - 60 - 35 - 35 60 2,100
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - 1 - 1 7,630 7,630
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 100 20 80 409 32,720 130 10 120 409 49,080
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 100 - 100 117 11,700 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 90 20 70 135 9,450 50 - 50 135 6,750
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 - - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 - 7 - 7 924 6,468
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - 17 4 13 140 1,820
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 29 7 22 494 10,868
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - 47 47 567 -
23 Polifix 5 x 10 m Roll - 45,662 - 1 1 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 188,996 245,831
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol 4 - 4 4,840 19,360 5 1 4 4,840 19,360
7 Ambroxol Tab. ktk 100 90 - 90 191 17,190 30 100 10 120 191 22,920
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 70 30 40 362 14,480 20 100 40 80 362 28,960
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100 20 100 30 90 - -
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 100 20 80 137 10,960 - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube 3 - 3 3,630 10,890 - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol 100 100
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - 110 - 110 380 41,800
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 90 - 90 320 28,800 - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 101,680 113,040

TOTAL KESELURUHAN 290,676 358,871


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 -
4 Ambroxol syr. btl - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 -
18 Betamethason Salep ktk 25 - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 -
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 -
35 Furosemide Tab. ktk 100 - 84 -
36 Garam Oralit ktk 100 - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 -
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 -
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 -
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 -
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 -
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD -
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 -
4 Acyclovir Cream Tube - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 -
6 Ambroxol Syr. Botol - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 -
10 Amokxyllin 500 mg - 407 -
11 Amoxycillin Syr. Botol - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 -
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 -
USILA
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 -
37 Gentian violet Botol - 3,023 -
38 Guanistrep syr. Botol - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 -
41 ISDN Tab. ktk 100 - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 -
46 Nystatin drop. Botol - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 -
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube - 46,750 -
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol - 3,285 -
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN -

TOTAL KESELURUHAN -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
ok ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 - 152
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 - 165
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 - 5
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol 14 8 6 2,098 12,588 - 2,098 -
10 Antasida Tab. ktk 10x 10 35 - 30 65 60 3,900 - 60 - 250
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 - 17
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 50 - 25 75 120 9,000 - 120 - 630
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 105 105 175 - - 175 - 265
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 95 95 119 - - 119 - 645
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 - 12
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 10 - 10 67 670 - 67 - 260
20 Captopril 12,5 mg ktk 10 x 10 40 30 10 65 650 - 65 - 1,180
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 - 200
22 Cetirizine 10 mg ktk 10 x 10 93 100 153 40 104 4,160 - 104 - 610
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 - -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 - -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 - 779
27 Dexamethasone inj. ktk 10 14 90 40 64 2,336 149,504 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 - 100
31 Domperidone tab. ktk 100 175 75 100 90 9,000 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 - -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 - 100
35 Furosemide Tab. ktk 100 - 84 - - 84 - 112
36 Garam Oralit ktk 100 28 100 38 90 281 25,290 - 281 - 65
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 - -
38 Glucosa Infus 5% Box @ 20 1 1 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 - 370
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 - 24
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 - 25
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 - 260
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 - 7
46 Ketorolak Inj 8 12 8 12 1,383 16,596 - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 - 290
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 - 20
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 5 95 40 60 45 2,700 - 45 - 160
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 - 210
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 51 31 20 1,405 28,100 - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 20 - 20 109 2,180 - 109 - 700
60 Metilergometrin inj ktk 100 3,399 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 69 19 50 139 6,950 - 139 - 485
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 - 165
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 - 60
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 - 25
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 10 5 11 4 6,410 25,640 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 35 200 180 55 145 7,975 - 145 - 1,035
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 - 25
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 - 17
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 -
75 paracetamil syr btl 1 1 - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet 160 400 370 190 60 11,400 - 60 - 350
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 - 65
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 - 470
84 Ranitidine Inj. ktk 100 27 50 63 14 1,155 16,170 - 1,155 -
85 Ringer laktat Infus Box@ 20 34 2 32 7,630 244,160 - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 80 40 55 65 65 4,225 - 65 - 270
88 SF / Tablet tambah darah ktk 100 40 40 409 - - 409 - -
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 - -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 - -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - 50 50 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - 1 1 263,184 -
105 Pot dahak pcs - 2,354 - 88 88 2,354 -
106 Rapid test HbsAg - 8,100 - 110 - 110 8,100 891,000
107 RDT malaria Ktk @ 25 - 7,710 - 34 - 34 7,710 262,140
108 Reagen Zn Paket - 250,333 - 1 - 1 250,333 250,333
109 Sik shypillis Ktk @50 - 20,400 - 30 - 30 20,400 612,000
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 10 100 20 90 1,023 92,070 70 - 70 1,023 71,610
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 55 400 210 245 924 226,380 80 - 80 924 73,920
4 Alat suntik 5 mL Box @ 100 7 100 87 20 1,029 20,580 - 1,029 -
5 Alkohol 70 % btl 1 liter - - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 100 100 100 100 140 14,000 200 - 200 140 28,000
7 Bioplacenton Tulle Box @ 10 4 10 4 10 10,733 107,330 - 10,733 -
8 Bisturi Box @ 100 15 3 12 3,090 37,080 - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 100 200 200 100 494 49,400 - - 494 -
12 Hand Scoon M ktk 100 100 400 500 - 494 - - - - 494 -
13 Hand Scoon S ktk 100 100 100 - 685 - - - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - 70 70 8,029 -
15 Infuset Anak ktk 50 17 5 12 6,270 75,240 - 6,270 -
16 Infuset dewasa ktk 50 80 58 22 2,880 63,360 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 -
18 IV cateter 22 G ktk 50 27 50 64 13 8,750 113,750 - 8,750 -
19 IV cateter 24 G ktk 50 50 35 15 8,750 131,250 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak 2 2 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - - 24,254 -
29 Silk Ktk @ 24 20 20 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - 126 - 126 6,000 756,000
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - 130 - 130 25,000 3,250,000
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - 210 - 210 3,416 717,360
34 Tes kehamilan Pcs - 2,181 - 74 - 74 2,181 161,394
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs 1 1 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue -
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 1,511,298 7,073,757
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 - 128
4 Acyclovir Cream Tube - 3,751 - - 3,751 - 9
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 - 10
6 Ambroxol Syr. Botol - 4,840 - - 4,840 - 55
7 Ambroxol Tab. ktk 100 70 100 45 125 191 23,875 - 191 - 1,335
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 - 135
9 Amlodipin 5 mg ktk 30 78 100 133 45 297 13,365 - 297 - -
10 Amokxyllin 500 mg 285 300 489 96 407 39,072 - 407 - 420
11 Amoxycillin Syr. Botol 4 4 - 5,478 - - 5,478 - 33
12 Asam Mefenamat 500 mg kotak 10 x 10 175 300 385 90 362 32,580 - 362 - 480
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 - 70
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 - 2
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 - 62
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol 1 1 - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 68 68 - 839 - - 839 - 275
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 - -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 - 19
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 - 17
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 110 100 110 100 137 13,700 - 137 - -
27 Diatro Cleaner Botol - 759,000 - - - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1 - 1 1,863,400 1,863,400
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol 8 10 11 7 9,405 65,835 - 9,405 - 17
Doxycicline 100 mg Cap. 180
32 Dumin Rektal 125 mg ktk 5 5 15 16 4 19,360 77,440 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 - 12
37 Gentian violet Botol - 3,023 - - 3,023 - 12
38 Guanistrep syr. Botol 3 3 - 8,470 - - 8,470 - 17
Glibenclamide 5 mg Tab. 500
Gliceril guaikolat Botol -
39 Hyoscine-N-Bromida ktk 100 24 100 54 70 1,364 95,480 - 1,364 - 210
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 50 100 20 130 380 49,400 - 380 - 730
41 ISDN Tab. ktk 100 1 42 1 42 165 6,930 - 165 - 336
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 80 27 53 213 11,289 - 213 - 6
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 - 59
48 Omeprazol 20 mg ktk 3x 10 38 90 63 65 414 26,910 - 414 - 590
49 Ondancentron inj. Ktk @ 10 42 29 13 6,050 78,650 - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 - 31
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 80 100 90 90 320 28,800 - 320 - 940
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 - 13
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - 161 - 161 1,870 301,070
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 20 10 18 12 13,860 166,320 - 13,860 -
67 Zink syr Botol 3 10 5 8 3,285 26,280 - 3,285 - 41
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 755,926 2,164,470

TOTAL KESELURUHAN 2,267,224 9,238,227


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 300 300 412 123,600
2 Acyclovir 200 mg Tab ktk 100 - 152 236 35,872
3 Allopurinol 100 mg Tab. ktk 100 800 50 750 99 74,250
4 Ambroxol syr. btl 165 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 850 850 520 -
6 Amlodipin 5 mg Tab. Ktk 50 5 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 -
9 Antasida syr. Botol 50 9 41 2,098 86,018
10 Antasida Tab. ktk 10x 10 100 250 100 60 6,000
11 Antihaemoroid Supp Box @ 10 30 37 10 3,642 36,420
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 500 1,100 30 120 3,600
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 -
15 Attapulgit (Pularex) Box @ 50 35 230 175 40,250
16 Benzatin benzil penicillin inj ktk 10 - - -
17 Betahistine 6mg tab. ktk 10 x 10 255 390 119 46,410
18 Betamethason Salep ktk 25 - 8 20 1,920 38,400
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 1,000 490 770 67 51,590
20 Captopril 12,5 mg ktk 10 x 10 240 940 65 61,100
21 Captopril 25 mg ktk 10 x 10 120 80 80 6,400
22 Cetirizine 10 mg ktk 10 x 10 610 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 700 1,049 430 75 32,250
27 Dexamethasone inj. ktk 10 - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 -
29 Difenhidramin Inj. ktk 30 1,262 -
30 Dimenhydrinat tab ktk 100 - 100 121 12,100
31 Domperidone tab. ktk 100 - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 -
34 Ergotamine + Caffein Btl 100 500 150 450 199 89,550
35 Furosemide Tab. ktk 100 - 112 84 9,408
36 Garam Oralit ktk 100 35 30 281 8,430
37 Glibenclamide 5 mg Tab. ktk 100 - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 -
39 Glyceryl Guaicolat ktk 100 370 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 -
41 HBO unijeck Pcs - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g 24 2,533 -
43 Ibuprofen sirup btl 60 ml 25 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 20 240 286 68,640
45 Ketoconazole salep ktk 25 tube - 17 24 2,577 61,848
46 Ketorolak Inj - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 30 260 329 85,540
48 Kloramfenikol salep kulit (Bufacetin) Tube 10 10 3,360 33,600
49 Kloramfenikol salep mata Tube - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 160 - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 210 220 46,200
52 Kotrimoksasol syr. Btl - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 -
55 Lysol btl - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 -
59 Metformin 500 mg ktk 10x 10 1,000 1,322 378 109 41,202
60 Metilergometrin inj ktk 100 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 365 120 139 16,680
62 Metoclopramide Syr (Lexapram) Botol - 2,750 -
63 Metoclopramide tab. Box @ 100 - 165 111 18,315
64 Metronidazole 500 mg Tab. ktk 10x 10 - 60 140 8,400
65 Miconazole 2% krem ktk 24 9 16 3,500 56,000
66 Mineral Mix Sachet 3,116 -
67 NaCl infus Box @ 20 - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 100 405 730 145 105,850
69 Nystatin Vag. ktk 10x 10 - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 54 79 2,134 168,586
71 OAT Kat 1 Paket - 317,018 -
72 OBH syr. Btl - 3,500 -
73 Oxytetracycline Salep mata Tube 2 15 2,600 39,000
74 Oxytocin Inj. ktk 100 - 1,232 -
75 paracetamil syr btl - 96 96 4,180 401,280
76 Paracetamol tab 500 mg ktk 100 tablet 1,000 1,200 150 60 9,000
77 Phenol Glycerol Tetes Telinga Btl - 24 24 2,500 60,000
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 20 45 818 36,810
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 -
80 Povidone Iodida Botol - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 -
82 Primaquin Tab. Box @ 100 - 200 200 242 48,400
83 Pyridoxin Tab. (Vit B6) ktk 100 600 360 710 150 106,500
84 Ranitidine Inj. ktk 100 - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 -
86 Risperidone tab. ktk 100 - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet 40 230 65 14,950
88 SF / Tablet tambah darah ktk 100 - 409 -
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 -
91 Vit A Biru btl 50 - 331 -
92 Vit A merah btl 50 - 596 -
93 Vit B Komplek Tablet btl 100 - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 -
96 Zink tablet ktk 10 x 10 - 604 -
97 Methyl ergometrin - 242 -
OBAT GIGI : - - -
98 Eugenol Btl - 50,417 -
99 Aseptik gel - - -
100 yellow tip - 110 -
REAGEN / LAB : - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 -
103 HIV test - 11,975 -
104 Larutan giemsa Btl - 263,184 -
105 Pot dahak pcs - 2,354 -
106 Rapid test HbsAg - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 -
108 Reagen Zn Paket - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 -
111 Slide kaca prosted ktk 50 - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 -
115 Stik HB - 9,900 -
BMHP APBD : - - -
1 Alat suntik 1 mL Box @ 100 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 -
3 Alat suntik 3 mL Box @ 100 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 -
6 Alkohol swab. Box @ 100 - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 -
8 Bisturi Box @ 100 - 3,090 -
9 Blood Lancet Box @100 - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 -
11 Hand Scoon L ktk 100 - 494 -
12 Hand Scoon M ktk 100 - 494 -
13 Hand Scoon S ktk 100 - 685 -
14 Hand Scoon Steril 7 ktk 100 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 -
18 IV cateter 22 G ktk 50 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 -
21 Kassa Steril Kotak - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 -
23 Polifix 5 x 10 m Roll - 45,662 -
24 Pot Sputum Pcs - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 -
29 Silk Ktk @ 24 - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 -
34 Tes kehamilan Pcs - 2,181 -
35 Underpad Pcs - 4,696 -
36 Urine Bag pcs - 3,150 -
37 Mucus Extraktor - 8,040 -
38 Oxyflow Anak - 6,188 -
39 Oxyflow Dewasa - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 -
TOTAL OBAT & BMHP APBD 2,188,449
OBAT & BMHP JKN : - - -
1 Aceptic Gell Botol - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 70 58 832 48,256
4 Acyclovir Cream Tube 1 8 3,751 30,008
5 Allopurinol 300 mg Tab. ktk 100 300 310 479 -
6 Ambroxol Syr. Botol 25 30 4,840 145,200
7 Ambroxol Tab. ktk 100 360 975 191 186,225
8 Amlodipin 10 mg ktk 30 - 75 210 1,015 213,150
9 Amlodipin 5 mg ktk 30 - 5 5 297 1,485
10 Amokxyllin 500 mg 600 745 275 407 111,925
11 Amoxycillin Syr. Botol 33 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 600 490 590 362 213,580
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 125 195 1,712 333,840
14 Bioplacenton salep Tube - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 5 1 4 28,600 114,400
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 6 1 7 20,717 145,019
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 15 47 2,406 113,082
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 400 330 345 839 289,455
APOTEK
No. Nama Obat Satuan Stok akhir
Penerimaan Pemakaian Total
Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 -
22 Cetirizine sirup botol - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol 2 17 9,460 160,820
24 Chloramfenikol tetes telinga (Reco) Botol 5 12 9,460 113,520
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 -
27 Diatro Cleaner Botol - 759,000 -
28 Diatro Diluent Botol - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 -
31 Domperidone syr Botol 70 39 48 9,405 451,440
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 -
34 Garam Oralit sachet - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 -
36 Gentamicine Tetes mata Botol 2 10 12,650 126,500
37 Gentian violet Botol 2 10 3,023 30,230
38 Guanistrep syr. Botol - 15 32 8,470 271,040
Glibenclamide 5 mg Tab. 385
Gliceril guaikolat Botol 70
39 Hyoscine-N-Bromida ktk 100 300 180 330 1,364 450,120
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 490 240 380 91,200
41 ISDN Tab. ktk 100 5 331 165 54,615
42 Kotrimoksasol 480 mg ktk 100 - 265 -
43 Loratadine Tab. ktk 50 - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 -
45 Nifedipine Tab. ktk 10x 10 1 5 213 1,065
46 Nystatin drop. Botol - 19 19 21,300 404,700
47 Nistatin Vagina Ktk 100 3 56 828 46,368
48 Omeprazol 20 mg ktk 3x 10 460 130 414 53,820
49 Ondancentron inj. Ktk @ 10 - 6,050 -
50 Parasetamol Sirup btl - 65 96 3,762 361,152
51 Piroxicam 10 mg Tab. Box @ 100 - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 -
53 Ranitidine Tab. ktk 100 180 760 320 243,200
54 Salmonella Thyppy AO Botol - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 -
58 Scabimide salep Tube 1 12 46,750 561,000
59 Simvastatin 10 mg - 564 -
60 Spiritus Botol - 55,000 -
61 Stik Hb btl 50 - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 -
63 Salisil - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 -
65 Utrasonic Gell Botol - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 -
67 Zink syr Botol 31 10 3,285 32,850
68 Golda anti A Botol - 148,500 -
69 Silk 4/0 pcs - 11,000 -
70 Iv catheter 22 G pcs - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 -
73 Golda anti B - 148,500 -
74 Golda reseus anti D - 228,800 -
TOTAL OBAT & BMHP JKN 5,399,265

TOTAL KESELURUHAN 7,587,714


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
ok ok ok
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul 14 14 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 - 875 - - 875 - 4
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 3,399 - 3,399 - 11
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 - 1,232 - - 1,232 - 16
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 - 4,236 - - 4,236 - 32
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 35 35 1,023 - - 1,023 - 23
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 15 15 924 - - 924 - 55
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 - 494 - 100 100 494 - 100
13 Hand Scoon S ktk 100 - 685 - - 685 - -
14 Hand Scoon Steril 7 ktk 100 - 8,029 - - 8,029 - 46
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 - 8,355 - - 8,355 - 37
18 IV cateter 22 G ktk 50 - 8,750 - - 8,750 - 24
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs - 567 - - 567 - 20
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 - -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor - 8,040 - - 8,040 - 3
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total Stok awal
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 22,000 - - 22,000 - 5
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN - - -

TOTAL KESELURUHAN - -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MEI 2021
UPT. PUSKESMAS WARU
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412 -
2 Acyclovir 200 mg Tab ktk 100 - 236 - - 236 -
3 Allopurinol 100 mg Tab. ktk 100 - 99 - - 99 -
4 Ambroxol syr. btl - 3,639 - - 3,639 -
5 Amlodipin 10 mg Tab. Ktk 50 - 520 - - 520 -
6 Amlodipin 5 mg Tab. Ktk 50 - 74 - - 74 -
7 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188 -
8 Amoksisilin 500 mg ktk 10x 11 - 266 - - 266 -
9 Antasida syr. Botol - 2,098 - - 2,098 -
10 Antasida Tab. ktk 10x 10 - 60 - - 60 -
11 Antihaemoroid Supp Box @ 10 - 3,642 - - 3,642 -
12 Asam Askorbat Tab 50 mg (Vit.C) ktk 10 x 10 - 120 - - 120 -
13 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - - 60 -
14 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175 -
15 Attapulgit (Pularex) Box @ 50 - 175 - - 175 -
16 Benzatin benzil penicillin inj ktk 10 - - - - - -
17 Betahistine 6mg tab. ktk 10 x 10 - 119 - - 119 -
18 Betamethason Salep ktk 25 - 1,920 - - 1,920 -
19 Calcium laktat 500 mg (Kalk) tab. ktk 10 x 10 - 67 - - 67 -
20 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65 -
21 Captopril 25 mg ktk 10 x 10 - 80 - - 80 -
22 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104 -
23 Ciprofloxacin 500 mg Tab. Box@100 - 281 - - 281 -
24 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49 -
25 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226 -
26 Dexamethasone 0,5 mg Tab. ktk 100 - 75 - - 75 -
27 Dexamethasone inj. ktk 10 - 2,336 - - 2,336 -
28 Diazepam 2 mg Tab. btl 100 - 86 - - 86 -
29 Difenhidramin Inj. ktk 30 1,262 - 1,262 -
30 Dimenhydrinat tab ktk 100 - 121 - - 121 -
31 Domperidone tab. ktk 100 - 90 - - 90 -
32 Doxycicline 100 mg Cap. ktk 100 - 309 - - 309 -
33 Ephineprine Inj. Ktk 30 - 1,518 - - 1,518 -
34 Ergotamine + Caffein Btl 100 - 199 - - 199 -
35 Furosemide Tab. ktk 100 - 84 - - 84 -
36 Garam Oralit ktk 100 - 281 - - 281 -
37 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137 -
38 Glucosa Infus 5% Box @ 20 - 7,363 - - 7,363 -
39 Glyceryl Guaicolat ktk 100 - 157 - - 157 -
40 Griseofulvin 125 mg Tab. ktk 100 - 223 - - 223 -
41 HBO unijeck Pcs - 25,597 - - 25,597 -
42 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,533 - - 2,533 -
43 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678 -
44 Ketoconazole 200 mg Tab. ktk 50 - 286 - - 286 -
45 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577 -
46 Ketorolak Inj - 1,383 - - 1,383 -
47 Kloramfenikol 250 mg Cap. ktk 100 - 329 - - 329 -
48 Kloramfenikol salep kulit (Bufacetin) Tube - 3,360 - - 3,360 -
49 Kloramfenikol salep mata Tube - 1,925 - - 1,925 -
50 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 45 - - 45 -
51 Kotrimoksasol 480 Tab. ktk 100 - 220 - - 220 -
52 Kotrimoksasol syr. Btl - 2,225 - - 2,225 -
53 Lidocain 2 % comp. inj. Ampul - 1,405 - - 1,405 -
54 Lidocain 2 % inj ktk 100 4 - 875 - - 875 -
55 Lysol btl - 45,100 - - 45,100 -
56 MDT Combi MB Adult dewasa - 36,579 - - 36,579 -
57 Meloxicam 15 mg ktk 20 - 1,377 - - 1,377 -
58 Meloxicam 7,5 mg ktk 20 - 723 - - 723 -
59 Metformin 500 mg ktk 10x 10 - 109 - - 109 -
60 Metilergometrin inj ktk 100 - 11 3,399 37,389 3,399 -
61 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 139 - - 139 -
62 Metoclopramide Syr (Lexapram) Botol - 2,750 - - 2,750 -
63 Metoclopramide tab. Box @ 100 - 111 - - 111 -
64 Metronidazole 500 mg Tab. ktk 10x 10 - 140 - - 140 -
65 Miconazole 2% krem ktk 24 - 3,500 - - 3,500 -
66 Mineral Mix Sachet 3,116 - 3,116 -
67 NaCl infus Box @ 20 - 6,410 - - 6,410 -
68 Natrium Diklofenak 50 mg Tab. Box @ 50 - 145 - - 145 -
69 Nystatin Vag. ktk 10x 10 - 528 - - 528 -
70 OAM (Obat Anti Malaria) DHP ktk 9 - 2,134 - - 2,134 -
71 OAT Kat 1 Paket - 317,018 - - 317,018 -
72 OBH syr. Btl - 3,500 - - 3,500 -
73 Oxytetracycline Salep mata Tube - 2,600 - - 2,600 -
74 Oxytocin Inj. ktk 100 10 9 17 1,232 20,944 - 1,232 -
75 paracetamil syr btl - 4,180 - - 4,180 -
76 Paracetamol tab 500 mg ktk 100 tablet - 60 - - 60 -
77 Phenol Glycerol Tetes Telinga Btl - 2,500 - - 2,500 -
78 Phytomenadion 10 mg Tab.(Vit K) Box @ 100 - 818 - - 818 -
79 Phytomenadion inj. (Vit K) Box @ 30 6 26 4,236 110,136 - 4,236 -
80 Povidone Iodida Botol - 21,150 - - 21,150 -
81 Prednison 5 mg Tab. Box @ 100 - 79 - - 79 -
82 Primaquin Tab. Box @ 100 - 242 - - 242 -
83 Pyridoxin Tab. (Vit B6) ktk 100 - 150 - - 150 -
84 Ranitidine Inj. ktk 100 - 1,155 - - 1,155 -
85 Ringer laktat Infus Box@ 20 - 7,630 - - 7,630 -
86 Risperidone tab. ktk 100 - 273 - - 273 -
87 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - - 65 -
88 SF / Tablet tambah darah ktk 100 - 409 - - 409 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
89 Simvastatin 10 mg ktk 30 - 117 - - 117 -
90 Thiamin ( vitamin B1 ) kotak 100 - 94 - - 94 -
91 Vit A Biru btl 50 - 331 - - 331 -
92 Vit A merah btl 50 - 596 - - 596 -
93 Vit B Komplek Tablet btl 100 - 135 - - 135 -
94 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - - 353 -
95 Vitamin A Merah 200.000 IU Botol 50 kapsul - 596 - - 596 -
96 Zink tablet ktk 10 x 10 - 604 - - 604 -
97 Methyl ergometrin - 242 - - 242 -
OBAT GIGI : - - - - - -
98 Eugenol Btl - 50,417 - - 50,417 -
99 Aseptik gel - - - - - -
100 yellow tip - 110 - - 110 -
REAGEN / LAB : - - - - - -
101 HIV Tes 1/2 (R2) Ktk @ 25 - 12,500 - - 12,500 -
102 HIV Tes 1+2 (R3) Ktk @ 25 - 12,527 - - 12,527 -
103 HIV test - 11,975 - - 11,975 -
104 Larutan giemsa Btl - 263,184 - - 263,184 -
105 Pot dahak pcs - 2,354 - - 2,354 -
106 Rapid test HbsAg - 8,100 - - 8,100 -
107 RDT malaria Ktk @ 25 - 7,710 - - 7,710 -
108 Reagen Zn Paket - 250,333 - - 250,333 -
109 Sik shypillis Ktk @50 - 20,400 - - 20,400 -
110 Slide Kaca Biasa ktk 72 - 271 - - 271 -
111 Slide kaca prosted ktk 50 - 442 - - 442 -
112 Stik Asam urat Benecek Ktk 25 - 6,245 - - 6,245 -
113 Stik GDS Benecek Ktk 50 - 3,416 - - 3,416 -
114 Stik Kholesterol Benecek Ktk 10 - 25,638 - - 25,638 -
115 Stik HB - 9,900 - - 9,900 -
BMHP APBD : - - - - - -
1 Alat suntik 1 mL Box @ 100 10 13 1,023 13,299 - 1,023 -
2 Alat suntik 2,5 mL Box @ 100 - 683 - - 683 -
3 Alat suntik 3 mL Box @ 100 14 41 924 37,884 - 924 -
4 Alat suntik 5 mL Box @ 100 - 1,029 - - 1,029 -
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375 -
6 Alkohol swab. Box @ 100 - 140 - - 140 -
7 Bioplacenton Tulle Box @ 10 - 10,733 - - 10,733 -
8 Bisturi Box @ 100 - 3,090 - - 3,090 -
9 Blood Lancet Box @100 - 153 - - 153 -
10 Cat Gut 3/0 ktk 24 - 6,142 - - 6,142 -
11 Hand Scoon L ktk 100 - 494 - - 494 -
12 Hand Scoon M ktk 100 100 100 100 494 49,400 - 494 -
13 Hand Scoon S ktk 100 - 685 - - 685 -
14 Hand Scoon Steril 7 ktk 100 17 29 8,029 232,841 - 8,029 -
15 Infuset Anak ktk 50 - 6,270 - - 6,270 -
16 Infuset dewasa ktk 50 - 2,880 - - 2,880 -
17 IV cateter 18 G ktk 50 7 30 8,355 250,650 - 8,355 -
18 IV cateter 22 G ktk 50 - 24 8,750 210,000 - 8,750 -
19 IV cateter 24 G ktk 50 - 8,750 - - 8,750 -
20 Kassa 4 x 5 Roll - 1,167 - - 1,167 -
21 Kassa Steril Kotak - 7,770 - - 7,770 -
22 Masker tali ikat Ties Aximed ktk 50 pcs 20 - 567 - - 567 -
23 Polifix 5 x 10 m Roll - 45,662 - - 45,662 -
24 Pot Sputum Pcs - 2,354 - - 2,354 -
25 Rapid HbSAg test ktk 100 - 5,610 - - 5,610 -
26 Safety Box 2,5 Liter Pcs - 20,339 - - 20,339 -
27 Safety Box 5 liter Pcs - 24,254 - - 24,254 -
28 Safety Box 5 Liter Pcs - 24,254 - - 24,254 -
29 Silk Ktk @ 24 - 3,472 - - 3,472 -
30 Slide Kaca Fosted Box @ 50 - 442 - - 442 -
31 Stik Asam urat Benechek ktk 50 pcs - 6,000 - - 6,000 -
32 Stik Cholesterol Benechek ktk 50 pcs - 25,000 - - 25,000 -
33 Stik Glucosa Benechek ktk 50 pcs - 3,416 - - 3,416 -
34 Tes kehamilan Pcs - 2,181 - - 2,181 -
35 Underpad Pcs - 4,696 - - 4,696 -
36 Urine Bag pcs - 3,150 - - 3,150 -
37 Mucus Extraktor 5 4 4 8,040 32,160 - 8,040 -
38 Oxyflow Anak - 6,188 - - 6,188 -
39 Oxyflow Dewasa - 6,188 - - 6,188 -
40 RDT Dengue
41 RDT COV-19 300,000 - 300,000 -
TOTAL OBAT & BMHP APBD 994,703 -
OBAT & BMHP JKN : - - - - - -
1 Aceptic Gell Botol - 55,000 - - 55,000 -
2 Acyclovir 200 mg Tab
3 Acyclovir 400 mg Tab ktk 100 - 832 - - 832 -
4 Acyclovir Cream Tube - 3,751 - - 3,751 -
5 Allopurinol 300 mg Tab. ktk 100 - 479 - - 479 -
6 Ambroxol Syr. Botol - 4,840 - - 4,840 -
7 Ambroxol Tab. ktk 100 - 191 - - 191 -
8 Amlodipin 10 mg ktk 30 - 1,015 - - 1,015 -
9 Amlodipin 5 mg ktk 30 - 297 - - 297 -
10 Amokxyllin 500 mg - 407 - - 407 -
11 Amoxycillin Syr. Botol - 5,478 - - 5,478 -
12 Asam Mefenamat 500 mg kotak 10 x 10 - 362 - - 362 -
13 Asam tranexamat (Nexitra) kotak 10 x 10 - 1,712 - - 1,712 -
14 Bioplacenton salep Tube - 17,650 - - 17,650 -
15 Bisacodil 10 mg Supp. (Dulcolax) Box @ 5 - 28,600 - - 28,600 -
16 Bisacodil 5 mg supp (Dulcolax) Box @ 6 - 20,717 - - 20,717 -
17 Bisacodil 5 mg Tab. (Dulcolax Tab) Box @ 10 - 2,406 - - 2,406 -
18 Calsium Laktat (Kalk) 500 mg Tab. ktk 100 - 210 - - 210 -
Captopril 12,5 mg Tab. ktk 100
19 Cefadroxil 125 mg syr Botol - 7,766 - - 7,766 -
20 Cefadroxil 500 mg Kap. ktk 100 - 839 - - 839 -
VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan Sisa Harga satuan
21 Cendo Eyefresh Mini dose Strip @ 5 - 5,130 - - 5,130 -
22 Cetirizine sirup botol - 9,395 - - 9,395 -
23 Chloramfenikol tetes mata (Reco) Botol - 9,460 - - 9,460 -
24 Chloramfenikol tetes telinga (Reco) Botol - 9,460 - - 9,460 -
25 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,416 - - 2,416 -
26 Deksamethasone Tab. ktk 100 - 137 - - 137 -
27 Diatro Cleaner Botol - 759,000 - - 759,000 -
28 Diatro Diluent Botol - 2,178,000 - - 2,178,000 -
29 Diatro Lyse Botol - 1,863,400 - - 1,863,400 -
30 Difenhidramin Inj. ktk 30 - 2,310 - - 2,310 -
31 Domperidone syr Botol - 9,405 - - 9,405 -
Doxycicline 100 mg Cap.
32 Dumin Rektal 125 mg ktk 5 - 19,360 - - 19,360 -
33 Ethyl Klorida semprot Botol 500 ml - 223,850 - - 223,850 -
34 Garam Oralit sachet - 496 - - 496 -
35 Gentamicine Salep Kulit Tube - 3,630 - - 3,630 -
36 Gentamicine Tetes mata Botol - 12,650 - - 12,650 -
37 Gentian violet Botol - 3,023 - - 3,023 -
38 Guanistrep syr. Botol - 8,470 - - 8,470 -
Glibenclamide 5 mg Tab.
Gliceril guaikolat Botol
39 Hyoscine-N-Bromida ktk 100 - 1,364 - - 1,364 -
Ibuprofen 200 mg tab ktk 100
40 Ibuprofen 400 mg tab. ktk 100 - 380 - - 380 -
41 ISDN Tab. ktk 100 - 165 - - 165 -
42 Kotrimoksasol 480 mg ktk 100 - 265 - - 265 -
43 Loratadine Tab. ktk 50 - 333 - - 333 -
44 Neurobion -5000 Inj. Box @ 20 - 11,750 - - 11,750 -
45 Nifedipine Tab. ktk 10x 10 - 213 - - 213 -
46 Nystatin drop. Botol - 21,300 - - 21,300 -
47 Nistatin Vagina Ktk 100 - 828 - - 828 -
48 Omeprazol 20 mg ktk 3x 10 - 414 - - 414 -
49 Ondancentron inj. Ktk @ 10 - 6,050 - - 6,050 -
50 Parasetamol Sirup btl - 3,762 - - 3,762 -
51 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123 -
52 Ranitidin HCL 50 mg/ml kotak 10 ampul - 23,598 - - 23,598 -
53 Ranitidine Tab. ktk 100 - 320 - - 320 -
54 Salmonella Thyppy AO Botol - 187,000 - - 187,000 -
55 Salmonella Thyppy BO Botol - 187,000 - - 187,000 -
56 Salmonella Thyppy H Botol - 165,000 - - 165,000 -
57 Salmonella Thyppy O Botol - 187,000 - - 187,000 -
58 Scabimide salep Tube - 46,750 - - 46,750 -
59 Simvastatin 10 mg - 564 - - 564 -
60 Spiritus Botol - 55,000 - - 55,000 -
61 Stik Hb btl 50 - 9,900 - - 9,900 -
62 Stik urine 10 Para Btl @ 100 - 2,750 - - 2,750 -
63 Salisil - 6,426 - - 6,426 -
64 Tabung EDTA 3 mL Botol - 1,870 - - 1,870 -
65 Utrasonic Gell Botol - 27,500 - - 27,500 -
66 Ventolin Neb. Ktk 20 - 13,860 - - 13,860 -
67 Zink syr Botol - 3,285 - - 3,285 -
68 Golda anti A Botol - 148,500 - - 148,500 -
69 Silk 4/0 pcs - 11,000 - - 11,000 -
70 Iv catheter 22 G pcs - 6,050 - - 6,050 -
71 Foley Catheter 18 Pcs - 22,000 - - 22,000 -
72 Foley Catheter 16 Pcs - 5 22,000 110,000 - 22,000 -
73 Golda anti B - 148,500 - - 148,500 -
74 Golda reseus anti D - 228,800 - - 228,800 -
TOTAL OBAT & BMHP JKN 110,000 -

TOTAL KESELURUHAN 1,104,703 -


REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
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PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 190 50 140 412 57,680 - 412
3 Acyclovir 200 mg ktk 10 x 10 200 - 200 236 47,200 - 236
4 Acyclovir 400 mg ktk 10 x 10 50 - 50 368 18,400 120 - 120 368
5 Allupurinol 100 mg ktk 100 100 - 100 89 8,900 - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 - 188
11 Amoksisilin 500 mg ktk 10x 11 310 70 240 231 55,440 140 10 130 231
12 Amoksisilin syr Botol - 2,050 - 10 - 10 2,050
13 Antasida doen tablet kotak ktk 10 x10 330 70 260 54 14,040 - 54
14 Antasida syr. Botol 30 5 25 1,756 43,900 4 10 1 13 1,756
Antasida Tab. ktk 10 x 10 54 100 70 54
15 Anti Hemoroid ktk 10 8 - 8 3,260 26,080 - 3,260
16 Antides ( Attapulgite ) ktk 100 - 175 - - 175
17 Aqua pro inj btl - 2,860 - - 2,860
18 Asam Askorbat Tab 50 mg ktk 10 x 10 300 50 250 46 11,500 160 - 160 46
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
20 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
21 Asam Mefenamat 500 mg kotak 10 x 10 210 - 210 117 24,570 200 - 200 117
22 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
24 Attapulgite ( pularex ) 630 mg ktk @ 50 90 10 80 175 250 - 250 175
25 Betahistine 6 mg ktk 30 - 119 - - 119
26 Betamethason Salep ktk 25 - 1,920 - - 1,920
27 Bioplacenton Tulle Tulle - 10,733 - - 10,733
28 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
29 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
30 Bufacetine salep kulit Tube - 3,360 - - 3,360
31 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
32 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
33 Captopril 25 mg ktk 10 x 10 tablet 190 100 30 260 75 19,500 - 75
34 Cetirizine 10 mg ktk 10 x 10 360 70 290 104 30,160 - 104
35 Cetirizine sirup botol 20 3 17 3,061 52,037 - 3,061
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
37 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
38 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
39 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
43 Deksamethasone Tablet btl 10 x 10 tablet 270 10 260 75 19,500 - 75
44 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
45 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
46 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
48 Digoksin ktk 10 x 10 - 96 - - 96
49 Dimenhidrinat 50 mg btl 100 - 121 - - 121
50 Doksisiklin 100 mg Ktk 100 - 309 - - 309
51 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
52 Domperidon Sirup btl - 3,180 - 5 - 5 3,180
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
54 Ergotamine + Caffein Botol @ 100 - 199 - - 199
55 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
56 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
57 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
58 Furosemid 40 mg ktk 200 tab - 84 - - 84
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
60 Garam Oralit ktk 100 100 - 100 281 28,100 - 281
61 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
62 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
64 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
67 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
69 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
70 Hidrokortisone Cream 2,5 % tube @ 5 g 15 1 14 2,325 32,550 9 - 9 2,325
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
72 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
76 Kalsium laktat ( Kalk ) tablet 500 mg 1,000 170 830 60 49,800 320 200 80 440 60
77 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
78 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
79 Ketoconazole salep ktk 25 tube 22 - 22 2,577 56,694 6 1 5 2,577
80 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
81 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 200 40 160 24 3,840 - 24
84 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
85 Kotrimoksasol 480 mg ktk 100 40 - 40 220 8,800 60 - 60 220
86 Kotrimoksasol Syr. Botol 10 - 10 2,052 20,520 - 2,052
87 Lidocain 2 % inj ktk 100 1 - 1 891 891 9 - 9 891
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
88 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
89 Lidokain komp injeksi, kombinasi ktk 30 amp 3 3 - 2,122 - - 2,122
90 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
91 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
92 Lysol btl - 45,100 - - 45,100
93 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
94 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
95 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
96 Metformin 500 mg ktk 10x 10 60 100 20 140 77 10,780 280 - 280 77
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
98 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
100 Metoklopramid 10 mg ktk 10 x 10 90 - 90 111 - 111
101 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
102 Metronidazol 500 mg ktk 100 80 - 80 140 - 140
103 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
104 Miconazole 2% krem tube 10 gram 23 - 23 1,900 - 1,900
105 Natrium Chlorida 0,9 % btl 500 ml 3 - 3 6,900 - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 190 100 190 100 109 260 10 250 109
107 Nifedipin tab ktk 10 x 10 tablet 160 30 130 123 200 - 200 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 2 20 - 22 688 9 - 9 688
109 OBH syr. Botol - 3,500 - 3,500
110 Omeprazol 20 mg ktk 3x 10 - 164 - 164
OAM 1,900 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
112 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 360 - 360 225 170 10 160 225
115 Parasetamol Sirup btl 26 2 24 1,160 10 2 8 1,160
116 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet 90 - 90 818 - 818
118 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet - 285 - 285
121 Primaquin 15 mg ktk 10 x 10 tablet - 242 - 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 200 90 110 150 120 - 120 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
129 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
130 Ringer Laktat Infus btl 3 - 3 7,703 - 7,703
131 Risperidon 2 mg ktk 100 - 130 - 130
132 Rivanol botol 300 ml - 3,850 - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 10 50 65 180 - 180 65
134 Serum ABU Vial - 517,132 - 517,132
135 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
136 Simvastatin 10 mg ktk 30 170 - 170 117 110 - 110 117
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
139 Tablet Tambah Darah ktk 30 - 409 - 409
140 Thiamin ( vitamin B1 ) kotak 100 - 94 280 - 280 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
143 Vit B Komplek Tablet btl 100 - 60 - 60
144 Zink tablet ktk 10 x 10 7 - 7 253 - 253
145 Zirkum kids sirup botol - 3,285 - 3,285
- - - -
OBAT GIGI : - - - -
146 Eugenol Btl - 50,417 - - 50,417
147 Aseptik gel - - - -
148 yellow tip - 110 - - 110
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 50 - 50 1,023 51,150 - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 50 - 50 683 34,150 - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs 1 1 - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs 10 - 10 6,142 61,420 - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 1 - 1 8,470 8,470 - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 5 - 5 4,818 24,090 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - 0 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - 0 - -
5 Fe ktk 100 1,000 280 720 409 300 200 60 440 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1232 - 1,232
12 Stik shipyllis Box @ 25 - 8871 - 8,871
13 Vit. K inj. Box @ 30 - 4236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601 - 601
TOTAL OBAT & BMHP APBD - 850,242 - -
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube 9 - 9 4,125 5 - 5 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 80 - 80 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 25 2 23 4,840 14 1 13 4,840
8 Ambroxol Tab. Box @ 100 295 10 285 165 210 10 200 165
9 Amlodipine 10 mg Tab. Box @ 30 50 20 30 1,522 90 - 90 1,522
10 Amlodipine 5 mg Tab. Box @ 100 190 100 90 446 100 10 90 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 20 - 20 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 300 - 300 660 100 - 100 660
21 Bethametasone salep Tube 5 10 1 14 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - 270 200 220 250 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 90 - 90 869 78,210 130 - 130 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - 10 - 10 6,050
33 Cetirizine Tab. Box @ 100 - 286 - 80 - 80 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 8 - 8 9,460 75,680 5 1 4 9,460
36 Chloramfenicol salep (Fasycol) Tube - 4,840 - 3 5 - 8 4,840
37 Ciprofloxacin 500 mg tab. Box @ 100 70 - 70 720 50,400 - 720
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - 90 - 90 62
42 Daryantulle Box @ 10 - 24,750 - - 24,750
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 1,745 - - 1,745
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol 11 - 11 5,885 64,735 - 5,885
48 Domperidone Tab. Box @ 100 45 - 45 272 12,227 100 - 100 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - 5 - 5 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - - - -
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - 4 - 4 11,110
61 Gentian Violet Box @ 24 8 - 8 3,850 30,800 - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 400 - 400 130 52,096 - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - 6 - 6 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 35 15 20 275 5,500 - 275
70 Ibuprofen 400 mg Tab. Box @ 100 230 10 220 368 80,973 - 368
71 Ibuprofen Syr Botol - 4,400 - - 4,400
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,000 - - 5,000
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,465 - - 3,465
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 10 1 9 24,420 219,780 7 - 7 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 275 90 35 330 414 136,730 70 - 70 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube 18 - 18 6,270 112,860 - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 2,570 - - 2,570
105 Ranitidine Tab. Box @ 100 90 10 80 257 20,560 - 257
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 10 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 - 13,860 - 13,860
113 Vit B.1 Box @ 100 290 20 270 110 - 110
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 220 60 160 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7000 - 7,000
121 Zinc Tab. Box @ 100 140 10 130 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 10 - 10 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 13 - 13 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 5,500 - 5,500
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs 9 - 9 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 1,264 - 1,264
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870 - 1,870
69 Tes Kehamilan Box @ 50 10 2 8 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
940,551

1,790,793
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
ok
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 44,160 120 - 120 368 44,160
5 Allupurinol 100 mg ktk 100 - - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - - 74 -
9 Amlodipin 10 mg ktk 30 - 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 30,030 210 10 200 231 46,200
12 Amoksisilin syr Botol 20,500 12 7 5 2,050 10,250
13 Antasida doen tablet kotak ktk 10 x10 - - 54 -
14 Antasida syr. Botol 22,828 4 4 - 1,756 -
Antasida Tab. ktk 10 x 10 3,780 54
15 Anti Hemoroid ktk 10 - - 3,260 -
16 Antides ( Attapulgite ) ktk 100 - - 175 -
17 Aqua pro inj btl - - 2,860 -
18 Asam Askorbat Tab 50 mg ktk 10 x 10 7,360 80 - 80 46 3,680
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 100 40 60 45 2,700
20 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
21 Asam Mefenamat 500 mg kotak 10 x 10 23,400 20 100 80 40 117 4,680
22 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
24 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175
25 Betahistine 6 mg ktk 30 - - 119 -
26 Betamethason Salep ktk 25 - - 1,920 -
27 Bioplacenton Tulle Tulle - - 10,733 -
28 Bisacodil 10 mg ktk 50 sup - - 5,800 -
29 Bisacodil 5 mg ktk 6 sup - - 5,800 -
30 Bufacetine salep kulit Tube - - 3,360 -
31 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
32 Captopril 12,5 mg ktk 10 x 10 - - 65 -
33 Captopril 25 mg ktk 10 x 10 tablet - 90 30 60 75 4,500
34 Cetirizine 10 mg ktk 10 x 10 - - 104 -
35 Cetirizine sirup botol - - 3,061 -
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
37 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
38 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
39 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - 10 - 10 2,336 23,360
43 Deksamethasone Tablet btl 10 x 10 tablet - 40 100 40 100 75 7,500
44 Diazepam 2 mg Tab. Box @ 100 - - 86 -
45 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
46 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
48 Digoksin ktk 10 x 10 - - 96 -
49 Dimenhidrinat 50 mg btl 100 - - 121 -
50 Doksisiklin 100 mg Ktk 100 - - 309 -
51 Domperidon 10 mg kotak 10 x 10 - - 75 -
52 Domperidon Sirup btl 15,900 - 3,180 -
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
54 Ergotamine + Caffein Botol @ 100 - - 199 -
55 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
56 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
57 Fenobarbital inj ktk 30 Ampul - - 1,980 -
58 Furosemid 40 mg ktk 200 tab - - 84 -
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
60 Garam Oralit ktk 100 - - 281 -
61 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
62 Glibenclamide 5 mg Tab. ktk 100 - - 137 -
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
64 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
67 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
69 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
70 Hidrokortisone Cream 2,5 % tube @ 5 g 20,925 - 2,325 -
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
72 Ibuprofen sirup btl 60 ml - - 2,678 -
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
76 Kalsium laktat ( Kalk ) tablet 500 mg 26,400 90 - 90 60 5,400
77 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
78 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
79 Ketoconazole salep ktk 25 tube 12,885 - 2,577 -
80 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
81 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 75 65 10 24 240
84 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
85 Kotrimoksasol 480 mg ktk 100 13,200 - 220 -
86 Kotrimoksasol Syr. Botol - - 2,052 -
87 Lidocain 2 % inj ktk 100 8,019 2 - 2 891 1,782
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
88 Lidocain 2 % inj Jelly tube - - 40,000 -
89 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
90 Loperamid 2 mg ktk 10 x 10 - - 97 -
91 Loratadine tab 10 mg ktk 10x 10 - - 149 -
92 Lysol btl - - 45,100 -
93 Magnesium sulfat inj 20% btl - - 2,122 -
94 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
95 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
96 Metformin 500 mg ktk 10x 10 21,560 - 77 -
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 30 30 - 102
98 Metilergometrin injeksi ktk 100 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242
100 Metoklopramid 10 mg ktk 10 x 10 - 111
101 Metoklopramid Sirup (Lexapram) btl - 2,750
102 Metronidazol 500 mg ktk 100 - 140
103 Metronidazol Sirup btl 60 ml - 3,800
104 Miconazole 2% krem tube 10 gram - 1,900
105 Natrium Chlorida 0,9 % btl 500 ml - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 100 10 90 109
107 Nifedipin tab ktk 10 x 10 tablet - 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688
109 OBH syr. Botol - 3,500
110 Omeprazol 20 mg ktk 3x 10 - 164
OAM 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600
112 Oxytocin injeksi btl 15 ml - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 90 40 50 225
115 Parasetamol Sirup btl - 1,160
116 Phenol Glycerol TTS telinga btl - 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818
118 Phitomenadion Vit K inj ktk 30 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet - 285
121 Primaquin 15 mg ktk 10 x 10 tablet - 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 20 100 85 35 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
129 Rifampicin 600 mg ktk 100 - 1,420
130 Ringer Laktat Infus btl - 7,703
131 Risperidon 2 mg ktk 100 - 130
132 Rivanol botol 300 ml - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65
134 Serum ABU Vial - 517,132
135 Sikzonoate inj ktk 5 amp - 57,500
136 Simvastatin 10 mg ktk 30 30 20 10 117
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459
139 Tablet Tambah Darah ktk 30 - 409
140 Thiamin ( vitamin B1 ) kotak 100 - 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97
143 Vit B Komplek Tablet btl 100 - 60
144 Zink tablet ktk 10 x 10 - 253
145 Zirkum kids sirup botol - 3,285
- - -
OBAT GIGI : - - - -
146 Eugenol Btl - - 50,417 -
147 Aseptik gel - - - -
148 yellow tip - - 110 -
- - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 2 - 2 1,023 2,046
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 5 5 - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 2 - 2 1,045 2,090
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
5 Alkohol 70 % btl 1 liter - 1 - 1 29,375 29,375
6 Alkohol Swab 0,5 % pcs - - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - 100 100 - 1,435 -
12 Hand Scoon M ktk 100 - - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - 50 50 - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472
39 Test Kehamilan ktk 50 1 - 1 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 160 40 120 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601
TOTAL OBAT & BMHP APBD 270,947 - - 187,963
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991
3 Acyclovir cream Tube - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248
6 Allopurinol 300 mg Tab. Box @ 100 80 - 80 567
7 Ambroxol syr. Botol 6 5 1 4,840
8 Ambroxol Tab. Box @ 100 100 100 - 165
9 Amlodipine 10 mg Tab. Box @ 30 30 - 30 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,478
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 - 660
21 Bethametasone salep Tube 5 5 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 33,000 - 132 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 112,970 - 869 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol 60,500 - 6,050 -
33 Cetirizine Tab. Box @ 100 22,880 - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - 5 5 - 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 37,840 5 - 5 9,460 47,300
36 Chloramfenicol salep (Fasycol) Tube 38,720 - 4,840 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 5,544 - 62 -
42 Daryantulle Box @ 10 - - 24,750 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150
44 Dexamethasone Inj. Box @ 100 - - 1,745 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 5,885 -
48 Domperidone Tab. Box @ 100 27,170 - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 99,000 - 19,800 -
54 Ephineprin Inj. Box @ 30 - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - - -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 44,440 - 11,110 -
61 Gentian Violet Box @ 24 - 5 3 2 3,850 7,700
62 Glibenclamide Tab. Box @ 100 40 - 40 223 8,903
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol 50,820 - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 10 100 60 50 368 18,403
71 Ibuprofen Syr Botol - 4,400 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 -
74 K-EN-3B infus Box @ 20 - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,000 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,465 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol 170,940 - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 29,003 - 414 -
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - 5 2 3 6,270 18,810
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 2,570 -
105 Ranitidine Tab. Box @ 100 - - 257 -
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 10 mg Tab. Box @ 100 - - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200
112 Ventolin Nebulizer Box @ 20 - 13,860
113 Vit B.1 Box @ 100 20 100 40 80 110
114 Vit B6 Box @ 100 - 165
115 Vit. B-Complex Btl @ 100 70 70 - 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 - 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 220
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 5,500
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 1,100
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 78,650
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 1,264
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 137,500
55 Gol. Darah Anti B Botol - 137,500
56 Gol. Darah resus anti D Botol - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 110,000
59 Salmonella Thypi BO Botol - 110,000
60 Salmonella Thypi H Botol - 110,000
61 Salmonella Thypi O Botol - 110,000
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750
71 Yellow tip Pcs - 110
732,827 101,116

1,003,774 289,079
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
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PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 368 - 20 - 20 368
5 Allupurinol 100 mg ktk 100 110 - 110 89 9,790 - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - 100 10 90 74
9 Amlodipin 10 mg ktk 30 - 520 90 10 80 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 - 231 - 180 20 160 231
12 Amoksisilin syr Botol - 2,050 - 3 5 2 6 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - 50 5 45 54
14 Antasida syr. Botol 3 2 1 1,756 1,756 3 3 - 1,756
Antasida Tab. ktk 10 x 10 54 54
15 Anti Hemoroid ktk 10 - 3,260 - 8 3 5 3,260
16 Antides ( Attapulgite ) ktk 100 - 175 - - 175
17 Aqua pro inj btl - 2,860 - - 2,860
18 Asam Askorbat Tab 50 mg ktk 10 x 10 50 20 30 46 1,380 20 100 - 10 130 46
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
20 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
21 Asam Mefenamat 500 mg kotak 10 x 10 70 20 50 117 5,850 100 15 85 117
22 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
24 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 - 175
25 Betahistine 6 mg ktk 30 - 119 - - 119
26 Betamethason Salep ktk 25 - 1,920 - - 1,920
27 Bioplacenton Tulle Tulle - 10,733 - - 10,733
28 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
29 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
30 Bufacetine salep kulit Tube - 3,360 - - 3,360
31 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
32 Captopril 12,5 mg ktk 10 x 10 160 60 100 65 6,500 100 10 90 65
33 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
34 Cetirizine 10 mg ktk 10 x 10 120 30 90 104 9,360 - 104
35 Cetirizine sirup botol 4 3 1 3,061 3,061 - 3,061
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
37 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
38 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
39 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 10 10 - 49 - 30 - 30 49
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
43 Deksamethasone Tablet btl 10 x 10 tablet 80 30 50 75 3,750 90 10 80 75
44 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
45 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
46 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
48 Digoksin ktk 10 x 10 - 96 - - 96
49 Dimenhidrinat 50 mg btl 100 - 121 - - 121
50 Doksisiklin 100 mg Ktk 100 - 309 - - 309
51 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
52 Domperidon Sirup btl - 3,180 - - 3,180
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
54 Ergotamine + Caffein Botol @ 100 - 199 - - 199
55 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
56 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
57 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
58 Furosemid 40 mg ktk 200 tab - 84 - - 84
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
60 Garam Oralit ktk 100 20 - 20 281 5,620 28 - 28 281
61 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
62 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
64 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
67 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
69 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
70 Hidrokortisone Cream 2,5 % tube @ 5 g 5 3 2 2,325 4,650 5 - 5 2,325
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
72 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
76 Kalsium laktat ( Kalk ) tablet 500 mg 50 - 100 150 60 9,000 50 20 30 60
77 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
78 Ketoconazole 200mg Tab. Box @ 50 50 - 50 286 14,300 - 286
79 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
80 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
81 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 90 10 80 24 1,920 50 - 50 24
84 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
85 Kotrimoksasol 480 mg ktk 100 80 - 80 220 17,600 90 - 90 220
86 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
87 Lidocain 2 % inj ktk 100 - 891 - - 891
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
88 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
89 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
90 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
91 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
92 Lysol btl - 45,100 - - 45,100
93 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
94 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
95 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
96 Metformin 500 mg ktk 10x 10 190 190 - 77 - - 77
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
98 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
100 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
101 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
102 Metronidazol 500 mg ktk 100 - 140 70 5 65 140
103 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
104 Miconazole 2% krem tube 10 gram - 1,900 2 - 2 1,900
105 Natrium Chlorida 0,9 % btl 500 ml - 6,900 - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 100 100 - 109 - 109
107 Nifedipin tab ktk 10 x 10 tablet - 123 - 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
109 OBH syr. Botol - 3,500 - 3,500
110 Omeprazol 20 mg ktk 3x 10 - 164 - 164
OAM 1,900 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
112 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 160 130 30 225 40 - 40 225
115 Parasetamol Sirup btl 1 5 1 5 1,160 4 3 1 1,160
116 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
118 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet - 285 - 285
121 Primaquin 15 mg ktk 10 x 10 tablet - 242 - 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 100 20 80 150 20 100 10 110 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
129 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
130 Ringer Laktat Infus btl - 7,703 1 - 1 7,703
131 Risperidon 2 mg ktk 100 - 130 - 130
132 Rivanol botol 300 ml - 3,850 - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - 65
134 Serum ABU Vial - 517,132 - 517,132
135 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
136 Simvastatin 10 mg ktk 30 90 - 90 117 - 117
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
139 Tablet Tambah Darah ktk 30 - 409 - 409
140 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
143 Vit B Komplek Tablet btl 100 200 30 170 60 - 60
144 Zink tablet ktk 10 x 10 - 253 - 253
145 Zirkum kids sirup botol - 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
146 Eugenol Btl - 50,417 - - 50,417
147 Aseptik gel - - - - -
148 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - 4 2 2 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - 2 100 - 102 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - 46 10 36 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - 1 - 1 9,181
16 Infusion set anak set / kantong - 6,983 - 1 - 1 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 90 100 20 170 409 90 20 70 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601 - 601
TOTAL OBAT & BMHP APBD - - 94,537 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 3 3 - 4,840 5 - 5 4,840
8 Ambroxol Tab. Box @ 100 50 - 50 165 40 10 30 165
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 5 - 5 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 - 660 100 30 70 660
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - - 6,050
33 Cetirizine Tab. Box @ 100 - 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 9,460 - - 9,460
36 Chloramfenicol salep (Fasycol) Tube 10 - 10 4,840 48,400 3 1 2 4,840
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 24,750 - - 24,750
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 1,745 - - 1,745
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - - - - -
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 140 40 100 130 13,024 - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - 100 - 100 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 368 - - 368
71 Ibuprofen Syr Botol - 4,400 - - 4,400
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,000 - - 5,000
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,465 - - 3,465
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 5 - 5 24,420 122,100 - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - 80 30 50 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 2,570 - - 2,570
105 Ranitidine Tab. Box @ 100 80 - 80 257 20,560 - 257
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 10 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 - 13,860 - 13,860
113 Vit B.1 Box @ 100 - 110 100 - 100 110
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 5 - 5 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 5,500 - 5,500
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 1 1 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 1 1 - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 1,264 - 1,264
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870 - 1,870
69 Tes Kehamilan Box @ 50 - 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
204,084

298,621
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
ok
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 7,360 - 368 -
5 Allupurinol 100 mg ktk 100 - - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 6,660 - 74 -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 36,960 - 231 -
12 Amoksisilin syr Botol 12,300 - 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 2,430 - 54 -
14 Antasida syr. Botol - - 1,756 -
Antasida Tab. ktk 10 x 10 240 700 700 240 54 12,960
15 Anti Hemoroid ktk 10 16,300 - 3,260 -
16 Antides ( Attapulgite ) ktk 100 - - 175 -
17 Aqua pro inj btl - - 2,860 -
18 Asam Askorbat Tab 50 mg ktk 10 x 10 5,980 - 46 -
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 -
20 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
21 Asam Mefenamat 500 mg kotak 10 x 10 9,945 385 350 35 117 4,095
22 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
24 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
25 Betahistine 6 mg ktk 30 - - 119 -
26 Betamethason Salep ktk 25 - - 1,920 -
27 Bioplacenton Tulle Tulle - - 10,733 -
28 Bisacodil 10 mg ktk 50 sup - - 5,800 -
29 Bisacodil 5 mg ktk 6 sup - - 5,800 -
30 Bufacetine salep kulit Tube - - 3,360 -
31 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
32 Captopril 12,5 mg ktk 10 x 10 5,850 - 65 -
33 Captopril 25 mg ktk 10 x 10 tablet - 280 300 440 140 75 10,500
34 Cetirizine 10 mg ktk 10 x 10 - - 104 -
35 Cetirizine sirup botol - - 3,061 -
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
37 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
38 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
39 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 1,470 500 400 100 49 4,900
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
43 Deksamethasone Tablet btl 10 x 10 tablet 6,000 - 75 -
44 Diazepam 2 mg Tab. Box @ 100 - - 86 -
45 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
46 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
48 Digoksin ktk 10 x 10 - - 96 -
49 Dimenhidrinat 50 mg btl 100 - - 121 -
50 Doksisiklin 100 mg Ktk 100 - - 309 -
51 Domperidon 10 mg kotak 10 x 10 - - 75 -
52 Domperidon Sirup btl - - 3,180 -
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
54 Ergotamine + Caffein Botol @ 100 - - 199 -
55 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
56 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
57 Fenobarbital inj ktk 30 Ampul - - 1,980 -
58 Furosemid 40 mg ktk 200 tab - - 84 -
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
60 Garam Oralit ktk 100 7,868 - 281 -
61 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
62 Glibenclamide 5 mg Tab. ktk 100 - - 137 -
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
64 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
67 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
69 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
70 Hidrokortisone Cream 2,5 % tube @ 5 g 11,625 10 10 - 2,325 -
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
72 Ibuprofen sirup btl 60 ml - - 2,678 -
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
76 Kalsium laktat ( Kalk ) tablet 500 mg 1,800 145 500 500 145 60 8,700
77 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
78 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
79 Ketoconazole salep ktk 25 tube - - 2,577 -
80 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
81 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 1,200 390 300 90 24 2,160
84 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
85 Kotrimoksasol 480 mg ktk 100 19,800 - 220 -
86 Kotrimoksasol Syr. Botol - - 2,052 -
87 Lidocain 2 % inj ktk 100 - - 891 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
88 Lidocain 2 % inj Jelly tube - - 40,000 -
89 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
90 Loperamid 2 mg ktk 10 x 10 - - 97 -
91 Loratadine tab 10 mg ktk 10x 10 - - 149 -
92 Lysol btl - - 45,100 -
93 Magnesium sulfat inj 20% btl - - 2,122 -
94 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
95 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
96 Metformin 500 mg ktk 10x 10 - 50 200 200 50 77 3,850
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 150 100 50 102 5,100
98 Metilergometrin injeksi ktk 100 - 3,399 -
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
100 Metoklopramid 10 mg ktk 10 x 10 - 111 -
101 Metoklopramid Sirup (Lexapram) btl - 2,750 -
102 Metronidazol 500 mg ktk 100 - 140 -
103 Metronidazol Sirup btl 60 ml - 3,800 -
104 Miconazole 2% krem tube 10 gram 6 20 26 - 1,900 -
105 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
106 Natrium diklofenak 50 mg kotak 50 tablet 90 500 500 90 109 9,810
107 Nifedipin tab ktk 10 x 10 tablet - 123 -
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
109 OBH syr. Botol - 3,500 -
110 Omeprazol 20 mg ktk 3x 10 - 164 -
OAM 1,900 -
111 Oxytetrasiklin salep mata ktk 25 - 2,600 -
112 Oxytocin injeksi btl 15 ml - 2,774 -
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
114 Paracetamol tab 500 mg ktk 100 tablet 230 200 30 225 6,750
115 Parasetamol Sirup btl - 1,160 -
116 Phenol Glycerol TTS telinga btl - 2,500 -
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
118 Phitomenadion Vit K inj ktk 30 - 1,452 -
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
120 Prednison 5 mg ktk 10 x 10 tablet - 285 -
121 Primaquin 15 mg ktk 10 x 10 tablet - 242 -
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
129 Rifampicin 600 mg ktk 100 - 1,420 -
130 Ringer Laktat Infus btl - 7,703 -
131 Risperidon 2 mg ktk 100 - 130 -
132 Rivanol botol 300 ml - 3,850 -
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
134 Serum ABU Vial - 517,132 -
135 Sikzonoate inj ktk 5 amp - 57,500 -
136 Simvastatin 10 mg ktk 30 - 117 -
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
139 Tablet Tambah Darah ktk 30 - 409 -
140 Thiamin ( vitamin B1 ) kotak 100 - 94 -
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
143 Vit B Komplek Tablet btl 100 - 60 -
144 Zink tablet ktk 10 x 10 - 253 -
145 Zirkum kids sirup botol - 3,285 -
- - - -
OBAT GIGI : - - - -
146 Eugenol Btl - - 50,417 -
147 Aseptik gel - - - -
148 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 1,366 - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Alkohol 70 % btl 1 liter - - 29,375 -
6 Alkohol Swab 0,5 % pcs 13,112 - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 51,660 - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 9,181 - 9,181 -
16 Infusion set anak set / kantong 6,983 - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 3,472 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs - 2,070 -
41 Underpad Pcs - 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 100 100 - 409 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL - 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601 -
TOTAL OBAT & BMHP APBD 235,850 - - 68,825
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 190 300 450 40 567 22,660
7 Ambroxol syr. Botol - 4,840 -
8 Ambroxol Tab. Box @ 100 100 100 - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 -
10 Amlodipine 5 mg Tab. Box @ 100 600 400 200 446 89,100
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,478 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 180 150 30 660 19,800
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 869 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol - - 6,050 -
33 Cetirizine Tab. Box @ 100 - - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - - 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 9,460 -
36 Chloramfenicol salep (Fasycol) Tube 9,680 - 4,840 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - - 62 -
42 Daryantulle Box @ 10 - - 24,750 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 320 320 - 150 -
44 Dexamethasone Inj. Box @ 100 - - 1,745 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 5,885 -
48 Domperidone Tab. Box @ 100 - - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - - -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 6 6 - 11,110 -
61 Gentian Violet Box @ 24 - - 3,850 -
62 Glibenclamide Tab. Box @ 100 - 90 90 - 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 136,400 100 50 50 1,364 68,200
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 - 40 500 300 240 368 88,334
71 Ibuprofen Syr Botol - - 4,400 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 -
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,000 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,465 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 20,717 160 150 10 414 4,143
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - - 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 2,570 -
105 Ranitidine Tab. Box @ 100 - 280 200 80 257 20,560
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 10 mg Tab. Box @ 100 - 185 100 85 564 47,975
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200 -
112 Ventolin Nebulizer Box @ 20 - 13,860 -
113 Vit B.1 Box @ 100 160 500 510 150 110 16,500
114 Vit B6 Box @ 100 - 165 -
115 Vit. B-Complex Btl @ 100 355 200 155 220 34,100
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 - 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 220 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 -
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 5,500 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 1,100 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll - 78,650 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 1,264 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 137,500 -
55 Gol. Darah Anti B Botol - 137,500 -
56 Gol. Darah resus anti D Botol - 198,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 110,000 -
59 Salmonella Thypi BO Botol - 110,000 -
60 Salmonella Thypi H Botol - 110,000 -
61 Salmonella Thypi O Botol - 110,000 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 -
68 Tabung EDTA 3 mL Botol - 1,870 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,750 -
71 Yellow tip Pcs - 110 -
166,797 229,213

402,647 298,038
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 368 - - 368
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 20 10 10 231 2,310 - 231
12 Amoksisilin syr Botol - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 30 30 54 - - 54
14 Antasida syr. Botol 3 3 1,756 - - 1,756
Antasida Tab. ktk 10 x 10 54 - 54
15 Anti Hemoroid ktk 10 - 3,260 - - 3,260
16 Antides ( Attapulgite ) ktk 100 - 175 - - 175
17 Aqua pro inj btl 8 8 2,860 - - 2,860
18 Asam Askorbat Tab 50 mg ktk 10 x 10 - 46 - - 46
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
20 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
21 Asam Mefenamat 500 mg kotak 10 x 10 20 - 40 60 117 7,020 - 117
22 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
24 Attapulgite ( pularex ) 630 mg ktk @ 50 55 - 30 85 175 - 175
25 Betahistine 6 mg ktk 30 - 119 - - 119
26 Betamethason Salep ktk 25 - 1,920 - - 1,920
27 Bioplacenton Tulle Tulle 2 2 - 10,733 - - 10,733
28 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
29 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
30 Bufacetine salep kulit Tube - 3,360 - - 3,360
31 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
32 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
33 Captopril 25 mg ktk 10 x 10 tablet 30 30 - 75 - - 75
34 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
35 Cetirizine sirup botol 7 7 3,061 - - 3,061
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
37 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
38 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
39 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
42 Deksamethasone injeksi ktk 100 ampul x 1 ml 4 - 22 26 2,336 60,736 - 2,336
43 Deksamethasone Tablet btl 10 x 10 tablet 155 120 35 75 2,625 - 75
44 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
45 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
46 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml 30 - 30 1,156 34,680 - 1,156
48 Digoksin ktk 10 x 10 - 96 - - 96
49 Dimenhidrinat 50 mg btl 100 - 121 - - 121
50 Doksisiklin 100 mg Ktk 100 - 309 - - 309
51 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
52 Domperidon Sirup btl 10 9 1 3,180 3,180 - 3,180
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
54 Ergotamine + Caffein Botol @ 100 - 199 - - 199
55 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
56 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
57 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
58 Furosemid 40 mg ktk 200 tab - 84 - - 84
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
60 Garam Oralit ktk 100 25 15 10 281 2,810 - 281
61 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
62 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
64 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
67 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
69 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
70 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
72 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
76 Kalsium laktat ( Kalk ) tablet 500 mg 60 60 60 - - 60
77 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
78 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
79 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
80 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
81 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 95 95 24 - - 24
84 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
85 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
86 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
87 Lidocain 2 % inj ktk 100 1 1 891 - - 891
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
88 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
89 Lidokain komp injeksi, kombinasi ktk 30 amp 95 15 80 2,122 169,760 - 2,122
90 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
91 Loratadine tab 10 mg ktk 10x 10 35 35 149 - - 149
92 Lysol btl - 45,100 - - 45,100
93 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
94 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
95 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
96 Metformin 500 mg ktk 10x 10 - 30 30 77 2,310 - 77
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
98 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
100 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
101 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
102 Metronidazol 500 mg ktk 100 - 140 - 140
103 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
104 Miconazole 2% krem tube 10 gram - 1,900 - 1,900
105 Natrium Chlorida 0,9 % btl 500 ml 25 25 6,900 - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 3 3 109 - 109
107 Nifedipin tab ktk 10 x 10 tablet 45 45 123 - 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
109 OBH syr. Botol - 3,500 - 3,500
110 Omeprazol 20 mg ktk 3x 10 - 164 - 164
OAM 1,900 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
112 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 15 - 65 80 225 - 225
115 Parasetamol Sirup btl 18 15 3 1,160 - 1,160
116 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
118 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet - 285 - 285
121 Primaquin 15 mg ktk 10 x 10 tablet - 242 - 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 - 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
129 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
130 Ringer Laktat Infus btl 35 - 5 40 7,703 - 7,703
131 Risperidon 2 mg ktk 100 - 130 - 130
132 Rivanol botol 300 ml - 3,850 - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet 100 10 90 65 - 65
134 Serum ABU Vial - 517,132 - 517,132
135 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
136 Simvastatin 10 mg ktk 30 - 117 - 117
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
139 Tablet Tambah Darah ktk 30 - 409 - 409
140 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
143 Vit B Komplek Tablet btl 100 - 60 - 60
144 Zink tablet ktk 10 x 10 25 - 135 160 253 - 253
145 Zirkum kids sirup botol 13 5 8 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
146 Eugenol Btl - 50,417 - - 50,417
147 Aseptik gel - - - - -
148 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 25 25 24 26 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 95 30 65 1,023 66,495 - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 64 34 30 683 20,490 - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 80 67 13 1,045 13,585 - 1,045
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Alkohol 70 % btl 1 liter - 29,375 - 1 - 1 29,375
6 Alkohol Swab 0,5 % pcs - 129 - 100 200 200 100 129
7 Bisturi ktk 100 15 10 5 10,733 53,665 - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 9 4 5 2,873 14,365 - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 100 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 200 100 100 1,435 143,500 500 500 - 1,435
13 Hand Scoon M ktk 100 100 - 100 1,435 143,500 - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 64 40 24 9,181 220,344 - 9,181
16 Infusion set anak set / kantong 13 1 12 6,983 83,796 - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 45 - 17 62 4,818 298,716 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak 30 - 11 41 4,818 197,538 - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs 1 1 - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk 3 3 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 5 5 8,040 40,200 - 8,040
34 Oxyflow Dewasa pcs - 3 3 5,000 15,000 - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 90 - 70 160 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601 - 601
TOTAL OBAT & BMHP APBD - - 1,596,625 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 10 2 8 4,840 - 4,840
8 Ambroxol Tab. Box @ 100 50 - 40 90 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 60 - 85 145 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol - 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 65 65 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 50 50 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 65 65 660 - 660
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 30 30 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - - 6,050
33 Cetirizine Tab. Box @ 100 70 70 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 9,460 - - 9,460
36 Chloramfenicol salep (Fasycol) Tube - 4,840 - - 4,840
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 24,750 - - 24,750
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 1,745 - - 1,745
45 Dextrose 40 25 mL Botol - 2 2 12,760 25,520 - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 55 10 45 272 12,227 - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 1 - 1 19,800 19,800 - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - - - - -
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol 9 3 6 8,470 50,820 - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 100 55 45 1,364 61,380 - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 100 65 35 368 12,882 - 368
71 Ibuprofen Syr Botol - 4,400 - - 4,400
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 90 10 80 165 13,200 - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 1 10 5 6 5,000 30,000 - 5,000
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,465 - - 3,465
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 20 20 414 8,287 - 414
93 Ondancentron Inj Ktk @ 5 2 - 10 12 7,700 92,400 - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 10 8 2 2,570 5,140 - 2,570
105 Ranitidine Tab. Box @ 100 85 50 35 257 8,995 - 257
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 10 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 5 - 10 15 13,860 - 13,860
113 Vit B.1 Box @ 100 95 20 75 110 - 110
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 5,500 - 5,500
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs 2 2 - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 2 - 2 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 3 3 - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 11 1 10 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 6 6 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs 1 - 4 5 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 1,264 50 30 20 1,264
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870 - 1,870
69 Tes Kehamilan Box @ 50 - 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
340,650

1,937,275
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
ok
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 - - 497 497 368 182,896
5 Allupurinol 100 mg ktk 100 - - 750 750 89 66,750
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - 905 623 282 74 20,868
9 Amlodipin 10 mg ktk 30 530 530 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 - 340 340 231 -
12 Amoksisilin syr Botol - 82 82 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 - - 54 -
14 Antasida syr. Botol - 54 28 26 1,756 45,656
Antasida Tab. ktk 10 x 10 - 440 - 510 950 54 51,300
15 Anti Hemoroid ktk 10 - 7 - 20 27 3,260 88,020
16 Antides ( Attapulgite ) ktk 100 - - 175 -
17 Aqua pro inj btl - - 2,860 -
18 Asam Askorbat Tab 50 mg ktk 10 x 10 - 990 490 500 46 23,000
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 300 - 415 715 45 32,175
20 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
21 Asam Mefenamat 500 mg kotak 10 x 10 - 915 915 117 -
22 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
24 Attapulgite ( pularex ) 630 mg ktk @ 50 215 215 175
25 Betahistine 6 mg ktk 30 - - 119 -
26 Betamethason Salep ktk 25 - - 1,920 -
27 Bioplacenton Tulle Tulle - - 10,733 -
28 Bisacodil 10 mg ktk 50 sup - - 5,800 -
29 Bisacodil 5 mg ktk 6 sup - - 5,800 -
30 Bufacetine salep kulit Tube - - 3,360 -
31 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
32 Captopril 12,5 mg ktk 10 x 10 - - 65 -
33 Captopril 25 mg ktk 10 x 10 tablet - 910 910 75 -
34 Cetirizine 10 mg ktk 10 x 10 - - 104 -
35 Cetirizine sirup botol - 23 - 41 64 3,061 195,904
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 300 160 140 260 36,400
37 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
38 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
39 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
43 Deksamethasone Tablet btl 10 x 10 tablet - - 720 720 75 54,000
44 Diazepam 2 mg Tab. Box @ 100 - - 86 -
45 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
46 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
48 Digoksin ktk 10 x 10 - - 96 -
49 Dimenhidrinat 50 mg btl 100 - 100 - 100 121 12,100
50 Doksisiklin 100 mg Ktk 100 - 70 70 309 -
51 Domperidon 10 mg kotak 10 x 10 - 600 250 350 75 26,250
52 Domperidon Sirup btl - - 3,180 -
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
54 Ergotamine + Caffein Botol @ 100 - 200 - 150 350 199 69,650
55 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
56 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
57 Fenobarbital inj ktk 30 Ampul - - 1,980 -
58 Furosemid 40 mg ktk 200 tab - 190 5 185 84 15,540
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
60 Garam Oralit ktk 100 - 80 48 32 281 8,992
61 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
62 Glibenclamide 5 mg Tab. ktk 100 - 125 - 140 265 137 36,305
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
64 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
67 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
69 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
70 Hidrokortisone Cream 2,5 % tube @ 5 g - 36 31 5 2,325 11,625
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
72 Ibuprofen sirup btl 60 ml - - 2,678 -
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
76 Kalsium laktat ( Kalk ) tablet 500 mg - 110 - 520 630 60 37,800
77 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
78 Ketoconazole 200mg Tab. Box @ 50 - 150 40 110 286 31,460
79 Ketoconazole salep ktk 25 tube - 7 7 2,577 -
80 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
81 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 220 40 180 329 59,220
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 625 625 24 -
84 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
85 Kotrimoksasol 480 mg ktk 100 - 140 10 130 220 28,600
86 Kotrimoksasol Syr. Botol - 14 2 12 2,052 24,624
87 Lidocain 2 % inj ktk 100 - - 891 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
88 Lidocain 2 % inj Jelly tube - - 40,000 -
89 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
90 Loperamid 2 mg ktk 10 x 10 - - 97 -
91 Loratadine tab 10 mg ktk 10x 10 - - 149 -
92 Lysol btl - - 45,100 -
93 Magnesium sulfat inj 20% btl - - 2,122 -
94 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
95 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
96 Metformin 500 mg ktk 10x 10 - 326 - 374 700 77 53,900
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 495 495 102
98 Metilergometrin injeksi ktk 100 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 50 10 40 242
100 Metoklopramid 10 mg ktk 10 x 10 145 - 145 111
101 Metoklopramid Sirup (Lexapram) btl - 2,750
102 Metronidazol 500 mg ktk 100 70 - 40 110 140
103 Metronidazol Sirup btl 60 ml - 3,800
104 Miconazole 2% krem tube 10 gram 13 - 2 15 1,900
105 Natrium Chlorida 0,9 % btl 500 ml - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 120 - 184 304 109
107 Nifedipin tab ktk 10 x 10 tablet - 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 29 10 19 688
109 OBH syr. Botol - 3,500
110 Omeprazol 20 mg ktk 3x 10 - 164
OAM 18 45 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600
112 Oxytocin injeksi btl 15 ml - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 875 480 395 225
115 Parasetamol Sirup btl 80 27 53 1,160
116 Phenol Glycerol TTS telinga btl 6 1 5 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818
118 Phitomenadion Vit K inj ktk 30 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet 200 200 285
121 Primaquin 15 mg ktk 10 x 10 tablet 153 83 70 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 260 - 290 550 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
129 Rifampicin 600 mg ktk 100 - 1,420
130 Ringer Laktat Infus btl - 7,703
131 Risperidon 2 mg ktk 100 - 130
132 Rivanol botol 300 ml - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet 60 - 240 300 65
134 Serum ABU Vial - 517,132
135 Sikzonoate inj ktk 5 amp - 57,500
136 Simvastatin 10 mg ktk 30 - 490 490 117
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459
139 Tablet Tambah Darah ktk 30 - 409
140 Thiamin ( vitamin B1 ) kotak 100 - 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97
143 Vit B Komplek Tablet btl 100 - 60
144 Zink tablet ktk 10 x 10 - 253
145 Zirkum kids sirup botol 10 - 5 15 3,285
- - - -
OBAT GIGI : - - - -
146 Eugenol Btl - - 50,417 -
147 Aseptik gel - - - -
148 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Alkohol 70 % btl 1 liter 29,375 - 29,375 -
6 Alkohol Swab 0,5 % pcs 12,855 - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 - - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472
39 Test Kehamilan ktk 50 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 185 - 355 540 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601
TOTAL OBAT & BMHP APBD 42,230 - - 1,213,035
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 80 80 1,096
2 Acyclovir 400 mg Tab Box @ 100 141 141 991
3 Acyclovir cream Tube 5 5 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 230 230 248
6 Allopurinol 300 mg Tab. Box @ 100 240 50 190 567
7 Ambroxol syr. Botol 44 16 28 4,840
8 Ambroxol Tab. Box @ 100 520 470 50 165
9 Amlodipine 10 mg Tab. Box @ 30 - 460 460 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,478
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 102 25 77 1,902
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 114 - 100 214 660
21 Bethametasone salep Tube 25 25 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - 8 - 11 19 7,700 146,300
30 Cefadroxil 500 mg Cap. Box @ 100 - 295 230 65 869 56,485
31 Cendo eyefresh mini dose Box@ 25 strip - 12 9 3 5,720 17,160
32 Cetirizine Syr Botol - - 6,050 -
33 Cetirizine Tab. Box @ 100 - - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - 13 6 7 9,460 66,220
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 1 - 22 23 9,460 217,580
36 Chloramfenicol salep (Fasycol) Tube - 9 9 - 4,840 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - - 62 -
42 Daryantulle Box @ 10 - - 24,750 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 555 555 150
44 Dexamethasone Inj. Box @ 100 - - 1,745 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - 15 3 12 5,885 70,620
48 Domperidone Tab. Box @ 100 - - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 100 100 466 46,649
50 Dulcolax 10 mg Sup Ktk @ 5 - 5 5 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 4 4 20,717 82,867
52 Dulcolax tab./ Laxana Box @ 10 - 60 - 60 1,980 118,800
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - - -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 15 3 12 11,110 133,320
61 Gentian Violet Box @ 24 - 7 7 3,850 -
62 Glibenclamide Tab. Box @ 100 - - 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 - 200 - 385 585 130 76,190
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - 27 12 15 8,470 127,050
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 290 290 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - 185 30 155 275 42,625
70 Ibuprofen 400 mg Tab. Box @ 100 - 520 - 285 805 368 296,288
71 Ibuprofen Syr Botol - - 25 25 4,400 110,000
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 155 155 165 -
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,000 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,465 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - 85 85 220 -
90 Nystatin drop (Cazetin drop ) Botol - 11 - 13 24 24,420 586,080
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 - 520 290 230 414 95,297
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - 3 1 2 6,270 12,540
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 2,570 -
105 Ranitidine Tab. Box @ 100 - 275 - 560 835 257 214,598
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 10 mg Tab. Box @ 100 - - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200
112 Ventolin Nebulizer Box @ 20 - 13,860
113 Vit B.1 Box @ 100 230 230 110
114 Vit B6 Box @ 100 - 165
115 Vit. B-Complex Btl @ 100 170 170 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 210 210 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 220
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 5,500
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 1,100
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 78,650
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 1,264
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 137,500
55 Gol. Darah Anti B Botol - 137,500
56 Gol. Darah resus anti D Botol - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 110,000
59 Salmonella Thypi BO Botol - 110,000
60 Salmonella Thypi H Botol - 110,000
61 Salmonella Thypi O Botol - 110,000
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750
71 Yellow tip Pcs - 110
- 2,516,669

42,230 3,729,704
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
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Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 368 - - 368
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 - 231 - - 231
12 Amoksisilin syr Botol - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol - 1,756 - - 1,756
Antasida Tab. ktk 10 x 10 54 - 54
15 Anti Hemoroid ktk 10 - 3,260 - - 3,260
16 Antides ( Attapulgite ) ktk 100 - 175 - - 175
17 Aqua pro inj btl - 2,860 - - 2,860
18 Asam Askorbat Tab 50 mg ktk 10 x 10 - 46 - - 46
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
20 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
21 Asam Mefenamat 500 mg kotak 10 x 10 - 117 - - 117
22 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
24 Attapulgite ( pularex ) 630 mg ktk @ 50 175 - 175
25 Betahistine 6 mg ktk 30 - 119 - - 119
26 Betamethason Salep ktk 25 - 1,920 - - 1,920
27 Bioplacenton Tulle Tulle - 10,733 - - 10,733
28 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
29 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
30 Bufacetine salep kulit Tube - 3,360 - - 3,360
31 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
32 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
33 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
34 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
35 Cetirizine sirup botol - 3,061 - - 3,061
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
37 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
38 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
39 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
43 Deksamethasone Tablet btl 10 x 10 tablet - 75 - - 75
44 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
45 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
46 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
48 Digoksin ktk 10 x 10 - 96 - - 96
49 Dimenhidrinat 50 mg btl 100 - 121 - - 121
50 Doksisiklin 100 mg Ktk 100 - 309 - - 309
51 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
52 Domperidon Sirup btl - 3,180 - - 3,180
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
54 Ergotamine + Caffein Botol @ 100 - 199 - - 199
55 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
56 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
57 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
58 Furosemid 40 mg ktk 200 tab - 84 - - 84
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
60 Garam Oralit ktk 100 - 281 - - 281
61 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
62 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
64 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
67 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
69 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
70 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
72 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
76 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
77 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
78 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
79 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
80 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
81 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
84 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
85 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
86 Kotrimoksasol Syr. Botol - 2,052 #NAME? - 2,052
87 Lidocain 2 % inj ktk 100 - 891 - - 891
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
88 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
89 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
90 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
91 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
92 Lysol btl - 45,100 - - 45,100
93 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
94 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
95 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
96 Metformin 500 mg ktk 10x 10 - 77 - - 77
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102 - 102
98 Metilergometrin injeksi ktk 100 3,399 - 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242 - 242
100 Metoklopramid 10 mg ktk 10 x 10 111 - 111
101 Metoklopramid Sirup (Lexapram) btl 2,750 - 2,750
102 Metronidazol 500 mg ktk 100 140 - 140
103 Metronidazol Sirup btl 60 ml 3,800 - 3,800
104 Miconazole 2% krem tube 10 gram 1,900 - 1,900
105 Natrium Chlorida 0,9 % btl 500 ml 6,900 - 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 109 - 109
107 Nifedipin tab ktk 10 x 10 tablet 123 - 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688 - 688
109 OBH syr. Botol 3,500 - 3,500
110 Omeprazol 20 mg ktk 3x 10 164 - 164
OAM 1,900 1,900
111 Oxytetrasiklin salep mata ktk 25 2,600 - 2,600
112 Oxytocin injeksi btl 15 ml 2,774 - 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL 11,500 - 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 225 - 225
115 Parasetamol Sirup btl 1,160 - 1,160
116 Phenol Glycerol TTS telinga btl 2,500 - 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet 818 - 818
118 Phitomenadion Vit K inj ktk 30 1,452 - 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml 21,150 - 21,150
120 Prednison 5 mg ktk 10 x 10 tablet 285 - 285
121 Primaquin 15 mg ktk 10 x 10 tablet 242 - 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet 80 - 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet 297 - 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150 - 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155 - 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 119 - 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327 - 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505 - 505
129 Rifampicin 600 mg ktk 100 1,420 - 1,420
130 Ringer Laktat Infus btl 7,703 - 7,703
131 Risperidon 2 mg ktk 100 130 - 130
132 Rivanol botol 300 ml 3,850 - 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet 65 - 65
134 Serum ABU Vial 517,132 - 517,132
135 Sikzonoate inj ktk 5 amp 57,500 - 57,500
136 Simvastatin 10 mg ktk 30 117 - 117
137 Stesolid 10 mg/2,5 ml rektal tube 18,458 - 18,458
138 Stesolid 5 mg/2,5 ml rektal tube 14,459 - 14,459
139 Tablet Tambah Darah ktk 30 409 - 409
140 Thiamin ( vitamin B1 ) kotak 100 94 - 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680 - 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet 97 - 97
143 Vit B Komplek Tablet btl 100 60 - 60
144 Zink tablet ktk 10 x 10 253 - 253
145 Zirkum kids sirup botol 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
146 Eugenol Btl - 50,417 - - 50,417
147 Aseptik gel - - - - -
148 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml 3,069 - 3,069
164 Rapid Test HbsAg Kotak 8,100 - 8,100
165 Slide Kaca ktk 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341 - 3,341
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 64,171 - 64,171
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 3,472 - 3,472
39 Test Kehamilan ktk 50 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs 2,070 - 2,070
41 Underpad Pcs 5,280 - 5,280
42 Urin Bag 10 pcs 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL 3,796 - 3,796
9 Mineral Mix Shaset 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 1,232 - 1,232
12 Stik shipyllis Box @ 25 8,871 - 8,871
13 Vit. K inj. Box @ 30 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 353 - 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 601 - 601
TOTAL OBAT & BMHP APBD - #NAME? - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 991 - 991
3 Acyclovir cream Tube 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 567 - 567
7 Ambroxol syr. Botol 4,840 - 4,840
8 Ambroxol Tab. Box @ 100 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 407 - 407
12 Amoxycillin Syr. Botol 5,478 - 5,478
13 Antasid Syr. Botol 3,900 - 3,900
14 Antasida Tab. Box @ 100 165 - 165
15 Asam Folat Box@100 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 1,902 - 1,902
18 Aseptic Gell Botol 450 mL 55,000 - 55,000
19 Bedak Salicyl Pcs 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 660 - 660
21 Bethametasone salep Tube 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube 17,650 - 17,650
23 Bisolvon sol Botol 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - - 6,050
33 Cetirizine Tab. Box @ 100 - 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 9,460 - - 9,460
36 Chloramfenicol salep (Fasycol) Tube - 4,840 - - 4,840
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 24,750 - - 24,750
43 Dexamethasone 0,5 mg Tab. Box @ 100 150 - 150
44 Dexamethasone Inj. Box @ 100 - 1,745 - - 1,745
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - - - - -
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 368 - - 368
71 Ibuprofen Syr Botol - 4,400 - - 4,400
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,000 - - 5,000
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,465 - - 3,465
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - - 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 2,570 - - 2,570
105 Ranitidine Tab. Box @ 100 - 257 - - 257
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 10 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 13,860 - 13,860
113 Vit B.1 Box @ 100 110 - 110
114 Vit B6 Box @ 100 165 - 165
115 Vit. B-Complex Btl @ 100 220 - 220
116 Vit K inj. Box @ 5 7,150 - 7,150
117 Vit K Tab. Box @ 100 1,320 - 1,320
118 Water for Inj. 10 mL Botol 5,940 - 5,940
119 Water for Inj. 25 mL Botol 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol 7,000 - 7,000
121 Zinc Tab. Box @ 100 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 5,500 - 5,500
2 Abbocat 20 G Box @ 50 5,500 - 5,500
3 Abbocat 22 G Box @ 50 6,050 - 6,050
4 Abbocat 24 G Box @ 50 13,000 - 13,000
5 Abbocat 26 G Box @ 50 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000 - 11,000
8 Alkohol 300 mL Botol 24,065 - 24,065
9 Alkohol Swab Bok 220 - 220
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
10 Bisturi no. 11 G Box @ 100 1,100 - 1,100
11 Blood set Box @ 50 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 1,701 - 1,701
19 Infuset Dewasa Pcs 5,500 - 5,500
20 Kassa 40 x 80 Roll 120,000 - 120,000
21 Kassa steril Box 4,000 - 4,000
22 Masker Bedah Box @ 50 806 - 806
23 Masker Oxigen Anak Pcs 16,500 - 16,500
24 Masker Oxigen dws Pcs 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800 - 30,800
27 Mucus extractor Box @ 25 7,700 - 7,700
28 Nasal canul Bayi Pcs 11,000 - 11,000
29 Nasal canul anak Pcs 11,000 - 11,000
30 Nasal canul dewasa Pcs 11,000 - 11,000
31 Needle 23 G Box @100 220 - 220
32 NGT Fr. 3,5 Pcs 49,500 - 49,500
33 NGT No. 16 Pcs 49,500 - 49,500
34 Nurse Cup Box @100 605 - 605
35 Pot salep 20 gr Pot 1,100 - 1,100
36 Sendok obat Pcs 600 - 600
37 Silk 3/0 Box @ 36 11,000 - 11,000
38 Silk 4/0 Box @ 12 11,000 - 11,000
39 Sungkup nebulizer anak Pcs 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs 27,500 - 27,500
42 Umbilical cord Pcs 1,540 - 1,540
43 Underpad Box @ 10 4,840 - 4,840
44 Utrafix 5 x 10 Roll 71,500 - 71,500
45 Utrafix 5 x 5 Roll 78,650 - 78,650
46 Urine Bag Pcs 7,700 - 7,700
47 Verban 4 x 10 Roll 3,500 - 3,500
48 Verban 4 x 5 Roll 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 132 - 132
50 Cover Glass 20 x 20 Pcs 1,264 - 1,264
51 Diatro Cleaner Botol 1 L 759,000 - 759,000
52 Diatro Dilluent Botol 1 L 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol 137,500 - 137,500
55 Gol. Darah Anti B Botol 137,500 - 137,500
56 Gol. Darah resus anti D Botol 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL 55,000 - 55,000
58 Salmonella Thypi AO Botol 110,000 - 110,000
59 Salmonella Thypi BO Botol 110,000 - 110,000
60 Salmonella Thypi H Botol 110,000 - 110,000
61 Salmonella Thypi O Botol 110,000 - 110,000
62 Serum Kontrol Botol 715,000 - 715,000
63 Spiritus Botol 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 6,400 - 6,400
68 Tabung EDTA 3 mL Botol 1,870 - 1,870
69 Tes Kehamilan Box @ 50 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 2,750 - 2,750
71 Yellow tip Pcs 110 - 110
- -

#NAME?
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
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POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 - -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 - -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 - -
4 Acyclovir 400 mg ktk 10 x 10 - - 368 - -
5 Allupurinol 100 mg ktk 100 - - 89 - -
6 Ambroxol syr. Botol - - 3,639 - -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 - -
8 Amlodipin 5 mg ktk 30 - - 74 - -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 - -
11 Amoksisilin 500 mg ktk 10x 11 - - 231 - -
12 Amoksisilin syr Botol - - 2,050 - -
13 Antasida doen tablet kotak ktk 10 x10 - - 54 - -
14 Antasida syr. Botol - - 1,756 - -
Antasida Tab. ktk 10 x 10 - 54 -
15 Anti Hemoroid ktk 10 - - 3,260 - -
16 Antides ( Attapulgite ) ktk 100 - - 175 - -
17 Aqua pro inj btl - - 2,860 - -
18 Asam Askorbat Tab 50 mg ktk 10 x 10 - - 46 - -
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 - -
20 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 - -
21 Asam Mefenamat 500 mg kotak 10 x 10 - - 117 - -
22 Atropin 0.5 mg tablet ktk 100 tablet - - 81 - -
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 - -
24 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
25 Betahistine 6 mg ktk 30 - - 119 - -
26 Betamethason Salep ktk 25 - - 1,920 - -
27 Bioplacenton Tulle Tulle - - 10,733 - -
28 Bisacodil 10 mg ktk 50 sup - - 5,800 - -
29 Bisacodil 5 mg ktk 6 sup - - 5,800 - -
30 Bufacetine salep kulit Tube - - 3,360 - -
31 Captopril 50 mg ktk 10 x 10 tablet - - 143 - -
32 Captopril 12,5 mg ktk 10 x 10 - - 65 - -
33 Captopril 25 mg ktk 10 x 10 tablet - - 75 - -
34 Cetirizine 10 mg ktk 10 x 10 - - 104 - -
35 Cetirizine sirup botol - - 3,061 - -
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 - -
37 Clindamycin HCI 300mg Cap. ktk 50 - - 660 - -
38 Cloramfenicol salep mata ktk 24 tube - - 1,925 - -
39 Clorpromazine 100 mg ktk 10 x 10 - - 153 - -
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 - -
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 - -
42 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 - -
43 Deksamethasone Tablet btl 10 x 10 tablet - - 75 - -
44 Diazepam 2 mg Tab. Box @ 100 - - 86 - -
45 Diazepam 05 mg inj ktk 10 amp - - 1,545 - -
46 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 - -
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 - -
48 Digoksin ktk 10 x 10 - - 96 - -
49 Dimenhidrinat 50 mg btl 100 - - 121 - -
50 Doksisiklin 100 mg Ktk 100 - - 309 - -
51 Domperidon 10 mg kotak 10 x 10 - - 75 - -
52 Domperidon Sirup btl - - 3,180 - -
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 7 2 5 1,740 8,700 -
54 Ergotamine + Caffein Botol @ 100 - - 199 - -
55 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 - -
56 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 - -
57 Fenobarbital inj ktk 30 Ampul - - 1,980 - -
58 Furosemid 40 mg ktk 200 tab - - 84 - -
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 - -
60 Garam Oralit ktk 100 - - 281 - -
61 Gentamisin TTS Mata ktk 24 btl - - 4,600 - -
62 Glibenclamide 5 mg Tab. ktk 100 - - 137 - -
63 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 - -
64 Glukosa larutan infus 5 % btl 500 ml - - 6,627 - -
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 - -
66 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 - -
67 Haloperidol 0,5 mg ktk 10 x 10 - - 62 - -
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 - -
69 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 - -
70 Hidrokortisone Cream 2,5 % tube @ 5 g - - 2,325 - -
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 - -
72 Ibuprofen sirup btl 60 ml - - 2,678 - -
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 - -
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 - -
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 - -
76 Kalsium laktat ( Kalk ) tablet 500 mg - - 60 - -
77 Karbamazepin 200 mg ktk 10 x 10 - - 269 - -
78 Ketoconazole 200mg Tab. Box @ 50 - - 286 - -
79 Ketoconazole salep ktk 25 tube - - 2,577 - -
80 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 - -
81 Klonidin 0,15 mg ktk 10 x 10 - - 224 - -
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 - -
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24 - -
84 Kodein Tablet 10 mg ktk 10 x 10 - - 550 - -
85 Kotrimoksasol 480 mg ktk 100 - - 220 - -
86 Kotrimoksasol Syr. Botol - - 2,052 - -
87 Lidocain 2 % inj ktk 100 - 9 4 5 891 4,455 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
88 Lidocain 2 % inj Jelly tube - - 40,000 - -
89 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 - -
90 Loperamid 2 mg ktk 10 x 10 - - 97 - -
91 Loratadine tab 10 mg ktk 10x 10 - - 149 - -
92 Lysol btl - - 45,100 - -
93 Magnesium sulfat inj 20% btl - - 2,122 - -
94 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 - -
95 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 - -
96 Metformin 500 mg ktk 10x 10 - - 77 - -
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 -
98 Metilergometrin injeksi ktk 100 8 - 8 3,399 -
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
100 Metoklopramid 10 mg ktk 10 x 10 - 111 -
101 Metoklopramid Sirup (Lexapram) btl - 2,750 -
102 Metronidazol 500 mg ktk 100 - 140 -
103 Metronidazol Sirup btl 60 ml - 3,800 -
104 Miconazole 2% krem tube 10 gram - 1,900 -
105 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
106 Natrium diklofenak 50 mg kotak 50 tablet - 109 -
107 Nifedipin tab ktk 10 x 10 tablet - 123 -
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
109 OBH syr. Botol - 3,500 -
110 Omeprazol 20 mg ktk 3x 10 - 164 -
OAM 1,900
111 Oxytetrasiklin salep mata ktk 25 - 2,600 -
112 Oxytocin injeksi btl 15 ml 19 7 12 2,774 -
113 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
114 Paracetamol tab 500 mg ktk 100 tablet - 225 -
115 Parasetamol Sirup btl - 1,160 -
116 Phenol Glycerol TTS telinga btl - 2,500 -
117 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
118 Phitomenadion Vit K inj ktk 30 24 30 7 47 1,452 -
119 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
120 Prednison 5 mg ktk 10 x 10 tablet - 285 -
121 Primaquin 15 mg ktk 10 x 10 tablet - 242 -
122 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
123 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
125 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
126 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
129 Rifampicin 600 mg ktk 100 - 1,420 -
130 Ringer Laktat Infus btl - 7,703 -
131 Risperidon 2 mg ktk 100 - 130 -
132 Rivanol botol 300 ml - 3,850 -
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
134 Serum ABU Vial - 517,132 -
135 Sikzonoate inj ktk 5 amp - 57,500 -
136 Simvastatin 10 mg ktk 30 - 117 -
137 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
138 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
139 Tablet Tambah Darah ktk 30 - 409 -
140 Thiamin ( vitamin B1 ) kotak 100 - 94 -
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
142 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
143 Vit B Komplek Tablet btl 100 - 60 -
144 Zink tablet ktk 10 x 10 - 253 -
145 Zirkum kids sirup botol - 3,285 -
- - - - -
OBAT GIGI : - - - - -
146 Eugenol Btl - - 50,417 - -
147 Aseptik gel - - - - -
148 yellow tip - - 110 - -
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - - 153 - -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 - -
151 Gluco Protein Test Urine ktk 10 - - 1,098 - -
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 - -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 - -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 - -
158 Larutan Methyl Blue btl 100 ml - - 99,000 - -
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 - -
161 Needle flashback ktk 50 - - 1,701 - -
162 Oil Imersion btl 10 ml - - 110,000 - -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 80 4 76 1,023 77,748 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 95 13 82 683 56,006 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 - -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 - -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
5 Alkohol 70 % btl 1 liter - - 29,375 - -
6 Alkohol Swab 0,5 % pcs - 25 5 20 129 2,571 -
7 Bisturi ktk 100 - - 10,733 - -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 13 4 9 2,873 25,857 -
9 Foley Catheter 16 pcs - - 153 - -
10 Hand Scoon 7 (Steril) pcs - - 6,142 - -
11 Hand Scoon L ktk 100 - - 1,435 - -
12 Hand Scoon M ktk 100 - 100 100 - 1,435 - -
13 Hand Scoon M ktk 100 - - 1,435 - -
14 Hand Scoon S ktk 100 - 100 100 - 8,470 - -
15 Infusion Dewasa ktk 50 - 33 5 28 9,181 257,068 -
16 Infusion set anak set / kantong - - 6,983 - -
17 IV Catheter No. 22 G 50 buah / kotak - 22 2 20 4,818 96,360 -
18 IV Catheter No. 18 G 50 buah / kotak - 14 14 - 4,818 - -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 - -
20 Kantong Limbah uk. L Pcs - - 5,400 - -
21 Kantong Limbah uk. M Pcs - - 15,000 - -
22 Kapas Pembalut 250 gr rol - - 1,448 - -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 - -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 - -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 - -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 - -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 - -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 - -
29 Lysol btl - - 442 - -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 - -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 - -
32 Mucus Extractor Pcs - 7 2 5 5,865 29,325 -
33 Oxyflow Anak - - 8,040 - -
34 Oxyflow Dewasa pcs - - 5,000 - -
35 Pembalut Elastis roll - - 5,000 - -
36 Polifix 5 cmx 5 m Roll - - 39,217 - -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 3,472 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs 58 10 48 2,070 -
41 Underpad Pcs 20 15 5 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 - 409 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL 2 - 2 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 353 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 601 -
TOTAL OBAT & BMHP APBD - - - 558,090 -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 - 567 -
7 Ambroxol syr. Botol - 4,840 -
8 Ambroxol Tab. Box @ 100 - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 -
10 Amlodipine 5 mg Tab. Box @ 100 - 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,478 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 - 660 -
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 - -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 - -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 - -
28 Captopril 25 mg Tab. Box @ 100 - - 132 - -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 - -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 869 - -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 - -
32 Cetirizine Syr Botol - - 6,050 - -
33 Cetirizine Tab. Box @ 100 - - 286 - -
34 Chloramfenicol Tetes mata (Reco) Botol - - 9,460 - -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 9,460 - -
36 Chloramfenicol salep (Fasycol) Tube - - 4,840 - -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 - -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
38 Cotrimoksazol 480 mg Box @ 100 - - 290 - -
39 Cotrimoxazole syr. Botol - - 4,290 - -
40 CPZ 100 mg Tab. Box @ 100 - - 433 - -
41 CTM Btl @ 100 - - 62 - -
42 Daryantulle Box @ 10 - - 24,750 - -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 -
44 Dexamethasone Inj. Box @ 100 - - 1,745 - -
45 Dextrose 40 25 mL Botol - - 12,760 - -
46 Difenhydramine inj. Box @ 30 - - 1,863 - -
47 Domperidone Syr. Botol - - 5,885 - -
48 Domperidone Tab. Box @ 100 - - 272 - -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 - -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 - -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 - -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 - -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 - -
54 Ephineprin Inj. Box @ 30 - - 8,983 - -
55 Ergotamine + Caffein Box @ 100 - - - - -
56 Etil Klorida 100 ml Botol - - 223,850 - -
57 Garam Oralit Box @ 100 - - 352 - -
58 Gentamicin SK Box @ 10 - - 3,630 - -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 - -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - - 11,110 - -
61 Gentian Violet Box @ 24 - - 3,850 - -
62 Glibenclamide Tab. Box @ 100 - - 223 - -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 - -
64 Glucosa infus 10 % Box @ 20 - - 10,175 - -
65 Guanistrep syr. Botol - - 8,470 - -
66 H2O2 3 % 100 mL Botol - - 7,370 - -
67 H2O2 3 % 800 mL Botol - - 36,300 - -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 - -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 - -
70 Ibuprofen 400 mg Tab. Box @ 100 - - 368 - -
71 Ibuprofen Syr Botol - - 4,400 - -
72 INH 100 mg Tab. Box @ 100 - - 185 - -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 - -
74 K-EN-3B infus Box @ 20 - - 28,600 - -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 - -
76 Ketokonazole Salep Tube - - 4,950 - -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,000 - -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,465 - -
79 Lidocain Inj. Box @ 100 - - 1,430 - -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 - -
81 Metformin 500 mg Tab. Box @ 100 - - 193 - -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 - -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 - -
85 Miconazole Salep Tube - - 4,730 - -
86 NaCl infus Box @ 20 - - 8,800 - -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 - -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 - -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 - -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 - -
91 Nystatin Vag ovula Box @ 100 - - 828 - -
92 Omeprazole kap. Box @ 30 - - 414 - -
93 Ondancentron Inj Ktk @ 5 - - 7,700 - -
94 Oxytocin Inj. Box @ 100 - - 3,685 - -
95 Oxytetracycline salep mata Tube - 1 1 - 6,270 - -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 - -
97 Paracetamol Syr. Botol - - 4,180 - -
98 Phenol Glycerol TT Botol - - 6,048 - -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 - -
100 Povidone Iodine 300 mL Botol - - 33,000 - -
101 Povidone Iodine 1 Liter Botol - - 99,000 - -
102 Prednison 5 mg Tab. Box @ 100 - - 285 - -
103 Primaquin tab. Box @ 100 - - 304 - -
104 Ranitidine Inj. Box @ 10 - - 2,570 - -
105 Ranitidine Tab. Box @ 100 - - 257 - -
106 Ringer Laktat Infus Box @ 20 - - 9,570 - -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 - -
108 Scabimid krim 10 gr Tube - - 58,850 - -
109 Simvastatin 10 mg Tab. Box @ 100 - - 564 - -
110 Thrombophob gel 20 Gram Tube - - 62,000 - -
111 Ultrasonic Gel 250 mL Botol - 24,200 -
112 Ventolin Nebulizer Box @ 20 - 13,860 -
113 Vit B.1 Box @ 100 - 110 -
114 Vit B6 Box @ 100 - 165 -
115 Vit. B-Complex Btl @ 100 - 220 -
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 30 - 30 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 220 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 -
13 Folley Catheter Fr. 16 Box @ 10 2 5 4 3 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 5,500 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 1,100 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll 1 - 1 78,650 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 1,264 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 137,500 -
55 Gol. Darah Anti B Botol - 137,500 -
56 Gol. Darah resus anti D Botol - 198,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 110,000 -
59 Salmonella Thypi BO Botol - 110,000 -
60 Salmonella Thypi H Botol - 110,000 -
61 Salmonella Thypi O Botol - 110,000 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 -
68 Tabung EDTA 3 mL Botol - 1,870 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,750 -
71 Yellow tip Pcs - 110 -
- -

- 558,090
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN JANUARI 2022
UPT. PUSKESMAS WARU
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 153 -
2 Acetylcystein 200 mg Cap. ktk 100 412 -
3 Acyclovir 200 mg ktk 10 x 10 236 -
4 Acyclovir 400 mg ktk 10 x 10 368 -
5 Allupurinol 100 mg ktk 100 89 -
6 Ambroxol syr. Botol 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 168 -
8 Amlodipin 5 mg ktk 30 74 -
9 Amlodipin 10 mg ktk 30 520
10 Amoksisilin 250 mg ktk 10x 10 188 -
11 Amoksisilin 500 mg ktk 10x 11 231 -
12 Amoksisilin syr Botol 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 54 -
14 Antasida syr. Botol 1,756 -
Antasida Tab. ktk 10 x 10 54 -
15 Anti Hemoroid ktk 10 3,260 -
16 Antides ( Attapulgite ) ktk 100 175 -
17 Aqua pro inj btl 2,860 -
18 Asam Askorbat Tab 50 mg ktk 10 x 10 46 -
19 Asam Folat 400 mg (Profolat) ktk 10 x 10 45 -
20 Asam Mefenamat 250 mg kotak 10 x 10 175 -
21 Asam Mefenamat 500 mg kotak 10 x 10 117 -
22 Atropin 0.5 mg tablet ktk 100 tablet 81 -
23 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 1,353 -
24 Attapulgite ( pularex ) 630 mg ktk @ 50 175
25 Betahistine 6 mg ktk 30 119 -
26 Betamethason Salep ktk 25 1,920 -
27 Bioplacenton Tulle Tulle 10,733 -
28 Bisacodil 10 mg ktk 50 sup 5,800 -
29 Bisacodil 5 mg ktk 6 sup 5,800 -
30 Bufacetine salep kulit Tube 3,360 -
31 Captopril 50 mg ktk 10 x 10 tablet 143 -
32 Captopril 12,5 mg ktk 10 x 10 65 -
33 Captopril 25 mg ktk 10 x 10 tablet 75 -
34 Cetirizine 10 mg ktk 10 x 10 104 -
35 Cetirizine sirup botol 3,061 -
36 Ciprofloxacin 500 mg tab. ktk 10 x 10 260 -
37 Clindamycin HCI 300mg Cap. ktk 50 660 -
38 Cloramfenicol salep mata ktk 24 tube 1,925 -
39 Clorpromazine 100 mg ktk 10 x 10 153 -
40 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 49 -
41 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 1,226 -
42 Deksamethasone injeksi ktk 100 ampul x 1 ml 2,336 -
43 Deksamethasone Tablet btl 10 x 10 tablet 75 -
44 Diazepam 2 mg Tab. Box @ 100 86 -
45 Diazepam 05 mg inj ktk 10 amp 1,545 -
46 Diazepam Stesolid 10 mg ktk 5 amp 18,458 -
47 Difenhidramin HCL injeksi ktk 30 amp @1 ml 1,156 -
48 Digoksin ktk 10 x 10 96 -
49 Dimenhidrinat 50 mg btl 100 121 -
50 Doksisiklin 100 mg Ktk 100 309 -
51 Domperidon 10 mg kotak 10 x 10 75 -
52 Domperidon Sirup btl 3,180 -
53 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 1,740 -
54 Ergotamine + Caffein Botol @ 100 199 -
55 Eritromisin 250 mg ktk 12 x 10 tablet 509 -
56 Eritromisin 500 mg ktk 10 x 10 tablet 913 -
57 Fenobarbital inj ktk 30 Ampul 1,980 -
58 Furosemid 40 mg ktk 200 tab 84 -
59 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 2,012 -
60 Garam Oralit ktk 100 281 -
61 Gentamisin TTS Mata ktk 24 btl 4,600 -
62 Glibenclamide 5 mg Tab. ktk 100 137 -
63 Gliserin 100 ml ( Glyserol ) btl 100 ml 5,867 -
64 Glukosa larutan infus 5 % btl 500 ml 6,627 -
65 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 157 -
66 Griseofulvin 125 mg Tab. ktk 10 x 10 210 -
67 Haloperidol 0,5 mg ktk 10 x 10 62 -
68 Haloperidol 1, 5 mg Tab ktk 10 x 10 76 -
69 Haloperidol decanoate 50 mg ktk 5 amp 97,500 -
70 Hidrokortisone Cream 2,5 % tube @ 5 g 2,325 -
71 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 178 -
72 Ibuprofen sirup btl 60 ml 2,678 -
73 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 111 -
74 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 157 -
75 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 98 -
76 Kalsium laktat ( Kalk ) tablet 500 mg 60 -
77 Karbamazepin 200 mg ktk 10 x 10 269 -
78 Ketoconazole 200mg Tab. Box @ 50 286 -
79 Ketoconazole salep ktk 25 tube 2,577 -
80 Ketorolac inj 30 mg ktk 12 ampul 1,383 -
81 Klonidin 0,15 mg ktk 10 x 10 224 -
82 Kloramfenicol 250 mg Cap. ktk 10 x 10 329 -
83 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 24 -
84 Kodein Tablet 10 mg ktk 10 x 10 550 -
85 Kotrimoksasol 480 mg ktk 100 220 -
86 Kotrimoksasol Syr. Botol 2,052 -
87 Lidocain 2 % inj ktk 100 891 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
88 Lidocain 2 % inj Jelly tube 40,000 -
89 Lidokain komp injeksi, kombinasi ktk 30 amp 2,122 -
90 Loperamid 2 mg ktk 10 x 10 97 -
91 Loratadine tab 10 mg ktk 10x 10 149 -
92 Lysol btl 45,100 -
93 Magnesium sulfat inj 20% btl 2,122 -
94 Meloxicam 7,5 mg Tab. Box @ 30 723 -
95 Meloxicam 15 mg Tab. Box @ 30 1,377 -
96 Metformin 500 mg ktk 10x 10 77 -
97 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102
98 Metilergometrin injeksi ktk 100 3,399
99 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242
100 Metoklopramid 10 mg ktk 10 x 10 111
101 Metoklopramid Sirup (Lexapram) btl 2,750
102 Metronidazol 500 mg ktk 100 140
103 Metronidazol Sirup btl 60 ml 3,800
104 Miconazole 2% krem tube 10 gram 1,900
105 Natrium Chlorida 0,9 % btl 500 ml 6,900
106 Natrium diklofenak 50 mg kotak 50 tablet 109
107 Nifedipin tab ktk 10 x 10 tablet 123
108 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688
109 OBH syr. Botol 3,500
110 Omeprazol 20 mg ktk 3x 10 164
OAM 1,900
111 Oxytetrasiklin salep mata ktk 25 2,600
112 Oxytocin injeksi btl 15 ml 2,774
113 Pantocain 0,5 % tetes mata btl 5 mL 11,500
114 Paracetamol tab 500 mg ktk 100 tablet 225
115 Parasetamol Sirup btl 1,160
116 Phenol Glycerol TTS telinga btl 2,500
117 Phitomenadion Vit K ktk 10 x 10 tablet 818
118 Phitomenadion Vit K inj ktk 30 1,452
119 Povidon Iodida 10 % 300 ml btl 300 ml 21,150
120 Prednison 5 mg ktk 10 x 10 tablet 285
121 Primaquin 15 mg ktk 10 x 10 tablet 242
122 Propanolol tablet 10 mg ktk 10 x 10 tablet 80
123 Propilthiourasil (PTU) 100 mg btl 100 tablet 297
124 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150
125 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155
126 Ranitidine Tablet 150 mg ktk 10 x 10 119
127 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327
128 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505
129 Rifampicin 600 mg ktk 100 1,420
130 Ringer Laktat Infus btl 7,703
131 Risperidon 2 mg ktk 100 130
132 Rivanol botol 300 ml 3,850
133 Salbutamol tablet 2 mg ktk 10 x 10 tablet 65
134 Serum ABU Vial 517,132
135 Sikzonoate inj ktk 5 amp 57,500
136 Simvastatin 10 mg ktk 30 117
137 Stesolid 10 mg/2,5 ml rektal tube 18,458
138 Stesolid 5 mg/2,5 ml rektal tube 14,459
139 Tablet Tambah Darah ktk 30 409
140 Thiamin ( vitamin B1 ) kotak 100 94
141 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680
142 Triheksifenidil tab Kotak 10 x 10 tablet 97
143 Vit B Komplek Tablet btl 100 60
144 Zink tablet ktk 10 x 10 253
145 Zirkum kids sirup botol 3,285
- -
OBAT GIGI : - -
146 Eugenol Btl 50,417 -
147 Aseptik gel - -
148 yellow tip 110 -
- -
REAGEN / LAB : - -
149 Blood Lancets ktk 100 153 -
150 Ethyl Klorida semprot Botol 500 ml 187,000 -
151 Gluco Protein Test Urine ktk 10 1,098 -
152 Gol. Darah Anti B btl - -
153 Gol. Darah Anti A, B btl - -
154 Gol. Darah Anti A btl - -
155 Larutan Ethanol Asam 5 % btl 100 ml 82,500 -
156 Larutan HCL 0,1 N btl 250 ml 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 159,500 -
158 Larutan Methyl Blue btl 100 ml 99,000 -
159 Larutan Turk btl 100 ml - -
160 Larutan Giemsa btl 500 ml 263,184 -
161 Needle flashback ktk 50 1,701 -
162 Oil Imersion btl 10 ml 110,000 -
163 Pot Dahak btl 10 ml 3,069
164 Rapid Test HbsAg Kotak 8,100
165 Slide Kaca ktk 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341
169 Stik protein Urine -
170 Vakum EDTA 3 mL 100 Pcs 1,205
171 Virotec Dengue Combo Ktk 25 64,171
BMHP APBD : - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 1,045 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
5 Alkohol 70 % btl 1 liter 29,375 -
6 Alkohol Swab 0,5 % pcs 129 -
7 Bisturi ktk 100 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 2,873 -
9 Foley Catheter 16 pcs 153 -
10 Hand Scoon 7 (Steril) pcs 6,142 -
11 Hand Scoon L ktk 100 1,435 -
12 Hand Scoon M ktk 100 1,435 -
13 Hand Scoon M ktk 100 1,435 -
14 Hand Scoon S ktk 100 8,470 -
15 Infusion Dewasa ktk 50 9,181 -
16 Infusion set anak set / kantong 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak 4,818 -
20 Kantong Limbah uk. L Pcs 5,400 -
21 Kantong Limbah uk. M Pcs 15,000 -
22 Kapas Pembalut 250 gr rol 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 20,339 -
27 Kasa steril 16 cmx16 cm ktk 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs 3,472 -
29 Lysol btl 442 -
30 Masker hijab / Karet ktk 50 pcs 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs 5,280 -
32 Mucus Extractor Pcs 5,865 -
33 Oxyflow Anak 8,040 -
34 Oxyflow Dewasa pcs 5,000 -
35 Pembalut Elastis roll 5,000 -
36 Polifix 5 cmx 5 m Roll 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll 77,600
38 Silk 3/0 HR - 20 ktk 12 3,472
39 Test Kehamilan ktk 50 2,185
40 Umbilical cord klem ktk 50 pcs 2,070
41 Underpad Pcs 5,280
42 Urin Bag 10 pcs 5,865
-
PROGRAM GIZI /KIA -
1 Ampicillin 1 gr. Inj. Box @ 10 -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913
4 Eutyrox 50 mg Tab. Tablet -
5 Fe ktk 100 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684
8 MgSO4 40 % Botol 25 mL 3,796
9 Mineral Mix Shaset 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600
11 Oxytocin Inj. Box @ 100 1,232
12 Stik shipyllis Box @ 25 8,871
13 Vit. K inj. Box @ 30 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 353
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 601
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096
2 Acyclovir 400 mg Tab Box @ 100 991
3 Acyclovir cream Tube 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,100
5 Allopurinol 100 mg Tab. Box @ 100 248
6 Allopurinol 300 mg Tab. Box @ 100 567
7 Ambroxol syr. Botol 4,840
8 Ambroxol Tab. Box @ 100 165
9 Amlodipine 10 mg Tab. Box @ 30 1,522
10 Amlodipine 5 mg Tab. Box @ 100 446
11 Amoxycillin 500 mg Tab. Box @ 100 407
12 Amoxycillin Syr. Botol 5,478
13 Antasid Syr. Botol 3,900
14 Antasida Tab. Box @ 100 165
15 Asam Folat Box@100 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 1,902
18 Aseptic Gell Botol 450 mL 55,000
19 Bedak Salicyl Pcs 6,426
20 Betahistine 6 mg Tab. Box @ 100 660
21 Bethametasone salep Tube 3,520
22 Bioplacenton gel 15 gram Tube 17,650
23 Bisolvon sol Botol 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000
25 Calcii Gluconas Inj. Box @ 24 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 165 -
27 Captopril 12,5 mg Tab. Box @ 100 105 -
28 Captopril 25 mg Tab. Box @ 100 132 -
29 Cefadroxil 125 mg Syr. Botol 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 869 -
31 Cendo eyefresh mini dose Box@ 25 strip 5,720 -
32 Cetirizine Syr Botol 6,050 -
33 Cetirizine Tab. Box @ 100 286 -
34 Chloramfenicol Tetes mata (Reco) Botol 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 9,460 -
36 Chloramfenicol salep (Fasycol) Tube 4,840 -
37 Ciprofloxacin 500 mg tab. Box @ 100 720 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
38 Cotrimoksazol 480 mg Box @ 100 290 -
39 Cotrimoxazole syr. Botol 4,290 -
40 CPZ 100 mg Tab. Box @ 100 433 -
41 CTM Btl @ 100 62 -
42 Daryantulle Box @ 10 24,750 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 150
44 Dexamethasone Inj. Box @ 100 1,745 -
45 Dextrose 40 25 mL Botol 12,760 -
46 Difenhydramine inj. Box @ 30 1,863 -
47 Domperidone Syr. Botol 5,885 -
48 Domperidone Tab. Box @ 100 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 19,800 -
54 Ephineprin Inj. Box @ 30 8,983 -
55 Ergotamine + Caffein Box @ 100 - -
56 Etil Klorida 100 ml Botol 223,850 -
57 Garam Oralit Box @ 100 352 -
58 Gentamicin SK Box @ 10 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 11,110 -
61 Gentian Violet Box @ 24 3,850 -
62 Glibenclamide Tab. Box @ 100 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 130 -
64 Glucosa infus 10 % Box @ 20 10,175 -
65 Guanistrep syr. Botol 8,470 -
66 H2O2 3 % 100 mL Botol 7,370 -
67 H2O2 3 % 800 mL Botol 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 368 -
71 Ibuprofen Syr Botol 4,400 -
72 INH 100 mg Tab. Box @ 100 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 165 -
74 K-EN-3B infus Box @ 20 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 506 -
76 Ketokonazole Salep Tube 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 5,000 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 3,465 -
79 Lidocain Inj. Box @ 100 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 333 -
81 Metformin 500 mg Tab. Box @ 100 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 543 -
83 Metronidazole 500 mg Tab. Box @ 100 380
84 MgSO4 40 % Botol 14,754 -
85 Miconazole Salep Tube 4,730 -
86 NaCl infus Box @ 20 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 205 -
88 Neurobion Inj 5000 Ktk @ 20 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 220 -
90 Nystatin drop (Cazetin drop ) Botol 24,420 -
91 Nystatin Vag ovula Box @ 100 828 -
92 Omeprazole kap. Box @ 30 414 -
93 Ondancentron Inj Ktk @ 5 7,700 -
94 Oxytocin Inj. Box @ 100 3,685 -
95 Oxytetracycline salep mata Tube 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 317 -
97 Paracetamol Syr. Botol 4,180 -
98 Phenol Glycerol TT Botol 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 123 -
100 Povidone Iodine 300 mL Botol 33,000 -
101 Povidone Iodine 1 Liter Botol 99,000 -
102 Prednison 5 mg Tab. Box @ 100 285 -
103 Primaquin tab. Box @ 100 304 -
104 Ranitidine Inj. Box @ 10 2,570 -
105 Ranitidine Tab. Box @ 100 257 -
106 Ringer Laktat Infus Box @ 20 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 158 -
108 Scabimid krim 10 gr Tube 58,850 -
109 Simvastatin 10 mg Tab. Box @ 100 564 -
110 Thrombophob gel 20 Gram Tube 62,000 -
111 Ultrasonic Gel 250 mL Botol 24,200
112 Ventolin Nebulizer Box @ 20 13,860
113 Vit B.1 Box @ 100 110
114 Vit B6 Box @ 100 165
115 Vit. B-Complex Btl @ 100 220
116 Vit K inj. Box @ 5 7,150
117 Vit K Tab. Box @ 100 1,320
118 Water for Inj. 10 mL Botol 5,940
119 Water for Inj. 25 mL Botol 9,020
120 Zinc / Lecozinc Syr. Botol 7,000
121 Zinc Tab. Box @ 100 675
BMHP : -
1 Abbocat 18 G Box @ 50 5,500
2 Abbocat 20 G Box @ 50 5,500
3 Abbocat 22 G Box @ 50 6,050
4 Abbocat 24 G Box @ 50 13,000
5 Abbocat 26 G Box @ 50 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000
8 Alkohol 300 mL Botol 24,065
9 Alkohol Swab Bok 220
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
10 Bisturi no. 11 G Box @ 100 1,100
11 Blood set Box @ 50 6,900
12 Cat Gut Plain 3/0 Box @ 24 13,750
13 Folley Catheter Fr. 16 Box @ 10 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000
16 Hand scoon nonsteril No. L Box @100 1,701
17 Hand scoon nonsteril No. M Box @100 1,701
18 Hand scoon nonsteril No. S Box @100 1,701
19 Infuset Dewasa Pcs 5,500
20 Kassa 40 x 80 Roll 120,000
21 Kassa steril Box 4,000
22 Masker Bedah Box @ 50 806
23 Masker Oxigen Anak Pcs 16,500
24 Masker Oxigen dws Pcs 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800
27 Mucus extractor Box @ 25 7,700
28 Nasal canul Bayi Pcs 11,000
29 Nasal canul anak Pcs 11,000
30 Nasal canul dewasa Pcs 11,000
31 Needle 23 G Box @100 220
32 NGT Fr. 3,5 Pcs 49,500
33 NGT No. 16 Pcs 49,500
34 Nurse Cup Box @100 605
35 Pot salep 20 gr Pot 1,100
36 Sendok obat Pcs 600
37 Silk 3/0 Box @ 36 11,000
38 Silk 4/0 Box @ 12 11,000
39 Sungkup nebulizer anak Pcs 27,500
40 Sungkup nebulizer bayi Pcs 22,000
41 Sungkup nebulizer Dws Pcs 27,500
42 Umbilical cord Pcs 1,540
43 Underpad Box @ 10 4,840
44 Utrafix 5 x 10 Roll 71,500
45 Utrafix 5 x 5 Roll 78,650
46 Urine Bag Pcs 7,700
47 Verban 4 x 10 Roll 3,500
48 Verban 4 x 5 Roll 1,300
REAGEN : -
49 Blue Tip Pak @ 100 132
50 Cover Glass 20 x 20 Pcs 1,264
51 Diatro Cleaner Botol 1 L 759,000
52 Diatro Dilluent Botol 1 L 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400
54 Gol. Darah Anti A Botol 137,500
55 Gol. Darah Anti B Botol 137,500
56 Gol. Darah resus anti D Botol 198,000
57 HCL Alkohol 3 % Botol 100 mL 55,000
58 Salmonella Thypi AO Botol 110,000
59 Salmonella Thypi BO Botol 110,000
60 Salmonella Thypi H Botol 110,000
61 Salmonella Thypi O Botol 110,000
62 Serum Kontrol Botol 715,000
63 Spiritus Botol 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600
65 Stik GDS Benecheck Btl @ 50 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 6,400
68 Tabung EDTA 3 mL Botol 1,870
69 Tes Kehamilan Box @ 50 1,478
70 Urine Stik 10 Para Btl @100 2,750
71 Yellow tip Pcs 110
-

-
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 140 - 140 412 57,680 - 412
3 Acyclovir 200 mg ktk 10 x 10 200 - 200 236 47,200 - 236
4 Acyclovir 400 mg ktk 10 x 10 50 - 50 454 22,700 120 - 120 454
5 Allupurinol 100 mg ktk 100 100 - 100 89 8,900 - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 - 188
11 Amoksisilin 500 mg ktk 10x 11 240 - 240 231 55,440 130 50 80 231
12 Amoksisilin syr Botol - 2,050 - 10 1 9 2,050
13 Antasida doen tablet kotak ktk 10 x10 260 - 260 54 14,040 - 54
14 Antasida syr. Botol 25 - 25 1,756 43,900 13 - 13 1,756
15 Antasida Tab. ktk 10 x 10 300 40 260 54 14,040 70 60 54
16 Anti Hemoroid ktk 10 8 - 8 3,260 26,080 - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 250 - 250 46 11,500 160 10 150 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 210 - 210 117 24,570 200 80 120 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 80 - 80 175 250 20 230 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet 260 - 260 75 19,500 - 75
35 Cetirizine 10 mg ktk 10 x 10 290 - 290 104 30,160 - 104
36 Cetirizine sirup botol 17 - 17 3,061 52,037 - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 260 - 260 75 19,500 - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - 5 2 3 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 100 - 100 281 28,100 - 281
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g 14 - 14 2,325 32,550 9 - 9 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg 830 500 - 1,330 60 79,800 440 240 200 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube 22 - 22 2,577 56,694 5 1 4 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 160 200 - 360 24 8,640 - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 40 - 40 220 8,800 60 60 - 220
87 Kotrimoksasol Syr. Botol 10 - 10 2,052 20,520 - 2,052
88 Lidocain 2 % inj ktk 100 1 - 1 891 891 9 - 9 891
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 20 - 20 2,122 42,440 - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 140 100 - 240 77 18,480 280 - 280 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 90 - 90 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 80 - 80 140 - 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram 23 - 23 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 3 - 3 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 100 100 - 200 109 250 20 230 109
108 Nifedipin tab ktk 10 x 10 tablet 130 - 130 123 200 - 200 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 22 - 22 688 9 - 9 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 360 - 360 225 160 160 - 225
117 Parasetamol Sirup btl 24 - 24 1,160 8 3 5 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 90 - 90 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 110 100 - 210 150 120 10 110 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl 3 - 3 7,703 - 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 50 - 50 65 180 - 180 65
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 170 100 30 240 117 110 20 90 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 280 10 270 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 - 60 200 - 200 60
146 Zink tablet ktk 10 x 10 - 253 100 30 70 253
147 Zirkum kids sirup botol 7 - 7 3,285 10 1 9 3,285
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - -
150 yellow tip - 110 - - 110
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 8,249
174 RDT HIV D.S 12,527
175 RDT Malaria 10,101
176 RDT Sifilis 8,871
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 50 - 50 1,023 51,150 - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 50 - 50 683 34,150 10 3 7 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs 10 - 10 6,142 61,420 - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 1 - 1 8,470 8,470 - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 5 - 5 4,818 24,090 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk 10 - 10 24,254 242,540 - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 15,092 - 15,092
39 Test Kehamilan ktk 50 10 - 10 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - 0 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - 0 - -
5 Fe ktk 100 720 400 - 1,120 409 440 240 200 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1232 - 1,232
12 Stik shipyllis Box @ 25 - 8871 - 8,871
13 Vit. K inj. Box @ 30 - 4236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - 1,196,062 - -
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube 9 - 9 4,125 5 - 5 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 80 10 70 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 23 - 23 4,840 13 6 7 4,840
8 Ambroxol Tab. Box @ 100 285 - 285 165 200 40 160 165
9 Amlodipine 10 mg Tab. Box @ 30 30 - 30 1,522 90 10 80 1,522
10 Amlodipine 5 mg Tab. Box @ 100 90 100 - 190 446 90 10 80 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 20 6 14 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 300 - 300 1,015 100 - 100 1,015
21 Bethametasone salep Tube 14 - 14 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - 250 50 200 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 90 - 90 869 78,210 130 130 - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - 10 4 6 6,050
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
33 Cetirizine Tab. Box @ 100 - 286 - 80 20 60 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 8 4 4 10,010 40,040 4 - 4 10,010
36 Chloramfenicol salep (Fasycol) Tube - 4,703 - 8 2 6 4,703
37 Ciprofloxacin 500 mg tab. Box @ 100 70 - 70 720 50,400 - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - 90 - 90 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol 11 - 11 5,885 64,735 - 5,885
48 Domperidone Tab. Box @ 100 45 - 45 272 12,227 100 10 90 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - 5 - 5 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - 4 1 3 11,110
61 Gentian Violet Box @ 24 8 - 8 3,850 30,800 4 - 4 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 400 - 400 130 52,096 - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - 6 2 4 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 20 - 20 275 5,500 - 275
70 Ibuprofen 400 mg Tab. Box @ 100 220 - 220 368 80,973 - 368
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114 - - 3,114
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 9 - 9 24,420 219,780 7 - 7 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 330 - 330 414 136,730 70 10 60 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube 18 - 18 6,270 112,860 - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 80 - 80 320 25,600 - 320
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 1 - 1 16,500 - 16,500
112 Ventolin Nebulizer Box @ 20 - 13,475 - 13,475
113 Vit B.1 Box @ 100 270 - 270 220 - 220
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 160 200 - 360 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7000 - 7,000
121 Zinc Tab. Box @ 100 130 - 130 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 10 - 10 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 13 - 13 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs 9 - 9 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 - 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870 - 1,870
69 Tes Kehamilan Box @ 50 8 - 8 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
909,951

2,106,013
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
ok
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 54,480 120 - 120 454 54,480
5 Allupurinol 100 mg ktk 100 - - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - - 74 -
9 Amlodipin 10 mg ktk 30 - 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 18,480 200 65 135 231 31,185
12 Amoksisilin syr Botol 18,450 5 10 10 5 2,050 10,250
13 Antasida doen tablet kotak ktk 10 x10 - - 54 -
14 Antasida syr. Botol 22,828 - 10 5 5 1,756 8,780
15 Antasida Tab. ktk 10 x 10 3,240 54
16 Anti Hemoroid ktk 10 - 10 - 10 3,260 32,600
17 Antides ( Attapulgite ) ktk 100 - - 175 -
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 6,900 80 - 80 46 3,680
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - 60 45 2,700
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 14,040 40 15 25 117 2,925
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - 60 60 - 75 -
35 Cetirizine 10 mg ktk 10 x 10 - 40 30 10 104 1,040
36 Cetirizine sirup botol - - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 10 1 9 2,336 21,024
44 Deksamethasone Tablet btl 10 x 10 tablet - 100 20 80 75 6,000
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - - 121 -
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - - 75 -
53 Domperidon Sirup btl 9,540 - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - - 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - - 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 - - 281 -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - - 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 20,925 - 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 12,000 90 10 80 60 4,800
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
80 Ketoconazole salep ktk 25 tube 10,308 - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 10 100 10 100 24 2,400
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 - - 220 -
87 Kotrimoksasol Syr. Botol - 4 1 3 2,052 6,156
88 Lidocain 2 % inj ktk 100 8,019 2 2 891 -
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 21,560 - 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - - 102
99 Metilergometrin injeksi ktk 100 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750
103 Metronidazol 500 mg ktk 100 - 140
104 Metronidazol Sirup btl 60 ml - 3,800
105 Miconazole 2% krem tube 10 gram - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 90 35 55 109
108 Nifedipin tab ktk 10 x 10 tablet - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688
110 OBH syr. Botol - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 50 50 - 225
117 Parasetamol Sirup btl 5 5 9 1 1,160
118 Phenol Glycerol TTS telinga btl - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 100 - 100 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 20 16 4 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 35 15 20 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
131 Rifampicin 600 mg ktk 100 - 1,420
132 Ringer Laktat Infus btl - 7,703
133 Risperidon 2 mg ktk 100 - 130
134 Rivanol botol 300 ml - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65
136 Serum ABU Vial - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500
138 Simvastatin 10 mg ktk 30 10 - 10 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459
141 Tablet Tambah Darah ktk 30 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97
145 Vit B Komplek Tablet btl 100 - 60
146 Zink tablet ktk 10 x 10 - 253
147 Zirkum kids sirup botol - 3,285
- - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 2 - 2 1,023 2,046
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 4,781 - 25 10 15 683 10,245
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 2 - 2 1,045 2,090
5 Alkohol 70 % btl 1 liter - 1 - 1 29,375 29,375
6 Alkohol Swab 0,5 % pcs - 100 50 50 129 6,428
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - - 1,435 -
12 Hand Scoon M ktk 100 - 100 100 - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 15,092
39 Test Kehamilan ktk 50 1 - 1 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 120 120 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637
TOTAL OBAT & BMHP APBD 225,551 - - 238,204
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991
3 Acyclovir cream Tube - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248
6 Allopurinol 300 mg Tab. Box @ 100 80 10 70 567
7 Ambroxol syr. Botol 1 1 - 4,840
8 Ambroxol Tab. Box @ 100 - - 165
9 Amlodipine 10 mg Tab. Box @ 30 30 - 30 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,478
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 - 1,015
21 Bethametasone salep Tube - - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 26,400 - 132 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 869 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol 36,300 - 6,050 -
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
33 Cetirizine Tab. Box @ 100 17,160 - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - - - 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 40,040 5 5 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 28,218 10 - 10 4,703 47,030
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 5,544 - 62 -
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 5,885 -
48 Domperidone Tab. Box @ 100 24,453 - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 99,000 - 19,800 -
54 Ephineprin Inj. Box @ 30 - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 33,330 - 11,110 -
61 Gentian Violet Box @ 24 15,400 2 - 2 3,850 7,700
62 Glibenclamide Tab. Box @ 100 40 - 40 223 8,903
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol 33,880 - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 50 100 60 90 368 33,125
71 Ibuprofen Syr Botol - 6,160 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 -
74 K-EN-3B infus Box @ 20 - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,114 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol 170,940 - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 24,860 90 70 20 414 8,287
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - 3 - 3 6,270 18,810
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - - 320 -
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 16,500
112 Ventolin Nebulizer Box @ 20 - 13,475
113 Vit B.1 Box @ 100 80 50 30 220
114 Vit B6 Box @ 100 - 165
115 Vit. B-Complex Btl @ 100 - - 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 - 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 220
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 4,400
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 1,100
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 78,650
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 308
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 137,500
55 Gol. Darah Anti B Botol - 137,500
56 Gol. Darah resus anti D Botol - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 110,000
59 Salmonella Thypi BO Botol - 110,000
60 Salmonella Thypi H Botol - 110,000
61 Salmonella Thypi O Botol - 110,000
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750
71 Yellow tip Pcs - 110
555,525 123,855

781,076 362,059
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
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PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - 20 - 20 454
5 Allupurinol 100 mg ktk 100 110 - 110 89 9,790 - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - 90 10 80 74
9 Amlodipin 10 mg ktk 30 - 520 80 - 80 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 100 20 80 231 18,480 160 90 70 231
12 Amoksisilin syr Botol - 2,050 - 6 2 4 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - 45 25 20 54
14 Antasida syr. Botol 1 - 1 1,756 1,756 - - 1,756
15 Antasida Tab. ktk 10 x 10 54 54
16 Anti Hemoroid ktk 10 - 3,260 - 5 - 5 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 30 - 30 46 1,380 130 40 90 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 50 10 40 117 4,680 85 35 50 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 100 30 70 65 4,550 90 10 80 65
34 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
35 Cetirizine 10 mg ktk 10 x 10 90 30 60 104 6,240 - 104
36 Cetirizine sirup botol 1 - 1 3,061 3,061 - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 - 30 - 30 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 50 10 40 75 3,000 80 40 40 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 20 - 20 281 5,620 28 - 28 281
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g 2 1 1 2,325 2,325 5 2 3 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg 150 30 120 60 7,200 30 20 10 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 50 - 50 286 14,300 - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 80 10 70 24 1,680 50 40 10 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 80 - 80 220 17,600 90 - 90 220
87 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 - 100 - 100 77 7,700 - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 - 140 65 5 60 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram - 1,900 2 - 2 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet - 100 - 100 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet - 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 30 200 30 200 225 40 20 20 225
117 Parasetamol Sirup btl 5 1 4 1,160 1 5 2 4 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 80 30 50 150 110 20 90 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl - 7,703 1 - 1 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 - 65
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 90 - 90 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 170 30 140 60 100 - 100 60
146 Zink tablet ktk 10 x 10 - 253 - 253
147 Zirkum kids sirup botol - 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - 2 - 2 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - 102 6 96 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - 36 8 28 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - 1 - 1 9,181
16 Infusion set anak set / kantong - 6,983 - 1 - 1 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 15,092 - 15,092
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 170 30 140 409 70 30 40 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - - 109,362 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol - - 4,840 5 5 4,840
8 Ambroxol Tab. Box @ 100 50 - 50 165 30 30 - 165
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 5 - 5 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 100 - 100 1,015 70 20 50 1,015
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - - 6,050
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube 10 - 10 4,703 47,030 2 - 2 4,703
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 100 20 80 130 10,419 - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - 100 - 100 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 368 - - 368
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114 - - 3,114
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 5 - 5 24,420 122,100 - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - 50 10 40 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 80 - 80 320 25,600 - 320
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 16,500 - 16,500
112 Ventolin Nebulizer Box @ 20 - 13,475 - 13,475
113 Vit B.1 Box @ 100 - 220 100 - 100 220
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 5 - 5 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 - 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870 - 1,870
69 Tes Kehamilan Box @ 50 - 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
205,149

314,511
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
ok
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 9,080 - 454 -
5 Allupurinol 100 mg ktk 100 - - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 5,920 - 74 -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 16,170 - 231 -
12 Amoksisilin syr Botol 8,200 - 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 1,080 - 54 -
14 Antasida syr. Botol - - 1,756 -
15 Antasida Tab. ktk 10 x 10 - 240 500 700 40 54 2,160
16 Anti Hemoroid ktk 10 16,300 - 3,260 -
17 Antides ( Attapulgite ) ktk 100 - - 175 -
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 4,140 - 46 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 -
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 5,850 35 500 500 35 117 4,095
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 5,200 - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - 140 300 295 145 75 10,875
35 Cetirizine 10 mg ktk 10 x 10 - - 104 -
36 Cetirizine sirup botol - - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 1,470 100 100 - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet 3,000 - 75 -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - - 121 -
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - - 75 -
53 Domperidon Sirup btl - - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - - 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - - 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 7,868 - 281 -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - 200 200 - 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 6,975 - 14 14 - 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 600 145 300 300 145 60 8,700
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
80 Ketoconazole salep ktk 25 tube - - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 240 90 300 300 90 24 2,160
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 19,800 - 220 -
87 Kotrimoksasol Syr. Botol - - 2,052 -
88 Lidocain 2 % inj ktk 100 - - 891 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 - 50 200 200 50 77 3,850
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 50 200 250 - 102 -
99 Metilergometrin injeksi ktk 100 - 3,399 -
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
101 Metoklopramid 10 mg ktk 10 x 10 - 111 -
102 Metoklopramid Sirup (Lexapram) btl - 2,750 -
103 Metronidazol 500 mg ktk 100 - 140 -
104 Metronidazol Sirup btl 60 ml - 3,800 -
105 Miconazole 2% krem tube 10 gram - 20 20 - 1,900 -
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
107 Natrium diklofenak 50 mg kotak 50 tablet 90 500 500 90 109 9,810
108 Nifedipin tab ktk 10 x 10 tablet - 123 -
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
110 OBH syr. Botol - 3,500 -
111 Omeprazol 20 mg ktk 3x 10 - 164 -
112 OAM 1,900 -
113 Oxytetrasiklin salep mata ktk 25 - 2,600 -
114 Oxytocin injeksi btl 15 ml - 2,774 -
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
116 Paracetamol tab 500 mg ktk 100 tablet 30 - 30 225 6,750
117 Parasetamol Sirup btl - 1,160 -
118 Phenol Glycerol TTS telinga btl - 2,500 -
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
120 Phitomenadion Vit K inj ktk 30 - 1,452 -
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
122 Prednison 5 mg ktk 10 x 10 tablet - 73 -
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 -
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
131 Rifampicin 600 mg ktk 100 - 1,420 -
132 Ringer Laktat Infus btl - 7,703 -
133 Risperidon 2 mg ktk 100 - 130 -
134 Rivanol botol 300 ml - 3,850 -
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
136 Serum ABU Vial - 517,132 -
137 Sikzonoate inj ktk 5 amp - 57,500 -
138 Simvastatin 10 mg ktk 30 - 117 -
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
141 Tablet Tambah Darah ktk 30 - 409 -
142 Thiamin ( vitamin B1 ) kotak 100 - 94 -
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
145 Vit B Komplek Tablet btl 100 - 60 -
146 Zink tablet ktk 10 x 10 - 253 -
147 Zirkum kids sirup botol - 3,285 -
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
172 RDT HIV 1+2 12,500 -
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 1,366 - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
5 Alkohol 70 % btl 1 liter - - 29,375 -
6 Alkohol Swab 0,5 % pcs 12,341 - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 40,180 - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 9,181 - 9,181 -
16 Infusion set anak set / kantong 6,983 - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 15,092 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs - 2,070 -
41 Underpad Pcs - 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 - 100 100 - 409 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL - 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 -
TOTAL OBAT & BMHP APBD 181,944 - - 48,400
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 40 300 300 40 567 22,660
7 Ambroxol syr. Botol - 4,840 -
8 Ambroxol Tab. Box @ 100 - - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 -
10 Amlodipine 5 mg Tab. Box @ 100 200 200 - 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,478 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 30 - 30 1,015 30,450
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 869 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol - - 6,050 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - - 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 9,406 - 4,703 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - - 62 -
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - - 150 -
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 5,885 -
48 Domperidone Tab. Box @ 100 - - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - - - 11,110 -
61 Gentian Violet Box @ 24 - - 3,850 -
62 Glibenclamide Tab. Box @ 100 - - - 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 136,400 50 50 - 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 - 240 200 440 - 368 -
71 Ibuprofen Syr Botol - - 6,160 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 -
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,114 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 16,573 10 - 10 414 4,143
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - - 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - 80 80 - 320 -
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - 85 85 - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 16,500 -
112 Ventolin Nebulizer Box @ 20 - 13,475 -
113 Vit B.1 Box @ 100 150 500 650 - 220 -
114 Vit B6 Box @ 100 - 165 -
115 Vit. B-Complex Btl @ 100 155 155 - 220 -
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 - 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 220 -
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 -
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 4,400 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 1,100 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll - 78,650 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 308 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 137,500 -
55 Gol. Darah Anti B Botol - 137,500 -
56 Gol. Darah resus anti D Botol - 198,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 110,000 -
59 Salmonella Thypi BO Botol - 110,000 -
60 Salmonella Thypi H Botol - 110,000 -
61 Salmonella Thypi O Botol - 110,000 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 -
68 Tabung EDTA 3 mL Botol - 1,870 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,750 -
71 Yellow tip Pcs - 110 -
162,379 4,143

344,323 52,543
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
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UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - - 454
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 10 400 320 90 231 20,790 - 231
12 Amoksisilin syr Botol 10 10 - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol 10 7 3 1,756 5,268 - 1,756
15 Antasida Tab. ktk 10 x 10 54 54
16 Anti Hemoroid ktk 10 - 3,260 - - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 65 100 105 60 46 2,760 - 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 60 400 210 250 117 29,250 - 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 85 35 50 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet - 100 - 100 75 7,500 - 75
35 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
36 Cetirizine sirup botol - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 26 14 12 2,336 28,032 - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 35 100 135 - 75 - - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 30 30 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl 1 10 8 3 3,180 9,540 - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 10 10 - 281 - - 281
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml 3 - 3 6,627 19,881 - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
87 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp 80 80 - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 30 2 28 77 2,156 - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 - 140 - 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram - 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 4 - 4 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 35 200 235 - 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet 100 - 100 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 80 300 230 150 225 - 225
117 Parasetamol Sirup btl 3 25 22 6 1,160 - 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 - 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl 40 40 50 30 7,703 - 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 90 40 50 65 - 65
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 - 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 - 60 - 60
146 Zink tablet ktk 10 x 10 160 100 90 170 253 - 253
147 Zirkum kids sirup botol 8 8 - 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - 1 - 1 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 67 49 18 3,069
164 Rapid Test HbsAg Kotak - 8,100 26 25 17 34 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 103 45 58 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 125 69 56 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 86 86 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 95 50
174 RDT HIV D.S 23 23
175 RDT Malaria
176 RDT Sifilis 106 63
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 65 23 42 1,023 42,966 80 60 20 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 30 120 122 28 683 19,124 46 26 20 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 13 30 - 43 1,045 44,935 - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - 1 1 29,375
6 Alkohol Swab 0,5 % pcs 200 170 30 129 3,857 100 300 150 250 129
7 Bisturi ktk 100 5 10 10 5 10,733 53,665 - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 5 - 5 2,873 14,365 - 2,873
9 Foley Catheter 16 pcs 5 2 3 153 459 - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - 50 10 40 6,142
11 Hand Scoon L ktk 100 - 200 100 100 1,435 143,500 - 1,435
12 Hand Scoon M ktk 100 100 100 1,435 - - 200 200 - 1,435
13 Hand Scoon M ktk 100 100 100 1,435 - - 1,435
14 Hand Scoon S ktk 100 400 200 200 8,470 1,694,000 - 8,470
15 Infusion Dewasa ktk 50 24 30 42 12 9,181 110,172 - 9,181
16 Infusion set anak set / kantong 12 - 12 6,983 83,796 - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 62 21 41 4,818 197,538 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak 41 20 21 4,818 101,178 - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol 2 1 1 1,448 1,448 - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak 5 2 3 8,040 24,120 - 8,040
34 Oxyflow Dewasa pcs 3 15 12 6 5,000 30,000 - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 15,092 - 15,092
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 160 20 140 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - - 2,690,300 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 8 8 - 4,840 - 4,840
8 Ambroxol Tab. Box @ 100 90 85 5 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 145 100 115 130 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol - 5,478 - 5,478
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 65 35 - 100 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 - 1,902
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 100 10 90 1,015 - 1,015
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol 10 5 5 6,050 30,250 - 6,050
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube - 4,703 - - 4,703
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 78 - 78 62 4,805 - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol 2 2 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 45 200 55 190 272 51,623 - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 1 5 6 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol 6 4 2 8,470 16,940 - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 45 100 100 45 1,364 61,380 - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 35 30 5 368 1,840 - 368
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 80 - 80 165 13,200 - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 6 12 10 8 5,042 40,336 - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114 - - 3,114
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 20 90 65 45 414 18,645 - 414
93 Ondancentron Inj Ktk @ 5 12 40 37 15 7,700 115,500 - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 2 40 37 5 7,150 35,750 - 7,150
105 Ranitidine Tab. Box @ 100 35 200 75 160 320 51,200 - 320
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 16,500 - 16,500
112 Ventolin Nebulizer Box @ 20 15 30 23 22 13,475 - 13,475
113 Vit B.1 Box @ 100 75 15 60 220 - 220
114 Vit B6 Box @ 100 - 165 - 165
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 220 - 220
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 2 2 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 1,100 - 1,100
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 10 10 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs 6 6 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 78,650 - 78,650
46 Urine Bag Pcs 5 5 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 20 10 10 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 137,500 - 137,500
55 Gol. Darah Anti B Botol - 137,500 - 137,500
56 Gol. Darah resus anti D Botol - 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 110,000 - 110,000
59 Salmonella Thypi BO Botol - 110,000 - 110,000
60 Salmonella Thypi H Botol - 110,000 - 110,000
61 Salmonella Thypi O Botol - 110,000 - 110,000
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 132 55 77 6,400
68 Tabung EDTA 3 mL Botol - 1,870 162 75 87 1,870
69 Tes Kehamilan Box @ 50 - 1,478 71 14 57 1,478
70 Urine Stik 10 Para Btl @100 - 2,750 - 2,750
71 Yellow tip Pcs - 110 - 110
441,469

3,131,769
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
ok
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 11 11 236 2,596
4 Acyclovir 400 mg ktk 10 x 10 - 497 132 365 454 165,710
5 Allupurinol 100 mg ktk 100 - 750 280 470 89 41,830
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - 282 127 155 74 11,470
9 Amlodipin 10 mg ktk 30 - 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 - - 685 685 231 158,235
12 Amoksisilin syr Botol - - 66 66 2,050 135,300
13 Antasida doen tablet kotak ktk 10 x10 - - 54 -
14 Antasida syr. Botol - 26 - 40 66 1,756 115,896
15 Antasida Tab. ktk 10 x 10 - 950 170 780 54 42,120
16 Anti Hemoroid ktk 10 - 27 12 15 3,260 48,900
17 Antides ( Attapulgite ) ktk 100 - - 250 250 175 43,750
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - 500 - 275 775 46 35,650
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 715 - 715 45 32,175
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 - - 117 -
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - - 75 -
35 Cetirizine 10 mg ktk 10 x 10 - - 104 -
36 Cetirizine sirup botol - 64 64 - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 140 140 - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet - 720 720 - 75 -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - 100 - 100 121 12,100
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - 350 350 - 75 -
53 Domperidon Sirup btl - - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - 350 80 270 199 53,730
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - 185 40 145 84 12,180
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 - 32 - 8 40 281 11,240
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - 265 - 260 525 137 71,925
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 5 - 17 22 2,325 51,150
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg - 630 330 300 60 18,000
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - 110 40 70 286 20,020
80 Ketoconazole salep ktk 25 tube - - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 180 - 180 329 59,220
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 - - - 220 -
87 Kotrimoksasol Syr. Botol - - - 2,052 -
88 Lidocain 2 % inj ktk 100 - - 891 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 - 700 - 186 886 77 68,222
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102
99 Metilergometrin injeksi ktk 100 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 40 10 30 242
101 Metoklopramid 10 mg ktk 10 x 10 145 - 145 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750
103 Metronidazol 500 mg ktk 100 110 40 70 140
104 Metronidazol Sirup btl 60 ml - 3,800
105 Miconazole 2% krem tube 10 gram 15 - 7 22 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 304 - 36 340 109
108 Nifedipin tab ktk 10 x 10 tablet - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 19 3 16 688
110 OBH syr. Botol - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164
112 OAM 45 27 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 395 105 290 225
117 Parasetamol Sirup btl 53 - 46 99 1,160
118 Phenol Glycerol TTS telinga btl 5 - 5 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73
123 Primaquin 15 mg ktk 10 x 10 tablet 70 15 55 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 550 - 550 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
131 Rifampicin 600 mg ktk 100 - 1,420
132 Ringer Laktat Infus btl - 7,703
133 Risperidon 2 mg ktk 100 - 130
134 Rivanol botol 300 ml - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 300 66 234 65
136 Serum ABU Vial - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500
138 Simvastatin 10 mg ktk 30 490 - 40 530 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459
141 Tablet Tambah Darah ktk 30 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97
145 Vit B Komplek Tablet btl 100 - 60
146 Zink tablet ktk 10 x 10 - 253
147 Zirkum kids sirup botol 15 12 3 3,285
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 153 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml 263,184 - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 20,460 - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 13,660 - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
5 Alkohol 70 % btl 1 liter - - 29,375 -
6 Alkohol Swab 0,5 % pcs 32,138 - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs 245,680 - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 - - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 15,092
39 Test Kehamilan ktk 50 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 540 - 550 1,090 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637
TOTAL OBAT & BMHP APBD 575,122 - - 1,211,419
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991
3 Acyclovir cream Tube - 2 2 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 - 248
6 Allopurinol 300 mg Tab. Box @ 100 190 20 170 567
7 Ambroxol syr. Botol 28 28 - 4,840
8 Ambroxol Tab. Box @ 100 50 45 5 165
9 Amlodipine 10 mg Tab. Box @ 30 460 460 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,478
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 77 - 472 549 1,902
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 214 - 610 824 1,015
21 Bethametasone salep Tube - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - 19 6 13 7,700 100,100
30 Cefadroxil 500 mg Cap. Box @ 100 - 65 60 5 869 4,345
31 Cendo eyefresh mini dose Box@ 25 strip - 3 - 97 100 5,720 572,000
32 Cetirizine Syr Botol - - 6,050 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - - 286 -
34 Chloramfenicol Tetes mata (Reco) Botol - 7 5 2 9,460 18,920
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 23 2 21 10,010 210,210
36 Chloramfenicol salep (Fasycol) Tube - - - 22 22 4,703 103,466
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - - 320 320 290 92,752
39 Cotrimoxazole syr. Botol - - 12 12 4,290 51,480
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - - 62 -
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - 12 - 29 41 5,885 241,285
48 Domperidone Tab. Box @ 100 - - 650 650 272 176,605
49 Doxycicline Cap/ Doxyhat Box @ 100 - 100 - 100 466 46,649
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - 4 - 4 20,717 82,867
52 Dulcolax tab./ Laxana Box @ 10 - 60 34 26 1,980 51,480
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 11 11 8,580 94,380
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 12 3 9 11,110 99,990
61 Gentian Violet Box @ 24 - - 6 6 3,850 23,100
62 Glibenclamide Tab. Box @ 100 - - 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 - 585 - 425 1,010 130 131,542
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - 15 5 10 8,470 84,700
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - 155 20 135 275 37,125
70 Ibuprofen 400 mg Tab. Box @ 100 - 805 775 30 368 11,042
71 Ibuprofen Syr Botol - 25 7 18 6,160 110,880
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 125 125 165 20,625
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,114 -
79 Lidocain Inj. Box @ 100 - - 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 -
83 Metronidazole 500 mg Tab. Box @ 100 - 30 30 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol - 24 9 15 24,420 366,300
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 - 230 - 40 270 414 111,870
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - 2 2 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 33,000 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - 835 340 495 320 158,400
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - 864 - 864 564 487,650
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 16,500
112 Ventolin Nebulizer Box @ 20 - 13,475
113 Vit B.1 Box @ 100 - 590 590 220
114 Vit B6 Box @ 100 - 165
115 Vit. B-Complex Btl @ 100 - 375 375 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 - 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 220
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 4,400
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 1,100
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 78,650
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 308
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 137,500
55 Gol. Darah Anti B Botol - 137,500
56 Gol. Darah resus anti D Botol - 198,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 110,000
59 Salmonella Thypi BO Botol - 110,000
60 Salmonella Thypi H Botol - 110,000
61 Salmonella Thypi O Botol - 110,000
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400
68 Tabung EDTA 3 mL Botol - 1,870
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,750
71 Yellow tip Pcs - 110
- 3,489,763

575,122 4,701,182
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
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Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - - 454
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 - 231 - - 231
12 Amoksisilin syr Botol - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol - 1,756 - - 1,756
15 Antasida Tab. ktk 10 x 10 54 - 54
16 Anti Hemoroid ktk 10 - 3,260 - - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - 46 - - 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 - 117 - - 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
35 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
36 Cetirizine sirup botol - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet - 75 - - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 - 281 - - 281
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
87 Kotrimoksasol Syr. Botol - 2,052 #NAME? - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 - 77 - - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102 - 102
99 Metilergometrin injeksi ktk 100 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 111 - 111
102 Metoklopramid Sirup (Lexapram) btl 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 140 - 140
104 Metronidazol Sirup btl 60 ml 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688 - 688
110 OBH syr. Botol 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225 - 225
117 Parasetamol Sirup btl 1,160 - 1,160
118 Phenol Glycerol TTS telinga btl 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818 - 818
120 Phitomenadion Vit K inj ktk 30 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150 - 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505 - 505
131 Rifampicin 600 mg ktk 100 1,420 - 1,420
132 Ringer Laktat Infus btl 7,703 - 7,703
133 Risperidon 2 mg ktk 100 130 - 130
134 Rivanol botol 300 ml 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 65 - 65
136 Serum ABU Vial 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97 - 97
145 Vit B Komplek Tablet btl 100 60 - 60
146 Zink tablet ktk 10 x 10 253 - 253
147 Zirkum kids sirup botol 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 153 - - 153
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml 3,069 - 3,069
164 Rapid Test HbsAg Kotak 8,100 - 8,100
165 Slide Kaca ktk 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341 - 3,341
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 15,092 - 15,092
39 Test Kehamilan ktk 50 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs 2,070 - 2,070
41 Underpad Pcs 5,280 - 5,280
42 Urin Bag 10 pcs 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL 3,796 - 3,796
9 Mineral Mix Shaset 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 1,232 - 1,232
12 Stik shipyllis Box @ 25 8,871 - 8,871
13 Vit. K inj. Box @ 30 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637 - 637
TOTAL OBAT & BMHP APBD - #NAME? - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 991 - 991
3 Acyclovir cream Tube 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,100 - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 567 - 567
7 Ambroxol syr. Botol 4,840 - 4,840
8 Ambroxol Tab. Box @ 100 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 1,522 - 1,522
10 Amlodipine 5 mg Tab. Box @ 100 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 407 - 407
12 Amoxycillin Syr. Botol 5,478 - 5,478
13 Antasid Syr. Botol 3,900 - 3,900
14 Antasida Tab. Box @ 100 165 - 165
15 Asam Folat Box@100 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 1,902 - 1,902
18 Aseptic Gell Botol 450 mL 55,000 - 55,000
19 Bedak Salicyl Pcs 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 1,015 - 1,015
21 Bethametasone salep Tube 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube 17,650 - 17,650
23 Bisolvon sol Botol 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 869 - - 869
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,050 - - 6,050
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 286 - - 286
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube - 4,703 - - 4,703
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 5,885 - - 5,885
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 368 - - 368
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114 - - 3,114
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 543 - - 543
83 Metronidazole 500 mg Tab. Box @ 100 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - - 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 - 320 - - 320
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 16,500 - 16,500
112 Ventolin Nebulizer Box @ 20 13,475 - 13,475
113 Vit B.1 Box @ 100 220 - 220
114 Vit B6 Box @ 100 165 - 165
115 Vit. B-Complex Btl @ 100 220 - 220
116 Vit K inj. Box @ 5 7,150 - 7,150
117 Vit K Tab. Box @ 100 1,320 - 1,320
118 Water for Inj. 10 mL Botol 5,940 - 5,940
119 Water for Inj. 25 mL Botol 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol 7,000 - 7,000
121 Zinc Tab. Box @ 100 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 5,500 - 5,500
2 Abbocat 20 G Box @ 50 5,500 - 5,500
3 Abbocat 22 G Box @ 50 6,050 - 6,050
4 Abbocat 24 G Box @ 50 13,000 - 13,000
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000 - 11,000
8 Alkohol 300 mL Botol 24,065 - 24,065
9 Alkohol Swab Bok 220 - 220
10 Bisturi no. 11 G Box @ 100 1,100 - 1,100
11 Blood set Box @ 50 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 13,750 - 13,750
13 Folley Catheter Fr. 16 Box @ 10 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 1,701 - 1,701
19 Infuset Dewasa Pcs 4,400 - 4,400
20 Kassa 40 x 80 Roll 120,000 - 120,000
21 Kassa steril Box 4,000 - 4,000
22 Masker Bedah Box @ 50 806 - 806
23 Masker Oxigen Anak Pcs 16,500 - 16,500
24 Masker Oxigen dws Pcs 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800 - 30,800
27 Mucus extractor Box @ 25 7,700 - 7,700
28 Nasal canul Bayi Pcs 11,000 - 11,000
29 Nasal canul anak Pcs 11,000 - 11,000
30 Nasal canul dewasa Pcs 11,000 - 11,000
31 Needle 23 G Box @100 220 - 220
32 NGT Fr. 3,5 Pcs 49,500 - 49,500
33 NGT No. 16 Pcs 49,500 - 49,500
34 Nurse Cup Box @100 605 - 605
35 Pot salep 20 gr Pot 1,100 - 1,100
36 Sendok obat Pcs 600 - 600
37 Silk 3/0 Box @ 36 11,000 - 11,000
38 Silk 4/0 Box @ 12 11,000 - 11,000
39 Sungkup nebulizer anak Pcs 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs 27,500 - 27,500
42 Umbilical cord Pcs 1,540 - 1,540
43 Underpad Box @ 10 4,840 - 4,840
44 Utrafix 5 x 10 Roll 71,500 - 71,500
45 Utrafix 5 x 5 Roll 78,650 - 78,650
46 Urine Bag Pcs 7,700 - 7,700
47 Verban 4 x 10 Roll 3,500 - 3,500
48 Verban 4 x 5 Roll 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 132 - 132
50 Cover Glass 20 x 20 Pcs 308 - 308
51 Diatro Cleaner Botol 1 L 759,000 - 759,000
52 Diatro Dilluent Botol 1 L 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol 137,500 - 137,500
55 Gol. Darah Anti B Botol 137,500 - 137,500
56 Gol. Darah resus anti D Botol 198,000 - 198,000
57 HCL Alkohol 3 % Botol 100 mL 55,000 - 55,000
58 Salmonella Thypi AO Botol 110,000 - 110,000
59 Salmonella Thypi BO Botol 110,000 - 110,000
60 Salmonella Thypi H Botol 110,000 - 110,000
61 Salmonella Thypi O Botol 110,000 - 110,000
62 Serum Kontrol Botol 715,000 - 715,000
63 Spiritus Botol 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 6,400 - 6,400
68 Tabung EDTA 3 mL Botol 1,870 - 1,870
69 Tes Kehamilan Box @ 50 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 2,750 - 2,750
71 Yellow tip Pcs 110 - 110
- -

#NAME?
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
ok ok
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 - -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 - -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 - -
4 Acyclovir 400 mg ktk 10 x 10 - - 454 - -
5 Allupurinol 100 mg ktk 100 - - 89 - -
6 Ambroxol syr. Botol - - 3,639 - -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 - -
8 Amlodipin 5 mg ktk 30 - - 74 - -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 - -
11 Amoksisilin 500 mg ktk 10x 11 - - 231 - -
12 Amoksisilin syr Botol - - 2,050 - -
13 Antasida doen tablet kotak ktk 10 x10 - - 54 - -
14 Antasida syr. Botol - - 1,756 - -
15 Antasida Tab. ktk 10 x 10 - 54 -
16 Anti Hemoroid ktk 10 - - 3,260 - -
17 Antides ( Attapulgite ) ktk 100 - - 175 - -
18 Aqua pro inj btl - - 2,860 - -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - - 46 - -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 - -
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 - -
22 Asam Mefenamat 500 mg kotak 10 x 10 - - 117 - -
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 - -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 - -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
26 Betahistine 6 mg ktk 30 - - 119 - -
27 Betamethason Salep ktk 25 - - 1,920 - -
28 Bioplacenton Tulle Tulle - - 10,733 - -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 - -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 - -
31 Bufacetine salep kulit Tube - - 3,360 - -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 - -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 - -
34 Captopril 25 mg ktk 10 x 10 tablet - - 75 - -
35 Cetirizine 10 mg ktk 10 x 10 - - 104 - -
36 Cetirizine sirup botol - - 3,061 - -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 - -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 - -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 - -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 - -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 - -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 - -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 - -
44 Deksamethasone Tablet btl 10 x 10 tablet - - 75 - -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 - -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 - -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 - -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 - -
49 Digoksin ktk 10 x 10 - - 96 - -
50 Dimenhidrinat 50 mg btl 100 - - 121 - -
51 Doksisiklin 100 mg Ktk 100 - - 309 - -
52 Domperidon 10 mg kotak 10 x 10 - - 75 - -
53 Domperidon Sirup btl - - 3,180 - -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 5 5 1,740 - -
55 Ergotamine + Caffein Botol @ 100 - - 199 - -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 - -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 - -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 - -
59 Furosemid 40 mg ktk 200 tab - - 84 - -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 - -
61 Garam Oralit ktk 100 - - 281 - -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 - -
63 Glibenclamide 5 mg Tab. ktk 100 - - 137 - -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 - -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 - -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 - -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 - -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 - -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 - -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 - -
71 Hidrokortisone Cream 2,5 % tube @ 5 g - - 2,325 - -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 - -
73 Ibuprofen sirup btl 60 ml - - 2,678 - -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 - -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 - -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 - -
77 Kalsium laktat ( Kalk ) tablet 500 mg - - 60 - -
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 - -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 - -
80 Ketoconazole salep ktk 25 tube - - 2,577 - -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 - -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 - -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 - -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24 - -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 - -
86 Kotrimoksasol 480 mg ktk 100 - - 220 - -
87 Kotrimoksasol Syr. Botol - - 2,052 - -
88 Lidocain 2 % inj ktk 100 - 5 2 3 891 2,673 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
89 Lidocain 2 % inj Jelly tube - - 40,000 - -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 - -
91 Loperamid 2 mg ktk 10 x 10 - - 97 - -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 - -
93 Lysol btl - - 45,100 - -
94 Magnesium sulfat inj 20% btl - - 2,122 - -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 - -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 - -
97 Metformin 500 mg ktk 10x 10 - - 77 - -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 -
99 Metilergometrin injeksi ktk 100 8 - 8 3,399 -
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
101 Metoklopramid 10 mg ktk 10 x 10 - 111 -
102 Metoklopramid Sirup (Lexapram) btl - 2,750 -
103 Metronidazol 500 mg ktk 100 - 140 -
104 Metronidazol Sirup btl 60 ml - 3,800 -
105 Miconazole 2% krem tube 10 gram - 1,900 -
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
107 Natrium diklofenak 50 mg kotak 50 tablet - 109 -
108 Nifedipin tab ktk 10 x 10 tablet - 123 -
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
110 OBH syr. Botol - 3,500 -
111 Omeprazol 20 mg ktk 3x 10 - 164 -
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 -
114 Oxytocin injeksi btl 15 ml 12 10 2 20 2,774 -
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
116 Paracetamol tab 500 mg ktk 100 tablet - 225 -
117 Parasetamol Sirup btl - 1,160 -
118 Phenol Glycerol TTS telinga btl - 2,500 -
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
120 Phitomenadion Vit K inj ktk 30 47 47 1,452 -
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
122 Prednison 5 mg ktk 10 x 10 tablet - 73 -
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 -
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
131 Rifampicin 600 mg ktk 100 - 1,420 -
132 Ringer Laktat Infus btl - 7,703 -
133 Risperidon 2 mg ktk 100 - 130 -
134 Rivanol botol 300 ml - 3,850 -
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 65 -
136 Serum ABU Vial - 517,132 -
137 Sikzonoate inj ktk 5 amp - 57,500 -
138 Simvastatin 10 mg ktk 30 - 117 -
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
141 Tablet Tambah Darah ktk 30 - 409 -
142 Thiamin ( vitamin B1 ) kotak 100 - 94 -
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
145 Vit B Komplek Tablet btl 100 - 60 -
146 Zink tablet ktk 10 x 10 - 253 -
147 Zirkum kids sirup botol - 3,285 -
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - - 50,417 - -
149 Aseptik gel - - - - -
150 yellow tip - - 110 - -
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - - 153 - -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 - -
151 Gluco Protein Test Urine ktk 10 - - 1,098 - -
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 - -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 - -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 - -
158 Larutan Methyl Blue btl 100 ml - - 99,000 - -
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 - -
161 Needle flashback ktk 50 - - 1,701 - -
162 Oil Imersion btl 10 ml - - 110,000 - -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 76 - 76 1,023 77,748 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 82 7 75 683 51,225 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 - -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 - -
5 Alkohol 70 % btl 1 liter - - 29,375 - -
6 Alkohol Swab 0,5 % pcs - 20 20 - 129 - -
7 Bisturi ktk 100 - - 10,733 - -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 9 12 3 18 2,873 51,714 -
9 Foley Catheter 16 pcs - - 153 - -
10 Hand Scoon 7 (Steril) pcs - 25 29 1 53 6,142 325,526 -
11 Hand Scoon L ktk 100 - - 1,435 - -
12 Hand Scoon M ktk 100 - - - 1,435 - -
13 Hand Scoon M ktk 100 - - 1,435 - -
14 Hand Scoon S ktk 100 - - - 8,470 - -
15 Infusion Dewasa ktk 50 - 28 28 9,181 - -
16 Infusion set anak set / kantong - - 6,983 - -
17 IV Catheter No. 22 G 50 buah / kotak - 20 20 4,818 - -
18 IV Catheter No. 18 G 50 buah / kotak - - - 4,818 - -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 - -
20 Kantong Limbah uk. L Pcs - - 5,400 - -
21 Kantong Limbah uk. M Pcs - - 15,000 - -
22 Kapas Pembalut 250 gr rol - - 1,448 - -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 - -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 - -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 - -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 - -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 - -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 - -
29 Lysol btl - - 442 - -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 - -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 - -
32 Mucus Extractor Pcs - 5 - 5 5,865 29,325 -
33 Oxyflow Anak - - 8,040 - -
34 Oxyflow Dewasa pcs - - 5,000 - -
35 Pembalut Elastis roll - - 5,000 - -
36 Polifix 5 cmx 5 m Roll - - 39,217 - -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 15,092 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs 48 2 46 2,070 -
41 Underpad Pcs 5 20 2 23 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 - 409 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL 2 - 2 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 -
TOTAL OBAT & BMHP APBD - - - 538,211 -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 - 567 -
7 Ambroxol syr. Botol - 4,840 -
8 Ambroxol Tab. Box @ 100 - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 1,522 -
10 Amlodipine 5 mg Tab. Box @ 100 - 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,478 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 1,902 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 - 1,015 -
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 - -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 - -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 - -
28 Captopril 25 mg Tab. Box @ 100 - - 132 - -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 - -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 869 - -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 - -
32 Cetirizine Syr Botol - - 6,050 - -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
33 Cetirizine Tab. Box @ 100 - - 286 - -
34 Chloramfenicol Tetes mata (Reco) Botol - - 9,460 - -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 10,010 - -
36 Chloramfenicol salep (Fasycol) Tube - - 4,703 - -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 - -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 - -
39 Cotrimoxazole syr. Botol - - 4,290 - -
40 CPZ 100 mg Tab. Box @ 100 - - 433 - -
41 CTM Btl @ 100 - - 62 - -
42 Daryantulle Box @ 10 - - 27,500 - -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 -
44 Dexamethasone Inj. Box @ 100 - - 2,416 - -
45 Dextrose 40 25 mL Botol - - 12,760 - -
46 Difenhydramine inj. Box @ 30 - - 1,863 - -
47 Domperidone Syr. Botol - - 5,885 - -
48 Domperidone Tab. Box @ 100 - - 272 - -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 - -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 - -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 - -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 - -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 - -
54 Ephineprin Inj. Box @ 30 - - 8,983 - -
55 Ergotamine + Caffein Box @ 100 - - 306 - -
56 Etil Klorida 100 ml Botol - - 223,850 - -
57 Garam Oralit Box @ 100 - - 352 - -
58 Gentamicin SK Box @ 10 - - 3,630 - -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 - -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - - 11,110 - -
61 Gentian Violet Box @ 24 - - 3,850 - -
62 Glibenclamide Tab. Box @ 100 - - 223 - -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 - -
64 Glucosa infus 10 % Box @ 20 - - 10,175 - -
65 Guanistrep syr. Botol - - 8,470 - -
66 H2O2 3 % 100 mL Botol - - 7,370 - -
67 H2O2 3 % 800 mL Botol - - 36,300 - -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 - -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 - -
70 Ibuprofen 400 mg Tab. Box @ 100 - - 368 - -
71 Ibuprofen Syr Botol - - 6,160 - -
72 INH 100 mg Tab. Box @ 100 - - 185 - -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 - -
74 K-EN-3B infus Box @ 20 - - 28,600 - -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506 - -
76 Ketokonazole Salep Tube - - 4,950 - -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 - -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,114 - -
79 Lidocain Inj. Box @ 100 - - 1,430 - -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 - -
81 Metformin 500 mg Tab. Box @ 100 - - 193 - -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 543 - -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 - -
85 Miconazole Salep Tube - - 4,730 - -
86 NaCl infus Box @ 20 - - 8,800 - -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 - -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 - -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 - -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 - -
91 Nystatin Vag ovula Box @ 100 - - 828 - -
92 Omeprazole kap. Box @ 30 - - 414 - -
93 Ondancentron Inj Ktk @ 5 - - 7,700 - -
94 Oxytocin Inj. Box @ 100 - - 3,685 - -
95 Oxytetracycline salep mata Tube - - - 6,270 - -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 - -
97 Paracetamol Syr. Botol - - 4,180 - -
98 Phenol Glycerol TT Botol - - 6,048 - -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 - -
100 Povidone Iodine 300 mL Botol - - 33,000 - -
101 Povidone Iodine 1 Liter Botol - - 99,000 - -
102 Prednison 5 mg Tab. Box @ 100 - - 285 - -
103 Primaquin tab. Box @ 100 - - 304 - -
104 Ranitidine Inj. Box @ 10 - - 7,150 - -
105 Ranitidine Tab. Box @ 100 - - 320 - -
106 Ringer Laktat Infus Box @ 20 - - 9,570 - -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 - -
108 Scabimid krim 10 gr Tube - - 58,850 - -
109 Simvastatin 20 mg Tab. Box @ 100 - - 564 - -
110 Thrombophob gel 20 Gram Tube - - 62,000 - -
111 Ultrasonic Gel 250 mL Botol - 16,500 -
112 Ventolin Nebulizer Box @ 20 - 13,475 -
113 Vit B.1 Box @ 100 - 220 -
114 Vit B6 Box @ 100 - 165 -
115 Vit. B-Complex Btl @ 100 - 220 -
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 30 - 30 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 220 -
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 13,750 -
13 Folley Catheter Fr. 16 Box @ 10 3 - 3 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 4,400 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 1,100 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll 1 1 - 78,650 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 308 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 137,500 -
55 Gol. Darah Anti B Botol - 137,500 -
56 Gol. Darah resus anti D Botol - 198,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 110,000 -
59 Salmonella Thypi BO Botol - 110,000 -
60 Salmonella Thypi H Botol - 110,000 -
61 Salmonella Thypi O Botol - 110,000 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 6,400 -
68 Tabung EDTA 3 mL Botol - 1,870 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,750 -
71 Yellow tip Pcs - 110 -
- -

- 538,211
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN FEBRUARI 2022
UPT. PUSKESMAS WARU
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 153 -
2 Acetylcystein 200 mg Cap. ktk 100 412 -
3 Acyclovir 200 mg ktk 10 x 10 236 -
4 Acyclovir 400 mg ktk 10 x 10 454 -
5 Allupurinol 100 mg ktk 100 89 -
6 Ambroxol syr. Botol 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 168 -
8 Amlodipin 5 mg ktk 30 74 -
9 Amlodipin 10 mg ktk 30 520
10 Amoksisilin 250 mg ktk 10x 10 188 -
11 Amoksisilin 500 mg ktk 10x 11 231 -
12 Amoksisilin syr Botol 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 54 -
14 Antasida syr. Botol 1,756 -
15 Antasida Tab. ktk 10 x 10 54 -
16 Anti Hemoroid ktk 10 3,260 -
17 Antides ( Attapulgite ) ktk 100 175 -
18 Aqua pro inj btl 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 46 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 45 -
21 Asam Mefenamat 250 mg kotak 10 x 10 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 117 -
23 Atropin 0.5 mg tablet ktk 100 tablet 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175
26 Betahistine 6 mg ktk 30 119 -
27 Betamethason Salep ktk 25 1,920 -
28 Bioplacenton Tulle Tulle 10,733 -
29 Bisacodil 10 mg ktk 50 sup 5,800 -
30 Bisacodil 5 mg ktk 6 sup 5,800 -
31 Bufacetine salep kulit Tube 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet 143 -
33 Captopril 12,5 mg ktk 10 x 10 65 -
34 Captopril 25 mg ktk 10 x 10 tablet 75 -
35 Cetirizine 10 mg ktk 10 x 10 104 -
36 Cetirizine sirup botol 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 660 -
39 Cloramfenicol salep mata ktk 24 tube 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet 75 -
45 Diazepam 2 mg Tab. Box @ 100 86 -
46 Diazepam 05 mg inj ktk 10 amp 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 1,156 -
49 Digoksin ktk 10 x 10 96 -
50 Dimenhidrinat 50 mg btl 100 121 -
51 Doksisiklin 100 mg Ktk 100 309 -
52 Domperidon 10 mg kotak 10 x 10 75 -
53 Domperidon Sirup btl 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 1,740 -
55 Ergotamine + Caffein Botol @ 100 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet 913 -
58 Fenobarbital inj ktk 30 Ampul 1,980 -
59 Furosemid 40 mg ktk 200 tab 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 2,012 -
61 Garam Oralit ktk 100 281 -
62 Gentamisin TTS Mata ktk 24 btl 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 178 -
73 Ibuprofen sirup btl 60 ml 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 60 -
78 Karbamazepin 200 mg ktk 10 x 10 269 -
79 Ketoconazole 200mg Tab. Box @ 50 286 -
80 Ketoconazole salep ktk 25 tube 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 550 -
86 Kotrimoksasol 480 mg ktk 100 220 -
87 Kotrimoksasol Syr. Botol 2,052 -
88 Lidocain 2 % inj ktk 100 891 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
89 Lidocain 2 % inj Jelly tube 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp 2,122 -
91 Loperamid 2 mg ktk 10 x 10 97 -
92 Loratadine tab 10 mg ktk 10x 10 149 -
93 Lysol btl 45,100 -
94 Magnesium sulfat inj 20% btl 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 723 -
96 Meloxicam 15 mg Tab. Box @ 30 1,377 -
97 Metformin 500 mg ktk 10x 10 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102
99 Metilergometrin injeksi ktk 100 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242
101 Metoklopramid 10 mg ktk 10 x 10 111
102 Metoklopramid Sirup (Lexapram) btl 2,750
103 Metronidazol 500 mg ktk 100 140
104 Metronidazol Sirup btl 60 ml 3,800
105 Miconazole 2% krem tube 10 gram 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109
108 Nifedipin tab ktk 10 x 10 tablet 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688
110 OBH syr. Botol 3,500
111 Omeprazol 20 mg ktk 3x 10 164
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 2,600
114 Oxytocin injeksi btl 15 ml 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225
117 Parasetamol Sirup btl 1,160
118 Phenol Glycerol TTS telinga btl 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818
120 Phitomenadion Vit K inj ktk 30 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505
131 Rifampicin 600 mg ktk 100 1,420
132 Ringer Laktat Infus btl 7,703
133 Risperidon 2 mg ktk 100 130
134 Rivanol botol 300 ml 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 65
136 Serum ABU Vial 517,132
137 Sikzonoate inj ktk 5 amp 57,500
138 Simvastatin 10 mg ktk 30 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459
141 Tablet Tambah Darah ktk 30 409
142 Thiamin ( vitamin B1 ) kotak 100 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97
145 Vit B Komplek Tablet btl 100 60
146 Zink tablet ktk 10 x 10 253
147 Zirkum kids sirup botol 3,285
- -
OBAT GIGI : - -
148 Eugenol Btl 50,417 -
149 Aseptik gel - -
150 yellow tip 110 -
- -
REAGEN / LAB : - -
149 Blood Lancets ktk 100 153 -
150 Ethyl Klorida semprot Botol 500 ml 187,000 -
151 Gluco Protein Test Urine ktk 10 1,098 -
152 Gol. Darah Anti B btl - -
153 Gol. Darah Anti A, B btl - -
154 Gol. Darah Anti A btl - -
155 Larutan Ethanol Asam 5 % btl 100 ml 82,500 -
156 Larutan HCL 0,1 N btl 250 ml 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 159,500 -
158 Larutan Methyl Blue btl 100 ml 99,000 -
159 Larutan Turk btl 100 ml - -
160 Larutan Giemsa btl 500 ml 263,184 -
161 Needle flashback ktk 50 1,701 -
162 Oil Imersion btl 10 ml 110,000 -
163 Pot Dahak btl 10 ml 3,069
164 Rapid Test HbsAg Kotak 8,100
165 Slide Kaca ktk 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341
169 Stik protein Urine -
170 Vakum EDTA 3 mL 100 Pcs 1,205
171 Virotec Dengue Combo Ktk 25 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
BMHP APBD : - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 1,045 -
5 Alkohol 70 % btl 1 liter 29,375 -
6 Alkohol Swab 0,5 % pcs 129 -
7 Bisturi ktk 100 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 2,873 -
9 Foley Catheter 16 pcs 153 -
10 Hand Scoon 7 (Steril) pcs 6,142 -
11 Hand Scoon L ktk 100 1,435 -
12 Hand Scoon M ktk 100 1,435 -
13 Hand Scoon M ktk 100 1,435 -
14 Hand Scoon S ktk 100 8,470 -
15 Infusion Dewasa ktk 50 9,181 -
16 Infusion set anak set / kantong 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak 4,818 -
20 Kantong Limbah uk. L Pcs 5,400 -
21 Kantong Limbah uk. M Pcs 15,000 -
22 Kapas Pembalut 250 gr rol 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 20,339 -
27 Kasa steril 16 cmx16 cm ktk 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs 3,472 -
29 Lysol btl 442 -
30 Masker hijab / Karet ktk 50 pcs 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs 5,280 -
32 Mucus Extractor Pcs 5,865 -
33 Oxyflow Anak 8,040 -
34 Oxyflow Dewasa pcs 5,000 -
35 Pembalut Elastis roll 5,000 -
36 Polifix 5 cmx 5 m Roll 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll 77,600
38 Silk 3/0 HR - 20 ktk 12 15,092
39 Test Kehamilan ktk 50 2,185
40 Umbilical cord klem ktk 50 pcs 2,070
41 Underpad Pcs 5,280
42 Urin Bag 10 pcs 5,865
-
PROGRAM GIZI /KIA -
1 Ampicillin 1 gr. Inj. Box @ 10 -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913
4 Eutyrox 50 mg Tab. Tablet -
5 Fe ktk 100 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684
8 MgSO4 40 % Botol 25 mL 3,796
9 Mineral Mix Shaset 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600
11 Oxytocin Inj. Box @ 100 1,232
12 Stik shipyllis Box @ 25 8,871
13 Vit. K inj. Box @ 30 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096
2 Acyclovir 400 mg Tab Box @ 100 991
3 Acyclovir cream Tube 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,100
5 Allopurinol 100 mg Tab. Box @ 100 248
6 Allopurinol 300 mg Tab. Box @ 100 567
7 Ambroxol syr. Botol 4,840
8 Ambroxol Tab. Box @ 100 165
9 Amlodipine 10 mg Tab. Box @ 30 1,522
10 Amlodipine 5 mg Tab. Box @ 100 446
11 Amoxycillin 500 mg Tab. Box @ 100 407
12 Amoxycillin Syr. Botol 5,478
13 Antasid Syr. Botol 3,900
14 Antasida Tab. Box @ 100 165
15 Asam Folat Box@100 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 1,902
18 Aseptic Gell Botol 450 mL 55,000
19 Bedak Salicyl Pcs 6,426
20 Betahistine 6 mg Tab. Box @ 100 1,015
21 Bethametasone salep Tube 3,520
22 Bioplacenton gel 15 gram Tube 17,650
23 Bisolvon sol Botol 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000
25 Calcii Gluconas Inj. Box @ 24 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 165 -
27 Captopril 12,5 mg Tab. Box @ 100 105 -
28 Captopril 25 mg Tab. Box @ 100 132 -
29 Cefadroxil 125 mg Syr. Botol 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 869 -
31 Cendo eyefresh mini dose Box@ 25 strip 5,720 -
32 Cetirizine Syr Botol 6,050 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
33 Cetirizine Tab. Box @ 100 286 -
34 Chloramfenicol Tetes mata (Reco) Botol 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 4,703 -
37 Ciprofloxacin 500 mg tab. Box @ 100 720 -
38 Cotrimoksazol 480 mg Box @ 100 290 -
39 Cotrimoxazole syr. Botol 4,290 -
40 CPZ 100 mg Tab. Box @ 100 433 -
41 CTM Btl @ 100 62 -
42 Daryantulle Box @ 10 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 150
44 Dexamethasone Inj. Box @ 100 2,416 -
45 Dextrose 40 25 mL Botol 12,760 -
46 Difenhydramine inj. Box @ 30 1,863 -
47 Domperidone Syr. Botol 5,885 -
48 Domperidone Tab. Box @ 100 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 19,800 -
54 Ephineprin Inj. Box @ 30 8,983 -
55 Ergotamine + Caffein Box @ 100 306 -
56 Etil Klorida 100 ml Botol 223,850 -
57 Garam Oralit Box @ 100 352 -
58 Gentamicin SK Box @ 10 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 11,110 -
61 Gentian Violet Box @ 24 3,850 -
62 Glibenclamide Tab. Box @ 100 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 130 -
64 Glucosa infus 10 % Box @ 20 10,175 -
65 Guanistrep syr. Botol 8,470 -
66 H2O2 3 % 100 mL Botol 7,370 -
67 H2O2 3 % 800 mL Botol 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 368 -
71 Ibuprofen Syr Botol 6,160 -
72 INH 100 mg Tab. Box @ 100 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 165 -
74 K-EN-3B infus Box @ 20 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 506 -
76 Ketokonazole Salep Tube 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 3,114 -
79 Lidocain Inj. Box @ 100 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 333 -
81 Metformin 500 mg Tab. Box @ 100 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 543 -
83 Metronidazole 500 mg Tab. Box @ 100 380
84 MgSO4 40 % Botol 14,754 -
85 Miconazole Salep Tube 4,730 -
86 NaCl infus Box @ 20 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 205 -
88 Neurobion Inj 5000 Ktk @ 20 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 220 -
90 Nystatin drop (Cazetin drop ) Botol 24,420 -
91 Nystatin Vag ovula Box @ 100 828 -
92 Omeprazole kap. Box @ 30 414 -
93 Ondancentron Inj Ktk @ 5 7,700 -
94 Oxytocin Inj. Box @ 100 3,685 -
95 Oxytetracycline salep mata Tube 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 317 -
97 Paracetamol Syr. Botol 4,180 -
98 Phenol Glycerol TT Botol 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 123 -
100 Povidone Iodine 300 mL Botol 33,000 -
101 Povidone Iodine 1 Liter Botol 99,000 -
102 Prednison 5 mg Tab. Box @ 100 285 -
103 Primaquin tab. Box @ 100 304 -
104 Ranitidine Inj. Box @ 10 7,150 -
105 Ranitidine Tab. Box @ 100 320 -
106 Ringer Laktat Infus Box @ 20 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 158 -
108 Scabimid krim 10 gr Tube 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 564 -
110 Thrombophob gel 20 Gram Tube 62,000 -
111 Ultrasonic Gel 250 mL Botol 16,500
112 Ventolin Nebulizer Box @ 20 13,475
113 Vit B.1 Box @ 100 220
114 Vit B6 Box @ 100 165
115 Vit. B-Complex Btl @ 100 220
116 Vit K inj. Box @ 5 7,150
117 Vit K Tab. Box @ 100 1,320
118 Water for Inj. 10 mL Botol 5,940
119 Water for Inj. 25 mL Botol 9,020
120 Zinc / Lecozinc Syr. Botol 7,000
121 Zinc Tab. Box @ 100 675
BMHP : -
1 Abbocat 18 G Box @ 50 5,500
2 Abbocat 20 G Box @ 50 5,500
3 Abbocat 22 G Box @ 50 6,050
4 Abbocat 24 G Box @ 50 13,000
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
5 Abbocat 26 G Box @ 50 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000
8 Alkohol 300 mL Botol 24,065
9 Alkohol Swab Bok 220
10 Bisturi no. 11 G Box @ 100 1,100
11 Blood set Box @ 50 6,900
12 Cat Gut Plain 3/0 Box @ 24 13,750
13 Folley Catheter Fr. 16 Box @ 10 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000
16 Hand scoon nonsteril No. L Box @100 1,701
17 Hand scoon nonsteril No. M Box @100 1,701
18 Hand scoon nonsteril No. S Box @100 1,701
19 Infuset Dewasa Pcs 4,400
20 Kassa 40 x 80 Roll 120,000
21 Kassa steril Box 4,000
22 Masker Bedah Box @ 50 806
23 Masker Oxigen Anak Pcs 16,500
24 Masker Oxigen dws Pcs 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800
27 Mucus extractor Box @ 25 7,700
28 Nasal canul Bayi Pcs 11,000
29 Nasal canul anak Pcs 11,000
30 Nasal canul dewasa Pcs 11,000
31 Needle 23 G Box @100 220
32 NGT Fr. 3,5 Pcs 49,500
33 NGT No. 16 Pcs 49,500
34 Nurse Cup Box @100 605
35 Pot salep 20 gr Pot 1,100
36 Sendok obat Pcs 600
37 Silk 3/0 Box @ 36 11,000
38 Silk 4/0 Box @ 12 11,000
39 Sungkup nebulizer anak Pcs 27,500
40 Sungkup nebulizer bayi Pcs 22,000
41 Sungkup nebulizer Dws Pcs 27,500
42 Umbilical cord Pcs 1,540
43 Underpad Box @ 10 4,840
44 Utrafix 5 x 10 Roll 71,500
45 Utrafix 5 x 5 Roll 78,650
46 Urine Bag Pcs 7,700
47 Verban 4 x 10 Roll 3,500
48 Verban 4 x 5 Roll 1,300
REAGEN : -
49 Blue Tip Pak @ 100 132
50 Cover Glass 20 x 20 Pcs 308
51 Diatro Cleaner Botol 1 L 759,000
52 Diatro Dilluent Botol 1 L 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400
54 Gol. Darah Anti A Botol 137,500
55 Gol. Darah Anti B Botol 137,500
56 Gol. Darah resus anti D Botol 198,000
57 HCL Alkohol 3 % Botol 100 mL 55,000
58 Salmonella Thypi AO Botol 110,000
59 Salmonella Thypi BO Botol 110,000
60 Salmonella Thypi H Botol 110,000
61 Salmonella Thypi O Botol 110,000
62 Serum Kontrol Botol 715,000
63 Spiritus Botol 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600
65 Stik GDS Benecheck Btl @ 50 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 6,400
68 Tabung EDTA 3 mL Botol 1,870
69 Tes Kehamilan Box @ 50 1,478
70 Urine Stik 10 Para Btl @100 2,750
71 Yellow tip Pcs 110
-

-
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 140 50 90 412 37,080 - 412
3 Acyclovir 200 mg ktk 10 x 10 200 - 200 236 47,200 - 236
4 Acyclovir 400 mg ktk 10 x 10 50 - 50 454 22,700 120 120 - 454
5 Allupurinol 100 mg ktk 100 100 - 100 89 8,900 - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 160 - 160 188 30,080 - 188
11 Amoksisilin 500 mg ktk 10x 11 240 120 120 231 27,720 80 40 40 231
12 Amoksisilin syr Botol - 2,050 - 9 2 7 2,050
13 Antasida doen tablet kotak ktk 10 x10 260 260 54 - - 54
14 Antasida syr. Botol 25 25 1,756 - 13 - 13 1,756
15 Antasida Tab. ktk 10 x 10 260 80 180 54 60 54
16 Anti Hemoroid ktk 10 8 - 8 3,260 26,080 - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 250 150 100 46 4,600 150 - 150 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 210 20 190 117 22,230 120 20 100 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 80 - 80 175 230 150 80 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet 260 50 210 75 15,750 - 75
35 Cetirizine 10 mg ktk 10 x 10 290 225 65 104 6,760 - 104
36 Cetirizine sirup botol 17 5 12 3,061 36,732 - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 260 60 200 75 15,000 - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - 3 1 2 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 100 - 100 280 28,000 - 280
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g 14 5 9 2,325 20,925 9 - 9 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg 1,330 550 780 60 46,800 200 - 200 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube 22 11 11 2,577 28,347 4 2 2 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 360 60 300 24 7,200 - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 40 - 40 220 8,800 - - 220
87 Kotrimoksasol Syr. Botol 10 3 7 2,052 14,364 - 2,052
88 Lidocain 2 % inj ktk 100 1 1 - 891 - 9 - 9 891
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp 20 - 20 2,122 42,440 - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 240 30 210 77 16,170 280 280 - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 90 - 90 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 80 10 70 140 - 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram 23 4 19 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 3 - 3 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 200 70 130 109 230 30 200 109
108 Nifedipin tab ktk 10 x 10 tablet 130 - 130 123 200 - 200 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 22 2 20 688 9 - 9 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 360 220 140 225 - - 225
117 Parasetamol Sirup btl 24 11 13 1,160 5 5 - 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 90 - 90 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 210 40 170 150 110 - 110 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl 3 - 3 7,703 - 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 50 - 50 51 180 180 - 51
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 240 - 240 117 90 - 90 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 270 40 230 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 - 60 200 - 200 60
146 Zink tablet ktk 10 x 10 - 253 70 - 70 253
147 Zirkum kids sirup botol 7 2 5 3,285 9 1 8 3,285
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - -
150 yellow tip - 110 - - 110
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - 4,140 - - 4,140
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 8,249 8,249
174 RDT HIV D.S 12,527 12,527
175 RDT Malaria 10,101
176 RDT Sifilis 8,871
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 50 4 46 1,023 47,058 - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 50 27 23 683 15,709 7 7 - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs 10 - 10 6,142 61,420 - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 1 - 1 8,470 8,470 - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 5 - 5 4,818 24,090 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk 10 5 5 24,254 121,270 - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 10 - 10 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - 0 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - 0 - -
5 Fe ktk 100 1,120 410 710 409 200 - 200 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1232 - 1,232
12 Stik shipyllis Box @ 25 - 8871 - 8,871
13 Vit. K inj. Box @ 30 - 4236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - 791,895 - -
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube 9 - 9 4,125 5 - 5 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 - 248 70 10 60 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 23 6 17 4,180 7 - 7 4,180
8 Ambroxol Tab. Box @ 100 285 40 245 165 160 90 70 165
9 Amlodipine 10 mg Tab. Box @ 30 30 30 - 495 80 - 80 495
10 Amlodipine 5 mg Tab. Box @ 100 190 35 155 446 80 50 30 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 14 6 6 14 5,500 - 5,500
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011 - 2,011
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 300 20 280 1,015 100 30 70 1,015
21 Bethametasone salep Tube 14 9 5 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - 200 - 200 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 90 - 90 899 80,910 - - 899
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,270 - 6 6 - 6,270
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
33 Cetirizine Tab. Box @ 100 - 502 - 60 60 - 502
34 Chloramfenicol Tetes mata (Reco) Botol - 10,010 - - 10,010
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 8 - 8 10,010 80,080 4 - 4 10,010
36 Chloramfenicol salep (Fasycol) Tube - 5,390 - 6 2 4 5,390
37 Ciprofloxacin 500 mg tab. Box @ 100 70 20 50 720 36,000 - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - 90 - 90 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol 11 - 11 6,600 72,600 - 6,600
48 Domperidone Tab. Box @ 100 45 - 45 272 12,227 90 10 80 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - 5 - 5 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - 3 1 2 11,110
61 Gentian Violet Box @ 24 8 - 8 3,850 30,800 4 - 4 3,850
62 Glibenclamide Tab. Box @ 100 - 175 - - 175
63 Gliceril Guaiakolat Tab. Box @ 100 400 80 320 130 41,677 - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - 4 1 3 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 20 20 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 220 200 20 447 8,940 - 447
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 572 - - 572
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,355 - - 3,355
79 Lidocain Inj. Box @ 100 - 1,650 - - 1,650
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440 - - 440
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 9,900 - - 9,900
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 9 2 7 24,420 170,940 7 1 6 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 330 50 280 414 116,013 60 - 60 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube 18 18 - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 6,930 - - 6,930
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 80 - 80 322 25,760 - 322
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 1 - 1 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 - 14,025 - 14,025
113 Vit B.1 Box @ 100 270 - 270 132 - 132
114 Vit B6 Box @ 100 - 132 - 132
115 Vit. B-Complex Btl @ 100 360 90 270 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7000 - 7,000
121 Zinc Tab. Box @ 100 130 10 120 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 182 - 182
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 10 - 10 8,800 - 8,800
13 Folley Catheter Fr. 16 Box @ 10 13 - 13 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 880 - 880
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs 9 - 9 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 20,570 - 20,570
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 - 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 110,000 - 110,000
55 Gol. Darah Anti B Botol - 110,000 - 110,000
56 Gol. Darah resus anti D Botol - 132,000 - 132,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 181,500 - 181,500
59 Salmonella Thypi BO Botol - 181,500 - 181,500
60 Salmonella Thypi H Botol - 181,500 - 181,500
61 Salmonella Thypi O Botol - 181,500 - 181,500
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900 - 9,900
68 Tabung EDTA 3 mL Botol - 1,540 - 1,540
69 Tes Kehamilan Box @ 50 8 - 8 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,035 - 2,035
71 Yellow tip Pcs - 110 - 110
675,947

1,467,842
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
ok
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 - 120 - 120 454 54,480
5 Allupurinol 100 mg ktk 100 - - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - - 74 -
9 Amlodipin 10 mg ktk 30 - 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 9,240 135 10 125 231 28,875
12 Amoksisilin syr Botol 14,350 5 10 5 10 2,050 20,500
13 Antasida doen tablet kotak ktk 10 x10 - 200 25 175 54 9,450
14 Antasida syr. Botol 22,828 5 2 3 1,756 5,268
15 Antasida Tab. ktk 10 x 10 54
16 Anti Hemoroid ktk 10 - 10 - 10 3,260 32,600
17 Antides ( Attapulgite ) ktk 100 - - 175 -
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 6,900 80 - 80 46 3,680
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 60 - 60 45 2,700
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 11,700 25 100 15 110 117 12,870
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - - - 75 -
35 Cetirizine 10 mg ktk 10 x 10 - 10 10 - 104 -
36 Cetirizine sirup botol - - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 9 4 5 2,336 11,680
44 Deksamethasone Tablet btl 10 x 10 tablet - 80 - 80 75 6,000
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - - 121 -
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - - 75 -
53 Domperidon Sirup btl 6,360 - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - - 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - - 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 - 20 10 10 280 2,800
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - - 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 20,925 5 4 1 2,325 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 12,000 80 50 30 60 1,800
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
80 Ketoconazole salep ktk 25 tube 5,154 - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 100 25 75 24 1,800
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 - - 220 -
87 Kotrimoksasol Syr. Botol - 3 - 3 2,052 6,156
88 Lidocain 2 % inj ktk 100 8,019 - 891 -
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 - - 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102
99 Metilergometrin injeksi ktk 100 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750
103 Metronidazol 500 mg ktk 100 - 140
104 Metronidazol Sirup btl 60 ml - 3,800
105 Miconazole 2% krem tube 10 gram 10 5 5 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 55 30 25 109
108 Nifedipin tab ktk 10 x 10 tablet - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688
110 OBH syr. Botol - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet - 100 10 90 225
117 Parasetamol Sirup btl 1 10 4 7 1,160
118 Phenol Glycerol TTS telinga btl - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 100 - 100 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 4 4 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 20 5 15 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
131 Rifampicin 600 mg ktk 100 - 1,420
132 Ringer Laktat Infus btl - 7,703
133 Risperidon 2 mg ktk 100 - 130
134 Rivanol botol 300 ml - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51
136 Serum ABU Vial - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500
138 Simvastatin 10 mg ktk 30 10 - 10 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459
141 Tablet Tambah Darah ktk 30 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97
145 Vit B Komplek Tablet btl 100 100 10 90 60
146 Zink tablet ktk 10 x 10 - 253
147 Zirkum kids sirup botol - 3,285
- - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 4,140 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0) 8,249
174 RDT HIV D.S 12,527
175 RDT Malaria
176 RDT Sifilis
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 2 - 2 1,023 2,046
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 15 5 10 683 6,830
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 2 - 2 1,045 2,090
5 Alkohol 70 % btl 1 liter - 1 - 1 29,375 29,375
6 Alkohol Swab 0,5 % pcs - 50 20 30 129 3,857
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 - - 100 100 - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472
39 Test Kehamilan ktk 50 1 - 1 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 - - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637
TOTAL OBAT & BMHP APBD 117,476 - - 247,182
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991
3 Acyclovir cream Tube - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 - 248
6 Allopurinol 300 mg Tab. Box @ 100 70 - 70 567
7 Ambroxol syr. Botol - 10 2 8 4,180
8 Ambroxol Tab. Box @ 100 - 165
9 Amlodipine 10 mg Tab. Box @ 30 30 - 30 495
10 Amlodipine 5 mg Tab. Box @ 100 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,500
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 - 1,015
21 Bethametasone salep Tube 5 5 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 26,400 100 20 80 132 10,560
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 899 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol - - 6,270 -
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
33 Cetirizine Tab. Box @ 100 - 100 60 40 502 20,080
34 Chloramfenicol Tetes mata (Reco) Botol - - 10,010 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 40,040 4 - 4 10,010 40,040
36 Chloramfenicol salep (Fasycol) Tube 21,560 10 - 10 5,390 53,900
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 5,544 - 62 -
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 6,600 -
48 Domperidone Tab. Box @ 100 21,736 - 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 99,000 - 19,800 -
54 Ephineprin Inj. Box @ 30 - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 22,220 - 11,110 -
61 Gentian Violet Box @ 24 15,400 2 - 2 3,850 7,700
62 Glibenclamide Tab. Box @ 100 40 10 30 175 5,250
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol 25,410 - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 90 50 40 447 17,880
71 Ibuprofen Syr Botol - 6,160 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 -
74 K-EN-3B infus Box @ 20 - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 572 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,355 -
79 Lidocain Inj. Box @ 100 - - 1,650 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 440 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 9,900 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol 146,520 - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 24,860 20 90 20 90 414 37,290
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - 3 3 - 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 6,930 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - - 322 -
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200
112 Ventolin Nebulizer Box @ 20 - 14,025
113 Vit B.1 Box @ 100 30 100 50 80 132
114 Vit B6 Box @ 100 - 132
115 Vit. B-Complex Btl @ 100 - 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 - 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 182
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 8,800
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 4,400
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 880
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 20,570
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 308
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 110,000
55 Gol. Darah Anti B Botol - 110,000
56 Gol. Darah resus anti D Botol - 132,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 181,500
59 Salmonella Thypi BO Botol - 181,500
60 Salmonella Thypi H Botol - 181,500
61 Salmonella Thypi O Botol - 181,500
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900
68 Tabung EDTA 3 mL Botol - 1,540
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,035
71 Yellow tip Pcs - 110
448,690 192,700

566,166 439,881
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
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PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - 20 20 - 454
5 Allupurinol 100 mg ktk 100 110 - 110 89 9,790 100 - 100 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - 80 10 70 74
9 Amlodipin 10 mg ktk 30 - 520 80 - 80 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 80 10 70 231 16,170 70 30 40 231
12 Amoksisilin syr Botol - 2,050 - 4 - 4 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - 20 100 20 100 54
14 Antasida syr. Botol 1 1 - 1,756 - - 1,756
15 Antasida Tab. ktk 10 x 10 54 54
16 Anti Hemoroid ktk 10 - 3,260 - 5 1 4 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 30 - 30 46 1,380 90 - 90 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 40 30 10 117 1,170 50 10 40 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 70 30 40 65 2,600 80 20 60 65
34 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
35 Cetirizine 10 mg ktk 10 x 10 60 30 30 104 3,120 - 104
36 Cetirizine sirup botol 1 1 - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - 30 - 30 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 40 10 30 75 2,250 40 40 - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 20 - 20 280 5,600 28 - 28 280
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g 1 1 - 2,325 - 3 - 3 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg 120 60 60 60 3,600 10 - 10 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 50 - 50 286 14,300 - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 70 20 50 24 1,200 10 100 10 100 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 80 - 80 220 17,600 90 - 90 220
87 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 100 - 100 77 7,700 - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 - 140 60 10 50 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram - 1,900 2 1 1 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 100 20 80 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet - 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 200 60 140 225 20 20 - 225
117 Parasetamol Sirup btl 4 1 3 1,160 4 2 2 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 50 20 30 150 90 - 90 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl - 7,703 1 - 1 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51 - 51
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 90 - 90 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 140 60 80 60 100 30 70 60
146 Zink tablet ktk 10 x 10 - 253 - 253
147 Zirkum kids sirup botol - 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 4,140 - - 4,140
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 - 3,069
164 Rapid Test HbsAg Kotak - 8,100 - 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 8,249 8,249
174 RDT HIV D.S 12,527 12,527
175 RDT Malaria
176 RDT Sifilis
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - 2 - 2 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - 96 6 90 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - 28 12 16 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - 1 - 1 9,181
16 Infusion set anak set / kantong - 6,983 - 1 - 1 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 140 60 80 409 40 - 40 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - - 86,480 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol - 4,180 5 - 5 4,180
8 Ambroxol Tab. Box @ 100 50 20 30 165 - 100 - 100 165
9 Amlodipine 10 mg Tab. Box @ 30 - 495 - 495
10 Amlodipine 5 mg Tab. Box @ 100 - 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol 5 1 4 5,500 - 5,500
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 - 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011 - 2,011
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 100 - 100 1,015 50 - 50 1,015
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 899 - - 899
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,270 - - 6,270
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 502 - - 502
34 Chloramfenicol Tetes mata (Reco) Botol - 10,010 - - 10,010
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube 10 - 10 5,390 53,900 2 1 1 5,390
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 6,600 - - 6,600
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 175 - - 175
63 Gliceril Guaiakolat Tab. Box @ 100 80 80 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - 100 - 100 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 447 - - 447
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 572 - - 572
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,355 - - 3,355
79 Lidocain Inj. Box @ 100 - 1,650 - - 1,650
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440 - - 440
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 9,900 - - 9,900
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol 5 - 5 24,420 122,100 - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - 40 - 40 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 6,930 - - 6,930
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 80 80 322 - - 322
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 - 14,025 - 14,025
113 Vit B.1 Box @ 100 - 132 100 - 100 132
114 Vit B6 Box @ 100 - 132 - 132
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 182 - 182
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 8,800 5 5 8,800
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 880 - 880
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 - 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 20,570 - 20,570
46 Urine Bag Pcs - 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 - 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 110,000 - 110,000
55 Gol. Darah Anti B Botol - 110,000 - 110,000
56 Gol. Darah resus anti D Botol - 132,000 - 132,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 181,500 - 181,500
59 Salmonella Thypi BO Botol - 181,500 - 181,500
60 Salmonella Thypi H Botol - 181,500 - 181,500
61 Salmonella Thypi O Botol - 181,500 - 181,500
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900 - 9,900
68 Tabung EDTA 3 mL Botol - 1,540 - 1,540
69 Tes Kehamilan Box @ 50 - 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,035 - 2,035
71 Yellow tip Pcs - 110 - 110
176,000

262,480
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
ok
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 -
4 Acyclovir 400 mg ktk 10 x 10 - - 454 -
5 Allupurinol 100 mg ktk 100 8,900 - 89 -
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 5,180 - 74 -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 9,240 - 231 -
12 Amoksisilin syr Botol 8,200 - 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 5,400 - 54 -
14 Antasida syr. Botol - - 1,756 -
15 Antasida Tab. ktk 10 x 10 - 40 500 400 140 54 7,560
16 Anti Hemoroid ktk 10 13,040 - 3,260 -
17 Antides ( Attapulgite ) ktk 100 - 200 - 200 175 35,000
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 4,140 - 46 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 -
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 4,680 35 700 650 85 117 9,945
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 3,900 - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - 145 700 805 40 75 3,000
35 Cetirizine 10 mg ktk 10 x 10 - - 104 -
36 Cetirizine sirup botol - - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 1,470 - - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet - - 75 -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - - 121 -
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - - 75 -
53 Domperidon Sirup btl - - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - - 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - - 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 7,840 - 280 -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - - - 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 6,975 - 10 10 - 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 600 145 500 600 45 60 2,700
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
80 Ketoconazole salep ktk 25 tube - - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 2,400 90 90 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 19,800 - 220 -
87 Kotrimoksasol Syr. Botol - - 2,052 -
88 Lidocain 2 % inj ktk 100 - - 891 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 - 50 700 750 - 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - - 102 -
99 Metilergometrin injeksi ktk 100 - 3,399 -
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
101 Metoklopramid 10 mg ktk 10 x 10 - 111 -
102 Metoklopramid Sirup (Lexapram) btl - 2,750 -
103 Metronidazol 500 mg ktk 100 - 140 -
104 Metronidazol Sirup btl 60 ml - 3,800 -
105 Miconazole 2% krem tube 10 gram - 20 20 - 1,900 -
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
107 Natrium diklofenak 50 mg kotak 50 tablet 90 300 390 - 109 -
108 Nifedipin tab ktk 10 x 10 tablet - 123 -
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
110 OBH syr. Botol - 3,500 -
111 Omeprazol 20 mg ktk 3x 10 - 164 -
112 OAM 1,900 -
113 Oxytetrasiklin salep mata ktk 25 - 2,600 -
114 Oxytocin injeksi btl 15 ml - 2,774 -
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
116 Paracetamol tab 500 mg ktk 100 tablet 30 30 225 -
117 Parasetamol Sirup btl - 1,160 -
118 Phenol Glycerol TTS telinga btl - 2,500 -
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
120 Phitomenadion Vit K inj ktk 30 - 1,452 -
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
122 Prednison 5 mg ktk 10 x 10 tablet - 73 -
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 -
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
131 Rifampicin 600 mg ktk 100 - 1,420 -
132 Ringer Laktat Infus btl - 7,703 -
133 Risperidon 2 mg ktk 100 - 130 -
134 Rivanol botol 300 ml - 3,850 -
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51 -
136 Serum ABU Vial - 517,132 -
137 Sikzonoate inj ktk 5 amp - 57,500 -
138 Simvastatin 10 mg ktk 30 85 600 685 - 117 -
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
141 Tablet Tambah Darah ktk 30 - 409 -
142 Thiamin ( vitamin B1 ) kotak 100 - 94 -
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
145 Vit B Komplek Tablet btl 100 155 155 - 60 -
146 Zink tablet ktk 10 x 10 300 150 150 253 37,950
147 Zirkum kids sirup botol - 3,285 -
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 4,140 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
172 RDT HIV 1+2 12,500 -
173 RDT HIV 1/2 (3.0) 8,249 -
174 RDT HIV D.S 12,527 -
175 RDT Malaria
176 RDT Sifilis
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 1,366 - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
5 Alkohol 70 % btl 1 liter - - 29,375 -
6 Alkohol Swab 0,5 % pcs 11,570 - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 22,960 - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 9,181 - 9,181 -
16 Infusion set anak set / kantong 6,983 - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 3,472 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs - 2,070 -
41 Underpad Pcs - 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 300 200 100 409 40,900
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL - 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 -
TOTAL OBAT & BMHP APBD 153,825 - - 96,155
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 40 300 300 40 567 22,660
7 Ambroxol syr. Botol - 4,180 -
8 Ambroxol Tab. Box @ 100 - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 495 -
10 Amlodipine 5 mg Tab. Box @ 100 - 300 300 - 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,500 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 30 200 - 230 1,015 233,450
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 899 -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 -
32 Cetirizine Syr Botol - - 6,270 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - - 502 -
34 Chloramfenicol Tetes mata (Reco) Botol - - 10,010 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 5,390 - 5,390 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 -
39 Cotrimoxazole syr. Botol - - 4,290 -
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - 90 90 - 62 -
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 -
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - - 6,600 -
48 Domperidone Tab. Box @ 100 - 300 100 200 272 54,340
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 24 20 4 11,110 44,440
61 Gentian Violet Box @ 24 - - 3,850 -
62 Glibenclamide Tab. Box @ 100 - 400 300 100 175 17,500
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 -
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - - 8,470 -
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 136,400 50 - 50 1,364 68,200
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 - 240 240 - 447 -
71 Ibuprofen Syr Botol - - 6,160 -
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 -
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 572 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,355 -
79 Lidocain Inj. Box @ 100 - - 1,650 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 440 -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 9,900 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 -
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 16,573 10 10 414 -
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - - 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 6,930 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - 80 80 - 322 -
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - - - 564 -
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200 -
112 Ventolin Nebulizer Box @ 20 - 14,025 -
113 Vit B.1 Box @ 100 - - 132 -
114 Vit B6 Box @ 100 - 132 -
115 Vit. B-Complex Btl @ 100 - - 220 -
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 - 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 182 -
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 8,800 -
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 4,400 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 880 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll - 20,570 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 308 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 110,000 -
55 Gol. Darah Anti B Botol - 110,000 -
56 Gol. Darah resus anti D Botol - 132,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 181,500 -
59 Salmonella Thypi BO Botol - 181,500 -
60 Salmonella Thypi H Botol - 181,500 -
61 Salmonella Thypi O Botol - 181,500 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900 -
68 Tabung EDTA 3 mL Botol - 1,540 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,035 -
71 Yellow tip Pcs - 110 -
158,363 184,480

312,188 280,635
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - - 454
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 - 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 10 400 320 90 231 20,790 - 231
12 Amoksisilin syr Botol 10 10 - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol 10 7 3 1,756 5,268 - 1,756
15 Antasida Tab. ktk 10 x 10 54 54
16 Anti Hemoroid ktk 10 - 3,260 - - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 65 100 105 60 46 2,760 - 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 60 400 210 250 117 29,250 - 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 85 35 50 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet - 100 - 100 75 7,500 - 75
35 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
36 Cetirizine sirup botol - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 26 14 12 2,336 28,032 - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet 35 100 135 - 75 - - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 30 30 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl 1 10 8 3 3,180 9,540 - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 10 10 - 280 - - 280
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml 3 - 3 6,627 19,881 - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
87 Kotrimoksasol Syr. Botol - 2,052 - - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp 80 80 - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 30 2 28 77 2,156 - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 - 102
99 Metilergometrin injeksi ktk 100 - 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 - 111 - 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 - 140 - 140
104 Metronidazol Sirup btl 60 ml - 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram - 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 4 - 4 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 35 200 235 - 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet 100 - 100 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 - 688
110 OBH syr. Botol - 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 80 300 230 150 225 - 225
117 Parasetamol Sirup btl 3 25 22 6 1,160 - 1,160
118 Phenol Glycerol TTS telinga btl - 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 - 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 - 505
131 Rifampicin 600 mg ktk 100 - 1,420 - 1,420
132 Ringer Laktat Infus btl 40 40 50 30 7,703 - 7,703
133 Risperidon 2 mg ktk 100 - 130 - 130
134 Rivanol botol 300 ml - 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 90 40 50 51 - 51
136 Serum ABU Vial - 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 - 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 - 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 - 97
145 Vit B Komplek Tablet btl 100 - 60 - 60
146 Zink tablet ktk 10 x 10 160 100 90 170 253 - 253
147 Zirkum kids sirup botol 8 8 - 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 4,140 - - 4,140
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - 1 1 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml - 3,069 18 18 3,069
164 Rapid Test HbsAg Kotak - 8,100 34 34 8,100
165 Slide Kaca ktk - 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 58 58 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 56 56 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 - - 3,341
169 Stik protein Urine - - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 8,249 50 8,249
174 RDT HIV D.S 12,527 23 12,527
175 RDT Malaria
176 RDT Sifilis 63
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 65 23 42 1,023 42,966 20 20 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 30 120 122 28 683 19,124 20 20 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 13 30 - 43 1,045 44,935 - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs 200 170 30 129 3,857 250 250 129
7 Bisturi ktk 100 5 10 10 5 10,733 53,665 - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 5 - 5 2,873 14,365 - 2,873
9 Foley Catheter 16 pcs 5 2 3 153 459 - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - 40 40 6,142
11 Hand Scoon L ktk 100 - 200 100 100 1,435 143,500 - 1,435
12 Hand Scoon M ktk 100 100 100 1,435 - - - 1,435
13 Hand Scoon M ktk 100 100 100 1,435 - - 1,435
14 Hand Scoon S ktk 100 400 200 200 8,470 1,694,000 - 8,470
15 Infusion Dewasa ktk 50 24 30 42 12 9,181 110,172 - 9,181
16 Infusion set anak set / kantong 12 - 12 6,983 83,796 - 6,983
17 IV Catheter No. 22 G 50 buah / kotak 62 21 41 4,818 197,538 - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak 41 20 21 4,818 101,178 - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol 2 1 1 1,448 1,448 - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak 5 2 3 8,040 24,120 - 8,040
34 Oxyflow Dewasa pcs 3 15 12 6 5,000 30,000 - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472 - 3,472
39 Test Kehamilan ktk 50 - 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070 - 2,070
41 Underpad Pcs - 5,280 - 5,280
42 Urin Bag 10 pcs - 5,865 - 5,865
- - - -
PROGRAM GIZI /KIA - - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - - -
5 Fe ktk 100 160 20 140 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796 - 3,796
9 Mineral Mix Shaset - 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232 - 1,232
12 Stik shipyllis Box @ 25 - 8,871 - 8,871
13 Vit. K inj. Box @ 30 - 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 - 637
TOTAL OBAT & BMHP APBD - - 2,690,300 - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991 - 991
3 Acyclovir cream Tube - 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 - 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 - 567 - 567
7 Ambroxol syr. Botol 8 8 - 4,180 - 4,180
8 Ambroxol Tab. Box @ 100 90 85 5 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 - 495 - 495
10 Amlodipine 5 mg Tab. Box @ 100 145 100 115 130 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 - 407
12 Amoxycillin Syr. Botol - 5,500 - 5,500
13 Antasid Syr. Botol - 3,900 - 3,900
14 Antasida Tab. Box @ 100 65 35 - 100 165 - 165
15 Asam Folat Box@100 - 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011 - 2,011
18 Aseptic Gell Botol 450 mL - 55,000 - 55,000
19 Bedak Salicyl Pcs - 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 100 10 90 1,015 - 1,015
21 Bethametasone salep Tube - 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube - 17,650 - 17,650
23 Bisolvon sol Botol - 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 899 - - 899
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol 10 5 5 6,270 31,350 - 6,270
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 502 - - 502
34 Chloramfenicol Tetes mata (Reco) Botol - 10,010 - - 10,010
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube - 5,390 - - 5,390
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 78 - 78 62 4,805 - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 - - 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol 2 2 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 6,600 - - 6,600
48 Domperidone Tab. Box @ 100 45 200 55 190 272 51,623 - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 1 5 6 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 175 - - 175
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol 6 4 2 8,470 16,940 - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 45 100 100 45 1,364 61,380 - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 35 30 5 447 2,235 - 447
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 80 - 80 165 13,200 - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 572 - - 572
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 6 12 10 8 5,042 40,336 - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,355 - - 3,355
79 Lidocain Inj. Box @ 100 - 1,650 - - 1,650
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440 - - 440
83 Metronidazole 500 mg Tab. Box @ 100 - 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 9,900 - - 9,900
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 20 90 65 45 414 18,645 - 414
93 Ondancentron Inj Ktk @ 5 12 40 37 15 7,700 115,500 - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 6,930 - - 6,930
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 2 40 37 5 7,150 35,750 - 7,150
105 Ranitidine Tab. Box @ 100 35 200 75 160 322 51,520 - 322
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol - 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 15 30 23 22 14,025 - 14,025
113 Vit B.1 Box @ 100 75 15 60 132 - 132
114 Vit B6 Box @ 100 - 132 - 132
115 Vit. B-Complex Btl @ 100 - 220 - 220
116 Vit K inj. Box @ 5 - 7,150 - 7,150
117 Vit K Tab. Box @ 100 - 1,320 - 1,320
118 Water for Inj. 10 mL Botol - 5,940 - 5,940
119 Water for Inj. 25 mL Botol - 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000 - 7,000
121 Zinc Tab. Box @ 100 - 675 - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 - 5,500 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000 - 13,000
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 - 11,000
8 Alkohol 300 mL Botol - 24,065 - 24,065
9 Alkohol Swab Bok - 182 - 182
10 Bisturi no. 11 G Box @ 100 - 1,100 - 1,100
11 Blood set Box @ 50 - 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 8,800 - 8,800
13 Folley Catheter Fr. 16 Box @ 10 - 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701 - 1,701
19 Infuset Dewasa Pcs - 4,400 - 4,400
20 Kassa 40 x 80 Roll - 120,000 - 120,000
21 Kassa steril Box - 4,000 - 4,000
22 Masker Bedah Box @ 50 - 806 - 806
23 Masker Oxigen Anak Pcs - 16,500 - 16,500
24 Masker Oxigen dws Pcs - - 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 2 2 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - - 30,800 - 30,800
27 Mucus extractor Box @ 25 - 7,700 - 7,700
28 Nasal canul Bayi Pcs - 11,000 - 11,000
29 Nasal canul anak Pcs - 11,000 - 11,000
30 Nasal canul dewasa Pcs - 11,000 - 11,000
31 Needle 23 G Box @100 - 220 - 220
32 NGT Fr. 3,5 Pcs - 49,500 - 49,500
33 NGT No. 16 Pcs - 49,500 - 49,500
34 Nurse Cup Box @100 - 605 - 605
35 Pot salep 20 gr Pot - 880 - 880
36 Sendok obat Pcs - 600 - 600
37 Silk 3/0 Box @ 36 10 10 11,000 - 11,000
38 Silk 4/0 Box @ 12 - 11,000 - 11,000
39 Sungkup nebulizer anak Pcs - - 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs 6 6 27,500 - 27,500
42 Umbilical cord Pcs - 1,540 - 1,540
43 Underpad Box @ 10 - 4,840 - 4,840
44 Utrafix 5 x 10 Roll - 71,500 - 71,500
45 Utrafix 5 x 5 Roll - 20,570 - 20,570
46 Urine Bag Pcs 5 5 7,700 - 7,700
47 Verban 4 x 10 Roll - 3,500 - 3,500
48 Verban 4 x 5 Roll - 1,300 - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 - 132 - 132
50 Cover Glass 20 x 20 Pcs - 308 10 10 308
51 Diatro Cleaner Botol 1 L - 759,000 - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol - 110,000 - 110,000
55 Gol. Darah Anti B Botol - 110,000 - 110,000
56 Gol. Darah resus anti D Botol - 132,000 - 132,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000 - 55,000
58 Salmonella Thypi AO Botol - 181,500 - 181,500
59 Salmonella Thypi BO Botol - 181,500 - 181,500
60 Salmonella Thypi H Botol - 181,500 - 181,500
61 Salmonella Thypi O Botol - 181,500 - 181,500
62 Serum Kontrol Botol - 715,000 - 715,000
63 Spiritus Botol - 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900 77 77 9,900
68 Tabung EDTA 3 mL Botol - 1,540 87 87 1,540
69 Tes Kehamilan Box @ 50 - 1,478 57 57 1,478
70 Urine Stik 10 Para Btl @100 - 2,035 - 2,035
71 Yellow tip Pcs - 110 - 110
443,284

3,133,583
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
ok
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 -
3 Acyclovir 200 mg ktk 10 x 10 - 11 - 11 236 2,596
4 Acyclovir 400 mg ktk 10 x 10 - 365 - 365 454 165,710
5 Allupurinol 100 mg ktk 100 - 470 230 240 89 21,360
6 Ambroxol syr. Botol - - 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 -
8 Amlodipin 5 mg ktk 30 - 155 - 335 490 74 36,260
9 Amlodipin 10 mg ktk 30 - 520
10 Amoksisilin 250 mg ktk 10x 10 - - 188 -
11 Amoksisilin 500 mg ktk 10x 11 - 685 1,000 831 854 231 197,274
12 Amoksisilin syr Botol - 66 36 30 2,050 61,500
13 Antasida doen tablet kotak ktk 10 x10 - - 54 -
14 Antasida syr. Botol - 66 58 8 1,756 14,048
15 Antasida Tab. ktk 10 x 10 - 780 250 530 54 28,620
16 Anti Hemoroid ktk 10 - 15 6 9 3,260 29,340
17 Antides ( Attapulgite ) ktk 100 - 250 130 120 175 21,000
18 Aqua pro inj btl - - 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - 775 460 315 46 14,490
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 715 280 435 45 19,575
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 - 500 500 117 -
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175
26 Betahistine 6 mg ktk 30 - - 119 -
27 Betamethason Salep ktk 25 - - 1,920 -
28 Bioplacenton Tulle Tulle - - 10,733 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 -
31 Bufacetine salep kulit Tube - - 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 -
34 Captopril 25 mg ktk 10 x 10 tablet - - 75 -
35 Cetirizine 10 mg ktk 10 x 10 - - 104 -
36 Cetirizine sirup botol - - - 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - - 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet - - - 75 -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 -
49 Digoksin ktk 10 x 10 - - 96 -
50 Dimenhidrinat 50 mg btl 100 - 100 - 100 121 12,100
51 Doksisiklin 100 mg Ktk 100 - - 309 -
52 Domperidon 10 mg kotak 10 x 10 - - - 75 -
53 Domperidon Sirup btl - - 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740 -
55 Ergotamine + Caffein Botol @ 100 - 270 220 50 199 9,950
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 -
59 Furosemid 40 mg ktk 200 tab - - 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 -
61 Garam Oralit ktk 100 - 40 19 21 280 5,880
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 - 525 300 225 137 30,825
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 22 - 19 41 2,325 95,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 -
73 Ibuprofen sirup btl 60 ml - - 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg - 300 1,000 1,070 230 60 13,800
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 -
80 Ketoconazole salep ktk 25 tube - - 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 180 30 150 329 49,350
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 -
86 Kotrimoksasol 480 mg ktk 100 - - - 220 -
87 Kotrimoksasol Syr. Botol - - - 2,052 -
88 Lidocain 2 % inj ktk 100 - - 891 -
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - - 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 -
91 Loperamid 2 mg ktk 10 x 10 - - 97 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 -
93 Lysol btl - - 45,100 -
94 Magnesium sulfat inj 20% btl - - 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 -
97 Metformin 500 mg ktk 10x 10 - 886 708 178 77 13,706
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102
99 Metilergometrin injeksi ktk 100 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 30 - 30 242
101 Metoklopramid 10 mg ktk 10 x 10 145 - 145 111
102 Metoklopramid Sirup (Lexapram) btl - 2,750
103 Metronidazol 500 mg ktk 100 - 140
104 Metronidazol Sirup btl 60 ml - 3,800
105 Miconazole 2% krem tube 10 gram 22 1 21 1,900
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 340 500 780 60 109
108 Nifedipin tab ktk 10 x 10 tablet - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 16 5 11 688
110 OBH syr. Botol - 3,500
111 Omeprazol 20 mg ktk 3x 10 - 164
112 OAM 27 63 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600
114 Oxytocin injeksi btl 15 ml - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 290 1,000 285 1,005 225
117 Parasetamol Sirup btl 99 66 33 1,160
118 Phenol Glycerol TTS telinga btl 5 3 2 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818
120 Phitomenadion Vit K inj ktk 30 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet - 73
123 Primaquin 15 mg ktk 10 x 10 tablet 55 - 55 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 550 550 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505
131 Rifampicin 600 mg ktk 100 - 1,420
132 Ringer Laktat Infus btl - 7,703
133 Risperidon 2 mg ktk 100 - 130
134 Rivanol botol 300 ml - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 234 60 174 51
136 Serum ABU Vial - 517,132
137 Sikzonoate inj ktk 5 amp - 57,500
138 Simvastatin 10 mg ktk 30 530 190 340 117
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459
141 Tablet Tambah Darah ktk 30 - 409
142 Thiamin ( vitamin B1 ) kotak 100 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97
145 Vit B Komplek Tablet btl 100 500 500 60
146 Zink tablet ktk 10 x 10 600 600 253
147 Zirkum kids sirup botol 3 3 - 3,285
- - - -
OBAT GIGI : - - - -
148 Eugenol Btl - - 50,417 -
149 Aseptik gel - - - -
150 yellow tip - - 110 -
- - - -
REAGEN / LAB : - - - -
149 Blood Lancets ktk 100 - - 4,140 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 -
151 Gluco Protein Test Urine ktk 10 - - 1,098 -
152 Gol. Darah Anti B btl - - - -
153 Gol. Darah Anti A, B btl - - - -
154 Gol. Darah Anti A btl - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 -
158 Larutan Methyl Blue btl 100 ml - - 99,000 -
159 Larutan Turk btl 100 ml - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 -
161 Needle flashback ktk 50 - - 1,701 -
162 Oil Imersion btl 10 ml - - 110,000 -
163 Pot Dahak btl 10 ml - 3,069
164 Rapid Test HbsAg Kotak - 8,100
165 Slide Kaca ktk - 275
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200
167 Stik Cholesterol Mission ktk 25 pcs - 22,280
168 Stik Glucosa Benechek ktk 50 pcs - 3,341
169 Stik protein Urine - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205
171 Virotec Dengue Combo Ktk 25 - 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0) 8,249
174 RDT HIV D.S 12,527
175 RDT Malaria
176 RDT Sifilis
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
BMHP APBD : - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - - 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - - 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 -
5 Alkohol 70 % btl 1 liter - - 29,375 -
6 Alkohol Swab 0,5 % pcs - - 129 -
7 Bisturi ktk 100 - - 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - - 2,873 -
9 Foley Catheter 16 pcs - - 153 -
10 Hand Scoon 7 (Steril) pcs - - 6,142 -
11 Hand Scoon L ktk 100 - - 1,435 -
12 Hand Scoon M ktk 100 - - 1,435 -
13 Hand Scoon M ktk 100 - - 1,435 -
14 Hand Scoon S ktk 100 - - 8,470 -
15 Infusion Dewasa ktk 50 - - 9,181 -
16 Infusion set anak set / kantong - - 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 -
20 Kantong Limbah uk. L Pcs - - 5,400 -
21 Kantong Limbah uk. M Pcs - - 15,000 -
22 Kapas Pembalut 250 gr rol - - 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 -
29 Lysol btl - - 442 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 -
32 Mucus Extractor Pcs - - 5,865 -
33 Oxyflow Anak - - 8,040 -
34 Oxyflow Dewasa pcs - - 5,000 -
35 Pembalut Elastis roll - - 5,000 -
36 Polifix 5 cmx 5 m Roll - - 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600
38 Silk 3/0 HR - 20 ktk 12 - 3,472
39 Test Kehamilan ktk 50 - 2,185
40 Umbilical cord klem ktk 50 pcs - 2,070
41 Underpad Pcs - 5,280
42 Urin Bag 10 pcs - 5,865
- -
PROGRAM GIZI /KIA - -
1 Ampicillin 1 gr. Inj. Box @ 10 - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913
4 Eutyrox 50 mg Tab. Tablet - -
5 Fe ktk 100 1,090 615 475 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684
8 MgSO4 40 % Botol 25 mL - 3,796
9 Mineral Mix Shaset - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600
11 Oxytocin Inj. Box @ 100 - 1,232
12 Stik shipyllis Box @ 25 - 8,871
13 Vit. K inj. Box @ 30 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637
TOTAL OBAT & BMHP APBD - - - 842,709
OBAT & BMHP JKN : - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 - 991
3 Acyclovir cream Tube 2 - 9 11 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 - 248
6 Allopurinol 300 mg Tab. Box @ 100 170 31 139 567
7 Ambroxol syr. Botol - 50 50 4,180
8 Ambroxol Tab. Box @ 100 5 500 465 40 165
9 Amlodipine 10 mg Tab. Box @ 30 - 500 85 415 495
10 Amlodipine 5 mg Tab. Box @ 100 1,000 510 490 446
11 Amoxycillin 500 mg Tab. Box @ 100 - 407
12 Amoxycillin Syr. Botol - 5,500
13 Antasid Syr. Botol - 3,900
14 Antasida Tab. Box @ 100 - 165
15 Asam Folat Box@100 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 549 10 539 2,011
18 Aseptic Gell Botol 450 mL - 55,000
19 Bedak Salicyl Pcs - 6,426
20 Betahistine 6 mg Tab. Box @ 100 824 210 614 1,015
21 Bethametasone salep Tube 20 15 5 3,520
22 Bioplacenton gel 15 gram Tube - 17,650
23 Bisolvon sol Botol - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 -
28 Captopril 25 mg Tab. Box @ 100 - - 132 -
29 Cefadroxil 125 mg Syr. Botol - 13 4 9 7,700 69,300
30 Cefadroxil 500 mg Cap. Box @ 100 - 5 300 140 165 899 148,335
31 Cendo eyefresh mini dose Box@ 25 strip - 100 10 90 5,720 514,800
32 Cetirizine Syr Botol - 48 21 27 6,270 169,290
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 500 220 280 502 140,560
34 Chloramfenicol Tetes mata (Reco) Botol - 2 2 - 10,010 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 21 1 20 10,010 200,200
36 Chloramfenicol salep (Fasycol) Tube - 22 2 20 5,390 107,800
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 -
38 Cotrimoksazol 480 mg Box @ 100 - 320 - 320 290 92,752
39 Cotrimoxazole syr. Botol - 12 - 12 4,290 51,480
40 CPZ 100 mg Tab. Box @ 100 - - 433 -
41 CTM Btl @ 100 - 1,000 375 625 62 38,500
42 Daryantulle Box @ 10 - - 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 1,000 545 455 150
44 Dexamethasone Inj. Box @ 100 - - 2,416 -
45 Dextrose 40 25 mL Botol - - 12,760 -
46 Difenhydramine inj. Box @ 30 - - 1,863 -
47 Domperidone Syr. Botol - 41 10 31 6,600 204,600
48 Domperidone Tab. Box @ 100 - 650 195 455 272 123,624
49 Doxycicline Cap/ Doxyhat Box @ 100 - 100 - 100 466 46,649
50 Dulcolax 10 mg Sup Ktk @ 5 - 12 1 11 31,240 343,640
51 Dulcolax 5 mg Sup Ktk @ 6 - 4 4 - 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 - 26 18 8 1,980 15,840
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 -
54 Ephineprin Inj. Box @ 30 - - 8,983 -
55 Ergotamine + Caffein Box @ 100 - - 306 -
56 Etil Klorida 100 ml Botol - - 223,850 -
57 Garam Oralit Box @ 100 - - 352 -
58 Gentamicin SK Box @ 10 - - 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube - 11 7 4 8,580 34,320
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 9 - 1 10 11,110 111,100
61 Gentian Violet Box @ 24 - 6 1 5 3,850 19,250
62 Glibenclamide Tab. Box @ 100 - - 175 -
63 Gliceril Guaiakolat Tab. Box @ 100 - 1,010 1,000 950 1,060 130 138,054
64 Glucosa infus 10 % Box @ 20 - - 10,175 -
65 Guanistrep syr. Botol - 10 5 5 8,470 42,350
66 H2O2 3 % 100 mL Botol - - 7,370 -
67 H2O2 3 % 800 mL Botol - - 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 300 166 134 1,364 182,776
69 Ibuprofen 200 mg Tab. Box @ 100 - 135 135 - 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 - 30 30 - 447 -
71 Ibuprofen Syr Botol - 18 2 16 6,160 98,560
72 INH 100 mg Tab. Box @ 100 - - 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 125 21 104 165 17,160
74 K-EN-3B infus Box @ 20 - - 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 572 -
76 Ketokonazole Salep Tube - - 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,355 -
79 Lidocain Inj. Box @ 100 - - 1,650 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 -
81 Metformin 500 mg Tab. Box @ 100 - - 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - 500 320 180 440 79,200
83 Metronidazole 500 mg Tab. Box @ 100 30 - 60 90 380
84 MgSO4 40 % Botol - - 14,754 -
85 Miconazole Salep Tube - - 4,730 -
86 NaCl infus Box @ 20 - - 9,900 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 -
90 Nystatin drop (Cazetin drop ) Botol - 15 8 7 24,420 170,940
91 Nystatin Vag ovula Box @ 100 - - 828 -
92 Omeprazole kap. Box @ 30 - 270 300 340 230 414 95,297
93 Ondancentron Inj Ktk @ 5 - - 7,700 -
94 Oxytocin Inj. Box @ 100 - - 3,685 -
95 Oxytetracycline salep mata Tube - - 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 -
97 Paracetamol Syr. Botol - - 4,180 -
98 Phenol Glycerol TT Botol - - 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 -
100 Povidone Iodine 300 mL Botol - - 6,930 -
101 Povidone Iodine 1 Liter Botol - - 99,000 -
102 Prednison 5 mg Tab. Box @ 100 - - 285 -
103 Primaquin tab. Box @ 100 - - 304 -
104 Ranitidine Inj. Box @ 10 - - 7,150 -
105 Ranitidine Tab. Box @ 100 - 495 - 340 835 322 268,870
106 Ringer Laktat Infus Box @ 20 - - 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 -
108 Scabimid krim 10 gr Tube - - 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 - 864 644 220 564 124,170
110 Thrombophob gel 20 Gram Tube - - 62,000 -
111 Ultrasonic Gel 250 mL Botol - 24,200
112 Ventolin Nebulizer Box @ 20 - 14,025
113 Vit B.1 Box @ 100 590 300 60 830 132
114 Vit B6 Box @ 100 300 - 490 790 132
115 Vit. B-Complex Btl @ 100 375 290 85 220
116 Vit K inj. Box @ 5 - 7,150
117 Vit K Tab. Box @ 100 - 1,320
118 Water for Inj. 10 mL Botol - 5,940
119 Water for Inj. 25 mL Botol - 9,020
120 Zinc / Lecozinc Syr. Botol - 7,000
121 Zinc Tab. Box @ 100 - 675
BMHP : - -
1 Abbocat 18 G Box @ 50 - 5,500
2 Abbocat 20 G Box @ 50 - 5,500
3 Abbocat 22 G Box @ 50 - 6,050
4 Abbocat 24 G Box @ 50 - 13,000
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
5 Abbocat 26 G Box @ 50 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000
8 Alkohol 300 mL Botol - 24,065
9 Alkohol Swab Bok - 182
10 Bisturi no. 11 G Box @ 100 - 1,100
11 Blood set Box @ 50 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 - 8,800
13 Folley Catheter Fr. 16 Box @ 10 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 - 12,100
15 Hand scoon steril No. 7 Box @ 50 - 11,000
16 Hand scoon nonsteril No. L Box @100 - 1,701
17 Hand scoon nonsteril No. M Box @100 - 1,701
18 Hand scoon nonsteril No. S Box @100 - 1,701
19 Infuset Dewasa Pcs - 4,400
20 Kassa 40 x 80 Roll - 120,000
21 Kassa steril Box - 4,000
22 Masker Bedah Box @ 50 - 806
23 Masker Oxigen Anak Pcs - 16,500
24 Masker Oxigen dws Pcs - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800
27 Mucus extractor Box @ 25 - 7,700
28 Nasal canul Bayi Pcs - 11,000
29 Nasal canul anak Pcs - 11,000
30 Nasal canul dewasa Pcs - 11,000
31 Needle 23 G Box @100 - 220
32 NGT Fr. 3,5 Pcs - 49,500
33 NGT No. 16 Pcs - 49,500
34 Nurse Cup Box @100 - 605
35 Pot salep 20 gr Pot - 880
36 Sendok obat Pcs - 600
37 Silk 3/0 Box @ 36 - 11,000
38 Silk 4/0 Box @ 12 - 11,000
39 Sungkup nebulizer anak Pcs - 27,500
40 Sungkup nebulizer bayi Pcs - 22,000
41 Sungkup nebulizer Dws Pcs - 27,500
42 Umbilical cord Pcs - 1,540
43 Underpad Box @ 10 - 4,840
44 Utrafix 5 x 10 Roll - 71,500
45 Utrafix 5 x 5 Roll - 20,570
46 Urine Bag Pcs - 7,700
47 Verban 4 x 10 Roll - 3,500
48 Verban 4 x 5 Roll - 1,300
REAGEN : - -
49 Blue Tip Pak @ 100 - 132
50 Cover Glass 20 x 20 Pcs - 308
51 Diatro Cleaner Botol 1 L - 759,000
52 Diatro Dilluent Botol 1 L - 2,178,000
53 Diatro Lyse Botol 1 L - 1,863,400
54 Gol. Darah Anti A Botol - 110,000
55 Gol. Darah Anti B Botol - 110,000
56 Gol. Darah resus anti D Botol - 132,000
57 HCL Alkohol 3 % Botol 100 mL - 55,000
58 Salmonella Thypi AO Botol - 181,500
59 Salmonella Thypi BO Botol - 181,500
60 Salmonella Thypi H Botol - 181,500
61 Salmonella Thypi O Botol - 181,500
62 Serum Kontrol Botol - 715,000
63 Spiritus Botol - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600
65 Stik GDS Benecheck Btl @ 50 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900
68 Tabung EDTA 3 mL Botol - 1,540
69 Tes Kehamilan Box @ 50 - 1,478
70 Urine Stik 10 Para Btl @100 - 2,035
71 Yellow tip Pcs - 110
- 3,649,417

- 4,492,126
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
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Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 454 - - 454
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 - 231 - - 231
12 Amoksisilin syr Botol - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol - 1,756 - - 1,756
15 Antasida Tab. ktk 10 x 10 54 - 54
16 Anti Hemoroid ktk 10 - 3,260 - - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - 46 - - 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 - 117 - - 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
35 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
36 Cetirizine sirup botol - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet - 75 - - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 - 280 - - 280
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
87 Kotrimoksasol Syr. Botol - 2,052 #NAME? - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 - 77 - - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102 - 102
99 Metilergometrin injeksi ktk 100 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 111 - 111
102 Metoklopramid Sirup (Lexapram) btl 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 140 - 140
104 Metronidazol Sirup btl 60 ml 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688 - 688
110 OBH syr. Botol 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 164 - 164
112 OAM 1,900 1,900
113 Oxytetrasiklin salep mata ktk 25 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225 - 225
117 Parasetamol Sirup btl 1,160 - 1,160
118 Phenol Glycerol TTS telinga btl 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818 - 818
120 Phitomenadion Vit K inj ktk 30 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150 - 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505 - 505
131 Rifampicin 600 mg ktk 100 1,420 - 1,420
132 Ringer Laktat Infus btl 7,703 - 7,703
133 Risperidon 2 mg ktk 100 130 - 130
134 Rivanol botol 300 ml 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 51 - 51
136 Serum ABU Vial 517,132 - 517,132
137 Sikzonoate inj ktk 5 amp 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97 - 97
145 Vit B Komplek Tablet btl 100 60 - 60
146 Zink tablet ktk 10 x 10 253 - 253
147 Zirkum kids sirup botol 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 4,140 - - 4,140
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml 3,069 - 3,069
164 Rapid Test HbsAg Kotak 8,100 - 8,100
165 Slide Kaca ktk 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341 - 3,341
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 64,171 - 64,171
172 RDT HIV 1+2 12,500 12,500
173 RDT HIV 1/2 (3.0) 8,249 8,249
174 RDT HIV D.S 12,527 12,527
175 RDT Malaria
176 RDT Sifilis
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 39,217 - - 39,217
37 Polifix Aximed 5 cm x 10 m Roll 77,600 - 77,600
38 Silk 3/0 HR - 20 ktk 12 3,472 - 3,472
39 Test Kehamilan ktk 50 2,185 - 2,185
40 Umbilical cord klem ktk 50 pcs 2,070 - 2,070
41 Underpad Pcs 5,280 - 5,280
42 Urin Bag 10 pcs 5,865 - 5,865
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL 3,796 - 3,796
9 Mineral Mix Shaset 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 1,232 - 1,232
12 Stik shipyllis Box @ 25 8,871 - 8,871
13 Vit. K inj. Box @ 30 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637 - 637
TOTAL OBAT & BMHP APBD - #NAME? - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096 - 1,096
2 Acyclovir 400 mg Tab Box @ 100 991 - 991
3 Acyclovir cream Tube 4,125 - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,008 - 1,008
5 Allopurinol 100 mg Tab. Box @ 100 248 - 248
6 Allopurinol 300 mg Tab. Box @ 100 567 - 567
7 Ambroxol syr. Botol 4,180 - 4,180
8 Ambroxol Tab. Box @ 100 165 - 165
9 Amlodipine 10 mg Tab. Box @ 30 495 - 495
10 Amlodipine 5 mg Tab. Box @ 100 446 - 446
11 Amoxycillin 500 mg Tab. Box @ 100 407 - 407
12 Amoxycillin Syr. Botol 5,500 - 5,500
13 Antasid Syr. Botol 3,900 - 3,900
14 Antasida Tab. Box @ 100 165 - 165
15 Asam Folat Box@100 110 - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275 - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 2,011 - 2,011
18 Aseptic Gell Botol 450 mL 55,000 - 55,000
19 Bedak Salicyl Pcs 6,426 - 6,426
20 Betahistine 6 mg Tab. Box @ 100 1,015 - 1,015
21 Bethametasone salep Tube 3,520 - 3,520
22 Bioplacenton gel 15 gram Tube 17,650 - 17,650
23 Bisolvon sol Botol 105,600 - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000 - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 899 - - 899
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,270 - - 6,270
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
33 Cetirizine Tab. Box @ 100 - 502 - - 502
34 Chloramfenicol Tetes mata (Reco) Botol - 10,010 - - 10,010
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube - 5,390 - - 5,390
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 150 - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 6,600 - - 6,600
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 175 - - 175
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 447 - - 447
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 572 - - 572
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,355 - - 3,355
79 Lidocain Inj. Box @ 100 - 1,650 - - 1,650
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440 - - 440
83 Metronidazole 500 mg Tab. Box @ 100 380 - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 9,900 - - 9,900
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - - 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 6,930 - - 6,930
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 - 322 - - 322
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 24,200 - 24,200
112 Ventolin Nebulizer Box @ 20 14,025 - 14,025
113 Vit B.1 Box @ 100 132 - 132
114 Vit B6 Box @ 100 132 - 132
115 Vit. B-Complex Btl @ 100 220 - 220
116 Vit K inj. Box @ 5 7,150 - 7,150
117 Vit K Tab. Box @ 100 1,320 - 1,320
118 Water for Inj. 10 mL Botol 5,940 - 5,940
119 Water for Inj. 25 mL Botol 9,020 - 9,020
120 Zinc / Lecozinc Syr. Botol 7,000 - 7,000
121 Zinc Tab. Box @ 100 675 - 675
BMHP : - - -
1 Abbocat 18 G Box @ 50 5,500 - 5,500
2 Abbocat 20 G Box @ 50 5,500 - 5,500
3 Abbocat 22 G Box @ 50 6,050 - 6,050
4 Abbocat 24 G Box @ 50 13,000 - 13,000
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
5 Abbocat 26 G Box @ 50 5,500 - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880 - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000 - 11,000
8 Alkohol 300 mL Botol 24,065 - 24,065
9 Alkohol Swab Bok 182 - 182
10 Bisturi no. 11 G Box @ 100 1,100 - 1,100
11 Blood set Box @ 50 6,900 - 6,900
12 Cat Gut Plain 3/0 Box @ 24 8,800 - 8,800
13 Folley Catheter Fr. 16 Box @ 10 12,100 - 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100 - 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000 - 11,000
16 Hand scoon nonsteril No. L Box @100 1,701 - 1,701
17 Hand scoon nonsteril No. M Box @100 1,701 - 1,701
18 Hand scoon nonsteril No. S Box @100 1,701 - 1,701
19 Infuset Dewasa Pcs 4,400 - 4,400
20 Kassa 40 x 80 Roll 120,000 - 120,000
21 Kassa steril Box 4,000 - 4,000
22 Masker Bedah Box @ 50 806 - 806
23 Masker Oxigen Anak Pcs 16,500 - 16,500
24 Masker Oxigen dws Pcs 16,500 - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800 - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800 - 30,800
27 Mucus extractor Box @ 25 7,700 - 7,700
28 Nasal canul Bayi Pcs 11,000 - 11,000
29 Nasal canul anak Pcs 11,000 - 11,000
30 Nasal canul dewasa Pcs 11,000 - 11,000
31 Needle 23 G Box @100 220 - 220
32 NGT Fr. 3,5 Pcs 49,500 - 49,500
33 NGT No. 16 Pcs 49,500 - 49,500
34 Nurse Cup Box @100 605 - 605
35 Pot salep 20 gr Pot 880 - 880
36 Sendok obat Pcs 600 - 600
37 Silk 3/0 Box @ 36 11,000 - 11,000
38 Silk 4/0 Box @ 12 11,000 - 11,000
39 Sungkup nebulizer anak Pcs 27,500 - 27,500
40 Sungkup nebulizer bayi Pcs 22,000 - 22,000
41 Sungkup nebulizer Dws Pcs 27,500 - 27,500
42 Umbilical cord Pcs 1,540 - 1,540
43 Underpad Box @ 10 4,840 - 4,840
44 Utrafix 5 x 10 Roll 71,500 - 71,500
45 Utrafix 5 x 5 Roll 20,570 - 20,570
46 Urine Bag Pcs 7,700 - 7,700
47 Verban 4 x 10 Roll 3,500 - 3,500
48 Verban 4 x 5 Roll 1,300 - 1,300
REAGEN : - - -
49 Blue Tip Pak @ 100 132 - 132
50 Cover Glass 20 x 20 Pcs 308 - 308
51 Diatro Cleaner Botol 1 L 759,000 - 759,000
52 Diatro Dilluent Botol 1 L 2,178,000 - 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400 - 1,863,400
54 Gol. Darah Anti A Botol 110,000 - 110,000
55 Gol. Darah Anti B Botol 110,000 - 110,000
56 Gol. Darah resus anti D Botol 132,000 - 132,000
57 HCL Alkohol 3 % Botol 100 mL 55,000 - 55,000
58 Salmonella Thypi AO Botol 181,500 - 181,500
59 Salmonella Thypi BO Botol 181,500 - 181,500
60 Salmonella Thypi H Botol 181,500 - 181,500
61 Salmonella Thypi O Botol 181,500 - 181,500
62 Serum Kontrol Botol 715,000 - 715,000
63 Spiritus Botol 33,000 - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600 - 6,600
65 Stik GDS Benecheck Btl @ 50 3,520 - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500 - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 9,900 - 9,900
68 Tabung EDTA 3 mL Botol 1,540 - 1,540
69 Tes Kehamilan Box @ 50 1,478 - 1,478
70 Urine Stik 10 Para Btl @100 2,035 - 2,035
71 Yellow tip Pcs 110 - 110
- -

#NAME?
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
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POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153 - -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412 - -
3 Acyclovir 200 mg ktk 10 x 10 - - 236 - -
4 Acyclovir 400 mg ktk 10 x 10 - - 454 - -
5 Allupurinol 100 mg ktk 100 - - 89 - -
6 Ambroxol syr. Botol - - 3,639 - -
7 Amitriptiline HCl 25 mg ktk 100 - - 168 - -
8 Amlodipin 5 mg ktk 30 - - 74 - -
9 Amlodipin 10 mg ktk 30 - 520 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188 - -
11 Amoksisilin 500 mg ktk 10x 11 - - 231 - -
12 Amoksisilin syr Botol - - 2,050 - -
13 Antasida doen tablet kotak ktk 10 x10 - - 54 - -
14 Antasida syr. Botol - - 1,756 - -
15 Antasida Tab. ktk 10 x 10 - 54 -
16 Anti Hemoroid ktk 10 - - 3,260 - -
17 Antides ( Attapulgite ) ktk 100 - - 175 - -
18 Aqua pro inj btl - - 2,860 - -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - - 46 - -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45 - -
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175 - -
22 Asam Mefenamat 500 mg kotak 10 x 10 - - 117 - -
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81 - -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353 - -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175 -
26 Betahistine 6 mg ktk 30 - - 119 - -
27 Betamethason Salep ktk 25 - - 1,920 - -
28 Bioplacenton Tulle Tulle - - 10,733 - -
29 Bisacodil 10 mg ktk 50 sup - - 5,800 - -
30 Bisacodil 5 mg ktk 6 sup - - 5,800 - -
31 Bufacetine salep kulit Tube - - 3,360 - -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143 - -
33 Captopril 12,5 mg ktk 10 x 10 - - 65 - -
34 Captopril 25 mg ktk 10 x 10 tablet - - 75 - -
35 Cetirizine 10 mg ktk 10 x 10 - - 104 - -
36 Cetirizine sirup botol - - 3,061 - -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260 - -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660 - -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925 - -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153 - -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49 - -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226 - -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336 - -
44 Deksamethasone Tablet btl 10 x 10 tablet - - 75 - -
45 Diazepam 2 mg Tab. Box @ 100 - - 86 - -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545 - -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458 - -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156 - -
49 Digoksin ktk 10 x 10 - - 96 - -
50 Dimenhidrinat 50 mg btl 100 - - 121 - -
51 Doksisiklin 100 mg Ktk 100 - - 309 - -
52 Domperidon 10 mg kotak 10 x 10 - - 75 - -
53 Domperidon Sirup btl - - 3,180 - -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 4 4 1,740 - -
55 Ergotamine + Caffein Botol @ 100 - - 199 - -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509 - -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913 - -
58 Fenobarbital inj ktk 30 Ampul - - 1,980 - -
59 Furosemid 40 mg ktk 200 tab - - 84 - -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012 - -
61 Garam Oralit ktk 100 - - 280 - -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600 - -
63 Glibenclamide 5 mg Tab. ktk 100 - - 137 - -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867 - -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627 - -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157 - -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210 - -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62 - -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76 - -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500 - -
71 Hidrokortisone Cream 2,5 % tube @ 5 g - - 2,325 - -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178 - -
73 Ibuprofen sirup btl 60 ml - - 2,678 - -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111 - -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157 - -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98 - -
77 Kalsium laktat ( Kalk ) tablet 500 mg - - 60 - -
78 Karbamazepin 200 mg ktk 10 x 10 - - 269 - -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286 - -
80 Ketoconazole salep ktk 25 tube - - 2,577 - -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383 - -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224 - -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329 - -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24 - -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550 - -
86 Kotrimoksasol 480 mg ktk 100 - - 220 - -
87 Kotrimoksasol Syr. Botol - - 2,052 - -
88 Lidocain 2 % inj ktk 100 - 3 5 3 5 891 4,455 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
89 Lidocain 2 % inj Jelly tube - - 40,000 - -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122 - -
91 Loperamid 2 mg ktk 10 x 10 - - 97 - -
92 Loratadine tab 10 mg ktk 10x 10 - - 149 - -
93 Lysol btl - - 45,100 - -
94 Magnesium sulfat inj 20% btl - - 2,122 - -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723 - -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377 - -
97 Metformin 500 mg ktk 10x 10 - - 77 - -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102 -
99 Metilergometrin injeksi ktk 100 8 8 3,399 -
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242 -
101 Metoklopramid 10 mg ktk 10 x 10 - 111 -
102 Metoklopramid Sirup (Lexapram) btl - 2,750 -
103 Metronidazol 500 mg ktk 100 - 140 -
104 Metronidazol Sirup btl 60 ml - 3,800 -
105 Miconazole 2% krem tube 10 gram - 1,900 -
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900 -
107 Natrium diklofenak 50 mg kotak 50 tablet - 109 -
108 Nifedipin tab ktk 10 x 10 tablet - 123 -
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688 -
110 OBH syr. Botol - 3,500 -
111 Omeprazol 20 mg ktk 3x 10 - 164 -
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 - 2,600 -
114 Oxytocin injeksi btl 15 ml 20 4 16 2,774 -
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500 -
116 Paracetamol tab 500 mg ktk 100 tablet - 225 -
117 Parasetamol Sirup btl - 1,160 -
118 Phenol Glycerol TTS telinga btl - 2,500 -
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818 -
120 Phitomenadion Vit K inj ktk 30 40 - 40 1,452 -
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150 -
122 Prednison 5 mg ktk 10 x 10 tablet - 73 -
123 Primaquin 15 mg ktk 10 x 10 tablet - 235 -
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80 -
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297 -
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150 -
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155 -
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119 -
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327 -
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505 -
131 Rifampicin 600 mg ktk 100 - 1,420 -
132 Ringer Laktat Infus btl - 7,703 -
133 Risperidon 2 mg ktk 100 - 130 -
134 Rivanol botol 300 ml - 3,850 -
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51 -
136 Serum ABU Vial - 517,132 -
137 Sikzonoate inj ktk 5 amp - 57,500 -
138 Simvastatin 10 mg ktk 30 - 117 -
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458 -
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459 -
141 Tablet Tambah Darah ktk 30 - 409 -
142 Thiamin ( vitamin B1 ) kotak 100 - 94 -
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680 -
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97 -
145 Vit B Komplek Tablet btl 100 - 60 -
146 Zink tablet ktk 10 x 10 - 253 -
147 Zirkum kids sirup botol - 3,285 -
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - - 50,417 - -
149 Aseptik gel - - - - -
150 yellow tip - - 110 - -
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - - 4,140 - -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000 - -
151 Gluco Protein Test Urine ktk 10 - - 1,098 - -
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500 - -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000 - -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500 - -
158 Larutan Methyl Blue btl 100 ml - - 99,000 - -
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - - 263,184 - -
161 Needle flashback ktk 50 - - 1,701 - -
162 Oil Imersion btl 10 ml - - 110,000 - -
163 Pot Dahak btl 10 ml - 3,069 -
164 Rapid Test HbsAg Kotak - 8,100 -
165 Slide Kaca ktk - 275 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341 -
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs - 1,205 -
171 Virotec Dengue Combo Ktk 25 - 64,171 -
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0) 8,249
174 RDT HIV D.S 12,527
175 RDT Malaria
176 RDT Sifilis
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 76 6 70 1,023 71,610 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 75 10 65 683 44,395 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924 - -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045 - -
5 Alkohol 70 % btl 1 liter - - 29,375 - -
6 Alkohol Swab 0,5 % pcs - - - 129 - -
7 Bisturi ktk 100 - - 10,733 - -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 18 4 14 2,873 40,222 -
9 Foley Catheter 16 pcs - - 153 - -
10 Hand Scoon 7 (Steril) pcs - 53 12 41 6,142 251,822 -
11 Hand Scoon L ktk 100 - - 1,435 - -
12 Hand Scoon M ktk 100 - 100 100 - 1,435 - -
13 Hand Scoon M ktk 100 - - 1,435 - -
14 Hand Scoon S ktk 100 - 100 - 100 8,470 847,000 -
15 Infusion Dewasa ktk 50 - - 9,181 - -
16 Infusion set anak set / kantong - - 6,983 - -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818 - -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818 - -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818 - -
20 Kantong Limbah uk. L Pcs - - 5,400 - -
21 Kantong Limbah uk. M Pcs - - 15,000 - -
22 Kapas Pembalut 250 gr rol - - 1,448 - -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600 - -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354 - -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610 - -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339 - -
27 Kasa steril 16 cmx16 cm ktk - - 24,254 - -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472 - -
29 Lysol btl - - 442 - -
30 Masker hijab / Karet ktk 50 pcs - - 2,185 - -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280 - -
32 Mucus Extractor Pcs - 5 - 5 5,865 29,325 -
33 Oxyflow Anak - - 8,040 - -
34 Oxyflow Dewasa pcs - - 5,000 - -
35 Pembalut Elastis roll - - 5,000 - -
36 Polifix 5 cmx 5 m Roll - - 39,217 - -
37 Polifix Aximed 5 cm x 10 m Roll - 77,600 -
38 Silk 3/0 HR - 20 ktk 12 - 3,472 -
39 Test Kehamilan ktk 50 - 2,185 -
40 Umbilical cord klem ktk 50 pcs 46 1 45 2,070 -
41 Underpad Pcs 23 12 11 5,280 -
42 Urin Bag 10 pcs - 5,865 -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913 -
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 - 409 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684 -
8 MgSO4 40 % Botol 25 mL 2 - 2 3,796 -
9 Mineral Mix Shaset - 3,116 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600 -
11 Oxytocin Inj. Box @ 100 - 1,232 -
12 Stik shipyllis Box @ 25 - 8,871 -
13 Vit. K inj. Box @ 30 - 4,236 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637 -
TOTAL OBAT & BMHP APBD - - - 1,288,829 -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 - 991 -
3 Acyclovir cream Tube - 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,008 -
5 Allopurinol 100 mg Tab. Box @ 100 - 248 -
6 Allopurinol 300 mg Tab. Box @ 100 - 567 -
7 Ambroxol syr. Botol - 4,180 -
8 Ambroxol Tab. Box @ 100 - 165 -
9 Amlodipine 10 mg Tab. Box @ 30 - 495 -
10 Amlodipine 5 mg Tab. Box @ 100 - 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407 -
12 Amoxycillin Syr. Botol - 5,500 -
13 Antasid Syr. Botol - 3,900 -
14 Antasida Tab. Box @ 100 - 165 -
15 Asam Folat Box@100 - 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011 -
18 Aseptic Gell Botol 450 mL - 55,000 -
19 Bedak Salicyl Pcs - 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 - 1,015 -
21 Bethametasone salep Tube - 3,520 -
22 Bioplacenton gel 15 gram Tube - 17,650 -
23 Bisolvon sol Botol - 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,054 - -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165 - -
27 Captopril 12,5 mg Tab. Box @ 100 - - 105 - -
28 Captopril 25 mg Tab. Box @ 100 - - 132 - -
29 Cefadroxil 125 mg Syr. Botol - - 7,700 - -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 899 - -
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720 - -
32 Cetirizine Syr Botol - - 6,270 - -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
33 Cetirizine Tab. Box @ 100 - - 502 - -
34 Chloramfenicol Tetes mata (Reco) Botol - - 10,010 - -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 10,010 - -
36 Chloramfenicol salep (Fasycol) Tube - - 5,390 - -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720 - -
38 Cotrimoksazol 480 mg Box @ 100 - - 290 - -
39 Cotrimoxazole syr. Botol - - 4,290 - -
40 CPZ 100 mg Tab. Box @ 100 - - 433 - -
41 CTM Btl @ 100 - - 62 - -
42 Daryantulle Box @ 10 - - 27,500 - -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 150 -
44 Dexamethasone Inj. Box @ 100 - - 2,416 - -
45 Dextrose 40 25 mL Botol - - 12,760 - -
46 Difenhydramine inj. Box @ 30 - - 1,863 - -
47 Domperidone Syr. Botol - - 6,600 - -
48 Domperidone Tab. Box @ 100 - - 272 - -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466 - -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240 - -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,717 - -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980 - -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800 - -
54 Ephineprin Inj. Box @ 30 - - 8,983 - -
55 Ergotamine + Caffein Box @ 100 - - 306 - -
56 Etil Klorida 100 ml Botol - - 223,850 - -
57 Garam Oralit Box @ 100 - - 352 - -
58 Gentamicin SK Box @ 10 - - 3,630 - -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580 - -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - - 11,110 - -
61 Gentian Violet Box @ 24 - - 3,850 - -
62 Glibenclamide Tab. Box @ 100 - - 175 - -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130 - -
64 Glucosa infus 10 % Box @ 20 - - 10,175 - -
65 Guanistrep syr. Botol - - 8,470 - -
66 H2O2 3 % 100 mL Botol - - 7,370 - -
67 H2O2 3 % 800 mL Botol - - 36,300 - -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364 - -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275 - -
70 Ibuprofen 400 mg Tab. Box @ 100 - - 447 - -
71 Ibuprofen Syr Botol - - 6,160 - -
72 INH 100 mg Tab. Box @ 100 - - 185 - -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165 - -
74 K-EN-3B infus Box @ 20 - - 28,600 - -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 572 - -
76 Ketokonazole Salep Tube - - 4,950 - -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042 - -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,355 - -
79 Lidocain Inj. Box @ 100 - - 1,650 - -
80 Loratadine 10 mg Tab. Box @ 50 - - 333 - -
81 Metformin 500 mg Tab. Box @ 100 - - 193 - -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 440 - -
83 Metronidazole 500 mg Tab. Box @ 100 - 380 -
84 MgSO4 40 % Botol - - 14,754 - -
85 Miconazole Salep Tube - - 4,730 - -
86 NaCl infus Box @ 20 - - 9,900 - -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205 - -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750 - -
89 Nifedipine 10 mg Tab Box @ 100 - - 220 - -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420 - -
91 Nystatin Vag ovula Box @ 100 - - 828 - -
92 Omeprazole kap. Box @ 30 - - 414 - -
93 Ondancentron Inj Ktk @ 5 - - 7,700 - -
94 Oxytocin Inj. Box @ 100 - - 3,685 - -
95 Oxytetracycline salep mata Tube - - 6,270 - -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 317 - -
97 Paracetamol Syr. Botol - - 4,180 - -
98 Phenol Glycerol TT Botol - - 6,048 - -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123 - -
100 Povidone Iodine 300 mL Botol - - 6,930 - -
101 Povidone Iodine 1 Liter Botol - - 99,000 - -
102 Prednison 5 mg Tab. Box @ 100 - - 285 - -
103 Primaquin tab. Box @ 100 - - 304 - -
104 Ranitidine Inj. Box @ 10 - - 7,150 - -
105 Ranitidine Tab. Box @ 100 - - 322 - -
106 Ringer Laktat Infus Box @ 20 - - 9,570 - -
107 Salbutamol 2mg Tab. Box @ 100 - - 158 - -
108 Scabimid krim 10 gr Tube - - 58,850 - -
109 Simvastatin 20 mg Tab. Box @ 100 - - 564 - -
110 Thrombophob gel 20 Gram Tube - - 62,000 - -
111 Ultrasonic Gel 250 mL Botol - 24,200 -
112 Ventolin Nebulizer Box @ 20 - 14,025 -
113 Vit B.1 Box @ 100 - 132 -
114 Vit B6 Box @ 100 - 132 -
115 Vit. B-Complex Btl @ 100 - 220 -
116 Vit K inj. Box @ 5 - 7,150 -
117 Vit K Tab. Box @ 100 - 1,320 -
118 Water for Inj. 10 mL Botol - 5,940 -
119 Water for Inj. 25 mL Botol - 9,020 -
120 Zinc / Lecozinc Syr. Botol - 7,000 -
121 Zinc Tab. Box @ 100 - 675 -
BMHP : - - -
1 Abbocat 18 G Box @ 50 - 5,500 -
2 Abbocat 20 G Box @ 50 30 - 30 5,500 -
3 Abbocat 22 G Box @ 50 - 6,050 -
4 Abbocat 24 G Box @ 50 - 13,000 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
5 Abbocat 26 G Box @ 50 - 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000 -
8 Alkohol 300 mL Botol - 24,065 -
9 Alkohol Swab Bok - 182 -
10 Bisturi no. 11 G Box @ 100 - 1,100 -
11 Blood set Box @ 50 - 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 - 8,800 -
13 Folley Catheter Fr. 16 Box @ 10 3 - 3 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000 -
16 Hand scoon nonsteril No. L Box @100 - 1,701 -
17 Hand scoon nonsteril No. M Box @100 - 1,701 -
18 Hand scoon nonsteril No. S Box @100 - 1,701 -
19 Infuset Dewasa Pcs - 4,400 -
20 Kassa 40 x 80 Roll - 120,000 -
21 Kassa steril Box - 4,000 -
22 Masker Bedah Box @ 50 - 806 -
23 Masker Oxigen Anak Pcs - 16,500 -
24 Masker Oxigen dws Pcs - 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800 -
27 Mucus extractor Box @ 25 - 7,700 -
28 Nasal canul Bayi Pcs - 11,000 -
29 Nasal canul anak Pcs - 11,000 -
30 Nasal canul dewasa Pcs - 11,000 -
31 Needle 23 G Box @100 - 220 -
32 NGT Fr. 3,5 Pcs - 49,500 -
33 NGT No. 16 Pcs - 49,500 -
34 Nurse Cup Box @100 - 605 -
35 Pot salep 20 gr Pot - 880 -
36 Sendok obat Pcs - 600 -
37 Silk 3/0 Box @ 36 - 11,000 -
38 Silk 4/0 Box @ 12 - 11,000 -
39 Sungkup nebulizer anak Pcs - 27,500 -
40 Sungkup nebulizer bayi Pcs - 22,000 -
41 Sungkup nebulizer Dws Pcs - 27,500 -
42 Umbilical cord Pcs - 1,540 -
43 Underpad Box @ 10 - 4,840 -
44 Utrafix 5 x 10 Roll - 71,500 -
45 Utrafix 5 x 5 Roll - - 20,570 -
46 Urine Bag Pcs - 7,700 -
47 Verban 4 x 10 Roll - 3,500 -
48 Verban 4 x 5 Roll - 1,300 -
REAGEN : - - -
49 Blue Tip Pak @ 100 - 132 -
50 Cover Glass 20 x 20 Pcs - 308 -
51 Diatro Cleaner Botol 1 L - 759,000 -
52 Diatro Dilluent Botol 1 L - 2,178,000 -
53 Diatro Lyse Botol 1 L - 1,863,400 -
54 Gol. Darah Anti A Botol - 110,000 -
55 Gol. Darah Anti B Botol - 110,000 -
56 Gol. Darah resus anti D Botol - 132,000 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000 -
58 Salmonella Thypi AO Botol - 181,500 -
59 Salmonella Thypi BO Botol - 181,500 -
60 Salmonella Thypi H Botol - 181,500 -
61 Salmonella Thypi O Botol - 181,500 -
62 Serum Kontrol Botol - 715,000 -
63 Spiritus Botol - 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600 -
65 Stik GDS Benecheck Btl @ 50 - 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900 -
68 Tabung EDTA 3 mL Botol - 1,540 -
69 Tes Kehamilan Box @ 50 - 1,478 -
70 Urine Stik 10 Para Btl @100 - 2,035 -
71 Yellow tip Pcs - 110 -
- -

- 1,288,829
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN MARET 2022
UPT. PUSKESMAS WARU
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 153 -
2 Acetylcystein 200 mg Cap. ktk 100 412 -
3 Acyclovir 200 mg ktk 10 x 10 236 -
4 Acyclovir 400 mg ktk 10 x 10 454 -
5 Allupurinol 100 mg ktk 100 89 -
6 Ambroxol syr. Botol 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 168 -
8 Amlodipin 5 mg ktk 30 74 -
9 Amlodipin 10 mg ktk 30 520
10 Amoksisilin 250 mg ktk 10x 10 188 -
11 Amoksisilin 500 mg ktk 10x 11 231 -
12 Amoksisilin syr Botol 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 54 -
14 Antasida syr. Botol 1,756 -
15 Antasida Tab. ktk 10 x 10 54 -
16 Anti Hemoroid ktk 10 3,260 -
17 Antides ( Attapulgite ) ktk 100 175 -
18 Aqua pro inj btl 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 46 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 45 -
21 Asam Mefenamat 250 mg kotak 10 x 10 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 117 -
23 Atropin 0.5 mg tablet ktk 100 tablet 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175
26 Betahistine 6 mg ktk 30 119 -
27 Betamethason Salep ktk 25 1,920 -
28 Bioplacenton Tulle Tulle 10,733 -
29 Bisacodil 10 mg ktk 50 sup 5,800 -
30 Bisacodil 5 mg ktk 6 sup 5,800 -
31 Bufacetine salep kulit Tube 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet 143 -
33 Captopril 12,5 mg ktk 10 x 10 65 -
34 Captopril 25 mg ktk 10 x 10 tablet 75 -
35 Cetirizine 10 mg ktk 10 x 10 104 -
36 Cetirizine sirup botol 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 660 -
39 Cloramfenicol salep mata ktk 24 tube 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet 75 -
45 Diazepam 2 mg Tab. Box @ 100 86 -
46 Diazepam 05 mg inj ktk 10 amp 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 1,156 -
49 Digoksin ktk 10 x 10 96 -
50 Dimenhidrinat 50 mg btl 100 121 -
51 Doksisiklin 100 mg Ktk 100 309 -
52 Domperidon 10 mg kotak 10 x 10 75 -
53 Domperidon Sirup btl 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 1,740 -
55 Ergotamine + Caffein Botol @ 100 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet 913 -
58 Fenobarbital inj ktk 30 Ampul 1,980 -
59 Furosemid 40 mg ktk 200 tab 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 2,012 -
61 Garam Oralit ktk 100 280 -
62 Gentamisin TTS Mata ktk 24 btl 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 178 -
73 Ibuprofen sirup btl 60 ml 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 60 -
78 Karbamazepin 200 mg ktk 10 x 10 269 -
79 Ketoconazole 200mg Tab. Box @ 50 286 -
80 Ketoconazole salep ktk 25 tube 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 550 -
86 Kotrimoksasol 480 mg ktk 100 220 -
87 Kotrimoksasol Syr. Botol 2,052 -
88 Lidocain 2 % inj ktk 100 891 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
89 Lidocain 2 % inj Jelly tube 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp 2,122 -
91 Loperamid 2 mg ktk 10 x 10 97 -
92 Loratadine tab 10 mg ktk 10x 10 149 -
93 Lysol btl 45,100 -
94 Magnesium sulfat inj 20% btl 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 723 -
96 Meloxicam 15 mg Tab. Box @ 30 1,377 -
97 Metformin 500 mg ktk 10x 10 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102
99 Metilergometrin injeksi ktk 100 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242
101 Metoklopramid 10 mg ktk 10 x 10 111
102 Metoklopramid Sirup (Lexapram) btl 2,750
103 Metronidazol 500 mg ktk 100 140
104 Metronidazol Sirup btl 60 ml 3,800
105 Miconazole 2% krem tube 10 gram 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109
108 Nifedipin tab ktk 10 x 10 tablet 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688
110 OBH syr. Botol 3,500
111 Omeprazol 20 mg ktk 3x 10 164
112 OAM 1,900
113 Oxytetrasiklin salep mata ktk 25 2,600
114 Oxytocin injeksi btl 15 ml 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225
117 Parasetamol Sirup btl 1,160
118 Phenol Glycerol TTS telinga btl 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818
120 Phitomenadion Vit K inj ktk 30 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505
131 Rifampicin 600 mg ktk 100 1,420
132 Ringer Laktat Infus btl 7,703
133 Risperidon 2 mg ktk 100 130
134 Rivanol botol 300 ml 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 51
136 Serum ABU Vial 517,132
137 Sikzonoate inj ktk 5 amp 57,500
138 Simvastatin 10 mg ktk 30 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459
141 Tablet Tambah Darah ktk 30 409
142 Thiamin ( vitamin B1 ) kotak 100 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97
145 Vit B Komplek Tablet btl 100 60
146 Zink tablet ktk 10 x 10 253
147 Zirkum kids sirup botol 3,285
- -
OBAT GIGI : - -
148 Eugenol Btl 50,417 -
149 Aseptik gel - -
150 yellow tip 110 -
- -
REAGEN / LAB : - -
149 Blood Lancets ktk 100 4,140 -
150 Ethyl Klorida semprot Botol 500 ml 187,000 -
151 Gluco Protein Test Urine ktk 10 1,098 -
152 Gol. Darah Anti B btl - -
153 Gol. Darah Anti A, B btl - -
154 Gol. Darah Anti A btl - -
155 Larutan Ethanol Asam 5 % btl 100 ml 82,500 -
156 Larutan HCL 0,1 N btl 250 ml 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 159,500 -
158 Larutan Methyl Blue btl 100 ml 99,000 -
159 Larutan Turk btl 100 ml - -
160 Larutan Giemsa btl 500 ml 263,184 -
161 Needle flashback ktk 50 1,701 -
162 Oil Imersion btl 10 ml 110,000 -
163 Pot Dahak btl 10 ml 3,069
164 Rapid Test HbsAg Kotak 8,100
165 Slide Kaca ktk 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341
169 Stik protein Urine -
170 Vakum EDTA 3 mL 100 Pcs 1,205
171 Virotec Dengue Combo Ktk 25 64,171
172 RDT HIV 1+2 12,500
173 RDT HIV 1/2 (3.0) 8,249
174 RDT HIV D.S 12,527
175 RDT Malaria
176 RDT Sifilis
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
BMHP APBD : - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 1,045 -
5 Alkohol 70 % btl 1 liter 29,375 -
6 Alkohol Swab 0,5 % pcs 129 -
7 Bisturi ktk 100 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 2,873 -
9 Foley Catheter 16 pcs 153 -
10 Hand Scoon 7 (Steril) pcs 6,142 -
11 Hand Scoon L ktk 100 1,435 -
12 Hand Scoon M ktk 100 1,435 -
13 Hand Scoon M ktk 100 1,435 -
14 Hand Scoon S ktk 100 8,470 -
15 Infusion Dewasa ktk 50 9,181 -
16 Infusion set anak set / kantong 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak 4,818 -
20 Kantong Limbah uk. L Pcs 5,400 -
21 Kantong Limbah uk. M Pcs 15,000 -
22 Kapas Pembalut 250 gr rol 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 20,339 -
27 Kasa steril 16 cmx16 cm ktk 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs 3,472 -
29 Lysol btl 442 -
30 Masker hijab / Karet ktk 50 pcs 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs 5,280 -
32 Mucus Extractor Pcs 5,865 -
33 Oxyflow Anak 8,040 -
34 Oxyflow Dewasa pcs 5,000 -
35 Pembalut Elastis roll 5,000 -
36 Polifix 5 cmx 5 m Roll 39,217 -
37 Polifix Aximed 5 cm x 10 m Roll 77,600
38 Silk 3/0 HR - 20 ktk 12 3,472
39 Test Kehamilan ktk 50 2,185
40 Umbilical cord klem ktk 50 pcs 2,070
41 Underpad Pcs 5,280
42 Urin Bag 10 pcs 5,865
-
PROGRAM GIZI /KIA -
1 Ampicillin 1 gr. Inj. Box @ 10 -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913
4 Eutyrox 50 mg Tab. Tablet -
5 Fe ktk 100 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684
8 MgSO4 40 % Botol 25 mL 3,796
9 Mineral Mix Shaset 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600
11 Oxytocin Inj. Box @ 100 1,232
12 Stik shipyllis Box @ 25 8,871
13 Vit. K inj. Box @ 30 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096
2 Acyclovir 400 mg Tab Box @ 100 991
3 Acyclovir cream Tube 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,008
5 Allopurinol 100 mg Tab. Box @ 100 248
6 Allopurinol 300 mg Tab. Box @ 100 567
7 Ambroxol syr. Botol 4,180
8 Ambroxol Tab. Box @ 100 165
9 Amlodipine 10 mg Tab. Box @ 30 495
10 Amlodipine 5 mg Tab. Box @ 100 446
11 Amoxycillin 500 mg Tab. Box @ 100 407
12 Amoxycillin Syr. Botol 5,500
13 Antasid Syr. Botol 3,900
14 Antasida Tab. Box @ 100 165
15 Asam Folat Box@100 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 2,011
18 Aseptic Gell Botol 450 mL 55,000
19 Bedak Salicyl Pcs 6,426
20 Betahistine 6 mg Tab. Box @ 100 1,015
21 Bethametasone salep Tube 3,520
22 Bioplacenton gel 15 gram Tube 17,650
23 Bisolvon sol Botol 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000
25 Calcii Gluconas Inj. Box @ 24 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 165 -
27 Captopril 12,5 mg Tab. Box @ 100 105 -
28 Captopril 25 mg Tab. Box @ 100 132 -
29 Cefadroxil 125 mg Syr. Botol 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 899 -
31 Cendo eyefresh mini dose Box@ 25 strip 5,720 -
32 Cetirizine Syr Botol 6,270 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
33 Cetirizine Tab. Box @ 100 502 -
34 Chloramfenicol Tetes mata (Reco) Botol 10,010 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 5,390 -
37 Ciprofloxacin 500 mg tab. Box @ 100 720 -
38 Cotrimoksazol 480 mg Box @ 100 290 -
39 Cotrimoxazole syr. Botol 4,290 -
40 CPZ 100 mg Tab. Box @ 100 433 -
41 CTM Btl @ 100 62 -
42 Daryantulle Box @ 10 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 150
44 Dexamethasone Inj. Box @ 100 2,416 -
45 Dextrose 40 25 mL Botol 12,760 -
46 Difenhydramine inj. Box @ 30 1,863 -
47 Domperidone Syr. Botol 6,600 -
48 Domperidone Tab. Box @ 100 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 19,800 -
54 Ephineprin Inj. Box @ 30 8,983 -
55 Ergotamine + Caffein Box @ 100 306 -
56 Etil Klorida 100 ml Botol 223,850 -
57 Garam Oralit Box @ 100 352 -
58 Gentamicin SK Box @ 10 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 11,110 -
61 Gentian Violet Box @ 24 3,850 -
62 Glibenclamide Tab. Box @ 100 175 -
63 Gliceril Guaiakolat Tab. Box @ 100 130 -
64 Glucosa infus 10 % Box @ 20 10,175 -
65 Guanistrep syr. Botol 8,470 -
66 H2O2 3 % 100 mL Botol 7,370 -
67 H2O2 3 % 800 mL Botol 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 447 -
71 Ibuprofen Syr Botol 6,160 -
72 INH 100 mg Tab. Box @ 100 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 165 -
74 K-EN-3B infus Box @ 20 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 572 -
76 Ketokonazole Salep Tube 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 3,355 -
79 Lidocain Inj. Box @ 100 1,650 -
80 Loratadine 10 mg Tab. Box @ 50 333 -
81 Metformin 500 mg Tab. Box @ 100 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 440 -
83 Metronidazole 500 mg Tab. Box @ 100 380
84 MgSO4 40 % Botol 14,754 -
85 Miconazole Salep Tube 4,730 -
86 NaCl infus Box @ 20 9,900 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 205 -
88 Neurobion Inj 5000 Ktk @ 20 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 220 -
90 Nystatin drop (Cazetin drop ) Botol 24,420 -
91 Nystatin Vag ovula Box @ 100 828 -
92 Omeprazole kap. Box @ 30 414 -
93 Ondancentron Inj Ktk @ 5 7,700 -
94 Oxytocin Inj. Box @ 100 3,685 -
95 Oxytetracycline salep mata Tube 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 317 -
97 Paracetamol Syr. Botol 4,180 -
98 Phenol Glycerol TT Botol 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 123 -
100 Povidone Iodine 300 mL Botol 6,930 -
101 Povidone Iodine 1 Liter Botol 99,000 -
102 Prednison 5 mg Tab. Box @ 100 285 -
103 Primaquin tab. Box @ 100 304 -
104 Ranitidine Inj. Box @ 10 7,150 -
105 Ranitidine Tab. Box @ 100 322 -
106 Ringer Laktat Infus Box @ 20 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 158 -
108 Scabimid krim 10 gr Tube 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 564 -
110 Thrombophob gel 20 Gram Tube 62,000 -
111 Ultrasonic Gel 250 mL Botol 24,200
112 Ventolin Nebulizer Box @ 20 14,025
113 Vit B.1 Box @ 100 132
114 Vit B6 Box @ 100 132
115 Vit. B-Complex Btl @ 100 220
116 Vit K inj. Box @ 5 7,150
117 Vit K Tab. Box @ 100 1,320
118 Water for Inj. 10 mL Botol 5,940
119 Water for Inj. 25 mL Botol 9,020
120 Zinc / Lecozinc Syr. Botol 7,000
121 Zinc Tab. Box @ 100 675
BMHP : -
1 Abbocat 18 G Box @ 50 5,500
2 Abbocat 20 G Box @ 50 5,500
3 Abbocat 22 G Box @ 50 6,050
4 Abbocat 24 G Box @ 50 13,000
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
5 Abbocat 26 G Box @ 50 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000
8 Alkohol 300 mL Botol 24,065
9 Alkohol Swab Bok 182
10 Bisturi no. 11 G Box @ 100 1,100
11 Blood set Box @ 50 6,900
12 Cat Gut Plain 3/0 Box @ 24 8,800
13 Folley Catheter Fr. 16 Box @ 10 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000
16 Hand scoon nonsteril No. L Box @100 1,701
17 Hand scoon nonsteril No. M Box @100 1,701
18 Hand scoon nonsteril No. S Box @100 1,701
19 Infuset Dewasa Pcs 4,400
20 Kassa 40 x 80 Roll 120,000
21 Kassa steril Box 4,000
22 Masker Bedah Box @ 50 806
23 Masker Oxigen Anak Pcs 16,500
24 Masker Oxigen dws Pcs 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800
27 Mucus extractor Box @ 25 7,700
28 Nasal canul Bayi Pcs 11,000
29 Nasal canul anak Pcs 11,000
30 Nasal canul dewasa Pcs 11,000
31 Needle 23 G Box @100 220
32 NGT Fr. 3,5 Pcs 49,500
33 NGT No. 16 Pcs 49,500
34 Nurse Cup Box @100 605
35 Pot salep 20 gr Pot 880
36 Sendok obat Pcs 600
37 Silk 3/0 Box @ 36 11,000
38 Silk 4/0 Box @ 12 11,000
39 Sungkup nebulizer anak Pcs 27,500
40 Sungkup nebulizer bayi Pcs 22,000
41 Sungkup nebulizer Dws Pcs 27,500
42 Umbilical cord Pcs 1,540
43 Underpad Box @ 10 4,840
44 Utrafix 5 x 10 Roll 71,500
45 Utrafix 5 x 5 Roll 20,570
46 Urine Bag Pcs 7,700
47 Verban 4 x 10 Roll 3,500
48 Verban 4 x 5 Roll 1,300
REAGEN : -
49 Blue Tip Pak @ 100 132
50 Cover Glass 20 x 20 Pcs 308
51 Diatro Cleaner Botol 1 L 759,000
52 Diatro Dilluent Botol 1 L 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400
54 Gol. Darah Anti A Botol 110,000
55 Gol. Darah Anti B Botol 110,000
56 Gol. Darah resus anti D Botol 132,000
57 HCL Alkohol 3 % Botol 100 mL 55,000
58 Salmonella Thypi AO Botol 181,500
59 Salmonella Thypi BO Botol 181,500
60 Salmonella Thypi H Botol 181,500
61 Salmonella Thypi O Botol 181,500
62 Serum Kontrol Botol 715,000
63 Spiritus Botol 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600
65 Stik GDS Benecheck Btl @ 50 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 9,900
68 Tabung EDTA 3 mL Botol 1,540
69 Tes Kehamilan Box @ 50 1,478
70 Urine Stik 10 Para Btl @100 2,035
71 Yellow tip Pcs 110
-

-
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153.00 0.00 - 153.00
2 Acetylcystein 200 mg Cap. ktk 100 90 - 90 412.00 37,080.00 - 412.00
3 Acyclovir 200 mg ktk 10 x 10 200 - 200 236.00 47,200.00 - 236.00
4 Acyclovir 400 mg ktk 10 x 10 50 - 50 300.00 15,000.00 - 100 100 - 300.00
5 Allupurinol 100 mg ktk 100 100 - 100 89.00 8,900.00 - 89.00
6 Ambroxol syr. Botol - 3,639.00 0.00 - 3,639.00
7 Amitriptiline HCl 25 mg ktk 100 - 168.00 0.00 - 168.00
8 Amlodipin 5 mg ktk 30 - 74.00 0.00 - 74.00
9 Amlodipin 10 mg ktk 30 - 520.00 0.00 - 520.00
10 Amoksisilin 250 mg ktk 10x 10 160 - 160 188.00 30,080.00 - 188.00
11 Amoksisilin 500 mg ktk 10x 11 120 200 - 320 231.00 73,920.00 40 200 - 240 231.00
12 Amoksisilin syr Botol - 2,050.00 0.00 7 - 7 2,050.00
13 Antasida doen tablet kotak ktk 10 x10 - 54.00 0.00 - 54.00
14 Antasida syr. Botol - 1,756.00 0.00 13 - 13 1,756.00
15 Antasida Tab. ktk 10 x 10 180 100 - 280 0.00 200 200
16 Anti Hemoroid ktk 10 8 - 8 3,260.00 26,080.00 - 3,260.00
17 Antides ( Attapulgite ) ktk 100 - 175.00 0.00 - 175.00
18 Aqua pro inj btl - 2,860.00 0.00 - 2,860.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 100 100 - 200 46.00 9,200.00 150 - 150 46.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45.00 0.00 - 45.00
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175.00 0.00 - 175.00
22 Asam Mefenamat 500 mg kotak 10 x 10 190 - 190 117.00 22,230.00 100 100 - 200 117.00
23 Atropin 0.5 mg tablet ktk 100 tablet - 81.00 0.00 - 81.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353.00 0.00 - 1,353.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 80 - 80 175.00 14,000.00 80 - 80 175.00
26 Betahistine 6 mg ktk 30 - 119.00 0.00 - 119.00
27 Betamethason Salep ktk 25 - 1,920.00 0.00 - 1,920.00
28 Bioplacenton Tulle Tulle - 10,733.00 0.00 - 10,733.00
29 Bisacodil 10 mg ktk 50 sup - 5,800.00 0.00 - 5,800.00
30 Bisacodil 5 mg ktk 6 sup - 5,800.00 0.00 - 5,800.00
31 Bufacetine salep kulit Tube - 3,360.00 0.00 - 3,360.00
32 Captopril 50 mg ktk 10 x 10 tablet - 143.00 0.00 - 143.00
33 Captopril 12,5 mg ktk 10 x 10 - 65.00 0.00 - 65.00
34 Captopril 25 mg ktk 10 x 10 tablet 210 - 210 75.00 15,750.00 - 75.00
35 Cetirizine 10 mg ktk 10 x 10 65 - 65 104.00 6,760.00 - 104.00
36 Cetirizine sirup botol 12 - 12 3,061.00 36,732.00 - 3,061.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260.00 0.00 - 260.00
38 Clindamycin HCI 300mg Cap. ktk 50 - 660.00 0.00 - 660.00
39 Cloramfenicol salep mata ktk 24 tube - 1,925.00 0.00 - 1,925.00
40 Clorpromazine 100 mg ktk 10 x 10 - 153.00 0.00 - 153.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49.00 0.00 - 49.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226.00 0.00 - 1,226.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336.00 0.00 - 2,336.00
44 Deksamethasone Tablet btl 10 x 10 tablet 200 - 200 75.00 15,000.00 - 75.00
45 Diazepam 2 mg Tab. Box @ 100 - 86.00 0.00 - 86.00
46 Diazepam 05 mg inj ktk 10 amp - 1,545.00 0.00 - 1,545.00
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458.00 0.00 - 18,458.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156.00 0.00 - 1,156.00
49 Digoksin ktk 10 x 10 - 96.00 0.00 - 96.00
50 Dimenhidrinat 50 mg btl 100 - 121.00 0.00 - 121.00
51 Doksisiklin 100 mg Ktk 100 - 309.00 0.00 - 309.00
52 Domperidon 10 mg kotak 10 x 10 - 75.00 0.00 - 75.00
53 Domperidon Sirup btl - 3,180.00 0.00 2 - 2 3,180.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740.00 0.00 - 1,740.00
55 Ergotamine + Caffein Botol @ 100 - 199.00 0.00 - 199.00
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509.00 0.00 - 509.00
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913.00 0.00 - 913.00
58 Fenobarbital inj ktk 30 Ampul - 1,980.00 0.00 - 1,980.00
59 Furosemid 40 mg ktk 200 tab - 84.00 0.00 - 84.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012.00 0.00 - 2,012.00
61 Garam Oralit ktk 100 100 - 100 280.00 28,000.00 - 280.00
62 Gentamisin TTS Mata ktk 24 btl - 4,600.00 0.00 - 4,600.00
63 Glibenclamide 5 mg Tab. ktk 100 - 137.00 0.00 - 137.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867.00 0.00 - 5,867.00
65 Glukosa larutan infus 5 % btl 500 ml - 6,627.00 0.00 - 6,627.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157.00 0.00 - 157.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210.00 0.00 - 210.00
68 Haloperidol 0,5 mg ktk 10 x 10 - 62.00 0.00 - 62.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76.00 0.00 - 76.00
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500.00 0.00 - 97,500.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 9 - 9 2,325.00 20,925.00 9 - 9 2,325.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178.00 0.00 - 178.00
73 Ibuprofen sirup btl 60 ml - 2,678.00 0.00 - 2,678.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111.00 0.00 - 111.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157.00 0.00 - 157.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98.00 0.00 - 98.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 780 - 780 60.00 46,800.00 200 - 200 60.00
78 Karbamazepin 200 mg ktk 10 x 10 - 269.00 0.00 - 269.00
79 Ketoconazole 200mg Tab. Box @ 50 - 286.00 0.00 - 286.00
80 Ketoconazole salep ktk 25 tube 11 - 11 2,577.00 28,347.00 2 - 2 2,577.00
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383.00 0.00 - 1,383.00
82 Klonidin 0,15 mg ktk 10 x 10 - 224.00 0.00 - 224.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329.00 0.00 - 329.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 300 - 300 24.00 7,200.00 - 24.00
85 Kodein Tablet 10 mg ktk 10 x 10 - 550.00 0.00 - 550.00
86 Kotrimoksasol 480 mg ktk 100 40 - 40 220.00 8,800.00 - 220.00
87 Kotrimoksasol Syr. Botol 7 - 7 2,052.00 14,364.00 - 2,052.00
88 Lidocain 2 % inj ktk 100 - - - 891.00 0.00 9 - 9 891.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube - 40,000.00 0.00 - 40,000.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 20 - 20 2,122.00 42,440.00 - 2,122.00
91 Loperamid 2 mg ktk 10 x 10 - 97.00 0.00 - 97.00
92 Loratadine tab 10 mg ktk 10x 10 - 149.00 0.00 - 149.00
93 Lysol btl - 45,100.00 0.00 - 45,100.00
94 Magnesium sulfat inj 20% btl - 2,122.00 0.00 - 2,122.00
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723.00 0.00 - 723.00
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377.00 0.00 - 1,377.00
97 Metformin 500 mg ktk 10x 10 210 - 210 77.00 16,170.00 - 100 - 100 77.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102.00 0.00 - 102.00
99 Metilergometrin injeksi ktk 100 - 3,399.00 0.00 - 3,399.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242.00 0.00 - 242.00
101 Metoklopramid 10 mg ktk 10 x 10 90 - 90 111.00 9,990.00 - 111.00
102 Metoklopramid Sirup (Lexapram) btl - 2,750.00 0.00 - 2,750.00
103 Metronidazol 500 mg ktk 100 70 - 70 140.00 9,800.00 - 140.00
104 Metronidazol Sirup btl 60 ml - 3,800.00 0.00 - 3,800.00
105 Miconazole 2% krem tube 10 gram 19 - 19 1,900.00 36,100.00 10 - 10 1,900.00
106 Natrium Chlorida 0,9 % btl 500 ml 3 - 3 6,900.00 20,700.00 - 6,900.00
107 Natrium diklofenak 50 mg kotak 50 tablet 130 100 - 230 109.00 25,070.00 200 - 200 109.00
108 Nifedipin tab ktk 10 x 10 tablet 130 - 130 123.00 15,990.00 200 - 200 123.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 20 - 20 688.00 13,760.00 9 - 9 688.00
110 OBH syr. Botol - 3,500.00 0.00 - 3,500.00
111 Omeprazol 20 mg ktk 3x 10 - 164.00 0.00 - 164.00
112 OAM 0.00
113 Oxytetrasiklin salep mata ktk 25 - 2,600.00 0.00 - 2,600.00
114 Oxytocin injeksi btl 15 ml - 2,774.00 0.00 - 2,774.00
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500.00 0.00 - 11,500.00
116 Paracetamol tab 500 mg ktk 100 tablet 140 200 - 340 225.00 76,500.00 200 - 200 225.00
117 Parasetamol Sirup btl 13 10 - 23 1,160.00 26,680.00 - 10 - 10 1,160.00
118 Phenol Glycerol TTS telinga btl - 2,500.00 0.00 - 2,500.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 90 - 90 818.00 73,620.00 - 818.00
120 Phitomenadion Vit K inj ktk 30 - 1,452.00 0.00 - 1,452.00
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150.00 0.00 - 21,150.00
122 Prednison 5 mg ktk 10 x 10 tablet - 73.00 0.00 - 73.00
123 Primaquin 15 mg ktk 10 x 10 tablet - 235.00 0.00 - 235.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80.00 0.00 - 80.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297.00 0.00 - 297.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 170 - 170 150.00 25,500.00 110 - 110 150.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155.00 0.00 - 1,155.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119.00 0.00 - 119.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327.00 0.00 - 327.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505.00 0.00 - 505.00
131 Rifampicin 600 mg ktk 100 - 1,420.00 0.00 - 1,420.00
132 Ringer Laktat Infus btl 3 - 3 7,703.00 23,109.00 - 7,703.00
133 Risperidon 2 mg ktk 100 - 130.00 0.00 - 130.00
134 Rivanol botol 300 ml - 3,850.00 0.00 - 3,850.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 50 - 50 51.00 2,550.00 - 100 - 100 51.00
136 Serum ABU Vial - 0.00 0.00 - 0.00
137 Sikzonoate inj ktk 5 amp - 57,500.00 0.00 - 57,500.00
138 Simvastatin 10 mg ktk 30 240 - 240 117.00 28,080.00 90 - 90 117.00
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458.00 0.00 - 18,458.00
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459.00 0.00 - 14,459.00
141 Tablet Tambah Darah ktk 30 - 409.00 0.00 - 409.00
142 Thiamin ( vitamin B1 ) kotak 100 - 94.00 0.00 230 - 230 94.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680.00 0.00 - 2,680.00
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97.00 0.00 - 97.00
145 Vit B Komplek Tablet btl 100 - 60.00 0.00 200 - 200 60.00
146 Zink tablet ktk 10 x 10 - 253.00 0.00 70 100 - 170 253.00
147 Zirkum kids sirup botol 5 - 5 3,285.00 16,425.00 8 - 8 3,285.00
- 0.00 - 0.00
OBAT GIGI : - 0.00 - 0.00
148 Eugenol Btl - 50,417.00 0.00 - 50,417.00
149 Aseptik gel - 0.00 - 0.00
150 yellow tip - 110.00 0.00 - 110.00
- 0.00 - 0.00
REAGEN / LAB : - 0.00 - 0.00
149 Blood Lancets ktk 100 - 4,140.00 0.00 - 4,140.00
150 Ethyl Klorida semprot Botol 500 ml - 187,000.00 0.00 - 187,000.00
151 Gluco Protein Test Urine ktk 10 - 1,098.00 0.00 - 1,098.00
152 Gol. Darah Anti B btl - 0.00 0.00 - 0.00
153 Gol. Darah Anti A, B btl - 0.00 0.00 - 0.00
154 Gol. Darah Anti A btl - 0.00 0.00 - 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500.00 0.00 - 82,500.00
156 Larutan HCL 0,1 N btl 250 ml - 55,000.00 0.00 - 55,000.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500.00 0.00 - 159,500.00
158 Larutan Methyl Blue btl 100 ml - 99,000.00 0.00 - 99,000.00
159 Larutan Turk btl 100 ml - 0.00 0.00 - 0.00
160 Larutan Giemsa btl 500 ml - 263,184.00 0.00 - 263,184.00
161 Needle flashback ktk 50 - 1,701.00 0.00 - 1,701.00
162 Oil Imersion btl 10 ml - 110,000.00 0.00 - 110,000.00
163 Pot Dahak btl 10 ml - 3,069.00 0.00 - 3,069.00
164 Rapid Test HbsAg Kotak - 8,100.00 0.00 - 8,100.00
165 Slide Kaca ktk - 275.00 0.00 - 275.00
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200.00 0.00 - 6,200.00
167 Stik Cholesterol Mission ktk 25 pcs - 22,280.00 0.00 - 22,280.00
168 Stik Glucosa Benechek ktk 50 pcs - 3,341.00 0.00 - 3,341.00
169 Stik protein Urine - 0.00 0.00 - 0.00
170 Vakum EDTA 3 mL 100 Pcs - 1,205.00 0.00 - 1,205.00
171 Virotec Dengue Combo Ktk 25 - 64,171.00 0.00 - 64,171.00
172 RDT HIV 1+2 0.00
173 RDT HIV 1/2 (3.0) 0.00
174 RDT HIV D.S 0.00
175 RDT Malaria 0.00
176 RDT Sifilis 0.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
RDT Dengue 0.00
RDT Antigen 0.00
BMHP APBD : - 0.00 - 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 46 - 46 1,023.00 47,058.00 - 1,023.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 23 - 23 683.00 15,709.00 - 10 - 10 683.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924.00 0.00 - 924.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045.00 0.00 - 1,045.00
5 Alkohol 70 % btl 1 liter - 29,375.00 0.00 - 29,375.00
6 Alkohol Swab 0,5 % pcs - 128.55 0.00 - 128.55
7 Bisturi ktk 100 - 10,733.00 0.00 - 10,733.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873.00 0.00 - 2,873.00
9 Foley Catheter 16 pcs - 153.00 0.00 - 153.00
10 Hand Scoon 7 (Steril) pcs 10 - 10 6,142.00 61,420.00 - 6,142.00
11 Hand Scoon L ktk 100 - 1,435.00 0.00 - 1,435.00
12 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
13 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
14 Hand Scoon S ktk 100 1 100 1 100 8,470.00 847,000.00 - 8,470.00
15 Infusion Dewasa ktk 50 - 9,181.00 0.00 - 9,181.00
16 Infusion set anak set / kantong - 6,983.00 0.00 - 6,983.00
17 IV Catheter No. 22 G 50 buah / kotak 5 - 5 4,818.00 24,090.00 - 4,818.00
18 IV Catheter No. 18 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
19 IV Catheter No. 24 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
20 Kantong Limbah uk. L Pcs - 5,400.00 0.00 - 5,400.00
21 Kantong Limbah uk. M Pcs - 15,000.00 0.00 - 15,000.00
22 Kapas Pembalut 250 gr rol - 1,448.00 0.00 - 1,448.00
23 Kasa hidrofil 40 x 80 cm pcs - 77,600.00 0.00 - 77,600.00
24 Kasa hidrofil 40 x 80 cm pcs - 2,354.00 0.00 - 2,354.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610.00 0.00 - 5,610.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339.00 0.00 - 20,339.00
27 Kasa steril 16 cmx16 cm ktk 5 - 5 24,254.00 121,270.00 - 24,254.00
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472.00 0.00 - 3,472.00
29 Lysol btl - 442.00 0.00 - 442.00
30 Masker hijab / Karet ktk 50 pcs - 2,185.00 0.00 - 2,185.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 100 - 100 5,280.00 528,000.00 3 - 3 5,280.00
32 Mucus Extractor Pcs - 5,865.00 0.00 - 5,865.00
33 Oxyflow Anak - 8,040.00 0.00 - 8,040.00
34 Oxyflow Dewasa pcs - 5,000.00 0.00 - 5,000.00
35 Pembalut Elastis roll - 5,000.00 0.00 - 5,000.00
36 Polifix 5 cmx 5 m Roll - 64,171.00 0.00 - 64,171.00
37 Polifix Aximed 5 cm x 10 m Roll - 0.00 - 0.00
38 Silk 3/0 HR - 20 ktk 12 - 15,092.00 0.00 - 15,092.00
39 Test Kehamilan ktk 50 - 0.00 10 - 10 0.00
40 Umbilical cord klem ktk 50 pcs - 0.00 - 0.00
41 Underpad Pcs - 0.00 - 0.00
42 Urin Bag 10 pcs - 0.00 - 0.00
- 0.00 - 0.00
PROGRAM GIZI /KIA - 0.00 - 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 - 0.00 0.00 - 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955.00 0.00 - 9,955.00
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913.00 0.00 - 1,913.00
4 Eutyrox 50 mg Tab. Tablet - 0.00 0.00 - 0.00
5 Fe ktk 100 710 - 710 409.00 290,390.00 200 300 - 500 409.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545.00 0.00 - 3,545.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684.00 0.00 - 2,684.00
8 MgSO4 40 % Botol 25 mL - 3,796.00 0.00 - 3,796.00
9 Mineral Mix Shaset - 3,116.00 0.00 - 3,116.00
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600.00 0.00 - 2,600.00
11 Oxytocin Inj. Box @ 100 - 1,232.00 0.00 - 1,232.00
12 Stik shipyllis Box @ 25 - 10,800.00 0.00 - 10,800.00
13 Vit. K inj. Box @ 30 - 4,236.00 0.00 - 4,236.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305.00 0.00 - 305.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637.00 0.00 - 637.00
TOTAL OBAT & BMHP APBD - 2,619,399.00 -
OBAT & BMHP JKN : - 0.00 - 0.00
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096.00 0.00 - 1,096.00
2 Acyclovir 400 mg Tab Box @ 100 - 990.88 0.00 - 990.88
3 Acyclovir cream Tube 9 - 9 4,125.00 37,125.00 5 - 5 4,125.00
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100.00 0.00 - 1,100.00
5 Allopurinol 100 mg Tab. Box @ 100 - 247.50 0.00 60 100 - 160 247.50
6 Allopurinol 300 mg Tab. Box @ 100 - 566.50 0.00 - 566.50
7 Ambroxol syr. Botol 17 - 17 4,840.00 82,280.00 7 10 - 17 4,840.00
8 Ambroxol Tab. Box @ 100 245 - 245 165.00 40,425.00 70 200 - 270 165.00
9 Amlodipine 10 mg Tab. Box @ 30 - - - 495.00 0.00 80 200 - 280 495.00
10 Amlodipine 5 mg Tab. Box @ 100 155 100 - 255 445.50 113,602.50 30 100 - 130 445.50
11 Amoxycillin 500 mg Tab. Box @ 100 - 407.00 0.00 - 407.00
12 Amoxycillin Syr. Botol 14 6 6 14 5,478.00 76,692.00 - 5,478.00
13 Antasid Syr. Botol - 3,900.00 0.00 - 3,900.00
14 Antasida Tab. Box @ 100 - 165.00 0.00 - 165.00
15 Asam Folat Box@100 - 110.00 0.00 - 110.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011.00 0.00 - 2,011.00
18 Aseptic Gell Botol 450 mL - 55,000.00 0.00 - 55,000.00
19 Bedak Salicyl Pcs - 6,426.00 0.00 - 6,426.00
20 Betahistine 6 mg Tab. Box @ 100 280 - 280 1,015.00 284,200.00 70 - 70 1,015.00
21 Bethametasone salep Tube 5 10 - 15 3,520.00 52,800.00 - 3,520.00
22 Bioplacenton gel 15 gram Tube - 17,650.00 0.00 - 17,650.00
23 Bisolvon sol Botol - 105,600.00 0.00 - 105,600.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000.00 0.00 - 220,000.00
25 Calcii Gluconas Inj. Box @ 24 - 4,053.50 0.00 - 4,053.50
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165.00 0.00 - 165.00
27 Captopril 12,5 mg Tab. Box @ 100 - 104.50 0.00 - 104.50
28 Captopril 25 mg Tab. Box @ 100 - 132.00 0.00 200 - 200 132.00
29 Cefadroxil 125 mg Syr. Botol - 7,700.00 0.00 - 7,700.00
30 Cefadroxil 500 mg Cap. Box @ 100 90 - 90 899.00 80,910.00 200 - 200 899.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720.00 0.00 - 5,720.00
32 Cetirizine Syr Botol - 6,270.00 0.00 - - - 6,270.00
33 Cetirizine Tab. Box @ 100 200 - 200 502.00 100,400.00 - 100 - 100 502.00
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460.00 0.00 - 9,460.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 8 - 8 10,010.00 80,080.00 4 - 4 10,010.00
36 Chloramfenicol salep (Fasycol) Tube - 4,703.00 0.00 4 5 - 9 4,703.00
37 Ciprofloxacin 500 mg tab. Box @ 100 50 - 50 720.00 36,000.00 - 720.00
38 Cotrimoksazol 480 mg Box @ 100 - 289.85 0.00 - 289.85
39 Cotrimoxazole syr. Botol - 4,290.00 0.00 - 4,290.00
40 CPZ 100 mg Tab. Box @ 100 - 432.70 0.00 - 432.70
41 CTM Btl @ 100 - 61.60 0.00 90 100 - 190 61.60
42 Daryantulle Box @ 10 - 27,500.00 0.00 - 27,500.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 149.80 0.00 - 149.80
44 Dexamethasone Inj. Box @ 100 - 2,416.00 0.00 - 2,416.00
45 Dextrose 40 25 mL Botol - 12,760.00 0.00 - 12,760.00
46 Difenhydramine inj. Box @ 30 - 1,862.67 0.00 - 1,862.67
47 Domperidone Syr. Botol 11 - 11 6,600.00 72,600.00 5 - 5 6,600.00
48 Domperidone Tab. Box @ 100 45 - 45 271.70 12,226.50 80 - 80 271.70
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466.49 0.00 - 466.49
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240.00 0.00 - 31,240.00
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,716.67 0.00 - 20,716.67
52 Dulcolax tab./ Laxana Box @ 10 - 1,980.00 0.00 - 1,980.00
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800.00 0.00 5 - 5 19,800.00
54 Ephineprin Inj. Box @ 30 - 8,983.33 0.00 - 8,983.33
55 Ergotamine + Caffein Box @ 100 - 306.00 0.00 - 306.00
56 Etil Klorida 100 ml Botol - 223,850.00 0.00 - 223,850.00
57 Garam Oralit Box @ 100 - 352.00 0.00 - 352.00
58 Gentamicin SK Box @ 10 - 3,630.00 0.00 - 3,630.00
59 Gentamicin Salep Mata (Genoint) Tube - 8,580.00 0.00 - 8,580.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110.00 0.00 2 - 2 11,110.00
61 Gentian Violet Box @ 24 8 - 8 3,850.00 30,800.00 4 - 4 3,850.00
62 Glibenclamide Tab. Box @ 100 - 222.59 0.00 - 222.59
63 Gliceril Guaiakolat Tab. Box @ 100 320 - 320 130.24 41,676.80 - 130.24
64 Glucosa infus 10 % Box @ 20 - 10,175.00 0.00 - 10,175.00
65 Guanistrep syr. Botol - 8,470.00 0.00 3 5 - 8 8,470.00
66 H2O2 3 % 100 mL Botol - 7,370.00 0.00 - 7,370.00
67 H2O2 3 % 800 mL Botol - 36,300.00 0.00 - 36,300.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364.00 0.00 - 1,364.00
69 Ibuprofen 200 mg Tab. Box @ 100 - - - 275.00 0.00 - 275.00
70 Ibuprofen 400 mg Tab. Box @ 100 20 - 20 368.06 7,361.20 - 368.06
71 Ibuprofen Syr Botol - 6,160.00 0.00 - 6,160.00
72 INH 100 mg Tab. Box @ 100 - 185.00 0.00 - 185.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165.00 0.00 - 165.00
74 K-EN-3B infus Box @ 20 - 28,600.00 0.00 - 28,600.00
75 Ketoconazole 200 mg Tab. Box @ 50 - 506.00 0.00 - 506.00
76 Ketokonazole Salep Tube - 4,950.00 0.00 - 4,950.00
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042.00 0.00 - 5,042.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114.00 0.00 - 3,114.00
79 Lidocain Inj. Box @ 100 - 1,430.00 0.00 - 1,430.00
80 Loratadine 10 mg Tab. Box @ 50 - 333.00 0.00 - 333.00
81 Metformin 500 mg Tab. Box @ 100 - 193.00 0.00 - 193.00
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440.00 0.00 - 440.00
83 Metronidazole 500 mg Tab. Box @ 100 - 379.50 0.00 - 379.50
84 MgSO4 40 % Botol - 14,754.30 0.00 - 14,754.30
85 Miconazole Salep Tube - 4,730.00 0.00 - 4,730.00
86 NaCl infus Box @ 20 - 8,800.00 0.00 - 8,800.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205.00 0.00 - 205.00
88 Neurobion Inj 5000 Ktk @ 20 - 11,750.00 0.00 - 11,750.00
89 Nifedipine 10 mg Tab Box @ 100 - 220.00 0.00 - 220.00
90 Nystatin drop (Cazetin drop ) Botol 7 - 7 24,420.00 170,940.00 6 - 6 24,420.00
91 Nystatin Vag ovula Box @ 100 - 828.00 0.00 - 828.00
92 Omeprazole kap. Box @ 30 280 - 280 414.33 116,013.32 60 - 60 414.33
93 Ondancentron Inj Ktk @ 5 - 7,700.00 0.00 - 7,700.00
94 Oxytocin Inj. Box @ 100 - 3,685.00 0.00 - 3,685.00
95 Oxytetracycline salep mata Tube - - - 6,270.00 0.00 - 6,270.00
96 Paracetamol 500 mg Tab. Botol @ 100 - 316.81 0.00 - 316.81
97 Paracetamol Syr. Botol - 4,180.00 0.00 - 4,180.00
98 Phenol Glycerol TT Botol - 6,047.80 0.00 - 6,047.80
99 Piroxicam 10 mg Tab. Box @ 100 - 123.00 0.00 - 123.00
100 Povidone Iodine 300 mL Botol - 33,000.00 0.00 - 33,000.00
101 Povidone Iodine 1 Liter Botol - 99,000.00 0.00 - 99,000.00
102 Prednison 5 mg Tab. Box @ 100 - 285.00 0.00 - 285.00
103 Primaquin tab. Box @ 100 - 304.00 0.00 - 304.00
104 Ranitidine Inj. Box @ 10 - 7,150.00 0.00 - 7,150.00
105 Ranitidine Tab. Box @ 100 80 - 80 320.00 25,600.00 - 320.00
106 Ringer Laktat Infus Box @ 20 - 9,570.00 0.00 - 9,570.00
107 Salbutamol 2mg Tab. Box @ 100 - 158.40 0.00 - 158.40
108 Scabimid krim 10 gr Tube - 58,850.00 0.00 - 58,850.00
109 Simvastatin 20 mg Tab. Box @ 100 - 564.41 0.00 - 564.41
110 Thrombophob gel 20 Gram Tube - 62,000.00 0.00 - 62,000.00
111 Ultrasonic Gel 250 mL Botol 1 - 1 24,200.00 24,200.00 - 24,200.00
112 Ventolin Nebulizer Box @ 20 - 14,025.00 0.00 - 14,025.00
113 Vit B.1 Box @ 100 270 - 270 132.00 35,640.00 - 132.00
114 Vit B6 Box @ 100 170 100 - 270 132.00 35,640.00 - 132.00
115 Vit. B-Complex Btl @ 100 270 - 270 220.00 59,400.00 - 220.00
116 Vit K inj. Box @ 5 - 7,150.00 0.00 - 7,150.00
117 Vit K Tab. Box @ 100 - 1,320.00 0.00 - 1,320.00
118 Water for Inj. 10 mL Botol - 5,940.00 0.00 - 5,940.00
119 Water for Inj. 25 mL Botol - 9,020.00 0.00 - 9,020.00
120 Zinc / Lecozinc Syr. Botol - 7,000.00 0.00 - 7,000.00
121 Zinc Tab. Box @ 100 120 - 120 675.00 81,000.00 - 675.00
BMHP : - 0.00 - 0.00
1 Abbocat 18 G Box @ 50 - 5,500.00 0.00 - 5,500.00
2 Abbocat 20 G Box @ 50 - 5,500.00 0.00 - 5,500.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
3 Abbocat 22 G Box @ 50 - 6,050.00 0.00 - 6,050.00
4 Abbocat 24 G Box @ 50 - 13,000.00 0.00 - 13,000.00
5 Abbocat 26 G Box @ 50 - 5,500.00 0.00 - 5,500.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880.00 0.00 - 880.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000.00 0.00 - 11,000.00
8 Alkohol 300 mL Botol - 24,065.00 0.00 - 24,065.00
9 Alkohol Swab Bok - 182.00 0.00 - 182.00
10 Bisturi no. 11 G Box @ 100 - 1,100.00 0.00 - 1,100.00
11 Blood set Box @ 50 - 6,900.30 0.00 - 6,900.30
12 Cat Gut Plain 3/0 Box @ 24 10 - 10 8,800.00 88,000.00 - 8,800.00
13 Folley Catheter Fr. 16 Box @ 10 13 - 13 12,100.00 157,300.00 - 12,100.00
14 Folley Catheter Fr. 18 Box @ 10 - 12,100.00 0.00 - 12,100.00
15 Hand scoon steril No. 7 Box @ 50 - 11,000.00 0.00 - 11,000.00
16 Hand scoon nonsteril No. L Box @100 - 1,700.60 0.00 - 1,700.60
17 Hand scoon nonsteril No. M Box @100 - 1,700.60 0.00 - 1,700.60
18 Hand scoon nonsteril No. S Box @100 - 1,700.60 0.00 - 1,700.60
19 Infuset Dewasa Pcs - 4,400.00 0.00 - 4,400.00
20 Kassa 40 x 80 Roll - 120,000.00 0.00 - 120,000.00
21 Kassa steril Box - 4,000.00 0.00 - 4,000.00
22 Masker Bedah Box @ 50 - 806.30 0.00 - 806.30
23 Masker Oxigen Anak Pcs - 16,500.00 0.00 - 16,500.00
24 Masker Oxigen dws Pcs - 16,500.00 0.00 - 16,500.00
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800.00 0.00 - 30,800.00
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800.00 0.00 - 30,800.00
27 Mucus extractor Box @ 25 - 7,700.00 0.00 - 7,700.00
28 Nasal canul Bayi Pcs - 11,000.00 0.00 - 11,000.00
29 Nasal canul anak Pcs - 11,000.00 0.00 - 11,000.00
30 Nasal canul dewasa Pcs - 11,000.00 0.00 - 11,000.00
31 Needle 23 G Box @100 - 220.00 0.00 - 220.00
32 NGT Fr. 3,5 Pcs - 49,500.00 0.00 - 49,500.00
33 NGT No. 16 Pcs - 49,500.00 0.00 - 49,500.00
34 Nurse Cup Box @100 - 605.00 0.00 - 605.00
35 Pot salep 20 gr Pot - 880.00 0.00 - 880.00
36 Sendok obat Pcs - 599.50 0.00 - 599.50
37 Silk 3/0 Box @ 36 - 11,000.00 0.00 - 11,000.00
38 Silk 4/0 Box @ 12 - 11,000.00 0.00 - 11,000.00
39 Sungkup nebulizer anak Pcs - 27,500.00 0.00 - 27,500.00
40 Sungkup nebulizer bayi Pcs - 22,000.00 0.00 - 22,000.00
41 Sungkup nebulizer Dws Pcs - 27,500.00 0.00 - 27,500.00
42 Umbilical cord Pcs 9 - 9 1,540.00 13,860.00 - 1,540.00
43 Underpad Box @ 10 - 4,840.00 0.00 - 4,840.00
44 Utrafix 5 x 10 Roll - 71,500.00 0.00 - 71,500.00
45 Utrafix 5 x 5 Roll - 20,570.00 0.00 - 20,570.00
46 Urine Bag Pcs - 7,700.00 0.00 - 7,700.00
47 Verban 4 x 10 Roll - 3,500.20 0.00 - 3,500.20
48 Verban 4 x 5 Roll - 1,300.00 0.00 - 1,300.00
REAGEN : - 0.00 - 0.00
49 Blue Tip Pak @ 100 - 132.00 0.00 - 132.00
50 Cover Glass 20 x 20 Pcs - 308.00 0.00 - 308.00
51 Diatro Cleaner Botol 1 L - 759,000.00 0.00 - 759,000.00
52 Diatro Dilluent Botol 1 L - 2,178,000.00 0.00 - 2,178,000.00
53 Diatro Lyse Botol 1 L - 1,863,400.00 0.00 - 1,863,400.00
54 Gol. Darah Anti A Botol - 110,000.00 0.00 - 110,000.00
55 Gol. Darah Anti B Botol - 110,000.00 0.00 - 110,000.00
56 Gol. Darah resus anti D Botol - 132,000.00 0.00 - 132,000.00
57 HCL Alkohol 3 % Botol 100 mL - 55,000.00 0.00 - 55,000.00
58 Salmonella Thypi AO Botol - 181,500.00 0.00 - 181,500.00
59 Salmonella Thypi BO Botol - 181,500.00 0.00 - 181,500.00
60 Salmonella Thypi H Botol - 181,500.00 0.00 - 181,500.00
61 Salmonella Thypi O Botol - 181,500.00 0.00 - 181,500.00
62 Serum Kontrol Botol - 715,000.00 0.00 - 715,000.00
63 Spiritus Botol - 33,000.00 0.00 - 33,000.00
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600.00 0.00 - 6,600.00
65 Stik GDS Benecheck Btl @ 50 - 3,520.00 0.00 - 3,520.00
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500.00 0.00 - 27,500.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900.00 0.00 - 9,900.00
68 Tabung EDTA 3 mL Botol - 1,540.00 0.00 - 1,540.00
69 Tes Kehamilan Box @ 50 8 - 8 1,478.40 11,827.20 - 1,478.40
70 Urine Stik 10 Para Btl @100 - 2,035.00 0.00 - 2,035.00
71 Yellow tip Pcs - 110.00 0.00 - 110.00
1,968,599.52

4,587,999
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
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PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 0.00 - 153.00 0.00
2 Acetylcystein 200 mg Cap. ktk 100 0.00 - 412.00 0.00
3 Acyclovir 200 mg ktk 10 x 10 0.00 - 236.00 0.00
4 Acyclovir 400 mg ktk 10 x 10 0.00 120 - 120 300.00 36,000.00
5 Allupurinol 100 mg ktk 100 0.00 - 89.00 0.00
6 Ambroxol syr. Botol 0.00 - 3,639.00 0.00
7 Amitriptiline HCl 25 mg ktk 100 0.00 - 168.00 0.00
8 Amlodipin 5 mg ktk 30 0.00 - 74.00 0.00
9 Amlodipin 10 mg ktk 30 0.00 - 520.00 0.00
10 Amoksisilin 250 mg ktk 10x 10 0.00 - 188.00 0.00
11 Amoksisilin 500 mg ktk 10x 11 55,440.00 125 - 125 231.00 28,875.00
12 Amoksisilin syr Botol 14,350.00 10 - 10 2,050.00 20,500.00
13 Antasida doen tablet kotak ktk 10 x10 0.00 175 - 175 54.00 9,450.00
14 Antasida syr. Botol 22,828.00 3 - 3 1,756.00 5,268.00
15 Antasida Tab. ktk 10 x 10 0.00 0.00
16 Anti Hemoroid ktk 10 0.00 10 - 10 3,260.00 32,600.00
17 Antides ( Attapulgite ) ktk 100 0.00 - 175.00 0.00
18 Aqua pro inj btl 0.00 - 2,860.00 0.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 6,900.00 80 - 80 46.00 3,680.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 0.00 60 - 60 45.00 2,700.00
21 Asam Mefenamat 250 mg kotak 10 x 10 0.00 - 175.00 0.00
22 Asam Mefenamat 500 mg kotak 10 x 10 23,400.00 110 - 110 117.00 12,870.00
23 Atropin 0.5 mg tablet ktk 100 tablet 0.00 - 81.00 0.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 0.00 - 1,353.00 0.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 14,000.00 - 175.00 0.00
26 Betahistine 6 mg ktk 30 0.00 - 119.00 0.00
27 Betamethason Salep ktk 25 0.00 - 1,920.00 0.00
28 Bioplacenton Tulle Tulle 0.00 - 10,733.00 0.00
29 Bisacodil 10 mg ktk 50 sup 0.00 - 5,800.00 0.00
30 Bisacodil 5 mg ktk 6 sup 0.00 - 5,800.00 0.00
31 Bufacetine salep kulit Tube 0.00 - 3,360.00 0.00
32 Captopril 50 mg ktk 10 x 10 tablet 0.00 - 143.00 0.00
33 Captopril 12,5 mg ktk 10 x 10 0.00 - 65.00 0.00
34 Captopril 25 mg ktk 10 x 10 tablet 0.00 - 75.00 0.00
35 Cetirizine 10 mg ktk 10 x 10 0.00 - - - 104.00 0.00
36 Cetirizine sirup botol 0.00 - 3,061.00 0.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 0.00 - 260.00 0.00
38 Clindamycin HCI 300mg Cap. ktk 50 0.00 - 660.00 0.00
39 Cloramfenicol salep mata ktk 24 tube 0.00 - 1,925.00 0.00
40 Clorpromazine 100 mg ktk 10 x 10 0.00 - 153.00 0.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 0.00 - 49.00 0.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 0.00 - 1,226.00 0.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 0.00 5 - 5 2,336.00 11,680.00
44 Deksamethasone Tablet btl 10 x 10 tablet 0.00 80 - 80 75.00 6,000.00
45 Diazepam 2 mg Tab. Box @ 100 0.00 - 86.00 0.00
46 Diazepam 05 mg inj ktk 10 amp 0.00 - 1,545.00 0.00
47 Diazepam Stesolid 10 mg ktk 5 amp 0.00 - 18,458.00 0.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 0.00 - 1,156.00 0.00
49 Digoksin ktk 10 x 10 0.00 - 96.00 0.00
50 Dimenhidrinat 50 mg btl 100 0.00 - 121.00 0.00
51 Doksisiklin 100 mg Ktk 100 0.00 - 309.00 0.00
52 Domperidon 10 mg kotak 10 x 10 0.00 - 75.00 0.00
53 Domperidon Sirup btl 6,360.00 - 3,180.00 0.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 0.00 - 1,740.00 0.00
55 Ergotamine + Caffein Botol @ 100 0.00 - 199.00 0.00
56 Eritromisin 250 mg ktk 12 x 10 tablet 0.00 - 509.00 0.00
57 Eritromisin 500 mg ktk 10 x 10 tablet 0.00 - 913.00 0.00
58 Fenobarbital inj ktk 30 Ampul 0.00 - 1,980.00 0.00
59 Furosemid 40 mg ktk 200 tab 0.00 - 84.00 0.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 0.00 - 2,012.00 0.00
61 Garam Oralit ktk 100 0.00 10 - 10 280.00 2,800.00
62 Gentamisin TTS Mata ktk 24 btl 0.00 - 4,600.00 0.00
63 Glibenclamide 5 mg Tab. ktk 100 0.00 - 137.00 0.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 0.00 - 5,867.00 0.00
65 Glukosa larutan infus 5 % btl 500 ml 0.00 - 6,627.00 0.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 0.00 - 157.00 0.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 0.00 - 210.00 0.00
68 Haloperidol 0,5 mg ktk 10 x 10 0.00 - 62.00 0.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 0.00 - 76.00 0.00
70 Haloperidol decanoate 50 mg ktk 5 amp 0.00 - 97,500.00 0.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 20,925.00 1 - 1 2,325.00 2,325.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 0.00 - 178.00 0.00
73 Ibuprofen sirup btl 60 ml 0.00 - 2,678.00 0.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 0.00 - 111.00 0.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 0.00 - 157.00 0.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 0.00 - 98.00 0.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 12,000.00 30 - 30 60.00 1,800.00
78 Karbamazepin 200 mg ktk 10 x 10 0.00 - 269.00 0.00
79 Ketoconazole 200mg Tab. Box @ 50 0.00 - 286.00 0.00
80 Ketoconazole salep ktk 25 tube 5,154.00 - 2,577.00 0.00
81 Ketorolac inj 30 mg ktk 12 ampul 0.00 - 1,383.00 0.00
82 Klonidin 0,15 mg ktk 10 x 10 0.00 - 224.00 0.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 0.00 - 329.00 0.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 0.00 75 - 75 24.00 1,800.00
85 Kodein Tablet 10 mg ktk 10 x 10 0.00 - 550.00 0.00
86 Kotrimoksasol 480 mg ktk 100 0.00 - 220.00 0.00
87 Kotrimoksasol Syr. Botol 0.00 3 - 3 2,052.00 6,156.00
88 Lidocain 2 % inj ktk 100 8,019.00 - 891.00 0.00
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
89 Lidocain 2 % inj Jelly tube 0.00 - 40,000.00 0.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 0.00 - 2,122.00 0.00
91 Loperamid 2 mg ktk 10 x 10 0.00 - 97.00 0.00
92 Loratadine tab 10 mg ktk 10x 10 0.00 - 149.00 0.00
93 Lysol btl 0.00 - 45,100.00 0.00
94 Magnesium sulfat inj 20% btl 0.00 - 2,122.00 0.00
95 Meloxicam 7,5 mg Tab. Box @ 30 0.00 - 723.00 0.00
96 Meloxicam 15 mg Tab. Box @ 30 0.00 - 1,377.00 0.00
97 Metformin 500 mg ktk 10x 10 7,700.00 - 77.00 0.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 0.00 - 102.00 0.00
99 Metilergometrin injeksi ktk 100 0.00 - 3,399.00 0.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 0.00 - 242.00 0.00
101 Metoklopramid 10 mg ktk 10 x 10 0.00 - 111.00 0.00
102 Metoklopramid Sirup (Lexapram) btl 0.00 - 2,750.00 0.00
103 Metronidazol 500 mg ktk 100 0.00 - 140.00 0.00
104 Metronidazol Sirup btl 60 ml 0.00 - 3,800.00 0.00
105 Miconazole 2% krem tube 10 gram 19,000.00 5 - 5 1,900.00 9,500.00
106 Natrium Chlorida 0,9 % btl 500 ml 0.00 - 6,900.00 0.00
107 Natrium diklofenak 50 mg kotak 50 tablet 21,800.00 25 - 25 109.00 2,725.00
108 Nifedipin tab ktk 10 x 10 tablet 24,600.00 - 123.00 0.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 6,192.00 - 688.00 0.00
110 OBH syr. Botol 0.00 - 3,500.00 0.00
111 Omeprazol 20 mg ktk 3x 10 0.00 - 164.00 0.00
112 OAM 0.00 0.00
113 Oxytetrasiklin salep mata ktk 25 0.00 - 2,600.00 0.00
114 Oxytocin injeksi btl 15 ml 0.00 - 2,774.00 0.00
115 Pantocain 0,5 % tetes mata btl 5 mL 0.00 - 11,500.00 0.00
116 Paracetamol tab 500 mg ktk 100 tablet 45,000.00 90 - 90 225.00 20,250.00
117 Parasetamol Sirup btl 11,600.00 7 - 7 1,160.00 8,120.00
118 Phenol Glycerol TTS telinga btl 0.00 - 2,500.00 0.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 0.00 - 818.00 0.00
120 Phitomenadion Vit K inj ktk 30 0.00 - 1,452.00 0.00
121 Povidon Iodida 10 % 300 ml btl 300 ml 0.00 - 21,150.00 0.00
122 Prednison 5 mg ktk 10 x 10 tablet 0.00 - 73.00 0.00
123 Primaquin 15 mg ktk 10 x 10 tablet 0.00 - 235.00 0.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 0.00 - 80.00 0.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 0.00 - 297.00 0.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 16,500.00 100 - 100 150.00 15,000.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 0.00 - - - 1,155.00 0.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 0.00 15 - 15 119.00 1,785.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 0.00 - 327.00 0.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 0.00 - 505.00 0.00
131 Rifampicin 600 mg ktk 100 0.00 - 1,420.00 0.00
132 Ringer Laktat Infus btl 0.00 - 7,703.00 0.00
133 Risperidon 2 mg ktk 100 0.00 - 130.00 0.00
134 Rivanol botol 300 ml 0.00 - 3,850.00 0.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 5,100.00 - 51.00 0.00
136 Serum ABU Vial 0.00 - 0.00 0.00
137 Sikzonoate inj ktk 5 amp 0.00 - 57,500.00 0.00
138 Simvastatin 10 mg ktk 30 10,530.00 10 - 10 117.00 1,170.00
139 Stesolid 10 mg/2,5 ml rektal tube 0.00 - 18,458.00 0.00
140 Stesolid 5 mg/2,5 ml rektal tube 0.00 - 14,459.00 0.00
141 Tablet Tambah Darah ktk 30 0.00 - 409.00 0.00
142 Thiamin ( vitamin B1 ) kotak 100 21,620.00 - 94.00 0.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 0.00 - 2,680.00 0.00
144 Triheksifenidil tab Kotak 10 x 10 tablet 0.00 - 97.00 0.00
145 Vit B Komplek Tablet btl 100 12,000.00 90 - 90 60.00 5,400.00
146 Zink tablet ktk 10 x 10 43,010.00 - 253.00 0.00
147 Zirkum kids sirup botol 26,280.00 - 3,285.00 0.00
0.00 - 0.00 0.00
OBAT GIGI : 0.00 - 0.00 0.00
148 Eugenol Btl 0.00 - 50,417.00 0.00
149 Aseptik gel 0.00 - 0.00 0.00
150 yellow tip 0.00 - 110.00 0.00
0.00 - 0.00 0.00
REAGEN / LAB : 0.00 - 0.00 0.00
149 Blood Lancets ktk 100 0.00 - 4,140.00 0.00
150 Ethyl Klorida semprot Botol 500 ml 0.00 - 187,000.00 0.00
151 Gluco Protein Test Urine ktk 10 0.00 - 1,098.00 0.00
152 Gol. Darah Anti B btl 0.00 - 0.00 0.00
153 Gol. Darah Anti A, B btl 0.00 - 0.00 0.00
154 Gol. Darah Anti A btl 0.00 - 0.00 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml 0.00 - 82,500.00 0.00
156 Larutan HCL 0,1 N btl 250 ml 0.00 - 55,000.00 0.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 0.00 - 159,500.00 0.00
158 Larutan Methyl Blue btl 100 ml 0.00 - 99,000.00 0.00
159 Larutan Turk btl 100 ml 0.00 - 0.00 0.00
160 Larutan Giemsa btl 500 ml 0.00 - 263,184.00 0.00
161 Needle flashback ktk 50 0.00 - 1,701.00 0.00
162 Oil Imersion btl 10 ml 0.00 - 110,000.00 0.00
163 Pot Dahak btl 10 ml 0.00 - 3,069.00 0.00
164 Rapid Test HbsAg Kotak 0.00 - 8,100.00 0.00
165 Slide Kaca ktk 0.00 - 275.00 0.00
166 Stik Asam Urat Benechek ktk 25 pcs 0.00 - 6,200.00 0.00
167 Stik Cholesterol Mission ktk 25 pcs 0.00 - 22,280.00 0.00
168 Stik Glucosa Benechek ktk 50 pcs 0.00 - 3,341.00 0.00
169 Stik protein Urine 0.00 - 0.00 0.00
170 Vakum EDTA 3 mL 100 Pcs 0.00 - 1,205.00 0.00
171 Virotec Dengue Combo Ktk 25 0.00 - 64,171.00 0.00
172 RDT HIV 1+2 0.00 0.00
173 RDT HIV 1/2 (3.0) 0.00 0.00
174 RDT HIV D.S 0.00 0.00
175 RDT Malaria 0.00 0.00
176 RDT Sifilis 0.00 0.00
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
RDT Dengue 0.00 0.00
RDT Antigen 0.00 0.00
BMHP APBD : 0.00 - 0.00 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 0.00 2 - 2 1,023.00 2,046.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 6,830.00 10 - 10 683.00 6,830.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 0.00 - 924.00 0.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 0.00 2 - 2 1,045.00 2,090.00
5 Alkohol 70 % btl 1 liter 0.00 1 - 1 29,375.00 29,375.00
6 Alkohol Swab 0,5 % pcs 0.00 30 - 30 128.55 3,856.50
7 Bisturi ktk 100 0.00 - 10,733.00 0.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 0.00 - 2,873.00 0.00
9 Foley Catheter 16 pcs 0.00 - 153.00 0.00
10 Hand Scoon 7 (Steril) pcs 0.00 - 6,142.00 0.00
11 Hand Scoon L ktk 100 0.00 - 1,435.00 0.00
12 Hand Scoon M ktk 100 0.00 - - - 1,435.00 0.00
13 Hand Scoon M ktk 100 0.00 - 1,435.00 0.00
14 Hand Scoon S ktk 100 0.00 - 8,470.00 0.00
15 Infusion Dewasa ktk 50 0.00 - 9,181.00 0.00
16 Infusion set anak set / kantong 0.00 - 6,983.00 0.00
17 IV Catheter No. 22 G 50 buah / kotak 0.00 - 4,818.00 0.00
18 IV Catheter No. 18 G 50 buah / kotak 0.00 - 4,818.00 0.00
19 IV Catheter No. 24 G 50 buah / kotak 0.00 - 4,818.00 0.00
20 Kantong Limbah uk. L Pcs 0.00 - 5,400.00 0.00
21 Kantong Limbah uk. M Pcs 0.00 - 15,000.00 0.00
22 Kapas Pembalut 250 gr rol 0.00 - 1,448.00 0.00
23 Kasa hidrofil 40 x 80 cm pcs 0.00 - 77,600.00 0.00
24 Kasa hidrofil 40 x 80 cm pcs 0.00 - 2,354.00 0.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 0.00 - 5,610.00 0.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 0.00 - 20,339.00 0.00
27 Kasa steril 16 cmx16 cm ktk 0.00 - 24,254.00 0.00
28 Leukoplast Plester kain 7,5x4,5 pcs 0.00 - 3,472.00 0.00
29 Lysol btl 0.00 - 442.00 0.00
30 Masker hijab / Karet ktk 50 pcs 0.00 - 2,185.00 0.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 15,840.00 - 5,280.00 0.00
32 Mucus Extractor Pcs 0.00 - 5,865.00 0.00
33 Oxyflow Anak 0.00 - 8,040.00 0.00
34 Oxyflow Dewasa pcs 0.00 - 5,000.00 0.00
35 Pembalut Elastis roll 0.00 - 5,000.00 0.00
36 Polifix 5 cmx 5 m Roll 0.00 - 64,171.00 0.00
37 Polifix Aximed 5 cm x 10 m Roll 0.00 - 0.00 0.00
38 Silk 3/0 HR - 20 ktk 12 0.00 - 15,092.00 0.00
39 Test Kehamilan ktk 50 0.00 1 - 1 0.00 0.00
40 Umbilical cord klem ktk 50 pcs 0.00 - 0.00 0.00
41 Underpad Pcs 0.00 - 0.00 0.00
42 Urin Bag 10 pcs 0.00 - 0.00 0.00
0.00 - 0.00 0.00
PROGRAM GIZI /KIA 0.00 - 0.00 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 0.00 - 0.00 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 0.00 - 9,955.00 0.00
3 Diazepam Inj. 5 mg. Box @ 10 0.00 - 1,913.00 0.00
4 Eutyrox 50 mg Tab. Tablet 0.00 - 0.00 0.00
5 Fe ktk 100 204,500.00 - 409.00 0.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 0.00 - 3,545.00 0.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 0.00 - 2,684.00 0.00
8 MgSO4 40 % Botol 25 mL 0.00 - 3,796.00 0.00
9 Mineral Mix Shaset 0.00 - 3,116.00 0.00
10 Oxytetracycline salep mata 1 % Box @ 25 0.00 - 2,600.00 0.00
11 Oxytocin Inj. Box @ 100 0.00 - 1,232.00 0.00
12 Stik shipyllis Box @ 25 0.00 - 10,800.00 0.00
13 Vit. K inj. Box @ 30 0.00 - 4,236.00 0.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 0.00 - 305.00 0.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 0.00 - 637.00 0.00
TOTAL OBAT & BMHP APBD 482,978.00 - 0.00 292,651.50
OBAT & BMHP JKN : 0.00 - 0.00 0.00
1 Acyclovir 200 mg Tab. Box @ 100 0.00 - 1,096.00 0.00
2 Acyclovir 400 mg Tab Box @ 100 0.00 - 990.88 0.00
3 Acyclovir cream Tube 20,625.00 - 4,125.00 0.00
4 Acetylsystein 200 mg Cap. Box @ 100 0.00 - 1,100.00 0.00
5 Allopurinol 100 mg Tab. Box @ 100 39,600.00 - 247.50 0.00
6 Allopurinol 300 mg Tab. Box @ 100 0.00 70 - 70 566.50 39,655.00
7 Ambroxol syr. Botol 82,280.00 8 - 8 4,840.00 38,720.00
8 Ambroxol Tab. Box @ 100 44,550.00 - 165.00 0.00
9 Amlodipine 10 mg Tab. Box @ 30 138,600.00 30 - 30 495.00 14,850.00
10 Amlodipine 5 mg Tab. Box @ 100 57,915.00 - 445.50 0.00
11 Amoxycillin 500 mg Tab. Box @ 100 0.00 - 407.00 0.00
12 Amoxycillin Syr. Botol 0.00 - 5,478.00 0.00
13 Antasid Syr. Botol 0.00 - 3,900.00 0.00
14 Antasida Tab. Box @ 100 0.00 - 165.00 0.00
15 Asam Folat Box@100 0.00 - 110.00 0.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 0.00 - 275.00 0.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 0.00 - 2,011.00 0.00
18 Aseptic Gell Botol 450 mL 0.00 - 55,000.00 0.00
19 Bedak Salicyl Pcs 0.00 - 6,426.00 0.00
20 Betahistine 6 mg Tab. Box @ 100 71,050.00 - 1,015.00 0.00
21 Bethametasone salep Tube 0.00 - - - 3,520.00 0.00
22 Bioplacenton gel 15 gram Tube 0.00 - 17,650.00 0.00
23 Bisolvon sol Botol 0.00 - 105,600.00 0.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 0.00 - 220,000.00 0.00
25 Calcii Gluconas Inj. Box @ 24 0.00 - 4,053.50 0.00
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 0.00 - 165.00 0.00
27 Captopril 12,5 mg Tab. Box @ 100 0.00 - 104.50 0.00
28 Captopril 25 mg Tab. Box @ 100 26,400.00 80 - 80 132.00 10,560.00
29 Cefadroxil 125 mg Syr. Botol 0.00 - 7,700.00 0.00
30 Cefadroxil 500 mg Cap. Box @ 100 179,800.00 - 899.00 0.00
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
31 Cendo eyefresh mini dose Box@ 25 strip 0.00 - 5,720.00 0.00
32 Cetirizine Syr Botol 0.00 - 6,270.00 0.00
33 Cetirizine Tab. Box @ 100 50,200.00 40 - 40 502.00 20,080.00
34 Chloramfenicol Tetes mata (Reco) Botol 0.00 - 9,460.00 0.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 40,040.00 4 - 4 10,010.00 40,040.00
36 Chloramfenicol salep (Fasycol) Tube 42,327.00 10 - 10 4,703.00 47,030.00
37 Ciprofloxacin 500 mg tab. Box @ 100 0.00 - 720.00 0.00
38 Cotrimoksazol 480 mg Box @ 100 0.00 - 289.85 0.00
39 Cotrimoxazole syr. Botol 0.00 - 4,290.00 0.00
40 CPZ 100 mg Tab. Box @ 100 0.00 - 432.70 0.00
41 CTM Btl @ 100 11,704.00 - 61.60 0.00
42 Daryantulle Box @ 10 0.00 - 27,500.00 0.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 0.00 - 149.80 0.00
44 Dexamethasone Inj. Box @ 100 0.00 - 2,416.00 0.00
45 Dextrose 40 25 mL Botol 0.00 - 12,760.00 0.00
46 Difenhydramine inj. Box @ 30 0.00 - 1,862.67 0.00
47 Domperidone Syr. Botol 33,000.00 - 6,600.00 0.00
48 Domperidone Tab. Box @ 100 21,736.00 - 271.70 0.00
49 Doxycicline Cap/ Doxyhat Box @ 100 0.00 - 466.49 0.00
50 Dulcolax 10 mg Sup Ktk @ 5 0.00 - 31,240.00 0.00
51 Dulcolax 5 mg Sup Ktk @ 6 0.00 - 20,716.67 0.00
52 Dulcolax tab./ Laxana Box @ 10 0.00 - 1,980.00 0.00
53 Dumin 125 mg Rectal Ktk @ 5 99,000.00 - 19,800.00 0.00
54 Ephineprin Inj. Box @ 30 0.00 - 8,983.33 0.00
55 Ergotamine + Caffein Box @ 100 0.00 - 306.00 0.00
56 Etil Klorida 100 ml Botol 0.00 - 223,850.00 0.00
57 Garam Oralit Box @ 100 0.00 - 352.00 0.00
58 Gentamicin SK Box @ 10 0.00 - 3,630.00 0.00
59 Gentamicin Salep Mata (Genoint) Tube 0.00 - 8,580.00 0.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 22,220.00 - 11,110.00 0.00
61 Gentian Violet Box @ 24 15,400.00 2 - 2 3,850.00 7,700.00
62 Glibenclamide Tab. Box @ 100 0.00 30 - 30 222.59 6,677.55
63 Gliceril Guaiakolat Tab. Box @ 100 0.00 - 130.24 0.00
64 Glucosa infus 10 % Box @ 20 0.00 - 10,175.00 0.00
65 Guanistrep syr. Botol 67,760.00 - 8,470.00 0.00
66 H2O2 3 % 100 mL Botol 0.00 - 7,370.00 0.00
67 H2O2 3 % 800 mL Botol 0.00 - 36,300.00 0.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 0.00 - 1,364.00 0.00
69 Ibuprofen 200 mg Tab. Box @ 100 0.00 - 275.00 0.00
70 Ibuprofen 400 mg Tab. Box @ 100 0.00 40 - 40 368.06 14,722.40
71 Ibuprofen Syr Botol 0.00 - 6,160.00 0.00
72 INH 100 mg Tab. Box @ 100 0.00 - 185.00 0.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 0.00 - 165.00 0.00
74 K-EN-3B infus Box @ 20 0.00 - 28,600.00 0.00
75 Ketoconazole 200 mg Tab. Box @ 50 0.00 - 506.00 0.00
76 Ketokonazole Salep Tube 0.00 - 4,950.00 0.00
77 Ketorolac inj 30mg/mL Box @ 6 0.00 - 5,042.00 0.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 0.00 - 3,114.00 0.00
79 Lidocain Inj. Box @ 100 0.00 - 1,430.00 0.00
80 Loratadine 10 mg Tab. Box @ 50 0.00 - 333.00 0.00
81 Metformin 500 mg Tab. Box @ 100 0.00 - 193.00 0.00
82 Methylprednisolon 4 mg Tab. Box @ 50 0.00 - 440.00 0.00
83 Metronidazole 500 mg Tab. Box @ 100 0.00 - 379.50 0.00
84 MgSO4 40 % Botol 0.00 - 14,754.30 0.00
85 Miconazole Salep Tube 0.00 - 4,730.00 0.00
86 NaCl infus Box @ 20 0.00 - 8,800.00 0.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 0.00 - 205.00 0.00
88 Neurobion Inj 5000 Ktk @ 20 0.00 - 11,750.00 0.00
89 Nifedipine 10 mg Tab Box @ 100 0.00 - 220.00 0.00
90 Nystatin drop (Cazetin drop ) Botol 146,520.00 - 24,420.00 0.00
91 Nystatin Vag ovula Box @ 100 0.00 - 828.00 0.00
92 Omeprazole kap. Box @ 30 24,860.00 90 - 90 414.33 37,290.00
93 Ondancentron Inj Ktk @ 5 0.00 - 7,700.00 0.00
94 Oxytocin Inj. Box @ 100 0.00 - 3,685.00 0.00
95 Oxytetracycline salep mata Tube 0.00 - - - 6,270.00 0.00
96 Paracetamol 500 mg Tab. Botol @ 100 0.00 - 316.81 0.00
97 Paracetamol Syr. Botol 0.00 - 4,180.00 0.00
98 Phenol Glycerol TT Botol 0.00 - 6,047.80 0.00
99 Piroxicam 10 mg Tab. Box @ 100 0.00 - 123.00 0.00
100 Povidone Iodine 300 mL Botol 0.00 - 33,000.00 0.00
101 Povidone Iodine 1 Liter Botol 0.00 - 99,000.00 0.00
102 Prednison 5 mg Tab. Box @ 100 0.00 - 285.00 0.00
103 Primaquin tab. Box @ 100 0.00 - 304.00 0.00
104 Ranitidine Inj. Box @ 10 0.00 - 7,150.00 0.00
105 Ranitidine Tab. Box @ 100 0.00 - 320.00 0.00
106 Ringer Laktat Infus Box @ 20 0.00 - 9,570.00 0.00
107 Salbutamol 2mg Tab. Box @ 100 0.00 - 158.40 0.00
108 Scabimid krim 10 gr Tube 0.00 - 58,850.00 0.00
109 Simvastatin 20 mg Tab. Box @ 100 0.00 - 564.41 0.00
110 Thrombophob gel 20 Gram Tube 0.00 - 62,000.00 0.00
111 Ultrasonic Gel 250 mL Botol 0.00 - 24,200.00 0.00
112 Ventolin Nebulizer Box @ 20 0.00 - 14,025.00 0.00
113 Vit B.1 Box @ 100 0.00 80 - 80 132.00 10,560.00
114 Vit B6 Box @ 100 0.00 - 132.00 0.00
115 Vit. B-Complex Btl @ 100 0.00 - 220.00 0.00
116 Vit K inj. Box @ 5 0.00 - 7,150.00 0.00
117 Vit K Tab. Box @ 100 0.00 - 1,320.00 0.00
118 Water for Inj. 10 mL Botol 0.00 - 5,940.00 0.00
119 Water for Inj. 25 mL Botol 0.00 - 9,020.00 0.00
120 Zinc / Lecozinc Syr. Botol 0.00 - 7,000.00 0.00
121 Zinc Tab. Box @ 100 0.00 - 675.00 0.00
BMHP : 0.00 - 0.00 0.00
1 Abbocat 18 G Box @ 50 0.00 - 5,500.00 0.00
2 Abbocat 20 G Box @ 50 0.00 - 5,500.00 0.00
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
3 Abbocat 22 G Box @ 50 0.00 - 6,050.00 0.00
4 Abbocat 24 G Box @ 50 0.00 - 13,000.00 0.00
5 Abbocat 26 G Box @ 50 0.00 - 5,500.00 0.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 0.00 - 880.00 0.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 0.00 - 11,000.00 0.00
8 Alkohol 300 mL Botol 0.00 - 24,065.00 0.00
9 Alkohol Swab Bok 0.00 - 182.00 0.00
10 Bisturi no. 11 G Box @ 100 0.00 - 1,100.00 0.00
11 Blood set Box @ 50 0.00 - 6,900.30 0.00
12 Cat Gut Plain 3/0 Box @ 24 0.00 - 8,800.00 0.00
13 Folley Catheter Fr. 16 Box @ 10 0.00 - 12,100.00 0.00
14 Folley Catheter Fr. 18 Box @ 10 0.00 - 12,100.00 0.00
15 Hand scoon steril No. 7 Box @ 50 0.00 - 11,000.00 0.00
16 Hand scoon nonsteril No. L Box @100 0.00 - 1,700.60 0.00
17 Hand scoon nonsteril No. M Box @100 0.00 - 1,700.60 0.00
18 Hand scoon nonsteril No. S Box @100 0.00 - 1,700.60 0.00
19 Infuset Dewasa Pcs 0.00 - 4,400.00 0.00
20 Kassa 40 x 80 Roll 0.00 - 120,000.00 0.00
21 Kassa steril Box 0.00 - 4,000.00 0.00
22 Masker Bedah Box @ 50 0.00 - 806.30 0.00
23 Masker Oxigen Anak Pcs 0.00 - 16,500.00 0.00
24 Masker Oxigen dws Pcs 0.00 - 16,500.00 0.00
25 Masker Oxigen Non Refbreathing anak Pcs 0.00 - 30,800.00 0.00
26 Masker Oxigen Non Refbreathing dws Pcs 0.00 - 30,800.00 0.00
27 Mucus extractor Box @ 25 0.00 - 7,700.00 0.00
28 Nasal canul Bayi Pcs 0.00 - 11,000.00 0.00
29 Nasal canul anak Pcs 0.00 - 11,000.00 0.00
30 Nasal canul dewasa Pcs 0.00 - 11,000.00 0.00
31 Needle 23 G Box @100 0.00 - 220.00 0.00
32 NGT Fr. 3,5 Pcs 0.00 - 49,500.00 0.00
33 NGT No. 16 Pcs 0.00 - 49,500.00 0.00
34 Nurse Cup Box @100 0.00 - 605.00 0.00
35 Pot salep 20 gr Pot 0.00 - 880.00 0.00
36 Sendok obat Pcs 0.00 - 599.50 0.00
37 Silk 3/0 Box @ 36 0.00 - 11,000.00 0.00
38 Silk 4/0 Box @ 12 0.00 - 11,000.00 0.00
39 Sungkup nebulizer anak Pcs 0.00 - 27,500.00 0.00
40 Sungkup nebulizer bayi Pcs 0.00 - 22,000.00 0.00
41 Sungkup nebulizer Dws Pcs 0.00 - 27,500.00 0.00
42 Umbilical cord Pcs 0.00 - 1,540.00 0.00
43 Underpad Box @ 10 0.00 - 4,840.00 0.00
44 Utrafix 5 x 10 Roll 0.00 - 71,500.00 0.00
45 Utrafix 5 x 5 Roll 0.00 - 20,570.00 0.00
46 Urine Bag Pcs 0.00 - 7,700.00 0.00
47 Verban 4 x 10 Roll 0.00 - 3,500.20 0.00
48 Verban 4 x 5 Roll 0.00 - 1,300.00 0.00
REAGEN : 0.00 - 0.00 0.00
49 Blue Tip Pak @ 100 0.00 - 132.00 0.00
50 Cover Glass 20 x 20 Pcs 0.00 - 308.00 0.00
51 Diatro Cleaner Botol 1 L 0.00 - 759,000.00 0.00
52 Diatro Dilluent Botol 1 L 0.00 - 2,178,000.00 0.00
53 Diatro Lyse Botol 1 L 0.00 - 1,863,400.00 0.00
54 Gol. Darah Anti A Botol 0.00 - 110,000.00 0.00
55 Gol. Darah Anti B Botol 0.00 - 110,000.00 0.00
56 Gol. Darah resus anti D Botol 0.00 - 132,000.00 0.00
57 HCL Alkohol 3 % Botol 100 mL 0.00 - 55,000.00 0.00
58 Salmonella Thypi AO Botol 0.00 - 181,500.00 0.00
59 Salmonella Thypi BO Botol 0.00 - 181,500.00 0.00
60 Salmonella Thypi H Botol 0.00 - 181,500.00 0.00
61 Salmonella Thypi O Botol 0.00 - 181,500.00 0.00
62 Serum Kontrol Botol 0.00 - 715,000.00 0.00
63 Spiritus Botol 0.00 - 33,000.00 0.00
64 Stik Asam Urat Benecheck Btl @ 25 0.00 - 6,600.00 0.00
65 Stik GDS Benecheck Btl @ 50 0.00 - 3,520.00 0.00
66 Stik Kholesterol Benecheck Btl @ 10 0.00 - 27,500.00 0.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 0.00 - 9,900.00 0.00
68 Tabung EDTA 3 mL Botol 0.00 - 1,540.00 0.00
69 Tes Kehamilan Box @ 50 0.00 - 1,478.40 0.00
70 Urine Stik 10 Para Btl @100 0.00 - 2,035.00 0.00
71 Yellow tip Pcs 0.00 - 110.00 0.00
780,967.00 184,099.95

1,263,945 476,751
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153.00 0.00 - 153.00
2 Acetylcystein 200 mg Cap. ktk 100 - 412.00 0.00 - 412.00
3 Acyclovir 200 mg ktk 10 x 10 - 236.00 0.00 - 236.00
4 Acyclovir 400 mg ktk 10 x 10 - 300.00 0.00 - - - 300.00
5 Allupurinol 100 mg ktk 100 110 - 110 89.00 9,790.00 100 - 100 89.00
6 Ambroxol syr. Botol - 3,639.00 0.00 - 3,639.00
7 Amitriptiline HCl 25 mg ktk 100 - 168.00 0.00 - 168.00
8 Amlodipin 5 mg ktk 30 - 74.00 0.00 70 - 70 74.00
9 Amlodipin 10 mg ktk 30 - 520.00 0.00 80 - 80 520.00
10 Amoksisilin 250 mg ktk 10x 10 - 188.00 0.00 - 188.00
11 Amoksisilin 500 mg ktk 10x 11 70 - 70 231.00 16,170.00 40 100 - 140 231.00
12 Amoksisilin syr Botol - 2,050.00 0.00 4 - 4 2,050.00
13 Antasida doen tablet kotak ktk 10 x10 - 54.00 0.00 100 - 100 54.00
14 Antasida syr. Botol - - - 1,756.00 0.00 - 1,756.00
15 Antasida Tab. ktk 10 x 10 200 200 0.00
16 Anti Hemoroid ktk 10 - 3,260.00 0.00 4 - 4 3,260.00
17 Antides ( Attapulgite ) ktk 100 - 175.00 0.00 - 175.00
18 Aqua pro inj btl - 2,860.00 0.00 - 2,860.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 30 - 30 46.00 1,380.00 90 - 90 46.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45.00 0.00 - 45.00
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175.00 0.00 - 175.00
22 Asam Mefenamat 500 mg kotak 10 x 10 10 200 - 210 117.00 24,570.00 40 - 40 117.00
23 Atropin 0.5 mg tablet ktk 100 tablet - 81.00 0.00 - 81.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353.00 0.00 - 1,353.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175.00 0.00 - 175.00
26 Betahistine 6 mg ktk 30 - 119.00 0.00 - 119.00
27 Betamethason Salep ktk 25 - 1,920.00 0.00 - 1,920.00
28 Bioplacenton Tulle Tulle - 10,733.00 0.00 - 10,733.00
29 Bisacodil 10 mg ktk 50 sup - 5,800.00 0.00 - 5,800.00
30 Bisacodil 5 mg ktk 6 sup - 5,800.00 0.00 - 5,800.00
31 Bufacetine salep kulit Tube - 3,360.00 0.00 - 3,360.00
32 Captopril 50 mg ktk 10 x 10 tablet - 143.00 0.00 - 143.00
33 Captopril 12,5 mg ktk 10 x 10 40 - 40 65.00 2,600.00 60 - 60 65.00
34 Captopril 25 mg ktk 10 x 10 tablet - 75.00 0.00 - 75.00
35 Cetirizine 10 mg ktk 10 x 10 30 - 30 104.00 3,120.00 - 104.00
36 Cetirizine sirup botol - - - 3,061.00 0.00 - 3,061.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260.00 0.00 - 260.00
38 Clindamycin HCI 300mg Cap. ktk 50 - 660.00 0.00 - 660.00
39 Cloramfenicol salep mata ktk 24 tube - 1,925.00 0.00 - 1,925.00
40 Clorpromazine 100 mg ktk 10 x 10 - 153.00 0.00 - 153.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49.00 0.00 30 - 30 49.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226.00 0.00 - 1,226.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336.00 0.00 - 2,336.00
44 Deksamethasone Tablet btl 10 x 10 tablet 30 - 30 75.00 2,250.00 - - - 75.00
45 Diazepam 2 mg Tab. Box @ 100 - 86.00 0.00 - 86.00
46 Diazepam 05 mg inj ktk 10 amp - 1,545.00 0.00 - 1,545.00
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458.00 0.00 - 18,458.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156.00 0.00 - 1,156.00
49 Digoksin ktk 10 x 10 - 96.00 0.00 - 96.00
50 Dimenhidrinat 50 mg btl 100 - 121.00 0.00 - 121.00
51 Doksisiklin 100 mg Ktk 100 - 309.00 0.00 - 309.00
52 Domperidon 10 mg kotak 10 x 10 - 75.00 0.00 - 75.00
53 Domperidon Sirup btl - 3,180.00 0.00 - 3,180.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740.00 0.00 - 1,740.00
55 Ergotamine + Caffein Botol @ 100 - 199.00 0.00 - 199.00
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509.00 0.00 - 509.00
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913.00 0.00 - 913.00
58 Fenobarbital inj ktk 30 Ampul - 1,980.00 0.00 - 1,980.00
59 Furosemid 40 mg ktk 200 tab - 84.00 0.00 - 84.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012.00 0.00 - 2,012.00
61 Garam Oralit ktk 100 20 - 20 280.00 5,600.00 28 - 28 280.00
62 Gentamisin TTS Mata ktk 24 btl - 4,600.00 0.00 - 4,600.00
63 Glibenclamide 5 mg Tab. ktk 100 - 137.00 0.00 - 137.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867.00 0.00 - 5,867.00
65 Glukosa larutan infus 5 % btl 500 ml - 6,627.00 0.00 - 6,627.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157.00 0.00 - 157.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210.00 0.00 - 210.00
68 Haloperidol 0,5 mg ktk 10 x 10 - 62.00 0.00 - 62.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76.00 0.00 - 76.00
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500.00 0.00 - 97,500.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 5 - 5 2,325.00 11,625.00 3 - 3 2,325.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178.00 0.00 - 178.00
73 Ibuprofen sirup btl 60 ml - 2,678.00 0.00 - 2,678.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111.00 0.00 - 111.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157.00 0.00 - 157.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98.00 0.00 - 98.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 60 100 - 160 60.00 9,600.00 10 100 - 110 60.00
78 Karbamazepin 200 mg ktk 10 x 10 - 269.00 0.00 - 269.00
79 Ketoconazole 200mg Tab. Box @ 50 50 - 50 286.00 14,300.00 - 286.00
80 Ketoconazole salep ktk 25 tube - 2,577.00 0.00 - 2,577.00
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383.00 0.00 - 1,383.00
82 Klonidin 0,15 mg ktk 10 x 10 - 224.00 0.00 - 224.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329.00 0.00 - 329.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 50 - 50 24.00 1,200.00 100 - 100 24.00
85 Kodein Tablet 10 mg ktk 10 x 10 - 550.00 0.00 - 550.00
86 Kotrimoksasol 480 mg ktk 100 80 - 80 220.00 17,600.00 90 - 90 220.00
87 Kotrimoksasol Syr. Botol - 2,052.00 0.00 - 2,052.00
88 Lidocain 2 % inj ktk 100 - 891.00 0.00 - 891.00
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000.00 0.00 - 40,000.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122.00 0.00 - 2,122.00
91 Loperamid 2 mg ktk 10 x 10 - 97.00 0.00 - 97.00
92 Loratadine tab 10 mg ktk 10x 10 - 149.00 0.00 - 149.00
93 Lysol btl - 45,100.00 0.00 - 45,100.00
94 Magnesium sulfat inj 20% btl - 2,122.00 0.00 - 2,122.00
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723.00 0.00 - 723.00
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377.00 0.00 - 1,377.00
97 Metformin 500 mg ktk 10x 10 100 - 100 77.00 7,700.00 - 77.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102.00 0.00 - 102.00
99 Metilergometrin injeksi ktk 100 - 3,399.00 0.00 - 3,399.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242.00 0.00 - 242.00
101 Metoklopramid 10 mg ktk 10 x 10 - 111.00 0.00 - 111.00
102 Metoklopramid Sirup (Lexapram) btl - 2,750.00 0.00 - 2,750.00
103 Metronidazol 500 mg ktk 100 - 140.00 0.00 50 - 50 140.00
104 Metronidazol Sirup btl 60 ml - 3,800.00 0.00 - 3,800.00
105 Miconazole 2% krem tube 10 gram - 1,900.00 0.00 1 - 1 1,900.00
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900.00 0.00 - 6,900.00
107 Natrium diklofenak 50 mg kotak 50 tablet 80 - 80 109.00 8,720.00 - 109.00
108 Nifedipin tab ktk 10 x 10 tablet - 123.00 0.00 - 123.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688.00 0.00 - 688.00
110 OBH syr. Botol - 3,500.00 0.00 - 3,500.00
111 Omeprazol 20 mg ktk 3x 10 - 164.00 0.00 - 164.00
112 OAM 0.00
113 Oxytetrasiklin salep mata ktk 25 - 2,600.00 0.00 - 2,600.00
114 Oxytocin injeksi btl 15 ml - 2,774.00 0.00 - 2,774.00
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500.00 0.00 - 11,500.00
116 Paracetamol tab 500 mg ktk 100 tablet 140 - 140 225.00 31,500.00 - - - 225.00
117 Parasetamol Sirup btl 3 - 3 1,160.00 3,480.00 2 5 - 7 1,160.00
118 Phenol Glycerol TTS telinga btl - 2,500.00 0.00 - 2,500.00
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818.00 0.00 - 818.00
120 Phitomenadion Vit K inj ktk 30 - 1,452.00 0.00 - 1,452.00
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150.00 0.00 - 21,150.00
122 Prednison 5 mg ktk 10 x 10 tablet - 73.00 0.00 - 73.00
123 Primaquin 15 mg ktk 10 x 10 tablet - 235.00 0.00 - 235.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80.00 0.00 - 80.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297.00 0.00 - 297.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 30 - 30 150.00 4,500.00 90 - 90 150.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155.00 0.00 - 1,155.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119.00 0.00 - 119.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327.00 0.00 - 327.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505.00 0.00 - 505.00
131 Rifampicin 600 mg ktk 100 - 1,420.00 0.00 - 1,420.00
132 Ringer Laktat Infus btl - 7,703.00 0.00 1 - 1 7,703.00
133 Risperidon 2 mg ktk 100 - 130.00 0.00 - 130.00
134 Rivanol botol 300 ml - 3,850.00 0.00 - 3,850.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51.00 0.00 - 51.00
136 Serum ABU Vial - 0.00 0.00 - 0.00
137 Sikzonoate inj ktk 5 amp - 57,500.00 0.00 - 57,500.00
138 Simvastatin 10 mg ktk 30 90 - 90 117.00 10,530.00 - 117.00
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458.00 0.00 - 18,458.00
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459.00 0.00 - 14,459.00
141 Tablet Tambah Darah ktk 30 - 409.00 0.00 - 409.00
142 Thiamin ( vitamin B1 ) kotak 100 - 94.00 0.00 - 94.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680.00 0.00 - 2,680.00
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97.00 0.00 - 97.00
145 Vit B Komplek Tablet btl 100 80 - 80 60.00 4,800.00 70 - 70 60.00
146 Zink tablet ktk 10 x 10 - 253.00 0.00 - 253.00
147 Zirkum kids sirup botol - 3,285.00 0.00 - 3,285.00
- 0.00 0.00 - 0.00
OBAT GIGI : - 0.00 0.00 - 0.00
148 Eugenol Btl - 50,417.00 0.00 - 50,417.00
149 Aseptik gel - 0.00 0.00 - 0.00
150 yellow tip - 110.00 0.00 - 110.00
- 0.00 0.00 - 0.00
REAGEN / LAB : - 0.00 0.00 - 0.00
149 Blood Lancets ktk 100 - 4,140.00 0.00 - 4,140.00
150 Ethyl Klorida semprot Botol 500 ml - 187,000.00 0.00 - 187,000.00
151 Gluco Protein Test Urine ktk 10 - 1,098.00 0.00 - 1,098.00
152 Gol. Darah Anti B btl - 0.00 0.00 - 0.00
153 Gol. Darah Anti A, B btl - 0.00 0.00 - 0.00
154 Gol. Darah Anti A btl - 0.00 0.00 - 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500.00 0.00 - 82,500.00
156 Larutan HCL 0,1 N btl 250 ml - 55,000.00 0.00 - 55,000.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500.00 0.00 - 159,500.00
158 Larutan Methyl Blue btl 100 ml - 99,000.00 0.00 - 99,000.00
159 Larutan Turk btl 100 ml - 0.00 0.00 - 0.00
160 Larutan Giemsa btl 500 ml - 263,184.00 0.00 - 263,184.00
161 Needle flashback ktk 50 - 1,701.00 0.00 - 1,701.00
162 Oil Imersion btl 10 ml - 110,000.00 0.00 - 110,000.00
163 Pot Dahak btl 10 ml - 3,069.00 0.00 - 3,069.00
164 Rapid Test HbsAg Kotak - 8,100.00 0.00 - 8,100.00
165 Slide Kaca ktk - 275.00 0.00 - 275.00
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200.00 0.00 - 6,200.00
167 Stik Cholesterol Mission ktk 25 pcs - 22,280.00 0.00 - 22,280.00
168 Stik Glucosa Benechek ktk 50 pcs - 3,341.00 0.00 - 3,341.00
169 Stik protein Urine - 0.00 0.00 - 0.00
170 Vakum EDTA 3 mL 100 Pcs - 1,205.00 0.00 - 1,205.00
171 Virotec Dengue Combo Ktk 25 - 64,171.00 0.00 - 64,171.00
172 RDT HIV 1+2 0.00
173 RDT HIV 1/2 (3.0) 0.00
174 RDT HIV D.S 0.00
175 RDT Malaria 0.00
176 RDT Sifilis 0.00
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
RDT Dengue 0.00
RDT Antigen 0.00
BMHP APBD : - 0.00 0.00 - 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023.00 0.00 - 1,023.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683.00 0.00 2 - 2 683.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924.00 0.00 - 924.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045.00 0.00 - 1,045.00
5 Alkohol 70 % btl 1 liter - 29,375.00 0.00 - 29,375.00
6 Alkohol Swab 0,5 % pcs - 128.55 0.00 90 - 90 128.55
7 Bisturi ktk 100 - 10,733.00 0.00 - 10,733.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873.00 0.00 - 2,873.00
9 Foley Catheter 16 pcs - 153.00 0.00 - 153.00
10 Hand Scoon 7 (Steril) pcs - 6,142.00 0.00 - 6,142.00
11 Hand Scoon L ktk 100 - 1,435.00 0.00 - 1,435.00
12 Hand Scoon M ktk 100 100 - 100 1,435.00 143,500.00 16 - 16 1,435.00
13 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
14 Hand Scoon S ktk 100 - 8,470.00 0.00 - 8,470.00
15 Infusion Dewasa ktk 50 - 9,181.00 0.00 1 - 1 9,181.00
16 Infusion set anak set / kantong - 6,983.00 0.00 1 - 1 6,983.00
17 IV Catheter No. 22 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
18 IV Catheter No. 18 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
19 IV Catheter No. 24 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
20 Kantong Limbah uk. L Pcs - 5,400.00 0.00 - 5,400.00
21 Kantong Limbah uk. M Pcs - 15,000.00 0.00 - 15,000.00
22 Kapas Pembalut 250 gr rol - 1,448.00 0.00 - 1,448.00
23 Kasa hidrofil 40 x 80 cm pcs - 77,600.00 0.00 - 77,600.00
24 Kasa hidrofil 40 x 80 cm pcs - 2,354.00 0.00 - 2,354.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610.00 0.00 - 5,610.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339.00 0.00 - 20,339.00
27 Kasa steril 16 cmx16 cm ktk - 24,254.00 0.00 - 24,254.00
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472.00 0.00 - 3,472.00
29 Lysol btl - 442.00 0.00 - 442.00
30 Masker hijab / Karet ktk 50 pcs - 2,185.00 0.00 - 2,185.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 50 - 50 5,280.00 264,000.00 - 5,280.00
32 Mucus Extractor Pcs - 5,865.00 0.00 - 5,865.00
33 Oxyflow Anak - 8,040.00 0.00 - 8,040.00
34 Oxyflow Dewasa pcs - 5,000.00 0.00 - 5,000.00
35 Pembalut Elastis roll - 5,000.00 0.00 - 5,000.00
36 Polifix 5 cmx 5 m Roll - 64,171.00 0.00 - 64,171.00
37 Polifix Aximed 5 cm x 10 m Roll - 0.00 0.00 - 0.00
38 Silk 3/0 HR - 20 ktk 12 - 15,092.00 0.00 - 15,092.00
39 Test Kehamilan ktk 50 - 0.00 0.00 - 0.00
40 Umbilical cord klem ktk 50 pcs - 0.00 0.00 - 0.00
41 Underpad Pcs - 0.00 0.00 - 0.00
42 Urin Bag 10 pcs - 0.00 0.00 - 0.00
- 0.00 0.00 - 0.00
PROGRAM GIZI /KIA - 0.00 0.00 - 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 - 0.00 0.00 - 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955.00 0.00 - 9,955.00
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913.00 0.00 - 1,913.00
4 Eutyrox 50 mg Tab. Tablet - 0.00 0.00 - 0.00
5 Fe ktk 100 80 - 80 409.00 32,720.00 40 - 40 409.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545.00 0.00 - 3,545.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684.00 0.00 - 2,684.00
8 MgSO4 40 % Botol 25 mL - 3,796.00 0.00 - 3,796.00
9 Mineral Mix Shaset - 3,116.00 0.00 - 3,116.00
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600.00 0.00 - 2,600.00
11 Oxytocin Inj. Box @ 100 - 1,232.00 0.00 - 1,232.00
12 Stik shipyllis Box @ 25 - 10,800.00 0.00 - 10,800.00
13 Vit. K inj. Box @ 30 - 4,236.00 0.00 - 4,236.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305.00 0.00 - 305.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637.00 0.00 - 637.00
TOTAL OBAT & BMHP APBD - 0.00 598,535.00 - 0.00
OBAT & BMHP JKN : - 0.00 0.00 - 0.00
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096.00 0.00 - 1,096.00
2 Acyclovir 400 mg Tab Box @ 100 - 990.88 0.00 - 990.88
3 Acyclovir cream Tube - 4,125.00 0.00 - 4,125.00
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100.00 0.00 - 1,100.00
5 Allopurinol 100 mg Tab. Box @ 100 - 247.50 0.00 - 247.50
6 Allopurinol 300 mg Tab. Box @ 100 - 566.50 0.00 - 566.50
7 Ambroxol syr. Botol - 4,840.00 0.00 5 - 5 4,840.00
8 Ambroxol Tab. Box @ 100 30 - 30 165.00 4,950.00 100 - 100 165.00
9 Amlodipine 10 mg Tab. Box @ 30 - 495.00 0.00 - 495.00
10 Amlodipine 5 mg Tab. Box @ 100 - 445.50 0.00 - 445.50
11 Amoxycillin 500 mg Tab. Box @ 100 - 407.00 0.00 - 407.00
12 Amoxycillin Syr. Botol 4 - 4 5,478.00 21,912.00 - 5,478.00
13 Antasid Syr. Botol - 3,900.00 0.00 - 3,900.00
14 Antasida Tab. Box @ 100 - 165.00 0.00 - 165.00
15 Asam Folat Box@100 - 110.00 0.00 - 110.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011.00 0.00 - 2,011.00
18 Aseptic Gell Botol 450 mL - 55,000.00 0.00 - 55,000.00
19 Bedak Salicyl Pcs - 6,426.00 0.00 - 6,426.00
20 Betahistine 6 mg Tab. Box @ 100 100 - 100 1,015.00 101,500.00 50 - 50 1,015.00
21 Bethametasone salep Tube - 3,520.00 0.00 - 3,520.00
22 Bioplacenton gel 15 gram Tube - 17,650.00 0.00 - 17,650.00
23 Bisolvon sol Botol - 105,600.00 0.00 - 105,600.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000.00 0.00 - 220,000.00
25 Calcii Gluconas Inj. Box @ 24 - 4,053.50 0.00 - 4,053.50
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165.00 0.00 - 165.00
27 Captopril 12,5 mg Tab. Box @ 100 - 104.50 0.00 - 104.50
28 Captopril 25 mg Tab. Box @ 100 - 132.00 0.00 - 132.00
29 Cefadroxil 125 mg Syr. Botol - 7,700.00 0.00 - 7,700.00
30 Cefadroxil 500 mg Cap. Box @ 100 - 899.00 0.00 - 899.00
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720.00 0.00 - 5,720.00
32 Cetirizine Syr Botol 5 - 5 6,270.00 31,350.00 - 6,270.00
33 Cetirizine Tab. Box @ 100 100 - 100 502.00 50,200.00 - 502.00
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460.00 0.00 - 9,460.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010.00 0.00 - 10,010.00
36 Chloramfenicol salep (Fasycol) Tube 10 - 10 4,703.00 47,030.00 1 5 - 6 4,703.00
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720.00 0.00 - 720.00
38 Cotrimoksazol 480 mg Box @ 100 - 289.85 0.00 - 289.85
39 Cotrimoxazole syr. Botol - 4,290.00 0.00 - 4,290.00
40 CPZ 100 mg Tab. Box @ 100 - 432.70 0.00 - 432.70
41 CTM Btl @ 100 - 61.60 0.00 - 61.60
42 Daryantulle Box @ 10 - 27,500.00 0.00 - 27,500.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 149.80 0.00 100 - 100 149.80
44 Dexamethasone Inj. Box @ 100 - 2,416.00 0.00 - 2,416.00
45 Dextrose 40 25 mL Botol - 12,760.00 0.00 - 12,760.00
46 Difenhydramine inj. Box @ 30 - 1,862.67 0.00 - 1,862.67
47 Domperidone Syr. Botol - 6,600.00 0.00 - 6,600.00
48 Domperidone Tab. Box @ 100 - 271.70 0.00 - 271.70
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466.49 0.00 - 466.49
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240.00 0.00 - 31,240.00
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,716.67 0.00 - 20,716.67
52 Dulcolax tab./ Laxana Box @ 10 - 1,980.00 0.00 - 1,980.00
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800.00 0.00 - 19,800.00
54 Ephineprin Inj. Box @ 30 - 8,983.33 0.00 - 8,983.33
55 Ergotamine + Caffein Box @ 100 - 306.00 0.00 - 306.00
56 Etil Klorida 100 ml Botol - 223,850.00 0.00 - 223,850.00
57 Garam Oralit Box @ 100 - 352.00 0.00 - 352.00
58 Gentamicin SK Box @ 10 - 3,630.00 0.00 - 3,630.00
59 Gentamicin Salep Mata (Genoint) Tube - 8,580.00 0.00 - 8,580.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110.00 0.00 - 11,110.00
61 Gentian Violet Box @ 24 - 3,850.00 0.00 - 3,850.00
62 Glibenclamide Tab. Box @ 100 - 222.59 0.00 - 222.59
63 Gliceril Guaiakolat Tab. Box @ 100 - 130.24 0.00 - 130.24
64 Glucosa infus 10 % Box @ 20 - 10,175.00 0.00 - 10,175.00
65 Guanistrep syr. Botol - 8,470.00 0.00 - 8,470.00
66 H2O2 3 % 100 mL Botol - 7,370.00 0.00 - 7,370.00
67 H2O2 3 % 800 mL Botol - 36,300.00 0.00 - 36,300.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364.00 0.00 100 - 100 1,364.00
69 Ibuprofen 200 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
70 Ibuprofen 400 mg Tab. Box @ 100 - 368.06 0.00 - 368.06
71 Ibuprofen Syr Botol - 6,160.00 0.00 - 6,160.00
72 INH 100 mg Tab. Box @ 100 - 185.00 0.00 - 185.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165.00 0.00 - 165.00
74 K-EN-3B infus Box @ 20 - 28,600.00 0.00 - 28,600.00
75 Ketoconazole 200 mg Tab. Box @ 50 - 506.00 0.00 - 506.00
76 Ketokonazole Salep Tube - 4,950.00 0.00 - 4,950.00
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042.00 0.00 - 5,042.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114.00 0.00 - 3,114.00
79 Lidocain Inj. Box @ 100 - 1,430.00 0.00 - 1,430.00
80 Loratadine 10 mg Tab. Box @ 50 - 333.00 0.00 - 333.00
81 Metformin 500 mg Tab. Box @ 100 - 193.00 0.00 - 193.00
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440.00 0.00 - 440.00
83 Metronidazole 500 mg Tab. Box @ 100 - 379.50 0.00 - 379.50
84 MgSO4 40 % Botol - 14,754.30 0.00 - 14,754.30
85 Miconazole Salep Tube - 4,730.00 0.00 - 4,730.00
86 NaCl infus Box @ 20 - 8,800.00 0.00 - 8,800.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205.00 0.00 - 205.00
88 Neurobion Inj 5000 Ktk @ 20 - 11,750.00 0.00 - 11,750.00
89 Nifedipine 10 mg Tab Box @ 100 - 220.00 0.00 - 220.00
90 Nystatin drop (Cazetin drop ) Botol 5 - 5 24,420.00 122,100.00 - 24,420.00
91 Nystatin Vag ovula Box @ 100 - 828.00 0.00 - 828.00
92 Omeprazole kap. Box @ 30 - 414.33 0.00 40 - 40 414.33
93 Ondancentron Inj Ktk @ 5 - 7,700.00 0.00 - 7,700.00
94 Oxytocin Inj. Box @ 100 - 3,685.00 0.00 - 3,685.00
95 Oxytetracycline salep mata Tube - 6,270.00 0.00 - 6,270.00
96 Paracetamol 500 mg Tab. Botol @ 100 - 316.81 0.00 - 316.81
97 Paracetamol Syr. Botol - 4,180.00 0.00 - 4,180.00
98 Phenol Glycerol TT Botol - 6,047.80 0.00 - 6,047.80
99 Piroxicam 10 mg Tab. Box @ 100 - 123.00 0.00 - 123.00
100 Povidone Iodine 300 mL Botol - 33,000.00 0.00 - 33,000.00
101 Povidone Iodine 1 Liter Botol - 99,000.00 0.00 - 99,000.00
102 Prednison 5 mg Tab. Box @ 100 - 285.00 0.00 - 285.00
103 Primaquin tab. Box @ 100 - 304.00 0.00 - 304.00
104 Ranitidine Inj. Box @ 10 - 7,150.00 0.00 - 7,150.00
105 Ranitidine Tab. Box @ 100 - 320.00 0.00 - 320.00
106 Ringer Laktat Infus Box @ 20 - 9,570.00 0.00 - 9,570.00
107 Salbutamol 2mg Tab. Box @ 100 - 158.40 0.00 - 158.40
108 Scabimid krim 10 gr Tube - 58,850.00 0.00 - 58,850.00
109 Simvastatin 20 mg Tab. Box @ 100 - 564.41 0.00 - 564.41
110 Thrombophob gel 20 Gram Tube - 62,000.00 0.00 - 62,000.00
111 Ultrasonic Gel 250 mL Botol - 24,200.00 0.00 - 24,200.00
112 Ventolin Nebulizer Box @ 20 - 14,025.00 0.00 - 14,025.00
113 Vit B.1 Box @ 100 - 132.00 0.00 100 - 100 132.00
114 Vit B6 Box @ 100 - 132.00 0.00 - 132.00
115 Vit. B-Complex Btl @ 100 - 220.00 0.00 - 220.00
116 Vit K inj. Box @ 5 - 7,150.00 0.00 - 7,150.00
117 Vit K Tab. Box @ 100 - 1,320.00 0.00 - 1,320.00
118 Water for Inj. 10 mL Botol - 5,940.00 0.00 - 5,940.00
119 Water for Inj. 25 mL Botol - 9,020.00 0.00 - 9,020.00
120 Zinc / Lecozinc Syr. Botol - 7,000.00 0.00 - 7,000.00
121 Zinc Tab. Box @ 100 - 675.00 0.00 - 675.00
BMHP : - 0.00 0.00 - 0.00
1 Abbocat 18 G Box @ 50 - 5,500.00 0.00 - 5,500.00
2 Abbocat 20 G Box @ 50 - 5,500.00 0.00 - 5,500.00
PUSBAN MATA AIR PUSBAN BANGUN MULYA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
3 Abbocat 22 G Box @ 50 - 6,050.00 0.00 - 6,050.00
4 Abbocat 24 G Box @ 50 - 13,000.00 0.00 - 13,000.00
5 Abbocat 26 G Box @ 50 - 5,500.00 0.00 - 5,500.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880.00 0.00 - 880.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000.00 0.00 - 11,000.00
8 Alkohol 300 mL Botol - 24,065.00 0.00 - 24,065.00
9 Alkohol Swab Bok - 182.00 0.00 - 182.00
10 Bisturi no. 11 G Box @ 100 - 1,100.00 0.00 - 1,100.00
11 Blood set Box @ 50 - 6,900.30 0.00 - 6,900.30
12 Cat Gut Plain 3/0 Box @ 24 - 8,800.00 0.00 - 8,800.00
13 Folley Catheter Fr. 16 Box @ 10 - 12,100.00 0.00 - 12,100.00
14 Folley Catheter Fr. 18 Box @ 10 - 12,100.00 0.00 - 12,100.00
15 Hand scoon steril No. 7 Box @ 50 - 11,000.00 0.00 - 11,000.00
16 Hand scoon nonsteril No. L Box @100 - 1,700.60 0.00 - 1,700.60
17 Hand scoon nonsteril No. M Box @100 - 1,700.60 0.00 - 1,700.60
18 Hand scoon nonsteril No. S Box @100 - 1,700.60 0.00 - 1,700.60
19 Infuset Dewasa Pcs - 4,400.00 0.00 - 4,400.00
20 Kassa 40 x 80 Roll - 120,000.00 0.00 - 120,000.00
21 Kassa steril Box - 4,000.00 0.00 - 4,000.00
22 Masker Bedah Box @ 50 - 806.30 0.00 - 806.30
23 Masker Oxigen Anak Pcs - 16,500.00 0.00 - 16,500.00
24 Masker Oxigen dws Pcs - 16,500.00 0.00 - 16,500.00
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800.00 0.00 - 30,800.00
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800.00 0.00 - 30,800.00
27 Mucus extractor Box @ 25 - 7,700.00 0.00 - 7,700.00
28 Nasal canul Bayi Pcs - 11,000.00 0.00 - 11,000.00
29 Nasal canul anak Pcs - 11,000.00 0.00 - 11,000.00
30 Nasal canul dewasa Pcs - 11,000.00 0.00 - 11,000.00
31 Needle 23 G Box @100 - 220.00 0.00 - 220.00
32 NGT Fr. 3,5 Pcs - 49,500.00 0.00 - 49,500.00
33 NGT No. 16 Pcs - 49,500.00 0.00 - 49,500.00
34 Nurse Cup Box @100 - 605.00 0.00 - 605.00
35 Pot salep 20 gr Pot - 880.00 0.00 - 880.00
36 Sendok obat Pcs - 599.50 0.00 - 599.50
37 Silk 3/0 Box @ 36 - 11,000.00 0.00 - 11,000.00
38 Silk 4/0 Box @ 12 - 11,000.00 0.00 - 11,000.00
39 Sungkup nebulizer anak Pcs - 27,500.00 0.00 - 27,500.00
40 Sungkup nebulizer bayi Pcs - 22,000.00 0.00 - 22,000.00
41 Sungkup nebulizer Dws Pcs - 27,500.00 0.00 - 27,500.00
42 Umbilical cord Pcs - 1,540.00 0.00 - 1,540.00
43 Underpad Box @ 10 - 4,840.00 0.00 - 4,840.00
44 Utrafix 5 x 10 Roll - 71,500.00 0.00 - 71,500.00
45 Utrafix 5 x 5 Roll - 20,570.00 0.00 - 20,570.00
46 Urine Bag Pcs - 7,700.00 0.00 - 7,700.00
47 Verban 4 x 10 Roll - 3,500.20 0.00 - 3,500.20
48 Verban 4 x 5 Roll - 1,300.00 0.00 - 1,300.00
REAGEN : - 0.00 0.00 - 0.00
49 Blue Tip Pak @ 100 - 132.00 0.00 - 132.00
50 Cover Glass 20 x 20 Pcs - 308.00 0.00 - 308.00
51 Diatro Cleaner Botol 1 L - 759,000.00 0.00 - 759,000.00
52 Diatro Dilluent Botol 1 L - 2,178,000.00 0.00 - 2,178,000.00
53 Diatro Lyse Botol 1 L - 1,863,400.00 0.00 - 1,863,400.00
54 Gol. Darah Anti A Botol - 110,000.00 0.00 - 110,000.00
55 Gol. Darah Anti B Botol - 110,000.00 0.00 - 110,000.00
56 Gol. Darah resus anti D Botol - 132,000.00 0.00 - 132,000.00
57 HCL Alkohol 3 % Botol 100 mL - 55,000.00 0.00 - 55,000.00
58 Salmonella Thypi AO Botol - 181,500.00 0.00 - 181,500.00
59 Salmonella Thypi BO Botol - 181,500.00 0.00 - 181,500.00
60 Salmonella Thypi H Botol - 181,500.00 0.00 - 181,500.00
61 Salmonella Thypi O Botol - 181,500.00 0.00 - 181,500.00
62 Serum Kontrol Botol - 715,000.00 0.00 - 715,000.00
63 Spiritus Botol - 33,000.00 0.00 - 33,000.00
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600.00 0.00 - 6,600.00
65 Stik GDS Benecheck Btl @ 50 - 3,520.00 0.00 - 3,520.00
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500.00 0.00 - 27,500.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900.00 0.00 - 9,900.00
68 Tabung EDTA 3 mL Botol - 1,540.00 0.00 - 1,540.00
69 Tes Kehamilan Box @ 50 - 1,478.40 0.00 - 1,478.40
70 Urine Stik 10 Para Btl @100 - 2,035.00 0.00 - 2,035.00
71 Yellow tip Pcs - 110.00 0.00 - 110.00
250,680.00

849,215
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 0.00 - 153.00 0.00
2 Acetylcystein 200 mg Cap. ktk 100 0.00 - 412.00 0.00
3 Acyclovir 200 mg ktk 10 x 10 0.00 - 236.00 0.00
4 Acyclovir 400 mg ktk 10 x 10 0.00 - 300.00 0.00
5 Allupurinol 100 mg ktk 100 8,900.00 - 89.00 0.00
6 Ambroxol syr. Botol 0.00 - 3,639.00 0.00
7 Amitriptiline HCl 25 mg ktk 100 0.00 - 168.00 0.00
8 Amlodipin 5 mg ktk 30 5,180.00 - 74.00 0.00
9 Amlodipin 10 mg ktk 30 41,600.00 - 520.00 0.00
10 Amoksisilin 250 mg ktk 10x 10 0.00 - 188.00 0.00
11 Amoksisilin 500 mg ktk 10x 11 32,340.00 - 231.00 0.00
12 Amoksisilin syr Botol 8,200.00 - 2,050.00 0.00
13 Antasida doen tablet kotak ktk 10 x10 5,400.00 - 54.00 0.00
14 Antasida syr. Botol 0.00 - 1,756.00 0.00
15 Antasida Tab. ktk 10 x 10 0.00 140 - 140 0.00
16 Anti Hemoroid ktk 10 13,040.00 - 3,260.00 0.00
17 Antides ( Attapulgite ) ktk 100 0.00 200 - 200 175.00 35,000.00
18 Aqua pro inj btl 0.00 - 2,860.00 0.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 4,140.00 - 46.00 0.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 0.00 - 45.00 0.00
21 Asam Mefenamat 250 mg kotak 10 x 10 0.00 - 175.00 0.00
22 Asam Mefenamat 500 mg kotak 10 x 10 4,680.00 85 - 85 117.00 9,945.00
23 Atropin 0.5 mg tablet ktk 100 tablet 0.00 - 81.00 0.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 0.00 - 1,353.00 0.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 0.00 - 175.00 0.00
26 Betahistine 6 mg ktk 30 0.00 - 119.00 0.00
27 Betamethason Salep ktk 25 0.00 - 1,920.00 0.00
28 Bioplacenton Tulle Tulle 0.00 - 10,733.00 0.00
29 Bisacodil 10 mg ktk 50 sup 0.00 - 5,800.00 0.00
30 Bisacodil 5 mg ktk 6 sup 0.00 - 5,800.00 0.00
31 Bufacetine salep kulit Tube 0.00 - 3,360.00 0.00
32 Captopril 50 mg ktk 10 x 10 tablet 0.00 - 143.00 0.00
33 Captopril 12,5 mg ktk 10 x 10 3,900.00 - 65.00 0.00
34 Captopril 25 mg ktk 10 x 10 tablet 0.00 40 - 40 75.00 3,000.00
35 Cetirizine 10 mg ktk 10 x 10 0.00 - 104.00 0.00
36 Cetirizine sirup botol 0.00 - 3,061.00 0.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 0.00 - 260.00 0.00
38 Clindamycin HCI 300mg Cap. ktk 50 0.00 - 660.00 0.00
39 Cloramfenicol salep mata ktk 24 tube 0.00 - 1,925.00 0.00
40 Clorpromazine 100 mg ktk 10 x 10 0.00 - 153.00 0.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 1,470.00 - 49.00 0.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 0.00 - 1,226.00 0.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 0.00 - 2,336.00 0.00
44 Deksamethasone Tablet btl 10 x 10 tablet 0.00 - 75.00 0.00
45 Diazepam 2 mg Tab. Box @ 100 0.00 - 86.00 0.00
46 Diazepam 05 mg inj ktk 10 amp 0.00 - 1,545.00 0.00
47 Diazepam Stesolid 10 mg ktk 5 amp 0.00 - 18,458.00 0.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 0.00 - 1,156.00 0.00
49 Digoksin ktk 10 x 10 0.00 - 96.00 0.00
50 Dimenhidrinat 50 mg btl 100 0.00 - 121.00 0.00
51 Doksisiklin 100 mg Ktk 100 0.00 - 309.00 0.00
52 Domperidon 10 mg kotak 10 x 10 0.00 - 75.00 0.00
53 Domperidon Sirup btl 0.00 - 3,180.00 0.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 0.00 - 1,740.00 0.00
55 Ergotamine + Caffein Botol @ 100 0.00 - 199.00 0.00
56 Eritromisin 250 mg ktk 12 x 10 tablet 0.00 - 509.00 0.00
57 Eritromisin 500 mg ktk 10 x 10 tablet 0.00 - 913.00 0.00
58 Fenobarbital inj ktk 30 Ampul 0.00 - 1,980.00 0.00
59 Furosemid 40 mg ktk 200 tab 0.00 - 84.00 0.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 0.00 - 2,012.00 0.00
61 Garam Oralit ktk 100 7,840.00 - 280.00 0.00
62 Gentamisin TTS Mata ktk 24 btl 0.00 - 4,600.00 0.00
63 Glibenclamide 5 mg Tab. ktk 100 0.00 - 137.00 0.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 0.00 - 5,867.00 0.00
65 Glukosa larutan infus 5 % btl 500 ml 0.00 - 6,627.00 0.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 0.00 - 157.00 0.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 0.00 - 210.00 0.00
68 Haloperidol 0,5 mg ktk 10 x 10 0.00 - 62.00 0.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 0.00 - 76.00 0.00
70 Haloperidol decanoate 50 mg ktk 5 amp 0.00 - 97,500.00 0.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 6,975.00 - - - 2,325.00 0.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 0.00 - 178.00 0.00
73 Ibuprofen sirup btl 60 ml 0.00 - 2,678.00 0.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 0.00 - 111.00 0.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 0.00 - 157.00 0.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 0.00 - 98.00 0.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 6,600.00 45 - 45 60.00 2,700.00
78 Karbamazepin 200 mg ktk 10 x 10 0.00 - 269.00 0.00
79 Ketoconazole 200mg Tab. Box @ 50 0.00 - 286.00 0.00
80 Ketoconazole salep ktk 25 tube 0.00 - 2,577.00 0.00
81 Ketorolac inj 30 mg ktk 12 ampul 0.00 - 1,383.00 0.00
82 Klonidin 0,15 mg ktk 10 x 10 0.00 - 224.00 0.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 0.00 - 329.00 0.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 2,400.00 - 24.00 0.00
85 Kodein Tablet 10 mg ktk 10 x 10 0.00 - 550.00 0.00
86 Kotrimoksasol 480 mg ktk 100 19,800.00 - 220.00 0.00
87 Kotrimoksasol Syr. Botol 0.00 - 2,052.00 0.00
88 Lidocain 2 % inj ktk 100 0.00 - 891.00 0.00
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube 0.00 - 40,000.00 0.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 0.00 - 2,122.00 0.00
91 Loperamid 2 mg ktk 10 x 10 0.00 - 97.00 0.00
92 Loratadine tab 10 mg ktk 10x 10 0.00 - 149.00 0.00
93 Lysol btl 0.00 - 45,100.00 0.00
94 Magnesium sulfat inj 20% btl 0.00 - 2,122.00 0.00
95 Meloxicam 7,5 mg Tab. Box @ 30 0.00 - 723.00 0.00
96 Meloxicam 15 mg Tab. Box @ 30 0.00 - 1,377.00 0.00
97 Metformin 500 mg ktk 10x 10 0.00 - - - 77.00 0.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 0.00 - 102.00 0.00
99 Metilergometrin injeksi ktk 100 0.00 - 3,399.00 0.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 0.00 - 242.00 0.00
101 Metoklopramid 10 mg ktk 10 x 10 0.00 - 111.00 0.00
102 Metoklopramid Sirup (Lexapram) btl 0.00 - 2,750.00 0.00
103 Metronidazol 500 mg ktk 100 7,000.00 - 140.00 0.00
104 Metronidazol Sirup btl 60 ml 0.00 - 3,800.00 0.00
105 Miconazole 2% krem tube 10 gram 1,900.00 - - - 1,900.00 0.00
106 Natrium Chlorida 0,9 % btl 500 ml 0.00 - 6,900.00 0.00
107 Natrium diklofenak 50 mg kotak 50 tablet 0.00 - - - 109.00 0.00
108 Nifedipin tab ktk 10 x 10 tablet 0.00 - 123.00 0.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 0.00 - 688.00 0.00
110 OBH syr. Botol 0.00 - 3,500.00 0.00
111 Omeprazol 20 mg ktk 3x 10 0.00 - 164.00 0.00
112 OAM 0.00 0.00
113 Oxytetrasiklin salep mata ktk 25 0.00 - 2,600.00 0.00
114 Oxytocin injeksi btl 15 ml 0.00 - 2,774.00 0.00
115 Pantocain 0,5 % tetes mata btl 5 mL 0.00 - 11,500.00 0.00
116 Paracetamol tab 500 mg ktk 100 tablet 0.00 - 225.00 0.00
117 Parasetamol Sirup btl 8,120.00 - 1,160.00 0.00
118 Phenol Glycerol TTS telinga btl 0.00 - 2,500.00 0.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 0.00 - 818.00 0.00
120 Phitomenadion Vit K inj ktk 30 0.00 - 1,452.00 0.00
121 Povidon Iodida 10 % 300 ml btl 300 ml 0.00 - 21,150.00 0.00
122 Prednison 5 mg ktk 10 x 10 tablet 0.00 - 73.00 0.00
123 Primaquin 15 mg ktk 10 x 10 tablet 0.00 - 235.00 0.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 0.00 - 80.00 0.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 0.00 - 297.00 0.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 13,500.00 - 150.00 0.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 0.00 - 1,155.00 0.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 0.00 - 119.00 0.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 0.00 - 327.00 0.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 0.00 - 505.00 0.00
131 Rifampicin 600 mg ktk 100 0.00 - 1,420.00 0.00
132 Ringer Laktat Infus btl 7,703.00 - 7,703.00 0.00
133 Risperidon 2 mg ktk 100 0.00 - 130.00 0.00
134 Rivanol botol 300 ml 0.00 - 3,850.00 0.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 0.00 - 51.00 0.00
136 Serum ABU Vial 0.00 - 0.00 0.00
137 Sikzonoate inj ktk 5 amp 0.00 - 57,500.00 0.00
138 Simvastatin 10 mg ktk 30 0.00 - - - 117.00 0.00
139 Stesolid 10 mg/2,5 ml rektal tube 0.00 - 18,458.00 0.00
140 Stesolid 5 mg/2,5 ml rektal tube 0.00 - 14,459.00 0.00
141 Tablet Tambah Darah ktk 30 0.00 - 409.00 0.00
142 Thiamin ( vitamin B1 ) kotak 100 0.00 - 94.00 0.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 0.00 - 2,680.00 0.00
144 Triheksifenidil tab Kotak 10 x 10 tablet 0.00 - 97.00 0.00
145 Vit B Komplek Tablet btl 100 4,200.00 - - - 60.00 0.00
146 Zink tablet ktk 10 x 10 0.00 150 - 150 253.00 37,950.00
147 Zirkum kids sirup botol 0.00 - 3,285.00 0.00
0.00 - 0.00 0.00
OBAT GIGI : 0.00 - 0.00 0.00
148 Eugenol Btl 0.00 - 50,417.00 0.00
149 Aseptik gel 0.00 - 0.00 0.00
150 yellow tip 0.00 - 110.00 0.00
0.00 - 0.00 0.00
REAGEN / LAB : 0.00 - 0.00 0.00
149 Blood Lancets ktk 100 0.00 - 4,140.00 0.00
150 Ethyl Klorida semprot Botol 500 ml 0.00 - 187,000.00 0.00
151 Gluco Protein Test Urine ktk 10 0.00 - 1,098.00 0.00
152 Gol. Darah Anti B btl 0.00 - 0.00 0.00
153 Gol. Darah Anti A, B btl 0.00 - 0.00 0.00
154 Gol. Darah Anti A btl 0.00 - 0.00 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml 0.00 - 82,500.00 0.00
156 Larutan HCL 0,1 N btl 250 ml 0.00 - 55,000.00 0.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 0.00 - 159,500.00 0.00
158 Larutan Methyl Blue btl 100 ml 0.00 - 99,000.00 0.00
159 Larutan Turk btl 100 ml 0.00 - 0.00 0.00
160 Larutan Giemsa btl 500 ml 0.00 - 263,184.00 0.00
161 Needle flashback ktk 50 0.00 - 1,701.00 0.00
162 Oil Imersion btl 10 ml 0.00 - 110,000.00 0.00
163 Pot Dahak btl 10 ml 0.00 - 3,069.00 0.00
164 Rapid Test HbsAg Kotak 0.00 - 8,100.00 0.00
165 Slide Kaca ktk 0.00 - 275.00 0.00
166 Stik Asam Urat Benechek ktk 25 pcs 0.00 - 6,200.00 0.00
167 Stik Cholesterol Mission ktk 25 pcs 0.00 - 22,280.00 0.00
168 Stik Glucosa Benechek ktk 50 pcs 0.00 - 3,341.00 0.00
169 Stik protein Urine 0.00 - 0.00 0.00
170 Vakum EDTA 3 mL 100 Pcs 0.00 - 1,205.00 0.00
171 Virotec Dengue Combo Ktk 25 0.00 - 64,171.00 0.00
172 RDT HIV 1+2 0.00 0.00
173 RDT HIV 1/2 (3.0) 0.00 0.00
174 RDT HIV D.S 0.00 0.00
175 RDT Malaria 0.00 0.00
176 RDT Sifilis 0.00 0.00
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
RDT Dengue 0.00 0.00
RDT Antigen 0.00 0.00
BMHP APBD : 0.00 - 0.00 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 0.00 - 1,023.00 0.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 1,366.00 - 683.00 0.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 0.00 - 924.00 0.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 0.00 - 1,045.00 0.00
5 Alkohol 70 % btl 1 liter 0.00 - 29,375.00 0.00
6 Alkohol Swab 0,5 % pcs 11,569.50 - 128.55 0.00
7 Bisturi ktk 100 0.00 - 10,733.00 0.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 0.00 - 2,873.00 0.00
9 Foley Catheter 16 pcs 0.00 - 153.00 0.00
10 Hand Scoon 7 (Steril) pcs 0.00 - 6,142.00 0.00
11 Hand Scoon L ktk 100 0.00 - 1,435.00 0.00
12 Hand Scoon M ktk 100 22,960.00 - 1,435.00 0.00
13 Hand Scoon M ktk 100 0.00 - 1,435.00 0.00
14 Hand Scoon S ktk 100 0.00 - 8,470.00 0.00
15 Infusion Dewasa ktk 50 9,181.00 - 9,181.00 0.00
16 Infusion set anak set / kantong 6,983.00 - 6,983.00 0.00
17 IV Catheter No. 22 G 50 buah / kotak 0.00 - 4,818.00 0.00
18 IV Catheter No. 18 G 50 buah / kotak 0.00 - 4,818.00 0.00
19 IV Catheter No. 24 G 50 buah / kotak 0.00 - 4,818.00 0.00
20 Kantong Limbah uk. L Pcs 0.00 - 5,400.00 0.00
21 Kantong Limbah uk. M Pcs 0.00 - 15,000.00 0.00
22 Kapas Pembalut 250 gr rol 0.00 - 1,448.00 0.00
23 Kasa hidrofil 40 x 80 cm pcs 0.00 - 77,600.00 0.00
24 Kasa hidrofil 40 x 80 cm pcs 0.00 - 2,354.00 0.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 0.00 - 5,610.00 0.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 0.00 - 20,339.00 0.00
27 Kasa steril 16 cmx16 cm ktk 0.00 - 24,254.00 0.00
28 Leukoplast Plester kain 7,5x4,5 pcs 0.00 - 3,472.00 0.00
29 Lysol btl 0.00 - 442.00 0.00
30 Masker hijab / Karet ktk 50 pcs 0.00 - 2,185.00 0.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 0.00 - 5,280.00 0.00
32 Mucus Extractor Pcs 0.00 - 5,865.00 0.00
33 Oxyflow Anak 0.00 - 8,040.00 0.00
34 Oxyflow Dewasa pcs 0.00 - 5,000.00 0.00
35 Pembalut Elastis roll 0.00 - 5,000.00 0.00
36 Polifix 5 cmx 5 m Roll 0.00 - 64,171.00 0.00
37 Polifix Aximed 5 cm x 10 m Roll 0.00 - 0.00 0.00
38 Silk 3/0 HR - 20 ktk 12 0.00 - 15,092.00 0.00
39 Test Kehamilan ktk 50 0.00 - 0.00 0.00
40 Umbilical cord klem ktk 50 pcs 0.00 - 0.00 0.00
41 Underpad Pcs 0.00 - 0.00 0.00
42 Urin Bag 10 pcs 0.00 - 0.00 0.00
0.00 - 0.00 0.00
PROGRAM GIZI /KIA 0.00 - 0.00 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 0.00 - 0.00 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 0.00 - 9,955.00 0.00
3 Diazepam Inj. 5 mg. Box @ 10 0.00 - 1,913.00 0.00
4 Eutyrox 50 mg Tab. Tablet 0.00 - 0.00 0.00
5 Fe ktk 100 16,360.00 100 - 100 409.00 40,900.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 0.00 - 3,545.00 0.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 0.00 - 2,684.00 0.00
8 MgSO4 40 % Botol 25 mL 0.00 - 3,796.00 0.00
9 Mineral Mix Shaset 0.00 - 3,116.00 0.00
10 Oxytetracycline salep mata 1 % Box @ 25 0.00 - 2,600.00 0.00
11 Oxytocin Inj. Box @ 100 0.00 - 1,232.00 0.00
12 Stik shipyllis Box @ 25 0.00 - 10,800.00 0.00
13 Vit. K inj. Box @ 30 0.00 - 4,236.00 0.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 0.00 - 305.00 0.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 0.00 - 637.00 0.00
TOTAL OBAT & BMHP APBD 266,947.50 - 0.00 88,595.00
OBAT & BMHP JKN : 0.00 - 0.00 0.00
1 Acyclovir 200 mg Tab. Box @ 100 0.00 - 1,096.00 0.00
2 Acyclovir 400 mg Tab Box @ 100 0.00 - 990.88 0.00
3 Acyclovir cream Tube 0.00 - 4,125.00 0.00
4 Acetylsystein 200 mg Cap. Box @ 100 0.00 - 1,100.00 0.00
5 Allopurinol 100 mg Tab. Box @ 100 0.00 - 247.50 0.00
6 Allopurinol 300 mg Tab. Box @ 100 0.00 40 - 40 566.50 22,660.00
7 Ambroxol syr. Botol 24,200.00 - 4,840.00 0.00
8 Ambroxol Tab. Box @ 100 16,500.00 - 165.00 0.00
9 Amlodipine 10 mg Tab. Box @ 30 0.00 - 495.00 0.00
10 Amlodipine 5 mg Tab. Box @ 100 0.00 - - - 445.50 0.00
11 Amoxycillin 500 mg Tab. Box @ 100 0.00 - 407.00 0.00
12 Amoxycillin Syr. Botol 0.00 - 5,478.00 0.00
13 Antasid Syr. Botol 0.00 - 3,900.00 0.00
14 Antasida Tab. Box @ 100 0.00 - 165.00 0.00
15 Asam Folat Box@100 0.00 - 110.00 0.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 0.00 - 275.00 0.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 0.00 - 2,011.00 0.00
18 Aseptic Gell Botol 450 mL 0.00 - 55,000.00 0.00
19 Bedak Salicyl Pcs 0.00 - 6,426.00 0.00
20 Betahistine 6 mg Tab. Box @ 100 50,750.00 230 - 230 1,015.00 233,450.00
21 Bethametasone salep Tube 0.00 - 3,520.00 0.00
22 Bioplacenton gel 15 gram Tube 0.00 - 17,650.00 0.00
23 Bisolvon sol Botol 0.00 - 105,600.00 0.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 0.00 - 220,000.00 0.00
25 Calcii Gluconas Inj. Box @ 24 0.00 - 4,053.50 0.00
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 0.00 - 165.00 0.00
27 Captopril 12,5 mg Tab. Box @ 100 0.00 - 104.50 0.00
28 Captopril 25 mg Tab. Box @ 100 0.00 - 132.00 0.00
29 Cefadroxil 125 mg Syr. Botol 0.00 - 7,700.00 0.00
30 Cefadroxil 500 mg Cap. Box @ 100 0.00 - 899.00 0.00
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip 0.00 - 5,720.00 0.00
32 Cetirizine Syr Botol 0.00 - 6,270.00 0.00
33 Cetirizine Tab. Box @ 100 0.00 - 502.00 0.00
34 Chloramfenicol Tetes mata (Reco) Botol 0.00 - 9,460.00 0.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 0.00 - 10,010.00 0.00
36 Chloramfenicol salep (Fasycol) Tube 28,218.00 - 4,703.00 0.00
37 Ciprofloxacin 500 mg tab. Box @ 100 0.00 - 720.00 0.00
38 Cotrimoksazol 480 mg Box @ 100 0.00 - 289.85 0.00
39 Cotrimoxazole syr. Botol 0.00 - 4,290.00 0.00
40 CPZ 100 mg Tab. Box @ 100 0.00 - 432.70 0.00
41 CTM Btl @ 100 0.00 - - - 61.60 0.00
42 Daryantulle Box @ 10 0.00 - 27,500.00 0.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 14,979.80 - 149.80 0.00
44 Dexamethasone Inj. Box @ 100 0.00 - 2,416.00 0.00
45 Dextrose 40 25 mL Botol 0.00 - 12,760.00 0.00
46 Difenhydramine inj. Box @ 30 0.00 - 1,862.67 0.00
47 Domperidone Syr. Botol 0.00 - 6,600.00 0.00
48 Domperidone Tab. Box @ 100 0.00 200 - 200 271.70 54,340.00
49 Doxycicline Cap/ Doxyhat Box @ 100 0.00 - 466.49 0.00
50 Dulcolax 10 mg Sup Ktk @ 5 0.00 - 31,240.00 0.00
51 Dulcolax 5 mg Sup Ktk @ 6 0.00 - 20,716.67 0.00
52 Dulcolax tab./ Laxana Box @ 10 0.00 - 1,980.00 0.00
53 Dumin 125 mg Rectal Ktk @ 5 0.00 - 19,800.00 0.00
54 Ephineprin Inj. Box @ 30 0.00 - 8,983.33 0.00
55 Ergotamine + Caffein Box @ 100 0.00 - 306.00 0.00
56 Etil Klorida 100 ml Botol 0.00 - 223,850.00 0.00
57 Garam Oralit Box @ 100 0.00 - 352.00 0.00
58 Gentamicin SK Box @ 10 0.00 - 3,630.00 0.00
59 Gentamicin Salep Mata (Genoint) Tube 0.00 - 8,580.00 0.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 0.00 4 - 4 11,110.00 44,440.00
61 Gentian Violet Box @ 24 0.00 - 3,850.00 0.00
62 Glibenclamide Tab. Box @ 100 0.00 100 - 100 222.59 22,258.50
63 Gliceril Guaiakolat Tab. Box @ 100 0.00 - 130.24 0.00
64 Glucosa infus 10 % Box @ 20 0.00 - 10,175.00 0.00
65 Guanistrep syr. Botol 0.00 - 8,470.00 0.00
66 H2O2 3 % 100 mL Botol 0.00 - 7,370.00 0.00
67 H2O2 3 % 800 mL Botol 0.00 - 36,300.00 0.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 136,400.00 50 - 50 1,364.00 68,200.00
69 Ibuprofen 200 mg Tab. Box @ 100 0.00 - 275.00 0.00
70 Ibuprofen 400 mg Tab. Box @ 100 0.00 - - - 368.06 0.00
71 Ibuprofen Syr Botol 0.00 - 6,160.00 0.00
72 INH 100 mg Tab. Box @ 100 0.00 - 185.00 0.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 0.00 - 165.00 0.00
74 K-EN-3B infus Box @ 20 0.00 - 28,600.00 0.00
75 Ketoconazole 200 mg Tab. Box @ 50 0.00 - 506.00 0.00
76 Ketokonazole Salep Tube 0.00 - 4,950.00 0.00
77 Ketorolac inj 30mg/mL Box @ 6 0.00 - 5,042.00 0.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 0.00 - 3,114.00 0.00
79 Lidocain Inj. Box @ 100 0.00 - 1,430.00 0.00
80 Loratadine 10 mg Tab. Box @ 50 0.00 - 333.00 0.00
81 Metformin 500 mg Tab. Box @ 100 0.00 - 193.00 0.00
82 Methylprednisolon 4 mg Tab. Box @ 50 0.00 - 440.00 0.00
83 Metronidazole 500 mg Tab. Box @ 100 0.00 - 379.50 0.00
84 MgSO4 40 % Botol 0.00 - 14,754.30 0.00
85 Miconazole Salep Tube 0.00 - 4,730.00 0.00
86 NaCl infus Box @ 20 0.00 - 8,800.00 0.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 0.00 - 205.00 0.00
88 Neurobion Inj 5000 Ktk @ 20 0.00 - 11,750.00 0.00
89 Nifedipine 10 mg Tab Box @ 100 0.00 - 220.00 0.00
90 Nystatin drop (Cazetin drop ) Botol 0.00 - 24,420.00 0.00
91 Nystatin Vag ovula Box @ 100 0.00 - 828.00 0.00
92 Omeprazole kap. Box @ 30 16,573.33 - 414.33 0.00
93 Ondancentron Inj Ktk @ 5 0.00 - 7,700.00 0.00
94 Oxytocin Inj. Box @ 100 0.00 - 3,685.00 0.00
95 Oxytetracycline salep mata Tube 0.00 - 6,270.00 0.00
96 Paracetamol 500 mg Tab. Botol @ 100 0.00 - 316.81 0.00
97 Paracetamol Syr. Botol 0.00 - 4,180.00 0.00
98 Phenol Glycerol TT Botol 0.00 - 6,047.80 0.00
99 Piroxicam 10 mg Tab. Box @ 100 0.00 - 123.00 0.00
100 Povidone Iodine 300 mL Botol 0.00 - 33,000.00 0.00
101 Povidone Iodine 1 Liter Botol 0.00 - 99,000.00 0.00
102 Prednison 5 mg Tab. Box @ 100 0.00 - 285.00 0.00
103 Primaquin tab. Box @ 100 0.00 - 304.00 0.00
104 Ranitidine Inj. Box @ 10 0.00 - 7,150.00 0.00
105 Ranitidine Tab. Box @ 100 0.00 - - - 320.00 0.00
106 Ringer Laktat Infus Box @ 20 0.00 - 9,570.00 0.00
107 Salbutamol 2mg Tab. Box @ 100 0.00 - 158.40 0.00
108 Scabimid krim 10 gr Tube 0.00 - 58,850.00 0.00
109 Simvastatin 20 mg Tab. Box @ 100 0.00 - 564.41 0.00
110 Thrombophob gel 20 Gram Tube 0.00 - 62,000.00 0.00
111 Ultrasonic Gel 250 mL Botol 0.00 - 24,200.00 0.00
112 Ventolin Nebulizer Box @ 20 0.00 - 14,025.00 0.00
113 Vit B.1 Box @ 100 13,200.00 - 132.00 0.00
114 Vit B6 Box @ 100 0.00 - 132.00 0.00
115 Vit. B-Complex Btl @ 100 0.00 - 220.00 0.00
116 Vit K inj. Box @ 5 0.00 - 7,150.00 0.00
117 Vit K Tab. Box @ 100 0.00 - 1,320.00 0.00
118 Water for Inj. 10 mL Botol 0.00 - 5,940.00 0.00
119 Water for Inj. 25 mL Botol 0.00 - 9,020.00 0.00
120 Zinc / Lecozinc Syr. Botol 0.00 - 7,000.00 0.00
121 Zinc Tab. Box @ 100 0.00 - 675.00 0.00
BMHP : 0.00 - 0.00 0.00
1 Abbocat 18 G Box @ 50 0.00 - 5,500.00 0.00
2 Abbocat 20 G Box @ 50 0.00 - 5,500.00 0.00
PUSBAN BANGUN MULYA USILA
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
3 Abbocat 22 G Box @ 50 0.00 - 6,050.00 0.00
4 Abbocat 24 G Box @ 50 0.00 - 13,000.00 0.00
5 Abbocat 26 G Box @ 50 0.00 - 5,500.00 0.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 0.00 - 880.00 0.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 0.00 - 11,000.00 0.00
8 Alkohol 300 mL Botol 0.00 - 24,065.00 0.00
9 Alkohol Swab Bok 0.00 - 182.00 0.00
10 Bisturi no. 11 G Box @ 100 0.00 - 1,100.00 0.00
11 Blood set Box @ 50 0.00 - 6,900.30 0.00
12 Cat Gut Plain 3/0 Box @ 24 0.00 - 8,800.00 0.00
13 Folley Catheter Fr. 16 Box @ 10 0.00 - 12,100.00 0.00
14 Folley Catheter Fr. 18 Box @ 10 0.00 - 12,100.00 0.00
15 Hand scoon steril No. 7 Box @ 50 0.00 - 11,000.00 0.00
16 Hand scoon nonsteril No. L Box @100 0.00 - 1,700.60 0.00
17 Hand scoon nonsteril No. M Box @100 0.00 - 1,700.60 0.00
18 Hand scoon nonsteril No. S Box @100 0.00 - 1,700.60 0.00
19 Infuset Dewasa Pcs 0.00 - 4,400.00 0.00
20 Kassa 40 x 80 Roll 0.00 - 120,000.00 0.00
21 Kassa steril Box 0.00 - 4,000.00 0.00
22 Masker Bedah Box @ 50 0.00 - 806.30 0.00
23 Masker Oxigen Anak Pcs 0.00 - 16,500.00 0.00
24 Masker Oxigen dws Pcs 0.00 - 16,500.00 0.00
25 Masker Oxigen Non Refbreathing anak Pcs 0.00 - 30,800.00 0.00
26 Masker Oxigen Non Refbreathing dws Pcs 0.00 - 30,800.00 0.00
27 Mucus extractor Box @ 25 0.00 - 7,700.00 0.00
28 Nasal canul Bayi Pcs 0.00 - 11,000.00 0.00
29 Nasal canul anak Pcs 0.00 - 11,000.00 0.00
30 Nasal canul dewasa Pcs 0.00 - 11,000.00 0.00
31 Needle 23 G Box @100 0.00 - 220.00 0.00
32 NGT Fr. 3,5 Pcs 0.00 - 49,500.00 0.00
33 NGT No. 16 Pcs 0.00 - 49,500.00 0.00
34 Nurse Cup Box @100 0.00 - 605.00 0.00
35 Pot salep 20 gr Pot 0.00 - 880.00 0.00
36 Sendok obat Pcs 0.00 - 599.50 0.00
37 Silk 3/0 Box @ 36 0.00 - 11,000.00 0.00
38 Silk 4/0 Box @ 12 0.00 - 11,000.00 0.00
39 Sungkup nebulizer anak Pcs 0.00 - 27,500.00 0.00
40 Sungkup nebulizer bayi Pcs 0.00 - 22,000.00 0.00
41 Sungkup nebulizer Dws Pcs 0.00 - 27,500.00 0.00
42 Umbilical cord Pcs 0.00 - 1,540.00 0.00
43 Underpad Box @ 10 0.00 - 4,840.00 0.00
44 Utrafix 5 x 10 Roll 0.00 - 71,500.00 0.00
45 Utrafix 5 x 5 Roll 0.00 - 20,570.00 0.00
46 Urine Bag Pcs 0.00 - 7,700.00 0.00
47 Verban 4 x 10 Roll 0.00 - 3,500.20 0.00
48 Verban 4 x 5 Roll 0.00 - 1,300.00 0.00
REAGEN : 0.00 - 0.00 0.00
49 Blue Tip Pak @ 100 0.00 - 132.00 0.00
50 Cover Glass 20 x 20 Pcs 0.00 - 308.00 0.00
51 Diatro Cleaner Botol 1 L 0.00 - 759,000.00 0.00
52 Diatro Dilluent Botol 1 L 0.00 - 2,178,000.00 0.00
53 Diatro Lyse Botol 1 L 0.00 - 1,863,400.00 0.00
54 Gol. Darah Anti A Botol 0.00 - 110,000.00 0.00
55 Gol. Darah Anti B Botol 0.00 - 110,000.00 0.00
56 Gol. Darah resus anti D Botol 0.00 - 132,000.00 0.00
57 HCL Alkohol 3 % Botol 100 mL 0.00 - 55,000.00 0.00
58 Salmonella Thypi AO Botol 0.00 - 181,500.00 0.00
59 Salmonella Thypi BO Botol 0.00 - 181,500.00 0.00
60 Salmonella Thypi H Botol 0.00 - 181,500.00 0.00
61 Salmonella Thypi O Botol 0.00 - 181,500.00 0.00
62 Serum Kontrol Botol 0.00 - 715,000.00 0.00
63 Spiritus Botol 0.00 - 33,000.00 0.00
64 Stik Asam Urat Benecheck Btl @ 25 0.00 - 6,600.00 0.00
65 Stik GDS Benecheck Btl @ 50 0.00 - 3,520.00 0.00
66 Stik Kholesterol Benecheck Btl @ 10 0.00 - 27,500.00 0.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 0.00 - 9,900.00 0.00
68 Tabung EDTA 3 mL Botol 0.00 - 1,540.00 0.00
69 Tes Kehamilan Box @ 50 0.00 - 1,478.40 0.00
70 Urine Stik 10 Para Btl @100 0.00 - 2,035.00 0.00
71 Yellow tip Pcs 0.00 - 110.00 0.00
196,171.13 189,238.50

463,119 277,834
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153.00 0.00 - 153.00
2 Acetylcystein 200 mg Cap. ktk 100 - 412.00 0.00 - 412.00
3 Acyclovir 200 mg ktk 10 x 10 - 236.00 0.00 - 236.00
4 Acyclovir 400 mg ktk 10 x 10 - 300.00 0.00 - 300.00
5 Allupurinol 100 mg ktk 100 - 89.00 0.00 - 89.00
6 Ambroxol syr. Botol - 3,639.00 0.00 - 3,639.00
7 Amitriptiline HCl 25 mg ktk 100 - 168.00 0.00 - 168.00
8 Amlodipin 5 mg ktk 30 - 74.00 0.00 - 74.00
9 Amlodipin 10 mg ktk 30 - 520.00 0.00 - 520.00
10 Amoksisilin 250 mg ktk 10x 10 - 188.00 0.00 - 188.00
11 Amoksisilin 500 mg ktk 10x 11 90 300 265 125 231.00 28,875.00 - 231.00
12 Amoksisilin syr Botol - 10 - 10 2,050.00 20,500.00 - 2,050.00
13 Antasida doen tablet kotak ktk 10 x10 - 54.00 0.00 - 54.00
14 Antasida syr. Botol 3 10 7 6 1,756.00 10,536.00 - 1,756.00
15 Antasida Tab. ktk 10 x 10 0.00
16 Anti Hemoroid ktk 10 - 3,260.00 0.00 - 3,260.00
17 Antides ( Attapulgite ) ktk 100 - 175.00 0.00 - 175.00
18 Aqua pro inj btl 6 1 5 2,860.00 14,300.00 - 2,860.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 60 200 30 230 46.00 10,580.00 - 46.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45.00 0.00 - 45.00
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175.00 0.00 - 175.00
22 Asam Mefenamat 500 mg kotak 10 x 10 250 150 100 117.00 11,700.00 - 117.00
23 Atropin 0.5 mg tablet ktk 100 tablet - 81.00 0.00 - 81.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353.00 0.00 - 1,353.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 50 100 60 90 175.00 15,750.00 - 175.00
26 Betahistine 6 mg ktk 30 - 119.00 0.00 - 119.00
27 Betamethason Salep ktk 25 - 1,920.00 0.00 - 1,920.00
28 Bioplacenton Tulle Tulle - 10,733.00 0.00 - 10,733.00
29 Bisacodil 10 mg ktk 50 sup - 5,800.00 0.00 - 5,800.00
30 Bisacodil 5 mg ktk 6 sup - 5,800.00 0.00 - 5,800.00
31 Bufacetine salep kulit Tube - 3,360.00 0.00 - 3,360.00
32 Captopril 50 mg ktk 10 x 10 tablet - 143.00 0.00 - 143.00
33 Captopril 12,5 mg ktk 10 x 10 - 65.00 0.00 - 65.00
34 Captopril 25 mg ktk 10 x 10 tablet 100 - 100 75.00 7,500.00 - 75.00
35 Cetirizine 10 mg ktk 10 x 10 - 104.00 0.00 - 104.00
36 Cetirizine sirup botol - 3,061.00 0.00 - 3,061.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260.00 0.00 - 260.00
38 Clindamycin HCI 300mg Cap. ktk 50 - 660.00 0.00 - 660.00
39 Cloramfenicol salep mata ktk 24 tube - 1,925.00 0.00 - 1,925.00
40 Clorpromazine 100 mg ktk 10 x 10 - 153.00 0.00 - 153.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49.00 0.00 - 49.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226.00 0.00 - 1,226.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 12 20 17 15 2,336.00 35,040.00 - 2,336.00
44 Deksamethasone Tablet btl 10 x 10 tablet - - 75.00 0.00 - 75.00
45 Diazepam 2 mg Tab. Box @ 100 - 86.00 0.00 - 86.00
46 Diazepam 05 mg inj ktk 10 amp - 1,545.00 0.00 - 1,545.00
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458.00 0.00 - 18,458.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 30 1 29 1,156.00 33,524.00 - 1,156.00
49 Digoksin ktk 10 x 10 - 96.00 0.00 - 96.00
50 Dimenhidrinat 50 mg btl 100 - 121.00 0.00 - 121.00
51 Doksisiklin 100 mg Ktk 100 - 309.00 0.00 - 309.00
52 Domperidon 10 mg kotak 10 x 10 - 75.00 0.00 - 75.00
53 Domperidon Sirup btl 3 3 - 3,180.00 0.00 - 3,180.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 3 - 3 1,740.00 5,220.00 - 1,740.00
55 Ergotamine + Caffein Botol @ 100 - 199.00 0.00 - 199.00
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509.00 0.00 - 509.00
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913.00 0.00 - 913.00
58 Fenobarbital inj ktk 30 Ampul - 1,980.00 0.00 - 1,980.00
59 Furosemid 40 mg ktk 200 tab - 84.00 0.00 - 84.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012.00 0.00 - 2,012.00
61 Garam Oralit ktk 100 - 100 - 100 280.00 28,000.00 - 280.00
62 Gentamisin TTS Mata ktk 24 btl - 4,600.00 0.00 - 4,600.00
63 Glibenclamide 5 mg Tab. ktk 100 - 137.00 0.00 - 137.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867.00 0.00 - 5,867.00
65 Glukosa larutan infus 5 % btl 500 ml 3 - 3 6,627.00 19,881.00 - 6,627.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157.00 0.00 - 157.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210.00 0.00 - 210.00
68 Haloperidol 0,5 mg ktk 10 x 10 - 62.00 0.00 - 62.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76.00 0.00 - 76.00
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500.00 0.00 - 97,500.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325.00 0.00 - 2,325.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178.00 0.00 - 178.00
73 Ibuprofen sirup btl 60 ml - 2,678.00 0.00 - 2,678.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111.00 0.00 - 111.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157.00 0.00 - 157.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98.00 0.00 - 98.00
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60.00 0.00 - 60.00
78 Karbamazepin 200 mg ktk 10 x 10 - 269.00 0.00 - 269.00
79 Ketoconazole 200mg Tab. Box @ 50 - 286.00 0.00 - 286.00
80 Ketoconazole salep ktk 25 tube - 2,577.00 0.00 - 2,577.00
81 Ketorolac inj 30 mg ktk 12 ampul 8 10 3 15 1,383.00 20,745.00 - 1,383.00
82 Klonidin 0,15 mg ktk 10 x 10 - 224.00 0.00 - 224.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329.00 0.00 - 329.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24.00 0.00 - 24.00
85 Kodein Tablet 10 mg ktk 10 x 10 - 550.00 0.00 - 550.00
86 Kotrimoksasol 480 mg ktk 100 - 220.00 0.00 - 220.00
87 Kotrimoksasol Syr. Botol - 2,052.00 0.00 - 2,052.00
88 Lidocain 2 % inj ktk 100 80 24 56 891.00 49,896.00 - 891.00
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000.00 0.00 - 40,000.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122.00 0.00 - 2,122.00
91 Loperamid 2 mg ktk 10 x 10 - 97.00 0.00 - 97.00
92 Loratadine tab 10 mg ktk 10x 10 - 149.00 0.00 - 149.00
93 Lysol btl - 45,100.00 0.00 - 45,100.00
94 Magnesium sulfat inj 20% btl - 2,122.00 0.00 - 2,122.00
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723.00 0.00 - 723.00
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377.00 0.00 - 1,377.00
97 Metformin 500 mg ktk 10x 10 28 - 28 77.00 2,156.00 - 77.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102.00 0.00 - 102.00
99 Metilergometrin injeksi ktk 100 - 3,399.00 0.00 - 3,399.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242.00 0.00 - 242.00
101 Metoklopramid 10 mg ktk 10 x 10 - 111.00 0.00 - 111.00
102 Metoklopramid Sirup (Lexapram) btl - 2,750.00 0.00 - 2,750.00
103 Metronidazol 500 mg ktk 100 - 140.00 0.00 - 140.00
104 Metronidazol Sirup btl 60 ml - 3,800.00 0.00 - 3,800.00
105 Miconazole 2% krem tube 10 gram - 1,900.00 0.00 - 1,900.00
106 Natrium Chlorida 0,9 % btl 500 ml 4 - 4 6,900.00 27,600.00 - 6,900.00
107 Natrium diklofenak 50 mg kotak 50 tablet - - 109.00 0.00 - 109.00
108 Nifedipin tab ktk 10 x 10 tablet 100 - 100 123.00 12,300.00 - 123.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688.00 0.00 - 688.00
110 OBH syr. Botol - 3,500.00 0.00 - 3,500.00
111 Omeprazol 20 mg ktk 3x 10 - 164.00 0.00 - 164.00
112 OAM 0.00
113 Oxytetrasiklin salep mata ktk 25 - 2,600.00 0.00 - 2,600.00
114 Oxytocin injeksi btl 15 ml - 2,774.00 0.00 - 2,774.00
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500.00 0.00 - 11,500.00
116 Paracetamol tab 500 mg ktk 100 tablet 150 300 360 90 225.00 20,250.00 - 225.00
117 Parasetamol Sirup btl 6 10 13 3 1,160.00 3,480.00 - 1,160.00
118 Phenol Glycerol TTS telinga btl - 2,500.00 0.00 - 2,500.00
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818.00 0.00 - 818.00
120 Phitomenadion Vit K inj ktk 30 - 1,452.00 0.00 - 1,452.00
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150.00 0.00 - 21,150.00
122 Prednison 5 mg ktk 10 x 10 tablet - 73.00 0.00 - 73.00
123 Primaquin 15 mg ktk 10 x 10 tablet - 235.00 0.00 - 235.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80.00 0.00 - 80.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297.00 0.00 - 297.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150.00 0.00 - 150.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155.00 0.00 - 1,155.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119.00 0.00 - 119.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327.00 0.00 - 327.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505.00 0.00 - 505.00
131 Rifampicin 600 mg ktk 100 - 1,420.00 0.00 - 1,420.00
132 Ringer Laktat Infus btl 30 40 40 30 7,703.00 231,090.00 - 7,703.00
133 Risperidon 2 mg ktk 100 - 130.00 0.00 - 130.00
134 Rivanol botol 300 ml - 3,850.00 0.00 - 3,850.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 50 100 40 110 51.00 5,610.00 - 51.00
136 Serum ABU Vial - 0.00 0.00 - 0.00
137 Sikzonoate inj ktk 5 amp - 57,500.00 0.00 - 57,500.00
138 Simvastatin 10 mg ktk 30 - 117.00 0.00 - 117.00
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458.00 0.00 - 18,458.00
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459.00 0.00 - 14,459.00
141 Tablet Tambah Darah ktk 30 - 409.00 0.00 - 409.00
142 Thiamin ( vitamin B1 ) kotak 100 - 94.00 0.00 - 94.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680.00 0.00 - 2,680.00
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97.00 0.00 - 97.00
145 Vit B Komplek Tablet btl 100 - 60.00 0.00 - 60.00
146 Zink tablet ktk 10 x 10 170 100 30 240 253.00 60,720.00 - 253.00
147 Zirkum kids sirup botol - - 3,285.00 0.00 - 3,285.00
- 0.00 0.00 - 0.00
OBAT GIGI : - 0.00 0.00 - 0.00
148 Eugenol Btl - 50,417.00 0.00 - 50,417.00
149 Aseptik gel - 0.00 0.00 - 0.00
150 yellow tip - 110.00 0.00 - 110.00
- 0.00 0.00 - 0.00
REAGEN / LAB : - 0.00 0.00 - 0.00
149 Blood Lancets ktk 100 - 4,140.00 0.00 200 80 120 4,140.00
150 Ethyl Klorida semprot Botol 500 ml - 187,000.00 0.00 - 187,000.00
151 Gluco Protein Test Urine ktk 10 - 1,098.00 0.00 - 1,098.00
152 Gol. Darah Anti B btl - 0.00 0.00 - 0.00
153 Gol. Darah Anti A, B btl - 0.00 0.00 - 0.00
154 Gol. Darah Anti A btl - 0.00 0.00 - 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500.00 0.00 - 82,500.00
156 Larutan HCL 0,1 N btl 250 ml - 55,000.00 0.00 - 55,000.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500.00 0.00 - 159,500.00
158 Larutan Methyl Blue btl 100 ml - 99,000.00 0.00 - 99,000.00
159 Larutan Turk btl 100 ml - 0.00 0.00 - 0.00
160 Larutan Giemsa btl 500 ml - 263,184.00 0.00 1 - 1 263,184.00
161 Needle flashback ktk 50 - 1,701.00 0.00 - 1,701.00
162 Oil Imersion btl 10 ml - 110,000.00 0.00 - 110,000.00
163 Pot Dahak btl 10 ml - 3,069.00 0.00 18 100 39 79 3,069.00
164 Rapid Test HbsAg Kotak - 8,100.00 0.00 34 100 38 96 8,100.00
165 Slide Kaca ktk - 275.00 0.00 - 275.00
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200.00 0.00 58 100 59 99 6,200.00
167 Stik Cholesterol Mission ktk 25 pcs - 22,280.00 0.00 56 100 35 121 22,280.00
168 Stik Glucosa Benechek ktk 50 pcs - 3,341.00 0.00 200 61 139 3,341.00
169 Stik protein Urine - 0.00 0.00 - 0.00
170 Vakum EDTA 3 mL 100 Pcs - 1,205.00 0.00 - 1,205.00
171 Virotec Dengue Combo Ktk 25 - 64,171.00 0.00 - 64,171.00
172 RDT HIV 1+2 0.00
173 RDT HIV 1/2 (3.0) 0.00 50 100 109
174 RDT HIV D.S 0.00 23 23
175 RDT Malaria 0.00
176 RDT Sifilis 0.00 63 24
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
RDT Dengue 0.00 8 7
RDT Antigen 0.00 140 16
BMHP APBD : - 0.00 0.00 - 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 42 22 20 1,023.00 20,460.00 20 100 65 55 1,023.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 28 190 160 58 683.00 39,614.00 20 5 15 683.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924.00 0.00 - 924.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 43 14 29 1,045.00 30,305.00 - 1,045.00
5 Alkohol 70 % btl 1 liter 1 1 1 1 29,375.00 29,375.00 - 29,375.00
6 Alkohol Swab 0,5 % pcs 30 30 - 128.55 0.00 250 100 170 180 128.55
7 Bisturi ktk 100 5 40 8 37 10,733.00 397,121.00 - 10,733.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 5 5 - 2,873.00 0.00 - 2,873.00
9 Foley Catheter 16 pcs 3 - 3 153.00 459.00 - 153.00
10 Hand Scoon 7 (Steril) pcs - 6,142.00 0.00 40 50 40 50 6,142.00
11 Hand Scoon L ktk 100 100 300 200 200 1,435.00 287,000.00 - 1,435.00
12 Hand Scoon M ktk 100 100 600 500 200 1,435.00 287,000.00 400 400 - 1,435.00
13 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
14 Hand Scoon S ktk 100 200 400 400 200 8,470.00 1,694,000.00 - 8,470.00
15 Infusion Dewasa ktk 50 12 50 47 15 9,181.00 137,715.00 - 9,181.00
16 Infusion set anak set / kantong 12 - 12 6,983.00 83,796.00 - 6,983.00
17 IV Catheter No. 22 G 50 buah / kotak 41 50 67 24 4,818.00 115,632.00 - 4,818.00
18 IV Catheter No. 18 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
19 IV Catheter No. 24 G 50 buah / kotak 21 50 45 26 4,818.00 125,268.00 - 4,818.00
20 Kantong Limbah uk. L Pcs - 5,400.00 0.00 - 5,400.00
21 Kantong Limbah uk. M Pcs - 15,000.00 0.00 - 15,000.00
22 Kapas Pembalut 250 gr rol 1 1 1 1 1,448.00 1,448.00 3 1 2 1,448.00
23 Kasa hidrofil 40 x 80 cm pcs - 77,600.00 0.00 - 77,600.00
24 Kasa hidrofil 40 x 80 cm pcs - 2,354.00 0.00 - 2,354.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610.00 0.00 - 5,610.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339.00 0.00 - 20,339.00
27 Kasa steril 16 cmx16 cm ktk 5 5 - 24,254.00 0.00 - 24,254.00
28 Leukoplast Plester kain 7,5x4,5 pcs 1 - 1 3,472.00 3,472.00 - 3,472.00
29 Lysol btl - 442.00 0.00 - 442.00
30 Masker hijab / Karet ktk 50 pcs - 2,185.00 0.00 - 2,185.00
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280.00 0.00 100 10 90 5,280.00
32 Mucus Extractor Pcs - 5,865.00 0.00 - 5,865.00
33 Oxyflow Anak 3 10 8 5 8,040.00 40,200.00 - 8,040.00
34 Oxyflow Dewasa pcs 6 1 5 5,000.00 25,000.00 - 5,000.00
35 Pembalut Elastis roll - 5,000.00 0.00 - 5,000.00
36 Polifix 5 cmx 5 m Roll 4 3 1 64,171.00 64,171.00 - 64,171.00
37 Polifix Aximed 5 cm x 10 m Roll - 0.00 0.00 - 0.00
38 Silk 3/0 HR - 20 ktk 12 10 36 21 25 15,092.00 377,300.00 - 15,092.00
39 Test Kehamilan ktk 50 - 0.00 0.00 - 0.00
40 Umbilical cord klem ktk 50 pcs - 0.00 0.00 - 0.00
41 Underpad Pcs - 0.00 0.00 - 0.00
42 Urin Bag 10 pcs 3 2 1 0.00 0.00 - 0.00
- 0.00 0.00 - 0.00
PROGRAM GIZI /KIA - 0.00 0.00 - 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 - 0.00 0.00 - 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955.00 0.00 - 9,955.00
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913.00 0.00 - 1,913.00
4 Eutyrox 50 mg Tab. Tablet - 0.00 0.00 - 0.00
5 Fe ktk 100 140 40 100 409.00 40,900.00 - 409.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545.00 0.00 - 3,545.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684.00 0.00 - 2,684.00
8 MgSO4 40 % Botol 25 mL - 3,796.00 0.00 - 3,796.00
9 Mineral Mix Shaset - 3,116.00 0.00 - 3,116.00
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600.00 0.00 - 2,600.00
11 Oxytocin Inj. Box @ 100 - 1,232.00 0.00 - 1,232.00
12 Stik shipyllis Box @ 25 - 10,800.00 0.00 - 10,800.00
13 Vit. K inj. Box @ 30 - 4,236.00 0.00 - 4,236.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305.00 0.00 - 305.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637.00 0.00 - 637.00
TOTAL OBAT & BMHP APBD - 0.00 4,434,589.00 - 0.00
OBAT & BMHP JKN : - 0.00 0.00 - 0.00
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096.00 0.00 - 1,096.00
2 Acyclovir 400 mg Tab Box @ 100 - 990.88 0.00 - 990.88
3 Acyclovir cream Tube - 4,125.00 0.00 - 4,125.00
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100.00 0.00 - 1,100.00
5 Allopurinol 100 mg Tab. Box @ 100 - 247.50 0.00 - 247.50
6 Allopurinol 300 mg Tab. Box @ 100 - 566.50 0.00 - 566.50
7 Ambroxol syr. Botol - - 4,840.00 0.00 - 4,840.00
8 Ambroxol Tab. Box @ 100 5 200 30 175 165.00 28,875.00 - 165.00
9 Amlodipine 10 mg Tab. Box @ 30 - 495.00 0.00 - 495.00
10 Amlodipine 5 mg Tab. Box @ 100 130 85 45 445.50 20,047.50 - 445.50
11 Amoxycillin 500 mg Tab. Box @ 100 - 407.00 0.00 - 407.00
12 Amoxycillin Syr. Botol - 5,478.00 0.00 - 5,478.00
13 Antasid Syr. Botol - 3,900.00 0.00 - 3,900.00
14 Antasida Tab. Box @ 100 100 200 160 140 165.00 23,100.00 - 165.00
15 Asam Folat Box@100 - 110.00 0.00 - 110.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 100 25 75 2,011.00 150,825.00 - 2,011.00
18 Aseptic Gell Botol 450 mL - 55,000.00 0.00 - 55,000.00
19 Bedak Salicyl Pcs - 6,426.00 0.00 - 6,426.00
20 Betahistine 6 mg Tab. Box @ 100 90 20 70 1,015.00 71,050.00 - 1,015.00
21 Bethametasone salep Tube - 3,520.00 0.00 - 3,520.00
22 Bioplacenton gel 15 gram Tube - 17,650.00 0.00 - 17,650.00
23 Bisolvon sol Botol - 105,600.00 0.00 - 105,600.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000.00 0.00 - 220,000.00
25 Calcii Gluconas Inj. Box @ 24 - 4,053.50 0.00 - 4,053.50
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165.00 0.00 - 165.00
27 Captopril 12,5 mg Tab. Box @ 100 - 104.50 0.00 - 104.50
28 Captopril 25 mg Tab. Box @ 100 - 132.00 0.00 - 132.00
29 Cefadroxil 125 mg Syr. Botol - 7,700.00 0.00 - 7,700.00
30 Cefadroxil 500 mg Cap. Box @ 100 - 899.00 0.00 - 899.00
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720.00 0.00 - 5,720.00
32 Cetirizine Syr Botol 5 5 - 6,270.00 0.00 - 6,270.00
33 Cetirizine Tab. Box @ 100 300 - 300 502.00 150,600.00 - 502.00
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460.00 0.00 - 9,460.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010.00 0.00 - 10,010.00
36 Chloramfenicol salep (Fasycol) Tube - 4,703.00 0.00 - 4,703.00
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720.00 0.00 - 720.00
38 Cotrimoksazol 480 mg Box @ 100 - 289.85 0.00 - 289.85
39 Cotrimoxazole syr. Botol - 4,290.00 0.00 - 4,290.00
40 CPZ 100 mg Tab. Box @ 100 - 432.70 0.00 - 432.70
41 CTM Btl @ 100 78 100 28 150 61.60 9,240.00 - 61.60
42 Daryantulle Box @ 10 8 10 6 12 27,500.00 330,000.00 - 27,500.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 300 20 280 149.80 41,943.44 - 149.80
44 Dexamethasone Inj. Box @ 100 - 2,416.00 0.00 - 2,416.00
45 Dextrose 40 25 mL Botol 2 - 2 12,760.00 25,520.00 - 12,760.00
46 Difenhydramine inj. Box @ 30 - 1,862.67 0.00 - 1,862.67
47 Domperidone Syr. Botol 10 4 6 6,600.00 39,600.00 - 6,600.00
48 Domperidone Tab. Box @ 100 190 60 130 271.70 35,321.00 - 271.70
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466.49 0.00 - 466.49
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240.00 0.00 - 31,240.00
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,716.67 0.00 - 20,716.67
52 Dulcolax tab./ Laxana Box @ 10 - 1,980.00 0.00 - 1,980.00
53 Dumin 125 mg Rectal Ktk @ 5 - 10 5 5 19,800.00 99,000.00 - 19,800.00
54 Ephineprin Inj. Box @ 30 - 8,983.33 0.00 - 8,983.33
55 Ergotamine + Caffein Box @ 100 - 306.00 0.00 - 306.00
56 Etil Klorida 100 ml Botol - 223,850.00 0.00 - 223,850.00
57 Garam Oralit Box @ 100 - 352.00 0.00 - 352.00
58 Gentamicin SK Box @ 10 - 3,630.00 0.00 - 3,630.00
59 Gentamicin Salep Mata (Genoint) Tube - 8,580.00 0.00 - 8,580.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110.00 0.00 - 11,110.00
61 Gentian Violet Box @ 24 - 3,850.00 0.00 - 3,850.00
62 Glibenclamide Tab. Box @ 100 - 222.59 0.00 - 222.59
63 Gliceril Guaiakolat Tab. Box @ 100 - 130.24 0.00 - 130.24
64 Glucosa infus 10 % Box @ 20 - 10,175.00 0.00 - 10,175.00
65 Guanistrep syr. Botol 2 5 1 6 8,470.00 50,820.00 - 8,470.00
66 H2O2 3 % 100 mL Botol - 7,370.00 0.00 - 7,370.00
67 H2O2 3 % 800 mL Botol - 36,300.00 0.00 - 36,300.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 45 300 65 280 1,364.00 381,920.00 - 1,364.00
69 Ibuprofen 200 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
70 Ibuprofen 400 mg Tab. Box @ 100 5 5 - 368.06 0.00 - 368.06
71 Ibuprofen Syr Botol - 6,160.00 0.00 - 6,160.00
72 INH 100 mg Tab. Box @ 100 - 185.00 0.00 - 185.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 80 7 73 165.00 12,045.00 - 165.00
74 K-EN-3B infus Box @ 20 4 - 4 28,600.00 114,400.00 - 28,600.00
75 Ketoconazole 200 mg Tab. Box @ 50 - 506.00 0.00 - 506.00
76 Ketokonazole Salep Tube - 4,950.00 0.00 - 4,950.00
77 Ketorolac inj 30mg/mL Box @ 6 8 8 5,042.00 0.00 - 5,042.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114.00 0.00 - 3,114.00
79 Lidocain Inj. Box @ 100 - 1,430.00 0.00 - 1,430.00
80 Loratadine 10 mg Tab. Box @ 50 - 333.00 0.00 - 333.00
81 Metformin 500 mg Tab. Box @ 100 - 193.00 0.00 - 193.00
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440.00 0.00 - 440.00
83 Metronidazole 500 mg Tab. Box @ 100 - 379.50 0.00 - 379.50
84 MgSO4 40 % Botol - 14,754.30 0.00 - 14,754.30
85 Miconazole Salep Tube - 4,730.00 0.00 - 4,730.00
86 NaCl infus Box @ 20 - 8,800.00 0.00 - 8,800.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205.00 0.00 - 205.00
88 Neurobion Inj 5000 Ktk @ 20 - 11,750.00 0.00 - 11,750.00
89 Nifedipine 10 mg Tab Box @ 100 100 - 100 220.00 22,000.00 - 220.00
90 Nystatin drop (Cazetin drop ) Botol - 24,420.00 0.00 - 24,420.00
91 Nystatin Vag ovula Box @ 100 - 828.00 0.00 - 828.00
92 Omeprazole kap. Box @ 30 45 210 130 125 414.33 51,791.66 - 414.33
93 Ondancentron Inj Ktk @ 5 15 30 5 40 7,700.00 308,000.00 - 7,700.00
94 Oxytocin Inj. Box @ 100 - 3,685.00 0.00 - 3,685.00
95 Oxytetracycline salep mata Tube - 6,270.00 0.00 - 6,270.00
96 Paracetamol 500 mg Tab. Botol @ 100 - 316.81 0.00 - 316.81
97 Paracetamol Syr. Botol - 4,180.00 0.00 - 4,180.00
98 Phenol Glycerol TT Botol - 6,047.80 0.00 - 6,047.80
99 Piroxicam 10 mg Tab. Box @ 100 - 123.00 0.00 - 123.00
100 Povidone Iodine 300 mL Botol - 33,000.00 0.00 - 33,000.00
101 Povidone Iodine 1 Liter Botol - 99,000.00 0.00 - 99,000.00
102 Prednison 5 mg Tab. Box @ 100 - 285.00 0.00 - 285.00
103 Primaquin tab. Box @ 100 - 304.00 0.00 - 304.00
104 Ranitidine Inj. Box @ 10 5 5 7,150.00 0.00 - 7,150.00
105 Ranitidine Tab. Box @ 100 160 160 320.00 0.00 - 320.00
106 Ringer Laktat Infus Box @ 20 - 9,570.00 0.00 - 9,570.00
107 Salbutamol 2mg Tab. Box @ 100 - 158.40 0.00 - 158.40
108 Scabimid krim 10 gr Tube - 58,850.00 0.00 - 58,850.00
109 Simvastatin 20 mg Tab. Box @ 100 - 564.41 0.00 - 564.41
110 Thrombophob gel 20 Gram Tube - 62,000.00 0.00 - 62,000.00
111 Ultrasonic Gel 250 mL Botol - 24,200.00 0.00 - 24,200.00
112 Ventolin Nebulizer Box @ 20 22 10 12 14,025.00 168,300.00 - 14,025.00
113 Vit B.1 Box @ 100 60 - 60 132.00 7,920.00 - 132.00
114 Vit B6 Box @ 100 - 132.00 0.00 - 132.00
115 Vit. B-Complex Btl @ 100 - 220.00 0.00 - 220.00
116 Vit K inj. Box @ 5 - 7,150.00 0.00 - 7,150.00
117 Vit K Tab. Box @ 100 - 1,320.00 0.00 - 1,320.00
118 Water for Inj. 10 mL Botol - 5,940.00 0.00 - 5,940.00
119 Water for Inj. 25 mL Botol - 9,020.00 0.00 - 9,020.00
120 Zinc / Lecozinc Syr. Botol - 7,000.00 0.00 - 7,000.00
121 Zinc Tab. Box @ 100 - 675.00 0.00 - 675.00
BMHP : - 0.00 0.00 - 0.00
1 Abbocat 18 G Box @ 50 - 5,500.00 0.00 - 5,500.00
2 Abbocat 20 G Box @ 50 - 5,500.00 0.00 - 5,500.00
UGD LAB
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
3 Abbocat 22 G Box @ 50 - 6,050.00 0.00 - 6,050.00
4 Abbocat 24 G Box @ 50 - 13,000.00 0.00 - 13,000.00
5 Abbocat 26 G Box @ 50 - 5,500.00 0.00 - 5,500.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880.00 0.00 - 880.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000.00 0.00 - 11,000.00
8 Alkohol 300 mL Botol - 24,065.00 0.00 - 24,065.00
9 Alkohol Swab Bok - 182.00 0.00 - 182.00
10 Bisturi no. 11 G Box @ 100 - 1,100.00 0.00 - 1,100.00
11 Blood set Box @ 50 - 6,900.30 0.00 - 6,900.30
12 Cat Gut Plain 3/0 Box @ 24 - 8,800.00 0.00 - 8,800.00
13 Folley Catheter Fr. 16 Box @ 10 - 12,100.00 0.00 - 12,100.00
14 Folley Catheter Fr. 18 Box @ 10 - 12,100.00 0.00 - 12,100.00
15 Hand scoon steril No. 7 Box @ 50 - 11,000.00 0.00 - 11,000.00
16 Hand scoon nonsteril No. L Box @100 - 1,700.60 0.00 - 1,700.60
17 Hand scoon nonsteril No. M Box @100 - 1,700.60 0.00 - 1,700.60
18 Hand scoon nonsteril No. S Box @100 - 1,700.60 0.00 - 1,700.60
19 Infuset Dewasa Pcs - 4,400.00 0.00 - 4,400.00
20 Kassa 40 x 80 Roll - 120,000.00 0.00 - 120,000.00
21 Kassa steril Box - 4,000.00 0.00 - 4,000.00
22 Masker Bedah Box @ 50 - 806.30 0.00 - 806.30
23 Masker Oxigen Anak Pcs 5 - 5 16,500.00 82,500.00 - 16,500.00
24 Masker Oxigen dws Pcs 12 6 6 16,500.00 99,000.00 - 16,500.00
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800.00 0.00 - 30,800.00
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800.00 0.00 - 30,800.00
27 Mucus extractor Box @ 25 - 7,700.00 0.00 - 7,700.00
28 Nasal canul Bayi Pcs - 11,000.00 0.00 - 11,000.00
29 Nasal canul anak Pcs - 11,000.00 0.00 - 11,000.00
30 Nasal canul dewasa Pcs - 11,000.00 0.00 - 11,000.00
31 Needle 23 G Box @100 - 220.00 0.00 - 220.00
32 NGT Fr. 3,5 Pcs - 49,500.00 0.00 - 49,500.00
33 NGT No. 16 Pcs - 49,500.00 0.00 - 49,500.00
34 Nurse Cup Box @100 - 605.00 0.00 - 605.00
35 Pot salep 20 gr Pot - 880.00 0.00 - 880.00
36 Sendok obat Pcs - 599.50 0.00 - 599.50
37 Silk 3/0 Box @ 36 - 11,000.00 0.00 - 11,000.00
38 Silk 4/0 Box @ 12 - 11,000.00 0.00 - 11,000.00
39 Sungkup nebulizer anak Pcs - 27,500.00 0.00 - 27,500.00
40 Sungkup nebulizer bayi Pcs - 22,000.00 0.00 - 22,000.00
41 Sungkup nebulizer Dws Pcs 5 10 10 5 27,500.00 137,500.00 - 27,500.00
42 Umbilical cord Pcs 5 - 5 1,540.00 7,700.00 - 1,540.00
43 Underpad Box @ 10 - 4,840.00 0.00 - 4,840.00
44 Utrafix 5 x 10 Roll - 71,500.00 0.00 - 71,500.00
45 Utrafix 5 x 5 Roll - 20,570.00 0.00 - 20,570.00
46 Urine Bag Pcs - 7,700.00 0.00 - 7,700.00
47 Verban 4 x 10 Roll - 3,500.20 0.00 - 3,500.20
48 Verban 4 x 5 Roll - 1,300.00 0.00 - 1,300.00
REAGEN : - 0.00 0.00 - 0.00
49 Blue Tip Pak @ 100 - 132.00 0.00 - 132.00
50 Cover Glass 20 x 20 Pcs - 308.00 0.00 10 10 - 308.00
51 Diatro Cleaner Botol 1 L - 759,000.00 0.00 - 759,000.00
52 Diatro Dilluent Botol 1 L - 2,178,000.00 0.00 1 1 - 2,178,000.00
53 Diatro Lyse Botol 1 L - 1,863,400.00 0.00 - 1,863,400.00
54 Gol. Darah Anti A Botol - 110,000.00 0.00 - 110,000.00
55 Gol. Darah Anti B Botol - 110,000.00 0.00 - 110,000.00
56 Gol. Darah resus anti D Botol - 132,000.00 0.00 - 132,000.00
57 HCL Alkohol 3 % Botol 100 mL - 55,000.00 0.00 - 55,000.00
58 Salmonella Thypi AO Botol - 181,500.00 0.00 - 181,500.00
59 Salmonella Thypi BO Botol - 181,500.00 0.00 - 181,500.00
60 Salmonella Thypi H Botol - 181,500.00 0.00 - 181,500.00
61 Salmonella Thypi O Botol - 181,500.00 0.00 - 181,500.00
62 Serum Kontrol Botol - 715,000.00 0.00 - 715,000.00
63 Spiritus Botol - 33,000.00 0.00 - 33,000.00
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600.00 0.00 - 6,600.00
65 Stik GDS Benecheck Btl @ 50 - 3,520.00 0.00 - 3,520.00
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500.00 0.00 - 27,500.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900.00 0.00 77 100 41 136 9,900.00
68 Tabung EDTA 3 mL Botol - 1,540.00 0.00 87 100 73 114 1,540.00
69 Tes Kehamilan Box @ 50 - 1,478.40 0.00 57 50 42 65 1,478.40
70 Urine Stik 10 Para Btl @100 - 2,035.00 0.00 100 30 70 2,035.00
71 Yellow tip Pcs - 110.00 0.00 - 110.00
1,672,201.10

6,106,790
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 0.00 - 153.00 0.00
2 Acetylcystein 200 mg Cap. ktk 100 0.00 - 412.00 0.00
3 Acyclovir 200 mg ktk 10 x 10 0.00 11 - 11 236.00 2,596.00
4 Acyclovir 400 mg ktk 10 x 10 0.00 365 - 365 300.00 109,500.00
5 Allupurinol 100 mg ktk 100 0.00 240 60 180 89.00 16,020.00
6 Ambroxol syr. Botol 0.00 - 3,639.00 0.00
7 Amitriptiline HCl 25 mg ktk 100 0.00 - 168.00 0.00
8 Amlodipin 5 mg ktk 30 0.00 490 490 74.00 0.00
9 Amlodipin 10 mg ktk 30 0.00 - 520.00 0.00
10 Amoksisilin 250 mg ktk 10x 10 0.00 - 188.00 0.00
11 Amoksisilin 500 mg ktk 10x 11 0.00 854 65 789 231.00 182,259.00
12 Amoksisilin syr Botol 0.00 30 3 27 2,050.00 55,350.00
13 Antasida doen tablet kotak ktk 10 x10 0.00 - 54.00 0.00
14 Antasida syr. Botol 0.00 8 1 7 1,756.00 12,292.00
15 Antasida Tab. ktk 10 x 10 0.00 530 20 510 0.00
16 Anti Hemoroid ktk 10 0.00 9 - 9 3,260.00 29,340.00
17 Antides ( Attapulgite ) ktk 100 0.00 120 20 100 175.00 17,500.00
18 Aqua pro inj btl 0.00 - 2,860.00 0.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 0.00 315 1,000 112 1,203 46.00 55,338.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 0.00 435 60 375 45.00 16,875.00
21 Asam Mefenamat 250 mg kotak 10 x 10 0.00 - 175.00 0.00
22 Asam Mefenamat 500 mg kotak 10 x 10 0.00 380 35 345 117.00 40,365.00
23 Atropin 0.5 mg tablet ktk 100 tablet 0.00 - 81.00 0.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 0.00 - 1,353.00 0.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 0.00 - 175.00 0.00
26 Betahistine 6 mg ktk 30 0.00 - 119.00 0.00
27 Betamethason Salep ktk 25 0.00 - 1,920.00 0.00
28 Bioplacenton Tulle Tulle 0.00 - 10,733.00 0.00
29 Bisacodil 10 mg ktk 50 sup 0.00 - 5,800.00 0.00
30 Bisacodil 5 mg ktk 6 sup 0.00 - 5,800.00 0.00
31 Bufacetine salep kulit Tube 0.00 - 3,360.00 0.00
32 Captopril 50 mg ktk 10 x 10 tablet 0.00 - 143.00 0.00
33 Captopril 12,5 mg ktk 10 x 10 0.00 - 65.00 0.00
34 Captopril 25 mg ktk 10 x 10 tablet 0.00 165 - 165 75.00 12,375.00
35 Cetirizine 10 mg ktk 10 x 10 0.00 - 104.00 0.00
36 Cetirizine sirup botol 0.00 - 3,061.00 0.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 0.00 - 260.00 0.00
38 Clindamycin HCI 300mg Cap. ktk 50 0.00 - 660.00 0.00
39 Cloramfenicol salep mata ktk 24 tube 0.00 - 1,925.00 0.00
40 Clorpromazine 100 mg ktk 10 x 10 0.00 - 153.00 0.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 0.00 - 49.00 0.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 0.00 - 1,226.00 0.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 0.00 - 2,336.00 0.00
44 Deksamethasone Tablet btl 10 x 10 tablet 0.00 - 75.00 0.00
45 Diazepam 2 mg Tab. Box @ 100 0.00 - 86.00 0.00
46 Diazepam 05 mg inj ktk 10 amp 0.00 - 1,545.00 0.00
47 Diazepam Stesolid 10 mg ktk 5 amp 0.00 - 18,458.00 0.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 0.00 - 1,156.00 0.00
49 Digoksin ktk 10 x 10 0.00 - 96.00 0.00
50 Dimenhidrinat 50 mg btl 100 0.00 100 - 100 121.00 12,100.00
51 Doksisiklin 100 mg Ktk 100 0.00 - 309.00 0.00
52 Domperidon 10 mg kotak 10 x 10 0.00 - 75.00 0.00
53 Domperidon Sirup btl 0.00 - 3,180.00 0.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 0.00 - 1,740.00 0.00
55 Ergotamine + Caffein Botol @ 100 0.00 50 10 40 199.00 7,960.00
56 Eritromisin 250 mg ktk 12 x 10 tablet 0.00 - 509.00 0.00
57 Eritromisin 500 mg ktk 10 x 10 tablet 0.00 - 913.00 0.00
58 Fenobarbital inj ktk 30 Ampul 0.00 - 1,980.00 0.00
59 Furosemid 40 mg ktk 200 tab 0.00 - 84.00 0.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 0.00 - 2,012.00 0.00
61 Garam Oralit ktk 100 0.00 21 100 3 118 280.00 33,040.00
62 Gentamisin TTS Mata ktk 24 btl 0.00 - 4,600.00 0.00
63 Glibenclamide 5 mg Tab. ktk 100 0.00 - 137.00 0.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 0.00 - 5,867.00 0.00
65 Glukosa larutan infus 5 % btl 500 ml 0.00 - 6,627.00 0.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 0.00 - 157.00 0.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 0.00 - 210.00 0.00
68 Haloperidol 0,5 mg ktk 10 x 10 0.00 - 62.00 0.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 0.00 - 76.00 0.00
70 Haloperidol decanoate 50 mg ktk 5 amp 0.00 - 97,500.00 0.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 0.00 41 1 40 2,325.00 93,000.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 0.00 - 178.00 0.00
73 Ibuprofen sirup btl 60 ml 0.00 - 2,678.00 0.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 0.00 - 111.00 0.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 0.00 - 157.00 0.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 0.00 - 98.00 0.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 0.00 230 130 100 60.00 6,000.00
78 Karbamazepin 200 mg ktk 10 x 10 0.00 - 269.00 0.00
79 Ketoconazole 200mg Tab. Box @ 50 0.00 - 286.00 0.00
80 Ketoconazole salep ktk 25 tube 0.00 - 2,577.00 0.00
81 Ketorolac inj 30 mg ktk 12 ampul 0.00 - 1,383.00 0.00
82 Klonidin 0,15 mg ktk 10 x 10 0.00 - 224.00 0.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 0.00 150 - 150 329.00 49,350.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 0.00 - 24.00 0.00
85 Kodein Tablet 10 mg ktk 10 x 10 0.00 - 550.00 0.00
86 Kotrimoksasol 480 mg ktk 100 0.00 - 220.00 0.00
87 Kotrimoksasol Syr. Botol 0.00 - 2,052.00 0.00
88 Lidocain 2 % inj ktk 100 0.00 - 891.00 0.00
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube 0.00 - 40,000.00 0.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 0.00 - 2,122.00 0.00
91 Loperamid 2 mg ktk 10 x 10 0.00 - 97.00 0.00
92 Loratadine tab 10 mg ktk 10x 10 0.00 - 149.00 0.00
93 Lysol btl 0.00 - 45,100.00 0.00
94 Magnesium sulfat inj 20% btl 0.00 - 2,122.00 0.00
95 Meloxicam 7,5 mg Tab. Box @ 30 0.00 - 723.00 0.00
96 Meloxicam 15 mg Tab. Box @ 30 0.00 - 1,377.00 0.00
97 Metformin 500 mg ktk 10x 10 0.00 178 1,000 370 808 77.00 62,216.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 0.00 - 102.00 0.00
99 Metilergometrin injeksi ktk 100 0.00 - 3,399.00 0.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 0.00 30 - 30 242.00 7,260.00
101 Metoklopramid 10 mg ktk 10 x 10 0.00 145 - 145 111.00 16,095.00
102 Metoklopramid Sirup (Lexapram) btl 0.00 - 2,750.00 0.00
103 Metronidazol 500 mg ktk 100 0.00 - 140.00 0.00
104 Metronidazol Sirup btl 60 ml 0.00 - 3,800.00 0.00
105 Miconazole 2% krem tube 10 gram 0.00 21 - 21 1,900.00 39,900.00
106 Natrium Chlorida 0,9 % btl 500 ml 0.00 - 6,900.00 0.00
107 Natrium diklofenak 50 mg kotak 50 tablet 0.00 60 800 75 785 109.00 85,565.00
108 Nifedipin tab ktk 10 x 10 tablet 0.00 45 - 45 123.00 5,535.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 0.00 11 - 11 688.00 7,568.00
110 OBH syr. Botol 0.00 - 3,500.00 0.00
111 Omeprazol 20 mg ktk 3x 10 0.00 - 164.00 0.00
112 OAM 0.00 63 54 0.00
113 Oxytetrasiklin salep mata ktk 25 0.00 - 2,600.00 0.00
114 Oxytocin injeksi btl 15 ml 0.00 - 2,774.00 0.00
115 Pantocain 0,5 % tetes mata btl 5 mL 0.00 - 11,500.00 0.00
116 Paracetamol tab 500 mg ktk 100 tablet 0.00 1,005 170 835 225.00 187,875.00
117 Parasetamol Sirup btl 0.00 33 4 29 1,160.00 33,640.00
118 Phenol Glycerol TTS telinga btl 0.00 2 - 2 2,500.00 5,000.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 0.00 - 818.00 0.00
120 Phitomenadion Vit K inj ktk 30 0.00 - 1,452.00 0.00
121 Povidon Iodida 10 % 300 ml btl 300 ml 0.00 - 21,150.00 0.00
122 Prednison 5 mg ktk 10 x 10 tablet 0.00 - 73.00 0.00
123 Primaquin 15 mg ktk 10 x 10 tablet 0.00 55 200 52 203 235.00 47,705.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 0.00 - 80.00 0.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 0.00 - 297.00 0.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 0.00 - 150.00 0.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 0.00 - 1,155.00 0.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 0.00 - 119.00 0.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 0.00 - 327.00 0.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 0.00 - 505.00 0.00
131 Rifampicin 600 mg ktk 100 0.00 - 1,420.00 0.00
132 Ringer Laktat Infus btl 0.00 - 7,703.00 0.00
133 Risperidon 2 mg ktk 100 0.00 - 130.00 0.00
134 Rivanol botol 300 ml 0.00 - 3,850.00 0.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 0.00 174 25 149 51.00 7,599.00
136 Serum ABU Vial 0.00 - 0.00 0.00
137 Sikzonoate inj ktk 5 amp 0.00 - 57,500.00 0.00
138 Simvastatin 10 mg ktk 30 0.00 340 70 270 117.00 31,590.00
139 Stesolid 10 mg/2,5 ml rektal tube 0.00 - 18,458.00 0.00
140 Stesolid 5 mg/2,5 ml rektal tube 0.00 - 14,459.00 0.00
141 Tablet Tambah Darah ktk 30 0.00 - 409.00 0.00
142 Thiamin ( vitamin B1 ) kotak 100 0.00 - 94.00 0.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 0.00 - 2,680.00 0.00
144 Triheksifenidil tab Kotak 10 x 10 tablet 0.00 - 97.00 0.00
145 Vit B Komplek Tablet btl 100 0.00 85 900 120 865 60.00 51,900.00
146 Zink tablet ktk 10 x 10 0.00 410 20 390 253.00 98,670.00
147 Zirkum kids sirup botol 0.00 - - 3,285.00 0.00
0.00 - 0.00 0.00
OBAT GIGI : 0.00 - 0.00 0.00
148 Eugenol Btl 0.00 - 50,417.00 0.00
149 Aseptik gel 0.00 - 0.00 0.00
150 yellow tip 0.00 - 110.00 0.00
0.00 - 0.00 0.00
REAGEN / LAB : 0.00 - 0.00 0.00
149 Blood Lancets ktk 100 496,800.00 - 4,140.00 0.00
150 Ethyl Klorida semprot Botol 500 ml 0.00 - 187,000.00 0.00
151 Gluco Protein Test Urine ktk 10 0.00 - 1,098.00 0.00
152 Gol. Darah Anti B btl 0.00 - 0.00 0.00
153 Gol. Darah Anti A, B btl 0.00 - 0.00 0.00
154 Gol. Darah Anti A btl 0.00 - 0.00 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml 0.00 - 82,500.00 0.00
156 Larutan HCL 0,1 N btl 250 ml 0.00 - 55,000.00 0.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 0.00 - 159,500.00 0.00
158 Larutan Methyl Blue btl 100 ml 0.00 - 99,000.00 0.00
159 Larutan Turk btl 100 ml 0.00 - 0.00 0.00
160 Larutan Giemsa btl 500 ml 263,184.00 - 263,184.00 0.00
161 Needle flashback ktk 50 0.00 - 1,701.00 0.00
162 Oil Imersion btl 10 ml 0.00 - 110,000.00 0.00
163 Pot Dahak btl 10 ml 242,451.00 - 3,069.00 0.00
164 Rapid Test HbsAg Kotak 777,600.00 - 8,100.00 0.00
165 Slide Kaca ktk 0.00 - 275.00 0.00
166 Stik Asam Urat Benechek ktk 25 pcs 613,800.00 - 6,200.00 0.00
167 Stik Cholesterol Mission ktk 25 pcs 2,695,880.00 - 22,280.00 0.00
168 Stik Glucosa Benechek ktk 50 pcs 464,399.00 - 3,341.00 0.00
169 Stik protein Urine 0.00 - 0.00 0.00
170 Vakum EDTA 3 mL 100 Pcs 0.00 - 1,205.00 0.00
171 Virotec Dengue Combo Ktk 25 0.00 - 64,171.00 0.00
172 RDT HIV 1+2 0.00 0.00
173 RDT HIV 1/2 (3.0) 0.00 0.00
174 RDT HIV D.S 0.00 0.00
175 RDT Malaria 0.00 0.00
176 RDT Sifilis 0.00 0.00
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
RDT Dengue 0.00 0.00
RDT Antigen 0.00 0.00
BMHP APBD : 0.00 - 0.00 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 56,265.00 - 1,023.00 0.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 10,245.00 - 683.00 0.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 0.00 - 924.00 0.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 0.00 - 1,045.00 0.00
5 Alkohol 70 % btl 1 liter 0.00 - 29,375.00 0.00
6 Alkohol Swab 0,5 % pcs 23,139.00 - 128.55 0.00
7 Bisturi ktk 100 0.00 - 10,733.00 0.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 0.00 - 2,873.00 0.00
9 Foley Catheter 16 pcs 0.00 - 153.00 0.00
10 Hand Scoon 7 (Steril) pcs 307,100.00 - 6,142.00 0.00
11 Hand Scoon L ktk 100 0.00 - 1,435.00 0.00
12 Hand Scoon M ktk 100 0.00 - 1,435.00 0.00
13 Hand Scoon M ktk 100 0.00 - 1,435.00 0.00
14 Hand Scoon S ktk 100 0.00 - 8,470.00 0.00
15 Infusion Dewasa ktk 50 0.00 - 9,181.00 0.00
16 Infusion set anak set / kantong 0.00 - 6,983.00 0.00
17 IV Catheter No. 22 G 50 buah / kotak 0.00 - 4,818.00 0.00
18 IV Catheter No. 18 G 50 buah / kotak 0.00 - 4,818.00 0.00
19 IV Catheter No. 24 G 50 buah / kotak 0.00 - 4,818.00 0.00
20 Kantong Limbah uk. L Pcs 0.00 - 5,400.00 0.00
21 Kantong Limbah uk. M Pcs 0.00 - 15,000.00 0.00
22 Kapas Pembalut 250 gr rol 2,896.00 - 1,448.00 0.00
23 Kasa hidrofil 40 x 80 cm pcs 0.00 - 77,600.00 0.00
24 Kasa hidrofil 40 x 80 cm pcs 0.00 - 2,354.00 0.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 0.00 - 5,610.00 0.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 0.00 - 20,339.00 0.00
27 Kasa steril 16 cmx16 cm ktk 0.00 - 24,254.00 0.00
28 Leukoplast Plester kain 7,5x4,5 pcs 0.00 - 3,472.00 0.00
29 Lysol btl 0.00 - 442.00 0.00
30 Masker hijab / Karet ktk 50 pcs 0.00 - 2,185.00 0.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 475,200.00 - 5,280.00 0.00
32 Mucus Extractor Pcs 0.00 - 5,865.00 0.00
33 Oxyflow Anak 0.00 - 8,040.00 0.00
34 Oxyflow Dewasa pcs 0.00 - 5,000.00 0.00
35 Pembalut Elastis roll 0.00 - 5,000.00 0.00
36 Polifix 5 cmx 5 m Roll 0.00 - 64,171.00 0.00
37 Polifix Aximed 5 cm x 10 m Roll 0.00 - 0.00 0.00
38 Silk 3/0 HR - 20 ktk 12 0.00 - 15,092.00 0.00
39 Test Kehamilan ktk 50 0.00 - 0.00 0.00
40 Umbilical cord klem ktk 50 pcs 0.00 - 0.00 0.00
41 Underpad Pcs 0.00 - 0.00 0.00
42 Urin Bag 10 pcs 0.00 - 0.00 0.00
0.00 - 0.00 0.00
PROGRAM GIZI /KIA 0.00 - 0.00 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 0.00 - 0.00 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 0.00 - 9,955.00 0.00
3 Diazepam Inj. 5 mg. Box @ 10 0.00 - 1,913.00 0.00
4 Eutyrox 50 mg Tab. Tablet 0.00 - 0.00 0.00
5 Fe ktk 100 0.00 475 30 445 409.00 182,005.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 0.00 - 3,545.00 0.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 0.00 - 2,684.00 0.00
8 MgSO4 40 % Botol 25 mL 0.00 - 3,796.00 0.00
9 Mineral Mix Shaset 0.00 - 3,116.00 0.00
10 Oxytetracycline salep mata 1 % Box @ 25 0.00 - 2,600.00 0.00
11 Oxytocin Inj. Box @ 100 0.00 - 1,232.00 0.00
12 Stik shipyllis Box @ 25 0.00 - 10,800.00 0.00
13 Vit. K inj. Box @ 30 0.00 - 4,236.00 0.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 0.00 - 305.00 0.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 0.00 - 637.00 0.00
TOTAL OBAT & BMHP APBD 6,428,959.00 - 0.00 1,439,378.00
OBAT & BMHP JKN : 0.00 - 0.00 0.00
1 Acyclovir 200 mg Tab. Box @ 100 0.00 - 1,096.00 0.00
2 Acyclovir 400 mg Tab Box @ 100 0.00 - 990.88 0.00
3 Acyclovir cream Tube 0.00 11 - 11 4,125.00 45,375.00
4 Acetylsystein 200 mg Cap. Box @ 100 0.00 600 70 530 1,100.00 583,000.00
5 Allopurinol 100 mg Tab. Box @ 100 0.00 - 247.50 0.00
6 Allopurinol 300 mg Tab. Box @ 100 0.00 139 - 139 566.50 78,743.50
7 Ambroxol syr. Botol 0.00 - 4,840.00 0.00
8 Ambroxol Tab. Box @ 100 0.00 40 - 246 286 165.00 47,190.00
9 Amlodipine 10 mg Tab. Box @ 30 0.00 415 150 265 495.00 131,175.00
10 Amlodipine 5 mg Tab. Box @ 100 0.00 490 90 400 445.50 178,200.00
11 Amoxycillin 500 mg Tab. Box @ 100 0.00 - 407.00 0.00
12 Amoxycillin Syr. Botol 0.00 - 5,478.00 0.00
13 Antasid Syr. Botol 0.00 - 3,900.00 0.00
14 Antasida Tab. Box @ 100 0.00 - 165.00 0.00
15 Asam Folat Box@100 0.00 - 110.00 0.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 0.00 - 275.00 0.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 0.00 539 - 539 2,011.00 1,083,929.00
18 Aseptic Gell Botol 450 mL 0.00 - 55,000.00 0.00
19 Bedak Salicyl Pcs 0.00 - 6,426.00 0.00
20 Betahistine 6 mg Tab. Box @ 100 0.00 614 - 614 1,015.00 623,210.00
21 Bethametasone salep Tube 0.00 5 1 4 3,520.00 14,080.00
22 Bioplacenton gel 15 gram Tube 0.00 - 17,650.00 0.00
23 Bisolvon sol Botol 0.00 - 105,600.00 0.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 0.00 - 220,000.00 0.00
25 Calcii Gluconas Inj. Box @ 24 0.00 - 4,053.50 0.00
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 0.00 - 165.00 0.00
27 Captopril 12,5 mg Tab. Box @ 100 0.00 - 104.50 0.00
28 Captopril 25 mg Tab. Box @ 100 0.00 - 132.00 0.00
29 Cefadroxil 125 mg Syr. Botol 0.00 9 - 9 7,700.00 69,300.00
30 Cefadroxil 500 mg Cap. Box @ 100 0.00 165 40 125 899.00 112,375.00
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip 0.00 90 1 89 5,720.00 509,080.00
32 Cetirizine Syr Botol 0.00 27 2 25 6,270.00 156,750.00
33 Cetirizine Tab. Box @ 100 0.00 280 60 220 502.00 110,440.00
34 Chloramfenicol Tetes mata (Reco) Botol 0.00 - - 9,460.00 0.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 0.00 20 - 20 10,010.00 200,200.00
36 Chloramfenicol salep (Fasycol) Tube 0.00 20 2 18 4,703.00 84,654.00
37 Ciprofloxacin 500 mg tab. Box @ 100 0.00 - 720.00 0.00
38 Cotrimoksazol 480 mg Box @ 100 0.00 320 - 320 289.85 92,752.00
39 Cotrimoxazole syr. Botol 0.00 12 - 12 4,290.00 51,480.00
40 CPZ 100 mg Tab. Box @ 100 0.00 - 432.70 0.00
41 CTM Btl @ 100 0.00 625 68 557 61.60 34,311.20
42 Daryantulle Box @ 10 0.00 - 27,500.00 0.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 0.00 455 141 314 149.80 47,036.57
44 Dexamethasone Inj. Box @ 100 0.00 - 2,416.00 0.00
45 Dextrose 40 25 mL Botol 0.00 - 12,760.00 0.00
46 Difenhydramine inj. Box @ 30 0.00 - 1,862.67 0.00
47 Domperidone Syr. Botol 0.00 31 1 30 6,600.00 198,000.00
48 Domperidone Tab. Box @ 100 0.00 355 30 325 271.70 88,302.50
49 Doxycicline Cap/ Doxyhat Box @ 100 0.00 100 - 100 466.49 46,648.80
50 Dulcolax 10 mg Sup Ktk @ 5 0.00 11 - 11 31,240.00 343,640.00
51 Dulcolax 5 mg Sup Ktk @ 6 0.00 - - 20,716.67 0.00
52 Dulcolax tab./ Laxana Box @ 10 0.00 8 - 8 1,980.00 15,840.00
53 Dumin 125 mg Rectal Ktk @ 5 0.00 - 19,800.00 0.00
54 Ephineprin Inj. Box @ 30 0.00 - 8,983.33 0.00
55 Ergotamine + Caffein Box @ 100 0.00 - 306.00 0.00
56 Etil Klorida 100 ml Botol 0.00 - 223,850.00 0.00
57 Garam Oralit Box @ 100 0.00 - 352.00 0.00
58 Gentamicin SK Box @ 10 0.00 - 3,630.00 0.00
59 Gentamicin Salep Mata (Genoint) Tube 0.00 4 - 4 8,580.00 34,320.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 0.00 10 1 9 11,110.00 99,990.00
61 Gentian Violet Box @ 24 0.00 5 - 5 3,850.00 19,250.00
62 Glibenclamide Tab. Box @ 100 0.00 225 500 500 225 222.59 50,081.63
63 Gliceril Guaiakolat Tab. Box @ 100 0.00 1,060 54 1,006 130.24 131,021.44
64 Glucosa infus 10 % Box @ 20 0.00 - 10,175.00 0.00
65 Guanistrep syr. Botol 0.00 5 - 5 8,470.00 42,350.00
66 H2O2 3 % 100 mL Botol 0.00 - 7,370.00 0.00
67 H2O2 3 % 800 mL Botol 0.00 - 36,300.00 0.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 0.00 134 30 104 1,364.00 141,856.00
69 Ibuprofen 200 mg Tab. Box @ 100 0.00 - - 275.00 0.00
70 Ibuprofen 400 mg Tab. Box @ 100 0.00 - 500 - 500 368.06 184,030.00
71 Ibuprofen Syr Botol 0.00 16 - 16 6,160.00 98,560.00
72 INH 100 mg Tab. Box @ 100 0.00 - 185.00 0.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 0.00 104 10 94 165.00 15,510.00
74 K-EN-3B infus Box @ 20 0.00 - 28,600.00 0.00
75 Ketoconazole 200 mg Tab. Box @ 50 0.00 - 506.00 0.00
76 Ketokonazole Salep Tube 0.00 - 4,950.00 0.00
77 Ketorolac inj 30mg/mL Box @ 6 0.00 - 5,042.00 0.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 0.00 - 3,114.00 0.00
79 Lidocain Inj. Box @ 100 0.00 - 1,430.00 0.00
80 Loratadine 10 mg Tab. Box @ 50 0.00 - 333.00 0.00
81 Metformin 500 mg Tab. Box @ 100 0.00 - 193.00 0.00
82 Methylprednisolon 4 mg Tab. Box @ 50 0.00 180 23 157 440.00 69,080.00
83 Metronidazole 500 mg Tab. Box @ 100 0.00 90 10 80 379.50 30,360.00
84 MgSO4 40 % Botol 0.00 - 14,754.30 0.00
85 Miconazole Salep Tube 0.00 - 4,730.00 0.00
86 NaCl infus Box @ 20 0.00 - 8,800.00 0.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 0.00 - 205.00 0.00
88 Neurobion Inj 5000 Ktk @ 20 0.00 - 11,750.00 0.00
89 Nifedipine 10 mg Tab Box @ 100 0.00 - 220.00 0.00
90 Nystatin drop (Cazetin drop ) Botol 0.00 7 2 5 24,420.00 122,100.00
91 Nystatin Vag ovula Box @ 100 0.00 - 828.00 0.00
92 Omeprazole kap. Box @ 30 0.00 230 60 170 414.33 70,436.66
93 Ondancentron Inj Ktk @ 5 0.00 - 7,700.00 0.00
94 Oxytocin Inj. Box @ 100 0.00 - 3,685.00 0.00
95 Oxytetracycline salep mata Tube 0.00 - 6,270.00 0.00
96 Paracetamol 500 mg Tab. Botol @ 100 0.00 - 316.81 0.00
97 Paracetamol Syr. Botol 0.00 - 4,180.00 0.00
98 Phenol Glycerol TT Botol 0.00 - 6,047.80 0.00
99 Piroxicam 10 mg Tab. Box @ 100 0.00 - 123.00 0.00
100 Povidone Iodine 300 mL Botol 0.00 - 33,000.00 0.00
101 Povidone Iodine 1 Liter Botol 0.00 - 99,000.00 0.00
102 Prednison 5 mg Tab. Box @ 100 0.00 - 285.00 0.00
103 Primaquin tab. Box @ 100 0.00 - 304.00 0.00
104 Ranitidine Inj. Box @ 10 0.00 - 7,150.00 0.00
105 Ranitidine Tab. Box @ 100 0.00 835 40 795 320.00 254,400.00
106 Ringer Laktat Infus Box @ 20 0.00 - 9,570.00 0.00
107 Salbutamol 2mg Tab. Box @ 100 0.00 - 158.40 0.00
108 Scabimid krim 10 gr Tube 0.00 - 58,850.00 0.00
109 Simvastatin 20 mg Tab. Box @ 100 0.00 220 - 220 564.41 124,170.20
110 Thrombophob gel 20 Gram Tube 0.00 - 62,000.00 0.00
111 Ultrasonic Gel 250 mL Botol 0.00 - 24,200.00 0.00
112 Ventolin Nebulizer Box @ 20 0.00 - 14,025.00 0.00
113 Vit B.1 Box @ 100 0.00 830 10 820 132.00 108,240.00
114 Vit B6 Box @ 100 0.00 790 20 770 132.00 101,640.00
115 Vit. B-Complex Btl @ 100 0.00 - 220.00 0.00
116 Vit K inj. Box @ 5 0.00 - 7,150.00 0.00
117 Vit K Tab. Box @ 100 0.00 - 1,320.00 0.00
118 Water for Inj. 10 mL Botol 0.00 - 5,940.00 0.00
119 Water for Inj. 25 mL Botol 0.00 - 9,020.00 0.00
120 Zinc / Lecozinc Syr. Botol 0.00 - 7,000.00 0.00
121 Zinc Tab. Box @ 100 0.00 - 675.00 0.00
BMHP : 0.00 - 0.00 0.00
1 Abbocat 18 G Box @ 50 0.00 - 5,500.00 0.00
2 Abbocat 20 G Box @ 50 0.00 - 5,500.00 0.00
LAB APOTEK
No. Nama Obat Satuan Stok akhir
Total Stok awal Penerimaan Pemakaian Total
Sisa Harga satuan
3 Abbocat 22 G Box @ 50 0.00 - 6,050.00 0.00
4 Abbocat 24 G Box @ 50 0.00 - 13,000.00 0.00
5 Abbocat 26 G Box @ 50 0.00 - 5,500.00 0.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 0.00 - 880.00 0.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 0.00 - 11,000.00 0.00
8 Alkohol 300 mL Botol 0.00 - 24,065.00 0.00
9 Alkohol Swab Bok 0.00 - 182.00 0.00
10 Bisturi no. 11 G Box @ 100 0.00 - 1,100.00 0.00
11 Blood set Box @ 50 0.00 - 6,900.30 0.00
12 Cat Gut Plain 3/0 Box @ 24 0.00 - 8,800.00 0.00
13 Folley Catheter Fr. 16 Box @ 10 0.00 - 12,100.00 0.00
14 Folley Catheter Fr. 18 Box @ 10 0.00 - 12,100.00 0.00
15 Hand scoon steril No. 7 Box @ 50 0.00 - 11,000.00 0.00
16 Hand scoon nonsteril No. L Box @100 0.00 - 1,700.60 0.00
17 Hand scoon nonsteril No. M Box @100 0.00 - 1,700.60 0.00
18 Hand scoon nonsteril No. S Box @100 0.00 - 1,700.60 0.00
19 Infuset Dewasa Pcs 0.00 - 4,400.00 0.00
20 Kassa 40 x 80 Roll 0.00 - 120,000.00 0.00
21 Kassa steril Box 0.00 - 4,000.00 0.00
22 Masker Bedah Box @ 50 0.00 - 806.30 0.00
23 Masker Oxigen Anak Pcs 0.00 - 16,500.00 0.00
24 Masker Oxigen dws Pcs 0.00 - 16,500.00 0.00
25 Masker Oxigen Non Refbreathing anak Pcs 0.00 - 30,800.00 0.00
26 Masker Oxigen Non Refbreathing dws Pcs 0.00 - 30,800.00 0.00
27 Mucus extractor Box @ 25 0.00 - 7,700.00 0.00
28 Nasal canul Bayi Pcs 0.00 - 11,000.00 0.00
29 Nasal canul anak Pcs 0.00 - 11,000.00 0.00
30 Nasal canul dewasa Pcs 0.00 - 11,000.00 0.00
31 Needle 23 G Box @100 0.00 - 220.00 0.00
32 NGT Fr. 3,5 Pcs 0.00 - 49,500.00 0.00
33 NGT No. 16 Pcs 0.00 - 49,500.00 0.00
34 Nurse Cup Box @100 0.00 - 605.00 0.00
35 Pot salep 20 gr Pot 0.00 - 880.00 0.00
36 Sendok obat Pcs 0.00 - 599.50 0.00
37 Silk 3/0 Box @ 36 0.00 - 11,000.00 0.00
38 Silk 4/0 Box @ 12 0.00 - 11,000.00 0.00
39 Sungkup nebulizer anak Pcs 0.00 - 27,500.00 0.00
40 Sungkup nebulizer bayi Pcs 0.00 - 22,000.00 0.00
41 Sungkup nebulizer Dws Pcs 0.00 - 27,500.00 0.00
42 Umbilical cord Pcs 0.00 - 1,540.00 0.00
43 Underpad Box @ 10 0.00 - 4,840.00 0.00
44 Utrafix 5 x 10 Roll 0.00 - 71,500.00 0.00
45 Utrafix 5 x 5 Roll 0.00 - 20,570.00 0.00
46 Urine Bag Pcs 0.00 - 7,700.00 0.00
47 Verban 4 x 10 Roll 0.00 - 3,500.20 0.00
48 Verban 4 x 5 Roll 0.00 - 1,300.00 0.00
REAGEN : 0.00 - 0.00 0.00
49 Blue Tip Pak @ 100 0.00 - 132.00 0.00
50 Cover Glass 20 x 20 Pcs 0.00 - 308.00 0.00
51 Diatro Cleaner Botol 1 L 0.00 - 759,000.00 0.00
52 Diatro Dilluent Botol 1 L 0.00 - 2,178,000.00 0.00
53 Diatro Lyse Botol 1 L 0.00 - 1,863,400.00 0.00
54 Gol. Darah Anti A Botol 0.00 - 110,000.00 0.00
55 Gol. Darah Anti B Botol 0.00 - 110,000.00 0.00
56 Gol. Darah resus anti D Botol 0.00 - 132,000.00 0.00
57 HCL Alkohol 3 % Botol 100 mL 0.00 - 55,000.00 0.00
58 Salmonella Thypi AO Botol 0.00 - 181,500.00 0.00
59 Salmonella Thypi BO Botol 0.00 - 181,500.00 0.00
60 Salmonella Thypi H Botol 0.00 - 181,500.00 0.00
61 Salmonella Thypi O Botol 0.00 - 181,500.00 0.00
62 Serum Kontrol Botol 0.00 - 715,000.00 0.00
63 Spiritus Botol 0.00 - 33,000.00 0.00
64 Stik Asam Urat Benecheck Btl @ 25 0.00 - 6,600.00 0.00
65 Stik GDS Benecheck Btl @ 50 0.00 - 3,520.00 0.00
66 Stik Kholesterol Benecheck Btl @ 10 0.00 - 27,500.00 0.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 1,346,400.00 - 9,900.00 0.00
68 Tabung EDTA 3 mL Botol 175,560.00 - 1,540.00 0.00
69 Tes Kehamilan Box @ 50 96,096.00 - 1,478.40 0.00
70 Urine Stik 10 Para Btl @100 142,450.00 - 2,035.00 0.00
71 Yellow tip Pcs 0.00 - 110.00 0.00
1,760,506.00 3,648,326.00

8,189,465 5,087,704
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153 - - 153
2 Acetylcystein 200 mg Cap. ktk 100 - 412 - - 412
3 Acyclovir 200 mg ktk 10 x 10 - 236 - - 236
4 Acyclovir 400 mg ktk 10 x 10 - 300 - - 300
5 Allupurinol 100 mg ktk 100 - 89 - - 89
6 Ambroxol syr. Botol - 3,639 - - 3,639
7 Amitriptiline HCl 25 mg ktk 100 - 168 - - 168
8 Amlodipin 5 mg ktk 30 - 74 - - 74
9 Amlodipin 10 mg ktk 30 520 - 520
10 Amoksisilin 250 mg ktk 10x 10 - 188 - - 188
11 Amoksisilin 500 mg ktk 10x 11 - 231 - - 231
12 Amoksisilin syr Botol - 2,050 - - 2,050
13 Antasida doen tablet kotak ktk 10 x10 - 54 - - 54
14 Antasida syr. Botol - 1,756 - - 1,756
15 Antasida Tab. ktk 10 x 10
16 Anti Hemoroid ktk 10 - 3,260 - - 3,260
17 Antides ( Attapulgite ) ktk 100 - 175 - - 175
18 Aqua pro inj btl - 2,860 - - 2,860
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - 46 - - 46
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45 - - 45
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175 - - 175
22 Asam Mefenamat 500 mg kotak 10 x 10 - 117 - - 117
23 Atropin 0.5 mg tablet ktk 100 tablet - 81 - - 81
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353 - - 1,353
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175 - 175
26 Betahistine 6 mg ktk 30 - 119 - - 119
27 Betamethason Salep ktk 25 - 1,920 - - 1,920
28 Bioplacenton Tulle Tulle - 10,733 - - 10,733
29 Bisacodil 10 mg ktk 50 sup - 5,800 - - 5,800
30 Bisacodil 5 mg ktk 6 sup - 5,800 - - 5,800
31 Bufacetine salep kulit Tube - 3,360 - - 3,360
32 Captopril 50 mg ktk 10 x 10 tablet - 143 - - 143
33 Captopril 12,5 mg ktk 10 x 10 - 65 - - 65
34 Captopril 25 mg ktk 10 x 10 tablet - 75 - - 75
35 Cetirizine 10 mg ktk 10 x 10 - 104 - - 104
36 Cetirizine sirup botol - 3,061 - - 3,061
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260 - - 260
38 Clindamycin HCI 300mg Cap. ktk 50 - 660 - - 660
39 Cloramfenicol salep mata ktk 24 tube - 1,925 - - 1,925
40 Clorpromazine 100 mg ktk 10 x 10 - 153 - - 153
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49 - - 49
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226 - - 1,226
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336 - - 2,336
44 Deksamethasone Tablet btl 10 x 10 tablet - 75 - - 75
45 Diazepam 2 mg Tab. Box @ 100 - 86 - - 86
46 Diazepam 05 mg inj ktk 10 amp - 1,545 - - 1,545
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458 - - 18,458
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156 - - 1,156
49 Digoksin ktk 10 x 10 - 96 - - 96
50 Dimenhidrinat 50 mg btl 100 - 121 - - 121
51 Doksisiklin 100 mg Ktk 100 - 309 - - 309
52 Domperidon 10 mg kotak 10 x 10 - 75 - - 75
53 Domperidon Sirup btl - 3,180 - - 3,180
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740 - - 1,740
55 Ergotamine + Caffein Botol @ 100 - 199 - - 199
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509 - - 509
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913 - - 913
58 Fenobarbital inj ktk 30 Ampul - 1,980 - - 1,980
59 Furosemid 40 mg ktk 200 tab - 84 - - 84
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012 - - 2,012
61 Garam Oralit ktk 100 - 280 - - 280
62 Gentamisin TTS Mata ktk 24 btl - 4,600 - - 4,600
63 Glibenclamide 5 mg Tab. ktk 100 - 137 - - 137
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867 - - 5,867
65 Glukosa larutan infus 5 % btl 500 ml - 6,627 - - 6,627
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157 - - 157
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210 - - 210
68 Haloperidol 0,5 mg ktk 10 x 10 - 62 - - 62
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76 - - 76
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500 - - 97,500
71 Hidrokortisone Cream 2,5 % tube @ 5 g - 2,325 - - 2,325
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178 - - 178
73 Ibuprofen sirup btl 60 ml - 2,678 - - 2,678
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111 - - 111
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157 - - 157
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98 - - 98
77 Kalsium laktat ( Kalk ) tablet 500 mg - 60 - - 60
78 Karbamazepin 200 mg ktk 10 x 10 - 269 - - 269
79 Ketoconazole 200mg Tab. Box @ 50 - 286 - - 286
80 Ketoconazole salep ktk 25 tube - 2,577 - - 2,577
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383 - - 1,383
82 Klonidin 0,15 mg ktk 10 x 10 - 224 - - 224
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329 - - 329
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - 24 - - 24
85 Kodein Tablet 10 mg ktk 10 x 10 - 550 - - 550
86 Kotrimoksasol 480 mg ktk 100 - 220 - - 220
87 Kotrimoksasol Syr. Botol - 2,052 #NAME? - 2,052
88 Lidocain 2 % inj ktk 100 - 891 - - 891
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
89 Lidocain 2 % inj Jelly tube - 40,000 - - 40,000
90 Lidokain komp injeksi, kombinasi ktk 30 amp - 2,122 - - 2,122
91 Loperamid 2 mg ktk 10 x 10 - 97 - - 97
92 Loratadine tab 10 mg ktk 10x 10 - 149 - - 149
93 Lysol btl - 45,100 - - 45,100
94 Magnesium sulfat inj 20% btl - 2,122 - - 2,122
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723 - - 723
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377 - - 1,377
97 Metformin 500 mg ktk 10x 10 - 77 - - 77
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102 - 102
99 Metilergometrin injeksi ktk 100 3,399 - 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242 - 242
101 Metoklopramid 10 mg ktk 10 x 10 111 - 111
102 Metoklopramid Sirup (Lexapram) btl 2,750 - 2,750
103 Metronidazol 500 mg ktk 100 140 - 140
104 Metronidazol Sirup btl 60 ml 3,800 - 3,800
105 Miconazole 2% krem tube 10 gram 1,900 - 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900 - 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109 - 109
108 Nifedipin tab ktk 10 x 10 tablet 123 - 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688 - 688
110 OBH syr. Botol 3,500 - 3,500
111 Omeprazol 20 mg ktk 3x 10 164 - 164
112 OAM
113 Oxytetrasiklin salep mata ktk 25 2,600 - 2,600
114 Oxytocin injeksi btl 15 ml 2,774 - 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500 - 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225 - 225
117 Parasetamol Sirup btl 1,160 - 1,160
118 Phenol Glycerol TTS telinga btl 2,500 - 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818 - 818
120 Phitomenadion Vit K inj ktk 30 1,452 - 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150 - 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73 - 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235 - 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80 - 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297 - 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150 - 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155 - 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119 - 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327 - 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505 - 505
131 Rifampicin 600 mg ktk 100 1,420 - 1,420
132 Ringer Laktat Infus btl 7,703 - 7,703
133 Risperidon 2 mg ktk 100 130 - 130
134 Rivanol botol 300 ml 3,850 - 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 51 - 51
136 Serum ABU Vial - - -
137 Sikzonoate inj ktk 5 amp 57,500 - 57,500
138 Simvastatin 10 mg ktk 30 117 - 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458 - 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459 - 14,459
141 Tablet Tambah Darah ktk 30 409 - 409
142 Thiamin ( vitamin B1 ) kotak 100 94 - 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680 - 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97 - 97
145 Vit B Komplek Tablet btl 100 60 - 60
146 Zink tablet ktk 10 x 10 253 - 253
147 Zirkum kids sirup botol 3,285 - 3,285
- - - - -
OBAT GIGI : - - - - -
148 Eugenol Btl - 50,417 - - 50,417
149 Aseptik gel - - - - -
150 yellow tip - 110 - - 110
- - - - -
REAGEN / LAB : - - - - -
149 Blood Lancets ktk 100 - 4,140 - - 4,140
150 Ethyl Klorida semprot Botol 500 ml - 187,000 - - 187,000
151 Gluco Protein Test Urine ktk 10 - 1,098 - - 1,098
152 Gol. Darah Anti B btl - - - - -
153 Gol. Darah Anti A, B btl - - - - -
154 Gol. Darah Anti A btl - - - - -
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500 - - 82,500
156 Larutan HCL 0,1 N btl 250 ml - 55,000 - - 55,000
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500 - - 159,500
158 Larutan Methyl Blue btl 100 ml - 99,000 - - 99,000
159 Larutan Turk btl 100 ml - - - - -
160 Larutan Giemsa btl 500 ml - 263,184 - - 263,184
161 Needle flashback ktk 50 - 1,701 - - 1,701
162 Oil Imersion btl 10 ml - 110,000 - - 110,000
163 Pot Dahak btl 10 ml 3,069 - 3,069
164 Rapid Test HbsAg Kotak 8,100 - 8,100
165 Slide Kaca ktk 275 - 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200 - 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280 - 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341 - 3,341
169 Stik protein Urine - - -
170 Vakum EDTA 3 mL 100 Pcs 1,205 - 1,205
171 Virotec Dengue Combo Ktk 25 64,171 - 64,171
172 RDT HIV 1+2
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
RDT Dengue
RDT Antigen
BMHP APBD : - - - - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 1,023 - - 1,023
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 683 - - 683
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924 - - 924
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045 - - 1,045
5 Alkohol 70 % btl 1 liter - 29,375 - - 29,375
6 Alkohol Swab 0,5 % pcs - 129 - - 129
7 Bisturi ktk 100 - 10,733 - - 10,733
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873 - - 2,873
9 Foley Catheter 16 pcs - 153 - - 153
10 Hand Scoon 7 (Steril) pcs - 6,142 - - 6,142
11 Hand Scoon L ktk 100 - 1,435 - - 1,435
12 Hand Scoon M ktk 100 - 1,435 - - 1,435
13 Hand Scoon M ktk 100 - 1,435 - - 1,435
14 Hand Scoon S ktk 100 - 8,470 - - 8,470
15 Infusion Dewasa ktk 50 - 9,181 - - 9,181
16 Infusion set anak set / kantong - 6,983 - - 6,983
17 IV Catheter No. 22 G 50 buah / kotak - 4,818 - - 4,818
18 IV Catheter No. 18 G 50 buah / kotak - 4,818 - - 4,818
19 IV Catheter No. 24 G 50 buah / kotak - 4,818 - - 4,818
20 Kantong Limbah uk. L Pcs - 5,400 - - 5,400
21 Kantong Limbah uk. M Pcs - 15,000 - - 15,000
22 Kapas Pembalut 250 gr rol - 1,448 - - 1,448
23 Kasa hidrofil 40 x 80 cm pcs - 77,600 - - 77,600
24 Kasa hidrofil 40 x 80 cm pcs - 2,354 - - 2,354
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610 - - 5,610
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339 - - 20,339
27 Kasa steril 16 cmx16 cm ktk - 24,254 - - 24,254
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472 - - 3,472
29 Lysol btl - 442 - - 442
30 Masker hijab / Karet ktk 50 pcs - 2,185 - - 2,185
31 Masker tali ikat Ties Aximed ktk 50 pcs - 5,280 - - 5,280
32 Mucus Extractor Pcs - 5,865 - - 5,865
33 Oxyflow Anak - 8,040 - - 8,040
34 Oxyflow Dewasa pcs - 5,000 - - 5,000
35 Pembalut Elastis roll - 5,000 - - 5,000
36 Polifix 5 cmx 5 m Roll - 64,171 - - 64,171
37 Polifix Aximed 5 cm x 10 m Roll - - -
38 Silk 3/0 HR - 20 ktk 12 15,092 - 15,092
39 Test Kehamilan ktk 50 - - -
40 Umbilical cord klem ktk 50 pcs - - -
41 Underpad Pcs - - -
42 Urin Bag 10 pcs - - -
- - -
PROGRAM GIZI /KIA - - -
1 Ampicillin 1 gr. Inj. Box @ 10 - - -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955 - 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913 - 1,913
4 Eutyrox 50 mg Tab. Tablet - - -
5 Fe ktk 100 409 - 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545 - 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684 - 2,684
8 MgSO4 40 % Botol 25 mL 3,796 - 3,796
9 Mineral Mix Shaset 3,116 - 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600 - 2,600
11 Oxytocin Inj. Box @ 100 1,232 - 1,232
12 Stik shipyllis Box @ 25 10,800 - 10,800
13 Vit. K inj. Box @ 30 4,236 - 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305 - 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637 - 637
TOTAL OBAT & BMHP APBD - #NAME? - -
OBAT & BMHP JKN : - - - - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096 - - 1,096
2 Acyclovir 400 mg Tab Box @ 100 991 - - 991
3 Acyclovir cream Tube 4,125 - - 4,125
4 Acetylsystein 200 mg Cap. Box @ 100 1,100 - - 1,100
5 Allopurinol 100 mg Tab. Box @ 100 248 - - 248
6 Allopurinol 300 mg Tab. Box @ 100 567 - - 567
7 Ambroxol syr. Botol 4,840 - - 4,840
8 Ambroxol Tab. Box @ 100 165 - - 165
9 Amlodipine 10 mg Tab. Box @ 30 495 - - 495
10 Amlodipine 5 mg Tab. Box @ 100 446 - - 446
11 Amoxycillin 500 mg Tab. Box @ 100 407 - - 407
12 Amoxycillin Syr. Botol 5,478 - - 5,478
13 Antasid Syr. Botol 3,900 - - 3,900
14 Antasida Tab. Box @ 100 165 - - 165
15 Asam Folat Box@100 110 - - 110
16 Asam Mefenamat 500 mg Tab. Box @ 100 275 - - 275
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 2,011 - - 2,011
18 Aseptic Gell Botol 450 mL 55,000 - - 55,000
19 Bedak Salicyl Pcs 6,426 - - 6,426
20 Betahistine 6 mg Tab. Box @ 100 1,015 - - 1,015
21 Bethametasone salep Tube 3,520 - - 3,520
22 Bioplacenton gel 15 gram Tube 17,650 - - 17,650
23 Bisolvon sol Botol 105,600 - - 105,600
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000 - - 220,000
25 Calcii Gluconas Inj. Box @ 24 - 4,054 - - 4,054
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165 - - 165
27 Captopril 12,5 mg Tab. Box @ 100 - 105 - - 105
28 Captopril 25 mg Tab. Box @ 100 - 132 - - 132
29 Cefadroxil 125 mg Syr. Botol - 7,700 - - 7,700
30 Cefadroxil 500 mg Cap. Box @ 100 - 899 - - 899
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720 - - 5,720
32 Cetirizine Syr Botol - 6,270 - - 6,270
33 Cetirizine Tab. Box @ 100 - 502 - - 502
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460 - - 9,460
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - 10,010 - - 10,010
36 Chloramfenicol salep (Fasycol) Tube - 4,703 - - 4,703
37 Ciprofloxacin 500 mg tab. Box @ 100 - 720 - - 720
38 Cotrimoksazol 480 mg Box @ 100 - 290 - - 290
39 Cotrimoxazole syr. Botol - 4,290 - - 4,290
40 CPZ 100 mg Tab. Box @ 100 - 433 - - 433
41 CTM Btl @ 100 - 62 - - 62
42 Daryantulle Box @ 10 - 27,500 - - 27,500
43 Dexamethasone 0,5 mg Tab. Box @ 100 150 - - 150
44 Dexamethasone Inj. Box @ 100 - 2,416 - - 2,416
45 Dextrose 40 25 mL Botol - 12,760 - - 12,760
46 Difenhydramine inj. Box @ 30 - 1,863 - - 1,863
47 Domperidone Syr. Botol - 6,600 - - 6,600
48 Domperidone Tab. Box @ 100 - 272 - - 272
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466 - - 466
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240 - - 31,240
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,717 - - 20,717
52 Dulcolax tab./ Laxana Box @ 10 - 1,980 - - 1,980
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800 - - 19,800
54 Ephineprin Inj. Box @ 30 - 8,983 - - 8,983
55 Ergotamine + Caffein Box @ 100 - 306 - - 306
56 Etil Klorida 100 ml Botol - 223,850 - - 223,850
57 Garam Oralit Box @ 100 - 352 - - 352
58 Gentamicin SK Box @ 10 - 3,630 - - 3,630
59 Gentamicin Salep Mata (Genoint) Tube - 8,580 - - 8,580
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - 11,110 - - 11,110
61 Gentian Violet Box @ 24 - 3,850 - - 3,850
62 Glibenclamide Tab. Box @ 100 - 223 - - 223
63 Gliceril Guaiakolat Tab. Box @ 100 - 130 - - 130
64 Glucosa infus 10 % Box @ 20 - 10,175 - - 10,175
65 Guanistrep syr. Botol - 8,470 - - 8,470
66 H2O2 3 % 100 mL Botol - 7,370 - - 7,370
67 H2O2 3 % 800 mL Botol - 36,300 - - 36,300
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364 - - 1,364
69 Ibuprofen 200 mg Tab. Box @ 100 - 275 - - 275
70 Ibuprofen 400 mg Tab. Box @ 100 - 368 - - 368
71 Ibuprofen Syr Botol - 6,160 - - 6,160
72 INH 100 mg Tab. Box @ 100 - 185 - - 185
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165 - - 165
74 K-EN-3B infus Box @ 20 - 28,600 - - 28,600
75 Ketoconazole 200 mg Tab. Box @ 50 - 506 - - 506
76 Ketokonazole Salep Tube - 4,950 - - 4,950
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042 - - 5,042
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114 - - 3,114
79 Lidocain Inj. Box @ 100 - 1,430 - - 1,430
80 Loratadine 10 mg Tab. Box @ 50 - 333 - - 333
81 Metformin 500 mg Tab. Box @ 100 - 193 - - 193
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440 - - 440
83 Metronidazole 500 mg Tab. Box @ 100 380 - - 380
84 MgSO4 40 % Botol - 14,754 - - 14,754
85 Miconazole Salep Tube - 4,730 - - 4,730
86 NaCl infus Box @ 20 - 8,800 - - 8,800
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205 - - 205
88 Neurobion Inj 5000 Ktk @ 20 - 11,750 - - 11,750
89 Nifedipine 10 mg Tab Box @ 100 - 220 - - 220
90 Nystatin drop (Cazetin drop ) Botol - 24,420 - - 24,420
91 Nystatin Vag ovula Box @ 100 - 828 - - 828
92 Omeprazole kap. Box @ 30 - 414 - - 414
93 Ondancentron Inj Ktk @ 5 - 7,700 - - 7,700
94 Oxytocin Inj. Box @ 100 - 3,685 - - 3,685
95 Oxytetracycline salep mata Tube - 6,270 - - 6,270
96 Paracetamol 500 mg Tab. Botol @ 100 - 317 - - 317
97 Paracetamol Syr. Botol - 4,180 - - 4,180
98 Phenol Glycerol TT Botol - 6,048 - - 6,048
99 Piroxicam 10 mg Tab. Box @ 100 - 123 - - 123
100 Povidone Iodine 300 mL Botol - 33,000 - - 33,000
101 Povidone Iodine 1 Liter Botol - 99,000 - - 99,000
102 Prednison 5 mg Tab. Box @ 100 - 285 - - 285
103 Primaquin tab. Box @ 100 - 304 - - 304
104 Ranitidine Inj. Box @ 10 - 7,150 - - 7,150
105 Ranitidine Tab. Box @ 100 - 320 - - 320
106 Ringer Laktat Infus Box @ 20 - 9,570 - - 9,570
107 Salbutamol 2mg Tab. Box @ 100 - 158 - - 158
108 Scabimid krim 10 gr Tube - 58,850 - - 58,850
109 Simvastatin 20 mg Tab. Box @ 100 - 564 - - 564
110 Thrombophob gel 20 Gram Tube - 62,000 - - 62,000
111 Ultrasonic Gel 250 mL Botol 24,200 - - 24,200
112 Ventolin Nebulizer Box @ 20 14,025 - - 14,025
113 Vit B.1 Box @ 100 132 - - 132
114 Vit B6 Box @ 100 132 - - 132
115 Vit. B-Complex Btl @ 100 220 - - 220
116 Vit K inj. Box @ 5 7,150 - - 7,150
117 Vit K Tab. Box @ 100 1,320 - - 1,320
118 Water for Inj. 10 mL Botol 5,940 - - 5,940
119 Water for Inj. 25 mL Botol 9,020 - - 9,020
120 Zinc / Lecozinc Syr. Botol 7,000 - - 7,000
121 Zinc Tab. Box @ 100 675 - - 675
BMHP : - - - -
1 Abbocat 18 G Box @ 50 5,500 - - 5,500
2 Abbocat 20 G Box @ 50 5,500 - - 5,500
Poli GIGI POLI KIA
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga satuan
3 Abbocat 22 G Box @ 50 6,050 - - 6,050
4 Abbocat 24 G Box @ 50 13,000 - - 13,000
5 Abbocat 26 G Box @ 50 5,500 - - 5,500
6 Alat suntik satu kali pakai 3 cc Box @ 100 880 - - 880
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000 - - 11,000
8 Alkohol 300 mL Botol 24,065 - - 24,065
9 Alkohol Swab Bok 182 - - 182
10 Bisturi no. 11 G Box @ 100 1,100 - - 1,100
11 Blood set Box @ 50 6,900 - - 6,900
12 Cat Gut Plain 3/0 Box @ 24 8,800 - - 8,800
13 Folley Catheter Fr. 16 Box @ 10 12,100 - - 12,100
14 Folley Catheter Fr. 18 Box @ 10 12,100 - - 12,100
15 Hand scoon steril No. 7 Box @ 50 11,000 - - 11,000
16 Hand scoon nonsteril No. L Box @100 1,701 - - 1,701
17 Hand scoon nonsteril No. M Box @100 1,701 - - 1,701
18 Hand scoon nonsteril No. S Box @100 1,701 - - 1,701
19 Infuset Dewasa Pcs 4,400 - - 4,400
20 Kassa 40 x 80 Roll 120,000 - - 120,000
21 Kassa steril Box 4,000 - - 4,000
22 Masker Bedah Box @ 50 806 - - 806
23 Masker Oxigen Anak Pcs 16,500 - - 16,500
24 Masker Oxigen dws Pcs 16,500 - - 16,500
25 Masker Oxigen Non Refbreathing anak Pcs 30,800 - - 30,800
26 Masker Oxigen Non Refbreathing dws Pcs 30,800 - - 30,800
27 Mucus extractor Box @ 25 7,700 - - 7,700
28 Nasal canul Bayi Pcs 11,000 - - 11,000
29 Nasal canul anak Pcs 11,000 - - 11,000
30 Nasal canul dewasa Pcs 11,000 - - 11,000
31 Needle 23 G Box @100 220 - - 220
32 NGT Fr. 3,5 Pcs 49,500 - - 49,500
33 NGT No. 16 Pcs 49,500 - - 49,500
34 Nurse Cup Box @100 605 - - 605
35 Pot salep 20 gr Pot 880 - - 880
36 Sendok obat Pcs 600 - - 600
37 Silk 3/0 Box @ 36 11,000 - - 11,000
38 Silk 4/0 Box @ 12 11,000 - - 11,000
39 Sungkup nebulizer anak Pcs 27,500 - - 27,500
40 Sungkup nebulizer bayi Pcs 22,000 - - 22,000
41 Sungkup nebulizer Dws Pcs 27,500 - - 27,500
42 Umbilical cord Pcs 1,540 - - 1,540
43 Underpad Box @ 10 4,840 - - 4,840
44 Utrafix 5 x 10 Roll 71,500 - - 71,500
45 Utrafix 5 x 5 Roll 20,570 - - 20,570
46 Urine Bag Pcs 7,700 - - 7,700
47 Verban 4 x 10 Roll 3,500 - - 3,500
48 Verban 4 x 5 Roll 1,300 - - 1,300
REAGEN : - - - -
49 Blue Tip Pak @ 100 132 - - 132
50 Cover Glass 20 x 20 Pcs 308 - - 308
51 Diatro Cleaner Botol 1 L 759,000 - - 759,000
52 Diatro Dilluent Botol 1 L 2,178,000 - - 2,178,000
53 Diatro Lyse Botol 1 L 1,863,400 - - 1,863,400
54 Gol. Darah Anti A Botol 110,000 - - 110,000
55 Gol. Darah Anti B Botol 110,000 - - 110,000
56 Gol. Darah resus anti D Botol 132,000 - - 132,000
57 HCL Alkohol 3 % Botol 100 mL 55,000 - - 55,000
58 Salmonella Thypi AO Botol 181,500 - - 181,500
59 Salmonella Thypi BO Botol 181,500 - - 181,500
60 Salmonella Thypi H Botol 181,500 - - 181,500
61 Salmonella Thypi O Botol 181,500 - - 181,500
62 Serum Kontrol Botol 715,000 - - 715,000
63 Spiritus Botol 33,000 - - 33,000
64 Stik Asam Urat Benecheck Btl @ 25 6,600 - - 6,600
65 Stik GDS Benecheck Btl @ 50 3,520 - - 3,520
66 Stik Kholesterol Benecheck Btl @ 10 27,500 - - 27,500
67 Strip Hemoglobin ( Hb ) Btl @ 50 9,900 - - 9,900
68 Tabung EDTA 3 mL Botol 1,540 - - 1,540
69 Tes Kehamilan Box @ 50 1,478 - - 1,478
70 Urine Stik 10 Para Btl @100 2,035 - - 2,035
71 Yellow tip Pcs 110 - - 110
- -
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - - 153.00 0.00 -
2 Acetylcystein 200 mg Cap. ktk 100 - - 412.00 0.00 -
3 Acyclovir 200 mg ktk 10 x 10 - - 236.00 0.00 -
4 Acyclovir 400 mg ktk 10 x 10 - - 300.00 0.00 -
5 Allupurinol 100 mg ktk 100 - - 89.00 0.00 -
6 Ambroxol syr. Botol - - 3,639.00 0.00 -
7 Amitriptiline HCl 25 mg ktk 100 - - 168.00 0.00 -
8 Amlodipin 5 mg ktk 30 - - 74.00 0.00 -
9 Amlodipin 10 mg ktk 30 - 520.00 0.00 -
10 Amoksisilin 250 mg ktk 10x 10 - - 188.00 0.00 -
11 Amoksisilin 500 mg ktk 10x 11 - - 231.00 0.00 -
12 Amoksisilin syr Botol - - 2,050.00 0.00 -
13 Antasida doen tablet kotak ktk 10 x10 - - 54.00 0.00 -
14 Antasida syr. Botol - - 1,756.00 0.00 -
15 Antasida Tab. ktk 10 x 10 0.00
16 Anti Hemoroid ktk 10 - - 3,260.00 0.00 -
17 Antides ( Attapulgite ) ktk 100 - - 175.00 0.00 -
18 Aqua pro inj btl - - 2,860.00 0.00 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 - - 46.00 0.00 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - - 45.00 0.00 -
21 Asam Mefenamat 250 mg kotak 10 x 10 - - 175.00 0.00 -
22 Asam Mefenamat 500 mg kotak 10 x 10 - - 117.00 0.00 -
23 Atropin 0.5 mg tablet ktk 100 tablet - - 81.00 0.00 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - - 1,353.00 0.00 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 - 175.00 0.00 -
26 Betahistine 6 mg ktk 30 - - 119.00 0.00 -
27 Betamethason Salep ktk 25 - - 1,920.00 0.00 -
28 Bioplacenton Tulle Tulle - - 10,733.00 0.00 -
29 Bisacodil 10 mg ktk 50 sup - - 5,800.00 0.00 -
30 Bisacodil 5 mg ktk 6 sup - - 5,800.00 0.00 -
31 Bufacetine salep kulit Tube - - 3,360.00 0.00 -
32 Captopril 50 mg ktk 10 x 10 tablet - - 143.00 0.00 -
33 Captopril 12,5 mg ktk 10 x 10 - - 65.00 0.00 -
34 Captopril 25 mg ktk 10 x 10 tablet - - 75.00 0.00 -
35 Cetirizine 10 mg ktk 10 x 10 - - 104.00 0.00 -
36 Cetirizine sirup botol - - 3,061.00 0.00 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - - 260.00 0.00 -
38 Clindamycin HCI 300mg Cap. ktk 50 - - 660.00 0.00 -
39 Cloramfenicol salep mata ktk 24 tube - - 1,925.00 0.00 -
40 Clorpromazine 100 mg ktk 10 x 10 - - 153.00 0.00 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - - 49.00 0.00 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - - 1,226.00 0.00 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - - 2,336.00 0.00 -
44 Deksamethasone Tablet btl 10 x 10 tablet - - 75.00 0.00 -
45 Diazepam 2 mg Tab. Box @ 100 - - 86.00 0.00 -
46 Diazepam 05 mg inj ktk 10 amp - - 1,545.00 0.00 -
47 Diazepam Stesolid 10 mg ktk 5 amp - - 18,458.00 0.00 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - - 1,156.00 0.00 -
49 Digoksin ktk 10 x 10 - - 96.00 0.00 -
50 Dimenhidrinat 50 mg btl 100 - - 121.00 0.00 -
51 Doksisiklin 100 mg Ktk 100 - - 309.00 0.00 -
52 Domperidon 10 mg kotak 10 x 10 - - 75.00 0.00 -
53 Domperidon Sirup btl - - 3,180.00 0.00 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - - 1,740.00 0.00 -
55 Ergotamine + Caffein Botol @ 100 - - 199.00 0.00 -
56 Eritromisin 250 mg ktk 12 x 10 tablet - - 509.00 0.00 -
57 Eritromisin 500 mg ktk 10 x 10 tablet - - 913.00 0.00 -
58 Fenobarbital inj ktk 30 Ampul - - 1,980.00 0.00 -
59 Furosemid 40 mg ktk 200 tab - - 84.00 0.00 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - - 2,012.00 0.00 -
61 Garam Oralit ktk 100 - - 280.00 0.00 -
62 Gentamisin TTS Mata ktk 24 btl - - 4,600.00 0.00 -
63 Glibenclamide 5 mg Tab. ktk 100 - - 137.00 0.00 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - - 5,867.00 0.00 -
65 Glukosa larutan infus 5 % btl 500 ml - - 6,627.00 0.00 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - - 157.00 0.00 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - - 210.00 0.00 -
68 Haloperidol 0,5 mg ktk 10 x 10 - - 62.00 0.00 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - - 76.00 0.00 -
70 Haloperidol decanoate 50 mg ktk 5 amp - - 97,500.00 0.00 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g - - 2,325.00 0.00 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - - 178.00 0.00 -
73 Ibuprofen sirup btl 60 ml - - 2,678.00 0.00 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - - 111.00 0.00 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - - 157.00 0.00 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - - 98.00 0.00 -
77 Kalsium laktat ( Kalk ) tablet 500 mg - - 60.00 0.00 -
78 Karbamazepin 200 mg ktk 10 x 10 - - 269.00 0.00 -
79 Ketoconazole 200mg Tab. Box @ 50 - - 286.00 0.00 -
80 Ketoconazole salep ktk 25 tube - - 2,577.00 0.00 -
81 Ketorolac inj 30 mg ktk 12 ampul - - 1,383.00 0.00 -
82 Klonidin 0,15 mg ktk 10 x 10 - - 224.00 0.00 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - - 329.00 0.00 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet - - 24.00 0.00 -
85 Kodein Tablet 10 mg ktk 10 x 10 - - 550.00 0.00 -
86 Kotrimoksasol 480 mg ktk 100 - - 220.00 0.00 -
87 Kotrimoksasol Syr. Botol - - 2,052.00 0.00 -
88 Lidocain 2 % inj ktk 100 - 5 - 5 891.00 4,455.00 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
89 Lidocain 2 % inj Jelly tube - - 40,000.00 0.00 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp - - 2,122.00 0.00 -
91 Loperamid 2 mg ktk 10 x 10 - - 97.00 0.00 -
92 Loratadine tab 10 mg ktk 10x 10 - - 149.00 0.00 -
93 Lysol btl - - 45,100.00 0.00 -
94 Magnesium sulfat inj 20% btl - - 2,122.00 0.00 -
95 Meloxicam 7,5 mg Tab. Box @ 30 - - 723.00 0.00 -
96 Meloxicam 15 mg Tab. Box @ 30 - - 1,377.00 0.00 -
97 Metformin 500 mg ktk 10x 10 - - 77.00 0.00 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102.00 0.00 -
99 Metilergometrin injeksi ktk 100 - 3,399.00 0.00 -
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242.00 0.00 -
101 Metoklopramid 10 mg ktk 10 x 10 - 111.00 0.00 -
102 Metoklopramid Sirup (Lexapram) btl - 2,750.00 0.00 -
103 Metronidazol 500 mg ktk 100 - 140.00 0.00 -
104 Metronidazol Sirup btl 60 ml - 3,800.00 0.00 -
105 Miconazole 2% krem tube 10 gram - 1,900.00 0.00 -
106 Natrium Chlorida 0,9 % btl 500 ml - 6,900.00 0.00 -
107 Natrium diklofenak 50 mg kotak 50 tablet - 109.00 0.00 -
108 Nifedipin tab ktk 10 x 10 tablet - 123.00 0.00 -
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet - 688.00 0.00 -
110 OBH syr. Botol - 3,500.00 0.00 -
111 Omeprazol 20 mg ktk 3x 10 - 164.00 0.00 -
112 OAM 0.00
113 Oxytetrasiklin salep mata ktk 25 - 2,600.00 0.00 -
114 Oxytocin injeksi btl 15 ml 16 - 16 2,774.00 44,384.00 -
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500.00 0.00 -
116 Paracetamol tab 500 mg ktk 100 tablet - 225.00 0.00 -
117 Parasetamol Sirup btl - 1,160.00 0.00 -
118 Phenol Glycerol TTS telinga btl - 2,500.00 0.00 -
119 Phitomenadion Vit K ktk 10 x 10 tablet - 818.00 0.00 -
120 Phitomenadion Vit K inj ktk 30 40 - 40 1,452.00 58,080.00 -
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150.00 0.00 -
122 Prednison 5 mg ktk 10 x 10 tablet - 73.00 0.00 -
123 Primaquin 15 mg ktk 10 x 10 tablet - 235.00 0.00 -
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80.00 0.00 -
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297.00 0.00 -
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 - 150.00 0.00 -
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155.00 0.00 -
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119.00 0.00 -
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327.00 0.00 -
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505.00 0.00 -
131 Rifampicin 600 mg ktk 100 - 1,420.00 0.00 -
132 Ringer Laktat Infus btl - 7,703.00 0.00 -
133 Risperidon 2 mg ktk 100 - 130.00 0.00 -
134 Rivanol botol 300 ml - 3,850.00 0.00 -
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet - 51.00 0.00 -
136 Serum ABU Vial - 0.00 0.00 -
137 Sikzonoate inj ktk 5 amp - 57,500.00 0.00 -
138 Simvastatin 10 mg ktk 30 - 117.00 0.00 -
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458.00 0.00 -
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459.00 0.00 -
141 Tablet Tambah Darah ktk 30 - 409.00 0.00 -
142 Thiamin ( vitamin B1 ) kotak 100 - 94.00 0.00 -
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680.00 0.00 -
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97.00 0.00 -
145 Vit B Komplek Tablet btl 100 - 60.00 0.00 -
146 Zink tablet ktk 10 x 10 - 253.00 0.00 -
147 Zirkum kids sirup botol - 3,285.00 0.00 -
- - 0.00 0.00 -
OBAT GIGI : - - 0.00 0.00 -
148 Eugenol Btl - - 50,417.00 0.00 -
149 Aseptik gel - - 0.00 0.00 -
150 yellow tip - - 110.00 0.00 -
- - 0.00 0.00 -
REAGEN / LAB : - - 0.00 0.00 -
149 Blood Lancets ktk 100 - - 4,140.00 0.00 -
150 Ethyl Klorida semprot Botol 500 ml - - 187,000.00 0.00 -
151 Gluco Protein Test Urine ktk 10 - - 1,098.00 0.00 -
152 Gol. Darah Anti B btl - - 0.00 0.00 -
153 Gol. Darah Anti A, B btl - - 0.00 0.00 -
154 Gol. Darah Anti A btl - - 0.00 0.00 -
155 Larutan Ethanol Asam 5 % btl 100 ml - - 82,500.00 0.00 -
156 Larutan HCL 0,1 N btl 250 ml - - 55,000.00 0.00 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - - 159,500.00 0.00 -
158 Larutan Methyl Blue btl 100 ml - - 99,000.00 0.00 -
159 Larutan Turk btl 100 ml - - 0.00 0.00 -
160 Larutan Giemsa btl 500 ml - - 263,184.00 0.00 -
161 Needle flashback ktk 50 - - 1,701.00 0.00 -
162 Oil Imersion btl 10 ml - - 110,000.00 0.00 -
163 Pot Dahak btl 10 ml - 3,069.00 0.00 -
164 Rapid Test HbsAg Kotak - 8,100.00 0.00 -
165 Slide Kaca ktk - 275.00 0.00 -
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200.00 0.00 -
167 Stik Cholesterol Mission ktk 25 pcs - 22,280.00 0.00 -
168 Stik Glucosa Benechek ktk 50 pcs - 3,341.00 0.00 -
169 Stik protein Urine - 0.00 0.00 -
170 Vakum EDTA 3 mL 100 Pcs - 1,205.00 0.00 -
171 Virotec Dengue Combo Ktk 25 - 64,171.00 0.00 -
172 RDT HIV 1+2 0.00
173 RDT HIV 1/2 (3.0) 0.00
174 RDT HIV D.S 0.00
175 RDT Malaria 0.00
176 RDT Sifilis 0.00
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
RDT Dengue 0.00
RDT Antigen 0.00
BMHP APBD : - - 0.00 0.00 -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak - 70 - 70 1,023.00 71,610.00 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak - 65 - 65 683.00 44,395.00 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - - 924.00 0.00 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - - 1,045.00 0.00 -
5 Alkohol 70 % btl 1 liter - - 29,375.00 0.00 -
6 Alkohol Swab 0,5 % pcs - - 128.55 0.00 -
7 Bisturi ktk 100 - - 10,733.00 0.00 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 14 - 14 2,873.00 40,222.00 -
9 Foley Catheter 16 pcs - - 153.00 0.00 -
10 Hand Scoon 7 (Steril) pcs - 41 - 41 6,142.00 251,822.00 -
11 Hand Scoon L ktk 100 - - 1,435.00 0.00 -
12 Hand Scoon M ktk 100 - - - - 1,435.00 0.00 -
13 Hand Scoon M ktk 100 - - 1,435.00 0.00 -
14 Hand Scoon S ktk 100 - 100 - 100 8,470.00 847,000.00 -
15 Infusion Dewasa ktk 50 - - 9,181.00 0.00 -
16 Infusion set anak set / kantong - - 6,983.00 0.00 -
17 IV Catheter No. 22 G 50 buah / kotak - - 4,818.00 0.00 -
18 IV Catheter No. 18 G 50 buah / kotak - - 4,818.00 0.00 -
19 IV Catheter No. 24 G 50 buah / kotak - - 4,818.00 0.00 -
20 Kantong Limbah uk. L Pcs - - 5,400.00 0.00 -
21 Kantong Limbah uk. M Pcs - - 15,000.00 0.00 -
22 Kapas Pembalut 250 gr rol - - 1,448.00 0.00 -
23 Kasa hidrofil 40 x 80 cm pcs - - 77,600.00 0.00 -
24 Kasa hidrofil 40 x 80 cm pcs - - 2,354.00 0.00 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - - 5,610.00 0.00 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - - 20,339.00 0.00 -
27 Kasa steril 16 cmx16 cm ktk - - 24,254.00 0.00 -
28 Leukoplast Plester kain 7,5x4,5 pcs - - 3,472.00 0.00 -
29 Lysol btl - - 442.00 0.00 -
30 Masker hijab / Karet ktk 50 pcs - - 2,185.00 0.00 -
31 Masker tali ikat Ties Aximed ktk 50 pcs - - 5,280.00 0.00 -
32 Mucus Extractor Pcs - 5 - 5 5,865.00 29,325.00 -
33 Oxyflow Anak - - 8,040.00 0.00 -
34 Oxyflow Dewasa pcs - - 5,000.00 0.00 -
35 Pembalut Elastis roll - - 5,000.00 0.00 -
36 Polifix 5 cmx 5 m Roll - - 64,171.00 0.00 -
37 Polifix Aximed 5 cm x 10 m Roll - 0.00 0.00 -
38 Silk 3/0 HR - 20 ktk 12 - 15,092.00 0.00 -
39 Test Kehamilan ktk 50 - 0.00 0.00 -
40 Umbilical cord klem ktk 50 pcs 45 - 45 0.00 0.00 -
41 Underpad Pcs 11 - 11 0.00 0.00 -
42 Urin Bag 10 pcs - 0.00 0.00 -
- 0.00 0.00 -
PROGRAM GIZI /KIA - 0.00 0.00 -
1 Ampicillin 1 gr. Inj. Box @ 10 - 0.00 0.00 -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955.00 0.00 -
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913.00 0.00 -
4 Eutyrox 50 mg Tab. Tablet - 0.00 0.00 -
5 Fe ktk 100 - 409.00 0.00 -
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545.00 0.00 -
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684.00 0.00 -
8 MgSO4 40 % Botol 25 mL 2 - 2 3,796.00 7,592.00 -
9 Mineral Mix Shaset - 3,116.00 0.00 -
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600.00 0.00 -
11 Oxytocin Inj. Box @ 100 - 1,232.00 0.00 -
12 Stik shipyllis Box @ 25 - 10,800.00 0.00 -
13 Vit. K inj. Box @ 30 - 4,236.00 0.00 -
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305.00 0.00 -
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637.00 0.00 -
TOTAL OBAT & BMHP APBD - - 0.00 1,391,293.00 -
OBAT & BMHP JKN : - - 0.00 0.00 -
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096.00 0.00 -
2 Acyclovir 400 mg Tab Box @ 100 - 990.88 0.00 -
3 Acyclovir cream Tube - 4,125.00 0.00 -
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100.00 0.00 -
5 Allopurinol 100 mg Tab. Box @ 100 - 247.50 0.00 -
6 Allopurinol 300 mg Tab. Box @ 100 - 566.50 0.00 -
7 Ambroxol syr. Botol - 4,840.00 0.00 -
8 Ambroxol Tab. Box @ 100 - 165.00 0.00 -
9 Amlodipine 10 mg Tab. Box @ 30 - 495.00 0.00 -
10 Amlodipine 5 mg Tab. Box @ 100 - 445.50 0.00 -
11 Amoxycillin 500 mg Tab. Box @ 100 - 407.00 0.00 -
12 Amoxycillin Syr. Botol - 5,478.00 0.00 -
13 Antasid Syr. Botol - 3,900.00 0.00 -
14 Antasida Tab. Box @ 100 - 165.00 0.00 -
15 Asam Folat Box@100 - 110.00 0.00 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275.00 0.00 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011.00 0.00 -
18 Aseptic Gell Botol 450 mL - 55,000.00 0.00 -
19 Bedak Salicyl Pcs - 6,426.00 0.00 -
20 Betahistine 6 mg Tab. Box @ 100 - 1,015.00 0.00 -
21 Bethametasone salep Tube - 3,520.00 0.00 -
22 Bioplacenton gel 15 gram Tube - 17,650.00 0.00 -
23 Bisolvon sol Botol - 105,600.00 0.00 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000.00 0.00 -
25 Calcii Gluconas Inj. Box @ 24 - - 4,053.50 0.00 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - - 165.00 0.00 -
27 Captopril 12,5 mg Tab. Box @ 100 - - 104.50 0.00 -
28 Captopril 25 mg Tab. Box @ 100 - - 132.00 0.00 -
29 Cefadroxil 125 mg Syr. Botol - - 7,700.00 0.00 -
30 Cefadroxil 500 mg Cap. Box @ 100 - - 899.00 0.00 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
31 Cendo eyefresh mini dose Box@ 25 strip - - 5,720.00 0.00 -
32 Cetirizine Syr Botol - - 6,270.00 0.00 -
33 Cetirizine Tab. Box @ 100 - - 502.00 0.00 -
34 Chloramfenicol Tetes mata (Reco) Botol - - 9,460.00 0.00 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol - - 10,010.00 0.00 -
36 Chloramfenicol salep (Fasycol) Tube - - 4,703.00 0.00 -
37 Ciprofloxacin 500 mg tab. Box @ 100 - - 720.00 0.00 -
38 Cotrimoksazol 480 mg Box @ 100 - - 289.85 0.00 -
39 Cotrimoxazole syr. Botol - - 4,290.00 0.00 -
40 CPZ 100 mg Tab. Box @ 100 - - 432.70 0.00 -
41 CTM Btl @ 100 - - 61.60 0.00 -
42 Daryantulle Box @ 10 - - 27,500.00 0.00 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 149.80 0.00 -
44 Dexamethasone Inj. Box @ 100 - - 2,416.00 0.00 -
45 Dextrose 40 25 mL Botol - - 12,760.00 0.00 -
46 Difenhydramine inj. Box @ 30 - - 1,862.67 0.00 -
47 Domperidone Syr. Botol - - 6,600.00 0.00 -
48 Domperidone Tab. Box @ 100 - - 271.70 0.00 -
49 Doxycicline Cap/ Doxyhat Box @ 100 - - 466.49 0.00 -
50 Dulcolax 10 mg Sup Ktk @ 5 - - 31,240.00 0.00 -
51 Dulcolax 5 mg Sup Ktk @ 6 - - 20,716.67 0.00 -
52 Dulcolax tab./ Laxana Box @ 10 - - 1,980.00 0.00 -
53 Dumin 125 mg Rectal Ktk @ 5 - - 19,800.00 0.00 -
54 Ephineprin Inj. Box @ 30 - - 8,983.33 0.00 -
55 Ergotamine + Caffein Box @ 100 - - 306.00 0.00 -
56 Etil Klorida 100 ml Botol - - 223,850.00 0.00 -
57 Garam Oralit Box @ 100 - - 352.00 0.00 -
58 Gentamicin SK Box @ 10 - - 3,630.00 0.00 -
59 Gentamicin Salep Mata (Genoint) Tube - - 8,580.00 0.00 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL - - 11,110.00 0.00 -
61 Gentian Violet Box @ 24 - - 3,850.00 0.00 -
62 Glibenclamide Tab. Box @ 100 - - 222.59 0.00 -
63 Gliceril Guaiakolat Tab. Box @ 100 - - 130.24 0.00 -
64 Glucosa infus 10 % Box @ 20 - - 10,175.00 0.00 -
65 Guanistrep syr. Botol - - 8,470.00 0.00 -
66 H2O2 3 % 100 mL Botol - - 7,370.00 0.00 -
67 H2O2 3 % 800 mL Botol - - 36,300.00 0.00 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - - 1,364.00 0.00 -
69 Ibuprofen 200 mg Tab. Box @ 100 - - 275.00 0.00 -
70 Ibuprofen 400 mg Tab. Box @ 100 - - 368.06 0.00 -
71 Ibuprofen Syr Botol - - 6,160.00 0.00 -
72 INH 100 mg Tab. Box @ 100 - - 185.00 0.00 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 - - 165.00 0.00 -
74 K-EN-3B infus Box @ 20 - - 28,600.00 0.00 -
75 Ketoconazole 200 mg Tab. Box @ 50 - - 506.00 0.00 -
76 Ketokonazole Salep Tube - - 4,950.00 0.00 -
77 Ketorolac inj 30mg/mL Box @ 6 - - 5,042.00 0.00 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - - 3,114.00 0.00 -
79 Lidocain Inj. Box @ 100 - - 1,430.00 0.00 -
80 Loratadine 10 mg Tab. Box @ 50 - - 333.00 0.00 -
81 Metformin 500 mg Tab. Box @ 100 - - 193.00 0.00 -
82 Methylprednisolon 4 mg Tab. Box @ 50 - - 440.00 0.00 -
83 Metronidazole 500 mg Tab. Box @ 100 - 379.50 0.00 -
84 MgSO4 40 % Botol - - 14,754.30 0.00 -
85 Miconazole Salep Tube - - 4,730.00 0.00 -
86 NaCl infus Box @ 20 - - 8,800.00 0.00 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 - - 205.00 0.00 -
88 Neurobion Inj 5000 Ktk @ 20 - - 11,750.00 0.00 -
89 Nifedipine 10 mg Tab Box @ 100 - - 220.00 0.00 -
90 Nystatin drop (Cazetin drop ) Botol - - 24,420.00 0.00 -
91 Nystatin Vag ovula Box @ 100 - - 828.00 0.00 -
92 Omeprazole kap. Box @ 30 - - 414.33 0.00 -
93 Ondancentron Inj Ktk @ 5 - - 7,700.00 0.00 -
94 Oxytocin Inj. Box @ 100 - - 3,685.00 0.00 -
95 Oxytetracycline salep mata Tube - - 6,270.00 0.00 -
96 Paracetamol 500 mg Tab. Botol @ 100 - - 316.81 0.00 -
97 Paracetamol Syr. Botol - - 4,180.00 0.00 -
98 Phenol Glycerol TT Botol - - 6,047.80 0.00 -
99 Piroxicam 10 mg Tab. Box @ 100 - - 123.00 0.00 -
100 Povidone Iodine 300 mL Botol - - 33,000.00 0.00 -
101 Povidone Iodine 1 Liter Botol - - 99,000.00 0.00 -
102 Prednison 5 mg Tab. Box @ 100 - - 285.00 0.00 -
103 Primaquin tab. Box @ 100 - - 304.00 0.00 -
104 Ranitidine Inj. Box @ 10 - - 7,150.00 0.00 -
105 Ranitidine Tab. Box @ 100 - - 320.00 0.00 -
106 Ringer Laktat Infus Box @ 20 - - 9,570.00 0.00 -
107 Salbutamol 2mg Tab. Box @ 100 - - 158.40 0.00 -
108 Scabimid krim 10 gr Tube - - 58,850.00 0.00 -
109 Simvastatin 20 mg Tab. Box @ 100 - - 564.41 0.00 -
110 Thrombophob gel 20 Gram Tube - - 62,000.00 0.00 -
111 Ultrasonic Gel 250 mL Botol - 24,200.00 0.00 -
112 Ventolin Nebulizer Box @ 20 - 14,025.00 0.00 -
113 Vit B.1 Box @ 100 - 132.00 0.00 -
114 Vit B6 Box @ 100 - 132.00 0.00 -
115 Vit. B-Complex Btl @ 100 - 220.00 0.00 -
116 Vit K inj. Box @ 5 - 7,150.00 0.00 -
117 Vit K Tab. Box @ 100 - 1,320.00 0.00 -
118 Water for Inj. 10 mL Botol - 5,940.00 0.00 -
119 Water for Inj. 25 mL Botol - 9,020.00 0.00 -
120 Zinc / Lecozinc Syr. Botol - 7,000.00 0.00 -
121 Zinc Tab. Box @ 100 - 675.00 0.00 -
BMHP : - 0.00 0.00 -
1 Abbocat 18 G Box @ 50 - 5,500.00 0.00 -
2 Abbocat 20 G Box @ 50 30 - 30 5,500.00 165,000.00 -
POLI KIA VK POLI IMUNISASI
No. Nama Obat Satuan Stok akhir Stok akhir
Total Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa
3 Abbocat 22 G Box @ 50 - 6,050.00 0.00 -
4 Abbocat 24 G Box @ 50 - 13,000.00 0.00 -
5 Abbocat 26 G Box @ 50 - 5,500.00 0.00 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880.00 0.00 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000.00 0.00 -
8 Alkohol 300 mL Botol - 24,065.00 0.00 -
9 Alkohol Swab Bok - 182.00 0.00 -
10 Bisturi no. 11 G Box @ 100 - 1,100.00 0.00 -
11 Blood set Box @ 50 - 6,900.30 0.00 -
12 Cat Gut Plain 3/0 Box @ 24 - 8,800.00 0.00 -
13 Folley Catheter Fr. 16 Box @ 10 3 - 3 12,100.00 36,300.00 -
14 Folley Catheter Fr. 18 Box @ 10 - 12,100.00 0.00 -
15 Hand scoon steril No. 7 Box @ 50 - 11,000.00 0.00 -
16 Hand scoon nonsteril No. L Box @100 - 1,700.60 0.00 -
17 Hand scoon nonsteril No. M Box @100 - 1,700.60 0.00 -
18 Hand scoon nonsteril No. S Box @100 - 1,700.60 0.00 -
19 Infuset Dewasa Pcs - 4,400.00 0.00 -
20 Kassa 40 x 80 Roll - 120,000.00 0.00 -
21 Kassa steril Box - 4,000.00 0.00 -
22 Masker Bedah Box @ 50 - 806.30 0.00 -
23 Masker Oxigen Anak Pcs - 16,500.00 0.00 -
24 Masker Oxigen dws Pcs - 16,500.00 0.00 -
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800.00 0.00 -
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800.00 0.00 -
27 Mucus extractor Box @ 25 - 7,700.00 0.00 -
28 Nasal canul Bayi Pcs - 11,000.00 0.00 -
29 Nasal canul anak Pcs - 11,000.00 0.00 -
30 Nasal canul dewasa Pcs - 11,000.00 0.00 -
31 Needle 23 G Box @100 - 220.00 0.00 -
32 NGT Fr. 3,5 Pcs - 49,500.00 0.00 -
33 NGT No. 16 Pcs - 49,500.00 0.00 -
34 Nurse Cup Box @100 - 605.00 0.00 -
35 Pot salep 20 gr Pot - 880.00 0.00 -
36 Sendok obat Pcs - 599.50 0.00 -
37 Silk 3/0 Box @ 36 - 11,000.00 0.00 -
38 Silk 4/0 Box @ 12 - 11,000.00 0.00 -
39 Sungkup nebulizer anak Pcs - 27,500.00 0.00 -
40 Sungkup nebulizer bayi Pcs - 22,000.00 0.00 -
41 Sungkup nebulizer Dws Pcs - 27,500.00 0.00 -
42 Umbilical cord Pcs - 1,540.00 0.00 -
43 Underpad Box @ 10 - 4,840.00 0.00 -
44 Utrafix 5 x 10 Roll - 71,500.00 0.00 -
45 Utrafix 5 x 5 Roll - 20,570.00 0.00 -
46 Urine Bag Pcs - 7,700.00 0.00 -
47 Verban 4 x 10 Roll - 3,500.20 0.00 -
48 Verban 4 x 5 Roll - 1,300.00 0.00 -
REAGEN : - 0.00 0.00 -
49 Blue Tip Pak @ 100 - 132.00 0.00 -
50 Cover Glass 20 x 20 Pcs - 308.00 0.00 -
51 Diatro Cleaner Botol 1 L - 759,000.00 0.00 -
52 Diatro Dilluent Botol 1 L - 2,178,000.00 0.00 -
53 Diatro Lyse Botol 1 L - 1,863,400.00 0.00 -
54 Gol. Darah Anti A Botol - 110,000.00 0.00 -
55 Gol. Darah Anti B Botol - 110,000.00 0.00 -
56 Gol. Darah resus anti D Botol - 132,000.00 0.00 -
57 HCL Alkohol 3 % Botol 100 mL - 55,000.00 0.00 -
58 Salmonella Thypi AO Botol - 181,500.00 0.00 -
59 Salmonella Thypi BO Botol - 181,500.00 0.00 -
60 Salmonella Thypi H Botol - 181,500.00 0.00 -
61 Salmonella Thypi O Botol - 181,500.00 0.00 -
62 Serum Kontrol Botol - 715,000.00 0.00 -
63 Spiritus Botol - 33,000.00 0.00 -
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600.00 0.00 -
65 Stik GDS Benecheck Btl @ 50 - 3,520.00 0.00 -
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500.00 0.00 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900.00 0.00 -
68 Tabung EDTA 3 mL Botol - 1,540.00 0.00 -
69 Tes Kehamilan Box @ 50 - 1,478.40 0.00 -
70 Urine Stik 10 Para Btl @100 - 2,035.00 0.00 -
71 Yellow tip Pcs - 110.00 0.00 -
- 201,300.00

- 1,592,593
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 153 -
2 Acetylcystein 200 mg Cap. ktk 100 412 -
3 Acyclovir 200 mg ktk 10 x 10 236 -
4 Acyclovir 400 mg ktk 10 x 10 300 -
5 Allupurinol 100 mg ktk 100 89 -
6 Ambroxol syr. Botol 3,639 -
7 Amitriptiline HCl 25 mg ktk 100 168 -
8 Amlodipin 5 mg ktk 30 74 -
9 Amlodipin 10 mg ktk 30 520
10 Amoksisilin 250 mg ktk 10x 10 188 -
11 Amoksisilin 500 mg ktk 10x 11 231 -
12 Amoksisilin syr Botol 2,050 -
13 Antasida doen tablet kotak ktk 10 x10 54 -
14 Antasida syr. Botol 1,756 -
15 Antasida Tab. ktk 10 x 10
16 Anti Hemoroid ktk 10 3,260 -
17 Antides ( Attapulgite ) ktk 100 175 -
18 Aqua pro inj btl 2,860 -
19 Asam Askorbat Tab 50 mg ktk 10 x 10 46 -
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 45 -
21 Asam Mefenamat 250 mg kotak 10 x 10 175 -
22 Asam Mefenamat 500 mg kotak 10 x 10 117 -
23 Atropin 0.5 mg tablet ktk 100 tablet 81 -
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 1,353 -
25 Attapulgite ( pularex ) 630 mg ktk @ 50 175
26 Betahistine 6 mg ktk 30 119 -
27 Betamethason Salep ktk 25 1,920 -
28 Bioplacenton Tulle Tulle 10,733 -
29 Bisacodil 10 mg ktk 50 sup 5,800 -
30 Bisacodil 5 mg ktk 6 sup 5,800 -
31 Bufacetine salep kulit Tube 3,360 -
32 Captopril 50 mg ktk 10 x 10 tablet 143 -
33 Captopril 12,5 mg ktk 10 x 10 65 -
34 Captopril 25 mg ktk 10 x 10 tablet 75 -
35 Cetirizine 10 mg ktk 10 x 10 104 -
36 Cetirizine sirup botol 3,061 -
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 260 -
38 Clindamycin HCI 300mg Cap. ktk 50 660 -
39 Cloramfenicol salep mata ktk 24 tube 1,925 -
40 Clorpromazine 100 mg ktk 10 x 10 153 -
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 49 -
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 1,226 -
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 2,336 -
44 Deksamethasone Tablet btl 10 x 10 tablet 75 -
45 Diazepam 2 mg Tab. Box @ 100 86 -
46 Diazepam 05 mg inj ktk 10 amp 1,545 -
47 Diazepam Stesolid 10 mg ktk 5 amp 18,458 -
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 1,156 -
49 Digoksin ktk 10 x 10 96 -
50 Dimenhidrinat 50 mg btl 100 121 -
51 Doksisiklin 100 mg Ktk 100 309 -
52 Domperidon 10 mg kotak 10 x 10 75 -
53 Domperidon Sirup btl 3,180 -
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 1,740 -
55 Ergotamine + Caffein Botol @ 100 199 -
56 Eritromisin 250 mg ktk 12 x 10 tablet 509 -
57 Eritromisin 500 mg ktk 10 x 10 tablet 913 -
58 Fenobarbital inj ktk 30 Ampul 1,980 -
59 Furosemid 40 mg ktk 200 tab 84 -
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 2,012 -
61 Garam Oralit ktk 100 280 -
62 Gentamisin TTS Mata ktk 24 btl 4,600 -
63 Glibenclamide 5 mg Tab. ktk 100 137 -
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 5,867 -
65 Glukosa larutan infus 5 % btl 500 ml 6,627 -
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 157 -
67 Griseofulvin 125 mg Tab. ktk 10 x 10 210 -
68 Haloperidol 0,5 mg ktk 10 x 10 62 -
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 76 -
70 Haloperidol decanoate 50 mg ktk 5 amp 97,500 -
71 Hidrokortisone Cream 2,5 % tube @ 5 g 2,325 -
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 178 -
73 Ibuprofen sirup btl 60 ml 2,678 -
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 111 -
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 157 -
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 98 -
77 Kalsium laktat ( Kalk ) tablet 500 mg 60 -
78 Karbamazepin 200 mg ktk 10 x 10 269 -
79 Ketoconazole 200mg Tab. Box @ 50 286 -
80 Ketoconazole salep ktk 25 tube 2,577 -
81 Ketorolac inj 30 mg ktk 12 ampul 1,383 -
82 Klonidin 0,15 mg ktk 10 x 10 224 -
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 329 -
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 24 -
85 Kodein Tablet 10 mg ktk 10 x 10 550 -
86 Kotrimoksasol 480 mg ktk 100 220 -
87 Kotrimoksasol Syr. Botol 2,052 -
88 Lidocain 2 % inj ktk 100 891 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
89 Lidocain 2 % inj Jelly tube 40,000 -
90 Lidokain komp injeksi, kombinasi ktk 30 amp 2,122 -
91 Loperamid 2 mg ktk 10 x 10 97 -
92 Loratadine tab 10 mg ktk 10x 10 149 -
93 Lysol btl 45,100 -
94 Magnesium sulfat inj 20% btl 2,122 -
95 Meloxicam 7,5 mg Tab. Box @ 30 723 -
96 Meloxicam 15 mg Tab. Box @ 30 1,377 -
97 Metformin 500 mg ktk 10x 10 77 -
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 102
99 Metilergometrin injeksi ktk 100 3,399
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 242
101 Metoklopramid 10 mg ktk 10 x 10 111
102 Metoklopramid Sirup (Lexapram) btl 2,750
103 Metronidazol 500 mg ktk 100 140
104 Metronidazol Sirup btl 60 ml 3,800
105 Miconazole 2% krem tube 10 gram 1,900
106 Natrium Chlorida 0,9 % btl 500 ml 6,900
107 Natrium diklofenak 50 mg kotak 50 tablet 109
108 Nifedipin tab ktk 10 x 10 tablet 123
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 688
110 OBH syr. Botol 3,500
111 Omeprazol 20 mg ktk 3x 10 164
112 OAM
113 Oxytetrasiklin salep mata ktk 25 2,600
114 Oxytocin injeksi btl 15 ml 2,774
115 Pantocain 0,5 % tetes mata btl 5 mL 11,500
116 Paracetamol tab 500 mg ktk 100 tablet 225
117 Parasetamol Sirup btl 1,160
118 Phenol Glycerol TTS telinga btl 2,500
119 Phitomenadion Vit K ktk 10 x 10 tablet 818
120 Phitomenadion Vit K inj ktk 30 1,452
121 Povidon Iodida 10 % 300 ml btl 300 ml 21,150
122 Prednison 5 mg ktk 10 x 10 tablet 73
123 Primaquin 15 mg ktk 10 x 10 tablet 235
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 80
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 297
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 150
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 1,155
128 Ranitidine Tablet 150 mg ktk 10 x 10 119
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 327
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 505
131 Rifampicin 600 mg ktk 100 1,420
132 Ringer Laktat Infus btl 7,703
133 Risperidon 2 mg ktk 100 130
134 Rivanol botol 300 ml 3,850
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 51
136 Serum ABU Vial -
137 Sikzonoate inj ktk 5 amp 57,500
138 Simvastatin 10 mg ktk 30 117
139 Stesolid 10 mg/2,5 ml rektal tube 18,458
140 Stesolid 5 mg/2,5 ml rektal tube 14,459
141 Tablet Tambah Darah ktk 30 409
142 Thiamin ( vitamin B1 ) kotak 100 94
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 2,680
144 Triheksifenidil tab Kotak 10 x 10 tablet 97
145 Vit B Komplek Tablet btl 100 60
146 Zink tablet ktk 10 x 10 253
147 Zirkum kids sirup botol 3,285
- -
OBAT GIGI : - -
148 Eugenol Btl 50,417 -
149 Aseptik gel - -
150 yellow tip 110 -
- -
REAGEN / LAB : - -
149 Blood Lancets ktk 100 4,140 -
150 Ethyl Klorida semprot Botol 500 ml 187,000 -
151 Gluco Protein Test Urine ktk 10 1,098 -
152 Gol. Darah Anti B btl - -
153 Gol. Darah Anti A, B btl - -
154 Gol. Darah Anti A btl - -
155 Larutan Ethanol Asam 5 % btl 100 ml 82,500 -
156 Larutan HCL 0,1 N btl 250 ml 55,000 -
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml 159,500 -
158 Larutan Methyl Blue btl 100 ml 99,000 -
159 Larutan Turk btl 100 ml - -
160 Larutan Giemsa btl 500 ml 263,184 -
161 Needle flashback ktk 50 1,701 -
162 Oil Imersion btl 10 ml 110,000 -
163 Pot Dahak btl 10 ml 3,069
164 Rapid Test HbsAg Kotak 8,100
165 Slide Kaca ktk 275
166 Stik Asam Urat Benechek ktk 25 pcs 6,200
167 Stik Cholesterol Mission ktk 25 pcs 22,280
168 Stik Glucosa Benechek ktk 50 pcs 3,341
169 Stik protein Urine -
170 Vakum EDTA 3 mL 100 Pcs 1,205
171 Virotec Dengue Combo Ktk 25 64,171
172 RDT HIV 1+2
173 RDT HIV 1/2 (3.0)
174 RDT HIV D.S
175 RDT Malaria
176 RDT Sifilis
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
RDT Dengue
RDT Antigen
BMHP APBD : - -
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 1,023 -
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 683 -
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak 924 -
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak 1,045 -
5 Alkohol 70 % btl 1 liter 29,375 -
6 Alkohol Swab 0,5 % pcs 129 -
7 Bisturi ktk 100 10,733 -
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 2,873 -
9 Foley Catheter 16 pcs 153 -
10 Hand Scoon 7 (Steril) pcs 6,142 -
11 Hand Scoon L ktk 100 1,435 -
12 Hand Scoon M ktk 100 1,435 -
13 Hand Scoon M ktk 100 1,435 -
14 Hand Scoon S ktk 100 8,470 -
15 Infusion Dewasa ktk 50 9,181 -
16 Infusion set anak set / kantong 6,983 -
17 IV Catheter No. 22 G 50 buah / kotak 4,818 -
18 IV Catheter No. 18 G 50 buah / kotak 4,818 -
19 IV Catheter No. 24 G 50 buah / kotak 4,818 -
20 Kantong Limbah uk. L Pcs 5,400 -
21 Kantong Limbah uk. M Pcs 15,000 -
22 Kapas Pembalut 250 gr rol 1,448 -
23 Kasa hidrofil 40 x 80 cm pcs 77,600 -
24 Kasa hidrofil 40 x 80 cm pcs 2,354 -
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 5,610 -
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 20,339 -
27 Kasa steril 16 cmx16 cm ktk 24,254 -
28 Leukoplast Plester kain 7,5x4,5 pcs 3,472 -
29 Lysol btl 442 -
30 Masker hijab / Karet ktk 50 pcs 2,185 -
31 Masker tali ikat Ties Aximed ktk 50 pcs 5,280 -
32 Mucus Extractor Pcs 5,865 -
33 Oxyflow Anak 8,040 -
34 Oxyflow Dewasa pcs 5,000 -
35 Pembalut Elastis roll 5,000 -
36 Polifix 5 cmx 5 m Roll 64,171 -
37 Polifix Aximed 5 cm x 10 m Roll -
38 Silk 3/0 HR - 20 ktk 12 15,092
39 Test Kehamilan ktk 50 -
40 Umbilical cord klem ktk 50 pcs -
41 Underpad Pcs -
42 Urin Bag 10 pcs -
-
PROGRAM GIZI /KIA -
1 Ampicillin 1 gr. Inj. Box @ 10 -
2 Calcii gluconas Inj. 1 gram Kotak @ 24 9,955
3 Diazepam Inj. 5 mg. Box @ 10 1,913
4 Eutyrox 50 mg Tab. Tablet -
5 Fe ktk 100 409
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml 3,545
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp 2,684
8 MgSO4 40 % Botol 25 mL 3,796
9 Mineral Mix Shaset 3,116
10 Oxytetracycline salep mata 1 % Box @ 25 2,600
11 Oxytocin Inj. Box @ 100 1,232
12 Stik shipyllis Box @ 25 10,800
13 Vit. K inj. Box @ 30 4,236
14 Vitamin A Biru 100.000 IU Botol 50 kapsul 305
15 Vitamin A Merah 200.000 IU Botol 50 kapsul 637
TOTAL OBAT & BMHP APBD - -
OBAT & BMHP JKN : - -
1 Acyclovir 200 mg Tab. Box @ 100 1,096 -
2 Acyclovir 400 mg Tab Box @ 100 991 -
3 Acyclovir cream Tube 4,125 -
4 Acetylsystein 200 mg Cap. Box @ 100 1,100 -
5 Allopurinol 100 mg Tab. Box @ 100 248 -
6 Allopurinol 300 mg Tab. Box @ 100 567 -
7 Ambroxol syr. Botol 4,840 -
8 Ambroxol Tab. Box @ 100 165 -
9 Amlodipine 10 mg Tab. Box @ 30 495 -
10 Amlodipine 5 mg Tab. Box @ 100 446 -
11 Amoxycillin 500 mg Tab. Box @ 100 407 -
12 Amoxycillin Syr. Botol 5,478 -
13 Antasid Syr. Botol 3,900 -
14 Antasida Tab. Box @ 100 165 -
15 Asam Folat Box@100 110 -
16 Asam Mefenamat 500 mg Tab. Box @ 100 275 -
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 2,011 -
18 Aseptic Gell Botol 450 mL 55,000 -
19 Bedak Salicyl Pcs 6,426 -
20 Betahistine 6 mg Tab. Box @ 100 1,015 -
21 Bethametasone salep Tube 3,520 -
22 Bioplacenton gel 15 gram Tube 17,650 -
23 Bisolvon sol Botol 105,600 -
24 Cairan foging (Seruni 100 EC) 1 Liter Botol 220,000 -
25 Calcii Gluconas Inj. Box @ 24 4,054 -
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 165 -
27 Captopril 12,5 mg Tab. Box @ 100 105 -
28 Captopril 25 mg Tab. Box @ 100 132 -
29 Cefadroxil 125 mg Syr. Botol 7,700 -
30 Cefadroxil 500 mg Cap. Box @ 100 899 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
31 Cendo eyefresh mini dose Box@ 25 strip 5,720 -
32 Cetirizine Syr Botol 6,270 -
33 Cetirizine Tab. Box @ 100 502 -
34 Chloramfenicol Tetes mata (Reco) Botol 9,460 -
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 10,010 -
36 Chloramfenicol salep (Fasycol) Tube 4,703 -
37 Ciprofloxacin 500 mg tab. Box @ 100 720 -
38 Cotrimoksazol 480 mg Box @ 100 290 -
39 Cotrimoxazole syr. Botol 4,290 -
40 CPZ 100 mg Tab. Box @ 100 433 -
41 CTM Btl @ 100 62 -
42 Daryantulle Box @ 10 27,500 -
43 Dexamethasone 0,5 mg Tab. Box @ 100 150 -
44 Dexamethasone Inj. Box @ 100 2,416 -
45 Dextrose 40 25 mL Botol 12,760 -
46 Difenhydramine inj. Box @ 30 1,863 -
47 Domperidone Syr. Botol 6,600 -
48 Domperidone Tab. Box @ 100 272 -
49 Doxycicline Cap/ Doxyhat Box @ 100 466 -
50 Dulcolax 10 mg Sup Ktk @ 5 31,240 -
51 Dulcolax 5 mg Sup Ktk @ 6 20,717 -
52 Dulcolax tab./ Laxana Box @ 10 1,980 -
53 Dumin 125 mg Rectal Ktk @ 5 19,800 -
54 Ephineprin Inj. Box @ 30 8,983 -
55 Ergotamine + Caffein Box @ 100 306 -
56 Etil Klorida 100 ml Botol 223,850 -
57 Garam Oralit Box @ 100 352 -
58 Gentamicin SK Box @ 10 3,630 -
59 Gentamicin Salep Mata (Genoint) Tube 8,580 -
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 11,110 -
61 Gentian Violet Box @ 24 3,850 -
62 Glibenclamide Tab. Box @ 100 223 -
63 Gliceril Guaiakolat Tab. Box @ 100 130 -
64 Glucosa infus 10 % Box @ 20 10,175 -
65 Guanistrep syr. Botol 8,470 -
66 H2O2 3 % 100 mL Botol 7,370 -
67 H2O2 3 % 800 mL Botol 36,300 -
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 1,364 -
69 Ibuprofen 200 mg Tab. Box @ 100 275 -
70 Ibuprofen 400 mg Tab. Box @ 100 368 -
71 Ibuprofen Syr Botol 6,160 -
72 INH 100 mg Tab. Box @ 100 185 -
73 Isosorbid Dinitrat (ISDN) Box @ 101 165 -
74 K-EN-3B infus Box @ 20 28,600 -
75 Ketoconazole 200 mg Tab. Box @ 50 506 -
76 Ketokonazole Salep Tube 4,950 -
77 Ketorolac inj 30mg/mL Box @ 6 5,042 -
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 3,114 -
79 Lidocain Inj. Box @ 100 1,430 -
80 Loratadine 10 mg Tab. Box @ 50 333 -
81 Metformin 500 mg Tab. Box @ 100 193 -
82 Methylprednisolon 4 mg Tab. Box @ 50 440 -
83 Metronidazole 500 mg Tab. Box @ 100 380 -
84 MgSO4 40 % Botol 14,754 -
85 Miconazole Salep Tube 4,730 -
86 NaCl infus Box @ 20 8,800 -
87 Natrium diklofenak 25 mg Tab. Box @ 50 205 -
88 Neurobion Inj 5000 Ktk @ 20 11,750 -
89 Nifedipine 10 mg Tab Box @ 100 220 -
90 Nystatin drop (Cazetin drop ) Botol 24,420 -
91 Nystatin Vag ovula Box @ 100 828 -
92 Omeprazole kap. Box @ 30 414 -
93 Ondancentron Inj Ktk @ 5 7,700 -
94 Oxytocin Inj. Box @ 100 3,685 -
95 Oxytetracycline salep mata Tube 6,270 -
96 Paracetamol 500 mg Tab. Botol @ 100 317 -
97 Paracetamol Syr. Botol 4,180 -
98 Phenol Glycerol TT Botol 6,048 -
99 Piroxicam 10 mg Tab. Box @ 100 123 -
100 Povidone Iodine 300 mL Botol 33,000 -
101 Povidone Iodine 1 Liter Botol 99,000 -
102 Prednison 5 mg Tab. Box @ 100 285 -
103 Primaquin tab. Box @ 100 304 -
104 Ranitidine Inj. Box @ 10 7,150 -
105 Ranitidine Tab. Box @ 100 320 -
106 Ringer Laktat Infus Box @ 20 9,570 -
107 Salbutamol 2mg Tab. Box @ 100 158 -
108 Scabimid krim 10 gr Tube 58,850 -
109 Simvastatin 20 mg Tab. Box @ 100 564 -
110 Thrombophob gel 20 Gram Tube 62,000 -
111 Ultrasonic Gel 250 mL Botol 24,200 -
112 Ventolin Nebulizer Box @ 20 14,025 -
113 Vit B.1 Box @ 100 132 -
114 Vit B6 Box @ 100 132 -
115 Vit. B-Complex Btl @ 100 220 -
116 Vit K inj. Box @ 5 7,150 -
117 Vit K Tab. Box @ 100 1,320 -
118 Water for Inj. 10 mL Botol 5,940 -
119 Water for Inj. 25 mL Botol 9,020 -
120 Zinc / Lecozinc Syr. Botol 7,000 -
121 Zinc Tab. Box @ 100 675 -
BMHP : - -
1 Abbocat 18 G Box @ 50 5,500 -
2 Abbocat 20 G Box @ 50 5,500 -
POLI IMUNISASI
No. Nama Obat Satuan Stok akhir
Total
Harga satuan
3 Abbocat 22 G Box @ 50 6,050 -
4 Abbocat 24 G Box @ 50 13,000 -
5 Abbocat 26 G Box @ 50 5,500 -
6 Alat suntik satu kali pakai 3 cc Box @ 100 880 -
7 Alat suntik satu kali pakai 20 cc Box @ 100 11,000 -
8 Alkohol 300 mL Botol 24,065 -
9 Alkohol Swab Bok 182 -
10 Bisturi no. 11 G Box @ 100 1,100 -
11 Blood set Box @ 50 6,900 -
12 Cat Gut Plain 3/0 Box @ 24 8,800 -
13 Folley Catheter Fr. 16 Box @ 10 12,100 -
14 Folley Catheter Fr. 18 Box @ 10 12,100 -
15 Hand scoon steril No. 7 Box @ 50 11,000 -
16 Hand scoon nonsteril No. L Box @100 1,701 -
17 Hand scoon nonsteril No. M Box @100 1,701 -
18 Hand scoon nonsteril No. S Box @100 1,701 -
19 Infuset Dewasa Pcs 4,400 -
20 Kassa 40 x 80 Roll 120,000 -
21 Kassa steril Box 4,000 -
22 Masker Bedah Box @ 50 806 -
23 Masker Oxigen Anak Pcs 16,500 -
24 Masker Oxigen dws Pcs 16,500 -
25 Masker Oxigen Non Refbreathing anak Pcs 30,800 -
26 Masker Oxigen Non Refbreathing dws Pcs 30,800 -
27 Mucus extractor Box @ 25 7,700 -
28 Nasal canul Bayi Pcs 11,000 -
29 Nasal canul anak Pcs 11,000 -
30 Nasal canul dewasa Pcs 11,000 -
31 Needle 23 G Box @100 220 -
32 NGT Fr. 3,5 Pcs 49,500 -
33 NGT No. 16 Pcs 49,500 -
34 Nurse Cup Box @100 605 -
35 Pot salep 20 gr Pot 880 -
36 Sendok obat Pcs 600 -
37 Silk 3/0 Box @ 36 11,000 -
38 Silk 4/0 Box @ 12 11,000 -
39 Sungkup nebulizer anak Pcs 27,500 -
40 Sungkup nebulizer bayi Pcs 22,000 -
41 Sungkup nebulizer Dws Pcs 27,500 -
42 Umbilical cord Pcs 1,540 -
43 Underpad Box @ 10 4,840 -
44 Utrafix 5 x 10 Roll 71,500 -
45 Utrafix 5 x 5 Roll 20,570 -
46 Urine Bag Pcs 7,700 -
47 Verban 4 x 10 Roll 3,500 -
48 Verban 4 x 5 Roll 1,300 -
REAGEN : - -
49 Blue Tip Pak @ 100 132 -
50 Cover Glass 20 x 20 Pcs 308 -
51 Diatro Cleaner Botol 1 L 759,000 -
52 Diatro Dilluent Botol 1 L 2,178,000 -
53 Diatro Lyse Botol 1 L 1,863,400 -
54 Gol. Darah Anti A Botol 110,000 -
55 Gol. Darah Anti B Botol 110,000 -
56 Gol. Darah resus anti D Botol 132,000 -
57 HCL Alkohol 3 % Botol 100 mL 55,000 -
58 Salmonella Thypi AO Botol 181,500 -
59 Salmonella Thypi BO Botol 181,500 -
60 Salmonella Thypi H Botol 181,500 -
61 Salmonella Thypi O Botol 181,500 -
62 Serum Kontrol Botol 715,000 -
63 Spiritus Botol 33,000 -
64 Stik Asam Urat Benecheck Btl @ 25 6,600 -
65 Stik GDS Benecheck Btl @ 50 3,520 -
66 Stik Kholesterol Benecheck Btl @ 10 27,500 -
67 Strip Hemoglobin ( Hb ) Btl @ 50 9,900 -
68 Tabung EDTA 3 mL Botol 1,540 -
69 Tes Kehamilan Box @ 50 1,478 -
70 Urine Stik 10 Para Btl @100 2,035 -
71 Yellow tip Pcs 110 -
-

-
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok ok
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 - 153.00 0.00 - 153.00
2 Acetylcystein 200 mg Cap. ktk 100 90 30 60 412.00 24,720.00 - 412.00
3 Acyclovir 200 mg ktk 10 x 10 200 - 200 236.00 47,200.00 - 236.00
4 Acyclovir 400 mg ktk 10 x 10 50 10 40 454.00 18,160.00 - 100 - 100 454.00
5 Allupurinol 100 mg ktk 100 100 - 100 89.00 8,900.00 - 89.00
6 Ambroxol syr. Botol - 3,639.00 0.00 - 3,639.00
7 Amitriptiline HCl 25 mg ktk 100 - 168.00 0.00 - 168.00
8 Amlodipin 5 mg ktk 30 - 74.00 0.00 - 74.00
9 Amlodipin 10 mg ktk 30 - 520.00 0.00 - 520.00
10 Amoksisilin 250 mg ktk 10x 10 160 - 160 188.00 30,080.00 - 188.00
11 Amoksisilin 500 mg ktk 10x 11 120 200 20 300 231.00 69,300.00 40 200 55 185 231.00
12 Amoksisilin syr Botol - 2,050.00 0.00 7 1 6 2,050.00
13 Antasida doen tablet kotak ktk 10 x10 - 54.00 0.00 - 54.00
14 Antasida syr. Botol - 1,756.00 0.00 13 4 9 1,756.00
15 Antasida Tab. ktk 10 x 10 180 100 40 240 54.00 12,960.00 200 200 54.00
16 Anti Hemoroid ktk 10 8 8 - 3,260.00 0.00 - 3,260.00
17 Antides ( Attapulgite ) ktk 100 - 175.00 0.00 - 175.00
18 Aqua pro inj btl - 2,860.00 0.00 - 2,860.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 100 100 130 70 46.00 3,220.00 150 40 110 46.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 - 45.00 0.00 - 45.00
21 Asam Mefenamat 250 mg kotak 10 x 10 - 175.00 0.00 - 175.00
22 Asam Mefenamat 500 mg kotak 10 x 10 190 30 160 117.00 18,720.00 100 100 40 160 117.00
23 Atropin 0.5 mg tablet ktk 100 tablet - 81.00 0.00 - 81.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml - 1,353.00 0.00 - 1,353.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 80 80 - 175.00 0.00 80 - 80 175.00
26 Betahistine 6 mg ktk 30 - 119.00 0.00 - 119.00
27 Betamethason Salep ktk 25 - 1,920.00 0.00 - 1,920.00
28 Bioplacenton Tulle Tulle - 10,733.00 0.00 - 10,733.00
29 Bisacodil 10 mg ktk 50 sup - 5,800.00 0.00 - 5,800.00
30 Bisacodil 5 mg ktk 6 sup - 5,800.00 0.00 - 5,800.00
31 Bufacetine salep kulit Tube - 3,360.00 0.00 - 3,360.00
32 Captopril 50 mg ktk 10 x 10 tablet - 143.00 0.00 - 143.00
33 Captopril 12,5 mg ktk 10 x 10 - 65.00 0.00 - 65.00
34 Captopril 25 mg ktk 10 x 10 tablet 210 80 130 75.00 9,750.00 - 75.00
35 Cetirizine 10 mg ktk 10 x 10 65 - 65 104.00 6,760.00 - 104.00
36 Cetirizine sirup botol 12 - 12 3,061.00 36,732.00 - 3,061.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 - 260.00 0.00 - 260.00
38 Clindamycin HCI 300mg Cap. ktk 50 - 660.00 0.00 - 660.00
39 Cloramfenicol salep mata ktk 24 tube - 1,925.00 0.00 - 1,925.00
40 Clorpromazine 100 mg ktk 10 x 10 - 153.00 0.00 - 153.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 - 49.00 0.00 - 49.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 - 1,226.00 0.00 - 1,226.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml - 2,336.00 0.00 - 2,336.00
44 Deksamethasone Tablet btl 10 x 10 tablet 200 30 170 75.00 12,750.00 - 75.00
45 Diazepam 2 mg Tab. Box @ 100 - 86.00 0.00 - 86.00
46 Diazepam 05 mg inj ktk 10 amp - 1,545.00 0.00 - 1,545.00
47 Diazepam Stesolid 10 mg ktk 5 amp - 18,458.00 0.00 - 18,458.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml - 1,156.00 0.00 - 1,156.00
49 Digoksin ktk 10 x 10 - 96.00 0.00 - 96.00
50 Dimenhidrinat 50 mg btl 100 - 121.00 0.00 - 121.00
51 Doksisiklin 100 mg Ktk 100 - 309.00 0.00 - 309.00
52 Domperidon 10 mg kotak 10 x 10 - 75.00 0.00 - 75.00
53 Domperidon Sirup btl - 3,180.00 0.00 2 - 2 3,180.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml - 1,740.00 0.00 - 1,740.00
55 Ergotamine + Caffein Botol @ 100 - 199.00 0.00 - 199.00
56 Eritromisin 250 mg ktk 12 x 10 tablet - 509.00 0.00 - 509.00
57 Eritromisin 500 mg ktk 10 x 10 tablet - 913.00 0.00 - 913.00
58 Fenobarbital inj ktk 30 Ampul - 1,980.00 0.00 - 1,980.00
59 Furosemid 40 mg ktk 200 tab - 84.00 0.00 - 84.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml - 2,012.00 0.00 - 2,012.00
61 Garam Oralit ktk 100 100 22 78 281.00 21,918.00 - 281.00
62 Gentamisin TTS Mata ktk 24 btl - 4,600.00 0.00 - 4,600.00
63 Glibenclamide 5 mg Tab. ktk 100 - 137.00 0.00 - 137.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml - 5,867.00 0.00 - 5,867.00
65 Glukosa larutan infus 5 % btl 500 ml - 6,627.00 0.00 - 6,627.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 - 157.00 0.00 - 157.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 - 210.00 0.00 - 210.00
68 Haloperidol 0,5 mg ktk 10 x 10 - 62.00 0.00 - 62.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 - 76.00 0.00 - 76.00
70 Haloperidol decanoate 50 mg ktk 5 amp - 97,500.00 0.00 - 97,500.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 9 2 7 2,325.00 16,275.00 9 - 9 2,325.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab - 178.00 0.00 - 178.00
Herbakof btl 14,273.00 0.00 14,273.00
73 Ibuprofen sirup btl 60 ml - 2,678.00 0.00 - 2,678.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet - 111.00 0.00 - 111.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet - 157.00 0.00 - 157.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet - 98.00 0.00 - 98.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 780 160 620 60.00 37,200.00 200 70 130 60.00
78 Karbamazepin 200 mg ktk 10 x 10 - 269.00 0.00 - 269.00
79 Ketoconazole 200mg Tab. Box @ 50 - 286.00 0.00 - 286.00
80 Ketoconazole salep ktk 25 tube 11 1 10 2,577.00 25,770.00 2 - 2 2,577.00
81 Ketorolac inj 30 mg ktk 12 ampul - 1,383.00 0.00 - 1,383.00
82 Klonidin 0,15 mg ktk 10 x 10 - 224.00 0.00 - 224.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 - 329.00 0.00 - 329.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 300 60 240 24.00 5,760.00 - 24.00
85 Kodein Tablet 10 mg ktk 10 x 10 - 550.00 0.00 - 550.00
86 Kotrimoksasol 480 mg ktk 100 40 - 40 133.00 5,320.00 - 133.00
87 Kotrimoksasol Syr. Botol 7 - 7 2,052.00 14,364.00 - 2,052.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
88 Lidocain 2 % inj ktk 100 - - - 891.00 0.00 9 - 9 891.00
89 Lidocain 2 % inj Jelly tube - 40,000.00 0.00 - 40,000.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 20 1 19 2,122.00 40,318.00 - 2,122.00
91 Loperamid 2 mg ktk 10 x 10 - 97.00 0.00 - 97.00
92 Loratadine tab 10 mg ktk 10x 10 - 149.00 0.00 - 149.00
93 Lysol btl - 45,100.00 0.00 - 45,100.00
94 Magnesium sulfat inj 20% btl - 2,122.00 0.00 - 2,122.00
95 Meloxicam 7,5 mg Tab. Box @ 30 - 723.00 0.00 - 723.00
96 Meloxicam 15 mg Tab. Box @ 30 - 1,377.00 0.00 - 1,377.00
97 Metformin 500 mg ktk 10x 10 210 60 150 77.00 11,550.00 - 100 - 100 77.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet - 102.00 0.00 - 102.00
99 Metilergometrin injeksi ktk 100 - 3,399.00 0.00 - 3,399.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet - 242.00 0.00 - 242.00
101 Metoklopramid 10 mg ktk 10 x 10 90 - 90 111.00 9,990.00 - 111.00
102 Metoklopramid Sirup (Lexapram) btl - 2,750.00 0.00 - 2,750.00
103 Metronidazol 500 mg ktk 100 70 - 70 140.00 9,800.00 - 140.00
104 Metronidazol Sirup btl 60 ml - 3,800.00 0.00 - 3,800.00
105 Miconazole 2% krem tube 10 gram 19 4 15 1,900.00 28,500.00 10 - 10 1,900.00
106 Natrium Chlorida 0,9 % btl 500 ml 3 - 3 6,900.00 20,700.00 - 6,900.00
107 Natrium diklofenak 50 mg kotak 50 tablet 130 100 30 200 109.00 21,800.00 200 10 190 109.00
108 Nifedipin tab ktk 10 x 10 tablet 130 30 100 123.00 12,300.00 200 - 200 123.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 20 - 20 688.00 13,760.00 9 - 9 688.00
110 OBH syr. Botol - 3,500.00 0.00 - 3,500.00
111 Omeprazol 20 mg ktk 3x 10 - 164.00 0.00 - 164.00
112 OAM 1,900.00 0.00 1,900.00
113 Oxytetrasiklin salep mata ktk 25 - 2,600.00 0.00 - 2,600.00
114 Oxytocin injeksi btl 15 ml - 2,774.00 0.00 - 2,774.00
115 Pantocain 0,5 % tetes mata btl 5 mL - 11,500.00 0.00 - 11,500.00
116 Paracetamol tab 500 mg ktk 100 tablet 140 200 - 340 225.00 76,500.00 200 30 170 225.00
117 Parasetamol Sirup btl 13 10 10 13 1,160.00 15,080.00 - 10 3 7 1,160.00
118 Phenol Glycerol TTS telinga btl - 2,500.00 0.00 - 2,500.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 90 - 90 818.00 73,620.00 - 818.00
120 Phitomenadion Vit K inj ktk 30 - 1,452.00 0.00 - 1,452.00
121 Povidon Iodida 10 % 300 ml btl 300 ml - 21,150.00 0.00 - 21,150.00
122 Prednison 5 mg ktk 10 x 10 tablet - 73.00 0.00 - 73.00
123 Primaquin 15 mg ktk 10 x 10 tablet - 235.00 0.00 - 235.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet - 80.00 0.00 - 80.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet - 297.00 0.00 - 297.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 170 100 50 220 150.00 33,000.00 110 - 110 150.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul - 1,155.00 0.00 - 1,155.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 - 119.00 0.00 - 119.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul - 327.00 0.00 - 327.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul - 505.00 0.00 - 505.00
131 Rifampicin 600 mg ktk 100 - 1,420.00 0.00 - 1,420.00
132 Ringer Laktat Infus btl 3 - 3 7,703.00 23,109.00 - 7,703.00
133 Risperidon 2 mg ktk 100 - 130.00 0.00 - 130.00
134 Rivanol botol 300 ml - 3,850.00 0.00 - 3,850.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 50 - 50 51.00 2,550.00 - 100 - 100 51.00
136 Serum ABU Vial - 517,132.00 0.00 - 517,132.00
137 Sikzonoate inj ktk 5 amp - 57,500.00 0.00 - 57,500.00
138 Simvastatin 10 mg ktk 30 240 - 240 117.00 28,080.00 90 - 90 117.00
139 Stesolid 10 mg/2,5 ml rektal tube - 18,458.00 0.00 - 18,458.00
140 Stesolid 5 mg/2,5 ml rektal tube - 14,459.00 0.00 - 14,459.00
141 Tablet Tambah Darah ktk 30 - 409.00 0.00 - 409.00
142 Thiamin ( vitamin B1 ) kotak 100 - 94.00 0.00 230 30 200 94.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml - 2,680.00 0.00 - 2,680.00
144 Triheksifenidil tab Kotak 10 x 10 tablet - 97.00 0.00 - 97.00
145 Vit B Komplek Tablet btl 100 - 60.00 0.00 200 - 200 60.00
146 Zink tablet ktk 10 x 10 - 253.00 0.00 70 100 - 170 253.00
147 Zirkum kids sirup botol 5 - 5 3,285.00 16,425.00 8 - 8 3,285.00
- 0.00 - 0.00
OBAT GIGI : - 0.00 - 0.00
148 Eugenol Btl - 50,417.00 0.00 - 50,417.00
149 Aseptik gel - 0.00 - 0.00
150 yellow tip - 110.00 0.00 - 110.00
- 0.00 - 0.00
REAGEN / LAB : - 0.00 - 0.00
149 Blood Lancets ktk 100 - 4,140.00 0.00 - 4,140.00
150 Ethyl Klorida semprot Botol 500 ml - 187,000.00 0.00 - 187,000.00
151 Gluco Protein Test Urine ktk 10 - 1,098.00 0.00 - 1,098.00
152 Gol. Darah Anti B btl - 0.00 0.00 - 0.00
153 Gol. Darah Anti A, B btl - 0.00 0.00 - 0.00
154 Gol. Darah Anti A btl - 0.00 0.00 - 0.00
155 Larutan Ethanol Asam 5 % btl 100 ml - 82,500.00 0.00 - 82,500.00
156 Larutan HCL 0,1 N btl 250 ml - 55,000.00 0.00 - 55,000.00
157 Larutan Karbol Fuchsin 0,3 % btl 100 ml - 159,500.00 0.00 - 159,500.00
158 Larutan Methyl Blue btl 100 ml - 99,000.00 0.00 - 99,000.00
159 Larutan Turk btl 100 ml - 0.00 0.00 - 0.00
160 Larutan Giemsa btl 500 ml - 263,184.00 0.00 - 263,184.00
161 Needle flashback ktk 50 - 1,701.00 0.00 - 1,701.00
162 Oil Imersion btl 10 ml - 110,000.00 0.00 - 110,000.00
163 Pot Dahak btl 10 ml - 3,069.00 0.00 - 3,069.00
164 Rapid Test HbsAg Kotak - 8,326.00 0.00 - 8,326.00
165 Slide Kaca ktk - 275.00 0.00 - 275.00
166 Stik Asam Urat Benechek ktk 25 pcs - 6,200.00 0.00 - 6,200.00
167 Stik Cholesterol Mission ktk 25 pcs - 22,280.00 0.00 - 22,280.00
168 Stik Glucosa Benechek ktk 50 pcs - 3,341.00 0.00 - 3,341.00
169 Stik protein Urine - 0.00 0.00 - 0.00
170 Vakum EDTA 3 mL 100 Pcs - 1,205.00 0.00 - 1,205.00
171 Virotec Dengue Combo Ktk 25 - 64,171.00 0.00 - 64,171.00
172 RDT HIV 1+2 12,500.00 0.00 12,500.00
173 RDT HIV 1/2 (3.0) 8,249.00 0.00
174 RDT HIV D.S 12,527.00 0.00
175 RDT Malaria 10,101.00 0.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
176 RDT Sifilis 8,871.00 0.00
177 RDT Dengue 64,171.00 0.00
178 RDT Antigen 0.00
BMHP APBD : - 0.00 - 0.00
1 Alat Suntik Sekali Pakai 1 ML 100 set / kotak 46 - 46 1,023.00 47,058.00 - 1,023.00
2 Alat Suntik Sekali Pakai 3 ML 100 set / kotak 23 2 21 683.00 14,343.00 - 10 - 10 683.00
3 Alat Suntik Sekali Pakai 2,5 ML 100 set / kotak - 924.00 0.00 - 924.00
4 Alat Suntik Sekali Pakai 5 ML 100 set / kotak - 1,045.00 0.00 - 1,045.00
5 Alkohol 70 % btl 1 liter - 29,375.00 0.00 - 29,375.00
6 Alkohol Swab 0,5 % pcs - 128.55 0.00 - 128.55
7 Bisturi ktk 100 - 10,733.00 0.00 - 10,733.00
8 Catgut/benang bedah No.2/0 dgn jarum ktk 24 - 2,873.00 0.00 - 2,873.00
9 Foley Catheter 16 pcs - 153.00 0.00 - 153.00
10 Hand Scoon 7 (Steril) pcs 10 - 10 6,142.00 61,420.00 - 6,142.00
11 Hand Scoon L ktk 100 - 1,435.00 0.00 - 1,435.00
12 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
13 Hand Scoon M ktk 100 - 1,435.00 0.00 - 1,435.00
14 Hand Scoon S ktk 100 1 100 1 100 8,470.00 847,000.00 - 8,470.00
15 Infusion Dewasa ktk 50 - 9,181.00 0.00 - 9,181.00
16 Infusion set anak set / kantong - 6,983.00 0.00 - 6,983.00
17 IV Catheter No. 22 G 50 buah / kotak 5 - 5 4,818.00 24,090.00 - 4,818.00
18 IV Catheter No. 18 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
19 IV Catheter No. 24 G 50 buah / kotak - 4,818.00 0.00 - 4,818.00
20 Kantong Limbah uk. L Pcs - 5,400.00 0.00 - 5,400.00
21 Kantong Limbah uk. M Pcs - 15,000.00 0.00 - 15,000.00
22 Kapas Pembalut 250 gr rol - 1,448.00 0.00 - 1,448.00
23 Kasa hidrofil 40 x 80 cm pcs - 77,600.00 0.00 - 77,600.00
24 Kasa hidrofil 40 x 80 cm pcs - 2,354.00 0.00 - 2,354.00
25 Kasa Pembalut Hidrofil 10 cm x 360 cm rol/50 - 5,610.00 0.00 - 5,610.00
26 Kasa Pembalut Hidrofil 6 cm x 360 cm rol/50 - 20,339.00 0.00 - 20,339.00
27 Kasa steril 16 cmx16 cm ktk 5 - 5 24,254.00 121,270.00 - 24,254.00
28 Leukoplast Plester kain 7,5x4,5 pcs - 3,472.00 0.00 - 3,472.00
29 Lysol btl - 442.00 0.00 - 442.00
30 Masker hijab / Karet ktk 50 pcs - 2,185.00 0.00 - 2,185.00
31 Masker tali ikat Ties Aximed ktk 50 pcs 100 100 - 5,280.00 0.00 3 - 3 5,280.00
32 Mucus Extractor Pcs - 5,865.00 0.00 - 5,865.00
33 Oxyflow Anak - 8,040.00 0.00 - 8,040.00
34 Oxyflow Dewasa pcs - 5,000.00 0.00 - 5,000.00
35 Pembalut Elastis roll - 5,000.00 0.00 - 5,000.00
36 Polifix 5 cmx 5 m Roll - 39,217.00 0.00 - 39,217.00
37 Polifix Aximed 5 cm x 10 m Roll - 77,600.00 0.00 - 77,600.00
38 Silk 3/0 HR - 20 ktk 12 - 3,472.00 0.00 - 3,472.00
39 Test Kehamilan ktk 50 - 2,185.00 0.00 10 2 8 2,185.00
40 Umbilical cord klem ktk 50 pcs - 2,070.00 0.00 - 2,070.00
41 Underpad Pcs - 5,280.00 0.00 - 5,280.00
42 Urin Bag 10 pcs - 5,865.00 0.00 - 5,865.00
- 0.00 - 0.00
PROGRAM GIZI /KIA - 0.00 - 0.00
1 Ampicillin 1 gr. Inj. Box @ 10 - 0.00 0.00 - 0.00
2 Calcii gluconas Inj. 1 gram Kotak @ 24 - 9,955.00 0.00 - 9,955.00
3 Diazepam Inj. 5 mg. Box @ 10 - 1,913.00 0.00 - 1,913.00
4 Eutyrox 50 mg Tab. Tablet - 0.00 0.00 - 0.00
5 Fe ktk 100 710 90 620 409.00 253,580.00 200 300 100 400 409.00
6 Gentamicin 40 mg/ml inj Kotak 5 amp @ 2 ml - 3,545.00 0.00 - 3,545.00
7 Methyl Ergometrin Maleat inj 0,2 mg Kotak 100 amp - 2,684.00 0.00 - 2,684.00
8 MgSO4 40 % Botol 25 mL - 3,796.00 0.00 - 3,796.00
9 Mineral Mix Shaset - 3,116.00 0.00 - 3,116.00
10 Oxytetracycline salep mata 1 % Box @ 25 - 2,600.00 0.00 - 2,600.00
11 Oxytocin Inj. Box @ 100 - 1,232.00 0.00 - 1,232.00
12 Stik shipyllis Box @ 25 - 8,871.00 0.00 - 8,871.00
13 Vit. K inj. Box @ 30 - 4,236.00 0.00 - 4,236.00
14 Vitamin A Biru 100.000 IU Botol 50 kapsul - 305.00 0.00 - 305.00
15 Vitamin A Merah 200.000 IU Botol 50 kapsul - 637.00 0.00 - 637.00
TOTAL OBAT & BMHP APBD - 1,978,122.00 -
OBAT & BMHP JKN : - 0.00 - 0.00
1 Acyclovir 200 mg Tab. Box @ 100 - 1,096.00 0.00 - 1,096.00
2 Acyclovir 400 mg Tab Box @ 100 - 990.88 0.00 - 990.88
3 Acyclovir cream Tube 9 - 9 4,125.00 37,125.00 5 - 5 4,125.00
4 Acetylsystein 200 mg Cap. Box @ 100 - 1,100.00 0.00 - 1,100.00
5 Allopurinol 100 mg Tab. Box @ 100 - 247.50 0.00 60 100 20 140 247.50
6 Allopurinol 300 mg Tab. Box @ 100 - 566.50 0.00 - 566.50
7 Ambroxol syr. Botol 17 8 9 4,840.00 43,560.00 7 10 3 14 4,840.00
8 Ambroxol Tab. Box @ 100 245 30 215 165.00 35,475.00 70 200 70 200 165.00
9 Amlodipine 10 mg Tab. Box @ 30 - - - 495.00 0.00 80 200 50 230 495.00
10 Amlodipine 5 mg Tab. Box @ 100 155 100 65 190 445.50 84,645.00 30 100 40 90 445.50
11 Amoxycillin 500 mg Tab. Box @ 100 - 407.00 0.00 - 407.00
12 Amoxycillin Syr. Botol 14 6 11 9 5,478.00 49,302.00 - 5,478.00
13 Antasid Syr. Botol - 3,900.00 0.00 - 3,900.00
14 Antasida Tab. Box @ 100 - 165.00 0.00 - 165.00
15 Asam Folat Box@100 - 110.00 0.00 - 110.00
16 Asam Mefenamat 500 mg Tab. Box @ 100 - 275.00 0.00 - 275.00
17 Asam tranexamat 500 mg (Nexitra) Box @ 50 - 2,011.00 0.00 - 2,011.00
18 Aseptic Gell Botol 450 mL - 55,000.00 0.00 - 55,000.00
Akita (Attapulgit ) Box @100
19 Bedak Salicyl Pcs - 6,426.00 0.00 - 6,426.00
20 Betahistine 6 mg Tab. Box @ 100 280 10 270 1,015.00 274,050.00 70 - 70 1,015.00
21 Bethametasone salep Tube 5 10 7 8 3,520.00 28,160.00 - 3,520.00
22 Bioplacenton gel 15 gram Tube - 17,650.00 0.00 - 17,650.00
23 Bisolvon sol Botol - 105,600.00 0.00 - 105,600.00
24 Cairan foging (Seruni 100 EC) 1 Liter Botol - 220,000.00 0.00 - 220,000.00
25 Calcii Gluconas Inj. Box @ 24 - 4,053.50 0.00 - 4,053.50
26 Calsium Laktat 500mg ( Kalk) Botol @ 100 - 165.00 0.00 - 165.00
27 Captopril 12,5 mg Tab. Box @ 100 - 104.50 0.00 - 104.50
28 Captopril 25 mg Tab. Box @ 100 - 132.00 0.00 200 - 200 132.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
29 Cefadroxil 125 mg Syr. Botol - 7,700.00 0.00 - 7,700.00
30 Cefadroxil 500 mg Cap. Box @ 100 90 - 90 899.00 80,910.00 200 - 200 899.00
31 Cendo eyefresh mini dose Box@ 25 strip - 5,720.00 0.00 - 5,720.00
32 Cetirizine Syr Botol - 6,270.00 0.00 - - - 6,270.00
33 Cetirizine Tab. Box @ 100 200 100 100 502.00 50,200.00 - 100 - 100 502.00
34 Chloramfenicol Tetes mata (Reco) Botol - 9,460.00 0.00 - 9,460.00
35 Chloramfenicol Tetes Telinga (Reco TT) Botol 8 - 8 10,010.00 80,080.00 4 - 4 10,010.00
36 Chloramfenicol salep (Fasycol) Tube - 4,703.00 0.00 4 5 1 8 4,703.00
37 Ciprofloxacin 500 mg tab. Box @ 100 50 - 50 720.00 36,000.00 - 720.00
38 Cotrimoksazol 480 mg Box @ 100 - 289.85 0.00 - 289.85
39 Cotrimoxazole syr. Botol - 4,290.00 0.00 - 4,290.00
40 CPZ 100 mg Tab. Box @ 100 - 432.70 0.00 - 432.70
41 CTM Btl @ 100 - 61.60 0.00 90 100 - 190 61.60
42 Daryantulle Box @ 10 - 27,500.00 0.00 - 27,500.00
43 Dexamethasone 0,5 mg Tab. Box @ 100 - 149.80 0.00 - 149.80
44 Dexamethasone Inj. Box @ 100 - 2,416.00 0.00 - 2,416.00
45 Dextrose 40 25 mL Botol - 12,760.00 0.00 - 12,760.00
46 Difenhydramine inj. Box @ 30 - 1,862.67 0.00 - 1,862.67
47 Domperidone Syr. Botol 11 - 11 6,600.00 72,600.00 2 5 - 7 6,600.00
48 Domperidone Tab. Box @ 100 45 - 45 271.70 12,226.50 80 - 80 271.70
49 Doxycicline Cap/ Doxyhat Box @ 100 - 466.49 0.00 - 466.49
50 Dulcolax 10 mg Sup Ktk @ 5 - 31,240.00 0.00 - 31,240.00
51 Dulcolax 5 mg Sup Ktk @ 6 - 20,716.67 0.00 - 20,716.67
52 Dulcolax tab./ Laxana Box @ 10 - 1,980.00 0.00 - 1,980.00
53 Dumin 125 mg Rectal Ktk @ 5 - 19,800.00 0.00 5 - 5 19,800.00
54 Ephineprin Inj. Box @ 30 - 8,983.33 0.00 - 8,983.33
55 Ergotamine + Caffein Box @ 100 - 306.00 0.00 - 306.00
56 Etil Klorida 100 ml Botol - 223,850.00 0.00 - 223,850.00
57 Garam Oralit Box @ 100 - 352.00 0.00 - 352.00
58 Gentamicin SK Box @ 10 - 3,630.00 0.00 - 3,630.00
59 Gentamicin Salep Mata (Genoint) Tube - 8,580.00 0.00 - 8,580.00
60 Gentamisin Tetes Mata (Genoint TM) Botol 5 mL 10 - 10 11,110.00 111,100.00 2 2 - 11,110.00
61 Gentian Violet Box @ 24 8 1 7 3,850.00 26,950.00 4 - 4 3,850.00
62 Glibenclamide Tab. Box @ 100 - 222.59 0.00 - 222.59
63 Gliceril Guaiakolat Tab. Box @ 100 320 50 270 130.24 35,164.80 - 130.24
64 Glucosa infus 10 % Box @ 20 - 10,175.00 0.00 - 10,175.00
65 Guanistrep syr. Botol - 8,470.00 0.00 3 5 - 8 8,470.00
66 H2O2 3 % 100 mL Botol - 7,370.00 0.00 - 7,370.00
67 H2O2 3 % 800 mL Botol - 36,300.00 0.00 - 36,300.00
68 Hyocine-N-Bromida (Scopma plus) Box @ 100 - 1,364.00 0.00 - 1,364.00
69 Ibuprofen 200 mg Tab. Box @ 100 - - - 275.00 0.00 - 275.00
70 Ibuprofen 400 mg Tab. Box @ 100 20 20 - 368.06 0.00 - 368.06
71 Ibuprofen Syr Botol - 6,160.00 0.00 - 6,160.00
72 INH 100 mg Tab. Box @ 100 - 185.00 0.00 - 185.00
73 Isosorbid Dinitrat (ISDN) Box @ 101 - 165.00 0.00 - 165.00
74 K-EN-3B infus Box @ 20 - 28,600.00 0.00 - 28,600.00
75 Ketoconazole 200 mg Tab. Box @ 50 - 506.00 0.00 - 506.00
76 Ketokonazole Salep Tube - 4,950.00 0.00 - 4,950.00
77 Ketorolac inj 30mg/mL Box @ 6 - 5,042.00 0.00 - 5,042.00
78 Lidocain + Adrenalin Inj. / Pehacain Inj Box @ 20 - 3,114.00 0.00 - 3,114.00
79 Lidocain Inj. Box @ 100 - 1,430.00 0.00 - 1,430.00
80 Loratadine 10 mg Tab. Box @ 50 - 333.00 0.00 - 333.00
81 Metformin 500 mg Tab. Box @ 100 - 193.00 0.00 - 193.00
82 Methylprednisolon 4 mg Tab. Box @ 50 - 440.00 0.00 - 440.00
83 Metronidazole 500 mg Tab. Box @ 100 - 379.50 0.00 - 379.50
84 MgSO4 40 % Botol - 14,754.30 0.00 - 14,754.30
85 Miconazole Salep Tube - 4,730.00 0.00 - 4,730.00
86 NaCl infus Box @ 20 - 8,800.00 0.00 - 8,800.00
87 Natrium diklofenak 25 mg Tab. Box @ 50 - 205.00 0.00 - 205.00
88 Neurobion Inj 5000 Ktk @ 20 - 11,750.00 0.00 - 11,750.00
89 Nifedipine 10 mg Tab Box @ 100 - 220.00 0.00 - 220.00
90 Nystatin drop (Cazetin drop ) Botol 7 1 6 24,420.00 146,520.00 6 1 5 24,420.00
91 Nystatin Vag ovula Box @ 100 - 828.00 0.00 - 828.00
92 Omeprazole kap. Box @ 30 280 20 260 414.33 107,726.66 60 - 60 414.33
93 Ondancentron Inj Ktk @ 5 - 7,700.00 0.00 - 7,700.00
94 Oxytocin Inj. Box @ 100 - 3,685.00 0.00 - 3,685.00
95 Oxytetracycline salep mata Tube - - - 6,270.00 0.00 - 6,270.00
96 Paracetamol 500 mg Tab. Botol @ 100 - 316.81 0.00 - 316.81
97 Paracetamol Syr. Botol - 4,180.00 0.00 - 4,180.00
98 Phenol Glycerol TT Botol - 6,047.80 0.00 - 6,047.80
99 Piroxicam 10 mg Tab. Box @ 100 - 123.00 0.00 - 123.00
100 Povidone Iodine 300 mL Botol - 33,000.00 0.00 - 33,000.00
101 Povidone Iodine 1 Liter Botol - 99,000.00 0.00 - 99,000.00
102 Prednison 5 mg Tab. Box @ 100 - 285.00 0.00 - 285.00
103 Primaquin tab. Box @ 100 - 304.00 0.00 - 304.00
104 Ranitidine Inj. Box @ 10 - 7,150.00 0.00 - 7,150.00
105 Ranitidine Tab. Box @ 100 80 10 70 320.00 22,400.00 - 320.00
106 Ringer Laktat Infus Box @ 20 - 9,570.00 0.00 - 9,570.00
107 Salbutamol 2mg Tab. Box @ 100 - 158.40 0.00 - 158.40
108 Scabimid krim 10 gr Tube - 58,850.00 0.00 - 58,850.00
109 Simvastatin 20 mg Tab. Box @ 100 - 564.41 0.00 - 564.41
110 Thrombophob gel 20 Gram Tube - 62,000.00 0.00 - 62,000.00
111 Ultrasonic Gel 250 mL Botol 1 - 1 24,200.00 24,200.00 - 24,200.00
112 Ventolin Nebulizer Box @ 20 - 14,025.00 0.00 - 14,025.00
113 Vit B.1 Box @ 100 270 90 180 132.00 23,760.00 - 132.00
114 Vit B6 Box @ 100 170 100 - 270 132.00 35,640.00 - 132.00
115 Vit. B-Complex Btl @ 100 270 40 230 220.00 50,600.00 - 220.00
116 Vit K inj. Box @ 5 - 7,150.00 0.00 - 7,150.00
117 Vit K Tab. Box @ 100 - 1,320.00 0.00 - 1,320.00
118 Water for Inj. 10 mL Botol - 5,940.00 0.00 - 5,940.00
119 Water for Inj. 25 mL Botol - 9,020.00 0.00 - 9,020.00
120 Zinc / Lecozinc Syr. Botol - 7,000.00 0.00 - 7,000.00
121 Zinc Tab. Box @ 100 120 40 80 675.00 54,000.00 - 675.00
BMHP : - 0.00 - 0.00
PUSBAN SESULU PUSBAN GUNUNG BATU
No. Nama Obat Satuan Stok akhir Stok akhir
Stok awal Penerimaan Pemakaian Total Stok awal Penerimaan Pemakaian
Sisa Harga satuan Sisa Harga Satuan
1 Abbocat 18 G Box @ 50 - 5,500.00 0.00 - 5,500.00
2 Abbocat 20 G Box @ 50 - 5,500.00 0.00 - 5,500.00
3 Abbocat 22 G Box @ 50 - 6,050.00 0.00 - 6,050.00
4 Abbocat 24 G Box @ 50 - 13,000.00 0.00 - 13,000.00
5 Abbocat 26 G Box @ 50 - 5,500.00 0.00 - 5,500.00
6 Alat suntik satu kali pakai 3 cc Box @ 100 - 880.00 0.00 - 880.00
7 Alat suntik satu kali pakai 20 cc Box @ 100 - 11,000.00 0.00 - 11,000.00
8 Alkohol 300 mL Botol - 24,065.00 0.00 - 24,065.00
9 Alkohol Swab Bok - 182.00 0.00 - 182.00
10 Bisturi no. 11 G Box @ 100 - 1,100.00 0.00 - 1,100.00
11 Blood set Box @ 50 - 6,900.30 0.00 - 6,900.30
12 Cat Gut Plain 3/0 Box @ 24 10 - 10 8,800.00 88,000.00 - 8,800.00
13 Folley Catheter Fr. 16 Box @ 10 13 - 13 12,100.00 157,300.00 - 12,100.00
14 Folley Catheter Fr. 18 Box @ 10 - 12,100.00 0.00 - 12,100.00
15 Hand scoon steril No. 7 Box @ 50 - 11,000.00 0.00 - 11,000.00
16 Hand scoon nonsteril No. L Box @100 - 1,700.60 0.00 - 1,700.60
17 Hand scoon nonsteril No. M Box @100 - 1,700.60 0.00 - 1,700.60
18 Hand scoon nonsteril No. S Box @100 - 1,700.60 0.00 - 1,700.60
19 Infuset Dewasa Pcs - 4,400.00 0.00 - 4,400.00
20 Kassa 40 x 80 Roll - 120,000.00 0.00 - 120,000.00
21 Kassa steril Box - 4,000.00 0.00 - 4,000.00
22 Masker Bedah Box @ 50 - 806.30 0.00 - 806.30
23 Masker Oxigen Anak Pcs - 16,500.00 0.00 - 16,500.00
24 Masker Oxigen dws Pcs - 16,500.00 0.00 - 16,500.00
25 Masker Oxigen Non Refbreathing anak Pcs - 30,800.00 0.00 - 30,800.00
26 Masker Oxigen Non Refbreathing dws Pcs - 30,800.00 0.00 - 30,800.00
27 Mucus extractor Box @ 25 - 7,700.00 0.00 - 7,700.00
28 Nasal canul Bayi Pcs - 11,000.00 0.00 - 11,000.00
29 Nasal canul anak Pcs - 11,000.00 0.00 - 11,000.00
30 Nasal canul dewasa Pcs - 11,000.00 0.00 - 11,000.00
31 Needle 23 G Box @100 - 220.00 0.00 - 220.00
32 NGT Fr. 3,5 Pcs - 49,500.00 0.00 - 49,500.00
33 NGT No. 16 Pcs - 49,500.00 0.00 - 49,500.00
34 Nurse Cup Box @100 - 605.00 0.00 - 605.00
35 Pot salep 20 gr Pot - 880.00 0.00 - 880.00
36 Sendok obat Pcs - 599.50 0.00 - 599.50
37 Silk 3/0 Box @ 36 - 11,000.00 0.00 - 11,000.00
38 Silk 4/0 Box @ 12 - 11,000.00 0.00 - 11,000.00
39 Sungkup nebulizer anak Pcs - 27,500.00 0.00 - 27,500.00
40 Sungkup nebulizer bayi Pcs - 22,000.00 0.00 - 22,000.00
41 Sungkup nebulizer Dws Pcs - 27,500.00 0.00 - 27,500.00
42 Umbilical cord Pcs 9 - 9 1,540.00 13,860.00 - 1,540.00
43 Underpad Box @ 10 - 4,840.00 0.00 - 4,840.00
44 Utrafix 5 x 10 Roll - 71,500.00 0.00 - 71,500.00
45 Utrafix 5 x 5 Roll - 20,570.00 0.00 - 20,570.00
46 Urine Bag Pcs - 7,700.00 0.00 - 7,700.00
47 Verban 4 x 10 Roll - 3,500.20 0.00 - 3,500.20
48 Verban 4 x 5 Roll - 1,300.00 0.00 - 1,300.00
REAGEN : - 0.00 - 0.00
49 Blue Tip Pak @ 100 - 132.00 0.00 - 132.00
50 Cover Glass 20 x 20 Pcs - 308.00 0.00 - 308.00
51 Diatro Cleaner Botol 1 L - 759,000.00 0.00 - 759,000.00
52 Diatro Dilluent Botol 1 L - 2,178,000.00 0.00 - 2,178,000.00
53 Diatro Lyse Botol 1 L - 1,863,400.00 0.00 - 1,863,400.00
54 Gol. Darah Anti A Botol - 110,000.00 0.00 - 110,000.00
55 Gol. Darah Anti B Botol - 110,000.00 0.00 - 110,000.00
56 Gol. Darah resus anti D Botol - 132,000.00 0.00 - 132,000.00
57 HCL Alkohol 3 % Botol 100 mL - 55,000.00 0.00 - 55,000.00
58 Salmonella Thypi AO Botol - 181,500.00 0.00 - 181,500.00
59 Salmonella Thypi BO Botol - 181,500.00 0.00 - 181,500.00
60 Salmonella Thypi H Botol - 181,500.00 0.00 - 181,500.00
61 Salmonella Thypi O Botol - 181,500.00 0.00 - 181,500.00
62 Serum Kontrol Botol - 715,000.00 0.00 - 715,000.00
63 Spiritus Botol - 33,000.00 0.00 - 33,000.00
64 Stik Asam Urat Benecheck Btl @ 25 - 6,600.00 0.00 - 6,600.00
65 Stik GDS Benecheck Btl @ 50 - 3,520.00 0.00 - 3,520.00
66 Stik Kholesterol Benecheck Btl @ 10 - 27,500.00 0.00 - 27,500.00
67 Strip Hemoglobin ( Hb ) Btl @ 50 - 9,900.00 0.00 - 9,900.00
68 Tabung EDTA 3 mL Botol - 1,540.00 0.00 - 1,540.00
69 Tes Kehamilan Box @ 50 8 1 7 1,478.40 10,348.80 - 1,478.40
70 Urine Stik 10 Para Btl @100 - 2,035.00 0.00 - 2,035.00
71 Yellow tip Pcs - 110.00 0.00 - 110.00
1,791,903.76

3,770,026
REKAPAN LAPORAN PERSEDIAAN OBAT DAN BMHP BULAN APRIL 2022
UPT. PUSKESMAS WARU
ok
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
OBAT APBD :
1 Acetosal 500 mg ktk 10x 10 0.00 - 153.00 0.00
2 Acetylcystein 200 mg Cap. ktk 100 0.00 - 412.00 0.00
3 Acyclovir 200 mg ktk 10 x 10 0.00 - 236.00 0.00
4 Acyclovir 400 mg ktk 10 x 10 45,400.00 120 - 120 454.00 54,480.00
5 Allupurinol 100 mg ktk 100 0.00 - 89.00 0.00
6 Ambroxol syr. Botol 0.00 - 3,639.00 0.00
7 Amitriptiline HCl 25 mg ktk 100 0.00 - 168.00 0.00
8 Amlodipin 5 mg ktk 30 0.00 - 74.00 0.00
9 Amlodipin 10 mg ktk 30 0.00 - 520.00 0.00
10 Amoksisilin 250 mg ktk 10x 10 0.00 - 188.00 0.00
11 Amoksisilin 500 mg ktk 10x 11 42,735.00 125 20 105 231.00 24,255.00
12 Amoksisilin syr Botol 12,300.00 10 5 5 2,050.00 10,250.00
13 Antasida doen tablet kotak ktk 10 x10 0.00 175 100 75 54.00 4,050.00
14 Antasida syr. Botol 15,804.00 3 5 - 8 1,756.00 14,048.00
15 Antasida Tab. ktk 10 x 10 10,800.00 54.00 0.00
16 Anti Hemoroid ktk 10 0.00 10 - 10 3,260.00 32,600.00
17 Antides ( Attapulgite ) ktk 100 0.00 - 175.00 0.00
18 Aqua pro inj btl 0.00 - 2,860.00 0.00
19 Asam Askorbat Tab 50 mg ktk 10 x 10 5,060.00 80 - 80 46.00 3,680.00
20 Asam Folat 400 mg (Profolat) ktk 10 x 10 0.00 60 - 60 45.00 2,700.00
21 Asam Mefenamat 250 mg kotak 10 x 10 0.00 - 175.00 0.00
22 Asam Mefenamat 500 mg kotak 10 x 10 18,720.00 110 30 80 117.00 9,360.00
23 Atropin 0.5 mg tablet ktk 100 tablet 0.00 - 81.00 0.00
24 Atropin injeksi im/iv/sk 0,25 mg/ml ktk 30 amp @ 1 ml 0.00 - 1,353.00 0.00
25 Attapulgite ( pularex ) 630 mg ktk @ 50 14,000.00 - 175.00 0.00
26 Betahistine 6 mg ktk 30 0.00 - 119.00 0.00
27 Betamethason Salep ktk 25 0.00 - 1,920.00 0.00
28 Bioplacenton Tulle Tulle 0.00 - 10,733.00 0.00
29 Bisacodil 10 mg ktk 50 sup 0.00 - 5,800.00 0.00
30 Bisacodil 5 mg ktk 6 sup 0.00 - 5,800.00 0.00
31 Bufacetine salep kulit Tube 0.00 - 3,360.00 0.00
32 Captopril 50 mg ktk 10 x 10 tablet 0.00 - 143.00 0.00
33 Captopril 12,5 mg ktk 10 x 10 0.00 - 65.00 0.00
34 Captopril 25 mg ktk 10 x 10 tablet 0.00 - 75.00 0.00
35 Cetirizine 10 mg ktk 10 x 10 0.00 - - - 104.00 0.00
36 Cetirizine sirup botol 0.00 - 3,061.00 0.00
37 Ciprofloxacin 500 mg tab. ktk 10 x 10 0.00 - 260.00 0.00
38 Clindamycin HCI 300mg Cap. ktk 50 0.00 - 660.00 0.00
39 Cloramfenicol salep mata ktk 24 tube 0.00 - 1,925.00 0.00
40 Clorpromazine 100 mg ktk 10 x 10 0.00 - 153.00 0.00
41 Cyanocobalamin ( Vitamin B12 ) tab. Ktk 100 0.00 - 49.00 0.00
42 Cyanokobalamin ( Vitamin B12 ) inj ktk 100 0.00 - 1,226.00 0.00
43 Deksamethasone injeksi ktk 100 ampul x 1 ml 0.00 5 - 5 2,336.00 11,680.00
44 Deksamethasone Tablet btl 10 x 10 tablet 0.00 80 60 20 75.00 1,500.00
45 Diazepam 2 mg Tab. Box @ 100 0.00 - 86.00 0.00
46 Diazepam 05 mg inj ktk 10 amp 0.00 - 1,545.00 0.00
47 Diazepam Stesolid 10 mg ktk 5 amp 0.00 - 18,458.00 0.00
48 Difenhidramin HCL injeksi ktk 30 amp @1 ml 0.00 - 1,156.00 0.00
49 Digoksin ktk 10 x 10 0.00 - 96.00 0.00
50 Dimenhidrinat 50 mg btl 100 0.00 - 121.00 0.00
51 Doksisiklin 100 mg Ktk 100 0.00 - 309.00 0.00
52 Domperidon 10 mg kotak 10 x 10 0.00 - 75.00 0.00
53 Domperidon Sirup btl 6,360.00 - 3,180.00 0.00
54 Efinefrin 1 mg inj ktk 100 ampul x 1 ml 0.00 - 1,740.00 0.00
55 Ergotamine + Caffein Botol @ 100 0.00 - 199.00 0.00
56 Eritromisin 250 mg ktk 12 x 10 tablet 0.00 - 509.00 0.00
57 Eritromisin 500 mg ktk 10 x 10 tablet 0.00 - 913.00 0.00
58 Fenobarbital inj ktk 30 Ampul 0.00 - 1,980.00 0.00
59 Furosemid 40 mg ktk 200 tab 0.00 - 84.00 0.00
60 Furosemid Injeksi 10 mg/ml ktk 25 amp @ 2 ml 0.00 - 2,012.00 0.00
61 Garam Oralit ktk 100 0.00 10 - 10 281.00 2,810.00
62 Gentamisin TTS Mata ktk 24 btl 0.00 - 4,600.00 0.00
63 Glibenclamide 5 mg Tab. ktk 100 0.00 - 137.00 0.00
64 Gliserin 100 ml ( Glyserol ) btl 100 ml 0.00 - 5,867.00 0.00
65 Glukosa larutan infus 5 % btl 500 ml 0.00 - 6,627.00 0.00
66 Glyceryl guaiacolate ( GG ) Tab. ktk @ 100 0.00 - 157.00 0.00
67 Griseofulvin 125 mg Tab. ktk 10 x 10 0.00 - 210.00 0.00
68 Haloperidol 0,5 mg ktk 10 x 10 0.00 - 62.00 0.00
69 Haloperidol 1, 5 mg Tab ktk 10 x 10 0.00 - 76.00 0.00
70 Haloperidol decanoate 50 mg ktk 5 amp 0.00 - 97,500.00 0.00
71 Hidrokortisone Cream 2,5 % tube @ 5 g 20,925.00 1 5 6 - 2,325.00 0.00
72 Hydrochlorothiazide 25 mg (HCT) ktk 100 tab 0.00 - 178.00 0.00
Herbakof btl 0.00 14,273.00 0.00
73 Ibuprofen sirup btl 60 ml 0.00 - 2,678.00 0.00
74 Ibuprofen tablet 200 mg ktk 10 x 10 tablet 0.00 - 111.00 0.00
75 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 0.00 - 157.00 0.00
76 Isosorbit dinitrat tablet 5 mg ktk 10 x 10 tablet 0.00 - 98.00 0.00
77 Kalsium laktat ( Kalk ) tablet 500 mg 7,800.00 30 100 10 120 60.00 7,200.00
78 Karbamazepin 200 mg ktk 10 x 10 0.00 - 269.00 0.00
79 Ketoconazole 200mg Tab. Box @ 50 0.00 - 286.00 0.00
80 Ketoconazole salep ktk 25 tube 5,154.00 - 2,577.00 0.00
81 Ketorolac inj 30 mg ktk 12 ampul 0.00 - 1,383.00 0.00
82 Klonidin 0,15 mg ktk 10 x 10 0.00 - 224.00 0.00
83 Kloramfenicol 250 mg Cap. ktk 10 x 10 0.00 - 329.00 0.00
84 Klorfeniramin Maleat 4 mg ( CTM ) ktk 100 tablet 0.00 75 75 - 24.00 0.00
85 Kodein Tablet 10 mg ktk 10 x 10 0.00 - 550.00 0.00
86 Kotrimoksasol 480 mg ktk 100 0.00 - 133.00 0.00
87 Kotrimoksasol Syr. Botol 0.00 3 - 3 2,052.00 6,156.00
PUSBAN GUNUNG BATU PUSBAN API-API
No. Nama Obat Satuan Stok akhir
TOTAL Stok awal Penerimaan Pemakaian TOTAL
Sisa Harga Satuan
88 Lidocain 2 % inj ktk 100 8,019.00 - 891.00 0.00
89 Lidocain 2 % inj Jelly tube 0.00 - 40,000.00 0.00
90 Lidokain komp injeksi, kombinasi ktk 30 amp 0.00 - 2,122.00 0.00
91 Loperamid 2 mg ktk 10 x 10 0.00 - 97.00 0.00
92 Loratadine tab 10 mg ktk 10x 10 0.00 - 149.00 0.00
93 Lysol btl 0.00 - 45,100.00 0.00
94 Magnesium sulfat inj 20% btl 0.00 - 2,122.00 0.00
95 Meloxicam 7,5 mg Tab. Box @ 30 0.00 - 723.00 0.00
96 Meloxicam 15 mg Tab. Box @ 30 0.00 - 1,377.00 0.00
97 Metformin 500 mg ktk 10x 10 7,700.00 - 77.00 0.00
98 Methylprednisolon 4 mg Tab. ktk 10 x 10 tablet 0.00 - 102.00 0.00
99 Metilergometrin injeksi ktk 100 0.00 - 3,399.00 0.00
100 Metilergometrin tab 0,125 mg ktk 10 x 10 tablet 0.00 - 242.00 0.00
101 Metoklopramid 10 mg ktk 10 x 10 0.00 - 111.00 0.00
102 Metoklopramid Sirup (Lexapram) btl 0.00 - 2,750.00 0.00
103 Metronidazol 500 mg ktk 100 0.00 - 140.00 0.00
104 Metronidazol Sirup btl 60 ml 0.00 - 3,800.00 0.00
105 Miconazole 2% krem tube 10 gram 19,000.00 5 - 5 1,900.00 9,500.00
106 Natrium Chlorida 0,9 % btl 500 ml 0.00 - 6,900.00 0.00
107 Natrium diklofenak 50 mg kotak 50 tablet 20,710.00 25 50 10 65 109.00 7,085.00
108 Nifedipin tab ktk 10 x 10 tablet 24,600.00 - 123.00 0.00
109 Nistatin vagina tablet 100.000 IU / g ktk 10 x 10 tablet 6,192.00 - 688.00 0.00
110 OBH syr. Botol 0.00 - 3,500.00 0.00
111 Omeprazol 20 mg ktk 3x 10 0.00 - 164.00 0.00
112 OAM 0.00 1,900.00 0.00
113 Oxytetrasiklin salep mata ktk 25 0.00 - 2,600.00 0.00
114 Oxytocin injeksi btl 15 ml 0.00 - 2,774.00 0.00
115 Pantocain 0,5 % tetes mata btl 5 mL 0.00 - 11,500.00 0.00
116 Paracetamol tab 500 mg ktk 100 tablet 38,250.00 90 100 70 120 225.00 27,000.00
117 Parasetamol Sirup btl 8,120.00 7 5 3 9 1,160.00 10,440.00
118 Phenol Glycerol TTS telinga btl 0.00 - 2,500.00 0.00
119 Phitomenadion Vit K ktk 10 x 10 tablet 0.00 - 818.00 0.00
120 Phitomenadion Vit K inj ktk 30 0.00 - 1,452.00 0.00
121 Povidon Iodida 10 % 300 ml btl 300 ml 0.00 - 21,150.00 0.00
122 Prednison 5 mg ktk 10 x 10 tablet 0.00 - 73.00 0.00
123 Primaquin 15 mg ktk 10 x 10 tablet 0.00 - 235.00 0.00
124 Propanolol tablet 10 mg ktk 10 x 10 tablet 0.00 - 80.00 0.00
125 Propilthiourasil (PTU) 100 mg btl 100 tablet 0.00 - 297.00 0.00
126 Pyridoxin ( Vitamin B6 ) tablet 10 mg ktk 100 16,500.00 100 - 100 150.00 15,000.00
127 Ranitidin HCL 50 mg/ml kotak 10 ampul 0.00 - 10 5 5 1,155.00 5,775.00
128 Ranitidine Tablet 150 mg ktk 10 x 10 0.00 15 100 20 95 119.00 11,305.00
129 Retinol ( Vitamin A ) 100.000 IU Botol 50 kapsul 0.00 - 327.00 0.00
130 Retinol ( Vitamin A ) 200.000 IU Botol 50 kapsul 0.00 - 505.00 0.00
131 Rifampicin 600 mg ktk 100 0.00 - 1,420.00 0.00
132 Ringer Laktat Infus btl 0.00 - 7,703.00 0.00
133 Risperidon 2 mg ktk 100 0.00 - 130.00 0.00
134 Rivanol botol 300 ml 0.00 - 3,850.00 0.00
135 Salbutamol tablet 2 mg ktk 10 x 10 tablet 5,100.00 - 51.00 0.00
136 Serum ABU Vial 0.00 - 517,132.00 0.00
137 Sikzonoate inj ktk 5 amp 0.00 - 57,500.00 0.00
138 Simvastatin 10 mg ktk 30 10,530.00 10 - 10 117.00 1,170.00
139 Stesolid 10 mg/2,5 ml rektal tube 0.00 - 18,458.00 0.00
140 Stesolid 5 mg/2,5 ml rektal tube 0.00 - 14,459.00 0.00
141 Tablet Tambah Darah ktk 30 0.00 - 409.00 0.00
142 Thiamin ( vitamin B1 ) kotak 100 18,800.00 - 94.00 0.00
143 Tramadol Injeksi 100 mg/ml kotak 10 ampul @ 2 ml 0.00 - 2,680.00 0.00
144 Triheksifenidil tab Kotak 10 x 10 tablet 0.00 - 97.00 0.00
145 Vit B Komplek Tablet btl 100 12,000.00 90 - 90 60.00 5,400.00
146 Zink tablet ktk 10 x 10 43,010.00 - 253.00 0.00
147 Zirkum kids sirup botol 26,280.00 - 3,285.00 0.00
0.00 - 0.00 0.00
OBAT GIGI : 0.00 - 0.00 0.00
148 Eugenol Btl 0.00 - 50,417.00 0.00
149 Aseptik gel 0.00 - 0.00 0.00
150 yellow tip 0.00 - 110.00 0.00
0.00 - 0.00

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