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STOK OPNAME DAN

UPTD PUSKESM
BULAN JANUA
VAKSIN MASUK SELANG
STOK 1 JANUARI 2024
JANUARI 2024
NO NAMA OBAT SATUAN HARGA SATUAN
STOK
TOTAL HARGA JLH
AWAL
1 2 3 4 5 6 7
1 Auto Disable/Destruct Syringe (ADS) 0,05 ml Buah Rp 1,518.00 0 Rp - 0
2 Auto Disable/Destruct Syringe (ADS) 0,05 ml (2) Buah Rp 1,465.00 48 Rp 70,320.00 0
3 Auto Disable/Destruct Syringe (ADS) 0,5 ml Buah Rp 1,190.00 445 Rp 529,550.00 0
4 Auto Disable/Destruct Syringe (ADS) 0,5 ml (2) Buah Rp - 3,400 Rp - 0
5 Auto Disable/Destruct Syringe (ADS) 5 ml Buah Rp - 0 Rp - 0
6 Auto Disable/Destruct Syringe (ADS) 5 ml (2) Buah Rp 1,460.00 400 Rp 584,000.00 0
7 Dispo 3 ml Vial Rp 161,036.00 37 Rp 5,958,332.00 0
8 HPV Vial Rp 144,540.00 0 Rp - 0
9 IPV Vial Rp 158,500.00 11 Rp 1,743,500.00 3
10 IPV (2) Vial Rp 249,750.00 6 Rp 1,498,500.00 20
11 IPV (3) Dus Rp 22,433.00 0 Rp - 0
12 Pentavac Dus Rp 16,500.00 0 Rp - 0
13 Rotavac Buah Rp 1,127.00 0 Rp - 0
14 Safety Box Buah Rp 1,240.00 0 Rp - 0
15 Safety Box (2) Ampul Rp 98,000.00 0 Rp - 0
16 Skifa ADS 0.5 Ampul Rp 31,413.00 0 Rp - 0
17 Skifa ADS 5 Ampul Rp 103,785.00 7 Rp 726,495.00 10
18 Steril Water For Injeksi Ampul Rp 28,204.00 0 Rp - 0
19 Vaksin BCG Ampul Rp 85,877.00 0 Rp - 0
20 Vaksin BCG (2) Ampul Rp 85,103.00 0 Rp - 0
21 Vaksin BCG (3) Ampul Rp 86,000.00 0 Rp - 0
22 Vaksin Campak Ampul Rp 17,798.00 0 Rp - 0
23 Vaksin DPT - Hb - Hib (Pentabio) Ampul Rp 16,360.00 0 Rp - 0
24 Vaksin DPT - Hb - Hib (Pentabio) (2) Ampul Rp 16,342.00 0 Rp - 0
25 Vaksin DPT - Hb - Hib (Pentabio) (3) Ampul Rp 34,400.00 3 Rp 103,200.00 0
26 Vaksin DT Ampul Rp 23,490.00 0 Rp - 0
27 Vaksin DT (2) Ampul Rp 25,839.00 67 Rp 1,731,213.00 0
28 Vaksin DT (3) Vial ### 0 Rp - 0
29 Vaksin DT (4) Vial ### 0 Rp - 0
30 Vaksin HB UNIJECT (HB0) Vial Rp 141,648.18 0 Rp - 0
31 Vaksin HB UNIJECT (HB0) (2) Vial Rp 167,860.00 10 Rp 1,678,600.00 5
32 Vaksin HBIG Vial Rp 31,413.00 0 Rp - 0
33 Vaksin HBIG (2) vial Rp 190,657.00 3 Rp 571,971.00 12
34 Vaksin MR Ampul Rp 21,364.00 0 Rp - 0
35 Vaksin MR (2) Ampul Rp 21,689.00 0 Rp - 0
36 Vaksin MR (3) Ampul Rp 24,210.00 5 Rp 121,050.00 20
37 Vaksin PCV Ampul Rp 165,000.00 0 Rp - 0
38 Vaksin Polio Vial ### 0 Rp - 0
39 Vaksin Polio (2) Ampul Rp 23,490.00 0 Rp - 0
40 Vaksin Polio (3) Ampul Rp 16,480.00 0 Rp - 0
41 Vaksin Rabies Ampul Rp 23,000.00 0 Rp - 0
42 Vaksin SAR Ampul Rp 32,500.00 15 Rp 487,500.00 0
43 Vaksin TD/TT Vial Rp 153,000.00 0 Rp - 0
44 Vaksin TD/TT (2) Vial Rp 154,880.00 0 Rp - 0
45 Vaksin TD/TT (3) Vial Rp 153,000.00 0 Rp - 0
46 Vaksin TD/TT (4) Vial Rp 153,001.00 0 Rp - 0
SUB TOTAL OBAT Rp 15,804,231.00

Mengetahui;
Kepala UPTD Puskesmas Paguat,

Hendrik Husain, SKM


Nip. 19710511 199402 1 001
PNAME DAN LPLPO VAKSIN
D PUSKESMAS PAGUAT
BULAN JANUARI 2024
VAKSIN MASUK SELANG BULAN PEMAKAIAN SELANG BULAN VAKSIN RUSAK/ED SELANG BULAN
STOK PER 31 JANUARI 2024
JANUARI 2024 JANUARI 2024 JANUARI 2024

TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA

8 9 10 11 12 13 14
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 48 Rp 70,320.00
Rp - 0 Rp - 0 Rp - 445 Rp 529,550.00
Rp - 0 Rp - 0 Rp - 3,400 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 400 Rp 584,000.00
Rp - 0 Rp - 0 Rp - 37 Rp 5,958,332.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 475,500.00 11 Rp 1,743,500.00 0 Rp - 3 Rp 475,500.00
Rp 4,995,000.00 26 Rp 6,493,500.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 1,037,850.00 6 Rp 622,710.00 0 Rp - 11 Rp 1,141,635.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 3 Rp 103,200.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 11 Rp 284,229.00 0 Rp - 56 Rp 1,446,984.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 839,300.00 9 Rp 1,510,740.00 0 Rp - 6 Rp 1,007,160.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 2,287,884.00 15 Rp 2,859,855.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 484,200.00 15 Rp 363,150.00 0 Rp - 10 Rp 242,100.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 8 Rp 260,000.00 0 Rp - 7 Rp 227,500.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 10,119,734.00 Rp 14,137,684.00 Rp - Rp 11,786,281.00

Paguat, 01 Februari 2024.


Pengelola Obat Puskesmas

Siti Utari Dilapanga, A.Md.Far


Nip. 19920819 201902 2 005
PERMINTAA
KET.
N

15 16
uat, 01 Februari 2024.
gelola Obat Puskesmas

ari Dilapanga, A.Md.Far


19920819 201902 2 005
STOK OPNAME DAN
UPTD PUSKESM
BULAN FEBRU
VAKSIN MASUK SELANG
STOK 1 FEBRUARI 2024
FEBRUARI 2024
NO NAMA OBAT SATUAN HARGA SATUAN
STOK
TOTAL HARGA JLH
AWAL
1 2 3 4 5 6 7
1 Auto Disable/Destruct Syringe (ADS) 0,05 ml Buah Rp 1,518.00 0 Rp - 0
2 Auto Disable/Destruct Syringe (ADS) 0,05 ml (2) Buah Rp 1,465.00 48 Rp 70,320.00 0
3 Auto Disable/Destruct Syringe (ADS) 0,5 ml Buah Rp 1,190.00 445 Rp 529,550.00 0
4 Auto Disable/Destruct Syringe (ADS) 0,5 ml (2) Buah Rp - 3,400 Rp - 0
5 Auto Disable/Destruct Syringe (ADS) 5 ml Buah Rp - 0 Rp - 0
6 Auto Disable/Destruct Syringe (ADS) 5 ml (2) Buah Rp 1,460.00 400 Rp 584,000.00 0
7 Dispo 3 ml Pcs Rp - 0 Rp - 8
8 HPV Vial Rp 161,036.00 37 Rp 5,958,332.00 0
9 IPV Vial Rp 144,540.00 0 Rp - 0
10 IPV (2) Vial Rp 158,500.00 3 Rp 475,500.00 0
11 IPV (3) Vial Rp 172,000.00 0 Rp - 15
12 Pentavac Vial Rp 210,000.00 0 Rp - 6
13 Rotavac Vial Rp 249,750.00 0 Rp - 5
14 Safety Box Dus Rp 22,433.00 0 Rp - 0
15 Safety Box (2) Dus Rp 16,500.00 0 Rp - 0
16 Skifa ADS 0.5 Buah Rp 1,127.00 0 Rp - 0
17 Skifa ADS 5 Buah Rp 1,240.00 0 Rp - 0
18 Steril Water For Injeksi Ampul Rp - 0 Rp - 8
19 Vaksin BCG Ampul Rp 98,000.00 0 Rp - 0
20 Vaksin BCG (2) Ampul Rp 31,413.00 0 Rp - 0
21 Vaksin BCG (3) Ampul Rp 103,785.00 11 Rp 1,141,635.00 5
22 Vaksin Campak Ampul Rp 28,204.00 0 Rp - 0
23 Vaksin DPT - Hb - Hib (Pentabio) Ampul Rp 85,877.00 0 Rp - 0
24 Vaksin DPT - Hb - Hib (Pentabio) (2) Ampul Rp 85,103.00 0 Rp - 0
25 Vaksin DPT - Hb - Hib (Pentabio) (3) Ampul Rp 86,000.00 0 Rp - 0
26 Vaksin DT Ampul Rp 17,798.00 0 Rp - 0
27 Vaksin DT (2) Ampul Rp 16,360.00 0 Rp - 0
28 Vaksin DT (3) Ampul Rp 16,342.00 0 Rp - 0
29 Vaksin DT (4) Ampul Rp 34,400.00 3 Rp 103,200.00 0
30 Vaksin HB UNIJECT (HB0) Ampul Rp 23,490.00 0 Rp - 0
31 Vaksin HB UNIJECT (HB0) (2) Ampul Rp 25,839.00 56 Rp 1,446,984.00 0
32 Vaksin HBIG Vial ### 0 Rp - 0
33 Vaksin HBIG (2) Vial ### 0 Rp - 0
34 Vaksin MR Vial Rp 141,648.18 0 Rp - 0
35 Vaksin MR (2) Vial Rp 167,860.00 6 Rp 1,007,160.00 10
36 Vaksin MR (3) Vial Rp 31,413.00 0 Rp - 0
37 Vaksin PCV vial Rp 190,657.00 0 Rp - 30
38 Vaksin Polio Ampul Rp 21,364.00 0 Rp - 0
39 Vaksin Polio (2) Ampul Rp 21,689.00 0 Rp - 0
40 Vaksin Polio (3) Ampul Rp 24,210.00 10 Rp 242,100.00 30
41 Vaksin Rabies Ampul Rp 165,000.00 0 Rp -
42 Vaksin SAR Vial ### 0 Rp -
43 Vaksin TD/TT Ampul Rp 23,490.00 0 Rp -
44 Vaksin TD/TT (2) Ampul Rp 16,480.00 0 Rp -
45 Vaksin TD/TT (3) Ampul Rp 23,000.00 0 Rp -
46 Vaksin TD/TT (4) Ampul Rp 32,500.00 7 Rp 227,500.00 10
47 Vaksin VAR/ Rabivax Vial Rp 153,000.00 0 Rp -
48 Vaksin VAR/ Rabivax (2) Vial Rp 154,880.00 0 Rp -
49 Vaksin VAR/ Rabivax (3) Vial Rp 154,390.00 0 Rp - 8
50 Vaksin VAR/ Verorab Vial Rp 153,000.00 0 Rp -
51 Vaksin VAR/ Verorab (2) Vial Rp 153,001.00 0 Rp -
SUB TOTAL OBAT Rp 11,786,281.00

Mengetahui;
Kepala UPTD Puskesmas Paguat,

Hendrik Husain, SKM


Nip. 19710511 199402 1 001
PNAME DAN LPLPO VAKSIN
D PUSKESMAS PAGUAT
BULAN FEBRUARI 2024
VAKSIN MASUK SELANG BULAN PEMAKAIAN SELANG BULAN VAKSIN RUSAK/ED SELANG BULAN
STOK PER 28 FEBRUARI 2024
FEBRUARI 2024 FEBRUARI 2024 FEBRUARI 2024

TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA

8 9 10 11 12 13 14
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 10 Rp 14,650.00 0 Rp - 38 Rp 55,670.00
Rp - 245 Rp 291,550.00 0 Rp - 200 Rp 238,000.00
Rp - 0 Rp - 0 Rp - 3,400 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 400 Rp 584,000.00
Rp - 8 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 37 Rp 5,958,332.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 3 Rp 475,500.00 0 Rp - 0 Rp -
Rp 2,580,000.00 6 Rp 1,032,000.00 0 Rp - 9 Rp 1,548,000.00
Rp 1,260,000.00 6 Rp 1,260,000.00 0 Rp - 0 Rp -
Rp 1,248,750.00 5 Rp 1,248,750.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 8 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 518,925.00 8 Rp 830,280.00 0 Rp - 8 Rp 830,280.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 3 Rp 103,200.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 13 Rp 335,907.00 0 Rp - 43 Rp 1,111,077.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 1,678,600.00 9 Rp 1,510,740.00 0 Rp - 7 Rp 1,175,020.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 5,719,710.00 14 Rp 2,669,198.00 0 Rp - 16 Rp 3,050,512.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 726,300.00 14 Rp 338,940.00 0 Rp - 26 Rp 629,460.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 325,000.00 10 Rp 325,000.00 0 Rp - 7 Rp 227,500.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 1,235,120.00 6 Rp 926,340.00 0 Rp - 2 Rp 308,780.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 15,292,405.00 Rp 11,258,855.00 Rp - Rp 15,819,831.00

Paguat, 01 Maret 2024.


Pengelola Obat Puskesmas

Siti Utari Dilapanga, A.Md.Far


Nip. 19920819 201902 2 005
PERMINTAA
KET.
N

15 16
guat, 01 Maret 2024.
gelola Obat Puskesmas

ari Dilapanga, A.Md.Far


19920819 201902 2 005
STOK OPNAME DAN
UPTD PUSKESM
BULAN MAR
VAKSIN MASUK SELANG
STOK 1 MARET 2024
MARET 2024
NO NAMA OBAT SATUAN HARGA SATUAN
STOK
TOTAL HARGA JLH
AWAL
1 2 3 4 5 6 7
1 Auto Disable/Destruct Syringe (ADS) 0,05 ml Buah Rp 1,518.00 0 Rp - 0
2 Auto Disable/Destruct Syringe (ADS) 0,05 ml (2) Buah Rp 1,465.00 38 Rp 55,670.00 0
3 Auto Disable/Destruct Syringe (ADS) 0,5 ml Buah Rp 1,190.00 200 Rp 238,000.00 0
4 Auto Disable/Destruct Syringe (ADS) 0,5 ml (2) Buah Rp - 3,400 Rp - 0
5 Auto Disable/Destruct Syringe (ADS) 5 ml Buah Rp - 0 Rp - 0
6 Auto Disable/Destruct Syringe (ADS) 5 ml (2) Buah Rp 1,460.00 400 Rp 584,000.00 0
7 Dispo 3 ml Pcs Rp - 0 Rp - 0
8 HPV Vial Rp 161,036.00 37 Rp 5,958,332.00 0
9 IPV Vial Rp 144,540.00 0 Rp - 0
10 IPV (2) Vial Rp 158,500.00 0 Rp - 0
11 IPV (3) Vial Rp 172,000.00 9 Rp 1,548,000.00 15
12 Pentavac Vial Rp 210,000.00 0 Rp - 2
13 Rotavac Vial Rp 249,750.00 0 Rp - 25
14 Safety Box Dus Rp 22,433.00 0 Rp - 0
15 Safety Box (2) Dus Rp 16,500.00 0 Rp - 0
16 Skifa ADS 0.5 Buah Rp 1,127.00 0 Rp - 0
17 Skifa ADS 5 Buah Rp 1,240.00 0 Rp - 0
18 Steril Water For Injeksi Ampul Rp - 0 Rp - 0
19 Vaksin BCG Ampul Rp 98,000.00 0 Rp - 0
20 Vaksin BCG (2) Ampul Rp 31,413.00 0 Rp - 0
21 Vaksin BCG (3) Ampul Rp 103,785.00 8 Rp 830,280.00 0
22 Vaksin Campak Ampul Rp 28,204.00 0 Rp - 0
23 Vaksin DPT - Hb - Hib (Pentabio) Ampul Rp 85,877.00 0 Rp - 0
24 Vaksin DPT - Hb - Hib (Pentabio) (2) Ampul Rp 85,103.00 0 Rp - 0
25 Vaksin DPT - Hb - Hib (Pentabio) (3) Ampul Rp 86,000.00 0 Rp - 0
26 Vaksin DT Ampul Rp 17,798.00 0 Rp - 0
27 Vaksin DT (2) Ampul Rp 16,360.00 0 Rp - 0
28 Vaksin DT (3) Ampul Rp 16,342.00 0 Rp - 0
29 Vaksin DT (4) Ampul Rp 34,400.00 3 Rp 103,200.00 0
30 Vaksin HB UNIJECT (HB0) Ampul Rp 23,490.00 0 Rp - 0
31 Vaksin HB UNIJECT (HB0) (2) Ampul Rp 25,839.00 43 Rp 1,111,077.00 0
32 Vaksin HBIG Vial ### 0 Rp - 0
33 Vaksin HBIG (2) Vial ### 0 Rp - 0
34 Vaksin HBIG (3) Vial ### 0 Rp - 3
35 Vaksin MR Vial Rp 141,648.18 0 Rp - 0
36 Vaksin MR (2) Vial Rp 167,860.00 7 Rp 1,175,020.00 12
37 Vaksin MR (3) Vial Rp 31,413.00 0 Rp - 0
38 Vaksin PCV vial Rp 190,657.00 16 Rp 3,050,512.00 30
39 Vaksin Polio Ampul Rp 21,364.00 0 Rp - 0
40 Vaksin Polio (2) Ampul Rp 21,689.00 0 Rp - 0
41 Vaksin Polio (3) Ampul Rp 24,210.00 26 Rp 629,460.00 20
42 Vaksin Rabies Ampul Rp 165,000.00 0 Rp - 0
43 Vaksin SAR Vial ### 0 Rp - 0
44 Vaksin TD/TT Ampul Rp 23,490.00 0 Rp - 0
45 Vaksin TD/TT (2) Ampul Rp 16,480.00 0 Rp - 0
46 Vaksin TD/TT (3) Ampul Rp 23,000.00 0 Rp - 0
47 Vaksin TD/TT (4) Ampul Rp 32,500.00 7 Rp 227,500.00 10
48 Vaksin VAR/ Rabivax Vial Rp 153,000.00 0 Rp - 0
49 Vaksin VAR/ Rabivax (2) Vial Rp 154,880.00 0 Rp - 0
50 Vaksin VAR/ Rabivax (3) Vial Rp 154,390.00 2 Rp 308,780.00 0
51 Vaksin VAR/ Verorab Vial Rp 153,000.00 0 Rp - 0
52 Vaksin VAR/ Verorab (2) Vial Rp 153,001.00 0 Rp - 0
SUB TOTAL OBAT Rp 15,819,831.00

Mengetahui;
Kepala UPTD Puskesmas Paguat,

Hendrik Husain, SKM


Nip. 19710511 199402 1 001
PNAME DAN LPLPO VAKSIN
D PUSKESMAS PAGUAT
BULAN MARET 2024
VAKSIN MASUK SELANG BULAN PEMAKAIAN SELANG BULAN VAKSIN RUSAK/ED SELANG BULAN
STOK PER 31 MARET 2024
MARET 2024 MARET 2024 MARET 2024

TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA

8 9 10 11 12 13 14
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 38 Rp 55,670.00
Rp - 0 Rp - 0 Rp - 200 Rp 238,000.00
Rp - 0 Rp - 0 Rp - 3,400 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 400 Rp 584,000.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 37 Rp 5,958,332.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 2,580,000.00 11 Rp 1,892,000.00 0 Rp - 13 Rp 2,236,000.00
Rp 420,000.00 2 Rp 420,000.00 0 Rp - 0 Rp -
Rp 6,243,750.00 14 Rp 3,496,500.00 0 Rp - 11 Rp 2,747,250.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 8 Rp 830,280.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 3 Rp 103,200.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 7 Rp 180,873.00 0 Rp - 36 Rp 930,204.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 4,125,000.00 0 Rp - 0 Rp - 3 Rp 4,125,000.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 2,014,320.00 8 Rp 1,342,880.00 0 Rp - 11 Rp 1,846,460.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 5,719,710.00 17 Rp 3,241,169.00 0 Rp - 29 Rp 5,529,053.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 484,200.00 8 Rp 193,680.00 0 Rp - 38 Rp 919,980.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 325,000.00 0 Rp - 0 Rp - 17 Rp 552,500.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 2 Rp 308,780.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 21,911,980.00 Rp 11,906,162.00 Rp - Rp 25,825,649.00

Paguat, 03 April 2024.


Pengelola Obat Puskesmas

Siti Utari Dilapanga, A.Md.Far


Nip. 19920819 201902 2 005
PERMINTAA
KET.
N

15 16
guat, 03 April 2024.
gelola Obat Puskesmas

ari Dilapanga, A.Md.Far


19920819 201902 2 005
STOK OPNAME DAN
UPTD PUSKESM
BULAN APRI
VAKSIN MASUK SELANG
STOK 1 APRIL 2024
APRIL 2024
NO NAMA OBAT SATUAN HARGA SATUAN
STOK
TOTAL HARGA JLH
AWAL
1 2 3 4 5 6 7
1 Auto Disable/Destruct Syringe (ADS) 0,05 ml Buah Rp 1,518.00 0 Rp - 0
2 Auto Disable/Destruct Syringe (ADS) 0,05 ml (2) Buah Rp 1,465.00 38 Rp 55,670.00 0
3 Auto Disable/Destruct Syringe (ADS) 0,5 ml Buah Rp 1,190.00 200 Rp 238,000.00 0
4 Auto Disable/Destruct Syringe (ADS) 0,5 ml (2) Buah Rp - 3,400 Rp - 0
5 Auto Disable/Destruct Syringe (ADS) 5 ml Buah Rp - 0 Rp - 0
6 Auto Disable/Destruct Syringe (ADS) 5 ml (2) Buah Rp 1,460.00 400 Rp 584,000.00 0
7 Dispo 3 ml Pcs Rp - 0 Rp - 0
8 HPV Vial Rp 161,036.00 37 Rp 5,958,332.00 0
9 IPV Vial Rp 144,540.00 0 Rp - 0
10 IPV (2) Vial Rp 158,500.00 0 Rp - 0
11 IPV (3) Vial Rp 172,000.00 13 Rp 2,236,000.00 0
12 Pentavac Vial Rp 210,000.00 0 Rp - 0
13 Rotavac Vial Rp 249,750.00 11 Rp 2,747,250.00 20
14 Safety Box Dus Rp 22,433.00 0 Rp - 0
15 Safety Box (2) Dus Rp 16,500.00 0 Rp - 0
16 Skifa ADS 0.5 Buah Rp 1,127.00 0 Rp - 0
17 Skifa ADS 5 Buah Rp 1,240.00 0 Rp - 0
18 Steril Water For Injeksi Ampul Rp - 0 Rp - 0
19 Vaksin BCG Ampul Rp 98,000.00 0 Rp - 0
20 Vaksin BCG (2) Ampul Rp 31,413.00 0 Rp - 0
21 Vaksin BCG (3) Ampul Rp 103,785.00 0 Rp - 0
22 Vaksin Campak Ampul Rp 28,204.00 0 Rp - 0
23 Vaksin DPT - Hb - Hib (Pentabio) Ampul Rp 85,877.00 0 Rp - 0
24 Vaksin DPT - Hb - Hib (Pentabio) (2) Ampul Rp 85,103.00 0 Rp - 0
25 Vaksin DPT - Hb - Hib (Pentabio) (3) Ampul Rp 86,000.00 0 Rp - 0
26 Vaksin DT Ampul Rp 17,798.00 0 Rp - 0
27 Vaksin DT (2) Ampul Rp 16,360.00 0 Rp - 0
28 Vaksin DT (3) Ampul Rp 16,342.00 0 Rp - 0
29 Vaksin DT (4) Ampul Rp 34,400.00 3 Rp 103,200.00 0
30 Vaksin HB UNIJECT (HB0) Ampul Rp 23,490.00 0 Rp - 0
31 Vaksin HB UNIJECT (HB0) (2) Ampul Rp 25,839.00 36 Rp 930,204.00 0
32 Vaksin HBIG Vial ### 0 Rp - 0
33 Vaksin HBIG (2) Vial ### 0 Rp - 0
34 Vaksin HBIG (3) Vial ### 3 Rp 4,125,000.00 0
35 Vaksin MR Vial Rp 141,648.18 0 Rp - 0
36 Vaksin MR (2) Vial Rp 167,860.00 11 Rp 1,846,460.00 15
37 Vaksin MR (3) Vial Rp 31,413.00 0 Rp - 0
38 Vaksin PCV vial Rp 190,657.00 29 Rp 5,529,053.00
39 Vaksin Polio Ampul Rp 21,364.00 0 Rp -
40 Vaksin Polio (2) Ampul Rp 21,689.00 0 Rp -
41 Vaksin Polio (3) Ampul Rp 24,210.00 38 Rp 919,980.00
42 Vaksin Rabies Ampul Rp 165,000.00 0 Rp -
43 Vaksin SAR Vial ### 0 Rp -
44 Vaksin TD/TT Ampul Rp 23,490.00 0 Rp -
45 Vaksin TD/TT (2) Ampul Rp 16,480.00 0 Rp -
46 Vaksin TD/TT (3) Ampul Rp 23,000.00 0 Rp -
47 Vaksin TD/TT (4) Ampul Rp 32,500.00 17 Rp 552,500.00
48 Vaksin VAR/ Rabivax Vial Rp 153,000.00 0 Rp -
49 Vaksin VAR/ Rabivax (2) Vial Rp 154,880.00 0 Rp -
50 Vaksin VAR/ Rabivax (3) Vial Rp 154,390.00 0 Rp -
51 Vaksin VAR/ Verorab Vial Rp 153,000.00 0 Rp -
52 Vaksin VAR/ Verorab (2) Vial Rp 153,001.00 0 Rp -
53 Vaksin HEP B Dewasa Vial Rp 51,351.00 0 Rp - 50
54 Vaksin BCG (4) Vial Rp 95,407.21 0 Rp - 15
55 Vaksin Pentavalen Vial Rp 189,189.19 0 Rp - 5
SUB TOTAL OBAT Rp 25,825,649.00

Mengetahui;
Kepala UPTD Puskesmas Paguat,

Hendrik Husain, SKM


Nip. 19710511 199402 1 001
PNAME DAN LPLPO VAKSIN
D PUSKESMAS PAGUAT
BULAN APRIL 2024
VAKSIN MASUK SELANG BULAN PEMAKAIAN SELANG BULAN APRIL VAKSIN RUSAK/ED SELANG BULAN
STOK PER 30 APRIL 2024
APRIL 2024 2024 APRIL 2024

TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA

8 9 10 11 12 13 14
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 38 Rp 55,670.00
Rp - 100 Rp 119,000.00 0 Rp - 100 Rp 119,000.00
Rp - 200 Rp - 0 Rp - 3,200 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 400 Rp 584,000.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 37 Rp 5,958,332.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 8 Rp 1,376,000.00 0 Rp - 5 Rp 860,000.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 4,995,000.00 11 Rp 2,747,250.00 0 Rp - 20 Rp 4,995,000.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 3 Rp 103,200.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 14 Rp 361,746.00 0 Rp - 22 Rp 568,458.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 3 Rp 4,125,000.00 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 2,517,900.00 6 Rp 1,007,160.00 0 Rp - 20 Rp 3,357,200.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 13 Rp 2,478,541.00 0 Rp - 16 Rp 3,050,512.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 7 Rp 169,470.00 0 Rp - 31 Rp 750,510.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 4 Rp 130,000.00 0 Rp - 13 Rp 422,500.00
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
Rp 2,567,550.00 0 Rp - 0 Rp - 50 Rp 2,567,550.00
Rp 1,431,108.15 5 Rp 477,036.05 0 Rp - 10 Rp 954,072.10
Rp 945,945.95 4 Rp 756,756.76 0 Rp - 1 Rp 189,189.19
Rp 12,457,504.10 Rp 13,747,959.81 Rp - Rp 24,535,193.29

Paguat, 01 Mei 2024.


Pengelola Obat Puskesmas

Siti Utari Dilapanga, A.Md.Far


Nip. 19920819 201902 2 005
PERMINTAA
KET.
N

15 16
guat, 01 Mei 2024.
gelola Obat Puskesmas

ari Dilapanga, A.Md.Far


19920819 201902 2 005
STOK OPNAME DAN
UPTD PUSKESM
BULAN JANUA
VAKSIN MASUK SELANG
STOK 1 JANUARI 2024
JANUARI 2024
NO NAMA OBAT SATUAN HARGA SATUAN
STOK
TOTAL HARGA JLH
AWAL
1 2 3 4 5 6 7
SUB TOTAL OBAT Rp -

Mengetahui;
Kepala UPTD Puskesmas Paguat,

Hendrik Husain, SKM


Nip. 19710511 199402 1 001
PNAME DAN LPLPO VAKSIN
D PUSKESMAS PAGUAT
BULAN JANUARI 2024
VAKSIN MASUK SELANG BULAN PEMAKAIAN SELANG BULAN VAKSIN RUSAK/ED SELANG BULAN
STOK PER 31 JANUARI 2024
JANUARI 2024 JANUARI 2024 JANUARI 2024

TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA JLH TOTAL HARGA

8 9 10 11 12 13 14
Rp - Rp - Rp - Rp -

Paguat, 01 Maret 2024.


Pengelola Obat Puskesmas

Siti Utari Dilapanga, A.Md.Far


Nip. 19920819 201902 2 005
PERMINTAA
KET.
N

15 16
guat, 01 Maret 2024.
gelola Obat Puskesmas

ari Dilapanga, A.Md.Far


19920819 201902 2 005

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