Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl -
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet -
6 Alopurinol tab 300 mg tablet 30
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet -
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul -
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml -
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet -
25 Antasida DOEN II Suspensi Komb btl 60 ml 6
26 Anti bakteri salep komb tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet -
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet -
41 Asiklovir tab 400 mg tablet 6
42 Asonfen tab tablet -
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 8
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube -
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet -
58 Captopril tablet 25 mg tablet -
59 Captopril tablet 50 mg tablet -
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul -
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml -
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul -
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet 1,450
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul -
80 Deksametason tablet 0,5 mg tablet 140
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl 1
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet 100
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet -
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 7
92 Domperidone 10 mg tab tablet 60
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet -
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul -
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 20
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet -
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul -
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet 100
119 Fucilex/ natrium fucilat criem tube -
120 Garam oralit untuk 200 ml air sachet 90
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube -
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml -
126 Glibenklamida tablet 5 mg tablet 200
127 Gliseril btl -
128 Gliseril Guayakolat ( GG ) 100 mg btl -
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet -
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube -
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl -
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 10
144 Ibuprofen tablet 200 mg tablet -
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp -
158 Kalsium laktat 500 mg tab tablet 90
159 Ketokenazole krim 2 % tube 10 gram -
160 Ketokenazole krim 2 % tube 15 gram -
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet -
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml 2
169 Kloramfenikol tetes telinga 3 % botol 5 ml -
170 Kloramfenikol salep mata 1 % botol 5 ml -
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet -
177 Kotrimoksazol DOEN II pediatrik tab tablet 30
178 Kotrimoksazol suspensi btl 60 ml 9
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet -
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet -
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml -
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet -
196 Methylergometrin tab 0,125 mg tablet -
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial -
199 Metilprednisolon tablet 4 mg tablet 100
200 Metoklopramide tablet 10 mg tablet -
201 Metronidazol inf btl 100 ml -
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet -
204 Meylon 8.4 % vial -
205 Mikonazol krim 2% tube -
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet -
210 Nalget Kaptab tablet -
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet -
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl 2
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul -
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet 32
222 Novakal syrup btl -
223 OBH sirup btl 1
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Osteor plus kaplet -
230 Ostine Kapsul kapsul -
231 Panstonal Forte 500 mg tablet -
232 Papaverin tablet 40 mg tablet -
233 Parasetamol tablet 100 mg tablet -
234 Parasetamol tablet 500 mg tablet -
235 Parasetamol drops btl -
236 Parasetamol syrup 120 mg / 5 ml - 60 ml 4
237 Pethidin injeksi ampul -
238 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
239 Permetrin krim 5 % ( SCABICID Cream) tube -
240 Piracetam injeksi 200 mg/ml-15 ml ampul -
241 Piracetam injeksi 3 g/15 ml ampul -
242 Piracetam tab 400 mg tablet -
243 Piracetam tab 800 mg tablet -
244 Pirantel tablet Score (base )125 mg tablet -
245 Pirantel syrup 125 mg/5 ml btl 60 ml -
246 Piroxicam 20 mg tablet -
247 Pithogin injeksi ampul -
248 Ponflu tablet -
249 Povidon Iodida 10% 1000 ml -
250 Povidon Iodida 10% btl 60 ml -
251 Povidon Iodida 10% btl 300 ml 2
252 Povidon Iodida 10% btl 30 ml -
253 Prednison tablet 5 mg tablet -
254 Prenase tab tablet -
255 Pravastatin 20 mg tablet -
256 Primakuin tablet 15 mg tablet -
257 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
258 Propanolol HCl Tablet 10 mg tablet -
259 Propanolol tab 40 mg tablet -
260 Probiokid sase -
261 Propiltiourasil tablet 100 mg tablet -
262 Quantidex Syr botol -
263 Quantidex tablet tablet -
264 Ranitidin inj 25mg/2 ml ampul -
265 Ranitidin tablet 150 mg tablet -
266 Reagen periksa gol darah Btl -
267 Reagen Gol Darah Anti A botol -
268 Reagen Gol Darah Anti B botol -
269 Reagen Gol Darah Anti D botol -
270 Reagen periksa HB Btl -
271 Reserpin tab 0,10 mg tablet -
272 Reserpin tab 0,25 mg tablet -
273 Ringer Laktat larutan infus btl 500 ml -
274 Risperidon 2 mg tablet -
275 Salbutamol 2 mg tablet (sebagai sulfat) tablet 100
276 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
277 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
278 Salbutamol serb inh 200 mcg/kaps tablet -
279 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl -
280 Sanvita B sirup btl -
281 Salep 2-4 ppot 2
282 Serum anti tetanus amp -
283 Sianokobalamin (vitamin B 12) injeksi ampul -
284 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
285 Simvastatin tab 10 mg tablet -
286 Spiramisin tab 500 mg tablet -
287 Stesolid inj ampul -
288 Stesolid rectal tube supp -
289 Stick Asam Urat Nesco btl -
290 Stick Glukosa Nesco btl -
291 Stik Kolesterol Nesco btl -
292 Streptomisin injeksi 1 g/ml vial -
293 Sulfasetamida Natrium TM 15% botol 5 ml -
294 Sulfatdoksin tablet 70
295 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl -
296 Tes Malaria stik -
297 Tetrasiklin kap 250 mg kapsul -
298 Tetrasiklin kap 500 mg kap -
299 Thiamin(vit B1) injeksi 100 mg/ml ampul -
300 Thiamin (vit B1) tab tablet -
301 Tramadol injeksi 50 mg/ml ampul -
302 Tramadol kap 50 mg kapsul -
303 Tramadol tab 50 mg tablet -
304 Transamin 500 mg kap kapsul -
305 Triheksifenidil tab 2 mg tablet -
306 Tusalgin syrup btl -
307 Verorab pkt -
308 Vit B Kompleks tab tablet 50
309 Vitaplex drop btl -
310 Zinc tab 20 mg tablet -
311 Zink drop btl 4
312 Zink Sirup 10 mg btl 100 ml -
313 Zirkum Kid syrup 20 mg btl 60 ml 3
-
B. OBAT GIGI -
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher set -
Mengetahui
Kepala UPT Pusksemas
Pangkalan Kasai
Penyesuaian saldo
Jumlah Pengeluaran
Penerimaan Pengeluaran SALDO per 25 HARGA (Rp) 26 NOV - 25 DES
NOVEMBER 2016 SATUAN 2016
DESEMBER DESEMBER
4,041 -
350 -
1 1 2,575 2,575
27,305 -
- 88 -
60 90 215 12,870
180 -
2,598 -
131 -
82 -
4,013 -
117 -
192 -
341 -
23,100 -
210 -
270 -
22 22 2,500 55,000
7,766 -
400 -
3,150 -
116 -
1,400 -
74 -
20 26 2,160 43,200
2,641 -
2,001 -
142 -
2,100 -
23,100 -
38,999 -
35,200 -
100 -
50 -
166 -
116 -
122 -
170 -
2,260 -
239 -
40 46 345 13,800
140 -
3,200 -
1,300 -
77 -
8 1,250 -
10,290 -
14,070 -
43 -
970 -
1,520 -
1,650 -
669 -
250 -
478 -
225 -
62 -
89 -
108 108 141 15,228
27,500 -
519 -
5,064 -
1,100 -
9,000 -
869 -
5,247 -
3,150 -
3,500 -
186 -
59,800 -
260 -
120 -
379 -
570 -
900 -
50 1,500 53 2,650
23,000 -
9,167 -
1,659 -
30 170 64 1,920
116 -
2 3 3,008 6,016
45 -
4,389 -
1,107 -
100 -
134 -
100 143 -
104 -
285 -
7 14 3,410 23,870
50 110 170 8,500
16,350 -
16,280 -
11,660 -
54 -
33 -
8,505 -
497 -
976 -
6 26 7,893 47,358
2,283 -
119 -
186 -
102 -
31 -
1,890 -
1,058 -
21 -
666 -
3,582 -
3,582 -
23,100 -
735 -
880 -
10,000 -
1,920 -
100 94 -
6,555 -
8 98 303 2,424
26,400 -
1,469 -
3,353 -
3,569 -
4 4 945 3,780
200 58 -
5,600 -
50 -
5,985 -
2,577 -
5,460 -
2,200 -
230 -
100 -
61 -
72 -
2,167 -
25,000 -
2,798 -
5,900 -
-
16,500 -
10 4,724 -
260 260 116 30,160
153 -
6,500 -
203 -
6,200 -
68 -
93 -
1,450 -
4,180 -
9,000 -
10,000 -
9,625 -
743 -
9,900 -
10 100 73 730
2,569 -
4,930 -
310 -
1,418 -
2,542 -
1,697 -
2,539 -
214 -
262 -
1 3 3,865 3,865
1,679 -
1,600 -
89 -
153 -
71 -
1,103 -
525 -
145 -
60 90 75 4,500
1 10 2,222 2,222
5,990 -
6,510 -
704 -
554 -
879 -
546 -
162 -
266 -
92 -
3,500 -
3,711 -
239 -
11,500 -
348 -
234 -
115 -
220 -
127 -
2,750 -
92,990 -
100 210 -
0 105 -
10,250 -
113 -
164 -
7,490 -
3,000 -
17,820 -
18,500 -
8,500 -
15,015 -
80 80 390 31,200
90,500 -
141 -
185 -
3 5 4,935 14,805
1,260 -
2,940 -
7,370 -
110 -
2,999 -
672 -
8 40 504 4,032
9,498 -
2 3 12,500 25,000
420 -
680 -
1,600 -
1,606 -
216 -
6,325 -
375 -
297 -
122 -
33 -
150 150 84 12,600
5,460 -
21 25 1,496 31,416
1,523 -
24,150 -
11,475 -
4,200 -
4,200 -
194 -
321 -
308 -
8,728 -
88 -
4,810 -
715 -
38,594 -
6,298 -
2 4 14,771 29,542
2,250 -
20 20 119 2,380
864 -
2,400 -
205 -
7,549 -
79 -
110 -
12,100 -
335 -
9,500 -
180 180 837 150,660
1,190 -
30 30 126 3,780
75,900 -
100,000 -
100,000 -
125,000 -
52,800 -
85 -
109 -
5,460 -
1,038 -
100 62 -
85 -
6,160 -
452 -
6,930 -
11,550 -
1 3 2,100 2,100
126,000 -
1,131 -
60 -
174 -
1,574 -
17,604 -
12,159 -
6,800 -
5,600 -
28,000 -
3,832 -
3,387 -
70 544 -
13,850 -
30,800 -
154 -
312 -
700 -
37 -
2,520 -
192 -
17,325 -
1,936 -
42 -
7,260 -
420,000 -
100 150 110 11,000
26,400 -
20 20 497 9,940
5 9 12,840 64,200
15,729 -
6 9 7,770 46,620
-
-
390,000 -
125,000 -
17,500 -
395,000 -
242,000 -
55,000 -
176,000 -
93,500 -
34,000 -
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Harga Perolehan
Keterangan
Terakhir
-
-
-
6,435
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
12,960
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,070
-
-
-
10,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
76,850
-
-
-
8,960
-
3,008
-
-
-
-
-
14,300
-
-
23,870
10,200
-
-
-
-
-
-
-
-
157,860
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9,400
-
27,270
-
-
-
-
-
11,600
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
47,240
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6,570
-
-
-
-
-
-
-
-
-
7,730
-
-
-
-
-
-
-
-
2,250
19,998
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
21,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9,870
-
-
-
-
-
-
16,128
-
12,500
-
-
-
-
-
-
-
-
-
-
-
-
5,984
-
-
-
-
-
-
-
-
-
-
-
-
-
-
29,542
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6,200
-
-
-
-
-
4,200
-
-
-
-
-
-
-
-
-
-
-
-
38,080
-
-
-
-
-
-
-
-
-
-
-
-
-
5,500
-
-
51,360
-
23,310
-
-
-
-
-
-
-
-
-
-
-
682,245
4,128
-
826
-
17,625
-
13,716
-
-
-
-
-
-
-
-
(24,255)
24,255
-
-
-
8,128
-
-
23,700
-
7,600
-
-
18,800
-
-
-
-
8,778
-
-
-
-
-
-
-
15,000
-
-
-
-
-
-
-
-
-
6,350
-
-
124,650
806,895
23 Desember 2016
enanggung Jawab
uskesmas Pembantu
RTINAH, S.Tr.Keb
197710122007012004
SALDO PERSEDIAAN PER 2
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 2
4 ALKOHOL 70 % 1000 ml btl 2
5 Alopurinol tab 100 mg tablet -
6 Alopurinol tab 300 mg tablet 70
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet -
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 41
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml -
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 3
26 Anti bakteri salep komb ( Bacitratin salep) tube 13
27 Antifungi DOEN komb salep pot 5
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet -
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet -
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 70
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 2
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet 25
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 8
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet 95
58 Captopril tablet 25 mg tablet -
59 Captopril tablet 50 mg tablet 10
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul 89
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul -
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet 650
77 Cough En Plus btl -
78 Dehaf sachet 28
79 Deksametason injeksi 5 mg/ampl ampul 4
80 Deksametason tablet 0,5 mg tablet 92
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 10
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 1
92 Domperidone 10 mg tab tablet 80
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet -
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul -
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml -
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet -
110 Fitomenadion [Vit.K1] tablet 10 mg tablet 170
111 Fitomenadion inj. 10 mg/ml ampul 3
112 Fitomenadion inj. 2 mg/ml ampul 5
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet 100
119 Fucilex/ natrium fucilat criem tube 3
120 Garam oralit untuk 200 ml air sachet 92
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube -
123 Gentamisin sulfat tetes mata 0,3 % btl 3
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 6
126 Glibenklamida tablet 5 mg tablet 46
127 Gliseril btl (10)
128 Gliseril Guayakolat ( GG ) 100 mg btl 208
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp (2)
131 Glukosa larutan infus 5 % steril 500 ml/btl 5
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet 10
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube (1)
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
Hustab tablet -
141 Hustadin Syrup btl 10
142 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 180
143 Ibuprofen tablet 200 mg tablet 150
144 Ibuprofen tablet 400 mg tablet -
145 Imunvit Plus Kap Kaplet -
146 Intibrox tablet -
147 Intibrox Syr botol -
148 Isoniazid tab 100 mg tablet -
149 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
150 Itrakanazol kap 100 mg kaplet -
151 Jovial Sachet sachet -
152 KA EN 1 B btl -
153 KA EN 3 A btl -
154 KA ENMG 3 btl -
155 Kalium diklofenak 50 mg tab tablet -
156 Kalpicillin injeksi amp 100
157 Kalsium laktat 500 mg tab tablet 139
158 Ketokenazole krim 2 % tube 10 gram 3
159 Ketokenazole krim 2 % tube 15 gram -
160 Ketokonazol tab 200 mg tablet -
161 Ketoprofen 100 mg tab tablet -
162 Ketoprofen injeksi 100 mg ampul -
163 Ketorolac inj 10 mg ampul -
164 Ketorolac inj 30 mg ampul -
165 Klonidin tab 0,15 mg tablet -
166 Kloramfenikol 250 mg kap kaplet 10
167 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml 6
168 Kloramfenikol tetes telinga 3 % botol 5 ml 24
169 Kloramfenikol salep mata 1 % botol 5 ml 4
170 Kloroquin 150 mg tab tablet -
171 Klorpromazin tablet 100 mg tablet -
172 Klorpromazin tablet 25 mg tablet -
173 klorpromazine inj 25mg/ml amp -
174 Kodein tablet 10 mg tablet -
175 Kotrimoksazol DOEN I (dewasa) tablet 7
176 Kotrimoksazol DOEN II pediatrik tab tablet 200
177 Kotrimoksazol suspensi btl 60 ml 14
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
178 vial -
( Combivent UVB )
179 Kuinin Dihidroklorida inj 25% ampul -
180 Kuinin tab tablet -
181 Levofloksasin tablet 500 mg tablet 3
182 Lidokain injeksi 2 % 2 ml ampul 38
183 Linkomisin kap 500 mg kapsul -
184 Loratadin tablet 10 mg tablet -
185 Lotharsone tablet -
186 Loperamid 2 mg tablet 95
187 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
188 Mebendazol sirup 100 mg/5 ml btl 30 ml -
189 Mebendazol tab 100 mg tablet -
190 Megatic Emulgel tube -
191 Meloksikam tab 15 mg tablet -
192 Meloksikam tab 7,5 mg tablet -
193 Metformin HCl tablet 500 mg tablet -
194 Metaflu tablet (20)
195 Methylergometrin tab 0,125 mg tablet 218
196 Metilergometrin injeksi ampul -
197 Metilprednisolon injeksi 500 mg vial -
198 Metilprednisolon tablet 4 mg tablet 115
199 Metoklopramide tablet 10 mg tablet 200
200 Metronidazol inf btl 100 ml (20)
201 Metronidazol tab 250 mg tablet -
202 Metronidazol tab 500 mg tablet 10
203 Meylon 8.4 % vial -
204 Mikonazol krim 2% tube 5
205 Momethasone furoat krim 0,1 % tube -
206 Mulsanol Drop btl -
207 Mulsanol Syrup btl -
208 Na bikarbonat 500 mg tab tablet -
209 Nalget Kaptab tablet 110
210 Natavit Soft Cut kapsul -
211 Natrium Diklofenat tablet 25 mg tablet -
212 Natrium Diklofenat tablet 50 mg tablet 5
213 Natrium klorida larutan infus 0.9 % steril 500 ml/btl 10
214 Neurodial kaplet kaplet -
215 Nevirapin tab 200 mg tablet -
216 Nexa injeksi ampul 100
217 Nifedipin tablet 10 mg tablet 80
218 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
219 Nistatin Tablet salut gula 500 000 IU/gram tablet 70
220 Nistatin vaginal Tablet 100 000 IU/gram tablet 24
221 Novakal syrup btl 3
222 OBH sirup btl -
223 Ofloxacin 200 mg tablet -
224 Ofloxacin 400 mg tablet -
225 Oksitetrasiclin HCl salep mata 1 % tube -
226 Oksitetrasiklin salep kulit 3% tube -
227 Omeprazol kapsul 20 mg kapsul -
Ondansentron 4 mg 12
228 Osteor plus kaplet -
229 Ostine Kapsul kapsul -
230 Panstonal Forte 500 mg tablet -
231 Papaverin tablet 40 mg tablet (32)
232 Parasetamol tablet 100 mg tablet (2)
233 Parasetamol tablet 500 mg tablet 48
234 Parasetamol drops btl -
235 Parasetamol syrup 120 mg / 5 ml - 60 ml -
236 Pethidin injeksi ampul -
237 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
238 Permetrin krim 5 % ( SCABICID Cream) tube -
239 Piracetam injeksi 200 mg/ml-15 ml ampul -
240 Piracetam injeksi 3 g/15 ml ampul -
241 Piracetam tab 400 mg tablet -
242 Piracetam tab 800 mg tablet -
243 Pirantel tablet Score (base )125 mg tablet -
244 Pirantel syrup 125 mg/5 ml btl 60 ml -
245 Piroxicam 20 mg tablet -
246 Pithogin injeksi ampul -
247 Ponflu tablet -
248 Povidon Iodida 10% 1000 ml 1
249 Povidon Iodida 10% btl 60 ml 2
250 Povidon Iodida 10% btl 300 ml 1
251 Povidon Iodida 10% btl 30 ml (2)
252 Prednison tablet 5 mg tablet -
253 Prenase tab tablet -
254 Pravastatin 20 mg tablet -
255 Primakuin tablet 15 mg tablet -
256 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
257 Propanolol HCl Tablet 10 mg tablet -
258 Propanolol tab 40 mg tablet -
259 Probiokid sase -
260 Propiltiourasil tablet 100 mg tablet -
261 Quantidex Syr botol 100
262 Quantidex tablet tablet 100
263 Ranitidin inj 25mg/2 ml ampul -
264 Ranitidin tablet 150 mg tablet 14
265 Reagen periksa gol darah Btl -
266 Reagen Gol Darah Anti A botol -
267 Reagen Gol Darah Anti B botol -
268 Reagen Gol Darah Anti D botol -
269 Reagen periksa HB Btl -
270 Reserpin tab 0,10 mg tablet -
271 Reserpin tab 0,25 mg tablet 51
272 Ringer Laktat larutan infus btl 500 ml 8
273 Risperidon 2 mg tablet -
274 Rivanol larutan 0,1% tablet -
275 Salbutamol 4 mg tablet (sebagai sulfat) tablet 100
276 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler 90
277 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
278 Salbutamol serb inh 200 mcg/kaps btl -
Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
279 Sanvita B sirup btl -
280 Salep 2-4 ppot 10
281 Serum anti tetanus amp -
282 Sianokobalamin (vitamin B 12) injeksi ampul 12
283 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
284 Simvastatin tab 10 mg tablet -
285 Spiramisin tab 500 mg tablet -
286 Stesolid inj ampul -
287 Stesolid rectal tube supp -
288 Stick Asam Urat Nesco btl -
289 Stick Glukosa Nesco btl -
290 Stik Kolesterol Nesco btl -
291 Streptomisin injeksi 1 g/ml vial -
292 Sulfasetamida Natrium TM 15% botol 5 ml -
293 Sulfatdoksin tablet 190
294 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl -
295 Tes Malaria stik -
296 Tetrasiklin kap 250 mg kapsul -
297 Tetrasiklin kap 500 mg kap -
298 Thiamin(vit B1) injeksi 100 mg/ml ampul 5
299 Thiamin (vit B1) tab tablet -
300 Tramadol injeksi 50 mg/ml ampul -
301 Tramadol kap 50 mg kapsul -
302 Tramadol tab 50 mg tablet -
303 Transamin 500 mg kap kapsul -
304 Triheksifenidil tab 2 mg tablet -
305 Tusalgin syrup btl 100
306 Verorab pkt -
307 Vit B Kompleks tab tablet 151
308 Vitaplex drop btl -
309 Zinc tab 20 mg tablet 102
310 Zink drop btl -
311 Zink Sirup 10 mg btl 100 ml -
312 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 685
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
DESEMBER 2016 SATUAN DES 2016 - 25 JAN 2017
JANUARI JANUARI
- - - 4,041 -
- - - 350 -
1 - 1 2,575 -
- - 2 27,305 -
- - - 88 -
- - 70 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - - 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 41 210 -
- - - 270 -
- - - 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
100 - - 74 -
- - 3 2,160 -
- - 13 2,641 -
- - 5 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - - 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - - 239 -
- - - 345 -
- - 70 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 2 1,250 -
- - - 10,290 -
- - - 14,070 -
- - 25 43 -
- - - 970 -
- - 8 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - 95 62 -
- - - 89 -
- - 10 141 -
- - - 27,500 -
10 1 80 519 519
- - - 5,064 -
- - - 1,100 -
10 - - 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - - 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 50 700 53 2,650
- - - 23,000 -
- - 28 9,167 -
- 1 5 1,659 1,659
- 10 102 64 640
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
10 - - 285 -
- - 1 3,410 -
- - 80 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - - 54 -
- - - 33 -
- - - 8,505 -
- - - 497 -
- - - 976 -
- - - 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - - 21 -
- - 170 666 -
5 2 - 3,582 7,164
- - 5 3,582 -
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - 100 94 -
- - 3 6,555 -
- - 92 303 -
- - - 26,400 -
- - - 1,469 -
- - 3 3,353 -
- - - 3,569 -
- - 6 945 -
- - 46 58 -
- 10 - 5,600 56,000
- - 208 50 -
- - - 5,985 -
- 2 - 2,577 5,154
- - 5 5,460 -
- - - 2,200 -
- - 10 230 -
100 - - 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- 1 - 25,000 25,000
- - - 2,798 -
- - - 5,900 -
- - - -
10 - - 16,500 -
200 20 - 4,724 94,480
- - 150 116 -
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
100 - - 9,900 -
- - 139 73 -
- - 3 2,569 -
- - - 4,930 -
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
10 - - 262 -
- - 6 3,865 -
24 - - 1,679 -
- - 4 1,600 -
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 7 145 -
- - 200 75 -
- - 14 2,222 -
- - - 5,990 -
- - - 6,510 -
- - - 704 -
5 2 - 554 1,108
- - 38 879 -
- - - 546 -
- - - 162 -
- - - 266 -
- - 95 92 -
- - - 3,500 -
- - - 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- 20 - 220 4,400
- 2 220 127 254
- - - 2,750 -
- - - 92,990 -
- - 115 210 -
- - 200 105 -
- 20 - 10,250 205,000
- - - 113 -
- - 10 164 -
- - - 7,490 -
- - 5 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - - 15,015 -
- - 110 390 -
- - - 90,500 -
- - - 141 -
5 - - 185 -
- - 10 4,935 -
- - - 1,260 -
- - - 2,940 -
100 - - 7,370 -
- - 80 110 -
- - - 2,999 -
- - 70 672 -
- - 24 504 -
5 2 - 9,498 18,996
- - - 12,500 -
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - 12
- - - 6,325 -
- - - 375 -
- - - 297 -
- 70 38 122 8,540
- 2 - 33 66
- - 48 84 -
- - - 5,460 -
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - 1 38,594 -
3 2 1 6,298 12,596
- - 1 14,771 -
- 10 8 2,250 22,500
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
100 - - 9,500 -
- - 100 837 -
- - - 1,190 -
- - 14 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
3 2 50 109 218
- - 8 5,460 -
- - - 1,038 -
- - - -
- - 100 62 -
- - 90 85 -
- - - 6,160 -
- - - 452 -
5 - - 6,930
- - - 11,550 -
10 2 2 2,100 4,200
- - - 126,000 -
- - 12 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - 190 544 -
- - - 13,850 -
- - - 30,800 -
- - - 154 -
- - - 312 -
- - 5 700 -
- - - 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
100 - - 7,260 -
- - - 420,000 -
- - 151 110 -
- - - 26,400 -
- - 102 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
916 231 - 34,000
- - - 826 -
- - - 826 -
- - 20 826 -
- - 19 953 -
10 1 - 1,175 1,175
- - - 197 -
- - 3 4,572 -
- - 2 22,500 -
5 1 3 22,500 22,500
5 - - 8,000 -
- - - 8,000 -
- - - 8,000 -
- - 3 1,300 -
- - 105 1,300 -
- - - 1,300 -
- - 2 8,085 -
- - 5 8,085 -
- - 8 8,085 -
- - - 8,085 -
- - - 4,445 -
- - 8 4,064 -
- - 1 34,000 -
- - - 24,000 -
- - 10 7,900 -
- - - 1,800 -
- - - 3,800 -
- - - 800 -
- - - 1,100 -
- - 7 9,400 -
- - - 16,000 -
1 1 - 25,000 25,000
- - - 130,000 -
- 2 - 439 878
- - 50 439 -
- - - 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - - 7,315 -
- - 1 21,753 -
- - - 30,030 -
- - 1 15,000 -
- - 2 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - 6 1,270 -
- - - 6,059 -
- - - 6,059 -
21 5 256 49,553
1,853 467 4,678 520,697
Pangkalan Kasai,
Penanggung J
Puskesmas Pe
SRI MULIANI,
NIP. 1975011520
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
5,920,701
- 0
- 20
16,510 0
18,098 14
10,575 0
- 0
13,716 4
45,000 3
157,500 3
40,000 0
- 0
- 0
3,900 0
136,500 75
- 0
16,170 3
40,425 5
64,680 8
- 0
- 0
32,512 8
34,000 1
- 0
79,000 20
- 0
- 0
- 0
- 0
65,800 7
- 0
- 0
- 1
(878) 0
21,945 40
- 0
- 0
- 0
- 0
- 0
21,753 1
- 0
15,000 5
30,000 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
7,620 11
- 0
- 0
869,826
6,790,527
25 Januari 2017
Penanggung Jawab
Puskesmas Pembantu
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 108
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 50
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 21
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet 64
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 220
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (42)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet 248
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 320
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 149
92 Domperidone 10 mg tab tablet 90
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 16
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 98
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (106)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
Hustab tablet -
141 Hustadin Syrup btl 20
142 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 204
143 Ibuprofen tablet 200 mg tablet 86
144 Ibuprofen tablet 400 mg tablet -
145 Imunvit Plus Kap Kaplet -
146 Intibrox tablet -
147 Intibrox Syr botol -
148 Isoniazid tab 100 mg tablet -
149 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
150 Itrakanazol kap 100 mg kaplet -
151 Jovial Sachet sachet -
152 KA EN 1 B btl -
153 KA EN 3 A btl -
154 KA ENMG 3 btl -
155 Kalium diklofenak 50 mg tab tablet -
156 Kalpicillin injeksi amp 170
157 Kalsium laktat 500 mg tab tablet 10
158 Ketokenazole krim 2 % tube 10 gram (3)
159 Ketokenazole krim 2 % tube 15 gram 57
160 Ketokonazol tab 200 mg tablet -
161 Ketoprofen 100 mg tab tablet -
162 Ketoprofen injeksi 100 mg ampul -
163 Ketorolac inj 10 mg ampul -
164 Ketorolac inj 30 mg ampul -
165 Klonidin tab 0,15 mg tablet -
166 Kloramfenikol 250 mg kap kaplet 12
167 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (3)
168 Kloramfenikol tetes telinga 3 % botol 5 ml 36
169 Kloramfenikol salep mata 1 % botol 5 ml 4
170 Kloroquin 150 mg tab tablet -
171 Klorpromazin tablet 100 mg tablet -
172 Klorpromazin tablet 25 mg tablet -
173 klorpromazine inj 25mg/ml amp -
174 Kodein tablet 10 mg tablet -
175 Kotrimoksazol DOEN I (dewasa) tablet 100
176 Kotrimoksazol DOEN II pediatrik tab tablet 4
177 Kotrimoksazol suspensi btl 60 ml (10)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
178 vial -
( Combivent UVB )
179 Kuinin Dihidroklorida inj 25% ampul -
180 Kuinin tab tablet -
181 Levofloksasin tablet 500 mg tablet 13
182 Lidokain injeksi 2 % 2 ml ampul -
183 Linkomisin kap 500 mg kapsul -
184 Loratadin tablet 10 mg tablet -
185 Lotharsone tablet 70
186 Loperamid 2 mg tablet -
187 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
188 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
189 Mebendazol tab 100 mg tablet -
190 Megatic Emulgel tube -
191 Meloksikam tab 15 mg tablet -
192 Meloksikam tab 7,5 mg tablet -
193 Metformin HCl tablet 500 mg tablet -
194 Metaflu tablet 160
195 Methylergometrin tab 0,125 mg tablet 5
196 Metilergometrin injeksi ampul -
197 Metilprednisolon injeksi 500 mg vial 100
198 Metilprednisolon tablet 4 mg tablet 135
199 Metoklopramide tablet 10 mg tablet (10)
200 Metronidazol inf btl 100 ml 80
201 Metronidazol tab 250 mg tablet -
202 Metronidazol tab 500 mg tablet 90
203 Meylon 8.4 % vial 12
204 Mikonazol krim 2% tube 9
205 Momethasone furoat krim 0,1 % tube -
206 Mulsanol Drop btl -
207 Mulsanol Syrup btl -
208 Na bikarbonat 500 mg tab tablet 60
209 Nalget Kaptab tablet (80)
210 Natavit Soft Cut kapsul -
211 Natrium Diklofenat tablet 25 mg tablet -
212 Natrium Diklofenat tablet 50 mg tablet 7
213 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
214 Neurodial kaplet kaplet -
215 Nevirapin tab 200 mg tablet -
216 Nexa injeksi ampul 300
217 Nifedipin tablet 10 mg tablet -
218 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
219 Nistatin Tablet salut gula 500 000 IU/gram tablet -
220 Nistatin vaginal Tablet 100 000 IU/gram tablet -
221 Novakal syrup btl 6
222 OBH sirup btl 3
223 Ofloxacin 200 mg tablet -
224 Ofloxacin 400 mg tablet -
225 Oksitetrasiclin HCl salep mata 1 % tube -
226 Oksitetrasiklin salep kulit 3% tube -
227 Omeprazol kapsul 20 mg kapsul -
Ondansentron 4 mg -
228 Osteor plus kaplet -
229 Ostine Kapsul kapsul -
230 Panstonal Forte 500 mg tablet -
231 Papaverin tablet 40 mg tablet 95
232 Parasetamol tablet 100 mg tablet 7
233 Parasetamol tablet 500 mg tablet 158
234 Parasetamol drops btl 8
235 Parasetamol syrup 120 mg / 5 ml - 60 ml -
236 Pethidin injeksi ampul -
237 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
238 Permetrin krim 5 % ( SCABICID Cream) tube -
239 Piracetam injeksi 200 mg/ml-15 ml ampul -
240 Piracetam injeksi 3 g/15 ml ampul -
241 Piracetam tab 400 mg tablet -
242 Piracetam tab 800 mg tablet -
243 Pirantel tablet Score (base )125 mg tablet -
244 Pirantel syrup 125 mg/5 ml btl 60 ml -
245 Piroxicam 20 mg tablet -
246 Pithogin injeksi ampul -
247 Ponflu tablet -
248 Povidon Iodida 10% 1000 ml -
249 Povidon Iodida 10% btl 60 ml 4
250 Povidon Iodida 10% btl 300 ml 7
251 Povidon Iodida 10% btl 30 ml 90
252 Prednison tablet 5 mg tablet -
253 Prenase tab tablet -
254 Pravastatin 20 mg tablet -
255 Primakuin tablet 15 mg tablet -
256 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
257 Propanolol HCl Tablet 10 mg tablet -
258 Propanolol tab 40 mg tablet -
259 Probiokid sase -
260 Propiltiourasil tablet 100 mg tablet -
261 Quantidex Syr botol 280
262 Quantidex tablet tablet (10)
263 Ranitidin inj 25mg/2 ml ampul -
264 Ranitidin tablet 150 mg tablet -
265 Reagen periksa gol darah Btl -
266 Reagen Gol Darah Anti A botol -
267 Reagen Gol Darah Anti B botol -
268 Reagen Gol Darah Anti D botol -
269 Reagen periksa HB Btl -
270 Reserpin tab 0,10 mg tablet -
271 Reserpin tab 0,25 mg tablet 5
272 Ringer Laktat larutan infus btl 500 ml (3)
273 Risperidon 2 mg tablet -
274 Rivanol larutan 0,1% tablet 80
275 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
276 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
277 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
278 Salbutamol serb inh 200 mcg/kaps btl -
Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
279 Sanvita B sirup btl -
280 Salep 2-4 ppot 20
281 Serum anti tetanus amp -
282 Sianokobalamin (vitamin B 12) injeksi ampul -
283 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
284 Simvastatin tab 10 mg tablet -
285 Spiramisin tab 500 mg tablet -
286 Stesolid inj ampul -
287 Stesolid rectal tube supp -
288 Stick Asam Urat Nesco btl -
289 Stick Glukosa Nesco btl -
290 Stik Kolesterol Nesco btl -
291 Streptomisin injeksi 1 g/ml vial -
292 Sulfasetamida Natrium TM 15% botol 5 ml -
293 Sulfatdoksin tablet -
294 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 5
295 Tes Malaria stik 70
296 Tetrasiklin kap 250 mg kapsul -
297 Tetrasiklin kap 500 mg kap 100
298 Thiamin(vit B1) injeksi 100 mg/ml ampul (2)
299 Thiamin (vit B1) tab tablet 86
300 Tramadol injeksi 50 mg/ml ampul -
301 Tramadol kap 50 mg kapsul -
302 Tramadol tab 50 mg tablet -
303 Transamin 500 mg kap kapsul -
304 Triheksifenidil tab 2 mg tablet -
305 Tusalgin syrup btl 180
306 Verorab pkt -
307 Vit B Kompleks tab tablet (95)
308 Vitaplex drop btl -
309 Zinc tab 20 mg tablet -
310 Zink drop btl -
311 Zink Sirup 10 mg btl 100 ml -
312 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
100 12 20 239 2,868
- - - 345 -
100 50 - 140 7,000
- - - 3,200 -
- - - 1,300 -
- - - 77 -
20 5 6 1,250 6,250
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- 26 90 62 1,612
- - 90 89 -
100 20 140 141 2,820
- - - 27,500 -
- 56 14 519 29,064
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 390 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
200 70 190 64 4,480
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 1 140 3,410 3,410
100 10 - 170 1,700
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 4 - 7,893 31,572
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 100 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 - 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 200 4,724 28,344
200 114 - 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 - 2,569 7,707
10 3 50 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 - 3,865 11,595
- - 36 1,679 -
5 1 - 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 - 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 160 210 5,250
- 10 - 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 - 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 - 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 - 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 120 122 3,050
- - 7 33 -
200 49 7 84 4,116
10 2 - 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 - 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 - 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
5 - - 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- 2 - 700 1,400
100 14 - 37 518
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- 95 - 110 10,450
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
20 - - 826 -
- 20 - 826 16,510
10 15 - 953 14,288
- - 11 1,175 -
- - - 197 -
3 2 1 4,572 9,144
4 3 - 22,500 67,500
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- 3 - 1,300 3,900
- 30 - 1,300 39,000
- - - 1,300 -
5 4 - 8,085 32,340
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
10 - - 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
1 - - 130,000 -
- - 10 439 -
- 10 - 439 4,389
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
1 1 - 21,753 21,753
- - - 30,030 -
5 1 - 15,000 15,000
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
59 89 45 223,824
1,464 1,170 5,574 600,650
Pangkalan Kasai,
Penanggung J
Puskesmas Pe
HERTINAH, S
NIP. 1977101220
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
29,152,421
- 0
16,510 20
(16,510) 0
(4,763) 14
12,925 0
- 0
9,144 4
22,500 3
225,000 3
40,000 0
- 0
- 0
(3,900) 0
(39,000) 75
- 0
8,085 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
79,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
130,000 1
4,389 0
(4,389) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
60,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
616,307
29,768,727
25 Februari 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
SALDO PERSEDIAAN P
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 196
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 100
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 36
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet 38
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 300
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (98)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet 106
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 450
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 158
92 Domperidone 10 mg tab tablet 180
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 32
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 96
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (212)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
Hustab tablet -
141 Hustadin Syrup btl 20
142 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 208
143 Ibuprofen tablet 200 mg tablet 172
144 Ibuprofen tablet 400 mg tablet -
145 Imunvit Plus Kap Kaplet -
146 Intibrox tablet -
147 Intibrox Syr botol -
148 Isoniazid tab 100 mg tablet -
149 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
150 Itrakanazol kap 100 mg kaplet -
151 Jovial Sachet sachet -
152 KA EN 1 B btl -
153 KA EN 3 A btl -
154 KA ENMG 3 btl -
155 Kalium diklofenak 50 mg tab tablet -
156 Kalpicillin injeksi amp 170
157 Kalsium laktat 500 mg tab tablet 10
158 Ketokenazole krim 2 % tube 10 gram (6)
159 Ketokenazole krim 2 % tube 15 gram 64
160 Ketokonazol tab 200 mg tablet -
161 Ketoprofen 100 mg tab tablet -
162 Ketoprofen injeksi 100 mg ampul -
163 Ketorolac inj 10 mg ampul -
164 Ketorolac inj 30 mg ampul -
165 Klonidin tab 0,15 mg tablet -
166 Kloramfenikol 250 mg kap kaplet 12
167 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (6)
168 Kloramfenikol tetes telinga 3 % botol 5 ml 36
169 Kloramfenikol salep mata 1 % botol 5 ml 8
170 Kloroquin 150 mg tab tablet -
171 Klorpromazin tablet 100 mg tablet -
172 Klorpromazin tablet 25 mg tablet -
173 klorpromazine inj 25mg/ml amp -
174 Kodein tablet 10 mg tablet -
175 Kotrimoksazol DOEN I (dewasa) tablet 100
176 Kotrimoksazol DOEN II pediatrik tab tablet 4
177 Kotrimoksazol suspensi btl 60 ml (20)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
178 vial -
( Combivent UVB )
179 Kuinin Dihidroklorida inj 25% ampul -
180 Kuinin tab tablet -
181 Levofloksasin tablet 500 mg tablet 13
182 Lidokain injeksi 2 % 2 ml ampul -
183 Linkomisin kap 500 mg kapsul -
184 Loratadin tablet 10 mg tablet -
185 Lotharsone tablet 70
186 Loperamid 2 mg tablet -
187 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
188 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
189 Mebendazol tab 100 mg tablet -
190 Megatic Emulgel tube -
191 Meloksikam tab 15 mg tablet -
192 Meloksikam tab 7,5 mg tablet -
193 Metformin HCl tablet 500 mg tablet -
194 Metaflu tablet 160
195 Methylergometrin tab 0,125 mg tablet 5
196 Metilergometrin injeksi ampul -
197 Metilprednisolon injeksi 500 mg vial 100
198 Metilprednisolon tablet 4 mg tablet 110
199 Metoklopramide tablet 10 mg tablet (20)
200 Metronidazol inf btl 100 ml 80
201 Metronidazol tab 250 mg tablet -
202 Metronidazol tab 500 mg tablet 180
203 Meylon 8.4 % vial 12
204 Mikonazol krim 2% tube 9
205 Momethasone furoat krim 0,1 % tube -
206 Mulsanol Drop btl -
207 Mulsanol Syrup btl -
208 Na bikarbonat 500 mg tab tablet 60
209 Nalget Kaptab tablet (160)
210 Natavit Soft Cut kapsul -
211 Natrium Diklofenat tablet 25 mg tablet -
212 Natrium Diklofenat tablet 50 mg tablet 7
213 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
214 Neurodial kaplet kaplet -
215 Nevirapin tab 200 mg tablet -
216 Nexa injeksi ampul 300
217 Nifedipin tablet 10 mg tablet -
218 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
219 Nistatin Tablet salut gula 500 000 IU/gram tablet -
220 Nistatin vaginal Tablet 100 000 IU/gram tablet -
221 Novakal syrup btl 6
222 OBH sirup btl 6
223 Ofloxacin 200 mg tablet -
224 Ofloxacin 400 mg tablet -
225 Oksitetrasiclin HCl salep mata 1 % tube -
226 Oksitetrasiklin salep kulit 3% tube -
227 Omeprazol kapsul 20 mg kapsul -
Ondansentron 4 mg -
228 Osteor plus kaplet -
229 Ostine Kapsul kapsul -
230 Panstonal Forte 500 mg tablet -
231 Papaverin tablet 40 mg tablet 70
232 Parasetamol tablet 100 mg tablet 7
233 Parasetamol tablet 500 mg tablet 309
234 Parasetamol drops btl 16
235 Parasetamol syrup 120 mg / 5 ml - 60 ml -
236 Pethidin injeksi ampul -
237 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
238 Permetrin krim 5 % ( SCABICID Cream) tube -
239 Piracetam injeksi 200 mg/ml-15 ml ampul -
240 Piracetam injeksi 3 g/15 ml ampul -
241 Piracetam tab 400 mg tablet -
242 Piracetam tab 800 mg tablet -
243 Pirantel tablet Score (base )125 mg tablet -
244 Pirantel syrup 125 mg/5 ml btl 60 ml -
245 Piroxicam 20 mg tablet -
246 Pithogin injeksi ampul -
247 Ponflu tablet -
248 Povidon Iodida 10% 1000 ml -
249 Povidon Iodida 10% btl 60 ml 4
250 Povidon Iodida 10% btl 300 ml 7
251 Povidon Iodida 10% btl 30 ml 90
252 Prednison tablet 5 mg tablet -
253 Prenase tab tablet -
254 Pravastatin 20 mg tablet -
255 Primakuin tablet 15 mg tablet -
256 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
257 Propanolol HCl Tablet 10 mg tablet -
258 Propanolol tab 40 mg tablet -
259 Probiokid sase -
260 Propiltiourasil tablet 100 mg tablet -
261 Quantidex Syr botol 280
262 Quantidex tablet tablet (20)
263 Ranitidin inj 25mg/2 ml ampul -
264 Ranitidin tablet 150 mg tablet -
265 Reagen periksa gol darah Btl -
266 Reagen Gol Darah Anti A botol -
267 Reagen Gol Darah Anti B botol -
268 Reagen Gol Darah Anti D botol -
269 Reagen periksa HB Btl -
270 Reserpin tab 0,10 mg tablet -
271 Reserpin tab 0,25 mg tablet 5
272 Ringer Laktat larutan infus btl 500 ml (6)
273 Risperidon 2 mg tablet -
274 Rivanol larutan 0,1% tablet 80
275 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
276 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
277 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
278 Salbutamol serb inh 200 mcg/kaps btl -
Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
279 Sanvita B sirup btl -
280 Salep 2-4 ppot 20
281 Serum anti tetanus amp -
282 Sianokobalamin (vitamin B 12) injeksi ampul -
283 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
284 Simvastatin tab 10 mg tablet -
285 Spiramisin tab 500 mg tablet -
286 Stesolid inj ampul -
287 Stesolid rectal tube supp -
288 Stick Asam Urat Nesco btl -
289 Stick Glukosa Nesco btl -
290 Stik Kolesterol Nesco btl -
291 Streptomisin injeksi 1 g/ml vial -
292 Sulfasetamida Natrium TM 15% botol 5 ml -
293 Sulfatdoksin tablet -
294 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 10
295 Tes Malaria stik 70
296 Tetrasiklin kap 250 mg kapsul -
297 Tetrasiklin kap 500 mg kap 100
298 Thiamin(vit B1) injeksi 100 mg/ml ampul (4)
299 Thiamin (vit B1) tab tablet 172
300 Tramadol injeksi 50 mg/ml ampul -
301 Tramadol kap 50 mg kapsul -
302 Tramadol tab 50 mg tablet -
303 Transamin 500 mg kap kapsul -
304 Triheksifenidil tab 2 mg tablet -
305 Tusalgin syrup btl 180
306 Verorab pkt -
307 Vit B Kompleks tab tablet (190)
308 Vitaplex drop btl -
309 Zinc tab 20 mg tablet -
310 Zink drop btl -
311 Zink Sirup 10 mg btl 100 ml -
312 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
100 12 108 239 2,868
- - - 345 -
100 50 50 140 7,000
- - - 3,200 -
- - - 1,300 -
- - - 77 -
20 5 21 1,250 6,250
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- 26 64 62 1,612
- - 90 89 -
100 20 220 141 2,820
- - - 27,500 -
- 56 (42) 519 29,064
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 248 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
200 70 320 64 4,480
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 1 149 3,410 3,410
100 10 90 170 1,700
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 4 16 7,893 31,572
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 98 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (106) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 204 4,724 28,344
200 114 86 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (3) 2,569 7,707
10 3 57 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (3) 3,865 11,595
- - 36 1,679 -
5 1 4 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (10) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 135 210 5,250
- 10 (10) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 90 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (80) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 3 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 95 122 3,050
- - 7 33 -
200 49 158 84 4,116
10 2 8 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (10) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (3) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
5 - 5 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- 2 (2) 700 1,400
100 14 86 37 518
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- 95 (95) 110 10,450
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
20 - 20 826 -
- 20 (20) 826 16,510
10 15 (5) 953 14,288
- - 11 1,175 -
- - - 197 -
3 2 2 4,572 9,144
4 3 1 22,500 67,500
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- 3 (3) 1,300 3,900
- 30 (30) 1,300 39,000
- - - 1,300 -
5 4 1 8,085 32,340
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
10 - 10 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
1 - 1 130,000 -
- - 10 439 -
- 10 (10) 439 4,389
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
1 1 - 21,753 21,753
- - - 30,030 -
5 1 4 15,000 15,000
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
59 89 15 223,824
1,464 1,170 5,868 600,650
Pangkalan Kasai,
Penanggung J
Puskesmas Pe
HERTINAH, S
NIP. 1977101220
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
29,477,855
- 0
33,020 20
(33,020) 0
(9,525) 14
12,925 0
- 0
13,716 4
45,000 3
225,000 3
40,000 0
- 0
- 0
(7,800) 0
(78,000) 75
- 0
16,170 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
158,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
260,000 1
4,389 0
(8,778) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
120,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
868,412
30,346,267
25 Maret 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
SALDO PERSEDIAAN P
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 284
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 150
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 51
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet 12
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 380
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (154)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (36)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 580
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 167
92 Domperidone 10 mg tab tablet 270
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 48
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 94
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (318)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
Hustab tablet -
141 Hustadin Syrup btl 20
142 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 212
143 Ibuprofen tablet 200 mg tablet 258
144 Ibuprofen tablet 400 mg tablet -
145 Imunvit Plus Kap Kaplet -
146 Intibrox tablet -
147 Intibrox Syr botol -
148 Isoniazid tab 100 mg tablet -
149 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
150 Itrakanazol kap 100 mg kaplet -
151 Jovial Sachet sachet -
152 KA EN 1 B btl -
153 KA EN 3 A btl -
154 KA ENMG 3 btl -
155 Kalium diklofenak 50 mg tab tablet -
156 Kalpicillin injeksi amp 170
157 Kalsium laktat 500 mg tab tablet 10
158 Ketokenazole krim 2 % tube 10 gram (9)
159 Ketokenazole krim 2 % tube 15 gram 71
160 Ketokonazol tab 200 mg tablet -
161 Ketoprofen 100 mg tab tablet -
162 Ketoprofen injeksi 100 mg ampul -
163 Ketorolac inj 10 mg ampul -
164 Ketorolac inj 30 mg ampul -
165 Klonidin tab 0,15 mg tablet -
166 Kloramfenikol 250 mg kap kaplet 12
167 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (9)
168 Kloramfenikol tetes telinga 3 % botol 5 ml 36
169 Kloramfenikol salep mata 1 % botol 5 ml 12
170 Kloroquin 150 mg tab tablet -
171 Klorpromazin tablet 100 mg tablet -
172 Klorpromazin tablet 25 mg tablet -
173 klorpromazine inj 25mg/ml amp -
174 Kodein tablet 10 mg tablet -
175 Kotrimoksazol DOEN I (dewasa) tablet 100
176 Kotrimoksazol DOEN II pediatrik tab tablet 4
177 Kotrimoksazol suspensi btl 60 ml (30)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
178 vial -
( Combivent UVB )
179 Kuinin Dihidroklorida inj 25% ampul -
180 Kuinin tab tablet -
181 Levofloksasin tablet 500 mg tablet 13
182 Lidokain injeksi 2 % 2 ml ampul -
183 Linkomisin kap 500 mg kapsul -
184 Loratadin tablet 10 mg tablet -
185 Lotharsone tablet 70
186 Loperamid 2 mg tablet -
187 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
188 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
189 Mebendazol tab 100 mg tablet -
190 Megatic Emulgel tube -
191 Meloksikam tab 15 mg tablet -
192 Meloksikam tab 7,5 mg tablet -
193 Metformin HCl tablet 500 mg tablet -
194 Metaflu tablet 160
195 Methylergometrin tab 0,125 mg tablet 5
196 Metilergometrin injeksi ampul -
197 Metilprednisolon injeksi 500 mg vial 100
198 Metilprednisolon tablet 4 mg tablet 85
199 Metoklopramide tablet 10 mg tablet (30)
200 Metronidazol inf btl 100 ml 80
201 Metronidazol tab 250 mg tablet -
202 Metronidazol tab 500 mg tablet 270
203 Meylon 8.4 % vial 12
204 Mikonazol krim 2% tube 9
205 Momethasone furoat krim 0,1 % tube -
206 Mulsanol Drop btl -
207 Mulsanol Syrup btl -
208 Na bikarbonat 500 mg tab tablet 60
209 Nalget Kaptab tablet (240)
210 Natavit Soft Cut kapsul -
211 Natrium Diklofenat tablet 25 mg tablet -
212 Natrium Diklofenat tablet 50 mg tablet 7
213 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
214 Neurodial kaplet kaplet -
215 Nevirapin tab 200 mg tablet -
216 Nexa injeksi ampul 300
217 Nifedipin tablet 10 mg tablet -
218 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
219 Nistatin Tablet salut gula 500 000 IU/gram tablet -
220 Nistatin vaginal Tablet 100 000 IU/gram tablet -
221 Novakal syrup btl 6
222 OBH sirup btl 9
223 Ofloxacin 200 mg tablet -
224 Ofloxacin 400 mg tablet -
225 Oksitetrasiclin HCl salep mata 1 % tube -
226 Oksitetrasiklin salep kulit 3% tube -
227 Omeprazol kapsul 20 mg kapsul -
Ondansentron 4 mg -
228 Osteor plus kaplet -
229 Ostine Kapsul kapsul -
230 Panstonal Forte 500 mg tablet -
231 Papaverin tablet 40 mg tablet 45
232 Parasetamol tablet 100 mg tablet 7
233 Parasetamol tablet 500 mg tablet 460
234 Parasetamol drops btl 24
235 Parasetamol syrup 120 mg / 5 ml - 60 ml -
236 Pethidin injeksi ampul -
237 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
238 Permetrin krim 5 % ( SCABICID Cream) tube -
239 Piracetam injeksi 200 mg/ml-15 ml ampul -
240 Piracetam injeksi 3 g/15 ml ampul -
241 Piracetam tab 400 mg tablet -
242 Piracetam tab 800 mg tablet -
243 Pirantel tablet Score (base )125 mg tablet -
244 Pirantel syrup 125 mg/5 ml btl 60 ml -
245 Piroxicam 20 mg tablet -
246 Pithogin injeksi ampul -
247 Ponflu tablet -
248 Povidon Iodida 10% 1000 ml -
249 Povidon Iodida 10% btl 60 ml 4
250 Povidon Iodida 10% btl 300 ml 7
251 Povidon Iodida 10% btl 30 ml 90
252 Prednison tablet 5 mg tablet -
253 Prenase tab tablet -
254 Pravastatin 20 mg tablet -
255 Primakuin tablet 15 mg tablet -
256 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
257 Propanolol HCl Tablet 10 mg tablet -
258 Propanolol tab 40 mg tablet -
259 Probiokid sase -
260 Propiltiourasil tablet 100 mg tablet -
261 Quantidex Syr botol 280
262 Quantidex tablet tablet (30)
263 Ranitidin inj 25mg/2 ml ampul -
264 Ranitidin tablet 150 mg tablet -
265 Reagen periksa gol darah Btl -
266 Reagen Gol Darah Anti A botol -
267 Reagen Gol Darah Anti B botol -
268 Reagen Gol Darah Anti D botol -
269 Reagen periksa HB Btl -
270 Reserpin tab 0,10 mg tablet -
271 Reserpin tab 0,25 mg tablet 5
272 Ringer Laktat larutan infus btl 500 ml (9)
273 Risperidon 2 mg tablet -
274 Rivanol larutan 0,1% tablet 80
275 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
276 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
277 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
278 Salbutamol serb inh 200 mcg/kaps btl -
Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
279 Sanvita B sirup btl -
280 Salep 2-4 ppot 20
281 Serum anti tetanus amp -
282 Sianokobalamin (vitamin B 12) injeksi ampul -
283 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
284 Simvastatin tab 10 mg tablet -
285 Spiramisin tab 500 mg tablet -
286 Stesolid inj ampul -
287 Stesolid rectal tube supp -
288 Stick Asam Urat Nesco btl -
289 Stick Glukosa Nesco btl -
290 Stik Kolesterol Nesco btl -
291 Streptomisin injeksi 1 g/ml vial -
292 Sulfasetamida Natrium TM 15% botol 5 ml -
293 Sulfatdoksin tablet -
294 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 15
295 Tes Malaria stik 70
296 Tetrasiklin kap 250 mg kapsul -
297 Tetrasiklin kap 500 mg kap 100
298 Thiamin(vit B1) injeksi 100 mg/ml ampul (6)
299 Thiamin (vit B1) tab tablet 258
300 Tramadol injeksi 50 mg/ml ampul -
301 Tramadol kap 50 mg kapsul -
302 Tramadol tab 50 mg tablet -
303 Transamin 500 mg kap kapsul -
304 Triheksifenidil tab 2 mg tablet -
305 Tusalgin syrup btl 180
306 Verorab pkt -
307 Vit B Kompleks tab tablet (285)
308 Vitaplex drop btl -
309 Zinc tab 20 mg tablet -
310 Zink drop btl -
311 Zink Sirup 10 mg btl 100 ml -
312 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
100 12 196 239 2,868
- - - 345 -
100 50 100 140 7,000
- - - 3,200 -
- - - 1,300 -
- - - 77 -
20 5 36 1,250 6,250
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- 26 38 62 1,612
- - 90 89 -
100 20 300 141 2,820
- - - 27,500 -
- 56 (98) 519 29,064
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 106 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
200 70 450 64 4,480
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 1 158 3,410 3,410
100 10 180 170 1,700
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 4 32 7,893 31,572
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 96 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (212) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 208 4,724 28,344
200 114 172 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (6) 2,569 7,707
10 3 64 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (6) 3,865 11,595
- - 36 1,679 -
5 1 8 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (20) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 110 210 5,250
- 10 (20) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 180 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (160) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 6 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 70 122 3,050
- - 7 33 -
200 49 309 84 4,116
10 2 16 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (20) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (6) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
5 - 10 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- 2 (4) 700 1,400
100 14 172 37 518
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- 95 (190) 110 10,450
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
20 - 40 826 -
- 20 (40) 826 16,510
10 15 (10) 953 14,288
- - 11 1,175 -
- - - 197 -
3 2 3 4,572 9,144
4 3 2 22,500 67,500
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- 3 (6) 1,300 3,900
- 30 (60) 1,300 39,000
- - - 1,300 -
5 4 2 8,085 32,340
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
10 - 20 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
1 - 2 130,000 -
- - 10 439 -
- 10 (20) 439 4,389
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
1 1 - 21,753 21,753
- - - 30,030 -
5 1 8 15,000 15,000
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
59 89 (15) 223,824
1,464 1,170 6,162 600,650
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
29,803,289
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
30,923,806
25 April 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
SALDO PERSEDIAAN
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (178)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 176
92 Domperidone 10 mg tab tablet 360
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 64
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 92
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (424)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
Hustab tablet -
141 Hustadin Syrup btl 20
142 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 216
143 Ibuprofen tablet 200 mg tablet 344
144 Ibuprofen tablet 400 mg tablet -
145 Imunvit Plus Kap Kaplet -
146 Intibrox tablet -
147 Intibrox Syr botol -
148 Isoniazid tab 100 mg tablet -
149 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
150 Itrakanazol kap 100 mg kaplet -
151 Jovial Sachet sachet -
152 KA EN 1 B btl -
153 KA EN 3 A btl -
154 KA ENMG 3 btl -
155 Kalium diklofenak 50 mg tab tablet -
156 Kalpicillin injeksi amp 170
157 Kalsium laktat 500 mg tab tablet 10
158 Ketokenazole krim 2 % tube 10 gram (12)
159 Ketokenazole krim 2 % tube 15 gram 78
160 Ketokonazol tab 200 mg tablet -
161 Ketoprofen 100 mg tab tablet -
162 Ketoprofen injeksi 100 mg ampul -
163 Ketorolac inj 10 mg ampul -
164 Ketorolac inj 30 mg ampul -
165 Klonidin tab 0,15 mg tablet -
166 Kloramfenikol 250 mg kap kaplet 12
167 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (12)
168 Kloramfenikol tetes telinga 3 % botol 5 ml 36
169 Kloramfenikol salep mata 1 % botol 5 ml 16
170 Kloroquin 150 mg tab tablet -
171 Klorpromazin tablet 100 mg tablet -
172 Klorpromazin tablet 25 mg tablet -
173 klorpromazine inj 25mg/ml amp -
174 Kodein tablet 10 mg tablet -
175 Kotrimoksazol DOEN I (dewasa) tablet 100
176 Kotrimoksazol DOEN II pediatrik tab tablet 4
177 Kotrimoksazol suspensi btl 60 ml (40)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
178 vial -
( Combivent UVB )
179 Kuinin Dihidroklorida inj 25% ampul -
180 Kuinin tab tablet -
181 Levofloksasin tablet 500 mg tablet 13
182 Lidokain injeksi 2 % 2 ml ampul -
183 Linkomisin kap 500 mg kapsul -
184 Loratadin tablet 10 mg tablet -
185 Lotharsone tablet 70
186 Loperamid 2 mg tablet -
187 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
188 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
189 Mebendazol tab 100 mg tablet -
190 Megatic Emulgel tube -
191 Meloksikam tab 15 mg tablet -
192 Meloksikam tab 7,5 mg tablet -
193 Metformin HCl tablet 500 mg tablet -
194 Metaflu tablet 160
195 Methylergometrin tab 0,125 mg tablet 5
196 Metilergometrin injeksi ampul -
197 Metilprednisolon injeksi 500 mg vial 100
198 Metilprednisolon tablet 4 mg tablet 60
199 Metoklopramide tablet 10 mg tablet (40)
200 Metronidazol inf btl 100 ml 80
201 Metronidazol tab 250 mg tablet -
202 Metronidazol tab 500 mg tablet 360
203 Meylon 8.4 % vial 12
204 Mikonazol krim 2% tube 9
205 Momethasone furoat krim 0,1 % tube -
206 Mulsanol Drop btl -
207 Mulsanol Syrup btl -
208 Na bikarbonat 500 mg tab tablet 60
209 Nalget Kaptab tablet (320)
210 Natavit Soft Cut kapsul -
211 Natrium Diklofenat tablet 25 mg tablet -
212 Natrium Diklofenat tablet 50 mg tablet 7
213 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
214 Neurodial kaplet kaplet -
215 Nevirapin tab 200 mg tablet -
216 Nexa injeksi ampul 300
217 Nifedipin tablet 10 mg tablet -
218 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
219 Nistatin Tablet salut gula 500 000 IU/gram tablet -
220 Nistatin vaginal Tablet 100 000 IU/gram tablet -
221 Novakal syrup btl 6
222 OBH sirup btl 12
223 Ofloxacin 200 mg tablet -
224 Ofloxacin 400 mg tablet -
225 Oksitetrasiclin HCl salep mata 1 % tube -
226 Oksitetrasiklin salep kulit 3% tube -
227 Omeprazol kapsul 20 mg kapsul -
Ondansentron 4 mg -
228 Osteor plus kaplet -
229 Ostine Kapsul kapsul -
230 Panstonal Forte 500 mg tablet -
231 Papaverin tablet 40 mg tablet 20
232 Parasetamol tablet 100 mg tablet 7
233 Parasetamol tablet 500 mg tablet 611
234 Parasetamol drops btl 32
235 Parasetamol syrup 120 mg / 5 ml - 60 ml -
236 Pethidin injeksi ampul -
237 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
238 Permetrin krim 5 % ( SCABICID Cream) tube -
239 Piracetam injeksi 200 mg/ml-15 ml ampul -
240 Piracetam injeksi 3 g/15 ml ampul -
241 Piracetam tab 400 mg tablet -
242 Piracetam tab 800 mg tablet -
243 Pirantel tablet Score (base )125 mg tablet -
244 Pirantel syrup 125 mg/5 ml btl 60 ml -
245 Piroxicam 20 mg tablet -
246 Pithogin injeksi ampul -
247 Ponflu tablet -
248 Povidon Iodida 10% 1000 ml -
249 Povidon Iodida 10% btl 60 ml 4
250 Povidon Iodida 10% btl 300 ml 7
251 Povidon Iodida 10% btl 30 ml 90
252 Prednison tablet 5 mg tablet -
253 Prenase tab tablet -
254 Pravastatin 20 mg tablet -
255 Primakuin tablet 15 mg tablet -
256 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
257 Propanolol HCl Tablet 10 mg tablet -
258 Propanolol tab 40 mg tablet -
259 Probiokid sase -
260 Propiltiourasil tablet 100 mg tablet -
261 Quantidex Syr botol 280
262 Quantidex tablet tablet (40)
263 Ranitidin inj 25mg/2 ml ampul -
264 Ranitidin tablet 150 mg tablet -
265 Reagen periksa gol darah Btl -
266 Reagen Gol Darah Anti A botol -
267 Reagen Gol Darah Anti B botol -
268 Reagen Gol Darah Anti D botol -
269 Reagen periksa HB Btl -
270 Reserpin tab 0,10 mg tablet -
271 Reserpin tab 0,25 mg tablet 5
272 Ringer Laktat larutan infus btl 500 ml (12)
273 Risperidon 2 mg tablet -
274 Rivanol larutan 0,1% tablet 80
275 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
276 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
277 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
278 Salbutamol serb inh 200 mcg/kaps btl -
Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
279 Sanvita B sirup btl -
280 Salep 2-4 ppot 20
281 Serum anti tetanus amp -
282 Sianokobalamin (vitamin B 12) injeksi ampul -
283 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
284 Simvastatin tab 10 mg tablet -
285 Spiramisin tab 500 mg tablet -
286 Stesolid inj ampul -
287 Stesolid rectal tube supp -
288 Stick Asam Urat Nesco btl -
289 Stick Glukosa Nesco btl -
290 Stik Kolesterol Nesco btl -
291 Streptomisin injeksi 1 g/ml vial -
292 Sulfasetamida Natrium TM 15% botol 5 ml -
293 Sulfatdoksin tablet -
294 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
295 Tes Malaria stik 70
296 Tetrasiklin kap 250 mg kapsul -
297 Tetrasiklin kap 500 mg kap 100
298 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
299 Thiamin (vit B1) tab tablet 344
300 Tramadol injeksi 50 mg/ml ampul -
301 Tramadol kap 50 mg kapsul -
302 Tramadol tab 50 mg tablet -
303 Transamin 500 mg kap kapsul -
304 Triheksifenidil tab 2 mg tablet -
305 Tusalgin syrup btl 180
306 Verorab pkt -
307 Vit B Kompleks tab tablet (380)
308 Vitaplex drop btl -
309 Zinc tab 20 mg tablet -
310 Zink drop btl -
311 Zink Sirup 10 mg btl 100 ml -
312 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
100 12 284 239 2,868
- - - 345 -
100 50 150 140 7,000
- - - 3,200 -
- - - 1,300 -
- - - 77 -
20 5 51 1,250 6,250
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- 26 12 62 1,612
- - 90 89 -
100 20 380 141 2,820
- - - 27,500 -
- 56 (154) 519 29,064
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (36) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
200 70 580 64 4,480
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 1 167 3,410 3,410
100 10 270 170 1,700
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 4 48 7,893 31,572
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 94 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (318) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 212 4,724 28,344
200 114 258 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (9) 2,569 7,707
10 3 71 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (9) 3,865 11,595
- - 36 1,679 -
5 1 12 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (30) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 85 210 5,250
- 10 (30) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 270 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (240) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 9 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 45 122 3,050
- - 7 33 -
200 49 460 84 4,116
10 2 24 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (30) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (9) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
5 - 15 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- 2 (6) 700 1,400
100 14 258 37 518
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- 95 (285) 110 10,450
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
1,405 1,081 6,456 376,826
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
30,128,723
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
31,249,240
25 Mei 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
SALDO PERSEDIAA
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (320)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 186
92 Domperidone 10 mg tab tablet 460
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 84
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 90
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (530)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 220
144 Ibuprofen tablet 200 mg tablet 430
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (15)
160 Ketokenazole krim 2 % tube 15 gram 85
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (15)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 20
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (50)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet 35
200 Metoklopramide tablet 10 mg tablet (50)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 450
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (400)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 15
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (5)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 762
236 Parasetamol drops btl 40
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (50)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (15)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (178) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 176 3,410 -
100 - 360 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 64 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 92 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (424) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 216 4,724 28,344
200 114 344 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (12) 2,569 7,707
10 3 78 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (12) 3,865 11,595
- - 36 1,679 -
5 1 16 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (40) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 60 210 5,250
- 10 (40) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 360 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (320) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 12 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 20 122 3,050
- - 7 33 -
200 49 611 84 4,116
10 2 32 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (40) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (12) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 6,780 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
30,394,551
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
31,515,068
25 Juni 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (462)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 196
92 Domperidone 10 mg tab tablet 560
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 104
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 88
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (636)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 224
144 Ibuprofen tablet 200 mg tablet 516
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (18)
160 Ketokenazole krim 2 % tube 15 gram 92
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (18)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 24
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (60)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet 10
200 Metoklopramide tablet 10 mg tablet (60)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 540
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (480)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 18
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (30)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 913
236 Parasetamol drops btl 48
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (60)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (18)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (320) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 186 3,410 -
100 - 460 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 84 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 90 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (530) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 220 4,724 28,344
200 114 430 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (15) 2,569 7,707
10 3 85 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (15) 3,865 11,595
- - 36 1,679 -
5 1 20 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (50) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 35 210 5,250
- 10 (50) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 450 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (400) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 15 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (5) 122 3,050
- - 7 33 -
200 49 762 84 4,116
10 2 40 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (50) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (15) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 6,844 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
30,660,379
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
31,780,896
25 Juli 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN P
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (604)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 206
92 Domperidone 10 mg tab tablet 660
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 124
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 86
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (742)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 228
144 Ibuprofen tablet 200 mg tablet 602
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (21)
160 Ketokenazole krim 2 % tube 15 gram 99
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (21)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 28
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (70)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet (15)
200 Metoklopramide tablet 10 mg tablet (70)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 630
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (560)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 21
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (55)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 1,064
236 Parasetamol drops btl 56
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (70)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (21)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (462) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 196 3,410 -
100 - 560 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 104 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 88 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (636) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 224 4,724 28,344
200 114 516 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (18) 2,569 7,707
10 3 92 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (18) 3,865 11,595
- - 36 1,679 -
5 1 24 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (60) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 10 210 5,250
- 10 (60) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 540 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (480) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 18 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (30) 122 3,050
- - 7 33 -
200 49 913 84 4,116
10 2 48 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (60) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (18) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 6,908 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
30,926,207
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
32,046,724
25 Agustus 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN PER 2
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (746)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 216
92 Domperidone 10 mg tab tablet 760
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 144
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 84
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (848)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 232
144 Ibuprofen tablet 200 mg tablet 688
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (24)
160 Ketokenazole krim 2 % tube 15 gram 106
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (24)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 32
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (80)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet (40)
200 Metoklopramide tablet 10 mg tablet (80)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 720
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (640)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 24
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (80)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 1,215
236 Parasetamol drops btl 64
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (80)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (24)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (604) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 206 3,410 -
100 - 660 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 124 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 86 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (742) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 228 4,724 28,344
200 114 602 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (21) 2,569 7,707
10 3 99 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (21) 3,865 11,595
- - 36 1,679 -
5 1 28 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (70) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 (15) 210 5,250
- 10 (70) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 630 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (560) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 21 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (55) 122 3,050
- - 7 33 -
200 49 1,064 84 4,116
10 2 56 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (70) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (21) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 6,972 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
31,192,035
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
32,312,552
25 September 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN PER 2
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (888)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 226
92 Domperidone 10 mg tab tablet 860
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 164
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 82
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (954)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 236
144 Ibuprofen tablet 200 mg tablet 774
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (27)
160 Ketokenazole krim 2 % tube 15 gram 113
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (27)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 36
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (90)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet (65)
200 Metoklopramide tablet 10 mg tablet (90)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 810
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (720)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 27
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (105)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 1,366
236 Parasetamol drops btl 72
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (90)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (27)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (746) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 216 3,410 -
100 - 760 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 144 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 84 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (848) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 232 4,724 28,344
200 114 688 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (24) 2,569 7,707
10 3 106 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (24) 3,865 11,595
- - 36 1,679 -
5 1 32 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (80) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 (40) 210 5,250
- 10 (80) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 720 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (640) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 24 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (80) 122 3,050
- - 7 33 -
200 49 1,215 84 4,116
10 2 64 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (80) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (24) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 7,036 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
31,457,863
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
32,578,380
25 Oktober 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN PER 2
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (1,030)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 236
92 Domperidone 10 mg tab tablet 960
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 184
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 80
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (1,060)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 240
144 Ibuprofen tablet 200 mg tablet 860
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (30)
160 Ketokenazole krim 2 % tube 15 gram 120
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (30)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 40
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (100)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet (90)
200 Metoklopramide tablet 10 mg tablet (100)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 900
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (800)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 30
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (130)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 1,517
236 Parasetamol drops btl 80
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (100)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (30)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (888) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 226 3,410 -
100 - 860 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 164 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 82 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (954) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 236 4,724 28,344
200 114 774 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (27) 2,569 7,707
10 3 113 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (27) 3,865 11,595
- - 36 1,679 -
5 1 36 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (90) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 (65) 210 5,250
- 10 (90) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 810 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (720) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 27 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (105) 122 3,050
- - 7 33 -
200 49 1,366 84 4,116
10 2 72 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (90) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (27) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 7,100 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
HERTINAH, S.T
NIP. 197710122007
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
31,723,691
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
32,844,208
25 November 2017
Penanggung Jawab
Puskesmas Pembantu
HERTINAH, S.Tr.Keb
NIP. 197710122007012004
Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida 120mg
albutamol 2,5 mg ( Combivent UVB )
SALDO PERSEDIAAN PER 2
A OBAT
1 Albendazol suspensi 200 mg/5 ml btl -
2 Albendazol tab 400 mg tablet -
3 Alkohol 70 % 100 ml btl 1
4 ALKOHOL 70 % 1000 ml btl -
5 Alopurinol tab 100 mg tablet 150
6 Alopurinol tab 300 mg tablet -
7 Alprazolam 0,5 mg tab tablet -
8 Ambrokxol sirup btl -
9 Ambroxol tablet 30 mg tablet -
10 Ampisilin 500 mg kap tablet -
11 Aminofilin injeksi 24 mg/ml ampul -
12 Amitriptilin tab 25 mg tablet 100
13 Amlodipin 5 mg tab tablet -
14 Amlodipin 10 mg tab tablet -
15 Amobiotic Drop btl -
16 Amoksisilin kapsul 250 mg kapsul 50
17 Amoksisilin kapsul 500 mg kapsul -
18 Amoksisilin syrup kering 125mg/5ml botol 5 ml 19
19 Amoksisilin serbuk injeksi 1g vial -
20 Ampisilin 500 mg kap kapsul -
21 Ampisilin serbuk injeksi 500 mg/vial vial -
22 Antalgin tablet 500 mg tablet -
23 Antalgin inj ampul -
24 Antasida DOEN I tablet kunyah tablet 100
25 Antasida DOEN II Suspensi Komb btl 60 ml 14
26 Anti bakteri salep komb ( Bacitratin salep) tube -
27 Antifungi DOEN komb salep pot -
28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet -
29 Aqua pro injeksi steril vial -
30 Artemether injeksi 80 mg/ml ampul -
31 Artesunate injeksi vial/ktk -
32 Antithrom Jelly tube -
33 Asam askorbat ( vit c ) tablet 50 mg tablet -
34 Asam Folat tab 1 mg tablet 190
35 Asam mefenamat kap 250 mg kaplet -
36 Asam Mefenamat kaplet 500 mg kaplet -
37 Asetosal tab 100 mg tablet -
38 Asetosal tab 500 mg tablet -
39 Asiklovir krim 5% tube -
40 Asiklovir tab 200 mg tablet 372
41 Asiklovir tab 400 mg tablet -
42 Asonfen tab tablet 200
Antihemoroid, combines: bismut subgalat 150 mg heksaklorofen 2,5 mg
43 supp -
lidokain 10 mg seng oksida 120 mg
44 Atropin sulfat injeksi ampul -
45 Atropin sulfat tab 0,5 mg tablet -
46 Bedak Salisil Serbuk 2 % bks 66
47 Benzatin benzil penisilin 1,2 jt UI inj vial -
48 Benzatin benzil penisilin 2,4 jt UI inj vial -
49 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet -
50 Betahistine Mesilat Tb, 6 Mg tablet -
51 Betametason krim 0,1% tube 10
52 Bexicom tab kapsul -
53 Bisoprolol tablet 5 mg tablet -
54 Bronsolvan Tablet tablet -
55 Brochifar tablet -
56 Bromifhar tablet -
57 Captopril tablet 12,5 mg tablet (14)
58 Captopril tablet 25 mg tablet 90
59 Captopril tablet 50 mg tablet 460
60 Caltrak btl -
61 Cefadroxil tab 500 mg kapsul (210)
62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
63 Cefaleksin kap 500 mg kapsul -
64 Cefixim syrup 100 mg/5 ml btl 30 ml 10
65 Cefixime kap 100 mg kapsul -
66 Cefotaxim 0,5 gr inj vial -
67 Cefotaxim 1 gr inj vial -
68 Ceftriaxon injeksi 1 g vial -
69 Cetrizine tab 10 mg tablet -
70 Ciprofloksasin infs btl 100 ml -
71 Ciprofloxacin 500 mg kapsul 20
72 Cimetidin tablet -
73 Clindamycin 150 mg kap tablet -
74 Clindamycin 300 mg kap tablet -
75 Clobazam 10 mg tablet -
76 Chorpheniramine maleat (CTM) 4 mg tablet (1,172)
77 Cough En Plus btl -
78 Dehaf sachet -
79 Deksametason injeksi 5 mg/ampl ampul 16
80 Deksametason tablet 0,5 mg tablet 710
81 Dekstrometorpan 15 mg tab tablet -
82 Dekstrometorpan syrup btl -
83 Diazepam 2 mg tab tablet -
84 Diazepam injeksi ampul -
85 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
86 Digoksin Tablet 0,25 mg tablet -
87 Diltiazem tab 30 mg tablet -
88 Dietilkarbamazin tab 100 mg tablet -
89 Dimenhidrinat tab tablet -
90 Doksisiklin 100 mg kap tablet 20
91 Domperidon suspensi 5 mg/5 ml btl 60 ml 246
92 Domperidone 10 mg tab tablet 1,060
93 Domperidone drop botol -
94 Dumin Rectal 250 mg supp -
95 Dumin Rectal 125 mg supp -
96 Efedrin 25 mg tab tablet 50
97 Ekstrak beladon 10 mg tab tablet -
98 Epinefrin injeksi ampul 100
99 Erytromicyn 250 mg kapsul -
100 Erythromisin 500 mg kap kapsul -
101 Erytromicyn syrup 200 mg/5 ml btl 60 ml 204
102 Etakridin larutan 0,1 % 300 ml -
103 Famotidin 20 mg tab tablet -
104 Famotidin 40 mg tab tablet -
105 Fenilbutason tab 200 mg tablet -
106 Fenobarbital 30 mg tab tablet -
107 Fenobarbital injeksi 50 mg/ml ampul -
108 Fenol gliserol tetes telinga 10 % btl 5 ml -
109 Ferosulfat tab tablet 200
110 Fitomenadion [Vit.K1] tablet 10 mg tablet -
111 Fitomenadion inj. 10 mg/ml ampul 14
112 Fitomenadion inj. 2 mg/ml ampul -
113 Flukonazol tab 150 mg kapsul -
114 Fludane kapsul kapsul -
115 Fludane Plus tablet -
116 Flutop C Syrup btl -
117 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
118 Furosemid tablet, 40 mg tablet -
119 Fucilex/ natrium fucilat criem tube 100
120 Garam oralit untuk 200 ml air sachet -
121 Genolon krim tube -
122 Gentamisin salep kulit 0,1 % tube 17
123 Gentamisin sulfat tetes mata 0,3 % btl -
124 Gentamycin injeksi ampul -
125 Gentian Violet larutan 1 % btl 10 ml 78
126 Glibenklamida tablet 5 mg tablet -
127 Gliseril btl 470
128 Gliseril Guayakolat ( GG ) 100 mg btl (1,166)
129 Glukosa larutan infus 10 % steril 500 ml/btl -
130 Glukosa larutan infus 40 % steril amp -
131 Glukosa larutan infus 5 % steril 500 ml/btl -
132 Grafula- DHA tab tablet -
133 Griseovulvin tablet 125 mg tablet -
134 Haloperidol 5 mg tab tablet 100
135 Haloperidol tablet 0,5 mg tablet -
136 Haloperidol tablet 1,5 mg tablet -
137 HB -Vit kaplet -
138 Hico Gel tube 9
139 Hidrokortison krim 2,5% tube -
140 Hufabetamin Syrup btl -
141 Hustab tablet -
142 Hustadin Syrup btl 20
143 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 244
144 Ibuprofen tablet 200 mg tablet 946
145 Ibuprofen tablet 400 mg tablet -
146 Imunvit Plus Kap Kaplet -
147 Intibrox tablet -
148 Intibrox Syr botol -
149 Isoniazid tab 100 mg tablet -
150 Isosorbitdinitrat tablet sublingul, 5 mg tablet -
151 Itrakanazol kap 100 mg kaplet -
152 Jovial Sachet sachet -
153 KA EN 1 B btl -
154 KA EN 3 A btl -
155 KA ENMG 3 btl -
156 Kalium diklofenak 50 mg tab tablet -
157 Kalpicillin injeksi amp 170
158 Kalsium laktat 500 mg tab tablet 10
159 Ketokenazole krim 2 % tube 10 gram (33)
160 Ketokenazole krim 2 % tube 15 gram 127
161 Ketokonazol tab 200 mg tablet -
162 Ketoprofen 100 mg tab tablet -
163 Ketoprofen injeksi 100 mg ampul -
164 Ketorolac inj 10 mg ampul -
165 Ketorolac inj 30 mg ampul -
166 Klonidin tab 0,15 mg tablet -
167 Kloramfenikol 250 mg kap kaplet 12
168 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml (33)
169 Kloramfenikol tetes telinga 3 % botol 5 ml 36
170 Kloramfenikol salep mata 1 % botol 5 ml 44
171 Kloroquin 150 mg tab tablet -
172 Klorpromazin tablet 100 mg tablet -
173 Klorpromazin tablet 25 mg tablet -
174 klorpromazine inj 25mg/ml amp -
175 Kodein tablet 10 mg tablet -
176 Kotrimoksazol DOEN I (dewasa) tablet 100
177 Kotrimoksazol DOEN II pediatrik tab tablet 4
178 Kotrimoksazol suspensi btl 60 ml (110)
Kombinasi : Ipratropium bromida inhalasi 0,5 mg Salbutamol 2,5 mg
179 vial -
( Combivent UVB )
180 Kuinin Dihidroklorida inj 25% ampul -
181 Kuinin tab tablet -
182 Levofloksasin tablet 500 mg tablet 13
183 Lidokain injeksi 2 % 2 ml ampul -
184 Linkomisin kap 500 mg kapsul -
185 Loratadin tablet 10 mg tablet -
186 Lotharsone tablet 70
187 Loperamid 2 mg tablet -
188 Magnesium sulfat injeksi (iv) 40 %-25 ml vial -
189 Mebendazol sirup 100 mg/5 ml btl 30 ml 30
190 Mebendazol tab 100 mg tablet -
191 Megatic Emulgel tube -
192 Meloksikam tab 15 mg tablet -
193 Meloksikam tab 7,5 mg tablet -
194 Metformin HCl tablet 500 mg tablet -
195 Metaflu tablet 160
196 Methylergometrin tab 0,125 mg tablet 5
197 Metilergometrin injeksi ampul -
198 Metilprednisolon injeksi 500 mg vial 100
199 Metilprednisolon tablet 4 mg tablet (115)
200 Metoklopramide tablet 10 mg tablet (110)
201 Metronidazol inf btl 100 ml 80
202 Metronidazol tab 250 mg tablet -
203 Metronidazol tab 500 mg tablet 990
204 Meylon 8.4 % vial 12
205 Mikonazol krim 2% tube 9
206 Momethasone furoat krim 0,1 % tube -
207 Mulsanol Drop btl -
208 Mulsanol Syrup btl -
209 Na bikarbonat 500 mg tab tablet 60
210 Nalget Kaptab tablet (880)
211 Natavit Soft Cut kapsul -
212 Natrium Diklofenat tablet 25 mg tablet -
213 Natrium Diklofenat tablet 50 mg tablet 7
214 Natrium klorida larutan infus 0.9 % steril 500 ml/btl -
215 Neurodial kaplet kaplet -
216 Nevirapin tab 200 mg tablet -
217 Nexa injeksi ampul 300
218 Nifedipin tablet 10 mg tablet -
219 Nifedipin tablet 20 mg (Adalat Oros ) tablet -
220 Nistatin Tablet salut gula 500 000 IU/gram tablet -
221 Nistatin vaginal Tablet 100 000 IU/gram tablet -
222 Novakal syrup btl 6
223 OBH sirup btl 33
224 Ofloxacin 200 mg tablet -
225 Ofloxacin 400 mg tablet -
226 Oksitetrasiclin HCl salep mata 1 % tube -
227 Oksitetrasiklin salep kulit 3% tube -
228 Omeprazol kapsul 20 mg kapsul -
229 Ondansentron 4 mg -
230 Osteor plus kaplet -
231 Ostine Kapsul kapsul -
232 Panstonal Forte 500 mg tablet -
233 Papaverin tablet 40 mg tablet (155)
234 Parasetamol tablet 100 mg tablet 7
235 Parasetamol tablet 500 mg tablet 1,668
236 Parasetamol drops btl 88
237 Parasetamol syrup 120 mg / 5 ml - 60 ml -
238 Pethidin injeksi ampul -
239 Perak Sulfadiazin krim 1 % ( BURNAZIN ) tube -
240 Permetrin krim 5 % ( SCABICID Cream) tube -
241 Piracetam injeksi 200 mg/ml-15 ml ampul -
242 Piracetam injeksi 3 g/15 ml ampul -
243 Piracetam tab 400 mg tablet -
244 Piracetam tab 800 mg tablet -
245 Pirantel tablet Score (base )125 mg tablet -
246 Pirantel syrup 125 mg/5 ml btl 60 ml -
247 Piroxicam 20 mg tablet -
248 Pithogin injeksi ampul -
249 Ponflu tablet -
250 Povidon Iodida 10% 1000 ml -
251 Povidon Iodida 10% btl 60 ml 4
252 Povidon Iodida 10% btl 300 ml 7
253 Povidon Iodida 10% btl 30 ml 90
254 Prednison tablet 5 mg tablet -
255 Prenase tab tablet -
256 Pravastatin 20 mg tablet -
257 Primakuin tablet 15 mg tablet -
258 Prokain Benzil Penisilin inj 3 jt UI/Vial vial -
259 Propanolol HCl Tablet 10 mg tablet -
260 Propanolol tab 40 mg tablet -
261 Probiokid sase -
262 Propiltiourasil tablet 100 mg tablet -
263 Quantidex Syr botol 280
264 Quantidex tablet tablet (110)
265 Ranitidin inj 25mg/2 ml ampul -
266 Ranitidin tablet 150 mg tablet -
267 Reagen periksa gol darah Btl -
268 Reagen Gol Darah Anti A botol -
269 Reagen Gol Darah Anti B botol -
270 Reagen Gol Darah Anti D botol -
271 Reagen periksa HB Btl -
272 Reserpin tab 0,10 mg tablet -
273 Reserpin tab 0,25 mg tablet 5
274 Ringer Laktat larutan infus btl 500 ml (33)
275 Risperidon 2 mg tablet -
276 Rivanol larutan 0,1% tablet 80
277 Salbutamol 4 mg tablet (sebagai sulfat) tablet -
278 Salbutamol serb inh 200 mcg/kaps + rotahaler rotahaler -
279 Salbutamol serb inh 200 mcg/kaps + rotahaler tablet -
280 Salbutamol serb inh 200 mcg/kaps btl -
281 Salbutamol cairan ih 0,1 % ( Ventolin Nebules) btl 5
282 Sanvita B sirup btl -
283 Salep 2-4 ppot 20
284 Serum anti tetanus amp -
285 Sianokobalamin (vitamin B 12) injeksi ampul -
286 Sianokobalamin (vitamin B 12)tab 50 mcg tablet -
287 Simvastatin tab 10 mg tablet -
288 Spiramisin tab 500 mg tablet -
289 Stesolid inj ampul -
290 Stesolid rectal tube supp -
291 Stick Asam Urat Nesco btl -
292 Stick Glukosa Nesco btl -
293 Stik Kolesterol Nesco btl -
294 Streptomisin injeksi 1 g/ml vial -
295 Sulfasetamida Natrium TM 15% botol 5 ml -
296 Sulfatdoksin tablet -
297 Sukralfat susp 500 mg/5ml ( Ulsafate Syrup) btl 20
298 Tes Malaria stik 70
299 Tetrasiklin kap 250 mg kapsul -
300 Tetrasiklin kap 500 mg kap 100
301 Thiamin(vit B1) injeksi 100 mg/ml ampul (8)
302 Thiamin (vit B1) tab tablet 344
303 Tramadol injeksi 50 mg/ml ampul -
304 Tramadol kap 50 mg kapsul -
305 Tramadol tab 50 mg tablet -
306 Transamin 500 mg kap kapsul -
307 Triheksifenidil tab 2 mg tablet -
308 Tusalgin syrup btl 180
309 Verorab pkt -
310 Vit B Kompleks tab tablet (380)
311 Vitaplex drop btl -
312 Zinc tab 20 mg tablet -
313 Zink drop btl -
314 Zink Sirup 10 mg btl 100 ml -
315 Zirkum Kid syrup 20 mg btl 60 ml -
B. OBAT GIGI
1 Devitalisasi Pasta btl -
2 Etil klorida btl -
3 Eugenol Cairan btl -
4 Glass Ionomer btl -
5 Kalsium Hidroksi Pasta 2 tube/ktk -
6 Klorfenol kamfer menthol(CHKM) btl -
7 Mummifying pasta btl -
8 Semen seng fosfat set -
9 Temporary stoping fletcher 5,529
Mengetahui,
Kepala UPT Pusksemas
Pangkalan Kasai
GKALAN KASAI
Penyesuaian Saldo
Penerimaan Pengeluaran SALDO per 25 HARGA Jumlah Pengeluaran (Rp) 26
JANUARI 2017 SATUAN JAN - 25 FEB 2017
FEBRUARI FEBRUARI
- - - 4,041 -
- - - 350 -
- - 1 2,575 -
- - - 27,305 -
- - 150 88 -
- - - 215 -
- - - 180 -
- - - 2,598 -
- - - 131 -
- - - 82 -
- - - 4,013 -
- - 100 117 -
- - - 192 -
- - - 341 -
- - - 23,100 -
- - 50 210 -
- - - 270 -
- - 19 2,500 -
- - - 7,766 -
- - - 400 -
- - - 3,150 -
- - - 116 -
- - - 1,400 -
- - 100 74 -
- - 14 2,160 -
- - - 2,641 -
- - - 2,001 -
- - - 142 -
- - - 2,100 -
- - - 23,100 -
- - - 38,999 -
- - - 35,200 -
- - - 100 -
- - 190 50 -
- - - 166 -
- - - 116 -
- - - 122 -
- - - 170 -
- - - 2,260 -
- - 372 239 -
- - - 345 -
- - 200 140 -
- - - 3,200 -
- - - 1,300 -
- - - 77 -
- - 66 1,250 -
- - - 10,290 -
- - - 14,070 -
- - - 43 -
- - - 970 -
- - 10 1,520 -
- - - 1,650 -
- - - 669 -
- - - 250 -
- - - 478 -
- - - 225 -
- - (14) 62 -
- - 90 89 -
- - 460 141 -
- - - 27,500 -
- - (210) 519 -
- - - 5,064 -
- - - 1,100 -
- - 10 9,000 -
- - - 869 -
- - - 5,247 -
- - - 3,150 -
- - - 3,500 -
- - - 186 -
- - - 59,800 -
- - 20 260 -
- - - 120 -
- - - 379 -
- - - 570 -
- - - 900 -
- 142 (1,030) 53 7,526
- - - 23,000 -
- - - 9,167 -
- - 16 1,659 -
- - 710 64 -
- - - 116 -
- - - 3,008 -
- - - 45 -
- - - 4,389 -
- - - 1,107 -
- - - 100 -
- - - 134 -
- - - 143 -
- - - 104 -
- - 20 285 -
10 - 236 3,410 -
100 - 960 170 -
- - - 16,350 -
- - - 16,280 -
- - - 11,660 -
- - 50 54 -
- - - 33 -
- - 100 8,505 -
- - - 497 -
- - - 976 -
20 - 184 7,893 -
- - - 2,283 -
- - - 119 -
- - - 186 -
- - - 102 -
- - - 31 -
- - - 1,890 -
- - - 1,058 -
- - 200 21 -
- - - 666 -
- - 14 3,582 -
5 5 - 3,582 17,910
- - - 23,100 -
- - - 735 -
- - - 880 -
- - - 10,000 -
- - - 1,920 -
- - - 94 -
- - 100 6,555 -
- - - 303 -
- - - 26,400 -
- - 17 1,469 -
- - - 3,353 -
- - - 3,569 -
- 2 80 945 1,890
- - - 58 -
- - 470 5,600 -
- 106 (1,060) 50 5,300
- - - 5,985 -
- - - 2,577 -
- - - 5,460 -
- - - 2,200 -
- - - 230 -
- - 100 100 -
- - - 61 -
- - - 72 -
- - - 2,167 -
- - 9 25,000 -
- - - 2,798 -
- - - 5,900 -
- - - -
- - 20 16,500 -
10 6 240 4,724 28,344
200 114 860 116 13,224
- - - 153 -
- - - 6,500 -
- - - 203 -
- - - 6,200 -
- - - 68 -
- - - 93 -
- - - 1,450 -
- - - 4,180 -
- - - 9,000 -
- - - 10,000 -
- - - 9,625 -
- - - 743 -
- - 170 9,900 -
100 100 10 73 7,300
- 3 (30) 2,569 7,707
10 3 120 4,930 14,790
- - - 310 -
- - - 1,418 -
- - - 2,542 -
- - - 1,697 -
- - - 2,539 -
- - - 214 -
- - 12 262 -
- 3 (30) 3,865 11,595
- - 36 1,679 -
5 1 40 1,600 1,600
- - - 89 -
- - - 153 -
- - - 71 -
- - - 1,103 -
- - - 525 -
- - 100 145 -
- - 4 75 -
- 10 (100) 2,222 22,220
- - - 5,990 -
- - - 6,510 -
- - - 704 -
- - 13 554 -
- - - 879 -
- - - 546 -
- - - 162 -
- - 70 266 -
- - - 92 -
- - - 3,500 -
- - 30 3,711 -
- - - 239 -
- - - 11,500 -
- - - 348 -
- - - 234 -
- - - 115 -
- - 160 220 -
- - 5 127 -
- - - 2,750 -
- - 100 92,990 -
- 25 (90) 210 5,250
- 10 (100) 105 1,050
- - 80 10,250 -
- - - 113 -
100 10 900 164 1,640
- - 12 7,490 -
- - 9 3,000 -
- - - 17,820 -
- - - 18,500 -
- - - 8,500 -
- - 60 15,015 -
- 80 (800) 390 31,200
- - - 90,500 -
- - - 141 -
- - 7 185 -
- - - 4,935 -
- - - 1,260 -
- - - 2,940 -
- - 300 7,370 -
- - - 110 -
- - - 2,999 -
- - - 672 -
- - - 504 -
- - 6 9,498 -
5 2 30 12,500 25,000
- - - 420 -
- - - 680 -
- - - 1,600 -
- - - 1,606 -
- - - 216 -
- - -
- - - 6,325 -
- - - 375 -
- - - 297 -
- 25 (130) 122 3,050
- - 7 33 -
200 49 1,517 84 4,116
10 2 80 5,460 10,920
- - - 1,496 -
- - - 1,523 -
- - - 24,150 -
- - - 11,475 -
- - - 4,200 -
- - - 4,200 -
- - - 194 -
- - - 321 -
- - - 308 -
- - - 8,728 -
- - - 88 -
- - - 4,810 -
- - - 715 -
- - - 38,594 -
- - 4 6,298 -
- - 7 14,771 -
- - 90 2,250 -
- - - 119 -
- - - 864 -
- - - 2,400 -
- - - 205 -
- - - 7,549 -
- - - 79 -
- - - 110 -
- - - 12,100 -
- - - 335 -
- - 280 9,500 -
- 10 (100) 837 8,370
- - - 1,190 -
- - - 126 -
- - - 75,900 -
- - - 100,000 -
- - - 100,000 -
- - - 125,000 -
- - - 52,800 -
- - - 85 -
- - 5 109 -
5 8 (30) 5,460 43,680
- - - 1,038 -
- - 80 -
- - - 62 -
- - - 85 -
- - - 6,160 -
- - - 452 -
- - 5 6,930
- - - 11,550 -
- - 20 2,100 -
- - - 126,000 -
- - - 1,131 -
- - - 60 -
- - - 174 -
- - - 1,574 -
- - - 17,604 -
- - - 12,159 -
- - - 6,800 -
- - - 5,600 -
- - - 28,000 -
- - - 3,832 -
- - - 3,387 -
- - - 544 -
- - 20 13,850 -
- - 70 30,800 -
- - - 154 -
- - 100 312 -
- - (8) 700 -
- - 344 37 -
- - - 2,520 -
- - - 192 -
- - - 17,325 -
- - - 1,936 -
- - - 42 -
- - 180 7,260 -
- - - 420,000 -
- - (380) 110 -
- - - 26,400 -
- - - 497 -
- - - 12,840 -
- - - 15,729 -
- - - 7,770 -
- - - 390,000 -
- - - 125,000 -
- - - 17,500 -
- - - 395,000 -
- - - 242,000 -
- - - 55,000 -
- - - 176,000 -
- - - 93,500 -
- - 5,529 34,000
- - - 826 -
- - 60 826 -
- - (60) 826 -
- - (15) 953 -
- - 11 1,175 -
- - - 197 -
- - 4 4,572 -
- - 3 22,500 -
- - 10 22,500 -
- - 5 8,000 -
- - - 8,000 -
- - - 8,000 -
- - (9) 1,300 -
- - (90) 1,300 -
- - - 1,300 -
- - 3 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 8,085 -
- - - 4,445 -
- - - 4,064 -
- - - 34,000 -
- - - 24,000 -
- - 30 7,900 -
- - - 1,800 -
- - - 3,800 -
- - 5 800 -
- - - 1,100 -
- - - 9,400 -
- - - 16,000 -
- - - 25,000 -
- - 3 130,000 -
- - 10 439 -
- - (30) 439 -
- - 2 33,000 -
- - - 27,830 -
- - - 30,000 -
- - - 3,850 -
- - 1 7,315 -
- - - 21,753 -
- - - 30,030 -
- - 12 15,000 -
- - - 15,000 -
- - - 10,010 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 3,000 -
- - - 2,021 -
- - - 2,224 -
- - - 3,810 -
- - - 1,270 -
- - - 6,059 -
- - - 6,059 -
- - (45) -
780 716 7,164 273,682
Pangkalan Kasai,
Penanggung Jaw
Puskesmas Pemb
SRI MULIANI, Am
NIP. 197501152006
Harga Perolehan
Keterangan
Terakhir
-
-
-
-
-
-
-
-
31,989,519
- 0
49,530 20
(49,530) 0
(14,288) 14
12,925 0
- 0
18,288 4
67,500 3
225,000 3
40,000 0
- 0
- 0
(11,700) 0
(117,000) 75
- 0
24,255 3
- 5
- 8
- 0
- 0
- 8
- 1
- 0
237,000 20
- 0
- 0
4,000 0
- 0
- 7
- 0
- 0
390,000 1
4,389 0
(13,167) 40
66,000 0
- 0
- 0
- 0
7,315 0
- 1
- 0
180,000 5
- 2
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 11
- 0
- 0
1,120,518
33,110,036
25 Januari 2017
Penanggung Jawab
Puskesmas Pembantu