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PERSEDIAAN AWAL PENERIMAAN

Harga Jan Harga Harga


NO NAMA OBAT SATUAN 1-Jan-18 1-Jan-18
18 2017 2016
Barang Rupiah Barang 2017 Rupiah 2017 BARANG

1 Acyclovir tab 200mg TABLET 237 249 0 0 100

2 Acyclovir tab 400mg TABLET 345 349 0 100 34900 200

3 Air Raksa Dental Use BOTOL 0 0 0

Alat Suntik Sekali


4 Pakai 1 ml SET 689.86 0 0 10

Alat Suntik Sekali


5 Pakai 10 ml SET 1155 0 0 40

Alat Suntik Sekali


6 Pakai 3 ml SET 669.8 0 0 500

Alat Suntik Sekali


7 Pakai 5 ml SET 847 847 50 42350 0 50
Albendazol tab 400
8 mg TABLET 338 338 30 10140 0

9 Alkohol Swab Box 10000 10 100000 0

Alopurinol Tablet 100


10 mg TABLET 90 0 0 500

Ambroxol syrup
11 15mg/5ml BOTOL 3780 0 0 50

12 Ambroxol tab 30 mg TABLET 0 0

Aminofilin Injeksi 24
13 mg/ ml AMPUL 3345 3345 0 0 10 33450

Aminofilin Tablet 200


14 mg TABLET 90 0 100 0
Amitriptilin HCL 25
15 mg TABLET 0 0
Amlodipine Tablet
16 10g TABLET 0 0

17 Amlodipine Tablet 5 g TABLET 0 0

18 Amoksisilin 250 mg KAPSUL 195 211 100 21100 0 300

19 Amoksisilin 500 mg TABLET 190 190 0 200 38000 4000

Amoksisilin + Asam
20 Klavulanat TABLET 7150 0 0 90

Amoksisilin Syrup
21 125 mg/ 5 ml BOTOL 2445 0 40 0 120
Ampisilin Kaplet 500
22 mg TABLET 0 0

Ampisillin Serbuk
23 1.000 mg injeksi VIAL 9250 0 0

Antalgin Injeksi 250


24 mg/ ml AMPUL 0 0

Antalgin tab
25 (Metampiron) 500 mg TABLET 244 0 1500 366000

Antasida DOEN I
26 Tablet kunyah TABLET 62 62 0 300 18600 2000

Antasida DOEN II
27 suspensi BOTOL 2025 2,025.00 0 10 20250 100

Anti Bakteri DOEN


28 Salep TUBE 0 0

Anti fungi DOEN


29 Kombinasi POT 4158 0 60 0

Anti Hemoroid Doen


30 Kombinasi SUP 3045 3,045.00 0 5 15225

31 Antihemoroid Kapsul Kapsul 1550 1,550.00 0 30 46500 90

Antimigrain DOEN
32 Kombinasi TABLET 0 0

33 Aqua Proinjeksi Steril VIAL 1,400.00 5 7000 0

Asam Asetil Salisilat


100 mg (Asetosal
34 100 mg) TABLET 116 500 58000 0

Asam Askorbat 50
35 mg TABLET 39 95 300 28500 0 500

Asam Mefenamat
36 500 mg TABLET 100 100 0 100 10000 2000

Asam Traneksamat
37 injeksi Botol 2489 0 0

Atropin Sulfat Injeksi


38 0,25 mg AMPUL 1350 1,672.00 0 10 16720
39 Bekarbon TABLET 0 0

Benzatin B. P. Injek
40 2,4 juta UI VIAL 14500 13,400.00 20 268000 0 20

Betametason Krim
41 0,1 %- 5 mg TUBE 1520 0 1 0 25
Bioplasenton Tule
42 10x10 KOTAK ### 0 1 104000

Bisakodil
43 Suppositoria 10 mg Supp 5800 6,045.00 27 163215 0

Bisakodil
44 Suppositoria 5 mg TUBE 5,670 4,990.00 6 29940 0

45 Bisaprolol tab 5mg TABLET 0 0

46 Bisturi No. 10,15, 20 Buah 3000 0 0

47 Bromhexin Syrup Botol 15000 0 0 18


Bromhexin Tablet 8
48 mg TABLET 180 0 0 300

49 Ca-Glukonas IV 10 % Ampul 0 5 0

Captopril Tablet 25
50 mg TABLET 68 68 0 300 20400 800

Catgut Chromic
51 No.2/0 Sachet 5583.333 5,583.33 0 24 133999.9

Catgut Chromic
52 No.3/0 Sachet 5750.833 5,583.33 0 50 279166.5 24

53 Catgut Plain No.2/0 Sachet 5750.833 0 0

54 Catgut Plain No.3/0 VIAL 5,583.33 0 0 24

Cefadroxil Kapsul
55 500 mg KAPSUL 510 0 0 500

56 Cetirizin Tablet 10mg TABLET 181 100 18100 0

57 Cimetidine 200 mg TABLET 0 0

Clindamycin Kapsul
58 150mg KAPSUL 361 0 0

Clindamycin Kapsul
59 300mg KAPSUL 578 603 0 50 30150 150

Clobazam Tablet 10
60 mg TABLET 900 0 0

61 Clozapin 25 mg TABLET 1,550 0 0 100

62 Codein tablet 20 mg TABLET 0 0

Cyprofloxacin Tablet
63 500 mg TABLET 281 0 0 600

Dehidroartemisin
64 +piperaquin TABLET 0 0

Deksametason
65 Injeksi 5 mg/ ml AMPUL 1500 1,500.00 0 90 135000 100
Deksametason Tablet
66 0,5 mg TABLET 44 0 400 0 300

Devitalisasi Pasa
67 Non Arsen BOTOL 273000 0 0
68 Dextran 6% BOTOL 0 0

Diazepam Injeksi 5
69 mg/ ml- 2 ml AMPUL 4180 3,300.00 18 59400 0

Diazepam Rectal
70 tube 5 mg TUBE 0 0
Diazepam Tablet 2
71 mg TABLET 45 0 400 0
Diazepam Tablet 5
72 mg TABLET 117 0 0 100

Difenhidramin HCL
73 Injeksi AMPUL 1054 1,176.00 0 20 23520 60

74 Digoxin 0,25 mg TABLET 0 0


Domperidon Syrup 5
75 mg Botol 3000 3,000.00 0 10 30000 20

Domperidon Tablet
76 10 mg TABLET 118 167 200 33400 0 200

Doxycilkin 100 mg
77 kapsul KAPSUL 269 269 0 200 53800

78 Efedrin HCL 25 mg TABLET 0 0

Ekstrak Belladone 10
79 mg TABLET 106 0 0

Epinefrin (Adrenalin)
80 injeksi 0,1 % AMPUL 2204 2,204.00 0 8 17632

Eritromisin sirup 200


81 mg/ 5 ml BOTOL 6700 6,700.00 0 10 67000 20

82 Erythromicin 250 mg KAPSUL 566 566 0 200 113200

83 Erythromicin 500 mg KAPSUL 730 0 0 200

Etakridine ( Rivanol )
84 0,1 % BOTOL 2,550.00 1 2550 0

85 Etambutol 500 mg TABLET 451 0 0

86 Etanol 70 % 100 ml BOTOL 2500 2,500.00 22 55000 0 30

87 Etanol 70 % 1000 ml BOTOL 21,500.00 2 43000 0

88 Etil Klorida Semprot BOTOL 137250 0 0 1

89 Eugenol Cairan BOTOL 18100 0 0


Fenilbutazone
90 200mg TABLET 0 0
Fenobarbital Injeksi
91 50 mg/ ml AMPUL 1969 1,800.00 7 12600 0

Fenobarbital Tablet
92 30 mg TABLET 90 100 9000 0

Fenoksimetil
93 Penisilina 250 mg TABLET 350 272 100 27200 0

Fenoksimetil
94 Penisilina 500 mg TABLET 605 605 0 200 121000 300

Fenolgliserol TT 10
95 % 5 ml BOTOL 2500 2,500.00 0 9 22500 24

Fitomenadion Injeksi
96 10 mg/ ml AMPUL 0 0

Fitomenadion Injeksi
97 2 mg/ ml AMPUL 3550 0 0 30

Fitomenadion Salut
98 Gula 10 mg TABLET 695 0 0

99 Fluoksetin 10 mg TABLET 0 0

Folley Catheter No.


100 18 Buah 8000 8,000.00 10 80000 0

Folley Catheter No.


101 20 buah 8000 8,000.00 2 16000 0
Forinokresol (TKF)
102 10 ml BOTOL 0 0

103 Furosemid 40 mg TABLET 78 85 100 8500 0 500

Garam Oralit 200 ml


104 Air SASE 264 264 0 500 132000 300

105 Gentamisin injeksi AMPUL 3399 3,399.00 7 23793 0

Gentamisin Salep
106 Kulit 0.1% TUBE 3050 0 0 12

Gentian Violet
107 Larutan 1 % 10 ml BOTOL 0 5 0

Glass Ionomer
108 Cement ( GC IX ) BOTOL 301000 0 0 1

109 Glibenklamid 5 mg TABLET 90 0 0

Gliseril Guayakolat
110 100 mg TABLET 35 27.9 0 1,000 0 2000

Gliseril Guayakolat
111 Syr Botol 0 0

112 Gliserin Lar. 50 % BOTOL 0 0


Glukosa Larutan
113 Infus 10% Steril BOTOL 7500 5,700.00 10 57000 0

Glukosa Larutan
114 Infus 40% Steril VIAL 14500 0 0

Glukosa Larutan
115 Infus 5% Steril BOTOL 6900 5,200.00 25 130000 0

Griseofulvin 125 mg,


116 micronized TABLET 219 219 600 131400 0 200

117 Haloperidol 0,5mg TABLET 58 58 0 200 11600

118 Haloperidol 1,5 mg TABLET 66 66 0 100 6600

119 Haloperidol 5 mg TABLET 96 0 0 100

Haloperidol injeksi 5
120 mg/ml AMPUL 0 0

Haloperidol injeksi 50
121 mg/ml AMPUL 0 0

122 Hand Sanitizer Botol 22540.54 ### 0 2 44000 2

Hidrogen Peroksida
123 (H2O2) Lar. 3 % BOTOL 4730 0 0

Hidroklorotiazid
124 ( HCT ) 25 mg TABLET 149 0 0

Hidrokortison Krim
125 2,5 % TUBE 2650 2,650.00 0 11 29150 48

Hiosin N Butil
126 Bromida injeksi AMPUL 9900 8,950.00 0 10 89500

Hyoscine N
Butilbromide 10
127 mg(Hiopar) TABLET 1350 0 0 200

128 Ibuprofen 200 mg TABLET 105 0 0

129 Ibuprofen 400 mg TABLET 127 0 0 400

Ibuprofen suspensi
130 200mg/5ml 0 0

131 Infusion Set Anak SET 7920 0 0 20

132 Infusion Set Dewasa SET 6435 0 0 25

Isoniazid 300
133 mg/100mg TABLET 0 0

Isosorbid dinitrat
Tablet Sublingual 5
134 mg TABLET 88 100 8800 0
IV Catheter/abocath
No. 18
135 Buah 10395 0 0

IV Catheter/abocath
No. 20
136 Buah 10395 7,700.00 10 77000 0

IV Catheter/abocath
137 No.22 Buah 10395 0 0 20

IV Catheter/abocath
138 No.24 Buah 10395 0 0 15
139 Kaca Slide 0 0

Kalium
140 Diklofenak(Flamigra) TABLET 0 0

Kalsium Hidroksida
141 Pasta KOTAK 0 0

Kalsium Laktat 500


142 mg TABLET 56 0 0 700

Kapas Pembalut 250


143 mg ROL 24000 0 0 2
Karbamazepin 200
144 mg TABLET 228 0 0

Kasa Kompres 16x16


145 steril KOTAK 7,900.00 10 79000 0

Kasa Pembalut 36
146 mx 80 cm ROL 0 0

Kasa Pembalut
147 Hidrofil 4 m x 10 cm ROL 2300 0 10 0 20

Kasa Pembalut
148 Hidrofil 4 m x 5 cm ROL 1100 0 0

149 Ketokonazol 200 mg TABLET 0 0

150 Ketokonazol Krim 2% TUBE 2545 0 0 25


Kloramfenikol 250
151 mg KAPSUL 570 249 200 49800 0 100

152 Kloramfenikol SM TUBE 0 0

Kloramfenikol TM 0.5
153 % 5 ml BOTOL 0 0

Kloramfenikol TT 3 %
154 5 ml BOTOL 7850 7,850.00 0 8 62800 24

Klorfeniramin Maleat
155 (CTM) 4 mg TABLET 51 42 0 300 12600 1000
Klorfenol kamfer
Mentol(CHKM)
156 Cairan BOTOL 0 0

157 Klorin Cair Lar. 5% BOTOL 0 2 0

Klorpromazine tab
158 100mg TABLET 0 0
Klorpromazine tab
159 25mg TABLET 0 0
Komb :
Pirimetamin+sulfadox
160 in TABLET 0 0

161 Komposit Resin 277100 0 0

Kontrasepsi injek
162 depo/ KB 3 bln vial 0 0
Kontrasepsi Oral (Pil
163 KB) set 2089 0 0

Kontrasepsi Suntik
164 KB I bulan VIAL 5700 0 0 20

Kotrimoksazole
165 Suspensi BOTOL 2140 0 0 100

Kotrimoksazole
166 Tablet Dewasa TABLET 151 151 0 100 15100 100

Larutan Benedict 100


167 ml BOTOL 0 0

Larutan Eosin 2 %
168 100 ml BOTOL 0 0

Larutan Etanol asam


169 100 ml BOTOL 0 0

Larutan Giemsa stain


170 100 ml BOTOL 0 0

171 Larutan Iodine Test BOTOL 0 0

Larutan Karbol
172 Fuksin 100 ml BOTOL 0 0

173 Larutan Metilen Biru BOTOL 0 0


174 Larutan Turk BOTOL 0 0

175 Laxadin Syrup Botol 0 0

176 Levertrans Salep POT 0 0

177 Lidokain Injeksi 2% AMPUL 860 0 0 4

178 Lidokain Jeli 2% Syringe 0 0

Lidokain Komp
179 Injeksi AMPUL 2957.403 1,845.00 0 10 18450 30
180 Lisol BOTOL 43050 ### 0 2 82000

181 Loratadin tab 10mg TABLET 0 0

182 Lubricating Jeli 42588 34,528.00 1 34528 0

Magnesium Sulfat
183 Injeksi 20 % VIAL 2,078.00 11 22858 0

Magnesium Sulfat
184 Injeksi 40 % VIAL 2,629.00 5 13145 0
185 Masker Buah 339.9 339.9 0 0 150
Masker N95 Single
186 valve Buah 0 0

Mebendazol tablet
187 100mg TABLET 210 5 1050 20 0

188 Meloxicam 15mg TABLET 0 0

Metformin HCl Tablet


189 500mg TABLET 112.5 112.5 0 0 300

Metil Prednisolon 4
190 mg TABLET 194 194 0 0 200

Metildopa Tablet
191 Salut 250 mg TABLET 869 869 0 400 0 200

Metilergometrin
192 Maleat Inj. 0,200 AMPUL 2684 2684 0 0 100

Metilergometrin
193 Maleat tab 0,125 mg TABLET 325 325 0 0 200
194 Metisoprinol TABLET 0 0
Metoklopramide 10
195 mg TABLET 110 110 0 0
Metoklopramide
196 Drops BOTOL 5290 5290 0 0 25

Metoklopramide
197 injeksi 5mg/ml AMPUL 0 0

Metoklopramide
198 syrup 5mg/ml bOTOL 2580 2580 0 0 10

199 Metronidazol infus Botol 0 0

200 metronidazol ovula ovula 3850 3,850.00 10 38500 0

201 Metronidazol Supp Supp 3,220 3,220.00 5 16100 0


Metronidazole 250
202 mg TABLET 110 110 1,100 121000 0
Metronidazole 500
203 mg TABLET 133 133 0 0 300

204 Mikonazol krim 2% TUBE 0 0

Mometason Furoat
205 Krim 0.1% TUBE 0 0
206 Multivitamin Syrup Botol 8500 8500 0 0 24

207 Multivitamin tablet Caplet 1175 1175 0 0 200

208 Mummifying Fasta BOTOL 0 0

Narium Tiroksin 100


209 µg TABLET 0 0

Natrium Bikarbonat
210 500 mg TABLET 50 19 500 9500 100 0

Natrium bikarbonat
211 injeksi VIAL 6200 6200 0 0

Natrium Diklofenak
212 50 mg TABLET 200 100 20000 0

213 Natrium Fusidat Krim 0 0

Natrium Klorida Infus


214 0,9 % Steril BOTOL 6410 6,410.00 6410 0 15 96150 20

215 Nipedifin 10 mg TABLET 100 104 100 0 100 10400

Nistatin 100.000 IU/


216 Gram Vaginal TABLET 480 480 5 2400 20 0

217 OAT FDC 1,3 PAKET 359980 359980 0 0

218 OAT Kategori 1 PAKET 0 0

OAT Kategori 2/FDC


219 2 PAKET 0 0

220 OAT Kategori 3 PAKET 0 0

221 OAT Kategori Anak PAKET 214985 214985 0 0

222 OAT Sisipan PAKET 0 0

Obat Batuk Hitam


223 ( OBH ) 100 ml BOTOL 4150 4150 0 0 20

Obat Batuk Pilek


224 Kombinasi Syrup 7500 7,403.00 20 148060 0 24

Obat Batuk Pilek


225 Kombinasi Tablet 0 0

Obat Diare Syrup


(Kombinasi Attapulgit
226 Botol
700mg + Pektin 66
mg per 15 ml)

9300 9300 0 0 20
Obat Diare Tablet
(Kombinasi Attapulgit
700mg + Pektin 50
227 mg) TABLET 0 0

Obat Flu Kombinasi


228 Tablet TABLET 1080 1080 0 0 200

229 Ofloxacin tab 400mg TABLET 553 553 0 300 0

230 Oksigen Kaleng Botol 30000 38,940.00 2 77880 0

Oksimetazolin Tetes
231 Hidung (Iliadin) Botol 27,550 27,550.00 3 82650 0

Oksitetrasiklin HCL
232 Inj 1m 50 mg VIAL 0 0

Oksitetrasiklin HCL
233 SK 1 % 3,5 Gr TUBE 2000 2000 0 0 10

Oksitetrasiklin HCL
234 SM 1 % 3,5 Gr TUBE 0 0

Oksitosin Injeksi 10
235 IU/ ml AMPUL 1,900.00 1900 1900 10 19000 0 100

236 Omeprazol injeksi AMPUL 36,000.00 4 144000 0

Omeprazol Kapsul 20
237 mg Kapsul 160 160 0 0 90

Ondansetron Tablet 4
238 mg Ampul 472 1,650.00 472 0 48 79200

Ondansetron inj 4
239 mg/ 2 mL TABLET 1650 472 1650 0 20 9440

Papaverin 40 mg/ ml
240 injeksi AMPUL 11500 ### 11500 0 10 115000

Parasetamol Drops
241 100 mg/ml BOTOL 5,200 5,200.00 5,200 0 12 62400 20

Parasetamol Syrup
242 120 mg/ ml BOTOL 1074 1074 0 0 50

Parasetamol tablet
243 100 mg TABLET 80 80 0 0 100

Parasetamol tablet
244 500 mg TABLET 49 49 89 700 62300 500 24500 5000

245 Pembalut Gips Rol 0 0

246 Permetrin Krim 5% Tube 12155 12155 0 0 10

Pirantel Pamoat 125


247 mg TABLET 291 291 0 0
248 Pirantel Pamoat sirup BOTOL 8360 8,360.00 5 41800 0
Piridoksin HCL 10
249 mg TABLET 118 118 0 1,000 0 700

250 Piroxicam 20 mg KAPSUL 125 125 0 0 200

Plester 6 Yards x 2
251 Inch ROL 35,532.00 2 71064 0

252 Polikresulen 360 mg BOTOL 17393 17,393.00 1 17393 0

Povidon Iodida 10 %
253 30 ml BOTOL 2900 2900 0 0 8

Povidon Iodida 10 %
254 300 ml BOTOL 18000 18000 0 2 0 2
255 PP test Buah 900 900 0 0 50

256 Prednison 5 mg TABLET 96 96 96 0 200 19200 600


257 Primakuin TABLET 0 0

Prokain Benzil
258 Penisilin 3 jt IU VIAL 7,290.00 5 36450 0

Propiltiourasil tablet
259 100mg TABLET 0 0
Propranolol HCL 40
260 mg TABLET 106 106 50 5300 0
Pyrazinamide 500
261 mg TABLET 198 198 0 0

262 Ranitidin Injek Ampul 1390 1390 0 0 50

Ranitidin tablet
263 150mg TABLET 105 105 0 0 600

264 Reserpin 0,25 mg TABLET 0 0

Retinol (Vit. A)
265 100.000 IU KAPSUL 284 284 0 0

Retinol (Vit. A)
266 200.000 IU KAPSUL 534 534 0 0 300

267 Rifampisin 300 mg KAPSUL 0 0

268 Rifampisin 450 mg KAPSUL 790 790 0 0

269 Rifampisin 600 mg KAPSUL 1100 1100 0 0


Risperidon Tablet 2
270 mg TABLET 1008 1008 0 0

RL Larutan infus
271 Steril 500ml BOTOL 7150 5,200.00 20 104000 0 80

272 Sacharum Lactis kaleng 0 0

273 Salbutamol 2 mg TABLET 59 59 100 5900 0 200


274 Salbutamol 4 mg TABLET 83 83 0 0 100

Salbutamol Cairan Botol


275 inhalasi 0,1 % plastik 4,000 4,000 0 0 5

Salbutamol inhalasi
276 (Ventolin inh) Botol 0 0

277 Salep 2-4 Komb. POT 0 0

Salisil Bedak 2 % 50
278 Gram KOTAK 1250 1250 0 0

Sarung tangan
279 Gynecology Pasang 11000 11000 0 10 0

Sarung tangan No.


280 6.5 Pasang 5000 5000 0 0 20

Sarung Tangan
281 Periksa L Pasang 462 462 0 0 100

Sarung Tangan
282 Periksa M Pasang 462 462 0 0 100

283 Sarung tangan No. 7 Buah 5000 5000 0 0 10

Sarung tangan No.


284 7.5 Buah 5000 5000 0 0 15

Sefiksim syrup kering


285 100mg/5ml BOTOL 6150 6150 0 0 20

286 Sefixime 100 mg TABLET 750 750 0 0 100

Semen Seng Fosfat


287 Serbuk + Cair BOTOL 247170 247170 0 0

Serum ABU Injek. 5


288 ml (ABU I ) VIAL ### 1 468270 0

289 Serum ADS 20.000 iu VIAL 0 0

Serum ATS Injek.


290 1.500 IU AMPUL 126500 ### 1 125235 0

Serum ATS Injek.


291 20.000 IU VIAL 0 0

Sianokobalamin
292 Injeksi 500mcg/ ml AMPUL 1098 1,098.00 1098 0 60 65880 100

Silk( Benang Bedah


293 Sutera) No. 3/0 SACHET 3144.217 3144.2 0 0 24
Silver Amalgam
294 serbuk 65-75 % BOTOL 0 0

295 Simvastatin 10mg TABLET 131 131 169 100 16900 50 6550 60
Stomach Tube No.
296 12 3,718.00 2 7436 0

297 Strip Test Asam Urat Pak 25 ### 1 196900 0

298 Strip Test Glukosa Pak 50 149600 149600 0 2 0

299 Strip Test Kolesterol Pak 10 0 0

Sulfasetamida Na.
300 TM 15 % 5ml BOTOL 8800 8800 0 0 24

Tablet Tambah Darah


301 Dewasa TABLET 350 350 0 0 9819

Tablet Tambah Darah


302 Dewasa 2 TABLET 367 0 500 183500

303 Tabung EDTA 0 0

Temporary Stopping
304 Fletcher SET 0 0

305 Test HIV I (Vikia) Buah 0 0

306 Test HIV II (intec) Buah 0 0

307 Test HIV III (Onco) Buah 0 0

308 Test Siphylis Buah 0 0

Tetrasiklin HCL 250


309 mg KAPSUL 0 0

Tetrasiklin HCL 500


310 mg KAPSUL 310 310 310 0 100 31000
Thiamfenikol kap
311 500mg KAPSUL 920 920 0 0 200

Thiamfenikol Syrup
312 125 mg/5ml BOTOL 5000 5000 0 0 20

Thiamin HCL (Vit.


313 B1 ) Injek.100 mg AMPUL 1140 1140 0 0 30

Thiamin HCL (Vit.


314 B1) 100 mg TABLET 0 1,000 0

Thiamin HCL (Vit.


315 B1) 50 mg TABLET 86 86 0 0
Tramadol tablet
316 50mg TABLET 0 0
317 Trifluoferazin 5 mg TABLET 405 50 20250 0

Trihexyphenidil HCL
318 2 mg KAPSUL 322 50 16100 0

319 Umbilical cord klem Buah 1000 1000 0 0 20

320 Urea Krim 10% TUBE 6400 6400 0 0


321 Urine Bag buah 4290 4290 0 0

Vaksin Anti Rabies


322 Vero VIAL 78500 164030 78500 0 0 16

323 Vitamin B. Komplek Tablet 115 43 115 0 200 8600 900


Vitamin B12 tablet
324 50mg TABLET 0 0

325 Vitamin Neurotropik TABLET 980 980 0 0 100

Wing Needle
326 No.25,27 Buah 1400 1400 0 0

Zink dispersibel
327 tablet 20 mg TABLET 473 473 0 500 0 300

Asetil Sistein
328 Kapsul 200 mg 426 426 426 0 200 85200

329 Gentamisin TM 4000 4,000.00 4000 0 4 16000 24

330 Cetirizin Syrup 2850 2850 0 0 20


331 Mask Tali 726 726 726 0 20 14520 50
Betahistine
332 Maesylate Tablet 149 149 149 0 10 1490 180

Extrak Plasenta dan


333 Neomisin Jeli 15000 15000 0 0

334 Nistatin Suspensi Botol 30000 30000 0 0 5


335 Ichtiol Salep Pot 4950 4,950.00 4950 0 10 49500 10
Flufenazine
decanoat inj
336 25mg/ml Ampul 0 0
3595757 3133343
6729100

6,729,100

persediaan awal jan 18


penerimaan jan 18
pemakaian jan 18
stok akhir jan 18
Lampiran Berita Acara Stok Opname
Puskesmas Kadupandak Kabupaten

PENERIMAAN PEMAKAIAN harga jan 18 ST


1-Jan-18 1-Jan-18 TOTAL (Gabungan Gudang PKM dan Jaringan)
RUPIAH Barang 2016 Rupiah 2016 Barang 2017 Rupiah 2017 Barang Rupiah Barang 2016 Rupiah 2016 Barang 2017

23700 0 0 0 0 0 0 - 100

69000 0 0 100 34900 100 34500 0 - 100

0 0 0 0 0 0 - 0

6898.6 0 0 0 0 10 6898.6 0 - 0

46200 0 0 0 0 40 46200 0 - 0

334900 0 0 0 0 450 301410 0 - 50

42350 50 42,350 0 0 50 42350 0 - 0

0 30 10,140 0 0 0 0 0 - 0

0 10 100,000 0 0 0 0 0 - 0

45000 0 0 0 0 400 36000 0 - 100

189000 0 0 0 0 50 189000 0 - 0

0 0 0 0 0 0 0 0 - 0

0 0 0 10 33450 0 0 0 - 0

0 0 0 100 0 0 0 - 0

0 0 0 0 0 0 - 0

0 0 0 0 0 0 - 0

0 0 0 0 0 0 - 0

58500 100 21,100 0 0 300 58500 0 - 0

760000 0 0 200 38000 3800 722000 0 - 200

643500 0 0 0 0 90 643500 0 - 0

293400 0 0 40 0 120 293400 0 - 0


0 0 0 0 0 0 - 0

0 0 0 0 0 0 - 0

0 0 0 0 0 0 - 0

0 0 0 1500 366000 0 0 - 0

124000 0 0 300 18600 1900 117800 0 - 100

202500 0 0 10 20250 100 202500 0 - 0

0 0 0 0 0 0 - 0

0 0 0 60 0 0 0 - 0

0 0 0 5 15225 0 0 - 0

139500 0 0 30 46500 90 139500 0 - 0

0 0 0 0 0 0 - 0

0 5 7,000 0 0 0 0 - 0

0 500 58,000 0 0 0 0 - 0

19500 300 28,500 0 0 500 19500 0 - 0

200000 0 0 100 10000 1900 190000 0 - 100

0 0 0 0 0 0 - 0

0 0 0 10 16720 0 0 - 0
0 0 0 0 0 0 - 0

290000 20 268,000 0 0 20 290000 0 - 0

38000 0 0 1 0 25 38000 0 - 0
0 0 0 1 104000 0 0 - 0

0 27 163,215 0 0 0 0 - 0

0 6 29,940 0 0 0 - 0

0 0 0 0 0 0 0 - 0

0 0 0 0 0 0 0 - 0

270000 0 0 0 0 18 270000 0 - 0

54000 0 0 0 0 300 54000 0 - 0

0 0 0 5 0 0 0 - 0

54400 0 0 300 20400 700 47600 0 - 100

0 0 0 24 133999.92 0 0 - 0

138020 0 0 50 279166.5 24 138019.9992 0 - 0

0 0 0 0 0 0 0 - 0

133999.9 0 0 0 0 24 133999.92 0 - 0

255000 0 0 0 0 500 255000 0 - 0

0 100 18,100 0 0 0 0 0 - 0

0 0 0 0 0 0 0 0 - 0

0 0 0 0 0 0 0 0 - 0

86700 0 0 50 30150 150 86700 0 - 0

0 0 0 0 0 0 0 0 - 0

155000 0 0 0 0 100 155000 0 - 0

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19388853 3,595,757 3133343.42 19144164.89

#REF!

persediaan awal jan 18 #REF!


penerimaan jan 18
pemakaian jan 18
stok akhir jan 18 194140 244688
50548
Lampiran Berita Acara Stok Opname Obat Januari 2018
Puskesmas Kadupandak Kabupaten Cianjur Tahun 2018

STOK AKHIR PER 31 Januari 2018


dang PKM dan Jaringan) Di Gudang Puskesmas Di Jaringan Puskesmas
Rupiah 2017 Barang 2016 Rupiah 2016 Barang 2017 Rupiah 2017 Barang 2016 Rupiah 2016 Barang 2017 Rupiah 2017

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34500 - - 50 17250 - 50 17250

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9000 - - 50 4500 - 50 4500

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0 0 0
244688 194140 50548
244688

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