DAFTAR PERSEDIAAN OBAT/BHP MEDIS JKN PER 31 DESEMBER 2017

PUSKESMAS TAMAONA

Persediaan Obat/BHP Medis Per 31 Penerimaan Obat/BHP Per 1 Januari s/d Jumlah Total Obat/BHP Medis Total Distribusi Yang Digunakan
no Nama Obat / BHP Medis Desember 2016 31 Desember 2017
vol harga satuan jml vol harga satuan jumlah vol harga satuan jumlah vol harga satuan
1 2 3 4 5 6 Rp - Rp 8 9 Rp - Rp 11 9 Rp -
1 Amoxicillin 500 mg 10 Rp 39,960 Rp 33,996,000 0 Rp - Rp - 10 Rp - Rp - 8 Rp -
2 Antasida 1 Rp 9,000 Rp 9,000 10 Rp 12,500 Rp 125,000 11 Rp 12,500 Rp 137,500 11 Rp 12,500
3 Amlodipin 10 mg 0 Rp - Rp - 20 Rp 13,350 Rp 267,000 20 Rp 13,350 Rp 13,350
4 Amlodipin 5 mg 0 Rp - Rp - 10 Rp 18,750 Rp 187,500 10 Rp 18,750 Rp 18,750
5 Aminophylline Inj. 1 Rp 7,796 Rp 7,796 34 Rp 7,796 Rp 265,064 35 Rp 7,796 Rp 272,860 22 Rp 7,796
6 Aguadest 5 Rp 6,375 Rp 31,875 20 Rp 7,200 Rp 144,000 25 Rp 7,200 Rp 180,000 25 Rp 7,200
7 Asam Mefenamat 0 Rp - Rp - 52 Rp 18,750 Rp 975,000 52 Rp 18,750 Rp 18,750
8 Asam Ascorbat 0 Rp - Rp - 10 Rp 44,400 Rp 444,000 10 Rp 44,400 Rp 44,400
9 Ambroxol 5 Rp 14,400 Rp 72,000 10 Rp 16,500 Rp 165,000 15 Rp 16,500 Rp 247,500 15 Rp 16,500
10 Antiseptic gel 3 Rp 65,000 Rp 195,000 0 Rp - Rp - 3 Rp - Rp - 3 Rp -
11 Antiseptic gel 1 Rp 315,000 Rp 315,000 0 Rp - Rp - 1 Rp - Rp - 1 Rp -
12 Betahistin 0 Rp - Rp - 10 Rp 25,000 Rp 250,000 10 Rp 25,000 Rp 250,000 7 Rp 25,000
13 Blood Lancet 1 Rp 22,800 Rp 22,800 10 Rp 24,000 Rp 240,000 11 Rp 24,000 Rp 264,000 11 Rp 24,000
14 Ciprofloksasin 7 Rp 40,000 Rp 280,000 0 Rp - Rp - 7 Rp - Rp - 7 Rp -
15 Cloranpheniramine maleat tab 5 Rp 23,000 Rp 115,000 0 Rp - Rp - 5 Rp - Rp - 5 Rp -
16 Captopril 12,5 Mg 2 Rp 13,680 Rp 27,360 0 Rp - Rp - 2 Rp - Rp - 2 Rp -
17 Cotrymoxazole Syr 0 Rp - Rp - 40 Rp 4,800 Rp 192,000 40 Rp 4,800 Rp 192,000 40 Rp 4,800
18 Cefotaxime Inj 9 Rp 12,342 Rp 147,078 30 Rp 12,342 Rp 370,260 39 Rp 12,342 Rp 481,338 39 Rp 12,342
19 cat gut 4 Rp 11,500 Rp 46,000 120 Rp 11,250 Rp 1,350,000 124 Rp 11,250 Rp 1,395,000 124 Rp 11,250
20 Cloranphenicol tetes telinga 2 Rp 7,831 Rp 187,944 0 Rp - 2 Rp - 2
21 Cateter 16 6 Rp 12,500 Rp 75,000 0 Rp 12,500 Rp - 6 Rp 12,500 Rp 75,000 6 Rp 12,500
22 Cateter 18 10 Rp 12,500 Rp 125,000 0 Rp 12,500 Rp - 10 Rp 12,500 Rp 125,000 7 Rp 12,500
23 Dexamethasone Inj 0 Rp - Rp - 54 Rp 3,700 Rp 199,800 54 Rp 3,700 Rp 199,800 Rp 3,700
24 Epinfrine inj 6 Rp 9,975 Rp 59,850 0 Rp - 6 Rp - 6
25 Glibenclamid 0 Rp - Rp - 0 Rp 12,500 Rp - - Rp 12,500 Rp - 0 Rp 12,500
26 H2O2 1 Rp - 1 Rp - 1
27 Hcl 0,1 3 Rp - 3 Rp - 3
28 Handscoend S 0 Rp - Rp - 33 Rp 60,000 Rp 2,040,000 33 Rp 60,000 Rp 1,980,000 33 Rp 60,000
29 Handscoend M 0 Rp - Rp - 34 Rp 60,000 Rp 240,000 34 Rp 60,000 Rp 2,040,000 31 Rp 60,000
30 Handscoend L 0 Rp - Rp - 4 Rp 60,000 Rp 240,000 4 Rp 60,000 Rp 240,000 1 Rp 60,000
31 Isosorbit Dinitrate 0 Rp - Rp - 4 Rp 18,750 Rp 75,000 4 Rp 18,750 Rp 75,000 2 Rp 18,750
32 Jelly cateter 1 Rp 33,000 Rp 33,000 0 Rp 33,000 Rp - 1 Rp 33,000 Rp 33,000 0 Rp 33,000
33 Kartu golongan darah 1 Rp 30,000 Rp 30,000 8 Rp 36,000 Rp 288,000 9 Rp 36,000 Rp 324,000 6 Rp 36,000
34 Kertas Puyer Kecil 1 Rp 7,500 Rp 7,500 10 Rp 8,750 Rp 87,500 11 Rp 8,750 Rp 96,250 6 Rp 8,750
35 Kertas Puyer besar 0 Rp - Rp - 22 Rp 19,800 Rp 435,600 22 Rp 19,800 Rp 435,600 15 Rp 19,800
36 kantong sampah 7 Rp 30,000 Rp 210,000 17 Rp 24,840 Rp 422,280 24 Rp 24,840 Rp 596,160 22 Rp 24,840
37 ketoconazole crem 12 Rp 5,878 Rp 70,536 0 Rp 5,878 Rp - 12 Rp 5,878 Rp 70,536 0 Rp 5,878
38 Ketorolac inj 18 Rp 4,114 Rp 74,052 188 Rp 5,700 Rp 1,071,600 206 Rp 5,700 Rp 1,174,200 152 Rp 5,700
39 Kaporit 0 Rp - Rp - 4 Rp 6,000 Rp 24,000 4 Rp 6,000 Rp 24,000 0 Rp 6,000
40 Lidocain Inj 0 Rp - Rp - 100 Rp 1,584 Rp 158,400 100 Rp 1,584 Rp 158,400 100 Rp 1,584
41 Metoclopramide 5 Rp 19,000 Rp 95,000 0 Rp 19,000 Rp - 5 Rp 19,000 Rp 95,000 2 Rp 19,000
42 Metampiron 0 Rp - Rp - 20 Rp 26,125 Rp 522,500 20 Rp 26,125 Rp 522,500 19 Rp 26,125
43 Meloxicam 15 mg 0 Rp - Rp - 10 Rp 40,438 Rp 404,375 10 Rp 40,438 Rp 404,375 10 Rp 40,438
44 Masker 0 Rp - Rp - 22 Rp 48,000 Rp 1,056,000 22 Rp 48,000 Rp 1,056,000 19 Rp 48,000
45 Masker N95 0 Rp - Rp - 7 Rp 18,750 Rp 131,250 7 Rp 18,750 Rp 131,250 5 Rp 18,750
46 Natrium diclofenat 5 Rp 10,000 Rp 50,000 10 Rp 17,000 Rp 170,000 15 Rp 17,000 Rp 255,000 15 Rp 17,000
47 Nifedipin 0 Rp - Rp - 2 Rp 39,120 Rp 78,240 2 Rp 39,120 Rp 78,240 2 Rp 39,120
48 Pot salep 10 0 Rp - Rp - 20 Rp 1,200 Rp 24,000 20 Rp 1,200 10 Rp 1,200
49 Pot Salep 20 5 Rp 2,400 Rp 12,000 0 Rp 2,400 Rp - 5 Rp 2,400 Rp 12,000 5 Rp 2,400
50 Phytomenadion 2 mg 2 Rp 148,500 Rp 297,000 0 Rp 148,500 Rp - 2 Rp 148,500 Rp 297,000 2 Rp 148,500
51 Phytomenadion 10 mg 0 Rp - Rp - 5 Rp 2,957.4167 Rp 14,787 5 Rp 2,957.4167 Rp 14,787 0 Rp 2,957.4167
52 Prednison 1 Rp 103,600 Rp 103,600 2 Rp 125,000 Rp 250,000 3 Rp 125,000 Rp 375,000 3 Rp 125,000
53 Paracetamol tab 0 Rp - Rp - 10 Rp 12,000 Rp 120,000 10 Rp 12,000 Rp 120,000 0 Rp 12,000
54 Plano Test 0 Rp - Rp - 100 Rp 1,875 Rp 187,500 100 Rp 93,750 Rp 9,375,000 3 Rp 93,750
55 Pehacain Inj 0 Rp - Rp - 259 Rp 4,500 Rp 1,165,500 259 Rp 4,500 Rp 1,165,500 259 Rp 4,500
56 Penjepit Tali Pusat 0 Rp - Rp - 4 Rp 144,000 Rp 576,000 4 Rp 144,000 Rp 576,000 4 Rp 144,000
57 Ranitidine 42 Rp 20,000 Rp 84,000 Rp - 42 Rp - 42
58 Ranitidine inj 0 Rp - Rp - 172 Rp 3,250 Rp 559,000 172 Rp 3,250 Rp 559,000 112 Rp 3,250
59 Sotatic inj 0 Rp - Rp - 83 Rp 6,000 Rp 498,000 83 Rp 6,000 Rp 498,000 53 Rp 6,000
60 Simpastatine 10 mg 5 Rp 10,000 Rp 50,000 10 Rp 12,500 Rp 125,000 15 Rp 12,500 Rp 187,500 11 Rp 12,500
61 Strip Hemoglobin 1 Rp 186,000 Rp 186,000 15 Rp 198,000 Rp 2,970,000 16 Rp 198,000 Rp 3,168,000 16 Rp 198,000
62 Strip Protein Urine 1 Rp 250,000 Rp 250,000 1 Rp 137,500 Rp - 2 Rp 137,500 Rp 275,000 2 Rp 137,500
63 Strip Asam urat 4 Rp 114,000 Rp 456,000 4 Rp 125,000 Rp 500,000 8 Rp 125,000 Rp 1,000,000 4 Rp 125,000
64 Strip Gula darah 3 Rp 108,000 Rp 3,324,000 4 Rp 118,750 Rp 475,000 7 Rp 118,750 Rp 831,250 6 Rp 118,750
65 Strip Cholesterol 2 Rp 186,000 Rp 372,000 13 Rp 198,000 Rp 2,574,000 15 Rp 198,000 Rp 2,970,000 15 Rp 198,000
66 Saptocain Inj 0 Rp - Rp - 4 Rp 600,000 Rp 2,400,000 4 Rp 600,000 Rp 2,400,000 4 Rp 600,000
67 Spritus 1 Rp - 1 Rp - 1
68 Silk 12 Rp 115,000 Rp 115,000 12 Rp 168,750 Rp 2,025,000 24 Rp 168,750 Rp 4,050,000 24 Rp 168,750
69 Spoit 0,5 ml 0 Rp - Rp - 7 Rp 198,000 Rp 1,386,000 7 Rp 198,000 Rp 1,386,000 7 Rp 198,000
70 Spoit 1 ml 0 Rp - Rp - 1 Rp 96,000 Rp 96,000 1 Rp 96,000 Rp 96,000
71 Spoit 5 ml 100 Rp 700 Rp 70,000 0 Rp 700 Rp - 100 Rp 700 Rp 70,000 20 Rp 700
72 Spoit 10 ml 0 Rp - Rp - 200 Rp 1,620 Rp 324,000 200 Rp 1,620 Rp 324,000 112 Rp 1,620
73 Nasal Canula Anak 0 Rp - Rp - 10 Rp 11,400 Rp 114,000 10 Rp 11,400 Rp 114,000 10 Rp 11,400
74 Nasal Canula Dewasa 0 Rp - Rp - 8 Rp 11,400 Rp 91,200 8 Rp 11,400 Rp 91,200 8 Rp 11,400
75 Ultrasonic gel 1 Rp 25,000 Rp 53,400 2 Rp 32,500 Rp 65,000 3 Rp 32,500 Rp 97,500 3 Rp 32,500
76 Urin Bag 0 Rp - Rp - 10 Rp 5,227 Rp 52,270 10 Rp 5,227 Rp 52,270 10 Rp 5,227
77 Vitamin B. Comp 0 Rp - Rp - 10 Rp 5,875 Rp 58,750 10 Rp 5,875 Rp 58,750 10 Rp 5,875
78 Vitamin B1 2 Rp 88,000 Rp 176,000 0 Rp 88,000 Rp - 2 Rp 88,000 Rp 176,000 2 Rp 88,000
79 ventolin Nebuliser 1 Rp 47,080 Rp 47,080 0 Rp 47,080 Rp - 1 Rp 47,080 Rp 47,080 1 Rp 47,080
80 Zak obat 4x6 10 Rp 4,700.00 Rp 47,000.00 105 Rp 1,800 Rp 189,000 115 Rp 1,800 Rp 207,000 91 Rp 1,800
81 Zak Obat 5x8 0 Rp 1,512.50 Rp - 24 Rp 2,813 Rp 67,500 24 Rp 2,813 Rp 67,500 17 Rp 2,813
82 Zak Obat 6x10 0 Rp - Rp - 36 Rp 6,000 Rp 216,000 36 Rp 6,000 Rp 216,000 36 Rp 6,000
83 Zak Obat 7x10 0 Rp - Rp - 71 Rp 6,000 Rp 426,000 71 Rp 6,000 Rp 426,000 56 Rp 6,000
84 Zak Obat 8x12 0 Rp - Rp - 21 Rp 5,625 Rp 118,125 21 Rp 5,625 Rp 118,125 12 Rp 5,625
85 Zak Obat 8,7x13 0 Rp - Rp - 36 Rp 6,600 Rp 237,600 36 Rp 6,600 Rp 237,600 36 Rp 6,600
Total Rp 41,925,871.00 Rp 30,524,601 Rp 45,172,571
tribusi Yang Digunakan Sisa Stock Per 31 Desember 2017

jumlah vol harga satuan jumlah ket

Rp 14 0 Rp - Rp - 20
Rp - 2 Rp 39,960 Rp 79,920
Rp 137,500 Rp 12,500 Rp -
Rp 13,350 Rp -
2 Rp 18,750 Rp 37,500
Rp 171,512 13 Rp 7,796 Rp 101,348
Rp 180,000 Rp 7,200 Rp -
Rp 18,750 Rp -
Rp 44,400 Rp -
Rp 247,500 Rp 16,500 Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 175,000 3 Rp 25,000 Rp 75,000
Rp 264,000 Rp 24,000 Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 192,000 Rp 4,800 Rp -
Rp 481,338 Rp 12,342 Rp -
Rp 1,395,000 Rp 11,250 Rp -
Rp - Rp -
Rp 75,000 0 Rp 12,500 Rp -
Rp 87,500 3 Rp 12,500 Rp 37,500
Rp - 22 Rp 3,700 Rp 81,400
Rp - Rp -
Rp - Rp 12,500 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 1,980,000 0 Rp 60,000 Rp -
Rp 1,860,000 3 Rp 60,000 Rp 180,000
Rp 60,000 3 Rp 60,000 Rp 180,000
Rp 37,500 2 Rp 18,750 Rp 37,500
Rp - 1 Rp 33,000 Rp 33,000
Rp 216,000 3 Rp 36,000 Rp 108,000
Rp 52,500 5 Rp 8,750 Rp 43,750
Rp 297,000 7 Rp 19,800 Rp 138,600
Rp 546,480 2 Rp 92,750 Rp 185,500
Rp - 12 Rp 5,878 Rp 70,536
Rp 866,400 54 Rp 5,700 Rp 307,800
Rp - 4 Rp 6,000 Rp 24,000
Rp 158,400 Rp 1,584 Rp -
Rp 38,000 3 Rp 19,000 Rp 57,000
Rp 496,375 1 Rp 26,125 Rp 26,125
Rp 404,375 Rp 40,438 Rp -
Rp 912,000 3 Rp 48,000 Rp 144,000
Rp 93,750 2 Rp 18,750 Rp 37,500
Rp 255,000 Rp 17,000 Rp -
Rp 78,240 Rp 39,120 Rp -
10 Rp 1,200 Rp 12,000
Rp 12,000 0 Rp 2,400 Rp -
Rp 297,000 0 Rp 148,500 Rp -
Rp - 5 Rp 2,957.4167 Rp 14,787
Rp 375,000 Rp 125,000 Rp -
Rp - 10 Rp 12,000 Rp 120,000
Rp 281,250 97 Rp 1,875 Rp 181,875
Rp 1,165,500 Rp 4,500 Rp -
Rp 576,000 Rp 144,000 Rp -
Rp - 0 Rp -
Rp 364,000 60 Rp 3,250 Rp 195,000
Rp 318,000 30 Rp 6,000 Rp 180,000
Rp 137,500 4 Rp 12,500 Rp 50,000
Rp 3,168,000 Rp 198,000 Rp -
Rp 275,000 Rp 137,500 Rp -
Rp 500,000 4 Rp 125,000 Rp 500,000
Rp 712,500 1 Rp 118,750 Rp 118,750
Rp 2,970,000 Rp 198,000 Rp -
Rp 2,400,000 Rp 600,000 Rp -
Rp - Rp -
Rp 4,050,000 Rp 168,750 Rp -
Rp 1,386,000 Rp 198,000 Rp -
1 Rp 96,000 Rp 96,000
Rp 14,000 80 Rp 700 Rp 56,000
Rp 181,440 88 Rp 1,620 Rp 142,560
Rp 114,000 Rp 11,400 Rp -
Rp 91,200 Rp 11,400 Rp -
Rp 97,500 Rp 32,500 Rp -
Rp 52,270 Rp 5,227 Rp -
Rp 58,750 Rp 5,875 Rp -
Rp 176,000 0 Rp 88,000 Rp -
Rp 47,080 0 Rp 47,080 Rp -
Rp 163,800 24 Rp 1,800 Rp 43,200
Rp 47,813 7 Rp 2,813 Rp 19,688
Rp 216,000 0 Rp 6,000 Rp -
Rp 336,000 15 Rp 6,000 Rp 90,000
Rp 67,500 9 Rp 5,625 Rp 50,625
Rp 237,600 0 Rp 6,600 Rp -
Rp 32,647,073 Rp 3,805,839

Tamona, 30 Desember 2017

Kepala Puskesmas Tamona

dr. H. Umar Ali

NIP. 199770512200904 1 001
 PEMERINTAH KABUPATEN GOWA
DINAS KESEHATAN
PUSKESMAS TAMAONA
Jln. Andi Baso Makkumpalle No.10

BERITA ACARA PEMERIKSAAN OBAT/BHP MEDIS

PER 31 DESEMBER 2017

Pada hari sabtu tanggal 30 desember dua ribu tujuh belas telah melaksanakan pemeriksaan obat/BHP
medis yang terdapat pada Puskesmas Tamona sesuai daftar terlampir, dengan perincian
sebagai berikut :

1. Persediaan/stock per 31 Desember 2016 : Rp 34.723.204

2. Penerimaan Tahun 2017 : Rp 122.898.562
3. Distribusi/Penggunaan Tahun 2017 : Rp 158.219.058,03
4. Stock per 31 Desember 2017 : Rp 15.796.123,36

Demikian berita acara stock opname per tiga puluh satu desember tahun dua ribu tujuh belas ini
dibuat untuk dipergunakan sebagaimana mestinya.

Mengetahui Penanggung Jawab Farmasi

Kepala Puskesmas Tamona Puskesmas Tamona

dr. H. Umar Ali Hikmawati, S.Farm

NIP. 199770512200904 1 001