LiMPO 2020 HCSL-Februari

LAPORAN PERSEDIAAN OBAT, REAGEN DAN PERBEKALAN KESEHATAN
PER 31 DESEMBER 2019

INSTALASI GUDANG FARMASI, PUSKESMAS DAN JARINGANNYA
No Kat. Nama Obat Satuan

SD SIA
1 Obat Albendazol sirup 200mg/5 ml Botol 9 88
2 Albendazol tablet 400 mg tablet 263 384
3 Allopurinol 100 mg tablet 1,964 1,502
4 Alprazolam 0,5 mg tablet 910 -
5 Alprazolam 1 mg tablet 1,000 -
6 Ambroxol 30 mg tablet tablet 6,341 2,538
7 Aminofilin inj 24mg/ml-10 ml ampul - -
8 Aminofilin tablet 200 mg tablet 70 -
9 Amitriptilin HCl tablet salut 25 mg tablet 1,009 -
10 Amlodipin 10 mg tablet 1,848 805
11 Amlodipin 5 mg tablet 4,454 505
12 Amoksisilin 250 mg tablet - 3,040
13 Amoksisilin 500 mg tablet 8,841 5,120
14 Amoksisilin 250mg/5ml sirup kering botol 109 25
15 Amoksisilin sirup kering 125 mg/5 ml Botol 146 173
16 Antalgin injeksi 250 mg/ml-2ml ampul - -
17 Antasida DOEN tablet tablet 2,215 280
18 Antasida sirup Botol 174 125
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 107 17
20 Anti Fungi DOEN Kombinasi Pot - -
21 Anti Haemoroid DOEN kombinasi Suppos 41 44
22 Anti Migren (ergotamin caffein) tablet - 100
23 Anti Tuberkulosis anak paket - -
24 Anti Tuberkulosis Kategori I paket 10 6
25 Anti Tuberkulosis Kategori II paket 1 2
26 Aqua pro injeksi steril bebas pirogen vial 119 10
27 Asam Folat 0,4 mg /profolat tablet - -
28 Asam folat 1 mg tablet 1,730 -
29 Asam mefenamat 500 mg tablet 3,909 3,790
30 Asam tranexamat inj 100 mg/ml ampul - -
31 Asam tranexamat inj 50mg/ml ampul 10 -
32 Asam Tranexamat tablet 500 mg tablet 162 -
33 Asam Valproat 500mg / Depakote 500 mg tablet - -
34 Asetosal 80 mg / Miniaspi tablet 290 -
35 Asiklovir Krim 5 % 5 gr Tube 125 66
36 Asiklovir tablet 200 mg tablet 1,403 -
37 Asiklovir tablet 400 mg tablet 1,883 853
38 Atripla tablet 120
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 20 10
40 Attapulgit (Pularex) tablet 1,783 -
41 Azitromisin tab 500 mg tablet 127 -
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl - -
44 Betahistin mesilat tablet 891 555
45 Betametason krim 0,1% Tube 58 64
46 Bioplacenton tube - -
47 Bisacodil (dulcolax) supp suppos 45 50
48 Bisacodil (dulcolax) tab tablet 216 90
49 Bisacodil supp infant 5 mg /Dulcolax Suppos - -
50 Bisoprolol 5 mg tablet 280 -
51 Ca Glukonas ampul 43 -
52 Captopril 12,5mg tablet 1,269 1,055
53 Captopril 25 mg tablet 879 970
54 Cefadroxil tablet 972 700
55 Cefadroxyl syr 125 mg/ml Botol 107 27
56 Cefiksim syr kering 100mg/5ml btl 30ml 139 19
57 Cefixime 100mg tablet 206 80
58 Cefotaxim 1,0 G inj Vial - -
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 55 42
60 Cetirizin 10 mg tablet 540 791
61 Cetirizin syr 5mg/5ml btl 60ml 133 130
62 Ciprofloxacin tablet 500 mg tablet 1,439 1,857
63 Clindamisin 150 mg tablet 878 -
64 Clindamisin 300 mg tablet - -
65 Deksametason injeksi 5 mg/ml-1 ml ampul 80 69
66 Deksametason tablet 0,5 mg tablet 4,372 2,808
67 DHP-Frimal tablet 18 -
68 Diazepam injeksi 5 mg/ml-2 ml ampul 20 2
69 Diazepam rektal 10 mg Suppos 10 -
70 Diazepam rektal 5 mg Suppos 2 -
71 Diazepam tablet 2 mg tablet 517 100
72 Diazepam tablet 5 mg tablet 492 30
73 Dietil karbamazin sitrat tablet 100 mg tablet - -
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul - -
75 Digoksin tablet 0,25 mg tablet - -
76 Diltiazem tablet tablet - -
77 Dimenhidrinat 50 mg tablet - -
78 Doksisilin kapsul tablet 850 500
79 Domperidon 10 mg tablet 455 1,530
80 Domperidon syr Botol 92 100
81 Efedrin HCl tablet 25 mg tablet - -
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 105 7
83 Eritromisin 250 mg tablet - -
84 Eritromisin 500 mg tablet - -
85 Eritromisin sirup kering Botol - 10
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet - -
89 Fenobarbital inj 50 mg/ml - 2 ml ampul - -
90 Fenobarbital tablet 30 mg tablet 500 40
91 Fenolgliserol tetes telinga 10% Botol 114 71
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul - 7
93 Fitomenadion (Vit K1) tablet 10 mg tablet 1,225 924
94 Fitomenadion inj 2 mg/ml ampul 89 57
95 Fluoksetin / Prestine tablet - -
96 Furosemid injeksi ampul - -
97 Furosemid tablet 40 mg tablet 224 -
98 Gabapentin/Alpentin 100 mg kapsul - -
99 Garam Oralit untuk 200 ml bungkus 1,534 546
100 Gentamicin Salep Kulit Tube 2 -
101 Gentamisin inj ampul - -
102 Gentamisin tetes mata botol - -
103 Gentian violet larutan 1% Botol 46 30
104 Glibenklamid tablet 5 mg tablet 1,380 375
105 Glimepirid 1 mg tablet 4,724 160
106 Glimepirid 2 mg tablet 1,570 200
107 Gliseril Guaiakolat tablet 100 mg tablet - -
108 Glukosa 40% ampul - -
109 Glukosa larutan Infus 10% steril fls 26 -
110 Glukosa Larutan Infus 5% steril fls 85 16
111 Griseofulvin tablet 125 mg tablet - -
112 Griseofulvin tablet 500 mg tablet 608 675
113 Haloperidol 5 mg tablet 700 450
114 Haloperidol inj 50mg/ml ampul 12 5
115 Haloperidol tablet 0,5 mg tablet 600 -
116 Haloperidol tablet 1,5 mg tablet 700 520
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet - 876
118 Hidrokortison krim 2,5% Tube 154 41
119 Hiosin HBr Inj 20 mg ampul - -
120 Hiosin N Butil bromida tablet tablet 1,180 520
121 Ibuprofen suspensi 100 mg/5 ml botol 397 54
122 Ibuprofen tablet 200 mg tablet - 470
123 Ibuprofen tablet 400 mg tablet 2,340 1,160
124 Ichtiol salep pot 24 17
125 Isoniazid 100 mg/PPINH 100 mg tablet - 200
126 Isoniazid tablet 300 mg tablet 500 -
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 419 -
128 Kalsium laktat (Kalk) tablet 500 mg tablet 3,105 620
129 Karbamazepin tablet 200 mg tablet - -
130 Ketokonazol krim Tube 50 67
131 Ketokonazol tab tablet 510 730
132 Ketoprofen 100mg tablet - -
133 Ketoprofen Supp suppos 14 -
134 Klopidogrel 75 mg Tablet - -
135 Kloramfenikol kapsul 250 mg tablet - 150
136 Kloramfenikol salep Kulit Tube 85 37
137 Kloramfenikol salep mata 1 % Tube 159 37
138 Kloramfenikol suspensi 125 mg/5 ml Botol - -
139 Kloramfenikol tetes mata Botol 51 -
140 Kloramfenikol tetes telinga 3 % Botol 32 4
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 7,157 2,574
142 Klorpromazin 25mg tablet 1,750 -
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul 5
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul - -
145 Klorpromazin HCl tablet salut 100 mg tablet 880 480
146 Kodein HCl tablet 10 mg tablet 410 -
147 Kolkisin 500 mcg tablet - -
148 Kotrimoksazol suspensi kombinasi Botol 92 87
149 Kotrimoksazol tablet dewasa kombinasi tablet 440 250
150 Lamivudin tablet
151 Lansoprazole tablet - 150
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol - -
154 Lidocain komp.inj. ampul 277 156
155 Lidocain inj. ampul 20 -
156 Loperamid Hcl tablet 573 99
157 Loratadin 10mg tablet 3,500 1,166
158 Magnesium sulfat inj (IV) 20%-25 ml vial - -
159 Magnesium sulfat inj (IV) 40%-25 ml vial 38 -
160 MDT MD Dewasa Paket - -
161 Meloksikam 15 mg tablet 725 1,185
162 Metformin tablet 8,560 560
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 1,512 100
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 96 183
165 Metil Prednisolon 4 mg tablet 1,681 1,680
166 Metil Prednisolon 8mg tablet - -
167 Metildopa 250mg tablet 58 -
168 Metoclopramid 10 gr tablet - 500
169 Metoclopramid injeksi ampul - 10
170 Metronidazol 500 mg tablet 1,280 420
171 Metronidazol supositoria 500 mg suppos - -
172 Metronidazole ovula 500mg ovula 30 -
173 Mikonazol krim Tube 81 71
174 Mineral Mix sachet - -
175 Multivitamin syr Botol 104 75
176 Multivitamin tab tablet - -
177 N-asetil sistein tablet 6,510 2,287
178 Natrium bicarbonat tablet 500 mg tablet - 100
179 Natrium Diklofenak 50 mg tablet 4,507 1,890
180 Natrium klorida larutan infus 0,9% fls 99 25
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 135 -
183 Nistatin suspensi botol 15 -
184 Nistatin tablet salut 500.000 IU tablet 90 40
185 Nistatin tablet vaginal 100.000 IU/g tablet 362 215
186 Oksitetrasiklin HCl salep kulit 3% Tube 50 72
187 Oksitetrasiklin HCl salep mata 1% Tube 149 68
188 Oksitosin inj 10 IU / ml - 1 ml ampul 151 -
189 Omeprazole 20mg tablet - -
190 Pantocain tetes mata btl - -
191 Papaverin tablet 40 mg tablet - 100
192 Parasetamol Drop Botol - 6
193 Parasetamol rektal 125 mg (dumin) suppos 11 4
194 Parasetamol rektal 250 mg (dumin) suppos 10 5
195 Parasetamol sirup 120mg/ml Botol 422 194
196 Parasetamol tablet 100 mg tablet - -
197 Parasetamol tablet 500 mg tablet ### ###
198 Permetrin krim 5% (Scabimite) tube 40 11
199 Petidin inj 50mg/ml ampul - -
200 Piracetam inj 3g/15ml ampul - -
201 Pirantel tablet 125 mg tablet - -
202 Pirasetam 800mg tablet 940 -
203 Piroxicam 10 mg tablet - -
204 Piroxicam 20 mg tablet - -
205 Prednison tablet 5 mg tablet - -
206 Primakuin tablet 15 mg tablet - -
207 Prokain benzil penisilin vial - -
208 Propanolol HCl tablet 10 mg tablet - -
209 Propanolol HCl tablet 40 mg tablet - -
210 Propiltiourasil tablet 100 mg tablet - -
211 Ramipril tablet - -
212 Ranitidin inj. 25mg/ml ampul 116 -
213 Ranitidin tablet 150 mg tablet 4,560 547
214 Risperidon 1 mg tablet - -
215 Risperidon 2 mg tablet 265 -
216 RL larutan infus fls 158 58
217 Salbutamol inhalasi 100 mcq/dosis botol 36 10
218 Salbutamol nebulizer Kotak 4 1
219 Salbutamol tablet 2 mg tablet 1,136 538
220 Salbutamol tablet 4 mg tablet 1,236 300
221 Salep 2-4 kombinasi pot 34 31
222 Salep luka bakar (Levertran) Tube - -
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube - 15
224 Salisil bedak 2% bungkus 70 10
225 Seftriakson Injeksi vial - -
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 1 4
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul - -
229 Simvastatin 10 mg tablet 860 380
230 Spironolacton 25 mg tablet 100 -
231 Sukralfat tablet tablet - -
232 Sukralfat Sirup Botol 54 -
233 Tablet Tambah darah tablet ### ###
234 Tenofovir tablet
235 Tetagam ampul 18 -
236 Tetrasiklin HCL kapsul 500 mg tablet 85 -
237 Thiamfenikol 500 mg tab tablet - 300
238 Tramadol inj ampul - -
239 Trifluoperazin 5mg tablet - -
240 Triheksiphenidil HCl tablet 2 mg tablet 1,220 520
241 Vaksin Rabies Vero Vial 28 -
242 Vitamin A 100.000 IU tablet 50 -
243 Vitamin A 200.000 IU tablet 978 -
244 Vitamin B komplek tablet tablet 7,261 2,483
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 3,894 952
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - 1,149
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul - -
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 990 1,072
249 Vitamin C / Asam askorbat tablet 50 mg tablet 6,617 1,354
250 Zinc syr botol 23 24
251 Zinc tab 20 mg tablet 2,882 860
252 BMHP Abochat (IV Chat) 18 Pcs 77 136
253 & Abochat (IV Chat) 20 Pcs 116 81
254 Reagen Abochat (IV Chat) 22 Pcs - 106
255 Abochat (IV Chat) 24 Pcs 111 74
256 ADS 0,05 ml pcs 454 213
257 ADS 0,5 ml pcs 1,083 1,012
258 ADS 5 ml pcs - 720
259 Alat suntik 10 ml pcs - -
260 Alat suntik 20 ml pcs - -
261 Alat suntik sekali pakai 1 ml Pcs 841 175
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,677 253
263 Alat suntik sekali pakai 5 ml Pcs 1,756 270
264 Alkacid Botol - -
265 Alkohol Swab sachet 1,200 300
266 Amoniak btl/1000 ml - -
267 Aquadest steril liter 16 -
268 Benecheck Cholesterol strip Botol 18 2
269 Benecheck Glucose strip Botol 7 3
270 Benecheck uric strip Botol - -
271 Blood lancet pcs 2,700 200
272 Blue tip box - -
273 Box Slide bok 2 -
274 Cartridge Gen Expert Pcs - -
275 Catgut/benang bedah Chromic 2/0 set 42 5
276 Catgut/benang bedah Chromic 3/0 set 104 -
277 Catgut/benang bedah Plain 2/0 set - 17
278 Catgut/benang bedah Plain 3/0 set 118 68
279 Centrifuse Paket - -
280 Chlorin botol - -
281 Cuticell Classic pcs 5 -
282 DFI Cybow Box 1 2
283 EDTA 10 % Botol - -
284 Etakridin (rivanol) larutan 0,1% Botol 47 6
285 Etanol 100 ml botol. 60 -
286 Etanol 70% Botol 13 15
287 Etanol 96% botol - -
288 Eter Alkohol 5% botol - -
289 Folley Chatether pcs 59 -
290 Food Test - Borak Test Paket - -
291 Food Test - Formalin Test Paket - -
292 Food Test - Rhodamin Test Paket - -
293 Fouchet Botol - -
294 Handscoon psg 4,389 254
295 Handscoon Obgyn psg 44 58
296 Handscoon Steril psg 389 54
297 HCG Strip Pcs 183 -
298 Infusion set anak set 66 19
299 Infusion set dewasa set 92 46
300 Jarum jahit / bedah no. 9 s/d 14 Pcs 12 -
301 Jelly USG btl 9 -
302 Kaca Slide pcs 504 216
303 Kaca Tutup pcs 200 -
304 Kapas pembalut / absorben 250 g roll 25 8
305 Kasa kompres 40/40 steril lbr 33 12
306 Kasa pembalut 2 m x 80 cm roll 76 39
307 Kasa pembalut elastis 3 inchi roll - -
308 Kasa pembalut elastis 4 inchi roll - -
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 46 11
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 16 18
313 Kasa steril 16/16 kotak 213 96
314 Kassa gulung Besar 80cm x 40 m roll 12 5
315 Kertas lakmus biru pack - -
316 Kertas Lakmus merah pack - -
317 Kertas lensa pak - -
318 Kertas pH Universal Kotak - -
319 Kertas saring watchman ktk - -
320 kit gol. Darah A, B, AB set 3 -
321 Kondom pcs 400
322 Labstrip (urinalis) tube - -
323 Larutan Amonium Oksalat 1% Botol - -
324 Larutan Asam Asetat 6 % Botol 3 -
325 Larutan barium klorida Botol 1 -
326 Larutan benedict Botol 1 -
327 Larutan buffer PH 6,1 Botol 1 -
328 Larutan buffer PH 7,2 Botol 1 -
329 Larutan eosin 2% Botol - -
330 Larutan Etanol Asam Botol - -
331 Larutan giemsa stain Botol - -
332 Larutan H2O2 3% Botol 1 L - -
333 Larutan H2O2 3% Botol - -
334 Larutan Hayem Botol - -
335 Larutan HCl 0,1 N Botol 4 -
336 Larutan karbolfuksin Botol - -
337 Larutan metilen biru Botol - -
338 Larutan Na citrat Botol - -
339 Larutan Natrium Hipoklorid Botol/ 500ml 3 -
340 Larutan Ress Ecker Botol/ 100 ml - -
341 Larutan turk Botol - -
342 Larutan Wright Botol - -
343 Lisol Botol 18 -
344 Lubricant pcs 200
345 Mantoux tes vial
346 Masker pcs 2,142 353
347 Masker 3M N95 medikal respirator pcs 110 -
348 Mess pcs 371 100
349 Metanol 100 ml Botol 1 -
350 Metanol 1000 ml botol - -
351 Microlit tips for micropipettes MT-up to 1 ml pack - 1
352 Mikropipet adjustable 100-1000µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol - -
356 NAPZA Kit 6 Parameter pcs - -
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll - -
360 Pembalut gips 4 inch Roll - -
361 Pipet tetes bks/100 pcs - -
362 Planotest pcs - 112
363 Plester 2,5 cmx 4,5 m roll - -
364 Plester 5 yard x 2 inch roll 1 -
365 Plester bulat non woven box 8 36
366 Poli Aid Botol - -
367 Poli Clean Botol 11 -
368 Poliwash botol 500ml - -
369 Pork Test Paket - -
370 Pot Sputum Pcs 141 -
371 Pot Urine Pcs - -
372 Povidon iodida 10% 30 ml Botol 73 -
373 Povidon iodida 10% 300 ml Botol 13 8
374 Povidon iodida 10% 60 ml Botol 27 -
375 Povidon Iodine 1 L Botol - -
376 RDT DBD Verotec Pcs - -
377 RDT DBD Biosen Pcs - -
378 RDT Hepatitis / HBSAG Strip pcs 6 34
379 RDT HIV -Fokus 1/2 casette box/25 - -
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test - -
381 RDT HIV test (R1) SD Pcs 330 12
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test - 1
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box - -
384 RDT Malaria / Malaria test ktk 1 3
385 RDT sifillis Pcs 444 150
386 Reagen dan Bahan alat lab.Malaria paket - -
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit - 1
388 Reagen Fotometer Kimia Klinik Randox Protein total kit - 2
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit - 2
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L - -
391 Reagen hematology analyzer Cointender 20 SFRI diluent 31btl 20 L - -
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml - -
393 Reagen TB kit 3 -
394 Reagen widal H Vial - -
395 Reagen widal O Vial - -
396 Rotator Sifilis Unit - -
397 RPR Sifilis Pcs 25 -
398 Safety box pcs 50 24
399 Silk no.3/0 dengan jarum bedah set 119 94
400 Slang Oksigen Dewasa (Adult) pcs 5
401 Slang Oksigen Dewasa (Neonatus) Pcs 5 5
402 Slang Oksigen Dewasa (Pediatri) Pcs 5 5
403 Smokerlyzer D-Pieces Box - -
404 Smokerlyzer Mouth Pieces Box - -
405 Spritus Botol 1 -
406 Stomach tube FR 12 pcs - -
409 Strip asam urat (UA SURE) Botol - -
410 Strip asam urat Sinocare ktk 6 9
411 Strip GLUCO DR Ktk - -
412 Strip glukosa darah (easy touch) ktk 2 -
413 Strip glukosa On Call ktk 5 3
414 Strip Hb (easy touch) ktk - 1
415 Strip Hb Mission Kotak - -
416 Strip Kolesterol Mission Ultra ktk 7 4
417 Suction cateter No.12 Pcs
420 Tabung non EDTA 3 ml pack 1 -
421 Tabung reaksi tutup pcs - -
422 Thermal paper 4 x 5 -rocheurysis 1100 roll - -
423 Thermal paper SFRI roll - -
424 Tube EDTA Box - -
425 Urin Bag pcs 66 -
426 Vacum Tube EDTA 0,5 ml Bok 5 -
427 Vacutainer sample needle pcs
428 White Tip Bks - -
429 wing needle 21 G pcs - -
433 Xylol Botol 3 -
434 Yellow Tip/Micropipet MT-I 200 ul bks - -
435 Yodiol Test Botol - -
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol - -
437 Devitalisasi Non Arsen botol - -
438 Etil klorida spray Botol 2 -
439 Eugenol cairan Botol - -
440 Glassionomer Cement (GC IX) / GC. Fuji Botol - -
441 Kalsium hidroksida pasta / Calxyl blue kotak - -
442 Klorfenol kamfer menthol (CHKM) Botol - -
443 Lidocain pasta botol - -
444 Needle Carpul ktk - -
445 Occo pembersih karang gigi botol - -
446 Spongestan Hemospon ktk 41 24
447 Temporary stopping fletcher Set - -
448 TKF botol - -
449 Vaksin Vaksin BCG Vial 6 8
450 Imunisasi Vaksin CAMPAK Vial - 4
451 Vaksin DT Vial 33 15
452 Vaksin HbIg Kotak - -
453 Vaksin HB-UNIJECT Vial 46 11
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 12 9
456 Vaksin Meningitis Vial
457 Vaksin MR Vial - -
458 Vaksin PENTABIO Vial 13 -
459 Vaksin POLIO Vial 21 -
460 Vaksin Td Vial 18 24
461 Vaksin TT Vial - -
462 Baru
463
464
465
466
467
468
469
Total
Stok /31 Desember 2019 Puskesmas
SLGO SIT I GM TMP BS PLW TIU KB SIT 2 KOBES SR SL

- - - 32 - 40 - 9 - - 22 17
144 1,892 300 144 1,026 798 50 - - 300 459 482
4,890 1,700 1,250 250 690 480 420 855 1,730 2,015 5,002 4,364
- 562 300 - - 185 - 370 - 500 140 -
112 280 - 70 637 570 285 500 - 500 170 -
5,290 2,591 2,495 472 1,980 769 1,823 4,638 2,725 - 885 3,130
26 70 30 19 - 10 3 4 - - 30 15
- - - 75 - - - - - - - -
50 145 325 - 200 780 440 1,370 215 - 520 480
1,720 2,230 525 460 521 2,645 302 2,320 1,430 1,255 1,401 2,490
775 3,590 300 725 1,010 1,597 340 1,400 1,975 1,430 1,476 2,164
910 2,859 3,653 410 1,055 - 900 2,523 - 1,901 1,820 1,550
1,860 5,615 9,050 2,892 1,530 1,925 2,124 1,105 4,348 8,381 5,125 2,905
60 111 23 60 5 5 19 10
130 126 98 128 78 23 268 137 129 114 171 272
75 - - - - - - - - - - -
1,170 4,380 540 1,104 880 608 1,630 2,911 - 2,970 1,330 560
136 349 201 172 49 - 216 299 220 114 66 119
44 71 102 - 51 40 78 78 58 120 49 57
- 28 - - 45 4 - 47 21 - - 2
80 67 41 25 43 25 21 43 23 36 46 2
100 90 - - - - 100 - - - - -
- - - 2 2 - 1 - 1 - 2 2
1 3 4 4 5 - 1 6 2 4 2 -
- 1 - - 2 - - - - - - 1
10 75 22 36 21 - 13 47 - 13 22 36
- - - - - - - - - - - -
890 350 1,630 110 580 1,280 - 480 - 150 979 635
2,870 3,353 1,970 459 580 68 1,035 4,817 3,430 3,746 2,497 684
- 8 - - - - - 15 - 5 5 -
- - 5 - - - 6 - - 5 - -
230 645 110 110 410 420 120 798 265 590 254 725
- 35 - 100 - 200 - - - - - -
300 140 - - - 380 98 640 70 - 276 655
93 81 65 54 97 - 33 106 24 78 21 123
550 387 - 320 1,438 - - 150 582 565 - 549
915 561 1,289 315 1,611 991 414 1,930 410 700 472 1,845
4 - 2 5 20 82 10 - - 28 42 30
70 1,020 700 207 - - 730 789 50 800 334 294
- - 20 - - - - - - - 6 -
5 5
- - - - - 2 - - - - - -
1,235 1,000 - 160 280 2,703 245 1,830 - 1,100 170 1,540
70 101 12 18 12 64 73 56 42 109 61 22
- - - - - - 1 - - - - -
- 38 12 - 50 - - 23 - 30 38 44
6 90 150 30 - - 48 30 - 130 29 135
- - - - - - - - - - - -
230 440 - 100 - 310 170 - - 200 98 150
- 10 5 - 5 - 10 7 - - 5 10
1,190 860 2,083 505 2,740 3,719 490 1,240 539 2,540 1,225 3,260
890 680 2,533 225 2,390 1,460 514 2,658 2,772 1,780 3,515 2,665
3,010 2,184 495 917 675 2,646 770 1,699 1,110 1,005 615 1,695
25 77 9 23 47 113 70 2 5 68 51 31
48 48 27 - 12 39 61 15 7 48 21 20
1,480 605 37 170 588 1,147 - 130 2 - 2 300
- 73 - 41 - 16 - 22 - - - 34
11 126 4 40 - - 28 39 36 36 1 32
480 2,190 - 149 240 1,045 182 933 200 1,631 841 330
112 11 - - 134 - 38 43 47 122 20 90
925 1,960 1,045 630 970 1,498 150 2,009 1,380 1,673 150 120
480 2,570 - 430 470 960 1,020 499 755 705 140 1,301
- - - - - - - - - - - -
124 40 29 82 - - 112 209 62 122 112 96
5,740 3,570 2,740 3,015 2,160 270 2,732 4,227 5,780 7,651 3,551 2,110
- - - - 27 - - - - - - -
9 3 7 2 15 10 4 53 2 4 2 -
- 7 4 - 5 15 - 5 10 4 14 4
- 5 7 - 5 - - - - 3 3 4
310 624 285 200 200 600 240 830 143 300 687 185
770 - - 157 16 300 201 86 - 320 143 20
- - - - - - - - - - - -
- - - - - - - - - - - -
380 130 - 190 200 522 100 - - - 340 100
- - - - - - - - - - - -
- - - - - - - - - - - -
- - 200 100 - 525 98 - - - - 200
510 - 130 426 1,078 674 1,005 - - - 278 730
75 135 45 48 100 56 178 72 5 111 34 120
- - - - - - - - - - - -
- 15 49 17 5 57 25 118 10 70 65 20
- - - - - - - - - - - -
- - - - - - 90 - - - - -
- 5 - - 12 - 15 - - - 13 -
- - - - - - - - - - - -
- - - - - - - - - - - -
197 525 560 244 - 300 290 - 340 100 100 -
17 60 36 - - 31 52 60 24 49 49 -
- 39 - - 7 - 65 - - - - 9
1,238 734 855 247 715 582 410 1,477 220 567 544 209
60 80 45 58 19 5 65 223 72 56 72 60
- - - - - - - - - - - -
- - - - - - - - - - - -
430 240 180 233 331 520 320 450 138 660 131 1,260
- - - - - - - - - - - -
793 732 575 289 176 100 555 424 204 939 342 138
- 14 - - - - - - - 1 - -
- - - - - - - - - - - -
- - - - - - - - - - - -
21 75 8 13 14 6 20 29 11 24 28 37
780 665 2,114 100 1,470 1,713 355 1,140 - 1,560 1,355 1,800
310 600 - 1,235 220 1,470 1,500 2,285 - - 911 880
800 2,755 1,285 10 280 2,915 635 2,365 1,012 45 200 980
- - - - - - - - - - - -
- 2 - - 4 8 2 - - - 5 -
20 41 - - - - 60 15 17 37 20 -
170 114 33 31 16 80 46 26 10 23 50 53
- - - - - - - - - - - -
1,565 830 1,134 70 1,000 860 200 1,815 - 1,625 313 175
- 600 - - - 216 440 310 170 320 - -
- 5 - 5 - - - - - - 9 -
- 390 - - - - - - 390 - 30 -
108 820 620 381 140 - 170 2,970 650 700 100 -
283 755 361 - - 805 - - - 500 - 1
85 46 30 147 79 54 68 236 85 45 112 30
25 13 - 6 - 50 6 48 - 7 15 7
850 1,035 740 264 - - 430 - - 510 210 2
206 223 127 62 58 116 283 153 54 56 57 125
620 1,550 - - - - - 1,190 - - - -
5,110 8,490 3,317 645 1,545 - 610 1,410 1,960 1,510 3,603 2,949
- 4 23 - 10 - 17 37 9 21 - -
- 620 - - 300 - - - - 300 100 -
- 10 - 440 - - 100 - 100 130 26 -
670 255 - 385 - - 140 644 310 485 270 200
1,840 930 1,850 1,180 250 500 588 170 1,900 - 910 295
- 280 - - - - - 500 - - - -
128 90 50 47 46 50 77 39 65 107 80 58
1,421 540 1,030 365 154 1,205 670 300 - 1,361 384 650
100 100 - - - 420 212 - - 380 666 215
10 160 - 36 - 6 19 57 22 37 62 55
- - - - - - - - - - - -
600 - - - - 650 156 200 - - 80 60
132 54 22 61 21 22 48 7 26 90 39 75
6 33 61 36 24 21 21 67 90 83 113 5
- - - - - - - - - - - -
72 18 47 37 38 54 37 43 5 29 19 -
55 16 14 60 17 25 46 16 20 36 24 6
6,280 4,515 1,957 3,128 300 8,006 5,166 4,490 4,361 7,738 3,348 2,530
- - - - - - - - - - - -
10 5
- - - - - - - - - - - -
130 440 616 250 135 - 324 1,610 217 145 118 -
- 90 - - - - - - - - 290 60
100 - - 20 530 950 389 526 - 240 584 -
193 89 81 10 107 148 114 21 - 78 49 15
1,630 1,355 1,537 100 480 526 692 1,753 1,260 2,537 378 1,124
330 150 - - - - 200 - - - 20 -
- - - - - - - - - - - -
265 205 97 95 129 - 262 175 - 103 123 62
- 30 - - - 30 - 105 46 - - 34
1,420 - 1,040 115 287 324 970 1,415 - 1,865 875 970
1,720 1,925 640 190 866 - 2,180 1,277 109 1,246 2,181 670
- 9 - 4 6 - 8 14 - 14 9 -
6 - 12 - - 13 6 28 5 14 6 12
- - - - - - - 3 - - - -
- 500 - - 290 1,365 - - 325 965 320 130
1,235 2,760 1,120 1,970 400 1,146 345 2,995 2,890 2,520 3,590 2,151
- 820 200 - - 190 1,390 600 568 645 347 -
- 113 100 95 100 20 111 141 129 78 155 85
7,320 1,865 642 505 1,368 3,517 580 3,627 1,184 1,919 1,505 1,575
- - - - - - - - - 60 - -
100 535 - 100 - 80 - - - - 143 110
1,715 880 - 190 2,640 2,500 2,240 510 180 1,445 820 1,340
40 - - 31 - 56 12 - - 40 125 -
490 1,330 579 135 20 302 600 2,610 740 447 451 338
- - - - - - - - - - - -
- - - 15 - 25 11 - - - - -
148 94 86 21 40 61 98 132 60 126 33 37
- - - - - - - 40 - - 40 -
268 116 126 156 429 20 143 251 98 157 199 211
- - - - - - - - - - - -
5,500 4,542 6,070 5,211 1,427 3,524 2,225 2,808 3,838 4,596 3,971 4,302
110 910 - 140 200 200 - 2,182 - 1,894 210 308
5,675 6,280 4,380 3,894 1,120 3,185 2,740 1,858 4,762 750 4,424 4,330
5 79 29 25 36 88 54 72 88 16 50 154
315 105 - 354 108 906 860 471 - - 483 590

20 17 10 18 29 - - 7 - - 16 -
650 100 100 80 200 100 100 - 20 - 100 200
33 65 203 12 144 147 102 134 - - 195 84
115 50 13 - - - 13 150 - 52 - 2
102 92 24 75 45 97 79 174 - 165 95 74
113 103 95 19 68 50 57 115 128 113 204 12
- - 870 - - - - - - - - -
- 2 1 - - - - 2 - - 1 2
670 30 - - 528 - 200 - - 500 - 300
102 31 47 - 6 - 20 - - 27 5 23
4 14 5 2 2 - - 7 4 - 28 17
2 14 16 8 16 15 - 9 13 6 - 27
204 368 170 343 113 45 256 453 163 379 213 218
- - - - - - - - - - - -
### ### 3,636 ### 2,515 6,750 6,173 ### 4,782 7,215 6,921 4,512
19 42 10 15 28 38 11 14 12 50 33 7
- - - - - - - - - - - -
- 14 - 4 - - - 8 4 - - 4
73 - - - - - 190 216 - - - -
- 620 - 245 100 - 330 710 369 200 - -
- - - - - - - - - - - -
720 - - - 500 - 440 - - - 230 -
680 98 505 - - 480 440 810 - 1,020 497 632
- - - - - - - - - - 80 300
- - - - - - - - - - - -
300 30 - - - 275 200 640 - - 185 177
- - - - - - - - - - - -
70 340 - - - 200 285 580 - 500 260 910
- - - - - - - - - - - -
180 291 11 162 103 300 72 238 - 25 95 130
3,270 4,330 900 1,815 340 2,428 480 1,910 2,620 2,554 3,133 2,872
- - - - - - 60 - - - 40 -
114 1,110 220 240 - 360 - 2,000 326 300 140 -
538 473 43 128 115 100 88 985 106 55 84 322
8 21 2 10 8 37 - 23 18 10 - 10
- 4 2 4 1 - 2 1 1 3 - 2
1,490 1,589 1,150 899 196 2,490 513 1,738 - 1,953 2,020 1,640
2,760 120 40 470 300 500 6 3,040 401 1,000 1,457 2,670
11 24 5 16 13 4 29 24 10 - 21 38
- - 2 - - - - - - - - -
- 18 - 5 17 1 5 - 8 18 6 16
25 25 24 - - - 43 37 21 12 4 32
- 14 - - - 10 4 - - - - 12
- 3 - 4 3 6 2 3 7 3 3 7
27 - 2 - - - 4 12 17 20 7 1
1,770 960 465 220 719 670 345 915 560 649 551 500
280 170 200 - - 120 250 290 - - 190 232
- - - - - - - - - 10 - -
10 3 - 100 - 25 40 65 - - - 52
8,360 8,700 8,320 ### 4,220 220 6,300 9,829 - 8,952 ### 460
- - 4 10 10 - - 30 - 3 9 4
100 - - - 200 - 210 - - - - 100
- - - - - - - - - - 100 -
- - - - - - - - - - - -
- - - - - - - - - - - -
140 3,285 80 97 330 10 430 2,408 210 655 880 -
- - - - 4 - - 13 - - 5 -
- 150 - 200 610 - - - - - - 50
- 300 400 700 648 - - - - - 85 50
2,940 3,192 3,255 3,890 1,720 - 3,347 2,966 1,900 7,905 7,713 2,200
3,230 3,372 2,420 810 370 87 970 1,230 5,110 3,100 648 1,200
1,880 1,600 - - 2,600 - - - - 500 - -
- - - - - - - - - - - -
720 1,927 840 745 200 42 820 567 4,272 2,830 1,277 1,940
3,140 2,977 4,807 770 3,503 - 3,294 3,686 5,759 2,750 5,489 2,455
30 82 11 31 14 65 42 - 57 - 11 14
530 3,210 2,235 359 718 90 642 127 - 2,070 1,283 441
151 39 39 26 83 392 142 72 193 115 56 94
227 87 82 56 31 186 106 1 138 36 63 204
168 131 - 34 47 100 100 285 216 148 66 118
140 17 54 50 48 15 87 115 160 100 77 184
108 285 900 471 200 - - 494 - - - 1,100
600 1,607 1,200 670 1,368 500 - 317 - - 600 1,600
- 199 - - 439 500 - 202 - - 400 -
- - - - - - - - - - - -
80 100 - - - - - 45 - - 48 -
99 712 746 472 132 600 259 1,080 295 604 100 782
584 2,199 221 784 898 700 638 1,614 487 1,350 200 1,610
- 611 49 523 - - 471 45 165 743 - 614
- - - - - - - - - - - -
1,355 1,146 - - 1,000 200 100 2,500 - 900 600 950
- - 1 - - - - - - - - -
- 24 - - - - - 62 - - - -
- 16 - - 1 - 9 3 - 13 10 4
- 3 - - 5 18 11 - - 8 - -
- - - - 1 10 - 1 - 1 - -
800 752 700 1,480 400 300 1,100 1,600 - 103 - 1,030
- - - - - - - - - - - -
- 5 2 - - - - 4 - - 7 -
- - - - - - - - - - - -
57 4 2 9 43 - 10 - 23 - 24 45
140 56 19 38 16 22 77 129 70 51 4 47
- - - 12 - - 12 17 24 - - 93
- - - - - - 73 - 24 63 23 83
- - - - - - - - - - - -
3 24 - 20 - - - - - - - -
- 3 6 8 6 - 5 10 7 2 1 8
- 2 - 1 - - - 3 - - 2 -
- - - - - - - - - - - -
25 31 8 10 - - 15 11 12 33 15 8
6 - 3 - - - - - - 1 - -
29 20 6 20 6 - 21 15 13 7 8 25
- 3 - 1 - - - - - - - -
- - - - - - - - - - - -
11 11 - 10 5 6 13 13 17 18 16 10
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
165 2,903 496 1,950 50 100 525 1,820 632 850 650 890
- 53 4 15 10 - - 36 - - 32 22
105 292 167 83 65 100 293 446 428 216 219 107
300 173 - - - - 100 - - 100 - -
59 10 17 12 17 14 19 10 - 44 41 -
446 59 5 87 32 10 82 151 61 52 47 151
- - - - - - - 264 - - - -
6 7 1 4 - - 3 - - 6 3 4
- 435 432 360 72 - 124 648 - 120 504 144
- 165 - - - - - - - 100 - -
29 17 18 4 - - 15 2 5 9 1 5
- 151 - 92 27 - - 91 - - - 80
22 36 2 - 2 - 25 6 7 - - -
- 1 - - 1 - - - - - - 1
- 2 - - 1 - - - - - - 1
170 80 96 1 50
- 16 - - - - 16 - 8 - - 65
118 93 - - 144 - - 92 22 - - -
130 77 25 69 85 4 67 31 66 64 13 79
5 5 7 4 12 - 2 9 - 3 2 -
- - - - - - - - - - - -
1 - - - 1 - - 1 - 1 - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 1 - - - - - - - - - -
- - 2 - - - 1 - - - - -
200 200
- - - - - - - - - - - -
- 1 - - - - - 3 - - - -
- 1 - - - - 1 2 - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 1 - - - - 2 1 - - - -
- - - - - - - 4 - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - 10 - - 1 - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - 3 - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 11 6 1 6 - 4 1 - 8 17 8
100
2
- 2,021 495 1,200 900 - 315 2,200 - 1,850 900 1,470
40 45 - - - - - - - - - -
62 100 116 190 200 - 211 100 80 135 500 -
- 1 - - 1 - - 1 - - - -
- - - - - - - - - - 1 -
- 1 - - - - - 1 - - - -
- - - - - - - - - - - -
- 67 - - - - - - - 250 175 -
4
- - - - - - - 5 - - - -
- 3 - - - - - 5 - - - -
- 4 - - - - - - - - - -
1 - - 35 77 - 63 250 - - 228 -
- - - - - - - - - - - -
- - - - - - - - - - 16 -
- 114 43 83 28 - 48 155 23 18 169 80
- 1 1 1 3 - - 4 - - - -
- 38 - 12 22 8 12 84 8 4 7 21
- - - 12 - - - - - - - -
- - - - - - - - - - - -
- 365 - 160 352 - 150 340 - - 160 -
100 626 - 15 30 - - - - - - -
23 18 - - - 20 9 38 9 20 8 17
27 52 16 11 4 3 13 51 16 15 16 27
34 29 5 - 5 3 10 57 14 - - 18
- - - - - - - - - 13 - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 74 - 30 - - 9 - - 100 3 20
- - - - - - - - - - - -
- - - - - - - - - - - -
- 173 - 130 - - 25 150 - 200 - 100
- - - - - - - - - - - -
- - - - - - - - - - - -
1 - - - - - - - - - - 2
25 67 - 25 - - 131 200 - 200 223 125
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
- 1 - - - - - - - - - -
- 1 - - - - - - - - - -
- 1 - 1 - 2 - 1 - - 1 -
- - - - - - - 1 - - - -
- - - - - - - 1 - - - -
- - - - - - - 1 - - - -
- - - - - - - - - - - -
- 47 74 133 - - 74 100 - - 24 26
62 108 23 3 - 36 9 122 44 161 12 70
65 73 3 10 7 3 5
5 9 7 10 1 12 2 3
5 57 7 9 5 7 1 3
- - - - - - - - - - - -
- 1 - - - - - - - - - -
5 - - - - - 1 3 - 6 - -
- - - - - - - - - - - 5
- - - - - - - - - - - 5
- - - - - - - - - - - 5
- - - - - - - - - - - -
20 16 2 1 6 16 10 13
- 9 - - - - - - - - - -
- - - - - - - - - - - -
3 3 1 3 3 3 3 3 1 3
- - - - - - - - - - - -
- - - - - 9 - 8 - - - 2
4 1 4 4 4 4 4 4
- - - - - - - - - - - -
- 90 - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - - 3 - - - -
- 2 - - - - - - - 1 - -
32 16 5 5 3 9 6 28 6 10 11 5
- 1 - - - - - - - - - -
- - - - - - - - - - - -
- - - - - - 20 - - - - -
- - - - - - 20 - - - - -
- - - - - - - - - - - 5
- - - - - - - - - - - -
- - - - - - - - - - - -
1 - - - - - - - - - - -
- - - 7 1 - - 5 3 - - -
- - - - - - - - - - - -
- 2 - - - - - - - - - -
1 4 - 4 1 - 2 10 - - 1 -
- 3 1 - 1 - - - - 1 1 -
- 1 1 - - - - - - - - -
- - - - - - 1 - - - - -
- 2 - - - - - - - - - -
- - - - - - - - - 1 - -
- 1 - - - - - - - - - -
- 1 - - - - 1 - - - - -
- 5 - 25 29 - - 48 40 20 19 -
- - - - - - 1 - - - - -
- - - - - - 1 - - - - -
9 8 23 - 11 9 11 10 10 9 28 -
- - - - - - - - - - - -
4 38 37 3 5 33 6 15 5 27 1 -
- - - - - - - - - - - -
5 - 23 14 25 40 28 81 11 40 43 2
8 20 4 2 8 11 12 14 13 8 24 -
9 - 12 8 - - - - 19 15 60 -
12 2 22 5 23 - - 21 57 17 44 -
10 3 9 1 22 3 20 34 72 19 46 -
19 34 24 10 16 30 14 58 16 20 28 -
- - - - - - - - - - - -
Sisa/Stok Persediaan per 31 Des 2019
Total Pusk. Rp Pusk. Volume Harga Satuan Jumlah SD SIA

217 911,400 8,337 4,200 35,015,400 37,800 369,600
6,242 2,821,384 27,122 452 12,259,144 118,876 173,568
27,112 2,684,088 68,512 99 6,782,688 194,436 148,698
2,967 261,096 3,467 88 305,096 80,080 -
4,124 494,880 9,824 120 1,178,880 120,000 -
35,677 3,532,023 113,877 99 11,273,823 627,759 251,262
207 577,323 322 2,789 898,058 - -
145 49,445 1,645 341 560,945 23,870 -
5,534 929,712 9,034 168 1,517,712 169,512 -
19,952 1,875,488 38,432 94 3,612,608 173,712 75,670
21,741 1,587,093 54,441 73 3,974,193 325,142 36,865
20,621 4,186,063 67,321 203 13,666,163 - 617,120
60,821 15,205,250 180,821 250 45,205,250 2,210,250 1,280,000
427 1,595,699 547 3,737 2,044,139 407,333 93,425
1,993 8,769,200 7,393 4,400 32,529,200 642,400 761,200
75 275,625 155 3,675 569,625 - -
20,578 1,152,368 96,578 56 5,408,368 124,040 15,680
2,240 4,594,240 6,890 2,051 14,131,390 356,874 256,375
872 7,194,000 2,397 8,250 19,775,250 882,750 140,250
147 693,987 243 4,721 1,147,203 - -
537 1,785,525 1,607 3,325 5,343,275 136,325 146,300
390 70,980 890 182 161,980 - 18,200
10 2,605,260 16 260,526 4,168,416 - -
48 19,622,976 398 408,812 162,707,176 4,088,120 2,452,872
7 9,085,223 13 1,297,889 16,872,557 1,297,889 2,595,778
424 1,212,640 706 2,860 2,019,160 340,340 28,600
- - - - - -
8,814 652,236 8,814 74 652,236 128,020 -
33,208 3,420,424 55,208 103 5,686,424 402,627 390,370
33 64,581 33 1,957 64,581 - -
26 80,600 26 3,100 80,600 31,000 -
4,839 8,148,876 5,639 1,684 9,496,076 272,808 -
335 1,985,880 335 5,928 1,985,880 - -
2,849 282,051 6,149 99 608,751 28,710 -
966 3,187,800 2,291 3,300 7,560,300 412,500 217,800
5,944 1,456,280 10,844 245 2,656,780 343,735 -
14,189 5,661,411 15,189 399 6,060,411 751,317 340,347
120 393,092 120 3,276 393,092 - 393,092
253 389,620 1,153 1,540 1,775,620 30,800 15,400
6,777 1,084,320 6,777 160 1,084,320 285,280 -
153 288,864 153 1,888 288,864 239,776 -
10 145,000 10 14,500 145,000 - -
2 166,380 2 83,190 166,380 - -
11,709 1,287,990 11,709 110 1,287,990 98,010 61,050
762 1,021,080 762 1,340 1,021,080 77,720 85,760
1 17,500 1 17,500 17,500 - -
330 1,947,000 1,330 5,900 7,847,000 265,500 295,000
954 311,958 954 327 311,958 70,632 29,430
- - - - - -
1,978 543,950 4,078 275 1,121,450 77,000 -
95 983,345 173 10,351 1,790,723 445,093 -
22,715 1,453,760 43,115 64 2,759,360 81,216 67,520
23,931 3,685,374 51,231 154 7,889,574 135,366 149,380
18,493 16,273,840 24,493 880 21,553,840 855,360 616,000
655 2,663,230 705 4,066 2,866,530 435,062 109,782
504 8,038,800 1,034 15,950 16,492,300 2,217,050 303,050
4,747 6,788,210 4,747 1,430 6,788,210 294,580 114,400
186 850,206 246 4,571 1,124,466 - -
1,452,000 1,108,800
450 11,880,000 565 26,400 14,916,000
9,552 964,752 9,552 101 964,752 54,540 79,891
880 2,616,240 1,480 2,973 4,400,040 395,409 386,490
15,806 7,823,970 58,106 495 28,762,470 712,305 919,215
10,208 7,441,632 17,508 729 12,763,332 640,062 -
- - - - - -
1,137 1,309,824 3,427 1,152 3,947,904 92,160 79,488
50,726 5,021,874 159,726 99 15,812,874 432,828 277,992
45 90,000 135 2,000 270,000 36,000 -
133 1,596,000 348 12,000 4,176,000 240,000 24,000
78 1,497,054 108 19,193 2,072,844 191,930 -
29 382,858 29 13,202 382,858 26,404 -
5,221 449,006 10,021 86 861,806 44,462 8,600
2,535 276,315 2,535 109 276,315 53,628 3,270
- - - - - -
- - - - - -
1,962 204,048 2,162 104 224,848 - -
- - - - - -
- - - - - -
2,473 675,129 6,173 273 1,685,229 232,050 136,500
6,816 586,176 6,816 86 586,176 39,130 131,580
1,171 3,256,551 2,621 2,781 7,289,001 255,852 278,100
- - - - - -
563 792,704 813 1,408 1,144,704 147,840 9,856
- - - - - -
90 67,590 10,090 751 7,577,590 - -
55 346,665 420 6,303 2,647,260 - 63,030
- - - - - -
- - 2,200 735 1,617,000 - -
- - - - - -
- - - - - -
3,196 527,340 7,196 165 1,187,340 82,500 6,600
563 1,458,170 1,859 2,590 4,814,810 295,260 183,890
127 634,937 127 5,000 634,937 - 34,997
9,947 7,430,409 11,447 747 8,550,909 915,075 690,228
961 3,716,187 1,171 3,867 4,528,257 344,163 220,419
- - - - - -
- - - - - -
5,117 414,477 5,117 81 414,477 18,144 -
- - - - - -
7,347 1,888,179 7,347 257 1,888,179 394,238 140,322
17 39,083 17 2,299 39,083 4,598 -
- - - - - -
- - - - - -
362 1,266,276 638 3,498 2,231,724 160,908 104,940
14,807 1,850,875 21,007 125 2,625,875 172,500 46,875
14,295 2,487,330 25,995 174 4,523,130 821,976 27,840
15,052 3,115,764 15,052 207 3,115,764 324,990 41,400
- - - - - -
21 251,998 31 12,000 371,997 - -
236 1,770,000 376 7,500 2,820,000 195,000 -
753 5,195,700 1,673 6,900 11,543,700 586,500 110,400
- - - - - -
10,870 10,348,240 29,870 952 28,436,240 578,816 642,600
3,206 179,536 5,506 56 308,336 39,200 25,200
36 3,646,800 61 101,300 6,179,300 1,215,600 506,500
1,410 77,550 1,410 55 77,550 33,000 -
7,879 464,861 21,179 59 1,249,561 41,300 30,680
3,581 558,636 6,481 156 1,011,036 - 136,656
1,212 2,999,700 1,692 2,475 4,187,700 381,150 101,475
177 1,769,823 177 9,999 1,769,823 - -
5,741 8,588,536 5,741 1,496 8,588,536 1,765,280 777,920
1,971 5,471,496 13,121 2,776 36,423,896 1,102,072 149,904
3,830 968,990 4,830 253 1,221,990 - 118,910
34,649 11,434,170 184,149 330 60,769,170 772,200 382,800
162 1,052,984 162 6,500 1,052,984 155,998 110,498
1,520 152,000 4,320 100 432,000 - 20,000
1,306 225,938 1,506 173 260,538 86,500 -
3,778 623,370 8,378 165 1,382,370 69,135 -
14,138 834,142 18,138 59 1,070,142 183,195 36,580
780 218,400 2,480 280 694,400 - -
954 2,402,172 2,554 2,518 6,430,972 125,900 168,706
9,320 2,768,040 19,320 297 5,738,040 151,470 216,810
2,093 2,072,070 2,993 990 2,963,070 - -
478 1,137,640 1,728 2,380 4,112,640 33,320 -
- - - - - -
1,896 938,520 3,096 495 1,532,520 - 74,250
719 2,257,660 3,383 3,140 10,622,620 266,900 116,180
756 1,422,036 1,020 1,881 1,918,620 299,079 69,597
- - - - - -
450 2,924,955 8,225 6,500 53,461,678 331,495 -
371 2,783,242 441 7,502 3,308,382 240,064 30,008
61,550 1,538,750 129,550 25 3,238,750 178,925 64,350
1,750 419,650 1,750 240 419,650 419,650 -
- - - -
- - - - - -
5,345 828,475 5,345 155 828,475 136,400 74,400
850 510,000 5,750 600 3,450,000 246,000 -
3,339 9,182,250 3,339 2,750 9,182,250 - -
1,084 2,224,368 1,384 2,052 2,839,968 188,784 178,524
14,062 1,757,750 17,562 125 2,195,250 55,000 31,250
- - 180 1,575 283,500 - -
850 283,900 3,750 334 1,252,500 - 50,100
- - - - - -
- - - - - -
1,949 2,348,545 7,979 1,205 9,614,695 333,785 187,980
265 320,120 265 1,208 320,120 24,160 -
9,953 1,423,279 24,953 143 3,568,279 81,939 14,157
17,670 2,208,750 23,170 125 2,896,250 437,500 145,750
64 204,800 88 3,200 281,600 - -
140 531,440 296 3,796 1,123,616 144,248 -
3 119,640 7 39,880 279,160 - -
5,805 5,746,950 5,805 990 5,746,950 717,750 1,173,150
32,242 3,372,513 82,942 105 8,675,733 895,376 58,576
6,372 1,408,212 6,872 221 1,518,712 334,152 22,100
1,406 4,206,752 4,006 2,992 11,985,952 287,232 547,536
28,968 3,968,616 32,168 137 4,407,016 230,297 230,160
60 18,300 60 305 18,300 - -
1,126 1,118,118 1,126 993 1,118,118 57,594 -
14,960 1,196,800 17,360 80 1,388,800 - 40,000
314 1,305,612 314 4,158 1,305,612 - 41,580
9,742 2,679,050 10,242 275 2,816,550 352,000 115,500
- - - - - -
81 290,790 246 3,590 883,140 107,700 -
1,088 3,900,480 1,232 3,585 4,416,720 290,385 254,535
80 249,280 1,960 3,116 6,107,360 - -
2,353 10,588,500 4,003 4,500 18,013,500 468,000 337,500
- - - - - -
56,811 20,281,527 65,811 357 23,494,527 2,324,070 816,459
6,254 412,764 12,554 66 828,564 - 6,600
49,795 6,323,965 82,595 127 10,489,565 572,389 240,030
820 5,256,200 1,180 6,410 7,563,800 634,590 160,250
- - 180 3,058 550,440 - -
4,327 571,164 7,627 132 1,006,764 17,820 -
132 4,617,360 232 34,980 8,115,360 524,700 -
1,780 1,477,400 1,880 830 1,560,400 74,700 33,200
1,696 970,112 3,196 572 1,828,112 207,064 122,980
517 1,990,450 597 3,850 2,298,450 192,500 277,200
1,239 3,221,400 5,489 2,600 14,271,400 387,400 176,800
1,228 2,333,200 1,428 1,900 2,713,200 286,900 -
870 142,680 29,670 164 4,865,880 - -
8 119,944 46 14,993 689,678 - -
2,328 814,334 11,828 350 4,137,434 - 34,980
267 1,863,927 267 6,981 1,863,927 - 41,886
98 1,665,510 288 16,995 4,894,560 186,945 67,980
141 2,509,800 166 17,800 2,954,800 178,000 89,000
3,541 3,930,510 33,541 1,110 37,230,510 468,420 215,340
- - - - - -
133,551 7,478,856 522,351 56 29,251,656 1,146,040 719,320
330 3,902,250 420 11,825 4,966,500 473,000 130,075
- - - - - -
34 407,660 74 11,990 887,260 - -
479 144,658 10,079 302 3,043,858 - -
3,514 2,810,146 3,764 800 3,010,071 751,718 -
- - - - - -
1,890 228,690 18,390 121 2,225,190 - -
5,162 371,664 10,062 72 724,464 - -
380 96,140 580 253 146,740 - -
- - - - - -
1,807 102,999 1,807 57 102,999 - -
- - - - - -
3,145 1,418,395 14,045 451 6,334,295 - -
- - - - - -
1,723 1,990,065 18,023 1,155 20,816,565 133,980 -
31,759 5,240,235 138,259 165 22,812,735 752,400 90,255
100 22,800 1,800 228 410,400 - -
5,075 1,385,475 8,975 273 2,450,175 72,345 -
3,253 23,258,950 9,853 7,150 70,448,950 1,129,700 414,700
193 6,093,203 633 31,571 19,984,443 1,136,556 315,710
25 4,799,988 32 192,000 6,143,984 767,998 192,000
17,352 1,093,176 20,152 63 1,269,576 71,568 33,894
14,300 1,058,200 22,800 74 1,687,200 91,464 22,200
260 715,780 260 2,753 715,780 93,602 85,343
2 12,200 2 6,100 12,200 - -
109 2,256,300 129 20,700 2,670,300 - 310,500
303 966,570 873 3,190 2,784,870 223,300 31,900
40 199,920 40 4,998 199,920 - -
46 22,079,816 54 479,996 25,919,784 479,996 1,919,984
- - 7 1,608,255 11,257,785 - -
90 11,789,910 350 130,999 45,849,650 - -
9,564 1,052,040 9,714 110 1,068,540 94,600 41,800
1,832 357,240 1,832 195 357,240 19,500 -
10 2,960 10 296 2,960 - -
349 2,439,161 649 6,989 4,535,861 377,406 -
130,846 48,674,712 808,546 372 300,779,112 4,008,300 10,531,320
- - 90 8,845 796,050 - -
88 15,558,400 148 176,800 26,166,400 3,182,400 -
695 221,705 3,595 319 1,146,805 27,115 -
400 396,000 400 990 396,000 - 297,000
- - - - - -
- - - - - -
10,265 893,055 22,365 87 1,945,755 106,140 45,240
50 8,250,000 442 165,000 72,930,000 4,620,000 -
1,060 322,240 15,560 304 4,730,240 15,200 -
3,161 1,719,584 66,311 544 36,073,184 532,032 -
50,772 6,244,956 73,772 123 9,073,956 893,103 305,409
27,393 2,355,798 51,593 86 4,436,998 334,884 81,872
7,729 363,263 9,229 47 433,763 - 54,003
- - - - - -
18,242 2,413,417 36,542 132 4,834,507 130,977 141,826
46,601 5,126,110 99,601 110 10,956,110 727,870 148,940
404 1,261,288 404 3,122 1,261,288 71,806 74,928
15,447 8,511,297 26,447 551 14,572,297 1,587,982 473,860
1,615 10,126,050 2,715 6,270 17,023,050 482,790 852,720
1,414 8,865,780 1,414 6,270 8,865,780 727,320 507,870
1,519 9,524,130 3,219 6,270 20,183,130 - 664,620
1,232 9,621,920 2,182 7,810 17,041,420 866,910 577,940
4,225 5,881,200 8,325 1,392 11,588,400 631,968 296,496
10,557 11,516,737 135,357 1,091 147,662,305 1,181,456 1,104,001
2,460 4,194,300 8,160 1,705 13,912,800 - 1,227,600
- - - - - -
273 840,840 273 3,080 840,840 - -
6,897 6,069,360 10,397 880 9,149,360 740,080 154,000
13,215 11,814,210 41,415 894 37,025,010 1,499,238 226,182
5,247 4,947,921 15,947 943 15,038,021 1,655,908 254,610
- - 7 2,837,835 19,864,845 - -
10,251 1,209,618 37,551 118 4,431,018 141,600 35,400
1 71,999 6 71,999 431,996 - -
102 353,430 102 3,465 353,430 55,440 -
76 19,383,637 76 255,048 19,383,637 4,590,861 510,096
55 9,247,700 55 168,140 9,247,700 1,176,980 504,420
13 2,010,775 105 154,675 16,240,875 - -
11,165 2,132,515 52,565 191 10,039,915 515,700 38,200
- - - - - -
20 1,659,600 21 82,980 1,742,580 165,960 -
- - 550 190,741 104,907,754 - -
264 13,754,463 672 52,100 35,011,361 2,188,210 260,501
773 36,876,738 1,313 47,706 62,637,978 4,961,424 -
175 6,146,875 391 35,125 13,733,875 - 597,125
452 21,009,417 596 46,481 27,702,682 5,484,759 3,160,709
- - 2 8,370,000 16,740,000 - -
47 2,819,977 585 60,000 35,099,708 - -
61 896,029 81 14,689 1,189,809 73,445 -
11 1,580,700 15 143,700 2,155,500 143,700 287,400
- - - - - -
221 762,450 310 3,450 1,069,500 162,150 20,700
70 482,944 88 6,899 607,130 413,952 -
198 13,721,400 342 69,300 23,700,600 900,900 1,039,500
4 380,000 27 95,000 2,565,000 - -
- - 18 93,999 1,691,989 - -
189 1,930,068 435 10,212 4,442,220 602,508 -
- - 2 349,998 699,996 - -
- - 2 349,998 699,996 - -
- - 2 449,900 899,800 - -
- - 2 211,750 423,500 - -
15,674 15,517,260 99,424 990 98,429,760 4,345,110 251,460
274 5,835,104 714 21,296 15,205,344 937,024 1,235,168
2,964 20,134,007 6,764 6,793 45,946,837 2,642,419 366,814
856 1,437,541 2,656 1,679 4,460,407 307,325 -
328 2,994,640 398 9,130 3,633,740 602,580 173,470
1,321 7,408,630 2,946 5,608 16,522,199 515,968 257,984
276 603,888 276 2,188 603,888 26,256 -
43 622,279 82 14,472 1,186,671 130,244 -
3,559 1,091,872 13,423 307 4,118,065 154,623 66,267
465 64,170 50,265 138 6,936,570 27,600 -
138 4,373,772 505 31,694 16,005,470 792,350 253,552
486 855,360 1,353 1,760 2,381,280 58,080 21,120
215 2,434,218 622 11,322 7,042,249 860,468 441,556
3 48,000 3 16,000 48,000 - -
4 80,000 6 20,000 120,000 - -
397 1,035,614 697 2,609 1,818,194 - -
- - 500 1,178 588,800 - -
162 401,760 162 2,480 401,760 114,080 27,280
503 590,522 503 1,174 590,522 18,784 21,132
1,019 8,299,144 1,319 8,144 10,742,464 1,734,757 781,862
66 10,937,520 156 165,720 25,852,320 1,988,640 828,600
- - - - - -
4 342,224 4 85,556 342,224 - -
- - 8 17,999 143,994 - -
- - 19 144,000 2,736,000 - -
1 430,000 4 430,000 1,720,000 - -
6 1,317,840 20 219,640 4,392,800 658,920 -
800 286,400 800 358 286,400 - 143,200
- - 5 349,998 1,749,990 - -
4 359,999 10 90,000 899,998 - -
7 210,000 69 30,000 2,070,000 90,000 -
1 34,200 1 34,200 34,200 34,200 -
1 19,950 1 19,950 19,950 19,950 -
5 493,335 11 98,667 1,085,337 98,667 -
5 288,750 5 57,750 288,750 57,750 -
- - - - - -
- - 1 90,000 90,000 - -
- - - - - -
- - - - - -
11 44,990 11 4,090 44,990 - -
- - - - - -
4 99,960 4 24,990 99,960 99,960 -
- - - - - -
- - - - - -
3 81,000 6 27,000 162,000 - -
3 941,100 3 313,700 941,100 941,100 -
- - - - - -
- - - - - -
- - - - - -
80 3,772,000 245 47,150 11,551,750 848,700 -
300 145,800 300 486 145,800 - 97,200
2 1,251,800 7 625,900 4,381,300 - -
13,846 9,362,665 25,396 676 17,172,775 1,448,420 238,699
195 2,889,861 495 14,820 7,335,801 1,630,178 -
2,165 6,819,750 4,365 3,150 13,749,750 1,168,650 315,000
4 200,000 24 50,000 1,200,000 50,000 -
1 33,000 5 33,000 165,000 - -
3 714,300 36 238,100 8,571,600 - 238,100
- - 15 3,743,693 56,155,399 - -
- - 20 3,743,693 74,873,866 - -
1 24,100,000 24,100,000 - -
- - - 367,650 - - -
492 44,279,902 492 90,000 44,279,902 - -
4 3,208,900 40 802,225 32,089,000 - -
- - - - - -
5 123,375 5 24,675 123,375 - -
8 273,000 12 34,125 409,500 - -
4 264,000 24 66,000 1,584,000 - -
766 1,485,274 766 1,939 1,485,274 - 217,168
- - - - - -
17 604,044 17 35,532 604,044 35,532 -
805 27,273,400 2,905 33,880 98,421,400 271,040 1,219,680
10 6,016,770 32 601,677 19,253,664 - -
227 17,637,446 521 77,698 40,480,658 854,678 -
12 756,648 12 63,054 756,648 - -
- - 50 73,750 3,687,500 - -
1,668 3,968,172 47,068 2,379 111,974,772 335,439 -
771 2,028,501 2,371 2,631 6,238,101 - -
235 783,725 305 3,335 1,017,175 243,455 -
272 5,630,400 492 20,700 10,184,400 269,100 165,600
202 4,825,780 322 23,890 7,692,580 645,030 -
13 1,941,082 51 149,314 7,615,014 - -
- - - - - -
- - - - - -
276 2,726,328 676 9,878 6,677,528 59,268 335,852
- - - - - -
- - - - - -
1,120 13,412,000 2,370 11,975 28,380,750 3,951,750 143,700
1 487,000 2 487,000 974,000 - 487,000
- - - - - -
7 1,133,300 16 161,900 2,590,400 161,900 485,700
1,590 32,436,000 2,915 20,400 59,466,000 9,057,600 3,060,000
- - 4 1,306,996 5,227,984 - -
1 1,575,000 2 1,575,000 3,150,000 - 1,575,000
2 1,773,999 2 886,999 1,773,999 - 1,773,999
2 3,271,998 2 1,635,999 3,271,998 - 3,271,998
2 6,079,999 2 3,040,000 6,079,999 - -
1 1,100,000 1 1,100,000 1,100,000 - -
1 2,500,000 1 2,500,000 2,500,000 - -
9 2,223,000 46 247,000 11,362,000 741,000 -
1 81,285 1 81,285 81,285 - -
1 81,285 1 81,285 81,285 - -
1 3,885,000 2 3,885,000 7,770,000 - -
25 100,000 25 4,000 100,000 100,000 -
552 11,868,000 1,489 21,500 32,013,500 1,075,000 516,000
863 40,312,456 863 46,712 40,312,456 5,558,728 4,390,928
171 1,149,120 481 6,720 3,232,320 - 33,600
59 478,077 464 8,103 3,759,792 40,515 40,515
104 698,880 459 6,720 3,084,480 33,600 33,600
- - - - - -
1 1,166,576 1 1,166,576 1,166,576 - -
16 480,000 64 30,000 1,920,000 30,000 -
5 50,050 75 10,010 750,750 - -
5 50,050 5 10,010 50,050 - -
5 50,050 5 10,010 50,050 - -
- - 40 275,000 11,000,000 - -
99 9,529,743 99 96,260 9,529,743 577,560 866,340
9 2,249,280 19 249,920 4,748,480 - -
2 220,000 4 110,000 440,000 220,000 -
34 5,588,698 49 164,373 8,054,300 821,867 493,120
1 210,000 1 210,000 210,000 - 210,000
19 8,122,500 19 427,500 8,122,500 - -
40 21,050,000 63 526,250 33,153,750 3,683,750 2,105,000
- - 500 3,552 1,776,000 - -
- - 500 3,552 1,776,000 - -
- - 500 3,552 1,776,000 - -
1 123,600 13 123,600 1,606,800 123,600 -
90 2,156,220 490 23,958 11,739,420 - -
- - 20 518,254 10,365,080 - -
3 900,000 3 300,000 900,000 - -
3 507,300 3 169,100 507,300 - -
202 1,793,154 252 8,877 2,237,004 585,882 -
6 876,000 7 146,000 1,022,000 730,000 -
- - 9,500 1,287 12,226,500 - -
- - 3 125,000 375,000 - -
20 30,800 80 1,540 123,200 - -
20 30,800 90 1,540 138,600 - -
5 7,700 90 1,540 138,600 - -
- - 85 1,540 130,900 - -
3 225,000 14 75,000 1,050,000 225,000 -
1 186,700 18 186,700 3,360,600 - -
16 103,910 195 6,494 1,266,408 - -
- - - - - -
2 2,999,999 2 1,500,000 2,999,999 - -
25 4,372,500 196 174,900 34,280,400 349,800 -
7 28,000 10 4,000 40,000 - -
2 660,000 10 330,000 3,300,000 - -
1 479,100 1 479,100 479,100 - -
2 115,500 2 57,750 115,500 - -
1 371,999 1 371,999 371,999 - -
1 151,999 3 151,999 455,997 - -
2 449,999 12 225,000 2,699,994 - -
251 21,033,800 278 83,800 23,296,400 3,435,800 2,011,200
1 35,700 1 35,700 35,700 - -
1 100,000 11 100,000 1,099,999 - -
142 8,512,900 502 59,950 30,094,900 359,700 479,600
4 112,816 4 28,204 112,816 - 112,816
222 3,995,112 272 17,996 4,894,912 593,868 269,940
- - 2 1,325,000 2,650,000 - -
369 7,712,100 1,059 20,900 22,133,100 961,400 229,900
- - 10 52,052 520,520 - -
145 23,054,130 180 158,994 28,618,920 1,907,928 1,430,946
- - - - - -
123 19,164,999 123 155,813 19,164,999 - -
216 17,062,056 996 78,991 78,675,036 1,026,883 -
260 5,188,040 710 19,954 14,167,340 419,034 -
311 5,285,445 611 16,995 10,383,945 305,910 407,880
- - - - - -
1,403,038,932 4,184,116,359 165,223,833 88,237,408
Pulau Punjung, 31 Desember 2019

Kepala UPT. IGFK,
Ratna Dewi E.S., M.Farm.

NIP. 19800217 200604 2 022
Stok /31 Des 2019 Puskesmas (Rp)
SLGO SIT I GM TMP BS PLW TIU
- - - 134,400 - 4,200 -
65,088 855,184 135,600 65,088 463,752 452 22,600
484,110 168,300 123,750 24,750 68,310 99 41,580
- 49,456 26,400 - - 88 -
13,440 33,600 - 8,400 76,440 120 34,200
523,710 256,509 247,005 46,728 196,020 99 180,477
72,514 195,230 83,670 52,991 - 2,789 8,367
- - - 25,575 - 341 -
8,400 24,360 54,600 - 33,600 168 73,920
161,680 209,620 49,350 43,240 48,974 94 28,388
56,575 262,070 21,900 52,925 73,730 73 24,820
184,730 580,377 741,559 83,230 214,165 203 182,700
465,000 1,403,750 2,262,500 723,000 382,500 250 531,000
224,220 414,807 - - 85,951 3,737 -
572,000 554,400 431,200 563,200 343,200 4,400 1,179,200
275,625 - - - - 3,675 -
65,520 245,280 30,240 61,824 49,280 56 91,280
278,936 715,799 412,251 352,772 100,499 2,051 443,016
363,000 585,750 841,500 - 420,750 8,250 643,500
- 132,188 - - 212,445 4,721 -
266,000 222,775 136,325 83,125 142,975 3,325 69,825
18,200 16,380 - - - 182 18,200
- - - 521,052 521,052 260,526 260,526
408,812 1,226,436 1,635,248 1,635,248 2,044,060 408,812 408,812
- 1,297,889 - - 2,595,778 1,297,889 -
28,600 214,500 62,920 102,960 60,060 2,860 37,180
- - - - - - -
65,860 25,900 120,620 8,140 42,920 74 -
295,610 345,359 202,910 47,277 59,740 103 106,605
- 15,656 - - - 1,957 -
- - 15,500 - - 3,100 18,600
387,320 1,086,180 185,240 185,240 690,440 1,684 202,080
- 207,480 - 592,800 - 5,928 -
29,700 13,860 - - - 99 9,702
306,900 267,300 214,500 178,200 320,100 3,300 108,900
134,750 94,815 - 78,400 352,310 245 -
365,085 223,839 514,311 125,685 642,789 399 165,186
- - - - - 3,276 -
6,160 - 3,080 7,700 30,800 1,540 15,400
11,200 163,200 112,000 33,120 - 160 116,800
- - 37,760 - - 1,888 -
72,500 - - - - 14,500 -
- - - - - 83,190 -
135,850 110,000 - 17,600 30,800 110 26,950
93,800 135,340 16,080 24,120 16,080 1,340 97,820
- - - - - 17,500 17,500
- 224,200 70,800 - 295,000 5,900 -
1,962 29,430 49,050 9,810 - 327 15,696
- - - - - - -
63,250 121,000 - 27,500 - 275 46,750
- 103,510 51,755 - 51,755 10,351 103,510
76,160 55,040 133,312 32,320 175,360 64 31,360
137,060 104,720 390,082 34,650 368,060 154 79,156
2,648,800 1,921,920 435,600 806,960 594,000 880 677,600
101,650 313,082 36,594 93,518 191,102 4,066 284,620
765,600 765,600 430,650 - 191,400 15,950 972,950
2,116,400 865,150 52,910 243,100 840,840 1,430 -
- 333,683 - 187,411 - 4,571 -
290,400 3,326,400 105,600 1,056,000 - 26,400 739,200
48,480 221,190 - 15,049 24,240 101 18,382

332,976 32,703 - - 398,382 2,973 112,974
457,875 970,200 517,275 311,850 480,150 495 74,250
349,920 1,873,530 - 313,470 342,630 729 743,580
- - - - - - -
142,848 46,080 33,408 94,464 - 1,152 129,024
568,260 353,430 271,260 298,485 213,840 99 270,468
- - - - 54,000 2,000 -
108,000 36,000 84,000 24,000 180,000 12,000 48,000
- 134,351 76,772 - 95,965 19,193 -
- 66,010 92,414 - 66,010 13,202 -
26,660 53,664 24,510 17,200 17,200 86 20,640
83,930 - - 17,113 1,744 109 21,909
- - - - - - -
- - - - - - -
39,520 13,520 - 19,760 20,800 104 10,400
- - - - - - -
- - - - - - -
- - 54,600 27,300 - 273 26,754
43,860 - 11,180 36,636 92,708 86 86,430
208,575 375,435 125,145 133,488 278,100 2,781 495,018
- - - - - - -
- 21,120 68,992 23,936 7,040 1,408 35,200
- - - - - - -
- - - - - 751 67,590
- 31,515 - - 75,636 6,303 94,545
- - - - - - -
- - - - - 735 -
- - - - - - -
- - - - - - -
32,505 86,625 92,400 40,260 - 165 47,850
44,030 155,400 93,240 - - 2,590 134,680
- 194,981 - - 34,997 5,000 324,968
924,786 548,298 638,685 184,509 534,105 747 306,270
232,020 309,360 174,015 224,286 73,473 3,867 251,355
- - - - - - -
- - - - - - -
34,830 19,440 14,580 18,873 26,811 81 25,920
- - - - - - -
203,801 188,124 147,775 74,273 45,232 257 142,635
- 32,186 - - - 2,299 -
- - - - - - -
- - - - - - -
73,458 262,350 27,984 45,474 48,972 3,498 69,960
97,500 83,125 264,250 12,500 183,750 125 44,375
53,940 104,400 - 214,890 38,280 174 261,000
165,600 570,285 265,995 2,070 57,960 207 131,445
- - - - - - -
- 24,000 - - 48,000 12,000 24,000
150,000 307,500 - - - 7,500 450,000
1,173,000 786,600 227,700 213,900 110,400 6,900 317,400
- - - - - - -
1,489,880 790,160 1,079,568 66,640 952,000 952 190,400
- 33,600 - - - 56 24,640
- 506,500 - 506,500 - 101,300 -
- 21,450 - - - 55 -
6,372 48,380 36,580 22,479 8,260 59 10,030
44,148 117,780 56,316 - - 156 -
210,375 113,850 74,250 363,825 195,525 2,475 168,300
249,975 129,987 - 59,994 - 9,999 59,994
1,271,600 1,548,360 1,107,040 394,944 - 1,496 643,280
571,856 619,048 352,552 172,112 161,008 2,776 785,608
156,860 392,150 - - - 253 -
1,686,300 2,801,700 1,094,610 212,850 509,850 330 201,300
- 26,000 149,498 - 64,999 6,500 110,498
- 62,000 - - 30,000 100 -
- 1,730 - 76,120 - 173 17,300
110,550 42,075 - 63,525 - 165 23,100
108,560 54,870 109,150 69,620 14,750 59 34,692
- 78,400 - - - 280 -
322,304 226,620 125,900 118,346 115,828 2,518 193,886
422,037 160,380 305,910 108,405 45,738 297 198,990
99,000 99,000 - - - 990 209,880
23,800 380,800 - 85,680 - 2,380 45,220
- - - - - - -
297,000 - - - - 495 77,220
414,480 169,560 69,080 191,540 65,940 3,140 150,720
11,286 62,073 114,741 67,716 45,144 1,881 39,501
- - - - - - -
467,993 116,998 305,495 240,496 246,996 6,500 240,496
412,610 120,032 105,028 450,120 127,534 7,502 345,092
157,000 112,875 48,925 78,200 7,500 25 129,150
- - - - - 240 -
- - - - - - -
- - - - - - -
20,150 68,200 95,480 38,750 20,925 155 50,220
- 54,000 - - - 600 -
275,000 - - 55,000 1,457,500 2,750 1,069,750
396,036 182,628 166,212 20,520 219,564 2,052 233,928
203,750 169,375 192,125 12,500 60,000 125 86,500
- - - - - 1,575 -
110,220 50,100 - - - 334 66,800
- - - - - - -
- - - - - - -
319,325 247,025 116,885 114,475 155,445 1,205 315,710
- 36,240 - - - 1,208 -
203,060 - 148,720 16,445 41,041 143 138,710
215,000 240,625 80,000 23,750 108,250 125 272,500
- 28,800 - 12,800 19,200 3,200 25,600
22,776 - 45,552 - - 3,796 22,776
- - - - - 39,880 -
- 495,000 - - 287,100 990 -
129,181 288,696 117,152 206,062 41,840 105 36,087
- 181,220 44,200 - - 221 307,190
- 338,096 299,200 284,240 299,200 2,992 332,112
1,002,840 255,505 87,954 69,185 187,416 137 79,460
- - - - - 305 -
99,300 531,255 - 99,300 - 993 -
137,200 70,400 - 15,200 211,200 80 179,200
166,320 - - 128,898 - 4,158 49,896
134,750 365,750 159,225 37,125 5,500 275 165,000
- - - - - - -
- - - 53,850 - 3,590 39,490
530,580 336,990 308,310 75,285 143,400 3,585 351,330
- - - - - 3,116 -
1,206,000 522,000 567,000 702,000 1,930,500 4,500 643,500
- - - - - - -
1,963,500 1,621,494 2,166,990 1,860,327 509,439 357 794,325
7,260 60,060 - 9,240 13,200 66 -
720,725 797,560 556,260 494,538 142,240 127 347,980
32,050 506,390 185,890 160,250 230,760 6,410 346,140
- - - - - 3,058 -
41,580 13,860 - 46,728 14,256 132 113,520
699,600 594,660 349,800 629,640 1,014,420 34,980 -
539,500 83,000 83,000 66,400 166,000 830 83,000
18,876 37,180 116,116 6,864 82,368 572 58,344
442,750 192,500 50,050 - - 3,850 50,050
265,200 239,200 62,400 195,000 117,000 2,600 205,400
214,700 195,700 180,500 36,100 129,200 1,900 108,300
- - 142,680 - - 164 -
- 29,986 14,993 - - 14,993 -
234,366 10,494 - - 184,694 350 69,960
712,062 216,411 328,107 - 41,886 6,981 139,620
67,980 237,930 84,975 33,990 33,990 16,995 -
35,600 249,200 284,800 142,400 284,800 17,800 -
226,440 408,480 188,700 380,730 125,430 1,110 284,160
- - - - - - -
635,600 908,320 203,616 607,208 140,840 56 345,688
224,675 496,650 118,250 177,375 331,100 11,825 130,075
- - - - - - -
- 167,860 - 47,960 - 11,990 -
22,046 - - - - 302 57,380
- 495,814 - 195,927 79,970 800 263,901
- - - - - - -
87,120 - - - 60,500 121 53,240
48,960 7,056 36,360 - - 72 31,680
- - - - - 253 -
- - - - - - -
17,100 1,710 - - - 57 11,400
- - - - - - -
31,570 153,340 - - - 451 128,535
- - - - - - -
207,900 336,105 12,705 187,110 118,965 1,155 83,160
539,550 714,450 148,500 299,475 56,100 165 79,200
- - - - - 228 13,680
31,122 303,030 60,060 65,520 - 273 -
3,846,700 3,381,950 307,450 915,200 822,250 7,150 629,200
252,568 662,991 63,142 315,710 252,568 31,571 -
- 767,998 383,999 767,998 192,000 192,000 383,999
93,870 100,107 72,450 56,637 12,348 63 32,319
204,240 8,880 2,960 34,780 22,200 74 444
30,283 66,072 13,765 44,048 35,789 2,753 79,837
- - 12,200 - - 6,100 -
- 372,600 - 103,500 351,900 20,700 103,500
79,750 79,750 76,560 - - 3,190 137,170
- 69,972 - - - 4,998 19,992
- 1,439,988 - 1,919,984 1,439,988 479,996 959,992
- - - - - 1,608,255 -
3,536,973 - 261,998 - - 130,999 523,996
194,700 105,600 51,150 24,200 79,090 110 37,950
54,600 33,150 39,000 - - 195 48,750
- - - - - 296 -
69,890 20,967 - 698,900 - 6,989 279,560
3,109,920 3,236,400 3,095,040 9,541,800 1,569,840 372 2,343,600
- - - - - 8,845 -
- - 707,200 1,768,000 1,768,000 176,800 -
31,900 - - - 63,800 319 66,990
- - - - - 990 -
- - - - - - -
- - - - - - -
12,180 285,795 6,960 8,439 28,710 87 37,410
- - - - 660,000 165,000 -
- 45,600 - 60,800 185,440 304 -
- 163,200 217,600 380,800 352,512 544 -
361,620 392,616 400,365 478,470 211,560 123 411,681
277,780 289,992 208,120 69,660 31,820 86 83,420
88,360 75,200 - - 122,200 47 -
- - - - - - -
95,256 254,942 111,132 98,564 26,460 132 108,486
345,400 327,470 528,770 84,700 385,330 110 362,340
93,660 256,004 34,342 96,782 43,708 3,122 131,124
292,030 1,768,710 1,231,485 197,809 395,618 551 353,742
946,770 244,530 244,530 163,020 520,410 6,270 890,340
1,423,290 545,490 514,140 351,120 194,370 6,270 664,620
1,053,360 821,370 - 213,180 294,690 6,270 627,000
1,093,400 132,770 421,740 390,500 374,880 7,810 679,470
150,336 396,720 1,252,800 655,632 278,400 1,392 -
654,546 1,753,092 1,309,092 730,910 1,492,365 1,091 -
- 339,295 - - 748,495 1,705 -
- - - - - - -
246,400 308,000 - - - 3,080 -
87,120 626,560 656,480 415,360 116,160 880 227,920
522,096 1,965,906 197,574 700,896 802,812 894 570,372
- 576,173 46,207 493,189 - 943 444,153
- - - - - 2,837,835 -
159,890 135,228 - - 118,000 118 11,800
- - 71,999 - - 71,999 -
- 83,160 - - - 3,465 -
- 4,080,766 - - 255,048 255,048 2,295,431
- 504,420 - - 840,700 168,140 1,849,540
- - - - 154,675 154,675 -
152,800 143,632 133,700 282,680 76,400 191 210,100
- - - - - - -
- 414,900 165,960 - - 82,980 -
- - - - - 190,741 -
2,969,714 208,401 104,200 468,902 2,240,310 52,100 521,002
6,678,840 2,671,536 906,414 1,812,828 763,296 47,706 3,673,362
- - - 421,500 - 35,125 421,500
- - - - - 46,481 3,393,114
- - - - - 8,370,000 -
179,999 1,439,988 - 1,199,990 - 60,000 -
- 44,067 88,134 117,512 88,134 14,689 73,445
- 287,400 - 143,700 - 143,700 -
- - - - - - -
86,250 106,950 27,600 34,500 - 3,450 51,750
41,395 - 20,698 - - 6,899 -
2,009,700 1,386,000 415,800 1,386,000 415,800 69,300 1,455,300
- 285,000 - 95,000 - 95,000 -
- - - - - 93,999 -
112,332 112,332 - 102,120 51,060 10,212 132,756
- - - - - 349,998 -
- - - - - 349,998 -
- - - - - 449,900 -
- - - - - 211,750 -
163,350 2,873,970 491,040 1,930,500 49,500 990 519,750
- 1,128,688 85,184 319,440 212,960 21,296 -
713,249 1,983,512 1,134,406 563,807 441,535 6,793 1,990,305
503,811 290,531 - - - 1,679 167,937
538,670 91,300 155,210 109,560 155,210 9,130 173,470
2,501,324 330,893 28,042 487,926 179,467 5,608 459,885
- - - - - 2,188 -
86,830 101,301 14,472 57,886 - 14,472 43,415
- 133,454 132,534 110,445 22,089 307 38,042
- 22,770 - - - 138 -
919,126 538,798 570,492 126,776 - 31,694 475,410
- 265,760 - 161,920 47,520 1,760 -
249,083 407,590 22,644 - 22,644 11,322 283,049
- 16,000 - - 16,000 16,000 -
- 40,000 - - 20,000 20,000 -
443,462 208,688 - - - 2,609 250,426
- - - - - 1,178 -
- 39,680 - - - 2,480 39,680
138,532 109,182 - - 169,056 1,174 -
1,058,772 627,119 203,610 561,964 692,274 8,144 545,675
828,600 828,600 1,160,040 662,880 1,988,640 165,720 331,440
- - - - - - -
85,556 - - - 85,556 85,556 -
- - - - - 17,999 -
- - - - - 144,000 -
- 430,000 - - - 430,000 -
- - 439,280 - - 219,640 219,640
- - - - - 358 -
- - - - - 349,998 -
- 90,000 - - - 90,000 -
- 30,000 - - - 30,000 30,000
- - - - - 34,200 -
- - - - - 19,950 -
- 98,667 - - - 98,667 197,334
- - - - - 57,750 -
- - - - - - -
- - - - - 90,000 -
- - - - - - -
- - - - - - -
- - - - - 4,090 40,900
- - - - - - -
- - - - - 24,990 -
- - - - - - -
- - - - - - -
- - - - - 27,000 81,000
- - - - - 313,700 -
- - - - - - -
- - - - - - -
- - - - - - -
- 518,650 282,900 47,150 282,900 47,150 188,600
- - - - - 486 -
- - - - - 625,900 -
- 1,366,600 334,719 811,440 608,580 676 213,003
592,792 666,891 - - - 14,820 -
195,300 315,000 365,400 598,500 630,000 3,150 664,650
- 50,000 - - 50,000 50,000 -
- - - - - 33,000 -
- 238,100 - - - 238,100 -
- - - - - 3,743,693 -
- - - - - 3,743,693 -
- - - - - 24,100,000 -
- - - - - 367,650 -
- 6,029,987 - - - 90,000 -
- - - 3,208,900 - 802,225 -
- - - - - - -
- - - - - 24,675 -
- 102,375 - - - 34,125 -
- 264,000 - - - 66,000 -
1,939 - - 67,865 149,303 1,939 122,157
- - - - - - -
- - - - - 35,532 -
- 3,862,320 1,456,840 2,812,040 948,640 33,880 1,626,240
- 601,677 601,677 601,677 1,805,031 601,677 -
- 2,952,524 - 932,376 1,709,356 77,698 932,376
- - - 756,648 - 63,054 -
- - - - - 73,750 -
- 868,335 - 380,640 837,408 2,379 356,850
263,100 1,647,006 - 39,465 78,930 2,631 -
76,705 60,030 - - - 3,335 30,015
558,900 1,076,400 331,200 227,700 82,800 20,700 269,100
812,260 692,810 119,450 - 119,450 23,890 238,900
- - - - - 149,314 -
- - - - - - -
- - - - - - -
- 730,972 - 296,340 - 9,878 88,902
- - - - - - -
- - - - - - -
- 2,071,675 - 1,556,750 - 11,975 299,375
- - - - - 487,000 -
- - - - - - -
161,900 - - - - 161,900 -
510,000 1,366,800 - 510,000 - 20,400 2,672,400
- - - - - 1,306,996 -
- - - - - 1,575,000 -
- - - - - 886,999 -
- - - - - 1,635,999 -
- 6,079,999 - - - 3,040,000 -
- 1,100,000 - - - 1,100,000 -
- 2,500,000 - - - 2,500,000 -
- 247,000 - 247,000 - 247,000 -
- - - - - 81,285 -
- - - - - 81,285 -
- - - - - 3,885,000 -
- - - - - 4,000 -
- 1,010,500 1,591,000 2,859,500 - 21,500 1,591,000
2,896,144 5,044,896 1,074,376 140,136 - 46,712 420,408
436,800 490,560 - 20,160 - 6,720 67,200
40,515 72,927 - 56,721 81,030 8,103 8,103
33,600 383,040 - 47,040 60,480 6,720 33,600
- - - - - - -
- 1,166,576 - - - 1,166,576 -
150,000 - - - - 30,000 30,000
- - - - - 10,010 -
- - - - - 10,010 -
- - - - - 10,010 -
- - - - - 275,000 -
1,925,201 1,540,161 - 192,520 96,260 96,260 577,560
- 2,249,280 - - - 249,920 -
- - - - - 110,000 -
493,120 493,120 - 164,373 493,120 164,373 493,120
- - - - - 210,000 -
- - - - - 427,500 -
- 2,105,000 - 526,250 2,105,000 526,250 2,105,000
- - - - - 3,552 -
- - - - - 3,552 -
- - - - - 3,552 -
- - - - - 123,600 -
- 2,156,220 - - - 23,958 -
- - - - - 518,254 -
- - - - - 300,000 -
- 338,200 - - - 169,100 -
284,064 142,032 44,385 44,385 26,631 8,877 53,262
- 146,000 - - - 146,000 -
- - - - - 1,287 -
- - - - - 125,000 -
- - - - - 1,540 30,800
- - - - - 1,540 30,800
- - - - - 1,540 -
- - - - - 1,540 -
- - - - - 75,000 -
186,700 - - - - 186,700 -
- - - 45,461 6,494 6,494 -
- - - - - - -
- 2,999,999 - - - 1,500,000 -
174,900 699,600 - 699,600 174,900 174,900 349,800
- 12,000 4,000 - 4,000 4,000 -
- 330,000 330,000 - - 330,000 -
- - - - - 479,100 479,100
- 115,500 - - - 57,750 -
- - - - - 371,999 -
- 151,999 - - - 151,999 -
- 225,000 - - - 225,000 225,000
- 419,000 - 2,095,000 2,430,200 83,800 -
- - - - - 35,700 35,700
- - - - - 100,000 100,000
539,550 479,600 1,378,850 - 659,450 59,950 659,450
- - - - - 28,204 -
71,984 683,848 665,852 53,988 89,980 17,996 107,976
- - - - - 1,325,000 -
104,500 - 480,700 292,600 522,500 20,900 585,200
- - - - - 52,052 -
1,271,952 3,179,880 635,976 317,988 1,271,952 158,994 1,907,928
- - - - - - -
1,402,317 - 1,869,756 1,246,504 - 155,813 -
947,892 157,982 1,737,802 394,955 1,816,793 78,991 -
199,540 59,862 179,586 19,954 438,988 19,954 399,080
322,905 577,830 407,880 169,950 271,920 16,995 237,930
- - - - - - -
94,536,719 158,141,374 59,450,021 77,111,123 69,067,456 84,769,820 74,513,210
smas (Rp)
KB SIT 2 KOBES SR SL Total Pusk.
37,800 - - 92,400 71,400 911,400
- - 135,600 207,468 217,864 2,821,384
84,645 171,270 199,485 495,198 432,036 2,684,088
32,560 - 44,000 12,320 - 261,096
60,000 - 60,000 20,400 - 494,880
459,162 269,775 - 87,615 309,870 3,532,023
11,156 - - 83,670 41,835 577,323
- - - - - 49,445
230,160 36,120 - 87,360 80,640 929,712
218,080 134,420 117,970 131,694 234,060 1,875,488
102,200 144,175 104,390 107,748 157,972 1,587,093
512,169 - 385,903 369,460 314,650 4,186,063
276,250 1,087,000 2,095,250 1,281,250 726,250 15,205,250
- 18,685 18,685 71,003 37,370 1,595,699
602,800 567,600 501,600 752,400 1,196,800 8,769,200
- - - - - 275,625
163,016 - 166,320 74,480 31,360 1,152,368
613,249 451,220 233,814 135,366 244,069 4,594,240
643,500 478,500 990,000 404,250 470,250 7,194,000
221,887 99,141 - - 9,442 693,987
142,975 76,475 119,700 152,950 6,650 1,785,525
- - - - - 70,980
- 260,526 - 521,052 521,052 2,605,260
2,452,872 817,624 1,635,248 817,624 - 19,622,976
- - - - 1,297,889 9,085,223
134,420 - 37,180 62,920 102,960 1,212,640
- - - - - -
35,520 - 11,100 72,446 46,990 652,236
496,151 353,290 385,838 257,191 70,452 3,420,424
29,355 - 9,785 9,785 - 64,581
- - 15,500 - - 80,600
1,343,832 446,260 993,560 427,736 1,220,900 8,148,876
- - - - - 1,985,880
63,360 6,930 - 27,324 64,845 282,051
349,800 79,200 257,400 69,300 405,900 3,187,800
36,750 142,590 138,425 - 134,505 1,456,280
770,070 163,590 279,300 188,328 736,155 5,661,411
- - - - - 393,092
- - 43,120 64,680 46,200 389,620
126,240 8,000 128,000 53,440 47,040 1,084,320
- - - 11,328 - 288,864
- - - 72,500 - 145,000
- - - - - 166,380
201,300 - 121,000 18,700 169,400 1,287,990
75,040 56,280 146,060 81,740 29,480 1,021,080
- - - - - 17,500
135,700 - 177,000 224,200 259,600 1,947,000
9,810 - 42,510 9,483 44,145 311,958
- - - - - -
- - 55,000 26,950 41,250 543,950
72,457 - - 51,755 103,510 983,345
79,360 34,496 162,560 78,400 208,640 1,453,760
409,332 426,888 274,120 541,310 410,410 3,685,374
1,495,120 976,800 884,400 541,200 1,491,600 16,273,840
8,132 20,330 276,488 207,366 126,046 2,663,230
239,250 111,650 765,600 334,950 319,000 8,038,800
185,900 2,860 - 2,860 429,000 6,788,210
100,562 - - - 155,414 850,206
1,029,600 950,400 950,400 26,400 844,800
11,880,000
94,233 20,200 164,731 84,941 33,330 964,752
127,839 139,731 362,706 59,460 267,570 2,616,240
994,455 683,100 828,135 74,250 59,400 7,823,970
363,771 550,395 513,945 102,060 948,429 7,441,632
- - - - - -
240,768 71,424 140,544 129,024 110,592 1,309,824
418,473 572,220 757,449 351,549 208,890 5,021,874
- - - - - 90,000
636,000 24,000 48,000 24,000 - 1,596,000
95,965 191,930 76,772 268,702 76,772 1,497,054
- - 39,606 39,606 52,808 382,858
71,380 12,298 25,800 59,082 15,910 449,006
9,374 - 34,880 15,587 2,180 276,315
- - - - - -
- - - - - -
- - - 35,360 10,400 204,048
- - - - - -
- - - - - -
- - - - 54,600 675,129
- - - 23,908 62,780 586,176
200,232 13,905 308,691 94,554 333,720 3,256,551
- - - - - -
166,144 14,080 98,560 91,520 28,160 792,704
- - - - - -
- - - - - 67,590
- - - 81,939 - 346,665
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 56,100 16,500 16,500 - 527,340
155,400 62,160 126,910 126,910 - 1,458,170
- - - - 44,996 634,937
1,103,319 164,340 423,549 406,368 156,123 7,430,409
862,341 278,424 216,552 278,424 232,020 3,716,187
- - - - - -
- - - - - -
36,450 11,178 53,460 10,611 102,060 414,477
- - - - - -
108,968 52,428 241,323 87,894 35,466 1,888,179
- - 2,299 - - 39,083
- - - - - -
- - - - - -
101,442 38,478 83,952 97,944 129,426 1,266,276
142,500 - 195,000 169,375 225,000 1,850,875
397,590 - - 158,514 153,120 2,487,330
489,555 209,484 9,315 41,400 202,860 3,115,764
- - - - - -
- - - 60,000 - 251,998
112,500 127,500 277,500 150,000 - 1,770,000
179,400 69,000 158,700 345,000 365,700 5,195,700
- - - - - -
1,727,880 - 1,547,000 297,976 166,600 10,348,240
17,360 9,520 17,920 - - 179,536
- - - 911,700 - 3,646,800
- 21,450 - 1,650 - 77,550
175,230 38,350 41,300 5,900 - 464,861
- - 78,000 - 156 558,636
584,100 210,375 111,375 277,200 74,250 2,999,700
479,952 - 69,993 149,985 69,993 1,769,823
- - 762,960 314,160 2,992 8,588,536
424,728 149,904 155,456 158,232 347,000 5,471,496
301,070 - - - - 968,990
465,300 646,800 498,300 1,188,990 973,170 11,434,170
240,496 58,499 136,498 - - 1,052,984
- - 30,000 10,000 - 152,000
- 17,300 22,490 4,498 - 225,938
106,260 51,150 80,025 44,550 33,000 623,370
10,030 112,100 - 53,690 17,405 834,142
140,000 - - - - 218,400
98,202 163,670 269,426 201,440 146,044 2,402,172
89,100 - 404,217 114,048 193,050 2,768,040
- - 376,200 659,340 212,850 2,072,070
135,660 52,360 88,060 147,560 130,900 1,137,640
- - - - - -
99,000 - - 39,600 29,700 938,520
21,980 81,640 282,600 122,460 235,500 2,257,660
126,027 169,290 156,123 212,553 9,405 1,422,036
- - - - - -
279,496 32,500 188,497 123,498 - 2,924,955
120,032 150,040 270,072 180,048 45,012 2,783,242
112,250 109,025 193,450 83,700 63,250 1,538,750
- - - - - 419,650
- - - - - -
- - - - - -
249,550 33,635 22,475 18,290 - 828,475
- - - 174,000 36,000 510,000
1,446,500 - 660,000 1,606,000 - 9,182,250
43,092 - 160,056 100,548 30,780 2,224,368
219,125 157,500 317,125 47,250 140,500 1,757,750
- - - - - -
- - - 6,680 - 283,900
- - - - - -
- - - - - -
210,875 - 124,115 148,215 74,710 2,348,545
126,840 55,568 - - 41,072 320,120
202,345 - 266,695 125,125 138,710 1,423,279
159,625 13,625 155,750 272,625 83,750 2,208,750
44,800 - 44,800 28,800 - 204,800
106,288 18,980 53,144 22,776 45,552 531,440
119,640 - - - - 119,640
- 321,750 955,350 316,800 128,700 5,746,950
313,277 302,294 263,592 375,514 224,995 3,372,513
132,600 125,528 142,545 76,687 - 1,408,212
421,872 385,968 233,376 463,760 254,320 4,206,752
496,899 162,208 262,903 206,185 215,775 3,968,616
- - 18,300 - - 18,300
- - - 141,999 109,230 1,118,118
40,800 14,400 115,600 65,600 107,200 1,196,800
- - 166,320 519,750 - 1,305,612
717,750 203,500 122,925 124,025 92,950 2,679,050
- - - - - -
- - - - - 290,790
473,220 215,100 451,710 118,305 132,645 3,900,480
124,640 - - 124,640 - 249,280
1,129,500 441,000 706,500 895,500 949,500 10,588,500
- - - - - -
1,002,456 1,370,166 1,640,772 1,417,647 1,535,814 20,281,527
144,012 - 125,004 13,860 20,328 412,764
235,966 604,774 95,250 561,848 549,910 6,323,965
461,520 564,080 102,560 320,500 987,140 5,256,200
- - - - - -
62,172 - - 63,756 77,880 571,164
244,860 - - 559,680 - 4,617,360
- 16,600 - 83,000 166,000 1,477,400
76,648 - - 111,540 48,048 970,112
577,500 - 200,200 - 7,700 1,990,450
452,400 - 429,000 247,000 192,400 3,221,400
218,500 243,200 214,700 387,600 22,800 2,333,200
- - - - - 142,680
29,986 - - 14,993 29,986 119,944
- - 174,900 - 104,940 814,334
- - 188,487 34,905 160,563 1,863,927
118,965 67,980 - 475,860 288,915 1,665,510
160,200 231,400 106,800 - 480,600 2,509,800
502,830 180,930 420,690 236,430 241,980 3,930,510
- - - - - -
1,082,144 267,792 404,040 387,576 252,672 7,478,856
165,550 141,900 591,250 390,225 82,775 3,902,250
- - - - - -
95,920 47,960 - - 47,960 407,660
65,232 - - - - 144,658
567,787 295,089 159,940 - - 2,810,146
- - - - - -
- - - 27,830 - 228,690
58,320 - 73,440 35,784 45,504 371,664
- - - 20,240 75,900 96,140
- - - - - -
36,480 - - 10,545 10,089 102,999
- - - - - -
261,580 - 225,500 117,260 410,410 1,418,395
- - - - - -
274,890 - 28,875 109,725 150,150 1,990,065
315,150 432,300 421,410 516,945 473,880 5,240,235
- - - 9,120 - 22,800
546,000 88,998 81,900 38,220 - 1,385,475
7,042,750 757,900 393,250 600,600 2,302,300 23,258,950
726,133 568,278 315,710 - 315,710 6,093,203
192,000 192,000 575,999 - 383,999 4,799,988
109,494 - 123,039 127,260 103,320 1,093,176
224,960 29,674 74,000 107,818 197,580 1,058,200
66,072 27,530 - 57,813 104,614 715,780
- - - - - 12,200
- 165,600 372,600 124,200 331,200 2,256,300
118,030 66,990 38,280 12,760 102,080 966,570
- - - - 59,976 199,920
1,439,988 3,359,972 1,439,988 1,439,988 3,359,972 22,079,816
- - - - - -
1,571,988 2,226,983 2,619,980 916,993 130,999 11,789,910
100,650 61,600 71,390 60,610 55,000 1,052,040
56,550 - - 37,050 45,240 357,240
- - 2,960 - - 2,960
454,285 - - - 363,428 2,439,161
3,656,388 - 3,330,144 3,999,000 171,120 48,674,712
- - - - - -
5,304,000 - 530,400 1,591,200 707,200 15,558,400
- - - - 31,900 221,705
- - - 99,000 - 396,000
- - - - - -
- - - - - -
209,496 18,270 56,985 76,560 - 893,055
2,145,000 - - 825,000 - 8,250,000
- - - - 15,200 322,240
- - - 46,240 27,200 1,719,584
364,818 233,700 972,315 948,699 270,600 6,244,956
105,780 439,460 266,600 55,728 103,200 2,355,798
- - 23,500 - - 363,263
- - - - - -
75,014 565,186 374,409 168,947 256,662 2,413,417
405,460 633,490 302,500 603,790 270,050 5,126,110
- 177,954 - 34,342 43,708 1,261,288
69,977 - 1,140,570 706,933 242,991 8,511,297
451,440 1,210,110 721,050 351,120 589,380 10,126,050
6,270 865,260 225,720 395,010 1,279,080 8,865,780
1,786,950 1,354,320 927,960 413,820 739,860 9,524,130
898,150 1,249,600 781,000 601,370 1,437,040 9,621,920
687,648 - - - 1,531,200 5,881,200
345,818 - - 654,546 1,745,456 11,516,737
344,410 - - 682,000 - 4,194,300
- - - - - -
138,600 - - 147,840 - 840,840
950,400 259,600 531,520 88,000 688,160 6,069,360
1,442,916 435,378 1,206,900 178,800 1,439,340 11,814,210
42,435 155,595 700,649 - 579,002 4,947,921
- - - - - -
295,000 - 106,200 70,800 112,100 1,209,618
- - - - - 71,999
214,830 - - - - 353,430
765,144 - 3,315,622 2,550,479 1,020,191 19,383,637
- - 1,345,120 - - 9,247,700
154,675 - 154,675 - - 2,010,775
305,600 - 19,673 - 196,730 2,132,515
- - - - - -
331,920 - - 580,860 - 1,659,600
- - - - - -
- 1,198,306 - 1,250,406 2,344,511 13,754,463
6,154,074 3,339,420 2,433,006 190,824 2,242,182 36,876,738
597,125 843,000 - - 3,266,625 6,146,875
- 1,115,544 2,928,304 1,069,063 3,857,924 21,009,417
- - - - - -
- - - - - 2,819,977
146,890 102,823 29,378 14,689 117,512 896,029
431,100 - - 287,400 - 1,580,700
- - - - - -
37,950 41,400 113,850 51,750 27,600 762,450
- - 6,899 - - 482,944
1,039,500 900,900 485,100 554,400 1,732,500 13,721,400
- - - - - 380,000
- - - - - -
132,756 173,604 183,816 163,392 102,120 1,930,068
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,801,800 625,680 841,500 643,500 881,100 15,517,260
766,656 - - 681,472 468,512 5,835,104
3,029,611 2,907,340 1,467,256 1,487,634 726,835 20,134,007
- - 167,937 - - 1,437,541
91,300 - 401,720 374,330 - 2,994,640
846,861 342,109 291,634 263,592 846,861 7,408,630
577,632 - - - - 603,888
- - 86,830 43,415 57,886 622,279
198,801 - 36,815 154,623 44,178 1,091,872
- - 13,800 - - 64,170
63,388 158,470 285,246 31,694 158,470 4,373,772
160,160 - - - 140,800 855,360
67,932 79,254 - - - 2,434,218
- - - - 16,000 48,000
- - - - 20,000 80,000
2,609 130,430 - - - 1,035,614
- - - - - -
- 19,840 - - 161,200 401,760
108,008 25,828 - - - 590,522
252,476 537,530 521,242 105,877 643,408 8,299,144
1,491,480 - 497,160 331,440 - 10,937,520
- - - - - -
85,556 - 85,556 - - 342,224
- - - - - -
- - - - - -
- - - - - 430,000
- - - - - 1,317,840
71,600 - - 71,600 - 286,400
- - - - - -
269,999 - - - - 359,999
60,000 - - - - 210,000
- - - - - 34,200
- - - - - 19,950
98,667 - - - - 493,335
231,000 - - - - 288,750
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 4,090 - - 44,990
- - - - - -
- - - - - 99,960
- - - - - -
- - - - - -
- - - - - 81,000
- - - - - 941,100
- - - - - -
- - - - - -
- - - - - -
47,150 - 377,200 801,550 377,200 3,772,000
48,600 - - - - 145,800
- - - 1,251,800 - 1,251,800
1,487,640 - 1,250,970 608,580 994,014 9,362,665
- - - - - 2,889,861
315,000 252,000 425,250 1,575,000 - 6,819,750
50,000 - - - - 200,000
- - - 33,000 - 33,000
238,100 - - - - 714,300
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - 22,499,950 15,749,965 - 44,279,902
- - - - - 3,208,900
- - - - - -
123,375 - - - - 123,375
170,625 - - - - 273,000
- - - - - 264,000
484,750 - - 442,092 - 1,485,274
- - - - - -
- - - 568,512 - 604,044
5,251,400 779,240 609,840 5,725,720 2,710,400 27,273,400
2,406,708 - - - - 6,016,770
6,526,632 621,584 310,792 543,886 1,631,658 17,637,446
- - - - - 756,648
- - - - - -
808,860 - - 380,640 - 3,968,172
- - - - - 2,028,501
126,730 30,015 66,700 26,680 56,695 783,725
1,055,700 331,200 310,500 331,200 558,900 5,630,400
1,361,730 334,460 - - 430,020 4,825,780
- - 1,941,082 - - 1,941,082
- - - - - -
- - - - - -
- - 987,800 29,634 197,560 2,726,328
- - - - - -
- - - - - -
1,796,250 - 2,395,000 - 1,197,500 13,412,000
- - - - - 487,000
- - - - - -
- - - - 323,800 1,133,300
4,080,000 - 4,080,000 4,549,200 2,550,000 32,436,000
- - - - - -
- - - - - 1,575,000
- - - - - 1,773,999
- - - - - 3,271,998
- - - - - 6,079,999
- - - - - 1,100,000
- - - - - 2,500,000
247,000 - - 247,000 - 2,223,000
81,285 - - - - 81,285
81,285 - - - - 81,285
3,885,000 - - - - 3,885,000
- - - - - 100,000
2,150,000 - - 516,000 559,000 11,868,000
5,698,864 2,055,328 7,520,632 560,544 3,269,840 40,312,456
47,040 - - 20,160 33,600 1,149,120
97,236 16,206 - 24,309 - 478,077
47,040 6,720 - 20,160 - 698,880
- - - - - -
- - - - - 1,166,576
90,000 - 180,000 - - 480,000
- - - - 50,050 50,050
- - - - 50,050 50,050
- - - - 50,050 50,050
- - - - - -
1,540,161 - 962,600 1,251,380 - 9,529,743
- - - - - 2,249,280
- - - - - 220,000
493,120 - 493,120 164,373 493,120 5,588,698
- - - - - 210,000
3,420,000 - - - 855,000 8,122,500
2,105,000 - 2,105,000 2,105,000 2,105,000 21,050,000
- - - - - -
- - - - - -
- - - - - -
- - - - - 123,600
- - - - - 2,156,220
- - - - - -
900,000 - - - - 900,000
- - 169,100 - - 507,300
248,556 53,262 88,770 97,647 44,385 1,793,154
- - - - - 876,000
- - - - - -
- - - - - -
- - - - - 30,800
- - - - - 30,800
- - - - 7,700 7,700
- - - - - -
- - - - - 225,000
- - - - - 186,700
32,472 19,483 - - - 103,910
- - - - - -
- - - - - 2,999,999
1,749,000 - - 174,900 - 4,372,500
- - 4,000 4,000 - 28,000
- - - - - 660,000
- - - - - 479,100
- - - - - 115,500
- - 371,999 - - 371,999
- - - - - 151,999
- - - - - 449,999
4,022,400 3,352,000 1,676,000 1,592,200 - 21,033,800
- - - - - 35,700
- - - - - 100,000
599,500 599,500 539,550 1,678,600 - 8,512,900
- - - - - 112,816
269,940 89,980 485,892 17,996 - 3,995,112
- - - - - -
1,692,900 229,900 836,000 898,700 41,800 7,712,100
- - - - - -
2,225,916 2,066,922 1,271,952 3,815,856 - 23,054,130
- - - - - -
- 2,960,447 2,337,195 9,348,780 - 19,164,999
1,658,811 4,502,487 1,342,847 3,475,604 - 17,062,056
678,436 1,436,688 379,126 917,884 - 5,188,040
985,710 271,920 339,900 475,860 - 5,285,445
- - - - - -
155,531,991 68,437,937 125,175,764 117,477,113 87,639,376 1,403,038,932
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : Januari
KECAMATAN : Asam Jujuhan Tahun : 2020
KAB/KOTA : Dharmasraya
PROPINSI : Sumatera Barat
Pengeluaran Stok
No Kategori Nama Sediaan Satuan Stok Awal Penerimaan Persediaan Sisa Stok Permintaan Ket.
Pemakaian Kadaluarsa Return/dll Optimum
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Obat Albendazol sirup 200mg/5 ml Botol 17 17 - 17 0
2 Albendazol tablet 400 mg tablet 482 482 4 478 6.4
3 Allopurinol 100 mg tablet 4,364 4,364 185 4,179 296
4 Alprazolam 0,5 mg tablet - - - - 0
5 Alprazolam 1 mg tablet - - - - 0
6 Ambroxol 30 mg tablet tablet 3,130 1500 4,630 904 3,726 1446.4
7 Aminofilin inj 24mg/ml-10 ml ampul 15 15 - 15 0
8 Aminofilin tablet 200 mg tablet - 200 200 - 200 0
9 Amitriptilin HCl tablet salut 25 mg tablet 480 480 10 470 16
10 Amlodipin 10 mg tablet 2,490 600 3,090 110 2,980 176
11 Amlodipin 5 mg tablet 2,164 600 2,764 100 2,664 160
12 Amoksisilin 250 mg tablet 1,550 1000 2,550 444 2,106 710.4
13 Amoksisilin 500 mg tablet 2,905 1500 4,405 1,316 3,089 2105.6
14 Amoksisilin 250mg/5ml sirup kering botol 10 10 10 - 16
15 Amoksisilin sirup kering 125 mg/5 ml Botol 272 272 19 253 30.4
16 Antalgin injeksi 250 mg/ml-2ml ampul - - - - 0
17 Antasida DOEN tablet tablet 560 1000 1,560 490 1,070 784 1,000
18 Antasida sirup Botol 119 119 80 39 128
Anti Bakteri DOEN salep Kombinasi
19 (bacitrasin) Tube 57 57 13 44 20.8
20 Anti Fungi DOEN Kombinasi Pot 2 2 - 2 0
21 Anti Haemoroid DOEN kombinasi Suppos 2 2 - 2 0 10
22 Anti Migren (ergotamin caffein) tablet - - - - 0
23 Anti Tuberkulosis anak paket 2 2 - 2 0
24 Anti Tuberkulosis Kategori I paket - 1 1 1 - 1.6
25 Anti Tuberkulosis Kategori II paket 1 1 - 1 0
26 Aqua pro injeksi steril bebas pirogen vial 36 24 60 - 60 0
27 Asam Folat 0,4 mg /profolat tablet - - - - 0
28 Asam folat 1 mg tablet 635 635 80 555 128 1,000
29 Asam mefenamat 500 mg tablet 684 1000 1,684 750 934 1200 1,000
30 Asam tranexamat inj 100 mg/ml ampul - - - - 0
31 Asam tranexamat inj 50mg/ml ampul - - - - 0
32 Asam Tranexamat tablet 500 mg tablet 725 725 10 715 16
33 Asam Valproat 500mg / Depakote 500 mg tablet - - - - 0

34 Asetosal 80 mg / Miniaspi tablet 655 655 - 655 0
35 Asiklovir Krim 5 % 5 gr Tube 123 123 2 121 3.2
36 Asiklovir tablet 200 mg tablet 549 549 - 549 0
37 Asiklovir tablet 400 mg tablet 1,845 1,845 40 1,805 64
38 Atripla tablet - - - - 0
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0

40 Attapulgit (Pularex) tablet 294 294 66 228 105.6 1,000
41 Azitromisin tab 500 mg tablet - - - - 0
42 Benzatil benzil penisilin vial - - - - 0
Berotec 0,1 mg(Fenoterol HBr aerosol
43 100mcg/dosis) Btl - - - - 0
44 Betahistin mesilat tablet 1,540 1,540 120 1,420 192 1,000
45 Betametason krim 0,1% Tube 22 22 16 6 25.6
46 Bioplacenton tube - - - - 0 10
47 Bisacodil (dulcolax) supp suppos 44 50 94 1 93 1.6
48 Bisacodil (dulcolax) tab tablet 135 135 - 135 0
49 Bisacodil supp infant 5 mg /Dulcolax Suppos - - - - 0
50 Bisoprolol 5 mg tablet 150 150 - 150 0
51 Ca Glukonas ampul 10 10 - 10 0
52 Captopril 12,5mg tablet 3,260 500 3,760 50 3,710 80
53 Captopril 25 mg tablet 2,665 500 3,165 610 2,555 976 1,000
54 Cefadroxil tablet 1,695 1,695 470 1,225 752
55 Cefadroxyl syr 125 mg/ml Botol 31 10 41 16 25 25.6
56 Cefiksim syr kering 100mg/5ml btl 30ml 20 10 30 1 29 1.6
57 Cefixime 100mg tablet 300 300 138 162 220.8 1,000
58 Cefotaxim 1,0 G inj Vial 34 10 44 10 34 16
Cendo Lyteers Kombinasi tts mata 2,5
mg/ml; NaCl 8,664 mg; kalium klorida 1,32
59 mg botol 32 32 1 31 1.6
60 Cetirizin 10 mg tablet 330 330 140 190 224 1,000
61 Cetirizin syr 5mg/5ml btl 60ml 90 90 25 65 40
62 Ciprofloxacin tablet 500 mg tablet 120 2000 2,120 38 2,082 60.8
63 Clindamisin 150 mg tablet 1,301 1,301 - 1,301 0
64 Clindamisin 300 mg tablet - - - - 0
65 Deksametason injeksi 5 mg/ml-1 ml ampul 96 20 116 22 94 35.2
66 Deksametason tablet 0,5 mg tablet 2,110 1000 3,110 798 2,312 1276.8 1,000
67 DHP-Frimal tablet - 90 90 - 90 0
68 Diazepam injeksi 5 mg/ml-2 ml ampul - - - - 0
69 Diazepam rektal 10 mg Suppos 4 4 - 4 0
70 Diazepam rektal 5 mg Suppos 4 4 - 4 0
71 Diazepam tablet 2 mg tablet 185 200 385 38 347 60.8
72 Diazepam tablet 5 mg tablet 20 20 - 20 0
73 Dietil karbamazin sitrat tablet 100 mg tablet - - - - 0
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul - - - - 0 10
75 Digoksin tablet 0,25 mg tablet 100 100 - 100 0
76 Diltiazem tablet tablet - - - - 0
77 Dimenhidrinat 50 mg tablet - - - - 0
78 Doksisilin kapsul tablet 200 200 - 200 0
79 Domperidon 10 mg tablet 730 730 112 618 179.2 1,000
80 Domperidon syr Botol 120 120 13 107 20.8
81 Efedrin HCl tablet 25 mg tablet - - - - 0
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 20 20 - 20 0 10
83 Eritromisin 250 mg tablet - - - - 0
84 Eritromisin 500 mg tablet - - - - 0
85 Eritromisin sirup kering Botol - - - - 0
86 Etambutol 400mg tablet - - - - 0
87 Euthyrox tablet - - - - 0
88 Fenitoin natrium kapsul 30 mg tablet - - - - 0
89 Fenobarbital inj 50 mg/ml - 2 ml ampul - - - - 0
90 Fenobarbital tablet 30 mg tablet - - - - 0 20
91 Fenolgliserol tetes telinga 10% Botol - - - - 0
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0

93 Fitomenadion (Vit K1) tablet 10 mg tablet 209 200 409 260 149 416 500
94 Fitomenadion inj 2 mg/ml ampul 60 60 13 47 20.8
95 Fluoksetin / Prestine tablet - - - - 0
96 Furosemid injeksi ampul - - - - 0 10
97 Furosemid tablet 40 mg tablet 1,260 1,260 - 1,260 0
98 Gabapentin/Alpentin 100 mg kapsul - - - - 0
99 Garam Oralit untuk 200 ml bungkus 138 138 82 56 131.2 500
100 Gentamicin Salep Kulit Tube - - - - 0 24
101 Gentamisin inj ampul - - - - 0
102 Gentamisin tetes mata botol - - - - 0
103 Gentian violet larutan 1% Botol 37 24 61 - 61 0
104 Glibenklamid tablet 5 mg tablet 1,800 1,800 - 1,800 0
105 Glimepirid 1 mg tablet 880 1000 1,880 150 1,730 240
106 Glimepirid 2 mg tablet 980 980 - 980 0
107 Gliseril Guaiakolat tablet 100 mg tablet - - - - 0
108 Glukosa 40% ampul - - - - 0
109 Glukosa larutan Infus 10% steril fls - - - - 0
110 Glukosa Larutan Infus 5% steril fls 53 53 8 45 12.8
111 Griseofulvin tablet 125 mg tablet - - - - 0
112 Griseofulvin tablet 500 mg tablet 175 175 - 175 0
113 Haloperidol 5 mg tablet - - - - 0
114 Haloperidol inj 50mg/ml ampul - - - - 0
115 Haloperidol tablet 0,5 mg tablet - - - - 0
116 Haloperidol tablet 1,5 mg tablet - - - - 0
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 1 100 101 - 101 0
118 Hidrokortison krim 2,5% Tube 30 24 54 13 41 20.8
119 Hiosin HBr Inj 20 mg ampul 7 7 7 - 11.2 30
120 Hiosin N Butil bromida tablet tablet 2 2 2 - 3.2 1,000
121 Ibuprofen suspensi 100 mg/5 ml botol 125 125 5 120 8
122 Ibuprofen tablet 200 mg tablet - - - - 0
123 Ibuprofen tablet 400 mg tablet 2,949 1000 3,949 692 3,257 1107.2
124 Ichtiol salep pot - - - - 0 24
125 Isoniazid 100 mg/PPINH 100 mg tablet - - - - 0
126 Isoniazid tablet 300 mg tablet - - - - 0
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 200 100 300 - 300 0
128 Kalsium laktat (Kalk) tablet 500 mg tablet 295 500 795 15 780 24 1,000
129 Karbamazepin tablet 200 mg tablet - - - - 0
130 Ketokonazol krim Tube 58 58 1 57 1.6
131 Ketokonazol tab tablet 650 500 1,150 10 1,140 16
132 Ketoprofen 100mg tablet 215 250 465 70 395 112 500
133 Ketoprofen Supp suppos 55 55 10 45 16
134 Klopidogrel 75 mg Tablet - - - - 0
135 Kloramfenikol kapsul 250 mg tablet 60 60 - 60 0 200
136 Kloramfenikol salep Kulit Tube 75 24 99 10 89 16
137 Kloramfenikol salep mata 1 % Tube 5 5 5 - 8
138 Kloramfenikol suspensi 125 mg/5 ml Botol - - - - 0
139 Kloramfenikol tetes mata Botol - - - - 0
140 Kloramfenikol tetes telinga 3 % Botol 6 10 16 4 12 6.4
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 2,530 1000 3,530 1,491 2,039 2385.6
142 Klorpromazin 25mg tablet - - - - 0
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul - - - - 0
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul - - - - 0
145 Klorpromazin HCl tablet salut 100 mg tablet - - - - 0
146 Kodein HCl tablet 10 mg tablet 60 60 - 60 0
147 Kolkisin 500 mcg tablet - - - - 0
148 Kotrimoksazol suspensi kombinasi Botol 15 15 3 12 4.8
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,124 500 1,624 18 1,606 28.8
150 Lamivudin tablet - - - - 0
151 Lansoprazole tablet - - - - 0 500
152 Levofloksasin 250mg tablet - - - - 0
153 Levofloksasin tetes mata 0,5% botol - - - - 0
154 Lidocain komp.inj. ampul 62 30 92 31 61 49.6
155 Lidocain inj. ampul 34 34 - 34 0 50
156 Loperamid Hcl tablet 970 500 1,470 45 1,425 72 500
157 Loratadin 10mg tablet 670 500 1,170 135 1,035 216
158 Magnesium sulfat inj (IV) 20%-25 ml vial - - - - 0
159 Magnesium sulfat inj (IV) 40%-25 ml vial 12 6 18 - 18 0
160 MDT MD Dewasa Paket - - - - 0
161 Meloksikam 15 mg tablet 130 130 100 30 160 1,500
162 Metformin tablet 2,151 1000 3,151 450 2,701 720
Metil ergometrin maleat tablet salut 0,125
163 mg tablet - - - - 0
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 85 85 85 - 136 50

165 Metil Prednisolon 4 mg tablet 1,575 1,575 184 1,391 294.4 1,500
166 Metil Prednisolon 8mg tablet - - - - 0
167 Metildopa 250mg tablet 110 110 - 110 0
168 Metoclopramid 10 gr tablet 1,340 1,340 176 1,164 281.6
169 Metoclopramid injeksi ampul - - - - 0 20
170 Metronidazol 500 mg tablet 338 338 80 258 128 300
171 Metronidazol supositoria 500 mg suppos - - - - 0
172 Metronidazole ovula 500mg ovula - - - - 0
173 Mikonazol krim Tube 37 24 61 8 53 12.8
174 Mineral Mix sachet - - - - 0
175 Multivitamin syr Botol 211 100 311 6 305 9.6
176 Multivitamin tab tablet - - - - 0
177 N-asetil sistein tablet 4,302 4,302 500 3,802 800
178 Natrium bicarbonat tablet 500 mg tablet 308 308 40 268 64 300
179 Natrium Diklofenak 50 mg tablet 4,330 600 4,930 536 4,394 857.6
180 Natrium klorida larutan infus 0,9% fls 154 154 15 139 24
181 Nevirapin tablet - - - - 0
182 Nifedipin 10 mg tablet 590 590 - 590 0
183 Nistatin suspensi botol - - - - 0 10
184 Nistatin tablet salut 500.000 IU tablet 200 200 - 200 0
185 Nistatin tablet vaginal 100.000 IU/g tablet 84 84 - 84 0
186 Oksitetrasiklin HCl salep kulit 3% Tube 2 2 2 - 3.2 24
187 Oksitetrasiklin HCl salep mata 1% Tube 74 25 99 1 98 1.6
188 Oksitosin inj 10 IU / ml - 1 ml ampul 12 12 12 - 19.2 50
189 Omeprazole 20mg tablet - - - - 0 1,000
190 Pantocain tetes mata btl 2 2 - 2 0
191 Papaverin tablet 40 mg tablet 300 300 166 134 265.6 500
192 Parasetamol Drop Botol 23 23 2 21 3.2 100
193 Parasetamol rektal 125 mg (dumin) suppos 17 17 3 14 4.8 10
194 Parasetamol rektal 250 mg (dumin) suppos 27 27 1 26 1.6
195 Parasetamol sirup 120mg/ml Botol 218 218 60 158 96
196 Parasetamol tablet 100 mg tablet - - - - 0
197 Parasetamol tablet 500 mg tablet 4,512 4,512 1,634 2,878 2614.4
198 Permetrin krim 5% (Scabimite) tube 7 7 1 6 1.6
199 Petidin inj 50mg/ml ampul - - - - 0
200 Piracetam inj 3g/15ml ampul 4 4 - 4 0
201 Pirantel tablet 125 mg tablet - - - - 0 200
202 Pirasetam 800mg tablet - - - - 0
203 Piroxicam 10 mg tablet - - - - 0
204 Piroxicam 20 mg tablet - - - - 0
205 Prednison tablet 5 mg tablet 632 632 51 581 81.6 500
206 Primakuin tablet 15 mg tablet 300 300 - 300 0
207 Prokain benzil penisilin vial - - - - 0
208 Propanolol HCl tablet 10 mg tablet 177 177 20 157 32
209 Propanolol HCl tablet 40 mg tablet - - - - 0
210 Propiltiourasil tablet 100 mg tablet 910 910 30 880 48
211 Ramipril tablet - - - - 0
212 Ranitidin inj. 25mg/ml ampul 130 130 25 105 40 50
213 Ranitidin tablet 150 mg tablet 2,872 2,872 962 1,910 1539.2
214 Risperidon 1 mg tablet - - - - 0
215 Risperidon 2 mg tablet - - - - 0
216 RL larutan infus fls 322 322 62 260 99.2
217 Salbutamol inhalasi 100 mcq/dosis botol 10 10 - 10 0
218 Salbutamol nebulizer Kotak 2 2 2 - 3.2
219 Salbutamol tablet 2 mg tablet 1,640 1,640 118 1,522 188.8
220 Salbutamol tablet 4 mg tablet 2,670 2,670 47 2,623 75.2
221 Salep 2-4 kombinasi pot 38 38 2 36 3.2 10
222 Salep luka bakar (Levertran) Tube - - - - 0
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 16 16 1 15 1.6

224 Salisil bedak 2% bungkus 32 32 5 27 8
225 Seftriakson Injeksi vial 12 12 - 12 0 30
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 7 3 10 4 6 6.4 5
227 Serum Anti Rabies (SAR) Vial - - - - 0
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 1 1 - 1 0
229 Simvastatin 10 mg tablet 500 500 90 410 144 1,000
230 Spironolacton 25 mg tablet 232 232 5 227 8 500
231 Sukralfat tablet tablet - - - - 0
232 Sukralfat Sirup Botol 52 52 17 35 27.2
233 Tablet Tambah darah tablet 460 460 460 - 736
234 Tenofovir tablet - - - - 0
235 Tetagam ampul 4 4 - 4 0 25
236 Tetrasiklin HCL kapsul 500 mg tablet 100 100 - 100 0
237 Thiamfenikol 500 mg tab tablet - - - - 0 200
238 Tramadol inj ampul - - - - 0
239 Trifluoperazin 5mg tablet - - - - 0
240 Triheksiphenidil HCl tablet 2 mg tablet - - - - 0
241 Vaksin Rabies Vero Vial - - - - 0
242 Vitamin A 100.000 IU tablet 50 250 300 - 300 0
243 Vitamin A 200.000 IU tablet 50 600 650 - 650 0
244 Vitamin B komplek tablet tablet 2,200 2,200 1,293 907 2068.8 1,000
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 1,200 1,200 110 1,090 176 500
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - - - - 0

Vitamin B12 / Sianokobalamin Vit B12 inj
247 500mcg-ml ampul - - - - 0
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,940 1,940 526 1,414 841.6
249 Vitamin C / Asam askorbat tablet 50 mg tablet 2,455 1500 3,955 1,174 2,781 1878.4 1,000
250 Zinc syr botol 14 14 7 7 11.2 36
251 Zinc tab 20 mg tablet 441 441 10 431 16 300
252 BMHP Abochat (IV Chat) 18 Pcs 94 94 - 94 0
253 & Abochat (IV Chat) 20 Pcs 204 204 25 179 40
254 Reagen Abochat (IV Chat) 22 Pcs 118 50 168 50 118 80
255 Abochat (IV Chat) 24 Pcs 184 184 - 184 0
256 ADS 0,05 ml pcs 1,100 1,100 2 1,098 3.2
257 ADS 0,5 ml pcs 1,600 1,600 - 1,600 0
258 ADS 5 ml pcs - - - - 0
259 Alat suntik 10 ml pcs - - - - 0
260 Alat suntik 20 ml pcs - - - - 0
261 Alat suntik sekali pakai 1 ml Pcs 782 782 15 767 24
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,610 1,610 225 1,385 360
263 Alat suntik sekali pakai 5 ml Pcs 614 614 120 494 192
264 Alkacid Botol - - - - 0
265 Alkohol Swab sachet 950 1000 1,950 100 1,850 160
266 Amoniak btl/1000 ml - - - - 0
267 Aquadest steril liter - - - - 0
268 Benecheck Cholesterol strip Botol 4 4 1 3 1.6
269 Benecheck Glucose strip Botol - - - - 0
270 Benecheck uric strip Botol - - - - 0
271 Blood lancet pcs 1,030 1,030 - 1,030 0
272 Blue tip box - - - - 0
273 Box Slide bok - - - - 0
274 Cartridge Gen Expert Pcs - - - - 0
275 Catgut/benang bedah Chromic 2/0 set 45 45 2 43 3.2
276 Catgut/benang bedah Chromic 3/0 set 47 47 2 45 3.2
277 Catgut/benang bedah Plain 2/0 set 93 93 7 86 11.2
278 Catgut/benang bedah Plain 3/0 set 83 83 2 81 3.2
279 Centrifuse Paket - - - - 0
280 Chlorin botol - - - - 0
281 Cuticell Classic pcs 8 8 - 8 0
282 DFI Cybow Box - 1 1 1 - 1.6
283 EDTA 10 % Botol - - - - 0
284 Etakridin (rivanol) larutan 0,1% Botol 8 5 13 3 10 4.8
285 Etanol 100 ml botol. - - - - 0
286 Etanol 70% Botol 25 25 3 22 4.8
287 Etanol 96% botol - - - - 0
288 Eter Alkohol 5% botol - - - - 0
289 Folley Chatether pcs 10 10 - 10 0
290 Food Test - Borak Test Paket - - - - 0
291 Food Test - Formalin Test Paket - - - - 0
292 Food Test - Rhodamin Test Paket - - - - 0
293 Fouchet Botol - - - - 0
294 Handscoon psg 890 890 350 540 560 300
295 Handscoon Obgyn psg 22 22 - 22 0
296 Handscoon Steril psg 107 107 10 97 16
297 HCG Strip Pcs - - - - 0 100
298 Infusion set anak set - - - - 0
299 Infusion set dewasa set 151 25 176 25 151 40
300 Jarum jahit / bedah no. 9 s/d 14 Pcs - - - - 0
301 Jelly USG btl 4 4 - 4 0 4
302 Kaca Slide pcs 144 144 - 144 0
303 Kaca Tutup pcs - - - - 0
304 Kapas pembalut / absorben 250 g roll 5 3 8 1 7 1.6
305 Kasa kompres 40/40 steril lbr 80 80 - 80 0
306 Kasa pembalut 2 m x 80 cm roll - - - - 0
307 Kasa pembalut elastis 3 inchi roll 1 1 - 1 0
308 Kasa pembalut elastis 4 inchi roll 1 1 - 1 0
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll - - - - 0
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll - - - - 0
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65 65 - 65 0
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - - - - 0

313 Kasa steril 16/16 kotak 79 30 109 31 78 49.6
314 Kassa gulung Besar 80cm x 40 m roll - - - - 0
315 Kertas lakmus biru pack - - - - 0
316 Kertas Lakmus merah pack - - - - 0
317 Kertas lensa pak - - - - 0
318 Kertas pH Universal Kotak - - - - 0
319 Kertas saring watchman ktk - - - - 0
320 kit gol. Darah A, B, AB set - - - - 0
321 Kondom pcs - - - - 0
322 Labstrip (urinalis) tube - - - - 0
323 Larutan Amonium Oksalat 1% Botol - - - - 0
324 Larutan Asam Asetat 6 % Botol - - - - 0
325 Larutan barium klorida Botol - - - - 0
326 Larutan benedict Botol - - - - 0
327 Larutan buffer PH 6,1 Botol - - - - 0
328 Larutan buffer PH 7,2 Botol - - - - 0
329 Larutan eosin 2% Botol - - - - 0
330 Larutan Etanol Asam Botol - - - - 0
331 Larutan giemsa stain Botol - - - - 0
332 Larutan H2O2 3% Botol 1 L - - - - 0
333 Larutan H2O2 3% Botol - - - - 0 2
334 Larutan Hayem Botol - - - - 0
335 Larutan HCl 0,1 N Botol - - - - 0
336 Larutan karbolfuksin Botol - - - - 0
337 Larutan metilen biru Botol - - - - 0
338 Larutan Na citrat Botol - - - - 0
339 Larutan Natrium Hipoklorid Botol/ 500ml - - - - 0
340 Larutan Ress Ecker Botol/ 100 ml - - - - 0
341 Larutan turk Botol - - - - 0
342 Larutan Wright Botol - - - - 0
343 Lisol Botol 8 4 12 - 12 0
344 Lubricant pcs - - - - 0
345 Mantoux tes vial - - - - 0
346 Masker pcs 1,470 1,470 200 1,270 320
347 Masker 3M N95 medikal respirator pcs - - - - 0
348 Mess pcs - - - - 0
349 Metanol 100 ml Botol - - - - 0
350 Metanol 1000 ml botol - - - - 0
Microlit tips for micropipettes MT-up to 1
351 ml pack - - - - 0
352 Mikropipet adjustable 100-1000µl unit - - - - 0
353 Mikropipet adjustable 5-50µl unit - - - - 0
354 Mikroskop malaria (nikon) unit - - - - 0
355 Minyak Imersi Botol - - - - 0
356 NAPZA Kit 6 Parameter pcs - - - - 0
357 Napza KIT 8 Parameter box - - - - 0
358 Needle 23 G Pcs - - - - 0
359 Pembalut gips 3 inch Roll - - - - 0
360 Pembalut gips 4 inch Roll - - - - 0
361 Pipet tetes bks/100 pcs - - - - 0
362 Planotest pcs - - - - 0
363 Plester 2,5 cmx 4,5 m roll - - - - 0
364 Plester 5 yard x 2 inch roll - - - - 0 10
365 Plester bulat non woven box 80 80 - 80 0
366 Poli Aid Botol - - - - 0
367 Poli Clean Botol 21 21 3 18 4.8
368 Poliwash botol 500ml - - - - 0 5
369 Pork Test Paket - - - - 0
370 Pot Sputum Pcs - - - - 0
371 Pot Urine Pcs - - - - 0
372 Povidon iodida 10% 30 ml Botol 17 17 1 16 1.6
373 Povidon iodida 10% 300 ml Botol 27 27 7 20 11.2
374 Povidon iodida 10% 60 ml Botol 18 18 - 18 0
375 Povidon Iodine 1 L Botol - - - - 0
376 RDT DBD Verotec Pcs - - - - 0
377 RDT DBD Biosen Pcs - - - - 0
378 RDT Hepatitis / HBSAG Strip pcs 20 20 - 20 0 50
379 RDT HIV -Fokus 1/2 casette box/25 - - - - 0
RDT HIV Test (HIV 1 & 2 Anti Body)
380 oncoprobe test - - - - 0
381 RDT HIV test (R1) SD Pcs 100 100 - 100 0
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test - - - - 0
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box - - - - 0
384 RDT Malaria / Malaria test ktk 2 2 - 2 0
385 RDT sifillis Pcs 125 125 - 125 0
386 Reagen dan Bahan alat lab.Malaria paket - - - - 0

Reagen Fotometer Kimia Klinik Randox
387 Glukosa kit - - - - 0
388 Protein total kit - - - - 0
389 triglyserida kit - - - - 0
Reagen hematology analyzer Cointender
390 20 SFRI cliner 31 btl 5 L - - - - 0
391 20 SFRI diluent 31 btl 20 L - - - - 0
392 20 SFRI Lyse 31 botol 500ml - - - - 0
393 Reagen TB kit - - - - 0
394 Reagen widal H Vial - - - - 0
395 Reagen widal O Vial - - - - 0

396 Rotator Sifilis Unit - - - - 0
397 RPR Sifilis Pcs - - - - 0
398 Safety box pcs 26 26 5 21 8
399 Silk no.3/0 dengan jarum bedah set 70 70 7 63 11.2 36
400 Slang Oksigen Dewasa (Adult) pcs 5 5 - 5 0
401 Slang Oksigen Dewasa (Neonatus) Pcs - - - - 0

402 Slang Oksigen Dewasa (Pediatri) Pcs - - - - 0
403 Smokerlyzer D-Pieces Box - - - - 0
404 Smokerlyzer Mouth Pieces Box - - - - 0
405 Spritus Botol - - - - 0
406 Stomach tube FR 12 pcs 5 5 - 5 0
409 Strip asam urat (UA SURE) Botol - - - - 0
410 Strip asam urat Sinocare ktk - - - - 0
411 Strip GLUCO DR Ktk - - - - 0
412 Strip glukosa darah (easy touch) ktk - - - - 0
413 Strip glukosa On Call ktk 3 3 - 3 0
414 Strip Hb (easy touch) ktk - - - - 0
415 Strip Hb Mission Kotak 2 2 - 2 0
416 Strip Kolesterol Mission Ultra ktk 4 4 - 4 0 5
417 Suction cateter No.12 Pcs - - - - 0
420 Tabung non EDTA 3 ml pack - - - - 0
421 Tabung reaksi tutup pcs - - - - 0
422 Thermal paper 4 x 5 -rocheurysis 1100 roll - - - - 0
423 Thermal paper SFRI roll - - - - 0
424 Tube EDTA Box - - - - 0
425 Urin Bag pcs 5 5 - 5 0
426 Vacum Tube EDTA 0,5 ml Bok - - - - 0
427 Vacutainer sample needle pcs - - - - 0
428 White Tip Bks - - - - 0
429 wing needle 21 G pcs - - - - 0
431 wing needle 25 G pcs 5 5 - 5 0
433 Xylol Botol - - - - 0
434 Yellow Tip/Micropipet MT-I 200 ul bks - - - - 0
435 Yodiol Test Botol - 7 7 - 7 0
Bahan tambalan gigi sementara
436 Gigi (mix/Caviton) Botol - - - - 0 1
437 Devitalisasi Non Arsen botol - - - - 0
438 Etil klorida spray Botol - 1 1 1 - 1.6 1
439 Eugenol cairan Botol - - - - 0
440 Glassionomer Cement (GC IX) / GC. Fuji Botol - - - - 0

441 Kalsium hidroksida pasta / Calxyl blue kotak - - - - 0
442 Klorfenol kamfer menthol (CHKM) Botol - - - - 0
443 Lidocain pasta botol - - - - 0
444 Needle Carpul ktk - - - - 0
445 Occo pembersih karang gigi botol - - - - 0
446 Spongestan Hemospon ktk - - - - 0
447 Temporary stopping fletcher Set - - - - 0
448 TKF botol - - - - 0
449 Vaksin Vaksin BCG Vial - - - - 0 20
450 Imunisasi Vaksin CAMPAK Vial - - - - 0
451 Vaksin DT Vial - - - - 0
452 Vaksin HbIg Kotak - - - - 0
453 Vaksin HB-UNIJECT Vial 2 20 22 4 18 6.4 20
454 Vaksin Hepatitis dewasa vial - - - - 0
455 Vaksin IPV Vial - - - - 0 20
456 Vaksin Meningitis Vial - - - - 0
457 Vaksin MR Vial - - - - 0 15
458 Vaksin PENTABIO Vial - 20 20 17 3 27.2 20
459 Vaksin POLIO Vial - 40 40 15 25 24 30
460 Vaksin Td Vial - - - - 0
461 Vaksin TT Vial - - - - 0
462 Baru 0 0 - - - - 0
463 0 0 - - - - 0
464 0 0 - - - - 0
465 0 0 - - - - 0
466 0 0 - - - - 0
467 0 0 - - - - 0
468 0 0 - - - - 0
469 0 0 - - - - 0
470 0 0 - - - - 0
471 0 0 - - - - 0
472 0 0 - - - - 0
Tdk. Bayar Bayar BPJS Trans BKKBN Lain2 Jumlah
Mengetahui, Sungai Limau, 31 Januari 2020

Kepala Unit Layanan Puskesmas Sungai
Limau Pengelola Obat,
dr. Boy Hendri Ma'as Yusmalia Hidayati, Amd. Keb

NIP. 19851127 201406 1 001 NRPK. 03.7.0402992
455 Vaksin IPV Vial - - - 0 0 20
456 Vaksin Meningitis Vial - - - 0 0
457 Vaksin MR Vial - 15 15 15 0 24 20
458 Vaksin PENTABIO Vial 3 20 23 14 9 22.4 10
459 Vaksin POLIO Vial 25 30 55 11 44 17.6
460 Vaksin Td Vial - - - 0 0
461 Vaksin TT Vial - - - 0 0
462 Baru 0 0 - - - 0 0 0
463 0 0 - - - 0 0 0
464 0 0 - - - 0 0 0
465 0 0 - - - 0 0 0
466 0 0 - - - 0 0 0
467 0 0 - - - 0 0 0
468 0 0 - - - 0 0 0
469 0 0 - - - 0 0 0
470 0 0 - - - 0 0 0
471 0 0 - - - 0 0 0
472 0 0 - - - 0 0 0
Mengetahui, Sungai Limau, 29 Februari 2020

Kepala Unit Layanan Puskesmas Sungai
Limau Pengelola Obat,
dr. Boy Hendri Ma'as Yusmalia Hidayati, Amd. Keb

NIP. 19851127 201406 1 001 NRPK. 03.7.0402992
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : Maret
Pengeluaran Stok
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Obat Albendazol sirup 200mg/5 ml Botol 17 17 - 17 0 -17
2 Albendazol tablet 400 mg tablet 454 454 - 454 0 -454
3 Allopurinol 100 mg tablet 4,009 4009 - 4009 0 -4009
4 Alprazolam 0,5 mg tablet - 0 - 0 0 0
5 Alprazolam 1 mg tablet - 0 - 0 0 0
6 Ambroxol 30 mg tablet tablet 3,043 3043 - 3043 0 -3043
7 Aminofilin inj 24mg/ml-10 ml ampul 15 15 - 15 0 -15
8 Aminofilin tablet 200 mg tablet 185 185 - 185 0 -185
9 Amitriptilin HCl tablet salut 25 mg tablet 465 465 - 465 0 -465
10 Amlodipin 10 mg tablet 2,890 2890 - 2890 0 -2890
12 Amoksisilin 250 mg tablet 1,606 1606 - 1606 0 -1606
14 Amoksisilin 250mg/5ml sirup kering botol - 0 - 0 0 0
15 Amoksisilin sirup kering 125 mg/5 ml Botol 211 211 - 211 0 -211
16 Antalgin injeksi 250 mg/ml-2ml ampul - 0 - 0 0 0
17 Antasida DOEN tablet tablet 830 830 - 830 0 -830
18 Antasida sirup Botol 16 16 - 16 0 -16
19 (bacitrasin) Tube 44 44 - 44 0 -44
20 Anti Fungi DOEN Kombinasi Pot 1 1 - 1 0 -1
21 Anti Haemoroid DOEN kombinasi Suppos 10 10 - 10 0 -10
22 Anti Migren (ergotamin caffein) tablet - 0 - 0 0 0
23 Anti Tuberkulosis anak paket 2 2 - 2 0 -2
24 Anti Tuberkulosis Kategori I paket - 0 - 0 0 0
25 Anti Tuberkulosis Kategori II paket 1 1 - 1 0 -1
26 Aqua pro injeksi steril bebas pirogen vial 36 36 - 36 0 -36
27 Asam Folat 0,4 mg /profolat tablet - 0 - 0 0 0
28 Asam folat 1 mg tablet 525 525 - 525 0 -525
29 Asam mefenamat 500 mg tablet 534 534 - 534 0 -534
30 Asam tranexamat inj 100 mg/ml ampul - 0 - 0 0 0
31 Asam tranexamat inj 50mg/ml ampul - 0 - 0 0 0
32 Asam Tranexamat tablet 500 mg tablet 715 715 - 715 0 -715
33 Asam Valproat 500mg / Depakote 500 mg tablet - 0 - 0 0 0

34 Asetosal 80 mg / Miniaspi tablet 655 655 - 655 0 -655
35 Asiklovir Krim 5 % 5 gr Tube 108 108 - 108 0 -108
36 Asiklovir tablet 200 mg tablet 549 549 - 549 0 -549
37 Asiklovir tablet 400 mg tablet 1,745 1745 - 1745 0 -1745
38 Atripla tablet - 0 - 0 0 0
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0 -30

40 Attapulgit (Pularex) tablet 218 218 - 218 0 -218
41 Azitromisin tab 500 mg tablet - 0 - 0 0 0
42 Benzatil benzil penisilin vial - 0 - 0 0 0
43 100mcg/dosis) Btl - 0 - 0 0 0
44 Betahistin mesilat tablet 1,279 1279 - 1279 0 -1279
45 Betametason krim 0,1% Tube - 0 - 0 0 0
46 Bioplacenton tube - 0 - 0 0 0
47 Bisacodil (dulcolax) supp suppos 93 93 - 93 0 -93
48 Bisacodil (dulcolax) tab tablet 135 135 - 135 0 -135
49 Bisacodil supp infant 5 mg /Dulcolax Suppos - 0 - 0 0 0
50 Bisoprolol 5 mg tablet 150 150 - 150 0 -150
51 Ca Glukonas ampul 10 10 - 10 0 -10
52 Captopril 12,5mg tablet 4,310 4310 - 4310 0 -4310
53 Captopril 25 mg tablet 1,840 1840 - 1840 0 -1840
54 Cefadroxil tablet 792 792 - 792 0 -792
55 Cefadroxyl syr 125 mg/ml Botol 14 14 - 14 0 -14
56 Cefiksim syr kering 100mg/5ml btl 30ml 28 28 - 28 0 -28
57 Cefixime 100mg tablet 2 2 - 2 0 -2
58 Cefotaxim 1,0 G inj Vial 14 14 - 14 0 -14
59 mg botol 31 31 - 31 0 -31
60 Cetirizin 10 mg tablet 130 130 - 130 0 -130
61 Cetirizin syr 5mg/5ml btl 60ml 63 63 - 63 0 -63
62 Ciprofloxacin tablet 500 mg tablet 1,922 1922 - 1922 0 -1922
63 Clindamisin 150 mg tablet 1,271 1271 - 1271 0 -1271
64 Clindamisin 300 mg tablet - 0 - 0 0 0
65 Deksametason injeksi 5 mg/ml-1 ml ampul 74 74 - 74 0 -74
66 Deksametason tablet 0,5 mg tablet 43 43 - 43 0 -43
67 DHP-Frimal tablet 40 40 - 40 0 -40
68 Diazepam injeksi 5 mg/ml-2 ml ampul - 0 - 0 0 0
69 Diazepam rektal 10 mg Suppos 4 4 - 4 0 -4
71 Diazepam tablet 2 mg tablet 322 322 - 322 0 -322
73 Dietil karbamazin sitrat tablet 100 mg tablet - 0 - 0 0 0
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul - 0 - 0 0 0
75 Digoksin tablet 0,25 mg tablet 100 100 - 100 0 -100
76 Diltiazem tablet tablet - 0 - 0 0 0
77 Dimenhidrinat 50 mg tablet - 0 - 0 0 0
78 Doksisilin kapsul tablet 200 200 - 200 0 -200
79 Domperidon 10 mg tablet 516 516 - 516 0 -516
80 Domperidon syr Botol 106 106 - 106 0 -106
81 Efedrin HCl tablet 25 mg tablet - 0 - 0 0 0
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 30 30 - 30 0 -30
83 Eritromisin 250 mg tablet - 0 - 0 0 0
85 Eritromisin sirup kering Botol - 0 - 0 0 0
86 Etambutol 400mg tablet - 0 - 0 0 0
87 Euthyrox tablet - 0 - 0 0 0
88 Fenitoin natrium kapsul 30 mg tablet - 0 - 0 0 0
89 Fenobarbital inj 50 mg/ml - 2 ml ampul - 0 - 0 0 0
90 Fenobarbital tablet 30 mg tablet 200 200 - 200 0 -200
91 Fenolgliserol tetes telinga 10% Botol - 0 - 0 0 0
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0 -9

93 Fitomenadion (Vit K1) tablet 10 mg tablet 549 549 - 549 0 -549
94 Fitomenadion inj 2 mg/ml ampul 47 47 - 47 0 -47
95 Fluoksetin / Prestine tablet - 0 - 0 0 0
96 Furosemid injeksi ampul - 0 - 0 0 0
97 Furosemid tablet 40 mg tablet 1,260 1260 - 1260 0 -1260
98 Gabapentin/Alpentin 100 mg kapsul - 0 - 0 0 0
99 Garam Oralit untuk 200 ml bungkus 263 263 - 263 0 -263
100 Gentamicin Salep Kulit Tube - 0 - 0 0 0
101 Gentamisin inj ampul - 0 - 0 0 0
102 Gentamisin tetes mata botol - 0 - 0 0 0
103 Gentian violet larutan 1% Botol 59 59 - 59 0 -59
104 Glibenklamid tablet 5 mg tablet 1,800 1800 - 1800 0 -1800
105 Glimepirid 1 mg tablet 1,430 1430 - 1430 0 -1430
106 Glimepirid 2 mg tablet 980 980 - 980 0 -980
107 Gliseril Guaiakolat tablet 100 mg tablet - 0 - 0 0 0
108 Glukosa 40% ampul - 0 - 0 0 0
109 Glukosa larutan Infus 10% steril fls - 0 - 0 0 0
110 Glukosa Larutan Infus 5% steril fls 35 35 - 35 0 -35
111 Griseofulvin tablet 125 mg tablet - 0 - 0 0 0
112 Griseofulvin tablet 500 mg tablet 140 140 - 140 0 -140
113 Haloperidol 5 mg tablet - 0 - 0 0 0
114 Haloperidol inj 50mg/ml ampul - 0 - 0 0 0
115 Haloperidol tablet 0,5 mg tablet - 0 - 0 0 0
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 101 101 - 101 0 -101
118 Hidrokortison krim 2,5% Tube 32 32 - 32 0 -32
119 Hiosin HBr Inj 20 mg ampul - 0 - 0 0 0
120 Hiosin N Butil bromida tablet tablet - 0 - 0 0 0
121 Ibuprofen suspensi 100 mg/5 ml botol 109 109 - 109 0 -109
122 Ibuprofen tablet 200 mg tablet - 0 - 0 0 0
123 Ibuprofen tablet 400 mg tablet 2,525 2525 - 2525 0 -2525
124 Ichtiol salep pot - 0 - 0 0 0
125 Isoniazid 100 mg/PPINH 100 mg tablet - 0 - 0 0 0
126 Isoniazid tablet 300 mg tablet - 0 - 0 0 0
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 300 300 - 300 0 -300
128 Kalsium laktat (Kalk) tablet 500 mg tablet 580 580 - 580 0 -580
129 Karbamazepin tablet 200 mg tablet - 0 - 0 0 0
130 Ketokonazol krim Tube 52 52 - 52 0 -52
131 Ketokonazol tab tablet 1,140 1140 - 1140 0 -1140
132 Ketoprofen 100mg tablet 785 785 - 785 0 -785
133 Ketoprofen Supp suppos 34 34 - 34 0 -34
134 Klopidogrel 75 mg Tablet - 0 - 0 0 0
135 Kloramfenikol kapsul 250 mg tablet 100 100 - 100 0 -100
136 Kloramfenikol salep Kulit Tube 85 85 - 85 0 -85
137 Kloramfenikol salep mata 1 % Tube - 0 - 0 0 0
138 Kloramfenikol suspensi 125 mg/5 ml Botol - 0 - 0 0 0
139 Kloramfenikol tetes mata Botol - 0 - 0 0 0
140 Kloramfenikol tetes telinga 3 % Botol 11 11 - 11 0 -11
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 1,339 1339 - 1339 0 -1339
142 Klorpromazin 25mg tablet - 0 - 0 0 0
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul - 0 - 0 0 0
145 Klorpromazin HCl tablet salut 100 mg tablet - 0 - 0 0 0
146 Kodein HCl tablet 10 mg tablet 60 60 - 60 0 -60
147 Kolkisin 500 mcg tablet - 0 - 0 0 0
148 Kotrimoksazol suspensi kombinasi Botol 2 2 - 2 0 -2
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,406 1406 - 1406 0 -1406
150 Lamivudin tablet - 0 - 0 0 0
151 Lansoprazole tablet - 0 - 0 0 0
152 Levofloksasin 250mg tablet - 0 - 0 0 0
153 Levofloksasin tetes mata 0,5% botol - 0 - 0 0 0
154 Lidocain komp.inj. ampul 36 36 - 36 0 -36
155 Lidocain inj. ampul 34 34 - 34 0 -34
156 Loperamid Hcl tablet 55 55 - 55 0 -55
157 Loratadin 10mg tablet 660 660 - 660 0 -660
158 Magnesium sulfat inj (IV) 20%-25 ml vial - 0 - 0 0 0
159 Magnesium sulfat inj (IV) 40%-25 ml vial 16 16 - 16 0 -16
160 MDT MD Dewasa Paket - 0 - 0 0 0
161 Meloksikam 15 mg tablet 30 30 - 30 0 -30
162 Metformin tablet 1,811 1811 - 1811 0 -1811
163 mg tablet - 0 - 0 0 0
164 Metil ergometrin maleat inj 0,200mg-1ml ampul - 0 - 0 0 0

165 Metil Prednisolon 4 mg tablet - 0 - 0 0 0
166 Metil Prednisolon 8mg tablet - 0 - 0 0 0
167 Metildopa 250mg tablet 74 74 - 74 0 -74
168 Metoclopramid 10 gr tablet 1,057 1057 - 1057 0 -1057
169 Metoclopramid injeksi ampul - 0 - 0 0 0
170 Metronidazol 500 mg tablet 183 183 - 183 0 -183
171 Metronidazol supositoria 500 mg suppos - 0 - 0 0 0
172 Metronidazole ovula 500mg ovula - 0 - 0 0 0
173 Mikonazol krim Tube 46 46 - 46 0 -46
174 Mineral Mix sachet - 0 - 0 0 0
175 Multivitamin syr Botol 285 285 - 285 0 -285
176 Multivitamin tab tablet - 0 - 0 0 0
177 N-asetil sistein tablet 3,322 3322 - 3322 0 -3322
178 Natrium bicarbonat tablet 500 mg tablet 558 558 - 558 0 -558
179 Natrium Diklofenak 50 mg tablet 3,731 3731 - 3731 0 -3731
180 Natrium klorida larutan infus 0,9% fls 122 122 - 122 0 -122
181 Nevirapin tablet - 0 - 0 0 0
182 Nifedipin 10 mg tablet 590 590 - 590 0 -590
183 Nistatin suspensi botol 10 10 - 10 0 -10
184 Nistatin tablet salut 500.000 IU tablet 200 200 - 200 0 -200
185 Nistatin tablet vaginal 100.000 IU/g tablet 84 84 - 84 0 -84
186 Oksitetrasiklin HCl salep kulit 3% Tube 19 19 - 19 0 -19
187 Oksitetrasiklin HCl salep mata 1% Tube 96 96 - 96 0 -96
188 Oksitosin inj 10 IU / ml - 1 ml ampul - 0 - 0 0 0
189 Omeprazole 20mg tablet 1,385 1385 - 1385 0 -1385
190 Pantocain tetes mata btl 2 2 - 2 0 -2
191 Papaverin tablet 40 mg tablet 65 65 - 65 0 -65
192 Parasetamol Drop Botol 21 21 - 21 0 -21
193 Parasetamol rektal 125 mg (dumin) suppos 18 18 - 18 0 -18
195 Parasetamol sirup 120mg/ml Botol 56 56 - 56 0 -56
196 Parasetamol tablet 100 mg tablet - 0 - 0 0 0
197 Parasetamol tablet 500 mg tablet 1,429 1429 - 1429 0 -1429
198 Permetrin krim 5% (Scabimite) tube 2 2 - 2 0 -2
199 Petidin inj 50mg/ml ampul - 0 - 0 0 0
200 Piracetam inj 3g/15ml ampul 4 4 - 4 0 -4
201 Pirantel tablet 125 mg tablet 200 200 - 200 0 -200
202 Pirasetam 800mg tablet - 0 - 0 0 0
203 Piroxicam 10 mg tablet - 0 - 0 0 0
205 Prednison tablet 5 mg tablet 610 610 - 610 0 -610
206 Primakuin tablet 15 mg tablet 300 300 - 300 0 -300
207 Prokain benzil penisilin vial - 0 - 0 0 0
208 Propanolol HCl tablet 10 mg tablet 117 117 - 117 0 -117
209 Propanolol HCl tablet 40 mg tablet - 0 - 0 0 0
210 Propiltiourasil tablet 100 mg tablet 820 820 - 820 0 -820
211 Ramipril tablet - 0 - 0 0 0
212 Ranitidin inj. 25mg/ml ampul 109 109 - 109 0 -109
213 Ranitidin tablet 150 mg tablet 3,047 3047 - 3047 0 -3047
214 Risperidon 1 mg tablet - 0 - 0 0 0
216 RL larutan infus fls 194 194 - 194 0 -194
217 Salbutamol inhalasi 100 mcq/dosis botol 10 10 - 10 0 -10
218 Salbutamol nebulizer Kotak - 0 - 0 0 0
219 Salbutamol tablet 2 mg tablet 1,446 1446 - 1446 0 -1446
221 Salep 2-4 kombinasi pot 36 36 - 36 0 -36
222 Salep luka bakar (Levertran) Tube - 0 - 0 0 0
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 13 13 - 13 0 -13

224 Salisil bedak 2% bungkus 24 24 - 24 0 -24
225 Seftriakson Injeksi vial 12 12 - 12 0 -12
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3 3 - 3 0 -3
227 Serum Anti Rabies (SAR) Vial - 0 - 0 0 0
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 1 1 - 1 0 -1
229 Simvastatin 10 mg tablet 330 330 - 330 0 -330
230 Spironolacton 25 mg tablet 217 217 - 217 0 -217
231 Sukralfat tablet tablet - 0 - 0 0 0
232 Sukralfat Sirup Botol 8 8 - 8 0 -8
233 Tablet Tambah darah tablet - 0 - 0 0 0
234 Tenofovir tablet - 0 - 0 0 0
235 Tetagam ampul 2 2 - 2 0 -2
236 Tetrasiklin HCL kapsul 500 mg tablet 100 100 - 100 0 -100
237 Thiamfenikol 500 mg tab tablet - 0 - 0 0 0
238 Tramadol inj ampul - 0 - 0 0 0
239 Trifluoperazin 5mg tablet - 0 - 0 0 0
240 Triheksiphenidil HCl tablet 2 mg tablet - 0 - 0 0 0
241 Vaksin Rabies Vero Vial - 0 - 0 0 0
242 Vitamin A 100.000 IU tablet 300 300 - 300 0 -300
244 Vitamin B komplek tablet tablet 712 712 - 712 0 -712
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 1,510 1510 - 1510 0 -1510
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - 0 - 0 0 0

247 500mcg-ml ampul - 0 - 0 0 0
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,109 1109 - 1109 0 -1109
249 Vitamin C / Asam askorbat tablet 50 mg tablet 388 388 - 388 0 -388
250 Zinc syr botol 7 7 - 7 0 -7
251 Zinc tab 20 mg tablet 321 321 - 321 0 -321
252 BMHP Abochat (IV Chat) 18 Pcs 72 72 - 72 0 -72
253 & Abochat (IV Chat) 20 Pcs 157 157 - 157 0 -157
254 Reagen Abochat (IV Chat) 22 Pcs 66 66 - 66 0 -66
255 Abochat (IV Chat) 24 Pcs 167 167 - 167 0 -167
256 ADS 0,05 ml pcs 1,080 1080 - 1080 0 -1080
257 ADS 0,5 ml pcs 1,535 1535 - 1535 0 -1535
258 ADS 5 ml pcs - 0 - 0 0 0
259 Alat suntik 10 ml pcs - 0 - 0 0 0
261 Alat suntik sekali pakai 1 ml Pcs 667 667 - 667 0 -667
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,193 1193 - 1193 0 -1193
264 Alkacid Botol - 0 - 0 0 0
265 Alkohol Swab sachet 1,350 1350 - 1350 0 -1350
266 Amoniak btl/1000 ml - 0 - 0 0 0
267 Aquadest steril liter - 0 - 0 0 0
268 Benecheck Cholesterol strip Botol 3 3 - 3 0 -3
269 Benecheck Glucose strip Botol - 0 - 0 0 0
270 Benecheck uric strip Botol - 0 - 0 0 0
271 Blood lancet pcs 1,030 1030 - 1030 0 -1030
272 Blue tip box - 0 - 0 0 0
273 Box Slide bok - 0 - 0 0 0
274 Cartridge Gen Expert Pcs - 0 - 0 0 0
275 Catgut/benang bedah Chromic 2/0 set 43 43 - 43 0 -43
277 Catgut/benang bedah Plain 2/0 set 86 86 - 86 0 -86
279 Centrifuse Paket - 0 - 0 0 0
280 Chlorin botol - 0 - 0 0 0
281 Cuticell Classic pcs 8 8 - 8 0 -8
282 DFI Cybow Box - 0 - 0 0 0
283 EDTA 10 % Botol - 0 - 0 0 0
284 Etakridin (rivanol) larutan 0,1% Botol 10 10 - 10 0 -10
285 Etanol 100 ml botol. - 0 - 0 0 0
286 Etanol 70% Botol 19 19 - 19 0 -19
287 Etanol 96% botol - 0 - 0 0 0
288 Eter Alkohol 5% botol - 0 - 0 0 0
289 Folley Chatether pcs 10 10 - 10 0 -10
290 Food Test - Borak Test Paket - 0 - 0 0 0
291 Food Test - Formalin Test Paket - 0 - 0 0 0
292 Food Test - Rhodamin Test Paket - 0 - 0 0 0
293 Fouchet Botol - 0 - 0 0 0
294 Handscoon psg 540 540 - 540 0 -540
295 Handscoon Obgyn psg 22 22 - 22 0 -22
296 Handscoon Steril psg 94 94 - 94 0 -94
297 HCG Strip Pcs 83 83 - 83 0 -83
298 Infusion set anak set - 0 - 0 0 0
299 Infusion set dewasa set 99 99 - 99 0 -99
300 Jarum jahit / bedah no. 9 s/d 14 Pcs - 0 - 0 0 0
301 Jelly USG btl 6 6 - 6 0 -6
302 Kaca Slide pcs 144 144 - 144 0 -144
303 Kaca Tutup pcs - 0 - 0 0 0
304 Kapas pembalut / absorben 250 g roll 7 7 - 7 0 -7
305 Kasa kompres 40/40 steril lbr 80 80 - 80 0 -80
306 Kasa pembalut 2 m x 80 cm roll - 0 - 0 0 0
307 Kasa pembalut elastis 3 inchi roll 1 1 - 1 0 -1
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll - 0 - 0 0 0
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65 65 - 65 0 -65
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - 0 - 0 0 0

313 Kasa steril 16/16 kotak 69 69 - 69 0 -69
314 Kassa gulung Besar 80cm x 40 m roll - 0 - 0 0 0
315 Kertas lakmus biru pack - 0 - 0 0 0
316 Kertas Lakmus merah pack - 0 - 0 0 0
317 Kertas lensa pak - 0 - 0 0 0
318 Kertas pH Universal Kotak - 0 - 0 0 0
319 Kertas saring watchman ktk - 0 - 0 0 0
320 kit gol. Darah A, B, AB set - 0 - 0 0 0
321 Kondom pcs - 0 - 0 0 0
322 Labstrip (urinalis) tube - 0 - 0 0 0
323 Larutan Amonium Oksalat 1% Botol - 0 - 0 0 0
324 Larutan Asam Asetat 6 % Botol - 0 - 0 0 0
325 Larutan barium klorida Botol - 0 - 0 0 0
326 Larutan benedict Botol - 0 - 0 0 0
327 Larutan buffer PH 6,1 Botol - 0 - 0 0 0
329 Larutan eosin 2% Botol - 0 - 0 0 0
330 Larutan Etanol Asam Botol - 0 - 0 0 0
331 Larutan giemsa stain Botol - 0 - 0 0 0
332 Larutan H2O2 3% Botol 1 L - 0 - 0 0 0
333 Larutan H2O2 3% Botol - 0 - 0 0 0
334 Larutan Hayem Botol - 0 - 0 0 0
335 Larutan HCl 0,1 N Botol - 0 - 0 0 0
336 Larutan karbolfuksin Botol - 0 - 0 0 0
337 Larutan metilen biru Botol - 0 - 0 0 0
338 Larutan Na citrat Botol - 0 - 0 0 0
339 Larutan Natrium Hipoklorid Botol/ 500ml - 0 - 0 0 0
340 Larutan Ress Ecker Botol/ 100 ml - 0 - 0 0 0
341 Larutan turk Botol - 0 - 0 0 0
342 Larutan Wright Botol - 0 - 0 0 0
343 Lisol Botol 7 7 - 7 0 -7
344 Lubricant pcs - 0 - 0 0 0
345 Mantoux tes vial - 0 - 0 0 0
346 Masker pcs 1,020 1020 - 1020 0 -1020
347 Masker 3M N95 medikal respirator pcs - 0 - 0 0 0
348 Mess pcs - 0 - 0 0 0
349 Metanol 100 ml Botol - 0 - 0 0 0
350 Metanol 1000 ml botol - 0 - 0 0 0
351 ml pack - 0 - 0 0 0
352 Mikropipet adjustable 100-1000µl unit - 0 - 0 0 0
354 Mikroskop malaria (nikon) unit - 0 - 0 0 0
355 Minyak Imersi Botol - 0 - 0 0 0
356 NAPZA Kit 6 Parameter pcs - 0 - 0 0 0
357 Napza KIT 8 Parameter box - 0 - 0 0 0
358 Needle 23 G Pcs - 0 - 0 0 0
359 Pembalut gips 3 inch Roll - 0 - 0 0 0
361 Pipet tetes bks/100 pcs - 0 - 0 0 0
362 Planotest pcs - 0 - 0 0 0
363 Plester 2,5 cmx 4,5 m roll - 0 - 0 0 0
364 Plester 5 yard x 2 inch roll - 0 - 0 0 0
365 Plester bulat non woven box 80 80 - 80 0 -80
366 Poli Aid Botol - 0 - 0 0 0
367 Poli Clean Botol 12 12 - 12 0 -12
368 Poliwash botol 500ml - 0 - 0 0 0
369 Pork Test Paket - 0 - 0 0 0
370 Pot Sputum Pcs - 0 - 0 0 0
371 Pot Urine Pcs - 0 - 0 0 0
372 Povidon iodida 10% 30 ml Botol 15 15 - 15 0 -15
375 Povidon Iodine 1 L Botol - 0 - 0 0 0
376 RDT DBD Verotec Pcs - 0 - 0 0 0
377 RDT DBD Biosen Pcs - 0 - 0 0 0
378 RDT Hepatitis / HBSAG Strip pcs 20 20 - 20 0 -20
379 RDT HIV -Fokus 1/2 casette box/25 - 0 - 0 0 0
380 oncoprobe test - 0 - 0 0 0
381 RDT HIV test (R1) SD Pcs 100 100 - 100 0 -100
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test - 0 - 0 0 0
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box - 0 - 0 0 0
384 RDT Malaria / Malaria test ktk - 0 - 0 0 0
385 RDT sifillis Pcs 125 125 - 125 0 -125
386 Reagen dan Bahan alat lab.Malaria paket - 0 - 0 0 0
387 Glukosa kit - 0 - 0 0 0
388 Protein total kit - 0 - 0 0 0
389 triglyserida kit - 0 - 0 0 0
390 20 SFRI cliner 31 btl 5 L - 0 - 0 0 0
391 20 SFRI diluent 31 btl 20 L - 0 - 0 0 0
392 20 SFRI Lyse 31 botol 500ml - 0 - 0 0 0
393 Reagen TB kit - 0 - 0 0 0
394 Reagen widal H Vial - 0 - 0 0 0
395 Reagen widal O Vial - 0 - 0 0 0
396 Rotator Sifilis Unit - 0 - 0 0 0
397 RPR Sifilis Pcs - 0 - 0 0 0
398 Safety box pcs 15 15 - 15 0 -15
399 Silk no.3/0 dengan jarum bedah set 58 58 - 58 0 -58
400 Slang Oksigen Dewasa (Adult) pcs 5 5 - 5 0 -5
401 Slang Oksigen Dewasa (Neonatus) Pcs - 0 - 0 0 0
402 Slang Oksigen Dewasa (Pediatri) Pcs - 0 - 0 0 0
403 Smokerlyzer D-Pieces Box - 0 - 0 0 0
404 Smokerlyzer Mouth Pieces Box - 0 - 0 0 0
405 Spritus Botol - 0 - 0 0 0
406 Stomach tube FR 12 pcs 5 5 - 5 0 -5
409 Strip asam urat (UA SURE) Botol - 0 - 0 0 0
410 Strip asam urat Sinocare ktk - 0 - 0 0 0
411 Strip GLUCO DR Ktk - 0 - 0 0 0
412 Strip glukosa darah (easy touch) ktk - 0 - 0 0 0
413 Strip glukosa On Call ktk 3 3 - 3 0 -3
414 Strip Hb (easy touch) ktk - 0 - 0 0 0
415 Strip Hb Mission Kotak 2 2 - 2 0 -2
416 Strip Kolesterol Mission Ultra ktk 4 4 - 4 0 -4
417 Suction cateter No.12 Pcs - 0 - 0 0 0
420 Tabung non EDTA 3 ml pack - 0 - 0 0 0
421 Tabung reaksi tutup pcs - 0 - 0 0 0
422 Thermal paper 4 x 5 -rocheurysis 1100 roll - 0 - 0 0 0
423 Thermal paper SFRI roll - 0 - 0 0 0
424 Tube EDTA Box - 0 - 0 0 0
425 Urin Bag pcs 5 5 - 5 0 -5
426 Vacum Tube EDTA 0,5 ml Bok - 0 - 0 0 0
427 Vacutainer sample needle pcs - 0 - 0 0 0
428 White Tip Bks - 0 - 0 0 0
429 wing needle 21 G pcs - 0 - 0 0 0
430 wing needle 23 G pcs - 0 - 0 0 0
431 wing needle 25 G pcs 5 5 - 5 0 -5
432 wing needle 27 G pcs - 0 - 0 0 0
433 Xylol Botol - 0 - 0 0 0
434 Yellow Tip/Micropipet MT-I 200 ul bks - 0 - 0 0 0
435 Yodiol Test Botol 7 7 - 7 0 -7
436 Gigi (mix/Caviton) Botol - 0 - 0 0 0
437 Devitalisasi Non Arsen botol - 0 - 0 0 0
438 Etil klorida spray Botol 1 1 - 1 0 -1
439 Eugenol cairan Botol - 0 - 0 0 0
440 Glassionomer Cement (GC IX) / GC. Fuji Botol - 0 - 0 0 0
441 Kalsium hidroksida pasta / Calxyl blue kotak - 0 - 0 0 0
442 Klorfenol kamfer menthol (CHKM) Botol - 0 - 0 0 0
443 Lidocain pasta botol - 0 - 0 0 0
444 Needle Carpul ktk - 0 - 0 0 0
445 Occo pembersih karang gigi botol - 0 - 0 0 0
446 Spongestan Hemospon ktk - 0 - 0 0 0
447 Temporary stopping fletcher Set - 0 - 0 0 0
448 TKF botol - 0 - 0 0 0
449 Vaksin Vaksin BCG Vial 12 12 - 12 0 -12
450 Imunisasi Vaksin CAMPAK Vial - 0 - 0 0 0
451 Vaksin DT Vial - 0 - 0 0 0
452 Vaksin HbIg Kotak - 0 - 0 0 0
453 Vaksin HB-UNIJECT Vial 32 32 - 32 0 -32
454 Vaksin Hepatitis dewasa vial - 0 - 0 0 0
455 Vaksin IPV Vial - 0 - 0 0 0
456 Vaksin Meningitis Vial - 0 - 0 0 0
457 Vaksin MR Vial - 0 - 0 0 0
458 Vaksin PENTABIO Vial 9 9 - 9 0 -9
459 Vaksin POLIO Vial 44 44 - 44 0 -44
460 Vaksin Td Vial - 0 - 0 0 0
461 Vaksin TT Vial - 0 - 0 0 0
462 Baru 0 0 - 0 - 0 0 0
463 0 0 - 0 - 0 0 0
464 0 0 - 0 - 0 0 0
465 0 0 - 0 - 0 0 0
466 0 0 - 0 - 0 0 0
467 0 0 - 0 - 0 0 0
468 0 0 - 0 - 0 0 0
469 0 0 - 0 - 0 0 0
470 0 0 - 0 - 0 0 0
471 0 0 - 0 - 0 0 0
472 0 0 - 0 - 0 0 0
Mengetahui, ......................., .................... 2020

Kepala Unit Layanan Puskesmas......... Pengelola Obat,
............................................................ ....................................................
NIP. ..................................................... NIP. .............................................
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : April
Pengeluaran Stok
1 2 3 4 5 6 7 8 9 10 11 12 13 14
19 (bacitrasin) Tube 44 44 - 44 0 -44


43 100mcg/dosis) Btl - 0 - 0 0 0
59 mg botol 31 31 - 31 0 -31

108 Glukosa 40% ampul - 0 - 0 0 0
163 mg tablet - 0 - 0 0 0



247 500mcg-ml ampul - 0 - 0 0 0
250 Zinc syr botol 7 7 - 7 0 -7
256 ADS 0,05 ml pcs 1,080 1080 - 1080 0 -1080
257 ADS 0,5 ml pcs 1,535 1535 - 1535 0 -1535
258 ADS 5 ml pcs - 0 - 0 0 0
266 Amoniak btl/1000 ml - 0 - 0 0 0
271 Blood lancet pcs 1,030 1030 - 1030 0 -1030
272 Blue tip box - 0 - 0 0 0
273 Box Slide bok - 0 - 0 0 0
282 DFI Cybow Box - 0 - 0 0 0
283 EDTA 10 % Botol - 0 - 0 0 0
285 Etanol 100 ml botol. - 0 - 0 0 0
286 Etanol 70% Botol 19 19 - 19 0 -19
287 Etanol 96% botol - 0 - 0 0 0
294 Handscoon psg 540 540 - 540 0 -540
297 HCG Strip Pcs 83 83 - 83 0 -83
301 Jelly USG btl 6 6 - 6 0 -6
302 Kaca Slide pcs 144 144 - 144 0 -144

321 Kondom pcs - 0 - 0 0 0
333 Larutan H2O2 3% Botol - 0 - 0 0 0
343 Lisol Botol 7 7 - 7 0 -7
346 Masker pcs 1,020 1020 - 1020 0 -1020
348 Mess pcs - 0 - 0 0 0
349 Metanol 100 ml Botol - 0 - 0 0 0
350 Metanol 1000 ml botol - 0 - 0 0 0
351 ml pack - 0 - 0 0 0
358 Needle 23 G Pcs - 0 - 0 0 0
367 Poli Clean Botol 12 12 - 12 0 -12
371 Pot Urine Pcs - 0 - 0 0 0
385 RDT sifillis Pcs 125 125 - 125 0 -125
387 Glukosa kit - 0 - 0 0 0
390 20 SFRI cliner 31 btl 5 L - 0 - 0 0 0
393 Reagen TB kit - 0 - 0 0 0
398 Safety box pcs 15 15 - 15 0 -15
424 Tube EDTA Box - 0 - 0 0 0
425 Urin Bag pcs 5 5 - 5 0 -5
428 White Tip Bks - 0 - 0 0 0
429 wing needle 21 G pcs - 0 - 0 0 0
430 wing needle 23 G pcs - 0 - 0 0 0
431 wing needle 25 G pcs 5 5 - 5 0 -5
432 wing needle 27 G pcs - 0 - 0 0 0
433 Xylol Botol - 0 - 0 0 0
448 TKF botol - 0 - 0 0 0
462 Baru 0 0 - 0 - 0 0 0
463 0 0 - 0 - 0 0 0
464 0 0 - 0 - 0 0 0
465 0 0 - 0 - 0 0 0
466 0 0 - 0 - 0 0 0
467 0 0 - 0 - 0 0 0
468 0 0 - 0 - 0 0 0
469 0 0 - 0 - 0 0 0
470 0 0 - 0 - 0 0 0
471 0 0 - 0 - 0 0 0
472 0 0 - 0 - 0 0 0
Mengetahui, ......................., .................... 2020

............................................................ ....................................................
NIP. ..................................................... NIP. .............................................
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : Mei
Pengeluaran Stok
1 2 3 4 5 6 7 8 9 10 11 12 13 14
19 (bacitrasin) Tube 44 44 - 44 0 -44


43 100mcg/dosis) Btl - 0 - 0 0 0
59 mg botol 31 31 - 31 0 -31

108 Glukosa 40% ampul - 0 - 0 0 0
163 mg tablet - 0 - 0 0 0



247 500mcg-ml ampul - 0 - 0 0 0
250 Zinc syr botol 7 7 - 7 0 -7
256 ADS 0,05 ml pcs 1,080 1080 - 1080 0 -1080
257 ADS 0,5 ml pcs 1,535 1535 - 1535 0 -1535
258 ADS 5 ml pcs - 0 - 0 0 0
266 Amoniak btl/1000 ml - 0 - 0 0 0
271 Blood lancet pcs 1,030 1030 - 1030 0 -1030
272 Blue tip box - 0 - 0 0 0
273 Box Slide bok - 0 - 0 0 0
282 DFI Cybow Box - 0 - 0 0 0
283 EDTA 10 % Botol - 0 - 0 0 0
285 Etanol 100 ml botol. - 0 - 0 0 0
286 Etanol 70% Botol 19 19 - 19 0 -19
287 Etanol 96% botol - 0 - 0 0 0
294 Handscoon psg 540 540 - 540 0 -540
297 HCG Strip Pcs 83 83 - 83 0 -83
301 Jelly USG btl 6 6 - 6 0 -6
302 Kaca Slide pcs 144 144 - 144 0 -144

321 Kondom pcs - 0 - 0 0 0
333 Larutan H2O2 3% Botol - 0 - 0 0 0
343 Lisol Botol 7 7 - 7 0 -7
346 Masker pcs 1,020 1020 - 1020 0 -1020
348 Mess pcs - 0 - 0 0 0
349 Metanol 100 ml Botol - 0 - 0 0 0
350 Metanol 1000 ml botol - 0 - 0 0 0
351 ml pack - 0 - 0 0 0
358 Needle 23 G Pcs - 0 - 0 0 0
367 Poli Clean Botol 12 12 - 12 0 -12
371 Pot Urine Pcs - 0 - 0 0 0
385 RDT sifillis Pcs 125 125 - 125 0 -125
387 Glukosa kit - 0 - 0 0 0
390 20 SFRI cliner 31 btl 5 L - 0 - 0 0 0
393 Reagen TB kit - 0 - 0 0 0
398 Safety box pcs 15 15 - 15 0 -15
424 Tube EDTA Box - 0 - 0 0 0
425 Urin Bag pcs 5 5 - 5 0 -5
428 White Tip Bks - 0 - 0 0 0
429 wing needle 21 G pcs - 0 - 0 0 0
430 wing needle 23 G pcs - 0 - 0 0 0
431 wing needle 25 G pcs 5 5 - 5 0 -5
432 wing needle 27 G pcs - 0 - 0 0 0
433 Xylol Botol - 0 - 0 0 0
448 TKF botol - 0 - 0 0 0
462 Baru 0 0 - 0 - 0 0 0
463 0 0 - 0 - 0 0 0
464 0 0 - 0 - 0 0 0
465 0 0 - 0 - 0 0 0
466 0 0 - 0 - 0 0 0
467 0 0 - 0 - 0 0 0
468 0 0 - 0 - 0 0 0
469 0 0 - 0 - 0 0 0
470 0 0 - 0 - 0 0 0
471 0 0 - 0 - 0 0 0
472 0 0 - 0 - 0 0 0
Mengetahui, ......................., .................... 2020

............................................................ ....................................................
NIP. ..................................................... NIP. .............................................
LAPORAN PEMAKAIAN DAN LEMBAR PER
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau
KECAMATAN : Asam Jujuhan
No Kategori Nama Sediaan Satuan Stok Awal Penerimaan
1 2 3 4 5 6
1 Obat Albendazol sirup 200mg/5 ml Botol 17
2 Albendazol tablet 400 mg tablet 454
3 Allopurinol 100 mg tablet 4,009
4 Alprazolam 0,5 mg tablet -
5 Alprazolam 1 mg tablet -
6 Ambroxol 30 mg tablet tablet 3,043
7 Aminofilin inj 24mg/ml-10 ml ampul 15
8 Aminofilin tablet 200 mg tablet 185
9 Amitriptilin HCl tablet salut 25 mg tablet 465
10 Amlodipin 10 mg tablet 2,890
12 Amoksisilin 250 mg tablet 1,606
14 Amoksisilin 250mg/5ml sirup kering botol -
15 Amoksisilin sirup kering 125 mg/5 ml Botol 211
16 Antalgin injeksi 250 mg/ml-2ml ampul -
17 Antasida DOEN tablet tablet 830
18 Antasida sirup Botol 16
19 (bacitrasin) Tube 44
20 Anti Fungi DOEN Kombinasi Pot 1
21 Anti Haemoroid DOEN kombinasi Suppos 10
22 Anti Migren (ergotamin caffein) tablet -
23 Anti Tuberkulosis anak paket 2
24 Anti Tuberkulosis Kategori I paket -
25 Anti Tuberkulosis Kategori II paket 1
26 Aqua pro injeksi steril bebas pirogen vial 36
27 Asam Folat 0,4 mg /profolat tablet -
28 Asam folat 1 mg tablet 525
29 Asam mefenamat 500 mg tablet 534
30 Asam tranexamat inj 100 mg/ml ampul -
31 Asam tranexamat inj 50mg/ml ampul -
32 Asam Tranexamat tablet 500 mg tablet 715
33 Asam Valproat 500mg / Depakote 500 mg tablet -

34 Asetosal 80 mg / Miniaspi tablet 655
35 Asiklovir Krim 5 % 5 gr Tube 108
36 Asiklovir tablet 200 mg tablet 549
37 Asiklovir tablet 400 mg tablet 1,745
38 Atripla tablet -
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30

40 Attapulgit (Pularex) tablet 218
41 Azitromisin tab 500 mg tablet -
42 Benzatil benzil penisilin vial -
43 100mcg/dosis) Btl -
44 Betahistin mesilat tablet 1,279
45 Betametason krim 0,1% Tube -
46 Bioplacenton tube -
47 Bisacodil (dulcolax) supp suppos 93
48 Bisacodil (dulcolax) tab tablet 135
49 Bisacodil supp infant 5 mg /Dulcolax Suppos -
50 Bisoprolol 5 mg tablet 150
51 Ca Glukonas ampul 10
52 Captopril 12,5mg tablet 4,310
53 Captopril 25 mg tablet 1,840
54 Cefadroxil tablet 792
55 Cefadroxyl syr 125 mg/ml Botol 14
56 Cefiksim syr kering 100mg/5ml btl 30ml 28
57 Cefixime 100mg tablet 2
58 Cefotaxim 1,0 G inj Vial 14

59 mg botol 31
60 Cetirizin 10 mg tablet 130
61 Cetirizin syr 5mg/5ml btl 60ml 63
62 Ciprofloxacin tablet 500 mg tablet 1,922
63 Clindamisin 150 mg tablet 1,271
64 Clindamisin 300 mg tablet -
65 Deksametason injeksi 5 mg/ml-1 ml ampul 74
66 Deksametason tablet 0,5 mg tablet 43
67 DHP-Frimal tablet 40
68 Diazepam injeksi 5 mg/ml-2 ml ampul -
69 Diazepam rektal 10 mg Suppos 4
71 Diazepam tablet 2 mg tablet 322
73 Dietil karbamazin sitrat tablet 100 mg tablet -
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul -
75 Digoksin tablet 0,25 mg tablet 100
76 Diltiazem tablet tablet -
77 Dimenhidrinat 50 mg tablet -
78 Doksisilin kapsul tablet 200
79 Domperidon 10 mg tablet 516
80 Domperidon syr Botol 106
81 Efedrin HCl tablet 25 mg tablet -
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 30
83 Eritromisin 250 mg tablet -
85 Eritromisin sirup kering Botol -
86 Etambutol 400mg tablet -
87 Euthyrox tablet -
88 Fenitoin natrium kapsul 30 mg tablet -
89 Fenobarbital inj 50 mg/ml - 2 ml ampul -
90 Fenobarbital tablet 30 mg tablet 200
91 Fenolgliserol tetes telinga 10% Botol -
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9

93 Fitomenadion (Vit K1) tablet 10 mg tablet 549
94 Fitomenadion inj 2 mg/ml ampul 47
95 Fluoksetin / Prestine tablet -
96 Furosemid injeksi ampul -
97 Furosemid tablet 40 mg tablet 1,260
98 Gabapentin/Alpentin 100 mg kapsul -
99 Garam Oralit untuk 200 ml bungkus 263
100 Gentamicin Salep Kulit Tube -
101 Gentamisin inj ampul -
102 Gentamisin tetes mata botol -
103 Gentian violet larutan 1% Botol 59
104 Glibenklamid tablet 5 mg tablet 1,800
105 Glimepirid 1 mg tablet 1,430
106 Glimepirid 2 mg tablet 980
107 Gliseril Guaiakolat tablet 100 mg tablet -
108 Glukosa 40% ampul -
109 Glukosa larutan Infus 10% steril fls -
110 Glukosa Larutan Infus 5% steril fls 35
111 Griseofulvin tablet 125 mg tablet -
112 Griseofulvin tablet 500 mg tablet 140
113 Haloperidol 5 mg tablet -
114 Haloperidol inj 50mg/ml ampul -
115 Haloperidol tablet 0,5 mg tablet -
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 101
118 Hidrokortison krim 2,5% Tube 32
119 Hiosin HBr Inj 20 mg ampul -
120 Hiosin N Butil bromida tablet tablet -
121 Ibuprofen suspensi 100 mg/5 ml botol 109
122 Ibuprofen tablet 200 mg tablet -
123 Ibuprofen tablet 400 mg tablet 2,525
124 Ichtiol salep pot -
125 Isoniazid 100 mg/PPINH 100 mg tablet -
126 Isoniazid tablet 300 mg tablet -
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 300

128 Kalsium laktat (Kalk) tablet 500 mg tablet 580
129 Karbamazepin tablet 200 mg tablet -
130 Ketokonazol krim Tube 52
131 Ketokonazol tab tablet 1,140
132 Ketoprofen 100mg tablet 785
133 Ketoprofen Supp suppos 34
134 Klopidogrel 75 mg Tablet -
135 Kloramfenikol kapsul 250 mg tablet 100
136 Kloramfenikol salep Kulit Tube 85
137 Kloramfenikol salep mata 1 % Tube -
138 Kloramfenikol suspensi 125 mg/5 ml Botol -
139 Kloramfenikol tetes mata Botol -
140 Kloramfenikol tetes telinga 3 % Botol 11
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 1,339

142 Klorpromazin 25mg tablet -
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul -
145 Klorpromazin HCl tablet salut 100 mg tablet -
146 Kodein HCl tablet 10 mg tablet 60
147 Kolkisin 500 mcg tablet -
148 Kotrimoksazol suspensi kombinasi Botol 2
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,406

150 Lamivudin tablet -
151 Lansoprazole tablet -
152 Levofloksasin 250mg tablet -
153 Levofloksasin tetes mata 0,5% botol -
154 Lidocain komp.inj. ampul 36
155 Lidocain inj. ampul 34
156 Loperamid Hcl tablet 55
157 Loratadin 10mg tablet 660
158 Magnesium sulfat inj (IV) 20%-25 ml vial -
159 Magnesium sulfat inj (IV) 40%-25 ml vial 16
160 MDT MD Dewasa Paket -
161 Meloksikam 15 mg tablet 30
162 Metformin tablet 1,811
163 mg tablet -
164 Metil ergometrin maleat inj 0,200mg-1ml ampul -

165 Metil Prednisolon 4 mg tablet -
166 Metil Prednisolon 8mg tablet -
167 Metildopa 250mg tablet 74
168 Metoclopramid 10 gr tablet 1,057
169 Metoclopramid injeksi ampul -
170 Metronidazol 500 mg tablet 183
171 Metronidazol supositoria 500 mg suppos -
172 Metronidazole ovula 500mg ovula -
173 Mikonazol krim Tube 46
174 Mineral Mix sachet -
175 Multivitamin syr Botol 285
176 Multivitamin tab tablet -
177 N-asetil sistein tablet 3,322
178 Natrium bicarbonat tablet 500 mg tablet 558
179 Natrium Diklofenak 50 mg tablet 3,731
180 Natrium klorida larutan infus 0,9% fls 122
181 Nevirapin tablet -
182 Nifedipin 10 mg tablet 590
183 Nistatin suspensi botol 10
184 Nistatin tablet salut 500.000 IU tablet 200
185 Nistatin tablet vaginal 100.000 IU/g tablet 84
186 Oksitetrasiklin HCl salep kulit 3% Tube 19
187 Oksitetrasiklin HCl salep mata 1% Tube 96
188 Oksitosin inj 10 IU / ml - 1 ml ampul -
189 Omeprazole 20mg tablet 1,385
190 Pantocain tetes mata btl 2
191 Papaverin tablet 40 mg tablet 65
192 Parasetamol Drop Botol 21
193 Parasetamol rektal 125 mg (dumin) suppos 18
195 Parasetamol sirup 120mg/ml Botol 56
196 Parasetamol tablet 100 mg tablet -
197 Parasetamol tablet 500 mg tablet 1,429
198 Permetrin krim 5% (Scabimite) tube 2
199 Petidin inj 50mg/ml ampul -
200 Piracetam inj 3g/15ml ampul 4
201 Pirantel tablet 125 mg tablet 200
202 Pirasetam 800mg tablet -
203 Piroxicam 10 mg tablet -
205 Prednison tablet 5 mg tablet 610
206 Primakuin tablet 15 mg tablet 300
207 Prokain benzil penisilin vial -
208 Propanolol HCl tablet 10 mg tablet 117
209 Propanolol HCl tablet 40 mg tablet -
210 Propiltiourasil tablet 100 mg tablet 820
211 Ramipril tablet -
212 Ranitidin inj. 25mg/ml ampul 109
213 Ranitidin tablet 150 mg tablet 3,047
214 Risperidon 1 mg tablet -
216 RL larutan infus fls 194
217 Salbutamol inhalasi 100 mcq/dosis botol 10
218 Salbutamol nebulizer Kotak -
219 Salbutamol tablet 2 mg tablet 1,446
221 Salep 2-4 kombinasi pot 36
222 Salep luka bakar (Levertran) Tube -
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 13

224 Salisil bedak 2% bungkus 24
225 Seftriakson Injeksi vial 12
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial -
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 1
229 Simvastatin 10 mg tablet 330
230 Spironolacton 25 mg tablet 217
231 Sukralfat tablet tablet -
232 Sukralfat Sirup Botol 8
233 Tablet Tambah darah tablet -
234 Tenofovir tablet -
235 Tetagam ampul 2
236 Tetrasiklin HCL kapsul 500 mg tablet 100
237 Thiamfenikol 500 mg tab tablet -
238 Tramadol inj ampul -
239 Trifluoperazin 5mg tablet -
240 Triheksiphenidil HCl tablet 2 mg tablet -
241 Vaksin Rabies Vero Vial -
242 Vitamin A 100.000 IU tablet 300
244 Vitamin B komplek tablet tablet 712
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 1,510
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet -

247 500mcg-ml ampul -
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,109
249 Vitamin C / Asam askorbat tablet 50 mg tablet 388

250 Zinc syr botol 7
251 Zinc tab 20 mg tablet 321
252 BMHP Abochat (IV Chat) 18 Pcs 72
253 & Abochat (IV Chat) 20 Pcs 157
254 Reagen Abochat (IV Chat) 22 Pcs 66
255 Abochat (IV Chat) 24 Pcs 167
256 ADS 0,05 ml pcs 1,080
257 ADS 0,5 ml pcs 1,535
258 ADS 5 ml pcs -
259 Alat suntik 10 ml pcs -
261 Alat suntik sekali pakai 1 ml Pcs 667
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,193
264 Alkacid Botol -
265 Alkohol Swab sachet 1,350
266 Amoniak btl/1000 ml -
267 Aquadest steril liter -
268 Benecheck Cholesterol strip Botol 3
269 Benecheck Glucose strip Botol -
270 Benecheck uric strip Botol -
271 Blood lancet pcs 1,030
272 Blue tip box -
273 Box Slide bok -
274 Cartridge Gen Expert Pcs -
275 Catgut/benang bedah Chromic 2/0 set 43
277 Catgut/benang bedah Plain 2/0 set 86
279 Centrifuse Paket -
280 Chlorin botol -
281 Cuticell Classic pcs 8
282 DFI Cybow Box -
283 EDTA 10 % Botol -
284 Etakridin (rivanol) larutan 0,1% Botol 10
285 Etanol 100 ml botol. -
286 Etanol 70% Botol 19
287 Etanol 96% botol -
288 Eter Alkohol 5% botol -
289 Folley Chatether pcs 10
290 Food Test - Borak Test Paket -
291 Food Test - Formalin Test Paket -
292 Food Test - Rhodamin Test Paket -
293 Fouchet Botol -
294 Handscoon psg 540
295 Handscoon Obgyn psg 22
296 Handscoon Steril psg 94
297 HCG Strip Pcs 83
298 Infusion set anak set -
299 Infusion set dewasa set 99
300 Jarum jahit / bedah no. 9 s/d 14 Pcs -
301 Jelly USG btl 6
302 Kaca Slide pcs 144
303 Kaca Tutup pcs -
304 Kapas pembalut / absorben 250 g roll 7
305 Kasa kompres 40/40 steril lbr 80
306 Kasa pembalut 2 m x 80 cm roll -
307 Kasa pembalut elastis 3 inchi roll 1
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll -
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll -

313 Kasa steril 16/16 kotak 69
314 Kassa gulung Besar 80cm x 40 m roll -
315 Kertas lakmus biru pack -
316 Kertas Lakmus merah pack -
317 Kertas lensa pak -
318 Kertas pH Universal Kotak -
319 Kertas saring watchman ktk -
320 kit gol. Darah A, B, AB set -
321 Kondom pcs -
322 Labstrip (urinalis) tube -
323 Larutan Amonium Oksalat 1% Botol -
324 Larutan Asam Asetat 6 % Botol -
325 Larutan barium klorida Botol -
326 Larutan benedict Botol -
327 Larutan buffer PH 6,1 Botol -
329 Larutan eosin 2% Botol -
330 Larutan Etanol Asam Botol -
331 Larutan giemsa stain Botol -
332 Larutan H2O2 3% Botol 1 L -
333 Larutan H2O2 3% Botol -
334 Larutan Hayem Botol -
335 Larutan HCl 0,1 N Botol -
336 Larutan karbolfuksin Botol -
337 Larutan metilen biru Botol -
338 Larutan Na citrat Botol -
339 Larutan Natrium Hipoklorid Botol/ 500ml -
340 Larutan Ress Ecker Botol/ 100 ml -
341 Larutan turk Botol -
342 Larutan Wright Botol -
343 Lisol Botol 7
344 Lubricant pcs -
345 Mantoux tes vial -
346 Masker pcs 1,020
347 Masker 3M N95 medikal respirator pcs -
348 Mess pcs -
349 Metanol 100 ml Botol -
350 Metanol 1000 ml botol -
351 ml pack -
352 Mikropipet adjustable 100-1000µl unit -
354 Mikroskop malaria (nikon) unit -
355 Minyak Imersi Botol -
356 NAPZA Kit 6 Parameter pcs -
357 Napza KIT 8 Parameter box -
358 Needle 23 G Pcs -
359 Pembalut gips 3 inch Roll -
361 Pipet tetes bks/100 pcs -
362 Planotest pcs -
363 Plester 2,5 cmx 4,5 m roll -
364 Plester 5 yard x 2 inch roll -
365 Plester bulat non woven box 80
366 Poli Aid Botol -
367 Poli Clean Botol 12
368 Poliwash botol 500ml -
369 Pork Test Paket -
370 Pot Sputum Pcs -
371 Pot Urine Pcs -
372 Povidon iodida 10% 30 ml Botol 15
375 Povidon Iodine 1 L Botol -
376 RDT DBD Verotec Pcs -
377 RDT DBD Biosen Pcs -
378 RDT Hepatitis / HBSAG Strip pcs 20
379 RDT HIV -Fokus 1/2 casette box/25 -
380 oncoprobe test -
381 RDT HIV test (R1) SD Pcs 100
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test -
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box -
384 RDT Malaria / Malaria test ktk -
385 RDT sifillis Pcs 125
386 Reagen dan Bahan alat lab.Malaria paket -
387 Glukosa kit -
388 Protein total kit -
389 triglyserida kit -
390 20 SFRI cliner 31 btl 5 L -
391 20 SFRI diluent 31 btl 20 L -
392 20 SFRI Lyse 31 botol 500ml -
393 Reagen TB kit -
394 Reagen widal H Vial -
395 Reagen widal O Vial -
396 Rotator Sifilis Unit -
397 RPR Sifilis Pcs -
398 Safety box pcs 15
399 Silk no.3/0 dengan jarum bedah set 58
401 Slang Oksigen Dewasa (Neonatus) Pcs -
402 Slang Oksigen Dewasa (Pediatri) Pcs -
403 Smokerlyzer D-Pieces Box -
404 Smokerlyzer Mouth Pieces Box -
405 Spritus Botol -
406 Stomach tube FR 12 pcs 5
409 Strip asam urat (UA SURE) Botol -
410 Strip asam urat Sinocare ktk -
411 Strip GLUCO DR Ktk -
412 Strip glukosa darah (easy touch) ktk -
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk -
415 Strip Hb Mission Kotak 2
416 Strip Kolesterol Mission Ultra ktk 4
417 Suction cateter No.12 Pcs -
420 Tabung non EDTA 3 ml pack -
421 Tabung reaksi tutup pcs -
422 Thermal paper 4 x 5 -rocheurysis 1100 roll -
423 Thermal paper SFRI roll -
424 Tube EDTA Box -
425 Urin Bag pcs 5
426 Vacum Tube EDTA 0,5 ml Bok -
427 Vacutainer sample needle pcs -
428 White Tip Bks -
429 wing needle 21 G pcs -
431 wing needle 25 G pcs 5
433 Xylol Botol -
434 Yellow Tip/Micropipet MT-I 200 ul bks -
435 Yodiol Test Botol 7
436 Gigi (mix/Caviton) Botol -
437 Devitalisasi Non Arsen botol -
438 Etil klorida spray Botol 1
439 Eugenol cairan Botol -
440 Glassionomer Cement (GC IX) / GC. Fuji Botol -
441 Kalsium hidroksida pasta / Calxyl blue kotak -
442 Klorfenol kamfer menthol (CHKM) Botol -
443 Lidocain pasta botol -
444 Needle Carpul ktk -
445 Occo pembersih karang gigi botol -
446 Spongestan Hemospon ktk -
447 Temporary stopping fletcher Set -
448 TKF botol -
449 Vaksin Vaksin BCG Vial 12
450 Imunisasi Vaksin CAMPAK Vial -
451 Vaksin DT Vial -
452 Vaksin HbIg Kotak -
453 Vaksin HB-UNIJECT Vial 32
454 Vaksin Hepatitis dewasa vial -
455 Vaksin IPV Vial -
456 Vaksin Meningitis Vial -
457 Vaksin MR Vial -
458 Vaksin PENTABIO Vial 9
459 Vaksin POLIO Vial 44
460 Vaksin Td Vial -
461 Vaksin TT Vial -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Tdk. Bayar Bayar BPJS
Mengetahui,
Kepala Unit Layanan Puskesmas.........
............................................................
NIP. .....................................................
MAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Bulan : Juni
Tahun : 2020
Pengeluaran Stok
Persediaan Sisa Stok Permintaan
7 8 11 12 13
17 - 17 0 -17
454 - 454 0 -454
4009 - 4009 0 -4009
0 - 0 0 0
0 - 0 0 0
3043 - 3043 0 -3043
15 - 15 0 -15
185 - 185 0 -185
465 - 465 0 -465
2890 - 2890 0 -2890
2654 - 2654 0 -2654
1606 - 1606 0 -1606
1853 - 1853 0 -1853
0 - 0 0 0
211 - 211 0 -211
0 - 0 0 0
830 - 830 0 -830
16 - 16 0 -16
44 - 44 0 -44
1 - 1 0 -1
10 - 10 0 -10
0 - 0 0 0
2 - 2 0 -2
0 - 0 0 0
1 - 1 0 -1
36 - 36 0 -36
0 - 0 0 0
525 - 525 0 -525
534 - 534 0 -534
0 - 0 0 0
0 - 0 0 0
715 - 715 0 -715
0 - 0 0 0
655 - 655 0 -655
108 - 108 0 -108
549 - 549 0 -549
1745 - 1745 0 -1745
0 - 0 0 0
30 - 30 0 -30
218 - 218 0 -218
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
1279 - 1279 0 -1279
0 - 0 0 0
0 - 0 0 0
93 - 93 0 -93
135 - 135 0 -135
0 - 0 0 0
150 - 150 0 -150
10 - 10 0 -10
4310 - 4310 0 -4310
1840 - 1840 0 -1840
792 - 792 0 -792
14 - 14 0 -14
28 - 28 0 -28
2 - 2 0 -2
14 - 14 0 -14
31 - 31 0 -31
130 - 130 0 -130
63 - 63 0 -63
1922 - 1922 0 -1922
1271 - 1271 0 -1271
0 - 0 0 0
74 - 74 0 -74
43 - 43 0 -43
40 - 40 0 -40
0 - 0 0 0
4 - 4 0 -4
4 - 4 0 -4
322 - 322 0 -322
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
200 - 200 0 -200
516 - 516 0 -516
106 - 106 0 -106
0 - 0 0 0
30 - 30 0 -30
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 0 0
200 - 200 0 -200
0 - 0 0 0
9 - 9 0 -9
549 - 549 0 -549
47 - 47 0 -47
0 - 0 0 0
0 - 0 0 0
1260 - 1260 0 -1260
0 - 0 0 0
263 - 263 0 -263
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
59 - 59 0 -59
1800 - 1800 0 -1800
1430 - 1430 0 -1430
980 - 980 0 -980
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
35 - 35 0 -35
0 - 0 0 0
140 - 140 0 -140
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
101 - 101 0 -101
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
109 - 109 0 -109
0 - 0 0 0
2525 - 2525 0 -2525
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300

580 - 580 0 -580
0 - 0 0 0
52 - 52 0 -52
1140 - 1140 0 -1140
785 - 785 0 -785
34 - 34 0 -34
0 - 0 0 0
100 - 100 0 -100
85 - 85 0 -85
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
11 - 11 0 -11
1339 - 1339 0 -1339

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
60 - 60 0 -60
0 - 0 0 0
2 - 2 0 -2
1406 - 1406 0 -1406

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
36 - 36 0 -36
34 - 34 0 -34
55 - 55 0 -55
660 - 660 0 -660
0 - 0 0 0
16 - 16 0 -16
0 - 0 0 0
30 - 30 0 -30
1811 - 1811 0 -1811
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
74 - 74 0 -74
1057 - 1057 0 -1057
0 - 0 0 0
183 - 183 0 -183
0 - 0 0 0
0 - 0 0 0
46 - 46 0 -46
0 - 0 0 0
285 - 285 0 -285
0 - 0 0 0
3322 - 3322 0 -3322
558 - 558 0 -558
3731 - 3731 0 -3731
122 - 122 0 -122
0 - 0 0 0
590 - 590 0 -590
10 - 10 0 -10
200 - 200 0 -200
84 - 84 0 -84
19 - 19 0 -19
96 - 96 0 -96
0 - 0 0 0
1385 - 1385 0 -1385
2 - 2 0 -2
65 - 65 0 -65
21 - 21 0 -21
18 - 18 0 -18
23 - 23 0 -23
56 - 56 0 -56
0 - 0 0 0
1429 - 1429 0 -1429
2 - 2 0 -2
0 - 0 0 0
4 - 4 0 -4
200 - 200 0 -200
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
610 - 610 0 -610
300 - 300 0 -300
0 - 0 0 0
117 - 117 0 -117
0 - 0 0 0
820 - 820 0 -820
0 - 0 0 0
109 - 109 0 -109
3047 - 3047 0 -3047
0 - 0 0 0
0 - 0 0 0
194 - 194 0 -194
10 - 10 0 -10
0 - 0 0 0
1446 - 1446 0 -1446
2611 - 2611 0 -2611
36 - 36 0 -36
0 - 0 0 0
13 - 13 0 -13
24 - 24 0 -24
12 - 12 0 -12
3 - 3 0 -3
0 - 0 0 0
1 - 1 0 -1
330 - 330 0 -330
217 - 217 0 -217
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
2 - 2 0 -2
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300
650 - 650 0 -650
712 - 712 0 -712
1510 - 1510 0 -1510
0 - 0 0 0
0 - 0 0 0
1109 - 1109 0 -1109
388 - 388 0 -388

7 - 7 0 -7
321 - 321 0 -321
72 - 72 0 -72
157 - 157 0 -157
66 - 66 0 -66
167 - 167 0 -167
1080 - 1080 0 -1080
1535 - 1535 0 -1535
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
667 - 667 0 -667
1193 - 1193 0 -1193
380 - 380 0 -380
0 - 0 0 0
1350 - 1350 0 -1350
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
0 - 0 0 0
1030 - 1030 0 -1030
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
43 - 43 0 -43
45 - 45 0 -45
86 - 86 0 -86
77 - 77 0 -77
0 - 0 0 0
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
19 - 19 0 -19
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
540 - 540 0 -540
22 - 22 0 -22
94 - 94 0 -94
83 - 83 0 -83
0 - 0 0 0
99 - 99 0 -99
0 - 0 0 0
6 - 6 0 -6
144 - 144 0 -144
0 - 0 0 0
7 - 7 0 -7
80 - 80 0 -80
0 - 0 0 0
1 - 1 0 -1
1 - 1 0 -1
0 - 0 0 0
0 - 0 0 0
65 - 65 0 -65
0 - 0 0 0
69 - 69 0 -69
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 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
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1020 - 1020 0 -1020
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
80 - 80 0 -80
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
19 - 19 0 -19
18 - 18 0 -18
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
125 - 125 0 -125
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
58 - 58 0 -58
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
5 - 5 0 -5
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
2 - 2 0 -2
4 - 4 0 -4
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 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1 - 1 0 -1
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
9 - 9 0 -9
44 - 44 0 -44
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 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
Trans BKKBN Lain2 Jumlah
......................., .................... 2020

Pengelola Obat,
....................................................
NIP. .............................................
Ket.
14
, .................... 2020
elola Obat,
..............................
..............................
LAPORAN PEMAKAIAN DAN LEMBAR PERMIN
(LPLPO)
KODE PUSKESMAS :
1 2 3 4 5 6
38 Atripla tablet -


59 mg botol 31




163 mg tablet -


235 Tetagam ampul 2

256 ADS 0,05 ml pcs 1,080
257 ADS 0,5 ml pcs 1,535
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
301 Jelly USG btl 6

321 Kondom pcs -
343 Lisol Botol 7
344 Lubricant pcs -
348 Mess pcs -
351 ml pack -
362 Planotest pcs -
371 Pot Urine Pcs -
387 Glukosa kit -
393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -

448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
............................................................
NIP. .....................................................
(LPLPO)
Bulan : Juli
Tahun : 2020
Pengeluaran Stok
Persediaan Sisa Stok Permintaan Ket.
7 8 9 10 11 12 13 14
17 - 17 0 -17
454 - 454 0 -454
4009 - 4009 0 -4009
0 - 0 0 0
0 - 0 0 0
3043 - 3043 0 -3043
15 - 15 0 -15
185 - 185 0 -185
465 - 465 0 -465
2890 - 2890 0 -2890
2654 - 2654 0 -2654
1606 - 1606 0 -1606
1853 - 1853 0 -1853
0 - 0 0 0
211 - 211 0 -211
0 - 0 0 0
830 - 830 0 -830
16 - 16 0 -16
44 - 44 0 -44
1 - 1 0 -1
10 - 10 0 -10
0 - 0 0 0
2 - 2 0 -2
0 - 0 0 0
1 - 1 0 -1
36 - 36 0 -36
0 - 0 0 0
525 - 525 0 -525
534 - 534 0 -534
0 - 0 0 0
0 - 0 0 0
715 - 715 0 -715
0 - 0 0 0
655 - 655 0 -655
108 - 108 0 -108
549 - 549 0 -549
1745 - 1745 0 -1745
0 - 0 0 0
30 - 30 0 -30
218 - 218 0 -218
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
1279 - 1279 0 -1279
0 - 0 0 0
0 - 0 0 0
93 - 93 0 -93
135 - 135 0 -135
0 - 0 0 0
150 - 150 0 -150
10 - 10 0 -10
4310 - 4310 0 -4310
1840 - 1840 0 -1840
792 - 792 0 -792
14 - 14 0 -14
28 - 28 0 -28
2 - 2 0 -2
14 - 14 0 -14
31 - 31 0 -31
130 - 130 0 -130
63 - 63 0 -63
1922 - 1922 0 -1922
1271 - 1271 0 -1271
0 - 0 0 0
74 - 74 0 -74
43 - 43 0 -43
40 - 40 0 -40
0 - 0 0 0
4 - 4 0 -4
4 - 4 0 -4
322 - 322 0 -322
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
200 - 200 0 -200
516 - 516 0 -516
106 - 106 0 -106
0 - 0 0 0
30 - 30 0 -30
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 0 0
200 - 200 0 -200
0 - 0 0 0
9 - 9 0 -9
549 - 549 0 -549
47 - 47 0 -47
0 - 0 0 0
0 - 0 0 0
1260 - 1260 0 -1260
0 - 0 0 0
263 - 263 0 -263
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
59 - 59 0 -59
1800 - 1800 0 -1800
1430 - 1430 0 -1430
980 - 980 0 -980
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
35 - 35 0 -35
0 - 0 0 0
140 - 140 0 -140
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
101 - 101 0 -101
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
109 - 109 0 -109
0 - 0 0 0
2525 - 2525 0 -2525
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300

580 - 580 0 -580
0 - 0 0 0
52 - 52 0 -52
1140 - 1140 0 -1140
785 - 785 0 -785
34 - 34 0 -34
0 - 0 0 0
100 - 100 0 -100
85 - 85 0 -85
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
11 - 11 0 -11
1339 - 1339 0 -1339

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
60 - 60 0 -60
0 - 0 0 0
2 - 2 0 -2
1406 - 1406 0 -1406

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
36 - 36 0 -36
34 - 34 0 -34
55 - 55 0 -55
660 - 660 0 -660
0 - 0 0 0
16 - 16 0 -16
0 - 0 0 0
30 - 30 0 -30
1811 - 1811 0 -1811
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
74 - 74 0 -74
1057 - 1057 0 -1057
0 - 0 0 0
183 - 183 0 -183
0 - 0 0 0
0 - 0 0 0
46 - 46 0 -46
0 - 0 0 0
285 - 285 0 -285
0 - 0 0 0
3322 - 3322 0 -3322
558 - 558 0 -558
3731 - 3731 0 -3731
122 - 122 0 -122
0 - 0 0 0
590 - 590 0 -590
10 - 10 0 -10
200 - 200 0 -200
84 - 84 0 -84
19 - 19 0 -19
96 - 96 0 -96
0 - 0 0 0
1385 - 1385 0 -1385
2 - 2 0 -2
65 - 65 0 -65
21 - 21 0 -21
18 - 18 0 -18
23 - 23 0 -23
56 - 56 0 -56
0 - 0 0 0
1429 - 1429 0 -1429
2 - 2 0 -2
0 - 0 0 0
4 - 4 0 -4
200 - 200 0 -200
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
610 - 610 0 -610
300 - 300 0 -300
0 - 0 0 0
117 - 117 0 -117
0 - 0 0 0
820 - 820 0 -820
0 - 0 0 0
109 - 109 0 -109
3047 - 3047 0 -3047
0 - 0 0 0
0 - 0 0 0
194 - 194 0 -194
10 - 10 0 -10
0 - 0 0 0
1446 - 1446 0 -1446
2611 - 2611 0 -2611
36 - 36 0 -36
0 - 0 0 0
13 - 13 0 -13
24 - 24 0 -24
12 - 12 0 -12
3 - 3 0 -3
0 - 0 0 0
1 - 1 0 -1
330 - 330 0 -330
217 - 217 0 -217
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
2 - 2 0 -2
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300
650 - 650 0 -650
712 - 712 0 -712
1510 - 1510 0 -1510
0 - 0 0 0
0 - 0 0 0
1109 - 1109 0 -1109
388 - 388 0 -388

7 - 7 0 -7
321 - 321 0 -321
72 - 72 0 -72
157 - 157 0 -157
66 - 66 0 -66
167 - 167 0 -167
1080 - 1080 0 -1080
1535 - 1535 0 -1535
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
667 - 667 0 -667
1193 - 1193 0 -1193
380 - 380 0 -380
0 - 0 0 0
1350 - 1350 0 -1350
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
0 - 0 0 0
1030 - 1030 0 -1030
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
43 - 43 0 -43
45 - 45 0 -45
86 - 86 0 -86
77 - 77 0 -77
0 - 0 0 0
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
19 - 19 0 -19
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
540 - 540 0 -540
22 - 22 0 -22
94 - 94 0 -94
83 - 83 0 -83
0 - 0 0 0
99 - 99 0 -99
0 - 0 0 0
6 - 6 0 -6
144 - 144 0 -144
0 - 0 0 0
7 - 7 0 -7
80 - 80 0 -80
0 - 0 0 0
1 - 1 0 -1
1 - 1 0 -1
0 - 0 0 0
0 - 0 0 0
65 - 65 0 -65
0 - 0 0 0
69 - 69 0 -69
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 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
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1020 - 1020 0 -1020
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
80 - 80 0 -80
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
19 - 19 0 -19
18 - 18 0 -18
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
125 - 125 0 -125
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
58 - 58 0 -58
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
5 - 5 0 -5
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
2 - 2 0 -2
4 - 4 0 -4
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 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1 - 1 0 -1
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
9 - 9 0 -9
44 - 44 0 -44
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 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
......................., .................... 2020

Pengelola Obat,
....................................................
NIP. .............................................
(LPLPO)
KODE PUSKESMAS :
1 2 3 4 5 6
38 Atripla tablet -


59 mg botol 31




163 mg tablet -


235 Tetagam ampul 2

256 ADS 0,05 ml pcs 1,080
257 ADS 0,5 ml pcs 1,535
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
301 Jelly USG btl 6

321 Kondom pcs -
343 Lisol Botol 7
344 Lubricant pcs -
348 Mess pcs -
351 ml pack -
362 Planotest pcs -
371 Pot Urine Pcs -
387 Glukosa kit -
393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -

448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
............................................................
NIP. .....................................................
(LPLPO)
Bulan : Agustus
Tahun : 2020
Pengeluaran Stok
7 8 9 10 11 12 13 14
17 - 17 0 -17
454 - 454 0 -454
4009 - 4009 0 -4009
0 - 0 0 0
0 - 0 0 0
3043 - 3043 0 -3043
15 - 15 0 -15
185 - 185 0 -185
465 - 465 0 -465
2890 - 2890 0 -2890
2654 - 2654 0 -2654
1606 - 1606 0 -1606
1853 - 1853 0 -1853
0 - 0 0 0
211 - 211 0 -211
0 - 0 0 0
830 - 830 0 -830
16 - 16 0 -16
44 - 44 0 -44
1 - 1 0 -1
10 - 10 0 -10
0 - 0 0 0
2 - 2 0 -2
0 - 0 0 0
1 - 1 0 -1
36 - 36 0 -36
0 - 0 0 0
525 - 525 0 -525
534 - 534 0 -534
0 - 0 0 0
0 - 0 0 0
715 - 715 0 -715
0 - 0 0 0
655 - 655 0 -655
108 - 108 0 -108
549 - 549 0 -549
1745 - 1745 0 -1745
0 - 0 0 0
30 - 30 0 -30
218 - 218 0 -218
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
1279 - 1279 0 -1279
0 - 0 0 0
0 - 0 0 0
93 - 93 0 -93
135 - 135 0 -135
0 - 0 0 0
150 - 150 0 -150
10 - 10 0 -10
4310 - 4310 0 -4310
1840 - 1840 0 -1840
792 - 792 0 -792
14 - 14 0 -14
28 - 28 0 -28
2 - 2 0 -2
14 - 14 0 -14
31 - 31 0 -31
130 - 130 0 -130
63 - 63 0 -63
1922 - 1922 0 -1922
1271 - 1271 0 -1271
0 - 0 0 0
74 - 74 0 -74
43 - 43 0 -43
40 - 40 0 -40
0 - 0 0 0
4 - 4 0 -4
4 - 4 0 -4
322 - 322 0 -322
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
200 - 200 0 -200
516 - 516 0 -516
106 - 106 0 -106
0 - 0 0 0
30 - 30 0 -30
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 0 0
200 - 200 0 -200
0 - 0 0 0
9 - 9 0 -9
549 - 549 0 -549
47 - 47 0 -47
0 - 0 0 0
0 - 0 0 0
1260 - 1260 0 -1260
0 - 0 0 0
263 - 263 0 -263
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
59 - 59 0 -59
1800 - 1800 0 -1800
1430 - 1430 0 -1430
980 - 980 0 -980
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
35 - 35 0 -35
0 - 0 0 0
140 - 140 0 -140
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
101 - 101 0 -101
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
109 - 109 0 -109
0 - 0 0 0
2525 - 2525 0 -2525
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300

580 - 580 0 -580
0 - 0 0 0
52 - 52 0 -52
1140 - 1140 0 -1140
785 - 785 0 -785
34 - 34 0 -34
0 - 0 0 0
100 - 100 0 -100
85 - 85 0 -85
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
11 - 11 0 -11
1339 - 1339 0 -1339

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
60 - 60 0 -60
0 - 0 0 0
2 - 2 0 -2
1406 - 1406 0 -1406

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
36 - 36 0 -36
34 - 34 0 -34
55 - 55 0 -55
660 - 660 0 -660
0 - 0 0 0
16 - 16 0 -16
0 - 0 0 0
30 - 30 0 -30
1811 - 1811 0 -1811
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
74 - 74 0 -74
1057 - 1057 0 -1057
0 - 0 0 0
183 - 183 0 -183
0 - 0 0 0
0 - 0 0 0
46 - 46 0 -46
0 - 0 0 0
285 - 285 0 -285
0 - 0 0 0
3322 - 3322 0 -3322
558 - 558 0 -558
3731 - 3731 0 -3731
122 - 122 0 -122
0 - 0 0 0
590 - 590 0 -590
10 - 10 0 -10
200 - 200 0 -200
84 - 84 0 -84
19 - 19 0 -19
96 - 96 0 -96
0 - 0 0 0
1385 - 1385 0 -1385
2 - 2 0 -2
65 - 65 0 -65
21 - 21 0 -21
18 - 18 0 -18
23 - 23 0 -23
56 - 56 0 -56
0 - 0 0 0
1429 - 1429 0 -1429
2 - 2 0 -2
0 - 0 0 0
4 - 4 0 -4
200 - 200 0 -200
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
610 - 610 0 -610
300 - 300 0 -300
0 - 0 0 0
117 - 117 0 -117
0 - 0 0 0
820 - 820 0 -820
0 - 0 0 0
109 - 109 0 -109
3047 - 3047 0 -3047
0 - 0 0 0
0 - 0 0 0
194 - 194 0 -194
10 - 10 0 -10
0 - 0 0 0
1446 - 1446 0 -1446
2611 - 2611 0 -2611
36 - 36 0 -36
0 - 0 0 0
13 - 13 0 -13
24 - 24 0 -24
12 - 12 0 -12
3 - 3 0 -3
0 - 0 0 0
1 - 1 0 -1
330 - 330 0 -330
217 - 217 0 -217
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
2 - 2 0 -2
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300
650 - 650 0 -650
712 - 712 0 -712
1510 - 1510 0 -1510
0 - 0 0 0
0 - 0 0 0
1109 - 1109 0 -1109
388 - 388 0 -388

7 - 7 0 -7
321 - 321 0 -321
72 - 72 0 -72
157 - 157 0 -157
66 - 66 0 -66
167 - 167 0 -167
1080 - 1080 0 -1080
1535 - 1535 0 -1535
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
667 - 667 0 -667
1193 - 1193 0 -1193
380 - 380 0 -380
0 - 0 0 0
1350 - 1350 0 -1350
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
0 - 0 0 0
1030 - 1030 0 -1030
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
43 - 43 0 -43
45 - 45 0 -45
86 - 86 0 -86
77 - 77 0 -77
0 - 0 0 0
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
19 - 19 0 -19
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
540 - 540 0 -540
22 - 22 0 -22
94 - 94 0 -94
83 - 83 0 -83
0 - 0 0 0
99 - 99 0 -99
0 - 0 0 0
6 - 6 0 -6
144 - 144 0 -144
0 - 0 0 0
7 - 7 0 -7
80 - 80 0 -80
0 - 0 0 0
1 - 1 0 -1
1 - 1 0 -1
0 - 0 0 0
0 - 0 0 0
65 - 65 0 -65
0 - 0 0 0
69 - 69 0 -69
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 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
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1020 - 1020 0 -1020
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
80 - 80 0 -80
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
19 - 19 0 -19
18 - 18 0 -18
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
125 - 125 0 -125
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
58 - 58 0 -58
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
5 - 5 0 -5
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
2 - 2 0 -2
4 - 4 0 -4
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 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1 - 1 0 -1
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
9 - 9 0 -9
44 - 44 0 -44
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 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
......................., .................... 2020

Pengelola Obat,
....................................................
NIP. .............................................
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : September
Pengeluaran Stok
1 2 3 4 5 6 7 8 9 10 11 12 13 14
19 (bacitrasin) Tube 44 44 - 44 0 -44
43 100mcg/dosis) Btl - 0 - 0 0 0

59 mg botol 31 31 - 31 0 -31

108 Glukosa 40% ampul - 0 - 0 0 0
163 mg tablet - 0 - 0 0 0



247 500mcg-ml ampul - 0 - 0 0 0
250 Zinc syr botol 7 7 - 7 0 -7
256 ADS 0,05 ml pcs 1,080 1080 - 1080 0 -1080
257 ADS 0,5 ml pcs 1,535 1535 - 1535 0 -1535
258 ADS 5 ml pcs - 0 - 0 0 0
266 Amoniak btl/1000 ml - 0 - 0 0 0
271 Blood lancet pcs 1,030 1030 - 1030 0 -1030
272 Blue tip box - 0 - 0 0 0
273 Box Slide bok - 0 - 0 0 0
282 DFI Cybow Box - 0 - 0 0 0
283 EDTA 10 % Botol - 0 - 0 0 0
285 Etanol 100 ml botol. - 0 - 0 0 0
286 Etanol 70% Botol 19 19 - 19 0 -19
287 Etanol 96% botol - 0 - 0 0 0
294 Handscoon psg 540 540 - 540 0 -540
297 HCG Strip Pcs 83 83 - 83 0 -83
301 Jelly USG btl 6 6 - 6 0 -6
302 Kaca Slide pcs 144 144 - 144 0 -144

321 Kondom pcs - 0 - 0 0 0
333 Larutan H2O2 3% Botol - 0 - 0 0 0
343 Lisol Botol 7 7 - 7 0 -7
346 Masker pcs 1,020 1020 - 1020 0 -1020
348 Mess pcs - 0 - 0 0 0
349 Metanol 100 ml Botol - 0 - 0 0 0
350 Metanol 1000 ml botol - 0 - 0 0 0
351 Microlit tips for micropipettes MT-up to 1 ml pack - 0 - 0 0 0

358 Needle 23 G Pcs - 0 - 0 0 0
367 Poli Clean Botol 12 12 - 12 0 -12
371 Pot Urine Pcs - 0 - 0 0 0
385 RDT sifillis Pcs 125 125 - 125 0 -125
387 Glukosa kit - 0 - 0 0 0
Reagen hematology analyzer Cointender 20
390 SFRI cliner 31 btl 5 L - 0 - 0 0 0
391 SFRI diluent 31 btl 20 L - 0 - 0 0 0
392 SFRI Lyse 31 botol 500ml - 0 - 0 0 0
393 Reagen TB kit - 0 - 0 0 0
398 Safety box pcs 15 15 - 15 0 -15
424 Tube EDTA Box - 0 - 0 0 0
425 Urin Bag pcs 5 5 - 5 0 -5
428 White Tip Bks - 0 - 0 0 0
429 wing needle 21 G pcs - 0 - 0 0 0
430 wing needle 23 G pcs - 0 - 0 0 0
431 wing needle 25 G pcs 5 5 - 5 0 -5
432 wing needle 27 G pcs - 0 - 0 0 0
433 Xylol Botol - 0 - 0 0 0
448 TKF botol - 0 - 0 0 0
462 Baru 0 0 - 0 - 0 0 0
463 0 0 - 0 - 0 0 0
464 0 0 - 0 - 0 0 0
465 0 0 - 0 - 0 0 0
466 0 0 - 0 - 0 0 0
467 0 0 - 0 - 0 0 0
468 0 0 - 0 - 0 0 0
469 0 0 - 0 - 0 0 0
470 0 0 - 0 - 0 0 0
471 0 0 - 0 - 0 0 0
472 0 0 - 0 - 0 0 0
Mengetahui, ......................., .................... 2020

............................................................ ....................................................
(LPLPO)
KODE PUSKESMAS :
PUSKESMAS : Sungai Limau Bulan : Oktober
Pengeluaran Stok
No Kategori Nama Sediaan Satuan Stok Awal Penerimaan Persediaan Sisa Stok Permintaan
1 2 3 4 5 6 7 8 9 10 11 12 13
19 (bacitrasin) Tube 44 44 - 44 0 -44

43 100mcg/dosis) Btl - 0 - 0 0 0
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml;
59 NaCl 8,664 mg; kalium klorida 1,32 mg botol 31 31 - 31 0 -31
108 Glukosa 40% ampul - 0 - 0 0 0
163 mg tablet - 0 - 0 0 0



247 500mcg-ml ampul - 0 - 0 0 0
250 Zinc syr botol 7 7 - 7 0 -7
256 ADS 0,05 ml pcs 1,080 1080 - 1080 0 -1080
257 ADS 0,5 ml pcs 1,535 1535 - 1535 0 -1535
258 ADS 5 ml pcs - 0 - 0 0 0
266 Amoniak btl/1000 ml - 0 - 0 0 0
271 Blood lancet pcs 1,030 1030 - 1030 0 -1030
272 Blue tip box - 0 - 0 0 0
273 Box Slide bok - 0 - 0 0 0
282 DFI Cybow Box - 0 - 0 0 0
283 EDTA 10 % Botol - 0 - 0 0 0
285 Etanol 100 ml botol. - 0 - 0 0 0
286 Etanol 70% Botol 19 19 - 19 0 -19
287 Etanol 96% botol - 0 - 0 0 0
294 Handscoon psg 540 540 - 540 0 -540
297 HCG Strip Pcs 83 83 - 83 0 -83
301 Jelly USG btl 6 6 - 6 0 -6
302 Kaca Slide pcs 144 144 - 144 0 -144

321 Kondom pcs - 0 - 0 0 0
333 Larutan H2O2 3% Botol - 0 - 0 0 0
343 Lisol Botol 7 7 - 7 0 -7
346 Masker pcs 1,020 1020 - 1020 0 -1020
348 Mess pcs - 0 - 0 0 0
349 Metanol 100 ml Botol - 0 - 0 0 0
350 Metanol 1000 ml botol - 0 - 0 0 0
351 Microlit tips for micropipettes MT-up to 1 ml pack - 0 - 0 0 0

358 Needle 23 G Pcs - 0 - 0 0 0
367 Poli Clean Botol 12 12 - 12 0 -12
371 Pot Urine Pcs - 0 - 0 0 0
385 RDT sifillis Pcs 125 125 - 125 0 -125
387 Glukosa kit - 0 - 0 0 0
390 SFRI cliner 31 btl 5 L - 0 - 0 0 0
391 SFRI diluent 31 btl 20 L - 0 - 0 0 0
392 SFRI Lyse 31 botol 500ml - 0 - 0 0 0
393 Reagen TB kit - 0 - 0 0 0
398 Safety box pcs 15 15 - 15 0 -15
424 Tube EDTA Box - 0 - 0 0 0
425 Urin Bag pcs 5 5 - 5 0 -5
428 White Tip Bks - 0 - 0 0 0
429 wing needle 21 G pcs - 0 - 0 0 0
430 wing needle 23 G pcs - 0 - 0 0 0
431 wing needle 25 G pcs 5 5 - 5 0 -5
432 wing needle 27 G pcs - 0 - 0 0 0
433 Xylol Botol - 0 - 0 0 0
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol - 0 - 0 0 0

448 TKF botol - 0 - 0 0 0
462 Baru 0 0 - 0 - 0 0 0
463 0 0 - 0 - 0 0 0
464 0 0 - 0 - 0 0 0
465 0 0 - 0 - 0 0 0
466 0 0 - 0 - 0 0 0
467 0 0 - 0 - 0 0 0
468 0 0 - 0 - 0 0 0
469 0 0 - 0 - 0 0 0
470 0 0 - 0 - 0 0 0
471 0 0 - 0 - 0 0 0
472 0 0 - 0 - 0 0 0
Mengetahui, ......................., .................... 2020

............................................................ ....................................................
NIP. ..................................................... NIP. .............................................
Ket.
14
..................., .................... 2020
Pengelola Obat,
.................................................
P. .............................................
(LPLPO)
KODE PUSKESMAS :
1 2 3 4 5 6
38 Atripla tablet -


59 mg botol 31




163 mg tablet -


235 Tetagam ampul 2

256 ADS 0,05 ml pcs 1,080
257 ADS 0,5 ml pcs 1,535
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
301 Jelly USG btl 6

321 Kondom pcs -
343 Lisol Botol 7
344 Lubricant pcs -
348 Mess pcs -
351 ml pack -
362 Planotest pcs -
371 Pot Urine Pcs -
387 Glukosa kit -
393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -

448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
............................................................
NIP. .....................................................
(LPLPO)
Bulan : November
Tahun : 2020
Pengeluaran Stok
7 8 9 10 11 12 13 14
17 - 17 0 -17
454 - 454 0 -454
4009 - 4009 0 -4009
0 - 0 0 0
0 - 0 0 0
3043 - 3043 0 -3043
15 - 15 0 -15
185 - 185 0 -185
465 - 465 0 -465
2890 - 2890 0 -2890
2654 - 2654 0 -2654
1606 - 1606 0 -1606
1853 - 1853 0 -1853
0 - 0 0 0
211 - 211 0 -211
0 - 0 0 0
830 - 830 0 -830
16 - 16 0 -16
44 - 44 0 -44
1 - 1 0 -1
10 - 10 0 -10
0 - 0 0 0
2 - 2 0 -2
0 - 0 0 0
1 - 1 0 -1
36 - 36 0 -36
0 - 0 0 0
525 - 525 0 -525
534 - 534 0 -534
0 - 0 0 0
0 - 0 0 0
715 - 715 0 -715
0 - 0 0 0
655 - 655 0 -655
108 - 108 0 -108
549 - 549 0 -549
1745 - 1745 0 -1745
0 - 0 0 0
30 - 30 0 -30
218 - 218 0 -218
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
1279 - 1279 0 -1279
0 - 0 0 0
0 - 0 0 0
93 - 93 0 -93
135 - 135 0 -135
0 - 0 0 0
150 - 150 0 -150
10 - 10 0 -10
4310 - 4310 0 -4310
1840 - 1840 0 -1840
792 - 792 0 -792
14 - 14 0 -14
28 - 28 0 -28
2 - 2 0 -2
14 - 14 0 -14
31 - 31 0 -31
130 - 130 0 -130
63 - 63 0 -63
1922 - 1922 0 -1922
1271 - 1271 0 -1271
0 - 0 0 0
74 - 74 0 -74
43 - 43 0 -43
40 - 40 0 -40
0 - 0 0 0
4 - 4 0 -4
4 - 4 0 -4
322 - 322 0 -322
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
200 - 200 0 -200
516 - 516 0 -516
106 - 106 0 -106
0 - 0 0 0
30 - 30 0 -30
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 0 0
200 - 200 0 -200
0 - 0 0 0
9 - 9 0 -9
549 - 549 0 -549
47 - 47 0 -47
0 - 0 0 0
0 - 0 0 0
1260 - 1260 0 -1260
0 - 0 0 0
263 - 263 0 -263
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
59 - 59 0 -59
1800 - 1800 0 -1800
1430 - 1430 0 -1430
980 - 980 0 -980
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
35 - 35 0 -35
0 - 0 0 0
140 - 140 0 -140
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
101 - 101 0 -101
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
109 - 109 0 -109
0 - 0 0 0
2525 - 2525 0 -2525
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300

580 - 580 0 -580
0 - 0 0 0
52 - 52 0 -52
1140 - 1140 0 -1140
785 - 785 0 -785
34 - 34 0 -34
0 - 0 0 0
100 - 100 0 -100
85 - 85 0 -85
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
11 - 11 0 -11
1339 - 1339 0 -1339

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
60 - 60 0 -60
0 - 0 0 0
2 - 2 0 -2
1406 - 1406 0 -1406

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
36 - 36 0 -36
34 - 34 0 -34
55 - 55 0 -55
660 - 660 0 -660
0 - 0 0 0
16 - 16 0 -16
0 - 0 0 0
30 - 30 0 -30
1811 - 1811 0 -1811
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
74 - 74 0 -74
1057 - 1057 0 -1057
0 - 0 0 0
183 - 183 0 -183
0 - 0 0 0
0 - 0 0 0
46 - 46 0 -46
0 - 0 0 0
285 - 285 0 -285
0 - 0 0 0
3322 - 3322 0 -3322
558 - 558 0 -558
3731 - 3731 0 -3731
122 - 122 0 -122
0 - 0 0 0
590 - 590 0 -590
10 - 10 0 -10
200 - 200 0 -200
84 - 84 0 -84
19 - 19 0 -19
96 - 96 0 -96
0 - 0 0 0
1385 - 1385 0 -1385
2 - 2 0 -2
65 - 65 0 -65
21 - 21 0 -21
18 - 18 0 -18
23 - 23 0 -23
56 - 56 0 -56
0 - 0 0 0
1429 - 1429 0 -1429
2 - 2 0 -2
0 - 0 0 0
4 - 4 0 -4
200 - 200 0 -200
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
610 - 610 0 -610
300 - 300 0 -300
0 - 0 0 0
117 - 117 0 -117
0 - 0 0 0
820 - 820 0 -820
0 - 0 0 0
109 - 109 0 -109
3047 - 3047 0 -3047
0 - 0 0 0
0 - 0 0 0
194 - 194 0 -194
10 - 10 0 -10
0 - 0 0 0
1446 - 1446 0 -1446
2611 - 2611 0 -2611
36 - 36 0 -36
0 - 0 0 0
13 - 13 0 -13
24 - 24 0 -24
12 - 12 0 -12
3 - 3 0 -3
0 - 0 0 0
1 - 1 0 -1
330 - 330 0 -330
217 - 217 0 -217
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
2 - 2 0 -2
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300
650 - 650 0 -650
712 - 712 0 -712
1510 - 1510 0 -1510
0 - 0 0 0
0 - 0 0 0
1109 - 1109 0 -1109
388 - 388 0 -388

7 - 7 0 -7
321 - 321 0 -321
72 - 72 0 -72
157 - 157 0 -157
66 - 66 0 -66
167 - 167 0 -167
1080 - 1080 0 -1080
1535 - 1535 0 -1535
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
667 - 667 0 -667
1193 - 1193 0 -1193
380 - 380 0 -380
0 - 0 0 0
1350 - 1350 0 -1350
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
0 - 0 0 0
1030 - 1030 0 -1030
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
43 - 43 0 -43
45 - 45 0 -45
86 - 86 0 -86
77 - 77 0 -77
0 - 0 0 0
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
19 - 19 0 -19
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
540 - 540 0 -540
22 - 22 0 -22
94 - 94 0 -94
83 - 83 0 -83
0 - 0 0 0
99 - 99 0 -99
0 - 0 0 0
6 - 6 0 -6
144 - 144 0 -144
0 - 0 0 0
7 - 7 0 -7
80 - 80 0 -80
0 - 0 0 0
1 - 1 0 -1
1 - 1 0 -1
0 - 0 0 0
0 - 0 0 0
65 - 65 0 -65
0 - 0 0 0
69 - 69 0 -69
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 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
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1020 - 1020 0 -1020
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
80 - 80 0 -80
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
19 - 19 0 -19
18 - 18 0 -18
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
125 - 125 0 -125
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
58 - 58 0 -58
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
5 - 5 0 -5
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
2 - 2 0 -2
4 - 4 0 -4
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 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1 - 1 0 -1
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
9 - 9 0 -9
44 - 44 0 -44
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 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
......................., .................... 2020

Pengelola Obat,
....................................................
NIP. .............................................
(LPLPO)
KODE PUSKESMAS :
1 2 3 4 5 6
38 Atripla tablet -


59 mg botol 31




163 mg tablet -


235 Tetagam ampul 2

256 ADS 0,05 ml pcs 1,080
257 ADS 0,5 ml pcs 1,535
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
301 Jelly USG btl 6

321 Kondom pcs -
343 Lisol Botol 7
344 Lubricant pcs -
348 Mess pcs -
351 ml pack -
362 Planotest pcs -
371 Pot Urine Pcs -
387 Glukosa kit -
393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -

448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
............................................................
NIP. .....................................................
(LPLPO)
Bulan : Desember
Tahun : 2020
Pengeluaran Stok
7 8 9 10 11 12 13 14
17 - 17 0 -17
454 - 454 0 -454
4009 - 4009 0 -4009
0 - 0 0 0
0 - 0 0 0
3043 10 3033 16 -3017
15 - 15 0 -15
185 - 185 0 -185
465 - 465 0 -465
2890 - 2890 0 -2890
2654 - 2654 0 -2654
1606 30 1576 48 -1528
1853 60 1793 96 -1697
0 1 -1 1.6 2.6
211 - 211 0 -211
0 - 0 0 0
830 - 830 0 -830
16 - 16 0 -16
44 - 44 0 -44
1 - 1 0 -1
10 - 10 0 -10
0 - 0 0 0
2 - 2 0 -2
0 - 0 0 0
1 - 1 0 -1
36 - 36 0 -36
0 - 0 0 0
525 - 525 0 -525
534 40 494 64 -430
0 - 0 0 0
0 - 0 0 0
715 - 715 0 -715
0 - 0 0 0
655 - 655 0 -655
108 - 108 0 -108
549 - 549 0 -549
1745 - 1745 0 -1745
0 - 0 0 0
30 - 30 0 -30
218 - 218 0 -218
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
1279 - 1279 0 -1279
0 - 0 0 0
0 - 0 0 0
93 - 93 0 -93
135 - 135 0 -135
0 - 0 0 0
150 - 150 0 -150
10 - 10 0 -10
4310 - 4310 0 -4310
1840 10 1830 16 -1814
792 10 782 16 -766
14 - 14 0 -14
28 - 28 0 -28
2 - 2 0 -2
14 - 14 0 -14
31 - 31 0 -31
130 - 130 0 -130
63 - 63 0 -63
1922 20 1902 32 -1870
1271 - 1271 0 -1271
0 - 0 0 0
74 - 74 0 -74
43 50 -7 80 87
40 - 40 0 -40
0 - 0 0 0
4 - 4 0 -4
4 - 4 0 -4
322 - 322 0 -322
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
200 - 200 0 -200
516 - 516 0 -516
106 - 106 0 -106
0 - 0 0 0
30 - 30 0 -30
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 0 0
200 - 200 0 -200
0 - 0 0 0
9 - 9 0 -9
549 - 549 0 -549
47 - 47 0 -47
0 - 0 0 0
0 - 0 0 0
1260 - 1260 0 -1260
0 - 0 0 0
263 - 263 0 -263
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
59 - 59 0 -59
1800 - 1800 0 -1800
1430 - 1430 0 -1430
980 - 980 0 -980
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
35 - 35 0 -35
0 - 0 0 0
140 - 140 0 -140
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
101 - 101 0 -101
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
109 - 109 0 -109
0 - 0 0 0
2525 - 2525 0 -2525
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300

580 - 580 0 -580
0 - 0 0 0
52 - 52 0 -52
1140 - 1140 0 -1140
785 - 785 0 -785
34 - 34 0 -34
0 - 0 0 0
100 - 100 0 -100
85 - 85 0 -85
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
11 - 11 0 -11
1339 - 1339 0 -1339

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
60 - 60 0 -60
0 - 0 0 0
2 - 2 0 -2
1406 - 1406 0 -1406

0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
36 - 36 0 -36
34 - 34 0 -34
55 - 55 0 -55
660 - 660 0 -660
0 - 0 0 0
16 - 16 0 -16
0 - 0 0 0
30 - 30 0 -30
1811 - 1811 0 -1811
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
74 - 74 0 -74
1057 - 1057 0 -1057
0 - 0 0 0
183 - 183 0 -183
0 - 0 0 0
0 - 0 0 0
46 - 46 0 -46
0 - 0 0 0
285 - 285 0 -285
0 - 0 0 0
3322 - 3322 0 -3322
558 - 558 0 -558
3731 - 3731 0 -3731
122 - 122 0 -122
0 - 0 0 0
590 - 590 0 -590
10 - 10 0 -10
200 - 200 0 -200
84 - 84 0 -84
19 - 19 0 -19
96 - 96 0 -96
0 - 0 0 0
1385 - 1385 0 -1385
2 - 2 0 -2
65 - 65 0 -65
21 - 21 0 -21
18 - 18 0 -18
23 - 23 0 -23
56 - 56 0 -56
0 - 0 0 0
1429 - 1429 0 -1429
2 - 2 0 -2
0 - 0 0 0
4 - 4 0 -4
200 - 200 0 -200
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
610 - 610 0 -610
300 - 300 0 -300
0 - 0 0 0
117 - 117 0 -117
0 - 0 0 0
820 - 820 0 -820
0 - 0 0 0
109 - 109 0 -109
3047 - 3047 0 -3047
0 - 0 0 0
0 - 0 0 0
194 - 194 0 -194
10 - 10 0 -10
0 - 0 0 0
1446 - 1446 0 -1446
2611 - 2611 0 -2611
36 - 36 0 -36
0 - 0 0 0
13 - 13 0 -13
24 - 24 0 -24
12 - 12 0 -12
3 - 3 0 -3
0 - 0 0 0
1 - 1 0 -1
330 - 330 0 -330
217 - 217 0 -217
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
2 - 2 0 -2
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
300 - 300 0 -300
650 - 650 0 -650
712 - 712 0 -712
1510 - 1510 0 -1510
0 - 0 0 0
0 - 0 0 0
1109 - 1109 0 -1109
388 - 388 0 -388

7 - 7 0 -7
321 - 321 0 -321
72 - 72 0 -72
157 - 157 0 -157
66 - 66 0 -66
167 - 167 0 -167
1080 - 1080 0 -1080
1535 - 1535 0 -1535
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
667 - 667 0 -667
1193 - 1193 0 -1193
380 - 380 0 -380
0 - 0 0 0
1350 - 1350 0 -1350
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
0 - 0 0 0
1030 - 1030 0 -1030
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
43 - 43 0 -43
45 - 45 0 -45
86 - 86 0 -86
77 - 77 0 -77
0 - 0 0 0
0 - 0 0 0
8 - 8 0 -8
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
19 - 19 0 -19
0 - 0 0 0
0 - 0 0 0
10 - 10 0 -10
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
540 - 540 0 -540
22 - 22 0 -22
94 - 94 0 -94
83 - 83 0 -83
0 - 0 0 0
99 - 99 0 -99
0 - 0 0 0
6 - 6 0 -6
144 - 144 0 -144
0 - 0 0 0
7 - 7 0 -7
80 - 80 0 -80
0 - 0 0 0
1 - 1 0 -1
1 - 1 0 -1
0 - 0 0 0
0 - 0 0 0
65 - 65 0 -65
0 - 0 0 0
69 - 69 0 -69
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 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
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1020 - 1020 0 -1020
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 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
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
80 - 80 0 -80
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
19 - 19 0 -19
18 - 18 0 -18
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
20 - 20 0 -20
0 - 0 0 0
0 - 0 0 0
100 - 100 0 -100
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
125 - 125 0 -125
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
15 - 15 0 -15
58 - 58 0 -58
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
5 - 5 0 -5
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
3 - 3 0 -3
0 - 0 0 0
2 - 2 0 -2
4 - 4 0 -4
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 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
5 - 5 0 -5
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
7 - 7 0 -7
0 - 0 0 0
0 - 0 0 0
1 - 1 0 -1
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 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
12 - 12 0 -12
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
32 - 32 0 -32
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
0 - 0 0 0
9 - 9 0 -9
44 - 44 0 -44
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 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
......................., .................... 2020

Pengelola Obat,
....................................................
NIP. .............................................
KODE PUSKESMAS :
No Kategori Nama Sediaan Satuan

1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol

2 Albendazol tablet 400 mg tablet
3 Allopurinol 100 mg tablet
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet
6 Ambroxol 30 mg tablet tablet 10 20
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amlodipin 10 mg tablet
12 Amoksisilin 250 mg tablet 30
13 Amoksisilin 500 mg tablet 60 20
14 Amoksisilin 250mg/5ml sirup kering botol
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet
18 Antasida sirup Botol
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet
29 Asam mefenamat 500 mg tablet 40 30
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube
36 Asiklovir tablet 200 mg tablet
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul

41 Azitromisin tab 500 mg tablet
43 100mcg/dosis) Btl
44 Betahistin mesilat tablet
45 Betametason krim 0,1% Tube
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 40
54 Cefadroxil tablet 10 30
55 Cefadroxyl syr 125 mg/ml Botol
56 Cefiksim syr kering 100mg/5ml btl 30ml
57 Cefixime 100mg tablet
58 Cefotaxim 1,0 G inj Vial

59 mg botol
60 Cetirizin 10 mg tablet
61 Cetirizin syr 5mg/5ml btl 60ml
62 Ciprofloxacin tablet 500 mg tablet 20 18
63 Clindamisin 150 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul
66 Deksametason tablet 0,5 mg tablet 50 16
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul
69 Diazepam rektal 10 mg Suppos
71 Diazepam tablet 2 mg tablet
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet
80 Domperidon syr Botol
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul
83 Eritromisin 250 mg tablet
85 Eritromisin sirup kering Botol
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet
91 Fenolgliserol tetes telinga 10% Botol
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul

94 Fitomenadion inj 2 mg/ml ampul
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet
98 Gabapentin/Alpentin 100 mg kapsul
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol
104 Glibenklamid tablet 5 mg tablet
106 Glimepirid 2 mg tablet
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls
111 Griseofulvin tablet 125 mg tablet
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet 2
121 Ibuprofen suspensi 100 mg/5 ml botol
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 20 30
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet

128 Kalsium laktat (Kalk) tablet 500 mg tablet
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube
131 Ketokonazol tab tablet
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube
137 Kloramfenikol salep mata 1 % Tube
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol
140 Kloramfenikol tetes telinga 3 % Botol
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 12 16

142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol
149 Kotrimoksazol tablet dewasa kombinasi tablet

151 Lansoprazole tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul
155 Lidocain inj. ampul
156 Loperamid Hcl tablet
157 Loratadin 10mg tablet 10 5
158 Magnesium sulfat inj (IV) 20%-25 ml vial
160 MDT MD Dewasa Paket
162 Metformin tablet 10
163 mg tablet
164 Metil ergometrin maleat inj 0,200mg-1ml ampul

165 Metil Prednisolon 4 mg tablet 6 6
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 16
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube
174 Mineral Mix sachet
176 Multivitamin tab tablet
177 N-asetil sistein tablet 60 10 10
178 Natrium bicarbonat tablet 500 mg tablet
179 Natrium Diklofenak 50 mg tablet 10
180 Natrium klorida larutan infus 0,9% fls
182 Nifedipin 10 mg tablet
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet
185 Nistatin tablet vaginal 100.000 IU/g tablet
186 Oksitetrasiklin HCl salep kulit 3% Tube
188 Oksitosin inj 10 IU / ml - 1 ml ampul
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 10 6
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos
195 Parasetamol sirup 120mg/ml Botol 1 1
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 20 20
198 Permetrin krim 5% (Scabimite) tube
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul
213 Ranitidin tablet 150 mg tablet 10 10
214 Risperidon 1 mg tablet
216 RL larutan infus fls
217 Salbutamol inhalasi 100 mcq/dosis botol
218 Salbutamol nebulizer Kotak
219 Salbutamol tablet 2 mg tablet
221 Salep 2-4 kombinasi pot
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube

224 Salisil bedak 2% bungkus
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 10
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
244 Vitamin B komplek tablet tablet 10 10 10
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 10 10
249 Vitamin C / Asam askorbat tablet 50 mg tablet 60 2

251 Zinc tab 20 mg tablet
252 BMHP Abochat (IV Chat) 18 Pcs
253 & Abochat (IV Chat) 20 Pcs
254 Reagen Abochat (IV Chat) 22 Pcs
255 Abochat (IV Chat) 24 Pcs
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs
264 Alkacid Botol
265 Alkohol Swab sachet
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set
277 Catgut/benang bedah Plain 2/0 set
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol
285 Etanol 100 ml botol.
286 Etanol 70% Botol
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg
295 Handscoon Obgyn psg
296 Handscoon Steril psg
297 HCG Strip Pcs
298 Infusion set anak set
299 Infusion set dewasa set
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll

313 Kasa steril 16/16 kotak
314 Kassa gulung Besar 80cm x 40 m roll
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 ml pack
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box
366 Poli Aid Botol
367 Poli Clean Botol
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs
386 Reagen dan Bahan alat lab.Malaria paket
387 Glukosa kit
388 Protein total kit
389 triglyserida kit
390 20 SFRI cliner 31 btl 5 L
391 20 SFRI diluent 31 btl 20 L
392 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs
399 Silk no.3/0 dengan jarum bedah set
400 Slang Oksigen Dewasa (Adult) pcs
401 Slang Oksigen Dewasa (Neonatus) Pcs
402 Slang Oksigen Dewasa (Pediatri) Pcs
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol
406 Stomach tube FR 12 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs
426 Vacum Tube EDTA 0,5 ml Bok
428 White Tip Bks
429 wing needle 21 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol

441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
458 Vaksin PENTABIO Vial
459 Vaksin POLIO Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
REKAPITULASI PEMAKAIAN
Pemakaian Apotek / Tanggal

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
10 30 10 10
10 11 10 5 30 36 34 2 19 4 27 14
10
10 20
10 10 10 10 20
6 12 6 30 40 10
20 32 12 10 10 10 10 40
1 1 1 4 3
1
20 40 10
1 1 2 3 1 3 1 2 2 1 2
10 20 10 30
10 20 20 20 30 30 30 30
1 1
40
10 20 10
20 10 10 20
20 60 30 100 20 70 10 20 30
20 10 20 10 10 20 30 10 10
1 1 1 1 2
8 10 20 10
1
10 10 10 60
25
18 30 20 26 6 101 6 10 74 23 48 20 34
6 10
10 6 10 10 10 10 20 10
2 1
3 3 16 6 6 9 11 10
10 10 10
20 20 10 20 30 80 40 32 20 40 10
15
10
10 20
1 1
19 27 12 3 27 16 22 75 23 17 35 20 13
1 1 1
10 8
5
20 10 20 10 10
10 10 10 10 20 10
20 20 40 30 20 20 20 60 40
10 10 6 6 10 10 10
10
20 10 20 20 10
40 10 40 10 40 10 20 20 10 10 30 10 10
10
10 10 16 10 30 10 10 30 20 30 20
10 24 20 16 30 10 10 10
1 1
1 1 1
1
2 1 3 7 1 3 2 6 2 1
30 80 10 46 50 20 30 10 40 24 50 60 34 40
10 2 6
10
20
20 21 71 20 50 100 20 80 30 50 30 50 30 40
1
6 10 20 12 10
12
1 1
10
1 1 1 1 2 2 1
25 40 20 73 40 10 13 50 36
10 10 10 30
6 20 10 30 10 30 10 20
5 12 8 14 5 83 13 40 36 10 2 10
1 1 2 1
10
EMAKAIAN
23 24 25 26 27 28 29 30 31 apotik ugd gigi labor kia gizi

1 2 3 4 5 6
-
4 4
30 10 35 30 165 20
-
-
22 10 10 30 304 200
-
-
10
20 60 110
10 20 90 10
10 144 200
20 30 40 10 20 42 30 416 400
10
1 1 4 15
-
70 20
2 4 2 27 15
3 10
-
-
-
-
1
-
-
-
70 10
30 40 10 50 30 30 450 300
-
-
10 10
-
-
2
-
40
-
-
10 66
-
-
-
10 70 50
-
-
1
-
-
-
-
10 50
40 20 40 10 20 30 550 60
10 20 10 30 20 270 200
6 10
- 1
10 10 20 88 50
- 10
1
90 50
25
38
-
-
12 12 10
44 40 40 40 70 32 748 50
-
-
-
-
2 18 20
-
-
-
-
-
-
-
6 92 20
3 5
-
-
-
-
-
-
-
-
-
-
-
-
10
-
-
-
-
-
5 72 10
-
-
-
-
-
10 30 20 20 30 150
-
-
-
-
- 8
-
-
-
-
-
-
-
2 2
- 7
2
- 5
-
20 10 100 10 30 542 150
-
-
-
-
15
-
1 1
10
10 10 20 70
- 10
-
-
1 1 4
-
-
-
2 2 4
50 20 56 77 28 30 43 641 250
-
-
-
-
-
-
3
18
-
-
-
-
- 20
-
5 40
30 20 135
-
-
-
20 100
20 20 40 40 50 450
- 5
20 20 10 10 134 50
-
-
26 150
-
80
-
-
-
-
1 2 2 6
-
20 10 40 30 20 20 20 500
10 30
40 20 50 70 20 30 20 456 80
- 15
-
-
-
-
-
-
1
-
-
-
20 166
2
3
1
4 4 2 40
-
70 20 30 50 40 30 30 834 300
1 1
-
-
-
-
-
-
13 51
-
-
10 20
-
10 30
-
- 25
40 10 40 30 30 30 30 842 120
-
-
- 60
-
1 1
10 20 88 30
12 35
-
-
-
2
-
- 4
-
-
10 40 60 30
5 5
-
9 8
10
-
-
-
-
-
-
-
-
-
-
20 30 46 60 30 40 30 593 200
10 20 20 110
-
-
50 30 20 30 20 306 20
40 10 15 50 79 30 524 150
1 7
10
-
- 25
- 50
-
-
-
-
-
-
-
- 100
- 100
-
- 100
-
-
- 1
-
-
-
-
-
-
-
-
-
-
-
-
-
- 1
-
-
-
-
-
-
-
-
-
-
-
- 250
-
-
-
-
- 25
-
-
-
-
- 1
-
-
-
-
-
-
-
- 15
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 150
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 3
-
-
-
-
-
- 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Bulan : Januari
Tahun : 2020
Unit2/Pustu/Polindes
imnsasi PTM Lansia Lain2 Sinamar B.K Incasi S.L
7 8 9 10 11 12 13 14 1 2 3 4
100 100 100
100
100 100 100
100 100 100

6 6 6 5
2 6
50 200
5 6 2
6
6
5
100 200 100
6
10 10 10 10
2 3
5 2
6 3 6
200 100 100

2
1
3
300
100 200 100

100
100 200 100
10
20 30 25 20
10 5
2
2
2
2
1 2
1 2
50
5 6
50
1
1 1
1
2
2 2
5 4 5
4 4 4
Jumlah
Tj. AlamLb. BeringinL.Besar Sei. Betu Pustu9 Pustu10 Pustu11 Pustu12
5 6 7 8 9 10 11 12
-
4
185
-
-
100 904
-
-
10
110
100
444
100 100 1,316
10
19
-
100 490
5 10 80
13
-
-
-
-
1
-
-
-
80
750
-
-
10
-
-
2
-
40
-
-
66
-
-
-
120
3 5 16
-
1
-
-
-
-
50
610
470
16
1
138
10
1
140
25
38
-
-
22
798
-
-
-
-
38
-
-
-
-
-
-
-
112
5 13
-
-
-
-
-
-
-
-
-
-
-
-
260
13
-
-
-
-
82
-
-
-
-
-
150
-
-
-
-
8
-
-
-
-
-
-
-
5 13
7
2
5
-
692
-
-
-
-
15
-
1
10
70
10
-
-
10
5
-
-
4
100 100 1,491

-
-
-
-
-
-
3
18
-
-
-
-
5 31
-
45
135
-
-
-
100
450
10 10 10 10 85
184
-
-
176
-
80
-
-
3 8
-
6
-
500
40
536
15
-
-
-
-
-
2
1
5 12
-
-
166
2
3
1
5 60
-
100 1,634
1
-
-
-
-
-
-
51
-
-
20
-
30
-
25
962
-
-
62
-
2
118
47
2
-
1
5
-
4
-
-
90
5
-
17
150 460
-
-
-
-
-
-
-
-
-
-
100 1,293
110
-
-
100 526
100 1,174
7
10
-
25
50
-
2
-
-
-
-
5 15
10 20 225
5 120
-
100
-
-
1
-
-
-
-
-
-
2
2
5 7
2
-
-
-
1
-
3
-
3
-
-
-
-
-
-
-
50 350
-
10 10
-
-
25
-
-
-
-
1
-
-
-
-
-
-
-
5 31
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
-
1
7
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 5
5 7
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
3 17
3 15
-
-
-
-
-
-
-
-
-
-
-
-
-
KODE PUSKESMAS :
PUSKESMAS Rp

1 2 3 4 5

3 Allopurinol 100 mg tablet 20
6 Ambroxol 30 mg tablet tablet 10 6
10 Amlodipin 10 mg tablet 10
12 Amoksisilin 250 mg tablet 20 10 10
13 Amoksisilin 500 mg tablet 10 22 22 22
15 Amoksisilin sirup kering 125 mg/5 ml Botol 3 1 1 5
17 Antasida DOEN tablet tablet 10 10 40
19 (bacitrasin) Tube
29 Asam mefenamat 500 mg tablet 20 10
35 Asiklovir Krim 5 % 5 gr Tube 2 1
38 Atripla tablet

40 Attapulgit (Pularex) tablet
44 Betahistin mesilat tablet 10 10
52 Captopril 12,5mg tablet
54 Cefadroxil tablet
57 Cefixime 100mg tablet 10 10

59 mg botol
60 Cetirizin 10 mg tablet 5 5
62 Ciprofloxacin tablet 500 mg tablet
66 Deksametason tablet 0,5 mg tablet 39 28 10 44
79 Domperidon 10 mg tablet 20 20
87 Euthyrox tablet

93 Fitomenadion (Vit K1) tablet 10 mg tablet
99 Garam Oralit untuk 200 ml bungkus
120 Hiosin N Butil bromida tablet tablet
123 Ibuprofen tablet 400 mg tablet 30 12 20

135 Kloramfenikol kapsul 250 mg tablet 10 10
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 17 13 14 8


156 Loperamid Hcl tablet 10 20
161 Meloksikam 15 mg tablet
162 Metformin tablet 20 20 10
163 mg tablet

165 Metil Prednisolon 4 mg tablet 12 72 88 96
168 Metoclopramid 10 gr tablet
175 Multivitamin syr Botol
177 N-asetil sistein tablet 20 10 20 70
179 Natrium Diklofenak 50 mg tablet 60 10
187 Oksitetrasiklin HCl salep mata 1% Tube
191 Papaverin tablet 40 mg tablet
195 Parasetamol sirup 120mg/ml Botol 6 3 3 3
197 Parasetamol tablet 500 mg tablet 70 50 30
211 Ramipril tablet
213 Ranitidin tablet 150 mg tablet 60 50 50

232 Sukralfat Sirup Botol 1 1 1
233 Tablet Tambah darah tablet
235 Tetagam ampul
244 Vitamin B komplek tablet tablet 102 26 10 40
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 10 10
247 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 10 20
249 Vitamin C / Asam askorbat tablet 50 mg tablet 46 32 76 46

250 Zinc syr botol
251 Zinc tab 20 mg tablet 20 10 30 10
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
20 10 20 10 10 10 10 20
6 30 12 20 10 13 10 6 26 38 26 14
15
5
20 10 10
10
10 10 10
12 5 20 24 42 30 68 68 78
1 1 4 3 1 1 4
50 20 30 20 10 10 10 10 40 10
1 1 1 1 2 2 1 1 1
10
10 10 20 10 20 40 20 10 50 10
1 1
20
10
10 10 1 10
1 2 1
20 20 10
30 60 60 95 30 60 40 140 60 20 10 10
10 10 15 30 10 10 20 20 20 40
1 1
10 10 30 10
30 10 10 20
20 10
3 20 10 49 80 87 30 50 56 30
3 5 5
6 10 20
8 1
20 30 40 10 20 20 10
15 10
1 1 1
1 1 1
20 10 30 30 10 50 20 20 60 50 60 30 20 10
10 20 10 10
10 10 20 10
1 10
10 10
14 5 9 17 14 16 21 30 51 3 35 30 16 55 16
30 20 40 10 40
35 20 25 5 15 55 10 5 10 25
60 80 100 20 60 20 40 60 40 20
23 16 10 20 20 10 10 26 10 30 22 36 20 45 14
6 10
10
3 15 15 10
1 1
1 3 1 1 3
10 30 20 10 20 10 20 10 30 10
10
30 30 10 30 20 30 25 30 40 30 10 10 10 40 10
3 30 10 20 10 40 16
1
1 1
4 2 5 5 5 7 4 7 6 5 7 2 5 4 9
20 26 20 80 50 30 40 10 90 90 40 20 96 16
1
2 3 10 10 15 20 8 12
10 10 10
10 10 10
16
10 20 20 60 43 3 40 30 100 63 10 50
10
2 10
10 40
2 1 1 1 1 1 1 1
40 26 30 130 32 36 10 50 80 20 40 30 50 20
20 10 20
10 10 10
60 72 32 90 60 37 36 52 32 72 39 38 73 70
20 10 30 10 10 20 40 10 10 10 10 20 10 20

1 2 3 4 5 6
-
4 4 20
10 10 20 170
-
-
10 10 53 50 33 383 100
-
15
5
50 40
10
20 10 100 100
20 46 32 15 536 200
-
3 1 1 1 1 32 10
-
20 20 310 130
1 1 2 15 8
-
1 1
2
-
-
-
-
- 24
-
10 30
10 10 20 20 10 300 200
-
-
-
-
-
1 1 7
-
20 10 60
-
-
10
-
-
-
40 10 101 40
1 5 1
-
-
-
-
-
-
60 40 80 80 60 370 30
60 715
50 40 18 10 10 313 120
1 1 5 6
1 1
80 80
- 20
-
10 50
2
10 80 80
30
-
- 20
13 20 17 2 20 16 624 395
- 50
-
-
-
13 12
-
-
-
-
-
-
-
10 10 6 102
1 1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9 12
-
-
-
-
-
60 10 10 10 10 40 300
-
-
-
-
- 10
-
10 35
-
-
-
-
-
2 1 7
-
-
1 4 7
-
30 20 30 10 30 602 130
-
-
-
-
50 50
-
1 3
-
50 60
11
-
20 10 10 80
- 4
-
-
-
1
42 13 11 29 29 12 520 180
-
-
-
-
-
-
-
-
-
-
-
-
- 25
-
10 180 90
45 20 5 15 315 60
-
-
-
-
60 40 20 20 60 80 830 60
-
55 70 25 70 12 23 835 380
-
20 36
10 20 87
-
22 10 75
-
-
2
-
2 1 12 8
-
10 30 20 350 130
10
40 20 20 30 20 30 585 78
- 15
-
-
-
-
-
1
-
-
30 10 10 50 65
-
10 60 10 30 20 10 269 200
-
1 3 3
2 1
4 7 7 3 4 10 127 35
-
20 42 62 80 51 16 1,049 200
1 2 2
-
-
-
-
-
-
5 16 10 115 56
-
-
40
-
60
-
16 50
40 30 30 20 729 134
-
-
- 60
-
-
10 10 3 33 43
12
-
-
- 2
-
-
- 4
-
-
30 80
10 10
-
2 1 2 2 19 8
-
-
- 4
-
-
-
-
-
-
-
-
56 66 20 50 42 22 1,028 167
10 80
-
-
60 45
48 33 43 53 70 33 1,243 450
-
30 40 10 20 10 410
- 20
- 20
- 50
- 15
-
-
-
-
-
- 100
- 100
- 100
-
- 400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 3
-
-
-
-
-
-
-
- 400
-
-
-
-
- 50
-
- 1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 5
-
-
- 200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 6
-
-
-
-
-
-
-
-
-
-
-
-
-
- 2
-
-
-
-
-
-
-
-
- 4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
-
-
-
-
-
-
-
-
-
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-
-
-
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
imnsasi PTM Lansia Lain2 Sinamar B,K Incasi S.l
7 8 9 10 11 12 13 14 1 2 3 4
200
100 200
100 200
100 100 100 200
100 200 100 200

6
450 300 300 300 300

12 12 12 12
2
2
100
1000 100 100 100 100

176
2 3
5
2
25 5
100 100
1
3
100
700 200 200 200 200
10 8
45 20
47 15 10
9 5
100
2
100
3
5
4
50
2
2
2 3
3 4 4
4 8
3 3
Bulan : Februari
Tahun : 2020
Jumlah
Tj.Alam L.Beringi L.Besar Sei.betunPustu9 Pustu10 Pustu11 Pustu12
5 6 7 8 9 10 11 12
-
24
170
-
-
683
-
15
5
90
10
500
100 100 1,236
-
42
-
100 200 1,240
23
-
1
2
-
-
-
-
24
-
30
200 100 1,400
-
-
-
-
-
13
-
60
-
-
10
-
-
-
141
6
-
-
-
-
-
-
400
715
433
11
1
160
20
-
60
2
160
30
-
20
300 300 3,269
50
-
-
-
25
-
-
-
-
-
-
-
102
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
12 12 93
-
-
-
2
-
300
-
-
-
-
10
-
35
-
-
-
-
-
9
-
-
11
-
732
-
-
-
-
200
-
5
-
110
11
-
80
4
-
-
-
1
700
-
-
-
-
-
-
10 10
200 200
-
-
-
-
25
-
100 100 1,870
375
-
2 2
-
-
890
-
1,391
-
36
107
-
75
-
-
7
-
20
-
480
10
663
2 17
-
-
-
-
-
6
2
-
115
-
469
-
6
3
5 5 202
-
1,449
4
-
-
-
-
-
-
171
-
-
40
-
60
-
66
863
-
-
5 66
-
-
76
12
-
-
2
3
-
4
-
-
80
10
-
27
-
-
4
-
-
-
-
-
-
-
-
1,195
80
-
-
100 305
200 3,393
-
410
2 22
2 22
2 52
2 17
18
65
-
-
-
100
20 192
114
-
500
-
-
-
-
-
-
-
-
-
-
-
-
2 4
-
-
-
-
-
-
-
3
-
-
-
-
-
-
-
500
-
3
12 17
-
2 52
-
1
-
-
-
-
-
-
-
-
-
-
5 9
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
-
250
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6
-
-
-
-
1 1
1 1
-
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
6
3 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3 8
-
-
-
6 6
-
-
-
4 15
2 14
5 11
-
-
-
-
-
-
-
-
-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

6 Ambroxol 30 mg tablet tablet
12 Amoksisilin 250 mg tablet
15 Amoksisilin sirup kering 125 mg/5 ml Botol
29 Asam mefenamat 500 mg tablet
38 Atripla tablet

53 Captopril 25 mg tablet

59 mg botol
66 Deksametason tablet 0,5 mg tablet
87 Euthyrox tablet


141 Klorfeniramin maleat (CTM) tablet 4 mg tablet


157 Loratadin 10mg tablet
162 Metformin tablet
163 mg tablet

165 Metil Prednisolon 4 mg tablet
177 N-asetil sistein tablet
179 Natrium Diklofenak 50 mg tablet
195 Parasetamol sirup 120mg/ml Botol
205 Prednison tablet 5 mg tablet
211 Ramipril tablet
213 Ranitidin tablet 150 mg tablet

235 Tetagam ampul
244 Vitamin B komplek tablet tablet
247 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet
249 Vitamin C / Asam askorbat tablet 50 mg tablet

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
-
-
-
-
-
-
-
-
-
-
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Bulan : Maret
Tahun : 2020
imnsasi PTM Lansia Lain2 Pustu1 Pustu2 Pustu3 Pustu4
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
Pustu5 Pustu6 Pustu7 Pustu8 Pustu9 Pustu10 Pustu11 Pustu12
5 6 7 8 9 10 11 12
-
-
-
-
-
-
-
-
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-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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-
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Bulan : April
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : Mei
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : Juni
Tahun : 2020
imnsasi PTM Lansia kia gizi imnsasi PTM Lansia Pustu1 Pustu2 Pustu3 Pustu4
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
-
-
-
-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : Juli
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
-
-
-
-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : Agustus
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
-
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-
-
-
-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
-
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Bulan : September
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : Oktober
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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-
-
-
-
-
KODE PUSKESMAS :

1 2 3 4 5

38 Atripla tablet


59 mg botol
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
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Bulan : November
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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KODE PUSKESMAS :

1 2 3 4 5

6 Ambroxol 30 mg tablet tablet 10
14 Amoksisilin 250mg/5ml sirup kering botol 1
38 Atripla tablet

53 Captopril 25 mg tablet 10

59 mg botol
62 Ciprofloxacin tablet 500 mg tablet 20
87 Euthyrox tablet




163 mg tablet

211 Ramipril tablet

235 Tetagam ampul
247 500mcg-ml ampul

250 Zinc syr botol
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
264 Alkacid Botol
272 Blue tip box
273 Box Slide bok
280 Chlorin botol
282 DFI Cybow Box
283 EDTA 10 % Botol
293 Fouchet Botol
294 Handscoon psg
297 HCG Strip Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs

321 Kondom pcs
343 Lisol Botol
344 Lubricant pcs
346 Masker pcs
348 Mess pcs
351 ml pack
358 Needle 23 G Pcs
362 Planotest pcs
366 Poli Aid Botol
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
380 oncoprobe test
387 Glukosa kit
393 Reagen TB kit
397 RPR Sifilis Pcs
398 Safety box pcs
405 Spritus Botol
424 Tube EDTA Box
425 Urin Bag pcs
428 White Tip Bks
433 Xylol Botol

448 TKF botol
451 Vaksin DT Vial
455 Vaksin IPV Vial
457 Vaksin MR Vial
460 Vaksin Td Vial
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
EMAKAIAN

1 2 3 4 5 6
-
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10
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30
60
1
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40
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10
10
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Bulan : Desember
Tahun : 2020
7 8 9 10 11 12 13 14 1 2 3 4
Jumlah
5 6 7 8 9 10 11 12
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LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SUNGAI LIMAU
PER MARET (TRIWULAN I) 2020
Stok Persediaan per 31 De

No. Kat. Nama Sediaan Satuan
Volume
1 2 3 4 5
8 Aminofilin tablet 200 mg tablet -
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 57
38 Atripla tablet -
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl -

45 Betametason krim 0,1% Tube 22
54 Cefadroxil tablet 1,695
59 mg; kalium klorida 1,32 mg botol 32
66 Deksametason tablet 0,5 mg tablet 2,110
67 DHP-Frimal tablet -
90 Fenobarbital tablet 30 mg tablet -
119 Hiosin HBr Inj 20 mg ampul 7
131 Ketokonazol tab tablet 650
137 Kloramfenikol salep mata 1 % Tube 5
163 Metil ergometrin maleat tablet salut 0,125 mg tablet -
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 85
165 Metil Prednisolon 4 mg tablet 1,575
183 Nistatin suspensi botol -
188 Oksitosin inj 10 IU / ml - 1 ml ampul 12
189 Omeprazole 20mg tablet -
201 Pirantel tablet 125 mg tablet -
218 Salbutamol nebulizer Kotak 2
235 Tetagam ampul 4
244 Vitamin B komplek tablet tablet 2,200
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul -

249 Vitamin C / Asam askorbat tablet 50 mg tablet 2,455
256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs -
264 Alkacid Botol -
265 Alkohol Swab sachet 950
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
297 HCG Strip Pcs -
301 Jelly USG btl 4
321 Kondom pcs -
343 Lisol Botol 8
344 Lubricant pcs -
348 Mess pcs -
351 Microlit tips for micropipettes MT-up to 1 ml pack -
362 Planotest pcs -
371 Pot Urine Pcs -
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test -
384 RDT Malaria / Malaria test ktk 2
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit -
388 Reagen Fotometer Kimia Klinik Randox Protein total kit -

389 Reagen Fotometer Kimia Klinik Randox triglyserida kit -
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L -

Reagen hematology analyzer Cointender 20 SFRI diluent
391 31 btl 20 L -
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml -

393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -
435 Yodiol Test Botol -
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol -
438 Etil klorida spray Botol -
448 TKF botol -
449 Vaksin Vaksin BCG Vial -
458 Vaksin PENTABIO Vial -
459 Vaksin POLIO Vial -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan
6 7 8 9 10 11 12
4,200 71,400 0 0 0
452 217,864 0 0 0
99 432,036 0 0 0
88 - 0 0 0
120 - 0 0 0
99 309,870 1500 0 0
2,789 41,835 0 0 0
341 - 200 0 0
168 80,640 0 0 0
94 234,060 600 0 0
73 157,972 600 0 0
203 314,650 1000 0 0
250 726,250 1500 0 0
3,737 37,370 0 0 0
4,400 1,196,800 0 0 0
3,675 - 0 0 0
56 31,360 2000 0 0
2,051 244,069 0 0 0
8,250 470,250 0 0 0
4,721 9,442 0 0 0
3,325 6,650 10 0 0
182 - 0 0 0
260,526 521,052 0 0 0
408,812 - 1 0 0
1,297,889 1,297,889 0 0 0
2,860 102,960 24 0 0
- - 0 0 0
74 46,990 0 0 0
103 70,452 2000 0 0
1,957 - 0 0 0
3,100 - 0 0 0
1,684 1,220,900 0 0 0
5,928 - 0 0 0
99 64,845 0 0 0
3,300 405,900 0 0 0
245 134,505 0 0 0
399 736,155 0 0 0
3,276 - 0 0 0
1,540 46,200 0 0 0
160 47,040 0 0 0
1,888 - 0 0 0
14,500 - 0 0 0
83,190 - 0 0 0
110 169,400 0 0 0
1,340 29,480 0 0 0
17,500 - 0 0 0
5,900 259,600 50 0 0
327 44,145 0 0 0
- - 0 0 0
275 41,250 0 0 0
10,351 103,510 0 0 0
64 208,640 1500 0 0
154 410,410 500 0 0
880 1,491,600 0 0 0
4,066 126,046 10 0 0
15,950 319,000 10 0 0
1,430 429,000 0 0 0
4,571 155,414 10 0 0
26,400 844,800 0 0 0
101 33,330 0 0 0
2,973 267,570 0 0 0
495 59,400 2000 0 0
729 948,429 0 0 0
- - 0 0 0
1,152 110,592 20 0 0
99 208,890 2000 0 0
2,000 - 90 0 0
12,000 - 0 0 0
19,193 76,772 0 0 0
13,202 52,808 0 0 0
86 15,910 200 0 0
109 2,180 0 0 0
- - 0 0 0
- - 0 0 0
104 10,400 0 0 0
- - 0 0 0
- - 0 0 0
273 54,600 0 0 0
86 62,780 0 0 0
2,781 333,720 0 0 0
- - 0 0 0
1,408 28,160 10 0 0
- - 0 0 0
751 - 0 0 0
6,303 - 0 0 0
- - 0 0 0
735 - 0 0 0
- - 0 0 0
- - 0 0 0
165 - 200 0 0
2,590 - 0 0 0
5,000 44,996 0 0 0
747 156,123 600 0 0
3,867 232,020 0 0 0
- - 0 0 0
- - 0 0 0
81 102,060 0 0 0
- - 0 0 0
257 35,466 300 0 0
2,299 - 0 0 0
- - 0 0 0
- - 0 0 0
3,498 129,426 24 0 0
125 225,000 0 0 0
174 153,120 1000 0 0
207 202,860 0 0 0
- - 0 0 0
12,000 - 0 0 0
7,500 - 0 0 0
6,900 365,700 0 0 0
- - 0 0 0
952 166,600 0 0 0
56 - 0 0 0
101,300 - 0 0 0
55 - 0 0 0
59 - 0 0 0
156 156 100 0 0
2,475 74,250 24 0 0
9,999 69,993 0 0 0
1,496 2,992 0 0 0
2,776 347,000 0 0 0
253 - 0 0 0
330 973,170 1000 0 0
6,500 - 0 0 0
100 - 0 0 0
173 - 0 0 0
165 33,000 100 0 0
59 17,405 500 0 0
280 - 0 0 0
2,518 146,044 0 0 0
297 193,050 500 0 0
990 212,850 750 0 0
2,380 130,900 0 0 0
- - 0 0 0
495 29,700 120 0 0
3,140 235,500 24 0 0
1,881 9,405 0 0 0
- - 0 0 0
6,500 - 0 0 0
7,502 45,012 10 0 0
25 63,250 1000 0 0
240 - 0 0 0
- - 0 0 0
- - 0 0 0
155 - 0 0 0
600 36,000 0 0 0
2,750 - 0 0 0
2,052 30,780 0 0 0
125 140,500 500 0 0
1,575 - 0 0 0
334 - 0 0 0
- - 0 0 0
- - 0 0 0
1,205 74,710 30 0 0
1,208 41,072 0 0 0
143 138,710 1000 0 0
125 83,750 500 0 0
3,200 - 0 0 0
3,796 45,552 6 0 0
39,880 - 0 0 0
990 128,700 0 0 0
105 224,995 1000 0 0
221 - 0 0 0
2,992 254,320 0 0 0
137 215,775 0 0 0
305 - 0 0 0
993 109,230 0 0 0
80 107,200 0 0 0
4,158 - 0 0 0
275 92,950 0 0 0
- - 0 0 0
3,590 - 0 0 0
3,585 132,645 24 0 0
3,116 - 0 0 0
4,500 949,500 100 0 0
- - 0 0 0
357 1,535,814 0 0 0
66 20,328 300 0 0
127 549,910 600 0 0
6,410 987,140 0 0 0
3,058 - 0 0 0
132 77,880 0 0 0
34,980 - 10 0 0
830 166,000 0 0 0
572 48,048 0 0 0
3,850 7,700 25 0 0
2,600 192,400 25 0 0
1,900 22,800 0 0 0
164 - 1500 0 0
14,993 29,986 0 0 0
350 104,940 400 0 0
6,981 160,563 0 0 0
16,995 288,915 10 0 0
17,800 480,600 0 0 0
1,110 241,980 100 0 0
- - 0 0 0
56 252,672 0 0 0
11,825 82,775 0 0 0
- - 0 0 0
11,990 47,960 0 0 0
302 - 200 0 0
800 - 0 0 0
- - 0 0 0
121 - 0 0 0
72 45,504 200 0 0
253 75,900 0 0 0
- - 0 0 0
57 10,089 0 0 0
- - 0 0 0
451 410,410 0 0 0
- - 0 0 0
1,155 150,150 70 0 0
165 473,880 2000 0 0
228 - 0 0 0
273 - 0 0 0
7,150 2,302,300 0 0 0
31,571 315,710 0 0 0
192,000 383,999 0 0 0
63 103,320 0 0 0
74 197,580 0 0 0
2,753 104,614 0 0 0
6,100 - 0 0 0
20,700 331,200 0 0 0
3,190 102,080 0 0 0
4,998 59,976 0 0 0
479,996 3,359,972 4 0 0
1,608,255 - 0 0 0
130,999 130,999 0 0 0
110 55,000 0 0 0
195 45,240 0 0 0
296 - 0 0 0
6,989 363,428 0 0 0
372 171,120 0 0 0
8,845 - 0 0 0
176,800 707,200 2 0 0
319 31,900 0 0 0
990 - 0 0 0
- - 0 0 0
- - 0 0 0
87 - 0 0 0
165,000 - 0 0 0
304 15,200 250 0 0
544 27,200 600 0 0
123 270,600 1000 0 0
86 103,200 500 0 0
47 - 0 0 0
- - 0 0 0
132 256,662 0 0 0
110 270,050 2500 0 0
3,122 43,708 0 0 0
551 242,991 300 0 0
6,270 589,380 0 0 0
6,270 1,279,080 0 0 0
6,270 739,860 50 0 0
7,810 1,437,040 0 0 0
1,392 1,531,200 0 0 0
1,091 1,745,456 0 0 0
1,705 - 0 0 0
- - 0 0 0
3,080 - 0 0 0
880 688,160 0 0 0
894 1,439,340 0 0 0
943 579,002 0 0 0
2,837,835 - 0 0 0
118 112,100 1000 0 0
71,999 - 0 0 0
3,465 - 0 0 0
255,048 1,020,191 0 0 0
168,140 - 0 0 0
154,675 - 0 0 0
191 196,730 0 0 0
- - 0 0 0
82,980 - 0 0 0
190,741 - 0 0 0
52,100 2,344,511 0 0 0
47,706 2,242,182 0 0 0
35,125 3,266,625 0 0 0
46,481 3,857,924 0 0 0
8,370,000 - 0 0 0
60,000 - 0 0 0
14,689 117,512 0 0 0
143,700 - 1 0 0
- - 0 0 0
3,450 27,600 5 0 0
6,899 - 0 0 0
69,300 1,732,500 0 0 0
95,000 - 0 0 0
93,999 - 0 0 0
10,212 102,120 0 0 0
349,998 - 0 0 0
349,998 - 0 0 0
449,900 - 0 0 0
211,750 - 0 0 0
990 881,100 500 0 0
21,296 468,512 0 0 0
6,793 726,835 0 0 0
1,679 - 100 0 0
9,130 - 0 0 0
5,608 846,861 25 0 0
2,188 - 0 0 0
14,472 57,886 3 0 0
307 44,178 0 0 0
138 - 0 0 0
31,694 158,470 3 0 0
1,760 140,800 0 0 0
11,322 - 0 0 0
16,000 16,000 0 0 0
20,000 20,000 0 0 0
2,609 - 0 0 0
1,178 - 0 0 0
2,480 161,200 0 0 0
1,174 - 0 0 0
8,144 643,408 30 0 0
165,720 - 0 0 0
- - 0 0 0
85,556 - 0 0 0
17,999 - 0 0 0
144,000 - 0 0 0
430,000 - 0 0 0
219,640 - 0 0 0
358 - 0 0 0
349,998 - 0 0 0
90,000 - 0 0 0
30,000 - 0 0 0
34,200 - 0 0 0
19,950 - 0 0 0
98,667 - 0 0 0
57,750 - 0 0 0
- - 0 0 0
90,000 - 0 0 0
- - 0 0 0
- - 0 0 0
4,090 - 0 0 0
- - 0 0 0
24,990 - 0 0 0
- - 0 0 0
- - 0 0 0
27,000 - 0 0 0
313,700 - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
47,150 377,200 4 0 0
486 - 0 0 0
625,900 - 0 0 0
676 994,014 0 0 0
14,820 - 0 0 0
3,150 - 0 0 0
50,000 - 0 0 0
33,000 - 0 0 0
238,100 - 0 0 0
3,743,693 - 0 0 0
3,743,693 - 0 0 0
24,100,000 - 0 0 0
367,650 - 0 0 0
90,000 - 0 0 0
802,225 - 0 0 0
- - 0 0 0
24,675 - 0 0 0
34,125 - 0 0 0
66,000 - 0 0 0
1,939 - 0 0 0
- - 0 0 0
35,532 - 0 0 0
33,880 2,710,400 0 0 0
601,677 - 0 0 0
77,698 1,631,658 0 0 0
63,054 - 0 0 0
73,750 - 0 0 0
2,379 - 0 0 0
2,631 - 0 0 0
3,335 56,695 0 0 0
20,700 558,900 0 0 0
23,890 430,020 0 0 0
149,314 - 0 0 0
- - 0 0 0
- - 0 0 0
9,878 197,560 0 0 0
- - 0 0 0
- - 0 0 0
11,975 1,197,500 0 0 0
487,000 - 0 0 0
- - 0 0 0
161,900 323,800 0 0 0
20,400 2,550,000 0 0 0
1,306,996 - 0 0 0
1,575,000 - 0 0 0
886,999 - 0 0 0
1,635,999 - 0 0 0
3,040,000 - 0 0 0
1,100,000 - 0 0 0
2,500,000 - 0 0 0
247,000 - 0 0 0
81,285 - 0 0 0
81,285 - 0 0 0
3,885,000 - 0 0 0
4,000 - 0 0 0
21,500 559,000 0 0 0
46,712 3,269,840 0 0 0
6,720 33,600 0 0 0
8,103 - 0 0 0
6,720 - 0 0 0
- - 0 0 0
1,166,576 - 0 0 0
30,000 - 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
275,000 - 0 0 0
96,260 - 0 0 0
249,920 - 0 0 0
110,000 - 0 0 0
164,373 493,120 0 0 0
210,000 - 0 0 0
427,500 855,000 0 0 0
526,250 2,105,000 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
123,600 - 0 0 0
23,958 - 0 0 0
518,254 - 0 0 0
300,000 - 0 0 0
169,100 - 0 0 0
8,877 44,385 0 0 0
146,000 - 0 0 0
1,287 - 0 0 0
125,000 - 0 0 0
1,540 - 0 0 0
1,540 - 0 0 0
1,540 7,700 0 0 0
1,540 - 0 0 0
75,000 - 0 0 0
186,700 - 0 0 0
6,494 - 7 0 0
- - 0 0 0
1,500,000 - 0 0 0
174,900 - 2 0 0
4,000 - 0 0 0
330,000 - 0 0 0
479,100 - 0 0 0
57,750 - 0 0 0
371,999 - 0 0 0
151,999 - 0 0 0
225,000 - 0 0 0
83,800 - 0 0 0
35,700 - 0 0 0
100,000 - 0 0 0
59,950 - 20 0 0
28,204 - 0 0 0
17,996 - 0 0 0
1,325,000 - 0 0 0
20,900 41,800 40 0 0
52,052 - 0 0 0
158,994 - 0 0 0
- - 0 0 0
155,813 - 15 0 0
78,991 - 40 0 0
19,954 - 70 0 0
16,995 - 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 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
87,639,376 -
uarsa Tahun 2020 Pengeluaran/Penggunaan Tahun 2019 Sisa/Stok Persediaan per 31 Des 2020
Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
13 14 15 16 17 18 19
0 - - 17 -
0 28 - 454 -
0 355 - 4,009 -
0 - - - -
0 - - - -
0 1,587 - 3,043 -
0 - - 15 -
0 15 - 185 -
0 15 - 465 -
0 200 - 2,890 -
0 110 - 2,654 -
0 944 - 1,606 -
0 2,552 - 1,853 -
0 10 - - -
0 61 - 211 -
0 - - - -
0 1,730 - 830 -
0 103 - 16 -
0 13 - 44 -
0 1 - 1 -
0 2 - 10 -
0 - - - -
0 - - 2 -
0 1 - - -
0 - - 1 -
0 24 - 36 -
0 - - - -
0 110 - 525 -
0 2,150 - 534 -
0 - - - -
0 - - - -
0 10 - 715 -
0 - - - -
0 - - 655 -
0 15 - 108 -
0 - - 549 -
0 100 - 1,745 -
0 - - - -
0 - - 30 -
0 76 - 218 -
0 - - - -
0 - - - -
0 - - - -
0 261 - 1,279 -
0 22 - - -
0 - - - -
0 1 - 93 -
0 - - 135 -
0 - - - -
0 - - 150 -
0 - - 10 -
0 450 - 4,310 -
0 1,325 - 1,840 -
0 903 - 792 -
0 27 - 14 -
0 2 - 28 -
0 298 - 2 -
0 30 - 14 -
0 1 - 31 -
0 200 - 130 -
0 27 - 63 -
0 198 - 1,922 -
0 30 - 1,271 -
0 - - - -
0 42 - 74 -
0 4,067 - 43 -
0 50 - 40 -
0 - - - -
0 - - 4 -
0 - - 4 -
0 63 - 322 -
0 - - 20 -
0 - - - -
0 - - - -
0 - - 100 -
0 - - - -
0 - - - -
0 - - 200 -
0 214 - 516 -
0 14 - 106 -
0 - - - -
0 - - 30 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 200 -
0 - - - -
0 - - 9 -
0 260 - 549 -
0 13 - 47 -
0 - - - -
0 - - - -
0 - - 1,260 -
0 - - - -
0 175 - 263 -
0 - - - -
0 - - - -
0 - - - -
0 2 - 59 -
0 - - 1,800 -
0 450 - 1,430 -
0 - - 980 -
0 - - - -
0 - - - -
0 - - - -
0 18 - 35 -
0 - - - -
0 35 - 140 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 101 -
0 22 - 32 -
0 7 - - -
0 2 - - -
0 16 - 109 -
0 - - - -
0 1,424 - 2,525 -
0 - - - -
0 - - - -
0 - - - -
0 - - 300 -
0 215 - 580 -
0 - - - -
0 6 - 52 -
0 10 - 1,140 -
0 180 - 785 -
0 21 - 34 -
0 - - - -
0 80 - 100 -
0 14 - 85 -
0 5 - - -
0 - - - -
0 - - - -
0 5 - 11 -
0 2,191 - 1,339 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 60 -
0 - - - -
0 13 - 2 -
0 218 - 1,406 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 56 - 36 -
0 - - 34 -
0 1,915 - 55 -
0 510 - 660 -
0 - - - -
0 2 - 16 -
0 - - - -
0 100 - 30 -
0 1,340 - 1,811 -
0 - - - -
0 85 - - -
0 1,575 - - -
0 - - - -
0 36 - 74 -
0 283 - 1,057 -
0 - - - -
0 155 - 183 -
0 - - - -
0 - - - -
0 15 - 46 -
0 - - - -
0 26 - 285 -
0 - - - -
0 980 - 3,322 -
0 50 - 558 -
0 1,199 - 3,731 -
0 32 - 122 -
0 - - - -
0 - - 590 -
0 - - 10 -
0 - - 200 -
0 - - 84 -
0 8 - 19 -
0 3 - 96 -
0 12 - - -
0 115 - 1,385 -
0 - - 2 -
0 635 - 65 -
0 2 - 21 -
0 9 - 18 -
0 4 - 23 -
0 262 - 56 -
0 - - - -
0 3,083 - 1,429 -
0 5 - 2 -
0 - - - -
0 - - 4 -
0 - - 200 -
0 - - - -
0 - - - -
0 - - - -
0 222 - 610 -
0 - - 300 -
0 - - - -
0 60 - 117 -
0 - - - -
0 90 - 820 -
0 - - - -
0 91 - 109 -
0 1,825 - 3,047 -
0 - - - -
0 - - - -
0 128 - 194 -
0 - - 10 -
0 2 - - -
0 194 - 1,446 -
0 59 - 2,611 -
0 2 - 36 -
0 - - - -
0 3 - 13 -
0 8 - 24 -
0 - - 12 -
0 8 - 3 -
0 - - - -
0 - - 1 -
0 170 - 330 -
0 15 - 217 -
0 - - - -
0 44 - 8 -
0 460 - - -
0 - - - -
0 4 - 2 -
0 - - 100 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 300 -
0 - - 650 -
0 2,488 - 712 -
0 190 - 1,510 -
0 - - - -
0 - - - -
0 831 - 1,109 -
0 4,567 - 388 -
0 7 - 7 -
0 420 - 321 -
0 22 - 72 -
0 47 - 157 -
0 102 - 66 -
0 17 - 167 -
0 20 - 1,080 -
0 65 - 1,535 -
0 - - - -
0 - - - -
0 - - - -
0 115 - 667 -
0 417 - 1,193 -
0 234 - 380 -
0 - - - -
0 600 - 1,350 -
0 - - - -
0 - - - -
0 1 - 3 -
0 - - - -
0 - - - -
0 - - 1,030 -
0 - - - -
0 - - - -
0 - - - -
0 2 - 43 -
0 2 - 45 -
0 7 - 86 -
0 6 - 77 -
0 - - - -
0 - - - -
0 - - 8 -
0 1 - - -
0 - - - -
0 3 - 10 -
0 - - - -
0 6 - 19 -
0 - - - -
0 - - - -
0 - - 10 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 850 - 540 -
0 - - 22 -
0 13 - 94 -
0 17 - 83 -
0 - - - -
0 77 - 99 -
0 - - - -
0 1 - 6 -
0 - - 144 -
0 - - - -
0 1 - 7 -
0 - - 80 -
0 - - - -
0 - - 1 -
0 - - 1 -
0 - - - -
0 - - - -
0 - - 65 -
0 - - - -
0 40 - 69 -
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 - - - -
0 - - - -
0 - - - -
0 - - - -
0 5 - 7 -
0 - - - -
0 - - - -
0 450 - 1,020 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 80 -
0 - - - -
0 9 - 12 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 2 - 15 -
0 8 - 19 -
0 - - 18 -
0 - - - -
0 - - - -
0 - - - -
0 - - 20 -
0 - - - -
0 - - - -
0 - - 100 -
0 - - - -
0 - - - -
0 2 - - -
0 - - 125 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 11 - 15 -
0 12 - 58 -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - 5 -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 3 -
0 - - - -
0 - - 2 -
0 - - 4 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - 7 -
0 - - - -
0 - - - -
0 1 - 1 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 8 - 12 -
0 - - - -
0 - - - -
0 - - - -
0 10 - 32 -
0 - - - -
0 - - - -
0 - - - -
0 15 - - -
0 31 - 9 -
0 26 - 44 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
- - -
Apotek Gudang ugd gigi labor kia gizi imnsasi
sisa akhir maret

Riil/Fisik
PTM Lansia lain2 Pustu1 Pustu2 Pustu3
sa akhir maret
Pustu4 Pustu5 Pustu6 Pustu7 Pustu8 Pustu9 Pustu10 Pustu11 Pustu12
Sisa stok maret

Kolom Kontrol
Sisa Stok akhir

maret Keluar/Pakai Selisih keluar mutasi-keluar riil Selisih sisa mutasi-SO
Harusnya = 16 Harusnya = 13 Harusnya 0 Harusnya 0
0 17 (17) 17
0 482 (454) 454
0 4,364 (4,009) 4,009
0 - - -
0 - - -
0 4,630 (3,043) 3,043
0 15 (15) 15
0 200 (185) 185
0 480 (465) 465
0 3,090 (2,890) 2,890
0 2,764 (2,654) 2,654
0 2,550 (1,606) 1,606
0 4,405 (1,853) 1,853
0 10 - -
0 272 (211) 211
0 - - -
0 2,560 (830) 830
0 119 (16) 16
0 57 (44) 44
0 2 (1) 1
0 12 (10) 10
0 - - -
0 2 (2) 2
0 1 - -
0 1 (1) 1
0 60 (36) 36
0 - - -
0 635 (525) 525
0 2,684 (534) 534
0 - - -
0 - - -
0 725 (715) 715
0 - - -
0 655 (655) 655
0 123 (108) 108
0 549 (549) 549
0 1,845 (1,745) 1,745
0 - - -
0 30 (30) 30
0 294 (218) 218
0 - - -
0 - - -
0 - - -
0 1,540 (1,279) 1,279
0 22 - -
0 - - -
0 94 (93) 93
0 135 (135) 135
0 - - -
0 150 (150) 150
0 10 (10) 10
0 4,760 (4,310) 4,310
0 3,165 (1,840) 1,840
0 1,695 (792) 792
0 41 (14) 14
0 30 (28) 28
0 300 (2) 2
0 44 (14) 14
0 32 (31) 31
0 330 (130) 130
0 90 (63) 63
0 2,120 (1,922) 1,922
0 1,301 (1,271) 1,271
0 - - -
0 116 (74) 74
0 4,110 (43) 43
0 90 (40) 40
0 - - -
0 4 (4) 4
0 4 (4) 4
0 385 (322) 322
0 20 (20) 20
0 - - -
0 - - -
0 100 (100) 100
0 - - -
0 - - -
0 200 (200) 200
0 730 (516) 516
0 120 (106) 106
0 - - -
0 30 (30) 30
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 200 (200) 200
0 - - -
0 9 (9) 9
0 809 (549) 549
0 60 (47) 47
0 - - -
0 - - -
0 1,260 (1,260) 1,260
0 - - -
0 438 (263) 263
0 - - -
0 - - -
0 - - -
0 61 (59) 59
0 1,800 (1,800) 1,800
0 1,880 (1,430) 1,430
0 980 (980) 980
0 - - -
0 - - -
0 - - -
0 53 (35) 35
0 - - -
0 175 (140) 140
0 - - -
0 - - -
0 - - -
0 - - -
0 101 (101) 101
0 54 (32) 32
0 7 - -
0 2 - -
0 125 (109) 109
0 - - -
0 3,949 (2,525) 2,525
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 795 (580) 580
0 - - -
0 58 (52) 52
0 1,150 (1,140) 1,140
0 965 (785) 785
0 55 (34) 34
0 - - -
0 180 (100) 100
0 99 (85) 85
0 5 - -
0 - - -
0 - - -
0 16 (11) 11
0 3,530 (1,339) 1,339
0 - - -
0 - - -
0 - - -
0 - - -
0 60 (60) 60
0 - - -
0 15 (2) 2
0 1,624 (1,406) 1,406
0 - - -
0 - - -
0 - - -
0 - - -
0 92 (36) 36
0 34 (34) 34
0 1,970 (55) 55
0 1,170 (660) 660
0 - - -
0 18 (16) 16
0 - - -
0 130 (30) 30
0 3,151 (1,811) 1,811
0 - - -
0 85 - -
0 1,575 - -
0 - - -
0 110 (74) 74
0 1,340 (1,057) 1,057
0 - - -
0 338 (183) 183
0 - - -
0 - - -
0 61 (46) 46
0 - - -
0 311 (285) 285
0 - - -
0 4,302 (3,322) 3,322
0 608 (558) 558
0 4,930 (3,731) 3,731
0 154 (122) 122
0 - - -
0 590 (590) 590
0 10 (10) 10
0 200 (200) 200
0 84 (84) 84
0 27 (19) 19
0 99 (96) 96
0 12 - -
0 1,500 (1,385) 1,385
0 2 (2) 2
0 700 (65) 65
0 23 (21) 21
0 27 (18) 18
0 27 (23) 23
0 318 (56) 56
0 - - -
0 4,512 (1,429) 1,429
0 7 (2) 2
0 - - -
0 4 (4) 4
0 200 (200) 200
0 - - -
0 - - -
0 - - -
0 832 (610) 610
0 300 (300) 300
0 - - -
0 177 (117) 117
0 - - -
0 910 (820) 820
0 - - -
0 200 (109) 109
0 4,872 (3,047) 3,047
0 - - -
0 - - -
0 322 (194) 194
0 10 (10) 10
0 2 - -
0 1,640 (1,446) 1,446
0 2,670 (2,611) 2,611
0 38 (36) 36
0 - - -
0 16 (13) 13
0 32 (24) 24
0 12 (12) 12
0 11 (3) 3
0 - - -
0 1 (1) 1
0 500 (330) 330
0 232 (217) 217
0 - - -
0 52 (8) 8
0 460 - -
0 - - -
0 6 (2) 2
0 100 (100) 100
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 650 (650) 650
0 3,200 (712) 712
0 1,700 (1,510) 1,510
0 - - -
0 - - -
0 1,940 (1,109) 1,109
0 4,955 (388) 388
0 14 (7) 7
0 741 (321) 321
0 94 (72) 72
0 204 (157) 157
0 168 (66) 66
0 184 (167) 167
0 1,100 (1,080) 1,080
0 1,600 (1,535) 1,535
0 - - -
0 - - -
0 - - -
0 782 (667) 667
0 1,610 (1,193) 1,193
0 614 (380) 380
0 - - -
0 1,950 (1,350) 1,350
0 - - -
0 - - -
0 4 (3) 3
0 - - -
0 - - -
0 1,030 (1,030) 1,030
0 - - -
0 - - -
0 - - -
0 45 (43) 43
0 47 (45) 45
0 93 (86) 86
0 83 (77) 77
0 - - -
0 - - -
0 8 (8) 8
0 1 - -
0 - - -
0 13 (10) 10
0 - - -
0 25 (19) 19
0 - - -
0 - - -
0 10 (10) 10
0 - - -
0 - - -
0 - - -
0 - - -
0 1,390 (540) 540
0 22 (22) 22
0 107 (94) 94
0 100 (83) 83
0 - - -
0 176 (99) 99
0 - - -
0 7 (6) 6
0 144 (144) 144
0 - - -
0 8 (7) 7
0 80 (80) 80
0 - - -
0 1 (1) 1
0 1 (1) 1
0 - - -
0 - - -
0 65 (65) 65
0 - - -
0 109 (69) 69
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 - - -
0 - - -
0 - - -
0 - - -
0 12 (7) 7
0 - - -
0 - - -
0 1,470 (1,020) 1,020
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 80 (80) 80
0 - - -
0 21 (12) 12
0 - - -
0 - - -
0 - - -
0 - - -
0 17 (15) 15
0 27 (19) 19
0 18 (18) 18
0 - - -
0 - - -
0 - - -
0 20 (20) 20
0 - - -
0 - - -
0 100 (100) 100
0 - - -
0 - - -
0 2 - -
0 125 (125) 125
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 26 (15) 15
0 70 (58) 58
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 5 (5) 5
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 3 (3) 3
0 - - -
0 2 (2) 2
0 4 (4) 4
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 7 (7) 7
0 - - -
0 - - -
0 2 (1) 1
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 20 (12) 12
0 - - -
0 - - -
0 - - -
0 42 (32) 32
0 - - -
0 - - -
0 - - -
0 15 - -
0 40 (9) 9
0 70 (44) 44
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
PER JUNI (TRIWULAN II) 2020

Volume
1 2 3 4 5
38 Atripla tablet -

235 Tetagam ampul 4

256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
297 HCG Strip Pcs -
301 Jelly USG btl 4
321 Kondom pcs -
343 Lisol Botol 8
344 Lubricant pcs -
348 Mess pcs -
362 Planotest pcs -
371 Pot Urine Pcs -


391 31 btl 20 L -

393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -
448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
6 7 8 9 10 11 12
4,200 71,400 0 0 0
452 217,864 0 0 0
99 432,036 0 0 0
88 - 0 0 0
120 - 0 0 0
99 309,870 1500 0 0
2,789 41,835 0 0 0
341 - 200 0 0
168 80,640 0 0 0
94 234,060 600 0 0
73 157,972 600 0 0
203 314,650 1000 0 0
250 726,250 1500 0 0
3,737 37,370 0 0 0
4,400 1,196,800 0 0 0
3,675 - 0 0 0
56 31,360 2000 0 0
2,051 244,069 0 0 0
8,250 470,250 0 0 0
4,721 9,442 0 0 0
3,325 6,650 10 0 0
182 - 0 0 0
260,526 521,052 0 0 0
408,812 - 1 0 0
1,297,889 1,297,889 0 0 0
2,860 102,960 24 0 0
- - 0 0 0
74 46,990 0 0 0
103 70,452 2000 0 0
1,957 - 0 0 0
3,100 - 0 0 0
1,684 1,220,900 0 0 0
5,928 - 0 0 0
99 64,845 0 0 0
3,300 405,900 0 0 0
245 134,505 0 0 0
399 736,155 0 0 0
3,276 - 0 0 0
1,540 46,200 0 0 0
160 47,040 0 0 0
1,888 - 0 0 0
14,500 - 0 0 0
83,190 - 0 0 0
110 169,400 0 0 0
1,340 29,480 0 0 0
17,500 - 0 0 0
5,900 259,600 50 0 0
327 44,145 0 0 0
- - 0 0 0
275 41,250 0 0 0
10,351 103,510 0 0 0
64 208,640 1500 0 0
154 410,410 500 0 0
880 1,491,600 0 0 0
4,066 126,046 10 0 0
15,950 319,000 10 0 0
1,430 429,000 0 0 0
4,571 155,414 10 0 0
26,400 844,800 0 0 0
101 33,330 0 0 0
2,973 267,570 0 0 0
495 59,400 2000 0 0
729 948,429 0 0 0
- - 0 0 0
1,152 110,592 20 0 0
99 208,890 2000 0 0
2,000 - 90 0 0
12,000 - 0 0 0
19,193 76,772 0 0 0
13,202 52,808 0 0 0
86 15,910 200 0 0
109 2,180 0 0 0
- - 0 0 0
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104 10,400 0 0 0
- - 0 0 0
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273 54,600 0 0 0
86 62,780 0 0 0
2,781 333,720 0 0 0
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1,408 28,160 10 0 0
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751 - 0 0 0
6,303 - 0 0 0
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735 - 0 0 0
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165 - 200 0 0
2,590 - 0 0 0
5,000 44,996 0 0 0
747 156,123 600 0 0
3,867 232,020 0 0 0
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- - 0 0 0
81 102,060 0 0 0
- - 0 0 0
257 35,466 300 0 0
2,299 - 0 0 0
- - 0 0 0
- - 0 0 0
3,498 129,426 24 0 0
125 225,000 0 0 0
174 153,120 1000 0 0
207 202,860 0 0 0
- - 0 0 0
12,000 - 0 0 0
7,500 - 0 0 0
6,900 365,700 0 0 0
- - 0 0 0
952 166,600 0 0 0
56 - 0 0 0
101,300 - 0 0 0
55 - 0 0 0
59 - 0 0 0
156 156 100 0 0
2,475 74,250 24 0 0
9,999 69,993 0 0 0
1,496 2,992 0 0 0
2,776 347,000 0 0 0
253 - 0 0 0
330 973,170 1000 0 0
6,500 - 0 0 0
100 - 0 0 0
173 - 0 0 0
165 33,000 100 0 0
59 17,405 500 0 0
280 - 0 0 0
2,518 146,044 0 0 0
297 193,050 500 0 0
990 212,850 750 0 0
2,380 130,900 0 0 0
- - 0 0 0
495 29,700 120 0 0
3,140 235,500 24 0 0
1,881 9,405 0 0 0
- - 0 0 0
6,500 - 0 0 0
7,502 45,012 10 0 0
25 63,250 1000 0 0
240 - 0 0 0
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155 - 0 0 0
600 36,000 0 0 0
2,750 - 0 0 0
2,052 30,780 0 0 0
125 140,500 500 0 0
1,575 - 0 0 0
334 - 0 0 0
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- - 0 0 0
1,205 74,710 30 0 0
1,208 41,072 0 0 0
143 138,710 1000 0 0
125 83,750 500 0 0
3,200 - 0 0 0
3,796 45,552 6 0 0
39,880 - 0 0 0
990 128,700 0 0 0
105 224,995 1000 0 0
221 - 0 0 0
2,992 254,320 0 0 0
137 215,775 0 0 0
305 - 0 0 0
993 109,230 0 0 0
80 107,200 0 0 0
4,158 - 0 0 0
275 92,950 0 0 0
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3,590 - 0 0 0
3,585 132,645 24 0 0
3,116 - 0 0 0
4,500 949,500 100 0 0
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357 1,535,814 0 0 0
66 20,328 300 0 0
127 549,910 600 0 0
6,410 987,140 0 0 0
3,058 - 0 0 0
132 77,880 0 0 0
34,980 - 10 0 0
830 166,000 0 0 0
572 48,048 0 0 0
3,850 7,700 25 0 0
2,600 192,400 25 0 0
1,900 22,800 0 0 0
164 - 1500 0 0
14,993 29,986 0 0 0
350 104,940 400 0 0
6,981 160,563 0 0 0
16,995 288,915 10 0 0
17,800 480,600 0 0 0
1,110 241,980 100 0 0
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56 252,672 0 0 0
11,825 82,775 0 0 0
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11,990 47,960 0 0 0
302 - 200 0 0
800 - 0 0 0
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121 - 0 0 0
72 45,504 200 0 0
253 75,900 0 0 0
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57 10,089 0 0 0
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451 410,410 0 0 0
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1,155 150,150 70 0 0
165 473,880 2000 0 0
228 - 0 0 0
273 - 0 0 0
7,150 2,302,300 0 0 0
31,571 315,710 0 0 0
192,000 383,999 0 0 0
63 103,320 0 0 0
74 197,580 0 0 0
2,753 104,614 0 0 0
6,100 - 0 0 0
20,700 331,200 0 0 0
3,190 102,080 0 0 0
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479,996 3,359,972 4 0 0
1,608,255 - 0 0 0
130,999 130,999 0 0 0
110 55,000 0 0 0
195 45,240 0 0 0
296 - 0 0 0
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372 171,120 0 0 0
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319 31,900 0 0 0
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87 - 0 0 0
165,000 - 0 0 0
304 15,200 250 0 0
544 27,200 600 0 0
123 270,600 1000 0 0
86 103,200 500 0 0
47 - 0 0 0
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132 256,662 0 0 0
110 270,050 2500 0 0
3,122 43,708 0 0 0
551 242,991 300 0 0
6,270 589,380 0 0 0
6,270 1,279,080 0 0 0
6,270 739,860 50 0 0
7,810 1,437,040 0 0 0
1,392 1,531,200 0 0 0
1,091 1,745,456 0 0 0
1,705 - 0 0 0
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894 1,439,340 0 0 0
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255,048 1,020,191 0 0 0
168,140 - 0 0 0
154,675 - 0 0 0
191 196,730 0 0 0
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82,980 - 0 0 0
190,741 - 0 0 0
52,100 2,344,511 0 0 0
47,706 2,242,182 0 0 0
35,125 3,266,625 0 0 0
46,481 3,857,924 0 0 0
8,370,000 - 0 0 0
60,000 - 0 0 0
14,689 117,512 0 0 0
143,700 - 1 0 0
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3,450 27,600 5 0 0
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10,212 102,120 0 0 0
349,998 - 0 0 0
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449,900 - 0 0 0
211,750 - 0 0 0
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0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
- - -
sisa akhir juni

Riil/Fisik
PTM Lansia Lain2 Pustu1 Pustu2
sisa akhir juni

Pustu3 Pustu4 Pustu5 Pustu6 Pustu7 Pustu8 Pustu9 Pustu10 Pustu11 Pustu12
Sisa stok juni

Kolom Kontrol
Sisa Stok akhir

0 17 (17) 17
0 482 (454) 454
0 4,364 (4,009) 4,009
0 - - -
0 - - -
0 4,630 (3,043) 3,043
0 15 (15) 15
0 200 (185) 185
0 480 (465) 465
0 3,090 (2,890) 2,890
0 2,764 (2,654) 2,654
0 2,550 (1,606) 1,606
0 4,405 (1,853) 1,853
0 10 - -
0 272 (211) 211
0 - - -
0 2,560 (830) 830
0 119 (16) 16
0 57 (44) 44
0 2 (1) 1
0 12 (10) 10
0 - - -
0 2 (2) 2
0 1 - -
0 1 (1) 1
0 60 (36) 36
0 - - -
0 635 (525) 525
0 2,684 (534) 534
0 - - -
0 - - -
0 725 (715) 715
0 - - -
0 655 (655) 655
0 123 (108) 108
0 549 (549) 549
0 1,845 (1,745) 1,745
0 - - -
0 30 (30) 30
0 294 (218) 218
0 - - -
0 - - -
0 - - -
0 1,540 (1,279) 1,279
0 22 - -
0 - - -
0 94 (93) 93
0 135 (135) 135
0 - - -
0 150 (150) 150
0 10 (10) 10
0 4,760 (4,310) 4,310
0 3,165 (1,840) 1,840
0 1,695 (792) 792
0 41 (14) 14
0 30 (28) 28
0 300 (2) 2
0 44 (14) 14
0 32 (31) 31
0 330 (130) 130
0 90 (63) 63
0 2,120 (1,922) 1,922
0 1,301 (1,271) 1,271
0 - - -
0 116 (74) 74
0 4,110 (43) 43
0 90 (40) 40
0 - - -
0 4 (4) 4
0 4 (4) 4
0 385 (322) 322
0 20 (20) 20
0 - - -
0 - - -
0 100 (100) 100
0 - - -
0 - - -
0 200 (200) 200
0 730 (516) 516
0 120 (106) 106
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0 30 (30) 30
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0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 200 (200) 200
0 - - -
0 9 (9) 9
0 809 (549) 549
0 60 (47) 47
0 - - -
0 - - -
0 1,260 (1,260) 1,260
0 - - -
0 438 (263) 263
0 - - -
0 - - -
0 - - -
0 61 (59) 59
0 1,800 (1,800) 1,800
0 1,880 (1,430) 1,430
0 980 (980) 980
0 - - -
0 - - -
0 - - -
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0 - - -
0 175 (140) 140
0 - - -
0 - - -
0 - - -
0 - - -
0 101 (101) 101
0 54 (32) 32
0 7 - -
0 2 - -
0 125 (109) 109
0 - - -
0 3,949 (2,525) 2,525
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 795 (580) 580
0 - - -
0 58 (52) 52
0 1,150 (1,140) 1,140
0 965 (785) 785
0 55 (34) 34
0 - - -
0 180 (100) 100
0 99 (85) 85
0 5 - -
0 - - -
0 - - -
0 16 (11) 11
0 3,530 (1,339) 1,339
0 - - -
0 - - -
0 - - -
0 - - -
0 60 (60) 60
0 - - -
0 15 (2) 2
0 1,624 (1,406) 1,406
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0 - - -
0 - - -
0 - - -
0 92 (36) 36
0 34 (34) 34
0 1,970 (55) 55
0 1,170 (660) 660
0 - - -
0 18 (16) 16
0 - - -
0 130 (30) 30
0 3,151 (1,811) 1,811
0 - - -
0 85 - -
0 1,575 - -
0 - - -
0 110 (74) 74
0 1,340 (1,057) 1,057
0 - - -
0 338 (183) 183
0 - - -
0 - - -
0 61 (46) 46
0 - - -
0 311 (285) 285
0 - - -
0 4,302 (3,322) 3,322
0 608 (558) 558
0 4,930 (3,731) 3,731
0 154 (122) 122
0 - - -
0 590 (590) 590
0 10 (10) 10
0 200 (200) 200
0 84 (84) 84
0 27 (19) 19
0 99 (96) 96
0 12 - -
0 1,500 (1,385) 1,385
0 2 (2) 2
0 700 (65) 65
0 23 (21) 21
0 27 (18) 18
0 27 (23) 23
0 318 (56) 56
0 - - -
0 4,512 (1,429) 1,429
0 7 (2) 2
0 - - -
0 4 (4) 4
0 200 (200) 200
0 - - -
0 - - -
0 - - -
0 832 (610) 610
0 300 (300) 300
0 - - -
0 177 (117) 117
0 - - -
0 910 (820) 820
0 - - -
0 200 (109) 109
0 4,872 (3,047) 3,047
0 - - -
0 - - -
0 322 (194) 194
0 10 (10) 10
0 2 - -
0 1,640 (1,446) 1,446
0 2,670 (2,611) 2,611
0 38 (36) 36
0 - - -
0 16 (13) 13
0 32 (24) 24
0 12 (12) 12
0 11 (3) 3
0 - - -
0 1 (1) 1
0 500 (330) 330
0 232 (217) 217
0 - - -
0 52 (8) 8
0 460 - -
0 - - -
0 6 (2) 2
0 100 (100) 100
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 650 (650) 650
0 3,200 (712) 712
0 1,700 (1,510) 1,510
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0 1,940 (1,109) 1,109
0 4,955 (388) 388
0 14 (7) 7
0 741 (321) 321
0 94 (72) 72
0 204 (157) 157
0 168 (66) 66
0 184 (167) 167
0 1,100 (1,080) 1,080
0 1,600 (1,535) 1,535
0 - - -
0 - - -
0 - - -
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0 1,610 (1,193) 1,193
0 614 (380) 380
0 - - -
0 1,950 (1,350) 1,350
0 - - -
0 - - -
0 4 (3) 3
0 - - -
0 - - -
0 1,030 (1,030) 1,030
0 - - -
0 - - -
0 - - -
0 45 (43) 43
0 47 (45) 45
0 93 (86) 86
0 83 (77) 77
0 - - -
0 - - -
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0 - - -
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0 - - -
0 25 (19) 19
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0 10 (10) 10
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0 - - -
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0 22 (22) 22
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0 100 (83) 83
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0 144 (144) 144
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0 1 (1) 1
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0 - - -
0 - - -
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0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
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0 27 (19) 19
0 18 (18) 18
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0 20 (20) 20
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0 - - -
0 100 (100) 100
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0 2 - -
0 125 (125) 125
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0 - - -
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0 - - -
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0 - - -
0 - - -
0 - - -
0 26 (15) 15
0 70 (58) 58
0 5 (5) 5
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0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 5 (5) 5
0 5 (5) 5
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0 - - -
0 - - -
0 - - -
0 3 (3) 3
0 - - -
0 2 (2) 2
0 4 (4) 4
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 7 (7) 7
0 - - -
0 - - -
0 2 (1) 1
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 20 (12) 12
0 - - -
0 - - -
0 - - -
0 42 (32) 32
0 - - -
0 - - -
0 - - -
0 15 - -
0 40 (9) 9
0 70 (44) 44
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
PER SEPTEMBER (TRIWULAN III) 2020

Volume
1 2 3 4 5
38 Atripla tablet -

235 Tetagam ampul 4

256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
297 HCG Strip Pcs -
301 Jelly USG btl 4
321 Kondom pcs -
343 Lisol Botol 8
344 Lubricant pcs -
348 Mess pcs -
362 Planotest pcs -
371 Pot Urine Pcs -


391 31 btl 20 L -

393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -
448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
6 7 8 9 10 11 12
4,200 71,400 0 0 0
452 217,864 0 0 0
99 432,036 0 0 0
88 - 0 0 0
120 - 0 0 0
99 309,870 1500 0 0
2,789 41,835 0 0 0
341 - 200 0 0
168 80,640 0 0 0
94 234,060 600 0 0
73 157,972 600 0 0
203 314,650 1000 0 0
250 726,250 1500 0 0
3,737 37,370 0 0 0
4,400 1,196,800 0 0 0
3,675 - 0 0 0
56 31,360 2000 0 0
2,051 244,069 0 0 0
8,250 470,250 0 0 0
4,721 9,442 0 0 0
3,325 6,650 10 0 0
182 - 0 0 0
260,526 521,052 0 0 0
408,812 - 1 0 0
1,297,889 1,297,889 0 0 0
2,860 102,960 24 0 0
- - 0 0 0
74 46,990 0 0 0
103 70,452 2000 0 0
1,957 - 0 0 0
3,100 - 0 0 0
1,684 1,220,900 0 0 0
5,928 - 0 0 0
99 64,845 0 0 0
3,300 405,900 0 0 0
245 134,505 0 0 0
399 736,155 0 0 0
3,276 - 0 0 0
1,540 46,200 0 0 0
160 47,040 0 0 0
1,888 - 0 0 0
14,500 - 0 0 0
83,190 - 0 0 0
110 169,400 0 0 0
1,340 29,480 0 0 0
17,500 - 0 0 0
5,900 259,600 50 0 0
327 44,145 0 0 0
- - 0 0 0
275 41,250 0 0 0
10,351 103,510 0 0 0
64 208,640 1500 0 0
154 410,410 500 0 0
880 1,491,600 0 0 0
4,066 126,046 10 0 0
15,950 319,000 10 0 0
1,430 429,000 0 0 0
4,571 155,414 10 0 0
26,400 844,800 0 0 0
101 33,330 0 0 0
2,973 267,570 0 0 0
495 59,400 2000 0 0
729 948,429 0 0 0
- - 0 0 0
1,152 110,592 20 0 0
99 208,890 2000 0 0
2,000 - 90 0 0
12,000 - 0 0 0
19,193 76,772 0 0 0
13,202 52,808 0 0 0
86 15,910 200 0 0
109 2,180 0 0 0
- - 0 0 0
- - 0 0 0
104 10,400 0 0 0
- - 0 0 0
- - 0 0 0
273 54,600 0 0 0
86 62,780 0 0 0
2,781 333,720 0 0 0
- - 0 0 0
1,408 28,160 10 0 0
- - 0 0 0
751 - 0 0 0
6,303 - 0 0 0
- - 0 0 0
735 - 0 0 0
- - 0 0 0
- - 0 0 0
165 - 200 0 0
2,590 - 0 0 0
5,000 44,996 0 0 0
747 156,123 600 0 0
3,867 232,020 0 0 0
- - 0 0 0
- - 0 0 0
81 102,060 0 0 0
- - 0 0 0
257 35,466 300 0 0
2,299 - 0 0 0
- - 0 0 0
- - 0 0 0
3,498 129,426 24 0 0
125 225,000 0 0 0
174 153,120 1000 0 0
207 202,860 0 0 0
- - 0 0 0
12,000 - 0 0 0
7,500 - 0 0 0
6,900 365,700 0 0 0
- - 0 0 0
952 166,600 0 0 0
56 - 0 0 0
101,300 - 0 0 0
55 - 0 0 0
59 - 0 0 0
156 156 100 0 0
2,475 74,250 24 0 0
9,999 69,993 0 0 0
1,496 2,992 0 0 0
2,776 347,000 0 0 0
253 - 0 0 0
330 973,170 1000 0 0
6,500 - 0 0 0
100 - 0 0 0
173 - 0 0 0
165 33,000 100 0 0
59 17,405 500 0 0
280 - 0 0 0
2,518 146,044 0 0 0
297 193,050 500 0 0
990 212,850 750 0 0
2,380 130,900 0 0 0
- - 0 0 0
495 29,700 120 0 0
3,140 235,500 24 0 0
1,881 9,405 0 0 0
- - 0 0 0
6,500 - 0 0 0
7,502 45,012 10 0 0
25 63,250 1000 0 0
240 - 0 0 0
- - 0 0 0
- - 0 0 0
155 - 0 0 0
600 36,000 0 0 0
2,750 - 0 0 0
2,052 30,780 0 0 0
125 140,500 500 0 0
1,575 - 0 0 0
334 - 0 0 0
- - 0 0 0
- - 0 0 0
1,205 74,710 30 0 0
1,208 41,072 0 0 0
143 138,710 1000 0 0
125 83,750 500 0 0
3,200 - 0 0 0
3,796 45,552 6 0 0
39,880 - 0 0 0
990 128,700 0 0 0
105 224,995 1000 0 0
221 - 0 0 0
2,992 254,320 0 0 0
137 215,775 0 0 0
305 - 0 0 0
993 109,230 0 0 0
80 107,200 0 0 0
4,158 - 0 0 0
275 92,950 0 0 0
- - 0 0 0
3,590 - 0 0 0
3,585 132,645 24 0 0
3,116 - 0 0 0
4,500 949,500 100 0 0
- - 0 0 0
357 1,535,814 0 0 0
66 20,328 300 0 0
127 549,910 600 0 0
6,410 987,140 0 0 0
3,058 - 0 0 0
132 77,880 0 0 0
34,980 - 10 0 0
830 166,000 0 0 0
572 48,048 0 0 0
3,850 7,700 25 0 0
2,600 192,400 25 0 0
1,900 22,800 0 0 0
164 - 1500 0 0
14,993 29,986 0 0 0
350 104,940 400 0 0
6,981 160,563 0 0 0
16,995 288,915 10 0 0
17,800 480,600 0 0 0
1,110 241,980 100 0 0
- - 0 0 0
56 252,672 0 0 0
11,825 82,775 0 0 0
- - 0 0 0
11,990 47,960 0 0 0
302 - 200 0 0
800 - 0 0 0
- - 0 0 0
121 - 0 0 0
72 45,504 200 0 0
253 75,900 0 0 0
- - 0 0 0
57 10,089 0 0 0
- - 0 0 0
451 410,410 0 0 0
- - 0 0 0
1,155 150,150 70 0 0
165 473,880 2000 0 0
228 - 0 0 0
273 - 0 0 0
7,150 2,302,300 0 0 0
31,571 315,710 0 0 0
192,000 383,999 0 0 0
63 103,320 0 0 0
74 197,580 0 0 0
2,753 104,614 0 0 0
6,100 - 0 0 0
20,700 331,200 0 0 0
3,190 102,080 0 0 0
4,998 59,976 0 0 0
479,996 3,359,972 4 0 0
1,608,255 - 0 0 0
130,999 130,999 0 0 0
110 55,000 0 0 0
195 45,240 0 0 0
296 - 0 0 0
6,989 363,428 0 0 0
372 171,120 0 0 0
8,845 - 0 0 0
176,800 707,200 2 0 0
319 31,900 0 0 0
990 - 0 0 0
- - 0 0 0
- - 0 0 0
87 - 0 0 0
165,000 - 0 0 0
304 15,200 250 0 0
544 27,200 600 0 0
123 270,600 1000 0 0
86 103,200 500 0 0
47 - 0 0 0
- - 0 0 0
132 256,662 0 0 0
110 270,050 2500 0 0
3,122 43,708 0 0 0
551 242,991 300 0 0
6,270 589,380 0 0 0
6,270 1,279,080 0 0 0
6,270 739,860 50 0 0
7,810 1,437,040 0 0 0
1,392 1,531,200 0 0 0
1,091 1,745,456 0 0 0
1,705 - 0 0 0
- - 0 0 0
3,080 - 0 0 0
880 688,160 0 0 0
894 1,439,340 0 0 0
943 579,002 0 0 0
2,837,835 - 0 0 0
118 112,100 1000 0 0
71,999 - 0 0 0
3,465 - 0 0 0
255,048 1,020,191 0 0 0
168,140 - 0 0 0
154,675 - 0 0 0
191 196,730 0 0 0
- - 0 0 0
82,980 - 0 0 0
190,741 - 0 0 0
52,100 2,344,511 0 0 0
47,706 2,242,182 0 0 0
35,125 3,266,625 0 0 0
46,481 3,857,924 0 0 0
8,370,000 - 0 0 0
60,000 - 0 0 0
14,689 117,512 0 0 0
143,700 - 1 0 0
- - 0 0 0
3,450 27,600 5 0 0
6,899 - 0 0 0
69,300 1,732,500 0 0 0
95,000 - 0 0 0
93,999 - 0 0 0
10,212 102,120 0 0 0
349,998 - 0 0 0
349,998 - 0 0 0
449,900 - 0 0 0
211,750 - 0 0 0
990 881,100 500 0 0
21,296 468,512 0 0 0
6,793 726,835 0 0 0
1,679 - 100 0 0
9,130 - 0 0 0
5,608 846,861 25 0 0
2,188 - 0 0 0
14,472 57,886 3 0 0
307 44,178 0 0 0
138 - 0 0 0
31,694 158,470 3 0 0
1,760 140,800 0 0 0
11,322 - 0 0 0
16,000 16,000 0 0 0
20,000 20,000 0 0 0
2,609 - 0 0 0
1,178 - 0 0 0
2,480 161,200 0 0 0
1,174 - 0 0 0
8,144 643,408 30 0 0
165,720 - 0 0 0
- - 0 0 0
85,556 - 0 0 0
17,999 - 0 0 0
144,000 - 0 0 0
430,000 - 0 0 0
219,640 - 0 0 0
358 - 0 0 0
349,998 - 0 0 0
90,000 - 0 0 0
30,000 - 0 0 0
34,200 - 0 0 0
19,950 - 0 0 0
98,667 - 0 0 0
57,750 - 0 0 0
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90,000 - 0 0 0
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4,090 - 0 0 0
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24,990 - 0 0 0
- - 0 0 0
- - 0 0 0
27,000 - 0 0 0
313,700 - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
47,150 377,200 4 0 0
486 - 0 0 0
625,900 - 0 0 0
676 994,014 0 0 0
14,820 - 0 0 0
3,150 - 0 0 0
50,000 - 0 0 0
33,000 - 0 0 0
238,100 - 0 0 0
3,743,693 - 0 0 0
3,743,693 - 0 0 0
24,100,000 - 0 0 0
367,650 - 0 0 0
90,000 - 0 0 0
802,225 - 0 0 0
- - 0 0 0
24,675 - 0 0 0
34,125 - 0 0 0
66,000 - 0 0 0
1,939 - 0 0 0
- - 0 0 0
35,532 - 0 0 0
33,880 2,710,400 0 0 0
601,677 - 0 0 0
77,698 1,631,658 0 0 0
63,054 - 0 0 0
73,750 - 0 0 0
2,379 - 0 0 0
2,631 - 0 0 0
3,335 56,695 0 0 0
20,700 558,900 0 0 0
23,890 430,020 0 0 0
149,314 - 0 0 0
- - 0 0 0
- - 0 0 0
9,878 197,560 0 0 0
- - 0 0 0
- - 0 0 0
11,975 1,197,500 0 0 0
487,000 - 0 0 0
- - 0 0 0
161,900 323,800 0 0 0
20,400 2,550,000 0 0 0
1,306,996 - 0 0 0
1,575,000 - 0 0 0
886,999 - 0 0 0
1,635,999 - 0 0 0
3,040,000 - 0 0 0
1,100,000 - 0 0 0
2,500,000 - 0 0 0
247,000 - 0 0 0
81,285 - 0 0 0
81,285 - 0 0 0
3,885,000 - 0 0 0
4,000 - 0 0 0
21,500 559,000 0 0 0
46,712 3,269,840 0 0 0
6,720 33,600 0 0 0
8,103 - 0 0 0
6,720 - 0 0 0
- - 0 0 0
1,166,576 - 0 0 0
30,000 - 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
275,000 - 0 0 0
96,260 - 0 0 0
249,920 - 0 0 0
110,000 - 0 0 0
164,373 493,120 0 0 0
210,000 - 0 0 0
427,500 855,000 0 0 0
526,250 2,105,000 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
123,600 - 0 0 0
23,958 - 0 0 0
518,254 - 0 0 0
300,000 - 0 0 0
169,100 - 0 0 0
8,877 44,385 0 0 0
146,000 - 0 0 0
1,287 - 0 0 0
125,000 - 0 0 0
1,540 - 0 0 0
1,540 - 0 0 0
1,540 7,700 0 0 0
1,540 - 0 0 0
75,000 - 0 0 0
186,700 - 0 0 0
6,494 - 7 0 0
- - 0 0 0
1,500,000 - 0 0 0
174,900 - 2 0 0
4,000 - 0 0 0
330,000 - 0 0 0
479,100 - 0 0 0
57,750 - 0 0 0
371,999 - 0 0 0
151,999 - 0 0 0
225,000 - 0 0 0
83,800 - 0 0 0
35,700 - 0 0 0
100,000 - 0 0 0
59,950 - 20 0 0
28,204 - 0 0 0
17,996 - 0 0 0
1,325,000 - 0 0 0
20,900 41,800 40 0 0
52,052 - 0 0 0
158,994 - 0 0 0
- - 0 0 0
155,813 - 15 0 0
78,991 - 40 0 0
19,954 - 70 0 0
16,995 - 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 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
87,639,376 -
13 14 15 16 17 18 19
0 - - 17 -
0 28 - 454 -
0 355 - 4,009 -
0 - - - -
0 - - - -
0 1,587 - 3,043 -
0 - - 15 -
0 15 - 185 -
0 15 - 465 -
0 200 - 2,890 -
0 110 - 2,654 -
0 944 - 1,606 -
0 2,552 - 1,853 -
0 10 - - -
0 61 - 211 -
0 - - - -
0 1,730 - 830 -
0 103 - 16 -
0 13 - 44 -
0 1 - 1 -
0 2 - 10 -
0 - - - -
0 - - 2 -
0 1 - - -
0 - - 1 -
0 24 - 36 -
0 - - - -
0 110 - 525 -
0 2,150 - 534 -
0 - - - -
0 - - - -
0 10 - 715 -
0 - - - -
0 - - 655 -
0 15 - 108 -
0 - - 549 -
0 100 - 1,745 -
0 - - - -
0 - - 30 -
0 76 - 218 -
0 - - - -
0 - - - -
0 - - - -
0 261 - 1,279 -
0 22 - - -
0 - - - -
0 1 - 93 -
0 - - 135 -
0 - - - -
0 - - 150 -
0 - - 10 -
0 450 - 4,310 -
0 1,325 - 1,840 -
0 903 - 792 -
0 27 - 14 -
0 2 - 28 -
0 298 - 2 -
0 30 - 14 -
0 1 - 31 -
0 200 - 130 -
0 27 - 63 -
0 198 - 1,922 -
0 30 - 1,271 -
0 - - - -
0 42 - 74 -
0 4,067 - 43 -
0 50 - 40 -
0 - - - -
0 - - 4 -
0 - - 4 -
0 63 - 322 -
0 - - 20 -
0 - - - -
0 - - - -
0 - - 100 -
0 - - - -
0 - - - -
0 - - 200 -
0 214 - 516 -
0 14 - 106 -
0 - - - -
0 - - 30 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 200 -
0 - - - -
0 - - 9 -
0 260 - 549 -
0 13 - 47 -
0 - - - -
0 - - - -
0 - - 1,260 -
0 - - - -
0 175 - 263 -
0 - - - -
0 - - - -
0 - - - -
0 2 - 59 -
0 - - 1,800 -
0 450 - 1,430 -
0 - - 980 -
0 - - - -
0 - - - -
0 - - - -
0 18 - 35 -
0 - - - -
0 35 - 140 -
0 - - - -
0 - - - -
0 - - - -
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0 - - 101 -
0 22 - 32 -
0 7 - - -
0 2 - - -
0 16 - 109 -
0 - - - -
0 1,424 - 2,525 -
0 - - - -
0 - - - -
0 - - - -
0 - - 300 -
0 215 - 580 -
0 - - - -
0 6 - 52 -
0 10 - 1,140 -
0 180 - 785 -
0 21 - 34 -
0 - - - -
0 80 - 100 -
0 14 - 85 -
0 5 - - -
0 - - - -
0 - - - -
0 5 - 11 -
0 2,191 - 1,339 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 60 -
0 - - - -
0 13 - 2 -
0 218 - 1,406 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 56 - 36 -
0 - - 34 -
0 1,915 - 55 -
0 510 - 660 -
0 - - - -
0 2 - 16 -
0 - - - -
0 100 - 30 -
0 1,340 - 1,811 -
0 - - - -
0 85 - - -
0 1,575 - - -
0 - - - -
0 36 - 74 -
0 283 - 1,057 -
0 - - - -
0 155 - 183 -
0 - - - -
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0 15 - 46 -
0 - - - -
0 26 - 285 -
0 - - - -
0 980 - 3,322 -
0 50 - 558 -
0 1,199 - 3,731 -
0 32 - 122 -
0 - - - -
0 - - 590 -
0 - - 10 -
0 - - 200 -
0 - - 84 -
0 8 - 19 -
0 3 - 96 -
0 12 - - -
0 115 - 1,385 -
0 - - 2 -
0 635 - 65 -
0 2 - 21 -
0 9 - 18 -
0 4 - 23 -
0 262 - 56 -
0 - - - -
0 3,083 - 1,429 -
0 5 - 2 -
0 - - - -
0 - - 4 -
0 - - 200 -
0 - - - -
0 - - - -
0 - - - -
0 222 - 610 -
0 - - 300 -
0 - - - -
0 60 - 117 -
0 - - - -
0 90 - 820 -
0 - - - -
0 91 - 109 -
0 1,825 - 3,047 -
0 - - - -
0 - - - -
0 128 - 194 -
0 - - 10 -
0 2 - - -
0 194 - 1,446 -
0 59 - 2,611 -
0 2 - 36 -
0 - - - -
0 3 - 13 -
0 8 - 24 -
0 - - 12 -
0 8 - 3 -
0 - - - -
0 - - 1 -
0 170 - 330 -
0 15 - 217 -
0 - - - -
0 44 - 8 -
0 460 - - -
0 - - - -
0 4 - 2 -
0 - - 100 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 300 -
0 - - 650 -
0 2,488 - 712 -
0 190 - 1,510 -
0 - - - -
0 - - - -
0 831 - 1,109 -
0 4,567 - 388 -
0 7 - 7 -
0 420 - 321 -
0 22 - 72 -
0 47 - 157 -
0 102 - 66 -
0 17 - 167 -
0 20 - 1,080 -
0 65 - 1,535 -
0 - - - -
0 - - - -
0 - - - -
0 115 - 667 -
0 417 - 1,193 -
0 234 - 380 -
0 - - - -
0 600 - 1,350 -
0 - - - -
0 - - - -
0 1 - 3 -
0 - - - -
0 - - - -
0 - - 1,030 -
0 - - - -
0 - - - -
0 - - - -
0 2 - 43 -
0 2 - 45 -
0 7 - 86 -
0 6 - 77 -
0 - - - -
0 - - - -
0 - - 8 -
0 1 - - -
0 - - - -
0 3 - 10 -
0 - - - -
0 6 - 19 -
0 - - - -
0 - - - -
0 - - 10 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 850 - 540 -
0 - - 22 -
0 13 - 94 -
0 17 - 83 -
0 - - - -
0 77 - 99 -
0 - - - -
0 1 - 6 -
0 - - 144 -
0 - - - -
0 1 - 7 -
0 - - 80 -
0 - - - -
0 - - 1 -
0 - - 1 -
0 - - - -
0 - - - -
0 - - 65 -
0 - - - -
0 40 - 69 -
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0 - - - -
0 - - - -
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0 - - - -
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0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 5 - 7 -
0 - - - -
0 - - - -
0 450 - 1,020 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 80 -
0 - - - -
0 9 - 12 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 2 - 15 -
0 8 - 19 -
0 - - 18 -
0 - - - -
0 - - - -
0 - - - -
0 - - 20 -
0 - - - -
0 - - - -
0 - - 100 -
0 - - - -
0 - - - -
0 2 - - -
0 - - 125 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 11 - 15 -
0 12 - 58 -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - 5 -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 3 -
0 - - - -
0 - - 2 -
0 - - 4 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - 5 -
0 - - - -
0 - - - -
0 - - - -
0 - - 7 -
0 - - - -
0 - - - -
0 1 - 1 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 8 - 12 -
0 - - - -
0 - - - -
0 - - - -
0 10 - 32 -
0 - - - -
0 - - - -
0 - - - -
0 15 - - -
0 31 - 9 -
0 26 - 44 -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
0 - - - -
- - -
sisa akhir September

Riil/Fisik
PTM Lansia Lain2 Pustu1 Pustu2 Pustu3
akhir September
Pustu4 Pustu5 Pustu6 Pustu7 Pustu8 Pustu9 Pustu10 Pustu11 Pustu12
Sisa stok September

Kolom Kontrol
Sisa Stok akhir

0 17 (17) 17
0 482 (454) 454
0 4,364 (4,009) 4,009
0 - - -
0 - - -
0 4,630 (3,043) 3,043
0 15 (15) 15
0 200 (185) 185
0 480 (465) 465
0 3,090 (2,890) 2,890
0 2,764 (2,654) 2,654
0 2,550 (1,606) 1,606
0 4,405 (1,853) 1,853
0 10 - -
0 272 (211) 211
0 - - -
0 2,560 (830) 830
0 119 (16) 16
0 57 (44) 44
0 2 (1) 1
0 12 (10) 10
0 - - -
0 2 (2) 2
0 1 - -
0 1 (1) 1
0 60 (36) 36
0 - - -
0 635 (525) 525
0 2,684 (534) 534
0 - - -
0 - - -
0 725 (715) 715
0 - - -
0 655 (655) 655
0 123 (108) 108
0 549 (549) 549
0 1,845 (1,745) 1,745
0 - - -
0 30 (30) 30
0 294 (218) 218
0 - - -
0 - - -
0 - - -
0 1,540 (1,279) 1,279
0 22 - -
0 - - -
0 94 (93) 93
0 135 (135) 135
0 - - -
0 150 (150) 150
0 10 (10) 10
0 4,760 (4,310) 4,310
0 3,165 (1,840) 1,840
0 1,695 (792) 792
0 41 (14) 14
0 30 (28) 28
0 300 (2) 2
0 44 (14) 14
0 32 (31) 31
0 330 (130) 130
0 90 (63) 63
0 2,120 (1,922) 1,922
0 1,301 (1,271) 1,271
0 - - -
0 116 (74) 74
0 4,110 (43) 43
0 90 (40) 40
0 - - -
0 4 (4) 4
0 4 (4) 4
0 385 (322) 322
0 20 (20) 20
0 - - -
0 - - -
0 100 (100) 100
0 - - -
0 - - -
0 200 (200) 200
0 730 (516) 516
0 120 (106) 106
0 - - -
0 30 (30) 30
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 200 (200) 200
0 - - -
0 9 (9) 9
0 809 (549) 549
0 60 (47) 47
0 - - -
0 - - -
0 1,260 (1,260) 1,260
0 - - -
0 438 (263) 263
0 - - -
0 - - -
0 - - -
0 61 (59) 59
0 1,800 (1,800) 1,800
0 1,880 (1,430) 1,430
0 980 (980) 980
0 - - -
0 - - -
0 - - -
0 53 (35) 35
0 - - -
0 175 (140) 140
0 - - -
0 - - -
0 - - -
0 - - -
0 101 (101) 101
0 54 (32) 32
0 7 - -
0 2 - -
0 125 (109) 109
0 - - -
0 3,949 (2,525) 2,525
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 795 (580) 580
0 - - -
0 58 (52) 52
0 1,150 (1,140) 1,140
0 965 (785) 785
0 55 (34) 34
0 - - -
0 180 (100) 100
0 99 (85) 85
0 5 - -
0 - - -
0 - - -
0 16 (11) 11
0 3,530 (1,339) 1,339
0 - - -
0 - - -
0 - - -
0 - - -
0 60 (60) 60
0 - - -
0 15 (2) 2
0 1,624 (1,406) 1,406
0 - - -
0 - - -
0 - - -
0 - - -
0 92 (36) 36
0 34 (34) 34
0 1,970 (55) 55
0 1,170 (660) 660
0 - - -
0 18 (16) 16
0 - - -
0 130 (30) 30
0 3,151 (1,811) 1,811
0 - - -
0 85 - -
0 1,575 - -
0 - - -
0 110 (74) 74
0 1,340 (1,057) 1,057
0 - - -
0 338 (183) 183
0 - - -
0 - - -
0 61 (46) 46
0 - - -
0 311 (285) 285
0 - - -
0 4,302 (3,322) 3,322
0 608 (558) 558
0 4,930 (3,731) 3,731
0 154 (122) 122
0 - - -
0 590 (590) 590
0 10 (10) 10
0 200 (200) 200
0 84 (84) 84
0 27 (19) 19
0 99 (96) 96
0 12 - -
0 1,500 (1,385) 1,385
0 2 (2) 2
0 700 (65) 65
0 23 (21) 21
0 27 (18) 18
0 27 (23) 23
0 318 (56) 56
0 - - -
0 4,512 (1,429) 1,429
0 7 (2) 2
0 - - -
0 4 (4) 4
0 200 (200) 200
0 - - -
0 - - -
0 - - -
0 832 (610) 610
0 300 (300) 300
0 - - -
0 177 (117) 117
0 - - -
0 910 (820) 820
0 - - -
0 200 (109) 109
0 4,872 (3,047) 3,047
0 - - -
0 - - -
0 322 (194) 194
0 10 (10) 10
0 2 - -
0 1,640 (1,446) 1,446
0 2,670 (2,611) 2,611
0 38 (36) 36
0 - - -
0 16 (13) 13
0 32 (24) 24
0 12 (12) 12
0 11 (3) 3
0 - - -
0 1 (1) 1
0 500 (330) 330
0 232 (217) 217
0 - - -
0 52 (8) 8
0 460 - -
0 - - -
0 6 (2) 2
0 100 (100) 100
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 300 (300) 300
0 650 (650) 650
0 3,200 (712) 712
0 1,700 (1,510) 1,510
0 - - -
0 - - -
0 1,940 (1,109) 1,109
0 4,955 (388) 388
0 14 (7) 7
0 741 (321) 321
0 94 (72) 72
0 204 (157) 157
0 168 (66) 66
0 184 (167) 167
0 1,100 (1,080) 1,080
0 1,600 (1,535) 1,535
0 - - -
0 - - -
0 - - -
0 782 (667) 667
0 1,610 (1,193) 1,193
0 614 (380) 380
0 - - -
0 1,950 (1,350) 1,350
0 - - -
0 - - -
0 4 (3) 3
0 - - -
0 - - -
0 1,030 (1,030) 1,030
0 - - -
0 - - -
0 - - -
0 45 (43) 43
0 47 (45) 45
0 93 (86) 86
0 83 (77) 77
0 - - -
0 - - -
0 8 (8) 8
0 1 - -
0 - - -
0 13 (10) 10
0 - - -
0 25 (19) 19
0 - - -
0 - - -
0 10 (10) 10
0 - - -
0 - - -
0 - - -
0 - - -
0 1,390 (540) 540
0 22 (22) 22
0 107 (94) 94
0 100 (83) 83
0 - - -
0 176 (99) 99
0 - - -
0 7 (6) 6
0 144 (144) 144
0 - - -
0 8 (7) 7
0 80 (80) 80
0 - - -
0 1 (1) 1
0 1 (1) 1
0 - - -
0 - - -
0 65 (65) 65
0 - - -
0 109 (69) 69
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 - - -
0 - - -
0 - - -
0 - - -
0 12 (7) 7
0 - - -
0 - - -
0 1,470 (1,020) 1,020
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 80 (80) 80
0 - - -
0 21 (12) 12
0 - - -
0 - - -
0 - - -
0 - - -
0 17 (15) 15
0 27 (19) 19
0 18 (18) 18
0 - - -
0 - - -
0 - - -
0 20 (20) 20
0 - - -
0 - - -
0 100 (100) 100
0 - - -
0 - - -
0 2 - -
0 125 (125) 125
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 26 (15) 15
0 70 (58) 58
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 5 (5) 5
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 3 (3) 3
0 - - -
0 2 (2) 2
0 4 (4) 4
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 5 (5) 5
0 - - -
0 - - -
0 - - -
0 7 (7) 7
0 - - -
0 - - -
0 2 (1) 1
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 20 (12) 12
0 - - -
0 - - -
0 - - -
0 42 (32) 32
0 - - -
0 - - -
0 - - -
0 15 - -
0 40 (9) 9
0 70 (44) 44
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
PER 31 DESEMBER 2020

Volume
1 2 3 4 5

38 Atripla tablet -

235 Tetagam ampul 4

256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
297 HCG Strip Pcs -
301 Jelly USG btl 4
321 Kondom pcs -
343 Lisol Botol 8
344 Lubricant pcs -
348 Mess pcs -
362 Planotest pcs -
371 Pot Urine Pcs -

391 31 btl 20 L -

393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -
448 TKF botol -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
6 7 8 9 10 11 12
4,200 71,400 0 0 0
424 204,368 0 0 0
113 493,132 0 0 0
88 - 0 0 0
179 - 0 0 0
164 511,755 1500 0 0
2,789 41,835 0 0 0
92 - 200 0 0
172 82,560 0 0 0
95 236,550 600 0 0
73 157,972 600 0 0
190 294,500 1000 0 0
245 711,725 1500 0 0
1,919 19,190 0 0 0
475 129,200 0 0 0
59 - 0 0 0
2,051 1,148,560 2000 0 0
3,071 365,449 0 0 0
4,721 269,097 0 0 0
3,275 6,550 0 0 0
203 406 10 0 0
244,144 - 0 0 0
408,812 817,624 0 0 0
1,362,789 - 1 0 0
2,750 2,750 0 0 0
60 2,160 24 0 0
74 - 0 0 0
102 64,770 0 0 0
2,489 1,702,476 2000 0 0
3,100 - 0 0 0
1,200 - 0 0 0
6,000 4,350,000 0 0 0
99 - 0 0 0
3,300 2,161,500 0 0 0
245 30,135 0 0 0
380 208,620 0 0 0
1,540 2,841,300 0 0 0
149 - 0 0 0
149 4,470 0 0 0
1,888 555,072 0 0 0
80,000 - 0 0 0
110 - 0 0 0
1,340 - 0 0 0
17,500 26,950,000 0 0 0
5,900 129,800 0 0 0
306 - 0 0 0
6,000 264,000 50 0 0
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Apotek
Pakai 22-
SO 21/12 Apotek Gudang ugd gigi labor kia
31
31-Dec
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gizi imnsasi PTM Lansia Lain2
SO 21/12
31-Dec
Riil/Fisik
Pustu1 Pustu2 Pustu3
Pakai 22- Pakai 22- Pakai 22- Pakai 22-

31 SO 21/12 31 SO 21/12 31 SO 21/12 31
31-Dec 31-Dec 31-Dec
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Riil/Fisik
Pustu4 Pustu5 Pustu6 Pustu7
Pakai 22- Pakai 22- Pakai 22-

SO 21/12 31 SO 21/12 31 SO 21/12 31
31-Dec 31-Dec 31-Dec 31-Dec
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Pustu8 Pustu9 Pustu10
Pakai 22- Pakai 22- Pakai 22-

SO 21/12 31 SO 21/12 31 SO 21/12 31 SO 21/12
31-Dec 31-Dec 31-Dec
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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 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 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
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 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 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
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 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 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
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 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
Kolom Kontrol
Pustu11 Pustu12 SO/31Des20

Keluar/Pakai
Pakai 22- Pakai 22-
31 SO 21/12 31
31-Dec 31-Dec Harusnya = 16 Harusnya = 13
0 0 0 17
0 0 0 482
0 0 0 4,364
0 0 0 -
0 0 0 -
0 0 0 4,630
0 0 0 15
0 0 0 200
0 0 0 480
0 0 0 3,090
0 0 0 2,764
0 0 0 2,550
0 0 0 4,405
0 0 0 10
0 0 0 272
0 0 0 -
0 0 0 2,560
0 0 0 119
0 0 0 57
0 0 0 2
0 0 0 12
0 0 0 -
0 0 0 2
0 0 0 1
0 0 0 1
0 0 0 60
0 0 0 -
0 0 0 635
0 0 0 2,684
0 0 0 -
0 0 0 -
0 0 0 725
0 0 0 -
0 0 0 655
0 0 0 123
0 0 0 549
0 0 0 1,845
0 0 0 -
0 0 0 30
0 0 0 294
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 1,540
0 0 0 22
0 0 0 -
0 0 0 94
0 0 0 135
0 0 0 -
0 0 0 150
0 0 0 10
0 0 0 4,760
0 0 0 3,165
0 0 0 1,695
0 0 0 41
0 0 0 30
0 0 0 300
0 0 0 44
0 0 0 32
0 0 0 330
0 0 0 90
0 0 0 2,120
0 0 0 1,301
0 0 0 -
0 0 0 116
0 0 0 4,110
0 0 0 90
0 0 0 -
0 0 0 4
0 0 0 4
0 0 0 385
0 0 0 20
0 0 0 -
0 0 0 -
0 0 0 100
0 0 0 -
0 0 0 -
0 0 0 200
0 0 0 730
0 0 0 120
0 0 0 -
0 0 0 30
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 200
0 0 0 -
0 0 0 9
0 0 0 809
0 0 0 60
0 0 0 -
0 0 0 -
0 0 0 1,260
0 0 0 -
0 0 0 438
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 61
0 0 0 1,800
0 0 0 1,880
0 0 0 980
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 53
0 0 0 -
0 0 0 175
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 101
0 0 0 54
0 0 0 7
0 0 0 2
0 0 0 125
0 0 0 -
0 0 0 3,949
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 300
0 0 0 795
0 0 0 -
0 0 0 58
0 0 0 1,150
0 0 0 965
0 0 0 55
0 0 0 -
0 0 0 180
0 0 0 99
0 0 0 5
0 0 0 -
0 0 0 -
0 0 0 16
0 0 0 3,530
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 60
0 0 0 -
0 0 0 15
0 0 0 1,624
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 92
0 0 0 34
0 0 0 1,970
0 0 0 1,170
0 0 0 -
0 0 0 18
0 0 0 -
0 0 0 130
0 0 0 3,151
0 0 0 -
0 0 0 85
0 0 0 1,575
0 0 0 -
0 0 0 110
0 0 0 1,340
0 0 0 -
0 0 0 338
0 0 0 -
0 0 0 -
0 0 0 61
0 0 0 -
0 0 0 311
0 0 0 -
0 0 0 4,302
0 0 0 608
0 0 0 4,930
0 0 0 154
0 0 0 -
0 0 0 590
0 0 0 10
0 0 0 200
0 0 0 84
0 0 0 27
0 0 0 99
0 0 0 12
0 0 0 1,500
0 0 0 2
0 0 0 700
0 0 0 23
0 0 0 27
0 0 0 27
0 0 0 318
0 0 0 -
0 0 0 4,512
0 0 0 7
0 0 0 -
0 0 0 4
0 0 0 200
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 832
0 0 0 300
0 0 0 -
0 0 0 177
0 0 0 -
0 0 0 910
0 0 0 -
0 0 0 200
0 0 0 4,872
0 0 0 -
0 0 0 -
0 0 0 322
0 0 0 10
0 0 0 2
0 0 0 1,640
0 0 0 2,670
0 0 0 38
0 0 0 -
0 0 0 16
0 0 0 32
0 0 0 12
0 0 0 11
0 0 0 -
0 0 0 1
0 0 0 500
0 0 0 232
0 0 0 -
0 0 0 52
0 0 0 460
0 0 0 -
0 0 0 6
0 0 0 100
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 300
0 0 0 650
0 0 0 3,200
0 0 0 1,700
0 0 0 -
0 0 0 -
0 0 0 1,940
0 0 0 4,955
0 0 0 14
0 0 0 741
0 0 0 94
0 0 0 204
0 0 0 168
0 0 0 184
0 0 0 1,100
0 0 0 1,600
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 782
0 0 0 1,610
0 0 0 614
0 0 0 -
0 0 0 1,950
0 0 0 -
0 0 0 -
0 0 0 4
0 0 0 -
0 0 0 -
0 0 0 1,030
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 45
0 0 0 47
0 0 0 93
0 0 0 83
0 0 0 -
0 0 0 -
0 0 0 8
0 0 0 1
0 0 0 -
0 0 0 13
0 0 0 -
0 0 0 25
0 0 0 -
0 0 0 -
0 0 0 10
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 1,390
0 0 0 22
0 0 0 107
0 0 0 100
0 0 0 -
0 0 0 176
0 0 0 -
0 0 0 7
0 0 0 144
0 0 0 -
0 0 0 8
0 0 0 80
0 0 0 -
0 0 0 1
0 0 0 1
0 0 0 -
0 0 0 -
0 0 0 65
0 0 0 -
0 0 0 109
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 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 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 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 12
0 0 0 -
0 0 0 -
0 0 0 1,470
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 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 0 0 -
0 0 0 80
0 0 0 -
0 0 0 21
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 17
0 0 0 27
0 0 0 18
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 20
0 0 0 -
0 0 0 -
0 0 0 100
0 0 0 -
0 0 0 -
0 0 0 2
0 0 0 125
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 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 26
0 0 0 70
0 0 0 5
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 5
0 0 0 5
0 0 0 5
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 3
0 0 0 -
0 0 0 2
0 0 0 4
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 0 5
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 5
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 7
0 0 0 -
0 0 0 -
0 0 0 2
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 0 -
0 0 0 -
0 0 0 20
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 42
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 15
0 0 0 40
0 0 0 70
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 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
Kolom Kontrol
Selisih keluar mutasi-keluar riil Selisih sisa mutasi-SO
Harusnya 0 Harusnya 0
(17) 17
(454) 454
(4,009) 4,009
- -
- -
(3,033) 3,033
(15) 15
(185) 185
(465) 465
(2,890) 2,890
(2,654) 2,654
(1,576) 1,576
(1,793) 1,793
1 (1)
(211) 211
- -
(830) 830
(16) 16
(44) 44
(1) 1
(10) 10
- -
(2) 2
- -
(1) 1
(36) 36
- -
(525) 525
(494) 494
- -
- -
(715) 715
- -
(655) 655
(108) 108
(549) 549
(1,745) 1,745
- -
(30) 30
(218) 218
- -
- -
- -
(1,279) 1,279
- -
- -
(93) 93
(135) 135
- -
(150) 150
(10) 10
(4,310) 4,310
(1,830) 1,830
(782) 782
(14) 14
(28) 28
(2) 2
(14) 14
(31) 31
(130) 130
(63) 63
(1,902) 1,902
(1,271) 1,271
- -
(74) 74
7 (7)
(40) 40
- -
(4) 4
(4) 4
(322) 322
(20) 20
- -
- -
(100) 100
- -
- -
(200) 200
(516) 516
(106) 106
- -
(30) 30
- -
- -
- -
- -
- -
- -
- -
(200) 200
- -
(9) 9
(549) 549
(47) 47
- -
- -
(1,260) 1,260
- -
(263) 263
- -
- -
- -
(59) 59
(1,800) 1,800
(1,430) 1,430
(980) 980
- -
- -
- -
(35) 35
- -
(140) 140
- -
- -
- -
- -
(101) 101
(32) 32
- -
- -
(109) 109
- -
(2,525) 2,525
- -
- -
- -
(300) 300
(580) 580
- -
(52) 52
(1,140) 1,140
(785) 785
(34) 34
- -
(100) 100
(85) 85
- -
- -
- -
(11) 11
(1,339) 1,339
- -
- -
- -
- -
(60) 60
- -
(2) 2
(1,406) 1,406
- -
- -
- -
- -
(36) 36
(34) 34
(55) 55
(660) 660
- -
(16) 16
- -
(30) 30
(1,811) 1,811
- -
- -
- -
- -
(74) 74
(1,057) 1,057
- -
(183) 183
- -
- -
(46) 46
- -
(285) 285
- -
(3,322) 3,322
(558) 558
(3,731) 3,731
(122) 122
- -
(590) 590
(10) 10
(200) 200
(84) 84
(19) 19
(96) 96
- -
(1,385) 1,385
(2) 2
(65) 65
(21) 21
(18) 18
(23) 23
(56) 56
- -
(1,429) 1,429
(2) 2
- -
(4) 4
(200) 200
- -
- -
- -
(610) 610
(300) 300
- -
(117) 117
- -
(820) 820
- -
(109) 109
(3,047) 3,047
- -
- -
(194) 194
(10) 10
- -
(1,446) 1,446
(2,611) 2,611
(36) 36
- -
(13) 13
(24) 24
(12) 12
(3) 3
- -
(1) 1
(330) 330
(217) 217
- -
(8) 8
- -
- -
(2) 2
(100) 100
- -
- -
- -
- -
- -
(300) 300
(650) 650
(712) 712
(1,510) 1,510
- -
- -
(1,109) 1,109
(388) 388
(7) 7
(321) 321
(72) 72
(157) 157
(66) 66
(167) 167
(1,080) 1,080
(1,535) 1,535
- -
- -
- -
(667) 667
(1,193) 1,193
(380) 380
- -
(1,350) 1,350
- -
- -
(3) 3
- -
- -
(1,030) 1,030
- -
- -
- -
(43) 43
(45) 45
(86) 86
(77) 77
- -
- -
(8) 8
- -
- -
(10) 10
- -
(19) 19
- -
- -
(10) 10
- -
- -
- -
- -
(540) 540
(22) 22
(94) 94
(83) 83
- -
(99) 99
- -
(6) 6
(144) 144
- -
(7) 7
(80) 80
- -
(1) 1
(1) 1
- -
- -
(65) 65
- -
(69) 69
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
(7) 7
- -
- -
(1,020) 1,020
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
(80) 80
- -
(12) 12
- -
- -
- -
- -
(15) 15
(19) 19
(18) 18
- -
- -
- -
(20) 20
- -
- -
(100) 100
- -
- -
- -
(125) 125
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
(15) 15
(58) 58
(5) 5
- -
- -
- -
- -
- -
(5) 5
(5) 5
(5) 5
- -
- -
- -
- -
(3) 3
- -
(2) 2
(4) 4
- -
- -
- -
- -
- -
- -
- -
- -
(5) 5
- -
- -
- -
- -
- -
(5) 5
- -
- -
- -
(7) 7
- -
- -
(1) 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
(12) 12
- -
- -
- -
(32) 32
- -
- -
- -
- -
(9) 9
(44) 44
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
RENCANA KEBUTUHAN OBAT (RKO)
TAHUN 2021
Stok Persediaan per 31 Des 20

Volume
1 2 3 4 5
38 Atripla tablet -

235 Tetagam ampul 4

254 ReagenAbochat (IV Chat) 22 Pcs 118
256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs -
264 Alkacid Botol -
272 Blue tip box -
273 Box Slide bok -
280 Chlorin botol -
282 DFI Cybow Box -
293 Fouchet Botol -
297 HCG Strip Pcs -
301 Jelly USG btl 4
321 Kondom pcs -
343 Lisol Botol 8
344 Lubricant pcs -
348 Mess pcs -
362 Planotest pcs -
371 Pot Urine Pcs -

391 31 btl 20 L -

393 Reagen TB kit -
405 Spritus Botol -
424 Tube EDTA Box -
425 Urin Bag pcs 5
428 White Tip Bks -
433 Xylol Botol -
448 TKF botol -
450 ImunisaVaksin CAMPAK Vial -
462 Baru 0 0 -
463 0 0 -
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
6 7 8 9 10 11 12
4,200 71,400 0 0 0
452 217,864 0 0 0
99 432,036 0 0 0
88 - 0 0 0
120 - 0 0 0
99 309,870 1500 0 0
2,789 41,835 0 0 0
341 - 200 0 0
168 80,640 0 0 0
94 234,060 600 0 0
73 157,972 600 0 0
203 314,650 1000 0 0
250 726,250 1500 0 0
3,737 37,370 0 0 0
4,400 1,196,800 0 0 0
3,675 - 0 0 0
56 31,360 2000 0 0
2,051 244,069 0 0 0
8,250 470,250 0 0 0
4,721 9,442 0 0 0
3,325 6,650 10 0 0
182 - 0 0 0
260,526 521,052 0 0 0
408,812 - 1 0 0
1,297,889 1,297,889 0 0 0
2,860 102,960 24 0 0
- - 0 0 0
74 46,990 0 0 0
103 70,452 2000 0 0
1,957 - 0 0 0
3,100 - 0 0 0
1,684 1,220,900 0 0 0
5,928 - 0 0 0
99 64,845 0 0 0
3,300 405,900 0 0 0
245 134,505 0 0 0
399 736,155 0 0 0
3,276 - 0 0 0
1,540 46,200 0 0 0
160 47,040 0 0 0
1,888 - 0 0 0
14,500 - 0 0 0
83,190 - 0 0 0
110 169,400 0 0 0
1,340 29,480 0 0 0
17,500 - 0 0 0
5,900 259,600 50 0 0
327 44,145 0 0 0
- - 0 0 0
275 41,250 0 0 0
10,351 103,510 0 0 0
64 208,640 1500 0 0
154 410,410 500 0 0
880 1,491,600 0 0 0
4,066 126,046 10 0 0
15,950 319,000 10 0 0
1,430 429,000 0 0 0
4,571 155,414 10 0 0
26,400 844,800 0 0 0
101 33,330 0 0 0
2,973 267,570 0 0 0
495 59,400 2000 0 0
729 948,429 0 0 0
- - 0 0 0
1,152 110,592 20 0 0
99 208,890 2000 0 0
2,000 - 90 0 0
12,000 - 0 0 0
19,193 76,772 0 0 0
13,202 52,808 0 0 0
86 15,910 200 0 0
109 2,180 0 0 0
- - 0 0 0
- - 0 0 0
104 10,400 0 0 0
- - 0 0 0
- - 0 0 0
273 54,600 0 0 0
86 62,780 0 0 0
2,781 333,720 0 0 0
- - 0 0 0
1,408 28,160 10 0 0
- - 0 0 0
751 - 0 0 0
6,303 - 0 0 0
- - 0 0 0
735 - 0 0 0
- - 0 0 0
- - 0 0 0
165 - 200 0 0
2,590 - 0 0 0
5,000 44,996 0 0 0
747 156,123 600 0 0
3,867 232,020 0 0 0
- - 0 0 0
- - 0 0 0
81 102,060 0 0 0
- - 0 0 0
257 35,466 300 0 0
2,299 - 0 0 0
- - 0 0 0
- - 0 0 0
3,498 129,426 24 0 0
125 225,000 0 0 0
174 153,120 1000 0 0
207 202,860 0 0 0
- - 0 0 0
12,000 - 0 0 0
7,500 - 0 0 0
6,900 365,700 0 0 0
- - 0 0 0
952 166,600 0 0 0
56 - 0 0 0
101,300 - 0 0 0
55 - 0 0 0
59 - 0 0 0
156 156 100 0 0
2,475 74,250 24 0 0
9,999 69,993 0 0 0
1,496 2,992 0 0 0
2,776 347,000 0 0 0
253 - 0 0 0
330 973,170 1000 0 0
6,500 - 0 0 0
100 - 0 0 0
173 - 0 0 0
165 33,000 100 0 0
59 17,405 500 0 0
280 - 0 0 0
2,518 146,044 0 0 0
297 193,050 500 0 0
990 212,850 750 0 0
2,380 130,900 0 0 0
- - 0 0 0
495 29,700 120 0 0
3,140 235,500 24 0 0
1,881 9,405 0 0 0
- - 0 0 0
6,500 - 0 0 0
7,502 45,012 10 0 0
25 63,250 1000 0 0
240 - 0 0 0
- - 0 0 0
- - 0 0 0
155 - 0 0 0
600 36,000 0 0 0
2,750 - 0 0 0
2,052 30,780 0 0 0
125 140,500 500 0 0
1,575 - 0 0 0
334 - 0 0 0
- - 0 0 0
- - 0 0 0
1,205 74,710 30 0 0
1,208 41,072 0 0 0
143 138,710 1000 0 0
125 83,750 500 0 0
3,200 - 0 0 0
3,796 45,552 6 0 0
39,880 - 0 0 0
990 128,700 0 0 0
105 224,995 1000 0 0
221 - 0 0 0
2,992 254,320 0 0 0
137 215,775 0 0 0
305 - 0 0 0
993 109,230 0 0 0
80 107,200 0 0 0
4,158 - 0 0 0
275 92,950 0 0 0
- - 0 0 0
3,590 - 0 0 0
3,585 132,645 24 0 0
3,116 - 0 0 0
4,500 949,500 100 0 0
- - 0 0 0
357 1,535,814 0 0 0
66 20,328 300 0 0
127 549,910 600 0 0
6,410 987,140 0 0 0
3,058 - 0 0 0
132 77,880 0 0 0
34,980 - 10 0 0
830 166,000 0 0 0
572 48,048 0 0 0
3,850 7,700 25 0 0
2,600 192,400 25 0 0
1,900 22,800 0 0 0
164 - 1500 0 0
14,993 29,986 0 0 0
350 104,940 400 0 0
6,981 160,563 0 0 0
16,995 288,915 10 0 0
17,800 480,600 0 0 0
1,110 241,980 100 0 0
- - 0 0 0
56 252,672 0 0 0
11,825 82,775 0 0 0
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11,990 47,960 0 0 0
302 - 200 0 0
800 - 0 0 0
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121 - 0 0 0
72 45,504 200 0 0
253 75,900 0 0 0
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57 10,089 0 0 0
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451 410,410 0 0 0
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1,155 150,150 70 0 0
165 473,880 2000 0 0
228 - 0 0 0
273 - 0 0 0
7,150 2,302,300 0 0 0
31,571 315,710 0 0 0
192,000 383,999 0 0 0
63 103,320 0 0 0
74 197,580 0 0 0
2,753 104,614 0 0 0
6,100 - 0 0 0
20,700 331,200 0 0 0
3,190 102,080 0 0 0
4,998 59,976 0 0 0
479,996 3,359,972 4 0 0
1,608,255 - 0 0 0
130,999 130,999 0 0 0
110 55,000 0 0 0
195 45,240 0 0 0
296 - 0 0 0
6,989 363,428 0 0 0
372 171,120 0 0 0
8,845 - 0 0 0
176,800 707,200 2 0 0
319 31,900 0 0 0
990 - 0 0 0
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87 - 0 0 0
165,000 - 0 0 0
304 15,200 250 0 0
544 27,200 600 0 0
123 270,600 1000 0 0
86 103,200 500 0 0
47 - 0 0 0
- - 0 0 0
132 256,662 0 0 0
110 270,050 2500 0 0
3,122 43,708 0 0 0
551 242,991 300 0 0
6,270 589,380 0 0 0
6,270 1,279,080 0 0 0
6,270 739,860 50 0 0
7,810 1,437,040 0 0 0
1,392 1,531,200 0 0 0
1,091 1,745,456 0 0 0
1,705 - 0 0 0
- - 0 0 0
3,080 - 0 0 0
880 688,160 0 0 0
894 1,439,340 0 0 0
943 579,002 0 0 0
2,837,835 - 0 0 0
118 112,100 1000 0 0
71,999 - 0 0 0
3,465 - 0 0 0
255,048 1,020,191 0 0 0
168,140 - 0 0 0
154,675 - 0 0 0
191 196,730 0 0 0
- - 0 0 0
82,980 - 0 0 0
190,741 - 0 0 0
52,100 2,344,511 0 0 0
47,706 2,242,182 0 0 0
35,125 3,266,625 0 0 0
46,481 3,857,924 0 0 0
8,370,000 - 0 0 0
60,000 - 0 0 0
14,689 117,512 0 0 0
143,700 - 1 0 0
- - 0 0 0
3,450 27,600 5 0 0
6,899 - 0 0 0
69,300 1,732,500 0 0 0
95,000 - 0 0 0
93,999 - 0 0 0
10,212 102,120 0 0 0
349,998 - 0 0 0
349,998 - 0 0 0
449,900 - 0 0 0
211,750 - 0 0 0
990 881,100 500 0 0
21,296 468,512 0 0 0
6,793 726,835 0 0 0
1,679 - 100 0 0
9,130 - 0 0 0
5,608 846,861 25 0 0
2,188 - 0 0 0
14,472 57,886 3 0 0
307 44,178 0 0 0
138 - 0 0 0
31,694 158,470 3 0 0
1,760 140,800 0 0 0
11,322 - 0 0 0
16,000 16,000 0 0 0
20,000 20,000 0 0 0
2,609 - 0 0 0
1,178 - 0 0 0
2,480 161,200 0 0 0
1,174 - 0 0 0
8,144 643,408 30 0 0
165,720 - 0 0 0
- - 0 0 0
85,556 - 0 0 0
17,999 - 0 0 0
144,000 - 0 0 0
430,000 - 0 0 0
219,640 - 0 0 0
358 - 0 0 0
349,998 - 0 0 0
90,000 - 0 0 0
30,000 - 0 0 0
34,200 - 0 0 0
19,950 - 0 0 0
98,667 - 0 0 0
57,750 - 0 0 0
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90,000 - 0 0 0
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4,090 - 0 0 0
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24,990 - 0 0 0
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27,000 - 0 0 0
313,700 - 0 0 0
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47,150 377,200 4 0 0
486 - 0 0 0
625,900 - 0 0 0
676 994,014 0 0 0
14,820 - 0 0 0
3,150 - 0 0 0
50,000 - 0 0 0
33,000 - 0 0 0
238,100 - 0 0 0
3,743,693 - 0 0 0
3,743,693 - 0 0 0
24,100,000 - 0 0 0
367,650 - 0 0 0
90,000 - 0 0 0
802,225 - 0 0 0
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24,675 - 0 0 0
34,125 - 0 0 0
66,000 - 0 0 0
1,939 - 0 0 0
- - 0 0 0
35,532 - 0 0 0
33,880 2,710,400 0 0 0
601,677 - 0 0 0
77,698 1,631,658 0 0 0
63,054 - 0 0 0
73,750 - 0 0 0
2,379 - 0 0 0
2,631 - 0 0 0
3,335 56,695 0 0 0
20,700 558,900 0 0 0
23,890 430,020 0 0 0
149,314 - 0 0 0
- - 0 0 0
- - 0 0 0
9,878 197,560 0 0 0
- - 0 0 0
- - 0 0 0
11,975 1,197,500 0 0 0
487,000 - 0 0 0
- - 0 0 0
161,900 323,800 0 0 0
20,400 2,550,000 0 0 0
1,306,996 - 0 0 0
1,575,000 - 0 0 0
886,999 - 0 0 0
1,635,999 - 0 0 0
3,040,000 - 0 0 0
1,100,000 - 0 0 0
2,500,000 - 0 0 0
247,000 - 0 0 0
81,285 - 0 0 0
81,285 - 0 0 0
3,885,000 - 0 0 0
4,000 - 0 0 0
21,500 559,000 0 0 0
46,712 3,269,840 0 0 0
6,720 33,600 0 0 0
8,103 - 0 0 0
6,720 - 0 0 0
- - 0 0 0
1,166,576 - 0 0 0
30,000 - 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
10,010 50,050 0 0 0
275,000 - 0 0 0
96,260 - 0 0 0
249,920 - 0 0 0
110,000 - 0 0 0
164,373 493,120 0 0 0
210,000 - 0 0 0
427,500 855,000 0 0 0
526,250 2,105,000 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
3,552 - 0 0 0
123,600 - 0 0 0
23,958 - 0 0 0
518,254 - 0 0 0
300,000 - 0 0 0
169,100 - 0 0 0
8,877 44,385 0 0 0
146,000 - 0 0 0
1,287 - 0 0 0
125,000 - 0 0 0
1,540 - 0 0 0
1,540 - 0 0 0
1,540 7,700 0 0 0
1,540 - 0 0 0
75,000 - 0 0 0
186,700 - 0 0 0
6,494 - 7 0 0
- - 0 0 0
1,500,000 - 0 0 0
174,900 - 2 0 0
4,000 - 0 0 0
330,000 - 0 0 0
479,100 - 0 0 0
57,750 - 0 0 0
371,999 - 0 0 0
151,999 - 0 0 0
225,000 - 0 0 0
83,800 - 0 0 0
35,700 - 0 0 0
100,000 - 0 0 0
59,950 - 20 0 0
28,204 - 0 0 0
17,996 - 0 0 0
1,325,000 - 0 0 0
20,900 41,800 40 0 0
52,052 - 0 0 0
158,994 - 0 0 0
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155,813 - 15 0 0
78,991 - 40 0 0
19,954 - 70 0 0
16,995 - 0 0 0
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- - 0 0 0
- - 0 0 0
- - 0 0 0
87,639,376 -
uarsa Tahun 2020 Penggunaan Tahun 2020 Pengeluaran lain2 Tahun 2020
Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan
13 14 15 16
0 - - -
0 28 - -
0 355 - -
0 - - -
0 - - -
0 1,587 - -
0 - - -
0 15 - -
0 15 - -
0 200 - -
0 110 - -
0 944 - -
0 2,552 - -
0 10 - -
0 61 - -
0 - - -
0 1,730 - -
0 103 - -
0 13 - -
0 1 - -
0 2 - -
0 - - -
0 - - -
0 1 - -
0 - - -
0 24 - -
0 - - -
0 110 - -
0 2,150 - -
0 - - -
0 - - -
0 10 - -
0 - - -
0 - - -
0 15 - -
0 - - -
0 100 - -
0 - - -
0 - - -
0 76 - -
0 - - -
0 - - -
0 - - -
0 261 - -
0 22 - -
0 - - -
0 1 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 450 - -
0 1,325 - -
0 903 - -
0 27 - -
0 2 - -
0 298 - -
0 30 - -
0 1 - -
0 200 - -
0 27 - -
0 198 - -
0 30 - -
0 - - -
0 42 - -
0 4,067 - -
0 50 - -
0 - - -
0 - - -
0 - - -
0 63 - -
0 - - -
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0 1,424 - -
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0 215 - -
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0 5 - -
0 2,191 - -
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0 - - -
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0 56 - -
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0 1,915 - -
0 510 - -
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0 2 - -
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0 1,340 - -
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0 85 - -
0 1,575 - -
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0 155 - -
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0 50 - -
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0 - - -
0 8 - -
0 3 - -
0 12 - -
0 115 - -
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0 635 - -
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0 3,083 - -
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0 1,825 - -
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0 2,488 - -
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0 831 - -
0 4,567 - -
0 7 - -
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0 22 - -
0 47 - -
0 102 - -
0 17 - -
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0 65 - -
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0 - - -
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0 - - -
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0 2 - -
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0 1 - -
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0 3 - -
0 - - -
0 6 - -
0 - - -
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0 - - -
0 850 - -
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0 1 - -
0 - - -
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0 - - -
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0 40 - -
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0 - - -
0 - - -
0 - - -
0 5 - -
0 - - -
0 - - -
0 450 - -
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0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 9 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 2 - -
0 8 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 2 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 11 - -
0 12 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
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0 - - -
0 - - -
0 - - -
0 - - -
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0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
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0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 1 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 8 - -
0 - - -
0 - - -
0 - - -
0 10 - -
0 - - -
0 - - -
0 - - -
0 15 - -
0 31 - -
0 26 - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
- -
lain2 Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
Jumlah Volume Harga Satuan Jumlah
17 18 19
- 17 -
- 454 -
- 4,009 -
- - -
- - -
- 3,043 -
- 15 -
- 185 -
- 465 -
- 2,890 -
- 2,654 -
- 1,606 -
- 1,853 -
- - -
- 211 -
- - -
- 830 -
- 16 -
- 44 -
- 1 -
- 10 -
- - -
- 2 -
- - -
- 1 -
- 36 -
- - -
- 525 -
- 534 -
- - -
- - -
- 715 -
- - -
- 655 -
- 108 -
- 549 -
- 1,745 -
- - -
- 30 -
- 218 -
- - -
- - -
- - -
- 1,279 -
- - -
- - -
- 93 -
- 135 -
- - -
- 150 -
- 10 -
- 4,310 -
- 1,840 -
- 792 -
- 14 -
- 28 -
- 2 -
- 14 -
- 31 -
- 130 -
- 63 -
- 1,922 -
- 1,271 -
- - -
- 74 -
- 43 -
- 40 -
- - -
- 4 -
- 4 -
- 322 -
- 20 -
- - -
- - -
- 100 -
- - -
- - -
- 200 -
- 516 -
- 106 -
- - -
- 30 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 200 -
- - -
- 9 -
- 549 -
- 47 -
- - -
- - -
- 1,260 -
- - -
- 263 -
- - -
- - -
- - -
- 59 -
- 1,800 -
- 1,430 -
- 980 -
- - -
- - -
- - -
- 35 -
- - -
- 140 -
- - -
- - -
- - -
- - -
- 101 -
- 32 -
- - -
- - -
- 109 -
- - -
- 2,525 -
- - -
- - -
- - -
- 300 -
- 580 -
- - -
- 52 -
- 1,140 -
- 785 -
- 34 -
- - -
- 100 -
- 85 -
- - -
- - -
- - -
- 11 -
- 1,339 -
- - -
- - -
- - -
- - -
- 60 -
- - -
- 2 -
- 1,406 -
- - -
- - -
- - -
- - -
- 36 -
- 34 -
- 55 -
- 660 -
- - -
- 16 -
- - -
- 30 -
- 1,811 -
- - -
- - -
- - -
- - -
- 74 -
- 1,057 -
- - -
- 183 -
- - -
- - -
- 46 -
- - -
- 285 -
- - -
- 3,322 -
- 558 -
- 3,731 -
- 122 -
- - -
- 590 -
- 10 -
- 200 -
- 84 -
- 19 -
- 96 -
- - -
- 1,385 -
- 2 -
- 65 -
- 21 -
- 18 -
- 23 -
- 56 -
- - -
- 1,429 -
- 2 -
- - -
- 4 -
- 200 -
- - -
- - -
- - -
- 610 -
- 300 -
- - -
- 117 -
- - -
- 820 -
- - -
- 109 -
- 3,047 -
- - -
- - -
- 194 -
- 10 -
- - -
- 1,446 -
- 2,611 -
- 36 -
- - -
- 13 -
- 24 -
- 12 -
- 3 -
- - -
- 1 -
- 330 -
- 217 -
- - -
- 8 -
- - -
- - -
- 2 -
- 100 -
- - -
- - -
- - -
- - -
- - -
- 300 -
- 650 -
- 712 -
- 1,510 -
- - -
- - -
- 1,109 -
- 388 -
- 7 -
- 321 -
- 72 -
- 157 -
- 66 -
- 167 -
- 1,080 -
- 1,535 -
- - -
- - -
- - -
- 667 -
- 1,193 -
- 380 -
- - -
- 1,350 -
- - -
- - -
- 3 -
- - -
- - -
- 1,030 -
- - -
- - -
- - -
- 43 -
- 45 -
- 86 -
- 77 -
- - -
- - -
- 8 -
- - -
- - -
- 10 -
- - -
- 19 -
- - -
- - -
- 10 -
- - -
- - -
- - -
- - -
- 540 -
- 22 -
- 94 -
- 83 -
- - -
- 99 -
- - -
- 6 -
- 144 -
- - -
- 7 -
- 80 -
- - -
- 1 -
- 1 -
- - -
- - -
- 65 -
- - -
- 69 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 7 -
- - -
- - -
- 1,020 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 80 -
- - -
- 12 -
- - -
- - -
- - -
- - -
- 15 -
- 19 -
- 18 -
- - -
- - -
- - -
- 20 -
- - -
- - -
- 100 -
- - -
- - -
- - -
- 125 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 15 -
- 58 -
- 5 -
- - -
- - -
- - -
- - -
- - -
- 5 -
- 5 -
- 5 -
- - -
- - -
- - -
- - -
- 3 -
- - -
- 2 -
- 4 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 5 -
- - -
- - -
- - -
- - -
- - -
- 5 -
- - -
- - -
- - -
- 7 -
- - -
- - -
- 1 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 12 -
- - -
- - -
- - -
- 32 -
- - -
- - -
- - -
- - -
- 9 -
- 44 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
RENCANA KEBUTUHAN OBAT (RKO)
TAHUN 2021
RERATA KEBUTUHAN 20 Usulan RKO

PEMAKAIAN/BULAN BULAN RKO FINAL
- 0 (17)
3 62.22222222222 (392)
39 788.8888888889 (3,220)
- 0 -
- 0 -
176 3526.666666667 484
- 0 (15)
2 33.33333333333 (152)
2 33.33333333333 (432)
22 444.4444444444 (2,446)
12 244.4444444444 (2,410)
105 2097.777777778 492
284 5671.111111111 3,818
1 22.22222222222 22
7 135.5555555556 (75)
- 0 -
192 3844.444444444 3,014
11 228.8888888889 213
1 28.88888888889 (15)
0 2.222222222222 1
0 4.444444444444 (6)
- 0 -
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0 2.222222222222 2
- 0 (1)
3 53.33333333333 17
- 0 -
12 244.4444444444 (281)
239 4777.777777778 4,244
- 0 -
- 0 -
1 22.22222222222 (693)
- 0 -
- 0 (655)
2 33.33333333333 (75)
- 0 (549)
11 222.2222222222 (1,523)
- 0 -
- 0 (30)
8 168.8888888889 (49)
- 0 -
- 0 -
- 0 -
29 580 (699)
2 48.88888888889 49
- 0 -
0 2.222222222222 (91)
- 0 (135)
- 0 -
- 0 (150)
- 0 (10)
50 1000 (3,310)
147 2944.444444444 1,104
100 2006.666666667 1,215
3 60 46
0 4.444444444444 (24)
33 662.2222222222 660
3 66.66666666667 53
0 2.222222222222 (29)
22 444.4444444444 314
3 60 (3)
22 440 (1,482)
3 66.66666666667 (1,204)
- 0 -
5 93.33333333333 19
452 9037.777777778 8,995
6 111.1111111111 71
- 0 -
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- 0 (4)
7 140 (182)
- 0 (20)
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- 0 (100)
- 0 -
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- 0 (200)
24 475.5555555556 (40)
2 31.11111111111 (75)
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- 0 (30)
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 (200)
- 0 -
- 0 (9)
29 577.7777777778 29
1 28.88888888889 (18)
- 0 -
- 0 -
- 0 (1,260)
- 0 -
19 388.8888888889 126
- 0 -
- 0 -
- 0 -
0 4.444444444444 (55)
- 0 (1,800)
50 1000 (430)
- 0 (980)
- 0 -
- 0 -
- 0 -
2 40 5
- 0 -
4 77.77777777778 (62)
- 0 -
- 0 -
- 0 -
- 0 -
- 0 (101)
2 48.88888888889 17
1 15.55555555556 16
0 4.444444444444 4
2 35.55555555556 (73)
- 0 -
158 3164.444444444 639
- 0 -
- 0 -
- 0 -
- 0 (300)
24 477.7777777778 (102)
- 0 -
1 13.33333333333 (39)
1 22.22222222222 (1,118)
20 400 (385)
2 46.66666666667 13
- 0 -
9 177.7777777778 78
2 31.11111111111 (54)
1 11.11111111111 11
- 0 -
- 0 -
1 11.11111111111 0
243 4868.888888889 3,530
- 0 -
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- 0 -
1 28.88888888889 27
24 484.4444444444 (922)
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- 0 -
6 124.4444444444 88
- 0 (34)
213 4255.555555556 4,201
57 1133.333333333 473
- 0 -
0 4.444444444444 (12)
- 0 -
11 222.2222222222 192
149 2977.777777778 1,167
- 0 -
9 188.8888888889 189
175 3500 3,500
- 0 -
4 80 6
31 628.8888888889 (428)
- 0 -
17 344.4444444444 161
- 0 -
- 0 -
2 33.33333333333 (13)
- 0 -
3 57.77777777778 (227)
- 0 -
109 2177.777777778 (1,144)
6 111.1111111111 (447)
133 2664.444444444 (1,067)
4 71.11111111111 (51)
- 0 -
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- 0 (10)
- 0 (200)
- 0 (84)
1 17.77777777778 (1)
0 6.666666666667 (89)
1 26.66666666667 27
13 255.5555555556 (1,129)
- 0 (2)
71 1411.111111111 1,346
0 4.444444444444 (17)
1 20 2
0 8.888888888889 (14)
29 582.2222222222 526
- 0 -
343 6851.111111111 5,422
1 11.11111111111 9
- 0 -
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- 0 -
- 0 -
25 493.3333333333 (117)
- 0 (300)
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7 133.3333333333 16
- 0 -
10 200 (620)
- 0 -
10 202.2222222222 93
203 4055.555555556 1,009
- 0 -
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14 284.4444444444 90
- 0 (10)
0 4.444444444444 4
22 431.1111111111 (1,015)
7 131.1111111111 (2,480)
0 4.444444444444 (32)
- 0 -
0 6.666666666667 (6)
1 17.77777777778 (6)
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1 17.77777777778 15
- 0 -
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19 377.7777777778 48
2 33.33333333333 (184)
- 0 -
5 97.77777777778 90
51 1022.222222222 1,022
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0 8.888888888889 7
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276 5528.888888889 4,817
21 422.2222222222 (1,088)
- 0 -
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92 1846.666666667 738
507 10148.88888889 9,761
1 15.55555555556 9
47 933.3333333333 612
2 48.88888888889 (23)
5 104.4444444444 (53)
11 226.6666666667 161
2 37.77777777778 (129)
2 44.44444444444 (1,036)
7 144.4444444444 (1,391)
- 0 -
- 0 -
- 0 -
13 255.5555555556 (411)
46 926.6666666667 (266)
26 520 140
- 0 -
67 1333.333333333 (17)
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0 2.222222222222 (1)
- 0 -
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- 0 (1,030)
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0 4.444444444444 (39)
0 4.444444444444 (41)
1 15.55555555556 (70)
1 13.33333333333 (64)
- 0 -
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- 0 (8)
0 2.222222222222 2
- 0 -
0 6.666666666667 (3)
- 0 -
1 13.33333333333 (6)
- 0 -
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- 0 (10)
- 0 -
- 0 -
- 0 -
- 0 -
94 1888.888888889 1,349
- 0 (22)
1 28.88888888889 (65)
2 37.77777777778 (45)
- 0 -
9 171.1111111111 72
- 0 -
0 2.222222222222 (4)
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0 2.222222222222 (5)
- 0 (80)
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4 88.88888888889 20
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1 11.11111111111 4
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50 1000 (20)
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1 17.77777777778 (1)
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0 4.444444444444 4
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- 0 -
- 0 -
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1 24.44444444444 9
1 26.66666666667 (31)
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1 17.77777777778 6
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1 22.22222222222 (10)
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3 68.88888888889 60
3 57.77777777778 14
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LAPORAN PERSEDIAAN OBAT, REAGEN DAN PERBEKALAN KESEHATAN

PER 31 DESEMBER 2019

No Kat. Nama Obat Satuan

SLGO SIT I GM TMP BS PLW TIU KB SIT 2 KOBES SR SL

330 150 - - - - 200 - - - 20 -

315 105 - 354 108 906 860 471 - - 483 590

Total Pusk. Rp Pusk. Volume Harga Satuan Jumlah SD SIA

Pulau Punjung, 31 Desember 2019

Ratna Dewi E.S., M.Farm.

290,400 3,326,400 105,600 1,056,000 - 26,400 739,200

48,480 221,190 - 15,049 24,240 101 18,382

33 Asam Valproat 500mg / Depakote 500 mg tablet - - - - 0

39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0

92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0

164 Metil ergometrin maleat inj 0,200mg-1ml ampul 85 85 85 - 136 50

223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 16 16 1 15 1.6

246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - - - - 0

311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65 65 - 65 0

312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - - - - 0

381 RDT HIV test (R1) SD Pcs 100 100 - 100 0

384 RDT Malaria / Malaria test ktk 2 2 - 2 0

385 RDT sifillis Pcs 125 125 - 125 0

386 Reagen dan Bahan alat lab.Malaria paket - - - - 0

393 Reagen TB kit - - - - 0

394 Reagen widal H Vial - - - - 0

395 Reagen widal O Vial - - - - 0

397 RPR Sifilis Pcs - - - - 0

398 Safety box pcs 26 26 5 21 8

399 Silk no.3/0 dengan jarum bedah set 70 70 7 63 11.2 36

400 Slang Oksigen Dewasa (Adult) pcs 5 5 - 5 0

401 Slang Oksigen Dewasa (Neonatus) Pcs - - - - 0

440 Glassionomer Cement (GC IX) / GC. Fuji Botol - - - - 0

Tdk. Bayar Bayar BPJS Trans BKKBN Lain2 Jumlah

Mengetahui, Sungai Limau, 31 Januari 2020

dr. Boy Hendri Ma'as Yusmalia Hidayati, Amd. Keb

Tdk. Bayar Bayar BPJS Trans BKKBN Lain2 Jumlah

Mengetahui, Sungai Limau, 29 Februari 2020

dr. Boy Hendri Ma'as Yusmalia Hidayati, Amd. Keb

33 Asam Valproat 500mg / Depakote 500 mg tablet - 0 - 0 0 0

39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0 -30

92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0 -9

164 Metil ergometrin maleat inj 0,200mg-1ml ampul - 0 - 0 0 0

223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 13 13 - 13 0 -13

246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - 0 - 0 0 0

311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65 65 - 65 0 -65

312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - 0 - 0 0 0

Mengetahui, ......................., .................... 2020

33 Asam Valproat 500mg / Depakote 500 mg tablet - 0 - 0 0 0

39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0 -30

92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0 -9

164 Metil ergometrin maleat inj 0,200mg-1ml ampul - 0 - 0 0 0

223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 13 13 - 13 0 -13

246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - 0 - 0 0 0

311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65 65 - 65 0 -65

312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - 0 - 0 0 0

Mengetahui, ......................., .................... 2020

33 Asam Valproat 500mg / Depakote 500 mg tablet - 0 - 0 0 0

39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30 30 - 30 0 -30

92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9 9 - 9 0 -9

164 Metil ergometrin maleat inj 0,200mg-1ml ampul - 0 - 0 0 0

223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 13 13 - 13 0 -13

246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet - 0 - 0 0 0