Berita Acara So 2018.docx

PEMERINTAH KABUPATEN KUBU RAYA DINAS KESEHATAN

PUSKESMAS SUI RAYA DALAM Jl. Arteri Supadio Telp. (0561)712050 Kecamatan Sungai Raya Kode Pos 78391

Pada hari ini Senin tanggal Tiga Puluh Satu Bulan Desember Tahun Dua Ribu Delapan Belas, Telah dilaksanakan perhitungan persediaan akhir obat dan BMHP di Puskesmas Sungai Raya Dalam. Nama Nip Jabatan Nama Puskesmas Alamat Puskesmas

: Werry Yashima Saputra, S.Farm, MM, Apt : 19880720 201501 1 001 : Apoteker Muda : Sungai Raya Dalam : Jl. Soekarno Hatta Pontianak

Dengan data sebagai berikut : SATUAN

STOK PER 31 DES 2018

TABLET

967

TABLET

-

88.00 -

TABLET

-

330.00 -

TABLET

500

97.00 48,500

5

AMBROXOL TAB. 30 MG AMINOFILIN TABLET 200 MG AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

710

168.00 119,280

6

AMLODIPIN 10 MG

TABLET

840

95.00 79,800

7

AMLODIPIN 5 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN KAPSUL 500 MG

TABLET

390

75.00 29,250

CAPSUL

410

196.00 80,360

CAPSUL

3,073

248.00 762,104

AMPISILINA 500 MG TAB ANTALGIN (METAMPIRON) TABLET 500 MG ANTASIDA DOEN TABLET KOMB. (100) ANTI MIGRAIN DOEN TABLET KOMB. ASAM ASKORBAT(VIT.C)

TABLET

-

443.00 -

TABLET

-

163.00 -

TABLET

2,308

TABLET TABLET

-

NO

1 2 3 4

8 9 10 11 12 13 14

NAMA OBAT BMHP

ALOPURINOL TABLET 100 MG ALPRAZOLAM TABLET 0,5 MG

HARGA SATUAN

JUMLAH

117.00 113,139

56.00 129,248 149.00 -

KETERANGAN

16

TAB.50 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT TAB 500MG

2,479

120.00 297,480

KAPLET

1,018

103.00 104,854

TABLET

-

2,750.00 -

17

ASETOSAL TABLET 100 MG

TABLET

-

127.00 -

18

ASETOSAL TABLET 500 MG

TABLET

-

294.00 -

19

ASIKLOVIR TABLET 200 MG

TABLET

298

259.00 77,182

20

ASIKLOVIR TABLET 400 MG

TABLET

64

425.00 27,200

21

TABLET

-

119.00 -

22

BETAHISTIN MALEAT CEFADROXIL TABLET 500 MG

TABLET

-

557.00 -

23

CIPROFLOXACIN 500 MG

TABLET

510

281.00 143,310

24

CITRIZINE TABLET 10 MG

TABLET

-

97.00 -

25

CLOBAZAM TAB 10 MG

TABLET

-

950.00 -

26

CLOPIDOGREL 75 MG

TABLET

-

3,588.00 -

27

TABLET

-

5,050.00 -

28

CO AMOXICLAV 625 MG DEXAMETASON TAB.0,5MG

TABLET

274

106.65 29,222

29

DIAZEPAM TABLET 2MG

TABLET

166

86.00 14,276

30

DIAZEPAM TABLET 5 MG

TABLET

579

109.00 63,056

31

DIGOKSIN TAB. 0,25 MG

TABLET

100

104.00 10,400

32

DOKSISIKLIN 100 MG

CAPSUL

-

264.00 -

33

TABLET

400

90.00 36,000

34

DOMPERIDON TAB 10 MG EFEDRIN HCL TABLET 25 MG

TABLET

-

57.00 -

35

ERYTROMISIN 250 MG

CAPSUL

25

636.00 15,900

36

ERYTROMISIN 500 MG FENITOIN NATRIUM KAP. 100 MG FITOMENADION (VIT.K 1) TAB.SALUT 10 MG FUROSEMID TAB.40 MG

KAPLET

1,700

781.00 1,327,700

CAPSUL

-

759.00 -

TABLET TABLET

200

818.00 163,600

15

37 38 39

172 40

GARAM ORALIT UNTUK 200 ML GLIBENKELAMID TABLET 5 MG GLISERIL GUAYAKOLAT TAB.100 MG GRISEOFULVIN TAB. 125 MG HALOPERIDOL TABLET 0.5 MG HALOPERIDOL TABLET 1.5 MG

79.00 13,588

BUNGKUS -

273.00 -

TABLET

-

121.00 -

TABLET

-

31.00 -

TABLET

377

313.00 118,001

TABLET

520

55.00 28,600

TABLET

114

59.00 6,726

TABLET

-

134.00 -

TABLET

500

178.00 89,000

TABLET

214

112.00 23,968

TABLET

170

89.00 15,130

TABLET

-

51

HALOPERIDOL 2 MG HIDROKLOROTIAZID (HCT) TAB.25 MG IBUPROFEN TABLET 200 MG ISOSORBIT DINITRAT TAB.SALUT 5 MG KALIUM DIKLOFENAK TABLET 50 MG KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

1,321

59.00 77,939

52

KAPTOPRIL 12,5 MG

TABLET

290

65.00 18,850

53

KAPTOPRIL 25 MG

TABLET

870

86.00 74,820

54

KAPTOPRIL 50 MG KARBAMAZEPIN TAB.200 MG KETOKONAZOLE TAB 200 MG

TABLET

-

143.00 -

TABLET

1,270

234.00 297,180

TABLET

266

286.00 76,076

KLINDAMSIN 150 MG KLORAMFENIKOL KAPSUL 250 MG KLORFENIRAMIN MALEAT (CTM) TAB.4 MG

TABLET

-

405.00 -

CAPSUL

415

739.29 306,805

TABLET

3,510

KLOROKUIN TAB. 150 MG KLORPROMAZIN HCL TAB.SALUT 100 MG KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG KOTRIMOKSAZOL TABLET 480 MG

TABLET

-

110.00 -

TABLET

-

170.00 -

TABLET

-

570.00 -

TABLET

306

125.00 38,250

41 42 43 44 45 46 47 48 49 50

55 56 57 58 59 60 61

62 63

644.00 -

24.00 84,240

65

KOTRIMOKSAZOL TABLET PEDIATRIK KUININ SULFAT TAB.222 MG

66

LANSOPRAZOL KAP 30 MG

CAPSUL

-

67

LOPERAMIDE HCL 2 MG

TABLET

274

85.00 23,290

68

LORATADINE TAB 10 MG

TABLET

655

193.00 126,415

69

METFORMIN 500 MG METHYL PREDNISOLON TAB 4 MG METILERGOMETRIN MALEAT TAB 0,125 MG

TABLET

1,060

103.00 109,180

TABLET

92

139.00 12,788

TABLET

140

169.00 23,660

METOKLOPRAMID 10 MG METRONIDAZOL TAB.250 MG NATRIUM BICARBONAT TABLET NATRIUM DIKLOFENAK 25 MG NATRIUM DIKLOFENAK 50 MG

TABLET

363

93.00 33,759

TABLET

2

94.00 188

TABLET

-

23.00 -

TABLET

-

150.00 -

TABLET

287

135.00 38,745

NIFEDIPINE 10 MG NISTATIN SALUT 500.000 IU NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

300

107.00 32,100

TABLET

-

910.00 -

TABLET

9

602.00 5,418

CAPSUL

62

138.00 8,556

TABLET

900

89.54 80,586

82

OMEPRAZOL KAP 20 MG PARASETAMOL TAB.100 MG PARASETAMOL TAB.500 MG

TABLET

355

60.00 21,300

83

PIRACETAM TAB. 400 MG

KAPLET

-

200.00 -

84

PIRACETAM TAB. 800 MG

KAPLET

-

820.00 -

85

TABLET

1,290

331.00 426,990

86

PIRANTEL TABLET 125 MG PIRIDOKSIN HCL TAB. 10 MG

TABLET

2,654

141.00 374,214

87

PIROXICAM 10 MG

TABLET

-

84.00 -

88

PIROXICAM 20 MG

TABLET

-

104.00 -

64

70 71 72 73 74 75 76 77 78 79 80 81

TABLET

-

76.00 -

TABLET

-

737.00 330.00 -

89

PREDNISON TAB.5 MG

TABLET

466

90

PRIMAKUIN TAB.15 MG PROPANOLOL HCL TABLET 10 MG PROPILTIOURASIL TABLET 100 MG RANITIDINE TABLET 150 MG

TABLET

-

258.00 -

TABLET

-

59.00 -

TABLET

-

329.00 -

TABLET

566

150.00 84,900

91 92 93 94

74.00 34,484

-

96

RETINOL (VIT A) KAPSUL 100.000 IU RETINOL (VIT A) KAPSUL 200.000 IU

97

RIFAMPICIN 450 MG

CAPSUL

-

1,031.00 -

98

RIFAMPICIN 600 MG

KAPLET

-

1,420.00 -

99

RISPERIDON TAB 2 MG

TABLET

270

273.00 73,710

100

TABLET

468

64.00 29,952

101

SALBUTAMOL 2 MG SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

1,504

49.00 73,696

102

SIMETIDIN TABLET

TABLET

155

545.00 84,475

103

SIMVASTATIN TAB. 10 MG TABLET TAMBAH DARAH KOMB. TETRASIKLIN HCL KAPSUL 250 MG TETRASIKLIN HCL KAPSUL 500 MG THIAMPHENICOL KAP. 500 MG TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG

TABLET

1,130

110.00 124,300

TABLET

101,245

410.00 41,510,450

CAPSUL

-

174.00 -

CAPSUL

100

329.00 32,900

CAPSUL

105

1,830.00 192,150

TABLET

-

TABLET

700

309.00 216,300

110

TRIFLUOPERAZIN 5 MG TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG

TABLET

110

80.00 8,800

111

VITAMIN B COMPLEKS TAB

TABLET

55

135.00 7,425

112

ZINC TABLET

TABLET

850

604.00 513,400

113

AMBROXOL SYR 15 MG/ML BOTOL

95

104 105 106 107 108 109

CAPSUL

225

327.00 73,575

CAPSUL

772

519.20 400,822

-

88.00 -

3,275.00 -

114

AMOKSISILIN SIRUP KERING 125 MG/ 5ML

BOTOL

-

1,920.00 -

115

ANTASIDA DOEN SUSPENSI

BOTOL

80

2,098.00 167,840

116

BOTOL

55

2,993.00 164,615

117

CITRIZINE SYRUP DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

52

2,862.00 148,824

118

ERYTROMISIN SYRUP

BOTOL

-

7,039.00 -

119

IBUPROFEN SUSPENSI KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML

BOTOL

-

2,560.00 -

BOTOL

71

2,225.00 157,975

BOTOL

47

7,646.00 359,362

122

PARASETAMOL DROP PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

150

1,160.00 174,000

123

THIAMFENICOL SYR

BOTOL

-

9,900.00 -

124

ZINK SYRUP AMINOFILIN INJEKSI 24 MG/ML - 10 AMPISILINA SERBUK INJ 1GR ANTALGIN INJ. 250 MG /ML-2ML

BOTOL

64

3,285.00 210,240

AMPUL

19

3,080.00 58,520

VIAL

-

5,610.00 -

AMPUL

-

1,925.00 -

ASAM TRANEXAMAT INJ ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

-

2,789.00 -

AMPUL

93

1,540.00 143,220

DEXTROSE 5 + 1/4 NS DEXAMETASON INJ.5MG/ML-1ML DIAZEPAM INJ.5MG/ML2ML DIFENHIDRAMIN INJ.10 MG /ML-1ML

BOTOL

17

8,470.00 143,990

AMPUL

59

1,210.00 71,390

AMPUL

-

1,913.00 -

AMPUL

116

1,222.00 141,752

AMPUL

-

AMPUL

71

1,518.00 107,778

AMPUL

-

1,925.00 -

137

DOPAMIN INJ EFINEPRIN HCL/BITARTRAT INJ.0,1% FENOBARBITAL INJ. 50 MG/ML - 2 ML FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML

AMPUL

-

4,083.00 -

138

FUROSEMID INJ 10 ML

AMPUL

21

2,058.00 43,218

120 121

125 126 127 128 129 130 131 132 133 134 135 136

10,045.00 -

139 140 141 142 143 144 145 146 147 148 149 150 151

152 153 154 155 156 157 158 159

160 161 162

GENTAMYCIN INJEKSI 80 MG/2 ML GLUKOSA LAR,INFUS 10 % STERIL GLUKOSA LAR.INFUS 5 % STERIL

AMPUL

15

3,739.00 56,085

BOTOL

20

7,500.00 150,000

BOTOL

24

6,900.00 165,600

HALOPERIDOL INJEKSI KETOPROFEN INJEKSI 100 MG

AMPUL

-

91,667.00 -

AMPUL

-

5,650.00 -

KETOROLAC INJEKSI 30 MG KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

11

1,383.00 15,213

AMPUL

-

1,155.00 -

AMPUL

-

6,820.00 -

LIDOKAIN INJ. 2% LIDOKAIN KOMB.INJ. HCL 2% MAGNESIUM SULFAT 20 % INJEKSI MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

-

1,280.00 -

AMPUL

6

2,227.00 13,362

AMPUL

-

3,328.00 -

AMPUL

-

3,796.00 -

MENADION K3 INJ METIL ERGOMETRIN MALEAT INJ.0,200 MG1ML NATRIUM KLORIDA LARUTAN INFUS 0,9 % OKSITOSIN INJ 10 IU/ML 1 ML

AMPUL

-

1,281.00 -

AMPUL

-

3,278.00 -

BOTOL

40

6,410.00 256,400

AMPUL

-

1,900.00 -

PIRACETAM INJ 1 GR AMPUL RANITIDINE INJ 25 MG/ML2ML AMPUL RINGER LAKTAT LAR.INFUS STERIL BOTOL

-

6,600.00 -

46

1,155.00 53,130

55

7,150.00 393,250

SEFOTAKSIM INJEKSI 0,5 G SEFOTAKSIM SERBUK INJ. 1 G SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) SERUM ANTI DIFTERI 20000 UI

VIAL

-

6,485.00 -

VIAL

-

4,410.00 -

VIAL

1

479,996.00 479,996

AMPUL

5

130,999.00 654,995

VIAL

-

2,200,007.70 -

163

SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML

AMPUL

-

1,117.00 -

164

ANTI BAKTERI DOEN SALEP

POT

36

3,490.00 125,640

165

ASIKLOVIR KRIM

TUBE

-

3,619.00 -

166

BETAMETASON KRIM 0,1 %

TUBE

63

1,373.00 86,499

167

BISAKODIL SUPPOSITORIA

SUPP

9

6,000.00 54,000

168

DIAZEPAM RECTAL 10 MG

TUBE

4

19,378.00 77,512

169

VERAPAMIL 50 MG

TABLET

-

240.00 -

170

BISOPPROLOL TAB 5MG

TABLET

-

695.00 -

171

DILTIAZEM

TABLET

-

137.00 -

172

ASAM FOLAT 1 MG

TABLET

-

81.00 -

173

SULFASALAZINE

TABLET

-

2,000.00 -

174

GLICLAZID

TABLET

-

251.00 -

175

IRBESARTAN

TABLET

-

1,567.00 -

176

GEMFIBROZIL

KAPLET

485

177

AMIODARON

TABLET

-

178

GLIMEPIRID

TABLET

300

179

MELOXICAM 15

TABLET

-

1,439.00 -

180

KODEIN TABLET

TABLET

-

550.00 -

181

ISONIAZID TAB 300 MG OBAT ANTITUBERKULOSIS FDC SISIPAN GENTAMYCIN SALEP KULIT 0,1 % GENTAMYCIN SULFAT TETES MATA 0,3 % GENTIAN VIOLET LARUTAN 1% HIDROKORTISON KRIM 2,5% IODIUM POVIDON IODIDA 30 ML 10%

TABLET

1,500

174.00 261,000

PAKET

-

198,986.00 -

TUBE

-

1,835.00 -

TUBE

27

4,885.00 131,895

BOTOL

-

1,870.00 -

TUBE

46

2,533.00 116,518

BOTOL

-

3,480.00 -

182 183 184 185 186 187

436.00 211,460 1,430.00 207.00 62,100

188

IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

8

KETOKONAZOLE KRIM 2 % KLORAMFENIKOL SALEP MATA 1% KLORAMFENIKOL TETES TELINGA 3%

TUBE

-

2,790.00 -

TUBE

7

1,925.00 13,475

BOTOL

-

8,470.00 -

TUBE

-

3,075.00 -

TUBE

-

2,800.00 -

194

MIKONAZOLE SALEP OKSITETRASIKLIN HCL SALEP 3 % OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

-

3,050.00 -

195

SALEP 2-4 KOMB.

POT

83

3,017.00 250,411

196

KOTAK

14

1,071.00 14,994

197

SALISIL BEDAK 2 % OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML

VIAL

-

3,025.00 -

198

ANTI HAEMOROID DOEN

SUPP

-

3,428.00 -

199

OAT/FDC KAT I

KOTAK

23

200

OAT/FDC KAT II

KOTAK

3

1,492,579.00 4,477,737

201

OAT/FDC KAT anak

KOTAK

1

232,518.00 232,518

202

TABLET

-

180.00 -

203

DEC 100mg tablet ALBENDAZOLE TABLET 400mg

TABLET

-

271.14 -

204

PROKAIN BENZIL PENISILIN

VIAL

-

9,908.00 -

205

GENTAMISIN INJ 40ml

AMPUL

206

AMPUL

-

10,351.00 -

POT

-

4,972.00 -

VIAL

-

462,000.00 -

209

GLUKONAS KALSIKUS 10% ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% SERUM ANTI BISA ULAR POLIVALEN INJ 50ML STREPTOMYCIN INJ. 1000MG

VIAL

-

5,750.00 -

210

ASAM FOLAT 0,4 MG

TABLET

-

68.00 -

211

GENTAMICYN SALEP MATA

TUBE

-

2,786.00 -

212

SUCRALFAT SIRUP

BOTOL

-

14,450.00 -

189 190 191 192 193

207 208

21,600.00 172,800

413,984.00 9,521,632

3,896.00 -

213

BROMHEXIN 8 MG

TABLET

-

112.00 -

214

METFORMIN 850 MG

TABLET

-

167.00 -

215

KLINDAMYCIN 300 MG

TABLET

-

589.00 -

216

DULCOLAX 10 MG SUPP

SUPP

-

5,800.00 -

217

N ACETYLCYSTEIN 200 MG

CAPSUL

1,800

218

TABLET

-

59.00 -

STRIP

-

30,595.00 -

220

ISONIAZID TAB 100 MG MDT COMBI ADULT (KUSTA) AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

-

25,098.00 -

221

AZITHROMYCIN 500 MG

TABLET

-

1,778.00 -

222

MULTIVITAMIN TABLET

TABLET

-

395.00 -

223

THROMBO ASPILETS

TABLET

-

986.00 -

224

VENTOLIN NEBU

AMPUL

-

12,550.00 -

225

ALBOTHYL

BOTOL

-

31,500.00 -

226

SCABIMITE KRIM

TUBE

-

46,000.00 -

227

BRONSOLVAN

TABLET

-

310.00 -

228

AMINOFLUID

BOTOL

-

67,761.00 -

229

ASERING

BOTOL

-

9,646.00 -

230

COMBIVEN NEBU

BOTOL

-

4,995.00 -

231

NOVOMIX PENFLEX

SET

-

106,000.00 -

232

BOTOL

-

83,500.00 -

TUBE

-

16,000.00 -

234

ATROVENT SPRAY BIOPLACENTONE GELL 10 GRAM BETHADINE GARGLE (OBAT KUMUR)

BOTOL

11

23,614.00 259,754

235

ANTRAIN INJ

KOTAK

-

66,000.00 -

236

AQUA GEL

BOTOL

-

46,368.00 -

237

ARTEM INJ

AMPUL

-

33,034.00 -

219

233

412.00 741,600

238

CITICOLLIN INJ

AMPUL

-

22,100.00 -

239

KANDISTATIN DROPS

BOTOL

6

35,000.00 210,000

240

ONDANCENTRON 4MG INJ

AMPUL

241

PEHACAIN INJ HALOPERIDOL DROP/LODOMER DROP

AMPUL

-

3,150.00 -

BOTOL

-

17,505.00 -

BOTOL

-

11,700.00 -

244

ZIRCUM KID DROP OBAT BATUK HITAM SYRUP

BOTOL

-

6,050.00 -

245

MULTI VITAMIN SYRUP

BOTOL

-

6,600.00 -

246

BISOLVON DROP

BOTOL

-

95,000.00 -

247

VIAL

-

2,860.00 -

248

AQUA PRO INJEKSI ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

-

7,000.00 -

249

ETANOL 70 %

BOTOL

92

2,625.00 241,500

250

ETHIL KLORIDA SEMPROT

BOTOL

-

102,692.00 -

251

EUGENOL CAIRAN

BOTOL

-

18,333.00 -

252

CONCOR 2.5 MG

TABLET

-

650.00 -

253

SAMCOBION

CAPSUL

-

494.45 -

254

BOTOL

2

255

ETANOL 70% 1 LITER OBAT BATUK SIRUP KOMBINASI

BOTOL

-

8,250.00 -

256

RAPID HIV 1 SD

SET

-

22,350.00 -

257

RAPID 2 HIV INTEC

SET

-

22,440.00 -

258

SET

-

223,386.00 -

259

RAPID 3 HIV ONCOPROBE PYRIMETHAMIN 25 MG TAB

TABLET

-

- -

260

DHP/OAM

TABLET

-

258.00 -

261

ARTESUNATE INJ.250 MG

AMPUL

-

42,900.00 -

262

EUTHYROX 100 UG

TABLET

-

944.00 -

242 243

34

1,198.00 40,732

31,250.00 62,500

263

CAPSUL

-

355.00 -

TABLET

-

1,573.00 -

TABLET

-

913.00 -

TABLET

-

1,815.00 -

TABLET

-

693.00 -

AMPUL

-

6,930.00 -

SET

252

1,020.90 257,267

SET

639

1,033.56 660,445

SET

608

1,141.44 693,996

SET

-

1,693.89 -

273

CAMABION KAPSUL FENOBARBITAL 50 MG TAB(SIBITAL) TAB OBAT FLU KOMB.TAB(MERTISAL) TAB VITAMIN NEUROTROPIK 5000 MG (MERSIBION) BETAHISTINE MALEAT (VASTIGO) TABLET METAMIZOLE 500 MG/ML INJEKSI ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML ALAT SUNTIK SEKALI PAKAI 10 ML BISTURI NO. 12 (carbon steel capel)

PCS

100

3,300.00 330,000

274

BLOOD LANCET

PCS

-

160.23 -

275

PCS

-

86,750.77 -

276

BOX SLIDE CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

-

6,421.00 -

277

FOLLEY CATHETHER NO.12

PCS

-

13,530.00 -

278

FOLLEY CATHETHER NO.16

PCS

-

13,530.00 -

279

PCS

-

13,530.00 -

KOTAK

3

56,826.00 170,478

KOTAK

-

56,826.00 -

282

FOLLEY CATHETHER NO.18 HAND SCHOEN L NON STERIL HAND SCHOEN M NON STERIL HAND SCHOEN S NON STERIL

KOTAK

-

56,826.00 -

283

HAND SCHOEN L STERIL

PCS

-

9,348.00 -

284

HAND SCHOEN M STERIL

PCS

-

9,348.00 -

285

PCS

-

9,348.00 -

286

HAND SCHOEN S STERIL HAND SCHOEN OBSETRIKAL

PCS

-

19,000.00 -

287

INFUS SET ANAK

PCS

25

264 265 266 267 268 269 270 271 272

280 281

7,920.00 198,000

288

INFUS SET DEWASA

PCS

51

7,920.00 403,920

289

IV CATHETER NO. 18

PCS

-

9,158.49 -

290

IV CATHETER NO. 20

PCS

13

9,159.00 119,067

291

IV CATHETER NO. 22

PCS

35

9,158.49 320,547

292

IV CATHETER NO. 24

PCS

44

16,087.50 707,850

293

IV CATHETER NO. 26

PCS

7

27,134.80 189,944

294

JARUM KULIT

PCS

-

20,000.00 -

295

JARUM OTOT

PCS

-

15,000.00 -

296

KACA SLIDE

PCS

360

297

BUNGKUS 14

40,204.44 562,862

BUNGKUS -

27,750.00 -

304

KAPAS ADSORBEN 500 GR KAPAS PEMBALUT ABSORBEN 250 GR KASA KOMPRES 40/40 STERIL KASA PEMBALUT 2M X 80 CM KASA PEMBALUT 36 X 80 CM KASA PEMBALUT 36 X 80 CM KASA PEMBALUT HIDROFIL 4M X 15 CM KASA PEMBALUT HIDROFIL 4M X 3 CM

305

298 299 300 301 302 303

277.70 99,972

ROL

51

1,840.00 93,840

ROL

10

10,177.60 101,776

ROL

2

139,000.00 278,000

ROL

139,600.00 -

ROL

38

4,000.00 152,000

ROL

80

845.00 67,600

KASA STERIL 16 X 16 HK

KOTAK

14

8,492.50 118,895

306

KERTAS EKG

ROL

-

27,000.00 -

307

LARUTAN ANISOL

BOTOL

-

256,500.00 -

308

LARUTAN EDTA 100 ml

BOTOL

1

117,900.00 117,900

309

LARUTAN EOSIN 2 %

BOTOL

-

279,000.00 -

310

LARUTAN GIEMSA STAIN

BOTOL

-

567,000.00 -

311

LARUTAN H2O2

BOTOL

-

30,000.00 -

312

LARUTAN HCL 0,1 N

BOTOL

-

31,500.00 -

313

LARUTAN HAYEM

BOTOL

-

49,500.00 -

314

LARUTAN KARBOL FUKSIN

BOTOL

-

85,500.00 -

315

LARUTAN METANOL

BOTOL

-

81,000.00 -

316

BOTOL

-

109,000.00 -

317

LARUTAN REAGENT ANTI A LARUTAN REAGENT ANTI AB

BOTOL

-

121,000.00 -

318

LARUTAN REAGENT ANTI B

BOTOL

-

109,000.00 -

319

BOTOL

-

138,000.00 -

BOTOL

5

263,314.00 1,316,570

ROL

3

35,532.00 106,596

322

LARUTAN REAGENT ANTI D LARUTAN REAGENT ZIENIL NEELSEN LEUCOPLAST 7.5 CM X 5 CM MAAG SLANG DEWASA (STOMACH TUBE NO. 16)

PCS

-

323

MASKER KARET

KOTAK

27

23,100.00 623,700

324

MASKER TALI

KOTAK

-

29,520.00 -

325

NEEDLE 23

PCS

-

190.00 -

326

NEEDLE 24

PCS

-

190.00 -

327

PLASTER 5 YARD X 2 INCH

ROL

1

328

RAPID TES PROTEIN

PCS

-

1,201.75 -

329

RDT TYPUS

KOTAK

-

1,181,250.00 -

330

SELANG OKSIGEN ANAK

PCS

-

8,118.00 -

331

SELANG OKSIGEN BAYI

PCS

-

8,118.00 -

332

TEST DENGUE DEVICE

PCS

12

333

TEST HBsAG STRIP

PCS

-

9,850.00 -

334

TEST HCG STRIP

KOTAK

-

106,650.00 -

335

PCS

37

47,317.00 1,750,729

336

TEST MALARIA DEVICE TEST URINE TRIP 10 PARAMETER

PCS

100

1,457.00 145,700

337

THREE WAY

BUAH

-

320 321

9,065.10 -

26,875.50 26,876

217,800.00 2,613,600

15,380.00 -

338

ULTRASOUND GEL 250 ML

BOTOL

-

24,175.00 -

339

UNDERPAD

PCS

-

4,786.76 -

340

URINE BAG

PCS

-

6,765.00 -

341

WING NEEDLE 27

PCS

-

1,827.00 -

342

AIR RAKSA DENTAL USE

BOTOL

-

577,000.00 -

343

ARTICULATING PAPER

KOTAK

-

196,020.00 -

344

BONDING SINGLE BOND

BUAH

-

851,070.00 -

345

BUAH

-

220,000.00 -

346

CELLULOID STRIP COMPOSITE PASTE (SOLARE)

BUAH

-

532,400.00 -

347

ETCHING

BUAH

-

275,000.00 -

348

FUJI 9 ART (MINI)

BUAH

-

1,026,000.00 -

349

FUJI II LC

BUAH

-

561,000.00 -

350

FUJI IX GC

BUAH

-

1,180,614.00 -

351

BUAH

-

1,263,114.00 -

352

FUJI VII GC WHITE MATRIX ROLL + MATRIX BOND

BUAH

-

119,982.30 -

353

MICRO BRUSH

BUAH

-

232,000.00 -

354

OCHO

BUAH

-

188,000.00 -

355

BUAH

-

120,000.00 -

BUAH

-

146,300.00 -

BUAH

-

1,235,000.00 -

358

SALIVA EJECTOR SEMEN SENG FOSFAT SERBUK DAN CAIRAN SILVER AMALGAM SERBUK 65-75% SPONS GELATIN CUBICLES 1 X 1 X 1 CM

BUAH

-

110,000.00 -

359

TABUNG VENOJECT EDTA

BUAH

-

3,300.00 -

360

CLEVER CHECK

BUAH

-

255,000.00 -

361

CELL CLEAN

BUAH

-

1,197,900.00 -

362

MASKER RESPIRATOR

BUAH

-

25,000.00 -

356 357

363

HYPAFIX

KOTAK

-

364

PIPET TETES

BUAH

3

365

THERMAROL

BUAH

-

46,000.00 -

366

LIPID PANEL TEST

BUAH

-

1,698,759.00 -

367

ALKOHOL SWAB

PCS

400

368

LYSOL

BOTOL

-

49,200.00 -

369

CELL PACK

BUAH

-

1,768,800.00 -

370

STOMALYZER

BUAH

-

1,171,500.00 -

371

JARUM AUTO CLICK

PCS

-

16,000.00 -

372

ALAT SUNTIK 0.05ML

PCS

-

2,880.00 -

373

ALAT SUNTIK 0.5ML

PCS

-

2,880.00 -

374

DIAMOND BOOR SET M

BUAH

-

278,000.00 -

375

DIAMOND BOOR SET S

BUAH

-

323,000.00 -

376

FEEDING TUBE

BUAH

-

9,471.00 -

377

BUAH

-

55,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

BOTOL

-

218,000.00 -

385

FISURE LANCIP LONG LARUTAN SALMONELLA PARATYPHI H LARUTAN SALMONELLA PARATYPHI HA LARUTAN SALMONELLA PARATYPHI HC LARUTAN SALMONELLA PARATYPHI O LARUTAN SALMONELLA PARATYPHI OA LARUTAN SALMONELLA PARATYPHI OB LARUTAN SALMONELLA PARATYPHI OC REAGEN TEST CHLONESTERASE ACHE (DIGITAL)

BOTOL

-

17,400,000.00 -

386

SUAB TENGGOROKAN

BOTOL

-

20,000.00 -

387

MINIOCEP

BUAH

-

29,000.00 -

378 379 380 381 382 383 384

79,000.00 850.00 2,550

135.30 54,120

388

BUAH

390

SELANG OKSIGEN DEWASA SILK(BENANG BEDAH SUTERA)NO.3/0 REAGEN TEST CHLONESTERASE BCHE (DIGITAL)

391

389

8,118.00 -

PCS

30

25,567.00 767,010

BOTOL

-

17,400,000.00 -

POLIFIX 5 CM X 5 CM

ROL

-

39,901.00 -

392

CATGUT PLAIN 2/0

BUNGKUS 4

393

POLIBAN 5 CM X 2.7 M

ROL

-

394

PCS

2

42,605.00 85,210

395

CATGUT CROM 3/0 SABUN ANTI SEPTIK (DETTOL)

BOTOL

-

20,900.00 -

396

POT SPUTUM

BOTOL

260

397

VERORAB REGULAR

VIAL

-

174,500.00 -

398

VAXIGRIP 0.5 ML

VIAL

-

146,801.00 -

399

INFUS SET TIPE Y

PCS

-

6,492.37 -

400

CHOLESTEROL TEST

PCS

300

401

GLUCOSE TEST STRIP 50'S

PCS

2,700

3,189.72 8,612,244

402

URIC ACID STRIP

PCS

425

5,238.80 2,226,490

403

POLIFIX 10 CM X 5 CM

PCS

4

85,970.50 343,882

404

TEST HIV

SET

100

15,297.00 1,529,700

405

GLUCOSE TEST STRIP 25'S

PCS

-

250,920.00 -

406

CHOL+HDL+GLU TEST 15'S

PCS

-

1,112,600.00 -

407

BUKBASTIK

KOTAK

-

115,500.00 -

408

LARUTAN ICON OS

BOTOL

-

870,000.00 -

409

CYNOFF

LITER

-

192,500.00 -

410

RDT MALARIA

PCS

-

5,271.00 -

411

ABATE

BOTOL

-

109,000.00 -

412

LARVASIDA ABATE

KOTAK

-

18,945.00 -

35,285.00 141,140 9,497.00 -

5,890.00 1,531,400

23,566.00 7,069,800

413

INSEKTISIDA GOKILATH

414

-

520,423.00 -

SOFRATULLE/FRAMICETINE PCS SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL

-

35,401.70 -

2

164,030.00 328,060

KOTAK

-

613,000.00 -

417

TEST AMPHETAMIN STRIP TEST SALMONELLA IGM CASSETTE (FOKUS)

STRIP

25

418

TEST RPR (SEPHILIS)

STRIP

-

4,477.00 -

419

HAND RUB

BOTOL

-

78,750.00 -

420

MASKER KARET HIJAB

KOTAK

-

25,300.00 -

421

FEEDING TUBE NO. 6

PCS

-

9,065.10 -

422

FEEDING TUBE NO. 8

PCS

-

9,471.00 -

423

STOMACH TUBE NO. 16

PCS

-

9,065.10 -

424

KOTAK

-

493,954.73 -

425

TEST HAEMOGLOBIN STRIP RABIES IMUNO GLOBULIN (HYPERRAB)

VIAL

-

4,100,000.00 -

426

VAKSIN POLIO

VIAL

-

18,370.00 -

427

VAKSIN CAMPAK

VIAL

-

25,641.00 -

428

VAKSIN BCG

VIAL

74

20,900.00 1,546,600

429

VIAL

-

20,900.00 -

VIAL

81

71,810.00 5,816,610

431

VAKSIN BCG VAKSIN DPT HB HIB / PENTABIO VAKSIN DPT HB UNIJECT / HB O

VIAL

84

20,900.00 1,755,600

432

VAKSIN TT

VIAL

-

12,910.00 -

433

VAKSIN TD

VIAL

292

12,910.00 3,769,720

434

VAKSIN DT

VIAL

157

16,360.00 2,568,520

435

SAFETY BOX

PCS

-

21,929.00 -

436

HEPATITIS B 0,5ML ADS

VIAL

-

1,325,000.00 -

437

HEPATITIS B 0,5ML ADS

VIAL

-

1,325,000.00 -

415 416

430

BOTOL

49,369.00 1,234,225

438

ADS 0.05 ML

PCS

200

1,565.00 313,000

439

ADS 0.5 ML

PCS

300

1,240.00 372,000

440

ADS 5 ML

PCS

300

955.00 286,500

441

POLIO PIN

VIAL

-

18,370.00 -

442

VAKSIN POLIO BOPV

VIAL

19

18,140.00 344,660

443

VIAL

16

144,450.00 2,311,200

VIAL

-

135,000.00 -

PCS

-

52,052.00 -

VIAL

122

155,813.00 19,009,186

VIAL

-

512,656.00 -

PAKET

-

409,816.00 -

PAKET

-

501,748.00 -

450

VAKSIN IPV VAKSIN MENINGITIS 200 Mcg VAKSIN DPT HB UNIJECT DEWASA VAKSIN MEASLES AND RUBELLA VAKSIN HUMAN PAPILOMA VIRUS (HPV) ALAT DETEKSI RESIKO IBU HAMIL ALAT DETEKSI RESIKO IBU HAMIL 2 CLORAMFENICOL TETES MATA

BOTOL

-

7,370.00

-

451

TEST HCG

PCS

-

2,133.00

-

444 445 446 447 448 449

TOTAL

145,664,150

Sungai Raya, 31 Desember 2018 Kepala Puskesmas

Supratman,SKM NIP. 197105261993031006

Pengelola Obat

Werry Y.S,Farm,MM,Apt NIP. 19880720 201501 1 001