Form Laporan Stok Pusk.xlsx
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LAPORAN STOK OBAT DAN BMHP PUSKES PERIODE 1 JANUARI 2018 S.D. 31 MARET 2018 Nama Puskesmas Kecamatan
: Puskesmas Wanayasa 2 : Wanayasa
PENERIMAAN NO
NAMA OBAT / ALAT KESEHATAN HABIS PAKAI
SATUAN
HARGA
STOK AWAL JAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
OBAT GENERIK ACYCLOVIR 200 MG TABLET ACYCLOVIR 400 MG ACYCLOVIR KRIM 5% ALBENDAZOLE TABLET 400 MG ALOPURINOL TABLET 100 MG AMBROXOL SIRUP AMBROXOL TAB 30 MG AMINOFILIN TABLET 200 MG AMINOFILINA INJEKSI 24 MG/ML - 10 ML AMITRIPTILIN HCL TABLET SALUT 25 MG AMLODIPINE 10 MG TABLET AMLODIPINE 5 MG TABLET AMOKSISILIN INJ. 1000 MG AMOKSISILIN KAPLET 500 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN SIRUP KERING 125 MG/5 ML ANTALGIN (METAMPIRON) TABLET 500 MG ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET KOMBINASI ANTIFUNGI DOEN KOMB.(As.Benzoat&As.Salisilat)
Tablet Tablet Tube Tablet Tablet Botol Tablet Tablet Ampul Tablet Tablet Tablet Vial Kaplet Kapsul Botol Tablet Botol Tablet Tube
40 100 50 630 200 110 4,458
160 634 90 7,705 1,000 120 314 74 1,390
FEB 100 100
200 144 600 200
450
2,500 96 200 100 1,000
MAR
TOTAL PENERIMAA N 100 100 0 0 200 144 600 200 0 0 450 0 0 2,500 0 96 200 100 1,000 0
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
ANTIHEMOROID SUPPOSITORIA ANTIMIGREN DOEN (Ergotamin&Cafein) TABLET AQUA PRO INJEKSI STERIL BEBAS PIROGEN ARTEMETER INJEKSI ARTERAKINE TABLET ARTESUNATE INJEKSI ASAM ASKORBAT TABLET 50 MG ASAM FOLAT ASAM MEFENAMAT KAPLET 500 MG ASAM TRANEKSAMAT 500 MG ATROPIN SULFAT TABLET 0,5 MG ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML BETAHISTIN MESILATE 6 MG BETAMETASON KRIM 0,1 % BISAKODIL SUPP 10 MG BISAKODIL SUPP 5 MG BISAKODIL TABLET CAPTOPRIL 25 MG CAPTOPRIL TABLET 12,5 MG CARBAMAZEPIN TABLET CLONIDIN 0,15 MG TABLET DEKSAMETASON INJEKSI 5 MG/ML 1 ML DEKSAMETASON TABLET 0,5 MG DESOXIMETASONE 0,25 CREAM 15 G DIAZEPAM INJEKSI 5 MG/ML - 2 ML DIAZEPAM RECTAL TUBE 5 MG DIAZEPAM TABLET 2 MG DIAZEPAM TABLET 5 MG DIETIL CARBAMAZIN 100 MG
Suppo Tablet Vial Ampul Tablet Vial Tablet Tablet Kaplet Tablet Tablet Ampul Tablet Tube Suppo Suppo Tablet Tablet Tablet Tablet Tablet Ampul Tablet Tube Ampul Tube Tablet Tablet Tablet
7 100 9
4,056 3,425 2,647 95 5 1,580 37 3 5 62 1,812 1,000 100 90 11 4,829
10
1,500 1,500 1,000
600 100 3 5 800 500
1,500
5 100 757
0 0 10 0 0 0 1,500 1,500 1,000 0 0 0 600 100 3 5 0 800 500 0 0 0 1,500 0 0 0 100 0 0
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78
DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1ML DIGOKSIN TABLET 0,25 MG DILTIAZEM TABLET DIMENHIDRINATE 50 MG DOKSISIKLIN TABLET 100 MG DOMPERIDONE SIRUP DOMPERIDONE TABLET 10 MG EFEDRIN TABLET 25 MG EPINEFRINA HCL/ADRENALINA INJEKSI 0,1 % - 1 ML ERITROMISIN KAPSUL 500 MG ETAKRIDIN (RIVANOL) LARUTAN ETAMBUTOL TABLET 500 MG ETANOL 70 % 1000 ML ETIL KLORID SEMPROT FENILBUTASON TABLET SALUT 200 MG FENOBARBITAL INJEKSI 50 MG/ML - 2 ML FENOBARBITAL TABLET 30 MG KARBOGLISERIN TT 10 % 5 ML FITOMENADION (VIT.K1) INJEKSI 10 MG/ML - 1 ML FITOMENADION (VIT.K1) TABLET SALUT GULA 10 MG FUROSEMID TABLET 40 MG GAMEKSAN KRIM GARAM ORALIT UNTUK 200 ML AIR GEMFIBROZIL 300 MG GENTAMICIN 80 MG INJEKSI GENTAMICIN SALEP KULIT GENTIAN VIOLET 1 % 10 ML GLIBENKLAMID TABLET 5 MG GLIMEPIRIDE 1 MG TABLET
Ampul Tablet Tablet Tablet Kapsul Botol Tablet Tablet Ampul Kapsul Botol Tablet Botol Botol Tablet Ampul Tablet Botol Ampul Tablet Tablet Tube Saset Kapsul Vial Tube Botol Tablet Tablet
100
100
157 780
50 1,000
5
5
6 1
55 100 571 101 508
400 50 300
37 9 275
100 15 300
0 100 0 0 0 50 1,000 0 5 0 0 0 0 0 0 0 0 0 0 0 400 50 300 0 0 100 15 300 0
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107
GLIMEPIRIDE 2 MG TABLET GLISERIL GUAYAKOLAT 100 MG GLISEROL GLUKOSA LARUTAN INFUS 5 % STERIL GRISEOFULVIN TABLET 125 MG MICRONAIZED HALOPERIDOL TABLET 1,5 MG HALOPERIDOL TABLET 5 MG HIDROKLOROTIAZID (HCT) TABLET 25 MG HIDROKORTISON KREAM 2,5% 5 GR IBUPROFEN SUSPENSI 100 MG/5 ML IBUPROFEN TABLET 200 MG IBUPROFEN TABLET 400 MG ICHTYOL SALEP ISONIAZID (INH) TABLET 300 MG ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG JELLY DOPLER KALSIUM GLUKONAS INJEKSI KALSIUM LAKTAT TABLET 500 MG KETOKONAZOLE 200 MG TABLET KLORAMFENIKOL 1G INJEKSI KLORAMFENIKOL SUSPENSI 125 MG/5 ML KLORAMFENIKOL TETES MATA 0,5 % KLORAMPENIKOL SALEP MATA 1% KLORAMPENIKOL TETES TELINGA 3 % KLORFENERAMIN MALEAT (CTM) TABLET 4 MG KLOROKUIN TABLET 150 MG KLORPROMAZIN TABLET SALUT 25 MG KOMB. ARTESUNATE 50 MG + AMODIAQUIN 150 MG TAB KOMB.ZIDOVUDIN+LAMIVUDIN
Tablet Tablet Botol Botol Tablet Tablet Tablet Tablet Tube Botol Tablet Tablet Pot Tablet Tablet Botol Ampul Tablet Tablet Vial Botol Botol Tube Botol Tablet Tablet Tablet Tablet Tablet
3,100
1,000
17
20
77 140 240 1,560
96 50 1,500
260 3 3 2,795 75
2,000 100 100 100
68 3,662
2,500
0 1,000 0 20 0 0 0 0 96 50 0 1,500 0 0 0 0 0 2,000 100 0 100 100 0 0 2,500 0 0 0 0
108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136
KOTRIMOKSAZOL SUSPENSI 240MG/5ML KOMB. KOTRIMOKSAZOL TABLET 480 MG. KOMBINASI KUININ (KINA) INJEKSI KUININ (KINA) TABLET 200 MG LEVOTHYROXINE 100 LIDOCAIN 2% INJEKSI LIDOKAIN COMP. INJEKSI 2 % LOPERAMID HCL TABLET 2 MG LORATADIN 10 MG MAGNESIUM SULFAT INJEKSI (IV) 40%/25 ML MAGNESIUM SULFAT INJEKSI 20%-25ML MB Anak MB Dewasa MEBENDAZOL TABLET 100 MG METFORMIN 500 MG TABLET METILDOPA 250 MG METILERGOMETRIN MALEAT TAB. SLT.0,125 MG METILERGOMETRIN MALEAT INJEKSI 0,2 MG-1ML METILPREDNISOLON TABLET 4 MG METOKLOPRAMID HCL INJEKSI 5 MG/ML METOKLOPRAMID HCL TABLET 10 G METRONIDAZOL TABLET 500 MG MIKONAZOL KRIM/SALEP 2% MINERAL MIX NATRIUM BIKARBONAT TABLET NATRIUM DIKLOFENAK 50 MG TABLET NATRIUM FENITOIN KAPSUL 100 MG NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL NATRIUM TIROKSIN 100 MG
Botol Tablet Tablet Tablet Tablet Ampul Ampul Tablet Tablet Vial Vial Kotak Kotak Tablet Tablet Tablet Tablet Ampul Tablet Ampul Tablet Tablet Tube Bungkus Tablet Tablet Kapsul Botol Tablet
156 1,116
100 1,000
30 8 480
20 100
5
770 100
1,000 100
6 370
365 35
500 96
450 3,570
2,000
25
20
100 1,000 0 0 0 0 20 100 0 0 0 0 0 0 1,000 0 100 0 0 0 0 500 96 0 0 2,000 0 20 0
137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165
NIFEDIPIN TABLET NISTATIN TABLET VAGINAL 100.000 IU/G OAT FDC ANAK OAT FDC I OAT FDC II OAT Kombipak Kategori I OBAT ANTI MALARIA OBAT ANTI TUBERKOLOSIS ANAK OBAT ANTI TUBERKOLOSIS SISIPAN OBAT BATUK HITAM (OBH) CAIRAN OKSITETRASIKLIN HCL SALEP KULIT 3 % OKSITETRASIKLIN HCL SALEP MATA 1 % OKSITOSIN INJEKSI 10 IU/ML - 1 ML OMEPRAZOLE 30 MG KAPSUL PAPAVERIN INJEKSI PAPAVERIN TABLET 40 MG PARASETAMOL DROPS PARASETAMOL SIRUP 120 MG/5 ML 60 ML PARASETAMOL TABLET 500 MG PB Anak PB Dewas PIRACETAM 400 MG TABLET PIRACETAM INJ PIRANTEL TABLET 125 MG PIRIDOKSIN (VIT B6) INJEKSI PIRIDOKSIN (VIT B6) TABLET 10 MG PIROKSIKAM TABLET 10 MG POLIKRESULEN 360MG/G (Albothyl) POVIDON IODIDA 10 % 30 ML
Tablet Tablet Kotak Kotak Kotak Kotak Kotak Kotak Kotak Botol Tube Tube Ampul Kapsul Ampul Tablet Botol Botol Tablet Kotak Kotak Tablet Ampul Tablet Ampul Tablet Tablet Botol Botol
100 132
100 100
341
58 487
100
5 733 7,053
150 5,000
84
100
1,390 80 4
1,000 100 50
100 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 150 5,000 0 0 100 0 0 0 1,000 100 0 50
166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194
POVIDON IODIDA 10 % 300 ML. PREDNISON TABLET 5 MG PRIMAQUIN 15 MG TABLET PROKAIN PENISILIN FORTIFIEE 4 MUI PROPILTIOURASIL TABLET 100 MG PROPRANOLOL HCL TABLET 40 MG RANITIDIN INJEKSI RANITIDIN TABLET 150 MG RETINOL (VIT.A) KAPSUL LUNAK 100.000 IU RETINOL (VIT.A) KAPSUL LUNAK 200.000 IU RINGER LAKTAT LARUTAN INFUS STERIL SALBUTAMOL CAIRAN IH 0,1 % SALBUTAMOL TABLET 2 MG SALEP 2 - 4 KOMB.(As.Salisilat&Belerang endap) SALISIL BEDAK 50 GR SEFADROKSIL 500 MG SERUM ANTI BISA ULAR INJEKSI 5 ML (ABU I) SERUM ANTI TETANUS INJEKSI 1.500 IU/AMPUL SIANOKOBALAMIN (VIT.B12) INJEKSI 500 MCG/ML-1 ML SIMVASTATIN TABLET 10 MG SIPROFLOKSASIN TABLET 500 MG SPIRONOLACTONE 25 MG TABLET STREPTOMYCIN INJEKSI SULFASETAMID TETES MATA 15 % TABLET TAMBAH DARAH ( BESI II SULFAT + AS.FOL THIAMFENIKOL KAPSUL 500 MG THIAMIN HCL (VIT. B1) INJEKSI 100 MG/ML - 1 ML THIAMIN HCL/MONONITRAT (VIT. B1) TABLET 50 MG TRAMADOL INJEKSI
Botol Tablet Tablet Vial Tablet Tablet Ampul Tablet Kapsul Kapsul Botol Botol Tablet Pot Pot Kapsul Vial Ampul Ampul Tablet Tablet Tablet Vial Botol Tablet Kapsul Ampul Tablet Ampul
3 144
4 3,657 50 812 63 413
1,000
3,000
40 1,500
21 390
50
350 1,020
500 1,000
10,515 48
100
993
1,000
0 1,000 0 0 0 0 0 3,000 0 0 40 0 1,500 0 50 0 0 0 0 500 1,000 0 0 0 0 100 0 1,000 0
195 196 197 198
TRAMADOL TABLET 50 MG TRIHEKSIFENIDIL TABLET 2 MG VITAMIN B KOMPLEKS TABLET ZINK TABLET 20 MG
Tablet Tablet Tablet Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
OBAT PATEN CAIRAN INFUS UTK TERAPI RESUSITASI HYOSIN N BUTILBROMIDA KAPLET KALIUM L ASPARTAT 300 MG KOMB.ANTIBAKTERI SALEP KOMB. BATUK TABLET KOMB. BATUK SIRUP KOMB.DIARE SUSPENSI KOMB.DIARE TABLET KOMB.ENZIM PENCERNAAN KOMB.FLU SIRUP KOMB.FLU TABLET KOMB.LUKA BAKAR GELL KOMB.OAI ANTI HIPERTENSI KOMB.OAI ANTIHEMOROID KAPSUL KOMB.OAI BATU GINJAL ELIXIR KOMB.OAI EKSTRAK MYRTILLI FRUCTUS & LUFEIN ( BI KOMB.OAI EKSTRAK RED CLOVER KOMB.OAI HEPATOPROTEKTOR KAPSUL KOMB.OAI IMUNOSUPRESAN KAPSUL KOMB.OAI IMUNOSUPRESAN SIRUP KOMB.OAI KUMUR MULUT KOMB.OAI NAFSU MAKAN KAPLET KOMB.OAI NAFSU MAKAN SIRUP
Botol Kaplet Tablet Tube Tablet Botol Botol Tablet Tablet Botol Tablet Tube Kapsul Kapsul Botol Kapsul Kapsul Kapsul Kapsul Botol Botol Kaplet Botol
30
1,060
1,000
50 137 299 1,039 500 200
200 1,050
9
100 5,100 24
0 0 0 1,000 0 0 0 0 0 0 0 0 200 1,050 0 100 5,100 24 0 0 0 0 0 0 0 0 0 0 0
24 25 26 27 28 29 30 31 32 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KOMB.TETES MATA KOMB.VITAMIN B1B6B12 KOMB.VITAMIN KAPLET KOMB.VITAMIN SIRUP MINYAK KAYU PUTIH 30 ML MINYAK KAYU PUTIH 50 ML MINYAK KAYU PUTIH 60 ML MINYAK TELON 30 ML MINYAK TELON 60 ML TABLET TAMBAH DARAH (BESI FUMARAT) ALKES DAN BMHP ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 2,5 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML BISTURI CAT GUT NO. 2/0 - 3/0 DNG. JARUM BEDAH CUTIKELCEL FOLLEY CATH NO. 16 FOLLEY CATH NO. 18 FIXOMUL HAND SCHOON NO.7,5 HAND SCHOON PANJANG HAND SCHOON SENSI INFUSION SET ANAK INFUSION SET DEWASA I V CATHETER NO. 22 I V CATHETER NO. 24 I V CATHETER NO.18
Botol Tablet Kaplet Botol Botol Botol Botol Botol Botol
292
2,500 3,000 300
tablet Set Set Set Set Set Set Lembar Set Set Rol Set Set Set Set Set Set Set Set
259 239 165
100 8 1
8 1 100 160 11 3 7 10 25
2 50 10 5 10
100
0 2,500 3,000 300 0 0 0 0 0 0 0 0 0 100 0 8 1 0 0 0 2 50 0 10 5 10 0 0 100
19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
JARUM BEDAH KAPAS BERLEMAK 500 GRAM KAPAS PEMBALUT/ABSORBEN 250 GR KASA GULUNG 40 M X 80 CM KASA PEMBALUT HIDROFIL 4 M X 15 CM LEOKOMED IV LARUTAN KLORIN 5.25% MASKER PLESTER 5 YARD X 2 INCHI PLESTER DNG FRAMISETIN SULFAT SELANG O2 BAYI SELANG O2 DEWASA SILK (BENANG BEDAH SUTERA) NO. 3/0 TABLET TAMBAH DARAH (BESI FUMARAT) TRANFUSI SET/ BLOOD ADM SET UNDERPAD URIN BAG
Set Rol Rol Rol Rol Lembar Botol Kotak Rol Lembar Set Set Kotak Set 15 85 5
3
1 90 1
2 5
1
5 280 6
0 0 0 0 0 2 0 5 0 0 0 0 0 0 5 0 0
MHP PUSKESMAS 31 MARET 2018
JUMLAH PERSEDIAA N
140 200 50 630 400 254 5,058 200 0 160 1,084 90 0 10,205 1,000 216 514 174 2,390 0
PENGELUARAN
JAN
100 6 3 22 24 1,296
FEB 10 30 9 8 10 16 160 15
MAR
6 14 53 195
185
170 20
280 70
2,466 120 25 30 58 610
1,655 70 67 120 50 350
2,110 60 76 140 48 890
SISA TOTAL STOK RUSAK/E PENGELUAR D AN 10 130 21 25 32 93 1,651 15 635 90 6,231 250 168 290 156 1,850 -
130 70 29 605 368 161 3,407 185 160 449 3,974 750 48 224 18 540 -
NILAI PERSEDIAAN
-
7 100 19 0 0 0 5,556 4,925 3,647 95 0 5 2,180 137 6 10 62 2,612 1,500 100 90 11 6,329 0 0 5 100 757 0
9
10
2,164 1,450 1,260 5
921 940 505 37
2,337 1,990 1,815 4
620 37
110 10 3
63 36
613 240
704 70
1,180 280
1,014
40 3 800
2,103
2
5 100 757
19 5,422 4,380 3,580 46 793 83 3 2,497 590 40 5 3,917 5 100 757 -
7 100 134 545 67 49 5 1,387 54 3 10 62 115 910 100 50 6 2,412 -
-
0 200 0 0 0 207 1,780 0 10 0 0 0 6 1 0 0 0 0 55 100 971 151 808 0 0 137 24 575 0
12 561
18 145
64 315
5
5
1
3 1
10
5
140 54 100
30 37 50
140 25 75
17 5
11 1 35
10 7
94 1,021 10 4 1 15 310 116 225 38 13 35 -
200 113 759 2 40 100 661 35 583 99 11 540 -
-
0 4,100 0 37 0 0 0 0 173 190 240 3,060 0 0 260 3 3 4,795 175 0 100 100 68 0 6,162 0 0 0 0
1,440
971
1,422 7
13 13 20 520
29 17
35 4
20 205
10 640
1
10 2
910 5
2,035 15
20
6
24 42
1,966
1,310
1,614
1,850 20
3,833 7 77 34 50 1,365 10 3 4,795 40 24 68 4,890 -
267 30 96 156 190 1,695 250 3 135 100 76 1,272 -
-
256 2,116 0 0 0 30 28 580 0 0 5 0 0 0 1,770 100 100 6 370 0 0 865 131 0 450 5,570 0 45 0
9
7 20
224
10 203
2
10 100
70 100
150
240
10
45 35
1,130
60 41
380 5
1,100
150 1,565 5
16 244 10 10 305 460 100 10 485 81 150 3,795 5 -
240 1,872 20 18 275 5 1,310 100 6 360 380 50 300 1,775 40 -
-
200 232 0 0 0 0 0 0 0 341 0 0 58 587 0 0 5 883 12,053 0 0 184 0 0 0 2,390 180 4 50
60 5
105
8
6
90
10 116
5 129
145 3,032
152 2,004
389 4,525
855 80
430 30
540 25
6
4 10
60 110 14 15 335 686 9,561 1,825 135 4 16
140 122 327 43 252 5 197 2,492 184 565 45 34
-
3 1,144 0 0 0 0 4 6,657 50 812 103 413 1,500 0 71 390 0 0 0 850 2,020 0 0 0 10,515 148 0 1,993 0
1 200
2,400
2,225
499
7
10 50
10 53
320
40
605
12 20
3 10
7 20
20 180
30 80
15 700
3,095 30
1,385
2,555 10
310
10
860
1 200 5,124 27 103 965 22 50 65 960 7,035 40 1,180 -
2 944 4 1,533 50 785 413 535 49 340 785 1,060 3,480 108 813 -
-
30 0 0 2,060 0 0 0 0 0 0 50 137 499 2,089 500 300 5,100 33 0 0 0 0 0 0 0 0 0 0 0
30
140
150
735
6 15 150
11
50 27
65
79 465 14
2
96
28 580 500 156 2,895 5
30 1,025 50 44 43 826 500 300 3,360 21 -
1,035 93 456 1,263 1,740 12 -
-
0 2,500 3,000 592 0 0 0 0 0 0 0 259 0 339 165 8 1 0 0 8 3 150 160 21 5 13 7 10 125
91
431 685 109
471 653 143
259 10 15
100 50
100 50
1
25 50 6 3 5
25 80 8 2 5
25
20
25
5 1 25 30 5
902 1,338 343 259 210 115 5 1 75 160 19 5 11 70
1,598 1,662 249 129 50 8 1 3 2 75 2 2 7 10 55
-
3 0 0 0 0 3 90 6 0 1 0 0 0 0 5 280 6
1 10 1
50 5
1
20 3
5 50
100 3
1 60 6 1 5 170 6
3 2 30 110 -
-
LAPORAN STOK OBAT DAN BMHP PUSKESMAS PERIODE 1 APRIL 2018 S.D. 30 DESEMBER 2018 Nama Puskesmas: Kecamatan :
NO
: Puskesmas Wanayasa 2 : Wanayasa 2
NAMA OBAT / PERBEKALAN KESEHATAN OBAT RUTIN
SATUA STOK HARGA N AWAL APR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
PE
PENERIMAAN
Tablet ACYCLOVIR 200 MG TABLET Tablet ACYCLOVIR 400 MG Tablet ACYCLOVIR KRIM 5% Botol ALKOHOL LIQUID 70 % Tablet ALLOPURINOL TABLET 100 MG Botol AMBROXOL SIRUP 15 MG/5 ML Tablet AMBROXOL TAB 30 MG Tablet AMINOFILIN TABLET 200 MG Vial AMINOFILINA INJEKSI 24 MG/ML - 10 ML Tablet AMLODIPINE 10 MG TABLET Tablet AMLODIPINE 5 MG TABLET AMOKSISILIN FORTE SIRUP KERING 250 MG/5 ML Botol Tablet AMOKSISILIN INJ. 1000 MG Vial AMOKSISILIN KAPLET 500 MG Kaplet AMOKSISILIN KAPSUL 250 MG Kapsul AMOKSISILIN SIRUP KERING 125 MG/5 ML Tablet ANTALGIN (METAMPIRON) TABLET 500 MG Tablet ANTASIDA DOEN SUSPENSI Tablet ANTASIDA DOEN TABLET KOMBINASI ANTIFUNGI DOEN KOMB.(As.Benzoat&As.Salisilat) Tablet Tube ANTIHEMOROID SUPPOSITORIA Tablet ANTIMIGREN DOEN (Ergotamin&Cafein) TABLET
MEI
130
100
70
100
29
24
JUNI
JULI
AGUST SEPT
OKT
100
3
2
368
NOV
DES
JUMLAH TOTAL PERSED PENERI IAAN MAAN
APR
MEI
JUNI
JULI
100
230
-
200
270
20
24
53
2
5
0
368
10
20
1
7
1
-
-
20
30
90
111
161
192
192
353
38
6
50
50
3,407
2,500
2,500
5,907
920
440
53
33
0
185
-
-
0
0
-
-
3,510
4,129
345
140
200
350
690
690
30
81
70
180
0
0
-
-
0
0
-
-
12,100
16,074
1,566
1,491
1,205
1,395
1,500
2,250
120
30
360
340
800
821
84
52
63
110
800
1,024
80
80
51
64
500
518
63
51
75
58
6,500
7,040
1,261
680
980
970
0
0
-
-
7
0
7
-
-
100
0
100
-
-
185 619
1,500
2,010 510
3,974
8,000
100
750
1,000
500
21
500
224 500
540
4,000
4,000 300
500
18
180
500
300 1,500
500
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
AQUA PRO INJEKSI STERIL BEBAS PIROGEN ASAM ASKORBAT TABLET 50 MG ASAM FOLAT ASAM MEFENAMAT KAPLET 500 MG ASAM TRANEKSAMAT 500 MG (CLONEX) ASERING INFUS ASETOSAL TAB 80 MG (MINIASPI ) ATROPIN SULFAT TABLET 0,5 MG ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML BETAHISTIN MESILATE 6 MG BETAMETASON KRIM 0,1 % BISAKODIL SUPP 10 MG (DULCOLAX) BISAKODIL SUPP 5 MG (DULCOLAX) BISAKODIL TABLET CAPTOPRIL 25 MG CAPTOPRIL TABLET 12,5 MG CARBAMAZEPIN TABLET 200 MG CLONIDIN 0,15 MG TABLET DEKSAMETASON INJEKSI 5 MG/ML 1 ML DEKSAMETASON TABLET 0,5 MG DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1ML DIGOKSIN TABLET 0,25 MG DILTIAZEM TABLET DIMENHIDRINATE 50 MG DOMPERIDONE SIRUP DOMPERIDONE TABLET 10 MG EPINEFRINA HCL/ADRENALINA INJEKSI 0,1 % - 1 M ERITROMISIN KAPSUL 500 MG ETAKRIDIN (RIVANOL) LARUTAN ETIL KLORID SEMPROT (XYLOCAINE SPRAY)
Vial
5
25
20
12
57
62
Tablet
134
8,000
7,000
5,000
20,000
20,134
Tablet
545
8,000
3,500
4,000
15,500
Tablet
67
5,000
2,500
1,500
Tablet
49
Botol Tablet Kaplet
200 5
Ampul
5
-
10
1,861
1,192
1,135
3,720
16,045
2,240
860
1,290
2,660
9,000
9,067
980
782
1,395
1,495
0
49
5
0
0
-
-
200
200
-
-
0
5
-
-
0
0
-
-
1,020
2,407
100
402
90
80
314
368
28
19
22
79
44
Tablet
1,387
1,020
Tube
54
144
Suppo
3
0
3
-
-
Suppo
10
0
10
-
-
Tablet
62
0
62
-
-
Tablet
115
5,000
3,000
8,000
8,115
787
446
631
1,871
Tablet
910
1,000
3,000
5,000
5,910
215
135
1,810
1,010
Tablet
100
0
100
-
-
Tablet
50
0
50
-
-
Ampul
8
20
28
-
-
Tablet
2,412
11,500
13,912
1,799
1,969
0
0
-
-
0
200
-
-
Tube
0
0
-
-
Ampul
0
0
120
1,000
50
20 5,000
1,000
3,500
2,000
Ampul Tablet
200
50 1,652
1,348
Botol
113
100
50
150
263
21
14
30
56
Tablet
759
1,000
100
1,100
1,859
661
205
-
-
20
20
-
-
Tablet
0
0
-
-
Botol
0
0
-
-
2
2
-
-
Tablet
Botol
20
2
53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
FENILBUTASON TABLET SALUT 200 MG FENOL GLISEROL TT 10 % 5 ML FITOMENADION (VIT.K1) TABLET SALUT GULA 10 FUROSEMID INJEKSI 10 MG/ML FUROSEMID TABLET 40 MG GAMEKSAN KRIM (SCABIMITE) GARAM ORALIT UNTUK 200 ML AIR GEMFIBROZIL 300 MG GENTAMICIN SALEP KULIT GENTIAN VIOLET 1 % 10 ML GLIBENKLAMID TABLET 5 MG GLIMEPIRIDE 1 MG TABLET GLIMEPIRIDE 2 MG TABLET GLISERIL GUAYAKOLAT 100 MG GLUKOSA LARUTAN INFUS 5 % STERIL GRISEOFULVIN TABLET 125 MG MICRONAIZED HIDROKLOROTIAZID (HCT) TABLET 25 MG HIDROKORTISON KREAM 2,5% 5 GR HYOSIN N BUTILBROMIDA KAPLET (SCOPMA) IBUPROFEN SUSPENSI 100 MG/5 ML IBUPROFEN TABLET 200 MG IBUPROFEN TABLET 400 MG ICHTYOL SALEP ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG JELLY DOPLER (ULTRASONIC GEL) KALIUM L ASPARTAT 300 MG (KALIPAR) KALSIUM LAKTAT TABLET 500 MG KETOKONAZOLE 200 MG TABLET KETOPROFEN SUPP 100 MG (SUPRAFENID) KETOROLAK INJ 30 MG / ML
Tablet
113
0
113
-
-
Tube
759
0
759
-
-
Kapsul
100
100
200
-
-
0
0
-
-
1,000
1,661
35
17
52
82
30
210
245
51
21
27
35
300
1,300
1,883
451
245
130
160
0
0
-
-
100
138
25
21
78
13
45
56
6
2
-
-
0
540
30
100
100
Tablet
0
0
-
-
Tablet
0
0
-
-
8,000
8,267
985
650
0
20
0
0
Tablet
0
0
-
-
Tablet
0
0
-
-
216
312
106
7
0
0
0
0
100
Ampul Tablet
661
1,000
Tube
35
120
sacet
583
1,000
60
Kapsul Tube
38
100
Tube
11
20
Tablet
540
Tablet
267
Botol
20
Tube
96
25
5,000
1,500
96
1,500
120
Tablet Botol
156
100
Tablet
190
1,000
Tablet
1,695
3,000
1,255
20
957
12
256
30
8
61
64
1,000
1,190
220
10
30
60
3,000
4,695
1,400
360
105
75
0
0
0
0
0
250
5
5
8
9
2
1
1
0
0
16,500
16,503
1,937
1,135
0 1,255
0 1,931
200
335
20
-
-
Botol
0
0
0
0
Vial
0
0
0
0
100
Tube Tablet
250
Botol
1
5
3
Tablet Tablet
3
5,000
Tablet
135
200
1,000
4,500
6,000
83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112
KLINDAMISIN 150 MG KLINDAMISIN 300 MG KLORAMFENIKOL 1G INJEKSI KLORAMFENIKOL KAPSUL 250 MG KLORAMFENIKOL SUSPENSI 125 MG/5 ML KLORAMFENIKOL TETES MATA 0,5 % (RECO) KLORAMPENIKOL SALEP MATA 1% KLORAMPENIKOL TETES TELINGA 3 % KLORFENERAMIN MALEAT (CTM) TABLET 4 MG KOMB (ipatropium Br 0,5, salbutamol 2,5 mg)-COMB KOMB. BATUK SIRUP-DEXTROFEN KOMB. BATUK TABLET-GRANTUSIF KOMB.DIARE SUSPENSI-NEO KAOMINAL KOMB.FLU SIRUP-WICOLD KOMB.FLU TABLET-MOLEXFLU KOMB.LUKA BAKAR GELL-NEOCENTA KOMB.VITAMIN B1B6B12-NEUROPYRAMIN KOMB.VITAMIN KAPLET-CAVIPLEX KOMB.VITAMIN SIRUP-CURCUMA PLUS KOTRIMOKSAZOL FORTE 960 MG KOTRIMOKSAZOL SUSPENSI 240MG/5ML KOMB. KOTRIMOKSAZOL TABLET 480 MG. KOMBINASI LARUTAN KLORIN 5.25%-SO KLIN LIDOCAIN 2% INJEKSI LIDOKAIN COMP. INJEKSI 2 % LOPERAMID HCL TABLET 2 MG LORATADIN 10 MG METFORMIN 500 MG TABLET METILDOPA 250 MG-DOPAMET METILPREDNISOLON TABLET 4 MG
Tablet
0
0
0
0
Tablet
0
0
0
0
Ampul
0
0
0
0
Tablet
0
0
0
0
Botol
0
0
0
0
39 -
40 -
0
0
1,880 -
2,000 -
Tube
72
Tube
100
48
148
220
22
24
120
144
144
20
25
25
25
13,000
14,272
0
0
350
350
12
-
-
1,000
1,093
110
50
506
26
110 176
110 120
400
400
129
104
126
10,650
12,390
2,506
1,515
72
84
3
960 11
1,100 20
Tube Tablet
1,272
7,000
3,000
3,000
Pot 100
Botol Tablet
93
Botol
456
1,000 50 200
Botol
250
200 3,600
1,578
11 4 1,176
Tablet
1,740
7,050
Tablet
12
40
32
Tablet
1,598
2,500
2,000
1,000
5,500
7,098
1,127
668
620
1,345
Tablet
1,662
3,000
2,500
2,000
7,500
9,162
1,040
718
820
1,765
Botol
249
200
700
949
141
105
90
203
0
0
Botol
240
50
50
100
340
8
14
0 72
0 73
Tablet
1,872
1,000
500
1,500
3,372
56
Botol
40
80
80
120
15
50 50
1,011 -
1,030 -
Ampul
120
100
150
270
4
20
20
33
Ampul
30
20
20
50
Tablet
272
500
500
772
0
0
1,310
1,000
2,000
3,310
60
755
755
0
0
0
360
100
400
Tablet
50
Botol Tablet Tablet Tablet
360
1,000
5 175
113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142
METOKLOPRAMID HCL INJEKSI 5 MG/ML METRONIDAZOL TABLET 500 MG MIKONAZOL KRIM/SALEP 2% N ACETIL SISTEIN KAPSUL 200 MG NATRIUM BIKARBONAT TABLET 500 MG NATRIUM DIKLOFENAK 50 MG TABLET NATRIUM FENITOIN KAPSUL 100 MG NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL NEW ANTIDES-ATTAPULGITE/PECTIN TABLET NIFEDIPIN TABLET NISTATIN TABLET VAGINAL 100.000 IU/G OBAT BATUK HITAM (OBH) CAIRAN OKSITETRASIKLIN HCL SALEP MATA 1 % OMEPRAZOLE 30 MG KAPSUL PAPAVERIN INJEKSI PAPAVERIN TABLET 40 MG PARASETAMOL DROPS PARASETAMOL SIRUP 120 MG/5 ML 60 ML PARASETAMOL TABLET 500 MG PERAK SULFADIAZIN KRIM 1 % PIRACETAM 400 MG TABLET PIRACETAM INJ PIRANTEL TABLET 125 MG PIRIDOKSIN (VIT B6) INJEKSI PIRIDOKSIN (VIT B6) TABLET 10 MG PIROKSIKAM TABLET 10 MG POLIKRESULEN 360MG/G (Albothyl) POVIDON IODIDA 10 % 30 ML POVIDON IODIDA 10 % 300 ML. PREDNISON TABLET 5 MG
Ampul
0
0
Tablet
380
2,000
2,000
2,380
30
56
575
560
Tablet
50
100
100
150
25
1
15
18
0
0
0
300
100
100
100
8,500
10,275
1,100
865
600
700
300
300
60
60
5
15
15
2,500
3,763
230
51
31
0
140
40
40
200
322
20
0
327
20
13
2 4
2 4
0
0
990
1,742
200
140
100
160
Ampul
0
0
Tablet
0
0
0
5
1
1
Tablet Tablet
300
Tablet
1,775
6,000
500
2,000
Tablet
300
Botol
20
Tablet
1,263
Tablet
140
Tablet
122
Botol
327
40
2,500 200
Tube Tablet
752
990
Botol
3
Botol
197
600
Tablet
2,492
10,000
200
250
500
700
2,000
2,197
177
181
276
293
5,000
8,500
23,500
25,992
3,161
1,490
3,175
3,190
0
0
0
184
50
50
Ampul
0
0
Kapsul
0
0
Ampul
0
0
1,500
4,800
5,365
760
310
675
675
100
300
345
40
30
10
30
0
0
100
137
20
13
25
0
3
500
1,444
1 10
1 400
1 400
Tube Tablet
184
Tablet
565
3,000
Tablet
45
200
Botol
37
50
Botol
3
Tablet
944
300
Botol
500
50
10
143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 1 2 3 4 5 6
PROPILTIOURASIL TABLET 100 MG PROPRANOLOL HCL TABLET 40 MG RANITIDIN INJEKSI RANITIDIN TABLET 150 MG RINGER LAKTAT LARUTAN INFUS STERIL SALBUTAMOL CAIRAN IH 0,1 % SALBUTAMOL TABLET 2 MG SALEP 2 - 4 KOMB.(As.Salisilat&Belerang endap) SALISIL BEDAK 2% SEFADROKSIL 500 MG SERUM ANTI BISA ULAR INJEKSI 5 ML (ABU I) SERUM ANTI TETANUS INJEKSI 1.500 IU/AMPUL SIANOKOBALAMIN (VIT.B12) INJEKSI 500 MCG/MLSIMVASTATIN TABLET 10 MG SIPROFLOKSASIN TABLET 500 MG SPIRONOLACTONE 25 MG TABLET SULFASETAMID TETES MATA 15 % THIAMFENIKOL KAPSUL 500 MG THIAMIN HCL/MONONITRAT (VIT. B1) TABLET 50 M TRAMADOL INJEKSI TRAMADOL TABLET 50 MG VITAMIN B KOMPLEKS TABLET ZINK TABLET 20 MG PROGRAM HIV FOKUS RPR SHYPILIS HBsAg (SD Bioline) HEXAGON SYPHILIS RAPID 1 HIV RAPID 2 HIV RAPID 3 HIV
Tablet Kotak Ampul
4
Tablet
1,533
Botol
40
7,000 60
948
2,000
49
Tablet
340
0 4
10,000
11,533
1,232
60
120
160
20
0
0
2,200
3,148
0
0
0
49
105
445
200
100
0 0
Tube Kotak
0
3,000
Tube Tablet
0
5
60
1,435
800
1,010
20
20
60
850
850
6
100
100
10 80
10 80
100
100
Vial
5
5
5
Vial
10
10
10
0
0
0
758
20
2,000
3,060
330
10 390
200
200
0
0
400
508
32
24
1,400
2,213
20
Ampul
0
0
Tablet
0
0
Tablet
0
0
5,500
6,535
0
0
Tablet
0
0
Vial
0
0
0
0
200
200
Tablet
0
0
Tablet
0
0
Vial Tablet
758
Tablet
1,060
2,000 200
Tablet Tube Tablet
108
200
Tablet
813
1,000
Botol
1,035
200 400
2,000
500
3,000
Tablet Tablet
100
100
1
655
700
225
130
130
29
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 1 2 3 1 2
PSIKOTROPIKA DAN PROGRAM JIWA ALPRAZOLAM 1 MG AMITRIPTILIN HCL TABLET SALUT 25 MG DIAZEPAM INJEKSI 5 MG/ML - 2 ML DIAZEPAM RECTAL TUBE 5 MG DIAZEPAM TABLET 2 MG DIAZEPAM TABLET 5 MG FENOBARBITAL INJEKSI 50 MG/ML - 2 ML FENOBARBITAL TABLET 30 MG FLUFENAZIN INJ 25 MG/ML (I.M) FLUOKSETIN 10 MG HALDOL DECANOAS, HALOPERIDOL INJ 5 MG/ML HALOPERIDOL TABLET 1,5 MG HALOPERIDOL TABLET 5 MG KLOBAZAM 10 MG KLORPROMAZIN TABLET SALUT 25 MG KLORPROMAZIN TABLET SALUT 100 MG KLOZAPIN 25 MG PRIMANIA 200 MG RISPERIDON 2 MG SIKZOONATE INJEKSI TRIFLUOPERAZIN TAB SLT SELAPUT 5 MG TRIHEKSIFENIDIL TABLET 2 MG PROGRAM MALARIA KLOROKUIN TABLET 150 MG OBAT ANTI MALARIA (DIHIDRIARTEMISININ PIPERA PRIMAQUIN 15 MG TABLET PROGRAM KECACINGAN ALBENDAZOLE TABLET 400 MG DIETIL CARBAMAZIN 100 MG
Ampul Tablet
160
Ampul
2
Pot
1
Kapsul
5
100
Tablet
0
0
0
0
0
-
-
160
0
0
0
2
0
0
5
6
0
0
0
100
5
15
0
0
0
0
Ampul
4
0
4
0
0
Tablet
100
0
100
0
0
Tablet
0
0
0
0
Tablet
0
0
0
0
0
0
0 80
0 130
-
-
Tablet 400
400
530
200
300
300
0
0
0
0
0
100
10
30
Ampul
0
0
0
0
Tablet
0
0
0
0
Vial
130 100
Botol
Tablet Kapsul
100
Ampul 200
Tablet
40
200
200
0
0
Ampul
0
0
0
0
Tablet
0
0
0
0
600
600
25
70
75
0
0
Kaplet
0
0
Tablet
0
0
Tablet
0
0
0
0
5,500
7,900
63
10
442
0
0
100
Tablet
Tablet Tablet
2,400
500
5,500
1,465
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 11 12 13 1 1 2
PROGRAM TB DAN LEPRA KUSTA DOKSISIKLIN TABLET 100 MG ETAMBUTOL TABLET 500 MG ISONIAZID TABLET BP 100 MG MB Anak MB Dewasa OAT FDC ANAK OAT FDC I OAT FDC II PB ANAK PB DEWASA PROGRAM KIA DAN GIZI FITOMENADION (VIT K) INJ 2 MG/ML GENTAMICIN 80 MG INJEKSI KALSIUM GLUKONAS INJEKSI LEVOTHYROXINE 100 MAGNESIUM SULFAT INJEKSI (IV) 40%/25 ML MAGNESIUM SULFAT INJEKSI 20%-25ML METILERGOMETRIN MALEAT TAB. SLT.0,125 MG METILERGOMETRIN MALEAT INJEKSI 0,2 MG-1ML MINERAL MIX OKSITOSIN INJEKSI 10 IU/ML - 1 ML RETINOL (VIT.A) KAPSUL LUNAK 100.000 IU RETINOL (VIT.A) KAPSUL LUNAK 200.000 IU TABLET TAMBAH DARAH (BESI FUMARAT) LEPTOSPIROSIS RDT LEPTOSPIROSIS VAKSIN BCG VACCINE BP (INTRADERMAL) BIVALEN ORAL POLIOMYELITIS VACCINE
0
0
Tablet
0
0
Tablet
0
0
Kapsul
0
0
Kapsul
0
0
Tablet
0
0
Kapsul
1
0
1
Kapsul
7
0
7
Kapsul
0
0
Kapsul
0
0
Botol
0
0
0
0
0
240
20
20
0
28
0
0
0
24
Ampul
240 10
Ampul Ampul
10
28
Botol Ampul
24 30
Ampul
30
30
tablet
0
0
Ampul
0
0
Botol
0
0
2
20
Ampul
130
100
100
230
Kapsul
1,200
300
300
1,500
Kapsul
4,400
500
500
4,900
25
Set
3,480
13,020
16,500
0
0
0
0
10,020
1,020
1,980
Set Rol
37
20
20
Set
4
30
30
20
1
20
1
1
60
60
10
10
20
60
700 1,830
21 1,915
4,325
4,300
0
0
20
20
80
117
6
5
5
5
30
30
140
144
21
13
8
21
3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
HEB B IMUNOGLOBULIN HUMAN INJ 220 IU/ML HEPATITIS B REKOMBINAN
Set Set
55
30
30
PENTABIO DTP-HB-Hib POLIOMYELITIS VACCINE INACTIVATED INJEKSI SAFETYBOX
Set
57
40
10
Set
22
10
20
10
Set
146
10
5
10
VAKSIN JERAP DT VAKSIN JERAP TD VAKSIN MEASLES RUBELLA 10 DS (MR) VAKSIN MENINGITIS ALKES DAN BMHP ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML ALAT TES GARAM BERYODIUM ALKOHOL SWAB CHG 0,5% BISTURI CAT GUT NO. 2/0 - 3/0 DNG. JARUM BEDAH CUTICELL 10 X 10 CM FIXOMULL STRECH 5 X FOLLEY CATH NO. 16 FOLLEY CATH NO. 18 HAND SCHOON NO.7,5 HAND SCHOON PANJANG HAND SCHOON SENSI I V CATHETER NO. 22 I V CATHETER NO. 24 I V CATHETER NO.18 INFUSION SET ANAK
Set
10
Set
35
10
10
Set
89
40
20
50
30
120
175
25
14
21
22
40
40
180
237
42
36
24
34
62
7
6
9
8
5
3
4
5
2
2
10
14
0
0
0
0
20
40
30
55
201
50
50
60
65
85
120
10
90
179
0
0
0
0
0
0
0
0
400
229
100
100
100
100
459
500
729
35
100
94
94
100
200
20
50
30
30
0
8
1
0
0
5
5
0
8
0 2
0 2
2
6
7
1
1
10
10
10
0
0
0
2
1
1
15
15
300
8 2
2 5
10
3
20
10
100 30 8 7 10 75 3
100
100
20
100 5
15
11
400
5 2
10
20
8
1
0
30
Rol
59
0
100 20
5
30
33
300
400
0
30
55
63
0
7
0
10
100
175
10
13
39
0
0
2
5
5
7
5
2
2
50 30 8
50
50 0 10 0 0 50 3
50 0 10 0 0 50 3
10
25 3
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
1 2 3 4
1 2 3 4 5
INFUSION SET DEWASA JARUM BEDAH KAPAS PEMBALUT/ABSORBEN 250 GR KASA GULUNG 40 M X 80 CM KASA PEMBALUT HIDROFIL 4 M X 15 CM LEUKOMED MASKER PLESTER 5 YARD X 2 INCHI PLESTER DNG FRAMISETIN SULFAT PLESTERIN BULAT ONEMED SELANG O2 BAYI SELANG O2 DEWASA SILK (BENANG BEDAH SUTERA) NO. 3/0 TRANFUSI SET/ BLOOD ADM SET UNDERPAD URIN BAG
7 3
10
10
17
0
3
10
10
3
13
150
150
0
2
12
12
0
0
0
0
0
0
5
5
5
5
1
4
125
125
350
510
30
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PROGRAM HIV AIDS
0
0
DEWASA FDC TRIPLE : TENOFOVIR 300 MG + LAMIVUDINE 300 MG + EFAVIRENZ 600 MG
0
0
EFAVIRENZ (EFV) 600 MG
0
0
LAMIVUDINE (3 TC) 150 MG
0
0
NEVIRAPINE (NVP) 200 MG
0
0
PEDIATRIK FDC TRIPLE : ZDV+3TC+NVP (ZIDOVUDINE 60 MG+LAMIVUDINE 30 MG+NEVIRAPINE 50 MG)
0
0
OBAT BARU NYSTATIN DROP ONEMED LUGOL PYRANTEL SUSPENSI VAKSIN CAMPAK
5 10 100
5 3
50
2 10
2
5 5 1
3 160 12
100 200 10
25 50 10
100 10
1
3 10
25 70 7
70
4 0 0 0 2 1 2 0 0 0 0 0 1 25 60 7
4 0 0 0 2 1 2 0 0 0 0 0 1 25 60 8
6 7
TENOFOVIR (TDF) 300 MG
0
0
ZIDOVUDINE (ZDV) 300 MG+LAMIVUDINE (3TC) 150 MG
0
0
Mengetahui, Kepala UPT Dinkes Puskesmas Wanayasa 2
Banjarneg Pengelola
( Susi Kurnitasari. SKM, MSi )
(Nisa Kur
NIP.19701202 199303 2 009
NRTHL. 0
PENGELUARAN
AGUST
SEPT
20 6
13
OKT
TOTAL RUSAK/ PENGELU ED ARAN DES
NOV
NILAI PERSED IAAN
SISA STOK
100
12
45
157
73
95
3
16
174
96
-
16
-
-
53
-
-
-
-
2
3
-
1 10
50
10
60
381
(13)
-
26
14
21
22
57
284
69
-
309
1,050
700
690
484
4,679
1,228
-
-
-
100
85
-
-
-
-
-
-
100
650
200
500
110
660
3,155
974
-
110
80
120
-
-
671
19
-
-
-
-
-
-
-
-
-
-
-
2,121
3,045
2,685
1,556
1,616
16,680
(606)
-
140
380
150
100
-
1,620
630
-
53
100
68
51
119
858
(37)
-
10
10
230
545
479
-
20
158
39
80
82
52
41
541
(23)
-
820
585
970
460
1,020
7,746
(706)
-
-
-
-
-
-
-
-
3
4
-
-
-
100
-
-
3
100
-
12
44
18
-
4,225
2,353
3,867
23,459
(3,325)
-
1,300
3,020
1,290
1,855
17,180
(1,135)
-
1,485
1,566
296
1,095
10,034
(967)
-
-
-
49
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
5
-
-
-
-
-
-
6
11
2,423
2,683
2,665 940
130
160
155
120
230
1,467
940
-
27
68
36
17
66
362
6
-
-
-
-
3
-
-
6
6
4
-
4
-
-
4
58
-
1,041
370
993
240
285
6,664
1,451
-
525
220
830
55
10
4,810
1,100
-
-
100
100
-
-
-
-
50
-
-
1,303 55
8
8
-
5
21
7
-
1,560
2,343
1,179
1,382
14,535
(623)
-
-
-
-
-
-
20
1
97
103
-
-
-
-
-
-
-
-
-
-
-
11
10
39
30
31
16
10
247
16
-
220
105
333
200
185
1,909
(50)
-
10
-
5
25
(5)
-
-
-
-
-
-
-
-
-
-
-
-
-
1
1
-
1
10
113
-
-
113
-
-
759
-
-
759
-
-
-
100
100
100
-
-
-
-
-
-
80
61
128
270
11
736
925
-
32
19
25
19
32
261
(16)
-
430
152
165
80
85
1,898
(15)
-
-
-
-
-
-
-
19
157
(19)
-
1 3
15
1
1
-
28
28
-
95
45
60
60
140
630
(90)
-
-
-
-
-
-
-
-
-
-
-
1,458
920
9,099
(832)
-
-
5
7
13
-
-
-
-
-
-
-
-
-
-
-
3
4
222
90
-
0
0
-
-
-
695
654
1,525
2
13
48
9
14
7
34
18
8
244
12
-
100
210
60
20
30
740
450
-
490
740
430
285
60
3,945
750
-
0
0
-
-
-
0
100
110
140
-
2
1
9
-
-
0 0 1,820 2,645
-
-
-
18,528
(2,025)
-
2 2,145
1,770
3,890
-
20
40
295
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
11 10
59 20
26 30
12 26
13 49
233
(13)
-
159
(15)
-
5
2
7
1
7
22
3
-
1,940
1,535
2,823
664 -
778 -
14,374
(102)
-
-
-
-
86
82
131
39
-
350
-
-
120 42
250 12
20 11
820
273
-
52
100 33
472
34
-
41
-
400
-
-
1,375 15
1,020 9
2,590 10
925 16
815 -
12,806
(416)
-
84
-
-
683
746
1,280
365
875
7,709
(611)
-
1,016
1,150
1,860
455
1,146
9,970
(808)
-
111
65
97
137
181
1,130
(181)
-
0 11
0 7
-
-
-
271
69
-
24 -
32 24
2,609
763
-
89
31
-
30
10
223
47
-
3
10
30
20
-
100
23
195
577
-
0
0
-
-
110 -
310 -
2,955
355
-
-
-
2
-
12
348
-
22
47
17
336
34
36
26
50
30
17 4 390
50 90 10
13 310
-
-
-
-
90
140
191
30
35
1,707
673
-
15
5
11
3 -
31 -
124
26
-
-
-
100
-
-
400
(100)
-
2,160
1,655
830
10,265
10
-
-
40
300
-
5
13
-
53
7
-
580
445
90
2,332
1,431
-
10
-
40
130
10
-
7 46
0 38
0 101
41
281
-
256
71
-
0
0
-
-
90
55
537
-
0 -
0 -
-
-
-
-
-
-
5
-
-
670
500 10 13 150
1,685
155
17 240
70
2
1,205
1
258
276
270
224
253
2,208
(11)
-
2,137
5,051
3,868
3,019 -
1,358 -
26,449
(457)
-
-
-
0
0
100
84
-
0 -
0 -
-
-
-
-
0 665
-
-
5,986
(621)
-
345
-
-
-
-
137
-
-
3
-
-
1,340
104
-
785
640
1,270
0 206
60
20
20
30
105
24
0 -
0 3
0 -
0 20
17
35 500
-
-
-
-
-
-
-
-
4
-
-
4
-
870
2,016
2,780
680
771
11,594
(61)
-
20
30
30
15
25
180
(20)
-
0
0
-
-
0
40
(332)
-
0
0
-
-
3 100
0 -
17 30
28
21
-
336
109
-
0 1
5
-
2
0 -
5
-
0
0
-
-
100 150
60 90
744
14
-
2,236
824
-
-
-
200
-
0
0
-
-
0
15
383
125
-
100 -
500 -
2,536
(323)
-
-
-
0 -
0 -
-
-
-
-
650
140
835
-
0 -
0 -
-
-
-
-
-
92
-
-
-
37
-
-
34
39
(39)
-
0
0
-
-
0
0
-
-
40 8
24 146
1,020
265 70
560
1 245 900
112 600
1,360
61
540
29
616
1,570
47
3,480
5
300
5,700
239
90
94
70
45
40
115
3,256
50
607
60
171
-
-
-
-
-
20
20
140
-
0
0
-
2
-
0
6
6
-
-
0
0
20
80
-
0
0
-
-
-
0
0
-
4
-
0
0
100
-
-
0
0
-
-
-
0
0
-
-
-
0 45
0 170
-
-
-
719
(189)
-
-
10
55
245
-
0
0
-
-
-
0
0
40
60
-
0
0
-
-
-
0
0
-
-
0
0
-
-
50
0
90
110
-
0
0
-
-
-
0
0
-
-
-
25 -
100 -
520
80
-
-
-
0 -
0 -
-
-
-
-
-
-
-
-
0
0
-
-
14
408
504
-
0
0
-
-
0 -
0 -
0
100
960
7,396
1
40
12
23
20
30
700 4,402 3,310
7 3,455
109 5,210
0
0
-
-
0
0
-
-
0
0
-
-
0
0
-
-
0 -
0 -
-
-
-
-
-
-
1
-
-
-
1
-
0
0
-
-
0
0
-
-
0
0
-
-
0 5
0 25
-
-
210
30
-
0
0
20
-
-
0
10
13
15
-
0
0
-
-
-
0 -
0 6
24
-
-
18
12
-
-
-
-
-
-
0 -
0 -
-
-
-
-
-
-
23
50
251
(21)
-
-
3
1,403
97
-
11 23 4,425 3,410
4,598
302
-
32,180
(15,680)
-
6
3 24
5
-
-
-
-
-
0
0
-
-
-
0
0
-
-
-
5
7
5
5
7
50
67
-
17
21
18
12
17
148
(4)
-
0
1
1
(1)
-
16
18
16
18
21
171
4
-
24
37
23
39
28
287
(50)
-
8
11
9
4
6
68
(6)
-
4
15
28
5
5
74
127
-
56
1
1
58
2
-
8
2
66
2
2
84
36
-
16
12
11
10
13
107
72
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
100
100
359
100
-
200
206
929
(200)
-
0
0
130
70
-
0
0
2
6
-
0 -
0 -
2
3
-
8
-
-
2
2
2
9
(2)
-
2
3
5
10
-
-
0
0
2
-
-
5
0
10
25
(10)
-
7
5
10
43
(10)
-
100
0 0 3 0 0 0 0
75 10 7 0 2 40 0
475
(75)
-
40
(10)
-
66
(3)
-
-
7
-
2
8
-
205
(30)
-
13
-
-
100 100
100 1 2
2 1
5
50 4
9 2
50 11
3
31 2
3 1 25
20
2 3 10
1 25 80 5
2
1 25 30 5
0 0 0 3 21 0 0 0 0 0 3 2 0 0 20 0 0 0 0 0 0 0 0 0
0 0 1 3 10 1 2 0 0 3 0 0 0 5 100 2 0 0 0 0 0 0 0 0
0 0 0 0 0
12
5
-
-
3
-
6
4
-
12
1
-
80
70
-
3
(1)
-
6
6
-
-
-
-
-
-
-
3
(3)
-
3
2
-
2
3
-
4
-
-
130
(5)
-
510
-
-
34
8
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0 0 0 0
-
-
-
-
-
-
0
-
-
-
0
njarnegara, 31 Desember 2018 ngelola Obat Puskesmas Wanayasa 2
sa Kurniasih )
THL. 00401017
0
-
-
: Puskesmas Wanayasa 2 : Wanayasa
PENERIMAAN NO
NAMA OBAT / ALAT KESEHATAN HABIS PAKAI
SATUAN
HARGA
STOK AWAL JAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
OBAT GENERIK ACYCLOVIR 200 MG TABLET ACYCLOVIR 400 MG ACYCLOVIR KRIM 5% ALBENDAZOLE TABLET 400 MG ALOPURINOL TABLET 100 MG AMBROXOL SIRUP AMBROXOL TAB 30 MG AMINOFILIN TABLET 200 MG AMINOFILINA INJEKSI 24 MG/ML - 10 ML AMITRIPTILIN HCL TABLET SALUT 25 MG AMLODIPINE 10 MG TABLET AMLODIPINE 5 MG TABLET AMOKSISILIN INJ. 1000 MG AMOKSISILIN KAPLET 500 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN SIRUP KERING 125 MG/5 ML ANTALGIN (METAMPIRON) TABLET 500 MG ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET KOMBINASI ANTIFUNGI DOEN KOMB.(As.Benzoat&As.Salisilat)
Tablet Tablet Tube Tablet Tablet Botol Tablet Tablet Ampul Tablet Tablet Tablet Vial Kaplet Kapsul Botol Tablet Botol Tablet Tube
40 100 50 630 200 110 4,458
160 634 90 7,705 1,000 120 314 74 1,390
FEB 100 100
200 144 600 200
450
2,500 96 200 100 1,000
MAR
TOTAL PENERIMAA N 100 100 0 0 200 144 600 200 0 0 450 0 0 2,500 0 96 200 100 1,000 0
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
ANTIHEMOROID SUPPOSITORIA ANTIMIGREN DOEN (Ergotamin&Cafein) TABLET AQUA PRO INJEKSI STERIL BEBAS PIROGEN ARTEMETER INJEKSI ARTERAKINE TABLET ARTESUNATE INJEKSI ASAM ASKORBAT TABLET 50 MG ASAM FOLAT ASAM MEFENAMAT KAPLET 500 MG ASAM TRANEKSAMAT 500 MG ATROPIN SULFAT TABLET 0,5 MG ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML BETAHISTIN MESILATE 6 MG BETAMETASON KRIM 0,1 % BISAKODIL SUPP 10 MG BISAKODIL SUPP 5 MG BISAKODIL TABLET CAPTOPRIL 25 MG CAPTOPRIL TABLET 12,5 MG CARBAMAZEPIN TABLET CLONIDIN 0,15 MG TABLET DEKSAMETASON INJEKSI 5 MG/ML 1 ML DEKSAMETASON TABLET 0,5 MG DESOXIMETASONE 0,25 CREAM 15 G DIAZEPAM INJEKSI 5 MG/ML - 2 ML DIAZEPAM RECTAL TUBE 5 MG DIAZEPAM TABLET 2 MG DIAZEPAM TABLET 5 MG DIETIL CARBAMAZIN 100 MG
Suppo Tablet Vial Ampul Tablet Vial Tablet Tablet Kaplet Tablet Tablet Ampul Tablet Tube Suppo Suppo Tablet Tablet Tablet Tablet Tablet Ampul Tablet Tube Ampul Tube Tablet Tablet Tablet
7 100 9
4,056 3,425 2,647 95 5 1,580 37 3 5 62 1,812 1,000 100 90 11 4,829
10
1,500 1,500 1,000
600 100 3 5 800 500
1,500
5 100 757
0 0 10 0 0 0 1,500 1,500 1,000 0 0 0 600 100 3 5 0 800 500 0 0 0 1,500 0 0 0 100 0 0
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78
DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1ML DIGOKSIN TABLET 0,25 MG DILTIAZEM TABLET DIMENHIDRINATE 50 MG DOKSISIKLIN TABLET 100 MG DOMPERIDONE SIRUP DOMPERIDONE TABLET 10 MG EFEDRIN TABLET 25 MG EPINEFRINA HCL/ADRENALINA INJEKSI 0,1 % - 1 ML ERITROMISIN KAPSUL 500 MG ETAKRIDIN (RIVANOL) LARUTAN ETAMBUTOL TABLET 500 MG ETANOL 70 % 1000 ML ETIL KLORID SEMPROT FENILBUTASON TABLET SALUT 200 MG FENOBARBITAL INJEKSI 50 MG/ML - 2 ML FENOBARBITAL TABLET 30 MG KARBOGLISERIN TT 10 % 5 ML FITOMENADION (VIT.K1) INJEKSI 10 MG/ML - 1 ML FITOMENADION (VIT.K1) TABLET SALUT GULA 10 MG FUROSEMID TABLET 40 MG GAMEKSAN KRIM GARAM ORALIT UNTUK 200 ML AIR GEMFIBROZIL 300 MG GENTAMICIN 80 MG INJEKSI GENTAMICIN SALEP KULIT GENTIAN VIOLET 1 % 10 ML GLIBENKLAMID TABLET 5 MG GLIMEPIRIDE 1 MG TABLET
Ampul Tablet Tablet Tablet Kapsul Botol Tablet Tablet Ampul Kapsul Botol Tablet Botol Botol Tablet Ampul Tablet Botol Ampul Tablet Tablet Tube Saset Kapsul Vial Tube Botol Tablet Tablet
100
100
157 780
50 1,000
5
5
6 1
55 100 571 101 508
400 50 300
37 9 275
100 15 300
0 100 0 0 0 50 1,000 0 5 0 0 0 0 0 0 0 0 0 0 0 400 50 300 0 0 100 15 300 0
79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107
GLIMEPIRIDE 2 MG TABLET GLISERIL GUAYAKOLAT 100 MG GLISEROL GLUKOSA LARUTAN INFUS 5 % STERIL GRISEOFULVIN TABLET 125 MG MICRONAIZED HALOPERIDOL TABLET 1,5 MG HALOPERIDOL TABLET 5 MG HIDROKLOROTIAZID (HCT) TABLET 25 MG HIDROKORTISON KREAM 2,5% 5 GR IBUPROFEN SUSPENSI 100 MG/5 ML IBUPROFEN TABLET 200 MG IBUPROFEN TABLET 400 MG ICHTYOL SALEP ISONIAZID (INH) TABLET 300 MG ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG JELLY DOPLER KALSIUM GLUKONAS INJEKSI KALSIUM LAKTAT TABLET 500 MG KETOKONAZOLE 200 MG TABLET KLORAMFENIKOL 1G INJEKSI KLORAMFENIKOL SUSPENSI 125 MG/5 ML KLORAMFENIKOL TETES MATA 0,5 % KLORAMPENIKOL SALEP MATA 1% KLORAMPENIKOL TETES TELINGA 3 % KLORFENERAMIN MALEAT (CTM) TABLET 4 MG KLOROKUIN TABLET 150 MG KLORPROMAZIN TABLET SALUT 25 MG KOMB. ARTESUNATE 50 MG + AMODIAQUIN 150 MG TAB KOMB.ZIDOVUDIN+LAMIVUDIN
Tablet Tablet Botol Botol Tablet Tablet Tablet Tablet Tube Botol Tablet Tablet Pot Tablet Tablet Botol Ampul Tablet Tablet Vial Botol Botol Tube Botol Tablet Tablet Tablet Tablet Tablet
3,100
1,000
17
20
77 140 240 1,560
96 50 1,500
260 3 3 2,795 75
2,000 100 100 100
68 3,662
2,500
0 1,000 0 20 0 0 0 0 96 50 0 1,500 0 0 0 0 0 2,000 100 0 100 100 0 0 2,500 0 0 0 0
108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136
KOTRIMOKSAZOL SUSPENSI 240MG/5ML KOMB. KOTRIMOKSAZOL TABLET 480 MG. KOMBINASI KUININ (KINA) INJEKSI KUININ (KINA) TABLET 200 MG LEVOTHYROXINE 100 LIDOCAIN 2% INJEKSI LIDOKAIN COMP. INJEKSI 2 % LOPERAMID HCL TABLET 2 MG LORATADIN 10 MG MAGNESIUM SULFAT INJEKSI (IV) 40%/25 ML MAGNESIUM SULFAT INJEKSI 20%-25ML MB Anak MB Dewasa MEBENDAZOL TABLET 100 MG METFORMIN 500 MG TABLET METILDOPA 250 MG METILERGOMETRIN MALEAT TAB. SLT.0,125 MG METILERGOMETRIN MALEAT INJEKSI 0,2 MG-1ML METILPREDNISOLON TABLET 4 MG METOKLOPRAMID HCL INJEKSI 5 MG/ML METOKLOPRAMID HCL TABLET 10 G METRONIDAZOL TABLET 500 MG MIKONAZOL KRIM/SALEP 2% MINERAL MIX NATRIUM BIKARBONAT TABLET NATRIUM DIKLOFENAK 50 MG TABLET NATRIUM FENITOIN KAPSUL 100 MG NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL NATRIUM TIROKSIN 100 MG
Botol Tablet Tablet Tablet Tablet Ampul Ampul Tablet Tablet Vial Vial Kotak Kotak Tablet Tablet Tablet Tablet Ampul Tablet Ampul Tablet Tablet Tube Bungkus Tablet Tablet Kapsul Botol Tablet
156 1,116
100 1,000
30 8 480
20 100
5
770 100
1,000 100
6 370
365 35
500 96
450 3,570
2,000
25
20
100 1,000 0 0 0 0 20 100 0 0 0 0 0 0 1,000 0 100 0 0 0 0 500 96 0 0 2,000 0 20 0
137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165
NIFEDIPIN TABLET NISTATIN TABLET VAGINAL 100.000 IU/G OAT FDC ANAK OAT FDC I OAT FDC II OAT Kombipak Kategori I OBAT ANTI MALARIA OBAT ANTI TUBERKOLOSIS ANAK OBAT ANTI TUBERKOLOSIS SISIPAN OBAT BATUK HITAM (OBH) CAIRAN OKSITETRASIKLIN HCL SALEP KULIT 3 % OKSITETRASIKLIN HCL SALEP MATA 1 % OKSITOSIN INJEKSI 10 IU/ML - 1 ML OMEPRAZOLE 30 MG KAPSUL PAPAVERIN INJEKSI PAPAVERIN TABLET 40 MG PARASETAMOL DROPS PARASETAMOL SIRUP 120 MG/5 ML 60 ML PARASETAMOL TABLET 500 MG PB Anak PB Dewas PIRACETAM 400 MG TABLET PIRACETAM INJ PIRANTEL TABLET 125 MG PIRIDOKSIN (VIT B6) INJEKSI PIRIDOKSIN (VIT B6) TABLET 10 MG PIROKSIKAM TABLET 10 MG POLIKRESULEN 360MG/G (Albothyl) POVIDON IODIDA 10 % 30 ML
Tablet Tablet Kotak Kotak Kotak Kotak Kotak Kotak Kotak Botol Tube Tube Ampul Kapsul Ampul Tablet Botol Botol Tablet Kotak Kotak Tablet Ampul Tablet Ampul Tablet Tablet Botol Botol
100 132
100 100
341
58 487
100
5 733 7,053
150 5,000
84
100
1,390 80 4
1,000 100 50
100 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 150 5,000 0 0 100 0 0 0 1,000 100 0 50
166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194
POVIDON IODIDA 10 % 300 ML. PREDNISON TABLET 5 MG PRIMAQUIN 15 MG TABLET PROKAIN PENISILIN FORTIFIEE 4 MUI PROPILTIOURASIL TABLET 100 MG PROPRANOLOL HCL TABLET 40 MG RANITIDIN INJEKSI RANITIDIN TABLET 150 MG RETINOL (VIT.A) KAPSUL LUNAK 100.000 IU RETINOL (VIT.A) KAPSUL LUNAK 200.000 IU RINGER LAKTAT LARUTAN INFUS STERIL SALBUTAMOL CAIRAN IH 0,1 % SALBUTAMOL TABLET 2 MG SALEP 2 - 4 KOMB.(As.Salisilat&Belerang endap) SALISIL BEDAK 50 GR SEFADROKSIL 500 MG SERUM ANTI BISA ULAR INJEKSI 5 ML (ABU I) SERUM ANTI TETANUS INJEKSI 1.500 IU/AMPUL SIANOKOBALAMIN (VIT.B12) INJEKSI 500 MCG/ML-1 ML SIMVASTATIN TABLET 10 MG SIPROFLOKSASIN TABLET 500 MG SPIRONOLACTONE 25 MG TABLET STREPTOMYCIN INJEKSI SULFASETAMID TETES MATA 15 % TABLET TAMBAH DARAH ( BESI II SULFAT + AS.FOL THIAMFENIKOL KAPSUL 500 MG THIAMIN HCL (VIT. B1) INJEKSI 100 MG/ML - 1 ML THIAMIN HCL/MONONITRAT (VIT. B1) TABLET 50 MG TRAMADOL INJEKSI
Botol Tablet Tablet Vial Tablet Tablet Ampul Tablet Kapsul Kapsul Botol Botol Tablet Pot Pot Kapsul Vial Ampul Ampul Tablet Tablet Tablet Vial Botol Tablet Kapsul Ampul Tablet Ampul
3 144
4 3,657 50 812 63 413
1,000
3,000
40 1,500
21 390
50
350 1,020
500 1,000
10,515 48
100
993
1,000
0 1,000 0 0 0 0 0 3,000 0 0 40 0 1,500 0 50 0 0 0 0 500 1,000 0 0 0 0 100 0 1,000 0
195 196 197 198
TRAMADOL TABLET 50 MG TRIHEKSIFENIDIL TABLET 2 MG VITAMIN B KOMPLEKS TABLET ZINK TABLET 20 MG
Tablet Tablet Tablet Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
OBAT PATEN CAIRAN INFUS UTK TERAPI RESUSITASI HYOSIN N BUTILBROMIDA KAPLET KALIUM L ASPARTAT 300 MG KOMB.ANTIBAKTERI SALEP KOMB. BATUK TABLET KOMB. BATUK SIRUP KOMB.DIARE SUSPENSI KOMB.DIARE TABLET KOMB.ENZIM PENCERNAAN KOMB.FLU SIRUP KOMB.FLU TABLET KOMB.LUKA BAKAR GELL KOMB.OAI ANTI HIPERTENSI KOMB.OAI ANTIHEMOROID KAPSUL KOMB.OAI BATU GINJAL ELIXIR KOMB.OAI EKSTRAK MYRTILLI FRUCTUS & LUFEIN ( BI KOMB.OAI EKSTRAK RED CLOVER KOMB.OAI HEPATOPROTEKTOR KAPSUL KOMB.OAI IMUNOSUPRESAN KAPSUL KOMB.OAI IMUNOSUPRESAN SIRUP KOMB.OAI KUMUR MULUT KOMB.OAI NAFSU MAKAN KAPLET KOMB.OAI NAFSU MAKAN SIRUP
Botol Kaplet Tablet Tube Tablet Botol Botol Tablet Tablet Botol Tablet Tube Kapsul Kapsul Botol Kapsul Kapsul Kapsul Kapsul Botol Botol Kaplet Botol
30
1,060
1,000
50 137 299 1,039 500 200
200 1,050
9
100 5,100 24
0 0 0 1,000 0 0 0 0 0 0 0 0 200 1,050 0 100 5,100 24 0 0 0 0 0 0 0 0 0 0 0
24 25 26 27 28 29 30 31 32 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KOMB.TETES MATA KOMB.VITAMIN B1B6B12 KOMB.VITAMIN KAPLET KOMB.VITAMIN SIRUP MINYAK KAYU PUTIH 30 ML MINYAK KAYU PUTIH 50 ML MINYAK KAYU PUTIH 60 ML MINYAK TELON 30 ML MINYAK TELON 60 ML TABLET TAMBAH DARAH (BESI FUMARAT) ALKES DAN BMHP ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 2,5 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML BISTURI CAT GUT NO. 2/0 - 3/0 DNG. JARUM BEDAH CUTIKELCEL FOLLEY CATH NO. 16 FOLLEY CATH NO. 18 FIXOMUL HAND SCHOON NO.7,5 HAND SCHOON PANJANG HAND SCHOON SENSI INFUSION SET ANAK INFUSION SET DEWASA I V CATHETER NO. 22 I V CATHETER NO. 24 I V CATHETER NO.18
Botol Tablet Kaplet Botol Botol Botol Botol Botol Botol
292
2,500 3,000 300
tablet Set Set Set Set Set Set Lembar Set Set Rol Set Set Set Set Set Set Set Set
259 239 165
100 8 1
8 1 100 160 11 3 7 10 25
2 50 10 5 10
100
0 2,500 3,000 300 0 0 0 0 0 0 0 0 0 100 0 8 1 0 0 0 2 50 0 10 5 10 0 0 100
19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
JARUM BEDAH KAPAS BERLEMAK 500 GRAM KAPAS PEMBALUT/ABSORBEN 250 GR KASA GULUNG 40 M X 80 CM KASA PEMBALUT HIDROFIL 4 M X 15 CM LEOKOMED IV LARUTAN KLORIN 5.25% MASKER PLESTER 5 YARD X 2 INCHI PLESTER DNG FRAMISETIN SULFAT SELANG O2 BAYI SELANG O2 DEWASA SILK (BENANG BEDAH SUTERA) NO. 3/0 TABLET TAMBAH DARAH (BESI FUMARAT) TRANFUSI SET/ BLOOD ADM SET UNDERPAD URIN BAG
Set Rol Rol Rol Rol Lembar Botol Kotak Rol Lembar Set Set Kotak Set 15 85 5
3
1 90 1
2 5
1
5 280 6
0 0 0 0 0 2 0 5 0 0 0 0 0 0 5 0 0
MHP PUSKESMAS 31 MARET 2018
JUMLAH PERSEDIAA N
140 200 50 630 400 254 5,058 200 0 160 1,084 90 0 10,205 1,000 216 514 174 2,390 0
PENGELUARAN
JAN
100 6 3 22 24 1,296
FEB 10 30 9 8 10 16 160 15
MAR
6 14 53 195
185
170 20
280 70
2,466 120 25 30 58 610
1,655 70 67 120 50 350
2,110 60 76 140 48 890
SISA TOTAL STOK RUSAK/E PENGELUAR D AN 10 130 21 25 32 93 1,651 15 635 90 6,231 250 168 290 156 1,850 -
130 70 29 605 368 161 3,407 185 160 449 3,974 750 48 224 18 540 -
NILAI PERSEDIAAN
-
7 100 19 0 0 0 5,556 4,925 3,647 95 0 5 2,180 137 6 10 62 2,612 1,500 100 90 11 6,329 0 0 5 100 757 0
9
10
2,164 1,450 1,260 5
921 940 505 37
2,337 1,990 1,815 4
620 37
110 10 3
63 36
613 240
704 70
1,180 280
1,014
40 3 800
2,103
2
5 100 757
19 5,422 4,380 3,580 46 793 83 3 2,497 590 40 5 3,917 5 100 757 -
7 100 134 545 67 49 5 1,387 54 3 10 62 115 910 100 50 6 2,412 -
-
0 200 0 0 0 207 1,780 0 10 0 0 0 6 1 0 0 0 0 55 100 971 151 808 0 0 137 24 575 0
12 561
18 145
64 315
5
5
1
3 1
10
5
140 54 100
30 37 50
140 25 75
17 5
11 1 35
10 7
94 1,021 10 4 1 15 310 116 225 38 13 35 -
200 113 759 2 40 100 661 35 583 99 11 540 -
-
0 4,100 0 37 0 0 0 0 173 190 240 3,060 0 0 260 3 3 4,795 175 0 100 100 68 0 6,162 0 0 0 0
1,440
971
1,422 7
13 13 20 520
29 17
35 4
20 205
10 640
1
10 2
910 5
2,035 15
20
6
24 42
1,966
1,310
1,614
1,850 20
3,833 7 77 34 50 1,365 10 3 4,795 40 24 68 4,890 -
267 30 96 156 190 1,695 250 3 135 100 76 1,272 -
-
256 2,116 0 0 0 30 28 580 0 0 5 0 0 0 1,770 100 100 6 370 0 0 865 131 0 450 5,570 0 45 0
9
7 20
224
10 203
2
10 100
70 100
150
240
10
45 35
1,130
60 41
380 5
1,100
150 1,565 5
16 244 10 10 305 460 100 10 485 81 150 3,795 5 -
240 1,872 20 18 275 5 1,310 100 6 360 380 50 300 1,775 40 -
-
200 232 0 0 0 0 0 0 0 341 0 0 58 587 0 0 5 883 12,053 0 0 184 0 0 0 2,390 180 4 50
60 5
105
8
6
90
10 116
5 129
145 3,032
152 2,004
389 4,525
855 80
430 30
540 25
6
4 10
60 110 14 15 335 686 9,561 1,825 135 4 16
140 122 327 43 252 5 197 2,492 184 565 45 34
-
3 1,144 0 0 0 0 4 6,657 50 812 103 413 1,500 0 71 390 0 0 0 850 2,020 0 0 0 10,515 148 0 1,993 0
1 200
2,400
2,225
499
7
10 50
10 53
320
40
605
12 20
3 10
7 20
20 180
30 80
15 700
3,095 30
1,385
2,555 10
310
10
860
1 200 5,124 27 103 965 22 50 65 960 7,035 40 1,180 -
2 944 4 1,533 50 785 413 535 49 340 785 1,060 3,480 108 813 -
-
30 0 0 2,060 0 0 0 0 0 0 50 137 499 2,089 500 300 5,100 33 0 0 0 0 0 0 0 0 0 0 0
30
140
150
735
6 15 150
11
50 27
65
79 465 14
2
96
28 580 500 156 2,895 5
30 1,025 50 44 43 826 500 300 3,360 21 -
1,035 93 456 1,263 1,740 12 -
-
0 2,500 3,000 592 0 0 0 0 0 0 0 259 0 339 165 8 1 0 0 8 3 150 160 21 5 13 7 10 125
91
431 685 109
471 653 143
259 10 15
100 50
100 50
1
25 50 6 3 5
25 80 8 2 5
25
20
25
5 1 25 30 5
902 1,338 343 259 210 115 5 1 75 160 19 5 11 70
1,598 1,662 249 129 50 8 1 3 2 75 2 2 7 10 55
-
3 0 0 0 0 3 90 6 0 1 0 0 0 0 5 280 6
1 10 1
50 5
1
20 3
5 50
100 3
1 60 6 1 5 170 6
3 2 30 110 -
-
LAPORAN STOK OBAT DAN BMHP PUSKESMAS PERIODE 1 APRIL 2018 S.D. 30 DESEMBER 2018 Nama Puskesmas: Kecamatan :
NO
: Puskesmas Wanayasa 2 : Wanayasa 2
NAMA OBAT / PERBEKALAN KESEHATAN OBAT RUTIN
SATUA STOK HARGA N AWAL APR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
PE
PENERIMAAN
Tablet ACYCLOVIR 200 MG TABLET Tablet ACYCLOVIR 400 MG Tablet ACYCLOVIR KRIM 5% Botol ALKOHOL LIQUID 70 % Tablet ALLOPURINOL TABLET 100 MG Botol AMBROXOL SIRUP 15 MG/5 ML Tablet AMBROXOL TAB 30 MG Tablet AMINOFILIN TABLET 200 MG Vial AMINOFILINA INJEKSI 24 MG/ML - 10 ML Tablet AMLODIPINE 10 MG TABLET Tablet AMLODIPINE 5 MG TABLET AMOKSISILIN FORTE SIRUP KERING 250 MG/5 ML Botol Tablet AMOKSISILIN INJ. 1000 MG Vial AMOKSISILIN KAPLET 500 MG Kaplet AMOKSISILIN KAPSUL 250 MG Kapsul AMOKSISILIN SIRUP KERING 125 MG/5 ML Tablet ANTALGIN (METAMPIRON) TABLET 500 MG Tablet ANTASIDA DOEN SUSPENSI Tablet ANTASIDA DOEN TABLET KOMBINASI ANTIFUNGI DOEN KOMB.(As.Benzoat&As.Salisilat) Tablet Tube ANTIHEMOROID SUPPOSITORIA Tablet ANTIMIGREN DOEN (Ergotamin&Cafein) TABLET
MEI
130
100
70
100
29
24
JUNI
JULI
AGUST SEPT
OKT
100
3
2
368
NOV
DES
JUMLAH TOTAL PERSED PENERI IAAN MAAN
APR
MEI
JUNI
JULI
100
230
-
200
270
20
24
53
2
5
0
368
10
20
1
7
1
-
-
20
30
90
111
161
192
192
353
38
6
50
50
3,407
2,500
2,500
5,907
920
440
53
33
0
185
-
-
0
0
-
-
3,510
4,129
345
140
200
350
690
690
30
81
70
180
0
0
-
-
0
0
-
-
12,100
16,074
1,566
1,491
1,205
1,395
1,500
2,250
120
30
360
340
800
821
84
52
63
110
800
1,024
80
80
51
64
500
518
63
51
75
58
6,500
7,040
1,261
680
980
970
0
0
-
-
7
0
7
-
-
100
0
100
-
-
185 619
1,500
2,010 510
3,974
8,000
100
750
1,000
500
21
500
224 500
540
4,000
4,000 300
500
18
180
500
300 1,500
500
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
AQUA PRO INJEKSI STERIL BEBAS PIROGEN ASAM ASKORBAT TABLET 50 MG ASAM FOLAT ASAM MEFENAMAT KAPLET 500 MG ASAM TRANEKSAMAT 500 MG (CLONEX) ASERING INFUS ASETOSAL TAB 80 MG (MINIASPI ) ATROPIN SULFAT TABLET 0,5 MG ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML BETAHISTIN MESILATE 6 MG BETAMETASON KRIM 0,1 % BISAKODIL SUPP 10 MG (DULCOLAX) BISAKODIL SUPP 5 MG (DULCOLAX) BISAKODIL TABLET CAPTOPRIL 25 MG CAPTOPRIL TABLET 12,5 MG CARBAMAZEPIN TABLET 200 MG CLONIDIN 0,15 MG TABLET DEKSAMETASON INJEKSI 5 MG/ML 1 ML DEKSAMETASON TABLET 0,5 MG DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1ML DIGOKSIN TABLET 0,25 MG DILTIAZEM TABLET DIMENHIDRINATE 50 MG DOMPERIDONE SIRUP DOMPERIDONE TABLET 10 MG EPINEFRINA HCL/ADRENALINA INJEKSI 0,1 % - 1 M ERITROMISIN KAPSUL 500 MG ETAKRIDIN (RIVANOL) LARUTAN ETIL KLORID SEMPROT (XYLOCAINE SPRAY)
Vial
5
25
20
12
57
62
Tablet
134
8,000
7,000
5,000
20,000
20,134
Tablet
545
8,000
3,500
4,000
15,500
Tablet
67
5,000
2,500
1,500
Tablet
49
Botol Tablet Kaplet
200 5
Ampul
5
-
10
1,861
1,192
1,135
3,720
16,045
2,240
860
1,290
2,660
9,000
9,067
980
782
1,395
1,495
0
49
5
0
0
-
-
200
200
-
-
0
5
-
-
0
0
-
-
1,020
2,407
100
402
90
80
314
368
28
19
22
79
44
Tablet
1,387
1,020
Tube
54
144
Suppo
3
0
3
-
-
Suppo
10
0
10
-
-
Tablet
62
0
62
-
-
Tablet
115
5,000
3,000
8,000
8,115
787
446
631
1,871
Tablet
910
1,000
3,000
5,000
5,910
215
135
1,810
1,010
Tablet
100
0
100
-
-
Tablet
50
0
50
-
-
Ampul
8
20
28
-
-
Tablet
2,412
11,500
13,912
1,799
1,969
0
0
-
-
0
200
-
-
Tube
0
0
-
-
Ampul
0
0
120
1,000
50
20 5,000
1,000
3,500
2,000
Ampul Tablet
200
50 1,652
1,348
Botol
113
100
50
150
263
21
14
30
56
Tablet
759
1,000
100
1,100
1,859
661
205
-
-
20
20
-
-
Tablet
0
0
-
-
Botol
0
0
-
-
2
2
-
-
Tablet
Botol
20
2
53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
FENILBUTASON TABLET SALUT 200 MG FENOL GLISEROL TT 10 % 5 ML FITOMENADION (VIT.K1) TABLET SALUT GULA 10 FUROSEMID INJEKSI 10 MG/ML FUROSEMID TABLET 40 MG GAMEKSAN KRIM (SCABIMITE) GARAM ORALIT UNTUK 200 ML AIR GEMFIBROZIL 300 MG GENTAMICIN SALEP KULIT GENTIAN VIOLET 1 % 10 ML GLIBENKLAMID TABLET 5 MG GLIMEPIRIDE 1 MG TABLET GLIMEPIRIDE 2 MG TABLET GLISERIL GUAYAKOLAT 100 MG GLUKOSA LARUTAN INFUS 5 % STERIL GRISEOFULVIN TABLET 125 MG MICRONAIZED HIDROKLOROTIAZID (HCT) TABLET 25 MG HIDROKORTISON KREAM 2,5% 5 GR HYOSIN N BUTILBROMIDA KAPLET (SCOPMA) IBUPROFEN SUSPENSI 100 MG/5 ML IBUPROFEN TABLET 200 MG IBUPROFEN TABLET 400 MG ICHTYOL SALEP ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG JELLY DOPLER (ULTRASONIC GEL) KALIUM L ASPARTAT 300 MG (KALIPAR) KALSIUM LAKTAT TABLET 500 MG KETOKONAZOLE 200 MG TABLET KETOPROFEN SUPP 100 MG (SUPRAFENID) KETOROLAK INJ 30 MG / ML
Tablet
113
0
113
-
-
Tube
759
0
759
-
-
Kapsul
100
100
200
-
-
0
0
-
-
1,000
1,661
35
17
52
82
30
210
245
51
21
27
35
300
1,300
1,883
451
245
130
160
0
0
-
-
100
138
25
21
78
13
45
56
6
2
-
-
0
540
30
100
100
Tablet
0
0
-
-
Tablet
0
0
-
-
8,000
8,267
985
650
0
20
0
0
Tablet
0
0
-
-
Tablet
0
0
-
-
216
312
106
7
0
0
0
0
100
Ampul Tablet
661
1,000
Tube
35
120
sacet
583
1,000
60
Kapsul Tube
38
100
Tube
11
20
Tablet
540
Tablet
267
Botol
20
Tube
96
25
5,000
1,500
96
1,500
120
Tablet Botol
156
100
Tablet
190
1,000
Tablet
1,695
3,000
1,255
20
957
12
256
30
8
61
64
1,000
1,190
220
10
30
60
3,000
4,695
1,400
360
105
75
0
0
0
0
0
250
5
5
8
9
2
1
1
0
0
16,500
16,503
1,937
1,135
0 1,255
0 1,931
200
335
20
-
-
Botol
0
0
0
0
Vial
0
0
0
0
100
Tube Tablet
250
Botol
1
5
3
Tablet Tablet
3
5,000
Tablet
135
200
1,000
4,500
6,000
83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112
KLINDAMISIN 150 MG KLINDAMISIN 300 MG KLORAMFENIKOL 1G INJEKSI KLORAMFENIKOL KAPSUL 250 MG KLORAMFENIKOL SUSPENSI 125 MG/5 ML KLORAMFENIKOL TETES MATA 0,5 % (RECO) KLORAMPENIKOL SALEP MATA 1% KLORAMPENIKOL TETES TELINGA 3 % KLORFENERAMIN MALEAT (CTM) TABLET 4 MG KOMB (ipatropium Br 0,5, salbutamol 2,5 mg)-COMB KOMB. BATUK SIRUP-DEXTROFEN KOMB. BATUK TABLET-GRANTUSIF KOMB.DIARE SUSPENSI-NEO KAOMINAL KOMB.FLU SIRUP-WICOLD KOMB.FLU TABLET-MOLEXFLU KOMB.LUKA BAKAR GELL-NEOCENTA KOMB.VITAMIN B1B6B12-NEUROPYRAMIN KOMB.VITAMIN KAPLET-CAVIPLEX KOMB.VITAMIN SIRUP-CURCUMA PLUS KOTRIMOKSAZOL FORTE 960 MG KOTRIMOKSAZOL SUSPENSI 240MG/5ML KOMB. KOTRIMOKSAZOL TABLET 480 MG. KOMBINASI LARUTAN KLORIN 5.25%-SO KLIN LIDOCAIN 2% INJEKSI LIDOKAIN COMP. INJEKSI 2 % LOPERAMID HCL TABLET 2 MG LORATADIN 10 MG METFORMIN 500 MG TABLET METILDOPA 250 MG-DOPAMET METILPREDNISOLON TABLET 4 MG
Tablet
0
0
0
0
Tablet
0
0
0
0
Ampul
0
0
0
0
Tablet
0
0
0
0
Botol
0
0
0
0
39 -
40 -
0
0
1,880 -
2,000 -
Tube
72
Tube
100
48
148
220
22
24
120
144
144
20
25
25
25
13,000
14,272
0
0
350
350
12
-
-
1,000
1,093
110
50
506
26
110 176
110 120
400
400
129
104
126
10,650
12,390
2,506
1,515
72
84
3
960 11
1,100 20
Tube Tablet
1,272
7,000
3,000
3,000
Pot 100
Botol Tablet
93
Botol
456
1,000 50 200
Botol
250
200 3,600
1,578
11 4 1,176
Tablet
1,740
7,050
Tablet
12
40
32
Tablet
1,598
2,500
2,000
1,000
5,500
7,098
1,127
668
620
1,345
Tablet
1,662
3,000
2,500
2,000
7,500
9,162
1,040
718
820
1,765
Botol
249
200
700
949
141
105
90
203
0
0
Botol
240
50
50
100
340
8
14
0 72
0 73
Tablet
1,872
1,000
500
1,500
3,372
56
Botol
40
80
80
120
15
50 50
1,011 -
1,030 -
Ampul
120
100
150
270
4
20
20
33
Ampul
30
20
20
50
Tablet
272
500
500
772
0
0
1,310
1,000
2,000
3,310
60
755
755
0
0
0
360
100
400
Tablet
50
Botol Tablet Tablet Tablet
360
1,000
5 175
113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142
METOKLOPRAMID HCL INJEKSI 5 MG/ML METRONIDAZOL TABLET 500 MG MIKONAZOL KRIM/SALEP 2% N ACETIL SISTEIN KAPSUL 200 MG NATRIUM BIKARBONAT TABLET 500 MG NATRIUM DIKLOFENAK 50 MG TABLET NATRIUM FENITOIN KAPSUL 100 MG NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL NEW ANTIDES-ATTAPULGITE/PECTIN TABLET NIFEDIPIN TABLET NISTATIN TABLET VAGINAL 100.000 IU/G OBAT BATUK HITAM (OBH) CAIRAN OKSITETRASIKLIN HCL SALEP MATA 1 % OMEPRAZOLE 30 MG KAPSUL PAPAVERIN INJEKSI PAPAVERIN TABLET 40 MG PARASETAMOL DROPS PARASETAMOL SIRUP 120 MG/5 ML 60 ML PARASETAMOL TABLET 500 MG PERAK SULFADIAZIN KRIM 1 % PIRACETAM 400 MG TABLET PIRACETAM INJ PIRANTEL TABLET 125 MG PIRIDOKSIN (VIT B6) INJEKSI PIRIDOKSIN (VIT B6) TABLET 10 MG PIROKSIKAM TABLET 10 MG POLIKRESULEN 360MG/G (Albothyl) POVIDON IODIDA 10 % 30 ML POVIDON IODIDA 10 % 300 ML. PREDNISON TABLET 5 MG
Ampul
0
0
Tablet
380
2,000
2,000
2,380
30
56
575
560
Tablet
50
100
100
150
25
1
15
18
0
0
0
300
100
100
100
8,500
10,275
1,100
865
600
700
300
300
60
60
5
15
15
2,500
3,763
230
51
31
0
140
40
40
200
322
20
0
327
20
13
2 4
2 4
0
0
990
1,742
200
140
100
160
Ampul
0
0
Tablet
0
0
0
5
1
1
Tablet Tablet
300
Tablet
1,775
6,000
500
2,000
Tablet
300
Botol
20
Tablet
1,263
Tablet
140
Tablet
122
Botol
327
40
2,500 200
Tube Tablet
752
990
Botol
3
Botol
197
600
Tablet
2,492
10,000
200
250
500
700
2,000
2,197
177
181
276
293
5,000
8,500
23,500
25,992
3,161
1,490
3,175
3,190
0
0
0
184
50
50
Ampul
0
0
Kapsul
0
0
Ampul
0
0
1,500
4,800
5,365
760
310
675
675
100
300
345
40
30
10
30
0
0
100
137
20
13
25
0
3
500
1,444
1 10
1 400
1 400
Tube Tablet
184
Tablet
565
3,000
Tablet
45
200
Botol
37
50
Botol
3
Tablet
944
300
Botol
500
50
10
143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 1 2 3 4 5 6
PROPILTIOURASIL TABLET 100 MG PROPRANOLOL HCL TABLET 40 MG RANITIDIN INJEKSI RANITIDIN TABLET 150 MG RINGER LAKTAT LARUTAN INFUS STERIL SALBUTAMOL CAIRAN IH 0,1 % SALBUTAMOL TABLET 2 MG SALEP 2 - 4 KOMB.(As.Salisilat&Belerang endap) SALISIL BEDAK 2% SEFADROKSIL 500 MG SERUM ANTI BISA ULAR INJEKSI 5 ML (ABU I) SERUM ANTI TETANUS INJEKSI 1.500 IU/AMPUL SIANOKOBALAMIN (VIT.B12) INJEKSI 500 MCG/MLSIMVASTATIN TABLET 10 MG SIPROFLOKSASIN TABLET 500 MG SPIRONOLACTONE 25 MG TABLET SULFASETAMID TETES MATA 15 % THIAMFENIKOL KAPSUL 500 MG THIAMIN HCL/MONONITRAT (VIT. B1) TABLET 50 M TRAMADOL INJEKSI TRAMADOL TABLET 50 MG VITAMIN B KOMPLEKS TABLET ZINK TABLET 20 MG PROGRAM HIV FOKUS RPR SHYPILIS HBsAg (SD Bioline) HEXAGON SYPHILIS RAPID 1 HIV RAPID 2 HIV RAPID 3 HIV
Tablet Kotak Ampul
4
Tablet
1,533
Botol
40
7,000 60
948
2,000
49
Tablet
340
0 4
10,000
11,533
1,232
60
120
160
20
0
0
2,200
3,148
0
0
0
49
105
445
200
100
0 0
Tube Kotak
0
3,000
Tube Tablet
0
5
60
1,435
800
1,010
20
20
60
850
850
6
100
100
10 80
10 80
100
100
Vial
5
5
5
Vial
10
10
10
0
0
0
758
20
2,000
3,060
330
10 390
200
200
0
0
400
508
32
24
1,400
2,213
20
Ampul
0
0
Tablet
0
0
Tablet
0
0
5,500
6,535
0
0
Tablet
0
0
Vial
0
0
0
0
200
200
Tablet
0
0
Tablet
0
0
Vial Tablet
758
Tablet
1,060
2,000 200
Tablet Tube Tablet
108
200
Tablet
813
1,000
Botol
1,035
200 400
2,000
500
3,000
Tablet Tablet
100
100
1
655
700
225
130
130
29
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 1 2 3 1 2
PSIKOTROPIKA DAN PROGRAM JIWA ALPRAZOLAM 1 MG AMITRIPTILIN HCL TABLET SALUT 25 MG DIAZEPAM INJEKSI 5 MG/ML - 2 ML DIAZEPAM RECTAL TUBE 5 MG DIAZEPAM TABLET 2 MG DIAZEPAM TABLET 5 MG FENOBARBITAL INJEKSI 50 MG/ML - 2 ML FENOBARBITAL TABLET 30 MG FLUFENAZIN INJ 25 MG/ML (I.M) FLUOKSETIN 10 MG HALDOL DECANOAS, HALOPERIDOL INJ 5 MG/ML HALOPERIDOL TABLET 1,5 MG HALOPERIDOL TABLET 5 MG KLOBAZAM 10 MG KLORPROMAZIN TABLET SALUT 25 MG KLORPROMAZIN TABLET SALUT 100 MG KLOZAPIN 25 MG PRIMANIA 200 MG RISPERIDON 2 MG SIKZOONATE INJEKSI TRIFLUOPERAZIN TAB SLT SELAPUT 5 MG TRIHEKSIFENIDIL TABLET 2 MG PROGRAM MALARIA KLOROKUIN TABLET 150 MG OBAT ANTI MALARIA (DIHIDRIARTEMISININ PIPERA PRIMAQUIN 15 MG TABLET PROGRAM KECACINGAN ALBENDAZOLE TABLET 400 MG DIETIL CARBAMAZIN 100 MG
Ampul Tablet
160
Ampul
2
Pot
1
Kapsul
5
100
Tablet
0
0
0
0
0
-
-
160
0
0
0
2
0
0
5
6
0
0
0
100
5
15
0
0
0
0
Ampul
4
0
4
0
0
Tablet
100
0
100
0
0
Tablet
0
0
0
0
Tablet
0
0
0
0
0
0
0 80
0 130
-
-
Tablet 400
400
530
200
300
300
0
0
0
0
0
100
10
30
Ampul
0
0
0
0
Tablet
0
0
0
0
Vial
130 100
Botol
Tablet Kapsul
100
Ampul 200
Tablet
40
200
200
0
0
Ampul
0
0
0
0
Tablet
0
0
0
0
600
600
25
70
75
0
0
Kaplet
0
0
Tablet
0
0
Tablet
0
0
0
0
5,500
7,900
63
10
442
0
0
100
Tablet
Tablet Tablet
2,400
500
5,500
1,465
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 11 12 13 1 1 2
PROGRAM TB DAN LEPRA KUSTA DOKSISIKLIN TABLET 100 MG ETAMBUTOL TABLET 500 MG ISONIAZID TABLET BP 100 MG MB Anak MB Dewasa OAT FDC ANAK OAT FDC I OAT FDC II PB ANAK PB DEWASA PROGRAM KIA DAN GIZI FITOMENADION (VIT K) INJ 2 MG/ML GENTAMICIN 80 MG INJEKSI KALSIUM GLUKONAS INJEKSI LEVOTHYROXINE 100 MAGNESIUM SULFAT INJEKSI (IV) 40%/25 ML MAGNESIUM SULFAT INJEKSI 20%-25ML METILERGOMETRIN MALEAT TAB. SLT.0,125 MG METILERGOMETRIN MALEAT INJEKSI 0,2 MG-1ML MINERAL MIX OKSITOSIN INJEKSI 10 IU/ML - 1 ML RETINOL (VIT.A) KAPSUL LUNAK 100.000 IU RETINOL (VIT.A) KAPSUL LUNAK 200.000 IU TABLET TAMBAH DARAH (BESI FUMARAT) LEPTOSPIROSIS RDT LEPTOSPIROSIS VAKSIN BCG VACCINE BP (INTRADERMAL) BIVALEN ORAL POLIOMYELITIS VACCINE
0
0
Tablet
0
0
Tablet
0
0
Kapsul
0
0
Kapsul
0
0
Tablet
0
0
Kapsul
1
0
1
Kapsul
7
0
7
Kapsul
0
0
Kapsul
0
0
Botol
0
0
0
0
0
240
20
20
0
28
0
0
0
24
Ampul
240 10
Ampul Ampul
10
28
Botol Ampul
24 30
Ampul
30
30
tablet
0
0
Ampul
0
0
Botol
0
0
2
20
Ampul
130
100
100
230
Kapsul
1,200
300
300
1,500
Kapsul
4,400
500
500
4,900
25
Set
3,480
13,020
16,500
0
0
0
0
10,020
1,020
1,980
Set Rol
37
20
20
Set
4
30
30
20
1
20
1
1
60
60
10
10
20
60
700 1,830
21 1,915
4,325
4,300
0
0
20
20
80
117
6
5
5
5
30
30
140
144
21
13
8
21
3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
HEB B IMUNOGLOBULIN HUMAN INJ 220 IU/ML HEPATITIS B REKOMBINAN
Set Set
55
30
30
PENTABIO DTP-HB-Hib POLIOMYELITIS VACCINE INACTIVATED INJEKSI SAFETYBOX
Set
57
40
10
Set
22
10
20
10
Set
146
10
5
10
VAKSIN JERAP DT VAKSIN JERAP TD VAKSIN MEASLES RUBELLA 10 DS (MR) VAKSIN MENINGITIS ALKES DAN BMHP ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML ALAT TES GARAM BERYODIUM ALKOHOL SWAB CHG 0,5% BISTURI CAT GUT NO. 2/0 - 3/0 DNG. JARUM BEDAH CUTICELL 10 X 10 CM FIXOMULL STRECH 5 X FOLLEY CATH NO. 16 FOLLEY CATH NO. 18 HAND SCHOON NO.7,5 HAND SCHOON PANJANG HAND SCHOON SENSI I V CATHETER NO. 22 I V CATHETER NO. 24 I V CATHETER NO.18 INFUSION SET ANAK
Set
10
Set
35
10
10
Set
89
40
20
50
30
120
175
25
14
21
22
40
40
180
237
42
36
24
34
62
7
6
9
8
5
3
4
5
2
2
10
14
0
0
0
0
20
40
30
55
201
50
50
60
65
85
120
10
90
179
0
0
0
0
0
0
0
0
400
229
100
100
100
100
459
500
729
35
100
94
94
100
200
20
50
30
30
0
8
1
0
0
5
5
0
8
0 2
0 2
2
6
7
1
1
10
10
10
0
0
0
2
1
1
15
15
300
8 2
2 5
10
3
20
10
100 30 8 7 10 75 3
100
100
20
100 5
15
11
400
5 2
10
20
8
1
0
30
Rol
59
0
100 20
5
30
33
300
400
0
30
55
63
0
7
0
10
100
175
10
13
39
0
0
2
5
5
7
5
2
2
50 30 8
50
50 0 10 0 0 50 3
50 0 10 0 0 50 3
10
25 3
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
1 2 3 4
1 2 3 4 5
INFUSION SET DEWASA JARUM BEDAH KAPAS PEMBALUT/ABSORBEN 250 GR KASA GULUNG 40 M X 80 CM KASA PEMBALUT HIDROFIL 4 M X 15 CM LEUKOMED MASKER PLESTER 5 YARD X 2 INCHI PLESTER DNG FRAMISETIN SULFAT PLESTERIN BULAT ONEMED SELANG O2 BAYI SELANG O2 DEWASA SILK (BENANG BEDAH SUTERA) NO. 3/0 TRANFUSI SET/ BLOOD ADM SET UNDERPAD URIN BAG
7 3
10
10
17
0
3
10
10
3
13
150
150
0
2
12
12
0
0
0
0
0
0
5
5
5
5
1
4
125
125
350
510
30
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PROGRAM HIV AIDS
0
0
DEWASA FDC TRIPLE : TENOFOVIR 300 MG + LAMIVUDINE 300 MG + EFAVIRENZ 600 MG
0
0
EFAVIRENZ (EFV) 600 MG
0
0
LAMIVUDINE (3 TC) 150 MG
0
0
NEVIRAPINE (NVP) 200 MG
0
0
PEDIATRIK FDC TRIPLE : ZDV+3TC+NVP (ZIDOVUDINE 60 MG+LAMIVUDINE 30 MG+NEVIRAPINE 50 MG)
0
0
OBAT BARU NYSTATIN DROP ONEMED LUGOL PYRANTEL SUSPENSI VAKSIN CAMPAK
5 10 100
5 3
50
2 10
2
5 5 1
3 160 12
100 200 10
25 50 10
100 10
1
3 10
25 70 7
70
4 0 0 0 2 1 2 0 0 0 0 0 1 25 60 7
4 0 0 0 2 1 2 0 0 0 0 0 1 25 60 8
6 7
TENOFOVIR (TDF) 300 MG
0
0
ZIDOVUDINE (ZDV) 300 MG+LAMIVUDINE (3TC) 150 MG
0
0
Mengetahui, Kepala UPT Dinkes Puskesmas Wanayasa 2
Banjarneg Pengelola
( Susi Kurnitasari. SKM, MSi )
(Nisa Kur
NIP.19701202 199303 2 009
NRTHL. 0
PENGELUARAN
AGUST
SEPT
20 6
13
OKT
TOTAL RUSAK/ PENGELU ED ARAN DES
NOV
NILAI PERSED IAAN
SISA STOK
100
12
45
157
73
95
3
16
174
96
-
16
-
-
53
-
-
-
-
2
3
-
1 10
50
10
60
381
(13)
-
26
14
21
22
57
284
69
-
309
1,050
700
690
484
4,679
1,228
-
-
-
100
85
-
-
-
-
-
-
100
650
200
500
110
660
3,155
974
-
110
80
120
-
-
671
19
-
-
-
-
-
-
-
-
-
-
-
2,121
3,045
2,685
1,556
1,616
16,680
(606)
-
140
380
150
100
-
1,620
630
-
53
100
68
51
119
858
(37)
-
10
10
230
545
479
-
20
158
39
80
82
52
41
541
(23)
-
820
585
970
460
1,020
7,746
(706)
-
-
-
-
-
-
-
-
3
4
-
-
-
100
-
-
3
100
-
12
44
18
-
4,225
2,353
3,867
23,459
(3,325)
-
1,300
3,020
1,290
1,855
17,180
(1,135)
-
1,485
1,566
296
1,095
10,034
(967)
-
-
-
49
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
5
-
-
-
-
-
-
6
11
2,423
2,683
2,665 940
130
160
155
120
230
1,467
940
-
27
68
36
17
66
362
6
-
-
-
-
3
-
-
6
6
4
-
4
-
-
4
58
-
1,041
370
993
240
285
6,664
1,451
-
525
220
830
55
10
4,810
1,100
-
-
100
100
-
-
-
-
50
-
-
1,303 55
8
8
-
5
21
7
-
1,560
2,343
1,179
1,382
14,535
(623)
-
-
-
-
-
-
20
1
97
103
-
-
-
-
-
-
-
-
-
-
-
11
10
39
30
31
16
10
247
16
-
220
105
333
200
185
1,909
(50)
-
10
-
5
25
(5)
-
-
-
-
-
-
-
-
-
-
-
-
-
1
1
-
1
10
113
-
-
113
-
-
759
-
-
759
-
-
-
100
100
100
-
-
-
-
-
-
80
61
128
270
11
736
925
-
32
19
25
19
32
261
(16)
-
430
152
165
80
85
1,898
(15)
-
-
-
-
-
-
-
19
157
(19)
-
1 3
15
1
1
-
28
28
-
95
45
60
60
140
630
(90)
-
-
-
-
-
-
-
-
-
-
-
1,458
920
9,099
(832)
-
-
5
7
13
-
-
-
-
-
-
-
-
-
-
-
3
4
222
90
-
0
0
-
-
-
695
654
1,525
2
13
48
9
14
7
34
18
8
244
12
-
100
210
60
20
30
740
450
-
490
740
430
285
60
3,945
750
-
0
0
-
-
-
0
100
110
140
-
2
1
9
-
-
0 0 1,820 2,645
-
-
-
18,528
(2,025)
-
2 2,145
1,770
3,890
-
20
40
295
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
11 10
59 20
26 30
12 26
13 49
233
(13)
-
159
(15)
-
5
2
7
1
7
22
3
-
1,940
1,535
2,823
664 -
778 -
14,374
(102)
-
-
-
-
86
82
131
39
-
350
-
-
120 42
250 12
20 11
820
273
-
52
100 33
472
34
-
41
-
400
-
-
1,375 15
1,020 9
2,590 10
925 16
815 -
12,806
(416)
-
84
-
-
683
746
1,280
365
875
7,709
(611)
-
1,016
1,150
1,860
455
1,146
9,970
(808)
-
111
65
97
137
181
1,130
(181)
-
0 11
0 7
-
-
-
271
69
-
24 -
32 24
2,609
763
-
89
31
-
30
10
223
47
-
3
10
30
20
-
100
23
195
577
-
0
0
-
-
110 -
310 -
2,955
355
-
-
-
2
-
12
348
-
22
47
17
336
34
36
26
50
30
17 4 390
50 90 10
13 310
-
-
-
-
90
140
191
30
35
1,707
673
-
15
5
11
3 -
31 -
124
26
-
-
-
100
-
-
400
(100)
-
2,160
1,655
830
10,265
10
-
-
40
300
-
5
13
-
53
7
-
580
445
90
2,332
1,431
-
10
-
40
130
10
-
7 46
0 38
0 101
41
281
-
256
71
-
0
0
-
-
90
55
537
-
0 -
0 -
-
-
-
-
-
-
5
-
-
670
500 10 13 150
1,685
155
17 240
70
2
1,205
1
258
276
270
224
253
2,208
(11)
-
2,137
5,051
3,868
3,019 -
1,358 -
26,449
(457)
-
-
-
0
0
100
84
-
0 -
0 -
-
-
-
-
0 665
-
-
5,986
(621)
-
345
-
-
-
-
137
-
-
3
-
-
1,340
104
-
785
640
1,270
0 206
60
20
20
30
105
24
0 -
0 3
0 -
0 20
17
35 500
-
-
-
-
-
-
-
-
4
-
-
4
-
870
2,016
2,780
680
771
11,594
(61)
-
20
30
30
15
25
180
(20)
-
0
0
-
-
0
40
(332)
-
0
0
-
-
3 100
0 -
17 30
28
21
-
336
109
-
0 1
5
-
2
0 -
5
-
0
0
-
-
100 150
60 90
744
14
-
2,236
824
-
-
-
200
-
0
0
-
-
0
15
383
125
-
100 -
500 -
2,536
(323)
-
-
-
0 -
0 -
-
-
-
-
650
140
835
-
0 -
0 -
-
-
-
-
-
92
-
-
-
37
-
-
34
39
(39)
-
0
0
-
-
0
0
-
-
40 8
24 146
1,020
265 70
560
1 245 900
112 600
1,360
61
540
29
616
1,570
47
3,480
5
300
5,700
239
90
94
70
45
40
115
3,256
50
607
60
171
-
-
-
-
-
20
20
140
-
0
0
-
2
-
0
6
6
-
-
0
0
20
80
-
0
0
-
-
-
0
0
-
4
-
0
0
100
-
-
0
0
-
-
-
0
0
-
-
-
0 45
0 170
-
-
-
719
(189)
-
-
10
55
245
-
0
0
-
-
-
0
0
40
60
-
0
0
-
-
-
0
0
-
-
0
0
-
-
50
0
90
110
-
0
0
-
-
-
0
0
-
-
-
25 -
100 -
520
80
-
-
-
0 -
0 -
-
-
-
-
-
-
-
-
0
0
-
-
14
408
504
-
0
0
-
-
0 -
0 -
0
100
960
7,396
1
40
12
23
20
30
700 4,402 3,310
7 3,455
109 5,210
0
0
-
-
0
0
-
-
0
0
-
-
0
0
-
-
0 -
0 -
-
-
-
-
-
-
1
-
-
-
1
-
0
0
-
-
0
0
-
-
0
0
-
-
0 5
0 25
-
-
210
30
-
0
0
20
-
-
0
10
13
15
-
0
0
-
-
-
0 -
0 6
24
-
-
18
12
-
-
-
-
-
-
0 -
0 -
-
-
-
-
-
-
23
50
251
(21)
-
-
3
1,403
97
-
11 23 4,425 3,410
4,598
302
-
32,180
(15,680)
-
6
3 24
5
-
-
-
-
-
0
0
-
-
-
0
0
-
-
-
5
7
5
5
7
50
67
-
17
21
18
12
17
148
(4)
-
0
1
1
(1)
-
16
18
16
18
21
171
4
-
24
37
23
39
28
287
(50)
-
8
11
9
4
6
68
(6)
-
4
15
28
5
5
74
127
-
56
1
1
58
2
-
8
2
66
2
2
84
36
-
16
12
11
10
13
107
72
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
0
0
-
-
-
100
100
359
100
-
200
206
929
(200)
-
0
0
130
70
-
0
0
2
6
-
0 -
0 -
2
3
-
8
-
-
2
2
2
9
(2)
-
2
3
5
10
-
-
0
0
2
-
-
5
0
10
25
(10)
-
7
5
10
43
(10)
-
100
0 0 3 0 0 0 0
75 10 7 0 2 40 0
475
(75)
-
40
(10)
-
66
(3)
-
-
7
-
2
8
-
205
(30)
-
13
-
-
100 100
100 1 2
2 1
5
50 4
9 2
50 11
3
31 2
3 1 25
20
2 3 10
1 25 80 5
2
1 25 30 5
0 0 0 3 21 0 0 0 0 0 3 2 0 0 20 0 0 0 0 0 0 0 0 0
0 0 1 3 10 1 2 0 0 3 0 0 0 5 100 2 0 0 0 0 0 0 0 0
0 0 0 0 0
12
5
-
-
3
-
6
4
-
12
1
-
80
70
-
3
(1)
-
6
6
-
-
-
-
-
-
-
3
(3)
-
3
2
-
2
3
-
4
-
-
130
(5)
-
510
-
-
34
8
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0 0 0 0
-
-
-
-
-
-
0
-
-
-
0
njarnegara, 31 Desember 2018 ngelola Obat Puskesmas Wanayasa 2
sa Kurniasih )
THL. 00401017
0
-
-
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