LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 DESEMBER 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
2018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
-
Rp0
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 30 NOVEMBER 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
2018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
16,000 -
Rp16,000
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 OKTOBER 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
48,000 -
Rp48,000
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 30 SEPTEMBER 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
2018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
-
Rp0
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 AGUSTUS 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
25,400 -
Rp25,400
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 JULI 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 1 0 3 3 1 0 0 12 0 1 0 0 0 0 0 4 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
8 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
22,000 10,620 76,200 33,900 42,120 17,800 20,000 -
Rp222,640
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 30 JUNI 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 0 0 0 0 12 0 2 0 0 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
8 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
42,120 35,600 -
Rp77,720
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 MEI 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 0 1 0 0 0 12 0 3 0 0 0 0 1 12 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
8 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
25,400 42,120 53,400 34,200 60,000 -
Rp215,120
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 30 APRIL 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol Box Box Boks botol botol tablet tablet botol Tin Keping tabung tablet botol botol ampul
8 0 0 12 2 1 0 0 12 0 4 12 0.4 0 1 2 12 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
18 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
42,480 50,800 33,900 42,120 71,200 45,600 35,400 155,000 68,400 60,000 -
Rp604,900
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 30 MARET 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol kaplet Botol Boks botol botol tablet tablet botol Tin Keping stick tablet botol botol vial
8 0 0 0 0 0 1 0 0 0 0 0 0.8 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
18 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
20,000 70,800 -
Rp90,800
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 28 FEBRUARI 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
kaplet Box botol kaplet Botol Boks botol botol tablet tablet botol Tin Keping stick tablet botol botol vial
8 0 1 0 0 0 2 0 0 0 0 0 1.2 0 0 0 0 0 0
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
31,000 40,000 106,200 -
Rp177,200
LAMPIRAN NOMOR TANGGAL
: BERITA ACARA STOK OPNAME : 442 / / PKM - SUTI SEMARANG : 31 DESEMBER 2018
LAPORAN STOK OPNAME OBAT TAHUN 2018
STOK AKHIR PUSKESMAS PER 31 JANUARI 2018 NO
NAMA OBAT
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 ARKAVIT
Brocon CALORTUSIN SIRUP FLUNADIN GRANTUSIF GRAXINE TAB LAMBUCID 100 ML SIRUP NOVADRYL SIRUP NOVAMAGH OMEROXOL PASABA COUGH BABY BIASA PCT IFITAMOL 500 MG/1000 PRIMORDIAR STRIP EASY TOUCH CHOLESTEROL/10
TERA F TABLET TIALYSIN PLUS SYRUP TROPIDRYL PLUS SIRUP VENTOLIN NEBU
SATUAN
SISA STOK
8 kaplet Box botol kaplet Botol Boks botol botol tablet tablet botol Tin Keping stick tablet botol botol vial
2 3 1.6 -
NILAI TOTAL MENGETAHUI KEPALA PUSKESMAS SUTI SEMARANG
PETUGAS PENGELOLA OBAT JKN PUSKESMAS SUTI SEMARANG
OKI MARSELIUS MALO, A.Md.Kep NIP.19871001 200903 1 001
ANDRI RIANDI, A.Md.Kep NIP.19880320 201001 1 003
018 HARGA SATUAN
NILAI
5
6
22,000 31,000 3,540 25,400 33,900 20,000 8,500 3,510 16,000 17,800 3,800 88,500 2,808 155,000 34,200 5,000 4,920 10,000
62,000 60,000 141,600 -
Rp263,600