Dini

LENEK
BULAN : Januari
TAHUN : 2016
kode Nama Obat Satuan Stok Penerimaan Persediaan Pemakaian

Awal
1 2 3 4 5 6 7
101 Air Raksa Dental use botol 0 0 0 0

102 Alat Suntik 1 ml set 380 0 380 182
103 Alat Suntik 2,5 ml set 440 0 440 276
104 Alat Suntik 5 ml set 472 0 472 146

105 Albendazol 400 mg tablet 3720 0 3720 12
106 Alloporinol 100 mg tablet 200 0 200 0
107 Aminophillin 200 mg tablet 300 0 300 0

108 Aminophillin Inj 24 mg/ml 10 ml ampul 28 0 28 0
109 Amitriptilina tab 25 mg tablet 225 0 225 15
110 Amoksisilina Syrup kering botol 230 0 230 127
111 Amoksisilina kaps 250 mg kapsul 0 0 0 0

112 Ampisilina Kaplet 500 mg kaplet 0 0 0 0
113 Ampisilina Syrupkerng 125 mg/5 ml botol 0 0 0 0
114 Antalgin tab 500 mg tablet 0 0 0 0

115 Antalgin Inj 250 mg/ml 2ml ampul 0 0 0 0
116 Antasida DOEN tab tablet 5800 0 5800 1830
117 Anti Bakteri DOEN Salep kombinasi tube 117 0 117 17

118 Anti Haemoroid DOEN Kombinasi suppos 33 0 33 6
119 Anti Fungi DOEN Kombinasi pot 0 0 0 0
120 Anti Migrain DOEN Kombinasi tablet 0 0 0 0

121 Anti Parkinson DOEN tab Kombinasi tablet 0 0 0 0
123 Aqua Pro Injeksi Steril bebas pirogen ampul 35 0 35 5
124 Aquadest Steril botol 0 0 0 0
125 Asam Askorbat 250 mg tablet 0 0 0 0

127 Asam Klorida 0,1 N botol 0 0 0 0
128 Asam Sulfosalisilat 20 % 100 ml botol 0 0 0 0

129 Asetosal 100 mg tablet 0 0 0 0
130 Asetasal 500 mg tablet 0 0 0 0
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 0 0 0 0

132 Atropin Sulfat Tablet 0,5 mg tablet 0 0 0 0
133 Atropin tetes mata 0,5 % botol 0 0 0 0
201 Benzatin B Penisilin 1,2 jt IU/vial vial 0 0 0 0

203 Besi Syrup botol 0 0 0 0

204 Betametason cream tube 95 0 95 6
301 Catgut / Benang bedah sachet 150 0 150 21
401 Dapson tablet 100 mg tablet 0 0 0 0

402 Deksametason Inj 5 mg/ml 1ml ampul 194 0 194 102
403 Deksametason tablet 0,5 mg tablet 3550 0 3550 1510
404 Dekstran 70 Lar Infus 6 % steril botol 0 0 0 0

405 Dekstrometorphan HBR Syr10mg/5ml botol 0 0 0 0
406 Dekstrometorphan HBR Tab 15 mg tablet 0 0 0 0
407 Devitalisasi Pasta botol 0 0 0 0

408 Diazepam Inj 5 mg/ml 2ml ampul 0 0 0 0
409 Diazepam tablet 2 mg tablet 0 300 300 0
411 Dietil Karbamasin 100 mg tablet 0 0 0 0

412 Diphenhidramin Inj 10 mg/ml 1ml ampul 70 0 70 25
413 Digoksin tab 0,25 mg tablet 110 0 110 0
501 Epedrina HCL 25 mg tab tablet 0 0 0 0

502 Ekstrk Belladona tab 100 mg tablet 0 0 0 0
503 Epineprin Inj 0,1 % 1ml ampul 55 0 55 0
504 Etakridin (rivanol) Lar 0,1 % botol 5 0 5 0

505 Etambutol 250 mg tablet 0 0 0 0
506 Etanol 70 % botol 14 0 14 2
507 Eter Anestesi botol 0 0 0 0

508 Etil Klorida semprot botol 0 0 0 0
509 Eugenol Cairan botol 0 0 0 0
601 Fenitoin Natrium Inj 50 mg/ml ampul 0 0 0 0
602 Fenitoin kaps 100 mg kapsul 0 0 0 0

603 Fenitoin Kaps 30 mg kapsul 0 0 0 0
604 Fenobarbital Inj 50 mg/ml 1ml ampul 30 0 30 0
605 Fenobarbital Tab 100 mg tablet 0 0 0 0

606 Fenobarbital tab 30 mg tablet 0 0 0 0
607 Fenoksimetil pen tab 250 mg tablet 0 0 0 0

609 fenol Gliserol TT 10 % botol 0 0 0 0
610 Fitomenadion Inj 10 mg/ml 1ml ampul 0 0 0 0
611 Fitomenadion tab 10 mg tablet 300 0 300 20

612 Fluor tab 0,5 mg tablet 0 0 0 0
613 Furosemida 40 mg tablet 200 0 200 0
701 Gameksan Emulsi botol 0 0 0 0
702 Garam Oralit 1000 ml sachet 0 0 0 0

704 Gentian violet Lar 1 % botol 10 0 10 3
705 Glass Ionomer Cemen (GCIX) set 0 0 0 0
706 Glibenclamid 5 mg tablet 800 0 800 110

707 Gliseril Guayacolat tab 100 mg tablet 4002 0 4002 2002
708 Gliserin botol 0 0 0 0
709 Glukosa Infus 100 % botol 0 0 0 0

712 Griseofulfin tab 125 mg tablet 0 0 0 0

801 Haloperidol tab 0,5 mg tablet 0 0 0 0
803 Hidroclortiazide (HCT) tab 25mg tablet 0 0 0 0
Hidrokortison cream tube 24 48 72 17

901 Ibuprofen tab 200 mg tablet 0 0 0 0
903 Infusion set anak set 100 0 100 0

904 Infusion set dewasa set 0 0 0 0
905 Insulin reguler Inj 40 IU/ml 10 ml vial 0 0 0 0
906 Iodiol Kaps lunak kapsul 0 0 0 0

907 Ipeka Syrup botol 0 0 0 0
908 INH 300 mg tablet 0 0 0 0
909 Isosorbid Dinitrat tab 5 mg tablet 0 0 0 0

1001 Jarum Bedah no 9 s/d 14 biji 0 0 0 0
1002 Kalium Permanganat Serbuk botol 0 0 0 0
1003 Kalsium Hidroksida Pasta tube 0 0 0 0
1004 Kalsim Laktat tablet 900 0 900 0

1005 Kapas berlemak 500 gram bungkus 0 0 0 0
1006 Kapas Pembalut 250 gram bungkus 8 0 8 3
1007 Karbamazepin tab 200 mg tablet 270 0 270 0

1008 Kasa Kompres 40 x 40 rol 0 0 0 0
1009 Kasa Pembalut 2x80 rol 0 0 0 0

1012 Ketamin Inj 10 mg/ml vial 0 0 0 0
1013 Klofazimin kaps 100 mg kapsul 0 0 0 0

1014 Klorampenikol kaps 250 mg kapsul 0 0 0 0
1015 Klorampenikol sm 1 % tube 0 0 0 0
1016 Klorampeicol TT 3 % botol 71 0 71 0
1017 Klorfeniramin maleat (CTM) 4 mg tablet 5700 0 5700 2190
1018 Klokina tab 250 mg tablet 0 0 0 0

1019 Klorpromazina Inj 25 mg/ml 1ml ampul 0 0 0 0
1021 Klorpromazina tab 100 mg tablet 0 0 0 0

1022 klorpromazina tab 25 mg tablet 0 0 0 0
1023 Klorpropamida 100 mg tab tablet 0 0 0 0
1024 Kodeina tab 10 mg tablet 0 0 0 0

1025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 0 0 0 0
1026 Kotrimoksasol ped tab tablet 0 0 0 0
1027 Kotrimoksasol Suspensi botol 400 0 400 85

1028 Kotrimoxsasol tab Dewasa tablet 4180 0 4180 1620
1029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 0 0 0 0
1030 Kuinin sulfat tab 222 mg tablet 0 0 0 0
1101 larutan Benedict botol 0 0 0 0

1102 larutan eosin 2 % botol 0 0 0 0
1103 Larutan etanol Asam botol 0 0 0 0
1104 larutan Giemsa Stain botol 0 0 0 0

1105 Larutan Karbol Fuksin botol 0 0 0 0
1106 Larutan Metilen biru botol 0 0 0 0
1107 Larutan Turk botol 0 0 0 0

1108 Lidokain Kompositum Inj ampul 100 100 200 75
1109 Lisol botol 0 0 0 0
1201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 0 0 0 0

1203 Mebendazol Syrup100 mg/5 ml botol 0 0 0 0
1204 mebendazol Tab 100 mg tablet 0 0 0 0
1205 Metanol botol 0 0 0 0

1206 Metilergometrin maleat tab 0,125mg tablet 500 0 500 100
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 150 0 150 18
1208 Metronidazol tab 250 mg tablet 0 0 0 0

1209 monoklr Kamfermentol cairan botol 0 0 0 0
1210 Mummifyng Pasta botol 0 0 0 0
1301 Natrium Bicarbonat Tab 500 mg tablet 0 0 0 0

1302 Natrium Fluoresein TM 2 % botol 0 0 0 0
1303 natrium klorida infus 0,9 % botol 60 0 60 10
1304 Natium Tiosulfat Inj 25 % 10 ml ampul 0 0 0 0

1305 Nistatin 100.000 IU Tab Vaginal tablet 0 0 0 0
1307 OAT Kat I paket 5 0 5 1
1308 Oat kat II paket 0 0 0 0
1309 OBH Cairan botol 76 0 76 4

1310 Oksigen gas dalam tabung tabung 0 0 0 0
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 60 0 60 0
1312 Oksitetrasilin SK 3 % tube 112 0 112 12

1313 Oksitetrasikli SM 1 % tube 0 0 0 0
1314 Oksitosin Inj ampul 125 0 125 33
1401 Paraformaldehida Tablet tablet 0 0 0 0

1402 Parasetamol Syrup 125 mg/5 ml botol 357 0 357 129
1403 parasetamol tab 100 mg tablet 0 0 0 0
1404 Parasetamol Tab 500 mg tablet 10000 0 10000 6790

1405 pembalut Gips rol 0 0 0 0
1406 Perfenazine 16 mg tab tablet 0 0 0 0
1408 Pethidin Inj ampul 0 0 0 0

1409 Pilokarpin HCl TM 2 % botol 0 0 0 0
1410 Pyrantel Pamoat tab 125 mg tablet 0 0 0 0
1411 Pyrydoksin HCl Tab 10 mg tablet 0 0 0 0

1412 Plester 5 yard x2 Inchi rol 28 0 28 11
1413 Polikresulen rol 0 0 0 0
1414 Polipeptida DOEN Infus botol 0 0 0 0

1415 Prazikuantel Tab 600 mg tablet 0 0 0 0
1416 Prednison Tab 5 mg tablet 500 1000 1500 100
1417 Primkina tab 15 mg tablet 0 0 0 0

1418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 0 0 0 0
1419 Propil tiourasil tab 100 mg tablet 0 0 0 0
1420 Propanolol tab 40 mg tablet 0 0 0 0
1501 Rabies Immune globulin 150 IU/ml vial 0 0 0 0

1502 Reserpina Tab 0,1 mg tablet 0 0 0 0
1504 Retinol (vit A) Kaps 200.000 IU kapsul 1217 0 1217 0

1505 Rifampisina tab 600 mg tablet 0 0 0 0
1507 Rifampisina kaps 450 mg kapsul 0 0 0 0

1508 Ringer Laktat Lar Infus botol 491 0 491 438
1601 Salbutamol Tab 2 mg tablet 1150 0 1150 400
1602 Salep 24 kombinasi pot 48 0 48 2

1603 salisil Bedak 2 % kotak 20 0 20 10
1604 Salisil Spritus 10 % botol 0 0 0 0
1605 Semen seng pospat set 1 0 1 1
1606 Sabu polivalen 5 ml (ABU I) vial 0 0 0 0
1607 Sabu polivalen 50 ml (ABUII) vial 0 0 0 0

1608 Serum anti Dufteri 20.000IU/vial vial 0 0 0 0
1609 Serum ATS 1500 IU / Ampul vial 0 0 0 0
1610 Serum Anti Tetanus Inj 20000 IU/vl vial 0 0 0 0

1611 Sianokobalamin Inj 500 mcg/ml ampul 259 0 259 36
1612 Silk ( Benang Bedah ) sak 103 0 103 45
1613 Silver Amalgam botol 0 0 0 0

1614 Spon Gelatin tabung 0 0 0 0
1615 Streptomisin Sulfat Inj 1000 mg vial 0 0 0 0
1616 Streptomisin Sulfat Inj 1500 Mg vial 0 0 0 0

1617 Sulfadimidin Tab 500 mg tablet 0 0 0 0
1618 Sulfacetamide TM 15 % botol 0 0 0 0
1619 Suspensi Seng Insulin 40 IU/ml 10 ml set 0 0 0 0
1701 Besi Sulfat tablet salut 300 mg tablet 3880 0 3880 660
1702 Temporary Stopping Fletcher serbuk set 0 0 0 0
1703 Tetrakain Hcl TM 0,5 % botol 0 0 0 0
1704 Tetrasiklin Kaps 250 mg kapsul 0 0 0 0

1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 158 0 158 22
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 4000 0 4000 600
1708 Natrium tiopental serbuk inj 100 mg/amp ampul 0 0 0 0
1709 Triheksipenidil Hcl 2mg/tab tablet 0 0 0 0
1710 Trikresolformalin (TKF) cairan botol 0 0 0 0

1801 Vaksin Rabies Vero set 0 0 0 0
1802 Vitamin B-Komplek Tablet tablet 6000 0 6000 2250
1901 Yodium Povidon Larutan 10 % 30ml botol 0 0 0 0

- TAMBAHAN 0 0 0 0
T-01 Ambroxol 30 mg tablet 2215 0 2215 1335
T-02 Amoksisilin 500 mg tablet 5940 0 5940 2980
T-03 Salbutamol Tab 4 mg kotak 0 0 0 0
T-04 Bisacodyl 10 mg supp suppos 4 0 4 0
T-05 Diazepam Rectal tube tube 0 0 0 0
T-06 Parasetamol drop 60 mg /0.6 ml Botol 0 0 0 0
T-07 IV Catheter set 200 0 200 200
T-08 Jarum Suntik pcs 185 0 185 115
T-09 Kalsium Gluconat Inj 100 mg vial 32 0 32 0
T-10 Mikonazol Salep tube 50 0 50 8
T-11 Metformin Hcl tab 500 mg tablet 0 0 0 0
T-12 OAT Kat III paket 0 0 0 0
T-13 OAT Sisipan paket 0 0 0 0
T-14 Metoklorpramid tab 5 mg tablet 1375 0 1375 225
T-15 Metoklorpramid Inj 5 mg/ml ampul 0 0 0 0
T-16 Skalvein set set 0 0 0 0
T-17 Simetidin tablet 0 0 0 0
T-18 Ranitidin 150 mg botol 0 0 0 0
T-19 Ranitidin Inj 25 mg/ ml ampul 0 0 0 0
T-20 Yodium Povidon 60 ml ampul 0 0 0 0
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 69 0 69 0
T-22 Zinc syrup botol 75 0 75 25
T-23 Parasetamol Rectal suppos 0 0 0 0
T-24 Antasida Syrup botol 27 0 27 0
T-25 Atapulgit tablet 600 mg tablet 0 0 0 0
T-26 Kasa 40x80 cm rol 0 0 0 0
T-27 Papaverin Tablet tablet 0 0 0 0
T-28 Oseltamivir kapsul 0 0 0 0
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 0 0 0 0
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 0 0 0 0
T-31 Sarung tangan Pasang 195 0 195 159
T-32 OAT Katagori anak paket 0 0 0 0
T-33 Asam Mefenamat 500 mg tablet 0 0 0 0
T-34 Ambroxol syrup botol 50 0 50 50
T-35 Nipedipin tablet 400 0 400 100
T-36 Kaptopril 12.5 mg tablet 0 0 0 0
T-37 Kaptopril 25 mg tablet 2250 0 2250 710
T-38 Kloramphenicol inj vial 0 0 0 0
T-39 Ampisilin inj. 1 gr vial 60 0 60 0
T-40 Cimetidin inj. ampul 0 0 0 0
T-41 Gentamicin sk tube 0 0 0 0
T-42 Gentamicin inj ampul 0 0 0 0
T-43 Artemeter Inj ampul 0 0 0 0
T-44 Artesunate Inj ampul 0 0 0 0
T-45 Doksisiklin 100 mg kapsul 490 0 490 40
T-46 Haloperidol 5 mg tablet 166 0 166 56
T-47 Piroxicam 10 mg tablet 2600 0 2600 450
T-48 Siprofloxasin 500 mg tablet 0 0 0 0
T-49 Etabion tablet tablet 8200 0 8200 0
T-50 Zinc tablet 20 mg tablet 0 0 0 0
T-51 Ibuprofen Syrup 100 mg / 5 ml botol 45 0 45 0
T-52 Alat suntik 0.05 ml 27 G set 0 0 0 0
T-53 Fondazen tablet 14800 0 14800 950
T-54 Asiklovir 400 mg tablet 0 0 0 0
T-55 Asiklovir cream tube 60 0 60 0
T-56 Metronidazol tab 500 mg tablet 1300 0 1300 200
T-57 Natrium diklofenak 50 mg tablet 1150 0 1150 20
T-59 Ketokonazole 200 mg tablet 150 0 150 30
T-60 Famotidin 40 mg tablet 400 0 400 150
T-61 Ketoprofen Inj tablet 0 0 0 0
T-62 Metoklorpramid syrup 5 mg/ ml botol 190 0 190 0
T-63 Asam asetil salisilat 100 mg tablet 70 0 70 0
T-64 Mineral Mix saset 0 0 0 0
T-65 OAT Kategori I ( Kombipak ) Paket 0 0 0 0
T-66 Arterakine Tablet 0 0 0 0
SISA PEMBERIAN
STOK Inpres Askes APBD Lain Jumlah
8 9 10 11 12 13
0
198 300 300
164 500 500
326 300 300

3708 0
200 0
300 0
28 0
210 0
103 180 180
0
0
0
0
0
3970 5000 5000
100 0
27 0
0
0
0
30 0
0
0
2340 0
0
0
0
0
0
0
0
0
0
0
89 0
129 0
0
92 0
2040 0
0
0
0
0
0
300 0
0
0
45 0
110 0
0
0
55 0
5 0
0
12 0
0
0
0
0
0
0
30 0
0
0
0
0
0
0
280 0
0
200 0
0
0
774 1000 1000

7 0
0
690 0
2000 5000 5000
0
0
0
93 300 300
0
0
0
0
55 0
0
1630 0
100 0
0
0
0
0
0
0
0
0
1 1
900 0
0
5 5 5
270 0
0
0
39 0
0
0
0
0
0
71 0
3510 3400 3400
0
0
0
0
0
0
0
0
0
315 100 100

2560 2500 2500
0
0
0
0
0
0
0
0
0
125 100 100
0
0
25 0
0
0
0
400 0
132 0
0
0
0
0
0
50 0
0
0
0
4 0
0
72 0
0
60 0
100 0
0
92 100 100
0
228 168 168
0
3210 2000 2000

0
0
0
0
0
0
0
17 18 18
0
0
0
1400 0
0
0
0
0
0
0
0
1217 2100 2100

0
0
0
53 700 700
750 1000 1000
46 0
10 25 25
0
0 1 1
0
0
0
0
0
223 0
58 72 72
0
0
0
0
0
0
0
3220 0
0
0
0
0
136 0
3400 0
0
300 300
0
0
3750 3000 3000
0
33 30 30
0
880 2500 2500
2960 0
0
4 0
0
0
0 200 200
70 200 200
32 0
42 0
0
0
0
1150 0
0
0
0
0
0
0
69 300 300
50 50 50
0
27 0
0
1 1
0
0
0
0
36 200 200
0
0
0 0
300 0
0
1540 1500 1500
0
60 0
0
0
0
0
0
450 0
110 300 300
2150 0
0
8200 0
0
45 0
0
13850 0
0
60 0
1100 0
1130 0
0
120 0
250 500 500
0
190 0
70 0
0
0
0
LENEK
BULAN : Pebruari
TAHUN : 2016
kode Nama Obat Satuan Stok Penerimaan Persediaan

Awal
1 2 3 4 5 6
101 Air Raksa Dental use botol 0 0 0
102 Alat Suntik 1 ml set 198 300 498
103 Alat Suntik 2,5 ml set 164 500 664
105 Albendazol 400 mg tablet 3,708 0 3,708
106 Alloporinol 100 mg tablet 200 0 200
107 Aminophillin 200 mg tablet 300 0 300
108 Aminophillin Inj 24 mg/ml 10 ml ampul 28 0 28
109 Amitriptilina tab 25 mg tablet 210 0 210
110 Amoksisilina Syrup kering botol 103 180 283
111 Amoksisilina kaps 250 mg kapsul 0 0 0
112 Ampisilina Kaplet 500 mg kaplet 0 0 0
113 Ampisilina Syrupkerng 125 mg/5 ml botol 0 0 0
114 Antalgin tab 500 mg tablet 0 0 0
115 Antalgin Inj 250 mg/ml 2ml ampul 0 0 0
116 Antasida DOEN tab tablet 3,970 5,000 8,970
117 Anti Bakteri DOEN Salep kombinasi tube 100 0 100
118 Anti Haemoroid DOEN Kombinasi suppos 27 0 27
119 Anti Fungi DOEN Kombinasi pot 0 0 0
120 Anti Migrain DOEN Kombinasi tablet 0 0 0
121 Anti Parkinson DOEN tab Kombinasi tablet 0 0 0
123 Aqua Pro Injeksi Steril bebas pirogen ampul 30 0 30
124 Aquadest Steril botol 0 0 0
125 Asam Askorbat 250 mg tablet 0 0 0
126 Asam Askorbat 50 mg tablet 2,340 0 2,340
127 Asam Klorida 0,1 N botol 0 0 0
128 Asam Sulfosalisilat 20 % 100 ml botol 0 0 0
129 Asetosal 100 mg tablet 0 0 0
130 Asetasal 500 mg tablet 0 0 0
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 0 0 0
132 Atropin Sulfat Tablet 0,5 mg tablet 0 0 0
133 Atropin tetes mata 0,5 % botol 0 0 0
201 Benzatin B Penisilin 1,2 jt IU/vial vial 0 0 0
203 Besi Syrup botol 0 0 0
204 Betametason cream tube 89 0 89
301 Catgut / Benang bedah sachet 129 0 129
401 Dapson tablet 100 mg tablet 0 0 0
402 Deksametason Inj 5 mg/ml 1ml ampul 92 0 92
403 Deksametason tablet 0,5 mg tablet 2,040 0 2,040
404 Dekstran 70 Lar Infus 6 % steril botol 0 0 0
405 Dekstrometorphan HBR Syr10mg/5ml botol 0 0 0
406 Dekstrometorphan HBR Tab 15 mg tablet 0 0 0
407 Devitalisasi Pasta botol 0 0 0
408 Diazepam Inj 5 mg/ml 2ml ampul 0 0 0
409 Diazepam tablet 2 mg tablet 300 0 300
411 Dietil Karbamasin 100 mg tablet 0 0 0
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 45 0 45
413 Digoksin tab 0,25 mg tablet 110 0 110
501 Epedrina HCL 25 mg tab tablet 0 0 0
502 Ekstrk Belladona tab 100 mg tablet 0 0 0
503 Epineprin Inj 0,1 % 1ml ampul 55 0 55
504 Etakridin (rivanol) Lar 0,1 % botol 5 0 5
505 Etambutol 250 mg tablet 0 0 0
506 Etanol 70 % botol 12 0 12
507 Eter Anestesi botol 0 0 0
508 Etil Klorida semprot botol 0 0 0
509 Eugenol Cairan botol 0 0 0
601 Fenitoin Natrium Inj 50 mg/ml ampul 0 0 0
602 Fenitoin kaps 100 mg kapsul 0 0 0
603 Fenitoin Kaps 30 mg kapsul 0 0 0
604 Fenobarbital Inj 50 mg/ml 1ml ampul 30 0 30
605 Fenobarbital Tab 100 mg tablet 0 0 0
606 Fenobarbital tab 30 mg tablet 0 0 0
607 Fenoksimetil pen tab 250 mg tablet 0 0 0
609 fenol Gliserol TT 10 % botol 0 0 0
610 Fitomenadion Inj 10 mg/ml 1ml ampul 0 0 0
611 Fitomenadion tab 10 mg tablet 280 0 280
612 Fluor tab 0,5 mg tablet 0 0 0
613 Furosemida 40 mg tablet 200 0 200
701 Gameksan Emulsi botol 0 0 0
702 Garam Oralit 1000 ml sachet 0 0 0
703 Garam Oralit 200 ml sachet 774 1,000 1,774
704 Gentian violet Lar 1 % botol 7 0 7
705 Glass Ionomer Cemen (GCIX) set 0 0 0
706 Glibenclamid 5 mg tablet 690 0 690
707 Gliseril Guayacolat tab 100 mg tablet 2,000 5,000 7,000
708 Gliserin botol 0 0 0
709 Glukosa Infus 100 % botol 0 0 0
712 Griseofulfin tab 125 mg tablet 0 0 0
801 Haloperidol tab 0,5 mg tablet 0 0 0
803 Hidroclortiazide (HCT) tab 25mg tablet 0 0 0
Hidrokortison cream tube 55 0 55
901 Ibuprofen tab 200 mg tablet 0 0 0
902 Ibuprofen tab 400 mg tablet 1,630 0 1,630
903 Infusion set anak set 100 0 100
904 Infusion set dewasa set 0 0 0
905 Insulin reguler Inj 40 IU/ml 10 ml vial 0 0 0
906 Iodiol Kaps lunak kapsul 0 0 0
907 Ipeka Syrup botol 0 0 0
908 INH 300 mg tablet 0 0 0
909 Isosorbid Dinitrat tab 5 mg tablet 0 0 0
1,001 Jarum Bedah no 9 s/d 14 biji 0 0 0
1,002 Kalium Permanganat Serbuk botol 0 0 0
1,003 Kalsium Hidroksida Pasta tube 0 1 1
1,004 Kalsim Laktat tablet 900 0 900
1,005 Kapas berlemak 500 gram bungkus 0 0 0
1,006 Kapas Pembalut 250 gram bungkus 5 5 10
1,007 Karbamazepin tab 200 mg tablet 270 0 270
1,008 Kasa Kompres 40 x 40 rol 0 0 0
1,009 Kasa Pembalut 2x80 rol 0 0 0
1,012 Ketamin Inj 10 mg/ml vial 0 0 0
1,013 Klofazimin kaps 100 mg kapsul 0 0 0
1,014 Klorampenikol kaps 250 mg kapsul 0 0 0
1,015 Klorampenikol sm 1 % tube 0 0 0
1,016 Klorampeicol TT 3 % botol 71 0 71
1,017 Klorfeniramin maleat (CTM) 4 mg tablet 3,510 3,400 6,910
1,018 Klokina tab 250 mg tablet 0 0 0
1,019 Klorpromazina Inj 25 mg/ml 1ml ampul 0 0 0
1,020 Klorpromazina Inj 5 mg/ml 2ml ampul 0 0 0
1,021 Klorpromazina tab 100 mg tablet 0 0 0
1,022 klorpromazina tab 25 mg tablet 0 0 0
1,023 Klorpropamida 100 mg tab tablet 0 0 0
1,024 Kodeina tab 10 mg tablet 0 0 0
1,025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 0 0 0
1,026 Kotrimoksasol ped tab tablet 0 0 0
1,027 Kotrimoksasol Suspensi botol 315 100 415
1,028 Kotrimoxsasol tab Dewasa tablet 2,560 2,500 5,060
1,029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 0 0 0
1,030 Kuinin sulfat tab 222 mg tablet 0 0 0
1,101 larutan Benedict botol 0 0 0
1,102 larutan eosin 2 % botol 0 0 0
1,103 Larutan etanol Asam botol 0 0 0
1,104 larutan Giemsa Stain botol 0 0 0
1,105 Larutan Karbol Fuksin botol 0 0 0
1,106 Larutan Metilen biru botol 0 0 0
1,107 Larutan Turk botol 0 0 0
1,108 Lidokain Kompositum Inj ampul 125 100 225
1,109 Lisol botol 0 0 0
1,201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 0 0 0
1,202 Magnesium Sulfat Inj(IV) 40 % 25 ml vial 25 0 25
1,203 Mebendazol Syrup100 mg/5 ml botol 0 0 0
1,204 mebendazol Tab 100 mg tablet 0 0 0
1,205 Metanol botol 0 0 0
1,206 Metilergometrin maleat tab 0,125mg tablet 400 0 400
1,207 Metilergometrin maleat Inj 0,2 mg /ml ampul 132 0 132
1,208 Metronidazol tab 250 mg tablet 0 0 0
1,209 monoklr Kamfermentol cairan botol 0 0 0
1,210 Mummifyng Pasta botol 0 0 0
1,301 Natrium Bicarbonat Tab 500 mg tablet 0 0 0
1,302 Natrium Fluoresein TM 2 % botol 0 0 0
1,303 natrium klorida infus 0,9 % botol 50 0 50
1,304 Natium Tiosulfat Inj 25 % 10 ml ampul 0 0 0
1,305 Nistatin 100.000 IU Tab Vaginal tablet 0 0 0
1,306 Nistatin 500.000 IU Tab Vaginal tablet 0 0 0
1,307 OAT Kat I paket 4 0 4
1,308 Oat kat II paket 0 0 0
1,309 OBH Cairan botol 72 0 72
1,310 Oksigen gas dalam tabung tabung 0 0 0
1,311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 60 0 60
1,312 Oksitetrasilin SK 3 % tube 100 0 100
1,313 Oksitetrasikli SM 1 % tube 0 0 0
1,314 Oksitosin Inj ampul 92 100 192
1,401 Paraformaldehida Tablet tablet 0 0 0
1,402 Parasetamol Syrup 125 mg/5 ml botol 228 168 396
1,403 parasetamol tab 100 mg tablet 0 0 0
1,404 Parasetamol Tab 500 mg tablet 3,210 2,000 5,210
1,405 pembalut Gips rol 0 0 0
1,406 Perfenazine 16 mg tab tablet 0 0 0
1,407 Perfenazine 4 mg tab tablet 0 0 0
1,408 Pethidin Inj ampul 0 0 0
1,409 Pilokarpin HCl TM 2 % botol 0 0 0
1,410 Pyrantel Pamoat tab 125 mg tablet 0 0 0
1,411 Pyrydoksin HCl Tab 10 mg tablet 0 0 0
1,412 Plester 5 yard x2 Inchi rol 17 18 35
1,413 Polikresulen rol 0 0 0
1,414 Polipeptida DOEN Infus botol 0 0 0
1,415 Prazikuantel Tab 600 mg tablet 0 0 0
1,416 Prednison Tab 5 mg tablet 1,400 0 1,400
1,417 Primkina tab 15 mg tablet 0 0 0
1,418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 0 0 0
1,419 Propil tiourasil tab 100 mg tablet 0 0 0
1,420 Propanolol tab 40 mg tablet 0 0 0
1,501 Rabies Immune globulin 150 IU/ml vial 0 0 0
1,502 Reserpina Tab 0,1 mg tablet 0 0 0
1,503 Reserpina Tab 0,25 mg tablet 0 0 0
1,504 Retinol (vit A) Kaps 200.000 IU kapsul 1,217 2,100 3,317
1,505 Rifampisina tab 600 mg tablet 0 0 0
1,506 Rifampisina tab 300 mg tablet 0 0 0
1,507 Rifampisina kaps 450 mg kapsul 0 0 0
1,508 Ringer Laktat Lar Infus botol 53 700 753
1,601 Salbutamol Tab 2 mg tablet 750 1,000 1,750
1,602 Salep 24 kombinasi pot 46 0 46
1,603 salisil Bedak 2 % kotak 10 25 35
1,604 Salisil Spritus 10 % botol 0 0 0
1,605 Semen seng pospat set 0 1 1
1,606 Sabu polivalen 5 ml (ABU I) vial 0 0 0
1,607 Sabu polivalen 50 ml (ABUII) vial 0 0 0
1,608 Serum anti Dufteri 20.000IU/vial vial 0 0 0
1,609 Serum ATS 1500 IU / Ampul vial 0 0 0
1,610 Serum Anti Tetanus Inj 20000 IU/vl vial 0 0 0
1,611 Sianokobalamin Inj 500 mcg/ml ampul 223 0 223
1,612 Silk ( Benang Bedah ) sak 58 72 130
1,613 Silver Amalgam botol 0 0 0
1,614 Spon Gelatin tabung 0 0 0
1,615 Streptomisin Sulfat Inj 1000 mg vial 0 0 0
1,616 Streptomisin Sulfat Inj 1500 Mg vial 0 0 0
1,617 Sulfadimidin Tab 500 mg tablet 0 0 0
1,618 Sulfacetamide TM 15 % botol 0 0 0
1,619 Suspensi Seng Insulin 40 IU/ml 10 ml set 0 0 0
1,701 Besi Sulfat tablet salut 300 mg tablet 3,220 0 3,220
1,702 Temporary Stopping Fletcher serbuk set 0 0 0
1,703 Tetrakain Hcl TM 0,5 % botol 0 0 0
1,704 Tetrasiklin Kaps 250 mg kapsul 0 0 0
1,705 Tetrasiklin Kaps 500 mg kapsul 0 0 0
1,706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 136 0 136
1,707 Thiamin Hcl (vit B1) tab 50 mg tablet 3,400 0 3,400
1,708 Natrium tiopental serbuk inj 100 mg/amp ampul 0 0 0
1,709 Triheksipenidil Hcl 2mg/tab tablet 0 300 300
1,710 Trikresolformalin (TKF) cairan botol 0 0 0
1,801 Vaksin Rabies Vero set 0 0 0
1,802 Vitamin B-Komplek Tablet tablet 3,750 3,000 6,750
1,901 Yodium Povidon Larutan 10 % 30ml botol 0 0 0
1,902 Yodium Povidon Larutan 10 % 300ml botol 33 30 63
- TAMBAHAN 0 0 0
T-01 Ambroxol 30 mg tablet 880 2,500 3,380
T-02 Amoksisilin 500 mg tablet 2,960 0 2,960
T-03 Salbutamol Tab 4 mg kotak 0 0 0
T-04 Bisacodyl 10 mg supp suppos 4 0 4
T-05 Diazepam Rectal tube tube 0 0 0
T-06 Parasetamol drop 60 mg /0.6 ml Botol 0 0 0
T-07 IV Catheter set 0 200 200
T-08 Jarum Suntik pcs 70 200 270
T-09 Kalsium Gluconat Inj 100 mg vial 32 0 32
T-10 Mikonazol Salep tube 42 0 42
T-11 Metformin Hcl tab 500 mg tablet 0 0 0
T-12 OAT Kat III paket 0 0 0
T-13 OAT Sisipan paket 0 0 0
T-14 Metoklorpramid tab 5 mg tablet 1,150 0 1,150
T-15 Metoklorpramid Inj 5 mg/ml ampul 0 0 0
T-16 Skalvein set set 0 0 0
T-17 Simetidin tablet 0 0 0
T-18 Ranitidin 150 mg botol 0 0 0
T-19 Ranitidin Inj 25 mg/ ml ampul 0 0 0
T-20 Yodium Povidon 60 ml ampul 0 0 0
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 69 300 369
T-22 Zinc syrup botol 50 50 100
T-23 Parasetamol Rectal suppos 0 0 0
T-24 Antasida Syrup botol 27 0 27
T-25 Atapulgit tablet 600 mg tablet 0 0 0
T-26 Kasa 40x80 cm rol 0 1 1
T-27 Papaverin Tablet tablet 0 0 0
T-28 Oseltamivir kapsul 0 0 0
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 0 0 0
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 0 0 0
T-31 Sarung tangan Pasang 36 200 236
T-32 OAT Katagori anak paket 0 0 0
T-33 Asam Mefenamat 500 mg tablet 0 0 0
T-34 Ambroxol syrup botol 0 0 0
T-35 Nipedipin tablet 300 0 300
T-36 Kaptopril 12.5 mg tablet 0 0 0
T-37 Kaptopril 25 mg tablet 1,540 1,500 3,040
T-38 Kloramphenicol inj vial 0 0 0
T-39 Ampisilin inj. 1 gr vial 60 0 60
T-40 Cimetidin inj. ampul 0 0 0
T-41 Gentamicin sk tube 0 0 0
T-42 Gentamicin inj ampul 0 0 0
T-43 Artemeter Inj ampul 0 0 0
T-44 Artesunate Inj ampul 0 0 0
T-45 Doksisiklin 100 mg kapsul 450 0 450
T-46 Haloperidol 5 mg tablet 110 300 410
T-47 Piroxicam 10 mg tablet 2,150 0 2,150
T-48 Siprofloxasin 500 mg tablet 0 0 0
T-49 Etabion tablet tablet 8,200 0 8,200
T-50 Zinc tablet 20 mg tablet 0 0 0
T-51 Ibuprofen Syrup 100 mg / 5 ml botol 45 0 45
T-52 Alat suntik 0.05 ml 27 G set 0 0 0
T-53 Fondazen tablet 13,850 0 13,850
T-54 Asiklovir 400 mg tablet 0 0 0
T-55 Asiklovir cream tube 60 0 60
T-56 Metronidazol tab 500 mg tablet 1,100 0 1,100
T-57 Natrium diklofenak 50 mg tablet 1,130 0 1,130
T-58 Kaptopril 50 mg tablet 0 0 0
T-59 Ketokonazole 200 mg tablet 120 0 120
T-60 Famotidin 40 mg tablet 250 500 750
T-61 Ketoprofen Inj tablet 0 0 0
T-62 Metoklorpramid syrup 5 mg/ ml botol 190 0 190
T-63 Asam asetil salisilat 100 mg tablet 70 0 70
T-64 Mineral Mix saset 0 0 0
T-65 OAT Kategori I ( Kombipak ) Paket 0 0 0
T-66 Arterakine Tablet 0 0 0
Pemakaian SISA PEMBERIAN
7 8 9 10 11 12 13
0 0
134 364 0
208 456 0
195 431 0
30 3678 0
0 200 0
0 300 0
0 28 0
0 210 0
104 179 0
0 0
0 0
0 0
0 0
0 0
2,730 6240 0
10 90 0
0 27 0
0 0
0 0
0 0
0 30 0
0 0
0 0
100 2240 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
24 65 0
42 87 0
0 0
92 0 100 100
1,420 620 0
0 0
0 0
0 0
0 0
0 0
23 277 0
0 0
0 0
37 8 0
0 110 0
0 0
0 0
10 45 0
0 5 0
0 0
7 5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
0 0
0 280 0
0 0
0 200 0
0 0
0 0
443 1331 0
2 5 0
0 0
150 540 0
5,000 2000 0
0 0
0 0
0 0
98 295 0
0 0
0 0
0 0
0 0
12 43 0
0 0
280 1350 0
0 100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0
0 900 0
0 0
2 8 0
20 250 0
0 0
0 0
9 30 0
0 0
0 0
0 0
0 0
0 0
2 69 0
2,060 4850 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
151 264 0
680 4380 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
66 159 0
0 0
0 0
0 25 0
0 0
0 0
0 0
0 400 0
67 65 0
0 0
0 0
0 0
0 0
0 0
25 25 0
0 0
0 0
0 0
0 4 0
0 0
1 71 0
0 0
0 60 0
0 100 0
0 0
108 84 0
0 0
177 219 84 84
0 0
4,420 790 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
12 23 0
0 0
0 0
0 0
50 1350 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2,417 900 0
0 0
0 0
0 0
-188 941 400 400
150 1600 0
7 39 0
25 10 0
0 0
1 0 0
0 0
0 0
0 0
0 0
0 0
53 170 0
60 70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 3190 0
0 0
0 0
0 0
0 0
46 90 0
800 2600 0
0 0
0 300 0
0 0
0 0
2,030 4720 0
0 0
6 57 0
0 0
1,210 2170 0
2,540 420 0
0 0
0 4 0
0 0
0 0
18 182 0
90 180 0
0 32 0
10 32 0
0 0
0 0
0 0
80 1070 0
0 0
0 0
0 0
0 0
0 0
0 0
300 69 0
15 85 0
0 0
2 25 0
0 0
1 0 0
0 0
0 0
0 0
0 0
31 205 0
0 0
0 0
0 0
0 300 0
0 0
220 2820 0
0 0
0 60 0
0 0
0 0
0 0
0 0
0 0
0 450 0
65 345 0
100 2050 0
0 0
2,600 5600 0
0 0
0 45 0
0 0
7,120 6730 0
0 0
4 56 0
0 1100 0
30 1100 0
0 0
0 120 0
50 700 0
0 0
4 186 0
0 70 0
0 0
0 0
0 0
LENEK
BULAN : Maret
TAHUN : 2016

Awal
1 2 3 4 5 6
105 Albendazol 400 mg tablet 3678 0 3678
116 Antasida DOEN tab tablet 6240 0 6240
403 Deksametason tablet 0,5 mg tablet 620 0 620
506 Etanol 70 % botol 5 0 5
707 Gliseril Guayacolat tab 100 mg tablet 2000 0 2000
1001 Jarum Bedah no 9 s/d 14 biji 0 0 0
1002 Kalium Permanganat Serbuk botol 0 0 0
1003 Kalsium Hidroksida Pasta tube 0 0 0
1004 Kalsim Laktat tablet 900 0 900
1005 Kapas berlemak 500 gram bungkus 0 0 0
1006 Kapas Pembalut 250 gram bungkus 8 0 8
1007 Karbamazepin tab 200 mg tablet 250 0 250
1008 Kasa Kompres 40 x 40 rol 0 0 0
1009 Kasa Pembalut 2x80 rol 0 0 0
1012 Ketamin Inj 10 mg/ml vial 0 0 0
1013 Klofazimin kaps 100 mg kapsul 0 0 0
1014 Klorampenikol kaps 250 mg kapsul 0 0 0
1015 Klorampenikol sm 1 % tube 0 0 0
1016 Klorampeicol TT 3 % botol 69 0 69
1017 Klorfeniramin maleat (CTM) 4 mg tablet 4850 0 4850
1018 Klokina tab 250 mg tablet 0 0 0
1019 Klorpromazina Inj 25 mg/ml 1ml ampul 0 0 0
1021 Klorpromazina tab 100 mg tablet 0 0 0
1022 klorpromazina tab 25 mg tablet 0 0 0
1023 Klorpropamida 100 mg tab tablet 0 0 0
1024 Kodeina tab 10 mg tablet 0 0 0
1025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 0 0 0
1026 Kotrimoksasol ped tab tablet 0 0 0
1027 Kotrimoksasol Suspensi botol 264 0 264
1028 Kotrimoxsasol tab Dewasa tablet 4380 0 4380
1029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 0 0 0
1030 Kuinin sulfat tab 222 mg tablet 0 0 0
1101 larutan Benedict botol 0 0 0
1102 larutan eosin 2 % botol 0 0 0
1103 Larutan etanol Asam botol 0 0 0
1104 larutan Giemsa Stain botol 0 0 0
1105 Larutan Karbol Fuksin botol 0 0 0
1106 Larutan Metilen biru botol 0 0 0
1107 Larutan Turk botol 0 0 0
1108 Lidokain Kompositum Inj ampul 159 0 159
1109 Lisol botol 0 0 0
1201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 0 0 0
1203 Mebendazol Syrup100 mg/5 ml botol 0 0 0
1204 mebendazol Tab 100 mg tablet 0 0 0
1205 Metanol botol 0 0 0
1206 Metilergometrin maleat tab 0,125mg tablet 400 0 400
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 65 0 65
1208 Metronidazol tab 250 mg tablet 0 0 0
1209 monoklr Kamfermentol cairan botol 0 0 0
1210 Mummifyng Pasta botol 0 0 0
1301 Natrium Bicarbonat Tab 500 mg tablet 0 0 0
1302 Natrium Fluoresein TM 2 % botol 0 0 0
1303 natrium klorida infus 0,9 % botol 25 0 25
1304 Natium Tiosulfat Inj 25 % 10 ml ampul 0 0 0
1305 Nistatin 100.000 IU Tab Vaginal tablet 0 0 0
1307 OAT Kat I paket 4 0 4
1308 Oat kat II paket 0 0 0
1309 OBH Cairan botol 71 0 71
1310 Oksigen gas dalam tabung tabung 0 0 0
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 60 0 60
1312 Oksitetrasilin SK 3 % tube 100 0 100
1313 Oksitetrasikli SM 1 % tube 0 0 0
1314 Oksitosin Inj ampul 84 0 84
1401 Paraformaldehida Tablet tablet 0 0 0
1402 Parasetamol Syrup 125 mg/5 ml botol 219 84 303
1403 parasetamol tab 100 mg tablet 0 0 0
1404 Parasetamol Tab 500 mg tablet 790 0 790
1405 pembalut Gips rol 0 0 0
1406 Perfenazine 16 mg tab tablet 0 0 0
1408 Pethidin Inj ampul 0 0 0
1409 Pilokarpin HCl TM 2 % botol 0 0 0
1410 Pyrantel Pamoat tab 125 mg tablet 0 0 0
1411 Pyrydoksin HCl Tab 10 mg tablet 0 0 0
1412 Plester 5 yard x2 Inchi rol 23 0 23
1413 Polikresulen rol 0 0 0
1414 Polipeptida DOEN Infus botol 0 0 0
1415 Prazikuantel Tab 600 mg tablet 0 0 0
1416 Prednison Tab 5 mg tablet 1350 0 1350
1417 Primkina tab 15 mg tablet 0 0 0
1418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 0 0 0
1419 Propil tiourasil tab 100 mg tablet 0 0 0
1420 Propanolol tab 40 mg tablet 0 0 0
1501 Rabies Immune globulin 150 IU/ml vial 0 0 0
1502 Reserpina Tab 0,1 mg tablet 0 0 0
1504 Retinol (vit A) Kaps 200.000 IU kapsul 900 0 900
1505 Rifampisina tab 600 mg tablet 0 0 0
1507 Rifampisina kaps 450 mg kapsul 0 0 0
1508 Ringer Laktat Lar Infus botol 941 400 1341
1601 Salbutamol Tab 2 mg tablet 1600 0 1600
1602 Salep 24 kombinasi pot 39 0 39
1603 salisil Bedak 2 % kotak 10 0 10
1604 Salisil Spritus 10 % botol 0 0 0
1605 Semen seng pospat set 0 0 0
1606 Sabu polivalen 5 ml (ABU I) vial 0 0 0
1607 Sabu polivalen 50 ml (ABUII) vial 0 0 0
1608 Serum anti Dufteri 20.000IU/vial vial 0 0 0
1609 Serum ATS 1500 IU / Ampul vial 0 0 0
1610 Serum Anti Tetanus Inj 20000 IU/vl vial 0 0 0
1611 Sianokobalamin Inj 500 mcg/ml ampul 170 0 170
1612 Silk ( Benang Bedah ) sak 70 0 70
1613 Silver Amalgam botol 0 0 0
1614 Spon Gelatin tabung 0 0 0
1615 Streptomisin Sulfat Inj 1000 mg vial 0 0 0
1616 Streptomisin Sulfat Inj 1500 Mg vial 0 0 0
1617 Sulfadimidin Tab 500 mg tablet 0 0 0
1618 Sulfacetamide TM 15 % botol 0 0 0
1619 Suspensi Seng Insulin 40 IU/ml 10 ml set 0 0 0
1701 Besi Sulfat tablet salut 300 mg tablet 3190 0 3190
1702 Temporary Stopping Fletcher serbuk set 0 0 0
1703 Tetrakain Hcl TM 0,5 % botol 0 0 0
1704 Tetrasiklin Kaps 250 mg kapsul 0 0 0
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 90 0 90
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 2600 0 2600
1708 Natrium tiopental serbuk inj 100 mg/amp ampul 0 0 0
1709 Triheksipenidil Hcl 2mg/tab tablet 300 0 300
1710 Trikresolformalin (TKF) cairan botol 0 0 0
1801 Vaksin Rabies Vero set 0 0 0
1802 Vitamin B-Komplek Tablet tablet 4720 0 4720
1901 Yodium Povidon Larutan 10 % 30ml botol 0 0 0
- TAMBAHAN 0 0 0
T-01 Ambroxol 30 mg tablet 2170 0 2170
T-02 Amoksisilin 500 mg tablet 420 0 420
T-14 Metoklorpramid tab 5 mg tablet 1070 0 1070
T-26 Kasa 40x80 cm rol 0 0 0
T-47 Piroxicam 10 mg tablet 2050 0 2050
T-49 Etabion tablet tablet 5600 0 5600
T-53 Fondazen tablet 6730 0 6730
T-56 Metronidazol tab 500 mg tablet 1100 0 1100
T-57 Natrium diklofenak 50 mg tablet 1100 0 1100
7 8 9 10 11 12 13
0 0
219 145 300 300
308 148 500 500
271 160 300 300
278 3400 0
0 200 0
100 200 0
0 28 0
0 210 0
129 50 180 180
0 0
0 0
0 0
0 0
0 0
3340 2900 5000 5000
25 65 0
0 27 0
0 0
0 0
0 0
30 0 50 50
0 0
0 0
1040 1200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
35 30 50 50
78 9 120 120
0 0
50 50 0
620 0 2000 2000
0 0
0 0
0 0
0 0
0 0
27 250 0
0 0
0 0
8 0
0 110 0
0 0
0 0
0 45 30 30
2 3 0
0 0
5 0 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
0 90 90
80 200 0
0 0
0 200 0
0 0
0 0
951 380 2000 2000
5 0 0
0 0
340 200 500 500
1000 1000 3000 3000
0 0
0 0
0 0
43 252 100 100
0 0
0 0
0 0
0 0
19 24 24 24
0 1000 1000
1250 100 1000 1000
50 50 0
0 0
0 0
0 0
0 0
0 0
0 100 100
0 0
0 0
0 0
0 900 0
0 0
4 4 10 10
0 250 0
0 0
0 0
25 5 0
0 0
0 0
0 0
0 0
0 0
29 40 0
3550 1300 8000 8000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
129 135 200 200
980 3400 1000 1000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
69 90 100 100
0 0
0 0
5 20 0
0 0
0 0
0 0
0 400 0
28 37 100 100
0 0
0 0
0 0
0 0
0 0
25 0 100 100
0 0
0 0
0 0
0 4 0
0 0
48 23 0
0 0
0 60 0
0 100 0
0 0
54 30 0
0 0
263 40 168 168
0 0
790 0 3000 3000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
16 7 24 24
0 0
0 0
0 0
350 1000 500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 900 0
0 0
0 0
0 0
1255 86 1100 1100
300 1300 0
39 0 0
0 10 20 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
41 129 100 100
30 40 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
990 2200 0
0 0
0 0
0 0
0 0
18 72 30 30
600 2000 0
0 0
90 210 0
0 0
0 0
2020 2700 2000 2000
0 0
9 48 30 30
0 0
1370 800 2000 2000
420 0 1000 1000
0 0
0 4 6 6
0 0
0 0
182 0 200 200
145 35 200 200
0 32 0
18 14 24 24
0 0
0 0
0 0
370 700 500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 69 0
15 70 0
0 0
15 10 50 50
0 0
0 3 3
0 0
0 0
0 0
0 0
205 0 200 200
0 0
0 0
0 0
0 300 500 500
0 0
2020 800 0
0 0
10 50 0
0 0
0 0
0 60 60
0 0
0 0
0 450 0
30 315 0
450 1600 500 500
0 0
900 4700 0
0 0
0 45 0
0 0
2830 3900 0
0 0
16 40 0
0 1100 0
150 950 0
0 2500 2500
0 120 0
400 300 500 500
0 0
36 150 60 60
0 70 0
0 0
0 0
0 0
LENEK
BULAN : April
TAHUN : 2016

Awal
1 2 3 4 5 6
506 Etanol 70 % botol 0 10 10
- TAMBAHAN 0 0 0
T-17 ventolin nebu ampul 0 0 0
T-26 Kasa 40x80 cm rol 0 3 3
7 8 9 10 11 12 13
0 0
190 255 0
320 328 0
235 225 0
50 3350 0
0 200 0
0 200 0
0 28 0
0 210 0
90 140 0
0 0
0 0
0 0
0 0
0 0
2310 5590 0
30 35 0
0 27 0
0 0
0 0
0 0
15 35 0
0 0
0 0
1200 0 1000 1000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 54 0
30 99 0
0 0
5 45 0
700 1300 0
0 0
0 0
0 0
0 1 1
0 0
40 210 0
0 0
0 0
0 0
0 110 0
0 0
0 0
10 65 0
0 3 0
0 0
10 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
20 70 0
200 0 500 500
0 0
50 150 0
0 0
0 0
900 1480 0
0 0
0 0
200 500 0
1000 3000 0
0 0
0 0
0 0
209 143 0
0 0
0 0
0 0
0 0
24 24 24 24
0 1000 0
600 500 0
50 0 0
0 0
0 0
0 0
0 0
0 0
0 100 0
0 0
0 0
0 1 1
0 900 0
0 0
4 10 0
0 250 0
0 0
0 0
0 5 0
0 0
0 0
0 0
0 0
0 0
16 24 0
2700 6600 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 310 0
700 3700 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 140 0
0 0
0 0
-5 25 0
0 0
0 0
0 0
300 100 0
25 112 0
0 0
0 0
0 0
0 0
0 0
100 0 0
0 0
0 0
0 0
0 4 7 7
0 2 2
13 10 0
0 0
0 60 0
20 80 0
0 0
20 10 100 100
0 0
185 23 336 336
0 0
1300 1700 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 21 0
0 0
0 0
0 0
100 1400 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 900 0
0 0
0 0
0 0
617 569 200 200
100 1200 0
-20 20 0
20 10 0
0 0
0 1 1
0 0
0 0
0 0
0 0
0 0
53 176 0
40 0 0
0 1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 2200 0
0 1 1
0 0
0 0
0 0
102 0 60 60
0 2000 0
0 0
50 160 0
0 0
0 0
4000 700 0
0 0
8 70 0
0 0
1400 1400 0
1000 0 0
0 0
4 6 0
0 0
0 0
130 70 100 100
110 125 0
0 32 0
24 14 0
0 0
0 0
0 0
600 600 0
0 0
0 0
0 20 20
0 0
0 0
0 0
0 69 0
20 50 0
0 0
10 50 0
0 0
1 2 0
0 0
0 0
0 0
0 0
200 0 0
0 0
0 0
0 0
100 700 0
0 0
500 300 0
0 0
0 50 0
0 0
0 0 0
0 60 0
0 0
0 0
0 450 0
91 224 0
300 1800 0
0 0
800 3900 0
0 0
0 45 0
0 0
3000 900 12700 12700
0 0
0 40 0
0 1100 0
100 850 0
0 2500 0
0 120 0
550 250 0
0 0
10 200 0
0 70 0
0 0
0 0
0 0
LENEK
BULAN : Mei
TAHUN : 2016

Awal
1 2 3 4 5 6
506 Etanol 70 % botol 0 0 0
- TAMBAHAN 0 0 0
T-26 Kasa 40x80 cm rol 2 0 2
7 8 9 10 11 12 13
0 0
150 105 300 300
305 23 600 600
225 0 400 400
50 3300 0
0 200 0
100 100 0
0 28 0
0 210 0
115 25 0
0 0
0 0
0 0
0 0
0 0
3300 2290 5000 5000
35 0 50 50
0 27 20 20
0 0
0 0
0 0
0 35 30 30
0 0
0 0
600 400 2000 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
11 43 50 50
50 49 72 72
0 0
45 0 0
1300 0 3000 3000
0 0
0 0
0 0
1 0 0
0 0
15 195 0
0 0
0 0
0 0
0 110 0
0 0
0 0
0 65 100 100
0 3 0
0 0
0 20 20
0 0
0 0
0 0
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
0 70 0
50 450 0
0 0
50 100 0
0 0
0 0
500 980 1000 1000
0 0
0 0
0 500 500 500
1000 2000 2000 2000
0 0
0 0
0 0
0 143 100 100
0 0
0 0
0 0
0 0
24 24 48 48
0 1000 0
0 500 500 500
0 100 100
0 50 50
0 0
0 0
0 0
0 0
0 100 0
0 0
0 0
0 1 0
0 900 0
0 0
4 6 10 10
0 250 0
0 0
0 0
0 5 0
0 0
0 0
0 0
0 0
0 0
4 20 0
3000 3600 1000 1000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
75 235 0
1100 2600 2000 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
73 67 0
0 0
0 0
0 25 0
0 0
0 0
0 0
0 100 0
26 86 100 100
0 0
0 0
0 0
0 0
0 0
0 40 40
0 0
0 0
0 0
7 4 10 10
0 2 0
10 0 0
0 0
0 60 0
0 80 50 50
0 0
16 94 100 100
0 0
285 74 336 336
0 0
1700 0 6000 6000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
16 5 0
0 0
0 0
0 0
0 1400 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 900 0
0 0
0 0
0 0
600 169 900 900
300 900 1000 1000
10 10 0
0 10 30 30
0 0
0 1 0
0 0
0 0
0 0
0 1 1
0 0
25 151 100 100
0 108 108
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2200 0
1 0 0
0 0
0 0
0 0
25 35 90 90
1000 1000 0
0 0
50 110 0
0 0
0 0
700 0 0
0 0
0 70 0
0 0
1400 0 1500 1500
0 6000 6000
0 0
0 6 6 6
0 0
0 0
110 60 200 200
125 0 200 200
0 32 0
14 0 0
0 0
0 0
0 0
100 500 500 500
0 0
0 0
20 0 0
0 0
0 0
0 0
0 69 0
15 35 25 25
0 0
10 40 0
0 0
2 0 0
0 0
0 0
0 0
0 0
0 200 200
0 0
0 0
0 0
0 700 0
0 0
300 0 0
0 0
10 40 0
0 0
0 0
0 60 0
0 0
0 0
0 450 0
43 181 0
800 1000 1000 1000
0 0
1700 2200 0
0 1000 1000
5 40 0
0 0
0 13600 0
0 0
0 40 0
0 1100 0
50 800 0
0 2500 0
0 120 0
200 50 500 500
0 0
20 180 0
0 70 0
0 0
0 0
0 0
LENEK
BULAN : JUNI
TAHUN : 2016

Awal
1 2 3 4 5 6
506 Etanol 70 % botol 0 20 20
- TAMBAHAN 0 0 0
T-26 Kasa 40x80 cm rol 0 0 0
T-29 pehacain inj ampul 0 0 0
7 8 9 10 11 12 13
0 0
100 305 0
180 443 0
115 285 0
0 3300 0
0 200 0
0 100 0
0 28 0
0 210 0
0 25 0
0 0
0 0
0 0
0 0
0 0
2900 4390 0
25 25 0
20 27 0
0 0
0 0
0 0
35 30 0
0 0
0 0
600 1800 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 68 0
41 80 0
0 0
0 0
1000 2000 0
0 0
0 0
0 0
0 0
0 0
60 135 0
0 0
0 0
0 0
0 110 0
0 0
0 0
0 165 0
0 3 0
0 0
10 10 0
0 0
0 0
0 2 2
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
37 33 0
150 300 0
0 0
0 100 500 500
0 0
0 0
850 1130 0
0 0
0 0
300 700 0
1000 3000 0
0 0
0 0
0 0
0 243 0
0 0
0 0
0 0
0 0
24 48 0
1000 0 0
300 700 0
56 44 100 100
50 0 100 100
0 0
0 0
0 0
0 0
0 100 0
0 0
0 0
0 1 0
0 900 0
0 0
7 9 0
0 250 0
0 0
0 0
0 5 0
0 0
0 0
0 0
0 0
0 0
10 10 0
2000 2600 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
55 180 0
1100 3500 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 7 0
0 0
0 0
10 15 0
0 0
0 0
0 0
0 100 200 200
20 166 0
0 0
0 0
0 0
0 0
0 0
0 40 0
0 0
0 0
0 0
5 9 0
0 2 0
0 0
0 0
0 60 0
17 113 0
0 0
68 126 0
0 0
183 227 84 84
0 0
2700 3300 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0 0
0 0
0 0
0 0
0 1400 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 900 2300 2300
0 0
0 0
0 0
680 389 200 200
600 1300 0
10 0 0
10 30 0
0 0
1 0 0
0 0
0 0
0 0
1 0 0
0 0
25 226 0
24 84 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2200 0
0 0
0 0
0 0
0 0
125 0 0
1000 0 0
0 0
20 90 0
0 0
0 0
0 1000 1000
0 0
70 0 0
0 0
1500 0 0
1900 4100 0
0 0
2 10 0
0 0
0 0
174 86 250 250
30 170 200 200
32 0 0
0 0
0 0
0 0
0 0
200 800 0
0 0
0 0
0 0
0 0
0 0
0 0
69 0 350 350
20 40 0
0 0
14 26 0
0 0
0 0
0 0
0 0
0 80 80
0 0
50 150 0
0 0
0 0
0 0
0 700 0
0 0
0 1000 1000
0 0
20 20 0
0 0
0 0
0 60 0
0 0
0 0
250 200 0
20 161 0
200 1800 0
0 0
1000 1200 0
900 100 0
9 31 0
0 0
2060 11540 0
0 0
10 30 0
700 400 0
100 700 0
2500 0 0
20 100 0
150 400 0
0 0
10 170 0
70 0
0 0
0 0
0 0
LENEK
BULAN : JULI
TAHUN : 2016

Awal
1 2 3 4 5 6
506 Etanol 70 % botol 10 0 10
- TAMBAHAN 0 0 0
T-26 Kasa 40x80 cm rol 0 0 0
7 8 9 10 11 12 13
0 0
190 115 300 300
315 128 600 600
240 45 500 500
50 3250 0
0 200 0
100 0 0
0 28 0
0 210 0
20 5 0
0 0
0 0
0 0
0 0
0 0
2669 1721 5000 5000
25 0 50 50
0 27 0
0 0
0 0
0 0
25 5 50 50
0 0
0 0
800 1000 2000 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 53 50 50
59 21 96 96
0 0
0 200 200
1200 800 3000 3000
0 0
0 0
0 0
0 0
0 0
15 120 0
0 0
0 0
0 0
0 110 0
0 0
0 0
15 150 0
2 1 0
0 0
8 2 20 20
0 0
0 0
2 0 0
0 0
0 0
0 0
0 30 0
0 0
0 0
0 0
0 0
0 0
0 33 30 30
0 300 0
0 0
100 500 0
0 0
0 0
500 630 600 600
0 0
0 0
100 600 0
1000 2000 1000 1000
0 0
0 0
0 0
123 120 200 200
0 0
0 0
0 0
0 0
34 14 72 72
0 0
500 200 1500 1500
69 75 200 200
85 15 200 200
0 0
0 0
0 0
0 0
0 100 0
0 0
0 0
1 0
0 900 0
0 0
2 7 5 5
0 250 0
0 0
0 0
0 5 0
0 0
0 0
0 0
0 0
0 0
10 0 0
2000 600 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 120 0
1800 1700 3000 3000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 7 200 200
0 0
0 0
10 5 0
0 0
0 0
0 0
100 200 0
30 136 100 100
0 0
0 0
0 0
0 0
0 0
40 0 60 60
0 0
0 0
0 0
2 7 0
0 2 0
0 0
0 0
0 60 0
0 113 0
0 100 100
40 86 100 100
0 0
227 84 336 336
0 0
3100 200 8000 8000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 1100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3200 0
0 0
0 0
0 0
485 104 1300 1300
500 800 1000 1000
0 0 48 48
0 30 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
46 180 0
53 31 108 108
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 60 0
0 0
0 0
100 900 1000 1000
0 0
0 0
0 0
0 0
3300 800 6000 6000
0 0
0 10 0
0 0
0 0
214 122 200 200
235 135 0
0 0
0 0
0 0
0 0
0 0
200 600 0
0 0
0 0
0 0
0 0
0 0
0 0
281 69 0
10 30 50 50
0 0
11 15 0
0 0
0 0
0 0
0 0
70 10 40 40
0 0
52 98 100 100
0 0
0 0
0 0
0 700 0
0 0
0 1000 0
0 0
0 20 0
0 0
0 0
60 0
0 0
0 0
0 200 0
46 115 200 200
1200 600 0
0 0
500 700 42700 42700
0 100 1000 1000
11 20 50 50
0 0
8880 2660 0
0 1000 1000
15 15 0
0 400 0
100 600 0
0 0
0 100 300 300
50 350 300 300
0 0
5 165 0
0 0
0 0
0 0
0 0
LENEK
BULAN : Agustus
TAHUN : 2016
kode Nama Obat Satuan Stok Penerimaan Persediaan Pemakaian SISA PEMBERIAN
Awal STOK Inpres Askes APBD
1 2 3 4 5 6 7 8 9 10 11
102 Alat Suntik 1 ml set 115 300 415 91 324
103 Alat Suntik 2,5 ml set 128 600 728 149 579
105 Albendazol 400 mg tablet 3250 0 3250 60 3190
106 Alloporinol 100 mg tablet 200 0 200 200 0
108 Aminophillin Inj 24 mg/ml 10 ml ampul 28 0 28 0 28
109 Amitriptilina tab 25 mg tablet 210 0 210 185 25
110 Amoksisilina Syrup kering botol 5 0 5 5
116 Antasida DOEN tab tablet 1721 5000 6721 721 6000
117 Anti Bakteri DOEN Salep kombinasi tube 0 50 50 4 46
118 Anti Haemoroid DOEN Kombinasi suppos 27 0 27 0 27
123 Aqua Pro Injeksi Steril bebas pirogen ampul 5 50 55 50 5 20
126 Asam Askorbat 50 mg tablet 1000 2000 3000 1000 2000
204 Betametason cream tube 53 50 103 7 96
301 Catgut / Benang bedah sachet 21 96 117 26 91
401 Dapson tablet 100 mg tablet 0 0 0 0
402 Deksametason Inj 5 mg/ml 1ml ampul 0 200 200 30 170
403 Deksametason tablet 0,5 mg tablet 800 3000 3800 800 3000
409 Diazepam tablet 2 mg tablet 120 0 120 20 100
413 Digoksin tab 0,25 mg tablet 110 0 110 110 0
503 Epineprin Inj 0,1 % 1ml ampul 150 0 150 20 130
504 Etakridin (rivanol) Lar 0,1 % botol 1 0 1 0 1
506 Etanol 70 % botol 2 20 22 7 15
508 Etil Klorida semprot botol 0 0 0 0 0
604 Fenobarbital Inj 50 mg/ml 1ml ampul 30 0 30 30 0
610 Fitomenadion Inj 10 mg/ml 1ml ampul 33 30 63 30 33
611 Fitomenadion tab 10 mg tablet 300 0 300 0 300
613 Furosemida 40 mg tablet 500 0 500 20 480
703 Garam Oralit 200 ml sachet 630 600 1230 610 620
706 Glibenclamid 5 mg tablet 600 0 600 47 553
707 Gliseril Guayacolat tab 100 mg tablet 2000 1000 3000 1000 2000
711 Glukosa Infus 5 % botol 120 200 320 0 320
Hidrokortison cream tube 14 72 86 1 85
902 Ibuprofen tab 400 mg tablet 200 1500 1700 0 1700
903 Infusion set anak set 75 200 275 140 135
904 Infusion set dewasa set 15 200 215 15 200
908 INH 300 mg tablet 0 0 0 0
909 Isosorbid Dinitrat tab 5 mg tablet 100 0 100 0 100
1004 Kalsim Laktat tablet 900 0 900 0 900
1006 Kapas Pembalut 250 gram bungkus 7 5 12 0 12
1007 Karbamazepin tab 200 mg tablet 250 0 250 0 250
1009 Kasa Pembalut 2x80 rol 0 0 0 0 0
1017 Klorfeniramin maleat (CTM) 4 mg tablet 600 0 600 600 0
1027 Kotrimoksasol Suspensi botol 120 0 120 0 120
1028 Kotrimoxsasol tab Dewasa tablet 1700 3000 4700 800 3900
1108 Lidokain Kompositum Inj ampul 7 200 207 14 193
1202 Magnesium Sulfat Inj(IV) 40 % 25 ml vial 5 0 5 0 5
1206 Metilergometrin maleat tab 0,125mg tablet 200 0 200 100 100
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 136 100 236 236 0
1303 natrium klorida infus 0,9 % botol 0 60 60 60 0
1307 OAT Kat I paket 7 0 7 1 6
1308 Oat kat II paket 2 0 2 0 2
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 60 0 60 0 60
1312 Oksitetrasilin SK 3 % tube 113 0 113 0 113
1313 Oksitetrasikli SM 1 % tube 0 100 100 27 73
1314 Oksitosin Inj ampul 86 100 186 23 163
1402 Parasetamol Syrup 125 mg/5 ml botol 84 336 420 138 282
1404 Parasetamol Tab 500 mg tablet 200 8000 8200 1100 7100
1416 Prednison Tab 5 mg tablet 1100 0 1100 300 800
1504 Retinol (vit A) Kaps 200.000 IU kapsul 3200 0 3200 0 3200
1508 Ringer Laktat Lar Infus botol 104 1300 1404 479 925
1601 Salbutamol Tab 2 mg tablet 800 1000 1800 200 1600
1602 Salep 24 kombinasi pot 0 48 48 3 45
1603 salisil Bedak 2 % kotak 30 0 30 0 30
1611 Sianokobalamin Inj 500 mcg/ml ampul 180 0 180 41 139
1612 Silk ( Benang Bedah ) sak 31 108 139 33 106
1701 Besi Sulfat tablet salut 300 mg tablet 2200 0 2200 0 2200
1709 Triheksipenidil Hcl 2mg/tab tablet 60 0 60 0 60
1802 Vitamin B-Komplek Tablet tablet 900 1000 1900 900 1000 2000
- TAMBAHAN 0 0 0 0
T-02 Amoksisilin 500 mg tablet 800 6000 6800 1300 5500
T-04 Bisacodyl 10 mg supp suppos 10 0 10 0 10
T-07 IV Catheter set 122 200 322 154 168 150
T-08 Jarum Suntik pcs 135 0 135 82 53
T-14 Metoklorpramid tab 5 mg tablet 600 0 600 0 600
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 69 0 69 0 69
T-22 Zinc syrup botol 30 50 80 25 55
T-24 Antasida Syrup botol 15 0 15 0 15
T-26 Kasa 40x80 cm rol 0 0 0 0
T-28 Oseltamivir kapsul 0 0 0 0
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 10 40 50 30 20
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 0 0 0 0
T-31 Sarung tangan Pasang 98 100 198 0 198
T-33 Asam Mefenamat 500 mg tablet 0 0 0 0 1000
T-35 Nipedipin tablet 700 0 700 0 700
T-37 Kaptopril 25 mg tablet 1000 0 1000 0 1000
T-39 Ampisilin inj. 1 gr vial 20 0 20 5 15
T-40 Cimetidin inj. ampul 0 0 0 0 3
T-41 Gentamicin sk tube 0 0 0 0 3
T-45 Doksisiklin 100 mg kapsul 200 0 200 0 200
T-46 Haloperidol 5 mg tablet 115 200 315 65 250
T-47 Piroxicam 10 mg tablet 600 0 600 100 500
T-48 Siprofloxasin 500 mg tablet 0 0 0 0
T-49 Etabion tablet tablet 700 42700 43400 42300 1100
T-50 Zinc tablet 20 mg tablet 100 1000 1100 1000 100
T-51 Ibuprofen Syrup 100 mg / 5 ml botol 20 50 70 70 0
T-53 Fondazen tablet 2660 0 2660 2660 0 12700
T-54 Asiklovir 400 mg tablet 0 1000 1000 1000 0
T-55 Asiklovir cream tube 15 0 15 0 15
T-56 Metronidazol tab 500 mg tablet 400 0 400 0 400
T-57 Natrium diklofenak 50 mg tablet 600 0 600 0 600
T-59 Ketokonazole 200 mg tablet 100 300 400 300 100
T-60 Famotidin 40 mg tablet 350 300 650 50 600
T-62 Metoklorpramid syrup 5 mg/ ml botol 165 0 165 3 162
EMBERIAN
Lain Jumlah
12 13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300 300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2000
0
0
0
0
0
0
0
0
0
150
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200 200
0
0
0
0
1000
0
0
0
0
0
0
3
3
0
0
0
0
0
0
0
0
0
0
0
12700
0
0
0
0
0
0
0
0
0
0
0
0
0
LENEK
BULAN : September
TAHUN : 2016
Awal STOK Inpres Askes APBD Lain
1 2 3 4 5 6 7 8 9 10 11 12
101 Air Raksa Dental use botol 0 0 0 0 0
102 Alat Suntik 1 ml set 324 0 324 145 179 300
103 Alat Suntik 2,5 ml set 579 0 579 165 414 600
107 Aminophillin 200 mg tablet 0 0 0 0 0
110 Amoksisilina Syrup kering botol 0 0 0 0 0 168
111 Amoksisilina kaps 250 mg kapsul 0 0 0 0 0
112 Ampisilina Kaplet 500 mg kaplet 0 0 0 0 0
113 Ampisilina Syrupkerng 125 mg/5 ml botol 0 0 0 0 0
114 Antalgin tab 500 mg tablet 0 0 0 0 0
115 Antalgin Inj 250 mg/ml 2ml ampul 0 0 0 0 0
116 Antasida DOEN tab tablet 6000 0 6000 2900 3100 4000
117 Anti Bakteri DOEN Salep kombinasi tube 46 0 46 6 40 50
118 Anti Haemoroid DOEN Kombinasi suppos 27 0 27 0 27 30
119 Anti Fungi DOEN Kombinasi pot 0 0 0 0 0
120 Anti Migrain DOEN Kombinasi tablet 0 0 0 0 0
121 Anti Parkinson DOEN tab Kombinasi tablet 0 0 0 0 0
124 Aquadest Steril botol 0 0 0 0 0
126 Asam Askorbat 50 mg tablet 2000 0 2000 500 1500 2000
127 Asam Klorida 0,1 N botol 0 0 0 0 0
128 Asam Sulfosalisilat 20 % 100 ml botol 0 0 0 0 0
129 Asetosal 100 mg tablet 0 0 0 0 0
130 Asetasal 500 mg tablet 0 0 0 0 0
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 0 0 0 0 0
132 Atropin Sulfat Tablet 0,5 mg tablet 0 0 0 0 0
133 Atropin tetes mata 0,5 % botol 0 0 0 0 0
201 Benzatin B Penisilin 1,2 jt IU/vial vial 0 0 0 0 0
202 Benzatin B Penisilin 2,4 jt IU/vial vial 0 0 0 0 0
203 Besi Syrup botol 0 0 0 0 0
401 Dapson tablet 100 mg tablet 0 0 0 0 0
403 Deksametason tablet 0,5 mg tablet 3000 0 3000 1000 2000 2000
404 Dekstran 70 Lar Infus 6 % steril botol 0 0 0 0 0
405 Dekstrometorphan HBR Syr10mg/5ml botol 0 0 0 0 0
406 Dekstrometorphan HBR Tab 15 mg tablet 0 0 0 0 0
407 Devitalisasi Pasta botol 0 0 0 0 0
408 Diazepam Inj 5 mg/ml 2ml ampul 0 0 0 0 0
411 Dietil Karbamasin 100 mg tablet 0 0 0 0 0
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 0 0 0 0 0
413 Digoksin tab 0,25 mg tablet 0 0 0 0 0
501 Epedrina HCL 25 mg tab tablet 0 0 0 0 0
502 Ekstrk Belladona tab 100 mg tablet 0 0 0 0 0
504 Etakridin (rivanol) Lar 0,1 % botol 1 0 1 1 0
505 Etambutol 250 mg tablet 0 0 0 0 0
506 Etanol 70 % botol 15 0 15 10 5 20
507 Eter Anestesi botol 0 0 0 0 0
509 Eugenol Cairan botol 0 0 0 0 0
601 Fenitoin Natrium Inj 50 mg/ml ampul 0 0 0 0 0
602 Fenitoin kaps 100 mg kapsul 0 0 0 0 0
603 Fenitoin Kaps 30 mg kapsul 0 0 0 0 0
604 Fenobarbital Inj 50 mg/ml 1ml ampul 0 0 0 0 0
605 Fenobarbital Tab 100 mg tablet 0 0 0 0 0
606 Fenobarbital tab 30 mg tablet 0 0 0 0 0
607 Fenoksimetil pen tab 250 mg tablet 0 0 0 0 0
608 Fenoksimetil pen tab 500 mg tablet 0 0 0 0 0
609 fenol Gliserol TT 10 % botol 0 0 0 0 0
610 Fitomenadion Inj 10 mg/ml 1ml ampul 33 0 33 16 17 60
612 Fluor tab 0,5 mg tablet 0 0 0 0 0
613 Furosemida 40 mg tablet 480 0 480 480 0 500
701 Gameksan Emulsi botol 0 0 0 0 0
703 Garam Oralit 200 ml sachet 620 300 920 600 320 1000
704 Gentian violet Lar 1 % botol 0 0 0 0 0
705 Glass Ionomer Cemen (GCIX) set 0 0 0 0 0
708 Gliserin botol 0 0 0 0 0
711 Glukosa Infus 5 % botol 320 0 320 22 298 100
712 Griseofulfin tab 125 mg tablet 0 0 0 0 0
801 Haloperidol tab 0,5 mg tablet 0 0 0 0 0
802 Haloperidol tab 1,5 mg tablet 0 0 0 0 0
803 Hidroclortiazide (HCT) tab 25mg tablet 0 0 0 0 0
902 Ibuprofen tab 400 mg tablet 1700 0 1700 100 1600 500
903 Infusion set anak set 135 0 135 26 109 200
904 Infusion set dewasa set 200 0 200 125 75 200
905 Insulin reguler Inj 40 IU/ml 10 ml vial 0 0 0 0 0
906 Iodiol Kaps lunak kapsul 0 0 0 0 0
907 Ipeka Syrup botol 0 0 0 0 0
908 INH 300 mg tablet 0 0 0 0 0
1001 Jarum Bedah no 9 s/d 14 biji 0 0 0 0 0
1002 Kalium Permanganat Serbuk botol 0 0 0 0 0
1003 Kalsium Hidroksida Pasta tube 0 0 0 -1 1
1005 Kapas berlemak 500 gram bungkus 0 0 0 0 0
1008 Kasa Kompres 40 x 40 rol 0 0 0 0 0
1010 Kasa Pembalut 4x15 rol 5 0 5 5 0 300
1012 Ketamin Inj 10 mg/ml vial 0 0 0 0 0
1013 Klofazimin kaps 100 mg kapsul 0 0 0 0 0
1014 Klorampenikol kaps 250 mg kapsul 0 0 0 0 0
1015 Klorampenikol sm 1 % tube 0 0 0 0 0
1016 Klorampeicol TT 3 % botol 0 0 0 0 0
1017 Klorfeniramin maleat (CTM) 4 mg tablet 0 0 0 0 0 5000
1018 Klokina tab 250 mg tablet 0 0 0 0 0
1019 Klorpromazina Inj 25 mg/ml 1ml ampul 0 0 0 0 0
1020 Klorpromazina Inj 5 mg/ml 2ml ampul 0 0 0 0 0
1021 Klorpromazina tab 100 mg tablet 0 0 0 0 0
1022 klorpromazina tab 25 mg tablet 0 0 0 0 0
1023 Klorpropamida 100 mg tab tablet 0 0 0 0 0
1024 Kodeina tab 10 mg tablet 0 0 0 0 0
1025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 0 0 0 0 0
1026 Kotrimoksasol ped tab tablet 0 0 0 0 0
1028 Kotrimoxsasol tab Dewasa tablet 3900 0 3900 700 3200 2000
1029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 0 0 0 0 0
1030 Kuinin sulfat tab 222 mg tablet 0 0 0 0 0
1101 larutan Benedict botol 0 0 0 0 0
1102 larutan eosin 2 % botol 0 0 0 0 0
1103 Larutan etanol Asam botol 0 0 0 0 0
1104 larutan Giemsa Stain botol 0 0 0 0 0
1105 Larutan Karbol Fuksin botol 0 0 0 0 0
1106 Larutan Metilen biru botol 0 0 0 0 0
1107 Larutan Turk botol 0 0 0 0 0
1108 Lidokain Kompositum Inj ampul 193 0 193 30 163 100
1109 Lisol botol 0 0 0 0 0
1203 Mebendazol Syrup100 mg/5 ml botol 0 0 0 0 0
1204 mebendazol Tab 100 mg tablet 0 0 0 0 0
1205 Metanol botol 0 0 0 0 0
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 0 0 0 0 0 200
1208 Metronidazol tab 250 mg tablet 0 0 0 0 0
1209 monoklr Kamfermentol cairan botol 0 0 0 0 0
1210 Mummifyng Pasta botol 0 0 0 0 0
1301 Natrium Bicarbonat Tab 500 mg tablet 0 0 0 0 0
1302 Natrium Fluoresein TM 2 % botol 0 0 0 0 0
1303 natrium klorida infus 0,9 % botol 0 0 0 0 0 100
1304 Natium Tiosulfat Inj 25 % 10 ml ampul 0 0 0 0 0
1305 Nistatin 100.000 IU Tab Vaginal tablet 0 0 0 0 0
1306 Nistatin 500.000 IU Tab Vaginal tablet 0 0 0 0 0
1309 OBH Cairan botol 0 0 0 0 0
1310 Oksigen gas dalam tabung tabung 0 0 0 0 0
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 60 0 60 60 0
1312 Oksitetrasilin SK 3 % tube 113 0 113 24 89 50
1313 Oksitetrasikli SM 1 % tube 73 0 73 10 63 100
1314 Oksitosin Inj ampul 163 0 163 35 128 100
1401 Paraformaldehida Tablet tablet 0 0 0 0 0
1402 Parasetamol Syrup 125 mg/5 ml botol 282 0 282 95 187 336
1403 parasetamol tab 100 mg tablet 0 0 0 0 0
1404 Parasetamol Tab 500 mg tablet 7100 0 7100 3900 3200 9000
1405 pembalut Gips rol 0 0 0 0 0
1406 Perfenazine 16 mg tab tablet 0 0 0 0 0
1407 Perfenazine 4 mg tab tablet 0 0 0 0 0
1408 Pethidin Inj ampul 0 0 0 0 0
1409 Pilokarpin HCl TM 2 % botol 0 0 0 0 0
1410 Pyrantel Pamoat tab 125 mg tablet 0 0 0 0 0
1411 Pyrydoksin HCl Tab 10 mg tablet 0 0 0 0 0
1412 Plester 5 yard x2 Inchi rol 0 0 0 0 0
1413 Polikresulen rol 0 0 0 0 0
1414 Polipeptida DOEN Infus botol 0 0 0 0 0
1415 Prazikuantel Tab 600 mg tablet 0 0 0 0 0
1416 Prednison Tab 5 mg tablet 800 0 800 0 800 1000
1417 Primkina tab 15 mg tablet 0 0 0 0 0
1418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 0 0 0 0 0
1419 Propil tiourasil tab 100 mg tablet 0 0 0 0 0
1420 Propanolol tab 40 mg tablet 0 0 0 0 0
1501 Rabies Immune globulin 150 IU/ml vial 0 0 0 0 0
1502 Reserpina Tab 0,1 mg tablet 0 0 0 0 0
1503 Reserpina Tab 0,25 mg tablet 0 0 0 0 0
1505 Rifampisina tab 600 mg tablet 0 0 0 0 0
1506 Rifampisina tab 300 mg tablet 0 0 0 0 0
1507 Rifampisina kaps 450 mg kapsul 0 0 0 0 0
1601 Salbutamol Tab 2 mg tablet 1600 0 1600 250 1350 1000
1604 Salisil Spritus 10 % botol 0 0 0 0 0
1605 Semen seng pospat set 0 0 0 0 0
1606 Sabu polivalen 5 ml (ABU I) vial 0 0 0 0 0
1607 Sabu polivalen 50 ml (ABUII) vial 0 0 0 0 0
1608 Serum anti Dufteri 20.000IU/vial vial 0 0 0 0 0
1609 Serum ATS 1500 IU / Ampul vial 0 0 0 0 0
1610 Serum Anti Tetanus Inj 20000 IU/vl vial 0 0 0 0 0
1611 Sianokobalamin Inj 500 mcg/ml ampul 139 0 139 40 99 100
1612 Silk ( Benang Bedah ) sak 106 0 106 12 94 108
1613 Silver Amalgam botol 0 0 0 0 0
1614 Spon Gelatin tabung 0 0 0 0 0
1615 Streptomisin Sulfat Inj 1000 mg vial 0 0 0 0 0
1616 Streptomisin Sulfat Inj 1500 Mg vial 0 0 0 0 0
1617 Sulfadimidin Tab 500 mg tablet 0 0 0 0 0
1618 Sulfacetamide TM 15 % botol 0 0 0 0 0
1619 Suspensi Seng Insulin 40 IU/ml 10 ml set 0 0 0 0 0
1702 Temporary Stopping Fletcher serbuk set 0 0 0 0 0
1703 Tetrakain Hcl TM 0,5 % botol 0 0 0 0 0
1704 Tetrasiklin Kaps 250 mg kapsul 0 0 0 0 0
1705 Tetrasiklin Kaps 500 mg kapsul 0 0 0 0 0
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 0 0 0 0 0
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 0 0 0 0 0
1708 Natrium tiopental serbuk inj 100 mg/amp ampul 0 0 0 0 0
1710 Trikresolformalin (TKF) cairan botol 0 0 0 0 0
1801 Vaksin Rabies Vero set 0 0 0 0 0
1901 Yodium Povidon Larutan 10 % 30ml botol 0 0 0 0 0
1902 Yodium Povidon Larutan 10 % 300ml botol 0 0 0 0 0
- TAMBAHAN 0 0 0 0 0
T-01 Ambroxol 30 mg tablet 0 0 0 0 0
T-02 Amoksisilin 500 mg tablet 5500 0 5500 5300 200 6000
T-03 Salbutamol Tab 4 mg kotak 0 0 0 0 0
T-05 Diazepam Rectal tube tube 0 0 0 0 0
T-06 Parasetamol drop 60 mg /0.6 ml Botol 0 0 0 0 0
T-07 IV Catheter set 168 150 318 302 16 200
T-09 Kalsium Gluconat Inj 100 mg vial 0 0 0 0 0
T-10 Mikonazol Salep tube 0 0 0 0 0
T-11 Metformin Hcl tab 500 mg tablet 0 0 0 0 0
T-12 OAT Kat III paket 0 0 0 0 0
T-13 OAT FDC Sisipan paket 0 0 0 0 0
T-15 Metoklorpramid Inj 5 mg/ml ampul 0 0 0 0 0
T-16 Amlodipin 5 mg tablet 0 0 0 0 0
T-17 Ventolin neb tablet 0 0 0 0 0
T-18 Ranitidin 150 mg botol 0 0 0 0 0
T-19 Ranitidin Inj 25 mg/ ml ampul 0 0 0 0 0
T-20 Yodium Povidon 60 ml ampul 0 0 0 0 0
T-22 Zinc syrup botol 55 0 55 -10 65 50
T-23 Parasetamol Rectal suppos 0 0 0 0 0
T-24 Antasida Syrup botol 15 0 15 15 0
T-25 Atapulgit tablet 600 mg tablet 0 0 0 0 0
T-26 Kasa 40x80 cm rol 0 0 0 0 0
T-27 Papaverin Tablet tablet 0 0 0 0 0
T-28 Masker Pcs 0 200 200 200 0 200
T-29 Pehacain Injeksi Ampul 20 0 20 0 20
T-30 Sarung tangan non steril pcs 0 0 0 0 0 200
T-31 Sarung tangan steril Pasang 198 0 198 123 75
T-32 OAT Katagori anak paket 0 0 0 0 0
T-34 Ambroxol syrup botol 0 0 0 0 0
T-35 Nipedipin tablet 700 0 700 50 650 500
T-36 Kaptopril 12.5 mg tablet 0 0 0 0 0
T-38 Kloramphenicol inj vial 0 0 0 0 0
T-40 Plester Transparant roll 0 3 3 3 0
T-41 Plester non transparant roll 0 3 3 3 0
T-42 Gentamicin inj ampul 0 0 0 -60 60
T-43 Artemeter Inj ampul 0 0 0 0 0
T-44 Artesunate Inj ampul 0 0 0 0 0
T-46 Haloperidol 5 mg tablet 250 0 250 75 175 300
T-48 Siprofloxasin 500 mg tablet 0 0 0 0 0 1000
T-49 Etabion tablet tablet 1100 0 1100 1100 0
T-50 Zinc tablet 20 mg tablet 100 0 100 100 0 3000
T-52 Alat suntik 0.05 ml 27 G set 0 0 0 0 0
T-53 Fondazen tablet 0 12700 12700 880 11820
T-54 Asiklovir 400 mg tablet 0 0 0 0 0 1000
T-57 Natrium diklofenak 50 mg tablet 600 0 600 300 300 500
T-59 Ketokonazole 200 mg tablet 100 0 100 100 0 500
T-60 Famotidin 40 mg tablet 600 0 600 50 550 500
T-61 Ketoprofen Inj tablet 0 0 0 0 0
T-63 Asam asetil salisilat 100 mg tablet 0 0 0 0 0
T-64 Lexavit saset 0 0 0 0 0
T-65 OAT Kategori I ( Kombipak ) Paket 0 0 0 0 0
T-66 Arterakine Tablet 0 0 0 0 0
Jumlah
13
0
300
600
500
0
0
0
0
0
168
0
0
0
0
0
4000
50
30
0
0
0
30
0
0
2000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
60
0
0
500
0
0
1000
0
0
0
0
0
0
0
100
0
0
0
0
0
0
500
200
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
5000
0
0
0
0
0
0
0
0
0
0
2000
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
200
0
0
0
0
0
100
0
0
0
0
0
0
0
0
50
100
100
0
336
0
9000
0
0
0
0
0
0
0
0
0
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
1000
0
0
0
0
0
0
0
0
0
100
108
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000
0
0
0
0
6000
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50
0
0
0
0
0
200
0
200
0
0
0
0
500
0
0
0
0
0
0
0
0
0
0
300
0
1000
0
3000
0
0
0
1000
0
0
500
0
500
500
0
0
0
0
0
0
LENEK
BULAN : Oktober
TAHUN : 2016
Awal STOK Inpres Askes APBD Lain
1 2 3 4 5 6 7 8 9 10 11 12
110 Amoksisilina Syrup kering botol 0 168 168 168 0
116 Antasida DOEN tab tablet 3100 4000 7100 3000 4100
123 Aqua Pro Injeksi Steril bebas pirogen ampul 0 30 30 21 9
401 Dapson tablet 100 mg tablet 0 0 0 0 0 150
402 Deksametason Inj 5 mg/ml 1ml ampul 130 0 130 65 65 100
506 Etanol 70 % botol 5 20 25 20 5
508 Etil Klorida semprot botol 0 0 0 0
613 Furosemida 40 mg tablet 0 500 500 -200 700
707 Gliseril Guayacolat tab 100 mg tablet 1000 0 1000 -200 1200
904 Infusion set dewasa set 75 200 275 71 204
908 INH 300 mg tablet 0 0 0 0
1307 OAT Kat I paket 3 0 3 -1 4
1602 Salep 24 kombinasi pot 30 0 30 -5 35
1603 salisil Bedak 2 % kotak 28 0 28 28
1802 Vitamin B-Komplek Tablet tablet 0 1000 1000 900 100
- TAMBAHAN 0 0 0 0
T-07 IV Catheter set 16 200 216 93 123 300
T-08 Jarum Suntik pcs 0 0 0 -33 33
T-17 Simetidin tablet 0 0 0 0 40
T-26 Kasa 40x80 cm rol 0 0 0 0
T-28 Oseltamivir kapsul 0 200 200 200 0 400
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 0 200 200 200 0 300
T-33 Asam Mefenamat 500 mg tablet 100 0 100 0 100 2000
T-48 Siprofloxasin 500 mg tablet 0 1000 1000 1000 0
T-51 Ibuprofen Syrup 100 mg / 5 ml botol 0 0 0 0
T-54 Asiklovir 400 mg tablet 0 1000 1000 1000 0
T-59 Ketokonazole 200 mg tablet 0 500 500 -100 600
Jumlah
13
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
400
0
300
0
0
2000
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LENEK
BULAN : Nopember
TAHUN : 2016
Awal STOK Inpres Askes APBD
1 2 3 4 5 6 7 8 9 10 11
103 Alat Suntik 2,5 ml set 756 0 756 218 538 300
117 Anti Bakteri DOEN Salep kombinasi tube 90 0 90 13 77 50
126 Asam Askorbat 50 mg tablet 3200 0 3200 500 2700 500
204 Betametason cream tube 80 0 80 5 75 25
402 Deksametason Inj 5 mg/ml 1ml ampul 65 100 165 70 95 300
506 Etanol 70 % botol 5 0 5 5 0 20
Hidrokortison cream tube 51 0 51 22 29 96
902 Ibuprofen tab 400 mg tablet 1400 0 1400 300 1100 1000
903 Infusion set anak set 230 0 230 95 135 100
908 INH 300 mg tablet 0 0 0 0
1006 Kapas Pembalut 250 gram bungkus 10 0 10 4 6 10
1007 Karbamazepin tab 200 mg tablet 10 0 10 2 8 100
1010 Kasa Pembalut 4x15 rol 245 0 245 145 100 300
1017 Klorfeniramin maleat (CTM) 4 mg tablet 4300 0 4300 3500 800 1600
1027 Kotrimoksasol Suspensi botol 90 0 90 39 51 100
1402 Parasetamol Syrup 125 mg/5 ml botol 324 0 324 219 105 350
1404 Parasetamol Tab 500 mg tablet 6300 0 6300 4500 1800 10000
1508 Ringer Laktat Lar Infus botol 6 0 6 2 4 500
1611 Sianokobalamin Inj 500 mcg/ml ampul 170 0 170 30 140 100
1612 Silk ( Benang Bedah ) sak 163 0 163 53 110 108
1709 Triheksipenidil Hcl 2mg/tab tablet 0 0 0 0
- TAMBAHAN 0 0 0 0
T-02 Amoksisilin 500 mg tablet 200 0 200 200 0 6000
T-07 IV Catheter set 123 300 423 286 137 200
T-17 Simetidin tablet 0 40 40 40 0
T-22 Zinc syrup botol 90 0 90 13 77 50
T-26 Kasa 40x80 cm rol 0 0 0 0
T-28 Oseltamivir kapsul 0 400 400 400 0
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 20 0 20 0 20 20
T-31 Sarung tangan Pasang 57 0 57 57 0 200
T-33 Asam Mefenamat 500 mg tablet 100 2000 2100 1100 1000 3000
T-37 Kaptopril 25 mg tablet 0 0 0 -100 100 1000
T-47 Piroxicam 10 mg tablet 240 0 240 240 0 1000
T-50 Zinc tablet 20 mg tablet 2700 0 2700 2600 100 1000
T-53 Fondazen tablet 2900 0 2900 2900 0 12700
T-55 Asiklovir cream tube 10 0 10 5 5 25
EMBERIAN
Lain Jumlah
12 13
300
500
300
300
0
0
0
0
0
240
0
0
0
0
0
5000
50
0
0
0
0
30
0
0
500
0
0
0
0
0
0
0
0
0
0
25
72
120
300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000 1000
0
0
0
0
0
0
0
0
0
0
0
0
96
0
1000
100
200
0
0
0
0
0
0
0
0
0
0
10
100
0
0
300
0
0
0
0
0
0
1600
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
350
0
10000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
500
500
0
0
0
0
0
0
0
500
0
0
20
0
0
0
0
0
0
100
108
0
0
0
0
0
0
0
0
0
0
0
0
0
2000
0
0
0
0
4000
0
0
0
2000
6000
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50
0
0
0
0
0
300 300
20
500
200
0
3000
0
0
0
1000
0
0
10
0
0
0
0
0
0
1000
1000
0
1000
100
0
12700
0
25
0
0
0
0
0
0
0
500
0
0
0
LENEK
BULAN : Desember
TAHUN : 2016
Awal STOK Inpres Askes
1 2 3 4 5 6 7 8 9 10
123 Aqua Pro Injeksi Steril bebas pirogen ampul 5 30 35 30 5
506 Etanol 70 % botol 0 20 20 20 0
908 INH 300 mg tablet 0 0 0 0
1206 Metilergometrin maleat tab 0,125mg tablet 0 0 0 0
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 200 0 200 -161 361
1313 Oksitetrasikli SM 1 % tube 0 0 0 0
1614 Spon Gelatin tabung 0 0 0 0 600
1802 Vitamin B-Komplek Tablet tablet 70 4000 4070 670 3400
- TAMBAHAN 0 0 0 0
T-07 IV Catheter set 137 200 337 23 314 250
T-08 Jarum Suntik pcs 0 0 0 0
T-26 Kasa 40x80 cm rol 0 0 0 0
T-28 Oseltamivir kapsul 0 300 300 300 0
T-40 Cimetidin inj. ampul 0 10 10 10 0 15
PEMBERIAN
APBD Lain Jumlah
11 12 13
0
0
0
0
150 150
0
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
500 500
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
600
0
0
0
0
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
0
0
0
0
0
0
250
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
400
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS LENEK
REKAP JANUARI S/D MARET 2016
PENERIMAAN
NILAI STOK PUSKESMAS PER TOTAL NILAI TOTAL NILAI
KODE NAMA OBAT SATUAN HARGA SATUAN STOK AWAL BULAN SISA STOK NILAI SISA STOK
AWAL PENERIMAAN PENERIMAAN PEMAKAIAN PEMAKAIAN
Jan Peb Maret
101 Air Raksa Dental use botol 105,089.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
102 Alat Suntik 1 ml set 825.50 380 313,690.00 0 300 0 300 247,650.00 535 441,642.50 145 119,697.50
103 Alat Suntik 2,5 ml set 825.50 440 363,220.00 0 500 0 500 412,750.00 792 653,796.00 148 122,174.00
105 Albendazol 400 mg tablet 354.00 3720 1,316,880.00 0 0 0 0 0.00 320 113,280.00 3400 1,203,600.00
106 Alloporinol 100 mg tablet 88.00 200 17,600.00 0 0 0 0 0.00 0 0.00 200 17,600.00
107 Aminophillin 200 mg tablet 82.00 300 24,600.00 0 0 0 0 0.00 100 8,200.00 200 16,400.00
108 Aminophillin Inj 24 mg/ml 10 ml ampul 4,013.00 28 112,364.00 0 0 0 0 0.00 0 0.00 28 112,364.00
109 Amitriptilina tab 25 mg tablet 117.00 225 26,325.00 0 0 0 0 0.00 15 1,755.00 210 24,570.00
110 Amoksisilina Syrup kering botol 2,500.00 230 575,000.00 0 180 0 180 450,000.00 360 900,000.00 50 125,000.00
111 Amoksisilina kaps 250 mg kapsul 210.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
112 Ampisilina Kaplet 500 mg kaplet 400.05 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
113 Ampisilina Syrupkerng 125 mg/5 ml botol 4,620.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
114 Antalgin tab 500 mg tablet 156.45 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
115 Antalgin Inj 250 mg/ml 2ml ampul 1,400.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
116 Antasida DOEN tab tablet 74.00 5800 429,200.00 0 5000 0 5,000 370,000.00 7,900 584,600.00 2900 214,600.00
117 Anti Bakteri DOEN Salep kombinasi tube 2,641.00 117 308,997.00 0 0 0 0 0.00 52 137,332.00 65 171,665.00
118 Anti Haemoroid DOEN Kombinasi suppos 3,630.00 33 119,790.00 0 0 0 0 0.00 6 21,780.00 27 98,010.00
119 Anti Fungi DOEN Kombinasi pot 1,743.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
120 Anti Migrain DOEN Kombinasi tablet 142.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
121 Anti Parkinson DOEN tab Kombinasi tablet 1,575.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
123 Aqua Pro Injeksi Steril bebas pirogen ampul 2,100.00 35 73,500.00 0 0 0 0 0.00 35 73,500.00 0 0.00
124 Aquadest Steril botol 3,588.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

125 Asam Askorbat 250 mg tablet 163.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
126 Asam Askorbat 50 mg tablet 100.00 2600 260,000.00 0 0 0 0 0.00 1,400 140,000.00 1200 120,000.00
127 Asam Klorida 0,1 N botol 9,532.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
128 Asam Sulfosalisilat 20 % 100 ml botol 24,051.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
129 Asetosal 100 mg tablet 92.40 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

130 Asetasal 500 mg tablet 150.15 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 1,418.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
132 Atropin Sulfat Tablet 0,5 mg tablet 77.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
133 Atropin tetes mata 0,5 % botol 13,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
201 Benzatin B Penisilin 1,2 jt IU/vial vial 10,290.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
203 Besi Syrup botol 3,983.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

204 Betametason cream tube 1,558.00 95 148,010.00 0 0 0 0 0.00 65 101,270.00 30 46,740.00
301 Catgut / Benang bedah sachet 7,090.83 150 1,063,625.00 0 0 0 0 0.00 141 999,807.50 9 63,817.50
401 Dapson tablet 100 mg tablet 33.08 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
402 Deksametason Inj 5 mg/ml 1ml ampul 1,659.00 194 321,846.00 0 0 100 100 165,900.00 244 404,796.00 50 82,950.00
403 Deksametason tablet 0,5 mg tablet 64.00 3550 227,200.00 0 0 0 0 0.00 3,550 227,200.00 0 0.00
404 Dekstran 70 Lar Infus 6 % steril botol 37,302.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
405 Dekstrometorphan HBR Syr10mg/5ml botol 3,008.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
406 Dekstrometorphan HBR Tab 15 mg tablet 115.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
407 Devitalisasi Pasta botol 388,050.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
408 Diazepam Inj 5 mg/ml 2ml ampul 4,389.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
409 Diazepam tablet 2 mg tablet 46.00 0 0.00 300 0 0 300 13,800.00 50 2,300.00 250 11,500.00
410 Diazepam tablet 5 mg tablet 50.40 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

411 Dietil Karbamasin 100 mg tablet 102.38 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 1,107.00 70 77,490.00 0 0 0 0 0.00 70 77,490.00 0 0.00
413 Digoksin tab 0,25 mg tablet 100.00 110 11,000.00 0 0 0 0 0.00 0 0.00 110 11,000.00
501 Epedrina HCL 25 mg tab tablet 12.82 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
502 Ekstrk Belladona tab 100 mg tablet 33.26 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
503 Epineprin Inj 0,1 % 1ml ampul 8,505.00 55 467,775.00 0 0 0 0 0.00 10 85,050.00 45 382,725.00
504 Etakridin (rivanol) Lar 0,1 % botol 8,250.00 5 41,250.00 0 0 0 0 0.00 2 16,500.00 3 24,750.00
505 Etambutol 250 mg tablet 322.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
506 Etanol 70 % botol 19,166.00 14 268,324.00 0 0 0 0 0.00 14 268,324.00 0 0.00
507 Eter Anestesi botol 8,470.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
508 Etil Klorida semprot botol 149,250.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
509 Eugenol Cairan botol 17,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

601 Fenitoin Natrium Inj 50 mg/ml ampul 20,850.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
602 Fenitoin kaps 100 mg kapsul 140.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
603 Fenitoin Kaps 30 mg kapsul 76.69 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
604 Fenobarbital Inj 50 mg/ml 1ml ampul 1,890.00 30 56,700.00 0 0 0 0 0.00 0 0.00 30 56,700.00
605 Fenobarbital Tab 100 mg tablet 153.38 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
606 Fenobarbital tab 30 mg tablet 7.01 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
607 Fenoksimetil pen tab 250 mg tablet 304.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
609 fenol Gliserol TT 10 % botol 1,058.75 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
610 Fitomenadion Inj 10 mg/ml 1ml ampul 1,827.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
611 Fitomenadion tab 10 mg tablet 666.00 300 199,800.00 0 0 0 0 0.00 100 66,600.00 200 133,200.00
612 Fluor tab 0,5 mg tablet 34.56 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
613 Furosemida 40 mg tablet 80.00 200 16,000.00 0 0 0 0 0.00 0 0.00 200 16,000.00
701 Gameksan Emulsi botol 2,310.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
702 Garam Oralit 1000 ml sachet 421.08 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
703 Garam Oralit 200 ml sachet 303.00 948 287,244.00 500 1000 0 1,500 454,500.00 2,068 626,604.00 380 115,140.00
704 Gentian violet Lar 1 % botol 473.00 10 4,730.00 0 0 0 0 0.00 10 4,730.00 0 0.00
705 Glass Ionomer Cemen (GCIX) set 786,050.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
706 Glibenclamid 5 mg tablet 58.00 800 46,400.00 0 0 0 0 0.00 600 34,800.00 200 11,600.00
707 Gliseril Guayacolat tab 100 mg tablet 44.00 4002 176,088.00 0 5000 0 5,000 220,000.00 8,002 352,088.00 1000 44,000.00
708 Gliserin botol 5,600.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
709 Glukosa Infus 100 % botol 5,985.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
711 Glukosa Infus 5 % botol 5,460.00 232 1,266,720.00 0 300 0 300 1,638,000.00 280 1,528,800.00 252 1,375,920.00
712 Griseofulfin tab 125 mg tablet 220.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
801 Haloperidol tab 0,5 mg tablet 61.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
803 Hidroclortiazide (HCT) tab 25mg tablet 38.12 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
Hidrokortison cream tube 2,868.00 24 68,832.00 48 0 0 48 137,664.00 48 137,664.00 24 68,832.00

901 Ibuprofen tab 200 mg tablet 116.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
902 Ibuprofen tab 400 mg tablet 153.00 2455 375,615.00 0 0 0 0 0.00 2,355 360,315.00 100 15,300.00
903 Infusion set anak set 4,445.00 100 444,500.00 0 0 0 0 0.00 50 222,250.00 50 222,250.00
904 Infusion set dewasa set 4,064.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
905 Insulin reguler Inj 40 IU/ml 10 ml vial 81,180.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
906 Iodiol Kaps lunak kapsul 976.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
907 Ipeka Syrup botol 3,998.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
908 INH 300 mg tablet 166.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
909 Isosorbid Dinitrat tab 5 mg tablet 93.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1001 Jarum Bedah no 9 s/d 14 biji 60,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1002 Kalium Permanganat Serbuk botol 317.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1003 Kalsium Hidroksida Pasta tube 373,125.00 0 0.00 0 1 0 1 373,125.00 1 373,125.00 0 0.00
1004 Kalsim Laktat tablet 73.00 900 65,700.00 0 0 0 0 0.00 0 0.00 900 65,700.00
1005 Kapas berlemak 500 gram bungkus 17,250.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1006 Kapas Pembalut 250 gram bungkus 15,875.00 8 127,000.00 0 5 0 5 79,375.00 9 142,875.00 4 63,500.00
1007 Karbamazepin tab 200 mg tablet 257.00 270 69,390.00 0 0 0 0 0.00 20 5,140.00 250 64,250.00
1008 Kasa Kompres 40 x 40 rol 1,393.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

1009 Kasa Pembalut 2x80 rol 8,793.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1010 Kasa Pembalut 4x15 rol 2,667.00 255 680,085.00 0 0 0 0 0.00 250 666,750.00 5 13,335.00
1011 Kasa Pembalut 4x3 rol 733.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1012 Ketamin Inj 10 mg/ml vial 1,100.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1013 Klofazimin kaps 100 mg kapsul 2,182.95 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1014 Klorampenikol kaps 250 mg kapsul 266.40 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1015 Klorampenikol sm 1 % tube 1,640.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1016 Klorampeicol TT 3 % botol 3,482.50 71 247,257.50 0 0 0 0 0.00 31 107,957.50 40 139,300.00

1017 Klorfeniramin maleat (CTM) 4 mg tablet 40.98 5700 233,574.60 0 3400 0 3,400 139,325.20 7,800 319,628.40 1300 53,271.40
1018 Klokina tab 250 mg tablet 89.25 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1019 Klorpromazina Inj 25 mg/ml 1ml ampul 1,155.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1021 Klorpromazina tab 100 mg tablet 153.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1022 klorpromazina tab 25 mg tablet 71.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1023 Klorpropamida 100 mg tab tablet 52.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1024 Kodeina tab 10 mg tablet 525.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 544.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1026 Kotrimoksasol ped tab tablet 79.70 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1027 Kotrimoksasol Suspensi botol 2,222.00 400 888,800.00 0 100 0 100 222,200.00 365 811,030.00 135 299,970.00
1028 Kotrimoxsasol tab Dewasa tablet 145.00 4180 606,100.00 0 2500 0 2,500 362,500.00 3,280 475,600.00 3400 493,000.00
1029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 6,510.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1030 Kuinin sulfat tab 222 mg tablet 704.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1101 larutan Benedict botol 28,133.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1102 larutan eosin 2 % botol 35,550.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1103 Larutan etanol Asam botol 33,156.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1104 larutan Giemsa Stain botol 61,547.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1105 Larutan Karbol Fuksin botol 22,570.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1106 Larutan Metilen biru botol 16,600.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1107 Larutan Turk botol 14,165.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1108 Lidokain Kompositum Inj ampul 879.00 100 87,900.00 100 100 0 200 175,800.00 210 184,590.00 90 79,110.00
1109 Lisol botol 51,108.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 1,616.80 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1202 Magnesium Sulfat Inj(IV) 40 % 25 ml vial 6,019.80 30 180,594.00 0 0 0 0 0.00 10 60,198.00 20 120,396.00
1203 Mebendazol Syrup100 mg/5 ml botol 3,570.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1204 mebendazol Tab 100 mg tablet 227.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1205 Metanol botol 23,938.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1206 Metilergometrin maleat tab 0,125mg tablet 162.00 500 81,000.00 0 0 0 0 0.00 100 16,200.00 400 64,800.00
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 2,750.00 150 412,500.00 0 0 0 0 0.00 113 310,750.00 37 101,750.00
1208 Metronidazol tab 250 mg tablet 113.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1209 monoklr Kamfermentol cairan botol 55,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1210 Mummifyng Pasta botol 183,578.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1301 Natrium Bicarbonat Tab 500 mg tablet 15.02 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1302 Natrium Fluoresein TM 2 % botol 4,121.96 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1303 natrium klorida infus 0,9 % botol 4,935.00 60 296,100.00 0 0 0 0 0.00 60 296,100.00 0 0.00
1304 Natium Tiosulfat Inj 25 % 10 ml ampul 31,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1305 Nistatin 100.000 IU Tab Vaginal tablet 504.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1307 OAT Kat I paket 377,900.00 5 1,889,500.00 0 0 0 0 0.00 1 377,900.00 4 1,511,600.00
1308 Oat kat II paket 1,259,990.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

1309 OBH Cairan botol 1,800.00 76 136,800.00 0 0 0 0 0.00 53 95,400.00 23 41,400.00
1310 Oksigen gas dalam tabung tabung 75,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 8,764.80 60 525,888.00 0 0 0 0 0.00 0 0.00 60 525,888.00
1312 Oksitetrasilin SK 3 % tube 1,650.00 112 184,800.00 0 0 0 0 0.00 12 19,800.00 100 165,000.00
1313 Oksitetrasikli SM 1 % tube 2,365.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

1314 Oksitosin Inj ampul 1,874.27 125 234,283.33 0 100 0 100 187,426.67 195 365,482.00 30 56,228.00
1401 Paraformaldehida Tablet tablet 60.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1402 Parasetamol Syrup 125 mg/5 ml botol 1,496.00 357 534,072.00 0 168 84 252 376,992.00 569 851,224.00 40 59,840.00
1403 parasetamol tab 100 mg tablet 44.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1404 Parasetamol Tab 500 mg tablet 84.00 10000 840,000.00 0 2000 0 2,000 168,000.00 12,000 1,008,000.00 0 0.00
1405 pembalut Gips rol 23,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1406 Perfenazine 16 mg tab tablet 96.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

1408 Pethidin Inj ampul 15,225.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1409 Pilokarpin HCl TM 2 % botol 5,475.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1410 Pyrantel Pamoat tab 125 mg tablet 308.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1411 Pyrydoksin HCl Tab 10 mg tablet 17.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1412 Plester 5 yard x2 Inchi rol 23,482.00 28 657,496.00 0 18 0 18 422,676.00 39 915,798.00 7 164,374.00
1413 Polikresulen rol 17,993.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1414 Polipeptida DOEN Infus botol 32,995.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1415 Prazikuantel Tab 600 mg tablet 1,785.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1416 Prednison Tab 5 mg tablet 119.00 500 59,500.00 1,000 0 0 1,000 119,000.00 500 59,500.00 1000 119,000.00
1417 Primkina tab 15 mg tablet 114.45 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 7,549.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1419 Propil tiourasil tab 100 mg tablet 335.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1420 Propanolol tab 40 mg tablet 79.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1501 Rabies Immune globulin 150 IU/ml vial 450,999.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1502 Reserpina Tab 0,1 mg tablet 78.96 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1504 Retinol (vit A) Kaps 200.000 IU kapsul 482.00 1217 586,594.00 0 2100 0 2,100 1,012,200.00 2,417 1,164,994.00 900 433,800.00
1505 Rifampisina tab 600 mg tablet 1,154.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1506 Rifampisina tab 300 mg tablet 640.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1507 Rifampisina kaps 450 mg kapsul 829.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1508 Ringer Laktat Lar Infus botol 5,460.00 491 2,680,860.00 0 700 400 1,100 6,006,000.00 1,505 8,217,300.00 86 469,560.00
1601 Salbutamol Tab 2 mg tablet 62.00 1150 71,300.00 0 1000 0 1,000 62,000.00 850 52,700.00 1300 80,600.00
1602 Salep 24 kombinasi pot 2,100.00 48 100,800.00 0 0 0 0 0.00 48 100,800.00 0 0.00
1603 salisil Bedak 2 % kotak 1,250.00 20 25,000.00 0 25 0 25 31,250.00 35 43,750.00 10 12,500.00

1604 Salisil Spritus 10 % botol 114.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1605 Semen seng pospat set 189,050.00 1 189,050.00 0 1 0 1 189,050.00 2 378,100.00 0 0.00
1606 Sabu polivalen 5 ml (ABU I) vial 3,164,100.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1607 Sabu polivalen 50 ml (ABUII) vial 41,800,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1608 Serum anti Dufteri 20.000IU/vial vial 450,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1609 Serum ATS 1500 IU / Ampul vial 1,233,380.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1610 Serum Anti Tetanus Inj 20000 IU/vl vial 340,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1611 Sianokobalamin Inj 500 mcg/ml ampul 1,132.00 259 293,188.00 0 0 0 0 0.00 130 147,160.00 129 146,028.00
1612 Silk ( Benang Bedah ) sak 3,880.56 103 399,697.22 0 72 0 72 279,400.00 135 523,875.00 40 155,222.22
1613 Silver Amalgam botol 746,250.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1614 Spon Gelatin tabung 11,164.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1615 Streptomisin Sulfat Inj 1000 mg vial 1,995.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1616 Streptomisin Sulfat Inj 1500 Mg vial 1,919.40 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1617 Sulfadimidin Tab 500 mg tablet 95.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1618 Sulfacetamide TM 15 % botol 3,617.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1619 Suspensi Seng Insulin 40 IU/ml 10 ml set 27,008.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1701 Besi Sulfat tablet salut 300 mg tablet 43.00 3880 166,840.00 0 0 0 0 0.00 1,680 72,240.00 2200 94,600.00
1702 Temporary Stopping Fletcher serbuk set 148,255.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1703 Tetrakain Hcl TM 0,5 % botol 11,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1704 Tetrasiklin Kaps 250 mg kapsul 154.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 998.33 158 157,736.67 0 0 0 0 0.00 86 85,856.67 72 71,880.00
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 52.00 4000 208,000.00 0 0 0 0 0.00 2,000 104,000.00 2000 104,000.00
1708 Natrium tiopental serbuk inj 100 mg/amp ampul 63,608.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1709 Triheksipenidil Hcl 2mg/tab tablet 462.00 0 0.00 0 300 0 300 138,600.00 90 41,580.00 210 97,020.00
1710 Trikresolformalin (TKF) cairan botol 38,496.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1801 Vaksin Rabies Vero set 308,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1802 Vitamin B-Komplek Tablet tablet 110.00 6000 660,000.00 0 3000 0 3,000 330,000.00 6,300 693,000.00 2700 297,000.00
1901 Yodium Povidon Larutan 10 % 30ml botol 2,250.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1902 Yodium Povidon Larutan 10 % 300ml botol 14,771.00 36 531,756.00 0 30 0 30 443,130.00 18 265,878.00 48 709,008.00
- TAMBAHAN 0 0
T-01 Ambroxol 30 mg tablet 124.94 2215 276,742.10 0 2500 0 2,500 312,350.00 3,915 489,140.10 800 99,952.00
T-02 Amoksisilin 500 mg tablet 270.00 5940 1,603,800.00 0 0 0 0 0.00 5,940 1,603,800.00 0 0.00
T-03 Box slide kotak 91.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

T-04 Bisacodyl 5 mg supp suppos 6,045.00 4 24,180.00 0 0 0 0 0.00 0 0.00 4 24,180.00
T-05 Diazepam Rectal tube tube 12,159.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-06 Sofratule Lembar 7,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-07 IV Catheter set 4,826.00 200 965,200.00 0 200 0 200 965,200.00 400 1,930,400.00 0 0.00
T-08 Jarum Suntik pcs 242.00 185 44,770.00 0 200 0 200 48,400.00 350 84,700.00 35 8,470.00
T-09 Kalsium Gluconat Inj 100 mg vial 7,800.00 32 249,600.00 0 0 0 0 0.00 0 0.00 32 249,600.00
T-10 Mikonazol Salep tube 3,075.00 50 153,750.00 0 0 0 0 0.00 36 110,700.00 14 43,050.00

T-11 Metformin Hcl tab 500 mg tablet 114.50 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-12 OAT Kat III paket 154,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-13 OAT Sisipan paket 168,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-14 Metoklorpramid tab 5 mg tablet 111.00 1375 152,625.00 0 0 0 0 0.00 675 74,925.00 700 77,700.00
T-15 Metoklorpramid Inj 5 mg/ml ampul 8,983.33 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-16 Skalvein set set 5,770.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-17 Simetidin tablet 120.65 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-18 Ranitidin 150 mg botol 122.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-19 Ranitidin Inj 25 mg/ ml ampul 1,190.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-20 Fitomenadion 1 mg/ml ampul 6,298.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 273.00 69 18,837.00 0 300 0 300 81,900.00 300 81,900.00 69 18,837.00
T-22 Pot sputum pot 7,770.00 75 582,750.00 0 50 0 50 388,500.00 55 427,350.00 70 543,900.00

T-23 Reagen Zheil Nelson kotak 11,952.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-24 Antasida Syrup botol 2,160.00 27 58,320.00 0 0 0 0 0.00 17 36,720.00 10 21,600.00
T-25 Slide biasa rol 210.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-26 Kasa 40x80 cm rol 133,350.00 0 0.00 0 1 0 1 133,350.00 1 133,350.00 0 0.00
T-27 Papaverin Tablet tablet 104.48 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

T-28 Oseltamivir kapsul 13,650.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 3,113.05 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 1,666.67 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-31 Sarung tangan Pasang 825.50 195 160,972.50 0 200 0 200 165,100.00 395 326,072.50 0 0.00
T-32 OAT Katagori anak paket 225,740.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-33 Asam Mefenamat 500 mg tablet 116.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-34 Ambroxol syrup botol 3,049.00 50 152,450.00 0 0 0 0 0.00 50 152,450.00 0 0.00

T-35 Nipedipin tablet 110.00 400 44,000.00 0 0 0 0 0.00 100 11,000.00 300 33,000.00
T-36 Kaptopril 12.5 mg tablet 62.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-37 Kaptopril 25 mg tablet 89.00 2250 200,250.00 0 1500 0 1,500 133,500.00 2,950 262,550.00 800 71,200.00
T-38 Kloramphenicol inj vial 7,260.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-39 Ampisilin inj. 1 gr vial 5,355.00 60 321,300.00 0 0 0 0 0.00 10 53,550.00 50 267,750.00

T-40 Cimetidin inj. ampul 5,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-41 Gentamicin sk tube 1,943.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-42 Gentamicin inj ampul 3,569.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

T-43 Artemeter Inj ampul 23,100.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-44 Artesunate Inj ampul 26,315.63 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00

T-45 Doksisiklin kapsul 285.00 490 139,650.00 0 0 0 0 0.00 40 11,400.00 450 128,250.00
T-46 Haloperidol 5 mg tablet 100.00 166 16,600.00 0 300 0 300 30,000.00 151 15,100.00 315 31,500.00
T-47 Piroxicam 10 mg tablet 97.51 2600 253,526.00 0 0 0 0 0.00 1,000 97,510.00 1600 156,016.00
T-48 Siprofloxasin 500 mg tablet 260.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-49 ACT ( Artesunate+Amodiaquin) tablet 239.95 8200 1,967,590.00 0 0 0 0 0.00 3,500 839,825.00 4700 1,127,765.00
T-50 Zinc tablet 20 mg tablet 497.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-51 Alat suntik 0.5 ml 25 G set 3,674.00 45 165,330.00 0 0 0 0 0.00 0 0.00 45 165,330.00
T-52 Alat suntik 0.05 ml 27 G set 3,540.90 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-53 Aletrol TM botol 224.95 14800 3,329,260.00 0 0 0 0 0.00 10,900 2,451,955.00 3900 877,305.00
T-54 Asiklovir 400 mg tablet 346.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-55 Asiklovir cream tube 2,997.00 60 179,820.00 0 0 0 0 0.00 20 59,940.00 40 119,880.00
T-56 Metronidazol tab 500 mg tablet 164.00 1300 213,200.00 0 0 0 0 0.00 200 32,800.00 1100 180,400.00
T-57 Natrium diklofenak 50 mg tablet 185.00 1150 212,750.00 0 0 0 0 0.00 200 37,000.00 950 175,750.00
T-58 Kaptopril 50 mg tablet 141.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-59 Ketokonazole 200 mg tablet 300.00 150 45,000.00 0 0 0 0 0.00 30 9,000.00 120 36,000.00
T-60 Famotidin 40 mg tablet 176.84 400 70,736.00 0 500 0 500 88,420.00 600 106,104.00 300 53,052.00
T-61 Ketoprofen Inj tablet 7,790.80 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-62 Metoklorpramid syrup 5 mg/ ml botol 2,800.00 190 532,000.00 0 0 0 0 0.00 40 112,000.00 150 420,000.00
T-63 Asam asetil salisilat 100 mg tablet 122.00 70 8,540.00 0 0 0 0 0.00 0 0.00 70 8,540.00
T-64 Mineral Mix saset 2,598.75 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-65 OAT Kategori I ( Kombipak ) Paket 302,605.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-66 Arterakine Tablet 4,122.25 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
37,212,605.92 17,860,783.87 38,080,927.17 16,992,462.62
Lenek, 31 Desember 2016

Kepala Puskesmas Lenek
Kabupaten Lombok Timur
Jalaludin Sayuti, SKM,MPH

NIP : 19751231 199803 1 015
PUSKESMAS LENEK
REKAP APRIL SD JUNI 2016
STOK NILAI STOK PENERIMAAN TOTAL NILAI TOTAL NILAI NILAI SISA
KODE NAMA OBAT SATUAN HARGA SATUAN SISA STOK
AWAL AWAL PENERIMAAN PENERIMAAN PEMAKAIAN PEMAKAIAN STOK
April Mei Juni
1 2 3 8 8.00
106 Alloporinol 100 mg tablet 88.00 200 17,600.00 0 0 0 0 0.00 0 0.00 200 17,600.00
107 Aminophillin 200 mg tablet 82.00 200 16,400.00 0 0 0 0 0.00 100 8,200.00 100 8,200.00
109 Amitriptilina tab 25 mg tablet 117.00 210 24,570.00 0 0 0 0 0.00 0 0.00 210 24,570.00
110 Amoksisilina Syrup kering botol 2,500.00 50 125,000.00 180 0 0 180 450,000.00 205 512,500.00 25 62,500.00
116 Antasida DOEN tab tablet 74.00 2900 214,600.00 5000 0 5000 10000 740,000.00 8,510 629,740.00 4390 324,860.00
117 Anti Bakteri DOEN Salep kombinasi tube 2,641.00 65 171,665.00 0 0 50 50 132,050.00 90 237,690.00 25 66,025.00
118 Anti Haemoroid DOEN Kombinasi suppos 3,630.00 27 98,010.00 0 0 20 20 72,600.00 20 72,600.00 27 98,010.00
123 Aqua Pro Injeksi Steril bebas pirogen ampul 2,100.00 0 0.00 50 0 30 80 168,000.00 50 105,000.00 30 63,000.00
126 Asam Askorbat 50 mg tablet 100.00 1200 120,000.00 0 1000 2000 3000 300,000.00 2,400 240,000.00 1800 180,000.00
203 Besi Syrup botol 3,983.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
204 Betametason cream tube 1,558.00 30 46,740.00 50 0 50 100 155,800.00 62 96,596.00 68 105,944.00
301 Catgut / Benang bedah sachet 7,090.83 9 63,817.50 120 0 72 192 1,361,440.00 121 857,990.83 80 567,266.67
402 Deksametason Inj 5 mg/ml 1ml ampul 1,659.00 50 82,950.00 0 0 0 0 0.00 50 82,950.00 0 0.00
403 Deksametason tablet 0,5 mg tablet 64.00 0 0.00 2000 0 3000 5000 320,000.00 3,000 192,000.00 2000 128,000.00
407 Devitalisasi Pasta botol 388,050.00 0 0.00 0 1 0 1 388,050.00 1 388,050.00 0 0.00
409 Diazepam tablet 2 mg tablet 46.00 250 11,500.00 0 0 0 0 0.00 115 5,290.00 135 6,210.00
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 1,107.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
413 Digoksin tab 0,25 mg tablet 100.00 110 11,000.00 0 0 0 0 0.00 0 0.00 110 11,000.00
503 Epineprin Inj 0,1 % 1ml ampul 8,505.00 45 382,725.00 30 0 100 130 1,105,650.00 10 85,050.00 165 1,403,325.00
504 Etakridin (rivanol) Lar 0,1 % botol 8,250.00 3 24,750.00 0 0 0 0 0.00 0 0.00 3 24,750.00
506 Etanol 70 % botol 19,166.00 0 0.00 10 0 20 30 574,980.00 20 383,320.00 10 191,660.00
509 Eugenol Cairan botol 17,500.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
604 Fenobarbital Inj 50 mg/ml 1ml ampul 1,890.00 30 56,700.00 0 0 0 0 0.00 0 0.00 30 56,700.00
610 Fitomenadion Inj 10 mg/ml 1ml ampul 1,827.00 0 0.00 90 0 0 90 164,430.00 57 104,139.00 33 60,291.00
611 Fitomenadion tab 10 mg tablet 666.00 200 133,200.00 0 500 0 500 333,000.00 400 266,400.00 300 199,800.00
613 Furosemida 40 mg tablet 80.00 200 16,000.00 0 0 0 0 0.00 100 8,000.00 100 8,000.00
703 Garam Oralit 200 ml sachet 303.00 380 115,140.00 2000 0 1000 3000 909,000.00 2,250 681,750.00 1130 342,390.00
704 Gentian violet Lar 1 % botol 473.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
706 Glibenclamid 5 mg tablet 58.00 200 11,600.00 500 0 500 1000 58,000.00 500 29,000.00 700 40,600.00
707 Gliseril Guayacolat tab 100 mg tablet 44.00 1000 44,000.00 3000 0 2000 5000 220,000.00 3,000 132,000.00 3000 132,000.00
708 Gliserin botol 5,600.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
711 Glukosa Infus 5 % botol 5,460.00 252 1,375,920.00 100 0 100 200 1,092,000.00 209 1,141,140.00 243 1,326,780.00
901 Ibuprofen tab 200 mg tablet 116.00 0 0.00 1000 0 0 1000 116,000.00 1,000 116,000.00 0 0.00
902 Ibuprofen tab 400 mg tablet 153.00 100 15,300.00 1000 0 500 1500 229,500.00 900 137,700.00 700 107,100.00
903 Infusion set anak set 4,445.00 50 222,250.00 0 0 100 100 444,500.00 106 471,170.00 44 195,580.00
904 Infusion set dewasa set 4,064.00 0 0.00 0 0 50 50 203,200.00 50 203,200.00 0 0.00
908 INH 300 mg tablet 166.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
909 Isosorbid Dinitrat tab 5 mg tablet 93.00 0 0.00 100 0 0 100 9,300.00 0 0.00 100 9,300.00
1003 Kalsium Hidroksida Pasta tube 373,125.00 0 0.00 0 1 0 1 373,125.00 0 0.00 1 373,125.00
1007 Karbamazepin tab 200 mg tablet 257.00 250 64,250.00 0 0 0 0 0.00 0 0.00 250 64,250.00
1010 Kasa Pembalut 4x15 rol 2,667.00 5 13,335.00 0 0 0 0 0.00 0 0.00 5 13,335.00
1016 Klorampeicol TT 3 % botol 3,482.50 40 139,300.00 0 0 0 0 0.00 30 104,475.00 10 34,825.00
1017 Klorfeniramin maleat (CTM) 4 mg tablet 40.98 1300 53,271.40 8000 0 1000 9000 368,802.00 7,700 315,530.60 2600 106,542.80
1027 Kotrimoksasol Suspensi botol 2,222.00 135 299,970.00 200 0 0 200 444,400.00 155 344,410.00 180 399,960.00
1028 Kotrimoxsasol tab Dewasa tablet 145.00 3400 493,000.00 1000 0 2000 3000 435,000.00 2,900 420,500.00 3500 507,500.00
1109 Lisol botol 51,108.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1205 Metanol botol 23,938.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1206 Metilergometrin maleat tab 0,125mg tablet 162.00 400 64,800.00 0 0 0 0 0.00 300 48,600.00 100 16,200.00
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 2,750.00 37 101,750.00 100 0 100 200 550,000.00 71 195,250.00 166 456,500.00
1303 natrium klorida infus 0,9 % botol 4,935.00 0 0.00 100 0 40 140 690,900.00 100 493,500.00 40 197,400.00
1307 OAT Kat I paket 377,900.00 4 1,511,600.00 0 7 10 17 6,424,300.00 12 4,534,800.00 9 3,401,100.00
1308 Oat kat II paket 1,259,990.00 0 0.00 0 2 0 2 2,519,980.00 0 0.00 2 2,519,980.00
1309 OBH Cairan botol 1,800.00 23 41,400.00 0 0 0 0 0.00 23 41,400.00 0 0.00
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 8,764.80 60 525,888.00 0 0 0 0 0.00 0 0.00 60 525,888.00
1312 Oksitetrasilin SK 3 % tube 1,650.00 100 165,000.00 0 0 50 50 82,500.00 37 61,050.00 113 186,450.00
1313 Oksitetrasikli SM 1 % tube 2,365.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1402 Parasetamol Syrup 125 mg/5 ml botol 1,496.00 40 59,840.00 168 336 336 840 1,256,640.00 653 976,888.00 227 339,592.00
1404 Parasetamol Tab 500 mg tablet 84.00 0 0.00 3000 0 6000 9000 756,000.00 5,700 478,800.00 3300 277,200.00
1412 Plester 5 yard x2 Inchi rol 23,482.00 7 164,374.00 24 0 0 24 563,568.00 31 727,942.00 0 0.00
1416 Prednison Tab 5 mg tablet 119.00 1000 119,000.00 500 0 0 500 59,500.00 100 11,900.00 1400 166,600.00
1504 Retinol (vit A) Kaps 200.000 IU kapsul 482.00 900 433,800.00 0 0 0 0 0.00 0 0.00 900 433,800.00
1508 Ringer Laktat Lar Infus botol 5,460.00 86 469,560.00 1100 200 900 2200 12,012,000.00 1,897 10,357,620.00 389 2,123,940.00
1601 Salbutamol Tab 2 mg tablet 62.00 1300 80,600.00 0 0 1000 1000 62,000.00 1,000 62,000.00 1300 80,600.00
1602 Salep 24 kombinasi pot 2,100.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1603 salisil Bedak 2 % kotak 1,250.00 10 12,500.00 20 0 30 50 62,500.00 30 37,500.00 30 37,500.00
1605 Semen seng pospat set 189,050.00 0 0.00 0 1 0 1 189,050.00 1 189,050.00 0 0.00
1609 Serum ATS 1500 IU / Ampul vial 1,233,380.00 0 0.00 0 0 1 1 1,233,380.00 1 1,233,380.00 0 0.00
1611 Sianokobalamin Inj 500 mcg/ml ampul 1,132.00 129 146,028.00 100 0 100 200 226,400.00 103 116,596.00 226 255,832.00
1613 Silver Amalgam botol 746,250.00 0 0.00 0 1 0 1 746,250.00 1 746,250.00 0 0.00
1701 Besi Sulfat tablet salut 300 mg tablet 43.00 2200 94,600.00 0 0 0 0 0.00 0 0.00 2200 94,600.00
1702 Temporary Stopping Fletcher serbuk set 148,255.00 0 0.00 0 1 0 1 148,255.00 1 148,255.00 0 0.00
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 998.33 72 71,880.00 30 60 90 180 179,700.00 252 251,580.00 0 0.00
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 52.00 2000 104,000.00 0 0 0 0 0.00 2,000 104,000.00 0 0.00
1709 Triheksipenidil Hcl 2mg/tab tablet 462.00 210 97,020.00 0 0 0 0 0.00 120 55,440.00 90 41,580.00
1802 Vitamin B-Komplek Tablet tablet 110.00 2700 297,000.00 2000 0 0 2000 220,000.00 4,700 517,000.00 0 0.00
1902 Yodium Povidon Larutan 10 % 300ml botol 14,771.00 48 709,008.00 30 0 0 30 443,130.00 78 1,152,138.00 0 0.00
- TAMBAHAN 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-01 Ambroxol 30 mg tablet 124.94 800 99,952.00 2000 0 1500 3500 437,290.00 4,300 537,242.00 0 0.00
T-02 Amoksisilin 500 mg tablet 270.00 0 0.00 1000 0 6000 7000 1,890,000.00 2,900 783,000.00 4100 1,107,000.00
T-03 Box slide kotak 91.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-04 Bisacodyl 5 mg supp suppos 6,045.00 4 24,180.00 6 0 6 12 72,540.00 6 36,270.00 10 60,450.00
T-06 Sofratule Lembar 7,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-07 IV Catheter set 4,826.00 0 0.00 200 100 200 500 2,413,000.00 414 1,997,964.00 86 415,036.00
T-08 Jarum Suntik pcs 242.00 35 8,470.00 200 0 200 400 96,800.00 265 64,130.00 170 41,140.00
T-09 Kalsium Gluconat Inj 100 mg vial 7,800.00 32 249,600.00 0 0 0 0 0.00 32 249,600.00 0 0.00
T-10 Mikonazol Salep tube 3,075.00 14 43,050.00 24 0 0 24 73,800.00 38 116,850.00 0 0.00
T-13 OAT Sisipan paket 168,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-14 Metoklorpramid tab 5 mg tablet 111.00 700 77,700.00 500 0 500 1000 111,000.00 900 99,900.00 800 88,800.00
T-17 Simetidin tablet 120.65 0 0.00 0 20 0 20 2,413.00 20 2,413.00 0 0.00
T-20 Fitomenadion 1 mg/ml ampul 6,298.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 273.00 69 18,837.00 0 0 0 0 0.00 69 18,837.00 0 0.00
T-22 Pot sputum pot 7,770.00 70 543,900.00 0 0 25 25 194,250.00 55 427,350.00 40 310,800.00
T-23 Reagen Zheil Nelson kotak 11,952.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-24 Antasida Syrup botol 2,160.00 10 21,600.00 50 0 0 50 108,000.00 34 73,440.00 26 56,160.00
T-25 Slide biasa rol 210.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-26 Kasa 40x80 cm rol 133,350.00 0 0.00 3 0 0 3 400,050.00 3 400,050.00 0 0.00
T-28 Oseltamivir kapsul 13,650.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 3,113.05 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-31 Sarung tangan Pasang 825.50 0 0.00 200 0 200 400 330,200.00 250 206,375.00 150 123,825.00
T-33 Asam Mefenamat 500 mg tablet 116.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-34 Ambroxol syrup botol 3,049.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-35 Nipedipin tablet 110.00 300 33,000.00 500 0 0 500 55,000.00 100 11,000.00 700 77,000.00
T-37 Kaptopril 25 mg tablet 89.00 800 71,200.00 0 0 0 0 0.00 800 71,200.00 0 0.00
T-40 Cimetidin inj. ampul 5,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-41 Gentamicin sk tube 1,943.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-42 Gentamicin inj ampul 3,569.00 0 0.00 60 0 0 60 214,140.00 0 0.00 60 214,140.00
T-45 Doksisiklin kapsul 285.00 450 128,250.00 0 0 0 0 0.00 250 71,250.00 200 57,000.00
T-46 Haloperidol 5 mg tablet 100.00 315 31,500.00 0 0 0 0 0.00 154 15,400.00 161 16,100.00
T-47 Piroxicam 10 mg tablet 97.51 1600 156,016.00 500 0 1000 1500 146,265.00 1,300 126,763.00 1800 175,518.00
T-49 ACT ( Artesunate+Amodiaquin) tablet 239.95 4700 1,127,765.00 0 0 0 0 0.00 3,500 839,825.00 1200 287,940.00
T-50 Zinc tablet 20 mg tablet 497.00 0 0.00 0 0 1000 1000 497,000.00 900 447,300.00 100 49,700.00
T-51 Alat suntik 0.5 ml 25 G set 3,674.00 45 165,330.00 0 0 0 0 0.00 14 51,436.00 31 113,894.00
T-53 Aletrol TM botol 224.95 3900 877,305.00 0 12700 0 12700 2,856,865.00 5,060 1,138,247.00 11540 2,595,923.00
T-54 Asiklovir 400 mg tablet 346.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-56 Metronidazol tab 500 mg tablet 164.00 1100 180,400.00 0 0 0 0 0.00 700 114,800.00 400 65,600.00
T-58 Kaptopril 50 mg tablet 141.00 0 0.00 2500 0 0 2500 352,500.00 2,500 352,500.00 0 0.00
T-59 Ketokonazole 200 mg tablet 300.00 120 36,000.00 0 0 0 0 0.00 20 6,000.00 100 30,000.00
T-62 Metoklorpramid syrup 5 mg/ ml botol 2,800.00 150 420,000.00 60 0 0 60 168,000.00 40 112,000.00 170 476,000.00
T-63 Asam asetil salisilat 100 mg tablet 122.00 70 8,540.00 0 0 0 0 0.00 70 8,540.00 0 0.00
16,992,462.62 53,735,614.33 42,378,729.72 28,349,347.23


NIP : 19751231 199803 1 015
PUSKESMAS LENEK
REKAP JULI S/D SEPTEMBER 2016
STOK NILAI STOK PENERIMAAN TOTAL NILAI TOTAL NILAI NILAI SISA
KODE NAMA OBAT SATUAN HARGA SATUAN SISA STOK
AWAL AWAL PENERIMAAN PENERIMAAN PEMAKAIAN PEMAKAIAN STOK
Juli Agst Sept
1 2 3 8 8.00
106 Alloporinol 100 mg tablet 88.00 200 17,600.00 0 0 0 0 0.00 200 17,600.00 0 0.00
107 Aminophillin 200 mg tablet 82.00 100 8,200.00 0 0 0 0 0.00 100 8,200.00 0 0.00
109 Amitriptilina tab 25 mg tablet 117.00 210 24,570.00 0 0 0 0 0.00 210 24,570.00 0 0.00
110 Amoksisilina Syrup kering botol 2,500.00 25 62,500.00 0 0 0 0 0.00 25 62,500.00 0 0.00
116 Antasida DOEN tab tablet 74.00 4390 324,860.00 0 5000 0 5000 370,000.00 6,290 465,460.00 3100 229,400.00
117 Anti Bakteri DOEN Salep kombinasi tube 2,641.00 25 66,025.00 0 50 0 50 132,050.00 35 92,435.00 40 105,640.00
118 Anti Haemoroid DOEN Kombinasi suppos 3,630.00 27 98,010.00 0 0 0 0 0.00 0 0.00 27 98,010.00
123 Aqua Pro Injeksi Steril bebas pirogen ampul 2,100.00 30 63,000.00 0 50 20 70 147,000.00 100 210,000.00 0 0.00
126 Asam Askorbat 50 mg tablet 100.00 1800 180,000.00 0 2000 0 2000 200,000.00 2,300 230,000.00 1500 150,000.00
203 Besi Syrup botol 3,983.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
204 Betametason cream tube 1,558.00 68 105,944.00 0 50 0 50 77,900.00 33 51,414.00 85 132,430.00
301 Catgut / Benang bedah sachet 7,090.83 80 567,266.67 0 96 0 96 680,720.00 102 723,265.00 74 524,721.67
402 Deksametason Inj 5 mg/ml 1ml ampul 1,659.00 0 0.00 0 200 0 200 331,800.00 70 116,130.00 130 215,670.00
403 Deksametason tablet 0,5 mg tablet 64.00 2000 128,000.00 0 3000 0 3000 192,000.00 3,000 192,000.00 2000 128,000.00
407 Devitalisasi Pasta botol 388,050.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
409 Diazepam tablet 2 mg tablet 46.00 135 6,210.00 0 0 0 0 0.00 35 1,610.00 100 4,600.00
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 1,107.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
413 Digoksin tab 0,25 mg tablet 100.00 110 11,000.00 0 0 0 0 0.00 110 11,000.00 0 0.00
503 Epineprin Inj 0,1 % 1ml ampul 8,505.00 165 1,403,325.00 0 0 0 0 0.00 40 340,200.00 125 1,063,125.00
504 Etakridin (rivanol) Lar 0,1 % botol 8,250.00 3 24,750.00 0 0 0 0 0.00 3 24,750.00 0 0.00
506 Etanol 70 % botol 19,166.00 10 191,660.00 0 20 0 20 383,320.00 25 479,150.00 5 95,830.00
509 Eugenol Cairan botol 17,500.00 0 0.00 2 0 0 2 35,000.00 2 35,000.00 0 0.00
604 Fenobarbital Inj 50 mg/ml 1ml ampul 1,890.00 30 56,700.00 0 0 0 0 0.00 30 56,700.00 0 0.00
610 Fitomenadion Inj 10 mg/ml 1ml ampul 1,827.00 33 60,291.00 0 30 0 30 54,810.00 46 84,042.00 17 31,059.00
611 Fitomenadion tab 10 mg tablet 666.00 300 199,800.00 0 0 0 0 0.00 200 133,200.00 100 66,600.00
613 Furosemida 40 mg tablet 80.00 100 8,000.00 500 0 0 500 40,000.00 600 48,000.00 0 0.00
703 Garam Oralit 200 ml sachet 303.00 1130 342,390.00 0 600 300 900 272,700.00 1,710 518,130.00 320 96,960.00
704 Gentian violet Lar 1 % botol 473.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
706 Glibenclamid 5 mg tablet 58.00 700 40,600.00 0 0 0 0 0.00 300 17,400.00 400 23,200.00
707 Gliseril Guayacolat tab 100 mg tablet 44.00 3000 132,000.00 0 1000 0 1000 44,000.00 3,000 132,000.00 1000 44,000.00
708 Gliserin botol 5,600.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
711 Glukosa Infus 5 % botol 5,460.00 243 1,326,780.00 0 200 0 200 1,092,000.00 145 791,700.00 298 1,627,080.00
901 Ibuprofen tab 200 mg tablet 116.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
902 Ibuprofen tab 400 mg tablet 153.00 700 107,100.00 0 1500 0 1500 229,500.00 600 91,800.00 1600 244,800.00
903 Infusion set anak set 4,445.00 44 195,580.00 100 200 0 300 1,333,500.00 235 1,044,575.00 109 484,505.00
904 Infusion set dewasa set 4,064.00 0 0.00 100 200 0 300 1,219,200.00 225 914,400.00 75 304,800.00
908 INH 300 mg tablet 166.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
909 Isosorbid Dinitrat tab 5 mg tablet 93.00 100 9,300.00 0 0 0 0 0.00 0 0.00 100 9,300.00
1003 Kalsium Hidroksida Pasta tube 373,125.00 1 373,125.00 0 0 0 0 0.00 0 0.00 1 373,125.00
1007 Karbamazepin tab 200 mg tablet 257.00 250 64,250.00 0 0 0 0 0.00 40 10,280.00 210 53,970.00
1010 Kasa Pembalut 4x15 rol 2,667.00 5 13,335.00 0 0 0 0 0.00 5 13,335.00 0 0.00
1016 Klorampeicol TT 3 % botol 3,482.50 10 34,825.00 0 0 0 0 0.00 10 34,825.00 0 0.00
1017 Klorfeniramin maleat (CTM) 4 mg tablet 40.98 2600 106,542.80 0 0 0 0 0.00 2,600 106,542.80 0 0.00
1027 Kotrimoksasol Suspensi botol 2,222.00 180 399,960.00 0 0 0 0 0.00 80 177,760.00 100 222,200.00
1028 Kotrimoxsasol tab Dewasa tablet 145.00 3500 507,500.00 0 3000 0 3000 435,000.00 3,300 478,500.00 3200 464,000.00
1109 Lisol botol 51,108.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1205 Metanol botol 23,938.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1206 Metilergometrin maleat tab 0,125mg tablet 162.00 100 16,200.00 200 0 0 200 32,400.00 200 32,400.00 100 16,200.00
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 2,750.00 166 456,500.00 0 100 0 100 275,000.00 266 731,500.00 0 0.00
1303 natrium klorida infus 0,9 % botol 4,935.00 40 197,400.00 0 60 0 60 296,100.00 100 493,500.00 0 0.00
1307 OAT Kat I paket 377,900.00 9 3,401,100.00 0 0 0 0 0.00 6 2,267,400.00 3 1,133,700.00
1308 Oat kat II paket 1,259,990.00 2 2,519,980.00 0 0 0 0 0.00 0 0.00 2 2,519,980.00
1309 OBH Cairan botol 1,800.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 8,764.80 60 525,888.00 0 0 0 0 0.00 60 525,888.00 0 0.00
1312 Oksitetrasilin SK 3 % tube 1,650.00 113 186,450.00 0 0 0 0 0.00 24 39,600.00 89 146,850.00
1313 Oksitetrasikli SM 1 % tube 2,365.00 0 0.00 0 100 0 100 236,500.00 37 87,505.00 63 148,995.00
1402 Parasetamol Syrup 125 mg/5 ml botol 1,496.00 227 339,592.00 84 336 0 420 628,320.00 460 688,160.00 187 279,752.00
1404 Parasetamol Tab 500 mg tablet 84.00 3300 277,200.00 0 8000 0 8000 672,000.00 8,100 680,400.00 3200 268,800.00
1412 Plester 5 yard x2 Inchi rol 23,482.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1416 Prednison Tab 5 mg tablet 119.00 1400 166,600.00 0 0 0 0 0.00 600 71,400.00 800 95,200.00
1504 Retinol (vit A) Kaps 200.000 IU kapsul 482.00 900 433,800.00 2300 0 0 2300 1,108,600.00 2,300 1,108,600.00 900 433,800.00
1508 Ringer Laktat Lar Infus botol 5,460.00 389 2,123,940.00 200 1300 0 1500 8,190,000.00 1,494 8,157,240.00 395 2,156,700.00
1601 Salbutamol Tab 2 mg tablet 62.00 1300 80,600.00 0 1000 0 1000 62,000.00 950 58,900.00 1350 83,700.00
1602 Salep 24 kombinasi pot 2,100.00 0 0.00 0 48 0 48 100,800.00 18 37,800.00 30 63,000.00
1603 salisil Bedak 2 % kotak 1,250.00 30 37,500.00 0 0 0 0 0.00 2 2,500.00 28 35,000.00
1605 Semen seng pospat set 189,050.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1609 Serum ATS 1500 IU / Ampul vial 1,233,380.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1611 Sianokobalamin Inj 500 mcg/ml ampul 1,132.00 226 255,832.00 0 0 0 0 0.00 127 143,764.00 99 112,068.00
1613 Silver Amalgam botol 746,250.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1701 Besi Sulfat tablet salut 300 mg tablet 43.00 2200 94,600.00 0 0 0 0 0.00 0 0.00 2200 94,600.00
1702 Temporary Stopping Fletcher serbuk set 148,255.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 998.33 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 52.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
1709 Triheksipenidil Hcl 2mg/tab tablet 462.00 90 41,580.00 0 0 0 0 0.00 65 30,030.00 25 11,550.00
1802 Vitamin B-Komplek Tablet tablet 110.00 0 0.00 1000 1000 2000 4000 440,000.00 4,000 440,000.00 0 0.00
- TAMBAHAN 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-01 Ambroxol 30 mg tablet 124.94 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-02 Amoksisilin 500 mg tablet 270.00 4100 1,107,000.00 0 6000 0 6000 1,620,000.00 9,900 2,673,000.00 200 54,000.00
T-03 Salbutamol Tab 4 mg kotak 91.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-04 Bisacodyl 10 mg supp suppos 6,045.00 10 60,450.00 0 0 0 0 0.00 0 0.00 10 60,450.00
T-06 Parasetamol drop 60 mg /0.6 ml Botol 7,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-07 IV Catheter set 4,826.00 86 415,036.00 250 200 150 600 2,895,600.00 670 3,233,420.00 16 77,216.00
T-08 Jarum Suntik pcs 242.00 170 41,140.00 200 0 0 200 48,400.00 370 89,540.00 0 0.00
T-09 Kalsium Gluconat Inj 100 mg vial 7,800.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-10 Mikonazol Salep tube 3,075.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-13 OAT FDC Sisipan paket 168,000.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-14 Metoklorpramid tab 5 mg tablet 111.00 800 88,800.00 0 0 0 0 0.00 200 22,200.00 600 66,600.00
T-17 Simetidin tablet 120.65 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-20 Yodium Povidon 60 ml ampul 6,298.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 273.00 0 0.00 350 0 0 350 95,550.00 350 95,550.00 0 0.00
T-22 Zinc syrup botol 7,770.00 40 310,800.00 0 50 0 50 388,500.00 25 194,250.00 65 505,050.00
T-23 Parasetamol Rectal suppos 11,952.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-24 Antasida Syrup botol 2,160.00 26 56,160.00 0 0 0 0 0.00 26 56,160.00 0 0.00
T-25 Atapulgit tablet 600 mg tablet 210.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-26 Kasa 40x80 cm rol 133,350.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-28 Oseltamivir kapsul 13,650.00 0 0.00 0 0 200 200 2,730,000.00 200 2,730,000.00 0 0.00
T-29 Pehacain Injeksi Ampul 3,113.05 0 0.00 80 40 0 120 373,566.00 100 311,305.00 20 62,261.00
T-31 Sarung tangan Pasang 825.50 150 123,825.00 0 100 0 100 82,550.00 175 144,462.50 75 61,912.50
T-33 Asam Mefenamat 500 mg tablet 116.00 0 0.00 0 0 1000 1000 116,000.00 900 104,400.00 100 11,600.00
T-34 Ambroxol syrup botol 3,049.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-35 Nipedipin tablet 110.00 700 77,000.00 0 0 0 0 0.00 50 5,500.00 650 71,500.00
T-37 Kaptopril 25 mg tablet 89.00 0 0.00 1000 0 0 1000 89,000.00 1,000 89,000.00 0 0.00
T-40 Cimetidin inj. ampul 5,000.00 0 0.00 0 0 3 3 15,000.00 3 15,000.00 0 0.00
T-41 Gentamicin sk tube 1,943.00 0 0.00 0 0 3 3 5,829.00 3 5,829.00 0 0.00
T-42 Gentamicin inj ampul 3,569.00 60 214,140.00 0 0 0 0 0.00 0 0.00 60 214,140.00
T-45 Doksisiklin 100 mg kapsul 285.00 200 57,000.00 0 0 0 0 0.00 0 0.00 200 57,000.00
T-46 Haloperidol 5 mg tablet 100.00 161 16,100.00 0 200 0 200 20,000.00 186 18,600.00 175 17,500.00
T-47 Piroxicam 10 mg tablet 97.51 1800 175,518.00 0 0 0 0 0.00 1,400 136,514.00 400 39,004.00
T-49 Etabion tablet tablet 239.95 1200 287,940.00 0 42700 0 42700 10,245,865.00 43,900 10,533,805.00 0 0.00
T-50 Zinc tablet 20 mg tablet 497.00 100 49,700.00 0 1000 0 1000 497,000.00 1,100 546,700.00 0 0.00
T-51 Ibuprofen Syrup 100 mg / 5 ml botol 3,674.00 31 113,894.00 0 50 0 50 183,700.00 81 297,594.00 0 0.00
T-53 Fondazen tablet 224.95 11540 2,595,923.00 0 0 12700 12700 2,856,865.00 12,420 2,793,879.00 11820 2,658,909.00
T-54 Asiklovir 400 mg tablet 346.00 0 0.00 0 1000 0 1000 346,000.00 1,000 346,000.00 0 0.00
T-56 Metronidazol tab 500 mg tablet 164.00 400 65,600.00 0 0 0 0 0.00 0 0.00 400 65,600.00
T-58 Kaptopril 50 mg tablet 141.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
T-59 Ketokonazole 200 mg tablet 300.00 100 30,000.00 0 300 0 300 90,000.00 400 120,000.00 0 0.00
T-62 Metoklorpramid syrup 5 mg/ ml botol 2,800.00 170 476,000.00 0 0 0 0 0.00 14 39,200.00 156 436,800.00
T-63 Asam asetil salisilat 100 mg tablet 122.00 0 0.00 0 0 0 0 0.00 0 0.00 0 0.00
28,349,347.23 44,352,094.67 50,301,373.38 22,400,068.52


NIP : 19751231 199803 1 015
PUSKESMAS LENEK
REKAP OKTOBER S/D DESEMBER 2016
STOK NILAI STOK PENERIMAAN TOTAL NILAI TOTAL NILAI SISA NILAI SISA
KODE NAMA OBAT SATUAN HARGA SATUAN
AWAL AWAL PENERIMAAN PENERIMAAN PEMAKAIAN PEMAKAIAN STOK STOK
Okt Nop Des
1 2 3 8 8.00
101 Air Raksa Dental use botol 105,089.00 0 0 0 0.00 0 0 300 300 0 -300 31,526,700.00 0 0.00 300 31,526,700.00
102 Alat Suntik 1 ml set 825.50 179 207 28 147,764.50 300 0 500 800 500 -300 660,400.00 419 345,884.50 560 462,280.00
103 Alat Suntik 2,5 ml set 825.50 414 240 -174 341,757.00 600 0 300 900 800 -100 742,950.00 604 498,602.00 710 586,105.00
104 Alat Suntik 5 ml set 952.50 335 311 -24 319,087.50 500 0 300 800 600 -200 762,000.00 450 428,625.00 685 652,462.50
105 Albendazol 400 mg tablet 354.00 3170 4860 1690 1,122,180.00 0 0 0 0 0 0 0.00 3,170 1,122,180.00 0 0.00
106 Alloporinol 100 mg tablet 88.00 0 200 200 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
107 Aminophillin 200 mg tablet 82.00 0 340 340 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
108 Aminophillin Inj 24 mg/ml 10 ml ampul 4,013.00 28 30 2 112,364.00 0 0 0 0 0 0 0.00 28 112,364.00 0 0.00
109 Amitriptilina tab 25 mg tablet 117.00 0 225 225 0.00 0 200 0 200 0 -200 23,400.00 0 0.00 200 23,400.00
110 Amoksisilina Syrup kering botol 2,500.00 0 142 142 0.00 168 0 240 408 360 -48 1,020,000.00 206 515,000.00 202 505,000.00
111 Amoksisilina kaps 250 mg kapsul 210.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
112 Ampisilina Kaplet 500 mg kaplet 400.05 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
113 Ampisilina Syrupkerng 125 mg/5 ml botol 4,620.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
114 Antalgin tab 500 mg tablet 156.45 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
115 Antalgin Inj 250 mg/ml 2ml ampul 1,400.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
116 Antasida DOEN tab tablet 74.00 3100 3010 -90 229,400.00 4000 0 5000 9000 10000 1000 666,000.00 8,100 599,400.00 4000 296,000.00
117 Anti Bakteri DOEN Salep kombinasi tube 2,641.00 40 78 38 105,640.00 50 0 50 100 75 -25 264,100.00 30 79,230.00 110 290,510.00
118 Anti Haemoroid DOEN Kombinasi suppos 3,630.00 27 20 -7 98,010.00 30 0 0 30 30 0 108,900.00 30 108,900.00 27 98,010.00
119 Anti Fungi DOEN Kombinasi pot 1,743.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
120 Anti Migrain DOEN Kombinasi tablet 142.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
121 Anti Parkinson DOEN tab Kombinasi tablet 1,575.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
123 Aqua Pro Injeksi Steril bebas pirogen ampul 2,100.00 0 10 10 0.00 30 0 30 60 30 -30 126,000.00 55 115,500.00 5 10,500.00
124 Aquadest Steril botol 3,588.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
125 Asam Askorbat 250 mg tablet 163.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
126 Asam Askorbat 50 mg tablet 100.00 1500 0 -1500 150,000.00 2000 0 500 2500 3000 500 250,000.00 1,400 140,000.00 2600 260,000.00
127 Asam Klorida 0,1 N botol 9,532.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
128 Asam Sulfosalisilat 20 % 100 ml botol 24,051.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
129 Asetosal 100 mg tablet 92.40 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
130 Asetasal 500 mg tablet 150.15 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 1,418.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
132 Atropin Sulfat Tablet 0,5 mg tablet 77.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
133 Atropin tetes mata 0,5 % botol 13,500.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
201 Benzatin B Penisilin 1,2 jt IU/vial vial 10,290.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
202 Benzatin B Penisilin 2,4 jt IU/vial vial 14,070.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
203 Besi Syrup botol 3,983.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
204 Betametason cream tube 1,558.00 85 62 -23 132,430.00 0 0 25 25 100 75 38,950.00 20 31,160.00 90 140,220.00
301 Catgut / Benang bedah sachet 7,090.83 74 73 -1 524,721.67 0 0 72 72 192 120 510,540.00 86 609,811.67 60 425,450.00
401 Dapson tablet 100 mg tablet 33.08 0 0 0 0.00 0 150 120 270 0 -270 8,930.25 210 6,945.75 60 1,984.50
402 Deksametason Inj 5 mg/ml 1ml ampul 1,659.00 130 102 -28 215,670.00 0 100 300 400 200 -200 663,600.00 180 298,620.00 350 580,650.00
403 Deksametason tablet 0,5 mg tablet 64.00 2000 810 -1190 128,000.00 2000 0 0 2000 6000 4000 128,000.00 4,000 256,000.00 0 0.00
404 Dekstran 70 Lar Infus 6 % steril botol 37,302.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
405 Dekstrometorphan HBR Syr10mg/5ml botol 3,008.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
406 Dekstrometorphan HBR Tab 15 mg tablet 115.50 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
407 Devitalisasi Pasta botol 388,050.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
408 Diazepam Inj 5 mg/ml 2ml ampul 4,389.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
409 Diazepam tablet 2 mg tablet 46.00 100 286 186 4,600.00 0 0 0 0 0 0 0.00 67 3,082.00 33 1,518.00
410 Diazepam tablet 5 mg tablet 50.40 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
411 Dietil Karbamasin 100 mg tablet 102.38 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 1,107.00 0 91 91 0.00 0 0 0 0 30 30 0.00 0 0.00 0 0.00
413 Digoksin tab 0,25 mg tablet 100.00 0 110 110 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
501 Epedrina HCL 25 mg tab tablet 12.82 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
502 Ekstrk Belladona tab 100 mg tablet 33.26 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
503 Epineprin Inj 0,1 % 1ml ampul 8,505.00 125 0 -125 1,063,125.00 0 0 0 0 60 60 0.00 44 374,220.00 81 688,905.00
504 Etakridin (rivanol) Lar 0,1 % botol 8,250.00 0 10 10 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
505 Etambutol 250 mg tablet 322.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
506 Etanol 70 % botol 19,166.00 5 3 -2 95,830.00 20 0 20 40 35 -5 766,640.00 45 862,470.00 0 0.00
507 Eter Anestesi botol 8,470.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
508 Etil Klorida semprot botol 149,250.00 0 0 0 0.00 0 0 5 5 0 -5 746,250.00 0 0.00 5 746,250.00
509 Eugenol Cairan botol 17,500.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
601 Fenitoin Natrium Inj 50 mg/ml ampul 20,850.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
602 Fenitoin kaps 100 mg kapsul 140.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
603 Fenitoin Kaps 30 mg kapsul 76.69 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
604 Fenobarbital Inj 50 mg/ml 1ml ampul 1,890.00 0 30 30 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
605 Fenobarbital Tab 100 mg tablet 153.38 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
606 Fenobarbital tab 30 mg tablet 7.01 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
607 Fenoksimetil pen tab 250 mg tablet 304.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
608 Fenoksimetil pen tab 500 mg tablet 535.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
609 fenol Gliserol TT 10 % botol 1,058.75 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
610 Fitomenadion Inj 10 mg/ml 1ml ampul 1,827.00 17 29 12 31,059.00 60 0 0 60 0 -60 109,620.00 44 80,388.00 33 60,291.00
611 Fitomenadion tab 10 mg tablet 666.00 100 300 200 66,600.00 0 0 0 0 0 0 0.00 0 0.00 100 66,600.00
612 Fluor tab 0,5 mg tablet 34.56 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
613 Furosemida 40 mg tablet 80.00 0 200 200 0.00 500 0 0 500 0 -500 40,000.00 0 0.00 500 40,000.00
701 Gameksan Emulsi botol 2,310.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
702 Garam Oralit 1000 ml sachet 421.08 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
703 Garam Oralit 200 ml sachet 303.00 320 30 -290 96,960.00 1000 0 1000 2000 2900 900 606,000.00 1,520 460,560.00 800 242,400.00
704 Gentian violet Lar 1 % botol 473.00 0 13 13 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
705 Glass Ionomer Cemen (GCIX) set 786,050.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
706 Glibenclamid 5 mg tablet 58.00 400 400 0 23,200.00 0 0 0 0 1000 1000 0.00 400 23,200.00 0 0.00
707 Gliseril Guayacolat tab 100 mg tablet 44.00 1000 5610 4610 44,000.00 0 0 0 0 3000 3000 0.00 1,000 44,000.00 0 0.00
708 Gliserin botol 5,600.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
709 Glukosa Infus 100 % botol 5,985.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
710 Glukosa Infus 40 % botol 1,525.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
711 Glukosa Infus 5 % botol 5,460.00 298 200 -98 1,627,080.00 100 0 0 100 100 0 546,000.00 238 1,299,480.00 160 873,600.00
712 Griseofulfin tab 125 mg tablet 220.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
801 Haloperidol tab 0,5 mg tablet 61.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
802 Haloperidol tab 1,5 mg tablet 72.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
803 Hidroclortiazide (HCT) tab 25mg tablet 38.12 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
Hidrokortison cream tube 2,868.00 67 20 -47 192,156.00 0 0 96 96 24 -72 275,328.00 61 174,948.00 102 292,536.00
901 Ibuprofen tab 200 mg tablet 116.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
902 Ibuprofen tab 400 mg tablet 153.00 1600 880 -720 244,800.00 500 0 1000 1500 4000 2500 229,500.00 1,100 168,300.00 2000 306,000.00
903 Infusion set anak set 4,445.00 109 86 -23 484,505.00 200 0 100 300 150 -150 1,333,500.00 204 906,780.00 205 911,225.00
904 Infusion set dewasa set 4,064.00 75 125 50 304,800.00 200 0 200 400 50 -350 1,625,600.00 335 1,361,440.00 140 568,960.00
905 Insulin reguler Inj 40 IU/ml 10 ml vial 81,180.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
906 Iodiol Kaps lunak kapsul 976.50 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
907 Ipeka Syrup botol 3,998.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
908 INH 300 mg tablet 166.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
909 Isosorbid Dinitrat tab 5 mg tablet 93.00 100 0 -100 9,300.00 0 0 0 0 0 0 0.00 0 0.00 100 9,300.00
1001 Jarum Bedah no 9 s/d 14 biji 60,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1002 Kalium Permanganat Serbuk botol 317.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1003 Kalsium Hidroksida Pasta tube 373,125.00 1 0 -1 373,125.00 0 0 0 0 0 0 0.00 1 373,125.00 0 0.00
1004 Kalsim Laktat tablet 73.00 900 900 0 65,700.00 0 0 0 0 0 0 0.00 0 0.00 900 65,700.00
1005 Kapas berlemak 500 gram bungkus 17,250.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1006 Kapas Pembalut 250 gram bungkus 15,875.00 12 5 -7 190,500.00 0 0 10 10 10 0 158,750.00 7 111,125.00 15 238,125.00
1007 Karbamazepin tab 200 mg tablet 257.00 210 290 80 53,970.00 0 0 100 100 0 -100 25,700.00 202 51,914.00 108 27,756.00
1008 Kasa Kompres 40 x 40 rol 1,393.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1009 Kasa Pembalut 2x80 rol 8,793.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1010 Kasa Pembalut 4x15 rol 2,667.00 0 187 187 0.00 300 0 300 600 400 -200 1,600,200.00 280 746,760.00 320 853,440.00
1011 Kasa Pembalut 4x3 rol 733.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1012 Ketamin Inj 10 mg/ml vial 1,100.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1013 Klofazimin kaps 100 mg kapsul 2,182.95 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1014 Klorampenikol kaps 250 mg kapsul 266.40 0 240 240 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1015 Klorampenikol sm 1 % tube 1,640.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1016 Klorampeicol TT 3 % botol 3,482.50 0 26 26 0.00 0 0 0 0 72 72 0.00 0 0.00 0 0.00
1017 Klorfeniramin maleat (CTM) 4 mg tablet 40.98 0 3300 3300 0.00 5000 0 1600 6600 8000 1400 270,454.80 6,200 254,063.60 400 16,391.20
1018 Klokina tab 250 mg tablet 89.25 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1019 Klorpromazina Inj 25 mg/ml 1ml ampul 1,155.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1020 Klorpromazina Inj 5 mg/ml 2ml ampul 1,103.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1021 Klorpromazina tab 100 mg tablet 153.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1022 klorpromazina tab 25 mg tablet 71.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1023 Klorpropamida 100 mg tab tablet 52.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1024 Kodeina tab 10 mg tablet 525.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 544.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1026 Kotrimoksasol ped tab tablet 79.70 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1027 Kotrimoksasol Suspensi botol 2,222.00 100 160 60 222,200.00 0 0 100 100 400 300 222,200.00 89 197,758.00 111 246,642.00
1028 Kotrimoxsasol tab Dewasa tablet 145.00 3200 1620 -1580 464,000.00 2000 0 0 2000 5000 3000 290,000.00 2,000 290,000.00 3200 464,000.00
1029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 6,510.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1030 Kuinin sulfat tab 222 mg tablet 704.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1101 larutan Benedict botol 28,133.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1102 larutan eosin 2 % botol 35,550.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1103 Larutan etanol Asam botol 33,156.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1104 larutan Giemsa Stain botol 61,547.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1105 Larutan Karbol Fuksin botol 22,570.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1106 Larutan Metilen biru botol 16,600.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1107 Larutan Turk botol 14,165.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1108 Lidokain Kompositum Inj ampul 879.00 163 0 -163 143,277.00 100 0 0 100 130 30 87,900.00 240 210,960.00 23 20,217.00
1109 Lisol botol 51,108.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 1,616.80 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1202 Magnesium Sulfat Inj(IV) 40 % 25 ml vial 6,019.80 5 30 25 30,099.00 0 30 0 30 0 -30 180,594.00 30 180,594.00 5 30,099.00
1203 Mebendazol Syrup100 mg/5 ml botol 3,570.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1204 mebendazol Tab 100 mg tablet 227.50 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1205 Metanol botol 23,938.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1206 Metilergometrin maleat tab 0,125mg tablet 162.00 100 700 600 16,200.00 0 0 0 0 1500 1500 0.00 100 16,200.00 0 0.00
1207 Metilergometrin maleat Inj 0,2 mg /ml ampul 2,750.00 0 0 0 0.00 200 0 0 200 200 0 550,000.00 -161 -442,750.00 361 992,750.00
1208 Metronidazol tab 250 mg tablet 113.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1209 monoklr Kamfermentol cairan botol 55,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1210 Mummifyng Pasta botol 183,578.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1301 Natrium Bicarbonat Tab 500 mg tablet 15.02 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1302 Natrium Fluoresein TM 2 % botol 4,121.96 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1303 natrium klorida infus 0,9 % botol 4,935.00 0 29 29 0.00 100 0 40 140 120 -20 690,900.00 140 690,900.00 0 0.00
1304 Natium Tiosulfat Inj 25 % 10 ml ampul 31,500.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1305 Nistatin 100.000 IU Tab Vaginal tablet 504.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1306 Nistatin 500.000 IU Tab Vaginal tablet 672.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1307 OAT Kat I paket 377,900.00 3 14 11 1,133,700.00 0 0 0 0 0 0 0.00 1 377,900.00 2 755,800.00
1308 Oat kat II paket 1,259,990.00 2 0 -2 2,519,980.00 0 0 0 0 0 0 0.00 2 2,519,980.00 0 0.00
1309 OBH Cairan botol 1,800.00 0 100 100 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1310 Oksigen gas dalam tabung tabung 75,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 8,764.80 0 60 60 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1312 Oksitetrasilin SK 3 % tube 1,650.00 89 92 3 146,850.00 50 0 0 50 50 0 82,500.00 26 42,900.00 113 186,450.00
1313 Oksitetrasikli SM 1 % tube 2,365.00 63 7 -56 148,995.00 100 0 0 100 0 -100 236,500.00 163 385,495.00 0 0.00
1314 Oksitosin Inj ampul 1,874.27 128 193 65 239,906.13 100 0 0 100 100 0 187,426.67 160 299,882.67 68 127,450.13
1401 Paraformaldehida Tablet tablet 60.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1402 Parasetamol Syrup 125 mg/5 ml botol 1,496.00 187 63 -124 279,752.00 336 0 350 686 672 -14 1,026,256.00 593 887,128.00 280 418,880.00
1403 parasetamol tab 100 mg tablet 44.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1404 Parasetamol Tab 500 mg tablet 84.00 3200 1970 -1230 268,800.00 9000 0 10000 19000 19000 0 1,596,000.00 13,900 1,167,600.00 8300 697,200.00
1405 pembalut Gips rol 23,500.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1406 Perfenazine 16 mg tab tablet 96.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1407 Perfenazine 4 mg tab tablet 57.75 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1408 Pethidin Inj ampul 15,225.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1409 Pilokarpin HCl TM 2 % botol 5,475.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1410 Pyrantel Pamoat tab 125 mg tablet 308.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1411 Pyrydoksin HCl Tab 10 mg tablet 17.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1412 Plester 5 yard x2 Inchi rol 23,482.00 0 10 10 0.00 0 0 0 0 42 42 0.00 0 0.00 0 0.00
1413 Polikresulen rol 17,993.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1414 Polipeptida DOEN Infus botol 32,995.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1415 Prazikuantel Tab 600 mg tablet 1,785.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1416 Prednison Tab 5 mg tablet 119.00 800 0 -800 95,200.00 1000 0 0 1000 500 -500 119,000.00 100 11,900.00 1700 202,300.00
1417 Primkina tab 15 mg tablet 114.45 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 7,549.50 0 30 30 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1419 Propil tiourasil tab 100 mg tablet 335.00 0 0 0 0.00 0 0 500 500 0 -500 167,500.00 500 167,500.00 0 0.00
1420 Propanolol tab 40 mg tablet 79.00 0 0 0 0.00 0 0 500 500 0 -500 39,500.00 500 39,500.00 0 0.00
1501 Rabies Immune globulin 150 IU/ml vial 450,999.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1502 Reserpina Tab 0,1 mg tablet 78.96 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1503 Reserpina Tab 0,25 mg tablet 92.40 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1504 Retinol (vit A) Kaps 200.000 IU kapsul 482.00 900 1217 317 433,800.00 0 0 0 0 0 0 0.00 900 433,800.00 0 0.00
1505 Rifampisina tab 600 mg tablet 1,154.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1506 Rifampisina tab 300 mg tablet 640.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1507 Rifampisina kaps 450 mg kapsul 829.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1508 Ringer Laktat Lar Infus botol 5,460.00 395 215 -180 2,156,700.00 0 0 500 500 1500 1000 2,730,000.00 506 2,762,760.00 389 2,123,940.00
1601 Salbutamol Tab 2 mg tablet 62.00 1350 410 -940 83,700.00 1000 0 0 1000 1700 700 62,000.00 350 21,700.00 2000 124,000.00
1602 Salep 24 kombinasi pot 2,100.00 30 24 -6 63,000.00 0 0 0 0 24 24 0.00 -5 -10,500.00 35 73,500.00
1603 salisil Bedak 2 % kotak 1,250.00 28 15 -13 35,000.00 0 0 20 20 30 10 25,000.00 48 60,000.00 0 0.00
1604 Salisil Spritus 10 % botol 114.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1605 Semen seng pospat set 189,050.00 0 1 1 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1606 Sabu polivalen 5 ml (ABU I) vial 3,164,100.00 0 1 1 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1607 Sabu polivalen 50 ml (ABUII) vial 41,800,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1608 Serum anti Dufteri 20.000IU/vial vial 450,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1609 Serum ATS 1500 IU / Ampul vial 1,233,380.00 0 0 0 0.00 0 0 0 0 2 2 0.00 0 0.00 0 0.00
1610 Serum Anti Tetanus Inj 20000 IU/vl vial 340,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1611 Sianokobalamin Inj 500 mcg/ml ampul 1,132.00 99 221 122 112,068.00 100 0 100 200 100 -100 226,400.00 86 97,352.00 213 241,116.00
1612 Silk ( Benang Bedah ) sak 3,880.56 94 43 -51 364,772.22 108 0 108 216 180 -36 838,200.00 219 849,841.67 91 353,130.56
1613 Silver Amalgam botol 746,250.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1614 Spon Gelatin tabung 11,164.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1615 Streptomisin Sulfat Inj 1000 mg vial 1,995.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1616 Streptomisin Sulfat Inj 1500 Mg vial 1,919.40 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1617 Sulfadimidin Tab 500 mg tablet 95.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1618 Sulfacetamide TM 15 % botol 3,617.50 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1619 Suspensi Seng Insulin 40 IU/ml 10 ml set 27,008.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1701 Besi Sulfat tablet salut 300 mg tablet 43.00 2200 4890 2690 94,600.00 0 0 0 0 0 0 0.00 0 0.00 2200 94,600.00
1702 Temporary Stopping Fletcher serbuk set 148,255.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1703 Tetrakain Hcl TM 0,5 % botol 11,500.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1704 Tetrasiklin Kaps 250 mg kapsul 154.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1705 Tetrasiklin Kaps 500 mg kapsul 312.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 998.33 0 93 93 0.00 0 0 0 0 120 120 0.00 0 0.00 0 0.00
1707 Thiamin Hcl (vit B1) tab 50 mg tablet 52.00 0 4000 4000 0.00 0 0 2000 2000 1000 -1000 104,000.00 2,000 104,000.00 0 0.00
1708 Natrium tiopental serbuk inj 100 mg/amp ampul 63,608.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1709 Triheksipenidil Hcl 2mg/tab tablet 462.00 25 0 -25 11,550.00 0 0 0 0 0 0 0.00 25 11,550.00 0 0.00
1710 Trikresolformalin (TKF) cairan botol 38,496.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1801 Vaksin Rabies Vero set 308,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1802 Vitamin B-Komplek Tablet tablet 110.00 0 4000 4000 0.00 1000 0 4000 5000 8000 3000 550,000.00 1,600 176,000.00 3400 374,000.00
1901 Yodium Povidon Larutan 10 % 30ml botol 2,250.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1902 Yodium Povidon Larutan 10 % 300ml botol 14,771.00 0 8 8 0.00 0 0 0 0 35 35 0.00 0 0.00 0 0.00
- TAMBAHAN 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-01 Ambroxol 30 mg tablet 124.94 0 1588 1588 0.00 0 0 2000 2000 3000 1000 249,880.00 2,000 249,880.00 0 0.00
T-02 Amoksisilin 500 mg tablet 270.00 200 1810 1610 54,000.00 6000 0 6000 12000 12000 0 3,240,000.00 6,200 1,674,000.00 6000 1,620,000.00
T-03 Box slide kotak 91.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-04 Bisacodyl 5 mg supp suppos 6,045.00 10 0 -10 60,450.00 0 0 0 0 0 0 0.00 0 0.00 10 60,450.00
T-05 Diazepam Rectal tube tube 12,159.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-06 Sofratule Lembar 7,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-07 IV Catheter set 4,826.00 16 116 100 77,216.00 200 300 200 700 500 -200 3,378,200.00 402 1,940,052.00 314 1,515,364.00
T-08 Jarum Suntik pcs 242.00 0 255 255 0.00 0 0 0 0 100 100 0.00 0 0.00 0 0.00
T-09 Kalsium Gluconat Inj 100 mg vial 7,800.00 0 32 32 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-10 Mikonazol Salep tube 3,075.00 0 89 89 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-11 Metformin Hcl tab 500 mg tablet 114.50 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-12 OAT Kat III paket 154,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-13 OAT Sisipan paket 168,000.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-14 Metoklorpramid tab 5 mg tablet 111.00 600 1000 400 66,600.00 0 0 0 0 1300 1300 0.00 0 0.00 600 66,600.00
T-15 Metoklorpramid Inj 5 mg/ml ampul 8,983.33 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-16 Skalvein set set 5,770.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-17 Simetidin tablet 120.65 0 0 0 0.00 0 40 0 40 0 -40 4,826.00 40 4,826.00 0 0.00
T-18 Ranitidin 150 mg botol 122.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-19 Ranitidin Inj 25 mg/ ml ampul 1,190.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-20 Fitomenadion 1 mg/ml ampul 6,298.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-21 Retinol (vit A)tablet salut 100,000 IU kapsul 273.00 0 69 69 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-22 Pot sputum pot 7,770.00 65 48 -17 505,050.00 50 0 50 100 50 -50 777,000.00 38 295,260.00 127 986,790.00
T-23 Reagen Zheil Nelson kotak 11,952.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-24 Antasida Syrup botol 2,160.00 0 38 38 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-25 Slide biasa rol 210.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-26 Kasa 40x80 cm rol 133,350.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-27 Papaverin Tablet tablet 104.48 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-28 Oseltamivir kapsul 13,650.00 0 0 0 0.00 200 400 300 900 0 -900 12,285,000.00 900 12,285,000.00 0 0.00
T-29 Jarum Jahit Kulit no 9 s/d 14 pcs 3,113.05 20 0 -20 62,261.00 0 0 20 20 0 -20 62,261.00 0 0.00 40 124,522.00
T-30 Jarum Jahit Otot no 9 s/d 14 pcs 1,666.67 0 0 0 0.00 200 300 500 1000 0 -1000 1,666,666.67 900 1,500,000.00 100 166,666.67
T-31 Sarung tangan Pasang 825.50 75 103 28 61,912.50 0 0 200 200 300 100 165,100.00 80 66,040.00 195 160,972.50
T-32 OAT Katagori anak paket 225,740.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-33 Asam Mefenamat 500 mg tablet 116.00 100 0 -100 11,600.00 0 2000 3000 5000 0 -5000 580,000.00 2,500 290,000.00 2600 301,600.00
T-34 Ambroxol syrup botol 3,049.00 0 50 50 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-35 Nipedipin tablet 110.00 650 470 -180 71,500.00 500 0 0 500 200 -300 55,000.00 450 49,500.00 700 77,000.00
T-36 Kaptopril 12.5 mg tablet 62.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-37 Kaptopril 25 mg tablet 89.00 0 550 550 0.00 0 0 1000 1000 3500 2500 89,000.00 0 0.00 1000 89,000.00
T-38 Kloramphenicol inj vial 7,260.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-39 Ampisilin inj. 1 gr vial 5,355.00 15 60 45 80,325.00 0 0 0 0 0 0 0.00 0 0.00 15 80,325.00
T-40 Cimetidin inj. ampul 5,000.00 0 0 0 0.00 0 6 10 16 0 -16 80,000.00 16 80,000.00 0 0.00
T-41 Gentamicin sk tube 1,943.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-42 Gentamicin inj ampul 3,569.00 60 0 -60 214,140.00 0 0 0 0 0 0 0.00 60 214,140.00 0 0.00
T-43 Artemeter Inj ampul 23,100.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-44 Artesunate Inj ampul 26,315.63 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-45 Doksisiklin kapsul 285.00 200 490 290 57,000.00 0 0 0 0 0 0 0.00 200 57,000.00 0 0.00
T-46 Haloperidol 5 mg tablet 100.00 175 300 125 17,500.00 300 0 0 300 0 -300 30,000.00 22 2,200.00 453 45,300.00
T-47 Piroxicam 10 mg tablet 97.51 400 1700 1300 39,004.00 0 0 1000 1000 1500 500 97,510.00 900 87,759.00 500 48,755.00
T-48 Siprofloxasin 500 mg tablet 260.00 0 0 0 0.00 1000 0 1000 2000 0 -2000 520,000.00 1,000 260,000.00 1000 260,000.00
T-49 ACT ( Artesunate+Amodiaquin) tablet 239.95 0 11100 11100 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-50 Zinc tablet 20 mg tablet 497.00 0 0 0 0.00 3000 0 1000 4000 2200 -1800 1,988,000.00 3,900 1,938,300.00 100 49,700.00
T-51 Alat suntik 0.5 ml 25 G set 3,674.00 0 45 45 0.00 0 0 100 100 0 -100 367,400.00 0 0.00 100 367,400.00
T-52 Alat suntik 0.05 ml 27 G set 3,540.90 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-53 Aletrol TM botol 224.95 11820 31240 19420 2,658,909.00 0 0 12700 12700 0 -12700 2,856,865.00 13,520 3,041,324.00 11000 2,474,450.00
T-54 Asiklovir 400 mg tablet 346.00 0 0 0 0.00 1000 0 0 1000 0 -1000 346,000.00 1,000 346,000.00 0 0.00
T-55 Asiklovir cream tube 2,997.00 15 50 35 44,955.00 0 0 25 25 25 0 74,925.00 15 44,955.00 25 74,925.00
T-56 Metronidazol tab 500 mg tablet 164.00 400 1220 820 65,600.00 0 0 0 0 500 500 0.00 400 65,600.00 0 0.00
T-57 Natrium diklofenak 50 mg tablet 185.00 300 640 340 55,500.00 500 0 0 500 800 300 92,500.00 0 0.00 800 148,000.00
T-58 Kaptopril 50 mg tablet 141.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-59 Ketokonazole 200 mg tablet 300.00 0 150 150 0.00 500 0 0 500 100 -400 150,000.00 400 120,000.00 100 30,000.00
T-60 Famotidin 40 mg tablet 176.84 550 400 -150 97,262.00 500 0 0 500 600 100 88,420.00 400 70,736.00 650 114,946.00
T-61 Ketoprofen Inj tablet 7,790.80 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-62 Metoklorpramid syrup 5 mg/ ml botol 2,800.00 156 100 -56 436,800.00 0 0 0 0 120 120 0.00 10 28,000.00 146 408,800.00
T-63 Asam asetil salisilat 100 mg tablet 122.00 0 70 70 0.00 0 0 500 500 0 -500 61,000.00 500 61,000.00 0 0.00
T-64 Mineral Mix saset 2,598.75 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-65 OAT Kategori I ( Kombipak ) Paket 302,605.00 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-66 Arterakine Tablet 4,122.25 0 0 0 0.00 0 0 0 0 0 0 0.00 0 0.00 0 0.00
22,400,068.52 85,151,443.38 48,885,601.85 58,665,910.06


NIP : 19751231 199803 1 015
PUSKESMAS LENEK
REKAP JANUARI S/D DESEMBER 2016
HARGA SATUAN HARGA SATUAN STOK NILAI STOK PENERIMAAN PUSKESMAS PER BULAN TOTAL NILAI TOTAL SISA NILAI SISA
KODE NAMA OBAT SATUAN NILAI PEMAKAIAN
2015 2016 AWAL AWAL PENERIMAAN PENERIMAAN PEMAKAIAN STOK STOK
Jan Peb Mar April Mei Juni Juli Agst Sept Okt Nop Des
7 8 8.00
101 Alat Suntik 10 ml set 105,089.00 1,610.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 300 300 483,000.00 0 0.00 300 483,000.00
102 Alat Suntik 1 ml set 825.50 825.50 380 313,690.00 0 300 0 300 0 300 0 300 0 300 0 500 2,000 1,651,000.00 1,820 1,502,410.00 560 462,280.00
103 Alat Suntik 3 ml set 825.50 982.00 440 432,080.00 0 500 0 500 0 600 0 600 0 600 0 300 3,100 3,044,200.00 2,830 2,779,060.00 710 697,220.00
104 Alat Suntik 5 ml set 952.50 1,214.00 472 573,008.00 0 300 0 300 0 400 0 500 0 500 0 300 2,300 2,792,200.00 2,087 2,533,618.00 685 831,590.00
105 Albendazol 400 mg tablet 354.00 354.00 3720 1,316,880.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 3,720 1,316,880.00 0 0.00
106 Alloporinol 100 mg tablet 88.00 88.00 200 17,600.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 200 17,600.00 0 0.00
107 Aminophillin 200 mg tablet 82.00 82.00 300 24,600.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 300 24,600.00 0 0.00
108 Aminophillin Inj 24 mg/ml 10 ml ampul 4,013.00 4,013.00 28 112,364.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 28 112,364.00 0 0.00
109 Amitriptilina tab 25 mg tablet 117.00 117.00 225 26,325.00 0 0 0 0 0 0 0 0 0 0 200 0 200 23,400.00 225 26,325.00 200 23,400.00
110 Amoksisilina Syrup kering 125 mg botol 2,500.00 2,500.00 230 575,000.00 0 180 0 180 0 0 0 0 0 168 0 240 768 1,920,000.00 796 1,990,000.00 202 505,000.00
111 Amoksisilina kaps 250 mg kapsul 210.00 4,212.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
112 Amoksisilina syrup kering 250mg kaplet 400.05 4,212.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
113 Ampisilina Syrupkerng 125 mg/5 ml botol 4,620.00 4,620.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
114 Antalgin tab 500 mg tablet 156.45 156.45 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
115 Antalgin Inj 250 mg/ml 2ml ampul 1,400.00 1,400.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
116 Antasida DOEN tab tablet 74.00 74.00 5800 429,200.00 0 5000 0 5000 0 5000 0 5000 0 4000 0 5000 29,000 2,146,000.00 30,800 2,279,200.00 4000 296,000.00
117 Anti Bakteri DOEN Salep kombinasi tube 2,641.00 2,641.00 117 308,997.00 0 0 0 0 0 50 0 50 0 50 0 50 200 528,200.00 207 546,687.00 110 290,510.00
118 Anti Haemoroid DOEN Kombinasi suppos 3,630.00 3,200.00 33 105,600.00 0 0 0 0 0 20 0 0 0 30 0 0 50 160,000.00 56 179,200.00 27 86,400.00
119 Anti Fungi DOEN Kombinasi pot 1,743.00 1,743.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
120 Anti Migrain DOEN Kombinasi tablet 142.00 142.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
121 Anti Parkinson DOEN tab Kombinasi tablet 1,575.00 1,575.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
123 Aqua Pro Injeksi Steril bebas pirogen ampul 2,100.00 2,100.00 35 73,500.00 0 0 0 50 0 30 0 50 20 30 0 30 210 441,000.00 240 504,000.00 5 10,500.00
124 Aquadest Steril botol 3,588.00 3,588.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
125 Asam Askorbat 250 mg tablet 163.00 163.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
126 Asam Askorbat 50 mg tablet 100.00 100.00 2600 260,000.00 0 0 0 0 1000 2000 0 2000 0 2000 0 500 7,500 750,000.00 7,500 750,000.00 2600 260,000.00
127 Asam Folat 0.4 mcg tablet 9,532.00 66.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
128 Asam Sulfosalisilat 20 % 100 ml botol 24,051.00 24,051.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
129 Asetosal 100 mg tablet 92.40 92.40 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
130 Asetasal 500 mg tablet 150.15 150.15 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 1,418.00 1,418.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
132 Atropin Sulfat Tablet 0,5 mg tablet 77.00 77.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
133 Atropin tetes mata 0,5 % botol 13,500.00 13,500.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
201 Benzatin B Penisilin 1,2 jt IU/vial vial 10,290.00 10,290.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
202 Benzatin B Penisilin 2,4 jt IU/vial vial 14,070.00 14,070.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
203 Besi Syrup botol 3,983.00 3,983.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
204 Betametason cream tube 1,558.00 1,558.00 95 148,010.00 0 0 0 50 0 50 0 50 0 0 0 25 175 272,650.00 180 280,440.00 90 140,220.00
301 Catgut / Benang bedah sachet 7,090.83 41,075.00 150 6,161,250.00 0 0 0 120 0 72 0 96 0 0 0 72 360 14,787,000.00 450 18,483,750.00 60 2,464,500.00
401 Cefotaxime 500mg Vial 33.08 5,925.00 0 0.00 0 0 0 0 0 0 0 0 0 0 150 120 270 1,599,750.00 210 1,244,250.00 60 355,500.00
402 Deksametason Inj 5 mg/ml 1ml ampul 1,659.00 1,659.00 194 321,846.00 0 0 100 0 0 0 0 200 0 0 100 300 700 1,161,300.00 544 902,496.00 350 580,650.00
403 Deksametason tablet 0,5 mg tablet 64.00 64.00 3550 227,200.00 0 0 0 2000 0 3000 0 3000 0 2000 0 0 10,000 640,000.00 13,550 867,200.00 0 0.00
404 Dekstran 70 Lar Infus 6 % steril botol 37,302.00 37,302.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
405 Dekstrometorphan HBR Syr10mg/5ml botol 3,008.00 3,008.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
406 Dekstrometorphan HBR Tab 15 mg tablet 115.50 115.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
407 Devitalisasi Pasta botol 388,050.00 388,050.00 0 0.00 0 0 0 0 1 0 0 0 0 0 0 0 1 388,050.00 1 388,050.00 0 0.00
408 Diazepam Inj 5 mg/ml 2ml ampul 4,389.00 4,389.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
409 Diazepam tablet 2 mg tablet 46.00 46.00 0 0.00 300 0 0 0 0 0 0 0 0 0 0 0 300 13,800.00 267 12,282.00 33 1,518.00
410 Diazepam tablet 5 mg tablet 50.40 171.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
411 Dietil Karbamasin 100 mg tablet 102.38 143.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
412 Diphenhidramin Inj 10 mg/ml 1ml ampul 1,107.00 1,107.00 70 77,490.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 70 77,490.00 0 0.00
413 Digoksin tab 0,25 mg tablet 100.00 100.00 110 11,000.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 110 11,000.00 0 0.00
501 Epedrina HCL 25 mg tab tablet 12.82 50.80 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
502 Ekstrk Belladona tab 100 mg tablet 33.26 33.26 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
503 Epineprin Inj 0,1 % 1ml ampul 8,505.00 2,354.00 55 129,470.00 0 0 0 30 0 100 0 0 0 0 0 0 130 306,020.00 104 244,816.00 81 190,674.00
504 Etakridin (rivanol) Lar 0,1 % botol 8,250.00 6,292.00 5 31,460.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 5 31,460.00 0 0.00
505 Etambutol 250 mg tablet 322.00 466.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
506 Etanol 70 % botol 19,166.00 2,575.00 14 36,050.00 0 0 0 10 0 20 0 20 0 20 0 20 90 231,750.00 104 267,800.00 0 0.00
507 Eter Anestesi botol 8,470.00 8,470.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
508 Etil Klorida semprot botol 149,250.00 149,250.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 5 5 746,250.00 0 0.00 5 746,250.00
509 Eugenol Cairan botol 17,500.00 17,500.00 0 0.00 0 0 0 0 0 0 2 0 0 0 0 0 2 35,000.00 2 35,000.00 0 0.00
601 Fenitoin Natrium Inj 50 mg/ml ampul 20,850.00 20,850.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
602 Fenitoin kaps 100 mg kapsul 140.00 140.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
603 Fenitoin Kaps 30 mg kapsul 76.69 76.69 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
604 Fenobarbital Inj 50 mg/ml 1ml ampul 1,890.00 1,890.00 30 56,700.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 30 56,700.00 0 0.00
605 Fenobarbital Tab 100 mg tablet 153.38 231.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
606 Fenobarbital tab 30 mg tablet 7.01 142.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
607 Fenoksimetil pen tab 250 mg tablet 304.00 304.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
608 Fenoksimetil pen tab 500 mg tablet 535.00 535.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
609 fenol Gliserol TT 10 % botol 1,058.75 1,058.75 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
610 Fitomenadion Inj 10 mg/ml 1ml ampul 1,827.00 3,582.00 0 0.00 0 0 0 90 0 0 0 30 0 60 0 0 180 644,760.00 147 526,554.00 33 118,206.00
611 Fitomenadion tab 10 mg tablet 666.00 666.00 300 199,800.00 0 0 0 0 500 0 0 0 0 0 0 0 500 333,000.00 700 466,200.00 100 66,600.00
612 Fluor tab 0,5 mg tablet 34.56 34.56 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
613 Furosemida 40 mg tablet 80.00 80.00 200 16,000.00 0 0 0 0 0 0 500 0 0 500 0 0 1,000 80,000.00 700 56,000.00 500 40,000.00
701 Gameksan Emulsi botol 2,310.00 2,310.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
702 Garam Oralit 1000 ml sachet 421.08 421.08 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
703 Garam Oralit 200 ml sachet 303.00 303.00 948 287,244.00 500 1000 0 2000 0 1000 0 600 300 1000 0 1000 7,400 2,242,200.00 7,548 2,287,044.00 800 242,400.00
704 Gentian violet Lar 1 % botol 473.00 473.00 10 4,730.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 10 4,730.00 0 0.00
705 Glass Ionomer Cemen (GCIX) set 786,050.00 781,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
706 Glibenclamid 5 mg tablet 58.00 58.00 800 46,400.00 0 0 0 500 0 500 0 0 0 0 0 0 1,000 58,000.00 1,800 104,400.00 0 0.00
707 Gliseril Guayacolat tab 100 mg tablet 44.00 58.08 4002 232,436.16 0 5000 0 3000 0 2000 0 1000 0 0 0 0 11,000 638,880.00 15,002 871,316.16 0 0.00
708 Gliserin botol 5,600.00 5,600.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
709 Glukosa Infus 100 % botol 5,985.00 5,985.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
710 Glukosa Infus 40 % botol 1,525.00 1,525.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
711 Glukosa Infus 5 % botol 5,460.00 5,460.00 232 1,266,720.00 0 300 0 100 0 100 0 200 0 100 0 0 800 4,368,000.00 872 4,761,120.00 160 873,600.00
712 Griseofulfin tab 125 mg tablet 220.00 220.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
801 Haloperidol tab 0,5 mg tablet 61.00 61.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
802 Haloperidol tab 1,5 mg tablet 72.00 72.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
803 Hidroclortiazide (HCT) tab 25mg tablet 38.12 156.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
Hidrokortison cream tube 2,868.00 2,868.00 24 68,832.00 48 0 0 24 24 48 0 72 0 0 0 96 312 894,816.00 234 671,112.00 102 292,536.00
901 Ibuprofen tab 200 mg tablet 116.00 116.00 0 0.00 0 0 0 1000 0 0 0 0 0 0 0 0 1,000 116,000.00 1,000 116,000.00 0 0.00
902 Ibuprofen tab 400 mg tablet 153.00 153.00 2455 375,615.00 0 0 0 1000 0 500 0 1500 0 500 0 1000 4,500 688,500.00 4,955 758,115.00 2000 306,000.00
903 Infusion set anak set 4,445.00 4,445.00 100 444,500.00 0 0 0 0 0 100 100 200 0 200 0 100 700 3,111,500.00 595 2,644,775.00 205 911,225.00
904 Infusion set dewasa set 4,064.00 9,230.00 0 0.00 0 0 0 0 0 50 100 200 0 200 0 200 750 6,922,500.00 610 5,630,300.00 140 1,292,200.00
905 Insulin reguler Inj 40 IU/ml 10 ml vial 81,180.00 81,180.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
906 Iodiol Kaps lunak kapsul 976.50 976.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
907 Ipeka Syrup botol 3,998.00 3,998.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
908 INH 300 mg tablet 166.00 166.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
909 Isosorbid Dinitrat tab 5 mg tablet 93.00 93.00 0 0.00 0 0 0 100 0 0 0 0 0 0 0 0 100 9,300.00 0 0.00 100 9,300.00
1,001 Jarum Bedah no 9 s/d 14 biji 60,000.00 60,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,002 Kalium Permanganat Serbuk botol 317.00 317.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,003 Kalsium Hidroksida Pasta tube 373,125.00 272,250.00 0 0.00 0 1 0 0 1 0 0 0 0 0 0 0 2 544,500.00 2 544,500.00 0 0.00
1,004 Kalsim Laktat tablet 73.00 73.00 900 65,700.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 900 65,700.00
1,005 Kapas berlemak 500 gram bungkus 17,250.00 17,250.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,006 Kapas Pembalut 250 gram bungkus 15,875.00 15,875.00 8 127,000.00 0 5 0 10 0 10 0 5 0 0 0 10 40 635,000.00 33 523,875.00 15 238,125.00
1,007 Karbamazepin tab 200 mg tablet 257.00 257.00 270 69,390.00 0 0 0 0 0 0 0 0 0 0 0 100 100 25,700.00 262 67,334.00 108 27,756.00
1,008 Kasa Kompres 40 x 40 rol 1,393.00 1,393.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,009 Kasa Pembalut 2x80 rol 8,793.00 8,793.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,010 Kasa Pembalut 4x15 rol 2,667.00 3,800.00 255 969,000.00 0 0 0 0 0 0 0 0 0 300 0 300 600 2,280,000.00 535 2,033,000.00 320 1,216,000.00
1,011 Kasa Pembalut 4x3 rol 733.00 733.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,012 Ketamin Inj 10 mg/ml vial 1,100.00 1,100.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,013 Klorampenicol kaps 500 mg kapsul 2,182.95 1,056.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,014 Klorampenikol kaps 250 mg kapsul 266.40 551.29 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,015 Klorampenikol sm 1 % tube 1,640.00 1,640.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,016 Klorampeicol TT 3 % botol 3,482.50 6,050.00 71 429,550.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 71 429,550.00 0 0.00
1,017 Klorfeniramin maleat (CTM) 4 mg tablet 40.98 53.00 5700 302,100.00 0 3400 0 8000 0 1000 0 0 0 5000 0 1600 19,000 1,007,000.00 24,300 1,287,900.00 400 21,200.00
1,018 Klorokuin tab 150 mg tablet 89.25 89.25 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,019 Klorpromazina Inj 25 mg/ml 1ml ampul 1,155.00 1,155.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,020 Klorpromazina Inj 5 mg/ml 2ml ampul 1,103.00 1,103.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,021 Klorpromazina tab 100 mg tablet 153.00 153.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,022 klorpromazina tab 25 mg tablet 71.00 71.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,023 Klorpropamida 100 mg tab tablet 52.00 52.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,024 Kodeina tab 10 mg tablet 525.00 525.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,025 Komb pirimetamin 25 mg+Sulfadoksin 500 mg tablet 544.00 544.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,026 Kotrimoksasol ped tab tablet 79.70 79.70 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,027 Kotrimoksasol Suspensi botol 2,222.00 2,222.00 400 888,800.00 0 100 0 200 0 0 0 0 0 0 0 100 400 888,800.00 689 1,530,958.00 111 246,642.00
1,028 Kotrimoxsasol tab Dewasa tablet 145.00 145.00 4180 606,100.00 0 2500 0 1000 0 2000 0 3000 0 2000 0 0 10,500 1,522,500.00 11,480 1,664,600.00 3200 464,000.00
1,029 Kuinin Dihidroksida Inj 25 % 2 ml ampul 6,510.00 6,510.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,030 Kuinin sulfat tab 222 mg tablet 704.00 567.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,101 larutan Benedict botol 28,133.00 28,133.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,102 larutan eosin 2 % botol 35,550.00 35,550.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,103 Larutan etanol Asam botol 33,156.00 33,156.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,104 larutan Giemsa Stain botol 61,547.00 61,547.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,105 Larutan Karbol Fuksin botol 22,570.00 22,570.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,106 Larutan Metilen biru botol 16,600.00 16,600.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,107 Larutan Turk botol 14,165.00 14,165.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,108 Lidokain Inj ampul 879.00 870.00 100 87,000.00 100 100 0 100 0 0 0 200 0 100 0 0 600 522,000.00 677 588,990.00 23 20,010.00
1,109 Lidokain Compositum Inj botol 51,108.00 1,937.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,201 Magnesium Sulfat Inj(IV) 20 % 25 ml vial 1,616.80 2,800.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,202 Magnesium Sulfat Inj(IV) 40 % 25 ml vial 6,019.80 3,500.00 30 105,000.00 0 0 0 0 0 0 0 0 0 0 30 0 30 105,000.00 55 192,500.00 5 17,500.00
1,203 Mebendazol Syrup100 mg/5 ml botol 3,570.00 3,570.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,204 mebendazol Tab 100 mg tablet 227.50 227.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,205 Metanol botol 23,938.00 23,938.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,206 Metilergometrin maleat tab 0,125mg tablet 162.00 162.00 500 81,000.00 0 0 0 0 0 0 200 0 0 0 0 0 200 32,400.00 700 113,400.00 0 0.00
1,207 Metilergometrin maleat Inj 0,2 mg /ml ampul 2,750.00 2,750.00 150 412,500.00 0 0 0 100 0 100 0 100 0 200 0 0 500 1,375,000.00 289 794,750.00 361 992,750.00
1,208 Metronidazol tab 250 mg tablet 113.00 113.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,209 monoklr Kamfermentol cairan botol 55,000.00 50,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,210 Mummifyng Pasta botol 183,578.00 183,578.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,301 Natrium Bicarbonat Tab 500 mg tablet 15.02 15.02 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,302 Natrium Fluoresein TM 2 % botol 4,121.96 4,121.96 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,303 natrium klorida infus 0,9 % botol 4,935.00 4,935.00 60 296,100.00 0 0 0 100 0 40 0 60 0 100 0 40 340 1,677,900.00 400 1,974,000.00 0 0.00
1,304 Natium Tiosulfat Inj 25 % 10 ml ampul 31,500.00 31,500.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,305 Nistatin 100.000 IU Tab Vaginal tablet 504.00 388.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,306 Nistatin 500.000 IU Tab Vaginal tablet 672.00 672.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,307 OAT Kat I FDC paket 377,900.00 377,900.00 5 1,889,500.00 0 0 0 0 7 10 0 0 0 0 0 0 17 6,424,300.00 20 7,558,000.00 2 755,800.00
1,308 Oat kat II FDC paket 1,259,990.00 1,259,990.00 0 0.00 0 0 0 0 2 0 0 0 0 0 0 0 2 2,519,980.00 2 2,519,980.00 0 0.00
1,309 OBH Cairan botol 1,800.00 2,601.50 76 197,714.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 76 197,714.00 0 0.00
1,310 Oksigen gas dalam tabung tabung 75,000.00 75,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,311 Oksitetrasiklin HCl Inj 50 mg/ml 10 ml tube 8,764.80 13,310.00 60 798,600.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 60 798,600.00 0 0.00
1,312 Oksitetrasilin SK 3 % tube 1,650.00 1,814.27 112 203,198.24 0 0 0 0 0 50 0 0 0 50 0 0 100 181,427.00 99 179,612.73 113 205,012.51
1,313 Oksitetrasikli SM 1 % tube 2,365.00 4,192.65 0 0.00 0 0 0 0 0 0 0 100 0 100 0 0 200 838,530.00 200 838,530.00 0 0.00
1,314 Oksitosin Inj ampul 1,874.27 2,310.00 125 288,750.00 0 100 0 0 100 100 0 100 0 100 0 0 500 1,155,000.00 557 1,286,670.00 68 157,080.00
1,401 Paraformaldehida Tablet tablet 60.00 60.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,402 Parasetamol Syrup 125 mg/5 ml botol 1,496.00 1,496.00 357 534,072.00 0 168 84 168 336 336 84 336 0 336 0 350 2,198 3,288,208.00 2,275 3,403,400.00 280 418,880.00
1,403 parasetamol tab 100 mg tablet 44.00 44.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,404 Parasetamol Tab 500 mg tablet 84.00 84.00 10000 840,000.00 0 2000 0 3000 0 6000 0 8000 0 9000 0 10000 38,000 3,192,000.00 39,700 3,334,800.00 8300 697,200.00
1,405 pembalut Gips rol 23,500.00 23,500.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,406 Perfenazine 16 mg tab tablet 96.00 96.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,407 Perfenazine 4 mg tab tablet 57.75 57.75 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,408 Pethidin Inj ampul 15,225.00 15,225.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,409 Pilokarpin HCl TM 2 % botol 5,475.00 5,475.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,410 Pyrantel Pamoat tab 125 mg tablet 308.00 308.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,411 Pyrydoksin HCl Tab 10 mg tablet 17.00 115.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,412 Plester 5 yard x2 Inchi rol 23,482.00 23,482.00 28 657,496.00 0 18 0 24 0 0 0 0 0 0 0 0 42 986,244.00 70 1,643,740.00 0 0.00
1,413 Polikresulen rol 17,993.00 17,993.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,414 Polipeptida DOEN Infus botol 32,995.00 32,995.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,415 Prazikuantel Tab 600 mg tablet 1,785.00 1,785.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,416 Prednison Tab 5 mg tablet 119.00 119.00 500 59,500.00 ### 0 0 500 0 0 0 0 0 1000 0 0 2,500 297,500.00 1,300 154,700.00 1700 202,300.00
1,417 Primkina tab 15 mg tablet 114.45 205.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,418 Prokain Benzil Penisilin Inj 3 Juta IU/vial vial 7,549.50 7,549.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,419 Propil tiourasil tab 100 mg tablet 335.00 335.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 500 500 167,500.00 500 167,500.00 0 0.00
1,420 Propanolol tab 40 mg tablet 79.00 110.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 500 500 55,000.00 500 55,000.00 0 0.00
1,501 Rabies Immune globulin 150 IU/ml vial 450,999.00 450,999.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,502 Reserpina Tab 0,1 mg tablet 78.96 78.96 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,503 Reserpina Tab 0,25 mg tablet 92.40 92.40 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,504 Retinol (vit A) Kaps 200.000 IU kapsul 482.00 482.00 1217 586,594.00 0 2100 0 0 0 0 2300 0 0 0 0 0 4,400 2,120,800.00 5,617 2,707,394.00 0 0.00
1,505 Rifampisina tab 600 mg tablet 1,154.00 1,154.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,506 Rifampisina tab 300 mg tablet 640.00 640.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,507 Rifampisina kaps 450 mg kapsul 829.00 829.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,508 Ringer Laktat Lar Infus botol 5,460.00 5,460.00 491 2,680,860.00 0 700 400 1100 200 900 200 1300 0 0 0 500 5,300 28,938,000.00 5,402 29,494,920.00 389 2,123,940.00
1,601 Salbutamol Tab 2 mg tablet 62.00 62.00 1150 71,300.00 0 1000 0 0 0 1000 0 1000 0 1000 0 0 4,000 248,000.00 3,150 195,300.00 2000 124,000.00
1,602 Salep 24 kombinasi pot 2,100.00 2,100.00 48 100,800.00 0 0 0 0 0 0 0 48 0 0 0 0 48 100,800.00 61 128,100.00 35 73,500.00
1,603 salisil Bedak 2 % kotak 1,250.00 1,250.00 20 25,000.00 0 25 0 20 0 30 0 0 0 0 0 20 95 118,750.00 115 143,750.00 0 0.00
1,604 Salisil Spritus 10 % botol 114.00 114.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,605 Semen seng pospat set 189,050.00 223,850.00 1 223,850.00 0 1 0 0 1 0 0 0 0 0 0 0 2 447,700.00 3 671,550.00 0 0.00
1,606 Sabu polivalen 5 ml (ABU I) vial 3,164,100.00 520,300.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,607 Sabu polivalen 50 ml (ABUII) vial 41,800,000.00 41,800,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,608 Serum anti Dufteri 20.000IU/vial vial 450,000.00 450,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,609 Serum ATS 1500 IU / Ampul vial 1,233,380.00 138,599.45 0 0.00 0 0 0 0 0 1 0 0 0 0 0 0 1 138,599.45 1 138,599.45 0 0.00
1,610 Serum Anti Tetanus Inj 20000 IU/vl vial 340,000.00 340,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,611 Sianokobalamin Inj 500 mcg/ml ampul 1,132.00 1,132.00 259 293,188.00 0 0 0 100 0 100 0 0 0 100 0 100 400 452,800.00 446 504,872.00 213 241,116.00
1,612 Silk ( Benang Bedah ) sak 3,880.56 23,275.00 103 2,397,325.00 0 72 0 0 0 108 0 108 0 108 0 108 504 11,730,600.00 516 12,009,900.00 91 2,118,025.00
1,613 Silver Amalgam botol 746,250.00 902,962.50 0 0.00 0 0 0 0 1 0 0 0 0 0 0 0 1 902,962.50 1 902,962.50 0 0.00
1,614 Spon Gelatin tabung 11,164.00 133.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,615 Simvastatin 10 mg vial 1,995.00 133.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,616 Streptomisin Sulfat Inj 1500 Mg vial 1,919.40 1,919.40 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,617 Sulfadimidin Tab 500 mg tablet 95.00 95.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,618 Sulfacetamide TM 15 % botol 3,617.50 3,617.50 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,619 Suspensi Seng Insulin 40 IU/ml 10 ml set 27,008.00 27,008.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,701 Besi Sulfat tablet salut 300 mg tablet 43.00 43.00 3880 166,840.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 1,680 72,240.00 2200 94,600.00
1,702 Temporary Stopping Fletcher serbuk set 148,255.00 148,255.00 0 0.00 0 0 0 0 1 0 0 0 0 0 0 0 1 148,255.00 1 148,255.00 0 0.00
1,703 Tetrakain Hcl TM 0,5 % botol 11,500.00 3,566.25 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,704 Tetrasiklin Kaps 250 mg kapsul 154.00 154.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,705 Tetrasiklin Kaps 500 mg kapsul 312.00 312.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,706 Thiamin Hcl (vit B1) Inj 100 mg/ml vial 998.33 1,303.53 158 205,958.21 0 0 0 30 60 90 0 0 0 0 0 0 180 234,635.94 338 440,594.15 0 0.00
1,707 Thiamin Hcl (vit B1) tab 50 mg tablet 52.00 116.64 4000 466,576.00 0 0 0 0 0 0 0 0 0 0 0 2000 2,000 233,288.00 6,000 699,864.00 0 0.00
1,708 Natrium tiopental serbuk inj 100 mg/amp ampul 63,608.00 63,608.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,709 Triheksipenidil Hcl 2mg/tab tablet 462.00 750.20 0 0.00 0 300 0 0 0 0 0 0 0 0 0 0 300 225,060.00 300 225,060.00 0 0.00
1,710 Trikresolformalin (TKF) cairan botol 38,496.00 55,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,801 Vaksin Rabies Vero set 308,000.00 308,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,802 Vitamin B-Komplek Tablet tablet 110.00 110.00 6000 660,000.00 0 3000 0 2000 0 0 1000 1000 2000 1000 0 4000 14,000 1,540,000.00 16,600 1,826,000.00 3400 374,000.00
1,901 Yodium Povidon Larutan 10 % 30ml botol 2,250.00 2,250.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
1,902 Yodium Povidon Larutan 10 % 300ml botol 14,771.00 14,771.00 36 531,756.00 0 30 0 30 0 0 0 0 0 0 0 0 60 886,260.00 96 1,418,016.00 0 0.00
- TAMBAHAN 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-01 Ambroxol 30 mg tablet 124.94 209.69 2215 464,470.00 0 2500 0 2000 0 1500 0 0 0 0 0 2000 8,000 1,677,544.00 10,215 2,142,014.00 0 0.00
T-02 Amoksisilin 500 mg tablet 270.00 270.00 5940 1,603,800.00 0 0 0 1000 0 6000 0 6000 0 6000 0 6000 25,000 6,750,000.00 24,940 6,733,800.00 6000 1,620,000.00
T-03 Salbutamol 4mg tablet 91.00 91.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-04 Bisacodyl 5 mg supp suppos 6,045.00 4,990.00 4 19,960.00 0 0 0 6 0 6 0 0 0 0 0 0 12 59,880.00 6 29,940.00 10 49,900.00
T-05 Diazepam Rectal tube tube 12,159.00 12,159.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-06 Paracetamol drop 60 mg/0.6 ml botol 7,000.00 5,460.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-07 IV Catheter set 4,826.00 7,911.00 200 1,582,200.00 0 200 0 200 100 200 250 200 150 200 300 200 2,000 15,822,000.00 1,886 14,920,146.00 314 2,484,054.00
T-08 Jarum Suntik pcs 242.00 547.25 185 101,241.25 0 200 0 200 0 200 200 0 0 0 0 0 800 437,800.00 985 539,041.25 0 0.00
T-09 Kalsium Gluconat Inj 100 mg vial 7,800.00 9,955.00 32 318,560.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 32 318,560.00 0 0.00
T-10 Mikonazol Salep tube 3,075.00 3,410.00 50 170,500.00 0 0 0 24 0 0 0 0 0 0 0 0 24 81,840.00 74 252,340.00 0 0.00
T-11 Kloramphenicol syrup 125 mg/5 ml tablet 114.50 3,865.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-12 OAT Kat III paket 154,000.00 154,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-13 OAT Sisipan paket 168,000.00 168,000.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-14 Metoklorpramid tab 5 mg tablet 111.00 111.00 1375 152,625.00 0 0 0 500 0 500 0 0 0 0 0 0 1,000 111,000.00 1,775 197,025.00 600 66,600.00
T-15 Metoklorpramid Inj 5 mg/ml ampul 8,983.33 10,890.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-16 Amlodipin 5 mg set 5,770.00 192.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-17 Ventholin nebule botol 120.65 6,930.00 0 0.00 0 0 0 0 20 0 0 0 0 0 40 0 60 415,800.00 60 415,800.00 0 0.00
T-18 Ranitidin 150 mg botol 122.00 122.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-19 Ranitidin Inj 25 mg/ ml ampul 1,190.00 1,190.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-20 Fitomenadion 1 mg/ml ampul 6,298.00 3,675.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-21 Retinol (vit A)tablet salut 100,000 IU tablet 273.00 273.00 69 18,837.00 0 300 0 0 0 0 350 0 0 0 0 0 650 177,450.00 719 196,287.00 0 0.00
T-22 Zinc syrup 20 mg/5ml botol 7,770.00 7,770.00 75 582,750.00 0 50 0 0 0 25 0 50 0 50 0 50 225 1,748,250.00 173 1,344,210.00 127 986,790.00
T-23 Paracetamol rectal suppos 11,952.00 7,247.90 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-24 Antasida syrup botol 2,160.00 2,160.00 27 58,320.00 0 0 0 50 0 0 0 0 0 0 0 0 50 108,000.00 77 166,320.00 0 0.00
T-25 Atapulgit tablet 600 mg tablet 210.00 210.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-26 Kasa 40x80 cm rol 133,350.00 133,350.00 0 0.00 0 1 0 3 0 0 0 0 0 0 0 0 4 533,400.00 4 533,400.00 0 0.00
T-27 Papaverin Tablet tablet 104.48 104.48 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-28 Masker kapsul 13,650.00 330.00 0 0.00 0 0 0 0 0 0 0 0 200 200 400 300 1,100 363,000.00 1,100 363,000.00 0 0.00
T-29 Pehacain inj ampul 1,666.67 1,666.67 0 0.00 0 0 0 0 0 0 80 40 0 0 0 20 140 233,333.33 100 166,666.67 40 66,666.67
T-30 Sarung tangan NON Steril pcs 1,666.67 774.93 0 0.00 0 0 0 0 0 0 0 0 0 200 300 500 1,000 774,933.20 900 697,439.88 100 77,493.32
T-31 Sarung tangan Steril Pasang 825.50 1,549.87 195 302,223.95 0 200 0 200 0 200 0 100 0 0 0 200 900 1,394,879.76 900 1,394,879.76 195 302,223.95
T-32 OAT Katagori anak paket 225,740.00 225,740.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-33 Asam Mefenamat 500 mg tablet 116.00 116.00 0 0.00 0 0 0 0 0 0 0 0 1000 0 2000 3000 6,000 696,000.00 3,400 394,400.00 2600 301,600.00
T-34 Ambroxol syrup botol 3,049.00 3,989.37 50 199,468.50 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 50 199,468.50 0 0.00
T-35 Nipedipin tablet 110.00 110.00 400 44,000.00 0 0 0 500 0 0 0 0 0 500 0 0 1,000 110,000.00 700 77,000.00 700 77,000.00
T-36 Kaptopril 12.5 mg tablet 62.00 62.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-37 Kaptopril 25 mg tablet 89.00 89.00 2250 200,250.00 0 1500 0 0 0 0 1000 0 0 0 0 1000 3,500 311,500.00 4,750 422,750.00 1000 89,000.00
T-38 Kloramphenicol inj vial 7,260.00 1,503.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-39 Ampisilin inj. 1 gr vial 5,355.00 5,355.00 60 321,300.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 45 240,975.00 15 80,325.00
T-40 plester transparan ampul 5,000.00 84,700.00 0 0.00 0 0 0 0 0 0 0 0 3 0 6 10 19 1,609,300.00 19 1,609,300.00 0 0.00
T-41 plester non transparan tube 1,943.00 21,753.00 0 0.00 0 0 0 0 0 0 0 0 3 0 0 0 3 65,259.00 3 65,259.00 0 0.00
T-42 Gentamicin inj ampul 3,569.00 3,569.00 0 0.00 0 0 0 60 0 0 0 0 0 0 0 0 60 214,140.00 60 214,140.00 0 0.00
T-43 Artemeter Inj ampul 23,100.00 23,100.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-44 Artesunate Inj ampul 26,315.63 38,999.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-45 Doksisiklin kapsul 285.00 251.99 490 123,475.10 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 490 123,475.10 0 0.00
T-46 Haloperidol 5 mg tablet 100.00 100.00 166 16,600.00 0 300 0 0 0 0 0 200 0 300 0 0 800 80,000.00 513 51,300.00 453 45,300.00
T-47 Piroxicam 10 mg tablet 97.51 145.20 2600 377,520.00 0 0 0 500 0 1000 0 0 0 0 0 1000 2,500 363,000.00 4,600 667,920.00 500 72,600.00
T-48 Siprofloxasin 500 mg tablet 260.00 260.00 0 0.00 0 0 0 0 0 0 0 0 0 1000 0 1000 2,000 520,000.00 1,000 260,000.00 1000 260,000.00
T-49 Etabion tablet tablet 239.95 239.95 8200 1,967,590.00 0 0 0 0 0 0 0 42700 0 0 0 0 42,700 10,245,865.00 50,900 12,213,455.00 0 0.00
T-50 Zinc tablet 20 mg tablet 497.00 497.00 0 0.00 0 0 0 0 0 1000 0 1000 0 3000 0 1000 6,000 2,982,000.00 5,900 2,932,300.00 100 49,700.00
T-51 Ibuprofen syrup 100mg/5ml botol 3,674.00 4,724.00 45 212,580.00 0 0 0 0 0 0 0 50 0 0 0 100 150 708,600.00 95 448,780.00 100 472,400.00
T-52 Alat Suntik 0,005 ml Tablet 3,540.90 3,540.90 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-53 Fondazen multivitamin botol 224.95 224.95 14800 3,329,260.00 0 0 0 0 12700 0 0 0 12700 0 0 12700 38,100 8,570,595.00 41,900 9,425,405.00 11000 2,474,450.00
T-54 Asiklovir 400 mg tablet 346.00 346.00 0 0.00 0 0 0 0 0 0 0 1000 0 1000 0 0 2,000 692,000.00 2,000 692,000.00 0 0.00
T-55 Asiklovir cream tube 2,997.00 5,103.76 60 306,225.60 0 0 0 0 0 0 0 0 0 0 0 25 25 127,594.00 60 306,225.60 25 127,594.00
T-56 Metronidazol tab 500 mg tablet 164.00 164.00 1300 213,200.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 1,300 213,200.00 0 0.00
T-57 Natrium diklofenak 50 mg tablet 185.00 185.00 1150 212,750.00 0 0 0 0 0 0 0 0 0 500 0 0 500 92,500.00 850 157,250.00 800 148,000.00
T-58 Kaptopril 50 mg tablet 141.00 141.00 0 0.00 0 0 0 2500 0 0 0 0 0 0 0 0 2,500 352,500.00 2,500 352,500.00 0 0.00
T-59 Ketokonazole 200 mg tablet 300.00 300.00 150 45,000.00 0 0 0 0 0 0 0 300 0 500 0 0 800 240,000.00 850 255,000.00 100 30,000.00
T-60 Famotidin 40 mg tablet 176.84 243.14 400 97,256.00 0 500 0 500 0 500 0 300 0 500 0 0 2,300 559,222.00 2,050 498,437.00 650 158,041.00
T-61 Ketoprofen Inj tablet 7,790.80 8,203.70 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-62 Metoklorpramid syrup 5 mg/ ml botol 2,800.00 2,205.00 190 418,950.00 0 0 0 60 0 0 0 0 0 0 0 0 60 132,300.00 104 229,320.00 146 321,930.00
T-63 Asam asetil salisilat 100 mg tablet 122.00 122.00 70 8,540.00 0 0 0 0 0 0 0 0 0 0 0 500 500 61,000.00 570 69,540.00 0 0.00
T-64 Multivitamin (Lexavit) tablet 2,598.75 239.95 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-65 OAT Kategori I ( Kombipak ) Paket 302,605.00 302,610.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
T-66 Arterakine Tablet 4,122.25 3,567.00 0 0.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0 0.00 0 0.00
46,499,167.01 191,838,511.18 204,503,594.75 33,834,083.44


NIP : 19751231 199803 1 015

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LENEK

kode Nama Obat Satuan Stok Penerimaan Persediaan Pemakaian

101 Air Raksa Dental use botol 0 0 0 0

104 Alat Suntik 5 ml set 472 0 472 146

107 Aminophillin 200 mg tablet 300 0 300 0

111 Amoksisilina kaps 250 mg kapsul 0 0 0 0

114 Antalgin tab 500 mg tablet 0 0 0 0

117 Anti Bakteri DOEN Salep kombinasi tube 117 0 117 17

120 Anti Migrain DOEN Kombinasi tablet 0 0 0 0

125 Asam Askorbat 250 mg tablet 0 0 0 0

128 Asam Sulfosalisilat 20 % 100 ml botol 0 0 0 0

131 Atropin Sulfat Injeksi 0,2 mg/ml 1ml ampul 0 0 0 0

201 Benzatin B Penisilin 1,2 jt IU/vial vial 0 0 0 0

203 Besi Syrup botol 0 0 0 0

401 Dapson tablet 100 mg tablet 0 0 0 0

404 Dekstran 70 Lar Infus 6 % steril botol 0 0 0 0

407 Devitalisasi Pasta botol 0 0 0 0

411 Dietil Karbamasin 100 mg tablet 0 0 0 0

501 Epedrina HCL 25 mg tab tablet 0 0 0 0

504 Etakridin (rivanol) Lar 0,1 % botol 5 0 5 0

507 Eter Anestesi botol 0 0 0 0

602 Fenitoin kaps 100 mg kapsul 0 0 0 0

605 Fenobarbital Tab 100 mg tablet 0 0 0 0

608 Fenoksimetil pen tab 500 mg tablet 0 0 0 0

611 Fitomenadion tab 10 mg tablet 300 0 300 20

703 Garam Oralit 200 ml sachet 948 500 1448 674

706 Glibenclamid 5 mg tablet 800 0 800 110

709 Glukosa Infus 100 % botol 0 0 0 0

712 Griseofulfin tab 125 mg tablet 0 0 0 0

Hidrokortison cream tube 24 48 72 17

903 Infusion set anak set 100 0 100 0

906 Iodiol Kaps lunak kapsul 0 0 0 0

909 Isosorbid Dinitrat tab 5 mg tablet 0 0 0 0

1004 Kalsim Laktat tablet 900 0 900 0

1007 Karbamazepin tab 200 mg tablet 270 0 270 0

1010 Kasa Pembalut 4x15 rol 255 0 255 216

1013 Klofazimin kaps 100 mg kapsul 0 0 0 0

1018 Klokina tab 250 mg tablet 0 0 0 0

1021 Klorpromazina tab 100 mg tablet 0 0 0 0

1024 Kodeina tab 10 mg tablet 0 0 0 0

1027 Kotrimoksasol Suspensi botol 400 0 400 85

1101 larutan Benedict botol 0 0 0 0

1104 larutan Giemsa Stain botol 0 0 0 0

1107 Larutan Turk botol 0 0 0 0

1201 Magnesium Sulfat Inj(IV) 25 % 25 ml vial 0 0 0 0

1205 Metanol botol 0 0 0 0

1208 Metronidazol tab 250 mg tablet 0 0 0 0

1301 Natrium Bicarbonat Tab 500 mg tablet 0 0 0 0

1304 Natium Tiosulfat Inj 25 % 10 ml ampul 0 0 0 0

1309 OBH Cairan botol 76 0 76 4

1312 Oksitetrasilin SK 3 % tube 112 0 112 12

1401 Paraformaldehida Tablet tablet 0 0 0 0

1404 Parasetamol Tab 500 mg tablet 10000 0 10000 6790

1408 Pethidin Inj ampul 0 0 0 0

1411 Pyrydoksin HCl Tab 10 mg tablet 0 0 0 0

1414 Polipeptida DOEN Infus botol 0 0 0 0

1417 Primkina tab 15 mg tablet 0 0 0 0

1501 Rabies Immune globulin 150 IU/ml vial 0 0 0 0

1504 Retinol (vit A) Kaps 200.000 IU kapsul 1217 0 1217 0

1507 Rifampisina kaps 450 mg kapsul 0 0 0 0

1602 Salep 24 kombinasi pot 48 0 48 2

1607 Sabu polivalen 50 ml (ABUII) vial 0 0 0 0