TAHUN Sisa Periode Sebelu

NO NAMA OBAT SATUAN

PEMBELIAN
Unit
I. OBAT
Air Raksa dental 2013 Buah 4
Albendazol tablet 400 mg 2016 Tablet 187
Albendazol tablet 400 mg 2017 Tablet
Albendazol tablet 400 mg 2018 Tablet
Alopurinol tablet 100 mg 2015 Tablet 754
Alopurinol tablet 100 mg 2016 Tablet
Alopurinol tablet 300 mg 2015 Tablet 219
Alopurinol tablet 300 mg 2016 Tablet
Alvogyl pasta 2016 Buah
Alvogyl pasta 2017 Buah 5
Ambroksol sirup 15 mg/5 ml 2015 Botol 25
Ambroksol tablet 30 mg 2016 Tablet 3638
Ambroksol tablet 30 mg 2017 Tablet
Aminofilin injeksi 24 mg/ml-10 ml 2014 Ampul 28
Aminofilin injeksi 24 mg/ml-10 ml 2017 Ampul
Aminofilin tablet 200 mg 2016 Tablet 388
Aminofilin tablet 200 mg 2017 Tablet
Amitriptilin HCL tablet salut 25 mg 2016 Tablet 81
Amitriptilin HCL tablet salut 25 mg 2018 Tablet
Amlodipin tablet 10 mg 2016 Tablet 2915
Amlodipin tablet 5 mg 2016 Tablet 3961
Amlodipin tablet 5 mg 2018 Tablet
Amoksisilin drop 100 mg/ml 2016 Botol 17
Amoksisilin kapsul/kaplet 250 mg 2015 Kapsul 0
Amoksisilin kapsul/kaplet 250 mg 2016 Kapsul
Amoksisilin kapsul/kaplet 500 mg 2015 Kaplet 6048
Amoksisilin kapsul/kaplet 500 mg 2016 Kaplet
Amoksisilin kapsul/kaplet 500 mg 2017 Kaplet
Amoksisilin sirup kering 125 mg/5 ml 2017 Botol 65
Amoksisilin sirup kering forte 250 mg/5
49
ml 2016 Botol
Ampisilin Serbuk injeksi i.m/i.v. 500 mg 0
2016 Vial
Ampisilin Serbuk injeksi i.m/i.v.1000 mg 0
2106 Vial
Antasida Doen I tablet kunyah kombinasi 11406
2016 Tablet
Antasida Doen I tablet kunyah kombinasi
2017 Tablet
Antasida Doen I tablet kunyah kombinasi
2018 Tablet
Antasida Doen II Suspensi 2017 Botol 95
Antibakteri Doen Salep Kombinasi 2017 Tube 77
Antifungi Doen kombinasi 2013 Pot 0
Antifungi Doen kombinasi 2016 Pot
Antihemoroid Doen kombinasi 2016 62
Antihemoroid Doen kombinasi 2017 Supp
Antihemoroid Doen kombinasi 2018 Supp
Antimigrain Doen kombinasi 2018 Tablet 0
Aqua Pro Injeksi steril, bebas pirogen 2015 Ampul 16
Aquadest steril 1 liter 2016 Botol 0
Artesunat injeksi 2017 Vial
Asam Asetilsalisilat tablet 100 mg
(Asetosal) 2016 Tablet
Asam Asetilsalisilat tablet 100 mg
(Asetosal) 2017 Tablet
Asam Asetilsalisilat tablet 500 mg
(Asetosal) 2016 Tablet
Asam Asetilsalisilat tablet 80 mg
217
(Asetosal) 2017 Tablet
Asam Asetilsalisilat tablet 80 mg
(Asetosal) 2018 Tablet
Asam Askorbat (Vitamin C) tablet 250
2000
mg 2017 Tablet
Asam Askorbat (Vitamin C) tablet 50 mg 4088
2017 Tablet
Asam Folat tablet 1 mg 2018 Tablet 0
Asam Mefenamat kapsul/kaplet 500 mg 6303
2017 Kaplet
Asiklovir krim 5% 2016 Tube 95
Asiklovir krim 5% 2017 Tube
Asiklovir tablet 200 mg 2014 Tablet 0
Asiklovir tablet 400 mg 2015 Tablet 1424
Atapulgit tablet 630 mg 2016 Tablet 1220
Atapulgit tablet 630 mg 2017 Tablet
Atenolol tablet 50 mg 2014 Tablet 90
Atropin Sulfat injeksi 0,25 mg/ml-1 ml 2017 Ampul 0
Benzatin benzil penisilin 2,4 ui/ml 2016 Vial 0
Betametason krim 0,1 % (sebagai
148
valerat) 2015 Tube
Betametason krim 0,1 % (sebagai
valerat) 2016 Tube
Bisakodil Supositoria 10 mg 2017 Supp
Bisakodil tablet 5 mg 2014 Tablet 123
Bisakodil tablet 5 mg 2017 Tablet
Bisolvon sol 2016 Botol
Bonding 2017 Botol 3
Bonding 2018 Botol
Bonding aplikator 2016 Kotak 0
Budesonid cairan inhalasi 0,25mg/ml 2016 Ampul
Budesonid inhaler 200 mcg/puff 2016 Botol
Cairan Infus Dextrose 5%/0,225% Nacl 0
2014 Botol
Cairan Infus Dextrose 5%/0,225% Nacl
2017 Botol
Cairan Infus Dextrose 5%/0,45% Nacl 2017 Botol 0
Calsium hidroxyd 2016 Tube 4
Deksametason injeksi i.v. 5 mg/ml- 1 ml 0
2015 Ampul
Deksametason tablet 0,5 mg 2016 Tablet 1775
Devitalisasi Pasta (non Arsen) 2017 Botol 2
Diazepam injeksi 5 mg/ml- 2 ml 2013 Ampul 0
Diazepam tablet 2 mg 2017 Tablet 95
Difenhidramin HCL injeksi i.m. 10 mg/ml-
20
1 ml 2014 Ampul
Digoksin tablet 0,25 mg 2016 Tablet 1271
Diltiazem HCl tablet 30 mg 2014 Tablet 1340
Dimenhidrinat tablet 50 mg 2016 Tablet 1271
Dimenhidrinat tablet 50 mg 2017 Tablet
Dimenhidrinat tablet 50 mg 2018 Tablet
Domperidon suspensi 5 mg/5ml 2015 Botol 14
Domperidon suspensi 5 mg/5ml 2017 Botol
Domperidon suspensi 5 mg/5ml 2018 Botol
Domperidon tablet 10 mg 2015 Tablet
Domperidon tablet 10 mg 2017 Tablet 278
Efavirenz (EFV) 200mg Estiva 2017 Tablet
Efavirenz (EFV) tablet 600mg 2017 Tablet
Efedrin HCL tablet 25 mg 2015 Tablet 0
Ekstrak Belladon tablet 10 mg 2017 Tablet 1000
Epinefrine (Adrenalin) injeksi 0,1%
22
(sebagai HCl) 2016 Ampul
Eritromisin kapsul/kaplet 250 mg 2016 Kapsul 0
Eritromisin kapsul/kaplet 250 mg
(Program) Tablet
Eritromisin kapsul/kaplet 500 mg 2017 Tablet 1059
Eritromisin kapsul/kaplet 500 mg
(Program) Tablet
Eritromisin sirup 200 mg/5ml 2017 Botol
Eritromisin sirup 200 mg/5ml 2018 Botol
Eritromisin sirup 200 mg/5ml (Program)
Botol
Etakridin (Rivanol) Larutan 0,1 % 2017 Botol 0
Etanol 70 % 2015 Botol 0
Etanol 70% 100 ml 2014 Botol 82
Etanol 95% 1000 ml 2015 Botol
Etching 2016 Buah
Etching 2017 Buah 4
Etil Klorida Semprot 2015 Botol 18
Eugenol Cairan 2017 Botol 3
Eugenol Cairan 2018 Botol
Fenitoin Natrium kapsul/kaplet 100 mg 141
2016 Kapsul
Fenitoin Natrium kapsul/kaplet 30 mg 2015 Kapsul 0
Fenobarbital tablet 30 mg 2016 Tablet 0
Fenol Gliserol tetes telinga 10% 2017 Botol 69
Fenol Gliserol tetes telinga 10% 2018 Botol
Fitomenadion(Vit K1) injeksi 10 %/ml-1
0
ml 2016 Ampul
Fitomenadion(Vit K1) tablet salut gula 10
123
mg 2017 Tablet
Fitomenadion(Vit K1) tablet salut gula 10
mg 2018 Tablet
Flukonazol kapsul 150 mg Kapsul 0
Fluoksetin kapsul 10 mg (obat program
jiwa) 2016 Kapsul
Framisetin sulfat tulle 1% 2016 Biji 15
Furosemid tablet 40 mg 2016 Tablet 24
Garam Oralit untuk 200 ml air 2016 Sachet 0
Gentamisin salep kulit 0,1% 2016 Tube
Gentamisin salep kulit 0,1% 2017 Tube 43
Gentamisin salep mata 0,3% 2018 Tube
Gentamisin tetes mata 0,3% 2018 Botol 0
Gentamisin Inj. 80 mg/ml (Sulfat) Ampul
Gentian Violet larutan 1 % 2015 Botol
Gentian Violet larutan 1 % 2016 Botol 65
Gentian Violet larutan 1 % 2017 Botol
Gentian Violet larutan 1 % (Program) 2018 Botol
Glass Ionomer Cement (GC IX) 2017 Buah 10
Glass Ionomer Cement (GC IX) 2018
Glibenklamid tablet 5 mg 2015 Tablet 152
Glibenklamid tablet 5 mg 2016 Tablet
Glibenklamid tablet 5 mg 2018
Glimepirid tablet 1 mg 2015 Tablet 4396
Glimepirid tablet 1 mg 2018
Glimepirid tablet 2 mg 2016 Tablet 2618
Glimepirid tablet 2 mg 2018
Gliseril Guayakolat tablet 100 mg 2015 Tablet 11889
Gliseril Guayakolat tablet 100 mg 2016 Tablet
Glukose larutan infus 10% steril 2016 Botol
Glukose larutan infus 10% steril 2017 Botol
Glukose larutan infus 40 % Steril 2014 Botol 0
Glukose larutan infus 40 % Steril 2016 Botol
Glukose larutan infus 5 % Steril 2013 Botol 7
Glukose larutan infus 5 % Steril 2016 Botol
Griseofulvin forte tablet 2016 Tablet 73
Griseofulvin forte tablet 2018
Griseofulvin tablet 125 mg micronized 2016 Tablet 0
Griseofulvin tablet 125 mg micronized 2017 Tablet
Guanistrep suspensi 2015 Botol 13
Guanistrep suspensi 2017 Botol
Haloperidol tablet 0,5 mg 2016 Tablet 1065
Haloperidol tablet 0,5 mg 2017 Tablet
Haloperidol tablet 0,5 mg 2018
Haloperidol tablet 5 mg 2014 Tablet 374
Haloperidol tablet 5 mg 2017 Tablet
Haloperidol/Haldol injeksi 50 mg/ml (obat
program jiwa) 2018 Ampul
Haloperidol/Lodomer injeksi 5 mg/ml
(obat program jiwa) 2018 Ampul
Hand Rub 2018 Botol
Hand Wash (Sabun Cuci Tangan) 2015 Botol 17
Hand Wash (Sabun Cuci Tangan) 2018 Botol
Hidroklortiazid (HCT) tablet 25 mg 2017 Tablet 1372
Hidrokortison krim 2,5 % 2014 Tube 51
Hidrokortison krim 2,5 % 2015 Tube
Hidrokortison krim 2,5 % 2016 Tube
Hidrokortison krim 2,5 % 2017 Tube
Hidrokortison krim 2,5 % 2018
Hiosin-N-butilbromida tablet 2016 Tablet 391
Ibuprofen suspensi 200 mg/5 ml 2018 Botol 0
Ibuprofen tablet 200 mg 2016 Tablet 0
Ibuprofen tablet 400 mg 2016 Tablet 8817
Iodoform 2015 Botol 0
Iodin Test 2016 Kotak
Isoniazid tablet 300 mg 2017 Tablet
Isoniazid tablet 300 mg 2018
Isosorbid dinitrat tablet sublingual 5 mg 1405
2016 Tablet
Isosorbid dinitrat tablet sublingual 5 mg
2017 Tablet
Kalsium Laktat (Kalk) tablet 500 mg 2017 Tablet 8014
Kalsium Glukonat Injeksi 2016 Ampul 0
Kaptopril tablet 12,5 mg 2017 Tablet 1466
Kaptopril tablet 12,5 mg 2018
Kaptopril tablet 25 mg 2015 Tablet 1926
Kaptopril tablet 25 mg 2016 Tablet
Kaptopril tablet 50 mg 2014 Tablet
Karbamazepin tablet 200 mg 2017 Tablet 1971
Ketokonazol krim 2% 2017 Tube 48
Ketokonazol tablet 200 mg 2015 Tablet 282
Ketokonazol tablet 200 mg 2017 Tablet
Klindamisin kapsul 150 mg 2016 Kapsul 769
Klindamisin kapsul 150 mg 2018 Kapsul
Klobazam tablet 10 mg (obat program
145
jiwa) 2016 Tablet
Kloramfenikol Kapsul/kaplet 250 mg 2016 Kapsul 415
Kloramfenikol Salep Mata 1 % 2017 Tube 102
Kloramfenikol Salep Mata 1 % 2018 Tube
Kloramfenikol Suspensi 125 mg/5 ml 2016 Botol 5
Kloramfenikol Tetes Mata 2017 Botol 171
Kloramfenikol Tetes Telinga 3 % 2017 Botol 83
Klorfeniramin Maleat ( CTM ) tablet 4 mg 14934
2016 Tablet
Klorheksidin sol 2% 200ml 2018 Botol 0
Klorpromazin HCL tablet salut 100 mg 2503
2017 Tablet
Klorpromazin HCL tablet salut 100 mg
2018
Klorpromazin HCL tablet salut 25 mg 2015 Tablet 215
Klozapin tablet 25 mg (obat program
jiwa) 2018 Tablet
Kodein Fosfat tablet 10 mg 2014 Tablet 0
Kodein Fosfat tablet 10 mg Tablet
Kombipak azitrhromycin-cefixim 2016 Paket
Kombipak azitrhromycin-cefixim 2018 Paket
Komposit Resin Anterior A2 2016 Tube 2
Komposit Resin Anterior A2 2018 Tube
Komposit Resin Anterior A3 2016 Tube 0
Komposit Resin Anterior A3 2018 Tube
Komposit Resin Anterior A3.5 2016 Tube 3
Komposit Resin Anterior A3.5 2018 Tube
Komposit Resin Posterior A3 2016 Tube 3
Komposit Resin Posterior A3,5 2017 Tube
Kontrasepsi oral-linostrenol tablet 0,5 mg 87
2016 Strip
Kotrimoksazol DOEN I (dewasa) tablet 1265
2014 Tablet
Kotrimoksazol DOEN I (dewasa) tablet
2018 Tablet
Kotrimoksazol Forte tablet 2016 Tablet 730
Kotrimoksazole (program) Tablet
Kotrimoksazol suspensi kombinasi 2017 Botol 160
Laktulosa sirup 10gr/15 ml 2016 Botol 0
Laktulosa sirup 10gr/15 ml 2018 Botol
Lamifudine tablet 150 mg 2017 Tablet
Lamifudine tablet 150 mg 2018 Tablet
Lidokain HCL 2% Injeksi 2016 Ampul 66
Lidokain HCL 2% Injeksi 2017 Ampul
Lidokain injeksi 2% (HCl) + Epineprin
150
1:80.000-2 ml 2016 Ampul
Lidokain spray 10mg/dosis 2018 Botol 0
Loperamid HCL tablet 2 mg 2016 Tablet 390
Loratadin tablet 10 mg 2017 Tablet 1093
Loratadin tablet 10 mg 2018
Lotion komb Difenhidramin2%-
kalamin5%-zinc10%-gliserin5% 2016 Botol
Magnesium Sulfat injeksi (IV) 20%-25 ml 0
2018 Vial
Magnesium Sulfat injeksi (IV) 40%-25 ml 14
2016 Vial
Metamizol injeksi 500 mg/ml 2015 Ampul 0
Metamizol injeksi 500 mg/ml 2016 Ampul
Metampiron tablet 500 mg 2017 Tablet 950
Metformin HCl tablet 500 mg 2017 Tablet 2104
Metformin HCl tablet 500 mg 2018
Metformin HCl tablet 850 mg 2017 Tablet 0
Metilergometrin maleat injeksi 0,200 mg 8
2016 Ampul
Metilergometrin maleat tablet salut 0,125
0
mg 2014 Tablet
Metilprednisolon tablet 4 mg 2016 Tablet 0
Metilprednisolon tablet 4 mg 2018 Tablet
Metoklopramid Injeksi 5mg/ml 2015 Ampul 0
Metoklopramid Injeksi 5mg/ml 2016 Ampul
Metoklopramid tablet 10 mg 2015 Tablet 751
Metoklopramid tablet 10 mg 2016 Tablet
Metronidazol ovula 500 mg 2016 Supp 20
Metronidazol ovula 500 mg 2017 Supp
Metronidazol tablet 250 mg 2018 Tablet 0
Metronidazol tablet 500 mg 2016 Tablet 436
Metronidazol tablet 500 mg 2017 Tablet 216
Mikonazol krim/salep 2% (nitrat) 2015 Tube 114
Mikonazol krim/salep 2% (nitrat) 2017 Tube
Mikonazol krim/salep 2% (nitrat) 2018

Mineral Mix, kombinasi : Pirimetamin

tablet 25 mg Sulfadoksin tablet 500 mg
2017 Sachet
Monoklorkamfer Mentol cairan (CHKM)
2015 Buah
Monoklorkamfer Mentol cairan (CHKM) 4
2017 Buah
Monoklorkamfer Mentol cairan (CHKM)
2018 Buah
Multivitamin komb. (antianemia) tablet 2015 Tablet 3908
Mummifying Pasta 2016 Buah 0
N-asetilsistein kapsul 200 mg 2016 Kapsul 0
Natrium Bikarbonat tablet 500 mg 2015 Tablet 0
Natrium Diklofenak tablet 25 mg 2016 Tablet 0
Natrium Diklofenak tablet 50 mg 2017 Tablet 109
Natrium Diklofenak tablet 50 mg 2018 Tablet
Natrium Klorida larutan infus 0,9% steril
2016 Botol
Natrium Klorida larutan infus 0,9% steril 13
2017 Botol
Natrium Klorida larutan infus 0,9% steril
(Program) Botol
Nevirapine tablet 200 mg 2017 Tablet
Nevirapine tablet 200 mg 2018
Nifedipin tablet 10 mg 2015 Tablet 3991
Nifedipin tablet 10 mg 2017 Tablet
Nistatin 100.000 ui/ml drop 2016 Botol 5
Nistatin tablet vaginal 100.000 IU/g 2015 Tablet 87
Nistatin tablet vaginal 100.000 IU/g 2016 Tablet
OAT Kombipak Kategori I 2016 Paket
Obat Anti Malaria 2017 Tablet 0
Obat Antituberkulosis FDC Kategori
1
Anak 2017 Paket
Obat Antituberkulosis FDC Kategori I 2017 Paket 20
Obat Antituberkulosis FDC Kategori I 2018 Paket
Obat Antituberkulosis FDC Kategori II 2015 Paket 0
Obat Antituberkulosis FDC Kategori II 2017 Paket
Obat Antituberkulosis FDC Kategori II 2018 Paket
Obat Batuk Hitam (OBH) cairan 100 mL 327
2016 Paket
Obat Kusta MB Dewasa 2018 Strip
Obat Kusta PB Anak Strip
Obat flu komb. Sirup 2015 Botol
Oksitetrasiklin HCL Salep kulit 3 % 2015 Tube 107
Oksitetrasiklin HCL Salep kulit 3 % 2017 Tube
Oksitetrasiklin HCL Salep kulit 3 % 2018 Tube
Oksitetrasiklin HCL salep mata 1% 2015 Tube 0
Oksitetrasiklin HCL salep mata 1% 2018 Tube
Oksitosin injeksi 10 IU/ ml- 1 ml 2016 Ampul 0
Oksitosin injeksi 10 IU/ ml- 1 ml 2017 Ampul
Omeprazol kapsul/kaplet 20 mg 2017 Kapsul 907
Omeprazol kapsul/kaplet 20 mg 2018
Parasetamol drop 100 mg/ml 2017 Botol 0
Parasetamol drop 100 mg/ml 2018 Botol
Parasetamol sirup 120 mg/ 5 ml 2016 Botol
Parasetamol sirup 120 mg/ 5 ml 2017 Botol 310
Parasetamol sirup 120 mg/ 5 ml 2018 Botol
Parasetamol sirup 120 mg/ 5 ml
(Program) 2018 Botol
Parasetamol tablet 500 mg 2017 Tablet 16618
Parasetamol tablet 500 mg 2018 Tablet
Parasetamol tablet 500 mg (Program)
2018 Tablet
Pehacain Injeksi 2016 Ampul
Perak sulfadiazin krim 1% 2015 Tube 5
Perak sulfadiazin krim 1% 2017 Tube
Perak sulfadiazin krim 1% 2018
Permetrin krim 5% 2016 Tube 14
Permetrin krim 5% 2018
Piridoksin HCL tablet 10 mg 2015 Tablet 12235
Piridoksin HCL tablet 10 mg 2017 Tablet
Piridoksin HCL tablet 25 mg (program)
2017 Tablet
Piridoksin HCL tablet 25 mg (program)
2018 Tablet
Piroksikam kapsul/kaplet/tablet 20 mg 2016 Tablet 1674
Podofilin tingtur 25% 2016 Botol
Polikresulen 10 ml 2017 Botol 3
Povidon Iodida Larutan 10% 1000 ml 2014 Botol 0
Povidon Iodida Larutan 10% 30 ml 2016 Botol 5
Povidon Iodida Larutan 10% 300 ml 2016 Botol 0
Prednison tablet 5 mg 2015 Tablet 865
Prednison tablet 5 mg 2016 Tablet
Prednison tablet 5 mg 2017 Tablet
Prednison tablet 5 mg 2018
Primaquin tablet 15 mg 2017 Tablet 0
Prokain Benzil Penisillin G. Injeksi 3 juta
0
IU/ vial 2016 Ampul
Propanolol HCL tablet 40 mg 2014 Tablet 0
Propanolol HCL tablet 40 mg 2018 Tablet
Propiltiourasil tablet 100 mg 2015 Tablet 0
Ranitidin Injeksi 25 mg/2 ml 2017 Ampul 0
Ranitidin tablet 150 mg 2017 Ampul 5306
Retinol (Vitamin A) 100.000 IU kapsul
0
lunak 2017 Kapsul
Retinol (Vitamin A) 100.000 IU kapsul
lunak 2018 Kapsul
Retinol (Vitamin A) 200.000 IU kapsul
0
lunak 2017 Kapsul
Retinol (Vitamin A) 200.000 IU kapsul
lunak 2018 Kapsul
Ringer Laktat larutan Infus steril 2016 Botol 19
Risperidon tablet 2 mg (obat program
jiwa) 2017 Tablet
Risperidon tablet 2 mg (obat program
jiwa) 2018 Tablet
Root Canal Filling 2015 Buah
Root Canal Filling 2016 Buah 1
Root Canal Filling 2018 Buah
Salbutamol tablet 2 mg (sebagai sulfat) 1207
2016 Tablet
Salbutamol tablet 4 mg (sebagai sulfat) 177
2015 Tablet
Salbutamol tablet 4 mg (sebagai sulfat)
2017 Tablet
Salep 2-4 kombinasi 2016 Pot 44
Salep 2-4 kombinasi 2017 Pot
Salisil Bedak 2 % 2016 Pot 140
Salisil Bedak 2 % 2017 Pot
Sefotaksim Injeksi 1 g 2017 Vial 0
Seftriakson injeksi 1 gr 2015 Vial 0
Seftriakson injeksi 1 gr 2016 Vial
Semen Seng Fosfat serbuk dan cairan 2
2017 Buah
Semen Seng Fosfat serbuk dan cairan
2018 Buah
Serum Anti Bisa Ular Polivalen inj. 50 ml
0
(ABU II) 2018 Vial
Serum Anti Tetanus inj. 1.500 IU/vial
0
amp (ATS) 2013 Ampul
Serum Anti Tetanus inj. 1.500 IU/vial
amp (ATS) 2018 Ampul
Setirizine sirup 5 mg/5ml 2016 Botol 11
Setirizine sirup 5 mg/5ml 2018 Botol
Setirizine tablet 10 mg 2017 Tablet 1541
Setirizine tablet 10 mg 2018 Tablet
Sianokobalamin (vit. B12) tablet 50 mcg 5173
2015 Tablet
Sianokobalamin (Vitamin B12) injeksi
500 mcg 2013 Ampul
Sikzonoate/Fluphenazine injeksi 25 mg
(obat program jiwa) Ampul
Silver Amalgam Serbuk 65-75 % 2013 Buah 0
Simetidin tablet 200 mg 2016 Tablet 0
Simvastatin tablet 10 mg 2015 Tablet 0
Simvastatin tablet 10 mg 2018 Tablet
Simvastatin tablet 20 mg 2016 Tablet 706
Siprofloksasin tablet 500 mg (sebagai
2127
HCl) 2016 Tablet
Siprofloksasin tetes mata 2016 Botol
Stesolid Rectal supp 5 mg 2016 Supp 3
Stesolid Rectal supp 5 mg 2017 Supp
Tablet Tambah Darah Kombinasi 2015 Tablet 726
Tablet Tambah Darah Kombinasi 2017 Tablet 924
Tablet Tambah Darah Kombinasi
(program) 2018 Tablet
Temporary Stopping Fletcher Serbuk dan
Cairan 2017 Buah
Tenofir 300mg+Lamivudin
300mg+Efaviren 600mg (Tripel FDC)
dewasa 2017 Tablet
Tenofir 300mg+Lamivudin
300mg+Efaviren 600mg (Tripel FDC)
dewasa 2018 Tablet
Tenofovir tablet 300mg 2017 Tablet
Tenofovir tablet 300mg 2018 Tablet
Terbutalin sulfat 0,5 mg - spray 100
dosis 2016 Botol
Terbutalin sulfat 0,5 mg - spray 100
dosis 2018 Botol
Terbutalin sulfat 2,5 mg/ml respules 2016 Ampul
Tetrasiklin HCL kapsul/kaplet 250 mg 2017 Kapsul 0
Tiamin HCL Mononitrat (Vitamin B1)
12664
Tablet 100 mg 2015 Tablet
Tiamin HCL Mononitrat (Vitamin B1)
Tablet 100 mg 2016 Tablet
Triamsinolon asetonit in oral base 2018 Tube
Trifluoperazin tablet 5 mg 2014 Tablet 200
Trifluoperazin tablet 5 mg 2016 Tablet
Triheksifenidil Hidroklorida tablet 2 mg 2017 Tablet 1900
Triheksifenidil Hidroklorida tablet 2 mg 2018
Trikresol Formalin (TKF) Cairan 2016 Buah 0
Trikresol Formalin (TKF) Cairan 2017 Buah
Trikresol Formalin (TKF) Cairan 2018
TSR 2016 Buah 1
Tumpatan sementara / Cavit 2015 Buah 9
Tumpatan sementara / Cavit 2016 Buah
Tumpatan sementara / Cavit 2018 Buah
Vaksin BCG + Pelarut 2017 Vial 5
Vaksin BCG + Pelarut 2018 Vial
Vaksin Campak + Pelarut 2017 Vial 0
Vaksin Campak 10 DS (MR) + PELARUT 61
2017 Vial
Vaksin DPT-HB-Hib (PentaValent) 2017 Vial 46
Vaksin DPT-HB-Hib (PentaValent) 2018 Vial
Vaksin DPT-HB-Hib (PentaValent) 2018 Vial
Vaksin DT 2017 Vial 0
Vaksin DT 2018 Vial
Vaksin DT 2018 Vial
Vaksin HB-ADS /Hb Unijec 2017 Vial 70
Vaksin HB-ADS /Hb Unijec 2018 Vial
Vaksin Influenza 2018 Vial 0
Vaksin Meningitis Meningokokus 2018 Vial 0
Vaksin Meningitis Meningokokus 2018 Vial
Vaksin POLIO bopv 2017 Vial 41
Vaksin POLIO bopv 2018 Vial
Vaksin POLIO bopv 2018 Vial
Vaksin POLIO IPV 10 dosis Vial
Vaksin POLIO IPV 5 dosis 2017 Vial 28
Vaksin POLIO IPV 5 dosis 2018 Vial
Vaksin POLIO IPV 5 dosis 2018 Vial
Vaksin Td 2017 Vial 8
Vaksin Td 2018 Vial
Vaksin Td 2018 Vial
Ventolin Nebulizer 2016 Ampul 0
Vitamin B Komplek Tablet 2016 Tablet 13482
Vitamin B Komplek Tablet 2017 Tablet
Vitamin B Komplek Tablet 2018
Zidofudin (ZDV) 100mg 2017 Tablet
Zidofudine (ZDV) 300mg + Lamivudine
(3TC) 150mg tablet 2017 Tablet
Zidofudine (ZDV) 300mg + Lamivudine
(3TC) 150mg tablet 2018
Zinc Drop 10mg/ml 2016 Botol 0
Zinc Drop 10mg/ml 2018 Botol
Zinc sirup 20 mg/5 ml 2017 Botol 3
Zinc sirup 20 mg/5 ml 2018 Botol
Zinc tablet 20 mg 2016 Tablet
Zinc tablet 20 mg 2017 Tablet 1164
Zinc tablet 20 mg 2018

II. BAHAN LABORATORIUM

Alkohol swab 2016 Biji
Alkohol swab 2017 Biji 200
Alkohol swab 2017 Biji
Alkohol swab 2018 Biji
Alkohol Swab (Program) 2018 Biji 0
Blood Lancet 2017 Kotak 0
Blood Lancet 2018
Blue Tip 2016 Sak 0
Blue Tip 2017 Sak
Cover glass 2013 Kotak 0
Darah kontrol 2018 Kotak 0
Diluent 20 ltr 2017 Botol 0
Diluent 20 ltr 2018
Gol. Darah A 2017 Ampul 0
Gol. Darah A 2018
Gol. Darah AB 2017 Ampul 0
Gol. Darah AB 2018
Gol. Darah B 2017 Ampul 0
Gol. Darah B 2018
Gol. Darah Rhesus 2017 Ampul 0
Gol. Darah Rhesus 2018
H2O2 3% 2015 Botol 1
Larutan Emersi Oil Botol 0
Larutan Klorin / NaClO 5,25% (bayclin)
Botol
Larutan KOH 10% 2015 Botol
Larutan Zheil Nielson/BTA 100 ml 2015 Botol
M-18 E-Z cleaner 2017 Botol 0
M-18 E-Z cleaner 2018 Botol
M-18 E-cfd lyse 500ml 2017 Botol 0
M-18 E-cfd lyse 500ml 2018 Botol
M-18 R rinse 2017 Botol 0
M-18 R rinse 2018 Botol
M-18P probe cleanser 2016 Botol 0
Obyek Glass 72 2013 Box 0
Obyek Glass 72 2014 Box
Reagen Albumin 2017 Kit
Reagen Asam Urat 2016 Kit 0
Reagen Asam Urat 2018 Kit
Reagen Cartridge GeneXpert (TCM)
program Paket
Reagen Gula Darah 2016 Kit 0
Reagen Gula Darah 2018 Kit
Reagen Hbs Ag 2017 Kotak 0
Reagen Hbs Ag 2018 Kotak
Reagen Hbs Ag 2018 Kotak
Reagen HBsAg (program) 2018 Sachet 0
Reagen HBsAg (program) 2018 Sachet
Reagen HIV / FOCUS sachet 2017 Sachet 0
Reagen HIV / FOCUS sachet 2018 Sachet
Reagen HIV / FOCUS sachet 2018 Sachet
Reagen HIV / intec / II Sachet 0
Reagen HIV / ONCOPROBE sachet 2017 Sachet
Reagen HIV / Right Sign sachet 2018 Sachet
Reagen HIV / SD sachet 2017 Sachet 0
Reagen HIV / SD sachet 2018 Sachet
Reagen HIV / VIKIA sachet 2017 Sachet 0
Reagen HIV / VIKIA sachet 2018 Sachet
Reagen HIV / VIKIA sachet 2018 Sachet
Reagen Kolesterol HDL 2018 Kit 0
Reagen Kolesterol HDL 2018 Kit
Reagen Kolesterol LDL 2017 Kit
Reagen Kolesterol Total 2016 Kit 0
Reagen Kolesterol Total 2017 Kit
Reagen Kolesterol Total 2018 Kit
Reagen Kreatinin 2017 Kit 0
Reagen Kreatinin 2018 Kit
Reagen RPR / FOCUS sachet 2017 Sachet 0
Reagen RPR / FOCUS sachet 2018 Sachet
Reagen RDT Malaria Sachet
Reagen sipilis / SD Sachet 0
Reagen sipilis / SD 2018 Sachet
Reagen sipilis / VDRL test Sachet
Reagen TPHA/sifilis / HEXAGON sachet 0
2017 Sachet
Reagen TPHA/sifilis / HEXAGON sachet
2018 Sachet
Reagen Trigliserida 2017 Kit 0
Reagen Trigliserida 2018 Kit
Reagen Urea 2017 Kit
Reagen Urea 2018
Reagent SGOT 4x20 UV Kinetik (IFCC) 0
2017 Kit
Reagent SGOT 4x20 UV Kinetik (IFCC)
2018 Kit
Reagent SGPT 4x20 UV Kinetik (IFCC) 0
2017 Kit
Reagent SGPT 4x20 UV Kinetik (IFCC)
2018 Kit
Serum kontrol 2017 Vial 0
Serum kontrol 2018 Vial
Strip Gula Darah 2016 Strip 0
Strip Gula Darah 2017 Strip
Strip Gula Darah 2018 Strip
Tabung vacuntainer EDTA (tutup merah) 0
2017 Pak
Tabung vacuntainer EDTA (tutup merah)
2018 Pak
Tabung vacuntainer EDTA (tutup ungu) 0
2016 Pak
Tabung vacuntainer EDTA (tutup ungu)
2017 Pak
Tabung vacuntainer EDTA (tutup ungu)
2018 Pak
Thermal Paper 2017 Buah 0
Tes Kehamilan 2017 Buah 0
Urinalisis strip 10 parameter 2017 Tube 0
Urinalisis strip 10 parameter 2018
Urinalisis strip 2 parameter 2017 Tube
Widal AO 2017 Vial 0
Widal AO 2018 Vial
Widal BO 2017 Vial 0
Widal BO 2018 Vial
Widal H 2017 Vial 0
Widal H 2018 Vial
Widal O 2017 Vial 0
Widal O 2018 Vial
Yellow Tip 2017 Sak 0
Yellow Tip 2018 Sak

III. ALAT KESEHATAN

Alat suntik sekali pakai 1 ml 2017 Buah 200
Alat suntik sekali pakai 1 ml 2018
Alat suntik sekali pakai 10 ml 2016 Buah 247
Alat suntik sekali pakai 10 ml 2017 Buah
Alat suntik sekali pakai 2,5 ml 2016 Buah 600
Alat suntik sekali pakai 2,5 ml 2017 Buah
Alat suntik sekali pakai 5 ml 2015 Buah
Alat suntik sekali pakai 5 ml 2016 Buah 376
Alat suntik sekali pakai 5 ml 2017 Buah
Aquasonic Gell 2017 Buah 0
Aquasonic Gell 2018 Buah
Articulating Paper 2016 Buah
Articulating Paper 2017 Buah 2
Benang Cat Gut Chromic 2/0 2016 Buah 4
Benang Cat Gut Chromic 2/0 2018 Buah
Benang Cat Gut Chromic 3/0 2016 Buah 0
Benang Cat Gut Chromic 3/0 2018 Buah
Benang Cat Gut Plain 2/0 2014 Buah 5
Benang Cat Gut Plain 2/0 2016 Buah
Benang Cat Gut Plain 3/0 2016 Buah 16
Benang Silk/Side 2/0 2014 Buah
Benang Silk/Side 2/0 2015 Buah
Benang Silk/Side 2/0 2016 Buah
Benang Silk/Side 2/0 2017 Buah
Benang Silk/Side 3/0 2014 Buah
Benang Silk/Side 3/0 2015 Buah 24
Benang Silk/Side 3/0 2016 Buah
Benang Silk/Side 3/0 2017 Buah
Blood Set 2017 Buah 3
Cotton Roll Gigi 2016 Dos 4
Foley Catheter no. 14 2013 Buah 5
Foley Catheter no. 14 2018 Buah
Foley Catheter no. 16 2013 Buah 4
Foley Catheter no. 16 2018 Buah
Foley Catheter no.18 2018 Buah 0
Handscun non steril L 2017 Buah 250
Handscun non steril L 2017
Handscun non steril L 2018
Handscun non steril L (Program) 2018 Buah 0
Handscun non steril M 2016 Buah 300
Handscun non steril M 2017 Buah
Handscun non steril S 2016 Buah 96
Handscun Panjang 2013 pasang 3
Handscun Panjang 2018 pasang
Handscun steril 7 2016 pasang 121
Handscun steril 7 2017 pasang
Handscun steril 7 2018 pasang
Handscun steril 7 (Program) 2018 pasang
Handscun steril 6,5 2016 pasang 194
Handscun steril 6,5 2018 pasang
Handscun steril 7,5 2014 Pasang 35
Handscun steril 7,5 2018 pasang
Handscun steril 8 2017 pasang
Hansaplast 2016 Buah 573
Infusion set anak 2016 Buah 14
Infusion set anak 2017 Buah
Infusion set dewasa 2016 Buah 6
Infusion set dewasa 2017 Buah
Infusion set dewasa 2018
Instrumen gigi set 2016 Paket
IV Chateter 18 (Surflo 18) 2013 Buah 3
IV Chateter 18 (Surflo 18) 2018 Buah
IV Chateter 20 (Surflo 20) 2015 Buah 8
IV Chateter 20 (Surflo 20) 2018
IV Chateter 22 (Surflo 22) 2016 Buah 13
IV Chateter 24 (Surflo 24) 2017 Buah 17
IV Chateter 26 (Surflo 26) 2016 Buah 0
IV Chateter 26 (Surflo 26) 2017 Buah
Jarum Suntik 23 G 2016 Buah
Jarum Suntik 23 G 2017 Buah
Jarum Suntik 24 G 2017 Buah
Jarum Suntik 25 G 2016 Buah
Jarum Suntik 26 G 2016 Buah
Kaca Mulut 2016 Buah 0
Kapas Pembalut/ Adsorben 250 mg 2013 Buah
Kapas Pembalut/ Adsorben 250 mg 2014 Buah 11
Kartu Golongan Darah 2016 Buah
Kasa Hidrofil Gulung 2017 Buah
Kasa Husada Steril 16cm x 16cm 2014 Buah 51
Kasa Husada Steril 16cm x 16cm 2016 Buah
Kasa Husada Steril 16cm x 16cm 2017 Buah
Kasa Husada Steril 16cm x 16cm 2018
Kasa Pembalut 2 x 80 cm 2014 Buah 26
Kasa Pembalut 2 x 80 cm 2016 Buah
Kasa Pembalut Hidrofil 4 m x 15 cm 2017 Buah 32
Kasa Pembalut Hidrofil 4 m x 15 cm 2018 Buah
Kertas Lensa 2016 Buah 0
Masker tissue 2015 Buah 300
Masker tissue 2018 Buah
Masker Tissue (Program) 2018 Buah 0
Maskes O2 anak 2016 Buah 6
Maskes O2 bayi 2016 Buah 2
Maskes O2 dewasa 2016 Buah 4
Mata Boor 2014 Kotak 2
Mata boor high speed fissure 12 2018 Buah 0
Mata boor high speed fissure 14 2018 Buah 0
Mata boor high speed fissure 16 2018 Buah 0
Mata boor high speed inverted 12 2018 Buah 0
Mata boor high speed inverted 14 2018 Buah 0
Mata boor high speed inverted 16 2018 Buah 0
Mata boor high speed poles
0
GIC+Komposit 2018 Buah
Mata boor high speed round 12 2018 Buah 0
Mata boor high speed round 14 2018 Buah 0
Mata boor high speed round 16 2018 Buah 0
Mata boor high speed tappered 12 2018 Buah 0
Mata boor high speed tappered 14 2018 Buah 0
Mata boor high speed tappered 16 2018 Buah
Mata boor fissure besar 2016 Buah
Mata boor fissure kecil 2016 Buah
Mata boor fissure sedang 2016 Buah
Mata boor inverted besar 2016 Buah
Mata boor inverted kecil 2016 Buah
Mata boor inverted sedang 2016 Buah
Mata boor tapered kecil 2016 Buah
Mata boor tapered sedang 2016 Buah
Mata boor round kecil 2016 Buah
Mata boor round sedang 2016 Buah
Mata boor round besar 2016 Buah
Nasal O2 ukuran M 2016 Biji 5
Nasal O2 ukuran S 2016 Biji 8
Nasal O2 ukuran L 2018 Buah 0
PH Paper Vagina 2014 Buah 0
Plester 5 yard x 2 inch 2016 Buah 20
Plester 5 yard x 2 inch 2018 Buah
Plesterin Bulat 2018 Buah 0
Polising Amalgam Restoration 2015 Set
Slim suiqer 2016 Buah 0
Spongostan 2014 Buah 1
Spongostan 2016 Buah
Selleloid strip 2017 Buah 1
Surgical Blade / Mess no 11 2014 Buah 78
Surgical Blade / Mess no 11 2016
Surgical Blade / Mess no 11 2018
Surgical needle 2016 Sachet

Urin Bag 2013 Buah 9

Urin Bag 2018 Buah
Vaksin Savety box 2,5 L 2017 Biji 0
Vaksin Savety box 5 L 2018 Buah
Vaksin Spuit 0,05ml 2017 Biji 0
Vaksin Spuit 0,5ml 2017 Biji 0
Vaksin Spuit 0,5ml 2018
Vaksin Spuit 0,5ml 2018
Vaksin Spuit 5ml 2017 Biji 0
Sisa Periode Sebelumnya Mutasi Harga satuan
(Rp)
Harga satuan Nilai (Rp) Masuk Keluar Sisa

500,000.00 2,000,000.00 - 1 3 500,000.00

344.00 64,328.00 187 88
-
- 8,190 8,102 88 404.00
86.00 64,844.00 1,920 2,674 86.00
- 3,980 3,025 955 90.00
199.50 43,690.50 219
- 600 153 447 200.00
- -
106,496.56 532,482.80 2 3 106,496.56
3,179.00 79,475.00 202 227 - 3,179.00
141.00 512,958.00 14,000 17,638 - 141.00
-
3,822.00 107,016.00 28
- 30 30 2,998.00
125.00 48,500.00 1,000 1,218 170 125.00
-
143.00 11,583.00 81
- 200 18 182 167.00
145.00 422,675.00 34,230 32,267 4,878 145.00
105.00 415,905.00 3,961
- 17,400 5,726 11,674 70.00
30,000.00 510,000.00 - - 17 30,000.00
- - - -
-
261.00 1,578,528.00 6,048
- 42,000 35,016 6,984 232.00
-
1,881.00 122,265.00 620 434 251 1,881.00
3,984.00 195,216.00 - 49 -

- - - -

- 15 5 10 5,100.00

62.00 707,172.00 8,200 19,606 - 62.00

-
1,923.00 182,685.00 1,300 981 414 1,923.00
 2,924.00 225,148.00 275 247 105 2,924.00
- - - -
-
3,045.00 188,790.00 62
- 276 224 52 3,800.00
-
- 100 - 100 173.00
2,750.00 44,000.00 110 34 92 2,750.00
- 180 180 - 15,400.00
- -
- -

- -

92.00 19,964.00 217

- 1,000 532 468 99.00

114.00 228,000.00 10,000 8,773 3,227 114.00

104.00 425,152.00 10,200 13,057 1,231 104.00

- 3,500 2,111 1,389 70.00
100.00 630,300.00 61,800 56,733 11,370 100.00
3,500.00 332,500.00 175 197 73 3,500.00
-
- 2,700 2,372 328 237.00
336.00 478,464.00 1,700 3,124 - 336.00
145.00 176,900.00 3,500 3,840 880 145.00
-
778.50 70,065.00 - 90 -
- 10 5 5 1,540.00
- 60 43 17 12,185.00
1,520.00 224,960.00 148

- 715 552 163 1,380.00

- -
645.00 79,335.00 380 332 171 645.00
-
- -
220,000.00 660,000.00 3
- 3 1 2 968,000.00
 - - - -
- -
- -
- 10 3 7 9350

-
- 10 3 7 9400
55,000.00 220,000.00 - 2 2 55,000.00
- 110 50 60 1,580.00
44.00 78,100.00 14,300 14,554 1,521 44.00
300,000.00 600,000.00 5 1 6 220,000.00
- 10 - 10 2,168.54
1,020.00 96,900.00 100 70 125 1,020.00
1,050.00 21,000.00 50 62 8 1,050.00
105.00 133,455.00 2,000 2,321 950 105.00
134.00 179,560.00 - - 1,340 134.00
104.00 132,184.00 1,271
- 8,500 7,325 1,175 99.00
-
3,333.00 46,662.00 14
- 115 80 35 3000
-
-
95.00 26,410.00 2,600 2,042 836 95.00
- -
- -
- - - -
100.00 100,000.00 - 1,000 -
2,204.00 48,488.00 10 32 - 2,204.00
- - - -
- -
730.00 773,070.00 500 894 665 730.00
- -
- -
-
- -
- 10 4 6 5,800.95
- 2 2 - 35,970.00
2,500.00 205,000.00 300 252 130 2,500.00
 - -
-
302,000.00 1,208,000.00 4 4 4 302,000.00
85,965.00 1,547,370.00 - 18 -
71,000.00 213,000.00 3
- 6 1 5 18,824.00
133.00 18,753.00 600 615 126 133.00
- - - -
- - - -
2,500.00 172,500.00 69
- 32 18 14 2,590.00
- - - -

686.00 84,378.00 123

- 500 250 250 710.00

- 20 8 12 18,000.00
- -
2,065.06 30,975.90 40 38 17 2,065.06
78.00 1,872.00 2,700 2,165 559 78.00
- 2,900 2,530 370 288.00
- -
2,035.00 87,505.00 50 93 2,035.00
- -
- 144 141 3 4,232.00
- -
-
1,400.00 91,000.00 65
- 168 113 55 1,400.00
- 200 200 - 4,000.00
700,000.00 7,000,000.00 8 2 700,000.00
- 8 8 1,018,182.00
56.00 8,512.00 152
- 1,000 801 199 56.00
-
265.00 1,164,940.00 4,396
- 13,500 9,315 4,185 174.00
289.00 756,602.00 6,900 9,518 289.00
- 6,850 6,573 277 207.00
55.00 653,895.00 40,000 35,390 16,499 55.00
-
- -
-
 - - - -
-
5,313.00 37,191.00 7
- 27 18 9 6,900.00
750.00 54,750.00 - 73 -
-
-
- 1,200 705 495 245.00
3,597.00 46,761.00 13
- 65 23 42 5,800.00
59.00 62,835.00 1,065
- 2,800 2,800 56.00
- 3,400 2,522 878 55.00
96.00 35,904.00 374 -
- 1,800 1,800 69.00
- -

- -
- -
100,000.00 1,700,000.00 16 1
- 12 12 62,500.00
149.00 204,428.00 3,700 4,167 905 149.00
2,798.00 142,698.00 51
-
- 528 409 119 2,650.00
-
-
2,500.00 977,500.00 - 391 -
- 50 44 6 2,550.00
- 31,700 31,700 - 105.00
127.00 1,119,759.00 - 8,817 -
- - - -
- -
- -
-
88.00 123,640.00 1,405

- 3,000 600 2,400 90.00

56.00 448,784.00 19,000 22,846 4,168 56.00
- - - -
62.00 90,892.00 1,466
- 3,800 2,702 1,098 62.00
84.00 161,784.00 1,926
- 10,900 8,654 2,246 68.00
 - -
228.00 449,388.00 2,600 3,053 1,518 228.00
2,596.00 124,608.00 25 25 48 2,596.00
300.00 84,600.00 282
- 1,300 1,178 122 280.00
550.00 422,950.00 769
- 1,700 1,270 430 715.00
970.00 140,650.00 200 192 153 970.00
600.00 249,000.00 800 1,122 93 600.00
1,810.00 184,620.00 72 174 1,810.00
- 208 143 65 1,881.00
3,955.00 19,775.00 - - 5 3,955.00
3,250.00 555,750.00 150 321 - 3,250.00
7,300.00 605,900.00 90 116 57 7,300.00
42.00 627,228.00 39,000 47,693 6,241 42.00
- 2 - 2 209,000.00
144.00 360,432.00 2,900 4,510 893 144.00

-
68.00 14,620.00 - 215 -
- -
- - - -
-
- -
-
340,000.00 680,000.00 2
- 4 4 374,000.00
- -
- 4 4 374,000.00
340,000.00 1,020,000.00 3
- 2 2 374,000.00
340,000.00 1,020,000.00 - 3 -
- -
16,000.00 1,392,000.00 - 7 80 16,000.00

138.00 174,570.00 1,265

- 1,900 864 1,036 125.00

308.00 224,840.00 1,000 661 1,069 308.00
- -
2,286.00 365,760.00 50 147 63 2,286.00
 -
- 15 5 10 15,060.00
- -
-
860.00 56,760.00 66
- 76 1 75 1,614.00
1,845.00 276,750.00 120 240 30 1,845.00
- 13 5 8 177,216.00
89.00 34,710.00 - 390 -
123.00 134,439.00 8,800 8,023 1,870 123.00
- 100 100 123.00
- -

- 6 - 6 3,328.00

2,629.00 36,806.00 5 13 6 2,629.00

-
- 25 7 18 10,500.00
255.00 242,250.00 - 401 549 255.00
94.00 197,776.00 2,104
- 24,500 17,800 6,700 96.00
- 500 500 - 156.00
2,684.00 21,472.00 - - 8 2,684.00

- - - -
-
- 500 336 164 134.00
-
- 15 5 10 12,500.00
140.00 105,140.00 751
- 900 491 409 90.00
4,100.00 82,000.00 - 2 18 4,100.00
-
- - - -
133.00 57,988.00 436
113.00 24,408.00 1,000 964 36 113.00
3,000.00 342,000.00 456 485 85 3,000.00
-
-

- -
 - -

60,500.00 242,000.00 4 60,500.00

- 4 4 66,000.00
704.00 2,751,232.00 11,000 14,908 - 704.00
- - - -
- 3,240 3,119 121 426.00
- - - -
- - - -
122.00 13,298.00 109
- 9,800 7,058 2,742 115.00
-

6,410.00 83,330.00 10 9 14 6,410.00

- -
- -
-
110.00 439,010.00 20,000 23,991 - 110.00
-
40,000.00 200,000.00 25 30 - 40,000.00
480.00 41,760.00 87
- 200 41 159 523.00
- -
- 24 24 - 2,160.00
203,259.00 203,259.00 - 1 -
359,985.00 7,199,700.00 20
- 32 20 12 389,344.00
-
-
- 3 2 1 1,297,894.00
4,400.00 1,438,800.00 680 985 22 4,400.00
- -
- -
- -
2,090.00 223,630.00 107
- 325 206 119 2,225.00
-
-
- 125 39 86 2,500.00
- - - -
 -
140.00 126,980.00 907
- 13,890 9,841 4,049 130.00
- -
- 224 224 6,649.00
- -
1,010.00 313,100.00 250 560 1,010.00
- 50 50 1,010.00
- 7,500 7,400 100 1,107.00
49.00 814,282.00 16,618
- 35,600 18,800 16,800 53.00
- 117,300 117,300 - 53.00
- -
23,000.00 115,000.00 5 -
- 5 5 20,702.00
-
12,155.00 170,170.00 14
- 175 141 34 11,825.00
22.00 269,170.00 12,235
- 15,500 10,180 5,320 118.00
- -

-
110.00 184,140.00 - 1,674 -
- -
38,500.00 115,500.00 - 2 1 38,500.00
- - - -
2,900.00 14,500.00 10 15 - 2,900.00
- 16 11 5 18,000.00
114.00 98,610.00 865
-
- 1,000 145 855 76.00
-
- 28 28 - 224.00
- - - -
- - - -
-
- - - -
- 30 6 24 1,458.00
98.00 519,988.00 11,000 16,306 - 98.00
- 850 850 - 284.00
 -

- 1,700 5,850 - 505.00

- 4,150 505.00
11,025.00 209,475.00 10 14 15 11,025.00
- -

-
-
115,000.00 115,000.00 1
- 1 1 203,500.00
59.00 71,213.00 5,200 5,383 1,024 59.00

89.00 15,753.00 177

- 700 472 228 80.00

2,429.00 106,876.00 216 200 60 2,429.00
-
1,025.00 143,500.00 300 365 75 1,025.00
-
- 15 5 10 4,282.00
-
- 15 5 10 8,000.00
183,000.00 366,000.00 2

- 3 3 189,091.00

- 1 - 1 479,996.00

- -

- 1 1 130,999.00
6,745.00 74,195.00 11
- 51 21 30 2,850.00
96.00 147,936.00 1,541 -
- 6,420 6,420 90.00
57.00 294,861.00 18,200 20,682 2,691 57.00

- -

- -
 - - - -
- - - -
- - - -
-
525.00 370,650.00 7,800 7,479 1,027 525.00
281.00 597,687.00 2,000 3,192 935 281.00
- -
11,517.00 34,551.00 6 6 3 11,517.00
-
44.00 31,944.00 726 -
44.00 40,656.00 9,000 9,924 355.00
- -

- -

- -

- -
-
- -

-
- -
- - - -
110.00 1,393,040.00 29,000 35,474 6,190 110.00

-
- 4 2 2 70,785.00
405.00 81,000.00 200
- 700 460 240 500.00
80.00 152,000.00 1,900
- 7,000 3,901 3,099 85.00
- -
-
- 3 3 72,600.00
131,498.00 131,498.00 - - 1 131,498.00
144,980.00 1,304,820.00 9 144,980.00
-
- 6 1 5 168,182.00
 59,950.00 299,750.00 5
- 100 98 2 59,360.00
- - - -
149,820.00 9,139,020.00 73 125 9 149,820.00
76,285.00 3,509,110.00 46
- 1,699 1,676 23 76,285.00
-
-
- 661 562 99 17,798.00
-
20,900.00 1,463,000.00 70
- 245 229 16 20,900.00
- 33 33 - 82,005.00
- 33 33 - 135,000.00
-
19,954.00 818,114.00 41 -
- 247 247 19,954.00
-
- -
139,000.00 3,892,000.00 28 10
- 108 98 10 153,736.00
-
16,500.00 132,000.00 8 -
- 2,449 2,449 16,500.00
-
- - - -
115.00 1,550,430.00 13,482
- 87,000 72,615 14,385 115.00
-
- -
- -

-
- - - -
-
4,789.00 14,367.00 84 77 10 4,789.00
-
-
513.00 597,132.00 2,000 2,481 683 513.00
-
-
- -
-
 110 22,000.00 200
-
- 4,300 3,800 500 100.00
- 20,000 20,000 - 157.30
- -
- 10 10 16,650.00
- -
- 6 6 227,100.00
- - - -
- 4 4 - 704,000.00
- -
- 2 2 1,740,050.00
- -
- 3 3 68,200.00
- -
- 3 3 92,510.00
- -
- 3 3 68,200.00
- -
- 3 3 114,070.00
49,995.00 49,995.00 - 1 -
- - - -
- -
- -
- -
- -
- 4 4 1,045,240.00
- -
- 3 3 1,757,050.00
- -
- 4 4 625,000.00
- 3 3 - 175,000.00
- -
-
- -
- -
- 2 2 717,200.00
- -
- 9 9 - 400,000.00
- 2 2 393,800.00
- -
-
- 20 20 177,000.00
- -
- 300 300 9,850.00
- - - -
-
-
- - - -
- -
- -
- 800 800 - 14,340.00
-
- - - -
-
-
- -
- 1 1 321,200.00
- -
- -
-
- 6 6 572,000.00
- -
- 1 1 1,870,000.00
- -
- 200 200 4,120.00
- -
- -
- 325 325 20,400.00
- -
- 400 400 - 26,671.00

-
- -
- 2 2 1,100,000.00
- -
-
- -

- 2 2 874,500.00

- -

- 1 1 874,500.00
- -
- 4 4 321,750.00
- -
 -
- 4,100 4,100 1,890.00
- -

- 19 19 159,500.00

- -

- 3 3 169,200.00
- - - -
- 3 3 - 71,500.00
- -
- 2 2 227,000.00
- -
- -
- 4 4 66,660.00
- -
- 4 4 66,660.00
- -
- 4 4 66,660.00
- -
- 4 4 66,660.00
- 2 2 - 175,700.00
- 3 3 175,700.00
- -
- -
690.00 138,000.00 200
- 200 200 990.00
1,790.00 442,130.00 - 140 107 1,790.00
-
957.00 574,200.00 2,800 3,123 277 957.00
-
-
1,348.00 506,848.00 267 109 1,348.00
- 100 100 806.00
- -
- 2 2 29,549.83
- -
150,000.00 300,000.00 1 3 150,000.00
32,800.00 131,200.00 4
- 5 5 51,022.00
-
- 5 2 3 47,363.00
29,000.00 145,000.00 2 3 29,000.00
- 3 3 34,300.00
34,300.00 548,800.00 - 4 12 34,300.00
- -
-
-
-
- - -
14,000.00 336,000.00 24
-
-
7,700.00 23,100.00 5 8 - 7,700.00
60,000.00 240,000.00 2 4 2 60,000.00
9,300.00 46,500.00 - 5 -
-
9,300.00 37,200.00 8 8 4 9,680.00
-
- 2 2 - 9,680.00
477.63 119,407.50 250
- 500 500 477.63
- 700 430 270 583.00
- 4,500 4,500 - 520.00
462.00 138,600.00 2,200 2,080 420 462.00
-
462.00 44,352.00 1,500 1,596 - 462.00
36,300.00 108,900.00 3
- 5 5 19,360.00
7,600.00 919,600.00 121
-
- 250 188 62 6,985.00
- -
7,600.00 1,474,400.00 - 178 16 7,600.00
-
12,500.00 437,500.00 35
- 250 160 90 6,985.00
- -
340.00 194,820.00 300 483 390 340.00
10,406.00 145,684.00 10 4 10,406.00
- 3 3 10,406.00
7,321.00 43,926.00 6
- 31 22 9 6,435.00
-
- -
8,550.00 25,650.00 3 -
- 5 5 11,000.00
 8,600.00 68,800.00 6 8 6 8,600.00
-
8,355.00 108,615.00 5 10 8 8,355.00
12,100.00 205,700.00 10 14 13 12,100.00
- - - -
-
- -
-
- 100 100 - 330.00
- -
- -
- - - -
-
9,982.00 109,802.00 35 33 13 9,982.00
- -
- -
9,321.00 475,371.00 50 91 10 9,321.00
- 7,900.00
-
-
18,500.00 481,000.00 26
- 50 31 19 9,400.00
3,800.00 121,600.00 30 62 3,800.00
- 100 73 27 2,100.00
- - - -
318.00 95,400.00 300
- 3,800 3,360 440 330.00
- 750 750 - 440.00
9,500.00 57,000.00 8 9 5 9,500.00
9,500.00 19,000.00 5 - 7 9,500.00
9,500.00 38,000.00 12 6 10 9,500.00
148,500.00 297,000.00 - 2 -
- 2 2 - 48,400.00
- 2 2 - 48,400.00
- 3 3 - 48,400.00
- 2 - 2 41,250.00
- 3 3 - 41,250.00
- 2 - 2 41,250.00
- 2 2 - 154,000.00
- 2 2 - 41,250.00
- 3 3 - 41,250.00
- 2 2 - 41,250.00
- 3 3 - 48,400.00
- 2 2 - 48,400.00
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
6,600.00 33,000.00 6 4 7 6,600.00
6,600.00 52,800.00 - - 8 6,600.00
- 5 - 5 5,500.00
- -
27,500.00 550,000.00 15 35 27,500.00
- 11 5 6 41,360.00
- 3,200 3,200 - 154.00
- -
- - - -
85,000.00 85,000.00 - 1 -
-
150,000.00 150,000.00 1 2 - 150,000.00
2,404.37 187,540.86 78
-
- 100 19 81 3,000.00
- -
- -
4,400.00 39,600.00 - 9 -
-
- 300 300 - 20,490.00
- 225 225 - 22,433.00
- 200 200 - 1,590.00
- -
-
- 38,500 38,500 1,185.00
- 200 200 - 1,640.00
95,663,227.56
 Jumlah Nilai
Persediaan (Rp)

1,500,000.00 -
- -
- -
35,552.00 3,308,760.00
- 165,120.00
85,950.00 358,200.00
- -
89,400.00 120,000.00
- -
319,489.68 -
- 642,158.00
- 1,974,000.00
- -
- -
89,940.00 89,940.00
21,250.00 125,000.00
- -
- -
30,394.00 33,400.00
707,310.00 4,963,350.00
- -
817,180.00 1,218,000.00
510,000.00 -
- -
- -
- -
1,620,288.00 9,744,000.00
- -
472,131.00 1,166,220.00
-
-
-
-
51,000.00
76,500.00
-
508,400.00
-
-
-
-
796,122.00 2,499,900.00
 307,020.00 804,100.00
- -
- -
- -
197,600.00 1,048,800.00
- -
17,300.00 17,300.00
253,000.00 302,500.00
- 2,772,000.00
- -
-
-
-
-
-
-
-
-
46,332.00
99,000.00
367,878.00
1,140,000.00
128,024.00
1,060,800.00
97,230.00 245,000.00
1,137,000.00
6,180,000.00
255,500.00 612,500.00
- -
77,736.00 639,900.00
- 571,200.00
127,600.00 507,500.00
- -
- -
7,700.00 15,400.00
207,145.00 731,100.00
-
-
224,940.00
986,700.00
- -
110,295.00 245,100.00
- -
- -
- -
1,936,000.00 2,904,000.00
 - -
- -
- -
65,450.00
93,500.00
-
-
65,800.00 94,000.00
110,000.00 -
94,800.00
173,800.00
66,924.00 629,200.00
1,320,000.00 1,100,000.00
21,685.40 21,685.40
127,500.00 102,000.00
8,400.00
52,500.00
99,750.00 210,000.00
179,560.00 -
- -
116,325.00 841,500.00
- -
- -
105,000.00 345,000.00
- -
- -
79,420.00 247,000.00
- -
- -
- -
- -
-
22,040.00
- -
-
-
485,450.00 365,000.00
-
-
- -
- -
-
-
34,805.70 58,009.50
- 71,940.00
325,000.00 750,000.00
 - -
- -
1,208,000.00 1,208,000.00
- -
- -
94,120.00 112,944.00
16,758.00
79,800.00
- -
- -
- -
36,260.00 82,880.00
-
-
-
-
177,500.00
355,000.00
216,000.00 360,000.00
-
-
35,106.02 82,602.40
43,602.00 210,600.00
106,560.00 835,200.00
- -
- 101,750.00
- -
12,696.00 609,408.00
- -
- -
- -
77,000.00 235,200.00
- 800,000.00
1,400,000.00 -
8,145,456.00 8,145,456.00
- -
11,144.00 56,000.00
- -
- -
728,190.00 2,349,000.00
- 1,994,100.00
57,339.00 1,417,950.00
907,445.00 2,200,000.00
- -
- -
- -
 - -
- -
- -
62,100.00 186,300.00
- -
- -
- -
121,275.00 294,000.00
- -
243,600.00 377,000.00
- -
- 156,800.00
48,290.00 187,000.00
- -
- 124,200.00
-
-
-
-
- -
- -
750,000.00 750,000.00
134,845.00 551,300.00
- -
- -
315,350.00 1,399,200.00
- -
- -
- -
15,300.00 127,500.00
- 3,328,500.00
- -
- -
- -
- -
- -
-
-
216,000.00
270,000.00
233,408.00 1,064,000.00
- -
- -
68,076.00 235,600.00
- -
152,728.00 741,200.00
 - -
346,104.00 592,800.00
124,608.00 64,900.00
- -
34,160.00 364,000.00
- -
307,450.00 1,215,500.00
148,410.00
194,000.00
55,800.00 480,000.00
- 130,320.00
122,265.00 391,248.00
19,775.00 -
- 487,500.00
416,100.00 657,000.00
262,122.00
1,638,000.00
418,000.00 418,000.00
128,592.00
417,600.00
-
-
- -
-
-
- -
- -
- -
- -
- -
1,496,000.00 1,496,000.00
- -
1,496,000.00 1,496,000.00
- -
748,000.00 748,000.00
- -
- -
1,280,000.00
-
-
-
129,500.00
237,500.00
329,252.00 308,000.00
- -
144,018.00 114,300.00
 - -
150,600.00 225,900.00
- -
- -
- -
121,050.00 122,664.00
55,350.00
221,400.00
1,417,728.00 2,303,808.00
- -
230,010.00 1,082,400.00
12,300.00 12,300.00
-
-
19,968.00
19,968.00
15,774.00
13,145.00
- -
189,000.00 262,500.00
139,995.00 -
- -
643,200.00 2,352,000.00
- 78,000.00
21,472.00
-
-
-
- -
21,976.00 67,000.00
- -
125,000.00 187,500.00
- -
36,810.00 81,000.00
73,800.00 -
- -
- -
- -
4,068.00 113,000.00
255,000.00 1,368,000.00
- -
- -

-
-
 -
-
242,000.00
-
264,000.00
264,000.00
- 7,744,000.00
- -
51,546.00 1,380,240.00
- -
- -
- -
315,330.00 1,127,000.00
-
-
89,740.00
64,100.00
-
-
- -
- -
- 2,200,000.00
- -
- 1,000,000.00
- -
83,157.00 104,600.00
- -
- 51,840.00
-
-
- -
4,672,128.00 12,459,008.00
- -
- -
1,297,894.00 3,893,682.00
96,800.00
2,992,000.00
- -
- -
- -
- -
264,775.00 723,125.00
- -
- -
215,000.00 312,500.00
- -
 - -
- -
526,370.00 1,805,700.00
- -
1,489,376.00 1,489,376.00
- -
- 252,500.00
- 50,500.00
110,700.00
8,302,500.00
- -
890,400.00 1,886,800.00
-
6,216,900.00
- -
- -
- 103,510.00
- -
- -
402,050.00 2,069,375.00
- -
627,760.00 1,829,000.00
-
-
-
-
- -
- -
38,500.00 -
- -
- 29,000.00
90,000.00 288,000.00
- -
- -
64,980.00 76,000.00
- -
- 6,272.00
-
-
- -
- -
- -
34,992.00 43,740.00
- 1,078,000.00
-
241,400.00
 -
-
-
858,500.00
-
2,095,750.00
165,375.00 110,250.00
-
-
-
-
- -
- -
203,500.00 203,500.00
60,416.00
306,800.00
-
-
18,240.00
56,000.00
145,740.00 524,664.00
- -
76,875.00 307,500.00
- -
42,820.00 64,230.00
- -
80,000.00 120,000.00
-
-
567,273.00
567,273.00
479,996.00
479,996.00
-
-
130,999.00
130,999.00
- -
85,500.00 145,350.00
- -
- 577,800.00
153,387.00
1,037,400.00
-
-
-
-
 - -
- -
- -
- -
539,175.00 4,095,000.00
262,735.00
562,000.00
- -
34,551.00 69,102.00
- -
- -
- 3,195,000.00
-
-
-
-

-
-

-
-
- -
- -
-
-
-
-
- -
- -
680,900.00
3,190,000.00
-
-
141,570.00 283,140.00
- -
120,000.00 350,000.00
- -
263,415.00 595,000.00
- -
- -
217,800.00 217,800.00
131,498.00 -
- -
- -
840,910.00 1,009,092.00
 - -
118,720.00 5,936,000.00
- -
1,348,380.00
10,936,860.00
- -
1,754,555.00 129,608,215.00
- -
- -
1,762,002.00 11,764,478.00
- -
- -
334,400.00 5,120,500.00
- 2,706,165.00
- 4,455,000.00
- -
- -
- 4,928,638.00
- -
- -
- -
1,537,360.00 16,603,488.00
- -
- -
- 40,408,500.00
- -
- -
- -
1,654,275.00 10,005,000.00
- -
- -
-
-
-
-
- -
- -
47,890.00 402,276.00
- -
- -
350,379.00 1,026,000.00
- -
- -
- -
- -
 - -
- -
50,000.00 430,000.00
- 3,146,000.00
- -
- 166,500.00
- -
- 1,362,600.00
- -
- 2,816,000.00
- -
- 3,480,100.00
- -
- 204,600.00
- -
- 277,530.00
- -
- 204,600.00
- -
- 342,210.00
- -
- -
-
-
- -
- -
- -
- 4,180,960.00
- -
- 5,271,150.00
- -
- 2,500,000.00
- 525,000.00
- -
- -
- -
- -
- 1,434,400.00
-
-
- 3,600,000.00
- 787,600.00
- -
- -
- 3,540,000.00
- -
- 2,955,000.00
- -
- -
- -
- -
- -
- -
- 11,472,000.00
- -
- -
- -
- -
- -
- 321,200.00
- -
- -
- -
- 3,432,000.00
- -
- 1,870,000.00
- -
- 824,000.00
- -
- -
- 6,630,000.00
- -
-
10,668,400.00
-
-
- -
- 2,200,000.00
- -
- -
-
-
-
1,749,000.00
-
-
-
874,500.00
- -
- 1,287,000.00
- -
 - -
- 7,749,000.00
-
-
-
3,030,500.00
-
-
-
-
-
507,600.00
- -
- 214,500.00
- -
- 454,000.00
- -
- -
- 266,640.00
- -
- 266,640.00
- -
- 266,640.00
- -
- 266,640.00
- 351,400.00
- 527,100.00
- -
- -
- -
198,000.00 198,000.00
191,530.00 -
- -
265,089.00 2,679,600.00
- -
- -
146,932.00 -
80,600.00 80,600.00
- -
- 59,099.66
- -
450,000.00 150,000.00
- -
255,110.00 255,110.00
- -
142,089.00 236,815.00
 87,000.00 -
102,900.00 102,900.00
411,600.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- 38,500.00
120,000.00 120,000.00
- -
- -
38,720.00 77,440.00
- -
- 19,360.00
- -
- 238,815.00
157,410.00 408,100.00
- 2,340,000.00
194,040.00 1,016,400.00
- -
- 693,000.00
- -
96,800.00 96,800.00
- -
- -
433,070.00 1,746,250.00
- -
121,600.00 -
- -
- -
628,650.00 1,746,250.00
- -
132,600.00 102,000.00
41,624.00 -
31,218.00 31,218.00
- -
57,915.00 199,485.00
- -
- -
- -
- 55,000.00
 51,600.00 51,600.00
- -
66,840.00 41,775.00
157,300.00 121,000.00
- -
- -
- -
- -
- 33,000.00
- -
- -
- -
- -
129,766.00 349,370.00
- -
- -
93,210.00 466,050.00
- -
- -
- -
- -
178,600.00 470,000.00
- 114,000.00
56,700.00 210,000.00
- -
- -
145,200.00 1,254,000.00
- 330,000.00
47,500.00 76,000.00
66,500.00 47,500.00
95,000.00 114,000.00
- -
- 96,800.00
- 96,800.00
- 145,200.00
82,500.00 82,500.00
- 123,750.00
82,500.00 82,500.00
-
308,000.00
- 82,500.00
- 123,750.00
- 82,500.00
- 145,200.00
- 96,800.00
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
46,200.00 39,600.00
52,800.00 -
27,500.00 27,500.00
- -
- 412,500.00
248,160.00 454,960.00
- 492,800.00
- -
- -
- -
- -
- 150,000.00
- -
- -
243,000.00 300,000.00
- -
- -
- -
- -
- 6,147,000.00
- 5,047,425.00
- 318,000.00
- -
- -
- 45,622,500.00
- 328,000.00
75,647,088.80 598,809,332.96
 PEMERINTAH KOTA KEDIRI
DINAS KESEHATAN
PUSKESMAS PESANTREN II
JL. CENDANA 30 TELP. 689055 KEDIRI

Lampiran
DAFTAR NAMA OBAT KADALUARSA TAHUN 2018

NO NAMA OBAT ED JUMLAH Satuan SATUAN TOTAL BULAN ED

OBAT HARGA HARGA
1 Garam Oral 500 Sachet Rp 288 Rp 144,000 Jan-18
2 Dexametaso 82 Ampul Rp 1,080 Rp 88,560 Jan-18
3 Infuset An 2 Pcs Rp 5,500 Rp 11,000 Jan-18
4 Prednison 585 Tablet Rp 70 Rp 41,184 Jan-18
5 Infuset de 1 Pcs Rp 2,950 Rp 2,950 Jan-18
6 Guanistrep 1 Fls Rp - Rp - Jan-18
7 Atenolol 5 85 Tablet Rp 278 Rp 23,630 Feb-18
8 Captopril 164 Tablet Rp 84 Rp 13,776 Feb-18
9 Piroksika 226 Tablet Rp 92 Rp 20,783 Mar-18
10 Vit K inj 1 Ampul Rp 2,750 Rp 2,750 Mar-18
11 Pulmicort 4 Ampul Rp 6,725 Rp 26,900 Mar-18
12 Ketoconaz 143 Tablet Rp 280 Rp 40,040 Apr-18
13 Bricasma r 4 Ampul Rp - Rp - Apr-18
14 Dexametaso 10 Ampul Rp 1,080 Rp 10,800 Apr-18
15 Burnazin c 3 Tube ### Rp 69,000 Apr-18
16 Amlodipin 650 Tablet Rp 43 Rp 27,950 May-18
17 Zink 20mg 23 Tablet Rp - Rp - May-18
18 Oksitetrasi 20 Tube Rp 1,682 Rp 33,640 May-18
19 Aqua Pro I 2 Ampul Rp - Rp - May-18
20 Ekstrak Be 835 Fls Rp 50 Rp 41,750 May-18
21 Amoxycilli 41 Fls Rp 3,984 Rp 163,344 May-18
22 Gliseril Gu 340 Tablet Rp 55 Rp 18,700 May-18
23 Spuit 2,5 c 1 Pcs Rp 957 Rp 957 May-18
24 Loratadine 80 Tablet Rp 154 Rp 12,320 May-18
25 Glimepirid 355 Tablet Rp 105 Rp 37,275 Jun-18
26 Betametas 20 Tube Rp 1,520 Rp 30,400 Jun-18
27 Infuset de 10 Pcs Rp 2,950 Rp 29,500 Jun-18
28 Spuit 5cc 1 Pcs Rp 1,381 Rp 1,381 Jun-18
29 Spuit 1 cc 1 Pcs Rp 1,600 Rp 1,600 Jun-18
30 Surflo no 2 5 Pcs Rp 8,600 Rp 43,000 Jun-18
31 Glukose 5% 13 Fls Rp 5,313 Rp 69,069 Jun-18
32 Acyclovir 450 Tablet Rp 196 Rp 88,200 Jun-18
33 Zink 20mg 1300 Tablet Rp - Rp - Jun-18
34 Diphenhidr 36 Ampul Rp 960 Rp 34,560 Jun-18
35 Gentamisin 100 Ampul Rp 3,399 Rp 339,900 Jun-18
36 Benzatin pe 40 Vial Rp - Rp - Jun-18
37 Acyclovir 230 Tablet Rp 196 Rp 45,080 Jul-18
38 Diphenhidr 30 Ampul Rp 960 Rp 28,800 Jul-18
39 CTM 200 Tablet Rp 58 Rp 11,600 Jul-18
40 Halloperid 18 Tablet Rp 96 Rp 1,728 Jul-18
41 Spuit 1 cc 1 Pcs Rp 1,600 Rp 1,600 Jul-18
42 Metronida 7 Tablet Rp 160 Rp 1,120 Jul-18
43 Garam Oral 56 Sachet Rp 288 Rp 16,128 Jul-18
44 Diphenhidr 1 Ampul Rp 960 Rp 960 Jul-18
45 Phenitoin 49 Capsul Rp 66 Rp 3,234 Jul-18
46 Garam Oral 32 Sachet Rp 288 Rp 9,216 Aug-18
NO NAMA OBAT ED JUMLAH Satuan HARGA TOTAL BULAN ED
OBAT SATUAN HARGA
47 Phenitoin 22 Capsul Rp 66 Rp 1,452 Aug-18
48 Albendazo 20 Tablet Rp - Rp - Aug-18
49 Zink 20mg 26 Tablet Rp - Rp - Aug-18
50 Infuset an 1 Pcs Rp 5,500 Rp 5,500 Aug-18
51 MgSO4 40 2 Ampul Rp 2,629 Rp 5,258 #REF!
52 Loperamid 176 Tablet Rp 89 Rp 15,664 Aug-18
53 NaCl 0,9 % 1 Fls Rp 6,410 Rp 6,410 Aug-18
54 Phenitoin 100 Capsul Rp 66 Rp 6,600 Sep-18
55 Aminophilli 28 Ampul Rp 2,998 Rp 83,944 Sep-18
56 Albendazo 57 Tablet Rp - Rp - Sep-18
57 Acyclovir 180 Tablet Rp 137 Rp 24,660 Sep-18
58 Nifedipin 38 Tablet Rp 110 Rp 4,180 Sep-18
59 Zink 20mg 721 Tablet Rp - Rp - Sep-18
60 Ephinephri 2 Ampul Rp 566 Rp 1,132 Sep-18
61 Glimepirid 92 Tablet Rp 115 Rp 10,580 Sep-18
62 Cotrimoxaz 288 Tablet Rp 78 Rp 22,464 Sep-18
63 Dexametaso 2 Ampul Rp 1,080 Rp 2,160 Oct-18
64 Laxamed 41 Tablet Rp 5,800 Rp 237,800 Nov-18
65 Ephinephri 36 Ampul Rp 566 Rp 20,376 Dec-18
66 Chloramfe 122 Capsul Rp 249 Rp 30,378 Dec-18
67 MgSO4 40 6 Fls Rp 2,629 Rp 15,774 Jan-19
68 Rivanol 1 Fls Rp 2,442 Rp 2,442 -
69 Alopurinol 191 Tablet Rp 86 Rp 16,426 Jan-19
JUMLAH Rp 2,101,585

Kediri, 19 Januari 2018

Yang Menerima Yang Menyerahkan,
Apoteker Puskesmas Pesantren II
Febrina P.,S.Farm.,M.Farm.Klin.,Apt Levira Norma El Ananta,S.Si,Apt
NIP. 19860221 201001 2 017 NIP. 19780126 201001 2 005

Mengetahui / Menyetujui,

Kasi Farmalkes& PKRT Kepala Puskesmas Pesantren II

Bidang Yankes&SDK
Dinas Kesehatan Kota Kediri

Dra Sri Mulyaningtyas,Apt dr. Fathiyah Rohmah

NIP. 19651203 199503 2 001 NIP. 19671227 200212 2 003