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DATA OBAT JKN TAHUN 2019

PUSKESMAS : KARANG REJO 19 JUNI 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 ANTASIDA TABLET 3,000 134.20 402,600.00
2 AMOXICILLIN 500 MG TABLET 10,000 351.49 3,514,900.00
3 GLIMEPIRID 2 MG TABLET 1,750 704.00 1,232,000.00
4 METOKLOPRAMID 10 MG TABLET 100 132.00 13,200.00
5 SALBUTAMOL 2 MG TUBE 1,500 129.40 194,100.00
6 AMOXICILLIN SYRUP BOTOL 200 4,400.00 880,000.00
7 DOMPERIDON SYRUP BOTOL 100 12,650.00 1,265,000.00
8 RECO TETES TELINGA BOTOL 8 8,470.00 67,760.00
9 CENDO PANTACAIN 9,5 % BOTOL 2 13,612.50 27,225.00
TOTAL 7,596,785.00

PUSKESMAS : KARANG REJO 01 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 ARTIKULATING PAPER BOX 1 163,350.00 163,350.00
2 MASTER BOND BOTOL 1 257,400.00 257,400.00
3 CAVITON WHITE POT 6 142,065.00 852,390.00
4 COCOA BUTTER TUBE 3 86,130.00 258,390.00
5 COMFOSIT A2 TUBE 2 208,495.00 416,990.00
6 COMFOSIT A3 TUBE 4 208,495.00 833,980.00
7 COTTON ROLL BOX 1 56,430.00 56,430.00
8 DEVITALISASI NON ARSEN (PULP X) BOTOL 2 227,700.00 455,400.00
9 FUJI IX EXTRA A3 SET 3 720,720.00 2,162,160.00
10 BUR DIAMOND FISURE HIGH SPEED PCS 11 42,570.00 468,270.00
11 BUR DIAMOND ROUND BESAR PCS 9 42,570.00 383,130.00
12 POLIREN NO 1 (OCO) BOTOL 1 152,999.00 152,999.00
13 CELLULOID STRIP BOX 1 148,500.00 148,500.00
TOTAL 6,609,389.00

PUSKESMAS : KARANG REJO 01 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 KOTRIMOXAZOLE 480 MG TABLET 2,500 276.10 690,250.00
2 METRONIDAZOL 500 MG TABLET 2,500 269.50 673,750.00
3 VITAMIN B6 TABLET 5,000 47.50 237,500.00
4 LIDOKAIN INJEKSI AMPUL 400 1,760.00 704,000.00
TOTAL 2,305,500.00

PUSKESMAS : KARANG REJO 08 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMBROXOL TABLET TABLET 20,000 142.24 2,844,800.00
TOTAL 2,844,800.00

PUSKESMAS : KARANG REJO 9 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 STRIP URIN 10 PARAMETER STRIP 500 3,267.00 1,633,500.00
2 ALKOHOL 70 % 1 L BOTOL 10 31,249.90 312,499.00
3 ABBOCATH 18 PCS 50 18,700.00 935,000.00
4 ABBOCATH 26 PCS 10 25,300.00 253,000.00
5 HANDSCHOEN NON STERIL UK S PASANG 500 854.87 427,435.00
6 HANDSCHOEN NON STERIL UK M PASANG 3,000 854.87 2,564,610.00
7 HANDSCHOEN NON STERIL UK L PASANG 1,500 854.87 1,282,305.00
8 CARPUL 16 PCS 500 1,749.00 874,500.00
TOTAL 8,282,849.00

PUSKESMAS : KARANG REJO 14 AGUST 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 GG TABLET 15,000 136.36 2,045,400.00
2 RANITIDIN 150 MG TABLET 3,000 220.00 660,000.00
3 SIMVASTATIN 10 MG TABLET 300 297.00 89,100.00
4 VIT B KOMPLEKS TABLET 6,000 82.50 495,000.00
5 VENTOLIN NEBULES AMPUL 200 10,381.14 2,076,228.00
6 PECO TETES TELINGA BOTOL 30 8,470.00 254,100.00
7 VITAMIN B6 TABLET 5,000 47.50 237,500.00
8 LIDOKAIN INJ 2 % AMPUL 500 1,760.00 880,000.00
TOTAL 6,737,328.00

PUSKESMAS : KARANG REJO 17-Oct-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 PARASETAMOL SYR BOTOL 219 3,850.00 843,150.00
3 BURNAZIN CREAM TUBE 3 58,850.00 176,550.00
TOTAL 1,019,700.00

PUSKESMAS : KARANG REJO 17-Oct-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 ONELAB COVERGLASS PAK 1 150,892.50 150,892.50
TOTAL 150,892.50

PUSKESMAS : KARANG REJO 20-Oct-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 COMPOSIT A2 BOTOL 2 0.00
TOTAL 0.00
KOVACS INDOLE REAGENT 100 ML
7596798 -13.00

9
11

6609389 0.00

5,150,300.00 5150321 -21.00

3000
8282879 -30.00

6737434 -106.00

LAKSA

SR

COBRA
DATA OBAT JKN TAHUN 2018
PUSKESMAS : PUSKESMAS JUATA PERMAI
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 GENTAMISIN SK TUBE 600 3,652.00
2 RANITIDIN 150 MG TABLET 6000 220.00
3 GG TABLET 8,000 136.36
4 AMOKSISILIN 500 MG TABLET 5,000 351.50
5 AMOKSISILIN SYR BOTOL 500 4,400.00
6 VITAMIN B KOMPLEKS TABLET 5,000 82.50
TOTAL

DATA OBAT JKN TAHUN 2018


PUSKESMAS : PUSKESMAS JUATA PERMAI
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 PROPIRETIK 80 MG SUPP 48 6,875.00
6 PROPIRETIK 160 MG SUPP 48 7,333.33
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 BLOOD LANSET PCS 1500 160.22
2 AUTOCHECK GLUCOSE STRIP STRIP 500 4,430.80
3 AUTOCHECK CHOLESTEROL STRIP STRIP 50 24,035.00
4 AUTOCHECK URID ACID STRIP STRIP 125 5,810.20
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 LIDOKAIN 2 % INJEKSI AMPUL 600 1,760.00
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 COMFOSIT A3 TUBE 2 208,495.00
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 COCOA BUTTER TUBE 3
2 GLASSY (CONDITIONER) BOTOL 1
3 FUJI VII WHITE SET 1
4 GIC IX A3 SET 1
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 AMLODIPIN 5 MG TABLET 5000 476.85
2 SIMVASTATIN 20 MG TABLET 3000 1,025.99
TOTAL

PUSKESMAS : PUSKESMAS JUATA PERMAI


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN
1 BURNAZIN CR TUBE 2 58,850.00
2 PANTOCAIN TM BOTOL 1 13,612.50
3 LIDOKAIN COM TABLET 510 2,286.90
TOTAL
1 JULI 19
HARGA TOTAL dijadikan september
2,191,200.00
1,320,000.00
1,090,880.00
1,757,500.00
2,200,000.00
412,500.00
8,972,080.00

8 JULI 19
HARGA TOTAL
330,000.00
351,999.84
681,999.84 9,654,079.84 9654106 -26.16

29 JULI 19
HARGA TOTAL
240,330.00
2,215,400.00
1,201,750.00
726,275.00
4,383,755.00 4383764 -9.00

01 AGUSTUS 19
HARGA TOTAL
1,056,000.00
1,056,000.00

06 AGUSTUS 19
HARGA TOTAL
416,990.00
416,990.00

20 okt 2019
HARGA TOTAL cobra
0.00
0.00
0.00
0.00
0.00

21 okt 2019
HARGA TOTAL laksa
2,384,250.00
3,077,970.00
5,462,220.00 5462226 -6.00

28 okt 2019
HARGA TOTAL laksa
117,700.00
13,612.50
1,166,319.00
1,297,631.50
DATA OBAT JKN TAHUN 2019
PUSKESMAS : GUNUNG LINGKAS 10 MEI 2019
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMOXICILLIN 500 MG TABLET 6,000 351.49 2,108,940.00
2 GLIMEPIRID 2 MG TABLET 1,000 792.00 792,000.00
3 GG TABLET 10,000 118.80 1,188,000.00
4 DULCOLAX TAB TABLET 80 1,716.00 137,280.00
5 PROPIRETIK SUPP 80 MG SUPPO 48 6,875.00 330,000.00
6 PROPIRETIK SUPP 160 MG SUPPO 12 7,333.33 87,999.96
7 VITAMIN C TABLET 10,000 135.85 1,358,500.00
TOTAL 6,002,719.96

PUSKESMAS : GUNUNG LINGKAS 24 JUNI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 CELL CLEAN BOTOL 1 1,975,600.00 1,975,600.00
2 CELLPACK GALON 1 3,300,000.00 3,300,000.00
3 STROMATOLYSER BOTOL 1 2,090,000.00 2,090,000.00
4 UNDERPAD PCS 50 4,950.00 247,500.00
5 ABBOCATH 18 PCS 30 18,700.00 561,000.00
6 ALKOHOL 70 % 1 L BOTOL 10 31,249.90 312,499.00
7 HANDSCHOEN NON STERIL UK M PASANG 500 854.87 427,435.00
TOTAL 8,914,034.00

PUSKESMAS : GUNUNG LINGKAS 5 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 EASY TOUCH STRIP GLUKOSE STRIP 250 4,840.00 1,210,000.00
2 BLOOD LANCET ONEMED PCS 1,500 160.22 240,330.00
TOTAL 1,450,330.00

PUSKESMAS : GUNUNG LINGKAS 8 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 SIMVASTATIN TABLET 1,500 1,025.99 1,538,988.00
2 VITAMIN B KOMPLEKS TABLET 5,000 82.50 412,500.00
3 AMOKSISILIN 500 MG TABLET 4,000 351.82 1,407,296.00
4 GLIMEPIRID 3 MG TABLET 500 1,320.00 660,000.00
5 PROPIRETIK 160 MG SUPPO 36 7,333.33 263,999.88
TOTAL 4,282,783.88

PUSKESMAS : GUNUNG LINGKAS 6 AGUSTUS 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 COMPOSIT A2 BOTOL 2 208,495.00 416,990.00
2 COMPOSIT A3 BOTOL 2 208,495.00 416,990.00
3 COCOA BUTTER TUBE 1 86,130.00 86,130.00
4 DEVITAL POT 1 260,000.00 260,000.00
5 CAVITON WHITE POT 2 142,065.00 284,130.00
6 MYLTRIP SET 2 84,150.00 168,300.00
TOTAL 1,632,540.00

PUSKESMAS : GUNUNG LINGKAS 8 AGUSTUS 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 SIMVASTATIN 20 MG TABLET 2,500 1,025.99 2,564,975.00
2 RANITIDIN 150 MG TABLET 500 220.00 110,000.00
3 PROPIRETIK SUPP 80 MG SUPP 48 6,875.00 330,000.00
4 PROPIRETIK SUPP 160 MG SUPP 48 7,333.33 351,999.84
5 LIDOKAIN 2 % AMPUL 300 1,760.00 528,000.00
6 VENTOLIN NEBU AMPUL 40 10,381.14 415,245.60
TOTAL 4,300,220.44

PUSKESMAS : GUNUNG LINGKAS 15 AGUSTUS 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 CELLPACK GALON 1 3,459,390.00 3,459,390.00
2 STROMATOLYSER BOTOL 1 2,299,000.00 2,299,000.00
3 EIGHTCHECK SET 1 1,540,000.00 1,540,000.00
4 KERTAS LAKMUS PAK 1 149,600.00 149,600.00
5 COTTON SWABB STERIL ONEMED BOX 1 127,310.70 127,310.70
6 ABBOCATH 18 PCS 30 27,940.00 838,200.00
TOTAL 8,413,500.70

PUSKESMAS : GUNUNG LINGKAS 4-Sep-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 VITAMIN B KOMPLEKS TABLET 3,000 82.50 247,500.00
2 DOPAMET TABLET 100 2,057.00 205,700.00
3 VITAMIN B6 TABLET 3,000 47.50 142,500.00
TOTAL 595,700.00

PUSKESMAS : GUNUNG LINGKAS 9-Oct-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 VITAMIN B6 TABLET 5,000 47.50 237,500.00
2 VITAMIN B KOMPLEKS TABLET 5,000 82.50 412,500.00
3 AMLODIPIN 5 MG TABLET 10,000 476.85 4,768,500.00
4 SIMVASTATIN 20 MG TABLET 5,000 1,025.99 5,129,950.00
5 PARASETAMOL SYR BOTOL 300 3,850.00 1,155,000.00
6 EPINEFRIN INJ AMPUL 90 7,026.43 632,378.70
7 LIDOKAIN COMP AMPUL 510 2,286.90 1,166,319.00
TOTAL 13,502,147.70

PUSKESMAS : GUNUNG LINGKAS 22-Oct-19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 CELLPACK GALON 1 3,459,390.00 3,459,390.00
2 STROMATOLIZER BOTOK 1 2,299,000.00 2,299,000.00
3 OBJECK GLASS FROSTED SET 10 24,897.40 248,974.00
TOTAL 6,007,364.00

PUSKESMAS : GUNUNG LINGKAS 01 Nop 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMMONIUM OXALAT BOTOL 2 36,300.00 72,600.00
TOTAL 72,600.00

PUSKESMAS : GUNUNG LINGKAS 8 NOP 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 CELLCLEAN BOTOL 1 1,975,600.00 1,975,600.00
TOTAL 1,975,600.00
6002744 -24.04

8914037 -3.00

1450339 -9.00

4282784 -0.12
4300225 -4.56

932475 -336,775.00

13502159 -11.30

SR

SR

SR

8,055,564.00
DATA OBAT JKN TAHUN 2019
PUSKESMAS : MAMBURUNGAN 20 MEI 2019
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMOXICILLIN 500 MG TABLET 6000 351.49 2,108,940.00
2 GG TABLET 6000 118.80 712,800.00
3 VIT B1 TABLET 3,000 166.66 499,980.00
4 PROPIRETIK SUPPO 80 MG SUPPO 24 6,875.00 165,000.00
TOTAL 3,486,720.00

PUSKESMAS : MAMBURUNGAN 6 AGUSTUS 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 DENTIN CONDITIONER BOTOL 1 124,300.00 124,300.00
2 COCOA BUTTER TUBE 2 86,130.00 172,260.00
TOTAL 296,560.00

PUSKESMAS : MAMBURUNGAN 8 AGUSTUS 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMOXICILLIN 500 MG TABLET 6000 351.49 2,108,940.00
2 GG TABLET 6000 136.37 818,220.00
3 SIMVASTATIN TABLET 2,000 1,025.99 2,051,980.00
4 VENTOLIN NEBU AMPUL 20 10,380.70 207,614.00
TOTAL 5,186,754.00

PUSKESMAS : MAMBURUNGAN 23 AGUSTUS 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 COVER GLASS 20 X 20 SET 4 33,000.00 132,000.00
2 ALKOHOL 70 % 1 LITER BOTOL 10 31,249.90 312,499.00
3 BLOOD LANCET PCS 500 160.22 80,110.00
TOTAL 524,609.00

PUSKESMAS : MAMBURUNGAN 9 OKT 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMLODIPIN 5 MG TABLET 3000 476.85 1,430,550.00
2 EPINEFRIN INJ AMPUL 30 7,026.43 210,792.90
TOTAL 1,641,342.90
3486747 -27.00

5186764 -10.00

524612 -3.00

1641343 -0.10
DATA OBAT JKN TAHUN 2019
PUSKESMAS : SEBENGKOK 29 MEI 19
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 GG TABLET 6000 136.36 818,160.00
2 VITAMIN B KOMPLEKS TABLET 1800 144.00 259,200.00
3 VITAMIN C TABLET 6,000 143.00 858,000.00
4 PROPIRETIK SUPPO 80 MG SUPPO 12 6,875.00 82,500.00
5 AMBROXOL SYR BOTOL 50 5,500.00 275,000.00
6 DOPAMET TAB TABLET 300 2,057.00 617,100.00
TOTAL 2,909,960.00

PUSKESMAS : SEBENGKOK 21 JUNI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AMOKSISILIN 500 TABLET 5000 351.49 1,757,450.00
2 AMOKSISILIN SYR TABLET 50 4,400.00 220,000.00
3 METRONIDAZOL 500 MG TABLET 200 269.50 53,900.00
4 CIPROFLOXACIN 500 MG SUPPO 200 508.34 101,668.00
5 VITAMIN B KOMPLEKS BOTOL 3,000 82.50 247,500.00
TOTAL 2,380,518.00

PUSKESMAS : SEBENGKOK 1 JULI 19


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 CAVITON WHITE BOTOL 2 142,065.00 284,130.00
2 DEVITAL TEHNODENT BOTOL 1 234,000.00 234,000.00
3 MYLTRIP SET 1 84,150.00 84,150.00
4 COMPOSIT A2 TUBE 1 208,495.00 208,495.00
5 COMPOSIT A3 TUBE 2 208,495.00 416,990.00
TOTAL 1,227,765.00

PUSKESMAS : SEBENGKOK 2 JULI 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 AUTOCHECK GLCKOSE STRIP 200 4,664.00 932,800.00
2 UNDERPAD PCS 50 4,578.64 228,932.00
3 ETILKLORIDA BOTOL 1 227,700.00 227,700.00
4 BLOOD LANCET PCS 300 160.22 48,066.00
5 EOSIN 2 % BOTOL 1 387,200.00 387,200.00
6 HANDSCHOEN NON STERIL UK S PASANG 300 854.87 256,461.00
7 HANDSCHOEN NON STERIL UK M PASANG 200 854.87 170,974.00
8 HANDSCHOEN STERIL NO 7 PASANG 350 5,016.00 1,755,600.00
9 HANDSCHOEN STERIL NO 8 PASANG 100 5,016.00 501,600.00
10 MASKER IKAT PCS 600 396.00 237,600.00
TOTAL 4,746,933.00

PUSKESMAS : SEBENGKOK 8 JULI 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 OKSITETRASIKLIN 3 % TUBE 50 2,750.00 137,500.00
TOTAL 137,500.00

PUSKESMAS : SEBENGKOK 1 AGUSTUS 2019


NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 KLORAMFENIKOL TABLET TABLET 100 681.83 68,183.00
TOTAL 68,183.00
PUSKESMAS : SEBENGKOK 6 AGUSTUS 2019
NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN HARGA TOTAL
1 COCOA BUTTER TUBE 2 0.00
TOTAL 0.00
2909984 -24.00

2,586,201.00 2586222.1 -21.10

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