KABUPATEN EMPAT LAWANG

OPD : DINAS KESEHATAN

TA : 2022

MUTASI TAMBAH 2022 MUTASI KURANG 2022

SALDO AWAL 1 JANUARI 2022
2021 2021
KEMASAN NILAI HARGA NILAI
NO URAIAN HARGA SATUAN VOLUM HARGA SATUAN
BARANG VOLUME PERSEDIAAN SATUAN PERSEDIAAN VOLUME
(Rp) E (Rp)
(Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11
Tahun 2020
1 Kassa Hidrophile 4 Y x 10 cm pcs 105 97900 10,279,500.00 105 97900
2 Kassa Hidrophile 4 Y x 5 cm pcs 110 97900 10,769,000.00 110 97900
3 Alkohol 70 % 300 ml botol 343 6820 2,339,260.00 343 6820
4 Rivanol 100 cc botol 1,483 1600 2,372,800.00 1,291 1600
5 Pyrantel Pamoat 125 mg Unit 10,000 322 3,220,000.00 10,000 322
6 Propanolol 10 mg tab 18,000 61 1,098,000.00 18,000 61
7 Methylergometrin Maleat tablet tab 3,000 237 711,000.00 3,000 237
8 Lancet darah box 1,400 15840 22,176,000.00 1,400 15840
9 IV cannula with injektion port 16 pcs 1,000 7100 7,100,000.00 6,700 7100
10 IV cannula with injektion port 18 pcs 1,750 7100 12,425,000.00 6,100 7100
11 IV cannula with injektion port 20 pcs 250 7100 1,775,000.00 250 7100
12 IV cannula with injektion port 26 pcs 300 7100 2,130,000.00 300 7100
13 Latex steril surgical gloves no. 6.5 box 2,300 4600 10,580,000.00 2,300 4600
14 Paper tape dispenser 2 box 150 186857 28,028,550.00 150 186857
15 Glipizid Tab 5 mg/ Glucitrol Tab tab 4,800 3090 14,832,000.00 4,800 3090

Tahun 2020
1 Tablet Tambah Darah kotak @ 30 tablet 3,300 11,160 36,828,000
2 Zinc 20 mg kotak @ 100 tablet 34 55,100 1,873,400
3 Vaksin HB Uniject 1 dosis Kotak, 100 Pouch 352 23,991 8,444,832 2200 23,490 51,678,000 2,452 23,490
4 Vaksin BCG 20 dosis + Pelarut Kotak, 50 Vial 309 61,996 19,156,764 1250 88,288 110,360,000 1,256 88,288
5 Vaksin MR 10 dosis + Pelarut Kotak, 50 Vial 191 155,813 29,760,283 6120 152,600 933,912,000 2,235 152,600
6 Vaksin Polio (bOPV ) 10 dosis + penetes Kotak @ 10 vial 840 23,991 20,152,440 570 19,540 11,137,800 970 19,540
7 ADS Skifa 5 ml Kotak, 100 Buah 4,400 1,583 6,965,200 2400 1,583 3,799,200 3,200 1,583
8 ADS Oneject 0,05 ml Kotak, 100 Buah 6,000 1,565 9,390,000 1,565 - 3,300 1,565
9 ADS Oneject 0,5 ml Kotak, 100 Buah 25,600 1,240 31,744,000 1,240 - 12,000 1,240
10 ADS Oneject 5 ml Kotak, 100 Buah 2,400 1,900 4,560,000 1,900 - 800 1,900
11 Vaksin Polio (IPV) 5 dosis Kotak, 10 Vial 450 153,736 69,181,200 510 144,540 73,715,400 923 144,540
12 Vaksin DPT-HB-HiB 5 dosis Kotak, 10 Vial 238 153,736 36,589,168 2210 77,366 170,978,860 2,379 77,366
13 Vaksin Td 10 dosis Kotak, 10 Vial 460 15,450 7,107,000 - 442
14 Safety Box 2,5 liter Kotak, 25 Buah 2,070 12,500 25,875,000 - 120 12,500
15 Vaksin DT Kotak, 10 Vial 10 28,204 282,040

`
 TAHUN 2021
1 Antiseptic Handrub botol 56 90188.64 5,050,564 56 90188.64
2 IV Chateter Non Injection Port No. 20 pcs 600 7194 4,316,400 400 7194
3 IV Chateter Non Injection Port No. 18 pcs 1,150 7194 8,273,100 400 7194
4 Surgical Facemask Earloop box 2,145 46494 99,729,630 983 46494
5 Surgical Facemask Headloop box 2,034 46491 94,562,694 1,069 46491
6 Blood Lancet box 4,844 16265 78,787,660 894 16265
7 Ondansetron 8 mg tab 1,260 369 464,940 1,260 369
8 Pehastan tab 500 mg tab 131,700 445.5 58,672,350 131,700 445.5
9 NB-Topikal tube 760 17205 13,075,800 760 17205
10 Parasetamol 500 mg tab 244,700 330 80,751,000 228,000 330
11 Metronidazole 500 mg tab 202,000 264 53,328,000 119,000 264
12 Antihemoroid supp supp 500 3250 1,625,000 500 3250
13 Methylergometrin 0,125 mg tab 7,000 214 1,498,000 6,000 214
14 Propanolol 10 mg tab 8,000 59 472,000 5,000 59
15 Water for injection 25 ml ampul 1,100 2650 2,915,000 640 2650
16 Geriavita tab botol 1,397 65227 91,122,119 824 65227
17 Kassa hidrofil 4 Y x 5 cm box 300 147620 44,286,000 77 147620
18 Kassa hidrofil 4 Y x 10 cm box 400 147620 59,048,000 76 147620
19 Methylergometrine Maleat 0,2 mg/ml ampul 700 1023 716,100 700 1023
20 Glimepiride 1 mg tab 21,000 93 1,953,000 18,500 93
21 Magnesium Sulfat Inj 20 % ampul 100 3760 376,000 100 3760
22 Cetrizine sirup botol 15,550 2153 33,479,150 7,850 2153
23 Infusion Set Adult pcs 300 5800 1,740,000 300 5800
24 Ringer Laktat 500 ml botol 50 7703 385,150 50 7703
25 NaCl 500 ml botol 350 6900 2,415,000 290 6900
26 Alkohol Swab box 15,316 8380 128,348,080 3,073 8380
27 Bufacetine 2% salep tube 144 3431 494,064 144 3431
28 Kasa Hidrofil 16 x 16 cm pcs 224 2885 646,240 224 2885
29 Amoksisilin sirup kering 250 mg/5 ml suspensi botol 650 3498 2,273,700 650 3498
30 Albendazole 200 mg/5 ml suspensi botol 300 4300 1,290,000 300 4300
31 Bisakodil 5 mg tab 1,600 216 345,600 1,600 216
32 Hydrochlortiazide tab 6,000 148 888,000 1,000 148
33 Isoniazid tab 100 mg tab 5,000 75 375,000 100 75
34 Nistatin 100.000 IU box 350 11750 4,112,500 350 11750
35 Codein 10 mg tab 8,200 600 4,920,000 5,000 600
36 Amoksisilin 500 mg tab 31,800 211 6,709,800 31,800 211
37 Ciprofloxacin 500 mg tab 16,000 250 4,000,000 16,000 250
38 Domperidone tablet 10 mg tab 4,000 73 292,000 4,000 73
39 Metformin 500 mg tab 6,000 77 462,000 6,000 77
40 Allopurinol 100 mg tab 20,000 87 1,740,000 20,000 87
41 Lansoprazole 30 mg tab 7,000 278 1,946,000 7,000 278
42 Eugenol Cair botol 500 20150 10,075,000 357 20150
43 Larvasida Malaria kotak/kg 55 1399500 76,972,500 55 1399500
984,933,141
Tahun 2022
1 Osteotin Box @ 60 Tab 490 198801 97,412,490 100 198801
2 Paracetamol 500 mg Box 5,500 36000 198,000,000 - 36000
3 Ambroxol syrup Botol 6,000 9990 59,940,000 2,950 9990
4 Ambroxol tab 30 mg Box 6,000 33000 198,000,000 670 33000
5 Pehastan 500 mg Box 4,000 44955 179,820,000 - 44955
5 Methyl Prednisolon 4mg Tab 600,000 102 61,200,000 66,000 102
6 Ciprofloxacin 500 mg Tab 200,000 250 50,000,000 63,000 250
7 Hustab P 8 mg Box @ 300 Tab 1,300 77700 101,010,000 147 77700
8 Metformin 500 mg Tab 600,000 77 46,200,000 40,000 77
9 Amoxcillin 500 mg Tab 300,000 211 63,300,000 105,600 211
10 Mefenamic Acid 500 mg Tab 200,000 111 22,200,000 25,000 111
11 Simvastatin 10 mg Tab 100,000 68 6,800,000 44,000 68
12 Lansoprazole 30 mg Tab 70,000 278 19,460,000 47,400 278
13 Betahistin Tab 24 mg Box @ 30 Tab 1,500 150000 225,000,000 415 150000
14 Stimuno Syrup Botol 6,000 28374 170,244,000 - 28374
15 Antasida Tablet Tab 800,000 54 43,200,000 2,000 54
16 Paracetamol Syrup Botol 30,000 1160 34,800,000 - 1160
17 Kotrimoksazole Syrup Botol 5,000 2100 10,500,000 - 2100
18 Sinar Ogan Masker Premium Headloop Box 2,500 54000 135,000,000 - 54000
19 Sinar Ogan Masker Premium Earloop Box 3,500 48000 168,000,000 - 48000
20 Betametason Cream Tube 10,000 1520 15,200,000 - 1520
21 Simvastatin 20 mg Tab 200,000 150 30,000,000 - 150
22 Vitamin C 50 mg Tab 200,000 43 8,600,000 - 43
23 Calcitriol 0,5 mg Tab 39,000 2600 101,400,000 3,000 2600
24 Captopril 12,5 mg Tab 900,000 68 61,200,000 - 68
25 Captopril 25 mg Tab 250,000 75 18,750,000 - 75
26 Lidocaine 2% injeksi Ampul 5,000 891 4,455,000 - 891
27 Nystatin 100.000 IU Tab 100,000 550 55,000,000 - 550
28 Phytomenadion 10mg/ml injeksi Ampul 8,000 3600 28,800,000 - 3600
29 Bioron Injeksi Box 1,800 27139 48,850,200 - 27139
30 Dextamine Tab Box 240 540137 129,632,880 - 540137
31 Geriavita tab Box 550 272250 149,737,500 - 272250
32 NB Topikal Oint Tube 4,000 17362 69,448,000 - 17362

Tahun 2021
1 Clozapine 25 mg tablet 1,000 473 473,000 473 - - 473
2 Haloperidol injeksi 5 mg/ml ampul 500 1,190 595,000 1,190 - - 1,190
3 Fenobarbital 30 mg tablet 1,500 182 273,000 182 - - 182
4 Diazepam 2 mg tablet 12,000 70 840,000 70 - - 70
5 Diazepam 5 mg tablet 5,000 108 540,000 108 - - 108
6 Risperidone 1 mg tablet 600 123 73,800 123 - - 123
7 Diazepam injeksi 5 mg/ml ampul 3,000 1,545 4,635,000 1,545 - - 1,545
8 ABU ( Anti Bisa Ular ) vial 359 517,132 185,650,388 350 517,132 180,996,200 622 517,132
Provinsi
1 THP tablet 5,500 9,100 50,050,000 9,100
2 Haldol Decanoat 50 mg/ml tablet 5 545 2,725 545
3 Risperidone 2 mg tablet 1,600 12,300 19,680,000 12,300
4 Haloperidol tab 5 mg tablet 1,500 5,400 8,100,000 5,400
5 Tablet Tambah Darah kotak@100 tablet 2,844 23,800 67,687,200 300 23,800
6 Albendazol 400 mg kaplet 150 36,650 5,497,500 150 36,650
7 Albendazol Suspensi 200 mg/5ml botol 6,885 4,300 29,605,500 3,570 4,300
8 Garam Oralit kotak 100 sachet 168 28,000 4,704,000 168 28,000
9 Zinc 20 mg kotak@100 tablet 192 25,300 4,857,600 192 25,300
10 Diazepan injeksi 5 mg/ml Kotak @ 10 ampul 2 15,450 30,900 2 15,450
11 Fenobarbital injeksi 50 mg/ml kotak @ 30 ampul 1 51,000 51,000 1 51,000
12 Oksitetrasiklin Salep Mata 1 % kotak @ 25 tube 18 87,500 1,575,000 18 87,500
13 Fitomenadion injeksi 2 mg/ml kotak @ 30 ampul 4 43,560 174,240 4 43,560
14 Oxytosin 10 iu/1 ml injeksi kotak @ 100 ampul 4 112,600 450,400 4 112,600
15 Vitamin A 200.000 IU botol @ 50 kapsul 1,026 29,050 29,805,300 1,026 29,050
16 Tablet Tambah Darah kotak @ 30 tablet 9,278 7,140 66,244,920 1,150 7,140
17 Albendazole 400 mg kotak @ 100 tablet 400 38,000 15,200,000 95 38,000
18 Tablet Tambah Darah kotak 100 tablet 2,500 23,800 59,500,000 2,500 23,800
19 OAT FDC Kat. I Paket 32 436,241 13,959,712 436,241
20 OAT FDC Kat. I Paket 64 437,695 28,012,480 437,695
21 OAT KDT harian kategori 1 Paket 32 409,461 13,102,752 409,461

TAHUN 2022
1 Albendazole Tab Kotak @100 Tablet 500 36650 18,325,000 - 36650
2 Tablet Tambah Darah Kotak @100 Tablet 13,750 23800 327,250,000 - 23800
3 Diazepam Injeksi Kotak @10 Amp 12 38800 465,600 - 38800
4 Gentamisin 40mg/ml Injeksi Kotak @5 Amp 4 16775 67,100 - 16775
5 Oxytosin 10 iu/1 ml injeksi Kotak @100 Amp 13 112600 1,463,800 - 112600
Ecolene Non-Absorbable Synthetic
6 Monofilament, Polypropylene, 4/USP, 75
CM, CUTING 3/5 CIRCLE, 24 MM BOX @12PCS 15 312162 4,682,430 - 312162
Ecolene Non-Absorbable Synthetic
7 Monofilament, Polypropylene, 4/USP, 75
CM, CUTING 3/5 CIRCLE, 19 MM BOX @12PCS 15 399,647 5,994,705 - 399,647
Ecolene Non-Absorbable Synthetic
8 Monofilament, Polypropylene, 4/USP, 75
CM, CUTING 3/5 CIRCLE, 17 MM,
DOUBLE NEEDLE BOX @12PCS 15 399647 5,994,705 - 399647
9 Paper Tape UK 2 INCH X 10 YARDS BOX @12ROLL 10 205543 2,055,430 - 205543
10 Paper Tape UK 1 INCH X 10 YARDS BOX @12ROLL 10 205543 2,055,430 - 205543
11 Nipro SYRINGE 5 CC 22 G X 1-1/2 BOX @100PCS 12 104500 1,254,000 - 104500
12 Gynaecological Glove Size Large BOX @25PCS 12 1075250 12,903,000 - 1075250
13 Gynaecological Glove Size Medium BOX @20PCS 12 1075250 12,903,000 - 1075250
14 Surgical Gloves Size 7,5 BOX @50PCS 16 678150 10,850,400 - 678150
15 Surgical Gloves Size 7,0 BOX @50PCS 16 678150 10,850,400 - 678150
16 Antasida tablet Kotak@100 tab 504 6000 3,024,000 - 6000
17 Amlodipin 5 mg Kotak@300 tab 30 23400 702,000 - 23400
18 Corsona Kotak@100 tab 36 20350 732,600 - 20350
19 Propiltiourasil 100 mg Kotak@100 tab 15 40500 607,500 - 40500
20 Natrium Diklofenak 25 mg Kotak@50 tab 220 5700 1,254,000 - 5700
21 Paracetamol 500 mg Kotak@100 tab 260 29992 7,797,920 - 29992
22 Ranitidin 150 mg Kotak@100 tab 72 8500 612,000 - 8500
23 Alupurinol 100 mg Box@100 tab 20 10500 210,000 - 10500

Jumlah 3,018,983,135.68 4,579,792,559.00

URANG 2022
KADALUARSA/RUSAK SALDO AKHIR 30 JUNI 2022
021
HARGA HARGA NILAI
NILAI PERSEDIAAN NILAI PERSEDIAAN
VOLUME SATUAN VOLUME SATUAN PERSEDIAAN
(Rp) (Rp)
(Rp) (Rp) (Rp)
12 13 14 15 16 17 18

10,279,500.00 97900 -
10,769,000.00 97900 -
2,339,260.00 6820 -
2,065,600.00 192 1600 307,200.00
3,220,000.00 322 -
1,098,000.00 61 -
711,000.00 237 -
22,176,000.00 15840 -
47,570,000.00 400 7100 2,840,000.00
43,310,000.00 1,000 7100 7,100,000.00
1,775,000.00 7100 -
2,130,000.00 7100 -
10,580,000.00 4600 -
28,028,550.00 186857 -
14,832,000.00 3090 -

- - 11,160 -
- - 55,100 -
57,597,480 100 23,490 2,349,000 23,991 -
110,889,728 303 88,288 26,751,264 61,996 -
341,061,000 2038 152,600 310,998,800 155,813 -
18,953,800 220 19,540 4,298,800 23,991 -
5,065,600 3600 1,583 5,698,800 1,583 -
5,164,500 2700 1,565 4,225,500 1,565 -
14,880,000 13600 1,240 16,864,000 1,240 -
1,520,000 1600 1,900 3,040,000 1,900 -
133,410,420 37 144,540 5,347,980 153,736 -
184,053,714 69 77,366 5,338,254 153,736 -
- 18 15,450 278,100 15,450 -
1,500,000 1950 12,500 24,375,000 12,500 -
- 10 28204 282,040 28,204 -
-
 5,050,564 - 90188.64 -
2,877,600 200 7194 1,438,800
2,877,600 750 7194 5,395,500
45,703,602 1,162 46494 54,026,028
49,698,879 965 46491 44,863,815
14,540,910 3,950 16265 64,246,750
464,940 - 369 -
58,672,350 - 445.5 -
13,075,800 - 17205 -
75,240,000 16,700 330 5,511,000
31,416,000 83,000 264 21,912,000
1,625,000 - 3250 -
1,284,000 1,000 214 214,000
295,000 3,000 59 177,000
1,696,000 460 2650 1,219,000
53,747,048 573 65227 37,375,071
11,366,740 223 147620 32,919,260
11,219,120 324 147620 47,828,880
716,100 - 1023 -
1,720,500 2,500 93 232,500
376,000 - 3760 -
16,901,050 7,700 2153 16,578,100
1,740,000 - 5800 -
385,150 - 7703 -
2,001,000 60 6900 414,000
25,751,740 12,243 8380 102,596,340
494,064 - 3431 -
646,240 - 2885 -
2,273,700 - 3498 -
1,290,000 - 4300 -
345,600 - 216 -
148,000 5,000 148 740,000
7,500 4,900 75 367,500
4,112,500 - 11750 -
3,000,000 3,200 600 1,920,000
6,709,800 - 211 -
4,000,000 - 250 -
292,000 - 73 -
462,000 - 77 -
1,740,000 - 87 -
1,946,000 - 278 -
7,193,550 143 20150 2,881,450
76,972,500 - 1399500 -
 19,880,100 390 198801 77,532,390
- 5,500 36000 198,000,000
29,470,500 3,050 9990 30,469,500
22,110,000 5,330 33000 175,890,000
- 6,000 44955 269,730,000
6,732,000 534,000 102 54,468,000
15,750,000 137,000 250 34,250,000
11,421,900 1,153 77700 89,588,100
3,080,000 560,000 77 43,120,000
22,281,600 194,400 211 41,018,400
2,775,000 175,000 111 19,425,000
2,992,000 56,000 68 3,808,000
13,177,200 22,600 278 6,282,800
62,250,000 1,085 150000 162,750,000
- 6,000 28374 170,244,000
108,000 798,000 54 43,092,000
- 30,000 1160 34,800,000
- 5,000 2100 10,500,000
- 2,500 54000 135,000,000
- 3,500 48000 168,000,000
- 10,000 1520 15,200,000
- 200,000 150 30,000,000
- 200,000 43 8,600,000
7,800,000 36,000 2600 93,600,000
- 900,000 68 61,200,000
- 250,000 75 18,750,000
- 5,000 891 4,455,000
- 100,000 550 55,000,000
- 8,000 3600 28,800,000
- 1,800 27139 48,850,200
- 240 540137 129,632,880
- 550 272250 149,737,500
- 4,000 17362 69,448,000

- 473 -
- 1,190 -
- 182 -
- 70 -
- 108 -
- 123 -
- 1,545 -
321,656,104 87 517,132 44,990,484
-
- 9,100 -
- 545 -
 - 12,300 -
- 5,400 -
7,140,000 2,544 23,800 60,547,200
5,497,500 - 36,650 -
15,351,000 3,315 4,300 14,254,500
4,704,000 - 28,000 -
4,857,600 - 25,300 -
30,900 - 15,450 -
51,000 - 51,000 -
1,575,000 - 87,500 -
174,240 - 43,560 -
450,400 - 112,600 -
29,805,300 - 29,050 -
8,211,000 8,128 7,140 58,033,920
3,610,000 305 38,000 11,590,000
59,500,000 - 23,800 -
- 436,241 -
- 437,695 -
- 409,461 -
-
-
- 500 36650 18,325,000
- 13,750 23800 327,250,000
- 12 38800 465,600
- 4 16775 67,100
- 13 112600 1,463,800

- 15 312162 4,682,430

- 15 399,647 5,994,705

- 15 399647 5,994,705
- 10 205543 2,055,430
- 10 205543 2,055,430
- 12 104500 1,254,000
- 12 1075250 12,903,000
- 12 1075250 12,903,000
- 16 678150 10,850,400
- 16 678150 10,850,400
- 504 6000 3,024,000
- 30 23400 702,000
- 36 20350 732,600
 - 15 40500 607,500
- 220 5700 1,254,000
- 260 29992 7,797,920
- 72 8500 612,000
- 20 10500 210,000

2,299,498,654.84 3,555,817,088.00
 Sesuai Bukti Keterangan
Pesawat Pulang Nota Bensin Berangkat Nota Bensin Pulang Nama Travel (mohon diisi
Kode Nama Travel Plat Nomor keterangan
Kode Basic / Harga Travel (Nilai)
Travel (Nilai) Taxi Tol
Penyebera
Lainnya Mobil (bila
Pemesanan No. TN e-ticket / PO TN Boarding Booking di Tanggal SPBU (Kode Jenis Harga (Berangk (Berangk ngan Kapal tambahan - atau
Rute Maskapai Booking di Class Tanggal Published Nilai Tangg SPBU Jenis di (Pulang ) (Pulang) ada)
Via Penerbangan Number Pass Boarding & Jam SPBU, Kota) BBM di struk at) at) Feri informasi lainnya)
Tiket Fare al Struk
Pass
100,000

100,000

160,000

160,000

160,000

160,000

200,000

200,000

280,000

100,000

100,000

160,000

160,000

160,000

160,000

200,000

200,000

280,000

100,000

100,000

160,000
160,000

160,000

160,000

200,000

200,000

280,000

100,000

100,000

160,000

160,000

160,000

160,000

200,000

200,000

280,000

100,000

100,000

160,000

160,000

160,000

160,000

200,000
 200,000

280,000

7,600,000