Rincian Per Jenis Persediaan Akhir 2021

PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN BARANG PAKAI HABIS

UNTUK PERIODE 30 DESEMBER 2020
SALDO AWAL 1 JANUARI 2020 PENGADAAN 1 JAN S/D 30 DES TAHUN 2020 PENGGUNAAN 1 JAN S/D 30 DES TAHUN 2020 SALDO AKHIR 30 DES 2020
NO NAMA BARANG HARGA SATUAN NILAI PERSEDIAAN HARGA SATUAN NILAI PENGADAAN HARGA SATUAN NILAI PENGGUNAAN HARGA SATUAN SISA NILA KET.
JML BRG SATUAN AWAL JML BRG SATUAN JML BRG SATUAN JML BRG SATUAN PERSEDIAAN
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
1 ALAT TULIS KANTOR
Kertas HVS 70 gr F4 50 rim 56,650.00 2,832,500.00 220 rim 56,650.00 12,463,000.00 187 rim 56,650.00 10,593,550.00 83 rim 56,650.00 4,701,950.00
Odner - 10 Lusin 277,200.00 2,772,000.00 9 Lusin 277,200.00 2,494,800.00 1 Lusin 277,200.00 277,200.00
Amplop kecil 5 pack 17,050.00 85,250.00 5 pack 17,050.00 85,250.00 9 pack 17,050.00 153,450.00 1 pack 17,050.00 17,050.00
Amplop besar 5 pack 20,750.00 103,750.00 5 pack 23,100.00 115,500.00 5 pack 23,100.00 115,500.00 5 pack 23,100.00 115,500.00
Bak stempel kecil 3 bh 16,500.00 49,500.00 3 buah 34,650.00 103,950.00 3 buah 34,650.00 103,950.00 3 buah 34,650.00 103,950.00
Pensil 3 lusin 47,850.00 143,550.00 3 pack 31,350.00 94,050.00 3 pack 31,350.00 94,050.00 3 pack 31,350.00 94,050.00
Tinta warna hitam 33 btl 44,000.00 1,452,000.00 80 btl 45,650.00 3,652,000.00 43 btl 45,650.00 1,962,950.00 70 btl 45,650.00 3,195,500.00
Tinta warna biru 20 btl 44,000.00 880,000.00 20 btl 45,650.00 913,000.00 30 btl 45,650.00 1,369,500.00 10 btl 45,650.00 456,500.00
Tinta warna merah 20 btl 44,000.00 880,000.00 20 btl 45,650.00 913,000.00 30 btl 45,650.00 1,369,500.00 10 btl 45,650.00 456,500.00
Tinta warna kuning 20 btl 44,000.00 880,000.00 20 btl 45,650.00 913,000.00 30 btl 45,650.00 1,369,500.00 10 btl 45,650.00 456,500.00
Tinta warna hitam untuk printer L120 56 btl 113,850.00 6,375,600.00 70 btl 115,250.00 8,067,500.00 56 btl 115,250.00 6,454,000.00 70 btl 115,250.00 8,067,500.00
Tinta warna biru untuk printer L120 15 btl 113,850.00 1,707,750.00 20 btl 115,250.00 2,305,000.00 15 btl 115,250.00 1,728,750.00 20 btl 115,250.00 2,305,000.00
Tinta warna merah untuk printer L120 15 btl 113,850.00 1,707,750.00 20 btl 115,250.00 2,305,000.00 15 btl 115,250.00 1,728,750.00 20 btl 115,250.00 2,305,000.00
Tinta warna kuning untuk printer L120 15 btl 113,850.00 1,707,750.00 20 btl 115,250.00 2,305,000.00 15 btl 115,250.00 1,728,750.00 20 btl 115,250.00 2,305,000.00
Tinta stempel - 5 btl 11,550.00 57,750.00 1 btl 11,550.00 11,550.00 4 btl 11,550.00 46,200.00
Binder Klip - 50 pak 10,450.00 522,500.00 2 pak 10,450.00 20,900.00 48 pak 10,450.00 501,600.00
Spidol White board - 6 lusin 102,300.00 613,800.00 3 lusin 102,300.00 306,900.00 3 lusin 102,300.00 306,900.00
Spidol permanent besar - 6 lusin 74,800.00 448,800.00 3 lusin 74,800.00 224,400.00 3 lusin 74,800.00 224,400.00
Spidol permanent kecil (OHP) - 6 lusin 114,950.00 689,700.00 3 lusin 114,950.00 344,850.00 3 lusin 114,950.00 344,850.00
Catridge hitam 810 3 bh 280,000.00 840,000.00 40 bh 283,250.00 11,330,000.00 30 bh 283,250.00 8,497,500.00 13 bh 283,250.00 3,682,250.00
Catridge warna 811 2 bh 315,000.00 630,000.00 20 bh 311,850.00 6,237,000.00 12 bh 311,850.00 3,742,200.00 10 bh 311,850.00 3,118,500.00
Catridge hitam PG 745 - 20 buah 270,000.00 5,400,000.00 5 buah 270,000.00 1,350,000.00 15 buah 270,000.00 4,050,000.00
Catridge berwarna PG 746 - 10 buah 320,000.00 3,200,000.00 10 buah 320,000.00 3,200,000.00 0 buah 320,000.00 -
Buku Ekspedisi 3 bh 19,250.00 57,750.00 5 buku 23,100.00 115,500.00 8 buku 23,100.00 184,800.00 0 buku 23,100.00 -
Buku Folio isi 200 - 20 buah 45,650.00 913,000.00 20 buah 45,650.00 913,000.00 0 buah 45,650.00 -
Buku Tulis isi 58 - 5 Lusin 42,900.00 214,500.00 5 Lusin 42,900.00 214,500.00 0 Lusin 42,900.00 -
Double Tip 1" 10 bh 6,000.00 60,000.00 20 Roll 4,675.00 93,500.00 16 Roll 4,675.00 74,800.00 14 Roll 4,675.00 65,450.00
Isi streples besar 5 pack 113,300.00 566,500.00 5 pak 115,500.00 577,500.00 5 pak 115,500.00 577,500.00 5 pak 115,500.00 577,500.00
Pita printer kasir 10 bh 34,100.00 341,000.00 10 buah 35,000.00 350,000.00 11 buah 35,000.00 385,000.00 9 buah 35,000.00 315,000.00
Kertas printer kasir 100 roll 5,500.00 550,000.00 100 roll 5,500.00 550,000.00 200 roll 5,500.00 1,100,000.00 0 roll 5,500.00 -
Lakban hitam - 10 rol 23,100.00 231,000.00 4 rol 23,100.00 92,400.00 6 rol 23,100.00 138,600.00
Staples kecil - 10 buah 17,050.00 170,500.00 10 buah 17,050.00 170,500.00 0 buah 17,050.00 -
Staples besar - 5 pcs 28,600.00 143,000.00 0 pcs 28,600.00 - 5 pcs 28,600.00 143,000.00
Isi Staples kecil - 10 pak 57,200.00 572,000.00 10 pak 57,200.00 572,000.00 0 pak 57,200.00 -
Corection pen - 20 buah 6,325.00 126,500.00 17 buah 6,325.00 107,525.00 3 buah 6,325.00 18,975.00
Cutter - 5 buah 14,300.00 71,500.00 4 buah 14,300.00 57,200.00 1 buah 14,300.00 14,300.00
Isi Cutter - 5 pak 89,100.00 445,500.00 3 pak 89,100.00 267,300.00 2 pak 89,100.00 178,200.00
Pulpen - 7 lusin 27,500.00 192,500.00 6 lusin 27,500.00 165,000.00 1 lusin 27,500.00 27,500.00
Perforator besar - 5 buah 68,200.00 341,000.00 1 buah 68,200.00 68,200.00 4 buah 68,200.00 272,800.00
Map Plastik - 50 lusin 38,500.00 1,925,000.00 14 lusin 38,500.00 539,000.00 36 lusin 38,500.00 1,386,000.00
Baterai A2 - 10 buah 7,150.00 71,500.00 10 buah 7,150.00 71,500.00 0 buah 7,150.00 -
Baterai A3 - 20 buah 6,875.00 137,500.00 20 buah 6,875.00 137,500.00 0 buah 6,875.00 -
21,850,650.00 72,748,300.00 54,663,025.00 40,269,225.00
2 ALAT LISTRIK DAN ELEKTRONIK
Lampu Tornado Helix 42 watt 30 Buah 72,000.00 2,160,000.00 - 20 Buah 72,000.00 1,440,000.00 10 Buah 72,000.00 720,000.00
Lampu Tornado 15 watt 30 Buah 46,200.00 1,386,000.00 - 30 Buah 46,200.00 1,386,000.00 0 Buah 46,200.00 -
Lampu Essensial 70 watt 20 Buah 90,000.00 1,800,000.00 - 10 Buah 90,000.00 900,000.00 10 Buah 90,000.00 900,000.00
kaber roll 3 Buah 84,000.00 252,000.00 - Buah 84,000.00 - 3 Buah 84,000.00 252,000.00
5,598,000.00 - 3,726,000.00 1,872,000.00
PERALATAN KEBERSIHAN DAN BAHAN
3 PEMBERSIH
-
Sapu Ijuk - 15 Pcs 25,850.00 387,750.00 7 Pcs 25,850.00 180,950.00 8 Pcs 25,850.00 206,800.00
Kemoceng Bulu Ayam - 10 Pcs 27,800.00 278,000.00 4 Pcs 27,800.00 111,200.00 6 Pcs 27,800.00 166,800.00
Keranjang cucian 1 bh 77,000.00 77,000.00 1 Buah 93,500.00 93,500.00 1 Buah 93,500.00 93,500.00 1 Buah 93,500.00 93,500.00
Kain pel 80 lbr 10,725.00 858,000.00 100 Buah 14,300.00 1,430,000.00 89 Buah 14,300.00 1,272,700.00 91 Buah 14,300.00 1,301,300.00
Pembersih lantai 9 bh 18,150.00 163,350.00 50 buah 18,700.00 935,000.00 49 buah 18,700.00 916,300.00 10 buah 18,700.00 187,000.00
Pembersih porselen 7 bh 19,800.00 138,600.00 10 Buah 20,900.00 209,000.00 11 Buah 20,900.00 229,900.00 6 Buah 20,900.00 125,400.00
Pembersih kaca - 20 buah 11,550.00 231,000.00 18 buah 11,550.00 207,900.00 2 buah 11,550.00 23,100.00
Pengharum ruangan spray - 50 kaleng 20,350.00 1,017,500.00 50 kaleng 20,350.00 1,017,500.00 0 kaleng 20,350.00 -
Pengharum toilet 13 bh 20,350.00 264,550.00 25 Buah 20,350.00 508,750.00 38 Buah 20,350.00 773,300.00 0 Buah 20,350.00 -
Sabun cuci baju 16 bh 31,900.00 510,400.00 30 Bungkus 20,900.00 627,000.00 37 Bungkus 20,900.00 773,300.00 9 Bungkus 20,900.00 188,100.00
Sabun cuci tangan cair refill 99 bh 15,950.00 1,579,050.00 200 Buah 20,350.00 4,070,000.00 296 Buah 20,350.00 6,023,600.00 3 Buah 20,350.00 61,050.00
Plastik sampah warna hitam - 70 pack 28,325.00 1,982,750.00 70 pack 28,325.00 1,982,750.00 0 pack 28,325.00 -
Plastik sampah warna kuning - 50 pack 28,325.00 1,416,250.00 50 pack 28,325.00 1,416,250.00 0 pack 28,325.00 -
Alat pel 12 bh 110,000.00 1,320,000.00 10 set 115,500.00 1,155,000.00 13 set 115,500.00 1,501,500.00 9 set 115,500.00 1,039,500.00
Tempat sampah injak 4 bh 99,000.00 396,000.00 10 Buah 98,000.00 980,000.00 11 Buah 98,000.00 1,078,000.00 3 Buah 98,000.00 294,000.00
Kain lap tangan 3 lusin 169,950.00 509,850.00 5 dosin 158,400.00 792,000.00 7 dosin 158,400.00 1,108,800.00 1 dosin 158,400.00 158,400.00
Lap Kaca / Wiper Pembersih Kaca - 5 Buah 31,350.00 156,750.00 1 Buah 31,350.00 31,350.00 4 Buah 31,350.00 125,400.00
Tissue Towel - 100 Roll 14,300.00 1,430,000.00 46 Roll 14,300.00 657,800.00 54 Roll 14,300.00 772,200.00
Tissu gulung 23 ball 34,100.00 784,300.00 50 Bal 33,000.00 1,650,000.00 54 Bal 33,000.00 1,782,000.00 19 Bal 33,000.00 627,000.00
Tissu kotak 24 dus 39,600.00 950,400.00 50 Dos 39,875.00 1,993,750.00 35 Dos 39,875.00 1,395,625.00 39 Dos 39,875.00 1,555,125.00
Keset Handuk - 10 buah 31,350.00 313,500.00 10 buah 31,350.00 313,500.00 0 buah 31,350.00 -
Keset Karet besar - 2 Buah 143,000.00 286,000.00 0 Buah 143,000.00 - 2 Buah 143,000.00 286,000.00
Lap Serbaguna 3 bh 79,750.00 239,250.00 5 pcs 34,100.00 170,500.00 5 pcs 34,100.00 170,500.00 3 pcs 34,100.00 102,300.00
Sikat toilet 20 bh 22,000.00 440,000.00 20 pcs 14,300.00 286,000.00 29 pcs 14,300.00 414,700.00 11 pcs 14,300.00 157,300.00
8,230,750.00 22,400,000.00 23,452,925.00 7,470,275.00
4 BAHAN BAKAR MINYAK/GAS
1.02.01.23/GU/04350 2,040,000.00 2,040,000.00 -
1.02.01.23/GU/06206 615,000.00 615,000.00 -
1.02.01.23/GU/08219 1,440,000.00 1,440,000.00 -
1.02.01.23/GU/17745 3,000,000.00 3,000,000.00 -
1.02.01.23/GU-NIHIL/19593 1,152,000.00 1,152,000.00 -
- 8,247,000.00 8,247,000.00 -
5 BAHAN BAKAR MINYAK PELUMAS
1.02.01.23/GU/17745 2,700,000.00 2,700,000.00 -
1.02.01.23/GU-NIHIL/19595 800,000.00 800,000.00 -
- 3,500,000.00 3,500,000.00 -
5 PENGISIAN TABUNG GAS
1.02.01.23/GU/04350 693,000.00 693,000.00 -
1.02.01.23/GU/06207 1,727,000.00 1,727,000.00 -
1.02.01.23/GU/08219 1,507,000.00 1,507,000.00 -
1.02.01.23/GU/09188 440,000.00 440,000.00 -
1.02.01.23/GU/12244 1,331,000.00 1,331,000.00 -
1.02.01.23/GU/13866 429,000.00 429,000.00 -
1.02.01.23/GU/15249 1,342,000.00 1,342,000.00 -
1.02.01.23/GU/17745 924,000.00 924,000.00 -
- 8,393,000.00 8,393,000.00 -
ALAT PENUNJANG
6
KESEHATAN/KEDOKTERAN HABIS PAKAI
Plastik sampah medis - 1000 lembar 4,400.00 4,400,000.00 lembar 4,400.00 - 1000 lembar 4,400.00 4,400,000.00
Plastik Obat klip - 150 pack 33,000.00 4,950,000.00 pack 33,000.00 - 150 pack 33,000.00 4,950,000.00
Kantong obat plastik - 300 pack 14,300.00 4,290,000.00 pack 14,300.00 - 300 pack 14,300.00 4,290,000.00
Mika Kotak Obat 8 X 20 cm - 100 Buah 5,940.00 594,000.00 75 Buah 5,940.00 445,500.00 25 Buah 5,940.00 148,500.00
- 14,234,000.00 445,500.00 13,788,500.00
7 BAHAN MAKANAN
1.02.01.23/LS/05985 73,870,500.00 73,870,500.00 -

1.02.01.23/GU/06205 7,722,900.00 7,722,900.00 -
1.02.01.23/LS/06938 16,327,500.00 16,327,500.00 -
1.02.01.23/LS/08190 16,685,000.00 16,685,000.00 -
1.02.01.23/LS/09273 16,714,000.00 16,714,000.00 -
1.02.01.23/LS/12147 17,019,500.00 17,019,500.00 -
1.02.01.23/LS/12868 16,891,500.00 16,891,500.00 -
1.02.01.23/LS/16811 22,872,500.00 22,872,500.00 -
1.02.01.23/LS/18648 27,617,000.00 27,617,000.00 -
- 215,720,400.00 215,720,400.00 -
8 BAHAN/SAMPEL UJI LAB
Sampel urine - 1 bh 1,500,000.00 1,500,000.00 1 bh 1,500,000.00 1,500,000.00 0 bh 1,500,000.00 -

Sampel hemato - 1 bh 1,900,000.00 1,900,000.00 1 bh 1,900,000.00 1,900,000.00 0 bh 1,900,000.00 -
- 3,400,000.00 3,400,000.00 -
9 CETAK
Blanko kartu rawat jalan - 30 rim 140,000.00 4,200,000.00 0 rim 140,000.00 - 30 rim 140,000.00 4,200,000.00
Blanko rawat inap I - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap II - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap III - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap IV - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap V - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap VI - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap VII - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko rawat inap VIII - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Inform Consent - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Kartu Anak - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Blanko UGD I - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko UGD II - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko UGD III - 5 rim 100,000.00 500,000.00 5 rim 100,000.00 500,000.00 0 rim 100,000.00 -
Blanko Hasil Laboratorium - 9 rim 100,000.00 900,000.00 0 rim 100,000.00 - 9 rim 100,000.00 900,000.00
Kartu Ibu I - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Kartu Ibu II - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Formulir bayi baru lahir - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
MTBS - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
MTBM - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Partograp - 2 rim 140,000.00 280,000.00 2 rim 140,000.00 280,000.00 0 rim 140,000.00 -
Blanko SOAP - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Inform Consent KB - 3 rim 100,000.00 300,000.00 3 rim 100,000.00 300,000.00 0 rim 100,000.00 -
Ordontogram Gigi - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Kartu status KB - 3 rim 140,000.00 420,000.00 3 rim 140,000.00 420,000.00 0 rim 140,000.00 -
Catatan Medis Deteksi Dini Kanker Rahim - 3 rim 140,000.00 420,000.00 3 rim 140,000.00 420,000.00 0 rim 140,000.00 -
Resep - 10 rim 140,000.00 1,400,000.00 10 rim 140,000.00 1,400,000.00 0 rim 140,000.00 -

Resep Rawat Inap - 5 rim 140,000.00 700,000.00 5 rim 140,000.00 700,000.00 0 rim 140,000.00 -
Catatan Medis IVA - 2 rim 140,000.00 280,000.00 2 rim 140,000.00 280,000.00 0 rim 140,000.00 -
Blanko Kartu Kontrol ANC - 2 rim 140,000.00 280,000.00 2 rim 140,000.00 280,000.00 0 rim 140,000.00 -
Blanko Kartu Kontrol PNC - 2 rim 100,000.00 200,000.00 2 rim 100,000.00 200,000.00 0 rim 100,000.00 -
Blanko Kartu Kontrol IMD - 2 rim 100,000.00 200,000.00 2 rim 100,000.00 200,000.00 0 rim 100,000.00 -
Blanko Kartu kontrol Nifas - 2 rim 100,000.00 200,000.00 2 rim 100,000.00 200,000.00 0 rim 100,000.00 -
Blanko Survey RTS - 4 rim 100,000.00 400,000.00 4 rim 100,000.00 400,000.00 0 rim 100,000.00 -
Register Kunjungan - 12 Buah 30,000.00 360,000.00 5 Buah 30,000.00 150,000.00 7 Buah 30,000.00 210,000.00
Rujukan umum - 12 Bendel 30,000.00 360,000.00 0 Bendel 30,000.00 - 12 Bendel 30,000.00 360,000.00
Surat keterangan sehat - 20 Bendel 15,000.00 300,000.00 5 Bendel 15,000.00 75,000.00 15 Bendel 15,000.00 225,000.00
Surat istirahat - 20 Bendel 15,000.00 300,000.00 0 Bendel 15,000.00 - 20 Bendel 15,000.00 300,000.00
Register rawat jalan 5 bh 109,000.00 545,000.00 10 buah 90,000.00 900,000.00 5 buah 90,000.00 450,000.00 10 buah 90,000.00 900,000.00
Rujukan internal 3 rim 109,000.00 327,000.00 5 rim 100,000.00 500,000.00 3 rim 100,000.00 300,000.00 5 rim 100,000.00 500,000.00
Permintaan laboratorium 25 bh 33,000.00 825,000.00 30 buah 30,000.00 900,000.00 25 buah 30,000.00 750,000.00 30 buah 30,000.00 900,000.00
Kohort Ibu - 20 Buah 140,000.00 2,800,000.00 20 Buah 140,000.00 2,800,000.00 0 Buah 140,000.00 -
Kohort Anak - 20 Buah 140,000.00 2,800,000.00 20 Buah 140,000.00 2,800,000.00 0 Buah 140,000.00 -
Kohort Bayi - 20 buah 140,000.00 2,800,000.00 20 buah 140,000.00 2,800,000.00 0 buah 140,000.00 -
Kohort APRAS - 20 Buah 140,000.00 2,800,000.00 20 Buah 140,000.00 2,800,000.00 0 Buah 140,000.00 -
Kohort KB - 20 buah 140,000.00 2,800,000.00 20 buah 140,000.00 2,800,000.00 0 buah 140,000.00 -
Kartu Identitas pasien 2000 bh 400.00 800,000.00 5000 lembar 450.00 2,250,000.00 2000 lembar 450.00 900,000.00 5000 lembar 450.00 2,250,000.00
Map Medical Record 5000 lembar 3,475.00 17,375,000.00 8000 lembar 4,000.00 32,000,000.00 5000 lembar 4,000.00 20,000,000.00 8000 lembar 4,000.00 32,000,000.00
Kartu persalinan 100 bh 400.00 40,000.00 1000 lembar 500.00 500,000.00 100 lembar 500.00 50,000.00 1000 lembar 500.00 500,000.00
Map SPJ - 500 lembar 1,900.00 950,000.00 0 lembar 1,900.00 - 500 lembar 1,900.00 950,000.00
Buku KIA - 500 Buah 15,000.00 7,500,000.00 0 Buah 15,000.00 - 500 Buah 15,000.00 7,500,000.00
Brosur - 3000 lembar 2,000.00 6,000,000.00 0 lembar 2,000.00 - 3000 lembar 2,000.00 6,000,000.00
19,912,000.00 88,600,000.00 53,355,000.00 57,695,000.00
11 MAKANAN DAN MINUMAN RAPAT
1.02.01.23/GU/02830 26,535,000.00 26,535,000.00 -
1.02.01.23/GU/03730 16,455,000.00 16,455,000.00 -
1.02.01.23/GU/06206 8,880,000.00 8,880,000.00 -
1.02.01.23/GU/07087 1,680,000.00 1,680,000.00 -
1.02.01.23/GU/08217 1,680,000.00 1,680,000.00 -
1.02.01.23/GU/13864 10,920,000.00 10,920,000.00 -
1.02.01.23/GU/15698 9,525,000.00 9,525,000.00 -
1.02.01.23/GU/16113 35,925,000.00 35,925,000.00 -
111,600,000.00 111,600,000.00 -
12 MAKANAN DAN MINUMAN PASIEN
1.02.01.23/LS/01239 21,850,200.00 21,850,200.00 -
1.02.01.23/GU/04352 27,103,800.00 27,103,800.00 -
48,954,000.00 48,954,000.00 -
Lumajang, 30 Desember 2020

Mengetahui
Kepala Puskesmas Klakah Pengurus Barang
drg. TUTUT PRIHANTINI AGUS ISAK

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN BAHAN KIMIA
UPT PUSKESMAS KLAKAH
UNTUK PERIODE TAHUN 2020
Saldo Awal 1 Januari 2020 Pengadaan 1 Januari - 30 Desember 2020 Penggunaan 1 Januari - 30 Desember 2020 Saldo Akhir 30 Desember 2020
Nilai Persediaan Nilai Persediaan Nilai Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Harga/Satuan Jumlah Harga/Satuan Jumlah Harga/Satuan Ket.
Satuan Awal Satuan Awal Penggunaan Persediaan
Barang Barang Barang Satuan Barang Satuan
15=3+7-
1 2 3 4 5 6 7 8 9 10 11 12 13 14 11 16 17 18=15x17 19
PUSKESMAS 42 8,560,000.00 70 44,580,000.00 63 20,297,000.00 49 32,843,000.00
2019
1 Salmonella typhi O 2 Btl/5ml 120,000.00 240,000.00 - 2 Btl/5ml 120,000.00 240,000 - Btl/5ml 120,000.00 -
2 Salmonella typhi H 2 Btl/5ml 120,000.00 240,000.00 - 2 Btl/5ml 120,000.00 240,000 - Btl/5ml 120,000.00 -
3 Salmonella paratyphi A 2 Btl/5ml 120,000.00 240,000.00 - 2 Btl/5ml 120,000.00 240,000 - Btl/5ml 120,000.00 -
4 Salmonella paratyphi B 2 Btl/5ml 120,000.00 240,000.00 - 2 Btl/5ml 120,000.00 240,000 - Btl/5ml 120,000.00 -
5 Anti A monoklonal (reagen golongan darah) 10 Btl/10ml 120,000.00 1,200,000.00 - 10 Btl/10ml 120,000.00 1,200,000 - Btl/10ml 120,000.00 -
6 Anti B monoklonal (reagen golongan darah) 10 Btl/10ml 120,000.00 1,200,000.00 - 10 Btl/10ml 120,000.00 1,200,000 - Btl/10ml 120,000.00 -
7 Anti D monoklonal (reagen golongan darah) 10 Btl/10ml 120,000.00 1,200,000.00 - 10 Btl/10ml 120,000.00 1,200,000 - Btl/10ml 120,000.00 -
8 Diluent 4 btl/500 btl 1,000,000.00 4,000,000.00 - 4 btl/500 btl 1,000,000.00 4,000,000 - btl/500 btl 1,000,000.00 -
2020
1 Salmonella typhi O - 2 Btl/5ml 121,000.00 242,000.00 2 Btl/5ml 121,000.00 242,000.00 - Btl/5ml 121,000.00 -
2 Salmonella typhi H - 2 Btl/5ml 121,000.00 242,000.00 2 Btl/5ml 121,000.00 242,000.00 - Btl/5ml 121,000.00 -
3 Salmonella paratyphi A - 2 Btl/5ml 121,000.00 242,000.00 2 Btl/5ml 121,000.00 242,000.00 - Btl/5ml 121,000.00 -
4 Salmonella paratyphi B - 2 Btl/5ml 121,000.00 242,000.00 2 Btl/5ml 121,000.00 242,000.00 - Btl/5ml 121,000.00 -
5 Anti A monoklonal (reagen golongan darah) - 10 Btl/10ml 121,000.00 1,210,000.00 3 Btl/10ml 121,000.00 363,000.00 7 Btl/10ml 121,000.00 847,000.00
6 Anti B monoklonal (reagen golongan darah) - 10 Btl/10ml 121,000.00 1,210,000.00 3 Btl/10ml 121,000.00 363,000.00 7 Btl/10ml 121,000.00 847,000.00
7 Anti D monoklonal (reagen golongan darah) - 10 Btl/10ml 121,000.00 1,210,000.00 3 Btl/10ml 121,000.00 363,000.00 7 Btl/10ml 121,000.00 847,000.00
8 Diluent - 4 btl/500 btl 2,640,000.00 10,560,000.00 2 btl/500 btl 2,640,000.00 5,280,000.00 2 btl/500 btl 2,640,000.00 5,280,000.00
9 Lysoglobin - 4botol/17 ml 3,168,000.00 12,672,000.00 -botol/17 ml 3,168,000.00 - 4botol/17 ml 3,168,000.00 12,672,000.00
10 Cleanser - 4 bh/10 lt 2,200,000.00 8,800,000.00 2 bh/10 lt 2,200,000.00 4,400,000.00 2 bh/10 lt 2,200,000.00 4,400,000.00
11 Kontrol Darah Normal - 5 bh/10 lt 990,000.00 4,950,000.00 - bh/10 lt 990,000.00 - 5 bh/10 lt 990,000.00 4,950,000.00
12 Tes Kit Garam Beryodium - 15 bh/10 lt 200,000.00 3,000,000.00 - bh/10 lt 200,000.00 - 15 bh/10 lt 200,000.00 3,000,000.00
42 8,560,000.00 70 44,580,000.00 63 20,297,000.00 49 32,843,000.00
Mengetahui Lumajang, 30 Desember 2020

Kuasa Pengguna Barang Pengurus Barang

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN OBAT - OBATAN
UNTUK PERIODE 1 JANUARI 2020 s/d 30 DESEMBER 2020
NO NAMA BARANG HARGA NILAI PERSEDIAAN HARGA NILAI PENGADAAN HARGA NILAI PENGGUNAAN HARGA SISA NILA PERSEDIAAN KET.
JML BRG SATUAN SATUAN AWAL JML BRG SATUAN SATUAN JML BRG SATUAN SATUAN JML BRG SATUAN SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
PUSKESMAS 78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00

2015 - - 0 -
K = 100 K = 100 K = 100
Bromheksin Tablet 8 mg 0 145.00 0 0 145.00 - 0 K = 100 Tab 145.00 - 0 145.00 -
Tab Tab Tab
K = Tube @ K = Tube @ K = Tube @ K = Tube
Gentamycin Krim 0,1 % 0 1,850.00 0 0 1,850.00 - 0 1,850.00 - 0 1,850.00 -
5g 5g 5g @ 5g
K = 1000 K = 1000 K = 1000 K = 1000
Gliseril Guaiakolat Tablet 100 mg 0 36.00 0 0 36.00 - 0 36.00 - 0 36.00 -
Tab Tab Tab Tab
Kalium Diklofenak Tablet 50 mg 0 K = 50 Tab 708.00 0 0 K = 50 Tab 708.00 - 0 K = 50 Tab 708.00 - 0 K = 50 Tab 708.00 -
Kloramfenikol Tetes Telinga 3 % 0 K = 24 btl 4,571.00 0 0 K = 24 btl 4,571.00 - 0 K = 24 btl 4,571.00 - 0 K = 24 btl 4,571.00 -
Metamizol sodium Injeksi 500 K = 10 K = 10 K = 10 K = 10
0 8,470.00 0 0 8,470.00 - 0 8,470.00 - 0 8,470.00 -
mg/ml ampul ampul ampul ampul
Metampiron 500mg, Ekstrak
K = 100 K = 100 K = 100
Belladona 10mg, Papaverin HCl 0 594.00 0 0 594.00 - 0 K = 100 TAB 594.00 - 0 594.00 -
TAB TAB TAB
25mg tablet
K=5
Methoklopramid Injeksi 5 mg/ml 0 K = 5 ampul 4,000.00 0 0 K = 5 ampul 4,000.00 - 0 K = 5 ampul 4,000.00 - 0 4,000.00 -
ampul
Multivitamin Neurotropic Injeksi B1 K = 10

0 K = 10 Amp 6,220.00 0 0 K = 10 Amp 6,220.00 - 0 K = 10 Amp 6,220.00 - 0 6,220.00 -
100 mg, B6 200 mg, B12 5000 mcg Amp
Multivitamin Tablet Tambah Darah K = 100 K = 100 K = 100 K = 100

0 277.00 0 0 277.00 - 0 277.00 - 0 277.00 -
Kombinasi (Vitamin dan Mineral) Tablet Tablet Tablet Tablet
Obat Batuk Hitam (OBH) cairan 0 Btl = 100ml 5,500.00 0 0 Btl = 100ml 5,500.00 - 0 Btl = 100ml 5,500.00 - 0 Btl = 100ml 5,500.00 -
Tabung 1 Tabung 1 Tabung 1 Tabung 1

Oksigen Medical (Tabung 1 m3) 0 72,600.00 0 0 72,600.00 - 0 72,600.00 - 0 72,600.00 -
m3 m3 m3 m3
Tabung 6 Tabung 6 Tabung 6 Tabung 6
Oksigen Medical (Tabung 6 m3) 0 83,160.00 0 0 83,160.00 - 0 83,160.00 - 0 83,160.00 -
m3 m3 m3 m3
Parasetamol tablet 500 mg, CTM, K = 1000 K = 1000 K = 1000 K = 1000
12780 339.00 4,332,420 0 339.00 - 12780 339.00 4,332,420.00 0 339.00 -
Pseudo Efedrin Tablet Tab Tab Tab Tab
B = 1000 B = 1000 B = 1000 B = 1000
Tiamin HCl (Vit B1) Tablet 50 mg 0 39.00 0 0 39.00 - 0 39.00 - 0 39.00 -
Tab Tab Tab Tab
OBAT GIGI
BahanTumpatan Sementara (Pink) 0 Tub = 28 g 180,000.00 0 0 Tub = 28 g 180,000.00 - 0 Tub = 28 g 180,000.00 - 0 Tub = 28 g 180,000.00 -
Bonding (Bahan Adhesive) 0 BTL @ 6 gr 1,236,000.00 0 0 BTL @ 6 gr 1,236,000.00 - 0 BTL @ 6 gr 1,236,000.00 - 0 BTL @ 6 gr 1,236,000.00 -
K = 100
Celluloid strip 0 K = 100 pcs 126,000.00 0 0 K = 100 pcs 126,000.00 - 0 K = 100 pcs 126,000.00 - 0 126,000.00 -
pcs
Devitalisasi Pasta (Non Arsen) 0 Set 210,000.00 0 0 Set 210,000.00 - 0 Set 210,000.00 - 0 Set 210,000.00 -
Enching (Phosporic Acid) 0 BTL @ 9gr 54,000.00 0 0 BTL @ 9gr 54,000.00 - 0 BTL @ 9gr 54,000.00 - 0 BTL @ 9gr 54,000.00 -
Eugenol Cairan 0 K = 12 btl 120,000.00 0 0 K = 12 btl 120,000.00 - 0 K = 12 btl 120,000.00 - 0 K = 12 btl 120,000.00 -
Formokresol ( pengganti TKF ) /
0 Btl = 10 ml 44,000.00 0 0 Btl = 10 ml 44,000.00 - 0 Btl = 10 ml 44,000.00 - 0 Btl = 10 ml 44,000.00 -
Ghimes
powder 15 powder 15 powder 15
Glass Ionomer Cement (Fuji GC IX) 0 780,000.00 0 0 780,000.00 - 0 powder 15 g 780,000.00 - 0 780,000.00 -
g g g
NO NAMA BARANG HARGA NILAI PERSEDIAAN HARGA HARGA HARGA KET.
SATUAN AWAL SATUAN NILAI PENGADAAN SATUAN NILAI PENGGUNAAN SATUAN SISA NILA PERSEDIAAN
JML BRG SATUAN JML BRG SATUAN JML BRG SATUAN JML BRG SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Komposit Light Cure (Solare x) 0 set 342,000.00 0 0 set 342,000.00 - 0 set 342,000.00 - 0 set 342,000.00 -
Monoklor kanfer Mentol Cairan
(CHKM)
Semen Seng Fosfat serbuk dan
0 set 708,000.00 0 0 set 708,000.00 - 0 set 708,000.00 - 0 set 708,000.00 -
cairan
2016
B = 100 B = 100 B = 100 B = 100
Allopurinol 300mg 0 608.00 0 0 608.00 - 0 608.00 - 0 608.00 -
Tablet Tablet Tablet Tablet
Botol = 100 Botol = 100 Botol = 100 Botol = 100
Alkohol 70% 143 5,166.00 738,738 0 5,166.00 - 74 5,166.00 382,284.00 69 5,166.00 356,454.00
ml ml ml ml
K = 10 K = 10 K = 10
Anti Hemorrhoid Supp + Neomycin 0 12,084.00 0 0 12,084.00 - 0 K = 10 Supp 12,084.00 - 0 12,084.00 -
Supp Supp Supp
Asam Askorbat (Vit. C) Tablet 50
0 B = 100 tab 53.00 0 0 B = 100 tab 53.00 - 0 B = 100 tab 53.00 - 0 B = 100 tab 53.00 -
mg
B = 100 B = 100 B = 100 B = 100
Asam Mefenamat 0 163.00 0 0 163.00 - 0 163.00 - 0 163.00 -
B = 200 B = 200 B = 200 B = 200
Bisacodil Tablet 5 mg 0 1,580.00 0 0 1,580.00 - 0 1,580.00 - 0 1,580.00 -
B = 100 B = 100 B = 100 B = 100
Cefiksim kaps 100mg 0 1,116.00 0 0 1,116.00 - 0 1,116.00 - 0 1,116.00 -
Kapsul Kapsul Kapsul Kapsul
B = 100 B = 100 B = 100 B = 100
Curcuma Tablet 0 1,202.00 0 0 1,202.00 - 0 1,202.00 - 0 1,202.00 -
Dextromethorphan 15mg, GG B = 100 B = 100 B = 100 B = 100
0 882.00 0 0 882.00 - 0 882.00 - 0 882.00 -
75mg, PP 15mg, CTM 2mg Tablet Tablet Tablet Tablet
Botol = Botol = Botol = Botol =
Hidrogen peroksida 3% 0 16,445.00 0 0 16,445.00 - 0 16,445.00 - 0 16,445.00 -
100ml 100ml 100ml 100ml
B = 100 B = 100 B = 100 B = 100
Hyosin plus tablet 0 1,438.00 0 0 1,438.00 - 0 1,438.00 - 0 1,438.00 -
Kalium Diklofenak Tablet 50 mg 0 K = 50 tab 645.00 0 0 K = 50 tab 645.00 - 0 K = 50 tab 645.00 - 0 K = 50 tab 645.00 -
Kaolin Pektin suspensi 0 Botol 8,424.00 0 0 Botol 8,424.00 - 0 Botol 8,424.00 - 0 Botol 8,424.00 -
B = 100
Klorampenikol Kapsul 250 mg 3550 B = 100 kap 375.00 1,331,250 0 B = 100 kap 375.00 - 3550 B = 100 kap 375.00 1,331,250.00 0 375.00 -
kap
Sachet = 1 Sachet = 1 Sachet = 1 Sachet = 1
Lactobacillus Powder 0 5,899.00 0 0 5,899.00 - 0 5,899.00 - 0 5,899.00 -
gram gram gram gram
Metamizol sodium Injeksi 500 B=5 B=5 B=5
0 8,879.00 0 0 8,879.00 - 0 B = 5 Ampul 8,879.00 - 0 8,879.00 -
mg/ml Ampul Ampul Ampul
B = 100 B = 100 B = 100 B = 100
Metronidazol 500mg 11256 393.00 4,423,608 0 393.00 - 2703 393.00 1,062,279.00 8553 393.00 3,361,329.00
tablet tablet tablet tablet
B = 100 B = 100 B = 100
Multivitamin + Vitamin C 3652 490.00 1,789,480 0 490.00 - 3652 B = 100 Tab 490.00 1,789,480.00 0 490.00 -
Tab Tab Tab
Multivitamin B1, B6, B12 0 B = 100 tab 1,767.00 0 0 B = 100 tab 1,767.00 - 0 B = 100 tab 1,767.00 - 0 B = 100 tab 1,767.00 -
Multivitamin Tablet Tambah Darah K = 100 K = 100 K = 100 K = 100

0 272.00 0 0 272.00 - 0 272.00 - 0 272.00 -
Kombinasi (Vitamin dan Mineral) Tablet Tablet Tablet Tablet
Na Lauril Sulfat, Na sitrat, Sorbitol,
0 Tube 23,774.00 0 0 Tube 23,774.00 - 0 Tube 23,774.00 - 0 Tube 23,774.00 -
PEG
Obat batuk Hitam (OBH) 3 Botol 5,720.00 17,160 0 Botol 5,720.00 - 3 Botol 5,720.00 17,160.00 0 Botol 5,720.00 -
Obat batuk Pilek sirup Anak 0 Botol 4,355.00 0 0 Botol 4,355.00 - 0 Botol 4,355.00 - 0 Botol 4,355.00 -
Parasetamol drop 60mg/0.6ml 0 Botol 6,858.00 0 0 Botol 6,858.00 - 0 Botol 6,858.00 - 0 Botol 6,858.00 -
Parasetamol tablet 120 mg, CTM,
0 Botol 24,570.00 0 0 Botol 24,570.00 - 0 Botol 24,570.00 - 0 Botol 24,570.00 -
Pseudo Efedrin Sirup
K = 10
Ranitidin Injeksi 25 mg / ml 0 K = 10 Amp 2,300.00 0 0 K = 10 Amp 2,300.00 - 0 K = 10 Amp 2,300.00 - 0 2,300.00 -
Amp
Salycil bedak 168 Botol 8,580.00 1,441,440 0 Botol 8,580.00 - 149 Botol 8,580.00 1,278,420.00 19 Botol 8,580.00 163,020.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Simvastatin Tablet 20 mg 0 K = 100 tab 1,000.00 0 0 K = 100 tab 1,000.00 - 0 K = 100 tab 1,000.00 - 0 K = 100 tab 1,000.00 -
B = 100 B = 100 B = 100 B = 100

Teofilin + salbutamol 0 183.00 0 0 183.00 - 0 183.00 - 0 183.00 -
Tetes Mata Steril 17 Botol 19,493.00 331,381 0 Botol 19,493.00 - 17 Botol 19,493.00 331,381.00 0 Botol 19,493.00 -
Obat Gigi
BahanTumpatan Sementara (White) 0 Tub = 28 g 220,250.00 0 0 Tub = 28 g 220,250.00 - 0 Tub = 28 g 220,250.00 - 0 Tub = 28 g 220,250.00 -
Bahan u/sterilisasi saluran akar

(Rokles)
Cotton Roll 3 Box 64,350.00 193,050 0 Box 64,350.00 - 0 Box 64,350.00 - 3 Box 64,350.00 193,050.00
Etil klorida 0 Botol 171,600.00 0 0 Botol 171,600.00 - 0 Botol 171,600.00 - 0 Botol 171,600.00 -
Glass Ionomer Cement (Fuji GC IX) 2 745,750.00 1,491,500 0 745,750.00 - 0 powder 15 g 745,750.00 - 2 745,750.00 1,491,500.00
g g g
Kalsium Hidroksida pasta (Calsidor) 0 Kotak 207,350.00 0 0 Kotak 207,350.00 - 0 Kotak 207,350.00 - 0 Kotak 207,350.00 -
Komposit Light Cure (Solare x) 0 set 491,950.00 0 0 set 491,950.00 - 0 set 491,950.00 - 0 set 491,950.00 -
2017
Anti Spasmodik Injeksi (Hyoscine-

0 B = 5 Amp 9,000.00 0 0 B = 5 Amp 9,000.00 - 0 B = 5 Amp 9,000.00 - 0 B = 5 Amp 9,000.00 -
N-Metylbromide 20 mg/ml)
Kloramfenikol Salep Mata 3 % 8 Tube 5 gr 6,800.00 54,400 0 Tube 5 gr 6,800.00 - 8 Tube 5 gr 6,800.00 54,400.00 0 Tube 5 gr 6,800.00 -
Kloramfenikol Tetes Mata 0,5 % 0 Btl = 5 ml 7,920.00 0 0 Btl = 5 ml 7,920.00 - 0 Btl = 5 ml 7,920.00 - 0 Btl = 5 ml 7,920.00 -
Loratadin Tablet 10 mg 0 K = 50 Tab 167.00 0 0 K = 50 Tab 167.00 - 0 K = 50 Tab 167.00 - 0 K = 50 Tab 167.00 -
Metampiron 500 mg, Ekstrak

K = 100 K = 100 K = 100
Belladon 10 mg, Papaverin HCl 25 11003 770.00 8,472,310 0 770.00 - 2013 K = 100 Tab 770.00 1,550,010.00 8990 770.00 6,922,300.00
Tab Tab Tab
mg Tablet
K=5
Methoklopramid Injeksi 5 mg/ml 0 K = 5 ampul 7,700.00 0 0 K = 5 ampul 7,700.00 - 0 K = 5 ampul 7,700.00 - 0 7,700.00 -
ampul
Multivitamin Neurotropic Injeksi B1 K = 20

0 K = 20 Amp 5,500.00 0 0 K = 20 Amp 5,500.00 - 0 K = 20 Amp 5,500.00 - 0 5,500.00 -
100 mg, B6 200 mg, B12 5000 mcg Amp
K = 100 K = 100 K = 100

Multivitamin + mineral 1320 432.00 570,240 0 432.00 - 1320 K = 100 Tab 432.00 570,240.00 0 432.00 -
Tab Tab Tab
Multivitamin sirup 0 Btl = 60 ml 6,854.00 0 0 Btl = 60 ml 6,854.00 - 0 Btl = 60 ml 6,854.00 - 0 Btl = 60 ml 6,854.00 -
botol = 10 botol = 10 botol = 10
Na docusate tetes telinga 15 27,500.00 412,500 0 27,500.00 - 15 botol = 10 ml 27,500.00 412,500.00 0 27,500.00 -
ml ml ml
Nistatin + Metronidazol ovula 0 kotak = 10 17,660.00 0 0 kotak = 10 17,660.00 - 0 kotak = 10 17,660.00 - 0 kotak = 10 17,660.00 -
Sirplus sirup 0 botol 13,200.00 0 0 botol 13,200.00 - 0 botol 13,200.00 - 0 botol 13,200.00 -
Sirplus tablet 0 botol 180.00 0 0 botol 180.00 - 0 botol 180.00 - 0 botol 180.00 -
Thrombopob gel 20g 23 Tube 67,600.00 1,554,800 0 Tube 67,600.00 - 4 Tube 67,600.00 270,400.00 19 Tube 67,600.00 1,284,400.00
Obat Gigi
Articulating Paper 1 Pcs 171,600.00 171,600 0 Pcs 171,600.00 - 1 Pcs 171,600.00 171,600.00 0 Pcs 171,600.00 -
Bonding 0 Botol 5 ml 357,500.00 0 0 Botol 5 ml 357,500.00 - 0 Botol 5 ml 357,500.00 - 0 Botol 5 ml 357,500.00 -
Etching 0 BTL @ 9gr 82,500.00 0 0 BTL @ 9gr 82,500.00 - 0 BTL @ 9gr 82,500.00 - 0 BTL @ 9gr 82,500.00 -
Etil Klorida Semprot 0 B = 100ml 156,000.00 0 0 B = 100ml 156,000.00 - 0 B = 100ml 156,000.00 - 0 B = 100ml 156,000.00 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Glass Ionomer Cement (Fuji GC IX) 5 976,250.00 4,881,250 0 976,250.00 - 5 powder 15 g 976,250.00 4,881,250.00 0 976,250.00 -
g g g
Komposit Light Cure (3,5) 2 set 400,400.00 800,800 0 set 400,400.00 - 2 set 400,400.00 800,800.00 0 set 400,400.00 -
Komposit Light Cure (A2) 2 set 400,400.00 800,800 0 set 400,400.00 - 2 set 400,400.00 800,800.00 0 set 400,400.00 -
Komposit Light Cure (A3) 2 set 400,400.00 800,800 0 set 400,400.00 - 2 set 400,400.00 800,800.00 0 set 400,400.00 -
TKF 1 botol 110,500.00 110,500 0 botol 110,500.00 - 1 botol 110,500.00 110,500.00 0 botol 110,500.00 -
Pantocain tetes mata 4 botol 16,680.00 66,720 0 botol 16,680.00 - 4 botol 16,680.00 66,720.00 0 botol 16,680.00 -
Gentamicin salep mata 150 Tube 7,343.00 1,101,450 0 Tube 7,343.00 - 57 Tube 7,343.00 418,551.00 93 Tube 7,343.00 682,899.00
Box = 10 Box = 10 Box = 10 Box = 10
Ondansetron Tab 4mg 0 1,540.00 0 0 1,540.00 - 0 1,540.00 - 0 1,540.00 -
Betametason + Neomycin salep
0 Tube 9,600.00 0 0 Tube 9,600.00 - 0 Tube 9,600.00 - 0 Tube 9,600.00 -
kulit
2018
OBAT
Ibuprofen 400mg 111 Tablet 315.00 34,965 0 Tablet 315.00 - 111 Tablet 315.00 34,965.00 0 Tablet 315.00 -
Metformin 500mg 3222 Tablet 228.00 734,616 0 Tablet 228.00 - 3222 Tablet 228.00 734,616.00 0 Tablet 228.00 -
Cefadroksil syr 125mg/5ml 0 Botol 9,900.00 0 0 Botol 9,900.00 - 0 Botol 9,900.00 - 0 Botol 9,900.00 -
Hyosin-N-Butilbromida 10mg.
1850 Tablet 2,000.00 3,700,000 0 Tablet 2,000.00 - 1850 Tablet 2,000.00 3,700,000.00 0 Tablet 2,000.00 -
Paracetamol 500mg
Curcuma 200mg Tablet 880 Tablet 1,202.00 1,057,760 0 Tablet 1,202.00 - 880 Tablet 1,202.00 1,057,760.00 0 Tablet 1,202.00 -
Paracetamol 500mg, GG 50mg,
Phenylpropanolamin 15mg, Dmp 1705 Tablet 782.00 1,333,310 0 Tablet 782.00 - 1705 Tablet 782.00 1,333,310.00 0 Tablet 782.00 -
15mg, Ctm 1mg
Dmp 15mg, GG 100mg,
5124 Tablet 531.00 2,720,844 0 Tablet 531.00 - 4112 Tablet 531.00 2,183,472.00 1012 Tablet 531.00 537,372.00
Difenhidramin 5mg
Metampiron 500mg, Thiamin HCl
50mg, Piridoksin HCl 100mg, 0 Tablet 650.00 0 0 Tablet 650.00 - 0 Tablet 650.00 - 0 Tablet 650.00 -
sianokobalamin 100mcg
Lactobacillus 502 Sachet 5,500.00 2,761,000 0 Sachet 5,500.00 - 502 Sachet 5,500.00 2,761,000.00 0 Sachet 5,500.00 -
Equal (Pemanis) Tablet 1213 Tablet 650.00 788,450 0 Tablet 650.00 - 1213 Tablet 650.00 788,450.00 0 Tablet 650.00 -
2019
OBAT
Allopurinol 300mg 1000 Tablet 650.00 650,000 0 Tablet 650.00 - 372 Tablet 650.00 241,800.00 628 Tablet 650.00 408,200.00
Asam Mefenamat 500mg
5000 Tablet 600.00 3,000,000 0 Tablet 600.00 - 5000 Tablet 600.00 3,000,000.00 0 Tablet 600.00 -
Tablet(altran)
Dimenhidrinat Tablet 50 mg 10000 Tablet 200.00 2,000,000 0 Tablet 200.00 - 355 Tablet 200.00 71,000.00 9645 Tablet 200.00 1,929,000.00
Kloramfenikol tetes mata 0,5%
100 Botol 10,000.00 1,000,000 0 Botol 10,000.00 - 88 Botol 10,000.00 880,000.00 12 Botol 10,000.00 120,000.00
(reco TM)
Klorpromazin Tab Salut 100 mg
1413 Tablet 569.00 803,997 0 Tablet 569.00 - 141 Tablet 569.00 80,229.00 1272 Tablet 569.00 723,768.00
(Cepezet)
Metformin 500mg 10000 Tablet 300.00 3,000,000 0 Tablet 300.00 - 4459 Tablet 300.00 1,337,700.00 5541 Tablet 300.00 1,662,300.00
Obat batuk Hitam (OBH) 300 Botol 7,000.00 2,100,000 0 Botol 7,000.00 - 152 Botol 7,000.00 1,064,000.00 148 Botol 7,000.00 1,036,000.00
Parasetamol drop
60 Botol 14,000.00 840,000 0 Botol 14,000.00 - 18 Botol 14,000.00 252,000.00 42 Botol 14,000.00 588,000.00
60mg/0.6ml(Grafadon)
Parasetamol tablet 500 mg, CTM,
10000 Tablet 600.00 6,000,000 0 Tablet 600.00 - 1831 Tablet 600.00 1,098,600.00 8169 Tablet 600.00 4,901,400.00
Pseudo Efedrin (Demacolin)
Simvastatin Tablet 20 mg 2000 Tablet 1,000.00 2,000,000 0 Tablet 1,000.00 - 288 Tablet 1,000.00 288,000.00 1712 Tablet 1,000.00 1,712,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Vitamin B Kompleks (nova B
12000 Tablet 104.00 1,248,000 0 Tablet 104.00 - 12000 Tablet 104.00 1,248,000.00 0 Tablet 104.00 -
komplek)
OBAT GIGI 0 0 0 - 0 - 0 -
Elte Cemen mini pack 2 Pcs 232,925.00 465,850 0 Pcs 232,925.00 - 2 Pcs 232,925.00 465,850.00 0 Pcs 232,925.00 -
Bonding/bahan adhesive/Single
2 Pcs 1,240,000.00 2,480,000 0 Pcs 1,240,000.00 - 2 Pcs 1,240,000.00 2,480,000.00 0 Pcs 1,240,000.00 -
Bond
Paramonochlorofenol / CHKM 1 Botol 85,450.00 85,450 0 Botol 85,450.00 - 1 Botol 85,450.00 85,450.00 0 Botol 85,450.00 -
Cotton Pellet 1 Pcs 100,000.00 100,000 0 Pcs 100,000.00 - 1 Pcs 100,000.00 100,000.00 0 Pcs 100,000.00 -
Etching Gel/Scotbond Etchant 2 Pcs 229,000.00 458,000 0 Pcs 229,000.00 - 2 Pcs 229,000.00 458,000.00 0 Pcs 229,000.00 -
Eugenol 2 Botol 200,000.00 400,000 0 Botol 200,000.00 - 2 Botol 200,000.00 400,000.00 0 Botol 200,000.00 -
Pasta Devitalisasi/Pulp X 1 Pcs 302,000.00 302,000 0 Pcs 302,000.00 - 1 Pcs 302,000.00 302,000.00 0 Pcs 302,000.00 -
Fuji IX GP 1-1 # A3 2 Pcs 1,101,100.00 2,202,200 0 Pcs 1,101,100.00 - 2 Pcs 1,101,100.00 2,202,200.00 0 Pcs 1,101,100.00 -
Tumpatan sementara/Caviton 3 Pcs 206,250.00 618,750 0 Pcs 206,250.00 - 3 Pcs 206,250.00 618,750.00 0 Pcs 206,250.00 -
2020
OBAT (Enseval) 0 0 0 - 0 - 0 -
Box 5 Box 5 Box 5
Metamizol Injeksi (Antrain) 0 5,500.00 0 12000 5,500.00 66,000,000.00 1376 Box 5 Ampul 5,500.00 7,568,000.00 10624 5,500.00 58,432,000.00
Ampul Ampul Ampul
Box 10 Box 10 Box 10
Paracetamol Suppo 125 (Pamol) 0 8,448.00 0 120 8,448.00 1,013,760.00 1 Box 10 Supp 8,448.00 8,448.00 119 8,448.00 1,005,312.00
Supp Supp Supp
Box 100 Box 100 Box 100 Box 100
Paracetamol tablet (Pamol) 0 452.00 0 11900 452.00 5,378,800.00 0 452.00 - 11900 452.00 5,378,800.00
OBAT (GGF)
Box 100 Box 100 Box 100 Box 100
Amlodipin Tablet 5mg 0 508.00 0 10000 508.00 5,080,000.00 0 508.00 - 10000 508.00 5,080,000.00
Antacida + Simeticon Suspensi
0 Botol 60 ml 9,200.00 0 500 Botol 60 ml 9,200.00 4,600,000.00 17 Botol 60 ml 9,200.00 156,400.00 483 Botol 60 ml 9,200.00 4,443,600.00
(Berlocid Suspensi)
Box 100 Box 100 Box 100 Box 100
Asam Mefenamat 500mg 0 250.00 0 80000 250.00 20,000,000.00 0 250.00 - 80000 250.00 20,000,000.00
Gentamycin Krim 0 Tube 5 gr 3,350.00 0 1000 Tube 5 gr 3,350.00 3,350,000.00 111 Tube 5 gr 3,350.00 371,850.00 889 Tube 5 gr 3,350.00 2,978,150.00
Kloramfenikol Tetes Telinga 1%
0 Botol 10 ml 8,900.00 0 300 Botol 10 ml 8,900.00 2,670,000.00 45 Botol 10 ml 8,900.00 400,500.00 255 Botol 10 ml 8,900.00 2,269,500.00
(Erlamycetin)
Box 100 Box 100 Box 100 Box 100
Metformin 500 mg 0 316.00 0 50000 316.00 15,800,000.00 0 316.00 - 50000 316.00 15,800,000.00
Box 10 Box 10 Box 10 Box 10
Methoklopramid Injeksi 0 6,300.00 0 300 6,300.00 1,890,000.00 56 6,300.00 352,800.00 244 6,300.00 1,537,200.00
Ampul Ampul Ampul Ampul
Multivitamin B1 ,B6 ,B12 Inj Box 20 Box 20 Box 20 Box 20
0 15,180.00 0 200 15,180.00 3,036,000.00 84 15,180.00 1,275,120.00 116 15,180.00 1,760,880.00
(Neourobat Forte Inj 3ml) Ampul Ampul Ampul Ampul
Box 100 Box 100 Box 100 Box 100
Multivitamin + Vit C 0 1,810.00 0 10000 1,810.00 18,100,000.00 0 1,810.00 - 10000 1,810.00 18,100,000.00
Omeprazole Kapsul 20 mg 0 400.00 0 10000 400.00 4,000,000.00 1498 400.00 599,200.00 8502 400.00 3,400,800.00
Kapsul Kapsul Kapsul Kapsul
Piracetam 1gr/5ml Injeksi 0 7,590.00 0 200 7,590.00 1,518,000.00 24 7,590.00 182,160.00 176 7,590.00 1,335,840.00
Box 100 Box 100 Box 100 Box 100
Piracetam 400mg Tablet 0 520.00 0 2000 520.00 1,040,000.00 51 520.00 26,520.00 1949 520.00 1,013,480.00
Ranitidin Injeksi 0 1,735.00 0 3000 1,735.00 5,205,000.00 0 1,735.00 - 3000 1,735.00 5,205,000.00
Salbutamol Nebulizer (Ventolin Box 20 Box 20 Box 20 Box 20
0 11,940.00 0 500 11,940.00 5,970,000.00 0 11,940.00 - 500 11,940.00 5,970,000.00
Nebule) Ampul Ampul Ampul Ampul
Box 100 Box 100 Box 100 Box 100
Salbutamol+Teofilin Tablet (Teosal) 0 250.00 0 3000 250.00 750,000.00 227 250.00 56,750.00 2773 250.00 693,250.00
Botol 100 Botol 100 Botol 100
Sukralfat suspensi 0 22,770.00 0 100 22,770.00 2,277,000.00 0 Botol 100 ml 22,770.00 - 100 22,770.00 2,277,000.00
ml ml ml
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Tetes Mata Steril (Rohto) 0 Botol 10 ml 13,600.00 0 300 Botol 10 ml 13,600.00 4,080,000.00 10 Botol 10 ml 13,600.00 136,000.00 290 Botol 10 ml 13,600.00 3,944,000.00
Box 100 Box 100 Box 100 Box 100

Vitamin B Komplex 0 110.00 0 100000 110.00 11,000,000.00 6636 110.00 729,960.00 93364 110.00 10,270,040.00
Ampicillin Injeksi 0 Box 10 Vial 15,100.00 0 550 Box 10 Vial 15,100.00 8,305,000.00 0 Box 10 Vial 15,100.00 - 550 Box 10 Vial 15,100.00 8,305,000.00
Cefadroxyl Sirup 0 Botol 60ml 11,350.00 0 200 Botol 60ml 11,350.00 2,270,000.00 10 Botol 60ml 11,350.00 113,500.00 190 Botol 60ml 11,350.00 2,156,500.00
TOTAL PERSEDIAAN 78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00
78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00

Mengetahui Lumajang, 30 DESEMBER 2020

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN ALKES HABIS PAKAI
NO NAMA BARANG HARGA SATUAN NILAI PERSEDIAAN AWAL HARGA SATUAN NILAI PENGADAAN HARGA SATUAN NILAI PENGGUNAAN HARGA SATUAN SISA NILA PERSEDIAAN KET.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
PUSKESMAS 81,498,224.00 172,489,690.00 63,862,248.22 190,125,665.78

2015 -
K = 100
Lancet For Fine Touch 0 K = 100 pcs 147.00 0 K = 100 pcs 147.00 - K = 100 pcs 147.00 - 0 147.00 -
pcs
Box = 10
Plester Hypo alergenik 1m X 2 inch 0 Box = 10 lbr 3,300.00 0 Box = 10 lbr 3,300.00 - Box = 10 lbr 3,300.00 - 0 3,300.00 -
lbr
Under Pad 10 K = 10 3,850.00 38,500 K = 10 3,850.00 - K = 10 3,850.00 - 10 K = 10 3,850.00 38,500.00
2016 -
Box = Box = Box =
Folley Catether 0 8,580.00 0 8,580.00 - 0 Box = 10Pcs 8,580.00 - 0 8,580.00 -
10Pcs 10Pcs 10Pcs
Jarum Jahit No. 9 25 k = 12 biji 18,590.00 464,750 k = 12 biji 18,590.00 - 1 k = 12 biji 18,590.00 18,590.00 24 k = 12 biji 18,590.00 446,160.00
Jarum Jahit No.11 26 k = 12 biji 18,590.00 483,340 k = 12 biji 18,590.00 - 0 k = 12 biji 18,590.00 - 26 k = 12 biji 18,590.00 483,340.00
Jarum Jahit No.16 30 k = 12 biji 18,590.00 557,700 k = 12 biji 18,590.00 - 0 k = 12 biji 18,590.00 - 30 k = 12 biji 18,590.00 557,700.00
Kanula 02 Bayi 45 Pcs 6,929.00 311,805 Pcs 6,929.00 - 0 Pcs 6,929.00 - 45 Pcs 6,929.00 311,805.00
Kassa steril 16x16 169 Box 7,537.00 1,273,753 Box 7,537.00 - 167 Box 7,537.00 1,258,679.00 2 Box 7,537.00 15,074.00
Box = Box = Box = Box =
Masker 0 543.00 0 543.00 - 0 543.00 - 0 543.00 -
100Pcs 100Pcs 100Pcs 100Pcs
Plester 5x4,5M 81 Rol 34,844.00 2,822,364 Rol 34,844.00 - 50 Rol 34,844.00 1,742,200.00 31 Rol 34,844.00 1,080,164.00
Plester bulat + kapas (Soft) 4200 k = 200 255.00 1,071,000 k = 200 255.00 - 200 k = 200 255.00 51,000.00 4000 k = 200 255.00 1,020,000.00
Plester hipoalergenik 5cm x 1m 0 Rol 14,834.00 0 Rol 14,834.00 - 0 Rol 14,834.00 - 0 Rol 14,834.00 -
Box = 50 Box = 50 Box = 50 Box = 50
Sarung Tangan Non Steril 0 1,030.00 0 1,030.00 - 0 1,030.00 - 0 1,030.00 -
Psg Psg Psg Psg
Box = Box = Box =
Sarung Tangan Steril 11 4,130.00 45,430 4,130.00 - 11 Box = 50Pcs 4,130.00 45,430.00 0 4,130.00 -
50Pcs 50Pcs 50Pcs
2017 - -
B0x = B0x = B0x =
Folley catether 0 20,800.00 0 20,800.00 - 0 B0x = 10Pcs 20,800.00 - 0 20,800.00 -
10Pcs 10Pcs 10Pcs
Botol = Botol = Botol = Botol =
Hidrogen peroksida 3% 26 29,282.00 761,332 29,282.00 - 26 29,282.00 761,332.00 0 29,282.00 -
800ml 800ml 800ml 800ml
Kapas gulung 100g 96 Pcs 10,600.00 1,017,600 Pcs 10,600.00 - 14 Pcs 10,600.00 148,400.00 82 Pcs 10,600.00 869,200.00
Kasa Pembalut Hidrofil 4 m x 10cm 647 Rol 4,000.00 2,588,000 Rol 4,000.00 - 56 Rol 4,000.00 224,000.00 591 Rol 4,000.00 2,364,000.00
Lancet 3800 Box = 100 195.00 741,000 Box = 100 195.00 - 3800 Box = 100 195.00 741,000.00 0 Box = 100 195.00 -
Box = Box = Box =
Masker 0 759.00 0 759.00 - 0 Box = 50Pcs 759.00 - 0 759.00 -
50Pcs 50Pcs 50Pcs
Plester hipoalergenik 5cm x 1m 448 Rol 17,175.00 7,694,400 Rol 17,175.00 - 73 Rol 17,175.00 1,253,775.00 375 Rol 17,175.00 6,440,625.00
Povidon Iodida 10 % (30 ml) 3 Btl = 30 ml 6,110.00 18,330 Btl = 30 ml 6,110.00 - 2 Btl = 30 ml 6,110.00 12,220.00 1 Btl = 30 ml 6,110.00 6,110.00
Box = 50 Box = 50 Box = 50 Box = 50
Sarung Tangan Non Steril 0 46,517.00 0 46,517.00 - 0 46,517.00 - 0 46,517.00 -
pasang pasang pasang pasang
Box = Box = Box =
Sarung Tangan Steril 0 6,500.00 0 6,500.00 - 0 Box = 50Pcs 6,500.00 - 0 6,500.00 -
50Pcs 50Pcs 50Pcs
Skalpel (Mess) 52 Box = 100 1,625.00 84,500 Box = 100 1,625.00 - 52 Box = 100 1,625.00 84,500.00 0 Box = 100 1,625.00 -
Under Pad 11 K = 10 4,455.00 49,005 K = 10 4,455.00 - 8 K = 10 4,455.00 35,640.00 3 K = 10 4,455.00 13,365.00
Box = Box = Box =
Urine Bag 23 5,200.00 119,600 5,200.00 - 23 Box = 50Pcs 5,200.00 119,600.00 0 5,200.00 -
50Pcs 50Pcs 50Pcs
ID Band dewasa pink 13 pack 120,000.00 1,560,000 pack 120,000.00 - 4 pack 120,000.00 480,000.00 9 pack 120,000.00 1,080,000.00
ID Band dewasa blue 12 pack 120,000.00 1,440,000 pack 120,000.00 - 3 pack 120,000.00 360,000.00 9 pack 120,000.00 1,080,000.00
ID Band dewasa yellow 2 pack 120,000.00 240,000 pack 120,000.00 - 0 pack 120,000.00 - 2 pack 120,000.00 240,000.00
ID Band dewasa red 2 pack 120,000.00 240,000 pack 120,000.00 - 0 pack 120,000.00 - 2 pack 120,000.00 240,000.00
ID Band anak pink 2 pack 120,000.00 240,000 pack 120,000.00 - 0 pack 120,000.00 - 2 pack 120,000.00 240,000.00
ID Band anak blue 2 pack 120,000.00 240,000 pack 120,000.00 - 1 pack 120,000.00 120,000.00 1 pack 120,000.00 120,000.00
2018 - -
Stik Glukosa darah 0 Tube 128,500.00 0 Tube 128,500.00 - 0 Tube 128,500.00 - 0 Tube 128,500.00 -
Stik Kolesterol 0 Tube 217,000.00 0 Tube 217,000.00 - 0 Tube 217,000.00 - 0 Tube 217,000.00 -
Stik Asam Urat 0 Tube 128,500.00 0 Tube 128,500.00 - 0 Tube 128,500.00 - 0 Tube 128,500.00 -
IgG/IgM Dengue 2 Box 1,980,000.00 3,960,000 Box 1,980,000.00 - 2 Box 1,980,000.00 3,960,000.00 0 Box 1,980,000.00 -
urine 3 Parameter 2 Tube 60,500.00 121,000 Tube 60,500.00 - 2 Tube 60,500.00 121,000.00 0 Tube 60,500.00 -
Urine 10 Parameter 0 Tube 220,000.00 0 Tube 220,000.00 - 0 Tube 220,000.00 - 0 Tube 220,000.00 -
Test Kehamilan 0 Box 94,500.00 0 Box 94,500.00 - 0 Box 94,500.00 - 0 Box 94,500.00 -
Folley Catether 0 Box 10,000.00 0 Box 10,000.00 - 0 Box 10,000.00 - 0 Box 10,000.00 -
Hidrogen peroksida 3% 42 Botol 15,750.00 661,500 Botol 15,750.00 - 25 Botol 15,750.00 393,750.00 17 Botol 15,750.00 267,750.00
Kassa Steril 16x16 500 Box 4,925.00 2,462,500 Box 4,925.00 - 411 Box 4,925.00 2,024,175.00 89 Box 4,925.00 438,325.00
Masker 2573 Pcs 590.00 1,518,070 Pcs 590.00 - 2508 Pcs 590.00 1,479,720.00 65 Pcs 590.00 38,350.00
Plester 5x5 100 Roll 34,750.00 3,475,000 Roll 34,750.00 - 24 Roll 34,750.00 834,000.00 76 Roll 34,750.00 2,641,000.00
Plester Bulat 3000 Pcs 295.00 885,000 Pcs 295.00 - 0 Pcs 295.00 - 3000 Pcs 295.00 885,000.00
Plester Hypoalergenik 5cmx1M 200 Roll 14,500.00 2,900,000 Roll 14,500.00 - 1 Roll 14,500.00 14,500.00 199 Roll 14,500.00 2,885,500.00
Sarung Tangan Non Steril 155 Pcs 400.00 62,000 Pcs 400.00 - 155 Pcs 400.00 62,000.00 0 Pcs 400.00 -
Sarung Tangan Steril 0 Pcs 3,950.00 0 Pcs 3,950.00 - 0 Pcs 3,950.00 - 0 Pcs 3,950.00 -
Transfusi set 0 Pcs 14,750.00 0 Pcs 14,750.00 - 0 Pcs 14,750.00 - 0 Pcs 14,750.00 -
Under Pad 190 Pcs 3,900.00 741,000 Pcs 3,900.00 - 190 Pcs 3,900.00 741,000.00 0 Pcs 3,900.00 -
2019 - -
Folley Catether 197 Pcs 14,850.00 2,925,450 Pcs 14,850.00 - 195 Pcs 14,850.00 2,895,750.00 2 Pcs 14,850.00 29,700.00
ID band anak blue 4 Pack 115,500.00 462,000 Pack 115,500.00 - 0 Pack 115,500.00 - 4 Pack 115,500.00 462,000.00
ID band anak pink 4 Pack 115,500.00 462,000 Pack 115,500.00 - 0 Pack 115,500.00 - 4 Pack 115,500.00 462,000.00
ID band dewasa blue 6 Pack 115,500.00 693,000 Pack 115,500.00 - 0 Pack 115,500.00 - 6 Pack 115,500.00 693,000.00
ID band dewasa pink 8 Pack 115,500.00 924,000 Pack 115,500.00 - 0 Pack 115,500.00 - 8 Pack 115,500.00 924,000.00
ID band dewasa red 2 Pack 115,500.00 231,000 Pack 115,500.00 - 0 Pack 115,500.00 - 2 Pack 115,500.00 231,000.00
ID band dewasa yellow 2 Pack 115,500.00 231,000 Pack 115,500.00 - 0 Pack 115,500.00 - 2 Pack 115,500.00 231,000.00
Kasa 40 Y X 80 cm 50 Roll 148,500.00 7,425,000 Roll 148,500.00 - 26 Roll 148,500.00 3,861,000.00 24 Roll 148,500.00 3,564,000.00
Masker 2000 Pcs 660.00 1,320,000 Pcs 660.00 - 0 Pcs 660.00 - 2000 Pcs 660.00 1,320,000.00
Oxygen Mask Adult 150 Pcs 19,800.00 2,970,000 Pcs 19,800.00 - 0 Pcs 19,800.00 - 150 Pcs 19,800.00 2,970,000.00
Oxygen Mask Pediatric 99 Pcs 19,800.00 1,960,200 Pcs 19,800.00 - 0 Pcs 19,800.00 - 99 Pcs 19,800.00 1,960,200.00
Plester 5 X 4,5 M 200 Roll 34,100.00 6,820,000 Roll 34,100.00 - 6 Roll 34,100.00 204,600.00 194 Roll 34,100.00 6,615,400.00
Sarung tangan non steril 23 Pcs 44,550.00 1,024,650 Pcs 44,550.00 - 23 Pcs 44,550.00 1,024,650.00 0 Pcs 44,550.00 -
Sarung tangan steril 210 Pcs 4,400.00 924,000 Pcs 4,400.00 - 207 Pcs 4,400.00 910,800.00 3 Pcs 4,400.00 13,200.00
Urine bag 121 Pcs 5,995.00 725,395 Pcs 5,995.00 - 121 Pcs 5,995.00 725,395.00 0 Pcs 5,995.00 -
Stik Glukosa Darah 7 Tube 126,500.00 885,500 Tube 126,500.00 - 7 Tube 126,500.00 885,500.00 0 Tube 126,500.00 -
Stik Asam Urat 0 Tube 126,500.00 0 Tube 126,500.00 - 0 Tube 126,500.00 - 0 Tube 126,500.00 -
Stik Cholesterol 0 Tube 220,000.00 0 Tube 220,000.00 - 0 Tube 220,000.00 - 0 Tube 220,000.00 -
Urine 3 parameter 9 Tube 64,900.00 584,100 Tube 64,900.00 - 5 Tube 64,900.00 324,500.00 4 Tube 64,900.00 259,600.00
Urine 10 parameter 1 Tube 346,500.00 346,500 Tube 346,500.00 - 1 Tube 346,500.00 346,500.00 0 Tube 346,500.00 -
Test Kehamilan 0 Box 93,500.00 0 Box 93,500.00 - 0 Box 93,500.00 - 0 Box 93,500.00 -
Test Narkoba 2 Box 946,000.00 1,892,000 Box 946,000.00 - 2 Box 946,000.00 1,892,000.00 0 Box 946,000.00 -
Mata Scaller 6 bh 55,000.00 330,000 bh 55,000.00 - 0 bh 55,000.00 - 6 bh 55,000.00 330,000.00
High Speed Bor Gigi 4 bh 209,000.00 836,000 bh 209,000.00 - 0 bh 209,000.00 - 4 bh 209,000.00 836,000.00
Bor Intan Kontra Angle Hand Piece
6 bh 14,850.00 89,100 bh 14,850.00 - 0 bh 14,850.00 - 6 bh 14,850.00 89,100.00
Conventional
Tranfusi set 441 Pcs 14,850.00 6,548,850 Pcs 14,850.00 - 79 Pcs 14,850.00 1,173,150.00 362 Pcs 14,850.00 5,375,700.00
15 APRIL 2020 0 - - -
Baju APD (Cover A11) Pcs 305,000.00 0 10 Pcs 305,000.00 3,050,000.00 Pcs 305,000.00 - 10 Pcs 305,000.00 3,050,000.00
Sepatu Boot Safety Pasang 300,000.00 0 10 Pasang 300,000.00 3,000,000.00 1 Pasang 300,000.00 300,000.00 9 Pasang 300,000.00 2,700,000.00
Kaca Mata Pcs 71,500.00 0 10 Pcs 71,500.00 715,000.00 Pcs 71,500.00 - 10 Pcs 71,500.00 715,000.00
Sarung Tangan Karet Latex Pasang 45,000.00 0 10 Pasang 45,000.00 450,000.00 Pasang 45,000.00 - 10 Pasang 45,000.00 450,000.00
Nurse Cap Pcs 2,300.00 0 10 Pcs 2,300.00 23,000.00 Pcs 2,300.00 - 10 Pcs 2,300.00 23,000.00
Masker Anti Toxis Pcs 50,000.00 0 10 Pcs 50,000.00 500,000.00 Pcs 50,000.00 - 10 Pcs 50,000.00 500,000.00
Perisai Wajah Pcs 125,000.00 0 10 Pcs 125,000.00 1,250,000.00 Pcs 125,000.00 - 10 Pcs 125,000.00 1,250,000.00
11 APRIL 2020 - -
Sarung Tangan Non Steril Pcs 1,100.00 0 32000 Pcs 1,100.00 35,200,000.00 13112 Pcs 1,100.00 14,423,200.00 18888 Pcs 1,100.00 20,776,800.00
Sarung Tangan Steril Pasang 10,000.00 0 700 Pasang 10,000.00 7,000,000.00 233 Pasang 10,000.00 2,330,000.00 467 Pasang 10,000.00 4,670,000.00
Tabung EDTA Pcs 1,250.00 0 5800 Pcs 1,250.00 7,250,000.00 2800 Pcs 1,250.00 3,500,000.00 3000 Pcs 1,250.00 3,750,000.00
12 AGUSTUS 2020 - -
Surgical Gown Pcs 220,000.00 0 52 Pcs 220,000.00 11,440,000.00 2 Pcs 220,000.00 440,000.00 50 Pcs 220,000.00 11,000,000.00
Apron Tube 129,250.00 0 90 Tube 129,250.00 11,632,500.00 11 Tube 129,250.00 1,421,750.00 79 Tube 129,250.00 10,210,750.00
Apron Kepala (Nursing Cup) Tube 129,250.00 0 35 Tube 129,250.00 4,523,750.00 10 Tube 129,250.00 1,292,500.00 25 Tube 129,250.00 3,231,250.00
Stik Glukosa Darah Tube 220,000.00 0 40 Tube 220,000.00 8,800,000.00 25 Tube 220,000.00 5,500,000.00 15 Tube 220,000.00 3,300,000.00
Stik Asam Urat Tube 126,500.00 0 7 Tube 126,500.00 885,500.00 2 Tube 126,500.00 253,000.00 5 Tube 126,500.00 632,500.00
Stik Cholestrol Tube 170,500.00 0 2 Tube 170,500.00 341,000.00 0 Tube 170,500.00 - 2 Tube 170,500.00 341,000.00
Urine 3 Paramater Box = 50 1,870.00 0 250 Box = 50 1,870.00 467,500.00 150 Box = 50 1,870.00 280,500.00 100 Box = 50 1,870.00 187,000.00
Urine 10 Parameter Box = 100 3,960.00 0 2000 Box = 100 3,960.00 7,920,000.00 0 Box = 100 3,960.00 - 2000 Box = 100 3,960.00 7,920,000.00
Tes Kehamilan Box = 100 1,210.00 0 2000 Box = 100 1,210.00 2,420,000.00 0 Box = 100 1,210.00 - 2000 Box = 100 1,210.00 2,420,000.00
BMHP (ONE MED) - - 0 -
Alkohol Swab 0 Pcs 120.00 0 5000 Pcs 120.00 600,000.00 200 Pcs 120.00 24,000.00 4800 Pcs 120.00 576,000.00
Antiseptic Handsrub Gel 0 Botol 26,500.00 0 100 Botol 26,500.00 2,650,000.00 0 Botol 26,500.00 - 100 Botol 26,500.00 2,650,000.00
Bracket HandWash 0 Pcs 17,500.00 0 50 Pcs 17,500.00 875,000.00 0 Pcs 17,500.00 - 50 Pcs 17,500.00 875,000.00
Infuset Dewasa 0 Pcs 3,200.00 0 1500 Pcs 3,200.00 4,800,000.00 0 Pcs 3,200.00 - 1500 Pcs 3,200.00 4,800,000.00
Jelly Catether 0 Pcs 29,550.00 0 30 Pcs 29,550.00 886,500.00 0 Pcs 29,550.00 - 30 Pcs 29,550.00 886,500.00
Lancet 0 Pcs 140.00 0 10000 Pcs 140.00 1,400,000.00 1000 Pcs 140.00 140,000.00 9000 Pcs 140.00 1,260,000.00
Nebulizer Aerosol with Mask dan

0 Pcs 19,470.00 0 400 Pcs 19,470.00 7,788,000.00 38 Pcs 19,470.00 739,860.00 362 Pcs 19,470.00 7,048,140.00
Tubing Adult
Nebulizer Aerosol with Mask dan
0 Pcs 19,470.00 0 200 Pcs 19,470.00 3,894,000.00 19 Pcs 19,470.00 369,930.00 181 Pcs 19,470.00 3,524,070.00
Tubing Child
Silk Black 0 Pcs 2,777.78 0 648 Pcs 2,777.78 1,800,000.00 26 Pcs 2,777.78 72,222.22 622 Pcs 2,777.78 1,727,777.78
Slide 0 Pcs 20,748.00 0 30 Pcs 20,748.00 622,440.00 2 Pcs 20,748.00 41,496.00 28 Pcs 20,748.00 580,944.00
Spuit 10cc 0 Pcs 925.00 0 500 Pcs 925.00 462,500.00 0 Pcs 925.00 - 500 Pcs 925.00 462,500.00
Spuit 1cc 0 Pcs 650.00 0 1000 Pcs 650.00 650,000.00 1 Pcs 650.00 650.00 999 Pcs 650.00 649,350.00
GALON 5 GALON 5 GALON 5 GALON 5

Ultrasound Gel 0 155,000.00 0 5 155,000.00 775,000.00 0 155,000.00 - 5 155,000.00 775,000.00
Liter Liter Liter Liter
Botol
Ultrasound Gel 0 Botol 250ml 16,000.00 0 20 Botol 250ml 16,000.00 320,000.00 0 Botol 250ml 16,000.00 - 20 16,000.00 320,000.00
250ml
0 0 0 - 0 - 0 -
Urine Bag 0 Pcs 3,000.00 0 400 Pcs 3,000.00 1,200,000.00 50 Pcs 3,000.00 150,000.00 350 Pcs 3,000.00 1,050,000.00
Folley Catether 0 Pcs 9,680.00 0 500 Pcs 9,680.00 4,840,000.00 79 Pcs 9,680.00 764,720.00 421 Pcs 9,680.00 4,075,280.00
Kanula Oksigen Anak 0 Box 5,500.00 0 200 Box 5,500.00 1,100,000.00 0 Box 5,500.00 - 200 Box 5,500.00 1,100,000.00
0 0 0 - 0 - 0 -
Oksigen Masker Anak 0 Pcs 13,500.00 0 100 Pcs 13,500.00 1,350,000.00 0 Pcs 13,500.00 - 100 Pcs 13,500.00 1,350,000.00
Oksigen Masker Dewasa 0 Pcs 13,500.00 0 300 Pcs 13,500.00 4,050,000.00 0 Pcs 13,500.00 - 300 Pcs 13,500.00 4,050,000.00
Povidon Iodine 30ml 0 Pcs 3,200.00 0 500 Pcs 3,200.00 1,600,000.00 0 Pcs 3,200.00 - 500 Pcs 3,200.00 1,600,000.00
Transfusi set 0 Pcs 3,600.00 0 300 Pcs 3,600.00 1,080,000.00 0 Pcs 3,600.00 - 300 Pcs 3,600.00 1,080,000.00
Under Pad 0 Pcs 7,626.00 0 3000 Pcs 7,626.00 22,878,000.00 64 Pcs 7,626.00 488,064.00 2936 Pcs 7,626.00 22,389,936.00


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN OBAT - OBATAN DAN VAKSIN
MUTASI MASUK/HIBAH/DROPPING DARI : IPFK
SALDO AWAL 1 JANUARI 2020 MUTASI MASUK 1 JAN S/D 31 DES PENGGUNAAN 1 JAN S/D 31 DES SALDO AKHIR 31 DES 2020
HARGA NILAI HARGA NILAI HARGA NILAI HARGA SISA NILAI
NO NAMA OBAT JUMLAH JUMLAH JUMLAH JUMLAH KET
SATUAN SATUAN PERSEDIAAN SATUAN SATUAN PENGADAAN SATUAN SATUAN PENGGUNAAN SATUAN SATUAN PERSEDIAAN
BRG BRG BRG BRG
OBAT
1 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) - Tablet 99.00 - - Tablet 99.00 - - Tablet 99.00 - - Tablet 99.00 -
2 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) 160 Tablet 105.00 16,800.00 100 Tablet 105.00 10,500.00 260 Tablet 105.00 27,300.00 - Tablet 105.00 -
3 Acetosal/Acetylsalicylic Acid Tablet 80 mg (MINIASPI) - Tablet 105.00 - 1,000 Tablet 105.00 105,000.00 452 Tablet 105.00 47,460.00 548 Tablet 105.00 57,540.00
5 Air Untuk Injeksi Vial @25 ml 120 Vial 2,860.00 343,200.00 360 Vial 2,860.00 1,029,600.00 480 Vial 2,860.00 1,372,800.00 - Vial 2,860.00 -
6 Air Untuk Injeksi Vial @25 ml - Vial 2,860.00 - 720 Vial 2,860.00 2,059,200.00 352 Vial 2,860.00 1,006,720.00 368 Vial 2,860.00 1,052,480.00
7 Air Untuk Irigasi Infus 1000 ml - Botol 10,500.00 - - Botol 10,500.00 - - Botol 10,500.00 - - Botol 10,500.00 -
8 Alopurinol Tablet 100 mg 643 Tablet 104.00 66,872.00 900 Tablet 104.00 93,600.00 1,495 Tablet 104.00 155,480.00 48 Tablet 104.00 4,992.00
9 Alopurinol Tablet 100 mg - 0 220.00 - 800 - 220.00 176,000.00 - - 220.00 - 800 - 220.00 176,000.00
10 Ambroxol Tablet 30 mg 735 Tablet 93.50 68,722.50 1,400 Tablet 93.50 130,900.00 2,015 Tablet 93.50 188,402.50 120 Tablet 93.50 11,220.00
12 Aminofilin Injeksi 24 mg/ml 45 Ampule 2,998.00 134,910.00 30 Ampule 2,998.00 89,940.00 12 Ampule 2,998.00 35,976.00 63 Ampule 2,998.00 188,874.00
14 Amlodipin Tablet 10 Mg - Tablet 93.00 - - Tablet 93.00 - - Tablet 93.00 - - Tablet 93.00 -
15 Amlodipin Tablet 10 Mg - Tablet 99.00 - 9,900 Tablet 99.00 980,100.00 6,638 Tablet 99.00 657,162.00 3,262 Tablet 99.00 322,938.00
17 Amoksisilin Kaplet 500 mg - Tablet 190.00 - 10,000 Tablet 190.00 1,900,000.00 9,461 Tablet 190.00 1,797,590.00 539 Tablet 190.00 102,410.00
18 Amoksisilin Kaplet 500 mg 43 Tablet 233.00 10,019.00 - Tablet 233.00 - 43 Tablet 233.00 10,019.00 - Tablet 233.00 -
19 Amoksisilin Kaplet 500 mg 8,914 Tablet 233.00 2,076,962.00 22,000 Tablet 233.00 5,126,000.00 30,914 Tablet 233.00 7,202,962.00 - Tablet 233.00 -
20 Amoksisilin Kaplet 500 mg - Tablet 249.00 - 11,000 Tablet 249.00 2,739,000.00 945 Tablet 249.00 235,305.00 10,055 Tablet 249.00 2,503,695.00
22 Amoksisilin Syrup Kering 125 mg / 5 ml 322 Botol 3,025.00 974,050.00 300 Botol 3,025.00 907,500.00 404 Botol 3,025.00 1,222,100.00 218 Botol 3,025.00 659,450.00
23 Amoksisilin Syrup Kering 125 mg / 5 ml - 0 3,025.00 - - - 3,025.00 - - - 3,025.00 - - - 3,025.00 -
24 Amoksisilin Syrup Kering 250mg / 5 ml 57 Botol 4,400.00 250,800.00 60 Botol 4,400.00 264,000.00 89 Botol 4,400.00 391,600.00 28 Botol 4,400.00 123,200.00
25 Amoksisilin Syrup Kering 250mg / 5 ml (Novapharin) - Botol 3,628.00 - - Botol 3,628.00 - - Botol 3,628.00 - - Botol 3,628.00 -
26 Amoxiclav 625 mg (Amoksisilin 500 mg, Clavulanat 125 mg) / CLABAT - Tablet 10,246.50 - - Tablet 10,246.50 - - Tablet 10,246.50 - - Tablet 10,246.50 -
27 Amoxiclav 625 mg (Amoksisilin 500 mg, Clavulanat 125 mg) / CLABAT - Tablet 9,900.00 - - Tablet 9,900.00 - - Tablet 9,900.00 - - Tablet 9,900.00 -
28 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) 324 Vial 8,500.00 2,754,000.00 500 Vial 8,500.00 4,250,000.00 824 Vial 8,500.00 7,004,000.00 - Vial 8,500.00 -
29 Ampicilin Serbuk Inj i.v 1.000 mg/vial - Vial 8,237.00 - 1,000 Vial 8,237.00 8,237,000.00 528 Vial 8,237.00 4,349,136.00 472 Vial 8,237.00 3,887,864.00
31 Antacida + Simeticon Suspensi (NOVAMAG) 90 Botol 4,950.00 445,500.00 150 Botol 4,950.00 742,500.00 240 Botol 4,950.00 1,188,000.00 - Botol 4,950.00 -
33 Antacida + Simeticon Tablet Kunyah (MAGTEN) 6,957 Tablet 440.00 3,061,080.00 - Tablet 440.00 - 6,957 Tablet 440.00 3,061,080.00 - Tablet 440.00 -
34 Antacida + Simeticon Tablet Kunyah (MAGTEN) - Tablet 220.00 - - Tablet 220.00 - - Tablet 220.00 - - Tablet 220.00 -
35 Antacida + Simeticon Tablet Kunyah (MAGTEN) 1,353 Tablet 165.00 223,245.00 13,000 Tablet 165.00 2,145,000.00 13,210 Tablet 165.00 2,179,650.00 1,143 Tablet 165.00 188,595.00
36 Antacida tablet kunyah DOEN, kombinasi : Alumunium Hidroksida 20 - Tablet 58.00 - 3,000 Tablet 58.00 174,000.00 46 Tablet 58.00 2,668.00 2,954 Tablet 58.00 171,332.00
38 Anti Bakteri Doen Salep Kombinasi (Indo Farma) - Tube 3,035.00 - - Tube 3,035.00 - - Tube 3,035.00 - - Tube 3,035.00 -
40 Antifungi Doen Salep, Kombinasi : Asam Benzoat 6%+Asam Salisilat 3% - Pot 4,496.00 - 48 Pot 4,496.00 215,808.00 28 Pot 4,496.00 125,888.00 20 Pot 4,496.00 89,920.00
42 Antihemoroid Kombinasi : Bismut Suppgalat 150 mg Heksaklorofen 2, 255 Supp 3,045.00 776,475.00 20 Supp 3,045.00 60,900.00 275 Supp 3,045.00 837,375.00 - Supp 3,045.00 -
43 Asam Ascorbat 500 mg (Vitamin C) - Tablet 198.00 - - Tablet 198.00 - - Tablet 198.00 - - Tablet 198.00 -
44 Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus Bio 20% 185 Tablet 1,485.00 274,725.00 150 Tablet 1,485.00 222,750.00 335 Tablet 1,485.00 497,475.00 - Tablet 1,485.00 -
45 Antihemoroid Tablet (Extrak Graptophili Folium 80% Citrus Bio 20% - Tablet 1,551.00 - 240 Tablet 1,551.00 372,240.00 94 Tablet 1,551.00 145,794.00 146 Tablet 1,551.00 226,446.00
46 Asam Ascorbat 50 mg (Vitamin C) 1,090 Tablet 105.00 114,450.00 1,500 Tablet 105.00 157,500.00 2,572 Tablet 105.00 270,060.00 18 Tablet 105.00 1,890.00
47 Asam Ascorbat 50 mg (Vitamin C) - Tablet 105.00 - 3,000 Tablet 105.00 315,000.00 1,594 Tablet 105.00 167,370.00 1,406 Tablet 105.00 147,630.00
48 Asam Folat 1 mg Beta Caroten 10000 Multi Mineral/ FOLAMIL (Dexa M 717 Tablet 1,050.00 752,850.00 - Tablet 1,050.00 - 717 Tablet 1,050.00 752,850.00 - Tablet 1,050.00 -
49 Asam Folat Tablet 1 mg (Marin Liza Farmasi) 2,008 Tablet 67.00 134,536.00 - Tablet 67.00 - 2,008 Tablet 67.00 134,536.00 - Tablet 67.00 -
50 Asam Folat Tablet 1 mg - Tablet 75.00 - 2,000 Tablet 75.00 150,000.00 964 Tablet 75.00 72,300.00 1,036 Tablet 75.00 77,700.00
51 Asam Mefenamat 500 mg ( Mersi ) 2,306 Tablet 103.00 237,518.00 - Tablet 103.00 - 2,306 Tablet 103.00 237,518.00 - Tablet 103.00 -
52 Asam Mefenamat 500 mg - 0 253.00 - 5,000 - 253.00 1,265,000.00 3,831 - 253.00 969,243.00 1,169 - 253.00 295,757.00
54 Asam Tranexamat 100 mg/@5 ml Injeksi - Ampul 2,076.00 - 20 Ampul 2,076.00 41,520.00 - Ampul 2,076.00 - 20 Ampul 2,076.00 41,520.00
56 Asam Tranexamat Tablet 500 mg 149 Tablet 1,584.00 236,016.00 - Tablet 1,584.00 - 36 Tablet 1,584.00 57,024.00 113 Tablet 1,584.00 178,992.00
58 Asiklovir 5% 5gr Cream - Tube 2,915.00 - - Tube 2,915.00 - - Tube 2,915.00 - - Tube 2,915.00 -
59 Asiklovir 5% 5gr Cream 28 Tube 2,750.00 77,000.00 80 Tube 2,750.00 220,000.00 64 Tube 2,750.00 176,000.00 44 Tube 2,750.00 121,000.00
61 Asiklovir Tab 400 mg ( Phapros ) 18 Tablet 380.00 6,840.00 - Tablet 380.00 - 18 Tablet 380.00 6,840.00 - Tablet 380.00 -
62 Asiklovir Tab 400 mg ( Phapros ) 416 Tablet 380.00 158,080.00 200 Tablet 380.00 76,000.00 528 Tablet 380.00 200,640.00 88 Tablet 380.00 33,440.00
63 Asiklovir Tab 400 mg ( Phapros ) - Tablet 405.00 - 600 Tablet 405.00 243,000.00 - Tablet 405.00 - 600 Tablet 405.00 243,000.00
64 Atropin Sulfat Injeksi 0,25 mg/ml - Ampule 1,639.00 - - Ampule 1,639.00 - - Ampule 1,639.00 - - Ampule 1,639.00 -
65 Atropin Sulfat Injeksi 0,25 mg/ml (i.m/i.v/s.k) - Ampule 1,639.00 - 10 Ampule 1,639.00 16,390.00 - Ampule 1,639.00 - 10 Ampule 1,639.00 16,390.00
BRG BRG BRG BRG
66 Attapulgite Active 630 mg Tab/ New Antides 846 Tablet 136.00 115,056.00 - Tablet 136.00 - 846 Tablet 136.00 115,056.00 - Tablet 136.00 -
67 Attapulgite Active 630 mg Tab/ PULAREX 800 Tablet 152.00 121,600.00 2,000 Tablet 152.00 304,000.00 1,727 Tablet 152.00 262,504.00 1,073 Tablet 152.00 163,096.00
68 Attapulgite Active 630 mg Tab/ New Antides - Tablet 145.00 - 1,000 Tablet 145.00 145,000.00 - Tablet 145.00 - 1,000 Tablet 145.00 145,000.00
69 Betahistin Mesylat 6 mg 551 Tablet 110.00 60,610.00 200 Tablet 110.00 22,000.00 751 Tablet 110.00 82,610.00 - Tablet 110.00 -
70 Betahistin Mesylat 6 mg - Tablet 110.00 - 1,500 Tablet 110.00 165,000.00 894 Tablet 110.00 98,340.00 606 Tablet 110.00 66,660.00
71 Betametason Dipropionat Krim 0,1% 76 Tube @ 10 gram 3,350.00 254,600.00 - Tube @ 10 gram 3,350.00 - 76 Tube @ 10 gram 3,350.00 254,600.00 - Tube @ 10 gram 3,350.00 -
72 Betametason Dipropionat Krim 0,1% 13 Tube @ 10 gram 3,350.00 43,550.00 - Tube @ 10 gram 3,350.00 - 13 Tube @ 10 gram 3,350.00 43,550.00 - Tube @ 10 gram 3,350.00 -
73 Betametason Dipropionat Krim 0,1% - Tube @ 10 gram 3,350.00 - 275 Tube @ 10 gram 3,350.00 921,250.00 174 Tube @ 10 gram 3,350.00 582,900.00 101 Tube @ 10 gram 3,350.00 338,350.00
74 Bisakodil Tablet 5 mg (Etercon Pharma ) - Tablet 300.00 - - Tablet 300.00 - - Tablet 300.00 - - Tablet 300.00 -
75 Bisakodil Sup 10 mg (Dulcolax) - Supp 5,900.00 - 30 Supp 5,900.00 177,000.00 19 Supp 5,900.00 112,100.00 11 Supp 5,900.00 64,900.00
76 Bisoprolol 2,5 mg/concor 2,5 - Tablet 626.00 - - Tablet 626.00 - - Tablet 626.00 - - Tablet 626.00 -
77 Benzatin Benzil Penisilin 2,4 jt - 0 18,150.00 - - - 18,150.00 - - - 18,150.00 - - - 18,150.00 -
78 Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra Zeneca ) II - Biji 7,602.00 - - Biji 7,602.00 - - Biji 7,602.00 - - Biji 7,602.00 -
79 Bricasma Respules Terbutalin Cairan IH 2,5 mg/ml (Astra Zeneca ) I - Biji 7,124.00 - - Biji 7,124.00 - - Biji 7,124.00 - - Biji 7,124.00 -
81 Budesonid Formoterol Inhaler 160/4,5 mcg/Symbicort (Astra Zeneca) 4 pcs 149,266.00 597,064.00 - pcs 149,266.00 - 3 pcs 149,266.00 447,798.00 1 pcs 149,266.00 149,266.00
83 Calcium Plus Vit D3 (Coral calcium 500 mg,Naturan Soyisoflavonoid 2 - Tablet 5,280.00 - - Tablet 5,280.00 - - Tablet 5,280.00 - - Tablet 5,280.00 -
84 Cefadroksil Kapsul 500 mg 23 Tablet 660.00 15,180.00 1,300 Tablet 660.00 858,000.00 1,323 Tablet 660.00 873,180.00 - Tablet 660.00 -
85 Cefadroksil Kapsul 500 mg - Tablet 671.00 - 1,000 Tablet 671.00 671,000.00 462 Tablet 671.00 310,002.00 538 Tablet 671.00 360,998.00
86 Cefotaxime serbuk injeksi 1.000 mg - Vial 4,282.00 - - Vial 4,282.00 - - Vial 4,282.00 - - Vial 4,282.00 -
87 Citicolin 250 mg / 2 ml Inj /Cercul (Phapros ) 36 Ampule 11,000.00 396,000.00 40 Ampule 11,000.00 440,000.00 76 Ampule 11,000.00 836,000.00 - Ampule 11,000.00 -
88 Citicolin 250 mg / 2 ml Inj - Ampule 10,098.00 - - Ampule 10,098.00 - - Ampule 10,098.00 - - Ampule 10,098.00 -
89 Curcumin Plus Cynarin,Sylimarin,Kapsul/ HEPAGARD (Phapros) - Tablet 2,805.00 - - Tablet 2,805.00 - - Tablet 2,805.00 - - Tablet 2,805.00 -
90 Deksamethason Inj iv/ im 5 mg/ ml (Mepro) 152 Ampule 1,097.00 166,744.00 - Ampule 1,097.00 - 135 Ampule 1,097.00 148,095.00 17 Ampule 1,097.00 18,649.00
91 Deksamethason Inj iv/ im 5 mg/ ml (Mepro) - Ampule 1,097.00 - 100 Ampule 1,097.00 109,700.00 1 Ampule 1,097.00 1,097.00 99 Ampule 1,097.00 108,603.00
92 Deksamethason Tab 0,5 mg (Promed ) 1,582 Tablet 60.50 95,711.00 3,100 Tablet 60.50 187,550.00 4,615 Tablet 60.50 279,207.50 67 Tablet 60.50 4,053.50
93 Deksamethason Tab 0,5 mg - 0 66.00 - 2,000 - 66.00 132,000.00 335 - 66.00 22,110.00 1,665 - 66.00 109,890.00
94 Desoksimetason Krim 0,25% 15gram ( Dexa Medica) 7 Tube 10,400.00 72,800.00 - Tube 10,400.00 - 7 Tube 10,400.00 72,800.00 - Tube 10,400.00 -
95 Dextromertofan Komb Syr/ BANTIF (Sanbe) - Botol 9,900.00 - - Botol 9,900.00 - - Botol 9,900.00 - - Botol 9,900.00 -
96 Difenhidramin Inj 10 mg/ ml (Phapros ) 299 Ampule 1,095.00 327,405.00 1,500 Ampule 1,095.00 1,642,500.00 1,494 Ampule 1,095.00 1,635,930.00 305 Ampule 1,095.00 333,975.00
98 Digoksin Tab 0,25 mg (Yarindo Farmatama ) - Tablet 104.00 - - Tablet 104.00 - - Tablet 104.00 - - Tablet 104.00 -
99 Digoksin Tab 0,25 mg (Yarindo Farmatama ) 287 Tablet 104.00 29,848.00 500 Tablet 104.00 52,000.00 670 Tablet 104.00 69,680.00 117 Tablet 104.00 12,168.00
100 Digoksin Tab 0,25 mg - Tablet 104.00 - - Tablet 104.00 - - Tablet 104.00 - - Tablet 104.00 -
101 Dimenhidrinat Tablet 50 mg/ Kimia Farma - Tablet 105.00 - - Tablet 105.00 - - Tablet 105.00 - - Tablet 105.00 -
102 Dimenhidrinat Tablet 50 mg/ Kimia Farma II 1,000 Tablet 112.00 112,000.00 - Tablet 112.00 - 911 Tablet 112.00 102,032.00 89 Tablet 112.00 9,968.00
104 Domperidon Suspensi 5 mg /5 ml (Novapharin ) 34 Botol 4,400.00 149,600.00 50 Botol 4,400.00 220,000.00 64 Botol 4,400.00 281,600.00 20 Botol 4,400.00 88,000.00
105 Domperidon Suspensi 5 mg /5 ml (Novapharin ) - Botol 2,700.00 - - Botol 2,700.00 - - Botol 2,700.00 - - Botol 2,700.00 -
106 Domperidon Tab 10 mg (Novapharin ) - Tablet 165.00 - 600 Tablet 165.00 99,000.00 211 Tablet 165.00 34,815.00 389 Tablet 165.00 64,185.00
107 Domperidon Tab 10 mg (Novapharin ) - Tablet 91.00 - - Tablet 91.00 - - Tablet 91.00 - - Tablet 91.00 -
108 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% 43 Ampule 1,408.00 60,544.00 - Ampule 1,408.00 - 4 Ampule 1,408.00 5,632.00 39 Ampule 1,408.00 54,912.00
109 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) - Ampule 1,408.00 - - Ampule 1,408.00 - - Ampule 1,408.00 - - Ampule 1,408.00 -
110 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) - Ampule 1,408.00 - - Ampule 1,408.00 - - Ampule 1,408.00 - - Ampule 1,408.00 -
111 Eritrosmisin Stearate Kaplet 500 mg 60 Tablet 730.00 43,800.00 - Tablet 730.00 - 60 Tablet 730.00 43,800.00 - Tablet 730.00 -
112 Eritrosmisin Stearate Kaplet 500 mg - Tablet 770.00 - - Tablet 770.00 - - Tablet 770.00 - - Tablet 770.00 -
113 Ethambutol 250 mg 520 Tablet 391.00 203,320.00 - Tablet 391.00 - 520 Tablet 391.00 203,320.00 - Tablet 391.00 -
114 Fitomenadion (Vit K1) Inj 10 mg/ ml I.M ( Phapros ) 2 Ampule 4,167.00 8,334.00 - Ampule 4,167.00 - - Ampule 4,167.00 - 2 Ampule 4,167.00 8,334.00
115 Fitomenadion (Vit K1) Inj 2 mg/ ml I.M (Phapros ) 1 Ampule 3,550.00 3,550.00 - Ampule 3,550.00 - 1 Ampule 3,550.00 3,550.00 - Ampule 3,550.00 -
116 Fitomenadion (Vit K1) Inj 2 mg/ ml I.M (Phapros ) 362 Ampule 3,682.00 1,332,884.00 - Ampule 3,682.00 - 362 Ampule 3,682.00 1,332,884.00 - Ampule 3,682.00 -
117 Fitomenadion (Vit K1) Inj 2 mg/ ml I.M (Phapros ) - Ampule 3,682.00 - 360 Ampule 3,682.00 1,325,520.00 255 Ampule 3,682.00 938,910.00 105 Ampule 3,682.00 386,610.00
118 Fitomenadion Tabet 10 mg (Phapros ) 65 Tablet 691.00 44,915.00 - Tablet 691.00 - 41 Tablet 691.00 28,331.00 24 Tablet 691.00 16,584.00
119 Fitomenadion Tabet 10 mg (Phapros ) 412 Tablet 710.00 292,520.00 - Tablet 710.00 - 227 Tablet 710.00 161,170.00 185 Tablet 710.00 131,350.00
121 Furosemide Injeksi 10 mg/ ml (Indofarma) - Ampule 1,333.00 - - Ampule 1,333.00 - - Ampule 1,333.00 - - Ampule 1,333.00 -
122 Furosemide Injeksi 10 mg/ ml (Indofarma) - Ampule 1,333.00 - 25 Ampule 1,333.00 33,325.00 - Ampule 1,333.00 - 25 Ampule 1,333.00 33,325.00
123 Furosemide Tablet 40 mg (Kimia Farma ) - Tablet 82.00 - 1,000 Tablet 82.00 82,000.00 269 Tablet 82.00 22,058.00 731 Tablet 82.00 59,942.00
124 Furosemide Tablet 40 mg (Kimia Farma ) - Tablet 82.00 - - Tablet 82.00 - - Tablet 82.00 - - Tablet 82.00 -
125 Gentamisin Sulfate tetes mata 0,3% ( ERELA) 137 Botol 4,232.00 579,784.00 - Botol 4,232.00 - 113 Botol 4,232.00 478,216.00 24 Botol 4,232.00 101,568.00
126 Gentamisin Sulfate tetes mata 0,3% ( ERELA) - Botol 4,232.00 - - Botol 4,232.00 - - Botol 4,232.00 - - Botol 4,232.00 -
127 Gentamisin Sulfate tetes mata 0,3% ( ERELA) - Botol 4,232.00 - - Botol 4,232.00 - - Botol 4,232.00 - - Botol 4,232.00 -
128 Gentamycin Krim 1 % mg/ ml - Tube 2,750.00 - 120 Tube 2,750.00 330,000.00 120 Tube 2,750.00 330,000.00 - Tube 2,750.00 -
BRG BRG BRG BRG
129 Gentian Violet 1% 10 ml - Botol 4,400.00 - - Botol 4,400.00 - - Botol 4,400.00 - - Botol 4,400.00 -
130 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) - Botol 2,900.00 - 48 Botol 2,900.00 139,200.00 27 Botol 2,900.00 78,300.00 21 Botol 2,900.00 60,900.00
131 Glibenklamid Tablet 5 mg 3,452 Tablet 119.00 410,788.00 5,000 Tablet 119.00 595,000.00 8,171 Tablet 119.00 972,349.00 281 Tablet 119.00 33,439.00
132 Glibenklamid Tablet 5 mg ( Indofarma ) - Tablet 119.00 - 5,000 Tablet 119.00 595,000.00 493 Tablet 119.00 58,667.00 4,507 Tablet 119.00 536,333.00
133 Gliseril Guaikoulat Tablet 100 mg (Novapharin ) 11,711 Tablet 77.00 901,747.00 11,800 Tablet 77.00 908,600.00 20,364 Tablet 77.00 1,568,028.00 3,147 Tablet 77.00 242,319.00
134 Gliseril Guaikoulat Tablet 100 mg - Tablet 99.00 - 7,800 Tablet 99.00 772,200.00 7,095 Tablet 99.00 702,405.00 705 Tablet 99.00 69,795.00
135 Glucosamin HCL 500 Mg, Konrdoitin SO4400Mg, MSM 200 Mg, VitC75Mg - Tablet 7,865.00 - - Tablet 7,865.00 - - Tablet 7,865.00 - - Tablet 7,865.00 -
136 Glukosa Larutan 40% Steril ( Outsuka ) 16 Botol 10,010.00 160,160.00 7 Botol 10,010.00 70,070.00 23 Botol 10,010.00 230,230.00 - Botol 10,010.00 -
137 Glukosa Larutan 40% Steril - botol 10,010.00 - 10 botol 10,010.00 100,100.00 - botol 10,010.00 - 10 botol 10,010.00 100,100.00
138 Glukosa Larutan Infus 5% @500ml (Widatra ) 7 Botol 6,900.00 48,300.00 - Botol 6,900.00 - 7 Botol 6,900.00 48,300.00 - Botol 6,900.00 -
139 Glukosa Larutan Infus 5% @500ml - Botol 7,363.00 - 40 Botol 7,363.00 294,520.00 8 Botol 7,363.00 58,904.00 32 Botol 7,363.00 235,616.00
140 Hidroklorotiazid (HCT) Tablet 25 mg 160 Tablet 132.00 21,120.00 - Tablet 132.00 - 115 Tablet 132.00 15,180.00 45 Tablet 132.00 5,940.00
141 Hidroklorotiazid (HCT) Tablet 25 mg 200 Tablet 149.00 29,800.00 - Tablet 149.00 - 54 Tablet 149.00 8,046.00 146 Tablet 149.00 21,754.00
142 Gliseril Guaikoulat Tablet 100 mg - Tablet 88.00 - 2,200 Tablet 88.00 193,600.00 - Tablet 88.00 - 2,200 Tablet 88.00 193,600.00
143 Hidrokortison Krim 1 % (Kimia Farma ) 15 Tube 2,787.00 41,805.00 - Tube 2,787.00 - 15 Tube 2,787.00 41,805.00 - Tube 2,787.00 -
144 Hidrokortison Krim 2,5 % (Kimia Farma) 72 Tube 2,475.00 178,200.00 144 Tube 2,475.00 356,400.00 186 Tube 2,475.00 460,350.00 30 Tube 2,475.00 74,250.00
145 Hidrokortison Krim 2,5 % (Kimia Farma) - Tube 2,475.00 - 96 Tube 2,475.00 237,600.00 - Tube 2,475.00 - 96 Tube 2,475.00 237,600.00
146 Human Tetanus Imunoglobulin Inj 250 UI (Tetagam) 2 Preflied 176,800.00 353,600.00 - Preflied 176,800.00 - 2 Preflied 176,800.00 353,600.00 - Preflied 176,800.00 -
147 Hyoscine N- Butylbromide 20 mg Inj/ GITAS (Interbat) - Ampule 8,800.00 - - Ampule 8,800.00 - - Ampule 8,800.00 - - Ampule 8,800.00 -
149 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) - Botol 4,665.00 - - Botol 4,665.00 - - Botol 4,665.00 - - Botol 4,665.00 -
150 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) - Botol 4,665.00 - 144 Botol 4,665.00 671,760.00 20 Botol 4,665.00 93,300.00 124 Botol 4,665.00 578,460.00
151 Ibuprofen Tablet 400 mg (Novapharin ) 14,352 Tablet 264.00 3,788,928.00 36,000 Tablet 264.00 9,504,000.00 47,127 Tablet 264.00 12,441,528.00 3,225 Tablet 264.00 851,400.00
152 Ibuprofen Tablet 400 mg - Tablet 330.00 - 6,000 Tablet 330.00 1,980,000.00 - Tablet 330.00 - 6,000 Tablet 330.00 1,980,000.00
153 Isoniazid Tablet 100 mg + Piridoxin HCl 10 mg (Phapros) - Tablet 660.00 - - Tablet 660.00 - - Tablet 660.00 - - Tablet 660.00 -
154 Isoniazid Tablet 100 mg - tablet 187.00 - - tablet 187.00 - - tablet 187.00 - - tablet 187.00 -
155 Isosorbid Dinitrat Tab Sublingual 5 mg (Yarindo) - Tablet 90.00 - - Tablet 90.00 - - Tablet 90.00 - - Tablet 90.00 -
156 Isosorbid Dinitrat Tab Sublingual 5 mg (Yarindo) 320 Tablet 89.00 28,480.00 - Tablet 89.00 - 118 Tablet 89.00 10,502.00 202 Tablet 89.00 17,978.00
157 Isosorbid Dinitrat Tab Sublingual 5 mg (Yarindo) - Tablet 121.00 - - Tablet 121.00 - - Tablet 121.00 - - Tablet 121.00 -
159 KA-EN 1B Inj Larutan @500 ml (Otsuka) - Botol 9,644.00 - 40 Botol 9,644.00 385,760.00 15 Botol 9,644.00 144,660.00 25 Botol 9,644.00 241,100.00
160 KA-EN 3A Inj Larutan @500 ml (Otsuka) - Botol 10,696.00 - - Botol 10,696.00 - - Botol 10,696.00 - - Botol 10,696.00 -
161 KA-EN 3B Inj Larutan @500 ml (Otsuka) - Botol 10,696.00 - 60 Botol 10,696.00 641,760.00 24 Botol 10,696.00 256,704.00 36 Botol 10,696.00 385,056.00
163 Kalium Diklofenak Tab 50 mg/ Diclofenac Potassium (Guardian Pharm - Tablet 770.00 - - Tablet 770.00 - - Tablet 770.00 - - Tablet 770.00 -
165 Kalium Klorida tab. Lepas lambat 600 mg (KSR) - Tablet 1,755.00 - - Tablet 1,755.00 - - Tablet 1,755.00 - - Tablet 1,755.00 -
166 Kalsium 500 MG + Vit D3 (Calsifar plus) (Ifars) 2,027 Tablet 187.00 379,049.00 8,000 Tablet 187.00 1,496,000.00 7,328 Tablet 187.00 1,370,336.00 2,699 Tablet 187.00 504,713.00
167 Kalsium Laktat (Kalk) Tab 500 mg (Mersi Farma) - Tablet 63.00 - 2,000 Tablet 63.00 126,000.00 - Tablet 63.00 - 2,000 Tablet 63.00 126,000.00
168 Kalsium Laktat (Kalk) Tab 500 mg - Tablet 63.00 - - Tablet 63.00 - - Tablet 63.00 - - Tablet 63.00 -
169 Kaptopril Tab 25 mg ( Phapros ) 12,230 Tablet 94.60 1,156,958.00 5,800 Tablet 94.60 548,680.00 17,844 Tablet 94.60 1,688,042.40 186 Tablet 94.60 17,595.60
170 Kaptopril Tab 25 mg - TAblet 99.00 - 8,000 TAblet 99.00 792,000.00 3,022 TAblet 99.00 299,178.00 4,978 TAblet 99.00 492,822.00
171 Ketokonazol Krim 2 % @ 10 gr - Tube 5,610.00 - - Tube 5,610.00 - - Tube 5,610.00 - - Tube 5,610.00 -
172 Ketokonazol Krim 2 % @ 10 gr - Tube 2,518.00 - 150 Tube 2,518.00 377,700.00 100 Tube 2,518.00 251,800.00 50 Tube 2,518.00 125,900.00
173 Ketokonazol Tablet 200 mg (Novapharin) I 1,353 Tablet 396.00 535,788.00 - Tablet 396.00 - 491 Tablet 396.00 194,436.00 862 Tablet 396.00 341,352.00
174 Ketokonazol Tablet 200 mg (Novapharin) II - Tablet 288.00 - - Tablet 288.00 - - Tablet 288.00 - - Tablet 288.00 -
175 Ketokonazol Tablet 200 mg (Novapharin) - Tablet 288.00 - - Tablet 288.00 - - Tablet 288.00 - - Tablet 288.00 -
176 Ketorolak Inj 30 mg/ml - Ampule 1,089.00 - - Ampule 1,089.00 - - Ampule 1,089.00 - - Ampule 1,089.00 -
178 Kloramfenikol 1% Salep Mata (KF) 50 Tube 1,810.00 90,500.00 336 Tube 1,810.00 608,160.00 384 Tube 1,810.00 695,040.00 2 Tube 1,810.00 3,620.00
180 Kloramfenikol Inj 1G/5 ml / Colcancetine Inj (Sanbe Farma) - Vial 10,500.00 - - Vial 10,500.00 - - Vial 10,500.00 - - Vial 10,500.00 -
181 Kloramfenikol Tetes Telinga :Kloramfenicol 10%,Lidocain,Proplylenglyc 13 Tube 17,968.50 233,590.50 - Tube 17,968.50 - 13 Tube 17,968.50 233,590.50 - Tube 17,968.50 -
182 Kloramfenikol Tetes Telinga : Kloramfenicol 10%,Lidocain,Proplylengly 23 Tube 35,200.00 809,600.00 70 Tube 35,200.00 2,464,000.00 93 Tube 35,200.00 3,273,600.00 - Tube 35,200.00 -
184 Klorfeniramina Maleat (CTM) Tab 4 mg (Imfarmindo Farmasi ) 140 Tablet 22.00 3,080.00 - Tablet 22.00 - 140 Tablet 22.00 3,080.00 - Tablet 22.00 -
185 Klorfeniramina Maleat (CTM) Tab 4 mg (Imfarmindo Farmasi ) 9,790 Tablet 77.00 753,830.00 20,400 Tablet 77.00 1,570,800.00 30,145 Tablet 77.00 2,321,165.00 45 Tablet 77.00 3,465.00
186 Klorfeniramina Maleat (CTM) Tab 4 mg (Novapharin ) - Tablet 23.00 - 14,000 Tablet 23.00 322,000.00 3,925 Tablet 23.00 90,275.00 10,075 Tablet 23.00 231,725.00
187 Kolkisin Tab 500Mcg/ L-Cisin ( Lapi Laboratoris ) - Tablet 2,750.00 - - Tablet 2,750.00 - - Tablet 2,750.00 - - Tablet 2,750.00 -
188 Kotrimoksasol Forte / Infantrim Forte Tab 960 mg ( Molex Ayus ) 277 Tablet 495.00 137,115.00 - Tablet 495.00 - 237 Tablet 495.00 117,315.00 40 Tablet 495.00 19,800.00
189 Kotrimoksasol Forte / Fasiprim Forte Tab 960 mg ( Ifars ) - Tablet 440.00 - 1,300 Tablet 440.00 572,000.00 1,128 Tablet 440.00 496,320.00 172 Tablet 440.00 75,680.00
190 Kotrimoksasol Forte / Fasiprim Forte Tab 960 mg - Tablet 319.00 - 600 Tablet 319.00 191,400.00 72 Tablet 319.00 22,968.00 528 Tablet 319.00 168,432.00
191 Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol 200mg + 38 Botol 2,052.00 77,976.00 - Botol 2,052.00 - 37 Botol 2,052.00 75,924.00 1 Botol 2,052.00 2,052.00
192 Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol 200mg + - Botol 2,190.00 - 50 Botol 2,190.00 109,500.00 22 Botol 2,190.00 48,180.00 28 Botol 2,190.00 61,320.00
193 Krim Analgesik (setiap gram mengandung : Metyl Salisilat 102 mg, Eu 33 Tube 13,970.00 461,010.00 48 Tube 13,970.00 670,560.00 41 Tube 13,970.00 572,770.00 40 Tube 13,970.00 558,800.00
BRG BRG BRG BRG
194 Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract 100 m - Tube 22,550.00 - 10 Tube 22,550.00 225,500.00 9 Tube 22,550.00 202,950.00 1 Tube 22,550.00 22,550.00
195 Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract 100 m - Tube 23,100.00 - 10 Tube 23,100.00 231,000.00 1 Tube 23,100.00 23,100.00 9 Tube 23,100.00 207,900.00
196 Lactobasilus Rhamnosus R 11 2M + Laciophillus R-52 /Lacidofil, Probio 18 Tablet 3,811.50 68,607.00 - Tablet 3,811.50 - 18 Tablet 3,811.50 68,607.00 - Tablet 3,811.50 -
197 Lactobasilus Rhamnosus R 11 2M + Laciophillus R-52 /Lacidofil, Probio - Tablet 6,600.00 - - Tablet 6,600.00 - - Tablet 6,600.00 - - Tablet 6,600.00 -
199 Lidokain 2% + Epinefrin 1:80.000 2 ml (Lidokain Comp. Injeksi) 9 Ampule 1,937.00 17,433.00 - Ampule 1,937.00 - 9 Ampule 1,937.00 17,433.00 - Ampule 1,937.00 -
200 Lidokain 2% + Epinefrin 1:80.000 2 ml (Lidokain Comp. Injeksi) 213 Ampule 2,178.00 463,914.00 810 Ampule 2,178.00 1,764,180.00 1,008 Ampule 2,178.00 2,195,424.00 15 Ampule 2,178.00 32,670.00
201 Lidokain 2% + Epinefrin 1:80.000 2 ml (Lidokain Comp. Injeksi) - Ampule 1,222.00 - 300 Ampule 1,222.00 366,600.00 61 Ampule 1,222.00 74,542.00 239 Ampule 1,222.00 292,058.00
202 Loperamid Tablet 2 mg ( Ifars) - Tablet 99.00 - 700 Tablet 99.00 69,300.00 470 Tablet 99.00 46,530.00 230 Tablet 99.00 22,770.00
203 Loperamid Tablet 2 mg - Tablet 330.00 - - Tablet 330.00 - - Tablet 330.00 - - Tablet 330.00 -
204 Loratadin Tablet 10 mg - Tablet 123.00 - 1,200 Tablet 123.00 147,600.00 1,200 Tablet 123.00 147,600.00 - Tablet 123.00 -
205 Loratadin Tablet 10 mg - Tablet 131.00 - - Tablet 131.00 - - Tablet 131.00 - - Tablet 131.00 -
206 Lutein 6mg,Bellberry : Mirtl Fructus Ext 80mg Kaps Suplemen Mata/ - Tablet 4,680.50 - 180 Tablet 4,680.50 842,490.00 142 Tablet 4,680.50 664,631.00 38 Tablet 4,680.50 177,859.00
207 Lutein 6mg,Bellberry : Mirtl Fructus Ext 80mg Kaps Suplemen Mata/ - Tablet 4,730.00 - - Tablet 4,730.00 - - Tablet 4,730.00 - - Tablet 4,730.00 -
208 Meloxicam Tab 15 mg (Bernofarm ) - Tablet 550.00 - - Tablet 550.00 - - Tablet 550.00 - - Tablet 550.00 -
210 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) 758 Ampul 4,950.00 3,752,100.00 - Ampul 4,950.00 - 758 Ampul 4,950.00 3,752,100.00 - Ampul 4,950.00 -
211 Metamizol Sodium Inj 500 mg/ml (Santagesik/ Antrain/ Norages) 2,000 Tablet 5,500.00 11,000,000.00 1,150 Tablet 5,500.00 6,325,000.00 3,150 Tablet 5,500.00 17,325,000.00 - Tablet 5,500.00 -
212 Metamizol Sodium Inj 500 mg/ml (Santagesik) - 0 3,707.00 - 3,000 - 3,707.00 11,121,000.00 21 - 3,707.00 77,847.00 2,979 - 3,707.00 11,043,153.00
213 Metformin HCl Tablet 500 mg - Tablet 96.00 - 5,000 Tablet 96.00 480,000.00 5,000 Tablet 96.00 480,000.00 - Tablet 96.00 -
214 Metformin HCl Tablet 500 mg - Tablet 102.00 - 5,000 Tablet 102.00 510,000.00 - Tablet 102.00 - 5,000 Tablet 102.00 510,000.00
215 Metilprednisolon Tab 4 mg (Molex Ayus) 332 Tablet 143.00 47,476.00 700 Tablet 143.00 100,100.00 859 Tablet 143.00 122,837.00 173 Tablet 143.00 24,739.00
217 Metoklopramide Tablet 10 mg (Kimia Farma) 200 Tablet 87.00 17,400.00 300 Tablet 87.00 26,100.00 330 Tablet 87.00 28,710.00 170 Tablet 87.00 14,790.00
218 Metoklopramide Tablet 10 mg (Kimia Farma) 26 Tablet 80.00 2,080.00 - Tablet 80.00 - 26 Tablet 80.00 2,080.00 - Tablet 80.00 -
219 Metoklopramide Tablet 5 mg (Kimia Farma) - Tablet 121.00 - 100 Tablet 121.00 12,100.00 - Tablet 121.00 - 100 Tablet 121.00 12,100.00
220 Metronidasol 500 mg tablet (Novapharin) - Tablet 192.50 - - Tablet 192.50 - - Tablet 192.50 - - Tablet 192.50 -
221 Metronidasol 500 mg tablet (Novagyl) - Tablet 275.00 - - Tablet 275.00 - - Tablet 275.00 - - Tablet 275.00 -
222 Metronidasol Infus 500mg/100ml - Btl= 100 ml 8,110.00 - - Btl= 100 ml 8,110.00 - - Btl= 100 ml 8,110.00 - - Btl= 100 ml 8,110.00 -
223 Metronidasol Infus 500mg/100ml - Botol 8,110.00 - - Botol 8,110.00 - - Botol 8,110.00 - - Botol 8,110.00 -
224 Minyak Kayu Putih 60 ml 18 Botol 14,318.70 257,736.60 6 Botol 14,318.70 85,912.20 21 Botol 14,318.70 300,692.70 3 Botol 14,318.70 42,956.10
225 Multi Vit, VitE 50 mg, Lutein 3 mg, Lycopen 8 mg, Vit C 250 mg, Zink - Kapsul 5,500.00 - - Kapsul 5,500.00 - - Kapsul 5,500.00 - - Kapsul 5,500.00 -
226 Multivitamin + Pelancar Asi (NULACVIT) - Tablet 2,090.00 - 90 Tablet 2,090.00 188,100.00 90 Tablet 2,090.00 188,100.00 - Tablet 2,090.00 -
227 Multivitamin B1 100,B6 200,B12 500Mcg Inj (Biocombin) / MERSIBION - Ampule 5,000.00 - - Ampule 5,000.00 - - Ampule 5,000.00 - - Ampule 5,000.00 -
228 Multivitamin B1 100,B6 200,B12 500Mcg Inj (BIOCOMBIN) - Ampule 4,400.00 - - Ampule 4,400.00 - - Ampule 4,400.00 - - Ampule 4,400.00 -
229 Multivitamin Vitamin/ Suplemen (BECEFORT) - tablet 1,265.00 - - tablet 1,265.00 - - tablet 1,265.00 - - tablet 1,265.00 -
230 Multivitamin C 750 mg ,Asam Folat+ Mineral / Vitner -Z ( Molex Ayus ) 63 Tablet 990.00 62,370.00 - Tablet 990.00 - 63 Tablet 990.00 62,370.00 - Tablet 990.00 -
231 Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000 IU vit B1 143 Botol 13,200.00 1,887,600.00 396 Botol 13,200.00 5,227,200.00 458 Botol 13,200.00 6,045,600.00 81 Botol 13,200.00 1,069,200.00
232 Multivitamin Curcuma Syr:L-Lysyin 200mg,Betacaroten 1000 IU vit B1 - Botol 13,167.00 - 60 Botol 13,167.00 790,020.00 - Botol 13,167.00 - 60 Botol 13,167.00 790,020.00
233 Multivitamin Neurotopic Plus ATP Tablet:B1 100,B6 200,B12 200Mcg,V - Tablet 2,332.00 - - Tablet 2,332.00 - - Tablet 2,332.00 - - Tablet 2,332.00 -
234 Multivitamin Neurotopic Tablet : B1 100,B6 200,B12 200 mg/ MOLAN 4,569 Tablet 528.00 2,412,432.00 11,000 Tablet 528.00 5,808,000.00 9,188 Tablet 528.00 4,851,264.00 6,381 Tablet 528.00 3,369,168.00
235 Multivitamin Neurotopic Tablet : B1 100,B6 200,B12 200 mg/ MOLAN - tablet 594.00 - - tablet 594.00 - - tablet 594.00 - - tablet 594.00 -
236 Multivitamin Tab Tambah Darah : per Tablet Mengandung : Femofomar - Tablet 835.00 - 49,600 Tablet 835.00 41,416,000.00 42,471 Tablet 835.00 35,463,285.00 7,129 Tablet 835.00 5,952,715.00
237 Natrium Diklofenak Tab 50 mg (Phapros ) I 1,411 Tablet 115.00 162,265.00 - Tablet 115.00 - 1,411 Tablet 115.00 162,265.00 - Tablet 115.00 -
238 Natrium Diklofenak Tab 50 mg (Phapros ) II 2,000 Tablet 123.00 246,000.00 8,000 Tablet 123.00 984,000.00 9,818 Tablet 123.00 1,207,614.00 182 Tablet 123.00 22,386.00
239 Natrium Diklofenak Tab 50 mg (Phapros ) - Tablet 123.00 - 4,000 Tablet 123.00 492,000.00 194 Tablet 123.00 23,862.00 3,806 Tablet 123.00 468,138.00
240 Natrium Klorida Larutan infus 0,9% @500ml(Widatra ) 43 Botol 6,410.00 275,630.00 - Botol 6,410.00 - 41 Botol 6,410.00 262,810.00 2 Botol 6,410.00 12,820.00
241 Natrium Klorida Larutan infus 0,9% @500ml(Widatra ) - Botol 6,410.00 - 100 Botol 6,410.00 641,000.00 85 Botol 6,410.00 544,850.00 15 Botol 6,410.00 96,150.00
242 Nifedipin tablet 10 mg ( Dexa Medica ) 848 Tablet 132.00 111,936.00 2,700 Tablet 132.00 356,400.00 3,164 Tablet 132.00 417,648.00 384 Tablet 132.00 50,688.00
243 Nifedipin tablet lepas lambat 30 mg (OROS) - Tablet 3,948.00 - - Tablet 3,948.00 - - Tablet 3,948.00 - - Tablet 3,948.00 -
244 Nistatin Susp 100.000 IU / NYMICO (Sanbe Farma) 26 Botol 23,141.80 601,686.80 - Botol 23,141.80 - 26 Botol 23,141.80 601,686.80 - Botol 23,141.80 -
245 Nistatin Susp 100.000 IU / CAZETIN (Sanbe Farma) - Botol 19,800.00 - - Botol 19,800.00 - - Botol 19,800.00 - - Botol 19,800.00 -
246 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) 10 Tablet 560.00 5,600.00 - Tablet 560.00 - 10 Tablet 560.00 5,600.00 - Tablet 560.00 -
247 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) - Tablet 560.00 - 100 Tablet 560.00 56,000.00 77 Tablet 560.00 43,120.00 23 Tablet 560.00 12,880.00
248 Nistatin Vaginal Tab 100.000 IU/G (Phapros ) - Tablet 598.00 - - Tablet 598.00 - - Tablet 598.00 - - Tablet 598.00 -
249 Obat Batuk Herbal : Tiap 15 Ml Vitetrifolia Fill 1 Gr,Zingiber Officin 104 Botol 12,100.00 1,258,400.00 - Botol 12,100.00 - 104 Botol 12,100.00 1,258,400.00 - Botol 12,100.00 -
250 Obat Kumur +Hyaulorinic Acid 1% @ 200ml SANORINE 10 Pcs 24,860.00 248,600.00 - Pcs 24,860.00 - 7 Pcs 24,860.00 174,020.00 3 Pcs 24,860.00 74,580.00
251 OBH Plus Syr : Per 5 ml Megnandung Difenhidramin 12,5mg,Amonium C 77 Botol 9,955.00 766,535.00 120 Botol 9,955.00 1,194,600.00 71 Botol 9,955.00 706,805.00 126 Botol 9,955.00 1,254,330.00
252 Obat Kumur +Hyaulorinic Acid 1% @ 200ml SANORINE - Botol 25,597.00 - - Botol 25,597.00 - - Botol 25,597.00 - - Botol 25,597.00 -
253 Omeprazole Kapsul 20 mg 2,360 Tablet 160.00 377,600.00 - Tablet 160.00 - 2,360 Tablet 160.00 377,600.00 - Tablet 160.00 -
254 Ondansetron HCl Inj 2 mg/ 1ml ( Dexa ) - Ampule 1,070.00 - 300 Ampule 1,070.00 321,000.00 300 Ampule 1,070.00 321,000.00 - Ampule 1,070.00 -
BRG BRG BRG BRG
255 Ondansetron HCl Inj 2 mg/ 1ml ( Dexa ) - Ampule 1,124.00 - 100 Ampule 1,124.00 112,400.00 49 Ampule 1,124.00 55,076.00 51 Ampule 1,124.00 57,324.00
256 Parasetamol Komb Tablet Antitusif : Parasetamol 500mg,Phenylpropa - Tablet 715.00 - - Tablet 715.00 - - Tablet 715.00 - - Tablet 715.00 -
257 Parasetamol Komb Tablet Batuk Berdahak:Paraset 400Mg,Bromheksin - Tablet 432.30 - - Tablet 432.30 - - Tablet 432.30 - - Tablet 432.30 -
258 Parasetamol Komb Tablet Batuk Berdahak:Paraset 400Mg,Bromheksin 504 Tablet 437.80 220,651.20 - Tablet 437.80 - 504 Tablet 437.80 220,651.20 - Tablet 437.80 -
259 Parasetamol Komb Tablet Batuk Berdahak:Paraset 400Mg,Bromheksin - Tablet 418.00 - 600 Tablet 418.00 250,800.00 - Tablet 418.00 - 600 Tablet 418.00 250,800.00
260 Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Pseudofedrin 30Mg, - Tablet 357.50 - - Tablet 357.50 - - Tablet 357.50 - - Tablet 357.50 -
261 Propiltiourasil/ PTU 100 mg - 0 495.00 - - - 495.00 - - - 495.00 - - - 495.00 -
262 Parasetamol Komb Tablet Flu: Parasetamol 500Mg,Pseudofedrin 30Mg, - Tablet 789.80 - - Tablet 789.80 - - Tablet 789.80 - - Tablet 789.80 -
263 Parasetamol Syrup 120 mg/5ml (Mersi Farma) 208 Botol 1,181.00 245,648.00 - Botol 1,181.00 - 208 Botol 1,181.00 245,648.00 - Botol 1,181.00 -
264 Parasetamol Syrup 120 mg/5ml - Botol 1,181.00 - 400 Botol 1,181.00 472,400.00 180 Botol 1,181.00 212,580.00 220 Botol 1,181.00 259,820.00
265 Parasetamol tablet 500 mg 23,747 Tablet 53.00 1,258,591.00 15,600 Tablet 53.00 826,800.00 39,347 Tablet 53.00 2,085,391.00 - Tablet 53.00 -
266 Parasetamol tablet 500 mg - Tablet 56.00 - 400 Tablet 56.00 22,400.00 400 Tablet 56.00 22,400.00 - Tablet 56.00 -
267 Parasetamol tablet 500 mg - Tablet 53.00 - - Tablet 53.00 - - Tablet 53.00 - - Tablet 53.00 -
268 Perak Sulfadiazin Krim 1% / Sulfadiazine Silver (Darya Varia L) 28 Tube 20,700.00 579,600.00 - Tube 20,700.00 - 28 Tube 20,700.00 579,600.00 - Tube 20,700.00 -
269 Permetrin crem 5% @10 mg (Scabimite crem ) 12 Tube 11,825.00 141,900.00 180 Tube 11,825.00 2,128,500.00 133 Tube 11,825.00 1,572,725.00 59 Tube 11,825.00 697,675.00
270 Permetrin crem 5% @10 mg (Scabimite crem ) - Tube 11,825.00 - - Tube 11,825.00 - - Tube 11,825.00 - - Tube 11,825.00 -
271 Piracetam 800 mg Tablet 337 Tablet 963.60 324,733.20 - Tablet 963.60 - 337 Tablet 963.60 324,733.20 - Tablet 963.60 -
272 Parasetamol tablet 500 mg - Tablet 115.50 - 27,000 Tablet 115.50 3,118,500.00 10,589 Tablet 115.50 1,223,029.50 16,411 Tablet 115.50 1,895,470.50
273 Piracetam Injeksi 1gr/ 5ml 11 Ampule 4,400.00 48,400.00 60 Ampule 4,400.00 264,000.00 71 Ampule 4,400.00 312,400.00 - Ampule 4,400.00 -
274 Piridoksin HCl (Vit.B6)Tablet 10 mg - Tablet 132.00 - 3,000 Tablet 132.00 396,000.00 - Tablet 132.00 - 3,000 Tablet 132.00 396,000.00
275 Piridoksin HCl (Vit.B6)Tablet 10 mg 9,673 Tablet 123.00 1,189,779.00 8,000 Tablet 123.00 984,000.00 15,246 Tablet 123.00 1,875,258.00 2,427 Tablet 123.00 298,521.00
276 Probiotik Sachet (Probiokid) - 0 6,600.00 - 150 - 6,600.00 990,000.00 - - 6,600.00 - 150 - 6,600.00 990,000.00
277 Polikresulen (Albotyl,Apetil) - Botol 41,500.00 - - Botol 41,500.00 - - Botol 41,500.00 - - Botol 41,500.00 -
278 Prednison Tab 5 mg 102 Tablet 68.00 6,936.00 - Tablet 68.00 - 71 Tablet 68.00 4,828.00 31 Tablet 68.00 2,108.00
279 Prednison Tab 5 mg (Holi Pharma) 3,775 Tablet 73.00 275,575.00 5,000 Tablet 73.00 365,000.00 8,051 Tablet 73.00 587,723.00 724 Tablet 73.00 52,852.00
280 Prednison Tab 5 mg - Tablet 73.00 - - Tablet 73.00 - - Tablet 73.00 - - Tablet 73.00 -
281 Pseudofedrin 60mg,Tripolidin 2,5mg (Eflin +Tremenza) 103 Tablet 1,000.00 103,000.00 - Tablet 1,000.00 - 103 Tablet 1,000.00 103,000.00 - Tablet 1,000.00 -
282 Ranitidin Injeksi 25 mg/ 2 ml (SOHO) 1,226 Ampule 1,155.00 1,416,030.00 3,000 Ampule 1,155.00 3,465,000.00 4,226 Ampule 1,155.00 4,881,030.00 - Ampule 1,155.00 -
283 Ranitidin Injeksi 25 mg/ 2 ml (SOHO) - Ampule 1,188.00 - - Ampule 1,188.00 - - Ampule 1,188.00 - - Ampule 1,188.00 -
284 Ranitidin Tablet 150 mg (Hexapharm Jaya ) - Tablet 220.00 - 2,000 Tablet 220.00 440,000.00 604 Tablet 220.00 132,880.00 1,396 Tablet 220.00 307,120.00
286 Ringer Acetat Botol @500 ml (Outsuka)/ ASERING 1,403 Botol 9,646.00 13,533,338.00 504 Botol 9,646.00 4,861,584.00 1,454 Botol 9,646.00 14,025,284.00 453 Botol 9,646.00 4,369,638.00
287 Ringer Acetat Botol @500 ml (Outsuka)/ ASERING - Botol 9,646.00 - 500 Botol 9,646.00 4,823,000.00 - Botol 9,646.00 - 500 Botol 9,646.00 4,823,000.00
288 Ringer Laktat cairan infus ( OTSUKA) @ 500 ml RL 400 Botol 7,150.00 2,860,000.00 - Botol 7,150.00 - 398 Botol 7,150.00 2,845,700.00 2 Botol 7,150.00 14,300.00
289 Ringer Laktat cairan infus ( OTSUKA/ WIDATRA) @ 500 ml RL 2,000 Botol 7,150.00 14,300,000.00 2,560 Botol 7,150.00 18,304,000.00 3,558 Botol 7,150.00 25,439,700.00 1,002 Botol 7,150.00 7,164,300.00
290 Ringer Laktat cairan infus ( OTSUKA/ WIDATRA) @ 500 ml RL - Botol 7,630.00 - 1,940 Botol 7,630.00 14,802,200.00 727 Botol 7,630.00 5,547,010.00 1,213 Botol 7,630.00 9,255,190.00
291 Salbutamol SO4 3,01 mg + Ipratonium Brom 0,52 mg Nebulizer (COMBIV 196 Nebule 4,550.00 891,800.00 620 Nebule 4,550.00 2,821,000.00 669 Nebule 4,550.00 3,043,950.00 147 Nebule 4,550.00 668,850.00
293 Salbutamol Tab 4 mg ( Graha Farma ) 798 Tablet 70.00 55,860.00 - Tablet 70.00 - 798 Tablet 70.00 55,860.00 - Tablet 70.00 -
294 Salbutamol Tab 4 mg (Pristasma) - Tablet 165.00 - 1,000 Tablet 165.00 165,000.00 427 Tablet 165.00 70,455.00 573 Tablet 165.00 94,545.00
295 Salep 2-4 Kombinasi : Asam Salisilat 2%+ Belerang Endap 4% (Marin ) 48 Pot 2,620.00 125,760.00 72 Pot 2,620.00 188,640.00 54 Pot 2,620.00 141,480.00 66 Pot 2,620.00 172,920.00
296 Salep 2-4 Kombinasi : Asam Salisilat 2%+ Belerang Endap 4% (Marin ) - Pot 2,796.00 - - Pot 2,796.00 - - Pot 2,796.00 - - Pot 2,796.00 -
297 Salisil Bedak Serbuk 2% (Kimia Farma) 17 Pcs 6,006.00 102,102.00 - Pcs 6,006.00 - 15 Pcs 6,006.00 90,090.00 2 Pcs 6,006.00 12,012.00
298 Salisil Bedak Serbuk 2% - Pcs 5,170.00 - 30 Pcs 5,170.00 155,100.00 25 Pcs 5,170.00 129,250.00 5 Pcs 5,170.00 25,850.00
299 Salisil Bedak Serbuk 2% - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 -
300 Serum Anti Bisa Ular A.B.U I inj (i.m./i.v) BIOSAVE 5 Vial 479,996.00 2,399,980.00 - Vial 479,996.00 - 5 Vial 479,996.00 2,399,980.00 - Vial 479,996.00 -
301 Serum Anti Bisa Ular A.B.U I inj (i.m./i.v) BIOSAVE - Vial 512,204.00 - - Vial 512,204.00 - - Vial 512,204.00 - - Vial 512,204.00 -
302 Serum Anti Tetanus ( A.T.S ) inj 1500 IU/ml im BIOSAT 10 Ampul 130,999.00 1,309,990.00 - Ampul 130,999.00 - 10 Ampul 130,999.00 1,309,990.00 - Ampul 130,999.00 -
303 Serum Anti Tetanus ( A.T.S ) inj 1500 IU/ml im BIOSAT - Ampul 130,999.00 - 10 Ampul 130,999.00 1,309,990.00 3 Ampul 130,999.00 392,997.00 7 Ampul 130,999.00 916,993.00
304 Setirizin Tab 10 mg (Futamed) - Tablet 90.00 - - Tablet 90.00 - - Tablet 90.00 - - Tablet 90.00 -
305 Setirizin Tab 10 mg (Futamed) 622 Tablet 90.00 55,980.00 500 Tablet 90.00 45,000.00 1,122 Tablet 90.00 100,980.00 - Tablet 90.00 -
306 Simvastatin Tablet 10 mg (Yarindo Farmatama) 511 Tablet 110.00 56,210.00 3,000 Tablet 110.00 330,000.00 3,511 Tablet 110.00 386,210.00 - Tablet 110.00 -
307 Simvastatin Tablet 10 mg - Tablet 117.00 - 1,200 Tablet 117.00 140,400.00 719 Tablet 117.00 84,123.00 481 Tablet 117.00 56,277.00
308 Siprofloksasin Tablet 500 mg (Novapharin) 5,895 Tablet 265.00 1,562,175.00 - Tablet 265.00 - 5,895 Tablet 265.00 1,562,175.00 - Tablet 265.00 -
310 Sukralfat Susp 500mg/5ml @100 ml (Mepro) 26 Botol 6,789.00 176,514.00 - Botol 6,789.00 - 26 Botol 6,789.00 176,514.00 - Botol 6,789.00 -
311 Sukralfat Susp 500mg/5ml @100 ml (Mepro) - Botol 6,789.00 - 100 Botol 6,789.00 678,900.00 44 Botol 6,789.00 298,716.00 56 Botol 6,789.00 380,184.00
312 Tetes mata setiap ml mengandung Polietilen glikol 400 1% gliserin 0.25 - Botol 13,607.00 - - Botol 13,607.00 - - Botol 13,607.00 - - Botol 13,607.00 -
313 Tetrasiklin HCl Kapsul 500 mg - Tablet 310.00 - - Tablet 310.00 - - Tablet 310.00 - - Tablet 310.00 -
314 Thiamin/ Vitamin B1 50 mg - Tablet 86.00 - - Tablet 86.00 - - Tablet 86.00 - - Tablet 86.00 -
315 Thiamin/ Vitamin B1 50 mg (Novapharin ) 1,890 Tablet 132.00 249,480.00 4,000 Tablet 132.00 528,000.00 5,435 Tablet 132.00 717,420.00 455 Tablet 132.00 60,060.00
BRG BRG BRG BRG
316 Thiamin/ Vitamin B1 50 mg (Novapharin ) - Tablet 91.00 - 5,000 Tablet 91.00 455,000.00 2,832 Tablet 91.00 257,712.00 2,168 Tablet 91.00 197,288.00
317 Thiamphenicol / Thiamfilex Kapsul 500 mg - Tablet 935.00 - - Tablet 935.00 - - Tablet 935.00 - - Tablet 935.00 -
318 Thiamphenicol Kapsul 500 mg - Tablet 935.00 - - Tablet 935.00 - - Tablet 935.00 - - Tablet 935.00 -
319 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml (Ifars) (DIONICOL) 15 Botol 7,150.00 107,250.00 50 Botol 7,150.00 357,500.00 16 Botol 7,150.00 114,400.00 49 Botol 7,150.00 350,350.00
320 Thiamphenicol/ Thiamfilex Susp 125 mg/5 ml (Molex Ayus) - Kapsul 7,150.00 - - Kapsul 7,150.00 - - Kapsul 7,150.00 - - Kapsul 7,150.00 -
321 Vitamin B Komplek - Tablet 89.00 - 3,000 Tablet 89.00 267,000.00 2,874 Tablet 89.00 255,786.00 126 Tablet 89.00 11,214.00
322 Vitamin B Komplek Plus Ekstrak Hati (Substansi Hati Kering 100 mg, Vi 1,554 Tablet 239.80 372,649.20 - Tablet 239.80 - 1,554 Tablet 239.80 372,649.20 - Tablet 239.80 -
OBAT GOLONGAN PSIKOTROPIKA
323 Alprazolam 0,5 mg (Mersi Farma) - Tablet 108.00 - - Tablet 108.00 - - Tablet 108.00 - - Tablet 108.00 -
324 Clobazam Tab 10 mg (Meprofarm) - Tablet 1,045.00 - - Tablet 1,045.00 - - Tablet 1,045.00 - - Tablet 1,045.00 -
325 Clobazam Tab 10 mg (Meprofarm) - Tablet 967.00 - - Tablet 967.00 - - Tablet 967.00 - - Tablet 967.00 -
326 Clobazam Tab 10 mg (Meprofarm) - Tablet 776.01 - - Tablet 776.01 - - Tablet 776.01 - - Tablet 776.01 -
329 Diazepam Enema 5 mg/2,5 ml Stesolid 5 mg (Actavis ) 2 Pcs 12,573.00 25,146.00 - Pcs 12,573.00 - 2 Pcs 12,573.00 25,146.00 - Pcs 12,573.00 -
330 Diazepam Enema 5 mg/2,5 ml Stesolid 5 mg (Actavis ) 3 Pcs 12,573.00 37,719.00 - Pcs 12,573.00 - 3 Pcs 12,573.00 37,719.00 - Pcs 12,573.00 -
331 Diazepam Enema 5 mg/2,5 ml Stesolid 5 mg (Actavis ) - Pcs 12,573.00 - 5 Pcs 12,573.00 62,865.00 1 Pcs 12,573.00 12,573.00 4 Pcs 12,573.00 50,292.00
332 Diazepam Injeksi 5 mg / ml-2 ml 13 Ampule 1,735.00 22,555.00 - Ampule 1,735.00 - 13 Ampule 1,735.00 22,555.00 - Ampule 1,735.00 -
333 Diazepam Injeksi 5 mg / ml-2 ml - Ampule 1,735.00 - 19 Ampule 1,735.00 32,965.00 19 Ampule 1,735.00 32,965.00 - Ampule 1,735.00 -
334 Diazepam Injeksi 5 mg / ml-2 ml VALISANBE - 0 19,789.00 - 10 - 19,789.00 197,890.00 2 - 19,789.00 39,578.00 8 - 19,789.00 158,312.00
335 Diazepam Tablet 5 mg (VALISANBE) 206 Tablet 396.00 81,576.00 400 Tablet 396.00 158,400.00 242 Tablet 396.00 95,832.00 364 Tablet 396.00 144,144.00
336 Diazepam Tablet 5 mg - Tablet 114.00 - - Tablet 114.00 - - Tablet 114.00 - - Tablet 114.00 -
337 Fenobarbital Tablet 30 mg 26 Tablet 171.00 4,446.00 - Tablet 171.00 - 26 Tablet 171.00 4,446.00 - Tablet 171.00 -
338 Fenobarbital Tablet 30 mg 100 Tablet 171.00 17,100.00 - Tablet 171.00 - 100 Tablet 171.00 17,100.00 - Tablet 171.00 -
339 Fenobarbital Tablet 30 mg - tablet 171.00 - 500 tablet 171.00 85,500.00 102 tablet 171.00 17,442.00 398 tablet 171.00 68,058.00
340 Kodein Tablet 10 mg - Tablet 550.00 - - Tablet 550.00 - - Tablet 550.00 - - Tablet 550.00 -
342 Lorazepam Tab 2 mg (Mersi Farma) - Tablet 779.00 - - Tablet 779.00 - - Tablet 779.00 - - Tablet 779.00 -
343 Metamizol 500 mg + Diazepam 2 mg / PRONEURON (Meprofarm) - Tablet 1,320.00 - - Tablet 1,320.00 - - Tablet 1,320.00 - - Tablet 1,320.00 -
347 Primaquin 15 mg tablet - tablet 278.30 - - tablet 278.30 - - tablet 278.30 - - tablet 278.30 -
OBAT - OBAT PROGRAM
OBAT PROGRAM KECACINGAN
349 Albendazol Tablet 400 mg 520 Tablet 404.00 210,080.00 - Tablet 404.00 - 223 Tablet 404.00 90,092.00 297 Tablet 404.00 119,988.00
350 Albendazol Tablet 400 mg - Tablet 431.00 - 1,020 Tablet 431.00 439,620.00 332 Tablet 431.00 143,092.00 688 Tablet 431.00 296,528.00
OBAT PROGRAM DIARE
351 Garam Oralit (Kimia Farma) - Tablet 257.00 - - Tablet 257.00 - - Tablet 257.00 - - Tablet 257.00 -
352 Garam Oralit (Kimia Farma) 3,654 Tablet 257.00 939,078.00 2,000 Tablet 257.00 514,000.00 3,263 Tablet 257.00 838,591.00 2,391 Tablet 257.00 614,487.00
353 Garam Oralit (Kimia Farma) - sachet 274.00 - - sachet 274.00 - - sachet 274.00 - - sachet 274.00 -
354 Garam Oralit (Kimia Farma) - sachet 274.00 - - sachet 274.00 - - sachet 274.00 - - sachet 274.00 -
356 Zinc Sulphate Drops 10 mg/ml (Zincpro drop/ Combined imperial) 26 Botol 6,281.00 163,306.00 - Botol 6,281.00 - 26 Botol 6,281.00 163,306.00 - Botol 6,281.00 -
357 Zinc Sulphate Sirup 10 mg/ml (Zincpro Sirup/ Combiphar) 10 Botol 9,900.00 99,000.00 - Botol 9,900.00 - 10 Botol 9,900.00 99,000.00 - Botol 9,900.00 -
358 Zinc Sulphate Tablet Dispersible 20 mg 6,787 Tablet 524.00 3,556,388.00 500 Tablet 524.00 262,000.00 7,257 Tablet 524.00 3,802,668.00 30 Tablet 524.00 15,720.00
359 Zinc Dispersible 20 mg tablet - tablet 524.00 - - tablet 524.00 - - tablet 524.00 - - tablet 524.00 -
360 Zinc Sulphate Tablet Dispersible 20 mg (Phapros) 189 Tablet 524.00 99,036.00 - Tablet 524.00 - 189 Tablet 524.00 99,036.00 - Tablet 524.00 -
361 Zinc Sulphate Tablet Dispersible 20 mg (Phapros) 427 Tablet 524.00 223,748.00 5,000 Tablet 524.00 2,620,000.00 2,394 Tablet 524.00 1,254,456.00 3,033 Tablet 524.00 1,589,292.00
362 Zinc Sulphate Tablet Dispersible 20 mg (Phapros) - Tablet 524.00 - - Tablet 524.00 - - Tablet 524.00 - - Tablet 524.00 -
OBAT PROGRAM HEPATITIS
364 Hepatitis B Imunoglobulin inj 220 IU/ml (Hb Ig) (Hyperhep) - Pcs 1,325,000.00 - - Pcs 1,325,000.00 - - Pcs 1,325,000.00 - - Pcs 1,325,000.00 -
367 Hepatitis B Imunoglobulin inj 220 IU/ml (Hb Ig) (Hyperhep) - Pcs 1,325,000.00 - 1 Pcs 1,325,000.00 1,325,000.00 - Pcs 1,325,000.00 - 1 Pcs 1,325,000.00 1,325,000.00
368 Hepatitis B Imunoglobulin inj 220 IU/ml (Hb Ig) (Hyperhep) - Pcs 1,325,000.00 - 2 Pcs 1,325,000.00 2,650,000.00 2 Pcs 1,325,000.00 2,650,000.00 - Pcs 1,325,000.00 -
OBAT PROGRAM TB PARU
369 OAT FDC Kategori Anak - Kit 232,518.00 - - Kit 232,518.00 - - Kit 232,518.00 - - Kit 232,518.00 -
370 OAT FDC Kategori Anak - Kit 248,120.00 - - Kit 248,120.00 - - Kit 248,120.00 - - Kit 248,120.00 -
371 OAT FDC Kategori Anak - Kit 248,120.00 - 4 Kit 248,120.00 992,480.00 4 Kit 248,120.00 992,480.00 - Kit 248,120.00 -
372 OAT FDC Kategori I - IIII 35 Kit 389,344.00 13,627,040.00 64 Kit 389,344.00 24,918,016.00 74 Kit 389,344.00 28,811,456.00 25 Kit 389,344.00 9,733,600.00
373 OAT FDC Kategori I - IIII - Kit 415,469.00 - - Kit 415,469.00 - - Kit 415,469.00 - - Kit 415,469.00 -
374 OAT FDC Kategori II - Kit 1,384,983.00 - 2 Kit 1,384,983.00 2,769,966.00 2 Kit 1,384,983.00 2,769,966.00 - Kit 1,384,983.00 -
375 OAT FDC Kategori II - Kit 1,384,983.00 - - Kit 1,384,983.00 - - Kit 1,384,983.00 - - Kit 1,384,983.00 -
376 OAT FDC Kategori II - Kit 1,384,983.00 - 3 Kit 1,384,983.00 4,154,949.00 3 Kit 1,384,983.00 4,154,949.00 - Kit 1,384,983.00 -
BRG BRG BRG BRG
377 OAT FDC Kombipak Kategori I - Kit 317,018.00 - 1 Kit 317,018.00 317,018.00 - Kit 317,018.00 - 1 Kit 317,018.00 317,018.00
379 Isoniazid 100 mg tablet - tablet 282.00 - - tablet 282.00 - - tablet 282.00 - - tablet 282.00 -
OBAT POGRAM KUSTA
380 MDT MB Anak - Blister 28,354.00 - - Blister 28,354.00 - - Blister 28,354.00 - - Blister 28,354.00 -
381 MDT MB Anak - Blister 28,354.00 - 12 Blister 28,354.00 340,248.00 2 Blister 28,354.00 56,708.00 10 Blister 28,354.00 283,540.00
382 MDT MB Dewasa 7 Blister 40,913.49 286,394.42 - Blister 40,913.49 - 7 Blister 40,913.49 286,394.42 - Blister 40,913.49 -
383 MDT MB Dewasa 36 Blister 41,784.00 1,504,224.00 24 Blister 41,784.00 1,002,816.00 57 Blister 41,784.00 2,381,688.00 3 Blister 41,784.00 125,352.00
384 MDT MB Dewasa - Blister 41,784.00 - 24 Blister 41,784.00 1,002,816.00 14 Blister 41,784.00 584,976.00 10 Blister 41,784.00 417,840.00
385 MDT PB Anak - Blister 8,891.00 - - Blister 8,891.00 - - Blister 8,891.00 - - Blister 8,891.00 -
388 MDT MB Dewasa - Blister 36,579.00 - 24 Blister 36,579.00 877,896.00 - Blister 36,579.00 - 24 Blister 36,579.00 877,896.00
389 MDT PB Dewasa - Blister 15,014.00 - - Blister 15,014.00 - - Blister 15,014.00 - - Blister 15,014.00 -
OBAT PROGRAM GIZI
390 Mineral Mix Kombinasi - sachet 2,920.00 - - sachet 2,920.00 - - sachet 2,920.00 - - sachet 2,920.00 -
391 Mineral Mix Kombinasi - sachet 2,920.00 - - sachet 2,920.00 - - sachet 2,920.00 - - sachet 2,920.00 -
392 Retinol (vit A) 200.000 IU Kapsul lunak bayi (6-11bln) 322 Kapsul 517.00 166,474.00 3,800 Kapsul 517.00 1,964,600.00 4,122 Kapsul 517.00 2,131,074.00 - Kapsul 517.00 -
393 Retinol (vit A) 200.000 IU Kapsul lunak bayi (6-11bln) - Kapsul 517.00 - - Kapsul 517.00 - - Kapsul 517.00 - - Kapsul 517.00 -
394 Retinol (vit A) 200.000 IU Kapsul lunak bayi (6-11bln) - 0 552.00 - 2,300 - 552.00 1,269,600.00 1,834 - 552.00 1,012,368.00 466 - 552.00 257,232.00
395 Retinol Vit A 100.000 IU (Biru) 183 Kapsul 284.00 51,972.00 450 Kapsul 284.00 127,800.00 633 Kapsul 284.00 179,772.00 - Kapsul 284.00 -
396 Retinol Vit A 100.000 IU (Biru) - Kapsul 307.00 - - Kapsul 307.00 - - Kapsul 307.00 - - Kapsul 307.00 -
397 Retinol Vit A 100.000 IU (Biru) - Kapsul 307.00 - 700 Kapsul 307.00 214,900.00 401 Kapsul 307.00 123,107.00 299 Kapsul 307.00 91,793.00
398 Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat 0,4 Mg Ta 41,374 Tablet 354.00 14,646,396.00 21,800 Tablet 354.00 7,717,200.00 63,174 Tablet 354.00 22,363,596.00 - Tablet 354.00 -
399 Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat 0,4 Mg Ta - Tablet 354.00 - 34,600 Tablet 354.00 12,248,400.00 31,188 Tablet 354.00 11,040,552.00 3,412 Tablet 354.00 1,207,848.00
400 Tablet Tambah Darah /Komb Ferro Fumarat 60 Mg +As.Folat 0,4 Mg Ta - tablet 354.00 - 11,200 tablet 354.00 3,964,800.00 - tablet 354.00 - 11,200 tablet 354.00 3,964,800.00
OBAT PROGRAM KESGA
403 Calcii Gluconas Inj (Ethica) 24 Ampule 9,955.00 238,920.00 - Ampule 9,955.00 - 24 Ampule 9,955.00 238,920.00 - Ampule 9,955.00 -
404 Magnesium Sulfat Inj.(iv) 40% Otsuka 6 Vial 3,796.00 22,776.00 - Vial 3,796.00 - 6 Vial 3,796.00 22,776.00 - Vial 3,796.00 -
405 Magnesium Sulfat Inj.(iv) 40% Otsuka - vial 3,796.00 - 6 vial 3,796.00 22,776.00 - vial 3,796.00 - 6 vial 3,796.00 22,776.00
406 Calcii Gluconas Inj 10% (Ethica) - Ampule 10,351.00 - 6 Ampule 10,351.00 62,106.00 - Ampule 10,351.00 - 6 Ampule 10,351.00 62,106.00
407 Metilergometrin Maleat Inj 0,2 mg/ml (Ethica ) 83 Ampule 2,959.00 245,597.00 - Ampule 2,959.00 - 24 Ampule 2,959.00 71,016.00 59 Ampule 2,959.00 174,581.00
408 Metilergometrin Maleat Inj 0,2 mg/ml (Ethica ) - Ampule 2,684.00 - - Ampule 2,684.00 - - Ampule 2,684.00 - - Ampule 2,684.00 -
409 Metilergometrin Maleat Inj 0,2 mg/ml (Ethica ) - Ampule 2,959.00 - - Ampule 2,959.00 - - Ampule 2,959.00 - - Ampule 2,959.00 -
410 Oksitetrasiklin 1 % Salep Mata - Tablet 2,500.00 - 120 Tablet 2,500.00 300,000.00 103 Tablet 2,500.00 257,500.00 17 Tablet 2,500.00 42,500.00
411 Metilergometrin Maleat Tablet 0,125 mg 186 Tablet 210.00 39,060.00 - Tablet 210.00 - 70 Tablet 210.00 14,700.00 116 Tablet 210.00 24,360.00
412 Oksitosin Inj 10 UI/ml (Ethica) - Ampule 1,900.00 - - Ampule 1,900.00 - - Ampule 1,900.00 - - Ampule 1,900.00 -
413 Oksitosin Inj 10 UI/ml (Ethica) - Ampule 1,199.00 - 700 Ampule 1,199.00 839,300.00 411 Ampule 1,199.00 492,789.00 289 Ampule 1,199.00 346,511.00
414 Atropin Sulfat Injeksi 0,25 mg/ml (i.m/i.v/s.k) - Ampule 1,639.00 - - Ampule 1,639.00 - - Ampule 1,639.00 - - Ampule 1,639.00 -
415 Oksitosin Inj 10 UI/ml (Ethica) - Ampule 1,199.00 - - Ampule 1,199.00 - - Ampule 1,199.00 - - Ampule 1,199.00 -
OBAT PROGRAM JIWA
416 Amitriptilin 25 mg - Tablet 167.00 - - Tablet 167.00 - - Tablet 167.00 - - Tablet 167.00 -
421 Clozapine 25mg (OGB Dexa) - Tablet 1,121.00 - - Tablet 1,121.00 - - Tablet 1,121.00 - - Tablet 1,121.00 -
422 Clozapine 100 mg - Tablet 3,288.00 - 200 Tablet 3,288.00 657,600.00 75 Tablet 3,288.00 246,600.00 125 Tablet 3,288.00 411,000.00
423 Depakote Valproat Tab 250 mg ( (Abbott ) - Tablet 1,200.00 - - Tablet 1,200.00 - - Tablet 1,200.00 - - Tablet 1,200.00 -
424 Depakote Valproat Tab 250 mg ( (Abbott ) - Tablet 1,750.00 - - Tablet 1,750.00 - - Tablet 1,750.00 - - Tablet 1,750.00 -
425 Depakote Valproat Tab 250 mg ( (Abbott ) - Tablet 1,750.00 - 400 Tablet 1,750.00 700,000.00 220 Tablet 1,750.00 385,000.00 180 Tablet 1,750.00 315,000.00
426 Fenitoin Sodium 30 mg Kapsul (DECATONA) - Kapsul 183.00 - - Kapsul 183.00 - - Kapsul 183.00 - - Kapsul 183.00 -
427 Flufenazin sikzonoate inj 25 mg/ ml - Ampul 63,986.00 - - Ampul 63,986.00 - - Ampul 63,986.00 - - Ampul 63,986.00 -
428 Flufenazin sikzonoate inj 5 ml - vial 63,813.00 - 10 vial 63,813.00 638,130.00 4 vial 63,813.00 255,252.00 6 vial 63,813.00 382,878.00
429 Flufenazin sikzonoate inj 5 ml - Vial 57,500.00 - 15 Vial 57,500.00 862,500.00 15 Vial 57,500.00 862,500.00 - Vial 57,500.00 -
430 Haloperidol 5 mg tablet 162 Tablet 60.00 9,720.00 - Tablet 60.00 - 162 Tablet 60.00 9,720.00 - Tablet 60.00 -
431 Haloperidol 5 mg tablet - Tablet 60.00 - 800 Tablet 60.00 48,000.00 800 Tablet 60.00 48,000.00 - Tablet 60.00 -
432 Haloperidol 5 mg tablet - Tablet 60.00 - 600 Tablet 60.00 36,000.00 281 Tablet 60.00 16,860.00 319 Tablet 60.00 19,140.00
434 Haloperidol Injeksi 5 mg/ml - ampule 5,000.00 - - ampule 5,000.00 - - ampule 5,000.00 - - ampule 5,000.00 -
BRG BRG BRG BRG
435 Haloperidol Injeksi 5 mg/ml (LODOMER) - ampule 13,200.00 - - ampule 13,200.00 - - ampule 13,200.00 - - ampule 13,200.00 -
436 Haloperidol/ Lodomer drops 2 mg - Botol 19,955.00 - 25 Botol 19,955.00 498,875.00 6 Botol 19,955.00 119,730.00 19 Botol 19,955.00 379,145.00
437 Karbamazepin Tablet 200 mg - Tablet 245.00 - - Tablet 245.00 - - Tablet 245.00 - - Tablet 245.00 -
438 Karbamazepin Tablet 200 mg - Tablet 245.00 - - Tablet 245.00 - - Tablet 245.00 - - Tablet 245.00 -
439 Klorpromazin HCl Inj I.M 25 mg/ml (Phapros) 4 Ampule 1,243.00 4,972.00 - Ampule 1,243.00 - 4 Ampule 1,243.00 4,972.00 - Ampule 1,243.00 -
440 Klorpromazin HCl Inj I.M 25 mg/ml (Phapros) - Ampule 1,326.00 - 5 Ampule 1,326.00 6,630.00 - Ampule 1,326.00 - 5 Ampule 1,326.00 6,630.00
441 Klorpromazin Tab Salut 100 mg (HCl) (Mersi Farma) 500 Tablet 158.00 79,000.00 - Tablet 158.00 - 478 Tablet 158.00 75,524.00 22 Tablet 158.00 3,476.00
442 Klorpromazin Tab Salut 100 mg (HCl) - Tablet 157.00 - 300 Tablet 157.00 47,100.00 129 Tablet 157.00 20,253.00 171 Tablet 157.00 26,847.00
443 Klorpromazin Tab Salut 100 mg (HCl) - Tablet 253.00 - - Tablet 253.00 - - Tablet 253.00 - - Tablet 253.00 -
445 Risperidon Tab 2 mg ( Dexa Medica ) - Tablet 287.00 - - Tablet 287.00 - - Tablet 287.00 - - Tablet 287.00 -
446 Risperidon Tab 2 mg (OGB Dexa) 500 Tablet 287.00 143,500.00 - Tablet 287.00 - 500 Tablet 287.00 143,500.00 - Tablet 287.00 -
447 Risperidon Tab 2 mg - Tablet 287.00 - 1,400 Tablet 287.00 401,800.00 1,400 Tablet 287.00 401,800.00 - Tablet 287.00 -
448 Risperidon Tab 2 mg - Tablet 287.00 - 1,700 Tablet 287.00 487,900.00 880 Tablet 287.00 252,560.00 820 Tablet 287.00 235,340.00
450 Trifluoperazinehydrochloride 5 mg /Mersi - Tablet 287.00 - - Tablet 287.00 - - Tablet 287.00 - - Tablet 287.00 -
452 Triheksifenidil Tablet 2 mg (Mersi) - Tablet 91.00 - - Tablet 91.00 - - Tablet 91.00 - - Tablet 91.00 -
453 Triheksifenidil Tablet 2 mg - Tablet 91.00 - 100 Tablet 91.00 9,100.00 100 Tablet 91.00 9,100.00 - Tablet 91.00 -
454 Triheksifenidil Tablet 2 mg (HEXYMER) - Tablet 440.00 - 1,100 Tablet 440.00 484,000.00 260 Tablet 440.00 114,400.00 840 Tablet 440.00 369,600.00
456 Flufenazin/ Siksonat Injeksi 25mg/ ml - ampul 63,986.00 - - ampul 63,986.00 - - ampul 63,986.00 - - ampul 63,986.00 -
PROGRAM IMUNISASI (VAKSIN)
458 BCG 14 vial 56,360.00 789,040.00 180 vial 56,360.00 10,144,800.00 194 vial 56,360.00 10,933,840.00 - vial 56,360.00 -
459 PELARUT BCG 14 ampul - - 260 ampul - - 246 ampul - - 28 ampul - -
460 BCG - vial 60,140.00 - 30 vial 60,140.00 1,804,200.00 30 vial 60,140.00 1,804,200.00 - vial 60,140.00 -
461 BCG - vial 66,154.00 - 50 vial 66,154.00 3,307,700.00 22 vial 66,154.00 1,455,388.00 28 vial 66,154.00 1,852,312.00
462 CAMPAK 10ds (MR) 15 vial 141,648.00 2,124,720.00 120 vial 141,648.00 16,997,760.00 135 vial 141,648.00 19,122,480.00 - vial 141,648.00 -
463 PELARUT CAMPAK 15 ampul - - 320 ampul - - 296 ampul - - 39 ampul - -
464 CAMPAK 10ds (MR) - vial 151,150.00 - 150 vial 151,150.00 22,672,500.00 150 vial 151,150.00 22,672,500.00 - vial 151,150.00 -
465 CAMPAK 10ds (MR) - vial 166,265.00 - 50 vial 166,265.00 8,313,250.00 11 vial 166,265.00 1,828,915.00 39 vial 166,265.00 6,484,335.00
466 DPT HB - Hib/ PENTABIO - vial 76,620.00 - 310 vial 76,620.00 23,752,200.00 310 vial 76,620.00 23,752,200.00 - vial 76,620.00 -
467 DPT HB - Hib/ PENTABIO - vial 84,282.00 - 340 vial 84,282.00 28,655,880.00 300 vial 84,282.00 25,284,600.00 40 vial 84,282.00 3,371,280.00
468 DT - vial 17,450.00 - 100 vial 17,450.00 1,745,000.00 57 vial 17,450.00 994,650.00 43 vial 17,450.00 750,350.00
470 HB UNIJECT/ HB - ADS / HEPATITIS B - vial 23,270.00 - 300 vial 23,270.00 6,981,000.00 258 vial 23,270.00 6,003,660.00 42 vial 23,270.00 977,340.00
471 HB UNIJECT/ HB - ADS / HEPATITIS B - vial 25,597.00 - - vial 25,597.00 - - vial 25,597.00 - - vial 25,597.00 -
472 POLIO bOPV 10 ds 35 vial 18,140.00 634,900.00 210 vial 18,140.00 3,809,400.00 245 vial 18,140.00 4,444,300.00 - vial 18,140.00 -
473 DROPPER POLIO - dropper - - 580 dropper - - 525 dropper - - 55 dropper - -
474 POLIO bOPV 10 ds - vial 19,470.27 - 70 vial 19,470.27 1,362,918.90 70 vial 19,470.27 1,362,918.90 - vial 19,470.27 -
475 POLIO bOPV 10 ds - vial 19,954.00 - 50 vial 19,954.00 997,700.00 50 vial 19,954.00 997,700.00 - vial 19,954.00 -
476 Td - vial 15,450.00 - 270 vial 15,450.00 4,171,500.00 173 vial 15,450.00 2,672,850.00 97 vial 15,450.00 1,498,650.00
478 HB UNIJECT/ HB - ADS / HEPATITIS B - vial 21,810.00 - 200 vial 21,810.00 4,362,000.00 200 vial 21,810.00 4,362,000.00 - vial 21,810.00 -
479 POLIO bOPV 10 ds - vial 19,350.00 - 170 vial 19,350.00 3,289,500.00 170 vial 19,350.00 3,289,500.00 - vial 19,350.00 -
480 Vaksin Meningtis - vial 135,000.00 - - vial 135,000.00 - - vial 135,000.00 - - vial 135,000.00 -
481 CAMPAK 10ds (MR) BIAS - vial 151,150.00 - 95 vial 151,150.00 14,359,250.00 95 vial 151,150.00 14,359,250.00 - vial 151,150.00 -
482 PELARUT CAMPAK BIAS - ampul - - 95 ampul - - 95 ampul - - - ampul - -
483 POLIO bOPV 10 ds - vial 21,285.00 - 80 vial 21,285.00 1,702,800.00 25 vial 21,285.00 532,125.00 55 vial 21,285.00 1,170,675.00
484 IPV - vial 144,540.00 - 140 vial 144,540.00 20,235,600.00 93 vial 144,540.00 13,442,220.00 47 vial 144,540.00 6,793,380.00
486 Vaksin Rabies (Verorab) - vial 165,000.00 - - vial 165,000.00 - - vial 165,000.00 - - vial 165,000.00 -
OBAT PROGRAM HIV/ AIDS
490 Azitromicyn 500 mg + Cefixime 200 mg - Tablet 34,354.10 - - Tablet 34,354.10 - - Tablet 34,354.10 - - Tablet 34,354.10 -
492 Isoniazid (INH) Tablet 300 mg - Tablet 164.00 - 600 Tablet 164.00 98,400.00 600 Tablet 164.00 98,400.00 - Tablet 164.00 -
494 Lamivudine 150 mg - Tablet 90,000.00 - - Tablet 90,000.00 - - Tablet 90,000.00 - - Tablet 90,000.00 -
495 Lamivudine 150 mg - Tablet 90,000.00 - - Tablet 90,000.00 - - Tablet 90,000.00 - - Tablet 90,000.00 -
496 Nevirapine 200 mg - Tablet 183,480.00 - - Tablet 183,480.00 - - Tablet 183,480.00 - - Tablet 183,480.00 -
497 Nevirapine 200 mg - Tablet 176,400.00 - - Tablet 176,400.00 - - Tablet 176,400.00 - - Tablet 176,400.00 -
498 Piridoksin HCl (Vit.B6) Tablet 25 mg - Tablet 77.00 - - Tablet 77.00 - - Tablet 77.00 - - Tablet 77.00 -
500 Tenofovir 300 +Lamivudin 300+ Efaviren 600 (Triple FDC) Triple FDC - Tablet 79,154.00 - - Tablet 79,154.00 - - Tablet 79,154.00 - - Tablet 79,154.00 -
502 Tenofovir 300 mg - Tablet 303,750.00 - - Tablet 303,750.00 - - Tablet 303,750.00 - - Tablet 303,750.00 -
503 Tenofovir 300 mg - Tablet 252,720.00 - - Tablet 252,720.00 - - Tablet 252,720.00 - - Tablet 252,720.00 -
504 Zidofudine 100 mg (ZDV) - Tablet 106,080.00 - - Tablet 106,080.00 - - Tablet 106,080.00 - - Tablet 106,080.00 -
BRG BRG BRG BRG
505 Zidofudine 100 mg (ZDV) - Tablet 106,080.00 - - Tablet 106,080.00 - - Tablet 106,080.00 - - Tablet 106,080.00 -
506 Zidofudine 300 mg + Lamifudine 150 mg - Tablet 222,000.00 - - Tablet 222,000.00 - - Tablet 222,000.00 - - Tablet 222,000.00 -
508 Efavirenz 600 mg tablet - tablet 198,900.00 - - tablet 198,900.00 - - tablet 198,900.00 - - tablet 198,900.00 -
509 Efavirenz 600 mg tablet - tablet 198,900.00 - - tablet 198,900.00 - - tablet 198,900.00 - - tablet 198,900.00 -
511 Abacavir (ABC) 300mg - Tablet 133,137.00 - - Tablet 133,137.00 - - Tablet 133,137.00 - - Tablet 133,137.00 -
514 MB Anak - blister 22,794.00 - - blister 22,794.00 - - blister 22,794.00 - - blister 22,794.00 -
0 OBAT TAMBAHAN IPFK
1 Simvastatin Tablet 10 mg (Yarindo Farmatama) 0 Tablet 110.00 - - Tablet 110.00 - - Tablet 110.00 - - Tablet 110.00 -
2 Depakote Valproat Tab 250 mg ( (Abbott ) 0 Tablet 1,750.00 - - Tablet 1,750.00 - - Tablet 1,750.00 - - Tablet 1,750.00 -
3 Ranitidin Tablet/150
Thiamphenicol mg
Thiamfilex Kapsul 500 mg 0 Tablet 98.00 - - Tablet 98.00 - - Tablet 98.00 - - Tablet 98.00 -
4 0 Kapsul 783.00 - 500 Kapsul 783.00 391,500.00 500 Kapsul 783.00 391,500.00 - Kapsul 783.00 -
5 Thiamphenicol Syr. 0 Botol 7,150.00 - 50 Botol 7,150.00 357,500.00 50 Botol 7,150.00 357,500.00 - Botol 7,150.00 -
6 Dehydro Artemisin 40 mg + Piperakuin 320 mg (DHP) tablet 0 Tablet 2,134.00 - - Tablet 2,134.00 - - Tablet 2,134.00 - - Tablet 2,134.00 -
7 Ranitidin Injeksi 25 mg/ 2 ml 0 Ampule 1,155.00 - - Ampule 1,155.00 - - Ampule 1,155.00 - - Ampule 1,155.00 -
8 Isosorbid Dinitrat Tab Sublingual 5 mg 0 Tablet 80.00 - - Tablet 80.00 - - Tablet 80.00 - - Tablet 80.00 -
9 Ketokonazole 200 mg 0 Tablet 396.00 - - Tablet 396.00 - - Tablet 396.00 - - Tablet 396.00 -
10 Kotrimoksazol Forte 0 Tablet 500.00 - - Tablet 500.00 - - Tablet 500.00 - - Tablet 500.00 -
11 Eritrosmisin Stearate Kaplet 500 mg 0 Tablet 1,890.00 - - Tablet 1,890.00 - - Tablet 1,890.00 - - Tablet 1,890.00 -
12 Omeprazole Kapsul 20 mg 0 Tablet 160.00 - - Tablet 160.00 - - Tablet 160.00 - - Tablet 160.00 -
13 Natrium Klorida Larutan infus 0,9% @500ml (MJB KF ) 0 Tablet 6,840.00 - 40 Tablet 6,840.00 273,600.00 - Tablet 6,840.00 - 40 Tablet 6,840.00 273,600.00
14 Setirizin Tab 10 mg (Futamed) 0 Tablet 90.00 - 4,000 Tablet 90.00 360,000.00 1,170 Tablet 90.00 105,300.00 2,830 Tablet 90.00 254,700.00
15 Siprofloksasin Tablet 500 mg (Novapharin) 0 Tablet 265.00 - - Tablet 265.00 - - Tablet 265.00 - - Tablet 265.00 -
16 Oseltamivir 75 mg 0 Tablet 14,300.00 - - Tablet 14,300.00 - - Tablet 14,300.00 - - Tablet 14,300.00 -
17 Ringer Laktat cairan infus @ 500 ml RL 0 Tablet 7,630.00 - - Tablet 7,630.00 - - Tablet 7,630.00 - - Tablet 7,630.00 -
18 Amitriptilin 25 mg 0 Tablet 167.00 - - Tablet 167.00 - - Tablet 167.00 - - Tablet 167.00 -
19 Oseltamivir 75 mg 0 Kapsul 12,969.00 - - Kapsul 12,969.00 - - Kapsul 12,969.00 - - Kapsul 12,969.00 -
20 Klorokuin 150 mg tablet 0 Tablet 1,506.00 - - Tablet 1,506.00 - - Tablet 1,506.00 - - Tablet 1,506.00 -
21 Natrium Klorida Larutan infus 0,9% @100ml 0 Botol 15,180.00 - - Botol 15,180.00 - - Botol 15,180.00 - - Botol 15,180.00 -
22 Tambah Darah drop (Ferriz Drop) 0 Botol 31,680.00 - 200 Botol 31,680.00 6,336,000.00 1 Botol 31,680.00 31,680.00 199 Botol 31,680.00 6,304,320.00
23 Tambah Darah Sirup (Ferriz Sirup) 0 Botol 31,405.00 - 200 Botol 31,405.00 6,281,000.00 1 Botol 31,405.00 31,405.00 199 Botol 31,405.00 6,249,595.00
24 Gentamycin Krim 1 % mg/ ml Gentalex 0 Tube 3,300.00 - - Tube 3,300.00 - - Tube 3,300.00 - - Tube 3,300.00 -
25 Ringer Laktat cairan infus ( OTSUKA/ WIDATRA) @ 500 ml RL 0 Botol 7,630.00 - - Botol 7,630.00 - - Botol 7,630.00 - - Botol 7,630.00 -
26 Obat Batuk Sirup / INADRYL 0 Botol 14,300.00 - - Botol 14,300.00 - - Botol 14,300.00 - - Botol 14,300.00 -
27 Obat Batuk Expektoran Sirup 0 Botol 8,426.00 - - Botol 8,426.00 - - Botol 8,426.00 - - Botol 8,426.00 -
28 Parasetamol Komb Tablet Antitusif : Parasetamol 500mg,Phenylpropa 0 Tablet 627.00 - - Tablet 627.00 - - Tablet 627.00 - - Tablet 627.00 -
29 Parasetamol Komb Tablet Flu: Parasetamol 500 mg, Kombinasi Influen 0 Tablet 792.00 - - Tablet 792.00 - - Tablet 792.00 - - Tablet 792.00 -
30 Albendazol Suspensi 200mg/ 5 ml 0 Botol 4,000.00 - - Botol 4,000.00 - - Botol 4,000.00 - - Botol 4,000.00 -
31 OAT FDC Kategori Anak 0 Tablet 248,120.00 - 1 Tablet 248,120.00 248,120.00 - Tablet 248,120.00 - 1 Tablet 248,120.00 248,120.00
OBAT TAMBAHAN PUSKESMAS
1 Air Untuk Inj Vial @25 ml 9 Vial 2,860.00 25,740.00 - Vial 2,860.00 - 9 Vial 2,860.00 25,740.00 - Vial 2,860.00 -
2 Ampicilin Serbuk Inj i.v 1.000 mg/vial (Viccilin) 2 Vial 7,199.89 14,399.77 - Vial 7,199.89 - 2 Vial 7,199.89 14,399.77 - Vial 7,199.89 -
3 Antifungi Doen Salep, Kombinasi : Asam Benzoat 6%+Asam Salisilat 3% 1 Pot 4,323.00 4,323.00 - Pot 4,323.00 - 1 Pot 4,323.00 4,323.00 - Pot 4,323.00 -
4 Asam Tranexamat 100 mg/@5 ml Injeksi 45 Ampul 1,945.00 87,525.00 - Ampul 1,945.00 - 34 Ampul 1,945.00 66,130.00 11 Ampul 1,945.00 21,395.00
5 Asiklovir 5% 5gr Cream 34 Tube 2,950.00 100,300.00 - Tube 2,950.00 - 34 Tube 2,950.00 100,300.00 - Tube 2,950.00 -
6 Asiklovir Tab 400 mg ( Phapros ) 27 Tablet 365.00 9,855.00 - Tablet 365.00 - 27 Tablet 365.00 9,855.00 - Tablet 365.00 -
7 Betametason Krim 0,1% (Kimia Farma ) 2 Tube 1,349.00 2,698.00 - Tube 1,349.00 - 2 Tube 1,349.00 2,698.00 - Tube 1,349.00 -
8 Bronsolvan - Teofilin 150 mg tablet 24 Tablet 270.00 6,480.00 - Tablet 270.00 - 24 Tablet 270.00 6,480.00 - Tablet 270.00 -
9 Deksametason Injeksi i.v./l.m. 5 mg/ml 173 Ampul 1,567.00 271,091.00 - Ampul 1,567.00 - 173 Ampul 1,567.00 271,091.00 - Ampul 1,567.00 -
10 Deksamethason Tab 0,5 mg (Promed ) 29 Tablet 32.00 928.00 - Tablet 32.00 - 29 Tablet 32.00 928.00 - Tablet 32.00 -
11 Difenhidramin Inj 10 mg/ ml (Phapros ) 5 Ampule 1,060.00 5,300.00 - Ampule 1,060.00 - 5 Ampule 1,060.00 5,300.00 - Ampule 1,060.00 -
12 Epinefrin (Adrenalin) Inj 1 mg/ ml 0,1% (Ethica ) 3 Ampule 1,749.00 5,247.00 - Ampule 1,749.00 - 3 Ampule 1,749.00 5,247.00 - Ampule 1,749.00 -
13 Eritrosmisin Sirup Kering 200 mg/ 5 ml 3 Botol 6,700.00 20,100.00 - Botol 6,700.00 - 3 Botol 6,700.00 20,100.00 - Botol 6,700.00 -
14 Fitomenadion (Vit K1) Inj 2 mg/ ml I.M (Phapros ) 17 Ampule 3,550.00 60,350.00 - Ampule 3,550.00 - 11 Ampule 3,550.00 39,050.00 6 Ampule 3,550.00 21,300.00
15 Furosemide Tablet 40 mg (Kimia Farma ) 285 Tablet 77.00 21,945.00 - Tablet 77.00 - 285 Tablet 77.00 21,945.00 - Tablet 77.00 -
16 Gentamycin Krim 1 % mg/ ml 64 Tube 3,217.50 205,920.00 - Tube 3,217.50 - 64 Tube 3,217.50 205,920.00 - Tube 3,217.50 -
17 Gentamisin Sulfate tetes mata 0,3% ( ERELA) 3 Botol 4,170.00 12,510.00 - Botol 4,170.00 - 3 Botol 4,170.00 12,510.00 - Botol 4,170.00 -
18 Gentian Violet 1% 10 ml (Cito Ciubrus Farma) 6 Botol 900.00 5,400.00 - Botol 900.00 - 6 Botol 900.00 5,400.00 - Botol 900.00 -
19 Glibenklamid Tablet 5 mg 80 Tablet 119.00 9,520.00 - Tablet 119.00 - 80 Tablet 119.00 9,520.00 - Tablet 119.00 -
BRG BRG BRG BRG
20 Human Tetanus Imunoglobulin Inj 250 UI (Tetagam) 46 Preflied 176,800.00 8,132,800.00 - Preflied 176,800.00 - 46 Preflied 176,800.00 8,132,800.00 - Preflied 176,800.00 -
21 Ibuprofen Susp 200 mg/5 ml (Indo Farma ) 1 Botol 4,465.00 4,465.00 - Botol 4,465.00 - 1 Botol 4,465.00 4,465.00 - Botol 4,465.00 -
22 Kalium Diklofenak Tab 50 mg /Diclofenac Potassium (Guardian Pharm 604 Tablet 700.70 423,222.80 - Tablet 700.70 - 604 Tablet 700.70 423,222.80 - Tablet 700.70 -
23 Kalsium 500 MG + Vit D3 (Calsifar plus) 24 Tablet 165.00 3,960.00 - Tablet 165.00 - 24 Tablet 165.00 3,960.00 - Tablet 165.00 -
24 Ketorolak Inj 10 mg/ml (Bernofarm) 18 Ampule 2,570.00 46,260.00 - Ampule 2,570.00 - 18 Ampule 2,570.00 46,260.00 - Ampule 2,570.00 -
25 Kloramfenikol 3% Tetes Telinga :Kloramfenicol,Lidocain,Proplylenglyco 2 Botol 18,150.00 36,300.00 - Botol 18,150.00 - 2 Botol 18,150.00 36,300.00 - Botol 18,150.00 -
26 Kotrimoksazol Kombinasi Tiap 5ml Suspensi : Sulfametoksazol 200mg + 12 Botol 2,286.00 27,432.00 - Botol 2,286.00 - 12 Botol 2,286.00 27,432.00 - Botol 2,286.00 -
27 Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract 100 m 9 Tube 19,635.00 176,715.00 - Tube 19,635.00 - 9 Tube 19,635.00 176,715.00 - Tube 19,635.00 -
28 Krim Jelly Luka Bakar: Tiap Gram Mengandung Placenta Extract 100 m 16 Tube 19,439.20 311,027.20 - Tube 19,439.20 - 13 Tube 19,439.20 252,709.60 3 Tube 19,439.20 58,317.60
29 Lidocain 2% + Ephinefrin 1:80000 2ml :Lidocain Inj Comp,Inj)/ Pehacai 18 Ampule 3,110.00 55,980.00 - Ampule 3,110.00 - 18 Ampule 3,110.00 55,980.00 - Ampule 3,110.00 -
30 Lidokain 2% + Epinefrin 1:80.000 2 ml (Lidokain Comp. Injeksi) 4 Ampule 1,845.00 7,380.00 - Ampule 1,845.00 - 4 Ampule 1,845.00 7,380.00 - Ampule 1,845.00 -
31 Lidokain 2% + Epinefrin 1:80.000 2 ml (Lidokain Comp. Injeksi) 0 Ampule 1,937.00 - - Ampule 1,937.00 - - Ampule 1,937.00 - - Ampule 1,937.00 -
32 Natrium Klorida Larutan infus 0,9% @500ml (Widatra) 2 Btl= 500 ml 6,410.00 12,820.00 - Btl= 500 ml 6,410.00 - 2 Btl= 500 ml 6,410.00 12,820.00 - Btl= 500 ml 6,410.00 -
33 Nifedipin/ Adalat Kapsul 30 mg (Bayer) 186 Tablet 3,700.00 688,200.00 - Tablet 3,700.00 - 186 Tablet 3,700.00 688,200.00 - Tablet 3,700.00 -
34 Obat Batuk Herbal : Tiap 15 Ml Vitetrifolia Fill 1 Gr,Zingiber Officin 9 Botol 12,100.00 108,900.00 - Botol 12,100.00 - 9 Botol 12,100.00 108,900.00 - Botol 12,100.00 -
35 Oksitosin Inj 10 UI/ml (Ethica) 23 Ampule 1,199.00 27,577.00 - Ampule 1,199.00 - 23 Ampule 1,199.00 27,577.00 - Ampule 1,199.00 -
36 Oxytetra Salep Mata 1% (Kimia Farma ) 3 Tube 3,045.00 9,135.00 - Tube 3,045.00 - 3 Tube 3,045.00 9,135.00 - Tube 3,045.00 -
37 Parasetamol Komb Tablet Antitusif : Parasetamol 500mg,Phenylpropa 589 Tablet 660.00 388,740.00 - Tablet 660.00 - 589 Tablet 660.00 388,740.00 - Tablet 660.00 -
38 Permetrin crem 5% @10 mg (Scabimite crem ) 150 Tube 23,100.00 3,465,000.00 - Tube 23,100.00 - 150 Tube 23,100.00 3,465,000.00 - Tube 23,100.00 -
39 Prednison Tab 5 mg (Holi Pharma) 0 Tablet 68.00 - - Tablet 68.00 - - Tablet 68.00 - - Tablet 68.00 -
40 Propiltiourasil/ PTU 100 mg ( Dexa Medica ) 141 Tablet 473.00 66,693.00 - Tablet 473.00 - 10 Tablet 473.00 4,730.00 131 Tablet 473.00 61,963.00
41 Ranitidin Tablet 150 mg (Hexapharm Jaya ) 2380 Tablet 98.00 233,240.00 - Tablet 98.00 - 2,380 Tablet 98.00 233,240.00 - Tablet 98.00 -
42 Ringer Acetat Botol @500 ml ( Outsuka ) 5 Botol 9,275.00 46,375.00 - Botol 9,275.00 - 5 Botol 9,275.00 46,375.00 - Botol 9,275.00 -
43 Ringer Laktat cairan infus ( WIDATRA )@ 500 ml 17 Botol 7,150.00 121,550.00 - Botol 7,150.00 - 7 Botol 7,150.00 50,050.00 10 Botol 7,150.00 71,500.00
44 Salisil Bedak Serbuk 2% (Rama Mulia Cosmetic ) 4 Pcs 1,020.00 4,080.00 - Pcs 1,020.00 - 4 Pcs 1,020.00 4,080.00 - Pcs 1,020.00 -
45 Serum Anti Bisa Ular (S.A.B.U) Cairan Inj im/iv (Biosave) 1 Vial 479,996.00 479,996.00 - Vial 479,996.00 - 1 Vial 479,996.00 479,996.00 - Vial 479,996.00 -
46 Simvastatin Tablet 10 mg (Yarindo Farmatama) 492 Tablet 110.00 54,120.00 - Tablet 110.00 - 492 Tablet 110.00 54,120.00 - Tablet 110.00 -
47 Thiamin/ Vitamin B1 50 mg (Novapharin ) 8 Tablet 36.00 288.00 - Tablet 36.00 - 8 Tablet 36.00 288.00 - Tablet 36.00 -
48 Thiamphenicol / Thiamfilex Kapsul 500mg ( Molex Ayus ) 171 Kapsul 783.00 133,893.00 - Kapsul 783.00 - 171 Kapsul 783.00 133,893.00 - Kapsul 783.00 -
49 Vit E 400 Vegicap (Proxidan) 560 Botol 3,600.00 2,016,000.00 - Botol 3,600.00 - 560 Botol 3,600.00 2,016,000.00 - Botol 3,600.00 -
50 Magnesium Sulfat Inj.(iv) 40% Otsuka 7 Botol 3,796.00 26,572.00 - Botol 3,796.00 - 7 Botol 3,796.00 26,572.00 - Botol 3,796.00 -
51 Clozapine 25mg (Mersi Farma ) 86 Tablet 1,550.00 133,300.00 - Tablet 1,550.00 - 86 Tablet 1,550.00 133,300.00 - Tablet 1,550.00 -
52 Risperidon Tab 2 mg ( Dexa Medica ) 80 Tablet 273.00 21,840.00 - Tablet 273.00 - 80 Tablet 273.00 21,840.00 - Tablet 273.00 -
53 Triheksifenidil Tablet 2 mg (Mersi) 664 Tablet 85.00 56,440.00 - Tablet 85.00 - 664 Tablet 85.00 56,440.00 - Tablet 85.00 -
54 Albendazol Tablet 400 mg 337 Tablet 344.00 115,928.00 - Tablet 344.00 - 337 Tablet 344.00 115,928.00 - Tablet 344.00 -
55 Deksamethason Tab 0,5 mg (Promed ) 20 Tablet 41.00 820.00 - Tablet 41.00 - 20 Tablet 41.00 820.00 - Tablet 41.00 -
56 MDT MB Anak 1 Tablet 26,562.93 26,562.93 - Tablet 26,562.93 - 1 Tablet 26,562.93 26,562.93 - Tablet 26,562.93 -
57 Retinol Vit A 100.000 UI (Biru) 42 Kapsul 284.00 11,928.00 - Kapsul 284.00 - 42 Kapsul 284.00 11,928.00 - Kapsul 284.00 -
58 Retinol Vit A 200.000 I U(Merah) 540 Kapsul 519.20 280,368.00 - Kapsul 519.20 - 540 Kapsul 519.20 280,368.00 - Kapsul 519.20 -
61 Amitriptilin 25mg ( Indo Farma) 17 Tablet 176.00 2,992.00 - Tablet 176.00 - 17 Tablet 176.00 2,992.00 - Tablet 176.00 -
VAKSIN TAMBAHAN PUSKESMAS
62 DPT HB - Hib/ PENTABIO 38 Vial 71,810.00 2,728,780.00 - Vial 71,810.00 - 38 Vial 71,810.00 2,728,780.00 - Vial 71,810.00 -
TOTAL OBAT & VAKSIN 158,923,238.92 484,921,120.10 501,189,736.72 142,654,622.30
142,654,622.30

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN ALKES (BMHP)
BRG BRG BRG BRG
BMHP
1 Alat Suntik Sekali Pakai .1 ml Tuberculin W N 26Gx 1/2 (Nipro) 32 Pcs 990.00 31,680.00 - Pcs 990.00 - 32 Pcs 990.00 31,680.00 - Pcs 990.00 -
2 Alat Suntik Sekali Pakai .1 ml Tuberculin W N 26Gx 1/2 (Nipro) 307 Pcs 1,023.00 314,061.00 300 Pcs 1,023.00 306,900.00 597 Pcs 1,023.00 610,731.00 10 Pcs 1,023.00 10,230.00
4 Alat Suntik Sekali Pakai .3 cc (NIPRO) 3,121 Pcs 924.00 2,883,804.00 4,000 Pcs 924.00 3,696,000.00 7,121 Pcs 924.00 6,579,804.00 - Pcs 924.00 -
5 Alat Suntik Sekali Pakai .3 cc (TERUMO) - Pcs 1,138.00 - 6,500 Pcs 1,138.00 7,397,000.00 6,490 Pcs 1,138.00 7,385,620.00 10 Pcs 1,138.00 11,380.00
6 Alat Suntik Sekali Pakai .3 cc (NIPRO) - Pcs 924.00 - 7,500 Pcs 924.00 6,930,000.00 3,320 Pcs 924.00 3,067,680.00 4,180 Pcs 924.00 3,862,320.00
7 Alat Suntik Sekali Pakai .5 ml (NIPRO) 38 Pcs 979.00 37,202.00 700 Pcs 979.00 685,300.00 309 Pcs 979.00 302,511.00 429 Pcs 979.00 419,991.00
8 Alat Suntik Sekali Pakai .5 ml (Win) - Pcs 739.20 - - Pcs 739.20 - - Pcs 739.20 - - Pcs 739.20 -
9 Alat Suntik Sekali Pakai 10 ml (NIPRO) 10 Pcs 1,463.00 14,630.00 200 Pcs 1,463.00 292,600.00 195 Pcs 1,463.00 285,285.00 15 Pcs 1,463.00 21,945.00
10 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech I - Box@12pcs 32,522.00 - 120 Box@12pcs 32,522.00 3,902,640.00 72 Box@12pcs 32,522.00 2,341,584.00 48 Box@12pcs 32,522.00 1,561,056.00
11 Alat Suntik Sekali Pakai 20 ml 36 Pcs 2,541.00 91,476.00 - Pcs 2,541.00 - 15 Pcs 2,541.00 38,115.00 21 Pcs 2,541.00 53,361.00
12 Alkohol 70% Medika (Kimia Farma) - - 23,951.00 - - - 23,951.00 - - - 23,951.00 - - - 23,951.00 -
13 Alkohol 70% (Medika) 21 Btl 1000 ml 19,885.45 417,594.37 60 Btl 1000 ml 19,885.45 1,193,126.76 59 Btl 1000 ml 19,885.45 1,173,241.31 22 Btl 1000 ml 19,885.45 437,479.81
14 Alkohol Swab 2 - ply (one med) - - 120.00 - - - 120.00 - - - 120.00 - - - 120.00 -
15 Alkohol Swab 2 - ply (one med) 200 Pcs 127.26 25,452.00 600 Pcs 127.26 76,356.00 800 Pcs 127.26 101,808.00 - Pcs 127.26 -
16 Antiseptic Hand Scrub 0,5 % (Medicare) - Botol 212,784.00 - 3 Botol 212,784.00 638,352.00 3 Botol 212,784.00 638,352.00 - Botol 212,784.00 -
17 Askina Sorb 10X 10 Cm (B-Braun ) - Pcs 70,000.00 - - Pcs 70,000.00 - - Pcs 70,000.00 - - Pcs 70,000.00 -
18 Cat Gut Chromic Demetech 3/0 75c+ jarum 1/2 22 M II - Pcs 22,725.00 - 144 Pcs 22,725.00 3,272,400.00 144 Pcs 22,725.00 3,272,400.00 - Pcs 22,725.00 -
19 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech I 171 Pcs 22,500.00 3,847,500.00 96 Pcs 22,500.00 2,160,000.00 267 Pcs 22,500.00 6,007,500.00 - Pcs 22,500.00 -
20 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech I - - 32,522.00 - - - 32,522.00 - - - 32,522.00 - - - 32,522.00 -
21 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda 150 Pcs 24,583.33 3,687,499.95 - Pcs 24,583.33 - 121 Pcs 24,583.33 2,974,583.29 29 Pcs 24,583.33 712,916.66
22 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda - - 34,300.00 - - - 34,300.00 - - - 34,300.00 - - - 34,300.00 -
23 Dual Enzymatic Detergen Galon 5 liter (STERYZIME) - Pcs 712,800.00 - - Pcs 712,800.00 - - Pcs 712,800.00 - - Pcs 712,800.00 -
24 Ethylcloride Spray 100 ml (Roeko Endo Frost) - Pcs 348,480.00 - 30 Pcs 348,480.00 10,454,400.00 12 Pcs 348,480.00 4,181,760.00 18 Pcs 348,480.00 6,272,640.00
25 Film IV Dressing 6 X 7S (Id67S) E - Care - Pcs 2,222.00 - - Pcs 2,222.00 - - Pcs 2,222.00 - - Pcs 2,222.00 -
26 Film IV Dressing 6 X 7S (Id67S) E - Care - Pcs 1,540.00 - 500 Pcs 1,540.00 770,000.00 100 Pcs 1,540.00 154,000.00 400 Pcs 1,540.00 616,000.00
27 Fixomull Strech 5 cm X 5 m - Pcs 37,440.00 - - Pcs 37,440.00 - - Pcs 37,440.00 - - Pcs 37,440.00 -
28 Foley Catheter 2 Way Ch 16,18 (Norta) - Pcs 13,050.00 - 90 Pcs 13,050.00 1,174,500.00 90 Pcs 13,050.00 1,174,500.00 - Pcs 13,050.00 -
29 Foley Catheter 2 Way Ch 16,18 - Pcs 9,680.00 - - Pcs 9,680.00 - - Pcs 9,680.00 - - Pcs 9,680.00 -
30 Gown Non Woven Onemed (Baju Habis Pakai) 98 Pcs 20,970.00 2,055,060.00 - Pcs 20,970.00 - 98 Pcs 20,970.00 2,055,060.00 - Pcs 20,970.00 -
31 I.V Cannula No. 26 G Polywin (Polymed) - Pcs 13,607.00 - 45 Pcs 13,607.00 612,315.00 21 Pcs 13,607.00 285,747.00 24 Pcs 13,607.00 326,568.00
32 Mantel Gown (Bisa Dicuci) - biji 180,000.00 - - biji 180,000.00 - - biji 180,000.00 - - biji 180,000.00 -
33 I.V Catheter No. 18 (JELCO) 224 Pcs 8,900.00 1,993,600.00 50 Pcs 8,900.00 445,000.00 274 Pcs 8,900.00 2,438,600.00 - Pcs 8,900.00 -
34 I.V Catheter No. 18 (NIPRO) - Pcs 5,500.00 - 450 Pcs 5,500.00 2,475,000.00 236 Pcs 5,500.00 1,298,000.00 214 Pcs 5,500.00 1,177,000.00
35 I.V Catheter No. 20 JELCO 200 Pcs 8,900.00 1,780,000.00 - Pcs 8,900.00 - 200 Pcs 8,900.00 1,780,000.00 - Pcs 8,900.00 -
36 I.V Catheter No. 20 TERUMO 200 Pcs 6,270.00 1,254,000.00 600 Pcs 6,270.00 3,762,000.00 421 Pcs 6,270.00 2,639,670.00 379 Pcs 6,270.00 2,376,330.00
37 I.V Catheter No. 20 JELCO - Pcs 8,700.00 - - Pcs 8,700.00 - - Pcs 8,700.00 - - Pcs 8,700.00 -
38 I.V Catheter No. 22 NIPRO 332 Pcs 5,500.00 1,826,000.00 - Pcs 5,500.00 - 332 Pcs 5,500.00 1,826,000.00 - Pcs 5,500.00 -
39 I.V Catheter No. 22 NIPRO - Pcs 5,500.00 - 600 Pcs 5,500.00 3,300,000.00 288 Pcs 5,500.00 1,584,000.00 312 Pcs 5,500.00 1,716,000.00
40 I.V Catheter No. 24 TERUMO 300 Pcs 6,270.00 1,881,000.00 550 Pcs 6,270.00 3,448,500.00 511 Pcs 6,270.00 3,203,970.00 339 Pcs 6,270.00 2,125,530.00
41 I.V Catheter No. 24 TERUMO - - 6,270.00 - - - 6,270.00 - - - 6,270.00 - - - 6,270.00 -
42 Infusion Set Anak 60 Drops /(Otsuka) 49 Pcs 7,920.00 388,080.00 100 Pcs 7,920.00 792,000.00 149 Pcs 7,920.00 1,180,080.00 - Pcs 7,920.00 -
43 Infusion Set Anak 60 Drops /(Otsuka) - Pcs 8,400.00 - 300 Pcs 8,400.00 2,520,000.00 99 Pcs 8,400.00 831,600.00 201 Pcs 8,400.00 1,688,400.00
44 Infusion Set Dewasa 20 Drops/ (Kimsmed) 300 Pcs 6,199.90 1,859,970.00 - Pcs 6,199.90 - 300 Pcs 6,199.90 1,859,970.00 - Pcs 6,199.90 -
45 Infusion Set Dewasa 20 Drops/ (OTSUKA) - Pcs 8,400.00 - 1,900 Pcs 8,400.00 15,960,000.00 1,306 Pcs 8,400.00 10,970,400.00 594 Pcs 8,400.00 4,989,600.00
46 Kantong Plastik Bio Hazart (Bahan Plastik PE, Panjang 80 Cm, Le - Pcs 1,760.00 - - Pcs 1,760.00 - - Pcs 1,760.00 - - Pcs 1,760.00 -
47 Kapas Pembalut Hydrofil 250 gr 20 Pcs 13,400.00 268,000.00 - Pcs 13,400.00 - 19 Pcs 13,400.00 254,600.00 1 Pcs 13,400.00 13,400.00
48 Kapas Pembalut Hydrofil 250 gr (Surya Husada) 10 Pcs 13,400.00 134,000.00 27 Pcs 13,400.00 361,800.00 9 Pcs 13,400.00 120,600.00 28 Pcs 13,400.00 375,200.00
49 Kapas Pembalut Hydrofil 250 gr (One Med) - - 12,500.00 - - - 12,500.00 - - - 12,500.00 - - - 12,500.00 -
50 Kasa Pembalut Hidrofil DRC 4 m X 10 cm 106 Pcs 2,300.00 243,800.00 - Pcs 2,300.00 - 99 Pcs 2,300.00 227,700.00 7 Pcs 2,300.00 16,100.00
51 Kasa Hidrofil 36 mX 80 cm (DRC T Plain) 1 Pcs 136,500.00 136,500.00 14 Pcs 136,500.00 1,911,000.00 15 Pcs 136,500.00 2,047,500.00 - Pcs 136,500.00 -
52 Kasa Hidrofil 36 mX 80 cm (DRC T Plain) - - 136,500.00 - - - 136,500.00 - - - 136,500.00 - - - 136,500.00 -
53 Kasa Hidrofil Steril 16 cm X 16 cm (One Med) 5 Pcs 8,000.00 40,000.00 - Pcs 8,000.00 - 5 Pcs 8,000.00 40,000.00 - Pcs 8,000.00 -
54 Kasa Hidrofil Steril 16 cm X 16 cm (Surya Husada) 3 Pcs 5,950.00 17,850.00 150 Pcs 5,950.00 892,500.00 151 Pcs 5,950.00 898,450.00 2 Pcs 5,950.00 11,900.00
55 Kasa Hidrofil Steril 16 cm X 16 cm (One Med) - - 8,000.00 - - - 8,000.00 - - - 8,000.00 - - - 8,000.00 -
BRG BRG BRG BRG
56 Kasa Pembalut Hidrofil DRC 3 m X 15 cm (HM HUSADA) 50 Pcs 1,430.00 71,500.00 - Pcs 1,430.00 - 49 Pcs 1,430.00 70,070.00 1 Pcs 1,430.00 1,430.00
57 Kasa Pembalut Hidrofil DRC 4 m X 15 cm (Surya Husada) - Pcs 2,240.00 - 100 Pcs 2,240.00 224,000.00 4 Pcs 2,240.00 8,960.00 96 Pcs 2,240.00 215,040.00
58 Kasa Pembalut Hidrofil DRC 4 m X 15 cm (One Med) - - 2,100.00 - - - 2,100.00 - - - 2,100.00 - - - 2,100.00 -
59 Masker Ear Loop (Masker) 3,046 Pcs 427.85 1,303,231.10 - Pcs 427.85 - 3,046 Pcs 427.85 1,303,231.10 - Pcs 427.85 -
60 Masker Ear Loop Jilbab (Golden Gloves) 10 Pcs 390.86 3,908.60 - Pcs 390.86 - 10 Pcs 390.86 3,908.60 - Pcs 390.86 -
63 Masker N95 Disposibel 193 Pcs 17,500.00 3,377,500.00 - Pcs 17,500.00 - 191 Pcs 17,500.00 3,342,500.00 2 Pcs 17,500.00 35,000.00
64 Masker N95 Disposibel (One Med) - Pcs 6,512.00 - 10 Pcs 6,512.00 65,120.00 - Pcs 6,512.00 - 10 Pcs 6,512.00 65,120.00
65 Masker Tali - Pcs 339.90 - - Pcs 339.90 - - Pcs 339.90 - - Pcs 339.90 -
66 Masker Tali - Pcs 339.90 - 200 Pcs 339.90 67,980.00 200 Pcs 339.90 67,980.00 - Pcs 339.90 -
67 Masker Elastic - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 -
68 Media Sample Container - Pcs 2,309.38 - 950 Pcs 2,309.38 2,193,906.25 950 Pcs 2,309.38 2,193,906.25 - Pcs 2,309.38 -
69 Nebulizer Aerosol with Mask dan Tubing Adult (Remedi) 2 Pcs 10,857.00 21,714.00 - Pcs 10,857.00 - 2 Pcs 10,857.00 21,714.00 - Pcs 10,857.00 -
70 Nebulizer Aerosol with Mask dan Tubing Child (Remedi) 5 Pcs 10,856.25 54,281.25 - Pcs 10,856.25 - 5 Pcs 10,856.25 54,281.25 - Pcs 10,856.25 -
71 Norinse Antimicrobial 500 ml (Viorex) 10 Pcs 65,340.00 653,400.00 63 Pcs 65,340.00 4,116,420.00 28 Pcs 65,340.00 1,829,520.00 45 Pcs 65,340.00 2,940,300.00
72 Nurse Cup (Tutup Kepala) 74 Pcs 333.90 24,708.60 100 Pcs 333.90 33,390.00 97 Pcs 333.90 32,388.30 77 Pcs 333.90 25,710.30
73 Oxygen Mask Elongated Adult (Remedi) 132 Pcs 11,615.00 1,533,180.00 - Pcs 11,615.00 - 36 Pcs 11,615.00 418,140.00 96 Pcs 11,615.00 1,115,040.00
74 Oxygen Mask Nasal Canula Size L Dan S (Aximed) 74 Pcs 6,600.00 488,400.00 200 Pcs 6,600.00 1,320,000.00 72 Pcs 6,600.00 475,200.00 202 Pcs 6,600.00 1,333,200.00
75 Plesterin Bulat Non Woven (One Med) - Pcs 154.00 - 1,000 Pcs 154.00 154,000.00 200 Pcs 154.00 30,800.00 800 Pcs 154.00 123,200.00
76 Polifix 5Cm X 1 Cm ( Sna Medika) - Pcs 7,700.00 - 108 Pcs 7,700.00 831,600.00 107 Pcs 7,700.00 823,900.00 1 Pcs 7,700.00 7,700.00
77 Polifix 5Cm X 1 Cm ( Sna Medika) - Pcs 7,769.00 - - Pcs 7,769.00 - - Pcs 7,769.00 - - Pcs 7,769.00 -
78 Povidon Iodine 10% (300 ml) ( One Med) 12 Pcs 18,000.00 216,000.00 20 Pcs 18,000.00 360,000.00 23 Pcs 18,000.00 414,000.00 9 Pcs 18,000.00 162,000.00
79 Plester Kain (Leukoplast 2,5 cm x 4,5 m) - - 12,675.00 - - - 12,675.00 - - - 12,675.00 - - - 12,675.00 -
80 Povidon Iodine 10% (60 ml) ( One Med) 47 Pcs 3,700.00 173,900.00 - Pcs 3,700.00 - 13 Pcs 3,700.00 48,100.00 34 Pcs 3,700.00 125,800.00
81 Sarung Tangan Non Steril uk. M dan L (Golden Glove, SafeGlov - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 -
82 Prontosan Wound Gel X 50 Gram( B-Braun ) - Tube 286,000.00 - - Tube 286,000.00 - - Tube 286,000.00 - - Tube 286,000.00 -
83 Sarung Tangan Non Steril No M Dan L (ANSELL) - Pair 726.95 - - Pair 726.95 - - Pair 726.95 - - Pair 726.95 -
84 Sarung Tangan Non Steril uk. M (Latex Powdered)/ RANIA - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 - - Box = 100 pcs 135,000.00 -
85 Sarung Tangan Non Steril No S Dan M (MMP MAS) - Pair 542.52 - 6,500 Pair 542.52 3,526,380.00 6,500 Pair 542.52 3,526,380.00 - Pair 542.52 -
86 Sarung Tangan Non Steril No S Dan M (Win Glove) - Pair 496.65 - 4,000 Pair 496.65 1,986,600.00 4,000 Pair 496.65 1,986,600.00 - Pair 496.65 -
87 Sarung Tangan Steril Gynecolog No 7 (ONE MED) (Pasang) 141 Pair 19,360.00 2,729,760.00 - Pair 19,360.00 - 141 Pair 19,360.00 2,729,760.00 - Pair 19,360.00 -
88 Sarung Tangan size M dan L (Exam Glove) - PAir 470.53 - 400 PAir 470.53 188,212.00 400 PAir 470.53 188,212.00 - PAir 470.53 -
89 Sarung Tangan Steril No 7 Dan 7,5 (Medic dent) (Pasang) 94 Pair 3,773.00 354,662.00 50 Pair 3,773.00 188,650.00 144 Pair 3,773.00 543,312.00 - Pair 3,773.00 -
90 Sarung Tangan Steril No 7 Dan 7,5 (Win Glove) (Pasang) - Pair 4,134.90 - 700 Pair 4,134.90 2,894,430.00 400 Pair 4,134.90 1,653,960.00 300 Pair 4,134.90 1,240,470.00
91 Silk Black 3/0 DS 19 mm (SMI ) I / Demetech 55 Pcs 20,586.00 1,132,230.00 240 Pcs 20,586.00 4,940,640.00 292 Pcs 20,586.00 6,011,112.00 3 Pcs 20,586.00 61,758.00
92 Silk Black 3/0 DS 19 mm (SMI ) II / Demetech - Pcs 15,150.00 - - Pcs 15,150.00 - - Pcs 15,150.00 - - Pcs 15,150.00 -
94 Surface Disinfectant 500 ml (Stericide ) 10 Pcs 87,120.00 871,200.00 10 Pcs 87,120.00 871,200.00 6 Pcs 87,120.00 522,720.00 14 Pcs 87,120.00 1,219,680.00
95 Surface Disinfectant Galon 5 Liter (Stericide ) - Pcs 752,400.00 - - Pcs 752,400.00 - - Pcs 752,400.00 - - Pcs 752,400.00 -
96 Underpad 90x 0 cm cosmo I - Pcs 8,295.00 - 210 Pcs 8,295.00 1,741,950.00 210 Pcs 8,295.00 1,741,950.00 - Pcs 8,295.00 -
97 Underpad 90x 0 cm cosmo II - Pcs 8,031.58 - 200 Pcs 8,031.58 1,606,315.80 200 Pcs 8,031.58 1,606,315.80 - Pcs 8,031.58 -
99 Urine Bag Sterile Standard 2 Pcs 5,368.00 10,736.00 200 Pcs 5,368.00 1,073,600.00 202 Pcs 5,368.00 1,084,336.00 - Pcs 5,368.00 -
100 Urine Bag Sterile Standard (AXIMED) - Pcs 5,785.00 - 50 Pcs 5,785.00 289,250.00 50 Pcs 5,785.00 289,250.00 - Pcs 5,785.00 -
102 Umbilical Cord Clamp ( Hospitech ) - Pcs 2,887.50 - 40 Pcs 2,887.50 115,500.00 - Pcs 2,887.50 - 40 Pcs 2,887.50 115,500.00
REAGEN
103 Accu - Check Performa Blood Glukose Meter Test (ROCHE) - Pcs 453,802.99 - - Pcs 453,802.99 - - Pcs 453,802.99 - - Pcs 453,802.99 -
104 Accu- Check Performa Tes Strip ( Roche ) - pcs 4,200.00 - - pcs 4,200.00 - - pcs 4,200.00 - - pcs 4,200.00 -
105 Accu- Check Safe-T-Pro Uno (Roche) 400 Pcs 635.25 254,100.00 - Pcs 635.25 - 400 Pcs 635.25 254,100.00 - Pcs 635.25 -
106 Accu- Check Performa Tes Strip ( Roche ) - Pcs 4,000.00 - - Pcs 4,000.00 - - Pcs 4,000.00 - - Pcs 4,000.00 -
107 Antimonoclonal A (Anti A) 10 ml 2 Btl 59,000.00 118,000.00 - Btl 59,000.00 - 2 Btl 59,000.00 118,000.00 - Btl 59,000.00 -
108 Antimonoclonal AB (Anti AB) 10 ml - Btl 45,000.00 - - Btl 45,000.00 - - Btl 45,000.00 - - Btl 45,000.00 -
109 Antimonoclonal B (Anti B) 10 ml - Btl 45,000.00 - - Btl 45,000.00 - - Btl 45,000.00 - - Btl 45,000.00 -
111 Cholesterol Test Strip (Human Humasens Plus) 7 Tes 546,400.00 3,824,800.00 2 Tes 546,400.00 1,092,800.00 9 Tes 546,400.00 4,917,600.00 - Tes 546,400.00 -
112 Cholesterol Test Strip (Human Humasens Plus) - - 544,150.00 - - - 544,150.00 - - - 544,150.00 - - - 544,150.00 -
113 Family DR HB Hemoglobin Test Meter (Alat) - Pcs - - - Pcs - - - Pcs - - - Pcs - -
114 Family DR HB Hemoglobin Test Trip MHS 2 80 Tes 223,949.37 17,915,949.36 - Tes 223,949.37 - 80 Tes 223,949.37 17,915,949.36 - Tes 223,949.37 -
115 Glucose Test Strip (Human Humasens plus) 7 Tes 254,300.00 1,780,100.00 23 Tes 254,300.00 5,848,900.00 30 Tes 254,300.00 7,629,000.00 - Tes 254,300.00 -
116 Glucose Test Strip (Human Humasens plus) II - Tes 252,800.00 - 20 Tes 252,800.00 5,056,000.00 11 Tes 252,800.00 2,780,800.00 9 Tes 252,800.00 2,275,200.00
117 Hemoglobin Strip 50 test mission (Acon) - Pcs 401,666.67 - 4 Pcs 401,666.67 1,606,666.66 4 Pcs 401,666.67 1,606,666.66 - Pcs 401,666.67 -
118 Hemoglobin Strip 50 test mission (Acon) - - 405,000.00 - - - 405,000.00 - - - 405,000.00 - - - 405,000.00 -
119 Reagen Hb (HCl 0,1 N) 100ml 5 Btl 10,560.00 52,800.00 - Btl 10,560.00 - 5 Btl 10,560.00 52,800.00 - Btl 10,560.00 -
121 Reagen HBsAg Strip (FOKUS) - Test 10,837.00 - - Test 10,837.00 - - Test 10,837.00 - - Test 10,837.00 -
123 TPHA (Fokus) - Test 19,225.00 - - Test 19,225.00 - - Test 19,225.00 - - Test 19,225.00 -
BRG BRG BRG BRG
125 Uric Acid Test Strip 2.0 (Human Humasens plus) 2 Tes 552,800.00 1,105,600.00 6 Tes 552,800.00 3,316,800.00 8 Tes 552,800.00 4,422,400.00 - Tes 552,800.00 -
126 Uric Acid Test Strip 2.0 (Human Humasens plus) - - 552,800.00 - - - 552,800.00 - - - 552,800.00 - - - 552,800.00 -
BMHP (PROGRAM) PROPINSI
PROGRAM MALARIA
127 RDT Malaria - Test 16,400.00 - - Test 16,400.00 - - Test 16,400.00 - - Test 16,400.00 -
PROGRAM SYPHILIS
128 RPR Syphilis - Pcs 4,120.00 - 100 Pcs 4,120.00 412,000.00 100 Pcs 4,120.00 412,000.00 - Pcs 4,120.00 -
129 RPR Syphilis tahap II (FOKUS) - Pcs 4,120.00 - - Pcs 4,120.00 - - Pcs 4,120.00 - - Pcs 4,120.00 -
130 Syphilis 3.0 06FK10 SD Bioline - Test
Test 15,500.00 - 480 Test
Test 15,500.00 7,440,000.00 480 Test
Test 15,500.00 7,440,000.00 - Test
Test 15,500.00 -
131 Trepocheck Syphilis (Rapid Test Syphilis RB-TS) - Test 9,738.00 - - Test 9,738.00 - - Test 9,738.00 - - Test 9,738.00 -
132 Trepocheck Syphilis (Rapid Test Syphilis RB-TS) - 9,611.00 - 200 9,611.00 1,922,200.00 200 9,611.00 1,922,200.00 - 9,611.00 -
134 Tuberkulin - Vial 625,900.00 - - Vial 625,900.00 - - Vial 625,900.00 - - Vial 625,900.00 -
135 RDT Lepto (Uji Leptospira IgM) - test 22,176.00 - - test 22,176.00 - - test 22,176.00 - - test 22,176.00 -
136 RDT DBD IgG/ IgM & NS1 DS-V33 (Demam Berdarah) - test 66,876.00 - - test 66,876.00 - - test 66,876.00 - - test 66,876.00 -
PROGRAM
Rapid Test Anti Hepatitis C (HCV)HEPATITIS
139 - Test 13,252.00 - - Test 13,252.00 - - Test 13,252.00 - - Test 13,252.00 -
140 Reagen HBsAg Strip SD 200 Test 10,865.80 2,173,160.00 100 Test 10,865.80 1,086,580.00 300 Test 10,865.80 3,259,740.00 - Test 10,865.80 -
141 Reagen HBsAg Strip SD - Test 8,053.00 - 300 Test 8,053.00 2,415,900.00 300 Test 8,053.00 2,415,900.00 - Test 8,053.00 -
142 Reagen HBsAg Strip SD - Test 8,110.00 - 100 Test 8,110.00 811,000.00 100 Test 8,110.00 811,000.00 - Test 8,110.00 -
PROGRAM TB PARU
147 Box Slide 3 Pcs 36,000.00 108,000.00 - Pcs 36,000.00 - 1 Pcs 36,000.00 36,000.00 2 Pcs 36,000.00 72,000.00
148 Box Slide - Pcs 77,690.00 - - Pcs 77,690.00 - - Pcs 77,690.00 - - Pcs 77,690.00 -
149 Catridge Genexpart - Test 825,000.00 - - Test 825,000.00 - - Test 825,000.00 - - Test 825,000.00 -
150 Catridge Genexpart - Test 224,254.00 - - Test 224,254.00 - - Test 224,254.00 - - Test 224,254.00 -
151 Catridge Genexpart (Xpert MTB/ RIF Assay Kit) - Test 259,175.00 - - Test 259,175.00 - - Test 259,175.00 - - Test 259,175.00 -
152 Oil Emersi - Botol 70,000.00 - - Botol 70,000.00 - - Botol 70,000.00 - - Botol 70,000.00 -
153 Pot Spuntum/Pot Dahak Steril - Pcs 4,952.83 - - Pcs 4,952.83 - - Pcs 4,952.83 - - Pcs 4,952.83 -
155 Pot Spuntum/Pot Dahak Steril 400 Pcs 2,728.00 1,091,200.00 400 Pcs 2,728.00 1,091,200.00 600 Pcs 2,728.00 1,636,800.00 200 Pcs 2,728.00 545,600.00
157 Reagen Control CD4 - - 660,000.00 - - - 660,000.00 - - - 660,000.00 - - - 660,000.00 -
158 Reagen Control CD4 - - 158,400.00 - - - 158,400.00 - - - 158,400.00 - - - 158,400.00 -
159 Reagen Zeil Nelseen - Kit 276,600.00 - - Kit 276,600.00 - - Kit 276,600.00 - - Kit 276,600.00 -
163 Slide - Pcs 20,747.00 - - Pcs 20,747.00 - - Pcs 20,747.00 - - Pcs 20,747.00 -
164 Slide/ Object Glass - Pcs 20,748.00 - - Pcs 20,748.00 - - Pcs 20,748.00 - - Pcs 20,748.00 -
165 Stereofoam - pcs 6,700.00 - - pcs 6,700.00 - - pcs 6,700.00 - - pcs 6,700.00 -
166 Masker N 95 TB - pcs 19,835.00 - - pcs 19,835.00 - - pcs 19,835.00 - - pcs 19,835.00 -
167 Masker Tali Bedah TB - pcs 386.10 - - pcs 386.10 - - pcs 386.10 - - pcs 386.10 -
OBAT PROGRAM IMUNISASI
168 Alat Suntik Sekali Pakai 0,05 ml 35 Pcs 1,590.00 55,650.00 - Pcs 1,590.00 - 35 Pcs 1,590.00 55,650.00 - Pcs 1,590.00 -
169 Alat Suntik Sekali Pakai 0,05 ml /ONEJECT 495 Pcs 1,550.00 767,250.00 - Pcs 1,550.00 - 453 Pcs 1,550.00 702,150.00 42 Pcs 1,550.00 65,100.00
170 Alat Suntik Sekali Pakai 0,05 ml /ONEJECT - Pcs 1,463.00 - 500 Pcs 1,463.00 731,500.00 127 Pcs 1,463.00 185,801.00 373 Pcs 1,463.00 545,699.00
171 Alat Suntik Sekali Pakai 0,05 ml /ONEJECT - Pcs 1,518.00 - - Pcs 1,518.00 - - Pcs 1,518.00 - - Pcs 1,518.00 -
172 Alat Suntik Sekali Pakai 0,05 ml /ONEJECT - Pcs 1,190.00 - - Pcs 1,190.00 - - Pcs 1,190.00 - - Pcs 1,190.00 -
173 Alat Suntik Sekali Pakai 0,5 ml /ONEJECT 7,453 Pcs 1,185.00 8,831,805.00 800 Pcs 1,185.00 948,000.00 277 Pcs 1,185.00 328,245.00 7,976 Pcs 1,185.00 9,451,560.00
174 Alat Suntik Sekali Pakai 0,5 ml ONEJECT - Pcs 1,463.00 - - Pcs 1,463.00 - - Pcs 1,463.00 - - Pcs 1,463.00 -
175 Alat Suntik Sekali Pakai 0,5 ml ONEJECT - Pcs 1,190.00 - - Pcs 1,190.00 - - Pcs 1,190.00 - - Pcs 1,190.00 -
176 Alat Suntik Sekali Pakai 0,5 ml/ Gavi/SKIFA - Pcs 1,077.00 - - Pcs 1,077.00 - - Pcs 1,077.00 - - Pcs 1,077.00 -
177 Alat Suntik Sekali Pakai 0,5 ml/ Gavi/SKIFA - Pcs 1,081.82 - - Pcs 1,081.82 - - Pcs 1,081.82 - - Pcs 1,081.82 -
178 Alat Suntik Sekali Pakai 0,5 ml/ Gavi/SKIFA - Pcs - - - Pcs - - - Pcs - - - Pcs - -
182 Alat Suntik Sekali Pakai 5 ml (SKIFA) 1,500 Pcs 1,583.00 2,374,500.00 - Pcs 1,583.00 - 1,363 Pcs 1,583.00 2,157,629.00 137 Pcs 1,583.00 216,871.00
183 Alat Suntik Sekali Pakai 5 ml One Ject - Pcs 1,439.00 - - Pcs 1,439.00 - - Pcs 1,439.00 - - Pcs 1,439.00 -
184 Alat Suntik Sekali Pakai 5 ml One Ject - Pcs 1,439.00 - - Pcs 1,439.00 - - Pcs 1,439.00 - - Pcs 1,439.00 -
186 Safety Box 5 L 600 Pcs 22,433.00 13,459,800.00 25 Pcs 22,433.00 560,825.00 59 Pcs 22,433.00 1,323,547.00 566 Pcs 22,433.00 12,697,078.00
187 Alat Suntik Sekali Pakai 0,05 ml - Pcs 1,460.00 - - Pcs 1,460.00 - - Pcs 1,460.00 - - Pcs 1,460.00 -
PROGRAM HIV/ AIDS
192 Diagnostar DS HIV 1/2 One Step Rapid Test (GCHIV-402A) Tahap - Test 14,712.50 - 50 Test 14,712.50 735,625.00 25 Test 14,712.50 367,812.50 25 Test 14,712.50 367,812.50
193 Diagnostar DS HIV 1/2 One Step Rapid Test (GCHIV-402A) Reage - - 19,480.00 - - - 19,480.00 - - - 19,480.00 - - - 19,480.00 -
BRG BRG BRG BRG
194 KHB Diagnostik Kit For HIV (1+2) Antibody (Colloidal Gold) Tahap - Test 13,750.00 - - Test 13,750.00 - - Test 13,750.00 - - Test 13,750.00 -
195 KHB Diagnostik Kit For HIV (1+2) Antibody (Colloidal Gold) (Reag - - 13,235.00 - - - 13,235.00 - - - 13,235.00 - - - 13,235.00 -
196 KHB Diagnostik Kit For HIV (1+2) Antibody (Colloidal Gold) Tahap - Test 12,500.00 - 100 Test 12,500.00 1,250,000.00 50 Test 12,500.00 625,000.00 50 Test 12,500.00 625,000.00
197 KHB Diagnostik Kit For HIV (1+2) Antibody (Colloidal Gold) V2 Ta - - 13,750.00 - - - 13,750.00 - - - 13,750.00 - - - 13,750.00 -
198 Kondom - Pcs 358.00 - 144 Pcs 358.00 51,552.00 144 Pcs 358.00 51,552.00 - Pcs 358.00 -
199 DBS Collection/ Lasec - Pcs 121,750.00 - - Pcs 121,750.00 - - Pcs 121,750.00 - - Pcs 121,750.00 -
200 Lubricant - Pcs 486.00 - 20 Pcs 486.00 9,720.00 20 Pcs 486.00 9,720.00 - Pcs 486.00 -
202 Rapid 1 HIV (SD Bioline Reagen Pemeriksaan HIV AIDS) Tahap I - Test 11,975.00 - 1,200 Test 11,975.00 14,370,000.00 700 Test 11,975.00 8,382,500.00 500 Test 11,975.00 5,987,500.00
203 Rapid HIV 1/2 3.0 SD Bioline - test 28,666.67 - - test 28,666.67 - - test 28,666.67 - - test 28,666.67 -
204 Reagen HIV (FOKUS) R 2 - Test 13,235.00 - - Test 13,235.00 - - Test 13,235.00 - - Test 13,235.00 -
205 KHB Diagnostik Kit For HIV (1+2) Antibody (Colloidal Gold) V2 Ta - Test 12,500.00 - - Test 12,500.00 - - Test 12,500.00 - - Test 12,500.00 -
206 Reagen HIV (SD) R 1 - Test 11,975.00 - - Test 11,975.00 - - Test 11,975.00 - - Test 11,975.00 -
207 Reagen HIV (SD) R 1 - Test 11,975.00 - - Test 11,975.00 - - Test 11,975.00 - - Test 11,975.00 -
209 Reagen HIV (VIKIA) R 3 - Test 19,480.00 - - Test 19,480.00 - - Test 19,480.00 - - Test 19,480.00 -
211 Reagen HIV R2 (Rapid Test) FOKUS - Test 13,235.00 - - Test 13,235.00 - - Test 13,235.00 - - Test 13,235.00 -
213 Reagen HIV R3 (VIKIA) - Test 19,480.00 - - Test 19,480.00 - - Test 19,480.00 - - Test 19,480.00 -
214 Reagen HIV R3 /DS HIV DIAGNOSTAR - Test 13,353.00 - - Test 13,353.00 - - Test 13,353.00 - - Test 13,353.00 -
215 Sarung Tangan Non Steril - Pair 800.00 - - Pair 800.00 - - Pair 800.00 - - Pair 800.00 -
217 APD Set (Cover All, Face Shield, Handscoen, Masker N95) - Paket 323,500.00 - - Paket 323,500.00 - - Paket 323,500.00 - - Paket 323,500.00 -
218 VTM Include Swab - Test 53,000.00 - - Test 53,000.00 - - Test 53,000.00 - - Test 53,000.00 -
219 Masker Bedah 3 ply - Pcs 386.10 - - Pcs 386.10 - - Pcs 386.10 - - Pcs 386.10 -
BMHP TAMBAHAN IPFK
1 Infusion Set Dewasa 20 Drops/ (Kimsmed) - Pcs 6,199.90 - - Pcs 6,199.90 - - Pcs 6,199.90 - - Pcs 6,199.90 -
2 Infusion set anak - Pcs 7,920.00 - - Pcs 7,920.00 - - Pcs 7,920.00 - - Pcs 7,920.00 -
3 Alat Suntik 10 cc - Pcs 1,302.00 - - Pcs 1,302.00 - - Pcs 1,302.00 - - Pcs 1,302.00 -
4 I.V Catheter No. 24 TERUMO - Pcs 8,355.00 - - Pcs 8,355.00 - - Pcs 8,355.00 - - Pcs 8,355.00 -
5 Hepatitis B Imunoglobulin inj 220 IU/ml (Hb Ig) (Hyperhep) - Syringe 1,457,500.00 - - Syringe 1,457,500.00 - - Syringe 1,457,500.00 - - Syringe 1,457,500.00 -
6 RDT COVID - 19 - Pcs - - - Pcs - - - Pcs - - - Pcs - -
7 Katrid XPert Xpress SARS-CoV-2. Sample Collection Kit (For Virus - Pcs 410,777.00 - - Pcs 410,777.00 - - Pcs 410,777.00 - - Pcs 410,777.00 -
8 Katrid XPert Xpress SARS-CoV-2. Sample Collection Kit (For Virus - Pcs 343,687.00 - - Pcs 343,687.00 - - Pcs 343,687.00 - - Pcs 343,687.00 -
9 Masker N95 (Particulate Respirator) - Pcs 32,493.00 - - Pcs 32,493.00 - - Pcs 32,493.00 - - Pcs 32,493.00 -
10 Hazmat/ APD/ Hazmat PPK - Pcs - - 82 Pcs - - 82 Pcs - - - Pcs - -
11 Medical Sample Container - Pcs 2,254.32 - - Pcs 2,254.32 - - Pcs 2,254.32 - - Pcs 2,254.32 -
12 Cepheid - Pcs 259,175.00 - - Pcs 259,175.00 - - Pcs 259,175.00 - - Pcs 259,175.00 -
13 Masker Bedah /Bima Sakti - Pcs 1,700.00 - - Pcs 1,700.00 - - Pcs 1,700.00 - - Pcs 1,700.00 -
14 Masker Bedah /Rania - Pcs 1,700.00 - - Pcs 1,700.00 - - Pcs 1,700.00 - - Pcs 1,700.00 -
15 I.V Catheter No. 24 (BRAUN) - Pcs 8,355.00 - 50 Pcs 8,355.00 417,750.00 - Pcs 8,355.00 - 50 Pcs 8,355.00 417,750.00
16 Apron Lengan Panjang Putih (Rannia) - Pcs 6,500.00 - - Pcs 6,500.00 - - Pcs 6,500.00 - - Pcs 6,500.00 -
17 Kasa Hidrofil Steril 16 cm X 16 cm (Surya Husada) - Pcs 11,250.00 - - Pcs 11,250.00 - - Pcs 11,250.00 - - Pcs 11,250.00 -
18 APD Set (Rannia) - Pcs 236,500.00 - 8 Pcs 236,500.00 1,892,000.00 - Pcs 236,500.00 - 8 Pcs 236,500.00 1,892,000.00
19 Cover All Disposible (Baju sekali pakai) (Rannia) - Pcs 99,000.00 - 5 Pcs 99,000.00 495,000.00 - Pcs 99,000.00 - 5 Pcs 99,000.00 495,000.00
20 Cover All Re Use (Baju bisa di pakai lagi /dicuci) Rannia - Pcs 203,500.00 - 7 Pcs 203,500.00 1,424,500.00 - Pcs 203,500.00 - 7 Pcs 203,500.00 1,424,500.00
21 Baju APD Reusable (Bisa bisa dipakai lagi/dicuci) (Usaha Karya - Pcs 275,000.00 - 10 Pcs 275,000.00 2,750,000.00 - Pcs 275,000.00 - 10 Pcs 275,000.00 2,750,000.00
22 Helm visor (Usaha Karya Mitra Bersama) - Pcs 132,000.00 - - Pcs 132,000.00 - - Pcs 132,000.00 - - Pcs 132,000.00 -
23 Kaca mata Goggle (Usaha Karya Mitra Bersama) - Pcs 49,500.00 - 5 Pcs 49,500.00 247,500.00 - Pcs 49,500.00 - 5 Pcs 49,500.00 247,500.00
24 Shoe Cover (sepatu ) / (Usaha Karya Mitra Bersama) - Pcs 5,500.00 - - Pcs 5,500.00 - - Pcs 5,500.00 - - Pcs 5,500.00 -
25 Jerigen Putih ukuran 20 liter 1 (Usaha Karya Mitra Bersama) - Pcs 66,000.00 - - Pcs 66,000.00 - - Pcs 66,000.00 - - Pcs 66,000.00 -
26 Sarung tangan non steril M,L (COBRA) - Pcs 1,023.00 - 6,400 Pcs 1,023.00 6,547,200.00 6,400 Pcs 1,023.00 6,547,200.00 - Pcs 1,023.00 -
27 Masker N95 Covid 19 - Pcs 21,736.00 - - Pcs 21,736.00 - - Pcs 21,736.00 - - Pcs 21,736.00 -
28 Masker Tali Bedah 3 ply Covid 19 - Pcs 386.10 - - Pcs 386.10 - - Pcs 386.10 - - Pcs 386.10 -
29 Masker Eaerlop Hijab - Pcs 340.28 - 2,000 Pcs 340.28 680,560.00 2,000 Pcs 340.28 680,560.00 - Pcs 340.28 -
30 Etanol 96 % (Alkohol 1) - Botol = 20 Liter 560,000.00 - 1 Botol = 20 Liter 560,000.00 560,000.00 1 Botol = 20 Liter 560,000.00 560,000.00 - Botol = 20 Liter 560,000.00 -
31 Hand Sanitzer 1 - Liter 1,252,000.00 - 2 Liter 1,252,000.00 2,504,000.00 2 Liter 1,252,000.00 2,504,000.00 - Liter 1,252,000.00 -
32 MC Bleach Liquid 20 Liter (RAJAWALI) - Liter 575,000.00 - 1 Liter 575,000.00 575,000.00 - Liter 575,000.00 - 1 Liter 575,000.00 575,000.00
33 Cover All Disposable solida size XL, XXL (RAJAWALI) - Pcs 156,000.00 - 29 Pcs 156,000.00 4,524,000.00 - Pcs 156,000.00 - 29 Pcs 156,000.00 4,524,000.00
34 KIT A1 Operasi Steril (RAJAWALI) - Pcs 53,636.00 - - Pcs 53,636.00 - - Pcs 53,636.00 - - Pcs 53,636.00 -
35 Mantel Gown APD 1 (Usaha Karya Mitra Bersama) - Pcs 220,000.00 - 5 Pcs 220,000.00 1,100,000.00 5 Pcs 220,000.00 1,100,000.00 - Pcs 220,000.00 -
36 Sepatu Boots APD (Usaha Karya Mitra Bersama) - Pcs 148,500.00 - 3 Pcs 148,500.00 445,500.00 - Pcs 148,500.00 - 3 Pcs 148,500.00 445,500.00
37 Masker Face/ Masker Bedah (COBRA 1) - Pcs 7,000.00 - 1,350 Pcs 7,000.00 9,450,000.00 1,350 Pcs 7,000.00 9,450,000.00 - Pcs 7,000.00 -
38 Masker Elastis Hijau 3 ply (RAJAWALI) - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 - - Pcs 2,200.00 -
39 Jerigen Putih ukuran 20 liter 2 (Usaha Karya Mitra Bersama) - Pcs 60,000.00 - - Pcs 60,000.00 - - Pcs 60,000.00 - - Pcs 60,000.00 -
BRG BRG BRG BRG
40 Masker Face/ Masker Bedah (COBRA 2) - Pcs 6,269.00 - 2,800 Pcs 6,269.00 17,553,200.00 2,800 Pcs 6,269.00 17,553,200.00 - Pcs 6,269.00 -
41 Rapid Test VivaDiag Covid-19 IgM/ IgG (COBRA 2) - Test 197,000.00 - - Test 197,000.00 - - Test 197,000.00 - - Test 197,000.00 -
42 Masker KN95 (Farmahusada) - Pcs 75,000.00 - 50 Pcs 75,000.00 3,750,000.00 - Pcs 75,000.00 - 50 Pcs 75,000.00 3,750,000.00
43 Masker Bedah (Sensi/ Farmahusada) - Pcs 8,500.00 - - Pcs 8,500.00 - - Pcs 8,500.00 - - Pcs 8,500.00 -
44 Rapid Test SARS COV 2 (Farmahusada) - Test 220,000.00 - 25 Test 220,000.00 5,500,000.00 25 Test 220,000.00 5,500,000.00 - Test 220,000.00 -
45 Rapid Test VivaDiag Covid-19 IgM/ IgG (Indofarma) - Test 220,000.00 - - Test 220,000.00 - - Test 220,000.00 - - Test 220,000.00 -
46 Masker KN95 (Anugrah Sentosa Abadi) - Pcs 75,000.00 - - Pcs 75,000.00 - - Pcs 75,000.00 - - Pcs 75,000.00 -
47 APRON (Atmosfer) - Pcs 5,000.00 - 200 Pcs 5,000.00 1,000,000.00 81 Pcs 5,000.00 405,000.00 119 Pcs 5,000.00 595,000.00
48 Rapid Test VivaDiag Covid-19 IgM/ IgG (DIVA) - Test 200,000.00 - - Test 200,000.00 - - Test 200,000.00 - - Test 200,000.00 -
49 Hand Sanitzer 2 - Pcs 56,000.00 - - Pcs 56,000.00 - - Pcs 56,000.00 - - Pcs 56,000.00 -
50 Virus Transport Media Corich (VTM)/ Setia Andalan Sukses - Pcs 80,000.00 - - Pcs 80,000.00 - - Pcs 80,000.00 - - Pcs 80,000.00 -
51 Mantel Gown APD 2 (Usaha Karya Mitra Bersama) - Pcs 200,000.00 - 51 Pcs 200,000.00 10,200,000.00 41 Pcs 200,000.00 8,200,000.00 10 Pcs 200,000.00 2,000,000.00
52 Virus Transport Media Corich (VTM)/ Sekarguna Medika 1 - Pcs 138,364.00 - - Pcs 138,364.00 - - Pcs 138,364.00 - - Pcs 138,364.00 -
53 Virus Transport Media Corich (VTM)/ Sekarguna Medika 2 - Pcs 137,364.00 - - Pcs 137,364.00 - - Pcs 137,364.00 - - Pcs 137,364.00 -
54 Face Shield (COBRA) - Pcs 45,100.00 - 7 Pcs 45,100.00 315,700.00 3 Pcs 45,100.00 135,300.00 4 Pcs 45,100.00 180,400.00
55 Jirigen Putih 20 Liter (Usaha Karya) - Pcs 66,000.00 - - Pcs 66,000.00 - - Pcs 66,000.00 - - Pcs 66,000.00 -
56 Kit Steril (Rajawali) - Pcs 53,636.00 - - Pcs 53,636.00 - - Pcs 53,636.00 - - Pcs 53,636.00 -
57 Alkohol II @20 Liter - Liter 450,000.00 - 2 Liter 450,000.00 900,000.00 - Liter 450,000.00 - 2 Liter 450,000.00 900,000.00
58 Cover All (Rajawali) - Pcs 718,500.00 - 4 Pcs 718,500.00 2,874,000.00 - Pcs 718,500.00 - 4 Pcs 718,500.00 2,874,000.00
59 Face Shield (ATMOSFER) - Pcs 69,000.00 - - Pcs 69,000.00 - - Pcs 69,000.00 - - Pcs 69,000.00 -
60 Jirigen Putih 20 Liter (Usaha Karya) - Pcs 60,000.00 - - Pcs 60,000.00 - - Pcs 60,000.00 - - Pcs 60,000.00 -
61 Masker Earloop (KasaHusada) - Pcs 6,000.00 - - Pcs 6,000.00 - - Pcs 6,000.00 - - Pcs 6,000.00 -
62 MC Bleach Liquid 20 Liter (RAJAWALI) - Pcs 522,728.00 - - Pcs 522,728.00 - - Pcs 522,728.00 - - Pcs 522,728.00 -
63 Rapid Test Covid-19 (Rajawali) - Pcs 180,000.00 - - Pcs 180,000.00 - - Pcs 180,000.00 - - Pcs 180,000.00 -
64 Rapid Test Covid-19 (Dakonan) - Pcs 220,000.00 - - Pcs 220,000.00 - - Pcs 220,000.00 - - Pcs 220,000.00 -
65 Alkohol Swab (BTT) - Pcs 109.09 - - Pcs 109.09 - - Pcs 109.09 - - Pcs 109.09 -
66 Antiseptic Gel 500 - Botol 24,091.00 - - Botol 24,091.00 - - Botol 24,091.00 - - Botol 24,091.00 -
67 Kaca mata Goggle (HASTEN) - Pcs 47,500.00 - - Pcs 47,500.00 - - Pcs 47,500.00 - - Pcs 47,500.00 -
68 Nurse Cap Green om 100bh - Pcs 303.55 - - Pcs 303.55 - - Pcs 303.55 - - Pcs 303.55 -
69 Parafilm (Anugerah Sentosa Abadi) - Pcs 891,275.00 - - Pcs 891,275.00 - - Pcs 891,275.00 - - Pcs 891,275.00 -
70 Sarung tangan Safeglove Surgical size 7 dan 7,5 - Pcs 5,300.00 - - Pcs 5,300.00 - - Pcs 5,300.00 - - Pcs 5,300.00 -
71 Sterlisasi Swab stik (5box/ VTM) - Pcs 5,500.00 - - Pcs 5,500.00 - - Pcs 5,500.00 - - Pcs 5,500.00 -
72 Stereofoam (Anugerah Sentosa Abadi) - Pcs 60,500.00 - - Pcs 60,500.00 - - Pcs 60,500.00 - - Pcs 60,500.00 -
73 Universal Transport Media (UTM) Goongdong - Pcs 80,000.00 - - Pcs 80,000.00 - - Pcs 80,000.00 - - Pcs 80,000.00 -
74 Universal Transport Media (UTM) Sekarguna - Pcs 136,564.00 - - Pcs 136,564.00 - - Pcs 136,564.00 - - Pcs 136,564.00 -
75 Vakutainer tube tertutup (VTM) Anugerah Sentosa Abadi - Pcs 1,265.00 - - Pcs 1,265.00 - - Pcs 1,265.00 - - Pcs 1,265.00 -
76 Infusion Set Dewasa 20 Drops/ (OTSUKA) - Pcs 8,400.00 - - Pcs 8,400.00 - - Pcs 8,400.00 - - Pcs 8,400.00 -
77 Infusion Set Anak 60 Drops /(Otsuka) - Pcs 8,400.00 - - Pcs 8,400.00 - - Pcs 8,400.00 - - Pcs 8,400.00 -
78 Rapid Test Accu Tell (PT Marcotila Medica) - Test 98,000.00 - - Test 98,000.00 - - Test 98,000.00 - - Test 98,000.00 -
79 Rapid Test Lecurate (Bima Sakti) - Test 90,000.00 - - Test 90,000.00 - - Test 90,000.00 - - Test 90,000.00 -
80 Alkohol 96 % - Liter 22,500.00 - - Liter 22,500.00 - - Liter 22,500.00 - - Liter 22,500.00 -
81 VTM Include Dacron (Biofarma) - Pcs 50,000.00 - 15 Pcs 50,000.00 750,000.00 15 Pcs 50,000.00 750,000.00 - Pcs 50,000.00 -
BMHP TAMBAHAN PUSKESMAS
1 Alat Suntik Sekali Pakai 3 cc 24 Pcs 779.00 18,696.00 - Pcs 779.00 - 24 Pcs 779.00 18,696.00 - Pcs 779.00 -
2 Alat Suntik Sekali Pakai 10 ml (NIPRO) 10 Pcs 1,302.00 13,020.00 - Pcs 1,302.00 - 3 Pcs 1,302.00 3,906.00 7 Pcs 1,302.00 9,114.00
3 Antimicrobial Liquid Soap 500 ml (Viorex) 6 Pcs 74,250.00 445,500.00 - Pcs 74,250.00 - 6 Pcs 74,250.00 445,500.00 - Pcs 74,250.00 -
4 Catgut Chromic 3/0 75C + Jarum1/2 22M Demetech 5 Pcs 22,725.00 113,625.00 - Pcs 22,725.00 - - Pcs 22,725.00 - 5 Pcs 22,725.00 113,625.00
5 Cat Gut Plain No. 3.0 70 C+ Jarum 1/2 25 M (Demetech) / Phsda 4 Pcs 24,829.17 99,316.68 - Pcs 24,829.17 - 1 Pcs 24,829.17 24,829.17 3 Pcs 24,829.17 74,487.51
6 Film IV Leukomed 6 Cm X 8 Cm (BSN Medical) 500 Pcs 2,461.12 1,230,560.00 - Pcs 2,461.12 - 500 Pcs 2,461.12 1,230,560.00 - Pcs 2,461.12 -
7 Foley Catheter 2 Way Ch 16,18 (Norta) 7 Pcs 12,100.00 84,700.00 - Pcs 12,100.00 - 2 Pcs 12,100.00 24,200.00 5 Pcs 12,100.00 60,500.00
8 Hand Sanitizer 5 L (Medittol ) 3 Btl 207,900.00 623,700.00 - Btl 207,900.00 - 3 Btl 207,900.00 623,700.00 - Btl 207,900.00 -
9 Hemoglobin Strip 50 test mission (Acon) 800 Pcs 8,014.93 6,411,944.00 - Pcs 8,014.93 - 800 Pcs 8,014.93 6,411,944.00 - Pcs 8,014.93 -
10 Infusion Set Anak 60 Drops /(Otsuka) 2 Pcs 7,920.00 15,840.00 - Pcs 7,920.00 - 1 Pcs 7,920.00 7,920.00 1 Pcs 7,920.00 7,920.00
11 Infusion Set Dewasa 20 Drops/ (Otsuka) 14 Pcs 7,920.00 110,880.00 - Pcs 7,920.00 - - Pcs 7,920.00 - 14 Pcs 7,920.00 110,880.00
12 Infusion Set Dewasa 20 Drops/ (Otsuka) 2 Pcs 7,920.00 15,840.00 - Pcs 7,920.00 - - Pcs 7,920.00 - 2 Pcs 7,920.00 15,840.00
13 I.V Catheter No. 18 (BRAUN) 2 Pcs 8,750.00 17,500.00 - Pcs 8,750.00 - - Pcs 8,750.00 - 2 Pcs 8,750.00 17,500.00
14 I.V Catheter No. 20 NIPRO 22 Pcs 7,018.00 154,396.00 - Pcs 7,018.00 - 1 Pcs 7,018.00 7,018.00 21 Pcs 7,018.00 147,378.00
15 I.V Catheter No. 20 JELCO 101 Pcs 8,900.00 898,900.00 - Pcs 8,900.00 - 101 Pcs 8,900.00 898,900.00 - Pcs 8,900.00 -
16 I.V Catheter No. 24 TERUMO 2 Pcs 8,355.00 16,710.00 - Pcs 8,355.00 - 2 Pcs 8,355.00 16,710.00 - Pcs 8,355.00 -
17 I.V Cannula 26 G Polywin ( Polymed ) 29 Pcs 13,607.00 394,603.00 - Pcs 13,607.00 - 29 Pcs 13,607.00 394,603.00 - Pcs 13,607.00 -
18 Maternity Napkin L (Daya Serap 550 Cc) 150 Pcs 24,684.00 3,702,600.00 - Pcs 24,684.00 - 106 Pcs 24,684.00 2,616,504.00 44 Pcs 24,684.00 1,086,096.00
BRG BRG BRG BRG
19 Maternity Napkin Slim L (Daya Serap 430 Cc) 180 Pcs 20,328.00 3,659,040.00 - Pcs 20,328.00 - 180 Pcs 20,328.00 3,659,040.00 - Pcs 20,328.00 -
20 Pembalut Elastis POLICREPE 4 Pcs 32,892.00 131,568.00 - Pcs 32,892.00 - 4 Pcs 32,892.00 131,568.00 - Pcs 32,892.00 -
21 Plester Roll Kain 2,5 Cm X 4,5 Cm (Leukoplast 1622H) 32 Pcs 12,076.00 386,432.00 - Pcs 12,076.00 - 32 Pcs 12,076.00 386,432.00 - Pcs 12,076.00 -
22 Povidon Iodida 10% (100 ml) Braunol 8 Pcs 34,000.00 272,000.00 - Pcs 34,000.00 - 8 Pcs 34,000.00 272,000.00 - Pcs 34,000.00 -
23 Povidon Iodine 10% (300 ml) ( One Med) 1 Pcs 17,996.00 17,996.00 - Pcs 17,996.00 - 1 Pcs 17,996.00 17,996.00 - Pcs 17,996.00 -
24 Sarung Tangan Steril Gynecolog No 7 (Remidi) 9 Pcs 17,400.00 156,600.00 - Pcs 17,400.00 - 2 Pcs 17,400.00 34,800.00 7 Pcs 17,400.00 121,800.00
25 Stabimed 1000Ml ( B- Braun ) 2 Btl 626,500.00 1,253,000.00 - Btl 626,500.00 - 2 Btl 626,500.00 1,253,000.00 - Btl 626,500.00 -
26 Sterald High Level Disinfectant Lantai Galon 5 Ltr (STERICIDE 3) 1 Pcs 1,098,900.00 1,098,900.00 - Pcs 1,098,900.00 - 1 Pcs 1,098,900.00 1,098,900.00 - Pcs 1,098,900.00 -
27 Sterizyme Dual Enzymatic Detergent 5 Ltr 2 Pcs 712,800.00 1,425,600.00 - Pcs 712,800.00 - 2 Pcs 712,800.00 1,425,600.00 - Pcs 712,800.00 -
28 Umbilical Cord Klem Sterile Nylon 14 Pcs 1,000.00 14,000.00 - Pcs 1,000.00 - 8 Pcs 1,000.00 8,000.00 6 Pcs 1,000.00 6,000.00
29 Urine Bag Sterile Standard 2 Pcs 4,935.00 9,870.00 - Pcs 4,935.00 - - Pcs 4,935.00 - 2 Pcs 4,935.00 9,870.00
30 Cresotin Liquid no 2 (Tehnodent) 1 Pcs 168,000.00 168,000.00 - Pcs 168,000.00 - 1 Pcs 168,000.00 168,000.00 - Pcs 168,000.00 -
31 Ethylcloride Spray 100 ml (Roeko Endo Frost) 2 Pcs 348,480.00 696,960.00 - Pcs 348,480.00 - 2 Pcs 348,480.00 696,960.00 - Pcs 348,480.00 -
32 Glass Ionomer (Fuji IX) 2 Pcs 715,000.00 1,430,000.00 - Pcs 715,000.00 - 2 Pcs 715,000.00 1,430,000.00 - Pcs 715,000.00 -
33 Antimonoclonal A (Anti A) 10 ml (Rafa Topaz Utama) 11 Btl 99,000.00 1,089,000.00 - Btl 99,000.00 - 11 Btl 99,000.00 1,089,000.00 - Btl 99,000.00 -
34 Antimonoclonal B (Anti B) 10 ml (Rafa Topaz Utama) 11 Btl 99,000.00 1,089,000.00 - Btl 99,000.00 - 11 Btl 99,000.00 1,089,000.00 - Btl 99,000.00 -
35 Pot Spuntum/Pot Dahak Steril ( One Med ) 220 Pcs 2,728.00 600,160.00 - Pcs 2,728.00 - 220 Pcs 2,728.00 600,160.00 - Pcs 2,728.00 -
36 Alat Suntik Sekali Pakai 5 ml 8 Pcs 1,640.00 13,120.00 - Pcs 1,640.00 - 8 Pcs 1,640.00 13,120.00 - Pcs 1,640.00 -
37 Fixomull Strech 5 cm X 5 m 46 Pcs 42,800.00 1,968,800.00 - Pcs 42,800.00 - 46 Pcs 42,800.00 1,968,800.00 - Pcs 42,800.00 -
38 Umbilical crd clamp 158 Pcs 2,750.00 434,500.00 - Pcs 2,750.00 - 158 Pcs 2,750.00 434,500.00 - Pcs 2,750.00 -
TOTAL BMHP 122,444,661.91 235,432,012.47 262,593,297.60 95,283,376.78
95,283,376.78


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
MUTASI MASUK/HIBAH/DROPPING DARI : IPFK BTT
SALDO AWAL 1 JANUARI 2020 MUTASI MASUK 1 JAN S/D 30 DES TAHUN 2020 PENGGUNAAN 1 JAN S/D 30 DES TAHUN 2020 SALDO AKHIR 30 DES 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Vitamin C 500 mg, Vitamin B

0 pcs 1,150.00 0 5400 pcs 1,150.00 6,210,000.00 1692 pcs 1,150.00 1,945,800.00 3708 pcs 1,150.00 4,264,200.00 BTT
Kompleks, Vitamin E (BECEFORT)
TOTAL PERSEDIAAN 0.00 6,210,000.00 1,945,800.00 4,264,200.00

4,264,200.00
275,090,460.83 595,899,488.17 628,463,990.12 242,525,958.88

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN OBAT - OBATAN (OKSIGEN)
NO NAMA OBAT JUMLAH JUMLAH
JUMLAH BRG SATUAN SATUAN PERSEDIAAN JUMLAH BRG SATUAN SATUAN PENGADAAN SATUAN SATUAN PENGGUNAAN SATUAN SATUAN PERSEDIAAN
BRG BRG
OKSIGEN MEDICAL
1 Oksigen 3 m3 - Tampon 38,500.00 - - Tampon 38,500.00 - - Tampon 38,500.00 - - Tampon 38,500.00 -
TOTAL OKSIGEN - - - -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
MUTASI MASUK/HIBAH/DROPPING DARI : IPFK BTT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Masker General Care
0 Pcs 2,060.00 0 3800 Pcs 2,060.00 7,828,000.00 1157 Pcs 2,060.00 2,383,420.00 2643 Pcs 2,060.00 5,444,580.00 BTT
(MARCOTILA)
Masker N 95 Bima Sakti 0 PCS 55,000.00 0 20 PCS 55,000.00 1,100,000.00 0 PCS 55,000.00 - 20 PCS 55,000.00 1,100,000.00 BTT
Sarung tangan panjang steril /
0 PCS 58,500.00 0 45 PCS 58,500.00 2,632,500.00 0 PCS 58,500.00 - 45 PCS 58,500.00 2,632,500.00 BTT
meditouche perpasang
Sarung tangan Non Steril
0 PCS 850.00 0 16000 PCS 850.00 13,600,000.00 12580 PCS 850.00 10,693,000.00 3420 PCS 850.00 2,907,000.00 BTT
(Shamrock Supreme/ Rannia)
Handsanitizer Medicare 0,5% (5
0 pcs 186,000.00 0 2 pcs 186,000.00 372,000.00 1 pcs 186,000.00 186,000.00 1 pcs 186,000.00 186,000.00 BTT
liter) KF
Mantel Gown APD (Usaha Karya
0 0 200,000.00 0 5 0 200,000.00 1,000,000.00 0 0 200,000.00 - 5 0 200,000.00 1,000,000.00 BTT
Mitra Bersama)
Masker Bedah Hijau @50pcs 0 0 2,816.00 0 3800 0 2,816.00 10,700,800.00 1759 0 2,816.00 4,953,344.00 2041 0 2,816.00 5,747,456.00 BTT
Masker N95 3M 8210 (Hazten) 0 0 150,000.00 0 20 0 150,000.00 3,000,000.00 0 0 150,000.00 - 20 0 150,000.00 3,000,000.00 BTT
Rapid Test (1.000) Widhi Dharma
0 0 160,500.00 0 25 0 160,500.00 4,012,500.00 25 0 160,500.00 4,012,500.00 0 0 160,500.00 - BTT
Adi
Sarung tangan Safeglove Exam M
0 0 585.00 0 4000 0 585.00 2,340,000.00 3904 0 585.00 2,283,840.00 96 0 585.00 56,160.00 BTT
100bh
Rapid Test ZYBIO (Farma Husada) 0 0 97,500.00 0 25 0 97,500.00 2,437,500.00 12 0 97,500.00 1,170,000.00 13 0 97,500.00 1,267,500.00 BTT
TOTAL PERSEDIAAN 0.00 49,023,300.00 25,682,104.00 23,341,196.00

23,341,196.00
275,090,460.83 595,899,488.17 628,463,990.12 242,525,958.88

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN ALKES HABIS PAKAI
MUTASI MASUK/HIBAH/DROPPING DARI : DINAS KESEHATAN KAB. LUMAJANG
NILAI
NO NAMA BARANG HARGA HARGA NILAI HARGA NILAI HARGA SISA NILA KET.
PERSEDIAAN
JML BRG SATUAN SATUAN JML BRG SATUAN SATUAN PENGADAAN JML BRG SATUAN SATUAN PENGGUNAAN JML BRG SATUAN SATUAN PERSEDIAAN
AWAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
DINKES 86,949,480.24 15,218,400.00 92,062,080.24 10,105,800.00

23 DESEMBER 2019
masker 1 box 33,150.00 33,150.00 - 1 box 33,150.00 33,150.00 0 box 33,150.00 -
23 DESEMBER 2019
tas posbindu 12 unit 159,940.00 1,919,280.00 - 12 unit 159,940.00 1,919,280.00 0 unit 159,940.00 -
GE - Blood Glucose test
48 dus 253,877.55 12,186,122.40 - 48 dus 253,877.55 12,186,122.40 0 dus 253,877.55 -
strip
Benechek plus total
240 box 251,530.00 60,367,200.00 - 240 box 251,530.00 60,367,200.00 0 box 251,530.00 -
cholestterol test strip
serenity soft twist lancets
24 box 13,658.16 327,795.84 - 24 box 13,658.16 327,795.84 0 box 13,658.16 -
28G
onemed alcohol swab 48 box 10,000.00 480,000.00 - 48 box 10,000.00 480,000.00 0 box 10,000.00 -
form self reporting question 2400 lbr 900.00 2,160,000.00 - 2400 lbr 900.00 2,160,000.00 0 lbr 900.00 -
alat ukur tinggi badan 12 unit 55,000.00 660,000.00 - 12 unit 55,000.00 660,000.00 0 unit 55,000.00 -
e-tumbling 24 unit 82,500.00 1,980,000.00 - 24 unit 82,500.00 1,980,000.00 0 unit 82,500.00 -
tas kemasan 12 unit 59,950.00 719,400.00 - 12 unit 59,950.00 719,400.00 0 unit 59,950.00 -
tali pengukur 12 unit 29,975.00 359,700.00 - 12 unit 29,975.00 359,700.00 0 unit 29,975.00 -
alat ukur lingkar perut 12 unit 137,500.00 1,650,000.00 - 12 unit 137,500.00 1,650,000.00 0 unit 137,500.00 -
penlight 12 unit 89,375.00 1,072,500.00 - 12 unit 89,375.00 1,072,500.00 0 unit 89,375.00 -
accluder 12 unit 220,000.00 2,640,000.00 - 12 unit 220,000.00 2,640,000.00 0 unit 220,000.00 -
medibest disposaf safety
12 box 32,861.00 394,332.00 - 12 box 32,861.00 394,332.00 0 box 32,861.00 -
box
2020
Handsanitizer 0 78 botol 26,500.00 2,067,000.00 botol 26,500.00 - 78 botol 26,500.00 2,067,000.00
2020
Alkohol swab, (1 paket 100
- 1 paket 19,800.00 19,800.00 paket 19,800.00 - 1 paket 19,800.00 19,800.00
buah)
Aquades 500 ml - 1 btl 25,850.00 25,850.00 btl 25,850.00 - 1 btl 25,850.00 25,850.00
Masker hidung dan mulut (1

paket 50buah)
Kertas saring berabu (1

- 1 lbr 105,600.00 105,600.00 lbr 105,600.00 - 1 lbr 105,600.00 105,600.00
paket 100 lbr)
Sarung tangan (1 paket 50

pasang)
Tas hardcase - 1 unit 1,496,000.00 1,496,000.00 unit 1,496,000.00 - 1 unit 1,496,000.00 1,496,000.00
NILAI
PERSEDIAAN
AWAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Tas reagen Pengujian
- 1 unit 399,960.00 399,960.00 unit 399,960.00 - 1 unit 399,960.00 399,960.00
Kualitas Air

- 1 unit 399,960.00 399,960.00 unit 399,960.00 - 1 unit 399,960.00 399,960.00
Kualitas Udara

- 1 unit 399,960.00 399,960.00 unit 399,960.00 - 1 unit 399,960.00 399,960.00
Kualitas Pangan
2020
1. Pengukuran Kualitas Udara
a. thermohygrometer 1 unit 330,000 330,000.00 unit 330,000 1 unit 330,000 330,000.00
c. pipet transfer 1,5 ml (1 pak - - 1 paket 49,940.00 49,940.00 paket 49,940 - 1 paket 49,940.00 49,940.00
2. Pengukuran Kualitas Pangan
c. Parameter Fisik
termometer makanan 1 paket 699,930.00 699,930.00 paket 699,930 1 paket 699,930 699,930.00
3. Pengukuran Kualitas Air -
a. Parameter Fisika
pengukuran warna (1 paket 50 tes) 1 paket 1,499,960.00 1,499,960.00 paket 1,499,960.00 1 paket 1,499,960.00 1,499,960.00
pengukur total zat padat terlarut (TDS) meter 1 unit - - 1 unit - - unit - -
pengukur kekeruhan 1 paket - - 1 paket - - paket - -
b. Parameter Kimia - - - - - - -
pH Digital 1 unit - - 1 unit - - unit - -
b. Parameter Mikrobiologi
lempeng plate E. Coli (1 paket 50 tes) 1 paket 399,960.00 399,960.00 paket 399,960.00 1 paket 399,960.00 399,960.00
Lempeng Plate Coliform (1 paket 50 tes) 1 paket 399,960.00 399,960.00 paket 399,960.00 1 paket 399,960.00 399,960.00
4. Peralatan Pendukung Lainnya
Blender menggunakan tangan 1 unit 330,000.00 330,000.00 unit 330,000.00 1 unit 330,000.00 330,000.00
Mortal pastle 1 unit 39,930.00 39,930.00 unit 39,930.00 1 unit 39,930.00 39,930.00
coolbox 1 botol 199,980.00 199,980.00 botol 199,980.00 1 botol 199,980.00 199,980.00
Pinset dan Gunting 1 unit 26,950.00 26,950.00 unit 26,950.00 1 unit 26,950.00 26,950.00
Pipet transfer (1 paket 500 buah) 1 paket 199,980.00 199,980.00 paket 199,980.00 1 paket 199,980.00 199,980.00
Salin steril 500 ml 1 botol 27,940.00 27,940.00 botol 27,940.00 1 botol 27,940.00 27,940.00
timbangan digital 1 unit 199,980.00 199,980.00 unit 199,980.00 1 unit 199,980.00 199,980.00
Kalibrator timbangan 1 unit - - 1 unit - - unit - -
Wadah sampel 500 ml dan sendok steril (1 paket 500 buah) 1 paket 179,960.00 179,960.00 paket 179,960.00 1 paket 179,960.00 179,960.00
NILAI
PERSEDIAAN
AWAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
Corong kaca 1 buah 19,910.00 19,910.00 buah 19,910.00 1 buah 19,910.00 19,910.00
Rak tabungplastik 2 buah 129,910.00 259,820.00 buah 129,910.00 2 buah 129,910.00 259,820.00
Lampu spirtus 1 buah 49,940.00 49,940.00 buah 49,940.00 1 buah 49,940.00 49,940.00
Botol sampel 1 paket 44,990.00 44,990.00 paket 44,990.00 1 paket 44,990.00 44,990.00
2020
Pengukuran jumlah kuman dalam udara 1 unit 3,312,600.00 3,312,600.00 1 unit 3,312,600.00 3,312,600 - unit 3,312,600.00 -
2020
Termometer Infra Red 0 1 unit 1,800,000.00 1,800,000.00 1 unit 1,800,000.00 1,800,000.00 0 unit 1,800,000.00 -
KEMENKES 4,115,830.40 270,050.00 4,385,880.40 -
Antropometri 1 set 4,115,830.40 4,115,830.40 - 1 set 4,115,830.40 4,115,830.40 0 set 4,115,830.40 -
2020
Masker Kain Germas (alkes) 50 buah 5,401.00 270,050.00 50 buah 5,401.00 270,050.00 - buah 5,401.00 -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN OBAT-OBATAN (ALKON)
MUTASI MASU/HIBAH/DROPPING DARI : DINAS PENGENDALIAN PENDUDUK KELUARGA BERENCANA DAN PEMBERDAYAAN PEREMPUAN
NILAI PERSEDIAAN
NO NAMA BARANG JML HARGA SATUAN
AWAL
HARGA SATUAN NILAI PENGADAAN JML HARGA SATUAN NILAI PENGGUNAAN HARGA SATUAN SISA NILA PERSEDIAAN KET.
SATUAN JML BRG SATUAN SATUAN JML BRG SATUAN
BRG BRG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
ALKON
1 PIL KB 9 kaplet 1,518.00 13,662.00 0 kaplet 1,518.00 0.00 9 kaplet 1,518.00 13,662.00 0 kaplet 1,518.00 0.00
2 PIL KB 0 kaplet 1,350.00 0.00 100 kaplet 1,350.00 135,000.00 100 kaplet 1,350.00 135,000.00 0 kaplet 1,350.00 0.00
3 PIL KB 0 Cycle 1,153.00 0.00 500 Cycle 1,153.00 576,500.00 425 Cycle 1,153.00 490,025.00 75 Cycle 1,153.00 86,475.00
4 SUNTIK/DEPO 160 vial 6,088.00 974,080.00 600 vial 6,088.00 3,652,800.00 760 vial 6,088.00 4,626,880.00 0 vial 6,088.00 0.00
5 SUNTIK/DEPO 0 vial 4,800.00 0.00 1000 vial 4,800.00 4,800,000.00 461 vial 4,800.00 2,212,800.00 539 vial 4,800.00 2,587,200.00
6 SPUIT 220 set 1,215.00 267,300.00 700 set 1,215.00 850,500.00 920 set 1,215.00 1,117,800.00 0 set 1,215.00 0.00
7 SPUIT 0 Box 135,870.00 0.00 5 Box 135,870.00 679,350.00 3 Box 135,870.00 407,610.00 2 Box 135,870.00 271,740.00
8 IUD 28 set 11,800.00 330,400.00 0 set 11,800.00 0.00 16 set 11,800.00 188,800.00 12 set 11,800.00 141,600.00
9 IMPLANT 74 set 175,181.00 12,963,394.00 100 set 175,181.00 17,518,100.00 131 set 175,181.00 22,948,711.00 43 set 175,181.00 7,532,783.00
10 KONDOM 0 buah 4,000.00 0.00 0 buah 4,000.00 0.00 0 buah 4,000.00 0.00 0 buah 4,000.00 0.00
11 KONDOM 18 buah 4,120.00 74,160.00 0 buah 4,120.00 0.00 18 buah 4,120.00 74,160.00 0 buah 4,120.00 0.00
12 KONDOM 0 gross 124,500.00 0.00 2 gross 124,500.00 249,000.00 1 gross 124,500.00 124,500.00 1 gross 124,500.00 124,500.00
13 HANDSCUND 58 pasang 4,750.00 275,500.00 50 pasang 4,750.00 237,500.00 108 pasang 4,750.00 513,000.00 0 pasang 4,750.00 0.00
14 HANDSCUND 0 pasang 4,180.00 0.00 150 pasang 4,180.00 627,000.00 126 pasang 4,180.00 526,680.00 24 pasang 4,180.00 100,320.00
15 HANDSCUND 0 pasang 4,600.00 0.00 50 pasang 4,600.00 230,000.00 0 pasang 4,600.00 0.00 50 pasang 4,600.00 230,000.00
16 LIDOCAIN 0 vial 1,149.00 0.00 300 vial 1,149.00 344,700.00 224 vial 1,149.00 257,376.00 76 vial 1,149.00 87,324.00
17 LIDOCAIN 28 vial 860.00 24,080.00 0 vial 860.00 0.00 28 vial 860.00 24,080.00 0 vial 860.00 0.00
18 DERMAFIX 50 unit 4,212.00 210,600.00 300 unit 4,212.00 1,263,600.00 274 unit 4,212.00 1,154,088.00 76 unit 4,212.00 320,112.00
19 BETADINE 9 botol 2,900.00 26,100.00 28 botol 2,900.00 81,200.00 37 botol 2,900.00 107,300.00 0 botol 2,900.00 0.00
20 BETADINE 0 botol 3,200.00 0.00 20 botol 3,200.00 64,000.00 11 botol 3,200.00 35,200.00 9 botol 3,200.00 28,800.00
21 PARACETAMOL 0 kaplet 95.00 0.00 0 kaplet 95.00 0.00 0 kaplet 95.00 0.00 0 kaplet 95.00 0.00
22 ANTALGIN 0 kaplet 145.00 0.00 0 kaplet 145.00 0.00 0 kaplet 145.00 0.00 0 kaplet 145.00 0.00
23 ALKOHOL 0 btl 8,000.00 0.00 0 btl 8,000.00 0.00 0 btl 8,000.00 0.00 0 btl 8,000.00 0.00
24 ALKOHOL 0 btl 8,100.00 0.00 0 btl 8,100.00 0.00 0 btl 8,100.00 0.00 0 btl 8,100.00 0.00
25 ALKOHOL swab 0 box 10,000.00 0.00 0 box 10,000.00 0.00 0 box 10,000.00 0.00 0 box 10,000.00 0.00
26 ALKOHOL 1 botol 21,645.00 21,645.00 3 botol 21,645.00 64,935.00 4 botol 21,645.00 86,580.00 0 botol 21,645.00 0.00
27 KASA (4x5) 0 bag 750.00 0.00 0 bag 750.00 0.00 0 bag 750.00 0.00 0 bag 750.00 0.00
28 KASA Steril (5x5) 60 bag 2,892.00 173,520.00 200 bag 2,892.00 578,400.00 170 bag 2,892.00 491,640.00 90 bag 2,892.00 260,280.00
29 Derby Dental 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00
30 Derby Dental 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00 0 buah 4,157.08 0.00
31 Derby Dental 1 box 415,708.00 415,708.00 1.3 box 415,708.00 540,420.40 2.3 box 415,708.00 956,128.40 0 box 415,708.00 0.00
32 Implant Removal Kit 1 set 1,878,030.00 1,878,030.00 0 set 1,878,030.00 0.00 0 set 1,878,030.00 0.00 1 set 1,878,030.00 1,878,030.00
33 MASKER 0 buah 848.00 0.00 0 buah 848.00 0.00 0 buah 848.00 0.00 0 buah 848.00 0.00
34 MASKER 0 buah 726.00 0.00 0 buah 726.00 0.00 0 buah 726.00 0.00 0 buah 726.00 0.00
35 MASKER 2 box 33,150.00 66,300.00 12 box 33,150.00 397,800.00 11 box 33,150.00 364,650.00 3 box 33,150.00 99,450.00
36 Safety box 2 buah 15,715.00 31,430.00 15 buah 15,715.00 235,725.00 8 buah 15,715.00 125,720.00 9 buah 15,715.00 141,435.00
37 Tes Kehamilan 0 buah 1,200.00 0.00 0 buah 1,200.00 0.00 0 buah 1,200.00 0.00 0 buah 1,200.00 0.00
38 Tes Kehamilan 17 buah 1,939.00 32,963.00 40 buah 1,939.00 77,560.00 37 buah 1,939.00 71,743.00 20 buah 1,939.00 38,780.00
39 Duk Steril 20 plece 6,863.00 137,260.00 50 plece 6,863.00 343,150.00 50 plece 6,863.00 343,150.00 20 plece 6,863.00 137,260.00
40 Odec 2 botol 88,000.00 176,000.00 3 botol 88,000.00 264,000.00 5 botol 88,000.00 440,000.00 0 botol 88,000.00 0.00
41 Novamox 1 kaplet 44,000.00 44,000.00 2 kaplet 44,000.00 88,000.00 3 kaplet 44,000.00 132,000.00 0 kaplet 44,000.00 0.00
42 Novastan 1 kaplet 32,560.00 32,560.00 2 kaplet 32,560.00 65,120.00 3 kaplet 32,560.00 97,680.00 0 kaplet 32,560.00 0.00
43 Amoxilin 0 box 25,300.00 0.00 7 box 25,300.00 177,100.00 7 box 25,300.00 177,100.00 0 box 25,300.00 0.00
44 Asam Mefenamat 0 strip 2,178.00 0.00 120 strip 2,178.00 261,360.00 96 strip 2,178.00 209,088.00 24 strip 2,178.00 52,272.00
45 Otsu-wi 6 botol 2,860.00 17,160.00 20 botol 2,860.00 57,200.00 26 botol 2,860.00 74,360.00 0 botol 2,860.00 0.00
46 One med one clean 0 botol 11,000.00 0.00 6 botol 11,000.00 66,000.00 5 botol 11,000.00 55,000.00 1 botol 11,000.00 11,000.00
47 RAPID TESY 0 Pos 119,000.00 0.00 30 Pos 119,000.00 3,570,000.00 15 Pos 119,000.00 1,785,000.00 15 Pos 119,000.00 1,785,000.00
48 HAZMAT 0 Pos 154,000.00 0.00 8 Pos 154,000.00 1,232,000.00 8 Pos 154,000.00 1,232,000.00 0 Pos 154,000.00 0.00
NILAI PERSEDIAAN
NO NAMA BARANG JML HARGA SATUAN AWAL HARGA SATUAN NILAI PENGADAAN JML HARGA SATUAN NILAI PENGGUNAAN HARGA SATUAN SISA NILA PERSEDIAAN KET.
SATUAN JML BRG SATUAN SATUAN JML BRG SATUAN
BRG BRG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
49 Sarung Tangan Steril 0 pasang 14,000.00 0.00 100 pasang 14,000.00 1,400,000.00 100 pasang 14,000.00 1,400,000.00 0 pasang 14,000.00 0.00
18,185,852.00 40,728,020.40 42,999,511.40 15,914,361.00
Lumajang, 30 Desember 2020

Mengetahui

NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN BAHAN KIMIA
Saldo Awal 1 Januari 2020 Mutasi 1 Januari - 30 Desember 2020 Penggunaan 1 Januari - 30 Desember 2020 Saldo Akhir 30 Desember 2020
Nilai
Nilai Persediaan Nilai Sisa Nilai
No. Nama Persediaan Jumlah Harga/Satuan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Jumlah Harga/Satuan Ket.
Satuan Awal Satuan Satuan Penggunaan Satuan Persediaan
Barang Barang Awal Barang Barang
15=3+7-
1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 19
11 18=15x17
DINKES 55 33,880,000.00 63 51,240,970.00 40 24,640,000.00 78 60,480,970.00
2019
1 Alfa Sipermetrin (Fandona 30 EC) 55 liter 616,000.00 33,880,000.00 - 40 liter 616,000.00 24,640,000 15 liter 616,000.00 9,240,000.00
2020
2 Alfa Sipermetrin (Fandona 30 EC) - - 40 buah 635,800.00 25,432,000.00 - 40 buah 635,800.00 25,432,000.00
2020
1 1. Pengukuran Kualitas Udara
b. cairan penghidrasi (1 paket 100 tabung) 1 paket 149,930.00 149,930.00 paket 149,930.00 1 paket 149,930.00 149,930.00
2. Pengukuran Kualitas Pangan
a. Reagensia Parameter Kimia
Methanyl yellow (1 paket 50 tes) 1 paket 874,940.00 874,940.00 paket 874,940.00 1 paket 874,940.00 874,940.00
Rhodamin B (1 paket 50 tes) 1 paket 874,940.00 874,940.00 paket 874,940.00 1 paket 874,940.00 874,940.00
Formaldehid (1 paket 50 tes) 1 paket 874,940.00 874,940.00 paket 874,940.00 1 paket 874,940.00 874,940.00
Borax (1 paket 50 tes) 1 paket 874,940.00 874,940.00 paket 874,940.00 1 paket 874,940.00 874,940.00
b. Parameter Mikrobiologi
lempeng plate E. Coli (1 paket 50 sampel) 1 paket 935,000.00 935,000.00 paket 935,000.00 1 paket 935,000.00 935,000.00
Lempeng Plate Coliform (1 paket 50 sampel) 1 paket 935,000.00 935,000.00 paket 935,000.00 1 paket 935,000.00 935,000.00
Arsenik Test 1 paket 3,499,980.00 3,499,980.00 paket 3,499,980.00 1 paket 3,499,980.00 3,499,980.00
Fluoride/Fluorida Test (1 paket 50 tes) 1 paket 1,049,950.00 1,049,950.00 paket 1,049,950.00 1 paket 1,049,950.00 1,049,950.00
Nitrite/Nitrit (NO2-) Test (1 paket 50 tes) 1 paket 839,960.00 839,960.00 paket 839,960.00 1 paket 839,960.00 839,960.00
Nitrate/Nitrat (NO3-) Test (1 paket 50 tes) 1 paket 1,499,960.00 1,499,960.00 paket 1,499,960.00 1 paket 1,499,960.00 1,499,960.00
Cyanide/Sianida Test (1 paket 50 tes) 1 paket 1,399,970.00 1,399,970.00 paket 1,399,970.00 1 paket 1,399,970.00 1,399,970.00
Aluminium Test (1 paket 50 tes) 1 paket 899,800.00 899,800.00 paket 899,800.00 1 paket 899,800.00 899,800.00
Iron/Besi Test (1 paket 50 tes) 1 paket 869,990.00 869,990.00 paket 869,990.00 1 paket 869,990.00 869,990.00
Hardness /Kesadahan Test (1 paket 50 tes) 1 paket 1,100,000.00 1,100,000.00 paket 1,100,000.00 1 paket 1,100,000.00 1,100,000.00
Chloride/Khlorida Test (1 paket 50 tes) 1 paket 1,299,980.00 1,299,980.00 paket 1,299,980.00 1 paket 1,299,980.00 1,299,980.00
Manganese/Mangan Test (1 paket 50 tes) 1 paket 1,199,990.00 1,199,990.00 paket 1,199,990.00 1 paket 1,199,990.00 1,199,990.00
Nilai
Nilai Persediaan Nilai Sisa Nilai
No. Nama Persediaan Jumlah Harga/Satuan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Jumlah Harga/Satuan Ket.
Satuan Awal Satuan Satuan Penggunaan Satuan Persediaan
Barang Barang Awal Barang Barang
15=3+7-
1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 19
11 18=15x17
Zinc/Seng Test (1 paket 50 tes) 1 paket 1,199,990.00 1,199,990.00 paket 1,199,990.00 1 paket 1,199,990.00 1,199,990.00
Sulphate/Sulfat Test (1 paket 50 tes) 1 paket 779,900.00 779,900.00 paket 779,900.00 1 paket 779,900.00 779,900.00
Copper/Tembaga Test (1 paket 50 tes) 1 paket 1,299,980.00 1,299,980.00 paket 1,299,980.00 1 paket 1,299,980.00 1,299,980.00
Ammonia/Amonia Tets (1 paket 50 tes) 1 paket 1,249,930.00 1,249,930.00 paket 1,249,930.00 1 paket 1,249,930.00 1,249,930.00
Chlorine/Sisa Khlor Test (1 paket 50 tes) 1 paket 699,930.00 699,930.00 paket 699,930.00 1 paket 699,930.00 699,930.00
Kromium Test (1 paket 50 tes) 1 paket 1,399,970.00 1,399,970.00 paket 1,399,970.00 1 paket 1,399,970.00 1,399,970.00
TOTAL PERSEDIAAN 55 33,880,000.00 63 51,240,970.00 40 24,640,000.00 78 60,480,970.00


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN CETAK
No. Nama Persediaan Jumlah Harga/Satuan Awal Jumlah Harga/Satuan Awal Jumlah Harga/Satuan Penggunaan Jumlah Harga/Satuan Persediaan Ket.
Satuan Satuan Satuan Satuan
Barang Barang Barang Barang
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
DINKES 7,298 30,086,159.68 6,876 16,972,885.00 10,582 34,158,287.08 3,592 12,304,937.60
KARCIS 500 lembar 118.80 59,400.00 4,000 lembar 118.80 475,200.00 3,498 lembar 118.80 415,562 1,002 lembar 118.80 119,037.60
PEROLEHAN (02 DESEMBER 2019)

Buku KIA 850 Buah 5,303.00 4,507,550.00 850 Buah 5,303.00 4,507,550 - Buah 5,303.00 -
Buku Panduan Praktis untuk caregiver 1 Buah 17,050.00 17,050.00 1 Buah 17,050.00 17,050 - Buah 17,050.00 -
Buku Raport Kesehatan SD/MI 60 Buku 5,534.54 332,072.40 60 Buku 5,534.54 332,072 - Buku 5,534.54 -
Buku Raport Kesehatan SMA/SMK 70 Set 5,891.49 412,404.30 70 Set 5,891.49 412,404 - Set 5,891.49 -
Buku Juknis Penjaringan Kesehatan 1 Set 10,572.98 10,572.98 1 Set 10,572.98 10,573 - Set 10,572.98 -

Buku KIA 160 Buku 8,800.00 1,408,000.00 160 Buku 8,800.00 1,408,000 - Buku 8,800.00 -
Kohort Ibu 15 Buku 19,800.00 297,000.00 15 Buku 19,800.00 297,000 - Buku 19,800.00 -
Kartu Nasihat Bagi Ibu 150 Eks 1,320.00 198,000.00 150 Eks 1,320.00 198,000 - Eks 1,320.00 -
Kohort Ibu 800 Bendel 1,320.00 1,056,000.00 800 Bendel 1,320.00 1,056,000 - Bendel 1,320.00 -
Kohort Bayi 18 Eks 19,800.00 356,400.00 18 Eks 19,800.00 356,400 - Eks 19,800.00 -
Kohort Akbal 18 Eks 19,800.00 356,400.00 18 Eks 19,800.00 356,400 - Eks 19,800.00 -
Kohort Apras 18 Eks 19,800.00 356,400.00 18 Eks 19,800.00 356,400 - Eks 19,800.00 -
Kartu Anak 800 Lbr 330.00 264,000.00 800 Lbr 330.00 264,000 - Lbr 330.00 -
Kartu Bbl 3 Bendel 16,500.00 49,500.00 3 Bendel 16,500.00 49,500 - Bendel 16,500.00 -
MTBM 12 Bendel 16,500.00 198,000.00 12 Bendel 16,500.00 198,000 - Bendel 16,500.00 -
MTBS 12 Bendel 16,500.00 198,000.00 12 Bendel 16,500.00 198,000 - Bendel 16,500.00 -
Register Penimbangan 62 Buku 26,400.00 1,636,800.00 62 Buku 26,400.00 1,636,800 - Buku 26,400.00 -
Blanko SKDN 620 lbr 495.00 306,900.00 620 lbr 495.00 306,900 - lbr 495.00 -
Kartu Suplemen Ibu Hamil 164 lbr 2,090.00 342,760.00 164 lbr 2,090.00 342,760 - lbr 2,090.00 -
Kartu Monitoring PMT 50 sheet 825.00 41,250.00 50 sheet 825.00 41,250 - sheet 825.00 -
Cetak DKBM 3 buku 94,600.00 283,800.00 3 buku 94,600.00 283,800 - buku 94,600.00 -
Kartu suplemasi remaja putri 130 lbr 2,090.00 271,700.00 130 lbr 2,090.00 271,700 - lbr 2,090.00 -
Cetak buku kesehatan lansia 200 bh 8,415.00 1,683,000.00 200 bh 8,415.00 1,683,000 - bh 8,415.00 -
Satuan Awal Awal Penggunaan Persediaan
Barang Barang Satuan Barang Satuan Barang Satuan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
Cetak buku raport kesehatan anak SD 160 bh 6,292.00 1,006,720.00 160 bh 6,292.00 1,006,720 - bh 6,292.00 -
Cetak buku raport kesehatan anak SMP/SMA 320 bh 6,292.00 2,013,440.00 320 bh 6,292.00 2,013,440 - bh 6,292.00 -
Buku juknis pengisian dan pemanfaatan kohort bay 14 Eks 18,800.00 263,200.00 14 Eks 18,800.00 263,200 - Eks 18,800.00 -
Kohort KB 14 Eks 40,000.00 560,000.00 14 Eks 40,000.00 560,000 - Eks 40,000.00 -
Cetak media KIE Roll UP Banner Stunting 1 paket 385,000.00 385,000.00 1 paket 385,000.00 385,000 - paket 385,000.00 -
Cetak monitoring ttd rematri 246 lbr 2,420.00 595,320.00 246 lbr 2,420.00 595,320 - lbr 2,420.00 -

KMS Posbindu 200 lembar 9,405.00 1,881,000.00 200 lembar 9,405.00 1,881,000 - lembar 9,405.00 -
Kartu Skreening 400 lembar 4,950.00 1,980,000.00 400 lembar 4,950.00 1,980,000 - lembar 4,950.00 -
Buku Register Posbindu 4 lembar 49,500.00 198,000.00 4 lembar 49,500.00 198,000 - lembar 49,500.00 -
Leaflet PTM 200 buku 4,950.00 990,000.00 200 buku 4,950.00 990,000 - buku 4,950.00 -
Leaflet Kesehatan Gilut 200 lembar 4,950.00 990,000.00 200 lembar 4,950.00 990,000 - lembar 4,950.00 -
Lembar Balik Kesehatan Gigi 1 lembar 297,000.00 297,000.00 1 lembar 297,000.00 297,000 - lembar 297,000.00 -

Buku Harian Anak Terhebat 100 buah 5,425.20 542,520.00 100 buah 5,425.20 542,520 - buah 5,425.20 -

poster 100 bh 6,750.00 675,000.00 100 bh 6,750.00 675,000 - bh 6,750.00 -
lafleat 600 bh 1,375.00 825,000.00 600 bh 1,375.00 825,000 - bh 1,375.00 -
lembar balik 4 bh 250,000.00 1,000,000.00 4 bh 250,000.00 1,000,000 - bh 250,000.00 -
buku modul kesehatan 17 bh 73,000.00 1,241,000.00 17 bh 73,000.00 1,241,000 - bh 73,000.00 -
PEROLEHAN (8 APRIL 2020)

Buku Pedoman PKRT - 1 Eks 49,500.00 49,500.00 1 Eks 49,500.00 49,500 - Eks 49,500.00 -
Buku Juknis PKRT - 1 Eks 49,500.00 49,500.00 1 Eks 49,500.00 49,500 - Eks 49,500.00 -
Buku Pedoman Pelayanan Kesehatan Neonatal Essesment - 4 Eks 97,900.00 391,600.00 4 Eks 97,900.00 391,600 - Eks 97,900.00 -
Panduan Praktis Untuk Caragiver Dalam Perawatan - 1 Eks 74,800.00 74,800.00 1 Eks 74,800.00 74,800 - Eks 74,800.00 -
Lembar Balik ODHA - 1 Eks 341,000.00 341,000.00 1 Eks 341,000.00 341,000 - Eks 341,000.00 -
Kartu Kontrol Fe dan Asam Folat - 15 Lembar 2,200.00 33,000.00 15 Lembar 2,200.00 33,000 - Lembar 2,200.00 -
Leaflet Prakonsepsi - 15 Lembar 3,300.00 49,500.00 15 Lembar 3,300.00 49,500 - Lembar 3,300.00 -
Lembar Balik Kelas Ibu Hamil - 2 Eks 247,500.00 495,000.00 2 Eks 247,500.00 495,000 - Eks 247,500.00 -
Buku Pegangan Fasilitator - 2 Eks 147,950.00 295,900.00 2 Eks 147,950.00 295,900 - Eks 147,950.00 -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
Buku Pedoman Kohort Bayi dan Balita - 3 Eks 49,500.00 148,500.00 3 Eks 49,500.00 148,500 - Eks 49,500.00 -
Modul MTPKR - 1 Eks 246,400.00 246,400.00 1 Eks 246,400.00 246,400 - Eks 246,400.00 -
Buku Pedoman PKPR - 1 Eks 99,000.00 99,000.00 1 Eks 99,000.00 99,000 - Eks 99,000.00 -
Instrument Pengkajian Paripurna Pasien Geriatri - 2 Eks 9,570.00 19,140.00 2 Eks 9,570.00 19,140 - Eks 9,570.00 -
Register Kohort Pelayanan Kesehatan Lansia - 2 Eks 46,970.00 93,940.00 2 Eks 46,970.00 93,940 - Eks 46,970.00 -
Pedoman Kesehatan Lansia - 2 Eks 74,250.00 148,500.00 2 Eks 74,250.00 148,500 - Eks 74,250.00 -
Buku Kesehatan Lansia - 2 Eks 9,900.00 19,800.00 2 Eks 9,900.00 19,800 - Eks 9,900.00 -
Sertifikat Seminar Pembelajaran Petugas AMP - 3 Eks 11,000.00 33,000.00 3 Eks 11,000.00 33,000 - Eks 11,000.00 -
Sertifikat PKPR / MTKPR - 3 Lembar 11,000.00 33,000.00 3 Lembar 11,000.00 33,000 - Lembar 11,000.00 -
Sertifikat Penguatan Kespro Melalui Orientasi Ktp / A - 3 Lembar 10,670.00 32,010.00 3 Lembar 10,670.00 32,010 - Lembar 10,670.00 -
Sertifikat PPGDON - 3 Lembar 10,725.00 32,175.00 3 Lembar 10,725.00 32,175 - Lembar 10,725.00 -
Modul PPGDON - 6 Lembar 93,500.00 561,000.00 6 Lembar 93,500.00 561,000 - Lembar 93,500.00 -
PEROLEHAN (8 APRIL 2020)

Buku TB UPK - 2 Bendel 54,000.00 108,000.00 2 Bendel 54,000.00 - Bendel 54,000.00 -
Form TB 01 - 80 Lembar 1,175.00 94,000.00 80 Lembar 1,175.00 - Lembar 1,175.00 -
PEROLEHAN (11 MEI 2020)

Buku KIA (cetak) - 850 Buku 4,910.00 4,173,500.00 Buku 4,910.00 850 Buku 4,910.00 4,173,500.00
PEROLEHAN (30 JULI 2020)

Poster - 35 Buah 5,500.00 192,500.00 35 Buah 5,500.00 192,500 - Buah 5,500.00 -
Leaflet - 40 Buah 1,980.00 79,200.00 40 Buah 1,980.00 79,200 - Buah 1,980.00 -
Lembar Balik - 1 Buah 198,000.00 198,000.00 1 Buah 198,000.00 198,000 - Buah 198,000.00 -

Buku Kesehatan Lansia - 78 Buku 4,950.00 386,100.00 - 78 Lembar 4,950.00 386,100.00
Buku Petunjuk Teknis Pengisian dan Pemanfaatan Kohort Bayi, Anak Prasekolah - 14 Buah 3,300.00 46,200.00 - 14 Lembar 3,300.00 46,200.00
Register lansia - 8 Buku 13,200.00 105,600.00 - 8 Lembar 13,200.00 105,600.00
Kusioner Skrining UKS - 40 Bendel 5,500.00 220,000.00 - 40 Lembar 5,500.00 220,000.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
Buku Informasi Raporku SD - 50 Bendel 6,490.00 324,500.00 - 50 Buah 6,490.00 324,500.00
Buku Informasi Raporku SMP - 50 Buku 6,600.00 330,000.00 - 50 Buah 6,600.00 330,000.00
Buku Harian Anak Terhebat - 1,500 Buku 4,400.00 6,600,000.00 - 1,500 Buku 4,400.00 6,600,000.00
KEMENKES 32 637,375.90 - - 32 637,376 - -

Paket Register & Anak pra sekolah 4 buku 30,690.00 122,760.00 4 buku 30,690.00 122,760 - buku 30,690.00 -
Paket Buku Pedoman dan Modul Kalakarya MTB 9 Buku 16,500.00 148,500.00 9 Buku 16,500.00 148,500 - Buku 16,500.00 -
Manajemen terpadu pelayanan kesehatan remaj 2 Eks 63,085.00 126,170.00 2 Eks 63,085.00 126,170 - Eks 63,085.00 -
Kohort Kesehatan Usia Produksi 2 Bendel 26,275.70 52,551.40 2 Bendel 26,275.70 52,551 - Bendel 26,275.70 -
Buku Petunjuk Teknis Penggunaan Kohort Keseha 1 Eks 13,084.50 13,084.50 1 Eks 13,084.50 13,085 - Eks 13,084.50 -
Diagram lingkaran kriteria kelayakan medis dal 13 Eks 9,570.00 124,410.00 13 Eks 9,570.00 124,410 - Eks 9,570.00 -
Lembar balik kesehatan reproduksi dan seksual b 1 Eks 49,900.00 49,900.00 1 Eks 49,900.00 49,900 - Eks 49,900.00 -
TOTAL 7,330 30,723,535.58 6,876 16,972,885.00 10,614 34,795,662.98 3,592 12,304,937.60


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN HABIS PAKAI LAINNYA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
DINKES
2020
Poster - 6 Lembar 5,000.00 30,000.00 6 Lembar 5,000.00 30,000 - Lembar 5,000.00 -
Leaflet - 500 Lembar 2,750.00 1,375,000.00 500 Lembar 2,750.00 1,375,000 - Lembar 2,750.00 -
Flayer - 35 Lembar 1,200.00 42,000.00 35 Lembar 1,200.00 42,000 - Lembar 1,200.00 -
Stiker - 19 Lembar 1,750.00 33,250.00 19 Lembar 1,750.00 33,250 - Lembar 1,750.00 -
TOTAL - - 560 1,480,250.00 560 1,480,250.00 - -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN HABIS PAKAI LAINNYA
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
DINKES
2020
Sarana CTPS Kecil - - 1 buah 400,000 400,000 1 buah 400,000 400,000 - buah 400,000 -
TOTAL - - 1 400,000.00 1 400,000.00 - -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN HABIS PAKAI LAINNYA (SDIDTK)
UNTUK PERIODE 1 JAN S/D 30 DESEMBER TAHUN 2020
SALDO AWAL 1 JANUARI 2019 MUTASI MASUK 1 JAN S/D 30 DESEMBER TAHUN 2020 PENGGUNAAN 1 JAN S/D 30 DESEMBER TAHUN 2020 SALDO AKHIR 31 DESEMBER 2020
NILAI
NO NAMA BARANG HARGA PERSEDIAAN HARGA NILAI HARGA NILAI HARGA SISA NILA KET.
JML BRG SATUAN SATUAN AWAL JML BRG SATUAN SATUAN PENGADAAN JML BRG SATUAN SATUAN PENGGUNAAN JML BRG SATUAN SATUAN PERSEDIAAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
DINKES 2020
2 SDIDTK KIT 0.00 12 Set 217,252.00 2,607,024.00 Set 217,252.00 0.00 12 Set 217,252.00 2,607,024.00
0 0.00 12 2,607,024.00 0 #REF! 12 2,607,024.00


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN BARANG HABIS PAKAI LAINNYA
UNTUK PERIODE 1 Januari s.d 30 Desember 2020
Nilai Nilai
Nilai Sisa Nilai
No. Nama Persediaan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Penggunaan Jumlah Harga/Satuan Persediaan Ket.
Satuan Awal Satuan Awal Satuan Satuan
15=3+7-
1 2 3 4 5 6 7 8 9 10 11 12 13 14 11 16 17 18=15x17 19
DINKES
1 Rompi dan Topi Petugas Kesehatan - 3 pcs 296,000.00 888,000 3 pcs 296,000.00 888,000 - pcs 296,000.00 -
- - 3 888,000 3 888,000 - -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
LAPORAN PERSEDIAAN BARANG HABIS PAKAI LAINNYA
UNTUK PERIODE 1 Januari s.d 30 Desember 2020
Nilai Nilai
Nilai Sisa Nilai
No. Nama Persediaan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Persediaan Jumlah Harga/Satuan Penggunaan Jumlah Harga/Satuan Persediaan Ket.
Satuan Awal Satuan Awal Satuan Satuan
15=3+7-
1 2 3 4 5 6 7 8 9 10 11 12 13 14 11 16 17 18=15x17 19
KEMENKES
1 Spanduk Kawasan Pakai Masker dan CTPS - 4 buah 104,995.00 419,980.00 4 buah 104,995.00 419,980.00 - buah 104,995.00 -
- - 4 419,980.00 4 419,980 - -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN BARANG PAKAI HABIS
UNTUK PERIODE 1 JANUARI 2020 s.d 30 DESESMBER 2020
SALDO AWAL 1 JANUARI 2020 PENGADAAN 1 JAN S/D 30 DESEMBER TAHUN 2020 PENGGUNAAN 1 JAN S/D 30 DESEMBER TAHUN 2020 SALDO AKHIR 30 DESEMBER 2020
NILAI NILAI SISA NILAI
NO NAMA BARANG HARGA SATUAN PERSEDIAAN HARGA SATUAN NILAI PENGADAAN HARGA SATUAN HARGA SATUAN KET.
JML BRG SATUAN JML BRG SATUAN JML BRG SATUAN PENGGUNAAN JML BRG SATUAN PERSEDIAAN
AWAL
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
2020
Sepatu Boot - 3 Buah 150,000.00 450,000.00 3 Buah 150,000.00 450,000.00 0 Buah 150,000.00 -
Hazmat - 3 Buah 100,000.00 300,000.00 3 Buah 100,000.00 300,000.00 0 Buah 100,000.00 -
Face Shield - 3 Buah 50,000.00 150,000.00 3 Buah 50,000.00 150,000.00 0 Buah 50,000.00 -
- - 9 900,000.00 9 900,000.00 0 -


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN BARANG ALKES HABIS PAKAI
MUTASI MASUK/HIBAH/DROPPING DARI : BANTUAN PEMERINTAH
UNTUK PERIODE 1 JANUARI 2020 s.d 30 DESESMBER 2020
SALDO AWAL 1 JANUARI 2020 PENGADAAN 1 JAN S/D 30 DESEMBER TAHUN 2020 PENGGUNAAN 1 JAN S/D 30 DESEMBER TAHUN 2020 SALDO AKHIR 30 DESEMBER 2020
NILAI
NO NAMA BARANG HARGA SATUAN PERSEDIAAN HARGA SATUAN NILAI PENGADAAN HARGA SATUAN NILAI HARGA SATUAN SISA NILAI KET.
JML BRG SATUAN AWAL JML BRG SATUAN JML BRG SATUAN PENGGUNAAN JML BRG SATUAN PERSEDIAAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
2020
Hazmat - 50 Buah 100,000.00 5,000,000.00 5 Buah 100,000.00 500,000.00 45 Buah 100,000.00 4,500,000.00
Hazmat - 32 Buah 200,000.00 6,400,000.00 32 Buah 200,000.00 6,400,000.00 0 Buah 200,000.00 -
Rapid tes - 50 Buah 97,450.00 4,872,500.00 Buah 97,450.00 - 50 Buah 97,450.00 4,872,500.00
Face Shield - 5 Buah 50,000.00 250,000.00 3 Buah 50,000.00 150,000.00 2 Buah 50,000.00 100,000.00
Hand Scoon - 7 Buah 5,000.00 35,000.00 5 Buah 5,000.00 25,000.00 2 Buah 5,000.00 10,000.00
- - 144 16,557,500.00 45 7,075,000.00 99 9,482,500.00


NIP. 19730503 200501 2 009 NIP. 19660301 198703 1 008
PUSKESMAS KLAKAH
LAPORAN PERSEDIAAN PMT
MUTASI MASUK/HIBAH/DROPPING DARI : KEMENKES
UNTUK PERIODE 1 JANUARI 2020 s.d 30 DESEMBER 2020
HARGA NILAI NILAI HARGA SISA NILA

NO NAMA BARANG JML SATUAN PERSEDIAAN HARGA SATUAN NILAI PENGADAAN JML HARGA SATUAN PENGGUNAAN SATUAN PERSEDIAAN KET.
SATUAN AWAL JML BRG SATUAN SATUAN JML BRG SATUAN
BRG BRG
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15 X 17 19
2019
PROVINSI
1 PMT
PMT IBU HAMIL 100 kotak 37,119.17 3,711,916.96 0.00 76 kotak 37,119.17 2,821,056.89 24 kotak 37,119.17 890,860.07
PMT BALITA 52 kotak 61,677.69 3,207,239.75 0.00 21 kotak 61,677.69 1,295,231.44 31 kotak 61,677.69 1,912,008.31
PMT IBU HAMIL 540 karton 114,298.80 61,721,352.00 0.00 540 karton 114,298.80 61,721,352.00 0 karton 114,298.80 0.00
2020
PROVINSI
PMT IBU HAMIL 95 karton 129,549.84 12,307,234.80 95 karton 129,549.84 12,307,234.80 0 karton 154,338.00 -
PMT BALITA 18 karton 239,127.84 4,304,301.12 18 karton 239,127.84 4,304,301.12 0 karton 284,676.00 -
68,640,508.71 16,611,535.92 65,837,640.33 2,802,868.38

KG BIJI
drg. TUTUT PRIHANTINI KARTON 18 60.48 3.36 AGUS ISAK
NIP. 19730503 200501 2 009 KARTON 95 159.6 1.68 NIP. 19660301 198703 1 008
PCS 72 71,169.00
5,124,168.00
4 284,676.00
PCS 190 77,113.00

14,651,470.00
2 154,226.00
367,998,327.30

Rincian Per Jenis Persediaan Akhir 2021

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PUSKESMAS KLAKAH

LAPORAN PERSEDIAAN BARANG PAKAI HABIS

1.02.01.23/LS/05985 73,870,500.00 73,870,500.00 -

Sampel urine - 1 bh 1,500,000.00 1,500,000.00 1 bh 1,500,000.00 1,500,000.00 0 bh 1,500,000.00 -

Resep - 10 rim 140,000.00 1,400,000.00 10 rim 140,000.00 1,400,000.00 0 rim 140,000.00 -

Lumajang, 30 Desember 2020

drg. TUTUT PRIHANTINI AGUS ISAK

Nilai Persediaan Nilai Persediaan Nilai Sisa Nilai

42 8,560,000.00 70 44,580,000.00 63 20,297,000.00 49 32,843,000.00

Mengetahui Lumajang, 30 Desember 2020

drg. TUTUT PRIHANTINI AGUS ISAK

PUSKESMAS 78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00

Multivitamin Neurotropic Injeksi B1 K = 10

Multivitamin Tablet Tambah Darah K = 100 K = 100 K = 100 K = 100

Tabung 1 Tabung 1 Tabung 1 Tabung 1

Multivitamin Tablet Tambah Darah K = 100 K = 100 K = 100 K = 100

B = 100 B = 100 B = 100 B = 100

Bahan u/sterilisasi saluran akar

Anti Spasmodik Injeksi (Hyoscine-

Metampiron 500 mg, Ekstrak

Multivitamin Neurotropic Injeksi B1 K = 20

K = 100 K = 100 K = 100

Box 100 Box 100 Box 100 Box 100

TOTAL PERSEDIAAN 78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00

78,773,389.00 193,333,560.00 62,677,605.00 209,429,344.00

drg. TUTUT PRIHANTINI AGUS ISAK

PUSKESMAS 81,498,224.00 172,489,690.00 63,862,248.22 190,125,665.78

Nebulizer Aerosol with Mask dan

GALON 5 GALON 5 GALON 5 GALON 5

TOTAL PERSEDIAAN 81,498,224.00 172,489,690.00 63,862,248.22 190,125,665.78

Mengetahui Lumajang, 30 Desember 2020

drg. TUTUT PRIHANTINI AGUS ISAK

drg. TUTUT PRIHANTINI AGUS ISAK

Mengetahui Lumajang, 30 Desember 2020

drg. TUTUT PRIHANTINI AGUS ISAK

Vitamin C 500 mg, Vitamin B

TOTAL PERSEDIAAN 0.00 6,210,000.00 1,945,800.00 4,264,200.00

drg. TUTUT PRIHANTINI AGUS ISAK

Mengetahui Lumajang, 30 DESEMBER 2020

drg. TUTUT PRIHANTINI AGUS ISAK

TOTAL PERSEDIAAN 0.00 49,023,300.00 25,682,104.00 23,341,196.00

drg. TUTUT PRIHANTINI AGUS ISAK

DINKES 86,949,480.24 15,218,400.00 92,062,080.24 10,105,800.00

Masker hidung dan mulut (1

Kertas saring berabu (1

Sarung tangan (1 paket 50

Tas reagen Pengujian

Tas reagen Pengujian

a. thermohygrometer 1 unit 330,000 330,000.00 unit 330,000 1 unit 330,000 330,000.00

2. Pengukuran Kualitas Pangan

3. Pengukuran Kualitas Air -

pengukur kekeruhan 1 paket - - 1 paket - - paket - -

pH Digital 1 unit - - 1 unit - - unit - -

4. Peralatan Pendukung Lainnya

coolbox 1 botol 199,980.00 199,980.00 botol 199,980.00 1 botol 199,980.00 199,980.00

Kalibrator timbangan 1 unit - - 1 unit - - unit - -

TOTAL PERSEDIAAN 91,065,310.64 15,488,450.00 96,447,960.64 10,105,800.00

Mengetahui Lumajang, 30 Desember 2020