Kereng Bangkirai Juni Juli Agustus 2019

REKAPITULASI LAPORAN PERSEDIAAN OBAT, BAHAN LABORATORIUM DAN PERBEKALAN KESEHATAN TAHUN 2019 (01 JANUARI- 3
PUSKESMAS KERENG BANGKIRAI
STOK AWAL PENERIMAAN PENGELUARAN

KELAS
NO NAMA OBAT TERAPI SATUAN HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA
JUMLAH JUMLAH JUMLAH
(Rp.) (Rp.) (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11
SUMBER DANA KAPITASI JKN
Antasida Doen I tablet kunyah, kombinasi:
1 Aluminium hidroksida 200mg Magnesium Tab - - - - -
Hidroksida 200mg 72.00 72.00
2 Gentamisin tetes mata 0,3% Btl - 4,800.00 - - 4,800.00 - -
3 Albendazole susp 200mg/5ml Btl - 4,619.00 - 4,619.00 - -
4 Ofloxsasin tablet 200mg Tab - 417.00 - - 417.00 - -
6 Alprazolam tablet 0.25mg Tab - 435.00 - - 435.00 - -
7 Bisoprolol tablet 5mg Tab - 425.00 - - 425.00 - -
8 Domperidone tablet 10mg Tab - 136.00 - - 136.00 - -
9 Metformin tablet 500mg Tab - 119.00 - - 119.00 - -
10 ranitidine tablet 150mg Tab - 119.00 - - 119.00 - -
11 Nifedipine 10mg Tab - 123.00 - - 123.00 - -
12 Asam Folat 0,4mg Tab 11,650 69.00 803,850.00 - 69.00 - 300
13 Eritromisin kaplet 500mg Tab - 771.00 - - 771.00 - -
14 Bedak Salicil serbuk 2% Ktk - 1,080.00 - - 1,080.00 - -
15 Amoksisillin sirup kering 125mg/5ml Btl - 2,225.00 - - 2,225.00 - -
Kotrimoksazol kombinasi tiap 5ml
16 suspensi : sulfametoksazol 200mg + Btl - - - - -
trimetropin 40mg 2,250.00 2,250.00
17 ibuprofen suspensi 100mg/5ml - 2,620.00 - - 2,620.00 - -
18 Sianokobalamin ( Vitamin B12 ) Injeksi Amp - - - - -

500mcg 1,283.00 1,283.00
19 Amp 90 127,170.00 - - -
Difenhidramin injeksi i.v/im 10mg/ml (HCL) 1,413.00 1,413.00
20 Karbogliserin Tetes Telinga 10% Btl - 2,500.00 - - 2,500.00 - -
21 Sefiksim kapsul 100mg Tab - 700.00 - - 700.00 - -
22 Amoksisillin Kaplet scored 500mg Tab - 239.00 - - 239.00 - -
23 haloperidol tablet 1,5mg Tab - 78.00 - - 78.00 - -
Kotrimoxazol Doen Kombinasi
24 Sulfametoksazol 400mg Trimetropin 80mg Tab - 158.00 - - 158.00 - -
25 Sefadroxil kapsul 500mg Tab - 557.00 - - 557.00 - -
26 Antihemoroid Suppositoria Supp - 3,654.00 - - 3,654.00 - -
27 Asam Askorbat tablet 50mg Tab - 125.00 - - 125.00 - -
28 Betametason cream 0.1% Tube - 1,444.00 - - 1,444.00 - -
29 Hidrokortison cream 2,5% Tube - 2,712.00 - - 2,712.00 - -
30 Kalsium Laktat tablet 500mg Tab - 71.00 - - 71.00 - -
31 miconazole cream tube - 3,900.00 - - 3,900.00 - -
32 Piridoxin tablet 10mg Tab - 142.00 - - 142.00 - -
33 Simvastatin tablet 20mg Tab - 252.00 - - 252.00 - -
34 Tiamin tablet 50mg Tab - 93.00 - - 93.00 - -
35 vitamin Bcomplek Tab - 138.00 - - 138.00 - -
36 Metronidazole ovula 500mg Supp - 4,920.00 - - 4,920.00 - -
37 kaptopril tablet 12,5mg Tab - 72.00 - - 72.00 - -
38 Lidokain injeksi 2% Amp - 887.00 - - 887.00 - -
39 Nistatin tablet salut 500000 iu/g Tab 100 895.00 89,500.00 - 895.00 - -
40 Nistatin tablet Vaginal 100000 iu/g Supp 80 628.00 50,240.00 - 628.00 - 20
41 Phtomenadion inj 2mg/ml Amp 100 4,280.00 428,000.00 - 4,280.00 - -
42 Paracetamol sirup 125mg/5ml Btl - 1,338.00 - - 1,338.00 - -
43 Amboroxol 30 mg Tab - 243.41 - - 243.41 - -
44 Piroxicam 20mg Tab - 144.00 - - 144.00 - -
45 FUJI IX ART 1-1 - 599,420.00 - - 599,420.00 - -
46 PULP X (DEVITALIZER) 6GR - 254,375.00 - - 254,375.00 - -
47 CAMPHENOL 15ML - 63,250.00 - - 63,250.00 - -
48 TKF / TRICRESOLFORMALIN 10ML - 63,250.00 - - 63,250.00 - -
49 PAPER POINT - 40,440.00 - - 40,440.00 - -
50 HYDCAL TECHNEW - 159,500.00 - - 159,500.00 - -
51 LENTULO - 234,025.00 - - 234,025.00 - -
52 ELITE CEMENT MP - 189,750.00 - - 189,750.00 - -
53 CAVITON - 177,100.00 - - 177,100.00 - -
54 Ecolab aquagel steril jely 82gr - 58,437.80 - - 58,437.80 - -
55 SMI catgut chromic 3 50M Set - 1,948,164.50 - - 1,948,164.50 - -
57 SMI Silk black 2 HR Set - 24,111.36 - - 24,111.36 - -
58 ecolab hydrex surgical scrub 5lt Btl - 875,784.50 - - 875,784.50 - -
59 Alat suntik 1ml Pcs - 816.55 - - 816.55 - -
61 Infusion set dewasa Pcs 80 4,563.45 365,076.00 - 4,563.45 - 5
62 Kasa Hidrofil DRC 36mx80cm Pcs - 133,439.48 - - 133,439.48 - -
63 Oksitetrasiklin salep mata 1% Tube 128 2,600.00 332,800.00 - 2,600.00 - 17
64 Hydrocholotiazida 25mg Tab - 186.00 - - 186.00 - -
65 Hidrokortisone Krim 2.5% Tube 384 2,533.00 972,672.00 - 2,533.00 - 26
66 Lidokain Inj 2% + Epinefrin Amp 585 1,380.00 807,300.00 - 1,380.00 - 5
67 Lidokain Inj 2% Amp 55 1,382.00 76,010.00 - 1,382.00 - 5
68 Paracetamol 500mg tablet Tab 2,100 220.37 462,772.80 - 220.37 - 2,100
69 Vitamin C 50mg tablet Tab 8,785 126.10 1,107,823.64 - 126.10 - 1,150
Total 5,623,214.44 -
(01 JANUARI- 31 MEI 2019)
PENGELUARAN STOK AKHIR
HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA KETERANGAN

JUMLAH
(Rp.) (Rp.) (Rp.) (Rp.)
12 13 14 15 16 17 TOTAL PENERIMA TOTAL PENGELUA TOTAL
- - - - 70
72.00 72.00
4,800.00 - - 4,800.00 - - 71
4,619.00 - - 4,619.00 - - 72
417.00 - - 417.00 - - 73
663.00 - - 663.00 - - 74
435.00 - - 435.00 - - 75
425.00 - - 425.00 - - 76
136.00 - - 136.00 - - 77
119.00 - - 119.00 - - 78
119.00 - - 119.00 - - 79
123.00 - - 123.00 - - 80
69.00 20,700.00 11,350 69.00 783,150.00 - 81
771.00 - - 771.00 - - 82
1,080.00 - - 1,080.00 - - 83
2,225.00 - - 2,225.00 - - 84
- - - - 85
2,250.00 2,250.00
2,620.00 - - 2,620.00 - - 86
- - - - 87
1,283.00 1,283.00
- 90 127,170.00 - 88
1,413.00 1,413.00
2,500.00 - - 2,500.00 - - 89
700.00 - - 700.00 - - 90
239.00 - - 239.00 - - 91
78.00 - - 78.00 - - 92
158.00 - - 158.00 - - 93
557.00 - - 557.00 - -
3,654.00 - - 3,654.00 - -
125.00 - - 125.00 - -
1,444.00 - - 1,444.00 - -
2,712.00 - - 2,712.00 - -
71.00 - - 71.00 - -
3,900.00 - - 3,900.00 - -
142.00 - - 142.00 - -
252.00 - - 252.00 - -
93.00 - - 93.00 - -
138.00 - - 138.00 - -
4,920.00 - - 4,920.00 - -
72.00 - - 72.00 - -
887.00 - - 887.00 - -
895.00 - 100 895.00 89,500.00 -

628.00 12,560.00 60 628.00 37,680.00 -
4,280.00 - 100 4,280.00 428,000.00 -
1,338.00 - - 1,338.00 - -
243.41 - - 243.41 - -
144.00 - - 144.00 - -
599,420.00 - - 599,420.00 - -
254,375.00 - - 254,375.00 - -
63,250.00 - - 63,250.00 - -
63,250.00 - - 63,250.00 - -
40,440.00 - - 40,440.00 - -
159,500.00 - - 159,500.00 - -
234,025.00 - - 234,025.00 - -
189,750.00 - - 189,750.00 - -
177,100.00 - - 177,100.00 - -
58,437.80 - - 58,437.80 - -
1,948,164.50 - - 1,948,164.50 - -
1,784,596.00 - - 1,784,596.00 - -
24,111.36 - - 24,111.36 - -
875,784.50 - - 875,784.50 - -
816.55 - - 816.55 - - 816.545

856.55 - - 856.55 - -
4,563.45 22,817.25 75 4,563.45 342,258.75 -
133,439.48 - - 133,439.48 -
2,600.00 44,200.00 111 2,600.00 288,600.00

186.00 - - 186.00 -
2,533.00 65,858.00 358 2,533.00 906,814.00
1,380.00 6,900.00 580 1,380.00 800,400.00
1,382.00 6,910.00 50 1,382.00 69,100.00
220.37 462,772.80 - 220.37 -
126.10 145,019.60 7,635 126.10 962,804.04 -

787,737.65 4,835,476.79 4,835,476.79 #REF! #REF! #REF! 269.00
Palangka Raya, 24 Juni 2019 #REF!

Kepala UPT Puskesmas Kereng Bangkirai
dr. ERNY SUSILAWATY

NIP.19780409 200501 2 016
Kasa
Hidrofil
Kasa
DRC Pcs - - - - - - - -
Hidrofil
4mx3cm 1,143.94 1,143.94 1,143.94 1,143.94
Kasa
DRC
Hidrofil
4mx5cm Pcs - 1,443.93 - - 1,443.93 - - 1,443.93 - - 1,443.93 -
Kasa
DRC
Kasa
Hidrofil
4mx10cm Pcs - 2,643.94 - - 2,643.94 - - 2,643.94 - - 2,643.94 -
Sterile
DRC
DRC
4mx15cm Pcs - 4,143.94 - - 4,143.94 - - 4,143.94 - - 4,143.94 -
16cmx16c
Polifix
m Pcs - 9,046.46 - - 9,046.46 - - 9,046.46 - - 9,046.46 -
Cathgut
10cm x
Chromic
5m Roll - 73,937.00 - 30 73,937.00 ### 3 73,937.00 ### 27 73,937.00 ###
3/0 hr 26
Cathgut
mm Pcs - 33,745.00 - 180 33,745.00 ### 12 33,745.00 ### 168 33,745.00 ###
plain 3/0
Kasa
hr 26 mm Pcs - 35,245.00 - 180 35,245.00 ### 12 35,245.00 ### 168 35,245.00 ###
Hidrofil
SMI Silk
DRC
black 2 HR Pcs - 22,075.00 - 60 22,075.00 ### - 22,075.00 - 60 22,075.00 ###
36mx80c
m Roll - ### - 10 ### ### 1 ### ### 9 ### ###
Foleycatet
er 16FR Set - 20,340.00 - 25 20,340.00 508,500 - 20,340.00 - 25 20,340.00 ###
Abocath
no 22 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Abocath
no 23 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Handscoo
Alat suntik
n uk.s Ktk - 37,401.00 - 30 37,401.00 ### 3 37,401.00 ### 27 37,401.00 ###
sekali
pakai 1ml Pcs - 802.00 - 1,000 802.00 802,000 300 802.00 ### 700 802.00 ###
Alat suntik
sekali Pcs - - 1,000 842,000 300 ### 700 ###
pakai 3ml 842.00 842.00 842.00 842.00
Alat suntik
sekali
pakai 5ml Pcs - 943.00 - 500 943.00 471,500 100 943.00 ### 400 943.00 ###
Handscoo
n Steril Psg - - 200 915,000 25 ### 175 ###
uk.7 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n Steril psg - - 200 915,000 25 ### 175 ###
uk.8 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n uk.M Ktk - 52,000.00 - 10 52,000.00 520,000 2 52,000.00 ### 8 52,000.00 ###
Infus set
anak Set - 10,900.00 - 50 10,900.00 545,000 - 10,900.00 - 50 10,900.00 ###
Urine bag Set - 5,452.00 - 25 5,452.00 136,300 - 5,452.00 - 25 5,452.00 ###

Masker
karet Ktk - 27,028.00 - 100 27,028.00 ### 10 27,028.00 ### 90 27,028.00 ###
Masker
tali Ktk - 31,436.00 - 50 31,436.00 ### 5 31,436.00 ### 45 31,436.00 ###
REKAPITULASI LAPORAN PERSEDIAAN OBAT, BAHAN LABORATORIUM DAN PERBEKALAN KESEHATAN TAHUN 2019 (01 JANUARI- 3

KELAS
(Rp.) (Rp.) (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11
3 Albendazole susp 200mg/5ml Btl - 4,619.00 - 4,619.00 - -
12 Asam Folat 0,4mg Tab 11,350 69.00 783,150.00 - 69.00 - -
trimetropin 40mg 2,250.00 2,250.00

500mcg 1,283.00 1,283.00
19 Amp 90 127,170.00 - - -
39 Nistatin tablet salut 500000 iu/g Tab 100 895.00 89,500.00 - 895.00 - -
40 Nistatin tablet Vaginal 100000 iu/g Supp 60 628.00 37,680.00 - 628.00 - -
41 Phtomenadion inj 2mg/ml Amp 100 4,280.00 428,000.00 - 4,280.00 - -
43 Amboroxol 30 mg Tab - 243.41 - - 243.41 - -
44 Piroxicam 20mg Tab - 144.00 - - 144.00 - -
45 FUJI IX ART 1-1 - 599,420.00 - - 599,420.00 - -
47 CAMPHENOL 15ML - 63,250.00 - - 63,250.00 - -
49 PAPER POINT - 40,440.00 - - 40,440.00 - -
50 HYDCAL TECHNEW - 159,500.00 - - 159,500.00 - -
51 LENTULO - 234,025.00 - - 234,025.00 - -
52 ELITE CEMENT MP - 189,750.00 - - 189,750.00 - -
53 CAVITON - 177,100.00 - - 177,100.00 - -
61 Infusion set dewasa Pcs 75 4,563.45 342,258.75 - 4,563.45 - -
63 Oksitetrasiklin salep mata 1% Tube 111 2,600.00 288,600.00 - 2,600.00 - -
65 Hidrokortisone Krim 2.5% Tube 358 2,533.00 906,814.00 - 2,533.00 - -
66 Lidokain Inj 2% + Epinefrin Amp 580 1,380.00 800,400.00 - 1,380.00 - -
67 Lidokain Inj 2% Amp 50 1,382.00 69,100.00 - 1,382.00 - -
68 Paracetamol 500mg tablet Tab - 220.37 - - 220.37 - -
69 Vitamin C 50mg tablet Tab 7,635 126.10 962,804.04 - 126.10 - -
70 Paracetamol 500mg tablet Tab - 260.85 - 12,000 260.85 3,130,200 -
71 Vitamin C 50mg tablet Tab - 114.64 - 5,000 114.64 573,200 -
72 Hydrocholotiazida 25mg Tab - 169.81 - 300 169.81 50,943 -
73 Nipedipine 10mg Tab - 127.28 - 300 127.28 38,184 -
74 Vitamin B6 Tablet Tab - 143.64 - 3,000 143.64 430,920 -
Piroxicam 20mg Tab - 120.93 - 1,000 120.93 120,930 -

75 Ringer laktat Btl - 6,939.00 - 40 6,939.00 277,560 -
Total 4,835,476.79 4,621,937.00
(01 JANUARI- 31 MEI 2019)

JUMLAH
(Rp.) (Rp.) (Rp.) (Rp.)
- - - - 70
72.00 72.00
4,800.00 - - 4,800.00 - - 71
4,619.00 - - 4,619.00 - - 72
417.00 - - 417.00 - - 73
663.00 - - 663.00 - - 74
435.00 - - 435.00 - - 75
425.00 - - 425.00 - - 76
136.00 - - 136.00 - - 77
119.00 - - 119.00 - - 78
119.00 - - 119.00 - - 79
123.00 - - 123.00 - - 80
69.00 - 11,350 69.00 783,150.00 - 81
771.00 - - 771.00 - - 82
1,080.00 - - 1,080.00 - - 83
2,225.00 - - 2,225.00 - - 84
- - - - 85
2,250.00 2,250.00
2,620.00 - - 2,620.00 - - 86
- - - - 87
1,283.00 1,283.00
- 90 127,170.00 - 88
1,413.00 1,413.00
2,500.00 - - 2,500.00 - - 89
700.00 - - 700.00 - - 90
239.00 - - 239.00 - - 91
78.00 - - 78.00 - - 92
158.00 - - 158.00 - - 93
557.00 - - 557.00 - -
3,654.00 - - 3,654.00 - -
125.00 - - 125.00 - -
1,444.00 - - 1,444.00 - -
2,712.00 - - 2,712.00 - -
71.00 - - 71.00 - -
3,900.00 - - 3,900.00 - -
142.00 - - 142.00 - -
252.00 - - 252.00 - -
93.00 - - 93.00 - -
138.00 - - 138.00 - -
4,920.00 - - 4,920.00 - -
72.00 - - 72.00 - -
887.00 - - 887.00 - -
895.00 - 100 895.00 89,500.00 -

628.00 - 60 628.00 37,680.00 -
4,280.00 - 100 4,280.00 428,000.00 -
1,338.00 - - 1,338.00 - -
243.41 - - 243.41 - -
144.00 - - 144.00 - -
599,420.00 - - 599,420.00 - -
254,375.00 - - 254,375.00 - -
63,250.00 - - 63,250.00 - -
63,250.00 - - 63,250.00 - -
40,440.00 - - 40,440.00 - -
159,500.00 - - 159,500.00 - -
234,025.00 - - 234,025.00 - -
189,750.00 - - 189,750.00 - -
177,100.00 - - 177,100.00 - -
58,437.80 - - 58,437.80 - -
1,948,164.50 - - 1,948,164.50 - -
1,784,596.00 - - 1,784,596.00 - -
24,111.36 - - 24,111.36 - -
875,784.50 - - 875,784.50 - -
816.55 - - 816.55 - - 816.545

856.55 - - 856.55 - -
4,563.45 - 75 4,563.45 342,258.75 -
133,439.48 - - 133,439.48 -
2,600.00 - 111 2,600.00 288,600.00

186.00 - - 186.00 -
2,533.00 - 358 2,533.00 906,814.00
1,380.00 - 580 1,380.00 800,400.00
1,382.00 - 50 1,382.00 69,100.00
220.37 - - 220.37 -
126.10 - 7,635 126.10 962,804.04 -
260.85 - 12,000 260.85 3,130,200.00
114.64 - 5,000 114.64 573,200.00
169.81 - 300 169.81 50,943.00
127.28 - 300 127.28 38,184.00
143.64 - 3,000 143.64 430,920.00
120.93 - 1,000 120.93 120,930.00
6,939.00 - 40 6,939.00 277,560.00

- 9,457,413.79 9,457,413.79 #REF! #REF! #REF! 269.00
Palangka Raya, 24 Juni 2019 #REF!

dr. ERNY SUSILAWATY

NIP.19780409 200501 2 016
Kasa
Hidrofil
Kasa
DRC Pcs - - - - - - - -
Hidrofil
4mx3cm 1,143.94 1,143.94 1,143.94 1,143.94
Kasa
DRC
Hidrofil
4mx5cm Pcs - 1,443.93 - - 1,443.93 - - 1,443.93 - - 1,443.93 -
Kasa
DRC
Kasa
Hidrofil
4mx10cm Pcs - 2,643.94 - - 2,643.94 - - 2,643.94 - - 2,643.94 -
Sterile
DRC
DRC
4mx15cm Pcs - 4,143.94 - - 4,143.94 - - 4,143.94 - - 4,143.94 -
16cmx16c
Polifix
m Pcs - 9,046.46 - - 9,046.46 - - 9,046.46 - - 9,046.46 -
Cathgut
10cm x
Chromic
5m Roll - 73,937.00 - 30 73,937.00 ### 3 73,937.00 ### 27 73,937.00 ###
3/0 hr 26
Cathgut
mm Pcs - 33,745.00 - 180 33,745.00 ### 12 33,745.00 ### 168 33,745.00 ###
plain 3/0
Kasa
hr 26 mm Pcs - 35,245.00 - 180 35,245.00 ### 12 35,245.00 ### 168 35,245.00 ###
Hidrofil
SMI Silk
DRC
black 2 HR Pcs - 22,075.00 - 60 22,075.00 ### - 22,075.00 - 60 22,075.00 ###
36mx80c
m Roll - ### - 10 ### ### 1 ### ### 9 ### ###
Foleycatet
er 16FR Set - 20,340.00 - 25 20,340.00 508,500 - 20,340.00 - 25 20,340.00 ###
Abocath
no 22 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Abocath
no 23 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Handscoo
Alat suntik
n uk.s Ktk - 37,401.00 - 30 37,401.00 ### 3 37,401.00 ### 27 37,401.00 ###
sekali
pakai 1ml Pcs - 802.00 - 1,000 802.00 802,000 300 802.00 ### 700 802.00 ###
Alat suntik
sekali Pcs - - 1,000 842,000 300 ### 700 ###
pakai 3ml 842.00 842.00 842.00 842.00
Alat suntik
sekali
pakai 5ml Pcs - 943.00 - 500 943.00 471,500 100 943.00 ### 400 943.00 ###
Handscoo
n Steril Psg - - 200 915,000 25 ### 175 ###
uk.7 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n Steril psg - - 200 915,000 25 ### 175 ###
uk.8 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n uk.M Ktk - 52,000.00 - 10 52,000.00 520,000 2 52,000.00 ### 8 52,000.00 ###
Infus set
anak Set - 10,900.00 - 50 10,900.00 545,000 - 10,900.00 - 50 10,900.00 ###
Urine bag Set - 5,452.00 - 25 5,452.00 136,300 - 5,452.00 - 25 5,452.00 ###

Masker
karet Ktk - 27,028.00 - 100 27,028.00 ### 10 27,028.00 ### 90 27,028.00 ###
Masker
tali Ktk - 31,436.00 - 50 31,436.00 ### 5 31,436.00 ### 45 31,436.00 ###
REKAPITULASI LAPORAN PERSEDIAAN OBAT, BAHAN LABORATORIUM DAN PERBEKALAN KESEHATAN TAHUN 2019

KELAS
(Rp.) (Rp.) (Rp.) (Rp.)
1 2 3 4 5 6 7 8 9 10 11
3 Albendazole susp 200mg/5ml Btl - 4,619.00 - - 4,619.00 - -
12 Asam Folat 0,4mg Tab 11,350 69.00 783,150.00 - 69.00 - 3,150
trimetropin 40mg 2,250.00 2,250.00

500mcg 1,283.00 1,283.00
19 Amp 90 127,170.00 - - -
39 Nistatin tablet salut 500000 iu/g Tab 100 895.00 89,500.00 - 895.00 - 100
40 Nistatin tablet Vaginal 100000 iu/g Supp 60 628.00 37,680.00 - 628.00 - 60
41 Phtomenadion inj 2mg/ml Amp 100 4,280.00 428,000.00 - 4,280.00 - 100
43 Amboroxol 30 mg Tab - 243.41 - - 243.41 - -
44 Piroxicam 20mg Tab - 144.00 - - 144.00 - -
45 FUJI IX ART 1-1 - 599,420.00 - - 599,420.00 - -
47 CAMPHENOL 15ML - 63,250.00 - - 63,250.00 - -
49 PAPER POINT - 40,440.00 - - 40,440.00 - -
50 HYDCAL TECHNEW - 159,500.00 - - 159,500.00 - -
51 LENTULO - 234,025.00 - - 234,025.00 - -
52 ELITE CEMENT MP - 189,750.00 - - 189,750.00 - -
53 CAVITON - 177,100.00 - - 177,100.00 - -
61 Infusion set dewasa Pcs 75 4,563.45 342,258.75 - 4,563.45 - 5
63 Oksitetrasiklin salep mata 1% Tube 111 2,600.00 288,600.00 - 2,600.00 - 11
65 Hidrokortisone Krim 2.5% Tube 358 2,533.00 906,814.00 - 2,533.00 - -
66 Lidokain Inj 2% + Epinefrin Amp 580 1,380.00 800,400.00 - 1,380.00 - -
67 Lidokain Inj 2% Amp 50 1,382.00 69,100.00 - 1,382.00 - -
68 Paracetamol 500mg tablet Tab - 220.37 - - 220.37 - -
69 Vitamin C 50mg tablet Tab 7,635 126.10 962,804.04 - 126.10 - 2,235
70 Paracetamol 500mg tablet Tab 12,000 260.85 3,130,200.00 - 260.85 - 2,800
71 Vitamin C 50mg tablet Tab 5,000 114.64 573,200.00 - 114.64 - -
72 Hydrocholotiazida 25mg Tab 300 169.81 50,943.00 - 169.81 - 100
73 Nipedipine 10mg Tab 300 127.28 38,184.00 - 127.28 - 100
74 Vitamin B6 Tablet Tab 3,000 143.64 430,920.00 - 143.64 - 700
Piroxicam 20mg Tab 1,000 120.93 120,930.00 - 120.93 - 500

75 Ringer laktat Btl 40 6,939.00 277,560.00 - 6,939.00 - -
Total 9,457,413.79 -
TAHUN 2019

JUMLAH
(Rp.) (Rp.) (Rp.) (Rp.)
- - - - 70
72.00 72.00
4,800.00 - - 4,800.00 - - 71
4,619.00 - - 4,619.00 - - 72
417.00 - - 417.00 - - 73
663.00 - - 663.00 - - 74
435.00 - - 435.00 - - 75
425.00 - - 425.00 - - 76
136.00 - - 136.00 - - 77
119.00 - - 119.00 - - 78
119.00 - - 119.00 - - 79
123.00 - - 123.00 - - 80
69.00 217,350.00 8,200 69.00 565,800.00 - 81
771.00 - - 771.00 - - 82
1,080.00 - - 1,080.00 - - 83
2,225.00 - - 2,225.00 - - 84
- - - - 85
2,250.00 2,250.00
2,620.00 - - 2,620.00 - - 86
- - - - 87
1,283.00 1,283.00
- 90 127,170.00 - 88
1,413.00 1,413.00
2,500.00 - - 2,500.00 - - 89
700.00 - - 700.00 - - 90
239.00 - - 239.00 - - 91
78.00 - - 78.00 - - 92
158.00 - - 158.00 - - 93
557.00 - - 557.00 - -
3,654.00 - - 3,654.00 - -
125.00 - - 125.00 - -
1,444.00 - - 1,444.00 - -
2,712.00 - - 2,712.00 - -
71.00 - - 71.00 - -
3,900.00 - - 3,900.00 - -
142.00 - - 142.00 - -
252.00 - - 252.00 - -
93.00 - - 93.00 - -
138.00 - - 138.00 - -
4,920.00 - - 4,920.00 - -
72.00 - - 72.00 - -
887.00 - - 887.00 - -
895.00 89,500.00 - 895.00 - -

628.00 37,680.00 - 628.00 - -
4,280.00 428,000.00 - 4,280.00 - -
1,338.00 - - 1,338.00 - -
243.41 - - 243.41 - -
144.00 - - 144.00 - -
599,420.00 - - 599,420.00 - -
254,375.00 - - 254,375.00 - -
63,250.00 - - 63,250.00 - -
63,250.00 - - 63,250.00 - -
40,440.00 - - 40,440.00 - -
159,500.00 - - 159,500.00 - -
234,025.00 - - 234,025.00 - -
189,750.00 - - 189,750.00 - -
177,100.00 - - 177,100.00 - -
58,437.80 - - 58,437.80 - -
1,948,164.50 - - 1,948,164.50 - -
1,784,596.00 - - 1,784,596.00 - -
24,111.36 - - 24,111.36 - -
875,784.50 - - 875,784.50 - -
816.55 - - 816.55 - - 816.545

856.55 - - 856.55 - -
4,563.45 22,817.25 70 4,563.45 319,441.50 -
133,439.48 - - 133,439.48 -
2,600.00 28,600.00 100 2,600.00 260,000.00

186.00 - - 186.00 -
2,533.00 - 358 2,533.00 906,814.00
1,380.00 - 580 1,380.00 800,400.00
1,382.00 - 50 1,382.00 69,100.00
220.37 - - 220.37 -
126.10 281,842.44 5,400 126.10 680,961.60 -
260.85 9,200 260.85 2,399,820.00
114.64 5,000 114.64 573,200.00
169.81 200 169.81 33,962.00
127.28 200 127.28 25,456.00
143.64 2,300 143.64 330,372.00
120.93 500 120.93 60,465.00
6,939.00 40 6,939.00 277,560.00

1,105,789.69 7,430,522.10 8,351,624.10 #REF! #REF! #REF! 269.00
Palangka Raya, 20 AGUSTUS 2019 #REF!

dr. ERNY SUSILAWATY

NIP.19780409 200501 2 016
Kasa
Hidrofil
Kasa
DRC Pcs - - - - - - - -
Hidrofil
4mx3cm 1,143.94 1,143.94 1,143.94 1,143.94
Kasa
DRC
Hidrofil
4mx5cm Pcs - 1,443.93 - - 1,443.93 - - 1,443.93 - - 1,443.93 -
Kasa
DRC
Kasa
Hidrofil
4mx10cm Pcs - 2,643.94 - - 2,643.94 - - 2,643.94 - - 2,643.94 -
Sterile
DRC
DRC
4mx15cm Pcs - 4,143.94 - - 4,143.94 - - 4,143.94 - - 4,143.94 -
16cmx16c
Polifix
m Pcs - 9,046.46 - - 9,046.46 - - 9,046.46 - - 9,046.46 -
Cathgut
10cm x
Chromic
5m Roll - 73,937.00 - 30 73,937.00 ### 3 73,937.00 ### 27 73,937.00 ###
3/0 hr 26
Cathgut
mm Pcs - 33,745.00 - 180 33,745.00 ### 12 33,745.00 ### 168 33,745.00 ###
plain 3/0
Kasa
hr 26 mm Pcs - 35,245.00 - 180 35,245.00 ### 12 35,245.00 ### 168 35,245.00 ###
Hidrofil
SMI Silk
DRC
black 2 HR Pcs - 22,075.00 - 60 22,075.00 ### - 22,075.00 - 60 22,075.00 ###
36mx80c
m Roll - ### - 10 ### ### 1 ### ### 9 ### ###
Foleycatet
er 16FR Set - 20,340.00 - 25 20,340.00 508,500 - 20,340.00 - 25 20,340.00 ###
Abocath
no 22 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Abocath
no 23 Set - 9,060.00 - 50 9,060.00 453,000 - 9,060.00 - 50 9,060.00 ###
Handscoo
Alat suntik
n uk.s Ktk - 37,401.00 - 30 37,401.00 ### 3 37,401.00 ### 27 37,401.00 ###
sekali
pakai 1ml Pcs - 802.00 - 1,000 802.00 802,000 300 802.00 ### 700 802.00 ###
Alat suntik
sekali Pcs - - 1,000 842,000 300 ### 700 ###
pakai 3ml 842.00 842.00 842.00 842.00
Alat suntik
sekali
pakai 5ml Pcs - 943.00 - 500 943.00 471,500 100 943.00 ### 400 943.00 ###
Handscoo
n Steril Psg - - 200 915,000 25 ### 175 ###
uk.7 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n Steril psg - - 200 915,000 25 ### 175 ###
uk.8 4,575.00 4,575.00 4,575.00 4,575.00
Handscoo
n uk.M Ktk - 52,000.00 - 10 52,000.00 520,000 2 52,000.00 ### 8 52,000.00 ###
Infus set
anak Set - 10,900.00 - 50 10,900.00 545,000 - 10,900.00 - 50 10,900.00 ###
Urine bag Set - 5,452.00 - 25 5,452.00 136,300 - 5,452.00 - 25 5,452.00 ###

Masker
karet Ktk - 27,028.00 - 100 27,028.00 ### 10 27,028.00 ### 90 27,028.00 ###
Masker
tali Ktk - 31,436.00 - 50 31,436.00 ### 5 31,436.00 ### 45 31,436.00 ###

Kereng Bangkirai Juni Juli Agustus 2019

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Kereng Bangkirai Juni Juli Agustus 2019

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REKAPITULASI LAPORAN PERSEDIAAN OBAT, BAHAN LABORATORIUM DAN PERBEKALAN KESEHATAN TAHUN 2019 (01 JANUARI- 3

PUSKESMAS KERENG BANGKIRAI

STOK AWAL PENERIMAAN PENGELUARAN

18 Sianokobalamin ( Vitamin B12 ) Injeksi Amp - - - - -

PENGELUARAN STOK AKHIR

HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA KETERANGAN

12 13 14 15 16 17 TOTAL PENERIMA TOTAL PENGELUA TOTAL

69.00 20,700.00 11,350 69.00 783,150.00 - 81

895.00 - 100 895.00 89,500.00 -

4,280.00 - 100 4,280.00 428,000.00 -

816.55 - - 816.55 - - 816.545

4,563.45 22,817.25 75 4,563.45 342,258.75 -

2,600.00 44,200.00 111 2,600.00 288,600.00

2,533.00 65,858.00 358 2,533.00 906,814.00

1,380.00 6,900.00 580 1,380.00 800,400.00

1,382.00 6,910.00 50 1,382.00 69,100.00

220.37 462,772.80 - 220.37 -

126.10 145,019.60 7,635 126.10 962,804.04 -

Palangka Raya, 24 Juni 2019 #REF!

dr. ERNY SUSILAWATY

Urine bag Set - 5,452.00 - 25 5,452.00 136,300 - 5,452.00 - 25 5,452.00 ###

STOK AWAL PENERIMAAN PENGELUARAN

18 Sianokobalamin ( Vitamin B12 ) Injeksi Amp - - - - -

Piroxicam 20mg Tab - 120.93 - 1,000 120.93 120,930 -

PENGELUARAN STOK AKHIR

HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA KETERANGAN

12 13 14 15 16 17 TOTAL PENERIMA TOTAL PENGELUA TOTAL

69.00 - 11,350 69.00 783,150.00 - 81

895.00 - 100 895.00 89,500.00 -

4,280.00 - 100 4,280.00 428,000.00 -

816.55 - - 816.55 - - 816.545

4,563.45 - 75 4,563.45 342,258.75 -

2,600.00 - 111 2,600.00 288,600.00

2,533.00 - 358 2,533.00 906,814.00

1,380.00 - 580 1,380.00 800,400.00

1,382.00 - 50 1,382.00 69,100.00

126.10 - 7,635 126.10 962,804.04 -

260.85 - 12,000 260.85 3,130,200.00

114.64 - 5,000 114.64 573,200.00

169.81 - 300 169.81 50,943.00

127.28 - 300 127.28 38,184.00

143.64 - 3,000 143.64 430,920.00

120.93 - 1,000 120.93 120,930.00

6,939.00 - 40 6,939.00 277,560.00

Palangka Raya, 24 Juni 2019 #REF!

dr. ERNY SUSILAWATY

Urine bag Set - 5,452.00 - 25 5,452.00 136,300 - 5,452.00 - 25 5,452.00 ###

STOK AWAL PENERIMAAN PENGELUARAN

18 Sianokobalamin ( Vitamin B12 ) Injeksi Amp - - - - -

Piroxicam 20mg Tab 1,000 120.93 120,930.00 - 120.93 - 500

PENGELUARAN STOK AKHIR

HARGA SATUAN JUMLAH HARGA HARGA SATUAN JUMLAH HARGA KETERANGAN

12 13 14 15 16 17 TOTAL PENERIMA TOTAL PENGELUA TOTAL

69.00 217,350.00 8,200 69.00 565,800.00 - 81

895.00 89,500.00 - 895.00 - -

4,280.00 428,000.00 - 4,280.00 - -

816.55 - - 816.55 - - 816.545

4,563.45 22,817.25 70 4,563.45 319,441.50 -

2,600.00 28,600.00 100 2,600.00 260,000.00

2,533.00 - 358 2,533.00 906,814.00

1,380.00 - 580 1,380.00 800,400.00

1,382.00 - 50 1,382.00 69,100.00

126.10 281,842.44 5,400 126.10 680,961.60 -