LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM

Per 31 JANUARI 2019

UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 023074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 06/31/2019 ktk / 10 vial vial Rp 59,950 3 179,850 3 179,850 3
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3651117 8/30/2019 ktk / 100 pcs pcs Rp 20,900 2 41,800 0 0 2
44 IPV IPQ008A18 1/31/2020 ktk / 50 vial vial Rp 139,000 0 0 5 695,000 3
45 PENTABIO* 5043218 12/30/2019 ktk / 10 vial vial Rp 76,285 0 0 5 381,425 4
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 5 99,770 5
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 5 Include Vaksin 5
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 3 Include Vaksin 3
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 9 1,274,832 0 0 4
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 0 0 5 82,500 2
81 TD 416716 10/30/2019 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,775,794.00 31.00 1,438,545.00 31.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
179,850 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
41,800 0 0 0 0 VAKSIN
417,000 2 278,000 0 0 VAKSIN
305,140 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
99,770 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
566,592 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
33,000 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
1,643,152.00 477.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Januari 2019

Petugas Obat UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ZAKI FIKRIANSYAH, AMd. Far

NIP. 19901019 201402 1 005
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

EXPIRED JANUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JANUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 1 1

2
1 2
1 1 2

1 1 1 2
EXPIRED JANUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 1 1 2
1 1 1

1 1 2

2
EXPIRED JANUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 28 FEBRUARI 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
28 FEBRUARI 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 450 153,450 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 47.00 1,417,737.00 450.00 153,450.00

Tumbang Kajamei, 28 Februari 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

EXPIRED FEBRUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

450
EXPIRED FEBRUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED FEBRUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED FEBRUARI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 MARET 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
r 31 MARET 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Maret 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

EXPIRED MARET

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MARET

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MARET

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MARET

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 30 APRIL 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
er 30 APRIL 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 30 April 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED APRIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED APRIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED APRIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED APRIL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 MEI 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
Per 31 MEI 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Mei 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED MEI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MEI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MEI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED MEI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 30 JUNI 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
Per 30 JUNI 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 30 Juni 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED JUNI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JUNI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JUNI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JUNI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 JULI 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
Per 31 JULI 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Juli 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED JULI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JULI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JULI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED JULI

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 AGUSTUS 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
31 AGUSTUS 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Agustus 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED AGUSTUS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED AGUSTUS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED AGUSTUS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED AGUSTUS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 30 SEPTEMBER 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
E PERSEDIAAN OBAT PROGRAM
PTEMBER 2019
YA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN EXPIRED
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN EXPIRED
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN EXPIRED
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN EXPIRED
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 30 September 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
 SEPTEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 SEPTEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 SEPTEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 SEPTEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 OKTOBER 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
31 OKTOBER 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Oktober 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED OKTOBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED OKTOBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED OKTOBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED OKTOBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 30 NOVEMBER 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
30 NOVEMBER 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 30 November 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED NOVEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED NOVEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED NOVEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED NOVEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 LAPORAN STOK OPNAME PERSEDIAAN OBAT PROGRAM
Per 31 DESEMBER 2019
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI

HARGA PER STOK AWAL BERTAMBAH BERKURANG

NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Albendazol tablet 400 mg 344043 28/02/2020 Botol/200 tab Tablet Rp 267 0 0 0 0 0
2 Diethil carbamazin tablet 1706179 30/06/2019 Box/100 tab Tablet Rp 190 0 0 0 0 0
3 Amitriptilin HCL tablet salut 25 mg 1509025 30/11/2019 Box/100 tab Tablet Rp 1,621 0 0 0 0 0
4 Amitriptilin HCL tablet salut 25 mg* - BRANKAS Box/100 tab Tablet Rp 160 0 0 0 0 0
5 Amitriptilin HCL tablet salut 25 mg** 1502001 30/03/2019 Box/100 tab Tablet Rp 123 0 0 0 0 0
6 Clozapine 25 mg tablet 160353 30/05/2020 Box / 50 tab Tablet Rp 1,550 0 0 0 0 0
7 Haloperidol 1,5 mg - BRANKAS Box/100 tab Tablet Rp 64 0 0 0 0 0
8 Haloperidol 1,5 mg* A1916IQ 30/09/2018 Box/100 tab Tablet Rp 64 0 0 0 0 0
9 Haloperidol injeksi 5mg/ml (LODOMER) 460030 30/03/2019 ktk / 12 ampul ampul Rp 6,250 0 0 0 0 0
10 Haloperidol tablet 0,5 mg - - Box/100 tab Tablet Rp 62 0 0 0 0 0
11 Haloperidol tablet 5 mg 1503016 30/04/2019 Box/100 tab Tablet Rp 1,651 0 0 0 0 0
12 Haloperidol tablet 5 mg* A2017HQ 30/08/2018 kotak / 100 tab Tablet Rp 96 0 0 0 0 0
13 Klorpromazin HCL inj. 5 mg/ml - 2 ml - - Box/30 amp Ampul Rp 1,045 0 0 0 0 0
14 Klorpromazin HCL inj. 5 mg/ml - 2 ml* - - Box/30 amp Ampul Rp 1,155 0 0 0 0 0
15 Klorpromazin HCL tablet 100 mg G130975B 30/07/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
16 Klorpromazin HCL tablet 100 mg* C130358B 30/03/2018 Btl/1000 tab Tablet Rp 222 0 0 0 0 0
17 Klorpromazin tablet salut 25 mg - - Btl/250 tab Tablet Rp 50 0 0 0 0 0
18 Klorpromazin tablet salut 25 mg* 85328002 30/05/2018 Btl/250 tab Tablet Rp 75 0 0 0 0 0
19 Risperidone 2 mg Tablet 150723 30/12/2019 kotak / 50 tab Tablet Rp 1,008 0 0 0 0 0
20 Triheksifenidil Hidroklorida tablet 2 mg 1308025 30/10/2018 Box/100 tab Tablet Rp 44 0 0 0 0 0
21 Triheksifenidil Hidroklorida tablet 2 mg* 160793 30/08/2018 Box/100 tab Tablet Rp 106 0 0 0 0 0
22 Iodium test 0233074W 30/04/2018 Btl ml Botol Rp 9,375 0 0 0 0 0
23 Biskuit MP-ASI - 21/092020 dus / 28 bungkus Dus Rp 5,799 0 0 0 0 0
24 Biskuit PMT BUMIL - 21/09/2020 dus / 84 bungkus Dus Rp 5,921 0 0 0 0 0
25 Mineral mix 1609052 30/09/2018 kotak / 40 sachet kotak Rp 2,727 0 0 0 0 0
26 Retinol (Vit.A) kapsul 100.000 IU 075097W 30/07/2018 Btl/50 kaps Kapsul Rp 286 0 0 0 0 0
27 Retinol (Vit.A) kapsul 100.000 IU** 026087W 28/02/2019 Btl/50 kaps Kapsul Rp 341 450 153,450 0 0 0
28 Retinol (Vit.A) kapsul 200.000 IU* 15KAO11 30/07/2018 Btl/50 kaps Kapsul Rp 1,000 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
29 SGM Eksplor 1+Vanila 100916E1VV 30/09/2018 Dus/10 Ktk 900 g Kotak Rp 87,000 0 0 0 0 0
30 Tablet Tambah Darah (Neo) E70780B 30/04/2019 kotak / 100 tablet tablet Rp 700 0 0 0 0 0
31 Kuinin (Kina) tablet 200 mg* E150827B 5/30/2020 Box/60 tab Tablet Rp 771 0 0 0 0 0
32 RDT Malaria MR17C62 01/08/2019 kotak / 10 test test Rp 5,271 0 0 0 0 0
33 Obat Anti Malaria (DHP-FRIMAL) 170506 01/05/2019 kotak / 9 tablet tablet Rp 2,160 0 0 0 0 0
34 Primaquin 5 mg tablet 85386006 01/08/2018 kotak / 100 tab tablet Rp 269 0 0 0 0 0
35 OAT KATEGORI I BG0284J 01/01/2019 Ktk / 1 paket kotak Rp 431,978 0 0 0 0 0
36 OAT KATEGORI II 1606008 01/05/2019 Ktk / 1 paket kotak Rp 1,439,983 0 0 0 0 0
37 OAT KATEGORI ANAK - - Ktk / 1 paket kotak Rp 247,238 0 0 0 0 0
38 POT SPUTUM (SHM) - tutup putih - - botol BOTOL Rp 5,890 0 0 0 0 0
39 POT SPUTUM - tutup kuning - - botol BOTOL Rp 5,890 0 0 0 0 0
40 BCG 037G6291 30/062020 ktk / 10 vial vial Rp 59,950 3 179,850 0 0 0
41 CAMPAK 2501116 2/28/2019 ktk / 10 vial vial Rp 28,204 0 0 0 0 0
42 DT 415518 01/07/2021 ktk / 10 vial vial Rp 17,790 0 0 0 0 0
43 HB UNIJECT (HB0) 3655216 10/30/2018 ktk / 100 pcs pcs Rp 20,900 0 0 0 0 0
44 IPV IPQ008A18 31/05/2020 ktk / 50 vial vial Rp 139,000 2 278,000 0 0 0
45 PENTABIO* 5043217 12/30/2019 ktk / 10 vial vial Rp 76,285 1 76,285 0 0 0
46 PENTABIO 5040317 2/28/2019 ktk / 10 vial vial Rp 76,286 0 0 0 0 0
47 POLIO* 2050718 28/02/2020 ktk / 10 vial vial Rp 19,954 3 59,862 0 0 0
48 POLIO 2051617 3/30/2019 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
49 TD 415518 31/07/2019 ktk / 10 vial vial Rp 16,500 0 0 0 0 0
50 DROPPER POLIO 2050718 28/02/2020 ktk / 10 droppers droppers Include Vaksin 3 Include Vaksin 20 Include Vaksin 0
51 PELARUT BCG 070S16063E 30/05/2020 ktk / 10 vial vial Include Vaksin 3 Include Vaksin 0 Include Vaksin 0
52 PELARUT CAMPAK 9910516 3/30/2021 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
53 Calcii Gluconas inj 15D0941 4/30/2019 Box/24 amp Ampul Rp - 0 0 0 0 0
54 Clyndamycin 150 mg tab 1610014 11/30/2020 Box/50 tab Tablet Rp - 0 0 0 0 0
55 Masker Tali - - Pcs Pcs Rp - 0 0 0 0 0
56 Protagenta Tetes Mata 20mg 5PR60911 9/30/2018 Pack/5 tube Tube Rp - 0 0 0 0 0
57 Tiamin (Vit.B1) tablet 50 mg 15070104 7/30/2019 Btl/1000 tab Tablet Rp - 0 0 0 0 0
58 Tiamin (Vit.B1) tablet 50 mg C80561B 2/28/2023 ktk / 100 pcs pcs Rp - 0 0 0 0 0
59 Retinol 200.000 IU 15KC001 9/30/2018 botol / 50 kap kapsul Rp - 0 0 0 0 0
60 Oralit E 81033 B 4/30/2023 ktk / 100 sachet sachet Rp - 0 0 0 0 0
61 Zinc Tablet Dispersible 20 mg 1706010 7/30/2020 Ktk/100 tab tablet Rp - 0 0 0 0 0
62 Biosave (ABU) injeksi 4700917 4/30/2019 Vial Vial Rp 479,996 0 0 0 0 0
63 MR (Measles dan Rubella) 012W72240Z 1/30/2020 Box/50 vial Vial Rp 141,648 5 708,240 0 0 0
64 Sterile WFI-MR 0688S4114Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
65 ADS 0,5 ml 1808405 2/28/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
66 ADS 5 ml 1804401 3/30/2023 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
67 IPV IPQ008A18 5/30/2019 ktk / 50 vial vial Rp 139,000 0 0 0 0 0
68 BCG 037G6291 31/06/2019 ktk / 10 vial vial Rp 54,500 0 0 0 0 0
69 PELARUT BCG 070S16063E 4/30/2020 ktk / 10 vial vial Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
70 MR (Measles dan Rubella)* 012W72610Z 2/28/2020 Box/50 vial Vial Rp 141,648 0 0 0 0 0
71 Sterile WFI-MR* 0688S41247Z 2/28/2023 Box/50 amp Ampul Include Vaksin 0 Include Vaksin 0 Include Vaksin 0
72 ADS 0,5 ml* 1808407 3/30/2023 Box/ 100 pcs pcs Rp 1,240 0 0 0 0 0
73 ADS 5 ml* 15501 4/30/2020 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
74 ADS 5 ml** 17502 2/28/2022 Box/ 100 pcs pcs Rp 1,705 0 0 0 0 0
75 Albendazol tablet 400 mg 366622 30/06/2020 Botol/200 tab Tablet Rp - 0 0 0 0 0
76 Diethil carbamazin tablet 1805154 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
77 Diethil carbamazin tablet 1805218 30/05/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
78 Diethil carbamazin tablet 1806016 30/06/2020 Box/100 tab Tablet Rp - 0 0 0 0 0
79 Klorpromazin HCL tablet 100 mg 170686 30/05/2019 Box/100 tab Tablet Rp 144 0 0 0 0 0
80 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 3 49,500 0 0 0
81 TD 415518 7/30/2021 ktk / 10 vial vial Rp 16,500 4 66,000 0 0 0
 HARGA PER STOK AWAL BERTAMBAH BERKURANG
NO NAMA OBAT BATCH EX DATE KEMASAN SATUAN KEMASAN
+PPN JUMLAH SALDO JUMLAH SALDO JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
82 POLIO 2050718 2/28/2020 ktk / 10 vial vial Rp 19,954 0 0 0 0 0
JUMLAH 477.00 1,571,187.00 20.00 0.00 0.00

Mengetahui,
Kasubbag TU UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

ENJET
NIP. 197505071999031005
AME PERSEDIAAN OBAT PROGRAM
31 DESEMBER 2019
T RAYA PUSKESMAS TUMBANG KAJAMEI

BERKURANG SISA STOK EXPIRED

KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KESEHATAN JIWA
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 450 153,450 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 KIA / KB/ GIZI / MCA-I
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 MALARIA
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 0 0 0 0 TB PARU
0 3 179,850 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 2 278,000 0 0 VAKSIN
0 1 76,285 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 3 59,862 0 0 VAKSIN
0 0 0 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
Include Vaksin 23 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 3 Include Vaksin 0 Include Vaksin VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER STOK
0 0 0 0 0 BUFFER ER STOK
0 0 0 0 0 BS 2015
0 0 0 0 0 BS 2018
0 0 0 0 0 BS 2018
0 0 0 0 0 P2P
0 5 708,240 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
Include Vaksin 0 Include Vaksin 0 Include Vaksin VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 VAKSIN
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 FILARIASIS
0 0 0 0 0 KESEHATAN JIWA
0 3 49,500 0 0 VAKSIN
0 4 66,000 0 0 VAKSIN
BERKURANG SISA STOK EXPIRED
KETERANGAN
SALDO JUMLAH SALDO JUMLAH SALDO
13 14 15 16 17 18
0 0 0 0 0 VAKSIN
0.00 497.00 1,571,187.00 0.00 0.00

Tumbang Kajamei, 31 Desember 2019

Petugas UPTD Kecamatan Bukit Raya
Puskesmas Tumbang Kajamei

INDAH SARI, A.Md.Farm

NRPK 15.6.0503269
EXPIRED DESEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED DESEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED DESEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
EXPIRED DESEMBER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31