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PERSED

NO NAMA OBAT HARGA


DAU
Column4
2 Albendazol tablet 400 mg 363.00 -
9 Alopurinol tablet 100 mg 99.00 -
12 Alprazolam 0,5 mg tablet 88.00 -
24 Amlodiphin tablet 5 mg 74.00 142,500
28 Amlodiphin tablet 10 mg 95.00 -
32 Amoksisilin kapsul 500 mg 399.02 -
42 Antalgin /Metampiron tab 500 mg 176.00 -
48 Antasida Sirup 2,098.00 -
51 Anti bakteri DOEN 3,490.00 -
55 Antihemorhoid DOEN kombinasi 3,502.00 -
58 Antimigrain DOEN kombinasi 199.00 -
64 Asam Askorbat ( vit. C ) tablet 50 mg 120.00 -
66 Asam Mefenamat tablet 500 mg 122.00 -
67 Asering infus 9,000.00 -
84 Betahistin Mesilat 6 mg tab 119.00 54,000
88 Betametason krim 0,1 % 1,420.00 -
98 Captopril 25 mg 80.00 -
102 Cefadroxyl 500 mg 492.00 -
112 Cetirizin Syrup 2,993.00 -
116 Ciproloxacin 500 mg isi 100 tab 281.00 -
120 Clobazam 872.00 9,000
151 Domperidon 90.00 -
154 Domperidon suspensi 5 mg/5 ml 2,862.00 -
159 Epineprin HCl/bitartrat (adrenalin) inj. 1,518.00 -
165 Eritromisin 500 mg 781.00 -
179 Fenobarbital tablet 30 mg 177.00 -
183 Fitomenadion ( vit k ) tablet salut 10 mg 818.00 -
188 Furosemid tablet 40 mg 82.00 -
Garam oralit untuk 200 ml air 275.00 -
211 Griseofulvin tablet 125 mg, micronized 223.00 -
221 Hidrocortison cream 2,5 % 2,648.00 -
227 Hyoscine-N-butilbromide 10 mg tab 1,562.00 -
240 Kaen - 3 B 11,314.00 -
245 Kalsium laktak ( kalak ) tablet 500 mg 69.00 -
249 Ketokonazol Krim 2% 2,694.00 -
252 Ketokonazol tab 286.00 9,000
258 Kloramfenikol kapsul 250 mg 329.00 -
260 Kloramfenikol salep mata 1 % 2,013.00 -
261 Kloramfenikol sirup 4,000.00 -
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 24.00 -
276 Kodein HCl tablet 10 mg 657.00 -
279 Kotrimoksazol dewasa tablet 125.00 -
282 Kotrimoksazol suspensi 2,052.00 -
286 Lanzoprasole kapsul 30 mg 330.00 -
294 Lidokain kompositum injeksi 2,122.00 -
295 Lidokain Spray 177,216.00 -
301 Loratadin tablet 10 mg 127.00 20,500
315 Metformin tab. 850 mg 167.00 -
325 Metilprednisolon tablet 4 mg 139.00 -
328 Metoklopramid tab 5 mg 129.00 -
333 Metoklorpropamid injeksi 4,554.00 1,480
336 Metoklorpropamid sirup 2,700.00 -
346 Miconasol cream 3,926.00 -
352 Multivitamin syrup anak 17,040.00 1,611
368 Novabion 202.40 -
372 OAT FDC Kategori anak 267,397.00 -
374 OAT FDC Kategori I 413,984.00 -
377 OAT FDC Kategori II 1,492,579.00 -
384 Obat batuk hitam ( O. B. H ) cairan 15,720.00 1,296
390 Oksitetrasiklin HCl salep mata 2,600.00 1,350
399 Parasetamol drops 7,646.00 -
401 Parasetamol sirup 120 mg / 5 ml 1,119.00 -
405 Parasetamol tablet 500 mg 60.00 -
415 Piridoksin HCl tablet 10 mg 136.00 -
418 Piroksicam 20 mg kapsul 192.00 51,400
429 Provital Plus tablet 7,150.00 -
433 Ranitidin injeksi 1,600.00 -
437 Ranitidin tablet 114.00 -
439 Retinol ( vit. A ) kapsul 100.000 iu 327.00 -
445 Retinol ( vit. A ) kapsul 200.000 iu 583.00 -
447 Ringer laktak larutan infus steril 7,150.00 -
468 Simvastatin tablet 10 mg 110.00 -
470 Simvastatin tablet 20 mg 252.00 -
473 Stesolid Rectal 14,459.00 220
477 Tablet tambah darah kombinasi 367.00 -
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 90.00 -
490 Triheksifenidil hidroklorida tablet 2 mg 97.00 -
497 Vaksin rabies vero 165,000.00 -
502 Ventolin Nebulizer 12,976.00 25
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 4,236.00 420
515 Yodium povidon larutan 10 % 60 ml 4,255.00 -
519 Zink Sirup 3,285.00 -
Zink Tablet 604.00 -
533 Alat suntik sekali pakai 0.5 ml 1,426.00 2,500
538 Alkohol Swab 126.50 -
541 Aqua pro injeksi steril, bebas pirogen 2,750.00 -
546 Aseptic Gel 26,400.00 -
552 Blood Lancet 167.42 -
553 Blue Tip 132.00 -
563 Catgut/benang bedah no 2/0 - 3/0 8,500.00 912
573 Devitalisasi pasta 423,500.00 -
577 Etanol 70 % 30,000.00 185
586 Gell Doppler/Jelly USG 23,900.00 -
595 Handschun Steril no.7 7,254.5 400
600 Handschun non steril no.7 1,064.80 800
602 Hanscoen ginekolog 20,010.00 -
604 Handscoen L 49,610.00 -
608 Handscrub 108,000.00 150
611 Infusion set anak 7,700.00 -
616 Infusion set dewasa 7,969.50 -
617 Iodium Test 18,700.00 -
621 IV. Catheter No. 20 7,700.00 -
633 Kapas pembalut / absorben 250 gram 23,690.00 173
635 Kasa kompres 40 x 80 cm 137,025.00 -
637 Kasa pembalut 2 m x 80 cm 10,321.50 -
639 Kasa pembalut hidrofil 4 m x 15 cm 4,066.00 1,650
643 Kateter No. 20 8,695.15 -
650 Kateter No. 18 31,359.35 -
653 Kertas Puyer Press 78.10 -
656 Larutan Ammonium Oksalat 31,900.00 -
667 Larutan Giemsa 376,750.00 -
673 Larutan Natrium sitrat 0.1 M 13,200.00 -
688 Masker 460.90 -
692 Masker Nebulizer Adult 25,300.00 50
694 Masker Nebulizer Pediatric 25,300.00 50
699 Obyek glass 13,200.00 -
706 Penjepit Tali Pusat (Umbilical Clamps) 1,495.00 200
710 Pharmafix (15 x 500 cm) 85,970.5 250
715 Plester 5 yard x 2 inch 35,532.00 120
717 Plesterin 177.10 -
721 Pot Dahak 2,950.00 -
722 Pot Dahak 5,890.00 -
Reagen Siphilis 20,400.00 -
758 Reagen TB 276,600.00 -
SD HIV 19 11,975.00 -
769 Silk ( benang bedah sutera ) no.3/0 55,476.20 172
773 Slang O2 dewasa 7,590.00 -
783 Strip Asam Urat 11,126.00 2,500
786 Strip GDS 3,229.94 1,200
791 Strip Kolesterol 27,495.00 500
796 Surgical Gown 59,138.75 -
798 Tabung K3 EDTA 1,540.00 -
810 Tes Kehamilan 4,790.00 750
825 Urine Bag 4,933.50 -
827 Yellow Tip 55.00 -
PERSEDIAAN AWAL PENERIMAAN

DAK GRATIS HIBAH PROGRAM DAU DAK GRATIS HIBAH


Column5 Column6 Column7 Column8 Column9 Column10 Column11 Column12
- - - 2,710
67,000 - - -
2,200 - - -
- - - -
177,990 - - -
50,000 - - -
353,400 - - -
22,750 - - -
600 - - -
720 - - -
7,100 - - -
69,800 - - -
- 93,400 - -
280 - - -
- - - -
2,998 - - -
100,500 - - -
3,000 - - -
1,100 - - -
55,500 - - -
- - - -
21,700 - - -
550 - - -
720 - - -
9,600 - - -
31,300 - - -
1,700 - - -
3,600 - - -
- - - 18,000
27,600 - - -
3,864 - - -
4,800 - - -
1,380 - - -
7,500 - - -
1,500 - - -
- - - -
6,900 - - -
1,968 - - -
350 - - -
294,200 - - -
14,500 - - -
1,700 - - -
7,800 - - -
580 - - -
3,772 - - -
4 - - -
- - - -
223,500 - - -
79,000 - - -
3,700 - - -
- - - -
1,500 - - -
1,728 - - -
- - - -
640,000 - - -
- - - 9
- - - 178
- - - 6
- - - -
- - - -
604 - - -
5,600 - - -
535,900 - - -
325,200 - - -
- - - -
16,050 - - -
1,730 - - -
256,800 - - -
2,600 - - 700
- - - 39,650
6,456 - - -
54,720 - - -
5,900 - - -
- - - -
- - - 34,290
42,200 - - -
6,400 - - -
- - - 173
- - - -
- - - -
183 - - -
150 - - -
- - - 6,000
- - - -
800 - - -
832 - - -
327 - - -
48,300 - - -
- 9,500 - -
- - - -
5 - - -
- - - -
57 - - -
- - - -
- - - -
1,125 - - -
- - - 200
- - - -
- 1,500 - -
2,450 - - -
796 - - -
750 - - -
- - - -
- 178 - -
2,186 - - -
- - - -
70 - - -
240 - - -
- 303,600 - -
39 - - -
- - - 3
24 - - -
11,900 - - -
- - - -
- - - -
- 47 - -
- - - -
- - - -
- - - -
87,400 - - -
- - - 400
- - - 200
- - - 275
- - - 88
- - - 700
- - - -
595 - - -
- - - -
- - - -
- - - -
10 - - -
12,500 - - -
- - - -
2,200 - - -
- 20,000 - -
PANINCONG (035)
PROGRAM DAU DAK GRATIS HIBAH PROGRAM DAU
Column13 Column14 Column15 Column16 Column17 Column18 Column19

7,200

100

5,000

5,000

50

500

1,000

5,000
4

12,000

10,000

50
56

5,000

5,000

60

6,480
13,600

38

90

300
10

100

100

200

100

2,000 200

325
200
100
BARINGENG (030) CITTA
DAK GRATIS HIBAH PROGRAM DAU DAK
Column20 Column21 Column22 Column23 Column24 Column25

100
1,000

1,000

1,500
30

500

48

500

40
510

1,000

300
40

50

10

10
CITTA BATU BATU (034)
GRATIS HIBAH PROGRAM DAU DAK GRATIS
Column26 Column27 Column28 Column29 Column30 Column31

1,000

10,000

10
200

50
500

1,000

100

1,000

3,000
48
3,000
60

50
10,000
1,700
100

3,000

48
10,000

200
16,500
7,000

1,400

20

1,000
4

36
200
200
40

200

5
5
50

2,400

2,000
20
20

50

20
800

120
30

50
BATU (034) PACONGKANG (032)
HIBAH PROGRAM DAU DAK GRATIS HIBAH
Column32 Column33 Column34 Column35 Column36 Column37

10,000

200
100

3,000

3,000
1,000

1,000

1,000

5,000
16,500

200

800

16

60

300

12
72
1

100
45

500

200

20
GOARIE (026)
PROGRAM DAU DAK GRATIS HIBAH PROGRAM
Column38 Column39 Column40 Column41 Column42 Column43

2,000

900
6,000
3,000
1,000
250
50
100

3,000

1,000
50
3,000

1,000

1,000
50

1,000 1,000

1,300

5,000
200

100

2,000

96

1
96

100
10,000

3,000
1,200
100
2,000

300

48

300
500

120

250

250

100

20

25
10
100

325

50
TAKALALA (027) MALAKA
DAU DAK GRATIS HIBAH PROGRAM DAU
Column44 Column45 Column46 Column47 Column48 Column49

300

9,000

2,000
200

200

2,000

1,000

2,000
1,000

200

5,000

200

192

500

20
60

100

200

200
20

50
50
10
10
7,200

50
10
10

25

24

250

200
MALAKA (023) GANRA (024)
DAK GRATIS HIBAH PROGRAM DAU DAK
Column50 Column51 Column52 Column53 Column54 Column55

2,400
2,100
5,000

400

10

1,000
100

1,000
50

500

1,000

5,000
20

5,000

3
1
96
100

16,500

3,000

5,000

30

30

300
1

10

4,000

200
100

75
GANRA (024) LEWORENG (036)
GRATIS HIBAH PROGRAM DAU DAK GRATIS
Column56 Column57 Column58 Column59 Column60 Column61

300

50

700
200

200
50

200

1,000

1,000
100

4,000

120
96

25

3,600

1,200
30

1,600

300
1
10

100

10

1,200

25

12
ORENG (036) CANGADI (028)
HIBAH PROGRAM DAU DAK GRATIS HIBAH
Column62 Column63 Column64 Column65 Column66 Column67

1,000

1,500

2,000

300
200
30

14,000

200
1,000
1,000

1,500
100
1,000

1,000

50
580
120

4,000
2,500
8,000

96

10,000

48

20
200

1,200

300
1,680
2,900
5

50

30
24
1,000
500

200

10

50

10

25
2

500

200

100
1,000
CABBENGE (031)
PROGRAM DAU DAK GRATIS HIBAH PROGRAM
Column68 Column69 Column70 Column71 Column72 Column73

5,000

100

4,500

50

100

1,000 1,000

40

300
2,000

48

56
100
5,000

3,000

400

2,000

5 16

300
1

200
25
2 1
100
TANJONGE (025) CAKKURID
DAU DAK GRATIS HIBAH PROGRAM DAU
Column74 Column75 Column76 Column77 Column78 Column79

200

100

50

1,000

100

2,000
200

3,000

240
20,000

48

5,000

22

90
100
100

25

100
CAKKURIDI (029) SEWO (022)
DAK GRATIS HIBAH PROGRAM DAU DAK
Column80 Column81 Column82 Column83 Column84 Column85

3,000

6,000

50

200

300

50

200

1,000

24
500

5,000
100

60

5,000

50

240

50 200

5,000
1,200

2,000 5,000

1,500

15

48

300
200

25
10

20

100

30
10 30

800

10
25

200
SEWO (022) SALOTUNGO (021)
GRATIS HIBAH PROGRAM DAU DAK GRATIS
Column86 Column87 Column88 Column89 Column90 Column91
2,710

5,000

50

500

1,000

120

48
5

288

500

50

500
300

50
300

10
1,000

40
200
10

9,600

10
20

100

50
1,000
TUNGO (021) TAJUNCU (033)
HIBAH PROGRAM DAU DAK GRATIS HIBAH
Column92 Column93 Column94 Column95 Column96 Column97

1,000

3,000
6,000
1,000

100

100
1,000

50

500

1,000
1,000

48

10,000
100

100

48

240

100
5,000
2,000

1,200
100

400
1,680

2,000

28
25

50
300
100
800
500

100

100

500
10
10
5

200

50
10
P2PL HIV
PROGRAM DAU DAK GRATIS HIBAH PROGRAM
Column98 Column99 Column100 Column101 Column102 Column103

1,000
1

300
100
KESGA (037) RSU LATEMAMALA
DAU DAK GRATIS HIBAH PROGRAM DAU
Column99 Column100 Column101 Column102 Column103 Column104
50
100
1
RSU LATEMAMALA SOPPENG (039) RSUD PAMMANA WAJO
DAK GRATIS HIBAH PROGRAM DAU DAK
Column105 Column106 Column107 Column108 Column1087 Column1088

240

500
7

5,000
7,000
380
RSUD PAMMANA WAJO EXPIRE
GRATIS HIBAH PROGRAM DAU DAK GRATIS
Column1089 Column1090 Column1091 Column1086 Column1085 Column1084

40
EXPIRE STOK AKHIR
HIBAH PROGRAM DAU DAK GRATIS HIBAH
Column1083 Column1082 Column109 Column110 Column111 Column112
- - - -
- 59,700 - -
- 1,200 - -
127,500 - - -
- 157,890 - -
- 9,000 - -
- 352,400 - -
- 20,900 - -
- 250 - -
- 570 - -
- 6,700 - -
- 55,100 - -
- - 76,700 -
- - - -
41,800 - - -
- 1,898 - -
- 86,500 - -
- - - -
- 500 - -
- 52,500 - -
8,900 - - -
- 16,000 - -
- 300 - -
- 620 - -
- 9,100 - -
- 29,800 - -
- 800 - -
- 2,600 - -
- - - -
- 24,600 - -
- 3,672 - -
- - - -
- 1,180 - -
- 2,500 - -
- 1,450 - -
8,700 - - -
- 4,900 - -
- 1,872 - -
- 300 - -
- 248,200 - -
- 13,500 - -
- - - -
- 6,800 - -
- - - -
- 3,462 - -
- - - -
11,500 - - -
- 215,000 - -
- 46,000 - -
- 3,200 - -
1,180 - - -
- 1,430 - -
- 1,464 - -
843 - - -
- 585,000 - -
- - - -
- - - -
- - - -
240 - - -
1,175 - - -
- 472 - -
- 4,650 - -
- 452,800 - -
- 308,200 - -
43,400 - - -
- 10,050 - -
- 1,250 - -
- 239,800 - -
- 2,600 - -
- - - -
- 1,756 - -
- 49,050 - -
- - - -
195 - - -
- - - -
- 12,000 - -
- 5,400 - -
- - - -
- - - -
150 - - -
- 87 - -
- - - -
- - - -
2,200 - - -
- - - -
- 802 - -
- 220 - -
- 46,300 - -
- - 8,000 -
660 - - -
- 1 - -
165 - - -
- 47 - -
- - - -
- - - -
- 960 - -
- - - -
105 - - -
- - 1,400 -
- 1,700 - -
- 795 - -
- 100 - -
138 - - -
- - 171 -
- 1,986 - -
1,500 - - -
- 20 - -
- 150 - -
- - 283,200 -
- 38 - -
- - - -
- 21 - -
- 3,900 - -
20 - - -
20 - - -
- - 39 -
- - - -
230 - - -
70 - - -
- 86,200 - -
- - - -
- - - -
- - - -
- - - -
- - - -
16 - - -
- 485 - -
1,000 - - -
1,000 - - -
- - - -
- 8 - -
- 12,400 - -
500 - - -
- 2,080 - -
- - 18,000 -
STOK AWAL PENERIMAAN
PROGRAM
Column113
- 2,710 363 983,730 - 363
- 67,000 99 6,633,000 - 99
- 2,200 88 193,600 - 88
- 142,500 74 10,545,000 - 74
- 177,990 95 16,909,050 - 95
- 50,000 399 19,951,000 - 399
- 353,400 176 62,198,400 - 176
- 22,750 2,098 47,729,500 - 2,098
- 600 3,490 2,094,000 - 3,490
- 720 3,502 2,521,440 - 3,502
- 7,100 199 1,412,900 - 199
- 69,800 120 8,376,000 - 120
- 93,400 122 11,394,800 - 122
- 280 9,000 2,520,000 - 9,000
- 54,000 119 6,426,000 - 119
- 2,998 1,420 4,257,160 - 1,420
- 100,500 80 8,040,000 - 80
- 3,000 492 1,476,000 - 492
- 1,100 2,993 3,292,300 - 2,993
- 55,500 281 15,595,500 - 281
- 9,000 872 7,848,000 - 872
- 21,700 90 1,953,000 - 90
- 550 2,862 1,574,100 - 2,862
- 720 1,518 1,092,960 - 1,518
- 9,600 781 7,497,600 - 781
- 31,300 177 5,540,100 - 177
- 1,700 818 1,390,600 - 818
- 3,600 82 295,200 - 82
2,000 18,000 275 4,950,000 - 275
- 27,600 223 6,154,800 - 223
- 3,864 2,648 10,231,872 - 2,648
- 4,800 1,562 7,497,600 - 1,562
- 1,380 11,314 15,613,320 - 11,314
- 7,500 69 517,500 - 69
- 1,500 2,694 4,041,000 - 2,694
- 9,000 286 2,574,000 - 286
- 6,900 329 2,270,100 - 329
- 1,968 2,013 3,961,584 - 2,013
- 350 4,000 1,400,000 - 4,000
- 294,200 24 7,060,800 - 24
- 14,500 657 9,526,500 - 657
- 1,700 125 212,500 - 125
- 7,800 2,052 16,005,600 - 2,052
- 580 330 191,400 - 330
- 3,772 2,122 8,004,184 - 2,122
- 4 177,216 708,864 - 177,216
- 20,500 127 2,603,500 - 127
- 223,500 167 37,324,500 - 167
- 79,000 139 10,981,000 - 139
- 3,700 129 477,300 - 129
- 1,480 4,554 6,739,920 - 4,554
- 1,500 2,700 4,050,000 - 2,700
- 1,728 3,926 6,784,128 - 3,926
- 1,611 17,040 27,451,440 - 17,040
- 640,000 202 129,536,000 - 202
2 9 267,397 2,406,573 - 267,397
165 178 413,984 73,689,152 - 413,984
3 6 1,492,579 8,955,474 - 1,492,579
- 1,296 15,720 20,373,120 - 15,720
- 1,350 2,600 3,510,000 - 2,600
- 604 7,646 4,618,184 - 7,646
- 5,600 1,119 6,266,400 - 1,119
- 535,900 60 32,154,000 - 60
- 325,200 136 44,227,200 - 136
- 51,400 192 9,868,800 - 192
- 16,050 7,150 114,757,500 - 7,150
- 1,730 1,600 2,768,000 - 1,600
- 256,800 114 29,275,200 - 114
650 3,300 327 1,079,100 - 327
39,550 39,650 583 23,115,950 - 583
- 6,456 7,150 46,160,400 - 7,150
- 54,720 110 6,019,200 - 110
- 5,900 252 1,486,800 - 252
- 220 14,459 3,180,980 - 14,459
27,810 34,290 367 12,584,430 - 367
- 42,200 90 3,798,000 - 90
- 6,400 97 620,800 - 97
33 173 165,000 28,545,000 38 165,000
- 25 12,976 324,400 - 12,976
- 420 4,236 1,779,120 - 4,236
- 183 4,255 778,665 - 4,255
- 150 3,285 492,750 - 3,285
2,700 6,000 604 3,624,000 - 604
- 2,500 1,426 3,565,000 - 1,426
- 800 127 101,200 - 127
- 832 2,750 2,288,000 - 2,750
- 327 26,400 8,632,800 - 26,400
- 48,300 167 8,086,386 - 167
- 9,500 132 1,254,000 - 132
- 912 8,500 7,752,000 - 8,500
- 5 423,500 2,117,500 - 423,500
- 185 30,000 5,550,000 - 30,000
- 57 23,900 1,362,300 - 23,900
- 400 7,255 2,901,800 - 7,255
- 800 1,065 851,840 - 1,065
- 1,125 20,010 22,511,250 - 20,010
- 200 49,610 9,922,000 - 49,610
- 150 108,000 16,200,000 - 108,000
- 1,500 7,700 11,550,000 - 7,700
- 2,450 7,970 19,525,275 - 7,970
- 796 18,700 14,885,200 - 18,700
- 750 7,700 5,775,000 - 7,700
- 173 23,690 4,098,370 - 23,690
- 178 137,025 24,390,450 - 137,025
- 2,186 10,322 22,562,799 - 10,322
- 1,650 4,066 6,708,900 - 4,066
- 70 8,695 608,661 - 8,695
- 240 31,359 7,526,244 - 31,359
- 303,600 78 23,711,160 - 78
- 39 31,900 1,244,100 - 31,900
2 3 376,750 1,130,250 - 376,750
- 24 13,200 316,800 - 13,200
- 11,900 461 5,484,710 - 461
- 50 25,300 1,265,000 - 25,300
- 50 25,300 1,265,000 - 25,300
- 47 13,200 620,400 - 13,200
- 200 1,495 299,000 - 1,495
- 250 85,971 21,492,625 - 85,971
- 120 35,532 4,263,840 - 35,532
- 87,400 177 15,478,540 - 177
- 400 2,950 1,180,000 - 2,950
1,420 200 5,890 1,178,000 2,000 5,890
125 275 20,400 5,610,000 - 20,400
70 88 276,600 24,340,800 - 276,600
300 700 11,975 8,382,500 - 11,975
- 172 55,476 9,541,906 - 55,476
- 595 7,590 4,516,050 - 7,590
- 2,500 11,126 27,815,000 - 11,126
- 1,200 3,230 3,875,928 - 3,230
- 500 27,495 13,747,500 - 27,495
- 10 59,139 591,388 - 59,139
- 12,500 1,540 19,250,000 - 1,540
- 750 4,790 3,592,500 - 4,790
- 2,200 4,934 10,853,700 - 4,934
- 20,000 55 1,100,000 - 55
1,967,477,408
1,967,477,408
-
PENERIMAAN STOK AKHIR PEMAKAIAN

- - 363 - 2,710 363


- 59,700 99 5,910,300 7,300 99
- 1,200 88 105,600 1,000 88
- 127,500 74 9,435,000 15,000 74
- 157,890 95 14,999,550 20,100 95
- 9,000 399 3,591,180 41,000 399
- 352,400 176 62,022,400 1,000 176
- 20,900 2,098 43,848,200 1,850 2,098
- 250 3,490 872,500 350 3,490
- 570 3,502 1,996,140 150 3,502
- 6,700 199 1,333,300 400 199
- 55,100 120 6,612,000 14,700 120
- 76,700 122 9,357,400 16,700 122
- - 9,000 - 240 9,000
- 41,800 119 4,974,200 12,200 119
- 1,898 1,420 2,695,160 1,100 1,420
- 86,500 80 6,920,000 14,000 80
- - 492 - 3,000 492
- 500 2,993 1,496,500 600 2,993
- 52,500 281 14,752,500 3,000 281
- 8,900 872 7,760,800 100 872
- 16,000 90 1,440,000 5,700 90
- 300 2,862 858,600 250 2,862
- 620 1,518 941,160 100 1,518
- 9,100 781 7,107,100 500 781
- 29,800 177 5,274,600 1,500 177
- 800 818 654,400 900 818
- 2,600 82 213,200 1,000 82
- 2,000 275 550,000 16,000 275
- 24,600 223 5,485,800 3,000 223
- 3,672 2,648 9,723,456 192 2,648
- - 1,562 - 4,800 1,562
- 1,180 11,314 13,350,520 200 11,314
- 2,500 69 172,500 5,000 69
- 1,450 2,694 3,906,300 50 2,694
- 8,700 286 2,488,200 300 286
- 4,900 329 1,612,100 2,000 329
- 1,872 2,013 3,768,336 96 2,013
- 300 4,000 1,200,000 50 4,000
- 248,200 24 5,956,800 46,000 24
- 13,500 657 8,869,500 1,000 657
- - 125 - 1,700 125
- 6,800 2,052 13,953,600 1,000 2,052
- - 330 - 580 330
- 3,462 2,122 7,346,364 310 2,122
- - 177,216 - 4 177,216
- 11,500 127 1,460,500 9,000 127
- 215,000 167 35,905,000 8,500 167
- 46,000 139 6,394,000 33,000 139
- 3,200 129 412,800 500 129
- 1,180 4,554 5,373,720 300 4,554
- 1,430 2,700 3,861,000 70 2,700
- 1,464 3,926 5,747,664 264 3,926
- 843 17,040 14,364,720 768 17,040
- 585,000 202 118,404,000 55,000 202
- 2 267,397 534,794 7 267,397
- 165 413,984 68,307,360 13 413,984
- 3 1,492,579 4,477,737 3 1,492,579
- 240 15,720 3,772,800 1,056 15,720
- 1,175 2,600 3,055,000 175 2,600
- 472 7,646 3,608,912 132 7,646
- 4,650 1,119 5,203,350 950 1,119
- 452,800 60 27,168,000 83,100 60
- 308,200 136 41,915,200 17,000 136
- 43,400 192 8,332,800 8,000 192
- 10,050 7,150 71,857,500 6,000 7,150
- 1,250 1,600 2,000,000 480 1,600
- 239,800 114 27,337,200 17,000 114
- 3,250 327 1,062,750 50 327
- 39,550 583 23,057,650 100 583
- 1,756 7,150 12,555,400 4,700 7,150
- 49,050 110 5,395,500 5,670 110
- - 252 - 5,900 252
- 195 14,459 2,819,505 25 14,459
- 27,810 367 10,206,270 6,480 367
- 12,000 90 1,080,000 30,200 90
- 5,400 97 523,800 1,000 97
6,270,000 33 165,000 5,445,000 178 165,000
- - 12,976 - 25 12,976
- 150 4,236 635,400 270 4,236
- 87 4,255 370,185 96 4,255
- - 3,285 - 150 3,285
- 2,700 604 1,630,800 3,300 604
- 2,200 1,426 3,137,200 300 1,426
- - 127 - 800 127
- 802 2,750 2,205,500 30 2,750
- 220 26,400 5,808,000 107 26,400
- 46,300 167 7,751,546 2,000 167
- 8,000 132 1,056,000 1,500 132
- 660 8,500 5,610,000 252 8,500
- 1 423,500 423,500 4 423,500
- 165 30,000 4,950,000 20 30,000
- 47 23,900 1,123,300 10 23,900
- - 7,255 - 400 7,255
- - 1,065 - 800 1,065
- 960 20,010 19,209,600 165 20,010
- - 49,610 - 200 49,610
- 105 108,000 11,340,000 45 108,000
- 1,400 7,700 10,780,000 100 7,700
- 1,700 7,970 13,548,150 750 7,970
- 795 18,700 14,866,500 1 18,700
- 100 7,700 770,000 650 7,700
- 138 23,690 3,269,220 35 23,690
- 171 137,025 23,431,275 7 137,025
- 1,986 10,322 20,498,499 200 10,322
- 1,500 4,066 6,099,000 150 4,066
- 20 8,695 173,903 50 8,695
- 150 31,359 4,703,903 90 31,359
- 283,200 78 22,117,920 20,400 78
- 38 31,900 1,212,200 1 31,900
- 2 376,750 753,500 1 376,750
- 21 13,200 277,200 3 13,200
- 3,900 461 1,797,510 8,000 461
- 20 25,300 506,000 30 25,300
- 20 25,300 506,000 30 25,300
- 39 13,200 514,800 8 13,200
- - 1,495 - 200 1,495
- 230 85,971 19,773,215 20 85,971
- 70 35,532 2,487,240 50 35,532
- 86,200 177 15,266,020 1,200 177
- - 2,950 - 400 2,950
11,780,000 1,420 5,890 8,363,800 780 5,890
- 125 20,400 2,550,000 150 20,400
- 70 276,600 19,362,000 18 276,600
- 300 11,975 3,592,500 400 11,975
- 16 55,476 887,619 156 55,476
- 485 7,590 3,681,150 110 7,590
- 1,000 11,126 11,126,000 1,500 11,126
- 1,000 3,230 3,229,940 200 3,230
- - 27,495 - 500 27,495
- 8 59,139 473,110 2 59,139
- 12,400 1,540 19,096,000 100 1,540
- 500 4,790 2,395,000 250 4,790
- 2,080 4,934 10,261,680 120 4,934
- 18,000 55 990,000 2,000 55
18,050,000 1,599,940,584
18,050,000 1,599,940,584
- -
PEMAKAIAN exp

983,730 2,710 - - 363 -


722,700 7,300 - - 99 -
88,000 1,000 - - 88 -
1,110,000 15,000 - - 74 -
1,909,500 20,100 - - 95 -
16,359,820 41,000 - - 399 -
176,000 1,000 - - 176 -
3,881,300 1,850 - - 2,098 -
1,221,500 350 - - 3,490 -
525,300 150 - - 3,502 -
79,600 400 - - 199 -
1,764,000 14,700 - - 120 -
2,037,400 16,700 - - 122 -
2,160,000 240 - 40 9,000 360,000
1,451,800 12,200 - - 119 -
1,562,000 1,100 - - 1,420 -
1,120,000 14,000 - - 80 -
1,476,000 3,000 - - 492 -
1,795,800 600 - - 2,993 -
843,000 3,000 - - 281 -
87,200 100 - - 872 -
513,000 5,700 - - 90 -
715,500 250 - - 2,862 -
151,800 100 - - 1,518 -
390,500 500 - - 781 -
265,500 1,500 - - 177 -
736,200 900 - - 818 -
82,000 1,000 - - 82 -
4,400,000 16,000 - - 275 -
669,000 3,000 - - 223 -
508,416 192 - - 2,648 -
7,497,600 4,800 - - 1,562 -
2,262,800 200 - - 11,314 -
345,000 5,000 - - 69 -
134,700 50 - - 2,694 -
85,800 300 - - 286 -
658,000 2,000 - - 329 -
193,248 96 - - 2,013 -
200,000 50 - - 4,000 -
1,104,000 46,000 - - 24 -
657,000 1,000 - - 657 -
212,500 1,700 - - 125 -
2,052,000 1,000 - - 2,052 -
191,400 580 - - 330 -
657,820 310 - - 2,122 -
708,864 4 - - 177,216 -
1,143,000 9,000 - - 127 -
1,419,500 8,500 - - 167 -
4,587,000 33,000 - - 139 -
64,500 500 - - 129 -
1,366,200 300 - - 4,554 -
189,000 70 - - 2,700 -
1,036,464 264 - - 3,926 -
13,086,720 768 - - 17,040 -
11,132,000 55,000 - - 202 -
1,871,779 7 - - 267,397 -
5,381,792 13 - - 413,984 -
4,477,737 3 - - 1,492,579 -
16,600,320 1,056 - - 15,720 -
455,000 175 - - 2,600 -
1,009,272 132 - - 7,646 -
1,063,050 950 - - 1,119 -
4,986,000 83,100 - - 60 -
2,312,000 17,000 - - 136 -
1,536,000 8,000 - - 192 -
42,900,000 6,000 - - 7,150 -
768,000 480 - - 1,600 -
1,938,000 17,000 - - 114 -
16,350 50 - - 327 -
58,300 100 - - 583 -
33,605,000 4,700 - - 7,150 -
623,700 5,670 - - 110 -
1,486,800 5,900 - - 252 -
361,475 25 - - 14,459 -
2,378,160 6,480 - - 367 -
2,718,000 30,200 - - 90 -
97,000 1,000 - - 97 -
29,370,000 178 - - 165,000 -
324,400 25 - - 12,976 -
1,143,720 270 - - 4,236 -
408,480 96 - - 4,255 -
492,750 150 - - 3,285 -
1,993,200 3,300 - - 604 -
427,800 300 - - 1,426 -
101,200 800 - - 127 -
82,500 30 - - 2,750 -
2,824,800 107 - - 26,400 -
334,840 2,000 - - 167 -
198,000 1,500 - - 132 -
2,142,000 252 - - 8,500 -
1,694,000 4 - - 423,500 -
600,000 20 - - 30,000 -
239,000 10 - - 23,900 -
2,901,800 400 - - 7,255 -
851,840 800 - - 1,065 -
3,301,650 165 - - 20,010 -
9,922,000 200 - - 49,610 -
4,860,000 45 - - 108,000 -
770,000 100 - - 7,700 -
5,977,125 750 - - 7,970 -
18,700 1 - - 18,700 -
5,005,000 650 - - 7,700 -
829,150 35 - - 23,690 -
959,175 7 - - 137,025 -
2,064,300 200 - - 10,322 -
609,900 150 - - 4,066 -
434,758 50 - - 8,695 -
2,822,342 90 - - 31,359 -
1,593,240 20,400 - - 78 -
31,900 1 - - 31,900 -
376,750 1 - - 376,750 -
39,600 3 - - 13,200 -
3,687,200 8,000 - - 461 -
759,000 30 - - 25,300 -
759,000 30 - - 25,300 -
105,600 8 - - 13,200 -
299,000 200 - - 1,495 -
1,719,410 20 - - 85,971 -
1,776,600 50 - - 35,532 -
212,520 1,200 - - 177 -
1,180,000 400 - - 2,950 -
4,594,200 780 - - 5,890 -
3,060,000 150 - - 20,400 -
4,978,800 18 - - 276,600 -
4,790,000 400 - - 11,975 -
8,654,286 156 - - 55,476 -
834,900 110 - - 7,590 -
16,689,000 1,500 - - 11,126 -
645,988 200 - - 3,230 -
13,747,500 500 - - 27,495 -
118,278 2 - - 59,139 -
154,000 100 - - 1,540 -
1,197,500 250 - - 4,790 -
592,020 120 - - 4,934 -
110,000 2,000 - - 55 -
383,826,138 - 1,760,686
383,826,138 1,760,686
- -
PANINCONG (035) BARINGENG (030) CITTA

- - - - -
- - - - -
- - - - -
7,200 532,800 - - -
- - - - -
- - - - -
- - - - -
100 209,800 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,000 595,000 - - -
- - 100 142,000 -
5,000 400,000 1,000 80,000 -
- - - - -
50 149,650 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
500 409,000 - - -
- - - - -
1,000 275,000 1,000 275,000 -
- - - - -
- - - - -
- - - - -
- - - - -
- - 1,500 103,500 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
5,000 120,000 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 30 63,660 -
4 708,864 - - -
- - - - -
- - - - -
12,000 1,668,000 - - -
- - 500 64,500 -
- - - - -
- - - - -
- - 48 188,448 -
- - - - -
10,000 2,024,000 - - -
- - - - -
- - - - -
- - - - -
- - - - -
50 130,000 - - -
56 428,176 - - -
- - - - -
5,000 300,000 - - -
- - 500 68,000 -
- - - - -
- - - - -
- - - - -
5,000 570,000 - - -
- - - - -
- - - - -
60 429,000 40 286,000 -
- - 510 56,100 -
- - - - -
- - - - -
6,480 2,378,160 - - -
13,600 1,224,000 1,000 90,000 -
- - - - -
- - 4 660,000 4
- - - - -
90 381,240 - - -
- - - - -
- - - - -
300 181,200 300 181,200 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10 300,000 - - -
- - - - -
- - - - -
- - 100 106,480 -
- - 40 800,400 -
- - - - -
- - - - -
- - - - -
- - 50 398,475 -
- - - - -
- - - - -
- - - - -
- - - - -
100 1,032,150 - - -
- - - - -
- - 10 86,952 -
- - - - -
- - - - -
- - - - -
- - 1 376,750 -
- - - - -
200 92,180 - - -
- - - - -
- - - - -
- - - - -
100 149,500 - - -
- - - - -
- - - - -
- - - - -
- - - - -
200 1,178,000 - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
325 3,615,950 - - -
200 645,988 - - -
100 2,749,500 - - -
- - 2 118,278 -
- - - - -
- - - - -
- - 10 49,335 -
- - - - -
22,877,158 4,195,077 660,000
CITTA BATU BATU (034) PACONGKANG (032) GOARIE (026)

- - - - - -
- - - - - 2,000
- 1,000 88,000 - - -
- - - - - 900
- - - - - 6,000
- 10,000 3,990,200 10,000 3,990,200 3,000
- - - - - 1,000
- - - 200 419,600 250
- - - 100 349,000 50
- 10 35,020 - - 100
- 200 39,800 - - -
- - - - - -
- - - - - 3,000
- - - - - -
- - - 3,000 357,000 1,000
- - - - - 50
- - - 3,000 240,000 3,000
- - - 1,000 492,000 -
- 50 149,650 - - -
- 500 140,500 - - 1,000
- - - - - -
- 1,000 90,000 - - 1,000
- - - - - 50
- 100 151,800 - - -
- - - - - -
- 1,000 177,000 - - -
- - - - - -
- - - - - -
- 1,000 275,000 1,000 275,000 1,000
- 3,000 669,000 - - -
- 48 127,104 - - -
- 3,000 4,686,000 - - 1,300
- 60 678,840 - - -
- - - 1,000 69,000 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 200,000 - - -
- 10,000 240,000 5,000 120,000 5,000
- - - - - -
- 1,700 212,500 - - -
- 100 205,200 - - 200
- - - - - -
- - - - - 100
- - - - - -
- - - - - -
- 3,000 501,000 - - -
- - - - - 2,000
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 48 817,920 - - 96
- 10,000 2,024,000 - - -
- - - - - -
- - - - - -
- - - - - 1
- - - - - 96
- - - - - -
- - - - - -
- 200 223,800 - - 100
- 16,500 990,000 16,500 990,000 10,000
- 7,000 952,000 - - -
- - - - - 3,000
- - - - - 1,200
- - - 200 320,000 100
- - - - - 2,000
- - - - - -
- - - - - -
- 1,400 10,010,000 800 5,720,000 300
- - - - - -
- - - - - -
- 20 289,180 - - -
- - - - - -
- - - - - -
- 1,000 97,000 - - -
660,000 16 2,640,000 6 990,000 -
- - - - - -
- - - 60 254,160 -
- - - - - 48
- - - - - -
- 300 181,200 300 181,200 -
- - - - - -
- - - - - -
- - - - - -
- 36 950,400 12 316,800 -
- - - - - 500
- - - - - -
- - - 72 612,000 120
- - - 1 423,500 -
- - - - - -
- - - - - -
- 200 1,450,900 - - -
- 200 212,960 100 106,480 -
- 40 800,400 45 900,450 -
- - - - - -
- - - - - -
- - - - - -
- 200 1,593,900 - - 250
- - - - - -
- - - - - 250
- 5 118,450 - - -
- 5 685,125 - - -
- 50 516,075 - - -
- - - - - 100
- - - - - -
- - - - - 20
- 2,400 187,440 - - -
- - - - - -
- - - - - -
- - - - - -
- 2,000 921,800 500 230,450 -
- 20 506,000 - - -
- 20 506,000 - - -
- - - - - -
- 50 74,750 - - -
- - - - - -
- 20 710,640 - - -
- 800 141,680 200 35,420 -
- - - - - -
- - - - - -
- - - - - 25
- - - 10 2,766,000 -
- - - 100 1,197,500 -
- 120 6,657,143 - - -
- 30 227,700 20 151,800 -
- - - - - 325
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 50 246,675 - - 50
- - - - - -
660,000 47,389,752 21,507,560 35,563,336
GOARIE (026) TAKALALA (027) MALAKA (023) GANRA (024)

- - - - - -
198,000 - - - - -
- - - - - -
66,600 - - - - 2,400
570,000 - - - - 2,100
1,197,060 - - - - 5,000
176,000 - - - - -
524,500 300 629,400 - - 400
174,500 - - - - -
350,200 - - - - 10
- - - - - -
- - - - - -
366,000 9,000 1,098,000 - - -
- - - - - -
119,000 2,000 238,000 - - 1,000
71,000 200 284,000 - - 100
240,000 - - - - -
- - - 1,000 492,000 -
- 200 598,600 50 149,650 -
281,000 - - - - -
- - - - - -
90,000 2,000 180,000 - - 500
143,100 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
275,000 1,000 275,000 1,000 275,000 1,000
- - - - - -
- - - - - -
2,030,600 - - - - -
- - - - - -
- 2,000 138,000 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
120,000 - - - - 5,000
- 1,000 657,000 - - -
- - - - - -
410,400 200 410,400 - - -
- - - - - -
212,200 - - - - -
- - - - - -
- - - - - -
- - - - - -
278,000 5,000 695,000 - - -
- - - - - -
- 200 910,800 - - -
- - - 20 54,000 -
- - - - - -
1,635,840 - - - - -
- - - 5,000 1,012,000 -
- - - - - -
- - - 3 1,241,952 -
1,492,579 - - 1 1,492,579 -
1,509,120 - - 192 3,018,240 96
- - - - - 100
- - - - - -
111,900 - - - - -
600,000 - - - - 16,500
- - - - - -
576,000 - - - - -
8,580,000 - - - - -
160,000 - - - - -
228,000 - - - - -
- - - - - -
- - - - - -
2,145,000 500 3,575,000 - - -
- - - - - -
- - - - - 3,000
- - - - - -
- - - - - -
- - - - - 5,000
- - - - - -
- 20 3,300,000 30 4,950,000 4
- - - - - -
- - - - - 30
204,240 - - - - -
- - - - - -
- - - 300 181,200 300
- - - - - -
- - - - - -
- - - - - -
- - - - - -
83,710 - - - - -
- - - - - -
1,020,000 - - 60 510,000 -
- - - - - 1
- - - - - -
- - - - - -
- - - 100 725,450 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
1,992,375 200 1,593,900 - - -
- - - - - -
1,925,000 200 1,540,000 - - -
- 20 473,800 - - -
- - - 2 274,050 -
- 50 516,075 - - -
406,600 50 203,300 - - -
- 10 86,952 - - -
627,187 10 313,594 - - 10
- 7,200 562,320 - - -
- - - - - -
- - - - - -
- - - - - -
- - - 4,000 1,843,600 -
- - - - - -
- - - - - -
- - - 3 39,600 -
- 50 74,750 - - -
- 10 859,705 - - -
- 10 355,320 - - -
- - - 200 35,420 -
- - - 100 295,000 -
- - - - - -
510,000 25 510,000 - - 25
- - - - - -
- - - - - -
- - - 24 1,331,429 -
- - - - - -
3,615,950 250 2,781,500 - - 75
- - - - - -
- 200 5,499,000 - - -
- - - - - -
- - - - - -
- - - - - -
246,675 - - - - -
- - - - - -
35,563,336 28,359,415 17,921,170 10,962,364
GANRA (024) LEWORENG (036) CANGADI (028) CABBENGE (031)

- - - - - -
- 300 29,700 1,000 99,000 -
- - - - - -
177,600 - - 1,500 111,000 -
199,500 - - - - -
1,995,100 - - 2,000 798,040 5,000
- - - - - -
839,200 50 104,900 300 629,400 100
- - - 200 698,000 -
35,020 - - 30 105,060 -
- - - - - -
- 700 84,000 14,000 1,680,000 -
- 200 24,400 - - 4,500
- - - - - -
119,000 - - - - -
142,000 - - 200 284,000 50
- - - 1,000 80,000 -
- - - 1,000 492,000 -
- - - - - -
- - - 1,500 421,500 -
- - - 100 87,200 -
45,000 200 18,000 1,000 90,000 -
- 50 143,100 - - 100
- - - - - -
- - - - - -
- - - - - -
- 200 163,600 - - -
- - - - - -
275,000 1,000 275,000 1,000 275,000 1,000
- - - - - -
- - - - - -
- - - - - -
- - - - - 40
- - - - - -
- - - 50 134,700 -
- - - - - 300
- - - - - -
- - - - - -
- - - - - -
120,000 1,000 24,000 - - -
- - - - - -
- - - - - -
- 100 205,200 - - -
- - - 580 191,400 -
- - - 120 254,640 -
- - - - - -
- - - 4,000 508,000 -
- - - 2,500 417,500 -
- 4,000 556,000 8,000 1,112,000 2,000
- - - - - -
- - - - - -
- - - - - -
- 120 471,120 96 376,896 -
- 96 1,635,840 - - -
- - - 10,000 2,024,000 -
- - - - - -
- - - - - -
- - - - - -
1,509,120 - - 48 754,560 48
260,000 25 65,000 - - -
- - - 20 152,920 56
- - - 200 223,800 100
990,000 3,600 216,000 - - 5,000
- - - - - -
- - - - - -
- 1,200 8,580,000 1,200 8,580,000 -
- 30 48,000 - - -
- - - - - 3,000
- - - - - -
- - - - - -
- - - 300 2,145,000 400
- - - 1,680 184,800 -
756,000 - - 2,900 730,800 -
- - - 5 72,295 -
- - - - - -
450,000 1,600 144,000 - - 2,000
- - - - - -
660,000 - - 5 825,000 16
- - - - - -
127,080 - - - - -
- - - - - -
- - - 50 164,250 -
181,200 - - - - 300
- - - - - -
- - - - - -
- - - 30 82,500 -
- - - 24 633,600 -
- - - 1,000 167,420 -
- - - 500 66,000 -
- - - - - -
423,500 1 423,500 - - 1
- 10 300,000 - - -
- - - - - -
- - - - - -
- - - 200 212,960 -
- - - - - -
- - - - - -
- - - 10 1,080,000 -
- 100 770,000 - - -
- - - 50 398,475 -
- - - - - -
- - - - - -
- 10 236,900 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
313,594 - - 10 313,594 -
- 1,200 93,720 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 200 1,178,000 -
510,000 25 510,000 - - 25
- 2 553,200 2 553,200 1
- - - - - 100
- 12 665,714 - - -
- - - - - -
834,450 - - 500 5,563,000 -
- - - - - -
- - - 200 5,499,000 -
- - - - - -
- - - 100 154,000 -
- - - - - -
- - - - - -
- - - 1,000 55,000 -
10,962,364 16,340,894 40,659,510 14,407,896
CABBENGE (031) TANJONGE (025) CAKKURIDI (029) SEWO (022)

- - - - - 2,710
- - - - - 3,000
- - - - - -
- - - - - -
- - - - - 6,000
1,995,100 - - - - -
- - - - - -
209,800 - - 50 104,900 -
- - - - - -
- - - - - -
- - - - - 200
- - - - - -
549,000 - - - - -
- - - - - -
- - - 200 23,800 -
71,000 - - - - 300
- - - - - -
- - - - - -
- 100 299,300 - - 50
- - - - - -
- - - - - -
- - - - - -
286,200 50 143,100 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 200
- - - - - -
275,000 1,000 275,000 1,000 275,000 1,000
- - - - - -
- - - 24 63,552 -
- - - 500 781,000 -
452,560 100 1,131,400 - - -
- - - - - -
- - - - - -
85,800 - - - - -
- 2,000 658,000 - - -
- - - - - -
- - - - - -
- - - 5,000 120,000 -
- - - - - -
- - - - - -
- 200 410,400 100 205,200 -
- - - - - -
- - - 60 127,320 -
- - - - - -
- - - - - 5,000
- 3,000 501,000 - - -
278,000 - - - - -
- - - - - -
- - - - - -
- - - 50 135,000 -
- - - - - -
- 240 4,089,600 - - 240
- 20,000 4,048,000 - - -
- - - - - -
- 5 2,069,920 - - 5
- - - - - -
754,560 - - 48 754,560 -
- - - - - -
428,176 - - - - -
111,900 - - 50 55,950 200
300,000 - - - - -
- - - - - -
- - - - - 5,000
- - - - - 1,200
- - - - - -
342,000 - - 2,000 228,000 5,000
- - - - - -
- - - - - -
2,860,000 - - - - -
- - - 1,500 165,000 -
- - - - - -
- - - - - -
- - - - - -
180,000 5,000 450,000 - - -
- - - - - -
2,640,000 22 3,630,000 15 2,475,000 -
- - - - - -
- 90 381,240 - - -
- - - - - 48
- - - - - -
181,200 - - 300 181,200 300
- - - - - 200
- - - - - -
- - - - - -
- - - - - 25
- - - - - -
- - - - - -
- - - - - -
423,500 - - - - -
- - - - - -
- - - - - 10
- - - 100 725,450 -
- - - 100 106,480 -
- - - - - -
- - - - - 200
- - - 5 540,000 20
- - - - - -
- - - - - -
- - - - - -
- - - - - 100
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 30
- - - 10 313,594 30
- - - - - 9,600
- - - - - 1
- - - - - -
- - - - - -
- - - - - 800
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 100
- - - - - -
510,000 25 510,000 - - -
276,600 - - - - -
1,197,500 100 1,197,500 - - -
- - - - - -
- - - - - 10
- - - - - 25
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - 200
- - - - - -
- - - - - -
14,407,896 19,794,460 7,381,006 38,413,805
SEWO (022) SALOTUNGO (021) TAJUNCU (033) KESGA (037)

983,730 - - - - -
297,000 - - 1,000 99,000 -
- - - - - -
- - - 3,000 222,000 -
570,000 - - 6,000 570,000 -
- 5,000 1,995,100 1,000 399,020 -
- - - - - -
- - - 100 209,800 -
- - - - - -
- - - - - -
39,800 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
426,000 - - 100 142,000 -
- - - 1,000 80,000 -
- - - - - -
149,650 50 149,650 50 149,650 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 500 390,500 - - -
- - - 500 88,500 -
163,600 - - - - -
- - - 1,000 82,000 -
275,000 1,000 275,000 1,000 275,000 -
- - - - - -
- 120 317,760 - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- 48 96,624 48 96,624 -
- - - - - -
- - - 10,000 240,000 -
- - - - - -
- - - - - -
- - - 100 205,200 -
- - - - - -
- - - - - -
- - - - - -
635,000 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - 100 455,400 -
- - - - - -
- - - - - -
4,089,600 - - 48 817,920 -
- - - - - -
- - - - - -
2,069,920 - - - - -
- - - 1 1,492,579 -
- 288 4,527,360 240 3,772,800 -
- - - - - -
- - - - - -
223,800 - - 100 111,900 -
- - - 5,000 300,000 -
- 500 68,000 2,000 272,000 -
960,000 - - - - -
8,580,000 - - 1,200 8,580,000 -
- 50 80,000 100 160,000 -
570,000 - - - - -
- - - - - 50
- - - - - 100
- 500 3,575,000 400 2,860,000 -
- 300 33,000 1,680 184,800 -
- - - - - -
- - - - - -
- - - - - -
- - - 2,000 180,000 -
- - - - - -
- 28 4,620,000 8 1,320,000 -
- - - 25 324,400 -
- - - - - -
204,240 - - - - -
- 50 164,250 50 164,250 -
181,200 300 181,200 300 181,200 -
285,200 - - 100 142,600 -
- - - 800 101,200 -
- - - - - -
660,000 10 264,000 - - -
- - - 500 83,710 -
- 1,000 132,000 - - -
- - - - - -
- - - - - -
- - - - - -
239,000 - - - - -
- - - - - -
- - - 100 106,480 -
- 40 800,400 - - -
9,922,000 - - - - -
2,160,000 10 1,080,000 - - -
- - - - - -
- - - - - -
- - - - - 1
770,000 - - 100 770,000 -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
260,855 - - - - -
940,781 - - - - -
749,760 - - - - -
31,900 - - - - -
- - - - - -
- 3 39,600 - - -
368,720 - - 500 230,450 -
- - - 10 253,000 -
- - - 10 253,000 -
- - - 5 66,000 -
- - - - - -
- 10 859,705 - - -
- 20 710,640 - - -
- - - - - -
295,000 200 590,000 - - -
- - - - - -
- - - - - -
- 3 829,800 - - -
- - - 100 1,197,500 -
- - - - - -
75,900 50 379,500 - - -
278,150 - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
958,000 - - 50 239,500 -
- - - 10 49,335 -
- 1,000 55,000 - - -
38,413,805 22,214,089 27,528,818 93,350
RSU LATEMAMALA SOPPENG
KESGA (037) RSUD PAMMANA WAJO
(039)

- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 240 2,160,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 500 34,500 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 7 1,871,779 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 5,000 300,000 - -
- 7,000 952,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
16,350 - - - -
58,300 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
18,700 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 380 2,238,200 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
93,350 7,556,479 -
Column1 Column2
986,440 - 2,710 363 983,730 -
730,000 - 67,000 99 6,633,000 -
89,000 - 2,200 88 193,600 -
1,125,000 - 142,500 74 10,545,000 -
1,929,600 - 177,990 95 16,909,050 -
16,400,820 - 50,000 399 19,951,000 -
177,000 - 353,400 176 62,198,400 -
3,883,150 - 22,750 2,098 47,729,500 -
1,221,850 - 600 3,490 2,094,000 -
525,450 - 720 3,502 2,521,440 -
80,000 - 7,100 199 1,412,900 -
1,778,700 - 69,800 120 8,376,000 -
2,054,100 - 93,400 122 11,394,800 -
2,160,240 240 280 9,000 2,520,000 -
1,464,000 - 54,000 119 6,426,000 -
1,563,100 - 2,998 1,420 4,257,160 -
1,134,000 - 100,500 80 8,040,000 -
1,479,000 - 3,000 492 1,476,000 -
1,796,400 - 1,100 2,993 3,292,300 -
846,000 - 55,500 281 15,595,500 -
87,300 - 9,000 872 7,848,000 -
518,700 - 21,700 90 1,953,000 -
715,750 - 550 2,862 1,574,100 -
151,900 - 720 1,518 1,092,960 -
391,000 - 9,600 781 7,497,600 -
267,000 - 31,300 177 5,540,100 -
737,100 - 1,700 818 1,390,600 -
83,000 - 3,600 82 295,200 -
4,416,000 - 18,000 275 4,950,000 -
672,000 - 27,600 223 6,154,800 -
508,608 - 3,864 2,648 10,231,872 -
7,502,400 - 4,800 1,562 7,497,600 -
2,263,000 - 1,380 11,314 15,613,320 -
350,000 500 7,500 69 517,500 -
134,750 - 1,500 2,694 4,041,000 -
86,100 - 9,000 286 2,574,000 -
660,000 - 6,900 329 2,270,100 -
193,344 - 1,968 2,013 3,961,584 -
200,050 - 350 4,000 1,400,000 -
1,150,000 - 294,200 24 7,060,800 -
658,000 - 14,500 657 9,526,500 -
214,200 - 1,700 125 212,500 -
2,053,000 - 7,800 2,052 16,005,600 -
191,980 - 580 330 191,400 -
658,130 - 3,772 2,122 8,004,184 -
708,868 - 4 177,216 708,864 -
1,152,000 - 20,500 127 2,603,500 -
1,428,000 - 223,500 167 37,324,500 -
4,620,000 - 79,000 139 10,981,000 -
65,000 - 3,700 129 477,300 -
1,366,500 - 1,480 4,554 6,739,920 -
189,070 - 1,500 2,700 4,050,000 -
1,036,728 - 1,728 3,926 6,784,128 -
13,087,488 - 1,648 17,040 28,081,920 630,480
11,187,000 - 640,000 202 129,536,000 -
1,871,786 7 9 267,397 2,406,573 -
5,381,805 - 178 413,984 73,689,152 -
4,477,740 - 6 1,492,579 8,955,474 -
16,601,376 - 1,296 15,720 20,373,120 -
455,175 - 1,350 2,600 3,510,000 -
1,009,404 - 604 7,646 4,618,184 -
1,064,000 - 5,600 1,119 6,266,400 -
5,069,100 5,000 535,900 60 32,154,000 -
2,329,000 7,000 325,200 136 44,227,200 -
1,544,000 - 51,400 192 9,868,800 -
42,906,000 - 16,050 7,150 114,757,500 -
768,480 - 1,730 1,600 2,768,000 -
1,955,000 - 256,800 114 29,275,200 -
16,400 50 3,300 327 1,079,100 -
58,400 100 39,650 583 23,115,950 -
33,609,700 - 6,456 7,150 46,160,400 -
629,370 - 54,720 110 6,019,200 -
1,492,700 - 5,900 252 1,486,800 -
361,500 - 220 14,459 3,180,980 -
2,384,640 - 34,290 367 12,584,430 -
2,748,200 - 42,200 90 3,798,000 -
98,000 - 6,400 97 620,800 -
29,370,178 - 173 165,000 28,545,000 -
324,425 - 25 12,976 324,400 -
1,143,990 - 420 4,236 1,779,120 -
408,576 - 183 4,255 778,665 -
492,900 - 150 3,285 492,750 -
1,996,500 - 6,000 604 3,624,000 -
428,100 - 2,500 1,426 3,565,000 -
102,000 - 800 127 101,200 -
82,530 - 832 2,750 2,288,000 -
2,824,907 - 327 26,400 8,632,800 -
336,840 - 48,300 167 8,086,386 -
199,500 - 9,500 132 1,254,000 -
2,142,252 - 912 8,500 7,752,000 -
1,694,004 - 5 423,500 2,117,500 -
600,020 - 185 30,000 5,550,000 -
239,010 - 57 23,900 1,362,300 -
2,902,200 - 400 7,255 2,901,800 -
852,640 - 800 1,065 851,840 -
3,301,815 - 1,125 20,010 22,511,250 -
9,922,200 - 200 49,610 9,922,000 -
4,860,045 - 150 108,000 16,200,000 -
770,100 - 1,500 7,700 11,550,000 -
5,977,875 - 2,450 7,970 19,525,275 -
18,701 1 796 18,700 14,885,200 -
5,005,650 - 750 7,700 5,775,000 -
829,185 - 173 23,690 4,098,370 -
959,182 - 178 137,025 24,390,450 -
2,064,500 - 2,186 10,322 22,562,799 -
610,050 - 1,650 4,066 6,708,900 -
434,808 - 70 8,695 608,661 -
2,822,432 - 240 31,359 7,526,244 -
1,613,640 - 303,600 78 23,711,160 -
31,901 - 39 31,900 1,244,100 -
376,751 - 3 376,750 1,130,250 -
39,603 - 24 13,200 316,800 -
3,695,200 - 11,900 461 5,484,710 -
759,030 - 50 25,300 1,265,000 -
759,030 - 50 25,300 1,265,000 -
105,608 - 47 13,200 620,400 -
299,200 - 200 1,495 299,000 -
1,719,430 - 250 85,971 21,492,625 -
1,776,650 - 120 35,532 4,263,840 -
213,720 - 87,400 177 15,478,540 -
1,180,400 - 400 2,950 1,180,000 -
4,594,980 380 200 5,890 1,178,000 -
3,060,150 - 275 20,400 5,610,000 -
4,978,818 - 88 276,600 24,340,800 -
4,790,400 - 700 11,975 8,382,500 -
8,654,442 - 172 55,476 9,541,906 -
835,010 - 595 7,590 4,516,050 -
16,690,500 - 2,500 11,126 27,815,000 -
646,188 - 1,200 3,230 3,875,928 -
13,748,000 - 500 27,495 13,747,500 -
118,280 - 10 59,139 591,388 -
154,100 - 12,500 1,540 19,250,000 -
1,197,750 - 750 4,790 3,592,500 -
592,140 - 2,200 4,934 10,853,700 -
112,000 - 20,000 55 1,100,000 -
383,826,138 7,649,829
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 023/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : MALAKA


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

102 Cefadroxyl 500 mg 1,000 492.00 492,000


112 Cetirizin Syrup 50 2,993.00 149,650
Garam oralit untuk 200 ml air 1,000 275.00 275,000
336 Metoklorpropamid sirup 20 2,700.00 54,000
368 Novabion 5,000 202.40 1,012,000
374 OAT FDC Kategori I 3 413,984.00 1,241,952
377 OAT FDC Kategori II 1 1,492,579.00 1,492,579
384 Obat batuk hitam ( O. B. H ) cairan 192 15,720.00 3,018,240
497 Vaksin rabies vero 30 165,000.00 4,950,000
Zink Tablet 300 604.00 181,200
563 Catgut/benang bedah no 2/0 - 3/0 60 8,500.00 510,000
595 Handschun Steril no.7 100 7,254.5 725,450
635 Kasa kompres 40 x 80 cm 2 137,025.00 274,050
688 Masker 4,000 460.90 1,843,600
699 Obyek glass 3 13,200.00 39,600
717 Plesterin 200 177.10 35,420
721 Pot Dahak 100 2,950.00 295,000
769 Silk ( benang bedah sutera ) no.3/0 24 55,476.20 1,331,429
17,921,170

WAT
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
R
AB. SOPPENG
19

SUMBER DANA KETERANGAN

-
DAK
DAK
PROGRAM
DAK
DAK
PROGRAM
PROGRAM
DAU BON 96
PROGRAM BON DESEMBER 24 & BON FEBRUARI 6
PROGRAM
DAU
DAU
GRATIS
DAK
GRATIS
DAK
PROGRAM
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 028/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : CANGADI


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

9 Alopurinol tablet 100 mg 1,000 99.00 99,000


24 Amlodiphin tablet 5 mg 1,500 74.00 111,000
32 Amoksisilin kapsul 500 mg 2,000 399.02 798,040
48 Antasida Sirup 300 2,098.00 629,400
51 Anti bakteri DOEN 200 3,490.00 698,000
55 Antihemorhoid DOEN kombinasi 30 3,502.00 105,060
64 Asam Askorbat ( vit. C ) tablet 50 mg 14,000 120.00 1,680,000
88 Betametason krim 0,1 % 200 1,420.00 284,000
98 Captopril 25 mg 1,000 80.00 80,000
102 Cefadroxyl 500 mg 1,000 492.00 492,000
116 Ciproloxacin 500 mg isi 100 tab 1,500 281.00 421,500
120 Clobazam 100 872.00 87,200
151 Domperidon 1,000 90.00 90,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
249 Ketokonazol Krim 2% 50 2,694.00 134,700
286 Lanzoprasole kapsul 30 mg 580 330.00 191,400
294 Lidokain kompositum injeksi 120 2,122.00 254,640
301 Loratadin tablet 10 mg 4,000 127.00 508,000
315 Metformin tab. 850 mg 2,500 167.00 417,500
325 Metilprednisolon tablet 4 mg 8,000 139.00 1,112,000
346 Miconasol cream 96 3,926.00 376,896
368 Novabion 10,000 202.40 2,024,000
384 Obat batuk hitam ( O. B. H ) cairan 48 15,720.00 754,560
399 Parasetamol drops 20 7,646.00 152,920
401 Parasetamol sirup 120 mg / 5 ml 200 1,119.00 223,800
429 Provital Plus tablet 1,200 7,150.00 8,580,000
447 Ringer laktak larutan infus steril 300 7,150.00 2,145,000
468 Simvastatin tablet 10 mg 1,680 110.00 184,800
470 Simvastatin tablet 20 mg 2,900 252.00 730,800
473 Stesolid Rectal 5 14,459.00 72,295
497 Vaksin rabies vero 5 165,000.00 825,000
519 Zink Sirup 50 3,285.00 164,250
541 Aqua pro injeksi steril, bebas pirogen 30 2,750.00 82,500
546 Aseptic Gel 24 26,400.00 633,600
552 Blood Lancet 1,000 167.42 167,420
553 Blue Tip 500 132.00 66,000
600 Handschun non steril no.7 200 1,064.80 212,960
608 Handscrub 10 108,000.00 1,080,000
616 Infusion set dewasa 50 7,969.50 398,475
650 Kateter No. 18 10 31,359.35 313,594
721 Pot Dahak 200 5,890.00 1,178,000
758 Reagen TB 2 276,600.00 553,200
783 Strip Asam Urat 500 11,126.00 5,563,000
791 Strip Kolesterol 200 27,495.00 5,499,000
798 Tabung K3 EDTA 100 1,540.00 154,000
827 Yellow Tip 1,000 55.00 55,000
40,659,510

WATANSOPPENG, FEBRU
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG ME

NIP. NIP.
G

SUMBER DANA KETERANGAN

-
DAK
DAU
DAK
DAK
DAK BON 100
DAK
DAK
DAK
DAK
DAK
DAK
DAU
DAK
PROGRAM
DAK
DAK
DAK
DAU
DAK
DAK
DAK
DAK
DAU
DAK
DAK
DAK
DAK
DAK
DAK
DAU
PROGRAM
DAK
DAK
DAK
DAK
GRATIS
DAU
DAU
DAK
DAK
PROGRAM
PROGRAM
DAU
DAU
DAK
GRATIS

TANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 024/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : GANRA


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

24 Amlodiphin tablet 5 mg 2,400 74.00 177,600


28 Amlodiphin tablet 10 mg 2,100 95.00 199,500
32 Amoksisilin kapsul 500 mg 5,000 399.02 1,995,100
48 Antasida Sirup 400 2,098.00 839,200
55 Antihemorhoid DOEN kombinasi 10 3,502.00 35,020
84 Betahistin Mesilat 6 mg tab 1,000 119.00 119,000
88 Betametason krim 0,1 % 100 1,420.00 142,000
151 Domperidon 500 90.00 45,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 5,000 24.00 120,000
384 Obat batuk hitam ( O. B. H ) cairan 96 15,720.00 1,509,120
390 Oksitetrasiklin HCl salep mata 100 2,600.00 260,000
405 Parasetamol tablet 500 mg 16,500 60.00 990,000
470 Simvastatin tablet 20 mg 3,000 252.00 756,000
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 5,000 90.00 450,000
497 Vaksin rabies vero 4 165,000.00 660,000
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 30 4,236.00 127,080
Zink Tablet 300 604.00 181,200
573 Devitalisasi pasta 1 423,500.00 423,500
650 Kateter No. 18 10 31,359.35 313,594
Reagen Siphilis 25 20,400.00 510,000
783 Strip Asam Urat 75 11,126.00 834,450
10,962,364

WATANSOPPENG
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG MENER

NIP. NIP.
SUMBER DANA KETERANGAN

-
DAU
DAK
DAK
DAK
DAK
DAU
DAK
DAK
PROGRAM BON JANUARI
DAK
DAU
DAU
DAK
DAK
DAK
PROGRAM
DAU
PROGRAM BON JANUARI
DAK
DAK
PROGRAM BON JANUARI
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 027/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : TAKALALA


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

48 Antasida Sirup 300 2,098.00 629,400


66 Asam Mefenamat tablet 500 mg 9,000 122.00 1,098,000
84 Betahistin Mesilat 6 mg tab 2,000 119.00 238,000
88 Betametason krim 0,1 % 200 1,420.00 284,000
112 Cetirizin Syrup 200 2,993.00 598,600
151 Domperidon 2,000 90.00 180,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
245 Kalsium laktak ( kalak ) tablet 500 mg 2,000 69.00 138,000
276 Kodein HCl tablet 10 mg 1,000 657.00 657,000
282 Kotrimoksazol suspensi 200 2,052.00 410,400
325 Metilprednisolon tablet 4 mg 5,000 139.00 695,000
333 Metoklorpropamid injeksi 200 4,554.00 910,800
447 Ringer laktak larutan infus steril 500 7,150.00 3,575,000
497 Vaksin rabies vero 20 165,000.00 3,300,000
616 Infusion set dewasa 200 7,969.50 1,593,900
621 IV. Catheter No. 20 200 7,700.00 1,540,000
633 Kapas pembalut / absorben 250 gram 20 23,690.00 473,800
637 Kasa pembalut 2 m x 80 cm 50 10,321.50 516,075
639 Kasa pembalut hidrofil 4 m x 15 cm 50 4,066.00 203,300
643 Kateter No. 20 10 8,695.15 86,952
650 Kateter No. 18 10 31,359.35 313,594
653 Kertas Puyer Press 7,200 78.10 562,320
706 Penjepit Tali Pusat (Umbilical Clamps) 50 1,495.00 74,750
710 Pharmafix (15 x 500 cm) 10 85,970.5 859,705
715 Plester 5 yard x 2 inch 10 35,532.00 355,320
Reagen Siphilis 25 20,400.00 510,000
783 Strip Asam Urat 250 11,126.00 2,781,500
791 Strip Kolesterol 200 27,495.00 5,499,000
28,359,415

MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
R
B. SOPPENG
9

SUMBER DANA KETERANGAN

-
DAK
GRATIS
DAU
DAK
DAK BON 100
DAK
PROGRAM
DAK
DAK
DAK
DAK
DAU
DAK
PROGRAM BON DESEMBER 16 & BON JANUARI 4
DAK BON 100
DAK
DAU
DAK
DAU
DAK
DAK
GRATIS
DAU
DAU
DAU
PROGRAM BON JANUARI
DAU
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 029/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : CAKKURIDI


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

48 Antasida Sirup 50 2,098.00 104,900.00


84 Betahistin Mesilat 6 mg tab 200 119.00 23,800.00
Garam oralit untuk 200 ml air 1,000 275.00 275,000.00
221 Hidrocortison cream 2,5 % 24 2,648.00 63,552.00
227 Hyoscine-N-butilbromide 10 mg tab 500 1,562.00 781,000.00
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 5,000 24.00 120,000.00
282 Kotrimoksazol suspensi 100 2,052.00 205,200.00
294 Lidokain kompositum injeksi 60 2,122.00 127,320.00
336 Metoklorpropamid sirup 50 2,700.00 135,000.00
384 Obat batuk hitam ( O. B. H ) cairan 48 15,720.00 754,560.00
401 Parasetamol sirup 120 mg / 5 ml 50 1,119.00 55,950.00
437 Ranitidin tablet 2,000 114.00 228,000.00
468 Simvastatin tablet 10 mg 1,500 110.00 165,000.00
497 Vaksin rabies vero 15 165,000.00 2,475,000.00
Zink Tablet 300 604.00 181,200.00
595 Handschun Steril no.7 100 7,254.5 725,450.00
600 Handschun non steril no.7 100 1,064.80 106,480.00
608 Handscrub 5 108,000.00 540,000.00
650 Kateter No. 18 10 31,359.35 313,593.50
7,381,006

MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
ELUAR
AN KAB. SOPPENG
/2019

SUMBER DANA KETERANGAN

-
DAK
DAU
PROGRAM
DAK
DAK
DAK
DAK
DAK
DAK
DAU
DAK
DAK
DAK
PROGRAM BON JANUARI 12 & BON FEBRUARI 3
PROGRAM
DAU
DAU
DAU
DAK

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 033/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : TAJUNCU


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

9 Alopurinol tablet 100 mg 1,000 99.00 99,000


24 Amlodiphin tablet 5 mg 3,000 74.00 222,000
28 Amlodiphin tablet 10 mg 6,000 95.00 570,000
32 Amoksisilin kapsul 500 mg 1,000 399.02 399,020
48 Antasida Sirup 100 2,098.00 209,800
88 Betametason krim 0,1 % 100 1,420.00 142,000
98 Captopril 25 mg 1,000 80.00 80,000
112 Cetirizin Syrup 50 2,993.00 149,650
179 Fenobarbital tablet 30 mg 500 177.00 88,500
188 Furosemid tablet 40 mg 1,000 82.00 82,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
260 Kloramfenikol salep mata 1 % 48 2,013.00 96,624
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 10,000 24.00 240,000
282 Kotrimoksazol suspensi 100 2,052.00 205,200
333 Metoklorpropamid injeksi 100 4,554.00 455,400
352 Multivitamin syrup anak 48 17,040.00 817,920
377 OAT FDC Kategori II 1 1,492,579.00 1,492,579
384 Obat batuk hitam ( O. B. H ) cairan 240 15,720.00 3,772,800
401 Parasetamol sirup 120 mg / 5 ml 100 1,119.00 111,900
405 Parasetamol tablet 500 mg 5,000 60.00 300,000
415 Piridoksin HCl tablet 10 mg 2,000 136.00 272,000
429 Provital Plus tablet 1,200 7,150.00 8,580,000
433 Ranitidin injeksi 100 1,600.00 160,000
447 Ringer laktak larutan infus steril 400 7,150.00 2,860,000
468 Simvastatin tablet 10 mg 1,680 110.00 184,800
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 2,000 90.00 180,000
497 Vaksin rabies vero 8 165,000.00 1,320,000
502 Ventolin Nebulizer 25 12,976.00 324,400
519 Zink Sirup 50 3,285.00 164,250
Zink Tablet 300 604.00 181,200
533 Alat suntik sekali pakai 0.5 ml 100 1,426.00 142,600
538 Alkohol Swab 800 126.50 101,200
552 Blood Lancet 500 167.42 83,710
600 Handschun non steril no.7 100 1,064.80 106,480
621 IV. Catheter No. 20 100 7,700.00 770,000
688 Masker 500 460.90 230,450
692 Masker Nebulizer Adult 10 25,300.00 253,000
694 Masker Nebulizer Pediatric 10 25,300.00 253,000
699 Obyek glass 5 13,200.00 66,000
SD HIV 19 100 11,975.00 1,197,500
810 Tes Kehamilan 50 4,790.00 239,500
825 Urine Bag 10 4,933.50 49,335
27,528,818

WATANSOP
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG M

NIP. NIP.
SUMBER DANA KETERANGAN

-
DAK
DAU
DAK
DAK
DAK
DAK
DAK
DAK
DAK
DAK
PROGRAM
DAK
DAK
DAK
DAU
DAU
PROGRAM BON JANUARI
DAU BON 48
DAK
DAK
DAK
DAK
DAK
DAK BON 100
DAK
DAK
PROGRAM BON JANUARI
DAU
DAK
PROGRAM
DAU
DAK
DAK
DAU
DAK
DAK
DAU
DAU
GRATIS
PROGRAM
DAU
DAK

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 021/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : SALOTUNGO


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

32 Amoksisilin kapsul 500 mg 5,000 399.02 1,995,100


112 Cetirizin Syrup 50 2,993.00 149,650
165 Eritromisin 500 mg 500 781.00 390,500
Garam oralit untuk 200 ml air 1,000 275.00 275,000
221 Hidrocortison cream 2,5 % 120 2,648.00 317,760
260 Kloramfenikol salep mata 1 % 48 2,013.00 96,624
384 Obat batuk hitam ( O. B. H ) cairan 288 15,720.00 4,527,360
415 Piridoksin HCl tablet 10 mg 500 136.00 68,000
433 Ranitidin injeksi 50 1,600.00 80,000
447 Ringer laktak larutan infus steril 500 7,150.00 3,575,000
468 Simvastatin tablet 10 mg 300 110.00 33,000
497 Vaksin rabies vero 28 165,000.00 4,620,000
519 Zink Sirup 50 3,285.00 164,250
Zink Tablet 300 604.00 181,200
546 Aseptic Gel 10 26,400.00 264,000
553 Blue Tip 1,000 132.00 132,000
602 Hanscoen ginekolog 40 20,010.00 800,400
608 Handscrub 10 108,000.00 1,080,000
673 Larutan Natrium sitrat 0.1 M 3 13,200.00 39,600
710 Pharmafix (15 x 500 cm) 10 85,970.5 859,705
715 Plester 5 yard x 2 inch 20 35,532.00 710,640
721 Pot Dahak 200 2,950.00 590,000
758 Reagen TB 3 276,600.00 829,800
773 Slang O2 dewasa 50 7,590.00 379,500
827 Yellow Tip 1,000 55.00 55,000
20,218,989

WAT
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG MENE

NIP. NIP.
R
AB. SOPPENG
9

SUMBER DANA KETERANGAN

-
DAK
DAK
DAK
PROGRAM
DAK
DAK
DAU
DAK
DAK
DAK
DAK
PROGRAM BON DESEMBER 8 & BON JANUARI 20
DAK
PROGRAM
DAK BON SD 1
GRATIS
DAK
DAU BON SD 1
DAK
DAU
DAU
PROGRAM
PROGRAM
DAK
GRATIS

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 032/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : PACONGKANG


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

32 Amoksisilin kapsul 500 mg 10,000 399.02 3,990,200


48 Antasida Sirup 200 2,098.00 419,600
51 Anti bakteri DOEN 100 3,490.00 349,000
84 Betahistin Mesilat 6 mg tab 3,000 119.00 357,000
98 Captopril 25 mg 3,000 80.00 240,000
102 Cefadroxyl 500 mg 1,000 492.00 492,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
245 Kalsium laktak ( kalak ) tablet 500 mg 1,000 69.00 69,000
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 5,000 24.00 120,000
405 Parasetamol tablet 500 mg 16,500 60.00 990,000
433 Ranitidin injeksi 200 1,600.00 320,000
447 Ringer laktak larutan infus steril 800 7,150.00 5,720,000
497 Vaksin rabies vero 6 165,000.00 990,000
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 60 4,236.00 254,160
Zink Tablet 300 604.00 181,200
546 Aseptic Gel 12 26,400.00 316,800
563 Catgut/benang bedah no 2/0 - 3/0 72 8,500.00 612,000
573 Devitalisasi pasta 1 423,500.00 423,500
600 Handschun non steril no.7 100 1,064.80 106,480
602 Hanscoen ginekolog 45 20,010.00 900,450
688 Masker 500 460.90 230,450
717 Plesterin 200 177.10 35,420
758 Reagen TB 10 276,600.00 2,766,000
SD HIV 19 100 11,975.00 1,197,500
773 Slang O2 dewasa 20 7,590.00 151,800
21,507,560

WATANSOPPENG,
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG MENERIM

NIP. NIP.
G

SUMBER DANA KETERANGAN

-
DAK
DAK
DAK
DAU
DAK
DAK
PROGRAM
DAK
DAK
DAK
DAK BON 100
DAK BON 400
PROGRAM
DAU
PROGRAM
DAK
DAU
DAK
DAU
DAK
DAK
DAK
PROGRAM
PROGRAM BON JANUARI 50
DAK

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 025/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : TANJONGE


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

112 Cetirizin Syrup 100 2,993.00 299,300


154 Domperidon suspensi 5 mg/5 ml 50 2,862.00 143,100
Garam oralit untuk 200 ml air 1,000 275.00 275,000
240 Kaen - 3 B 100 11,314.00 1,131,400
258 Kloramfenikol kapsul 250 mg 2,000 329.00 658,000
282 Kotrimoksazol suspensi 200 2,052.00 410,400
315 Metformin tab. 850 mg 3,000 167.00 501,000
352 Multivitamin syrup anak 240 17,040.00 4,089,600
368 Novabion 20,000 202.40 4,048,000
374 OAT FDC Kategori I 5 413,984.00 2,069,920
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 5,000 90.00 450,000
497 Vaksin rabies vero 22 165,000.00 3,630,000
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 90 4,236.00 381,240
Reagen Siphilis 25 20,400.00 510,000
SD HIV 19 100 11,975.00 1,197,500
19,794,460

WATAN
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP. NIP.
OPPENG

SUMBER DANA KETERANGAN

-
DAK
DAK
PROGRAM
DAK
DAK
DAK
DAK
DAU
DAK
PROGRAM
DAK
PROGRAM BON DESEMBER 10 & BON JANUARI 12
DAU
PROGRAM
PROGRAM

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 034/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : BATU-BATU


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

12 Alprazolam 0,5 mg tablet 1,000 88.00 88,000


32 Amoksisilin kapsul 500 mg 10,000 399.02 3,990,200
55 Antihemorhoid DOEN kombinasi 10 3,502.00 35,020
58 Antimigrain DOEN kombinasi 200 199.00 39,800
112 Cetirizin Syrup 50 2,993.00 149,650
116 Ciproloxacin 500 mg isi 100 tab 500 281.00 140,500
151 Domperidon 1,000 90.00 90,000
159 Epineprin HCl/bitartrat (adrenalin) inj. 100 1,518.00 151,800
179 Fenobarbital tablet 30 mg 1,000 177.00 177,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
211 Griseofulvin tablet 125 mg, micronized 3,000 223.00 669,000
221 Hidrocortison cream 2,5 % 48 2,648.00 127,104
227 Hyoscine-N-butilbromide 10 mg tab 3,000 1,562.00 4,686,000
240 Kaen - 3 B 60 11,314.00 678,840
261 Kloramfenikol sirup 50 4,000.00 200,000
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 10,000 24.00 240,000
279 Kotrimoksazol dewasa tablet 1,700 125.00 212,500
282 Kotrimoksazol suspensi 100 2,052.00 205,200
315 Metformin tab. 850 mg 3,000 167.00 501,000
352 Multivitamin syrup anak 48 17,040.00 817,920
368 Novabion 10,000 202.40 2,024,000
401 Parasetamol sirup 120 mg / 5 ml 200 1,119.00 223,800
405 Parasetamol tablet 500 mg 16,500 60.00 990,000
415 Piridoksin HCl tablet 10 mg 7,000 136.00 952,000
447 Ringer laktak larutan infus steril 1,400 7,150.00 10,010,000
473 Stesolid Rectal 20 14,459.00 289,180
490 Triheksifenidil hidroklorida tablet 2 mg 1,000 97.00 97,000
497 Vaksin rabies vero 16 165,000.00 2,640,000
Zink Tablet 300 604.00 181,200
546 Aseptic Gel 36 26,400.00 950,400
595 Handschun Steril no.7 200 7,254.5 1,450,900
600 Handschun non steril no.7 200 1,064.80 212,960
602 Hanscoen ginekolog 40 20,010.00 800,400
616 Infusion set dewasa 200 7,969.50 1,593,900
633 Kapas pembalut / absorben 250 gram 5 23,690.00 118,450
635 Kasa kompres 40 x 80 cm 5 137,025.00 685,125
637 Kasa pembalut 2 m x 80 cm 50 10,321.50 516,075
653 Kertas Puyer Press 2,400 78.10 187,440
688 Masker 2,000 460.90 921,800
692 Masker Nebulizer Adult 20 25,300.00 506,000
694 Masker Nebulizer Pediatric 20 25,300.00 506,000
706 Penjepit Tali Pusat (Umbilical Clamps) 50 1,495.00 74,750
715 Plester 5 yard x 2 inch 20 35,532.00 710,640
717 Plesterin 800 177.10 141,680
769 Silk ( benang bedah sutera ) no.3/0 120 55,476.20 6,657,143
773 Slang O2 dewasa 30 7,590.00 227,700
825 Urine Bag 50 4,933.50 246,675
47,389,752

MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
B. SOPPENG

SUMBER DANA KETERANGAN

-
DAK
DAK BON 5000
DAK
DAK
DAK
DAK
DAK
DAK
DAK
PROGRAM BON JANUARI
DAK
DAK
DAK
DAK
DAK
DAK
DAK
DAK
DAK
DAU
DAK
DAK
DAK
DAK
DAK BON JANUARI 400 & BON FEBRUARI 1000
DAU
DAK
PROGRAM BON DESEMBER
PROGRAM BON JANUARI
DAK
DAU
DAU
DAK
DAK
DAU
GRATIS
DAK
GRATIS
DAK
DAU BON JANUARI
DAU BON JANUARI
DAU
DAU
DAK
DAU
DAK
DAK

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 026/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : GOARIE


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA

9 Alopurinol tablet 100 mg 2,000 99.00


24 Amlodiphin tablet 5 mg 900 74.00
28 Amlodiphin tablet 10 mg 6,000 95.00
32 Amoksisilin kapsul 500 mg 3,000 399.02
42 Antalgin /Metampiron tab 500 mg 1,000 176.00
48 Antasida Sirup 250 2,098.00
51 Anti bakteri DOEN 50 3,490.00
55 Antihemorhoid DOEN kombinasi 100 3,502.00
66 Asam Mefenamat tablet 500 mg 3,000 122.00
84 Betahistin Mesilat 6 mg tab 1,000 119.00
88 Betametason krim 0,1 % 50 1,420.00
98 Captopril 25 mg 3,000 80.00
116 Ciproloxacin 500 mg isi 100 tab 1,000 281.00
151 Domperidon 1,000 90.00
154 Domperidon suspensi 5 mg/5 ml 50 2,862.00
Garam oralit untuk 200 ml air 1,000 275.00
227 Hyoscine-N-butilbromide 10 mg tab 1,300 1,562.00
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 5,000 24.00
282 Kotrimoksazol suspensi 200 2,052.00
294 Lidokain kompositum injeksi 100 2,122.00
325 Metilprednisolon tablet 4 mg 2,000 139.00
352 Multivitamin syrup anak 96 17,040.00
377 OAT FDC Kategori II 1 1,492,579.00
384 Obat batuk hitam ( O. B. H ) cairan 96 15,720.00
401 Parasetamol sirup 120 mg / 5 ml 100 1,119.00
405 Parasetamol tablet 500 mg 10,000 60.00
418 Piroksicam 20 mg kapsul 3,000 192.00
429 Provital Plus tablet 1,200 7,150.00
433 Ranitidin injeksi 100 1,600.00
437 Ranitidin tablet 2,000 114.00
447 Ringer laktak larutan infus steril 300 7,150.00
515 Yodium povidon larutan 10 % 60 ml 48 4,255.00
552 Blood Lancet 500 167.42
563 Catgut/benang bedah no 2/0 - 3/0 120 8,500.00
616 Infusion set dewasa 250 7,969.50
621 IV. Catheter No. 20 250 7,700.00
639 Kasa pembalut hidrofil 4 m x 15 cm 100 4,066.00
650 Kateter No. 18 20 31,359.35
Reagen Siphilis 25 20,400.00
783 Strip Asam Urat 325 11,126.00
825 Urine Bag 50 4,933.50
WATANSOPP
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
ANG KELUAR
EHATAN KAB. SOPPENG
/IFK/II/2019

TOTAL SUMBER DANA KETERANGAN

-
198,000 DAK
66,600 DAU
570,000 DAK
1,197,060 DAK
176,000 DAK
524,500 DAK BON 50
174,500 DAK
350,200 DAK
366,000 GRATIS
119,000 DAU
71,000 DAK
240,000 DAK
281,000 DAK
90,000 DAK
143,100 DAK
275,000 PROGRAM BON 100
2,030,600 DAK
120,000 DAK
410,400 DAK
212,200 DAK
278,000 DAK
1,635,840 DAU
1,492,579 PROGRAM
1,509,120 DAU
111,900 DAK
600,000 DAK BON 1000
576,000 DAU
8,580,000 DAK
160,000 DAK
228,000 DAK
2,145,000 DAK BON 100
204,240 DAK
83,710 DAK
1,020,000 DAU
1,992,375 DAK BON 50
1,925,000 DAK BON 100
406,600 DAU
627,187 DAK
510,000 PROGRAM BON JANUARI
3,615,950 DAU
246,675 DAK
35,563,336

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 030/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : BARINGENG


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA

88 Betametason krim 0,1 % 100 1,420.00


98 Captopril 25 mg 1,000 80.00
Garam oralit untuk 200 ml air 1,000 275.00
245 Kalsium laktak ( kalak ) tablet 500 mg 1,500 69.00
294 Lidokain kompositum injeksi 30 2,122.00
328 Metoklopramid tab 5 mg 500 129.00
346 Miconasol cream 48 3,926.00
415 Piridoksin HCl tablet 10 mg 500 136.00
447 Ringer laktak larutan infus steril 40 7,150.00
468 Simvastatin tablet 10 mg 510 110.00
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 1,000 90.00
497 Vaksin rabies vero 4 165,000.00
Zink Tablet 300 604.00
600 Handschun non steril no.7 100 1,064.80
602 Hanscoen ginekolog 40 20,010.00
616 Infusion set dewasa 50 7,969.50
643 Kateter No. 20 10 8,695.15
667 Larutan Giemsa 1 376,750.00
796 Surgical Gown 2 59,138.75
825 Urine Bag 10 4,933.50

WATANSOP
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
AR
KAB. SOPPENG
019

TOTAL SUMBER DANA KETERANGAN

-
142,000 DAK
80,000 DAK
275,000 PROGRAM BON JANUARI
103,500 DAK
63,660 DAK
64,500 DAK
188,448 DAK
68,000 DAK
286,000 DAK
56,100 DAK
90,000 DAK
660,000 PROGRAM
181,200 PROGRAM BON JANUARI
106,480 DAU
800,400 DAK
398,475 DAK
86,952 DAK
376,750 PROGRAM
118,278 DAK
49,335 DAK
4,195,077

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 022/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : SEWO


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

2 Albendazol tablet 400 mg 2,710 363.00 983,730


9 Alopurinol tablet 100 mg 3,000 99.00 297,000
28 Amlodiphin tablet 10 mg 6,000 95.00 570,000
58 Antimigrain DOEN kombinasi 200 199.00 39,800
88 Betametason krim 0,1 % 300 1,420.00 426,000
112 Cetirizin Syrup 50 2,993.00 149,650
183 Fitomenadion ( vit k ) tablet salut 10 mg 200 818.00 163,600
Garam oralit untuk 200 ml air 1,000 275.00 275,000
301 Loratadin tablet 10 mg 5,000 127.00 635,000
352 Multivitamin syrup anak 240 17,040.00 4,089,600
374 OAT FDC Kategori I 5 413,984.00 2,069,920
401 Parasetamol sirup 120 mg / 5 ml 200 1,119.00 223,800
418 Piroksicam 20 mg kapsul 5,000 192.00 960,000
429 Provital Plus tablet 1,200 7,150.00 8,580,000
437 Ranitidin tablet 5,000 114.00 570,000
515 Yodium povidon larutan 10 % 60 ml 48 4,255.00 204,240
Zink Tablet 300 604.00 181,200
533 Alat suntik sekali pakai 0.5 ml 200 1,426.00 285,200
546 Aseptic Gel 25 26,400.00 660,000
586 Gell Doppler/Jelly USG 10 23,900.00 239,000
604 Handscoen L 200 49,610.00 9,922,000
608 Handscrub 20 108,000.00 2,160,000
621 IV. Catheter No. 20 100 7,700.00 770,000
643 Kateter No. 20 30 8,695.15 260,855
650 Kateter No. 18 30 31,359.35 940,781
653 Kertas Puyer Press 9,600 78.10 749,760
656 Larutan Ammonium Oksalat 1 31,900.00 31,900
688 Masker 800 460.90 368,720
722 Pot Dahak 100 2,950.00 295,000
773 Slang O2 dewasa 10 7,590.00 75,900
783 Strip Asam Urat 25 11,126.00 278,150
810 Tes Kehamilan 200 4,790.00 958,000
38,413,805

WATANSOPPENG,
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG MENERIM
NIP. NIP.
SUMBER DANA KETERANGAN

-
PROGRAM
DAK
DAK
DAK
DAK
DAK
DAK
PROGRAM
DAU
DAU
PROGRAM
DAK
DAU
DAK
DAK BON 2000
DAK
PROGRAM
DAU
DAK BON 10
DAK
PROGRAM
DAU
DAK
DAK
DAK
GRATIS
DAK
DAK BON 300
PROGRAM
DAK
DAU
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 031/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : CABENGE


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

32 Amoksisilin kapsul 500 mg 5,000 399.02 1,995,100


48 Antasida Sirup 100 2,098.00 209,800
66 Asam Mefenamat tablet 500 mg 4,500 122.00 549,000
88 Betametason krim 0,1 % 50 1,420.00 71,000
154 Domperidon suspensi 5 mg/5 ml 100 2,862.00 286,200
Garam oralit untuk 200 ml air 1,000 275.00 275,000
240 Kaen - 3 B 40 11,314.00 452,560
252 Ketokonazol tab 300 286.00 85,800
325 Metilprednisolon tablet 4 mg 2,000 139.00 278,000
384 Obat batuk hitam ( O. B. H ) cairan 48 15,720.00 754,560
399 Parasetamol drops 56 7,646.00 428,176
401 Parasetamol sirup 120 mg / 5 ml 100 1,119.00 111,900
405 Parasetamol tablet 500 mg 5,000 60.00 300,000
437 Ranitidin tablet 3,000 114.00 342,000
447 Ringer laktak larutan infus steril 400 7,150.00 2,860,000
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 2,000 90.00 180,000
497 Vaksin rabies vero 16 165,000.00 2,640,000
Zink Tablet 300 604.00 181,200
573 Devitalisasi pasta 1 423,500.00 423,500
Reagen Siphilis 25 20,400.00 510,000
758 Reagen TB 1 276,600.00 276,600
SD HIV 19 100 11,975.00 1,197,500
14,407,896

MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
OPPENG

SUMBER DANA KETERANGAN

-
DAK
DAK
GRATIS
DAK
DAK
PROGRAM
DAK
DAU
DAK
DAU
DAK
DAK
DAK
DAK
DAK BON 200
DAK
PROGRAM BON DESEMBER 12 & BON JANUARI 4
PROGRAM
DAK
PROGRAM
PROGRAM
PROGRAM

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 035/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : PANINCONG


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

24 Amlodiphin tablet 5 mg 7,200 74.00 532,800


48 Antasida Sirup 100 2,098.00 209,800
84 Betahistin Mesilat 6 mg tab 5,000 119.00 595,000
98 Captopril 25 mg 5,000 80.00 400,000
112 Cetirizin Syrup 50 2,993.00 149,650
183 Fitomenadion ( vit k ) tablet salut 10 mg 500 818.00 409,000
Garam oralit untuk 200 ml air 1,000 275.00 275,000
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 5,000 24.00 120,000
295 Lidokain Spray 4 177,216.00 708,864
325 Metilprednisolon tablet 4 mg 12,000 139.00 1,668,000
368 Novabion 10,000 202.40 2,024,000
390 Oksitetrasiklin HCl salep mata 50 2,600.00 130,000
399 Parasetamol drops 56 7,646.00 428,176
405 Parasetamol tablet 500 mg 5,000 60.00 300,000
437 Ranitidin tablet 5,000 114.00 570,000
447 Ringer laktak larutan infus steril 60 7,150.00 429,000
477 Tablet tambah darah kombinasi 6,480 367.00 2,378,160
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 13,600 90.00 1,224,000
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 90 4,236.00 381,240
Zink Tablet 300 604.00 181,200
577 Etanol 70 % 10 30,000.00 300,000
637 Kasa pembalut 2 m x 80 cm 100 10,321.50 1,032,150
689 Masker 200 460.90 92,180
706 Penjepit Tali Pusat (Umbilical Clamps) 100 1,495.00 149,500
722 Pot Dahak 200 5,890.00 1,178,000
783 Strip Asam Urat 325 11,126.00 3,615,950
786 Strip GDS 200 3,229.94 645,988
791 Strip Kolesterol 100 27,495.00 2,749,500
22,877,158

WATANSOP
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
SUMBER DANA KETERANGAN

-
DAU
DAK
DAU
DAK
DAK
DAK
PROGRAM
DAK
DAK
DAK
DAK
DAU
DAK
DAK
DAK
DAK
PROGRAM
DAK
DAU
PROGRAM
DAU
DAK
DAK
DAU
PROGRAM
DAU BON 100
DAU BON 100
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 036/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : LEWORENG


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

9 Alopurinol tablet 100 mg 300 99.00 29,700


48 Antasida Sirup 50 2,098.00 104,900
64 Asam Askorbat ( vit. C ) tablet 50 mg 700 120.00 84,000
66 Asam Mefenamat tablet 500 mg 200 122.00 24,400
151 Domperidon 200 90.00 18,000
154 Domperidon suspensi 5 mg/5 ml 50 2,862.00 143,100
183 Fitomenadion ( vit k ) tablet salut 10 mg 200 818.00 163,600
Garam oralit untuk 200 ml air 1,000 275.00 275,000
270 Klorfeniramin maleat ( CTM ) tablet 4 mg 1,000 24.00 24,000
282 Kotrimoksazol suspensi 100 2,052.00 205,200
325 Metilprednisolon tablet 4 mg 4,000 139.00 556,000
346 Miconasol cream 120 3,926.00 471,120
352 Multivitamin syrup anak 96 17,040.00 1,635,840
390 Oksitetrasiklin HCl salep mata 25 2,600.00 65,000
405 Parasetamol tablet 500 mg 3,600 60.00 216,000
429 Provital Plus tablet 1,200 7,150.00 8,580,000
433 Ranitidin injeksi 30 1,600.00 48,000
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg 1,600 90.00 144,000
573 Devitalisasi pasta 1 423,500.00 423,500
577 Etanol 70 % 10 30,000.00 300,000
611 Infusion set anak 100 7,700.00 770,000
633 Kapas pembalut / absorben 250 gram 10 23,690.00 236,900
653 Kertas Puyer Press 1,200 78.10 93,720
Reagen Siphilis 25 20,400.00 510,000
758 Reagen TB 2 276,600.00 553,200
769 Silk ( benang bedah sutera ) no.3/0 12 55,476.20 665,714
16,340,894

WATANSOP
MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
SUMBER DANA KETERANGAN

-
DAK
DAK
DAK
GRATIS
DAK
DAK
DAK
PROGRAM
DAK
DAK
DAK
DAK
DAU
DAU
DAK
DAK
DAK
DAK
DAK
DAU
GRATIS
DAU
GRATIS
PROGRAM BON JANUARI
PROGRAM
DAU

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 037/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : KESGA


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL

439 Retinol ( vit. A ) kapsul 100.000 iu 50 327.00 16,350


445 Retinol ( vit. A ) kapsul 200.000 iu 100 583.00 58,300
617 Iodium Test 1 18,700.00 18,700
93,350

WATANSOPPENG, 12 FEBRUARI 2019


MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN YANG MENERIMA

NIP. NIP.
SUMBER DANA

-
PROGRAM
PROGRAM
DAK

OPPENG, 12 FEBRUARI 2019

YANG MENERIMA
SURAT BUKTI BARANG KELUAR
INSTALASI FARMASI DINAS KESEHATAN KAB. SOPPENG
Nomor : 039/SBBK/IFK/II/2019

Pengeluaran Untuk Sarana Kes/Puskesmas : RSUD LATEMAMALA


Periode pengeluaran : FEBRUARI 2019
Sistem Distribusi : Aktif

NO NAMA OBAT JUMLAH SATUAN HARGA TOTAL SUMBER DANA

67 Asering infus 240 9,000.00 2,160,000 DAK


245 Kalsium laktak ( kalak ) tablet 500 mg 500 69.00 34,500 DAK
372 OAT FDC Kategori anak 7 267,397.00 1,871,779 PROGRAM
405 Parasetamol tablet 500 mg 5,000 60.00 300,000 DAK
415 Piridoksin HCl tablet 10 mg 7,000 136.00 952,000 DAK
722 Pot Dahak 380 5,890.00 2,238,200 PROGRAM
7,556,479

MENGETAHUI
PENANGGUNG JAWAB INSTALASI FARMASI YANG MENYERAHKAN

NIP.
ANG KELUAR
SEHATAN KAB. SOPPENG
K/IFK/II/2019

TANGGAL TANGGAL

PENGAMBILAN PENGEMBALIAN

-
12 FEBRUARI 2019 (140) & 14 FEBRUARI 2019 (40)
13 FEBRUARI 2019 11 MARET 2019
04 FEBRUARI 2019 (2) & 15 FEBRUARI 2019 (5)
26 FEBRUARI 2019 11 MARET 2019
21 FEBRUARI 2019
04 FEBRUARI 2019 (80), 14 FEBRUARI 2019 (100) & 25 FEBRUARI 2019 (200)

WATANSOPPENG, FEBRUARI 2019

YANG MENERIMA

NIP.
PERSEDIAAN AWAL
NO NAMA OBAT STOK AKHIR
DAU DAK GRATIS HIBAH PROGRAM DAU DAK
Column4 Column5 Column6 Column7 Column8 Column109 Column110
1 1/2 DAD - - 2,055 - - - -
9 Alopurinol tablet 100 mg - 67,000 - - - - 59,700
12 Alprazolam 0,5 mg tablet - 2,200 - - - - 1,200
19 Amitripilin HCl tablet salut 25 mg - 27,000 - - - - 27,000
20 Amitripilin HCl tablet salut 25 mg - - - - 55 - -
24 Amlodiphin tablet 5 mg 142,500 - - - - 127,500 -
28 Amlodiphin tablet 10 mg - 177,990 - - - - 157,890
32 Amoksisilin kapsul 500 mg - 50,000 - - - - 9,000
33 Amoksisilin kapsul 500 mg 50,000 - - - - 50,000 -
38 Ampisilin kaplet 500 mg - 39,400 - - - - 39,400
42 Antalgin /Metampiron tab 500 mg - 353,400 - - - - 352,400
48 Antasida Sirup - 22,750 - - - - 20,900
51 Anti bakteri DOEN - 600 - - - - 250
55 Antihemorhoid DOEN kombinasi - 720 - - - - 570
58 Antimigrain DOEN kombinasi - 7,100 - - - - 6,700
60 ARV FDC Pediatrik - - - - 14 - -
62 ARV FDC Adult - - - - 27 - -
64 Asam Askorbat ( vit. C ) tablet 50 mg - 69,800 - - - - 55,100
66 Asam Mefenamat tablet 500 mg - - 93,400 - - - -
77 Asiklovir tablet 400 mg - 5,600 - - - - 5,600
84 Betahistin Mesilat 6 mg tab 54,000 - - - - 41,800 -
88 Betametason krim 0,1 % - 2,998 - - - - 1,898
98 Captopril 25 mg - 100,500 - - - - 86,500
112 Cetirizin Syrup - 1,100 - - - - 500
116 Ciproloxacin 500 mg isi 100 tab - 55,500 - - - - 52,500
120 Clobazam 9,000 - - - - 8,900 -
121 Clozapine 25 mg - - - - 100 - -
139 Digoksin tablet 0,25 mg - 3,300 - - - - 3,300
142 Diltiazem HCl 4,500 - - - - 4,500 -
148 Doksisiklin tablet 100 mg - 10,800 - - - - 10,800
151 Domperidon - 21,700 - - - - 16,000
154 Domperidon suspensi 5 mg/5 ml - 550 - - - - 300
159 Epineprin HCl/bitartrat (adrenalin) inj. - 720 - - - - 620
162 Eritromisin 250 mg - 17,000 - - - - 17,000
165 Eritromisin 500 mg - 9,600 - - - - 9,100
168 Eugenol cairan - - 73 - - - -
169 EFAVIRENZ (EFV) 600 MG - - - - 54 - -
176 Fenobarbital Inj.50 mg/ml - - - - 90 - -
177 Fenobarbital Inj.50 mg/ml - - - - 1,140 - -
179 Fenobarbital tablet 30 mg - 31,300 - - - - 29,800
183 Fitomenadion ( vit k ) tablet salut 10 mg - 1,700 - - - - 800
188 Furosemid tablet 40 mg - 3,600 - - - - 2,600
Garam oralit untuk 200 ml air - - - - 18,000 - -
193 Gentamisin Inj.80 mg/2 ml - - - - 450 - -
205 Glukonas Calcicus inj.10% - - - - 240 - -
211 Griseofulvin tablet 125 mg, micronized - 27,600 - - - - 24,600
215 Haloperidol tablet 5 mg - 10,400 - - - - 10,400
216 Haloperidol 50 mg - - - - 130 - -
217 Haloperidol 5 mg/ml - - - - 132 - -
221 Hidrocortison cream 2,5 % - 3,864 - - - - 3,672
223 Hidroklortiazida tablet 25 mg - 9,000 - - - - 9,000
228 Hyoscine-N-butilbromide 10 mg tab 7,000 - - - - 7,000 -
240 Kaen - 3 B - 1,380 - - - - 1,180
245 Kalsium laktak ( kalak ) tablet 500 mg - 7,500 - - - - 2,500
249 Ketokonazol Krim 2% - 1,500 - - - - 1,450
252 Ketokonazol tab 9,000 - - - - 8,700 -
258 Kloramfenikol kapsul 250 mg - 6,900 - - - - 4,900
260 Kloramfenikol salep mata 1 % - 1,968 - - - - 1,870
261 Kloramfenikol sirup - 350 - - - - 300
270 Klorfeniramin maleat ( CTM ) tablet 4 mg - 294,200 - - - - 248,200
273 Klorpromazin HCl tablet salut 100 mg - 16,500 - - - - 16,500
276 Kodein HCl tablet 10 mg - 14,500 - - - - 13,500
282 Kotrimoksazol suspensi - 7,800 - - - - 6,850
294 Lidokain kompositum injeksi - 3,772 - - - - 3,462
301 Loratadin tablet 10 mg 20,500 - - - - 11,500 -
315 Metformin tab. 850 mg - 223,500 - - - - 215,000
321 Metilergometrin maleat tablet salut 0,125 mg - 3,800 - - - - 3,800
325 Metilprednisolon tablet 4 mg - 79,000 - - - - 46,000
328 Metoklopramid tab 5 mg - 3,700 - - - - 3,200
333 Metoklorpropamid injeksi 1,480 - - - - 1,180 -
336 Metoklorpropamid sirup - 1,500 - - - - 1,430
339 Metoklopramid tab 10 mg - 4,500 - - - - 4,500
346 Miconasol cream - 1,728 - - - - 1,464
351 Multivitamin syrup anak - 29 - - - - 29
352 Multivitamin syrup anak 1,648 - - - - 880 -
357 Natrium klorida larutan infus 0,9 % steril 7,100 - - - - 7,100 -
363 Nistatin 100.000 iu / tablet vaginal - 1,100 - - - - 1,100
365 Nistatin 500.000 iu tablet salut - 16,500 - - - - 16,500
368 Novabion - 640,000 - - - - 585,000
372 OAT FDC Kategori anak - - - - 9 - -
374 OAT FDC Kategori I - - - - 178 - -
377 OAT FDC Kategori II - - - - 6 - -
384 Obat batuk hitam ( O. B. H ) cairan 1,296 - - - - 240 -
390 Oksitetrasiklin HCl salep mata 1,350 - - - - 1,175 -
395 Omeprasol - 23,430 - - - - 23,430
397 Papaverin HCl tab - 8,000 - - - - 8,000
399 Parasetamol drops - 604 - - - - 472
401 Parasetamol sirup 120 mg / 5 ml - 5,600 - - - - 4,650
402 Parasetamol sirup 120 mg / 5 ml - 5,000 - - - - 5,000
405 Parasetamol tablet 500 mg - 535,900 - - - - 457,800
415 Piridoksin HCl tablet 10 mg - 325,200 - - - - 308,200
418 Piroksicam 20 mg kapsul 51,400 - - - - 43,400 -
429 Provital Plus tablet - 16,050 - - - - 10,050
433 Ranitidin injeksi - 1,730 - - - - 1,250
437 Ranitidin tablet - 256,800 - - - - 239,800
439 Retinol ( vit. A ) kapsul 100.000 iu - 2,600 - - 700 - 2,600
440 Retinol ( vit. A ) kapsul 100.000 iu - - - - 4,300 - -
445 Retinol ( vit. A ) kapsul 200.000 iu - - - - 39,650 - -
447 Ringer laktak larutan infus steril - 6,456 - - - - 1,756
448 Risperidone 2 mg - - - - 1,000 - -
468 Simvastatin tablet 10 mg - 54,720 - - - - 49,050
471 Simvastatin tablet 20 mg 12,000 - - - - 12,000 -
473 Stesolid Rectal 220 - - - - 195 -
477 Tablet tambah darah kombinasi - - - - 34,290 - -
478 Tablet tambah darah kombinasi - - - - 251,280 - -
486 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg - 42,200 - - - - 12,000
490 Triheksifenidil hidroklorida tablet 2 mg - 6,400 - - - - 5,400
497 Vaksin rabies vero - - - - 173 - -
509 Vitka Infant ( Fitomenadion 2 mg )injeksi 420 - - - - 150 -
511 Yodium povidon larutan 10 % 1000 ml 300 - - - - 300 -
515 Yodium povidon larutan 10 % 60 ml - 183 - - - - 87
Zink Tablet - - - - 6,000 - -
533 Alat suntik sekali pakai 0.5 ml 2,500 - - - - 2,200 -
541 Aqua pro injeksi steril, bebas pirogen - 832 - - - - 802
542 Aquadest Bioanalitik - 74 - - - - 74
546 Aseptic Gel - 327 - - - - 220
552 Blood Lancet - 48,300 - - - - 46,300
553 Blue Tip - - 9,500 - - - -
563 Catgut/benang bedah no 2/0 - 3/0 912 - - - - 660 -
564 CHKM - - 6 - - - -
568 Cover Glass/Deck Glass - - 9 - - - -
569 Cover Glass/Deck Glass - 42 - - - - 42
573 Devitalisasi pasta - 5 - - - - 1
577 Etanol 70 % 185 - - - - 165 -
581 Feeding Tube (NGT) 5 - 42 - - - - 42
584 Focos Diagnotis - - - - 75 - -
Focos Diagnotis - - - - 25 - -
586 Gell Doppler/Jelly USG - 57 - - - - 47
602 Hanscoen ginekolog - 1,125 - - - - 960
608 Handscrub 150 - - - - 105 -
609 Human Hexagon Spilis - - - - 740 - -
611 Infusion set anak - - 1,500 - - - -
616 Infusion set dewasa - 2,450 - - - - 1,700
617 Iodium Test - 796 - - - - 795
618 IV. Catheter No. 16 500 - - - - 500 -
621 IV. Catheter No. 20 - 750 - - - - 100
633 Kapas pembalut / absorben 250 gram 173 - - - - 138 -
635 Kasa kompres 40 x 80 cm - - 178 - - - -
637 Kasa pembalut 2 m x 80 cm - 2,186 - - - - 1,986
639 Kasa pembalut hidrofil 4 m x 15 cm 1,650 - - - - 1,500 -
643 Kateter No. 20 - 70 - - - - 20
644 Kateter No. 20 419 - - - - 419 -
650 Kateter No. 18 - 240 - - - - 150
653 Kertas Puyer Press - - 303,600 - - - -
654 Kertas Puyer Press - 660,000 - - - - 660,000
656 Larutan Ammonium Oksalat - 39 - - - - 38
659 Larutan Asam Sulfosalisilat 3% - - 24 - - - -
660 LARUTAN BaCl 10 % - 2 - - - - 2
665 LARUTAN FOUCHET - 2 - - - - 2
667 Larutan Giemsa - - - - 3 - -
673 Larutan Natrium sitrat 0.1 M - 24 - - - - 21
688 Masker - 11,900 - - - - 4,100
689 Masker 26,000 - - - - 25,800 -
692 Masker Nebulizer Adult 50 - - - - 20 -
694 Masker Nebulizer Pediatric 50 - - - - 20 -
696 Metanol Teknis - 41 - - - - 41
697 Micropipet 60 - - - - 1 - -
698 Micropipet 61 - - - - 2 - -
699 Obyek glass - - 47 - - - -
701 Obyek glass - 500 - - - - 500
710 Pharmafix (15 x 500 cm) 250 - - - - 230 -
715 Plester 5 yard x 2 inch 120 - - - - 70 -
717 Plesterin - 87,400 - - - - 86,200
720 Pot Dahak - 1,038 - - - - 1,038
722 Pot Dahak - - - - 200 - -
Reagen Siphilis - - - - 275 - -
758 Reagen TB - - - - 88 - -
762 Rotator - - - - 1 - -
763 RPR FOCOS - - - - 1,000 - -
SD HIV 19 - - - - 700 - -
769 Silk ( benang bedah sutera ) no.3/0 172 - - - - 16 -
773 Slang O2 dewasa - 595 - - - - 485
783 Strip Asam Urat 2,500 - - - - 1,000 -
786 Strip GDS 1,200 - - - - 1,000 -
796 Surgical Gown - 10 - - - - 8
798 Tabung K3 EDTA - 12,500 - - - - 12,400
799 Tabung Reaksi 12 ml - - 2,900 - - - -
810 Tes Kehamilan 750 - - - - 500 -
819 Trulab N - 1 - - - - 1
825 Urine Bag - 2,200 - - - - 2,080
826 VIKIA - - - - 30 - -
827 Yellow Tip - - 20,000 - - - -
STOK AKHIR
EXP
GRATIS HIBAH PROGRAM
Column111 Column112 Column113 -
2,055 - - 2,055
- - - 59,700
- - - 1,200
- - - 27,000
- - 55 55
- - - 127,500
- - - 157,890
- - - 9,000
- - - 50,000
- - - 39,400
- - - 352,400
- - - 20,900
- - - 250
- - - 570
- - - 6,700
- - 14 14
- - 27 27
- - - 55,100
76,700 - - 76,700
- - - 5,600
- - - 41,800
- - - 1,898
- - - 86,500
- - - 500
- - - 52,500
- - - 8,900
- - 100 100
- - - 3,300
- - - 4,500
- - - 10,800
- - - 16,000
- - - 300
- - - 620
- - - 17,000
- - - 9,100
73 - - 73
- - 54 54
- - 90 90
- - 1,140 1,140
- - - 29,800
- - - 800
- - - 2,600
- - 2,000 2,000
- - 450 450
- - 240 240
- - - 24,600
- - - 10,400
- - 130 130
- - 132 132
- - - 3,672
- - - 9,000
- - - 7,000
- - - 1,180
- - - 2,500
- - - 1,450
- - - 8,700
- - - 4,900
- - - 1,870
- - - 300
- - - 248,200
- - - 16,500
- - - 13,500
- - - 6,850
- - - 3,462
- - - 11,500
- - - 215,000
- - - 3,800
- - - 46,000
- - - 3,200
- - - 1,180
- - - 1,430
- - - 4,500
- - - 1,464
- - - 29
- - - 880
- - - 7,100
- - - 1,100
- - - 16,500
- - - 585,000
- - 2 2
- - 165 165
- - 3 3
- - - 240
- - - 1,175
- - - 23,430
- - - 8,000
- - - 472
- - - 4,650
- - - 5,000
- - - 457,800
- - - 308,200
- - - 43,400
- - - 10,050
- - - 1,250
- - - 239,800
- - 650 3,250
- - 4,300 4,300
- - 39,550 39,550
- - - 1,756
- - 1,000 1,000
- - - 49,050
- - - 12,000
- - - 195
- - 27,810 27,810
- - 251,280 251,280
- - - 12,000
- - - 5,400
- - 33 33
- - - 150
- - - 300
- - - 87
- - 2,700 2,700
- - - 2,200
- - - 802
- - - 74
- - - 220
- - - 46,300
8,000 - - 8,000
- - - 660
6 - - 6
9 - - 9
- - - 42
- - - 1
- - - 165
- - - 42
- - 75 75
- - 25 25
- - - 47
- - - 960
- - - 105
- - 740 740
1,400 - - 1,400
- - - 1,700
- - - 795
- - - 500
- - - 100
- - - 138
171 - - 171
- - - 1,986
- - - 1,500
- - - 20
- - - 419
- - - 150
283,200 - - 283,200
- - - 660,000
- - - 38
24 - - 24
- - - 2
- - - 2
- - 2 2
- - - 21
- - - 4,100
- - - 25,800
- - - 20
- - - 20
- - - 41
- - 1 1
- - 2 2
39 - - 39
- - - 500
- - - 230
- - - 70
- - - 86,200
- - - 1,038
- - 1,420 1,420
- - 125 125
- - 70 70
- - 1 1
- - 1,000 1,000
- - 300 300
- - - 16
- - - 485
- - - 1,000
- - - 1,000
- - - 8
- - - 12,400
2,900 - - 2,900
- - - 500
- - - 1
- - - 2,080
- - 30 30
18,000 - - 18,000

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