SURAT BUKTI BARANG KELUAR (SBBK)

INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : DARUBA
Bulan : Januari 2019

Jumlah Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) KETERANGAN
Distribusi (Rp)

ACYCLOVIR 400mg TAB 13000

ALLupurinol 100mg TAB 27700
AMBROXOL SYRUP Botol 96 APBD 2018
48 ANTASIDA DOEN SUSPENSI BOTOL 2900 2,257.00 #REF! APBD 2018
Batugin Elixir Botol 72
Bedak salisilk 2% 60g Pot 144 APBD 2018
Betahistin Mesylate Tab 5000 APBD 2018
Cefixime 100mg KAP 420 APBD 2018
CETIRIZINE HCL SIRUP 3,192.00
125 5MG/5ML (RAMA) BOTOL 950 #REF! APBD 2018
CETIRIZINE HCL TAB 10MG 103.00
126 (RAMA) TAB 6540 #REF! APBD 2018
Chlorpheniramine Maleat 4m TAB 28500 APBD 2018
143 COTRIMOXSAZOL TAB TAB 28800 132.00 #REF! APBD 2018
DEXAMETHASONE 0.5 MG TA TAB 45000 37.00 #REF! APBD 2018
Diazepam tablet 5mg TAB 1900
192 Domperidone Suspensi Botol 60 ml 2250 3,833.00 #REF! APBD 2016
201 ERYTHROMICYN 250 MG KAP KAP 12500 693.00 #REF! APBD 2018
Fituno Kaplet Kap 900
222 TAB 2000 88.00 #REF! APBD 2018
IODINE POVIDONE LAR 10% ( BOTOL 15 APBD 2018
IODINE POVIDONE LAR 10% ( BOTOL 70 APBD 2018
METHYLPREDNISOLONE 4 MG TAB 1400 APBD 2018
372 METOCLOPRAMIDE TAB 10 M TAB 1600 93.00 #REF! APBD 2018
Natrium Diclovenat 50 mg TAB 1000 APBD 2018
OMEPRAZOL 20 MG KAP @ 3 KAP 37500 150.00 #REF! APBD 2018
PIROXICAM 10 MG TAB TAB 1900 APBD 2018
PIROXICAM 20 mg Tab TAB 1900 APBD 2018
523 VITAMIN B KOMPLEKS TAB 2200 147.00 #REF! APBD 2018
ZIDOVUDIN 100mg Kapsul KAP 1800 APBD 2018
TOTAL HARGA #REF!
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : Tiley
Bulan : Januari 2019

Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) Jumlah (Rp) KETERANGAN
Distribusi

ACYCLOVIR 400mg TAB 5000 74,257.00 371,285,000.00 APBD 2018

ALLupurinol 100mg TAB 12000 17,160.00 205,920,000.00 APBD 2018
AMBROXOL SYRUP Botol 20 4,928.00 98,560.00 APBD 2018
40 Amoxicillin Syrup Botol 60 ml 1104 2,790.00 3,080,160.00 APBD 2016
48 ANTASIDA DOEN SUSPENSI 2 BOTOL 2850 2,257.00 6,432,450.00 APBD 2018
Batugin Elixir Botol 48 23,166.00 1,111,968.00 APBD 2018
Bedak salisilk 2% 60g Pot 96 5,555.00 533,280.00 APBD 2018
Betahistin Mesylate Tab 2000 37,8 #VALUE! APBD 2018
CETIRIZINE HCL SIRUP 3,192.00
125 5MG/5ML (RAMA) BOTOL 950 3,032,400.00 APBD 2018
CETIRIZINE HCL TAB 10MG 103.00
126 (RAMA) TAB 3000 309,000.00 APBD 2018
Chlorpheniramine Maleat 4mg TAB 28500 26.00 741,000.00 APBD 2018
143 COTRIMOXSAZOL TAB TAB 14400 132.00 1,900,800.00 APBD 2018
DEXAMETHASONE 0.5 MG TAB TAB 26800 37.00 991,600.00 APBD 2018
Diazepam tablet 5mg TAB 1000 2,150.00 2,150,000.00
192 Domperidone Suspensi Botol 60 ml 2250 3,833.00 8,624,250.00 APBD 2016
201 ERYTHROMICYN 250 MG KAP KAP 10000 693.00 6,930,000.00 APBD 2018
Fituno Kaplet Kap 300 4,163.00 1,248,900.00
222 Furosemide 40mg TAB 1600 88.00 140,800.00 APBD 2018
IODINE POVIDONE LAR 10% ( 1 BOTOL 6 59,967.00 359,802.00 APBD 2018
IODINE POVIDONE LAR 10% ( BOTOL 60 19,877.00 1,192,620.00 APBD 2018
372 METOCLOPRAMIDE TAB 10 M TAB 1200 93.00 111,600.00 APBD 2018
Natrium Diclovenat 50 mg TAB 500 352,64 #VALUE! APBD 2018
OMEPRAZOL 20 MG KAP @ 30 KAP 16500 150.00 2,475,000.00 APBD 2018
PIROXICAM 10 MG TAB TAB 1000 110,43 #VALUE! APBD 2018
PIROXICAM 20 mg Tab TAB 1000 130,41 #VALUE! APBD 2018
523 VITAMIN B KOMPLEKS TAB 1200 147.00 176,400.00 APBD 2018
ZIDOVUDIN 100mg Kapsul KAP 1680 2,210.00 3,712,800.00 APBD 2018
TOTAL HARGA #REF!
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Doku :
Unit Penerim: Sangowo
Bulan : Januari 2019

Nama Jumlah
No Obat/Baran SATUAN Harga (Rp) Jumlah (Rp) KETERANGAN
Distribusi
g
1 ACYCLOVIR 4 TAB 10000 74,257.00 742,570,000.00 APBD 2018
2 ALLupurinol TAB 27700 17,160.00 475,332,000.00 APBD 2018
3 AMBROXOL S Botol 96 4,928.00 473,088.00 APBD 2018
4 Amoxicillin S Botol 60 ml 1584 2,790.00 4,419,360.00 APBD 2016
5 ANTASIDA D BOTOL 2850 2,257.00 6,432,450.00 APBD 2018
6 Batugin Elixir Botol 72 23,166.00 1,667,952.00 APBD 22018
7 Bedak salisil Pot 144 5,555.00 799,920.00 APBD 2018
8 Betahistin M Tab 3000 37,8 #VALUE! APBD 2018
9 Cefixime 10 KAP 360 2,394.00 861,840.00 APBD 2018
CEFTRIAXO
NE SODIUM 5,143.00
SERBUK INJ
1G (RAMA)
10 VIAL 90 462,870.00 APBD 2018
CETIRIZINE
HCL SIRUP 3,192.00
5MG/5ML
(RAMA)
11 BOTOL 950 3,032,400.00 APBD 2018
CETIRIZINE
HCL TAB 103.00
10MG
(RAMA)
12 TAB 6540 673,620.00 APBD 2018
13 Chlorphenir TAB 28500 26.00 741,000.00 APBD 2018
14 COTRIMOXSA TAB 28800 132.00 3,801,600.00 APBD 2018
15 DEXAMETHAS TAB 46600 37.00 1,724,200.00 APBD 2018
16 Diazepam ta TAB 1700 2,150.00 3,655,000.00 APBD 2018
17 DomperidoneBotol 60 ml 2250 3,833.00 8,624,250.00 APBD 2018
18 ERYTHROMIC KAP 12500 693.00 8,662,500.00 APBD 2018
19 Fituno Kaplet Kap 900 4,163.00 3,746,700.00 APBD 2018
20 Furosemide TAB 1600 88.00 140,800.00 APBD 2018
21 IODINE POVI BOTOL 15 59,967.00 899,505.00 APBD 2018
22 IODINE POVI BOTOL 70 19,877.00 1,391,390.00 APBD 2018
23 METHYLPRED TAB 1200 489,5 #VALUE! APBD 2018
24 METOCLOPRA TAB 1600 93.00 148,800.00 APBD 2018
25 Natrium Dicl TAB 850 352,64 #VALUE! APBD 2018
26 OMEPRAZOL KAP 37500 150.00 5,625,000.00 APBD 2018
27 PIROXICAM 1 TAB 1700 110,43 #VALUE! APBD 2018
28 PIROXICAM 2 TAB 1700 130,41 #VALUE! APBD 2018
29 VITAMIN B TAB 2000 147.00 294,000.00 APBD 2018
30 ZIDOVUDIN 1 KAP 1680 2,210.00 3,712,800.00 APBD 2018
TOTAL HARGA
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : Wayabula
Bulan : Januari 2019

Jumlah Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) KETERANGAN
Distribusi (Rp)

1 ACYCLOVIR 400mg TAB 7000 74,257.00 APBD 2018

2 ALLupurinol 100mg TAB 17000 17,160.00 APBD 2018
3 AMBROXOL SYRUP Botol 48 4,928.00 APBD 2018
4 Amoxicillin Syrup Botol 60 ml 1440 2,790.00 APBD 2016
5 ANTASIDA DOEN SUSPENSI 200 MG/5M BOTOL 2850 2,257.00 APBD 2018
6 Batugin Elixir Botol 48 23,166.00
7 Bedak salisilk 2% 60g Pot 96 5,555.00 APBD 2018
8 Betahistin Mesylate Tab 2000 37,8 APBD 2018

CETIRIZINE HCL SIRUP 5MG/5ML 3,192.00

(RAMA)
9 BOTOL 600 APBD 2018

CETIRIZINE HCL TAB 10MG (RAMA) 103.00

10 TAB 5700 APBD 2018

11 Chlorpheniramine Maleat 4mg TAB 28500 26.00 APBD 2018
12 COTRIMOXSAZOL TAB TAB 26400 132.00 APBD 2018
13 DEXAMETHASONE 0.5 MG TAB TAB 26800 37.00 APBD 2018
14 Diazepam tablet 5mg TAB 1000 2,150.00
15 Domperidone Suspensi Botol 60 ml 2000 3,833.00 APBD 2018
16 ERYTHROMICYN 250 MG KAP KAP 11500 693.00 APBD 2018
17 Fituno Kaplet Kap 300 4,163.00 APBD 2018
18 Furosemide 40 mg TAB 1600 88.00 APBD 2018
19 IODINE POVIDONE LAR 10% ( 1 L) BOTOL 6 59,967.00 APBD 2018
20 IODINE POVIDONE LAR 10% ( 300 ml) BOTOL 60 19,877.00 APBD 2018
21 METOCLOPRAMIDE TAB 10 MG TAB 1200 93.00 APBD 2018
22 Natrium Diclovenat 50 mg TAB 500 352,64 APBD 2018
23 OMEPRAZOL 20 MG KAP @ 30(NOVA) KAP 18000 150.00 APBD 2018
24 PIROXICAM 10 MG TAB TAB 1000 110,43 APBD 2018
25 PIROXICAM 20 mg Tab TAB 1000 130,41 APBD 2018
26 VITAMIN B KOMPLEKS TAB 1200 147.00 APBD 2018
27 ZIDOVUDIN 100mg Kapsul KAP 1680 2,210.00 APBD 2018
TOTAL HARGA
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : Bere-Bere
Bulan : Januari 2019

Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) Jumlah (Rp) KETERANGAN
Distribusi

1 ACYCLOVIR 400mg TAB 10000 74,257.00 742,570,000.00 APBD 2018

2 ALLupurinol 100mg TAB 27700 17,160.00 475,332,000.00 APBD 2018 26000
3 AMBROXOL SYRUP Botol 96 4,928.00 473,088.00 APBD 2018
4 Amoxicillin Syrup Botol 60 ml 1584 2,790.00 4,419,360.00 APBD 2016
5 ANTASIDA DOEN SUSPENSI 200 M BOTOL 2850 2,257.00 6,432,450.00 APBD 2018
6 Batugin Elixir Botol 72 23,166.00 1,667,952.00 APBD 2018
7 Bedak salisilk 2% 60g Pot 144 5,555.00 799,920.00 APBD 2018
8 Betahistin Mesylate Tab 3000 37,8 #VALUE! APBD 2018
9 Cefixime 100mg KAP 360 2,394.00 861,840.00 APBD 2018

CEFTRIAXONE SODIUM SERBUK 5,143.00

INJ 1G (RAMA)
10 VIAL 90 462,870.00 APBD 2018

CETIRIZINE HCL SIRUP 5MG/5ML 3,192.00

(RAMA)
11 BOTOL 950 3,032,400.00 APBD 2018

CETIRIZINE HCL TAB 10MG 103.00

(RAMA)
12 TAB 6540 673,620.00 APBD 2018
13 Chlorpheniramine Maleat 4mg TAB 28500 26.00 741,000.00 APBD 2018
14 COTRIMOXSAZOL TAB TAB 28800 132.00 3,801,600.00 APBD 2018 28000
15 DEXAMETHASONE 0.5 MG TAB TAB 46600 37.00 1,724,200.00 APBD 2018 84400
16 Diazepam tablet 5mg TAB 1700 2,150.00 3,655,000.00 APBD 2018
17 Domperidone Suspensi Botol 60 ml 2250 3,833.00 8,624,250.00 APBD 2018
18 ERYTHROMICYN 250 MG KAP KAP 12500 693.00 8,662,500.00 APBD 2018
19 Fituno Kaplet Kap 900 4,163.00 3,746,700.00 APBD 2018
20 Furosemide 40 mg TAB 1600 88.00 140,800.00 APBD 2018
21 IODINE POVIDONE LAR 10% ( 1 L) BOTOL 15 59,967.00 899,505.00 APBD 2018
22 IODINE POVIDONE LAR 10% ( 300 BOTOL 70 19,877.00 1,391,390.00 APBD 2018
23 METHYLPREDNISOLONE 4 MG TAB TAB 1200 489,5 #VALUE! APBD 2018
24 METOCLOPRAMIDE TAB 10 MG TAB 1600 93.00 148,800.00 APBD 2018
25 Natrium Diclovenat 50 mg TAB 850 352,64 #VALUE! APBD 2018
26 OMEPRAZOL 20 MG KAP @ 30(NOV KAP 37500 150.00 5,625,000.00 APBD 2018
27 PIROXICAM 10 MG TAB TAB 1700 110,43 #VALUE! APBD 2018
28 PIROXICAM 20 mg Tab TAB 1700 130,41 #VALUE! APBD 2018
29 VITAMIN B KOMPLEKS TAB 2000 147.00 294,000.00 APBD 2018
30 ZIDOVUDIN 100mg Kapsul KAP 1800 2,210.00 3,978,000.00 APBD 2018
TOTAL HARGA
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : Posi-Posi
Bulan : Januari 2019

Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) Jumlah (Rp) KETERANGAN
Distribusi

1 ACYCLOVIR 400mg TAB 9000 74,257.00 668,313,000.00 APBD 2018

2 ALLupurinol 100mg TAB 17000 17,160.00 291,720,000.00 APBD 2018
3 AMBROXOL SYRUP Botol 48 4,928.00 236,544.00 APBD 2018
4 Amoxicillin Syrup Botol 60 ml 1440 2,790.00 4,017,600.00 APBD 2016
5 ANTASIDA DOEN SUSPENSI 200 MG/5ML BOTOL 2850 2,257.00 6,432,450.00 APBD 2018
6 Batugin Elixir Botol 48 23,166.00 1,111,968.00
7 Bedak salisilk 2% 60g Pot 96 5,555.00 533,280.00 APBD 2018
8 Betahistin Mesylate Tab 2000 37,8 #VALUE! APBD 2018

CETIRIZINE HCL SIRUP 5MG/5ML (RAMA) 3,192.00

9 BOTOL 550 1,755,600.00 APBD 2018

CETIRIZINE HCL TAB 10MG (RAMA) 103.00

10 TAB 5520 568,560.00 APBD 2018

11 Chlorpheniramine Maleat 4mg TAB 28500 26.00 741,000.00 APBD 2018
12 COTRIMOXSAZOL TAB TAB 21600 132.00 2,851,200.00 APBD 2018
13 DEXAMETHASONE 0.5 MG TAB TAB 26500 37.00 980,500.00 APBD 2018
14 Diazepam tablet 5mg TAB 1000 2,150.00 2,150,000.00
15 Domperidone Suspensi Botol 60 ml 2000 3,833.00 7,666,000.00 APBD 2018
16 ERYTHROMICYN 250 MG KAP KAP 10000 693.00 6,930,000.00 APBD 2018
17 Fituno Kaplet Kap 300 4,163.00 1,248,900.00 APBD 2018
18 Furosemide 40 mg TAB 1600 88.00 140,800.00 APBD 2018
19 IODINE POVIDONE LAR 10% ( 1 L) BOTOL 6 59,967.00 359,802.00 APBD 2018
20 IODINE POVIDONE LAR 10% ( 300 ml) BOTOL 60 19,877.00 1,192,620.00 APBD 2018
21 METOCLOPRAMIDE TAB 10 MG TAB 1200 93.00 111,600.00 APBD 2018
22 Natrium Diclovenat 50 mg TAB 500 352,64 #VALUE! APBD 2018
23 OMEPRAZOL 20 MG KAP @ 30(NOVA) KAP 30000 150.00 4,500,000.00 APBD 2018
24 PIROXICAM 10 MG TAB TAB 1000 110,43 #VALUE! APBD 2018
25 PIROXICAM 20 mg Tab TAB 1000 130,41 #VALUE! APBD 2018
26 VITAMIN B KOMPLEKS TAB 1200 147.00 176,400.00 APBD 2018
27 ZIDOVUDIN 100mg Kapsul KAP 1680 2,210.00 3,712,800.00 APBD 2018
TOTAL HARGA
 SURAT BUKTI BARANG KELUAR (SBBK)
INSTALASI FARMASI KABUPATEN PULAU MOROTAI

Nomor Dokumen :
Unit Penerima : Sopi
Bulan : Januari 2019

Jumlah
No Nama Obat/Barang SATUAN Harga (Rp) Jumlah (Rp) KETERANGAN
Distribusi

1 ACYCLOVIR 400mg TAB 10000 74,257.00 742,570,000.00 APBD 2018

2 ALLupurinol 100mg TAB 24500 17,160.00 420,420,000.00 APBD 2018
3 AMBROXOL SYRUP Botol 96 4,928.00 473,088.00 APBD 2018
4 Amoxicillin Syrup Botol 60 ml 2400 2,790.00 6,696,000.00 APBD 2016
5 ANTASIDA DOEN SUSPENSI 200 MG/5M BOTOL 2850 2,257.00 6,432,450.00 APBD 2018
6 Batugin Elixir Botol 72 23,166.00 1,667,952.00
7 Bedak salisilk 2% 60g Pot 144 5,555.00 799,920.00 APBD 2018
8 Betahistin Mesylate Tab 3000 37,8 #VALUE! APBD 2018
9 Cefixime 100mg KAP 360 2,394.00 861,840.00 APBD 2018

CEFTRIAXONE SODIUM SERBUK INJ 1G 5,143.00

(RAMA)
10 VIAL 90 462,870.00 APBD 2018

CETIRIZINE HCL SIRUP 5MG/5ML 3,192.00

(RAMA)
11 BOTOL 950 3,032,400.00 APBD 2018

CETIRIZINE HCL TAB 10MG (RAMA) 103.00

12 TAB 6540 673,620.00 APBD 2018

13 Chlorpheniramine Maleat 4mg TAB 28500 26.00 741,000.00 APBD 2018
14 COTRIMOXSAZOL TAB TAB 28800 132.00 3,801,600.00 APBD 2018
15 DEXAMETHASONE 0.5 MG TAB TAB 46600 37.00 1,724,200.00 APBD 2018
16 Diazepam tablet 5mg TAB 1700 2,150.00 3,655,000.00
17 Domperidone Suspensi Botol 60 ml 2000 3,833.00 7,666,000.00 APBD 2018
18 ERYTHROMICYN 250 MG KAP KAP 12500 693.00 8,662,500.00 APBD 2018
19 Fituno Kaplet Kap 900 4,163.00 3,746,700.00 APBD 2018
20 Furosemide 40 mg TAB 1600 88.00 140,800.00 APBD 2018
21 IODINE POVIDONE LAR 10% ( 1 L) BOTOL 15 59,967.00 899,505.00 APBD 2018
22 IODINE POVIDONE LAR 10% ( 300 ml) BOTOL 70 19,877.00 1,391,390.00 APBD 2018
23 METHYLPREDNISOLONE 4 MG TAB TAB 1200 489,5 #VALUE! APBD 2018
24 METOCLOPRAMIDE TAB 10 MG TAB 1600 93.00 148,800.00 APBD 2018
25 Natrium Diclovenat 50 mg TAB 850 352,64 #VALUE! APBD 2018
26 OMEPRAZOL 20 MG KAP @ 30(NOVA) KAP 37500 150.00 5,625,000.00 APBD 2018
27 PIROXICAM 10 MG TAB TAB 1700 110,43 #VALUE! APBD 2018
28 PIROXICAM 20 mg Tab TAB 1700 130,41 #VALUE! APBD 2018
29 VITAMIN B KOMPLEKS TAB 2000 147.00 294,000.00 APBD 2018
30 ZIDOVUDIN 100mg Kapsul KAP 1680 2,210.00 3,712,800.00 APBD 2018
TOTAL HARGA