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UPT PUSKESMAS PADASUKA

Nama Persediaan: Obat APBD/DAK

Saldo Awal (31/12/2019)


No Jenis Barang Satuan Jumlah
Barang

LIFE SAVING
1 Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml Ampul -
2 Diazepam Lar Rektal 10 mg/ml Tube -
3 Epinefrin HCL Inj Ampul -
4 Kalsium Glukonat inj 100 mg / ml Ampul -
5 Mg Sulfat Inj 40 % - IV/10 vial Ampul 48
6 Oksitosin Inj 10 lU/ml 1 ml Ampul -
-
ANTIINFEKSI
7 Acyclovir tab 400 mg Tablet 443
8 Albendazol 400 mg Tablet 1,332
9 Amoksilin Kap. 250 mg Kapsul -
10 Amoksilin Kap. 250 mg Kapsul 1,900
11 Amoksilin Kap.500 mg Tablet 4,865
12 Amoksilin syr kering 125 mg/5 ml Botol -
13 Amoksilin syr kering 250 mg/5 ml Botol -
14 Amoksilin syr kering 250 mg/5 ml Botol 199
Amoksilin syr kering 250 mg/5 ml Botol
15 Amoksisilin Drops 100 mg/ml Botol -
16 Azitromisin 500 mg Kaplet -
17 Benzatin Benzil P 2,4 Vial -
18 Cefixim tab 100 mg Tablet -
19 Ciprofloxacin 500 mg Tablet -
20 Ciprofloxacin 500 mg Tablet -
21 Doxyciclin 100 mg Tablet -
22 Erytromicin 250 mg Tablet -
23 Erytromicin 500 mg Tablet -
24 Flukonazol kaps 150 mg Capsul -
25 Flukonazol kaps 50 mg Capsul -
26 Gentamisin 80 mg / 2ml inj Ampul -
27 Griseofulvin125 mg Tablet -
28 Isoniazide 100 mg Tablet 191
29 Isoniazide 300 mg Tablet -
30 Ketoconazole 200 mg Tablet -
31 Klindamisin 150 mg Capsul 400
32 Klindamisin 300 mg Capsul -
33 Klindamisin 300 mg Capsul -
34 Kloramfenikol 500 mg capsul Capsul -
35 Kloramfenikol susp 125 mg / 5 ml Botol -
36 Kombipak : Cefixim 400 mg + Azitrmicin 1000 mg Paket -
37 Kotrimoksazol Adult 480 mg Tablet -
38 Kotrimoksazol Adult 480 mg Tablet 1,000
39 Kotrimoksazol Suspensi 240 mg/5 ml Botol 50
40 Metronidazol 250 mg Tablet -
41 Metronidazol 500 mg Tablet -
42 Natrium Tiroksin Tablet -
43 Nistatin 100.000 IU/g tablet vagina Tablet -
44 Nistatin 100.000 IU/g tablet vagina Tablet 64
45 Nistatin susp 100.000 UI / ml Botol -
46 Obat Anti TBC Anak FDC Paket 2
47 Obat Anti TBC Kat I FDC Paket 5
48 Obat Anti TBC Kat II FDC Paket 3
49 Pyrazinamide 500 mg Tablet -
50 Pyrimethamine 25 mg Tablet -
51 Albendazol suspensi Botol 3
SALURAN PERNAPASAN
Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg
52 Vial 20
nebules
53 N-asetil sistein kaps 200 mg Kapsul 448
N-asetil sistein kaps 200 mg Kapsul
54 Salbutamol 2.5 mg nebules Vial -
55 Salbutamol 2 mg Tablet -
56 Salbutamol 2 mg Tablet 600

ANALGETIK,ANTIPIRETIK,ANTIINFLAMASI,AINS
57 Asam Mefenamat 500 mg Tablet 2,280
58 Betahistine mysilat 6 mg Tablet -
59 Etil Klorida Semprot 100 ml Botol -
60 Ibuprofen 400 mg Tablet -
61 Ibuprofen sirup 200 mg/ 5 ml Botol 21
Ibuprofen sirup 200 mg/ 5 ml Botol
62 Lidokain inj 2 % (infltr/p.v) Ampul 100
63 Na.Diklofenak 50 mg Tablet 3,050
64 Parasetamol 500 mg Tablet -
65 Parasetamol 500 mg Tablet -
66 Parasetamol 500 mg Tablet 8,657
67 Parasetamol syr 120 mg/5 ml 60 ml Botol -
68 Parasetamol syr 120 mg/5 ml 60 ml Botol -
69 Parasetamol syr 120 mg/5 ml 60 ml Botol 648
70 Parasetamol tts 60 mg / 0.6 ml Botol 152
Parasetamol tts 60 mg / 0.6 ml Botol
71 Piroksikam 10 mg Tablet -

SISTEM PENCERNAAN
72 Antasida DOEN Tablet -
73 Antasida DOEN Tablet 2,944
Antasida DOEN Tablet
74 Antasida DOEN susp Botol -
75 Antasida DOEN susp Botol 178
76 Antihemoroid suppositoria Supp 104
77 Atapulgit tab 600 mg Tablet 700
Atapulgit tab 600 mg Tablet
78 Bisakodil 5 mg Tablet -
79 Bisakodil supp 5 mg Supp -
80 Domperidon 10 mg Tablet 257
81 Domperidon sirup 5 mg/5 ml Botol 150
Domperidon sirup 5 mg/5 ml Botol
82 Garam Oralit 200 ml Sase -
83 Garam Oralit 200 ml Sase 509
Garam Oralit 200 ml Sase
84 Hiosina Butilbromida 10 mg Tablet -
85 Komb Kaolin 550 mg + pektin 20 mg Tablet -
86 Natrium Bicarbonat 500 mg Tablet -
87 Omeprazol 20 mg Capsul 479
Omeprazol 20 mg Capsul
88 Ranitidin tab 150 mg Tablet -
89 Ranitidin tab 150 mg Tablet -
90 Zinc dispersibel Tablet -
91 Zinc dispersibel Tablet 1,060
Zinc dispersibel Tablet

JANTUNG DAN PEMBULUH DARAH


92 Amlodipine 5 mg Tablet -
93 Amlodipine 5 mg Tablet -
94 Amlodipine 5 mg Tablet 5,424
95 Amlodipin 10 mg Tablet -
96 Captopril 12,5 mg Tablet 1,100
97 Captopril 25 mg Tablet -
98 Digoksin 0,25 mg Tablet -
99 Furosemid 40 mg Tablet 600
Furosemid 40 mg Tablet
100 Isosorbid Dinitrat 5 mg tablet Tablet -
101 Nifedipin tab 10 mg Tablet -
102 Spironolakton 25 mg Tablet -
-
OBAT MATA
103 Klorampenicol S.M 1 % Tube 120

OBAT KULIT
104 Acyclovir cream 5 % Tube -
105 Anti Bacteri DOEN SK Tube -
106 Antifungi SK Pot 48
107 Bedak Salisil serbuk 2 % Dus -
108 Betametason Crem 0,1 % Tube -
109 Betametason Crem 0,1 % Tube 75
110 Hidrokortison Crem 2,5 % Tube 122
Hidrokortison Crem 2,5 % Tube
111 Ketokonazol krim 2% Tube 150
112 Kloramfenikol SK 2% Tube 144
Kloramfenikol SK 2% Tube
113 Mikonazol krim 2% Tube 120
Mikonazol krim 2% Tube
114 Perak Sulfadiazin krim 1% Tube -
115 Permetrin Krim 5 % Tube 154
Permetrin Krim 5 % Tube
116 Salep 2-4 Pot 45
117 Ichtiol SK Pot -

VITAMIN DAN MINERAL


118 Asam Askorbat (Vit C) tab 50 mg Tablet -
119 Asam Askorbat (Vit C) tab 50 mg Tablet 2,659
120 Asam Askorbat (Vit C) tab 250 mg Tablet -
121 Asam Askorbat (Vit C) tab 250 mg Tablet -
122 Asam Folat 1 mg Tablet -
123 Kalsium laktat (kalk) tab 500 mg Tablet -
124 Kalsium laktat (kalk) tab 500 mg Tablet 4,048
Kalsium laktat (kalk) tab 500 mg Tablet
125 Mineral Mix Sase -
126 Piridoksin HCL 10 mg tablet Tablet -
127 Piridoksin HCL 10 mg tablet Tablet 2,555
128 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul -
129 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul 200
130 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul -
131 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul 3,000
132 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet -
133 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet 2,113
134 Tablet Tambah Darah/FE Tablet -
135 Thiamin HCL 50 mg Tablet -
136 Thiamin HCL 50 mg Tablet 2,192
Thiamin HCL 50 mg Tablet
137 Vit. B. Complex Tablet 2,206
138 Vit. B. Complex Tablet -

DARAH,AS URAT,KOLESTEROL
139 Alopurinol 100 mg Tablet -
140 Alopurinol 100 mg Tablet 700
141 Fitomenadion /Vit K 10 mg Tablet -
142 Fitomenadion /Vit K 10 mg Tablet 195
143 Fitomenadion /Vit K Inj 2 mg/ml Ampul -
144 Gemfibrozil 300 mg Tablet -
145 Metilergometrin Maleat 0,125 mg Tablet 200
146 Metilergometrin Maleat 0,200 mg /1ml inj Ampul -
147 Simvastatin 10 mg Tablet 1,701

MULUT,THT
148 Fenol Glicerol Tetes Telinga 10 % Botol 72
149 Oksimetazolin tts hidung 0,025% Botol -

ALERGI,KORTIKOSTEROID
150 Cetirizin sir 5 mg / 5 ml Botol -
151 Deksametason 0,5 mg tablet Tablet -
152 Deksametason 0,5 mg tablet Tablet -
153 Deksametason inj 5 mg / ml (i.v / i.m) Ampul -
154 Difenhidramin inj 10 mg / ml (i.v / i.m) Ampul 7
155 Klorfeniramin Maleat/CTM 4 mg Tablet -
156 Klorfeniramin Maleat/CTM 4 mg Tablet 2,304
Klorfeniramin Maleat/CTM 4 mg Tablet
157 Loratadine Tab 10 mg Tablet -
158 Loratadine Tab 10 mg Tablet 1,220

HORMON
159 Glibenklamid 5 mg tablet Tablet 660
160 Metformin tab 500 mg Tablet 6,863

INFUS,LAR STERIL
161 Aqua pro inj steril 20 ml Vial 20
162 Natrium Klorida Larutan Infus 0,9 % Labu -
163 Natrium Klorida Larutan Infus 0,9 % Labu 11
164 Ringer Laktat Larutan Infus Steril Labu -

NARKOTIKA, PSIKOTROPIKA & KESEHATAN JIWA


165 Amitriptilin tab sal 25 mg Tablet 259
166 Clozapine 25 mg Tablet -
167 Haloperidol tab 1,5 mg Tablet -
168 Haloperidol 5 mg Tablet -
169 Haloperidol inj. 5 Mg/ml Ampul -
170 Karbamazepin tab 200 mg Tablet -
171 Klorpromazine tab sal 100 mg Tablet -
172 Risperidon tab 2 mg Tablet 76
173 Triheksifenidil 2 mg Tablet 100
174 Diazepam 2 mg Tablet -
175 Fenobarbital 30 mg Tablet -
176 Kodein HCl 10 mg Tablet -
177 Haloperidol 2 mg Tablet 100
VAKSIN
178 BCG Vial -
179 BCG Vial 5
180 POLIO (bOPV) Vial 2
181 POLIO IPV 5 ds Vial 2
182 POLIO IPV 5 ds Vial -
183 CAMPAK Vial -
184 HB UNIJEK Pouch 18
HB UNIJEK Pouch
185 Td Vial -
186 DPT-HB-HIB (Pentabio) Vial -
187 DPT-HB-HIB (Pentabio) Vial 21
188 DT Vial -
189 MEASLES RUBELLA (MR)GAVI Vial 1
190 MENINGITIS Vial -

ALAT & BAHAN GIGI


191 Air Raksa Fls -
192 Alvogil Fls -
193 Amalgam Botol -
194 Articulating paper (kertas warna penanda oklusi) Buah -
195 Bahan tumpatan sementara (Temporary Fletcher) Buah -
196 Boor Low Fressure Buah -
197 Boor Low Inverted Buah -
198 Boor Low Round Buah -
199 Boor jet Inverted Buah -
200 Celluloid Strip Lembar -
201 Cement Zn Phospat Powder & Liquid Set -
202 Devitalisasi Pasta (Arsenik) Botol -
203 Devitalisasi Pasta (Non arsen) Botol -
204 Disclossing Botol -
205 Eugenol Botol 2
206 Formokresol (TKF) Botol -
Glass Ionomer ART (Atraumatic Restorative Treatment)
207 Buah -
Anterior/Fuji II
Glass Ionomer ART (Atraumatic Restorative Treatment)
208 Buah -
Posterior/Fuji IX
209 Kalsium Hidroksida Pasta (CaOH) Tube -
210 Klorfenol Kamfer Mentol (CHKM) Botol -

Komb : Deksametason asetat 0,1%, Thymol


211 Botol -
5%,Paraklorphenol 30%, campor 64% (Chresophene)

212 Komb : Lidokain HCl 2% + Epinefrin 1 : 80.000 inj 2 ml Ampul -

213 Komposit Resin Tube -


214 Matrix Band Roll -
215 Panasray Botol -
216 Pasta Gigi Tube -
217 Pasta Pengisi Saluran Akar Botol -
218 Pembersih noda gigi Buah -
219 Spongostan Buah -
220 Vaseline Pot -

Jumlah
Lampiran Berita Acara Perhitungan Stock Persediaan
per 30 Juni 2020

Saldo Awal (31/12/2019) Penambahan jan-jun 2020 Penggunaan jan-jun 202


Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Barang Barang
Rp Rp Rp Rp

- - - - - -
18,279 - 20 18,279 365,580 -
1,408 - 50 1,408 70,400 30
- - - -
3,796 182,208 - 3,796 - 26
2,200 - 100 2,200 220,000 88

380 168,340 2,600 380 988,000 1,225


400 532,800 10,620 400 4,248,000 2,523
136 - - 136 - -
184 349,600 - 184 - 1,900
233 1,133,545 6,300 233 1,467,900 10,848
- - - -
4,045 - - 4,045 - -
3,400 676,600 - 3,400 - 199
3,628 360 3,628 181
- - - -
- - - -
- - - -
- - - -
347 - - 347 - -
265 - - 265 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
224 - 100 224 22,400 -
145 27,695 1,000 145 145,000 1,091
- - - -
288 - 500 288 144,000 454
715 286,000 - 715 - 386
527 - - 527 - -
578 - - 578 - -
- - - -
- - - -
- - - -
135 - - 135 - -
125 125,000 - 125 - 459
2,145 107,250 100 2,145 214,500 24
- - - -
- - - -
- - - -
480 - - 480 - -
560 35,840 - 560 - 31
13,900 - 13 13,900 180,700 9
214,985 429,970 10 214,985 2,149,850 12
389,344 1,946,720 32 389,344 12,459,008 21
1,297,889 3,893,667 5 1,297,889 6,489,445 8
- - - -
- - - -
4,000 12,000 1,000 4,000 4,000,000 375

4,550 91,000 20 4,550 91,000


20
- - - 448
382 600 382 600
- - - -
59 - - 59 - -
63 37,800 500 63 31,500 674

103 234,840 5,000 103 515,000 6,140


- - - -
175,000 - 4 175,000 700,000 2
- - - -
- - - 21
4,465 72 4,465 9
1,221 122,100 450 1,221 549,450 250
115 350,750 21,000 115 2,415,000 19,859
89 - - 89 - -
49 - - 49 - -
53 458,821 22,000 53 1,166,000 30,148
1,438 - - 1,438 - -
1,010 - - 1,010 - -
1,107 717,336 1,700 1,107 1,881,900 1,801
- - - 152
6,649 112 6,649 42
- - - -

62 - - 62 - -
58 170,752 - 58 - 2,944
54 11,000 54 7,205
2,100 - - 2,100 - -
1,995 355,110 450 1,995 897,750 518
3,167 329,368 60 3,167 190,020 86
- - - 700
145 900 145 442
- - - -
5,670 - - 5,670 - -
167 42,919 - 167 - 257
- - - 150
3,000 100 3,000 - 57
292 - - 292 - -
260 132,340 - 260 - 509
257 1,400 257 620
- - - -
- - - -
- - - -
- - - 479
211 540 211 540
120 - - 120 - -
105 - 1,000 105 105,000 -
514 - - 514 - -
508 538,480 - 508 - 1,060
524 2,100 524 1,195
-

85 - - 85 - -
70 - - 70 - -
75 406,800 17,100 75 1,282,500 19,902
- - - -
62 68,200 1,000 62 62,000 813
- - - -
- - - -
- - - 600
77 400 77 - 477
- - - -
- - - -
- - - -

1,810 217,200 - 1,810 - 55

2,750 - - 2,750 - -
- - - -
4,323 207,504 - 4,323 - -
1,020 - - 1,020 - -
1,349 - - 1,349 - -
1,340 100,500 - 1,340 - 48
2,639 321,958 - 2,639 - 122
2,475 192 2,475 143
- - - 14
- - - 144
3,038 96 3,038 14
3,250 390,000 - 3,250 - 120
3,414 48 3,414 7
20,700 - 4 20,700 82,800 1
11,475 1,767,150 - 11,475 - 154
11,825 60 11,825 - 82
2,000 90,000 - 2,000 - 45
4,840 - - 4,840 - -
-

39 - - 39 - -
105 279,195 9,000 105 945,000 8,787
159 - - 159 - -
114 - - 114 - -
48 - - 48 - -
32 - - 32 - -
56 226,688 - 56 - 4,048
59 6,500 59 5,415
- - - -
20 - - 20 - -
123 314,265 5,500 123 676,500 6,967
255 - - 255 - -
284 56,800 - 284 - -
417 - - 417 - -
508 1,524,000 - 508 - -
20 - - 20 - -
46 97,198 1,500 46 69,000 3,018
44 - - 44 - -
35 - - 35 - -
82 179,744 - 82 - 2,192
91 9,000 91 7,309
115 253,690 - 115 - 2,206
89 - 16,000 89 1,424,000 13,266

90 - - 90 - -
99 69,300 - 99 - 590
634 - - 634 - -
710 138,450 200 710 142,000 120
3,682 - - 3,682 - -
- - - -
154 30,800 - 154 - 30
- - - -
110 187,110 450 110 49,500 2,126

2,042 147,024 - 2,042 - 25


- - - -

2,850 - - 2,850 - -
44 - - 44 - -
32 - - 32 - -
1,097 - 40 1,097 43,880 25
1,095 7,665 - 1,095 - 7
51 - - 51 - -
22 50,688 - 22 - 2,304
23 8,500 23 5,188
154 - - 154 - -
123 150,060 1,500 123 184,500 2,125

56 36,960 - 56 - 205
96 658,848 - 96 - 6,863
6,001 120,010 - 6,001 - 20
4,700 - 0 4,700 - -
6,410 70,510 - 6,410 - 11
- - - -

- - - 5
- - - -
- - - -
- - - -
- - - -
- - - -
- 100 - -
- - - 30
- - - 100
- 0 - -
- - - -
- - - -
- - - 10

61,996 - - 61,996 - -
66,154 330,770 25 66,154 1,653,850 26
19,954 39,908 112 19,954 2,234,848 95
158,994 317,988 - 158,994 - 2
169,653 - 4 169,653 678,612 4
28,204 - - 28,204 - -
20,900 376,200 - 20,900 - 18
25,597 148 25,597 134
16,995 - 40 16,995 679,800 34
78,991 - - 78,991 - -
84,282 1,769,922 151 84,282 12,726,582 167
17,996 - - 17,996 - -
155,813 155,813 51 155,813 7,946,463 39
135,000 - - 135,000 - -

328,900 - - 328,900 - -
408,184 - - 408,184 - -
797,500 - 1 797,500 797,500 -
- - - -
- - - -
27,500 - - 27,500 - -
27,500 - - 27,500 - -
27,500 - - 27,500 - -
26,180 - - 26,180 - -
- - - -
129,470 - - 129,470 - -
411,950 - - 411,950 - -
217,745 - 0 217,745 - -
2,017 - 0 2,017 - -
16,667 33,334 0 16,667 - -
- 0 - -

486,000 - 486,000 486,000


1 -

670,000 - 670,000 670,000


1 -
170,665 - 0 170,665 - -
41,800 - 0 41,800 - -

- -
0 -

1,152 - 1,152 34,560


30 -
- 0 - -
39,490 - 0 39,490 - -
418,000 - 0 418,000 - -
4,588 - 0 4,588 - -
- 0 - -
- 0 - -
9,308 - 0 9,308 - -
58,850 - 0 58,850 - -

24,681,103.00 74,577,298.00
rhitungan Stock Persediaan
uni 2020

Penggunaan jan-jun 2020 Saldo Akhir Kartu Persediaan(30/6/2020) Saldo Akhir Fisik (30/6/202
Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Barang Barang
Rp Rp Rp Rp

- - - -
18,279 - 20 18,279 365,580 20
1,408 42,240 20 1,408 28,160 20
- -
3,796 98,696 22 3,796 83,512 22
2,200 193,600 12 2,200 26,400 12

380 465,500 1818 380 690,840 1818


400 1,009,200 9429 400 3,771,600 9429
136 - 136 -
184 349,600 184 -
233 2,527,584 317 233 73,861 317
- -
4,045 - 4,045 -
3,400 676,600 3,400 -
3,628 179 3,628 179
- -
- -
- -
- -
347 - 347 -
265 - 265 -
- -
- -
- -
- -
- -
- -
224 - 100 224 22,400 100
145 158,195 100 145 14,500 100
- -
288 130,752 46 288 13,248 46
715 275,990 14 715 10,010 14
527 - 527 -
578 - 578 -
- -
- -
- -
135 - 135 -
125 57,375 541 125 67,625 541
2,145 51,480 126 2,145 270,270 126
- -
- -
- -
480 - 480 -
560 17,360 33 560 18,480 33
13,900 125,100 4 13,900 55,600 4
214,985 2,579,820 214,985 -
389,344 8,176,224 16 389,344 6,229,504 16
1,297,889 10,383,112 1,297,889 -
- -
- -
4,000 1,500,000 628 4,000 2,512,000 628

4,550 91,000 4,550 91,000


20 20
- -
382 382
- -
59 - 59 -
63 42,462 426 63 26,838 426

103 632,420 1,140 103 117,420 1,140


- -
175,000 350,000 2 175,000 350,000 2
- -
- -
4,465 63 4,465 63
1,221 305,250 300 1,221 366,300 300
115 2,283,785 4191 115 481,965 4191
89 - 89 -
49 - 49 -
53 1,597,844 509 53 26,977 509
1,438 - 1,438 -
1,010 - 1,010 -
1,107 1,993,707 547 1,107 605,529 547
- -
6,649 70 6,649 70
- -

62 - 62 -
58 170,752 58 -
54 3795 54 3795
2,100 - 2,100 -
1,995 1,033,410 110 1,995 219,450 110
3,167 272,362 78 3,167 247,026 78
- -
145 458 145 458
- -
5,670 - 5,670 -
167 42,919 167 -
- -
3,000 157 3,000 157
292 - 292 -
260 132,340 260 -
257 780 257 780
- -
- -
- -
- -
211 211
120 - 120 -
105 - 1000 105 105,000 1000
514 - 514 -
508 538,480 508 -
524 905 524 905

85 - 85 -
70 - 70 -
75 1,492,650 2622 75 196,650 2622
- -
62 50,406 1287 62 79,794 1287
- -
- -
- -
77 877 77 877
- -
- -
- -

1,810 99,550 65 1,810 117,650 65

2,750 - 2,750 -
- -
4,323 - 48 4,323 207,504 48
1,020 - 1,020 -
1,349 - 1,349 -
1,340 64,320 27 1,340 36,180 27
2,639 321,958 2,639 -
2,475 49 2,475 49
- 136 - 136
- -
3,038 82 3,038 82
3,250 390,000 3,250 -
3,414 41 3,414 41
20,700 20,700 3 20,700 62,100 3
11,475 1,767,150 11,475 -
11,825 142 11,825 142
2,000 90,000 2,000 -
4,840 - 4,840 -

39 - 39 -
105 922,635 2,872 105 301,560 2,872
159 - 159 -
114 - 114 -
48 - 48 -
32 - 32 -
56 226,688 56 -
59 1085 59 1085
- -
20 - 20 -
123 856,941 1,088 123 133,824 1,088
255 - 255 -
284 - 200 284 56,800 200
417 - 417 -
508 - 3000 508 1,524,000 3000
20 - 20 -
46 138,828 595 46 27,370 595
44 - 44 -
35 - 35 -
82 179,744 82 -
91 1,691 91 1,691
115 253,690 115 -
89 1,180,674 2734 89 243,326 2734

90 - 90 -
99 58,410 110 99 10,890 110
634 - 634 -
710 85,200 275 710 195,250 275
3,682 - 3,682 -
- -
154 4,620 170 154 26,180 170
- -
110 233,860 25 110 2,750 25

2,042 51,050 47 2,042 95,974 47


- -

2,850 - 2,850 -
44 - 44 -
32 - 32 -
1,097 27,425 15 1,097 16,455 15
1,095 7,665 1,095 -
51 - 51 -
22 50,688 22 -
23 3,312 23 3,312
154 - 154 -
123 261,375 595 123 73,185 595

56 11,480 455 56 25,480 455


96 658,848 96 -
6,001 120,010 6,001 -
4,700 - 4,700 -
6,410 70,510 6,410 -
- -

- 254 - 254
- -
- -
- -
- -
- -
- 100 - 100
- 46 - 46
- -
- -
- -
- -
- 90 - 90

61,996 - 61,996 -
66,154 1,720,004 4 66,154 264,616 4
19,954 1,895,630 19 19,954 379,126 19
158,994 317,988 158,994 -
169,653 678,612 169,653 -
28,204 - 28,204 -
20,900 376,200 20,900 -
25,597 14 25,597 14
16,995 577,830 6 16,995 101,970 6
78,991 - 78,991 -
84,282 14,075,094 5 84,282 421,410 5
17,996 - 17,996 -
155,813 6,076,707 13 155,813 2,025,569 13
135,000 - 135,000 -

328,900 - 328,900 -
408,184 - 408,184 -
797,500 - 1 797,500 797,500 1
- -
- -
27,500 - 27,500 -
27,500 - 27,500 -
27,500 - 27,500 -
26,180 - 26,180 -
- -
129,470 - 129,470 -
411,950 - 411,950 -
217,745 - 217,745 -
2,017 - 2,017 -
16,667 - 2 16,667 33,334 2
- -

486,000 - 486,000 486,000


1 1

670,000 - 670,000 670,000


1 1
170,665 - 170,665 -
41,800 - 41,800 -

- -

1,152 - 1,152 34,560


30 30
- -
39,490 - 39,490 -
418,000 - 418,000 -
4,588 - 4,588 -
- -
- -
9,308 - 9,308 -
58,850 - 58,850 -

73,720,299.00 25,538,102.00
Saldo Akhir Fisik (30/6/2020) Selisih
Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan
Barang Harga
Rp Rp Rp Rp

- - - -
18,279 365,580 18,279 -
1,408 28,160 1,408 -
- -
3,796 83,512 3,796 -
2,200 26,400 2,200 -

380 690,840 380 -


400 3,771,600 400 -
136 - 136 -
184 - 184 -
233 73,861 233 -
- -
4,045 - 4,045 -
3,400 - 3,400 -
3,628 3,628
- -
- -
- -
- -
347 - 347 -
265 - 265 -
- -
- -
- -
- -
- -
- -
224 22,400 224 -
145 14,500 145 -
- -
288 13,248 288 -
715 10,010 715 -
527 - 527 -
578 - 578 -
- -
- -
- -
135 - 135 -
125 67,625 125 -
2,145 270,270 2,145 -
- -
- -
- -
480 - 480 -
560 18,480 560 -
13,900 55,600 13,900 -
214,985 - 214,985 -
389,344 6,229,504 389,344 -
1,297,889 - 1,297,889 -
- -
- -
4,000 2,512,000 4,000 -

4,550 91,000 4,550 -

- -
382 382
- -
59 - 59 -
63 26,838 63 -

103 117,420 103 -


- -
175,000 350,000 175,000 -
- -
- -
4,465 4,465
1,221 366,300 1,221 -
115 481,965 115 -
89 - 89 -
49 - 49 -
53 26,977 53 -
1,438 - 1,438 -
1,010 - 1,010 -
1,107 605,529 1,107 -
- -
6,649 6,649
- -

62 - 62 -
58 - 58 -
54 54
2,100 - 2,100 -
1,995 219,450 1,995 -
3,167 247,026 3,167 -
- -
145 145
- -
5,670 - 5,670 -
167 - 167 -
- -
3,000 3,000
292 - 292 -
260 - 260 -
257 257
- -
- -
- -
- -
211 211
120 - 120 -
105 105,000 105 -
514 - 514 -
508 - 508 -
524 524

85 - 85 -
70 - 70 -
75 196,650 75 -
- -
62 79,794 62 -
- -
- -
- -
77 77
- -
- -
- -

1,810 117,650 1,810 -

2,750 - 2,750 -
- -
4,323 207,504 4,323 -
1,020 - 1,020 -
1,349 - 1,349 -
1,340 36,180 1,340 -
2,639 - 2,639 -
2,475 2,475
- -
- -
3,038 3,038
3,250 - 3,250 -
3,414 3,414
20,700 62,100 20,700 -
11,475 - 11,475 -
11,825 11,825
2,000 - 2,000 -
4,840 - 4,840 -

39 - 39 -
105 301,560 105 -
159 - 159 -
114 - 114 -
48 - 48 -
32 - 32 -
56 - 56 -
59 59
- -
20 - 20 -
123 133,824 123 -
255 - 255 -
284 56,800 284 -
417 - 417 -
508 1,524,000 508 -
20 - 20 -
46 27,370 46 -
44 - 44 -
35 - 35 -
82 - 82 -
91 91
115 - 115 -
89 243,326 89 -

90 - 90 -
99 10,890 99 -
634 - 634 -
710 195,250 710 -
3,682 - 3,682 -
- -
154 26,180 154 -
- -
110 2,750 110 -

2,042 95,974 2,042 -


- -

2,850 - 2,850 -
44 - 44 -
32 - 32 -
1,097 16,455 1,097 -
1,095 - 1,095 -
51 - 51 -
22 - 22 -
23 23
154 - 154 -
123 73,185 123 -

56 25,480 56 -
96 - 96 -
6,001 - 6,001 -
4,700 - 4,700 -
6,410 - 6,410 -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

61,996 - 61,996 -
66,154 264,616 66,154 -
19,954 379,126 19,954 -
158,994 - 158,994 -
169,653 - 169,653 -
28,204 - 28,204 -
20,900 - 20,900 -
25,597 25,597
16,995 101,970 16,995 -
78,991 - 78,991 -
84,282 421,410 84,282 -
17,996 - 17,996 -
155,813 2,025,569 155,813 -
135,000 - 135,000 -

328,900 - 328,900 -
408,184 - 408,184 -
797,500 797,500 797,500 -
- -
- -
27,500 - 27,500 -
27,500 - 27,500 -
27,500 - 27,500 -
26,180 - 26,180 -
- -
129,470 - 129,470 -
411,950 - 411,950 -
217,745 - 217,745 -
2,017 - 2,017 -
16,667 33,334 16,667 -
- -

486,000 486,000 486,000 -

670,000 670,000 670,000 -

170,665 - 170,665 -
41,800 - 41,800 -

- -

1,152 34,560 1,152 -

- -
39,490 - 39,490 -
418,000 - 418,000 -
4,588 - 4,588 -
- -
- -
9,308 - 9,308 -
58,850 - 58,850 -

25,538,102.00 0.00
UPT PUSKESMAS PADASUKA
Nama Persediaan: BMHP APBD/DAK

Saldo Awal (31/12/2019)


No Jenis Barang Satuan Jumlah
Barang

ANTISEPTIK,DISINFEKTAN
150 Alkohol Swab Buah
151 Chlorin 10 % Liter
1 Etakridin 0,1 % Rivanol 300 ml Botol
153 Etanol 70 % 100 ml Botol
2 Kalium Permanganat (PK) 5 gram Botol
155 Kaporit 60% Tablet
3 Lisol 50 % 1000 ml Botol
157 Povidon Iodin lar 10 mg/ml Botol
158 Povidon Iodin lar 10 mg/ml Botol

ALKES HABIS PAKAI


4 Alat Suntik 1 ml Buah
5 Alat Suntik 1 ml Buah 300
182 Alat Suntik 10 ml Buah
183 Alat Suntik 20 ml Buah
6 Alat Suntik 3 ml Buah 100
Alat Suntik 3 ml Buah
7 Alat Suntik 5 ml Buah
186 Alat Suntik 50 ml Buah
8 Bisturi Buah
188 Blood Lancet Buah
189 Cat Gut Chromic/Benang Bedah No. 3.2 Buah
190 Endotrakeal No 3 Buah
191 Endotrakeal No 3.5 Buah
192 Endotrakeal No 4 Buah
193 Foley Kateter No 18 Buah
194 Foley Kateter No 20 Buah
195 Hecting Nald Buah
196 Infuset anak Buah
197 Infuset dewasa Buah
198 IV Catheter no. 18 Buah
199 IV Catheter no. 20 Buah
200 IV Catheter no. 22 Buah
201 IV Catheter no. 24 Buah
202 IV Catheter no. 26 Buah
203 Jarum Cytojek Buah
204 Jarum vacutainer Buah
205 Kaca Mulut Buah
206 Kaca Penutup / Dek glass Kotak
9 Kapas Pembalut Absorben 250 g Bks
10 Kassa Kompres 40 x 40 steril Bks 20
11 Kassa Pembalut 2 m x 80 cm Bks 28
210 Kassa Steril 16 cm x 16 cm Kotak
211 Kassa pembalut Hidrofil 4 cm x 15 cm Roll
212 Kassa pembalut Hidrofil 4 cm x 3 cm Roll
213 Kateter penghisap lendir No 10 Buah
214 Kateter penghisap lendir No 8 Buah
215 Kertas Perkamen Bks
216 Kondom buah
12 Masker Lembar
13 Masker Lembar 150
218 Masker N.95 Buah
219 Masker Oksigen Anak Buah
220 Masker Oksigen dewasa Buah
221 Oksigen can Buah
222 Pelicin Kondom Buah
14 Peneng Bayi Buah
15 Plastic Bandages Kotak
225 Plester Roll
16 Pot Sputum Buah 154
17 Sarung Tangan Non Steril Pasang 150
228 Sarung Tangan Panjang ginekolog Pasang
18 Sarung tangan Steril Pasang
230 Selang oksigen Anak Buah
231 Selang oksigen dewasa Buah
232 Sendok Obat Buah
233 Silk Buah
19 Slide Box 5
235 Spalk 30 cm Pasang
236 Tip pipet kuning/Putih Buah
237 Ultrasound gel 250 cc Botol
238 Urine Bag Buah
239 Vacutainer/Tabung spesimen darah + tutup Buah
240 Wing Needle no.27 G Buah

CETAKAN DAN EMBALAGE


20 Buku Resep Buku
20 Etiket Obat Biru Lembar
21 Etiket Obat putih Lembar
244 K.Obat Plastik 8 x 13 x 05 Kg
245 Kantong Obat Plastik 20 x 15 x 0.5 Kg
22 Kantong Obat Plastik 20 x 30 x 0.5 Kg

REAGENT HIV
247 Kontrol CD 4 kitt
248 Open CD 4 Test
249 Rapid Test HIV ( Fokus ) Test
23 Rapid Test HIV ( Biomeriux ) Test -
24 Rapid Test HIV ( Intec ) Test
25 Rapid Test HIV ( SD ) Test
26 Rapid Test HIV ( SD ) Test

REAGENT IMS
253 Pewarnaan gram Kit
254 RPR Antigen Test
255 TPHA Sypillis (Hexagon) Test
256 TPHA Sypillis (INTEC) Test
257 TPHA Sypillis (SD) Test
27 TPHA Sypillis (Standar Q) Test 118
REAGEN TB
28 Oli Imersi
259 PPD / Test Mantoux Vial
29 Reagent ZN Kit
30 Reagent ZN Kit 5

REAGENT HEPATITIS
31 HbIg Syringe
32 HBsAg (Intec) Test 97
33 HBsAg (SD) Test

34 Accu Check Performa Test Strip Dus '100 strip 20


265 Acon Hb Hemoglobin Strip Box 50 -
35 Anti-A Duoclone (10 ml) Vial -
36 Anti-B Duoclone (10 ml) Vial -
37 Anti-AB Duoclone (10 ml) Vial -
38 Anti-D Vial -
39 Cholesterol Liquid (Indo Reagen) Box '2x120mL 2
40 Uric Acid Liquid (Indo Reagen) Box '2x120mL 1
41 BUN (Ureum) Liquid (Indo Reagen) Box '2x150mL 1
42 Strip Urine 3 Parameter (Verify) Box '100 Strip 1
43 Cholesterol Family dr. Box 2
44 ALT (SGPT) Kitt 3
45 AST (SGOT) Kitt 3
46 Reagen NS1 Box/10 test 1
47 Glukosa + Standar (Indo Reagen) Box '2x120mL 2
48 Gram Set (Indoreagen) Box '3x100mL 2
49 Larvasida Abate 1gr Kg
50 Insectisida Gokilath 50 eC Liter
Cell Clean
Stromatolizer
Cell Pack
Rapid Antigen Covid-19 Standar Q Pcs
Rapid Antibody Covid-19 Biozek Pcs
Rapid Antibody Covid-19 VIVA DIAG Pcs
Rapid Test Buah
VTM Buah

Jumlah
Lampiran Berita Acara Perhitungan Stock Persediaan
per 30 Juni 2020

Saldo Awal (31/12/2019) Penambahan jan-jun 2020 Penggunaan jan-jun 202


Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Barang Barang
Rp Rp Rp Rp

- - -
- - -
- 6 - 6
2,500 - 64 2,500 160,000 55
- 20 - -
- - - -
41,000 - - 41,000 - -
- - - -
- - - -

1,540 - - 1,540 - -
647 194,082 400 647 258,776 370
- - - -
- - - -
- - - 100
1,138 - 1,100 1,138 1,251,800 657
1,600 - - 1,600 - -
- - - -
3,000 - - 3,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
13,400 - - 13,400 - -
1,618 32,360 - 1,618 - 10
7,700 215,600 30 7,700 231,000 22
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
400 - - 400 - -
360 54,000 1,150 360 414,000 1,300
- - - -
- - - -
- - - -
- - - -
- - - -
1,078 - - 1,078 - -
- - - -
- - - -
5,800 893,200 200 5,800 1,160,000 178
1,070 160,500 1,100 1,070 1,177,000 1,250
- - - -
4,000 - - 4,000 - -
- - - -
- - - -
- - - -
- - - -
19,700 98,500 - 19,700 - 2
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -

- - - -
6 - - 6 - -
6 - - 6 - -
- - - -
- - - -
27,533 - - 27,533 - -

- - - -
- - - -
- - - -
19,500 - - 19,500 - -
14,300 - - 14,300 - -
14,344 - - 14,344 - -
14,340 - - 14,340 - -

- - - -
- - - -
- - - -
- 50 - 50
- - - -
- - - 118

199,500 - - 199,500 - -
- - - -
276,500 - - 276,500 - -
252,200 1,261,000 - 252,200 - 2

1,325,000 - 2 1,325,000 2,650,000 2


4,600 446,200 - 4,600 - 97
9,870 - - 9,870 - -
- - - -
- - - -
420,000 8,400,000 - 420,000 - 6
- - - -
68,200 - - 68,200 - -
68,200 - - 68,200 - -
92,510 - - 92,510 - -
114,070 - - 114,070 - -
825,000 1,650,000 1 825,000 825,000 3
906,000 906,000 - 906,000 - 1
997,000 997,000 - 997,000 - 1
73,000 73,000 - 73,000 - 1
- - - 2
- - - 3
- - - 3
- - - -
- 1 - 2
- - - 2
89,650 - - 89,650 - -
541,756 - - 541,756 - -
- 1 - 1
- 1 - 1
- 1 - -
- 187 - 81
383,125 - 120 383,125 45,975,036 119
220,000 - 40 220,000 8,800,000 21
60 - 60
39 - 39

15,381,442 62,902,612
hitungan Stock Persediaan
uni 2020

Penggunaan jan-jun 2020 Saldo Akhir Kartu Persediaan(30/6/2020) Saldo Akhir Fisik (30/6/202
Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Barang Barang
Rp Rp Rp Rp

- -
- -
- -
2,500 137,500 9 2,500 22,500 9
- 20 - 20
- -
41,000 - 41,000 -
- -
- -

1,540 - 1,540 -
647 239,368 330 647 213,490 330
- -
- -
- -
1,138 747,666 443 1,138 504,134 443
1,600 - 1,600 -
- -
3,000 - 3,000 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
13,400 - 13,400 -
1,618 16,180 10 1,618 16,180 10
7,700 169,400 36 7,700 277,200 36
- -
- -
- -
- -
- -
- -
- -
400 - 400 -
360 468,000 360 -
- -
- -
- -
- -
- -
1,078 - 1,078 -
- -
- -
5,800 1,032,400 176 5,800 1,020,800 176
1,070 1,337,500 1,070 -
- -
4,000 - 4,000 -
- -
- -
- -
- -
19,700 39,400 3 19,700 59,100 3
- -
- -
- -
- -
- -
- -

- -
6 - 6 -
6 - 6 -
- -
- -
27,533 - 27,533 -

- -
- -
- -
19,500 - 19,500 -
14,300 - 14,300 -
14,344 - 14,344 -
14,340 - 14,340 -

- -
- -
- -
- -
- -
- -

199,500 - 199,500 -
- -
276,500 - 276,500 -
252,200 504,400 3 252,200 756,600 3

1,325,000 2,650,000 1,325,000 -


4,600 446,200 4,600 -
9,870 - 9,870 -
- -
- -
420,000 2,520,000 14 420,000 5,880,000 14
- -
68,200 - 68,200 -
68,200 - 68,200 -
92,510 - 92,510 -
114,070 - 114,070 -
825,000 2,475,000 825,000 -
906,000 906,000 906,000 -
997,000 997,000 997,000 -
73,000 73,000 73,000 -
- -
- -
- -
- 1 - 1
- 1 - 1
- -
89,650 - 89,650 -
541,756 - 541,756 -
- -
- -
- 1 - 1
- 106 - 106
383,125 45,591,911 1 383,125 383,125 1
220,000 4,620,000 19 220,000 4,180,000 19
0 0
0 0

64,970,925 13,313,130
Saldo Akhir Fisik (30/6/2020) Selisih
Jumlah Jumlah
Harga Satuan Jumlah Harga Harga Satuan
Barang Harga
Rp Rp Rp Rp

- 0 -
- 0 -
- 0 -
2,500 22,500 0 2,500 -
- 0 -
- 0 -
41,000 - 0 41,000 -
- 0 -
- 0 -

1,540 - 0 1,540 -
647 213,490 0 647 -
- 0 -
- 0 -
- 0 -
1,138 504,134 0 1,138 -
1,600 - 0 1,600 -
- 0 -
3,000 - 0 3,000 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
13,400 - 0 13,400 -
1,618 16,180 0 1,618 -
7,700 277,200 0 7,700 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
400 - 0 400 -
360 - 0 360 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
1,078 - 0 1,078 -
- 0 -
- 0 -
5,800 1,020,800 0 5,800 -
1,070 - 0 1,070 -
- 0 -
4,000 - 0 4,000 -
- 0 -
- 0 -
- 0 -
- 0 -
19,700 59,100 0 19,700 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -

- 0 -
6 - 0 6 -
6 - 0 6 -
- 0 -
- 0 -
27,533 - 0 27,533 -

- 0 -
- 0 -
- 0 -
19,500 - 0 19,500 -
14,300 - 0 14,300 -
14,344 - 0 14,344 -
14,340 - 0 14,340 -

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -

199,500 - 0 199,500 -
- 0 -
276,500 - 0 276,500 -
252,200 756,600 0 252,200 -

1,325,000 - 0 1,325,000 -
4,600 - 0 4,600 -
9,870 - 0 9,870 -
- 0 -
- 0 -
420,000 5,880,000 0 420,000 -
- 0 -
68,200 - 0 68,200 -
68,200 - 0 68,200 -
92,510 - 0 92,510 -
114,070 - 0 114,070 -
825,000 - 0 825,000 -
906,000 - 0 906,000 -
997,000 - 0 997,000 -
73,000 - 0 73,000 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
89,650 - 0 89,650 -
541,756 - 0 541,756 -
- 0 -
- 0 -
- 0 -
- 0 -
383,125 383,125 0 383,125 -
220,000 4,180,000 0 220,000 -
0
0

13,313,130 -
Lampiran Berita Acara Perhitungan Stock Persediaan
per 30 Juni 2020
UPT PUSKESMAS PADASUKA
Nama Persediaan: Obat APBD/DAK

Saldo Awal (31/12/2019)


No Jenis Barang Satuan Jumlah
Barang

LIFE SAVING
1 Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml Ampul -
2 Diazepam Lar Rektal 10 mg/ml Tube -
3 Epinefrin HCL Inj Ampul -
4 Kalsium Glukonat inj 100 mg / ml Ampul -
5 Mg Sulfat Inj 40 % - IV/10 vial Ampul 48
6 Oksitosin Inj 10 lU/ml 1 ml Ampul -
-
ANTIINFEKSI
7 Acyclovir tab 400 mg Tablet 443
8 Albendazol 400 mg Tablet 1,332
9 Amoksilin Kap. 250 mg Kapsul -
10 Amoksilin Kap. 250 mg Kapsul 1,900
11 Amoksilin Kap.500 mg Tablet 4,865
12 Amoksilin syr kering 125 mg/5 ml Botol -
13 Amoksilin syr kering 250 mg/5 ml Botol -
14 Amoksilin syr kering 250 mg/5 ml Botol 199
Amoksilin syr kering 250 mg/5 ml Botol
15 Amoksisilin Drops 100 mg/ml Botol -
16 Azitromisin 500 mg Kaplet -
17 Benzatin Benzil P 2,4 Vial -
18 Cefixim tab 100 mg Tablet -
19 Ciprofloxacin 500 mg Tablet -
20 Ciprofloxacin 500 mg Tablet -
21 Doxyciclin 100 mg Tablet -
22 Erytromicin 250 mg Tablet -
23 Erytromicin 500 mg Tablet -
24 Flukonazol kaps 150 mg Capsul -
25 Flukonazol kaps 50 mg Capsul -
26 Gentamisin 80 mg / 2ml inj Ampul -
27 Griseofulvin125 mg Tablet -
28 Isoniazide 100 mg Tablet 191
29 Isoniazide 300 mg Tablet -
30 Ketoconazole 200 mg Tablet -
31 Klindamisin 150 mg Capsul 400
32 Klindamisin 300 mg Capsul -
33 Klindamisin 300 mg Capsul -
34 Kloramfenikol 500 mg capsul Capsul -
35 Kloramfenikol susp 125 mg / 5 ml Botol -
36 Kombipak : Cefixim 400 mg + Azitrmicin 1000 mg Paket -
37 Kotrimoksazol Adult 480 mg Tablet -
38 Kotrimoksazol Adult 480 mg Tablet 1,000
39 Kotrimoksazol Suspensi 240 mg/5 ml Botol 50
40 Metronidazol 250 mg Tablet -
41 Metronidazol 500 mg Tablet -
42 Natrium Tiroksin Tablet -
43 Nistatin 100.000 IU/g tablet vagina Tablet -
44 Nistatin 100.000 IU/g tablet vagina Tablet 64
45 Nistatin susp 100.000 UI / ml Botol -
46 Obat Anti TBC Anak FDC Paket 2
47 Obat Anti TBC Kat I FDC Paket 5
48 Obat Anti TBC Kat II FDC Paket 3
49 Pyrazinamide 500 mg Tablet -
50 Pyrimethamine 25 mg Tablet -
51 Albendazol suspensi Botol 3
SALURAN PERNAPASAN
Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg
52 Vial 20
nebules
53 N-asetil sistein kaps 200 mg Kapsul 448
N-asetil sistein kaps 200 mg Kapsul
54 Salbutamol 2.5 mg nebules Vial -
55 Salbutamol 2 mg Tablet -
56 Salbutamol 2 mg Tablet 600

ANALGETIK,ANTIPIRETIK,ANTIINFLAMASI,AINS
57 Asam Mefenamat 500 mg Tablet 2,280
58 Betahistine mysilat 6 mg Tablet -
59 Etil Klorida Semprot 100 ml Botol -
60 Ibuprofen 400 mg Tablet -
61 Ibuprofen sirup 200 mg/ 5 ml Botol 21
Ibuprofen sirup 200 mg/ 5 ml Botol
62 Lidokain inj 2 % (infltr/p.v) Ampul 100
63 Na.Diklofenak 50 mg Tablet 3,050
64 Parasetamol 500 mg Tablet -
65 Parasetamol 500 mg Tablet -
66 Parasetamol 500 mg Tablet 8,657
67 Parasetamol syr 120 mg/5 ml 60 ml Botol -
68 Parasetamol syr 120 mg/5 ml 60 ml Botol -
69 Parasetamol syr 120 mg/5 ml 60 ml Botol 648
70 Parasetamol tts 60 mg / 0.6 ml Botol 152
Parasetamol tts 60 mg / 0.6 ml Botol
71 Piroksikam 10 mg Tablet -

SISTEM PENCERNAAN
72 Antasida DOEN Tablet -
73 Antasida DOEN Tablet 2,944
Antasida DOEN Tablet
74 Antasida DOEN susp Botol -
75 Antasida DOEN susp Botol 178
76 Antihemoroid suppositoria Supp 104
77 Atapulgit tab 600 mg Tablet 700
Atapulgit tab 600 mg Tablet
78 Bisakodil 5 mg Tablet -
79 Bisakodil supp 5 mg Supp -
80 Domperidon 10 mg Tablet 257
81 Domperidon sirup 5 mg/5 ml Botol 150
Domperidon sirup 5 mg/5 ml Botol
82 Garam Oralit 200 ml Sase -
83 Garam Oralit 200 ml Sase 509
Garam Oralit 200 ml Sase
84 Hiosina Butilbromida 10 mg Tablet -
85 Komb Kaolin 550 mg + pektin 20 mg Tablet -
86 Natrium Bicarbonat 500 mg Tablet -
87 Omeprazol 20 mg Capsul 479
Omeprazol 20 mg Capsul
88 Ranitidin tab 150 mg Tablet -
89 Ranitidin tab 150 mg Tablet -
90 Zinc dispersibel Tablet -
91 Zinc dispersibel Tablet 1,060
Zinc dispersibel Tablet

JANTUNG DAN PEMBULUH DARAH


92 Amlodipine 5 mg Tablet -
93 Amlodipine 5 mg Tablet -
94 Amlodipine 5 mg Tablet 5,424
95 Amlodipin 10 mg Tablet -
96 Captopril 12,5 mg Tablet 1,100
97 Captopril 25 mg Tablet -
98 Digoksin 0,25 mg Tablet -
99 Furosemid 40 mg Tablet 600
Furosemid 40 mg Tablet
100 Isosorbid Dinitrat 5 mg tablet Tablet -
101 Nifedipin tab 10 mg Tablet -
102 Spironolakton 25 mg Tablet -
-
OBAT MATA
103 Klorampenicol S.M 1 % Tube 120

OBAT KULIT
104 Acyclovir cream 5 % Tube -
105 Anti Bacteri DOEN SK Tube -
106 Antifungi SK Pot 48
107 Bedak Salisil serbuk 2 % Dus -
108 Betametason Crem 0,1 % Tube -
109 Betametason Crem 0,1 % Tube 75
110 Hidrokortison Crem 2,5 % Tube 122
Hidrokortison Crem 2,5 % Tube
111 Ketokonazol krim 2% Tube 150
112 Kloramfenikol SK 2% Tube 144
Kloramfenikol SK 2% Tube
113 Mikonazol krim 2% Tube 120
Mikonazol krim 2% Tube
114 Perak Sulfadiazin krim 1% Tube -
115 Permetrin Krim 5 % Tube 154
Permetrin Krim 5 % Tube
116 Salep 2-4 Pot 45
117 Ichtiol SK Pot -

VITAMIN DAN MINERAL


118 Asam Askorbat (Vit C) tab 50 mg Tablet -
119 Asam Askorbat (Vit C) tab 50 mg Tablet 2,659
120 Asam Askorbat (Vit C) tab 250 mg Tablet -
121 Asam Askorbat (Vit C) tab 250 mg Tablet -
122 Asam Folat 1 mg Tablet -
123 Kalsium laktat (kalk) tab 500 mg Tablet -
124 Kalsium laktat (kalk) tab 500 mg Tablet 4,048
Kalsium laktat (kalk) tab 500 mg Tablet
125 Mineral Mix Sase -
126 Piridoksin HCL 10 mg tablet Tablet -
127 Piridoksin HCL 10 mg tablet Tablet 2,555
128 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul -
129 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul 200
130 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul -
131 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul 3,000
132 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet -
133 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet 2,113
134 Tablet Tambah Darah/FE Tablet -
135 Thiamin HCL 50 mg Tablet -
136 Thiamin HCL 50 mg Tablet 2,192
Thiamin HCL 50 mg Tablet
137 Vit. B. Complex Tablet 2,206
138 Vit. B. Complex Tablet -

DARAH,AS URAT,KOLESTEROL
139 Alopurinol 100 mg Tablet -
140 Alopurinol 100 mg Tablet 700
141 Fitomenadion /Vit K 10 mg Tablet -
142 Fitomenadion /Vit K 10 mg Tablet 195
143 Fitomenadion /Vit K Inj 2 mg/ml Ampul -
144 Gemfibrozil 300 mg Tablet -
145 Metilergometrin Maleat 0,125 mg Tablet 200
146 Metilergometrin Maleat 0,200 mg /1ml inj Ampul -
147 Simvastatin 10 mg Tablet 1,701

MULUT,THT
148 Fenol Glicerol Tetes Telinga 10 % Botol 72
149 Oksimetazolin tts hidung 0,025% Botol -

ALERGI,KORTIKOSTEROID
150 Cetirizin sir 5 mg / 5 ml Botol -
151 Deksametason 0,5 mg tablet Tablet -
152 Deksametason 0,5 mg tablet Tablet -
153 Deksametason inj 5 mg / ml (i.v / i.m) Ampul -
154 Difenhidramin inj 10 mg / ml (i.v / i.m) Ampul 7
155 Klorfeniramin Maleat/CTM 4 mg Tablet -
156 Klorfeniramin Maleat/CTM 4 mg Tablet 2,304
Klorfeniramin Maleat/CTM 4 mg Tablet
157 Loratadine Tab 10 mg Tablet -
158 Loratadine Tab 10 mg Tablet 1,220

HORMON
159 Glibenklamid 5 mg tablet Tablet 660
160 Metformin tab 500 mg Tablet 6,863

INFUS,LAR STERIL
161 Aqua pro inj steril 20 ml Vial 20
162 Natrium Klorida Larutan Infus 0,9 % Labu -
163 Natrium Klorida Larutan Infus 0,9 % Labu 11
164 Ringer Laktat Larutan Infus Steril Labu -

NARKOTIKA, PSIKOTROPIKA & KESEHATAN JIWA


165 Amitriptilin tab sal 25 mg Tablet 259
166 Clozapine 25 mg Tablet -
167 Haloperidol tab 1,5 mg Tablet -
168 Haloperidol 5 mg Tablet -
169 Haloperidol inj. 5 Mg/ml Ampul -
170 Karbamazepin tab 200 mg Tablet -
171 Klorpromazine tab sal 100 mg Tablet -
172 Risperidon tab 2 mg Tablet 76
173 Triheksifenidil 2 mg Tablet 100
174 Diazepam 2 mg Tablet -
175 Fenobarbital 30 mg Tablet -
176 Kodein HCl 10 mg Tablet -
177 Haloperidol 2 mg Tablet 100
VAKSIN
178 BCG Vial -
179 BCG Vial 5
180 POLIO (bOPV) Vial 2
181 POLIO IPV 5 ds Vial 2
182 POLIO IPV 5 ds Vial -
183 CAMPAK Vial -
184 HB UNIJEK Pouch 18
HB UNIJEK Pouch
185 Td Vial -
186 DPT-HB-HIB (Pentabio) Vial -
187 DPT-HB-HIB (Pentabio) Vial 21
188 DT Vial -
189 MEASLES RUBELLA (MR)GAVI Vial 1
190 MENINGITIS Vial -

ALAT & BAHAN GIGI


191 Air Raksa Fls -
192 Alvogil Fls -
193 Amalgam Botol -
194 Articulating paper (kertas warna penanda oklusi) Buah -
195 Bahan tumpatan sementara (Temporary Fletcher) Buah -
196 Boor Low Fressure Buah -
197 Boor Low Inverted Buah -
198 Boor Low Round Buah -
199 Boor jet Inverted Buah -
200 Celluloid Strip Lembar -
201 Cement Zn Phospat Powder & Liquid Set -
202 Devitalisasi Pasta (Arsenik) Botol -
203 Devitalisasi Pasta (Non arsen) Botol -
204 Disclossing Botol -
205 Eugenol Botol 2
206 Formokresol (TKF) Botol -
Glass Ionomer ART (Atraumatic Restorative Treatment)
207 Buah -
Anterior/Fuji II
Glass Ionomer ART (Atraumatic Restorative Treatment)
208 Buah -
Posterior/Fuji IX
209 Kalsium Hidroksida Pasta (CaOH) Tube -
210 Klorfenol Kamfer Mentol (CHKM) Botol -

Komb : Deksametason asetat 0,1%, Thymol


211 Botol -
5%,Paraklorphenol 30%, campor 64% (Chresophene)

212 Komb : Lidokain HCl 2% + Epinefrin 1 : 80.000 inj 2 ml Ampul -

213 Komposit Resin Tube -


214 Matrix Band Roll -
215 Panasray Botol -
216 Pasta Gigi Tube -
217 Pasta Pengisi Saluran Akar Botol -
218 Pembersih noda gigi Buah -
219 Spongostan Buah -
220 Vaseline Pot -

Jumlah

Pengurus Barang

Puspita Sri Rahayu


NIP. 19890323 201503 2 004

Kepala UPT Puskesmas Padasuka

dr. Hj. Fetty Sugiharti, DK, MKM


NIP. 19640703 199002 2 001
Persediaan

Saldo Awal (31/12/2019)

Harga Satuan Jumlah Harga

Rp Rp
Jan Feb Mar Apr Mei Jun
- -
18,279 - 0 20
1,408 - 10 20 20
-
3,796 182,208
2,200 - 100

380 168,340 1300 1,300


400 532,800 10620
136 -
184 349,600
233 1,133,545 1000 1,000 3,000 300 1,000
-
4,045 -
3,400 676,600
3,628 240 120
-
-
-
-
347 -
265 -
-
-
-
-
-
-
224 - 100
145 27,695 500 500
-
288 - 300 100 100
715 286,000
527 -
578 -
-
-
-
135 -
125 125,000
2,145 107,250 50 50
-
-
-
480 -
560 35,840
13,900 - 5 6 2
214,985 429,970 10
389,344 1,946,720 16 16
1,297,889 3,893,667 5
-
-
4,000 12,000 1000

4,550 91,000
20
-
382 300 300
-
59 -
63 37,800 100 100 300

103 234,840 1000 1,000 1,000 1,500 500


-
175,000 - 2 2
-
-
4,465 36 36
1,221 122,100 250 200
115 350,750 3000 3,000 7,000 6,000 2,000
89 -
49 -
53 458,821 6000 6,000 5,000 3,000 2,000
1,438 -
1,010 -
1,107 717,336 500 500 100 100 500
-
6,649 56 56
-

62 -
58 170,752
54 1000 1000 4,000 5,000
2,100 -
1,995 355,110 100 100 150 50 50
3,167 329,368 30 30
-
145 600 300
-
5,670 -
167 42,919
-
3,000 50 50
292 -
260 132,340
257 200 200 500 500
-
-
-
-
211 240 240 60
120 -
105 - 1000
514 -
508 538,480
524 500 500 600 500

85 -
70 -
75 406,800 5100 2100 3,000 3,000 2,100 1,800
-
62 68,200 500 500
-
-
-
77 200 200
-
-
-
1,810 217,200

2,750 -
-
4,323 207,504
1,020 -
1,349 -
1,340 100,500
2,639 321,958
2,475 48 48 48 48
-
-
3,038 48 48
3,250 390,000
3,414 24 24
20,700 - 2 2
11,475 1,767,150
11,825 60
2,000 90,000
4,840 -

39 -
105 279,195 1000 1000 2,000 5,000
159 -
114 -
48 -
32 -
56 226,688
59 1500 1500 3,000 500
-
20 -
123 314,265 1000 1000 1,000 500 1,000 1,000
255 -
284 56,800
417 -
508 1,524,000
20 -
46 97,198 500 1000
44 -
35 -
82 179,744
91 2500 2500 2,000 1,000 1000
115 253,690
89 - 3500 3500 2,000 5,000 2000

90 -
99 69,300
634 -
710 138,450 100 100
3,682 -
-
154 30,800
-
110 187,110 450

2,042 147,024
-

2,850 -
44 -
32 -
1,097 - 20 20
1,095 7,665
51 -
22 50,688
23 2500 2500 2000 1500
154 -
123 150,060 1000 500

56 36,960
96 658,848

6,001 120,010
4,700 -
6,410 70,510
-

-
-
-
-
-
-
- 100
-
-
-
-
-
-

61,996 -
66,154 330,770 5 20
19,954 39,908 2 30 30 50
158,994 317,988
169,653 - 2 2
28,204 -
20,900 376,200
25,597 18 20 50 60
16,995 - 20 20
78,991 -
84,282 1,769,922 21 40 40 50
17,996 -
155,813 155,813 1 10 20 20
135,000 -

328,900 -
408,184 -
797,500 - 1
-
-
27,500 -
27,500 -
27,500 -
26,180 -
-
129,470 -
411,950 -
217,745 -
2,017 -
16,667 33,334
-

486,000 -
1
670,000 -
1
170,665 -
41,800 -

1,152 -
30
-
39,490 -
418,000 -
4,588 -
-
-
9,308 -
58,850 -

24,681,103.00

Bandung, 31 Desember 2019


Tim Pemeriksa:

4
Jumlah
0
20
50
0
0
100

2600
10620
0
0
6300
0
0
0
360
0
0
0
0
0
0
0
0
0
0
0
0
100
1000
0
500
0
0
0
0
0
0
0
0
100
0
0
0
0
0
13
10
32
5
0
0
1000

20
0
600
0
0
500

5000
0
4
0
0
72
450
21000
0
0
22000
0
0
1700
0
112
0

0
0
11000
0
450
60
0
900
0
0
0
0
100
0
0
1400
0
0
0
0
540
0
1000
0
0
2100
0
0
0
0
17100
0
1000
0
0
0
400
0
0
0
0

0
0
0
0
0
0
0
192
0
0
96
0
48
4
0
60
0
0
0
0
0
9000
0
0
0
0
0
6500
0
0
5500
0
0
0
0
0
1500
0
0
0
9000
0
16000

0
0
0
200
0
0
0
0
450

0
0

0
0
0
40
0
0
0
8500
0
1500

0
0

0
0
0
0

0
0
0
0
0
0
100
0
0
0
0
0
0

0
25
112
0
4
0
0
148
40
0
151
0
51
0

0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0

1
1
0
0

30
0
0
0
0
0
0
0
0
Lampiran Berita Acara Perhitungan Stock Persediaan
per 31 Des Tahun 2019
UPT PUSKESMAS PADASUKA
Nama Persediaan: BMHP APBD

No Jenis Barang Satuan Saldo Awal (31/1


Jumlah
Barang

ANTISEPTIK,DISINFEKTAN
1 Etakridin 0,1 % Rivanol 300 ml Botol
153 Etanol 70 % 100 ml Botol
2 Kalium Permanganat (PK) 5 gram Botol
155 Kaporit 60% Tablet
3 Lisol 50 % 1000 ml Botol
157 Povidon Iodin lar 10 mg/ml Botol
158 Povidon Iodin lar 10 mg/ml Botol

ALKES HABIS PAKAI


4 Alat Suntik 1 ml Buah
5 Alat Suntik 1 ml Buah 300
182 Alat Suntik 10 ml Buah
183 Alat Suntik 20 ml Buah
6 Alat Suntik 3 ml Buah 100
Alat Suntik 3 ml Buah
7 Alat Suntik 5 ml Buah
186 Alat Suntik 50 ml Buah
8 Bisturi Buah
188 Blood Lancet Buah
189 Cat Gut Chromic/Benang Bedah No. 3.2 Buah
190 Endotrakeal No 3 Buah
191 Endotrakeal No 3.5 Buah
192 Endotrakeal No 4 Buah
193 Foley Kateter No 18 Buah
194 Foley Kateter No 20 Buah
195 Hecting Nald Buah
196 Infuset anak Buah
197 Infuset dewasa Buah
198 IV Catheter no. 18 Buah
199 IV Catheter no. 20 Buah
200 IV Catheter no. 22 Buah
201 IV Catheter no. 24 Buah
202 IV Catheter no. 26 Buah
203 Jarum Cytojek Buah
204 Jarum vacutainer Buah
205 Kaca Mulut Buah
206 Kaca Penutup / Dek glass Kotak
9 Kapas Pembalut Absorben 250 g Bks
10 Kassa Kompres 40 x 40 steril Bks 20
11 Kassa Pembalut 2 m x 80 cm Bks 28
210 Kassa Steril 16 cm x 16 cm Kotak
211 Kassa pembalut Hidrofil 4 cm x 15 cm Roll
212 Kassa pembalut Hidrofil 4 cm x 3 cm Roll
213 Kateter penghisap lendir No 10 Buah
214 Kateter penghisap lendir No 8 Buah
215 Kertas Perkamen Bks
216 Kondom buah
12 Masker Lembar
13 Masker Lembar 150
218 Masker N.95 Buah
219 Masker Oksigen Anak Buah
220 Masker Oksigen dewasa Buah
221 Oksigen can Buah
222 Pelicin Kondom Buah
14 Peneng Bayi Buah
15 Plastic Bandages Kotak
225 Plester Roll
16 Pot Sputum Buah 154
17 Sarung Tangan Non Steril Pasang 150
228 Sarung Tangan Panjang ginekolog Pasang
18 Sarung tangan Steril Pasang
230 Selang oksigen Anak Buah
231 Selang oksigen dewasa Buah
232 Sendok Obat Buah
233 Silk Buah
19 Slide Box 5
235 Spalk 30 cm Pasang
236 Tip pipet kuning/Putih Buah
237 Ultrasound gel 250 cc Botol
238 Urine Bag Buah
239 Vacutainer/Tabung spesimen darah + tutup Buah
240 Wing Needle no.27 G Buah

VAKSIN
141 BCG Vial -
142 POLIO (bOPV) Vial -
143 POLIO IPV 5 ds Vial -
144 CAMPAK Vial -
145 HB UNIJEK Pouch -
146 Td Vial
147 DPT-HB-HIB (Pentabio) Vial
148 DT Vial
149 MEASLES RUBELLA (MR)GAVI Vial
MENINGITIS Vial -

CETAKAN DAN EMBALAGE


20 Buku Resep Buku
20 Etiket Obat Biru Lembar
21 Etiket Obat putih Lembar
244 K.Obat Plastik 8 x 13 x 05 Kg
245 Kantong Obat Plastik 20 x 15 x 0.5 Kg
22 Kantong Obat Plastik 20 x 30 x 0.5 Kg

REAGENT HIV
247 Kontrol CD 4 kitt
248 Open CD 4 Test
249 Rapid Test HIV ( Fokus ) Test
23 Rapid Test HIV ( Biomeriux ) Test -
24 Rapid Test HIV ( Intec ) Test
25 Rapid Test HIV ( SD ) Test
26 Rapid Test HIV ( SD ) Test

REAGENT IMS
253 Pewarnaan gram Kit
254 RPR Antigen Test
255 TPHA Sypillis (Hexagon) Test
256 TPHA Sypillis (INTEC) Test
257 TPHA Sypillis (SD) Test
27 TPHA Sypillis (Standar Q) Test 118
REAGEN TB
28 Oli Imersi
259 PPD / Test Mantoux Vial
29 Reagent ZN Kit
30 Reagent ZN Kit 5

REAGENT HEPATITIS
31 HbIg Syringe
32 HBsAg (Intec) Test 97
33 HBsAg (SD) Test

34 Accu Check Performa Test Strip Dus '100 strip 20


265 Acon Hb Hemoglobin Strip Box 50 -
35 Anti-A Duoclone (10 ml) Vial -
36 Anti-B Duoclone (10 ml) Vial -
37 Anti-AB Duoclone (10 ml) Vial -
38 Anti-D Vial -
39 Cholesterol Liquid (Indo Reagen) Box '2x120mL 2
40 Uric Acid Liquid (Indo Reagen) Box '2x120mL 1
41 BUN (Ureum) Liquid (Indo Reagen) Box '2x150mL 1
42 Strip Urine 3 Parameter (Verify) Box '100 Strip 1
43 Cholesterol Family dr. Box 2
44 ALT (SGPT) Kitt 3
45 AST (SGOT) Kitt 3
46 Reagen NS1 Box/10 test 1
47 Glukosa + Standar (Indo Reagen) Box '2x120mL 2
48 Gram Set (Indoreagen) Box '3x100mL 2
49 Larvasida Abate 1gr Kg
50 Insectisida Gokilath 50 eC Liter
Cell Clean
Stromatolizer
Cell Pack
Rapid Antigen Covid-19 Standar Q Pcs
Rapid Antibody Covid-19 Biozek Pcs
Rapid Antibody Covid-19 VIVA DIAG Pcs

Jumlah

Pengurus Barang

Puspita Sri Rahayu


NIP. 19890323 201503 2 004

Kepala UPT Puskesmas Padasuka

dr. Hj. Fetty Sugiharti, DK, MKM


NIP. 19640703 199002 2 001
Saldo Awal (31/12/2018)

Harga Satuan Jumlah Harga

Rp Rp

Jan feb mar apr mei


- 6
2,500 - 18 12 24
- 20
-
41,000 -
-
-

1,540 -
647 194,082 400
-
-
-
1,138 500 500
1,600 -
-
3,000 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
13,400 -
1,618 32,360
7,700 215,600 15 15
-
-
-
-
-
-
-
400 -
360 54,000 200 200 400 200 100
-
-
-
-
-
1,078 -
-
-
5,800 893,200 200
1,070 160,500 100 100 300 300
-
4,000 -
-
-
-
-
19,700 98,500
-
-
-
-
-
-

66,154 66,154
19,954 19,954
169,653 169,653
- -
25,597 25,597
16,995
84,282

155,813
- -

-
6 -
6 -
-
-
27,533 -

-
-
-
19,500 -
14,300 -
14,344 -
14,340 -

-
-
-
- 50
-
-

199,500 -
-
276,500 -
252,200 1,261,000

1,325,000 - 1 1
4,600 446,200
9,870 -
-
-
420,000 8,400,000
-
68,200 -
68,200 -
92,510 -
114,070 -
825,000 1,650,000 1
906,000 906,000
997,000 997,000
73,000 73,000
-
-
-
-
- 1
-
89,650 -
541,756 -
1
1
1

Bandung, 31 Desember 2019


Tim Pemeriksa:

4
jun
6
10 64
20
0
0
0
0

0
400
0
0
0
100 1100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
50 1150
0
0
0
0
0
0
0
0
200
300 1100
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
50
0
0

0
0
0
0

0
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
1
1
1
125 125
90 90
20 20