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KODE URAIAN NILAI

PER 31 DESEMBER 2020


117199 PERSEDIAAN LAINNYA
1010401001 OBAT CAIR(PERSEDIAAN LAINNYA) 8,154,054
000025 Abilify Maintena Inj 1,965,117
000084 Ambroxol Syrup 75,240
000100 Amoxicillin Syr 73,920
000103 Antasida Syr 26,550
000108 Benzatin Penisillin 2,4juta IU 300,150
000110 Buscopan Inj 513,645
000115 Cefadroksil syr 40,800
000116 Cefixime Syr 815,100
000118 Ceftriaxone Inj 1 gr 1,370,547
000122 Cefuroxim 750 mg Inj 1,498,750
000134 Cetirizine Syr 75,240
000150 Diphenhydramin Inj 55,950
000155 Domperidone Syr 29,920
000168 Flamicort 40 Inj 660,000
000173 Flamicort Inj 653,125
1010401002 OBAT PADAT(PERSEDIAAN LAINNYA) 21,949,106
000176 Abilify 15 mg 10,746,000
000368 Abilify 5 mg 270,259
000383 Abilify Dismelt 10 mg 1,612,380
000384 Acetylsistein 200 mg 109,560
000387 Acyclovir 400 124,000
000398 Acyclovir 5% SK 30,464
000406 Akarbose Tab 84,870
000407 Allupurinol 300 mg 100,800
000408 Ambroxol Tab 52,800
000420 Amlodipin 5 mg 27,600
000430 Amlodipine 10 mg 43,680
000446 Amoxicillin Tab 99,000
000450 Antasida Doen 12,750
000451 Arcavit C tab 277,200
000453 Asam Mefenamat 500 mg 138,500
000474 Aspilets Tab 174,900
000480 Bedak Salicyl 102,816
000489 Betahistine Tab 38,500
000501 Betametasone 0,1% 5 gr SK 126,511
000502 Bioralit (Oralit) 32,175
000503 Bisoprolol 5 mg Tab 71,070
000510 Ca. Lactat 19,800
000531 Candesartan 16 mg 345,807
000540 Candesartan 8 mg 81,749
000541 Captopril 25 mg 9,100
000552 Cavicur 56,870
000556 Cefadroksil Kaps 66,000
000573 Cefixime 100 Tab 179,520
000574 Cetirizine tab 66,500
000579 Channa Kapsul 509,130
000581 Ciprofloxacin 277,200
000583 Citicolin 1000 tablet 401,280
000584 Clindamycin Kaps 252,100
000585 Clozapin 100 mg 591,840
000587 Clozapin 25 mg 89,680
000589 Combivent 364,000
000610 Cotrimoxazol 48,000
000612 CTM 3,500
000614 Depakote 250 mg 420,000
000616 Depakote ER 500 mg 1,185,600
000621 Desoximethasone cream 953,924
000626 Dexamethasone Tab 18,150
000635 Diaramid 24,000
000636 Eperisone Hcl 109,300
000637 Erythromycin 500 mg Tab 60,000
000638 Etambutol 500 mg 243,576
000639 Farizol Syr 62,040
000640 Farmalat Tab 60,000
000646 Glibenclamide 20,240
000647 Glucodex Tab 83,600
000650 Glucosamin 108,625
000651 Griseofolvin 82,800
000652 Harnal ocas 879,340
1010401999 86,941,242
000650 Folamef 26,400
000651 Fridep 749,491
000000 Fucilex Cream 469,392
000001 Furamin Inj 242,000
000002 Furosemide Tab 7,320
000003 Gaba Pentin 300 mg 476,520
000004 Gentamicin Inj 210,623
000005 Gentamicin Salap 307,781
000006 GG 62,800
000007 Hexymer Tab 100,793
000008 Hidrokortison 2,5 gr SK 184,909
000009 Ibuprofen 400 mg 31,680
000012 Invega Sustenna 1,985,802
000029 Isoniazid 100 mg 40,801
000034 Isoniazid 300 mg 60,522
000035 Isosorbide Dinitrate 5 mg 12,700
000050 Itraconazole kaps 1,325,060
000062 Ketoconazol 200 mg 87,142
000063 Ketokonazole 2% Cream 770,000
000067 Ketorolac Inj 30% 459,994
000068 Kloramfenicol 1% Salep 182,779
000069 Kutoin Kaps 365,310
000073 Lacbon Tab 15,730
000075 Lansoprazole Kaps 351,120
000090 Lecozinc Tab 62,000
000116 Lerzin drop 57,750
000125 Levofloxacin 500 mg 99,600
000145 Liverprime Kaps 727,600
000154 Loratadine 47,520
000159 Mecobalamin Inj 500 mg 77,911
000160 Mecobalamin Tab 198,000
000167 Meloxicam 15 mg 159,500
000168 Meloxicam 7,5 Tab 6,336
000170 Methyl Prednisolon 4 mg Tab 75,600
000171 Methylergometrin Tab 155,940
000172 Metil prednisolon Inj 256,549
000175 Metronidazol Tab 43,560
000177 Micardis 80 mg 649,080
000181 Miconazole 2 % Salap 282,665
000186 Misoprostol tab 404,800
000204 Mometason Furoat cream 519,750
000215 Na. Diclofenak 69,560
000218 Natrium Bicarbonat Tab 5,940
000244 Neo Diaform 53,130
000247 Neurobion 5000 Inj 735,420
000248 Neurodex Tab 306,900
000254 Nexitra 645,750
000264 Nitral 42,000
000271 Norages Inj 1,763,520
000278 Nutrimama 1 152,679
000283 Nystatin Drop 2,879,786
000285 Obdhamin Kaps 1,051,875
000349 Omeprazole Inj 40 mg 2,219,181
000350 Omeprazole Kapsul 290,400
000356 Ondansentron Inj 213,858
000369 Ondansentron Tab 122,750
000388 Osvion Plus 1,806,750
000415 Pantoprazole Inj 168,300
000457 Paracetamol 243,000
000458 Paracetamol Drop 75,900
000468 Paracetamol Syrup 182,160
000472 Phylocin Syr 157,080
000473 Piracetam 400 mg 32,525
000488 Piracetam 800 mg 176,600
000505 Piracetam Inj 121,000
000510 Piroxicam 20 mg 13,000
000511 PK Kristal 90,000
000512 Pletaal SR 2,436,000
000513 Protofen Supp 20,760
000514 Pyrazinamide 500 mg 16,168
000516 Rafacort 517,275
000563 Ramipiril 44,099
000564 Ranitidine Inj 25 mg 475,200
000580 Ranitidine Tab 62,304
000581 Rebamipide Tab 297,280
000582 Rifampicin 600 mg 189,970
000584 Risperidon 2 mg Tab 50,050
000585 Salbutamol 2 mg 124,300
000590 Scabimite Cream 1,234,530
000652 Sebivo Tab 1,075,400
000673 Sikzonoat Inj 1,452,000
000674 Simvastatin 20 mg 326,700
000675 Sistenol Kaplet 83,600
000676 Sotatic Inj 62,462
000677 Spironolacton 25 mg 17,653
000678 Stelosi 5 mg 44,550
000679 Sulfasalazin 118,800
000680 Symbicort dose 160/120 149,265
000681 Tanapress 5 mg 306,130
000682 Thyrozol 10 mg 385,800
000683 Thyrozol 5 mg 207,900
000684 Trajenta 5 mg 520,440
000685 Tramadol Inj 50 mg 495,000
000686 Trampara 836,304
000687 Ventolin Inhaler 239,580
000688 Vertilon 118,800
000689 Viccilin SX 351,018
000690 Vit B6 8,200
000691 Vit K Inj 381,239
000692 Vitamin B Kompleks 17,800
000693 Vitamin C 25 mg pot 27,000
000694 Vitamin C 50 mg 60,000
000695 Vitamin K Tab 87,300
000696 Xylocain Inj 543,276
000697 Xylocaine spray 189,107
000698 Zinc syr 33,264
000699 Lipepsa Syr 273,240
000700 Pantocain Eye Drop 73,370
000701 Pregabalin 75 mg 2,477,475
000702 Vidon Tab 47,520
000703 Univit Syr 74,052
000704 Propofol Inj 82,500
000705 Abocate No.18 313,500
000706 Abocate No.20 940,500
000707 Abocate No.22 1,881,000
000708 Abocate No.24 1,567,500
000709 Alkohol Swab sensi 388
000710 Aximed Fixation 5 x 10 492,434
000711 Bisturi No.11 Gea 77,000
000712 Blood Transfusion set Gea 1,445,400
000713 Dengue rapid WB 2,420,000
000714 Framicetin Sulfat 488,400
000715 HIV Strip 1,056,000
000716 Medika Alkohol 70% 1 L 112,200
000717 Microdrip E.B 1,679,920
000718 Needle flashback 2,662
000719 NGT Stomach tube No.14 Terumo 24,859
000720 NGT Stomach tube No.16 Terumo 62,148
000721 Object Glass 66,000
000722 Onemed Plaster bulat 40,250
000723 Otsu Y-set adaptor 4,199,800
000724 Povidon Iodin 1 L 612,180
000725 Spuit 1 cc Nipro 613,140
000726 Syringe 10 cc Terumo 1,381,900
000727 Syringe 3 cc Terumo 700,200
000728 Syringe 5 cc Terumo 761,500
000729 T-Chromic 3-0 C43 3,180,000
000730 Tegaderm 9x10 345,625
000731 Tegaderm 9x25 cm 434,700
000732 Thermometer Digital Omron 144,001
000733 T-Lene 2-0 Tapper L36 6,333,600
000734 T-Lene 3-0 L19 883,200
000735 T-Plain 2-0 P31 682,800
000736 T-Silk 1 S84 604,800
000737 T-Vio 1 Tapper V16 1,733,600
000738 T-Vio 2-0 Tapper V8 926,400
000739 T-Vio 2-0 Tapper V9 1,749,600
000740 T-Vio 3-0 Tapper V4 1,689,600
000741 T-Vio 4-0 V1 910,800
000742 T-Vio 5-0 Tapper V38 890,400
000743 Vaculab k3 EDTA 3 ml 1,254,000
000744 Wing needle No.25 166,816
000745 Spuit 20 cc Nipro 94,050
000746 T-Lene 6-0 L42 771,100
000747 Onemed manset monitor Anak 223,918
000748 Onemed manset monitor Bayi 111,959
000749 Onemed manset monitor Dewasa 223,918
000750 Torniquet 42,900
117,044,402

Keterangan:
1. Persediaan senilai Rp. 0,- dalam kondisi rusak.
2. Persediaan senilai Rp. 0,- dalam kondisi usang.
BANDA ACEH, 31 Desember 2020
Disetujui tanggal : 31 Desember 2020
Kuasa Pengguna Barang, Petugas Pengelola Persediaan
KARUMKIT BHAYANGKARA BANDA ACEH KASUBBAGRENMIN RUMKIT

dr. DENNY HERRY WARDHANA AIDA ROMAINA, SKM


KOMISARIS POLISI NRP. 77040991 PENATA NIP. 198409072006042002
1 1,965,117
19 3,960
24 3,080
9 2,950
18 16,675
15 34,243
6 6,800
65 12,540
230 5,959
50 29,975
15 5,016
30 1,865
8 3,740
5 132,000
5 130,625

180 59,700
10 27,026
70 23,034
100 1,096
250 496
56 544
123 690
200 504
400 132
300 92
240 182
300 330
150 85
400 693
500 277
300 583
16 6,426
350 110
62 2,041
75 429
300 237
300 66
330 1,048
150 545
100 91
100 569
100 660
200 898
700 95
90 5,657
700 396
38 10,560
100 2,521
180 3,288
80 1,121
80 4,550
200 240
100 35
350 1,200
200 5,928
79 12,075
300 61
200 120
100 1,093
40 1,500
408 597
12 5,170
200 300
110 184
200 418
79 1,375
200 414
140 6,281

200 132
73 10,267
96 4,890
20 12,100
60 122
150 3,177
45 4,681
129 2,386
400 157
238 424
73 2,533
100 317
1 1,985,802
227 180
231 262
100 127
317 4,180
233 374
100 7,700
176 2,614
89 2,054
270 1,353
10 1,573
380 924
200 310
5 11,550
100 996
100 7,276
150 317
17 4,583
300 660
250 638
16 396
300 252
600 260
21 12,217
200 218
120 5,409
72 3,926
92 4,400
35 14,850
370 188
100 59
210 253
60 12,257
600 512
350 1,845
30 1,400
320 5,511
15 10,179
140 20,570
250 4,208
190 11,680
660 440
170 1,258
250 491
250 7,227
9 18,700
1500 162
10 7,590
72 2,530
17 9,240
80 407
200 883
20 6,050
100 130
15 6,000
420 5,800
120 173
43 376
150 3,449
180 245
240 1,980
400 156
160 1,858
157 1,210
175 286
1100 113
29 42,570
38 28,300
20 72,600
1350 242
38 2,200
14 4,462
127 139
81 550
60 1,980
3 49,755
121 2,530
300 1,286
330 630
30 17,348
100 4,950
242 3,456
2 119,790
200 594
9 39,002
200 41
90 4,236
200 89
600 45
500 120
100 873
9 60,364
1 189,107
6 5,544
18 15,180
5 14,674
630 3,933
200 238
17 4,356
5 16,500
50 6,270
150 6,270
300 6,270
250 6,270
2 194
11 44,767
100 770
150 9,636
2 1,210,000
48 10,175
1 1,056,000
6 18,700
200 8,400
1 2,662
2 12,430
5 12,430
3 22,000
1 40,250
500 8,400
12 51,015
600 1,022
1000 1,382
600 1,167
500 1,523
60 53,000
25 13,825
36 12,075
2 72,001
84 75,400
12 73,600
12 56,900
12 50,400
22 78,800
12 77,200
24 72,900
24 70,400
12 75,900
12 74,200
6 209,000
32 5,213
45 2,090
11 70,100
2 111,959
1 111,959
2 111,959
3 14,300
KODE URAIAN

Jumlah

Keterangan: BANDA ACEH, 31 Desember 2020


1. Persediaan senilai Rp. 0,- dalam kondisi rusak. Petugas Pengelola Persediaan, KASUBBAGRENMIN
2. Persediaan senilai Rp. 0,- dalam kondisi usang. BHAYANGKARA
Disetujui tanggal : 31 Desember 2020 Kuasa Pengguna Barang, AIDA ROMAINA, SKM PENATA NIP. 1984090720
KARUMKIT BHAYANGKARA BANDA ACEH
dr. DENNY HERRY WARDHANA KOMISARIS POLISI NRP. 77040991
NILAI
PER 31 DESEMBER 2020
117,044,402

H, 31 Desember 2020
lola Persediaan, KASUBBAGRENMIN RUMKIT
ARA
INA, SKM PENATA NIP. 198409072006042002