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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(L P L P O)
Kode Puskesmas : Bulan : Juli
Puskesmas : Moramo Tahun : 2021
Kecamatan : Moramo
Kabupaten : Konawe Selatan
Provinsi : Sulawesi Tenggara

Obat
Penerimaan rusak/Kadalu Pemberian
No. Nama Obat Satuan Kelas Stok Penerimaan Persediaan Pemakaian Sisa Stok Harga Satuan Total Harga Stok Permintaan
dari unit arsa
Terapi Awal IFK Optimum
Puskesmas
INPRES ASKES APBD LAIN2 JUMLAH
1 2 3 4 5 6 7 8 = 5+6+7 9 = 8-10 10 11 12 = 10 x 11 13 14 15 16 17 18 19 20
1 Abate btl1 kg 2 0 0 2 0 2 121,000 242,000 0
2 Acyclovir Krim tube 0 0 0 0 0 0 4,334 0 0
3 air untuk Injeksi 25 ml vial 40 0 0 40 0 40 2,860 114,400 0
4 Albendazole suspensi 200 mg/ 5 ml btl 5 ml 0 0 0 0 0 0 43636 0 0
5 Albendazole tablet 400 mg tab 1000 0 0 1000 0 1000 363 363,000 0
6 Acetyl Salicylic acid tab 100 0 0 100 0 100 108 10,800 0
7 Allylestrenol tablet 5 mg (Pregnolin) tab 0 0 0 0 0 0 4,299 0 0
8 Alopurinol tablet 100 mg tab 600 0 0 600 10 590 108 63,720 0
9 Alopurinol tablet 300 mg tab 800 0 0 800 0 800 210 168,000 0
10 Ambroxol sirup 15 mg/ml btl 60 ml 0 0 0 0 0 0 0 0 0
11 Ambroxol tablet 30 mg tab 400 2000 0 2400 1600 800 330 264,000 0
12 Amlodipin kaplet 10 mg tab 1200 0 0 1200 700 500 106 53,000 0
13 Amlodipin kaplet 5 mg tab 450 0 0 450 150 300 83 24,900 0
14 Aminofilin injeksi 24 mg/ml ampul 8 0 0 8 0 8 3,959 31,672 0
15 Aminofilin tablet /kapsul/kaplet 150 mg tab 0 0 0 0 0 0 155 0 0
16 Aminofilin tablet 200 mg tab 0 0 0 0 0 0 86 0 0
17 Amitriptilin 25 mg tab 32 0 0 32 0 32 168 5,376 0
18 Amoksisilin kaplet 500 mg kaplet 5000 0 0 5000 600 4400 241 1,060,400 0
19 Amoksisilin kaplet 250 mg kaplet 0 0 0 0 0 0 215 0 0
20 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 110 0 0 110 12 98 7,150 700,700 0
21 Amoksisilin sirup kering 250 mg/ 5 ml btl 60 ml 124 0 0 124 9 115 3991 458,965 0
22 Ampisilin serbuk inj. 1000 mg vial 0 0 0 0 0 0 4,700 0 0
23 Amoxicillin Tryhidrate 100 mg/ml (drops) Btl 10 ml 9 0 0 9 0 9 13,500 121,500 0
24 Antalgin inj. 250 mg - 2 ml ampul 0 0 0 0 0 0 1,500 0 0
25 Antasida DOEN I tablet kunyah tab 2000 0 0 2000 1190 810 61 49,410 0
26 Antasida DOEN II suspensi btl 60 ml 0 0 0 0 0 0 2,290 0 0
27 Antifungi DOEN salep kombinasi pot 51 0 0 51 0 51 5,395 275,145 0
28 Antihemoroid (Superhoid) supp 60 0 0 60 1 59 3,991 235,469 0
Anti bakteri DOEN salep kombinasi : basitrasin 500
29 IU/g + polimiksin 10.000 IU/g tube 0 0 0 0 0 0 3,642 0 0
Antiparkison DOEN tablet kombinasi : Benserazid 25
30 mg, Levodopa 100 mg (Levopar) tab 0 0 0 0 0 0 1650 0 0
31 Asam Askorbat (Vit. C) tablet 250 mg tab 0 0 0 0 0 0 167 0 0
32 Asam askorbat (Vit. C) tablet 50 mg tab 4200 0 0 4200 1600 2600 126 327,600 0
33 Asam Folat tablet 1 mg tab 0 0 0 0 0 0 127 0 0
34 Asam mefenamat tablet 500 mg tab 2900 0 0 2900 910 1990 290 577,100 0
35 Asam traneksamat Injeksi 250mg/ 5 ml ampul 26 0 0 26 0 26 1,929 50,154 0
36 Asetil Sistein 200 mg tab 0 0 0 0 0 0 431 0 0
37 Asiklovir tablet /kapsul/kaplet 200 mg tab 700 0 0 700 0 700 236 165,200 0
38 Asiklovir tablet 400 mg tab 1200 0 0 1200 0 1200 440 528,000 0
39 Atenolol (Beta Blok) tab 300 0 0 300 0 300 387 116,100 0
40 Atropin Sulfat tablet 0,25 mg/ml ampul 12 0 0 12 0 12 81 972 0
41 Attapulgit (Antides) tablet 630 mg tab 1000 0 0 1000 70 930 157 146,010 0
42 Baby Cough sirup (Anacetin) tab 113 0 0 113 18 95 8613 818,235 0
43 Betametason krim 0,1 % tube 27 0 0 27 0 27 3350 90,450 0
44 Becefort tab 900 0 0 900 900 0 1548 0 0
45 Betafort sirup 3 0 0 3 3 0 26230 0 0
46 Bisakodil supp 5 mg (Dulcolax) supp 6 0 0 6 0 6 6000 36,000 0
47 Bisakodil supp 10 mg (Dulcolax) supp 18 0 0 18 5 13 5900 76,700 0
48 Bioplacenton tube 2 0 0 2 1 1 19525 19,525 0
49 Bio Atp tab 0 0 0 0 0 0 2356 0 0
50 Betahistin Mesilat tablet 6 mg tab 200 900 0 1100 900 200 199 39,800 0
51 Captopril tablet 12,5 mg tab 2300 0 0 2300 300 2000 73 146,000 0
52 Captopril tablet 25 mg tab 1000 0 0 1000 0 1000 113 113,150 0
53 Cefadroxil kapsul 500 mg tab 1600 0 0 1600 500 1100 891 980,100 0
54 cefadroxil sirup 125 mg/5ml btl 35 0 0 35 2 33 4,360 143,880 0
55 Cetirizin 10 mg tab 400 0 0 400 400 0 1,100 0 0
56 cetirizin 5mg/5ml btl 83 0 0 83 0 83 3,035 251,905 0
57 Ciprofloxazin tablet 500 mg tab 1000 0 0 1000 280 720 700 504,000 0
Combivent UDV kombinasi : Ipatropium bromida 0.5
58 mg + Salbutamol 2.5 mg vial 0 0 0 0 0 0 4,550 0 0
59 Clozapine tab 300 0 0 300 0 300 300
60 Deksametason inj. 5 mg/ml - 1 ml ampul 3 0 0 3 0 3 1,278 3,834 0
61 Deksametason tablet 0.5 mg tab 3500 0 0 3500 1270 2230 140 312,200 0
62 Diazepam inj. 5 mg/ml - 2 ml vial 28 0 0 28 0 28 2,010 56,280 0
63 Diazepam rectal tube 10 mg/2,5 ml (Stesolid) tube 10 0 0 10 0 10 21,935 219,350 0
64 Diazepam rectal tube 5 mg/2,5 ml (Stesolid) tube 5 0 0 5 2 3 15,088 45,264 0
65 Diazepam tablet 2 mg tab 105 0 0 105 10 95 86 8,170 0
66 Dietilkarbamazine tablet 100 mg tab 0 0 0 0 0 0 1,160 0 0
67 Difenhidramin injeksi i.m. 10 mg/ml (HCl) vial 56 0 0 56 0 56 103 5,768 0
68 Digoksin tablet 0.2 mg tab 0 0 0 0 0 0 104 0 0
69 Diltiazem HCl tablet 30 mg tab 400 0 0 400 0 400 142 56,800 0
70 Dimenhidrinat tablet 50 mg kapsul 0 0 0 0 0 0 298 0 0
71 DHP (Dihidroartemisinin 40 mg piperaquin) tab 18 0 0 18 0 18 3,498 62,964 0
72 Doksisiklin kapsul 100 mg btl 60 ml 0 0 0 0 0 0 312 0 0
73 Domperidon suspensi 5 mg/5 ml tab 44 0 0 44 12 32 13,000 416,000 0
74 Domperidon tablet 10 mg tab 800 0 0 800 0 800 484 387,200 0
75 Epinefrin (adrenalin) inj. 0,1 % - 1 ml vial 0 0 0 0 0 0 522 0 0
76 Eritromisin 250 mg kapsul 200 0 0 200 0 200 666 133,200 0
77 Eritromisin 500 mg kapsul 0 0 0 0 0 0 8090 0 0
78 ergotamin 1 mg + kafein 50 mg tab 149 0 0 149 0 149 222 33,078 0
79 Eritromisin sirup kering 200 mg / 5 ml ampul 9 0 0 9 0 9 20,857 187,713 0
80 Etyl Klorida spray 100 ml botol 4 0 0 4 0 4 175,010 700,040 0
81 Fenitoin inj. 50 mg/ml ampul 10 0 0 10 0 10 1,980 19,800 0
82 Fenobarbital inj. 50 mg/ml - 2 ml ampul 90 0 0 90 0 90 2,380 214,200 0
83 Fenobarbital tablet 30 mg tab 1000 0 0 1000 0 1000 7,010 7,010,000 0
84 Fitomenadion (Vit. K) injeksi i.m 2 mg/ml ampul 0 0 0 0 0 0 4,420 0 0
85 Fitomenadion (Vit.K1) tablet 10 mg tab 170 0 0 170 0 170 0 0
86 Fitomenadion (Vitamin K1) injeksi 10 mg/ml ampul 98 0 0 98 3 95 1,595 151,525 0
87 Furosemid inj. 10 mg/ml ampul 0 0 0 0 0 0 1,413 0 0
88 Furosemid tablet 40 mg tab 280 0 0 280 0 280 82 22,960 0
89 Gentian violet larutan 1 % btl 56 0 0 56 2 54 4,345 234,630 0
90 Glibenklamida tablet 5 mg tab 1400 0 0 1400 100 1300 143 185,900 0
91 Glimeperide tablet 1 mg tab 0 1000 0 1000 100 900 174 156,600 0
92 Glimeperide tablet 2 mg tab 0 0 0 0 0 0 458 0 0
93 Gliseril guaiakolat tablet 100 mg tab 0 0 0 0 0 0 31 0 0
94 Gliserin lautan 50% btl 0 0 0 0 0 0 5,967 0 0
95 Glukosa larutan infus 10 % steril btl 20 0 0 20 0 20 8003 160,060 0
96 Glukosa larutan infus 40 % steril vial 0 0 0 0 0 0 15,976 0 0
97 Glukosa larutan infus 5 % steril btl 20 0 0 20 0 20 6,900 138,000 0
98 Griseofulvin tablet 125 mg tab 580 0 0 580 0 580 230 133,400 0
99 Hemafort ( Multivitamin & Mineral ) tab 0 0 0 0 0 0 8,349 0 0
100 Haloperidol tablet 0,5 mg tab 200 0 0 200 0 200 55 11,000 0
101 Haloperidol tablet 1,5 mg tab 500 0 0 500 0 500 59 29,500 0
102 Haloperidol tablet 5 mg tab 300 0 0 300 0 300 57 17,100 0
103 Hidroklorotiazid (HCT) tablet 25 mg tab 800 0 0 800 0 800 40 31,944 0
104 Hidrokortison krim 2,5 % tube 24 0 0 24 4 20 2,648 52,960 0
105 Ibuprofen Suspensi 100 mg/ 5 ml btl 12 0 0 12 12 0 5509 0 0
106 Ibuprofen tablet 200 mg tab 0 0 0 0 0 0 121 0 0
107 Ibuprofen tablet 400 mg tab 3200 0 0 3200 1460 1740 380 661,200 0
108 Isosorbit dinitrat tab sublingual 5 mg tab 250 0 0 250 0 250 107 26,773 0
109 Interhistine tab 900 0 0 900 0 900 60 54,000 0
110 kandesartan tab 8 mg tab 60 0 0 60 10 50 207 0
111 kaporit 15 kg 1 0 0 1 1 0 40,333 0 0
112 Kalsium glukonat 100 mg/ml vial 0 0 0 0 0 0 7,800 0 0
113 Kalsium Laktat Tablet 500 mg tab 1700 0 0 1700 20 1680 60 100,800 0
114 Karbamazepin tablet 200 mg tab 200 0 0 200 0 200 252 50,400 0
115 Phenol Glycerol btl 19 0 0 19 0 19 2764 52,516 0
116 Ketokonazol krim 2% tube 49 0 0 49 0 49 2790 136,710 0
117 Ketokonazol tablet 200 mg tab 570 0 0 570 30 540 270 145,800 0
118 Ketorolac injeksi 10 mg ampul 0 0 0 0 0 0 2,665 0 0
119 ketorolac injeksi 30 mg ampul 50 0 0 50 13 37 1,144 42,328 0
120 Kloramfenikol kapsul 500 mg kapsul 0 0 0 0 0 0 254 0 0
121 Kloramfenikol kapsul 250 mg kapsul 0 0 0 0 0 0 275 0 0
122 Kloramfenikol salep kulit 2% (Bufacetin) tube 0 0 0 0 0 0 3416 0 0
123 Kloramfenikol salep mata 1 % tube 48 0 0 48 24 24 2013 48,312 0
124 Kloramfenikol suspensi 125 mg/5 ml btl 0 0 0 0 0 0 5500 0 0
125 Klorfeniramin maleat (CTM) tablet 4 mg tab 0 0 0 0 0 0 54 0 0
126 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) ampul 0 0 0 0 0 0 1,045 0 0
127 Klorpromazin tablet salut 100 mg (HCl) tab 300 0 0 300 0 300 3,622 1,086,600 0
128 Klorpromazin tablet salut 25 mg (HCl) tab 0 0 0 0 0 0 50 0 0
129 Kodein tab 10 mg tab 160 0 0 160 0 160 685 109,600 0
130 Kotrimoksazol suspensi btl 98 0 0 98 0 98 2,115 207,270 0
131 Kotrimoksazol tablet 480 mg tab 400 0 0 400 0 400 138 55,200 0
132 Kotrimoksazol tablet pediatrik tab 0 0 0 0 0 0 83 0 0
133 kompolax botol 37 0 0 37 2 35 5,971 208,985 0
134 Kuinin (Kina) tablet 200 mg tab 180 0 0 180 0 180 836 150,480 0
135 Lidocaine comp. inj. 2% - 2 ml ampul 0 0 0 0 0 0 1,467 0 0
136 Lidocaine inj 2% + Epineprine ampul 53 60 0 113 88 25 924 23,100 0
137 Loratadin tablet 10 mg tab 0 0 0 0 0 0 150 0 0
138 Lubricant Jely tube 0 0 0 0 0 0 38,488 0 0
139 Magnesium Sulfat inj. 20% vial 0 0 0 0 0 0 1,540 0 0
140 Magnesium Sulfat inj. 40% vial 9 0 0 9 0 9 2,629 23,661 0
141 Metformin tablet 500 mg tab 900 2000 0 2900 1940 960 86 82,560 0
142 metformin tablet 850 mg tab 0 0 0 0 0 0 168 0 0
Methyl prednisolon tab 700 0 0 700 570 130 115 14,950 0
143 Metilergometrin maleat inj. 0,2 mg/ml - 1 ml ampul 19 0 0 19 0 19 3,421 64,999 0
144 Metilergometrin maleat tab. 0,125 mg tab 0 0 0 0 0 0 169 0 0
145 Metoklopramid Syrup botol 0 0 0 0 0 0 2,900 0 0
146 Metoklopramide tablet 10 mg tab 600 0 0 600 0 600 87 52,200 0
147 Metronidazol suspensi btl 60 ml 41 0 0 41 0 41 3950 161,950 0
148 Metronidazol tablet 250 mg tab 100 0 0 100 0 100 97 9,700 0
149 Metronidazol tablet 500 mg tab 800 0 0 800 0 800 240 192,000 0
150 MDT MB Dewasa blister 0 0 0 0 0 0 39,880 0 0
151 Mikonazol krim/salep 2 % tube 26 0 0 26 26 0 4,097 0 0
152 NaCl larutan infus 0,9 % btl 144 0 0 144 24 120 6,410 769,200 0
153 Natrium Diklofenak tablet 25 mg tab 750 0 0 750 600 150 127 19,050 0
154 Natrium Diklofenak tablet 50 mg tab 1700 0 0 1700 750 950 146 138,700 0
155 Natrium levo-tiroksin tablet 100 ug (Euthyrox) tab 0 0 0 0 0 0 1,550 0 0
156 Nifedipin tablet 10 mg tab 20 0 0 20 0 20 142 2,838 0
157 Nistatin tablet salut 500.000 IU/ g tab 100 0 0 100 0 100 1,014 101,400 0
158 Nistatin vaginal tablet 100.000 IU/ g tab 134 0 0 134 0 134 628 84,152 0
159 Norepinefrin injeksi 1 mg/ml (Levosol inj) ampul 0 0 0 0 0 0 56595 0 0
160 OAT kategori anak FDC paket 0 0 0 0 0 0 189,200 0 0
161 OAT kategori I FDC paket 0 0 0 0 0 0 396,000 0 0
162 OAT kategori I kombipak paket 0 0 0 0 0 0 236,000 0 0
163 OAT kategori II FDC paket 0 0 0 0 0 0 1,320,000 0 0
164 OAT kategori sisipan FDC paket 0 0 0 0 0 0 160,000 0 0
165 Oksitetrasiklin HCl inj. 50 mg/ml vial 0 0 0 0 0 0 3,410 0 0
166 Oksitetrasiklin salep mata tube 36 0 0 36 11 25 2,774 69,350 0
167 Oksitosin inj. 10 IU/ml - 1 ml ampul 139 0 0 139 19 120 1,287 154,440 0
168 omeprazol kapsul 20 mg kspsul 2370 0 0 2370 900 1470 153 224,910 0
169 Omeprazol Serbuk injrk 40 mg vial 0 0 0 0 0 0 11,868 0 0
170 ondansetron inj 2 mg/ml ampul 10 0 0 10 10 0 1,312 0 0
171 Oralit 200 sacet 300 0 0 300 10 290 275 79,750 0
172 Otopain ear drop botol 8 ml btl 0 0 0 0 0 0 73,810 0 0
173 Papaverin tablet 40 mg tab 0 0 0 0 0 0 128 0 0
174 Parasetamol drops btl 49 0 0 49 0 49 7,979 390,971 0
175 Parasetamol sirup 120 mg/5ml btl 60 ml 130 0 0 130 30 100 5,500 550,000 0
176 Parasetamol tablet 500 mg tab 4800 0 0 4800 2760 2040 165 336,600 0
177 Parasetamol Infus 10 mg/ml vial 17 0 0 17 13 4 11,990 47,960 0
178 Permetrin krim 5% tube 4 0 0 4 4 0 11825 0 0
179 phenytoin sodium injeksi vial 10 0 0 10 0 10 2,021 20,210 0
180 Piracetam tablet 800 mg tab 0 0 0 0 0 0 16,850 0 0
181 Pirantel suspensi 125 mg/ml btl 0 0 0 0 0 0 11,600 0 0
182 Pirantel tablet score (base) 125 mg tab 0 0 0 0 0 0 345 0 0
183 Piridoksin HCl (Vit. B6) tablet 10 mg tab 2100 0 0 2100 300 1800 148 266,400 0
184 Piridoksin HCl (Vit. B6) injeksi100 mg vial 5 0 0 5 5 0 1,195 0 0
185 Piroksikam kapsul/kaplet/tablet 10 mg kapsul 0 0 0 0 0 0 68 0 0
186 Piroksikam kapsul/kaplet/tablet 20 mg kapsul 0 0 0 0 0 0 92 0 0
187 poli (Albothyil) btl 10 ml 9 0 0 9 0 9 28,996 260,964 0
188 Prednison tablet 5 mg tab 300 0 0 300 170 130 79 10,270 0
189 Primakuin tablet 15 mg tab 100 0 0 100 0 100 205 20,500 0
190 Probenesid tablet 500 mg tab 0 0 0 0 0 0 1815 0 0
191 Prokain benzil penisilin serbuk inj. 3 jt IU vial 0 0 0 0 0 0 6,780 0 0
192 Procurma Plus Suspensi btl 0 0 0 0 0 0 13816 0 0
193 Propanolol tablet 10 mg (HCl) tab 170 0 0 170 0 170 80 13,600 0
194 Propanolol tablet 40 mg (HCl) tab 0 0 0 0 0 0 114 0 0
195 Propiltiourasil (PTU) tablet 100 mg tab 0 0 0 0 0 0 351 0 0
196 Ranitidin inj. 50 mg/2ml ampul 125 0 0 125 16 109 2,569 280,021 0
197 Ranitidin tablet 150 mg tab 1700 0 0 1700 640 1060 245 259,700 0
198 Ringer Laktat larutan infus ( 1000 ml ) btl 0 0 0 0 0 0 5,720 0 0
199 Ringer Laktat larutan infus ( 500 ml ) btl 283 0 0 283 153 130 7,630 991,900 0
200 Ripamfisin kapsul 300 mg kapsul 0 0 0 0 0 0 670 0 0
201 Salbutamol tablet 2 mg (sebagai Sulfat) tab 300 0 0 300 40 260 64 16,640 0
202 Salbutamol tablet 4 mg (sebagai Sulfat) tab 0 0 0 0 0 0 81 0 0
203 Salbutamol sirup 2 mg/5 ml botol 0 0 0 0 0 0 4,446 0 0
204 Salbutamol sulfat 100 mcg/dosis (Salbulin) Botol 0 0 0 0 0 0 34,681 0 0
205 Salep Ichtiol pot 15 g 8 0 0 8 0 8 8,415 67,320 0
206 Salep 2-4 kombinasi pot 15 0 0 15 7 8 3,143 25,144 0
207 Salisil Bedak 2 % pot 18 0 0 18 12 6 6,215 37,290 0
208 Seftriakson injeksi 1 g vial 0 0 0 0 0 0 2,707 0 0
209 Serum Anti Tetanus ampul 0 0 0 0 0 0 13,099 0
210 Sianokobalamin (Vit. B12) tab 2000 0 0 2000 1000 1000 50 50,000 0
211 Sianokobalamin Injeksi ampul 90 0 0 90 11 79 126 9,954 0
212 Simvastatin 20 mg tab 1000 0 0 1000 30 970 247 239,590 0
212 Simvastatin 10 mg tab 400 0 0 400 330 70 73 5,110 0
213 Spironolakton tablet 25 mg tab 80 0 0 80 10 70 226 15,820 0
214 Tablet tambah darah kombinasi kaplet 480 0 0 480 480 0 420 0 0
215 Tetrasiklin HCl kapsul 250 mg kapsul 0 0 0 0 0 0 162 0 0
216 Tetrasiklin HCl kapsul 500 mg kapsul 440 0 0 440 0 440 341 150,040 0
217 Triheksifenidil 2 mg tab 986 0 0 986 0 986 99 97,614 0
218 Thiamin (Vit. B1) tablet 50 mg tab 800 0 0 800 0 800 90 72,000 0
219 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0 0 0 0 0 0 843 0 0
220 Vitamin A kapsul 100.000 IU kapsul 200 0 0 200 200 0 341 0 0
221 Vitamin A kapsul 200.000 IU kapsul 200 0 0 200 200 0 609 0 0
222 Vitamin B kompleks tab 0 0 0 0 0 0 141 0 0
223 zink tablet 20mg tab 900 0 0 900 100 800 631 504,800 0
224 Zinc sirup (Interzinc) btl 78 0 0 78 18 60 3,449 206,940 0
JUMLAH 30,924,020
PERBEKKES (BMHP)
1 Alat suntik sekali pakai 0,05 ml set 300 0 0 300 0 300 1,456 436,800
2 Alat Suntik Sekali pakai 0,5 ml set 200 0 0 200 0 200 1,500 300,000
3 Alat suntik sekali pakai 1 ml set 118 0 0 118 18 100 900 90,000
4 Alat suntik sekali pakai 2,5 ml set 117 0 0 117 47 70 653 45,710
5 Alat suntik sekali pakai 3 ml set 240 0 0 240 19 221 802 177,242
6 Alat suntik sekali pakai 5 ml set 236 0 0 236 12 224 963 215,712
7 Alat suntik sekali pakai 10 ml set 7 0 0 7 0 7 1,163 8,141
8 Alat suntik sekali pakai 20 ml set 3 0 0 3 0 3 1,803 5,409
9 Alkohol Swab box 11 0 0 11 1 10 13,344 133,440
10 Alkohol 70% btl 1 liter 5 0 0 5 0 5 37638 188,190
11 Aseptan 500 cc+ pump botol 0 0 0 0 0 0 16,008 0
Blood Lanset box 0 0 0 0 0 0 14,377
12 Catgut/benang bedah No. 3/0 (plain) dgn jarum set 108 0 0 108 48 60 33,646 2,018,760
13 catgut/benang bedah No.4/0 DS 37 mm set 0 0 0 0 0 0 43,830 0
14 Etakridin (Rivanol) larutan 0,1% btl 0 0 0 0 0 0 5,170 0
15 Etanol 70 % larutan btl 100 ml 0 0 0 0 0 0 5,000 0
16 Foley catheter No. 16 set 3 0 0 3 0 3 20,700 62,100
17 Foley catheter No. 10 set 4 0 0 4 0 4 64,540 258,160
18 Gea Nasal Oxygen Cannula Dewasa Pcs 14 0 0 14 0 14 5,140 71,960
19 Gea Urine bag t-type pcs 11 0 0 11 0 11 5,568 61,248
20 Hand schun Non-Steril ukuran (L) box 4 0 0 4 0 4 207,000.00 828,000
21 Hand schun Non-Steril ukuran (M) box 1 20 0 21 12 9 207,000.00 1,863,000
22 Hand schun Non-Steril ukuran (S) box 0 0 0 0 0 0 510.62 0
23 Hand schun Non-Steril ukuran (XS) box 0 0 0 0 0 0 476 0
24 Hand schun Steril 6,5 pasang 65 0 0 65 0 65 4680 304,200
25 Hand schun Steril 7 pasang 40 0 0 40 0 40 4680 187,200
26 Hand schun Steril 7.5 pasang 100 0 0 100 7 93 5620 522,660
27 Hand Sanitizer Medikacare 0,5%/5L Jergen 0 0 0 0 0 0 5620 0
28 Hand Sanitizer Medikacare 0,5%/500 ml botol 0 0 0 0 0 0 59009 0
29 I.V. Catheter No. 16 set 38 0 0 38 0 38 8700 330,600
30 I.V. Catheter No. 18 set 90 0 0 90 10 80 8,700 696,000
31 I.V. Catheter No. 20 set 150 0 0 150 12 138 8,700 1,200,600
32 I.V. Catheter No. 22 set 285 0 0 285 70 215 6,862 1,475,330
33 I.V. Catheter No. 24 set 24 0 0 24 0 24 8,700 208,800
34 I.V. Catheter No. 26 set 47 0 0 47 2 45 4,715 212,175
35 I.V Canula Catheter Set 17 0 0 17 0 17 0
36 Infuset anak (60 drops/ml) set 84 0 0 84 4 80 7,920 633,600
37 Infuset dewasa (15 drops/ml) set 120 0 0 120 52 68 5,440 369,920
38 Kapas 500 gram roll 8 0 0 8 2 6 31372 188,232
39 Kaca Slide set 144 0 0 144 0 144 144 20,736
40 Kasa hidrofil 40 y (36 m) x 80 cm set 7 0 0 7 0 7 140,000 980,000
41 Kasa Steril uk 16 x 16 box 54 0 0 54 13 41 8,000 328,000
42 Kasa pembalut hidrofil 4 m X 10 cm set 40 0 0 40 10 30 12,000 360,000
43 Kasa kompres 40x40 m pcs 55 0 0 55 0 55 1,098 60,390
44 Lisol (Creolin) btl 1 liter 4 0 0 4 0 4 49,200 196,800
45 Masker Hijab dus 10 0 0 10 0 10 21,242 212,420
46 Masker Kain Pcs 100 0 0 100 0 100 5,500 550,000
47 Masker N95 Pieces 0 0 0 0 0 0 21,000 0
48 onemed Dermafix box 11 0 0 11 0 11 2,360 25,960
49 Plasterin Non Woven 5 cm x 5 cm roll 0 0 0 0 0 0 27,324 0
50 Pharmafix Plester roll 8 0 0 8 4 4 30,000 120,000
51 Paper Tape Ukuran 5,0 cm x 9,14 cm box 0 0 0 0 0 0 16,225 0
52 Povidon Iodida 10 % (300 ml) btl 3 0 0 3 0 3 17,862 53,586
53 Pot Dahak pot 80 0 0 80 13 67 2,675 179,225
54 Rivanol 300 ml btl 3 0 0 3 0 3 3315 9,945
55 Silk (Benang Bedah Sutera) No. 3/0 set 102 0 0 102 0 102 21,310 2,173,572
56 Sarung Tangan Obgyn pcs 40 0 0 40 0 40 22,264 890,560
57 Suction Catheter pcs 11 0 0 11 0 11 3,596 39,556
Surgical gown pcs 0 10 0 10 10 0 110,000 0
58 Ultra One Test Hamil pcs 0 0 0 0 0 0 2,133 0
59 Humasens plus unit 0 0 0 0 0 0 0
60 Humasens plus Glucosa Test Strips dus/25 test 0 0 0 0 0 0 259,800 0
61 Humasens plus Total Cholesterol Strips dus/20 test 0 0 0 0 0 0 550,471 0
62 Humasens plus Uric Acid Test Strips dus/25 test 0 0 0 0 0 0 548,300 0
63 rapid test antigen set 75 40 0 115 112 3 52,250 156,750
64 Malaria Pan PF/Cassete Box 125 0 0 125 0 125 24,500 3,062,500
65 cover all pieces 0 10 0 10 0 10 0
66 VTM set 6 0 0 6 0 6 1,320,000 7,920,000
JUMLAH 29,696,389
BAHAN/OBAT UNTUK GIGI 0
1 Bahan cetak (aroma alginat) bks 500g 0 0 0 0 0 0 0 0
2 1370A3 Z250 Syringe Refill-shadw A3-LA/APAC syringe 0 0 0 0 0 0 555,500 0
3 41266 Single Bond Universal RF Vial EE syringe 0 0 0 0 0 0 1,033,600 0
4 Betadine Kumur 190 ml botol 0 0 0 0 0 0 29,535 0
5 Caviton white botol 0 0 0 0 0 0 0 0
6 klorfenol kamfer mentol (CHKM) btl 10 ml 0 0 0 0 0 0 0 0
7 EDTA Solution Denpro btl 0 0 0 0 0 0 0 0
8 Endoseal Denpro btl serbuk 14 g 0 0 0 0 0 0 0 0
9 Eugenol btl 3 0 0 3 0 3 22,598 67,794
10 Gutta Percha Dentplus 15-40 box 0 0 0 0 0 0 0 0
11 Hemostal 15 ml Denpro btl 0 0 0 0 0 0 136,400 0
12 master Flow Biodinamica syringe 0 0 0 0 0 0 0 0
13 Mummifying paste (pasta iodoform) btl 10 g 0 0 0 0 0 0 0 0
14 Paper Point Dentplus15-40 box 0 0 0 0 0 0 0 0
15 Pulp X (Devitalizer) Denpro btl 6 g 0 0 0 0 0 0 0 0
16 pumish pak 500 g 0 0 0 0 0 0 0 0
17 Stoping temporary (flecther) serbuk Pot 100 g 0 0 0 0 0 0 0 0
18 Viltex Z250 tube 4 g 0 0 0 0 0 0 0 0
JUMLAH 67,794
REAGEN
1 Reagen Pemeriksaan Gol. Darah (ABO) 2 0 0 2 0 2 413,600 827,200
2 Reagen TB (Ziehl Neesen) Paket 0 0 0 0 0 0 263,997 0 1
TOTAL HARGA 827,200

RAPID
1 Pipet Set 0 0 0 0 0 0
2 SD HIV (Rapid 1) Set 0 0 0 0 0 0 22,350 0
3 Anuscopy Pcs 1 0 0 1 0 1 30,000 30,000
4 Biologi × micropipet tips200 Box 0 0 0 0 0 0 900,000 0
5 Mikropipet tips 60 Bngkus 0 0 0 0 0 0 179 0
6 mikropipet tips 61 bgks 0 0 0 0 0 0 231 0
7 PH Paper Box 0 0 0 0 0 0 236,500 0
8 Rapid sifilis set 200 0 0 200 0 200 20,400 4,080,000
9 Rapid HBSAg Set 100 0 0 100 0 100 321,585 32,158,500
10 Rapid DBD Set 30 0 0 30 0 30
11 RPR Kit tes 50 0 0 50 0 50 7,865 393,250
12 Safety Box Pcs 0 0 0 0 0 0 19,949 0

TOTAL HARGA 36,661,750

UMUM
TOTAL
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR
98,177,153

Mengetahui Yang Menyerakan Mengetahui, Pertugas Farmasi


Kepala Dinas Kesehatan Kepala Instalasi Farmasi Kepala Puskesmas
Kab. Konawe Selatan Kab. Konawe Selatan

Nugrah Novianti, S.Farm., Apt


dr.H.Maharayu ,M.Kes Maryoto, S.Farm., Apt Hj.Lisna,SKM NIP -
NIP. 196412201998031003 NIP. 19791215 200903 1 002 NIP. 197109301992032002