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Persediaan Obat Sumber Dana Kapitasi Bpjs Kesehatan Puskesmas SP Iii Trans Kecamatan Sekadau Hilir Tahun 2017

This document summarizes the inventory and usage of medical supplies from May to December 2017 at a community health center in Sekadau Hilir, Indonesia. It lists 25 items in the inventory including medications, medical equipment, and supplies. For each item it shows the opening stock in May, quantity procured, unit price, total price, quantity used and total price each month. Major items procured included a sterilizer, oxygen regulator, suction pump and various medications. Over the 7 month period over 12,000 units were used with a total spent of over 7 million rupiah.

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Afina Ainan Fariha
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42 views7 pages

Persediaan Obat Sumber Dana Kapitasi Bpjs Kesehatan Puskesmas SP Iii Trans Kecamatan Sekadau Hilir Tahun 2017

This document summarizes the inventory and usage of medical supplies from May to December 2017 at a community health center in Sekadau Hilir, Indonesia. It lists 25 items in the inventory including medications, medical equipment, and supplies. For each item it shows the opening stock in May, quantity procured, unit price, total price, quantity used and total price each month. Major items procured included a sterilizer, oxygen regulator, suction pump and various medications. Over the 7 month period over 12,000 units were used with a total spent of over 7 million rupiah.

Uploaded by

Afina Ainan Fariha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PERSEDIAAN OBAT SUMBER DANA KAPITASI BPJS KESEHATAN

PUSKESMAS SP III TRANS KECAMATAN SEKADAU HILIR TAHUN 2017

Pengeluaran Mei s/d Desesember 2017 dan Sisa Stok 31 Desember 2017

STOK PENGADAAN Jumlah Persediaan


NO NAMA BARANG Harga Satuan (Rp) Pengeluaran Mei Pengeluaran Juni Pengeluaran Juli Pengeluaran Agst Pengeluaran Sept Pengeluaran Okt Pengeluaran Nov Pengeluaran Des
MEI (Rp)
Bara Harga Bara Harga Bara Harga Bara Harga Bara Harga Bara Harga Bara Harga Bara
ng ng ng ng ng ng ng ng
1 Catgut Silk3/0 15 pcs Rp 13,800 Rp 207,000
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
2 Selang O2 Dewsa 2 pcs Rp 15,000 Rp 30,000
0 Rp - 0 Rp - 1 Rp 15,000 1 Rp 15,000 0 Rp - 0 Rp - 0 Rp - 0
3 Plaster 5 x 4,5 M 4 pcs Rp 37,000 Rp 148,000
1 Rp 37,000 1 Rp 37,000 1 Rp 37,000 1 Rp 37,000 1 Rp 37,000 0 Rp - 0 Rp - 0
4 Infus Set Anak 50 pcs Rp 10,000 Rp 500,000
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
5 Underpad 5 pak/10 pcs Rp 65,000 Rp 325,000
1 Rp 65,000 1 Rp 65,000 1 Rp 65,000 1 Rp 65,000 1 Rp 65,000 0 Rp - 0 Rp - 0
6 IV Catether No. 20 28 pcs Rp 10,000 Rp 280,000
5 Rp 50,000 5 Rp 50,000 5 Rp 50,000 5 Rp 50,000 5 Rp 50,000 3 Rp 30,000 0 Rp - 0
7 IV Cether No. 24 28 pcs Rp 10,000 Rp 280,000
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
8 H2O2 / Peroksida 800 ml 3 btl Rp 35,000 Rp 105,000
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
9 Urine Bag 8 pcs Rp 8,300 Rp 66,400
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
10 Sterilisator 1 pcs Rp 2,627,000 Rp 2,627,000
1 Rp 2,627,000 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
11 Regulator O2 3 pcs Rp 324,000 Rp 972,000
3 Rp 972,000 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
12 Suction Pump 1 pcs Rp 2,397,180 Rp 2,397,180
1 Rp 2,397,180 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0
13 Faridexon 0,5 mg 50 bx Rp 10,300 Rp 515,000
10 Rp 103,000 10 Rp 103,000 10 Rp 103,000 5 Rp 51,500 5 Rp 51,500 5 Rp 51,500 5 Rp 51,500
14 Holimox 125 mg syr 134 btl Rp 5,000 Rp 670,000
20 Rp 100,000 20 Rp 100,000 20 Rp 100,000 20 Rp 100,000 10 Rp 50,000 10 Rp 50,000 10 Rp 50,000 15
15 Prednison 30 bx Rp 17,500 Rp 525,000
3 Rp 52,500 3 Rp 52,500 3 Rp 52,500 3 Rp 52,500 3 Rp 52,500 3 Rp 52,500 1 Rp 17,500
16 Ondan ceentron inj 10 bx Rp 43,000 Rp 430,000
2 Rp 86,000 3 Rp 129,000 Rp - 3 Rp 129,000 2 Rp 86,000 0 Rp - 0 Rp - 0
17 Glibenclamide 5 mg 20 bx Rp 13,000 Rp 260,000
2 Rp 26,000 2 Rp 26,000 2 Rp 26,000 2 Rp 26,000 1 Rp 13,000 1 Rp 13,000 0 Rp - 0
18 CTM 4 mg 43 bx Rp 5,000 Rp 215,000
5 Rp 25,000 5 Rp 25,000 5 Rp 25,000 5 Rp 25,000 3 Rp 15,000 3 Rp 15,000 3 Rp 15,000 1
19 Ranitidine inj 30 bx Rp 34,500 Rp 1,035,000
2 Rp 69,000 1 Rp 34,500 1 Rp 34,500 2 Rp 69,000 2 Rp 69,000 1 Rp 34,500 1 Rp 34,500 1
20 Novabion 20 bx Rp 24,300 Rp 486,000
5 Rp 121,500 5 Rp 121,500 5 Rp 121,500 5 Rp 121,500 0 Rp - 0 Rp - 0 Rp - 0
21 Cyclofem 2 bx Rp 215,000 Rp 430,000
1 Rp 215,000 0 Rp - 0 Rp - 0 Rp - 1 Rp 215,000 0 Rp - 0 Rp - 0
22 Depo 3 bln 4 bx Rp 197,000 Rp 788,000
1 Rp 197,000 0 Rp - 0 Rp - 1 Rp 197,000 0 Rp - 1 Rp 197,000 Rp - 1
23 Pilkab 6 bx Rp 69,800 Rp 418,800
1 Rp 69,800 0 Rp - 0 Rp - 0 Rp - 1 Rp 69,800 0 Rp - 0 Rp - 0
24 Combivent Nebu 29 vial Rp 15,000 Rp 435,000
5 Rp 75,000 3 Rp 45,000 2 Rp 30,000 4 Rp 60,000 6 Rp 90,000 3 Rp 45,000 3 Rp 45,000 3
25 Farbion inj 19 ampul Rp 7,000 Rp 133,000
10 Rp 70,000 3 Rp 21,000 3 Rp 21,000 0 Rp - 1 Rp 7,000 1 Rp 7,000 1 Rp 7,000 0
26 Omeprazol 20 bx Rp 14,500 Rp 290,000
3 Rp 43,500 5 Rp 72,500 4 Rp 58,000 3 Rp 43,500 3 Rp 43,500 2 Rp 29,000 0 Rp - 0
27 Gitas inj 5 bx Rp 170,000 Rp 850,000
1 Rp 170,000 0 Rp - 1 Rp 170,000 0 Rp - 1 Rp 170,000 0 Rp - 0 Rp -
28 Daryantull 5 bx Rp 241,000 Rp 1,205,000
0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0

SP III Trans,
Pengurus Barang Pembantu Puskesmas Petugas Obat Puskesmas

Mengetahui HENDRIKUS SURYADI.A,Md.Far


Kuasa Pengguna Barang / NIP : 19900212 201403 1 001
Kepala Puskesmas SP III Trans

SELAMET SUBAGIO
NIP. 19681021 198911 1 001
Pengeluaran Des Stok 31 Desember

Harga Bara Harga


ng

Rp - 15 Rp 207,000

Rp - 0 Rp -

Rp - 0 Rp -

Rp - 50 Rp 500,000

Rp - 0 Rp -

Rp - 0 Rp -

Rp - 28 Rp 280,000

Rp - 2 Rp 70,000

Rp - 8 Rp 66,400

Rp - 0 Rp -

Rp - 0 Rp -

Rp - 0 Rp -

Rp - 0 Rp -

Rp 75,000 9 Rp 45,000

Rp - 11 Rp 192,500

Rp - 0 Rp -

Rp - 10 Rp 130,000

Rp 5,000 13 Rp 65,000

Rp 34,500 19 Rp 655,500

Rp - 0 Rp -

Rp - 0 Rp -

Rp 197,000 0 Rp -

Rp - 4 Rp 279,200
Rp 45,000 0 Rp -

Rp - 0 Rp - Rp 16,623,380

Rp - 0 Rp - Rp 5,996,180

Rp - 2 Rp 340,000 Rp 10,627,200

Rp - 5 Rp 1,205,000

Petugas Obat Puskesmas

HENDRIKUS SURYADI.A,Md.Far
NIP : 19900212 201403 1 001
PERSEDIAAN OBAT SUMBER DANA KAPITASI BPJS KESEHATAN
PUSKESMAS SP III TRANS KECAMATAN SEKADAU HILIR TAHUN 2017

Jumlah Persediaan Terpakai

NO NAMA BARANG Satuan STOK PENGADAA TOTAL Rusak/ Total Sisa Stock 31 Harga Satuan
Penggu ED/ Pemakai Des 17
AWAL N TAHUN BARANG naan Retur
2017 2017 PERSEDIAAN an
1 2 3 4 5 6=(4+5) 7 8 9=7+8 10=(6-9) 11
1 Catgut Silk3/0 pcs 0 15 15 0 0 0 15 Rp 13,800
2 Selang O2 Dewsa pcs 0 2 2 2 0 2 0 Rp 15,000
3 Plaster 5 x 4,5 M pcs 0 4 4 4 0 4 0 Rp 37,000
4 Infus Set Anak pcs 0 50 50 0 0 0 50 Rp 10,000
5 Underpad pak/10 pcs 0 5 5 5 0 5 0 Rp 65,000
6 IV Catether No. 20 pcs 0 28 28 28 0 28 0 Rp 10,000
7 IV Cether No. 24 pcs 0 28 28 0 0 0 28 Rp 10,000
8 H2O2 / Peroksida 800 ml btl 0 3 3 0 0 0 3 Rp 35,000
9 Urine Bag pcs 0 8 8 0 0 0 8 Rp 8,300
13 Faridexon 0,5 mg bx 0 50 50 50 0 50 0 Rp 10,300
14 Holimox 125 mg syr btl 0 134 134 125 0 125 9 Rp 5,000
15 Prednison bx 0 30 30 19 0 19 11 Rp 17,500
16 Ondan ceentron inj bx 0 10 10 10 0 10 0 Rp 43,000
17 Glibenclamide 5 mg bx 0 20 20 10 0 10 10 Rp 13,000
18 CTM 4 mg bx 0 43 43 30 0 30 13 Rp 5,000
19 Ranitidine inj bx 0 30 30 11 0 11 19 Rp 34,500
20 Novabion bx 0 20 20 20 0 20 0 Rp 24,300
21 Cyclofem bx 0 2 2 2 0 2 0 Rp 215,000
22 Depo 3 bln bx 0 4 4 4 0 4 0 Rp 197,000
23 Pilkab bx 0 6 6 2 0 2 4 Rp 69,800
24 Combivent Nebu vial 0 29 29 0 29 29 0 Rp 15,000
25 Farbion inj ampul 0 19 19 19 0 19 0 Rp 7,000
26 Omeprazol bx 0 20 20 20 0 20 0 Rp 14,500
27 Gitas inj bx 0 5 5 3 0 3 2 Rp 170,000
28 Daryantull bx 0 5 5 0 0 0 5 Rp 241,000

Mengetahui SP III Trans,


Kepala Puskesmas SP III Trans Pengelola Obat dari Kapitasi JKN
Puskesmas SP III Trans

SELAMET SUBAGIO HENDRIKUS SURYADI.A,Md.Far


NIP. 19681021 198911 1 001 NIP : 19900212 201403 1 001
TAN
N 2017

Jumlah Total Keteran


(Sisa Stok) gan

12=(10x11) 13 sisa terpakai


Rp 207,000 Rp 207,000 Rp 207,000 Rp -
Rp - Rp 30,000 Rp - Rp 30,000

Rp - Rp 148,000 Rp - Rp 148,000
Rp 500,000 Rp 500,000 Rp 500,000 Rp -
Rp - Rp 325,000 Rp - Rp 325,000
Rp - Rp 280,000 Rp - Rp 280,000

Rp 280,000 Rp 280,000 Rp 280,000 Rp -


Rp 105,000 Rp 105,000 Rp 105,000 Rp -
Rp 66,400 Rp 66,400 Rp 66,400 Rp -

Rp - Rp 515,000 Rp - Rp 515,000
Rp 45,000 Rp 670,000 Rp 45,000 Rp 625,000
Rp 192,500 Rp 525,000 Rp 192,500 Rp 332,500

Rp - Rp 430,000 Rp - Rp 430,000
Rp 130,000 Rp 260,000 Rp 130,000 Rp 130,000
Rp 65,000 Rp 215,000 Rp 65,000 Rp 150,000

Rp 655,500 Rp1,035,000 Rp 655,500 Rp 379,500


Rp - Rp 486,000 Rp - Rp 486,000
Rp - Rp 430,000 Rp - Rp 430,000
Rp - Rp 788,000 Rp - Rp 788,000

Rp 279,200 Rp 418,800 Rp 279,200 Rp 139,600


Rp - Rp 435,000 Rp - Rp 435,000
Rp - Rp 133,000 Rp - Rp 133,000

Rp - Rp 290,000 Rp - Rp 290,000
Rp 340,000 Rp 850,000 Rp 340,000 Rp 510,000
Rp 1,205,000 Rp1,205,000 Rp1,205,000 Rp -

TOTAL Rp 10,627,200 Rp4,070,600 Rp 6,556,600 Rp 10,627,200

18 April 2018
engelola Obat dari Kapitasi JKN
Puskesmas SP III Trans

HENDRIKUS SURYADI.A,Md.Far
NIP : 19900212 201403 1 001
PERSEDIAAN ALKES SUMBER DANA KAPITASI BPJS KESEHATAN
PUSKESMAS SP III TRANS KECAMATAN SEKADAU HILIR TAHUN 2017

Jumlah Persediaan Terpakai


Sisa Stock 31
NO NAMA BARANG Satuan STOK AWAL PENGADAAN Rusak/ED/ Total Harga Satuan Jumlah Total (Sisa Stok) Keterangan
Des 17
2017 TAHUN 2017 TOTAL BARANG Penggunaan Retur Pemakaian
PERSEDIAAN
1 2 3 4 5 6=(4+5) 7 8 9=7+8 10=(6-9) 11 12=(10x11) 13 Rp 2,627,000
1 Sterilisator pcs 0 1 1 1 0 1 0 Rp 2,627,000 Rp - Rp 972,000
2 Regulator O2 pcs 0 3 3 3 0 3 0 Rp 324,000 Rp - Rp 2,397,180
3 Suction Pump pcs 0 1 1 1 0 1 0 Rp 2,397,180 Rp - Rp -

Rp 5,996,180

Mengetahui SP III Trans, 18 April 2018 Rp 16,623,380


Kepala Puskesmas SP III Trans Pengelola Obat dari Kapitasi JKN
Puskesmas SP III Trans

SELAMET SUBAGIO HENDRIKUS SURYADI.A,Md.Far


NIP. 19681021 198911 1 001 NIP : 19900212 201403 1 001

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