LAMPIRAN BERITA ACARA STOK OPNAME

POSKESDES LAMBUNU
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019 - 06

Stok Per 31 Desember2018
Maret 2019
No Nama Obat Satuan Harga

Volume Harga Volume

1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0 0
6 Akarbose box/100Tablet 657 0 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0 0
9 Amitripilin Tab box/100Tablet 165 0 0 0
10 Alprazolam box/100Tablet 585 0 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0
21 Antihemoroid box/10suppo 3542 0 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 0
34 Betametason krim Box, 24 Tube 1420 0 0 0
35 Betafor Botol 32594 0 0 2
36 Bedak salisil box 8400 0 0 0
37 Betahistin Tab Tablet 119 0 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0
41 Bisoprolol Tablet 248 0 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 100
44 Cefixim Box/50tab 1545 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 0
Cendo Liters Botol 38980 0 0 0
47 Codein Tablet 657 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin Phospate
51 Box/9Tab 2160 0 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0 0
53 Diazepam Tablet 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0
57 Domperidon Susp botol 2862 0 0 5
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0 0
59 Eugenol Cairan Botol 0 0 0
60 Etil klorida semprot botol 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0
62 Eritromicin box/100Tablet 0 0 0
63 Eritromicin SK Botol 0 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0 0
67 Glimepirid 2 mg Box/ 50 Tab #REF! #REF! 0
68 Gentian Violet Botol 3000 0 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0 0
73 Haloperidol 0,5mg box/100Tablet 0 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0 0
76 Haloperidol 5 mg box/100Tablet 0 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 2
79 Ibuprofen Syr Botol 0 0 3
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0 0
82 kalsium gluconas Box/24 Amp 0 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0 3
87 Ketokonazol Tab Tablet 286 0 0 0
88 klonidin 0,15 mg Tablet 0 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0 0
94 klorpeniramine maleat Tablet 24 0 0 100
95 Klindamisin Kap Kapsul 59 0 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 100
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 5
100 Metoclopramid Box/100 Tab 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0 0
108 Metformin 500 mg box/100Tablet 102 0 0 0
109 Meloksicam box/100Tablet 4450 0 0 0
110 Mikonazol krim Tube 3926 0 0 2
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0 0
Natrium Bikarbonat Tablet 134 0 0 0
119 Natrium Diklofenak Box/50tab 136 0 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0 100
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0 0
124 N-Asetil Sistein Kapsul 412 0 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 100
132 Oxytocin Ampul 1232 0 0 5
133 Oxitetrasiklin Inj Vial 0 0 0
134 Ondansentron Inj Ampul 0 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0 100
141 Piridoxin (Vit B6) box/100Tablet 141 0 0 0
142 Povidon Iodin Botol 0 0 0
143 Primakuin Tab box/100Tablet 0 0 0
144 Prednison box/100Tablet 74 0 0 100
145 Propanolol box/100Tablet 59 0 0 100
146 Perak Sulfadiazin Krim Tube 20700 0 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0
168 Vagistin Suppo Box/10 suppo 0 0 0
169 Vit K inj Ampul 4083 0 0 0
170 Vit C Tablet 120 0 0 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0 0
179 Diazepam Tab Ktk/100 Tab 0 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0 0
182 Obat Kusta PB paket 0 0 0
183 Obat Kusta MB paket 0 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0 0
186 OAT KATEGORI 1 Paket 447747 0 0 0
187 OAT KATEGORI 2 Paket 0 0 0
188 Regen Zn Paket 0 0 0
189 Larutan Giemsa Botol 0 0 0
190 ETSA Set 0 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0 0
192 Kalsium Hidroksida Pasta Tube 0 0 0
193 Trichloro Formalin (TKF) Set 0 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0 0
196 Glass Ionomer Cement ART Set 0 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0 0
198 LC (Light Curring) A2-A3 Set 0 0 0
199 Caviton 0 0 0
200 D-pulp 0 0 0
Jumlah 0 0 1,124

Stok Per 31 Penerimaan 01

No Nama BHP Satuan Desember201 Januari 2019 -
8 06 Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0 0

2 Catgut Cromic 3-0 Box/12pcs 0 0
3 Catgut Cromic 2-0 Box/12pcs 0 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0 0
6 Catgut Plain 3-0 Box/12pcs 0 0
7 Catgut Plain 2-0 Box/12pcs 0 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0 0
10 Foley Catheter Two Way No. 10 Pcs 0 0
11 Foley Catheter Two Way No. 12 Pcs 0 0
12 Foley Catheter Two Way No. 14 Pcs 0 0
13 Foley Catheter Two Way No. 18 Pcs 0 0
14 Foley Catheter Two Way No. 20 Pcs 0 0
15
16 Dermafix ktk/25 pcs 0 0
17 Silk Box/12pcs 0 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0 0
22 Abocath 20G Box/100pcs 0 2
23 Steracath I.V Catheter No. 20G Box/50pcs 0 0
24 Abocath 22G Box/100pcs 0 2
25 Steracath I.V Catheter No. 22G Box/50pcs 0 0
26 Abocath 24G Box/100pcs 0 2
27 Steracath I.V Catheter No. 24G Box/50pcs 0 0
28 Dispo 1cc Box/100pcs 0 10
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0 0
32 Dispo 10cc Box/100pcs 0 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0 0
35 Masker One med tali tie on Box 0 0
36 Kapas Pembalut 250gr Bks 0 0
37 Folay Cateter 18 Pcs 0 0
38 Foley Cateter 16 pcs 0 0
39 Gloves Surgical Steril No. 7 Psg 0 5
40 Gloves Surgical Steril No. 7,5 Psg 0 0
41 Gloves Surgical Steril No. 6.5 Psg 0 0
42 Gloves Surgical Steril No. 8 Psg 0 0
43 Gloves Surgical NonSteril M Box/100pcs 0 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0 0
45 Gloves Surgical NonSteril S Box/100pcs 0 0
46 Sarung Tangan Panjang Pcs 0 0
47 Gloves Surgical Steril Gynaecolog Psg 0 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0 0
50 Infuset Dewasa (tipe Y) Pcs 0 0
51 onemed Kapas pembalut / absorben 500gr Bks 0 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 5
53 Kasa Hidrofil 36, x 80 cm Roll 0 0
54 Kasa Hidrofil 40, x 80 cm Roll 0 0
55 Alkohol Swab Box 0 0
56 Etanol 70% 1000ml Botol 0 0
57 Rivanol Botol 0 0
58 Pengikat Tali Pusat Box/50pcs 0 0
59 Urine Bag Buah 0 0
60 lancet Box/100pcs 0 0
61 lisol botol 0 0
62 Povidon Iodin Lar 10% Botol 300ml 0 0
63 Fixomul Sretc Roll 0 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0 0
65 Handsrub Botol 0 0
66 Leukoplast 2,5cm x 4,5 m Roll 0 0
67 Leukoplast 7,5cm x 4,5 roll 0 0
68 Leukomed Pcs 0 0
69 Easculap Blades - 15 Box/100pcs 0 0
70 Easculap Blades - 23 Box/100pcs 0 0
71 Abate Pack/1000gr 0 0
72 iodium Test Btl 10ml 0 0
73 RDT DBD Box/20pcs 0 0
74 RDT Malaria Box/25pcs 0 0
75 Strip Glukosa Botol 0 0
76 Strip Asam Urat Botol 0 0
77 Strip Colesterol Botol 0 0
78 Antiseptik Gel Botol 0 1
79 Ultra One Tes Kehamilan Pcs 0 0
80 Uniflex 15cm x 4.5cm Roll 0 0
81 Uniflex 7,5cm x 4,5 m 0 0
82 Uniflex 10cm x 4,5 m 0 0
83 Paper Tape 2,5cm x 9,14 m 0 0
84 Paper Tape 7,5cm x 9,14 m 0 0
85 Tes Kehamilan Box/50pcs 0 0
86 Aximed Nasal O2 Canula Size M Pcs 0 0
87 Aximed Nasal O2 Canula Size S Pcs 0 0
88 Aximed Nasal O2 Canula Size L Pcs 0 0
89 Nasal O2 Bayi Pcs 0 0
90 Nasal O2 anak Pcs 0 0
91 Nasal O2 dewasa pcs 0 0
92 Bioplasenton Tulle 10 x 10 Sachet 0 0
93 Saraya Alsoft Pure 500ml Botol 0 0
94 Bonding set 0 0
95 Turniquit Pcs 0 0
96 Timer Buah 0 0
97 Pot Sputum botol 0 0
98 Test Kid Pemeriksaan Formalin Paket 0 0
99 Bisturi pcs 0 0
100 Arm Sling M pcs 0 0
101 Arm Sling L pcs 0 0
102 Pembalut Elastis perban Roll 0 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0 0
104 Pembalut Gips Roll 0 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0 0
 Plastik Klip Sedang (6 x 10 cm) Pak 0 0
Plastik Klip Sedang (5 x 8 cm) Pak 0 0
107 Objek Glass Frosted Box/72 Pcs 0 0
108 Kertas Puyer Pak 0 0
109 Kertas Puyer Press Pak 200 Buah 0 0
110 Plastik Sedang Pak 100 0 0
111 Ecodine 5 liter Botol 5000 ml 0 0
112 Reagen Pemeriksaan Golongan Darah paket 0 0
113 Reagen Pemeriksaan TB paket 0 0
114 Stik HIV Aids Pcs 0 0
115 Stik pemeriksaan HB Strip 0 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0 0
118 Bahan Penambal Gigi SET 0 0
Jumlah 0 27

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
ARA STOK OPNAME
LAMBUNU
06 MARET 2019

Penerimaan 01 Januari 2019 - 06 Pengeluaran 01 Januari 2019 - Sisa Stok Tanggal 06 Maret
Maret 2019 06 Maret 2019 2019

Harga Volume Harga Volume Harga

8 9 10 11 12
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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
24800 100 24800 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 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 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
65188 2 65188 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
28100 20 5620 80 22480
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
0 100 3400 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
14310 2 5724 3 8586
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 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 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
5296 2 5296 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
8082 1 2694 2 5388
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
2400 30 720 70 1680
0 0 0 0 0
12500 20 2500 80 10000
0 0 0 0 0
0 0 0 0 0
10260 2 4104 3 6156
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 0
0 0 0 0 0
0 0 0 0 0
7852 0 0 2 7852
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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
17800 70 12460 30 5340
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 0
0 0 0 0 0
27500 0 0 100 27500
6160 1 1232 4 4928
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
33100 4 1324 96 31776
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7400 50 3700 50 3700
5900 0 0 100 5900
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
22000 50 11000 50 11000
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 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 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 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 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
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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 454 0 670 0

Pengeluaran 01 Sisa Stok

Januari 2019 - Tanggal 06
06 Maret 2019 Maret 2019
6 7

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 0
0 2
0 0
0 2
0 0
0 2
0 0
10 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3
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 0
0 0
0 0
0 0
0 0
0 0
1 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 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
16 11

Penanggung Jawab

................................
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES ANUTAPURA
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 50 22550
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl 2% +
15 Box/30 Amp 1317 0 0 0
Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam Benzoat
19 Box/24 pot 5170 0 0
6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 0
Dihydroartemisin 40mg + Piperaquin Phospate
51 Box/9Tab 2160 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 1 6900 0
72 Griseofulvin box/100Tablet 223 0 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 1 2648 0
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 2 550 0
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 10 4060
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 70 8400 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 45108

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 2
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 2
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 5
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 2
58 Pengikat Tali Pusat Box/50pcs 2
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 1 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
PURA
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 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
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 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
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
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 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 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 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 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 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 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 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 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 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
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 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 4 117600
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 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
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
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 0
0 0

0 0
0
0 0
0

0 0

0 0

0 0

0 0
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES BUKIT MAKMUR
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl 2%
15 Box/30 Amp 1317 0 0 0
+ Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam Benzoat
19 Box/24 pot 5170 0 0
6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin Phospate
51 Box/9Tab 2160 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 3
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 100
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 2
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0 100
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 2
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0 0
171 Vit B Com Tablet 132 0 0 100
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 2
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 2
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 3
29 Dispo 3cc Box/100pcs 0 20
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 1
58 Pengikat Tali Pusat Box/50pcs 3
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 1 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
AKMUR
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 0 0 0
0 0 0 0 0
24900 70 17430 30 7440
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 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
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 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
3400 50 1700 50 #VALUE!

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 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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7944 3 7944 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 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
12500 60 7500 40 5000
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
1305000 20 261000 80 1044000
0 0 0 0 0
25800 1 12900 1 12900
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
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 0 0
17800 90 16020 10 1780
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 0
2750 0 0 10 2750
2464 1 1232 1 1232
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 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
22000 100 22000 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 4 117600
0 0 0 0
0 0 0 0 0
8700 80 6960 20 1740
0 0 0 0 0
0 0 0
0 0
0 0 0 0 0
13200 60 7920 40 5280
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 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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 0
0 0

0 0
0
0 0
0

20 0

0 0

0 0

0 0
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES GANONGOLSARI
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 20 1540 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain
15 Box/30 Amp 1317 0 0 0
Hcl 2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0 3
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 1000
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 200 85000 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 60 14220
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 5
50 Deksametason tab Tablet 34 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 2 5724 6
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0 1
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 300 52200
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 200
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 40 8920 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 2 5296 3
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0 5
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 100
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 100
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 5
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 2
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0 2
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 100
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0 100
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 30
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 100 28000 100
136 Parasetamol Syr Botol 5500 2 11000 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 100 0 100
144 Prednison box/100Tablet 74 500 37000 100
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 0
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 100 112600 100
155 Salep 24 pot 2797 4 11188 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 5
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0 100
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 1 7150 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 379838
379838

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 1 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 1
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 1
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 10
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr -1 1
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol
58 Pengikat Tali Pusat Box/50pcs
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs -5 5
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet -2 2
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
 Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
 OK OPNAME
LSARI
ET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 0 0 0
0 0 0 0 0
24800 0 100 24800
0 0 0

0 0 0 0 0

0 0 0
0 0 0 0
0 0 0 0 0

15510 0 3 15510

0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 1000 167000
0 0 0 0
0 0 0 0 0
0 0 0 200 85000
0 0 0 0 0
0 0 60 14220
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 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6050 0 0 5 6050
0 0 0 0

0 0 0

0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
17172 0 6 17172
0 0 0 0 0
0 0 0
0 0 0
0 0 1 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 300 52200
0 0 0
0 0 0
27400 0 0 200 27400
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
7944 0 0 3 7944
0 0 0 5 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
13470 0 0 5 13470
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
2400 0 0 100 2400
0 0 0
12500 0 0 100 12500
0 0 0
0 0 0
10260 0 0 5 10260
0 0 0
0 0 0 0 0
1305000 0 0 100 1305000
0 0 0 0 0
25800 0 2 25800
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
7852 0 2 7852
0 0 0 0
0 0 0 0 0
0 0 0 0 0
13900 0 0 100 13900
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
17800 0 100 17800
0 0 0 0 0
0 0 0 0
0 0 0 0
367500 0 0 30 367500
0 0 0 0
0 0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0 0
2750 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
28000 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
7400 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 0 0
0 0 0
112600 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6130 0 0 5 6130
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 4 117600
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
13200 0 0 100 13200
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 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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

0
0 0

0 0
0
0 0
0

0 0

0 0

0 0

0 1
0 0

- 5

- 2
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES GUNUNG SARI
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 2 2634 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 10
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 100
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 100
27 Asam Tranexamat Tab box/100Tablet 2200 80 176000 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 5
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 4 4840 0
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 50 4500 100
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 100 13700 150
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0 100
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0
79 Ibuprofen Syr Botol 3 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 80 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 30 3750 100
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0 100
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 100
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 205424
205424

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 0
29 Dispo 3cc Box/100pcs 0 20
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 0
58 Pengikat Tali Pusat Box/50pcs 0
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
G SARI
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
0 0 0 20 1540
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 2 10120 3 15180
24800 0 0 0 0
0 0 0

0 3 3951 2 2634

0 0 0
0 0 120 6720
20980 0 0 10 20980

0 0 0

0 0 0
0 0 0
0 0 0
10300 40 4120 70 7210
0 0 0
0 0 0
6200 0 100 6200
0 0 0 100 220000
0 0 0 110 46750
0 0 0 8 41200
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
162970 0 0 5 162970
0 0 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 100 28100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 5 6050
3400 100 3400 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
9000 60 5400 40 3600
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 100 8200
0 0 0
0 0 0
0 0 0
0 0 0
20550 80 10960 70 9590
0 0 0
0 0 0 0 0
22300 7 1561 3 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 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 0
0 0 0
12500 60 7500 40 5000
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
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
0 0 0
0 0 0 0 #VALUE!
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 0 0 0 0
 0 0 0
0 0 0
0 0 0 0 0
2750 6 1650 4 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
0 0 0
7400 100 7400 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
22000 100 22000 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 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
8700 100 8700 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
58600 40 23440 60 35160
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 #VALUE!
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
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 2
0 0

0 0

0 0

20 0

0 0

0 5

0 1
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES KOTANAGAYA
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember 2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 60
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 100
5 Albendazol Tab 400mg box/100Tablet 451 0 0 0
6 Akarbose box/100Tablet 657 0 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0 100
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 100
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 50
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 5
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 5
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 100 10400 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0 5
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 50
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0 2
69 Glibenklamid box/100Tablet 137 0 0 50
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0 100
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0 50
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 80 0 0 100
86 Ketokonazol Krim Tube 2694 0 0 5
87 Ketokonazol Tab Tablet 286 0 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0
93 Kloramfenikol Susp Botol 8949 0 0 0
94 klorpeniramine maleat Tablet 24 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0
100 Metoclopramid Box/100 Tab 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 100
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 3
104 Kloramfenikol tetes mata Botol 12900 0 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 50
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0 50
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
117 Multivitamin Tambah Darah (Novabion) Kapsul 0 0 0
118 Novadyar Susp Botol 5900 0 0 0
119 Natrium Metamizole Inj Box/5Amp 0 0
120 Natrium Bikarbonat Tablet 134 0 0
121 Natrium Diklofenak Box/50tab 136 0 0
122 NACL BOTOL 6410 0 0 0
123 Nifedipin box/100Tablet 178 0 0 50
124 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
125 Novachlor (Kloramfenikol) Tablet 0 0
126 N-Asetil Sistein Kapsul 412 0 0
127 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 60
128 Omeprazol Inj Box/10 Vial 11868 0 0
129 Obat Batuk Hitam (OBH) Botol 2350 0 0
130 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0
131 Oksitetrasiklin HCL salep Mata Tube 0 0
132 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
133 Oralit Sachet 275 0 0 20
134 Oxytocin Ampul 1232 0 0
135 Oxitetrasiklin Inj Vial 0 0
136 Ondansentron Inj Ampul 0 0
137 Papaverin Tab 40mg Box/100 Tab 280 0 0 0
138 Parasetamol Syr Botol 5500 0 0 5
139 Parasetamol Drops Botol 7646 0 0 0
140 Parasetamol Tab box/100Tablet 60 0 0 100
141 Permetrin Krim Tube 53600 0 0
142 Pyrantel Pamoat Tab box/100Tablet 331 0 0
143 Piridoxin (Vit B6) box/100Tablet 141 0 0
144 Povidon Iodin Botol 0 0
145 Primakuin Tab box/100Tablet 0 0
146 Prednison box/100Tablet 74 0 0
147 Propanolol box/100Tablet 59 0 0
148 Perak Sulfadiazin Krim Tube 20700 0 0
149 Pyrantel Pamoat Susp Botol 11050 0 0
150 PTU box/100Tablet 64090 0 0
151 Piroksikam box/100Tablet 13500 0 0 100
152 Ranitidin Tab box/100Tablet 220 0 0 100
153 Scopma Plus box/100Tablet 2190 0 0 0
154 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
155 Sefadroxil SK Botol 5286 10 52860 0
156 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
157 Salep 24 pot 2797 0 0 0
158 Ranitidin Injeksi Box/10amp 1105 0 0 10
159 Retinol Vit A 100.000 UI Botol 21550 0 0
160 Retinol Vit A 200.000 UI Botol 34660 0 0
161 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 100
162 Simvastatin Box/30Tablet 135 0 0 60
163 Sefotaxim Inj Box/2Vial 30600 0 0
164 Seftriaxon inj Box/2Vial 30600 0 0
165 Stimuno Botol 29400 0 0
166 Tablet Tambah Darah FE box/100Tablet 406 0 0
167 Tetrasiclin box/100Tablet 520 0 0
168 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
169 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 1
170 Vagistin Suppo Box/10 suppo 0 0
171 Vit K inj Ampul 4083 0 0 0
172 Vit C Tablet 120 0 0 100
173 Vit B Com Tablet 132 0 0 100
174 Xylastin tab Tablet 0 0
175 Zinc box/100Tablet 586 70 41020 0
176 Zinc Syr Botol 4959 3 14877 0
177 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
178 Salbutamol 4 mg box/100Tablet 89 70 6230 0
179 Biocombin Inj ktk/10 ampl 0 0
180 Diazepam Inj 5 ml ktk/5 amp 0 0
181 Diazepam Tab Ktk/100 Tab 0 0
182 novapyron Ktk/100 Tab 558 0 0 0
183 OAT Anak paket 267400 0 0
184 Obat Kusta PB paket 0 0
185 Obat Kusta MB paket 0 0
186 Ringer Lactat Botol 7150 0 0
187 Eritromicin Syr Botol 6461 0 0
188 OAT KATEGORI 1 Paket 447747 0 0
189 OAT KATEGORI 2 Paket 0 0
190 Regen Zn Paket 0 0
191 Larutan Giemsa Botol 0 0
192 ETSA Set 0 0
193 Devitalisasi Pasta Non Arsen Set 0 0
194 Kalsium Hidroksida Pasta Tube 0 0
195 Trichloro Formalin (TKF) Set 0 0
196 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
197 Cresopate (Filling Of Root Canals) Set 0 0
198 Glass Ionomer Cement ART Set 0 0
199 Semen Seng Fosfat serbuk dan cairan Set 0 0
200 LC (Light Curring) A2-A3 Set 0 0
201 Caviton 0 0
202 D-pulp 0 0
Jumlah 125387
125387
Penerimaan 01 Januari 2019
Stok Per 31 Desember 2018
No Nama BHP Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 0 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0 2
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0 0
14 Foley Catheter Two Way No. 20 Pcs 0 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 0 2
29 Dispo 3cc Box/100pcs 0 20
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0 1
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 0
58 Pengikat Tali Pusat Box/50pcs 0
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0 1
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
K OPNAME
YA
2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
4620 50 3850 10 770
0 0 0
0 0 0
27500 70 19250 30 8250
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
24800 100 24800 0 0
0 0 0

0 0 0 0 0

0 0 0
5600 50 2800 50 2800
0 0 0 0 0

0 0 0

0 0 0
0 0 0
0 0 0
10300 60 6180 40 4120
0 0 0
0 0 0
3100 30 1860 20 1240
0 0 0 0 0
0 0 0 0 0
3 3 15450 2 10300
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6050 0 0 5 6050
3400 50 1700 50 1700

0 0 0

0 0 0
0 0 0
0 0 0 0 0
0 0 0 100 10400
0 0 0
14310 3 8586 2 5724
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
4100 1 82 40 3280
0 0 0 0 0
0 0 0
0 0 0
6000 1 3000 1 3000
6850 2 274 3 411
0 30 0 70 0
0 0 0 0 0
11150 10 2230 40 8920
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 5 0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0 0 0
0 0 0
8000 50 4000 50 4000
13470 2 5388 3 8082
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 0 0
0 0 0
0 0 0
0 0 0 0 0
12700 0 0 100 12700
0 0 0 0 0
22200 2 14800 1 7400
0 0 0 8 103200
0 0 0
1705000 20 682000 30 1023000
0 0 0
5100 20 2040 30 3060
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
8900 20 3560 30 5340
0 0 0 0 0
0 0 0
0 0 0
735000 10 122500 50 612500
0 0 0
0 0 0
 0 0 0 0 0
0 0 0
0 0 0 0 0
5500 15 4125 5 1375
0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
27500 3 16500 2 11000
0 0 0 0 0
6000 70 4200 30 1800
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
1350000 30 405000 70 945000
22000 30 6600 70 15400
0 0 0 0 0
0 0 0 0 0
0 0 0 10 52860
0 0 0
0 0 0 0 0
11050 3 3315 7 7735
0 0 0
0 0 0
122600 30 36780 70 85820
8100 20 2700 40 5400
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
8700 40 3480 60 5220
2500 0 0 1 2500
0 0 0
0 0 0 0 0
12000 60 7200 40 4800
13200 40 5280 60 7920
0 0 0
0 0 0 70 41020
0 0 0 3 14877
 0 0 0
0 0 0 70 6230
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 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

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12

0 0

1 1

0 0
0 0
2 2
15 5

1 0

0 0

0 0
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES LAMBUNU TIMUR
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0 0
6 Akarbose box/100Tablet 657 0 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0 0
9 Amitripilin Tab box/100Tablet 165 0 0 0
10 Alprazolam box/100Tablet 585 0 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0 0
Anastetik Lokal gigi kombinasi : Lidokain
15 Box/30 Amp 1317 0 0 0
Hcl 2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0
21 Antihemoroid box/10suppo 3542 0 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 100
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 0
34 Betametason krim Box, 24 Tube 1420 0 0 0
35 Betafor Botol 32594 0 0 2
36 Bedak salisil box 8400 0 0 0
37 Betahistin Tab Tablet 119 0 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0
41 Bisoprolol Tablet 248 0 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 100
44 Cefixim Box/50tab 1545 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 100
Cendo Liters Botol 38980 0 0 0
47 Codein Tablet 657 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 10
50 Deksametason tab Tablet 34 0 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0 0
53 Diazepam Tablet 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0
57 Domperidon Susp botol 2862 0 0 5
58 Domperidon Tab box/100Tablet 90 0 0 100
Dobutamin HCL Inj Vial 0 0 0
59 Eugenol Cairan Botol 0 0 0
60 Etil klorida semprot botol 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0
62 Eritromicin box/100Tablet 0 0 0
63 Eritromicin SK Botol 0 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 5
66 Glimepirid Box/ 50 Tab 174 0 0 0
67 Glimepirid 2 mg Box/ 50 Tab #REF! #REF! 0
68 Gentian Violet Botol 3000 0 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0 100
73 Haloperidol 0,5mg box/100Tablet 0 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0 0
76 Haloperidol 5 mg box/100Tablet 0 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 2
79 Ibuprofen Syr Botol 0 0 3
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0 0
82 kalsium gluconas Box/24 Amp 0 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0 3
87 Ketokonazol Tab Tablet 286 0 0 0
88 klonidin 0,15 mg Tablet 0 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0 5
94 klorpeniramine maleat Tablet 24 0 0 100
95 Klindamisin Kap Kapsul 59 0 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 100
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 5
100 Metoclopramid Box/100 Tab 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0 0
108 Metformin 500 mg box/100Tablet 102 0 0 0
109 Meloksicam box/100Tablet 4450 0 0 0
110 Mikonazol krim Tube 3926 0 0 2
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 5
114 metil prednison Tablet 139 0 0 100
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0 0
Natrium Bikarbonat Tablet 134 0 0 0
119 Natrium Diklofenak Box/50tab 136 0 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0 100
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0 0
124 N-Asetil Sistein Kapsul 412 0 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 60
126 Omeprazol Inj Box/10 Vial 11868 0 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 5
133 Oxitetrasiklin Inj Vial 0 0 0
134 Ondansentron Inj Ampul 0 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0 100
141 Piridoxin (Vit B6) box/100Tablet 141 0 0 0
142 Povidon Iodin Botol 0 0 0
143 Primakuin Tab box/100Tablet 0 0 0
144 Prednison box/100Tablet 74 0 0 100
145 Propanolol box/100Tablet 59 0 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 5
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0
168 Vagistin Suppo Box/10 suppo 0 0 0
169 Vit K inj Ampul 4083 0 0 0
170 Vit C Tablet 120 0 0 0
171 Vit B Com Tablet 132 0 0 100
172 Xylastin tab Tablet 0 0 0
173 Zinc box/100Tablet 586 0 0 100
174 Zinc Syr Botol 4959 0 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0 0
179 Diazepam Tab Ktk/100 Tab 0 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0 0
182 Obat Kusta PB paket 0 0 0
183 Obat Kusta MB paket 0 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0 0
186 OAT KATEGORI 1 Paket 447747 0 0 0
187 OAT KATEGORI 2 Paket 0 0 0
188 Regen Zn Paket 0 0 0
189 Larutan Giemsa Botol 0 0 0
190 ETSA Set 0 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0 0
192 Kalsium Hidroksida Pasta Tube 0 0 0
193 Trichloro Formalin (TKF) Set 0 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0 0
196 Glass Ionomer Cement ART Set 0 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0 0
198 LC (Light Curring) A2-A3 Set 0 0 0
199 Caviton 0 0 0
200 D-pulp 0 0 0
Jumlah 0 0 1,727

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0 0

2 Catgut Cromic 3-0 Box/12pcs 0 5
3 Catgut Cromic 2-0 Box/12pcs 0 3
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0 0
6 Catgut Plain 3-0 Box/12pcs 0 0
7 Catgut Plain 2-0 Box/12pcs 0 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0 0
10 Foley Catheter Two Way No. 10 Pcs 0 0
11 Foley Catheter Two Way No. 12 Pcs 0 0
12 Foley Catheter Two Way No. 14 Pcs 0 0
13 Foley Catheter Two Way No. 18 Pcs 0 0
14 Foley Catheter Two Way No. 20 Pcs 0 0
15
16 Dermafix ktk/25 pcs 0 0
17 Silk Box/12pcs 0 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0 0
24 Abocath 22G Box/100pcs 0 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0 0
26 Abocath 24G Box/100pcs 0 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0 0
28 Dispo 1cc Box/100pcs 0 0
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0 0
32 Dispo 10cc Box/100pcs 0 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0 0
35 Masker One med tali tie on Box 0 1
36 Kapas Pembalut 250gr Bks 0 0
37 Folay Cateter 18 Pcs 0 0
38 Foley Cateter 16 pcs 0 0
39 Gloves Surgical Steril No. 7 Psg 0 3
40 Gloves Surgical Steril No. 7,5 Psg 0 0
41 Gloves Surgical Steril No. 6.5 Psg 0 0
42 Gloves Surgical Steril No. 8 Psg 0 0
43 Gloves Surgical NonSteril M Box/100pcs 0 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0 0
45 Gloves Surgical NonSteril S Box/100pcs 0 0
46 Sarung Tangan Panjang Pcs 0 0
47 Gloves Surgical Steril Gynaecolog Psg 0 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0 0
50 Infuset Dewasa (tipe Y) Pcs 0 0
51 onemed Kapas pembalut / absorben 500gr Bks 0 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 1
53 Kasa Hidrofil 36, x 80 cm Roll 0 0
54 Kasa Hidrofil 40, x 80 cm Roll 0 0
55 Alkohol Swab Box 0 0
56 Etanol 70% 1000ml Botol 0 0
57 Rivanol Botol 0 0
58 Pengikat Tali Pusat Box/50pcs 0 0
59 Urine Bag Buah 0 0
60 lancet Box/100pcs 0 0
61 lisol botol 0 0
62 Povidon Iodin Lar 10% Botol 300ml 0 0
63 Fixomul Sretc Roll 0 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0 0
cm
65 Handsrub Botol 0 0
66 Leukoplast 2,5cm x 4,5 m Roll 0 0
67 Leukoplast 7,5cm x 4,5 roll 0 0
68 Leukomed Pcs 0 0
69 Easculap Blades - 15 Box/100pcs 0 0
70 Easculap Blades - 23 Box/100pcs 0 0
71 Abate Pack/1000gr 0 0
72 iodium Test Btl 10ml 0 0
73 RDT DBD Box/20pcs 0 0
74 RDT Malaria Box/25pcs 0 0
75 Strip Glukosa Botol 0 0
76 Strip Asam Urat Botol 0 0
77 Strip Colesterol Botol 0 0
78 Antiseptik Gel Botol 0 0
79 Ultra One Tes Kehamilan Pcs 0 0
80 Uniflex 15cm x 4.5cm Roll 0 0
81 Uniflex 7,5cm x 4,5 m 0 0
82 Uniflex 10cm x 4,5 m 0 0
83 Paper Tape 2,5cm x 9,14 m 0 0
84 Paper Tape 7,5cm x 9,14 m 0 0
85 Tes Kehamilan Box/50pcs 0 5
86 Aximed Nasal O2 Canula Size M Pcs 0 0
87 Aximed Nasal O2 Canula Size S Pcs 0 0
88 Aximed Nasal O2 Canula Size L Pcs 0 0
89 Nasal O2 Bayi Pcs 0 0
90 Nasal O2 anak Pcs 0 0
91 Nasal O2 dewasa pcs 0 0
92 Bioplasenton Tulle 10 x 10 Sachet 0 0
93 Saraya Alsoft Pure 500ml Botol 0 0
94 Bonding set 0 0
95 Turniquit Pcs 0 0
96 Timer Buah 0 0
97 Pot Sputum botol 0 0
98 Test Kid Pemeriksaan Formalin Paket 0 0
99 Bisturi pcs 0 0
100 Arm Sling M pcs 0 0
101 Arm Sling L pcs 0 0
102 Pembalut Elastis perban Roll 0 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0 1
104 Pembalut Gips Roll 0 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0 0
Plastik Klip Sedang (6 x 10 cm) Pak 0 0
 Plastik Klip Sedang (5 x 8 cm) Pak 0 0
107 Objek Glass Frosted Box/72 Pcs 0 0
108 Kertas Puyer Pak 0 0
109 Kertas Puyer Press Pak 200 Buah 0 0
110 Plastik Sedang Pak 100 0 0
111 Ecodine 5 liter Botol 5000 ml 0 0
112 Reagen Pemeriksaan Golongan Darah paket 0 0
113 Reagen Pemeriksaan TB paket 0 0
114 Stik HIV Aids Pcs 0 0
115 Stik pemeriksaan HB Strip 0 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0 0
118 Bahan Penambal Gigi SET 0 0
Jumlah 0 12

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
U TIMUR
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
24800 100 24800 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 0 0 0
0 0 0 0 0
10300 100 10300 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
65188 0 0 2 65188
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
28100 20 5620 80 22480
0 0 0 0 0
0 0 0 0 0
9700 30 2910 70 6790
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12100 2 2420 8 9680
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
14310 3 8586 2 5724
9000 30 2700 70 6300
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
4090 0 0 5 4090
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
22300 30 6690 70 15610
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
5296 0 0 2 5296
0 0 0 3 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
8082 0 0 3 8082
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
44745 0 0 5 44745
2400 30 720 70 1680
0 0 0 0 0
12500 50 6250 50 6250
0 0 0 0 0
0 0 0 0 0
10260 0 0 5 10260
0 0 0 0 0
0 0 0 0 0
1305000 10 130500 90 1174500
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
7852 0 0 2 7852
0 0 0 0 0
0 0 0 0 0
16995 0 0 5 16995
13900 30 4170 70 9730
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 0
17800 100 17800 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
735000 30 367500 30 367500
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
2750 0 0 10 2750
6160 0 0 5 6160
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
33100 4 1324 96 31776
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7400 50 3700 50 3700
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
22000 100 22000 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 0 0 0
6130 0 0 5 6130
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 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
13200 100 13200 0 0
0 0 0 0 0
58600 0 0 100 58600
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 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 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 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 822 0 903 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

0 0
1 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
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 1
0 0
0 0
0 0
1 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 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
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
5 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
0 0
1 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
9 3

Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES LAMBUNU UTARA
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 50 22550
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 1 6900 0
72 Griseofulvin box/100Tablet 223 0 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 1 2648 0
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 2 550 0
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 10 4060
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 70 8400 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 45108

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 2
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 2
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 5
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 2
58 Pengikat Tali Pusat Box/50pcs 2
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 1 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
U UTARA
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 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
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 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
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
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 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 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 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 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 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 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 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 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 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
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 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 4 117600
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 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
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
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 0
0 0

0 0
0
0 0
0

0 0

0 0

0 0

0 0
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
Pustu Margapura
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 20 1540 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain
15 Box/30 Amp 1317 0 0 0
Hcl 2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 1000
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 200 85000 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 60 14220
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 5
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 2 5724 5
58 Domperidon Tab box/100Tablet 90 0 0 100
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 100
66 Glimepirid Box/ 50 Tab 174 300 52200
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 300
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 40 8920 100
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 2 5296 3
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 2 5388 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 100
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 2
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 100
136 Parasetamol Syr Botol 5500 2 11000 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 500 37000 100
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 0
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 5
155 Salep 24 pot 2797 4 11188 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 1 7150 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 244626
244626

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 6
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 1
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 1 1
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 1 1
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 10 5
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
onemed Kapas pembalut / absorben
51 Bks 0
500gr
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol
58 Pengikat Tali Pusat Box/50pcs
59 Urine Bag Buah 0
60 lancet Box/100pcs 0 100
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
 Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
STOK OPNAME
a
ARET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
0 0 0 20 1540
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 0 0 0
24800 3 744 97 24056
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 0
0 0 0 1000 167000
0 0 0 0
0 0 0 0 0
0 0 0 200 85000
0 0 0 0 0
0 0 60 14220
0 0 0
0 0 0
0 0 0
0 0 0
162970 4 130376 1 32594
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 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
14310 2 5724 3 8586
9000 90 8100 10 900
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
81800 0 100 81800
0 0 300 52200
0 0 0
0 0 0
41100 10 1370 290 39730
0 0 0 0
0 0 0 0 0
22300 50 11150 50 11150
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7944 0 0 3 7944
0 4 0 1 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 2 5388
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
2400 0 0 100 2400
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
1305000 50 652500 50 652500
0 0 0 0 0
25800 0 2 25800
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
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 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 0 0
0 0 0 0 0
2750 3 825 7 1925
0 0 0 0 0
0 0 0 0
0 0 0 0
28000 0 100 28000
0 2 11000 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
7400 90 6660 10 740
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 0
5630 0 5 5630
0 0 0 4 11188
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 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
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 1 7150
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
0 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

6
0 0

0 0
0
0 1
0
2

15
0 0

0 0

0 0

0 0

0 100
0 0
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
Pustu Ogorandu
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 100
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 80 13200 100
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 100 9700 100
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 5
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin Phospate
51 Box/9Tab 2160 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0 3
58 Domperidon Tab box/100Tablet 90 0 0 100
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 300
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 100 22300 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 100
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 5 16995 5
114 metil prednison Tablet 139 0 0 100
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 30
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 5 0 5
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0 100
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0 100
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 100
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 62195

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 2 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 0
29 Dispo 3cc Box/100pcs 5 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 1
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 5 2
58 Pengikat Tali Pusat Box/50pcs
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns Noviana Lapabande,Amd.Keb

Nip. Nip 19921121 201704 200 2
 OK OPNAME

RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
7700 50 3850 50 3850
0 0 0
0 0 0
0 0 0 0 0
0 0
0 0 0
16500 90 14850 90 14850
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
24800 90 22320 10 2480
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 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 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
9700 100 9700 100 9700
0 0 0
0 0 0
0 0 0
6050 5 6050 5 6050
0 100 3400 100 3400

0 0 0

0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
8586 3 8586 2 5724
9000 90 8100 10 900
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 0 300 52200
0 0 0
0 0 0
41100 300 41100 300 41100
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 4 0 1 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 0
0 0 0
0 0 3 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0
0 0 0
0 0 0
205200 100 205200 100 205200
0 0 0
0 0 0 0 0
1305000 50 652500 50 652500
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 0 0 0 0
16995 5 16995 5 16995
13900 100 13900 100 13900
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 0
0 0 0 0 0
0 0 0 0
0 0 0 0
367500 30 367500 30 367500
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 5 0 5 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
0 0 0 0
7400 100 7400 100 7400
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
22000 90 19800 10 2200
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 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
8700 100 8700 100 8700
0 0 0
0 0 0
0 0
0 0 0 0 0
13200 100 13200 100 13200
0 0 0
58600 100 100 58600
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 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 0 0
0 0 0
0 0 0
0 0

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

0 0
0 0

0 0
0
0 0
0

0 0

0 0

0 0

0 0

3
0 1
 Penanggung Jawab

Noviana Lapabande,Amd.Keb
Nip 19921121 201704 200 2
 LAMPIRAN BERITA ACARA STOK OPNAME
POLINDES PETUNASUGI
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019

Volume Harga Volume

1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 80
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0 0
6 Akarbose box/100Tablet 657 0 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0 0
9 Amitripilin Tab box/100Tablet 165 0 0 0
10 Alprazolam box/100Tablet 585 0 0 0
11 Amlodipin 10mg Box/30Tablet 95 90 8550 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 0
14 Ampisilin Inj Vial 9473 0 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0 0
17 Antasida Doen Tab box/100Tablet 56 100 5600 100
18 Antasida Susp Botol 2098 0 0 5
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0
21 Antihemoroid box/10suppo 3542 0 0 10
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0
23 Asam Mefenamat Tab box/100Tablet 103 100 10300 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 100 42500 0
29 Asiklovir krim Tube 5150 5 25750 0
30 Attapulgit Box/100 Tab 237 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 5
34 Betametason krim Box, 24 Tube 1420 5 7100 5
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0 4
37 Betahistin Tab Tablet 119 0 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0
41 Bisoprolol Tablet 248 0 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 0
Cendo Liters Botol 38980 0 0 0
47 Codein Tablet 657 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0
49 Deksametason inj Box/100 Amp 1210 5 6050 5
50 Deksametason tab Tablet 34 100 3400 100
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0 0
53 Diazepam Tablet 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0
57 Domperidon Susp botol 2862 5 14310 0
58 Domperidon Tab box/100Tablet 90 100 9000 0
Dobutamin HCL Inj Vial 0 0 0
59 Eugenol Cairan Botol 0 0 0
60 Etil klorida semprot botol 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0
62 Eritromicin box/100Tablet 0 0 0
63 Eritromicin SK Botol 0 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0 0
67 Glimepirid 2 mg Box/ 50 Tab 100 0 0
68 Gentian Violet Botol 3000 5 15000 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 170 0 0 0
71 Glukosa botol 6900 2 13800 0
72 Griseofulvin box/100Tablet 223 100 22300 0
73 Haloperidol 0,5mg box/100Tablet 0 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0 0
76 Haloperidol 5 mg box/100Tablet 0 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0
79 Ibuprofen Syr Botol 0 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0 0
82 kalsium gluconas Box/24 Amp 0 0 0
83 Kalk box/100Tablet 59 0 0 100
84 Karbamazepin Tab 200mg box/100Tablet 0 0 0
85 Kaptopril box/100Tablet 80 60 4800 100
86 Ketokonazol Krim Tube 2694 5 13470 0
87 Ketokonazol Tab Tablet 286 0 0 100
88 klonidin 0,15 mg Tablet 0 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0 100
91 kloramfenikol tab 500 mg Tablet 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 2
93 Kloramfenikol Susp Botol 8949 0 0 5
94 klorpeniramine maleat Tablet 24 0 0 100
95 Klindamisin Kap Kapsul 59 0 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0 0
99 Kotrimoksazol Susp Botol 2052 5 10260 0
100 Metoclopramid Box/100 Tab 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 5 37000 0
104 Kloramfenikol tetes mata Botol 12900 5 64500 0
105 Magnesium Sulfat (MgSO4) Botol 0 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0 0
108 Metformin 500 mg box/100Tablet 102 100 10200 100
109 Meloksicam box/100Tablet 4450 0 0 0
110 Mikonazol krim Tube 3926 0 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 100 13900 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0 0
Natrium Bikarbonat Tablet 134 0 0 0
119 Natrium Diklofenak Box/50tab 136 0 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 5 4550 0
123 Novachlor (Kloramfenikol) Tablet 0 0 0
124 N-Asetil Sistein Kapsul 412 0 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 180
126 Omeprazol Inj Box/10 Vial 11868 0 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0 0
134 Ondansentron Inj Ampul 0 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 0
136 Parasetamol Syr Botol 5500 0 0 10
137 Parasetamol Drops Botol 7646 0 0 0
138 Parasetamol Tab box/100Tablet 60 100 6000 100
139 Permetrin Krim Tube 53600 0 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0 8
141 Piridoxin (Vit B6) box/100Tablet 141 0 0 0
142 Povidon Iodin Botol 0 0 0
143 Primakuin Tab box/100Tablet 0 0 0
144 Prednison box/100Tablet 74 100 7400 100
145 Propanolol box/100Tablet 59 0 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0 0
149 Piroksikam box/100Tablet 13500 0 0 200
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0
155 Salep 24 pot 2797 0 0 3
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 90 12150 90
161 Sefotaxim Inj Box/2Vial 30600 0 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 100 40600 100
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0
168 Vagistin Suppo Box/10 suppo 0 0 0
169 Vit K inj Ampul 4083 0 0 0
170 Vit C Tablet 120 100 12000 100
171 Vit B Com Tablet 132 100 13200 100
172 Xylastin tab Tablet 0 0 0
173 Zinc box/100Tablet 586 0 0 100
174 Zinc Syr Botol 4959 0 0 5
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 100
177 Biocombin Inj ktk/10 ampl 0 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0 0
179 Diazepam Tab Ktk/100 Tab 0 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0 0
182 Obat Kusta PB paket 0 0 0
183 Obat Kusta MB paket 0 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0 0
186 OAT KATEGORI 1 Paket 447747 0 0 0
187 OAT KATEGORI 2 Paket 0 0 0
188 Regen Zn Paket 0 0 0
189 Larutan Giemsa Botol 0 0 0
190 ETSA Set 0 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0 0
192 Kalsium Hidroksida Pasta Tube 0 0 0
193 Trichloro Formalin (TKF) Set 0 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0 0
196 Glass Ionomer Cement ART Set 0 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0 0
198 LC (Light Curring) A2-A3 Set 0 0 0
199 Caviton 0 0 0
200 D-pulp 0 0 0
Jumlah 433690
433690
Penerimaan 01 Januari 2019
Stok Per 31 Desember2018
No Nama BHP Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Etanol 70 % 100 ml Botol 0
2 Catgut Cromic 3-0 Box/12pcs 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0 3
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0 8
20 Cathy IV. CANNULA 18G Box/100pcs 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 0 20
29 Dispo 3cc Box/100pcs 0 10
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0 1
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0 1
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 0
58 Pengikat Tali Pusat Box/50pcs 0 20
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
K OPNAME
GI
2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019

Harga Volume Harga Volume Harga

8 9 10 11 12
6930 60 5390 20 1540
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 0
0 0 0 0
0 90 9500 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
100 100
10490 1 2098 4 8392

0 0 0 0 0

0 0 0 0 0
35420 8 28336 2 7084
0 0 0 0 0
0 60 6180 40 4120
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 30 12750 70 29750
0 3 15450 2 10300
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
17450 0 0 5 17450
7100 7 9940 3 4260
0 0 0 0 0
33600 1 8400 3 25200
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 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
6050 8 9680 2 2420
3400 160 5440 40 1360

0 0 0 0 0

6050 0 0 0 6050
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2 5724 3 8586
0 60 3600 40 5400
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 0
0 0 0 0 0
100 0
0 3 9000 2 6000
0 0 0 0 0
17000 0 15300 0 1700
0 0 0 2 13800
0 20 4460 80 17840
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 0
0 0 0 0 0
 0 0 0 0 0
5900 0 0 100 5900
0 0 0 0 0
8000 100 6400 0 6400
0 2 5388 3 8082
28600 60 17160 40 11440
0 0 0 0 0
0 0 0 0 0
32900 40 13160 60 19740
0 0 0 0 0
4026 0 0 2 4026
44745 3 26847 2 17898
2400 100 2880 0 1920
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3 6156 2 4104
0 0 0 0 0
12700 0 8890 0 3810
0 0 0 0 0
0 22200 0 2 14800
0 4 51600 1 12900
0 0 0 0 0
3410000 0 1364000 0 2046000
0 0 0 0 0
10200 120 12240 80 2040
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 20 2780 80 11120
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
13600 0 10880 0 2720
0 0 0 0 0
0 0 0 0 0
0 0 0 5 4550
0 0 0 0 0
0 0 0 0 0
2205000 110 1347500 70 857500
0 0 0 0 0
 11750 0 7050 0 4700
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2750 0 0 10 2750
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
55000 8 44000 2 11000
0 0 0 0 0
6000 170 9600 30 2400
0 0 0 0
2648 4 1324 4 1324
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
7400 150 9620 50 5180
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2700000 120 1620000 80 1080000
22000 100 22000 0 0
0 0 0 0 0
55700 0 55700 0 0
0 0 0 0 0
0 0 0 0 0
13985 3 8391 0 5594
11050 0 6630 0 4420
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12150 120 16200 60 8100
0 0 0 0 0
0 0 0 0 0
147000 0 147000 0 0
121800 200 146160 0 16240
0 0 0 0 0
8700 60 5220 40 3480
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12000 170 20400 30 3600
13200 180 23760 20 2640
0 0 0 0 0
58600 20 11720 80 46880
 24795 2 9918 3 14877
0 0 0 0 0
8900 50 4450 50 4450
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 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 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 0 0 0

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12

3 0
5 3

20 0
5 5

1 0

1 0

0 20
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES Siendeng
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain
15 Box/30 Amp 1317 0 0 0
Hcl 2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 1000
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 200 85000 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 60 14220
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 5
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 100
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0 100
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 300 52200
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 300
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0 0
72 Griseofulvin box/100Tablet 223 0 0 100
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 100
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 100
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 0 0 10
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0 100
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0 100
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 151420
151420

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol
58 Pengikat Tali Pusat Box/50pcs
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
 Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
eng
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 0 0 0
0 0 0 0 0
24800 90 22320 10 2480
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 0
0 0 0 1000 167000
0 0 0 0
0 0 0 0 0
0 0 0 200 85000
0 0 0 0 0
0 0 60 14220
0 0 0
0 0 0
0 0 0
0 0 0
162970 4 130376 1 32594
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 0 0
0 0 0
0 0 0 0 0
0 90 3060 10 340

0 0 0

0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
9000 90 8100 10 900
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 0 300 52200
0 0 0
0 0 0
41100 50 6850 250 34250
0 0 0 0
0 0 0 0 0
22300 50 11150 50 11150
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 4 0 1 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 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
0 0 0 0 0
1305000 50 652500 50 652500
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 0 0 0 0
0 0 0 0 0
13900 100 13900 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 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 0 0 0 0
2750 10 2750 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 0 0
0 0 0 0
0 0 0 0
0 0 0 0
7400 100 7400 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
22000 90 19800 10 2200
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 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 4 117600
0 0 0 0
0 0 0 0 0
8700 80 6960 20 1740
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
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 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

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 0
0 0

0 0
0
0 0
0

0 0

0 0

0 0

0 0
0 1
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POLINDES TIRTANAGAYA
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0 180
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 50 13750 100
5 Albendazol Tab 400mg box/100Tablet 451 0 0 60
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0 0
12 Amoksisilin SK Botol 5060 0 0
13 Amoksisilin Tab box/100Tablet 248 60 14880 100
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 100 5600 0
18 Antasida Susp Botol 2098 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 164 16892 100
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0
28 Asiklovir tab Tablet 425 0 0
29 Asiklovir krim Tube 5150 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0
50 Deksametason tab Tablet 34 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 2 6000 0
69 Glibenklamid box/100Tablet 137 500 68500 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0
72 Griseofulvin box/100Tablet 223 134 29882 100
73 Haloperidol 0,5mg box/100Tablet 0 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 5 13240 5
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 80 4720 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 80 60 4800 0
86 Ketokonazol Krim Tube 2694 2 5388 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 200
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 100 12500 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 3 6156 5
100 Metoclopramid Box/100 Tab 100 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0
102 Loperamid Box/100 Tab 13050 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 100 10200 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0
113 Metil ergometrin inj Ampul 3399 0 0
114 metil prednison Tablet 139 200 27800 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 60 735000 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0
131 Oralit Sachet 275 0 0
132 Oxytocin Ampul 1232 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 100 6000 100
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 2 662 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 100 7400 0
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0
150 Ranitidin Tab box/100Tablet 220 20 4400 100
151 Scopma Plus box/100Tablet 2190 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 3 8391 0
156 Ranitidin Injeksi Box/10amp 1105 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0
160 Simvastatin Box/30Tablet 135 30 4050 90
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0
165 Tetrasiclin box/100Tablet 520 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 20 1740 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 50 29300 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 1037251
1037251

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 0
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 12 10
29 Dispo 3cc Box/100pcs 2 20
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 0
58 Pengikat Tali Pusat Box/50pcs 0
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
63 Fixomul Sretc Roll 0
onemed kassa pembalut hidrophil 4m x 15
64 Roll 0
cm
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
 Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
GAYA
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
13860 0 0 180 13860
0 0 0
0 0 0
27500 60 16500 90 24750
27060 0 0 60 27060
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
24800 60 14880 100 24800
0 0 0 0

0 0 0 0

0 0 0 0
0 100 5600 0 0
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
10300 60 6180 204 21012
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 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 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 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
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 2 6000
0 0 0 500 68500
0 0 0 0
0 0 0 0
22300 60 13380 174 38802
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
13240 2 5296 8 21184
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 60 3540 20 1180
0 0 0 0
0 10 800 50 4000
0 1 2694 1 2694
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
4800 140 3360 60 1440
0 0 0 0
0 80 10000 20 2500
0 0 0 0
0 0 0 0
10260 3 6156 5 10260
0 0 0 100 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 20 2040 80 8160
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 80 11120 120 16680
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 0
0 0 0 0
0 0 0 0
0 20 245000 40 490000
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 0
0 0 0 0
0 0 0 0
6000 80 4800 120 7200
0 0 0 0
0 0 0 2 662
0 0 0 0
0 0 0 0
0 0 0 0
0 20 1480 80 5920
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
22000 80 17600 40 8800
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 8391 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
12150 4 540 116 15660
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
8700 40 3480 80 6960
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 29300
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 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 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

Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7
0

10
10
 Penanggung Jawab

.................................
Nip/NRPTT.
 LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES WANAGADING
PER 31 DESEMBER - 06 MARET 2019

Penerimaan 01 Januari 2019

Stok Per 31 Desember2018
No Nama Obat Satuan Harga - 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0
5 Albendazol Tab 400mg box/100Tablet 451 50 22550
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0
12 Amoksisilin SK Botol 5060 0 0 0
13 Amoksisilin Tab box/100Tablet 248 0 0
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
0 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0
18 Antasida Susp Botol 2098 0 0 0
Antifungi Doen Salep, Kombinasi: Asam
19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 0
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 0
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 0
29 Asiklovir krim Tube 5150 0 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0 0
36 Bedak salisil box 8400 0 0
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 0 0 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0
50 Deksametason tab Tablet 34 0 0 0
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 1 6900 0
72 Griseofulvin box/100Tablet 223 0 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 1 2648 0
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 0 0 0
81 Isosorbit dinitrat box/100Tablet 89 0 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 0 0 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 0 0 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 0 0 0
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 0 0 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 0 0 0
113 Metil ergometrin inj Ampul 3399 0 0 0
114 metil prednison Tablet 139 0 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 0 0 0
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 0 0 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 0
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0
131 Oralit Sachet 275 2 550 0
132 Oxytocin Ampul 1232 0 0 0
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
136 Parasetamol Syr Botol 5500 0 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 0
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
142 Povidon Iodin Botol 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0
145 Propanolol box/100Tablet 59 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 0
150 Ranitidin Tab box/100Tablet 220 0 0
151 Scopma Plus box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 0
153 Sefadroxil SK Botol 5286 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 0
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0
158 Retinol Vit A 200.000 UI Botol 34660 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0
160 Simvastatin Box/30Tablet 135 0 0 0
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 10 4060
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 0
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 70 8400 0
171 Vit B Com Tablet 132 0 0 0
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 0
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 0
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 0 0 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 45108

Penerimaan
Stok Per 31
01 Januari
No Nama BHP Satuan Desember201
2019 - 06
8
Maret 2019
1 2 3 4 5

1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 2
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0
6 Catgut Plain 3-0 Box/12pcs 0
7 Catgut Plain 2-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
9 Catgut Plain 2-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
11 Foley Catheter Two Way No. 12 Pcs 0
12 Foley Catheter Two Way No. 14 Pcs 0
13 Foley Catheter Two Way No. 18 Pcs 0
14 Foley Catheter Two Way No. 20 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
24 Abocath 22G Box/100pcs 0
25 Steracath I.V Catheter No. 22G Box/50pcs 0
26 Abocath 24G Box/100pcs 2
27 Steracath I.V Catheter No. 24G Box/50pcs 0
28 Dispo 1cc Box/100pcs 5
29 Dispo 3cc Box/100pcs 0 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0
32 Dispo 10cc Box/100pcs 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 0
36 Kapas Pembalut 250gr Bks 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 0 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 0 0
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
54 Kasa Hidrofil 40, x 80 cm Roll 0
55 Alkohol Swab Box 0
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 2
58 Pengikat Tali Pusat Box/50pcs 2
59 Urine Bag Buah 0
60 lancet Box/100pcs 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 1 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
70 Easculap Blades - 23 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
84 Paper Tape 7,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
106 Plesterin Non Woven Roll 10cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
 Plastik Klip Sedang (5 x 8 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 0
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah

Mengetahui,
Kepala Puskesmas Lambunu.2 Penanggung Jawab

wawan akibu,S.kep Ns ..................................

Nip. Nip/NRPTT.
TOK OPNAME
ADING
RET 2019

Penerimaan 01 Januari 2019 Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

- 06 Maret 2019 2019 - 06 Maret 2019 2019
Harga Volume Harga Volume Harga
8 9 10 11 12
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 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
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 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
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
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 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 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 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 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 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 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 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 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
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Pengeluaran
Sisa Stok
01 Januari
Tanggal 06
2019 - 06
Maret 2019
Maret 2019
6 7

2 0
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 Penanggung Jawab

.................................
Nip/NRPTT.