LAPORAN PEERSEDIAAN BARANG DAK

PER 31 Desember 2021

SKPD : UPT PUSKESMAS TANJUNG REJO

KABUPATEN : WAY KANAN
PROVINSI : LAMPUNG

SALDO MUTASI PERSEDIAAN

NO NAMA OBAT SATUAN AWAL PER 1
JAN-2021 PENERIMAAN PENGELUARAN

1 2 3 4 5 6
1 Acyclovir 200 mg tablet Tablet 0 0 0
2 Acyclovir 400 mg tablet Tablet 150 0 0
3 Agua Pro Injeksi/Otsu Vial 3 0 3
4 Albendazol 400 mg Tablet 0 0 0
5 Alkohol / Etanol 70 % 1 Liter Botol 6 0 1
6 Allopurinol 100 mg Tablet 600 0 200
7 Alprazolam 1 mg Tablet 100 0 0
8 Ambrokxol sirup 15 mg/ml Botol 0 0 0
9 Ambroxol 30 mg Tablet 900 7500 5900
10 Aminofilin injeksi 24 mg/ml Ampul 0 0 0
11 Aminophyllin 200 mg Tablet 0 0 0
12 Amitriptilin 25 mg Tablet 200 0 0
13 Amlodipine 10 mg Tablet 0 3900 1650
14 Amlodipine 5 mg Tablet 900 1800 2400
15 Amoksisillin 500 mg Tablet 6100 0 3600
16 Amoksisillin sirup 125 mg/5ml Botol 0 400 70
17 Ampicillin Injeksi 1.000 gram Vial 0 0 0
18 Antasida DOEN I tablet kunyah Tablet 3600 2000 3500
19 Antasida DOEN Suspensi Botol 25 150 125
20 Anti Bakteri DOEN Tube 0 0 0
21 Anti Hemoroid DOEN Komb. Supp 10 0 10
22 Antifungi DOEN Pot 0 0 0
23 Antimalaria/Komb.Pirim+Sulfa 500 mg Tablet 0 0 0
24 Artemeter Injeksi 80 mg/ml Ampul 0 0 0
25 Artesunate Injeksi Vial 0 0 0
26 Asam Askorbat 50 mg / Vitamin C Tablet 0 0 0
27 Asam Folat 1 mg Tablet 0 0 0
28 Asam Mefenamat 500 mg Tablet 1000 0 1000
29 Asam Traneksamat inj 100mg/ml Ampul 0 0 0
30 Asam Traneksamat inj 50mg/ml Ampul 0 0 0
31 Asetosal 100 mg Tablet 0 0 0
32 Atropin 0,5 mg Tablet 0 0 0
33 Atropin injeksi 0,25/ml Ampul 0 0 0
34 Betahistin Maleat 6 mg Tablet 300 1000 600
35 Betametason 0,1 % Tube 0 75 50
36 Captopril 12,5 mg Tablet 200 2500 1700
37 Carbolgliserin Tetes Telinga 10 % Botol 0 0 0
38 Cefadroxil syrup 125 mg/ml Botol 0 100 50
39 Cefiksim 100 mg Kapsul 0 0 0
40 Cefotaksim injeksi 1000 mg Vial 44 0 44
41 Ceftriaxone Injeksi 1.000 mg Vial 33 0 33
42 Cetirizine 10 mg Tablet 0 7000 4800
43 Cetrizine HCl Sirup Botol 20 100 95
44 Chloramphenikol Salep Mata 1 % Tube 0 0 0
45 Chlorfeniramin (CTM) Tablet 0 0 0
46 Chlorpromazin 100 mg Tablet 0 0 0
47 Chlorpromazin HCl Inj 25 mg/ml Ampul 0 0 0
48 Ciprofloksacin 500 mg Tablet 0 0 0
49 Clindamisin Kapsul 150 mg Kapsul 0 0 0
50 Clobazam 10 mg Tablet 0 0 0
51 Clozapine 25 mg Tablet 0 0 0
52 Cotrimoksasol DOEN I (Dewasa) Tablet 500 0 0
53 Cyanokobalamin (Vit B12) inj Ampul 50 0 15
54 Deksametason 0,5 mg Tablet 0 0 0
55 Deksametason Injeksi Ampul 134 0 134
56 Dekstrometorfan 15 mg Tablet 0 0 0
57 Dekstrometorfan sirup Botol 0 0 0
58 DHP(Dehidro Artemisin+Piperaquin) Kotak 0 0 0
59 Diazepam 2 mg Tablet 0 0 0
60 Diazepam 5 mg Tablet 300 0 0
61 Diazepam Inj / Valdimex Ampul 0 0 0
62 Diazepam Injeksi 5 mg/ml Ampul 10 0 0
63 Difenhidramin Injeksi 10 mg/ml Ampul 54 0 54
64 Digoksin 0,25 mg Tablet 300 0 300
65 Domperidon 10 mg Tablet 400 1500 1000
66 Domperidon suspensi 5 mg/5 ml Botol 0 100 70
67 Efinefrin HCl Injeksi Ampul 0 20 15
68 Ergotamin Kombinasi Tablet 200 0 100
69 Erythromycin 500 mg Tablet 0 0 0
70 Etanol 70 % 1.000 ml Botol 0 0 0
71 Etanol 70 % 100 ml Botol 0 0 0
72 Etanol 70 % 300 ml Botol 0 0 0
73 Eugenol 10 ml Botol 0 0 0
74 Furosemid 40 mg Tablet 0 400 200
75 Furosemide Injeksi Ampul 0 0 0
76 Garam oralit Saset 1200 0 100
77 Gentamisin Injeksi 40 mg/ml Ampul 0 0 0
78 Gentamiycin Tetes Mata Botol 0 0 0
79 Glibenklamide 5 mg Tablet 800 0 0
80 Glimepiride 1 mg Tablet 0 2000 1300
81 Glukonas Kalsikus 10 % Ampul 0 0 0
82 Glukosa 5 % Botol 0 20 11
83 Griseofulvin 125 mg Tablet 0 0 0
84 Guaifenesin Tablet 0 0 0
85 Haloperidol 5 mg Tablet 700 1000 1100
86 Hidroklorotiazide 25 mg Tablet 200 0 0
87 Hidrokortison krem 1 % Tube 0 42 30
88 Hidrokortison krem 2,5 % Tube 0 0 0
89 Ibuprofen 200 mg Tablet 0 0 0
90 Ibuprofen 400 mg Tablet 0 0 0
 91 Ibuprofen sirup 100 mg/5 ml Botol 100 100 200
92 Isoniazide / INH 100 mg Tablet 0 0 0
93 Isosorbid Dinitrat 5 mg Tablet 0 0 0
94 Kalium Klorida Injeksi Ampul 18 0 18
95 Kalsium Laktat 500 mg Tablet 2200 0 400
96 Ketokonazol 20 mg Tablet 600 0 600
97 Ketokonazol krim 2 % Tube 10 0 10
98 Ketorolac injeksi 30 mg/ml Ampul 0 0 0
99 Kuinin 200 mg Tablet 0 0 0
100 Kuinin Injeksi Ampul 0 0 0
101 Lanzoprazole 30 mg Tablet 0 0 0
102 Levofloksacin 500 mg Tablet 0 0 0
103 Lidokain 2 % + efinefrin Injeksi Phapros Ampul 150 60 210
104 Lidokain 2 % Injeksi Lucas Ampul 0 100 20
105 Lisol Botol 3 0 0
106 Loperamide 2 mg Tablet 0 2000 500
107 Metampiron / Antaligin inj Ampul 0 0 0
108 Metampiron tab 500 mg (Antalgin) Tablet 0 0 0
109 Metformin 500 mg Tablet 300 500 600
110 Methylergometrin Injeksi Ampul 0 0 0
111 Methylergometrin Maleat Tab 0,125 mg Tablet 300 0 0
112 Methylprednisolon 4 mg Tablet 0 0 0
113 Metilergometrin 0,125 mg Tablet 0 0 0
114 Metoklopramide 10 mg Tablet 0 0 0
115 Metronidazol 500 mg Tablet 0 0 0
116 MgSO4 Injeski 40 % Ampul 68 0 68
117 Mineral Mix Saset 0 0 0
118 N-Asetil Sistein 200 mg Tablet 0 0 0
119 Natrium Diklofenac 25 mg Tablet 1000 1500 2350
120 Natrium Klorida 0,9 % Infus Botol 49 0 13
121 Nifedipine 10 mg Tablet 0 0 0
122 Nistatin 100.000 IU tablet vaginal Tablet 600 0 0
123 Nistatin 500.000 IU tablet salut Tablet 200 0 0
124 Oksitetrasiklin salep Mata 1% Tube 0 0 0
125 Oksitosin Injeksi Ampul 0 0 0
126 Omeprazole 20 mg Kapsul 0 0 0
127 Parasetamol 500 mg Tablet 1300 21500 19300
128 Parasetamol Drop 15 ml Botol 0 0 0
129 Parasetamol sirup 120 mg/5 ml Botol 40 400 270
130 Phenobarbital Injeksi Ampul 0 0 0
131 Phenytoin Sodium Injeksi 50mg/ml Ampul 20 0 20
132 Phytomenadion (Vit K) Injeksi Ampul 0 90 90
133 Phytomenadion (Vit.K1) tablet 10 mg Tablet 200 0 200
134 Povidon Iodida 10 % 1000 ml Botol 0 0 0
135 Povidon Iodida 10 % 30 ml Botol 0 0 0
136 Povidon Iodida 10 % 300 ml Botol 7 0 3
137 Prednison 5 mg Tablet 0 2300 1900
138 Primakuin Tablet 0 0 0
139 Propiltiourasil 100 mg Tablet 0 0 0
140 Propranolol 40 mg Tablet 0 0 0
141 Ranitidine 150 mg Tablet 0 0 0
142 Ranitidine Injeksi Ampul 0 100 100
143 Retinol (Vit A) 100.000 IU Kapsul 0 250 250
144 Retinol (Vit A) 200.000 IU Kapsul 0 1900 1900
145 Ringer Laktat infus Botol 26 100 63
146 Risperidon 2 mg Tablet 300 7000 4600
147 Rivanol/Etakridin 300 ml Botol 13 0 3
148 Salbutamol 2 mg Tablet 700 500 900
149 Salep 2-4, Kombinasi Pot 48 0 30
150 Serum Anti Bisa Ular (ABU) I Vial 2 2 1
151 Serum ATS 1500 IU Ampul 10 0 10
152 Simvastatin 10 mg Tablet 0 2880 2880
153 Simvastatin 20 mg Tablet 0 1000 500
154 Sodium Bicarbonat Inj/Meylon Inj Ampul 0 0 0
155 Soft U Derm Krim Tube 0 0 0
156 Tablet Tambah Darah Phapros Tablet 0 13890 13890
157 Tablet Tambah Darah/INF Tablet 0 0 0
158 Tetrasiklin kapsul 250 mg Kapsul 500 0 0
159 Tramadol Injeksi Ampul 0 0 0
160 Triheksifenidil 2 mg Tablet 200 3000 1800
161 VAR Kuur 0 0 0
162 Vitamin B Komplek Tablet 1100 4500 4100
163 Vitamin B1 / Thiamin 50 mg Tablet 800 0 0
164 Vitamin B6 10 mg / Piridoksin HCL Tablet 400 0 400
165 Vitamin C 250 mg / Asam Askorbat Tablet 1400 2500 3300
166 Zinc 20 mg Tablet 300 0 300
167 Betadine Salep Tube 0 0 0
168 Decafil 150 mg Tablet 0 0 0
169 Dhavit Sirup Botol 0 0 0
170 Emibion Kapsul Kapsul 0 0 0
171 Exaflam 50 mg Tablet 0 0 0
172 Extropect Tablet Tablet 0 0 0
173 Flu-Tab Tablet 0 0 0
174 Goralgin tablet Tablet 0 0 0
175 Harmida 2,5 mg/Glibenklamide Tablet 300 0 300
176 Novaron 500 mg Tablet 0 0 0
177 Nufit Kaplet Tablet 0 0 0
178 Rizodal 1 mg / Risperidon Tablet 0 0 0
179 Rizodal 2 mg / Risperidon Tablet 0 0 0
180 Govotil 2 mg / Haloperidol Tablet 0 0 0
181 Govotil 5 mg / Haloperidol Tablet 0 0 0
182 Anti-A Monoclonal Blood GR Botol 0 0 0
183 Anti-B Monoclonal Blood GR Botol 0 0 0
184 Anti-AB Monoclonal Blood GR Botol 0 0 0
185 Anti-D Douclone Monoclonal Blood GR Botol 0 0 0
186 CBC ST Plus Botol 0 0 0
187 Control Botol 0 0 0
188 Fuji (X ART 1-1 Buah) Botol 0 0 0
189 Calplus Pack 2 x 2,2 g Botol 0 0 0
190 CHKM 20 ml Botol 0 0 0
191 PULP Tube Botol 0 0 0
192 Elite Cement P 35 g L 18 ml Botol 0 0 0
193 Caviton 30 g Botol 0 0 0
194 MB Anak Blister 0 0 0
195 MB Dewasa Blister 0 0 0
196 PB Dewasa Blister 0 0 0
197 OAT Kategori I Paket 0 0 0
198 OAT Kategori II Paket 0 0 0
199 OAT Kategori Anak Paket 0 0 0
200 OAT Kombipak Kategori 1 Paket 0 0 0
201 Vaksin BCG Vial 0 0 0
202 Vaksin Campak 10 dosis Vial 0 0 0
203 Vaksin DPT-HB-Hib 2,5 ml Vial 0 0 0
204 Vaksin DT Vial 0 0 0
205 Vaksin Hepatitis B 0,5 ml Piece 0 0 0
206 Vaksin IPV Vial 0 0 0
207 Vaksin MR Vial 0 0 0
208 Vaksin Polio 10 dosis Vial 0 0 0
209 Vaksin Td Vial 0 0 0
210 Alat Suntik 1 ml Piece 0 0 0
211 Alat Suntik 3 cc / Aximed Piece 0 0 0
212 Alat Suntik 3 ml with Needle/Skifa/RMB Piece 1200 0 500
213 Alat Suntik 5 ml Cosmo/Skifa Piece 400 0 100
214 Alat Suntik/Syringe 1 cc Aximed Piece 0 0 0
215 Alat Suntik/Syringe 1 cc Serenity Insulin Piece 0 0 0
216 Alat Suntik/Syringe 5 cc Aximed Piece 0 0 0
217 Alat Suntik/Syringe 5 cc Serenity Piece 0 0 0
218 Auto Disable with Needle 0,05 ml Piece 0 0 0
219 Auto Disable with Needle 0,5 ml Piece 0 0 0
220 Blood Administration Set Piece 0 0 0
221 Cannofix-PU 6 cm x 8 cm Roll 0 0 0
222 Cat Gut Chromic SMI 1 HS 37 mm Piece 0 0 0
223 Catgut Chromic SMI 2/0 HS 26 MM Piece 0 0 0
224 Catgut Chromic SMI 3/0 HR 30 mm Piece 0 0 0
225 Catgut Plain SMI 3/0 HR 26 MM Piece 30 24 15
226 Foley Catheter Cosmomed Piece 0 0 0
227 Folley Catheter 16 FR Idealcare Piece 0 0 0
228 Folley Catheter 2 Way 18 fr Idealcare Piece 45 0 17
229 Human Humasens + cholesterol test strips Kotak 0 0 0
230 Human Humasens + glukosa test strips Kotak 0 0 0
231 Human Humasens + uric acid test strips Kotak 0 0 0
232 Infusion Set Anak Aximed Piece 0 0 0
233 infusion Set Anak Cosmomed Piece 21 0 12
234 Infusion Set Anak Serenity/50' Piece 50 0 0
235 Infusion Set Troge Medical GMBH Piece 45 50 38
236 IV Catheter 20 G Troge/Jellco/Eskamed Piece 0 0 0

IV Catheter 22 G Troge/Jellco/Eskamed
237 Piece 20 0 20

IV Catheter 24 G Troge/Jellco/Eskamed
238 Piece 0 0 0
239 IV Catheter 26 G Troge/Jellco/Eskamed Piece 4 0 4
240 IV Catheter18 G Troge/Jellco/Eskamed Piece 12 0 12
241 IV Dressing Non Woven 4,5 x 6 Piece 395 0 95
242 IV Dressing Non Woven 6 x 8 Piece 495 0 95
243 Kapas 40 x 40 Piece 0 0 0
244 Kapas Pembalut Hidrofil 250 gr Roll 9 0 9
245 Kasa Hidrofil 16 x 16 cm Kotak 0 20 12
246 Kasa Hidrofil 36 m x 80 cm Roll 3 0 1
247 Kasa Kompres Kotak 0 0 0
248 Kasa pembalut hidrofil 3,6 cm x10 cm Roll 73 0 38
249 Mask Face Ear Loops ( Tali Karet ) Cosmomed Piece 0 0 0
250 Mask Fask Tie On Aximed Piece 0 0 0
251 Masker Ear Loop MI / RNI Piece 0 0 0
252 Masker MAS Piece 0 750 550
253 Masker Tali Serenity/50' Piece 0 0 0
254 Nasal Canula Adult (Dewasa) Cosmomed Piece 22 0 0
255 Nasal Canula Child (Anak) Cosmomed Piece 8 0 0
256 Nasal Canula Neonata Cosmomed Piece 0 0 0
257 Nebulizer Mask (Anak) Cosmomed Piece 1 0 0
258 Nebulizer Mask (Dewasa) Cosmomed Piece 6 0 0
259 Non Woven Fixation 10x10 Aximed Roll 0 0 0
260 Non Woven Fixation 15x10 Aximed Roll 0 0 0
261 Non Woven Fixation 5x10 Aximed Roll 0 0 0
262 Oxygen Mask (Anak) Cosmomed Piece 8 0 0
263 Oxygen Mask (Dewasa) Cosmomed Piece 8 0 0
264 Paper Tape Aximed Roll 6 0 1
265 Pharmacol Thick 10 cm x 10 cm Roll 0 0 0
266 Pharmaplast Pharmafix 10 cm x 500 cm Roll 9 0 2
267 Pharmaplast Pharmafix 5 cm x 500 cm Roll 0 0 0
268 Plester 10 cm x 5 m/Plesterin Non Woven Roll 6 0 2
269 Plester Bulan non Woven Kotak 7 0 0
270 Polifix 10 cm x 5 m Roll 0 0 0
271 Polifix 5 cm x 1 m Roll 0 0 0
272 Postofix-PU 6 cm x 7 cm Roll 0 0 0
273 S.Tangan/Exam Gloves Size L Aximed Piece 0 1500 1200
274 S.Tangan/Exam Gloves Size M Aximed Piece 0 0 0
275 S.Tangan/Glove 7,5 steril Troge GMBH Pasang 0 300 300
276 S.Tangan/Handscoon 7 Pasang 0 0 0
277 S.Tangan/Handscoon 7,5 Pasang 0 0 0
278 S.Tangan Skifa Exam Latex Gloves L Piece 200 0 200
279 Safety Box Piece 0 0 0
280 Silk Black 2/0 DS 24 mm Piece 0 0 0
281 Silk Black 3/0 DS 24 MM Piece 20 24 16
282 Swab 4-ply Aximed Piece 0 0 0
283 Swab Alkohol Cosmomed Piece 0 0 0
284 Swab Alkohol Serenity/100 Piece Piece 600 0 500
285 Underpad Cosmomed Piece 4 0 4
286 Urine Bag Sterile Cosmomed Piece 30 0 2
287 Chlorpromazin 25 mg Tablet 500 3500 2600
288 Mikonazole Krim 2% Tube 0 90 35
289 Cefadroxil capsul 500 mg capsul 0 1500 1400
290 Chloramphenikol Kaplet 500 mg Kapsul 0 1000 1000
291 Zinc Sulfate sir 20mg/5 ml Botol 0 72 72
292 Chloramfenikol syrup Botol 0 100 100
jumlah 36540 106709 101311

Mengetahui
Kepala Puskesmas

JUANDA,S.ST
NIP: 19790107 200902 1 001
DIAAN BARANG DAK
sember 2021

STOK AKHIR 31 DES 2021

VOLUME HARGA SATUAN JUMLAH
(RP)
7=4+5-6 8 9=7x8
0 480.00 0.00
150 380.00 57,000.00
0 2,860.000 0.00
0 402.00 0.00
5 26,083.33 130,416.65
400 105.00 42,000.00
100 128.00 12,800.00
0 104.00 0.00
2500 140.70 351,742.50
0 2,998.00 0.00
0 95.00 0.00
200 167.00 33,400.00
2250 92.67 208,507.50
300 78.00 23,400.00
2500 249.00 622,500.00
330 2,050.00 676,500.00
0 8,237.00 0.00
2100 58.00 121,800.00
50 2,129.00 106,450.00
0 0.00 0.00
0 3,167.00 0.00
0 2,152.00 0.00
0 616.00 0.00
0 0.00 0.00
0 0.00 0.00
0 105.00 0.00
0 70.00 0.00
0 440.00 0.00
0 1,945.00 0.00
0 1,748.00 0.00
0 0.00 0.00
0 1,595.00 0.00
0 1,595.00 0.00
700 110.00 77,000.00
25 1,430.00 35,750.00
1000 66.00 66,000.00
0 2,500.00 0.00
50 4,189.00 209,450.00
0 85.00 0.00
 0 4,482.00 0.00
0 4,483.00 0.00
2200 90.00 198,000.00
25 2,915.00 72,875.00
0 1,881.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
500 133.00 66,500.00
35 1,104.00 38,640.00
0 0.00 0.00
0 1,097.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
300 109.00 32,700.00
0 0.00 0.00
10 1,735.00 17,350.00
0 1,095.00 0.00
0 104.00 0.00
900 91.00 81,900.00
30 2,700.00 81,000.00
5 1,408.00 7,040.00
100 173.00 17,300.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
200 82.00 16,400.00
0 0.00 0.00
1100 257.00 282,700.00
0 3,509.00 0.00
0 4,232.00 0.00
800 119.00 95,200.00
700 174.00 121,800.00
0 10,351.00 0.00
9 6,900.00 62,100.00
0 0.00 0.00
0 108.95 0.00
600 60.00 36,000.00
200 155.00 31,000.00
12 2,900.00 34,800.00
0 2,900.00 0.00
0 0.00 0.00
0 0.00 0.00
 0 2,721.00 0.00
0 0.00 0.00
0 0.00 0.00
0 3,223.00 0.00
1800 63.00 113,400.00
0 288.00 0.00
0 2,518.00 0.00
0 1,045.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 1,145.00 0.00
80 1,145.00 91,600.00
3 42,816.67 128,450.01
1500 77.00 115,500.00
0 1,596.54 0.00
0 0.00 0.00
200 102.00 20,400.00
0 2,959.00 0.00
300 210.00 63,000.00
0 0.00 0.00
0 210.00 0.00
0 0.00 0.00
0 0.00 0.00
0 3,796.00 0.00
0 0.00 0.00
0 358.00 0.00
150 137.00 20,550.00
36 6,410.00 230,760.00
0 0.00 0.00
600 560.00 336,000.00
200 560.00 112,000.00
0 2,500.00 0.00
0 1,199.00 0.00
0 0.00 0.00
3500 148.16 518,560.00
0 6,649.00 0.00
170 1,181.00 200,770.00
0 1,857.00 0.00
0 3,738.00 0.00
0 3,682.00 0.00
0 710.00 0.00
0 83,597.50 0.00
0 75.00 0.00
4 18,900.00 75,600.00
400 73.00 29,200.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
 0 1,188.00 0.00
0 0.00 0.00
0 0.00 0.00
63 7,630.00 480,690.00
2700 273.00 737,100.00
10 3,183.33 31,833.30
300 63.00 18,900.00
18 2,621.00 47,178.00
3 479,996.00 1,439,988.00
0 130,999.00 0.00
0 117.00 0.00
500 205.00 102,500.00
0 6,448.00 0.00
0 3,941.00 0.00
0 354.00 0.00
0 265.00 0.00
500 174.00 87,000.00
0 0.00 0.00
1400 91.00 127,400.00
0 0.00 0.00
1500 117.00 175,500.00
800 123.00 98,400.00
0 123.00 0.00
600 119.00 71,400.00
0 524.00 0.00
0 7,039.00 0.00
0 0.00 0.00
0 0.00 0.00
0 1,569.99 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 180.00 0.00
0 0.00 0.00
0 7,550.00 0.00
0 5,325.00 0.00
0 8,775.00 0.00
0 1,687.50 0.00
0 3,287.50 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
 0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
0 19,130.00 0.00
0 0.00 0.00
700 1,615.00 1,130,500.00
300 869.34 260,802.00
0 0.00 0.00
0 0.00 0.00
0 228.00 0.00
0 73.00 0.00
0 2,025.00 0.00
0 365.00 0.00
0 0.00 0.00
0 6,850.00 0.00
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
39 34,811.70 1,357,656.30
0 12,174.67 0.00
0 361.00 0.00
28 578.00 16,184.00
0 27,265.00 0.00
0 11,036.00 0.00
0 10,132.00 0.00
0 0.00 0.00
9 4,612.10 41,508.90
50 8,839.60 441,980.00
57 10,760.00 613,320.00
0 8,960.00 0.00

0 9,060.00 0.00

0 20,250.00 0.00
0 23,843.00 0.00
0 16,360.00 0.00
300 1,237.00 371,100.00
 400 788.00 315,200.00
0 0.00 0.00
0 27,000.00 0.00
8 8,074.00 64,592.00
2 146,500.00 293,000.00
0 0.00 0.00
35 2,548.00 89,180.00
0 0.00 0.00
0 0.00 0.00
0 756.14 0.00
200 2,860.00 572,000.00
0 756.14 0.00
22 6,281.10 138,184.20
8 6,281.10 50,248.80
0 0.00 0.00
1 10,088.55 10,088.55
6 10,088.55 60,531.30
0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
8 10,088.55 80,708.40
8 10,088.55 80,708.40
5 9,046.50 45,232.50
0 25,300.00 0.00
7 57,348.10 401,436.70
0 16,500.00 0.00
4 44,384.89 177,539.56
7 33,602.22 235,215.54
0 0.00 0.00
0 0.00 0.00
0 10,068.00 0.00
300 537.24 161,172.00
0 0.00 0.00
0 7,002.60 0.00
0 6,985.00 0.00
0 0.00 0.00
0 585.67 0.00
0 0.00 0.00
0 0.00 0.00
28 20,145.00 564,060.00
0 0.00 0.00
0 170.13 0.00
100 170.13 17,013.00
0 8,085.71 0.00
28 7,250.00 203,000.00
1400 181.00 253,400.00
55 3,414.00 187,770.00
100 990.00 99,000.00
0 1,163.00 0.00
0 3,171.00 0.00
0 6,700.00 0.00
41938 1730650.117 17874033.11

Pengelola Obat

WAYAN KARSINI, Amd.F

NIP.19780601 201001 2 008
 LAPORAN PEERSEDIAAN BARANG PROVINSI
PER 31 Desember 2021

SKPD : UPT PUSKESMAS TANJUNG REJO

KABUPATEN : WAY KANAN
PROVINSI : LAMPUNG

SALDO AWAL MUTASI PERSEDIAAN STOK AKHIR 31 DES 2021

NO NAMA OBAT SATUAN PER 1 JAN- HARGA SATUAN
2021 PENERIMAAN PENGELUARAN VOLUME (RP) JUMLAH

1 2 3 4 5 6 7=4+5-6 8 9=7x8
1 Acyclovir 200 mg tablet Tablet 250 0 250 0 480.00 0.00
2 Acyclovir 400 mg tablet Tablet 0 0 0 0 380.00 0.00
3 Agua Pro Injeksi/Otsu Vial 0 0 0 0 2,860.000 0.00
4 Albendazol 400 mg Tablet 0 3110 3110 0 402.00 0.00
5 Alkohol / Etanol 70 % 1 Liter Botol 6 0 0 6 26,083.33 156,499.98
6 Allopurinol 100 mg Tablet 0 0 0 0 105.00 0.00
7 Alprazolam 1 mg Tablet 0 0 0 0 128.00 0.00
8 Ambrokxol sirup 15 mg/ml Botol 0 0 0 0 104.00 0.00
9 Ambroxol 30 mg Tablet 0 0 0 0 140.70 0.00
10 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 0 2,998.00 0.00
11 Aminophyllin 200 mg Tablet 300 0 100 200 95.00 19,000.00
12 Amitriptilin 25 mg Tablet 0 0 0 0 167.00 0.00
13 Amlodipine 10 mg Tablet 0 0 0 0 54.00 0.00
14 Amlodipine 5 mg Tablet 0 0 0 0 78.00 0.00
15 Amoksisillin 500 mg Tablet 0 0 0 0 249.00 0.00
16 Amoksisillin sirup 125 mg/5ml Botol 0 0 0 0 0.00 0.00
17 Ampicillin Injeksi 1.000 gram Vial 0 0 0 0 8,237.00 0.00
18 Antasida DOEN I tablet kunyah Tablet 0 0 0 0 58.00 0.00
19 Antasida DOEN Suspensi Botol 0 0 0 0 1,995.00 0.00
20 Anti Bakteri DOEN Tube 0 0 0 0 0.00 0.00
21 Anti Hemoroid DOEN Komb. Supp 0 0 0 0 3,167.00 0.00
22 Antifungi DOEN Pot 0 0 0 0 2,152.00 0.00
23 Antimalaria/Komb.Pirim+Sulfa 500 mg Tablet 0 0 0 0 616.00 0.00
24 Artemeter Injeksi 80 mg/ml Ampul 0 0 0 0 0.00 0.00
25 Artesunate Injeksi Vial 0 0 0 0 0.00 0.00
26 Asam Askorbat 50 mg / Vitamin C Tablet 0 0 0 0 105.00 0.00
27 Asam Folat 1 mg Tablet 0 0 0 0 70.00 0.00
28 Asam Mefenamat 500 mg Tablet 0 0 0 0 440.00 0.00
29 Asam Traneksamat inj 100mg/ml Ampul 0 0 0 0 1,945.00 0.00
30 Asam Traneksamat inj 50mg/ml Ampul 0 0 0 0 1,748.00 0.00
31 Asetosal 100 mg Tablet 0 0 0 0 0.00 0.00
32 Atropin 0,5 mg Tablet 0 0 0 0 1,595.00 0.00
33 Atropin injeksi 0,25/ml Ampul 0 0 0 0 1,595.00 0.00
34 Betahistin Maleat 6 mg Tablet 0 0 0 0 110.00 0.00
35 Betametason 0,1 % Tube 0 0 0 0 1,341.00 0.00
36 Captopril 12,5 mg Tablet 0 0 0 0 62.00 0.00
37 Carbolgliserin Tetes Telinga 10 % Botol 0 0 0 0 2,500.00 0.00
38 Cefadroxil syrup 125 mg/ml Botol 0 0 0 0 4,189.00 0.00
39 Cefiksim 100 mg Kapsul 0 0 0 0 85.00 0.00
40 Cefotaksim injeksi 1000 mg Vial 0 0 0 0 4,482.00 0.00
41 Ceftriaxone Injeksi 1.000 mg Vial 0 0 0 0 4,483.00 0.00
42 Cetirizine 10 mg Tablet 0 0 0 0 90.00 0.00
43 Cetrizine HCl Sirup Botol 0 0 0 0 2,915.00 0.00
44 Chloramphenikol Salep Mata 1 % Tube 0 0 0 0 1,881.00 0.00
45 Chlorfeniramin (CTM) Tablet 0 0 0 0 0.00 0.00
46 Chlorpromazin 100 mg Tablet 0 0 0 0 0.00 0.00
47 Chlorpromazin HCl Inj 25 mg/ml Ampul 0 0 0 0 0.00 0.00
48 Ciprofloksacin 500 mg Tablet 0 0 0 0 0.00 0.00
49 Clindamisin Kapsul 150 mg Kapsul 0 0 0 0 0.00 0.00
50 Clobazam 10 mg Tablet 0 0 0 0 0.00 0.00
51 Clozapine 25 mg Tablet 0 0 0 0 0.00 0.00
52 Cotrimoksasol DOEN I (Dewasa) Tablet 0 0 0 0 133.00 0.00
53 Cyanokobalamin (Vit B12) inj Ampul 0 0 0 0 1,104.00 0.00
54 Deksametason 0,5 mg Tablet 0 0 0 0 0.00 0.00
55 Deksametason Injeksi Ampul 0 0 0 0 1,097.00 0.00
56 Dekstrometorfan 15 mg Tablet 0 0 0 0 0.00 0.00
57 Dekstrometorfan sirup Botol 0 0 0 0 0.00 0.00
58 DHP(Dehidro Artemisin+Piperaquin) Kotak 0 0 0 0 0.00 0.00
59 Diazepam 2 mg Tablet 0 0 0 0 0.00 0.00
60 Diazepam 5 mg Tablet 0 0 0 0 109.00 0.00
61 Diazepam Inj / Valdimex Ampul 0 0 0 0 0.00 0.00
62 Diazepam Injeksi 5 mg/ml Ampul 0 0 0 0 1,735.00 0.00
63 Difenhidramin Injeksi 10 mg/ml Ampul 0 0 0 0 1,095.00 0.00
64 Digoksin 0,25 mg Tablet 0 0 0 0 104.00 0.00
65 Domperidon 10 mg Tablet 0 0 0 0 91.00 0.00
66 Domperidon suspensi 5 mg/5 ml Ampul 0 0 0 0 0.00 0.00
67 Efinefrin HCl Injeksi Ampul 0 0 0 0 1,408.00 0.00
68 Ergotamin Kombinasi Tablet 0 0 0 0 173.00 0.00
69 Erythromycin 500 mg Tablet 0 0 0 0 0.00 0.00
70 Etanol 70 % 1.000 ml Botol 0 0 0 0 26,083.33 0.00
71 Etanol 70 % 100 ml Botol 0 0 0 0 0.00 0.00
72 Etanol 70 % 300 ml Botol 0 0 0 0 0.00 0.00
73 Eugenol 10 ml Botol 0 0 0 0 0.00 0.00
74 Furosemid 40 mg Tablet 0 0 0 0 77.00 0.00
75 Furosemide Injeksi Ampul 0 0 0 0 0.00 0.00
76 Garam oralit Saset 0 0 0 0 257.00 0.00
77 Gentamisin Injeksi 40 mg/ml Ampul 0 0 0 0 3,509.00 0.00
78 Gentamiycin Tetes Mata Botol 0 0 0 0 4,232.00 0.00
79 Glibenklamide 5 mg Tablet 0 0 0 119.00 0.00
80 Glimepiride 1 mg Tablet 0 0 0 0 174.00 0.00
81 Glukonas Kalsikus 10 % Ampul 15 0 1 14 10,351.00 144,914.00
82 Glukosa 5 % Botol 0 0 0 0 6,900.00 0.00
83 Griseofulvin 125 mg Tablet 0 0 0 0 0.00 0.00
84 Guaifenesin Tablet 0 0 0 0 108.95 0.00
85 Haloperidol 5 mg Tablet 0 0 0 0 60.00 0.00
86 Hidroklorotiazide 25 mg Tablet 0 0 0 0 155.00 0.00
87 Hidrokortison krem 1 % Tube 0 0 0 0 2,900.00 0.00
88 Hidrokortison krem 2,5 % Tube 0 0 0 0 2,900.00 0.00
89 Ibuprofen 200 mg Tablet 0 0 0 0 0.00 0.00
90 Ibuprofen 400 mg Tablet 0 0 0 0 0.00 0.00
91 Ibuprofen sirup 100 mg/5 ml Botol 0 0 0 0 2,721.00 0.00
92 Isoniazide / INH 100 mg Tablet 0 0 0 0 0.00 0.00
93 Isosorbid Dinitrat 5 mg Tablet 0 0 0 0 0.00 0.00
94 Kalium Klorida Injeksi Ampul 0 0 0 0 3,223.00 0.00
95 Kalsium Laktat 500 mg Tablet 0 0 0 0 63.00 0.00
96 Ketokonazol 20 mg Tablet 0 0 0 0 288.00 0.00
 97 Ketokonazol krim 2 % Tube 0 0 0 0 2,518.00 0.00
98 Ketorolac injeksi 30 mg/ml Ampul 0 0 0 0 1,045.00 0.00
99 Kuinin 200 mg Tablet 0 0 0 0 0.00 0.00
100 Kuinin Injeksi Ampul 0 0 0 0 0.00 0.00
101 Lanzoprazole 30 mg Tablet 0 0 0 0 0.00 0.00
102 Levofloksacin 500 mg Tablet 0 0 0 0 0.00 0.00
103 Lidokain 2 % + efinefrin Injeksi Phapro Ampul 0 0 0 0 1,145.00 0.00
104 Lidokain 2 % Injeksi Lucas Ampul 0 0 0 0 0.00 0.00
105 Lisol Botol 0 0 0 0 42,816.67 0.00
106 Loperamide 2 mg Tablet 0 0 0 0 0.00 0.00
107 Metampiron / Antaligin inj Ampul 0 0 0 0 1,596.54 0.00
108 Metampiron tab 500 mg (Antalgin) Tablet 0 0 0 0 0.00 0.00
109 Metformin 500 mg Tablet 0 0 0 0 102.00 0.00
110 Methylergometrin Injeksi Ampul 0 0 0 0 2,959.00 0.00
111 Methylergometrin Maleat Tab 0,125 mg Tablet 0 0 0 0 210.00 0.00
112 Methylprednisolon 4 mg Tablet 0 0 0 0 0.00 0.00
113 Metilergometrin 0,125 mg Tablet 0 0 0 0 210.00 0.00
114 Metoklopramide 10 mg Tablet 0 0 0 0 0.00 0.00
115 Metronidazol 500 mg Tablet 0 0 0 0 0.00 0.00
116 MgSO4 Injeski 40 % Ampul 0 0 0 0 3,796.00 0.00
117 Mineral Mix Saset 0 0 0 0 0.00 0.00
118 N-Asetil Sistein 200 mg Tablet 0 0 0 0 358.00 0.00
119 Natrium Diklofenac 25 mg Tablet 0 0 0 0 137.00 0.00
120 Natrium Klorida 0,9 % Infus Botol 0 0 0 0 6,410.00 0.00
121 Nifedipine 10 mg Tablet 0 0 0 0 0.00 0.00
122 Nistatin 100.000 IU tablet vaginal Tablet 0 0 0 0 560.00 0.00
123 Nistatin 500.000 IU tablet salut Tablet 0 0 0 0 560.00 0.00
124 Oksitetrasiklin salep Mata 1% Tube 67 0 0 67 2,500.00 167,500.00
125 Oksitosin Injeksi Ampul 0 0 0 0 1,199.00 0.00
126 Omeprazole 20 mg Kapsul 0 0 0 0 0.00 0.00
127 Parasetamol 500 mg Tablet 0 0 0 0 148.16 0.00
128 Parasetamol Drop 15 ml Botol 0 0 0 0 6,649.00 0.00
129 Parasetamol sirup 120 mg/5 ml Botol 0 0 0 0 1,181.00 0.00
130 Phenobarbital Injeksi Ampul 30 0 30 0 1,857.00 0.00
131 Phenytoin Sodium Injeksi 50mg/ml Ampul 0 0 0 0 3,738.00 0.00
132 Phytomenadion (Vit K) Injeksi Ampul 0 0 0 0 3,683.00 0.00
133 Phytomenadion (Vit.K1) tablet 10 mg Tablet 0 0 0 0 710.00 0.00
134 Povidon Iodida 10 % 1000 ml Botol 0 0 0 0 83,597.50 0.00
135 Povidon Iodida 10 % 30 ml Botol 0 0 0 0 75.00 0.00
136 Povidon Iodida 10 % 300 ml Botol 0 0 0 0 18,900.00 0.00
137 Prednison 5 mg Tablet 0 0 0 0 0.00 0.00
138 Primakuin Tablet 0 0 0 0 0.00 0.00
139 Propiltiourasil 100 mg Tablet 0 0 0 0 0.00 0.00
140 Propranolol 40 mg Tablet 0 0 0 0 0.00 0.00
141 Ranitidine 150 mg Tablet 0 0 0 0 0.00 0.00
142 Ranitidine Injeksi Ampul 0 0 0 0 1,155.00 0.00
143 Retinol (Vit A) 100.000 IU Kapsul 0 0 0 0 0.00 0.00
144 Retinol (Vit A) 200.000 IU Kapsul 0 0 0 0 0.00 0.00
145 Ringer Laktat infus Botol 0 0 0 0 7,150.00 0.00
146 Risperidon 2 mg Tablet 0 0 0 0 273.00 0.00
147 Rivanol/Etakridin 300 ml Botol 0 0 0 0 3,183.33 0.00
148 Salbutamol 2 mg Tablet 0 0 0 0 63.00 0.00
149 Salep 2-4, Kombinasi Pot 0 0 0 0 2,621.00 0.00
150 Serum Anti Bisa Ular (ABU) I Vial 0 0 0 0 479,996.00 0.00
151 Serum ATS 1500 IU Ampul 0 0 0 0 130,999.00 0.00
152 Simvastatin 10 mg Tablet 0 0 0 0 117.00 0.00
153 Simvastatin 20 mg Tablet 0 0 0 0 205.00 0.00
154 Sodium Bicarbonat Inj/Meylon Inj Ampul 0 0 0 0 6,448.00 0.00
155 Soft U Derm Krim Tube 12 0 0 12 3,941.00 47,292.00
156 Tablet Tambah Darah Phapros Tablet 0 0 0 0 354.00 0.00
157 Tablet Tambah Darah/INF Tablet 0 0 0 0 265.00 0.00
158 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 0 174.00 0.00
159 Tramadol Injeksi Ampul 0 0 0 0 0.00 0.00
160 Triheksifenidil 2 mg Tablet 0 0 0 0 91.00 0.00
161 VAR Kuur 0 0 0 0 0.00 0.00
162 Vitamin B Komplek Tablet 0 0 0 0 117.00 0.00
163 Vitamin B1 / Thiamin 50 mg Tablet 0 0 0 0 123.00 0.00
164 Vitamin B6 10 mg / Piridoksin HCL Tablet 0 0 0 0 123.00 0.00
165 Vitamin C 50 mg / Asam Askorbat Tablet 0 0 0 0 105.00 0.00
166 Zinc 20 mg Tablet 100 0 100 0 524.00 0.00
167 Betadine Salep Tube 18 0 0 18 7,039.00 126,702.00
168 Decafil 150 mg Tablet 0 0 0 0 0.00 0.00
169 Dhavit Sirup Botol 0 0 0 0 0.00 0.00
170 Emibion Kapsul Kapsul 0 0 0 0 1,569.99 0.00
171 Exaflam 50 mg Tablet 0 0 0 0 0.00 0.00
172 Extropect Tablet Tablet 0 0 0 0 0.00 0.00
173 Flu-Tab Tablet 0 0 0 0 0.00 0.00
174 Goralgin tablet Tablet 0 0 0 0 0.00 0.00
175 Harmida 2,5 mg/Glibenklamide Tablet 0 0 0 0 180.00 0.00
Novaron 500 mg Tablet 0 0 0 0 0.00 0.00
176 Nufit Kaplet Tablet 0 0 0 0 7,550.00 0.00
177 Rizodal 1 mg / Risperidon Tablet 0 0 0 0 5,325.00 0.00
178 Rizodal 2 mg / Risperidon Tablet 0 0 0 0 8,775.00 0.00
179 Govotil 2 mg / Haloperidol Tablet 0 0 0 0 1,687.50 0.00
180 Govotil 5 mg / Haloperidol Tablet 0 0 0 0 3,287.50 0.00
181 Anti-A Monoclonal Blood GR Botol 0 0 0 0 0.00 0.00
182 Anti-B Monoclonal Blood GR Botol 0 0 0 0 0.00 0.00
183 Anti-AB Monoclonal Blood GR Botol 0 0 0 0 0.00 0.00
184 Anti-D Douclone Monoclonal Blood GR Botol 0 0 0 0 0.00 0.00
185 CBC ST Plus Botol 0 0 0 0 0.00 0.00
186 Control Botol 0 0 0 0 0.00 0.00
187 Fuji (X ART 1-1 Buah) Botol 0 0 0 0 0.00 0.00
188 Calplus Pack 2 x 2,2 g Botol 0 0 0 0 0.00 0.00
189 CHKM 20 ml Botol 0 0 0 0 0.00 0.00
190 PULP Tube Botol 0 0 0 0 0.00 0.00
191 Elite Cement P 35 g L 18 ml Botol 0 0 0 0 0.00 0.00
192 Caviton 30 g Botol 0 0 0 0 0.00 0.00
193 MB Anak Blister 0 0 0 0 0.00 0.00
194 MB Dewasa Blister 0 0 0 0 0.00 0.00
195 PB Dewasa Blister 0 0 0 0 0.00 0.00
196 OAT Kategori I Paket 0 0 0 0 0.00 0.00
197 OAT Kategori II Paket 0 0 0 0 0.00 0.00
198 OAT Kategori Anak Paket 0 0 0 0 0.00 0.00
199 OAT Kombipak Kategori 1 Paket 0 0 0 0 0.00 0.00
200 Vaksin BCG Vial 0 73 69 4 60,140.00 240,560.00
201 Vaksin Campak 10 dosis Vial 0 0 0 0 0.00 0.00
202 Vaksin DPT-HB-Hib 2,5 ml Vial 0 180 166 14 76,620.00 1,072,680.00
 1 Vaksin DT Vial 0 180 165 15 17,450.00 261,750.00
2 Vaksin Hepatitis B 0,5 ml Piece 0 0 0 0 0.00 0.00
3 Vaksin IPV Vial 0 20 20 0 144,540.00 0.00
4 Vaksin MR Vial 0 80 79 1 141,648.00 141,648.00
5 Vaksin Polio 10 dosis Vial 0 140 138 2 18,140.00 36,280.00
6 Vaksin Td Vial 0 40 38 2 16,480.00 32,960.00
7 Alat Suntik 1 ml Piece 0 0 0 0 19,130.00 0.00
8 Alat Suntik 3 cc / Aximed Piece 0 0 0 0 0.00 0.00
9 Alat Suntik 3 ml with Needle/Skifa/RM Piece 0 0 0 0 1,615.00 0.00
10 Alat Suntik 5 ml Cosmo/Skifa Piece 0 0 0 0 869.34 0.00
11 Alat Suntik/Syringe 1 cc Aximed Piece 0 0 0 0 0.00 0.00
12 Alat Suntik/Syringe 1 cc Serenity Insuli Piece 0 0 0 0 0.00 0.00
13 Alat Suntik/Syringe 5 cc Aximed Piece 0 0 0 0 228.00 0.00
14 Alat Suntik/Syringe 5 cc Serenity Piece 0 0 0 0 73.00 0.00
15 Auto Disable with Needle 0,05 ml Piece 0 0 0 0 2,025.00 0.00
16 Auto Disable with Needle 0,5 ml Piece 0 0 0 0 365.00 0.00
17 Blood Administration Set Piece 0 0 0 0 0.00 0.00
18 Cannofix-PU 6 cm x 8 cm Roll 10 0 1 9 6,850.00 61,650.00
19 Cat Gut Chromic SMI 1 HS 37 mm Piece 0 0 0 0 0.00 0.00
20 Catgut Chromic SMI 2/0 HS 26 MM Piece 0 0 0 0 0.00 0.00
21 Catgut Chromic SMI 3/0 HR 30 mm Piece 0 0 0 0 0.00 0.00
22 Catgut Plain SMI 3/0 HR 26 MM Piece 0 0 0 0 34,811.70 0.00
23 Foley Catheter Cosmomed Piece 0 0 0 0 12,174.67 0.00
24 Folley Catheter 16 FR Idealcare Piece 0 0 0 0 361.00 0.00
25 Folley Catheter 2 Way 18 fr Idealcare Piece 0 0 0 0 578.00 0.00
26 Human Humasens + cholesterol test stri Kotak 0 0 0 0 27,265.00 0.00
27 Human Humasens + glukosa test strips Kotak 0 0 0 0 11,036.00 0.00
28 Human Humasens + uric acid test strip Kotak 0 0 0 0 10,132.00 0.00
29 Infusion Set Anak Aximed Piece 0 0 0 0 0.00 0.00
30 infusion Set Anak Cosmomed Piece 0 0 0 0 4,612.10 0.00
31 Infusion Set Anak Serenity/50' Piece 0 0 0 0 8,839.60 0.00
32 Infusion Set Troge Medical GMBH Piece 0 0 0 0 10,760.00 0.00
33 IV Catheter 20 G Troge/Jellco/Eskamed Piece 0 0 0 0 8,960.00 0.00
IV Catheter 22 G
34 Troge/Jellco/Eskamed Piece 0 0 0 0 9,060.00 0.00
 IV Catheter 24 G
35 Troge/Jellco/Eskamed Piece 0 0 0 0 20,250.00 0.00
36 IV Catheter 26 G Troge/Jellco/Eskamed Piece 0 0 0 0 23,843.00 0.00
37 IV Catheter18 G Troge/Jellco/Eskamed Piece 0 0 0 0 16,360.00 0.00
38 IV Dressing Non Woven 4,5 x 6 Piece 0 0 0 0 1,237.00 0.00
39 IV Dressing Non Woven 6 x 8 Piece 0 0 0 0 788.00 0.00
40 Kapas 40 x 40 Piece 0 0 0 0 0.00 0.00
41 Kapas Pembalut Hidrofil 250 gr Roll 0 0 0 0 27,000.00 0.00
42 Kasa Hidrofil 16 x 16 cm Kotak 0 0 0 0 8,074.00 0.00
43 Kasa Hidrofil 36 m x 80 cm Roll 0 0 0 0 146,500.00 0.00
44 Kasa Kompres Kotak 0 0 0 0 0.00 0.00
45 Kasa pembalut hidrofil 3,6 cm x10 cm Roll 0 0 0 0 2,548.00 0.00
46 Mask Face Ear Loops ( Tali Karet ) Cos Piece 0 0 0 0 0.00 0.00
47 Mask Fask Tie On Aximed Piece 0 0 150 -150 0.00 0.00
48 Masker Ear Loop MI / RNI Piece 0 0 0 0 756.14 0.00
49 Masker MAS Piece 0 0 0 0 0.00 0.00
50 Masker Tali Serenity/50' Piece 0 0 0 0 756.14 0.00
51 Nasal Canula Adult (Dewasa) Cosmomed Piece 0 0 0 0 6,281.10 0.00
52 Nasal Canula Child (Anak) Cosmomed Piece 0 0 0 0 6,281.10 0.00
53 Nasal Canula Neonata Cosmomed Piece 0 0 0 0 0.00 0.00
54 Nebulizer Mask (Anak) Cosmomed Piece 0 0 0 0 10,088.55 0.00
Nebulizer Mask (Dewasa) Cosmomed Piece 0 0 0 0 10,088.55 0.00
55 Non Woven Fixation 10x10 Aximed Roll 0 0 0 0 0.00 0.00
56 Non Woven Fixation 15x10 Aximed Roll 0 0 0 0 0.00 0.00
57 Non Woven Fixation 5x10 Aximed Roll 0 0 0 0 0.00 0.00
58 Oxygen Mask (Anak) Cosmomed Piece 0 0 0 0 10,088.55 0.00
59 Oxygen Mask (Dewasa) Cosmomed Piece 0 0 0 0 10,088.55 0.00
60 Paper Tape Aximed Roll 0 0 0 0 9,046.50 0.00
61 Pharmacol Thick 10 cm x 10 cm Roll 18 0 0 18 25,300.00 455,400.00
62 Pharmaplast Pharmafix 10 cm x 500 cm Roll 0 0 0 0 57,348.10 0.00
63 Pharmaplast Pharmafix 5 cm x 500 cm Roll 7 0 1 6 16,500.00 99,000.00
64 Plester 10 cm x 5 m/Plesterin Non Wove Roll 0 0 0 0 44,384.89 0.00
65 Plester Bulan non Woven Kotak 0 0 0 0 33,602.22 0.00
66 Polifix 10 cm x 5 m Roll 0 0 0 0 0.00 0.00
67 Polifix 5 cm x 1 m Roll 0 0 0 0 0.00 0.00
68 Postofix-PU 6 cm x 7 cm Roll 4 0 0 4 10,068.00 40,272.00
69 S.Tangan/Exam Gloves Size L Aximed Piece 0 0 0 0 585.67 0.00
70 S.Tangan/Exam Gloves Size M Aximed Piece 0 0 0 0 0.00 0.00
71 S.Tangan/Glove 7,5 steril Troge GMBH Pasang 0 0 0 0 0.00 0.00
72 S.Tangan/Handscoon 7 Pasang 0 0 0 0 6,985.00 0.00
73 S.Tangan/Handscoon 7,5 Pasang 0 0 0 0 0.00 0.00
74 S.Tangan Skifa Exam Latex Gloves L Piece 0 0 0 0 585.67 0.00
75 Safety Box Piece 0 0 0 0 0.00 0.00
76 Silk Black 2/0 DS 24 mm Piece 0 0 0 0 0.00 0.00
77 Silk Black 3/0 DS 24 MM Piece 0 0 0 0 20,145.00 0.00
78 Swab 4-ply Aximed Piece 0 0 0 0 0.00 0.00
79 Swab Alkohol Cosmomed Piece 1400 0 1200 200 170.13 34,026.00
80 Swab Alkohol Serenity/100 Piece Piece 0 0 0 0 170.13 0.00
81 Underpad Cosmomed Piece 0 0 0 0 8,085.71 0.00
82 Urine Bag Sterile Cosmomed Piece 0 0 0 0 7,250.00 0.00
83 Chlorpromazin 100 mg Tablet 0 0 0 0 181.00 0.00
84 CORONA Vac 1dosis Vial 0 81 81 0 211,282.00 0.00
85 Covid 19 vaccine biofarma 10 dosis Vial 0 1460 1460 0 0.00 0.00
86 Covid 19 vaccine biofarma 2 dosis Vial 0 5210 2964 2246 0.00 0.00
87 Moderna Vial 0 52 52 0 0.00 0.00
88 Aztrazeneca Vial 0 2800 2800 0 0.00 0.00

2237 13426 12975 2688 3,138,133.98

KEPALA PUSKESMAS TANJUNG REJO Tanjung Rejo, 31 Desember 2021

KABUPATEN WAY KANAN Pengelola Obat

JUANDA, S.ST WAYAN KARSINI,A.Md.F

NIP.19790107 2009021 001 NIP. 19780601 201001 2 008
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10828964 57108322 1827723

pengeluaran penerimaan saldo awal
 DAFTAR NAMA OBAT RUSAK/EXPIRE UPT PUSKESMAS TANJUNG REJO
TAHUN 2019 - 2021

NO NAMA OBAT ED SUMBER JUMLAH HARGA TOTAL (Rp)

1 Govotil 2 mg Oktober 2020 DAK 2020 200 1,687.50 337,500.00

2 Govotil 5 mg September 2020 DAK 2020 200 3,287.50 657,500.00
3 Cloramphenicol salep mata 1% Oktober 2020 DAK 2020 24 1,881.00 45,144.00
4 vaksin astrazeneka Desember 2021 Prov 2021 264 0.00 0.00 dosis
5 MgSO4 Injeksi 40% Agustus 2021 DAK 2020 68 3,796.00 258,128.00
1,298,272.00
Terb. #NAME?

KEPALA PUSKESMAS TANJUNG REJO Tanjung Rejo, 31 Desember 2021

KABUPATEN WAY KANAN Pengelola Obat

JUANDA, S.ST WAYAN KARSINI,A.Md.F

NIP.19790107 2009021 001 NIP. 19780601 201001 2 008