You are on page 1of 70

LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT (LPL

PUSKESMAS BATU PUTIH BULAN JANUARI TAHUN 201


HARGA STOK
NO NAMA OBAT KEMASAN SATUAN AWAL
1 2 3 4 5
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 5,300
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 3,500
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 70
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 -
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 3,500
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 163
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 690
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 510
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 5,500
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 195
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 -
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 8,300
20 Antasida sirup Botol 60 ml Rp 2,019 187
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 125
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 -
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 10
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 600
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 900
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 -
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 4,700
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 700
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat 0,4mg) kotak 3 x 10 tablet Rp 430
34 Calsium Laktat Ktk 10x10 tablet Rp 64 1,900
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 1,300
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 1,900
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 11,800
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 52
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 180
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 1,300
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 226
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 300
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 -
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 17
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 9,900
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 3,400
53 Clindamycin Ktk 5 x 10 tab Rp 646 150
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 2,000
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90 -
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 75
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,300
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 13,200
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 800
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 60
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320 1,300
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 2,600
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 95
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,800
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 2,300
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 30
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 13
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 2
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 167
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 ml Kotak 30 amp Rp 4,260 30
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 1,400
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 400
83 Formalin 1000 ml botol 1000 ml Rp 63,910 2
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 300
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 1,400
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 280
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 3,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 72
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 1,300
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 700
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 45
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 600
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 64
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 400
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 200
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 90
107 Lisol Botol 1000 ml Rp 53,505
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 3,300
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 118
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 400
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 145
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 1,900
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 1,100
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 30
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 800
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 90
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 100
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 1,300
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 1,250
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 20
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 100
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 10
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 150
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 180
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 120
135 Paracetamol 100 mg Btl 100 tablet Rp 49
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 24,700
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 118
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 2,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 5,000
142 Pirantel suspensi Botol 60 ml Rp 9,100
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 900
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182
145 Povidon iodida 10 % botol 30 ml Rp 2,344
146 Povidon iodida 10 % botol 300 ml Rp 15,386 35
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 2,400
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 1,900
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 100
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 180
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 200
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 2,500
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 110
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 57
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 500
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 450
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 83
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 800
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 3,000
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 100
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 2,400
169 Zink Tablet Ktk 10x10 tablet Rp 618 200
PERBEKALAN KESEHATAN -
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 145
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 365
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 80
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 24
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 36
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 20
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 100
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 11
181 Handscoon No. 8 kotak 50 pcs Rp 7,683
182 Handscoon S kotak 100 pcs Rp 848
183 Handscoon M kotak 100 pcs Rp 848
184 Handscoon L kotak 100 pcs Rp 848
185 Handscoon No. 6 kotak 100 pcs Rp 7,869
186 Handscoon No. 7 kotak 100 pcs Rp 7,869
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870
188 Infuset Dewasa kotak 50 pcs Rp 3,680 115
189 Infuset Anak kotak 50 pcs Rp 4,025 100
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 300
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 80
194 Kapas Berlemak 500 g Roll Rp 21,532
195 Kapas steril 250 g Roll Rp 14,375 10
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 25
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 7
201 Masker plus 3 ply earloop Lama kotak 50 pcs Rp 506
202 Masker plus earloop Lama kotak 50 pcs Rp 380
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300
204 Pembalut Gips 6 inchi Roll Rp 38,182
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 35
206 Silk benang bedah+jarum 2/0 HR 26 MM kotak 12 pcs Rp 15,240
207 Silk benang bedah+jarum 3/0 HR 26 MM kotak 12 pcs Rp 14,856 12
208 Silk Black 3/0 HR - 30 MM kotak 12 pcs Rp 21,995
209 Urine Bag kantong 10 pcs Rp 3,915 18
210 Wing needle No 27 kotak 100 pcs Rp 6,347
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 10
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560
213 Eugenol Cairan botol 10 ml Rp 38,947
214 Elitte Semen 100 (Semen Seng Fospat serbuk+Cairan) set Rp 197,406
215 Etyl Klorida Spray botol 100 ml Rp 120,000
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050
219 Temporary Stoping pletcher set Rp 101,860
JUMLAH
PERMINTAAN OBAT (LPLPO) D A K
AN JANUARI TAHUN 2018
PENERI PERSEDI PENGEL SISA JUMLAH HARGA EXPIRED PERMIN
MAAN AAN UARAN STOK DATE TAAN
6 7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
5,300 5,300 Rp 1,462,800 - -
3,500 3,500 Rp 1,354,500 - -
25 25 25 Rp 86,525 - -
- - Rp - - -
70 70 Rp 323,330 - -
- - Rp - - -
300 3,800 700 3,100 Rp 630,850 - -
163 5 158 Rp 808,170 - -
1,300 1,300 Rp 111,800 -
120 120 Rp 504,480 - -
100 100 Rp 17,200 - -
900 1,590 240 1,350 Rp 125,550 - -
60 570 120 450 Rp 49,500 - -
2,000 7,500 1,700 5,800 Rp 1,113,600 - -
195 15 180 Rp 355,500 - -
- - Rp - - -
200 200 100 100 Rp 25,553 - -
- - Rp - - -
8,300 500 7,800 Rp 475,800 - -
187 45 142 Rp 286,698 - -
125 125 Rp 438,875 - -
- - Rp - - -
10 10 - Rp - - -
200 200 Rp 114,400 - -
600 100 500 Rp 74,500 - -
900 900 - Rp - - -
- - - Rp - - -
1,000 5,700 200 5,500 Rp 687,500 - -
700 100 600 Rp 83,400 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
300 300 300 Rp 129,000 - -
300 2,200 400 1,800 Rp 115,200 - -
1,300 200 1,100 Rp 79,200 - -
- - Rp - - -
1,900 150 1,750 Rp 252,000 - -
- - Rp - - -
11,800 500 11,300 Rp 5,141,500 -
52 - 18 Rp 75,600 34 -
180 180 Rp 1,221,300 - -
300 1,600 300 1,300 Rp 202,800 - -
- - Rp - - -
226 10 216 Rp 712,800 - -
100 400 100 300 Rp 208,230 - -
10 10 10 Rp 51,700 - -
17 17 Rp 31,450 - -
- - Rp - - -
9,900 700 9,200 Rp 423,200 - -
- - Rp - - -
- - Rp - - -
300 3,700 200 3,500 Rp 924,000 - -
50 200 200 Rp 129,200 - -
200 2,200 400 1,800 Rp 595,800 - -
- - Rp - - -
75 20 55 Rp 135,410 - -
- - Rp - - -
100 100 10 90 Rp 114,930 - -
1,300 1,300 Rp 2,450,500 - -
13,200 2,100 11,100 Rp 510,600 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
800 800 Rp 82,400 - -
30 90 90 Rp 127,350 - -
1,300 - - Rp - 1,300 -
2,600 300 2,300 Rp 266,800 - -
95 15 80 Rp 264,000 - -
- - Rp - - -
1,800 1,800 Rp 1,218,600 - -
2,300 200 2,100 Rp 1,619,100 - -
30 30 Rp 221,730 -
5 5 5 Rp 17,600 - -
13 2 11 Rp 28,875 - -
2 2 - Rp - - -
- - Rp - - -
- - Rp - - -
167 167 - Rp - - -
30 60 60 Rp 255,600 - -
1,400 1,400 Rp 1,153,600 - -
400 400 Rp 33,600 - -
2 2 Rp 127,820 - -
300 100 200 Rp 55,200 - -
22 22 Rp 110,220 - -
1,400 100 1,300 Rp 79,300 - -
- - Rp - - -
280 280 Rp 1,601,600 - -
60 60 Rp 376,200 - -
3,000 1,000 2,000 Rp 82,000 - -
200 200 200 Rp 53,200 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
72 24 48 Rp 136,224 - -
- - Rp - - -
1,300 800 500 Rp 56,000 - -
300 1,000 800 200 Rp 23,000 - -
45 8 37 Rp 219,558 - -
600 - 600 Rp 127,800 - -
64 14 50 Rp 139,500 - -
400 50 350 Rp 107,800 - -
200 80 120 Rp 144,000 - -
40 40 40 - Rp - - -
- - Rp - - -
90 30 60 Rp 139,620 - -
- - Rp - - -
3,300 300 3,000 Rp 273,000 - -
118 24 94 Rp 296,100 - -
- - Rp - - -
400 400 Rp 45,200 - -
- - Rp - - -
145 145 Rp 420,500 - -
1,900 1,900 Rp 195,700 - -
1,100 200 900 Rp 105,300 - -
30 30 Rp 109,950 - -
800 200 600 Rp 101,400 - -
90 90 Rp 307,890 - -
300 400 200 200 Rp 34,000 - -
- - Rp - - -
1,300 600 700 Rp 112,000 - -
1,250 750 500 Rp 77,000 - -
20 20 - Rp - - -
- - Rp - - -
100 100 Rp 91,900 - -
- - Rp - - -
- 10 10 Rp 45,090 - -
- - Rp - - -
150 150 Rp 105,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
180 180 Rp 342,000 - -
90 210 150 60 Rp 9,240 - -
- - Rp - - -
24,700 2,000 22,700 Rp 4,636,929 - -
118 68 50 Rp 59,500 - -
- - Rp - - -
2,000 2,000 Rp 62,000 - -
200 200 200 Rp 28,400 - -
5,000 5,000 Rp 1,525,000 - -
- - Rp - - -
900 300 600 Rp 90,750 - -
200 200 200 Rp 36,314 - -
- - Rp - - -
35 - - Rp - 35 -
200 200 - 200 Rp 17,000 - -
900 900 Rp 315,900 - -
200 2,600 700 1,900 Rp 209,000 - -
- - Rp - - -
- - Rp - - -
1,900 1,900 Rp 647,900 - -
100 50 50 Rp 25,250 - -
180 60 120 Rp 858,000 - -
200 200 - Rp - - -
2,500 200 2,300 Rp 246,100 - -
110 24 86 Rp 260,838 - -
57 57 Rp 61,617 - -
500 330 170 Rp 19,720 - -
450 150 300 Rp 75,000 - -
83 10 73 Rp 737,300 - -
- - Rp - - -
800 800 Rp 272,800 - -
3,000 1,000 2,000 Rp 102,000 - -
- - Rp - - -
100 200 100 100 Rp 101,310 - -
- - Rp - - -
200 2,600 600 2,000 Rp 276,000 - -
200 - 200 Rp 123,600 - -
- - - -
145 10 135 Rp 100,980 - -
- - Rp - - -
365 175 190 Rp 142,120 - -
80 20 60 Rp 51,780 - -
- - Rp - - -
12 36 24 12 Rp 445,500 - -
36 12 24 Rp 856,440 - -
- - Rp - - -
20 6 14 Rp 146,160 - -
100 100 - Rp - - -
11 11 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
40 40 10 30 Rp 236,070 - -
60 60 10 50 Rp 393,450 - -
20 20 10 10 Rp 78,700 - -
115 5 110 Rp 404,800 - -
100 19 81 Rp 326,025 - -
300 80 220 Rp 1,613,480 - -
- - Rp - - -
50 50 50 Rp 424,600 - -
50 130 130 Rp 1,103,960 - -
- - Rp - - -
10 10 Rp 143,750 - -
- - Rp - - -
- - Rp - - -
25 25 - Rp - - -
- - Rp - - -
7 3 4 Rp 483,000 - -
- - Rp - - -
- - Rp - - -
100 100 100 Rp 2,530,000 - -
- - Rp - - -
35 5 30 Rp 990,000 - -
- - Rp - - -
12 12 - Rp - - -
- - Rp - - -
18 13 5 Rp 19,575 - -
- - Rp - - -
- - -
10 1 9 Rp 280,800 - -
2 2 2 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
Rp 55,733,936
LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT (
PUSKESMAS BATU PUTIH BULAN FEBRUARI TAHUN
HARGA STOK PENERIM
NO NAMA OBAT KEMASAN SATUAN AWAL AAN
1 2 3 4 5 6
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 5,300
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 3,500
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461 25
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363 -
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 70 30
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 - 1,000
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 3,100 1,700
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 158 50
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 1,350
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 450
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 5,800 5,000
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 180
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 100 1,000
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 7,800 2,000
20 Antasida sirup Botol 60 ml Rp 2,019 142 52
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 125 100
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 -
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 -
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 500
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 -
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 - 1,000
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 5,500 4,000
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 600
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105 -
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900 -
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596 -
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat kotak 3 x 10 tablet Rp 430 300
34 Calsium Laktat Ktk 10x10 tablet Rp 64 1,800
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 1,100
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89 -
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 1,750
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269 -
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 11,300 5,000
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 18
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 180
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 1,300 3,000
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132 -
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 216
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 300 500
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 10
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 17
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 9,200 5,000
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40 -
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178 -
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 3,500 1,000
53 Clindamycin Ktk 5 x 10 tab Rp 646 200 400
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 1,800
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90 -
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 55 100
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63 -
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277 90
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,300
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 11,100 5,000
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000 -
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220 -
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109 -
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578 -
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 800
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 90 30
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 2,300
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 80
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848 -
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,800
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 2,100
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 30 20
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520 5 10
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 11
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 - 3
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124 -
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925 -
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 -
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 m Kotak 30 amp Rp 4,260 60
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 1,400
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 400
83 Formalin 1000 ml botol 1000 ml Rp 63,910 2
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 200
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 1,300
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721 -
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 280 40
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 2,000 4,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266 200
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62 -
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65 -
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94 -
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 48
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179 -
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 500 1,000
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 200 2,000
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 37
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 600
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 50
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 350 500
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 120
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371 - 300
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215 -
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 60
107 Lisol Botol 1000 ml Rp 53,505 -
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 3,000
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 94 96
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113 -
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 400
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100 -
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 145
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 1,900
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 900
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 30
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 600
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 90
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 200 1,000
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329 -
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 700 1,500
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 500 1,500
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 -
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 100
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654 -
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 10
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440 -
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 150
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100 -
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030 -
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110 -
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 180
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 60 450
135 Paracetamol 100 mg Btl 100 tablet Rp 49 -
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 22,700
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 50
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240 -
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 2,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142 200 2,000
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 5,000 1,000
142 Pirantel suspensi Botol 60 ml Rp 9,100 -
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 600
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182 200
145 Povidon iodida 10 % botol 30 ml Rp 2,344 -
146 Povidon iodida 10 % botol 300 ml Rp 15,386 -
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85 200
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 1,900
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122 -
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122 -
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 1,900
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 50
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 120
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 -
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 2,300
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 86 72
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 57 50
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 170
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 300
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 73
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 800
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 2,000
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 100 600
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83 -
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 2,000 3,000
169 Zink Tablet Ktk 10x10 tablet Rp 618 200
PERBEKALAN KESEHATAN -
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 135
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848 -
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 190
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 60
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998 -
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 12
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 24
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440 -
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 14
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 -
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 -
181 Handscoon No. 8 kotak 50 pcs Rp 7,683 -
182 Handscoon S kotak 100 pcs Rp 848 -
183 Handscoon M kotak 100 pcs Rp 848 -
184 Handscoon L kotak 100 pcs Rp 848 -
185 Handscoon No. 6 kotak 100 pcs Rp 7,869 30 50
186 Handscoon No. 7 kotak 100 pcs Rp 7,869 50 50
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870 10
188 Infuset Dewasa kotak 50 pcs Rp 3,680 110
189 Infuset Anak kotak 50 pcs Rp 4,025 81
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 220
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492 -
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492 50
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 130
194 Kapas Berlemak 500 g Roll Rp 21,532 -
195 Kapas steril 250 g Roll Rp 14,375 10
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334 -
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668 -
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 -
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350 -
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 4 3
201 Masker plus 3 ply earloop kotak 50 pcs Rp 506 -
202 Masker plus earloop kotak 50 pcs Rp 380 -
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300 100 150
204 Pembalut Gips 6 inchi Roll Rp 38,182 -
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 30
206 Silk benang bedah+jarum 2/0 HR kotak 12 pcs Rp 15,240 -
207 Silk benang bedah+jarum 3/0 HR kotak 12 pcs Rp 14,856 -
208 Silk Black 3/0 HR kotak 12 pcs Rp 21,995 - 24
209 Urine Bag kantong 10 pcs Rp 3,915 5
210 Wing needle No 27 kotak 100 pcs Rp 6,347 -
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 9
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560 - 3
213 Eugenol Cairan botol 10 ml Rp 38,947 -
214 Elitte Semen 100 (Semen Seng Fospat serbuk+ set Rp 197,406 -
215 Etyl Klorida Spray botol 100 ml Rp 120,000 -
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150 -
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600 -
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050 -
219 Temporary Stoping pletcher set Rp 101,860 -
JUMLAH
PERMINTAAN OBAT (LPLPO) D A K
AN FEBRUARI TAHUN 2018
PERSEDIA PENGELU EXPIRED PERMINT
SISA STOK JUMLAH HARGA
AN ARAN DATE AAN
7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
5,300 5,300 Rp 1,462,800 - -
3,500 3,500 Rp 1,354,500 - -
25 25 Rp 86,525 - -
- - Rp - - -
100 2 98 Rp 452,662 - -
1,000 400 600 Rp 72,000 - -
4,800 1,100 3,700 Rp 752,950 - -
208 10 198 Rp 1,012,770 - -
1,300 1,300 Rp 111,800 -
120 120 Rp 504,480 - -
100 100 Rp 17,200 - -
1,350 930 420 Rp 39,060 - -
450 - 450 Rp 49,500 - -
10,800 4,400 6,400 Rp 1,228,800 - -
180 41 139 Rp 274,525 - -
- - Rp - - -
1,100 100 1,000 Rp 255,530 - -
- - Rp - - -
9,800 300 9,500 Rp 579,500 - -
194 14 180 Rp 363,420 - -
225 125 100 Rp 351,100 - -
- - Rp - - -
- - Rp - - -
200 200 Rp 114,400 - -
500 200 300 Rp 44,700 - -
- - Rp - - -
1,000 200 800 Rp 51,200 - -
9,500 - 4,800 Rp 600,000 - -
600 100 500 Rp 69,500 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
300 90 210 Rp 90,300 - -
1,800 100 1,700 Rp 108,800 - -
1,100 1,000 100 Rp 7,200 - -
- - Rp - - -
1,750 1,150 600 Rp 86,400 - -
- - Rp - - -
16,300 100 16,200 Rp 7,371,000 - -
18 - 14 Rp 58,800 - -
180 180 Rp 1,221,300 - -
4,300 700 3,600 Rp 561,600 - -
- - Rp - - -
216 20 26 Rp 85,800 - -
800 600 200 Rp 138,820 - -
10 2 8 Rp 41,360 - -
17 6 11 Rp 20,350 - -
- - Rp - - -
14,200 4,600 9,600 Rp 441,600 - -
- - Rp - - -
- - Rp - - -
4,500 1,600 2,900 Rp 765,600 - -
600 600 Rp 387,600 - -
1,800 800 1,000 Rp 331,000 - -
- - Rp - - -
155 54 101 Rp 248,662 - -
- - Rp - - -
90 35 55 Rp 70,235 - -
1,300 1,300 Rp 2,450,500 - -
16,100 2,300 13,800 Rp 634,800 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
800 800 Rp 82,400 - -
120 120 Rp 169,800 - -
- - Rp - - -
2,300 600 1,700 Rp 197,200 - -
80 26 54 Rp 178,200 - -
- - Rp - - -
1,800 1,800 Rp 1,218,600 - -
2,100 200 1,900 Rp 1,464,900 - -
50 50 Rp 369,550 -
15 3 12 Rp 42,240 - -
11 9 2 Rp 5,250 - -
3 1 2 Rp 100,100 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
60 60 Rp 255,600 - -
1,400 1,400 Rp 1,153,600 - -
400 400 Rp 33,600 - -
2 2 Rp 127,820 - -
200 100 100 Rp 27,600 - -
22 22 Rp 110,220 - -
1,300 100 1,200 Rp 73,200 - -
- - Rp - - -
320 20 300 Rp 1,716,000 -
60 60 Rp 376,200 - -
6,000 1,000 5,000 Rp 205,000 - -
200 200 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
48 48 Rp 136,224 - -
- - Rp - - -
1,500 800 700 Rp 78,400 - -
2,200 600 1,600 Rp 184,000 - -
37 20 17 Rp 100,878 - -
600 - 500 Rp 106,500 - -
50 50 Rp 139,500 - -
850 250 600 Rp 184,800 - -
120 120 - Rp - - -
300 40 260 Rp 96,460 - -
- - Rp - - -
60 60 - Rp - - -
- - Rp - - -
3,000 900 2,100 Rp 191,100 - -
190 46 144 Rp 453,600 - -
- - Rp - - -
400 300 100 Rp 11,300 - -
- - Rp - - -
145 145 Rp 420,500 - -
1,900 1,900 Rp 195,700 - -
900 400 500 Rp 58,500 - -
30 30 Rp 109,950 - -
600 500 100 Rp 16,900 - -
90 20 70 Rp 239,470 - -
1,200 400 800 Rp 136,000 - -
- - Rp - - -
2,200 1,050 1,150 Rp 184,000 - -
2,000 800 1,200 Rp 184,800 - -
- - Rp - - -
- - Rp - - -
100 100 Rp 91,900 - -
- - Rp - - -
10 10 Rp 45,090 - -
- - Rp - - -
150 150 Rp 105,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
180 20 160 Rp 304,000 - -
510 60 450 Rp 69,300 - -
- - Rp - - -
22,700 2,900 19,800 Rp 4,044,546 - -
50 50 - Rp - - -
- - Rp - - -
2,000 1,000 1,000 Rp 31,000 - -
2,200 200 2,000 Rp 284,000 - -
6,000 1,800 4,200 Rp 1,281,000 - -
- - Rp - - -
600 300 300 Rp 45,375 - -
200 100 100 Rp 18,157 - -
- - Rp - - -
- - Rp - - -
200 200 Rp 17,000 - -
900 900 Rp 315,900 - -
1,900 600 1,300 Rp 143,000 - -
- - Rp - - -
- - Rp - - -
1,900 1,900 Rp 647,900 - -
50 50 Rp 25,250 - -
120 60 60 Rp 429,000 - -
- - Rp - - -
2,300 200 2,100 Rp 224,700 - -
158 158 Rp 479,214 - -
107 3 104 Rp 112,424 - -
170 170 - Rp - - -
300 180 120 Rp 30,000 - -
73 31 42 Rp 424,200 - -
- - Rp - - -
800 800 Rp 272,800 - -
2,000 2,000 Rp 102,000 - -
- - Rp - - -
700 200 500 Rp 506,550 - -
- - Rp - - -
5,000 800 4,200 Rp 579,600 - -
200 100 100 Rp 61,800 - -
- - -
135 135 Rp 100,980 - -
- - Rp - - -
190 140 50 Rp 37,400 - -
60 10 50 Rp 43,150 - -
- - Rp - - -
12 12 Rp 445,500 - -
24 24 Rp 856,440 - -
- - Rp - - -
14 8 6 Rp 62,640 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
80 50 30 Rp 236,070 - -
100 50 50 Rp 393,450 - -
10 10 - Rp - - -
110 11 99 Rp 364,320 - -
81 10 71 Rp 285,775 - -
220 220 Rp 1,613,480 - -
- - Rp - - -
50 50 Rp 424,600 - -
130 130 Rp 1,103,960 - -
- - Rp - - -
10 10 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
7 2 5 Rp 603,750 - -
- - Rp - - -
- - Rp - - -
250 100 150 Rp 3,795,000 - -
- - Rp - - -
30 5 25 Rp 825,000 - -
- - Rp - - -
- - Rp - - -
24 12 12 Rp 263,940 - -
5 5 Rp 19,575 - -
- - Rp - - -
- - - -
9 9 - Rp - - -
3 3 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
Rp 58,272,047
LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS BATU PUTIH BULAN MARET TAHUN
HARGA STOK
NO NAMA OBAT KEMASAN SATUAN AWAL
1 2 3 4 5
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 5,300
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 3,500
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461 25
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363 -
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 98
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 600
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 3,700
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 198
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 420
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 450
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 6,400
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 139
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 1,000
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 9,500
20 Antasida sirup Botol 60 ml Rp 2,019 180
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 100
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 -
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 -
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 300
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 -
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 800
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 4,800
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 500
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105 -
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900 -
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596 -
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat 0,4mg) kotak 3 x 10 tablet Rp 430 210
34 Calsium Laktat Ktk 10x10 tablet Rp 64 1,700
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 100
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89 -
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 600
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269 -
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 16,200
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 14
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 180
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 3,600
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132 -
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 26
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 200
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 8
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 11
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 9,600
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40 -
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178 -
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 2,900
53 Clindamycin Ktk 5 x 10 tab Rp 646 600
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 1,000
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90 -
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 101
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63 -
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277 55
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,300
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 13,800
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000 -
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220 -
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109 -
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578 -
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 800
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 120
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320 -
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 1,700
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 54
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848 -
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,800
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 1,900
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 50
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520 12
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 2
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 2
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124 -
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925 -
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 -
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 ml Kotak 30 amp Rp 4,260 60
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 1,400
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 400
83 Formalin 1000 ml botol 1000 ml Rp 63,910 2
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 100
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 1,200
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721 -
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 300
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 5,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266 -
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62 -
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65 -
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94 -
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 48
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179 -
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 700
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 1,600
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 17
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 500
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 50
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 600
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 -
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371 260
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215 -
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 -
107 Lisol Botol 1000 ml Rp 53,505 -
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 2,100
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 144
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113 -
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 100
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100 -
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 145
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 1,900
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 500
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 30
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 100
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 70
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 800
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329 -
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 1,150
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 1,200
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 -
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 100
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654 -
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 10
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440 -
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 150
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100 -
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030 -
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110 -
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 160
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 450
135 Paracetamol 100 mg Btl 100 tablet Rp 49 -
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 19,800
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 -
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240 -
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 1,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142 2,000
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 4,200
142 Pirantel suspensi Botol 60 ml Rp 9,100 -
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 300
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182 100
145 Povidon iodida 10 % botol 30 ml Rp 2,344 -
146 Povidon iodida 10 % botol 300 ml Rp 15,386 -
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85 200
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 1,300
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122 -
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122 -
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 1,900
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 50
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 60
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 -
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 2,100
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 158
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 104
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 -
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 120
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 42
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 800
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 2,000
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 500
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83 -
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 4,200
169 Zink Tablet Ktk 10x10 tablet Rp 618 100
PERBEKALAN KESEHATAN
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 135
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848 -
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 50
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 50
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998 -
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 12
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 24
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440 -
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 6
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 -
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 -
181 Handscoon No. 8 kotak 50 pcs Rp 7,683 -
182 Handscoon S kotak 100 pcs Rp 848 -
183 Handscoon M kotak 100 pcs Rp 848 -
184 Handscoon L kotak 100 pcs Rp 848 -
185 Handscoon No. 6 kotak 100 pcs Rp 7,869 30
186 Handscoon No. 7 kotak 100 pcs Rp 7,869 50
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870 -
188 Infuset Dewasa kotak 50 pcs Rp 3,680 99
189 Infuset Anak kotak 50 pcs Rp 4,025 71
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 220
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492 -
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492 50
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 130
194 Kapas Berlemak 500 g Roll Rp 21,532 -
195 Kapas steril 250 g Roll Rp 14,375 -
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334 -
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668 -
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 -
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350 -
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 5
201 Masker plus 3 ply earloop Lama kotak 50 pcs Rp 506 -
202 Masker plus earloop Lama kotak 50 pcs Rp 380 -
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300 150
204 Pembalut Gips 6 inchi Roll Rp 38,182 -
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 25
206 Silk benang bedah+jarum 2/0 HR 26 MM kotak 12 pcs Rp 15,240 -
207 Silk benang bedah+jarum 3/0 HR 26 MM kotak 12 pcs Rp 14,856 -
208 Silk Black 3/0 HR - 30 MM kotak 12 pcs Rp 21,995 12
209 Urine Bag kantong 10 pcs Rp 3,915 5
210 Wing needle No 27 kotak 100 pcs Rp 6,347 -
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 -
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560 -
213 Eugenol Cairan botol 10 ml Rp 38,947 -
214 Elitte Semen 100 (Semen Seng Fospat serbuk+Cairan) set Rp 197,406 -
215 Etyl Klorida Spray botol 100 ml Rp 120,000 -
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150 -
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600 -
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050 -
219 Temporary Stoping pletcher set Rp 101,860 -
JUMLAH
AR PERMINTAAN OBAT (LPLPO) D A K
BULAN MARET TAHUN 2018
PENERIM PERSEDIA PENGELU JUMLAH HARGA EXPIRED PERMINT
SISA STOK
AAN AN ARAN DATE AAN
6 7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
5,300 5,300 Rp 1,462,800 - -
3,500 3,500 Rp 1,354,500 - -
25 50 50 Rp 173,050 - -
- - Rp - - -
98 98 Rp 452,662 - -
600 200 400 Rp 48,000 - -
3,700 3,700 Rp 752,950 - -
198 15 183 Rp 936,045 - -
1,300 1,300 Rp 111,800 - -
120 120 Rp 504,480 - -
100 100 Rp 17,200 - -
420 420 Rp 39,060 - -
450 300 150 Rp 16,500 - -
6,400 1,700 4,700 Rp 902,400 - -
139 30 109 Rp 215,275 - -
- - Rp - - -
1,000 100 900 Rp 229,977 - -
- - Rp - - -
9,500 800 1,200 Rp 73,200 7,500 -
180 30 150 Rp 302,850 - -
100 67 Rp 235,237 33 -
- - Rp - - -
- - Rp - - -
200 200 Rp 114,400 - -
300 100 200 Rp 29,800 - -
- - Rp - - -
800 300 500 Rp 32,000 - -
4,800 500 4,300 Rp 537,500 - -
500 500 Rp 69,500 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
210 120 90 Rp 38,700 - -
1,700 400 1,300 Rp 83,200 - -
100 100 Rp 7,200 - -
- - Rp - - -
600 100 500 Rp 72,000 - -
- - Rp - - -
16,200 500 15,700 Rp 7,143,500 - -
14 14 - Rp - - -
180 180 Rp 1,221,300 - -
3,600 300 3,300 Rp 514,800 - -
- - Rp - - -
26 15 11 Rp 36,300 - -
500 700 200 500 Rp 347,050 - -
8 8 - Rp - - -
11 11 Rp 20,350 - -
- - Rp - - -
9,600 1,300 8,300 Rp 381,800 - -
- - Rp - - -
- - Rp - - -
2,900 300 2,600 Rp 686,400 - -
600 300 300 Rp 193,800 - -
1,000 200 800 Rp 264,800 - -
- - Rp - - -
101 35 66 Rp 162,492 - -
- - Rp - - -
100 155 155 Rp 197,935 - -
1,300 1,300 Rp 2,450,500 - -
13,800 1,900 2,400 Rp 110,400 9,500 -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
800 800 Rp 82,400 - -
120 30 90 Rp 127,350 - -
- - Rp - - -
1,700 200 1,500 Rp 174,000 - -
54 15 39 Rp 128,700 - -
100 100 100 Rp 184,800 - -
1,800 1,800 Rp 1,218,600 - -
1,900 200 1,700 Rp 1,310,700 - -
50 50 Rp 369,550 - -
12 10 2 Rp 7,040 - -
2 2 - Rp - - -
2 1 1 Rp 50,050 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
60 60 Rp 255,600 - -
1,400 1,400 Rp 1,153,600 - -
400 400 Rp 33,600 - -
2 2 Rp 127,820 - -
100 60 40 Rp 11,040 - -
22 22 Rp 110,220 - -
1,200 100 1,100 Rp 67,100 - -
500 500 500 Rp 360,500 - -
300 300 Rp 1,716,000 - -
60 60 Rp 376,200 - -
5,000 5,000 Rp 205,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
48 24 24 Rp 68,112 - -
- - Rp - - -
700 500 200 Rp 22,400 - -
1,600 1,200 400 Rp 46,000 - -
17 11 6 Rp 35,604 - -
500 500 Rp 106,500 - -
24 74 10 64 Rp 178,560 - -
600 100 500 Rp 154,000 - -
- - Rp - - -
260 60 200 Rp 74,200 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
2,100 100 2,000 Rp 182,000 - -
144 24 120 Rp 378,000 - -
- - Rp - - -
100 100 Rp 11,300 - -
- - Rp - - -
145 5 140 Rp 406,000 - -
1,900 1,900 Rp 195,700 - -
500 100 400 Rp 46,800 - -
30 - Rp - 30 -
100 100 - Rp - - -
70 70 Rp 239,470 - -
800 700 100 Rp 17,000 - -
- - Rp - - -
1,150 650 500 Rp 80,000 - -
1,200 200 1,000 Rp 154,000 - -
- - Rp - - -
- - Rp - - -
100 100 Rp 91,900 - -
- - Rp - - -
10 10 Rp 45,090 - -
- - Rp - - -
150 150 Rp 105,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
160 160 Rp 304,000 - -
450 900 180 720 Rp 110,880 - -
- - Rp - - -
19,800 1,500 18,300 Rp 3,738,141 - -
- - Rp - - -
- - Rp - - -
1,000 1,000 Rp 31,000 - -
2,000 2,000 Rp 284,000 - -
4,200 200 3,800 Rp 1,159,000 200 -
- - Rp - - -
300 200 100 Rp 15,125 - -
100 100 - Rp - - -
- - Rp - - -
- - - Rp - - -
200 200 - Rp - - -
900 900 Rp 315,900 - -
1,300 600 700 Rp 77,000 - -
- - Rp - - -
- - Rp - - -
1,900 1,900 Rp 647,900 - -
50 50 Rp 25,250 - -
60 60 - Rp - - -
- - Rp - - -
2,100 200 1,900 Rp 203,300 - -
158 158 Rp 479,214 - -
104 104 Rp 112,424 - -
- - Rp - - -
120 120 - Rp - - -
42 42 Rp 424,200 - -
- - Rp - - -
800 800 Rp 272,800 - -
2,000 2,000 Rp 102,000 - -
- - Rp - - -
500 1,000 300 700 Rp 709,170 - -
- - Rp - - -
4,200 300 3,900 Rp 538,200 - -
100 100 - Rp - - -
- - -
135 10 125 Rp 93,500 - -
- - Rp - - -
50 50 - Rp - - -
50 30 20 Rp 17,260 - -
- - Rp - - -
12 12 Rp 445,500 - -
24 12 12 Rp 428,220 - -
- - Rp - - -
6 6 Rp 62,640 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
30 30 - Rp - - -
50 50 - Rp - - -
- - Rp - - -
99 70 29 Rp 106,720 - -
71 71 Rp 285,775 - -
220 220 Rp 1,613,480 - -
- - Rp - - -
50 50 - Rp - - -
130 130 Rp 1,103,960 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
5 2 3 Rp 362,250 - -
- - Rp - - -
- - Rp - - -
150 100 50 Rp 1,265,000 - -
- - Rp - - -
25 5 20 Rp 660,000 - -
- - Rp - - -
- - Rp - - -
12 12 - Rp - - -
5 5 Rp 19,575 - -
- - Rp - - -
- - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
Rp 49,264,603
LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS BATU PUTIH BULAN APRIL TAHUN 2
HARGA STOK
NO NAMA OBAT KEMASAN SATUAN AWAL
1 2 3 4 5
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 5,300
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 3,500
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461 50
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363 -
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 98
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 400
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 3,700
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 183
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 420
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 150
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 4,700
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 109
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 900
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 1,200
20 Antasida sirup Botol 60 ml Rp 2,019 150
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 67
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 -
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 -
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 200
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 -
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 500
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 4,300
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 500
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105 -
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900 -
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596 -
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat 0,4mg) kotak 3 x 10 tablet Rp 430 90
34 Calsium Laktat Ktk 10x10 tablet Rp 64 1,300
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 100
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89 -
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 500
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269 -
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 15,700
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 -
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 180
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 3,300
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132 -
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 11
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 500
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 -
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 11
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 8,300
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40 -
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178 -
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 2,600
53 Clindamycin Ktk 5 x 10 tab Rp 646 300
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 800
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90 -
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 66
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63 -
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277 155
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,300
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 2,400
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000 -
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220 -
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109 -
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578 -
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 800
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 90
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320 -
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 1,500
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 39
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848 100
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,800
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 1,700
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 50
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520 2
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 -
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 1
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124 -
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925 -
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 -
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 ml Kotak 30 amp Rp 4,260 60
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 1,400
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 400
83 Formalin 1000 ml botol 1000 ml Rp 63,910 2
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 40
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 1,100
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721 500
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 300
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 5,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266 -
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62 -
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65 -
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94 -
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 24
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179 -
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 200
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 400
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 6
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 500
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 64
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 500
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 -
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371 200
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215 -
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 -
107 Lisol Botol 1000 ml Rp 53,505 -
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 2,000
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 120
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113 -
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 100
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100 -
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 140
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 1,900
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 400
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 -
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 -
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 70
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 100
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329 -
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 500
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 1,000
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 -
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 100
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654 -
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 10
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440 -
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 150
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100 -
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030 -
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110 -
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 160
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 720
135 Paracetamol 100 mg Btl 100 tablet Rp 49 -
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 18,300
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 -
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240 -
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 1,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142 2,000
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 3,800
142 Pirantel suspensi Botol 60 ml Rp 9,100 -
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 100
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182 -
145 Povidon iodida 10 % botol 30 ml Rp 2,344 -
146 Povidon iodida 10 % botol 300 ml Rp 15,386 -
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85 -
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 700
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122 -
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122 -
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 1,900
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 50
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 -
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 -
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 1,900
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 158
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 104
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 -
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 -
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 42
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 800
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 2,000
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 700
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83 -
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 3,900
169 Zink Tablet Ktk 10x10 tablet Rp 618 -
PERBEKALAN KESEHATAN
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 125
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848 -
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 -
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 20
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998 -
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 12
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 12
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440 -
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 6
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 -
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 -
181 Handscoon No. 8 kotak 50 pcs Rp 7,683 -
182 Handscoon S kotak 100 pcs Rp 848 -
183 Handscoon M kotak 100 pcs Rp 848 -
184 Handscoon L kotak 100 pcs Rp 848 -
185 Handscoon No. 6 kotak 100 pcs Rp 7,869 -
186 Handscoon No. 7 kotak 100 pcs Rp 7,869 -
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870 -
188 Infuset Dewasa kotak 50 pcs Rp 3,680 29
189 Infuset Anak kotak 50 pcs Rp 4,025 71
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 220
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492 -
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492 -
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 130
194 Kapas Berlemak 500 g Roll Rp 21,532 -
195 Kapas steril 250 g Roll Rp 14,375 -
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334 -
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668 -
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 -
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350 -
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 3
201 Masker plus 3 ply earloop Lama kotak 50 pcs Rp 506 -
202 Masker plus earloop Lama kotak 50 pcs Rp 380 -
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300 50
204 Pembalut Gips 6 inchi Roll Rp 38,182 -
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 20
206 Silk benang bedah+jarum 2/0 HR 26 MM kotak 12 pcs Rp 15,240 -
207 Silk benang bedah+jarum 3/0 HR 26 MM kotak 12 pcs Rp 14,856 -
208 Silk Black 3/0 HR - 30 MM kotak 12 pcs Rp 21,995 -
209 Urine Bag kantong 10 pcs Rp 3,915 5
210 Wing needle No 27 kotak 100 pcs Rp 6,347 -
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 -
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560 -
213 Eugenol Cairan botol 10 ml Rp 38,947 -
214 Elitte Semen 100 (Semen Seng Fospat serbuk+Cairan) set Rp 197,406 -
215 Etyl Klorida Spray botol 100 ml Rp 120,000 -
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150 -
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600 -
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050 -
219 Temporary Stoping pletcher set Rp 101,860 -
JUMLAH
PERMINTAAN OBAT (LPLPO) D A K
LAN APRIL TAHUN 2018
PENERIM PERSEDIA PENGELU SISA JUMLAH HARGA EXPIRED PERMINT
AAN AN ARAN STOK DATE AAN
6 7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
5,300 100 5,200 Rp 1,435,200 - -
3,500 200 3,300 Rp 1,277,100 - -
50 35 15 Rp 51,915 - -
- - Rp - - -
98 30 68 Rp 314,092 - -
1,000 1,400 500 900 Rp 108,000 - -
3,700 1,000 2,700 Rp 549,450 - -
183 183 Rp 936,045 - -
1,300 1,300 Rp 111,800 - -
120 120 Rp 504,480 - -
100 100 - Rp - - -
1,500 1,920 240 1,680 Rp 156,240 - -
450 600 240 360 Rp 39,600 - -
10,000 14,700 3,500 11,200 Rp 2,150,400 - -
100 209 34 125 Rp 246,875 50 -
- - Rp - - -
1,000 1,900 1,100 800 Rp 204,424 - -
- - Rp - - -
1,000 2,200 1,100 1,100 Rp 67,100 - -
150 38 112 Rp 226,128 - -
67 19 48 Rp 168,528 - -
- - Rp - - -
- - Rp - - -
200 200 Rp 114,400 - -
200 200 - Rp - - -
- - Rp - - -
500 500 Rp 32,000 - -
4,300 1,400 2,900 Rp 362,500 - -
500 100 400 Rp 55,600 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
90 90 - Rp - - -
1,300 600 700 Rp 44,800 - -
1,000 1,100 300 800 Rp 57,600 - -
- - Rp - - -
500 1,000 350 650 Rp 93,600 - -
- - Rp - - -
15,700 1,600 14,100 Rp 6,415,500 - -
96 96 8 88 Rp 369,600 - -
180 180 Rp 1,221,300 - -
3,300 600 2,700 Rp 421,200 - -
- - Rp - - -
11 11 - Rp - - -
500 400 100 Rp 69,410 - -
100 100 100 Rp 517,000 - -
48 59 35 24 Rp 44,400 - -
- - Rp - - -
8,300 2,000 6,300 Rp 289,800 - -
- - Rp - - -
- - Rp - - -
2,600 100 2,500 Rp 660,000 - -
300 300 Rp 193,800 - -
800 300 500 Rp 165,500 - -
- - - Rp - - -
100 166 36 130 Rp 320,060 - -
- - Rp - - -
155 155 Rp 197,935 - -
1,300 100 1,200 Rp 2,262,000 - -
2,400 1,900 500 Rp 23,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
800 100 700 Rp 72,100 - -
90 90 Rp 127,350 - -
- - Rp - - -
1,500 800 700 Rp 81,200 - -
100 139 35 104 Rp 343,200 - -
100 100 Rp 184,800 - -
1,800 1,800 Rp 1,218,600 - -
1,700 800 900 Rp 693,900 - -
50 50 Rp 369,550 - -
10 12 3 9 Rp 31,680 - -
- - Rp - - -
3 4 2 2 Rp 100,100 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
60 30 30 Rp 127,800 - -
1,400 300 1,100 Rp 906,400 - -
400 200 200 Rp 16,800 - -
2 2 Rp 127,820 - -
40 40 - Rp - - -
22 22 Rp 110,220 - -
1,100 200 900 Rp 54,900 - -
500 500 Rp 360,500 - -
300 300 Rp 1,716,000 - -
60 60 Rp 376,200 - -
5,000 2,000 3,000 Rp 123,000 - -
1,000 1,000 800 200 Rp 53,200 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
24 24 Rp 68,112 - -
- - Rp - - -
200 200 - Rp - - -
1,500 1,900 1,400 500 Rp 57,500 - -
50 56 21 35 Rp 207,690 - -
500 500 Rp 106,500 - -
64 30 34 Rp 94,860 - -
500 200 300 Rp 92,400 - -
- - Rp - - -
400 600 120 480 Rp 178,080 - -
- - Rp - - -
180 180 44 136 Rp 316,472 - -
- - Rp - - -
2,000 800 1,200 Rp 109,200 - -
120 48 72 Rp 226,800 - -
400 400 400 Rp 45,200 - -
100 100 - Rp - - -
- - Rp - - -
140 10 130 Rp 377,000 - -
1,900 100 1,800 Rp 185,400 - -
400 400 - Rp - - -
- - Rp - - -
- - Rp - - -
70 70 Rp 239,470 - -
1,000 1,100 200 900 Rp 153,000 - -
- - Rp - - -
2,000 2,500 800 1,700 Rp 272,000 - -
2,000 3,000 1,500 1,500 Rp 231,000 - -
60 60 25 35 Rp 224,350 - -
- - Rp - - -
100 200 200 Rp 183,800 - -
100 100 100 Rp 65,400 - -
10 6 4 Rp 18,036 - -
- - Rp - - -
150 100 50 Rp 35,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
160 160 Rp 304,000 - -
720 180 540 Rp 83,160 - -
- - Rp - - -
18,300 2,300 16,000 Rp 3,268,320 - -
- - Rp - - -
- - Rp - - -
1,000 1,000 Rp 31,000 - -
2,000 2,000 Rp 284,000 - -
3,800 2,200 1,600 Rp 488,000 - -
- - Rp - - -
1,000 1,100 700 400 Rp 60,500 - -
1,500 1,500 200 1,300 Rp 236,041 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
900 900 Rp 315,900 - -
700 1,400 300 1,100 Rp 121,000 - -
- - Rp - - -
- - Rp - - -
1,900 1,900 Rp 647,900 - -
50 50 - Rp - - -
200 200 55 145 Rp 1,036,750 - -
- - Rp - - -
1,900 500 1,400 Rp 149,800 - -
158 19 139 Rp 421,587 - -
104 22 82 Rp 88,642 - -
1,200 1,200 210 990 Rp 114,840 - -
750 750 150 600 Rp 150,000 - -
100 142 4 138 Rp 1,393,800 - -
- - Rp - - -
800 200 600 Rp 204,600 - -
2,000 1,000 1,000 Rp 51,000 - -
- - Rp - - -
700 100 600 Rp 607,860 - -
- - Rp - - -
3,900 400 3,500 Rp 483,000 - -
- - Rp - - -
- -
125 125 Rp 93,500 - -
- - Rp - - -
300 300 180 120 Rp 89,760 - -
100 120 6 114 Rp 98,382 - -
- - Rp - - -
12 12 Rp 445,500 - -
12 12 Rp 428,220 - -
- - Rp - - -
6 6 Rp 62,640 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
100 100 10 90 Rp 708,210 - -
- - Rp - - -
100 100 65 35 Rp 275,450 - -
50 79 46 33 Rp 121,440 - -
71 5 66 Rp 265,650 - -
220 220 Rp 1,613,480 - -
100 100 40 60 Rp 509,520 - -
- - Rp - - -
130 130 Rp 1,103,960 - -
- - Rp - - -
10 10 1 9 Rp 129,375 - -
- - Rp - - -
- - Rp - - -
25 25 10 15 Rp 36,225 - -
- - Rp - - -
5 8 1 7 Rp 845,250 - -
- - Rp - - -
- - Rp - - -
200 250 100 150 Rp 3,795,000 - -
- - Rp - - -
24 44 8 36 Rp 1,188,000 - -
- - Rp - - -
- - Rp - - -
24 24 24 Rp 527,880 - -
5 5 Rp 19,575 - -
- - Rp - - -
- - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
Rp 56,059,689
LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT (LPL
PUSKESMAS BATU PUTIH BULAN MEI TAHUN 2018
HARGA STOK PENERIM
NO NAMA OBAT KEMASAN SATUAN AWAL AAN
1 2 3 4 5 6
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 5,200 1,000
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 3,300 1,000
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461 15 25
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363 -
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 68 30
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 900 2,500
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 2,700 3,000
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 183 50
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 - 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 1,680
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 360 900
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 11,200 5,000
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 125 50
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 800 1,500
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 1,100 1,000
20 Antasida sirup Botol 60 ml Rp 2,019 112
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 48 100
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 - 24
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 -
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 -
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 -
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 500
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 2,900 4,000
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 400
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105 -
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900 -
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596 -
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat 0 kotak 3 x 10 tablet Rp 430 - 900
34 Calsium Laktat Ktk 10x10 tablet Rp 64 700 1,000
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 800
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89 -
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 650 750
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269 -
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 14,100 5,000
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 88 96
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 180 20
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 2,700
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132 -
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 -
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 100
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 100 100
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 24 48
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 6,300 5,000
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40 -
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178 -
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 2,500 1,000
53 Clindamycin Ktk 5 x 10 tab Rp 646 300 500
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 500
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90 -
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 130 50
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63 -
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277 155 100
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,200 100
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 500 5,000
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000 -
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220 - 300
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109 -
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578 -
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 700
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 90 60
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320 -
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 700
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 104 50
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848 100 100
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,800
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 900 500
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 50 30
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520 9
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 -
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 2
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124 -
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925 - 30
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 -
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 ml Kotak 30 amp Rp 4,260 30 90
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 1,100 3,000
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 200
83 Formalin 1000 ml botol 1000 ml Rp 63,910 2 1
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 -
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 900
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721 500
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 300
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 3,000 4,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266 200 500
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62 -
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65 -
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94 -
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 24 48
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179 - 500
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 -
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 500
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 35
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 500 500
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 34 26
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 300
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 -
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371 480 400
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215 -
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 136 120
107 Lisol Botol 1000 ml Rp 53,505 -
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 1,200 1,000
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 72
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113 400 400
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 -
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100 -
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 130 60
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 1,800
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 - 2,000
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 -
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 -
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 70
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 900 1,000
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329 -
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 1,700 2,000
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 1,500 2,000
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 35 60
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 200
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654 100 100
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 4 20
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440 -
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 50
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100 -
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030 -
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110 -
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 160 100
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 540 900
135 Paracetamol 100 mg Btl 100 tablet Rp 49 -
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 16,000 3,000
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 -
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240 -
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 1,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142 2,000 1,000
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 1,600 1,000
142 Pirantel suspensi Botol 60 ml Rp 9,100 -
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 400
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182 1,300 1,000
145 Povidon iodida 10 % botol 30 ml Rp 2,344 -
146 Povidon iodida 10 % botol 300 ml Rp 15,386 -
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85 -
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 1,100 1,000
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122 -
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122 -
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 1,900 1,000
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 -
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 145 200
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 -
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 1,400 1,000
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 139 72
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 82 50
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 990 1,200
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 600 1,000
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 138
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 600 1,000
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 1,000 3,000
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 600 200
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83 -
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 3,500 1,600
169 Zink Tablet Ktk 10x10 tablet Rp 618 -
PERBEKALAN KESEHATAN
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 125 100
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848 -
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 120 400
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 114 100
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998 -
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 12 12
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 12 12
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440 -
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 6
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 -
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 -
181 Handscoon No. 8 kotak 50 pcs Rp 7,683 -
182 Handscoon S kotak 100 pcs Rp 848 -
183 Handscoon M kotak 100 pcs Rp 848 -
184 Handscoon L kotak 100 pcs Rp 848 -
185 Handscoon No. 6 kotak 100 pcs Rp 7,869 90
186 Handscoon No. 7 kotak 100 pcs Rp 7,869 -
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870 35
188 Infuset Dewasa kotak 50 pcs Rp 3,680 33 100
189 Infuset Anak kotak 50 pcs Rp 4,025 66 100
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 220
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492 60 100
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492 - 100
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 130 100
194 Kapas Berlemak 500 g Roll Rp 21,532 -
195 Kapas steril 250 g Roll Rp 14,375 9 7
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334 -
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668 -
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 15 50
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350 -
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 7 5
201 Masker plus 3 ply earloop La kotak 50 pcs Rp 506 -
202 Masker plus earloop L kotak 50 pcs Rp 380 -
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300 150 200
204 Pembalut Gips 6 inchi Roll Rp 38,182 -
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 36 24
206 Silk benang bedah+jarum 2/0 HR 2 kotak 12 pcs Rp 15,240 -
207 Silk benang bedah+jarum 3/0 HR 2 kotak 12 pcs Rp 14,856 -
208 Silk Black 3/0 HR - kotak 12 pcs Rp 21,995 24
209 Urine Bag kantong 10 pcs Rp 3,915 5
210 Wing needle No 27 kotak 100 pcs Rp 6,347 -
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 -
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560 -
213 Eugenol Cairan botol 10 ml Rp 38,947 - 1
214 Elitte Semen 100 (Semen Seng Fospat serbuk+C set Rp 197,406 - 1
215 Etyl Klorida Spray botol 100 ml Rp 120,000 -
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150 - 1
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600 - 1
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050 - 1
219 Temporary Stoping pletcher set Rp 101,860 -
JUMLAH
RMINTAAN OBAT (LPLPO) D A K
AN MEI TAHUN 2018
PERSEDIA PENGELU SISA EXPIRED PERMINT
JUMLAH HARGA
AN ARAN STOK DATE AAN
7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
6,200 6,200 Rp 1,711,200 -
4,300 300 4,000 Rp 1,548,000 - -
40 15 25 Rp 86,525 - -
- - Rp - - -
98 98 Rp 452,662 - -
3,400 800 2,600 Rp 312,000 - -
5,700 1,700 4,000 Rp 814,000 - -
233 15 218 Rp 1,115,070 - -
1,300 1,300 Rp 111,800 - -
120 120 Rp 504,480 - -
100 100 Rp 17,200 - -
1,680 120 1,560 Rp 145,080 - -
1,260 240 1,020 Rp 112,200 - -
16,200 2,900 13,300 Rp 2,553,600 - -
175 60 65 Rp 128,375 50 -
- - Rp - - -
2,300 1,000 1,300 Rp 332,189 - -
- - Rp - - -
2,100 1,600 500 Rp 30,500 - -
112 65 47 Rp 94,893 - -
148 34 114 Rp 400,254 - -
24 24 Rp 124,512 - -
- - Rp - - -
200 200 Rp 114,400 - -
- - Rp - - -
- - Rp - - -
500 300 200 Rp 12,800 - -
6,900 900 6,000 Rp 750,000 - -
400 400 Rp 55,600 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
900 120 780 Rp 335,400 - -
1,700 400 1,300 Rp 83,200 - -
800 700 100 Rp 7,200 - -
- - Rp - - -
1,400 600 800 Rp 115,200 - -
- - Rp - - -
19,100 900 18,200 Rp 8,281,000 - -
184 43 141 Rp 592,200 - -
200 - Rp - 200 -
2,700 600 2,100 Rp 327,600 - -
- - Rp - - -
- - - Rp - - -
100 100 - Rp - - -
200 25 175 Rp 904,750 - -
72 5 67 Rp 123,950 - -
- - Rp - - -
11,300 1,800 9,500 Rp 437,000 - -
- - Rp - - -
- - Rp - - -
3,500 400 3,100 Rp 818,400 - -
800 800 Rp 516,800 - -
500 400 100 Rp 33,100 - -
- - Rp - - -
180 10 170 Rp 418,540 - -
- - Rp - - -
255 20 235 Rp 300,095 - -
1,300 1,300 Rp 2,450,500 - -
5,500 1,500 4,000 Rp 184,000 - -
- - Rp - - -
300 300 Rp 66,000 - -
- - Rp - - -
- - Rp - - -
700 700 Rp 72,100 - -
150 30 120 Rp 169,800 - -
- - Rp - - -
700 600 100 Rp 11,600 - -
154 40 114 Rp 376,200 - -
200 200 Rp 369,600 - -
1,800 100 1,700 Rp 1,150,900 - -
1,400 300 1,100 Rp 848,100 - -
80 5 75 Rp 554,325 - -
9 9 - Rp - - -
- - Rp - - -
2 2 - Rp - - -
- - Rp - - -
30 30 - Rp - - -
- - Rp - - -
120 60 60 Rp 255,600 - -
4,100 100 3,400 Rp 2,801,600 600 -
200 100 100 Rp 8,400 - -
3 3 Rp 191,730 - -
- - Rp - - -
22 22 Rp 110,220 - -
900 200 700 Rp 42,700 - -
500 500 Rp 360,500 - -
300 300 Rp 1,716,000 - -
60 60 Rp 376,200 - -
7,000 7,000 Rp 287,000 - -
700 200 500 Rp 133,000 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
72 72 Rp 204,336 - -
500 500 Rp 89,500 - -
- - Rp - - -
500 500 - Rp - - -
35 20 15 Rp 89,010 - -
1,000 1,000 Rp 213,000 - -
60 28 32 Rp 89,280 - -
300 150 150 Rp 46,200 - -
- - Rp - - -
880 340 540 Rp 200,340 - -
- - Rp - - -
256 80 176 Rp 409,552 - -
- - Rp - - -
2,200 600 1,600 Rp 145,600 - -
72 48 24 Rp 75,600 - -
800 100 700 Rp 79,100 - -
- - Rp - - -
- - Rp - - -
190 190 Rp 551,000 - -
1,800 100 - Rp - 1,700 -
2,000 2,000 Rp 234,000 - -
- - Rp - - -
- - Rp - - -
70 70 Rp 239,470 - -
1,900 800 1,100 Rp 187,000 - -
- - Rp - - -
3,700 400 3,300 Rp 528,000 - -
3,500 1,050 2,450 Rp 377,300 - -
95 10 85 Rp 544,850 - -
- - Rp - - -
200 200 - Rp - - -
200 200 Rp 130,800 - -
24 24 Rp 108,216 - -
- - Rp - - -
50 50 - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
260 20 240 Rp 456,000 - -
1,440 210 1,230 Rp 189,420 - -
- - Rp - - -
19,000 3,100 15,900 Rp 3,247,893 - -
- - Rp - - -
- - Rp - - -
1,000 1,000 Rp 31,000 - -
3,000 3,000 Rp 426,000 - -
2,600 200 2,400 Rp 732,000 - -
- - Rp - - -
400 300 100 Rp 15,125 - -
2,300 400 1,900 Rp 344,983 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
900 900 Rp 315,900 - -
2,100 1,300 800 Rp 88,000 - -
- - Rp - - -
- - Rp - - -
2,900 2,900 Rp 988,900 - -
- - Rp - - -
345 88 257 Rp 1,837,550 - -
- - Rp - - -
2,400 100 2,300 Rp 246,100 - -
211 48 163 Rp 494,379 - -
132 10 122 Rp 131,882 - -
2,190 330 1,860 Rp 215,760 - -
1,600 600 1,000 Rp 250,000 - -
138 - Rp - 138 -
- - Rp - - -
1,600 300 1,300 Rp 443,300 - -
4,000 300 3,700 Rp 188,700 - -
- - Rp - - -
800 200 600 Rp 607,860 - -
- - Rp - - -
5,100 600 4,500 Rp 621,000 - -
- - Rp - - -
- -
225 225 Rp 168,300 - -
- - Rp - - -
520 150 370 Rp 276,760 - -
214 25 189 Rp 163,107 - -
- - Rp - - -
24 12 12 Rp 445,500 - -
24 12 12 Rp 428,220 - -
- - Rp - - -
6 6 Rp 62,640 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
90 40 50 Rp 393,450 - -
- - - Rp - - -
35 20 15 Rp 118,050 - -
133 21 112 Rp 412,160 - -
166 15 151 Rp 607,775 - -
220 55 165 Rp 1,210,110 - -
160 160 Rp 1,358,720 - -
100 20 80 Rp 679,360 - -
230 15 215 Rp 1,825,780 - -
- - Rp - - -
16 1 15 Rp 215,625 - -
- - Rp - - -
- - Rp - - -
65 5 60 Rp 144,900 - -
- - Rp - - -
12 12 Rp 1,449,000 - -
- - Rp - - -
- - Rp - - -
350 150 200 Rp 5,060,000 - -
- - Rp - - -
60 2 58 Rp 1,914,000 - -
- - Rp - - -
- - Rp - - -
24 17 7 Rp 153,965 - -
5 5 Rp 19,575 - -
- - Rp - - -
- - - -
- - Rp - - -
- - Rp - - -
1 1 Rp 38,947 - -
1 1 Rp 197,406 - -
- - Rp - - -
1 1 Rp 909,150 - -
1 1 Rp 304,600 - -
1 1 Rp 314,050 - -
- - Rp - - -
Rp 72,642,906
LAPORAN PEMAKAIAAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS BATU PUTIH BULAN JUNI TAHUN 20
STOK
NO NAMA OBAT KEMASAN HARGA SATUAN AWAL
1 2 3 4 5
1 Acyclovir 200 mg kotak 10x10 tab Rp 276 6,200
2 Acyclovir 400 mg kotak 10x10 tab Rp 387 4,000
3 Acyclovir cream ktk 25 tube 5 gr Rp 3,461 25
4 Albendazole tab 400 mg kotak 10x10 tab Rp 363 -
5 Albendazole Susp 200 mg / 5 ml Botol 5 ml Rp 4,619 98
6 Allupurinol tab 100 mg kotak 10x10 tab Rp 120 2,600
7 Ambroxol tablet 30 mg kotak 10x10 tab Rp 204 4,000
8 Ambroxol sirup 15 mg/ml Botol 60 ml Rp 5,115 218
9 Aminophilin tab 100 mg Ktk 10x10 tablet Rp 86 1,300
10 Aminophilin Injeksi Ktk 30 amp Rp 4,204 120
11 Amitriptilin tab salut 25 mg HCL kotak 10x10 tab Rp 172 100
12 Amlodipin tab 5 mg Ktk 3 x 10 tab Rp 93 1,560
13 Amlodipin tab 10 mg Ktk 3 x 10 tab Rp 110 1,020
14 Amoxicillin kapsul 500 mg Ktk 10x10 tablet Rp 192 13,300
15 Amoxicillin syrup kering 125 mg/ml Botol 60 ml Rp 1,975 65
16 Amoxicillin serbuk injeksi 1000 mg vial 5 ml Rp 7,500 -
17 Antalgin tab Kotak 10 x 10 tab Rp 256 1,300
18 Antalgin injaksi kotak 30 Ampul Rp 1,501 -
19 Antasida DOEN tab kunyah Kotak 10 x 10 tab Rp 61 500
20 Antasida sirup Botol 60 ml Rp 2,019 47
21 Anti bakteri DOEN salep komb. (Bacitracyn) Ktk 25 tube @ 5 g Rp 3,511 114
22 Anti fungi DOEN komb. Ktk 24 pot 30 g Rp 5,188 24
23 Anti Hemoroid Ktk 10x10 tablet Rp 3,654 -
24 Anti Malaria Ktk 10x10 tablet Rp 572 200
25 Anti Migren Botol 100 tab Rp 149 -
26 Asam folat tab 1 mg Ktk 10x10 tablet Rp 69 -
27 Asam folat tab 400 mcg (Afolat) Ktk 10x10 tablet Rp 64 200
28 Asam Askorbat ( Vit C ) tab 50 mg Ktk 10x10 tablet Rp 125 6,000
29 Asam Askorbat ( Vit C ) tab 250 mg Ktk 10x10 tablet Rp 139 400
30 Asam Mefenamat 500 mg Ktk 10x10 tablet Rp 105 -
31 Aqua Pro Injeksi steril botol 25 ml Rp 5,900 -
32 Betametason krim 0.1 % Ktk 25 tube 5 g Rp 1,596 -
33 Besi II sulfat (Ferro Fumarat 60 mg + as.folat 0,4mg) kotak 3 x 10 tablet Rp 430 780
34 Calsium Laktat Ktk 10x10 tablet Rp 64 1,300
35 Captopril tablet 12.5 mg Ktk 10x10 tablet Rp 72 100
36 Captopril tablet 25 mg Ktk 10x10 tablet Rp 89 -
37 Captopril tablet 50 mg Ktk 5x10 tablet Rp 144 800
38 Carbamazepin 200 mg Ktk 10x10 tablet Rp 269 -
39 Cefadroksil 500 mg Ktk 10x10 tablet Rp 455 18,200
40 Cefadroksil sirup Kering Botol 60 ml Rp 4,200 141
41 Cefotaksim Injeksi ktk 10 vial Rp 6,785 -
42 Cetrizine tablet 10 mg Ktk 10x10 tablet Rp 156 2,100
43 Cetrizine tablet 10 mg Ktk 5x10 tablet Rp 132 -
44 Cetrizine syrup 5 mg / ml Botol 60 ml Rp 3,300 -
45 Chloramfenicol Kapsul 250 Ktk 10 x 10 tablet Rp 694 -
46 Chloramfenicol suspensi 125 mg/5ml Botol 60 ml Rp 5,170 175
47 Chloramfenicol Salep mata 1 % ktk 24 tube Rp 1,850 67
48 Chloramfenicol Tetes telinga 3 % Ktk 24 btl Rp 2,150 -
49 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 10 x 10 tab Rp 46 9,500
50 Chlorfeniramin maleat ( CTM ) Tablet 4 mg kotak 20 x 10 tab Rp 40 -
51 Chlorpromazin tablet salut 25 mg Ktk 10x10 tablet Rp 178 -
52 Cifroploxacin Tablet 500 mg kotak 10x10 tab Rp 264 3,100
53 Clindamycin Ktk 5 x 10 tab Rp 646 800
54 Cotrimoksazole Dewasa tablet 480 mg kotak 10x10 tab Rp 331 100
55 Cotrimoksazole Pediatrik kotak 10x10 tab Rp 90
56 Cotrimoksazole Suspensi Botol 60 ml Rp 2,462 170
57 Cyanokobalamin tab (Vit B12) kotak 10x10 tab Rp 63 -
58 Cyanokobalamin inj 500 mcg/ml Ktk 100 amp Rp 1,277 235
59 Deksametason injeksi 5 mg / - 1 ml Ktk 100 amp Rp 1,885 1,300
60 Deksametason Tablet 0.5 mg kotak 10x10 tab Rp 46 4,000
61 Dextrosa Larutan (KA EN3A) Botol 500 ml Rp 10,000 -
62 Diazepam Tablet 2 mg Ktk 10x10 tablet Rp 220 300
63 Diazepam Tablet 5 mg Ktk 10x10 tablet Rp 109 -
64 Diazepam Injeksi kotak 30 Ampul Rp 2,578 -
65 Digoksin Tablet 0.25 mg Ktk 10x10 tablet Rp 103 700
66 Difenhidramin injeksi kotak 30 Ampul Rp 1,415 120
67 Doksisiklin Kapsul 100 mg Ktk 10x10 tablet Rp 320 -
68 Domperidon Tablet 10 mg Ktk 10x10 tablet Rp 116 100
69 Domperidon Sirup 5 mg/ 5 ml Botol 60 ml Rp 3,300 114
70 Efinefrin HCl ( efinefrin/Adrenalin ) injeksi kotak 100 Ampul Rp 1,848 200
71 Erytromicin Tablet 250mg kotak 10 x 10 tab Rp 677 1,700
72 Erytromicin Tablet 500 mg kotak 10 x 10 tab Rp 771 1,100
73 Erytromicin Sirup Kering kotak 10 x 10 tab Rp 7,391 75
74 Etakridin ( Rivanol ) Larutan 0.1 % botol 100 ml Rp 3,520 -
75 Etanol 70 % 100 ml botol 100 ml Rp 2,625 -
76 Etanol 70 % 1000 ml botol 1 liter Rp 50,050 -
77 Fenobarbital Tablet 30 mg kotak 10 x 10 tab Rp 124 -
78 Fenobarbital Injeksi kotak 30 Ampul Rp 1,925 -
79 Fenol Gliserol Tetes telinga botol 5 ml Rp 2,654 -
80 Fitomenadion ( Vit. K ) Injeksi 10 mg/ml - 1 ml Kotak 30 amp Rp 4,260 60
81 Fitomenadion ( Vit. K ) Tablet 10 mg botol 100 ml Rp 824 3,400
82 Furosemid tablet 40 mg kotak 10 x 10 tab Rp 84 100
83 Formalin 1000 ml botol 1000 ml Rp 63,910 3
84 Garam Oralit Untuk 200 ml air kotak 100 sst Rp 276 -
85 Gentamisin Sulfat tetes mata 0,3 % kotak 24 botol Rp 5,010 22
86 Glibenklamid tablet 5 mg kotak 10 x 10 tab Rp 61 700
87 Glimepiride 2mg kotak 5 x 10 tab Rp 721 500
88 Glukosa larutan Infus 5% Steril botol 500 ml Rp 5,720 300
89 Glukosa larutan Infus 10 % Steril botol 500 ml Rp 6,270 60
90 Glyseril Guaiakolat GG botol 1000 tab Rp 41 7,000
91 Griseofulvin Tablet 125 mg kotak 10 x 10 tab Rp 266 500
92 Haloperidol Tablet 0.5 mg Ktk 10x10 tablet Rp 62 -
93 Haloperidol Tablet 1.5 mg Ktk 10x10 tablet Rp 65 -
94 Haloperidol Tablet 5 mg Ktk 10x10 tablet Rp 94 -
95 Hidrokortison Krim 2.5 % kotak 24 tube 5g Rp 2,838 72
96 Hidroklorotiazide ( HCT ) Tablet 25 mg Ktk 10x10 tablet Rp 179 500
97 Ibuprofen tablet 200 mg Ktk 10x10 tablet Rp 112 -
98 Ibuprofen tablet 400 mg Ktk 10x10 tablet Rp 115 -
99 Ibuprofen Suspensi 100 mg / 5 ml Botol 60 ml Rp 5,934 15
100 Isosorbit Dinitrat Tablet 5 mg Ktk 10x10 tablet Rp 213 1,000
101 Ketokonazole Krim 2 % kotak 24 tube 10g Rp 2,790 32
102 Ketokonazole 200 mg tab Ktk 10x10 tablet Rp 308 150
103 Lanzoprasol Tablet 30 mg kotak 2 x 20 tab Rp 1,200 -
104 Lanzoprasol Tablet 30 mg kotak 2 x 10 tab Rp 371 540
105 Lidocain Injeksi 2 % (HCl) tunggal Ktk 100 amp Rp 2,215 -
106 Lidocain Injeksi 2 % (HCl) + Efinefrin Ktk 30 amp Rp 2,327 176
107 Lisol Botol 1000 ml Rp 53,505 -
108 Loperamid Tablet 2 mg / Novadium Ktk 10x10 tablet Rp 91 1,600
109 Miconazole Krim 2% kotak 24 tube 10g Rp 3,150 24
110 Metformin 500 mg tab ktk 10 x 10 tab Rp 113 700
111 Metoklorpropamid 5 mg Tablet ktk 10 x 10 tab Rp 113 -
112 Metoklorpropamid 10 mg Tablet Kotak 30 amp Rp 100 -
113 Metoklorpropamid syr 5 mg/ml (Lexapram) Botol 60 ml Rp 2,900 190
114 Metronidazol tablet 250 mg Ktk 10x10 tablet Rp 103 -
115 Metronidazol tablet 500 mg Ktk 10x10 tablet Rp 117 2,000
116 Metronidazol tablet Vaginal ktk 10 x 10 tab Rp 3,665 -
117 Metylergometrin Maleat Tablet ktk 10 x 10 tab Rp 169 -
118 Metylergometrin Maleat Injeksi ( Myomergin ) kotak 100 amp Rp 3,421 70
119 Metylprednisolon Tablet 4 mg Ktk 10x10 tablet Rp 170 1,100
120 Metylprednisolon Tablet 8 mg ktk 10 x 10 tab Rp 329 -
121 Natrium diklofenak 25 mg Ktk 5x10 tab Rp 160 3,300
122 Natrium diklofenak 50 mg Ktk 5x10 tab Rp 154 2,450
123 Natrium klorida Lar. Infus 0,9 % steril botol 500 ml Rp 6,410 85
124 Nifedipin tablet ktk 10 x 10 tab Rp 127 -
125 Nistatin tablet salut 500.000 IU ktk 10 x 10 tab Rp 919 -
126 Nistatin tablet salut 100.000 IU Vaginal ktk 10 x 10 tab vag Rp 654 200
127 Obat Batuk Hitam ( OBH ) sirup botol 100 ml Rp 4,509 24
128 Ofloxacin Tablet 200 mg kotak 5x10 tab Rp 440 -
129 Ofloxacin Tablet 400 mg kotak 5x10 tab Rp 700 -
130 Oksitetrasiklin HCL injeksi kotak 10 Vial Rp 3,100 -
131 Oksitetrasiklin Salep kulit 3 % kotak 25 tube Rp 2,030 -
132 Oksitetrasiklin Salep Mata 1 % kotak 45 tube Rp 3,110 -
133 Oksitosin Injeksi (Pytogin) kotak 100 amp Rp 1,900 240
134 Omeprasol Tab 20 mg kotak 3 x 10 tab Rp 154 1,230
135 Paracetamol 100 mg Btl 100 tablet Rp 49 -
136 Paracetamol 500 mg Ktk 10x10 tablet Rp 204 15,900
137 Paracetamol Sirup 120 mg / ml Botol 60 ml Rp 1,190 -
138 Paracetamol Drops 100 mg/ ml Botol 10 ml Rp 6,240 -
139 Piridoksin (Vit-B6) botol 1000 tab Rp 31 1,000
140 Piridoksin (Vit-B6) Ktk 10x10 tablet Rp 142 3,000
141 Pirantel Pamoat tablet 125 mg kotak 25 x 4 tab Rp 305 2,400
142 Pirantel suspensi Botol 60 ml Rp 9,100 -
143 Piroxicam 10 mg Ktk 10x10 tablet Rp 151 100
144 PiroXicam 20 mg Ktk 10x10 tablet Rp 182 1,900
145 Povidon iodida 10 % botol 30 ml Rp 2,344 -
146 Povidon iodida 10 % botol 300 ml Rp 15,386 -
147 Prednison Tablet 5 mg Ktk 10x10 tablet Rp 85 -
148 Propiltiorasil Tablet 100 mg Ktk 10x10 tablet Rp 351 900
149 Ranitidin Tablet 150 mg Ktk 10x10 tablet Rp 110 800
150 Ranitidin injeksi 25 mg/2ml kotak 10 amp Rp 2,122 -
151 Ranitidin injeksi 25 mg/2ml kotak 25 amp Rp 2,122 -
152 Retinol (Vit.A) 100.000 IU Kaps Lunak Biru botol 50 kaps Rp 341 2,900
153 Retinol (Vit.A) 200.000 IU Kaps Lunak Merah botol 50 kaps Rp 505 -
154 Ringer Laktat larutan infus steril RL botol 500 ml Rp 7,150 257
155 Salbutamol Tablet 2 mg kotak 10x10 tab Rp 85 -
156 Salbutamol Tablet 4 mg kotak 10x10 tab Rp 107 2,300
157 Salep 2-4, Kombinasi Ktk 24 pot 30 g Rp 3,033 163
158 Salisil Bedak 2 % kotak 50 gram Rp 1,081 122
159 Simvastatin 10 mg Tablet kotak 3 x 10 tab Rp 116 1,860
160 Simvastatin 20 mg Tablet Ktk 5 x 10 tablet Rp 250 1,000
161 Sucralfat Susp 500 mg/5 ml ( ULSAFATE) Botol 60 ml Rp 10,100 -
162 Tetracyline HCL Kapsul 250 mg Ktk 10x10 tablet Rp 162 -
163 Tetracyline HCL Kapsul 500 mg Ktk 10x10 tablet Rp 341 1,300
164 Thiamin HCL (Vit. B1) Tablet 50 mg Ktk 10x10 tablet Rp 51 3,700
165 Thiamin HCL (Vit. B1) injeksi kotak 30 amp Rp 950 -
166 Thiamfenicol kapsul 500 mg Ktk 10x10 tablet Rp 1,013 600
167 Triheksilfenidil tab 2 mg Ktk 10x10 tablet Rp 83 -
168 Vitamin B Kompleks ( B.Com) Ktk 10x10 tablet Rp 138 4,500
169 Zink Tablet Ktk 10x10 tablet Rp 618 -
PERBEKALAN KESEHATAN
170 Alat suntik sekali pakai 1 ml (Spoit) kotak 100 pcs Rp 748 225
171 Alat suntik sekali pakai 2,5 ml (Spoit) kotak 100 pcs Rp 848 -
172 Alat suntik sekali pakai 3 ml (Spoit) kotak 100 pcs Rp 748 370
173 Alat suntik sekali pakai 5 ml (Spoit) kotak 100 pcs Rp 863 189
174 Catgut cromic no.2/0 DS 24 lama kotak 12 pcs Rp 28,998 -
175 Catgut Plain no.2/0 HR 37 kotak 12 pcs Rp 37,125 12
176 Catgut Plain no.3/0 HR 38 kotak 12 pcs Rp 35,685 12
177 Folley Cateter no. 18 kotak 10 pcs Rp 10,440 -
178 Folley Cateter no. 20 kotak 10 pcs Rp 10,440 6
179 Handscoon No. 7 kotak 50 pcs Rp 7,683 -
180 Handscoon No. 7,5 kotak 50 pcs Rp 7,683 -
181 Handscoon No. 8 kotak 50 pcs Rp 7,683 -
182 Handscoon S kotak 100 pcs Rp 848 -
183 Handscoon M kotak 100 pcs Rp 848 -
184 Handscoon L kotak 100 pcs Rp 848 -
185 Handscoon No. 6 kotak 100 pcs Rp 7,869 50
186 Handscoon No. 7 kotak 100 pcs Rp 7,869 -
187 Handscoon No. 7,5 kotak 100 pcs Rp 7,870 15
188 Infuset Dewasa kotak 50 pcs Rp 3,680 112
189 Infuset Anak kotak 50 pcs Rp 4,025 151
190 IV. Cateter no. 18 G kotak 50 pcs Rp 7,334 165
191 IV. Cateter no. 20 G kotak 50 pcs Rp 8,492 160
192 IV. Cateter no. 22 G kotak 50 pcs Rp 8,492 80
193 IV. Cateter no. 24 G kotak 50 pcs Rp 8,492 215
194 Kapas Berlemak 500 g Roll Rp 21,532 -
195 Kapas steril 250 g Roll Rp 14,375 15
196 Kasa Hidrofil Steril 4 x 5 cm Roll Rp 334 -
197 Kasa Hidrofil Steril 4 x 10 cm Roll Rp 668 -
198 Kasa Hidrofil Steril 4 x 15 cm bungkus 5 roll Rp 2,415 60
199 Kasa Hidrofil Steril 16 x 16 cm kotak 16 pcs Rp 9,350 -
200 Kasa Hidrofil Steril 40 x 80 cm Roll Rp 120,750 12
201 Masker plus 3 ply earloop Lama kotak 50 pcs Rp 506 -
202 Masker plus earloop Lama kotak 50 pcs Rp 380 -
203 Masker Jilbab / Hijab kotak 50 pcs Rp 25,300 200
204 Pembalut Gips 6 inchi Roll Rp 38,182 -
205 Plester 5 yards x 2 inchi kotak 6 roll Rp 33,000 58
206 Silk benang bedah+jarum 2/0 HR 26 MM kotak 12 pcs Rp 15,240 -
207 Silk benang bedah+jarum 3/0 HR 26 MM kotak 12 pcs Rp 14,856 -
208 Silk Black 3/0 HR - 30 MM kotak 12 pcs Rp 21,995 7
209 Urine Bag kantong 10 pcs Rp 3,915 5
210 Wing needle No 27 kotak 100 pcs Rp 6,347 -
OBAT GIGI -
211 Aptil botol 10 ml Rp 31,200 -
212 Albothil Concentrat 10 mg (Polikresulen) botol 10 ml Rp 43,560 -
213 Eugenol Cairan botol 10 ml Rp 38,947 1
214 Elitte Semen 100 (Semen Seng Fospat serbuk+Cairan) set Rp 197,406 1
215 Etyl Klorida Spray botol 100 ml Rp 120,000 -
216 GC Fuji IX (Glas ionomer Cement (ART ) Set Rp 909,150 1
217 Hydcal ( Calcium Hidroksida Pasta ) kotak 2 botol Rp 304,600 1
218 Mummifiying Pasta (Iodoform Pasta / Iodotin) Set Rp 314,050 1
219 Temporary Stoping pletcher set Rp 101,860 -
JUMLAH
R PERMINTAAN OBAT (LPLPO) D A K
BULAN JUNI TAHUN 2018
PENERIM PERSEDIA PENGELU SISA EXPIRED PERMINT
JUMLAH HARGA
AAN AN ARAN STOK DATE AAN
6 7=(5+6) 8 9=(7 - 8 - 11) 10=(4x9) 11 12
6,200 6,200 Rp 1,711,200 -
4,000 4,000 Rp 1,548,000 - -
25 25 Rp 86,525 - -
- - Rp - - -
98 98 Rp 452,662 - -
2,600 400 2,200 Rp 264,000 - -
4,000 300 3,700 Rp 752,950 - -
218 10 208 Rp 1,063,920 - -
1,300 1,300 Rp 111,800 - -
120 120 Rp 504,480 - -
100 100 Rp 17,200 - -
1,560 - Rp - 1,560 -
1,020 30 990 Rp 108,900 - -
13,300 1,300 12,000 Rp 2,304,000 - -
65 15 50 Rp 98,750 - -
- - Rp - - -
1,300 400 900 Rp 229,977 - -
- - Rp - - -
500 500 - Rp - - -
47 20 27 Rp 54,513 - -
114 114 Rp 400,254 - -
24 24 Rp 124,512 - -
- - Rp - - -
200 200 Rp 114,400 - -
- - Rp - - -
- - Rp - - -
200 200 Rp 12,800 - -
6,000 500 5,500 Rp 687,500 - -
400 400 Rp 55,600 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
780 780 Rp 335,400 - -
1,300 1,300 Rp 83,200 - -
100 100 - Rp - - -
- - Rp - - -
800 350 450 Rp 64,800 - -
- - Rp - - -
18,200 400 17,800 Rp 8,099,000 - -
141 5 136 Rp 571,200 - -
- Rp - - -
2,100 300 1,800 Rp 280,800 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
175 5 170 Rp 878,900 - -
67 67 Rp 123,950 - -
- - Rp - - -
9,500 1,200 8,300 Rp 381,800 - -
- - Rp - - -
- - Rp - - -
3,100 100 3,000 Rp 792,000 - -
800 50 750 Rp 484,500 - -
100 100 - Rp - - -
- - Rp - - -
170 10 160 Rp 393,920 - -
- - Rp - - -
235 235 Rp 300,095 - -
1,300 1,300 Rp 2,450,500 - -
4,000 1,600 2,400 Rp 110,400 - -
- - Rp - - -
300 300 Rp 66,000 - -
- - Rp - - -
- - Rp - - -
700 700 Rp 72,100 - -
120 120 Rp 169,800 - -
- - Rp - - -
100 100 Rp 11,600 - -
114 10 104 Rp 343,200 - -
200 200 Rp 369,600 - -
1,700 1,700 Rp 1,150,900 - -
1,100 200 900 Rp 693,900 - -
75 75 Rp 554,325 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
60 60 Rp 255,600 - -
3,400 3,400 Rp 2,801,600 - -
100 100 Rp 8,400 - -
3 3 Rp 191,730 - -
- - Rp - - -
22 22 Rp 110,220 - -
700 400 300 Rp 18,300 - -
500 500 Rp 360,500 - -
300 5 - Rp - 295 -
60 - Rp - 60 -
7,000 1,000 6,000 Rp 246,000 - -
500 400 100 Rp 26,600 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
72 72 Rp 204,336 - -
500 500 Rp 89,500 - -
- - Rp - - -
- - Rp - - -
15 8 7 Rp 41,538 - -
1,000 100 900 Rp 191,700 - -
32 10 22 Rp 61,380 - -
150 150 - Rp - - -
- - Rp - - -
540 540 Rp 200,340 - -
- - Rp - - -
176 30 146 Rp 339,742 - -
- - Rp - - -
1,600 200 1,400 Rp 127,400 - -
24 10 14 Rp 44,100 - -
700 700 Rp 79,100 - -
- - Rp - - -
- - Rp - - -
190 190 Rp 551,000 - -
- - Rp - - -
2,000 300 1,700 Rp 198,900 - -
- - Rp - - -
- - Rp - - -
70 70 Rp 239,470 - -
1,100 100 1,000 Rp 170,000 - -
- - Rp - - -
3,300 350 2,950 Rp 472,000 - -
2,450 400 2,050 Rp 315,700 - -
85 10 75 Rp 480,750 - -
- - Rp - - -
- - Rp - - -
200 200 Rp 130,800 - -
24 24 Rp 108,216 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
240 240 Rp 456,000 - -
1,230 1,230 Rp 189,420 - -
- - Rp - - -
15,900 1,500 14,400 Rp 2,941,488 - -
- - Rp - - -
- - Rp - - -
1,000 1,000 Rp 31,000 - -
3,000 3,000 Rp 426,000 - -
2,400 500 1,900 Rp 579,500 - -
- - Rp - - -
100 100 - Rp - - -
1,900 200 1,700 Rp 308,669 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
900 900 Rp 315,900 - -
800 500 300 Rp 33,000 - -
- - Rp - - -
- - Rp - - -
2,900 2,900 Rp 988,900 - -
- - Rp - - -
257 77 180 Rp 1,287,000 - -
- - Rp - - -
2,300 2,300 Rp 246,100 - -
163 163 Rp 494,379 - -
122 122 Rp 131,882 - -
1,860 270 1,590 Rp 184,440 - -
1,000 150 850 Rp 212,500 - -
- - Rp - - -
- - Rp - - -
1,300 100 1,200 Rp 409,200 - -
3,700 100 3,600 Rp 183,600 - -
- - Rp - - -
600 200 400 Rp 405,240 - -
- - Rp - - -
4,500 600 3,900 Rp 538,200 - -
- - Rp - - -
- -
225 225 Rp 168,300 - -
- - Rp - - -
370 20 350 Rp 261,800 - -
189 10 179 Rp 154,477 - -
- - Rp - - -
12 12 - Rp - - -
12 12 Rp 428,220 - -
- - Rp - - -
6 1 5 Rp 52,200 - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
- - Rp - - -
50 14 36 Rp 283,284 - -
- - Rp - - -
15 10 5 Rp 39,350 - -
112 10 102 Rp 375,360 - -
151 5 146 Rp 587,650 - -
165 165 Rp 1,210,110 - -
160 160 Rp 1,358,720 - -
80 80 Rp 679,360 - -
215 215 Rp 1,825,780 - -
- - Rp - - -
15 15 Rp 215,625 - -
- - Rp - - -
- - Rp - - -
60 10 50 Rp 120,750 - -
- - Rp - - -
12 1 11 Rp 1,328,250 - -
- - Rp - - -
- - Rp - - -
200 25 175 Rp 4,427,500 - -
- - Rp - - -
58 1 57 Rp 1,881,000 - -
- - Rp - - -
- - Rp - - -
7 7 Rp 153,965 - -
5 5 Rp 19,575 - -
- - Rp - - -
- - - -
- - Rp - - -
- - Rp - - -
1 1 Rp 38,947 - -
1 1 Rp 197,406 - -
- - Rp - - -
1 1 Rp 909,150 - -
1 1 Rp 304,600 - -
1 1 Rp 314,050 - -
- - Rp - - -
Rp 65,248,602

You might also like