NO Puskesmas Nama Barang Satuan Harga Satuan Kuantitas Total

1 Aikmel Utara Betahistin 6 mg tablet Rp 640 2,000 Rp1,280,000

Amoksisilin 500 mg Kaplet Rp 495 5,000 Rp2,475,000
Deksametason 0,5 mg Tablet Tablet Rp 83 5,000 Rp415,000
Hyoscine Butylbromide 10 mg tablet Rp 1,953 1,500 Rp2,929,500
Klorfeniramina Maleat (CTM) 4 Rp 97 5,000 Rp485,000
Tablet
mg
Omeprazol 20 mg Kapsul Kapsul Rp 380 3,000 Rp1,140,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 116 Rp1,325,300
Ondansentron Inj Ampul Rp 2,695 1,000 Rp2,695,000
TOTAL Rp12,744,800

2 Belanting Kloramfenikol TM 0,5% Botol Rp 9,580 200 Rp1,916,000

Asam Tranexamat Tablet Tablet Rp 2,610 200 Rp522,000
Omeprazol 20 mg Kapsul Kapsul Rp 380 Rp3,000 Rp1,140,000
Ondansentron Inj Ampul Rp 2,695 200 Rp539,000
Ketorolac Injeksi Ampul Rp 3,885 100 Rp388,500
Sucralfate Sirup botol Rp 22,500 100 Rp2,250,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 130 Rp1,790,100
TOTAL Rp8,545,600

3 DASAN LEKONG Asam Tranexamat Tablet Tablet Rp 2,610 800 Rp2,088,000

Betahistin Tablet Rp 640 2,000 Rp1,280,000
Salep 24 (asam salisilat) Pot Rp 2,935 72 Rp211,320
Cetirizin 10 mg Tablet Tablet Rp 100 1,000 Rp100,000
Omeprazol 20 mg Kapsul Kapsul Rp 380 3,000 Rp1,140,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 200 Rp2,285,000
Ondansentron Inj Ampul Rp 2,695 780 Rp2,102,100
Ketorolac Injeksi Ampul Rp 3,885 570 Rp2,214,450
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 700 Rp9,639,000
Sefiksim 100 mg Kapsul Rp 840 300 Rp252,000
Parasetamol Infus Botol Rp 21,200 48 Rp1,017,600
sefadroxil 500 mg kapsul Rp 1,200 1,500 Rp1,800,000
Sefixime sirup botol Rp 16,750 60 Rp1,005,000
TOTAL Rp25,134,470

4 DENGGEN Asiklovir Krim (Lacyvir) Tube Rp 4,350 50 Rp217,500

Asam Tranexamat Tablet Tablet Rp 2,610 500 Rp1,305,000
Betahistin Tablet Rp 840 3,500 Rp2,940,000
Salep 24 (asam salisilat) Pot Rp 2,935 220 Rp645,700
Methylprednisolon 4 mg Tablet Rp 199 10,000 Rp1,990,000
Omeprazol 20 mg Kapsul Kapsul Rp 380 3,000 Rp1,140,000
Ondansentron Injeksi Ampul Rp 2,695 1,000 Rp2,695,000
Ketorolac Injeksi Ampul Rp 3,885 600 Rp2,331,000
Sucralfate Sirup botol Rp 22,500 70 Rp1,575,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 1,500 Rp20,655,000
Sefiksim 100 mg Kapsul Rp 840 500 Rp420,000
Hyoscine Butylbromide Injeksi 20 m Ampul Rp 1,953 300 Rp585,900
sefadroxil 500 mg kapsul Rp 1,200 3,000 Rp3,600,000
Sefixime sirup botol Rp 16,750 31 Rp519,250
TOTAL Rp40,619,350

5 LEPAK Asam Tranexamat Tablet Tablet Rp 2,610 700 Rp1,827,000

Betahistin Tablet Rp 640 7,000 Rp4,480,000
sefixime Sirup Botol Rp 16,750 120 Rp2,010,000
Amoksisilin 500 mg Kaplet Rp 495 13,500 Rp6,682,500
Cetirizin 10 mg Tablet Tablet Rp 100 1,600 Rp160,000
Deksametason 0,5 mg Tablet Tablet Rp 83 15,000 Rp1,245,000
Kaptopril 25 mg Tablet Rp 135 6,000 Rp810,000
Klorfeniramina Maleat (CTM) 4 mg Tablet Rp 97 16,000 Rp1,552,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 300 Rp3,427,500
Ondansentron Inj Ampul Rp 2,695 600 Rp1,617,000
Ketorolac Injeksi Ampul Rp 3,885 400 Rp1,554,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 500 Rp6,885,000
Sefiksim 100 mg Kapsul Rp 840 2,000 Rp1,680,000
Parasetamol Infus Botol Rp 21,200 48 Rp1,017,600
TOTAL Rp34,947,600
6 Montong Betok Betahistin tablet Rp 640 4,500 Rp2,880,000
Ondansentron injeksi Ampul Rp 2,695 500 Rp1,347,500
Ketorolac Injeksi Ampul Rp 3,885 1,500 Rp5,827,500
TOTAL Rp10,055,000

7 SUKARAJA Betahistin 6 mg Tablet Rp 640 2,500 Rp1,600,000

Amoksisilin 500 mg Kaplet Rp 495 4,500 Rp2,227,500
Cetirizin 10 mg Tablet Tablet Rp 100 2,000 Rp200,000
Salep 24 (Asam Salisilat) Pot Rp 2,935 240 Rp704,400
Hyoscine Butylbromide 10 mg tablet Rp 1,953 500 Rp976,500
Omeprazol 20 mg Kapsul Kapsul Rp 380 12,000 Rp4,560,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,426 50 Rp571,300
Salep 24 (Asam Sali Silat) Pot Rp 2,935 240 Rp704,400
Ondansentron Inj Ampul Rp 2,695 1,000 Rp2,695,000
TOTAL Rp14,239,100

8 WANASABA Betahistin 6 mg tablet Rp 640 2,500 Rp1,600,000

Amoksisilin 500 mg Kaplet Rp 495 5,000 Rp2,475,000
Cetirizin 10 mg Tablet Tablet Rp 100 2,000 Rp200,000
Hyoscine Butylbromide 10 mg tablet Rp 1,953 Rp500 Rp976,500
Sucralfate Sirup botol Rp 22,500 150 Rp3,375,000
TOTAL Rp8,626,500

9 RARANG Hyoscine Butylbromide 10 mg tablet Rp 1,953 2,000 Rp3,906,000

Kaptopril 25 mg Tablet Rp 135 3,000 Rp405,000
Omeprazol 20 mg Kapsul Kapsul Rp 380 3,000 Rp1,140,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 200 Rp2,285,000
Betahistin 6 mg tablet Rp 640 1,500 Rp960,000
Ketorolac Injeksi Ampul Rp 3,885 1,300 Rp5,050,500
Ondansentron Inj Ampul Rp 2,695 1,000 Rp2,695,000
Sefiksim 100 mg Kapsul Rp 840 2,000 Rp1,680,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 250 Rp3,442,500
Methylprednisolon 4 mg Tablet Rp 199 5,000 Rp995,000
Hyoscine Butylbromide Injeksi 20 Rp 1,953 300 Rp585,900
mg/ml Ampul
Parasetamol Infus Botol Rp 21,200 75 Rp1,590,000
TOTAL Rp24,734,900

10 KARANG BARU Asam Tranexamat Tablet Tablet Rp 2,610 300 Rp783,000

Betahistin Tablet Rp 640 7,000 Rp4,480,000
Amoksisilin 500 mg Kaplet Rp 495 Rp2,000 Rp990,000
Deksametason 0,5 mg Tablet Tablet Rp 83 Rp15,000 Rp1,245,000
Hyoscine Butylbromide 10 mg tablet Rp 1,953 Rp1,500 Rp2,929,500
Klorfeniramina Maleat (CTM) 4 mg Tablet Rp 97 Rp10,000 Rp970,000
Omeprazol 20 mg Kapsul Kapsul Rp 380 Rp2,000 Rp760,000
Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 Rp100 Rp1,142,500
Ketorolac Injeksi Ampul Rp 3,885 Rp600 Rp2,331,000
Sucralfate Sirup botol Rp 22,500 Rp150 Rp3,375,000
Hyoscine Butylbromide Injeksi 20 m Ampul Rp 1,953 Rp100 Rp195,300
Parasetamol Infus Botol Rp 21,200 Rp300 Rp6,360,000
TOTAL Rp25,561,300

11 MASBAGIKK BARU Asam Tranexamat Tablet Tablet Rp 2,610 100 Rp261,000

Salep 24 (Asam Salisialt) Pot Rp 2,935 24 Rp70,440
Ondansentron Inj Ampul Rp 2,695 800 Rp2,156,000
Ketorolac Injeksi Ampul Rp 3,885 410 Rp1,592,850
Sucralfate Sirup botol Rp 22,500 100 Rp2,250,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 600 Rp8,262,000
Methylprednisolon 4 mg Tablet Rp 199 1,000 Rp199,000
Sefiksim Syirup Kapsul Rp 16,750 90 Rp1,507,500
Amoksisilin 500 mg Kaplet Rp 495 3,000 Rp1,485,000
TOTAL Rp17,783,790

12 PRINGGASELA UTAMA Ceterizin tablet Rp 100 3,000 Rp300,000

Asam Tranexamat Tablet tablet Rp 2,610 500 Rp1,305,000
Cefadroxil 500 mg Kapsul Rp 1,200 1,000 Rp1,200,000
Betahistin 6 mg tablet Rp 640 2,000 Rp1,280,000
Hyoscine Butylbromide 10 mg tablet Rp 1,953 700 Rp1,367,100
Omeprazol 20 mg Kapsul Kapsul Rp 380 2,000 Rp760,000
 Paracetamol drop 60 mg/0.6 ml Botol Rp 11,425 100 Rp1,142,500
Ondansentron Inj Ampul Rp 2,695 700 Rp1,886,500
Ketorolac Injeksi Ampul Rp 3,885 700 Rp2,719,500
Sucralfate Sirup botol Rp 22,500 150 Rp3,375,000
Cefotaxim 1000 mg Injeksi Vial Rp 13,770 230 Rp3,167,100
TOTAL Rp18,502,700

13 SURALAGA Betahistin tablet Rp 640 4,000 Rp2,560,000

Ondansentron Inj Ampul Rp 2,695 300 Rp808,500
Ketorolac Injeksi Ampul Rp 3,885 550 Rp2,136,750
Parasetamol Infus Botol Rp 21,200 10 Rp212,000
TOTAL Rp5,717,250

TOTAL BELANJA Rp247,212,360