PEMERINTAH KABUPATEN KOLAKA TIMUR

DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2022
PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15

PUSKESMAS MOWEWE
OBAT IFK
1 Air Untuk Injeksi 25 ml vial Rp 2,860 14 Rp 40,040.00 62 Rp 177,320.00 24 Rp 68,640.00 52 Rp 148,720.00
2 Albendazole tab 400 mg tablet Rp 363 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Albendazole tab 400 mg tablet Rp 484 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Albendazole susp 200 mg/5 ml botol Rp 4,619 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Alkohol 70% botol Rp 34,375 5 Rp 171,875.00 5 Rp 171,875.00 6 Rp 206,250.00 4 Rp 137,500.00
6 Allopurinol tab 100 mg tablet Rp 120 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Ambroksol sir 15 mg/ml - 60 ml botol Rp 4,960 0 Rp - 10 Rp 49,599.00 10 Rp 49,599.00 0 Rp -
8 Ambroksol tab 30 mg tablet Rp 197 1650 Rp 325,611.00 0 Rp - 1650 Rp 325,611.00 0 Rp -
9 Aminofilim Inj 24 mg/ml ampul Rp 3,071 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Amlodipin tab 5 mg tablet Rp 83 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Amlodipin tab 10 mg tablet Rp 106 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Amoxicillin sir forte 250 mg/5 ml botol Rp 4,375 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Amoxicillin tab 250 mg tablet Rp 198 0 Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin tab 500 mg tablet Rp 269 350 Rp 94,150.00 0 Rp - 350 Rp 94,150.00 0 Rp -
15 Antasida Suspensi kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 m botol Rp 2,290 0 Rp - 100 Rp 229,000.00 20 Rp 45,800.00 80 Rp 183,200.00
16 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 2,146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Anti Bakteri DOEN salep kombinasi 5 g pot Rp 3,511 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 900 Rp 113,400.00 1000 Rp 126,000.00 1200 Rp 151,200.00 700 Rp 88,200.00
19 Asam Folat Tab 1 mg tablet Rp 90 800 Rp 72,000.00 0 Rp - 800 Rp 72,000.00 0 Rp -
20 Aciclovir tab 200 mg tablet Rp 263 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Aciclovir tab 400 mg tablet Rp 415 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Betahistin tab 6 mg tablet Rp 165 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 Betametason dipropionate krim 0,05 % tube Rp 3,350 125 Rp 418,750.00 0 Rp - 125 Rp 418,750.00 0 Rp -
25 Betametason krim 0,1 % tube Rp 1,450 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Cefadroksil kaps/tab 500 mg kapsul Rp 200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
27 Cefiksime tab 100 mg kapsul Rp 4,780 0 Rp - 0 Rp - 0 Rp - 0 Rp -
28 Cetrizine syr botol Rp 3,104 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Cetrizine tab 10 mg tablet Rp 407 330 Rp 134,273.94 0 Rp - 330 Rp 134,273.94 0 Rp -
30 Chlodine handrub 0,5% 5 L tablet Rp 395,250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 Digoksin tab 0,25 mg tablet Rp 104 0 Rp - 0 Rp - 0 Rp - 0 Rp -
32 Domperidon tab 10 mg tablet Rp 96 0 Rp - 1000 Rp 96,000.00 1000 Rp 96,000.00 0 Rp -
33 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul Rp 2,068 20 Rp 41,360.00 0 Rp - 20 Rp 41,360.00 0 Rp -
34 Eritromisin kaps 250 mg kapsul Rp 666 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 Erytromisin SK 200 mg/5 ml botol Rp 6,622 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 Etakridin (Rivanol) lar 0,1% botol Rp 6,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420 84 Rp 371,280.00 0 Rp - 84 Rp 371,280.00 0 Rp -
38 Fitomenadion Tab 10 mg tablet Rp 912 2400 Rp 2,188,800.00 0 Rp - 2400 Rp 2,188,800.00 0 Rp -
39 Furosemide Inj 10 mg/ml ampul Rp 1,555 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Furosemide 40 mg tablet Rp 88 400 Rp 35,200.00 0 Rp - 240 Rp 21,120.00 160 Rp 14,080.00
41 Formalin 40% botol Rp 42,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Garam Oralit kombinasi sacchet Rp 317 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Glimepirid tab 1 mg tablet Rp 200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 Glimepirid tab 2 mg tablet Rp 207 0 Rp - 0 Rp - 0 Rp - 0 Rp -
46 Gliseril Guaikolat tab 100 mg tablet Rp 27 0 Rp - 0 Rp - 0 Rp - 0 Rp -
47 Glukosa lar infus steril 5% - 500 ml botol Rp 7,363 100 Rp 736,300.00 0 Rp - 20 Rp 147,260.00 80 Rp 589,040.00
48 Griseofulvin tab 125 mg tablet Rp 336 650 Rp 218,718.50 1000 Rp 336,490.00 1050 Rp 353,314.50 600 Rp 201,894.00
49 Haloperidol tab 1,5 mg tablet Rp 65 0 Rp - 0 Rp - 0 Rp - 0 Rp -
50 Harmida (Glibenklamid 2,5 mg) tablet Rp 230 0 Rp - 0 Rp - 0 Rp - 0 Rp -
51 Hydroklortiazid (HCT) tab 25 mg tablet Rp 179 2700 Rp 483,300.00 0 Rp - 2700 Rp 483,300.00 0 Rp -
52 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 0 Rp - 0 Rp - 0 Rp - 0 Rp -
53 Ibuprofen tab 200 mg tablet Rp 116 0 Rp - 0 Rp - 0 Rp - 0 Rp -
54 Ibuprofen sir 200 mg/5 ml botol Rp 5,709 36 Rp 205,524.00 0 Rp - 36 Rp 205,524.00 0 Rp -
55 IBUPROFEN SUSP 100 MG/5 ML tablet 2,898.00000 50 Rp 144,900.00 50
56 Kalsium Glukonas Inj 10% tablet Rp 10,351 0 Rp - 0 Rp - 0 Rp - 0 Rp -
57 Kaptopril tab 12,5 mg tablet Rp 73 0 Rp - 0 Rp - 0 Rp - 0 Rp -
58 Kaptopril tab 25 mg tablet Rp 181 210 Rp 38,034.15 1500 Rp 271,672.50 1010 Rp 182,926.15 700 Rp 126,780.50
59 Karbogliserin 10% tablet Rp 2,764 0 Rp - 0 Rp - 0 Rp - 0 Rp -
60 Klindamisin kaps 300 mg kapsul Rp 2,740 0 Rp - 0 Rp - 0 Rp - 0 Rp -
61 Kloramfenikol kaps 250 mg kapsul Rp 678 0 Rp - 0 Rp - 0 Rp - 0 Rp -
62 Kloramfenikol salap mata 1% tube Rp 2,013 0 Rp - 0 Rp - 0 Rp - 0 Rp -
63 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 40 0 Rp - 0 Rp - 0 Rp - 0 Rp -
64 Kodein HCL tab 10 mg tablet Rp 660 0 Rp - 0 Rp - 0 Rp - 0 Rp -
65 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 135 0 Rp - 0 Rp - 0 Rp - 0 Rp -
66 Kotrimoxazol susp 60 ml botol Rp 2,462 0 Rp - 0 Rp - 0 Rp - 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15

COTRIMOKSAZOLE FORTE KOMBINASI : SULFAMETAKSAZOLE 800 MG +

67 Rp 2,257 0 Rp - 100 Rp 225,700.00 37
TRIMETOPRIN 160 MG(KAPTAB 960 MG)

68 Laktulosa Syr 5 mg botol Rp 15,060 10 Rp 150,600.00 48 Rp 722,880.00 3 Rp 45,180.00 55 Rp 828,300.00

69 Lidokain HCL 2% botol Rp 1,467 35 Rp 51,345.00 200 Rp 293,400.00 76 Rp 111,492.00 159 Rp 233,253.00
70 Lidokain HCL 2% + Epineprin botol Rp 1,473 80 Rp 117,840.00 0 Rp - 80 Rp 117,840.00 0 Rp -
71 Lisol lar 1.000 ml botol Rp 31,570 5 Rp 157,850.00 0 Rp - 5 Rp 157,850.00 0 Rp -
72 Magnesium Sulfat inj 20% - 25 ml vial Rp 3,328 108 Rp 359,424.00 0 Rp - 108 Rp 359,424.00 0 Rp -
73 Magnesium Sulfat inj 40% - 25 ml vial Rp 3,796 53 Rp 201,188.00 0 Rp - 53 Rp 201,188.00 0 Rp -
74 Meloxicam tab 15 mg tablet Rp 2,380 0 Rp - 0 Rp - 0 Rp - 0 Rp -
75 Metampiron (Antalgin) tab 500 mg tablet Rp 1,440 0 Rp - 0 Rp - 0 Rp - 0 Rp -
76 Metformin tab 500 mg tablet Rp 165 0 Rp - 0 Rp - 0 Rp - 0 Rp -
77 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul Rp 3,421 0 Rp - 0 Rp - 0 Rp - 0 Rp -
78 Metilprednisolon tab 4 mg tablet Rp 153 0 Rp - 4000 Rp 612,000.00 4000 Rp 612,000.00 0 Rp -
79 Metoklopramid tab 10 mg tablet Rp 93 0 Rp - 0 Rp - 0 Rp - 0 Rp -
80 Metronidazol tab 250 mg tablet Rp 97 0 Rp - 0 Rp - 0 Rp - 0 Rp -
81 Metronidazol tab 500 mg tablet Rp 117 0 Rp - 0 Rp - 0 Rp - 0 Rp -
82 Miconazole krim 2% tablet Rp 4,097 9 Rp 36,873.00 48 Rp 196,656.00 33 Rp 135,201.00 24 Rp 98,328.00
83 Natrium Diklofenak tab 25 mg tablet Rp 146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
84 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol Rp 6,410 0 Rp - 0 Rp - 0 Rp - 0 Rp -
85 Nistatin tab vaginal 100.000 IU ovula Rp 528 0 Rp - 0 Rp - 0 Rp - 0 Rp -
86 Nistatin tab vaginal 500.000 IU tablet Rp 704 0 Rp - 0 Rp - 0 Rp - 0 Rp -
87 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol Rp 13,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
88 Ofloxacin tab 200 mg tablet Rp 531 0 Rp - 0 Rp - 0 Rp - 0 Rp -
89 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,774 20 Rp 55,480.00 0 Rp - 20 Rp 55,480.00 0 Rp -
90 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 23 Rp 29,601.00 0 Rp - 23 Rp 29,601.00 0 Rp -
91 Omeprazol kaps 20 mg kapsul Rp 660 0 Rp - 0 Rp - 0 Rp - 0 Rp -
92 Ondansentron tab 4 mg tablet Rp 546 0 Rp - 0 Rp - 0 Rp - 0 Rp -
93 Paracetamol tab 500 mg tablet Rp 274 0 Rp - 2800 Rp 768,552.40 2800 Rp 768,552.40 0 Rp -
94 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 5,041 0 Rp - 0 Rp - 0 Rp - 0 Rp -
95 Piracetam kapl 800 mg kaplet Rp 960 0 Rp - 0 Rp - 0 Rp - 0 Rp -
96 Pirantel Pamoat tab 125 mg tablet Rp 305 0 Rp - 0 Rp - 0 Rp - 0 Rp -
97 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 142 0 Rp - 0 Rp - 0 Rp - 0 Rp -
98 Piroxicam tab 10 mg tablet Rp 146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
99 POVIDONE IODINE 300 ML botol Rp 26,250 16 Rp 420,000.00 20 Rp 525,000.00 17 Rp 446,250.00 19 Rp 498,750.00
100 POVIDONE IODINE 30 ML botol Rp 4,000 0 Rp - 30 Rp 120,000.00 16 Rp 64,000.00 14 Rp 56,000.00
101 Prednison tab 5 mg tablet Rp 85 0 Rp - 0 Rp - 0 Rp - 0 Rp -
102 Ranitidin tab 150 mg tablet Rp 200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
103 Retinol (Vit A) softcap 100.000 IU softcap Rp 341 0 Rp - 0 Rp - 0 Rp - 0 Rp -
104 Ringer Laktat lar. inf steril 500 ml botol Rp 7,630 100 Rp 763,000.00 360 Rp 2,746,800.00 320 Rp 2,441,600.00 140 Rp 1,068,200.00
105 Salbutamol 2 mg tablet Rp 113 0 Rp - 0 Rp - 0 Rp - 0 Rp -
106 Salbutamol 4 mg tablet Rp 119 0 Rp - 500 Rp 59,367.00 0 Rp - 500 Rp 59,367.00
107 Sianokobalamin (Vitamin B12) tab 50 mcg tablet Rp 50 0 Rp - 0 Rp - 0 Rp - 0 Rp -
108 Simvastatin tab 10 mg tablet Rp 116 0 Rp - 0 Rp - 0 Rp - 0 Rp -
109 Simvastatin tab 20 mg tablet Rp 250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
110 Siprofloksasin tab 500 mg tablet Rp 264 0 Rp - 0 Rp - 0 Rp - 0 Rp -
111 Tetrasiklin kaps 250 mg kapsul Rp 181 0 Rp - 0 Rp - 0 Rp - 0 Rp -
112 Tetrasiklin kaps 500 mg kapsul Rp 341 0 Rp - 0 Rp - 0 Rp - 0 Rp -
113 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 98 350 Rp 34,300.00 2500 Rp 245,000.00 1950 Rp 191,100.00 900 Rp 88,200.00
114 Vitamin B Kompleks tablet Rp 150 0 Rp - 8750 Rp 1,312,500.00 7050 Rp 1,057,500.00 1700 Rp 255,000.00
115 Zinc dispersible tab 20 mg tablet Rp 617 0 Rp - 0 Rp - 0 Rp - 0 Rp -
116 Pritamox (Amoxicillin) tab 500 mg tablet Rp 1,210 0 Rp - 0 Rp - 0 Rp - 0 Rp -
117 Sanmol (Amoxicillin) tab 500 mg tablet Rp 368 0 Rp - 0 Rp - 0 Rp - 0 Rp -
118 Cardisan (Amlodipin) tab 5 mg tablet Rp 11,919 0 Rp - 0 Rp - 0 Rp - 0 Rp -
119 Puricemia (Allopurinol) tab 300 mg tablet Rp 3,269 0 Rp - 0 Rp - 0 Rp - 0 Rp -
120 Mefinal (Asam Mefenamat) tab 500 mg tablet Rp 1,538 0 Rp - 0 Rp - 0 Rp - 0 Rp -
121 Neurosanbe Santa E tablet Rp 2,756 0 Rp - 0 Rp - 0 Rp - 0 Rp -
122 Mucohexin (Bromhexine HCl) tab 8 mg tablet Rp 575 0 Rp - 0 Rp - 0 Rp - 0 Rp -
123 Cholvastin (Lovastatin) tab 20 mg tablet Rp 12,044 0 Rp - 0 Rp - 0 Rp - 0 Rp -
124 Bevita sirup 120 ml botol Rp 77,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
125 Caviplex kaplet kaplet Rp 480 0 Rp - 0 Rp - 0 Rp - 0 Rp -
126 Cendo Xitrol 5 ml botol Rp 59,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
127 Erlamycetine Eye Drops 0,5% 10 ml botol Rp 20,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
128 Erlamycetine sirup 60 ml botol Rp 14,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
129 Farbion tablet tablet Rp 2,310 0 Rp - 0 Rp - 0 Rp - 0 Rp -
130 Gratamin tablet tablet Rp 2,860 0 Rp - 0 Rp - 0 Rp - 0 Rp -
131 Imox tablet tablet Rp 13,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
132 Intunal kaplet kaplet Rp 1,100 0 Rp - 0 Rp - 0 Rp - 0 Rp -
133 My Jelly 80 gr Lubricant botol Rp 69,575 0 Rp - 0 Rp - 0 Rp - 0 Rp -
134 Nifudiar susp 60 ml botol Rp 77,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
135 Pantocain 0,5% 15 ml botol Rp 31,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
136 Polireksulen Cairan (Albothyl) 5 ml botol Rp 37,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
137 Propepsa susp 100 ml botol Rp 73,473 0 Rp - 0 Rp - 0 Rp - 0 Rp -
138 Supravit tablet tablet Rp 770 0 Rp - 0 Rp - 0 Rp - 0 Rp -
139 Vocefa susp 60 ml botol Rp 57,697 0 Rp - 0 Rp - 0 Rp - 0 Rp -
140 Zinc Sulfate 20 mg botol Rp 3,449 0 Rp - 0 Rp - 0 Rp - 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
141 Zirkum Kid sirup botol Rp 8,140 0 Rp - 0 Rp - 0 Rp - 0 Rp -
142 Neurodial tablet tablet Rp 1,265 0 Rp - 0 Rp - 0 Rp - 0 Rp -
143 Vical suspensi botol Rp 8,140 0 Rp - 0 Rp - 0 Rp - 0 Rp -
OBAT P. 2018 Rp - Rp - 0 0
1 Amoxicillin SK 125 mg/5 ml botol Rp 2,560 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Antasida DOEN susp 60 ml botol Rp 2,146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Antihemoroid kombinasi suppo supp Rp 3,800 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Antifungi DOEN kombinasi 30 g pot Rp 5,395 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Aciclovir tab 400 mg tablet Rp 440 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Kaptopril tab 12,5 mg tablet Rp 68 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 Dexamethasone tab 0,5 mg tablet Rp 35 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Dexamethasone inj 5 mg/ml Ampul Rp 1,278 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Epinefrin (Adrenalin) inj 1 mg/ml Ampul Rp 2,068 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Eritromisin kaps 250 mg kapsul Rp 666 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ferro Fumarat + Asam Folat tab 0,4 mg tablet Rp 427 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 Rp - 0 Rp -
14 Glimepirid tab 2 mg tablet Rp 207 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Glukosa lar infus steril 5% - 500 ml botol Rp 6,900 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 Griseofulvin tab 125 mg tablet Rp 231 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Hydroklortiazid (HCT) tab 25 mg tablet Rp 179 0 Rp - 5200 Rp 930,800.00 5200 Rp 930,800.00 0 Rp -
18 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 326 Rp 863,248.00 0 Rp - 326 Rp 863,248.00 0 Rp -
19 Ibuprofen tab 200 mg tablet Rp 116 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 Kloramfeniramin Maleat (CTM) tab 4 mg tablet Rp 25 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Kloramfenikol salap mata 1% tube Rp 2,013 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Metilergometrin inj 0,2 mg/ml ampul Rp 3,553 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Metoklopramid tab 10 mg tablet Rp 87 4000 Rp 348,000.00 5200 Rp 452,400.00 3530 Rp 307,110.00 5670 Rp 493,290.00
24 Miconazol 2% krim (Nitrat) tube Rp 4,097 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 Natrium Diklofenak 50 mg tablet Rp 146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol Rp 6,410 20 Rp 128,200.00 160 Rp 1,025,600.00 80 Rp 512,800.00 100 Rp 641,000.00
27 Nistatin tab vaginal 100.000 IU ovula Rp 675 500 Rp 337,500.00 0 Rp - 500 Rp 337,500.00 0 Rp -
28 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Omeprazole kaps 20 mg kapsul Rp 143 0 Rp - 0 Rp - 0 Rp - 0 Rp -
30 Pirantel Pamoat tab 125 mg tablet Rp 346 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 148 0 Rp - 0 Rp - 0 Rp - 0 Rp -
32 Povidon Iodine lar 10% - 30 ml botol Rp 3,480 0 Rp - 0 Rp - 0 Rp - 0 Rp -
33 Povidon Iodine lar 10% - 300 ml botol Rp 21,600 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Prednison tab 5 mg tablet Rp 74 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 Salbutamol tab 4 mg tablet Rp 81 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 Salep 24 Kombinasi pot Rp 3,143 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Siprofloksasin tab 500 mg tablet Rp 292 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Tetrasiklin kaps 500 mg kapsul Rp 324 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 92 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Vitamin B Kompleks tablet Rp 150 0 Rp - 0 Rp - 0 Rp - 0 Rp -
OBAT P. 2019 Rp - 0
1 Acetyl Cystein kaps 200 mg kapsul Rp 460 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Air Untuk Injeksi 25 ml ampul Rp 2,860 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Allopurinol tab 100 mg tablet Rp 108 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Albendazol tab 400 mg tablet Rp 484 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Alkohol 70% 1000 ml botol Rp 85,124 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Aminophillin tab 200 mg tablet Rp 86 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Aminophillin inj. 24 mg/ml ampul Rp 4,204 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 Amlodipin tab 5 mg tablet Rp 78 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Amlodipin tab 10 mg tablet Rp 99 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Amoxicillin tab 500 mg tablet Rp 248 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Antasida DOEN susp 60 ml botol Rp 2,290 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 57 300 Rp 17,100.00 3000 Rp 171,000.00 3300 Rp 188,100.00 0 Rp -
13 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 61 0 Rp - 33600 Rp 2,049,600.00 14100 Rp 860,100.00 19500 Rp 1,189,500.00
14 Antifungi DOEN kombinasi 30 g pot Rp 5,757 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Antihemoroid DOEN suppo supp Rp 3,800 5 Rp 19,000.00 0 Rp - 5 Rp 19,000.00 0 Rp -
16 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Asam Folat tab 1 mg tablet Rp 90 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Asiklovir tab 400 mg tablet Rp 440 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 Betametason Dipropionate 0,05% tube Rp 3,350 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Cetrizine sir 5 mg/5 ml botol Rp 3,104 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 DHP Fermal Kombinasi Dihidroartemisin 40 mg + Piperaquin 320 mg tablet Rp 2,116 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Diazepam tab 2 mg tablet Rp 86 15 Rp 1,290.00 0 Rp - 10 Rp 860.00 5 Rp 430.00
24 Diazepam inj 5 mg/ml ampul Rp 2,010 119 Rp 239,190.00 0 Rp - 119 Rp 239,190.00 0 Rp -
25 Doksisiklin kaps 100 mg kapsul Rp 280 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Eritromisin kaps 250 mg kapsul Rp 711 420 Rp 298,620.00 0 Rp - 420 Rp 298,620.00 0 Rp -
27 Fenobarbital tab 30 mg tablet Rp 205 0 Rp - 0 Rp - 0 Rp - 0 Rp -
28 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut Rp 855 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420 0 Rp - 0 Rp - 0 Rp - 0 Rp -
30 Furosemid tab 40 mg tablet Rp 82 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 Furosemide inj 10 mg/ml ampul Rp 1,555 0 Rp - 0 Rp - 0 Rp - 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
32 Gentamicin salep mata 0,3% tube Rp 3,210 0 Rp - 0 Rp - 0 Rp - 0 Rp -
33 Glibenklamid tab 5 mg tablet Rp 143 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 Griseofulvin tab 125 mg tablet Rp 247 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 Hidrogen Peroksida (Onemed) 3% botol Rp 3,800 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Ibuprofen sir 200 mg/5 ml botol Rp 5,509 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Kalsium Glukonat inj 10% ampul Rp 5,363 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 60 800 Rp 48,000.00 0 Rp - 0 Rp - 800 Rp 48,000.00
41 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 64 0 Rp - 2000 Rp 128,000.00 2000 Rp 128,000.00 0 Rp -
42 Kaptopril tab 12,5 mg tablet Rp 68 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Ketokonazole krim 2% - 15 g tube Rp 2,694 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Ketokonazole tab 200 mg tablet Rp 317 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 27 0 Rp - 0 Rp - 0 Rp - 0 Rp -
46 Kombinasi Ergotamin 1 mg + Kofein 50 mg tablet Rp 208 0 Rp - 0 Rp - 0 Rp - 0 Rp -
47 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 129 0 Rp - 0 Rp - 0 Rp - 0 Rp -
48 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 138 650 Rp 89,700.00 2000 Rp 276,000.00 1900 Rp 262,200.00 750 Rp 103,500.00
49 Kotrimoxazol tab 240 mg sir (anak) botol Rp 2,115 64 Rp 135,360.00 0 Rp - 64 Rp 135,360.00 0 Rp -
50 Kotrimoxazol susp 60 ml botol Rp 2,257 0 Rp - 0 Rp - 0 Rp - 0 Rp -
51 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) botol Rp 11,314 0 Rp - 0 Rp - 0 Rp - 0 Rp -
52 Lidokain inj 2% (infiltr/p.v.) ampul Rp 1,375 0 Rp - 0 Rp - 0 Rp - 0 Rp -
53 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul Rp 1,380 0 Rp - 0 Rp - 0 Rp - 0 Rp -
54 Lidokain spray oral 10% botol Rp 156,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
55 Loratadin tab 10 mg tablet Rp 150 0 Rp - 0 Rp - 0 Rp - 0 Rp -
56 Metformin tab 500 mg tablet Rp 110 0 Rp - 0 Rp - 0 Rp - 0 Rp -
57 Metilergometrin Maleat tab 0.125 mg tablet Rp 271 0 Rp - 0 Rp - 0 Rp - 0 Rp -
58 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul Rp 3,553 0 Rp - 0 Rp - 0 Rp - 0 Rp -
59 Metoklopramid tab 5 mg tablet Rp 129 700 Rp 90,300.00 2500 Rp 322,500.00 3200 Rp 412,800.00 0 Rp -
60 Miconazole krim 2% tube Rp 4,097 0 Rp - 0 Rp - 0 Rp - 0 Rp -
61 Natrium Diklofenak tab 25 mg tablet Rp 154 0 Rp - 0 Rp - 0 Rp - 0 Rp -
62 Natrium Diklofenak tab 50 mg tablet Rp 146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
63 Nistatin tab vaginal 100.000 IU ovula Rp 675 0 Rp - 0 Rp - 0 Rp - 0 Rp -
64 Nistatin tab vaginal 500.000 IU tablet Rp 950 0 Rp - 0 Rp - 0 Rp - 0 Rp -
65 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,600 0 Rp - 0 Rp - 0 Rp - 0 Rp -
66 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 0 Rp - 0 Rp - 0 Rp - 0 Rp -
67 Omeprazol kaps 20 mg kapsul Rp 153 0 Rp - 0 Rp - 0 Rp - 0 Rp -
68 Paracetamol drops 100 mg/mL botol Rp 7,979 0 Rp - 0 Rp - 0 Rp - 0 Rp -
69 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol Rp 11,600 0 Rp - 0 Rp - 0 Rp - 0 Rp -
70 Povidone Iodine (Onemed) 30 ml botol Rp 3,480 291 Rp 1,012,680.00 0 Rp - 291 Rp 1,012,680.00 0 Rp -
71 Povidone Iodine (Onemed) 60 ml botol Rp 4,440 0 Rp - 0 Rp - 0 Rp - 0 Rp -
72 Prednison tab 5 mg tablet Rp 79 0 Rp - 0 Rp - 0 Rp - 0 Rp -
73 Retinol (Vit A) softcap 100.000 IU softcap Rp 346 0 Rp - 0 Rp - 0 Rp - 0 Rp -
74 Retinol (Vit A) softcap 200.000 IU softcap Rp 622 0 Rp - 500 Rp 311,000.00 100 Rp 62,200.00 400 Rp 248,800.00
75 Ringer Laktat lar inf steril 500 ml botol Rp 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp -
76 Rivanol 100 ml botol Rp 6,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
77 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot Rp 3,143 0 Rp - 0 Rp - 0 Rp - 0 Rp -
78 Simvastatin tab 10 mg tablet Rp 117 0 Rp - 0 Rp - 0 Rp - 0 Rp -
79 Simvastatin tab 20 mg tablet Rp 235 0 Rp - 0 Rp - 0 Rp - 0 Rp -
80 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet Rp 427 0 Rp - 0 Rp - 0 Rp - 0 Rp -
81 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 92 0 Rp - 0 Rp - 0 Rp - 0 Rp -
82 ZincPro Zinc sir 10 mg/ml botol Rp 38,054 0 Rp - 0 Rp - 0 Rp - 0 Rp -
83 Zinc Sulfat sir 20 mg/5 ml botol Rp 3,449 0 Rp - 0 Rp - 0 Rp - 0 Rp -
84 Zinc dispersible tab 20 mg tablet Rp 631 0 Rp - 0 Rp - 0 Rp - 0 Rp -
85 Bufacetin (Kloramfenikol) salep kulit tube Rp 3,645 24 Rp 87,480.00 72 Rp 262,440.00 96 Rp 349,920.00 0 Rp -
86 Combivent UDV Ipratropium Bromide Monohidrate vial Rp 4,550 0 Rp - 0 Rp - 0 Rp - 0 Rp -
87 Dulcolax (Bisakodil) supp 5 mg supp Rp 6,000 36 Rp 216,000.00 0 Rp - 36 Rp 216,000.00 0 Rp -
88 Dulcolax (Bisakodil) supp 10 mg supp Rp 5,900 0 Rp - 0 Rp - 0 Rp - 0 Rp -
89 Harmida (Glibenklamid 2,5 mg) tablet Rp 216 0 Rp - 0 Rp - 0 Rp - 0 Rp -
90 Pantrin (Pirantel Pamoate) tab 250 mg tablet Rp 1,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
BMHP (BAHAN MEDIS HABIS PAKAI) Rp - 0
BMHP P. 2015 - 2017 0 Rp - Rp - 0 Rp - 0 Rp -
1 Alat Suntik 5 ml pcs Rp 1,248 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Alat Suntik 10 ml pcs Rp 1,694 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Alat Suntik 20 ml pcs Rp 2,228 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Alcohol Swab box Rp 11,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Autocheck Cholesterol Test btl 10 strip test/strip Rp 58,850 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Autocheck Glukosa Test btl 25 strip test/strip Rp 34,238 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Autocheck Uric Acid Test btl 25 strip test/strip Rp 44,550 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 Benang Bedah 2/0 (Chromic Catgut) pcs Rp 2,708 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Benang Bedah 3/0 (Chromic Catgut) pcs Rp 2,708 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Catheter (Folley Cathteter) No. 10 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Catheter (Folley Cathteter) No. 12 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Catheter (Folley Cathteter) No. 14 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Catheter (Folley Cathteter) No. 16 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
14 Catheter (Folley Cathteter) No. 18 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Catheter/Folley Cath (Aximed) 2 - Way No. 14 pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
16 Catheter/Folley Cateter (Urocare) 2 Way No. 14 pcs Rp 92,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Copper T set Rp 124,300 9 Rp 1,118,700.00 0 Rp - 9 Rp 1,118,700.00 0 Rp -
18 Elastice Perband 3 inch/Tensocrape BSN roll Rp 96,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 Elastice Perband 6 inci/Tensocrape BSN roll Rp 86,680 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 Feeding Tube 8 FR 40 cm pcs Rp 8,804 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Feeding Tube (Aximed) 40 cm No. 6 pcs Rp 9,213 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 9,213 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Feeding Tube (Aximed) 40 cm No. 10 pcs Rp 9,213 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 GEA Medical Regulator 02 xy/988 pcs Rp 453,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 Hand Schoen No. 7,5 pcs Rp 9,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Hand Schoen No. 8 set Rp 9,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
27 Hand Schoen (Chirurgic Gloves No. 6,5) set Rp 9,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
28 Hand Schoen (Aximed Exam Gloves size S) pcs Rp 57,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Hand Schoen (Aximed Exam Gloves size M) pcs Rp 57,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
30 Hypafix 5 cm x 1 m roll Rp 17,610 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 Hypafix 5 cm x 5 m roll Rp 92,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
32 Infusion Set Anak set Rp 6,375 48 Rp 306,000.00 0 Rp - 48 Rp 306,000.00 0 Rp -
33 Infusion Set Dewasa set Rp 6,343 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 IV Catheter No. 18 pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 IV Catheter (Nipro IV Catheter No. 18 G x 1-1/4") pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 IV Catheter (Nipro IV Catheter No. 18 G x 2") pcs Rp 8,975 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 IV Catheter (Nipro IV Catheter No. 20 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 IV Catheter (Nipro IV Catheter No. 20 G x 1-1/4") pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 IV Catheter (Nipro IV Catheter No. 22 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 IV Catheter (Nipro IV Catheter No. 24 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Infuset Nipro "Y" set Rp 6,343 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Jarum Jahit 1/2 Surgical lusin Rp 27,875 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Jarum Jahit 3/8 Surgical lusin Rp 27,875 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Kapas Pembalut 250 g roll Rp 14,375 4 Rp 57,500.00 0 Rp - 4 Rp 57,500.00 0 Rp -
45 Kapas Pembalut 500 g roll Rp 35,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
46 Kasa Hydrofil 36 m x 80 cm roll Rp 282,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
47 Kasa Hydrofil 40 m x 80 cm roll Rp 120,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
48 Kasa Hydrofil 2 m x 80 cm roll Rp 8,855 0 Rp - 0 Rp - 0 Rp - 0 Rp -
49 Kasa Hydrofil Steril 16 x 16 roll Rp 9,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
50 Kasa Pembalut 4 m x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 Rp - 0 Rp -
51 Kasa Pembalut Hydrofil 4 m x 5 cm roll Rp 863 0 Rp - 0 Rp - 0 Rp - 0 Rp -
52 Kasa Pembalut Hydrofil 4 m x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 Rp - 0 Rp -
53 Kasa Pembalut Hydrofil 4 m x 15 cm roll Rp 2,415 0 Rp - 0 Rp - 0 Rp - 0 Rp -
54 Kasa Steril 10 cm x 10 cm 8 fly 1 x 10 s box Rp 10,845 50 Rp 542,265.00 0 Rp - 50 Rp 542,265.00 0 Rp -
55 Kasa Steril 18 cm x 22 cm box Rp 8,625 0 Rp - 0 Rp - 0 Rp - 0 Rp -
56 Kertas Puyer Blank bungkus Rp 93,500 10 Rp 935,000.00 0 Rp - 0 Rp - 10 Rp 935,000.00
57 Masker Ear Loop box Rp 18,975 0 Rp - 0 Rp - 0 Rp - 0 Rp -
58 Mata Pisau Bedah No. 10 pcs Rp 6,561 0 Rp - 0 Rp - 0 Rp - 0 Rp -
59 Mata Pisau Bedah No. 11 pcs Rp 6,561 0 Rp - 0 Rp - 0 Rp - 0 Rp -
60 Mata Pisau Bedah No. 15 pcs Rp 6,561 0 Rp - 0 Rp - 0 Rp - 0 Rp -
61 Mata Pisau Bedah No. 21 pcs Rp 6,561 0 Rp - 0 Rp - 0 Rp - 0 Rp -
62 Medical Regulator pcs Rp 487,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
63 Nasal Oksigen (Aximed) size L pcs Rp 8,250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
64 Nasal Oksigen (Aximed) size M pcs Rp 8,250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
65 Nasal Oksigen (Aximed) size S pcs Rp 8,250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
66 Onejack Autodisable Syringe 0,005 ml pcs Rp 3,795 0 Rp - 0 Rp - 0 Rp - 0 Rp -
67 Paper Tape 2,5 cm x 9,14 m roll Rp 131,300 0 Rp - 0 Rp - 0 Rp - 0 Rp -
68 Plester 5 yard x 2 inci roll Rp 44,300 0 Rp - 0 Rp - 0 Rp - 0 Rp -
69 Plester 7,5 cm x 4,5 m roll Rp 65,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
70 Plesterin Non Woven Roll 5 cm x 5 cm roll Rp 27,324 0 Rp - 0 Rp - 0 Rp - 0 Rp -
71 Plesterin Non Woven Roll 5 cm x 10 cm roll Rp 47,564 20 Rp 951,280.00 0 Rp - 20 Rp 951,280.00 0 Rp -
72 Plesterin Non Woven Roll 5 cm x 15 cm roll Rp 79,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
73 Selang Oksigen pcs Rp 8,250 0 Rp - 0 Rp - 0 Rp - 0 Rp -
74 Surgical Mask earloop 3 fly box Rp 18,975 0 Rp - 0 Rp - 0 Rp - 0 Rp -
75 Syringe (Nipro) 3 cc pcs Rp 1,010 0 Rp - 0 Rp - 0 Rp - 0 Rp -
76 Syringe (Nipro) 5 cc pcs Rp 1,248 0 Rp - 0 Rp - 0 Rp - 0 Rp -
77 Syringe (Nipro) 10 cc pcs Rp 1,655 0 Rp - 0 Rp - 0 Rp - 0 Rp -
78 Test Kehamilan pcs Rp 2,365 0 Rp - 0 Rp - 0 Rp - 0 Rp -
79 Tullegrass (Cutical Classic) 5 cm x 5 cm pcs Rp 17,150 0 Rp - 0 Rp - 0 Rp - 0 Rp -
BMHP P. 2018 Rp - 0
1 Alcohol Swab box Rp 11,500 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Feeding Tube (Aximed) 40 cm No. 6 pcs Rp 8,107 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 8,804 24 Rp 211,305.60 0 Rp - 24 Rp 211,305.60 0 Rp -
4 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 8,107 20 Rp 162,140.00 0 Rp - 0 Rp - 20 Rp 162,140.00
5 Feeding Tube (Aximed) 40 cm No. 10 pcs Rp 8,107 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Folley Catheter (Aximed Folley Cath 2 Way No. 14) pcs Rp 12,100 130 Rp 1,573,000.00 0 Rp - 50 Rp 605,000.00 80 Rp 968,000.00
7 Kapas Pembalut 250 g roll Rp 14,375 0 Rp - 10 Rp 143,750.00 3 Rp 43,125.00 7 Rp 100,625.00
8 Kasa Hydrofil 40 cm x 80 cm roll Rp 120,750 0 Rp - 10 Rp 1,207,500.00 5 Rp 603,750.00 5 Rp 603,750.00
9 Kasa Hydrofil Steril 16 x 16 bungkus Rp 9,200 154 Rp 1,416,800.00 100 Rp 920,000.00 225 Rp 2,070,000.00 29 Rp 266,800.00
10 Kasa Hydrofil Steril 18 cm x 22 cm roll Rp 8,625 176 Rp 1,518,000.00 0 Rp - 117 Rp 1,009,125.00 59 Rp 508,875.00
11 Kasa Pembalut 2 m x 80 cm roll Rp 8,855 123 Rp 1,089,165.00 0 Rp - 72 Rp 637,560.00 51 Rp 451,605.00
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
12 Kasa Pembalut Hydrofil 4 m x 5 cm roll Rp 863 416 Rp 358,800.00 0 Rp - 116 Rp 100,050.00 300 Rp 258,750.00
13 Kasa Pembalut Hydrofil 4 m x 10 cm roll Rp 1,725 40 Rp 69,000.00 0 Rp - 40 Rp 69,000.00 0 Rp -
14 Kasa Pembalut Hydrofil 4 m x 15 cm roll Rp 2,415 150 Rp 362,250.00 0 Rp - 10 Rp 24,150.00 140 Rp 338,100.00
15 Kasa Steril 10 x 10 cm 8 fly, 1 x 10 s kotak Rp 10,845 100 Rp 1,084,530.00 100 Rp 1,084,530.00 175 Rp 1,897,927.50 25 Rp 271,132.50
16 Kasa Kompres Steril 40 cm x 40 cm bungkus Rp 1,840 53 Rp 97,520.00 0 Rp - 9 Rp 16,560.00 44 Rp 80,960.00
17 Plesterin Non Woven Roll 5 cm x 5 cm roll Rp 27,324 110 Rp 3,005,640.00 0 Rp - 19 Rp 519,156.00 91 Rp 2,486,484.00
18 Plesterin Non Woven Roll 5 cm x 10 cm roll Rp 47,564 30 Rp 1,426,920.00 0 Rp - 30 Rp 1,426,920.00 0 Rp -
19 Plesterin Non Woven Roll 5 cm x 15 cm roll Rp 79,948 70 Rp 5,596,360.00 0 Rp - 35 Rp 2,798,180.00 35 Rp 2,798,180.00
20 Surgical Mask Earloop box Rp 18,975 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Urine Bag Steril pcs Rp 3,450 33 Rp 113,850.00 20 Rp 69,000.00 23 Rp 79,350.00 30 Rp 103,500.00
22 Aximed Folley Cath. 2 way latex folley cath no.14 Rp 12,100 50 Rp 605,000.00 0
BMHP P. 2019 Rp - 0
1 Alcohol Swab (Onemed) box Rp 11,500 24 Rp 276,000.00 0 Rp - 24 Rp 276,000.00 0 Rp -
2 Anios Dermanios Chlorhexidin 500 ml botol Rp 112,414 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Disposible Syringe (Onionex) 1 ml Pcs Rp 821 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Disposible Syringe (Onionex) 1 ml Pcs Rp 821 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Disposible Syringe (Onionex) 2,5 ml Pcs Rp 865 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Disposible Syringe (Onionex) 3 ml Pcs Rp 865 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 E.W.G Surgical Gloves 7 Pcs Rp 5,383 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E.W.G Surgical Gloves 7.5 Pcs Rp 5,383 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 E.W.G Surgical Gloves 8 Pcs Rp 5,383 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Infusion Set for Pediatric (Onionex) Pcs Rp 3,556 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Kasa Pembalut Hydrofil (Onemed) 4 yard x 5 cm roll Rp 863 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Kasa Pembalut Hydrofil (Onemed) 4 yard x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Masker N95 (Onemed) box Rp 7,489 29 Rp 217,175.20 0 Rp - 15 Rp 112,332.00 14 Rp 104,843.20
14 Mf Cath Pro IV Catheter (MF Cath Medifirst) 24G pcs Rp 9,461 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Mf Cath Pro IV Catheter (MF Cath Medifirst) 18G pcs Rp 9,461 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 Nasal Oxigen Canula (Cosmomed) pcs Rp 8,004 0 Rp - 0 Rp - Rp -
17 Oxygen Mask Anak (Ekomed) pcs Rp 10,560 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Oxygen Mask Dewasa dan Anak (Ekomed) pcs Rp 10,560 53 Rp 559,674.70 50 Rp 527,995.00 49 Rp 517,435.10 54 Rp 570,234.60
19 Plesterin Non Woven Roll (Onemed) 5 cm x 5 cm roll Rp 27,324 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 Plesterin Non Woven Roll (Onemed) 5 cm x 15 cm roll Rp 79,948 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Silk 2/0 + Jarum 1/2 GT (Onemed) 35 mm box Rp 3,514 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Superlife Nitrille M box Rp 65,780 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Superlife Nitrille L box Rp 65,780 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 Surgical Suture + Needle Silk Black Braided 3/0 75 cm Pcs Rp 4,661 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 Surgical Suture + Needle Catgut Cromic 2/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM dus Rp 215,045 0 Rp - 3 Rp 645,135.00 0 Rp - 3 Rp 645,135.00
27 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 Rp - 0 Rp -
28 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Benang Bedah No. 2/0 (Cromic Catgut) PLAIN Pcs Rp 215,045 0 Rp - 0 Rp - 0 Rp - 0 Rp -
30 Silk (Benang Bedah Sultra) No. 3/0 Pcs Rp 4,661 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 KERTAS PUYER BLANK Bungkus Rp 156,750 10 Rp 1,567,500.00 0
BHP/REAGENT LAB. P. 2015 - 2017 Rp - 0
1 Larutan Spiritus botol Rp 52,965 6 Rp 317,790.00 0 Rp - 2 Rp 105,930.00 4 Rp 211,860.00
OBAT TAMBAHAHAN Rp - 0
1 Amoxicillin sir forte 250 mg/5 ml (.a) botol Rp 3,740 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Air untuk injeksi (2020) kapsul Rp 2,860 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Kloramfenikol salap mata 1% (.a) tube Rp 1,850 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Ambroxol 30 mg tab (2020) tablet Rp 197 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Amlodipine 10 mg (2020) tablet Rp 106 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amlodipine 5 mg (2020) tablet Rp 83 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Allopurinol tab 100 mg (.c) tablet Rp 108 200 Rp 21,600.00 500 Rp 54,000.00 700 Rp 75,600.00 0 Rp -
8 Amoxicillin tab 500 mg (.c) tablet Rp 265 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Amoxicillin tab 500 mg (2020) tablet Rp 269 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Aciclovir tab 200 mg (.c) tablet Rp 236 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Domperidon tab 10 mg (.c) (2019) tablet Rp 90 770 Rp 69,300.00 0 Rp - 20 Rp 1,800.00 750 Rp 67,500.00
12 Bedak salicyl 2% (2020) pot Rp 6,426 0 Rp - 24 Rp 154,228.80 9 Rp 57,835.80 15 Rp 96,393.00
13 Betamethasone krim 0,005 (2020) tube Rp 3,350 0 Rp - 0 Rp - 0 Rp - 0 Rp -
14 katopril 25 mg (2020) tablet Rp 181 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Metilprednisolon tab 4 mg (.c) tablet Rp 143 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 Salbutamol tab 2 mg (.c) tablet Rp 64 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Dexamethasone 0,5 mg (2020) tablet Rp 136 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Dexamethasone inj 5 mg/ml (2020) ampul Rp 1,278 37 Rp 47,286.00 0 Rp - 37 Rp 47,286.00 0 Rp -
19 Glukosa Larutan Infus 5 mg botol Rp 7,363 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 Ketokonazole tab 200 mg tablet Rp 2,694 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Aciclovir salep tube Rp 10,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Nexa (Asam Traneksamat) tab 500 mg tablet Rp 700 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 Antidia (Loperamide) tablet Rp 300 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 Metolon Syr (Metoclorpramide Syr) botol Rp 8,000 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 Amitritiline HCl Tab 25 mg tablet Rp 167 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Alkohol 70% 100 ml botol Rp 2,832 0 Rp - 0 Rp - 0 Rp - 0 Rp -
27 Salbutamol Tab 2 mg tablet Rp 84 0 Rp - 0 Rp - 0 Rp - 0 Rp -
28 Ringer Laktat (2020) botol Rp 7,630 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Mefinal (asam mefenamat) tablet Rp 1,706 0 Rp - 0 Rp - 0 Rp - 0 Rp -
30 Salbutamol 2 mg (2020) tablet Rp 113 220 Rp 24,921.16 0 Rp - 220 Rp 24,921.16 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
31 Metilprednisolon tab 4 mg (2020) tablet Rp 153 0 Rp - 0 Rp - 0 Rp - 0 Rp -
32 Paracetamol (2020) tablet Rp 274 0 Rp - 0 Rp - 0 Rp - 0 Rp -
33 Piroxicam (2020) tablet Rp 146 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Salbutamol 4 mg (2020) tablet Rp 119 500 Rp 59,367.00 0 Rp - 500 Rp 59,367.00 0 Rp -
35 Vitamin B Com (2020) tablet Rp 150 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 Lidokain inj 2% (infiltr/p.v.) ampul Rp 1,467 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul Rp 1,473 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Paracetamol Syr 100 mg/mL botol Rp 5,041 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Meviton (2020) tablet Rp 2,007 0 Rp - 500 Rp 1,003,674.54 500 Rp 1,003,674.54 0 Rp -
40 IM Boost (2020) tablet Rp 4,014 150 Rp 602,039.74 100 Rp 401,359.82 170 Rp 682,311.70 80 Rp 321,087.86
41 Propepsa Syr (2020) botol Rp 73,473 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Neurosanbe (2020) tablet Rp 3,267 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Neurosanbe Inj. 3 ml (2020) tablet Rp 6,979 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Vocefa Syr (2020) botol Rp 57,697 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 Sanmol (2020) tablet Rp 368 0 Rp - 0 Rp - 0 Rp - 0 Rp -
46 Alkohol 70% 1000 ml botol Rp 34,375 0 Rp - 0 Rp - 0 Rp - 0 Rp -
47 Antasida suspensi botol Rp 2,290 0 Rp - 50 Rp 114,500.00 50 Rp 114,500.00 0 Rp -
48 Ambroxol 15 mg/ml syr 60 ml (2020) botol Rp 4,960 0 Rp - 0 Rp - 0 Rp - 0 Rp -
49 Promuxol (2020) botol Rp 32,054 0 Rp - 60 Rp 1,923,230.13 60 Rp 1,923,230.13 0 Rp -
50 Larutan mengandung elektrolit KA-EN 3A (2020) botol Rp 11,314 20 Rp 226,280.00 0 Rp - 0 Rp - 20 Rp 226,280.00
51 Larutan mengandung elektrolit KA-EN 3B (2020) botol Rp 11,314 20 Rp 226,280.00 0 Rp - 0 Rp - 20 Rp 226,280.00
52 Metilergometrin 0,125 mg (2020) Tablet Rp 271 1000 Rp 271,000.00 0 Rp - 1000 Rp 271,000.00 0 Rp -
53 Omeprazol kaps 20 mg kapsul Rp 660 0 Rp - 0 Rp - 0 Rp - 0 Rp -
54 My Jelly 82 gr (2020) Pcs Rp 36,938 0 Rp - 0 Rp - 0 Rp - 0 Rp -
55 Ibu Propen SYR (2020) botol Rp 5,709 0 Rp - 0 Rp - 0 Rp - 0 Rp -
56 Thiamin (Vit. B1) 2020 Tablet Rp 98 0 Rp - 0 Rp - 0 Rp - 0 Rp -
57 Pirofel (Piroxicam 10 gr) 2020 Tablet Rp 686 300 Rp 205,702.01 0 Rp - 300 Rp 205,702.01 0 Rp -
58 Versyl Tab 50's 2020 Tablet Rp 2,564 0 Rp - 0 Rp - 0 Rp - 0 Rp -
59 ceterizin 10 mg (2021) Tablet Rp 407 900 Rp 366,201.65 900 Rp 366,201.65 0
60 metilprednisolon 4 mg (2020) Tablet Rp 153 0 Rp - 0 Rp - 0
61 miconazole krim 2% (2020) Tablet Rp 4,097 0 Rp - 0 0
62 Omeprazole injeksi 40 mg (2021) ampul Rp 5,397 5 Rp 26,985.00 Rp - 3 Rp 16,191.00 2 Rp 10,794.00
63 DIFENHIDRAMIN INJEKSI ampul Rp 1,316 30 Rp 39,480.00 Rp - 30 Rp 39,480.00 0 Rp -
OBAT TAMBAHAN 2021 Rp - 0 Rp - 0
1 amoksicillin 500 mg (2021) tube Rp 241 Rp - 6200 Rp 1,494,200.00 5120 Rp 1,233,920.00 1080
2 amlodipin 10 mg (2021) tablet Rp 76 Rp - 3600 Rp 273,600.00 2600 Rp 197,600.00 1000
3 Asam Mefenamat 500 MG (2021) tablet Rp 128 Rp - 3000 Rp 384,000.00 3000 Rp 384,000.00 0
4 Allopurinol 300 MG (2021) tablet Rp 210 Rp - 300 Rp 63,000.00 200 Rp 42,000.00 100
5 Chloramfenicol Suspensi 125 MG/5 ML (2021) tablet Rp 5,554 Rp - 20 Rp 111,080.00 13 Rp 72,202.00 7
6 Glibenklamid 5 MG (2021) ampul Rp 96 Rp - 1500 Rp 144,000.00 820 Rp 78,720.00 680
7 Ibuprofen Suspensi 200 MG/ 5 ML (2021) botol Rp 3,520 Rp - 100 Rp 352,000.00 50 Rp 176,000.00 50
8 Ketokonazol 200 MG (2021) Botol Rp 270 Rp - 500 Rp 135,000.00 120 Rp 32,400.00 380
9 Loperamid Tablet Salut Selaput 2 MG (2021) botol Rp 83 Rp - 1300 Rp 107,900.00 850 Rp 70,550.00 450
10 Metformin Hydrochloride 500 MG (2021) Tablet Rp 86 Rp - 1800 Rp 154,800.00 1080 Rp 92,880.00 720
11 Oksitetrasiklin Salep Mata 1% (2021) Tablet Rp 3,850 Rp - 75 Rp 288,750.00 75 Rp 288,750.00 0
12 Salep 2-4 Kombinasi 30 Gram (2021) Tablet Rp 2,539 Rp - 50 Rp 126,950.00 33 Rp 83,787.00 17
13 Simvastatin 20 mg (2021) Botol Rp 165 Rp - 2500 Rp 412,500.00 1900 Rp 313,500.00 600
14 Simvastatin Salut Selaput 10 MG (2021) Kaplet Rp 73 Rp - 1500 Rp 109,500.00 790 Rp 57,670.00 710
15 Cataflam 50mg (2021) Botol Rp 7,073 Rp - 550 Rp 3,890,150.00 430 Rp 3,041,390.00 120
16 Obat Batuk Hitam (2021) Botol Rp 5,390 Rp - 95 Rp 512,050.00 73 Rp 393,470.00 22
17 Pehacain Injeksi (2021) Vial Rp 3,300 Rp - 20 Rp 66,000.00 18 Rp 59,400.00 2
18 Reco Tetes Mata (2021) Tablet Rp 8,800 Rp - 25 Rp 220,000.00 5 Rp 44,000.00 20
19 ceterizin hydrochloride sirup 5mg/5ml (2021) Botol Rp 2,278 Rp - 80 Rp 182,240.00 38 Rp 86,564.00 42
20 Parcetamol sirup 120mg/5ml (2021) Ampul Rp 1,160 Rp - 225 Rp 261,000.00 163 Rp 189,080.00 62
21 Prednison 5mg (2021) Botol Rp 78 Rp - 500 Rp 39,000.00 500 Rp 39,000.00 0
22 Ranitidin Hydrochloride 150 mg (2021) Kaplet Rp 95 Rp - 1000 Rp 95,000.00 700 Rp 66,500.00 300
23 Ambroxol 30 mg (2021) Tablet Rp 187 Rp - 2500 Rp 467,500.00 2200 Rp 411,400.00 300
24 Ambroxol sirup 15 mg/5ml Botol Rp 3,300 Rp - 45 Rp 148,500.00 26 Rp 85,800.00 19
25 Caviplex Tablet Rp 847 Rp - 1200 Rp 1,016,400.00 1200 Rp 1,016,400.00 0
26 Curvipleks Sirup Multivitamin Anak Tablet Rp 7,700 Rp - 38 Rp 292,600.00 38 Rp 292,600.00 0
27 Nellco Plus Berdahak Kapsul Rp 30,800 Rp - 35 Rp 1,078,000.00 16 Rp 492,800.00 19
28 Neurosanbe Injeksi 3 ml suppo Rp 6,820 Rp - 40 Rp 272,800.00 21 Rp 143,220.00 19
29 Sanmol 500 mg botol Rp 308 Rp - 1100 Rp 338,800.00 1100 Rp 338,800.00 0
30 MAGNESIUM SULFATE INJ 20% @ 25 ML tablet Rp 4,300 Rp - 35 Rp 150,500.00 0 Rp - 35
31 FITOMENADION (VITAMIN K1) INJ 2 MG/ML tablet Rp 1,595 Rp - 60 Rp 95,700.00 30 Rp 47,850.00 30
32 MAGNESIUM SULFATE INJ 40% @ 25 ML tablet Rp 4,900 Rp - 44 Rp 215,600.00 5 Rp 24,500.00 39
33 Mefinal (asam mefenamat) 500 mg Rp 1,573 Rp - 1000 Rp 1,573,000.00 760 Rp 1,195,480.00 240
34 DICLOFENAC SODIUM/ NATRIUM DIKLOFENAK 50 MG Rp 118 Rp - 2000 Rp 236,000.00 1500 Rp 177,000.00 500
35 DOMPERIDON SUSPENSI 5 MG/ML Rp 2,465 Rp - 100 Rp 246,500.00 29 Rp 71,485.00 71
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15

36 METILPREDNISOLON 4 MG Rp 115 Rp - 1000 Rp 115,000.00 1000 Rp 115,000.00 0

37 ASAM TRANEXAMAT 500 MG Rp 1,485 Rp - 1000 Rp 1,485,000.00 200 Rp 297,000.00 800
38 LANSOPRAZOLE Rp 1,045 Rp - 700 Rp 731,500.00 260 Rp 271,700.00 440
39 Bisakodil (suppu 10 mg) Rp 5,900 Rp - 25 Rp 147,500.00 0 Rp - 25
40 AMOKSISILLIN SIRUP KERING 250 MG/5 ML Rp 3,510 Rp - 100 Rp 351,000.00 23 Rp 80,730.00 77
41 Bisakodil (suppu 5 mg) Rp 231 Rp - 100 Rp 23,100.00 0 Rp - 100
42 KALSIUM LAKTAT 500 MG Rp 500 Rp - 600 Rp 300,000.00 260 Rp 130,000.00 340
43 LORATADINE 10 MG Rp 121 Rp - 1000 Rp 121,000.00 50 Rp 6,050.00 950
OBAT DAU 2020 0 Rp - Rp - 0 Rp - 0 Rp -
1 MetronidazolSuspensi 125 mg/ML/Omenizole botol Rp 11,200 22 Rp 246,400.00 20 Rp 224,000.00 0 Rp - 42 Rp 470,400.00
2 Amoxicicilin Syr botol Rp 4,375 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Asam Mefenamat 500 mg tablet Rp 263 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Allopurinol 300 mg tablet Rp 531 1020 Rp 541,875.00 0 Rp - 1020 Rp 541,875.00 0 Rp -
5 Caviplex tablet Rp 806 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Cefadroxil Syr 250 mg botol Rp 25,450 37 Rp 941,650.00 0 Rp - 37 Rp 941,650.00 0 Rp -
7 Cefixim 100 mg tablet Rp 2,208 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 Ciprofloxasin tablet Rp 454 370 Rp 167,887.50 0 Rp - 370 Rp 167,887.50 0 Rp -
9 CTM tablet Rp 50 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 CTM (Dehista) tablet Rp 228 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Flukadex tablet Rp 698 0 Rp - 2000 Rp 1,396,380.00 2000 Rp 1,396,380.00 0 Rp -
12 Ibuprofen 400 mg tablet Rp 300 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Meloxicam 15 mg tablet Rp 485 200 Rp 97,000.00 400 Rp 194,000.00 600 Rp 291,000.00 0 Rp -
14 Metformin tablet Rp 213 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 Metampiron/Metamizole Tab tablet Rp 213 100 Rp 21,250.00 0 Rp - 0 Rp - 100 Rp 21,250.00
16 Natrium Diklofenak 25 mg tablet Rp 238 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 Natrium Diklofenak 50 mg tablet Rp 200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Oksitosin Inj ampul Rp 5,029 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 Piracetam kapl 800 mg tablet Rp 1,240 900 Rp 1,116,000.00 1000 Rp 1,240,000.00 0 Rp - 1900 Rp 2,356,000.00
20 Prednison tablet Rp 131 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Ranitidin tab 150 mg tablet Rp 138 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Zinc sulfat 20 mg tablet Rp 734 100 Rp 73,350.00 0 Rp - 100 Rp 73,350.00 0 Rp -
23 Intunal tablet Rp 819 300 Rp 245,700.00 2000 Rp 1,638,000.00 1700 Rp 1,392,300.00 600 Rp 491,400.00
24 Infalgin (Metampiron) tablet Rp 364 1000 Rp 364,000.00 1000 Rp 364,000.00 700 Rp 254,800.00 1300 Rp 473,200.00
25 Caviplex kaplet tablet Rp 806 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Camivit E 200 IU tablet Rp 1,625 60 Rp 97,500.00 0 Rp - 40 Rp 65,000.00 20 Rp 32,500.00
27 Loratadin tablet Rp 175 200 Rp 35,000.00 0 Rp - 200 Rp 35,000.00 0 Rp -
28 Mata Pisau Bedah No. 11 pcs Rp 1,114 4 Rp 4,455.00 0 Rp - 4 Rp 4,455.00 0 Rp -
29 Mata Pisau Bedah No. 15 pcs Rp 1,114 136 Rp 151,470.00 0 Rp - 62 Rp 69,052.50 74 Rp 82,417.50
30 Mata Pisau Bedah No. 21 pcs Rp 1,114 114 Rp 126,967.50 100 Rp 111,375.00 124 Rp 138,105.00 90 Rp 100,237.50
31 Spoit 3 ml pcs Rp 1,114 30 Rp 33,412.50 30 Rp 33,412.50 0
32 Spoit 5 ml pcs Rp 1,262 29 Rp 36,605.25 160 Rp 201,960.00 112 Rp 141,372.00 77 Rp 97,193.25
33 Spoit 10 ml pcs Rp 2,228 50 Rp 111,375.00 0 Rp - 10 Rp 22,275.00 40 Rp 89,100.00
34 Hanscoen Non Steril S box Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 Hanscoen Non Steril S box Rp 200,475 0 Rp - 0 Rp - 0 Rp - 0 Rp -
36 Hanscoen Non Steril M box Rp 200,475 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Hanscoen Non Steril L box Rp 200,475 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 nurse cap pcs Rp 1,114 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Hanscoen Obsgyn pcs Rp 96,525 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Masker 3 Fly earloop box Rp 133,650 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 sianokobalamin (Vit. B12) tablet Rp 121 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Gludepatic (Metformin) box Rp 354 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 FARGETIX (Asam Mefenamat) box Rp 338 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Amlodipin 5 mg tablet Rp 197 0 Rp - 2700 Rp 531,000.00 2250 Rp 442,500.00 450 Rp 88,500.00
45 Infuset dewasa pcs Rp 7,425 0 Rp - 100 Rp 742,500.00 35 Rp 259,875.00 65 Rp 482,625.00
46 Omeprazole 20 mg Kapsul Rp 388 0 Rp - 450 Rp 174,375.00 450 Rp 174,375.00 0 Rp -
47 Grateos (natrium diklifenak) 2020 tablet Rp 279 0 Rp - 1000 Rp 279,500.00 1000 Rp 279,500.00 0 Rp -
48 Eltazon 5 mg (prednison) Tablet Rp 190 0 Rp - 400 Rp 75,920.00 400 Rp 75,920.00 0 Rp -
49 Floxigra (ciprofloxacin 500 mg) Tablet Rp 598 0 Rp - 1000 Rp 598,000.00 630 Rp 376,740.00 370 Rp 221,260.00
50 Comvit C Tablet Rp 1,182 0 Rp - 1000 Rp 1,181,820.00 1000 Rp 1,181,820.00 0 Rp -
51 Lokev (omeprazol 20 mg) Kapsul Rp 828 0 Rp - 1300 Rp 1,075,966.67 1300 Rp 1,075,966.67 0 Rp -
52 IV CATHETER 22 pcs Rp 7,425 0 Rp - 50 Rp 371,250.00 0 Rp - 50 Rp 371,250.00
53 IV CATHETER 20 pcs Rp 7,425 0 Rp - 25 Rp 185,625.00 25 Rp 185,625.00 0 Rp -
54 Epinefrin injeksi Ampul Rp 7,947 0 Rp - 30 Rp 238,398.00 1 Rp 7,946.60 29 Rp 230,451.40
55 Ceterizin tab Tablet Rp 119 0 Rp - 3000 Rp 356,250.00 2370 Rp 281,437.50 630 Rp 74,812.50
56 omelegar (Loratadine) tablet Rp 273 100 Rp 27,300.00 Rp - 0 Rp - 100 Rp 27,300.00
57 Trimabion tablet Rp 455 2300 Rp 1,046,500.00 Rp - 2300 Rp 1,046,500.00 0 Rp -
58 SURGICAL SUTURE+NEEDLE SILK BLACK BRAIDED 3/0 75 CM dus Rp 167,814 3 Rp 503,441.10 Rp - 1 Rp 167,813.70 2 Rp 335,627.40
59 RAMVIT C ( Vitamin C 500 mg) tablet Rp 858 880 Rp 755,040.00 Rp - 880 Rp 755,040.00 0 Rp -
BHP TAMBAHAN Rp - 0 Rp - 0 Rp -
1 Blood Lanset No. 26 roll Rp 16,800 6 Rp 100,800.00 5 Rp 84,000.00 5 Rp 84,000.00 6 Rp 100,800.00
2 Kapas Pembalut 250 mg (.a) roll Rp 14,375 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Kasa Kompres Steril 40 x 40 (.a) pcs Rp 1,840 0 Rp - 0 Rp - 0 Rp - 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15
4 Kertas Puyer Blank (.a) bungkus Rp 93,500 22 Rp 2,057,000.00 0 Rp - 0 Rp - 22 Rp 2,057,000.00
5 Examination Gloves size L (.a) bungkus Rp 57,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Aximed FolleyCath 2-Way No. 14 (.a) pcs Rp 13,750 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Regulator (Gea Medical) 02 XY-988 (.b) pcs Rp 453,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 Autocheck Cholesterol Test btl 25 strip (.c) kotak Rp 367,813 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Autocheck Glukosa Test btl 50 strip (.c) kotak Rp 136,950 2 Rp 273,900.00 0 Rp - 2 Rp 273,900.00 0 Rp -
10 Autocheck Uric Acid Test btl 50 strip (.c) kotak Rp 178,200 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 IV-CATH NP, PEN TYPE, NO. 20 (2020) pcs Rp 7,846 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 IV-CATH NP, PEN TYPE, NO. 22 (2020) pcs Rp 7,799 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 IV-CATH NP, PEN TYPE, NO. 24 (2020) pcs Rp 7,799 4 Rp 31,195.00 160 Rp 1,247,800.00 94 Rp 733,082.50 70 Rp 545,912.50
14 IV-CATH NP, PEN TYPE, NO. 26 pcs Rp 10,069 35 Rp 352,406.25 2 33
15 Autocheck Cholesterol Test btl 25 strip (2020) kotak Rp 385,235 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 Union Auto Destruch Syringe 0,5 ml (2019) pcs Rp 1,386 53 Rp 73,442.63 0 Rp - 53 Rp 73,442.63 0 Rp -
17 Onescraub 2% 500 ml + Dispenser botol Rp 68,775 1 Rp 68,775.00 22 Rp 1,513,050.00 19 Rp 1,306,725.00 4 Rp 275,100.00
18 Autocheck Uric Acid Test btl 50 strip (2020) kotak Rp 195,485 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 Autocheck Glukosa Tube @50 strip (2020) kotak Rp 154,235 15 Rp 2,313,525.00 0 Rp - 15 Rp 2,313,525.00 0 Rp -
20 Pewarna Ziehl Neelsen 5x100 ml kit Rp 237,045 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 Plesterin first aid elastis box isi 100 (2020) pcs Rp 23,033 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 Pot Dahak Steril Pot Rp 3,856 40 Rp 154,240.00 0 Rp - 20 Rp 77,120.00 20 Rp 77,120.00
23 Surgical Gloves 7,0 pcs Rp 9,840 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 Surgical Gloves 7,5 pcs Rp 9,840 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 Surgical Gloves 8,0 pcs Rp 9,840 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Tes Kehamilan (Ultraone) (2020) pcs Rp 2,280 0 Rp - 0 Rp - 0 Rp - 0 Rp -
27 First Respose Malaria Antigen Combo Card Tes (2020) pcs Rp 440,850 5 Rp 2,204,250.00 0 Rp - 5 Rp 2,204,250.00 0 Rp -
28 Safewell Infusion Set pcs Rp 16,531 0 Rp - 0 Rp - 0 Rp - 0 Rp -
29 Syringe (Nipro) 1 cc pcs Rp 1,100 0 Rp - 200 Rp 220,090.00 147 Rp 161,766.15 53 Rp 58,323.85
30 Disposible Syringe 2,5 ml pcs Rp 780 0 Rp - 200 Rp 156,000.00 122 Rp 95,160.00 78 Rp 60,840.00
31 Syringe (Nipro) 3 cc pcs Rp 1,110 0 Rp - 0 Rp - 0 Rp - 0 Rp -
32 Infus Set Anak Tipe Y pcs Rp 7,439 160 Rp 1,190,208.00 0 Rp - 15 Rp 111,582.00 145 Rp 1,078,626.00
33 Alkohol swab 2 ply (2021) box Rp 15,750 0 Rp - 43 Rp 677,250.00 28 Rp 441,000.00 15 Rp 236,250.00
34 Cholesterol test strip 25 strip/box BOX Rp 383,500 0 Rp - 12 Rp 4,602,000.00 7 Rp 2,684,500.00 5 Rp 1,917,500.00
35 GLUKOSA TEST STRIP 50 STRIP/BOX box Rp 139,500 0 Rp - 3 Rp 418,500.00 3 Rp 418,500.00 0 Rp -
36 IODIUM TEST BOX Rp 88,000 0 Rp - 100 Rp 8,800,000.00 18 Rp 1,584,000.00 82 Rp 7,216,000.00
37 URIC ACID TEST STRIP 50 STRIP/BOX BOX Rp 200,803 0 Rp - 10 Rp 2,008,030.30 4 Rp 803,212.12 6 Rp 1,204,818.18
38 FACE MASK EAR LOOP BOX Rp 68,750 0 Rp - 12 Rp 825,000.00 12 Rp 825,000.00 0 Rp -
39 FACE MASK TIES ON BOX Rp 68,750 0 Rp - 25 Rp 1,718,750.00 25 Rp 1,718,750.00 0 Rp -
SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, Rp 132,825
40 BOX 0 Rp - 11 Rp 1,461,075.00 9 Rp 1,195,425.00 2 Rp 265,650.00
SIZE M
SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, Rp 132,825
41 BOX 0 Rp - 11 Rp 1,461,075.00 11 Rp 1,461,075.00 0 Rp -
SIZE L

42 SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, SIZE 8 BOX Rp 7,590 0 Rp - 400 Rp 3,036,000.00 400 Rp 3,036,000.00 0 Rp -

43 SD BIOLINE HIV 1/2/ 3.0 (MD) BOX Rp 1,143,270 0 Rp - 3 Rp 3,429,808.89 3 Rp 3,429,808.89 0 Rp -

44 SPOIT SYRINGES 3 ML BOX Rp 1,114 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 SPOIT SYRINGES 3 ML PCS Rp 1,100 0 Rp - 250 Rp 275,000.00 215 Rp 236,500.00 35 Rp 38,500.00
46 Ultraone test hamil pcs Rp 2,280 0 Rp - 100 Rp 228,000.00 100 Rp 228,000.00 0 Rp -
47 CHLODINE HANDRUB 0,5% 5 L jerigen Rp 395,250 0 Rp - 15 Rp 5,928,750.00 12 Rp 4,743,000.00 3 Rp 1,185,750.00
48 CATHETER IV PEN TYPE NO. 22 Rp 8,663 0 Rp - 50 Rp 433,125.00 40 Rp 346,500.00 10 Rp 86,625.00
49 CATHETER IV PEN TYPE NO. 20 pcs Rp 8,663 0 Rp - 50 Rp 433,125.00 21 Rp 181,912.50 29 Rp 251,212.50
50 MASKER N95 5 PLY pcs Rp 20,638 0 Rp - 40 Rp 825,500.00 0 Rp - 40 Rp 825,500.00
51 HANDSCOEN OBGYN PANJANG pcs Rp 79,200 0 Rp - 10 Rp 792,000.00 10 Rp 792,000.00 0 Rp -
33 SILK 2/0 + JARUM 1/2 GT 35 MM (2019) dus Rp 126,500 0 Rp - Rp - Rp - 0 Rp -
34 IV CATHETER 20 (DAU) pcs Rp 7,425 99 Rp 735,075.00 Rp - 99 Rp 735,075.00 0 Rp -
35 IV CATHETER 22 (DAU) Pcs Rp 7,425 71 Rp 527,175.00 Rp - 71 Rp 527,175.00 0 Rp -
36 INFUSET DEWASA (DAU) pcs Rp 7,425 55 Rp 408,375.00 Rp - 55 Rp 408,375.00 0 Rp -
37 SD BIOLINE HIV 1/2 3.0 dus Rp 903,000 0 Rp - Rp - Rp - 0 Rp -
38 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM dus Rp 215,045 1 Rp 215,045.00 Rp - 1 Rp 215,045.00 0 Rp -
39 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 3/0 75 CM dus Rp 215,045 1 Rp 215,045.00 Rp - 1 Rp 215,045.00 0 Rp -
40 SURGICAL SUTURE+NEEDLE CATGUT PLAIN 2/0 75 CM dus Rp 215,045 1 Rp 215,045.00 Rp - 1 Rp 215,045.00 0 Rp -
41 SD BIOLINE SYPHILIS 3.0 O6FK10 dus Rp 488,250 9 Rp 4,394,250.00 Rp - 9 Rp 4,394,250.00 0 Rp -

NILAI OBAT IFK PUSKESMAS MOWEWE Rp 59,072,803.97 Rp 97,116,444.45 Rp 102,965,525.93 Rp 43,740,694.24 Rp 9,483,028.25

Mengetahui,
Kepala Dinas Kesehatan
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2022 PERSEDIAAN MASUK 2022 PERSEDIAAN KELUAR 2022
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 Rp 5 4 6 9 7 12 13 15

Ir. Barwik Sirait, M.Si, MPH

Pembina Utama Muda, Gol. IV/c
NIP. 19630910 198503 1 002
 u
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2021

PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

PUSKESMAS MOWEWE
OBAT IFK
1 Air Untuk Injeksi 25 ml vial Rp 2,860 14 Rp 40,040.00 62 Rp 177,320.00 9 3 3 9 24 52 Rp 148,720.00
2 Albendazole tab 400 mg tablet Rp 363 0 Rp - 0 Rp - 0 0 Rp -
3 Albendazole tab 400 mg tablet Rp 484 0 Rp - 0 Rp - 0 0 Rp -
4 Albendazole susp 200 mg/5 ml botol Rp 4,619 0 Rp - 0 Rp - 0 0 Rp -
5 Alkohol 70% botol Rp 34,375 5 Rp 171,875.00 5 Rp 171,875.00 1 2 0 1 2 6 4 Rp 137,500.00
6 Allopurinol tab 100 mg tablet Rp 120 0 Rp - 0 Rp - 0 0 Rp -
7 Ambroksol sir 15 mg/ml - 60 ml botol Rp 4,960 0 Rp - 10 Rp 49,599.00 10 10 0 Rp -
8 Ambroksol tab 30 mg tablet Rp 197 1650 Rp 325,611.00 0 Rp - 1650 1650 0 Rp -
9 Aminofilim Inj 24 mg/ml ampul Rp 3,071 0 Rp - 0 Rp - 0 0 Rp -
10 Amlodipin tab 5 mg tablet Rp 83 0 Rp - 0 Rp - 0 0 Rp -
11 Amlodipin tab 10 mg tablet Rp 106 0 Rp - 0 Rp - 0 0 Rp -
12 Amoxicillin sir forte 250 mg/5 ml botol Rp 4,375 0 Rp - 0 Rp - 0 0 Rp -
13 Amoxicillin tab 250 mg tablet Rp 198 0 Rp - 0 Rp - 0 0 Rp -
14 Amoxicillin tab 500 mg tablet Rp 269 350 Rp 94,150.00 0 Rp - 350 350 0 Rp -
15 Antasida Suspensi kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 m botol Rp 2,290 0 Rp - 100 Rp 229,000.00 10 10 20 80 Rp 183,200.00
16 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 2,146 0 Rp - 0 Rp - 0 0 Rp -
17 Anti Bakteri DOEN salep kombinasi 5 g pot Rp 3,511 0 Rp - 0 Rp - 0 0 Rp -
18 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 900 Rp 113,400.00 1000 Rp 126,000.00 300 350 150 400 1200 700 Rp 88,200.00
19 Asam Folat Tab 1 mg tablet Rp 90 800 Rp 72,000.00 0 Rp - 500 300 800 0 Rp -
20 Aciclovir tab 200 mg tablet Rp 263 0 Rp - 0 Rp - 0 0 Rp -
21 Aciclovir tab 400 mg tablet Rp 415 0 Rp - 0 Rp - 0 0 Rp -
22 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540 0 Rp - 0 Rp - 0 0 Rp -
23 Betahistin tab 6 mg tablet Rp 165 0 Rp - 0 Rp - 0 0 Rp -
24 Betametason dipropionate krim 0,05 % tube Rp 3,350 125 Rp 418,750.00 0 Rp - 125 125 0 Rp -
25 Betametason krim 0,1 % tube Rp 1,450 0 Rp - 0 Rp - 0 0 Rp -
26 Cefadroksil kaps/tab 500 mg kapsul Rp 200 0 Rp - 0 Rp - 0 0 Rp -
27 Cefiksime tab 100 mg kapsul Rp 4,780 0 Rp - 0 Rp - 0 0 Rp -
28 Cetrizine syr botol Rp 3,104 0 Rp - 0 Rp - 0 0 Rp -
29 Cetrizine tab 10 mg tablet Rp 407 330 Rp 134,273.94 0 Rp - 330 330 0 Rp -
30 Chlodine handrub 0,5% 5 L tablet Rp 395,250 0 Rp - 0 Rp - 0 0 Rp -
31 Digoksin tab 0,25 mg tablet Rp 104 0 Rp - 0 Rp - 0 0 Rp -
32 Domperidon tab 10 mg tablet Rp 96 0 Rp - 1000 Rp 96,000.00 250 100 100 140 410 1000 0 Rp -
33 Ephinefrin (Adrenalin ) inj 0,1% 1 ml ampul Rp 2,068 20 Rp 41,360.00 0 Rp - 20 20 0 Rp -
34 Eritromisin kaps 250 mg kapsul Rp 666 0 Rp - 0 Rp - 0 0 Rp -
35 Erytromisin SK 200 mg/5 ml botol Rp 6,622 0 Rp - 0 Rp - 0 0 Rp -
36 Etakridin (Rivanol) lar 0,1% botol Rp 6,000 0 Rp - 0 Rp - 0 0 Rp -
37 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420 84 Rp 371,280.00 0 Rp - 24 60 84 0 Rp -
38 Fitomenadion Tab 10 mg tablet Rp 912 2400 Rp 2,188,800.00 0 Rp - 2400 2400 0 Rp -
39 Furosemide Inj 10 mg/ml ampul Rp 1,555 0 Rp - 0 Rp - 0 0 Rp -
40 Furosemide 40 mg tablet Rp 88 400 Rp 35,200.00 0 Rp - 200 40 240 160 Rp 14,080.00
41 Formalin 40% botol Rp 42,000 0 Rp - 0 Rp - 0 0 Rp -
42 Garam Oralit kombinasi sacchet Rp 317 0 Rp - 0 Rp - 0 0 Rp -
43 Glimepirid tab 1 mg tablet Rp 200 0 Rp - 0 Rp - 0 0 Rp -
44 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 0 Rp -
45 Glimepirid tab 2 mg tablet Rp 207 0 Rp - 0 Rp - 0 0 Rp -
46 Gliseril Guaikolat tab 100 mg tablet Rp 27 0 Rp - 0 Rp - 0 0 Rp -
47 Glukosa lar infus steril 5% - 500 ml botol Rp 7,363 100 Rp 736,300.00 0 Rp - 20 20 80 Rp 589,040.00
48 Griseofulvin tab 125 mg tablet Rp 336 650 Rp 218,718.50 1000 Rp 336,490.00 350 350 250 100 1050 600 Rp 201,894.00
49 Haloperidol tab 1,5 mg tablet Rp 65 0 Rp - 0 Rp - 0 0 Rp -
50 Harmida (Glibenklamid 2,5 mg) tablet Rp 230 0 Rp - 0 Rp - 0 0 Rp -
51 Hydroklortiazid (HCT) tab 25 mg tablet Rp 179 2700 Rp 483,300.00 0 Rp - 2700 2700 0 Rp -
52 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 0 Rp - 0 Rp - 0 0 Rp -
53 Ibuprofen tab 200 mg tablet Rp 116 0 Rp - 0 Rp - 0 0 Rp -
54 Ibuprofen sir 200 mg/5 ml botol Rp 5,709 36 Rp 205,524.00 0 Rp - 36 36 0 Rp -
55 IBUPROFEN SUSP 100 MG/5 ML tablet 2,898.00000 50 32 18 50 0
56 Kalsium Glukonas Inj 10% tablet Rp 10,351 0 Rp - 0 Rp - 0 0 Rp -
57 Kaptopril tab 12,5 mg tablet Rp 73 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

58 Kaptopril tab 25 mg tablet Rp 181 210 Rp 38,034.15 1500 Rp 271,672.50 310 40 330 130 200 1010 700 Rp 126,780.50
59 Karbogliserin 10% tablet Rp 2,764 0 Rp - 0 Rp - 0 0 Rp -
60 Klindamisin kaps 300 mg kapsul Rp 2,740 0 Rp - 0 Rp - 0 0 Rp -
61 Kloramfenikol kaps 250 mg kapsul Rp 678 0 Rp - 0 Rp - 0 0 Rp -
62 Kloramfenikol salap mata 1% tube Rp 2,013 0 Rp - 0 Rp - 0 0 Rp -
63 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 40 0 Rp - 0 Rp - 0 0 Rp -
64 Kodein HCL tab 10 mg tablet Rp 660 0 Rp - 0 Rp - 0 0 Rp -
65 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 135 0 Rp - 0 Rp - 0 0 Rp -
66 Kotrimoxazol susp 60 ml botol Rp 2,462 0 Rp - 0 Rp - 0 0 Rp -
COTRIMOKSAZOLE FORTE KOMBINASI : SULFAMETAKSAZOLE 800 MG +
67 botol Rp 2,257 0 Rp - 100 Rp 225,700.00 37 37 63
TRIMETOPRIN 160 MG(KAPTAB 960 MG)
68 Laktulosa Syr 5 mg botol Rp 15,060 10 Rp 150,600.00 48 Rp 722,880.00 1 2 3 55 Rp 828,300.00
69 Lidokain HCL 2% botol Rp 1,467 35 Rp 51,345.00 200 Rp 293,400.00 10 25 21 20 76 159 Rp 233,253.00
70 Lidokain HCL 2% + Epineprin botol Rp 1,473 80 Rp 117,840.00 0 Rp - 50 30 80 0 Rp -
71 Lisol lar 1.000 ml botol Rp 31,570 5 Rp 157,850.00 0 Rp - 1 3 1 5 0 Rp -
72 Magnesium Sulfat inj 20% - 25 ml vial Rp 3,328 108 Rp 359,424.00 0 Rp - 108 108 0 Rp -
73 Magnesium Sulfat inj 40% - 25 ml vial Rp 3,796 53 Rp 201,188.00 0 Rp - 53 53 0 Rp -
74 Meloxicam tab 15 mg tablet Rp 2,380 0 Rp - 0 Rp - 0 0 Rp -
75 Metampiron (Antalgin) tab 500 mg tablet Rp 1,440 0 Rp - 0 Rp - 0 0 Rp -
76 Metformin tab 500 mg tablet Rp 165 0 Rp - 0 Rp - 0 0 Rp -
77 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul Rp 3,421 0 Rp - 0 Rp - 0 0 Rp -
78 Metilprednisolon tab 4 mg tablet Rp 153 0 Rp - 4000 Rp 612,000.00 140 660 1340 220 1140 500 4000 0 Rp -
79 Metoklopramid tab 10 mg tablet Rp 93 0 Rp - 0 Rp - 0 0 Rp -
80 Metronidazol tab 250 mg tablet Rp 97 0 Rp - 0 Rp - 0 0 Rp -
81 Metronidazol tab 500 mg tablet Rp 117 0 Rp - 0 Rp - 0 0 Rp -
82 Miconazole krim 2% tablet Rp 4,097 9 Rp 36,873.00 48 Rp 196,656.00 5 4 24 33 24 Rp 98,328.00
83 Natrium Diklofenak tab 25 mg tablet Rp 146 0 Rp - 0 Rp - 0 0 Rp -
84 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol Rp 6,410 0 Rp - 0 Rp - 0 0 Rp -
85 Nistatin tab vaginal 100.000 IU ovula Rp 528 0 Rp - 0 Rp - 0 0 Rp -
86 Nistatin tab vaginal 500.000 IU tablet Rp 704 0 Rp - 0 Rp - 0 0 Rp -
87 Obat Batuk Hitam (OBH) sir ERLA 100 ml botol Rp 13,000 0 Rp - 0 Rp - 0 0 Rp -
88 Ofloxacin tab 200 mg tablet Rp 531 0 Rp - 0 Rp - 0 0 Rp -
89 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,774 20 Rp 55,480.00 0 Rp - 20 20 0 Rp -
90 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 23 Rp 29,601.00 0 Rp - 20 3 23 0 Rp -
91 Omeprazol kaps 20 mg kapsul Rp 660 0 Rp - 0 Rp - 0 0 Rp -
92 Ondansentron tab 4 mg tablet Rp 546 0 Rp - 0 Rp - 0 0 Rp -
93 Paracetamol tab 500 mg tablet Rp 274 0 Rp - 2800 Rp 768,552.40 1400 1400 2800 0 Rp -
94 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 5,041 0 Rp - 0 Rp - 0 0 Rp -
95 Piracetam kapl 800 mg kaplet Rp 960 0 Rp - 0 Rp - 0 0 Rp -
96 Pirantel Pamoat tab 125 mg tablet Rp 305 0 Rp - 0 Rp - 0 0 Rp -
97 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 142 0 Rp - 0 Rp - 0 0 Rp -
98 Piroxicam tab 10 mg tablet Rp 146 0 Rp - 0 Rp - 0 0 Rp -
99 POVIDONE IODINE 300 ML botol Rp 26,250 16 Rp 420,000.00 20 Rp 525,000.00 4 2 11 17 19 Rp 498,750.00
100 POVIDONE IODINE 30 ML botol Rp 4,000 0 Rp - 30 Rp 120,000.00 4 6 2 4 16 14 Rp 56,000.00
101 Prednison tab 5 mg tablet Rp 85 0 Rp - 0 Rp - 0 0 Rp -
102 Ranitidin tab 150 mg tablet Rp 200 0 Rp - 0 Rp - 0 0 Rp -
103 Retinol (Vit A) softcap 100.000 IU softcap Rp 341 0 Rp - 0 Rp - 0 0 Rp -
104 Ringer Laktat lar. inf steril 500 ml botol Rp 7,630 100 Rp 763,000.00 360 Rp 2,746,800.00 40 100 60 80 40 320 140 Rp 1,068,200.00
105 Salbutamol 2 mg tablet Rp 113 0 Rp - 0 Rp - 0 0 Rp -
106 Salbutamol 4 mg tablet Rp 119 0 Rp - 500 Rp 59,367.00 0 500 Rp 59,367.00
107 Sianokobalamin (Vitamin B12) tab 50 mcg tablet Rp 50 0 Rp - 0 Rp - 0 0 Rp -
108 Simvastatin tab 10 mg tablet Rp 116 0 Rp - 0 Rp - 0 0 Rp -
109 Simvastatin tab 20 mg tablet Rp 250 0 Rp - 0 Rp - 0 0 Rp -
110 Siprofloksasin tab 500 mg tablet Rp 264 0 Rp - 0 Rp - 0 0 Rp -
111 Tetrasiklin kaps 250 mg kapsul Rp 181 0 Rp - 0 Rp - 0 0 Rp -
112 Tetrasiklin kaps 500 mg kapsul Rp 341 0 Rp - 0 Rp - 0 0 Rp -
113 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 98 350 Rp 34,300.00 2500 Rp 245,000.00 270 350 200 230 600 300 1950 900 Rp 88,200.00
114 Vitamin B Kompleks tablet Rp 150 0 Rp - 8750 Rp 1,312,500.00 1000 780 1300 1470 1400 1100 7050 1700 Rp 255,000.00
115 Zinc dispersible tab 20 mg tablet Rp 617 0 Rp - 0 Rp - 0 0 Rp -
116 Pritamox (Amoxicillin) tab 500 mg tablet Rp 1,210 0 Rp - 0 Rp - 0 0 Rp -
117 Sanmol (Amoxicillin) tab 500 mg tablet Rp 368 0 Rp - 0 Rp - 0 0 Rp -
118 Cardisan (Amlodipin) tab 5 mg tablet Rp 11,919 0 Rp - 0 Rp - 0 0 Rp -
119 Puricemia (Allopurinol) tab 300 mg tablet Rp 3,269 0 Rp - 0 Rp - 0 0 Rp -
120 Mefinal (Asam Mefenamat) tab 500 mg tablet Rp 1,538 0 Rp - 0 Rp - 0 0 Rp -
121 Neurosanbe Santa E tablet Rp 2,756 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

122 Mucohexin (Bromhexine HCl) tab 8 mg tablet Rp 575 0 Rp - 0 Rp - 0 0 Rp -

123 Cholvastin (Lovastatin) tab 20 mg tablet Rp 12,044 0 Rp - 0 Rp - 0 0 Rp -
124 Bevita sirup 120 ml botol Rp 77,000 0 Rp - 0 Rp - 0 0 Rp -
125 Caviplex kaplet kaplet Rp 480 0 Rp - 0 Rp - 0 0 Rp -
126 Cendo Xitrol 5 ml botol Rp 59,000 0 Rp - 0 Rp - 0 0 Rp -
127 Erlamycetine Eye Drops 0,5% 10 ml botol Rp 20,000 0 Rp - 0 Rp - 0 0 Rp -
128 Erlamycetine sirup 60 ml botol Rp 14,000 0 Rp - 0 Rp - 0 0 Rp -
129 Farbion tablet tablet Rp 2,310 0 Rp - 0 Rp - 0 0 Rp -
130 Gratamin tablet tablet Rp 2,860 0 Rp - 0 Rp - 0 0 Rp -
131 Imox tablet tablet Rp 13,200 0 Rp - 0 Rp - 0 0 Rp -
132 Intunal kaplet kaplet Rp 1,100 0 Rp - 0 Rp - 0 0 Rp -
133 My Jelly 80 gr Lubricant botol Rp 69,575 0 Rp - 0 Rp - 0 0 Rp -
134 Nifudiar susp 60 ml botol Rp 77,000 0 Rp - 0 Rp - 0 0 Rp -
135 Pantocain 0,5% 15 ml botol Rp 31,000 0 Rp - 0 Rp - 0 0 Rp -
136 Polireksulen Cairan (Albothyl) 5 ml botol Rp 37,500 0 Rp - 0 Rp - 0 0 Rp -
137 Propepsa susp 100 ml botol Rp 73,473 0 Rp - 0 Rp - 0 0 Rp -
138 Supravit tablet tablet Rp 770 0 Rp - 0 Rp - 0 0 Rp -
139 Vocefa susp 60 ml botol Rp 57,697 0 Rp - 0 Rp - 0 0 Rp -
140 Zinc Sulfate 20 mg botol Rp 3,449 0 Rp - 0 Rp - 0 0 Rp -
141 Zirkum Kid sirup botol Rp 8,140 0 Rp - 0 Rp - 0 0 Rp -
142 Neurodial tablet tablet Rp 1,265 0 Rp - 0 Rp - 0 0 Rp -
143 Vical suspensi botol Rp 8,140 0 Rp - 0 Rp - 0 0 Rp -
OBAT P. 2018 Rp - Rp - 0 0 Rp -
1 Amoxicillin SK 125 mg/5 ml botol Rp 2,560 0 Rp - 0 Rp - 0 0 Rp -
2 Antasida DOEN susp 60 ml botol Rp 2,146 0 Rp - 0 Rp - 0 0 Rp -
3 Antihemoroid kombinasi suppo supp Rp 3,800 0 Rp - 0 Rp - 0 0 Rp -
4 Antifungi DOEN kombinasi 30 g pot Rp 5,395 0 Rp - 0 Rp - 0 0 Rp -
5 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 0 Rp - 0 Rp - 0 0 Rp -
6 Aciclovir tab 400 mg tablet Rp 440 0 Rp - 0 Rp - 0 0 Rp -
7 Kaptopril tab 12,5 mg tablet Rp 68 0 Rp - 0 Rp - 0 0 Rp -
8 Dexamethasone tab 0,5 mg tablet Rp 35 0 Rp - 0 Rp - 0 0 Rp -
9 Dexamethasone inj 5 mg/ml Ampul Rp 1,278 0 Rp - 0 Rp - 0 0 Rp -
10 Epinefrin (Adrenalin) inj 1 mg/ml Ampul Rp 2,068 0 Rp - 0 Rp - 0 0 Rp -
11 Eritromisin kaps 250 mg kapsul Rp 666 0 Rp - 0 Rp - 0 0 Rp -
12 Ferro Fumarat + Asam Folat tab 0,4 mg tablet Rp 427 0 Rp - 0 Rp - 0 0 Rp -
13 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 0 Rp -
14 Glimepirid tab 2 mg tablet Rp 207 0 Rp - 0 Rp - 0 0 Rp -
15 Glukosa lar infus steril 5% - 500 ml botol Rp 6,900 0 Rp - 0 Rp - 0 0 Rp -
16 Griseofulvin tab 125 mg tablet Rp 231 0 Rp - 0 Rp - 0 0 Rp -
17 Hydroklortiazid (HCT) tab 25 mg tablet Rp 179 0 Rp - 5200 Rp 930,800.00 5200 5200 0 Rp -
18 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 326 Rp 863,248.00 0 Rp - 326 326 0 Rp -
19 Ibuprofen tab 200 mg tablet Rp 116 0 Rp - 0 Rp - 0 0 Rp -
20 Kloramfeniramin Maleat (CTM) tab 4 mg tablet Rp 25 0 Rp - 0 Rp - 0 0 Rp -
21 Kloramfenikol salap mata 1% tube Rp 2,013 0 Rp - 0 Rp - 0 0 Rp -
22 Metilergometrin inj 0,2 mg/ml ampul Rp 3,553 0 Rp - 0 Rp - 0 0 Rp -
23 Metoklopramid tab 10 mg tablet Rp 87 4000 Rp 348,000.00 5200 Rp 452,400.00 400 300 2000 830 3530 5670 Rp 493,290.00
24 Miconazol 2% krim (Nitrat) tube Rp 4,097 0 Rp - 0 Rp - 0 0 Rp -
25 Natrium Diklofenak 50 mg tablet Rp 146 0 Rp - 0 Rp - 0 0 Rp -
26 Natrium Klorida (NaCl) lar inf 0,9% - 500 ml botol Rp 6,410 20 Rp 128,200.00 160 Rp 1,025,600.00 20 20 20 20 80 100 Rp 641,000.00
27 Nistatin tab vaginal 100.000 IU ovula Rp 675 500 Rp 337,500.00 0 Rp - 500 500 0 Rp -
28 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 0 Rp - 0 Rp - 0 0 Rp -
29 Omeprazole kaps 20 mg kapsul Rp 143 0 Rp - 0 Rp - 0 0 Rp -
30 Pirantel Pamoat tab 125 mg tablet Rp 346 0 Rp - 0 Rp - 0 0 Rp -
31 Piridoksin (Vitamin B6) tab 10 mg tablet Rp 148 0 Rp - 0 Rp - 0 0 Rp -
32 Povidon Iodine lar 10% - 30 ml botol Rp 3,480 0 Rp - 0 Rp - 0 0 Rp -
33 Povidon Iodine lar 10% - 300 ml botol Rp 21,600 0 Rp - 0 Rp - 0 0 Rp -
34 Prednison tab 5 mg tablet Rp 74 0 Rp - 0 Rp - 0 0 Rp -
35 Salbutamol tab 4 mg tablet Rp 81 0 Rp - 0 Rp - 0 0 Rp -
36 Salep 24 Kombinasi pot Rp 3,143 0 Rp - 0 Rp - 0 0 Rp -
37 Siprofloksasin tab 500 mg tablet Rp 292 0 Rp - 0 Rp - 0 0 Rp -
38 Tetrasiklin kaps 500 mg kapsul Rp 324 0 Rp - 0 Rp - 0 0 Rp -
39 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 92 0 Rp - 0 Rp - 0 0 Rp -
40 Vitamin B Kompleks tablet Rp 150 0 Rp - 0 Rp - 0 0 Rp -
OBAT P. 2019 0 Rp - Rp - 0 0 Rp -
1 Acetyl Cystein kaps 200 mg kapsul Rp 460 0 Rp - 0 Rp - 0 0 Rp -
2 Air Untuk Injeksi 25 ml ampul Rp 2,860 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

3 Allopurinol tab 100 mg tablet Rp 108 0 Rp - 0 Rp - 0 0 Rp -

4 Albendazol tab 400 mg tablet Rp 484 0 Rp - 0 Rp - 0 0 Rp -
5 Alkohol 70% 1000 ml botol Rp 85,124 0 Rp - 0 Rp - 0 0 Rp -
6 Aminophillin tab 200 mg tablet Rp 86 0 Rp - 0 Rp - 0 0 Rp -
7 Aminophillin inj. 24 mg/ml ampul Rp 4,204 0 Rp - 0 Rp - 0 0 Rp -
8 Amlodipin tab 5 mg tablet Rp 78 0 Rp - 0 Rp - 0 0 Rp -
9 Amlodipin tab 10 mg tablet Rp 99 0 Rp - 0 Rp - 0 0 Rp -
10 Amoxicillin tab 500 mg tablet Rp 248 0 Rp - 0 Rp - 0 0 Rp -
11 Antasida DOEN susp 60 ml botol Rp 2,290 0 Rp - 0 Rp - 0 0 Rp -
12 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 57 300 Rp 17,100.00 3000 Rp 171,000.00 1440 1860 3300 0 Rp -
13 Antasida DOEN tab kombinasi Mg-Hidroksida 200 mg + Al.Hidroksida 200 tablet Rp 61 0 Rp - 33600 Rp 2,049,600.00 1400 6300 4800 1600 14100 19500 Rp 1,189,500.00
14 Antifungi DOEN kombinasi 30 g pot Rp 5,757 0 Rp - 0 Rp - 0 0 Rp -
15 Antihemoroid DOEN suppo supp Rp 3,800 5 Rp 19,000.00 0 Rp - 5 5 0 Rp -
16 Asam Ascorbat (Vitamin C) tab 50 mg tablet Rp 126 0 Rp - 0 Rp - 0 0 Rp -
17 Asam Folat tab 1 mg tablet Rp 90 0 Rp - 0 Rp - 0 0 Rp -
18 Asiklovir tab 400 mg tablet Rp 440 0 Rp - 0 Rp - 0 0 Rp -
19 Atropin Sulfat inj 0,25 mg/ml ampul Rp 1,540 0 Rp - 0 Rp - 0 0 Rp -
20 Betametason Dipropionate 0,05% tube Rp 3,350 0 Rp - 0 Rp - 0 0 Rp -
21 Cetrizine sir 5 mg/5 ml botol Rp 3,104 0 Rp - 0 Rp - 0 0 Rp -
22 DHP Fermal Kombinasi Dihidroartemisin 40 mg + Piperaquin 320 mg tablet Rp 2,116 0 Rp - 0 Rp - 0 0 Rp -
23 Diazepam tab 2 mg tablet Rp 86 15 Rp 1,290.00 0 Rp - 5 5 10 5 Rp 430.00
24 Diazepam inj 5 mg/ml ampul Rp 2,010 119 Rp 239,190.00 0 Rp - 119 119 0 Rp -
25 Doksisiklin kaps 100 mg kapsul Rp 280 0 Rp - 0 Rp - 0 0 Rp -
26 Eritromisin kaps 250 mg kapsul Rp 711 420 Rp 298,620.00 0 Rp - 60 360 420 0 Rp -
27 Fenobarbital tab 30 mg tablet Rp 205 0 Rp - 0 Rp - 0 0 Rp -
28 Fitomenadion (Vitamin K1) tab salut 10 mg tab salut Rp 855 0 Rp - 0 Rp - 0 0 Rp -
29 Fitomenadion (Vitamin K1) inj 2 mg/ml ampul Rp 4,420 0 Rp - 0 Rp - 0 0 Rp -
30 Furosemid tab 40 mg tablet Rp 82 0 Rp - 0 Rp - 0 0 Rp -
31 Furosemide inj 10 mg/ml ampul Rp 1,555 0 Rp - 0 Rp - 0 0 Rp -
32 Gentamicin salep mata 0,3% tube Rp 3,210 0 Rp - 0 Rp - 0 0 Rp -
33 Glibenklamid tab 5 mg tablet Rp 143 0 Rp - 0 Rp - 0 0 Rp -
34 Glimepirid tab 1 mg tablet Rp 174 0 Rp - 0 Rp - 0 0 Rp -
35 Griseofulvin tab 125 mg tablet Rp 247 0 Rp - 0 Rp - 0 0 Rp -
36 Hidrogen Peroksida (Onemed) 3% botol Rp 3,800 0 Rp - 0 Rp - 0 0 Rp -
37 Hydrokortison krim 2,5 % - 5 g tube Rp 2,648 0 Rp - 0 Rp - 0 0 Rp -
38 Ibuprofen sir 200 mg/5 ml botol Rp 5,509 0 Rp - 0 Rp - 0 0 Rp -
39 Kalsium Glukonat inj 10% ampul Rp 5,363 0 Rp - 0 Rp - 0 0 Rp -
40 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 60 800 Rp 48,000.00 0 Rp - 0 800 Rp 48,000.00
41 Kalsium Laktat (Kalk) tab 500 mg tablet Rp 64 0 Rp - 2000 Rp 128,000.00 600 500 400 500 2000 0 Rp -
42 Kaptopril tab 12,5 mg tablet Rp 68 0 Rp - 0 Rp - 0 0 Rp -
43 Ketokonazole krim 2% - 15 g tube Rp 2,694 0 Rp - 0 Rp - 0 0 Rp -
44 Ketokonazole tab 200 mg tablet Rp 317 0 Rp - 0 Rp - 0 0 Rp -
45 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 27 0 Rp - 0 Rp - 0 0 Rp -
46 Kombinasi Ergotamin 1 mg + Kofein 50 mg tablet Rp 208 0 Rp - 0 Rp - 0 0 Rp -
47 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 129 0 Rp - 0 Rp - 0 0 Rp -
48 Kotrimoxazol tab 480 mg (dewasa) tablet Rp 138 650 Rp 89,700.00 2000 Rp 276,000.00 450 550 350 350 200 1900 750 Rp 103,500.00
49 Kotrimoxazol tab 240 mg sir (anak) botol Rp 2,115 64 Rp 135,360.00 0 Rp - 64 64 0 Rp -
50 Kotrimoxazol susp 60 ml botol Rp 2,257 0 Rp - 0 Rp - 0 0 Rp -
51 KA-EN 3B Larutan mengandung Elektrolit (KA-EN 3B) botol Rp 11,314 0 Rp - 0 Rp - 0 0 Rp -
52 Lidokain inj 2% (infiltr/p.v.) ampul Rp 1,375 0 Rp - 0 Rp - 0 0 Rp -
53 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul Rp 1,380 0 Rp - 0 Rp - 0 0 Rp -
54 Lidokain spray oral 10% botol Rp 156,200 0 Rp - 0 Rp - 0 0 Rp -
55 Loratadin tab 10 mg tablet Rp 150 0 Rp - 0 Rp - 0 0 Rp -
56 Metformin tab 500 mg tablet Rp 110 0 Rp - 0 Rp - 0 0 Rp -
57 Metilergometrin Maleat tab 0.125 mg tablet Rp 271 0 Rp - 0 Rp - 0 0 Rp -
58 Metilergometrin Maleat inj 0.200 mg - 1 ml ampul Rp 3,553 0 Rp - 0 Rp - 0 0 Rp -
59 Metoklopramid tab 5 mg tablet Rp 129 700 Rp 90,300.00 2500 Rp 322,500.00 100 3100 3200 0 Rp -
60 Miconazole krim 2% tube Rp 4,097 0 Rp - 0 Rp - 0 0 Rp -
61 Natrium Diklofenak tab 25 mg tablet Rp 154 0 Rp - 0 Rp - 0 0 Rp -
62 Natrium Diklofenak tab 50 mg tablet Rp 146 0 Rp - 0 Rp - 0 0 Rp -
63 Nistatin tab vaginal 100.000 IU ovula Rp 675 0 Rp - 0 Rp - 0 0 Rp -
64 Nistatin tab vaginal 500.000 IU tablet Rp 950 0 Rp - 0 Rp - 0 0 Rp -
65 Oksitetrasiklin HCl salep mata 1% - 3,5 g tube Rp 2,600 0 Rp - 0 Rp - 0 0 Rp -
66 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 1,287 0 Rp - 0 Rp - 0 0 Rp -
67 Omeprazol kaps 20 mg kapsul Rp 153 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

68 Paracetamol drops 100 mg/mL botol Rp 7,979 0 Rp - 0 Rp - 0 0 Rp -

69 Pirantel Pamoat sir 125 mg/5 ml - 60ml botol Rp 11,600 0 Rp - 0 Rp - 0 0 Rp -
70 Povidone Iodine (Onemed) 30 ml botol Rp 3,480 291 Rp 1,012,680.00 0 Rp - 16 275 291 0 Rp -
71 Povidone Iodine (Onemed) 60 ml botol Rp 4,440 0 Rp - 0 Rp - 0 0 Rp -
72 Prednison tab 5 mg tablet Rp 79 0 Rp - 0 Rp - 0 0 Rp -
73 Retinol (Vit A) softcap 100.000 IU softcap Rp 346 0 Rp - 0 Rp - 0 0 Rp -
74 Retinol (Vit A) softcap 200.000 IU softcap Rp 622 0 Rp - 500 Rp 311,000.00 100 100 400 Rp 248,800.00
75 Ringer Laktat lar inf steril 500 ml botol Rp 7,150 0 Rp - 0 Rp - 0 0 Rp -
76 Rivanol 100 ml botol Rp 6,000 0 Rp - 0 Rp - 0 0 Rp -
77 Salep 2-4 kombinasi Asam Salisilat 2% + Belerang Endap 4% pot Rp 3,143 0 Rp - 0 Rp - 0 0 Rp -
78 Simvastatin tab 10 mg tablet Rp 117 0 Rp - 0 Rp - 0 0 Rp -
79 Simvastatin tab 20 mg tablet Rp 235 0 Rp - 0 Rp - 0 0 Rp -
80 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat 0,25 mg tablet Rp 427 0 Rp - 0 Rp - 0 0 Rp -
81 Thiamin HCl (Vitamin B1) tab 50 mg tablet Rp 92 0 Rp - 0 Rp - 0 0 Rp -
82 ZincPro Zinc sir 10 mg/ml botol Rp 38,054 0 Rp - 0 Rp - 0 0 Rp -
83 Zinc Sulfat sir 20 mg/5 ml botol Rp 3,449 0 Rp - 0 Rp - 0 0 Rp -
84 Zinc dispersible tab 20 mg tablet Rp 631 0 Rp - 0 Rp - 0 0 Rp -
85 Bufacetin (Kloramfenikol) salep kulit tube Rp 3,645 24 Rp 87,480.00 72 Rp 262,440.00 96 96 0 Rp -
86 Combivent UDV Ipratropium Bromide Monohidrate vial Rp 4,550 0 Rp - 0 Rp - 0 0 Rp -
87 Dulcolax (Bisakodil) supp 5 mg supp Rp 6,000 36 Rp 216,000.00 0 Rp - 36 36 0 Rp -
88 Dulcolax (Bisakodil) supp 10 mg supp Rp 5,900 0 Rp - 0 Rp - 0 0 Rp -
89 Harmida (Glibenklamid 2,5 mg) tablet Rp 216 0 Rp - 0 Rp - 0 0 Rp -
90 Pantrin (Pirantel Pamoate) tab 250 mg tablet Rp 1,200 0 Rp - 0 Rp - 0 0 Rp -
BMHP (BAHAN MEDIS HABIS PAKAI) 0 Rp - Rp - 0 0 Rp -
BMHP P. 2015 - 2017 0 Rp - Rp - 0 0 Rp -
1 Alat Suntik 5 ml pcs Rp 1,248 0 Rp - 0 Rp - 0 0 Rp -
2 Alat Suntik 10 ml pcs Rp 1,694 0 Rp - 0 Rp - 0 0 Rp -
3 Alat Suntik 20 ml pcs Rp 2,228 0 Rp - 0 Rp - 0 0 Rp -
4 Alcohol Swab box Rp 11,500 0 Rp - 0 Rp - 0 0 Rp -
5 Autocheck Cholesterol Test btl 10 strip test/strip Rp 58,850 0 Rp - 0 Rp - 0 0 Rp -
6 Autocheck Glukosa Test btl 25 strip test/strip Rp 34,238 0 Rp - 0 Rp - 0 0 Rp -
7 Autocheck Uric Acid Test btl 25 strip test/strip Rp 44,550 0 Rp - 0 Rp - 0 0 Rp -
8 Benang Bedah 2/0 (Chromic Catgut) pcs Rp 2,708 0 Rp - 0 Rp - 0 0 Rp -
9 Benang Bedah 3/0 (Chromic Catgut) pcs Rp 2,708 0 Rp - 0 Rp - 0 0 Rp -
10 Catheter (Folley Cathteter) No. 10 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
11 Catheter (Folley Cathteter) No. 12 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
12 Catheter (Folley Cathteter) No. 14 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
13 Catheter (Folley Cathteter) No. 16 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
14 Catheter (Folley Cathteter) No. 18 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
15 Catheter/Folley Cath (Aximed) 2 - Way No. 14 pcs Rp 13,750 0 Rp - 0 Rp - 0 0 Rp -
16 Catheter/Folley Cateter (Urocare) 2 Way No. 14 pcs Rp 92,000 0 Rp - 0 Rp - 0 0 Rp -
17 Copper T set Rp 124,300 9 Rp 1,118,700.00 0 Rp - 9 9 0 Rp -
18 Elastice Perband 3 inch/Tensocrape BSN roll Rp 96,000 0 Rp - 0 Rp - 0 0 Rp -
19 Elastice Perband 6 inci/Tensocrape BSN roll Rp 86,680 0 Rp - 0 Rp - 0 0 Rp -
20 Feeding Tube 8 FR 40 cm pcs Rp 8,804 0 Rp - 0 Rp - 0 0 Rp -
21 Feeding Tube (Aximed) 40 cm No. 6 pcs Rp 9,213 0 Rp - 0 Rp - 0 0 Rp -
22 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 9,213 0 Rp - 0 Rp - 0 0 Rp -
23 Feeding Tube (Aximed) 40 cm No. 10 pcs Rp 9,213 0 Rp - 0 Rp - 0 0 Rp -
24 GEA Medical Regulator 02 xy/988 pcs Rp 453,200 0 Rp - 0 Rp - 0 0 Rp -
25 Hand Schoen No. 7,5 pcs Rp 9,500 0 Rp - 0 Rp - 0 0 Rp -
26 Hand Schoen No. 8 set Rp 9,500 0 Rp - 0 Rp - 0 0 Rp -
27 Hand Schoen (Chirurgic Gloves No. 6,5) set Rp 9,500 0 Rp - 0 Rp - 0 0 Rp -
28 Hand Schoen (Aximed Exam Gloves size S) pcs Rp 57,750 0 Rp - 0 Rp - 0 0 Rp -
29 Hand Schoen (Aximed Exam Gloves size M) pcs Rp 57,750 0 Rp - 0 Rp - 0 0 Rp -
30 Hypafix 5 cm x 1 m roll Rp 17,610 0 Rp - 0 Rp - 0 0 Rp -
31 Hypafix 5 cm x 5 m roll Rp 92,000 0 Rp - 0 Rp - 0 0 Rp -
32 Infusion Set Anak set Rp 6,375 48 Rp 306,000.00 0 Rp - 20 8 20 48 0 Rp -
33 Infusion Set Dewasa set Rp 6,343 0 Rp - 0 Rp - 0 0 Rp -
34 IV Catheter No. 18 pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
35 IV Catheter (Nipro IV Catheter No. 18 G x 1-1/4") pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
36 IV Catheter (Nipro IV Catheter No. 18 G x 2") pcs Rp 8,975 0 Rp - 0 Rp - 0 0 Rp -
37 IV Catheter (Nipro IV Catheter No. 20 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
38 IV Catheter (Nipro IV Catheter No. 20 G x 1-1/4") pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
39 IV Catheter (Nipro IV Catheter No. 22 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
40 IV Catheter (Nipro IV Catheter No. 24 G x 1") pcs Rp 8,948 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

41 Infuset Nipro "Y" set Rp 6,343 0 Rp - 0 Rp - 0 0 Rp -

42 Jarum Jahit 1/2 Surgical lusin Rp 27,875 0 Rp - 0 Rp - 0 0 Rp -
43 Jarum Jahit 3/8 Surgical lusin Rp 27,875 0 Rp - 0 Rp - 0 0 Rp -
44 Kapas Pembalut 250 g roll Rp 14,375 4 Rp 57,500.00 0 Rp - 4 4 0 Rp -
45 Kapas Pembalut 500 g roll Rp 35,000 0 Rp - 0 Rp - 0 0 Rp -
46 Kasa Hydrofil 36 m x 80 cm roll Rp 282,750 0 Rp - 0 Rp - 0 0 Rp -
47 Kasa Hydrofil 40 m x 80 cm roll Rp 120,750 0 Rp - 0 Rp - 0 0 Rp -
48 Kasa Hydrofil 2 m x 80 cm roll Rp 8,855 0 Rp - 0 Rp - 0 0 Rp -
49 Kasa Hydrofil Steril 16 x 16 roll Rp 9,200 0 Rp - 0 Rp - 0 0 Rp -
50 Kasa Pembalut 4 m x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 0 Rp -
51 Kasa Pembalut Hydrofil 4 m x 5 cm roll Rp 863 0 Rp - 0 Rp - 0 0 Rp -
52 Kasa Pembalut Hydrofil 4 m x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 0 Rp -
53 Kasa Pembalut Hydrofil 4 m x 15 cm roll Rp 2,415 0 Rp - 0 Rp - 0 0 Rp -
54 Kasa Steril 10 cm x 10 cm 8 fly 1 x 10 s box Rp 10,845 50 Rp 542,265.00 0 Rp - 50 50 0 Rp -
55 Kasa Steril 18 cm x 22 cm box Rp 8,625 0 Rp - 0 Rp - 0 0 Rp -
56 Kertas Puyer Blank bungkus Rp 93,500 10 Rp 935,000.00 0 Rp - 0 10 Rp 935,000.00
57 Masker Ear Loop box Rp 18,975 0 Rp - 0 Rp - 0 0 Rp -
58 Mata Pisau Bedah No. 10 pcs Rp 6,561 0 Rp - 0 Rp - 0 0 Rp -
59 Mata Pisau Bedah No. 11 pcs Rp 6,561 0 Rp - 0 Rp - 0 0 Rp -
60 Mata Pisau Bedah No. 15 pcs Rp 6,561 0 Rp - 0 Rp - 0 0 Rp -
61 Mata Pisau Bedah No. 21 pcs Rp 6,561 0 Rp - 0 Rp - 0 0 Rp -
62 Medical Regulator pcs Rp 487,500 0 Rp - 0 Rp - 0 0 Rp -
63 Nasal Oksigen (Aximed) size L pcs Rp 8,250 0 Rp - 0 Rp - 0 0 Rp -
64 Nasal Oksigen (Aximed) size M pcs Rp 8,250 0 Rp - 0 Rp - 0 0 Rp -
65 Nasal Oksigen (Aximed) size S pcs Rp 8,250 0 Rp - 0 Rp - 0 0 Rp -
66 Onejack Autodisable Syringe 0,005 ml pcs Rp 3,795 0 Rp - 0 Rp - 0 0 Rp -
67 Paper Tape 2,5 cm x 9,14 m roll Rp 131,300 0 Rp - 0 Rp - 0 0 Rp -
68 Plester 5 yard x 2 inci roll Rp 44,300 0 Rp - 0 Rp - 0 0 Rp -
69 Plester 7,5 cm x 4,5 m roll Rp 65,000 0 Rp - 0 Rp - 0 0 Rp -
70 Plesterin Non Woven Roll 5 cm x 5 cm roll Rp 27,324 0 Rp - 0 Rp - 0 0 Rp -
71 Plesterin Non Woven Roll 5 cm x 10 cm roll Rp 47,564 20 Rp 951,280.00 0 Rp - 20 20 0 Rp -
72 Plesterin Non Woven Roll 5 cm x 15 cm roll Rp 79,948 0 Rp - 0 Rp - 0 0 Rp -
73 Selang Oksigen pcs Rp 8,250 0 Rp - 0 Rp - 0 0 Rp -
74 Surgical Mask earloop 3 fly box Rp 18,975 0 Rp - 0 Rp - 0 0 Rp -
75 Syringe (Nipro) 3 cc pcs Rp 1,010 0 Rp - 0 Rp - 0 0 Rp -
76 Syringe (Nipro) 5 cc pcs Rp 1,248 0 Rp - 0 Rp - 0 0 Rp -
77 Syringe (Nipro) 10 cc pcs Rp 1,655 0 Rp - 0 Rp - 0 0 Rp -
78 Test Kehamilan pcs Rp 2,365 0 Rp - 0 Rp - 0 0 Rp -
79 Tullegrass (Cutical Classic) 5 cm x 5 cm pcs Rp 17,150 0 Rp - 0 Rp - 0 0 Rp -
BMHP P. 2018 0 Rp - Rp - 0 0 Rp -
1 Alcohol Swab box Rp 11,500 0 Rp - 0 Rp - 0 0 Rp -
2 Feeding Tube (Aximed) 40 cm No. 6 pcs Rp 8,107 0 Rp - 0 Rp - 0 0 Rp -
3 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 8,804 24 Rp 211,305.60 0 Rp - 24 24 0 Rp -
4 Feeding Tube (Aximed) 40 cm No. 8 pcs Rp 8,107 20 Rp 162,140.00 0 Rp - 0 20 Rp 162,140.00
5 Feeding Tube (Aximed) 40 cm No. 10 pcs Rp 8,107 0 Rp - 0 Rp - 0 0 Rp -
6 Folley Catheter (Aximed Folley Cath 2 Way No. 14) pcs Rp 12,100 130 Rp 1,573,000.00 0 Rp - 50 50 80 Rp 968,000.00
7 Kapas Pembalut 250 g roll Rp 14,375 0 Rp - 10 Rp 143,750.00 1 2 3 7 Rp 100,625.00
8 Kasa Hydrofil 40 cm x 80 cm roll Rp 120,750 0 Rp - 10 Rp 1,207,500.00 5 5 5 Rp 603,750.00
9 Kasa Hydrofil Steril 16 x 16 bungkus Rp 9,200 154 Rp 1,416,800.00 100 Rp 920,000.00 36 48 65 48 28 225 29 Rp 266,800.00
10 Kasa Hydrofil Steril 18 cm x 22 cm roll Rp 8,625 176 Rp 1,518,000.00 0 Rp - 18 6 30 28 22 13 117 59 Rp 508,875.00
11 Kasa Pembalut 2 m x 80 cm roll Rp 8,855 123 Rp 1,089,165.00 0 Rp - 15 23 25 9 72 51 Rp 451,605.00
12 Kasa Pembalut Hydrofil 4 m x 5 cm roll Rp 863 416 Rp 358,800.00 0 Rp - 106 10 116 300 Rp 258,750.00
13 Kasa Pembalut Hydrofil 4 m x 10 cm roll Rp 1,725 40 Rp 69,000.00 0 Rp - 10 30 40 0 Rp -
14 Kasa Pembalut Hydrofil 4 m x 15 cm roll Rp 2,415 150 Rp 362,250.00 0 Rp - 10 10 140 Rp 338,100.00
15 Kasa Steril 10 x 10 cm 8 fly, 1 x 10 s kotak Rp 10,845 100 Rp 1,084,530.00 100 Rp 1,084,530.00 2 12 161 175 25 Rp 271,132.50
16 Kasa Kompres Steril 40 cm x 40 cm bungkus Rp 1,840 53 Rp 97,520.00 0 Rp - 1 5 1 2 9 44 Rp 80,960.00
17 Plesterin Non Woven Roll 5 cm x 5 cm roll Rp 27,324 110 Rp 3,005,640.00 0 Rp - 15 1 3 19 91 Rp 2,486,484.00
18 Plesterin Non Woven Roll 5 cm x 10 cm roll Rp 47,564 30 Rp 1,426,920.00 0 Rp - 24 6 30 0 Rp -
19 Plesterin Non Woven Roll 5 cm x 15 cm roll Rp 79,948 70 Rp 5,596,360.00 0 Rp - 18 1 16 35 35 Rp 2,798,180.00
20 Surgical Mask Earloop box Rp 18,975 0 Rp - 0 Rp - 0 0 Rp -
21 Urine Bag Steril pcs Rp 3,450 33 Rp 113,850.00 20 Rp 69,000.00 1 1 1 20 23 30 Rp 103,500.00
22 Aximed Folley Cath. 2 way latex folley cath no.14 Rp 12,100 50 0 50
BMHP P. 2019 0 Rp - Rp - 0 0 Rp -
1 Alcohol Swab (Onemed) box Rp 11,500 24 Rp 276,000.00 0 Rp - 5 11 8 24 0 Rp -
2 Anios Dermanios Chlorhexidin 500 ml botol Rp 112,414 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

3 Disposible Syringe (Onionex) 1 ml Pcs Rp 821 0 Rp - 0 Rp - 0 0 Rp -

4 Disposible Syringe (Onionex) 1 ml Pcs Rp 821 0 Rp - 0 Rp - 0 0 Rp -
5 Disposible Syringe (Onionex) 2,5 ml Pcs Rp 865 0 Rp - 0 Rp - 0 0 Rp -
6 Disposible Syringe (Onionex) 3 ml Pcs Rp 865 0 Rp - 0 Rp - 0 0 Rp -
7 E.W.G Surgical Gloves 7 Pcs Rp 5,383 0 Rp - 0 Rp - 0 0 Rp -
8 E.W.G Surgical Gloves 7.5 Pcs Rp 5,383 0 Rp - 0 Rp - 0 0 Rp -
9 E.W.G Surgical Gloves 8 Pcs Rp 5,383 0 Rp - 0 Rp - 0 0 Rp -
10 Infusion Set for Pediatric (Onionex) Pcs Rp 3,556 0 Rp - 0 Rp - 0 0 Rp -
11 Kasa Pembalut Hydrofil (Onemed) 4 yard x 5 cm roll Rp 863 0 Rp - 0 Rp - 0 0 Rp -
12 Kasa Pembalut Hydrofil (Onemed) 4 yard x 10 cm roll Rp 1,725 0 Rp - 0 Rp - 0 0 Rp -
13 Masker N95 (Onemed) box Rp 7,489 29 Rp 217,175.20 0 Rp - 1 5 9 15 14 Rp 104,843.20
14 Mf Cath Pro IV Catheter (MF Cath Medifirst) 24G pcs Rp 9,461 0 Rp - 0 Rp - 0 0 Rp -
15 Mf Cath Pro IV Catheter (MF Cath Medifirst) 18G pcs Rp 9,461 0 Rp - 0 Rp - 0 0 Rp -
16 Nasal Oxigen Canula (Cosmomed) pcs Rp 8,004 0 Rp - 0 0 Rp -
17 Oxygen Mask Anak (Ekomed) pcs Rp 10,560 0 Rp - 0 Rp - 0 0 Rp -
18 Oxygen Mask Dewasa dan Anak (Ekomed) pcs Rp 10,560 53 Rp 559,674.70 50 Rp 527,995.00 10 9 15 10 5 49 54 Rp 570,234.60
19 Plesterin Non Woven Roll (Onemed) 5 cm x 5 cm roll Rp 27,324 0 Rp - 0 Rp - 0 0 Rp -
20 Plesterin Non Woven Roll (Onemed) 5 cm x 15 cm roll Rp 79,948 0 Rp - 0 Rp - 0 0 Rp -
21 Silk 2/0 + Jarum 1/2 GT (Onemed) 35 mm box Rp 3,514 0 Rp - 0 Rp - 0 0 Rp -
22 Superlife Nitrille M box Rp 65,780 0 Rp - 0 Rp - 0 0 Rp -
23 Superlife Nitrille L box Rp 65,780 0 Rp - 0 Rp - 0 0 Rp -
24 Surgical Suture + Needle Silk Black Braided 3/0 75 cm Pcs Rp 4,661 0 Rp - 0 Rp - 0 0 Rp -
25 Surgical Suture + Needle Catgut Cromic 2/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 0 Rp -
26 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM dus Rp 215,045 0 Rp - 3 Rp 645,135.00 0 3 Rp 645,135.00
27 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 0 Rp -
28 Surgical Suture + Needle Catgut Cromic 3/0 75 cm Pcs Rp 8,960 0 Rp - 0 Rp - 0 0 Rp -
29 Benang Bedah No. 2/0 (Cromic Catgut) PLAIN Pcs Rp 215,045 0 Rp - 0 Rp - 0 0 Rp -
30 Silk (Benang Bedah Sultra) No. 3/0 Pcs Rp 4,661 0 Rp - 0 Rp - 0 0 Rp -
31 KERTAS PUYER BLANK Bungkus Rp 156,750 10 0 10
BHP/REAGENT LAB. P. 2015 - 2017 0 Rp - Rp - 0 0 Rp -
1 Larutan Spiritus botol Rp 52,965 6 Rp 317,790.00 0 Rp - 2 2 4 Rp 211,860.00
OBAT TAMBAHAHAN 0 Rp - Rp - 0 0 Rp -
1 Amoxicillin sir forte 250 mg/5 ml (.a) botol Rp 3,740 0 Rp - 0 Rp - 0 0 Rp -
2 Air untuk injeksi (2020) kapsul Rp 2,860 0 Rp - 0 Rp - 0 0 Rp -
3 Kloramfenikol salap mata 1% (.a) tube Rp 1,850 0 Rp - 0 Rp - 0 0 Rp -
4 Ambroxol 30 mg tab (2020) tablet Rp 197 0 Rp - 0 Rp - 0 0 Rp -
5 Amlodipine 10 mg (2020) tablet Rp 106 0 Rp - 0 Rp - 0 0 Rp -
6 Amlodipine 5 mg (2020) tablet Rp 83 0 Rp - 0 Rp - 0 0 Rp -
7 Allopurinol tab 100 mg (.c) tablet Rp 108 200 Rp 21,600.00 500 Rp 54,000.00 200 150 350 700 0 Rp -
8 Amoxicillin tab 500 mg (.c) tablet Rp 265 0 Rp - 0 Rp - 0 0 Rp -
9 Amoxicillin tab 500 mg (2020) tablet Rp 269 0 Rp - 0 Rp - 0 0 Rp -
10 Aciclovir tab 200 mg (.c) tablet Rp 236 0 Rp - 0 Rp - 0 0 Rp -
11 Domperidon tab 10 mg (.c) (2019) tablet Rp 90 770 Rp 69,300.00 0 Rp - 20 20 750 Rp 67,500.00
12 Bedak salicyl 2% (2020) pot Rp 6,426 0 Rp - 24 Rp 154,228.80 5 2 1 1 9 15 Rp 96,393.00
13 Betamethasone krim 0,005 (2020) tube Rp 3,350 0 Rp - 0 Rp - 0 0 Rp -
14 katopril 25 mg (2020) tablet Rp 181 0 Rp - 0 Rp - 0 0 Rp -
15 Metilprednisolon tab 4 mg (.c) tablet Rp 143 0 Rp - 0 Rp - 0 0 Rp -
16 Salbutamol tab 2 mg (.c) tablet Rp 64 0 Rp - 0 Rp - 0 0 Rp -
17 Dexamethasone 0,5 mg (2020) tablet Rp 136 0 Rp - 0 Rp - 0 0 Rp -
18 Dexamethasone inj 5 mg/ml (2020) ampul Rp 1,278 37 Rp 47,286.00 0 Rp - 7 30 37 0 Rp -
19 Glukosa Larutan Infus 5 mg botol Rp 7,363 0 Rp - 0 Rp - 0 0 Rp -
20 Ketokonazole tab 200 mg tablet Rp 2,694 0 Rp - 0 Rp - 0 0 Rp -
21 Aciclovir salep tube Rp 10,000 0 Rp - 0 Rp - 0 0 Rp -
22 Nexa (Asam Traneksamat) tab 500 mg tablet Rp 700 0 Rp - 0 Rp - 0 0 Rp -
23 Antidia (Loperamide) tablet Rp 300 0 Rp - 0 Rp - 0 0 Rp -
24 Metolon Syr (Metoclorpramide Syr) botol Rp 8,000 0 Rp - 0 Rp - 0 0 Rp -
25 Amitritiline HCl Tab 25 mg tablet Rp 167 0 Rp - 0 Rp - 0 0 Rp -
26 Alkohol 70% 100 ml botol Rp 2,832 0 Rp - 0 Rp - 0 0 Rp -
27 Salbutamol Tab 2 mg tablet Rp 84 0 Rp - 0 Rp - 0 0 Rp -
28 Ringer Laktat (2020) botol Rp 7,630 0 Rp - 0 Rp - 0 0 Rp -
29 Mefinal (asam mefenamat) tablet Rp 1,706 0 Rp - 0 Rp - 0 0 Rp -
30 Salbutamol 2 mg (2020) tablet Rp 113 220 Rp 24,921.16 0 Rp - 220 220 0 Rp -
31 Metilprednisolon tab 4 mg (2020) tablet Rp 153 0 Rp - 0 Rp - 0 0 Rp -
32 Paracetamol (2020) tablet Rp 274 0 Rp - 0 Rp - 0 0 Rp -
33 Piroxicam (2020) tablet Rp 146 0 Rp - 0 Rp - 0 0 Rp -
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

34 Salbutamol 4 mg (2020) tablet Rp 119 500 Rp 59,367.00 0 Rp - 500 500 0 Rp -

35 Vitamin B Com (2020) tablet Rp 150 0 Rp - 0 Rp - 0 0 Rp -
36 Lidokain inj 2% (infiltr/p.v.) ampul Rp 1,467 0 Rp - 0 Rp - 0 0 Rp -
37 Lidokain inj 2%+Epinefrin 1 : 80.000 inj 2 ml ampul Rp 1,473 0 Rp - 0 Rp - 0 0 Rp -
38 Paracetamol Syr 100 mg/mL botol Rp 5,041 0 Rp - 0 Rp - 0 0 Rp -
39 Meviton (2020) tablet Rp 2,007 0 Rp - 500 Rp 1,003,674.54 200 300 500 0 Rp -
40 IM Boost (2020) tablet Rp 4,014 150 Rp 602,039.74 100 Rp 401,359.82 170 170 80 Rp 321,087.86
41 Propepsa Syr (2020) botol Rp 73,473 0 Rp - 0 Rp - 0 0 Rp -
42 Neurosanbe (2020) tablet Rp 3,267 0 Rp - 0 Rp - 0 0 Rp -
43 Neurosanbe Inj. 3 ml (2020) tablet Rp 6,979 0 Rp - 0 Rp - 0 0 Rp -
44 Vocefa Syr (2020) botol Rp 57,697 0 Rp - 0 Rp - 0 0 Rp -
45 Sanmol (2020) tablet Rp 368 0 Rp - 0 Rp - 0 0 Rp -
46 Alkohol 70% 1000 ml botol Rp 34,375 0 Rp - 0 Rp - 0 0 Rp -
47 Antasida suspensi botol Rp 2,290 0 Rp - 50 Rp 114,500.00 3 25 22 50 0 Rp -
48 Ambroxol 15 mg/ml syr 60 ml (2020) botol Rp 4,960 0 Rp - 0 Rp - 0 0 Rp -
49 Promuxol (2020) botol Rp 32,054 0 Rp - 60 Rp 1,923,230.13 48 12 60 0 Rp -
50 Larutan mengandung elektrolit KA-EN 3A (2020) botol Rp 11,314 20 Rp 226,280.00 0 Rp - 0 20 Rp 226,280.00
51 Larutan mengandung elektrolit KA-EN 3B (2020) botol Rp 11,314 20 Rp 226,280.00 0 Rp - 0 20 Rp 226,280.00
52 Metilergometrin 0,125 mg (2020) Tablet Rp 271 1000 Rp 271,000.00 0 Rp - 1000 1000 0 Rp -
53 Omeprazol kaps 20 mg kapsul Rp 660 0 Rp - 0 Rp - 0 0 Rp -
54 My Jelly 82 gr (2020) Pcs Rp 36,938 0 Rp - 0 Rp - 0 0 Rp -
55 Ibu Propen SYR (2020) botol Rp 5,709 0 Rp - 0 Rp - 0 0 Rp -
56 Thiamin (Vit. B1) 2020 Tablet Rp 98 0 Rp - 0 Rp - 0 0 Rp -
57 Pirofel (Piroxicam 10 gr) 2020 Tablet Rp 686 300 Rp 205,702.01 0 Rp - 100 200 300 0 Rp -
58 Versyl Tab 50's 2020 Tablet Rp 2,564 0 Rp - 0 Rp - 0 0 Rp -
59 ceterizin 10 mg (2021) Tablet Rp 407 900 830 70 900 0
60 metilprednisolon 4 mg (2020) Tablet Rp 153 0 0 0
61 miconazole krim 2% (2020) Tablet Rp 4,097 0 0 0
62 Omeprazole injeksi 40 mg (2021) ampul Rp 5,397 5 Rp 26,985.00 Rp - 2 1 3 2 Rp 10,794.00
63 DIFENHIDRAMIN INJEKSI ampul Rp 1,316 30 Rp 39,480.00 Rp - 30 30 0 Rp -
OBAT TAMBAHAN 2021 0 0
1 amoksicillin 500 mg (2021) tablet Rp 241 6200 600 1400 1000 860 1260 5120 1080
2 amlodipin 10 mg (2021) tablet Rp 76 3600 400 700 500 600 400 2600 1000
3 Asam Mefenamat 500 MG (2021) tablet Rp 128 3000 420 750 760 700 370 3000 0
4 Allopurinol 300 MG (2021) tablet Rp 210 300 150 50 200 100
5 Chloramfenicol Suspensi 125 MG/5 ML (2021) tablet Rp 5,554 20 3 10 13 7
6 Glibenklamid 5 MG (2021) tablet Rp 96 1500 200 170 100 280 70 820 680
7 Ibuprofen Suspensi 200 MG/ 5 ML (2021) botol Rp 3,520 100 , 21 29 50 50
8 Ketokonazol 200 MG (2021) Botol Rp 270 500 50 50 20 120 380
9 Loperamid Tablet Salut Selaput 2 MG (2021) tablet Rp 83 1300 200 100 80 220 250 850 450
10 Metformin Hydrochloride 500 MG (2021) Tablet Rp 86 1800 200 200 500 180 1080 720
11 Oksitetrasiklin Salep Mata 1% (2021) Tablet Rp 3,850 75 5 3 11 56 75 0
12 Salep 2-4 Kombinasi 30 Gram (2021) Tablet Rp 2,539 50 10 5 9 6 3 33 17
13 Simvastatin 20 mg (2021) tablet Rp 165 2500 250 400 400 500 350 1900 600
14 Simvastatin Salut Selaput 10 MG (2021) Kaplet Rp 73 1500 100 100 120 470 790 710
15 Cataflam 50mg (2021) Botol Rp 7,073 550 90 110 100 130 430 120
16 Obat Batuk Hitam (2021) Botol Rp 5,390 95 20 30 5 8 10 73 22
17 Pehacain Injeksi (2021) Vial Rp 3,300 20 1 4 6 7 18 2
18 Reco Tetes Mata (2021) Tablet Rp 8,800 25 5 5 20
19 ceterizin hydrochloride sirup 5mg/5ml (2021) Botol Rp 2,278 80 10 8 8 12 38 42
20 Parcetamol sirup 120mg/5ml (2021) Ampul Rp 1,160 225 43 120 163 62
21 Prednison 5mg (2021) Botol Rp 78 500 200 300 500 0
22 Ranitidin Hydrochloride 150 mg (2021) Kaplet Rp 95 1000 200 300 200 700 300
23 Ambroxol 30 mg (2021) Tablet Rp 187 2500 500 730 390 370 210 2200 300
24 Ambroxol sirup 15 mg/5ml Botol Rp 3,300 45 5 10 11 26 19
25 Caviplex Tablet Rp 847 1200 500 200 400 100 1200 0
26 Curvipleks Sirup Multivitamin Anak Tablet Rp 7,700 38 6 6 13 13 38 0
27 Nellco Plus Berdahak botol Rp 30,800 35 10 5 1 16 19
28 Neurosanbe Injeksi 3 ml vial Rp 6,820 40 10 2 6 3 21 19
29 Sanmol 500 mg tablet Rp 308 1100 300 200 600 1100 0
30 MAGNESIUM SULFATE INJ 20% @ 25 ML tablet Rp 4,300 35 0 35
31 FITOMENADION (VITAMIN K1) INJ 2 MG/ML tablet Rp 1,595 60 30 30 30
32 MAGNESIUM SULFATE INJ 40% @ 25 ML tablet Rp 4,900 44 5 5 39
33 Mefinal (asam mefenamat) 500 mg Rp 1,573 1000 20 720 20 760 240
34 DICLOFENAC SODIUM/ NATRIUM DIKLOFENAK 50 MG Rp 118 2000 1100 400 1500 500
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

35 DOMPERIDON SUSPENSI 5 MG/ML Rp 2,465 100 8 5 16 29 71

36 METILPREDNISOLON 4 MG Rp 115 1000 1000 1000 0
37 ASAM TRANEXAMAT 500 MG Rp 1,485 1000 200 200 800
38 LANSOPRAZOLE Rp 1,045 700 60 200 260 440
39 Bisakodil (suppu 10 mg) Rp 5,900 25 0 25
40 AMOKSISILLIN SIRUP KERING 250 MG/5 ML Rp 3,510 100 23 23 77
41 Bisakodil (suppu 5 mg) Rp 231 100 0 100
42 KALSIUM LAKTAT 500 MG Rp 500 600 260 260 340
43 LORATADINE 10 MG Rp 121 1000 50 50 950
OBAT DAU 2020 Rp - Rp - 0 Rp -
1 MetronidazolSuspensi 125 mg/ML/Omenizole botol Rp 11,200 22 Rp 246,400.00 20 Rp 224,000.00 48 0 42 Rp 470,400.00
2 Amoxicicilin Syr botol Rp 4,375 0 Rp - 0 Rp - 80 0 0 Rp -
3 Asam Mefenamat 500 mg tablet Rp 263 0 Rp - 0 Rp - 500 0 0 Rp -
4 Allopurinol 300 mg tablet Rp 531 1020 Rp 541,875.00 0 Rp - 480 1020 1020 0 Rp -
5 Caviplex tablet Rp 806 0 Rp - 0 Rp - 500 0 0 Rp -
6 Cefadroxil Syr 250 mg botol Rp 25,450 37 Rp 941,650.00 0 Rp - 63 37 37 0 Rp -
7 Cefixim 100 mg tablet Rp 2,208 0 Rp - 0 Rp - 100 0 0 Rp -
8 Ciprofloxasin tablet Rp 454 370 Rp 167,887.50 0 Rp - 930 50 270 50 370 0 Rp -
9 CTM tablet Rp 50 0 Rp - 0 Rp - 800 0 0 Rp -
10 CTM (Dehista) tablet Rp 228 0 Rp - 0 Rp - 1000 0 0 Rp -
11 Flukadex tablet Rp 698 0 Rp - 2000 Rp 1,396,380.00 700 520 1480 2000 0 Rp -
12 Ibuprofen 400 mg tablet Rp 300 0 Rp - 0 Rp - 1000 0 0 Rp -
13 Meloxicam 15 mg tablet Rp 485 200 Rp 97,000.00 400 Rp 194,000.00 300 200 60 340 600 0 Rp -
14 Metformin tablet Rp 213 0 Rp - 0 Rp - 500 0 0 Rp -
15 Metampiron/Metamizole Tab tablet Rp 213 100 Rp 21,250.00 0 Rp - 100 0 100 Rp 21,250.00
16 Natrium Diklofenak 25 mg tablet Rp 238 0 Rp - 0 Rp - 500 0 0 Rp -
17 Natrium Diklofenak 50 mg tablet Rp 200 0 Rp - 0 Rp - 700 0 0 Rp -
18 Oksitosin Inj ampul Rp 5,029 0 Rp - 0 Rp - 80 0 0 Rp -
19 Piracetam kapl 800 mg tablet Rp 1,240 900 Rp 1,116,000.00 1000 Rp 1,240,000.00 100 0 1900 Rp 2,356,000.00
20 Prednison tablet Rp 131 0 Rp - 0 Rp - 2200 0 0 Rp -
21 Ranitidin tab 150 mg tablet Rp 138 0 Rp - 0 Rp - 1100 0 0 Rp -
22 Zinc sulfat 20 mg tablet Rp 734 100 Rp 73,350.00 0 Rp - 1000 100 100 0 Rp -
23 Intunal tablet Rp 819 300 Rp 245,700.00 2000 Rp 1,638,000.00 1700 424 300 400 156 320 100 1700 600 Rp 491,400.00
24 Infalgin (Metampiron) tablet Rp 364 1000 Rp 364,000.00 1000 Rp 364,000.00 100 100 500 100 700 1300 Rp 473,200.00
25 Caviplex kaplet tablet Rp 806 0 Rp - 0 Rp - 900 0 0 Rp -
26 Camivit E 200 IU tablet Rp 1,625 60 Rp 97,500.00 0 Rp - 40 20 20 40 20 Rp 32,500.00
27 Loratadin tablet Rp 175 200 Rp 35,000.00 0 Rp - 200 50 150 200 0 Rp -
28 Mata Pisau Bedah No. 11 pcs Rp 1,114 4 Rp 4,455.00 0 Rp - 36 4 4 0 Rp -
29 Mata Pisau Bedah No. 15 pcs Rp 1,114 136 Rp 151,470.00 0 Rp - 84 10 5 5 32 10 62 74 Rp 82,417.50
30 Mata Pisau Bedah No. 21 pcs Rp 1,114 114 Rp 126,967.50 100 Rp 111,375.00 26 10 10 7 5 92 124 90 Rp 100,237.50
31 Spoit 3 ml pcs Rp 1,114 30 15 15 30 0
32 Spoit 5 ml pcs Rp 1,262 29 Rp 36,605.25 160 Rp 201,960.00 126 29 20 10 18 35 112 77 Rp 97,193.25
33 Spoit 10 ml pcs Rp 2,228 50 Rp 111,375.00 0 Rp - 70 1 3 2 3 1 10 40 Rp 89,100.00
34 Hanscoen Non Steril S box Rp - 0 Rp - 0 Rp - 0 0 0 Rp -
35 Hanscoen Non Steril S box Rp 200,475 0 Rp - 0 Rp - 2 0 0 Rp -
36 Hanscoen Non Steril M box Rp 200,475 0 Rp - 0 Rp - 3 0 0 Rp -
37 Hanscoen Non Steril L box Rp 200,475 0 Rp - 0 Rp - 2 0 0 Rp -
38 nurse cap pcs Rp 1,114 0 Rp - 0 Rp - 10 0 0 Rp -
39 Hanscoen Obsgyn pcs Rp 96,525 0 Rp - 0 Rp - 3 0 0 Rp -
40 Masker 3 Fly earloop box Rp 133,650 0 Rp - 0 Rp - 30 0 0 Rp -
41 sianokobalamin (Vit. B12) tablet Rp 121 0 Rp - 0 Rp - 250 0 0 Rp -
42 Gludepatic (Metformin) box Rp 354 0 Rp - 0 Rp - 900 0 0 Rp -
43 FARGETIX (Asam Mefenamat) box Rp 338 0 Rp - 0 Rp - 300 0 0 Rp -
44 Amlodipin 5 mg tablet Rp 197 0 Rp - 2700 Rp 531,000.00 1100 290 440 800 390 330 2250 450 Rp 88,500.00
45 Infuset dewasa pcs Rp 7,425 100 35 35 65
46 Omeprazole 20 mg Kapsul Rp 388 450 90 360 450 0
47 Grateos (natrium diklifenak) 2020 tablet Rp 279 1000 300 200 200 300 1000 0
48 Eltazon 5 mg (prednison) Tablet Rp 190 400 100 300 400 0
49 Floxigra (ciprofloxacin 500 mg) Tablet Rp 598 1000 630 630 370
50 Comvit C Tablet Rp 1,182 1000 100 250 160 490 1000 0
51 Lokev (omeprazol 20 mg) Kapsul Rp 828 1300 200 500 600 1300 0
52 IV CATHETER 22 pcs Rp 7,425 50 0 50
53 IV CATHETER 20 pcs Rp 7,425 25 25 25 0
54 Epinefrin injeksi Ampul Rp 7,947 30 1 1 29
55 Ceterizin tab Tablet Rp 119 3000 730 570 1070 2370 630
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

56 omelegar (Loratadine) tablet Rp 273 100 Rp 27,300.00 Rp - 100 0 100 Rp 27,300.00

57 Trimabion tablet Rp 455 2300 Rp 1,046,500.00 Rp - 1700 800 1500 2300 0 Rp -
58 SURGICAL SUTURE+NEEDLE SILK BLACK BRAIDED 3/0 75 CM dus Rp 167,814 3 Rp 503,441.10 Rp - 0 1 1 2 Rp 335,627.40
59 RAMVIT C ( Vitamin C 500 mg) tablet Rp 858 880 Rp 755,040.00 Rp - 120 80 100 700 880 0 Rp -
BHP TAMBAHAN Rp - 0 0 0 Rp -
Blood Lanset No. 26 kotak Rp 16,800 6 Rp 100,800.00 5 Rp 84,000.00 6 1 1 1 1 1 5 6 Rp 100,800.00
2 Kapas Pembalut 250 mg (.a) roll Rp 14,375 0 Rp - 0 Rp - 0 0 0 Rp -
3 Kasa Kompres Steril 40 x 40 (.a) pcs Rp 1,840 0 Rp - 0 Rp - 0 0 0 Rp -
4 Kertas Puyer Blank (.a) bungkus Rp 93,500 22 Rp 2,057,000.00 0 Rp - 0 0 22 Rp 2,057,000.00
5 Examination Gloves size L (.a) bungkus Rp 57,750 0 Rp - 0 Rp - 0 0 0 Rp -
6 Aximed FolleyCath 2-Way No. 14 (.a) pcs Rp 13,750 0 Rp - 0 Rp - 0 0 0 Rp -
7 Regulator (Gea Medical) 02 XY-988 (.b) pcs Rp 453,200 0 Rp - 0 Rp - 5 0 0 Rp -
8 Autocheck Cholesterol Test btl 25 strip (.c) kotak Rp 367,813 0 Rp - 0 Rp - 0 0 0 Rp -
9 Autocheck Glukosa Test btl 50 strip (.c) kotak Rp 136,950 2 Rp 273,900.00 0 Rp - 10 2 2 0 Rp -
10 Autocheck Uric Acid Test btl 50 strip (.c) kotak Rp 178,200 0 Rp - 0 Rp - 7 0 0 Rp -
11 IV-CATH NP, PEN TYPE, NO. 20 (2020) pcs Rp 7,846 0 Rp - 0 Rp - 135 0 0 Rp -
12 IV-CATH NP, PEN TYPE, NO. 22 (2020) pcs Rp 7,799 0 Rp - 0 Rp - 143 0 0 Rp -
13 IV-CATH NP, PEN TYPE, NO. 24 (2020) pcs Rp 7,799 4 Rp 31,195.00 160 Rp 1,247,800.00 121 30 14 20 5 25 94 70 Rp 545,912.50
14 IV-CATH NP, PEN TYPE, NO. 26 pcs Rp 10,069 35 2 2 33
15 Autocheck Cholesterol Test btl 25 strip (2020) kotak Rp 385,235 0 Rp - 0 Rp - 9 0 0 Rp -
16 Union Auto Destruch Syringe 0,5 ml (2019) pcs Rp 1,386 53 Rp 73,442.63 0 Rp - 5 53 53 0 Rp -
17 Onescraub 2% 500 ml + Dispenser botol Rp 68,775 1 Rp 68,775.00 22 Rp 1,513,050.00 9 4 2 4 5 3 1 19 4 Rp 275,100.00
18 Autocheck Uric Acid Test btl 50 strip (2020) kotak Rp 195,485 0 Rp - 0 Rp - 11 0 0 Rp -
19 Autocheck Glukosa Tube @50 strip (2020) kotak Rp 154,235 15 Rp 2,313,525.00 0 Rp - 1 15 15 0 Rp -
20 Pewarna Ziehl Neelsen 5x100 ml kit Rp 237,045 0 Rp - 0 Rp - 3 0 0 Rp -
21 Plesterin first aid elastis box isi 100 (2020) pcs Rp 23,033 0 Rp - 0 Rp - 2 0 0 Rp -
22 Pot Dahak Steril Pot Rp 3,856 40 Rp 154,240.00 0 Rp - 0 20 20 20 Rp 77,120.00
23 Surgical Gloves 7,0 pcs Rp 9,840 0 Rp - 0 Rp - 350 0 0 Rp -
24 Surgical Gloves 7,5 pcs Rp 9,840 0 Rp - 0 Rp - 200 0 0 Rp -
25 Surgical Gloves 8,0 pcs Rp 9,840 0 Rp - 0 Rp - 300 0 0 Rp -
26 Tes Kehamilan (Ultraone) (2020) pcs Rp 2,280 0 Rp - 0 Rp - 500 0 0 Rp -
27 First Respose Malaria Antigen Combo Card Tes (2020) pcs Rp 440,850 5 Rp 2,204,250.00 0 Rp - 1 5 5 0 Rp -
28 Safewell Infusion Set pcs Rp 16,531 0 Rp - 0 Rp - 180 0 0 Rp -
29 Syringe (Nipro) 1 cc pcs Rp 1,100 0 Rp - 200 Rp 220,090.00 394 52 37 28 30 147 53 Rp 58,323.85
30 Disposible Syringe 2,5 ml pcs Rp 780 0 Rp - 200 Rp 156,000.00 400 21 90 6 5 122 78 Rp 60,840.00
31 Syringe (Nipro) 3 cc pcs Rp 1,110 0 Rp - 0 Rp - 204 0 0 Rp -
32 Infus Set Anak Tipe Y pcs Rp 7,439 160 Rp 1,190,208.00 0 Rp - 30 15 15 145 Rp 1,078,626.00
33 Alkohol swab 2 ply (2021) box Rp 15,750 Rp - 43 3 10 5 10 28 15
34 Cholesterol test strip 25 strip/box BOX Rp 383,500 Rp - 12 1 1 5 7 5
35 GLUKOSA TEST STRIP 50 STRIP/BOX box Rp 139,500 Rp - 3 1 2 3 0
36 IODIUM TEST BOX Rp 88,000 Rp - 100 10 8 18 82
37 URIC ACID TEST STRIP 50 STRIP/BOX BOX Rp 200,803 Rp - 10 1 1 2 4 6
38 FACE MASK EAR LOOP BOX Rp 68,750 Rp - 12 5 7 12 0
39 FACE MASK TIES ON BOX Rp 68,750 Rp - 25 10 5 5 5 25 0
SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, Rp 132,825 4 1 1 2 1
40 BOX Rp - 11 9 2
SIZE M
SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, Rp 132,825 3 2 1 1 2 2
41 BOX Rp - 11 11 0
SIZE L

42 SARUNG TANGAN LATEX EXAMINATION GLOVES POWDER FREE, SIZE 8 BOX Rp 7,590 Rp - 400 149 1 50 100 100 400 0

43 SD BIOLINE HIV 1/2/ 3.0 (MD) BOX Rp 1,143,270 Rp - 3 1 2 3 0

44 SPOIT SYRINGES 3 ML BOX Rp 1,114 Rp - 0 0 0
45 SPOIT SYRINGES 3 ML PCS Rp 1,100 Rp - 250 3 10 82 25 95 215 35
46 Ultraone test hamil pcs Rp 2,280 Rp - 100 2 10 43 34 11 100 0
47 CHLODINE HANDRUB 0,5% 5 L jerigen Rp 395,250 Rp - 15 8 1 3 12 3
48 CATHETER IV PEN TYPE NO. 22 Rp 8,663 Rp - 50 40 40 10
49 CATHETER IV PEN TYPE NO. 20 pcs Rp 8,663 Rp - 50 21 21 29
50 MASKER N95 5 PLY pcs Rp 20,638 40 0 40
51 HANDSCOEN OBGYN PANJANG pcs Rp 79,200 10 10 10 0
33 SILK 2/0 + JARUM 1/2 GT 35 MM (2019) dus Rp 126,500 0 Rp - 5 Rp 632,500.00 5 1 4 5 0 Rp -
259 IV CATHETER 20 (DAU) pcs Rp 7,425 99 Rp 735,075.00 200 Rp 1,485,000.00 101 40 259 299 0 Rp -
35 IV CATHETER 22 (DAU) Pcs Rp 7,425 71 Rp 527,175.00 100 Rp 742,500.00 29 20 22 129 171 0 Rp -
36 INFUSET DEWASA (DAU) pcs Rp 7,425 55 Rp 408,375.00 160 Rp 1,188,000.00 105 215 215 0 Rp -
37 SD BIOLINE HIV 1/2 3.0 dus Rp 903,000 0 Rp - 5 Rp 4,515,000.00 5 1 2 3 2 Rp 1,806,000.00
38 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 2/0 75 CM dus Rp 215,045 1 Rp 215,045.00 5 Rp 1,075,225.00 4 3 3 3 Rp 645,135.00
39 SURGICAL SUTURE+NEEDLE CATGUT CROMIC 3/0 75 CM dus Rp 215,045 1 Rp 215,045.00 3 Rp 645,135.00 2 4 4 0 Rp -
40 SURGICAL SUTURE+NEEDLE CATGUT PLAIN 2/0 75 CM dus Rp 215,045 1 Rp 215,045.00 2 Rp 430,090.00 1 2 2 1 Rp 215,045.00
 PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021 PERSEDIAAN 31 DESEMBER 2021
NO NAMA OBAT SATUAN HARGA
JUMLAH TOTAL JUMLAH TOTAL JUMLAH 1 2 3 4 5 6 TOTAL JUMLAH TOTAL
SATUAN
1 2 3 Rp 5 4 6 9 7 12 13 15

41 SD BIOLINE SYPHILIS 3.0 O6FK10 dus Rp 488,250 9 Rp 4,394,250.00 9 Rp 4,394,250.00 0 9 9 18 0 Rp -

NILAI OBAT IFK PUSKESMAS MOWEWE Rp 59,072,803.97 0 Rp 47,693,410.19 119850 Rp 31,798,669.66 Rp74,847,694.50

Mengetahui,
Kepala Dinas Kesehatan

Ir. Barwik Sirait, M.Si, MPH

Pembina Utama Muda, Gol. IV/c
NIP. 19630910 198503 1 002
 PEMERINTAH KABUPATEN KOLAKA TIMUR
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2021
PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 5 4 6 9 1 2 3 4 5 total 6 7 12 13 15

PUSKESMAS MOWEWE
OBAT PROGRAM
1 Retinol (Vit A) softcap 100.000 IU softcap Rp 369.00 0 Rp - 100 Rp 36,900.00 100 Rp 36,900.00 0 Rp -
2 Retinol (Vit A) softcap 100.000 IU softcap Rp 367.00 0 Rp - 250 Rp 91,750.00 250 Rp 91,750.00 0 Rp -
3 Retinol (Vit A) softcap 200.000 IU softcap Rp 664.00 0 Rp - 2350 Rp 1,560,400.00 2100 Rp 1,394,400.00 250 Rp 166,000.00
4 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat tablet Rp 427.00 5700 Rp 2,433,900.00 16800 Rp 7,173,600.00 21100 Rp 9,009,700.00 1400 Rp 597,800.00
5 BCG ampul Rp 59,959.00 30 Rp 1,798,770.00 50 Rp 2,997,950.00 74 Rp 4,436,966.00 6 Rp 359,754.00
6 POLIO vial Rp 19,954.00 34 Rp 678,436.00 100 Rp 1,995,400.00 121 Rp 2,414,434.00 13 Rp 259,402.00
7 SALINE/PELARUT BCG vial Rp - 30 Rp - 80 Rp - 104 Rp - 6 Rp -
8 PIPET/DROPER buah Rp - 34 Rp - 100 Rp - 121 Rp - 13 Rp -
9 DPT-HB-HIB vial Rp 76,285.00 40 Rp 3,051,400.00 100 Rp 7,628,500.00 138 Rp 10,527,330.00 2 Rp 152,570.00
10 Heb. B UNIJECK buah Rp 76,285.00 35 Rp 2,669,975.00 50 Rp 3,814,250.00 80 Rp 6,102,800.00 5 Rp 381,425.00
11 Td vial Rp 16,500.00 20 Rp 330,000.00 56 Rp 924,000.00 60 Rp 990,000.00 16 Rp 264,000.00
12 VAKSIN MR vial Rp 141,648.00 30 Rp 4,249,440.00 61 Rp 8,640,528.00 85 Rp 12,040,080.00 6 Rp 849,888.00
13 PELARUT CAMPAK vial Rp - 0 Rp - 91 Rp - 85 Rp - 6 Rp -
14 IPV ampul Rp 152,900.00 50 Rp 7,645,000.00 25 Rp 3,822,500.00 58 Rp 8,868,200.00 17 Rp 2,599,300.00
15 SPOIT 0,5 ML Picis Rp 1,385.71 250 Rp 346,427.50 1200 Rp 1,662,852.00 1050 Rp 1,454,995.50 400 Rp 554,284.00
16 SPOIT 5 ML Picis Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 ALBENDAZOLE 400 MG botol Rp 208,395.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 DEC 100 MG botol Rp 190.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 DIAZEPAM tablet Rp 218.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 DIAZEPAM tab 5 mg tablet Rp 109.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
21 DIAZEPAM INJ. ampul Rp 2,010.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
22 AMIPTIPTILIN 25 MG tablet Rp 167.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
23 CHLORPROMAZINE INJ. ampul Rp 1,495.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
24 HALOPERIDOL 0,5 MG tablet Rp 55.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 HALOPERIDOL 1,5 MG tablet Rp 59.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
26 Kusta Tipe MB Dewasa blister Rp 36,579.00 0 Rp - 3 Rp 109,737.00 3 Rp 109,737.00 0 Rp -
27 OAT TB KATEGORI I Paket Rp 467,215.00 3 Rp 1,401,645.00 0 Rp - 3 Rp 1,401,645.00 0 Rp -
28 OAT TB KATEGORI ANAK Paket Rp 248,120.00 0 Rp - 2 Rp 496,240.00 1 Rp 248,120.00 1 Rp 248,120.00
29 OAT TB KATEGORI I Paket Rp 498,565.00 0 Rp - 12 Rp 5,982,780.00 8 Rp 3,988,520.00 4 Rp 1,994,260.00
30 OAT TB KATEGORI II Paket Rp 1,199,985.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
31 STRIP HIV/ AIDS ( Repid Test) Kit Rp 11,975.00 200 Rp 2,395,000.00 0 Rp - 200 Rp 2,395,000.00 0 Rp -
32 STRIP HbSAg ( Repid Test) Kit Rp 9,870.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
33 Rapid Test Hepatitis test Rp 8,500.00 0 Rp - 50 Rp 425,000.00 50 Rp 425,000.00 0 Rp -
34 Rapid Test Hepatitis Test Rp 8,183.00 75 Rp 613,725.00 0 Rp - 75 Rp 613,725.00 0 Rp -
35 RIAGEN ZIELH NELSER Paket Rp 269,000.00 2 Rp 538,000.00 2 Rp 538,000.00 4 Rp 1,076,000.00 0 Rp -
36 KACA SLIDE / OBJEK GLASS Picis Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 KACA SLIDE / OBJEK GLASS Picis Rp 257.00 72 Rp 18,504.00 0 Rp - 72 Rp 18,504.00 0 Rp -
38 POT DAHAK Picis Rp 2,968.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Masker Ear Loop Picis Rp 386.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Masker Ear Loop dos Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Box Slide Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
42 Metilergometrin Inj. 0,02 % Ampul Rp 3,553.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Oksitosin Inj. Rp 1,287.00 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Rp - 0 Rp - 0 Rp - 0 Rp -
NILAI OBAT PROGRAM PUSKESMAS MOWEWE Rp 28,170,222.50 Rp 47,900,387.00 Rp 67,643,806.500 Rp 8,426,803.00 Rp -

Mengetahui,
Kepala Dinas Kesehatan

Ir. Barwik Sirait, M.Si, MPH

Pembina Utama Muda, Gol. IV/c
NIP. 19630910 198503 1 002
NO NAMA OBAT SATUAN

1 2 3

PUSKESMAS MOWEWE
OBAT PROGRAM
1 Retinol (Vit A) softcap 100.000 IU softcap
2 Retinol (Vit A) softcap 100.000 IU softcap
3 Retinol (Vit A) softcap 200.000 IU softcap
Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat tablet
4 Tablet tambah darah kombinasi Ferro Sulfat 200 mg + As.Folat tablet
5 BCG ampul
6 POLIO vial
7 SALINE/PELARUT BCG vial
8 PIPET/DROPER buah
9 DPT-HB-HIB vial
10 Heb. B UNIJECK buah
11 Td vial
12 VAKSIN MR vial
13 PELARUT CAMPAK vial
14 IPV ampul
15 SPOIT 0,5 ML Picis
16 SPOIT 5 ML Picis
17 ALBENDAZOLE 400 MG botol
18 DEC 100 MG botol
19 DIAZEPAM tablet
20 DIAZEPAM tab 5 mg tablet
21 DIAZEPAM INJ. ampul
22 AMIPTIPTILIN 25 MG tablet
23 CHLORPROMAZINE INJ. ampul
24 HALOPERIDOL 0,5 MG tablet
25 HALOPERIDOL 1,5 MG tablet
26 Kusta Tipe MB Dewasa blister
27 OAT TB KATEGORI I Paket
28 OAT TB KATEGORI ANAK Paket
29 OAT TB KATEGORI I Paket
OAT TB KATEGORI I paket
30 OAT TB KATEGORI II Paket
31 STRIP HIV/ AIDS ( Repid Test) Kit
32 STRIP HbSAg ( Repid Test) Kit
33 Rapid Test Hepatitis test
34 Rapid Test Hepatitis Test
35 RIAGEN ZIELH NELSER Paket
36 KACA SLIDE / OBJEK GLASS Picis
37 KACA SLIDE / OBJEK GLASS Picis
38 POT DAHAK Picis
39 Masker Ear Loop Picis
40 Masker Ear Loop dos
41 Box Slide
42 Metilergometrin Inj. 0,02 % Ampul
43 Oksitosin Inj.
44 DHP Malaria tablet
45 Primaquin 15 mg tablet
RDT test

NILAI OBAT PROGRAM PUSKESMAS MOWEWE

Mengetahui,
Kepala Dinas Kesehatan

Ir. Barwik Sirait, M.Si, MPH

Pembina Utama Muda, Gol. IV/c
NIP. 19630910 198503 1 002
 PEMERINTAH KABUPATEN KOLAKA TIM
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DE

PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021

HARGA SATUAN JUMLAH TOTAL JUMLAH
5 4 6

Rp 369.00 0 Rp -
Rp 367.00 0 Rp -
Rp 664.00 250 Rp 166,000.00
Rp 260.00 0
Rp 427.00 1400 Rp 597,800.00
Rp 59,959.00 6 Rp 359,754.00
Rp 19,954.00 13 Rp 259,402.00
Rp - 6 Rp -
Rp - 13 Rp -
Rp 76,285.00 2 Rp 152,570.00
Rp 76,285.00 5 Rp 381,425.00
Rp 16,500.00 16 Rp 264,000.00
Rp 141,648.00 6 Rp 849,888.00
Rp - 6 Rp -
Rp 152,900.00 17 Rp 2,599,300.00
Rp 1,385.71 400 Rp 554,284.00
Rp - 0 Rp -
Rp 56,524.00 0 Rp -
Rp 190.00 0 Rp -
Rp 218.00 0 Rp -
Rp 109.00 0 Rp -
Rp 2,010.00 0 Rp -
Rp 167.00 0 Rp -
Rp 1,495.00 0 Rp -
Rp 55.00 0 Rp -
Rp 59.00 0 Rp -
Rp 40,128.00 0 Rp -
Rp 467,215.00 0 Rp -
Rp 248,120.00 1 Rp 248,120.00
Rp 498,565.00 4 Rp 1,994,260.00
Rp 498,866.00
Rp 1,199,985.00 0 Rp -
Rp 11,975.00 0 Rp -
Rp 9,870.00 0 Rp -
Rp 8,500.00 0 Rp -
Rp 7,844.00 0 Rp -
Rp 269,000.00 0 Rp -
Rp - 0 Rp -
Rp 257.00 0 Rp -
Rp 2,968.00 0 Rp -
Rp 386.00 0 Rp -
Rp - 0 Rp -
Rp - 0 Rp -
Rp 3,553.00 0 Rp -
Rp 1,287.00 0 Rp -
Rp 1,900.00 0 Rp -
Rp 242.00 0 Rp -
Rp 4,830.00 0 Rp -

0 Rp -
Rp 8,426,803.00
H KABUPATEN KOLAKA TIMUR
DINAS KESEHATAN
ERSEDIAAN OBAT PER - 31 DESEMBER 2021

ERSEDIAAN MASUK 2021 1 2 3 4 5 6 total

TOTAL
9 1 2 3 4 5

Rp - 0
Rp - 0
Rp - 0
5600 5600
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 8 8
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 3 3
Rp - 0
Rp - 0
Rp - 0
Rp - 5 5
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 75 100 175
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 0
Rp - 18 18
Rp - 14 14
Rp - 25 25

Rp -
Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN KELUAR 2021
2021
JUMLAH TOTAL JUMLAH TOTAL
7 12 13 15

Rp - Rp -
Rp - Rp -
250 Rp 166,000.00 Rp -
5100 Rp 1,326,000.00 Rp -
1400 Rp 597,800.00 Rp -
6 Rp -
13 Rp 259,402.00 Rp -
6 Rp - Rp -
13 Rp - Rp -
2 Rp 152,570.00 Rp -
5 Rp 381,425.00 Rp -
16 Rp 264,000.00 Rp -
6 Rp 849,888.00 Rp -
6 Rp - Rp -
17 Rp 2,599,300.00 Rp -
400 Rp 554,284.00 Rp -
Rp - Rp -
8 Rp 452,192.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
3 Rp 120,384.00 Rp -
Rp - Rp -
1 Rp 248,120.00 Rp -
4 Rp 1,994,260.00 Rp -
1 Rp 498,866.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
75 Rp 588,300.00 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
12 Rp 22,800.00 Rp -
0 Rp - Rp -
25 Rp 120,750.00 Rp -

Rp - Rp -
Rp 11,052,791.000 Rp - ###
 PEMERINTAH KABUPATEN KOLAKA TIMUR
DINAS KESEHATAN
REKAPITULASI STOK PERSEDIAAN OBAT PER - 31 DESEMBER 2021
PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 5 4 6 9 7 12 13 15

PUSKESMAS MOWEWE
OBAT BPJS
1 Acylovir salep 5 mg Tube Rp 7,000.00 11 Rp 77,000.00 0 Rp - 11 Rp 77,000.00 0 Rp -
2 Allopurinol tab 100 mg dos Rp 1,940.00 Rp - 20 Rp 38,800.00 0 Rp - 20 Rp 38,800.00
3 Ambroksol tab 30 mg tablet Rp 565.00 Rp - 30 Rp 16,950.00 30 Rp 16,950.00 0 Rp -
4 Ambroksol sir 15 mg/ml - 60 ml botol Rp 9,000.00 Rp - 30 Rp 270,000.00 30 Rp 270,000.00 0 Rp -
5 Amlodiine 10 mg dos Rp 148,000.00 Rp - 10 Rp 1,480,000.00 10 Rp 1,480,000.00 0 Rp -
6 Amlodiine 5 mg tablet Rp 769.00 Rp - 30 Rp 23,070.00 30 Rp 23,070.00 0 Rp -
7 Amlodiine 5 mg tablet Rp 600.00 Rp - 0 Rp - Rp - 0 Rp -
8 Amoxicillin tab 500 mg tablet Rp 448.00 Rp - 20 Rp 8,960.00 20 Rp 8,960.00 0 Rp -
9 Amoxicillin syr botol Rp 6,600.00 Rp - 40 Rp 264,000.00 3 Rp 19,800.00 37 Rp 244,200.00
10 Antasida DOEN tablet Rp 400.00 Rp - 20 Rp 8,000.00 20 Rp 8,000.00 0 Rp -
11 Antasida DOEN susp 60 ml botol Rp 9,500.00 Rp - 40 Rp 380,000.00 0 Rp - 40 Rp 380,000.00
12 Antasida DOEN susp 60 ml botol Rp 6,000.00 5 Rp 30,000.00 0 Rp - 5 Rp 30,000.00 0 Rp -
13 Asam Mefenamat tab 500 mg tablet Rp 500.00 100 Rp 50,000.00 0 Rp - 100 Rp 50,000.00 0 Rp -
14 Asam Mefenamat tab 500 mg tablet Rp 1,553.00 Rp - 25 Rp 38,825.00 25 Rp 38,825.00 0 Rp -
15 Betahistin tab 6 mg tube Rp 2,557.00 Rp - 500 Rp 1,278,500.00 300 Rp 767,100.00 200 Rp 511,400.00
16 Kaptopril tab 25 mg tablet Rp 1,534.00 Rp - 15 Rp 23,010.00 15 Rp 23,010.00 0 Rp -
17 Cefadroksil Syr botol Rp 17,417.00 Rp - 10 Rp 174,170.00 0 Rp - 10 Rp 174,170.00
18 Cefadroksil kaps 500 mg dos Rp 13,891.00 Rp - 70 Rp 972,370.00 30 Rp 416,730.00 40 Rp 555,640.00
19 Cetrizine tab 10 mg tablet Rp 834.00 Rp - 14 Rp 11,676.00 14 Rp 11,676.00 0 Rp -
20 Ciflox 500 mg tablet Rp 970.00 Rp - 69 Rp 66,930.00 0 Rp - 69 Rp 66,930.00
21 Deksametason tab 0,5 mg tablet Rp 488.00 Rp - 40 Rp 19,520.00 20 Rp 9,760.00 20 Rp 9,760.00
22 Glibenklamid tab 5 mg tablet Rp 353.00 Rp - 20 Rp 7,060.00 20 Rp 7,060.00 0 Rp -
23 Gliseril Guaikolat tab 100 mg tablet Rp 650.00 Rp - 20 Rp 13,000.00 20 Rp 13,000.00 0 Rp -
24 Ibuprofen tab 400 mg tablet Rp 450.00 200 Rp 90,000.00 0 Rp - 200 Rp 90,000.00 0 Rp -
25 Isoniazid 100 mg dos Rp 16,340.00 Rp - 20 Rp 326,800.00 20 Rp 326,800.00 0 Rp -
26 Kaptopril tab 25 mg tablet Rp 200.00 200 Rp 40,000.00 0 Rp - 200 Rp 40,000.00 0 Rp -
27 Ketokonazole tab 200 mg tablet Rp 800.00 150 Rp 120,000.00 0 Rp - 150 Rp 120,000.00 0 Rp -
28 Klorfeniramin Maleat (CTM) tab 4 mg tablet Rp 200.00 200 Rp 40,000.00 0 Rp - 200 Rp 40,000.00 0 Rp -
29 Ketorolac Inj ampul Rp 34,180.00 Rp - 13 Rp 444,340.00 1 Rp 34,180.00 12 Rp 410,160.00
30 Lidokain inj 2% (infiltr/p.v.) ampul Rp 10,000.00 12 Rp 120,000.00 0 Rp - 12 Rp 120,000.00 0 Rp -
31 Lidokain inj 2% (infiltr/p.v.) dos Rp 150,000.00 Rp - 5 Rp 750,000.00 5 Rp 750,000.00 0 Rp -
32 Loperamid tab 2 mg tablet Rp 4,875.00 Rp - 20 Rp 97,500.00 20 Rp 97,500.00 0 Rp -
33 Metilprednisolon tab 4 mg tablet Rp 1,860.00 Rp - 10 Rp 18,600.00 10 Rp 18,600.00 0 Rp -
34 Metformin 500 mg tablet Rp 1,839.00 Rp - 10 Rp 18,390.00 0 Rp - 10 Rp 18,390.00
35 Metronidazole 500 mg tablet Rp 424.00 Rp - 10 Rp 4,240.00 10 Rp 4,240.00 0 Rp -
36 Miconazole Krim tube Rp 6,000.00 Rp - 5 Rp 30,000.00 5 Rp 30,000.00 0 Rp -
37 Natrium Diklofenat 50 mg tablet Rp 250.00 200 Rp 50,000.00 0 Rp - 200 Rp 50,000.00 0 Rp -
38 Natrium Diklofenat 50 mg dos Rp 18,346.00 Rp - 15 Rp 275,190.00 15 Rp 275,190.00 0 Rp -
39 Nifedipine tab 10 mg tablet Rp 300.00 100 Rp 30,000.00 0 Rp - 100 Rp 30,000.00 0 Rp -
40 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 10,000.00 5 Rp 50,000.00 0 Rp - Rp - 5 Rp 50,000.00
41 Oksitosin inj 10 IU/ml - 1 ml ampul Rp 8,000.00 Rp - 17 Rp 136,000.00 17 Rp 136,000.00 0 Rp -
42 Oralit dos Rp 66,550.00 Rp - 1 Rp 66,550.00 1 Rp 66,550.00 0 Rp -
42 Loratadine dos Rp 36,364.00 Rp - 4 Rp 145,456.00 4 Rp 145,456.00 0 Rp -
43 Omeprazol kaps 20 mg dos Rp 17,996.00 Rp - 45 Rp 809,820.00 45 Rp 809,820.00 0 Rp -
44 Paracetamol tab 500 mg tablet Rp 405.00 Rp - 29 Rp 11,745.00 29 Rp 11,745.00 0 Rp -
45 Paracetamol sir 120 mg/5 ml - 60 ml botol Rp 5,500.00 Rp - 40 Rp 220,000.00 10 Rp 55,000.00 30 Rp 165,000.00
46 Piroxicam tab 10 mg tablet Rp 310.00 100 Rp 31,000.00 0 Rp - 100 Rp 31,000.00 0 Rp -
47 Piroxicam tab 20 mg tablet Rp 669.00 Rp - 20 Rp 13,380.00 10 Rp 6,690.00 10 Rp 6,690.00
48 Papaverin 40 ml tablet Rp 250.00 100 Rp 25,000.00 0 Rp - 100 Rp 25,000.00 0 Rp -
49 Ranitidine 150 mg tablet Rp 1,025.00 Rp - 10 Rp 10,250.00 0 Rp - 10 Rp 10,250.00
50 Simvastatin tab 10 mg tablet Rp 842.00 Rp - 10 Rp 8,420.00 10 Rp 8,420.00 0 Rp -
51 Simvastatin tab 20 mg tablet Rp 1,781.00 Rp - 10 Rp 17,810.00 10 Rp 17,810.00 0 Rp -
52 Salbutamol 2 mg tablet Rp 485.00 Rp - 10 Rp 4,850.00 10 Rp 4,850.00 0 Rp -
53 vitamin B Kompleks tablet Rp 536.00 Rp - 10 Rp 5,360.00 0 Rp - 10 Rp 5,360.00
54 Vitamin B12 tablet Rp 842.00 Rp - 7 Rp 5,894.00 7 Rp 5,894.00 0 Rp -
55 Vitamin K (Inj) ampul Rp 12,000.00 Rp - 5 Rp 60,000.00 0 Rp - 5 Rp 60,000.00
56 Vitamin C 50 mg tablet Rp 330.00 Rp - 10 Rp 3,300.00 0 Rp - 10 Rp 3,300.00
57 Vitamin B6, 10 mg tablet Rp 684.00 Rp - 10 Rp 6,840.00 10 Rp 6,840.00 0 Rp -
58 Zinc dispersible 20 mg dos Rp 43,180.00 Rp - 10 Rp 431,800.00 10 Rp 431,800.00 0 Rp -
59 Betahistin tab 6 mg tablet Rp 1,000.00 80 Rp 80,000.00 0 Rp - 80 Rp 80,000.00 0 Rp -
60 Betahistin tab 6 mg tablet Rp 1,100.00 100 Rp 110,000.00 0 Rp - 100 Rp 110,000.00 0 Rp -
61 Eltazon (Prednison) tablet Rp 300.00 30 Rp 9,000.00 0 Rp - 30 Rp 9,000.00 0 Rp -
62 Carbidu 0,5 mg (Deksamethasone) tablet Rp 185.00 1200 Rp 222,000.00 0 Rp - 1200 Rp 222,000.00 0 Rp -
63 Nexa 500 mg (Asam traneksamat) Tablet Rp 2,200.00 Rp - 101 Rp 222,200.00 52 Rp 114,400.00 49 Rp 107,800.00
64 Neurosanbe inj Ampul Rp 5,600.00 Rp - 8 Rp 44,800.00 8 Rp 44,800.00 0 Rp -
65 Neurosanbe 500 mg tablet Rp 11,000.00 Rp - 50 Rp 550,000.00 50 Rp 550,000.00 0 Rp -
66 Reco tetes mata botol Rp 13,500.00 Rp - 3 Rp 40,500.00 3 Rp 40,500.00 0 Rp -
67 Antidia (Loperamide) Tablet Rp 500.00 200 Rp 100,000.00 0 Rp - 200 Rp 100,000.00 0 Rp -
68 Etamol syr (Amoxicillin syr) Botol Rp 10,000.00 4 Rp 40,000.00 0 Rp - 4 Rp 40,000.00 0 Rp -
69 Curviplex syr Botol Rp 25,000.00 Rp - 5 Rp 125,000.00 5 Rp 125,000.00 0 Rp -
 PERSEDIAAN 31 DESEMBER
PERSEDIAAN 01 JANUARI 2021 PERSEDIAAN MASUK 2021 PERSEDIAAN KELUAR 2021
2021
NO NAMA OBAT SATUAN
HARGA SATUAN JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL JUMLAH TOTAL
1 2 3 5 4 6 9 7 12 13 15
70 Curviplex syr Botol Rp 16,000.00 Rp - 30 Rp 480,000.00 30 Rp 480,000.00 0 Rp -
71 Omeprazole tab Tablet Rp 600.00 600 Rp 360,000.00 0 Rp - 600 Rp 360,000.00 0 Rp -
72 Vit. Arkavit Tablet Rp 600.00 Rp - 0 Rp - Rp - 0 Rp -
73 Lexacovt (prednison) Tablet Rp 250.00 200 Rp 50,000.00 0 Rp - 200 Rp 50,000.00 0 Rp -

BAHAN MEDIS HABIS PAKAI

1 Alkohol (Etanol) 70 % 1000 ml pcs Rp 86,947.00 Rp - 5 Rp 434,735.00 5 Rp 434,735.00 0 Rp -
2 Aseptan pcs Rp 25,677.00 Rp - 20 Rp 513,540.00 20 Rp 513,540.00 0 Rp -
3 Baju Hazmat pcs Rp 130,000.00 Rp - 0 Rp - Rp - 0 Rp -
4 Dettol Antiseptik botol Rp 55,000.00 Rp - 0 Rp - Rp - 0 Rp -
5 Dipsosible siryng 3 ml pcs Rp 5,179.00 Rp - 45 Rp 233,055.00 15 Rp 77,685.00 30 Rp 155,370.00
6 Dipsosible siryng 3 ml pcs Rp 5,890.00 Rp - 20 Rp 117,800.00 20 Rp 117,800.00 0 Rp -
7 Dipsosible siryng 1 ml pcs Rp 5,890.00 Rp - 18 Rp 106,020.00 0 Rp - 18 Rp 106,020.00
8 Hand Schoen steril no 7 pcs Rp 32,000.00 Rp - 40 Rp 1,280,000.00 40 Rp 1,280,000.00 0 Rp -
9 Hand Schoen (Aximed Exam Gloves size S) dos Rp 195,000.00 Rp - 27 Rp 5,265,000.00 27 Rp 5,265,000.00 0 Rp -
10 Hand Schoen (Aximed Exam Gloves size S) pcs Rp 75,000.00 Rp - 20 Rp 1,500,000.00 20 Rp 1,500,000.00 0 Rp -
11 IV Catheter (Nipro IV Catheter no. 20 G x 1 - 1/4") pcs Rp 20,000.00 14 Rp 280,000.00 0 Rp - 14 Rp 280,000.00 0 Rp -
12 IV Catheter (Nipro IV Catheter no. 20 G x 1") pcs Rp 18,000.00 Rp - 3 Rp 54,000.00 3 Rp 54,000.00 0 Rp -
13 IV Catheter (Nipro IV Catheter no. 20 G x 1") pcs Rp 4,100.00 Rp - 10 Rp 41,000.00 10 Rp 41,000.00 0 Rp -
14 IV Catheter (Nipro IV Catheter no. 22 G x 1") pcs Rp 18,000.00 Rp - 40 Rp 720,000.00 30 Rp 540,000.00 10 Rp 180,000.00
15 IV Catheter (Nipro IV Catheter no. 22 G x 1") pcs Rp 20,000.00 5 Rp 100,000.00 0 Rp - 5 Rp 100,000.00 0 Rp -
16 IV Catheter (Nipro IV Catheter no. 24 G x 1") lusin Rp 25,000.00 8 Rp 200,000.00 0 Rp - 8 Rp 200,000.00 0 Rp -
17 IV Catheter (Nipro IV Catheter no. 24 G x 1") lusin Rp 20,000.00 7 Rp 140,000.00 0 Rp - 7 Rp 140,000.00 0 Rp -
18 IV Catheter (Nipro IV Catheter no. 24 G x 1") lusin Rp 18,000.00 Rp - 40 Rp 720,000.00 35 Rp 630,000.00 5 Rp 90,000.00
19 Infuset Makro pcs Rp 18,755.00 Rp - 4 Rp 75,020.00 4 Rp 75,020.00 0 Rp -
20 Infuset Adult pcs Rp 12,575.00 Rp - 20 Rp 251,500.00 20 Rp 251,500.00 0 Rp -
21 Infuset Anak pcs Rp 18,755.00 Rp - 40 Rp 750,200.00 40 Rp 750,200.00 0 Rp -
22 Mata Pisau Bedah No. 15 box Rp 33,500.00 Rp - 2 Rp 67,000.00 2 Rp 67,000.00 0 Rp -
23 Mata Pisau Bedah No. 11 box Rp 32,200.00 Rp - 14 Rp 450,800.00 14 Rp 450,800.00 0 Rp -
24 Masker earloop Box Rp 95,000.00 Rp - 20 Rp 1,900,000.00 15 Rp 1,425,000.00 5 Rp 475,000.00
25 Masker N95 Box Rp 28,000.00 Rp - 15 Rp 420,000.00 15 Rp 420,000.00 0 Rp -
26 Isi Tabung Oksigen tabung Rp 150,000.00 Rp - 36 Rp 5,400,000.00 36 Rp 5,400,000.00 0 Rp -
27 Isi Tabung Oksigen Sedang tabung Rp 250,000.00 Rp - 28 Rp 7,000,000.00 28 Rp 7,000,000.00 0 Rp -
28 Isi Tabung Oksigen tabung Rp 100,000.00 Rp - 22 Rp 2,200,000.00 22 Rp 2,200,000.00 0 Rp -
29 Isi Tabung Oksigen Sedang tabung Rp 220,000.00 Rp - 4 Rp 880,000.00 4 Rp 880,000.00 0 Rp -
30 Rivanol botol Rp 27,000.00 1 Rp 27,000.00 0 Rp - 1 Rp 27,000.00 0 Rp -
NILAI OBAT BPJS PUSKESMAS MOWEWE Rp 2,471,000.00 Rp 40,859,546.00 Rp 39,506,306.00 Rp 3,824,240.00 Rp -

Mengetahui,
Kepala Dinas Kesehatan

Ir. Barwik Sirait, M.Si, MPH

Pembina Utama Muda, Gol. IV/c
NIP. 19630910 198503 1 002