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Buku besar Triw 4PEMERINTAH KABUPATEN TANA TORAJADINAS KESEHATANJalan Tilanga No. 03 Telp. 22129 Rantelemo

BUKU BESAR PERSEDIAAN OBAT-OBATAN

NoNAMA OBATKELAS TERAPISATStok Awal Tahun 2013Harga (Rp)Total (Rp)Penerimaan BarangPenerimaan Total (Rp)Pemakaian Sisa Stok Total (Rp)KETJumlah BarangHarga (Rp)PermintaanPenyaluranTriw IVTotal Penerimaan BarangHarga (Rp)Total (Rp)DariJumlah BarangJumlah Harga (Rp)Total (Rp)OlehJumlah BarangJumlah Harga (Rp)Total (Rp)Jumlah BarangJumlah Harga (Rp)123K.LK.BPKDPKD11Buff4444456789101112131415161718191Alat suntik sekali pakai 1 ml32Set100100100290029109,2503,168,2500.0109,2500.0109,2500.0109,2500.0109,2500.00.0109,2500.02Alat suntik sekali pakai 2,5 ml32Set10010010027500275103,80028,545,0000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.03Alat suntik sekali pakai 5 ml32Set10010010011700117103,80012,144,6000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.04Albendazole tablet 400 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.05Allopurinol tablet 100 mg1.2Tab10010010021,4001062,268,4000.01060.01060.01060.01060.00.01060.06Aminophylline tablet 200 mg26.1Tab1001001001920019,20093.311,791,5520.093.310.093.310.093.310.093.310.00.093.310.07Aminophylline injeksi 24 mg/ml - 10 ml26.1Amp3030300.00.00.00.00.00.00.00.00.08Amitriptyline HCl tablet salut 25 mg23.2Tab100100100200012,0001181,416,0000.01180.01180.01180.01180.00.01180.012,0009Amoxicillin sirup kering 125 mg/ 5 ml6,2,1Btl1111172026,7202,51167,093,9200.02,5110.02,5110.02,5110.02,5110.00.02,5110.026,72010Amoxicillin kapsul 250 mg6,2,1Kap1201201206696060000147,360220.2432,454,5660.0220.240.0220.240.0220.240.0220.240.00.0220.240.0147,36011Amoxicillin kaplet 500 mgKapl100100100642900140000812,900228185,341,2000.02280.02280.02280.02280.00.02280.0812,90012Antalgin (metampiron) tablet 500 mg1.2Tab10001001002539001000003,53915,07053,332,7300.015,0700.015,0700.015,0700.015,0700.00.015,0700.03,53913Antalgin injeksi 250 mg/ml - 2 ml1.2Amp3030300.00.00.00.00.00.00.00.00.00.014Antasida DOEN tablet kombinasi25.1Tab1000100010020003000000400,00073.1229,248,0000.073.120.073.120.073.120.073.120.00.073.120.0400,00015Antasida DOEN syrupbtl1114,3302,70011,691,0000.02,7000.02,7000.02,7000.02,7000.00.02,7000.04,33016Antibakteri DOEN salep kombinasi18.2tube252525360013,5002,74137,003,5000.02,7410.02,7410.02,7410.02,7410.00.02,7410.013,50017Antihemoroid DOEN kombinasi25.3Sup101010480200024822,0005,456,0000.022,0000.022,0000.022,0000.022,0000.00.022,0000.024818Antifungi DOEN kombinasi18.3Pot24242411933,5732,096.337,490,1870.02,096.330.02,096.330.02,096.330.02,096.330.00.02,096.330.03,57319Antimigrain DOEN kombinasi7.2tab1001001002860028,6000.00.00.00.00.00.00.00.028,60020Asam Askorbat (Vit.C) tablet 50 mg29tab1000100010009400089035,20031,328,0000.035,2000.035,2000.035,2000.035,2000.00.035,2000.089021Asam Mefenamat tablet 500 mgtab100100100231,700114.8426,608,4280.0114.840.0114.840.0114.840.0114.840.00.0114.840.0231,70022aciklovir tablet 200mgTab10010010028,8002517,228,8000.02510.02510.02510.02510.00.02510.028,80023aciklovir Krim0.02,3670.00.02,3670.02,3670.02,3670.02,3670.00.02,3670.00.024Atropin Sulfat injeksi 0,25 mg/ml - 1 ml25.4Amp30303055617.525,958454,2650.025,9580.00.025,9580.025,9580.00.025,9580.01825Atropin Sulfat Tab 0,5 mgTab500500500205004133,0001,353,0000.033,0000.00.033,0000.033,0000.00.033,0000.04126Antimalaria DOEN KombinasiTab10010010029003252,0301,664,9600.052,0300.052,0300.052,0300.052,0300.00.052,0300.03227Betahistin Mesilat tablet 6 mgTab30303014,4001,01614,630,4000.01,0160.01,0160.01,0160.01,0160.00.01,0160.014,40028Betametason krim 0,1%18.4Tube2525251149532,7451,66854,618,6600.01,6680.01,6680.01,6680.01,6680.00.01,6680.032,74529Calcium Lactate (Kalk) tabet 500 mg29Tab1000100010009700029757,20016,988,4000.057,2000.057,2000.057,2000.057,2000.00.057,2000.029730Captopril 25 mgTab10010010053100150,1009414,109,4000.0940.0940.0940.0940.00.0940.0150,10031Codein HCL tab. 10 mg 26.2Tab25025025040117,5034,700,1200.0117,5030.0117,5030.0117,5030.0117,5030.00.0117,5030.04032Carbamazepine tablet 200 mg5Tab10010010025,0002676,675,0000.02670.02670.02670.02670.00.02670.025,00033Catgut/benang bedah no.2/0 (plain & chromic)32Sak24242440704,00028,160,0000.0704,0000.0704,0000.0704,0000.0704,0000.00.0704,0000.04033Catgut/benang bedah no.3/0 (plain & chromic)32Sak24242440639,13825,565,5170.0639,1380.0639,1380.0639,1380.0639,1380.00.0639,1380.04034Chlorampenicol Kapsul 250 mg6,2,2Kap2502502500.02500.00.02500.02500.02500.02500.00.02500.00.035Chlorampenicol Salep Mata 1%21,2,1Tube2424246741,5281,5232,327,1440.01,5230.01,5230.01,5230.01,5230.00.01,5230.01,52836Chloramphenicol SyrupBtl1114004,0161,606,4000.04,0160.04,0160.04,0160.04,0160.00.04,0160.0400

123K.LK.BPKDPKD11Buff44444567891011121314151617181937Chloramphenicol Tetes Telinga 3%28.1Btl242424521,5021,7502,628,5000.01,7500.00.01,7500.01,7500.00.01,7500.01,50238Chlorpheniramine Maleat (CTM) tab.4 mg3Tab1000100010005280001,524,0002335,052,0000.0230.0230.0230.0230.00.0230.01,524,00039Chlorpromazine injeksi 2,5 mg/ml25.4Amp3030300.01,0450.00.01,0450.01,0450.01,0450.01,0450.00.01,0450.00.040Chlorpromazine HCl injeksi 5 mg/ml23.4Amp3030303601211,279135,3480.011,2790.011,2790.011,2790.011,2790.00.011,2790.01241Chlorpromazine HCl tablet 100 mg23.4Tab2502502500.01460.00.01460.01460.01460.01460.00.01460.00.042Chlorpromazine HCl tablet 25 mg23.4Tab1000100010005541,8002,299,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.05543Ciprofloxacin 500 mgTab10010010098500234,45024156,502,4500.02410.02410.02410.02410.00.02410.0234,45044Cotrimoxazole Pediatrik6,2,2Tab1001001000.0790.00.0790.0790.0790.0790.00.0790.00.045Cotrimoxazole Suspensi6,2,2Btl1112,9252,212.946,472,8500.02,212.940.02,212.940.02,212.940.02,212.940.00.02,212.940.02,92546Cotrimoxazole Dewasa 6,2,2Tab100100100240400238,400146.2434,863,6160.0146.240.0146.240.0146.240.0146.240.00.0146.240.0238,40047Cimetidine tablet 200 mg Tab10010010010600210,600115.5224,328,5120.0115.520.0115.520.0115.520.0115.520.00.0115.520.0210,60048Clonidine tablet 0,15 mgTab10010010038002000033,8001916,455,8000.01910.01910.01910.01910.00.01910.033,80049Cyanocobalamin (Vit.B12) inj 500 mcg/ml10.1Amp1001001006052,0003,120,0000.052,0000.00.052,0000.052,0000.00.052,0000.06050Chloramphenikol Tetes MataBtl2424240.00.00.00.00.00.00.00.00.00.051Dexamethasone Injeksi3Amp100100100470014,6901,75025,707,5000.01,7500.01,7500.01,7500.01,7500.00.01,7500.014,69052Dexamethasone Kaplet 0,5 mg16.4Kapl1000100100559,00071.8940,186,5100.071.890.071.890.071.890.071.890.00.071.890.0559,00053Dekstromethorphan HBr sirup 10 mg/5 ml26.2Btl1117,2501,467.410,638,6500.01,467.40.01,467.40.01,467.40.01,467.40.00.01,467.40.07,25054Dekstrometorphan HBr tablet 15 mg26.2Tab100010010067000500000506,70010251,683,4000.01020.01020.01020.01020.00.01020.0506,70055Diazepam inj 15 mg/ml - 2 ml5Amp3030309004978,1473,829,2030.078,1470.078,1470.078,1470.078,1470.00.078,1470.04956Diazepam 2 mg5Tab?1000100100501500542,0003921,138,0000.0390.0390.0390.0390.00.0390.0542,00057Diazepam 5 mg5Tab50050050049250197,0000.00.00.00.00.00.00.00.0197,00058Dietilkarbamin sitrat tablet 100 mg6,1,2Tab1001001000.00.00.00.00.00.00.00.00.00.059Diphenhydramine HCl inj 10 mg/ml-1 ml3Tab3030301531,056161,5680.01,0560.01,0560.01,0560.01,0560.00.01,0560.015360Digoksin tablet 0,25 mg17.5Tab10010010034002000033,40096.483,222,4320.096.480.096.480.096.480.096.480.00.096.480.033,40061Diltiazem tab. 30 mgTab1001001002570035,7001294,605,3000.01290.01290.01290.01290.00.01290.035,70062Doksisiklin 100 mgTab10010010026002,600250650,0000.02500.02500.02500.02500.00.02500.02,60063Efedrin HCl tablet 25 mg26.1Tab2502502503377501,60114,09722,569,2970.014,0970.014,0970.014,0970.014,0970.00.014,0970.01,60164Ekstrak Belladon tablet 10 mg25.4Tab1001001000.00.00.00.00.00.00.00.00.00.065Erytromicin syrBtl1113348,9102,975,9400.08,9100.00.08,9100.08,9100.00.08,9100.033466Erytromicin tab 250 mgTab12012012022,20046210,256,4000.04620.04620.04620.04620.00.04620.022,20067Erytromicin tab 500 mgTab100100100100009,900912.949,038,1060.0912.940.0912.940.0912.940.0912.940.00.0912.940.09,90068Epinefrin HCl inj 0,1% - 1 ml3Amp303030838027910,3712,893,5090.010,3710.010,3710.010,3710.010,3710.00.010,3710.027969Etakridin(Rivanol) larutan 0,1 %13.2Btl1112141412,354.22331,9450.02,354.220.02,354.220.02,354.220.02,354.220.00.02,354.220.014170Ethanol 70%13.2Btl1110.00.00.00.00.00.00.00.00.00.071Etil chlorida semprot14.1Btl11118268115,50030,954,0000.0115,5000.0115,5000.0115,5000.0115,5000.00.0115,5000.026872Eugenol cairan14.1Btl12121276605,00045,980,0000.0605,0000.0605,0000.0605,0000.0605,0000.00.0605,0000.07673Fenitoin natrium injeksi 50mg/ml5Amp3030300.00.00.00.00.00.00.00.00.074Fenobarbital inj. 50mg/ml5Amp3030307852620,100522,6000.020,1000.020,1000.020,1000.020,1000.00.020,1000.02675Fenobarbital tab. 30 mg5Tab1000250100600004377,1393,119,7430.07,1390.07,1390.07,1390.07,1390.00.07,1390.043776Fenol gliserol tetes telinga 10 %28.2Btl2424241,0001,108.801,108,8000.01,108.800.01,108.800.01,108.800.01,108.800.00.01,108.800.01,00077Fitomenadion (Vit K) inj. 10mg/ml- 1ml10.2Amp3030308787957,4204,536,1800.057,4200.057,4200.057,4200.057,4200.00.057,4200.07978Fitomenadion (Vit K) tab. Salut 10 mg10.2Tab100100100361002000076,100640.5948,748,8990.0640.590.0640.590.0640.590.0640.590.00.0640.590.076,10079Fluour tablet 0,5 mg14.1Tab1001001000.00.00.00.00.00.00.00.00.00.080Furosemide tab. 40 mg14Tab100100100727001,32711,22914,900,8830.011,2290.011,2290.011,2290.011,2290.00.011,2290.01,32781Garam Oralit untuk 200 ml - air20.1Sak10010010076041,80031,768,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.0760

123K.LK.BPKDPKD11Buff44444567891011121314151617181982Gention violet 1 %14.2Btl?11143094,2094952,083,4550.04950.04950.04950.04950.00.04950.04,20983Glass ionomer cement (gx ic)14.1Set111646434,50019,987,0000.0434,5000.0434,5000.0434,5000.0434,5000.00.0434,5000.04684Glibenklamide tab. 5 mg16,1,1Tab100100100950039,500592,330,5000.0590.0590.0590.0590.00.0590.039,50085Gliseril guayakolat tab. 100 mg26.3Tab1000100010008520001,85330,69056,868,5700.030,6900.030,6900.030,6900.030,6900.00.030,6900.01,85386Gliserin25.6Btl1110.00.00.00.00.00.00.00.00.00.087Glukosa larutan infus 10% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.088Glukosa larutan infus 40% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.089Glukosa larutan infus 5% steril20.2Btl11110021,4875,8448,690,0280.05,8440.05,8440.05,8440.05,8440.00.05,8440.01,48790Griseofulvin tab. 125 mg, micronized6.3Tab10010010016,4002043,345,6000.02040.02040.02040.02040.00.02040.016,40091Haloperidol tablet 0,5 mg23.4Tab1001001001130011,40055.70634,9800.055.700.055.700.055.700.055.700.00.055.700.011,40092Haloperidol tablet 1,5 mg23.4Tab1001001001180041,80064.432,693,1740.064.430.064.430.064.430.064.430.00.064.430.041,80093Haloperidol tablet 5 mg23.4Tab1001001003440064,40094.216,067,1240.094.210.094.210.094.210.094.210.00.094.210.064,40094Hidroklortiazid (HCT) tablet 25 mg15Tab10001000100010039,930.003,993,0000.039,930.000.039,930.000.039,930.000.039,930.000.00.039,930.000.010095Hidrokortison krim 2,5%18.4Tube242424584817,8232,519.0044,896,1370.02,519.000.02,519.000.02,519.000.02,519.000.00.02,519.000.017,82396Hyoscine -n- ButilbromideTab10010010048633,000.0016,038,0000.033,000.000.033,000.000.033,000.000.033,000.000.00.033,000.000.048697Handscoen No. 7Set505050339233,75079,241,2500.0233,7500.0233,7500.0233,7500.0233,7500.00.0233,7500.033998Ibuprofen tablet 200 mg / Irgapan1.2Tab1001001004440094,60096.219,101,4660.096.210.096.210.096.210.096.210.00.096.210.094,60099Ibuprofen tablet 400 mg1.2Tab10010010036,200152.55,520,5000.0152.50.0152.50.0152.50.0152.50.00.0152.50.036,200100Infusion set anak32Set1112764,4001,214,4000.04,4000.04,4000.04,4000.04,4000.00.04,4000.0276101Infusion set dewasa32Set11113053,3043,85012,720,4000.03,8500.03,8500.03,8500.03,8500.00.03,8500.03,304102I.V. Catheter No. 18Set5050500.00.00.00.00.00.00.00.00.00.0103I.V. Catheter No. 20Set50505086428,31036,834,6600.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.086104I.V. Catheter No. 22Set5050505428,2272,141,1350.0428,2270.0428,2270.0428,2270.0428,2270.00.0428,2270.05105I.V. Catheter No. 24Set5050503428,3101,284,9300.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.03106Isosorbid Dinitrat tablet sublingual 5 mg17.1Tab1001001007200728,910641,5200.08,9100.08,9100.08,9100.08,9100.00.08,9100.072107Kasa kompres 40/40 steril32roll5552,0401,3932,841,7200.01,3930.01,3930.01,3930.01,3930.00.01,3930.02,040108Kasa pembalut 2 m x 80 cm32roll1111,8968,79916,682,9040.08,7990.08,7990.08,7990.08,7990.00.08,7990.01,896109Kasa pembalut hidrofil 4 m x 15 cm32roll1112,1193,3737,147,3870.03,3730.03,3730.03,3730.03,3730.00.03,3730.02,119110Kapas pembalut/absorben 250 gram32Bks1114478,2503,687,7500.08,2500.08,2500.08,2500.08,2500.00.08,2500.0447111Kalsium Hidroksida pasta14.1Tube2229266,2002,395,8000.0266,2000.0266,2000.0266,2000.0266,2000.00.0266,2000.09112Ketoconazole 200 mgTab50505024002,300267614,1000.02670.02670.02670.02670.00.02670.02,300113Lidokain kompositum injeksi14.1Amp30303030016,7101,48524,814,3500.01,4850.01,4850.01,4850.01,4850.00.01,4850.016,710114Mebendazol tablet 100 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.00.0115Metilergometrin maleat tablet salut 0,125 mg22.1Tab10010010010013,3101,331,0000.013,3100.013,3100.013,3100.013,3100.00.013,3100.0100116Metilergometrin maleat inj. 0,200 mg - 1 ml22,,1Amp30303094013149,1706,441,2700.049,1700.049,1700.049,1700.049,1700.00.049,1700.0131117Metronidazol tablet 250 mg6,2,2Tab10010010018,9001833,458,7000.01830.01830.01830.01830.00.01830.018,900118Miconazole cream 10 gTube24242419461,9443,3006,415,2000.03,3000.03,3000.03,3000.03,3000.00.03,3000.01,944119Metoklopramide HCl tablet 10 mg (Xylastin)Tab10010010016612,1002,008,6000.012,1000.00.012,1000.012,1000.00.012,1000.0166120Metoklopramide HCl injeksi (Piralen)Amp?1010107811,000858,0000.011,0000.011,0000.011,0000.011,0000.00.011,0000.078121Metoklopramide syrupBtl1117002,3101,617,0000.02,3100.00.02,3100.02,3100.00.02,3100.0700122Mineral MixSet4040407,6002,69520,482,0000.02,6950.02,6950.02,6950.02,6950.00.02,6950.07,600123Metformin tablet 500mgTab10010010092002000039,2001054,116,0000.01050.01050.01050.01050.00.01050.039,200124Natrium klorida lar. Infus 0,9% steril20.2Btl1115005,3902,695,0000.05,3900.05,3900.05,3900.05,3900.00.05,3900.0500

123K.LK.BPKDPKD11Buff444445678910111213141516171819125Nistatin 100.000 iu/g tab vaginal6.3Tab10010010013700.028,8760.00.028,8760.028,8760.028,8760.028,8760.00.028,8760.00.0126Nistatin 500.000 iu tab salut6.3Tab1001001000.07040.00.07040.07040.07040.07040.00.07040.00.0127Nifedipin tablet 10 mgTab1001001001060030,6001183,610,8000.01180.01180.01180.01180.00.01180.030,600128Natrium Diklofenak tablet 50 mgTab50505080450370,30020676,281,8000.02060.02060.02060.02060.00.02060.0370,300129Obat Batuk Hitam (OBH) cairan26.3Btl1111200019,1651,57330,146,5450.01,5730.01,5730.01,5730.01,5730.00.01,5730.019,165130Oksitetrasiklin HCl salep mata21,2,2Tube2525250.00.00.00.00.00.00.00.00.00.0131Oksitetrasiklin HCl salep Kulit 3%Tube2525252002071,646340,7220.01,6460.01,6460.01,6460.01,6460.00.01,6460.0207132Oksitosin injeksi 10 iu/ml - 1 ml22.1Amp30303010058,9055,890,5000.058,9050.058,9050.058,9050.058,9050.00.058,9050.0100133Paraformaldehid tablet 1 gram13.2Tab1001001000.00.00.00.00.00.00.00.00.00.0134Parasetamol Drops1.2Btl1118005,7494,599,2000.05,7490.05,7490.05,7490.05,7490.00.05,7490.0800135Parasetamol sirup 120 mg/5 ml1.2Btl111960019,5501,403.627,440,3800.01,403.60.01,403.60.01,403.60.01,403.60.00.01,403.60.019,550136Parasetamol tablet 100 mg1.2Tab1001001000.034.510.00.034.510.034.510.034.510.034.510.00.034.510.00.0137Parasetamol tablet 500 mg1.2Tab1001001005380020000002,157,80084.8182,981,4400.084.80.084.80.084.80.084.80.00.084.80.02,157,800138Pirantel Pamoat tablet 365 mg6,1,1Tab60601005370256,50034387,979,5000.03430.03430.03430.03430.00.03430.0256,500139Piridoksin HCl tablet 10 mg29Tab1000100010004310001,23119,14023,561,3400.019,1400.019,1400.019,1400.019,1400.00.019,1400.01,231140Plester 5 yard x 2 inchi32Roll11117497423,62523,010,7500.023,6250.023,6250.023,6250.023,6250.00.023,6250.0974141Prednison tablet 5 mg16.4Tab10001000100031300060968,75041,868,7500.068,7500.068,7500.068,7500.068,7500.00.068,7500.0609142Primakuin tablet 15 mg6,4,2,2Tab1000100010000.01250.00.01250.01250.01250.01250.00.01250.00.0143Propiltiourasil tablet 100 mg16.3Tab10010010050020002,500297742,5000.02970.02970.02970.02970.00.02970.02,500144Propanolol HCl tablet 40 mg7.1Tab10010010072007,200119856,8000.01190.01190.01190.01190.00.01190.07,200145Papaverin tablet 40 mgTab100010001000238000338,00012843,264,0000.01280.01280.01280.01280.00.01280.0338,000146Pembalut Gips 4 inchRoll1115035,7501,787,5000.035,7500.035,7500.035,7500.035,7500.00.035,7500.050147Pembalut gips 6 inchRoll11110046,2004,620,0000.046,2000.046,2000.046,2000.046,2000.00.046,2000.0100148Piroxicam tablet 20 mgTab1001001001396053,70097.995,262,0630.097.990.097.990.097.990.097.990.00.097.990.053,700149Poly Chateter No. 16Set1110.00.00.00.00.00.00.00.00.00.0150Poly Chateter No. 18Set1110.08,4950.00.08,4950.08,4950.08,4950.08,4950.00.08,4950.00.0151Quinine dihidroklorida inj. 25% - 2 ml6,4,2,2Amp3030300.00.00.00.00.00.00.00.00.00.0152Quinine sulfat tab. 222 mg (7 h2o)l6,4,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0153Reserpin tablet 0,25 mg17.3Tab1000100010000.01140.00.01140.01140.01140.01140.00.01140.00.0154Retinol (Vit.A) kaps 100.000 IU29Kap50505010,0002542,540,0000.02540.02540.02540.02540.00.02540.010,000155Retinol (Vit.A) kaps 200.000 IU29Kap5050504065061,70041225,420,4000.04120.04120.04120.04120.00.04120.061,700156Ringer Laktat lar infus steril20.2Btl111823,5025,72020,031,4400.05,7200.05,7200.05,7200.05,7200.00.05,7200.03,502157Ranitidin tab 150 mgTab10010010067,5001198,032,5000.01190.01190.01190.01190.00.01190.067,500158Ranitidin injeksi 25mg/2 mlAmp2525259001,1571,041,3000.01,1570.01,1570.01,1570.01,1570.00.01,1570.0900159Salbutamol tablet 2 mg26.1Tab100100100290062,900704,403,0000.0700.0700.0700.0700.00.0700.062,900160Salep 2-4 kombinasi 18.4Tube2424246,4801,98012,830,4000.01,9800.01,9800.01,9800.01,9800.00.01,9800.06,480161Salisil bedak 2%18.8Set1112,7501,1803,245,0000.01,1800.01,1800.01,1800.01,1800.00.01,1800.02,750162Simvastatin tabletTab30303053007,5601801,360,8000.01800.01800.01800.01800.00.01800.07,560163Serum anti tetanus inj.1.500 iu/ampul ats2701Amp10101011151,2201,663,4200.0151,2200.0151,2200.0151,2200.0151,2200.00.0151,2200.011164Semen seng fosfat serbuk dan cairannset11110102,8501,028,5000.0102,8500.0102,8500.0102,8500.0102,8500.00.0102,8500.010165Silk (benang bedah sutera) no. 3/032Sak/?36363628058276,54016,039,3200.0276,5400.0276,5400.0276,5400.0276,5400.00.0276,5400.058166Sulfadimidin tablet 500 mg6,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0167Sulfasetamid Natrium tetes mata 15%21,2,2Btl24242449790,55545,005,8350.090,5550.090,5550.090,5550.090,5550.00.090,5550.0497

123K.LK.BPKDPKD11Buff444445678910111213141516171819168Tablet tambah darah kombinasi10.1Tab?303030509220,000111,980,0000.0220,0000.0220,0000.0220,0000.0220,0000.00.0220,0000.0509169Temporary stopping fletcher serbuk /cairan14.1Set1111637,400598,4000.037,4000.037,4000.037,4000.037,4000.00.037,4000.016170Tetrakain HCl tetes mata21.2tube2424240.00.00.00.00.00.00.00.00.00.0171Tetrasiklin HCl kapsul 250 mg6,2,2Kap1000100010000.01890.00.01890.01890.01890.01890.00.01890.00.0171Tetrasiklin HCl kapsul 500 mg6,2,2kaps1001001000.02260.00.02260.02260.02260.02260.00.02260.00.0172Thiamin (Vit.B1) inj 100 mg/ml - 1 ml29Amp30303033021,9007,227,0000.021,9000.021,9000.021,9000.021,9000.00.021,9000.0330173Thiamin (Vit.B1) tablet 50 mg29Tab1000100010002360003000001,03641,58043,076,8800.041,5800.041,5800.041,5800.041,5800.00.041,5800.01,036174Thiamfenikol 500 mgKaps1001001002240049,40044021,736,0000.04400.04400.04400.04400.00.04400.049,400175Triheksifenidil tablet 2 mg9Tab100100100210032,100441,412,4000.0440.0440.0440.0440.00.0440.032,100176Vitamin B Kompleks tablet29Tab10001000100029400089024,42021,733,8000.024,4200.024,4200.024,4200.024,4200.00.024,4200.0890177Yodium Povidon larutan 10% 30 ml13.1Btl1114141,4262,1002,994,6000.02,1000.02,1000.02,1000.02,1000.00.02,1000.01,426178Yodium Povidon larutan 10% 300 ml13.1Btl1110.014,7000.00.014,7000.014,7000.014,7000.014,7000.00.014,7000.00.0179ZincTab1110.0491.500.00.0491.500.0491.500.0491.500.0491.500.00.0491.500.00.0180ACTSet1110.00.00.00.00.00.00.00.00.00.0181ACT AnakPaket1110.00.00.00.00.00.00.00.00.00.0182FDC AnakPaket1115235,3001,176,5000.0235,3000.0235,3000.0235,3000.0235,3000.00.0235,3000.05183FDC Kategori 1Paket1111640395,50015,820,0000.0395,9000.0395,9000.0395,9000.0395,9000.00.0395,9000.040184FDC Kategori 2Paket111201,317,00026,340,0000.01,317,0000.01,317,0000.01,317,0000.01,317,0000.00.01,317,0000.020185FDC SisipanPaket1111726175,1204,553,1200.0175,1200.0175,1200.0175,1200.0175,1200.00.0175,1200.026TOTAL HARGA (Rp)2,669,318,1550.00.00.00.08,889,8790.00.00.00.00.00.00.00.00.0

.., .2013Mengetahui,Kepala PuskesmasPetugas ApotikPuskesmas

Buku besar Triw 3PEMERINTAH KABUPATEN TANA TORAJADINAS KESEHATANJalan Tilanga No. 03 Telp. 22129 Rantelemo

BUKU BESAR PERSEDIAAN OBAT-OBATAN

NoNAMA OBATKELAS TERAPISATStok Awal Tahun 2013Harga (Rp)Total (Rp)Penerimaan BarangPenerimaan Total (Rp)Pemakaian Sisa Stok Total (Rp)KETJumlah BarangHarga (Rp)PermintaanPenyaluranTriw IIITotal Penerimaan BarangHarga (Rp)Total (Rp)DariJumlah BarangJumlah Harga (Rp)Total (Rp)OlehJumlah BarangJumlah Harga (Rp)Total (Rp)Jumlah BarangJumlah Harga (Rp)123K.LK.BPKDPKD11Buff4444756789101112131415161718191Alat suntik sekali pakai 1 ml32Set100100100290029109,2503,168,2500.0109,2500.0109,2500.0109,2500.0109,2500.00.0109,2500.02Alat suntik sekali pakai 2,5 ml32Set10010010027500275103,80028,545,0000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.03Alat suntik sekali pakai 5 ml32Set10010010011700117103,80012,144,6000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.04Albendazole tablet 400 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.05Allopurinol tablet 100 mg1.2Tab10010010021,4001062,268,4000.01060.01060.01060.01060.00.01060.06Aminophylline tablet 200 mg26.1Tab1001001001920019,20093.311,791,5520.093.310.093.310.093.310.093.310.00.093.310.07Aminophylline injeksi 24 mg/ml - 10 ml26.1Amp3030300.00.00.00.00.00.00.00.00.08Amitriptyline HCl tablet salut 25 mg23.2Tab100100100200012,0001181,416,0000.01180.01180.01180.01180.00.01180.012,0009Amoxicillin sirup kering 125 mg/ 5 ml6,2,1Btl1111172026,7202,51167,093,9200.02,5110.02,5110.02,5110.02,5110.00.02,5110.026,72010Amoxicillin kapsul 250 mg6,2,1Kap1201201206696060000147,360220.2432,454,5660.0220.240.0220.240.0220.240.0220.240.00.0220.240.0147,36011Amoxicillin kaplet 500 mgKapl100100100642900140000812,900228185,341,2000.02280.02280.02280.02280.00.02280.0812,90012Antalgin (metampiron) tablet 500 mg1.2Tab10001001002539001000003,53915,07053,332,7300.015,0700.015,0700.015,0700.015,0700.00.015,0700.03,53913Antalgin injeksi 250 mg/ml - 2 ml1.2Amp3030300.00.00.00.00.00.00.00.00.00.014Antasida DOEN tablet kombinasi25.1Tab1000100010020003000000400,00073.1229,248,0000.073.120.073.120.073.120.073.120.00.073.120.0400,00015Antasida DOEN syrupbtl1114,3302,70011,691,0000.02,7000.02,7000.02,7000.02,7000.00.02,7000.04,33016Antibakteri DOEN salep kombinasi18.2tube252525360013,5002,74137,003,5000.02,7410.02,7410.02,7410.02,7410.00.02,7410.013,50017Antihemoroid DOEN kombinasi25.3Sup101010480200024822,0005,456,0000.022,0000.022,0000.022,0000.022,0000.00.022,0000.024818Antifungi DOEN kombinasi18.3Pot24242411933,5732,096.337,490,1870.02,096.330.02,096.330.02,096.330.02,096.330.00.02,096.330.03,57319Antimigrain DOEN kombinasi7.2tab1001001002860028,6000.00.00.00.00.00.00.00.028,60020Asam Askorbat (Vit.C) tablet 50 mg29tab1000100010009400089035,20031,328,0000.035,2000.035,2000.035,2000.035,2000.00.035,2000.089021Asam Mefenamat tablet 500 mgtab100100100231,700114.8426,608,4280.0114.840.0114.840.0114.840.0114.840.00.0114.840.0231,70022aciklovir tablet 200mgTab10010010028,8002517,228,8000.02510.02510.02510.02510.00.02510.028,80023aciklovir Krim0.02,3670.00.02,3670.02,3670.02,3670.02,3670.00.02,3670.00.024Atropin Sulfat injeksi 0,25 mg/ml - 1 ml25.4Amp30303055617.525,958454,2650.025,9580.00.025,9580.025,9580.00.025,9580.01825Atropin Sulfat Tab 0,5 mgTab500500500205004133,0001,353,0000.033,0000.00.033,0000.033,0000.00.033,0000.04126Antimalaria DOEN KombinasiTab10010010029003252,0301,664,9600.052,0300.052,0300.052,0300.052,0300.00.052,0300.03227Betahistin Mesilat tablet 6 mgTab30303014,4001,01614,630,4000.01,0160.01,0160.01,0160.01,0160.00.01,0160.014,40028Betametason krim 0,1%18.4Tube2525251149532,7451,66854,618,6600.01,6680.01,6680.01,6680.01,6680.00.01,6680.032,74529Calcium Lactate (Kalk) tabet 500 mg29Tab1000100010009700029757,20016,988,4000.057,2000.057,2000.057,2000.057,2000.00.057,2000.029730Captopril 25 mgTab10010010053100150,1009414,109,4000.0940.0940.0940.0940.00.0940.0150,10031Codein HCL tab. 10 mg 26.2Tab25025025040117,5034,700,1200.0117,5030.0117,5030.0117,5030.0117,5030.00.0117,5030.04032Carbamazepine tablet 200 mg5Tab10010010025,0002676,675,0000.02670.02670.02670.02670.00.02670.025,00033Catgut/benang bedah no.2/0 (plain & chromic)32Sak24242440704,00028,160,0000.0704,0000.0704,0000.0704,0000.0704,0000.00.0704,0000.04033Catgut/benang bedah no.3/0 (plain & chromic)32Sak24242440639,13825,565,5170.0639,1380.0639,1380.0639,1380.0639,1380.00.0639,1380.04034Chlorampenicol Kapsul 250 mg6,2,2Kap2502502500.02500.00.02500.02500.02500.02500.00.02500.00.035Chlorampenicol Salep Mata 1%21,2,1Tube2424246741,5281,5232,327,1440.01,5230.01,5230.01,5230.01,5230.00.01,5230.01,52836Chloramphenicol SyrupBtl1114004,0161,606,4000.04,0160.04,0160.04,0160.04,0160.00.04,0160.0400

123K.LK.BPKDPKD11Buff44447567891011121314151617181937Chloramphenicol Tetes Telinga 3%28.1Btl242424521,5021,7502,628,5000.01,7500.00.01,7500.01,7500.00.01,7500.01,50238Chlorpheniramine Maleat (CTM) tab.4 mg3Tab1000100010005280001,524,0002335,052,0000.0230.0230.0230.0230.00.0230.01,524,00039Chlorpromazine injeksi 2,5 mg/ml25.4Amp3030300.01,0450.00.01,0450.01,0450.01,0450.01,0450.00.01,0450.00.040Chlorpromazine HCl injeksi 5 mg/ml23.4Amp3030303601211,279135,3480.011,2790.011,2790.011,2790.011,2790.00.011,2790.01241Chlorpromazine HCl tablet 100 mg23.4Tab2502502500.01460.00.01460.01460.01460.01460.00.01460.00.042Chlorpromazine HCl tablet 25 mg23.4Tab1000100010005541,8002,299,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.05543Ciprofloxacin 500 mgTab10010010098500234,45024156,502,4500.02410.02410.02410.02410.00.02410.0234,45044Cotrimoxazole Pediatrik6,2,2Tab1001001000.0790.00.0790.0790.0790.0790.00.0790.00.045Cotrimoxazole Suspensi6,2,2Btl1112,9252,212.946,472,8500.02,212.940.02,212.940.02,212.940.02,212.940.00.02,212.940.02,92546Cotrimoxazole Dewasa 6,2,2Tab100100100240400238,400146.2434,863,6160.0146.240.0146.240.0146.240.0146.240.00.0146.240.0238,40047Cimetidine tablet 200 mg Tab10010010010600210,600115.5224,328,5120.0115.520.0115.520.0115.520.0115.520.00.0115.520.0210,60048Clonidine tablet 0,15 mgTab10010010038002000033,8001916,455,8000.01910.01910.01910.01910.00.01910.033,80049Cyanocobalamin (Vit.B12) inj 500 mcg/ml10.1Amp1001001006052,0003,120,0000.052,0000.00.052,0000.052,0000.00.052,0000.06050Chloramphenikol Tetes MataBtl2424240.00.00.00.00.00.00.00.00.00.051Dexamethasone Injeksi3Amp100100100470014,6901,75025,707,5000.01,7500.01,7500.01,7500.01,7500.00.01,7500.014,69052Dexamethasone Kaplet 0,5 mg16.4Kapl1000100100559,00071.8940,186,5100.071.890.071.890.071.890.071.890.00.071.890.0559,00053Dekstromethorphan HBr sirup 10 mg/5 ml26.2Btl1117,2501,467.410,638,6500.01,467.40.01,467.40.01,467.40.01,467.40.00.01,467.40.07,25054Dekstrometorphan HBr tablet 15 mg26.2Tab100010010067000500000506,70010251,683,4000.01020.01020.01020.01020.00.01020.0506,70055Diazepam inj 15 mg/ml - 2 ml5Amp3030309004978,1473,829,2030.078,1470.078,1470.078,1470.078,1470.00.078,1470.04956Diazepam 2 mg5Tab?1000100100501500542,0003921,138,0000.0390.0390.0390.0390.00.0390.0542,00057Diazepam 5 mg5Tab50050050049250197,0000.00.00.00.00.00.00.00.0197,00058Dietilkarbamin sitrat tablet 100 mg6,1,2Tab1001001000.00.00.00.00.00.00.00.00.00.059Diphenhydramine HCl inj 10 mg/ml-1 ml3Tab3030301531,056161,5680.01,0560.01,0560.01,0560.01,0560.00.01,0560.015360Digoksin tablet 0,25 mg17.5Tab10010010034002000033,40096.483,222,4320.096.480.096.480.096.480.096.480.00.096.480.033,40061Diltiazem tab. 30 mgTab1001001002570035,7001294,605,3000.01290.01290.01290.01290.00.01290.035,70062Doksisiklin 100 mgTab10010010026002,600250650,0000.02500.02500.02500.02500.00.02500.02,60063Efedrin HCl tablet 25 mg26.1Tab2502502503377501,60114,09722,569,2970.014,0970.014,0970.014,0970.014,0970.00.014,0970.01,60164Ekstrak Belladon tablet 10 mg25.4Tab1001001000.00.00.00.00.00.00.00.00.00.065Erytromicin syrBtl1113348,9102,975,9400.08,9100.00.08,9100.08,9100.00.08,9100.033466Erytromicin tab 250 mgTab12012012022,20046210,256,4000.04620.04620.04620.04620.00.04620.022,20067Erytromicin tab 500 mgTab100100100100009,900912.949,038,1060.0912.940.0912.940.0912.940.0912.940.00.0912.940.09,90068Epinefrin HCl inj 0,1% - 1 ml3Amp303030838027910,3712,893,5090.010,3710.010,3710.010,3710.010,3710.00.010,3710.027969Etakridin(Rivanol) larutan 0,1 %13.2Btl1112141412,354.22331,9450.02,354.220.02,354.220.02,354.220.02,354.220.00.02,354.220.014170Ethanol 70%13.2Btl1110.00.00.00.00.00.00.00.00.00.071Etil chlorida semprot14.1Btl11118268115,50030,954,0000.0115,5000.0115,5000.0115,5000.0115,5000.00.0115,5000.026872Eugenol cairan14.1Btl12121276605,00045,980,0000.0605,0000.0605,0000.0605,0000.0605,0000.00.0605,0000.07673Fenitoin natrium injeksi 50mg/ml5Amp3030300.00.00.00.00.00.00.00.00.074Fenobarbital inj. 50mg/ml5Amp3030307852620,100522,6000.020,1000.020,1000.020,1000.020,1000.00.020,1000.02675Fenobarbital tab. 30 mg5Tab1000250100600004377,1393,119,7430.07,1390.07,1390.07,1390.07,1390.00.07,1390.043776Fenol gliserol tetes telinga 10 %28.2Btl2424241,0001,108.801,108,8000.01,108.800.01,108.800.01,108.800.01,108.800.00.01,108.800.01,00077Fitomenadion (Vit K) inj. 10mg/ml- 1ml10.2Amp3030308787957,4204,536,1800.057,4200.057,4200.057,4200.057,4200.00.057,4200.07978Fitomenadion (Vit K) tab. Salut 10 mg10.2Tab100100100361002000076,100640.5948,748,8990.0640.590.0640.590.0640.590.0640.590.00.0640.590.076,10079Fluour tablet 0,5 mg14.1Tab1001001000.00.00.00.00.00.00.00.00.00.080Furosemide tab. 40 mg14Tab100100100727001,32711,22914,900,8830.011,2290.011,2290.011,2290.011,2290.00.011,2290.01,32781Garam Oralit untuk 200 ml - air20.1Sak10010010076041,80031,768,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.0760

123K.LK.BPKDPKD11Buff44447567891011121314151617181982Gention violet 1 %14.2Btl?11143094,2094952,083,4550.04950.04950.04950.04950.00.04950.04,20983Glass ionomer cement (gx ic)14.1Set111646434,50019,987,0000.0434,5000.0434,5000.0434,5000.0434,5000.00.0434,5000.04684Glibenklamide tab. 5 mg16,1,1Tab100100100950039,500592,330,5000.0590.0590.0590.0590.00.0590.039,50085Gliseril guayakolat tab. 100 mg26.3Tab1000100010008520001,85330,69056,868,5700.030,6900.030,6900.030,6900.030,6900.00.030,6900.01,85386Gliserin25.6Btl1110.00.00.00.00.00.00.00.00.00.087Glukosa larutan infus 10% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.088Glukosa larutan infus 40% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.089Glukosa larutan infus 5% steril20.2Btl11110021,4875,8448,690,0280.05,8440.05,8440.05,8440.05,8440.00.05,8440.01,48790Griseofulvin tab. 125 mg, micronized6.3Tab10010010016,4002043,345,6000.02040.02040.02040.02040.00.02040.016,40091Haloperidol tablet 0,5 mg23.4Tab1001001001130011,40055.70634,9800.055.700.055.700.055.700.055.700.00.055.700.011,40092Haloperidol tablet 1,5 mg23.4Tab1001001001180041,80064.432,693,1740.064.430.064.430.064.430.064.430.00.064.430.041,80093Haloperidol tablet 5 mg23.4Tab1001001003440064,40094.216,067,1240.094.210.094.210.094.210.094.210.00.094.210.064,40094Hidroklortiazid (HCT) tablet 25 mg15Tab10001000100010039,930.003,993,0000.039,930.000.039,930.000.039,930.000.039,930.000.00.039,930.000.010095Hidrokortison krim 2,5%18.4Tube242424584817,8232,519.0044,896,1370.02,519.000.02,519.000.02,519.000.02,519.000.00.02,519.000.017,82396Hyoscine -n- ButilbromideTab10010010048633,000.0016,038,0000.033,000.000.033,000.000.033,000.000.033,000.000.00.033,000.000.048697Handscoen No. 7Set505050339233,75079,241,2500.0233,7500.0233,7500.0233,7500.0233,7500.00.0233,7500.033998Ibuprofen tablet 200 mg / Irgapan1.2Tab1001001004440094,60096.219,101,4660.096.210.096.210.096.210.096.210.00.096.210.094,60099Ibuprofen tablet 400 mg1.2Tab10010010036,200152.55,520,5000.0152.50.0152.50.0152.50.0152.50.00.0152.50.036,200100Infusion set anak32Set1112764,4001,214,4000.04,4000.04,4000.04,4000.04,4000.00.04,4000.0276101Infusion set dewasa32Set11113053,3043,85012,720,4000.03,8500.03,8500.03,8500.03,8500.00.03,8500.03,304102I.V. Catheter No. 18Set5050500.00.00.00.00.00.00.00.00.00.0103I.V. Catheter No. 20Set50505086428,31036,834,6600.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.086104I.V. Catheter No. 22Set5050505428,2272,141,1350.0428,2270.0428,2270.0428,2270.0428,2270.00.0428,2270.05105I.V. Catheter No. 24Set5050503428,3101,284,9300.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.03106Isosorbid Dinitrat tablet sublingual 5 mg17.1Tab1001001007200728,910641,5200.08,9100.08,9100.08,9100.08,9100.00.08,9100.072107Kasa kompres 40/40 steril32roll5552,0401,3932,841,7200.01,3930.01,3930.01,3930.01,3930.00.01,3930.02,040108Kasa pembalut 2 m x 80 cm32roll1111,8968,79916,682,9040.08,7990.08,7990.08,7990.08,7990.00.08,7990.01,896109Kasa pembalut hidrofil 4 m x 15 cm32roll1112,1193,3737,147,3870.03,3730.03,3730.03,3730.03,3730.00.03,3730.02,119110Kapas pembalut/absorben 250 gram32Bks1114478,2503,687,7500.08,2500.08,2500.08,2500.08,2500.00.08,2500.0447111Kalsium Hidroksida pasta14.1Tube2229266,2002,395,8000.0266,2000.0266,2000.0266,2000.0266,2000.00.0266,2000.09112Ketoconazole 200 mgTab50505024002,300267614,1000.02670.02670.02670.02670.00.02670.02,300113Lidokain kompositum injeksi14.1Amp30303030016,7101,48524,814,3500.01,4850.01,4850.01,4850.01,4850.00.01,4850.016,710114Mebendazol tablet 100 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.00.0115Metilergometrin maleat tablet salut 0,125 mg22.1Tab10010010010013,3101,331,0000.013,3100.013,3100.013,3100.013,3100.00.013,3100.0100116Metilergometrin maleat inj. 0,200 mg - 1 ml22,,1Amp30303094013149,1706,441,2700.049,1700.049,1700.049,1700.049,1700.00.049,1700.0131117Metronidazol tablet 250 mg6,2,2Tab10010010018,9001833,458,7000.01830.01830.01830.01830.00.01830.018,900118Miconazole cream 10 gTube24242419461,9443,3006,415,2000.03,3000.03,3000.03,3000.03,3000.00.03,3000.01,944119Metoklopramide HCl tablet 10 mg (Xylastin)Tab10010010016612,1002,008,6000.012,1000.00.012,1000.012,1000.00.012,1000.0166120Metoklopramide HCl injeksi (Piralen)Amp?1010107811,000858,0000.011,0000.011,0000.011,0000.011,0000.00.011,0000.078121Metoklopramide syrupBtl1117002,3101,617,0000.02,3100.00.02,3100.02,3100.00.02,3100.0700122Mineral MixSet4040407,6002,69520,482,0000.02,6950.02,6950.02,6950.02,6950.00.02,6950.07,600123Metformin tablet 500mgTab10010010092002000039,2001054,116,0000.01050.01050.01050.01050.00.01050.039,200124Natrium klorida lar. Infus 0,9% steril20.2Btl1115005,3902,695,0000.05,3900.05,3900.05,3900.05,3900.00.05,3900.0500

123K.LK.BPKDPKD11Buff444475678910111213141516171819125Nistatin 100.000 iu/g tab vaginal6.3Tab10010010013700.028,8760.00.028,8760.028,8760.028,8760.028,8760.00.028,8760.00.0126Nistatin 500.000 iu tab salut6.3Tab1001001000.07040.00.07040.07040.07040.07040.00.07040.00.0127Nifedipin tablet 10 mgTab1001001001060030,6001183,610,8000.01180.01180.01180.01180.00.01180.030,600128Natrium Diklofenak tablet 50 mgTab50505080450370,30020676,281,8000.02060.02060.02060.02060.00.02060.0370,300129Obat Batuk Hitam (OBH) cairan26.3Btl1111200019,1651,57330,146,5450.01,5730.01,5730.01,5730.01,5730.00.01,5730.019,165130Oksitetrasiklin HCl salep mata21,2,2Tube2525250.00.00.00.00.00.00.00.00.00.0131Oksitetrasiklin HCl salep Kulit 3%Tube2525252002071,646340,7220.01,6460.01,6460.01,6460.01,6460.00.01,6460.0207132Oksitosin injeksi 10 iu/ml - 1 ml22.1Amp30303010058,9055,890,5000.058,9050.058,9050.058,9050.058,9050.00.058,9050.0100133Paraformaldehid tablet 1 gram13.2Tab1001001000.00.00.00.00.00.00.00.00.00.0134Parasetamol Drops1.2Btl1118005,7494,599,2000.05,7490.05,7490.05,7490.05,7490.00.05,7490.0800135Parasetamol sirup 120 mg/5 ml1.2Btl111960019,5501,403.627,440,3800.01,403.60.01,403.60.01,403.60.01,403.60.00.01,403.60.019,550136Parasetamol tablet 100 mg1.2Tab1001001000.034.510.00.034.510.034.510.034.510.034.510.00.034.510.00.0137Parasetamol tablet 500 mg1.2Tab1001001005380020000002,157,80084.8182,981,4400.084.80.084.80.084.80.084.80.00.084.80.02,157,800138Pirantel Pamoat tablet 365 mg6,1,1Tab60601005370256,50034387,979,5000.03430.03430.03430.03430.00.03430.0256,500139Piridoksin HCl tablet 10 mg29Tab1000100010004310001,23119,14023,561,3400.019,1400.019,1400.019,1400.019,1400.00.019,1400.01,231140Plester 5 yard x 2 inchi32Roll11117497423,62523,010,7500.023,6250.023,6250.023,6250.023,6250.00.023,6250.0974141Prednison tablet 5 mg16.4Tab10001000100031300060968,75041,868,7500.068,7500.068,7500.068,7500.068,7500.00.068,7500.0609142Primakuin tablet 15 mg6,4,2,2Tab1000100010000.01250.00.01250.01250.01250.01250.00.01250.00.0143Propiltiourasil tablet 100 mg16.3Tab10010010050020002,500297742,5000.02970.02970.02970.02970.00.02970.02,500144Propanolol HCl tablet 40 mg7.1Tab10010010072007,200119856,8000.01190.01190.01190.01190.00.01190.07,200145Papaverin tablet 40 mgTab100010001000238000338,00012843,264,0000.01280.01280.01280.01280.00.01280.0338,000146Pembalut Gips 4 inchRoll1115035,7501,787,5000.035,7500.035,7500.035,7500.035,7500.00.035,7500.050147Pembalut gips 6 inchRoll11110046,2004,620,0000.046,2000.046,2000.046,2000.046,2000.00.046,2000.0100148Piroxicam tablet 20 mgTab1001001001396053,70097.995,262,0630.097.990.097.990.097.990.097.990.00.097.990.053,700149Poly Chateter No. 16Set1110.00.00.00.00.00.00.00.00.00.0150Poly Chateter No. 18Set1110.08,4950.00.08,4950.08,4950.08,4950.08,4950.00.08,4950.00.0151Quinine dihidroklorida inj. 25% - 2 ml6,4,2,2Amp3030300.00.00.00.00.00.00.00.00.00.0152Quinine sulfat tab. 222 mg (7 h2o)l6,4,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0153Reserpin tablet 0,25 mg17.3Tab1000100010000.01140.00.01140.01140.01140.01140.00.01140.00.0154Retinol (Vit.A) kaps 100.000 IU29Kap50505010,0002542,540,0000.02540.02540.02540.02540.00.02540.010,000155Retinol (Vit.A) kaps 200.000 IU29Kap5050504065061,70041225,420,4000.04120.04120.04120.04120.00.04120.061,700156Ringer Laktat lar infus steril20.2Btl111823,5025,72020,031,4400.05,7200.05,7200.05,7200.05,7200.00.05,7200.03,502157Ranitidin tab 150 mgTab10010010067,5001198,032,5000.01190.01190.01190.01190.00.01190.067,500158Ranitidin injeksi 25mg/2 mlAmp2525259001,1571,041,3000.01,1570.01,1570.01,1570.01,1570.00.01,1570.0900159Salbutamol tablet 2 mg26.1Tab100100100290062,900704,403,0000.0700.0700.0700.0700.00.0700.062,900160Salep 2-4 kombinasi 18.4Tube2424246,4801,98012,830,4000.01,9800.01,9800.01,9800.01,9800.00.01,9800.06,480161Salisil bedak 2%18.8Set1112,7501,1803,245,0000.01,1800.01,1800.01,1800.01,1800.00.01,1800.02,750162Simvastatin tabletTab30303053007,5601801,360,8000.01800.01800.01800.01800.00.01800.07,560163Serum anti tetanus inj.1.500 iu/ampul ats2701Amp10101011151,2201,663,4200.0151,2200.0151,2200.0151,2200.0151,2200.00.0151,2200.011164Semen seng fosfat serbuk dan cairannset11110102,8501,028,5000.0102,8500.0102,8500.0102,8500.0102,8500.00.0102,8500.010165Silk (benang bedah sutera) no. 3/032Sak/?36363628058276,54016,039,3200.0276,5400.0276,5400.0276,5400.0276,5400.00.0276,5400.058166Sulfadimidin tablet 500 mg6,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0167Sulfasetamid Natrium tetes mata 15%21,2,2Btl24242449790,55545,005,8350.090,5550.090,5550.090,5550.090,5550.00.090,5550.0497

123K.LK.BPKDPKD11Buff444475678910111213141516171819168Tablet tambah darah kombinasi10.1Tab?303030509220,000111,980,0000.0220,0000.0220,0000.0220,0000.0220,0000.00.0220,0000.0509169Temporary stopping fletcher serbuk /cairan14.1Set1111637,400598,4000.037,4000.037,4000.037,4000.037,4000.00.037,4000.016170Tetrakain HCl tetes mata21.2tube2424240.00.00.00.00.00.00.00.00.00.0171Tetrasiklin HCl kapsul 250 mg6,2,2Kap1000100010000.01890.00.01890.01890.01890.01890.00.01890.00.0171Tetrasiklin HCl kapsul 500 mg6,2,2kaps1001001000.02260.00.02260.02260.02260.02260.00.02260.00.0172Thiamin (Vit.B1) inj 100 mg/ml - 1 ml29Amp30303033021,9007,227,0000.021,9000.021,9000.021,9000.021,9000.00.021,9000.0330173Thiamin (Vit.B1) tablet 50 mg29Tab1000100010002360003000001,03641,58043,076,8800.041,5800.041,5800.041,5800.041,5800.00.041,5800.01,036174Thiamfenikol 500 mgKaps1001001002240049,40044021,736,0000.04400.04400.04400.04400.00.04400.049,400175Triheksifenidil tablet 2 mg9Tab100100100210032,100441,412,4000.0440.0440.0440.0440.00.0440.032,100176Vitamin B Kompleks tablet29Tab10001000100029400089024,42021,733,8000.024,4200.024,4200.024,4200.024,4200.00.024,4200.0890177Yodium Povidon larutan 10% 30 ml13.1Btl1114141,4262,1002,994,6000.02,1000.02,1000.02,1000.02,1000.00.02,1000.01,426178Yodium Povidon larutan 10% 300 ml13.1Btl1110.014,7000.00.014,7000.014,7000.014,7000.014,7000.00.014,7000.00.0179ZincTab1110.0491.500.00.0491.500.0491.500.0491.500.0491.500.00.0491.500.00.0180ACTSet1110.00.00.00.00.00.00.00.00.00.0181ACT AnakPaket1110.00.00.00.00.00.00.00.00.00.0182FDC AnakPaket1115235,3001,176,5000.0235,3000.0235,3000.0235,3000.0235,3000.00.0235,3000.05183FDC Kategori 1Paket1111640395,50015,820,0000.0395,9000.0395,9000.0395,9000.0395,9000.00.0395,9000.040184FDC Kategori 2Paket111201,317,00026,340,0000.01,317,0000.01,317,0000.01,317,0000.01,317,0000.00.01,317,0000.020185FDC SisipanPaket1111726175,1204,553,1200.0175,1200.0175,1200.0175,1200.0175,1200.00.0175,1200.026TOTAL HARGA (Rp)2,669,318,1550.00.00.00.08,889,8790.00.00.00.00.00.00.00.00.0

.., .2013Mengetahui,Kepala Puskesmas Makale UtaraPetugas ApotikPuskesmas Makale Utara

drg. Benedicta M.W.SFebrianti Guling Rissing, AMdFarNIP. 19660307 199312 2 001NIP. 19880201 201101 2 017

Buku besar Triw 2PEMERINTAH KABUPATEN TANA TORAJADINAS KESEHATANJalan Tilanga No. 03 Telp. 22129 Rantelemo

BUKU BESAR PERSEDIAAN OBAT-OBATAN

NoNAMA OBATKELAS TERAPISATStok Awal Tahun 2013Harga (Rp)Total (Rp)Penerimaan BarangPenerimaan Total (Rp)Pemakaian Sisa Stok Total (Rp)KETJumlah BarangHarga (Rp)PermintaanPenyaluranTriw IITotal Penerimaan BarangHarga (Rp)Total (Rp)DariJumlah BarangJumlah Harga (Rp)Total (Rp)OlehJumlah BarangJumlah Harga (Rp)Total (Rp)Jumlah BarangJumlah Harga (Rp)123K.LK.BPKDPKD11Buff4446756789101112131415161718191Alat suntik sekali pakai 1 ml32Set100100100290029109,2503,168,2500.0109,2500.0109,2500.0109,2500.0109,2500.00.0109,2500.02Alat suntik sekali pakai 2,5 ml32Set10010010027500275103,80028,545,0000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.03Alat suntik sekali pakai 5 ml32Set10010010011700117103,80012,144,6000.0103,8000.0103,8000.0103,8000.0103,8000.00.0103,8000.04Albendazole tablet 400 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.05Allopurinol tablet 100 mg1.2Tab10010010021,4001062,268,4000.01060.01060.01060.01060.00.01060.06Aminophylline tablet 200 mg26.1Tab1001001001920019,20093.311,791,5520.093.310.093.310.093.310.093.310.00.093.310.07Aminophylline injeksi 24 mg/ml - 10 ml26.1Amp3030300.00.00.00.00.00.00.00.00.08Amitriptyline HCl tablet salut 25 mg23.2Tab100100100200012,0001181,416,0000.01180.01180.01180.01180.00.01180.012,0009Amoxicillin sirup kering 125 mg/ 5 ml6,2,1Btl1111172026,7202,51167,093,9200.02,5110.02,5110.02,5110.02,5110.00.02,5110.026,72010Amoxicillin kapsul 250 mg6,2,1Kap1201201206696060000147,360220.2432,454,5660.0220.240.0220.240.0220.240.0220.240.00.0220.240.0147,36011Amoxicillin kaplet 500 mgKapl100100100642900140000812,900228185,341,2000.02280.02280.02280.02280.00.02280.0812,90012Antalgin (metampiron) tablet 500 mg1.2Tab10001001002539001000003,53915,07053,332,7300.015,0700.015,0700.015,0700.015,0700.00.015,0700.03,53913Antalgin injeksi 250 mg/ml - 2 ml1.2Amp3030300.00.00.00.00.00.00.00.00.00.014Antasida DOEN tablet kombinasi25.1Tab1000100010020003000000400,00073.1229,248,0000.073.120.073.120.073.120.073.120.00.073.120.0400,00015Antasida DOEN syrupbtl1114,3302,70011,691,0000.02,7000.02,7000.02,7000.02,7000.00.02,7000.04,33016Antibakteri DOEN salep kombinasi18.2tube252525360013,5002,74137,003,5000.02,7410.02,7410.02,7410.02,7410.00.02,7410.013,50017Antihemoroid DOEN kombinasi25.3Sup101010480200024822,0005,456,0000.022,0000.022,0000.022,0000.022,0000.00.022,0000.024818Antifungi DOEN kombinasi18.3Pot24242411933,5732,096.337,490,1870.02,096.330.02,096.330.02,096.330.02,096.330.00.02,096.330.03,57319Antimigrain DOEN kombinasi7.2tab1001001002860028,6000.00.00.00.00.00.00.00.028,60020Asam Askorbat (Vit.C) tablet 50 mg29tab1000100010009400089035,20031,328,0000.035,2000.035,2000.035,2000.035,2000.00.035,2000.089021Asam Mefenamat tablet 500 mgtab100100100231,700114.8426,608,4280.0114.840.0114.840.0114.840.0114.840.00.0114.840.0231,70022aciklovir tablet 200mgTab10010010028,8002517,228,8000.02510.02510.02510.02510.00.02510.028,80023aciklovir Krim0.02,3670.00.02,3670.02,3670.02,3670.02,3670.00.02,3670.00.024Atropin Sulfat injeksi 0,25 mg/ml - 1 ml25.4Amp30303055617.525,958454,2650.025,9580.00.025,9580.025,9580.00.025,9580.01825Atropin Sulfat Tab 0,5 mgTab500500500205004133,0001,353,0000.033,0000.00.033,0000.033,0000.00.033,0000.04126Antimalaria DOEN KombinasiTab10010010029003252,0301,664,9600.052,0300.052,0300.052,0300.052,0300.00.052,0300.03227Betahistin Mesilat tablet 6 mgTab30303014,4001,01614,630,4000.01,0160.01,0160.01,0160.01,0160.00.01,0160.014,40028Betametason krim 0,1%18.4Tube2525251149532,7451,66854,618,6600.01,6680.01,6680.01,6680.01,6680.00.01,6680.032,74529Calcium Lactate (Kalk) tabet 500 mg29Tab1000100010009700029757,20016,988,4000.057,2000.057,2000.057,2000.057,2000.00.057,2000.029730Captopril 25 mgTab10010010053100150,1009414,109,4000.0940.0940.0940.0940.00.0940.0150,10031Codein HCL tab. 10 mg 26.2Tab25025025040117,5034,700,1200.0117,5030.0117,5030.0117,5030.0117,5030.00.0117,5030.04032Carbamazepine tablet 200 mg5Tab10010010025,0002676,675,0000.02670.02670.02670.02670.00.02670.025,00033Catgut/benang bedah no.2/0 (plain & chromic)32Sak24242440704,00028,160,0000.0704,0000.0704,0000.0704,0000.0704,0000.00.0704,0000.04033Catgut/benang bedah no.3/0 (plain & chromic)32Sak24242440639,13825,565,5170.0639,1380.0639,1380.0639,1380.0639,1380.00.0639,1380.04034Chlorampenicol Kapsul 250 mg6,2,2Kap2502502500.02500.00.02500.02500.02500.02500.00.02500.00.035Chlorampenicol Salep Mata 1%21,2,1Tube2424246741,5281,5232,327,1440.01,5230.01,5230.01,5230.01,5230.00.01,5230.01,52836Chloramphenicol SyrupBtl1114004,0161,606,4000.04,0160.04,0160.04,0160.04,0160.00.04,0160.0400

123K.LK.BPKDPKD11Buff44467567891011121314151617181937Chloramphenicol Tetes Telinga 3%28.1Btl242424521,5021,7502,628,5000.01,7500.00.01,7500.01,7500.00.01,7500.01,50238Chlorpheniramine Maleat (CTM) tab.4 mg3Tab1000100010005280001,524,0002335,052,0000.0230.0230.0230.0230.00.0230.01,524,00039Chlorpromazine injeksi 2,5 mg/ml25.4Amp3030300.01,0450.00.01,0450.01,0450.01,0450.01,0450.00.01,0450.00.040Chlorpromazine HCl injeksi 5 mg/ml23.4Amp3030303601211,279135,3480.011,2790.011,2790.011,2790.011,2790.00.011,2790.01241Chlorpromazine HCl tablet 100 mg23.4Tab2502502500.01460.00.01460.01460.01460.01460.00.01460.00.042Chlorpromazine HCl tablet 25 mg23.4Tab1000100010005541,8002,299,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.05543Ciprofloxacin 500 mgTab10010010098500234,45024156,502,4500.02410.02410.02410.02410.00.02410.0234,45044Cotrimoxazole Pediatrik6,2,2Tab1001001000.0790.00.0790.0790.0790.0790.00.0790.00.045Cotrimoxazole Suspensi6,2,2Btl1112,9252,212.946,472,8500.02,212.940.02,212.940.02,212.940.02,212.940.00.02,212.940.02,92546Cotrimoxazole Dewasa 6,2,2Tab100100100240400238,400146.2434,863,6160.0146.240.0146.240.0146.240.0146.240.00.0146.240.0238,40047Cimetidine tablet 200 mg Tab10010010010600210,600115.5224,328,5120.0115.520.0115.520.0115.520.0115.520.00.0115.520.0210,60048Clonidine tablet 0,15 mgTab10010010038002000033,8001916,455,8000.01910.01910.01910.01910.00.01910.033,80049Cyanocobalamin (Vit.B12) inj 500 mcg/ml10.1Amp1001001006052,0003,120,0000.052,0000.00.052,0000.052,0000.00.052,0000.06050Chloramphenikol Tetes MataBtl2424240.00.00.00.00.00.00.00.00.00.051Dexamethasone Injeksi3Amp100100100470014,6901,75025,707,5000.01,7500.01,7500.01,7500.01,7500.00.01,7500.014,69052Dexamethasone Kaplet 0,5 mg16.4Kapl1000100100559,00071.8940,186,5100.071.890.071.890.071.890.071.890.00.071.890.0559,00053Dekstromethorphan HBr sirup 10 mg/5 ml26.2Btl1117,2501,467.410,638,6500.01,467.40.01,467.40.01,467.40.01,467.40.00.01,467.40.07,25054Dekstrometorphan HBr tablet 15 mg26.2Tab100010010067000500000506,70010251,683,4000.01020.01020.01020.01020.00.01020.0506,70055Diazepam inj 15 mg/ml - 2 ml5Amp3030309004978,1473,829,2030.078,1470.078,1470.078,1470.078,1470.00.078,1470.04956Diazepam 2 mg5Tab?1000100100501500542,0003921,138,0000.0390.0390.0390.0390.00.0390.0542,00057Diazepam 5 mg5Tab50050050049250197,0000.00.00.00.00.00.00.00.0197,00058Dietilkarbamin sitrat tablet 100 mg6,1,2Tab1001001000.00.00.00.00.00.00.00.00.00.059Diphenhydramine HCl inj 10 mg/ml-1 ml3Tab3030301531,056161,5680.01,0560.01,0560.01,0560.01,0560.00.01,0560.015360Digoksin tablet 0,25 mg17.5Tab10010010034002000033,40096.483,222,4320.096.480.096.480.096.480.096.480.00.096.480.033,40061Diltiazem tab. 30 mgTab1001001002570035,7001294,605,3000.01290.01290.01290.01290.00.01290.035,70062Doksisiklin 100 mgTab10010010026002,600250650,0000.02500.02500.02500.02500.00.02500.02,60063Efedrin HCl tablet 25 mg26.1Tab2502502503377501,60114,09722,569,2970.014,0970.014,0970.014,0970.014,0970.00.014,0970.01,60164Ekstrak Belladon tablet 10 mg25.4Tab1001001000.00.00.00.00.00.00.00.00.00.065Erytromicin syrBtl1113348,9102,975,9400.08,9100.00.08,9100.08,9100.00.08,9100.033466Erytromicin tab 250 mgTab12012012022,20046210,256,4000.04620.04620.04620.04620.00.04620.022,20067Erytromicin tab 500 mgTab100100100100009,900912.949,038,1060.0912.940.0912.940.0912.940.0912.940.00.0912.940.09,90068Epinefrin HCl inj 0,1% - 1 ml3Amp303030838027910,3712,893,5090.010,3710.010,3710.010,3710.010,3710.00.010,3710.027969Etakridin(Rivanol) larutan 0,1 %13.2Btl1112141412,354.22331,9450.02,354.220.02,354.220.02,354.220.02,354.220.00.02,354.220.014170Ethanol 70%13.2Btl1110.00.00.00.00.00.00.00.00.00.071Etil chlorida semprot14.1Btl11118268115,50030,954,0000.0115,5000.0115,5000.0115,5000.0115,5000.00.0115,5000.026872Eugenol cairan14.1Btl12121276605,00045,980,0000.0605,0000.0605,0000.0605,0000.0605,0000.00.0605,0000.07673Fenitoin natrium injeksi 50mg/ml5Amp3030300.00.00.00.00.00.00.00.00.074Fenobarbital inj. 50mg/ml5Amp3030307852620,100522,6000.020,1000.020,1000.020,1000.020,1000.00.020,1000.02675Fenobarbital tab. 30 mg5Tab1000250100600004377,1393,119,7430.07,1390.07,1390.07,1390.07,1390.00.07,1390.043776Fenol gliserol tetes telinga 10 %28.2Btl2424241,0001,108.801,108,8000.01,108.800.01,108.800.01,108.800.01,108.800.00.01,108.800.01,00077Fitomenadion (Vit K) inj. 10mg/ml- 1ml10.2Amp3030308787957,4204,536,1800.057,4200.057,4200.057,4200.057,4200.00.057,4200.07978Fitomenadion (Vit K) tab. Salut 10 mg10.2Tab100100100361002000076,100640.5948,748,8990.0640.590.0640.590.0640.590.0640.590.00.0640.590.076,10079Fluour tablet 0,5 mg14.1Tab1001001000.00.00.00.00.00.00.00.00.00.080Furosemide tab. 40 mg14Tab100100100727001,32711,22914,900,8830.011,2290.011,2290.011,2290.011,2290.00.011,2290.01,32781Garam Oralit untuk 200 ml - air20.1Sak10010010076041,80031,768,0000.041,8000.041,8000.041,8000.041,8000.00.041,8000.0760

123K.LK.BPKDPKD11Buff44467567891011121314151617181982Gention violet 1 %14.2Btl?11143094,2094952,083,4550.04950.04950.04950.04950.00.04950.04,20983Glass ionomer cement (gx ic)14.1Set111646434,50019,987,0000.0434,5000.0434,5000.0434,5000.0434,5000.00.0434,5000.04684Glibenklamide tab. 5 mg16,1,1Tab100100100950039,500592,330,5000.0590.0590.0590.0590.00.0590.039,50085Gliseril guayakolat tab. 100 mg26.3Tab1000100010008520001,85330,69056,868,5700.030,6900.030,6900.030,6900.030,6900.00.030,6900.01,85386Gliserin25.6Btl1110.00.00.00.00.00.00.00.00.00.087Glukosa larutan infus 10% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.088Glukosa larutan infus 40% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.089Glukosa larutan infus 5% steril20.2Btl11110021,4875,8448,690,0280.05,8440.05,8440.05,8440.05,8440.00.05,8440.01,48790Griseofulvin tab. 125 mg, micronized6.3Tab10010010016,4002043,345,6000.02040.02040.02040.02040.00.02040.016,40091Haloperidol tablet 0,5 mg23.4Tab1001001001130011,40055.70634,9800.055.700.055.700.055.700.055.700.00.055.700.011,40092Haloperidol tablet 1,5 mg23.4Tab1001001001180041,80064.432,693,1740.064.430.064.430.064.430.064.430.00.064.430.041,80093Haloperidol tablet 5 mg23.4Tab1001001003440064,40094.216,067,1240.094.210.094.210.094.210.094.210.00.094.210.064,40094Hidroklortiazid (HCT) tablet 25 mg15Tab10001000100010039,930.003,993,0000.039,930.000.039,930.000.039,930.000.039,930.000.00.039,930.000.010095Hidrokortison krim 2,5%18.4Tube242424584817,8232,519.0044,896,1370.02,519.000.02,519.000.02,519.000.02,519.000.00.02,519.000.017,82396Hyoscine -n- ButilbromideTab10010010048633,000.0016,038,0000.033,000.000.033,000.000.033,000.000.033,000.000.00.033,000.000.048697Handscoen No. 7Set505050339233,75079,241,2500.0233,7500.0233,7500.0233,7500.0233,7500.00.0233,7500.033998Ibuprofen tablet 200 mg / Irgapan1.2Tab1001001004440094,60096.219,101,4660.096.210.096.210.096.210.096.210.00.096.210.094,60099Ibuprofen tablet 400 mg1.2Tab10010010036,200152.55,520,5000.0152.50.0152.50.0152.50.0152.50.00.0152.50.036,200100Infusion set anak32Set1112764,4001,214,4000.04,4000.04,4000.04,4000.04,4000.00.04,4000.0276101Infusion set dewasa32Set11113053,3043,85012,720,4000.03,8500.03,8500.03,8500.03,8500.00.03,8500.03,304102I.V. Catheter No. 18Set5050500.00.00.00.00.00.00.00.00.00.0103I.V. Catheter No. 20Set50505086428,31036,834,6600.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.086104I.V. Catheter No. 22Set5050505428,2272,141,1350.0428,2270.0428,2270.0428,2270.0428,2270.00.0428,2270.05105I.V. Catheter No. 24Set5050503428,3101,284,9300.0428,3100.0428,3100.0428,3100.0428,3100.00.0428,3100.03106Isosorbid Dinitrat tablet sublingual 5 mg17.1Tab1001001007200728,910641,5200.08,9100.08,9100.08,9100.08,9100.00.08,9100.072107Kasa kompres 40/40 steril32roll5552,0401,3932,841,7200.01,3930.01,3930.01,3930.01,3930.00.01,3930.02,040108Kasa pembalut 2 m x 80 cm32roll1111,8968,79916,682,9040.08,7990.08,7990.08,7990.08,7990.00.08,7990.01,896109Kasa pembalut hidrofil 4 m x 15 cm32roll1112,1193,3737,147,3870.03,3730.03,3730.03,3730.03,3730.00.03,3730.02,119110Kapas pembalut/absorben 250 gram32Bks1114478,2503,687,7500.08,2500.08,2500.08,2500.08,2500.00.08,2500.0447111Kalsium Hidroksida pasta14.1Tube2229266,2002,395,8000.0266,2000.0266,2000.0266,2000.0266,2000.00.0266,2000.09112Ketoconazole 200 mgTab50505024002,300267614,1000.02670.02670.02670.02670.00.02670.02,300113Lidokain kompositum injeksi14.1Amp30303030016,7101,48524,814,3500.01,4850.01,4850.01,4850.01,4850.00.01,4850.016,710114Mebendazol tablet 100 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.00.0115Metilergometrin maleat tablet salut 0,125 mg22.1Tab10010010010013,3101,331,0000.013,3100.013,3100.013,3100.013,3100.00.013,3100.0100116Metilergometrin maleat inj. 0,200 mg - 1 ml22,,1Amp30303094013149,1706,441,2700.049,1700.049,1700.049,1700.049,1700.00.049,1700.0131117Metronidazol tablet 250 mg6,2,2Tab10010010018,9001833,458,7000.01830.01830.01830.01830.00.01830.018,900118Miconazole cream 10 gTube24242419461,9443,3006,415,2000.03,3000.03,3000.03,3000.03,3000.00.03,3000.01,944119Metoklopramide HCl tablet 10 mg (Xylastin)Tab10010010016612,1002,008,6000.012,1000.00.012,1000.012,1000.00.012,1000.0166120Metoklopramide HCl injeksi (Piralen)Amp?1010107811,000858,0000.011,0000.011,0000.011,0000.011,0000.00.011,0000.078121Metoklopramide syrupBtl1117002,3101,617,0000.02,3100.00.02,3100.02,3100.00.02,3100.0700122Mineral MixSet4040407,6002,69520,482,0000.02,6950.02,6950.02,6950.02,6950.00.02,6950.07,600123Metformin tablet 500mgTab10010010092002000039,2001054,116,0000.01050.01050.01050.01050.00.01050.039,200124Natrium klorida lar. Infus 0,9% steril20.2Btl1115005,3902,695,0000.05,3900.05,3900.05,3900.05,3900.00.05,3900.0500

123K.LK.BPKDPKD11Buff444675678910111213141516171819125Nistatin 100.000 iu/g tab vaginal6.3Tab10010010013700.028,8760.00.028,8760.028,8760.028,8760.028,8760.00.028,8760.00.0126Nistatin 500.000 iu tab salut6.3Tab1001001000.07040.00.07040.07040.07040.07040.00.07040.00.0127Nifedipin tablet 10 mgTab1001001001060030,6001183,610,8000.01180.01180.01180.01180.00.01180.030,600128Natrium Diklofenak tablet 50 mgTab50505080450370,30020676,281,8000.02060.02060.02060.02060.00.02060.0370,300129Obat Batuk Hitam (OBH) cairan26.3Btl1111200019,1651,57330,146,5450.01,5730.01,5730.01,5730.01,5730.00.01,5730.019,165130Oksitetrasiklin HCl salep mata21,2,2Tube2525250.00.00.00.00.00.00.00.00.00.0131Oksitetrasiklin HCl salep Kulit 3%Tube2525252002071,646340,7220.01,6460.01,6460.01,6460.01,6460.00.01,6460.0207132Oksitosin injeksi 10 iu/ml - 1 ml22.1Amp30303010058,9055,890,5000.058,9050.058,9050.058,9050.058,9050.00.058,9050.0100133Paraformaldehid tablet 1 gram13.2Tab1001001000.00.00.00.00.00.00.00.00.00.0134Parasetamol Drops1.2Btl1118005,7494,599,2000.05,7490.05,7490.05,7490.05,7490.00.05,7490.0800135Parasetamol sirup 120 mg/5 ml1.2Btl111960019,5501,403.627,440,3800.01,403.60.01,403.60.01,403.60.01,403.60.00.01,403.60.019,550136Parasetamol tablet 100 mg1.2Tab1001001000.034.510.00.034.510.034.510.034.510.034.510.00.034.510.00.0137Parasetamol tablet 500 mg1.2Tab1001001005380020000002,157,80084.8182,981,4400.084.80.084.80.084.80.084.80.00.084.80.02,157,800138Pirantel Pamoat tablet 365 mg6,1,1Tab60601005370256,50034387,979,5000.03430.03430.03430.03430.00.03430.0256,500139Piridoksin HCl tablet 10 mg29Tab1000100010004310001,23119,14023,561,3400.019,1400.019,1400.019,1400.019,1400.00.019,1400.01,231140Plester 5 yard x 2 inchi32Roll11117497423,62523,010,7500.023,6250.023,6250.023,6250.023,6250.00.023,6250.0974141Prednison tablet 5 mg16.4Tab10001000100031300060968,75041,868,7500.068,7500.068,7500.068,7500.068,7500.00.068,7500.0609142Primakuin tablet 15 mg6,4,2,2Tab1000100010000.01250.00.01250.01250.01250.01250.00.01250.00.0143Propiltiourasil tablet 100 mg16.3Tab10010010050020002,500297742,5000.02970.02970.02970.02970.00.02970.02,500144Propanolol HCl tablet 40 mg7.1Tab10010010072007,200119856,8000.01190.01190.01190.01190.00.01190.07,200145Papaverin tablet 40 mgTab100010001000238000338,00012843,264,0000.01280.01280.01280.01280.00.01280.0338,000146Pembalut Gips 4 inchRoll1115035,7501,787,5000.035,7500.035,7500.035,7500.035,7500.00.035,7500.050147Pembalut gips 6 inchRoll11110046,2004,620,0000.046,2000.046,2000.046,2000.046,2000.00.046,2000.0100148Piroxicam tablet 20 mgTab1001001001396053,70097.995,262,0630.097.990.097.990.097.990.097.990.00.097.990.053,700149Poly Chateter No. 16Set1110.00.00.00.00.00.00.00.00.00.0150Poly Chateter No. 18Set1110.08,4950.00.08,4950.08,4950.08,4950.08,4950.00.08,4950.00.0151Quinine dihidroklorida inj. 25% - 2 ml6,4,2,2Amp3030300.00.00.00.00.00.00.00.00.00.0152Quinine sulfat tab. 222 mg (7 h2o)l6,4,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0153Reserpin tablet 0,25 mg17.3Tab1000100010000.01140.00.01140.01140.01140.01140.00.01140.00.0154Retinol (Vit.A) kaps 100.000 IU29Kap50505010,0002542,540,0000.02540.02540.02540.02540.00.02540.010,000155Retinol (Vit.A) kaps 200.000 IU29Kap5050504065061,70041225,420,4000.04120.04120.04120.04120.00.04120.061,700156Ringer Laktat lar infus steril20.2Btl111823,5025,72020,031,4400.05,7200.05,7200.05,7200.05,7200.00.05,7200.03,502157Ranitidin tab 150 mgTab10010010067,5001198,032,5000.01190.01190.01190.01190.00.01190.067,500158Ranitidin injeksi 25mg/2 mlAmp2525259001,1571,041,3000.01,1570.01,1570.01,1570.01,1570.00.01,1570.0900159Salbutamol tablet 2 mg26.1Tab100100100290062,900704,403,0000.0700.0700.0700.0700.00.0700.062,900160Salep 2-4 kombinasi 18.4Tube2424246,4801,98012,830,4000.01,9800.01,9800.01,9800.01,9800.00.01,9800.06,480161Salisil bedak 2%18.8Set1112,7501,1803,245,0000.01,1800.01,1800.01,1800.01,1800.00.01,1800.02,750162Simvastatin tabletTab30303053007,5601801,360,8000.01800.01800.01800.01800.00.01800.07,560163Serum anti tetanus inj.1.500 iu/ampul ats2701Amp10101011151,2201,663,4200.0151,2200.0151,2200.0151,2200.0151,2200.00.0151,2200.011164Semen seng fosfat serbuk dan cairannset11110102,8501,028,5000.0102,8500.0102,8500.0102,8500.0102,8500.00.0102,8500.010165Silk (benang bedah sutera) no. 3/032Sak/?36363628058276,54016,039,3200.0276,5400.0276,5400.0276,5400.0276,5400.00.0276,5400.058166Sulfadimidin tablet 500 mg6,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.0167Sulfasetamid Natrium tetes mata 15%21,2,2Btl24242449790,55545,005,8350.090,5550.090,5550.090,5550.090,5550.00.090,5550.0497

123K.LK.BPKDPKD11Buff444675678910111213141516171819168Tablet tambah darah kombinasi10.1Tab?303030509220,000111,980,0000.0220,0000.0220,0000.0220,0000.0220,0000.00.0220,0000.0509169Temporary stopping fletcher serbuk /cairan14.1Set1111637,400598,4000.037,4000.037,4000.037,4000.037,4000.00.037,4000.016170Tetrakain HCl tetes mata21.2tube2424240.00.00.00.00.00.00.00.00.00.0171Tetrasiklin HCl kapsul 250 mg6,2,2Kap1000100010000.01890.00.01890.01890.01890.01890.00.01890.00.0171Tetrasiklin HCl kapsul 500 mg6,2,2kaps1001001000.02260.00.02260.02260.02260.02260.00.02260.00.0172Thiamin (Vit.B1) inj 100 mg/ml - 1 ml29Amp30303033021,9007,227,0000.021,9000.021,9000.021,9000.021,9000.00.021,9000.0330173Thiamin (Vit.B1) tablet 50 mg29Tab1000100010002360003000001,03641,58043,076,8800.041,5800.041,5800.041,5800.041,5800.00.041,5800.01,036174Thiamfenikol 500 mgKaps1001001002240049,40044021,736,0000.04400.04400.04400.04400.00.04400.049,400175Triheksifenidil tablet 2 mg9Tab100100100210032,100441,412,4000.0440.0440.0440.0440.00.0440.032,100176Vitamin B Kompleks tablet29Tab10001000100029400089024,42021,733,8000.024,4200.024,4200.024,4200.024,4200.00.024,4200.0890177Yodium Povidon larutan 10% 30 ml13.1Btl1114141,4262,1002,994,6000.02,1000.02,1000.02,1000.02,1000.00.02,1000.01,426178Yodium Povidon larutan 10% 300 ml13.1Btl1110.014,7000.00.014,7000.014,7000.014,7000.014,7000.00.014,7000.00.0179ZincTab1110.0491.500.00.0491.500.0491.500.0491.500.0491.500.00.0491.500.00.0180ACTSet1110.00.00.00.00.00.00.00.00.00.0181ACT AnakPaket1110.00.00.00.00.00.00.00.00.00.0182FDC AnakPaket1115235,3001,176,5000.0235,3000.0235,3000.0235,3000.0235,3000.00.0235,3000.05183FDC Kategori 1Paket1111640395,50015,820,0000.0395,9000.0395,9000.0395,9000.0395,9000.00.0395,9000.040184FDC Kategori 2Paket111201,317,00026,340,0000.01,317,0000.01,317,0000.01,317,0000.01,317,0000.00.01,317,0000.020185FDC SisipanPaket1111726175,1204,553,1200.0175,1200.0175,1200.0175,1200.0175,1200.00.0175,1200.026TOTAL HARGA (Rp)2,669,318,1550.00.00.00.08,889,8790.00.00.00.00.00.00.00.00.0

.., .2013Mengetahui,Kepala Puskesmas Makale UtaraPetugas ApotikPuskesmas Makale Utara

drg. Benedicta M.W.SFebrianti Guling Rissing,AMdFarNIP. 19660307 199312 2 001NIP.19880201 201101 2 017

LPLPO 2014LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT( LPLPO )

KODE PUSKESMAS :Hal 1 LB 2PUSKESMAS :KECAMATAN :Bulan :KABUPATEN :Tahun :PROPINSI :

NoNAMA OBATKELAS TERAPISATSTOK AWALPENERIMAANPERSEDIAANPEMAKAIANSISA STOKSTOK OPT.PERMIN TAANPEMBERIANKETPKDBUFFERLAIN .JML123456=(4+5)7=(6-8)891011121314151Alat suntik sekali pakai 1 ml32Set2Alat suntik sekali pakai 2,5 ml32Set3Alat suntik sekali pakai 5 ml32Set4Albendazole tablet 400 mg6,1,1Tab5Allopurinol tablet 100 mg1.2Tab6Aminophylline tablet 200 mg26.1Tab7Aminophylline injeksi 24 mg/ml - 10 ml26.1Amp8Amitriptyline HCl tablet salut 25 mg23.2Tab9Amoxicillin sirup kering 125 mg/ 5 ml6,2,1Btl10Amoxicillin kapsul 250 mg6,2,1Kap11Amoxicillin kaplet 500 mgKapl12Antalgin (metampiron) tablet 500 mg1.2Tab13Antalgin injeksi 250 mg/ml - 2 ml1.2Amp14Antasida DOEN tablet kombinasi25.1Tab15Antasida DOEN syrupbtl16Antibakteri DOEN salep kombinasi18.2tube17Antihemoroid DOEN kombinasi25.3Sup18Antifungi DOEN kombinasi18.3Pot19Antimigrain DOEN kombinasi7.2tab20Asam Askorbat (Vit.C) tablet 50 mg29tab21Asam Mefenamat tablet 500 mgtab22aciklovir tablet 200mgTab23aciklovir Krim24Atropin Sulfat injeksi 0,25 mg/ml - 1 ml25.4Amp25Atropin Sulfat Tab 0,5 mgTab26Antimalaria DOEN KombinasiTab27Betahistin Mesilat tablet 6 mgTab28Betametason krim 0,1%18.4Tube29Calcium Lactate (Kalk) tabet 500 mg29Tab30Captopril 25 mgTab31Codein HCL tab. 10 mg 26.2Tab32Carbamazepine tablet 200 mg5Tab33Catgut/benang bedah no.2/0 (plain & chromic)32Sak33Catgut/benang bedah no.3/0 (plain & chromic)32Sak34Chlorampenicol Kapsul 250 mg6,2,2Kap35Chlorampenicol Salep Mata 1%21,2,1Tube36Chloramphenicol SyrupBtl

123456=(4+5)7=(6-8)8910111213141537Chloramphenicol Tetes Telinga 3%28.1Btl38Chlorpheniramine Maleat (CTM) tab.4 mg3Tab39Chlorpromazine injeksi 2,5 mg/ml25.4Amp40Chlorpromazine HCl injeksi 5 mg/ml23.4Amp41Chlorpromazine HCl tablet 100 mg23.4Tab42Chlorpromazine HCl tablet 25 mg23.4Tab43Ciprofloxacin 500 mgTab44Cotrimoxazole Pediatrik6,2,2Tab45Cotrimoxazole Suspensi6,2,2Btl46Cotrimoxazole Dewasa 6,2,2Tab47Cimetidine tablet 200 mg Tab48Clonidine tablet 0,15 mgTab49Cyanocobalamin (Vit.B12) inj 500 mcg/ml10.1Amp50Chloramphenikol Tetes MataBtl51Dexamethasone Injeksi3Amp52Dexamethasone Kaplet 0,5 mg16.4Kapl53Dekstromethorphan HBr sirup 10 mg/5 ml26.2Btl54Dekstrometorphan HBr tablet 15 mg26.2Tab55Diazepam inj 15 mg/ml - 2 ml5Amp56Diazepam 2 mg5Tab?57Diazepam 5 mg5Tab58Dietilkarbamin sitrat tablet 100 mg6,1,2Tab59Diphenhydramine HCl inj 10 mg/ml-1 ml3Tab60Digoksin tablet 0,25 mg17.5Tab61Diltiazem tab. 30 mgTab62Doksisiklin 100 mgTab63Efedrin HCl tablet 25 mg26.1Tab64Ekstrak Belladon tablet 10 mg25.4Tab65Erytromicin syrBtl66Erytromicin tab 250 mgTab67Erytromicin tab 500 mgTab68Epinefrin HCl inj 0,1% - 1 ml3Amp69Etakridin(Rivanol) larutan 0,1 %13.2Btl70Ethanol 70%13.2Btl71Etil chlorida semprot14.1Btl72Eugenol cairan14.1Btl73Fenitoin natrium injeksi 50mg/ml5Amp74Fenobarbital inj. 50mg/ml5Amp75Fenobarbital tab. 30 mg5Tab76Fenol gliserol tetes telinga 10 %28.2Btl77Fitomenadion (Vit K) inj. 10mg/ml- 1ml10.2Amp78Fitomenadion (Vit K) tab. Salut 10 mg10.2Tab79Fluour tablet 0,5 mg14.1Tab80Furosemide tab. 40 mg14Tab81Garam Oralit untuk 200 ml - air20.1Sak

123456=(4+5)7=(6-8)8910111213141582Gention violet 1 %14.2Btl?83Glass ionomer cement (gx ic)14.1Set84Glibenklamide tab. 5 mg16,1,1Tab85Gliseril guayakolat tab. 100 mg26.3Tab86Gliserin25.6Btl87Glukosa larutan infus 10% steril20.2Btl88Glukosa larutan infus 40% steril20.2Btl89Glukosa larutan infus 5% steril20.2Btl90Griseofulvin tab. 125 mg, micronized6.3Tab91Haloperidol tablet 0,5 mg23.4Tab92Haloperidol tablet 1,5 mg23.4Tab93Haloperidol tablet 5 mg23.4Tab94Hidroklortiazid (HCT) tablet 25 mg15Tab95Hidrokortison krim 2,5%18.4Tube96Hyoscine -n- ButilbromideTab97Handscoen No. 7Set98Ibuprofen tablet 200 mg / Irgapan1.2Tab99Ibuprofen tablet 400 mg1.2Tab100Infusion set anak32Set101Infusion set dewasa32Set102I.V. Catheter No. 18Set103I.V. Catheter No. 20Set104I.V. Catheter No. 22Set105I.V. Catheter No. 24Set106Isosorbid Dinitrat tablet sublingual 5 mg17.1Tab107Kasa kompres 40/40 steril32roll108Kasa pembalut 2 m x 80 cm32roll109Kasa pembalut hidrofil 4 m x 15 cm32roll110Kapas pembalut/absorben 250 gram32Bks111Kalsium Hidroksida pasta14.1Tube112Ketoconazole 200 mgTab113Lidokain kompositum injeksi14.1Amp114Mebendazol tablet 100 mg6,1,1Tab115Metilergometrin maleat tablet salut 0,125 mg22.1Tab116Metilergometrin maleat inj. 0,200 mg - 1 ml22,,1Amp117Metronidazol tablet 250 mg6,2,2Tab118Miconazole cream 10 gTube119Metoklopramide HCl tablet 10 mg (Xylastin)Tab120Metoklopramide HCl injeksi (Piralen)Amp?121Metoklopramide syrupBtl122Mineral MixSet123Metformin tablet 500mgTab124Natrium klorida lar. Infus 0,9% steril20.2Btl

123456=(4+5)7=(6-8)89101112131415125Nistatin 100.000 iu/g tab vaginal6.3Tab126Nistatin 500.000 iu tab salut6.3Tab127Nifedipin tablet 10 mgTab128Natrium Diklofenak tablet 50 mgTab129Obat Batuk Hitam (OBH) cairan26.3Btl130Oksitetrasiklin HCl salep mata21,2,2Tube131Oksitetrasiklin HCl salep Kulit 3%Tube132Oksitosin injeksi 10 iu/ml - 1 ml22.1Amp133Paraformaldehid tablet 1 gram13.2Tab134Parasetamol Drops1.2Btl135Parasetamol sirup 120 mg/5 ml1.2Btl136Parasetamol tablet 100 mg1.2Tab137Parasetamol tablet 500 mg1.2Tab138Pirantel Pamoat tablet 365 mg6,1,1Tab139Piridoksin HCl tablet 10 mg29Tab140Plester 5 yard x 2 inchi32Roll141Prednison tablet 5 mg16.4Tab142Primakuin tablet 15 mg6,4,2,2Tab143Propiltiourasil tablet 100 mg16.3Tab144Propanolol HCl tablet 40 mg7.1Tab145Papaverin tablet 40 mgTab146Pembalut Gips 4 inchRoll147Pembalut gips 6 inchRoll148Piroxicam tablet 20 mgTab149Poly Chateter No. 16Set150Poly Chateter No. 18Set151Quinine dihidroklorida inj. 25% - 2 ml6,4,2,2Amp152Quinine sulfat tab. 222 mg (7 h2o)l6,4,2,2Tab153Reserpin tablet 0,25 mg17.3Tab154Retinol (Vit.A) kaps 100.000 IU29Kap155Retinol (Vit.A) kaps 200.000 IU29Kap156Ringer Laktat lar infus steril20.2Btl157Ranitidin tab 150 mgTab158Ranitidin injeksi 25mg/2 mlAmp159Salbutamol tablet 2 mg26.1Tab160Salep 2-4 kombinasi 18.4Tube161Salisil bedak 2%18.8Set162Simvastatin tabletTab163Serum anti tetanus inj.1.500 iu/ampul ats2701Amp164Semen seng fosfat serbuk dan cairannset165Silk (benang bedah sutera) no. 3/032Sak/?166Sulfadimidin tablet 500 mg6,2,2Tab167Sulfasetamid Natrium tetes mata 15%21,2,2Btl

123456=(4+5)7=(6-8)89101112131415168Tablet tambah darah kombinasi10.1Tab?169Temporary stopping fletcher serbuk /cairan14.1Set170Tetrakain HCl tetes mata21.2tube171Tetrasiklin HCl kapsul 250 mg6,2,2Kap171Tetrasiklin HCl kapsul 500 mg6,2,2kaps172Thiamin (Vit.B1) inj 100 mg/ml - 1 ml29Amp173Thiamin (Vit.B1) tablet 50 mg29Tab174Thiamfenikol 500 mgKaps175Triheksifenidil tablet 2 mg9Tab176Vitamin B Kompleks tablet29Tab177Yodium Povidon larutan 10% 30 ml13.1Btl178Yodium Povidon larutan 10% 300 ml13.1Btl179ZincTab180ACTSet181ACT AnakPaket182FDC AnakPaket183FDC Kategori 1Paket184FDC Kategori 2Paket185FDC SisipanPaket

Buku besar Tahunan PKMPEMERINTAH KABUPATEN TANA TORAJADINAS KESEHATANPUSKESMAS

BUKU BESAR PERSEDIAAN OBAT-OBATAN

NoNAMA OBATKELAS TERAPISATStok Awal Tahun 2013Penerimaan Barang Tahun 2013Total Penerimaan BarangHarga (Rp)Total (Rp)Pemakaian Barang Tahun 2013Total (Rp)Sisa Stok Harga (Rp)Total (Rp)KETJumlah BarangHarga (Rp)Total (Rp)Triw ITriw IITriw IIITriw IVJumlah BarangHarga (Rp)

123K.LK.BPKDPKD11Buff45678910111213141516171819201Alat suntik sekali pakai 1 ml32Set1001001002900109,2500.00.00.00.00.00.0109,2500.0109,2500.00.0109,2500.02Alat suntik sekali pakai 2,5 ml32Set10010010027500103,8000.00.00.00.00.00.0103,8000.0103,8000.00.0103,8000.03Alat suntik sekali pakai 5 ml32Set10010010011700103,8000.00.00.00.00.00.0103,8000.0103,8000.00.0103,8000.04Albendazole tablet 400 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.00.05Allopurinol tablet 100 mg1.2Tab1001001001060.00.00.00.00.00.01060.01060.00.01060.06Aminophylline tablet 200 mg26.1Tab1001001001920093.310.00.00.00.00.00.093.310.093.310.00.093.310.07Aminophylline injeksi 24 mg/ml - 10 ml26.1Amp3030300.00.00.00.00.00.00.00.00.00.08Amitriptyline HCl tablet salut 25 mg23.2Tab10010010020001180.00.00.00.00.00.01180.01180.00.01180.00.09Amoxicillin sirup kering 125 mg/ 5 ml6,2,1Btl111117202,5110.00.00.00.00.00.02,5110.02,5110.00.02,5110.00.010Amoxicillin kapsul 250 mg6,2,1Kap1201201206696060000220.240.00.00.00.00.00.0220.240.0220.240.00.0220.240.00.011Amoxicillin kaplet 500 mgKapl1001001006429001400002280.00.00.00.00.00.02280.02280.00.02280.00.012Antalgin (metampiron) tablet 500 mg1.2Tab100010010025390010000015,0700.00.00.00.00.00.015,0700.015,0700.00.015,0700.00.013Antalgin injeksi 250 mg/ml - 2 ml1.2Amp3030300.00.00.00.00.00.00.00.00.00.00.014Antasida DOEN tablet kombinasi25.1Tab100010001002000300000073.120.00.00.00.00.00.073.120.073.120.00.073.120.00.015Antasida DOEN syrupbtl1112,7000.00.00.00.00.00.02,7000.02,7000.00.02,7000.00.016Antibakteri DOEN salep kombinasi18.2tube25252536002,7410.00.00.00.00.00.02,7410.02,7410.00.02,7410.00.017Antihemoroid DOEN kombinasi25.3Sup101010480200022,0000.00.00.00.00.00.022,0000.022,0000.00.022,0000.00.018Antifungi DOEN kombinasi18.3Pot24242411932,096.330.00.00.00.00.00.02,096.330.02,096.330.00.02,096.330.00.019Antimigrain DOEN kombinasi7.2tab100100100286000.00.00.00.00.00.00.00.00.00.00.020Asam Askorbat (Vit.C) tablet 50 mg29tab1000100010009400035,2000.00.00.00.00.00.035,2000.035,2000.00.035,2000.00.021Asam Mefenamat tablet 500 mgtab100100100114.840.00.00.00.00.00.0114.840.0114.840.00.0114.840.00.022aciklovir tablet 200mgTab1001001002510.00.00.00.00.00.02510.02510.00.02510.00.023aciklovir Krim2,3670.00.00.00.00.00.02,3670.02,3670.00.02,3670.00.024Atropin Sulfat injeksi 0,25 mg/ml - 1 ml25.4Amp30303055625,9580.00.00.00.00.00.025,9580.025,9580.00.025,9580.00.025Atropin Sulfat Tab 0,5 mgTab5005005002050033,0000.00.00.00.00.00.033,0000.033,0000.00.033,0000.00.026Antimalaria DOEN KombinasiTab100100100290052,0300.00.00.00.00.00.052,0300.052,0300.00.052,0300.00.027Betahistin Mesilat tablet 6 mgTab3030301,0160.00.00.00.00.00.01,0160.01,0160.00.01,0160.00.028Betametason krim 0,1%18.4Tube252525114951,6680.00.00.00.00.00.01,6680.01,6680.00.01,6680.00.029Calcium Lactate (Kalk) tabet 500 mg29Tab1000100010009700057,2000.00.00.00.00.00.057,2000.057,2000.00.057,2000.00.030Captopril 25 mgTab10010010053100940.00.00.00.00.00.0940.0940.00.0940.00.031Codein HCL tab. 10 mg 26.2Tab250250250117,5030.00.00.00.00.00.0117,5030.0117,5030.00.0117,5030.00.032Carbamazepine tablet 200 mg5Tab1001001002670.00.00.00.00.00.02670.02670.00.02670.00.033Catgut/benang bedah no.2/0 (plain & chromic)32Sak242424704,0000.00.00.00.00.00.0704,0000.0704,0000.00.0704,0000.00.033Catgut/benang bedah no.3/0 (plain & chromic)32Sak242424639,1380.00.00.00.00.00.0639,1380.0639,1380.00.0639,1380.00.034Chlorampenicol Kapsul 250 mg6,2,2Kap2502502502500.00.00.00.00.00.02500.02500.00.02500.00.035Chlorampenicol Salep Mata 1%21,2,1Tube2424246741,5230.00.00.00.00.00.01,5230.01,5230.00.01,5230.00.036Chloramphenicol SyrupBtl1114,0160.00.00.00.00.00.04,0160.04,0160.00.04,0160.00.0

123K.LK.BPKDPKD11Buff456789101112131415161718192037Chloramphenicol Tetes Telinga 3%28.1Btl242424521,7500.00.00.00.00.00.01,7500.01,7500.00.01,7500.00.038Chlorpheniramine Maleat (CTM) tab.4 mg3Tab100010001000528000230.00.00.00.00.00.0230.0230.00.0230.00.039Chlorpromazine injeksi 2,5 mg/ml25.4Amp3030301,0450.00.00.00.00.00.01,0450.01,0450.00.01,0450.00.040Chlorpromazine HCl injeksi 5 mg/ml23.4Amp30303036011,2790.00.00.00.00.00.011,2790.011,2790.00.011,2790.00.041Chlorpromazine HCl tablet 100 mg23.4Tab2502502501460.00.00.00.00.00.01460.01460.00.01460.00.042Chlorpromazine HCl tablet 25 mg23.4Tab10001000100041,8000.00.00.00.00.00.041,8000.041,8000.00.041,8000.00.043Ciprofloxacin 500 mgTab100100100985002410.00.00.00.00.00.02410.02410.00.02410.00.044Cotrimoxazole Pediatrik6,2,2Tab100100100790.00.00.00.00.00.0790.0790.00.0790.00.045Cotrimoxazole Suspensi6,2,2Btl1112,212.940.00.00.00.00.00.02,212.940.02,212.940.00.02,212.940.00.046Cotrimoxazole Dewasa 6,2,2Tab100100100240400146.240.00.00.00.00.00.0146.240.0146.240.00.0146.240.00.047Cimetidine tablet 200 mg Tab10010010010600115.520.00.00.00.00.00.0115.520.0115.520.00.0115.520.00.048Clonidine tablet 0,15 mgTab1001001003800200001910.00.00.00.00.00.01910.01910.00.01910.00.049Cyanocobalamin (Vit.B12) inj 500 mcg/ml10.1Amp10010010052,0000.00.00.00.00.00.052,0000.052,0000.00.052,0000.00.050Chloramphenikol Tetes MataBtl2424240.00.00.00.00.00.00.00.00.00.00.051Dexamethasone Injeksi3Amp10010010047001,7500.00.00.00.00.00.01,7500.01,7500.00.01,7500.00.052Dexamethasone Kaplet 0,5 mg16.4Kapl100010010071.890.00.00.00.00.00.071.890.071.890.00.071.890.00.053Dekstromethorphan HBr sirup 10 mg/5 ml26.2Btl1111,467.40.00.00.00.00.00.01,467.40.01,467.40.00.01,467.40.00.054Dekstrometorphan HBr tablet 15 mg26.2Tab1000100100670005000001020.00.00.00.00.00.01020.01020.00.01020.00.055Diazepam inj 15 mg/ml - 2 ml5Amp30303090078,1470.00.00.00.00.00.078,1470.078,1470.00.078,1470.00.056Diazepam 2 mg5Tab?1000100100501500390.00.00.00.00.00.0390.0390.00.0390.00.057Diazepam 5 mg5Tab500500500492500.00.00.00.00.00.00.00.00.00.00.058Dietilkarbamin sitrat tablet 100 mg6,1,2Tab1001001000.00.00.00.00.00.00.00.00.00.00.059Diphenhydramine HCl inj 10 mg/ml-1 ml3Tab3030301,0560.00.00.00.00.00.01,0560.01,0560.00.01,0560.00.060Digoksin tablet 0,25 mg17.5Tab10010010034002000096.480.00.00.00.00.00.096.480.096.480.00.096.480.00.061Diltiazem tab. 30 mgTab100100100257001290.00.00.00.00.00.01290.01290.00.01290.00.062Doksisiklin 100 mgTab10010010026002500.00.00.00.00.00.02500.02500.00.02500.00.063Efedrin HCl tablet 25 mg26.1Tab25025025033775014,0970.00.00.00.00.00.014,0970.014,0970.00.014,0970.00.064Ekstrak Belladon tablet 10 mg25.4Tab1001001000.00.00.00.00.00.00.00.00.00.00.065Erytromicin syrBtl1118,9100.00.00.00.00.00.08,9100.08,9100.00.08,9100.00.066Erytromicin tab 250 mgTab1201201204620.00.00.00.00.00.04620.04620.00.04620.00.067Erytromicin tab 500 mgTab10010010010000912.940.00.00.00.00.00.0912.940.0912.940.00.0912.940.00.068Epinefrin HCl inj 0,1% - 1 ml3Amp303030838010,3710.00.00.00.00.00.010,3710.010,3710.00.010,3710.00.069Etakridin(Rivanol) larutan 0,1 %13.2Btl1112142,354.220.00.00.00.00.00.02,354.220.02,354.220.00.02,354.220.00.070Ethanol 70%13.2Btl1110.00.00.00.00.00.00.00.00.00.00.071Etil chlorida semprot14.1Btl11118115,5000.00.00.00.00.00.0115,5000.0115,5000.00.0115,5000.00.072Eugenol cairan14.1Btl121212605,0000.00.00.00.00.00.0605,0000.0605,0000.00.0605,0000.00.073Fenitoin natrium injeksi 50mg/ml5Amp3030300.00.00.00.00.00.00.00.00.00.00.074Fenobarbital inj. 50mg/ml5Amp30303078520,1000.00.00.00.00.00.020,1000.020,1000.00.020,1000.00.075Fenobarbital tab. 30 mg5Tab1000250100600007,1390.00.00.00.00.00.07,1390.07,1390.00.07,1390.00.076Fenol gliserol tetes telinga 10 %28.2Btl2424241,108.800.00.00.00.00.00.01,108.800.01,108.800.00.01,108.800.00.077Fitomenadion (Vit K) inj. 10mg/ml- 1ml10.2Amp30303087857,4200.00.00.00.00.00.057,4200.057,4200.00.057,4200.00.078Fitomenadion (Vit K) tab. Salut 10 mg10.2Tab1001001003610020000640.590.00.00.00.00.00.0640.590.0640.590.00.0640.590.00.079Fluour tablet 0,5 mg14.1Tab1001001000.00.00.00.00.00.00.00.00.00.00.080Furosemide tab. 40 mg14Tab1001001007270011,2290.00.00.00.00.00.011,2290.011,2290.00.011,2290.00.081Garam Oralit untuk 200 ml - air20.1Sak10010010041,8000.00.00.00.00.00.041,8000.041,8000.00.041,8000.00.0

123K.LK.BPKDPKD11Buff456789101112131415161718192082Gention violet 1 %14.2Btl?11143094950.00.00.00.00.00.04950.04950.00.04950.00.083Glass ionomer cement (gx ic)14.1Set1116434,5000.00.00.00.00.00.0434,5000.0434,5000.00.0434,5000.00.084Glibenklamide tab. 5 mg16,1,1Tab1001001009500590.00.00.00.00.00.0590.0590.00.0590.00.085Gliseril guayakolat tab. 100 mg26.3Tab10001000100085200030,6900.00.00.00.00.00.030,6900.030,6900.00.030,6900.00.086Gliserin25.6Btl1110.00.00.00.00.00.00.00.00.00.00.087Glukosa larutan infus 10% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.00.088Glukosa larutan infus 40% steril20.2Btl1110.00.00.00.00.00.00.00.00.00.00.089Glukosa larutan infus 5% steril20.2Btl11110025,8440.00.00.00.00.00.05,8440.05,8440.00.05,8440.00.090Griseofulvin tab. 125 mg, micronized6.3Tab1001001002040.00.00.00.00.00.02040.02040.00.02040.00.091Haloperidol tablet 0,5 mg23.4Tab1001001001130055.700.00.00.00.00.00.055.700.055.700.00.055.700.00.092Haloperidol tablet 1,5 mg23.4Tab1001001001180064.430.00.00.00.00.00.064.430.064.430.00.064.430.00.093Haloperidol tablet 5 mg23.4Tab1001001003440094.210.00.00.00.00.00.094.210.094.210.00.094.210.00.094Hidroklortiazid (HCT) tablet 25 mg15Tab10001000100039,930.000.00.00.00.00.00.039,930.000.039,930.000.00.039,930.000.00.095Hidrokortison krim 2,5%18.4Tube24242458482,519.000.00.00.00.00.00.02,519.000.02,519.000.00.02,519.000.00.096Hyoscine -n- ButilbromideTab10010010033,000.000.00.00.00.00.00.033,000.000.033,000.000.00.033,000.000.00.097Handscoen No. 7Set505050233,7500.00.00.00.00.00.0233,7500.0233,7500.00.0233,7500.00.098Ibuprofen tablet 200 mg / Irgapan1.2Tab1001001004440096.210.00.00.00.00.00.096.210.096.210.00.096.210.00.099Ibuprofen tablet 400 mg1.2Tab100100100152.50.00.00.00.00.00.0152.50.0152.50.00.0152.50.00.0100Infusion set anak32Set1114,4000.00.00.00.00.00.04,4000.04,4000.00.04,4000.00.0101Infusion set dewasa32Set11113053,8500.00.00.00.00.00.03,8500.03,8500.00.03,8500.00.0102I.V. Catheter No. 18Set5050500.00.00.00.00.00.00.00.00.00.00.0103I.V. Catheter No. 20Set505050428,3100.00.00.00.00.00.0428,3100.0428,3100.00.0428,3100.00.0104I.V. Catheter No. 22Set505050428,2270.00.00.00.00.00.0428,2270.0428,2270.00.0428,2270.00.0105I.V. Catheter No. 24Set505050428,3100.00.00.00.00.00.0428,3100.0428,3100.00.0428,3100.00.0106Isosorbid Dinitrat tablet sublingual 5 mg17.1Tab10010010072008,9100.00.00.00.00.00.08,9100.08,9100.00.08,9100.00.0107Kasa kompres 40/40 steril32roll5551,3930.00.00.00.00.00.01,3930.01,3930.00.01,3930.00.0108Kasa pembalut 2 m x 80 cm32roll1118,7990.00.00.00.00.00.08,7990.08,7990.00.08,7990.00.0109Kasa pembalut hidrofil 4 m x 15 cm32roll1113,3730.00.00.00.00.00.03,3730.03,3730.00.03,3730.00.0110Kapas pembalut/absorben 250 gram32Bks1118,2500.00.00.00.00.00.08,2500.08,2500.00.08,2500.00.0111Kalsium Hidroksida pasta14.1Tube222266,2000.00.00.00.00.00.0266,2000.0266,2000.00.0266,2000.00.0112Ketoconazole 200 mgTab50505024002670.00.00.00.00.00.02670.02670.00.02670.00.0113Lidokain kompositum injeksi14.1Amp3030303001,4850.00.00.00.00.00.01,4850.01,4850.00.01,4850.00.0114Mebendazol tablet 100 mg6,1,1Tab3030300.00.00.00.00.00.00.00.00.00.00.0115Metilergometrin maleat tablet salut 0,125 mg22.1Tab10010010013,3100.00.00.00.00.00.013,3100.013,3100.00.013,3100.00.0116Metilergometrin maleat inj. 0,200 mg - 1 ml22,,1Amp30303094049,1700.00.00.00.00.00.049,1700.049,1700.00.049,1700.00.0117Metronidazol tablet 250 mg6,2,2Tab1001001001830.00.00.00.00.00.01830.01830.00.01830.00.0118Miconazole cream 10 gTube24242419463,3000.00.00.00.00.00.03,3000.03,3000.00.03,3000.00.0119Metoklopramide HCl tablet 10 mg (Xylastin)Tab10010010012,1000.00.00.00.00.00.012,1000.012,1000.00.012,1000.00.0120Metoklopramide HCl injeksi (Piralen)Amp?10101011,0000.00.00.00.00.00.011,0000.011,0000.00.011,0000.00.0121Metoklopramide syrupBtl1112,3100.00.00.00.00.00.02,3100.02,3100.00.02,3100.00.0122Mineral MixSet4040402,6950.00.00.00.00.00.02,6950.02,6950.00.02,6950.00.0123Metformin tablet 500mgTab1001001009200200001050.00.00.00.00.00.01050.01050.00.01050.00.0124Natrium klorida lar. Infus 0,9% steril20.2Btl1115,3900.00.00.00.00.00.05,3900.05,3900.00.05,3900.00.0

123K.LK.BPKDPKD11Buff4567891011121314151617181920125Nistatin 100.000 iu/g tab vaginal6.3Tab100100100137028,8760.00.00.00.00.00.028,8760.028,8760.00.028,8760.00.0126Nistatin 500.000 iu tab salut6.3Tab1001001007040.00.00.00.00.00.07040.07040.00.07040.00.0127Nifedipin tablet 10 mgTab100100100106001180.00.00.00.00.00.01180.01180.00.01180.00.0128Natrium Diklofenak tablet 50 mgTab505050804502060.00.00.00.00.00.02060.02060.00.02060.00.0129Obat Batuk Hitam (OBH) cairan26.3Btl111120001,5730.00.00.00.00.00.01,5730.01,5730.00.01,5730.00.0130Oksitetrasiklin HCl salep mata21,2,2Tube2525250.00.00.00.00.00.00.00.00.00.00.0131Oksitetrasiklin HCl salep Kulit 3%Tube2525252001,6460.00.00.00.00.00.01,6460.01,6460.00.01,6460.00.0132Oksitosin injeksi 10 iu/ml - 1 ml22.1Amp30303058,9050.00.00.00.00.00.058,9050.058,9050.00.058,9050.00.0133Paraformaldehid tablet 1 gram13.2Tab1001001000.00.00.00.00.00.00.00.00.00.00.0134Parasetamol Drops1.2Btl1115,7490.00.00.00.00.00.05,7490.05,7490.00.05,7490.00.0135Parasetamol sirup 120 mg/5 ml1.2Btl11196001,403.60.00.00.00.00.00.01,403.60.01,403.60.00.01,403.60.00.0136Parasetamol tablet 100 mg1.2Tab10010010034.510.00.00.00.00.00.034.510.034.510.00.034.510.00.0137Parasetamol tablet 500 mg1.2Tab10010010053800200000084.80.00.00.00.00.00.084.80.084.80.00.084.80.00.0138Pirantel Pamoat tablet 365 mg6,1,1Tab606010053703430.00.00.00.00.00.03430.03430.00.03430.00.0139Piridoksin HCl tablet 10 mg29Tab10001000100043100019,1400.00.00.00.00.00.019,1400.019,1400.00.019,1400.00.0140Plester 5 yard x 2 inchi32Roll11117423,6250.00.00.00.00.00.023,6250.023,6250.00.023,6250.00.0141Prednison tablet 5 mg16.4Tab10001000100031300068,7500.00.00.00.00.00.068,7500.068,7500.00.068,7500.00.0142Primakuin tablet 15 mg6,4,2,2Tab1000100010001250.00.00.00.00.00.01250.01250.00.01250.00.0143Propiltiourasil tablet 100 mg16.3Tab10010010050020002970.00.00.00.00.00.02970.02970.00.02970.00.0144Propanolol HCl tablet 40 mg7.1Tab10010010072001190.00.00.00.00.00.01190.01190.00.01190.00.0145Papaverin tablet 40 mgTab1000100010002380001280.00.00.00.00.00.01280.01280.00.01280.00.0146Pembalut Gips 4 inchRoll11135,7500.00.00.00.00.00.035,7500.035,7500.00.035,7500.00.0147Pembalut gips 6 inchRoll11146,2000.00.00.00.00.00.046,2000.046,2000.00.046,2000.00.0148Piroxicam tablet 20 mgTab1001001001396097.990.00.00.00.00.00.097.990.097.990.00.097.990.00.0149Poly Chateter No. 16Set1110.00.00.00.00.00.00.00.00.00.00.0150Poly Chateter No. 18Set1118,4950.00.00.00.00.00.08,4950.08,4950.00.08,4950.00.0151Quinine dihidroklorida inj. 25% - 2 ml6,4,2,2Amp3030300.00.00.00.00.00.00.00.00.00.00.0152Quinine sulfat tab. 222 mg (7 h2o)l6,4,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.00.0153Reserpin tablet 0,25 mg17.3Tab1000100010001140.00.00.00.00.00.01140.01140.00.01140.00.0154Retinol (Vit.A) kaps 100.000 IU29Kap5050502540.00.00.00.00.00.02540.02540.00.02540.00.0155Retinol (Vit.A) kaps 200.000 IU29Kap505050406504120.00.00.00.00.00.04120.04120.00.04120.00.0156Ringer Laktat lar infus steril20.2Btl111825,7200.00.00.00.00.00.05,7200.05,7200.00.05,7200.00.0157Ranitidin tab 150 mgTab1001001001190.00.00.00.00.00.01190.01190.00.01190.00.0158Ranitidin injeksi 25mg/2 mlAmp2525251,1570.00.00.00.00.00.01,1570.01,1570.00.01,1570.00.0159Salbutamol tablet 2 mg26.1Tab1001001002900700.00.00.00.00.00.0700.0700.00.0700.00.0160Salep 2-4 kombinasi 18.4Tube2424241,9800.00.00.00.00.00.01,9800.01,9800.00.01,9800.00.0161Salisil bedak 2%18.8Set1111,1800.00.00.00.00.00.01,1800.01,1800.00.01,1800.00.0162Simvastatin tabletTab30303053001800.00.00.00.00.00.01800.01800.00.01800.00.0163Serum anti tetanus inj.1.500 iu/ampul ats2701Amp101010151,2200.00.00.00.00.00.0151,2200.0151,2200.00.0151,2200.00.0164Semen seng fosfat serbuk dan cairannset111102,8500.00.00.00.00.00.0102,8500.0102,8500.00.0102,8500.00.0165Silk (benang bedah sutera) no. 3/032Sak/?363636280276,5400.00.00.00.00.00.0276,5400.0276,5400.00.0276,5400.00.0166Sulfadimidin tablet 500 mg6,2,2Tab1001001000.00.00.00.00.00.00.00.00.00.00.0167Sulfasetamid Natrium tetes mata 15%21,2,2Btl24242490,5550.00.00.00.00.00.090,5550.090,5550.00.090,5550.00.0

123K.LK.BPKDPKD11Buff4567891011121314151617181920168Tablet tambah darah kombinasi10.1Tab?303030220,0000.00.00.00.00.00.0220,0000.0220,0000.00.0220,0000.00.0169Temporary stopping fletcher serbuk /cairan14.1Set11137,4000.00.00.00.00.00.037,4000.037,4000.00.037,4000.00.0170Tetrakain HCl tetes mata21.2tube2424240.00.00.00.00.00.00.00.00.00.00.0171Tetrasiklin HCl kapsul 250 mg6,2,2Kap1000100010001890.00.00.00.00.00.01890.01890.00.01890.00.0171Tetrasiklin HCl kapsul 500 mg6,2,2kaps1001001002260.00.00.00.00.00.02260.02260.00.02260.00.0172Thiamin (Vit.B1) inj 100 mg/ml - 1 ml29Amp30303021,9000.00.00.00.00.00.021,9000.021,9000.00.021,9000.00.0173Thiamin (Vit.B1) tablet 50 mg29Tab10001000100023600030000041,5800.00.00.00.00.00.041,5800.041,5800.00.041,5800.00.0174Thiamfenikol 500 mgKaps100100100224004400.00.00.00.00.00.04400.04400.00.04400.00.0175Triheksifenidil tablet 2 mg9Tab1001001002100440.00.00.00.00.00.0440.0440.00.0440.00.0176Vitamin B Kompleks tablet29Tab10001000100029400024,4200.00.00.00.00.00.024,4200.024,4200.00.024,4200.00.0177Yodium Povidon larutan 10% 30 ml13.1Btl1114142,1000.00.00.00.00.00.02,1000.02,1000.00.02,1000.00.0178Yodium Povidon larutan 10% 300 ml13.1Btl11114,7000.00.00.00.00.00.014,7000.014,7000.00.014,7000.00.0179ZincTab111491.500.00.00.00.00.00.0491.500.0491.500.00.0491.500.00.0180ACTSet1110.00.00.00.00.00.00.00.00.00.00.0181ACT AnakPaket1110.00.00.00.00.00.00.00.00.00.00.0182FDC AnakPaket111235,3000.00.00.00.00.00.0235,3000.0235,3000.00.0235,3000.00.0183FDC Kategori 1Paket11116395,9000.00.00.00.00.00.0395,9000.0395,9000.00.0395,9000.00.0184FDC Kategori 2Paket1111,317,0000.00.00.00.00.00.01,317,0000.01,317,0000.00.01,317,0000.00.0185FDC SisipanPaket11117175,1200.00.00.00.00.00.0175,1200.0175,1200.00.0175,1200.00.0TOTAL HARGA (Rp)

Mengetahui,.., .2013Kepala Puskesmas Makale UtaraPetugas ApotikPuskesmas Makale Utara

drg. Benedicta M.W.SNIP. 19660307 199312 2 001Febrianti Guling Rissing,AMdFarNIP. 19880201 201101 2 017

Buku besar Triw 1PEMERINTAH KABUPATEN TANA TORAJADINAS KESEHATANJalan Tilanga No. 03 Telp. 22129 Rantelemo

BUKU BESAR PERSEDIAAN OBAT-OBATAN

NoNAMA OBATKELAS TERAPISATStok Awal Tahun 2013Harga (Rp)Total (Rp)Penerimaan BarangPenerimaan Total (Rp)Pemakaian Sisa Stok Total (Rp)KETJumlah BarangHarga (Rp)PermintaanPenyaluranTriw ITotal Penerimaan BarangHarga (Rp)Total (Rp)DariJumlah BarangJumlah Harga (Rp)Total (Rp)OlehJumlah BarangJumlah Harga (Rp)Total (Rp)Jumlah BarangJumlah Harga (Rp)123K.LK.BPKDPKD11Buff4456756789101112131415161718191Alat suntik sekali pakai 1 ml32Set100100100290029109,2503,168,2501731,093189,003109,2500.01,0930.01,0930.01731,093189,0892Alat suntik sekali pakai 2,5 ml32Set10010010027500275103,80028,545,0004201,038435,960103,8000.01,0380.01101,038114,1803101,038321,7803Alat suntik sekali pakai 5 ml32Set10010010011700117103,80012,144,6001601,038166,080103,8