LAPORA

BULAn : DESEMBER
TAHUN : 2022

STOK AWAL
NO. NAMA BARANG SATUAN Unit

I. OBAT-OBATAN
1 ACYCLOVIR CR KF TUBE -
2 AMBROXOL SYRUP BOTOL -
3 AMBROXOL TABLET TABLET 4,000
4 AMINOPHYLLIN INJEKSI 24MG/ ML AMPUL -
5 AMLODIPINE 10MG TABLET 1,200
6 AMOXYCILLIN 125MG/5ML SYRUP BOTOL -
7 ASAM ASCORBAT 50MG / VITAMIN C TABLET -
8 ASAM TRANEKSAMAT INJEKSI AMPUL 15
9 ASPILET TABLET -
10 AQUA PRO INJEKSI VIAL -
11 BEDAK SALICIL KF 60G BOTOL 16
12 BETHADINE SALEP TUBE -
13 BETAHISTINE MALEAT 6MG / HISTIGO TABLET -
14 BIOPLACENTON JELLY TUBE -
15 CAPTOPRIL 25MG DEXA TABLET 260
16 CEFADROXIL 500MG HEXA BOX/100 -
17 CEFIXIME 100MG HEXA BOX/50 -
18 CEFOTAXIME 1G VIAL 82
19 CEFTRIAXONE 1G VIAL 26
20 CEFTRIAXONE 1G INTERBAT VIAL -
21 CETIRIZIN 10MG TABLET TABLET 200
22 CHLORAMPHENICOL 250MG KAPSUL -
23 CIPROFLOXACIN 500MG TABLET -
24 CIPROFLOXACIN 500MG TABLET -
25 CITICHOLIN 500MG/4ML INJEKSI AMPUL -
26 CLOPIDOGREL 75MG TABLET -
27 COTRIMOKSAZOL 480MG TABLET -
28 CURVIPLEX SYRUP BOTOL -
29 DEXTROSE 40% BOTOL 5
30 DEXTROSE 40% BOTOL 2
31 DEXAMETHASONE INJEKSI AMPUL 80
32 DEXAMETHASONE 0,5MG TABLET 2,500.0
33 DOMPERIDON 10MG TABLET TABLET 670
34 DOMPERIDON SYRUP BOTOL -
35 DOPAMET 250MG KAPSUL -
36 EPINEFRIN INJEKSI AMPUL 30
37 EPINEFRIN INJEKSI AMPUL 16
38 ERLAMICETIN TT 10ML BOTOL 34
39 ERLAMICETIN TM 0,5% 10ML BOTOL -
40 FITOMENADION INJEKSI / VIT K BOX/5 55
41 FITOMENADION / VITAMIN K 10MG TABLET 100
42 FUROSEMIDE 40MG TABLET TABLET 500
43 GENTAMYSIN CR KF TUBE -
44 GENTAMYSIN INJEKSI AMPUL 10
45 GENTAMYSIN INJEKSI AMPUL -
46 GLUKOSA INFUS 10% BOTOL -
47 GLUKOSA INFUS 5% BOTOL -
48 ISOSORBID DINITRAT SUBLINGUAL 5MG TABLET -
49 GOM BOTOL -
50 GUAIFENISIN 100MG TABLET -
51 KLORAMFENICOL SALEP MATA / RECO SM TUBE 100
52 IBUPROFEN 400MG TABLET 500
53 ICHTIOL SALEP POT 24
54 KETOROLAC INJEKSI AMPUL 10
55 KLORFENIRAMIN MALEAT (CTM) 4MG TABLET 7,500
56 LEXIGO TABLET BOX -
57 LIDOCAIN + EPINEFRIN INJ / PEHACAIN INJEKSI BOX/20 40
58 MERSIBION INJEKSI (BIOCOMBIN INJEKSI) AMPUL 5
59 METHYLERGOMETRINE INJEKSI AMPUL 10
60 METFORMIN 500MG HEXPHARM TABLET -
61 METRONIDAZOLE 500MG / FARIZOL 500MG TABLET -
62 METRONIDAZOLE 500MG BOX/100 100
63 MgSO4 40% 25ML BOTOL 3
64 MISOPROSTOL 200Mcg TABLET -
65 MISOPROSTOL 200Mcg TABLET 20
66 NACL PIGGY BAG 100ML FLS 10
67 NATRIUM BIKARBONAT 500MG POT/100 1.00
68 NIFEDIPINE 10MG TABLET 100
69 OBAT ANTI DIARE TABLET 300
70 OMEPRAZOLE KAPSUL Kapsul -
71 ONDANSETRON INJ 4MG/2ML INTERBAT AMPUL 130
72 OXYTOSIN INJ / PITOGIN INJ AMPUL 50
73 OXYTOSIN INJ / PITOGIN INJ AMPUL -
74 PARACETAMOL 500MG TABLET -
75 PARACETAMOL SUPPO 160MG TABLET -
76 PARACETAMOL SUPPO 160MG SUPPO 10
77 PARACETAMOL SYRUP BOTOL -
78 PERHYDROL / H2O2 3% 1 LITER BOTOL -
79 PIRACETAM 200MG/15ML INJEKSI AMPUL -
80 PYRIDOXIN TABLET / VITAMIN B6 TABLET 1,950
81 PYRIDOXIN TABLET KF TABLET -
82 RANITIDIN TAB HEXA BOX/100 -
83 RANITIDIN INJEKSI AMPUL -
84 SALBUTAMOL 4MG TABLET -
85 SALEP 2-4 POT -
 86 TABLET TAMBAH DARAH NEO TABLET -
87 TIAVIT INJEKSI / VITAMIN K AMPUL -
88 VENTOLIN NEBULES AMPUL 30

II. BMHP
1 ALKOHOL 70% 1000ML ONEMED BOTOL 3
2 ALKOHOL SWAB GENERAL CARE BOX 6
3 ALKOHOL SWAB ONEMED BOX -
4 APRON DISP LENGAN PANJANG BUAH 30
5 BISTURI NO.23 B BRAUN BUAH 100
6 BLOOD TRANSFUSION SET (ONEMED) BUAH -
7 BLOOD TRANSFUSION SET (REMEDI) BUAH -
8 BONDING 3M PACK -
9 CANULA OXYGEN ANAK BUAH -
10 CANULA OXYGEN DEWASA BUAH -
11 CANULA OXYGEN NEONATUS BUAH 10
12 CANULA OXYGEN NEONATUS REMEDI BUAH 2
13 CATGUT CHROMIC STERILE W/ NEEDLE 3/0 REMEDI BOX -
14 CHKM / KLORFENOL KAMFER MENTHOL BOTOL -
15 CHLOR ETHYL SPRAY ONEMED BOTOL -
16 CUTGUT CROMIC 3/0 BOX -
17 DESINFECTAN INSTRUMEN GIGI 500ML ONEMED BOTOL -
18 DEVITALISASI PASTA NON ARSEN DENPRO POT -
19 ETCHING GEL GIGI 3M BUAH -
20 FOLLEY CATETHER NO. 14 HEXACARE BUAH 20
21 FOLLEY CATETHER NO. 16 BUAH -
22 FOLLEY CATETHER NO. 18 BUAH -
23 FORMOKRESOL 20ML BUAH -
24 GUDEL BUAH 9
25 HANDSCOON NON STERIL M BOX -
26 HANDSCOON NON STERIL S BOX -
27 HCG TES STRIP GEA BUAH 40
28 HCG TES STRIP ONEMED BUAH -
29 INFUSET DEWASA WITH AIRVENT REMEDI BUAH -
30 IV CATETHER NO.26 REMEDI BUAH -
31 JELLY USG 250ML BOTOL 1
32 JELLY USG 5 LITER MILILITER -
33 KAPSUL KOSONG NO.0 PAK -
34 KARTU GOLONGAN DARAH PAK 1
35 KARTU GOLONGAN DARAH ROLL -
36 KERTAS EKG MAC 600 PAK 2
37 KERTAS PUYER LIPAT PAK -
38 KERTAS USG SONY ROLL 1
39 KLIP PLASTIK KECIL 10X7 PAK -
40 KLIP PLASTIK KECIL 10X7 PAK 30
41 KLIP PLASTIK KECIL 15X10 PAK 9
42 KLIP PLASTIK SEDANG 13X8,7 PAK 1
43 KLIP PLASTIK SEDANG 13X8,7 BOX 20
44 KLIP PLASTIK SEDANG 13X8,7 BOX -
45 LANCET BOX 1
46 LANCET BOX -
47 LEUKOPLAST 1621H BSN ROLL -
48 MASKER 3PLY EAR LOOP / KARET BOX/50 -
49 MASKER HIJAB BOX/50 -
50 MUCUS EXTRACTOR BUAH 53
51 MUCUS EXTRACTOR BUAH -
52 MUMMIYING PASTA / CRESOTIN PASTA BOTOL -
53 NEBULEZER MASK ADULT / DEWASA BUAH 1
54 NEBULEZER MASK BAYI BUAH 1
55 NEBULEZER MASK PAED / ANAK BUAH 2
56 NEEDLE TERUMO NO. 23 BOX/100 -
57 NEEDLE TERUMO NO. 24 BOX/100 1.58
58 NGT NO. 16 BUAH 8
59 OXYGEN MASK NON REBREATHING ADULT / NMR BUAH 20
60 PLASTIK KRESEK PUTIH POLOS UK. 15 BUAH 65
61 PLESTER BESAR KAIN COKLAT 7,5CM ROLL 21
62 POVIDON IODINE 1000ML ONEMED BOTOL -
63 POVIDON IODINE 300ML ONEMED BOTOL 2
64 SARUNG TANGAN NON STERIL M BOX -
65 SARUNG TANGAN STERIL NO. 6,5 REMEDI PASANG -
66 SARUNG TANGAN STERIL NO. 7 PASANG -
67 SENDOK OBAT 5ML (250PCS) PAK 1
68 SENDOK PUYER SET -
69 SPALK ANAK / BAYI BUAH -
70 SPALK KAKI BUAH -
71 SPALK TANGAN BUAH 2
72 SPUIT 3 ML ONEMED BUAH -
73 SPUIT 5 ML ONEMED BUAH -
74 SPUIT DISP 10ML ONEMED BOX -
75 SPUIT DISP 10ML ONEMED BUAH 17
76 SPUIT DISP 20ML BUAH 19
77 STIK EASY TOUCH GLUKOSA POT -
78 STIK EASY TOUCH GLUKOSA POT -
79 STIK EASY TOUCH HB POT -
80 STIK EASY TOUCH HB POT -
81 STIK EASY TOUCH KOLESTEROL POT 1
82 STIK EASY TOUCH KOLESTEROL POT -
83 STIK NESCO ASAM URAT POT 2
84 STIK NESCO GLUKOSA POT -
85 STIK NESCO KOLESTEROL POT 1
86 STIK NESCO KOLESTEROL POT -
87 SUCTION CATETHER NO.6 BUAH 10
88 TABUNG EDTA PAK 4
89 TORNIQUET ONEMED BUAH 5
90 UNDERPAD PAK -
91 URINE BAG BUAH -
92 URINE TEST GLUKO PROTEIN BOX 2
93 VERBAN 10CM ROLL 150
94 VERBAN 10CM ROLL -
7,523

SEPTODENT AMPUL
 LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP JKN
UPT PUSKESMAS DTP MENES

STOK AWAL PENERIMAAN PERMAKAIAN

Harga per Unit Jumlah Unit Harga per Unit Jumlah Unit
(Rp.) (Rp.) (Rp.) (Rp.)

- -
- -
167 666,000 - 1,380
- -
275 330,000 - 380
- -
- -
6,105 91,575 20 6,105 122,100
- 100 777 77,700
- -
8,325 133,200 - 4
- -
- 250 932.4 233,100
- -
165 42,900 -
- -
- -
8,880 728,160 - 22
12,210 317,460 50 12,210 610,500 32
- -
222 44,400 2,500 222 555,000 400
- -
- -
- -
- -
- -
- -
- -
13,320 66,600 -
13,200 26,400 - 2
5,550 444,000 - 15
144 360,750 - 280.0
278 185,925 500 278 138,750 170
- -
- -
11,100 333,000 -
11,000 176,000 -
11,330 385,220 - 22
- -
9,990 549,450 50 9,990 499,500 25
222 22,200 -
275 137,500 -
- -
7,770 77,700 5 7,770 38,850
- -
- -
- -
- 200 222 44,400
- -
- -
7,215 721,500 - 6
444 222,000 1,000 444 444,000 100
10,500 252,000 -
12,210 122,100 50 12,210 610,500 30
133 999,000 - 960
- -
4,440 177,600 60 4,440 266,400 20
5,830 29,150 - 5
7,700 77,000 -
- -
- -
444 44,400 1,000 444 444,000 200
13,200 39,600 -
- -
8,800 176,000 -
27,750 277,500 -
9,990 9,990 3 9,990 29,970
278 27,750 -
444 133,200 - 100
- -
9,990 1,298,700 300 9,990 2,997,000 90
8,880 444,000 40 8,880 355,200 30
- -
- -
- 10 9,990.0 99,900
8,800 88,000 - 5
- -
- -
- -
222 432,900 - 250
- -
- -
- 500 3,885 1,942,500 20
- -
- -
 - -
- -
16,650 499,500 40 16,650 666,000 25
11,190,330 10,175,370

45,000 135,000 -
14,985 89,910 - 5
- 25 14,430 360,750
9,560 286,800 -
974 97,403 - 20
- 100 8,436 843,600
- -
- -
- -
- -
12,370 123,700 -
8,184 16,368 -
- -
- -
- 2 137,085 274,170
- -
- -
- -
- -
16,400 328,000 -
- -
- -
- -
25,500 229,500 -
- -
- -
2,847 113,886 - 1
- 100 1,227 122,655
- -
- -
38,675 38,675 - 1
- 5,000 42 209,235 300
- -
42,929 42,929 -
- 2 36,075 72,150
147,500 295,000 -
- -
277,500 277,500 -
- 200 7,215 1,443,000
7,493 224,775 -
11,500 103,500 -
9,500 9,500 - 1
10,490 209,790 - 19
 - 200 10,101 2,020,200
30,000 30,000 -
- 5 21,645.0 108,225
- 100 12,987 1,298,700
- -
- -
11,287 598,237 - 3
- -
- -
36,125 36,125 -
36,125 36,125 -
36,125 72,250 -
- -
61,000 96,380 -
30,800 246,400 -
26,900 538,000 -
10,840 704,600 - 10
11,733 246,387 - 11
- -
11,988 23,976 -
- -
- -
- -
59,052 59,052 -
- -
- -
- -
106,092 212,184 - 2
- 1,000 1,010 1,010,100
- 500 1,227 613,275
- 400 1,587.3 634,920
1,671 28,404 1,670.83 - 17
2,800 53,200 - 11
- 6 115,440 692,640 1
- -
- 6 187,590 1,125,540
- -
217,284 217,284 - 1
- 15 209,235 3,138,525 1
140,360 280,720 -
- -
224,775 224,775 - 1
- 4 223,665 894,660
10,000 100,000 -
170,000 680,000 -
22,000 110,000 -
- -
- -
52,670 105,340 -
1,349 202,298 - 100
- 300 1,089 326,655
7,523,972 15,189,000 1,801

0 50 17094 854700
N

PERMAKAIAN STOK AKHIR

Harga per Unit Jumlah Unit Harga per Unit Jumlah KET.
(Rp.) (Rp.) (Rp.) (Rp.)

- - -
- - -
167 229,770 2,620 166.5 436,230
6,600 - - -
275 104,500 820 275 225,500
- - -
- - -
- 35 6,105 213,675
- 100 777 77,700
- - -
8,325 33,300 12 8,325 99,900
- - -
- 250 932 233,100
- - -
- 260 165 42,900
- - -
- - -
8,880 195,360 60 8,880 532,800
12,210 390,720 44 12,210 537,240
- - -
222 88,800 2,300 222 510,600
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 5 13,320 66,600
13,200 26,400 - -
5,550 83,250 65 5,550 360,750
144 40,404 2,220 144 320,346
278 47,175 1,000 278 277,500
- - -
- - -
- 30 11,100 333,000
- 16 11,000 176,000
11,330 249,260 12 11,330 135,960
- - -
9,990 249,750 80 9,990 799,200
- 100 222 22,200
- 500 275 137,500
- - -
- 15 7,770 116,550
- - -
- - -
- - -
- 200 222 44,400
- - -
- - -
7,215 43,290 94 7,215 678,210
444 44,400 1,400 444 621,600
- 24 10,500 252,000
12,210 366,300 30 12,210 366,300
133 127,872 6,540 133 871,128
- - -
4,440 88,800 80 4,440 355,200
5,830 29,150 - 5,830 -
- 10 7,700 77,000
- - -
- - -
444 88,800 900 444 399,600
- 3 13,200 39,600
- - -
- 20 8,800 176,000
- 10 27,750 277,500
- 4 9,990 39,960
- 100 278 27,750
444 44,400 200 444 88,800
- - -
9,990 899,100 340 9,990 3,396,600
8,880 266,400 60 8,880 532,800
- - -
- - -
- 10 9,990 99,900
8,800 44,000 5 8,800 44,000
- - -
- - -
- - -
222 55,500 1,700 222 377,400
- - -
- - -
3,885 77,700 480 3,885 1,864,800
- - -
- - -
 - - -
- - -
16,650 416,250 45 16,650 749,250
4,330,651 17,035,049

- 3 45,000 135,000
14,985 74,925 1 14,985 14,985
- 25 14,430 360,750
- 30 9,560 286,800
974 19,481 80 974 77,922
- 100 8,436 843,600
- - -
- - -
- - -
- - -
- 10 12,370 123,700
- 2 8,184 16,368
- - -
- - -
- 2 137,085 274,170
- - -
- - -
- - -
- - -
- 20 16,400 328,000
- - -
- - -
- - -
- 9 25,500 229,500
- - -
- - -
2,847 2,847 39 2,847 111,039
- 100 1,227 122,655
- - -
- - -
38,675 38,675 - 38,675 -
42 12,554 4,700 42 196,681
- - -
- 1 42,929 42,929
- 2 36,075 72,150
- 2 147,500 295,000
- - -
- 1 277,500 277,500
- 200 7,215 1,443,000
- 30 7,493 224,775
11,500 - 9 11,500 103,500
9,500 9,500 - 9,500 -
10,490 199,301 1 10,490 10,490
 - 200 10,101 2,020,200
- 1 30,000 30,000
- 5 21,645 108,225
- 100 12,987 1,298,700
- - -
- - -
11,287 33,862 50 11,287 564,375
- - -
- - -
- 1 36,125 36,125
- 1 36,125 36,125
- 2 36,125 72,250
- - -
- 1.58 61,000 96,380
- 8 30,800 246,400
- 20 26,900 538,000
10,840 108,400 55 10,840 596,200
11,733 129,060 10 11,733 117,327
- - -
- 2 11,988 23,976
- - -
- - -
- - -
- 1 59,052 59,052
- - -
- - -
- - -
106,092 212,184 - -
- 1,000 1,010 1,010,100
- 500 1,227 613,275
- 400 1,587 634,920
1,671 28,404 - -
2,800 30,800 8 2,800 22,400
115,440 115,440 5 115,440 577,200
- - -
- 6 187,590 1,125,540
- - -
217,284 217,284 - -
209,235 209,235 14 209,235 2,929,290
- 2 140,360 280,720
- - -
224,775 224,775 - -
- 4 223,665 894,660
- 10 10,000 100,000
- 4 170,000 680,000
- 5 22,000 110,000
- - -
- - -
 - 2 52,670 105,340
1,349 134,865 50 1,349 67,433
- 300 1,089 326,655
1,801,591 20,911,381

0 50 17094 854700
 PUSLING KD PYG APOTIK UGD PONED

4260 140
MSH DI PENYEDIA/ ED DEKAT
430 50

15

18
34

800

10
200
220 110
 34

5 20
100
50

90
500

15

140 60

200

65 5
20

290
 15
17,035,049
APOTIK UGD

4
20,911,381
AW GIGI
40
 LAPORA

BULAn : JANUARI
TAHUN : 2023

STOK AWAL
NO. NAMA BARANG SATUAN Unit

I. OBAT-OBATAN
1 ACYCLOVIR CR KF TUBE -
2 AMBROXOL SYRUP BOTOL -
3 AMBROXOL TABLET TABLET 2,620
4 AMINOPHYLLIN INJEKSI 24MG/ ML AMPUL -
5 AMLODIPINE 10MG TABLET 820
6 AMOXYCILLIN 125MG/5ML SYRUP BOTOL -
7 ASAM ASCORBAT 50MG / VITAMIN C TABLET -
8 ASAM TRANEKSAMAT INJEKSI AMPUL 35
9 ASPILET TABLET 100
10 AQUA PRO INJEKSI VIAL -
11 BEDAK SALICIL KF 60G BOTOL 12
12 BETHADINE SALEP TUBE -
13 BETAHISTINE MALEAT 6MG / HISTIGO TABLET 250
14 BIOPLACENTON JELLY TUBE -
15 CAPTOPRIL 25MG DEXA TABLET 260
16 CEFADROXIL 500MG HEXA BOX/100 -
17 CEFIXIME 100MG HEXA BOX/50 -
18 CEFOTAXIME 1G VIAL 60
19 CEFTRIAXONE 1G VIAL 44
20 CEFTRIAXONE 1G INTERBAT VIAL -
21 CETIRIZIN 10MG TABLET TABLET 2,300
22 CHLORAMPHENICOL 250MG KAPSUL -
23 CIPROFLOXACIN 500MG TABLET -
24 CIPROFLOXACIN 500MG TABLET -
25 CITICHOLIN 500MG/4ML INJEKSI AMPUL -
26 CLOPIDOGREL 75MG TABLET -
27 COTRIMOKSAZOL 480MG TABLET -
28 CURVIPLEX SYRUP BOTOL -
29 DEXTROSE 40% BOTOL 5
30 DEXTROSE 40% BOTOL -
31 DEXAMETHASONE INJEKSI AMPUL 65
32 DEXAMETHASONE 0,5MG TABLET 2,220.0
33 DOMPERIDON 10MG TABLET TABLET 1,000
34 DOMPERIDON SYRUP BOTOL -
35 DOPAMET 250MG KAPSUL -
36 EPINEFRIN INJEKSI AMPUL 30
37 EPINEFRIN INJEKSI AMPUL 16
38 ERLAMICETIN TT 10ML BOTOL 12
39 ERLAMICETIN TM 0,5% 10ML BOTOL -
40 FITOMENADION INJEKSI / VIT K BOX/5 80
41 FITOMENADION / VITAMIN K 10MG TABLET 100
42 FUROSEMIDE 40MG TABLET TABLET 500
43 GENTAMYSIN CR KF TUBE -
44 GENTAMYSIN INJEKSI AMPUL 15
45 GENTAMYSIN INJEKSI AMPUL -
46 GLUKOSA INFUS 10% BOTOL -
47 GLUKOSA INFUS 5% BOTOL -
48 ISOSORBID DINITRAT SUBLINGUAL 5MG TABLET 200
49 GOM BOTOL -
50 GUAIFENISIN 100MG TABLET -
51 KLORAMFENICOL SALEP MATA / RECO SM TUBE 94
52 IBUPROFEN 400MG TABLET 1,400
53 ICHTIOL SALEP POT 24
54 KETOROLAC INJEKSI AMPUL 30
55 KLORFENIRAMIN MALEAT (CTM) 4MG TABLET 6,540
56 LEXIGO TABLET BOX -
57 LIDOCAIN + EPINEFRIN INJ / PEHACAIN INJEKSI BOX/20 80
58 MERSIBION INJEKSI (BIOCOMBIN INJEKSI) AMPUL -
59 METHYLERGOMETRINE INJEKSI AMPUL 10
60 METFORMIN 500MG HEXPHARM TABLET -
61 METRONIDAZOLE 500MG / FARIZOL 500MG TABLET -
62 METRONIDAZOLE 500MG BOX/100 900
63 MgSO4 40% 25ML BOTOL 3
64 MISOPROSTOL 200Mcg TABLET -
65 MISOPROSTOL 200Mcg TABLET 20
66 NACL PIGGY BAG 100ML FLS 10
67 NATRIUM BIKARBONAT 500MG POT/100 4.00
68 NIFEDIPINE 10MG TABLET 100
69 OBAT ANTI DIARE TABLET 200
70 OMEPRAZOLE KAPSUL Kapsul -
71 ONDANSETRON INJ 4MG/2ML INTERBAT AMPUL 340
72 OXYTOSIN INJ / PITOGIN INJ AMPUL 60
73 OXYTOSIN INJ / PITOGIN INJ AMPUL -
74 PARACETAMOL 500MG TABLET -
75 PARACETAMOL SUPPO 160MG TABLET 10
76 PARACETAMOL SUPPO 160MG SUPPO 5
77 PARACETAMOL SYRUP BOTOL -
78 PERHYDROL / H2O2 3% 1 LITER BOTOL -
79 PIRACETAM 200MG/15ML INJEKSI AMPUL -
80 PYRIDOXIN TABLET / VITAMIN B6 TABLET 1,700
81 PYRIDOXIN TABLET KF TABLET -
82 RANITIDIN TAB HEXA BOX/100 -
83 RANITIDIN INJEKSI AMPUL 480
84 SALBUTAMOL 4MG TABLET -
85 SALEP 2-4 POT -
 86 TABLET TAMBAH DARAH NEO TABLET -
87 TIAVIT INJEKSI / VITAMIN K AMPUL -
88 VENTOLIN NEBULES AMPUL 45

II. BMHP
1 ALKOHOL 70% 1000ML ONEMED BOTOL 3
2 ALKOHOL SWAB GENERAL CARE BOX 1
3 ALKOHOL SWAB ONEMED BOX 25
4 APRON DISP LENGAN PANJANG BUAH 30
5 BISTURI NO.23 B BRAUN BUAH 80
6 BLOOD TRANSFUSION SET (ONEMED) BUAH 100
7 BLOOD TRANSFUSION SET (REMEDI) BUAH -
8 BONDING 3M PACK -
9 CANULA OXYGEN ANAK BUAH -
10 CANULA OXYGEN DEWASA BUAH -
11 CANULA OXYGEN NEONATUS BUAH 10
12 CANULA OXYGEN NEONATUS REMEDI BUAH 2
13 CATGUT CHROMIC STERILE W/ NEEDLE 3/0 REMEDI BOX -
14 CHKM / KLORFENOL KAMFER MENTHOL BOTOL -
15 CHLOR ETHYL SPRAY ONEMED BOTOL 2
16 CUTGUT CROMIC 3/0 BOX -
17 DESINFECTAN INSTRUMEN GIGI 500ML ONEMED BOTOL -
18 DEVITALISASI PASTA NON ARSEN DENPRO POT -
19 ETCHING GEL GIGI 3M BUAH -
20 FOLLEY CATETHER NO. 14 HEXACARE BUAH 20
21 FOLLEY CATETHER NO. 16 BUAH -
22 FOLLEY CATETHER NO. 18 BUAH -
23 FORMOKRESOL 20ML BUAH -
24 GUDEL BUAH 9
25 HANDSCOON NON STERIL M BOX -
26 HANDSCOON NON STERIL S BOX -
27 HCG TES STRIP GEA BUAH 39
28 HCG TES STRIP ONEMED BUAH 100
29 INFUSET DEWASA WITH AIRVENT REMEDI BUAH -
30 IV CATETHER NO.26 REMEDI BUAH -
31 JELLY USG 250ML BOTOL -
32 JELLY USG 5 LITER MILILITER 4,700
33 KAPSUL KOSONG NO.0 PAK -
34 KARTU GOLONGAN DARAH PAK 1
35 KARTU GOLONGAN DARAH ROLL 2
36 KERTAS EKG MAC 600 PAK 2
37 KERTAS PUYER LIPAT PAK -
38 KERTAS USG SONY ROLL 1
39 KLIP PLASTIK KECIL 10X7 PAK 200
40 KLIP PLASTIK KECIL 10X7 PAK 30
41 KLIP PLASTIK KECIL 15X10 PAK 9
42 KLIP PLASTIK SEDANG 13X8,7 PAK -
43 KLIP PLASTIK SEDANG 13X8,7 BOX 1
44 KLIP PLASTIK SEDANG 13X8,7 BOX 200
45 LANCET BOX 1
46 LANCET BOX 5
47 LEUKOPLAST 1621H BSN ROLL 100
48 MASKER 3PLY EAR LOOP / KARET BOX/50 -
49 MASKER HIJAB BOX/50 -
50 MUCUS EXTRACTOR BUAH 50
51 MUCUS EXTRACTOR BUAH -
52 MUMMIYING PASTA / CRESOTIN PASTA BOTOL -
53 NEBULEZER MASK ADULT / DEWASA BUAH 1
54 NEBULEZER MASK BAYI BUAH 1
55 NEBULEZER MASK PAED / ANAK BUAH 2
56 NEEDLE TERUMO NO. 23 BOX/100 -
57 NEEDLE TERUMO NO. 24 BOX/100 1.58
58 NGT NO. 16 BUAH 8
59 OXYGEN MASK NON REBREATHING ADULT / NMR BUAH 20
60 PLASTIK KRESEK PUTIH POLOS UK. 15 BUAH 55
61 PLESTER BESAR KAIN COKLAT 7,5CM ROLL 10
62 POVIDON IODINE 1000ML ONEMED BOTOL -
63 POVIDON IODINE 300ML ONEMED BOTOL 2
64 SARUNG TANGAN NON STERIL M BOX -
65 SARUNG TANGAN STERIL NO. 6,5 REMEDI PASANG -
66 SARUNG TANGAN STERIL NO. 7 PASANG -
67 SENDOK OBAT 5ML (250PCS) PAK 1
68 SENDOK PUYER SET -
69 SPALK ANAK / BAYI BUAH -
70 SPALK KAKI BUAH -
71 SPALK TANGAN BUAH -
72 SPUIT 3 ML ONEMED BUAH 1,000
73 SPUIT 5 ML ONEMED BUAH 500
74 SPUIT DISP 10ML ONEMED BOX 400
75 SPUIT DISP 10ML ONEMED BUAH -
76 SPUIT DISP 20ML BUAH 8
77 STIK EASY TOUCH GLUKOSA POT 5
78 STIK EASY TOUCH GLUKOSA POT -
79 STIK EASY TOUCH HB POT 6
80 STIK EASY TOUCH HB POT -
81 STIK EASY TOUCH KOLESTEROL POT -
82 STIK EASY TOUCH KOLESTEROL POT 14
83 STIK NESCO ASAM URAT POT 2
84 STIK NESCO GLUKOSA POT -
85 STIK NESCO KOLESTEROL POT -
86 STIK NESCO KOLESTEROL POT 4
87 SUCTION CATETHER NO.6 BUAH 10
88 TABUNG EDTA PAK 4
89 TORNIQUET ONEMED BUAH 5
90 UNDERPAD PAK -
91 URINE BAG BUAH -
92 URINE TEST GLUKO PROTEIN BOX 2
93 VERBAN 10CM ROLL 50
94 VERBAN 10CM ROLL 300
20,911

SEPTODENT AMPUL
 LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP JKN
UPT PUSKESMAS DTP MENES

STOK AWAL PENERIMAAN PERMAKAIAN

Harga per Unit Jumlah Unit Harga per Unit Jumlah Unit
(Rp.) (Rp.) (Rp.) (Rp.)

- -
- -
167 436,230 -
- -
275 225,500 -
- -
- -
6,105 213,675 6,105 -
777 77,700 777 -
- -
8,325 99,900 -
- -
932 233,100 932.4 -
- -
165 42,900 -
- -
- -
8,880 532,800 -
12,210 537,240 12,210 -
- -
222 510,600 222 -
- -
- -
- -
- -
- -
- -
- -
13,320 66,600 -
- -
5,550 360,750 -
144 320,346 -
278 277,500 278 -
- -
- -
11,100 333,000 -
11,000 176,000 -
11,330 135,960 -
- -
9,990 799,200 9,990 -
222 22,200 -
275 137,500 -
- -
7,770 116,550 7,770 -
- -
- -
- -
222 44,400 222 -
- -
- -
7,215 678,210 -
444 621,600 444 -
10,500 252,000 -
12,210 366,300 12,210 -
133 871,128 -
- -
4,440 355,200 4,440 -
5,830 - -
7,700 77,000 -
- -
- -
444 399,600 444 -
13,200 39,600 -
- -
8,800 176,000 -
27,750 277,500 -
9,990 39,960 9,990 -
278 27,750 -
444 88,800 -
- -
9,990 3,396,600 9,990 -
8,880 532,800 8,880 -
- -
- -
9,990 99,900 9,990.0 -
8,800 44,000 -
- -
- -
- -
222 377,400 -
- -
- -
3,885 1,864,800 3,885 -
- -
- -
 - -
- -
16,650 749,250 16,650 -
17,035,049 -

45,000 135,000 -
14,985 14,985 -
14,430 360,750 14,430 -
9,560 286,800 -
974 77,922 -
8,436 843,600 8,436 -
- -
- -
- -
- -
12,370 123,700 -
8,184 16,368 -
- -
- -
137,085 274,170 137,085 -
- -
- -
- -
- -
16,400 328,000 -
- -
- -
- -
25,500 229,500 -
- -
- -
2,847 111,039 -
1,227 122,655 1,227 -
- -
- -
38,675 - -
42 196,681 42 -
- -
42,929 42,929 -
36,075 72,150 36,075 -
147,500 295,000 -
- -
277,500 277,500 -
7,215 1,443,000 7,215 -
7,493 224,775 -
11,500 103,500 -
9,500 - -
10,490 10,490 -
 10,101 2,020,200 10,101 -
30,000 30,000 -
21,645 108,225 21,645.0 -
12,987 1,298,700 12,987 -
- -
- -
11,287 564,375 -
- -
- -
36,125 36,125 -
36,125 36,125 -
36,125 72,250 -
- -
61,000 96,380 -
30,800 246,400 -
26,900 538,000 -
10,840 596,200 -
11,733 117,327 -
- -
11,988 23,976 -
- -
- -
- -
59,052 59,052 -
- -
- -
- -
- -
1,010 1,010,100 1,010 -
1,227 613,275 1,227 -
1,587 634,920 1,587.3 -
- 1,670.83 -
2,800 22,400 -
115,440 577,200 115,440 -
- -
187,590 1,125,540 187,590 -
- -
- -
209,235 2,929,290 209,235 -
140,360 280,720 -
- -
- -
223,665 894,660 223,665 -
10,000 100,000 -
170,000 680,000 -
22,000 110,000 -
- -
- -
52,670 105,340 -
1,349 67,433 -
1,089 326,655 1,089 -
20,911,381 -

0 50 17094 854700
N

PERMAKAIAN STOK AKHIR

Harga per Unit Jumlah Unit Harga per Unit Jumlah KET.
(Rp.) (Rp.) (Rp.) (Rp.)

- - -
- - -
167 - 2,620 166.5 436,230
6,600 - - -
275 - 820 275 225,500
- - -
- - -
- 35 6,105 213,675
- 100 777 77,700
- - -
8,325 - 12 8,325 99,900
- - -
- 250 932 233,100
- - -
- 260 165 42,900
- - -
- - -
8,880 - 60 8,880 532,800
12,210 - 44 12,210 537,240
- - -
222 - 2,300 222 510,600
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 5 13,320 66,600
13,200 - - -
5,550 - 65 5,550 360,750
144 - 2,220 144 320,346
278 - 1,000 278 277,500
- - -
- - -
- 30 11,100 333,000
- 16 11,000 176,000
11,330 - 12 11,330 135,960
- - -
9,990 - 80 9,990 799,200
- 100 222 22,200
- 500 275 137,500
- - -
- 15 7,770 116,550
- - -
- - -
- - -
- 200 222 44,400
- - -
- - -
7,215 - 94 7,215 678,210
444 - 1,400 444 621,600
- 24 10,500 252,000
12,210 - 30 12,210 366,300
133 - 6,540 133 871,128
- - -
4,440 - 80 4,440 355,200
5,830 - - 5,830 -
- 10 7,700 77,000
- - -
- - -
444 - 900 444 399,600
- 3 13,200 39,600
- - -
- 20 8,800 176,000
- 10 27,750 277,500
- 4 9,990 39,960
- 100 278 27,750
444 - 200 444 88,800
- - -
9,990 - 340 9,990 3,396,600
8,880 - 60 8,880 532,800
- - -
- - -
- 10 9,990 99,900
8,800 - 5 8,800 44,000
- - -
- - -
- - -
222 - 1,700 222 377,400
- - -
- - -
3,885 - 480 3,885 1,864,800
- - -
- - -
 - - -
- - -
16,650 - 45 16,650 749,250
- 17,035,049

- 3 45,000 135,000
14,985 - 1 14,985 14,985
- 25 14,430 360,750
- 30 9,560 286,800
974 - 80 974 77,922
- 100 8,436 843,600
- - -
- - -
- - -
- - -
- 10 12,370 123,700
- 2 8,184 16,368
- - -
- - -
- 2 137,085 274,170
- - -
- - -
- - -
- - -
- 20 16,400 328,000
- - -
- - -
- - -
- 9 25,500 229,500
- - -
- - -
2,847 - 39 2,847 111,039
- 100 1,227 122,655
- - -
- - -
38,675 - - 38,675 -
42 - 4,700 42 196,681
- - -
- 1 42,929 42,929
- 2 36,075 72,150
- 2 147,500 295,000
- - -
- 1 277,500 277,500
- 200 7,215 1,443,000
- 30 7,493 224,775
11,500 - 9 11,500 103,500
9,500 - - 9,500 -
10,490 - 1 10,490 10,490
 - 200 10,101 2,020,200
- 1 30,000 30,000
- 5 21,645 108,225
- 100 12,987 1,298,700
- - -
- - -
11,287 - 50 11,287 564,375
- - -
- - -
- 1 36,125 36,125
- 1 36,125 36,125
- 2 36,125 72,250
- - -
- 1.58 61,000 96,380
- 8 30,800 246,400
- 20 26,900 538,000
10,840 - 55 10,840 596,200
11,733 - 10 11,733 117,327
- - -
- 2 11,988 23,976
- - -
- - -
- - -
- 1 59,052 59,052
- - -
- - -
- - -
106,092 - - -
- 1,000 1,010 1,010,100
- 500 1,227 613,275
- 400 1,587 634,920
1,671 - - -
2,800 - 8 2,800 22,400
115,440 - 5 115,440 577,200
- - -
- 6 187,590 1,125,540
- - -
217,284 - - -
209,235 - 14 209,235 2,929,290
- 2 140,360 280,720
- - -
224,775 - - -
- 4 223,665 894,660
- 10 10,000 100,000
- 4 170,000 680,000
- 5 22,000 110,000
- - -
- - -
 - 2 52,670 105,340
1,349 - 50 1,349 67,433
- 300 1,089 326,655
- 20,911,381

0 50 17094 854700
 PUSLING KD PYG APOTIK UGD PONED

4260 140
MSH DI PENYEDIA/ ED DEKAT
430 50

15

18
34

800

10
200
220 110
 34

5 20
100
50

90
500

15

140 60

200

65 5
20

290
 15
17,035,049
APOTIK UGD

4
20,911,381
AW GIGI
40