LAPORAN PEMAKAIAN DAN LAPORAN PERMINTAAN OBAT s

(LPLPO/LB2)

Unit Penerima : FKTP Puskesmas Rantau Pulut I Bulan : NOVEMBER

Kecamatan : Seruyan Tengah Tahun : 2023
Kabupaten : Seruyan
Provinsi : Kalimantan Tengah

Rusak/ Sisa Stok Harga Sumber

Kode Nama Obat Sediaan stok awal Penerimaan Persediaan Pemakaian Ed Stok Optimum Permintaan Pemberian TGL ED Satuan Jumlah Harga Dana
2 - 4 SALEP SALEP 55 55 6 0 49 72 Nov-24 2539 124411 DAK 21
ACETYLCYSTEINE 200 MG KAPSUL 0 0 0 0 0 11880 11880 Sep-24 337 0 DAK 22
108 ACYCLOVIR SALEP 5 % SALEP 216 216 10 0 206 100 0 Jun-25 4995 1028970 DAK 22
120 ACYCLOVIR TABLET 400 MG TABLET 0 0 0 0 0 2000 0 235 0
ACYCLOVIR TABLET 400 MG TABLET 0 0 0 0 0 2000 2000 473 0
175 ALBENDAZOLE TABLET 400 MG TABLET 2730 2730 0 0 2730 10000 7270 Jun-24 271 739830
238 ALKOHOL LIQUID 70 % LIQUID 0 0 0 0 0 0 34217 0
ALKOHOL LIQUID 70 % LIQUID 2 2 2 0 0 49 49 Jun-25 31665,8 0 BF 21
ALKOHOL LIQUID 70 % LIQUID 33 33 1 0 32 0 Jun-27 30900 988800 DAK22
247 ALLOPURINOL TABLET 100 MG TABLET 3200 3200 500 0 2700 3000 Jun-24 95 256500 DAK 22
ALLOPURINOL TABLET 100 MG TABLET 0 0 0 0 0 95 0 DAK 21
AMBROXOL 30 MG TABLET 5000 5000 400 0 4600 11880 7280 Mar-25 140,84 647864 DAK 22
AMBROXOL SYR LIQUID 0 0 0 0 0 360 360 4500 0
AMILODIPINE 5 MG TABLET 4500 4500 400 0 4100 16200 12100 Sep-24 95 389500 DAK 22
AMILODIPINE 10 MG TABLET 10000 10000 400 0 9600 16200 16200 Jan-24 76 729600 DAK21
415 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 16 16 2878 0
417 AMINOPHYLLINE TABLET 200 MG TABLET 0 0 0 0 0 0 104 0
444 AMITRIPTYLINE TABLET 25 MG TABLET 100 100 0 0 100 50 172 17200 DAK 20
540 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 205 205 10 0 195 500 305 Des-24 2070 403650 DAK 22
523 AMOXYCILLIN SIRUP 250 MG/5 ML SIRUP 0 0 0 0 0 500 500 3510 0 DAK 21
AMOXYCILLIN TABLET 250 MG TABLET 1400 1400 100 0 1300 1000 Mar-24 248 322400
AMOXYCILLIN TABLET 500 MG TABLET 700 700 400 0 300 6000 5700 Apr-26 241 72300 DAK 22
AMPICILLIN INJEKSI LIQUID 0 0 0 0 0 0 9884 0
713 AMPICILLIN TABLET 500 MG TABLET 0 0 0 0 0 0 0
ANTACIDA SIRUP 400 MG/5 ML SIRUP 0 0 0 0 0 400 400 Okt-24 1767 0
809 ANTACIDA TABLET 400 MG TABLET 23200 23200 300 0 22900 10000 AGT 24 54 1236600 DAK 22
ANTIFUNGI SALEP 44 44 4 0 40 72 32 Okt-24 3697 147880 DAK 22
829 ANTIMALARIA KOMBINASI SULFADOKSIN 500 MG|PIRIMETAMIN
TABLET 025 MG TABLET 525 MG0 0 0 0 0 0 0
APD Cover All PCS 150 150 0 0 150 120 0 0 0 BF20
Apron plastik pcs 130 130 0 0 130 0 2694 350220
847 AQUA PRO INJEKSI INJEKSI INJEKSI 110 110 10 0 100 350 250 2650 265000 DAK 22
883 ARTEMISININ TABLET 40 & 320 MG TABLET 0 0 0 0 0 0 0 0
ASAM FOLAT TABLET 300 300 100 0 200 1350 1150 Mei-24 46 9200 DAK 21
966 ASAM MEFENAMAT TABLET 500 MG TABLET 3100 3100 800 0 2300 12000 9700 Jan-24 128 294400 DAK 22
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 500 500 100 0 400 1100 700 89 35600 DAK 21
1274 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI 0 0 0 0 0 25 25 1914 0
1277 ATROPINE SULPHATE TABLET 0.5 MG TABLET 0 0 0 0 0 100 100 81 0
1288 ATTAPULGITE SIRUP 200 MG/5 ML SIRUP 0 0 0 0 0 0 0 0
1289 ATTAPULGITE TABLET 600 MG TABLET 0 0 0 0 0 3000 3000 157 0
AZITHROMICIN TABLET 60 60 0 0 60 0 1250 75000
AZITHROMICIN TABLET 100 100 0 0 100 0 AGT 26 1344 134400 DAU 21
 1362 BACITRACIN|NEOMYCIN SULPHATE|POLYMYXINSALEP
B SULPHATE SALEP
0 0 0 0 0 344 344 2767 0
1436 BEDAK SALISIL LIQUID 5 % LIQUID 0 0 0 0 0 110 110 7194 0
DRG000005108
BETAMETASON KRIM TUBE 0 0 0 0 0 252 252 1330 0
392 BISAKODIL 5 MG TABLET 400 400 0 0 400 500 100 Sep-24 2331 932400 DAK 22
1702 BISMUTH SUBGALLATE|ZINC OXIDE|LIDOCAINE|HEXACHLOROPHENE
SUPPOSITORIA 0 SUPPOSITORIA 2 0G 0 0 0 50 50 3800 0
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 TABLET
MG|50 MG 0 0 0 0 0 50 0 208 0
CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MG 0 0 0 0 0 50 0 220,486 0
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 24 24 0 0 24 7 Sep-25 9500 228000 DAK 22
2005 CALCIUM LACTATE TABLET 500 MG TABLET 4000 4000 1300 0 2700 5000 2300 AGT 24 64 172800
2073 CAPTOPRIL TABLET 12.5 MG TABLET 900 900 200 0 700 12800 12100 Jan-24 72 50400 DAK 22
2075 CAPTOPRIL TABLET 25 MG TABLET 5500 5500 1100 0 4400 9000 4600 Jan-24 75 330000 DAK 22
CATGUT BENANG BEDAH NO 3/0 Plain PCS 0 0 0 0 0 4336,45 0
CATGUT BENANG BEDAH NO 2/0 Plain PCS 56 56 0 0 56 48 0 6421 359576 DAK 21
CATGUT BENANG BEDAH NO 2/0 Plain PCS 48 48 0 0 48 Okt-25 5750 276000 DAK 21
CATGUT BENANG BEDAH NO 2/0 Plain PCS 0 0 0 0 0 8672,92 0
CATGUT BENANG BEDAH NO 3/0 chromic PCS 134 134 0 0 134 180 46 4336,45 581084,3 DAK 21
CATGUT BENANG BEDAH NO 2/0 chromic PCS 14 14 0 0 14 48 0 5718,96 80065,44
CATGUT BENANG BEDAH NO 2/0 chromic PCS 216 216 0 0 216 Okt-25 5750 1242000 DAK 22
2176 CEFADROXIL 500 MG KAPSUL 0 0 0 0 0 3000 3000 810,3 0 DAK 21
2176 CEFADROXIL SIRUP 125 mg/5 ml SIRUP 85 85 20 0 65 150 85 4180 271700 DAK 22
CEFADROXIL SIRUP 250 mg/5 ml SIRUP 0 0 0 0 0 200 200 5879,61 0
10435 CEFOTAXIME INJEKSI 1000 MG INJEKSI 210 210 20 0 190 120 3197 607430 DAK 22
10435 CEFRIAXONE INJEKSI INJEKSI 230 230 10 0 220 120 2899 637780 DAK 22
CETIRIZINE HCL 10 mg TABLET 1400 1400 200 0 1200 1000 53 63600 DAK 22
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 0 0 0 0 0 500 500 5564,42 0 DAK 21
2574 CHLORAMPHENICOL DROPS 0.5% TETES MATADROPS 0 0 0 0 0 100 100 9500 0 DAK 21
2571 CHLORAMPHENICOL DROPS 3 % DROPS 0 0 0 0 0 100 100 0
6617 CHLORAMPHENICOL SIRUP 60 ML SIRUP 0 0 0 0 0 50 0 5554 0 DAK 21
CHLORAMPHENICOL TETES TELINGA TUBE 51 51 5 0 46 50 0 7955 365930 DAK 22
CHLORAMPHENICOL SALEP KULIT TUBE 110 110 25 0 85 198 113 3925 333625 DAK 22
CHLORAMPHENICOL SALEP MATA 1% TUBE 0 0 0 0 0 36 36 1925 0
2620 CHLORAMPHENICOL TABLET 250 MG KAPSUL 2200 2200 300 0 1900 1300 856,47 1627293 DAK 22
2745 CHLORPHENIRAMINE MALEAT TABLET 4 MG TABLET 6000 6000 700 0 5300 10000 4700 27 143100
2754 CHLORPROMAZINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 10 10 1489 0
2763 CHLORPROMAZINE TABLET 25 MG TABLET 0 0 0 0 0 1200 1200 50 0
CHLORPROMAZINE TABLET 100 MG TABLET 0 0 0 0 0 500 500 189 0
2828 CIPROFLOXACIN TABLET 500 MG TABLET 1800 1800 300 0 1500 8000 6500 Jul-25 270 405000 DAK 21
2988 CLINDAMYCIN TABLET 300 MG TABLET 150 150 0 0 150 100 Feb-25 620 93000 DAK 22
CLINDAMYCIN TABLET 150 TABLET 0 0 0 0 0 100 100 786 0
CLOBAZAM 10 MG TABLET 0 0 0 0 0 100 100 760 0
CLOZAPINE TABLET 200 200 0 0 200 500 300 1559 311800 DAK 22
3157 CODEINE TABLET 10 MG TABLET 0 0 0 0 0 100 100 685 0
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 185 185 10 0 175 350 175 AGT 24 2100 367500 DAK 23
3206 COTRIMOXAZOLE TABLET FORTE TABLET 500 500 0 0 500 0 0 218,18 109090
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 5300 5300 0 0 5300 3000 AGT 24 126 667800 DAK 22
COTRIMOXAZOLE TABLET 480 MG TABLET 0 0 0 0 0 126 0 DAK 22
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 120 120 0 0 120 250 130 1012 121440 DAK 22
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 8000 8000 500 0 7500 10000 2500 123,23 924225 DAK 22
DIAZEPAM 2 MG TABLET 0 0 0 0 0 200 200 118 0 BF 22
DIAZEPAM 5 MG TABLET 182 182 0 0 182 200 18 108 19656 BF 22
 3628 DIAZEPAM ENEMA 5 MG/2.5 ML AMPUL 4 4 0 0 4 36 32 1559 6236 DAK 22
3631 DIAZEPAM LIQUID LIQUID 0 0 0 0 0 37 37 2010 0 BF 21
3728 DIETHYLCARBAMAZINE TABLET 100 MG TABLET 0 0 0 0 0 6300 6300 201 0
3756 DIGOXIN TABLET 0.25 MG TABLET 0 0 0 0 0 300 300 104 0
3794 DIMENHYDRINATE TABLET 50 MG TABLET 900 900 0 0 900 200 0 117 105300 DAK 22
DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 0 0 0 0 0 100 100 1404 0
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 0 0 0 0 0 250 250 2465 0
3983 DOMPERIDONE TABLET 10 MG TABLET 100 100 0 0 100 1500 0 77 7700 DAK 22
4303 EPINEPHRINE INJEKSI 0.1 % INJEKSI 0 0 0 0 0 20 20 2068 0
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 0 0 0 0 0 20 0 7761 0 DAK 21
ERYTHROMYCIN TABLET 250 MG TABLET 0 0 0 0 0 0 593 0
ERYTHROMYCIN TABLET 250 MG TABLET 900 900 0 0 900 1000 593 533700 DAK 22
4551 ETAKRIDIN LIQUID 0.1 % LIQUID 0 0 0 0 0 10 10 3600 0
Ethyl Chlorid Botol 4 4 1 0 3 10 0 175100 525300
4732 FENOL GLISEROL DROPS 10 % DROPS 0 0 0 0 0 20 20 3300 0
AK9004701
FOLEY CATHETER 2 WAY NO 16 19 19 3 0 16 48 32 11200 179200 DAK 22
AK9004702
FOLEY CATHETER 2 WAY NO 18 25 25 3 0 22 45 23 11300 248600 DAK 22
5071 FUROSEMIDE INJEKSI 10 MG/ML INJEKSI 195 195 0 0 195 30 0 969 188955 DAK 22
5074 FUROSEMIDE TABLET 40 MG TABLET 1600 1600 0 0 1600 1500 0 119,07 190512 DAK 22
5126 GARAM ORALIT SERBUK SERBUK 0 0 0 0 0 1200 0 475 0 BF 23
5154 GEMFIBROZIL TABLET 300 MG TABLET 4000 4000 300 0 3700 3000 345,4 1277980 DAK 22
5160 GENTAMYCIN DROPS 0.3 % (TETES MATA) DROPS 18 18 10 0 8 130 122 5420 43360 DAK 22
GENTAMYCIN DROPS 0.3 % (TETES MATA) DROPS 0 0 0 0 0 5420 0 DAK 21
5186 GENTAMYCIN INJEKSI 40 MG/ML INJEKSI 30 30 0 0 30 18 0 3385 101550 BF 22
5225 GENTIAN VIOLET LIQUID 1 % LIQUID 0 0 0 0 0 90 90 4191 0
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 0 0 0 0 3200 3200 143 0
GLIBENCLAMIDE TABLET 5 MG TABLET 7800 7800 400 0 7400 3200 0 Sep-26 95 703000 DAK 22
5291 GLUCOSE INFUS 10 % INFUS 30 30 0 0 30 36 0 7200 216000 DAK 22
5300 GLUCOSE INFUS 5 % INFUS 0 0 0 0 0 0 0 6627 0
GLUCOSE INFUS 5 % INFUS 59 59 20 19 20 36 0 6627 132540 DAK 22
5522 GRISEOFULVIN TABLET 125 MG TABLET 1400 1400 0 0 1400 1300 0 Feb-24 220 308000 DAK 21
5539 GUAIFENESIN TABLET 100 MG TABLET 500 500 400 0 100 15900 15800 93 9300 DAU 23
HALOPERIDOL TABLET 2 MG TABLET 700 700 45 655
5642 HALOPERIDOL TABLET 5 MG TABLET 0 0 0 0 0 2455 2455 61 0 BF 22
HALOPERIDOL TABLET 5 MG TABLET 0 0 0 0 54 0 BF 22
HALOPERIDOL INJEKSI AMPUL 5 5 0 5 101,3 506,5 BF 22
HANDSCHOEN S /Pasang 450 450 50 0 400 500 100 2636,4 1054560 DAK 22
HANDSCHOEN M /Pasang 50 50 50 0 0 9000 9000 2636,4 0 DAK 22
HANDSCHOEN L /Pasang 0 0 0 0 0 0 2312 0 DAK 22
HANDSCHOEN L /Pasang 150 150 150 0 0 9000 9000 2636,4 0 DAK 22
Handsanitizer Botol 0 0 0 0 0 20 20 70000 0 DAU 21
Handsoap Botol 5 5 0 0 5 20 15 30000 150000 DAU 21
HEAD COVER PCS 0 0 0 0 0 2000 2000 0
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 0 0 0 0 0 1500 1500 186 0
5814 HYDROCORTISONE SALEP 25 MG/G SALEP 100 100 28 0 72 250 178 2556 184032 DAK 22
5964 IBUPROFEN TABLET 200 MG TABLET 1200 1200 0 0 1200 5100 3900 220 264000 DAK 22
5966 IBUPROFEN TABLET 400 MG TABLET 4800 4800 300 0 4500 4000 220 990000 DAK 22
AK9005570
INFUS SET 0 0 0 0 0 0 500 500 8591 0
INFUS SET 256 256 42 0 214 8591 1838474 DAK 22
AK9005571
INFUS SET PEDIATRIC 0 0 0 0 0 0 250 250 2925 0
INFUS SET PEDIATRIC SET 104 104 20 0 84 250 0 6084 511056 DAK 22
INFUS SET PEDIATRIC SET 0 0 0 0 0 6084 0 DAK 22
6179 IODIUM POVIDON LIQUID 10 % 30 ml LIQUID 0 0 0 0 0 75 75 3480 0
IODIUM POVIDON LIQUID 10 % 60 ml LIQUID 108 108 0 0 108 0 Mei-24 4996 539568 DAK 22
IODIUM POVIDON LIQUID 10 % 300 ml LIQUID 7 7 0 0 7 0 Mei-24 130000 910000 DAK 22
ISONIAZID 100 mg TABLET 0 0 0 0 0 300 300 282 0
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 0 0 0 0 0 223 223 98 0
AK9005688
IV CATHETER NO 20 PCS 0 0 0 0 0 400 400 4370 0
IV CATHETER NO 20 261 261 10 0 251 400 149 7027,02 1763782,02 DAK 22
AK9005689
IV CATHETER NO 22 PCS 70 70 20 0 50 450 400 4370 218500 DAK 21
AK9005690
IV CATHETER NO 24 PCS 55 55 55 0 0 400 400 4370 0 DAK 21
6498 KAPAS PEMBALUT/ABSORBEN SET 250 G Roll 10 10 2 0 8 44 36 14375 115000 DAK 21
AK9005961
KASA 2Y X 80 CM Roll 0 0 0 0 0 75 75 8855 0
KASA 2Y X 80 CM Roll 10 10 0 0 10 75 65 10885,8 108857,7 DAK 22
AK90121071
KASA HYDROFIL 4 M X 15 CM Roll 0 0 0 0 0 3855,55 0
KASA HYDROFIL 4 M X 15 CM Roll 90 90 10 80 250 170 4115,14 329211,2 DAK 22
AK90121072
KASA HYDROFIL 4 M X 3 CM Roll 85 85 10 0 75 400 325 872,85 65463,75 DAK 22
KASA HYDROFIL 36 M X 80 CM Roll 0 0 0 0 0 18 0 148237 0
AK9005982
KASA HYDROFIL 40 M X 80 CM 11 11 2 0 9 18 0 203213 1828919,97 DAK 22
AK9006009
KASA LIPAT STERIL 40 CM X 40 CM PCS 5 5 5 0 0 140 0 1840 0
KASSA STERIL 16X16 CM KOTAK 0 0 0 0 0 7416,66 0 DAK 21
KASSA STERIL 18X22 CM KOTAK 14 14 3 0 11 8250 90750 DAK 22
KASSA PEMBALUT 4 M X 5 CM Roll 0 0 0 0 0 450 450 333,85 0
KASSA PEMBALUT 4 M X 10 CM Roll 0 0 0 0 0 160 160 3055,55 0
6546 KETOCONAZOLE TABLET 200 MG TABLET 0 0 0 0 0 2000 2000 270 0 DAK 22
KETOCONAZOLE Salep TUBE 0 0 0 0 0 50 50 2577 0
Kondom 0 0 0 0 0 150 150 448 0
LANSOPRAZOLE CAPSUL 0 0 0 0 0 4500 4500 360 0
LEPOVAR TABLET 0 0 0 0 0 0 1090 0
6887 LIDOCAINE INJEKSI 20 MG/ML INJEKSI 0 0 0 0 0 500 500 973 0 DAK 22
LIDOCAINE INJEKSI 2% + EPINEPHRIN INJEKSI 0 0 0 0 0 500 500 924 0 DAK 21
6945 LIQUORICE LIQUID EXTRACT|AMMONIUM CHLORIDE|ANISATED
SIRUP 0 SPIRIT OF AMMONIA SIRUP
0 0 0 0 544 544 2500 0
6959 LISIN, MULTIVITAMIN, MULTIMINERAL SIRUP 0 0 0 0 0 1000 1000 0
6994 LOPERAMIDE TABLET TABLET 100 100 0 0 100 1800 1700 142 14200 DAK 22
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 5500 5500 150 0 DAK 22
Lubricant 0 0 0 0 0 331 0
7153 MAGNESIUM SULPHATE INJEKSI 20 % INJEKSI 0 0 0 0 0 22 4300 0 DAK 22
7159 MAGNESIUM SULPHATE INJEKSI 40 % INJEKSI 0 0 0 0 0 40 40 4900 0 DAK 21
MASKER GRAPERA PCS 0 0 0 0 0 2000 2000 1200 0 DAK 21
MASKER PCS 0 0 0 0 0 2000 2000 717,29 0 DAU 21
MAKER EAR LOOP 4650 4650 350 0 4300 2000 0 717,29 3084347 DAK 21
Masker Dreamcan PCS 80 80 0 0 80 0 0 0
MASKER KN95 PCS 120 120 0 0 120 2000 1880 0 0 BF20
Masker Aeropro N95 60 60 0 0 60 0 20000 1200000
MELOXICAM 7,5 mg TABLET 700 700 100 0 600 500 558,55 335130 DAK 22
MELOXICAM 15 mg TABLET 200 200 0 0 200 500 300 967,92 193584 DAK 21
MERSIBION Injeksi/NEUROBION 5000 AMPUL 120 120 30 0 90 5716,5 514485 DAK 22
799 METAMPIRON (ANTALGIN) INJEKSI 250 MG/MLINJEKSI 0 0 0 0 0 0 0 1613,33 0
7491 METFORMIN TABLET 500 MG TABLET 2600 2600 600 0 2000 12000 10000 86 172000 DAK 22
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 0 0 0 0 0 50 0 1069 0 DAK 2021
METHYLERGOMETRINE TABLET 0 0 0 0 0 0 271 0
METHYLPREDNISOLON 4 mg TABLET 2600 2600 500 0 2100 3000 900 400,1 840210 DAK 22
METHYLPREDNISOLON 8 mg TABLET 700 700 0 0 700 1000 300 531,28 371896 DAK 22
7648 METOCLOPRAMIDE SIRUP 5 MG/5 ML SIRUP 0 0 0 0 0 100 0 2870 0
7651 METOCLOPRAMIDE TABLET 10 MG TABLET 1100 1100 0 0 1100 500 0 83 91300
7695 METRONIDAZOLE TABLET 250 MG TABLET 0 0 0 0 0 2000 2000 157 0
7695 METRONIDAZOLE SUSPENSI 125 MG/ 5ML SIRUP 0 0 0 0 0 150 150 3950 0
7695 METRONIDAZOLE IV LIQUID 27 27 0 0 27 20 6060,25 163626,75 DAK 22
7697 METRONIDAZOLE TABLET 500 MG TABLET 1500 1500 100 0 1400 6000 4600 238,84 334376 DAK 22
7727 MICONAZOLE SALEP 2% SALEP 360 360 24 0 336 75 0 2090 702240 DAK 22
MINERAL MIX 0 0 0 0 0 0 3116 0
MULTIVATAMIN/PYFATON TABLET 900 900 0 0 900 2000 1100 2800 2520000 DAU 21
MULTIVITAMIN/Pehapral TABLET 3700 3700 400 0 3300 500 984 3247200 DAK 22
8031 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 5000 5000 300 0 4700 14500 9800 Jul-24 118 554600 DAK 22
8160 NIFEDIPINE TABLET 10 MG TABLET 0 0 0 0 0 1500 1500 123 0
Nurse Cap 300 300 0 0 300 0 3285 985500
8268 NYSTATIN TABLET 10000 IU TABLET 0 0 0 0 0 200 200 720 0
8269 NYSTATIN TABLET 50000 IU TABLET 0 0 0 0 0 500 500 950 0
OAT KATEGORI ANAK PAKET 1 1 0 0 1 18 17 365908 365908 BF 23
OAT KATEGORI 1 DEWASA PAKET 1 1 1 0 0 36 36 64886,5 0 BF 23
OAT KATEGORI DAILY DOSE PAKET 0 0 0 0 0 18 18 397612 0 BF 22
OBH Syr LIQUID 0 0 0 0 0 200 200 10670 0 BF20
8373 OMEPRAZOLE TABLET 20 MG TABLET 10000 10000 800 0 9200 3000 132 1214400 DAK 21
ONDANSETRON TABLET 0 0 0 0 0 450 450 423 0
ONDANSETRON INJ AMPUL 50 50 0 50 200 150 1530 76500 DAU 23
OSELTAMIVIR TABLET 90 90 0 0 90 0 7000 630000
OSELTAMIVIR TABLET 100 100 0 0 100 0 1300 130000 DAU 21
OXYTOCIN 10 IU/ML INJEKSI 152 152 3 0 149 100 0 AGT 24 1448 215752 BF 21
OXYTETRACIKLIN HCl Salep mata TUBE 0 0 0 0 0 150 150 2600 0
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 0 0 0 0 500 500 7979 0
8606 PARACETAMOL SIRUP 120 MG/ML SIRUP 349 349 55 0 294 1870 1576 1160 341040 DAK 22
8593 PARACETAMOL TABLET IV Botol 0 0 0 0 0 28000 28000 10000 0 DAK 22
PARACETAMOL TABLET 500 MG TABLET 21900 21900 1000 0 20900 28000 7100 Feb-25 256,07 5351863 DAK 22
PAPAVERIN 40 MG TABLET 0 0 0 0 0 0 341 0
PENOBARBITAL 30 mg TABLET 0 0 0 0 0 300 300 205 0 BF2022
9246 PHENYTOIN TABLET 100 MG Kapsul 0 0 0 0 0 1500 1500 158 0
PHENYTOIN TABLET 30 MG KAPSUL 0 0 0 0 0 0 158 0
9260 PHYTOMENADIONE (VITAMIN K) INJEKSI 2 MG/ML
INJEKSI 0 0 0 0 0 0 0 4420 0
PHYTOMENADIONE (VITAMIN K) INJEKSI 2 MG/ML 200 200 0 0 200 90 1610 322000 DAK 22
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MGTABLET 500 500 100 0 400 250 847 338800 DAK 22
9345 PIRACETAM INJEKSI 200 MG/ML INJEKSI 0 0 0 0 0 30 30 22750 0
9392 PIROXICAM TABLET 20 MG TABLET 0 0 0 0 0 5000 5000 198 0
PLESTERIN PU KOTAK 7 7 1 6 10 4 118 708 DAK 22
PLESTER/Isofix KOTAK 2 2 0 0 2 50 48 Mar-25 16422 32844 DAK 21
plester 1,25 x 9,14 m (Paper Tape) roll 47 47 1 0 46 48 2 6692 307832 DAK 22
plester 2,5 x 9,14 m (Paper Tape) roll 34 34 1 0 33 48 15 11488,6 379124,13 DAK 22
plester 1,25 x 450 cm roll 0 0 0 0 0 48 48 9351 0
plester 2,5 x 9,10 m roll 0 0 0 0 0 24 24 8596,25 0
 9581 PREDNISONE DROPS 0.5 ML MG DROPS 0 0 0 0 0 0 0 0 0
9583 PREDNISONE TABLET 5 MG TABLET 6500 6500 900 0 5600 11000 5400 78 436800 DAK 22
9597 PRIMAQUINE TABLET 15 MG TABLET 0 0 0 0 0 100 100 0 0
9673 PROPANOLOL TABLET 10 MG TABLET 1000 1000 0 0 1000 1000 0 66 66000 DAK 22
PYRANTEL PAMOAT TABLET 0 0 0 0 0 250 250 347 0
1684 PYRIDOXINE TABLET 10 MG TABLET 0 0 0 0 0 5500 5500 148 0
PYRIDOXINE Injeksi AMPUL 0 0 0 0 0 20 20 1195 0
9958 QUININE TABLET 222 MG TABLET 0 0 0 0 0 0 0 0 0
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 175 175 110 0 65 510 445 1320 85800
10014 RANITIDINE TABLET 150 MG TABLET 0 0 0 0 0 10000 10000 95 0
11896 RETINOL PALMITATE TABLET 100000 IU KAPSUL 4050 4050 0 0 4050 2200 370 1498500
11900 RETINOL PALMITATE TABLET 200000 IU KAPSUL 8500 8500 0 0 8500 5000 663 5635500 BF2022
RISPERIDONE 2 mg TABLET 100 100 15 0 85 200 115 0 0
10160 RL/CALCIUM CHLORIDE DIHYDRATE|POTASSIUM
INFUS CHLORIDE|SODIUM
20 CHLORIDE|SODIUM
20 LACTATE
20 0INFUS 0(RL) 2034 2034 7703 0 DAK22
10305 SALBUTAMOL TABLET 2 MG TABLET 3000 3000 200 0 2800 6000 3200 53,14 148792 DAK22
SALBUTAMOL IH 1 mg/ml Ampul 0 0 0 0 0 0 5750 0
AK9008968
SARUNG TANGAN STERIL NO 6.5 PCS 18 18 10 0 8 1800 1792 10545 84360 DAK 21
SARUNG TANGAN STERIL NO 6.5 PCS 200 200 0 0 200 12675 2535000 DAK 22
AK9008973
SARUNG TANGAN SURGIPRO NO 7 PCS 105 105 10 0 95 1800 1705 5088,06 483365,7 DAK 21
AK9008970
SARUNG TANGAN STERIL NO 7.5 PCS 0 0 0 0 0 1800 1800 5088,06 0
AK9009379
SILK 3 - 0 PCS 206 206 0 0 206 48 3025 623150 DAK 22
AK9009380
SILK BLACK BRAIDED 2 - 0 PCS 12 12 0 0 12 0 0 18206 218472
SILK BLACK BRAIDED 2 - 0 PCS 36 36 0 0 36 0 0 21285 766260
SILK BLACK BRAIDED 2 - 0 204 204 0 0 204 48 0 3089,03 630162,12 DAK 22
SIMVASTATIN 10 MG TABLET 800 800 200 0 600 3000 2400 73 43800 DAK 2022
10515 SODIUM BICARBONATE TABLET 500 MG TABLET 0 0 0 0 0 500 500 0 0
10532 NaCl/SODIUM CHLORIDE INFUS 0.9 % INFUS 193 193 3 0 190 220 30 Jan-24 6900 1311000 DAK 22
SPIRONOLACTONE TABLET 700 700 0 0 700 Apr-24 230 161000 DAK 21
AK9009623
SPUIT 1 CC TUBERCULIN 460 460 0 0 460 500 40 892,32 410467,2 DAK 22
AK9009627
SPUIT 2,5 CC PCS 0 0 0 0 0 1800 1800 957 0 DAK 22
AK9009629
SPUIT 3 CC PCS 0 3600 3600 784 0 2816 1800 1005,8 2832332,8 DAK 21
AK9009632
SPUIT 5 CC PCS 340 3600 3940 40 0 3900 650 1116,5 4354350 DAK 22
SPUIT 5 CC PCS 0 0 0 0 0 650 650 926,33 0 DAK 20
SPUIT 5 CC PCS 560 560 60 0 500 650 862,5 431250 DAK 21
MDVx021644
SURGICAL CLIPPER BLADE PCS 0 0 0 0 0 350 350 1000 0
TABLET TAMBAH DARAH/FE TABLET 73400 73400 2300 0 71100 30000 260 18486000 BF 22
 TETRASIKLIN 250 MG CAPSUL 0 0 0 0 0 0 0 40 0
TETRASIKLIN 500 MG CAPSUL 0 0 0 0 0 0 0 310 0
11210 THIAMINE INJEKSI 100 MG/ML INJEKSI 0 0 0 0 0 100 100 1149,5 0
11936 THIAMINE TABLET 25 MG TABLET 0 0 0 0 0 0 0 0 0
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET 1100 1100 0 0 1100 6000 4900 286,45 315095 DAK 22
11296 THIAMPHENICOL TABLET 500 MG TABLET 0 0 0 0 0 200 200 0 0
11480 TRAMADOL TABLET 50 MG TABLET 0 0 0 0 0 1500 1500 600 0
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 219 219 63 0 156 2500 2344 81 12636 DAK 22
TRIHEXYPHENIDYL TABLET 2 MG TABLET 0 0 0 0 0 81 0
URINE BAG PCS 7 7 7 0 0 40 7622,3 0 DAK 21
VENTOLIN NEBULIZER LIQUID 0 0 0 0 0 300 300 4800 0 DAK 22
1000 VITAMIN B KOMPLEK TABLET 2900 2900 800 0 2100 10000 7900 63 132300 DAK 22
3242 VITAMIN B12/ CYANOCOBALAMIN INJEKSI INJEKSI 0 0 0 0 0 510 510 Mar-24 1190 0 DAK 21
11956 VIT B12/ CYANOCOBALAMIN TABLET 50 MCG (VIT.B12)
TABLET 0 0 0 0 0 0 0 47 0 DAK 21
VIT B12/ CYANOCOBALAMIN TABLET 50 MCG (VIT.B12)
TABLET 7400 7400 300 0 7100 5100 0 Apr-24 52 369200 DAK 21
923 VITAMIN C (ASCORBIC ACID) 250 MG TABLET 0 0 0 0 0 900 0 3388 0 DAK 21
926 VITAMIN C (ASCORBIC ACID) 50 MG TABLET 0 0 0 0 0 0 0 50 0 DAK 22
VITAMIN C (ASCORBIC ACID) 50 MG TABLET 5200 5200 200 0 5000 2000 0 Mar-24 50 250000 DAK 22
VITAMIN D3 Kapsul 0 0 0 0 0 534 0 BF 22
AK9012057
WING NEEDLE NO 27 PCS 39 39 8 0 31 20 0 1610 49910
12192 ZINC SULPHATE TABLET 20 MG TABLET 2400 2400 300 0 2100 3000 900 275 577500 DAK 22
DECOLGEN TABLET 0 0 0 0 0 0 395,73 0
DECOLSIN TABLET 0 0 0 0 0 0 556,5 0
Vitamin B6 TABLET 500 500 200 0 300 1000 700 77 23100 BF 22
VITAMIN C 500 TABLET 0 0 0 0 0 1000 1000 225 0 DAK 22
GLIMEPIRITE TABLET 900 900 0 0 900 1000 100 123 110700 DAK 22
GUANISTREP / KAOLIN PEKTIN SYR BOTOL 125 125 10 0 115 250 135 6088 700120 DAK 22
LACTULOSA SYR BOTOL 13 13 0 0 13 50 37 13914 180882 DAK 22
STIMUNO SYR BOTOL 0 0 0 0 0 250 250 28374 0 DAK 22
PROPILTIOURASIL TABLET 2400 2400 0 0 2400 1000 0 462 1108800 DAK 22
Betahistine Masilate TABLET 4600 4600 100 0 4500 500 0 92 414000 DAK 22
KONTRABAT SYR Botol 75 75 3 0 72 500 0 12600 907200 DAK 22
BIOLYSIN SYR Botol 190 190 35 0 155 500 0 12600 1953000
 BAHAN-BAHAN LABORATORIUM
REAGEN BENEDICT LIQUID 0 0 0 0 0 18 18 502500 0
LARUTAN TURK LIQUID 0 0 0 0 0 18 18 40192,3 0
LARUTAN EOSIN LIQUID 0 0 0 0 0 18 18 315000 0
EDTA SERBUK 100 GRAM LIQUID 0 0 0 0 0 18 18 110000 0
LARUTAN METHANOL LIQUID 0 0 0 0 0 18 18 37000 0
GIEMSA BUFFER LIQUID 0 0 0 0 0 18 18 52500 0
SULFOSALISILAT 20% LIQUID 0 0 0 0 0 18 18 605000 0
SULFOSALISILAT 20% LIQUID 0 0 0 0 0 0 797923 0
ANTI A LIQUID 0 0 0 0 0 18 18 0 0
ANTI B LIQUID 0 0 0 0 0 18 18 0 0
ANTI AB LIQUID 0 0 0 0 0 18 18 0 0
ANTI D LIQUID 0 0 0 0 0 18 18 0 0
WIDAL TEST LIQUID 0 0 0 0 0 18 18 0 0
SALMONELLA TYPHI-H WIDAL TEST LIQUID 0 0 0 0 0 18 18 198000 0
SALMONELLA TYPHI-O WIDAL TEST LIQUID 0 0 0 0 0 18 18 198000 0
SALMONELLA PARATYPHI-AO WIDAL TEST LIQUID 0 0 0 0 0 18 18 198000 0
SALMONELLA PARATYPHI-BO WIDAL TEST LIQUID 0 0 0 0 0 18 18 198000 0
AQUADEST 1 LITER LIQUID 0 0 0 0 0 18 18 36982,8 0
REAGEN ZIEHL NEELSEN LIQUID 2 2 2 0 0 18 18 201939 0
PP Test Kotak 0 0 0 0 0 36 36 825 0 S.DAK2019
Blood Lancet Kotak 0 0 0 0 0 18 18 27500 0 S.DAK2019
Objek Glass Kotak 2 2 2 0 0 13 13 49500 0 S.DAK2019
Cover Glass Kotak 1 1 0 0 1 4 0 55000 55000 S.DAK2019
Urinalisis 3 P Kotak 0 0 0 0 0 1 1 132000 0 S.DAK2019
Urinalisis 10 P Kotak 0 0 0 0 0 1 1 715000 0 S.DAK2019
Reagen Golongan Darah Set 0 0 0 0 0 18 18 539000 0 S.DAK2019
Reagen Golongan Darah Set 0 0 0 0 0 0 684895 0
Acon HB Haemoglobin Test Kotak 0 0 0 0 0 18 18 405990 0 DAK19
RDT HbsAg Strip 23 23 17 6 55 0 8326 49956
RDT HbsAg Strip 0 0 0 0 0 0 8300 0
Humansense Strip Glukosa Strip 0 0 0 0 0 18 18 257600 0
RAPID TEST HIV STRIP 0 0 0 0 0 50 0 15026 0
RDT Covid-19 strip 0 0 0 0 0 110 110 0 0
HEXAGON SYPHILIS STRIP 0 0 0 0 0 20 20 14127,9 0
Rapid Test Dengue IgG/IgM STRIP 80 80 5 0 75 40 0 36204,3 2715318,75
Rapid Test Dengue NSI 0 0 0 0 0 0 0 45366 0
VTM 50 50 0 0 50 0 55000 2750000
Rapid Test Malaria 0 0 0 0 0 0 4830 0 BF 21
Kertas Saring Lembar 0 0 0 0 0 0 19600 0
Reagen Ress Ecker BOTOL 0 0 0 0 0 0 158231 0
Reagen Hayem BOTOL 0 0 0 0 0 0 132000 0
Na Sitrat 3,8 % BOTOL 0 0 0 0 0 0 64646,2 0
Iodin 1% BOTOL 0 0 0 0 0 0 62615,4 0
HCL 0,1 N BOTOL 0 0 0 0 0 0 37653,8 0
Rapid Antigen/Whole Power Kotak 0 0 0 0 0 0 81363,4 0 DAU 21
Rapid Antigen/Bioniser Kotak 0 0 0 0 0 0 41239 0 BF 2021
AK9008213
POT 100 CC buah 28 28 9 0 19 110 91 5890 111910
STIK GLUKOSA AUTOCHECK KOTAK 0 0 0 0 0 0 128663 0
STIK ASAM URAT AUTOCHECK KOTAK 0 0 0 0 0 500 500 202400 0 DAK 22
STIK CHOLESTEROL AUTOCHECK KOTAK 0 0 0 0 0 0 403667 0 DAK 22
Startes HCV PCS 0 0 0 0 0 0 11088 0
RDT HIV 1 VIROCHECK 200 200 8 0 192 200 8 7879 1512768 BF 23
RDT HIV 2 DIAGNOSTAR 24 24 24 0 0 50 50 11500 0 BF 23
RDT HIV 3 STANDAR Q 24 24 24 0 0 25 25 10500 0 BF 23
RPR SIFILIS 100 100 0 0 100 100 0 2422 242200 BF 23
Trepodeck Syphilis 110 110 42 0 68 125 0

VAKSIN
BCG 20 ds/amp AMPUL 52 52 9 0 43 162 119 Jan-24 88288 3796384 DAK 23
Polio 10 ds/vial VIAL 46 10 56 15 0 41 2592 2551 19540 801140
IPV 5 ds/vial VIAL 46 46 6 0 40 54 14 Jul-24 16000 640000 DAK 22
Campak 10 ds/vial VIAL 0 0 0 0 0 0 0 0 0
Hapatitis B 1 ds/vial ( HB0 ) VIAL 46 46 4 0 42 198 156 Feb-25 23490 986580 DAK 23
DPT-HB-Hib 5 ds/Vial VIAL 31 20 51 19 0 32 270 238 Nov-23 77366,7 2475734,4 DAK 23
DT 10 ds/vial VIAL 35 35 30 0 5 72 67 17790 88950
Td 10 ds/vial VIAL 106 106 69 0 37 270 233 Jul-25 20721 766677 DAK 23
RV/ROTA/5 DS/VIAL VIAL 7 7 7 0 0 0 0 0 0
Measles Rubella 10 ds/vial VIAL 47 47 12 0 35 180 145 141648 4957680
PCV VIAL 2 2 2 0 0 18 0 Jun-25 153000 0 DAK 23
Vaksin Anti Rabies VIAL 0 0 0 0 0 0 0 165000 0
HPV/1 DS/VIAL VIAL 13 13 0 0 13 0
Spuit 0,05 SET 161 161 34 0 127 918 791 1465 186055
Spuit 0,5 SET 800 500 1300 800 0 500 3780 3280 1190 595000 DAK 22
Spuit 5 ml SET 347 347 23 0 324 360 0 1460 473040 DAK 22
Pelarut Campak AMPUL 0 0 0 0 0 165 165 0 0 DAK 22
Pelarut MR AMPUL 48 48 12 0 36 180 0 0 0
Pelarut BCG AMPUL 99 99 9 0 90 145 55 0 0 DAK 22
Dropper polio 48 48 5 0 43 270 227 0 0
SERUM ANTI BISA ULAR VIAL 0 0 0 3 3 517132 0
SERUM ANTI BISA ULAR 0 0 0 0 0 527664 0
APD Imunisasi Paket 0 0 0 0 0 98450 0
Safety Box 0 0 0 0 0 16360 0
Vaksin HBIg pcs 0 0 0 0 2 1325000 0 BF 22
0
0
TOTAL HARGA 131914197,73

Mengetahui Mengetahui Mengetahui Yang Melaporkan

Kepala Dinas Kesehatan Kabupaten Seruyan Kepala UPTD GFK Seruyan Kepala Puskesmas Petugas Pengelola Obat Puskesmas

dr. BAHRUN ABBAS, M.Ph. NURUL AIDA, S.Farm., Apt MUJIANTO, S.Kep AGUS RIYADI, S.Farm., Apt
NIP 19670909 199509 1 001 NIP 19890908 201101 2 007 NIP 19811011 200604 1 015 NIP 19800820 201001 1 009