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No Nama Obat Satuan Harga Masuk
1 Amoksisilin tablet 500 mg Tablet 312.40 35,000
2 Vial 20 ml 2,030.00 10
3 Tablet !.00 200
4 Tablet "0.00 200
5 Amlo#i$in tablet 10 mg Tablet 330.00 10
! Tablet 211.00 21,!00
% &otol 4,045.00 2,%00
Tablet %5.00 20,000
" &otol 2,100.00 300
10 &e#ak salisil serbuk 2' s ) 50 gra 1,250.00 1,200
11 Tube 5 gr 1,520.00 500
12 (eksametason tablet 0,5 mg Tablet !.00 00
13 *entamisin in+eksi 40 mg ml Am$ul 3,3"".00 50
14 tol ) 500 5,%00.00 20
15 *lukosa larutan in-us 5 ' steril tol ) 500 5,200.00 20
1! Hi#rokortison krim 2,5 ' Tube 5 gr 2,%".00 !4
1% bu$ro-en tablet 200 mg Tablet 110.00 13,000
1 bu$ro-en tablet 400 mg Tablet 14".00 4,500
1" Tablet %0.00 45,000
20 /a$to$ril tablet sore# 25 mg Tablet 0.00 !,400
21 Tablet 51.00 30,000
Air untuk in+eksi Aua $ron+eks 20 ml
Alo$urinol tabletka$sulka$let100 mg
Aminolin tablet sore# 200 mg
Amoksisilin ka$sulka$let 250mg
Amoksisilin siru$ kering -orte250 mg5 ml
Antasi#a (ON tablet kun6a7,kombinasi 8 AluminiumHi#roksi#a 200 mg MagnesiumHi#roksi#a 200 mg
Antasi#a (ON sus$ensi,kombinasi 8 AluminiumHi#roksi#a 200 mg5 mlMagnesium Hi#roksi#a 200 mg5ml
&etametason krim 0,1'sebagai Valerat
*lukosa larutan in-us 10 ' steril
/alsium 9aktat /alktabletka$sulka$let 500 mg
/lor-eniramina Maleat :TMtabletka$sulka$let 4 mg
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22 /a$let 14".00 1,!00
23 otol ) !0 ml 2,145.00 1,200
24 Tablet 154.00 200
25 Metroni#a;ol tablet 500 mg Tablet 1!0.00 13,000
2! Ni-e#i$in tabletka$sul 10 mg Tablet 100.00 %00
2% &otol 5,200.00 150
2 &otol 1,43.00 4,500
2"
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44 V :at7eter >ero 1 22* ero 1 24*
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/eluar Sisa Masuk /eluar Sisa
",1%5 25,25 10,"34,000.00 2,!!,2%0.00 ,0!%,%30.00
5 1%5 3!5,400.00 10,150.00 355,250.00
200 1%,200.00 B 1%,200.00
200 1,000.00 B 1,000.00
10 5",400.00 B 5",400.00
4"5 21,105 4,55%,!00.00 104,445.00 4,453,155.00
24% 2,453 10,"21,500.00 """,115.00 ","22,35.00
2,""" 1%,001 1,500,000.00 224,"25.00 1,2%5,0%5.00
300 !30,000.00 B !30,000.00
12! 1,0%4 1,500,000.00 15%,500.00 1,342,500.00
21 4%" %!0,000.00 31,"20.00 %2,00.00
1%0 !30 54,400.00 11,5!0.00 42,40.00
50 1!","50.00 B 1!","50.00
20 114,000.00 B 114,000.00
20 104,000.00 B 104,000.00
45 !03 1,13,104.00 125,"10.00 1,!%,1"4.00
%0% 12,2"3 1,430,000.00 %%,%%0.00 1,352,230.00
33" 4,1!1 !%0,500.00 50,511.00 !1","".00
1,5"0 43,410 3,150,000.00 111,300.00 3,03,%00.00
3"0 !,010 512,000.00 31,200.00 40,00.00
3,500 2!,500 1,530,000.00 1%,500.00 1,351,500.00
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4%0 1,130 23,400.00 %0,030.00 1!,3%0.00
145 1,055 2,5%4,000.00 311,025.00 2,2!2,"%5.00
200 30,00.00 B 30,00.00
! 12,132 2,00,000.00 13,0.00 1,"41,120.00
%00 %0,000.00 B %0,000.00
150 %0,000.00 B %0,000.00
500 4,000 !,4%1,000.00 %1",000.00 5,%52,000.00
",0! 210,"32 1",50,000.00 0%,052.00 1,%%2,"4.00
200 5",200.00 B 5",200.00
4 11 32,445.00 ,!52.00 23,%"3.00
30 42!,0"0.00 B 42!,0"0.00
3,400 40,000.00 B 40,000.00
20 1,320 ,320,000.00 1,45!,000.00 !,!4,000.00
1! 24 52,000.00 32,000.00 4"!,000.00
4,2" 1",1%1 2,5!,000.00 51!,%03.00 2,051,2"%.00
%00 1,300 1,300,000.00 455,000.00 45,000.00
100 "2,500.00 B "2,500.00
50 2,350 1,5!0,000.00 32,500.00 1,52%,500.00
!00 450,000.00 B 450,000.00
3! 1!4 %00,000.00 12!,000.00 5%4,000.00
B 250 1,33,500.00 B 1,33,500.00
B 250 1,33,500.00 B 1,33,500.00
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30 3%0 2,"33,!00.00 220,020.00 2,%13,50.00
"5 305 2,"33,!00.00 !"!,%30.00 2,23!,%0.00
12 1,254,000.00 B 1,254,000.00
10 3"0 3,1!0,000.00 %",000.00 3,01,000.00
1 25 !24,000.00 24,000.00 !00,000.00
103,!51,!".00 10,!%3,!!.00 "2,"%,021.00
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/eterangan
PT. IGM
PT. Kimia Farma
PT. MBS
Marin Liza
PT. MBS
PT. IGM
PT. Holi
PT. MPI
PT. Sapta Sari
PT. Sapta Sari
PT. Kimia Farma
PT. IGM
PT. IGM
PT. IGM
PT. IGM
PT. Kimia Farma
Rajawali
PT. Holi
PT. IGM
PT. MPI
PT. Sapta Sari
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PT. Holi
Marin Liza
PT. Kimia Farma
PT. Kimia Farma
PT. AAM
PT. IGM
PT. IGM
PT. IGM
PT. Holi
PT. IGM
PT. IGM
PT. AAM
PT. IGM
Marin Liza
PT. Kimia Farma
PT. Alphatirta Medica
PT. Alphatirta Medica
PT. Alphatirta Medica
PT. Alphatirta Medica
PT. Alphatirta Medica
Rajawali
Rajawali
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9/18
Rajawali
Rajawali
PT. IGM
Rajawali
Rajawali
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10/18
LAPORAN
UPT PUSKESMA
BULAN DESE
No Nama Obat Satuan Stok Awal Pn!"maan
Air !nt!" Inje"#i $% ml &ial '%
$ Alat S!nti" Se"ali Pa"ai cc Stera Pc# $(%%%
) Alat S!nti" Se"ali Pa"ai % cc Stera Pc# %%
* Alat S!nti" Se"ali Pa"ai $(+ cc Stera Pc# $(*%%
+ Alat S!nti" Se"ali Pa"at + cc Stera Pc# ,%%
, Allop!rinol %% m- Talet $%%
/ Amino0illin talet $%% m- Talet $%%
' Amlodipine % m- Talet '%
1 Amo"#icillin +%% m- Talet )+(%%%
% Amo"#icillin #ir!p $+% m-2+ml Botol $(/%%
Amo"#i#illin "ap#!l $+% m- Kap#!l $(,%%
$ Anta#ida Sir!p Botol )%%
) Anta#ida talet Talet $%(%%%
* Beda" Sali#il $3 P4S ($%%
+ Betameta#on Krim %(3 T!e +%%
, 4aptopril $+ m- Talet ,(*%%
/ 4TM * m- Talet )%(%%%
' 5e"#ameta#on talet %(+ m- Talet '%%
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1 Gentami#in Inje"#i *% m-2ml Amp!l +%
$% Gl!"o#a lar!tan in0!# %3 #teril Botol $%
$ Gl!"o#a lar!tan in0!# +3 #teril Botol $%
$$ Hidro"orti#on Krim $(+3 T!e ,*'
$) I!pro0en talet $%% m- Talet )(%%%
$* I!pro0en talet *%% m- Talet *(+%%
$+ In0!#ion #et Ana" Stera Pc# $%%
$, 6elco ' Pc# $+%
$/ 6elco $% Pc# $+%
$' 6elco $$ Pc# *%%
$1 6elco $* Pc# *%%
)% Kal" talet +%% m- Talet *+(%%%
) Ka#a Hidro0il *%7'% Pc# $
)$ Kapa# Pemal!t Hidro0il $+% Pc# $,
)) Ka#a Steril ,7, Pc# *%%
)* Kotrimo"#azol dewa#a Talet (,%%
)+ Kotrimo"#azol #!#pen#i Botol ($%%
), Mertonidazol talet +%% m- Talet )(%%%
)/ Metiler-ometrin Maleat Talet $%%
)' 8ipedipin talet % m- Talet /%%
)1 Paracetamol drop Botol +%
*% Paracetamol #ir!p $%m-2+ ml Botol *(+%%
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* Paracetamol talet +%% m- Talet $$%(%%%
*$ Po9idon Iodida lar!tan %3 )% ml Botol +
*) Po9idon Iodida lar!tan %3 )%% ml Botol )%
** P:rantel talet $+ m- Talet $%%
*+ Ranitidin talet +% m- Talet )(*%%
*, Rin-er La"tat lar!tan in0!# Botol (,%%
*/ Salep $;* "omina#i Pot $,*
*' &itamin B Komple"# talet Talet $*(%%%
Men-etah!i
Kepala
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BAT JKN
PALIMANAN
BER 2015
P!#$"aan D#mb! Janua!" %b!ua!" S"#a Stok
'% % + + /+
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)+(%%% *$ *),) *)1 1/+ $+('$+
$(/%% $% '* *) $*/ $(*+)
$(,%% % *1+ *1+ $(%+
)%% % % % )%%
$%(%%% +*% $*+1 $111 /(%%
($%% % $, $, (%/*
+%% % $ $ */1
,(*%% $ $,1 )1% ,(%%
)%(%%% % )+%% )+%% $,(+%%
'%% % /% /% ,)%
TotalPmaka"an
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+% % % % +%
$% % % % $%
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$$%(%%% % 1%,' 1%,' $%(1)$
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/+
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+%
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