LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

Kode Puskesmas : P7405030201 Bulan : JANUARI

Puskesmas : Puskesmas Pamandati Tahun : 2020
Kecamatan : Lainea
Kabupaten : Konawe Selatan Petugas Kefarmasiaian: WA ODE JULIANI,[Link]
Provinsi : Sulawesi Tenggara

No. Nama Obat Satuan Kelas Stok Penerimaan Persediaan Pemakaian Sisa Stok Harga Total Harga Stok Permintaan Pemberian KET
Terapi Awal Satuan Optimum INPRES ASKES APBD LAIN2 JUMLAH
1 2 3 4 5 6 7 = 5+6 8 = 7-9 9 10 11 = 9 x 10 12 13 14 15 16 17 18 19
1 Abate btl1 kg 0 0 0 0 0 9,680
2 Albendazole suspensi 200 mg/ 5 ml btl 5 ml 9 0 9 1 8 43,636 392,724
3 Albendazole tablet 400 mg tab 200 0 200 0 200 363 72,600
4 Alkohol 70% btl 1 liter 0 0 0 0 0 27,950 - EXPIRED 6 BTL
5 Alopurinol tablet 100 mg tab 0 0 0 0 0 279 - EXPIRED
6 Alopurinol tablet 300 mg tab 1600 0 1600 100 1500 249 696,000 EXPIRED 600 TAB
6 Ambroxol sirup 15 mg/ml btl 60 ml 96 0 96 5 91 4,983 453,453
7 Ambroxol tablet 30 mg tab 1600 0 1600 600 1000 202 202,000
8 Aminofilin Tab (Decafil) Tab 800 0 800 0 800 155 124,000
9 Aminofilin injeksi 24 mg/ml ampul 30 0 30 0 30 3,315 99,450
10 Amoksisilin Kapsul 250 mg Kapsul 1500 0 1500 0 1500 203 304,500
11 Amoksisilin kaplet 500 mg Kaplet 4100 0 4100 1800 2300 370 851,345
12 Amoksisillin Sirup kering Drops btl 10 ml 17 0 17 17 0 32,500 -
12 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 129 0 129 28 101 2,560 258,560
13 Amoksisilin sirup kering 250 mg/ 5 ml (Forte) btl 60 ml 20 0 20 7 13 3740 48,620
13 Ampicillin Sodium Injeksi 1 g Vial 8 0 8 2 6 9884 59,304
13 Amlodipin 5 mg tablet 750 0 750 150 600 93 55,800
13 Amlodipin 10 mg tablet 280 0 280 60 220 110 24,200
14 Anacetin Plus Syrup btl 60 ml 134 0 134 1 133 4,499 598,367
14 Antasida DOEN I tablet kunyah tab 900 0 900 900 0 57 -
15 Antasida DOEN II suspensi btl 60 ml 191 0 191 8 183 2,146 392,718
16 Antifungi DOEN salep kombinasi pot 19 0 19 0 19 5,395 102,505
17 Antihemoroid (Superhoid) supp 25 0 25 0 25 3,800 95,000
18 Asam mefenamat tablet 500 mg tab 3100 0 3100 2900 200 105 21,000
19 Asam traneksamat Injeksi 500 mg/ 5 ml ampul 0 0 0 Err:522 Err:522 6,300 Err:522
20 Asiklovir tablet /kapsul/kaplet 200 mg tab 500 0 500 20 480 263 126,240
21 Asiklovir tablet /kapsul/kaplet 400 mg tab 400 0 400 0 400 264 105,600
22 Asiklovir Krim 5% Tube 18 0 18 5 13 4891 63,583
22 Asetil sistein 200 mg tab 780 0 780 0 780 431 336,180
23 Atropin Sulfat inj 0,25 mg/ml-1 ml ampul 10 0 10 0 10 1540 15,400
24 Attapulgit (Antides) tablet 630 mg tab 1000 0 1000 0 1000 157 157,000
25 Baby's cough sirup uni btl 56 0 56 6 50 4,499 224,950
26 Bacitracin - Polymyxcin B tube 28 0 28 0 28 3,511 98,308
26 Bedak Salicyl Botol 5 0 5 5 0 24,600 -
26 Betahistin 6 mg Tablet 400 0 400 0 400 1,334 533,600
27 Betadine Kumur Btl 190 ml 4 0 4 2 2 29,353 58,706
28 Betamethasone Valerate Salep Kulit Tube 26 0 26 8 18 1,272 22,896
29 Bisakodil tablet 5 mg tablet 0 0 0 0 0 324 - ED 230 TAB
30 Bisakodil sup 10 mg supp 0 0 0 0 0 5800 -
31 Bio Atp Tab 500 0 500 0 500 2,356 1,178
31 Bioplacenton Gel Tube 3 0 3 0 3 21824 65,472
32 Captopril tablet 12,5 mg tab 3300 0 3300 0 3300 72 237,600
33 Captopril tablet 25 mg tab 1000 0 1000 600 400 89 35,600
34 Cefadroksil kapsul 500 mg tab 380 0 380 180 200 455 91,000
32 Cetirizine 10 mg tab 1400 0 1400 0 1400 98 137,200
33 Cetirizin sirup 5 mg/5 mL btl 9 0 9 0 9 3,035 27,315 ED 46 BOTOL
34 Ciprofloksasin tablet 500 mg tab 1200 0 1200 600 600 292 175,200
35 Combivent Vial 37 0 37 0 37 4,550 168,350 ED 27 vial
35 Deksametason tablet 0,5 mg tab 0 0 0 0 0 35 -
36 Diazepam rectal tube 10 mg/2,5 ml (Stesolid) tube 0 0 0 0 0 20,348 - Expired 5
37 Diazepam rectal tube 5 mg/2,5 ml (Stesolid) tube 0 0 0 0 0 15,052 - Expired 5
38 Diazepam Injeksi 5mg Vial 10 10 20 0 20
38 Diazepam Tablet 2 mg Tab 161 0 161 34 127 128 16,256
38 Dietilkarbamazine tablet 100 mg tab 0 0 0 0 0 119 -
39 Dihidroartemisin 40 mg Piperaquin phosphate 320 mg tab 9 0 9 0 9 3,498 31,482
40 Diltiazem HCl tablet 30 mg tab 200 0 200 0 200 142 28,400
41 Digoxin Tab Tab 500 0 500 300 200 219 43,800
41 Digoxin Injeksi (Fargoxin) Ampul 30 0 30 0 30 21,175 635,250
41 Dipenhydramine Injeksi Ampul 8 0 8 0 8 8,200 65,600
41 Doksisiklin kapsul 100 mg kapsul 300 0 300 0 300 312 93,600
42 Domperidon suspensi 5 mg/5 ml btl 60 ml 27 0 27 6 21 3,766 79,086
43 Domperidon tablet 10 mg tab 600 0 600 0 600 90 54,000
43 Dulcolax Suppositoria 5 mg Supp 9 0 9 0 9 6,000 54,000
44 Dulcolax Suppositoria 10 mg Supp 18 10 28 0 28 5,900 165,200
44 Epinefrin (adrenalin) inj. 0,1 % - 1 ml ampul 6 0 6 0 6 1,848 11,088
45 Eritromisin 250 Kapsul 300 0 300 0 300 666 199,800
45 Eritromisin sirup kering 200 mg / 5 ml btl 60 ml 31 0 31 0 31 6,490 201,190
46 Etakridin (Rivanol) larutan 0,1% btl 300 ml 0 0 0 0 0 2,550 - ED 37
47 Etanol 70 % larutan btl 100 ml 0 0 0 0 0 2,625 - ED 80 BTL
48 Etanol 70 % larutan 1 liter btl 1 liter 0 0 0 0 0 21,000 - ED 6 BTL
49 Fenobarbital inj. 50 mg/ml - 2 ml ampul 14 0 14 0 14 1,980 27,720
50 Fenobarbital tablet 30 mg tab 875 0 875 10 865 7,010 6,063,650
51 Fitomenadion (Vit.K) Inj Ampul 50 0 50 10 40 4,420 176,800
51 Fitomenadion (Vit.K1) tablet 10 mg tab 300 0 300 100 200 855 171,000
52 Furosemid Injeksi Ampul 5 0 5 0 5 2,266 11,330 EXPIRED
52 Furosemid tablet 40 mg tab 200 0 200 0 200 90 18,000
53 Gentian Violet Botol 9 0 9 7 2 4,258 8,516
53 Glibenklamida tablet 5 mg tab 1200 0 1200 1100 100 143 14,300
53 Glimepiride Tablet 2 mg tab 100 0 100 0 100 981 98,100
54 Gliseril guaiakolat tablet 100 mg tab 0 0 0 0 0 108 -
55 Glukosa larutan infus 10 % steril btl 0 0 0 0 0 6270 -
56 Glukosa larutan infus 5 % steril btl 35 0 35 0 35 5,720 200,200
57 Griseofulvin tablet 125 mg tab 400 0 400 200 200 266 53,200
57 Haloperidol 0,5 mg Tab 100 0 100 0 100 7,810 781,000
58 Halloperidol 1,5 mg Tab 100 0 100 0 100 7,810 781,000
58 Hemafort (multivitamin & Mineral) btl 1370 0 1370 170 1200 835 1,002,000
59 Hidroklorotiazid (HCT) tablet 25 mg tab 900 0 900 0 900 179 161,100
60 Hidrokortison krim 2,5 % tube 12 0 12 11 1 2,407 2,407
61 Ibuprofen Suspensi 100 mg/ 5 ml btl 93 0 93 0 93 2620 243,660
62 Ibuprofen tablet 400 mg tab 500 2000 2500 900 1600 116 185,600
63 Isosorbit dinitrat tab sublingual 10 mg tab 250 0 250 0 250 213 53,250
64 Kalsium glukonat 100 mg/ml vial 0 0 0 0 0 9,075 -
65 Kalsium Laktat 500 mg tab 300 0 300 0 300 64 19,200 EXPIRED
66 Kaporit 15 kg/galon 0 0 0 0 0 40,333 -
67 Karbamazepin tablet 200 mg tab 200 0 200 0 200 236 47,200
68 Ketokonazol tablet 200 mg tab 200 0 200 50 150 297 44,550
69 Ketokonazol krim 2% tube 0 0 0 0 0 2,790 -
70 Ketorolac injeksi 30 mg/ml ampul 107 0 107 0 107 1,444 154,508
70 Kloramfrnikol Kapsul 250 Kapsul 350 0 350 0 350 341 119,350
71 Kloramfenikol kapsul 500 mg kapsul 280 0 280 0 280 1,258 352,240
72 Kloramfenikol salep mata 0,5 % tube 6 0 6 4 2 2013 4,026
73 Kloramfenikol salep kulit (Bufacetin) Tube 17 0 17 2 15 3460 51,900
73 Kloramfenikol suspensi 125 mg/5 ml btl 32 0 32 0 32 5500 176,000
74 Klorfeniramin maleat (CTM) tablet 4 mg tab 4600 0 4600 3400 1200 54 64,800
75 Kodein 10 mg Tab 200 0 200 0 200 685 137,000
75 Kotrimoksazol suspensi btl 0 50 50 0 50 2,298 114,900
76 Kotrimoksazol tablet 480 mg tab 1100 0 1100 900 200 129 25,800 ED 300 Tab
77 Kotrimoksazol tablet pediatrik tab 0 0 0 0 0 83 -
78 Kuinin (Kina) tablet 200 mg tab 120 0 120 0 120 737 88,440
78 Levodopa benserazide (Levopar) Tab 100 0 100 0 100 1090 109,000
79 Lidocaine comp. inj. 2% - 2 ml ampul 112 0 112 76 36 3,113 112,068 RUSAK 4 VIAL
80 Lidocaine Jelly 2% (Xylocain) syringe 0 0 0 0 0 40,000 -
81 Lisol (Creolin) btl 1 liter 6 0 6 0 6 49,200 295,200
82 Loperamide tab 2 mg (Novadium) tab 400 0 400 0 400 265 106,000
83 Loratadin tablet 10 mg tab 500 0 500 0 500 139 69,500 EXPIRED
84 Lubricant Jely tube 0 0 0 0 0 38,488 -
85 Magnesium Sulfat inj. 20% vial 0 0 0 0 0 1,540 -
86 Magnesium Sulfat inj. 40% vial 6 0 6 0 6 2,629 15,774
87 MDT MB dewasa blister 0 0 0 0 0 30,595 -
88 MDT MB anak blister 0 0 0 0 0 21,750 -
89 Metformin tablet 500 mg tab 100 0 100 100 0 275 -
89 Metformin Tablet 850 mg Tablet 400 0 400 300 100 168 16,800
90 Metilergometrin maleat inj. 0,2 mg/ml - 1 ml ampul 30 0 30 0 30 3,421 102,630
91 Metilergometrin maleat tab. 0,125 mg tab 1000 0 1000 0 1000 169 169,000
92 Metoklopramide tablet 10 mg tab 150 0 150 150 0 110 -
93 Metoklopramide sirup (Lexaparm Syr) btl 20 0 20 1 19 2,900 55,100
94 Metronidazol Benzoate Suspensi btl 60 ml 93 0 93 0 93 4350 404,550
95 Metronidazol tablet 250 mg tab 200 0 200 Err:522 Err:522 97 Err:522
 96 Metronidazol tablet 500 mg tab 0 500 500 100 400 117 46,800
97 Mikonazol krim/salep 2 % tube 0 0 0 0 0 4,097 -
98 NaCl larutan infus 0,9 % 500 ml btl 37 0 37 13 24 6,410 153,840
99 Natrium Diclofenac 25 mg tab 1700 0 1700 600 1100 154 169,400
99 Nifedipin tablet 10 mg tab 1300 0 1300 200 1100 129 141,900
100 Nistatin tablet salut 500.000 IU/ g tab 0 0 0 0 0 895 - EXPIRED 800 TAB
101 Nistatin vaginal tablet 100.000 IU/ g tab 248 0 248 2 246 628 154,488
102 OAT kategori I FDC paket 2 0 2 0 2 467,215 934,430
102 Oksitetrasiklin Salep Mata Tube 42 0 42 5 37 4,420 163,540
103 Oksitosin inj. 10 IU/ml - 1 ml ampul 3 20 23 3 20 3,086 61,720 ED 110 AMP
104 Omeprazol kapsul/kaplet 20 mg kapsul 510 0 510 0 510 143 72,930
104 Omeprazole Sodium Serbuk Injek 40 mg Vial 17 0 17 0 17 11,868 201,756
105 Onemed Aseptan 500 cc + Dispenser btl 4 0 4 3 1 41,400 41,400
106 Otopain ear drop 8 ml 5 0 5 0 5 74 369
106 Oralit 200 sachet 50 100 150 110 40 278 11,120
107 Parasetamol Drops Botol 15 ml 45 0 45 2 43 5,800 249,400
107 Parasetamol Injeksi Btl Infus 22 0 22 0 22 20,000 440,000
108 Parasetamol sirup 120 mg/5ml btl 60 ml 32 0 32 32 0 1,190 -
109 Parasetamol tablet 500 mg tab 600 2000 2600 1000 1600 52 83,200 ED 4400 TAB
110 Permetrin krim 5% tube 0 0 0 0 0 10430 -
111 Phenytoin Sodium Injeksi 2 ml ampul 5 0 5 0 5 4327 21,635
111 Pirantel suspensi 125 mg/ml btl 12 0 12 1 11 11,600 127,600
112 Pirantel tablet score (base) 125 mg tab 230 0 230 20 210 343 72,030
113 Piridoksin HCl (Vit. B6) tablet 10 mg tab 700 0 700 100 600 142 85,200
114 Polikresulen (albothyl) 10 ml Btl 10 0 10 0 10
114 Povidon Iodida 10 % (300 ml) btl 3 0 3 3 0 15,386 -
115 Prednison tablet 5 mg tab 2900 0 2900 1700 1200 74 88,800
116 Primakuin tablet 15 mg tab 100 0 100 0 100 205 20,500 EXPIRED
118 Procurma Plus Suspensi btl 64 0 64 3 61 13,383 816,363
120 Propanolol tablet 10 mg (HCl) tab 400 0 400 0 400 62 24,800
122 Propiltiourasil (PTU) tablet 10 mg tab 0 0 0 0 0 334 -
123 Ranitidin inj. 50 mg/2ml ampul 5 0 5 0 5 2,570 12,850
124 Ranitidin tablet 150 mg tab 3900 0 3900 400 3500 245 858,550 RETUR 3300
125 Ringer Laktat larutan infus 500 ml btl 71 0 71 20 51 7,150 364,650
126 Ringer Laktat larutan infus 1000 ml btl 0 0 0 0 0 11,025 -
127 Ripamfisin kapsul 300 mg kapsul 200 0 200 0 200 670 134,000
127 Risperidone 2 mg Tablet 40 0 40 40 0 269 -
128 Salbutamol syrup (sebagai Sulfat) btl 13 0 13 0 13 4,446 57,798
128 Salbutamol 2 mg (sebagai Sulfat) tab 400 0 400 0 400 81 32,400
129 Salbutamol 4 mg (sebagai Sulfat) tab 300 0 300 300 0 81 -
130 Salbulin Inhaler Canister 200 4 0 4 0 4 32,500 130,000
130 Salep 2-4 kombinasi pot 20 0 20 4 16 2,917 46,672
131 Simvastatin 10 mg tablet 0 0 0 0 0 116 - EXPIRED
132 Simvastatin 20 mg Tablet 600 0 600 200 400 235 94,000
132 Sianokobalamin (Vit. B12) tab tab 100 0 100 0 100 57 5,700
133 Sianokobalamin (Vit. B12) Injeksi Ampul 19 0 19 0 19 5,000 95,000 1 ampul Rusak
133 Spironolakton tablet 25 mg tab 0 0 0 0 0 277 -
134 Tablet tambah darah kombinasi kaplet 20400 0 20400 1100 19300 430 8,299,000
135 Tetrasiklin HCl kapsul 500 mg kapsul 500 0 500 0 500 341 170,500
136 Thiamin (Vit. B1) tablet 50 mg tab 2300 0 2300 2000 300 90 27,000
137 Vitamin A kapsul 100.000 IU kapsul 30 0 30 27 3 341 1,023
138 Vitamin A kapsul 200.000 IU kapsul 16 0 16 4 12 609 7,308
139 Vitamin B kompleks tab 1300 0 1300 600 700 141 98,700
 140 Vitamin C tab 50 mg Tab 2000 0 2000 1000 1000 126 126,000
141 Vitamin B9 (Asam Folat 1 mg) Tab 900 0 900 0 900 127 114,300
141 Zinc Syrup Botol 31 0 31 17 14 3,135 43,890
141 Zinc tablet 5 mg Tablet 500 0 500 300 200 617 123,400 EXPIRED
142
JUMLAH PERBEKKES (BMHP)
1 Alat suntik sekali pakai 0,05 ml set 300 0 300 0 300 1,456 463,800
2 Alat suntik sekali pakai 0,5 ml set 300 0 300 0 300 1,500 450,000
3 Alat suntik sekali pakai 1 ml set 100 0 100 35 65 762 49,530
4 Alat suntik sekali pakai 2,5 ml set 185 0 185 20 165 862 142,230
5 Alat suntik sekali pakai 3 ml set 93 0 93 20 73 880 64,240
6 Alat suntik sekali pakai 5 ml set 221 0 221 0 221 1,000 221,000
7 Alat suntik sekali pakai 10 ml set 13 0 13 0 13 1,103 14,339
8 Alat suntik sekali pakai 20 ml set 7 0 7 0 7 3,500 24,500
8 Alkohol swab box 3 0 3 0 3 11,500 34,500
9 Catgut/benang bedah No. 3/0 (plain) dgn jarum set 29 0 29 11 18 35,685 642,330
10 Catgut Crom set 0 0 0 0 0 35,685 -
11 Feeding tube No.5 set 0 0 0 0 0 14,300 -
12 Foley catheter No. 10 set 7 0 7 0 7 57,670 403,690
13 Foley catheter No. 12 set 7 0 7 0 7 57,670 403,690
14 Foley catheter No. 16 set 7 0 7 0 7 57,670 403,690
15 Foley catheter No. 18 set 7 0 7 0 7 57,670 403,690
16 Foley catheter No. 20 set 7 0 7 0 7 57,670 403,690
17 Hand schun Non-Steril ukuran (L) pices 1080 0 1080 300 900 476 428,400
18 Hand schun Non-Steril ukuran (M) pices 1380 0 1380 300 1080 476 514,080
19 Hand schun Non-Steril ukuran (S) pices 0 0 0 65 0 476 -
20 Hand schun Non-Steril ukuran (XS) pices 700 0 700 165 500 476 238,000
21 Hand schun Steril 6.5 pasang 39 0 39 73 0 5633 -
22 Hand schun Steril 7 Pasang 25 0 25 221 20 5633 112,660
23 Hand schun Steril 7.5 pasang 77 0 77 13 77 9500 731,500
24 Hand Schun Steril Obgyn Pasang 5 0 5 7 5 22264 111,320
25 I.V. Catheter No. 16 set 50 0 50 3 50 8700 435,000
26 I.V. Catheter No. 18 set 47 0 47 18 27 8,700 234,900
27 I.V. Catheter No. 20 set 44 0 44 0 44 8,700 382,800
28 I.V. Catheter No. 22 set 97 0 97 0 87 8,700 756,900
29 I.V. Catheter No. 24 set 38 0 38 7 28 8,700 243,600 ED 11
30 I.V. Catheter No. 26 set 105 0 105 7 105 8,700 913,500
31 Infuset anak (60 drops/ml) set 115 0 115 0 115 7,920 910,800
32 Infuset dewasa (15 drops/ml) set 30 0 30 7 19 7,920 150,480
33 kapas absorben 500 gram set 0 0 0 7 0 31,372 -
34 Kasa hidrofil 40 y (36 m) x 80 cm roll 3 0 3 900 1 60,720 60,720
35 Kasa Kompres 40 x 40 m piece 80 0 80 1080 80 1,098 87,840
36 Kasa steril uk 16x16 box 15 0 15 0 7 8,000 56,000
37 Kasa pembalut hidrofil 2 m x 80 cm roll 0 0 0 500 0 12,000 -
38 Masker ear loop Dus 649 0 649 0 500 495 247,500
39 Masker tie on Dus 0 0 0 20 0 495 -
40 Masker N-90 TB Box 20 0 20 77 20 420,000 8,400,000
41 Naso Gastrik Tube (NGT)/Stomach Tube No.18 set 0 0 0 5 0 17,600 -
41 Gea Air Compressing With Mask Dewasa Pices 8 0 8 50 8 11,800 94,400
42 Gea Air Compressing With Mask Anak Pices 9 0 9 27 9 11,800 106,200
42 Gea Nasal Oksigen Canula Dewasa pices 9 0 9 44 9 5,140 46,260
43 Gea Nasal Oksigen Cannula Anak pices 9 0 9 87 9 5,140 46,260
43 Gea Nasal Oksigen Canulla Bayi Pices 9 0 9 28 9 5,140 46,260
 44 Plester 5 yard x 2 inchi roll 0 0 0 105 0 5,500 -
44 Paper Tape Roll 8 0 8 115 5 27,323 136,615
45 Pot Dahak Steril Pcs 80 0 80 19 78 2,968 231,504
45 Plesterin Non Woven 5 cm x 5 m roll 7 0 7 0 7 27,323 191,261
46 Silk (Benang Bedah Sutera) No. 3/0 pices 33 0 33 1 16 22,515 360,240
47 Humasens Plus set 0 0 0 80 0 867,950 -
48 Strip Asam Urat Humasens Strip 125 0 125 7 125 6,000 750,000
49 Strip Glukosa Humasens Strip 100 0 100 0 50 5,196 259,800
50 Safety Box PCS 1 0 1 500 1 19,949 19,949
50 Strip Cholesterol Humasens Strip 20 0 20 0 0 27,595 -
51 Urine Bag Pices 7 0 7 20 7 5,000 35,000
52 Ultra One Test Hamil pcs 0 0 0 0 0 2,133 -
53 ADS 5 ML pcs 0 0 0 8 0 1,142 -
54 ADS 0,5 ML pcs 0 0 0 9 0 1,400 -
55 ADS 0,05 ML pcs 0 0 0 9 0 1,456 -
56 Reagen Pemeriksaan Golongan Darah paket 2 0 2 9 2 827,200 1,654,400
57 Reagen TB paket 1 0 1 9 1 263,997 263,997
58 Water Steril For Injeksi Vial 25 ml 16 0 16 0 14 2860 40,040
JUMLAH 5
BAHAN/OBAT UNTUK GIGI 78
1 Bonding (stae Refill)/SDI btl 0 0 0 7 0 450,000 -
2 Bahan cetak (Aroma Alginat Normal Set GC) bungkus 500 g 0 0 0 16 0 143,000 -
3 Cavit 28 gram po 0 0 0 0 0 225,500 -
4 Composite solare set 0 0 0 125 0 455,400 -
5 Etching liquid btl 0 0 0 50 0 84,700 -
6 Dentorit (Caviton) btl 0 0 0 1 0 18,333 -
7 Eugenol cairan btl 0 0 0 0 0 975,000 -
8 Glass Ionomer Cement ART set 0 0 0 7 0 442,200 -
9 Hemospon set 0 0 0 0 0 125,400 -
10 Kalsium hidroksi pasta (Hydcal) set 1 0 1 0 0 266,200 -
11 Klorfenol kamfer mentol (CHKM) btl 0 0 0 0 0 51,444 -
12 Kresol formalin (TKF) btl 0 0 0 0 0 743,600 -
13 Kresopen btl 0 0 0 2 0 429,000 -
14 Pasta devitalisasi (Pulp-X) pot 0 0 0 1 0 429,000 -
15 Pumish bks 0 0 0 14 0 47,300 -
16 Mummifying paste (Pasta Iodoform) pot 0 0 0 0 193,600 -
17 Silver amalgam (F 400 powder) btl 0 0 0 0 45,000 -
18 Stopping temporary (Fletcher) serbuk set 0 0 0 0 0 45,000 -
19 Stopping temporary (Fletcher) cairan set 0 0 0 0 0 81,868 -
20 Filtek Z350 XT Set 1 0 1 0 0 845,900 -
20 Viltex Z 250 4 gram tube 0 0 0 0 0 455,400 -
21 Zinc cement liquid (Multifix) btl 0 0 0 0 0 81,868 -
22 Zinc cement powder (Multifix) pot 0 0 0 0 0 81,868 -
23 Lidocaine spray 10 % (xylocain) btl 0 0 0 0 0 170,400 -
24 Fuji IX ART 1-1 BOX 1 0 1 0 0 794,200 -
VAKSIN IMUNISASI 0
1 VAK BCG vial 0 0 0 0 0 -
2 VAK RABIES kur 0 0 0 0 0 1,300,000 -
3 VAK DPT-HB-HIB amp 0 0 0 0 0 -
4 VAK POLIO vial 0 0 0 0 0 -
5 VAK CAMPAK amp 0 0 0 0 0 -
6 VAK HB UNIJECT blister 0 0 0 0 0 -
7 VAK Td/TT amp 0 0 0 0 0 -
 8 Rapid Test HIV Strip 206 0 206 0 206 22,350 4,604,100
9 Vaksin Hbig amp 0 0 0 0 0 1,325,000 -
10 VAR vial 0 0 0 0 0 -
11 Rapid Test HBsAg Strip 175 0 175 0 175 22,440 3,927,000
12 Mikro Pipet Tips 60 Bungkus 20 Pcs 200 0 200 0 200 179 35,800
13 Mikro Pipet tips 61 Bungkus 20 pcs 200 0 200 0 200 231 46,200
12 Ansucopy Pcs 1 0 1 0 1 30,000 30,000
12 Rapid Sifilis 25 0 25 0 25
13 GIZI 0
1 Susu Pediasure 850 mg (Cokelat, madu, vanila) Kaleng 0 0 0 0 743,380 -
2 Susu Lactogen Prematur 400 gram Kaleng 0 0 0 0 0 87,835 -
Susu Frisian Flag Mama 200 gram Kotak 0 0 0 0 0 30,470 -
4 Iodium Test Botol 20 0 20 0 20 53,020 1,060,400
0
TOTAL HARGA 0 77,617,511
0
0
206
0
UMUM TOTAL 0
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR 175
88 323 411 200
200
Yang Menyerakan 0 Mengetahui, Petugas Puskesmas
Kepala Instalasi Farmasi 0 Kepala Puskesmas Pamandati
Kab. Konawe Selatan 0
20

Maryoto, [Link]., Apt Suwanti, SKM Saddan Husain, [Link],Apt

NIP. 19690412 199303 2 010 NRPK : 27.7.0500458