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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





Rajawali

Rajawali

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Rajawali

Rajawali

PT. IGM

Rajawali

Rajawali

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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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rekapan jkn 2016