PEMERINTAH KABUPATEN LABUHANBATU UTARA

LAPORAN PERSEDIAAN DAN MUTASI OBAT JKN

UPTD PUSKESMAS AEK KANOPAN TA. 2020

MUTASI TAHUN 2020

PERSEDIAAN 1-1-2020 SALDO PER 31 DES 2020
PENERIMAAN PENGELUARAN
NO NAMA BARANG
JUMLAH HARGA JUMLAH TOTAL HARGA JUMLAH TOTAL HARGA HARGA SATUAN
SATUAN TOTAL HARGA (Rp) SATUAN HARGA SATUAN SATUAN HARGA SATUAN SATUAN JUMLAH SATUAN TOTAL HARGA (Rp)
SATUAN SATUAN SATUAN (Rp) SATUAN (Rp) LAMA

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19
1 Selang Oksigen Bayi Pcs 8 27,400.00 219,200.00 Pcs - 27,400.00 - Pcs - 27,400.00 - Pcs 8 27,400.00 219,200.00

2 Selang Oksigen Dewasa Pcs 5 27,460.00 137,300.00 Pcs - 27,460.00 - Pcs - 27,460.00 - Pcs 5 27,460.00 137,300.00

3 Genoint (Gentamisin) SM 0.3% tube 9 2,830.00 25,470.00 tube - 2,830.00 - tube 9 2,830.00 25,470 tube - 2,830.00 -

4 Streptomisin serbuk injeksi i.v 1000 mg/ml ampul 5 5,250.00 26,250.00 ampul - 5,250.00 - ampul 5 5,250.00 26,250 ampul - 5,250.00 -

5 Kasa Pembalut Hydrofil 4m x 10 cm roll 65 1,510.00 98,150.00 roll - 1,510.00 - roll 65 1,510.00 98,150 roll - 1,510.00 -

6 Kassa Kompres steril 40 x 40 pcs 12 1,760.00 21,120.00 pcs - 1,760.00 - pcs 12 1,760.00 21,120 pcs - 1,760.00 -

7 Catgut Chromic 3/0 + jarum 1/2 GT 35mm box/24 3 147,400.00 442,200.00 box/24 - 147,400.00 - box/24 3 147,400.00 442,200 box/24 - 147,400.00 -

8 Steracath IV Catheter 18G x 1 1/4" pcs 50 4,180.00 209,000.00 pcs - 4,180.00 - pcs - 4,180.00 - pcs 50 4,180.00 209,000.00

9 Allopurinol 100 mg box 15 27,500.00 412,500.00 box - 27,500.00 - box 9 27,500.00 247,500.00 box 6 27,500.00 165,000.00

10 Glimpiride 1 mg tab Box isi 100 13 91,352.80 1,187,586.40 Box isi 100 - 91,352.80 - Box isi 100 13 91,352.80 1,187,586.40 Box isi 100 - 91,352.80 -

11 Cefadroksil syrup Botol 197 9,839.50 1,938,381.50 Botol - 9,839.50 - Botol 197 9,839.50 1,938,381.50 Botol - 9,839.50 -

12 Amlodipine 10 mg tab Box isi 100 tab 24 203,199.70 4,876,792.80 Box isi 100 tab - 203,199.70 - Box isi 100 tab 15 203,199.70 3,047,995.50 Box isi 100 tab 9 203,199.70 1,828,797.30

13 Parasetamol syrup Botol 419 5,500.00 2,304,500.00 Botol - 5,500.00 - Botol 419 5,500.00 2,304,500.00 Botol - 5,500.00 -

14 Lansoprazole 30 mg Box isi 100 5 162,159.80 810,799.00 Box isi 100 - 162,159.80 - Box isi 100 5 162,159.80 810,799.00 Box isi 100 - 162,159.80 -

15 Ranitidine 150 mg tab Box isi 100 23 66,000.00 1,518,000.00 Box isi 100 - 66,000.00 - Box isi 100 23 66,000.00 1,518,000.00 Box isi 100 - 66,000.00 -

16 Metil Prednisolon 4 mg tab Box isi 100 40 52,866.00 2,114,640.00 Box isi 100 - 52,866.00 - Box isi 100 6 52,866.00 317,196.00 Box isi 100 34 52,866.00 1,797,444.00

17 Domperidone 10 mg tab Box isi 100 45 48,434.10 2,179,534.50 Box isi 100 - 48,434.10 - Box isi 100 14 48,434.10 678,077.40 Box isi 100 31 48,434.10 1,501,457.10

18 Amlodipin 5 mg Box isi 100 11 115,199.70 1,267,196.70 Box isi 100 - 115,199.70 - Box isi 100 11 115,199.70 1,267,196.70 Box isi 100 - 115,199.70 -

19 Metformin 500 mg Box isi 100 1 27,500.00 27,500.00 Box isi 100 - 27,500.00 - Box isi 100 1 27,500.00 27,500.00 Box isi 100 - 27,500.00 -

20 Ranitidine 50 mg /2 ml inj Box isi 100 amp 3 704,000.00 2,112,000.00 Box isi 100 amp - 704,000.00 - Box isi 100 amp 3 704,000.00 2,112,000.00 Box isi 100 amp - 704,000.00 -

21 Sefadroksil 500 mg Kapsul Box isi 100 10 121,000.00 1,210,000.00 Box isi 100 - 121,000.00 - Box isi 100 7 121,000.00 847,000.00 Box isi 100 3 121,000.00 363,000.00

22 Simvastatine 10 mg Box isi 100 12 61,559.30 738,711.60 Box isi 100 - 61,559.30 - Box isi 100 12 61,559.30 738,711.60 Box isi 100 - 61,559.30 -

23 Dextamine / 30x10 Dos 30x10's 27 535,271.00 14,452,317.00 Dos 30x10's - 535,271.00 - Dos 30x10's 26 535,271.00 13,917,046.00 Dos 30x10's 1 535,271.00 535,271.00

24 Dextamine syr/ 60 ml Botol 60 ml 150 30,203.00 4,530,450.00 Botol 60 ml - 30,203.00 - Botol 60 ml 1 30,203.00 30,203.00 Botol 60 ml 149 30,203.00 4,500,247.00

25 Corsona Tablet(Dexamethasone 0,5 mg) Dos 10x10's 46 20,350.00 936,100.00 Dos 10x10's - 20,350.00 - Dos 10x10's 46 20,350.00 936,100.00 Dos 10x10's - 20,350.00 -

26 Pehamoxil Forte (Amoxicillin 500 mg) Dos 5x10's 48 37,950.00 1,821,600.00 Dos 5x10's - 37,950.00 - Dos 5x10's 46 37,950.00 1,745,700.00 Dos 5x10's 2 37,950.00 75,900.00

27 Pehavask 10 mg Dos 3x10's 47 13,200.00 620,400.00 Dos 3x10's - 13,200.00 - Dos 3x10's 1 13,200.00 13,200.00 Dos 3x10's 46 13,200.00 607,200.00

28 Bio ATP Dos 10x10's 16 235,598.00 3,769,568.00 Dos 10x10's - 235,598.00 - Dos 10x10's 14 235,598.00 3,298,372.00 Dos 10x10's 2 235,598.00 471,196.00

29 Saltam 4 mg Dos 10x10's 71 18,700.00 1,327,700.00 Dos 10x10's - 18,700.00 - Dos 10x10's 71 18,700.00 1,327,700.00 Dos 10x10's - 18,700.00 -
 MUTASI TAHUN 2020
PERSEDIAAN 1-1-2020 SALDO PER 31 DES 2020
PENERIMAAN PENGELUARAN
NO NAMA BARANG
JUMLAH HARGA JUMLAH TOTAL HARGA JUMLAH TOTAL HARGA HARGA SATUAN
SATUAN TOTAL HARGA (Rp) SATUAN HARGA SATUAN SATUAN HARGA SATUAN SATUAN JUMLAH SATUAN TOTAL HARGA (Rp)
SATUAN SATUAN SATUAN (Rp) SATUAN (Rp) LAMA

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19
30 Vapril 25 mg Dos 10x10's 19 19,250.00 365,750.00 Dos 10x10's - 19,250.00 - Dos 10x10's 7 19,250.00 134,750.00 Dos 10x10's 12 19,250.00 231,000.00

31 Meloksikam 15 mg Box isi 50 8 59,950.00 479,600.00 Box isi 50 - 59,950.00 - Box isi 50 8 59,950.00 479,600.00 Box isi 50 - 59,950.00 -

32 Amoxan 250 mg Papan 50 40,000.00 2,000,000.00 Papan - 40,000.00 - Papan 50 40,000.00 2,000,000.00 Papan - 40,000.00 -

33 Histigen 6 mg Box 33 135,000.00 4,455,000.00 Box - 135,000.00 - Box 33 135,000.00 4,455,000.00 Box - 135,000.00 -

34 Isoniazid 300 mg Box 29 50,000.00 1,450,000.00 Box - 50,000.00 - Box - 50,000.00 - Box 29 50,000.00 1,450,000.00

35 Propanolol 10 mg Box 48 28,000.00 1,344,000.00 Box - 28,000.00 - Box 2 28,000.00 56,000.00 Box 46 28,000.00 1,288,000.00

36 Afolat Box 6 81,000.00 486,000.00 Box - 81,000.00 - Box 4 81,000.00 324,000.00 Box 2 81,000.00 162,000.00

37 Vosea Box 18 58,000.00 1,044,000.00 Box - 58,000.00 - Box 2 58,000.00 116,000.00 Box 16 58,000.00 928,000.00

38 Lansoprazol 30 mg Box 20 30,000.00 600,000.00 Box - 30,000.00 - Box 20 30,000.00 600,000.00 Box - 30,000.00 -

39 Farmoten 25 mg Box 3 70,000.00 210,000.00 Box - 70,000.00 - Box 2 70,000.00 140,000.00 Box 1 70,000.00 70,000.00

40 Omedrinat Box 45 100,000.00 4,500,000.00 Box - 100,000.00 - Box 5 100,000.00 500,000.00 Box 40 100,000.00 4,000,000.00

41 Renabetic Box 84 69,600.00 5,846,400.00 Box - 69,600.00 - Box 18 69,600.00 1,252,800.00 Box 66 69,600.00 4,593,600.00

42 Lostacef 125 mg syrup Botol 240 28,000.00 6,720,000.00 Botol - 28,000.00 - Botol 240 28,000.00 6,720,000.00 Botol - 28,000.00 -

43 Aspilets 100 mg Box 29 195,000.00 5,655,000.00 Box - 195,000.00 - Box 16 195,000.00 3,120,000.00 Box 13 195,000.00 2,535,000.00

44 stomach tab Box 37 48,000.00 1,776,000.00 Box - 48,000.00 - Box 35 48,000.00 1,680,000.00 Box 2 48,000.00 96,000.00

45 stomach syrup Botol 150 25,000.00 3,750,000.00 Botol - 25,000.00 - Botol 150 25,000.00 3,750,000.00 Botol - 25,000.00 -

46 Seven Sea Kids botol 100 ml 200 23,265 4,653,000.00 botol 100 ml - 23,265.00 - botol 100 ml - 23,265.00 - botol 100 ml 200 23,265.00 4,653,000.00

47 Iliadin Spray 0,5 Box 50 36,036 1,801,800.00 Box - 36,036.00 - Box - 36,036.00 - Box 50 36,036.00 1,801,800.00

48 Iliadin Drop 0,25 Box 50 34,177 1,708,850.00 Box - 34,177.00 - Box - 34,177.00 - Box 50 34,177.00 1,708,850.00

49 Neurobion 5000 dual ampoule Box 12 192,780 2,313,356.76 Box - 192,779.73 - Box 12 192,779.73 2,313,356.76 Box - 192,779.73 -

50 Metformin 850 mg kapl Box 50 39,600 1,980,000.00 Box - 39,600.00 - Box 16 39,600.00 633,600.00 Box 34 39,600.00 1,346,400.00

51 Metformin 500 mg Tablet Box 50 27,500 1,375,000.00 Box - 27,500.00 - Box 50 27,500.00 1,375,000.00 Box - 27,500.00 -

52 Bisoprolol Fumarat 5 mg Box 85 148,500 12,622,500.00 Box - 148,500.00 - Box - 148,500.00 - Box 85 148,500.00 12,622,500.00

53 Cefadroxil 250 mg Syrup Kering Box 500 16,500 8,250,000.00 Box - 16,500.00 - Box 112 16,500.00 1,848,000.00 Box 388 16,500.00 6,402,000.00

54 Stick Gula Darah Box Isi 25 tes 123 231,200 28,437,600.00 Box Isi 25 tes - 231,200.00 - Box Isi 25 tes 71 231,200.00 16,415,200 Box Isi 25 tes 52 231,200.00 12,022,400.00

55 Stick Asam Urat Box Isi 25 tes 119 231,200 27,512,800.00 Box Isi 25 tes - 231,200.00 - Box Isi 25 tes 59 231,200.00 13,640,800 Box Isi 25 tes 60 231,200.00 13,872,000.00

56 Stick Kolesterol Box Isi 10 tes 117 377,350 44,149,950.00 Box Isi 10 tes - 377,350.00 - Box Isi 10 tes 76 377,350.00 28,678,600 Box Isi 10 tes 41 377,350.00 15,471,350.00

57 Vapril 12,5 mg box isi 100 20 16,500 330,000.00 box isi 100 - 16,500.00 - box isi 100 10 16,500.00 165,000 box isi 100 10 16,500.00 165,000.00

58 Vapril 25 mg box isi 100 50 19,250 962,500.00 box isi 100 - 19,250.00 - box isi 100 22 19,250.00 423,500 box isi 100 28 19,250.00 539,000.00

59 Acyclovir tab 400 mg Tablet - Tablet 4,999 Tablet - Tablet 4,999

60 Ambroxol HCL 15 mg/5ml air/60 ml Botol - Botol 500 Botol - Botol 500

61 Anelat Box - Box 10,000 Box - Box 10,000

62 Asam mefenamat Box - Box 7,000 Box - Box 7,000

 MUTASI TAHUN 2020
PERSEDIAAN 1-1-2020 SALDO PER 31 DES 2020
PENERIMAAN PENGELUARAN
NO NAMA BARANG
JUMLAH HARGA JUMLAH TOTAL HARGA JUMLAH TOTAL HARGA HARGA SATUAN
SATUAN TOTAL HARGA (Rp) SATUAN HARGA SATUAN SATUAN HARGA SATUAN SATUAN JUMLAH SATUAN TOTAL HARGA (Rp)
SATUAN SATUAN SATUAN (Rp) SATUAN (Rp) LAMA

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19
63 Asam Traneksamat Box - Box 10 Box - Box 10

64 Aseptic gel Botol - Botol 20 Botol - Botol 20

65 Bisoprolol 5 mg Box - Box 30 Box - Box 30

66 Cefixime 100 mg kaptab Tablet - Tablet 5,000 Tablet - Tablet 5,000

67 Cefixime syrup 100 mg Botol - Botol 124 Botol - Botol 124

68 Combivent UDV Box - Box 5 Box - Box 5

69 Dexametason 0,5 mg Tablet - Tablet 354 Tablet - Tablet 354

70 Depakote 250 mg Botol - Botol 10 Botol - Botol 10

71 Dulcolax Supps Adult Sups - Sups 100 Sups - Sups 100

72 Glimepiride tab 1 mg Tablet - Tablet 10,000 Tablet - Tablet 10,000

73 Glimepiride tab 2 mg Tablet - Tablet 10,000 Tablet - Tablet 10,000

74 Glimepiride tab 3 mg Tablet - Tablet 12,000 Tablet - Tablet 12,000

75 Ibuprofen 400 mg Tablet - Tablet 4,000 Tablet - Tablet 4,000

76 Lansoprazole 30 mg Kapsul - Kapsul 12,000 Kapsul - Kapsul 12,000

77 Lifadrox syp (Cefadroxil) Botol - Botol 251 Botol - Botol 251

78 Lisinopril 5 mg Box - Box 10 Box - Box 10

79 Metformin tab 500 mg Tablet - Tablet 7,400 Tablet - Tablet 7,400

80 Mexon syr ( Dexametason + CTM) Box - Box 6 Box - Box 6

81 Metformin 850 mg Box - Box 20 Box - Box 20

82 Omedrinat Box - Box 16 Box - Box 16

83 Ranitidine 150 mg Tablet - Tablet 3,000 Tablet - Tablet 3,000

84 Recolfar 0,5 mg Tablet - Tablet 10 Tablet - Tablet 10

85 Sefixim 200 mg Box - Box 20 Box - Box 20

86 Soldium Valproat Botol - Botol 100 Botol - Botol 100

87 Superhoid Supp Box - Box 15 Box - Box 15

TOTAL 228,114,074.26 - 129,745,161.86 98,368,912.40

Aek Kanopan, 31 Desember 2019

Diketahui oleh : Pengelola Obat
Kepala UPTD Puskesmas Aek Kanopan UPTD Puskesmas Aek Kanopan
Kecamatan Kualuh Hulu
 MUTASI TAHUN 2020
PERSEDIAAN 1-1-2020 SALDO PER 31 DES 2020
PENERIMAAN PENGELUARAN
NO NAMA BARANG
JUMLAH HARGA JUMLAH TOTAL HARGA JUMLAH TOTAL HARGA HARGA SATUAN
SATUAN TOTAL HARGA (Rp) SATUAN HARGA SATUAN SATUAN HARGA SATUAN SATUAN JUMLAH SATUAN TOTAL HARGA (Rp)
SATUAN SATUAN SATUAN (Rp) SATUAN (Rp) LAMA

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19

dr. Hj. Iin Herliani Sariaini Lukfi Tanjung, AMK

Nip. 19730915 201406 2 001 Nip. 19870321 200903 2 004
 - APL

1,346,400.00 DNR

- PPG

- DAMAI JAYA

- RAJAWALI
98,368,912.40