Lepo Lepo

DINAS KESEHATAN KOTA KENDARI
PUSKESMAS MATA
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS MATA
PER 31 DESEMBER 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 90 2,700.00 2,454.55 243,000.00 220,909 245.45 22,090.91
4 Albothyl Konsentrate 4 32,900.00 29,909.09 131,600.00 119,636 2,990.91 11,963.64
5 Allopurinol tablet 300 mg 1,600 233.00 211.82 372,800.00 338,909 21.18 33,890.91
6 Allopurinol tablet 100 mg - 90.00 81.82 - 0 8.18 0.00
7 Aminofilina injeksi 24 mg/ml - 10 ml 10 3,314.00 3,012.73 33,140.00 30,127 301.27 3,012.73
8 Amlodipin 10 mg 780 352.00 320.00 274,560.00 249,600 32.00 24,960.00
9 Amoksisilin kaplet 500 mg 4,000 357.00 324.55 1,428,000.00 1,298,182 32.45 129,818.18
10 Amoksisilin sirup kering 125 mg/5ml 85 2,560.00 2,327.27 217,600.00 197,818 232.73 19,781.82
11 Asam Askorbat (Vit C) tablet 250 mg - 110.00 100.00 - 0 10.00 0.00
12 Antimigren : Ergotamin-Coffein 300 149.00 135.45 44,700.00 40,636 13.55 4,063.64
13 Antasida Doen Tab. Strip 3,800 73.12 66.47 277,856.00 252,596 6.65 25,259.64
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
15 Antibakteri doen kombinasi 50 2,741.00 2,491.82 137,050.00 124,591 249.18 12,459.09
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 300 52.00 47.27 15,600.00 14,182 4.73 1,418.18
20 Asam Askorbat (Vit C) tablet 50 mg 2,300 36.00 32.73 82,800.00 75,273 3.27 7,527.27
21 Asam Mefenamat tab 500 mg 2,400 127.00 115.45 304,800.00 277,091 11.55 27,709.09
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
23 Betametason krim 0.1% - 1,596.00 1,450.91 - 0 145.09 0.00
24 Betahistin tab 6 mg 480 1,246.66 1,133.33 598,396.80 543,997 113.33 54,399.71
25 Bioplacenton Gell 15 g 5 16,000.00 14,545.45 80,000.00 72,727 1,454.55 7,272.73
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,400 97.00 88.18 135,800.00 123,455 8.82 12,345.45
28 Captopril tablet 12,5 mg 600 90.00 81.82 54,000.00 49,091 8.18 4,909.09
29 Cetirizine tab 300 190.00 172.73 57,000.00 51,818 17.27 5,181.82
30 Cefadroxil Syrp 35 5,286.00 4,805.45 185,010.00 168,191 480.55 16,819.09
1 2 3 4 5 6 7 8 9
31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

32 Ciprofloksacin 600 290.00 263.64 174,000.00 158,182 26.36 15,818.18
33 Domperidon tab 300 174.00 158.18 52,200.00 47,455 15.82 4,745.45
34 Deksametason injeksi 5 mg/ml - 1 ml - 1,850.00 1,681.82 - 0 168.18 0.00
35 Deksametason tablet 0,5 mg 7,000 71.89 65.35 503,230.00 457,482 6.54 45,748.18
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp - 5,286.00 4,805.45 - 0 480.55 0.00
38 Kalium Diklofenak 25mg tab - 389.41 354.01 - 0 35.40 0.00
39 Kalium Diklofenak 50mg tab 300 429.92 390.84 128,976.00 117,251 39.08 11,725.09
40 Diazepam tablet 2 mg 800 28.00 25.45 22,400.00 20,364 2.55 2,036.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml 20 1,045.00 950.00 20,900.00 19,000 95.00 1,900.00
42 Domperidon suspensi 5 mg/5 ml 3 3,490.00 3,172.73 10,470.00 9,518 317.27 951.82
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
44 Efedrin HCl tablet 25 mg 1,750 69.20 62.91 121,100.00 110,091 6.29 11,009.09
45 Ekstrak belladon 10 mg 500 43.00 39.09 21,500.00 19,545 3.91 1,954.55
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
48 Etakridin ( Rivanol ) larutan 0,1% 5 2,354.00 2,140.00 11,770.00 10,700 214.00 1,070.00
49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 3 105,000.00 95,454.55 315,000.00 286,364 9,545.45 28,636.36
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml 28 1,888.00 1,716.36 52,864.00 48,058 171.64 4,805.82
54 Fenobarbital tablet 30 mg 500 74.00 67.27 37,000.00 33,636 6.73 3,363.64
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. 30 3,754.00 3,412.73 112,620.00 102,382 341.27 10,238.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 200 698.00 634.55 139,600.00 126,909 63.45 12,690.91
58 Furosemid tablet 40 mg 300 101.00 91.82 30,300.00 27,545 9.18 2,754.55
59 Garam Oralit untuk 200 ml air 100 322.00 292.73 32,200.00 29,273 29.27 2,927.27
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
61 Gentamycine Sulfat 0,1 % SK 20 2,478.00 2,252.73 49,560.00 45,055 225.27 4,505.45
62 Glibenklamid tablet 5 mg 300 126.00 114.55 37,800.00 34,364 11.45 3,436.36
63 Gliseril Guayakolat tablet 100 mg 3,000 31.00 28.18 93,000.00 84,545 2.82 8,454.55
64 Griseofulvin tablet 125 mg 500 200.00 181.82 100,000.00 90,909 18.18 9,090.91
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,000 49.00 44.55 49,000.00 44,545 4.45 4,454.55
67 Hidrokortison krim 2,5 % 72 2,938.00 2,670.91 211,536.00 192,305 267.09 19,230.55
68 Ibuprofen tablet 200 mg 2,500 96.21 87.46 240,525.00 218,659 8.75 21,865.91
1 2 3 4 5 6 7 8 9
69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00

70 Kalsium Laktat (kalk) tablet 500 mg 2,500 69.00 62.73 172,500.00 156,818 6.27 15,681.82
71 Kalium Permanganat (PK) 10 4,041.00 3,673.64 40,410.00 36,736 367.36 3,673.64
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
Ketokonasol Cream - 2,697.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74
75 Kloramfenikol kapsul 250 mg 1,200 224.00 203.64 268,800.00 244,364 20.36 24,436.36
Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

76 19.09 63,000.00 57,273 1.91 5,727.27
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 24 1,680.00
78 1,527.27 40,320.00 36,655 152.73 3,665.45
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg
79 +Kotrimoksazol
Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 mg 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 + Trimetoprim 80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
Lidokain komp. injeksi, Kombinasi: 1,350.00 - 0 135.00 0.00
82
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml - 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 300 280.00 254.55 84,000.00 76,364 25.45 7,636.36
87 Loratadine 10 mg 650 170.00 154.55 110,500.00 100,455 15.45 10,045.45
Metilergometrin Maleat (Metilergometrin)
tablet salut 0,125 mg 800 169.00
88 153.64 135,200.00 122,909 15.36 12,290.91
89 Metilergometrin maleat inj 30 4,200.00 3,818.18 126,000.00 114,545 381.82 11,454.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
92 Metilprednisolon 8 mg 300 390.00 354.55 117,000.00 106,364 35.45 10,636.36
93 Miconazole krim 48 3,150.00 2,863.64 151,200.00 137,455 286.36 13,745.45
94 Metoclopramide 10 mg 300 100.00 90.91 30,000.00 27,273 9.09 2,727.27
95 Natrium Klorida larutan infus 0,9 % 4 5,170.00 4,700.00 20,680.00 18,800 470.00 1,880.00
96 Natrium diklofenak 50 mg 1,200 206.00 187.27 247,200.00 224,727 18.73 22,472.73
97 Nistatin tablet vaginal 100.000 IU/g 30 407.00 370.00 12,210.00 11,100 37.00 1,110.00
98 Novahexin tablet 2,400 50.00 45.45 120,000.00 109,091 4.55 10,909.09
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 30 1,931.00 1,755.45 57,930.00 52,664 175.55 5,266.36
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
1 2 3 4 5 6 7 8 9
103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00

104 Obat anti TB kategori I 19 316,920.00 288,109.09 6,021,480.00 5,474,073 28,810.91 547,407.27
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 25 1,680.00 1,527.27 42,000.00 38,182 152.73 3,818.18
108 Oksitetrasiklin HCl SK 3 % 50 2,261.00 2,055.45 113,050.00 102,773 205.55 10,277.27
109 Oksitosin injeksi 10 IU/ml - 1 ml 100 3,300.00 3,000.00 330,000.00 300,000 300.00 30,000.00
110 Omeprazol Kapsul 20 mg 300 221.00 200.91 66,300.00 60,273 20.09 6,027.27
111 Parasetamol sirup 120 mg/5 ml 50 1,535.00 1,395.45 76,750.00 69,773 139.55 6,977.27
112 Parasetamol tablet 500 mg 5,400 84.80 77.09 457,920.00 416,291 7.71 41,629.09
113 Papaverin - 128.00 116.36 - 0 11.64 0.00
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 30 43.17 39.25 1,295.10 1,177 3.92 117.74
116 Piridoksin HCl (Vit.B6) tablet 10 mg 2,000 28.16 25.60 56,320.00 51,200 2.56 5,120.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
118 Prednison tablet 5 mg 2,000 98.00 89.09 196,000.00 178,182 8.91 17,818.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 50 1,340.00 1,218.18 67,000.00 60,909 121.82 6,090.91
125 Ranitidin Tablet 150 mg 900 128.00 116.36 115,200.00 104,727 11.64 10,472.73
126 Retinol (vitamin A) Kaps 200.000 IU 50 505.00 459.09 25,250.00 22,955 45.91 2,295.45
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 38 5,720.00 5,200.00 217,360.00 197,600 520.00 19,760.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg - 70.00 63.64 - 0 6.36 0.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 36 2,420.00 2,200.00 87,120.00 79,200 220.00 7,920.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 50 1,400.00 1,272.73 70,000.00 63,636 127.27 6,363.64
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi - 90.00 81.82 - 0 8.18 0.00
140 Tetrasiklin HCl kapsul 500 mg 300 347.00 315.45 104,100.00 94,636 31.55 9,463.64
1 2 3 4 5 6 7 8 9
141 Tiamfenicol tab 500 mg 200 832.00 756.36 166,400.00 151,273 75.64 15,127.27
142 Spironolactone tab 25mg 200 350.00 318.18 70,000.00 63,636 31.82 6,363.64
143 Tiamin HCl / (Vit.B1) tab. 50 mg 6,000 51.00 46.36 306,000.00 278,182 4.64 27,818.18
144 Vitamin B Kompleks tablet 1,000 112.00 101.82 112,000.00 101,818 10.18 10,181.82
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 2,400 496.50 451.36 1,191,600.00 1,083,273 45.14 108,327.27
149 DIGOXIN 100 103.00 93.64 10,300.00 9,364 9.36 936.36
TOTAL 3,969,075 3,608,250 21,001,656.90 19,092,415 360,824.99 1,909,241.54

PERBEKALAN KESEHATAN
150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 150 1,093.00 993.64 163,950.00 149,045.45 99.36 14,904.55
157 Alat suntik sekali pakai 2,5 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
159 Alat suntik sekali pakai 5 ml 80 944.00 858.18 75,520.00 68,654.55 85.82 6,865.45
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
161 Cat Gut No.3/0 dgn Jarum Bedah 0 24,583.00 22,348.18 0.00 0.00 2,234.82 0.00
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 45 4,250.00 3,863.64 191,250.00 173,863.64 386.36 17,386.36
165 Infusion set anak 5 6,782.00 6,165.45 33,910.00 30,827.27 616.55 3,082.73
166 Infusion set dewasa 14 6,778.00 6,161.82 94,892.00 86,265.45 616.18 8,626.55
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 2 7,500.00 6,818.18 15,000.00 13,636.36 681.82 1,363.64
170 Kasa pembalut Hidrofil 34 m x 10 cm 0 607.00 551.82 0.00 0.00 55.18 0.00
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 3 145,650.00 132,409.09 436,950.00 397,227.27 13,240.91 39,722.73
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 2 23,625.00 21,477.27 47,250.00 42,954.55 2,147.73 6,347.27
175 Silk (Benang Bedah Sutra) 10 6,982.00 6,347.27 69,820.00 63,472.73 634.73 130,197.82
1 2 3 4 5 6 7 8 9
Total alkes 1,657,247.00 1,506,588.18 1,432,176.00 1,301,978.18 150,658.82 256,100.18
TOTAL KESELURUHAN 5,626,321.94 5,114,838.13 22,433,832.90 20,394,394 511,483.81 2,165,341.72
Mengetahui Kendari, 31 Desember 2015

Kepala puskesmas mata Pengelola Obat
drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

Nip . 19650522 2000012 2002 NIP. 19760212 200502 2 003
PUSKESMAS MATA
DATA SISA STOK OBAT PUSKESMAS MATA
PER 31 DESEMBER 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
8 Amlodipin 10 mg 780 352.00 320.00 274,560.00 249,600 32.00 24,960.00
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
19 Asam Folat 1 mg 300 52.00 47.27 15,600.00 14,182 4.73 1,418.18
1 2 3 4 5 6 7 8 9
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
29 Cetirizine tab 300 190.00 172.73 57,000.00 51,818 17.27 5,181.82
30 Cefadroxil Syrp 35 5,286.00 4,805.45 185,010.00 168,191 480.55 16,819.09
31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27
32 Ciprofloksacin 600 290.00 263.64 174,000.00 158,182 26.36 15,818.18
33 Domperidon tab 300 174.00 158.18 52,200.00 47,455 15.82 4,745.45
37 Cefadroxil Syrp - 5,286.00 4,805.45 - 0 480.55 0.00
42 Domperidon suspensi 5 mg/5 ml 3 3,490.00 3,172.73 10,470.00 9,518 317.27 951.82
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
1 2 3 4 5 6 7 8 9
49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55

50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74
1 2 3 4 5 6 7 8 9

76 19.09 63,000.00 57,273 1.91 5,727.27
78 1,527.27 40,320.00 36,655 152.73 3,665.45
79 Kotrimoksazol
+ Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 +Lisol
Trimetoprim 80 mg 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 300 280.00 254.55 84,000.00 76,364 25.45 7,636.36
87 Loratadine 10 mg 650 170.00 154.55 110,500.00 100,455 15.45 10,045.45
88 153.64 135,200.00 122,909 15.36 12,290.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
93 Miconazole krim 48 3,150.00 2,863.64 151,200.00 137,455 286.36 13,745.45
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
1 2 3 4 5 6 7 8 9

113 Papaverin - 128.00 116.36 - 0 11.64 0.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
1 2 3 4 5 6 7 8 9
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00

132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 36 2,420.00 2,200.00 87,120.00 79,200 220.00 7,920.00
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
149 DIGOXIN 100 103.00 93.64 10,300.00 9,364 9.36 936.36
TOTAL 3,969,034 3,608,213 20,989,503.90 19,081,367 360,821.31 1,908,136.72

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
1 2 3 4 5 6 7 8 9
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
170 Kasa pembalut Hidrofil 34 m x 10 cm 0 607.00 551.82 0.00 0.00 55.18 0.00
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 3 145,650.00 132,409.09 436,950.00 397,227.27 13,240.91 39,722.73
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
Total alkes 1,657,247.00 1,506,588.18 1,432,176.00 1,301,978.18 150,658.82 256,100.18

1 2 3 4 5 6 7 8 9

Nip . 19650522 200012 2002 NIP. 19760212 200502 2 003
PUSKESMAS LEPO-LEPO
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 Oktober 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 170 357.00 324.55 60,690.00 55,173 32.45 5,517.27

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
4 Albothyl Konsentrate - 32,900.00 29,909.09 - 0 2,990.91 0.00
6 Allopurinol tablet 100 mg 700 90.00 81.82 63,000.00 57,273 8.18 5,727.27
7 Aminofilina injeksi 24 mg/ml - 10 ml - 3,314.00 3,012.73 - 0 301.27 0.00
8 Amlodipin 10 mg 510 352.00 320.00 179,520.00 163,200 32.00 16,320.00
9 Amoksisilin kaplet 500 mg - 357.00 324.55 - 0 32.45 0.00
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
19 Asam Folat 1 mg - 52.00 47.27 - 0 4.73 0.00
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
25 Bioplacenton Gell 15 g - 16,000.00 14,545.45 - 0 1,454.55 0.00
27 Captopril tablet 25 mg 200 97.00 88.18 19,400.00 17,636 8.82 1,763.64
29 Cetirizine tab - 190.00 172.73 - 0 17.27 0.00
30 Cefadroxil - 548.00 498.18 - 0 49.82 0.00
1 2 3 4 5 6 7 8 9
31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

32 Ciprofloksacin 300 290.00 263.64 87,000.00 79,091 26.36 7,909.09
33 Domperidon tab 200 174.00 158.18 34,800.00 31,636 15.82 3,163.64
37 Cefadroxil Syrp 29 5,286.00 4,805.45 153,294.00 139,358 480.55 13,935.82
40 Diazepam tablet 2 mg 382 28.00 25.45 10,696.00 9,724 2.55 972.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml - 1,045.00 950.00 - 0 95.00 0.00
42 Domperidon suspensi 5 mg/5 ml - 3,490.00 3,172.73 - 0 317.27 0.00
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
48 Etakridin ( Rivanol ) larutan 0,1% - 2,354.00 2,140.00 - 0 214.00 0.00
49 Etanol 70 % 1000 ml - 20,000.00 18,181.82 - 0 1,818.18 0.00
50 Etanol 70 % 100 ml 30 2,625.00 2,386.36 78,750.00 71,591 238.64 7,159.09
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. - 3,754.00 3,412.73 - 0 341.27 0.00
59 Garam Oralit untuk 200 ml air - 322.00 292.73 - 0 29.27 0.00
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
64 Griseofulvin tablet 125 mg - 200.00 181.82 - 0 18.18 0.00
65 Glukosa 5 % 25 5,566.00 5,060.00 139,150.00 126,500 506.00 12,650.00
1 2 3 4 5 6 7 8 9

70 Kalsium Laktat (kalk) tablet 500 mg - 69.00 62.73 - 0 6.27 0.00
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74

76 19.09 63,000.00 57,273 1.91 5,727.27
78 1,527.27 40,320.00 36,655 152.73 3,665.45
79 +Kotrimoksazol
Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 mg 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 + Trimetoprim 80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 200 280.00 254.55 56,000.00 50,909 25.45 5,090.91
87 Loratadine 10 mg 610 170.00 154.55 103,700.00 94,273 15.45 9,427.27
88 153.64 135,200.00 122,909 15.36 12,290.91
89 Metilergometrin maleat inj - 4,200.00 3,818.18 - 0 381.82 0.00
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
93 Miconazole krim - 3,150.00 2,863.64 - 0 286.36 0.00
94 Metoclopramide 10 mg - 100.00 90.91 - 0 9.09 0.00
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
1 2 3 4 5 6 7 8 9

107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
113 Papaverin - 128.00 116.36 - 0 11.64 0.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 - 2,420.00 2,200.00 - 0 220.00 0.00
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
1 2 3 4 5 6 7 8 9
142 Spironolactone tab 25mg - 350.00 318.18 - 0 31.82 0.00
145 Yodium pov. Lar. 10 % 30 ml 12 4,375.00 3,977.27 52,500.00 47,727 397.73 4,772.73
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
149 - - 0 0.00 0.00
TOTAL 3,964,234 3,603,849 14,729,797.90 13,390,725 360,384.90 1,339,072.54

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
159 Alat suntik sekali pakai 5 ml 0 944.00 858.18 0.00 0.00 85.82 0.00
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 0 4,250.00 3,863.64 0.00 0.00 386.36 0.00
165 Infusion set anak 0 6,782.00 6,165.45 0.00 0.00 616.55 0.00
166 Infusion set dewasa 0 6,778.00 6,161.82 0.00 0.00 616.18 0.00
170 Kasa pembalut Hidrofil 34 m x 10 cm 7 607.00 551.82 4,249.00 3,862.73 55.18 386.27
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
1 2 3 4 5 6 7 8 9
Total alkes 1,657,247.00 1,506,588.18 489,393.00 444,902.73 150,658.82 84,685.09


Nip . 19650522 2000012 2002 NIP. 19760212 200502 2 003
PUSKESMAS LEPO-LEPO
PER 30 September 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 407 357.00 324.55 145,299.00 132,090 32.45 13,209.00

2 Acyklovir Krim 45 2,367.00 2,151.82 106,515.00 96,832 215.18 9,683.18
8 Amlodipin 10 mg 2,105 352.00 320.00 740,960.00 673,600 32.00 67,360.00
10 Amoksisilin sirup kering 125 mg/5ml 443 2,560.00 2,327.27 1,134,080.00 1,030,982 232.73 103,098.18
11 Asam Askorbat (Vit C) tablet 250 mg 722 110.00 100.00 79,420.00 72,200 10.00 7,220.00
13 Antasida Doen Tab. Strip 16,285 73.12 66.47 1,190,759.20 1,082,508 6.65 108,250.84
14 Antasida sirup 587 2,213.00 2,011.82 1,299,031.00 1,180,937 201.18 118,093.73
19 Asam Folat 1 mg 380 52.00 47.27 19,760.00 17,964 4.73 1,796.36
21 Asam Mefenamat tab 500 mg 9,435 127.00 115.45 1,198,245.00 1,089,314 11.55 108,931.36
22 Ambroxol tab 5,465 185.98 169.07 1,016,380.70 923,982 16.91 92,398.25
23 Betametason krim 0.1% 97 1,596.00 1,450.91 154,812.00 140,738 145.09 14,073.82
28 Captopril tablet 12,5 mg 62 90.00 81.82 5,580.00 5,073 8.18 507.27
29 Cetirizine tab 1,275 190.00 172.73 242,250.00 220,227 17.27 22,022.73
30 Cefadroxil 1,670 548.00 498.18 915,160.00 831,964 49.82 83,196.36
31 Cimetidin 200 mg 30 105.97 96.34 3,179.10 2,890 9.63 289.01
32 Ciprofloksacin 4,810 290.00 263.64 1,394,900.00 1,268,091 26.36 126,809.09
33 Domperidon tab 3,960 174.00 158.18 689,040.00 626,400 15.82 62,640.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
37 Cefadroxil Syrp 1 5,286.00 4,805.45 5,286.00 4,805 480.55 480.55
43 Doxycyclin 100 mg 610 250.00 227.27 152,500.00 138,636 22.73 13,863.64
47 Erytromisin 500 mg 375 1,023.00 930.00 383,625.00 348,750 93.00 34,875.00
48 Etakridin ( Rivanol ) larutan 0,1% 2 2,354.00 2,140.00 4,708.00 4,280 214.00 428.00
49 Etanol 70 % 1000 ml 7 20,000.00 18,181.82 140,000.00 127,273 1,818.18 12,727.27
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
60 Glimepiride 2mg 690 458.00 416.36 316,020.00 287,291 41.64 28,729.09
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
68 Ibuprofen tablet 200 mg 150 96.21 87.46 14,431.50 13,120 8.75 1,311.95
70 Kalsium Laktat (kalk) tablet 500 mg 985 69.00 62.73 67,965.00 61,786 6.27 6,178.64
72 KA-EN 3B 34 14,220.00 12,927.27 483,480.00 439,527 1,292.73 43,952.73
Ketokonasol Cream 38 2,697.00

73 2,451.82 102,486.00 93,169 245.18 9,316.91
Ketorolac Inj. 30 mg 29 8,528.00 7,752.73 247,312.00 224,829 775.27 22,482.91
74

76 19.09 328,860.00 298,964 1.91 29,896.36
78 1,527.27 110,880.00 100,800 152.73 10,080.00
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 165 2,298.00 2,089.09 379,170.00 344,700 208.91 34,470.00
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 1,552 146.00 132.73 226,592.00 205,993 13.27 20,599.27
80 + Trimetoprim 80 mg
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
Lidokain komp. injeksi, Kombinasi: - 1,485.00 1,350.00 - 0 135.00 0.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg 1,605 124.50 113.18 199,822.50 181,657 11.32 18,165.68
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 270 170.00 154.55 45,900.00 41,727 15.45 4,172.73
Metilergometrin Maleat (Metilergometrin) 254 169.00
88 tablet salut 0,125 mg 153.64 42,926.00 39,024 15.36 3,902.36
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 140 169.00 153.64 23,660.00 21,509 15.36 2,150.91
93 Miconazole krim 19 3,150.00 2,863.64 59,850.00 54,409 286.36 5,440.91
95 Natrium Klorida larutan infus 0,9 % 270 5,170.00 4,700.00 1,395,900.00 1,269,000 470.00 126,900.00
98 Novahexin tablet - 50.00 45.45 - 0 4.55 0.00
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
101 Ondansetron inj. 4 mg 89 6,050.00 5,500.00 538,450.00 489,500 550.00 48,950.00
103 Obat anti TB kategori I / FDC 19 396,000.00 360,000.00 7,524,000.00 6,840,000 36,000.00 684,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
111 Parasetamol sirup 120 mg/5 ml 894 1,535.00 1,395.45 1,372,290.00 1,247,536 139.55 124,753.64
112 Parasetamol tablet 500 mg 14,290 84.80 77.09 1,211,792.00 1,101,629 7.71 110,162.91
113 Papaverin 762 128.00 116.36 97,536.00 88,669 11.64 8,866.91
114 Pehacain injeksi 117 3,113.00 2,830.00 364,221.00 331,110 283.00 33,111.00
117 Piroksikam 20 mg 2,320 92.00 83.64 213,440.00 194,036 8.36 19,403.64
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg 100 404.00 367.27 40,400.00 36,727 36.73 3,672.73
122 Propranolol HCl tablet 40 mg 70 163.00 148.18 11,410.00 10,373 14.82 1,037.27
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
125 Ranitidin Tablet 150 mg 4,018 128.00 116.36 514,304.00 467,549 11.64 46,754.91
128 Ringer Laktat larutan infus steril 1,020 5,720.00 5,200.00 5,834,400.00 5,304,000 520.00 530,400.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 1,050 70.00 63.64 73,500.00 66,818 6.36 6,681.82
132 Salisil Bedak 2 % 21 1,350.00 1,227.27 28,350.00 25,773 122.73 2,577.27
133 Salep 2-4 25 2,420.00 2,200.00 60,500.00 55,000 220.00 5,500.00
135 Simvastatin 10 mg 2,525 177.00 160.91 446,925.00 406,295 16.09 40,629.55
136 Ulsidex tab 440 477.00 433.64 209,880.00 190,800 43.36 19,080.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 8,398 90.00 81.82 755,820.00 687,109 8.18 68,710.91
140 Tetrasiklin HCl kapsul 500 mg 30 347.00 315.45 10,410.00 9,464 31.55 946.36
141 Tiamfenicol tab 500 mg 1,993 832.00 756.36 1,658,176.00 1,507,433 75.64 150,743.27
144 Vitamin B Kompleks tablet 12,000 112.00 101.82 1,344,000.00 1,221,818 10.18 122,181.82
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 13 6,379.00 5,799.09 82,927.00 75,388 579.91 7,538.82
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
149 - - 0 0.00 0.00
TOTAL 3,964,234 3,603,849 53,181,616.43 48,346,924 360,384.90 4,834,692.40

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 160 7,786.00 7,078.18 1,245,760.00 1,132,509.09 707.82 113,250.91
152 Abbocath No. 22 175 7,786.00 7,078.18 1,362,550.00 1,238,681.82 707.82 123,868.18
153 Abbocath No. 24 172 7,786.00 7,078.18 1,339,192.00 1,217,447.27 707.82 121,744.73
157 Alat suntik sekali pakai 2,5 ml 145 1,038.00 943.64 150,510.00 136,827.27 94.36 13,682.73
160 Bisturi 37 800.00 727.27 29,600.00 26,909.09 72.73 2,690.91
161 Cat Gut No.3/0 dgn Jarum Bedah 31 24,583.00 22,348.18 762,073.00 692,793.64 2,234.82 69,279.36
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
167 Jarum Hekting Otot Uk. Sedang (GT) 96 2,083.00 1,893.64 199,968.00 181,789.09 189.36 18,178.91
170 Kasa pembalut Hidrofil 34 m x 10 cm 105 607.00 551.82 63,735.00 57,940.91 55.18 5,794.09
171 Kasa Steril 16 x 16 cm 30 8,500.00 7,727.27 255,000.00 231,818.18 772.73 23,181.82
172 Kasa 40 x 80 cm 4 145,650.00 132,409.09 582,600.00 529,636.36 13,240.91 52,963.64
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
Total alkes 1,657,247.00 1,506,588.18 8,925,391.00 8,113,991.82 150,658.82 1,594,877.91
Mengetahui Kendari, 30 September 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat
Dr. Jeni Arni H.T Hj Ika Idrus

Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 31 AGUSTUS 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 552 357.00 324.55 197,064.00 179,149 32.45 17,914.91

2 Acyklovir Krim 50 2,367.00 2,151.82 118,350.00 107,591 215.18 10,759.09
8 Amlodipin 10 mg 3,500 352.00 320.00 1,232,000.00 1,120,000 32.00 112,000.00
11 Asam Askorbat (Vit C) tablet 250 mg 815 110.00 100.00 89,650.00 81,500 10.00 8,150.00
14 Antasida sirup 200 2,213.00 2,011.82 442,600.00 402,364 201.18 40,236.36
19 Asam Folat 1 mg 460 52.00 47.27 23,920.00 21,745 4.73 2,174.55
22 Ambroxol tab 4,250 185.98 169.07 790,415.00 718,559 16.91 71,855.91
29 Cetirizine tab 2,020 190.00 172.73 383,800.00 348,909 17.27 34,890.91
30 Cefadroxil 2,776 548.00 498.18 1,521,248.00 1,382,953 49.82 138,295.27
31 Cimetidin 200 mg 30 105.97 96.34 3,179.10 2,890 9.63 289.01
32 Ciprofloksacin 5,356 290.00 263.64 1,553,240.00 1,412,036 26.36 141,203.64
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
37 Cefadroxil Syrp 29 5,286.00 4,805.45 153,294.00 139,358 480.55 13,935.82
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
42 Domperidon suspensi 5 mg/5 ml 124 3,490.00 3,172.73 432,760.00 393,418 317.27 39,341.82
43 Doxycyclin 100 mg 40 250.00 227.27 10,000.00 9,091 22.73 909.09
47 Erytromisin 500 mg 555 1,023.00 930.00 567,765.00 516,150 93.00 51,615.00
49 Etanol 70 % 1000 ml 11 20,000.00 18,181.82 220,000.00 200,000 1,818.18 20,000.00
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
58 Furosemid tablet 40 mg 75 101.00 91.82 7,575.00 6,886 9.18 688.64
60 Glimepiride 2mg 920 458.00 416.36 421,360.00 383,055 41.64 38,305.45
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
72 KA-EN 3B 57 14,220.00 12,927.27 810,540.00 736,855 1,292.73 73,685.45

73 2,451.82 132,153.00 120,139 245.18 12,013.91
Ketorolac Inj. 30 mg 43 8,528.00 7,752.73 366,704.00 333,367 775.27 33,336.73
74
75 Kloramfenikol kapsul 250 mg 4,850 224.00 203.64 1,086,400.00 987,636 20.36 98,763.64

76 19.09 475,965.00 432,695 1.91 43,269.55
78 1,527.27 124,320.00 113,018 152.73 11,301.82
40 mg komb:
Kotrimoksazol 2,346 146.00 132.73 342,516.00 311,378 13.27 31,137.82
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg 2,035 124.50 113.18 253,357.50 230,325 11.32 23,032.50
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 344 170.00 154.55 58,480.00 53,164 15.45 5,316.36
88 tablet salut 0,125 mg 153.64 14,196.00 12,905 15.36 1,290.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 380 169.00 153.64 64,220.00 58,382 15.36 5,838.18
92 Metilprednisolon 8 mg 1,584 390.00 354.55 617,760.00 561,600 35.45 56,160.00
93 Miconazole krim 36 3,150.00 2,863.64 113,400.00 103,091 286.36 10,309.09
96 Natrium diklofenak 50 mg 4,914 206.00 187.27 1,012,284.00 920,258 18.73 92,025.82
98 Novahexin tablet - 50.00 45.45 - 0 4.55 0.00
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
111 Parasetamol sirup 120 mg/5 ml 674 1,535.00 1,395.45 1,034,590.00 940,536 139.55 94,053.64
113 Papaverin 962 128.00 116.36 123,136.00 111,942 11.64 11,194.18
117 Piroksikam 20 mg 2,460 92.00 83.64 226,320.00 205,745 8.36 20,574.55
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
128 Ringer Laktat larutan infus steril 706 5,720.00 5,200.00 4,038,320.00 3,671,200 520.00 367,120.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 1,970 70.00 63.64 137,900.00 125,364 6.36 12,536.36
132 Salisil Bedak 2 % 34 1,350.00 1,227.27 45,900.00 41,727 122.73 4,172.73
133 Salep 2-4 29 2,420.00 2,200.00 70,180.00 63,800 220.00 6,380.00
135 Simvastatin 10 mg 1,535 177.00 160.91 271,695.00 246,995 16.09 24,699.55
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 17 6,379.00 5,799.09 108,443.00 98,585 579.91 9,858.45
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
148 Zinc Dispersible - 496.50 451.36 - 0 45.14 0.00
149 - - 0 0.00 0.00
TOTAL 4,188,641 3,807,855 60,105,550.08 54,641,409 380,785.54 5,464,140.92

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 180 7,786.00 7,078.18 1,401,480.00 1,274,072.73 707.82 127,407.27
152 Abbocath No. 22 257 7,786.00 7,078.18 2,001,002.00 1,819,092.73 707.82 181,909.27
153 Abbocath No. 24 281 7,786.00 7,078.18 2,187,866.00 1,988,969.09 707.82 198,896.91
160 Bisturi 57 800.00 727.27 45,600.00 41,454.55 72.73 4,145.45
161 Cat Gut No.3/0 dgn Jarum Bedah 63 24,583.00 22,348.18 1,548,729.00 1,407,935.45 2,234.82 140,793.55
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 800 4,250.00 3,863.64 3,400,000.00 3,090,909.09 386.36 309,090.91
166 Infusion set dewasa 189 6,778.00 6,161.82 1,281,042.00 1,164,583.64 616.18 116,458.36
171 Kasa Steril 16 x 16 cm 27 8,500.00 7,727.27 229,500.00 208,636.36 772.73 20,863.64
172 Kasa 40 x 80 cm 5 145,650.00 132,409.09 728,250.00 662,045.45 13,240.91 66,204.55
173 Masker 160 1,125.00 1,022.73 180,000.00 163,636.36 102.27 16,363.64
175 Silk (Benang Bedah Sutra) 92 6,982.00 6,347.27 642,344.00 583,949.09 634.73 1,558,882.00
Total alkes 1,657,247.00 1,506,588.18 17,147,702.00 15,588,820.00 150,658.82 3,066,218.55
Mengetahui Kendari, 31 Agustus 2015


Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 31 JULI 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 307 357.00 324.55 109,599.00 99,635 32.45 9,963.55

2 Acyklovir Krim 33 2,367.00 2,151.82 78,111.00 71,010 215.18 7,101.00
8 Amlodipin 10 mg 1,735 352.00 320.00 610,720.00 555,200 32.00 55,520.00
14 Antasida sirup 88 2,213.00 2,011.82 194,744.00 177,040 201.18 17,704.00
16 Antifungi DOEN salep kombinasi 6 2,096.00 1,905.45 12,576.00 11,433 190.55 1,143.27
19 Asam Folat 1 mg 231 52.00 47.27 12,012.00 10,920 4.73 1,092.00
22 Ambroxol tab 2,970 185.98 169.07 552,360.60 502,146 16.91 50,214.60
29 Cetirizine tab 100 190.00 172.73 19,000.00 17,273 17.27 1,727.27
30 Cefadroxil 3,052 548.00 498.18 1,672,496.00 1,520,451 49.82 152,045.09
31 Cimetidin 200 mg 70 105.97 96.34 7,417.90 6,744 9.63 674.35
32 Ciprofloksacin 6,315 290.00 263.64 1,831,350.00 1,664,864 26.36 166,486.36
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
37 Cefadroxil Syrp 51 5,286.00 4,805.45 269,586.00 245,078 480.55 24,507.82
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg - 250.00 227.27 - 0 22.73 0.00
44 Efedrin HCl tablet 25 mg 751 69.20 62.91 51,969.20 47,245 6.29 4,724.47
47 Erytromisin 500 mg 790 1,023.00 930.00 808,170.00 734,700 93.00 73,470.00
49 Etanol 70 % 1000 ml 4 20,000.00 18,181.82 80,000.00 72,727 1,818.18 7,272.73
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 11 105,000.00 95,454.55 1,155,000.00 1,050,000 9,545.45 105,000.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
60 Glimepiride 2mg 990 458.00 416.36 453,420.00 412,200 41.64 41,220.00
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
72 KA-EN 3B 33 14,220.00 12,927.27 469,260.00 426,600 1,292.73 42,660.00

73 2,451.82 86,304.00 78,458 245.18 7,845.82
Ketorolac Inj. 30 mg 26 8,528.00 7,752.73 221,728.00 201,571 775.27 20,157.09
74
75 Kloramfenikol kapsul 250 mg 5,420 224.00 203.64 1,214,080.00 1,103,709 20.36 110,370.91

76 19.09 106,680.00 96,982 1.91 9,698.18
78 1,527.27 136,080.00 123,709 152.73 12,370.91
40 mg komb:
Kotrimoksazol 2,312 146.00 132.73 337,552.00 306,865 13.27 30,686.55
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 76 1,200.00 1,090.91 91,200.00 82,909 109.09 8,290.91
85 Metformin 500mg 1,945 124.50 113.18 242,152.50 220,139 11.32 22,013.86
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 130 170.00 154.55 22,100.00 20,091 15.45 2,009.09
88 tablet salut 0,125 mg 153.64 31,096.00 28,269 15.36 2,826.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 110 169.00 153.64 18,590.00 16,900 15.36 1,690.00
92 Metilprednisolon 8 mg - 390.00 354.55 - 0 35.45 0.00
93 Miconazole krim 28 3,150.00 2,863.64 88,200.00 80,182 286.36 8,018.18
98 Novahexin tablet 140 50.00 45.45 7,000.00 6,364 4.55 636.36
99 Nodiar 148 1,037.00 942.73 153,476.00 139,524 94.27 13,952.36
102 Obat anti TB kategori anak 2 236,490.00 214,990.91 472,980.00 429,982 21,499.09 42,998.18
103 Obat anti TB kategori I / FDC 2 396,000.00 360,000.00 792,000.00 720,000 36,000.00 72,000.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
113 Papaverin 190 128.00 116.36 24,320.00 22,109 11.64 2,210.91
117 Piroksikam 20 mg 718 92.00 83.64 66,056.00 60,051 8.36 6,005.09
118 Prednison tablet 5 mg 60 98.00 89.09 5,880.00 5,345 8.91 534.55
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
126 Retinol (vitamin A) Kaps 200.000 IU 2,000 505.00 459.09 1,010,000.00 918,182 45.91 91,818.18
127 Retinol (vitamin A) Kaps 100.000 IU 1,000 286.00 260.00 286,000.00 260,000 26.00 26,000.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 770 70.00 63.64 53,900.00 49,000 6.36 4,900.00
132 Salisil Bedak 2 % 9 1,350.00 1,227.27 12,150.00 11,045 122.73 1,104.55
133 Salep 2-4 21 2,420.00 2,200.00 50,820.00 46,200 220.00 4,620.00
135 Simvastatin 10 mg 620 177.00 160.91 109,740.00 99,764 16.09 9,976.36
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml 2 6,379.00 5,799.09 12,758.00 11,598 579.91 1,159.82
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
148 Zinc Dispersible - 496.50 451.36 - 0 45.14 0.00
149 - - 0 0.00 0.00
TOTAL 4,188,641 3,807,855 37,478,263.32 34,071,148 380,785.54 3,407,114.85

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 220 7,786.00 7,078.18 1,712,920.00 1,557,200.00 707.82 155,720.00
152 Abbocath No. 22 65 7,786.00 7,078.18 506,090.00 460,081.82 707.82 46,008.18
153 Abbocath No. 24 113 7,786.00 7,078.18 879,818.00 799,834.55 707.82 79,983.45
160 Bisturi 70 800.00 727.27 56,000.00 50,909.09 72.73 5,090.91
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
171 Kasa Steril 16 x 16 cm 6 8,500.00 7,727.27 51,000.00 46,363.64 772.73 4,636.36
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 100 1,125.00 1,022.73 112,500.00 102,272.73 102.27 10,227.27
Total alkes 1,657,247.00 1,506,588.18 9,232,385.00 8,393,077.27 150,658.82 1,665,729.09
Mengetahui Kendari, 31 Juli 2015


Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 30 JUNI 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 472 357.00 324.55 168,504.00 153,185 32.45 15,318.55

2 Acyklovir Krim 40 2,367.00 2,151.82 94,680.00 86,073 215.18 8,607.27
8 Amlodipin 10 mg 2,657 352.00 320.00 935,264.00 850,240 32.00 85,024.00
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 66 149.00 135.45 9,834.00 8,940 13.55 894.00
14 Antasida sirup 131 2,213.00 2,011.82 289,903.00 263,548 201.18 26,354.82
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 11 1,500.00 1,363.64 16,500.00 15,000 136.36 1,500.00
19 Asam Folat 1 mg 360 52.00 47.27 18,720.00 17,018 4.73 1,701.82
22 Ambroxol tab 4,270 185.98 169.07 794,134.60 721,941 16.91 72,194.05
29 Cetirizine tab 784 190.00 172.73 148,960.00 135,418 17.27 13,541.82
30 Cefadroxil 3,914 548.00 498.18 2,144,872.00 1,949,884 49.82 194,988.36
31 Cimetidin 200 mg 80 105.97 96.34 8,477.60 7,707 9.63 770.69
32 Ciprofloksacin 6,920 290.00 263.64 2,006,800.00 1,824,364 26.36 182,436.36
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
37 Cefadroxil Syrp 68 5,286.00 4,805.45 359,448.00 326,771 480.55 32,677.09
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
47 Erytromisin 500 mg 920 1,023.00 930.00 941,160.00 855,600 93.00 85,560.00
49 Etanol 70 % 1000 ml 9 20,000.00 18,181.82 180,000.00 163,636 1,818.18 16,363.64
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
72 KA-EN 3B 42 14,220.00 12,927.27 597,240.00 542,945 1,292.73 54,294.55

73 2,451.82 105,183.00 95,621 245.18 9,562.09
Ketorolac Inj. 30 mg 38 8,528.00 7,752.73 324,064.00 294,604 775.27 29,460.36
74

76 19.09 215,565.00 195,968 1.91 19,596.82
78 1,527.27 156,240.00 142,036 152.73 14,203.64
40 mg komb:
Kotrimoksazol 2,746 146.00 132.73 400,916.00 364,469 13.27 36,446.91
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 202 1,200.00 1,090.91 242,400.00 220,364 109.09 22,036.36
85 Metformin 500mg 315 124.50 113.18 39,217.50 35,652 11.32 3,565.23
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 219 170.00 154.55 37,230.00 33,845 15.45 3,384.55
88 tablet salut 0,125 mg 153.64 31,096.00 28,269 15.36 2,826.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 230 169.00 153.64 38,870.00 35,336 15.36 3,533.64
93 Miconazole krim 41 3,150.00 2,863.64 129,150.00 117,409 286.36 11,740.91
94 Metoclopramide 10 mg 1,071 100.00 90.91 107,100.00 97,364 9.09 9,736.36
96 Natrium diklofenak 50 mg 994 206.00 187.27 204,764.00 186,149 18.73 18,614.91
98 Novahexin tablet 355 50.00 45.45 17,750.00 16,136 4.55 1,613.64
99 Nodiar 216 1,037.00 942.73 223,992.00 203,629 94.27 20,362.91
102 Obat anti TB kategori anak 2 236,490.00 214,990.91 472,980.00 429,982 21,499.09 42,998.18
113 Papaverin 462 128.00 116.36 59,136.00 53,760 11.64 5,376.00
117 Piroksikam 20 mg 1,182 92.00 83.64 108,744.00 98,858 8.36 9,885.82
118 Prednison tablet 5 mg 372 98.00 89.09 36,456.00 33,142 8.91 3,314.18
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 80 70.00 63.64 5,600.00 5,091 6.36 509.09
132 Salisil Bedak 2 % 19 1,350.00 1,227.27 25,650.00 23,318 122.73 2,331.82
133 Salep 2-4 23 2,420.00 2,200.00 55,660.00 50,600 220.00 5,060.00
135 Simvastatin 10 mg 1,010 177.00 160.91 178,770.00 162,518 16.09 16,251.82
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml 4 6,379.00 5,799.09 25,516.00 23,196 579.91 2,319.64
147 Yodium pov. Lar. 10 % 300 ml 2 14,700.00 13,363.64 29,400.00 26,727 1,336.36 2,672.73
148 Zinc Dispersible 1,300 496.50 451.36 645,450.00 586,773 45.14 58,677.27
149 - - 0 0.00 0.00
TOTAL 4,196,188 3,814,716 50,369,760.81 45,790,692 381,471.63 4,579,069.16

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 250 7,786.00 7,078.18 1,946,500.00 1,769,545.45 707.82 176,954.55
152 Abbocath No. 22 123 7,786.00 7,078.18 957,678.00 870,616.36 707.82 87,061.64
153 Abbocath No. 24 163 7,786.00 7,078.18 1,269,118.00 1,153,743.64 707.82 115,374.36
160 Bisturi 100 800.00 727.27 80,000.00 72,727.27 72.73 7,272.73
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 600 4,250.00 3,863.64 2,550,000.00 2,318,181.82 386.36 231,818.18
171 Kasa Steril 16 x 16 cm 11 8,500.00 7,727.27 93,500.00 85,000.00 772.73 8,500.00
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 200 1,125.00 1,022.73 225,000.00 204,545.45 102.27 20,454.55
Total alkes 1,657,247.00 1,506,588.18 14,522,456.00 13,202,232.73 150,658.82 2,599,639.73
Mengetahui Kendari, 30 Juni 2015

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 30 MEI 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 518 357.00 324.55 184,926.00 168,115 32.45 16,811.45

2 Acyklovir Krim 46 2,367.00 2,151.82 108,882.00 98,984 215.18 9,898.36
8 Amlodipin 10 mg 3,550 352.00 320.00 1,249,600.00 1,136,000 32.00 113,600.00
14 Antasida sirup 216 2,213.00 2,011.82 478,008.00 434,553 201.18 43,455.27
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 11 1,500.00 1,363.64 16,500.00 15,000 136.36 1,500.00
19 Asam Folat 1 mg 515 52.00 47.27 26,780.00 24,345 4.73 2,434.55
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
28 Captopril tablet 12,5 mg 1,355 90.00 81.82 121,950.00 110,864 8.18 11,086.36
29 Cetirizine tab 1,320 190.00 172.73 250,800.00 228,000 17.27 22,800.00
30 Cefadroxil 1,936 548.00 498.18 1,060,928.00 964,480 49.82 96,448.00
31 Cimetidin 200 mg 100 105.97 96.34 10,597.00 9,634 9.63 963.36
32 Ciprofloksacin 7,492 290.00 263.64 2,172,680.00 1,975,164 26.36 197,516.36
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
37 Cefadroxil Syrp 91 5,286.00 4,805.45 481,026.00 437,296 480.55 43,729.64
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
44 Efedrin HCl tablet 25 mg 88 69.20 62.91 6,089.60 5,536 6.29 553.60
47 Erytromisin 500 mg 1,095 1,023.00 930.00 1,120,185.00 1,018,350 93.00 101,835.00
49 Etanol 70 % 1000 ml 12 20,000.00 18,181.82 240,000.00 218,182 1,818.18 21,818.18
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
54 Fenobarbital tablet 30 mg 1,087 74.00 67.27 80,438.00 73,125 6.73 7,312.55
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
72 KA-EN 3B 51 14,220.00 12,927.27 725,220.00 659,291 1,292.73 65,929.09

73 2,451.82 142,941.00 129,946 245.18 12,994.64
Ketorolac Inj. 30 mg 12 8,528.00 7,752.73 102,336.00 93,033 775.27 9,303.27
74

76 19.09 377,265.00 342,968 1.91 34,296.82
78 1,527.27 189,840.00 172,582 152.73 17,258.18
40 mg komb:
Kotrimoksazol 3,006 146.00 132.73 438,876.00 398,978 13.27 39,897.82
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
Lidokain komp. injeksi, Kombinasi: 11 1,485.00 1,350.00 16,335.00 14,850 135.00 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 280 1,200.00 1,090.91 336,000.00 305,455 109.09 30,545.45
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 50 170.00 154.55 8,500.00 7,727 15.45 772.73
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 450 169.00 153.64 76,050.00 69,136 15.36 6,913.64
93 Miconazole krim 51 3,150.00 2,863.64 160,650.00 146,045 286.36 14,604.55
94 Metoclopramide 10 mg 1,416 100.00 90.91 141,600.00 128,727 9.09 12,872.73
99 Nodiar 258 1,037.00 942.73 267,546.00 243,224 94.27 24,322.36
110 Omeprazol Kapsul 20 mg 1,140 221.00 200.91 251,940.00 229,036 20.09 22,903.64
113 Papaverin 697 128.00 116.36 89,216.00 81,105 11.64 8,110.55
117 Piroksikam 20 mg 1,762 92.00 83.64 162,104.00 147,367 8.36 14,736.73
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
132 Salisil Bedak 2 % 25 1,350.00 1,227.27 33,750.00 30,682 122.73 3,068.18
133 Salep 2-4 28 2,420.00 2,200.00 67,760.00 61,600 220.00 6,160.00
135 Simvastatin 10 mg 1,460 177.00 160.91 258,420.00 234,927 16.09 23,492.73
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
145 Yodium pov. Lar. 10 % 30 ml 7 4,375.00 3,977.27 30,625.00 27,841 397.73 2,784.09
146 Yodium pov. Lar. 10 % 60 ml 4 6,379.00 5,799.09 25,516.00 23,196 579.91 2,319.64
147 Yodium pov. Lar. 10 % 300 ml 4 14,700.00 13,363.64 58,800.00 53,455 1,336.36 5,345.45
149 - - 0 0.00 0.00
TOTAL 4,210,485 3,827,714 58,660,880.24 53,328,073 382,771.38 5,332,807.29

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 348 7,786.00 7,078.18 2,709,528.00 2,463,207.27 707.82 246,320.73
152 Abbocath No. 22 180 7,786.00 7,078.18 1,401,480.00 1,274,072.73 707.82 127,407.27
153 Abbocath No. 24 195 7,786.00 7,078.18 1,518,270.00 1,380,245.45 707.82 138,024.55
156 Alat suntik sekali pakai 1 ml 1,010 1,093.00 993.64 1,103,930.00 1,003,572.73 99.36 100,357.27
160 Bisturi 119 800.00 727.27 95,200.00 86,545.45 72.73 8,654.55
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 1,100 4,250.00 3,863.64 4,675,000.00 4,250,000.00 386.36 425,000.00
171 Kasa Steril 16 x 16 cm 12 8,500.00 7,727.27 102,000.00 92,727.27 772.73 9,272.73
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 240 1,125.00 1,022.73 270,000.00 245,454.55 102.27 24,545.45
Total alkes 1,657,247.00 1,506,588.18 19,987,410.00 18,170,372.73 150,658.82 3,586,824.55
Mengetahui Kendari, 30 Mei 2015


Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 30 APRIL 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 247 357.00 324.55 88,179.00 80,163 32.45 8,016.27

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
4 Albothyl Konsentrate - 32,900.00 29,909.09 - 0 2,990.91 0.00
8 Amlodipin 10 mg 1,360 352.00 320.00 478,720.00 435,200 32.00 43,520.00
14 Antasida sirup 26 2,213.00 2,011.82 57,538.00 52,307 201.18 5,230.73
16 Antifungi DOEN salep kombinasi 1 2,096.00 1,905.45 2,096.00 1,905 190.55 190.55
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 1 1,500.00 1,363.64 1,500.00 1,364 136.36 136.36
19 Asam Folat 1 mg 144 52.00 47.27 7,488.00 6,807 4.73 680.73
26 Biolisin smart syrup 13 9,900.00 9,000.00 128,700.00 117,000 900.00 11,700.00
29 Cetirizine tab 740 190.00 172.73 140,600.00 127,818 17.27 12,781.82
30 Cefadroxil 415 548.00 498.18 227,420.00 206,745 49.82 20,674.55
31 Cimetidin 200 mg 110 105.97 96.34 11,656.70 10,597 9.63 1,059.70
32 Ciprofloksacin 1,714 290.00 263.64 497,060.00 451,873 26.36 45,187.27
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
37 Dekstromethorfan syrp - 1,467.40 1,334.00 - 0 133.40 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
47 Erytromisin 500 mg 690 1,023.00 930.00 705,870.00 641,700 93.00 64,170.00
49 Etanol 70 % 1000 ml 2 20,000.00 18,181.82 40,000.00 36,364 1,818.18 3,636.36
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg - 698.00 634.55 - 0 63.45 0.00
59 Garam Oralit untuk 200 ml air 32 322.00 292.73 10,304.00 9,367 29.27 936.73
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 445 49.00 44.55 21,805.00 19,823 4.45 1,982.27
72 KA-EN 3B 22 14,220.00 12,927.27 312,840.00 284,400 1,292.73 28,440.00

73 2,451.82 29,667.00 26,970 245.18 2,697.00
Ketorolac Inj. 30 mg 7 8,528.00 7,752.73 59,696.00 54,269 775.27 5,426.91
74

76 19.09 24,990.00 22,718 1.91 2,271.82
78 1,527.27 73,920.00 67,200 152.73 6,720.00
40 mg komb:
Kotrimoksazol 963 146.00 132.73 140,598.00 127,816 13.27 12,781.64
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 122 1,200.00 1,090.91 146,400.00 133,091 109.09 13,309.09
87 Loratadine 10 mg 160 170.00 154.55 27,200.00 24,727 15.45 2,472.73
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 18 169.00 153.64 3,042.00 2,765 15.36 276.55
93 Miconazole krim 14 3,150.00 2,863.64 44,100.00 40,091 286.36 4,009.09
94 Metoclopramide 10 mg 75 100.00 90.91 7,500.00 6,818 9.09 681.82
97 Nistatin tablet vaginal 100.000 IU/g 27 407.00 370.00 10,989.00 9,990 37.00 999.00
99 Nodiar 266 1,037.00 942.73 275,842.00 250,765 94.27 25,076.55
113 Papaverin 424 128.00 116.36 54,272.00 49,338 11.64 4,933.82
117 Piroksikam 20 mg 238 92.00 83.64 21,896.00 19,905 8.36 1,990.55
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 85 70.00 63.64 5,950.00 5,409 6.36 540.91
132 Salisil Bedak 2 % 2 1,350.00 1,227.27 2,700.00 2,455 122.73 245.45
133 Salep 2-4 6 2,420.00 2,200.00 14,520.00 13,200 220.00 1,320.00
135 Simvastatin 10 mg 1,015 177.00 160.91 179,655.00 163,323 16.09 16,332.27
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. 4 24,800.00 22,545.45 99,200.00 90,182 2,254.55 9,018.18
138 Supra Livron 150 402.00 365.45 60,300.00 54,818 36.55 5,481.82
145 Yodium pov. Lar. 10 % 30 ml 4 4,375.00 3,977.27 17,500.00 15,909 397.73 1,590.91
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 250 496.50 451.36 124,125.00 112,841 45.14 11,284.09
149 - - 0 0.00 0.00
TOTAL 4,206,667 3,824,242 23,077,264.60 20,979,331 382,424.23 2,097,933.15

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 148 7,786.00 7,078.18 1,152,328.00 1,047,570.91 707.82 104,757.09
152 Abbocath No. 22 90 7,786.00 7,078.18 700,740.00 637,036.36 707.82 63,703.64
153 Abbocath No. 24 57 7,786.00 7,078.18 443,802.00 403,456.36 707.82 40,345.64
160 Bisturi 29 800.00 727.27 23,200.00 21,090.91 72.73 2,109.09
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
169 Kapas pembalut 250 gr 0 7,500.00 6,818.18 0.00 0.00 681.82 0.00
171 Kasa Steril 16 x 16 cm 3 8,500.00 7,727.27 25,500.00 23,181.82 772.73 2,318.18
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
Total alkes 1,657,247.00 1,506,588.18 6,805,403.00 6,186,730.00 150,658.82 1,222,311.91
Mengetahui Kendari, 30 April 2015


Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 31 MARET 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 322 357.00 324.55 114,954.00 104,504 32.45 10,450.36

2 Acyklovir Krim 28 2,367.00 2,151.82 66,276.00 60,251 215.18 6,025.09
8 Amlodipin 10 mg 790 352.00 320.00 278,080.00 252,800 32.00 25,280.00
12 Antimigren : Ergotamin-Coffein 36 149.00 135.45 5,364.00 4,876 13.55 487.64
14 Antasida sirup 119 2,213.00 2,011.82 263,347.00 239,406 201.18 23,940.64
19 Asam Folat 1 mg 265 52.00 47.27 13,780.00 12,527 4.73 1,252.73
26 Biolisin smart syrup 155 9,900.00 9,000.00 1,534,500.00 1,395,000 900.00 139,500.00
29 Cetirizine tab 140 190.00 172.73 26,600.00 24,182 17.27 2,418.18
30 Cefadroxil 1,192 548.00 498.18 653,216.00 593,833 49.82 59,383.27
31 Cimetidin 200 mg 230 105.97 96.34 24,373.10 22,157 9.63 2,215.74
32 Ciprofloksacin 2,390 290.00 263.64 693,100.00 630,091 26.36 63,009.09
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
47 Erytromisin 500 mg 950 1,023.00 930.00 971,850.00 883,500 93.00 88,350.00
49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 3 698.00 634.55 2,094.00 1,904 63.45 190.36
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
70 Kalsium Laktat (kalk) tablet 500 mg 530 69.00 62.73 36,570.00 33,245 6.27 3,324.55
72 KA-EN 3B 40 14,220.00 12,927.27 568,800.00 517,091 1,292.73 51,709.09

73 2,451.82 53,940.00 49,036 245.18 4,903.64
Ketorolac Inj. 30 mg 7 8,528.00 7,752.73 59,696.00 54,269 775.27 5,426.91
74

76 19.09 188,895.00 171,723 1.91 17,172.27
78 1,527.27 50,400.00 45,818 152.73 4,581.82
40 mg komb:
Kotrimoksazol 1,396 146.00 132.73 203,816.00 185,287 13.27 18,528.73
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 47 1,200.00 1,090.91 56,400.00 51,273 109.09 5,127.27
87 Loratadine 10 mg 245 170.00 154.55 41,650.00 37,864 15.45 3,786.36
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 300 169.00 153.64 50,700.00 46,091 15.36 4,609.09
93 Miconazole krim 11 3,150.00 2,863.64 34,650.00 31,500 286.36 3,150.00
99 Nodiar 270 1,037.00 942.73 279,990.00 254,536 94.27 25,453.64
113 Papaverin 572 128.00 116.36 73,216.00 66,560 11.64 6,656.00
117 Piroksikam 20 mg 297 92.00 83.64 27,324.00 24,840 8.36 2,484.00
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
128 Ringer Laktat larutan infus steril 1,275 5,720.00 5,200.00 7,293,000.00 6,630,000 520.00 663,000.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
132 Salisil Bedak 2 % 8 1,350.00 1,227.27 10,800.00 9,818 122.73 981.82
133 Salep 2-4 8 2,420.00 2,200.00 19,360.00 17,600 220.00 1,760.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg - 1,400.00 1,272.73 - 0 127.27 0.00
135 Simvastatin 10 mg 1,445 177.00 160.91 255,765.00 232,514 16.09 23,251.36
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. 5 24,800.00 22,545.45 124,000.00 112,727 2,254.55 11,272.73
138 Supra Livron 960 402.00 365.45 385,920.00 350,836 36.55 35,083.64
140 Tetrasiklin HCl kapsul 500 mg - 347.00 315.45 - 0 31.55 0.00
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 5 6,379.00 5,799.09 31,895.00 28,995 579.91 2,899.55
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
149 - - 0 0.00 0.00
TOTAL 4,206,667 3,824,242 34,463,485.76 31,330,442 382,424.23 3,133,044.16

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 210 7,786.00 7,078.18 1,635,060.00 1,486,418.18 707.82 148,641.82
152 Abbocath No. 22 276 7,786.00 7,078.18 2,148,936.00 1,953,578.18 707.82 195,357.82
153 Abbocath No. 24 105 7,786.00 7,078.18 817,530.00 743,209.09 707.82 74,320.91
160 Bisturi 41 800.00 727.27 32,800.00 29,818.18 72.73 2,981.82
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 250 4,250.00 3,863.64 1,062,500.00 965,909.09 386.36 96,590.91
166 Infusion set dewasa 160 6,778.00 6,161.82 1,084,480.00 985,890.91 616.18 98,589.09
171 Kasa Steril 16 x 16 cm 3 8,500.00 7,727.27 25,500.00 23,181.82 772.73 2,318.18
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 60 1,125.00 1,022.73 67,500.00 61,363.64 102.27 6,136.36
Total alkes 1,657,247.00 1,506,588.18 10,460,469.00 9,509,517.27 150,658.82 1,869,687.55
Mengetahui Kendari, 31 Maret 2015


Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
PER 28 FEBRUARI 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 377 357.00 324.55 134,589.00 122,354 32.45 12,235.36

2 Acyklovir Krim 34 2,367.00 2,151.82 80,478.00 73,162 215.18 7,316.18
8 Amlodipin 10 mg 520 352.00 320.00 183,040.00 166,400 32.00 16,640.00
14 Antasida sirup 97 2,213.00 2,011.82 214,661.00 195,146 201.18 19,514.64
19 Asam Folat 1 mg 520 52.00 47.27 27,040.00 24,582 4.73 2,458.18
26 Biolisin smart syrup 196 9,900.00 9,000.00 1,940,400.00 1,764,000 900.00 176,400.00
29 Cetirizine tab 315 190.00 172.73 59,850.00 54,409 17.27 5,440.91
30 Cefadroxil 749 548.00 498.18 410,452.00 373,138 49.82 37,313.82
31 Cimetidin 200 mg 280 105.97 96.34 29,671.60 26,974 9.63 2,697.42
32 Ciprofloksacin 1,044 290.00 263.64 302,760.00 275,236 26.36 27,523.64
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 252 250.00 227.27 63,000.00 57,273 22.73 5,727.27
47 Erytromisin 500 mg 140 1,023.00 930.00 143,220.00 130,200 93.00 13,020.00
49 Etanol 70 % 1000 ml 5 20,000.00 18,181.82 100,000.00 90,909 1,818.18 9,090.91
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. - 3,754.00 3,412.73 - 0 341.27 0.00
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
72 KA-EN 3B 60 14,220.00 12,927.27 853,200.00 775,636 1,292.73 77,563.64

73 2,451.82 78,213.00 71,103 245.18 7,110.27
Ketorolac Inj. 30 mg 11 8,528.00 7,752.73 93,808.00 85,280 775.27 8,528.00
74

76 19.09 328,944.00 299,040 1.91 29,904.00
78 1,527.27 25,200.00 22,909 152.73 2,290.91
40 mg komb:
Kotrimoksazol 1,990 146.00 132.73 290,540.00 264,127 13.27 26,412.73
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 100 1,200.00 1,090.91 120,000.00 109,091 109.09 10,909.09
87 Loratadine 10 mg 285 170.00 154.55 48,450.00 44,045 15.45 4,404.55
88 tablet salut 0,125 mg 153.64 66,586.00 60,533 15.36 6,053.27
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 449 169.00 153.64 75,881.00 68,983 15.36 6,898.27
93 Miconazole krim 28 3,150.00 2,863.64 88,200.00 80,182 286.36 8,018.18
99 Nodiar 302 1,037.00 942.73 313,174.00 284,704 94.27 28,470.36
113 Papaverin 742 128.00 116.36 94,976.00 86,342 11.64 8,634.18
117 Piroksikam 20 mg 888 92.00 83.64 81,696.00 74,269 8.36 7,426.91
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
132 Salisil Bedak 2 % 19 1,350.00 1,227.27 25,650.00 23,318 122.73 2,331.82
133 Salep 2-4 13 2,420.00 2,200.00 31,460.00 28,600 220.00 2,860.00
135 Simvastatin 10 mg 1,780 177.00 160.91 315,060.00 286,418 16.09 28,641.82
136 Suldox tab 73 520.30 473.00 37,981.90 34,529 47.30 3,452.90
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron 1,120 402.00 365.45 450,240.00 409,309 36.55 40,930.91
145 Yodium pov. Lar. 10 % 30 ml 9 4,375.00 3,977.27 39,375.00 35,795 397.73 3,579.55
146 Yodium pov. Lar. 10 % 60 ml 5 6,379.00 5,799.09 31,895.00 28,995 579.91 2,899.55
147 Yodium pov. Lar. 10 % 300 ml 2 14,700.00 13,363.64 29,400.00 26,727 1,336.36 2,672.73
149 - - 0 0.00 0.00
TOTAL 4,206,667 3,824,242 37,709,960.78 34,281,783 382,424.23 3,428,178.25

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 40 7,786.00 7,078.18 311,440.00 283,127.27 707.82 28,312.73
152 Abbocath No. 22 174 7,786.00 7,078.18 1,354,764.00 1,231,603.64 707.82 123,160.36
153 Abbocath No. 24 50 7,786.00 7,078.18 389,300.00 353,909.09 707.82 35,390.91
159 Alat suntik sekali pakai 5 ml 0 944.00 858.18 0.00 0.00 85.82 0.00
160 Bisturi 51 800.00 727.27 40,800.00 37,090.91 72.73 3,709.09
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
171 Kasa Steril 16 x 16 cm 5 8,500.00 7,727.27 42,500.00 38,636.36 772.73 3,863.64
172 Kasa 40 x 80 cm 2 145,650.00 132,409.09 291,300.00 264,818.18 13,240.91 26,481.82
173 Masker 140 1,125.00 1,022.73 157,500.00 143,181.82 102.27 14,318.18
Total alkes 1,657,247.00 1,506,588.18 8,248,922.00 7,499,020.00 150,658.82 1,480,474.45
Mengetahui Kendari, 28 Februari 2015


Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
PUSKESMAS LEPO-LEPO
JL.CRISTINA MARTHA TIAHAHU
PER 31 JANUARI 2015
1 2 3 4 5 6 7 8 9
1 Acyclovir 400 mg 140 357.00 324.55 49,980.00 45,436 32.45 4,543.64

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 4 2,700.00 2,454.55 10,800.00 9,818 245.45 981.82
8 Amlodipin 10 mg 160 352.00 320.00 56,320.00 51,200 32.00 5,120.00
13 Antasida Doen Tab. Strip 640 73.12 66.47 46,796.80 42,543 6.65 4,254.25
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
19 Asam Folat 1 mg 190 52.00 47.27 9,880.00 8,982 4.73 898.18
26 Biolisin smart syrup 3 9,900.00 9,000.00 29,700.00 27,000 900.00 2,700.00
28 Captopril tablet 12,5 mg - 90.00 81.82 - 0 8.18 0.00
29 Cetirizine tab 130 190.00 172.73 24,700.00 22,455 17.27 2,245.45
30 Cefadroxil 420 548.00 498.18 230,160.00 209,236 49.82 20,923.64
31 Cimetidin 200 mg 284 105.97 96.34 30,095.48 27,360 9.63 2,735.95
32 Ciprofloksacin 682 290.00 263.64 197,780.00 179,800 26.36 17,980.00
33 Darplex 1 3,947.00 3,588.18 3,947.00 3,588 358.82 358.82
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
43 Doxycyclin 100 mg 252 250.00 227.27 63,000.00 57,273 22.73 5,727.27
45 Ekstrak belladon 10 mg - 43.00 39.09 - 0 3.91 0.00
47 Erytromisin 500 mg 180 1,023.00 930.00 184,140.00 167,400 93.00 16,740.00
48 Etakridin ( Rivanol ) larutan 0,1% - 2,354.00 2,140.00 - 0 214.00 0.00
49 Etanol 70 % 1000 ml 1 20,000.00 18,181.82 20,000.00 18,182 1,818.18 1,818.18
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 8 698.00 634.55 5,584.00 5,076 63.45 507.64
65 Glukosa 5 % 20 5,566.00 5,060.00 111,320.00 101,200 506.00 10,120.00
72 KA-EN 3B 20 14,220.00 12,927.27 284,400.00 258,545 1,292.73 25,854.55

73 2,451.82 86,304.00 78,458 245.18 7,845.82
74 Ketorolac Inj. 30 mg 12 8,528.00 7,752.73 102,336.00 93,033 775.27 9,303.27


76 19.09 47,019.00 42,745 1.91 4,274.45
77 Kloroquin fosfat tab 250mg 1,000 22.40 20.36 22,400.00 20,364 2.04 2,036.36
78 1,527.27 6,720.00 6,109 152.73 610.91
79 143 2,298.00 2,089.09 328,614.00 298,740 208.91 29,874.00
+ Trimetoprim tablet
Kotrimoksazol 40 mg /komb:
5 ml Sulfametoksazol 400 mg
80 490 146.00 132.73 71,540.00 65,036 13.27 6,503.64
+ Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82 Lidokain komp. injeksi, Kombinasi: 1,350.00 81,675.00 74,250 135.00 7,425.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml 55 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 70 1,200.00 1,090.91 84,000.00 76,364 109.09 7,636.36
87 Loratadine 10 mg 325 170.00 154.55 55,250.00 50,227 15.45 5,022.73
88 tablet salut 0,125 mg 153.64 15,886.00 14,442 15.36 1,444.18
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 305 169.00 153.64 51,545.00 46,859 15.36 4,685.91
93 Miconazole krim 40 3,150.00 2,863.64 126,000.00 114,545 286.36 11,454.55
99 Nodiar 354 1,037.00 942.73 367,098.00 333,725 94.27 33,372.55
109 Oksitosin injeksi 10 IU/ml - 1 ml - 3,300.00 3,000.00 - 0 300.00 0.00
113 Papaverin 369 128.00 116.36 47,232.00 42,938 11.64 4,293.82
116 Piridoksin HCl (Vit.B6) tablet 10 mg 836 28.16 25.60 23,541.76 21,402 2.56 2,140.16
117 Piroksikam 20 mg 312 92.00 83.64 28,704.00 26,095 8.36 2,609.45
120 Primaquin 15mg 126 108.05 98.23 13,614.30 12,377 9.82 1,237.66
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml - 1,340.00 1,218.18 - 0 121.82 0.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
132 Salisil Bedak 2 % 8 1,350.00 1,227.27 10,800.00 9,818 122.73 981.82
133 Salep 2-4 21 2,420.00 2,200.00 50,820.00 46,200 220.00 4,620.00
135 Simvastatin 10 mg 120 177.00 160.91 21,240.00 19,309 16.09 1,930.91
136 Suldox tab 73 520.30 473.00 37,981.90 34,529 47.30 3,452.90
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron 1,230 402.00 365.45 494,460.00 449,509 36.55 44,950.91
145 Yodium pov. Lar. 10 % 30 ml - 4,375.00 3,977.27 - 0 397.73 0.00
146 Yodium pov. Lar. 10 % 60 ml 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
149 - - 0 0.00 0.00
TOTAL 4,206,667 3,824,242 16,362,192.33 14,874,720 382,424.23 1,487,472.03

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09
151 Abbocath No. 20 90 7,786.00 7,078.18 700,740.00 637,036.36 707.82 63,703.64
152 Abbocath No. 22 29 7,786.00 7,078.18 225,794.00 205,267.27 707.82 20,526.73
153 Abbocath No. 24 102 7,786.00 7,078.18 794,172.00 721,974.55 707.82 72,197.45
158 Alat suntik sekali pakai 3 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
160 Bisturi 74 800.00 727.27 59,200.00 53,818.18 72.73 5,381.82
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
169 Kapas pembalut 250 gr 0 7,500.00 6,818.18 0.00 0.00 681.82 0.00
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
Total alkes 0 1,657,247.00 1,506,588.18 4,305,138.00 3,913,761.82 150,658.82 391,376.18
Mengetahui Kendari, 31 Januari 2015

Kepala Puskesmas Lepo - leppo Pengelola Obat
Dr. Putu Agustin Kusumawati Hj Ika Idrus SKM

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017

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DINAS KESEHATAN KOTA KENDARI

1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00

TOTAL 3,969,075 3,608,250 21,001,656.90 19,092,415 360,824.99 1,909,241.54

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

Total alkes 1,657,247.00 1,506,588.18 1,432,176.00 1,301,978.18 150,658.82 256,100.18

TOTAL KESELURUHAN 5,626,321.94 5,114,838.13 22,433,832.90 20,394,394 511,483.81 2,165,341.72

Mengetahui Kendari, 31 Desember 2015

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00

129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00

TOTAL 3,969,034 3,608,213 20,989,503.90 19,081,367 360,821.31 1,908,136.72

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

TOTAL KESELURUHAN 5,626,281.43 5,114,801.30 22,421,679.90 20,383,345 511,480.13 2,164,236.90

Mengetahui Kendari, 31 Desember 2015

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

1 Acyclovir 400 mg 170 357.00 324.55 60,690.00 55,173 32.45 5,517.27

31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00

TOTAL 3,964,234 3,603,849 14,729,797.90 13,390,725 360,384.90 1,339,072.54

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

Total alkes 1,657,247.00 1,506,588.18 489,393.00 444,902.73 150,658.82 84,685.09

TOTAL KESELURUHAN 5,621,480.94 5,110,437.22 15,219,190.90 13,835,628 511,043.72 1,423,757.63

Mengetahui Kendari, 31 Desember 2015

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

1 Acyclovir 400 mg 407 357.00 324.55 145,299.00 132,090 32.45 13,209.00

Ketokonasol Cream 38 2,697.00

Klorfeniramin Maleat (CTM) tab. 4 mg 15,660 21.00

TOTAL 3,964,234 3,603,849 53,181,616.43 48,346,924 360,384.90 4,834,692.40

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

TOTAL KESELURUHAN 5,621,480.94 5,110,437.22 62,107,007.43 56,460,916 511,043.72 6,429,570.31

Mengetahui Kendari, 30 September 2015

Dr. Jeni Arni H.T Hj Ika Idrus

1 Acyclovir 400 mg 552 357.00 324.55 197,064.00 179,149 32.45 17,914.91

Ketokonasol Cream 49 2,697.00

Klorfeniramin Maleat (CTM) tab. 4 mg 22,665 21.00

TOTAL 4,188,641 3,807,855 60,105,550.08 54,641,409 380,785.54 5,464,140.92

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

TOTAL KESELURUHAN 5,845,887.91 5,314,443.55 77,253,252.08 70,230,229 531,444.36 8,530,359.46

Mengetahui Kendari, 31 Agustus 2015

Dr. Jeni Arni H.T Hj Ika Idrus

1 Acyclovir 400 mg 307 357.00 324.55 109,599.00 99,635 32.45 9,963.55

Ketokonasol Cream 32 2,697.00

Klorfeniramin Maleat (CTM) tab. 4 mg 5,080 21.00

TOTAL 4,188,641 3,807,855 37,478,263.32 34,071,148 380,785.54 3,407,114.85

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

TOTAL KESELURUHAN 5,845,887.91 5,314,443.55 46,710,648.32 42,464,226 531,444.36 5,072,843.94

Mengetahui Kendari, 31 Juli 2015

Dr. Jeni Arni H.T Hj Ika Idrus

1 Acyclovir 400 mg 472 357.00 324.55 168,504.00 153,185 32.45 15,318.55

Ketokonasol Cream 39 2,697.00

Klorfeniramin Maleat (CTM) tab. 4 mg 10,265 21.00

TOTAL 4,196,188 3,814,716 50,369,760.81 45,790,692 381,471.63 4,579,069.16

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

TOTAL KESELURUHAN 5,853,434.91 5,321,304.46 64,892,216.81 58,992,924 532,130.45 7,178,708.89