Lampiran Berita Acara Stok Opname Obat Semester 1 per 30 Juni 2017

Puskesmas Campakamulya Kabupaten Cianjur Tahun 2017

PENERIMAAN

Harga OAT
NO Nama Obat Satuan Harga 1 Jan-30 Juni 2017
Revisi

Barang Rupiah Barang 2017

1 Acyclovir tab 200mg TABLET 237.00 0 -
2 Acyclovir tab 400mg TABLET 345.00 700 241,500
3 Air Raksa Dental Use BOTOL 220,000.00 0 -
4 Alat Suntik Sekali Pakai 1 ml SET 748.00 0 -
5 Alat Suntik Sekali Pakai 10 ml Buah 1,188.00 40 47,520
6 Alat Suntik Sekali Pakai 3 ml SET 748.00 2100 1,570,800
7 Alat Suntik Sekali Pakai 5 ml SET 847.00 900 762,300
8 Albendazol tab TABLET 338.00 0 -
9 Alkohol Swab KOTAK 10,000.00 0 -
10 Alopurinol Tablet 100 mg TABLET 86.00 1200 103,200
11 Ambroxol syrup 15mg/5ml BOTOL 3,251.00 48 156,048
12 Ambroxol tab 30 mg TABLET 125.00 0 -
13 Aminofilin Injeksi 24 mg/ ml AMPUL 3,822.00 30 114,660
14 Aminofilin Tablet 200 mg TABLET 90.00 0 -
15 Amitriptilin HCL 25 mg TABLET 112.00 0 -
16 Amlodipin Tablet 10 mg TABLET 330.00 1620 534,600
17 Amlodipin Tablet 5 mg TABLET 187.00 1200 224,400
18 Amoksisilin 250 mg KAPSUL 211.00 0 -
19 Amoksisilin 500 mg TABLET 272.00 18000 4,896,000
20 Amoksisilin + Asam Klavulanat TABLET 5,051.00 0 -
21 Amoksisilin Syrup 125 mg/ 5 ml BOTOL 2,445.00 0 -
22 Ampisilin Kaplet 500 mg Kaplet 381.00 0 -
23 Ampisillin Serbuk 1.000 mg injeksi VIAL 5,100.00 0 -
24 Antalgin Injeksi 250 mg/ ml AMPUL 1,200.00 0 -
25 Antalgin tab (Metampiron) 500 mg TABLET 124.22 0 -
26 Antasida DOEN I tablet kunyah TABLET 75.00 12800 960,000
27 Antasida DOEN II suspensi, Botol 2,100.00 750 1,575,000
28 Anti Bakteri DOEN salep kombinasi TUBE 2,516.00 0 -
29 Anti fungi DOEN Kombinasi POT 1,904.00 288 548,352
30 Anti Hemoroid Doen Kombinasi SUP 3,045.00 0 -
31 Antihemoroid Kapsul Kapsul 1,474.77 0 -
32 Antimigren tablet: Ergotamin Tartrat 1 mg + Ko TABLET 135.00 0 -
33 Aqua Proinjeksi Steril VIAL 1,400.00 0 -
34 Asam Asetil Salisilat Tablet 100mg TABLET 116.00 0 -
35 Asam Askorbat 50 mg TABLET 95.00 0 -
36 Asam Mefenamat 500 mg TABLET 200.64 5500 1,103,520
37 Asam Traneksamat injeksi 100 mg/ml Ampul 3,334.00 0 -
38 Atropin Sulfat Injeksi 0,25 mg AMPUL 1,350.00 0 -
39 Bekarbon TABLET 36.52 0 -
40 Benzatin B. P. Injek 2,4 juta UI VIAL 13,400.00 0 -
41 Betametason Krim 0,1 %- 5 mg TUBE 1,520.00 425 646,000
42 Bisakodil Suppositoria 10 mg Supp 6,045.00 0 -
43 Bisakodil Suppositoria 5 mg Supp 4,990.00 0
44 Bisaprolol tab 5mg TABLET 645.00 0 -
45 Bromhexin Syrup Botol 6,050.00 0 -
46 Bromhexin Tablet 8 mg TABLET 50.07 0 -
47 Ca-Glukonas injeksi IV 10% Ampul 7,800.00 0 -
48 Captopril Tablet 25 mg TABLET 80.00 5500 440,000
49 Catgut Chromic No.2/0 Sachet 5,583.33 24 134,000
50 Catgut Chromic No.3/0 Sachet 5,583.33 48 268,000
51 Catgut plain No.2/0 Sachet 5,583.33 0 -
52 Catgut Plain No.3/0 Sachet 5,583.33 24 134,000
53 Cefadroxil Kapsul 500 mg KAPSUL 509.00 5300 2,697,700
54 Cetirizin Tablet 10mg TABLET 181.00 2100 380,100
55 Cimetidine Tablet 200 mg TABLET 108.00 0 -
56 Clindamycin Kapsul 150mg KAPSUL 361.00 0 -
57 Clindamycin Kapsul 300mg KAPSUL 553.00 0 -
58 Clobazam Tablet 10 mg TABLET 900.00 0 -
59 Clozapin 25 mg TABLET 1,550.00 0 -
60 Codein 20 mg TABLET 1,100.00 0 -
61 Cyprofloxacin Tablet 500 mg TABLET 255.00 3200 816,000
62 Deksametason Injeksi 5 mg/ ml AMPUL 1,580.00 600 948,000
63 Deksametason Tablet 0,5 mg TABLET 68.00 4700 319,600
64 Devitalisasi Pasa Non Arsen BOTOL 390,000.00 0 -
65 Dextran 6% BOTOL 35,526.00 0 -
66 Diazepam Injeksi 5 mg/ ml- 2 ml AMPUL 3,300.00 0 -
67 Diazepam Rectal Tube 5mg Tube 11,525.00 0 -
68 Diazepam Tablet 2 mg TABLET 50.00 1200 60,000
69 Diazepam Tablet 5 mg TABLET 90.00 0 -
70 Difenhidramin HCL Injeksi AMPUL 1,054.00 0 -
71 Digoxin 0,25 mg TABLET 97.00 0 -
72 Domperidon Syrup Botol 3,333.00 250 833,250
73 Domperidon Tablet 10mg TABLET 167.00 300 50,100
74 Doxycilkin 100 mg kapsul KAPSUL 220.00 0 -
75 Efedrin HCL 25 mg TABLET 42.60 0 -
76 Ekstrak Belladone 10 mg TABLET 38.00 0 -
77 Epinefrin (Adrenalin) injeksi 0,1 % AMPUL 8,100.00 30 243,000
78 Eritromisin sirup 200 mg/ 5 ml BOTOL 7,700.00 90 693,000
79 Erythromicin 250 mg KAPSUL 497.00 0 -
80 Erythromicin 500 mg KAPSUL 930.00 3400 3,162,000
81 Etakridine ( Rivanol ) 0,1 % BOTOL 2,550.00 5 12,750
82 Etambutol 500 mg TABLET 545.00 0 -
83 Etanol 70 % 100 ml BOTOL 2,500.00 100 250,000
84 Etanol 70 % 1000 ml BOTOL 21,500.00 21 451,500
85 Etil Klorida Semprot BOTOL 114,400.00 2 228,800
86 Eugenol Cairan BOTOL 16,667.00 0 -
87 Extrak Plasenta dan Neomisin Jeli tuBE 9,500.00 0 -
88 Fenilbutazone Tablet 200 mg TABLET 97.00 0 -
89 Fenobarbital Injeksi 50 mg/ ml AMPUL 1,800.00 0 -
90 Fenobarbital Tablet 30 mg TABLET 90.00 500 45,000
91 Fenoksimetil Penisilina 250 mg TABLET 272.00 0 -
92 Fenoksimetil Penisilina 500 mg TABLET 465.00 1000 465,000
93 Fenolgliserol TT 10 % 5 ml BOTOL 2,042.00 0 -
94 Fitomenadion Injeksi 10 mg/ ml AMPUL 1,548.77 0 -
95 Fitomenadion Injeksi 2 mg/ ml AMPUL 8,250.00 360 2,970,000
96 Fitomenadion Salut Gula 10 mg TABLET 634.00 300 190,200
97 Fluoksetin 10 mg TABLET 419.00 0 -
98 Folley Catheter No. 18 Buah 8,000.00 0 -
99 Folley Catheter No. 20 Buah 8,000.00 0 -
100 Forinokresol (TKF) 10 ml BOTOL 49,500.00 0 -
101 Furosemid Tablet 40 mg TABLET 85.00 500 42,500
102 Garam Oralit 200 ml Air SASE 275.00 2500 687,500
103 Gentamisin injeksi 40 mg/ ml AMPUL 3,399.00 0 -
104 Gentamisin Salep Kulit 0.1% TUBE 1,800.00 0 -
105 Gentian Violet Larutan 1 % 10 ml BOTOL 1,750.00 0 -
106 Glass Ionomer Cement ( Fuji GC IX ) BOTOL 442,200.00 0 -
107 Glibenklamid 5 mg TABLET 56.00 0 -
108 Gliseril Guayakolat 100 mg TABLET 27.90 0 -
109 Gliseril Guayakolat Syrup Botol 6,470.00 0 -
110 Gliserin lar. 5% BOTOL 100ml 5,333.00 0 -
111 Glukosa Larutan Infus 10% Steril BOTOL 5,700.00 0 -
112 Glukosa Larutan Infus 40% Steril VIAL 14,524.00 0 -
113 Glukosa Larutan Infus 5% Steril BOTOL 5,200.00 20 104,000
114 Griseofulvin 125 mg, micronized TABLET 219.00 0 -
115 Haloperidol 0,5mg TABLET 59.00 0 -
116 Haloperidol 1,5 mg TABLET 69.00 0 -
117 Haloperidol 5 mg TABLET 96.00 0 -
118 Haloperidol injeksi 5 mg/ml AMPUL 6,250.00 0 -
119 Haloperidol injeksi 50 mg/ml AMPUL 83,333.00 0 -
120 Hand Sanitizer Botol 23,650.00 10 236,500
121 Hidrogen Peroksida Lar. 3 % BOTOL 100 ml 4,730.00 0 -
122 Hidroklorotiazid ( HCT ) 25 mg TABLET 48.00 0 -
123 Hidrokortison Krim 2,5 % TUBE 2,798.00 432 1,208,736
124 Hyoscine N Butilbromide 10 mg TABLET 405.00 0 -
125 Ibuprofen 200 mg TABLET 110.00 0 -
126 Ibuprofen 400 mg TABLET 149.00 5000 745,000
127 Ibuprofen suspensi 200mg/5ml BOTOL 4,499.00 0 -
128 Infusion Set Anak SET 7,920.00 150 1,188,000
129 Infusion Set Dewasa SET 6,435.00 180 1,158,300
130 Isoniazid 300 mg TABLET 139.00 0 -
131 Isosorbid dinitrat 5 mg TABLET 88.00 100 8,800
132 IV Catheter/abocath No. 18 Buah 7,700.00 85 654,500
133 IV Catheter/abocath No. 20 Buah 7,700.00 180 1,386,000
134 IV Catheter/abocath No.22 Buah 7,700.00 180 1,386,000
135 IV Catheter/abocath No.24 Buah 7,700.00 180 1,386,000
136 Kalium Diklofenak(Flamigra) TABLET 425.00 0 -
137 Kalsium Hidroksida Pasta KOTAK 100,100.00 0 -
138 Kalsium Laktat 500 mg TABLET 52.00 500 26,000
139 Kapas Pembalut 250 mg ROL 24,000.00 0 -
140 Karbamazepin 200 mg TABLET 245.00 0 -
141 Kasa Kompres 16x16 steril KOTAK 7,900.00 0 -
142 Kasa Pembalut 36 mx 80 cm ROL 130,000.00 8 1,040,000
143 Kasa Pembalut Hidrofil 4 m x 10 cm ROL 2,300.00 140 322,000
144 Kasa Pembalut Hidrofil 4 m x 5 cm ROL 1,100.00 140 154,000
145 Ketokonazol 200 mg TABLET 300.00 600 180,000
146 Ketokonazol Krim 2 % Tube 15 g 2,569.00 275 706,475
147 Kloramfenikol 250 mg KAPSUL 249.00 2200 547,800
148 Kloramfenikol SM TUBE 1,600.00 264 422,400
149 Kloramfenikol TM 0.5 % 5 ml BOTOL 4,400.00 25 110,000
150 Kloramfenikol TT 3 % 5 ml BOTOL 1,599.00 0 -
151 Klorfeniramin Maleat (CTM) 4 mg TABLET 51.00 1000 51,000
152 Klorfenol kamfer Mentol(CHKM) Cairan BOTOL 55,000.00 0 -
153 Klorin Cair Lar. 5% BOTOL 28,380.00 0 -
154 Klorpromazine tab 100mg TABLET 133.00 0 -
155 Klorpromazine tab 25mg TABLET 68.00 0 -
156 Komb : Pirimetamin+sulfadoxin TABLET 478.00 0 -
157 Komposit Resin Botol 10 ml 370,700.00 0 -
158 Kontrasepsi injek depo/ KB 3 bln vial 6,124.98 0 -
159 Kontrasepsi Oral (Pil KB) Blister 2,089.00 0 -
160 Kotrimoksazole Suspensi BOTOL 2,145.00 600 1,287,000
161 Kotrimoksazole Tablet Dewasa TABLET 149.00 0 -
162 Larutan Benedict 100 ml BOTOL 29,040.00 0 -
163 Larutan Eosin 2 % 100 ml BOTOL 260,150.00 0 -
164 Larutan Etanol asam 100 ml BOTOL 68,640.00 0 -
165 Larutan Giemsa stain 100 ml BOTOL 523,380.00 0 -
166 Larutan Iodine Test BOTOL 6,930.00 0 -
167 Larutan Karbol Fuksin 100 ml BOTOL 67,540.00 0 -
168 Larutan Metilen Biru BOTOL 68,640.00 0 -
169 Larutan Turk BOTOL 35,310.00 0 -
170 Laxadin Syrup Botol 12,450.00 0 -
171 Levertrans Salep POT 2,000.00 0 -
172 Lidokain Injeksi 2% AMPUL 839.00 150 125,850
173 Lidokain Jeli 2% Syringe 10 g 40,000.00 0 -
174 Lidokain Komp Injeksi AMPUL 2,957.40 260 768,925
175 Lisol BOTOL 1000ML 41,000.00 0 -
176 Loratadin tab 10mg TABLET 154.00 0 -
177 Lubricating Jeli (Aquagel) Tube 34,528.00 10 345,280
178 Magnesium Sulfat Injeksi 20 % VIAL 2,078.00 0 -
179 Magnesium Sulfat Injeksi 40 % VIAL 2,629.00 0 -
180 Masker 3 Fly earloop Box @ 50 1,100.00 0 -
181 Masker N95 Single valve Buah 7,920.00 0 -
182 Mebendazol tablet 100mg TABLET 210.00 0 -
183 Meloxicam 15mg TABLET 1,199.00 0 -
184 Metformin HCl Tablet 500mg TABLET 112.50 200 22,500
185 Metil Prednisolon 4 mg TABLET 205.00 0 -
186 Metildopa tab sal 250 mg TABLET 800.00 0 -
187 Metilergometrin Maleat Inj. 0,200 AMPUL 1,500.00 0 -
188 Metilergometrin Maleat tab 0,125 mg TABLET 154.00 800 123,200
189 Metisoprinol TABLET 3,135.00 0 -
190 Metoklopramide 10 mg TABLET 110.00 1300 143,000
191 Metoklopramide Drop 5mg/ml BOTOL 12,132.00 0 -
192 Metoklopramide injeksi 5mg/ml AMPUL 960.00 0 -
193 Metoklopramide syrup 5mg/ml BOTOL 2,600.00 0 -
194 Metronidazol Larutan infus 5mg/ml BOTOL 9,950.00 0 -
195 metronidazol ovula Ovula 3,850.00 0 -
196 Metronidazol suppositoria 500mg Supp 3,220.00 0 -
197 Metronidazole 250 mg TABLET 110.00 0 -
198 Metronidazole 500 mg TABLET 160.00 0 -
199 Mikonazol krim 2% TUBE 3,000.00 0 -
200 Mometason Furoat Krim 0.1% Tube 10g 17,820.00 170 3,029,400
201 Multivitamin Syrup Botol 6,500.00 0 -
202 Multivitamin tablet Caplet 672.46 1800 1,210,424
203 Mummifying Fasta BOTOL 100,430.00 0 -
204 Narium Tiroksin 100 µg TABLET 1,550.00 0 -
205 Natrium Bikarbonat 500 mg TABLET 19.00 100 1,900
206 Natrium bikarbonat injeksi VIAL 6,200.00 0 -
207 Natrium Diklofenak 50 mg TABLET 200.00 900 180,000
208 Natrium Fusidat Krim tube 6,490.00 0 -
209 Natrium Klorida Infus 0,9 % Steril BOTOL 4,700.00 60 282,000
210 Nipedifin 10 mg TABLET 100.00 1400 140,000
211 Nistatin 100.000 IU/ Gram Vaginal TABLET 480.00 40 19,200
212 OAT FDC 1,3 PAKET 288,199.00 359,900.00 0 -
213 OAT Kategori 1 PAKET 288,199.00 0 -
214 OAT Kategori 2/FDC 2 PAKET 1,199,990.00 0 -
215 OAT Kategori 3 PAKET 154,000.00 0 -
216 OAT Kategori Anak PAKET 214,900.00 0 -
217 OAT Sisipan PAKET 160,000.00 0 -
218 Obat Batuk Hitam ( OBH ) 100 ml BOTOL 4,180.00 0 -
219 Obat Batuk Pilek Kombinasi Syrup BOTOL 7,403.00 240 1,776,720
220 Obat Batuk Pilek Kombinasi Tablet TABLET 797.50 0 -

221 Obat Diare Syrup (Kombinasi Attapulgit

700mg + Pektin 66 mg per 15 ml) TABLET 5,000.00 264 1,320,000
222 Obat Diare Tablet TABLET 413.00 0 -
223 Obat Flu Kombinasi Tablet TABLET 790.00 500 395,000
224 Ofloxacin tab 400mg TABLET 650.00 0 -
225 Oksigen Kaleng Botol 38,940.00 0 -
226 Oksimetazolin Tetes Hidung 0,025% Botol 27,550.00 0 -
227 Oksitetrasiklin HCL Inj 1m 50 mg VIAL 3,488.00 0 -
228 Oksitetrasiklin HCL SK 1 % 3,5 Gr TUBE 1,529.00 0 -
229 Oksitetrasiklin HCL SM 1 % 3,5 Gr TUBE 1,600.00 0 -
230 Oksitosin Injeksi 10 IU/ ml AMPUL 1,900.00 100 190,000
231 Omeprazol injeksi 40 mg/ 10 ml AMPUL 36,000.00 0 -
232 Omeprazol Kapsul 20 mg KAPSUL 211.00 300 63,300
233 Ondansetron 4 mg TABLET 716.00 0 -
234 Ondansetron inj 4 mg/ 2 mL Ampul 2,400.00 0 -
235 Papaverin 40 mg/ ml injeksi AMPUL 1,150.00 0 -
236 Parasetamol Drops BOTOL 5,200.00 0 -
237 Parasetamol Syrup 120 mg/ ml BOTOL 1,438.00 1300 1,869,400
238 Parasetamol tablet 100 mg TABLET 73.26 0 -
239 Parasetamol tablet 500 mg TABLET 89.00 18000 1,602,000
240 Pembalut Gips Rol 42,000.00 0 -
241 Permetrin Krim 5% (Scabimite) TUBE 12,155.00 180 2,187,900
242 Pirantel Pamoat 125 mg TABLET 296.00 0 -
243 Pirantel Suspensi 125mg/5ml BOTOL 8,360.00 0 -
244 Piridoksin HCL 10 mg TABLET 118.00 0 -
245 Piroxicam 20 mg KAPSUL 91.96 0 -
246 Plester 6 Yards x 2 Inch ROL 35,532.00 28 994,896
247 Polikresulen 360 mg 10 ml BOTOL 17,393.00 0 -
248 Povidon Iodida 10 % 30 ml BOTOL 2,163.00 180 389,340
249 Povidon Iodida 10 % 300 ml BOTOL 14,203.00 14 198,842
250 PP test Buah 781.00 0 -
251 Prednison 5 mg TABLET 150.50 1300 195,650
252 Prokain Benzil Penisili 3 Jt IU VIAL 7,290.00 0 -
253 Propiltiourasil tablet 100mg TABLET 290.00 0 -
254 Propranolol HCL 40 mg TABLET 106.00 0 -
255 Pyrazinamide 500 mg TABLET 206.00 0 -
256 Ranitidin Injek Ampul 1,140.00 200 228,000
257 Ranitidin tablet 150mg TABLET 120.00 2300 276,000
258 Reserpin 0,25 mg TABLET 88.00 0 -
259 Retinol (Vit. A) 100.000 IU KAPSUL 260.00 0 -
260 Retinol (Vit. A) 200.000 IU KAPSUL 459.00 0 -
261 Rifampisin 300 mg KAPSUL 501.00 0 -
262 Rifampisin 450 mg KAPSUL 790.00 0 -
263 Rifampisin 600 mg KAPSUL 1,100.00 0 -
264 Risperidon Tablet 2 mg TABLET 1,008.00 0 -
265 RL Larutan infus Steril 500ml BOTOL 5,200.00 540 2,808,000
266 Sacharum Lactis kaleng 344,740.00 0 -
267 Salbutamol 2 mg TABLET 59.00 2000 118,000
268 Salbutamol 4 mg TABLET 97.00 0 -
269 Salbutamol Cairan inhalasi 0,1 % Botol plastik 6,600.00 10 66,000

270 Salbutamol Inhalasi /Aerosol 100 mcg/dosis Dus, botol 200

(Ventolin inh) dosis 63,750.00 0 -
271 Salep 2-4 Komb. POT 2,429.00 240 582,960
272 Salisil Bedak 2 % 50 Gram KOTAK 1,250.00 200 250,000
273 Sarung tangan Gynecology Pasang 12,980.00 0 -
274 Sarung tangan No. 6.5 Pasang 5,000.00 160 800,000
275 Sarung tangan No. 7 Pasang 5,000.00 170 850,000
276 Sarung tangan No. 7.5 Pasang 5,000.00 0 -
277 Sarung Tangan Periksa L Buah 462.00 400 184,800
278 Sarung Tangan Periksa M Buah 462.00 0 -
279 Sefiksim syrup kering 100mg/5ml BOTOL 8,800.00 144 1,267,200
280 Sefixime 100 mg TABLET 841.48 0 -
281 Semen Seng Fosfat Serbuk + Cair BOTOL 247,170.00 0 -
282 Serum ABU Injek. 5 ml (ABU I ) VIAL 5 ml 468,270.00 0 -
283 Serum ADS 20.000 iu VIAL 5 ml 945,252.00 0 -
284 Serum ATS Injek. 1.500 IU AMPUL 125,235.00 0 -
285 Serum ATS Injek. 20.000 IU VIAL 525,000.00 0 -
286 Sianokobalamin Injeksi 500mcg/ ml AMPUL 1,078.00 500 539,000
287 Silk No 3/0( Benang Bedah Sutera) SACHET 6,600.00 111 732,600
288 Silver Amalgam serbuk 65-75 % BOTOL 200,000.00 0 -
289 Simvastatin 10mg TABLET 169.00 500 84,500
290 Stomach Tube No. 12 Buah 3,718.00 0 -
291 Strip Test Asam Urat Pak 25 196,900.00 2 393,800
292 Strip Test Glukosa Pak 50 234,190.00 2 468,380
293 Strip Test Kolesterol Pak 10 361,900.00 2 723,800
294 Sulfasetamida Na. TM 15 % 5ml BOTOL 3,226.00 0 -
295 Tablet Tambah Darah Dewasa TABLET 42.00 12000 504,000
296 Tablet Tambah Darah Dewasa 2 (Hemafort) TABLET 689.70 600 413,820
297 Temporary Stopping Fletcher SET 59,070.00 0 -
298 Test HIV I (Vikia) Buah 38,170.00 0 -
299 Test HIV II (intec) Buah 39,490.00 0 -
300 Test HIV III (Onco) Buah 47,740.00 0 -
301 Test Siphylis Buah 30,470.00 0 -
302 Tetrasiklin HCL 250 mg KAPSUL 148.00 0 -
303 Tetrasiklin HCL 500 mg KAPSUL 206.00 2300 473,800
304 Thiamfenikol kap 500mg KAPSUL 550.00 1900 1,045,000
305 Thiamfenikol Syrup BOTOL 5,000.00 350 1,750,000
306 Thiamin HCL (Vit. B1 ) Injek.100 mg AMPUL 680.00 360 244,800
307 Thiamin HCL (Vit. B1) 100 mg TABLET 81.00 0 -
308 Thiamin HCL (Vit. B1) 50 mg TABLET 38.00 0 -
309 Tramadol tablet 50mg TABLET 322.00 0 -
310 Trifluoferazin 5 mg TABLET 405.00 0 -
311 Trihexyphenidil HCL 2 mg KAPSUL 322.00 0 -
312 Umbilical cord klem Buah 1,000.00 300 300,000
313 Urea Krim 10 % (Soft U Derm) TUBE 6,400.00 75 480,000
314 Urine Bag BUAH 3,000.00 0 -
315 Vaksin Anti Rabies Vero KUUR 314,000.00 0 -
316 Vitamin B. Komplek TABLET 107.00 2000 214,000
317 Vitamin B12 tablet 50mg TABLET 57.00 900 51,300
318 Vitamin Neurotropik TABLET 933.54 0 -
319 Wing Needle No.25,27 BUAH 1,400.00 20 28,000
320 Zink dispersibel tablet TABLET 473.00 0 -
Jumlah 77,766,897

Mengetahui,
Kepala Puskesmas Campakamulya

TB. Wahyu Rahayu,SKM

NIP. 19700504 199003 1 003
ERIMAAN

0 Juni 2017

rupiah 2017
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