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8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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Lampiran Berita Acara Stok Opname Obat
Pustu Mekarjaya Puskesmas Cijagang Kabupaten Cianjur Tahun 20!
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan Pen
1-Jul-14 1 Jul-31 Des 2014 1 Jul-3
Barang Ruia! Barang Ruia! Barang
1 A"#"l$%ir tab 200mg &AB'(& 23)*00 - -
2 A"#"l$%ir tab 400mg &AB'(& 34+*00 - 2+0 ,.2+0 240
3 Air Ra/sa Dental se BO&O' 220.000*00 - -
4 Alat Sunti/ Se/ali Pa/ai 1 ml S(& +0*00 + 3.2+0 30 1.+00 3+
+ Alat Sunti/ Se/ali Pa/ai 3 ml S(& 0*00 + 4.+0 120 11,.,00 12+
Alat Sunti/ Se/ali Pa/ai + ml S(& 0*00 - +0 4.+00 4,
) Al/$!$l Swab t/ 2.000*00 - -
, Albenda$l tab &AB'(& 33,*00 - -
Al$urin$l &ablet 100 mg &AB'(& ,*00 - 1+0 12.00 140
10 Ambr$$l s#ru 1+mg5+ml BO&O' 2.400*00 3 ).200 - 3
11 Ambr$$l tab 30 mg &AB'(& +*00 - 2+0 23.)+0 230
12Amin$6i lin 7n8e/si 24 mg5 ml A9P' 3.,22*00 - -
13 Amin$6ilin &ablet 200 mg &AB'(& 0*00 - -
14 Amitritilin H:' 2+ mg &AB'(& 112*00 - -
1+ Aml$diin &ablet 10 mg &AB'(& 330*00 - 100 33.000 100
1 Aml$diin &ablet + mg &AB'(& 1,)*00 - 0 1.,30 0
1) Am$/sisilin 2+0 mg APS' 211*00 - -
1, Am$/sisilin +00 mg &AB'(& 2)2*00 - 3000 ,1.000 20
1 Am$/sisilin ; Asam la%ulanat &AB'(& 4.++0*00 - -
20 Am$/sisilin S#ru 12+ mg5 + ml BO&O' 2.44+*00 23 +.23+ 20+ +01.22+ 22)
21 Amisillin Serbu/ 1*000 mg in8e/si +00 mg &AB'(& 124*22 40 4. 400 4.,, 430
24 Antasida DO(N susensi. B$t$l 2.100*00 - 20 42.000 20
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2+ Antasida DO(N tablet /un#a! &AB'(& )+*00 - 2+00 1,).+00 2400
2 Anti Ba/teri DO(N sale /$mbinasi &B( 2.+1*00 - 3+ ,,.00 3+
2) Anti 6ungi DO(N $mbinasi PO& 1.04*00 - + .+20 +
2, Anti Hem$r$id D$en $mbinasi SP 2.4+0*00 - -
2A ntimigren tablet? (rg$tamin &artrat 1 mg ; $6ein +0 mg &AB'(& 13+*00 - -
30 A@ua Pr$in8e/si Steril
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Barang Ruia! Barang Ruia! Barang
+3 :lindam#"in asul 1+0mg APS' 31*00 - -
+4 :lindam#"in asul 300mg APS' ++3*00 - 100 ++.300 100
++ :l$baam &ablet 10 mg &AB'(& 00*00 - -
+ :#r$6l$a"in &ablet +00 mg &AB'(& 2++*00 - 4+0 114.)+0 440
+) De/sametas$n 7n8e/si + mg5 ml A9P' 1.+,0*00 - +0 ).000 +0
+, De/sametas$n &ablet 0.+ mg &AB'(& ,*00 - 1100 )4.,00 1000
+De/tr$met$r6an HBR S#ru BO&O' 1.3),*00 3 4.134 2, 3,.+,4 31
0De/tr$met$r6an HBR tab 1+ mg &AB'(& 0*00 - -
1 De%italisasi Pasa N$n Arsen BO&O' 30.000*00 - -
2 Detran BO&O' 3+.+2*00 - -
3 Diaeam 7n8e/si + mg5 ml- 2 ml A9P' 3.300*00 - -
4 Diaeam Re"tal &ube +mg &ube 11.+2+*00 - -
+ Diaeam &ablet 2 mg &AB'(& +0*00 - 100 +.000 100
Diaeam &ablet + mg &AB'(& 0*00 - -
)Di6en!idramin H:' 7n8e/si A9P' 1.0+4*00 - 30 31.20 30
, Dig$in 0.2+ mg &AB'(& )*00 - -
D$merid$n S#ru B$t$l 3.333*00 - -
)0 D$merid$n &ablet 10mg &AB'(& 1)*00 - -
)1 D$#"il/in 100 mg /asul APS' 220*00 - -
)2 (6edrin H:' 2+ mg &AB'(& 42*0 - -)3 (/stra/ Bellad$ne 10 mg &AB'(& 3,*00 - 400 1+.200 400
)4 (ine6rin =Adrenalin> in8e/si 0.1 A9P' ,.100*00 - 10 ,1.000 10
)+ (ritr$misin siru 200 mg5 + ml BO&O' ).)00*00 - +0 3,+.000 +0
) (r#t!r$mi"in 2+0 mg APS' 4)*00 - -
)) (r#t!r$mi"in +00 mg APS' 30*00 - 3+0 32+.+00 3+0
),(ta/ridine = Ri%an$l > 0.1 BO&O' 2.212*00 - 3 .3 3
) (tambut$l +00 mg &AB'(& 4+1*00 - -
,0 (tan$l )0 100 ml BO&O' 2.+00*00 - 20 +0.000 1
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,1 (tan$l )0 1000 ml BO&O' 21.+00*00 - -
,2 (til l$rida Semr$t BO&O' 10+.000*00 - -
,3 (ugen$l :airan BO&O' 1.)*00 - -
,4 Cenilbuta$ne &ablet 200mg &AB'(& )*00 - -
,+ Cenit$in tablet 100mg &AB'(& 133*00 - -
, Cen$barbital 7n8e/si +0 mg5 ml A9P' 1.,00*00 - -
,) Cen$barbital &ablet 30 mg &AB'(& 0*00 - -
,,Cen$/simetil Penisil ina 2+0 mg &AB'(& 2)2*00 - -
,Cen$/simetil Penisil ina +00 mg &AB'(& 4+*00 - 2+0 11.2+0 2+0
0 Cen$lgliser$l && 10 + ml BO&O' 2.042*00 - -
1 Cit$menadi$n = tab salut gula 10 mg &AB'(& 34*00 - 4+0 2,+.300 4+0
2 Cit$menadi$n = in8 10 mg5ml A9P' 1.+*00 - 10 1+.0 10
3 Cit$menadi$n = in8 2 mg5ml A9P' ,.2+0*00 - 20 1+.000 20
4 C$lle# :at!eter N$* 1, B$ 10 ,0.000*00 - -
+ C$lle# :at!eter N$* 20 B$ 10 ,0.000*00 - -
C$rin$/res$l =&C> 10 ml BO&O' 4.+00*00 - -
) Cur$semid &ablet 40 mg &AB'(& ,+*00 - 1+0 12.)+0 1+0
, aram Oralit 200 ml Air SAS( 2)+*00 20 +.+00 300 ,2.+00 320
entamisin in8e/si 40 mg5 ml A9P' 3.3*00 - + 1.+ +
100 entamisin Sale ulit 0*1 &B( 1.,00*00 - 10+ 1,.000 10+101 entian BO&O' 30.000*00 - -
103 liben/lamid + mg &AB'(& +*00 - -
104 liseril ua#a/$lat 100 mg &AB'(& 2)*0 20 ++, 1,+0 +1.1+ 1,+0
10+ liseril ua#a/$lat S#ru B$t$l .00*00 - -
10 liserin lar* + BO&O' 100ml +.333*00 - -
10) lu/$sa 'arutan 7n6us 10 Steril BO&O' +.)00*00 - -
10, lu/$sa 'arutan 7n6us 40 Steril
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10 lu/$sa 'arutan 7n6us + Steril BO&O' +.200*00 1 +.200 + 2.000
110 rise$6ul%in 12+ mg. mi"r$nied &AB'(& 21*00 - 300 +.)00 300
111 Hal$erid$l 0.+mg &AB'(& +*00 - -
112 Hal$erid$l 1.+ mg &AB'(& *00 - -
113 Hal$erid$l 2 mg &AB'(& 12*00 - -
114 Hal$erid$l + mg &AB'(& *00 - -
11+ Hidr$gen Per$/sida 'ar* 3 BO&O' 100 ml 4.000*00 - -
11 Hidr$/l$r$tiaid = H:& > 2+ mg &AB'(& 4,*00 - 100 4.,00 100
11) Hidr$/$rtis$n rim 2.+ &B( 2.),*00 - 1+ 41.)0 1+
11, H#$s"ine N Butilbr$mide 10 mg &AB'(& 40+*00 - -
11 7bur$6en 200 mg &AB'(& 110*00 - -
120 7bur$6en 400 mg &AB'(& 14*00 - +0 .,+0 +0
121 7"!ti$l sale PO& 3.,33*33 - , 30.) ,
122 7n6usi$n Set Ana/ S(& 13.)+0*00 - 11 1+1.2+0 )
123 7n6usi$n Set Dewasa S(& 13.)+0*00 - 1+ 20.2+0 14
124 7s$niaid 300 mg &AB'(& 13*00 - -
12+ 7s$s$rbid dinitrat + mg &AB'(& ,,*00 - -
12 7< :at!eter5ab$"at! N$* 1, Bua! 3.,00*00 - -
12) 7< :at!eter5ab$"at! N$* 20 Bua! 3.,00*00 - -
12, 7< :at!eter5ab$"at! N$*22 Bua! 3.,00*00 - -12 7< :at!eter5ab$"at! N$*24 Bua! 3.,00*00 - -
130 alium Di/l$6ena/=Clamigra> &AB'(& 42+*00 - -
131 alsium Hidr$/sida Pasta O&A 300.000*00 - -
132 alsium 'a/tat +00 mg &AB'(& +2*00 - 400 20.,00 3,0
133 aas Pembalut 2+0 mg RO' 11.000*00 - 1 11.000 1
134 arbamaein 200 mg &AB'(& 24+*00 - +0 12.2+0 +0
13+ asa $mres 11 steril O&A ).20*00 - 1+ 10,.00 1+
13 asa $mres 4040 steril 1.30*00 - -
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13) asa Pembalut 2 m ,0 "m ,.,00*00 - -
13, asa Pembalut 3 m ,0 "m RO' 3.+00*00 - -
13 asa Pembalut Hidr$6il 4 m 10 "m RO' 0*00 - + 3.300 +
140 asa Pembalut Hidr$6il 4 m 1+ "m 2.100*00 - -
141 asa Pembalut Hidr$6il 4 m 3 "m )30*00 - -
142 asa Pembalut Hidr$6il 4 m + "m RO' )+0*00 - +0 3).+00 +0
143 et$/$na$l rim 2 &ube 1+ g 4.)00*00 - -
144 et$/$na$l &ablet 200 mg &AB'(& 300*00 - 2+0 )+.000 2+0
14+ l$id$grel &ablet )+ mg &AB'(& 3.400*00 - -
14 l$ram6eni/$l 2+0 mg APS' 24*00 20 4.,0 00 14.400 20
14) l$ram6eni/$l S9 &B( 1.00*00 3 4.,00 , 12.,00 11
14, l$ram6eni/$l &9 0*+ + ml BO&O' 4.400*00 2 ,.,00 20 ,,.000 22
14 l$ram6eni/$l && 3 + ml BO&O' 1.+*00 1 1.+ + ).+
1+0 l$r6eniramin 9aleat =:&9> 4 mg &AB'(& 24*00 30 )20 1+00 3.000 1+30
1+1 l$r6en$l /am6er 9ent$l=:H9> :airan BO&O' ++.000*00 - -
1+2 l$rin :air 'ar* + BO&O' 1.2+0*00 - -
1+3 l$rr$maine in8e/si +mg5+ml A9P' 1.100*00 - -
1+4 l$rr$maine tab 100mg &AB'(& 133*00 - -
1++ $dein 20 mg &AB'(& 1.100*00 - -
1+ $mb ? Pirimetamin;sul6ad$in &AB'(& 4),*00 - -
1+) $mbinasi susensi ? Para6in ; gliserin ; 6en$l6talein B$t$l 0 ml 12.4+0*00 - -
1+, $ntrasesi 7mlan B 77 set 1*00 - -
1+ $ntrasesi in8e/ de$5 B 3 bln %ial 1*00 - -
10 $trim$/sa$le Pediatri/ &ablet )*00 - -
11 $trim$/sa$le Susensi BO&O' 2.14+*00 3 .43+ 130 2),.,+0 130
12 $trim$/sa$le &ablet Dewasa &AB'(& 14*00 - 20 2.3,0 20
13 'arutan Benedi"t 100 ml BO&O' ++.000*00 - -
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14 'arutan ($sin 2 100 ml BO&O' 12.+00*00 - -
1+ 'arutan (tan$l asam 100 ml BO&O' 2+.000*00 - -
1 'arutan iemsa stain 100 ml BO&O' 1+.000*00 - -
1) 'arutan 7$dine &est BO&O' 2.000*00 - -
1, 'arutan arb$l Cu/sin 100 ml BO&O' 0.+00*00 - -
1 'arutan 9etilen Biru BO&O' 2+.000*00 - -
1)0 'arutan &ur/ BO&O' 24.000*00 - -
1)1 'e%ertrans Sale PO& 2.000*00 - -
1)2 'id$/ain 7n8e/si 2 A9P' ,3*00 - + ).)0+ 4
1)3 'id$/ain Jeli 2 S#ringe 10 g 40.000*00 - -
1)4 'id$/ain $m 7n8e/si A9P' 1.33*00 - -
1)+ 'is$l BO&O' 10009' 1.33+*00 - 1 1.33+ 1
1) '$ratadin tab 10mg &AB'(& 1+4*00 - 1+0 23.100 1+0
1)) 9agnesium Sul6at 7n8e/si 20
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12 9etr$nida$l 'arutan in6us +mg5ml BO&O' .+0*00 - -
13 9etr$nida$l su$sit$ria +00mg Su 3.220*00 - -
14 9etr$nida$le 2+0 mg &AB'(& 110*00 - 2+0 2).+00 2+0
1+ 9etr$nida$le +00 mg &AB'(& 10*00 - 200 32.000 200
1 9i/$na$l /rim 2 &B( 3.000*00 - 1+ 4+.000 1+
1) 9$metas$n Cur$at rim 0*1 &ube 10g 1).,20*00 - -
1, 9ulti%itamin S#ru B$t$l 3.000*00 - -
1 9ulti%i tamin tablet :alet 12)*00 - 1+0 1.0+0 1+0
200 9ummi6#ing Casta BO&O' 12.+00*00 - -
201 Natrium Bi/arb$nat +00 mg &AB'(& 1*00 - )0 1.330 )0
202 Natrium bi/arb$nat in8e/si 100 ml BO&O' 1.2+,*+ 1 1.2+ ++ .242 +4212 Obat Diare &ablet &AB'(& 413*00 - -
213 O6l$a"in tab 400mg &AB'(& +0*00 - -
214 O/simeta$lin &etes Hidung 0.02+ B$t$l 2).++0*00 - -
21+ O/sitetrasi/lin H:' 7n8 1m +0 mg
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220 Omera$l asul 20 mg APS' 211*00 - -
221 Ondansetr$n 4 mg &AB'(& )1*00 - -
222 Paa%erin 40 mg5 ml in8e/si A9P' 1.1+0*00 - -
223 Parasetam$l Dr$s BO&O' +.200*00 - )+ 30.000 )+
224 Parasetam$l S#ru 120 mg5 ml BO&O' 1.43,*00 + ).10 ,+ 122.230 ,+
22+ Parasetam$l tablet 100 mg &AB'(& - - -
22 Parasetam$l tablet +00 mg &AB'(& ,*00 - 2+00 222.+00 2400
22) Pembalut is R$l 42.000*00 - -
22, Permetrin rim + =S"abimite> &B( 11.4)+*00 - 1+ 1)2.12+ 1+
22 Pirantel Pam$at 12+ mg &AB'(& 2*00 - ,00 23.,00 ,00
230 Pirantel Susensi 12+mg5+ml BO&O' ,.30*00 - -
231 Pirid$/sin H:' 10 mg &AB'(& 23*00 1+ 34+ +0 1.1+0 +
232 Pir$i"am 20 mg APS' 1* - -
233 Plester Fards 2 7n"! RO' 1).00*00 1 1).00 3 +2.,00 4
234 P$li/resulen 30 mg 10 ml BO&O' 1).33*00 - -
23+ P$%id$n 7$dida 10 30 ml BO&O' 2.13*00 1 2.13 11 23.)3 10
23 P$%id$n 7$dida 10 300 ml BO&O' 14.203*00 1 14.203 1+ 213.04+ 1
23) Prednis$n + mg &AB'(& ,4*00 - 00 +0.400 00
23, Pr$/ain Benil Penisili 3 Jt 7
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Barang Ruia! Barang Ruia! Barang
24, Ri6amisin 4+0 mg APS' 0*00 - -
24 Ri6amisin 00 mg APS' 13*00 - -
2+0 Riserid$n &ablet 2 mg &AB'(& 1.00,*00 - -
2+1 R' 'arutan in6us Steril +00ml BO&O' +.200*00 2 10.400 10+ +4.000 10+
2+2 Sa"!arum 'a"tis /aleng 2+3.000*00 - -
2+3 Salbutam$l 2 mg &AB'(& +*00 - 100 +.00 100
2+4 Salbutam$l 4 mg &AB'(& ,4*00 - -
2++ Salbutam$l 7n!alasi 5Aer$s$l 100 m"g5d$sis = Dus. b$t$l 200 d$sis 3.)+0*00 - -
2+ Sale 2-4 $mb* PO& 2.000*00 - -
2+) Salisil Beda/ 2 +0 ram O&A 1.2+0*00 2 2.+00 20 2+.000 22
2+, Sarung tangan #ne"$l$g# Pasang 11.000*00 - -
2+ Sarung tangan N$* *+ Pasang 4.20*00 - -
20 Sarung tangan N$* ) Pasang 4.20*00 - -
21 Sarung tangan N$* )*+ Pasang 4.20*00 - 1+ .300 14
22 Se6i/sim s#ru /ering 100mg5+ml BO&O' ,.,00*00 - +0 440.000 +0
23 Se6iime 100 mg &AB'(& ,+*00 - 100 ,+.00 100
24 Semen Seng C$s6at Serbu/ ; :air BO&O' 102.300*00 - -
2+ Serum AB 7n8e/* + ml =AB 7 >
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2)+ &em$rar# St$ing Clet"!er S(& 3).400*00 - -
2) &etrasi/lin H:' 2+0 mg APS' 14,*00 - -
2)) &etrasi/lin H:' +00 mg APS' 20*00 - -
2), &!iam6eni/$l /a +00mg APS' 431*00 - -
2) &!iam6eni/$l S#ru BO&O' 4.200*00 - 1+ 3.000 1+
2,0 &!iamin H:' = 7n8e/*100 mg A9P' ,0*00 - 10 .,00 10
2,1 &!iamin H:' = 100 mg &AB'(& ,1*00 - -
2,2 &!iamin H:' = +0 mg &AB'(& 3,*00 - -
2,3 &ramad$l tablet +0mg &AB'(& 1,,*3 - -
2,4 &ri!e#!enidil H:' 1+ mg APS' 40*00 - -
2,+ rea rim 10 =S$6t Derm> &B( .400*00 - -
2, rine Bag BAH 4.400*00 - -
2,)
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
,2.,00 10 3.4+0
- - -
22.)+0 - -
123.)+0 - -
4).+20 2 1.,0
- - -
- - -12.040 10 ,0
).200 - -
21.,+0 20 1.00
- - -
- - -
- - -
33.000 - -
1.,30 - -
- - -
,13.2,0 10 2.)20
- - -
+++.01+ 1 2.44+
3+.)00 - -
- - -
+3.41+ 10 1.242
42.000 - -
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
1,0.000 100 ).+00
,,.00 - -
.+20 - -
- - -
- - -
22.400 2 2.,00
- - -
11.)00 +0 4.)+0
100.,00 - -
- - -
- - -
- - -
- - -
,3.00 - -
- - -
- - -
32.2+0 - -
- - -
- - -
- - -
4.000 - -
- - -
1).+00 1 +.+,3
- - -
- - -
1+2.)00 - -
)2.400 - -
- - -
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
++.300 - -
- - -
112.200 10 2.++0
).000 - -
,.000 100 .,00
42.)1, - -
- - -
- - -
- - -
- - -
- - -
+.000 - -
- - -
31.20 - -
- - -
- - -
- - -
- - -
- - -
1+.200 - -
,1.000 - -
3,+.000 - -
- - -
32+.+00 - -
.3 - -
- - -
4).+00 1 2.+00
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
11.2+0 - -
- - -
2,+.300 - -
1+.0 - -
1+.000 - -
- - -
- - -
- - -
12.)+0 - -
,,.000 - -
1.+ - -
1,.000 - -
13.42+ - -
- - -
- - -
+1.1+ 20 ++,
- - -
- - -
- - -
- - -
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
31.200 - -
+.)00 - -
- - -
- - -
- - -
- - -
- - -
4.,00 - -
41.)0 - -
- - -
- - -
.,+0 - -
30.) - -
.2+0 4 ++.000
12.+00 1 13.)+0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1.)0 20 1.040
11.000 - -
12.2+0 - -
10,.00 - -
- - -
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
3.300 - -
- - -
- - -
3).+00 - -
- - -
)+.000 - -
- - -
1+4.3,0 - -
1).00 - -
.,00 - -
.+4 - -
3.)20 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2),.,+0 3 .43+
2.3,0 - -
- - -
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
),., 1 ,3
- - -
- - -
1.33+ - -
23.100 - -
- - -
- - -
11.000 - -
- - -
- - -
- - -
- - -
- - -
- - -
).+00 - -
30.,00 - -
- - -
- - -
- - -
- - -
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
2).+00 - -32.000 - -
4+.000 - -
- - -
- - -
1.0+0 - -
- - -
1.330 - -
- - -
4.000 - -
).000 - -
).200 - -
- - -
- - -
- - -
- - -
- - -
).,3 2 2.+1,
- - -
- - -
- - -
- - -
22.3+ - -
41.00 - -
1.,20 - -
- - -
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -30.000 - -
122.230 + ).10
- - -
213.00 100 ,.00
- - -
1)2.12+ - -
23.,00 - -
- - -
1.4+ - -
- - -
)0.400 - -
- - -
21.30 2 4.32
22).24, - -
+0.400 - -
- - -
- - -
- - -
- - -
- - -
0.000 - -
- - -
- - -
- - -
- - -
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -+4.000 2 10.400
- - -
+.00 - -
- - -
- - -
- - -
2).+00 - -
- - -
- - -
- - -
4.,0 1 4.20
440.000 - -
,+.00 - -
- - -
- - -
- - -
- - -
- - -
+.30 - -
1.,00 1 .00
- - -
,.4+0 - -
1.130 - -
- 300 12.00
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -- - -
3.000 - -
.,00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
20.+4+ 0 .30
- - -
231.))0 - -
10.++.+32 11.4,
r% & 'esember 20!
ng "a(ab Pustu Mekarjaya
Tuti -ohayati
01 /330& 2 00
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NO Nama Obat Satuan Harga
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1-Jul-14 1 Jul-31 Des 2014 1 Jul-3
Barang Ruia! Barang Ruia! Barang
1 A"#"l$%ir tab 200mg &AB'(& 23)*00 - -
2 A"#"l$%ir tab 400mg &AB'(& 34+*00 - 100 34.+00 100
3 Air Ra/sa Dental se BO&O' 220.000*00 - -
4 Alat Sunti/ Se/ali Pa/ai 1 ml S(& +0*00 - 30 1.+00 2,
+ Alat Sunti/ Se/ali Pa/ai 3 ml S(& 0*00 + 4.+0 120 11,.,00 12+
Alat Sunti/ Se/ali Pa/ai + ml S(& 0*00 - +0 4.+00 +0
) Al/$!$l Swab t/ 2.000*00 - -
, Albenda$l tab &AB'(& 33,*00 - - Al$urin$l &ablet 100 mg &AB'(& ,*00 - )0 .020 )0
10 Ambr$$l s#ru 1+mg5+ml BO&O' 2.400*00 3 ).200 - 3
11 Ambr$$l tab 30 mg &AB'(& +*00 - 200 1.000 10
12Amin$6il in 7n8e/si 24 mg5 ml A9P' 3.,22*00 - -
13 Amin$6ilin &ablet 200 mg &AB'(& 0*00 - -
14 Amitritilin H:' 2+ mg &AB'(& 112*00 - -
1+ Aml$diin &ablet 10 mg &AB'(& 330*00 - -
1 Aml$diin &ablet + mg &AB'(& 1,)*00 - -
1) Am$/sisilin 2+0 mg APS' 211*00 - -
1, Am$/sisilin +00 mg &AB'(& 2)2*00 - 100 43+.200 100
1 Am$/sisilin ; Asam la%ulanat &AB'(& 4.++0*00 - -
20 Am$/sisilin S#ru 12+ mg5 + ml BO&O' 2.44+*00 + 12.22+ 1)0 41+.+0 1)3
21 Amisillin Serbu/ 1*000 mg in8e/si +00 mg &AB'(& 124*22 10 1.242 300 3).2 310
24 Antasida DO(N susensi. B$t$l 2.100*00 - 20 42.000 20
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2+ Antasida DO(N tablet /un#a! &AB'(& )+*00 - 1,00 13+.000 1,00
2Anti Ba/teri DO(N sale /$mbinasi
&B( 2.+1*00 - 1 40.2+ 1
2) Anti 6ungi DO(N $mbinasi PO& 1.04*00 - + .+20 +
2, Anti Hem$r$id D$en $mbinasi SP 2.4+0*00 - -
2 Antimigren tablet? (rg$tamin &artrat 1 mg ; $6ein +0 mg &AB'(& 13+*00 - -
30 A@ua Pr$in8e/si Steril
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Barang Ruia! Barang Ruia! Barang
+2 :imetidine &ablet 200 mg &AB'(& 10,*00 - -
+3 :lindam#"in asul 1+0mg APS' 31*00 - -
+4 :lindam#"in asul 300mg APS' ++3*00 - 100 ++.300 100++ :l$baam &ablet 10 mg &AB'(& 00*00 - -
+ :#r$6l$a"in &ablet +00 mg &AB'(& 2++*00 10 2.++0 300 ).+00 20
+) De/sametas$n 7n8e/si + mg5 ml A9P' 1.+,0*00 2 3.10 +0 ).000 +2
+, De/sametas$n &ablet 0.+ mg &AB'(& ,*00 10 ,0 +0 4.00 0
+De/tr$met$r6an HBR S#ru BO&O' 1.3),*00 3 4.134 1) 23.42 20
0De/tr$met$r6an HBR tab 1+ mg &AB'(& 0*00 - -
1 De%italisasi Pasa N$n Arsen BO&O' 30.000*00 - -
2 Detran BO&O' 3+.+2*00 - -
3 Diaeam 7n8e/si + mg5 ml- 2 ml A9P' 3.300*00 - -
4 Diaeam Re"tal &ube +mg &ube 11.+2+*00 - -
+ Diaeam &ablet 2 mg &AB'(& +0*00 - 100 +.000 100
Diaeam &ablet + mg &AB'(& 0*00 - -
)Di6en!idramin H:' 7n8e/si A9P' 1.0+4*00 - 2+ 2.3+0 2+
, Dig$in 0.2+ mg &AB'(& )*00 - -
D$merid$n S#ru B$t$l 3.333*00 - -
)0 D$merid$n &ablet 10mg &AB'(& 1)*00 - -
)1 D$#"il/in 100 mg /asul APS' 220*00 - -
)2 (6edrin H:' 2+ mg &AB'(& 42*0 - -
)3 (/stra/ Bellad$ne 10 mg &AB'(& 3,*00 - 400 1+.200 400
)4(ine6rin =Adrenalin> in8e/si 0.1
A9P' ,.100*00 - 10 ,1.000 10
)+ (ritr$misin siru 200 mg5 + ml BO&O' ).)00*00 - 4+ 34.+00 4+
) (r#t!r$mi"in 2+0 mg APS' 4)*00 - -
)) (r#t!r$mi"in +00 mg APS' 30*00 - 100 3.000 100
),(ta/ridine = Ri%an$l > 0.1 BO&O' 2.212*00 - 3 .3 2
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) (tambut$l +00 mg &AB'(& 4+1*00 - -
,0 (tan$l )0 100 ml BO&O' 2.+00*00 - 1, 4+.000 1)
,1 (tan$l )0 1000 ml BO&O' 21.+00*00 - -,2 (til l$rida Semr$t BO&O' 10+.000*00 - -
,3 (ugen$l :airan BO&O' 1.)*00 - -
,4 Cenilbuta$ne &ablet 200mg &AB'(& )*00 - -
,+ Cenit$in tablet 100mg &AB'(& 133*00 - -
, Cen$barbital 7n8e/si +0 mg5 ml A9P' 1.,00*00 - -
,) Cen$barbital &ablet 30 mg &AB'(& 0*00 - -
,,Cen$/simetil Penisil ina 2+0 mg &AB'(& 2)2*00 - -
, Cen$/simetil Penisilina +00 mg &AB'(& 4+*00 - 1+0 .)+0 1+0
0 Cen$lgliser$l && 10 + ml BO&O' 2.042*00 - -
1 Cit$menadi$n = tab salut gula 10 mg &AB'(& 34*00 1+ .+10 ++0 34,.)00 ++
2 Cit$menadi$n = in8 10 mg5ml A9P' 1.+*00 - 10 1+.0 10
3 Cit$menadi$n = in8 2 mg5ml A9P' ,.2+0*00 - 10 ,2.+00 10
4 C$lle# :at!eter N$* 1, B$ 10 ,0.000*00 - -
+ C$lle# :at!eter N$* 20 B$ 10 ,0.000*00 - -
C$rin$/res$l =&C> 10 ml BO&O' 4.+00*00 - -
) Cur$semid &ablet 40 mg &AB'(& ,+*00 - -
, aram Oralit 200 ml Air SAS( 2)+*00 + 1.3)+ 2)+ )+.2+ 2)+ entamisin in8e/si 40 mg5 ml A9P' 3.3*00 - -
100 entamisin Sale ulit 0*1 &B( 1.,00*00 - 100 1,0.000 100
101 entian BO&O' 30.000*00 - -
103 liben/lamid + mg &AB'(& +*00 - -
104 liseril ua#a/$lat 100 mg &AB'(& 2)*0 30 ,3) 1300 3.2)0 1330
10+ liseril ua#a/$lat S#ru B$t$l .00*00 - -
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10 liserin lar* + BO&O' 100ml +.333*00 - -
10) lu/$sa 'arutan 7n6us 10 Steril BO&O' +.)00*00 - 1 +.)00
10, lu/$sa 'arutan 7n6us 40 Steril 2+ mg &AB'(& 4,*00 - +0 2.400 +0
11) Hidr$/$rtis$n rim 2.+ &B( 2.),*00 - 1+ 41.)0 1+
11, H#$s"ine N Butilbr$mide 10 mg &AB'(& 40+*00 - -
11 7bur$6en 200 mg &AB'(& 110*00 - -
120 7bur$6en 400 mg &AB'(& 14*00 - 4+0 ).0+0 4+0
121 7"!ti$l sale PO& 3.,33*33 - , 30.) ,
122 7n6usi$n Set Ana/ S(& 13.)+0*00 - 123.)+0
123 7n6usi$n Set Dewasa S(& 13.)+0*00 1 13.)+0 1+ 20.2+0 1
124 7s$niaid 300 mg &AB'(& 13*00 - -
12+ 7s$s$rbid dinitrat + mg &AB'(& ,,*00 - -
12 7< :at!eter5ab$"at! N$* 1, Bua! 3.,00*00 - -
12) 7< :at!eter5ab$"at! N$* 20 Bua! 3.,00*00 1 3.,00 10 3,.000 11
12, 7< :at!eter5ab$"at! N$*22 Bua! 3.,00*00 - -
12 7< :at!eter5ab$"at! N$*24 Bua! 3.,00*00 - + 1.000 +
130 alium Di/l$6ena/=Clamigra> &AB'(& 42+*00 - -
131 alsium Hidr$/sida Pasta O&A 300.000*00 - -
132 alsium 'a/tat +00 mg &AB'(& +2*00 30 1.+0 400 20.,00 420
133 aas Pembalut 2+0 mg RO' 11.000*00 1 11.000 1 11.000 2
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134 arbamaein 200 mg &AB'(& 24+*00 - -
13+ asa $mres 11 steril O&A ).20*00 - 13 4.3,0 13
13 asa $mres 4040 steril 1.30*00 - -13) asa Pembalut 2 m ,0 "m ,.,00*00 - -
13, asa Pembalut 3 m ,0 "m RO' 3.+00*00 - -
13 asa Pembalut Hidr$6il 4 m 10 "m RO' 0*00 - + 3.300 +
140 asa Pembalut Hidr$6il 4 m 1+ "m 2.100*00 - -
141 asa Pembalut Hidr$6il 4 m 3 "m )30*00 - -
142 asa Pembalut Hidr$6il 4 m + "m RO' )+0*00 - 3+ 2.2+0 3+
143 et$/$na$l rim 2 &ube 1+ g 4.)00*00 - -
144 et$/$na$l &ablet 200 mg &AB'(& 300*00 - 100 30.000 100
14+ l$id$grel &ablet )+ mg &AB'(& 3.400*00 - -
14 l$ram6eni/$l 2+0 mg APS' 24*00 - +0 13.440 +0
14) l$ram6eni/$l S9 &B( 1.00*00 - , 12.,00 ,
14, l$ram6eni/$l &9 0*+ + ml BO&O' 4.400*00 - 1+ .000 1+
14 l$ram6eni/$l && 3 + ml BO&O' 1.+*00 - -
1+0 l$r6eniramin 9aleat =:&9> 4 mg &AB'(& 24*00 - 1400 33.00 1400
1+1 l$r6en$l /am6er 9ent$l=:H9> :airan BO&O' ++.000*00 - -
1+2 l$rin :air 'ar* + BO&O' 1.2+0*00 - -
1+3 l$rr$maine in8e/si +mg5+ml A9P' 1.100*00 - -
1+4 l$rr$maine tab 100mg &AB'(& 133*00 - -
1++ $dein 20 mg &AB'(& 1.100*00 - -
1+ $mb ? Pirimetamin;sul6ad$in &AB'(& 4),*00 - -
1+) $mbinasi susensi ? Para6in ; gliserin ; 6en$l6talein B$t$l 0 ml 12.4+0*00 - -
1+, $ntrasesi 7mlan B 77 set 1*00 - -
1+ $ntrasesi in8e/ de$5 B 3 bln %ial 1*00 - -
10 $trim$/sa$le Pediatri/ &ablet )*00 - -
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11 $trim$/sa$le Susensi BO&O' 2.14+*00 - 12+ 2,.12+ 12+
12 $trim$/sa$le &ablet Dewasa &AB'(& 14*00 - 4+0 ).0+0 4+0
13 'arutan Benedi"t 100 ml BO&O' ++.000*00 - -14 'arutan ($sin 2 100 ml BO&O' 12.+00*00 - -
1+ 'arutan (tan$l asam 100 ml BO&O' 2+.000*00 - -
1 'arutan iemsa stain 100 ml BO&O' 1+.000*00 - -
1) 'arutan 7$dine &est BO&O' 2.000*00 - -
1, 'arutan arb$l Cu/sin 100 ml BO&O' 0.+00*00 - -
1 'arutan 9etilen Biru BO&O' 2+.000*00 - -
1)0 'arutan &ur/ BO&O' 24.000*00 - -
1)1 'e%ertrans Sale PO& 2.000*00 - -
1)2 'id$/ain 7n8e/si 2 A9P' ,3*00 - ,+ )1.31+ ,4
1)3 'id$/ain Jeli 2 S#ringe 10 g 40.000*00 - -
1)4 'id$/ain $m 7n8e/si A9P' 1.33*00 - -
1)+ 'is$l BO&O' 10009' 1.33+*00 - -
1) '$ratadin tab 10mg &AB'(& 1+4*00 - +0 ).)00 +0
1)) 9agnesium Sul6at 7n8e/si 20
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1, 9et$/l$ramide in8e/si +mg5ml A9P' 0*00 - -
10 9et$/l$ramide Dr$ +mg5ml BO&O' 12.132*00 - -
11 9et$/l$ramide s#ru +mg5ml BO&O' 3.113*00 - -12 9etr$nida$l 'arutan in6us +mg5ml BO&O' .+0*00 - -
13 9etr$nida$l su$sit$ria +00mg Su 3.220*00 - -
14 9etr$nida$le 2+0 mg &AB'(& 110*00 - 300 33.000 300
1+ 9etr$nida$le +00 mg &AB'(& 10*00 - -
1 9i/$na$l /rim 2 &B( 3.000*00 - -
1) 9$metas$n Cur$at rim 0*1 &ube 10g 1).,20*00 - -
1, 9ulti%itamin S#ru B$t$l 3.000*00 - -
1 9ulti%itamin tablet :alet 12)*00 - 200 2+.400 200
200 9ummi6#ing Casta BO&O' 12.+00*00 - -
201 Natrium Bi/arb$nat +00 mg &AB'(& 1*00 - 100 1.00 100
202 Natrium bi/arb$nat in8e/si 100 ml BO&O' 1.2+,*+ - 32 40.2, 32
212 Obat Diare &ablet &AB'(& 413*00 - -
213 O6l$a"in tab 400mg &AB'(& +0*00 - -
214 O/simeta$lin &etes Hidung 0.02+ B$t$l 2).++0*00 - -
21+ O/sitetrasi/lin H:' 7n8 1m +0 mg
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21) O/sitetrasi/lin H:' S9 1 3.+ r &B( 1.00*00 - 1+ 24.000 1+
21, O/sit$sin 7n8e/si 10 75 ml A9P' 1.,20*00 - -
21 Omera$l in8e/si 40mg510ml
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24+ Retin$l = 100*000 7 APS' 20*00 - -
24 Retin$l = 200*000 7 APS' 4+*00 - -
24) Ri6amisin 300 mg APS' +01*00 - -24, Ri6amisin 4+0 mg APS' 0*00 - -
24 Ri6amisin 00 mg APS' 13*00 - -
2+0 Riserid$n &ablet 2 mg &AB'(& 1.00,*00 - -
2+1 R' 'arutan in6us Steril +00ml BO&O' +.200*00 2 10.400 +0 20.000 +0
2+2 Sa"!arum 'a"tis /aleng 2+3.000*00 - -
2+3 Salbutam$l 2 mg &AB'(& +*00 - -
2+4 Salbutam$l 4 mg &AB'(& ,4*00 - -
2++ Salbutam$l 7n!alasi 5Aer$s$l 100 m"g5d$sis = Dus. b$t$l 200 d$sis 3.)+0*00 - -2+ Sale 2-4 $mb* PO& 2.000*00 - 10 20.000 ,
2+) Salisil Beda/ 2 +0 ram O&A 1.2+0*00 - ) ,.)+0 )
2+, Sarung tangan #ne"$l$g# Pasang 11.000*00 - -
2+ Sarung tangan N$* *+ Pasang 4.20*00 - -
20 Sarung tangan N$* ) Pasang 4.20*00 - ) 32.340 +
21 Sarung tangan N$* )*+ Pasang 4.20*00 - 10 4.200
22 Se6i/sim s#ru /ering 100mg5+ml BO&O' ,.,00*00 - +2 4+).00 +0
23 Se6iime 100 mg &AB'(& ,+*00 - 100 ,+.00 100
24 Semen Seng C$s6at Serbu/ ; :air BO&O' 102.300*00 - -
2+ Serum AB 7n8e/* + ml =AB 7 >
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2)2 Sim%astatin 10mg &AB'(& 1*00 - +0 ,.4+0 40
2)3 Sul6asetamida Na* &9 1+ +ml BO&O' 3.22*00 - + 1.130 +
2)4 &ablet &amba! Dara! Dewasa &AB'(& 42*00 - -2)+ &em$rar# St$ing Clet"!er S(& 3).400*00 - -
2) &etrasi/lin H:' 2+0 mg APS' 14,*00 - -
2)) &etrasi/lin H:' +00 mg APS' 20*00 - -
2), &!iam6eni/$l /a +00mg APS' 431*00 - -
2) &!iam6eni/$l S#ru BO&O' 4.200*00 - -
2,0 &!iamin H:' = 7n8e/*100 mg A9P' ,0*00 - -
2,1 &!iamin H:' = 100 mg &AB'(& ,1*00 10 ,10 - 10
2,2 &!iamin H:' = +0 mg &AB'(& 3,*00 - -
2,3 &ramad$l tablet +0mg &AB'(& 1,,*3 - -2,4 &ri!e#!enidil H:' 1+ mg APS' 40*00 - -
2,+ rea rim 10 =S$6t Derm> &B( .400*00 - -
2, rine Bag BAH 4.400*00 - -
2,)
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+.P /20/& //!0& 002 +.P /
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
34.+00 - -
- - -
1,.200 2 1.300
123.)+0 - -
4.+00 - -
- - -
- - -
.020 - -
).200 - -
1,.0+0 10 +0
- - -
- - -
- - -
- - -
- - -
- - -43+.200 - -
- - -
422.,+ 2 4.,0
+.100 - -
- - -
3,.+0, - -
42.000 - -
geluaran St$/ A/!ir
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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g
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
13+.000 - -
40.2+ - -
.+20 - -- - -
- - -
1,.200 - -
- - -
1.)+ - -
1.00 - -
- - -
- - -
- - -
- - -
).000 - -
- - -
- - -
- - -
- - -
- - -
- - -
+.000 - -
+.+,3 - -
1+.333 - -
- - -
- - -
).3+0 - -
+4.300 - -
geluaran St$/ A/!ir
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
++.300 - -- - -
)3.+0 20 +.100
,2.10 - -
+.2,0 - -
2).+0 - -
- - -
- - -
- - -
- - -- - -
+.000 - -
- - -
2.3+0 - -
- - -
- - -
- - -
- - -
- - -
1+.200 - -
,1.000 - -
34.+00 - -
- - -
3.000 - -
4.424 1 2.212
geluaran St$/ A/!ir
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38/182
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
42.+00 1 2.+00
- - -- - -
- - -
- - -
- - -
- - -
- - -
- - -
.)+0 - -
- - -
3+,.210 - -
1+.0 - -
,2.+00 - -
- - -
- - -
- - -
- - -
)+.2+ + 1.3)+
- - -
1,0.000 - -
13.42+ - -
- - -
- - -
3).10) - -
- - -
geluaran St$/ A/!ir
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1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- 1 +.)00
- - -2.000 - -
+.130 - -
- - -
- - -
- - -
- - -
- - -
2.400 - -
41.)0 - -- - -
- - -
).0+0 - -
30.) - -
123.)+0 - -
220.000 - -
- - -
- - -
- - -
41.,00 - -
- - -
1.000 - -
- - -
- - -
21.,40 10 +20
22.000 - -
geluaran St$/ A/!ir
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40/182
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
4.3,0 - -
- - -
- - -
- - -
3.300 - -
- - -
- - -
2.2+0 - -
- - -
30.000 - -
- - -13.440 - -
12.,00 - -
.000 - -
- - -
33.00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
geluaran St$/ A/!ir
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41/182
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
2,.12+ - -
).0+0 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
)0.4) 1 ,3- - -
- - -
- - -
).)00 - -
- - -
- - -
11.000 - -
- - -
- - -- - -
- - -
- - -
- - -
).+00 - -
23.100 - -
- - -
geluaran St$/ A/!ir
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
42/182
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -
- - -
- - -
33.000 - -
- - -
- - -
- - -
- - -
2+.400 - -
- - -1.00 - -
- - -
- - -
+.000 - -
).200 - -
- - -
- - -
- - -
- - -- - -
40.2, - -
- - -
- - -
- - -
- - -
22.3+ - -
geluaran St$/ A/!ir
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43/182
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
24.000 - -
- - -
- - -
- - -
- - -
- - -
33,.000 - -
100.0 - -
- - -
204.)00 100 ,.00
- - -
- - -- - -
- - -
1,.,0 - -
- - -
3+.200 1 1).00
- - -
- - -
- - -
3.4,0 30 2.+20- - -
- - -
- - -
- - -
- - -
33.00 20 2.400
- - -
geluaran St$/ A/!ir
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1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
- - -
- - -
- - -
- - -
- - -
- - -
20.000 2 10.400
- - -
- - -
- - -
- - -
1.000 2 4.000
,.)+0 - -
- - -
- - -
23.100 2 .240
41.+,0 1 4.20
440.000 2 1).00
,+.00 - -
- - -- - -
- - -
- - -
- - -
4.312 1 1.0),
1.,00 1 .00
- - -
geluaran St$/ A/!ir
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1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
.)0 10 1.0
1.130 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
,10 - -
- - -
- - -- - -
- - -
- - -
- - -
224.)00 100 10.)00
- - -
122.,0 20 .40
).4.)03 132.14
ur% & 'esember 20!
ung "a(ab Pustu Pa4ajaya
i -esmiyati% Am45Kep
geluaran St$/ A/!ir
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1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
3002/ 2022 2 00
Lampiran Berita Acara Stok Opname Obat
Poskes4es Mekarjaya Obat Puskesmas Cijagang Kabupaten Cianjur Tahun 20!
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NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
Barang Ruia! Barang Ruia! Baran1 A"#"l$%ir tab 200mg &AB'(& 23)*00 - 100 23.)00
2 A"#"l$%ir tab 400mg &AB'(& 34+*00 - 200 .000
3 Air Ra/sa Dental se BO&O' 220.000*00 - -
4 Alat Sunti/ Se/ali Pa/ai 1 ml S(& +0*00 2 1.300 30 1.+00
+ Alat Sunti/ Se/ali Pa/ai 3 ml S(& 0*00 - 120 11,.,00
Alat Sunti/ Se/ali Pa/ai + ml S(& 0*00 1 0 +0 4.+00
) Al/$!$l Swab t/ 2.000*00 - -
, Albenda$l tab &AB'(& 33,*00 - -
Al$urin$l &ablet 100 mg &AB'(& ,*00 - )0 .020
10 Ambr$$l s#ru 1+mg5+ml BO&O' 2.400*00 - -
11 Ambr$$l tab 30 mg &AB'(& +*00 - 200 1.000
12Amin$6i lin 7n8e/s i 24 mg5 ml A9P' 3.,22*00 - -
13 Amin$6ilin &ablet 200 mg &AB'(& 0*00 - -
14 Amitritilin H:' 2+ mg &AB'(& 112*00 - -
1+ Aml$diin &ablet 10 mg &AB'(& 330*00 - -
1 Aml$diin &ablet + mg &AB'(& 1,)*00 - -
1) Am$/sisilin 2+0 mg APS' 211*00 - -
1, Am$/sisilin +00 mg &AB'(& 2)2*00 - 100 43+.200
1 Am$/sisilin ; Asam la%ulanat &AB'(& 4.++0*00 - -
20 Am$/sisilin S#ru 12+ mg5 + ml BO&O' 2.44+*00 - +0 122.2+0
21 Amisillin Serbu/ 1*000 mg in8e/si +00 mg &AB'(& 124*22 - 200 24.,44
24 Antasida DO(N susensi. B$t$l 2.100*00 - -
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
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NO Nama Obat Satuan Harga 1-Jul-14 1 Jul-31 Des 2014 1
Barang Ruia! Barang Ruia! Baran
2+ Antasida DO(N tablet /un#a! &AB'(& )+*00 - 1300 ).+00
2 Anti Ba/teri DO(N sale /$mbinasi &B( 2.+1*00 - -
2) Anti 6ungi DO(N $mbinasi PO& 1.04*00 - 21 3.,4
2, Anti Hem$r$id D$en $mbinasi SP 2.4+0*00 - 22.0+0
2 Antimigren tablet? (rg$tamin &artrat 1 mg ; $6ein +0 mg &AB'(& 13+*00 - -
30 A@ua Pr$in8e/si Steril
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NO Nama Obat Satuan Harga 1 Jul 14 1 Jul 31 Des 2014 1
Barang Ruia! Barang Ruia! Baran
+3 :lindam#"in asul 1+0mg APS' 31*00 - 100 3.100
+4 :lindam#"in asul 300mg APS' ++3*00 - 200 110.00
++ :l$baam &ablet 10 mg &AB'(& 00*00 - -
+ :#r$6l$a"in &ablet +00 mg &AB'(& 2++*00 - -
+) De/sametas$n 7n8e/si + mg5 ml A9P' 1.+,0*00 - -
+, De/sametas$n &ablet 0.+ mg &AB'(& ,*00 10 ,0 ,00 +4.400
+De/tr$met$r6an HBR S#ru BO&O' 1.3),*00 3 4.134 1+ 20.)0
0De/tr$met$r6an HBR tab 1+ mg &AB'(& 0*00 - -
1 De%italisasi Pasa N$n Arsen BO&O' 30.000*00 - -
2 Detran BO&O' 3+.+2*00 - -
3 Diaeam 7n8e/si + mg5 ml- 2 ml A9P' 3.300*00 - -
4 Diaeam Re"tal &ube +mg &ube 11.+2+*00 - -
+ Diaeam &ablet 2 mg &AB'(& +0*00 - 100 +.000
Diaeam &ablet + mg &AB'(& 0*00 - -
)Di6en!idramin H:' 7n8e/si A9P' 1.0+4*00 - 2+ 2.3+0
, Dig$in 0.2+ mg &AB'(& )*00 - -
D$merid$n S#ru B$t$l 3.333*00 - -
)0 D$merid$n &ablet 10mg &AB'(& 1)*00 - -
)1 D$#"il/in 100 mg /asul APS' 220*00 - -
)2 (6edrin H:' 2+ mg &AB'(& 42*0 - -
)3 (/stra/ Bellad$ne 10 mg &AB'(& 3,*00 - 1+0 +.)00
)4 (ine6rin =Adrenalin> in8e/si 0.1 A9P' ,.100*00 - + 40.+00
)+ (ritr$misin siru 200 mg5 + ml BO&O' ).)00*00 - 3+ 2.+00
) (r#t!r$mi"in 2+0 mg APS' 4)*00 - -
)) (r#t!r$mi"in +00 mg APS' 30*00 - 200 1,.000
),(ta/ridine = Ri%an$l > 0.1 BO&O' 2.212*00 - 1 2.212
) (tambut$l +00 mg &AB'(& 4+1*00 - -
,0 (tan$l )0 100 ml BO&O' 2.+00*00 - 1 40.000
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
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NO Nama Obat Satuan Harga 1 Jul 14 1 Jul 31 Des 2014 1
Barang Ruia! Barang Ruia! Baran
,1 (tan$l )0 1000 ml BO&O' 21.+00*00 - -
,2 (til l$rida Semr$t BO&O' 10+.000*00 - -
,3 (ugen$l :airan BO&O' 1.)*00 - -
,4 Cenilbuta$ne &ablet 200mg &AB'(& )*00 - -
,+ Cenit$in tablet 100mg &AB'(& 133*00 - -
, Cen$barbital 7n8e/si +0 mg5 ml A9P' 1.,00*00 - -
,) Cen$barbital &ablet 30 mg &AB'(& 0*00 - -
,,Cen$/simeti l Penisi lina 2+0 mg &AB'(& 2)2*00 - -
,Cen$/simetil Penisil ina +00 mg &AB'(& 4+*00 - 3+0 12.)+0
0 Cen$lgliser$l && 10 + ml BO&O' 2.042*00 - 10 20.420
1
Cit$menadi$n = tab salut gula 10 mg
&AB'(& 34*00 1+ .+10 200 12.,00
2 Cit$menadi$n = in8 10 mg5ml A9P' 1.+*00 - -
3 Cit$menadi$n = in8 2 mg5ml A9P' ,.2+0*00 - -
4 C$lle# :at!eter N$* 1, B$ 10 ,0.000*00 - -
+ C$lle# :at!eter N$* 20 B$ 10 ,0.000*00 - -
C$rin$/res$l =&C> 10 ml BO&O' 4.+00*00 - -
) Cur$semid &ablet 40 mg &AB'(& ,+*00 - +0 4.2+0
, aram Oralit 200 ml Air SAS( 2)+*00 + 1.3)+ 2)+ )+.2+
entamisin in8e/si 40 mg5 ml A9P' 3.3*00 - -
100 entamisin Sale ulit 0*1 &B( 1.,00*00 - 0 12.000
101 entian BO&O' 30.000*00 - -
103 liben/lamid + mg &AB'(& +*00 - -
104 liseril ua#a/$lat 100 mg &AB'(& 2)*0 30 ,3) 1000 2).00
10+ liseril ua#a/$lat S#ru B$t$l .00*00 - -
10 liserin lar* + BO&O' 100ml +.333*00 - -
10) lu/$sa 'arutan 7n6us 10 Steril BO&O' +.)00*00 - -
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
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51/182
g
Barang Ruia! Barang Ruia! Baran
10, lu/$sa 'arutan 7n6us 40 Steril 2+ mg &AB'(& 4,*00 - +0 2.400
11) Hidr$/$rtis$n rim 2.+ &B( 2.),*00 - 2+.1,2
11, H#$s"ine N Butilbr$mide 10 mg &AB'(& 40+*00 - -
11 7bur$6en 200 mg &AB'(& 110*00 - -
120 7bur$6en 400 mg &AB'(& 14*00 - 4+0 ).0+0
121 7"!ti$l sale PO& 3.,33*33 - , 30.)
122 7n6usi$n Set Ana/ S(& 13.)+0*00 - -
123 7n6usi$n Set Dewasa S(& 13.)+0*00 1 13.)+0 1+ 20.2+0
124 7s$niaid 300 mg &AB'(& 13*00 - -
12+ 7s$s$rbid dinitrat + mg &AB'(& ,,*00 - -
12 7< :at!eter5ab$"at! N$* 1, Bua! 3.,00*00 - -
12) 7< :at!eter5ab$"at! N$* 20 Bua! 3.,00*00 1 3.,00 + 1.000
12, 7< :at!eter5ab$"at! N$*22 Bua! 3.,00*00 - -
12 7< :at!eter5ab$"at! N$*24 Bua! 3.,00*00 - ) 2.00
130 alium Di/l$6ena/=Clamigra> &AB'(& 42+*00 - -
131 alsium Hidr$/sida Pasta O&A 300.000*00 - -
132 alsium 'a/tat +00 mg &AB'(& +2*00 30 1.+0 -
133 aas Pembalut 2+0 mg RO' 11.000*00 1 11.000 -
134 arbamaein 200 mg &AB'(& 24+*00 - -
13+ asa $mres 11 steril O&A ).20*00 - -
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
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Barang Ruia! Barang Ruia! Baran
13 asa $mres 4040 steril 1.30*00 - -
13) asa Pembalut 2 m ,0 "m ,.,00*00 - -
13, asa Pembalut 3 m ,0 "m RO' 3.+00*00 - -
13 asa Pembalut Hidr$6il 4 m 10 "m RO' 0*00 - -
140 asa Pembalut Hidr$6il 4 m 1+ "m 2.100*00 - -
141 asa Pembalut Hidr$6il 4 m 3 "m )30*00 - -
142 asa Pembalut Hidr$6il 4 m + "m RO' )+0*00 - 2+ 1,.)+0
143 et$/$na$l rim 2 &ube 1+ g 4.)00*00 - -
144 et$/$na$l &ablet 200 mg &AB'(& 300*00 - 1+0 4+.000
14+ l$id$grel &ablet )+ mg &AB'(& 3.400*00 - -
14 l$ram6eni/$l 2+0 mg APS' 24*00 - 4+0 112.0+0
14) l$ram6eni/$ l S9 &B( 1.00*00 - + , .000
14, l$ram6eni/$l &9 0*+ + ml BO&O' 4.400*00 - 10 44.000
14 l$ram6eni/$l && 3 + ml BO&O' 1.+*00 - -
1+0 l$r6eniramin 9aleat =:&9> 4 mg &AB'(& 24*00 - 1000 24.000
1+1 l$r6en$l /am6er 9ent$l=:H9> :airan BO&O' ++.000*00 - -
1+2 l$rin :air 'ar* + BO&O' 1.2+0*00 - -
1+3 l$rr$maine in8e/si +mg5+ml A9P' 1.100*00 - -
1+4 l$rr$maine tab 100mg &AB'(& 133*00 - -
1++ $dein 20 mg &AB'(& 1.100*00 - -
1+ $mb ? Pirimetamin;sul6ad$in &AB'(& 4),*00 - -
1+) $mbinasi susensi ? Para6in ; gliserin ; 6en$l6talein B$t$l 0 ml 12.4+0*00 - -
1+, $ntrasesi 7mlan B 77 set 1*00 - -
1+ $ntrasesi in8e/ de$5 B 3 bln %ial 1*00 - -
10 $trim$/sa$le Pediatri/ &ablet )*00 - -
11 $trim$/sa$le Susensi BO&O' 2.14+*00 - 110 23+.+0
12 $trim$/sa$le &ablet Dewasa &AB'(& 14*00 - 300 44.)00
NO Nama Obat Satuan Harga
Persediaan Awal Penerimaan
1-Jul-14 1 Jul-31 Des 2014 1
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Barang Ruia! Barang Ruia! Baran
13 'arutan Benedi"t 100 ml BO&O' ++.000*00 - -
14 'arutan ($sin 2 100 ml BO&O' 12.+00*00 - -
1+ 'arutan (tan$l asam 100 ml BO&O' 2+.000*00 - -
1 'arutan iemsa stain 100 ml BO&O' 1+.000*00 - -
1) 'arutan 7$dine &est BO&O' 2.000*00 - -
1, 'arutan arb$l Cu/sin 100 ml BO&O' 0.+00*00 - -
1 'arutan 9etilen Biru BO&O' 2+.000*00 - -
1)0 'arutan &ur/ BO&O' 24.000*00 - -
1)1 'e%ertrans Sale PO& 2.000*00 - -
1)2 'id$/ain 7n8e/si 2 A9P' ,3*00 - )+ 2.2+
1)3 'id$/ain Jeli 2 S#ringe 10 g 40.000*00 - -
1)4 'id$/ain $m 7n8e/si A9P' 1.33*00 - -
1)+ 'is$l BO&O' 10009' 1.33+*00 - -
1) '$ratadin tab 10mg &AB'(& 1+4*00 - 200 30.,00
1)) 9agnesium Sul6at 7n8e/si 20
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Barang Ruia! Barang Ruia! Baran
11 9et$/l$ramide s#ru +mg5ml BO&O' 3.113*00 - -
12 9etr$nida$l 'arutan in6us +mg5ml BO&O' .+0*00 - -
13 9etr$nida$l su$sit$ria +00mg Su 3.220*00 - -
14 9etr$nida$le 2+0 mg &AB'(& 110*00 - 200 22.000
1+ 9etr$nida$le +00 mg &AB'(& 10*00 - 100 1.000
1 9i/$na$l /rim 2 &B( 3.000*00 - -
1) 9$metas$n Cur$at rim 0*1 &ube 10g 1).,20*00 - -
1, 9ulti%itamin S#ru B$t$l 3.000*00 - -
19ulti%itamin tablet :alet 12)*00 - -
200 9ummi6#ing Casta BO&O' 12.+00*00 - -
201 Natrium Bi/arb$nat +00 mg &AB'(& 1*00 - -
202 Natrium bi/arb$nat in8e/si 100 ml BO&O' 1.2+,*+ - -
212 Obat Diare &ablet &AB'(& 413*00 - -
213 O6l$a"in tab 400mg &AB'(& +0*00 - -
214 O/simeta$lin &etes Hidung 0.02+ B$t$l 2).++0*00 - -
21+ O/sitetrasi/lin H:' 7n8 1m +0 mg
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
55/182
Barang Ruia! Barang Ruia! Baran
21 Omera$l in8e/si 40mg510ml
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Barang Ruia! Barang Ruia! Baran
24) Ri6amisin 300 mg APS' +01*00 - -
24, Ri6amisin 4+0 mg APS' 0*00 - -
24 Ri6amisin 00 mg APS' 13*00 - -
2+0 Riserid$n &ablet 2 mg &AB'(& 1.00,*00 - -
2+1 R' 'arutan in6us Steril +00ml BO&O' +.200*00 2 10.400 30 1+.000
2+2 Sa"!arum 'a"tis /aleng 2+3.000*00 - -
2+3 Salbutam$l 2 mg &AB'(& +*00 - -
2+4 Salbutam$l 4 mg &AB'(& ,4*00 - -
2++Salbutam$l 7n!alasi 5Aer$s$l 100 m"g5d$sis = Dus. b$t$l 200 d$sis 3.)+0*00 - -
2+ Sale 2-4 $mb* PO& 2.000*00 - 10 20.000
2+) Salisil Beda/ 2 +0 ram O&A 1.2+0*00 2 2.+00 30 3).+00
2+, Sarung tangan #ne"$l$g# Pasang 11.000*00 - -
2+ Sarung tangan N$* *+ Pasang 4.20*00 - 10 4.200
20 Sarung tangan N$* ) Pasang 4.20*00 - + 23.100
21 Sarung tangan N$* )*+ Pasang 4.20*00 - -
22 Se6i/sim s#ru /ering 100mg5+ml BO&O' ,.,00*00 - 1+ 132.000
23 Se6iime 100 mg &AB'(& ,+*00 - 100 ,+.00
24 Semen Seng C$s6at Serbu/ ; :air BO&O' 102.300*00 - -
2+ Serum AB 7n8e/* + ml =AB 7 >
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Barang Ruia! Barang Ruia! Baran
2)4 &ablet &amba! Dara! Dewasa &AB'(& 42*00 300 12.00 +00 21.000
2)+ &em$rar# St$ing Clet"!er S(& 3).400*00 - -
2) &etrasi/lin H:' 2+0 mg APS' 14,*00 - -
2)) &etrasi/lin H:' +00 mg APS' 20*00 - -
2), &!iam6eni/$l /a +00mg APS' 431*00 - -
2) &!iam6eni/$l S#ru BO&O' 4.200*00 - -
2,0 &!iamin H:' = 7n8e/*100 mg A9P' ,0*00 - 10 .,00
2,1 &!iamin H:' = 100 mg &AB'(& ,1*00 - -
2,2 &!iamin H:' = +0 mg &AB'(& 3,*00 - -
2,3 &ramad$l tablet +0mg &AB'(& 1,,*3 - -
2,4 &ri!e#!enidil H:' 1+ mg APS' 40*00 - -
2,+ rea rim 10 =S$6t Derm> &B( .400*00 - -
2, rine Bag BAH 4.400*00 - -
2,)
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geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!23.)00 - -
.000 - -
- - -
20.,00 - -
11,.,00 - -
+0.40 - -
- - -
- - -
.020 - -- - -
1.000 - -
- - -
- - -
- - -
- - -
- - -
- - -
43+.200 - -
- - -
11.,0+ 1 2.44+
- - -
- - -
23.02 10 1.242
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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Ruia! Barang Ruia!
.)+0 10 )+0
- - -
3,.0,0 1 1.04
22.0+0 - -
- - -
22.400 1 1.400
- - -
1.)+0 - -
1.00 - -
- - -
- - -
- - -
- - -
4,.40 - -
- - -
- - -
- - -
- - -
- - -
- - -
44.000 - -
++.,33 - -
13.+,3 - -
- - -
- - -
12).2+0 - -
3.200 - -
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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Ruia! Barang Ruia!
32.40 10 3.10
.+40 20 11.00
- - -
- - -- - -
+3.)20 20 1.30
24.,04 - -
- - -
- - -
- - -
- - -
- - -
+.000 - -
- - -
2.3+0 - -
- - -
- - -
- - -
- - -
- - -
+.)00 - -
32.400 1 ,.100
21.,00 1 ).)00
- - -
1,.000 - -
2.212 - -
- - -
3).+00 1 2.+00
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
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Ruia! Barang Ruia!
- - -
- - -
- - -
- - -- - -
- - -
- - -
- - -
12.)+0 - -
20.420 - -
13.310 - -
- - -- - -
- - -
- - -
- - -
4.2+0 - -
)).000 - -
- - -
12.000 - -
12.+30 1 ,+
- - -
- - -
2,.4+, 10 2)
- - -
- - -
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
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Ruia! Barang Ruia!
- - -
)2.,00 1 +.200
2.2,0 - -
- - -- - -
- - -
- - -
- - -
2.400 - -
2+.1,2 - -
- - -
- - -
).0+0 - -
30.) - -
- - -
220.000 - -
- - -
- - -
- - -
1.000 1 3.,00
- - -
22.,00 1 3.,00
- - -
- - -
1.+0 - -
11.000 - -
- - -
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
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Ruia! Barang Ruia!
- - -
- - -
- - -
- - -- - -
- - -
1,.)+0 - -
- - -
4+.000 - -
- - -
112.0+0 - -
,.000 - -
44.000 - -
- - -
24.000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
23+.+0 - -
44.)00 - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
i ! i !
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Ruia! Barang Ruia!
- - -
- - -
- - -
- - -- - -
- - -
- - -
- - -
- - -
0.40, 3 2.+1)
- - -
- - -
- - -
30.,00 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
30.000 - -
).)00 - -
- - -
- - -
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
R i ! B R i !
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Ruia! Barang Ruia!
- - -
- - -
- - -
22.000 - -1.000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
4).000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2).+22 2 3.0+,
30.400 1 1.00
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
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Ruia! Barang Ruia!
- - -
- - -
- - -
- - -- - -
- - -
- - -
1+1.300 - -
- - -
4+.00 1 11.4)+
- - -
- - -
2.)0 - -
- - -
3+.200 - -
- - -
1.4) 1 2.13
2,.40 - -
,.400 - -
- - -
- - -
- - -
- - -
3.420 - -
3.000 - -
- - -
- - -
- - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
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Ruia! Barang Ruia!
- - -
- - -
- - -
- - -1+.000 2 10.400
- - -
- - -
- - -
- - -
1,.000 1 2.000
3).+00 2 2.+00
- - -41.+,0 1 4.20
23.100 - -
- - -
132.000 - -
,+.00 - -
- - -
- - -
- - -
- - -
- - -
1.404 2 2.1+
13.200 - -
- - -
- - -
32.20 - -
geluaran St$/ A/!ir
1 Des 2014 31 Desember 2014
Ruia! Barang Ruia!
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Ruia! Barang Ruia!
33.00 - -
- - -
- - -
- - -- - -
- - -
.120 1 ,0
- - -
- - -
- - -
- - -
- - -
- - -- - -
1+0.,)0 - -
- - -
,+.140 - -
+.4,0.333 .214
ur% & 'esember 20!
"a(ab Poskes4es Mekarjaya
ng A67ah% Am45Keb
Lampiran Berita Acara Stok Opname Obat
Poskes4es Pa4ajaya Puskesmas Cijagang Kabupaten Cianjur Tahun 20!
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NO Nama Obat Satuan Harga
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1-Jul-14 1 Jul-31 Des 2014 1 Jul-3
Barang Ruia! Barang Ruia! Barang1 A"#"l$%ir tab 200mg &AB'(& 23)*00 - -
2 A"#"l$%ir tab 400mg &AB'(& 34+*00 - -
3 Air Ra/sa Dental se BO&O' 220.000*00 - -
4 Alat Sunti/ Se/ali Pa/ai 1 ml S(& +0*00 - 20 13.000 20
+ Alat Sunti/ Se/ali Pa/ai 3 ml S(& 0*00 10 .00 100 .000 10,
Alat Sunti/ Se/ali Pa/ai + ml S(& 0*00 3 2.)0 40 3.00 42
) Al/$!$l Swab t/ 2.000*00 - -
, Albenda$l tab &AB'(& 33,*00 - -
Al$urin$l &ablet 100 mg &AB'(& ,*00 - )0 .020 )0
10 Ambr$$l s#ru 1+mg5+ml BO&O' 2.400*00 3 ).200 - 3
11 Ambr$$l tab 30 mg &AB'(& +*00 - 100 .+00 100
12Amin$6il in 7n8e/si 24 mg5 ml A9P' 3.,22*00 - -
13 Amin$6ilin &ablet 200 mg &AB'(& 0*00 - -
14 Amitritilin H:' 2+ mg &AB'(& 112*00 - -
1+ Aml$diin &ablet 10 mg &AB'(& 330*00 - -
1 Aml$diin &ablet + mg &AB'(& 1,)*00 - -
1) Am$/sisilin 2+0 mg APS' 211*00 - -
1, Am$/sisilin +00 mg &AB'(& 2)2*00 10 2.)20 1000 2)2.000 1010
1 Am$/sisilin ; Asam la%ulanat &AB'(& 4.++0*00 - -
20 Am$/sisilin S#ru 12+ mg5 + ml BO&O' 2.44+*00 2 4.,0 12+ 30+.2+ 12)
21 Amisillin Serbu/ 1*000 mg in8e/si +00 mg &AB'(& 124*22 20 2.4,4 +0 .211 )0
24 Antasida DO(N susensi. B$t$l 2.100*00 - -
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Barang Ruia! Barang Ruia! Barang
2+ Antasida DO(N tablet /un#a! &AB'(& )+*00 10 )+0 1000 )+.000 1010
2 Anti Ba/teri DO(N sale /$mbinasi &B( 2.+1*00 - 11 2).) 11
2) Anti 6ungi DO(N $mbinasi PO& 1.04*00 - 3 +.)12 3
2, Anti Hem$r$id D$en $mbinasi SP 2.4+0*00 - -
2A ntimigren tablet? (rg$tamin &artrat 1 mg ; $6ein +0 mg &AB'(& 13+*00 - -
30 A@ua Pr$in8e/si Steril
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Barang Ruia! Barang Ruia! Barang
+2 :imetidine &ablet 200 mg &AB'(& 10,*00 - -
+3 :lindam#"in asul 1+0mg APS' 31*00 10 3.10 200 )2.200 210
+4 :lindam#"in asul 300mg APS' ++3*00 10 +.+30 300 1+.00 310
++ :l$baam &ablet 10 mg &AB'(& 00*00 - -
+ :#r$6l$a"in &ablet +00 mg &AB'(& 2++*00 10 2.++0 100 2+.+00 110
+) De/sametas$n 7n8e/si + mg5 ml A9P' 1.+,0*00 3 4.)40 - 3
+, De/sametas$n &ablet 0.+ mg &AB'(& ,*00 - 00 40.,00 00
+De/tr$met$r6an HBR S#ru BO&O' 1.3),*00 - 1+ 20.)0 1+
0De/tr$met$r6an HBR tab 1+ mg &AB'(& 0*00 - -
1 De%italisasi Pasa N$n Arsen BO&O' 30.000*00 - -
2 Detran BO&O' 3+.+2*00 - -
3 Diaeam 7n8e/si + mg5 ml- 2 ml A9P' 3.300*00 - -
4 Diaeam Re"tal &ube +mg &ube 11.+2+*00 - -
+ Diaeam &ablet 2 mg &AB'(& +0*00 - -
Diaeam &ablet + mg &AB'(& 0*00 - -
)Di6en!idramin H:' 7n8e/si A9P' 1.0+4*00 - 1+ 1+.,10 14
, Dig$in 0.2+ mg &AB'(& )*00 - -
D$merid$n S#ru B$t$l 3.333*00 - -
)0 D$merid$n &ablet 10mg &AB'(& 1)*00 - -
)1 D$#"il/in 100 mg /asul APS' 220*00 - -
)2 (6edrin H:' 2+ mg &AB'(& 42*0 - -
)3 (/stra/ Bellad$ne 10 mg &AB'(& 3,*00 - 1+0 +.)00 1+0
)4 (ine6rin =Adrenalin> in8e/si 0.1 A9P' ,.100*00 - + 40.+00 4
)+ (ritr$misin siru 200 mg5 + ml BO&O' ).)00*00 - -
) (r#t!r$mi"in 2+0 mg APS' 4)*00 - -
)) (r#t!r$mi"in +00 mg APS' 30*00 10 .300 +0 4.+00 0
),(ta/ridine = Ri%an$l > 0.1 BO&O' 2.212*00 - 4 ,.,4, 3
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Barang Ruia! Barang Ruia! Barang
) (tambut$l +00 mg &AB'(& 4+1*00 - -
,0 (tan$l )0 100 ml BO&O' 2.+00*00 2 +.000 1 40.000 1)
,1 (tan$l )0 1000 ml BO&O' 21.+00*00 - -
,2 (til l$rida Semr$t BO&O' 10+.000*00 - -
,3 (ugen$l :airan BO&O' 1.)*00 - -
,4 Cenilbuta$ne &ablet 200mg &AB'(& )*00 - -
,+ Cenit$in tablet 100mg &AB'(& 133*00 - -
, Cen$barbital 7n8e/si +0 mg5 ml A9P' 1.,00*00 - -
,) Cen$barbital &ablet 30 mg &AB'(& 0*00 - -
,,Cen$/simetil Penisil ina 2+0 mg &AB'(& 2)2*00 - -
,Cen$/simetil Penisil ina +00 mg &AB'(& 4+*00 - 200 3.000 200
0 Cen$lgliser$l && 10 + ml BO&O' 2.042*00 - -
1 Cit$menadi$n = tab salut gula 10 mg &AB'(& 34*00 - 200 12.,00 200
2 Cit$menadi$n = in8 10 mg5ml A9P' 1.+*00 - -
3 Cit$menadi$n = in8 2 mg5ml A9P' ,.2+0*00 - -
4 C$lle# :at!eter N$* 1, B$ 10 ,0.000*00 - -
+ C$lle# :at!eter N$* 20 B$ 10 ,0.000*00 - -
C$rin$/res$l =&C> 10 ml BO&O' 4.+00*00 - -
) Cur$semid &ablet 40 mg &AB'(& ,+*00 - -
, aram Oralit 200 ml Air SAS( 2)+*00 20 +.+00 2+0 ,.)+0 2)0
entamisin in8e/si 40 mg5 ml A9P' 3.3*00 - -
100 entamisin Sale ulit 0*1 &B( 1.,00*00 - 0 12.000 ,
101 entian BO&O' 30.000*00 - -
103 liben/lamid + mg &AB'(& +*00 - -
104 liseril ua#a/$lat 100 mg &AB'(& 2)*0 30 ,3) 1000 2).00 1020
10+ liseril ua#a/$lat S#ru B$t$l .00*00 - -
NO Nama Obat Satuan Harga
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10 liserin lar* + BO&O' 100ml +.333*00 - -
10) lu/$sa 'arutan 7n6us 10 Steril BO&O' +.)00*00 - -
10, lu/$sa 'arutan 7n6us 40 Steril 2+ mg &AB'(& 4,*00 - +0 2.400 +0
11) Hidr$/$rtis$n rim 2.+ &B( 2.),*00 1 2.), 11 30.)), 12
11, H#$s"ine N Butilbr$mide 10 mg &AB'(& 40+*00 - -
11 7bur$6en 200 mg &AB'(& 110*00 - -
120 7bur$6en 400 mg &AB'(& 14*00 - 4+0 ).0+0 4+0
121 7"!ti$l sale PO& 3.,33*33 - + 1.1) +
122 7n6usi$n Set Ana/ S(& 13.)+0*00 1 13.)+0 -
123 7n6usi$n Set Dewasa S(& 13.)+0*00 1 13.)+0 -
124 7s$niaid 300 mg &AB'(& 13*00 - -
12+ 7s$s$rbid dinitrat + mg &AB'(& ,,*00 - -
12 7< :at!eter5ab$"at! N$* 1, Bua! 3.,00*00 - -
12) 7< :at!eter5ab$"at! N$* 20 Bua! 3.,00*00 1 3.,00 10 3,.000 10
12, 7< :at!eter5ab$"at! N$*22 Bua! 3.,00*00 - -
12 7< :at!eter5ab$"at! N$*24 Bua! 3.,00*00 1 3.,00 + 1.000 +
130 alium Di/l$6ena/=Clamigra> &AB'(& 42+*00 - -
131 alsium Hidr$/sida Pasta O&A 300.000*00 - -
132 alsium 'a/tat +00 mg &AB'(& +2*00 - 400 20.,00 30
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g g g
133 aas Pembalut 2+0 mg RO' 11.000*00 1 11.000 3 33.000 3
134 arbamaein 200 mg &AB'(& 24+*00 - -
13+ asa $mres 11 steril O&A ).20*00 - , +,.0,0 ,
13 asa $mres 4040 steril 1.30*00 - -
13) asa Pembalut 2 m ,0 "m ,.,00*00 - -
13, asa Pembalut 3 m ,0 "m RO' 3.+00*00 - -
13 asa Pembalut Hidr$6il 4 m 10 "m RO' 0*00 - -
140 asa Pembalut Hidr$6il 4 m 1+ "m 2.100*00 - -
141 asa Pembalut Hidr$6il 4 m 3 "m )30*00 - -
142 asa Pembalut Hidr$6il 4 m + "m RO' )+0*00 - 1+ 11.2+0 1+
143 et$/$na$l rim 2 &ube 1+ g 4.)00*00 - -
144 et$/$na$l &ablet 200 mg &AB'(& 300*00 - -
14+ l$id$grel &ablet )+ mg &AB'(& 3.400*00 - -
14 l$ram6eni/$l 2+0 mg APS' 24*00 20 4.,0 4+0 112.0+0 4)0
14) l$ram6eni/$l S9 &B( 1.00*00 - + ,.000 4
14, l$ram6eni/$l &9 0*+ + ml BO&O' 4.400*00 1 4.400 10 44.000 10
14 l$ram6eni/$l && 3 + ml BO&O' 1.+*00 - -
1+0 l$r6eniramin 9aleat =:&9> 4 mg &AB'(& 24*00 - 1000 24.000 1000
1+1 l$r6en$l /am6er 9ent$l=:H9> :airan BO&O' ++.000*00 - -
1+2 l$rin :air 'ar* + BO&O' 1.2+0*00 - -
1+3 l$rr$maine in8e/si +mg5+ml A9P' 1.100*00 - -
1+4 l$rr$maine tab 100mg &AB'(& 133*00 - -
1++ $dein 20 mg &AB'(& 1.100*00 - -
1+ $mb ? Pirimetamin;sul6ad$in &AB'(& 4),*00 - -
1+) $mbinasi susensi ? Para6in ; gliserin ; 6en$l6talein B$t$l 0 ml 12.4+0*00 - -
1+, $ntrasesi 7mlan B 77 set 1*00 - -
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g g g
1+ $ntrasesi in8e/ de$5 B 3 bln %ial 1*00 - -
10 $trim$/sa$le Pediatri/ &ablet )*00 - -
11 $trim$/sa$le Susensi BO&O' 2.14+*00 - 110 23+.+0 110
12 $trim$/sa$le &ablet Dewasa &AB'(& 14*00 - 300 44.)00 300
13 'arutan Benedi"t 100 ml BO&O' ++.000*00 - -
14 'arutan ($sin 2 100 ml BO&O' 12.+00*00 - -
1+ 'arutan (tan$l asam 100 ml BO&O' 2+.000*00 - -
1 'arutan iemsa stain 100 ml BO&O' 1+.000*00 - -
1) 'arutan 7$dine &est BO&O' 2.000*00 - -
1, 'arutan arb$l Cu/sin 100 ml BO&O' 0.+00*00 - -
1 'arutan 9etilen Biru BO&O' 2+.000*00 - -
1)0 'arutan &ur/ BO&O' 24.000*00 - -
1)1 'e%ertrans Sale PO& 2.000*00 - -
1)2 'id$/ain 7n8e/si 2 A9P' ,3*00 1 ,3 )0 +,.)30 )1
1)3 'id$/ain Jeli 2 S#ringe 10 g 40.000*00 - -
1)4 'id$/ain $m 7n8e/si A9P' 1.33*00 - -
1)+ 'is$l BO&O' 10009' 1.33+*00 - -
1) '$ratadin tab 10mg &AB'(& 1+4*00 - -
1)) 9agnesium Sul6at 7n8e/si 20
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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1, 9etilerg$metrin 9aleat 7n8* 0.200 A9P' 1.+00*00 - 20 30.000 20
1,) 9etilerg$metrin 9aleat tab 0.12+ mg &AB'(& 1+4*00 - +0 ).)00 +0
1,, 9et$/l$ramide 10 mg &AB'(& 101*00 - -
1, 9et$/l$ramide in8e/si +mg5ml A9P' 0*00 - -
10 9et$/l$ramide Dr$ +mg5ml BO&O' 12.132*00 - -
11 9et$/l$ramide s#ru +mg5ml BO&O' 3.113*00 - -
12 9etr$nida$l 'arutan in6us +mg5ml BO&O' .+0*00 - -
13 9etr$nida$l su$sit$ria +00mg Su 3.220*00 - -
14 9etr$nida$le 2+0 mg &AB'(& 110*00 - , ).4,0 ,
1+ 9etr$nida$le +00 mg &AB'(& 10*00 - -
1 9i/$na$l /rim 2 &B( 3.000*00 - 10 30.000 10
1) 9$metas$n Cur$at rim 0*1 &ube 10g 1).,20*00 - -
1, 9ulti%itamin S#ru B$t$l 3.000*00 - -
1 9ulti%i tamin tablet :alet 12)*00 - 100 12.)00 100
200 9ummi6#ing Casta BO&O' 12.+00*00 - -
201 Natrium Bi/arb$nat +00 mg &AB'(& 1*00 - 100 1.00 100
202 Natrium bi/arb$nat in8e/si 100 ml BO&O' 1.2+,*+ - ,0 100.)1 ,0
212 Obat Diare &ablet &AB'(& 413*00 - -
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213 O6l$a"in tab 400mg &AB'(& +0*00 - -
214 O/simeta$lin &etes Hidung 0.02+ B$t$l 2).++0*00 - -
21+ O/sitetrasi/lin H:' 7n8 1m +0 mg
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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240 Pr$ran$l$l H:' 40 mg &AB'(& 10*00 - -
241 P#rainamide +00 mg &AB'(& 20*00 - -
242 Ranitidin 7n8e/ Amul 1.140*00 - 10 11.400 10
243 Ranitidin tablet 1+0mg &AB'(& 120*00 - +00 0.000 +00244 Reserin 0.2+ mg &AB'(& ,,*00 - -
24+ Retin$l = 100*000 7 APS' 20*00 - -
24 Retin$l = 200*000 7 APS' 4+*00 - -
24) Ri6amisin 300 mg APS' +01*00 - -
24, Ri6amisin 4+0 mg APS' 0*00 - -
24 Ri6amisin 00 mg APS' 13*00 - -
2+0 Riserid$n &ablet 2 mg &AB'(& 1.00,*00 - -
2+1 R' 'arutan in6us Steril +00ml BO&O' +.200*00 - 100 +20.000 100
2+2 Sa"!arum 'a"tis /aleng 2+3.000*00 - -
2+3 Salbutam$l 2 mg &AB'(& +*00 - -
2+4 Salbutam$l 4 mg &AB'(& ,4*00 - -
2++ Salbutam$l 7n!alasi 5Aer$s$l 100 m"g5d$sis = Dus. b$t$l 200 d$sis 3.)+0*00 - -
2+ Sale 2-4 $mb* PO& 2.000*00 - 10 20.000
2+) Salisil Beda/ 2 +0 ram O&A 1.2+0*00 - 1+ 1,.)+0 10
2+, Sarung tangan #ne"$l$g# Pasang 11.000*00 - 2 22.000 2
2+ Sarung tangan N$* *+ Pasang 4.20*00 - 10 4.200 10
20 Sarung tangan N$* ) Pasang 4.20*00 - + 23.100 +
21 Sarung tangan N$* )*+ Pasang 4.20*00 - 30 13,.00 30
22 Se6i/sim s#ru /ering 100mg5+ml BO&O' ,.,00*00 - 100 ,,0.000 100
23 Se6iime 100 mg &AB'(& ,+*00 - -
24 Semen Seng C$s6at Serbu/ ; :air BO&O' 102.300*00 - -
2+ Serum AB 7n8e/* + ml =AB 7 >
8/17/2019 Pustu Lamp. BA SO smt 2 2014 (1).xlsx
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2 Serum ADS 20*000 iu SA:H(& .00*00 - -
2)1 Sil%er Amalgam serbu/ +-)+ BO&O' 200.000*00 - -
2)2 Sim%astatin 10mg &AB'(& 1*00 - -
2)3 Sul6asetamida Na* &9 1+ +ml BO&O' 3.22*00 - 1+ 4,.30 1+
2)4 &ablet &amba! Dara! Dewasa &AB'(& 42*00 - -
2)+ &em$rar# St$ing Clet"!er S(& 3).400*00 - -
2) &etrasi/lin H:' 2+0 mg APS' 14,*00 - -
2)) &etrasi/lin H:' +00 mg APS' 20*00 - -
2), &!iam6eni/$l /a +00mg APS' 431*00 - -
2) &!iam6eni/$l S#ru BO&O' 4.200*00 - + 21.000 +
2,0 &!iamin H:' = 7n8e/*100 mg A9P' ,0*00 - 1+ 10.200 1+
2,1 &!iamin H:' = 100 mg &AB'(& ,1*00 - -
2,2 &!iamin H:' = +0 mg &AB'(& 3,*00 - -
2,3 &ramad$l tablet +0mg &AB'(& 1,,*3 - -
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2, rine Bag BAH 4.400*00 - -
2,)
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ri 8atma(ati%Am4%Keb
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NO Nama Obat Satuan Harga 1-Jul-14 1 Jul-31 Des 2014 1 Jul-3
Barang Ruia! Barang Ruia! Barang1 A"#"l$%ir tab 200mg &AB'(& 23)*00 - -
2 A"#"l$%ir tab 400mg &AB'(& 34+*00 - -
3 Air Ra/sa Dental se BO&O' 220.000*00 - -
4 Alat Sunti/ Se/ali Pa/ai 1 ml S(& +0*00 - -
+ Alat Sunti/ Se/ali Pa/ai 3 ml S(& 0*00 - -
Alat Sunti/ Se/ali Pa/ai + ml S(& 0*00 - -
) Al/$!$l Swab t/ 2.000*00 - -
, Albenda$l tab &AB'(& 33,*00 - -
Al$urin$l &ablet 100 mg &AB'(& ,*00 - -10 Ambr$$l s#ru 1+mg5+ml BO&O' 2.400*00 - -
11 Ambr$$l tab 30 mg &AB'(& +*00 - 100 .+00 100
12Amin$6i lin 7n8e/s i 24 mg5 ml A9P' 3.,22*00 - -
13 Amin$6ilin &ablet 200 mg &AB'(& 0*00 - -
14 Amitritilin H:' 2+ mg &AB'(& 112*00 - -
1+ Aml$diin &ablet 10 mg &AB'(& 330*00 - -
1 Aml$diin &ablet + mg &AB'(& 1,)*00 - -
1) Am$/sisilin 2+0 mg APS' 211*00 - -
1, Am$/sisilin +00 mg &AB'(& 2)2*00 - 1000 2)2.000 +