Siti Hasanah Lplpo

LAPORAN PERSEDIAAN PUSKESMAS CIKEUSIK
Nama Puskesmas : CIKEUSIK

Bulan : Januari 2018
Saldo Awal 2018 Penerimaan T.A 2018

No Uraian Harga per Unit Harga per Unit
Jumlah satuan Jumlah (Rp)Jumlah satuan Jumlah (Rp)
(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
1 Alopurinol tablet 100 mg 0 99 - 0 99 -
2 Aminofilin tablet 200 mg 0 91 - 0 91 -
3 Albendazol 0 404 - 0 404 -
4 Aminofilin injeksi 24mg/ml-10ml 0 3,245 - 0 3,245 -
5 Amitriptilin HCL Tab. Salut 25 mg 0 167 - 0 167 -
6 Amlodipine 10 mg Tablet 0 93 - 0 93 -
7 Amlodipine Besilate 5mg tablet 0 70 - 0 70 -
8 Alkacide 1 L High Level Desinfectant(Alkapham Ferance 0 2,702,700 - 0 2,702,700 -
9 Amoksisillin Kapsul 500 mg 0 233 - 500 233 116,500
10 Amoksisillin SK 125 mg/5 ml-60 ml 0 1,881 - 10 1,881 18,810
11 Alkazyme Sachet 25mg(Alkapham France) 0 801,000 - 0 801,000 -
12 Amoksilin sk Forte 0 3,400 - 0 3,400 -
13 Ampisillin Injeksi 1 gram 0 3,850 - 0 3,850 -
14 Antalgin (Metampiron) Tab. 500 mg 0 205 - 100 205 20,500
15 Antasida DOEN tablet 0 54 - 200 54 10,800
16 Antasida DOEN suspensi 0 1,923 - 0 1,923 -
Anti Bakteri DOEN Salep Kombinasi (basitrasin)

17 0 3,035 - 0 3,035 -
18 Anti Hemoroid DOEN Kombinasi 0 3,167 - 0 3,167 -
19 Antifungi DOEN Kombinasi 0 3,035 - 0 3,035 -
20 Antimigren DOEN Kombinasi 0 135 - 0 135 -
21 Antiparkinson DOEN tab. Kombinasi 0 1,500 - 0 1,500 -
22 Aqua roinjek Steril 0 2,860 - 0 2,860 -
23 Acyclopir Krim 5%- 5gr 5 8,800 44,000 3 8,800 26,400
24 Acyclopir Tablet 200mg 100 237 23,700 50 237 11,850
25 Acyclopir Tablet 400 mg 350 380 133,000 50 380 19,000
26 Akita/Molagit Tablet 50 450 22,500 100 450 45,000
27 Antalgin (Metampiron) Inj. 250mg/2ml 0 305 - 0 305 -
28 Asam asetilsalisilat 100mg tablet 0 130 - 0 130 -
29 Asam Mefenamat 500mg 0 103 - 0 103 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 3 9,883 29,649 5 9,883 49,415
33 Asam Askorbat (Vit. C) Tablet 50 mg 0 105 - 0 105 -
34 Asering Infus 0 9,646 - 0 9,646 -
35 Asam Folat tablet 01mg 0 63 - 0 63 -
36 Asam Folat tablet 5 mg 0 55 - 0 55 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
38 Asam traneksamat Inj 5 % 1 24,449 24,449 0 24,449 -
39 Asetosal Tablet 500 mg 0 - - 0 - -
40 Atropin Sulfat Inj. 0,25 mg/ml - 1 ml 0 1,595 - 0 1,595 -
41 Atropin Sulfat Tablet 0,5 mg 0 74 - 0 74 -
42 Atropin Sulfat Tetes Mata 1% - 5 ml 0 - - 0 - -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
44 Betadin Salf Antiseptik 0 7,039 - 0 7,039 -
45 Betametason Krim 0,1% - 5 gr 2 1,349 2,698 0 1,349 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
47 Bisoprolol 2,5mg tab 0 650 - 0 650 -
48 Captopril Tablet 12,5 mg 0 62 - 100 62 6,200
49 Captopril Tablet 25 mg 0 72 - 100 72 7,200
50 Carbamazefine 0 269 - 0 269 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 5 2,849 14,245 0 2,849 -
53 Cefixim 0 590 - 50 590 29,500
54 Ciprofloxacin Infus 0 39,900 - 0 39,900 -
55 Ciprofloxacin Tablet 500mg 0 255 - 0 255 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
57 Deksametasone Injeksi 5 mg/ml - 1ml 7 1,097 7,679 0 1,097 -
58 Deksametasone Tablet 0,5 mg 100 32 3,200 200 32 6,400
59 Dekstromethorfan Sirup 10 mg/ 60 ml 0 6,600 - 0 6,600 -
60 Diazetpam Rectal 2mg 0 11,516 0 11,516 -
61 Diazepam Injeksi 5 mg/ml - 2ml 1 17,350 17,350 0 17,350 -
62 Diazepam Tablet 2 mg 0 45 - 0 45 -
63 Diazepam Tablet 5 mg 0 - - 0 - -
64 Dietilkarbamazin Sitrat Tablet 100 mg 0 - - 0 - -
65 Difenhidramin HCL Inj. 10 mg/ml- 1 ml 7 1,176 8,232 0 1,176 -
66 Digoksin Tablet 0,25 mg 40 105 4,200 0 105 -
67 Domperidon 10 mgtablet 100 85 8,500 100 85 8,500
68 Dimenhidrinat Tablet 50 mg 0 - - 0 - -
69 Dasabion Tablet 0 - - 0 - -
70 Domperidon Suspensi 5mg/ 5ml- 60ml 0 3,333 - 0 3,333 -
71 Efedrin HCL Tablet 25 mg 0 51 - 0 51 -
72 Ekstrak Belladona Tablet 10 mg 0 31 - 0 31 -
73 Epinefrina HCL/Bitartrat Inj. 0,1%- 1ml 0 1,408 - 0 1,408 -
74 Etakridin (Rivanol) Lar. 0,1%-300 ml 0 1,800 - 0 1,800 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
78 Eritromisin Kapsul 500 mg 0 730 - 0 730 -
79 Eritromisin Syrup 200 mg/5 ml-60 ml 0 6,700 - 0 6,700 -
80 Fenitoin Natrium Injeksi 50 mg/ 1 ml 0 - - 0 - -
81 Fenitoin Natrium Kapsul 100 mg 0 154 - 0 154 -
82 Fenitoin Natrium Kapsul 30 mg 0 - - 0 - -
83 Fenobarbital Injeksi- 2ml 0 1,740 - 0 1,740 -
84 Fenobarbital Tablet 30 mg 0 165 - 0 165 -
85 Fenobarbital Tablet 30 mg 0 - - 0 - -
86 Fenoksimetil Penisilina Tablet 250 mg 0 - - 0 - -
87 Fluflenazine decanoat inj 25mg/ml 0 57,500 - 0 57,500 -
88 Fitomenadion (Vit. K1) Inj. 10 mg/1 ml 3 3,550 10,650 0 3,550 -
89 Fitomenadion (Vit. K1) Tab. 10 mg 0 710 - 0 710 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
91 Furosemida Tablet 40 mg 0 75 - 0 75 -
92 Garam Oralit 200 ml air 0 264 - 0 264 -
93 Glimepirid 2mg Tablet 0 288 - 0 288 -
94 Glibenklamida Tablet 5 mg 0 119 - 0 119 -
95 Asetil Sistein 200mg 100 358 35,800 200 358 71,600
96 Glikazid 80 mg 0 235 - 0 235 -
97 Glukosa Lar. Infus 5% Steril - 500 ml 0 6,900 - 0 6,900 -
99 Griseofulvin Tablet 500 mg, 0 2,200 - 0 2,200 -
100 Griseofulvin Tablet 125 mg, Micron 0 210 - 0 210 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
102 Gentamisin Injeksi 0 3,696 - 0 3,696 -
103 Haloperidol 2 mg Tablet 0 126 - 0 126 -
105 Hidroklortiazid (HCT) Tablet 25 mg 0 149 - 50 149 7,450
106 Hidrokortison Krim 2,5%-5 gr 0 2,639 - 0 2,639 -
107 Ibuprofen Tablet 200 mg 0 105 - 0 105 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
110 Haloporidol Decanoate Inj 50mg 0 9,750 - 0 9,750 -
111 Isosorbid Dinitrat Tab. Sub. 5 mg 0 89 - 0 89 -
112 Ketokonazol krem 0 2,545 - 0 2,545 -
113 Ketokonazol tab 200mg 0 270 - 0 270 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
115 Kalsium Laktat (Kalk) Tablet 500 mg 0 59 - 200 59 11,800
116 KN-3B 2 10,050 20,100 0 10,050 -
117 Karbihidrat +Elektrolit 0 1,007 - 0 1,007 -
118 Karbogliserin Tetes telinga 0 2,500 - 0 2,500 -
119 Kloramfenikol tetes Mata 0 3,250 - 0 3,250 -
120 Klorfeniramin Maleat (CTM) Tab. 4 mg 0 22 - 0 22 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
122 Klorpromazin HCL Inj. 25 mg/ml- 1ml 0 - - 0 - -
123 Klorpromazin HCL Tablet Salut 25 mg 0 148 - 0 148 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
126 Komb. Artesunate 50mg+Amodiaquin 200mg 0 - - 0 - -
127 Kotrimoksazol Tablet 480mg 150 125 18,750 200 125 25,000
128 Kotrimoksazol Suspensi Kombinasi 0 2,052 - 0 2,052 -
129 Metpormin 500mg 0 100 - 0 100 -
130 Methyilprednisolon 8mg 0 150 - 0 150 -
131 Kloramfenikol Salep Mata 1%-5gram 0 1,881 - 0 1,881 -
132 Kloramfenikol Tetes Telinga 3%-5ml 0 1,797 - 0 1,797 -
133 Kuinin Injeksi 25%-2ml 0 6,200 - 0 6,200 -
134 Levoploxasin 500mh 0 528 - 0 528 -
135 Lidokain Komp. Injeksi, Kombinasi 0 1,140 - 0 1,140 -
136 Lisol, Kresol Tersabun 50%- 1000ml 0 3,360 - 0 3,360 -
137 Loperamide Hcl 2mg Tanlet 0 85 - 0 85 -
138 Magnesium Sulfat Injk 25 ml 0 3,328 - 0 3,328 -
139 Metamizol 500mg 0 473 - 0 473 -
140 Metilergometrin Maleat Tab. 0,125 g 0 210 - 0 210 -
141 Metilergometrin M inj. 0,200mg- 1ml 30 2,840 85,200 0 2,840 -
142 Metoklorpropamid Tablet 10 mg 0 91 - 0 91 -
143 Mikonazol Krim/ Salep 2%-10gram 7 3,414 23,898 0 3,414 -
144 Multivitamin Anak 0 12,100 - 0 12,100 -
145 Multivitamin Dewasa 0 1,316 - 0 1,316 -
146 Metronidazol Infus 500mg/100ml 0 9,950 - 0 9,950 -
147 Metronidazol Tablet 500mg 0 113 - 0 113 -
148 Metokloramid Syr 0 2,345 - 5 2,345 11,725
149 Metronidazol syr 4 3,799 15,196 5 3,799 18,995
150 Natrium Bikarbonat Tablet 500mg 0 514 - 0 514 -
151 Natrum Klorida Lar. Inf. 0,9% -500ml 0 6,410 - 5 6,410 32,050
152 Natrium Diclopenac 20mg 0 145 - 0 145 -
153 Nistatin Vaginal 0 480 - 0 480 -
154 Nistatin Tablet Salut 500.000 IU 0 - - 0 - -
156 Nifedipine Tab 10mg 0 108 - 0 108 -
157 Multivitamin Anti Oksidan 50 1,440 72,000 100 1,440 144,000
158 Obat Anti Tuberkulosis Kat. 1 (FDC) 0 317,018 - 0 317,018 -
159 Obat Anti Tuberkulosis Kat. 2 0 1,297,894 - 0 1,297,894 -
160 Obat Anti Tuberkulosis Kat.Anak 0 214,985 - 0 214,985 -
161 Ofloksasin Tetes telinga 0 45,089 - 0 45,089 -
162 Omeprazol inj 40mg/10ml 0 16,997 - 0 16,997 -
163 Omeprazol Kapsul 20mg 0 130 - 0 130 -
164 Ondansetron Inj 4mg 0 1,660 - 0 1,660 -
165 Onadansetron 8mg Tablet 0 1,189 - 0 1,189 -
166 Onadansetron 4mg Tablet 20 471 9,420 0 471 -
167 Obat Batuk Flu Dewasa 0 413 - 50 413 20,650
168 Obat Batuk Hitam (OBH) Cairan 0 5,000 - 0 5,000 -
169 Obat Batuk Dewasa syr 0 5,500 - 0 5,500 -
170 Oksitetrasiklin HCL Inj. i.m 50mg10ml 0 7,840 - 0 7,840 -
171 Oksitetrasiklin HCL SM 1%-3,5gram 0 1,920 - 0 1,920 -
172 Oksitetrasiklin HCL Salep 3%- 5gram 0 1,545 - 0 1,545 -
173 Oksitosin Injeksi 10 IU/ml- 1ml 0 1,199 - 0 1,199 -
174 OBAT Anti Diare suspensi 0 6,500 - 0 6,500 -
175 parasetamol drops 15 ml 0 6,649 - 0 6,649 -
176 Parasetamol Syrup 120mg/ 5ml-60ml 0 1,107 - 10 1,107 11,070
177 Parasetamol tab 100mg 0 41 - 0 41 -
178 Parasetamol Tablet 500mg 50 53 2,650 300 53 15,900
179 Permetin Krim/Skabisid 5 % 0 12,155 - 0 12,155 -
180 pirantel syr 0 9,700 - 0 9,700 -
181 Pirantel Tablet 125mg 0 291 - 0 291 -
182 piroksikam Tablet 10 mg 0 234 - 0 234 -
183 Piroksikam Tablet 20 mg 0 105 - 0 105 -
184 Propiltiourasil Tablet 100mg 0 319 - 0 319 -
185 Piridoksin HCL (Vit. B6) Tablet 10mg 100 123 12,300 0 123 -
186 Povidon Iodida 10% 300ml 0 17,996 - 0 17,996 -
187 Povidon Iodida 10% 1000ml 0 - - 0 - -
188 Prednison Tablet 5mg 0 68 - 0 68 -
189 Primakuin Tablet 15mg 0 224 - 0 224 -
190 Prokain Benzil Penisilin 3 Juta IU Inj. 0 6,016 - 0 6,016 -
191 propanolol HCL Tablet 10mg 0 60 - 0 60 -
192 Propanolol HCL Tablet 40mg 0 121 - 0 121 -
194 Retinol (Vitamin A) Kapsul 100.000 IU 0 284 - 0 284 -
196 MDT MB/ Kusta Dewasa 0 30,595 - 0 30,595 -
197 MDT PB/ Kusta Dewasa 0 9,770 - 0 9,770 -
198 Risperidon 2mg 0 347 - 0 347 -
199 Ranitidin Injeksi 25 mg/ 2ml 0 1,155 - 0 1,155 -
200 Ranitidin Tablet 150 mg 0 105 - 0 105 -
201 Ringer Laktat Lar. Inf. Steril - 500ml 0 7,150 - 2 7,150 14,300
202 Salbutamol Tablet 2mg 50 63 3,150 100 63 6,300
204 Salep 2-4, Kombinasi 0 2,621 - 0 2,621 -
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
206 Serum Anti Bisa Ular Polivalen Inj.5ml 0 479,996 - 0 479,996 -
207 Stimuno 0 23,540 - 0 23,540 -
208 Serum Anti Tetanus Inj. 1500 IU/amp. 0 170,000 - 0 170,000 -
209 Sukrafat 500mg 0 368 - 0 368 -
210 Sianokobalamin (Vit. B12) Inj 500mcg 0 1,035 - 0 1,035 -
211 Simvastatin Tablet 20 mg 0 205 - 0 205 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
214 Sulfasetamida Natrium TM 15%- 5ml 0 3,226 - 0 3,226 -
215 Sabutamol Nebulizer 0 110 - 0 110 -
216 Spiranolakton tab 0 899 - 0 899 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
219 Setrizin tablet 10 mg 0 90 - 50 90 4,500
220 Tablet Tambah Darah Komb. 0 352 - 0 352 -
221 Tetrakain HCL Tetes Mata 0.5%- 5ml 0 - - 0 - -
222 Tetrasiklin HCL Kapsul 250 mg 300 163 48,900 0 163 -
224 Tiamin HCL/(Vit. B1) Tab. 50mg 0 85 - 200 85 17,000
225 Tiamin HCL (Vit. B1) Inj. 100mg/ 1ml 0 1,455 - 0 1,455 -
226 Triheksifenidil Hidroklorida Tab. 2mg 0 88 - 0 88 -
227 Vitamin B Komplek Tablet 0 118 - 100 118 11,800
228 Zink Syr 2 2,972 5,944 0 2,972 -
229 Zink Tablet 20mg 0 514 - 100 514 51,400
2 BMHP APBD -
1 Alat Suntik Sekali Pakai 1 ml 35 777 27,195 0 777 -
2 Alat Suntik Sekali Pakai 3 ml 0 825 - 0 825 -
3 Alat Suntik Sekali Pakai 5 ml 5 856 4,280 10 856 8,560
4 Catgut/ Benang Bedah No. 2/0 0 60,622 - 10 60,622 606,220
5 I.V. Catheter No. 20 12 4,783 57,396 2 4,783 9,566
6 I.V. Catheter No. 22 5 12,232 61,160 2 12,232 24,464
7 I.V. Catheter No. 24 1 4,784 4,784 2 4,784 9,568
8 I.V. Cateter No 26 3 13,464 40,392 2 13,464 26,928
9 Infusion Set Anak 17 3,498 59,466 3 3,498 10,494
10 Infusion Set Dewasa 0 4,147 - 2 4,147 8,294
11 E.Care Film I.V Dresing 0 6,850 - 0 6,850 -
12 Silk (Benang Bedah Sutera) No. 3/0 0 44,953 - 0 44,953 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
14 Kapas Pembalut/Absorben 250 gram 0 12,250 - 0 12,250 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
16 Kasa Pembalut 2 m x 80 cm 0 9,400 - 0 9,400 -
17 Kasa Pembalut Hidrofil 36 m x 80 cm 0 127,600 - 0 127,600 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
20 Plester 5 yard x 2 inch 0 8,167 - 0 8,167 -
21 Sarung Tangan No 7 Steril 0 792 - 0 792 -
22 Sarung Tangan No 6.5 Steril 0 7,931 - 0 7,931 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
26 Sarung tangan Gynecolog no 7 0 17,748 - 0 17,748 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
30 Catgut/ Benang Bedah No. 3/0 0 68,433 - 0 68,433 -
31 Antiseptik Surgical Hand Scrab 0 74,000 - 0 74,000 -
32 Cairan pembersih 0 22,000 - 0 22,000 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
0
Mengetahui, 0
Kepala Puskesmas Staf TU,
Hj.iyot Sa'diah,S.ST Iing,SKM

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK
Pengeluaran TA. 2018 Saldo Akhir

Harga per Jumlah Harga per
Jumlah satuan Jumlah satuan Jumlah (Rp)
Unit (Rp) (Rp) Unit (Rp)
9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
400 233 93,200 100 233 23,300
10 1,881 18,810 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
100 205 20,500 - 205 -
200 54 10,800 - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
3 8,800 26,400 5 8,800 44,000
50 237 11,850 100 237 23,700
100 380 38,000 300 380 114,000
50 450 22,500 100 450 45,000
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
3 9,883 29,649 5 9,883 49,415
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
1 24,449 24,449 - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
2 1,349 2,698 - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
50 62 3,100 50 62 3,100
50 72 3,600 50 72 3,600
0 269 - - 269 -
0 516 - - 516 -
5 2,849 14,245 - 2,849 -
0 590 - 50 590 29,500
0 39,900 - - 39,900 -
0 255 - - 255 -
0 1,000 - - 1,000 -
2 1,097 2,194 5 1,097 5,485
200 32 6,400 100 32 3,200
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - 1 17,350 17,350
0 45 - - 45 -
0 - - - - -
0 - - - - -
2 1,176 2,352 5 1,176 5,880
0 105 - 40 105 4,200
100 85 8,500 100 85 8,500
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
1 3,550 3,550 2 3,550 7,100
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
300 358 107,400 - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - 50 149 7,450
0 2,639 - - 2,639 -
0 105 - - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
200 59 11,800 - 59 -
0 10,050 - 2 10,050 20,100
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
0 22 - - 22 -
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
100 125 12,500 250 125 31,250
0 2,052 - - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
5 2,840 14,200 25 2,840 71,000
0 91 - - 91 -
2 3,414 6,828 5 3,414 17,070
0 12,100 - - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
2 2,345 4,690 3 2,345 7,035
4 3,799 15,196 5 3,799 18,995
0 514 - - 514 -
2 6,410 12,820 3 6,410 19,230
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
150 1,440 216,000 - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
20 471 9,420 - 471 -
50 413 20,650 - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
10 1,107 11,070 - 1,107 -
0 41 - - 41 -
300 53 15,900 50 53 2,650
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
50 123 6,150 50 123 6,150
0 17,996 - - 17,996 -
0 - - - - -
0 68 - - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
50 63 3,150 100 63 6,300
50 70 3,500 100 70 7,000
0 2,621 - - 2,621 -
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
50 90 4,500 - 90 -
0 352 - - 352 -
0 - - - - -
100 163 16,300 200 163 32,600
0 300 - 300 300 90,000
0 85 - 200 85 17,000
0 1,455 - - 1,455 -
0 88 - - 88 -
100 118 11,800 - 118 -
2 2,972 5,944 - 2,972 -
50 514 25,700 50 514 25,700
- - -
0 777 - 35 777 27,195
0 825 - - 825 -
5 856 4,280 10 856 8,560
0 60,622 - 10 60,622 606,220
2 4,783 9,566 12 4,783 57,396
0 12,232 - 7 12,232 85,624
0 4,784 - 3 4,784 14,352
0 13,464 - 5 13,464 67,320
2 3,498 6,996 18 3,498 62,964
0 4,147 - 2 4,147 8,294
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 31 Januari 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan Februari 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
9 Amoksisillin Kapsul 500 mg 100 233 23,300 500 233 116,500
Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

17 3,035 - 0 3,035 -
29 Asam Mefenamat 500mg 0 103 - 200 103 20,600
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 5 9,883 49,415 5 9,883 49,415
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
38 Asam traneksamat Inj 5 % 0 24,449 - 0 24,449 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
45 Betametason Krim 0,1% - 5 gr 0 1,349 - 0 1,349 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
48 Captopril Tablet 12,5 mg 50 62 3,100 100 62 6,200
49 Captopril Tablet 25 mg 50 72 3,600 0 72 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 50 590 29,500 0 590 -
55 Ciprofloxacin Tablet 500mg 0 255 - 100 255 25,500
56 D-Artepp Tab 0 1,000 - 0 1,000 -
57 Deksametasone Injeksi 5 mg/ml - 1ml 5 1,097 5,485 0 1,097 -
60 Diazetpam Rectal 2mg 0 11,516 5 11,516 57,580
67 Domperidon 10 mgtablet 100 85 8,500 100 85 8,500
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
92 Garam Oralit 200 ml air 0 264 - 20 264 5,280
95 Asetil Sistein 200mg 0 358 - 200 358 71,600
96 Glikazid 80 mg 0 235 - 0 235 -
97 Glukosa Lar. Infus 5% Steril - 500 ml 0 6,900 - 2 6,900 13,800
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 3 2,800 8,400
105 Hidroklortiazid (HCT) Tablet 25 mg 50 149 7,450 0 149 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
113 Ketokonazol tab 200mg 0 270 - 50 270 13,500
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 2 10,050 20,100 0 10,050 -
120 Klorfeniramin Maleat (CTM) Tab. 4 mg 0 22 - 200 22 4,400
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
137 Loperamide Hcl 2mg Tanlet 0 85 - 50 85 4,250
139 Metamizol 500mg 0 473 - 0 473 -
143 Mikonazol Krim/ Salep 2%-10gram 5 3,414 17,070 5 3,414 17,070
144 Multivitamin Anak 0 12,100 - 1 12,100 12,100
147 Metronidazol Tablet 500mg 0 113 - 100 113 11,300
148 Metokloramid Syr 3 2,345 7,035 3 2,345 7,035
151 Natrum Klorida Lar. Inf. 0,9% -500ml 3 6,410 19,230 5 6,410 32,050
157 Multivitamin Anti Oksidan 0 1,440 - 100 1,440 144,000
166 Onadansetron 4mg Tablet 0 471 - 0 471 -
167 Obat Batuk Flu Dewasa 0 413 - 0 413 -
173 Oksitosin Injeksi 10 IU/ml- 1ml 0 1,199 - 5 1,199 5,995
180 pirantel syr 0 9,700 - 0 9,700 -
193 Povidon Iodida 10% 60ml 0 6,550 - 1 6,550 6,550
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 0 2,621 - 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 10 1,025 10,250
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
219 Setrizin tablet 10 mg 0 90 - 50 90 4,500
220 Tablet Tambah Darah Komb. 0 352 - 300 352 105,600
222 Tetrasiklin HCL Kapsul 250 mg 200 163 32,600 100 163 16,300
224 Tiamin HCL/(Vit. B1) Tab. 50mg 200 85 17,000 100 85 8,500
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 50 514 25,700 100 514 51,400
2 BMHP APBD 0 -
2 Alat Suntik Sekali Pakai 3 ml 0 825 - 10 825 8,250
3 Alat Suntik Sekali Pakai 5 ml 10 856 8,560 10 856 8,560
4 Catgut/ Benang Bedah No. 2/0 10 60,622 606,220 0 60,622 -
5 I.V. Catheter No. 20 12 4,783 57,396 2 4,783 9,566
6 I.V. Catheter No. 22 7 12,232 85,624 2 12,232 24,464
7 I.V. Catheter No. 24 3 4,784 14,352 2 4,784 9,568
8 I.V. Cateter No 26 5 13,464 67,320 2 13,464 26,928
10 Infusion Set Dewasa 2 4,147 8,294 3 4,147 12,441
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
500 233 116,500 100 233 23,300
20 1,881 37,620 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
100 205 20,500 - 205 -
100 54 5,400 100 54 5,400
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 5 8,800 44,000
50 237 11,850 150 237 35,550
100 380 38,000 300 380 114,000
100 450 45,000 100 450 45,000
0 305 - - 305 -
0 130 - - 130 -
200 103 20,600 - 103 -
0 233 - - 233 -
0 169 - - 169 -
5 9,883 49,415 5 9,883 49,415
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - 150 62 9,300
0 72 - 50 72 3,600
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - 50 590 29,500
0 39,900 - - 39,900 -
50 255 12,750 50 255 12,750
0 1,000 - - 1,000 -
5 1,097 5,485 - 1,097 -
200 32 6,400 - 32 -
0 6,600 - - 6,600 -
0 11,516 - 5 11,516 57,580
0 17,350 - 1 17,350 17,350
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - 5 1,176 5,880
0 105 - 40 105 4,200
100 85 8,500 100 85 8,500
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - 2 3,550 7,100
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
20 264 5,280 - 264 -
0 288 - - 288 -
0 119 - - 119 -
200 358 71,600 - 358 -
0 235 - - 235 -
2 6,900 13,800 - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
3 2,800 8,400 - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - 50 149 7,450
0 2,639 - - 2,639 -
0 105 - - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
50 270 13,500 - 270 -
0 1,045 - - 1,045 -
200 59 11,800 100 59 5,900
0 10,050 - 2 10,050 20,100
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
150 22 3,300 50 22 1,100
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
150 125 18,750 300 125 37,500
0 2,052 - - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - 50 85 4,250
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
5 2,840 14,200 20 2,840 56,800
0 91 - - 91 -
2 3,414 6,828 8 3,414 27,312
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
50 113 5,650 50 113 5,650
2 2,345 4,690 4 2,345 9,380
5 3,799 18,995 5 3,799 18,995
0 514 - - 514 -
6 6,410 38,460 2 6,410 12,820
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
100 1,440 144,000 - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
0 413 - - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - 5 1,199 5,995
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
10 1,107 11,070 - 1,107 -
0 41 - - 41 -
300 53 15,900 50 53 2,650
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - 50 123 6,150
0 17,996 - - 17,996 -
0 - - - - -
0 68 - - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
50 63 3,150 150 63 9,450
50 70 3,500 150 70 10,500
0 2,621 - 3 2,621 7,863
5 1,025 5,125 5 1,025 5,125
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
30 90 2,700 20 90 1,800
200 352 70,400 100 352 35,200
0 - - - - -
100 163 16,300 200 163 32,600
50 300 15,000 250 300 75,000
100 85 8,500 200 85 17,000
0 1,455 - - 1,455 -
0 88 - - 88 -
100 118 11,800 - 118 -
0 2,972 - - 2,972 -
50 514 25,700 100 514 51,400
- - - -
777 - 35 777 27,195
10 825 8,250 - 825 -
10 856 8,560 10 856 8,560
0 60,622 - 10 60,622 606,220
4 4,783 19,132 10 4,783 47,830
4 12,232 48,928 5 12,232 61,160
0 4,784 - 5 4,784 23,920
0 13,464 - 7 13,464 94,248
3 3,498 10,494 17 3,498 59,466
2 4,147 8,294 3 4,147 12,441
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 28 Februari 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Maret 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
15 Antasida DOEN tablet 100 54 5,400 300 54 16,200
Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0 0

17 3,035 - 3,035 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 5 9,883 49,415 5 9,883 49,415
33 Asam Askorbat (Vit. C) Tablet 50 mg 0 105 - 100 105 10,500
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
48 Captopril Tablet 12,5 mg 150 62 9,300 100 62 6,200
49 Captopril Tablet 25 mg 50 72 3,600 0 72 -
51 Cefadroxil 500mg 0 516 - 50 516 25,800
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 50 590 29,500 0 590 -
55 Ciprofloxacin Tablet 500mg 50 255 12,750 100 255 25,500
56 D-Artepp Tab 0 1,000 - 0 1,000 -
57 Deksametasone Injeksi 5 mg/ml - 1ml 0 1,097 - 0 1,097 -
58 Deksametasone Tablet 0,5 mg 0 32 - 100 32 3,200
67 Domperidon 10 mgtablet 100 85 8,500 0 85 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 4 2,800 11,200
105 Hidroklortiazid (HCT) Tablet 25 mg 50 149 7,450 0 149 -
107 Ibuprofen Tablet 200 mg 0 105 - 100 105 10,500
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
115 Kalsium Laktat (Kalk) Tablet 500 mg 100 59 5,900 200 59 11,800
116 KN-3B 2 10,050 20,100 0 10,050 -
118 Karbogliserin Tetes telinga 0 2,500 - 2 2,500 5,000
120 Klorfeniramin Maleat (CTM) Tab. 4 mg 50 22 1,100 200 22 4,400
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
137 Loperamide Hcl 2mg Tanlet 50 85 4,250 50 85 4,250
139 Metamizol 500mg 0 473 - 0 473 -
143 Mikonazol Krim/ Salep 2%-10gram 8 3,414 27,312 5 3,414 17,070
147 Metronidazol Tablet 500mg 50 113 5,650 100 113 11,300
148 Metokloramid Syr 4 2,345 9,380 0 2,345 -
151 Natrum Klorida Lar. Inf. 0,9% -500ml 2 6,410 12,820 2 6,410 12,820
157 Multivitamin Anti Oksidan 0 1,440 - 0 1,440 -
166 Onadansetron 4mg Tablet 0 471 - 60 471 28,260
173 Oksitosin Injeksi 10 IU/ml- 1ml 5 1,199 5,995 0 1,199 -
180 pirantel syr 0 9,700 - 0 9,700 -
198 Risperidon 2mg 0 347 - 0 347 -
201 Ringer Laktat Lar. Inf. Steril - 500ml 0 7,150 - 0 7,150 -
202 Salbutamol Tablet 2mg 150 63 9,450 0 63 -
204 Salep 2-4, Kombinasi 3 2,621 7,863 3 2,621 7,863
205 Salisil Bedak 2% 5 1,025 5,125 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
219 Setrizin tablet 10 mg 20 90 1,800 0 90 -
220 Tablet Tambah Darah Komb. 100 352 35,200 120 352 42,240
224 Tiamin HCL/(Vit. B1) Tab. 50mg 200 85 17,000 0 85 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 100 514 51,400 100 514 51,400
2 BMHP APBD 0 -
5 I.V. Catheter No. 20 10 4,783 47,830 2 4,783 9,566
6 I.V. Catheter No. 22 5 12,232 61,160 2 12,232 24,464
7 I.V. Catheter No. 24 5 4,784 23,920 2 4,784 9,568
8 I.V. Cateter No 26 7 13,464 94,248 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
300 233 69,900 100 233 23,300
10 1,881 18,810 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
100 205 20,500 - 205 -
100 54 5,400 300 54 16,200
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 5 8,800 44,000
150 237 35,550 100 237 23,700
100 380 38,000 300 380 114,000
200 450 90,000 - 450 -
0 305 - - 305 -
0 130 - - 130 -
200 103 20,600 - 103 -
0 233 - - 233 -
0 169 - - 169 -
10 9,883 98,830 - 9,883 -
100 105 10,500 - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
250 62 15,500 - 62 -
50 72 3,600 - 72 -
0 269 - - 269 -
50 516 25,800 - 516 -
0 2,849 - - 2,849 -
50 590 29,500 - 590 -
0 39,900 - - 39,900 -
150 255 38,250 - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
100 32 3,200 - 32 -
0 6,600 - - 6,600 -
5 11,516 57,580 - 11,516 -
1 17,350 17,350 - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
2 1,176 2,352 3 1,176 3,528
40 105 4,200 - 105 -
100 85 8,500 - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
2 3,550 7,100 - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
100 358 35,800 - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
4 2,800 11,200 - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
50 149 7,450 - 149 -
0 2,639 - - 2,639 -
100 105 10,500 - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
50 270 13,500 - 270 -
0 1,045 - - 1,045 -
300 59 17,700 - 59 -
2 10,050 20,100 - 10,050 -
0 1,007 - - 1,007 -
2 2,500 5,000 - 2,500 -
0 3,250 - - 3,250 -
250 22 5,500 - 22 -
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
200 125 25,000 200 125 25,000
0 2,052 - - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
50 85 4,250 50 85 4,250
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
5 2,840 14,200 15 2,840 42,600
0 91 - - 91 -
3 3,414 10,242 10 3,414 34,140
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
100 113 11,300 50 113 5,650
4 2,345 9,380 - 2,345 -
10 3,799 37,990 - 3,799 -
0 514 - - 514 -
4 6,410 25,640 - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
60 471 28,260 - 471 -
0 413 - - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
2 1,199 2,398 3 1,199 3,597
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
5 1,107 5,535 - 1,107 -
0 41 - - 41 -
350 53 18,550 - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
50 123 6,150 - 123 -
0 17,996 - - 17,996 -
0 - - - - -
0 68 - - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
0 7,150 - - 7,150 -
50 63 3,150 100 63 6,300
100 70 7,000 150 70 10,500
5 2,621 13,105 1 2,621 2,621
5 1,025 5,125 - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
20 90 1,800 - 90 -
220 352 77,440 - 352 -
0 - - - - -
100 163 16,300 200 163 32,600
100 300 30,000 150 300 45,000
50 85 4,250 150 85 12,750
0 1,455 - - 1,455 -
0 88 - - 88 -
100 118 11,800 - 118 -
0 2,972 - - 2,972 -
100 514 51,400 100 514 51,400
- - - -
10 777 7,770 25 777 19,425
0 825 - - 825 -
2 856 1,712 8 856 6,848
2 60,622 121,244 8 60,622 484,976
6 4,783 28,698 6 4,783 28,698
3 12,232 36,696 4 12,232 48,928
2 4,784 9,568 5 4,784 23,920
2 13,464 26,928 5 13,464 67,320
2 3,498 6,996 17 3,498 59,466
4 4,147 16,588 2 4,147 8,294
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 31 Maret 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : April 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
14 Antalgin (Metampiron) Tab. 500 mg 0 205 - 0 205 -
15 Antasida DOEN tablet 300 54 16,200 300 54 16,200

17 3,035 - 0 3,035 -
23 Acyclopir Krim 5%- 5gr 5 8,800 44,000 0 8,800 -
24 Acyclopir Tablet 200mg 100 237 23,700 0 237 -
25 Acyclopir Tablet 400 mg 300 380 114,000 0 380 -
26 Akita/Molagit Tablet 0 450 - 0 450 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
33 Asam Askorbat (Vit. C) Tablet 50 mg 0 105 - 100 105 10,500
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
48 Captopril Tablet 12,5 mg 0 62 - 0 62 -
49 Captopril Tablet 25 mg 0 72 - 0 72 -
51 Cefadroxil 500mg 0 516 - 50 516 25,800
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
61 Diazepam Injeksi 5 mg/ml - 2ml 0 17,350 - 0 17,350 -
66 Digoksin Tablet 0,25 mg 0 105 - 0 105 -
67 Domperidon 10 mgtablet 0 85 - 0 85 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
88 Fitomenadion (Vit. K1) Inj. 10 mg/1 ml 0 3,550 - 0 3,550 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
105 Hidroklortiazid (HCT) Tablet 25 mg 0 149 - 0 149 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
119 Kloramfenikol tetes Mata 0 3,250 - 4 3,250 13,000
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
128 Kotrimoksazol Suspensi Kombinasi 0 2,052 - 10 2,052 20,520
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
137 Loperamide Hcl 2mg Tanlet 50 85 4,250 50 85 4,250
139 Metamizol 500mg 0 473 - 0 473 -
147 Metronidazol Tablet 500mg 50 113 5,650 0 113 -
148 Metokloramid Syr 0 2,345 - 0 2,345 -
149 Metronidazol syr 0 3,799 - 5 3,799 18,995
151 Natrum Klorida Lar. Inf. 0,9% -500ml 0 6,410 - 0 6,410 -
173 Oksitosin Injeksi 10 IU/ml- 1ml 3 1,199 3,597 0 1,199 -
176 Parasetamol Syrup 120mg/ 5ml-60ml 0 1,107 - 0 1,107 -
178 Parasetamol Tablet 500mg 0 53 - 300 53 15,900
180 pirantel syr 0 9,700 - 0 9,700 -
185 Piridoksin HCL (Vit. B6) Tablet 10mg 0 123 - 0 123 -
188 Prednison Tablet 5mg 0 68 - 100 68 6,800
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 1 2,621 2,621 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
219 Setrizin tablet 10 mg 0 90 - 0 90 -
224 Tiamin HCL/(Vit. B1) Tab. 50mg 150 85 12,750 0 85 -
227 Vitamin B Komplek Tablet 0 118 - 0 118 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 100 514 51,400 100 514 51,400
2 BMHP APBD
5 I.V. Catheter No. 20 6 4,783 28,698 2 4,783 9,566
6 I.V. Catheter No. 22 4 12,232 48,928 2 12,232 24,464
7 I.V. Catheter No. 24 5 4,784 23,920 2 4,784 9,568
8 I.V. Cateter No 26 5 13,464 67,320 0 13,464 -
10 Infusion Set Dewasa 2 4,147 8,294 0 4,147 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
300 233 69,900 100 233 23,300
10 1,881 18,810 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
600 54 32,400 - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 - 8,800 -
100 237 23,700 - 237 -
200 380 76,000 100 380 38,000
0 450 - - 450 -
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
50 105 5,250 50 105 5,250
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
0 72 - - 72 -
0 269 - - 269 -
50 516 25,800 - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
100 255 25,500 - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
200 32 6,400 - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
3 1,176 3,528 - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
100 358 35,800 - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
100 105 10,500 - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
200 59 11,800 - 59 -
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
2 2,500 5,000 - 2,500 -
4 3,250 13,000 - 3,250 -
100 22 2,200 - 22 -
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
300 125 37,500 - 125 -
10 2,052 20,520 - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
100 85 8,500 - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
5 2,840 14,200 10 2,840 28,400
0 91 - - 91 -
5 3,414 17,070 5 3,414 17,070
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
50 113 5,650 - 113 -
0 2,345 - - 2,345 -
5 3,799 18,995 - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
100 413 41,300 - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
3 1,199 3,597 - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
0 1,107 - - 1,107 -
0 41 - - 41 -
300 53 15,900 - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
100 68 6,800 - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
50 63 3,150 50 63 3,150
50 70 3,500 100 70 7,000
2 2,621 5,242 2 2,621 5,242
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
120 352 42,240 - 352 -
0 - - - - -
200 163 32,600 100 163 16,300
100 300 30,000 50 300 15,000
150 85 12,750 - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
200 514 102,800 - 514 -
10 777 7,770 15 777 11,655

0 825 - - 825 -
8 856 6,848 - 856 -
3 60,622 181,866 5 60,622 303,110
7 4,783 33,481 1 4,783 4,783
2 12,232 24,464 4 12,232 48,928
2 4,784 9,568 5 4,784 23,920
2 13,464 26,928 3 13,464 40,392
7 3,498 24,486 13 3,498 45,474
1 4,147 4,147 1 4,147 4,147
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 30 April 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Mei 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -

17 3,035 - 0 3,035 -
23 Acyclopir Krim 5%- 5gr 0 8,800 - 0 8,800 -
24 Acyclopir Tablet 200mg 0 237 - 0 237 -
26 Akita/Molagit Tablet 0 450 - 100 450 45,000
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
33 Asam Askorbat (Vit. C) Tablet 50 mg 50 105 5,250 0 105 -
34 Asering Infus 0 9,646 - 3 9,646 28,938
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
65 Difenhidramin HCL Inj. 10 mg/ml- 1 ml 0 1,176 - 0 1,176 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
119 Kloramfenikol tetes Mata 0 3,250 - 4 3,250 13,000
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
127 Kotrimoksazol Tablet 480mg 0 125 - 200 125 25,000
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
149 Metronidazol syr 0 3,799 - 5 3,799 18,995
151 Natrum Klorida Lar. Inf. 0,9% -500ml 0 6,410 - 2 6,410 12,820
180 pirantel syr 0 9,700 - 0 9,700 -
185 Piridoksin HCL (Vit. B6) Tablet 10mg 0 123 - 100 123 12,300
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 2 2,621 5,242 5 2,621 13,105
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
224 Tiamin HCL/(Vit. B1) Tab. 50mg 0 85 - 0 85 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 100 514 51,400
2 BMHP APBD 0 -
5 I.V. Catheter No. 20 1 4,783 4,783 2 4,783 9,566
6 I.V. Catheter No. 22 4 12,232 48,928 2 12,232 24,464
7 I.V. Catheter No. 24 5 4,784 23,920 2 4,784 9,568
8 I.V. Cateter No 26 3 13,464 40,392 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
400 233 93,200 300 233 69,900
10 1,881 18,810 5 1,881 9,405
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
300 54 16,200 200 54 10,800
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
0 8,800 - - 8,800 -
0 237 - - 237 -
50 380 19,000 50 380 19,000
50 450 22,500 50 450 22,500
0 305 - - 305 -
0 130 - - 130 -
100 103 10,300 - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
50 105 5,250 - 105 -
3 9,646 28,938 - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
0 72 - - 72 -
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
100 255 25,500 100 255 25,500
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
200 32 6,400 100 32 3,200
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
200 358 71,600 100 358 35,800
0 235 - - 235 -
3 6,900 20,700 - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
100 105 10,500 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
50 270 13,500 - 270 -
0 1,045 - - 1,045 -
150 59 8,850 150 59 8,850
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
2 2,500 5,000 - 2,500 -
4 3,250 13,000 - 3,250 -
100 22 2,200 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
100 125 12,500 100 125 12,500
5 2,052 10,260 5 2,052 10,260
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
50 85 4,250 - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
5 2,840 14,200 5 2,840 14,200
0 91 - - 91 -
5 3,414 17,070 - 3,414 -
0 12,100 - - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
5 3,799 18,995 - 3,799 -
0 514 - - 514 -
2 6,410 12,820 - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
100 413 41,300 - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
0 1,107 - - 1,107 -
0 41 - - 41 -
100 53 5,300 - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
100 123 12,300 - 123 -
0 17,996 - - 17,996 -
0 - - - - -
100 68 6,800 - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
50 63 3,150 - 63 -
50 70 3,500 50 70 3,500
3 2,621 7,863 4 2,621 10,484
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
150 352 52,800 - 352 -
0 - - - - -
100 163 16,300 - 163 -
50 300 15,000 - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
100 514 51,400 - 514 -
- - - -
5 777 3,885 10 777 7,770
0 825 - - 825 -
0 856 - - 856 -
2 60,622 121,244 3 60,622 181,866
0 4,783 - 3 4,783 14,349
3 12,232 36,696 3 12,232 36,696
0 4,784 - 7 4,784 33,488
0 13,464 - 3 13,464 40,392
0 3,498 - 18 3,498 62,964
3 4,147 12,441 3 4,147 12,441
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 31 Mei 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Juni 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
9 Amoksisillin Kapsul 500 mg 300 233 69,900 0 233 -
10 Amoksisillin SK 125 mg/5 ml-60 ml 5 1,881 9,405 0 1,881 -
15 Antasida DOEN tablet 200 54 10,800 0 54 -

17 3,035 - 0 3,035 -
26 Akita/Molagit Tablet 50 450 22,500 0 450 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
55 Ciprofloxacin Tablet 500mg 100 255 25,500 0 255 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
58 Deksametasone Tablet 0,5 mg 100 32 3,200 0 32 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
95 Asetil Sistein 200mg 100 358 35,800 0 358 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
107 Ibuprofen Tablet 200 mg 100 105 10,500 0 105 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
115 Kalsium Laktat (Kalk) Tablet 500 mg 150 59 8,850 0 59 -
116 KN-3B 0 10,050 - 0 10,050 -
120 Klorfeniramin Maleat (CTM) Tab. 4 mg 100 22 2,200 0 22 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
127 Kotrimoksazol Tablet 480mg 100 125 12,500 0 125 -
128 Kotrimoksazol Suspensi Kombinasi 5 2,052 10,260 0 2,052 -
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
143 Mikonazol Krim/ Salep 2%-10gram 0 3,414 - 0 3,414 -
149 Metronidazol syr 0 3,799 - 0 3,799 -
178 Parasetamol Tablet 500mg 0 53 - 0 53 -
180 pirantel syr 0 9,700 - 0 9,700 -
198 Risperidon 2mg 0 347 - 0 347 -
202 Salbutamol Tablet 2mg 0 63 - 0 63 -
204 Salep 2-4, Kombinasi 4 2,621 10,484 0 2,621 -
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
222 Tetrasiklin HCL Kapsul 250 mg 0 163 - 0 163 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 0 514 -
2 BMHP APBD
2 Alat Suntik Sekali Pakai 3 ml 0 825 - 825 -
5 I.V. Catheter No. 20 3 4,783 14,349 0 4,783 -
6 I.V. Catheter No. 22 3 12,232 36,696 0 12,232 -
7 I.V. Catheter No. 24 7 4,784 33,488 0 4,784 -
8 I.V. Cateter No 26 3 13,464 40,392 0 13,464 -
9 Infusion Set Anak 18 3,498 62,964 0 3,498 -
10 Infusion Set Dewasa 3 4,147 12,441 0 4,147 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
0
Mengetahui, 0

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
300 233 69,900 - 233 -
5 1,881 9,405 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
200 54 10,800 - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
0 8,800 - - 8,800 -
0 237 - - 237 -
50 380 19,000 - 380 -
50 450 22,500 - 450 -
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
0 72 - - 72 -
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
100 255 25,500 - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
100 32 3,200 - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
100 358 35,800 - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
0 105 - 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
0 59 - 150 59 8,850
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
0 22 - 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
0 125 - 100 125 12,500
0 2,052 - 5 2,052 10,260
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
0 2,840 - 5 2,840 14,200
0 91 - - 91 -
0 3,414 - - 3,414 -
0 12,100 - - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
0 413 - - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
0 1,107 - - 1,107 -
0 41 - - 41 -
0 53 - - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
0 68 - - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
0 7,150 - - 7,150 -
0 63 - - 63 -
50 70 3,500 - 70 -
2 2,621 5,242 2 2,621 5,242
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
0 514 - - 514 -
5 777 3,885 5 777 3,885

0 825 - - 825 -
0 856 - - 856 -
2 60,622 121,244 1 60,622 60,622
0 4,783 - 3 4,783 14,349
2 12,232 24,464 1 12,232 12,232
2 4,784 9,568 5 4,784 23,920
0 13,464 - 3 13,464 40,392
2 3,498 6,996 16 3,498 55,968
2 4,147 8,294 1 4,147 4,147
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 30 Juni 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Juli 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
15 Antasida DOEN tablet 0 54 - 0 54 -

17 3,035 - 0 3,035 -
23 Acyclopir Krim 5%- 5gr 0 8,800 - 5 8,800 44,000
25 Acyclopir Tablet 400 mg 0 380 - 0 380 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
45 Betametason Krim 0,1% - 5 gr 0 1,349 - 3 1,349 4,047
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
67 Domperidon 10 mgtablet 0 85 - 50 85 4,250
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
95 Asetil Sistein 200mg 0 358 - 0 358 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 3 2,800 8,400
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
128 Kotrimoksazol Suspensi Kombinasi 5 2,052 10,260 10 2,052 20,520
129 Metpormin 500mg 0 100 - 0 100 -
131 Kloramfenikol Salep Mata 1%-5gram 0 1,881 - 4 1,881 7,524
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
140 Metilergometrin Maleat Tab. 0,125 g 0 210 - 100 210 21,000
180 pirantel syr 0 9,700 - 0 9,700 -
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 2 2,621 5,242 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 100 514 51,400
2 BMHP APBD 0 -
5 I.V. Catheter No. 20 3 4,783 14,349 2 4,783 9,566
6 I.V. Catheter No. 22 1 12,232 12,232 0 12,232 -
7 I.V. Catheter No. 24 5 4,784 23,920 0 4,784 -
8 I.V. Cateter No 26 3 13,464 40,392 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
20 Plester 5 yard x 2 inch 0 8,167 - 1 8,167 8,167
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
250 233 58,250 50 233 11,650
10 1,881 18,810 - 1,881 -
0 801,000 - - 801,000 -
0 3,400 - - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
0 54 - - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 - 8,800 -
0 237 - - 237 -
0 380 - - 380 -
100 450 45,000 - 450 -
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
3 1,349 4,047 - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
100 72 7,200 - 72 -
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
100 255 25,500 - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
200 32 6,400 - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
50 85 4,250 - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
10 264 2,640 - 264 -
0 288 - - 288 -
0 119 - - 119 -
0 358 - - 358 -
0 235 - - 235 -
0 6,900 - 2 6,900 13,800
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
3 2,800 8,400 - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
0 105 - 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
200 59 11,800 150 59 8,850
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
2 2,500 5,000 - 2,500 -
0 3,250 - - 3,250 -
100 22 2,200 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
100 125 12,500 100 125 12,500
10 2,052 20,520 5 2,052 10,260
0 100 - - 100 -
0 150 - - 150 -
4 1,881 7,524 - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
50 85 4,250 - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
100 210 21,000 - 210 -
3 2,840 8,520 2 2,840 5,680
0 91 - - 91 -
0 3,414 - - 3,414 -
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
100 413 41,300 - 413 -
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
20 1,107 22,140 - 1,107 -
0 41 - - 41 -
600 53 31,800 - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
100 68 6,800 - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
0 63 - - 63 -
0 70 - - 70 -
5 2,621 13,105 - 2,621 -
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
100 514 51,400 - 514 -
- - - -
5 777 3,885 - 777 -
0 825 - - 825 -
0 856 - - 856 -
1 60,622 60,622 - 60,622 -
3 4,783 14,349 2 4,783 9,566
1 12,232 12,232 - 12,232 -
2 4,784 9,568 3 4,784 14,352
0 13,464 - 3 13,464 40,392
4 3,498 13,992 13 3,498 45,474
2 4,147 8,294 - 4,147 -
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
1 8,167 8,167 - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 31 Juli 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Agustus 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
12 Amoksilin sk Forte 0 3,400 - 5 3,400 17,000

17 3,035 - 0 3,035 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 0 9,646 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
58 Deksametasone Tablet 0,5 mg 0 32 - 0 32 -
67 Domperidon 10 mgtablet 0 85 - 50 85 4,250
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
97 Glukosa Lar. Infus 5% Steril - 500 ml 2 6,900 13,800 2 6,900 13,800
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 3 2,800 8,400
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
131 Kloramfenikol Salep Mata 1%-5gram 0 1,881 - 4 1,881 7,524
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
180 pirantel syr 0 9,700 - 0 9,700 -
198 Risperidon 2mg 0 347 - 0 347 -
203 Salbutamol Tablet 4mg 0 70 - 100 70 7,000
204 Salep 2-4, Kombinasi 0 2,621 - 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 100 514 51,400
2 BMHP APBD 0 -
3 Alat Suntik Sekali Pakai 5 ml 0 856 - 5 856 4,280
5 I.V. Catheter No. 20 2 4,783 9,566 2 4,783 9,566
6 I.V. Catheter No. 22 0 12,232 - 0 12,232 -
7 I.V. Catheter No. 24 3 4,784 14,352 2 4,784 9,568
8 I.V. Cateter No 26 3 13,464 40,392 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 1 7,038 7,038
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
350 233 81,550 - 233 -
5 1,881 9,405 - 1,881 -
0 801,000 - - 801,000 -
5 3,400 17,000 - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
0 54 - - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 - 8,800 -
0 237 - - 237 -
0 380 - - 380 -
100 450 45,000 - 450 -
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
3 1,349 4,047 - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
100 72 7,200 - 72 -
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
0 255 - - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
0 32 - - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
50 85 4,250 - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
10 264 2,640 - 264 -
0 288 - - 288 -
0 119 - - 119 -
0 358 - - 358 -
0 235 - - 235 -
4 6,900 27,600 - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
3 2,800 8,400 - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
0 105 - 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
0 59 - 150 59 8,850
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
2 2,500 5,000 - 2,500 -
0 3,250 - - 3,250 -
0 22 - 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
50 125 6,250 100 125 12,500
5 2,052 10,260 - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - 4 1,881 7,524
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
50 85 4,250 - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
2 2,840 5,680 - 2,840 -
0 91 - - 91 -
0 3,414 - - 3,414 -
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
3 2,345 7,035 - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
0 413 - 100 413 41,300
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
0 1,107 - 20 1,107 22,140
0 41 - - 41 -
0 53 - 300 53 15,900
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
0 68 - 100 68 6,800
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
1 6,550 6,550 - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
0 7,150 - - 7,150 -
0 63 - - 63 -
100 70 7,000 - 70 -
0 2,621 - 3 2,621 7,863
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
100 514 51,400 - 514 -
- - - -
0 777 - - 777 -
0 825 - - 825 -
5 856 4,280 - 856 -
0 60,622 - - 60,622 -
2 4,783 9,566 2 4,783 9,566
0 12,232 - - 12,232 -
2 4,784 9,568 3 4,784 14,352
2 13,464 26,928 1 13,464 13,464
5 3,498 17,490 10 3,498 34,980
1 4,147 4,147 - 4,147 -
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - 1 8,167 8,167
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
1 7,038 7,038 - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 30 Agustus 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : September 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
10 Amoksisillin SK 125 mg/5 ml-60 ml 0 1,881 - 0 1,881 -

17 3,035 - 0 3,035 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 2 9,646 19,292
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
58 Deksametasone Tablet 0,5 mg 0 32 - 0 32 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
106 Hidrokortison Krim 2,5%-5 gr 0 2,639 - 3 2,639 7,917
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
131 Kloramfenikol Salep Mata 1%-5gram 4 1,881 7,524 3 1,881 5,643
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
141 Metilergometrin M inj. 0,200mg- 1ml 0 2,840 - 0 2,840 -
167 Obat Batuk Flu Dewasa 100 413 41,300 100 413 41,300
176 Parasetamol Syrup 120mg/ 5ml-60ml 20 1,107 22,140 0 1,107 -
180 pirantel syr 0 9,700 - 0 9,700 -
188 Prednison Tablet 5mg 100 68 6,800 100 68 6,800
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 3 2,621 7,863 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 100 514 51,400
2 BMHP APBD 0 -
5 I.V. Catheter No. 20 2 4,783 9,566 2 4,783 9,566
6 I.V. Catheter No. 22 0 12,232 - 0 12,232 -
7 I.V. Catheter No. 24 3 4,784 14,352 2 4,784 9,568
8 I.V. Cateter No 26 1 13,464 13,464 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
20 Plester 5 yard x 2 inch 1 8,167 8,167 0 8,167 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
300 233 69,900 - 233 -
0 1,881 - - 1,881 -
0 801,000 - - 801,000 -
5 3,400 17,000 - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
0 54 - - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
5 8,800 44,000 - 8,800 -
0 237 - - 237 -
0 380 - - 380 -
100 450 45,000 - 450 -
0 305 - - 305 -
0 130 - - 130 -
0 103 - - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
2 9,646 19,292 - 9,646 -
0 63 - - 63 -
0 55 - - 55 -
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
3 1,349 4,047 - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
100 72 7,200 - 72 -
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
0 255 - - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
0 32 - - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
10 264 2,640 - 264 -
0 288 - - 288 -
0 119 - - 119 -
0 358 - - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
3 2,639 7,917 - 2,639 -
0 105 - 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
50 59 2,950 150 59 8,850
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
0 22 - 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
150 125 18,750 - 125 -
5 2,052 10,260 - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
7 1,881 13,167 - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
0 2,840 - - 2,840 -
0 91 - - 91 -
0 3,414 - - 3,414 -
1 12,100 12,100 - 12,100 -
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
3 2,345 7,035 - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
100 413 41,300 100 413 41,300
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
0 1,107 - 20 1,107 22,140
0 41 - - 41 -
150 53 7,950 300 53 15,900
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
100 68 6,800 100 68 6,800
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
0 7,150 - - 7,150 -
0 63 - - 63 -
100 70 7,000 - 70 -
3 2,621 7,863 3 2,621 7,863
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
100 118 11,800 - 118 -
0 2,972 - - 2,972 -
100 514 51,400 - 514 -
- - - -
0 777 - - 777 -
0 825 - - 825 -
0 856 - - 856 -
0 60,622 - - 60,622 -
4 4,783 19,132 - 4,783 -
0 12,232 - - 12,232 -
2 4,784 9,568 3 4,784 14,352
0 13,464 - 1 13,464 13,464
2 3,498 6,996 10 3,498 34,980
1 4,147 4,147 - 4,147 -
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
1 8,167 8,167 - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Bendahara, Pandeglang, 31 September 2018
siti hasanah
NIP.199108202017042001
Bulan : Oktober 2018

Jumlah satuan Jumlah (Rp) Jumlah satuan Jumlah (Rp)
(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -

17 3,035 - 0 3,035 -
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 0 9,646 -
36 Asam Folat tablet 5 mg 0 55 - 100 55 5,500
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
157 Multivitamin Anti Oksidan 0 1,440 - 100 1,440 144,000
176 Parasetamol Syrup 120mg/ 5ml-60ml 20 1,107 22,140 0 1,107 -
180 pirantel syr 0 9,700 - 0 9,700 -
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 3 2,621 7,863 0 2,621 -
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 0 514 -
2 BMHP APBD
5 I.V. Catheter No. 20 0 4,783 - 1 4,783 4,783
6 I.V. Catheter No. 22 0 12,232 - 1 12,232 12,232
7 I.V. Catheter No. 24 3 4,784 14,352 2 4,784 9,568
8 I.V. Cateter No 26 1 13,464 13,464 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
IKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - - 93 -
0 70 - - 70 -
0 2,702,700 - - 2,702,700 -
300 233 69,900 - 233 -
0 1,881 - - 1,881 -
0 801,000 - - 801,000 -
10 3,400 34,000 - 3,400 -
0 3,850 - - 3,850 -
0 205 - - 205 -
200 54 10,800 - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
0 8,800 - - 8,800 -
0 237 - - 237 -
0 380 - - 380 -
0 450 - - 450 -
0 305 - - 305 -
0 130 - - 130 -
100 103 10,300 - 103 -
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
50 55 2,750 50 55 2,750
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
0 72 - 50 72 3,600
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
0 255 - - 255 -
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
200 32 6,400 - 32 -
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
360 358 128,880 - 358 -
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - - 210 -
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - - 149 -
0 2,639 - - 2,639 -
0 105 - 100 105 10,500
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
150 59 8,850 - 59 -
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
350 22 7,700 - 22 -
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
100 125 12,500 - 125 -
7 2,052 14,364 - 2,052 -
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - - 210 -
0 2,840 - - 2,840 -
0 91 - - 91 -
0 3,414 - - 3,414 -
0 12,100 - 2 12,100 24,200
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
100 1,440 144,000 - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
0 471 - - 471 -
0 413 - 250 413 103,250
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - - 1,199 -
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
20 1,107 22,140 - 1,107 -
0 41 - - 41 -
400 53 21,200 - 53 -
0 12,155 - - 12,155 -
0 9,700 - - 9,700 -
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - - 123 -
0 17,996 - - 17,996 -
0 - - - - -
200 68 13,600 - 68 -
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
0 63 - - 63 -
0 70 - - 70 -
0 2,621 - 3 2,621 7,863
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
0 1,035 - - 1,035 -
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
0 514 - - 514 -
0 777 - - 777 -
0 825 - - 825 -
0 856 - - 856 -
0 60,622 - - 60,622 -
1 4,783 4,783 - 4,783 -
1 12,232 12,232 - 12,232 -
2 4,784 9,568 3 4,784 14,352
1 13,464 13,464 - 13,464 -
3 3,498 10,494 9 3,498 31,482
2 4,147 8,294 - 4,147 -
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 30 Oktober 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : November 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
6 Amlodipine 10 mg Tablet 0 93 - 100 93 9,300
7 Amlodipine Besilate 5mg tablet 0 70 - 50 70 3,500

17 3,035 - 0 3,035 -
24 Acyclopir Tablet 200mg 0 237 - 50 237 11,850
25 Acyclopir Tablet 400 mg 0 380 - 50 380 19,000
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 0 9,646 -
36 Asam Folat tablet 5 mg 50 55 2,750 0 55 -
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
48 Captopril Tablet 12,5 mg 0 62 - 50 62 3,100
49 Captopril Tablet 25 mg 50 72 3,600 50 72 3,600
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
56 D-Artepp Tab 0 1,000 - 0 1,000 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
96 Glikazid 80 mg 0 235 - 0 235 -
100 Griseofulvin Tablet 125 mg, Micron 0 210 - 50 210 10,500
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
105 Hidroklortiazid (HCT) Tablet 25 mg 0 149 - 50 149 7,450
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
140 Metilergometrin Maleat Tab. 0,125 g 0 210 - 50 210 10,500
144 Multivitamin Anak 2 12,100 24,200 3 12,100 36,300
166 Onadansetron 4mg Tablet 0 471 - 48 471 22,608
173 Oksitosin Injeksi 10 IU/ml- 1ml 0 1,199 - 5 1,199 5,995
180 pirantel syr 0 9,700 - 3 9,700 29,100
185 Piridoksin HCL (Vit. B6) Tablet 10mg 0 123 - 50 123 6,150
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 3 2,621 7,863 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
210 Sianokobalamin (Vit. B12) Inj 500mcg 0 1,035 - 5 1,035 5,175
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 0 514 -
2 BMHP APBD 0
5 I.V. Catheter No. 20 0 4,783 - 0 4,783 -
6 I.V. Catheter No. 22 0 12,232 - 1 12,232 12,232
7 I.V. Catheter No. 24 3 4,784 14,352 3 4,784 14,352
8 I.V. Cateter No 26 0 13,464 - 0 13,464 -
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 0 12,036 -
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 0 7,038 -
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
0 93 - 100 93 9,300
0 70 - 50 70 3,500
2,702,700 - - 2,702,700 -
150 233 34,950 150 233 34,950
0 1,881 - - 1,881 -
0 801,000 - - 801,000 -
3 3,400 10,200 4 3,400 13,600
0 3,850 - - 3,850 -
0 205 - - 205 -
200 54 10,800 - 54 -
0 1,923 - - 1,923 -
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
0 8,800 - - 8,800 -
0 237 - 50 237 11,850
0 380 - 50 380 19,000
0 450 - - 450 -
0 305 - - 305 -
0 130 - - 130 -
50 103 5,150 50 103 5,150
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
0 9,646 - - 9,646 -
0 63 - - 63 -
0 55 - 50 55 2,750
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
50 62 3,100 - 62 -
50 72 3,600 50 72 3,600
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
0 255 - 50 255 12,750
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
50 32 1,600 50 32 1,600
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
160 358 57,280 200 358 71,600
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - 50 210 10,500
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
0 149 - 50 149 7,450
0 2,639 - - 2,639 -
0 105 - - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
50 59 2,950 - 59 -
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
50 22 1,100 50 22 1,100
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
0 125 - 100 125 12,500
3 2,052 6,156 7 2,052 14,364
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - - 85 -
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - 50 210 10,500
0 2,840 - - 2,840 -
0 91 - - 91 -
0 3,414 - - 3,414 -
4 12,100 48,400 1 12,100 12,100
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
20 471 9,420 28 471 13,188
100 413 41,300 300 413 123,900
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - 5 1,199 5,995
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
5 1,107 5,535 - 1,107 -
0 41 - - 41 -
200 53 10,600 100 53 5,300
0 12,155 - - 12,155 -
1 9,700 9,700 2 9,700 19,400
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
0 123 - 50 123 6,150
0 17,996 - - 17,996 -
0 - - - - -
50 68 3,400 50 68 3,400
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
0 63 - 50 63 3,150
0 70 - 50 70 3,500
3 2,621 7,863 3 2,621 7,863
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
2 1,035 2,070 3 1,035 3,105
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
0 514 - - 514 -
0 777 - - 777 -
0 825 - - 825 -
0 856 - - 856 -
0 60,622 - - 60,622 -
0 4,783 - - 4,783 -
1 12,232 12,232 - 12,232 -
1 4,784 4,784 5 4,784 23,920
0 13,464 - - 13,464 -
0 3,498 - 11 3,498 38,478
2 4,147 8,294 - 4,147 -
0 6,850 - - 6,850 -
0 44,953 - - 44,953 -
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
1 8,167 8,167 - 8,167 -
0 792 - - 792 -
0 7,931 - - 7,931 -
0 924 - - 924 -
0 12,036 - - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
0 7,038 - - 7,038 -
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 31 November 2018

Bendahara,
siti hasanah
NIP.199108202017042001
Bulan : Desember 2018

(Rp) (Rp)
1 2 3 4 5=3x4 6 7 8=6x7
OBAT--OBATAN APBD
3 Albendazol 0 404 - 0 404 -
6 Amlodipine 10 mg Tablet 100 93 9,300 0 93 -
7 Amlodipine Besilate 5mg tablet 50 70 3,500 100 70 7,000
12 Amoksilin sk Forte 4 3,400 13,600 7 3,400 23,800
16 Antasida DOEN suspensi 0 1,923 - 20 1,923 38,460

17 3,035 - 0 3,035 -
29 Asam Mefenamat 500mg 50 103 5,150 200 103 20,600
30 Alprazolam 1mg 0 233 - 0 233 -
31 Ambroksol tab 0 169 - 0 169 -
32 Ambroksol syr 0 9,883 - 0 9,883 -
34 Asering Infus 0 9,646 - 5 9,646 48,230
36 Asam Folat tablet 5 mg 50 55 2,750 100 55 5,500
37 Artesunat Inj 0 14,250 - 0 14,250 -
43 Alkohol 70% 1 Liter 0 24,992 - 0 24,992 -
46 Bisacodril sup 0 5,800 - 0 5,800 -
49 Captopril Tablet 25 mg 50 72 3,600 50 72 3,600
51 Cefadroxil 500mg 0 516 - 0 516 -
52 Cetrizin syr 0 2,849 - 0 2,849 -
53 Cefixim 0 590 - 0 590 -
55 Ciprofloxacin Tablet 500mg 50 255 12,750 50 255 12,750
56 D-Artepp Tab 0 1,000 - 0 1,000 -
75 Lisinofril 10 mg 0 448 - 0 448 -
76 Lisinofril 5mg 0 375 - 0 375 -
77 Etanol 70%- 100 ml 0 2,500 - 0 2,500 -
90 Gentamisin SM 0 2,600 - 0 2,600 -
95 Asetil Sistein 200mg 200 358 71,600 360 358 128,880
96 Glikazid 80 mg 0 235 - 0 235 -
100 Griseofulvin Tablet 125 mg, Micron 50 210 10,500 50 210 10,500
101 Gentamisin S.K 0.1%-5 gr 0 2,800 - 0 2,800 -
105 Hidroklortiazid (HCT) Tablet 25 mg 50 149 7,450 50 149 7,450
109 Ibufropen syr 0 3,499 - 0 3,499 -
114 Ketorolac Inj 30mg 0 1,045 - 0 1,045 -
116 KN-3B 0 10,050 - 0 10,050 -
121 Klozapine 25 Mg 0 1,121 - 0 1,121 -
125 klorpeson Slasf 0 7,750 - 0 7,750 -
127 Kotrimoksazol Tablet 480mg 100 125 12,500 0 125 -
128 Kotrimoksazol Suspensi Kombinasi 7 2,052 14,364 5 2,052 10,260
129 Metpormin 500mg 0 100 - 0 100 -
134 Levoploxasin 500mh 0 528 - 0 528 -
139 Metamizol 500mg 0 473 - 0 473 -
140 Metilergometrin Maleat Tab. 0,125 g 50 210 10,500 50 210 10,500
144 Multivitamin Anak 1 12,100 12,100 8 12,100 96,800
166 Onadansetron 4mg Tablet 28 471 13,188 48 471 22,608
173 Oksitosin Injeksi 10 IU/ml- 1ml 5 1,199 5,995 5 1,199 5,995
180 pirantel syr 2 9,700 19,400 0 9,700 -
185 Piridoksin HCL (Vit. B6) Tablet 10mg 50 123 6,150 50 123 6,150
198 Risperidon 2mg 0 347 - 0 347 -
204 Salep 2-4, Kombinasi 3 2,621 7,863 3 2,621 7,863
205 Salisil Bedak 2% 0 1,025 - 0 1,025 -
207 Stimuno 0 23,540 - 0 23,540 -
209 Sukrafat 500mg 0 368 - 0 368 -
210 Sianokobalamin (Vit. B12) Inj 500mcg 3 1,035 3,105 3 1,035 3,105
213 Sukralfat Syr 0 8,338 - 0 8,338 -
217 Salf Kombinasi 0 11,000 - 0 11,000 -
218 Sinbio 0 4,500 - 0 4,500 -
228 Zink Syr 0 2,972 - 0 2,972 -
229 Zink Tablet 20mg 0 514 - 0 514 -
2 BMHP APBD 0 -
5 I.V. Catheter No. 20 0 4,783 - 2 4,783 9,566
6 I.V. Catheter No. 22 0 12,232 - 1 12,232 12,232
7 I.V. Catheter No. 24 5 4,784 23,920 0 4,784 -
8 I.V. Cateter No 26 0 13,464 - 0 13,464 -
12 Silk (Benang Bedah Sutera) No. 3/0 0 44,953 - 2 44,953 89,906
13 Saraya Alsof A 500 ml 0 72,047 - 0 72,047 -
15 Kasa Kompres 40/40 0 1,800 - 0 1,800 -
18 Kasa Steril 16/16 0 7,370 - 0 7,370 -
19 Masker 0 549 - 0 549 -
22 Sarung Tangan No 6.5 Steril 0 7,931 - 2 7,931 15,862
23 Sarung tangan no 6 1/2 0 924 - 0 924 -
24 Folly cateter No 16 0 12,036 - 2 12,036 24,072
25 Folly cateter No 14 0 16,610 - 0 16,610 -
27 Alkohol Swab 0 32,600 - 0 32,600 -
28 Underpad 0 4,162 - 0 4,162 -
29 Urine Bag 0 7,038 - 2 7,038 14,076
33 Jely kateter 0 41,600 - 0 41,600 -
34 Jarum Insulin 0 2,083 - 0 2,083 -
Mengetahui,

NIP. 19710803 199103 2 001 NIP. 19630407 1986031 01 4
CIKEUSIK

9 10 11=9x10 12=3+6-9 13 14=12x13
0 99 - - 99 -
0 91 - - 91 -
0 404 - - 404 -
0 3,245 - - 3,245 -
0 167 - - 167 -
50 93 4,650 50 93 4,650
50 70 3,500 100 70 7,000
0 2,702,700 - - 2,702,700 -
200 233 46,600 250 233 58,250
0 1,881 - - 1,881 -
0 801,000 - - 801,000 -
6 3,400 20,400 5 3,400 17,000
0 3,850 - - 3,850 -
0 205 - - 205 -
150 54 8,100 50 54 2,700
10 1,923 19,230 10 1,923 19,230
0 3,035 - - 3,035 -
0 3,167 - - 3,167 -
0 3,035 - - 3,035 -
0 135 - - 135 -
0 1,500 - - 1,500 -
0 2,860 - - 2,860 -
0 8,800 - - 8,800 -
0 237 - 100 237 23,700
0 380 - 100 380 38,000
0 450 - - 450 -
0 305 - - 305 -
0 130 - - 130 -
100 103 10,300 150 103 15,450
0 233 - - 233 -
0 169 - - 169 -
0 9,883 - - 9,883 -
0 105 - - 105 -
2 9,646 19,292 3 9,646 28,938
0 63 - - 63 -
0 55 - 150 55 8,250
0 14,250 - - 14,250 -
0 24,449 - - 24,449 -
0 - - - - -
0 1,595 - - 1,595 -
0 74 - - 74 -
0 - - - - -
0 24,992 - - 24,992 -
0 7,039 - - 7,039 -
0 1,349 - - 1,349 -
0 5,800 - - 5,800 -
0 650 - - 650 -
0 62 - - 62 -
0 72 - 100 72 7,200
0 269 - - 269 -
0 516 - - 516 -
0 2,849 - - 2,849 -
0 590 - - 590 -
0 39,900 - - 39,900 -
0 255 - 100 255 25,500
0 1,000 - - 1,000 -
0 1,097 - - 1,097 -
100 32 3,200 150 32 4,800
0 6,600 - - 6,600 -
0 11,516 - - 11,516 -
0 17,350 - - 17,350 -
0 45 - - 45 -
0 - - - - -
0 - - - - -
0 1,176 - - 1,176 -
0 105 - - 105 -
0 85 - - 85 -
0 - - - - -
0 - - - - -
0 3,333 - - 3,333 -
0 51 - - 51 -
0 31 - - 31 -
0 1,408 - - 1,408 -
0 1,800 - - 1,800 -
0 448 - - 448 -
0 375 - - 375 -
0 2,500 - - 2,500 -
0 730 - - 730 -
0 6,700 - - 6,700 -
0 - - - - -
0 154 - - 154 -
0 - - - - -
0 1,740 - - 1,740 -
0 165 - - 165 -
0 - - - - -
0 - - - - -
0 57,500 - - 57,500 -
0 3,550 - - 3,550 -
0 710 - - 710 -
0 2,600 - - 2,600 -
0 75 - - 75 -
0 264 - - 264 -
0 288 - - 288 -
0 119 - - 119 -
200 358 71,600 360 358 128,880
0 235 - - 235 -
0 6,900 - - 6,900 -
0 5,700 - - 5,700 -
0 2,200 - - 2,200 -
0 210 - 100 210 21,000
0 2,800 - - 2,800 -
0 3,696 - - 3,696 -
0 126 - - 126 -
0 96 - - 96 -
50 149 7,450 50 149 7,450
0 2,639 - - 2,639 -
0 105 - - 105 -
0 205 - - 205 -
0 3,499 - - 3,499 -
0 9,750 - - 9,750 -
0 89 - - 89 -
0 2,545 - - 2,545 -
0 270 - - 270 -
0 1,045 - - 1,045 -
50 59 2,950 50 59 2,950
0 10,050 - - 10,050 -
0 1,007 - - 1,007 -
0 2,500 - - 2,500 -
0 3,250 - - 3,250 -
50 22 1,100 100 22 2,200
0 1,121 - - 1,121 -
0 - - - - -
0 148 - - 148 -
0 147 - - 147 -
0 7,750 - - 7,750 -
0 - - - - -
50 125 6,250 50 125 6,250
4 2,052 8,208 8 2,052 16,416
0 100 - - 100 -
0 150 - - 150 -
0 1,881 - - 1,881 -
0 1,797 - - 1,797 -
0 6,200 - - 6,200 -
0 528 - - 528 -
0 1,140 - - 1,140 -
0 3,360 - - 3,360 -
0 85 - 50 85 4,250
0 3,328 - - 3,328 -
0 473 - - 473 -
0 210 - 100 210 21,000
0 2,840 - - 2,840 -
0 91 - - 91 -
0 3,414 - - 3,414 -
5 12,100 60,500 4 12,100 48,400
0 1,316 - - 1,316 -
0 9,950 - - 9,950 -
0 113 - - 113 -
0 2,345 - - 2,345 -
0 3,799 - - 3,799 -
0 514 - - 514 -
0 6,410 - - 6,410 -
0 145 - - 145 -
0 480 - - 480 -
0 - - - - -
0 115 - - 115 -
0 108 - - 108 -
0 1,440 - - 1,440 -
0 317,018 - - 317,018 -
0 1,297,894 - - 1,297,894 -
0 214,985 - - 214,985 -
0 45,089 - - 45,089 -
0 16,997 - - 16,997 -
0 130 - - 130 -
0 1,660 - - 1,660 -
0 1,189 - - 1,189 -
20 471 9,420 56 471 26,376
300 413 123,900 150 413 61,950
0 5,000 - - 5,000 -
0 5,500 - - 5,500 -
0 7,840 - - 7,840 -
0 1,920 - - 1,920 -
0 1,545 - - 1,545 -
0 1,199 - 10 1,199 11,990
0 6,500 - - 6,500 -
0 6,649 - - 6,649 -
5 1,107 5,535 - 1,107 -
0 41 - - 41 -
200 53 10,600 200 53 10,600
0 12,155 - - 12,155 -
0 9,700 - 2 9,700 19,400
0 291 - - 291 -
0 234 - - 234 -
0 105 - - 105 -
0 319 - - 319 -
30 123 3,690 70 123 8,610
0 17,996 - - 17,996 -
0 - - - - -
50 68 3,400 100 68 6,800
0 224 - - 224 -
0 6,016 - - 6,016 -
0 60 - - 60 -
0 121 - - 121 -
0 6,550 - - 6,550 -
0 284 - - 284 -
0 505 - - 505 -
0 30,595 - - 30,595 -
0 9,770 - - 9,770 -
0 347 - - 347 -
0 1,155 - - 1,155 -
0 105 - - 105 -
2 7,150 14,300 - 7,150 -
50 63 3,150 50 63 3,150
0 70 - 100 70 7,000
2 2,621 5,242 4 2,621 10,484
0 1,025 - - 1,025 -
0 479,996 - - 479,996 -
0 23,540 - - 23,540 -
0 170,000 - - 170,000 -
0 368 - - 368 -
2 1,035 2,070 4 1,035 4,140
0 205 - - 205 -
0 110 - - 110 -
0 8,338 - - 8,338 -
0 3,226 - - 3,226 -
0 110 - - 110 -
0 899 - - 899 -
0 11,000 - - 11,000 -
0 4,500 - - 4,500 -
0 90 - - 90 -
0 352 - - 352 -
0 - - - - -
0 163 - - 163 -
0 300 - - 300 -
0 85 - - 85 -
0 1,455 - - 1,455 -
0 88 - - 88 -
0 118 - - 118 -
0 2,972 - - 2,972 -
0 514 - - 514 -
- - - -
0 777 - - 777 -
0 825 - - 825 -
0 856 - - 856 -
0 60,622 - - 60,622 -
1 4,783 4,783 1 4,783 4,783
1 12,232 12,232 - 12,232 -
0 4,784 - 5 4,784 23,920
0 13,464 - - 13,464 -
0 3,498 - 13 3,498 45,474
1 4,147 4,147 1 4,147 4,147
0 6,850 - - 6,850 -
1 44,953 44,953 1 44,953 44,953
0 72,047 - - 72,047 -
0 12,250 - - 12,250 -
0 1,800 - - 1,800 -
0 9,400 - - 9,400 -
0 127,600 - - 127,600 -
0 7,370 - - 7,370 -
0 549 - - 549 -
0 8,167 - - 8,167 -
0 792 - - 792 -
2 7,931 15,862 - 7,931 -
0 924 - - 924 -
2 12,036 24,072 - 12,036 -
0 16,610 - - 16,610 -
0 17,748 - - 17,748 -
0 32,600 - - 32,600 -
0 4,162 - - 4,162 -
1 7,038 7,038 1 7,038 7,038
0 68,433 - - 68,433 -
0 74,000 - - 74,000 -
0 22,000 - - 22,000 -
0 41,600 - - 41,600 -
0 2,083 - - 2,083 -
Pandeglang, 30 Desember2018
Bendahara,
siti hasanah
NIP.199108202017042001

Siti Hasanah Lplpo

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LAPORAN PERSEDIAAN PUSKESMAS CIKEUSIK

Nama Puskesmas : CIKEUSIK

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin)

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 31 Januari 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 28 Februari 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 31 Maret 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

10 777 7,770 15 777 11,655

Pandeglang, 30 April 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 31 Mei 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

5 777 3,885 5 777 3,885

Pandeglang, 30 Juni 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 31 Juli 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 30 Agustus 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Bendahara, Pandeglang, 31 September 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 30 Oktober 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

Pandeglang, 31 November 2018

Saldo Awal 2018 Penerimaan T.A 2018

Anti Bakteri DOEN Salep Kombinasi (basitrasin) 0

Hj.iyot Sa'diah,S.ST Iing,SKM

Pengeluaran TA. 2018 Saldo Akhir

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