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Contoh Form Persediaan Obat 2020

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0% found this document useful (0 votes)
35 views

Contoh Form Persediaan Obat 2020

fotm

Uploaded by

safrizal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Daftar : Ketersediaan Obat UPTD Labkesda Kab.

Aceh Barat
Bulan : Januari
Tahun : 2020

EXP
NO NAMA BARANG SATUAN STOK AWAL HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN HARGA JUMLAH PEMAKAIAN HARGA JUMLAH STOK AKHIR HARGA JUMLAH KET
date
1 2 3 4 5 6= 4X5 7 8 9=7X8 10 = 4+7 11 =(6+9)/1012=10X11 13 14=11 15=13X14 16=10-13 17=11 18=16X17 19 20
1 Nitrate Test (Water Kit) Btl 1 1,084,200 1084200 1,084,200 - 1 1084200 1084200 1084200 0 1 1084200 1084200
2 Alkohol 70% Btl 4 45,000 180000 45,000 - 4 45000 180000 45000 0 4 45000 180000
3 Aquadest 1 Liter Btl 7 30,000 210000 30,000 - 7 30000 210000 4 30000 120000 3 30000 90000
4 Methanol 1 Liter Btl 3 45,000 135000 45,000 - 3 45000 135000 45000 0 3 45000 135000
5 Eter Alkohol 100 ml Btl 4 75,000 300000 75,000 - 4 75000 300000 75000 0 4 75000 300000
6 Oil Imersi 100 ml Btl 2 700,000 1400000 700,000 - 2 700000 1400000 700000 0 2 700000 1400000
7 Spirtus 1 Liter Btl 0 50,000 0 50,000 - 0 0 0 0 0 0 0 0
8 Antisera A 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
9 Antisera B 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
10 Handscun non uk.M box 5 62,500 312500 62,500 - 5 62500 312500 3 62500 187500 2 62500 125000
11 Handscun non uk.L box 1 50,000 50000 50,000 - 1 50000 50000 50000 0 1 50000 50000
12 Alkohol swab Ktk 9 25,000 225000 25,000 - 9 25000 225000 25000 0 9 25000 225000
13 Endo Agar Btl 3 1,652,300 4956900 1,652,300 - 3 1652300 4956900 1652300 0 3 1652300 4956900
14 Cyanide Test Btl 1 2,102,100 2102100 2,102,100 - 1 2102100 2102100 2102100 0 1 2102100 2102100
15 Methamphetamine 40pcs Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
16 Morphin 40pcs Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
17 THC 40pcs Box 2 1,125,000 2250000 1,125,000 - 2 1125000 2250000 1125000 0 2 1125000 2250000
18 Masker Ktk 10 35,000 350000 35,000 - 10 35000 350000 2 35000 70000 8 35000 280000
19 Kapas 500 gr Gulung 7 45,000 315000 45,000 - 7 45000 315000 45000 0 7 45000 315000
20 Paper Lens Pcs 3 20,000 60000 20,000 - 3 20000 60000 20000 0 3 20000 60000
21 Blood Lancet Box 3 30,000 90000 30,000 - 3 30000 90000 30000 0 3 30000 90000
22 Kantong Limbah Uk.L Bag 9 113500 1021500 1135000 9 113500 1021500 113500 0 9 113500 1021500
23 Amphetamine test isi 40s- Box 1 1,125,000 1125000 1,125,000 - 1 1125000 1125000 1125000 0 1 1125000 1125000
24 Nutrient Agar Btl 0 1,636,000 0 1,636,000 - 0 0 0 0 0 0 0 0
25 Vario Nitrax Reagent pack 1 1,416,100 1416100 1,416,100 1 1416100 1416100 0 0 1 1416100 1416100
26 Vario Manganese Set pack 1 990,250 990250 990,250 1 990250 990250 0 0 1 990250 990250
27 Chromium Hexavalent pack 1 532,950 532950 532,950 1 532950 532950 532950 0 1 532950 532950
28 Alat Suntik 2,5 ml Box 1 72,700 72700 72,700 1 72700 72700 72700 0 1 72700 72700 DAK 2018
29 Alat Suntik 3 ml Box 1 74,600 74600 74,600 1 74600 74600 74600 0 1 74600 74600 DAK 2017
30 Alat Suntik 5 ml Box 1 79,500 79500 79,500 1 79500 79500 79500 0 1 79500 79500 DAK 2017
31 Plasterin Bulat Non Wove Box 2 35,420 70840 35,420 2 35420 70840 35420 0 2 35420 70840 DAK 2018
32 Kapas 250 gr Box 0 14,375 0 14,375 0 14375 0 14375 0 0 14375 0 DAK 2017
33 Tabung EDTA Box 1 195,000 195,000 195,000 1 195000 195000 195000 0 1 195000 195000
34 Tabung Kimia Box 1 180,000 180,000 180,000 1 180000 180000 180000 0 1 180000 180000
35 Wing uk.25 isi 100 Box 1 1,500,000 1,500,000 1,500,000 1 1500000 1500000 1500000 0 1 1500000 1500000
36 Nal.uk.23 Box 1 65,000 65,000 65,000 1 65000 65000 65000 0 1 65000 65000
37 Kantong Limbah Uk.S pack 7 113,500 794,500 113,500 7 113500 794500 113500 0 7 113500 794500
38 Kantong Limbah Uk.M pack 9 113,500 1,021,500 113,500 9 113500 1021500 113500 0 9 113500 1021500
39 Vario Nitri3 10ml pack 0 0 0 715,700 0 715700 0 715700 0 0 715700 0
40 Anticeptic Gel botol 14 77,900 1,090,600 77,900 14 77900 1090600 77900 0 14 77900 1090600
41 MET 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
42 MOP 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
43 THC 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
44 AMP 25pcs box 10 390000 3,900,000 390,000 10 390000 3900000 390000 0 10 390000 3900000
Total 40,997,740 0 40,997,740 377500 40,620,240

Mengetahui PENGELOLA OBAT


KEPALA UPTD Labkesda UPTD Labkesda

NANY ERLISA, SKM FITRIA RIZKI, AMd. AK


Nip. 19740606 199503 2 001 Nip. 19840630 200904 2 007
Daftar : Ketersediaan Obat UPTD Labkesda Kab. Aceh Barat
Bulan : Februari
Tahun : 2020

EXP
NO NAMA BARANG SATUAN STOK AWAL HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN HARGA JUMLAH PEMAKAIAN HARGA JUMLAH STOK AKHIR HARGA JUMLAH KET
date
1 2 3 4 5 6= 4X5 7 8 9=7X8 10 = 4+7 11 =(6+9)/1012=10X11 13 14=11 15=13X14 16=10-13 17=11 18=16X17 19 20
1 Nitrate Test (Water Ki Btl 1 1,084,200 1084200 1,084,200 - 1 1084200 1084200 1084200 0 1 1084200 1084200
2 Alkohol 70% Btl 4 45,000 180000 45,000 - 4 45000 180000 45000 0 4 45000 180000
3 Aquadest 1 Liter Btl 3 30,000 90000 30,000 - 3 30000 90000 1 30000 30000 2 30000 60000
4 Methanol 1 Liter Btl 3 45,000 135000 45,000 - 3 45000 135000 45000 0 3 45000 135000
5 Eter Alkohol 100 ml Btl 4 75,000 300000 75,000 - 4 75000 300000 75000 0 4 75000 300000
6 Oil Imersi 100 ml Btl 2 700,000 1400000 700,000 - 2 700000 1400000 700000 0 2 700000 1400000
7 Spirtus 1 Liter Btl 0 50,000 0 50,000 - 0 0 0 0 0 0 0 0
8 Antisera A 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
9 Antisera B 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
10 Handscun non uk.M box 2 62,500 125000 62,500 - 2 62500 125000 62500 0 2 62500 125000
11 Handscun non uk.L box 1 50,000 50000 50,000 - 1 50000 50000 50000 0 1 50000 50000
12 Alkohol swab Ktk 9 25,000 225000 25,000 - 9 25000 225000 25000 0 9 25000 225000
13 Endo Agar Btl 3 1,652,300 4956900 1,652,300 - 3 1652300 4956900 1652300 0 3 1652300 4956900
14 Cyanide Test Btl 1 2,102,100 2102100 2,102,100 - 1 2102100 2102100 2102100 0 1 2102100 2102100
15 Methamphetamine 40p Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
16 Morphin 40pcs Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
17 THC 40pcs Box 2 1,125,000 2250000 1,125,000 - 2 1125000 2250000 1125000 0 2 1125000 2250000
18 Masker Ktk 8 35,000 280000 35,000 - 8 35000 280000 35000 0 8 35000 280000
19 Kapas 500 gr Gulung 7 45,000 315000 45,000 - 7 45000 315000 45000 0 7 45000 315000
20 Paper Lens Pcs 3 20,000 60000 20,000 - 3 20000 60000 20000 0 3 20000 60000
21 Blood Lancet Box 3 30,000 90000 30,000 - 3 30000 90000 30000 0 3 30000 90000
22 Kantong Limbah Uk.L Bag 9 113500 1021500 1135000 9 113500 1021500 113500 0 9 113500 1021500
23 Amphetamine test isi Box 1 1,125,000 1125000 1,125,000 - 1 1125000 1125000 1125000 0 1 1125000 1125000
24 Nutrient Agar Btl 0 1,636,000 0 1,636,000 - 0 0 0 0 0 0 0 0
25 Vario Nitrax Reagent pack 1 1,416,100 1416100 1,416,100 1 1416100 1416100 0 0 1 1416100 1416100
26 Vario Manganese Set pack 1 990,250 990250 990,250 1 990250 990250 0 0 1 990250 990250
27 Chromium Hexavalent pack 1 532,950 532950 532,950 1 532950 532950 532950 0 1 532950 532950
28 Alat Suntik 2,5 ml Box 1 72,700 72700 72,700 1 72700 72700 72700 0 1 72700 72700 DAK 2018
29 Alat Suntik 3 ml Box 1 74,600 74600 74,600 1 74600 74600 74600 0 1 74600 74600 DAK 2017
30 Alat Suntik 5 ml Box 1 79,500 79500 79,500 1 79500 79500 79500 0 1 79500 79500 DAK 2017
31 Plasterin Bulat Non Box 2 35,420 70840 35,420 2 35420 70840 35420 0 2 35420 70840 DAK 2018
32 Kapas 250 gr Box 0 14,375 0 14,375 0 14375 0 14375 0 0 14375 0 DAK 2017
33 Tabung EDTA Box 1 195,000 195,000 195,000 1 195000 195000 195000 0 1 195000 195000
34 Tabung Kimia Box 1 180,000 180,000 180,000 1 180000 180000 180000 0 1 180000 180000
35 Wing uk.25 isi 100 Box 1 1,500,000 1,500,000 1,500,000 1 1500000 1500000 1500000 0 1 1500000 1500000
36 Nal.uk.23 Box 1 65,000 65,000 65,000 1 65000 65000 65000 0 1 65000 65000
37 Kantong Limbah Uk.S pack 7 113,500 794,500 113,500 7 113500 794500 113500 0 7 113500 794500
38 Kantong Limbah Uk. pack 9 113,500 1,021,500 113,500 9 113500 1021500 113500 0 9 113500 1021500
39 Vario Nitri3 10ml pack 0 0 0 715,700 0 715700 0 715700 0 0 715700 0
40 Anticeptic Gel botol 14 77,900 1,090,600 77,900 14 77900 1090600 77900 0 14 77900 1090600
41 MET 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
42 MOP 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
43 THC 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
44 AMP 25pcs box 10 390000 3,900,000 390,000 10 390000 3900000 390000 0 10 390000 3900000
Total 40,620,240 0 40,620,240 30000 40,590,240

Mengetahui PENGELOLA OBAT


KEPALA UPTD Labkesda UPTD Labkesda

NANY ERLISA, SKM FITRIA RIZKI, AMd. AK


Nip. 19740606 199503 2 001 Nip. 19840630 200904 2 007
Daftar : Ketersediaan Obat UPTD Labkesda Kab. Aceh Barat
Bulan : Maret
Tahun : 2020

EXP
NO NAMA BARANG SATUAN STOK AWAL HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN HARGA JUMLAH PEMAKAIAN HARGA JUMLAH STOK AKHIR HARGA JUMLAH KET
date
1 2 3 4 5 6= 4X5 7 8 9=7X8 10 = 4+7 11 =(6+9)/1012=10X11 13 14=11 15=13X14 16=10-13 17=11 18=16X17 19 20
1 Nitrate Test (Water Kit) Btl 1 1,084,200 1084200 1,084,200 - 1 1084200 1084200 1084200 0 1 1084200 1084200
2 Alkohol 70% Btl 4 45,000 180000 45,000 - 4 45000 180000 45000 0 4 45000 180000
3 Aquadest 1 Liter Btl 2 30,000 60000 30,000 - 2 30000 60000 30000 0 2 30000 60000
4 Methanol 1 Liter Btl 3 45,000 135000 45,000 - 3 45000 135000 45000 0 3 45000 135000
5 Eter Alkohol 100 ml Btl 4 75,000 300000 75,000 - 4 75000 300000 75000 0 4 75000 300000
6 Oil Imersi 100 ml Btl 2 700,000 1400000 700,000 - 2 700000 1400000 700000 0 2 700000 1400000
7 Spirtus 1 Liter Btl 0 50,000 0 50,000 - 0 0 0 0 0 0 0 0
8 Antisera A 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
9 Antisera B 10 ml Btl 1 123,500 123500 123,500 - 1 123500 123500 0 0 1 123500 123500
10 Handscun non uk.M box 2 62,500 125000 62,500 - 2 62500 125000 62500 0 2 62500 125000
11 Handscun non uk.L box 1 50,000 50000 50,000 - 1 50000 50000 50000 0 1 50000 50000
12 Alkohol swab Ktk 9 25,000 225000 25,000 - 9 25000 225000 25000 0 9 25000 225000
13 Endo Agar Btl 3 1,652,300 4956900 1,652,300 - 3 1652300 4956900 1652300 0 3 1652300 4956900
14 Cyanide Test Btl 1 2,102,100 2102100 2,102,100 - 1 2102100 2102100 2102100 0 1 2102100 2102100
15 Methamphetamine 40pc Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
16 Morphin 40pcs Box 3 1,125,000 3375000 1,125,000 - 3 1125000 3375000 1125000 0 3 1125000 3375000
17 THC 40pcs Box 2 1,125,000 2250000 1,125,000 - 2 1125000 2250000 1125000 0 2 1125000 2250000
18 Masker Ktk 8 35,000 280000 35,000 - 8 35000 280000 5 35000 175000 3 35000 105000
19 Kapas 500 gr Gulung 7 45,000 315000 45,000 - 7 45000 315000 45000 0 7 45000 315000
20 Paper Lens Pcs 3 20,000 60000 20,000 - 3 20000 60000 20000 0 3 20000 60000
21 Blood Lancet Box 3 30,000 90000 30,000 - 3 30000 90000 30000 0 3 30000 90000
22 Kantong Limbah Uk.L Bag 9 113500 1021500 1135000 9 113500 1021500 113500 0 9 113500 1021500
23 Amphetamine test isi 4 Box 1 1,125,000 1125000 1,125,000 - 1 1125000 1125000 1125000 0 1 1125000 1125000
24 Nutrient Agar Btl 0 1,636,000 0 1,636,000 - 0 0 0 0 0 0 0 0
25 Vario Nitrax Reagent pack 1 1,416,100 1416100 1,416,100 1 1416100 1416100 0 0 1 1416100 1416100
26 Vario Manganese Set pack 1 990,250 990250 990,250 1 990250 990250 0 0 1 990250 990250
27 Chromium Hexavalent pack 1 532,950 532950 532,950 1 532950 532950 532950 0 1 532950 532950
28 Alat Suntik 2,5 ml Box 1 72,700 72700 72,700 1 72700 72700 72700 0 1 72700 72700 DAK 2018
29 Alat Suntik 3 ml Box 1 74,600 74600 74,600 1 74600 74600 74600 0 1 74600 74600 DAK 2017
30 Alat Suntik 5 ml Box 1 79,500 79500 79,500 1 79500 79500 79500 0 1 79500 79500 DAK 2017
31 Plasterin Bulat Non W Box 2 35,420 70840 35,420 2 35420 70840 35420 0 2 35420 70840 DAK 2018
32 Kapas 250 gr Box 0 14,375 0 14,375 0 14375 0 14375 0 0 14375 0 DAK 2017
33 Tabung EDTA Box 1 195,000 195,000 195,000 1 195000 195000 195000 0 1 195000 195000
34 Tabung Kimia Box 1 180,000 180,000 180,000 1 180000 180000 180000 0 1 180000 180000
35 Wing uk.25 isi 100 Box 1 1,500,000 1,500,000 1,500,000 1 1500000 1500000 1500000 0 1 1500000 1500000
36 Nal.uk.23 Box 1 65,000 65,000 65,000 1 65000 65000 65000 0 1 65000 65000
37 Kantong Limbah Uk.S pack 7 113,500 794,500 113,500 7 113500 794500 113500 0 7 113500 794500
38 Kantong Limbah Uk.M pack 9 113,500 1,021,500 113,500 9 113500 1021500 113500 0 9 113500 1021500
39 Vario Nitri3 10ml pack 0 0 0 715,700 0 715700 0 715700 0 0 715700 0
40 Anticeptic Gel botol 14 77,900 1,090,600 77,900 14 77900 1090600 7 77900 545300 7 77900 545300
41 MET 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
42 MOP 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
43 THC 25pcs box 5 390000 1,950,000 390,000 5 390000 1950000 390000 0 5 390000 1950000
44 AMP 25pcs box 10 390000 3,900,000 390,000 10 390000 3900000 390000 0 10 390000 3900000
45 Aseptan box 5 41400 207000 5 41400 207000 4 41400 165600 1 41400 41400 DAK 2018
46 Bracket pcs 5 20240 101200 5 20240 101200 4 20240 80960 1 20240 20240 DAK 2018
47 Handscun Non Steril L box 2 56870 113740 2 56870 113740 56870 0 2 56870 113740 DAK 2019
48 Handscun Steril L box 2 7452.35 14904.7 2 7452.35 14904.7 7452.35 0 2 7452.35 14904.7 DAK 2017
49 H2O2 botol 2 4032 8064 2 4032 8064 4032 0 2 4032 8064 DAK 2019
50 Masker box 5 30785.6 153928 5 30785.6 153928 1 30785.6 30785.6 4 30785.6 123142.4 DAK 2018
40,590,240 598836.7 41,189,077 997645.6 40,191,431

Mengetahui PENGELOLA OBAT


KEPALA UPTD Labkesda UPTD Labkesda
NANY ERLISA, SKM FITRIA RIZKI, AMd. AK
Nip. 19740606 199503 2 001 Nip. 19840630 200904 2 007

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