November

PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
NO NAMA OBAT SAT 1 2 3 4 5 6 7

zidan desi parinem aprilina partiyem marsudi aisyah
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet 6
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 9 9 9
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 3
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 3 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
55 Erytromicin sirup Botol 1 1
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 3 6 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet 6
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
B Obat Non Generik

1 Antasida + Simetikon Tablet
2 Antasida + simetikon sirup Botol
3 Anti Diare kombinasi ( Dewasa ) Tablet 6
Anti Diare kombinasi sirup ( Anak
4 Botol
)
5 Anti hemorhoid kapsul Kapsul
6 Anti radang topikal mengandung Tube
triamsinolon acetonide 1 mg
7 Anti spasmodik inj / spasi inj Ampul
8 Asam Askorbat tab 500 + Vitamin Tablet
9 Asering infus Flabot
10 Asifit Kapsul
11 Batugin eliksir Botol
Betamethason + Antibiotik salep
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
15 Diazepam rectal Tube
16 Flunarizin 5 mg Tablet
17 Mecobalamin 500 Kapsul
18 Minyak kayu putih Botol
19 Minyak telon Botol
20 Multivitamin sirup ( Anak ) Botol
21 Multivitamin tab ( Dewasa ) Tablet
22 Neprolit Kapsul
23 Salep Luka Bakar Tube
24 Simetidin inj Ampul
25 Tablet Tambah Darah + Vitamin Tablet
26 Tensigard Kapsul
27 Vitamin neurotropik inj Ampul
28 Xylomidon inj Vial
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
47 Pot dahak Biji
E Laboratorium Dan Reagen

1 Alkohol swab 100pcs/box
2 Amphetamin dos 50 test dus 50
3 Asam urat Kit 4 x 30 ml
4 Benzodiazepin dos 50 test dus 50
5 Blue tips set @100
6 BOD Nutrient Mixture Botol
7 BOD Standart Botol
Briliant green 2% Bile Broth
8 Btl dlm dus
(BGLB)
9 Cannabinoides dos 50 test dus 50
10 Cell clean Btl 50 ml
11 Cellpack (PK-30 ) box 20 lt
12 Cholinesterase botol
13 Cocain dos 50 test dus 50
14 COD cell test Botol
15 COD sol A Refil Botol
16 Combur test kit 100test Kit 100 test
17 Deck glass box 100 biji
18 EDTA 10 % btl 250 ml
serial
19 Eight check ( L,N,H )
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
21 HbsAg test Dus 50 pcs
22 Iodida Test Botol
23 Kertas ECG lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
26 Lactosa Broth Botol
27 Larutan Asam Klorida 1 % Botol
28 Larutan Asam Sulfosalisilat Botol
29 Larutan Benedick Botol
30 Larutan Eosin Botol
31 Larutan Etanol Asam Botol
32 Larutan Gabbet Botol
33 Larutan Giemsa Botol
34 Larutan Hayem Botol
35 Larutan Karbol Fuksin Botol
36 Larutan Kinyoun Botol
37 Larutan Metanol Botol
38 Larutan Metilen Biru Botol
39 Larutan Turk Botol
40 Larutan Drabkin Botol 500 ml
41 Larutan Rees Ecker Botol 100 ml
42 LDL kit
43 Minyak emersi botol
44 Morphines dos 50 test dus 50
45 Needle boorner dus 100
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
50 Reagen A/B ( GOLDA ) Set
51 Reagen amonium Botol
52 Reagen Cu Btl dlm dus
53 Reagen Fe ( Iron ) Btl dlm dus
54 Reagen Mn Btl dlm dus
55 Reagen Nitrat Btl dlm dus
56 Reagen Nitrit Btl dlm dus
57 Reagen Phospat Botol
58 Reagen Zn Botol
59 Reagen Cyanmet kit/500ml Kit 500ml
60 Serum Widal AO Vial 5 ml
61 Serum Widal H Vial 5 ml
62 Serum Widal O Vial 5 ml
Serum widal S thypi H parathyphi
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
66 Stromatolyser-WH Btl 500 ml
67 Tabung EDTA 3 ml dus 100
69 Test Gula Darah Biji
Tube 100
70 Test hematokrit/asisten
biji
71 Thermal roll paper roll
72 Tissue lensa biji
Botol 6 x 50
73 Trigliserida
ml
74 Ultrasonic gel set
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
77 Vacum tainer dus 100
78 Yellow tips set @1000
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
mufida arkhan ranget suyatmi ninik sukidi novita giyem simpar partini toni pardi parto w
12
1
6 6 3 6 12 12
3 4
4
6 6 6
1
1 1
12
6
1
6 3 6 6 16 12
6 6 6
7 3
6
6 6 6
6
1 1
4 4
1 1
1 1
1 1
LAPORAN P
21 22 23 24 25 26 27 28 29 30 31 32 33
yunus supoyo sadiyem darsono samin sakinem
12 9
20 16 15 12 8 6
12
20
6
20 16 15 12 11 6
6 5 5 4 4 2
6
15
12
1 2 1
4 4 4 4
1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
LAPORAN PEMAKAIAN KAMAR OBAT BULAN NOVEMBER 2016
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
12
2
0
0
6
0
4
0
0
57
0
0
0
0
0
122
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
36
0
0
0
0
1
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
12
0
0
0
0
0
26
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
6
0
0
156
0
0
0
25
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
15
0
30
0
6
0
0
0
6
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
24
0
8
0
7
1
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

retno valenia dwi sri m sriyanto nurul sastro
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
8 Aminofilin tab 200 mg Tablet
11 Tablet
mg
19 Antasida Doen tab Tablet 6 16
26 Asam Askorbat tab 50 mg tab Tablet
32 Flacon
UI
38 Deksametason tab 0,5 mg Tablet
55 Erytromicin sirup Botol
81 Tablet
mg
83 Tablet
mg
100 Klorafeniramin ( CTM ) tab Tablet 6 6
127 Metronidazol tab 500 mg Tablet 12
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
158 Parasetamol tab 500 mg Tablet 6 6 6 6 6 16
173 Tablet
mg
175 Ranitidine 150 mg Tablet
181 Ringer Laktat Infus Flabot 4
191 Tablet 6 6
tab
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
dwi
2
1
13
2
13
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
27
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
59
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
13
0
6
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

kiko sukidi pariyem nina sunarni partini sri l
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
5 Ambroxol sirup Botol 1 1
11 Tablet
mg
13 Amoksisilin kab 500 mg Tablet 9
26 Asam Askorbat tab 50 mg tab Tablet 2 6
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet 6
100 Klorafeniramin ( CTM ) tab Tablet 2 6 6 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
158 Parasetamol tab 500 mg Tablet 2 6 6
162 Piridoksin tab 10 mg Tablet
168 Prednison tab 5 mg Tablet 6
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
haura ifano fika atik samiyem
2 6 6 14
3
6
2 6
1
2
4 6
2 5
2
8
7
4 3
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
2
0
0
0
0
0
0
0
9
0
0
0
0
0
40
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
7
0
0
0
0
0
6
0
0
0
0
0
0
0
1
0
0
0
0
2
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
6
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

jordean sukiman sukartini nana sri r narimo sumarmi
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
13 Amoksisilin kab 500 mg Tablet 9 9
32 Flacon
UI
38 Deksametason tab 0,5 mg Tablet 6 4 6 6
81 Tablet
mg
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet 6 6
90 Kalsium Laktat tab 500 mg Tablet 6 6
91 Kaptopril tab 25 mg Tablet 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
136 Natrium Dikofenak 50 Tablet 6
149 Oksitetrasiklin salep kulit 3 % Tube 1
158 Parasetamol tab 500 mg Tablet 6
173 Tablet
mg
191 Tablet 6
tab
202 Tiamfenikol kap 500 mg Kapsul 6
207 Zink Tablet
B Obat Non Generik

3 Anti Diare kombinasi ( Dewasa ) Tablet
4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
rizal nabila sri hartini dinah sri l
9 9
2 6 6
6 4 6
1
6
6
1
4 6 11 6
2
6
2
1
1 1
1 1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
0
0
0
0
0
0
0
36
0
0
0
0
0
26
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
38
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
18
6
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
2
6
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
6
0
6
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

winarno ssdiyem marsudi murni sukidi sarah sukiyem
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
26 Asam Askorbat tab 50 mg tab Tablet 6 6
30 Asiklovir tab 200 mg Tablet 6
32 Flacon
UI
38 Deksametason tab 0,5 mg Tablet 6
54 Erytromicin kap 500 mg Kapsul 6
81 Tablet
mg
83 Tablet
mg
100 Klorafeniramin ( CTM ) tab Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
168 Prednison tab 5 mg Tablet 6 6
173 Tablet
mg
175 Ranitidine 150 mg Tablet 6 6
182 Salbutamol tab 2 mg Tablet 6
191 Tablet 6 6
tab
204 Tiamin HCl / B1 Tab 50 mg Tablet
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
abimanyu winarno sakinem
8 12
9
12
4
6 10 12
3 6
4 4
1 1
1 1
1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
20
0
0
0
0
0
0
12
0
0
0
6
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
46
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
12
0
0
0
0
0
9
6
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sukartini podo farel fatimah afika parinem ngadiyem
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
38 Deksametason tab 0,5 mg Tablet 2 2
81 Tablet
mg
83 Tablet
mg
120 Methoklopramide sirup Botol 1
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
153 Omeprazol kaps Kapsul 6
162 Piridoksin tab 10 mg Tablet 6 6
173 Tablet
mg
191 Tablet 6
tab
207 Zink Tablet
B Obat Non Generik

2 Antasida + simetikon sirup Botol 1
4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
siswati kusnanto warso
6 6
1
2
6
2 6
6
6
LAPORAN
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN NOVEMBER
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
28
0
0
0
12
0
0
0
0
0
6
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sati l asyifa binar pardi darsini tukinah supardi
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
19 Antasida Doen tab Tablet 6 6 12
32 Flacon
UI
48 Domperidon suspensi Botol 1
55 Erytromicin sirup Botol 1
81 Tablet
mg
83 Tablet
mg
100 Klorafeniramin ( CTM ) tab Tablet 6
112 Kotrimoksazol suspensi Botol 1
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
202 Tiamfenikol kap 500 mg Kapsul 6 12
207 Zink Tablet
B Obat Non Generik

4 Botol 1
)
8 Asam Askorbat tab 500 + Vitamin Tablet 4
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji 1
10 Cat Gut Biji
12 Hand Scoen Biji 4
14 Infus Set dewasa Biji 1
17 IV Cateter No. 22 ( Dewasa ) Biji 1
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
amino fluid inf 1
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
6
1
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

suparni muhtasor feri f kasdi suyanti
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
121 Methoklopramide tab10 mg Tablet 12
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
176 Ranitidine inj ampul 1
181 Ringer Laktat Infus Flabot 3 6
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji 6 4
14 Infus Set dewasa Biji 1 1
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji 1
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
10
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

lian elia parmini parmi azahra mardi ratmini
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
19 Antasida Doen tab Tablet 6
32 Flacon
UI
42 Diazepam tab 2 mg Tablet 1
81 Tablet
mg
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet 6 6 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
158 Parasetamol tab 500 mg Tablet 3 6 6 6
173 Tablet
mg
191 Tablet 6 6
tab
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
tri
9
6
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27
0
0
0
6
0
0
0
0
0
6
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

nadira umri sandra hasyim sukiman sarimin sugino
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
19 Antasida Doen tab Tablet 3 6 6 12 6
29 Asiklovir salep kulit Tube 1
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
149 Oksitetrasiklin salep kulit 3 % Tube 1
155 Papaverin tab 40 mg Tablet 6
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji 1 1
10 Cat Gut Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji 1 1
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
nadira
9
9
1
9
3
1
4
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
15
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
6
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
6
0
6
0
0
40
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
3
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
12
1
2
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

galih partorejo haryono evita supriyantowulan rendi
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet 6 6
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
5 Anti hemorhoid kapsul Kapsul 6
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
21 Multivitamin tab ( Dewasa ) Tablet 6
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
azahra paimin jidan yogi
9 9
6
6 9
6 6 9
6
6
6 6
4
6
1
1
4
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48
0
0
0
9
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
12
0
12
0
0
0
0
0
0
1
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugiarto arif saputra karni suparyo sholeh supriyati
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
13 Amoksisilin kab 500 mg Tablet 9 9 9 9
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
155 Papaverin tab 40 mg Tablet 6
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
parinem samin riyadi pebian surya sutinem galeh
9 9
10
6
6 6 6 6
4
6 6
6
6 6 6 6
6 6 10
2
10
6
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
6
0
0
0
0
54
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
39
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
6
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

adelia rania adam lutfi samirah
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet 10
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
112 Kotrimoksazol suspensi Botol 1 1
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
148 Obat Batuk Hitam sirup Botol 1
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji 1
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
10
0
0
0
1
0
0
0
0
20
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

arkan vina ariel dwi aryanti fajar wasto
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
5 Ambroxol sirup Botol 1
11 Tablet
mg
13 Amoksisilin kab 500 mg Tablet
32 Flacon
UI
48 Domperidon suspensi Botol 1 1
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
206 Vitamin B Komplek tab Tablet 6
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
18 IV Cateter No. 24 ( Anak ) Biji 1
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji 1
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
marmin dian marinem suliyem partini aska
6 20 6 21
2
6
6 6 2
6 6
6 6
20 20 2
2 4 7 2
20 20
1
1
4 4 4 4
1
1 1 1 1
1 1 1
1 1
1 1 1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
69
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
76
0
0
0
6
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
52
0
0
0
6
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
20
1
5
0
3
3
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

juli rio sesa kasdi rio sumini supardi
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet 12
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
121 Methoklopramide tab10 mg Tablet 2 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji 1 2
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
12
0
0
0
0
0
0
0
0
27
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
59
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
12
0
3
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

kalista fitri nyami darsono suciarti faisal fitri
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
100 Klorafeniramin ( CTM ) tab Tablet 2 2 6 2
105 Kloramfenikol tetes telinga Kapsul 1
120 Methoklopramide sirup Botol 1
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
136 Natrium Dikofenak 50 Tablet 6 6
168 Prednison tab 5 mg Tablet 6 6 2
173 Tablet
mg
191 Tablet 6 6
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
kardi siswati erva hesti ngatiyem maridi
9 15
4 6 15
6
6 10
6
6
4
6 6 15
6
6
6
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
60
0
0
0
0
0
25
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
6
0
0
0
0
0
0
0
0
0
18
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
37
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
6
6
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wulan aisyah alifia kasdi karsi rio fida
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
184 Salysil bedak 2 % Botol 1
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
21 Multivitamin tab ( Dewasa ) Tablet 6 6
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
rida akila fiqih aska
12
3
3 2
1
12 2
1
12
6 3 12 2
5 2
12
6
4 4
1
1
1
1
1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
9
0
1
0
0
0
15
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
49
0
0
0
3
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
6
0
0
0
0
0
0
0
0
1
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
1
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

tri h nur r yusuf dwi s hisyam parmin
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet 6 6
tab
207 Zink Tablet
B Obat Non Generik

4 Botol 1
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
2
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

suratmi sukiman alluna anik yatini partinem paimin
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
19 Antasida Doen tab Tablet 6 6 15 18
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
127 Metronidazol tab 500 mg Tablet 6 6 12
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

3 Anti Diare kombinasi ( Dewasa ) Tablet 6 18
4 Botol 1 1
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
45
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
24
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

bagus rizky marinem kanem wagiyem nabila fiola
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
38 Deksametason tab 0,5 mg Tablet 4 6 6 6 2
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
158 Parasetamol tab 500 mg Tablet 3 4 6 6 6 6 2
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
joyo mukinem naswa sri w melinda ari parmin
6 6 3 12
2 6
2 6 6
2
6
2 3
1
12
6
6 6 6 3 6
6
6
4
1
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
6
0
0
11
0
0
0
0
0
37
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
38
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
6
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
60
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
6
0
0
0
0
0
3
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

mutiara nirwan angga karni sukiman rebo ngatini
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet 6 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
158 Parasetamol tab 500 mg Tablet 6
173 Tablet
mg
191 Tablet 6
tab
207 Zink Tablet
B Obat Non Generik

1 Antasida + Simetikon Tablet 6
4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
21 Multivitamin tab ( Dewasa ) Tablet 6 6
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
ratmi rania sunarti partorejo supri huda radit
12
6
15
6
6
6 6 12
6 6
6 6 6 12
6 6
4
6
6 6
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
0
0
0
0
0
0
0
23
0
0
0
0
0
12
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
6
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
36
0
0
0
6
0
0
0
0
0
14
0
0
0
0
0
0
12
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
18
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

suardi galang asep wahid tri sulastri
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
87 Isosorbid Dinitrat Tablet 6
121 Methoklopramide tab10 mg Tablet 6 6 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

1 Antasida + Simetikon Tablet 6 6
4 Botol
)
8 Asam Askorbat tab 500 + Vitamin Tablet 3 6
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
6
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
35
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
6
0
0
0
0
0
12
0
6
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

muh tardi temin umri suwarti tegar elien irwansyah
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
5 Ambroxol sirup Botol 1
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
176 Ranitidine inj ampul 3
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol 1
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
8 Aqua Pro injeksi Flacon 1
10 Cat Gut Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
pono sumardi joyo
10
12 12 20
9
6
1
15 12 20
1 5
10 12
6
12
1 1 1
4 4 4
1 1 2
1 1 2
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
0
0
0
0
0
0
0
46
0
0
0
0
0
59
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
24
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
106
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
18
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
6
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
1
0
0
0
20
0
6
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

supono sulasih wagiman abel hendri nova eko
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
13 Amoksisilin kab 500 mg Tablet 9 9 9 9 9
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
juminem sulasih
9 10
15
9
15
7
6
7
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
64
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
45
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
7
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

joko siti m wasinan supriyati fabi purwanti erla
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
149 Oksitetrasiklin salep kulit 3 % Tube 1 1
163 Piroksikam tab 10 mg Kapsul 6
173 Tablet
mg
175 Ranitidine 150 mg Tablet 6 6 6
191 Tablet 6
tab
207 Zink Tablet
B Obat Non Generik

1 Antasida + Simetikon Tablet 6 6
4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
suyatmi qonita intan suarrno
6
1
10
6 6
6 6 6 15
6
10
10
10
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
10
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
69
0
0
0
0
12
0
0
0
0
6
0
0
0
0
0
0
18
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
10
0
6
0
0
0
0
0
22
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

harni riyadi m ririn laila
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
6
0
0
0
0
6
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugiyarti marinem ahmad alvin intan sarah anas t
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
48 Domperidon suspensi Botol 1
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
195 Streptomicin 1.500 mg inj Vial 1
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
8 Aqua Pro injeksi Flacon 1
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
sanusi ran farel indah parto
6 6 15
6 15
6
4 6
4 6 6
1 1
1
10
15
4 6 6 6 15
3
4
1
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
0
0
0
0
0
0
0
33
0
0
0
0
0
31
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
4
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
1
10
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
64
0
0
0
6
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
1
0
0
0
1
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

hariyanto suradi salwa fitriana oki sungatini
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
64 Furosemide tab 40 mg Tablet 6
81 Tablet
mg
83 Tablet
mg
90 Kalsium Laktat tab 500 mg Tablet 6
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wagiman sutarmin ratinem sarman
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
14 Amoksisilin kap 250 mg Kapsul 10
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
14 Infus Set dewasa Biji 1 1 1
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1 1
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
3
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

laila tarman sugiyani lham riko tri santi
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
136 Natrium Dikofenak 50 Tablet 10 6
158 Parasetamol tab 500 mg Tablet 10 10 6 6 6 6 6
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
sasa adilia
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
56
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
11 Tablet
mg
32 Flacon
UI
81 Tablet
mg
83 Tablet
mg
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
173 Tablet
mg
191 Tablet
tab
207 Zink Tablet
B Obat Non Generik

4 Botol
)
10 Asifit Kapsul
12 Tube
kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
22 Neprolit Kapsul
26 Tensigard Kapsul
C Obat Gigi
3 Bahan Etsa botol
6 Eugenol sol Pot
10 Pot
( CHKM )
14 Solare Tube
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
10 Cat Gut Biji
12 Hand Scoen Biji
27 Biji
10%
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
35 Plastik obat pak
42 Silk Biji
44 Urine Bag Biji
47 Pot dahak Biji

8 Btl dlm dus
(BGLB)
18 EDTA 10 % btl 250 ml
serial
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
42 LDL kit
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
58 Reagen Zn Botol
63 AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Tube 100
biji
Botol 6 x 50
73 Trigliserida
ml
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
BULAN nopember 2016
KABUPATEN : SRAGEN
TANGGAL
NO NAMA OBAT SAT Stok terima jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Awal
A Obat Generik
1 Acetosal 500 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotak 24
2 ACT tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
tab
3 Albendasol Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Allopurinol 100 mg tab Tablet 52 52 12 0 0 0 0 0 0 0 0 0 0 0 10 0 12 0 0 0 0
5 Ambroxol sirup Botol 4 10 14 2 0 2 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
6 Ambroxol tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Aminofilin inj. Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Aminofilin tab 200 mg Tablet 60 100 160 6 0 0 0 0 0 0 0 0 0 0 6 1 0 0 0 0 0 0
9 Amitriptilin tab 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Amlodipin 5mg Tablet 60 60 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Amoksisilin + As. Klavunalat
11 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
625 mg
12 Amoksisilin injeksi Vial 40 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Amoksisilin kab 500 mg Tablet 240 500 740 57 27 9 36 18 11 18 22 36 16 36 54 20 0 27 60 9 9 9
14 Amoksisilin kap 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amoksisilin Sirup 125 mg Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
16 Ampisilin injeksi 1 gram Vial 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Antalgin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Antasida Doen tab Tablet 0 700 700 122 22 40 26 20 24 24 17 6 33 12 16 14 69 16 25 15 7 45
20 Antasida sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Anti Bacteri Doen salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
22 Anti Hemoroid suppo Suppo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Antifungi Kombinasi salep kulit Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Artemeter inj 80 mg Ktk 6 amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Artesunate Inj ktk 8 amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Asam Askorbat tab 50 mg tab Tablet 30 100 130 3 0 8 6 12 0 0 0 0 0 0 0 0 0 0 8 9 0 0
27 Asam Mefenamat kap 500 mg Kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Asam traneksamat inj 250 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Asiklovir salep kulit Tube 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
30 Asiklovir tab 200 mg Tablet 60 60 0 0 0 0 6 0 6 0 0 0 0 0 0 0 0 0 0 0 0
31 Atropin Sulfas inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Benzatin Benzyl Penisilin Inj
32 Flacon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2,4jt UI
Besi II Sulfat Tablet + asam
33 Tablet 13 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
folat
34 Betahistin mesilat tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Betamethason salep kulit Tube 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Bisakodil tab Tablet 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Deksametason inj Ampul 6 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Deksametason tab 0,5 mg Tablet 190 400 590 22 0 3 38 6 4 11 16 27 15 33 39 11 14 24 20 5 3 2
39 Dekstromethorpan sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Dekstromethorpan tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Diazepam inj. 5mg/2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Diazepam tab 2 mg Tablet 8 20 28 0 2 0 0 0 0 0 0 1 6 0 4 0 0 10 0 0 0 0
43 Diazepam tab 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Difenhydramin HCl inj Ampul 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Digoxin tab 0,25 mg Tablet 30 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Dimenhydrinat tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Doksisiklin 100 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Domperidon suspensi Botol 5 10 15 0 1 0 1 0 0 1 0 0 0 0 0 0 3 0 0 0 2 0
49 Domperidon tab 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
50 Efedrin tab 25 mg Tablet 56 56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Efinefrin ( Adrenalin inj ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Ekstrak Belladon tab 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Erytromicin kap 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Erytromicin kap 500 mg Kapsul 70 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 6
55 Erytromicin sirup Botol 5 20 25 2 0 2 0 0 3 1 0 1 0 0 2 2 0 0 0 1 0 0
56 Etakridin Lakt. ( Rivanol ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Ethambutol tab 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Fenitoin Na. kap 100 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Fenobarbital inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 Fenobarbital tab30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 Fenol Gliserol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Fitomenadion inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 Fitomenadion tab 10 mg Tablet 55 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Furosemide tab 40 mg Tablet 22 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Furosemide injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 Gameksan salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Garam Oralit 200ml Sak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Gentamicin tetes mata 0,3 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Gentamicin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 Gentamisin salep kulit Tube 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 Gentian Violet Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 Glibenklamide tab 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Gliseril guaiakolat tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 Glukonas kalsikus Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Glukose 40 % larutan infus Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Glukose 10 % larutan infus Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Glukose 5 % larutan infus Flabot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
78 Griseofulvin tab 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Haloperidol tab 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Haloperidol tab 1,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

81 Tablet 60 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mg
82 Hidrokortison salep kulit Tube 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hiosine-N- butilbromide tablet
83 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 mg
84 Ibuprofen tab 200 mg Tablet 0 300 300 0 0 6 12 6 0 0 0 18 0 0 0 0 0 0 6 3 6 0
85 Ibuprofen tab 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 Isoniazide tab ( INH ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 Isosorbid Dinitrat Tablet 27 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 Kalium Diklofenak 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Kalium Diklofenak 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 Kalsium Laktat tab 500 mg Tablet 210 210 4 0 0 18 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0
91 Kaptopril tab 25 mg Tablet 40 100 140 0 0 0 6 9 6 0 0 0 10 6 6 0 0 20 0 0 0 0
92 Karbamazepin tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Ketokonazole 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 Ketokonazole krim tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 Ketoprofen inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Kinina Dihydroklorid inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 Kinina HCl. Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Klobazam tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 Klonidin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 Klorafeniramin ( CTM ) tab Tablet 100 400 500 36 12 10 18 0 4 6 10 12 15 10 10 8 26 13 18 28 0 8
101 Kloramfenikol inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 Kloramfenikol salep mata 1 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Kloramfenikol sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 Kloramfenikol tetes mata 0,5 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 Kloramfenikol tetes telinga Kapsul 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0

TANGGAL
Awal
106 Kloramfenikol kap 250 mg Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 Klorokuin tab 150 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Klorpromasin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Klorpromasin tab 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 Kontrasepsi implant set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 Kontrasepsi inj depo prog 3 bln vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Kotrimoksazol suspensi Botol 4 20 24 2 0 1 0 0 0 1 0 0 1 0 0 2 0 0 1 1 0 1
113 Kotrimoksazol tab 120 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Kotrimoksazol tab 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Lidokain comp injeksi Ampul 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Loperamid Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 Mebendazol tab100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Metformin 500 Tablet 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Methoklopramide injeksi Ampul 30 20 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Methoklopramide sirup Botol 5 5 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0
121 Methoklopramide tab10 mg Tablet 80 80 0 0 0 0 0 0 0 0 0 6 6 0 0 0 8 0 12 0 0
122 Metilergomet injeksi 0,2 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Metilergomet tab 0,125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 Metilprednisolon 4 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 Metronidazol inf Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 Metronidazol tab 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Metronidazol tab 500 mg Tablet 140 140 26 12 8 0 6 0 6 0 0 6 0 0 0 0 0 0 0 0 0
128 MgSO4 20 % Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 MgSO4 40 % Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Mineral mix Sak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Misoprostol Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Myconazol salep kulit Tube 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Na tiroksin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
134 Na. Bic. Tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 Na. Cl. Infus Flabot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Natrium Dikofenak 50 Tablet 190 190 12 0 0 6 0 0 0 0 0 0 6 0 0 0 0 12 6 10 10
137 Natrium Tiosulfas inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Nifedipin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 O A T Anak Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
140 O A T - FDC anak Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
141 O A T - FDC kat 1 & 3 Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 O A T - FDC kat 2 Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 O A T - FDC sisipan Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 O A T Katagori - 1 Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 O A T Sisipan Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Obat Batuk Hitam sirup Botol 16 16 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
149 Oksitetrasiklin salep kulit 3 % Tube 6 6 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
150 Oksitetrasiklin salep mata Tube 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Oksitetrasiklin 50mg/ml inj Flacon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Oksitocin 10mg/ml inj Ampul 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 Omeprazol kaps Kapsul 152 152 0 0 0 0 4 12 0 0 0 6 0 0 0 12 0 0 3 0 0
154 Papaverin inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 Papaverin tab 40 mg Tablet 165 165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Parasetamol sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Parasetamol tab 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 Parasetamol tab 500 mg Tablet 50 1,200 1,250 0 30 24 33 46 28 34 44 27 40 48 55 31 30 59 37 49 11 54
159 Perhidrol 2 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Piracetam 400 Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 Pirazinamid tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
162 Piridoksin tab 10 mg Tablet 150 200 350 25 6 7 0 0 12 4 0 6 0 9 0 0 6 6 0 3 2 10
163 Piroksikam tab 10 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 Piroksikam tab 20 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Polykrusulen ( Albothyl ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 Povidon Iodium 10% 30 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Povidon Iodium 10% 300 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 Prednison tab 5 mg Tablet 125 100 225 0 0 6 0 12 6 0 0 6 4 12 0 0 12 0 20 8 5 6
169 Primakuin tab 15 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Proc. Pen. 3 juta inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Prokain Benzil Penisilin Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Propanolol tab 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

173 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
mg
174 Pyrantel tab 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Ranitidine 150 mg Tablet 300 300 6 0 0 6 12 6 12 6 6 0 0 0 0 0 7 0 0 0 0
176 Ranitidine inj ampul 43 43 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
177 Reserpin tab 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Retinol 100.000 iu Kab Btl @50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 Retinol 200.000 iu Kab Btl @50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 Rifampisin kap 300 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Ringer Laktat Infus Flabot 680 680 36 6 2 2 9 0 3 9 0 8 4 2 0 19 15 6 7 0 6
182 Salbutamol tab 2 mg Tablet 70 70 0 0 8 6 6 0 0 0 0 0 0 0 0 0 0 6 0 0 0
183 Salep 2 - 4 kombinasi Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
184 Salysil bedak 2 % Botol 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
185 Sefadroksil 500 cps Kapsul 100 100 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 Sefotaxim 1g inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Seftriaxon inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Serum ABU 5 ml inj. Flacon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 Serum ATS 1.500 iu inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
Sianokobalamin inj ( Vit. B12 )
190 Ampul 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
inj
191 Tablet 260 100 360 18 12 0 6 12 6 0 0 12 0 18 0 0 0 0 12 0 12 0
tab
192 Simetidin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 Simvastatin 10 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 Siprofloxacin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Streptomicin 1.500 mg inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 Sulfacetamid tetes mata Botol 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Sulfadimidin 500 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Sulfadoksin + Piritamin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Tetracyklin kap 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Tetracyklin kap 500 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Thiamin HCl / B1 tab 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 Tiamfenikol kap 500 mg Kapsul 120 100 220 15 13 7 6 0 0 18 0 0 6 12 10 0 52 0 0 12 0 15

Tiamin HCl / B1 injeksi
203 Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100mg /ml
204 Tiamin HCl / B1 Tab 50 mg Tablet 205 205 30 6 6 6 0 12 0 4 12 3 12 6 0 0 0 8 6 2 0
205 Triheksifenidil tab 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Vitamin B Komplek tab Tablet 105 105 6 0 0 2 0 0 0 0 0 0 0 0 0 6 0 0 0 2 0
207 Zink Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B Obat Non Generik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Antasida + Simetikon Tablet 0 100 100 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Antasida + simetikon sirup Botol 0 15 15 0 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 0

Anti Diare kombinasi ( Dewasa
3 Tablet 35 100 135 24 12 13 0 6 0 6 0 0 0 0 0 0 0 0 0 0 0 24
)
Anti Diare kombinasi sirup
4 Botol 4 6 10 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 2
( Anak )
5 Anti hemorhoid kapsul Kapsul 18 18 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
6 Anti radang topikal mengandung Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 Anti spasmodik inj / spasi inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Askorbat tab 500 +
8 Tablet 0 100 100 0 0 0 0 0 0 4 0 0 4 0 0 0 0 0 0 9 0 0
Vitamin
TANGGAL
Awal
9 Asering infus Flabot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Asifit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Batugin eliksir Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kulit
13 Bioprost Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 D 1/2NS Flabot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Diazepam rectal Tube 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Flunarizin 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Mecobalamin 500 Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Minyak kayu putih Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Minyak telon Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Multivitamin sirup ( Anak ) Botol 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Multivitamin tab ( Dewasa ) Tablet 0 100 100 0 0 0 0 0 0 0 0 0 0 6 12 0 0 0 0 12 0 8
22 Neprolit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Salep Luka Bakar Tube 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Simetidin inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tablet Tambah Darah +
25 Tablet 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vitamin
26 Tensigard Kapsul 90 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Vitamin neurotropik inj Ampul 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Xylomidon inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C Obat Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Air raksa dental use Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Bahan bonding botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Bahan Etsa botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Devitalisasi Pasta Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Etil Klorida semprot Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Eugenol sol Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
7 Flour tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Glass Ionomer Cement Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kalsium hydroksi pasta dos 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
( CHKM )
11 Mumiying Pasta Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Semen Seng Fosfat p+liq Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Silver Amalgam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Solare Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Spons Gelatin Cubices Dos 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Temp+Stopp Fletc p+liq Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Trikresol Formalin ( TKF ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Yodium Gliserin Cc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D Alkes Pakai Habis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ADS 0,05 ml Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 ADS 0,5 ml Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 ADS 5 ml Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Alat suntik 1 ml Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Alat suntik 2,5 ml / 3ml Biji 30 100 130 6 0 0 1 0 0 1 1 0 3 1 1 1 1 2 1 0 0 2
6 Alat Suntik 5 ml Biji 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Antiseptik/Bayclin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Aqua Pro injeksi Flacon 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Aquadest steril 500ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Cat Gut Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Etanol 70 % Botol 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hand Scoen Biji 0 70 70 24 0 0 0 8 0 4 10 0 12 4 0 4 20 12 4 8 0 0
13 Infus Set anak Biji 88 88 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 1 0 0
14 Infus Set dewasa Biji 41 41 8 0 0 2 2 0 1 2 0 2 0 0 1 5 3 1 1 0 2

TANGGAL
Awal
15 IV Cateter No. 18 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 IV Cateter No. 20 ( Dewasa ) Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 IV Cateter No. 22 ( Dewasa ) Biji 9 50 59 7 0 0 2 2 0 1 2 0 2 0 0 1 3 2 0 1 0 2
18 IV Cateter No. 24 ( Anak ) Biji 48 50 98 1 0 0 0 0 0 0 0 0 1 1 1 0 3 0 1 1 0 0
19 Jarum Bengkok / Jahit Biji 6 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Jarum Suntik Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kapas Adsorben 250 gr Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Kasa panjang 40 cmx80 yard Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kasa Pemb 4 m x 10 cm Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Kasa Pemb Hydro 4 m x 15 cm Roll 0 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kasa Pemb Hydro 4 x 80 cm Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

27 Biji 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10%
28 Kasa uk 36 m x 80 cm Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Kertas Puyer Pak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Lisol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Masker Biji 25 25 6 0 0 1 2 0 0 1 0 3 0 0 1 5 3 1 2 0 0
32 Masker N95 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Mess Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Penjernih Air Cepat ( PAC ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Plastik obat pak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Plester 5 yardx2inch Roll 0 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Poly Cateter No. 14 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Poly Cateter No. 16 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Poly Cateter No. 18 Biji 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Selang oksigen anak Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Selang Oksigen dws Biji 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Silk Biji 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANGGAL
Awal
43 Tranfusi set Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Urine Bag Biji 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Wing Needle No 23 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Wing Needle No 25 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Pot dahak Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E Laboratorium Dan Reagen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Alkohol swab 100pcs/box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Amphetamin dos 50 test dus 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kit 4 x 30
3 Asam urat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ml
4 Benzodiazepin dos 50 test dus 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Blue tips set @100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 BOD Nutrient Mixture Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 BOD Standart Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(BGLB)
9 Cannabinoides dos 50 test dus 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Cell clean Btl 50 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Cellpack (PK-30 ) box 20 lt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Cholinesterase botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Cocain dos 50 test dus 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 COD cell test Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 COD sol A Refil Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kit 100
16 Combur test kit 100test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
test
17 Deck glass box 100 biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 EDTA 10 % btl 250 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

serial
19 Eight check ( L,N,H ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3x1.5ml
Botol 5 x
20 Glukosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 ml
21 HbsAg test Dus 50 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANGGAL
Awal
22 Iodida Test Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Kertas ECG lembar 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Botol 5 x
24 Kolesterol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 ml
Botol 2 x
25 Kreatinin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 ml
26 Lactosa Broth Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Larutan Asam Klorida 1 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Larutan Asam Sulfosalisilat Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Larutan Benedick Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Larutan Eosin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Larutan Etanol Asam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Larutan Gabbet Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Larutan Giemsa Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Larutan Hayem Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Larutan Karbol Fuksin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Larutan Kinyoun Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Larutan Metanol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Larutan Metilen Biru Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Larutan Turk Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Botol 500
40 Larutan Drabkin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ml
Botol 100
41 Larutan Rees Ecker 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ml
42 LDL kit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Minyak emersi botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Morphines dos 50 test dus 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Needle boorner dus 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Obyek glass set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Oksigen m3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Poch-D box 5 lt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Poch-L box 500ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
50 Reagen A/B ( GOLDA ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Reagen amonium Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Reagen Cu Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Reagen Fe ( Iron ) Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Reagen Mn Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Reagen Nitrat Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Reagen Nitrit Btl dlm dus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Reagen Phospat Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Reagen Zn Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Reagen Cyanmet kit/500ml Kit 500ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 Serum Widal AO Vial 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 Serum Widal H Vial 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Serum Widal O Vial 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Serum widal S thypi H
63 parathyphi AH vial 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Botol 2 x
64 SGOT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62,5 ml
Botol 2 x
65 SGPT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62,5 ml
66 Stromatolyser-WH Btl 500 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Tabung EDTA 3 ml dus 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Tabung EDTA 5 ml dus 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Test Gula Darah Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tube 100
70 Test hematokrit/asisten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
biji
71 Thermal roll paper roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 Tissue lensa biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Botol 6 x
73 Trigliserida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 ml
74 Ultrasonic gel set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kit 2 x 100
75 Ureum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ml
76 Urine Test Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Vacum tainer dus 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TANGGAL
Awal
78 Yellow tips set @1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F Obat Tambahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
aminofluid 40 40 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AN LEMBAR PERMINTAAN OBAT
USKESMAS
nopember 2016
TANGGAL Harga Jumlah

Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 34 18 0.00
0 1 0 1 0 0 0 1 0 0 0 0 9 5 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 6 0 0 0 0 0 19 141 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 0 0 0 0 0 0 0 0 10 50 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 40 0.00
11 23 9 46 64 18 6 33 0 0 10 0 694 46 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 20 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
37 12 20 59 36 0 6 31 18 30 20 0 542 158 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 6 0 0 0 0 50 80 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0.00
0 0 0 0 0 0 0 0 6 0 0 0 12 48 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 13 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 3 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 12 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 6 0.00
38 33 9 18 36 6 0 10 12 0 0 0 455 135 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 1 0 0 0 0 24 4 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 7 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 30 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 8 7 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 10 10 0 0 0 0 0 0 20 36 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
6 6 6 10 10 0 7 0 0 0 0 0 63 7 0.00
1 1 1 0 1 0 0 0 0 0 18 7 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 55 0.00
0 5 0 0 0 0 0 0 0 0 0 0 5 17 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 10 0 0 0 0 10 50 0.00
0 0 0 0 0 0 0 0 0 2 0 0 2 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 18 6 0 13 6 0 0 0 0 0 0 100 200 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 27 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 0 0 0 0 0 0 6 0 0 0 35 175 0.00
0 0 0 0 0 4 0 0 0 0 0 0 67 73 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
11 36 3 18 0 24 16 10 18 0 0 0 380 120 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 0 1 1 1 1 3 0 0 0 0 18 6 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 15 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 100 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 50 0.00
0 0 0 0 0 0 0 1 0 0 0 0 3 2 0.00
0 0 0 0 0 0 10 0 8 10 0 60 20 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 6 0 0 0 9 6 0 0 0 85 55 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 6 10 10 10 0 15 0 15 16 0 150 40 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 0 1 1 1 0 1 0 0 0 0 8 8 0.00
0 0 0 0 0 2 1 0 0 0 0 0 5 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 3 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 10 0.00
0 0 0 0 0 0 0 0 0 0 0 0 37 115 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 165 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
60 36 35 30 45 6 16 64 30 46 56 0 1,104 146 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
10 6 0 0 12 0 10 6 10 0 0 0 150 200 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
3 14 0 0 14 6 4 15 0 0 0 0 153 72 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
6 12 12 0 0 18 0 0 0 0 0 0 109 191 0.00
0 0 0 3 0 0 0 0 0 0 0 0 5 38 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
3 4 6 18 7 1 0 3 0 5 2 0 183 497 0.00
6 0 0 22 6 0 0 0 0 0 0 0 60 10 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 3 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 200 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 8 0.00
0 12 0 0 0 6 0 0 0 0 0 0 126 234 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 1 0 0 0 0 1 -1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
12 0 26 0 0 10 0 0 0 10 21 0 245 -25 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 12 6 20 6 6 4 0 6 6 0 0 179 26 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 6 10 0 0 0 0 32 73 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 12 0 0 22 0 0 0 0 0 0 58 42 0.00
0 1 0 0 1 0 0 0 0 0 0 0 6 9 0.00
4 0 6 6 0 0 0 4 0 0 0 0 105 30 0.00
0 0 0 1 0 0 0 0 0 0 0 0 7 3 0.00
0 0 0 0 0 0 0 0 0 0 0 0 6 12 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 9 0 0 10 0 0 0 0 0 0 36 64 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 10 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 7 0.00
6 12 0 12 7 16 0 6 0 15 6 0 118 -18 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 0 0 0 0 0 0 0 0 0 0 1 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 8 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 90 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 20 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 1 1 5 1 2 0 2 0 2 2 0 38 92 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 10 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 1 0 0 0 1 0 0 0 0 2 6 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00
0 0 0 20 4 0 0 1 0 0 0 0 135 -65 0.00
0 0 0 0 0 0 0 0 0 0 0 0 5 83 0.00
1 1 1 6 1 2 0 0 0 3 2 0 47 -6 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 1 6 1 2 0 1 0 3 2 0 42 17 0.00
0 1 0 0 0 0 0 1 0 0 0 0 11 87 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 6 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 25 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 4 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 1 1 0 0 0 0 0 0 0 27 -2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 4 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 3 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 5 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 10 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 39 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( UGD )
PUSKESMAS
PUSKESMAS : SAMBUNGMACAN I
KECAMATAN : SAMBUNGMACAN PELAPORAN BULAN / PERIODE :
KABUPATEN : SRAGEN PERMINTAAN BULAN / PERIODE :
STOK PENERI PERSE PEMA SISA PERMIN PEMBERIAN Harga

NO NAMA OBAT SATUAN
AWAL MAAN DIAAN KAIAN STOK TAAN DAU JKN DAK Lain2 Jumlah Satuan(Rp)
A Obat Generik
1 Acetosal 500 mg tab Tablet 0 0 0 0 0
2 ACT tab Kotak 24 tab 0 0 0 0 0
3 Albendasol Tablet 0 0 0 0 0 344.00
4 Allopurinol 100 mg tab Tablet 52 0 52 34 18 86.00
5 Ambroxol sirup Botol 4 10 14 9 5 3,297.00
6 Ambroxol tab Tablet 0 0 0 0 0 125.00
7 Aminofilin inj. Ampul 0 0 0 0 0 3,823.00
8 Aminofilin tab 200 mg Tablet 60 100 160 19 141 90.00
9 Amitriptilin tab 25 mg Tablet 0 0 0 0 0 112.00
10 Amlodipin 5mg Tablet 60 0 60 10 50 187.00
11 Amoksisilin + As. Klavunalat 625 mg Tablet 0 0 0 0 0
12 Amoksisilin injeksi Vial 40 0 40 0 40 7,492.00
13 Amoksisilin kab 500 mg Tablet 240 500 740 694 46 272.00
14 Amoksisilin kap 250 mg Kapsul 0 0 0 0 0
15 Amoksisilin Sirup 125 mg Botol 0 0 0 0 0 2,445.00
16 Ampisilin injeksi 1 gram Vial 20 0 20 0 20 5,100.00
17 Antalgin injeksi Ampul 0 0 0 0 0 1,200.00
18 Antalgin tab 500 mg Tablet 0 0 0 0 0 149.00
19 Antasida Doen tab Tablet 0 700 700 542 158 75.00
20 Antasida sirup Botol 0 0 0 0 0 2,160.00
21 Anti Bacteri Doen salep kulit Tube 0 0 0 0 0 2,516.00
22 Anti Hemoroid suppo Suppo 0 0 0 0 0
23 Antifungi Kombinasi salep kulit Pot 0 0 0 0 0 1,904.39
24 Artemeter inj 80 mg Ktk 6 amp 0 0 0 0 0 22,000.00
NO NAMA OBAT SATUAN
25 Artesunate Inj ktk 8 amp 0 0 0 0 0
26 Asam Askorbat tab 50 mg tab Tablet 30 100 130 50 80 95.00
27 Asam Mefenamat kap 500 mg Kaplet 0 0 0 0 0 112.00
28 Asam traneksamat inj 250 mg Ampul 0 0 0 0 0 2,950.00
29 Asiklovir salep kulit Tube 1 0 1 1 0 2,997.00
30 Asiklovir tab 200 mg Tablet 60 0 60 12 48 237.00
31 Atropin Sulfas inj Ampul 0 0 0 0 0 1,230.00
32 Benzatin Benzyl Penisilin Inj 2,4jt UI Flacon 0 0 0 0 0 13,400.00
33 Besi II Sulfat Tablet + asam folat Tablet 13 0 13 0 13 42.00
34 Betahistin mesilat tab Tablet 0 0 0 0 0 923.00
35 Betamethason salep kulit Tube 3 0 3 0 3 1,520.00
36 Bisakodil tab Tablet 12 0 12 0 12 594.00
37 Deksametason inj Ampul 6 0 6 0 6 1,580.00
38 Deksametason tab 0,5 mg Tablet 190 400 590 455 135 86.00
39 Dekstromethorpan sirup Botol 0 0 0 0 0
40 Dekstromethorpan tab Tablet 0 0 0 0 0
41 Diazepam inj. 5mg/2ml Ampul 0 0 0 0 0 2,344.00
42 Diazepam tab 2 mg Tablet 8 20 28 24 4 37.00
43 Diazepam tab 5 mg Tablet 0 0 0 0 0
44 Difenhydramin HCl inj Ampul 7 0 7 0 7 1,050.00
45 Digoxin tab 0,25 mg Tablet 30 0 30 0 30 97.00
46 Dimenhydrinat tab Tablet 0 0 0 0 0 105.00
47 Doksisiklin 100 Tablet 0 0 0 0 0
48 Domperidon suspensi Botol 5 10 15 8 7 3,333.00
49 Domperidon tab 10 mg Tablet 0 0 0 0 0 167.00
50 Efedrin tab 25 mg Tablet 56 0 56 20 36 20.74
51 Efinefrin ( Adrenalin inj ) Ampul 0 0 0 0 0 8,100.00
52 Ekstrak Belladon tab 10 mg Tablet 0 0 0 0 0 38.00
53 Erytromicin kap 250 mg Kapsul 0 0 0 0 0
54 Erytromicin kap 500 mg Kapsul 70 0 70 63 7 930.00
NO NAMA OBAT SATUAN
55 Erytromicin sirup Botol 5 20 25 18 7 7,700.00
56 Etakridin Lakt. ( Rivanol ) Botol 0 0 0 0 0 2,550.00
57 Ethambutol tab 250 mg Tablet 0 0 0 0 0
58 Fenitoin Na. kap 100 mg Kapsul 0 0 0 0 0 133.00
59 Fenobarbital inj 50mg/ml Ampul 0 0 0 0 0 1,800.00
60 Fenobarbital tab30 mg Tablet 0 0 0 0 0
61 Fenol Gliserol Botol 0 0 0 0 0
62 Fitomenadion inj Ampul 0 0 0 0 0 3,417.00
63 Fitomenadion tab 10 mg Tablet 55 0 55 0 55 630.00
64 Furosemide tab 40 mg Tablet 22 0 22 5 17 85.00
65 Furosemide injeksi Ampul 0 0 0 0 0 1,829.00
66 Gameksan salep kulit Tube 0 0 0 0 0
67 Garam Oralit 200ml Sak 0 0 0 0 0 288.00
68 Gentamicin tetes mata 0,3 % Botol 0 0 0 0 0 3,194.00
69 Gentamicin injeksi Ampul 0 0 0 0 0
70 Gentamisin salep kulit Tube 2 0 2 0 2 1,972.00
71 Gentian Violet Botol 0 0 0 0 0 895.00
72 Glibenklamide tab 5 mg Tablet 0 0 0 0 0 56.00
73 Gliseril guaiakolat tab Tablet 0 0 0 0 0 28.00
74 Glukonas kalsikus Ampul 0 0 0 0 0 8,522.00
75 Glukose 40 % larutan infus Ampul 0 0 0 0 0
76 Glukose 10 % larutan infus Flabot 0 0 0 0 0 5,720.00
77 Glukose 5 % larutan infus Flabot 0 0 0 0 0 5,200.00
78 Griseofulvin tab 125 mg Tablet 0 0 0 0 0 219.00
79 Haloperidol tab 0,5 mg Tablet 0 0 0 0 0 59.00
80 Haloperidol tab 1,5 mg Tablet 0 0 0 0 0
81 Hidrokhlorotiazide (HCT) tab 25 mg Tablet 60 0 60 10 50 36.30
82 Hidrokortison salep kulit Tube 3 0 3 2 1 2,798.00
83 Hiosine-N- butilbromide tablet 10 mg Tablet 0 0 0 0 0 395.00
84 Ibuprofen tab 200 mg Tablet 0 300 300 100 200 110.00
NO NAMA OBAT SATUAN
85 Ibuprofen tab 400 mg Tablet 0 0 0 0 0 150.00
86 Isoniazide tab ( INH ) Tablet 0 0 0 0 0 65.00
87 Isosorbid Dinitrat Tablet 27 0 27 0 27 88.00
88 Kalium Diklofenak 25 mg Tablet 0 0 0 0 0
89 Kalium Diklofenak 50 mg Tablet 0 0 0 0 0 707.00
90 Kalsium Laktat tab 500 mg Tablet 210 0 210 35 175 70.00
91 Kaptopril tab 25 mg Tablet 40 100 140 67 73 84.00
92 Karbamazepin tab 200 mg Tablet 0 0 0 0 0 245.00
93 Ketokonazole 200 mg Tablet 0 0 0 0 0 300.00
94 Ketokonazole krim tube 0 0 0 0 0 4,700.00
95 Ketoprofen inj Ampul 0 0 0 0 0 2,542.00
96 Kinina Dihydroklorid inj Ampul 0 0 0 0 0
97 Kinina HCl. Tab Tablet 0 0 0 0 0
98 Klobazam tab Tablet 0 0 0 0 0 900.00
99 Klonidin tab Tablet 0 0 0 0 0 184.00
100 Klorafeniramin ( CTM ) tab Tablet 100 400 500 380 120 23.00
101 Kloramfenikol inj Vial 0 0 0 0 0 9,350.00
102 Kloramfenikol salep mata 1 % Tube 0 0 0 0 0 1,600.00
103 Kloramfenikol sirup Botol 0 0 0 0 0 3,680.00
104 Kloramfenikol tetes mata 0,5 % Tube 0 0 0 0 0 4,950.00
105 Kloramfenikol tetes telinga Kapsul 2 0 2 2 0 1,850.00
106 Kloramfenikol kap 250 mg Botol 0 0 0 0 0 240.00
107 Klorokuin tab 150 mg Tablet 0 0 0 0 0 107.00
108 Klorpromasin injeksi Ampul 0 0 0 0 0
109 Klorpromasin tab 25 mg Tablet 0 0 0 0 0 45.00
110 Kontrasepsi implant set 0 0 0 0 0
111 Kontrasepsi inj depo prog 3 bln vial 0 0 0 0 0
112 Kotrimoksazol suspensi Botol 4 20 24 18 6 2,350.00
113 Kotrimoksazol tab 120 mg Tablet 0 0 0 0 0
114 Kotrimoksazol tab 480 mg Tablet 0 0 0 0 0 152.00
NO NAMA OBAT SATUAN
115 Lidokain comp injeksi Ampul 15 0 15 0 15 1,363.00
116 Loperamid Tablet 0 0 0 0 0 89.00
117 Mebendazol tab100 mg Tablet 0 0 0 0 0
118 Metformin 500 Tablet 100 0 100 0 100 112.50
119 Methoklopramide injeksi Ampul 30 20 50 0 50 4,400.00
120 Methoklopramide sirup Botol 5 0 5 3 2 2,600.00
121 Methoklopramide tab10 mg Tablet 80 0 80 60 20 85.00
122 Metilergomet injeksi 0,2 mg Ampul 0 0 0 0 0 1,489.77
123 Metilergomet tab 0,125 mg Tablet 0 0 0 0 0 154.00
124 Metilprednisolon 4 Tablet 0 0 0 0 0 205.00
125 Metronidazol inf Ampul 0 0 0 0 0
126 Metronidazol tab 250 mg Tablet 0 0 0 0 0 110.00
127 Metronidazol tab 500 mg Tablet 140 0 140 85 55 160.00
128 MgSO4 20 % Vial 0 0 0 0 0 1,539.80
129 MgSO4 40 % Vial 0 0 0 0 0 2,434.90
130 Mineral mix Sak 0 0 0 0 0
131 Misoprostol Tablet 0 0 0 0 0 13,526.00
132 Myconazol salep kulit Tube 2 0 2 0 2 3,000.00
133 Na tiroksin Tablet 0 0 0 0 0 217.58
134 Na. Bic. Tab 500 mg Tablet 0 0 0 0 0
135 Na. Cl. Infus Flabot 0 0 0 0 0 4,700.00
136 Natrium Dikofenak 50 Tablet 190 0 190 150 40 200.00
137 Natrium Tiosulfas inj Ampul 0 0 0 0 0
138 Nifedipin Tablet 0 0 0 0 0 112.00
139 O A T Anak Paket 0 0 0 0 0
140 O A T - FDC anak Paket 0 0 0 0 0 214,990.00
141 O A T - FDC kat 1 & 3 Paket 0 0 0 0 0 359,900.00
142 O A T - FDC kat 2 Paket 0 0 0 0 0 1,199,990.00
143 O A T - FDC sisipan Paket 0 0 0 0 0
144 O A T Katagori - 1 Paket 0 0 0 0 0 288,199.00
NO NAMA OBAT SATUAN
145 O A T Katagori - 2 Paket 0 0 0 0 0
146 O A T Katagori - 3 Paket 0 0 0 0 0
147 O A T Sisipan Paket 0 0 0 0 0
148 Obat Batuk Hitam sirup Botol 16 0 16 8 8 2,200.00
149 Oksitetrasiklin salep kulit 3 % Tube 6 0 6 5 1 1,910.00
150 Oksitetrasiklin salep mata Tube 3 0 3 0 3 1,600.00
151 Oksitetrasiklin 50mg/ml inj Flacon 0 0 0 0 0
152 Oksitocin 10mg/ml inj Ampul 10 0 10 0 10 2,750.00
153 Omeprazol kaps Kapsul 152 0 152 37 115 211.00
154 Papaverin inj Ampul 0 0 0 0 0 1,150.00
155 Papaverin tab 40 mg Tablet 165 0 165 0 165 115.00
156 Parasetamol sirup Botol 0 0 0 0 0 1,438.00
158 Parasetamol tab 500 mg Tablet 50 1,200 1,250 1,104 146 89.00
159 Perhidrol 2 % Botol 0 0 0 0 0
160 Piracetam 400 Kapsul 0 0 0 0 0 194.00
161 Pirazinamid tab 500 mg Tablet 0 0 0 0 0
162 Piridoksin tab 10 mg Tablet 150 200 350 150 200 20.00
163 Piroksikam tab 10 mg Kapsul 0 0 0 0 0 79.00
164 Piroksikam tab 20 mg Kapsul 0 0 0 0 0
165 Polykrusulen ( Albothyl ) Botol 0 0 0 0 0 17,393.00
166 Povidon Iodium 10% 30 ml Botol 0 0 0 0 0 2,900.00
167 Povidon Iodium 10% 300 ml Botol 0 0 0 0 0 18,000.00
168 Prednison tab 5 mg Tablet 125 100 225 153 72 88.00
169 Primakuin tab 15 mg Tablet 0 0 0 0 0 114.00
170 Proc. Pen. 3 juta inj Vial 0 0 0 0 0
171 Prokain Benzil Penisilin Vial 0 0 0 0 0 7,190.00
172 Propanolol tab 40 mg Tablet 0 0 0 0 0
173 Propylthioracil ( PTU ) tab 100 mg Tablet 0 0 0 0 0 319.00
174 Pyrantel tab 125 mg Tablet 0 0 0 0 0 298.00
NO NAMA OBAT SATUAN
175 Ranitidine 150 mg Tablet 300 0 300 109 191 120.00
176 Ranitidine inj ampul 43 0 43 5 38 1,140.00
177 Reserpin tab 0,25 mg Tablet 0 0 0 0 0
178 Retinol 100.000 iu Kab Btl @50 0 0 0 0 0 13,000.00
179 Retinol 200.000 iu Kab Btl @50 0 0 0 0 0 22,950.00
180 Rifampisin kap 300 mg Kapsul 0 0 0 0 0
181 Ringer Laktat Infus Flabot 680 0 680 183 497 5,200.00
182 Salbutamol tab 2 mg Tablet 70 0 70 60 10 59.00
183 Salep 2 - 4 kombinasi Pot 0 0 0 0 0 2,000.00
184 Salysil bedak 2 % Botol 4 0 4 1 3 1,250.00
185 Sefadroksil 500 cps Kapsul 100 100 200 0 200 509.00
186 Sefotaxim 1g inj Vial 0 0 0 0 0
187 Seftriaxon inj Vial 0 0 0 0 0 3,300.00
188 Serum ABU 5 ml inj. Flacon 0 0 0 0 0 497,400.00
189 Serum ATS 1.500 iu inj Ampul 0 0 0 0 0 135,000.00
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 8 0 8 0 8 1,077.00
191 Sianokobalamin tab ( Vit. B12 ) tab Tablet 260 100 360 126 234 15.00
192 Simetidin tab Tablet 0 0 0 0 0 129.00
193 Simvastatin 10 Tablet 0 0 0 0 0 180.00
194 Siprofloxacin tab 500 mg Tablet 0 0 0 0 0 255.00
195 Streptomicin 1.500 mg inj Vial 0 0 0 1 -1
196 Sulfacetamid tetes mata Botol 1 0 1 0 1 3,790.00
197 Sulfadimidin 500 mg tab Tablet 0 0 0 0 0
198 Sulfadoksin + Piritamin tab Tablet 0 0 0 0 0
199 Tetracyklin kap 250 mg Kapsul 0 0 0 0 0
200 Tetracyklin kap 500 mg Kapsul 0 0 0 0 0 300.00
201 Thiamin HCl / B1 tab 100 mg Tablet 0 0 0 0 0
202 Tiamfenikol kap 500 mg Kapsul 120 100 220 245 -25 504.00
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul 0 0 0 0 0 680.00
204 Tiamin HCl / B1 Tab 50 mg Tablet 205 0 205 179 26 38.00
NO NAMA OBAT SATUAN
205 Triheksifenidil tab 2 mg Tablet 0 0 0 0 0 37.79
206 Vitamin B Komplek tab Tablet 105 0 105 32 73 40.00
207 Zink Tablet 0 0 0 0 0 473.00
JUMLAH
B Obat Non Generik
1 Antasida + Simetikon Tablet 0 100 100 58 42 360.00
2 Antasida + simetikon sirup Botol 0 15 15 6 9 29,380.00
3 Anti Diare kombinasi ( Dewasa ) Tablet 35 100 135 105 30 190.00
4 Anti Diare kombinasi sirup ( Anak ) Botol 4 6 10 7 3 7,733.00
5 Anti hemorhoid kapsul Kapsul 18 0 18 6 12 1,550.00
6 Anti radang topikal mengandung Tube 0 0 0 0 0 11,000.00
7 Anti spasmodik inj / spasi inj Ampul 0 0 0 0 0 4,500.00
8 Asam Askorbat tab 500 + Vitamin Tablet 0 100 100 36 64 1,540.00
9 Asering infus Flabot 0 0 0 0 0 9,000.00
10 Asifit Kapsul 0 0 0 0 0
11 Batugin eliksir Botol 0 0 0 0 0 15,176.70
12 Betamethason + Antibiotik salep kulit Tube 0 0 0 0 0 9,200.00
13 Bioprost Kapsul 0 0 0 0 0 2,658.33
14 D 1/2NS Flabot 0 0 0 0 0 7,700.00
15 Diazepam rectal Tube 10 0 10 0 10 23,760.00
16 Flunarizin 5 mg Tablet 0 0 0 0 0 594.00
17 Mecobalamin 500 Kapsul 0 0 0 0 0 799.99
18 Minyak kayu putih Botol 0 0 0 0 0 13,700.00
19 Minyak telon Botol 0 0 0 0 0 15,100.00
20 Multivitamin sirup ( Anak ) Botol 7 0 7 0 7 6,050.00
21 Multivitamin tab ( Dewasa ) Tablet 0 100 100 118 -18 605.00
22 Neprolit Kapsul 0 0 0 0 0 643.50
23 Salep Luka Bakar Tube 0 1 1 1 0 12,265.00
24 Simetidin inj Ampul 0 0 0 0 0
25 Tablet Tambah Darah + Vitamin Tablet 8 0 8 0 8 720.00
NO NAMA OBAT SATUAN
26 Tensigard Kapsul 90 0 90 0 90 2,173.31
27 Vitamin neurotropik inj Ampul 20 0 20 0 20 5,500.00
28 Xylomidon inj Vial 0 0 0 0 0 4,158.00
JUMLAH
C Obat Gigi
1 Air raksa dental use Botol 0 0 0 0 0 302,500.00
2 Bahan bonding botol 0 0 0 0 0
3 Bahan Etsa botol 0 0 0 0 0
4 Devitalisasi Pasta Botol 0 0 0 0 0 583,000.00
5 Etil Klorida semprot Botol 0 0 0 0 0 115,500.00
6 Eugenol sol Pot 0 0 0 0 0
7 Flour tablet Tablet 0 0 0 0 0
8 Glass Ionomer Cement Pot 0 0 0 0 0 467,500.00
9 Kalsium hydroksi pasta dos 0 0 0 0 0 242,000.00
10 Monokror Kamfer Menthol ( CHKM ) Pot 0 0 0 0 0 71,999.40
11 Mumiying Pasta Biji 0 0 0 0 0 231,000.00
12 Semen Seng Fosfat p+liq Botol 0 0 0 0 0 121,749.10
13 Silver Amalgam Botol 0 0 0 0 0 522,000.00
14 Solare Tube 0 0 0 0 0 313,500.00
15 Spons Gelatin Cubices Dos 0 0 0 0 0 308,200.00
16 Temp+Stopp Fletc p+liq Set 0 0 0 0 0 41,999.10
17 Trikresol Formalin ( TKF ) Botol 0 0 0 0 0 83,999.30
18 Yodium Gliserin Cc 0 0 0 0 0
JUMLAH
D Alkes Pakai Habis
1 ADS 0,05 ml Biji 0 0 0 0 0 3,058.00
2 ADS 0,5 ml Biji 0 0 0 0 0 3,058.00
3 ADS 5 ml Biji 0 0 0 0 0 3,740.00
4 Alat suntik 1 ml Biji 0 0 0 0 0 650.00
5 Alat suntik 2,5 ml / 3ml Biji 30 100 130 38 92 650.00
NO NAMA OBAT SATUAN
6 Alat Suntik 5 ml Biji 10 0 10 0 10 750.00
7 Antiseptik/Bayclin Botol 0 0 0 0 0 6,999.30
8 Aqua Pro injeksi Flacon 8 0 8 2 6 5,500.00
9 Aquadest steril 500ml Botol 0 0 0 0 0
10 Cat Gut Biji 0 0 0 0 0 5,583.33
11 Etanol 70 % Botol 0 1 1 0 1 21,500.00
12 Hand Scoen Biji 0 70 70 135 -65 325.00
13 Infus Set anak Biji 88 0 88 5 83 3,500.00
14 Infus Set dewasa Biji 41 0 41 47 -6 3,200.00
15 IV Cateter No. 18 Biji 0 0 0 0 0 3,800.00
16 IV Cateter No. 20 ( Dewasa ) Biji 0 0 0 0 0 3,800.00
17 IV Cateter No. 22 ( Dewasa ) Biji 9 50 59 42 17 3,800.00
18 IV Cateter No. 24 ( Anak ) Biji 48 50 98 11 87 3,800.00
19 Jarum Bengkok / Jahit Biji 6 0 6 0 6 2,291.67
20 Jarum Suntik Biji 0 0 0 0 0 780.00
21 Kapas Adsorben 250 gr Roll 0 0 0 0 0 24,000.00
22 Kasa panjang 40 cmx80 yard Roll 0 0 0 0 0 105,000.00
23 Kasa Pemb 4 m x 10 cm Roll 0 0 0 0 0
24 Kasa Pemb Hydro 4 m x 15 cm Roll 0 25 25 0 25 2,100.00
25 Kasa Pemb Hydro 4 x 80 cm Biji 0 0 0 0 0
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 0 4 4 0 4 7,900.00
27 Kasa steril mengand:Framasetin 10% Biji 0 1 1 0 1 15,000.00
28 Kasa uk 36 m x 80 cm Roll 0 0 0 0 0
29 Kertas Puyer Pak 0 0 0 0 0
30 Lisol Botol 0 0 0 0 0 6,000.00
31 Masker Biji 25 0 25 27 -2 330.00
32 Masker N 95 Biji 0 0 0 0 0 300,000.00
33 Mess Biji 0 0 0 0 0 1,500.00
34 Penjernih Air Cepat ( PAC ) Set 0 0 0 0 0
35 Plastik obat pak 0 0 0 0 0
NO NAMA OBAT SATUAN
36 Plester 5 yardx2inch Roll 0 4 4 0 4 24,865.50
37 Poly Cateter No. 14 Biji 0 0 0 0 0 8,000.00
40 Selang oksigen anak Biji 0 0 0 0 0 6,999.30
41 Selang Oksigen dws Biji 0 5 5 0 5 6,999.30
42 Silk Biji 2 0 2 0 2 3,055.55
43 Tranfusi set Biji 0 0 0 0 0
44 Urine Bag Biji 10 0 10 0 10 3,000.00
45 Wing Needle No 23 Biji 0 0 0 0 0
46 Wing Needle No 25 Biji 0 0 0 0 0
47 Pot dahak Biji 0 0 0 0 0
JUMLAH
1 Alkohol swab 100pcs/box 0 0 0 0 0
2 Amphetamin dos 50 test dus 50 0 0 0 0 0
3 Asam urat Kit 4 x 30 ml 0 0 0 0 0
4 Benzodiazepin dos 50 test dus 50 0 0 0 0 0
5 Blue tips set @100 0 0 0 0 0
6 BOD Nutrient Mixture Botol 0 0 0 0 0
7 BOD Standart Botol 0 0 0 0 0
8 Briliant green 2% Bile Broth (BGLB) Btl dlm dus 0 0 0 0 0
9 Cannabinoides dos 50 test dus 50 0 0 0 0 0
10 Cell clean Btl 50 ml 0 0 0 0 0
11 Cellpack (PK-30 ) box 20 lt 0 0 0 0 0
12 Cholinesterase botol 0 0 0 0 0
13 Cocain dos 50 test dus 50 0 0 0 0 0
14 COD cell test Botol 0 0 0 0 0
15 COD sol A Refil Botol 0 0 0 0 0
16 Combur test kit 100test Kit 100 test 0 0 0 0 0
NO NAMA OBAT SATUAN
17 Deck glass box 100 biji 0 0 0 0 0
18 EDTA 10 % btl 250 ml 0 0 0 0 0
19 Eight check ( L,N,H ) serial 3x1.5ml 0 0 0 0 0
Botol 5 x 100
20 Glukosa 0 0 0 0 0
ml
21 HbsAg test Dus 50 pcs 0 0 0 0 0
22 Iodida Test Botol 0 0 0 0 0
23 Kertas ECG lembar 0 0 0 0 0
Botol 5 x 100
24 Kolesterol 0 0 0 0 0
ml
Botol 2 x 125
25 Kreatinin 0 0 0 0 0
ml
26 Lactosa Broth Botol 0 0 0 0 0
27 Larutan Asam Klorida 1 % Botol 0 0 0 0 0 19,800.00
28 Larutan Asam Sulfosalisilat Botol 0 0 0 0 0
29 Larutan Benedick Botol 0 0 0 0 0
30 Larutan Eosin Botol 0 0 0 0 0
31 Larutan Etanol Asam Botol 0 0 0 0 0
32 Larutan Gabbet Botol 0 0 0 0 0
33 Larutan Giemsa Botol 0 0 0 0 0
34 Larutan Hayem Botol 0 0 0 0 0
35 Larutan Karbol Fuksin Botol 0 0 0 0 0
36 Larutan Kinyoun Botol 0 0 0 0 0
37 Larutan Metanol Botol 0 0 0 0 0
38 Larutan Metilen Biru Botol 0 0 0 0 0
39 Larutan Turk Botol 0 0 0 0 0
40 Larutan Drabkin Botol 500 ml 0 0 0 0 0
41 Larutan Rees Ecker Botol 100 ml 0 0 0 0 0
42 LDL kit 0 0 0 0 0
43 Minyak emersi botol 0 0 0 0 0
44 Morphines dos 50 test dus 50 0 0 0 0 0
45 Needle boorner dus 100 0 0 0 0 0
46 Obyek glass set 0 0 0 0 0 20,000.00
NO NAMA OBAT SATUAN
47 Oksigen m3 0 0 0 0 0 35,000.00
48 Poch-D box 5 lt 0 0 0 0 0
49 Poch-L box 500ml 0 0 0 0 0
50 Reagen A/B ( GOLDA ) Set 0 0 0 0 0 520,000.00
51 Reagen amonium Botol 0 0 0 0 0
52 Reagen Cu Btl dlm dus 0 0 0 0 0
53 Reagen Fe ( Iron ) Btl dlm dus 0 0 0 0 0
54 Reagen Mn Btl dlm dus 0 0 0 0 0
55 Reagen Nitrat Btl dlm dus 0 0 0 0 0
56 Reagen Nitrit Btl dlm dus 0 0 0 0 0
57 Reagen Phospat Botol 0 0 0 0 0
58 Reagen Zn Botol 0 0 0 0 0
59 Reagen Cyanmet kit/500ml Kit 500ml 0 0 0 0 0
60 Serum Widal AO Vial 5 ml 0 0 0 0 0
61 Serum Widal H Vial 5 ml 0 0 0 0 0
62 Serum Widal O Vial 5 ml 0 0 0 0 0
63 Serum widal S thypi H parathyphi AH vial 5 ml 0 0 0 0 0
Botol 2 x 62,5
64 SGOT 0 0 0 0 0
ml
Botol 2 x 62,5
65 SGPT 0 0 0 0 0
ml
66 Stromatolyser-WH Btl 500 ml 0 0 0 0 0
67 Tabung EDTA 3 ml dus 100 0 0 0 0 0 187,000.00
68 Tabung EDTA 5 ml dus 100 0 0 0 0 0
69 Test Gula Darah Biji 0 0 0 0 0
70 Test hematokrit/asisten Tube 100 biji 0 0 0 0 0
71 Thermal roll paper roll 0 0 0 0 0
72 Tissue lensa biji 0 0 0 0 0
Botol 6 x 50
73 Trigliserida 0 0 0 0 0
ml
74 Ultrasonic gel set 0 0 0 0 0
75 Ureum Kit 2 x 100 ml 0 0 0 0 0
76 Urine Test Biji 0 0 0 0 0 3,575.00
NO NAMA OBAT SATUAN
77 Vacum tainer dus 100 0 0 0 0 0
78 Yellow tips set @1000 0 0 0 0 0
JUMLAH
F Obat Tambahan
JUMLAH TOTAL
JKN
Jumlah Kunjungan Resep Bayar Gratis Saraswati Jumlah
( Askes & JPS )
Rawat Inap
UGD
Sragen,
Mengetahui
Kepala UPTD Pusk. Sambungmacan I Petugas Farmasi Puskesmas Petugas UGD
dr. N.A. Oka Manuaba, M.Kes Dwi Retno D. W ………………………………..

NIP. 19731222 200312 1 003 NIP.19670815 199303 2 010
DAN LEMBAR PERMINTAAN OBAT ( UGD )
PUSKESMAS
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
1,548.00
16,485.00
0.00
0.00
12,690.00
0.00
9,350.00
0.00
299,680.00
12,512.00
0.00
0.00
102,000.00
0.00
0.00
11,850.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
7,600.00
0.00
0.00
0.00
11,376.00
0.00
0.00
546.00
0.00
4,560.00
7,128.00
9,480.00
11,610.00
0.00
0.00
0.00
148.00
0.00
7,350.00
2,910.00
0.00
0.00
23,331.00
0.00
746.64
0.00
0.00
0.00
6,510.00
Jumlah
KET
Harga(Rp)
53,900.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
34,650.00
1,445.00
0.00
0.00
0.00
0.00
0.00
3,944.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,815.00
2,798.00
0.00
22,000.00
Jumlah
KET
Harga(Rp)
0.00
0.00
2,376.00
0.00
0.00
12,250.00
6,132.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,760.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
14,100.00
0.00
0.00
Jumlah
KET
Harga(Rp)
20,445.00
0.00
0.00
11,250.00
220,000.00
5,200.00
1,700.00
0.00
0.00
0.00
0.00
0.00
8,800.00
0.00
0.00
0.00
0.00
6,000.00
0.00
0.00
0.00
8,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
17,600.00
1,910.00
4,800.00
0.00
27,500.00
24,265.00
0.00
18,975.00
0.00
0.00
12,994.00
0.00
0.00
0.00
4,000.00
0.00
0.00
0.00
0.00
0.00
6,336.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
22,920.00
43,320.00
0.00
0.00
0.00
0.00
2,584,400.00
590.00
0.00
3,750.00
101,800.00
0.00
0.00
0.00
0.00
8,616.00
3,510.00
0.00
0.00
0.00
0.00
3,790.00
0.00
0.00
0.00
0.00
0.00
-12,600.00
0.00
988.00
Jumlah
KET
Harga(Rp)
0.00
2,920.00
0.00
3,881,359.64
15,120.00
264,420.00
5,700.00
23,199.00
18,600.00
0.00
0.00
98,560.00
0.00
0.00
0.00
0.00
0.00
0.00
237,600.00
0.00
0.00
0.00
0.00
42,350.00
-10,890.00
0.00
0.00
0.00
5,760.00
Jumlah
KET
Harga(Rp)
195,597.90
110,000.00
0.00
1,006,016.90
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
59,800.00
Jumlah
KET
Harga(Rp)
7,500.00
0.00
33,000.00
0.00
0.00
21,500.00
-21,125.00
290,500.00
-19,200.00
0.00
0.00
64,600.00
330,600.00
13,750.02
0.00
0.00
0.00
0.00
52,500.00
0.00
31,600.00
15,000.00
0.00
0.00
0.00
-660.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
99,462.00
0.00
0.00
24,000.00
0.00
34,996.50
6,111.10
0.00
30,000.00
0.00
0.00
0.00
1,073,934.62
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
5,961,311.16
………………………………..

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PUSKESMAS : SAMBUNGMACAN 1

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7

B Obat Non Generik

E Laboratorium Dan Reagen

NO NAMA OBAT SAT 1 2 3 4 5 6 7