Laporan Stok Opn

NO NAMA OBAT SATUAN UGD Apotek Gudang Jumlah
1 2 3 4 5 6 7
I OBAT SESUAI FORMULARIUM NASIONAL (FORNAS)
1 Air untuk injeksi Botol 13 72 85 108
2 Albendazol 400mg Tablet - 0
3 Albendazol susp 200 mg/5ml Botol - 0
4 Alopurinol tablet 100 mg Tablet 203 175 1,500 1,878 2239
5 Alupurinol Tab 300mg Tablet 100 100 200 200
6 Aminofilin injeksi 24 mg/ml Amp 29 30 59 60
7 Aminofilin tablet 200 mg Tablet 63 100 163 200
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 1,500 1,500 1575
9 Amlodipin tablet 10 mg Tablet 178 433 4,800 5,411 7413
10 Amlodipin tablet 5 mg Tablet 415 3,900 4,315 5000
11 Amoksisilin 250 mg Tablet - 0
12 Amoksisilin sir forte 250mg Botol - 0
13 Amoksisilin sir 125mg/5 ml Botol 8 11 70 89 113
14 Amoksisilin Tablet 500 mg Tablet 145 290 4,200 4,635 5656
15 Ampisilin serb inj 1000 mg/vial Vial - 0
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 256 459 1,900 2,615 3409
17 Antasida DOEN II Suspensi Kombinasi Botol 10 14 170 194 222
18 Antifungi DOEN Kombinasi Tube 19 34 36 89 89
19 Antihemoroid Kombinasi sup Sup 52 52 212
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoks Tablet - 0
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 51 30 300 381 556
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 65 115 400 580 860
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 201 383 5,200 5,784 6364
24 Asam Folat 1 mg Tablet 42 40 - 82 620
25 Asam Mefenamat tablet 500 mg Tablet 289 516 4,500 5,305 5693
26 Asiklovir Tablet 200 mg Tablet 99 200 500 799 993
27 Asiklovir Tablet 400 mg Tablet 47 182 400 629 785
28 Atapulgit Tablet Tablet 142 232 1,100 1,474 1490
29 Atenolol 50 mg Tablet - 0
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp 7 7 7
31 Atropin Sulfat Tablet 0,5 mg Tab Tablet - 0
32 Bedak Salisil serbuk 2% Bks 4 9 51 64 72
33 Betametason Krim 0,05 % Tube 6 23 120 149 205
34 Bisakodil sup 5 mg Botol - 0
35 Bisaprolol 5mg Tablet 162 85 247 247
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 12 23 50 85 109
37 Deksametason Tablet 0,5 mg Tablet 213 542 1,000 1,755 2295
38 Devitalisasi Pasta (Non Arsen) Botol - 0
39 Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp 30 30 50
40 Diazepam rektal 10mg/2 ,5ml Amp 18 18 18
41 Diazepam rektal 5mg/2 ml Amp 4 4 4
42 Diazepam Tablet 2 mg Tablet 700 700 808
43 Diazepam Tablet 5 mg Tablet 50 500 550 600
44 Dietilkarbamazin tab 100mg Tablet - 0
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 21 - 21 66
46 Digoksin Tablet 0,25 mg tablet 90 275 400 765 765
47 Diltiazem hcl tab 30mg Tablet - 0
48 Doksisiklin Kapsul 100 mg Tablet 98 170 700 968 970
49 Domperidon 10 mg Tablet Tablet 8 177 - 185 644
50 Domperidon 5mg/5ml Sirup Botol 4 13 60 77 80
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp 6 6 6
52 Ergotamin tab 1mg Tablet - 0
53 Eritromisin kapsul 250 mg Tablet - 0
54 Eritromisin Kapsul 500 mg Tablet 85 100 300 485 500
55 Eritromisin Sirup 200 mg / 5 ml Botol 5 5 40 50 50
56 Etanol cairan 70 % Botol 18 18 18
57 Etil Klorida Semprot 100 ml Botol - 0
58 Eugenol cairan Botol - 0
59 Fenitoin Na kaps Tablet - 0
60 Fenobarbital tablet 30 mg Tablet 253 1,200 1,453 1495
61 Fenoksimetil penisilin ( Penisilin V ) 250mg Tablet - 0
62 Fenoksimetil penisilin ( Penisilin V ) 500mg Tablet - 0
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 17 90 107 126
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 86 125 100 311 333
65 Flufenazin inj 25 mg/ml (i.m) Amp - 0
66 Fluor kaps 1 mg Kapsul - 0
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp - 20
68 Furosemid Tablet 40 mg Tablet 180 173 300 653 706
69 Garam Oralit I Serbuk Kombinasi Bks 13 43 50 106 152
70 Glass Ionomer Cement Art Lar. Botol - 0
71 Glibenklamida Tablet 5 mg Tablet 318 330 300 948 948
72 Glimepirid 2 mg Tablet 214 395 1,300 1,909 2435
73 Griseofulvin Tablet 125 mg Tablet 100 180 200 480 490
74 Griseril trinitrat tab sublingual 0,5 mg Tablet - 0
75 Haloperidol Tablet 0,5 mg Tablet - 0
76 Haloperidol Tablet 1,5 mg Tablet 500 500 500
77 Hidroklorotiazida Tablet 25 mg Tablet 102 270 400 772 943
78 Hidrokortison Krim 2,5 % Tube 19 48 67 106
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet 167 440 200 807 846
80 Ibuprofen Sirup 100 mg/5 ml Botol 11 10 80 101 101
81 Ibuprofen Tablet 200 mg Amp 171 267 500 938 1399
82 Ibuprofen Tablet 400 mg Tablet 6 102 - 108 775
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 178 229 600 1,007 1007
84 Kalsium glukonat inj 10% Botol 3 3 3
85 Kalsium Hidroksida bubuk,Pasta Botol - 0
86 Kaptopril Tablet 12,5 mg Tablet 298 415 1,300 2,013 2062
87 Kaptopril Tablet 25 mg Tablet 154 244 1,400 1,798 1811
88 Karbamazepin tab 100 mg Tablet - 0
89 karbo Gliserin tetestelinga 10 % Botol - 0
90 Ketokonazol tab 200 mg Tablet 89 155 500 744 889
91 Klindamisin 300 mg Tablet 60 400 460 460
92 Klindamisin kap 150mg Tablet - 0
93 Kloramfenikol kapsul 250 mg Tablet 68 150 500 718 718
94 Kloramfenikol Salep Mata 1 % Tube 3 13 79 95 95
95 Kloramfenikol susp 125mg/5ml Botol - 0
96 Kloramfenikol Tablet 500mg Tablet - 0
97 Kloramfenikol Tetes Mata 1 % Botol - 0
98 Kloramfenikol tetes telinga 1% Botol - 0
99 Klorfeniramin Tablet 4 mg Tablet - - 0
100 Klorfenol Kamfer Menthol (CHKM) Botol - 0
101 Klorpromazin Tablet Salut 100 mg (HCl) Tablet - 0
102 Klorpromazin Tablet Salut 25 mg (HCl) Tablet - 0
103 Kodein tablet 10 mg Tablet 550 550 663
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 Tablet 263 210 300 773 832
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 7 10 45 62 65
106 Kuinin Tab Tablet - 0
107 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp - 0
108 Loratadin 10 mg tablet Tablet 117 440 2,600 3,157 3765
109 Magnesium Sulfat Injeksi 20% Botol -
110 Magnesium Sulfat Injeksi 40% Botol 6 6 6
111 Mebendazol sir 50mg/ml Botol - 0
112 Mebendazol tab 100 mg Tablet - 0
113 Mebendazol tab 500 mg Tablet - 0
114 Metformin 500 mg Kapsul 178 325 17,600 18,103 18226
115 Metformin 850 mg Kapsul 108 275 1,400 1,783 1783
116 Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp - 0
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 198 180 2,200 2,578 2578
118 Metilprednisolon tab 4 mg Tablet - 0
119 Metoklopramid Tablet 10 mg Tablet 175 160 1,000 1,335 1378
120 Metrodinazol lar inf 5mg/ml Botol - 0
121 Metrodinazol sir 125mg/ml Botol - 0
122 Metronidazol Tablet 250 mg Tablet - 0
123 Metronidazol tablet 500 mg Tablet 150 215 1,000 1,365 1400
124 Mikonazol Krim 2% (Nitrat) Tube 16 23 144 183 194
125 Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet - 0
126 Natrium Diklofenak Tablet 25 mg Tablet 353 281 4,250 4,884 4884
127 Natrium Diklofenak Tablet 50 mg Tablet 177 605 400 1,182 1280
128 Natrium tiosulfat inj 25% (i.v) Amp - 0
129 Nifedipin Tablet 10 mg Tablet 110 60 400 570 818
130 Nistatin Suspensi 100.000UI/ml Botol - 0
131 Nistatin Vagina 500.000 Tablet Tablet 48 24 100 172 172
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet 23 100 123 152
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp - 218
134 Omeprazol tablet 20 mg Tablet 153 410 3,600 4,163 4163
135 Parasetamol Sirup 120 mg / 5 ml Botol - - 63
136 Parasetamol Tablet 500 mg Tablet 335 379 1,500 2,214 5218
137 Parasetamol drops 100 mg / 1 ml Botol - 0
138 Perak sulfadiazin krim1% Tube - 5
139 Pirantel pamoat sus 125mg/5ml Botol - 0
140 Pirantel pamoat tab 125 mg Tablet 48 2,100 2,148 2148
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 259 332 2,600 3,191 3845
142 Povidon Iodida 100 mg/ml 30 ml Botol 5 13 18 24
143 Povidon Iodida 100 mg/ml 300 ml Botol 18 18 22
144 Prednison Tablet 5 mg Tablet 123 326 200 649 1628
145 Primakuin Tablet 15 mg Tablet - 0
146 Probenesid tab 500mg Tablet - 0
147 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial - 200
148 Propanolol Tablet 10 mg (HCl) Tablet 64 85 1,000 1,149 1149
149 Propilitiourasil Tablet 100 mg Tablet 50 159 400 609 609
150 Ranitidin Tablet 150 mg Tablet 214 170 900 1,284 1585
151 Risperidon 2 mg Tablet - 0
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 175 350 1,700 2,225 2225
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet 175 145 1,500 1,820 1900
154 Salep 2 - 4 Kombinasi Tube 8 30 24 62 62
155 Sefadroksil Kapsul 500 mg Tablet 90 190 600 880 888
156 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial - 0
157 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Vial - 12
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 108 12 - 120 132
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 175 230 900 1,305 1305
160 Simvastatin Tablet 10 mg Tablet 80 420 700 1,200 1285
161 Simvastatin Tablet 20 mg Tablet 202 205 250 657 657
162 Siprofloksasin Tablet scored 500 mg Tablet 254 195 4,000 4,449 4449
163 Spironolakton 25 mg tablet Tablet 67 135 700 902 938
164 Tetrakain HCl Tetes Mata 0,5 % Botol - 0
165 Tetrasiklin Kapsul 500 mg Tablet - 0
166 Tetrasiksin 250 mg Tablet - 0
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 315 1,000 1,315 2324
168 Valproat sir 250 mg/ml Botol - 0
169 Valproat tab sal 250mg Tablet - 0
170 Valproat tab sal 500 mg Tablet - 0
171 Verapamil 80mg Tablet - 0
172 Vitamin B Kompleks Tablet Tablet 409 349 9,900 10,658 10658
173 Zink sir 10 mg/ml Botol 8 13 65 86 86
174 Zink tablet dispersi 20 mg Tablet 103 171 600 874 874
II OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS) -
1 Ambroxol Sirup 15 mg/ml Botol - 7
2 Ambroxol Tablet 30 mg Tablet - 141
3 Antalgin Injeksi 250 mg Amp - 0
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 16 9 75 100 100
5 Asam asetil salisilat (asetosal) tablet500 mg Tablet - 0
6 Asetosal Tablet 100mg Tablet - 0
7 Asiklovir Krim 5% Tube 26 24 25 75 83
8 Counterpain 15 mg Tube - 0
9 Duvadilan Tablet - 0
10 Efedrin Tablet 25mg ( HCL ) Tablet - 0
11 Ekstraks Belladona Tablet 10 mg Tablet - 0
12 Etakridin Larutan 0,1 Botol 44 44 46
13 Famotidine Tablet 40 mg Tablet - 0
14 Fenobarbital inj Tablet 27 27 27
15 Fenol Gliserol Tetes Telinga 10 % Botol 18 13 24 55 55
16 Gentamisin Injeksi 40 mg/ml Amp 17 20 37 37
17 Gentamisin Salep Kulit 0,1 % Botol 11 11 48
18 Gliseril Guaiakolat Tablet 100 mg Tablet 320 463 800 1,583 2668
19 Glukosa Larutan Infus 10 % Steril Botol 9 9 9
20 Glukosa Larutan Infus 5 % Steril Botol 19 40 59 59
21 Imersi Oil Botol - 0
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 142 513 1,000 1,655 4497
23 Ketorolac inj 30mg/ml Amp - 0
24 Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet - 0
25 Larutan Asam Asetat Botol - 0
26 Larutan Asam Klorida 0,1 N Botol - 0
27 Larutan Benedict Botol - 0
28 Larutan Eosin 2% Botol - 0
29 Larutan Faucet Botol - 0
30 Larutan Giemsa Stalin Botol - 0
31 Larutan Natrium Sitrat 3,8% Botol - 0
32 Larutan Resserccer Botol - 0
33 Larutan Turk Botol - 0
34 Lisol Botol - 0
35 Natrium Klorida Larutan Infus 0,9% Botol 3 - 3 80
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol - 8
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp - 0
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 1 12 45 58 58
39 Oksitetrasiklin Salep Kulit 3 % Tube - 0
40 Parasetamol 100 mg Tablet - 0
41 Pehacain inj Amp - 0
42 Piracetam Injeksi 1 g / 5 mL Amp - 0
43 Piroxicam 20mg Tablet 129 160 1,900 2,189 2189
44 Propanolol tablet 40 mg Tablet - 1000
45 Ranitidin Injeksi 25 mg / 2 ml Amp 5 - 5 214
46 Reagen Golongan Darah Botol - 0
47 Reagen TB Botol - 0
48 Ringer Laktat Larutan Infus Steril Botol 16 60 76 160
49 Semen Seng Fosfat Serbuk dan Cairan Botol - 0
50 Setirizin Sirup 5 mg/5ml Botol - 7 15 22 71
51 Setirizin Tablet 10mg Tablet - - 478
52 Simetidin Tablet 200 mg Tablet - 0
53 Sulfasetamida Natrium Tetes Mata 15 % Botol - 0
54 Tablet Tambah Darah Tablet - -
55 Temporary Stopping Fletcher Serbuk dan Cairan Botol - 0
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet 3 8 11 78
57 Trombophob Jeli 15 g Tube - 0
58 Ventolin Botol 8 20 28 82
III BAHAN MEDIS HABIS PAKAI (BMHP) Pcs -
1 Alat Suntik Sekali Pakai 1 ml Pcs 49 50 700 799 857
2 Alat Suntik Sekali Pakai 2,5 ml Pcs - 0
4 Alat Suntik Sekali Pakai 5 ml Pcs 55 50 2,100 2,205 2205
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs 4 38 42 42
6 Elastis Verban 4 inci Pcs - 0
7 Foley Catheter No. 16 Pcs 7 40 47 47
8 Foley Catheter No. 18 Pcs 4 10 14 21
9 Hanscoond no 6,5 Pcs - 0
10 Hanscoond no 7,5 Pcs - 0
11 HCG test Pcs - 0
12 Infusion Set Anak Pcs 190 190 190
13 Infusion Set Dewasa Pcs 25 260 285 487
14 IV Catheter No. 18. G Pcs 39 100 139 150
15 IV Catheter No. 20 G Pcs 24 24 124
16 IV Catheter No. 22 G Pcs 41 150 191 191
17 IV Catheter No. 24 G Pcs 18 240 258 258
18 Jarum Jahit Kulit Pcs - 0
19 Jarum Jahit Otot Pcs - 0
20 Kapas Pembalut / Absorben 250 gr Pcs 13 13 20
21 Kasa Pembalut 2 m x 80 cm Rol - 0
22 Kasa Hidrofil 4 m x 15 cm Rol 10 10 10
23 Kasa Hidrofil 4 m x 3 cm Rol - 0
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 5 40 45 104
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol 18 18 18
26 Kasa Kompres 40/40 Steril Rol - 0
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 30 30 35
28 Kasa Pembalut Hidrofil 4 m x 5 cm Rol - 0
29 Masker Rol - 0
30 Pembalut Gips 4 Inci Rol - 0
31 Plester 5 Yards x 2 inci Rol - 0
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 7 36 43 75
33 Urine Bag Pcs 9 10 19 32
34 Wing Needle No.27 G Pcs - 0
35 Handscoond 8 Pcs - 0
36 Handscoond 7 Pcs - 0
37 Plesterin Non Woven Pcs - 0
38 Kasa Hidrofil Uk. 40 m x 80 cm Pcs - 0
39 Poligyp 10 cm x 2,7 m Pcs - 0
40 Policrepe pembalut elastis 10 cm x 4,5 m Pcs - 0
41 Plester 5cm x 5m Pcs - 0
IV OBAT PROGRAM - 0
A. MALARIA - 0
1 Obat Anti Malaria (ACT) Tablet - 0
2 Primaquin Tablet Tablet - 0
3 Kina tablet Tablet - 0
4 RDT Malaria (First Respon) Pcs - 0
5 Arterakina (DHP)=Dartep - 0
6 Artehemeter Injeksi Amp - 0
7 Kuinin Sulfat tablet 222 mg Tablet - 0
B. TUBERCULOSIS (TB) - 0
1 OAT FDC kategori 1 Paket - 0
2 OAT FDC kategori 2 Paket - 0
3 OAT Kategori Anak Paket - 0
4 OAT Kombipak Paket - 0
5 Masker Pcs - 0
C. PENYAKIT TIDAK MENULAR (PTM) - 0
1 Flufenazin Deconat inj 25 mg/ml (im) Amp - 0
2 Haloperidol tab 5 mg Tablet 200 4,600 4,800 4920
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp 20 20 25
4 Haloperidol Dekanoat Injeksi 50 mg.ml Amp - - 2
5 Risperidon Tablet Tablet 255 1,600 1,855 2075
6 Triheksifenidil HCLTablet 2 mg Tablet 255 3,900 4,155 4405
7 Clobazam tablet 10 mg Tablet - 0
8 Clozapine 25 mg Tablet 195 1,550 1,745 1985
9 Klorpromazine Tablet Tablet - 0
10 Diazepam 5 mg Tablet - 0
11 Asprazolam Tablet - 0
D. VAKSIN - 0
1 BCG Amp 11 11 11
2 POLIO 10 DS Pcs 40 40 40
3 CAMPAK Amp -
4 IPV -
5 HB UNIJEK 42 42 42
6 Td Amp 38 38 38
7 DPT HB-Hib Amp 22 22 22
8 TT Amp -
9 Dt Amp 7 7 7
10 POLIO 20 DS Pcs 5 5 5
11 VAR (vaksin rabies ) Vial -
12 ADS 0,05 ml Pcs 209 209 209
13 ADS 0,5 ml Pcs 321 321 321
14 ADS 5 ml Pcs 55 55 55
15 VAKSIN MR Amp 54 54 54
E. KIA - 0
1 Glukanos kalsikus injeksi 10 % Amp - 0
2 Magnesium sulfat injeksi 20%-25ml Botol - 0
3 Metilgomertin meleat inj 0,200mg- 1ml Amp - 0
4 Fenobarbital injeksi IM/IV 50mg/ml Amp - 0
5 Gentamicin inj 40mg/dl Amp - 0
6 Tes Kehamilan Pcs - 0
7 Tes Protein Urine Pcs - 0
8 Pytomenadion (vit K 1)inj IM ml/ml Amp - 0
9 Oksitosin inj IV/ml-1ml Amp - 0
10 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Amp - 0
11 Reagen Golongan Darah Botol - 0
12 Hb Sahli Pcs - 0
13 Oto Klik Pcs - 0
14 Larutan Hcl Botol - 0
15 Blood lancet Pcs - 0
F. GIZI - 0
1 Tablet tambah darah Tablet - 25000
2 Vit A Biru 100.000 IU Tablet - 0
3 Vit A Merah 200.000 IU Tablet - 16800
4 Iodin test Pcs - 0
G. DIARE - 0
1 Garam Oralit 200 mg Bks 175 175 175
2 Zinc Tablet 20 mg Tablet - 232
H. FILARIASIS - 0
1 Dietilkarbamazin Sitrat (DEC) Tablet - 0
2 Parasetamol 500 mg Tablet - 0
3 Albendazol 200 mg Tablet - 0
G.ALAT LABORATORIUM - 0
1 Blood Lancet Pcs - 0
2 Reagen TB Botol - 0
3 Slide Pcs - 0
4 Pot Sputum Pcs - 0
5 Metanol 100 ml Botol - 0
6 Imersi Oil 60 ml Botol - 0
7 Buffer Phosphat 7,2 Botol - 0
8 Handscoon (M) Pcs - 0
9 Alkohol asam 100 ML Botol - 0
10 Masker Pcs - 0
11 Giemsa Solution 60 ml Botol - 0
12 Alkohol Swap Bks - 0
H. KUSTA - 0
1 MB Adult - 0
2 MB (MDTDMB) child - 0
3 PB Adult - 0
4 PB (MTDPB) child - 0
I. HIV DAN SIFILIS - 0
1 Rapid Test Merk :SD - 0
2 Fokus (HIV ke 2) - 0
3 Rapid Test Merk : Vikia - 0
4 Human Hexogon Syphilis - 0
5 RPR Syphylis - 0
TAMBAHAN - 0
1 Gentamisin Tetes mata Botol - 0
2 Gentian Violet Botol - 0
3 OAM Tablet - 0
4 Glikonas Kalsikus inj 10% Botol - 0
5 Bromheksin Tablet - 0
6 sefadroxil Syr Botol - 0
7 Kasa Elastis 4 inc Rol - 0
8 Klindamisin Kap 150 mg Tablet - 0
9 Glukosa Lar.40% Botol - 0
10 Antiparkinson doen kombinasi Tablet - 0
11 benzatin Penisilin G I juta iu/Vial Vial - 0
12 Aminofilin tab 150 mg Tablet - 0
13 Mumfying pasta Botol - 0
14 Safety box Pcs - 0
15 fixomul Rol 12 12 16
16 Guaifenisin Tablet - 0
17 Metro 500mg/Injeksi Amp - 0
18 Ampisilin 100mg Tablet - 0
19 Euthirox 50mg Tablet - 0
20 Mineral mix Botol - 0
21 Urine 2 Parameter Pcs - 0
22 Urine 10 Parameter Pcs - 0
23 strip autochek Pcs - 0
24 strip glukose autochek Pcs - 0
25 Masker N 95 Pcs - 40
26 objek glass Pcs - 0
27 Rapid HIV Pcs - 0
28 Kolesterol Auto chek Pcs - 0
29 Stip Cek Narkoba Pcs - 0
30 CutiCell 10cm x 10M Rol 10 10 16
31 Surgical Blade no. 10-24 Pcs - 0
32 Leucoplast Rol 13 13 13
33 Uniflex 7,5 x 4,5cm Rol 12 12 12
34 HB ig Pcs - 0
35 RDT hepatitis B Pcs - 0
36 RDT Syphilis Pcs - 0
37 RDT HIV Pcs - 0
38 Blood Slide Pcs - 0
39 Oksitetra salp mata prog. KIA Tube - 0
40 Anti Hb SAG Pcs - 0
41 Metrodinazol 500mg/100ml Botol - 0
42 Betadine Salp Tube - 0
43 Gluko Protein Pcs - 0
44 Reagen Sphylis Botol - 0
45 Handscoon (M) Tablet - 0
46 Handscoon (L) Tablet - 0
Desinfektan Spray 221 221 226
Lansoprazole - 0
Betahistine HCL 135 215 2130 2,480 2644
Candesartan 8 mg 340 165 8250 8,755 8815
Candesartan 16 mg 225 127 8400 8,752 8853
Etanol cairan 70 % 1000ml 10 10 17
Handscoon size 7 - 200
Asam Askorbat (Vitamin C) Tablet 500 mg 90 100 300 490 500
- 0
- 0
- 0
- 0
- 0
- 0
Pemakaian
23
-
-
361
-
1
37
75
2,002
685
-
-
24
1,021
-
794
28
-
160
-
175
280
580
538
388
194
156
16
-
-
-
8
56
-
-
24
540
-
20
-
-
108
50
-
45
-
-
2
459
3
-
-
-
15
-
-
-
-
-
42
-
-
19
22
-
-
20
53
46
-
-
526
10
-
-
-
171
39
39
-
461
667
-
-
-
49
13
-
-
145
-
-
-
-
-
-
-
-
-
-
-
-
113
59
3
-
-
608
-
-
-
-
-
123
-
-
-
-
43
-
-
-
35
11
-
-
98
-
248
-
-
29
218
-
63
3,004
-
5
-
-
654
6
4
979
-
-
200
-
-
301
-
-
80
-
8
-
12
12
-
85
-
-
36
-
-
-
1,009
-
-
-
-
-
-
-
-
7
141
-
-
-
-
8
-
-
-
-
2
-
-
-
-
37
1,085
-
-
-
2,842
-
-
-
-
-
-
-
-
-
-
-
-
77
8
-
-
-
-
-
-
-
1,000
209
-
-
84
-
49
478
-
-
-
-
67
-
54
-
58
-
1,665
-
-
-
-
7
-
-
-
-
202
11
100
-
-
-
-
7
-
-
-
59
-
-
5
-
-
-
-
32
13
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
120
5
2
220
250
-
240
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
25,000
-
16,800
-
-
-
232
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
40
-
-
-
-
6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
164
60
101
7
200
10
-
-
-
-
-
-
STOK OPNAME OBAT
Nama Puskesmas : Rawat Inap Jangga Baru

Bulan : Mei
Tahun : 2022
NO NAMA OBAT SATUAN Apotek IGD Gudang Jumlah
1 2 3 4 5 6 7
1 Air untuk injeksi Botol 12 60 72
2 Albendazol 400mg Tablet -
3 Albendazol susp 200 mg/5ml Botol -
4 Alopurinol tablet 100 mg Tablet 305 181 1,300 1,786
5 Alupurinol Tab 300mg Tablet 90 100 190
6 Aminofilin injeksi 24 mg/ml Amp 29 30 59
7 Aminofilin tablet 200 mg Tablet 100 57 157
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 61 1,500 1,561
9 Amlodipin tablet 10 mg Tablet 728 188 3,700 4,616
10 Amlodipin tablet 5 mg Tablet 415 192 3,600 4,207
11 Amoksisilin 250 mg Tablet -
12 Amoksisilin sir forte 250mg Botol -
13 Amoksisilin sir 125mg/5 ml Botol 18 9 15 42
14 Amoksisilin Tablet 500 mg Tablet 460 185 1,200 1,845
15 Ampisilin serb inj 1000 mg/vial Vial -
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 510 109 - 619
17 Antasida DOEN II Suspensi Kombinasi Botol 9 9 100 118
18 Antifungi DOEN Kombinasi Tube 32 17 30 79
19 Antihemoroid Kombinasi sup Sup 212 212
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadok Tablet -
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 20 12 300 332
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 270 80 600 950
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 848 387 3,300 4,535
24 Asam Folat 1 mg Tablet 300 132 1,300 1,732
25 Asam Mefenamat tablet 500 mg Tablet 801 167 2,800 3,768
26 Asiklovir Tablet 200 mg Tablet 200 99 500 799
27 Asiklovir Tablet 400 mg Tablet 142 47 400 589
28 Atapulgit Tablet Tablet 182 130 1,000 1,312
29 Atenolol 50 mg Tablet -
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp 7 7
31 Atropin Sulfat Tablet 0,5 mg Tab Tablet -
32 Bedak Salisil serbuk 2% Bks 7 4 51 62
33 Betametason Krim 0,05 % Tube 6 10 192 208
34 Bisakodil sup 5 mg Botol -
35 Bisaprolol 5mg Tablet 25 25
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 17 34 20 71
37 Deksametason Tablet 0,5 mg Tablet 542 132 500 1,174
38 Devitalisasi Pasta (Non Arsen) Botol -
40 Diazepam rektal 10mg/2 ,5ml Amp 18 18
41 Diazepam rektal 5mg/2 ml Amp 4 4
44 Dietilkarbamazin tab 100mg Tablet -
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 12 12
46 Digoksin Tablet 0,25 mg tablet 260 76 400 736
47 Diltiazem hcl tab 30mg Tablet -
48 Doksisiklin Kapsul 100 mg Tablet 170 98 700 968
49 Domperidon 10 mg Tablet Tablet 17 17
50 Domperidon 5mg/5ml Sirup Botol 11 9 45 65
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp 6 6
52 Ergotamin tab 1mg Tablet -
53 Eritromisin kapsul 250 mg Tablet -
54 Eritromisin Kapsul 500 mg Tablet 80 45 300 425
55 Eritromisin Sirup 200 mg / 5 ml Botol 5 5 40 50
56 Etanol cairan 70 % Botol -
57 Etil Klorida Semprot 100 ml Botol -
58 Eugenol cairan Botol -
59 Fenitoin Na kaps Tablet -
60 Fenobarbital tablet 30 mg Tablet 253 1,200 1,453
61 Fenoksimetil penisilin ( Penisilin V ) 250mg Tablet -
62 Fenoksimetil penisilin ( Penisilin V ) 500mg Tablet -
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 28 60 88
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 90 131 221
65 Flufenazin inj 25 mg/ml (i.m) Amp -
66 Fluor kaps 1 mg Kapsul -
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 25 25 50
68 Furosemid Tablet 40 mg Tablet 130 100 100 330
69 Garam Oralit I Serbuk Kombinasi Bks -
70 Glass Ionomer Cement Art Lar. Botol -
71 Glibenklamida Tablet 5 mg Tablet 370 307 100 777
72 Glimepirid 2 mg Tablet 330 117 1,100 1,547
73 Griseofulvin Tablet 125 mg Tablet 180 100 200 480
74 Griseril trinitrat tab sublingual 0,5 mg Tablet -
75 Haloperidol Tablet 0,5 mg Tablet -
76 Haloperidol Tablet 1,5 mg Tablet 500 500
77 Hidroklorotiazida Tablet 25 mg Tablet 225 107 400 732
78 Hidrokortison Krim 2,5 % Tube 28 24 110 162
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet 380 84 200 664
80 Ibuprofen Sirup 100 mg/5 ml Botol 5 12 40 57
81 Ibuprofen Tablet 200 mg Amp 379 132 900 1,411
82 Ibuprofen Tablet 400 mg Tablet 451 47 1,000 1,498
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 209 164 600 973
84 Kalsium glukonat inj 10% Botol 3 3
85 Kalsium Hidroksida bubuk,Pasta Botol -
86 Kaptopril Tablet 12,5 mg Tablet 385 286 1,100 1,771
87 Kaptopril Tablet 25 mg Tablet 234 144 1,400 1,778
88 Karbamazepin tab 100 mg Tablet -
89 karbo Gliserin tetestelinga 10 % Botol -
90 Ketokonazol tab 200 mg Tablet 145 76 500 721
91 Klindamisin 300 mg Tablet 105 90 200 395
92 Klindamisin kap 150mg Tablet -
93 Kloramfenikol kapsul 250 mg Tablet 150 109 400 659
94 Kloramfenikol Salep Mata 1 % Tube 3 10 65 78
95 Kloramfenikol susp 125mg/5ml Botol -
96 Kloramfenikol Tablet 500mg Tablet -
97 Kloramfenikol Tetes Mata 1 % Botol -
98 Kloramfenikol tetes telinga 1% Botol -
99 Klorfeniramin Tablet 4 mg Tablet -
100 Klorfenol Kamfer Menthol (CHKM) Botol -
101 Klorpromazin Tablet Salut 100 mg (HCl) Tablet -
102 Klorpromazin Tablet Salut 25 mg (HCl) Tablet -
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 48 Tablet 330 96 426
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5m Botol 7 9 40 56
106 Kuinin Tab Tablet -
107 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp -
108 Loratadin 10 mg tablet Tablet 508 227 - 735
109 Magnesium Sulfat Injeksi 20% Botol -
110 Magnesium Sulfat Injeksi 40% Botol 6 6
111 Mebendazol sir 50mg/ml Botol -
112 Mebendazol tab 100 mg Tablet -
113 Mebendazol tab 500 mg Tablet -
114 Metformin 500 mg Kapsul 280 111 17,200 17,591
115 Metformin 850 mg Kapsul 185 107 1,400 1,692
116 Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp -
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 180 198 2,200 2,578
118 Metilprednisolon tab 4 mg Tablet -
119 Metoklopramid Tablet 10 mg Tablet 280 201 700 1,181
120 Metrodinazol lar inf 5mg/ml Botol -
121 Metrodinazol sir 125mg/ml Botol -
122 Metronidazol Tablet 250 mg Tablet -
123 Metronidazol tablet 500 mg Tablet 282 101 700 1,083
124 Mikonazol Krim 2% (Nitrat) Tube 16 11 144 171
125 Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet -
126 Natrium Diklofenak Tablet 25 mg Tablet 398 111 4,050 4,559
127 Natrium Diklofenak Tablet 50 mg Tablet 305 137 400 842
128 Natrium tiosulfat inj 25% (i.v) Amp -
129 Nifedipin Tablet 10 mg Tablet 60 110 300 470
130 Nistatin Suspensi 100.000UI/ml Botol -
131 Nistatin Vagina 500.000 Tablet Tablet 24 58 82
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet -
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp -
134 Omeprazol tablet 20 mg Tablet 355 109 3,200 3,664
135 Parasetamol Sirup 120 mg / 5 ml Botol 24 11 335 370
136 Parasetamol Tablet 500 mg Tablet 762 251 9,500 10,513
137 Parasetamol drops 100 mg / 1 ml Botol -
138 Perak sulfadiazin krim1% Tube -
139 Pirantel pamoat sus 125mg/5ml Botol -
140 Pirantel pamoat tab 125 mg Tablet 48 2,100 2,148
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 477 159 1,900 2,536
142 Povidon Iodida 100 mg/ml 30 ml Botol 3 8 11
143 Povidon Iodida 100 mg/ml 300 ml Botol 7 7
144 Prednison Tablet 5 mg Tablet 329 345 674
145 Primakuin Tablet 15 mg Tablet -
146 Probenesid tab 500mg Tablet -
147 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial -
148 Propanolol Tablet 10 mg (HCl) Tablet 165 59 800 1,024
149 Propilitiourasil Tablet 100 mg Tablet 159 50 300 509
150 Ranitidin Tablet 150 mg Tablet 185 110 500 795
151 Risperidon 2 mg Tablet -
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 314 136 1,000 1,450
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet 197 100 1,000 1,297
154 Salep 2 - 4 Kombinasi Tube 17 7 21 45
155 Sefadroksil Kapsul 500 mg Tablet 160 115 600 875
156 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial -
157 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Vial -
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 12 12
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 370 155 600 1,125
160 Simvastatin Tablet 10 mg Tablet 470 100 500 1,070
161 Simvastatin Tablet 20 mg Tablet 142 240 150 532
162 Siprofloksasin Tablet scored 500 mg Tablet 155 156 3,500 3,811
163 Spironolakton 25 mg tablet Tablet 134 68 700 902
164 Tetrakain HCl Tetes Mata 0,5 % Botol -
165 Tetrasiklin Kapsul 500 mg Tablet -
166 Tetrasiksin 250 mg Tablet -
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 325 200 400 925
168 Valproat sir 250 mg/ml Botol -
169 Valproat tab sal 250mg Tablet -
170 Valproat tab sal 500 mg Tablet -
171 Verapamil 80mg Tablet -
172 Vitamin B Kompleks Tablet Tablet 674 145 7,100 7,919
173 Zink sir 10 mg/ml Botol 12 16 55 83
174 Zink tablet dispersi 20 mg Tablet 168 93 400 661
II OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS) -
1 Ambroxol Sirup 15 mg/ml Botol -
2 Ambroxol Tablet 30 mg Tablet -
3 Antalgin Injeksi 250 mg Amp -
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 9 16 50 75
5 Asam asetil salisilat (asetosal) tablet500 mg Tablet -
6 Asetosal Tablet 100mg Tablet -
7 Asiklovir Krim 5% Tube 24 26 25 75
8 Counterpain 15 mg Tube -
9 Duvadilan Tablet -
10 Efedrin Tablet 25mg ( HCL ) Tablet -
11 Ekstraks Belladona Tablet 10 mg Tablet -
12 Etakridin Larutan 0,1 Botol -
13 Famotidine Tablet 40 mg Tablet -
14 Fenobarbital inj Tablet 20 20
15 Fenol Gliserol Tetes Telinga 10 % Botol 11 14 24 49
16 Gentamisin Injeksi 40 mg/ml Amp 16 20 36
17 Gentamisin Salep Kulit 0,1 % Botol 4 5 9
18 Gliseril Guaiakolat Tablet 100 mg Tablet -
19 Glukosa Larutan Infus 10 % Steril Botol -
20 Glukosa Larutan Infus 5 % Steril Botol -
21 Imersi Oil Botol -
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 573 309 3,200 4,082
23 Ketorolac inj 30mg/ml Amp -
24 Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet -
25 Larutan Asam Asetat Botol -
26 Larutan Asam Klorida 0,1 N Botol -
27 Larutan Benedict Botol -
28 Larutan Eosin 2% Botol -
29 Larutan Faucet Botol -
30 Larutan Giemsa Stalin Botol -
31 Larutan Natrium Sitrat 3,8% Botol -
32 Larutan Resserccer Botol -
33 Larutan Turk Botol -
34 Lisol Botol -
35 Natrium Klorida Larutan Infus 0,9% Botol 420 420
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol -
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp -
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 32 25 57
39 Oksitetrasiklin Salep Kulit 3 % Tube 25 20 150 195
40 Parasetamol 100 mg Tablet -
41 Pehacain inj Amp -
42 Piracetam Injeksi 1 g / 5 mL Amp -
43 Piroxicam 20mg Tablet 160 99 1,900 2,159
44 Propanolol tablet 40 mg Tablet -
45 Ranitidin Injeksi 25 mg / 2 ml Amp 12 59 730 801
46 Reagen Golongan Darah Botol -
47 Reagen TB Botol -
48 Ringer Laktat Larutan Infus Steril Botol 900 900
49 Semen Seng Fosfat Serbuk dan Cairan Botol -
50 Setirizin Sirup 5 mg/5ml Botol 10 10 170 190
51 Setirizin Tablet 10mg Tablet -
52 Simetidin Tablet 200 mg Tablet -
53 Sulfasetamida Natrium Tetes Mata 15 % Botol -
54 Tablet Tambah Darah Tablet -
55 Temporary Stopping Fletcher Serbuk dan Cairan Botol -
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet 54 57 100 211
57 Trombophob Jeli 15 g Tube -
58 Ventolin Botol 30 180 210
III BAHAN MEDIS HABIS PAKAI (BMHP) Pcs -
1 Alat Suntik Sekali Pakai 1 ml Pcs 10 80 700 790
2 Alat Suntik Sekali Pakai 2,5 ml Pcs -
3 Alat Suntik Sekali Pakai 3 ml Pcs 40 73 1,600 1,713
4 Alat Suntik Sekali Pakai 5 ml Pcs 46 33 2,100 2,179
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs 12 18 30
6 Elastis Verban 4 inci Pcs -
7 Foley Catheter No. 16 Pcs 2 40 42
8 Foley Catheter No. 18 Pcs 1 10 11
9 Hanscoond no 6,5 Pcs -
10 Hanscoond no 7,5 Pcs -
11 HCG test Pcs -
12 Infusion Set Anak Pcs 190 190
13 Infusion Set Dewasa Pcs 29 185 214
14 IV Catheter No. 18. G Pcs 39 100 139
18 Jarum Jahit Kulit Pcs -
19 Jarum Jahit Otot Pcs -
20 Kapas Pembalut / Absorben 250 gr Pcs 2 10 12
21 Kasa Pembalut 2 m x 80 cm Rol -
22 Kasa Hidrofil 4 m x 15 cm Rol 10 10
23 Kasa Hidrofil 4 m x 3 cm Rol -
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 5 4 21 30
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol 14 14
26 Kasa Kompres 40/40 Steril Rol -
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 25 25
28 Kasa Pembalut Hidrofil 4 m x 5 cm Rol -
29 Masker Rol -
30 Pembalut Gips 4 Inci Rol -
31 Plester 5 Yards x 2 inci Rol -
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 29 98 127
33 Urine Bag Pcs -
34 Wing Needle No.27 G Pcs -
35 Handscoond 8 Pcs -
36 Handscoond 7 Pcs -
37 Plesterin Non Woven Pcs -
38 Kasa Hidrofil Uk. 40 m x 80 cm Pcs -
39 Poligyp 10 cm x 2,7 m Pcs -
40 Policrepe pembalut elastis 10 cm x 4,5 m Pcs -
41 Plester 5cm x 5m Pcs -
IV OBAT PROGRAM -
A. MALARIA -
1 Obat Anti Malaria (ACT) Tablet -
2 Primaquin Tablet Tablet -
3 Kina tablet Tablet -
4 RDT Malaria (First Respon) Pcs -
5 Arterakina (DHP)=Dartep -
6 Artehemeter Injeksi Amp -
7 Kuinin Sulfat tablet 222 mg Tablet -
B. TUBERCULOSIS (TB) -
1 OAT FDC kategori 1 Paket -
2 OAT FDC kategori 2 Paket -
3 OAT Kategori Anak Paket -
4 OAT Kombipak Paket -
5 Masker Pcs -
C. PENYAKIT TIDAK MENULAR (PTM) -
1 Flufenazin Deconat inj 25 mg/ml (im) Amp -
2 Haloperidol tab 5 mg Tablet 200 4,600 4,800
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp 5 20 25
4 Haloperidol Dekanoat Injeksi 50 mg.ml Amp -
5 Risperidon Tablet Tablet 255 1,400 1,655
6 Triheksifenidil HCLTablet 2 mg Tablet 255 3,700 3,955
7 Clobazam tablet 10 mg Tablet -
8 Clozapine 25 mg Tablet 195 1,550 1,745
9 Klorpromazine Tablet Tablet -
10 Diazepam 5 mg Tablet -
11 Asprazolam Tablet -
D. VAKSIN -
1 BCG Amp 8 8
2 POLIO 10 DS Pcs 28 28
3 CAMPAK Amp -
4 IPV 5 5
5 HB UNIJEK -
6 Td Amp 21 21
7 DPT HB-Hib Amp 9 9
8 TT Amp -
9 Dt Amp 7 7
10 POLIO 20 DS Pcs -
11 VAR (vaksin rabies ) Vial -
12 ADS 0,05 ml Pcs 176 176
13 ADS 0,5 ml Pcs 381 381
14 ADS 5 ml Pcs 44 44
15 VAKSIN MR Amp 50 50
E. KIA -
1 Glukanos kalsikus injeksi 10 % Amp -
2 Magnesium sulfat injeksi 20%-25ml Botol -
3 Metilgomertin meleat inj 0,200mg- 1ml Amp -
4 Fenobarbital injeksi IM/IV 50mg/ml Amp -
5 Gentamicin inj 40mg/dl Amp -
6 Tes Kehamilan Pcs -
7 Tes Protein Urine Pcs -
8 Pytomenadion (vit K 1)inj IM ml/ml Amp -
9 Oksitosin inj IV/ml-1ml Amp -
10 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Amp -
11 Reagen Golongan Darah Botol -
12 Hb Sahli Pcs -
13 Oto Klik Pcs -
14 Larutan Hcl Botol -
15 Blood lancet Pcs -
F. GIZI -
1 Tablet tambah darah Tablet -
2 Vit A Biru 100.000 IU Tablet -
3 Vit A Merah 200.000 IU Tablet -
4 Iodin test Pcs -
G. DIARE -
1 Garam Oralit 200 mg Bks -
2 Zinc Tablet 20 mg Tablet -
H. FILARIASIS -
1 Dietilkarbamazin Sitrat (DEC) Tablet -
2 Parasetamol 500 mg Tablet -
3 Albendazol 200 mg Tablet -
G.ALAT LABORATORIUM -
1 Blood Lancet Pcs -
2 Reagen TB Botol -
3 Slide Pcs -
4 Pot Sputum Pcs -
5 Metanol 100 ml Botol -
6 Imersi Oil 60 ml Botol -
7 Buffer Phosphat 7,2 Botol -
8 Handscoon (M) Pcs -
9 Alkohol asam 100 ML Botol -
10 Masker Pcs -
11 Giemsa Solution 60 ml Botol -
12 Alkohol Swap Bks -
H. KUSTA -
1 MB Adult -
2 MB (MDTDMB) child -
3 PB Adult -
4 PB (MTDPB) child -
I. HIV DAN SIFILIS -
1 Rapid Test Merk :SD -
2 Fokus (HIV ke 2) -
3 Rapid Test Merk : Vikia -
4 Human Hexogon Syphilis -
5 RPR Syphylis -
TAMBAHAN -
1 Gentamisin Tetes mata Botol -
2 Gentian Violet Botol -
3 OAM Tablet -
4 Glikonas Kalsikus inj 10% Botol -
5 Bromheksin Tablet -
6 sefadroxil Syr Botol -
7 Kasa Elastis 4 inc Rol -
8 Klindamisin Kap 150 mg Tablet -
9 Glukosa Lar.40% Botol -
10 Antiparkinson doen kombinasi Tablet -
11 benzatin Penisilin G I juta iu/Vial Vial -
12 Aminofilin tab 150 mg Tablet -
13 Mumfying pasta Botol -
14 Safety box Pcs -
15 fixomul Rol 10 10
16 Guaifenisin Tablet -
17 Metro 500mg/Injeksi Amp -
18 Ampisilin 100mg Tablet -
19 Euthirox 50mg Tablet -
20 Mineral mix Botol -
21 Urine 2 Parameter Pcs -
22 Urine 10 Parameter Pcs -
23 strip autochek Pcs -
24 strip glukose autochek Pcs -
25 Masker N 95 Pcs -
26 objek glass Pcs -
27 Rapid HIV Pcs -
28 Kolesterol Auto chek Pcs -
29 Stip Cek Narkoba Pcs -
30 CutiCell 10cm x 10M Rol -
31 Surgical Blade no. 10-24 Pcs -
32 Leucoplast Rol -
33 Uniflex 7,5 x 4,5cm Rol -
34 HB ig Pcs -
35 RDT hepatitis B Pcs -
36 RDT Syphilis Pcs -
37 RDT HIV Pcs -
38 Blood Slide Pcs -
39 Oksitetra salp mata prog. KIA Tube -
40 Anti Hb SAG Pcs -
41 Metrodinazol 500mg/100ml Botol -
42 Betadine Salp Tube -
43 Gluko Protein Pcs -
44 Reagen Sphylis Botol -
45 Handscoon (M) Tablet -
46 Handscoon (L) Tablet -
Desinfektan Spray 221 221
Lansoprazole -
Betahistine HCL 256 60 1860 2,176
Candesartan 8 mg 340 165 8160 8,665
Candesartan 16 mg 225 127 8250 8,602
Etanol cairan 70 % 1000ml -
Handscoon size 7 -
Asam Askorbat (Vitamin C) Tablet 500 mg 170 70 200 440
NO NAMA OBAT SATUAN Apotek IGD Gudang
1 2 3 4 5 6
1 Air untuk injeksi Botol
2 Albendazol 400mg Tablet
3 Albendazol susp 200 mg/5ml Botol
4 Alopurinol tablet 100 mg Tablet 250 131 1,300
5 Alupurinol Tab 300mg Tablet 190
6 Aminofilin injeksi 24 mg/ml Amp 28 30
7 Aminofilin tablet 200 mg Tablet 100 57
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 25 25 1,500
9 Amlodipin tablet 10 mg Tablet 248 161 13,300
11 Amoksisilin 250 mg Tablet
12 Amoksisilin sir forte 250mg Botol
13 Amoksisilin sir 125mg/5 ml Botol 8 10 220
14 Amoksisilin Tablet 500 mg Tablet 375 204 18,000
15 Ampisilin serb inj 1000 mg/vial Vial
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 487 170 4,800
17 Antasida DOEN II Suspensi Kombinasi Botol 7 5 120
18 Antifungi DOEN Kombinasi Tube 29 15 24
19 Antihemoroid Kombinasi supp Sup 212
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadok Tablet
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 10 300
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 175 72 600
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 763 123 1,800
24 Asam Folat 1 mg Tablet 430 113 700
25 Asam Mefenamat tablet 500 mg Tablet 290 176 2,000
26 Asiklovir Tablet 200 mg Tablet 200 99 1,500
28 Atapulgit Tablet Tablet 142 67 1,000
29 Atenolol 50 mg Tablet
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp 7
31 Atropin Sulfat Tablet 0,5 mg Tab Tablet
32 Bedak Salisil serbuk 2% Bks 4 2 46
33 Betametason Krim 0,05 % Tube 34 6 168
34 Bisakodil sup 5 mg Botol
35 Bisaprolol 5mg Tablet
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 15 30 10
37 Deksametason Tablet 0,5 mg Tablet 311 138 1,200
38 Devitalisasi Pasta (Non Arsen) Botol
40 Diazepam rektal 10mg/2 ,5ml Amp 18
41 Diazepam rektal 5mg/2 ml Amp 4
42 Diazepam Tablet 2 mg Tablet 144 500
44 Dietilkarbamazin tab 100mg Tablet
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp
46 Digoksin Tablet 0,25 mg tablet 245 76 400
47 Diltiazem hcl tab 30mg Tablet
48 Doksisiklin Kapsul 100 mg Tablet 170 98 700
49 Domperidon 10 mg Tablet Tablet
50 Domperidon 5mg/5ml Sirup Botol 6 8 45
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp
52 Ergotamin tab 1mg Tablet
53 Eritromisin kapsul 250 mg Tablet
54 Eritromisin Kapsul 500 mg Tablet 60 45 800
55 Eritromisin Sirup 200 mg / 5 ml Botol 5 5 40
56 Etanol cairan 70 % Botol 6
57 Etil Klorida Semprot 100 ml Botol
58 Eugenol cairan Botol
59 Fenitoin Na kaps Tablet
60 Fenobarbital tablet 30 mg Tablet 218 15 1,200
61 Fenoksimetil penisilin ( Penisilin V ) 250mg Tablet
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 14 30
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 60 110
65 Flufenazin inj 25 mg/ml (i.m) Amp
66 Fluor kaps 1 mg Kapsul
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 24 25
68 Furosemid Tablet 40 mg Tablet 115 90 100
69 Garam Oralit I Serbuk Kombinasi Bks
70 Glass Ionomer Cement Art Lar. Botol
71 Glibenklamida Tablet 5 mg Tablet 315 289 100
72 Glimepirid 2 mg Tablet 70 85 600
73 Griseofulvin Tablet 125 mg Tablet 180 100 200
74 Griseril trinitrat tab sublingual 0,5 mg Tablet
75 Haloperidol Tablet 0,5 mg Tablet
76 Haloperidol Tablet 1,5 mg Tablet 500
77 Hidroklorotiazida Tablet 25 mg Tablet 202 107 2,400
78 Hidrokortison Krim 2,5 % Tube 35 22 96
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet 114 340 100
80 Ibuprofen Sirup 100 mg/5 ml Botol 11 4 110
81 Ibuprofen Tablet 200 mg Amp 196 64 2,700
82 Ibuprofen Tablet 400 mg Tablet 196 64 1,300
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 158 189 1,600
84 Kalsium glukonat inj 10% Botol 3
85 Kalsium Hidroksida bubuk,Pasta Botol
86 Kaptopril Tablet 12,5 mg Tablet 385 259 1,100
87 Kaptopril Tablet 25 mg Tablet 204 131 1,400
88 Karbamazepin tab 100 mg Tablet
89 karbo Gliserin tetestelinga 10 % Botol
90 Ketokonazol tab 200 mg Tablet 110 68 500
91 Klindamisin 300 mg Tablet 70 200
92 Klindamisin kap 150mg Tablet
93 Kloramfenikol kapsul 250 mg Tablet 150 107 400
94 Kloramfenikol Salep Mata 1 % Tube 10 5 50
95 Kloramfenikol susp 125mg/5ml Botol
96 Kloramfenikol Tablet 500mg Tablet
97 Kloramfenikol Tetes Mata 1 % Botol
98 Kloramfenikol tetes telinga 1% Botol
99 Klorfeniramin Tablet 4 mg Tablet
100 Klorfenol Kamfer Menthol (CHKM) Botol
101 Klorpromazin Tablet Salut 100 mg (HCl) Tablet
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 48 Tablet 165 110 1,000
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5m Botol 9 2 40
106 Kuinin Tab Tablet
107 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp
108 Loratadin 10 mg tablet Tablet 200 73 1,900
109 Magnesium Sulfat Injeksi 20% Botol
110 Magnesium Sulfat Injeksi 40% Botol 6
111 Mebendazol sir 50mg/ml Botol
112 Mebendazol tab 100 mg Tablet
114 Metformin 500 mg Kapsul 290 235 16,400
116 Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 180 198 2,100
118 Metilprednisolon tab 4 mg Tablet
119 Metoklopramid Tablet 10 mg Tablet 145 90
120 Metrodinazol lar inf 5mg/ml Botol
121 Metrodinazol sir 125mg/ml Botol
122 Metronidazol Tablet 250 mg Tablet
123 Metronidazol tablet 500 mg Tablet 179 63 400
124 Mikonazol Krim 2% (Nitrat) Tube 7 120
125 Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet
126 Natrium Diklofenak Tablet 25 mg Tablet 333 260 3,850
128 Natrium tiosulfat inj 25% (i.v) Amp
129 Nifedipin Tablet 10 mg Tablet 60 105 300
130 Nistatin Suspensi 100.000UI/ml Botol
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp
134 Omeprazol tablet 20 mg Tablet 98 210 2,800
135 Parasetamol Sirup 120 mg / 5 ml Botol 27 10 290
136 Parasetamol Tablet 500 mg Tablet 620 258 22,100
137 Parasetamol drops 100 mg / 1 ml Botol
138 Perak sulfadiazin krim1% Tube
139 Pirantel pamoat sus 125mg/5ml Botol
140 Pirantel pamoat tab 125 mg Tablet 48 2,100
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 220 204 4,700
142 Povidon Iodida 100 mg/ml 30 ml Botol
143 Povidon Iodida 100 mg/ml 300 ml Botol 7
144 Prednison Tablet 5 mg Tablet
145 Primakuin Tablet 15 mg Tablet
146 Probenesid tab 500mg Tablet
147 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial
148 Propanolol Tablet 10 mg (HCl) Tablet 800
149 Propilitiourasil Tablet 100 mg Tablet 159 50 300
150 Ranitidin Tablet 150 mg Tablet 225 167
151 Risperidon 2 mg Tablet
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 180 213 3,200
154 Salep 2 - 4 Kombinasi Tube 17 4
155 Sefadroksil Kapsul 500 mg Tablet 120 64 600
156 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial
157 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Vial
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 215 68 400
160 Simvastatin Tablet 10 mg Tablet 390 49 500
161 Simvastatin Tablet 20 mg Tablet 225 152
162 Siprofloksasin Tablet scored 500 mg Tablet 205 134 3,200
163 Spironolakton 25 mg tablet Tablet 135 67 700
164 Tetrakain HCl Tetes Mata 0,5 % Botol
165 Tetrasiklin Kapsul 500 mg Tablet
166 Tetrasiksin 250 mg Tablet
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 165 142 3,400
168 Valproat sir 250 mg/ml Botol
169 Valproat tab sal 250mg Tablet
170 Valproat tab sal 500 mg Tablet
171 Verapamil 80mg Tablet
172 Vitamin B Kompleks Tablet Tablet 395 282 5,800
173 Zink sir 10 mg/ml Botol 10 16 55
174 Zink tablet dispersi 20 mg Tablet 133 80 400
II OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS)
1 Ambroxol Sirup 15 mg/ml Botol
2 Ambroxol Tablet 30 mg Tablet
3 Antalgin Injeksi 250 mg Amp
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 18 7 50
5 Asam asetil salisilat (asetosal) tablet500 mg Tablet
6 Asetosal Tablet 100mg Tablet
7 Asiklovir Krim 5% Tube 23 24 25
8 Counterpain 15 mg Tube
9 Duvadilan Tablet
10 Efedrin Tablet 25mg ( HCL ) Tablet
11 Ekstraks Belladona Tablet 10 mg Tablet
12 Etakridin Larutan 0,1 Botol 34
13 Famotidine Tablet 40 mg Tablet
14 Fenobarbital inj Tablet 27
15 Fenol Gliserol Tetes Telinga 10 % Botol 7 8 72
16 Gentamisin Injeksi 40 mg/ml Amp 14 20
17 Gentamisin Salep Kulit 0,1 % Botol
18 Gliseril Guaiakolat Tablet 100 mg Tablet
19 Glukosa Larutan Infus 10 % Steril Botol
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 260 305 2,900
23 Ketorolac inj 30mg/ml Amp
24 Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet
25 Larutan Asam Asetat Botol
26 Larutan Asam Klorida 0,1 N Botol
27 Larutan Benedict Botol
28 Larutan Eosin 2% Botol
29 Larutan Faucet Botol
30 Larutan Giemsa Stalin Botol
31 Larutan Natrium Sitrat 3,8% Botol
32 Larutan Resserccer Botol
33 Larutan Turk Botol
34 Lisol Botol
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 25 25
39 Oksitetrasiklin Salep Kulit 3 % Tube 20 24 125
40 Parasetamol 100 mg Tablet
41 Pehacain inj Amp
42 Piracetam Injeksi 1 g / 5 mL Amp
43 Piroxicam 20mg Tablet 150 99 1,900
44 Propanolol tablet 40 mg Tablet
45 Ranitidin Injeksi 25 mg / 2 ml Amp 20 19 520
46 Reagen Golongan Darah Botol
47 Reagen TB Botol
48 Ringer Laktat Larutan Infus Steril Botol 19 1,140
49 Semen Seng Fosfat Serbuk dan Cairan Botol
50 Setirizin Sirup 5 mg/5ml Botol 14 7 145
51 Setirizin Tablet 10mg Tablet
52 Simetidin Tablet 200 mg Tablet
53 Sulfasetamida Natrium Tetes Mata 15 % Botol
54 Tablet Tambah Darah Tablet
55 Temporary Stopping Fletcher Serbuk dan Cairan Botol
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet 28 100
57 Trombophob Jeli 15 g Tube
58 Ventolin Botol 12 160
III BAHAN MEDIS HABIS PAKAI (BMHP) Pcs
1 Alat Suntik Sekali Pakai 1 ml Pcs 92 92 600
2 Alat Suntik Sekali Pakai 2,5 ml Pcs
3 Alat Suntik Sekali Pakai 3 ml Pcs 25 105 1,400
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs 15 12
6 Elastis Verban 4 inci Pcs
7 Foley Catheter No. 16 Pcs 30
8 Foley Catheter No. 18 Pcs -
9 Hanscoond no 6,5 Pcs
11 HCG test Pcs
12 Infusion Set Anak Pcs 190
13 Infusion Set Dewasa Pcs 29 185
14 IV Catheter No. 18. G Pcs 20 100
15 IV Catheter No. 20 G Pcs 109
16 IV Catheter No. 22 G Pcs 30 100
18 Jarum Jahit Kulit Pcs
19 Jarum Jahit Otot Pcs
20 Kapas Pembalut / Absorben 250 gr Pcs 3 9
21 Kasa Pembalut 2 m x 80 cm Rol
22 Kasa Hidrofil 4 m x 15 cm Rol 10
23 Kasa Hidrofil 4 m x 3 cm Rol
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol 12
26 Kasa Kompres 40/40 Steril Rol
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 6
28 Kasa Pembalut Hidrofil 4 m x 5 cm Rol
29 Masker Rol
30 Pembalut Gips 4 Inci Rol
31 Plester 5 Yards x 2 inci Rol
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 19 108
33 Urine Bag Pcs 2 60
34 Wing Needle No.27 G Pcs
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
37 Plesterin Non Woven Pcs
38 Kasa Hidrofil Uk. 40 m x 80 cm Pcs
39 Poligyp 10 cm x 2,7 m Pcs
40 Policrepe pembalut elastis 10 cm x 4,5 m Pcs
41 Plester 5cm x 5m Pcs
IV OBAT PROGRAM
A. MALARIA
1 Obat Anti Malaria (ACT) Tablet
2 Primaquin Tablet Tablet
3 Kina tablet Tablet
4 RDT Malaria (First Respon) Pcs
5 Arterakina (DHP)=Dartep
6 Artehemeter Injeksi Amp
7 Kuinin Sulfat tablet 222 mg Tablet
B. TUBERCULOSIS (TB)
1 OAT FDC kategori 1 Paket
3 OAT Kategori Anak Paket
4 OAT Kombipak Paket
5 Masker Pcs
C. PENYAKIT TIDAK MENULAR (PTM)
1 Flufenazin Deconat inj 25 mg/ml (im) Amp
2 Haloperidol tab 5 mg Tablet 180 20 4,600
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp 5 20
4 Haloperidol Dekanoat Injeksi 50 mg.ml Amp
5 Risperidon Tablet Tablet 170 25 1,400
6 Triheksifenidil HCLTablet 2 mg Tablet 175 20 3,700
7 Clobazam tablet 10 mg Tablet
8 Clozapine 25 mg Tablet 110 15 1,550
9 Klorpromazine Tablet Tablet
10 Diazepam 5 mg Tablet
11 Asprazolam Tablet
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
11 VAR (vaksin rabies ) Vial
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
1 Glukanos kalsikus injeksi 10 % Amp
2 Magnesium sulfat injeksi 20%-25ml Botol
3 Metilgomertin meleat inj 0,200mg- 1ml Amp
4 Fenobarbital injeksi IM/IV 50mg/ml Amp
5 Gentamicin inj 40mg/dl Amp
6 Tes Kehamilan Pcs
7 Tes Protein Urine Pcs
8 Pytomenadion (vit K 1)inj IM ml/ml Amp
9 Oksitosin inj IV/ml-1ml Amp
10 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Amp
12 Hb Sahli Pcs
13 Oto Klik Pcs
14 Larutan Hcl Botol
15 Blood lancet Pcs
F. GIZI
1 Tablet tambah darah Tablet
2 Vit A Biru 100.000 IU Tablet
3 Vit A Merah 200.000 IU Tablet
4 Iodin test Pcs
G. DIARE
1 Garam Oralit 200 mg Bks
2 Zinc Tablet 20 mg Tablet
H. FILARIASIS
1 Dietilkarbamazin Sitrat (DEC) Tablet
3 Albendazol 200 mg Tablet
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
5 Metanol 100 ml Botol
6 Imersi Oil 60 ml Botol
7 Buffer Phosphat 7,2 Botol
8 Handscoon (M) Pcs
9 Alkohol asam 100 ML Botol
10 Masker Pcs
11 Giemsa Solution 60 ml Botol
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
1 Rapid Test Merk :SD
2 Fokus (HIV ke 2)
3 Rapid Test Merk : Vikia
4 Human Hexogon Syphilis
5 RPR Syphylis
TAMBAHAN
1 Gentamisin Tetes mata Botol
2 Gentian Violet Botol
3 OAM Tablet
4 Glikonas Kalsikus inj 10% Botol
5 Bromheksin Tablet
6 sefadroxil Syr Botol
7 Kasa Elastis 4 inc Rol
8 Klindamisin Kap 150 mg Tablet
9 Glukosa Lar.40% Botol
10 Antiparkinson doen kombinasi Tablet
11 benzatin Penisilin G I juta iu/Vial Vial
12 Aminofilin tab 150 mg Tablet
13 Mumfying pasta Botol
14 Safety box Pcs
15 fixomul Rol 5
16 Guaifenisin Tablet
17 Metro 500mg/Injeksi Amp
18 Ampisilin 100mg Tablet
19 Euthirox 50mg Tablet
20 Mineral mix Botol
21 Urine 2 Parameter Pcs
23 strip autochek Pcs
24 strip glukose autochek Pcs
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
28 Kolesterol Auto chek Pcs
29 Stip Cek Narkoba Pcs
30 CutiCell 10cm x 10M Rol 20
31 Surgical Blade no. 10-24 Pcs
32 Leucoplast Rol 7
33 Uniflex 7,5 x 4,5cm Rol 12
34 HB ig Pcs
35 RDT hepatitis B Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
39 Oksitetra salp mata prog. KIA Tube
40 Anti Hb SAG Pcs
41 Metrodinazol 500mg/100ml Botol
42 Betadine Salp Tube
43 Gluko Protein Pcs
44 Reagen Sphylis Botol
45 Handscoon (M) Tablet
46 Handscoon (L) Tablet
Desinfektan Spray
47 Lansoprazole bhp
Betahistine HCL 136 129 1860
Candesartan 8 mg 300 155 8160
Candesartan 16 mg 140 81 8160
Etanol cairan 70 % 1000ml 7
Handscoon size 7
Asam Askorbat (Vitamin C) Tablet 500 mg 120 4 200
Jumlah
- 72 72
- - -
- - -
1,681 1,786 105
190 190 -
58 59 1
157 157 -
1,550 1,561 11
13,709 14,616 907
18,771 19,207 436
- - -
- - -
238 282 44
18,579 19,845 1,266
- - -
5,457 6,619 1,162
132 238 106
68 79 11
212 212 -
- - -
310 332 22
847 950 103
2,686 4,535 1,849
1,243 1,732 489
2,466 6,768 4,302
1,799 1,799 -
1,459 1,589 130
1,209 1,312 103
- - -
7 7 -
- - -
52 62 10
208 208 -
- - -
- 25 25
55 71 16
1,649 2,174 525
- - -
50 50 -
18 18 -
4 4 -
644 644 -
520 520 -
- - -
- 12 12
721 736 15
- - -
968 968 -
- 17 17
59 65 6
- 6 6
- - -
- - -
905 925 20
50 50 -
6 13 7
- - -
- - -
- - -
1,433 1,453 20
- - -
- - -
44 88 44
170 221 51
- - -
- - -
49 50 1
305 330 25
- - -
- - -
704 777 73
755 1,547 792
480 480 -
- - -
- - -
500 500 -
2,709 2,732 23
153 162 9
554 664 110
125 157 32
2,960 3,411 451
1,560 2,498 938
1,947 1,973 26
3 3 -
- - -
1,744 1,771 27
1,735 1,778 43
- - -
- 48 48
678 721 43
270 395 125
- - -
657 659 2
65 78 13
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
358 400 42
1,275 1,426 151
51 56 5
- - -
- - -
2,173 3,735 1,562
- - -
6 6 -
- - -
- - -
- - -
16,925 17,591 666
1,672 1,692 20
- - -
2,478 2,578 100
- - -
235 1,181 946
- - -
- - -
- - -
642 1,083 441
127 171 44
- - -
4,443 4,559 116
1,427 1,842 415
- - -
465 470 5
- - -
182 182 -
- - -
- 200 200
3,108 3,664 556
327 370 43
22,978 26,113 3,135
- - -
- - -
- - -
2,148 2,148 -
5,124 5,536 412
- 11 11
7 7 -
- 674 674
- - -
- - -
- - -
800 1,024 224
509 509 -
392 795 403
- - -
3,593 4,450 857
2,854 3,297 443
21 45 24
784 875 91
- - -
- - -
- 12 12
683 1,125 442
939 1,070 131
377 532 155
3,539 3,811 272
902 902 -
- - -
- - -
- - -
3,707 3,925 218
- - -
- - -
- - -
- - -
6,477 7,919 1,442
81 83 2
613 661 48
- -
- - -
- - -
- - -
75 75 -
- - -
- - -
72 75 3
- - -
- - -
- - -
- - -
34 48 14
- - -
27 27 -
87 97 10
34 36 2
- 9 9
- - -
- - -
- - -
- - -
3,465 4,082 617
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
372 420 48
- - -
- - -
50 57 7
169 195 26
- - -
- - -
- - -
2,149 2,159 10
- - -
559 801 242
- - -
- - -
1,159 1,400 241
- - -
166 190 24
- - -
- - -
- - -
- - -
- - -
128 211 83
- - -
172 210 38
- -
784 990 206
- - -
1,530 2,213 683
2,147 2,179 32
27 30 3
- - -
30 42 12
- 11 11
- - -
- - -
- - -
190 190 -
214 214 -
120 139 19
109 124 15
130 141 11
218 218 -
- - -
- - -
12 12 -
- - -
10 10 -
- - -
- 80 80
12 14 2
- - -
6 25 19
- - -
- - -
- - -
- - -
127 127 -
62 79 17
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
4,800 4,800 -
25 25 -
- - -
1,595 1,655 60
3,895 3,955 60
- - -
1,675 1,745 70
- - -
- - -
- - -
-
- 13 -
- 38
- -
- 10
- 62
- 21
- 19
- -
- 7
- -
- -
- 176
- 581
- 44
- 60
-
- 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- -
- - -
- - -
- -
- - -
- - -
- -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
5 10 5
- 0 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
20 10 (10)
- - -
7 13 6
12 12 -
- 0 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 200 200
- 200 200
- 221 221
- 0 -
2,125 2,176 51
8,615 8,665 50
8,381 8,602 221
7 8 1
- - -
324 440 116
- 0
-
-
-
1 2 3 4 5 6
1 Air untuk injeksi Botol 230
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 1,200
19 Antihemoroid Kombinasi sup Sup 152
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoks Tablet
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 524 103 300
25 Asam Mefenamat tablet 500 mg Tablet 200 260 400
27 Asiklovir Tablet 400 mg Tablet 90 40 650
28 Atapulgit Tablet Tablet 110 121 700
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 13
37 Deksametason Tablet 0,5 mg Tablet
60 Fenobarbital tablet 30 mg Tablet 1,200
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 42
68 Furosemid Tablet 40 mg Tablet 20 90
71 Glibenklamida Tablet 5 mg Tablet 160 269
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet 170 60
82 Ibuprofen Tablet 400 mg Tablet 110 79 300
87 Kaptopril Tablet 25 mg Tablet 30 40 900
89 karbo Gliserin tetestelinga 10 % Botol 5 5 48
91 Klindamisin 300 mg Tablet
103 Kodein tablet 10 mg Tablet 45 24
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 Tablet 410 372
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 10 7 23
108 Loratadin 10 mg tablet Tablet 80 116
119 Metoklopramid Tablet 10 mg Tablet
123 Metronidazol tablet 500 mg Tablet 80 45
124 Mikonazol Krim 2% (Nitrat) Tube 16 1 72
127 Natrium Diklofenak Tablet 50 mg Tablet 360 153 400
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp 100 82
140 Pirantel pamoat tab 125 mg Tablet 2,000
148 Propanolol Tablet 10 mg (HCl) Tablet 130 135 300
149 Propilitiourasil Tablet 100 mg Tablet 40 150
150 Ranitidin Tablet 150 mg Tablet
154 Salep 2 - 4 Kombinasi Tube 12 3
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 435 258
162 Siprofloksasin Tablet scored 500 mg Tablet 2,400
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 65 2,800
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 10 1 50
9 Duvadilan Tablet
17 Gentamisin Salep Kulit 0,1 % Botol 25 14
20 Glukosa Larutan Infus 5 % Steril Botol 15
21 Imersi Oil Botol
34 Lisol Botol
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 30
41 Pehacain inj Amp
47 Reagen TB Botol
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet 34
59 Betahistin Tablet 60 132 1,770
60 Kandersartan 8 mg Tablet 110 30 8,160
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs 13
7 Foley Catheter No. 16 Pcs 2 30
10 Hanscoond no 7,5 Pcs 200
11 HCG test Pcs
13 Infusion Set Dewasa Pcs 15 -
20 Kapas Pembalut / Absorben 250 gr Pcs 7
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 60
29 Masker Rol
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
42 Fixomul Pcs 2
43 Handscoond M Pcs 200
44 Handscoond L Pcs 200
IV TAMBAHAN
1 Uniflex 12
2 Cuticell Classic 20
3 Alkohol 70% 1 L 5
4 Leukopas 9
5 vitamin C 500 mg 50
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Amp
Botol
Amp
Amp
Amp
Pcs
Pcs
Amp
Amp
Amp
Botol
Pcs
Pcs
Botol
Pcs
Tablet
Tablet
Tablet
Pcs
Bks
Tablet
Tablet
Tablet
Tablet
Pcs
Botol
Pcs
Pcs
Botol
Botol
Botol
Pcs
Botol
Pcs
Botol
Bks
Botol
Botol
Tablet
Botol
Tablet
Botol
Rol
Tablet
Botol
Tablet
Vial
Tablet
Botol
Pcs
Rol
Tablet
Amp
Tablet
Tablet
Botol
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Rol
Pcs
Rol
Rol
Pcs
Pcs
Pcs
Pcs
Pcs
Tube
Pcs
Botol
Tube
Pcs
Botol
Tablet
Tablet
bhp
Jumlah
7
LPLPO Pemakain
230 250 20
- 0 -
- 0 -
1,670 1,681 11
100 190 90
53 58 5
97 157 60
1,200 1550 350
13,178 13,709 531
16,330 18,771 2,441
- 0 -
- 0 -
211 238 27
14,246 18,579 4,333
- 0 -
3,830 5,457 1,627
123 132 9
57 68 11
152 212 60
- 0 -
- 310 310
506 847 341
927 2686 1,759
1,191 1,243 52
860 2466 1,606
1,299 1799 500
780 1459 679
931 1209 278
- 0 -
- 7 7
- 0 -
49 52 3
199 208 9
- 0 -
- 0 -
13 55 42
- 1649 1,649
- 0 -
46 50 4
18 18 -
5 5 -
503 644 141
519 520 1
- 0 -
- 0 -
726 726 -
- 0 -
978 978 -
- 0 -
59 59 -
- 0 -
- 0 -
- 0 -
799 905 106
50 50 -
5 6 1
- 0 -
- 0 -
- 0 -
1,200 1433 233
- 0 -
- 0 -
42 44 2
160 170 10
- 0 -
- 0 -
39 49 10
110 305 195
- 0 -
- 0 -
429 704 275
417 755 338
460 480 20
- 0 -
- 0 -
500 500 -
2,591 2709 118
147 153 6
230 554 324
121 125 4
1,770 2960 1,190
489 1560 1,071
1,864 1947 83
3 3 -
- 0 -
1,642 1744 102
970 1735 765
- 0 -
58 58 -
558 678 120
- 270 270
- 0 -
403 657 254
34 65 31
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
69 358 289
782 1275 493
40 51 11
- 0 -
- 0 -
196 2173 1,977
- 0 -
6 6 -
- 0 -
- 0 -
- 0 -
10,454 16925 6,471
1,310 1672 362
- 0 -
2,578 2578 -
- 0 -
- 235 235
- 0 -
- 0 -
- 0 -
125 642 517
89 127 38
- 0 -
3,639 4443 804
913 1427 514
- 0 -
275 465 190
- 0 -
163 182 19
- 0 -
182 182 -
1,474 3108 1,634
295 327 32
18,450 22978 4,528
- 0 -
- 0 -
- 0 -
2,000 2148 148
4,111 5,124 1,013
- 0 -
5 7 2
- 0 -
- 0 -
- 0 -
- 0 -
565 800 235
190 509 319
- 392 392
- 0 -
3,371 3,593 222
2,430 2,854 424
15 21 6
572 784 212
- 0 -
- 0 -
- 0 -
693 693 -
574 939 365
246 377 131
2,400 3539 1,139
869 902 33
- 0 -
- 0 -
- 0 -
2,865 3707 842
- 0 -
- 0 -
- 0 -
- 0 -
3,644 6477 2,833
79 81 2
610 613 3
- -
- 0 -
- 0 -
- 0 -
61 75 14
- 0 -
- 0 -
70 72 2
- 0 -
- 0 -
- 0 -
- 0 -
34 34 -
- 0 -
27 27 -
68 87 19
39 39 -
39 60 21
- 0 -
- 0 -
15 15 -
- 0 -
1,243 3465 2,222
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
267 372 105
- 0 -
- 0 -
30 50 20
163 169 6
- 0 -
- 0 -
- 0 -
2,086 2149 63
- 0 -
313 559 246
- 0 -
- 0 -
850 1159 309
- 0 -
81 166 85
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
34 128 94
- 0 -
160 172 12
1,962 2,125 163
8,300 8,615 315
8,381 8,381 -
- -
668 784 116
- 0 -
1,494 1530 36
2,034 2147 113
13 27 14
- 0 -
32 32 -
4 4 -
- 0 -
200 200 -
- 0 -
210 210 -
15 214 199
95 120 25
12 109 97
318 318 -
43 218 175
- 0 -
- 0 -
7 12 5
- 0 -
- 10 10
- 0 -
60 60 -
9 12 3
- 0 -
1 6 5
- 0 -
- 154 0 -
- 0 -
- 0 -
96 127 31
59 62 3
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
2 5 3
200 200 -
200 200 -
- -
12 12 -
20 20 -
5 5 -
9 9 -
50 50 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2 3 4 5 6
17 Antasida DOEN II Suspensi Kombinasi Botol 17 6
19 Antihemoroid Kombinasi sup Sup 152
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoks Tablet
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 307 204
24 Asam Folat 1 mg Tablet 80 194
25 Asam Mefenamat tablet 500 mg Tablet 200 260 400
28 Atapulgit Tablet Tablet 110 121 700
37 Deksametason Tablet 0,5 mg Tablet
71 Glibenklamida Tablet 5 mg Tablet 160 269
87 Kaptopril Tablet 25 mg Tablet 30 40 900
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 Tablet 410 372
108 Loratadin 10 mg tablet Tablet 80 116
127 Natrium Diklofenak Tablet 50 mg Tablet 360 153 400
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp 100 82
140 Pirantel pamoat tab 125 mg Tablet 2,000
154 Salep 2 - 4 Kombinasi Tube
161 Simvastatin Tablet 20 mg Tablet
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 310 198 2,200
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 25 18
9 Duvadilan Tablet
17 Gentamisin Salep Kulit 0,1 % Botol 21 3
21 Imersi Oil Botol
34 Lisol Botol
38 Oksitetrasiklin HCl Salep Mata 1 % Tube
41 Pehacain inj Amp
47 Reagen TB Botol
59 Betahistin Tablet 60 132 1,470
11 HCG test Pcs
13 Infusion Set Dewasa Pcs 15 -
29 Masker Rol
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
42 Fixomul Pcs 2
43 Handscoond M Pcs 200
44 Handscoond L Pcs 200
IV TAMBAHAN
1 Uniflex 12
2 Cuticell Classic 20
3 Alkohol 70% 1 L 5
4 Leukopas 9
5 Vitamin C 500 mg -
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Amp
Botol
Amp
Amp
Amp
Pcs
Pcs
Amp
Amp
Amp
Botol
Pcs
Pcs
Botol
Pcs
Tablet
Tablet
Tablet
Pcs
Bks
Tablet
Tablet
Tablet
Tablet
Pcs
Botol
Pcs
Pcs
Botol
Botol
Botol
Pcs
Botol
Pcs
Botol
Bks
Botol
Botol
Tablet
Botol
Tablet
Botol
Rol
Tablet
Botol
Tablet
Vial
Tablet
Botol
Pcs
Rol
Tablet
Amp
Tablet
Tablet
Botol
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Rol
Pcs
Rol
Rol
Pcs
Pcs
Pcs
Pcs
Pcs
Tube
Pcs
Botol
Tube
Pcs
Botol
Tablet
Tablet
bhp
Jumlah
7
LPLPO Pemakain
206 230 24
- - -
- - -
1,504 1,670 166
100 100 -
53 53 -
97 97 -
1,200 1,200 -
12,588 13,178 590
11,530 16,330 4,800
- - -
- - -
119 211 92
12,446 14,246 1,800
- - -
3,330 3,830 500
23 123 100
49 57 8
152 152 -
- - -
- - -
506 506 -
511 927 416
274 1,191 917
860 860 -
1,299 1,299 -
780 780 -
931 931 -
- - -
- - -
- - -
34 49 15
150 199 49
- - -
- - -
13 13 -
- - -
- - -
46 46 -
18 18 -
5 5 -
503 503 -
519 519 -
- - -
- - -
726 726 -
- - -
978 978 -
- - -
27 59 32
- - -
- - -
- - -
799 799 -
44 50 6
5 5 -
- - -
- - -
- - -
1,200 1,200 -
- - -
- - -
42 42 -
43 160 117
- - -
- - -
39 39 -
110 110 -
- - -
- - -
429 429 -
417 417 -
460 460 -
- - -
- - -
500 500 -
2,591 2,591 -
125 147 22
230 230 -
121 121 -
1,770 1,770 -
489 489 -
1,864 1,864 -
3 3 -
- - -
1,642 1,642 -
970 970 -
- - -
- 58 58
558 558 -
- - -
- - -
403 403 -
34 34 -
- - -
- - -
- - -
- - -
- - -
- 58 58
- - -
- - -
69 69 -
782 782 -
40 40 -
- - -
- - -
196 196 -
- - -
6 6 -
- - -
- - -
- - -
10,454 10,454 -
1,310 1,310 -
- - -
2,578 2,578 -
- - -
- - -
- - -
- - -
- - -
125 125 -
95 89 (6)
- - -
3,639 3,639 -
913 913 -
- - -
275 275 -
- - -
160 163 3
- - -
182 182 -
1,474 1,474 -
202 295 93
11,050 18,450 7,400
- - -
- - -
- - -
2,000 2,000 -
3,807 4,111 304
- - -
5 5 -
- - -
- - -
- - -
- - -
565 565 -
190 190 -
- - -
- - -
2,709 3,371 662
1,926 2,430 504
- 15 15
572 572 -
- - -
- - -
- - -
340 693 353
410 574 164
- 246 246
2,400 2,400 -
869 869 -
- - -
- - -
- - -
2,708 2,865 157
- - -
- - -
- - -
- - -
3,587 3,644 57
62 79 17
580 610 30
- - -
- - -
- - -
- - -
43 61 18
- - -
- - -
61 70 9
- - -
- - -
- - -
- - -
34 34 -
- - -
27 27 -
61 68 7
39 39 -
24 39 15
- - -
- - -
15 15 -
- - -
1,243 1,243 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
255 267 12
- - -
- - -
- 30 30
137 163 26
- - -
- - -
- - -
2,086 2,086 -
- - -
313 313 -
- - -
- - -
850 850 -
- - -
81 81 -
- - -
- - -
- - -
- - -
- - -
34 34 -
- - -
120 160 40
1,662 1,962 300
8,300 8,300 -
8,381 8,381 -
- - -
668 668 -
- - -
1,294 1,494 200
1,934 2,034 100
13 13 -
- - -
32 32 -
4 4 -
- - -
200 200 -
- - -
210 210 -
15 15 -
95 95 -
12 12 -
318 318 -
43 43 -
- - -
- - -
7 7 -
- - -
- - -
- - -
40 60 20
9 9 -
- - -
1 1 -
- - -
- 154 - -
- - -
- - -
96 96 -
59 59 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2 2 -
200 200 -
200 200 -
- - -
12 12 -
20 20 -
5 5 -
9 9 -
- 50 50
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 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 3 4 5 6
1 Air untuk injeksi Botol 23 36
2 Albendazol 400mg Tablet 90 78
5 Alupurinol Tab 300mg Tablet
6 Aminofilin injeksi 24 mg/ml Amp
7 Aminofilin tablet 200 mg Tablet
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 100 85 200
9 Amlodipin tablet 10 mg Tablet 60 240 700
10 Amlodipin tablet 5 mg Tablet
13 Amoksisilin sir 125mg/5 ml Botol 3 220
19 Antihemoroid Kombinasi supp Sup
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksi Tablet
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 45 15 600
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 228 84 -
25 Asam Mefenamat tablet 500 mg Tablet 783 201 3,900
28 Atapulgit Tablet Tablet
33 Betametason Krim 0,05 % Tube 3
35 Bisaprolol 5mg Tablet 72 38 180
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 11 11 230
37 Deksametason Tablet 0,5 mg Tablet 567 162 2,200
39 Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp 5 50
42 Diazepam Tablet 2 mg Tablet 67
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 25 39 140
46 Digoksin Tablet 0,25 mg tablet
48 Doksisiklin Kapsul 100 mg Tablet
49 Domperidon 10 mg Tablet Tablet 144 100 509
50 Domperidon 5mg/5ml Sirup Botol
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp 15
54 Eritromisin Kapsul 500 mg Tablet 500
55 Eritromisin Sirup 200 mg / 5 ml Botol
56 Etanol cairan 70 % Botol 2 13
57 Etil Klorida Semprot 100 ml Botol 2 5
60 Fenobarbital tablet 30 mg Tablet 308 97 1,200
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 195 127 100
68 Furosemid Tablet 40 mg Tablet 121 400 240
69 Garam Oralit I Serbuk Kombinasi Bks 9 103 500
71 Glibenklamida Tablet 5 mg Tablet 215 500 260
72 Glimepirid 2 mg Tablet
73 Griseofulvin Tablet 125 mg Tablet 50
77 Hidroklorotiazida Tablet 25 mg Tablet 240 190 300
78 Hidrokortison Krim 2,5 % Tube 47 5 -
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet
81 Ibuprofen Tablet 200 mg Amp
84 Kalsium glukonat inj 10% Botol
87 Kaptopril Tablet 25 mg Tablet 269 230 1,200
90 Ketokonazol tab 200 mg Tablet 115 30
99 Klorfeniramin Tablet 4 mg Tablet 580 133 3,450
103 Kodein tablet 10 mg Tablet
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 m Tablet 311 194 200
108 Loratadin 10 mg tablet Tablet
114 Metformin 500 mg Kapsul
119 Metoklopramid Tablet 10 mg Tablet 180 245 500
123 Metronidazol tablet 500 mg Tablet 77 203 1,200
129 Nifedipin Tablet 10 mg Tablet 180 55 1,100
131 Nistatin Vagina 500.000 Tablet Tablet 100
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet 7 40 100
134 Omeprazol tablet 20 mg Tablet 200
140 Pirantel pamoat tab 125 mg Tablet 55 100
144 Prednison Tablet 5 mg Tablet 100 92
149 Propilitiourasil Tablet 100 mg Tablet 55
150 Ranitidin Tablet 150 mg Tablet 165 191 870
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet 80 -
154 Salep 2 - 4 Kombinasi Tube 6
155 Sefadroksil Kapsul 500 mg Tablet
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 56 41 70
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 440 139 1,200
162 Siprofloksasin Tablet scored 500 mg Tablet 173 169 200
163 Spironolakton 25 mg tablet Tablet
165 Tetrasiklin Kapsul 500 mg Tablet 210 120 400
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 247 161 200
173 Zink sir 10 mg/ml Botol 2 2
1 Ambroxol Sirup 15 mg/ml Botol 17 3 100
2 Ambroxol Tablet 30 mg Tablet 799 323 1,100
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube
7 Asiklovir Krim 5% Tube 32
9 Duvadilan Tablet
12 Etakridin Larutan 0,1 Botol
18 Gliseril Guaiakolat Tablet 100 mg Tablet 184 92 2,400
21 Imersi Oil Botol
34 Lisol Botol
35 Natrium Klorida Larutan Infus 0,9% Botol 40
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 11 11 38
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp 77
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 32 9 11
41 Pehacain inj Amp
43 Piroxicam 20mg Tablet 220 79
47 Reagen TB Botol
48 Ringer Laktat Larutan Infus Steril Botol 100
51 Setirizin Tablet 10mg Tablet 300 173 1,000
11 HCG test Pcs
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 3 4 65
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol
29 Masker Rol
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 16
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp 25
4 Haloperidol Dekanoat Injeksi 50 mg.ml Amp 2
5 Risperidon Tablet Tablet
6 Triheksifenidil HCLTablet 2 mg Tablet
8 Clozapine 25 mg Tablet
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
4 Iodin test Pcs
G. DIARE
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol 1 1
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
32 Leucoplast Rol 22
33 Uniflex 7,5 x 4,5cm Rol
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
45 Sarung Tangan Size L Tablet
46 Sarung Tangan Size M Tablet
Desintfektan spray
47 Lansoprazole bhp
Jumlah LPLPO
59 70 11
168 280 112
- 0 -
1,558 1754 196
- 0 -
- 0 -
- 0 -
385 385 -
1,000 2024 1,024
- 1800 1,800
- 0 -
- 0 -
223 234 11
3,525 5456 1,931
- 0 -
3,509 4322 813
250 263 13
71 74 3
- 68 68
- 0 -
660 722 62
568 866 298
312 1367 1,055
699 960 261
4,884 5655 771
1,193 1397 204
1,050 1140 90
- 0 -
- 0 -
- 0 -
- 0 -
16 27 11
3 15 12
- 0 -
290 321 31
252 259 7
2,929 3888 959
- 0 -
55 55 -
20 22 2
7 7 -
67 89 22
94 142 48
- 0 -
204 213 9
- 0 -
- 0 -
- 0 -
753 897 144
- 0 -
15 19 4
- 0 -
- 0 -
500 607 107
- 0 -
15 22 7
7 8 1
- 0 -
- 0 -
1,605 1608 3
- 0 -
- 0 -
30 30 -
422 453 31
- 0 -
- 0 -
24 24 -
761 910 149
612 612 -
- 0 -
975 1519 544
- 0 -
50 50 -
- 0 -
- 0 -
- 0 -
730 842 112
52 302 250
- 0 -
60 69 9
- 0 -
149 356 207
1,413 1543 130
- 0 -
- 0 -
1,670 1897 227
1,699 2390 691
- 0 -
- 0 -
145 215 70
- 0 -
- 0 -
910 919 9
38 39 1
- 0 -
- 0 -
- 0 -
- 0 -
4,163 6145 1,982
- 0 -
- 0 -
- 0 -
- 519 519
705 946 241
92 92 -
- 0 -
- 185 185
- 14 14
- 5 5
- 5 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
2,570 2598 28
- 0 -
925 925 -
- 0 -
- 0 -
- 0 -
1,480 1500 20
60 73 13
- 0 -
2,713 2923 210
3,856 4350 494
- 0 -
1,335 1435 100
- 0 -
100 100 -
147 166 19
- 84 84
200 220 20
140 370 230
2,443 6648 4,205
- 0 -
- 0 -
- 0 -
155 155 -
7,311 7423 112
33 35 2
7 12 5
192 757 565
- 0 -
- 0 -
- 0 -
450 529 79
55 118 63
1,226 1554 328
- 0 -
2,233 2564 331
80 100 20
6 25 19
- 0 -
- 2 2
- 27 27
167 249 82
1,779 1839 60
- 0 -
472 859 387
542 1780 1,238
- 0 -
- 0 -
730 810 80
- 0 -
608 2377 1,769
- 0 -
- 0 -
- 0 -
- 0 -
5,631 8706 3,075
4 6 2
346 998 652
- -
120 146 26
2,222 3389 1,167
- 0 -
- 50 50
- 0 -
- 0 -
32 34 2
- 0 -
- 0 -
- 0 -
- 0 -
- 48 48
- 0 -
30 30 -
93 97 4
45 46 1
- 0 -
2,676 2975 299
- 5 5
4 4 -
- 0 -
3,643 4671 1,028
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
40 280 240
60 76 16
77 100 23
52 54 2
59 72 13
- 0 -
- 0 -
- 0 -
299 310 11
- 0 -
614 702 88
- 0 -
- 0 -
100 1280 1,180
- 0 -
39 43 4
1,473 1683 210
- 0 -
- 0 -
- 0 -
- 0 -
45 53 8
- 0 -
27 111 84
- -
579 624 45
- 0 -
1,624 1877 253
497 681 184
43 50 7
- 0 -
25 71 46
28 30 2
- 15 15
- 3 3
- 0 -
251 251 -
490 500 10
208 236 28
88 144 56
284 299 15
310 311 1
- 20 20
- 20 20
33 42 9
- 0 -
- 50 50
- 0 -
72 91 19
- 9 9
- 0 -
- 70 70
- 0 -
- 500 500
- 0 -
- 0 -
16 174 158
57 66 9
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 5290 5,290
25 25 -
2 2 -
- 2395 2,395
- 4980 4,980
- 0 -
- 2450 2,450
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 28407 28,407
- 100 100
- 3850 3,850
- 0 -
- -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 1700 1,700
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 300
- -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
2 30 28
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
1 4 3
- 24 24
22 22 -
- 17 17
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 9 9
- 0 -
- 0 -
- 100 100
- 100 100
- 14 14
- 500 500
-
-
-
NO NAMA OBAT SATUAN Apotek IGD Gudang Jumlah LPLPO
1 2 3 4 5 6 7
1 Air untuk injeksi Botol 17 30 47 59 12
2 Albendazol 400mg Tablet 178 178 168 (10)
3 Albendazol susp 200 mg/5ml Botol - 0 -
4 Alopurinol tablet 100 mg Tablet 155 321 2,200 2,676 1154 (1,522)
5 Alupurinol Tab 300mg Tablet - 0 -
6 Aminofilin injeksi 24 mg/ml Amp - 0 -
7 Aminofilin tablet 200 mg Tablet - 0 -
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 100 85 1,200 1,385 1385 -
9 Amlodipin tablet 10 mg Tablet 270 238 200 708 2200 1,492
10 Amlodipin tablet 5 mg Tablet 70 182 900 1,152 1800 648
11 Amoksisilin 250 mg Tablet - 0 -
12 Amoksisilin sir forte 250mg Botol - 0 -
13 Amoksisilin sir 125mg/5 ml Botol 7 14 115 136 223 87
14 Amoksisilin Tablet 500 mg Tablet 224 297 800 1,321 2656 1,335
15 Ampisilin serb inj 1000 mg/vial Vial - 0 -
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 272 381 3,300 3,953 3022 (931)
17 Antasida DOEN II Suspensi Kombinasi Botol 14 16 180 210 250 40
18 Antifungi DOEN Kombinasi Tube 29 12 14 55 71 16
19 Antihemoroid Kombinasi supp Sup 10 10 0 (10)
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksi Tablet - 0 -
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 30 120 500 650 660 10
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 225 173 1,000 1,398 568 (830)
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 453 499 300 1,252 5312 4,060
24 Asam Folat 1 mg Tablet 120 159 100 379 699 320
25 Asam Mefenamat tablet 500 mg Tablet 419 175 2,900 3,494 4884 1,390
26 Asiklovir Tablet 200 mg Tablet 543 130 700 1,373 1193 (180)
27 Asiklovir Tablet 400 mg Tablet 88 242 850 1,180 1050 (130)
28 Atapulgit Tablet Tablet - 0 -
29 Atenolol 50 mg Tablet - 0 -
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp - 0 -
31 Atropin Sulfat Tablet 0,5 mg Tab Tablet - 0 -
32 Bedak Salisil serbuk 2% Bks 9 5 91 105 112 7
33 Betametason Krim 0,05 % Tube - 3 3
34 Bisakodil sup 5 mg Botol - 0 -
35 Bisaprolol 5mg Tablet 90 123 120 333 290 (43)
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 9 10 220 239 252 13
37 Deksametason Tablet 0,5 mg Tablet 233 225 2,400 2,858 2929 71
38 Devitalisasi Pasta (Non Arsen) Botol - 0 -
39 Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp 24 30 54 55 1
40 Diazepam rektal 10mg/2 ,5ml Amp 3 17 20 20 -
41 Diazepam rektal 5mg/2 ml Amp 2 5 7 7 -
42 Diazepam Tablet 2 mg Tablet 37 37 67 30
43 Diazepam Tablet 5 mg Tablet 9 17 800 826 94 (732)
44 Dietilkarbamazin tab 100mg Tablet - 0 -
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 21 20 140 181 204 23
46 Digoksin Tablet 0,25 mg tablet - 0 -
47 Diltiazem hcl tab 30mg Tablet - 0 -
48 Doksisiklin Kapsul 100 mg Tablet - 0 -
49 Domperidon 10 mg Tablet Tablet - 153 153
50 Domperidon 5mg/5ml Sirup Botol - 0 -
51 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp 13 13 15 2
52 Ergotamin tab 1mg Tablet - 0 -
53 Eritromisin kapsul 250 mg Tablet - 0 -
54 Eritromisin Kapsul 500 mg Tablet 200 90 200 490 500 10
55 Eritromisin Sirup 200 mg / 5 ml Botol - 0 -
56 Etanol cairan 70 % Botol 1 11 12 15 3
57 Etil Klorida Semprot 100 ml Botol - 7 7
58 Eugenol cairan Botol - 0 -
59 Fenitoin Na kaps Tablet - 0 -
60 Fenobarbital tablet 30 mg Tablet 285 97 1,200 1,582 1605 23
61 Fenoksimetil penisilin ( Penisilin V ) 250mg Tablet - 0 -
62 Fenoksimetil penisilin ( Penisilin V ) 500mg Tablet - 0 -
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 12 12 30 18
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 185 121 100 406 422 16
65 Flufenazin inj 25 mg/ml (i.m) Amp - 0 -
66 Fluor kaps 1 mg Kapsul - 0 -
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 23 23 24 1
68 Furosemid Tablet 40 mg Tablet 300 119 400 819 761 (58)
69 Garam Oralit I Serbuk Kombinasi Bks 16 4 450 470 612 142
70 Glass Ionomer Cement Art Lar. Botol - 0 -
71 Glibenklamida Tablet 5 mg Tablet 235 237 200 672 975 303
72 Glimepirid 2 mg Tablet - 0 -
73 Griseofulvin Tablet 125 mg Tablet 40 40 50 10
74 Griseril trinitrat tab sublingual 0,5 mg Tablet - 0 -
75 Haloperidol Tablet 0,5 mg Tablet - 0 -
76 Haloperidol Tablet 1,5 mg Tablet - 0 -
77 Hidroklorotiazida Tablet 25 mg Tablet 165 120 100 385 730 345
78 Hidrokortison Krim 2,5 % Tube 25 18 192 235 302 67
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet - 0 -
80 Ibuprofen Sirup 100 mg/5 ml Botol 14 10 30 54 60 6
81 Ibuprofen Tablet 200 mg Amp - 0 -
82 Ibuprofen Tablet 400 mg Tablet - 149 149
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 119 92 1,100 1,311 1413 102
84 Kalsium glukonat inj 10% Botol 5 5 10 0 (10)
85 Kalsium Hidroksida bubuk,Pasta Botol - 0 -
86 Kaptopril Tablet 12,5 mg Tablet 340 127 800 1,267 1670 403
87 Kaptopril Tablet 25 mg Tablet 299 185 700 1,184 1699 515
88 Karbamazepin tab 100 mg Tablet - 0 -
89 karbo Gliserin tetestelinga 10 % Botol 27 27 0 (27)
90 Ketokonazol tab 200 mg Tablet 50 30 80 145 65
91 Klindamisin 300 mg Tablet - 0 -
92 Klindamisin kap 150mg Tablet - 0 -
93 Kloramfenikol kapsul 250 mg Tablet 152 142 600 894 910 16
94 Kloramfenikol Salep Mata 1 % Tube 10 8 19 37 38 1
95 Kloramfenikol susp 125mg/5ml Botol - 0 -
96 Kloramfenikol Tablet 500mg Tablet - 0 -
97 Kloramfenikol Tetes Mata 1 % Botol - 0 -
98 Kloramfenikol tetes telinga 1% Botol - 0 -
99 Klorfeniramin Tablet 4 mg Tablet 352 842 2,160 3,354 8051 4,697
100 Klorfenol Kamfer Menthol (CHKM) Botol - 0 -
101 Klorpromazin Tablet Salut 100 mg (HCl) Tablet - 0 -
102 Klorpromazin Tablet Salut 25 mg (HCl) Tablet - 0 -
103 Kodein tablet 10 mg Tablet 95 79 200 374 426 52
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 Tablet 245 248 900 1,393 1705 312
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 6 14 65 85 92 7
106 Kuinin Tab Tablet - 0 -
107 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp 24 24 185 161
108 Loratadin 10 mg tablet Tablet - 14 14
109 Magnesium Sulfat Injeksi 20% Botol 5 5 5 -
110 Magnesium Sulfat Injeksi 40% Botol 11 6 17 5 (12)
111 Mebendazol sir 50mg/ml Botol - 0 -
112 Mebendazol tab 100 mg Tablet - 0 -
113 Mebendazol tab 500 mg Tablet - 0 -
114 Metformin 500 mg Kapsul - 0 -
115 Metformin 850 mg Kapsul - 0 -
116 Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp 5 5 0 (5)
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 180 199 2,300 2,679 2570 (109)
118 Metilprednisolon tab 4 mg Tablet - 0 -
119 Metoklopramid Tablet 10 mg Tablet 160 128 400 688 925 237
120 Metrodinazol lar inf 5mg/ml Botol - 0 -
121 Metrodinazol sir 125mg/ml Botol - 0 -
122 Metronidazol Tablet 250 mg Tablet - 0 -
123 Metronidazol tablet 500 mg Tablet 217 90 900 1,207 1480 273
124 Mikonazol Krim 2% (Nitrat) Tube 31 13 44 60 16
125 Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet - 0 -
126 Natrium Diklofenak Tablet 25 mg Tablet 215 180 2,800 3,195 2713 (482)
127 Natrium Diklofenak Tablet 50 mg Tablet 280 367 2,000 2,647 3856 1,209
128 Natrium tiosulfat inj 25% (i.v) Amp - 0 -
129 Nifedipin Tablet 10 mg Tablet 135 56 1,100 1,291 1335 44
130 Nistatin Suspensi 100.000UI/ml Botol - 0 -
131 Nistatin Vagina 500.000 Tablet Tablet 94 94 100 6
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet 114 20 100 234 147 (87)
133 Oksitosin Injeksi 10 iu/ml -1 ml Amp 63 63 77 14
134 Omeprazol tablet 20 mg Tablet 127 124 150 401 1100 699
135 Parasetamol Sirup 120 mg / 5 ml Botol 7 6 230 243 340 97
136 Parasetamol Tablet 500 mg Tablet 100 433 4,100 4,633 12443 7,810
137 Parasetamol drops 100 mg / 1 ml Botol - 0 -
138 Perak sulfadiazin krim1% Tube - 0 -
139 Pirantel pamoat sus 125mg/5ml Botol 52 52 0 (52)
140 Pirantel pamoat tab 125 mg Tablet 100 100 155 55
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 369 407 5,800 6,576 7311 735
142 Povidon Iodida 100 mg/ml 30 ml Botol - 33 33
143 Povidon Iodida 100 mg/ml 300 ml Botol 1 4 5 7 2
144 Prednison Tablet 5 mg Tablet - 192 192
145 Primakuin Tablet 15 mg Tablet - 0 -
146 Probenesid tab 500mg Tablet - 0 -
147 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial - 0 -
148 Propanolol Tablet 10 mg (HCl) Tablet 45 100 145 450 305
149 Propilitiourasil Tablet 100 mg Tablet 109 70 700 879 55 (824)
150 Ranitidin Tablet 150 mg Tablet - 1226 1,226
151 Risperidon 2 mg Tablet - 0 -
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 733 25 1,300 2,058 2433 375
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet - 80 80
154 Salep 2 - 4 Kombinasi Tube - 6 6
155 Sefadroksil Kapsul 500 mg Tablet - 0 -
156 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial 2 2 0 (2)
157 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Vial 16 16 27 11
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 25 24 200 249 167 (82)
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 550 329 800 1,679 1779 100
160 Simvastatin Tablet 10 mg Tablet - 0 -
161 Simvastatin Tablet 20 mg Tablet - 472 472
162 Siprofloksasin Tablet scored 500 mg Tablet 198 218 800 1,216 1542 326
163 Spironolakton 25 mg tablet Tablet 100 900 1,000 0 (1,000)
164 Tetrakain HCl Tetes Mata 0,5 % Botol - 0 -
165 Tetrasiklin Kapsul 500 mg Tablet 40 120 500 660 730 70
166 Tetrasiksin 250 mg Tablet - 0 -
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 177 41 218 2108 1,890
168 Valproat sir 250 mg/ml Botol - 0 -
169 Valproat tab sal 250mg Tablet - 0 -
170 Valproat tab sal 500 mg Tablet - 0 -
171 Verapamil 80mg Tablet - 0 -
172 Vitamin B Kompleks Tablet Tablet 279 194 300 773 5631 4,858
173 Zink sir 10 mg/ml Botol - 4 4
174 Zink tablet dispersi 20 mg Tablet - 346 346
II OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS) - -
1 Ambroxol Sirup 15 mg/ml Botol 15 13 54 82 120 38
2 Ambroxol Tablet 30 mg Tablet 357 291 1,500 2,148 2222 74
3 Antalgin Injeksi 250 mg Amp - 0 -
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 10 23 33 50 17
5 Asam asetil salisilat (asetosal) tablet500 mg Tablet - 0 -
6 Asetosal Tablet 100mg Tablet - 0 -
7 Asiklovir Krim 5% Tube 27 27 32 5
8 Counterpain 15 mg Tube - 0 -
9 Duvadilan Tablet - 0 -
10 Efedrin Tablet 25mg ( HCL ) Tablet - 0 -
11 Ekstraks Belladona Tablet 10 mg Tablet - 0 -
12 Etakridin Larutan 0,1 Botol - 48 48
13 Famotidine Tablet 40 mg Tablet - 0 -
14 Fenobarbital inj Tablet 30 30 30 -
15 Fenol Gliserol Tetes Telinga 10 % Botol 13 48 61 93 32
16 Gentamisin Injeksi 40 mg/ml Amp 6 35 41 45 4
17 Gentamisin Salep Kulit 0,1 % Botol - 0 -
18 Gliseril Guaiakolat Tablet 100 mg Tablet 420 412 2,500 3,332 1975 (1,357)
19 Glukosa Larutan Infus 10 % Steril Botol - 5 5
20 Glukosa Larutan Infus 5 % Steril Botol 17 17 4 (13)
21 Imersi Oil Botol - 0 -
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 185 145 2,000 2,330 3643 1,313
23 Ketorolac inj 30mg/ml Amp - 0 -
24 Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet - 0 -
25 Larutan Asam Asetat Botol - 0 -
26 Larutan Asam Klorida 0,1 N Botol - 0 -
27 Larutan Benedict Botol - 0 -
28 Larutan Eosin 2% Botol - 0 -
29 Larutan Faucet Botol - 0 -
30 Larutan Giemsa Stalin Botol - 0 -
31 Larutan Natrium Sitrat 3,8% Botol - 0 -
32 Larutan Resserccer Botol - 0 -
33 Larutan Turk Botol - 0 -
34 Lisol Botol - 0 -
35 Natrium Klorida Larutan Infus 0,9% Botol 195 195 240 45
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 10 13 24 47 114 67
37 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp - 100 100
38 Oksitetrasiklin HCl Salep Mata 1 % Tube 29 8 110 147 52 (95)
39 Oksitetrasiklin Salep Kulit 3 % Tube 30 18 48 59 11
40 Parasetamol 100 mg Tablet - 0 -
41 Pehacain inj Amp - 0 -
42 Piracetam Injeksi 1 g / 5 mL Amp - 0 -
43 Piroxicam 20mg Tablet 240 49 289 299 10
44 Propanolol tablet 40 mg Tablet 185 100 285 0 (285)
45 Ranitidin Injeksi 25 mg / 2 ml Amp 22 22 450 494 572 78
46 Reagen Golongan Darah Botol - 0 -
47 Reagen TB Botol - 0 -
48 Ringer Laktat Larutan Infus Steril Botol 860 860 1100 240
49 Semen Seng Fosfat Serbuk dan Cairan Botol - 0 -
50 Setirizin Sirup 5 mg/5ml Botol 7 8 12 27 39 12
51 Setirizin Tablet 10mg Tablet 305 235 700 1,240 1473 233
52 Simetidin Tablet 200 mg Tablet - 0 -
53 Sulfasetamida Natrium Tetes Mata 15 % Botol - 0 -
54 Tablet Tambah Darah Tablet - 0 -
55 Temporary Stopping Fletcher Serbuk dan Cairan Botol - 0 -
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet - 45 45
57 Trombophob Jeli 15 g Tube - 0 -
58 Ventolin Botol 16 80 96 107 11
III BAHAN MEDIS HABIS PAKAI (BMHP) Pcs - -
2 Alat Suntik Sekali Pakai 2,5 ml Pcs - 0 -
3 Alat Suntik Sekali Pakai 3 ml Pcs 100 1,100 1,200 1624 424
4 Alat Suntik Sekali Pakai 5 ml Pcs 137 100 100 337 497 160
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs 13 13 43 30
6 Elastis Verban 4 inci Pcs - 0 -
7 Foley Catheter No. 16 Pcs 8 60 68 65 (3)
8 Foley Catheter No. 18 Pcs 4 10 14 28 14
9 Hanscoond no 6,5 Pcs - 0 -
10 Hanscoond no 7,5 Pcs 400 400 0 (400)
11 HCG test Pcs - 0 -
12 Infusion Set Anak Pcs 56 250 306 251 (55)
13 Infusion Set Dewasa Pcs 350 350 490 140
14 IV Catheter No. 18. G Pcs 77 100 177 208 31
15 IV Catheter No. 20 G Pcs - 88 88
16 IV Catheter No. 22 G Pcs 18 200 218 284 66
17 IV Catheter No. 24 G Pcs 60 250 310 310 -
18 Jarum Jahit Kulit Pcs - 10 10
19 Jarum Jahit Otot Pcs - 10 10
20 Kapas Pembalut / Absorben 250 gr Pcs 28 28 33 5
21 Kasa Pembalut 2 m x 80 cm Rol - 0 -
22 Kasa Hidrofil 4 m x 15 cm Rol - 50 50
23 Kasa Hidrofil 4 m x 3 cm Rol - 0 -
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 1 6 32 39 72 33
25 Kasa Hidrofil Uk. 36 m x 80 cm Rol 3 3 9 6
26 Kasa Kompres 40/40 Steril Rol - 0 -
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 70 70 70 -
28 Kasa Pembalut Hidrofil 4 m x 5 cm Rol - 0 -
29 Masker Rol - 500 500
30 Pembalut Gips 4 Inci Rol - 0 -
31 Plester 5 Yards x 2 inci Rol - 0 -
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 30 108 138 160 22
33 Urine Bag Pcs 20 20 57 37
34 Wing Needle No.27 G Pcs - 0 -
35 Handscoond 8 Pcs - 0 -
36 Handscoond 7 Pcs - 0 -
37 Plesterin Non Woven Pcs - 0 -
38 Kasa Hidrofil Uk. 40 m x 80 cm Pcs - 0 -
39 Poligyp 10 cm x 2,7 m Pcs - 0 -
40 Policrepe pembalut elastis 10 cm x 4,5 m Pcs - 0 -
41 Plester 5cm x 5m Pcs - 0 -
IV OBAT PROGRAM - -
A. MALARIA - -
1 Obat Anti Malaria (ACT) Tablet - 0 -
2 Primaquin Tablet Tablet - 0 -
3 Kina tablet Tablet - 0 -
4 RDT Malaria (First Respon) Pcs - 0 -
5 Arterakina (DHP)=Dartep - 0 -
6 Artehemeter Injeksi Amp - 0 -
7 Kuinin Sulfat tablet 222 mg Tablet - 0 -
B. TUBERCULOSIS (TB) - -
1 OAT FDC kategori 1 Paket - 0 -
2 OAT FDC kategori 2 Paket - 0 -
3 OAT Kategori Anak Paket - 0 -
4 OAT Kombipak Paket - 0 -
5 Masker Pcs - 0 -
C. PENYAKIT TIDAK MENULAR (PTM) - -
1 Flufenazin Deconat inj 25 mg/ml (im) Amp - 0 -
2 Haloperidol tab 5 mg Tablet 5,200 5,200 5200 -
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp 20 20 25 5
4 Haloperidol Dekanoat Injeksi 50 mg.ml Amp 2 2 2 -
5 Risperidon Tablet Tablet 65 2,500 2,565 2395 (170)
6 Triheksifenidil HCLTablet 2 mg Tablet 25 4,900 4,925 4980 55
7 Clobazam tablet 10 mg Tablet - 0 -
8 Clozapine 25 mg Tablet 65 2,400 2,465 2450 (15)
9 Klorpromazine Tablet Tablet - 0 -
10 Diazepam 5 mg Tablet - 0 -
11 Asprazolam Tablet - 0 -
D. VAKSIN - -
1 BCG Amp - 0 -
2 POLIO 10 DS Pcs - 0 -
3 CAMPAK Amp - 0 -
4 IPV - 0 -
5 HB UNIJEK - 0 -
6 Td Amp - 0 -
7 DPT HB-Hib Amp - 0 -
8 TT Amp - 0 -
9 Dt Amp - 0 -
10 POLIO 20 DS Pcs - 0 -
11 VAR (vaksin rabies ) Vial - 0 -
12 ADS 0,05 ml Pcs - 0 -
13 ADS 0,5 ml Pcs - 0 -
14 ADS 5 ml Pcs - 0 -
15 VAKSIN MR Amp - 0 -
E. KIA - -
1 Glukanos kalsikus injeksi 10 % Amp - 0 -
2 Magnesium sulfat injeksi 20%-25ml Botol - 0 -
3 Metilgomertin meleat inj 0,200mg- 1ml Amp - 0 -
4 Fenobarbital injeksi IM/IV 50mg/ml Amp - 0 -
5 Gentamicin inj 40mg/dl Amp - 0 -
6 Tes Kehamilan Pcs - 0 -
7 Tes Protein Urine Pcs - 0 -
8 Pytomenadion (vit K 1)inj IM ml/ml Amp - 0 -
9 Oksitosin inj IV/ml-1ml Amp - 0 -
10 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Amp - 0 -
11 Reagen Golongan Darah Botol - 0 -
12 Hb Sahli Pcs - 0 -
13 Oto Klik Pcs - 0 -
14 Larutan Hcl Botol - 0 -
15 Blood lancet Pcs - 0 -
F. GIZI - -
1 Tablet tambah darah Tablet - 22400 22,400
2 Vit A Biru 100.000 IU Tablet - 100 100
3 Vit A Merah 200.000 IU Tablet - 3750 3,750
4 Iodin test Pcs - 0 -
G. DIARE - -
1 Garam Oralit 200 mg Bks - 0 -
2 Zinc Tablet 20 mg Tablet - 0 -
H. FILARIASIS - -
1 Dietilkarbamazin Sitrat (DEC) Tablet - 0 -
2 Parasetamol 500 mg Tablet - 0 -
3 Albendazol 200 mg Tablet - 0 -
G.ALAT LABORATORIUM - -
1 Blood Lancet Pcs - 0 -
2 Reagen TB Botol - 0 -
3 Slide Pcs - 0 -
4 Pot Sputum Pcs - 1700 1,700
5 Metanol 100 ml Botol - 0 -
6 Imersi Oil 60 ml Botol - 0 -
7 Buffer Phosphat 7,2 Botol - 0 -
8 Handscoon (M) Pcs - 0 -
9 Alkohol asam 100 ML Botol - 0 -
10 Masker Pcs - 0 -
11 Giemsa Solution 60 ml Botol - 0 -
12 Alkohol Swap Bks - 300 300
H. KUSTA - -
1 MB Adult - 0 -
2 MB (MDTDMB) child - 0 -
3 PB Adult - 0 -
4 PB (MTDPB) child - 0 -
I. HIV DAN SIFILIS - -
1 Rapid Test Merk :SD - 0 -
2 Fokus (HIV ke 2) - 0 -
3 Rapid Test Merk : Vikia - 0 -
4 Human Hexogon Syphilis - 0 -
5 RPR Syphylis - 0 -
TAMBAHAN - -
1 Gentamisin Tetes mata Botol - 0 -
2 Gentian Violet Botol - 0 -
3 OAM Tablet - 0 -
4 Glikonas Kalsikus inj 10% Botol - 0 -
5 Bromheksin Tablet - 0 -
6 sefadroxil Syr Botol - 0 -
7 Kasa Elastis 4 inc Rol - 0 -
8 Klindamisin Kap 150 mg Tablet - 0 -
9 Glukosa Lar.40% Botol - 0 -
10 Antiparkinson doen kombinasi Tablet - 0 -
11 benzatin Penisilin G I juta iu/Vial Vial - 0 -
12 Aminofilin tab 150 mg Tablet - 0 -
13 Mumfying pasta Botol - 0 -
14 Safety box Pcs - 0 -
15 fixomul Rol 22 22 28 6
16 Guaifenisin Tablet - 0 -
17 Metro 500mg/Injeksi Amp - 0 -
18 Ampisilin 100mg Tablet - 0 -
19 Euthirox 50mg Tablet - 0 -
20 Mineral mix Botol - 0 -
21 Urine 2 Parameter Pcs - 0 -
22 Urine 10 Parameter Pcs - 0 -
23 strip autochek Pcs - 0 -
24 strip glukose autochek Pcs - 0 -
25 Masker N 95 Pcs - 0 -
26 objek glass Pcs - 0 -
27 Rapid HIV Pcs - 0 -
28 Kolesterol Auto chek Pcs - 0 -
29 Stip Cek Narkoba Pcs - 0 -
30 CutiCell 10cm x 10M Rol 20 20 1 (19)
31 Surgical Blade no. 10-24 Pcs - 24 24
32 Leucoplast Rol 18 18 22 4
33 Uniflex 7,5 x 4,5cm Rol 15 15 17 2
34 HB ig Pcs - 0 -
35 RDT hepatitis B Pcs - 0 -
36 RDT Syphilis Pcs - 0 -
37 RDT HIV Pcs - 0 -
38 Blood Slide Pcs - 0 -
39 Oksitetra salp mata prog. KIA Tube - 0 -
40 Anti Hb SAG Pcs - 0 -
41 Metrodinazol 500mg/100ml Botol - 0 -
42 Betadine Salp Tube - 0 -
43 Gluko Protein Pcs - 8 8
44 Reagen Sphylis Botol - 0 -
45 Sarung Tangan Size L Tablet - 0 -
46 Sarung Tangan Size M Tablet - 0 -
Desintfektan spray - 14 14
47 Lansoprazole bhp 150 140 120 410 500 90
-
-
-
NO NAMA OBAT SATUAN Apotek IGD
1 2 3 4 5
2 Albendazol 400mg Tablet 168
4 Alopurinol tablet 100 mg Tablet 2,000 64
5 Alupurinol Tab 300mg Tablet
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 1,200 85
9 Amlodipin tablet 10 mg Tablet 57
14 Amoksisilin Tablet 500 mg Tablet 200 11
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 6,100 210
18 Antifungi DOEN Kombinasi Tube 14 8
20 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksin) Tablet
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 500
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 1,000 181
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 10,600 148
24 Asam Folat 1 mg Tablet
25 Asam Mefenamat tablet 500 mg Tablet 4,100 56
26 Asiklovir Tablet 200 mg Tablet 500 130
32 Bedak Salisil serbuk 2% Bks 88 5
33 Betametason Krim 0,05 % Tube
35 Bisaprolol 5mg Tablet 60 123
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 200 22
37 Deksametason Tablet 0,5 mg Tablet 1,700 261
48 Doksisiklin Kapsul 100 mg Tablet
54 Eritromisin Kapsul 500 mg Tablet 200
60 Fenobarbital tablet 30 mg Tablet 1,200 50
63 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 22
69 Garam Oralit I Serbuk Kombinasi Bks 450
71 Glibenklamida Tablet 5 mg Tablet
72 Glimepirid 2 mg Tablet
77 Hidroklorotiazida Tablet 25 mg Tablet
78 Hidrokortison Krim 2,5 % Tube 168 13
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet
80 Ibuprofen Sirup 100 mg/5 ml Botol 30 7
82 Ibuprofen Tablet 400 mg Tablet
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 1,100 72
86 Kaptopril Tablet 12,5 mg Tablet 700 188
87 Kaptopril Tablet 25 mg Tablet 400 126
90 Ketokonazol tab 200 mg Tablet
93 Kloramfenikol kapsul 250 mg Tablet 600 76
94 Kloramfenikol Salep Mata 1 % Tube 19 10
99 Klorfeniramin Tablet 4 mg Tablet 5,616 97
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg Tablet 900 223
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 65 12
108 Loratadin 10 mg tablet Tablet
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 2,300 14
119 Metoklopramid Tablet 10 mg Tablet 44
124 Mikonazol Krim 2% (Nitrat) Tube 21 6
126 Natrium Diklofenak Tablet 25 mg Tablet 1,750
127 Natrium Diklofenak Tablet 50 mg Tablet
129 Nifedipin Tablet 10 mg Tablet 1,000 156
131 Nistatin Vagina 500.000 Tablet Tablet 94
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet 100 20
134 Omeprazol tablet 20 mg Tablet
135 Parasetamol Sirup 120 mg / 5 ml Botol 205 6
136 Parasetamol Tablet 500 mg Tablet 4,200 132
140 Pirantel pamoat tab 125 mg Tablet 100
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 5,800 194
143 Povidon Iodida 100 mg/ml 300 ml Botol 26 1
148 Propanolol Tablet 10 mg (HCl) Tablet 1,000 45
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 900 331
153 Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet
162 Siprofloksasin Tablet scored 500 mg Tablet 800 8
163 Spironolakton 25 mg tablet Tablet 800 100
165 Tetrasiklin Kapsul 500 mg Tablet 300 120
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 1,100 110
172 Vitamin B Kompleks Tablet Tablet 16,300 292
173 Zink sir 10 mg/ml Botol
174 Zink tablet dispersi 20 mg Tablet
1 Ambroxol Sirup 15 mg/ml Botol 43 7
2 Ambroxol Tablet 30 mg Tablet 1,100 133
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 21
9 Duvadilan Tablet
15 Fenol Gliserol Tetes Telinga 10 % Botol 48 13
18 Gliseril Guaiakolat Tablet 100 mg Tablet 5,000 435
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 6,400 181
34 Lisol Botol
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 24 10
39 Oksitetrasiklin Salep Kulit 3 % Tube 30 12
41 Pehacain inj Amp
43 Piroxicam 20mg Tablet 39
45 Ranitidin Injeksi 25 mg / 2 ml Amp 325 49
47 Reagen TB Botol
50 Setirizin Sirup 5 mg/5ml Botol 50 5
51 Setirizin Tablet 10mg Tablet 700 130
56 Tiamin (Vitamin B1) Injeksi 100 mg/ml Tablet
1 Alat Suntik Sekali Pakai 1 ml Pcs 300 102
3 Alat Suntik Sekali Pakai 3 ml Pcs 1,400 43
11 HCG test Pcs
22 Kasa Hidrofil 4 m x 15 cm Rol 40
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 125 3
27 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 54 16
29 Masker Rol
33 Urine Bag Pcs 20
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet 5,000 20
5 Risperidon Tablet Tablet 2,200 25
6 Triheksifenidil HCLTablet 2 mg Tablet 4,600 35
8 Clozapine 25 mg Tablet 2,150 25
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
4 Iodin test Pcs
G. DIARE
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol 22
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
30 CutiCell 10cm x 10M Rol 16 5
31 Surgical Blade no. 10-24 Pcs 10
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
47 Desintfektan spray
48 Lansoprazole bhp 40 42
49 Betahistine HCL 810 30
48 Etanol cairan 70 % 17 1
Hanscoond no 7 50
Masker 7100
Gudang Jumlah
6 7
LPLPO Pemakaian
27 47 20
168 168 -
- 0 -
290 2,354 2354 -
- 0 -
- 0 -
- 0 -
100 1,385 1385 -
55 112 708 596
355 625 1152 527
- 0 -
- 0 -
11 328 336 8
209 420 1321 901
- 0 -
313 6,623 6953 330
7 183 210 27
28 50 55 5
- 0 -
- 0 -
30 530 650 120
120 1,301 1398 97
635 11,383 13252 1,869
- 379 379
219 4,375 5494 1,119
518 1,148 1193 45
88 960 1050 90
- 0 -
- 0 -
- 0 -
- 0 -
6 99 112 13
- 3 3
- 0 -
80 263 333 70
4 226 252 26
200 2,161 5858 3,697
- 0 -
38 55 17
18 20 2
5 7 2
171 987 1037 50
209 821 826 5
- 0 -
21 164 181 17
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
11 13 2
- 0 -
- 0 -
200 400 490 90
- 0 -
11 12 1
- 7 7
- 0 -
- 0 -
325 1,575 1582 7
- 0 -
- 0 -
- 12 12
165 386 406 20
- 0 -
- 0 -
22 23 1
225 732 761 29
17 467 470 3
- 0 -
68 68 672 604
- 0 -
40 40 -
- 0 -
- 0 -
- 0 -
- 685 685
27 208 235 27
- 0 -
13 50 54 4
- 0 -
- 0 -
89 1,261 1311 50
3 10 7
- 0 -
215 1,103 1267 164
339 865 1184 319
- 0 -
- 0 -
- 80 80
- 0 -
- 0 -
152 828 894 66
29 37 8
- 0 -
- 0 -
- 0 -
- 0 -
394 6,107 7674 1,567
- 0 -
- 0 -
- 0 -
95 352 374 22
245 1,368 1393 25
6 83 85 2
- 0 -
- 24 24
- 0 -
- 17 17
5 5 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
180 2,494 2570 76
- 0 -
177 221 788 567
- 0 -
- 0 -
- 0 -
167 1,025 1207 182
27 44 17
- 0 -
90 1,840 2713 873
- 2647 2,647
- 0 -
135 1,291 1291 -
- 0 -
94 94 -
120 147 27
- 63 63
- 401 401
11 222 243 21
415 4,747 8133 3,386
- 0 -
- 0 -
- 0 -
52 152 155 3
419 6,413 6576 163
31 33 2
27 29 2
- 0 -
- 0 -
- 0 -
- 0 -
100 1,145 1145 -
109 779 879 100
- 0 -
- 0 -
644 1,875 2058 183
- 0 -
- 0 -
- 0 -
- 2 2
- 16 16
10 194 267 73
360 1,443 1779 336
- 0 -
- 0 -
128 936 1216 280
80 980 1000 20
- 0 -
130 550 660 110
- 0 -
230 1,440 1890 450
- 0 -
- 0 -
- 0 -
- 0 -
590 17,182 19573 2,391
- 0 -
- 0 -
- -
14 64 82 18
397 1,630 2948 1,318
- 0 -
21 33 12
- 0 -
- 0 -
17 27 10
- 0 -
- 0 -
- 0 -
- 0 -
- 48 48
- 0 -
27 30 3
61 61 -
41 41 -
- 0 -
400 5,835 6332 497
- 0 -
- 4 4
- 0 -
220 6,801 7330 529
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
140 195 55
9 43 47 4
- 0 -
25 140 157 17
42 48 6
- 0 -
- 0 -
- 0 -
240 279 289 10
- 0 -
16 390 494 104
- 0 -
- 0 -
700 860 160
- 0 -
10 65 77 12
830 1240 410
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
77 96 19
- -
104 506 508 2
- 0 -
83 1,526 1700 174
99 820 837 17
126 133 7
- 0 -
60 65 5
44 44 -
- 60.3 60
338 412.3 74
- 0 -
251 251 -
498 550 52
154 177 23
284 300 16
276 318 42
253 310 57
- 0 -
- 0 -
1 26 28 2
- 0 -
40 50 10
- 0 -
128 139 11
- 28 28
- 0 -
70 70 -
- 0 -
- 500 500
- 0 -
- 0 -
131 138 7
20 20 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- -
- 0 -
18 18 18 -
- 0 -
- 0 -
5 5 5 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
150 5,170 5200 30
20 20 -
2 2 -
120 2,345 2365 20
130 4,765 4925 160
- 0 -
170 2,345 2420 75
- 0 -
- 0 -
- 0 -
- -
- 9 9
- 17 17
- 0 -
- 0 -
- 20 20
- 12 12
- 1 1
- 0 -
- 0 -
- 0 -
- 0 -
- 180 180
- 293 293
- 42 42
- 14 14
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
37,400 37,400 37400 -
1,300 1,300 1300 -
28,750 28,750 28750 -
- 0 -
- -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
1,000 1,000 1700 700
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
22 22 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
21 21 -
10 10 -
18 18 -
15 15 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
150 232 410 178
60 900 900 -
18
50
NO NAMA OBAT SATUAN Gudang IGD
1 2 3 4 5
2 Albendazol 400mg Tablet 168
4 Alopurinol tablet 100 mg Tablet 1,800 64
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 1,200 83
9 Amlodipin tablet 10 mg Tablet 9,300 57
14 Amoksisilin Tablet 500 mg Tablet 10,200 11
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 4,900 210
18 Antifungi DOEN Kombinasi Tube 14 8
21 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 500 30
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 1,000 60
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 8,900 148
25 Asam Mefenamat tablet 500 mg Tablet 2,500 300
32 Bedak Salisil serbuk 2% Bks 77 5
35 Bisaprolol 5mg Tablet 123
36 Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 170 32
37 Deksametason Tablet 0,5 mg Tablet 1,200 261
48 Doksisiklin Kapsul 100 mg Tablet 800
49 Domperidon 10 mg Tablet Tablet 600
54 Eritromisin Kapsul 500 mg Tablet
60 Fenobarbital tablet 30 mg Tablet 1,200 50
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 22
72 Glimepirid 2 mg Tablet 2,700 100
73 Griseofulvin Tablet 125 mg Tablet 500 40
77 Hidroklorotiazida Tablet 25 mg Tablet 100
78 Hidrokortison Krim 2,5 % Tube 144 13
80 Ibuprofen Sirup 100 mg/5 ml Botol 25 7
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 900 72
86 Kaptopril Tablet 12,5 mg Tablet 300 188
87 Kaptopril Tablet 25 mg Tablet 126
90 Ketokonazol tab 200 mg Tablet 700
93 Kloramfenikol kapsul 250 mg Tablet 600 76
94 Kloramfenikol Salep Mata 1 % Tube 10
99 Klorfeniramin Tablet 4 mg Tablet 3,024 97
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg Tablet 900 223
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 60 12
108 Loratadin 10 mg tablet Tablet 600
114 Metformin 500 mg Kapsul 19,200
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 2,200 14
118 Metilprednisolon tab 4 mg Tablet 100
124 Mikonazol Krim 2% (Nitrat) Tube 6
129 Nifedipin Tablet 10 mg Tablet 900 156
131 Nistatin Vagina 500.000 Tablet Tablet
132 Nistatin Vaginal Tablet 100.000 IU /g Tablet 100
135 Parasetamol Sirup 120 mg / 5 ml Botol 140 6
136 Parasetamol Tablet 500 mg Tablet 4,900 132
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 5,500 194
144 Prednison Tablet 5 mg Tablet 2,600 80
148 Propanolol Tablet 10 mg (HCl) Tablet 900 40
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 600 331
162 Siprofloksasin Tablet scored 500 mg Tablet 5,900 8
163 Spironolakton 25 mg tablet Tablet 800 100
165 Tetrasiklin Kapsul 500 mg Tablet 120
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 800 110
172 Vitamin B Kompleks Tablet Tablet 14,900 292
1 Ambroxol Sirup 15 mg/ml Botol 23 7
2 Ambroxol Tablet 30 mg Tablet 600 133
9 Duvadilan Tablet
15 Fenol Gliserol Tetes Telinga 10 % Botol 40
18 Gliseril Guaiakolat Tablet 100 mg Tablet 4,600 435
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 5,400 181
34 Lisol Botol
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 19 10
39 Oksitetrasiklin Salep Kulit 3 % Tube 5
41 Pehacain inj Amp
43 Piroxicam 20mg Tablet
45 Ranitidin Injeksi 25 mg / 2 ml Amp 250 16
47 Reagen TB Botol
50 Setirizin Sirup 5 mg/5ml Botol 40 5
51 Setirizin Tablet 10mg Tablet 300 130
58 Ventolin Botol 19
3 Alat Suntik Sekali Pakai 3 ml Pcs 1,100 73
11 HCG test Pcs
24 Kasa Hidrofil Steril Uk. 16 cm x 16 cm Rol 113 3
29 Masker Rol 6,450
33 Urine Bag Pcs 20
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet 5,000 20
5 Risperidon Tablet Tablet 2,100 25
6 Triheksifenidil HCLTablet 2 mg Tablet 4,500 35
8 Clozapine 25 mg Tablet 2,150 25
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
1 Tablet tambah darah Tablet 29,300
3 Vit A Merah 200.000 IU Tablet 8,400
4 Iodin test Pcs
G. DIARE
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol 21
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
30 CutiCell 10cm x 10M Rol 16 5
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
48 Lansoprazole bhp 200 42
49 Betahistine HCL 690 30
Kandesartan 8 Mg 8820
48 Kandesartan 16 Mg 8820
Etanol cairan 70 % 1 L 17 1
handscoon 7 80
Apotek Jumlah
6 7
LPLPO Pemakaian
147 147 -
168 168 -
- 0 -
215 2,079 2354 275
200 200 -
- 0 -
- 0 -
100 1,383 1385 2
187 9,544 10112 568
270 625 355
- 0 -
- 0 -
7 294 328 34
523 10,734 12420 1,686
- 0 -
343 5,453 6623 1,170
106 183 77
21 43 50 7
260 260 300 40
- 0 -
530 530 -
180 1,240 1301 61
592 9,640 11383 1,743
- 0 -
194 2,994 4375 1,381
518 1,148 1148 -
88 860 960 100
- 0 -
- 0 -
- 0 -
- 0 -
8 90 99 9
- 0 -
- 0 -
45 168 263 95
11 213 226 13
242 1,703 2161 458
- 0 -
38 38 -
18 18 -
5 5 -
162 973 987 14
134 746 821 75
- 0 -
20 154 164 10
- 0 -
- 0 -
100 900 1000 100
200 800 1000 200
- 0 -
11 11 -
- 0 -
- 0 -
- 400 400
- 0 -
10 11 1
- 0 -
- 0 -
- 0 -
315 1,565 1575 10
- 0 -
- 0 -
- 0 -
120 341 386 45
- 0 -
- 0 -
22 22 -
215 722 732 10
29 429 467 38
- 0 -
300 300 568 268
140 2,940 3000 60
540 540 -
- 0 -
- 0 -
- 0 -
300 400 685 285
7 164 208 44
180 980 1000 20
3 35 50 15
- 0 -
- 0 -
274 1,246 1261 15
3 3 -
- 0 -
488 1103 615
219 345 865 520
- 0 -
- 0 -
175 875 1000 125
- 0 -
- 0 -
152 828 828 -
10 20 29 9
- 0 -
- 0 -
- 0 -
- 0 -
359 3,480 6107 2,627
- 0 -
- 0 -
- 0 -
70 317 352 35
205 1,328 1368 40
9 81 83 2
- 0 -
- 0 -
175 775 1000 225
17 17 -
5 5 -
- 0 -
- 0 -
- 0 -
580 19,780 20000 220
- 0 -
- 0 -
180 2,394 2494 100
107 207 500 293
7 51 221 170
- 0 -
- 0 -
- 0 -
193 1,003 1025 22
11 17 27 10
- 0 -
95 6,745 7440 695
- 0 -
- 0 -
85 1,141 1291 150
- 0 -
84 84 94 10
20 120 120 -
- 200 200
- 0 -
6 152 222 70
106 5,138 8747 3,609
- 0 -
- 0 -
- 0 -
48 148 152 4
379 6,073 6413 340
2 31 31 -
1 26 27 1
300 2,980 3000 20
- 0 -
- 0 -
- 0 -
185 1,125 1145 20
109 779 779 -
- 0 -
- 0 -
763 1,694 1875 181
- 0 -
- 0 -
- 0 -
- 2 2
- 16 16
40 164 194 30
295 1,078 1443 365
160 990 1000 10
170 970 1000 30
155 6,063 6636 573
60 960 980 20
- 0 -
120 550 430
- 0 -
150 1,060 1440 380
- 0 -
- 0 -
- 0 -
- 0 -
471 15,663 17182 1,519
- 0 -
- 0 -
- -
13 43 64 21
305 1,038 1630 592
- 0 -
2 7 21 14
- 0 -
- 0 -
13 113 117 4
- 0 -
- 0 -
- 0 -
- 0 -
48 48 -
- 0 -
27 27 -
21 61 61 -
41 41 -
- 0 -
396 5,431 5835 404
- 0 -
- 0 -
- 0 -
415 5,996 6801 805
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
104 140 36
6 35 43 8
- 0 -
22 111 140 29
28 33 42 9
- 0 -
- 0 -
- 0 -
230 230 279 49
- 0 -
15 281 390 109
- 0 -
- 0 -
512 700 188
- 0 -
7 52 65 13
285 715 830 115
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
19 77 58
- -
106 284 506 222
- 0 -
42 1,215 1526 311
78 649 820 171
86 126 40
- 0 -
60 60 -
41 44 3
- 0 -
296 338 42
- 0 -
246 251 5
466 498 32
134 154 20
263 284 21
268 276 8
250 253 3
- 0 -
- 0 -
3 24 26 2
- 0 -
- 40 40
- 0 -
4 120 128 8
25 28 3
- 0 -
64 70 6
- 0 -
6,450 0 (6,450)
- 0 -
- 0 -
118 131 13
20 20 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 18 18
- 0 -
- 0 -
- 5 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
60 5,080 5170 90
20 20 -
2 2 -
140 2,265 2345 80
160 4,695 4765 70
- 0 -
134 2,309 2345 36
- 0 -
- 0 -
- 0 -
- 0 -
- 1 1
- 18 18
- 0 -
- 0 -
- 11 11
- 17 17
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 130 130
- 390 390
- 32 32
- 22 22
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
29,300 29300 -
- 0 -
8,400 20350 11,950
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 700 700
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
21 22 1
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
21 21 -
10 10 -
16 18 2
15 15 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 96 96
25 267 592 325
25 745 900 155
90 8,910 9000 90
100 8,920 9000 80
18 18 -
80 80 -
- -
- -
-
-
-
-
NO NAMA OBAT SATUAN Gudang
1 2 3 4
4 Alopurinol tablet 100 mg Tablet 1,700
9 Amlodipin tablet 10 mg Tablet 8,100
10 Amlodipin tablet 5 mg Tablet
13 Amoksisilin sir 125mg/5 ml Botol 240
14 Amoksisilin Tablet 500 mg Tablet 9,200
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 3,000
17 Antasida DOEN II Suspensi Kombinasi Botol 257
18 Antifungi DOEN Kombinasi Tube
22 Asam asetil salisilat (asetosal) tablet80 mg Tablet 600
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 8,700
25 Asam Mefenamat tablet 500 mg Tablet 3,400
26 Asiklovir Tablet 200 mg Tablet 500
30 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp 7
32 Bedak Salisil serbuk 2% Bks 77
37 Deksametason Tablet 0,5 mg Tablet 3,200
39 Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp 30
45 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 60
56 Etanol cairan 70 % Botol
64 Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 100
67 Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp
68 Furosemid Tablet 40 mg Tablet 400
72 Glimepirid 2 mg Tablet 2,200
77 Hidroklorotiazida Tablet 25 mg Tablet
78 Hidrokortison Krim 2,5 % Tube 96
79 Hyoscine -N-Butilbromide Tablet 10 mg Tablet 300
80 Ibuprofen Sirup 100 mg/5 ml Botol 110
83 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 800
86 Kaptopril Tablet 12,5 mg Tablet 300
87 Kaptopril Tablet 25 mg Tablet
93 Kloramfenikol kapsul 250 mg Tablet 500
99 Klorfeniramin Tablet 4 mg Tablet 3,024
103 Kodein tablet 10 mg Tablet 100
104 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg Tablet 700
105 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 55
114 Metformin 500 mg Kapsul 19,000
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 2,200
123 Metronidazol tablet 500 mg Tablet 200
129 Nifedipin Tablet 10 mg Tablet 900
135 Parasetamol Sirup 120 mg / 5 ml Botol 230
136 Parasetamol Tablet 500 mg Tablet 2,000
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 5,200
144 Prednison Tablet 5 mg Tablet 2,300
148 Propanolol Tablet 10 mg (HCl) Tablet 1,000
152 Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 200
158 Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 200
159 Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 100
160 Simvastatin Tablet 10 mg Tablet 500
163 Spironolakton 25 mg tablet Tablet 550
167 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 200
172 Vitamin B Kompleks Tablet Tablet 13,600
174 Zink tablet dispersi 20 mg Tablet 200
1 Ambroxol Sirup 15 mg/ml Botol 5
2 Ambroxol Tablet 30 mg Tablet 300
4 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube
9 Duvadilan Tablet
16 Gentamisin Injeksi 40 mg/ml Amp 30
18 Gliseril Guaiakolat Tablet 100 mg Tablet 4,600
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 4,400
34 Lisol Botol
39 Oksitetrasiklin Salep Kulit 3 % Tube
41 Pehacain inj Amp
43 Piroxicam 20mg Tablet
45 Ranitidin Injeksi 25 mg / 2 ml Amp 150
47 Reagen TB Botol
50 Setirizin Sirup 5 mg/5ml Botol 15
51 Setirizin Tablet 10mg Tablet -
58 Ventolin Botol 100
1 Alat Suntik Sekali Pakai 1 ml Pcs 700
11 HCG test Pcs
12 Infusion Set Anak Pcs 240
13 Infusion Set Dewasa Pcs
14 IV Catheter No. 18. G Pcs 100
29 Masker Rol
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs 72
33 Urine Bag Pcs 20
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet 4,800
5 Risperidon Tablet Tablet 2,100
6 Triheksifenidil HCLTablet 2 mg Tablet 4,400
8 Clozapine 25 mg Tablet 1,950
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
4 Iodin test Pcs
G. DIARE
1 Garam Oralit 200 mg Bks 200
2 Zinc Tablet 20 mg Tablet 200
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol 17
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
48 Lansoprazole bhp
49 Betahistine HCL 420
Kandesartan 8 Mg 8730
Etanol cairan 70 % 1 L 16
handscoon 7
IGD Apotek Jumlah
5 6 7
LPLPO Pemakaian
3 141 147 6
- 168 168
- - -
83 265 2,048 2,079 31
100 200 200 -
- - -
- - -
85 90 1,375 1,383 8
230 258 8,588 9,544 956
- 270 270
- - -
- - -
7 7 254 294 40
362 183 9,745 10,734 989
- - -
250 268 3,518 5,453 1,935
- 18 275 306 31
13 13 43 30
260 260 260 -
- - -
400 530 130
137 270 1,007 1,240 233
279 330 9,309 9,640 331
- - -
100 280 3,780 4,994 1,214
99 503 1,102 1,148 46
97 238 785 860 75
- - -
- - -
7 10 3
- - -
5 8 90 90 -
- - -
- - -
- 168 168
26 24 180 213 33
227 262 3,689 4,703 1,014
- - -
8 38 38 -
1 18 18 -
5 5 -
94 133 927 973 46
106 114 720 746 26
- - -
17 44 121 154 33
- - -
- - -
100 900 900 -
62 220 382 800 418
- - -
11 11 -
- - -
- - -
- - -
- - -
1 1 10 9
- - -
- - -
- - -
47 295 1,542 1,565 23
- - -
- - -
22 142 150 8
86 186 341 155
- - -
- - -
21 21 22 1
84 175 659 722 63
13 39 277 429 152
- - -
100 180 280 300 20
200 235 2,635 2,940 305
100 500 540 40
- - -
- - -
- - -
43 140 183 600 417
22 32 150 164 14
235 345 880 980 100
4 10 124 135 11
- - -
- - -
148 234 1,182 1,246 64
3 3 -
- - -
175 475 488 13
48 169 217 345 128
- - -
- - -
145 845 875 30
- - -
- - -
89 152 741 828 87
6 20 20 -
- - -
- - -
- - -
- - -
698 239 3,961 5,208 1,247
- - -
- - -
- - -
74 60 234 317 83
289 165 1,154 1,328 174
5 14 74 81 7
- - -
- - -
165 765 775 10
- 17 17
5 5 -
- - -
- - -
- - -
137 235 19,372 19,780 408
- - -
- - -
94 100 2,394 2,394 -
- 207 207
51 51 51 -
- - -
- - -
- - -
132 208 540 1,003 463
23 23 142 257 115
- - -
231 135 6,016 6,745 729
- - -
- - -
154 75 1,129 1,141 12
- - -
24 24 84 60
20 120 120 -
22 22 200 178
- - -
17 6 253 352 99
420 200 2,620 5,138 2,518
- - -
- 5 5
- - -
48 148 148 -
255 262 5,717 6,073 356
4 30 31 1
1 26 26 -
159 343 2,802 2,980 178
- - -
- - -
- - -
50 75 1,125 1,125 -
70 89 759 779 20
- - -
- - -
281 640 1,121 1,694 573
- - -
- - -
- - -
- 2 2
- 11 11
105 63 368 400 32
208 180 488 1,078 590
160 660 990 330
190 110 650 970 320
354 125 5,779 6,063 284
98 150 798 960 162
- - -
- 120 120
- - -
274 265 739 1,060 321
- - -
- - -
- - -
- - -
235 393 14,228 15,663 1,435
- - -
90 180 470 500 30
- -
17 13 35 43 8
305 265 870 1,038 168
- - -
- 7 7
- - -
- - -
17 30 97 97 -
- - -
- - -
- - -
- - -
48 48 -
- - -
27 27 -
13 61 61 -
11 41 41 -
- - -
455 354 5,409 5,431 22
- - -
- - -
- - -
245 370 5,015 5,996 981
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
60 104 44
5 9 14 23 9
- - -
17 22 64 111 47
- 25 25
- - -
- - -
- - -
220 220 230 10
- - -
15 13 178 281 103
- - -
- - -
400 512 112
- - -
10 12 37 52 15
281 35 316 715 399
- - -
- - -
- - -
- - -
- - -
- - -
19 119 119 -
- -
79 779 784 5
- - -
41 31 472 1,215 743
115 68 583 649 66
2 86 86 -
- - -
60 60 -
16 36 41 5
- - -
170 296 126
- - -
240 246 6
13 13 466 453
21 121 134 13
17 217 263 46
18 268 268 -
250 250 -
- - -
- - -
3 21 24 3
- - -
- 40 40
- - -
5 88 120 32
24 25 1
- - -
35 64 29
- - -
- 800 800
- - -
- - -
23 95 118 23
20 20 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- 8 8
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
20 220 5,040 5,080 40
20 20 -
2 2 -
15 50 2,165 2,165 -
35 60 4,495 4,675 180
- - -
25 70 2,045 2,159 114
- - -
- - -
- - -
- -
- - -
- 19 19
- - -
- - -
- 2 2
- 22 22
- 9 9
- - -
- - -
- - -
- - -
- 120 120
- 490 490
- 17 17
- 30 30
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- 29,300 29,300
- 1,300 1,300
- 16,800 16,800
- - -
- -
200 200 -
80 200 480 500 20
- -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- 200 200
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
17 21 4
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
16 21 5
10 10 -
15 16 1
15 15 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 114 114
- 267 267
41 125 586 745 159
40 140 8,910 8,910 -
45 145 8,920 8,920 -
1 17 18 1
- 100 100
- - -
-
-
-
-
-
0
NO NAMA OBAT SATUAN Apotek
1 2 3 4
4 Alopurinol tablet 100 mg Tablet 325
7 Aminofilin tablet 200 mg Tablet 100
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 90
14 Amoksisilin Tablet 500 mg Tablet 162
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 538
18 Antifungi DOEN Kombinasi Tube 10
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 453
24 Asam Folat 1 mg Tablet 285
25 Asam Mefenamat tablet 500 mg Tablet 324
28 Atapulgit Tablet Tablet 100
37 Deksametason Tablet 0,5 mg Tablet 402
40 Diazepam rektal 10mg/2 ,5ml Amp
41 Diazepam rektal 5mg/2 ml Amp
46 Digoksin Tablet 0,25 mg tablet 100
50 Domperidon 5mg/5ml Sirup Botol 10
55 Eritromisin Sirup 200 mg / 5 ml Botol 5
60 Fenobarbital tablet 30 mg Tablet 295
71 Glibenklamida Tablet 5 mg Tablet 80
72 Glimepirid 2 mg Tablet 330
81 Ibuprofen Tablet 200 mg Amp 180
82 Ibuprofen Tablet 400 mg Tablet 175
91 Klindamisin 300 mg Tablet 100
99 Klorfeniramin Tablet 4 mg Tablet 641
114 Metformin 500 mg Kapsul 210
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 180
126 Natrium Diklofenak Tablet 25 mg Tablet 188
136 Parasetamol Tablet 500 mg Tablet 333
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 762
144 Prednison Tablet 5 mg Tablet 228
150 Ranitidin Tablet 150 mg Tablet 90
155 Sefadroksil Kapsul 500 mg Tablet 100
162 Siprofloksasin Tablet scored 500 mg Tablet 165
172 Vitamin B Kompleks Tablet Tablet 478
173 Zink sir 10 mg/ml Botol 5
9 Duvadilan Tablet
14 Fenobarbital inj Tablet
16 Gentamisin Injeksi 40 mg/ml Amp
18 Gliseril Guaiakolat Tablet 100 mg Tablet 320
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 343
34 Lisol Botol
35 Natrium Klorida Larutan Infus 0,9% Botol
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 8
41 Pehacain inj Amp
47 Reagen TB Botol
48 Ringer Laktat Larutan Infus Steril Botol
51 Setirizin Tablet 10mg Tablet 320
58 Ventolin Botol
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs
7 Foley Catheter No. 16 Pcs
11 HCG test Pcs
12 Infusion Set Anak Pcs
14 IV Catheter No. 18. G Pcs
15 IV Catheter No. 20 G Pcs
29 Masker Rol
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs
33 Urine Bag Pcs
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet 100
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp
5 Risperidon Tablet Tablet 180
6 Triheksifenidil HCLTablet 2 mg Tablet 200
8 Clozapine 25 mg Tablet 130
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
4 Iodin test Pcs
G. DIARE
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
30 CutiCell 10cm x 10M Rol
32 Leucoplast Rol
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
48 Lansoprazole bhp
52 Etanol cairan 70 % 1 L
53 handscoon 7
54 Asam Askorbat (Vitamin C) Tablet 500 mg 100
IGD Gudang Jumlah
5 6 7
LPLPO Pemakaian
10 108 118 141 23
118 118 118 -
- - -
153 1,500 1,978 2,048 70
100 200 200 -
30 30 60 60 -
100 200 200 -
85 1,500 1,675 1,675 -
308 6,900 7,451 8,588 1,137
220 5,400 5,900 6,000 100
- - -
- - -
5 165 178 254 76
94 7,600 7,856 9,745 1,889
- - -
171 3,900 4,609 6,518 1,909
14 220 247 275 28
24 60 94 109 15
212 212 260 48
- - -
56 400 556 556 -
130 500 860 1,007 147
311 6,500 7,264 9,309 2,045
175 900 1,360 2,000 640
269 1,500 2,093 3,780 1,687
99 500 1,272 1,272 -
212 400 704 785 81
90 1,700 1,890 2,000 110
- - -
7 7 10 3
- - -
5 61 72 90 18
17 192 229 240 11
- - -
120 390 589 600 11
24 120 159 180 21
193 2,700 3,295 3,689 394
- - -
12 30 50 50 -
18 18 18 -
4 4 5 1
63 700 871 927 56
104 500 688 720 32
- - -
36 30 104 121 17
100 600 800 800 -
- - -
100 800 970 970 -
124 600 1,144 1,382 238
5 85 100 100 -
6 6 11 5
- - -
- - -
100 400 500 500 -
45 50 50 -
- 1 1
- - -
- - -
- - -
34 1,200 1,529 1,542 13
- - -
- - -
36 90 126 142 16
83 200 433 486 53
- - -
- - -
20 20 21 1
223 503 659 156
13 175 214 277 63
- - -
13 93 280 187
105 2,000 2,435 2,635 200
110 200 490 500 10
- - -
- - -
500 500 500 -
223 600 1,143 1,183 40
21 48 106 150 44
201 200 846 880 34
4 100 110 124 14
219 1,600 1,999 2,000 1
1,000 1,175 2,000 825
242 600 1,076 1,182 106
3 3 3 -
- - -
435 1,300 2,062 2,358 296
202 1,400 1,911 2,217 306
- - -
- - -
74 600 899 953 54
400 500 500 -
- - -
68 500 720 741 21
4 84 109 100 (9)
- - -
- - -
- - -
- - -
455 432 1,528 3,961 2,433
- - -
- - -
- - -
53 50 163 277 114
197 700 1,032 1,154 122
6 50 70 74 4
- - -
- - -
70 500 765 765 -
- 17 17
5 5 5 -
- - -
- - -
- - -
249 18,600 19,059 19,372 313
90 1,800 1,990 2,000 10
- - -
198 2,200 2,578 2,578 -
- - -
152 1,300 1,614 1,670 56
- - -
- - -
- - -
142 1,500 1,835 2,040 205
11 192 218 227 9
- - -
162 5,050 5,400 6,016 616
180 1,500 1,980 2,000 20
- - -
153 700 918 1,129 211
- - -
24 24 24 -
13 100 152 152 -
- 22 22
96 4,600 4,886 5,000 114
2 180 193 253 60
85 8,700 9,118 13,020 3,902
- - -
- 5 5
- - -
100 148 148 -
183 4,200 5,145 5,717 572
20 24 30 6
1 22 24 26 2
200 1,700 2,128 2,802 674
- - -
- - -
- - -
77 1,000 1,222 1,250 28
70 600 759 759 -
80 1,800 1,970 2,000 30
- - -
200 800 1,121 321
- - -
19 48 98 104 6
88 800 988 1,000 12
- 2 2
- 11 11
36 180 262 368 106
138 1,500 1,643 1,988 345
1,100 1,405 1,405 -
89 450 809 850 41
220 5,000 5,385 5,779 394
88 700 938 943 5
- - -
- - -
- - -
89 100 424 739 315
- - -
- - -
- - -
- - -
347 11,700 12,525 14,228 1,703
3 90 98 100 2
- - -
- -
2 7 33 26
26 141 870 729
- - -
22 100 146 150 4
- - -
- - -
7 50 83 97 14
- - -
- - -
- - -
- - -
2 44 46 48 2
- - -
27 27 27 -
4 48 70 70 -
11 30 41 41 -
- - -
348 3,700 4,368 5,409 1,041
- - -
40 40 40 -
- - -
154 3,200 3,697 5,015 1,318
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
80 80 160 80
- 8 14 6
- - -
8 45 73 73 -
- - -
- - -
- - -
- - -
129 1,900 2,209 2,220 11
- - -
3 225 239 378 139
- - -
- - -
280 280 400 120
- - -
8 50 71 87 16
158 1,000 1,478 1,816 338
- - -
- - -
- - -
- - -
27 78 100 22
- - -
22 60 82 119 37
- -
106 700 876 881 5
- - -
101 1,000 1,138 1,472 334
140 2,200 2,407 2,419 12
12 72 84 86 2
- - -
10 50 60 60 -
8 20 28 36 8
- - -
- 170 170
- - -
1 200 201 240 39
66 320 386 453 67
12 247 259 263 4
79 100 179 217 38
21 200 221 268 47
43 250 293 297 4
- - -
- - -
17 20 21 1
- - -
20 20 20 -
- - -
16 61 83 88 5
- 24 24
- - -
35 35 35 -
- - -
- - -
- - -
- - -
39 36 75 95 20
20 20 40 40 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
20 4,800 4,920 5,040 120
5 20 25 25 -
1 2 1
95 1,800 2,075 2,105 30
105 4,100 4,405 4,605 200
- - -
105 1,750 1,985 2,079 94
- - -
- - -
- - -
- -
- - -
- 30 30
- - -
- - -
- 10 10
- - -
- 6 6
- 31 31
- - -
- - -
- - -
- 127 127
- 236 236
- 17 17
- 43 43
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- -
175 175 200 25
42 200 432 470 38
- -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- 200 200
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
16 16 17 1
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
16 16 16 -
- 10 10
15 15 15 -
15 15 15 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
226 226 226 -
- 267 267
79 240 484 745 261
75 8640 8,815 8,910 95
38 8670 8,863 8,920 57
13 13 18 5
300 300 300 -
100 300 500 500 -
- -
- -
- -
- -
- -
0 -
NO NAMA OBAT SATUAN Apotek
1 2 3 4
4 Alopurinol tablet 100 mg Tablet 325
7 Aminofilin tablet 200 mg Tablet 100
8 Amitriptilin Tablet Salut 25 mg (HCl) Tablet 90
14 Amoksisilin Tablet 500 mg Tablet 162
16 Antasida DOEN I Tablet Kunyah Kombinasi Tablet 538
18 Antifungi DOEN Kombinasi Tube 10
23 Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 453
24 Asam Folat 1 mg Tablet 285
25 Asam Mefenamat tablet 500 mg Tablet 324
28 Atapulgit Tablet Tablet 100
37 Deksametason Tablet 0,5 mg Tablet 402
40 Diazepam rektal 10mg/2 ,5ml Amp
41 Diazepam rektal 5mg/2 ml Amp
46 Digoksin Tablet 0,25 mg tablet 100
50 Domperidon 5mg/5ml Sirup Botol 10
55 Eritromisin Sirup 200 mg / 5 ml Botol 5
60 Fenobarbital tablet 30 mg Tablet 295
71 Glibenklamida Tablet 5 mg Tablet 80
72 Glimepirid 2 mg Tablet 330
81 Ibuprofen Tablet 200 mg Amp 180
82 Ibuprofen Tablet 400 mg Tablet 175
91 Klindamisin 300 mg Tablet 100
99 Klorfeniramin Tablet 4 mg Tablet 641
117 Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 180
136 Parasetamol Tablet 500 mg Tablet 333
141 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 762
144 Prednison Tablet 5 mg Tablet 228
150 Ranitidin Tablet 150 mg Tablet 90
155 Sefadroksil Kapsul 500 mg Tablet 100
162 Siprofloksasin Tablet scored 500 mg Tablet 165
172 Vitamin B Kompleks Tablet Tablet 478
173 Zink sir 10 mg/ml Botol 5
9 Duvadilan Tablet
14 Fenobarbital inj Tablet
16 Gentamisin Injeksi 40 mg/ml Amp
18 Gliseril Guaiakolat Tablet 100 mg Tablet 320
21 Imersi Oil Botol
22 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 343
34 Lisol Botol
35 Natrium Klorida Larutan Infus 0,9% Botol
36 Obat Batuk Hitam (OBH) 100 ml Cairan Botol 8
41 Pehacain inj Amp
47 Reagen TB Botol
48 Ringer Laktat Larutan Infus Steril Botol
51 Setirizin Tablet 10mg Tablet 320
58 Ventolin Botol
5 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah Pcs
11 HCG test Pcs
12 Infusion Set Anak Pcs
14 IV Catheter No. 18. G Pcs
29 Masker Rol
32 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah Pcs
33 Urine Bag Pcs
35 Handscoond 8 Pcs
36 Handscoond 7 Pcs
IV OBAT PROGRAM
A. MALARIA
5 Masker Pcs
2 Haloperidol tab 5 mg Tablet 100
3 Haloperidol injeksi 5 mg/ml (Iodomer) Amp
5 Risperidon Tablet Tablet 180
6 Triheksifenidil HCLTablet 2 mg Tablet 200
8 Clozapine 25 mg Tablet 130
D. VAKSIN
1 BCG Amp
2 POLIO 10 DS Pcs
3 CAMPAK Amp
4 IPV
5 HB UNIJEK
6 Td Amp
7 DPT HB-Hib Amp
8 TT Amp
9 Dt Amp
10 POLIO 20 DS Pcs
12 ADS 0,05 ml Pcs
13 ADS 0,5 ml Pcs
14 ADS 5 ml Pcs
15 VAKSIN MR Amp
E. KIA
6 Tes Kehamilan Pcs
12 Hb Sahli Pcs
13 Oto Klik Pcs
15 Blood lancet Pcs
F. GIZI
4 Iodin test Pcs
G. DIARE
H. FILARIASIS
G.ALAT LABORATORIUM
1 Blood Lancet Pcs
2 Reagen TB Botol
3 Slide Pcs
4 Pot Sputum Pcs
8 Handscoon (M) Pcs
10 Masker Pcs
12 Alkohol Swap Bks
H. KUSTA
1 MB Adult
2 MB (MDTDMB) child
3 PB Adult
4 PB (MTDPB) child
I. HIV DAN SIFILIS
2 Fokus (HIV ke 2)
5 RPR Syphylis
TAMBAHAN
3 OAM Tablet
5 Bromheksin Tablet
14 Safety box Pcs
15 fixomul Rol
25 Masker N 95 Pcs
26 objek glass Pcs
27 Rapid HIV Pcs
30 CutiCell 10cm x 10M Rol
32 Leucoplast Rol
34 HB ig Pcs
36 RDT Syphilis Pcs
37 RDT HIV Pcs
38 Blood Slide Pcs
40 Anti Hb SAG Pcs
48 Lansoprazole bhp
52 Etanol cairan 70 % 1 L
53 handscoon 7
54 Asam Askorbat (Vitamin C) Tablet 500 mg 100
IGD Gudang Jumlah
5 6 7
10 98 108 118 10
- 118 118
- 0 -
153 1,500 1,978 1978 -
100 200 200 -
30 30 60 60 -
100 200 200 -
85 1,500 1,675 1675 -
308 6,000 6,551 7451 900
220 4,800 5,300 5900 600
- 0 -
- 0 -
5 100 113 178 65
94 5,400 5,656 7856 2,200
- 0 -
171 2,700 3,409 4609 1,200
14 195 222 247 25
24 48 82 94 12
- 212 212
- 0 -
56 300 456 556 100
130 500 860 860 -
311 5,600 6,364 7264 900
175 200 660 1360 700
269 5,100 5,693 7093 1,400
99 500 1,272 1272 -
212 400 704 704 -
90 1,300 1,490 1890 400
- 0 -
7 7 7 -
- 0 -
5 61 72 72 -
17 168 205 229 24
- 0 -
120 30 229 589 360
24 70 109 159 50
193 1,700 2,295 3295 1,000
- 0 -
12 30 50 50 -
18 18 18 -
4 4 4 -
63 700 871 871 -
104 500 688 688 -
- 0 -
36 30 104 104 -
100 400 600 800 200
- 0 -
100 800 970 970 -
124 100 644 1144 500
5 65 80 100 20
6 6 6 -
- 0 -
- 0 -
100 400 500 500 -
40 45 50 5
- 0 -
- 0 -
- 0 -
- 0 -
34 1,200 1,529 1529 -
- 0 -
- 0 -
36 90 126 126 -
83 100 333 433 100
- 0 -
- 0 -
20 20 20 -
223 300 803 803 -
13 50 89 214 125
- 0 -
13 700 793 1093 300
105 435 2435 2,000
110 200 490 490 -
- 0 -
- 0 -
500 500 500 -
223 400 943 1143 200
21 48 106 106 -
201 200 846 846 -
4 80 90 110 20
219 1,000 1,399 1999 600
600 775 1175 400
242 600 1,076 1076 -
3 3 3 -
- 0 -
435 1,300 2,062 2062 -
202 1,400 1,911 1911 -
- 0 -
24 24 24 -
74 600 899 899 -
100 500 400
- 0 -
68 500 720 720 -
4 14 39 65 118 79
- 0 -
- 0 -
- 0 -
- 0 -
455 1,096 1528 432
- 0 -
- 0 -
- 0 -
53 550 663 663 -
197 500 832 1032 200
6 45 65 70 5
- 0 -
- 0 -
70 3,400 3,665 3765 100
- 17 17
5 5 5 -
- 0 -
- 0 -
- 0 -
249 17,800 18,259 19059 800
90 1,500 1,690 1990 300
- 0 -
198 2,200 2,578 2578 -
- 0 -
152 1,100 1,414 1495 81
- 0 -
- 0 -
- 0 -
142 1,100 1,435 1835 400
11 168 194 218 24
- 0 -
162 4,450 4,800 5400 600
180 800 1,280 1980 700
- 0 -
153 600 818 918 100
- 0 -
24 24 24 -
13 100 152 152 -
- 218 218
96 4,000 4,286 4886 600
2 50 63 193 130
85 4,800 5,218 9118 3,900
- 0 -
- 0 -
- 2000 2,000
2,100 2,148 2148 -
183 2,900 3,845 5145 1,300
4 24 20
1 2 24 22
200 428 2128 1,700
- 0 -
- 0 -
- 0 -
77 222 1222 1,000
70 159 759 600
80 170 1970 1,800
- 0 -
200 800 2800 2,000
- 2000 2,000
19 50 98 48
88 188 988 800
- 2 2
- 11 11
36 82 262 180
138 143 1643 1,500
305 1405 1,100
89 359 809 450
220 385 5385 5,000
88 238 938 700
- 0 -
- 0 -
- 0 -
89 324 2424 2,100
- 0 -
- 0 -
- 0 -
- 0 -
347 8,000 8,825 12525 3,700
3 8 98 90
- 500 500
- -
2 7 7 -
26 141 141 -
- 0 -
22 90 136 146 10
- 0 -
- 0 -
7 50 83 83 -
- 0 -
- 0 -
- 0 -
- 0 -
2 44 46 46 -
- 0 -
27 27 27 -
4 48 70 70 -
11 30 41 41 -
- 48 48
348 3,700 4,368 4368 -
- 0 -
40 40 40 -
- 0 -
154 3,200 3,697 3697 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
80 80 80 -
- 8 8 -
- 0 -
8 45 73 73 -
- 0 -
- 0 -
- 0 -
- 0 -
129 1,900 2,209 2209 -
- 0 -
3 225 239 239 -
- 0 -
- 0 -
280 280 280 -
- 0 -
8 50 71 71 -
158 1,000 1,478 1478 -
- 0 -
- 0 -
- 0 -
- 0 -
27 78 78 -
- 0 -
22 60 82 82 -
- -
106 700 876 876 -
- 0 -
101 1,000 1,138 1138 -
140 2,200 2,407 2407 -
12 72 84 84 -
- 0 -
10 50 60 60 -
8 20 28 28 -
- 0 -
- 45 45
- 0 -
1 200 201 201 -
66 320 386 386 -
12 247 259 259 -
79 100 179 179 -
21 200 221 221 -
43 250 293 293 -
- 0 -
- 0 -
17 20 20 -
- 0 -
- 0 -
- 0 -
16 61 83 83 -
- 24 24
- 0 -
35 35 35 -
- 0 -
- 0 -
- 0 -
- 0 -
39 36 75 75 -
20 20 40 40 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 7 7
- 0 -
- 0 -
- 0 -
- -
- 0 -
20 4,800 4,920 4920 -
5 20 25 25 -
1 1 -
95 1,800 2,075 2075 -
105 4,100 4,405 4405 -
- 0 -
105 1,750 1,985 1985 -
- 0 -
- 0 -
- 0 -
- -
- 3 3
- 20 20
- 0 -
- 0 -
- 6 6
- 0 -
- 20 20
- 10 10
- 0 -
- 0 -
- 1 1
- 0 -
- 454 454
- 0 -
- 20 20
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- -
25,000 25,000 25500 500
- 0 -
16,800 16,800 16800 -
- 0 -
- -
175 175 175 -
42 200 432 432 -
- -
- 0 -
- 0 -
- 0 -
- -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 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 16 16 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
16 16 16 -
- 0 -
15 15 15 -
15 15 15 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
226 226 226 -
- 0 -
79 2400 2,644 2725 81
75 8640 8,815 8815 -
38 8670 8,863 8863 -
12 12 12 -
100 100 200 100
100 300 500 500

Laporan Stok Opn

Uploaded by

Copyright:

Available Formats

Laporan Stok Opn

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Laporan Stok Opn

Uploaded by

Copyright:

Available Formats

NO NAMA OBAT SATUAN UGD Apotek Gudang Jumlah

Nama Puskesmas : Rawat Inap Jangga Baru

NO NAMA OBAT SATUAN Apotek IGD Gudang Jumlah

You might also like