PANGKALAN UTAMA TNI AL III

DINAS KESEHATAN

LAPORAN BULANAN DAN PERMOHONAN MATKES

BULAN : Mei 2024
BK/BP: KELAPA GADING

1 2 3 4 5 6 7 8 9

TANGGAL JUMLAH PENERIMAAN/ JUMLAH JUMLAH JUMLAH

NO NAMA OBAT / MATKES SATUAN PENGADAAN KESELURUHAN PEMAKAIAN
EXP AWAL AKHIR

A.TABLET
1 Acyclovir 400 Tablet Jun-25 100 200 300 160 140
2 Allopurinol 100 mg Tablet Aug-25 250 250 140 110
3 Allopurinol 300 mg Tablet 0 0 0
4 Ambroxol Tablet Oct-27 85 1500 1585 1359 226
5 Aminophillin Tablet 0 0 0
6 Amlodipin 10mg Tablet Jul-25 200 1000 1200 1085 115
7 Amlodipin 5mg Tablet Jul-27 80 1200 1280 1220 60
8 Amoxicillin 250 mg Capsul 0 0 0
9 Amoxicillin 500mg Capsul Jan-25 1000 1000 730 270
11 Antasida Tablet Jul-25 100 100 200 80 120
12 Anti diare Tablet Oct-24 100 200 300 210 90
13 Anti hemoroid Tablet 0 0
14 Antiflu Tablet Feb-25 100 2000 2100 1716 384
15 Asam folat Tablet Sep-24 200 200 70 250
16 Asam mefenamat 500mg Tablet Oct-26 700 700 570 130
17 Asam tranexamat Tablet 25-Mar 0 0 0
18 Aspilet Tablet Sep-24 140 140 140 0
19 Athrovastatin 10mg Tablet 0 0 0
20 Betahistin mesilat 6mg Tablet Apr-25 300 400 700 240 460
21 Bisacodil Tablet 0 0 0
22 Bisoprolol 5mg Tablet Sep-25 90 360 450 370 80
23 Bromhexin Tablet 0 0 0
24 Buscopan Tablet Jul-27 300 300 232 68
25 Buscopan Plus Tablet 0 0 0
26 Calcium Lactat Tablet May-26 200 100 300 70 230
27 Candesartan 8 mg Tablet Oct-25 60 450 510 400 110
28 Captopril 12,5 mg Tablet Dec-26 100 200 300 210 90
29 Captopril 25mg Tablet Aug-25 0 300 300 30 270
30 Cefadroxil 500mg Capsul Aug-27 0 800 800 630 170
31 Cefixime 100 mg Capsul Jun-25 50 200 250 225 25
32 Cefixime 200 mg Capsul Jan-25 100 200 300 120 180
33 Cetirizine Tablet Jan-26 80 300 380 333 47
34 Chloramphenicol 250 mg Capsul 0 0 0
35 Cimetidin Tablet 0 0 0
36 Ciprofloxacin 500mg Tablet Dec-25 300 300 170 130
37 Clindamycin 300 mg Capsul Jun-25 300 300 0 300
38 Cotrimoksazole Adult Tablet Apr-25 200 200 0 200
39 CTM Tablet Oct-24 80 500 580 252 328
40 Dexamethasone 0.5mg Tablet May-25 50 1000 1050 1035 15
41 Dextaf (Dexa+CTM) Tablet 0 0 0
42 Dextral/Grantusif Tablet Feb-27 50 300 350 70 280
43 Dimenhydrinat Tablet 0 0 0
44 Doksisiklin Tablet 0 0 0
45 Domperidon Capsul Jan-26 50 300 350 286 64
46 Eritromisin 250 mg Capsul 0 0 0
47 Eritromisin 500 mg Tablet Oct-25 0 0 0
48 Furosemid Tablet 0 0 0
49 Gemfibrozil Tablet Jan-26 200 200 10 190
50 GG/Guaefenesin Tablet Oct-25 300 300 12 288
51 Glibenclamid Tablet Aug-27 100 100 50 50
52 Glimepirid 2 mg Tablet Sep-25 600 100 700 620 80
53 Griseofulvin 500mg Tablet 0 0 0
54 HCT Capsul Mar-25 100 100 10 90
55 Hufabion Tablet May-26 150 150 120 30
56 Ibuprofen Tablet Jan-25 200 200 0 200
57 ISDN Tablet Jun-25 100 200 120 80
58 Ketoconazol Tablet Dec-24 100 100 26 74
59 Ketoprofen Tablet 0 0 0
60 Loperamid Tablet 0 0 0
61 Loratadin Tablet Dec-26 300 200 500 484 16
62 Meloksicam 15 mg Tablet 100 100 0 100
63 Meloksicam 7,5 mg Tablet Oct-26 200 200 400 40 360
64 Metamizole Sodium 0 0 0
65 Metformin 500 mg Tablet Feb-25 0 800 800 540 260
66 Methyl prednisolon Tablet Aug-25 450 500 950 870 80
67 Metoclorpramide Tablet 0 0 0
68 Metronidazole Tablet May-27 200 200 0 200
69 Multivitamin Tablet Jul-25 50 600 650 600 50
70 Na Diklofenak 50 mg Tablet Jun-25 200 400 600 596 4
71 Neurodex Tablet Apr-25 200 600 800 630 170
72 Nifedipin Tablet 0 0 0
73 Novaphyron Tablet 0 0 0
74 Omeprazole 20mg Kapsul Mar-24 200 500 700 591 109
75 Ondansentron Tablet Aug-25 0 0 0
76 Oralit Sacch 0 0 0
77 Papaverin Tablet 0 0 0
78 Paracetamol Tablet Aug-25 0 1000 1000 725 275
79 Piroxicam 10 mg Tablet 0 0 0
80 Piroxicam 20 mg Tablet 0 0 0
81 Prednison 5mg Tablet Oct-26 500 500 383 117
82 Ranitidin 150mg Tablet Aug-24 300 100 400 173 227
83 Salbutamol 2 mg Tablet Jun-29 200 400 600 505 95
84 Salbutamol 4 mg Tablet 25-Mar 300 300 0 300
85 SF/omegavit Tablet Mar-24 100 100 0 100
86 Simvastatin 10mg Tablet Jul-28 200 400 600 100 500
87 Simvastatin 20 mg Tablet May-25 600 600 0 600
88 Sirplus/Sacharin Tablet 0 0
89 Tetrasiklin 250 mg Tablet 0 0 0
90 Thiampenicol 500 mg Tablet 0 0 0
91 Vitamin B Complex (isi 250) Botol Feb-26 100 500 600 520 80
92 Vitamin B1 (isi 250) Botol Jun-25 250 250 30 220
93 Vitamin B12 (isi250) Botol May-26 500 500 30 470
94 Vitamin B6 (isi 250) Botol Apr-25 500 500 120 380
95 Vitamin C (isi 250) Botol Apr-25 1000 1000 825 175
96 Vitamin K Tablet 0 0 0
97 Vitazym Tablet Mar-24 400 400 260 140
98 Zink Tablet Feb-25 800 800 160 640
0
B. SIRUP/SALEP/TETES/INJEKSI 0
B 1. SYRUP 0
1 Ambroxol syr Botol 0 0 0
2 Amoxicillin syrup Botol Aug-26 10 10 10 0
3 Antasida syr Botol Oct-25 5 5 0 5
4 Antiflu syr Botol 0 0 0
5 Baby cough Botol Oct-25 5 5 0 5
6 Cefadroxil DS 125 mg Botol Oct-26 10 10 20 1 19
7 Cefadroxil DS 250 mg Botol 0 0 0
8 Cefixime Botol 0 0 0
9 Chloramphenicol syr Botol 0 0 0
10 Cotrimoksazole syr Botol 0 0 0
11 Dextral Syrup Botol 0 0 0
12 Diphenhydraminsyr(Dws)/Novadril Botol 0 0 0
13 DMP Syr Botol 0 0 0
14 Domperidon Syrup Botol 0 0 0
15 Giuanistrep syr Botol 0 0 0
16 Hufabetamin Syr Botol 0 0 0
17 Ibu Profen Syr Botol 0 0 0
18 Irfasyl Botol 0 0 0
19 Kompolax Syrup Botol 0 0 0
20 OBH Botol Sep-27 30 30 1 29
21 OBP syr Botol 0 0 0
22 Ondansentron Syr Botol 0 0 0
23 Pacdin Syr Botol Sep-25 7 7 0 7
24 Paracetamol Syr Botol Sep-28 15 15 15 0
25 Vit.syrup/Caviplex Syr Botol Dec-26 10 10 7 3
26 Zink Syrup Botol 0 0 0

B 2. SALEP/TETES
1 Acyclovir Tube Jun-25 5 7 5 0 5
2 Alletrol TM Tube 0 0 0
3 Betamethasone cr Tube Aug-24 10 10 8 2
4 Bethason N Tube Jun-25 7 7 2 5
5 Bioplacenton Tube 0 0 0
6 Cendo Lyteers TM Tube 0 0 0
7 Cendo xitrol TM Tube 0 0 0
8 Chloracort SK Tube Feb-25 15 5 20 20 0
9 Chlorampenicol SM Tube Mar-35 10 10 5 5
10 Chloramphenicol SK Tube Sep-24 5 5 0 5
11 Chloramphenicol TM Tube Jun-25 5 5 4 1
12 Chloramphenicol TT Tube Jul-26 5 5 3 2
13 Gentamicin SK Tube Jun-25 10 1 9
14 Gentamicin SM Tube Aug-24 5 5 2 3
15 Gentamicin TM Tube Aug-24 5 5 1 4
16 Gom Tube May-27 0 0 0
17 Hidrocortison SK Tube Oct-26 10 5 15 12 3
18 Ketoconazol Tube Jul-25 10 10 5 5
19 Miconazol SK Tube Oct-26 4 4 2 2
20 PK Bubuk Tube 0 0 0
21 Salep 2-4 Tube 0 0 0

B 3 .INJEKSI
1 Aminophyllin Ampul Apr-25 2 1 3 0 3
2 Antalgidon Inj Vial 0 0 0
3 Aquabidest 50ml Ampul 0 0 0
4 Asam Tranexamat Ampul 0 0 0
5 Atropin Sulfat Inj Fls May-25 0 0 0
6 Buscopan Inj / Hyoscine Ampul Aug-25 3 3 0 3
9 Cortison Inj Vial 0 0 0
10 Delladril inj Ampul 0 0 0
11 Dexamethasone inj Vial Oct-25 5 5 0 5
12 Dipenhydramin Inj Ampul 0 0 0
13 Epinephrin Inj Ampul Sep-24 1 3 4 0 4
14 Furosemid Ampul 0 0 0
15 Gentamicin Inj Ampul 0 0 0
16 Kanamicin Inj Vial 0 0 0
17 Ketorolac Inj Ampul 0 0 0
18 Lidocain Inj Ampul Jul-25 0 0 0
19 Metamizol Inj Ampul 0 0 0
20 Neurobion /Mersibion 5000 inj Ampul 0 0 0
21 Ondansentron Inj Ampul 0 0 0
22 Pehacain Inj Ampul 0 0 0
24 Ranitidin Inj Ampul Oct-26 0 0 0 0
26 Vitamin C Inj Ampul 0 0 0
27 Vitamin K Inj Ampul 0 0 0

B4. NEBU
1 Bisolvon Sol fls 0 0 0
2 Combivent Nebu Fles 0 0 0
3 Pulmicort 0,25 mg Ampul 0 0 0
4 Ventolin Nebu Botol 0 0 0

B 5 . LAIN - LAIN
1 Abbocath No. 20 Botol 0 0 0
2 Abbocath No. 22 Botol 0 0 0
3 Abbocath No. 24 Botol Mar-24 1 1 0 1
4 Alkohol 1 L 70% Pcs 0 0 0
5 Alkohol 60ml Pcs 0 0 0
6 Alkohol swab Pcs 0 0 0
7 Amoniac Box 0 0 0
8 Aquabidest 50 ml Btl 0 0 0
9 Bedak Salicyl Pot Dec-28 10 10 20 16 4
10 Blood lancet Box 0 0 0
11 Cangkang Kapsul 500mg Bks 0 0 0
12 Catgut 5/0 (silk) Pcs 0 0 0
13 Catgut Plain 3/0 Pcs 0 0 0
14 Chlorethyl Spray Botol 0 0 0
15 Chromic 3/0 Pcs 0 0 0
16 Dextrose 5 % Kolf 0 0 0
17 H2O2 Botol 1 1 0 1
18 Handsaplast Box 1 1 0 1
19 Hypafix 5cmx5cm Roll Nov-28 1 1 0 1
20 Infus set Pcs 0 0 0 0
21 Jarum GR Pcs 0 0 0
22 Jarum GT Pcs 0 0 0
23 Jelly USG Btl 0 0 0
24 Kantong obat besar (100) Roll 8 8 0 8
25 Kantong Obat Kecil (100) Pack 3 0 0
26 Kapas 250g Pack 0 0 0
27 Kasa steril Roll 2 2 0 2
28 Kassa 10x4 Roll 0 0 0
29 Kassa Roll 40x80 Box 0 0 0
30 Kertas EKG Roll 0 0 0
31 Kertas Puyer Buku 0 0 0
32 Kertas resep Pak 0 0 0
33 Masker Box 9/1/2028 10 10 0 10
34 Masker Hijab Box 0 0 0
35 Masker Oksigen pcs Mar-26 2 2 0 2
36 Micropore 1 inch Roll 0 0 0
37 Minosep Gargle Botol 0 0 0
38 NaCl 0,9% Kolf 2/1/2025 3 3 0 3
39 Nasal Canul Anak Pcs 0 0 0
40 Nasal Canul Dewasa Pcs 5/1/2025 2 2 0 2
41 Needle 23 G Pcs 0 0 0
42 Needle 25G Pcs 0 0 0
43 Obat kumur (Betadine Gargl) Botol 0 0 0
44 Oxycan Botol 0 0 0
45 Pisau mess Pcs 0 0 0
46 Plester Roll Roll 0 0 0
47 Povidon Iodine 1 Liter Botol 2 2 0 2
48 Providone iodine (60 ml) Botol 0 0 0
49 Ringer Laktat Kolf 8/1/2025 3 3 0 3
50 Rivanol Botol 0 0 0
51 Sarung tangan M Box 1 1 0 1
52 Sarung tangan S Box 1 1 0 1
53 Sarung Tangan L Box 5 0 0
54 Sarung Tangan Steril Box 33 33 0 33
55 Sarung tangan XS Box 0 0 0
56 Silk 3/0 Pcs 0 0 0
57 Sofratulle Pcs 0 0 0
58 Spuit 1 cc Pcs 0 0 0
59 Spuit 10 ml Pcs 2/1/2028 5 5 0 5
60 Spuit 3 ml Pcs 3/2/2026 100 100 0 100
61 Spuit 5 cc Pcs 0 0 0
62 Strip Easytouch Asam Urat Fls 0 0 0
63 Strip Easytouch Glukosa Fls 0 0 0
64 Strip Easytouch Kolesterol Fls 0 0 0
65 Venflon No. 20 Pcs 0 0 0
66 Venflon No.18 Pcs 0 0 0
67 Venflon No.22 Pcs Oct-28 3 3 0 3
68 Wing Needle 25 Pcs 0 0 0
69 Wing Needle 27 Pcs 3 3 0 3

C .GIGI
1 Alvogyl Botol 0 0 0
2 Anasthesi Gel Tube 0 0 0
3 Articulating paper Pack 0 0 0
4 Bonding Botol 0 0 0
5 Calcipex Pack 0 0 0
6 Caviton Tube 0 0 0
7 Celluloid Strip Pack 0 0 0
8 CHKM Botol 0 0 0
9 Cocoa Butter GC Botol 0 0 0
10 Cresophen Botol 0 0 0
11 Dental Bib/Polybib Pack 0 0 0
12 Devital Non Arsen Botol 1 0 1
13 Diamond bur Set 0 0 0
14 Dycal/Ca(OH)2 Pack 0 0 0
15 Elite cement Pack 0 0 0
16 Endomethasone Pack 0 0 0
17 Endoseal Botol 0 0 0
18 Etching Botol 0 0 0
 19 Eugenol Btl 0 0 0
20 Fletcher P/L Pot 0 0 0
21 Formokesol Botol 0 0 0
22 Fuji II Set 0 0 0
23 Fuji IX Set 1 0 0 0
24 Gutap percah 15-40 Set 0 0 0
25 Gutap point 15-40 Set 0 0 0
26 Jarum Citoject 16 mm Pack 0 0 0
27 Jarum endo 15-40 Pack 0 0 0
28 Jarum endo 45-60 Pack 0 0 0
29 Jarum exterfasi Pack 0 0 0
30 Jarum K-file 15-40 Pack 0 0 0
31 Jarum lentulo Pack 0 0 0
32 Jarum Reamer Pack 0 0 0
33 Microbrush Pack 0 0 0
34 NaOCl 2,5% Botol 0 0 0
35 Occo Botol 0 0 0
36 Pana spray Botol 1 1 0 1
37 Paper Point 16-40 Pack 0 0 0
38 Rockles/Purperyl Botol 0 0 0
39 Saliva Ejector Pack 0 0 0
40 Scandonest 2% Box 0 0 0
41 Spongostan Pack 0 0 0
42 Tambalan Sinar Pack 1 0 0 0
43 Ti es Tube 0 0 0
44 TKF Botol 0 0 0

D. TAMBAHAN
1 Blanko Resep Luar 0
2 Insto 5 5 5 0
3 Composite flow 0 0 0 0 0
4 Composite 0 0 0 0 0
5 Glimepiride 4 mg TAB 100 100 80 20

Catatan:
1. Mohon untuk tidak merubah format diatas, agar tidak merubah urutan format gudang diskes.
2. Jika ada permintaan obat diluar format di atas, silahkan mengisi di kolom tambahan.

Jakarta, 06 Mei 2024

Ka BK Kelapa Gading

drg. Yodi Oktobiano

Lettu Laut (K) NRP
 10

PERMINTAAN

200
100

1500

1000
1300

800

300

1500

700

600

100
300

300

400
200
300
800
200
100
500

100

1500
 500

100
800

200

100

500

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1000
700
800

600

800

400

600

200

250

1000

300
20

20

30

25
15

10

20

5
5

10
10
10
5
 5

20

10
5

6
1
3

1
1

5
 1

5
0
1
1
200

4
g
PANGKALAN UTAMA TNI AL III
DINAS KESEHATAN LAPORAN PENGGUNAAN MATKES
BULAN : April 2024

BK/BP: KELAPA GADING

NO NAMA OBAT / MATKES SATUAN

1 2 3 4 5 6 7 8 9
1 2 3

A.TABLET
1 Acyclovir 400 Tablet
2 Allopurinol 100 mg Tablet 30 40
3 Allopurinol 300 mg Tablet
4 Ambroxol Tablet 80 60 45 178 185
5 Aminophillin Tablet
6 Amlodipin 10mg Tablet 100 80 90 85 160
7 Amlodipin 5mg Tablet 30 80 80 120 80
8 Amoxicillin 250 mg Capsul
9 Amoxicillin 500mg Capsul 30 80 40 80
11 Antasida Tablet 10
12 Anti diare Tablet 10 10 10
13 Anti hemoroid Tablet
14 Antiflu Tablet 53 208 94 84 210
15 Asam folat Tablet 10
16 Asam mefenamat 500mg Tablet 30 30 20 70 30
17 Asam tranexamat Tablet
18 Aspilet Tablet 60 20
19 Athrovastatin 10mg Tablet
20 Betahistin mesilat 6mg Tablet 10 30 20
21 Bisacodil Tablet
22 Bisoprolol 5mg Tablet 60 90 60
23 Bromhexin Tablet
24 Buscopan Tablet 10 20
25 Buscopan Plus Tablet
26 Calcium Lactat Tablet 30 10
27 Candesartan 8 mg Tablet 10 20 20
28 Captopril 12,5 mg Tablet 60
29 Captopril 25mg Tablet 30
30 Cefadroxil 500mg Capsul 60 20 50 40
31 Cefixime 100 mg Capsul 60 25
32 Cefixime 200 mg Capsul 20 10 20
33 Cetirizine Tablet 30 10 50 4
34 Chloramphenicol 250 mg Capsul
35 Cimetidin Tablet
36 Ciprofloxacin 500mg Tablet 10 20
37 Clindamycin 300 mg Capsul
38 Cotrimoksazole Adult Tablet
39 CTM Tablet 10 15 10 10 10
40 Dexamethasone 0.5mg Tablet 70 65 65 50 50
41 Dextaf (Dexa+CTM) Tablet
42 Dextral/Grantusif Tablet
43 Dimenhydrinat Tablet
44 Doksisiklin Tablet
45 Domperidon Capsul 10 20 14
46 Eritromisin 250 mg Capsul
47 Eritromisin 500 mg Tablet
48 Furosemid Tablet
49 Gemfibrozil Tablet
50 GG/Guaefenesin Tablet
51 Glibenclamid Tablet
52 Glimepirid 2 mg Tablet 60 50 50
53 Griseofulvin 500mg Tablet
54 HCT Capsul
55 Hufabion Tablet
56 Ibuprofen Tablet
57 ISDN Tablet
58 Ketoconazol Tablet
59 Ketoprofen Tablet
60 Loperamid Tablet
61 Loratadin Tablet 20 60 20 30 50
62 Meloksicam 15 mg Tablet 20 10
63 Meloksicam 7,5 mg Tablet
64 Metamizole Sodium
65 Metformin 500 mg Tablet 30
66 Methyl prednisolon Tablet 60 40 50 30
67 Metoclorpramide Tablet
68 Metronidazole Tablet 10
69 Multivitamin Tablet 40 60 60 30
70 Na Diklofenak 50 mg Tablet 80 20 80
71 Neurodex Tablet 80 30 40 60
72 Nifedipin Tablet
73 Novaphyron Tablet
74 Omeprazole 20mg Kapsul 18 30 26 10 80
75 Ondansentron Tablet
76 Oralit Sacch
77 Papaverin Tablet
78 Paracetamol Tablet 30 20 30 20 50
79 Piroxicam 10 mg Tablet
80 Piroxicam 20 mg Tablet
81 Prednison 5mg Tablet 25 38 48 32 10
82 Ranitidin 150mg Tablet 10 20
83 Salbutamol 2 mg Tablet 60 50 80
84 Salbutamol 4 mg Tablet 3 4 14 7 4
85 SF/omegavit Tablet 30 30 30
86 Simvastatin 10mg Tablet 30 30
87 Simvastatin 20 mg Tablet 30 10 20 20
88 Sirplus/Sacharin Tablet
89 Tetrasiklin 250 mg Tablet
90 Thiampenicol 500 mg Tablet
91 Vitamin B Complex (isi 250) Botol 10 20 10 30 80
92 Vitamin B1 (isi 250) Botol
93 Vitamin B12 (isi250) Botol
94 Vitamin B6 (isi 250) Botol
95 Vitamin C (isi 250) Botol 15 80 30 45 130
96 Vitamin K Tablet
97 Vitazym Tablet 20 10 10 30
98 Zink Tablet 10 30 20

B. SIRUP/SALEP/TETES/INJEKSI
B 1. SYRUP
1 Ambroxol syr Botol
2 Amoxicillin syrup Botol 1 2
3 Antasida syr Botol
4 Antiflu syr Botol
5 Baby cough Botol 1
6 Cefadroxil DS 125 mg Botol
7 Cefadroxil DS 250 mg Botol
8 Cefixime Botol
9 Chloramphenicol syr Botol
10 Cotrimoksazole syr Botol
11 Dextral Syrup Botol
12 Diphenhydraminsyr(Dws)/Novadri Botol
13 DMP Syr Botol
14 Domperidon Syrup Botol
15 Giuanistrep syr Botol
16 Hufabetamin Syr Botol
17 Ibu Profen Syr Botol
18 Irfasyl Botol
19 Kompolax Syrup Botol
20 OBH Botol 2 1
21 OBP syr Botol
22 Ondansentron Syr Botol
23 Pacdin Syr Botol 1
24 Paracetamol Syr Botol 1 1 2
25 Vit.syrup/Caviplex Syr Botol 3
26 Zink Syrup Botol

B 2. SALEP/TETES
1 Acyclovir Tube
2 Alletrol TM Tube
3 Betamethasone cr Tube 1 1
4 Bethason N Tube 1
 5 Bioplacenton Tube
6 Cendo Lyteers TM Tube
7 Cendo xitrol TM Tube
8 Chloracort SK Tube 3 3
9 Chlorampenicol SM Tube 1 1
10 Chloramphenicol SK Tube
11 Chloramphenicol TM Tube
12 Chloramphenicol TT Tube 1 1
13 Gentamicin SK Tube 2
14 Gentamicin SM Tube
15 Gentamicin TM Tube 1
16 Gom Tube
17 Hidrocortison SK Tube 2 1 3
18 Ketoconazol Tube
19 Miconazol SK Tube 2
20 PK Bubuk Tube
21 Salep 2-4 Tube

B 3 .INJEKSI
1 Aminophyllin Ampul
2 Antalgidon Inj Vial
3 Aquabidest 50ml Ampul
4 Asam Tranexamat Ampul
5 Atropin Sulfat Inj Fls
6 Buscopan Inj / Hyoscine Ampul
9 Cortison Inj Vial
10 Delladril inj Ampul
11 Dexamethasone inj Vial
12 Dipenhydramin Inj Ampul
13 Epinephrin Inj Ampul
14 Furosemid Ampul
15 Gentamicin Inj Ampul
16 Kanamicin Inj Vial
17 Ketorolac Inj Ampul
18 Lidocain Inj Ampul
19 Metamizol Inj Ampul
20 Neurobion /Mersibion 5000 inj Ampul
21 Ondansentron Inj Ampul
22 Pehacain Inj Ampul
24 Ranitidin Inj Ampul
26 Vitamin C Inj Ampul
27 Vitamin K Inj Ampul

B4. NEBU
1 Bisolvon Sol fls
2 Combivent Nebu Fles
3 Pulmicort 0,25 mg Ampul
4 Ventolin Nebu Botol
 B 5 . LAIN - LAIN
1 Abbocath No. 20 Botol
2 Abbocath No. 22 Botol
3 Abbocath No. 24 Botol
4 Alkohol 1 L 70% Pcs
5 Alkohol 60ml Pcs
6 Alkohol swab Pcs
7 Amoniac Box
8 Aquabidest 50 ml Btl
9 Bedak Salicyl Pot 2 1 5
10 Blood lancet Box
11 Cangkang Kapsul 500mg Bks
12 Catgut 5/0 (silk) Pcs
13 Catgut Plain 3/0 Pcs
14 Chlorethyl Spray Botol
15 Chromic 3/0 Pcs
16 Dextrose 5 % Kolf
17 H2O2 Botol
18 Handsaplast Box
19 Hypafix 5cmx5cm Roll
20 Infus set Pcs
21 Jarum GR Pcs
22 Jarum GT Pcs
23 Jelly USG Btl
24 Kantong obat besar (100) Roll
25 Kantong Obat Kecil (100) Pack
26 Kapas 250g Pack
27 Kasa steril Roll
28 Kassa 10x4 Roll
29 Kassa Roll 40x80 Box
30 Kertas EKG Roll
31 Kertas Puyer Buku
32 Kertas resep Pak
33 Masker Box
34 Masker Hijab Box
35 Masker Oksigen pcs
36 Micropore 1 inch Roll
37 Minosep Gargle Botol
38 NaCl 0,9% Kolf 1
39 Nasal Canul Anak Pcs
40 Nasal Canul Dewasa Pcs
41 Needle 23 G Pcs
42 Needle 25G Pcs
43 Obat kumur (Betadine Gargl) Botol
44 Oxycan Botol
45 Pisau mess Pcs
46 Plester Roll Roll
47 Povidon Iodine 1 Liter Botol
48 Providone iodine (60 ml) Botol
49 Ringer Laktat Kolf 1
50 Rivanol Botol
51 Sarung tangan M Box
52 Sarung tangan S Box
53 Sarung Tangan L Box
54 Sarung Tangan Steril Box
55 Sarung tangan XS Box
56 Silk 3/0 Pcs
57 Sofratulle Pcs
58 Spuit 1 cc Pcs
59 Spuit 10 ml Pcs
60 Spuit 3 ml Pcs
61 Spuit 5 cc Pcs
62 Strip Easytouch Asam Urat Fls
63 Strip Easytouch Glukosa Fls
64 Strip Easytouch Kolesterol Fls
65 Venflon No. 20 Pcs
66 Venflon No.18 Pcs
67 Venflon No.22 Pcs
68 Wing Needle 25 Pcs
69 Wing Needle 27 Pcs

C .GIGI
1 Alvogyl Botol
2 Anasthesi Gel Tube
3 Articulating paper Pack
4 Bonding Botol
5 Calcipex Pack
6 Caviton Tube
7 Celluloid Strip Pack
8 CHKM Botol
9 Cocoa Butter GC Botol
10 Cresophen Botol
11 Dental Bib/Polybib Pack
12 Devital Non Arsen Botol
13 Diamond bur Set
14 Dycal/Ca(OH)2 Pack
15 Elite cement Pack
16 Endomethasone Pack
17 Endoseal Botol
18 Etching Botol
19 Eugenol Btl
20 Fletcher P/L Pot
21 Formokesol Botol
22 Fuji II Set
23 Fuji IX Set
24 Gutap percah 15-40 Set
25 Gutap point 15-40 Set
26 Jarum Citoject 16 mm Pack
27 Jarum endo 15-40 Pack
28 Jarum endo 45-60 Pack
29 Jarum exterfasi Pack
30 Jarum K-file 15-40 Pack
31 Jarum lentulo Pack
32 Jarum Reamer Pack
33 Microbrush Pack
34 NaOCl 2,5% Botol
35 Occo Botol
36 Pana spray Botol
37 Paper Point 16-40 Pack
38 Rockles/Purperyl Botol
39 Saliva Ejector Pack
40 Scandonest 2% Box
41 Spongostan Pack
42 Tambalan Sinar Pack
43 Ti es Tube
44 TKF Botol

D. TAMBAHAN
1 Scopamin Jun-26
2 Calcium Lactate 26-Oct
3 Cloraethyl Botol
4 Alginat Pack
5 Arsen (septodont) Pot
 TANGGAL
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

30 60 40
40 30

250 45 20 45 48 100 45 52 77 52

120 120 140 50 80 30

220 50 40 50 90 100 40 80 40 80

80 50 50 60 20 50 30 60 20 60
30 30 10
20 30 20 10 20 40 40

188 78 57 58 180 120 50 68 100 68

30 30
40 30 30 30 30 50 50 40 50

60

10 20 10 30 10 30 20 30

30 30 60 20 20

10 20 20 10 20 10 56 56

30
30 60 60 30 30 40 30 40
60 60 30

30 40 10 40 30 130 20 30 50 30
30 10 10 10 10 20 50
20 10 20 20
60 10 10 40 30 10 25 30 5

30 10 40 60
10 10 14 10 7 80 10 14 14 14
80 20 80 20 115 160 50 80 50

30 40

4 24 30 24 30 50 15 50

10
4 8 4 4 4

80 30 80 30 70 80 90

10

20

10

14 20 40 60 50 60 50
10
10 20 10 20

30 150 30 150 60 30 90 90
60 40 80 40 80 50 70 60 80 60

50 ` 30 100 120 100 30 30 80 30

60 44 20 44 30 60 10 30 44 30
80 30 20 30 30 80 60 30 30

80 40 30 40 20 76 10 20 45 40

50 15 30 100 150 80 35 80

22 14 49 14 10 20 15 12 20 12
4 44 28 44 10 20 3 10 3 10
29 39 55 40 50 11 25 10 23 10
7
10 30 10
30 10
30 30

20 30 30 30 40 40 35 55 35
30
30
30 30 30
25 15 30 15 20 65 80 70 80 45

10 10 20 30 20 40 10 40
30 20 10 40

2 2 1 2

2
1 1

2 1 3 1

3 2 1 1 2
3 1

1 2 2

2 1 1 1 1
1
1 1 1 2 2 2 2
1 1 1

1 1 1 1 1
1
1 1 1
1 1
1

2 2 1
1
2
1 2 2 1 1 1
1
30 TOTAL

30 160
140
0
77 1359
0
30 1085
40 1220
0
20 730
80
210
0
100 1716
70
40 570
0
140
0
20 240
0
370
0
232
0
70
30 400
210
30
50 630
225
120
19 333
0
0
170
0
 0
14 252
80 1035
0
70
0
0
15 286
0
0
0
10
4 28
0
620
0
10
0
20
0
10
0
0
10 484
40
10 70
0
660
70 870
0
10
80 840
44 596
30 630
0
0
26 591
0
0
0
35 725
0
0
42 383
3 209
23 505
39
140
 100
140
0
0
0
55 520
30 60
30 60
30 120
80 825
0
10 260
160
0
0
0
0
10
0
0
3
1 3
0
0
0
0
0
0
0
0
0
0
0
0
0
1 11
0
0
1
2 15
7
0
0
0
5
0
8
2
 0
0
0
3 20
5
0
5
3
5
2
1
0
1 12
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0