LAPORAN STOK OPNAME OBAT BULAN JANUARI S/D JUNI 2016

PUSKESMAS WATUBELAH (Menggunakan daftar harga sudah termasuk PPN)

NO Surat Dasar
Penerimaan/
Tanggal

Pengeluaran

URAIAN
SATUAN

*06-01-2016

*668

*03-02-2016

*061

*03-03-2016

*118

*05-04-2016

*175

*04-05-2016

*289

*03-06-2016

*289

JUMLAH HARGA BARANG YANG DITERIMA/

YANG DIKELUARKAN/SISA

STOK AWAL

Asam Mefenamat tablet

Harga
Sudah Termasuk

Stok Awal
Januari

Stok Awal Juni

Rp.

Masuk
Januari - Juni

Keluar
Januari - Juni

Sisa
Juni

Bertambah

Berkurang

PPN

2016

Tahun 2016

2016

2016

2016

(Rp)

(Rp)

Tablet

106.00

Asam asetilsalisilat (asetosal) Tab 100 mg

Aciclovir 400 mg Tablet

Tablet
Tablet

116.00
345.00

Alopurinol tablet 100 mg

Alat suntik 1 ml

Tablet
Pcs

90.00
990.00

Pcs
Pcs

792.00
804.07

Alat suntik 10 ml
Amlodipin 5 mg tablet

Pcs
Tablet

925.00
105.00

Amlodipin 10 mg tablet
Aminofilin Tablet 200 mg
Amitriptilina HCl Tablet salut 25 mg

Tablet
Tablet
Tablet

330.00
90.00
143.00

Amoksisilin Kapsul 250 mg

Amoksisilin Kapsul 500 mg

Kapsul
Kapsul

195.00
232.00

Alat suntik 3 ml
Alat suntik 5 ml

Amoksisilin Sirup Kering 125 mg/5 ml

Amoksisilin Sirup Kering 250 mg/5 ml

Botol
Botol

2,445.00
3,984.00

Antalgin Tablet 500 mg

Antasida DOEN II Suspensi kombinasi

Tablet
Botol

124.20
2,025.00

Antasida DOEN Tablet

Anti Bakteri DOEN Salep Kombinasi

Tablet
Pot

62.00
2,516.00

Antihemoroid Kombinasi
Antimigren DOEN Kombinasi

Supp
Tablet

3,045.00
135.00

Air untuk vial ampul 25 ml

Asam Folat tablet 0,4 mg

Vial
Tablet

2,000.00
63.00

Asam askorbat (Vit. C) Tablet 50 mg

Betametason Krim 0,1%

Tablet
Tube

39.00
1,380.00

Cat Gut / Benang bedah no . 2/0

Cat Gut / Benang bedah no . 2/0 HR 26 MM

Pcs
Sachet

5,583.33
32,800.00

Cat Gut / Benang bedah no . 2/0 HR 37 MM

Cat Gut / Benang bedah no . 3/0

Sachet
Pcs

32,800.00
5,583.33

Cat Gut / Benang bedah no. 3/0 HR 20 MM

Cat Gut / Benang bedah no. 3/0 HR 26 MM
Captopril 12,5 mg

Sachet
Sachet
Tablet

19,700.00
19,700.00
62.00

Captopril 25 mg
Cefadroksil 500 mg tablet

Tablet
Tablet

68.00
510.00

Cefadroksil Syrup
Cefotaksim Injeksi 1 gram

Botol
Ampul

4,746.00
2,950.00

Cefiksim 100 mg kapsul

Difenhidramin Injeksi 10 mg/ml (i.v/i.m)

Kapsul
Ampul

590.00
1,176.00

Deksametason Injeksi 5 mg/ml

Deksametason Tablet 0,5 mg

Ampul
Tablet

1,500.00
44.00

Diazepam Injeksi 5 mg/ml

Digoksin Tablet 0,25

Ampul
Tablet

4,180.00
105.00

Doksisiklin Kapsul 100 mg

Domperidon tablet 10 mg

Tablet
Tablet

270.00
167.00

Epinepri Hcl (Adrenalin) Injeksi 0,1%

Eritromisin Sirup

Ampul
Botol

2,204.00
6,700.00

Eritromisin Kaplet 250 mg

Eritromisin Kaplet 500 mg

Kapsul
Kaplet

566.00
730.00

Etanol 70% - 100 ml

Etanol 70% - 1.000 ml
Eugenol Cair

Botol
Botol
Botol

2,500.00
21,500.00
18,100.00

FDC 1-3
FDC 2

Paket
Paket

359,900.00
1,199,990.00

31
151
293
507
200
199
109
75
130
88
87
62
2,137
20
20
215
20
21
8,385
26
26
72
621
309
161
90
10
5
-

10,695.00

800

502

13,590.00
290,070.00

300

151
393

401,544.00
160,814.00

400
300

707
200

184,075.00
-

9
-

35,970.00
6,750.00
18,590.00

780
200
100

889
194
230

20,416.00

5,200

4,900

346,608.00

240
300

84
364

125,550.00

150

158

132,494.00
50,320.00

18,900
175

17,824
195

60,900.00
29,025.00

22
1,500

42
1,715

40,000.00
1,323.00

20
300

40
46

327,015.00
35,880.00

19,000
275

23,254
301

145,166.67
-

96
-

80
-

402,000.00

72

89

1,300
-

1,921
-

13,596.00

5,000

3,953

16,905.00

200

189

15,030.00

90

22,040.00
-

10
-

22
-

22
-

3
-

42,228.00
-

1,799,500.00
-

329
200
200
300
190
81
388
156
23
54
3,213
275
4,131
42
55
1,356
172
2
-

Sisa GFK
(Rp)
-

276,000.00

173,190.00

113,505.00

297,000.00

13,590.00
389,070.00

198,000.00

316,800.00
241,221.00

559,944.00
160,814.00

158,400.00
241,221.00

8,325.00
-

175,750.00
-

257,400.00
18,000.00
14,300.00

293,370.00
17,460.00
32,890.00

7,290.00
-

1,206,400.00

1,136,800.00

90,016.00

586,800.00
1,195,200.00

205,380.00
1,450,176.00

381,420.00
91,632.00

303,750.00

319,950.00

109,350.00

1,171,800.00
440,300.00

1,105,088.00
490,620.00

199,206.00
-

66,990.00
202,500.00

127,890.00
231,525.00

40,000.00
18,900.00

80,000.00
2,898.00

17,325.00

741,000.00
379,500.00

906,906.00
415,380.00

161,109.00
-

536,000.00
-

446,666.66
-

234,500.00
-

402,000.00

496,916.66

307,083.33

88,400.00
-

130,628.00
-

220,000.00

173,932.00

59,664.00

21,000.00

19,845.00

18,060.00

15,030.00

22,040.00
-

55,000.00
-

55,000.00
1,079,700.00
-

719,800.00
-

NO Surat Dasar
Penerimaan/
Tanggal

JUMLAH HARGA BARANG YANG DITERIMA/

YANG DIKELUARKAN/SISA

STOK AWAL

Pengeluaran

URAIAN
SATUAN

Harga
Sudah Termasuk

FDC anak

Paket

PPN
214,900.00

FDC Sisipan
Fenobarbital Injeksi 50 mg/ml -2 ml

Paket
Ampul

160,000.00
1,969.00

Fenobarbital tablet 30 mg
Fenotoin Natrium Kapsul 100 mg

Tablet
Kapsul

61.00
154.00

Fenol griserol tetes telinga

Fitomenadion (Vit K1) Injeksi 2 mg/ml

Botol
Ampul

2,042.00
3,550.00

Fitomenadion (Vit. K) Tab Salut Gula 10 mg

Flikonazol 150 mg

Tablet
Kapsul

695.00
18,000.00

Foley Cateter
Furosemid Tablet 40 mg

set
Tablet

8,000.00
85.00

Garam Oralit 200 ml air

Gentamisin Injeksi 40 mg/ml
Gentamisin Salep Mata

Sachet
Ampul
Tube

292.00
3,399.00
2,830.00

Gentamisin Tetes Mata

Glimiperede 1 mg

Botol
Tablet

4,000.00
218.00

Glimiperede 2 mg
Glibenklamid Tablet 5 mg

Tablet
Tablet

289.00
56.00

Glukosa Larutan Infus 5% Steril - 500 ml

Glukosa Larutan Infus 10% Steril - 500 ml

Botol
Botol

6,900.00
7,500.00

Griseofulvin Tablet 125 mg, micronized

Hidroklortiazid tab 25 mg

Tablet
Tablet

219.00
149.00

Hirokartison krim 2,5 %

Haloperidol tablet 5 mg

Tube
Tablet

2,650.00
96.00

Haloperidol Tablet 2 mg
Haloperidol tablet 1,5 mg

Tablet
Tablet

126.00
66.00

Haloperidol tablet 0,5 mg

Ibuprofen Tablet 200 mg

Tablet
Tablet

58.00
105.00

Ibuprofen Tablet 400 mg

Ibuprofen syrup 100 mg/5ml

Tablet
Botol

127.00
2,475.00

set
set

3,500.00
4,800.00

Tablet
Pcs
Pcs

88.00
8,700.00
8,700.00

Pcs
Pcs

8,700.00
8,700.00

Infuset anak
Infuset dewasa
Isosorbid Dinitrat Tablet Sublingual 5 mg
IV. Cateter no. 18
IV. Cateter no. 20
IV. Cateter no. 22
IV. Cateter no. 24
Kassa Pembalut 38 X 80
Kassa Steril 16 X 16
Kassa Pembalut hidrofil 4 X 10 cm
Kapas Pembalut hidrofil 250 mg

Roll
Bungkus
Roll
Roll

130,000.00
7,900.00
2,300.00
24,000.00

Kalsium Laktat ( Kalk) tablet 500 mg

Kalsium Glukonas Injeksi IV 10 %(100 mg/ml)

Tablet
Ampul

63.00
7,800.00

Karbamazepin Tablet 200 mg

Ketokonazol krim 2 %

Tablet
Tube

270.00
2,545.00

Tablet
Botol
Tube
Tube
Kapsul
Tablet
Kapsul
Tablet
Botol
Tablet
Botol

300.00
3,955.00

Ketokonazol 200 mg tablet

Kloramfenikol suspensi 125 mg/5ml
Kloramfenikol salep kulit 2 %
Kloramfenikol salep Mata
Kloramfenikol kapsul 500 mg
Klorfeniramin maleat tab 4 mg (CTM)
Klindamisin Kapsul 300 Mg
Kodein Tablet 10 mg
Kotrimoksazol Suspensi
Kotrimoksazol Tablet 480 mg Dewasa
Lisol

3,091.00
1,798.00
1,007.00
42.00
603.00
500.00
2,140.00
151.00
41,000.00

Stok Awal
Januari
2016

3
19
90
121
10
109
1,342
50
113
12
155
50
324
372
42
5
117
85
75
21
9
5
6
7
3
2,422
7
30
164
2,094
91
971
2

Stok Awal Juni

Rp.
Tahun 2016
644,700.00

Masuk
Januari - Juni

Keluar
Januari - Juni

Sisa
Juni

Bertambah

Berkurang

2016

2016

2016

(Rp)

(Rp)

38,798.00
319,500.00

48
180

67
229

84,095.00
-

500
-

367
-

80,000.00
9,265.00

10
-

20
109

391,864.00
169,950.00
-

1,200
-

2,028
-

6,328.00

500

613

82,800.00
-

40
-

17
-

33,945.00
-

97
-

132,500.00
31,104.00

144
100

68
424

47,244.00
103,950.00

11,800
-

12,172
22

17,500.00
561,600.00

5
50

137

7,480.00
652,500.00

300
200

201
275

182,700.00
78,300.00

650,000.00
47,400.00

5
2

16,100.00
72,000.00

2
9

152,586.00
54,600.00

1,200
-

3,622
-

8,100.00
-

200
-

180
-

49,200.00
-

36
-

87,948.00

10,000

12,094

194,740.00

91

146,621.00
82,000.00

971
1

3
41
254
514
50
35
58
126
20
10
30
184
21
9
4
5
7
50
128
2

Sisa GFK
(Rp)
644,700.00

98,016.00
639,000.00

136,814.00
812,950.00

145,550.00

347,500.00
-

255,065.00
-

176,530.00
-

80,000.00
-

160,000.00
9,265.00

350,400.00
-

592,176.00
-

150,088.00
169,950.00
-

28,000.00

34,328.00

276,000.00
-

117,300.00
-

241,500.00
-

21,243.00
-

12,702.00
-

180,200.00
40,704.00

333,900.00
-

381,600.00
9,600.00

1,498,600.00
-

1,545,844.00
54,450.00

49,500.00

17,500.00
240,000.00

657,600.00

35,000.00
144,000.00

26,400.00
1,740,000.00

17,688.00
2,392,500.00

16,192.00
-

182,700.00
78,300.00

650,000.00
15,800.00

31,600.00

144,000.00

4,600.00
216,000.00

11,500.00
-

75,600.00
-

228,186.00
-

54,600.00

54,000.00
-

48,600.00
-

13,500.00
-

10,800.00
-

38,400.00
-

420,000.00
41,000.00

507,948.00

194,740.00

146,621.00
41,000.00

82,000.00

NO Surat Dasar
Penerimaan/
Tanggal

JUMLAH HARGA BARANG YANG DITERIMA/

YANG DIKELUARKAN/SISA

STOK AWAL

Pengeluaran

URAIAN
SATUAN
Lidokain injeksi 2 %
Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 ml
Loratadin tablet 10 mg
Masker
Magnesium Sulfat Injeksi 40 %
Metildopa tablet salut 250 mg
Metilergometrin Inj 0,2 mg/ml
Metilergometrin Maleat Tab. Salut 0,125 g
Metoclopropamamid tablet 5 mg
Metronindazol sir 125 mg/ml
Metronindazol tablet 250 mg
Metronindazol tablet 500 mg
Metformin 500 mg tablet
Mikonazol krim 2 %
N- Asetilsistein 200 mg
Natrium Diklofenak 25 Mg Tablet
Natrium Diklofenak 50 Mg Tablet
Natrium Klorida Larutan Infus 0,9% Steril
Nipedipin 10 mg
Nistatin Tablet Vagina 100.000 IU/g
Nistatin Tablet 500.000 IU
Oksitosin Injeksi 10 UI/ml
Oksitetrasiklin hcl 1 % salep kulit
Omeperazol 20 mg
Parasetamol drop 100 mg/ml
Parasetamol Sirup 120 mg/5 ml
Parasetamol Tablet 500 mg
Piridoksin (Vitamin B6 ) Tablet
Plester 1 Inchi
Polikresulen ( Albotyl )
Povidon Iodida 10% - 30 ml
Povidon Iodida 10 % - 60 ml
Povidon Iodida 10% - 300 ml
Propanolol tablet 10 mg
Ranitidin Injeksi 25 mg / 2ml
Ranitidine 150 mg
Retinol (Vit. A) kapsul 100.000 IU
Retinol (Vit. A) kapsul 200.000 IU
Rivanol 300 ml
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Ringer Laktat Larutan Infus Steril
Salbutamol 4 mg
Sarung tangan steril No 8
Sarung tangan steril No 7.5
Sarung tangan steril No 7
Sarung tangan steril No 6.5
Salep 2 - 4
Scabimite cream 10 Permetrin crim 5 %
Salisil Bedak 2% - 50 gram
Setirizin Kapsul 10 mg
Smi Silk Black 3/0 HR 20 MM
Smi Silk Black 3/0 HR 26 MM
Silk no. 3/0 dengan jarum bedah
Simvastatin 10 mg (di spek Kotak )
Simvastatin 20 mg (di spek Kotak )

Ampul
Ampul
Tablet
Pcs
Ampul
Tablet
Ampul
Tablet
Tablet
Botol
Tablet
Tablet
Tablet
Tube
Kapsul
Tablet
Tablet
Botol
Tablet
Tablet
Tablet
Ampul
Tube
Kapsul
Botol
Botol
Tablet
Tablet
Roll
Botol
Botol
Botol
Botol
Tablet
Ampul
Tablet
Kapsul
Kapsul
Botol
Tablet
Tablet
Botol
Tablet
Psng
Psng
Psng
Psng
Pot
Tube
Bungkus
Kapsul
Sachet
Sachet
pcs
Tablet
Tablet

Harga
Sudah Termasuk

Stok Awal
Januari

PPN

2016
860.00

1,845.00
134.00
480.00
3,650.00
869.00
2,684.00
1,900.00
108.00
3,800.00
94.00
133.00
100.00
3,250.00
426.00
145.00
159.00
6,410.00
104.00
523.00
640.00
1,900.00
1,529.00
160.00
5,200.00
1,074.00
56.00
45.00
8,167.00
17,393.00
2,000.00
6,550.00
18,000.00
60.00
1,390.00
105.00
260.00
459.00
2,550.00
439.00
495.00
7,150.00
83.00
5,000.00
5,000.00
5,000.00
5,000.00
2,429.00
12,155.00
1,025.00
143.00
19,700.00
19,700.00
15,497.00
169.00
252.00

200
90
40
224
35
50
35
114
13
120
180
88
108
6,351
2,746
3
2
7
233
231
152
30
167
31
126
-

Stok Awal Juni

Rp.
Tahun 2016
172,000.00

Masuk
Januari - Juni

Keluar
Januari - Juni

Sisa
Juni

Bertambah

2016

2016

2016

(Rp)

67

166,050.00
-

180
-

230
-

19,200.00
-

40
-

28
-

194,656.00
-

100
-

224
-

4,655.00
5,000.00
113,750.00

1,900
300
48

1,435
350
52

16,530.00

114

83,330.00

1,100
20

853
11

12,480.00
-

400
100

480
42

342,000.00

200

340

134,552.00
-

125
-

160
-

115,992.00

1,008

1,025

355,656.00
123,570.00

43,600
5,000

49,951
7,746

52,179.00

4,000.00
-

1
-

126,000.00
-

2
-

5
-

24,465.00
-

500
5,850

733
5,850

600
-

600
-

200
800

299
672

72,870.00
-

24
-

54
-

171,175.00
-

167
-

480,407.00

24

31

21,294.00
-

300
-

362
-

1,651,650.00
12,616.00

133
40
52
100
500
31
247
22
40
58
40
53
91
3
1
4
132
280
24
64
-

Berkurang

Sisa GFK

(Rp)
57,620.00

(Rp)
114,380.00

332,100.00
-

424,350.00
-

73,800.00
-

19,200.00
-

13,440.00
-

24,960.00
-

86,900.00
-

194,656.00
-

86,900.00
-

252,700.00
30,000.00
156,000.00
-

190,855.00
35,000.00
169,000.00
16,530.00

66,500.00
100,750.00
-

174,900.00
128,200.00

135,627.00
70,510.00

39,273.00
141,020.00

41,600.00
52,300.00

49,920.00
21,966.00

4,160.00
30,334.00

380,000.00

646,000.00

76,000.00

191,125.00
-

244,640.00
-

81,037.00
-

1,082,592.00

1,100,850.00

97,734.00

2,441,600.00
225,000.00

2,797,256.00
348,570.00

52,179.00

2,000.00
-

2,000.00
-

36,000.00
-

90,000.00
-

72,000.00
-

52,500.00
1,521,000.00

76,965.00
1,521,000.00

275,400.00
-

275,400.00
-

1,430,000.00
66,400.00

2,137,850.00
55,776.00

943,800.00
23,240.00

58,296.00
-

131,166.00
-

171,175.00
-

371,928.00

480,407.00

371,928.00

50,700.00
-

61,178.00
-

10,816.00
-

NO Surat Dasar
Penerimaan/
Tanggal

Pengeluaran

URAIAN
SATUAN
Siproflokasazin tab 500 mg
Tablet Tambah Darah Kombinasi
Tetrasiklin Kapsul 250 mg
Tetrasiklin Kapsul 500 mg
Tiamin (Vitamin B1) 50 mg
Triheksipenidil 2 mg
Vitamin B Kompleks
Zinc Tablet
JUMLAH

Keterangan

JUMLAH HARGA BARANG YANG DITERIMA/

YANG DIKELUARKAN/SISA

STOK AWAL

Tablet
Tablet
Kapsul
Kapsul
Tablet
Tablet
Tablet
Tablet

Harga
Sudah Termasuk

Stok Awal
Januari

Stok Awal Juni

Rp.

Masuk
Januari - Juni

Keluar
Januari - Juni

Sisa
Juni

Bertambah

Berkurang

PPN

2016

Tahun 2016

2016

2016

2016

(Rp)

(Rp)

281.00
50.00
163.00
310.00
86.00
88.00
43.00
473.00

19,240
101
661
55
4,755
1,302

962,000.00
31,310.00
56,846.00
4,840.00
204,465.00
615,846.00
16,336,896.66

30,000
4,000
500
18,000
3,500

39,758
58
4,661
460
22,755
3,780

9,482
43
95
1,022

Harga 2016

(Rp)
-

1,500,000.00
-

1,987,900.00
-

474,100.00
-

344,000.00

17,980.00
400,846.00

13,330.00
-

44,000.00
774,000.00

40,480.00
978,465.00

8,360.00
-

1,655,500.00
29,337,417.99

1,787,940.00
36,386,764.33

483,406.00
9,287,550.33

Harga 2014
Harga 2013
Harga 2015

Sisa GFK

Mengetahui,
KEPALA PUSKESMAS WATUBELAH

dr.Joice Untari , M.Hkes

NIP. 19590325 198903 2001

Keterangan

Jumlah obat
Kadaluarsa
-

Jumlah obat
Rusak

Jumlah Rp.
Kadaluarsa

Jumlah Rp.
Rusak

Keterangan

Jumlah obat
Kadaluarsa
-

Jumlah obat
Rusak

Jumlah Rp.
Kadaluarsa

Jumlah Rp.
Rusak

Keterangan

Jumlah obat
Kadaluarsa
-

Jumlah obat
Rusak

Jumlah Rp.
Kadaluarsa

Jumlah Rp.
Rusak

Keterangan

Jumlah obat
Kadaluarsa
-

Jumlah obat
Rusak

Jumlah Rp.
Kadaluarsa
-

Jumlah Rp.
Rusak
-

Cirebon, 30 Juni 2016

PENANGGUNG JAWAB OBAT

HJ. YUSNIZAR
NIP. 19680722 198903 2007

Penerimaan
No

Nama obat

Satuan

1
2
3
4
5
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
37
38
39
40
41

Asam Mefenamat tablet

Asam asetilsalisilat (asetosal) Tab 100 mg
Aciclovir 400 mg Tablet
Alopurinol tablet 100 mg
Alat suntik 1 ml
Alat suntik 3 ml
Alat suntik 5 ml
Alat suntik 10 ml
Amlodipin 5 mg tablet
Amlodipin 10 mg tablet
Aminofilin Tablet 200 mg
Amitriptilina HCl Tablet salut 25 mg
Amoksisilin Kapsul 250 mg
Amoksisilin Kapsul 500 mg
Amoksisilin Sirup Kering 125 mg/5 ml
Amoksisilin Sirup Kering 250 mg/5 ml
Antalgin Tablet 500 mg
Antasida DOEN II Suspensi kombinasi
Antasida DOEN Tablet
Anti Bakteri DOEN Salep Kombinasi
Antihemoroid Kombinasi
Antimigren DOEN Kombinasi
Air untuk vial ampul 25 ml
Asam Folat tablet 0,4 mg
Asam askorbat (Vit. C) Tablet 50 mg
Betametason Krim 0,1%
Cat Gut / Benang bedah no . 2/0
Cat Gut / Benang bedah no . 2/0 HR 26 MM
Cat Gut / Benang bedah no . 2/0 HR 37 MM
Cat Gut / Benang bedah no . 3/0
Cat Gut / Benang bedah no. 3/0 HR 20 MM
Cat Gut / Benang bedah no. 3/0 HR 26 MM
Captopril 12,5 mg
Captopril 25 mg
Cefadroksil 500 mg tablet
Cefadroksil Syrup
Cefotaksim Injeksi 1 gram
Cefiksim 100 mg kapsul
Difenhidramin Injeksi 10 mg/ml (i.v/i.m)
Deksametason Injeksi 5 mg/ml
Deksametason Tablet 0,5 mg

Tablet
Tablet
Tablet
Tablet
Pcs
Pcs
Pcs
Pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Botol
Botol
Tablet
Botol
Tablet
Pot
Supp
Tablet
Vial
Tablet
Tablet
Tube
Pcs
Sachet
Sachet
Pcs
Sachet
Sachet
Tablet
Tablet
Tablet
Botol
Ampul
Kapsul
Ampul
Ampul
Tablet

Januari

Februari

400

150
100

60
100
100

1000

500

100

100

3200
100
12
500
10
4000
100
48

50
2100
75
200
10
2000
50

48

500

300

500

500

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Diazepam Injeksi 5 mg/ml

Digoksin Tablet 0,25
Doksisiklin Kapsul 100 mg
Domperidon tablet 10 mg
Epinepri Hcl (Adrenalin) Injeksi 0,1%
Eritromisin Sirup
Eritromisin Kaplet 250 mg
Eritromisin Kaplet 500 mg
Etanol 70% - 100 ml
Etanol 70% - 1.000 ml
Eugenol Cair
FDC 1-3
FDC 2
FDC anak
FDC Sisipan
Fenobarbital Injeksi 50 mg/ml -2 ml
Fenobarbital tablet 30 mg
Fenotoin Natrium Kapsul 100 mg
Fenol griserol tetes telinga
Fitomenadion (Vit K1) Injeksi 2 mg/ml
Fitomenadion (Vit. K) Tab Salut Gula 10 mg
Flikonazol 150 mg
Foley Cateter
Furosemid Tablet 40 mg
Garam Oralit 200 ml air
Gentamisin Injeksi 40 mg/ml
Gentamisin Salep Mata
Gentamisin Tetes Mata
Glimiperede 1 mg
Glimiperede 2 mg
Glibenklamid Tablet 5 mg
Glukosa Larutan Infus 5% Steril - 500 ml
Glukosa Larutan Infus 10% Steril - 500 ml
Griseofulvin Tablet 125 mg, micronized
Hidroklortiazid tab 25 mg
Hirokartison krim 2,5 %
Haloperidol tablet 5 mg
Haloperidol Tablet 2 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 0,5 mg
Ibuprofen Tablet 200 mg
Ibuprofen Tablet 400 mg
Ibuprofen syrup 100 mg/5ml
Infuset anak
Infuset dewasa

Ampul
Tablet
Tablet
Tablet
Ampul
Botol
Kapsul
Kaplet
Botol
Botol
Botol
Paket
Paket
Paket
Paket
Ampul
Tablet
Kapsul
Botol
Ampul
Tablet
Kapsul
set
Tablet
Sachet
Ampul
Tube
Botol
Tablet
Tablet
Tablet
Botol
Botol
Tablet
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Botol
set
set

10

24

24

200
10
300

300

200

3000

2300

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

Isosorbid Dinitrat Tablet Sublingual 5 mg

Tablet
IV. Cateter no. 18
Pcs
IV. Cateter no. 20
Pcs
IV. Cateter no. 22
Pcs
IV. Cateter no. 24
Pcs
Kassa Pembalut 38 X 80
Roll
Kassa Steril 16 X 16
Bungkus
Kassa Pembalut hidrofil 4 X 10 cm
Roll
Kapas Pembalut hidrofil 250 mg
Roll
Kalsium Laktat ( Kalk) tablet 500 mg
Tablet
Kalsium Glukonas Injeksi IV 10 %(100 mg/
Ampul
Karbamazepin Tablet 200 mg
Tablet
Ketokonazol krim 2 %
Tube
Ketokonazol 200 mg tablet
Tablet
Kloramfenikol suspensi 125 mg/5ml
Botol
Kloramfenikol salep kulit 2 %
Tube
Kloramfenikol salep Mata
Tube
Kloramfenikol kapsul 500 mg
Kapsul
Klorfeniramin maleat tab 4 mg (CTM)
Tablet
Klindamisin Kapsul 300 Mg
Kapsul
Kodein Tablet 10 mg
Tablet
Kotrimoksazol Suspensi
Botol
Kotrimoksazol Tablet 480 mg Dewasa
Tablet
Lisol
Botol
Lidokain injeksi 2 %
Ampul
Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 Ampul
Loratadin tablet 10 mg
Tablet
Masker
Pcs
Magnesium Sulfat Injeksi 40 %
Ampul
Metildopa tablet salut 250 mg
Tablet
Metilergometrin Inj 0,2 mg/ml
Ampul
Metilergometrin Maleat Tab. Salut 0,125 g
Tablet
Metoclopropamamid tablet 5 mg
Tablet
Metronindazol sir 125 mg/ml
Botol
Metronindazol tablet 250 mg
Tablet
Metronindazol tablet 500 mg
Tablet
Metformin 500 mg tablet
Tablet
Mikonazol krim 2 %
Tube
N- Asetilsistein 200 mg
Kapsul
Natrium Diklofenak 25 Mg Tablet
Tablet
Natrium Diklofenak 50 Mg Tablet
Tablet
Natrium Klorida Larutan Infus 0,9% Steril
Botol
Nipedipin 10 mg
Tablet
Nistatin Tablet Vagina 100.000 IU/g
Tablet
Nistatin Tablet 500.000 IU
Tablet

100
50

50

1
200

1
1000

100

100

10000

90
20

20

600

100
300

200
200
100

100

132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

Oksitosin Injeksi 10 UI/ml

Oksitetrasiklin hcl 1 % salep kulit
Omeperazol 20 mg
Parasetamol drop 100 mg/ml
Parasetamol Sirup 120 mg/5 ml
Parasetamol Tablet 500 mg
Piridoksin (Vitamin B6 ) Tablet
Plester 1 Inchi
Polikresulen ( Albotyl )
Povidon Iodida 10% - 30 ml
Povidon Iodida 10 % - 60 ml
Povidon Iodida 10% - 300 ml
Propanolol tablet 10 mg
Ranitidin Injeksi 25 mg / 2ml
Ranitidine 150 mg
Retinol (Vit. A) kapsul 100.000 IU
Retinol (Vit. A) kapsul 200.000 IU
Rivanol 300 ml
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Ringer Laktat Larutan Infus Steril
Salbutamol 4 mg
Sarung tangan steril No 8
Sarung tangan steril No 7.5
Sarung tangan steril No 7
Sarung tangan steril No 6.5
Salep 2 - 4
Scabimite cream 10 Permetrin crim 5 %
Salisil Bedak 2% - 50 gram
Setirizin Kapsul 10 mg
Smi Silk Black 3/0 HR 20 MM
Smi Silk Black 3/0 HR 26 MM
Silk no. 3/0 dengan jarum bedah
Simvastatin 10 mg (di spek Kotak )
Simvastatin 20 mg (di spek Kotak )
Siproflokasazin tab 500 mg
Tablet Tambah Darah Kombinasi
Tetrasiklin Kapsul 250 mg
Tetrasiklin Kapsul 500 mg
Tiamin (Vitamin B1) 50 mg
Triheksipenidil 2 mg
Vitamin B Kompleks
Zinc Tablet

Ampul
Tube
Kapsul
Botol
Botol
Tablet
Tablet
Roll
Botol
Botol
Botol
Botol
Tablet
Ampul
Tablet
Kapsul
Kapsul
Botol
Tablet
Tablet
Botol
Tablet
Psng
Psng
Psng
Psng
Pot
Tube
Bungkus
Kapsul
Sachet
pcs
pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tablet
Tablet
Tablet
Tablet

168
10500
3000

168
8500
1000

100
5850
600

60
100

24

24
100

15000

3000
100
3000

1000
100
3000
1000

Maret

April

Mei

Juni

100

500

300
300
300
300

100

180

Total

390

500
120

500
120

2200

100
50
2800

2800

600

200

2000

50
6000
10

300
3000
25

5000
50
24

5000
50
24

24

200

500

500

300

3000

0
0
800
0
300
400
300
0
0
780
200
100
0
5200
240
300
0
150
18900
175
22
1500
20
300
19000
275
96
0
0
72
0
0
0
1300
0
0
0
0
0
0
5000

100

100

90

90
100

400

200

500

20

20

144
100

2100

2400

2000
5
50

0
200
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
48
180
500
0
10
0
1200
0
0
0
0
0
500
40
0
0
0
144
100
0
0
0
0
11800
0
5
50

100

100

100

1
90

100

300

200
100

400

500

24

24

300

50

350
20

300
0
200
0
0
0
0
0
6
1200
0
200
0
0
0
0
0
0
10000
0
0
0
0
1
0
180
0
40
0
100
0
0
0
0
0
1900
300
48
0
0
1100
20
400
100
0

100

168
10000
1000

25

100
75

168
9100

252
5500

25

84

200

200

200

200

100

100

200
3000
2000

200

6000

9000

3000

3000
500

140
100

100
3000

200
125
0
0
1008
43600
5000
0
0
0
0
2
0
0
500
5850
600
0
0
0
200
800
0
0
0
0
24
0
0
0
0
0
24
300
0
0
30000
0
0
4000
500
18000
3500

pengeluaran
No

Nama obat
1
2
3
4
5
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
37
38
39
40
41

Asam Mefenamat tablet

Asam asetilsalisilat (asetosal) Tab 100 mg
Aciclovir 400 mg Tablet
Alopurinol tablet 100 mg
Alat suntik 1 ml
Alat suntik 3 ml
Alat suntik 5 ml
Alat suntik 10 ml
Amlodipin 5 mg tablet
Amlodipin 10 mg tablet
Aminofilin Tablet 200 mg
Amitriptilina HCl Tablet salut 25 mg
Amoksisilin Kapsul 250 mg
Amoksisilin Kapsul 500 mg
Amoksisilin Sirup Kering 125 mg/5 ml
Amoksisilin Sirup Kering 250 mg/5 ml
Antalgin Tablet 500 mg
Antasida DOEN II Suspensi kombinasi
Antasida DOEN Tablet
Anti Bakteri DOEN Salep Kombinasi
Antihemoroid Kombinasi
Antimigren DOEN Kombinasi
Air untuk vial ampul 25 ml
Asam Folat tablet 0,4 mg
Asam askorbat (Vit. C) Tablet 50 mg
Betametason Krim 0,1%
Cat Gut / Benang bedah no . 2/0
Cat Gut / Benang bedah no . 2/0 HR 26 MM
Cat Gut / Benang bedah no . 2/0 HR 37 MM
Cat Gut / Benang bedah no . 3/0
Cat Gut / Benang bedah no. 3/0 HR 20 MM
Cat Gut / Benang bedah no. 3/0 HR 26 MM
Captopril 12,5 mg
Captopril 25 mg
Cefadroksil 500 mg tablet
Cefadroksil Syrup
Cefotaksim Injeksi 1 gram
Cefiksim 100 mg kapsul
Difenhidramin Injeksi 10 mg/ml (i.v/i.m)
Deksametason Injeksi 5 mg/ml
Deksametason Tablet 0,5 mg

Satuan
Tablet
Tablet
Tablet
Tablet
Pcs
Pcs
Pcs
Pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Botol
Botol
Tablet
Botol
Tablet
Pot
Supp
Tablet
Vial
Tablet
Tablet
Tube
Pcs
Sachet
Sachet
Pcs
Sachet
Sachet
Tablet
Tablet
Tablet
Botol
Ampul
Kapsul
Ampul
Ampul
Tablet

Januari

160
99
47
62
3
148
118
50
1,088
30
34
3,911
57
24
373
9
21
3,538
82

10

727

809

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Diazepam Injeksi 5 mg/ml

Digoksin Tablet 0,25
Doksisiklin Kapsul 100 mg
Domperidon tablet 10 mg
Epinepri Hcl (Adrenalin) Injeksi 0,1%
Eritromisin Sirup
Eritromisin Kaplet 250 mg
Eritromisin Kaplet 500 mg
Etanol 70% - 100 ml
Etanol 70% - 1.000 ml
Eugenol Cair
FDC 1-3
FDC 2
FDC anak
FDC Sisipan
Fenobarbital Injeksi 50 mg/ml -2 ml
Fenobarbital tablet 30 mg
Fenotoin Natrium Kapsul 100 mg
Fenol griserol tetes telinga
Fitomenadion (Vit K1) Injeksi 2 mg/ml
Fitomenadion (Vit. K) Tab Salut Gula 10 mg
Flikonazol 150 mg
Foley Cateter
Furosemid Tablet 40 mg
Garam Oralit 200 ml air
Gentamisin Injeksi 40 mg/ml
Gentamisin Salep Mata
Gentamisin Tetes Mata
Glimiperede 1 mg
Glimiperede 2 mg
Glibenklamid Tablet 5 mg
Glukosa Larutan Infus 5% Steril - 500 ml
Glukosa Larutan Infus 10% Steril - 500 ml
Griseofulvin Tablet 125 mg, micronized
Hidroklortiazid tab 25 mg
Hirokartison krim 2,5 %
Haloperidol tablet 5 mg
Haloperidol Tablet 2 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 0,5 mg
Ibuprofen Tablet 200 mg
Ibuprofen Tablet 400 mg
Ibuprofen syrup 100 mg/5ml
Infuset anak
Infuset dewasa

Ampul
Tablet
Tablet
Tablet
Ampul
Botol
Kapsul
Kaplet
Botol
Botol
Botol
Paket
Paket
Paket
Paket
Ampul
Tablet
Kapsul
Botol
Ampul
Tablet
Kapsul
set
Tablet
Sachet
Ampul
Tube
Botol
Tablet
Tablet
Tablet
Botol
Botol
Tablet
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Botol
set
set

26
90
5

22
76

24
458

153

39
100

2,752
3

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

Isosorbid Dinitrat Tablet Sublingual 5 mg

IV. Cateter no. 18
IV. Cateter no. 20
IV. Cateter no. 22
IV. Cateter no. 24
Kassa Pembalut 38 X 80
Kassa Steril 16 X 16
Kassa Pembalut hidrofil 4 X 10 cm
Kapas Pembalut hidrofil 250 mg
Kalsium Laktat ( Kalk) tablet 500 mg
Kalsium Glukonas Injeksi IV 10 %(100 mg/ml)
Karbamazepin Tablet 200 mg
Ketokonazol krim 2 %
Ketokonazol 200 mg tablet
Kloramfenikol suspensi 125 mg/5ml
Kloramfenikol salep kulit 2 %
Kloramfenikol salep Mata
Kloramfenikol kapsul 500 mg
Klorfeniramin maleat tab 4 mg (CTM)
Klindamisin Kapsul 300 Mg
Kodein Tablet 10 mg
Kotrimoksazol Suspensi
Kotrimoksazol Tablet 480 mg Dewasa
Lisol
Lidokain injeksi 2 %
Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 ml
Loratadin tablet 10 mg
Masker
Magnesium Sulfat Injeksi 40 %
Metildopa tablet salut 250 mg
Metilergometrin Inj 0,2 mg/ml
Metilergometrin Maleat Tab. Salut 0,125 g
Metoclopropamamid tablet 5 mg
Metronindazol sir 125 mg/ml
Metronindazol tablet 250 mg
Metronindazol tablet 500 mg
Metformin 500 mg tablet
Mikonazol krim 2 %
N- Asetilsistein 200 mg
Natrium Diklofenak 25 Mg Tablet
Natrium Diklofenak 50 Mg Tablet
Natrium Klorida Larutan Infus 0,9% Steril
Nipedipin 10 mg
Nistatin Tablet Vagina 100.000 IU/g
Nistatin Tablet 500.000 IU

Tablet
Pcs
Pcs
Pcs
Pcs
Roll
Bungkus
Roll
Roll
Tablet
Ampul
Tablet
Tube
Tablet
Botol
Tube
Tube
Kapsul
Tablet
Kapsul
Tablet
Botol
Tablet
Botol
Ampul
Ampul
Tablet
Pcs
Ampul
Tablet
Ampul
Tablet
Tablet
Botol
Tablet
Tablet
Tablet
Tube
Kapsul
Tablet
Tablet
Botol
Tablet
Tablet
Tablet

32
70

3
1
3
2,168
50
18

8,754

17
330

45
22
10

51
50
6
114
2
119
9

132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

Oksitosin Injeksi 10 UI/ml

Oksitetrasiklin hcl 1 % salep kulit
Omeperazol 20 mg
Parasetamol drop 100 mg/ml
Parasetamol Sirup 120 mg/5 ml
Parasetamol Tablet 500 mg
Piridoksin (Vitamin B6 ) Tablet
Plester 1 Inchi
Polikresulen ( Albotyl )
Povidon Iodida 10% - 30 ml
Povidon Iodida 10 % - 60 ml
Povidon Iodida 10% - 300 ml
Propanolol tablet 10 mg
Ranitidin Injeksi 25 mg / 2ml
Ranitidine 150 mg
Retinol (Vit. A) kapsul 100.000 IU
Retinol (Vit. A) kapsul 200.000 IU
Rivanol 300 ml
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Ringer Laktat Larutan Infus Steril
Salbutamol 4 mg
Sarung tangan steril No 8
Sarung tangan steril No 7.5
Sarung tangan steril No 7
Sarung tangan steril No 6.5
Salep 2 - 4
Scabimite cream 10 Permetrin crim 5 %
Salisil Bedak 2% - 50 gram
Setirizin Kapsul 10 mg
Smi Silk Black 3/0 HR 20 MM
Smi Silk Black 3/0 HR 26 MM
Silk no. 3/0 dengan jarum bedah
Simvastatin 10 mg (di spek Kotak )
Simvastatin 20 mg (di spek Kotak )
Siproflokasazin tab 500 mg
Tablet Tambah Darah Kombinasi
Tetrasiklin Kapsul 250 mg
Tetrasiklin Kapsul 500 mg
Tiamin (Vitamin B1) 50 mg
Triheksipenidil 2 mg
Vitamin B Kompleks
Zinc Tablet

Ampul
Tube
Kapsul
Botol
Botol
Tablet
Tablet
Roll
Botol
Botol
Botol
Botol
Tablet
Ampul
Tablet
Kapsul
Kapsul
Botol
Tablet
Tablet
Botol
Tablet
Psng
Psng
Psng
Psng
Pot
Tube
Bungkus
Kapsul
Sachet
pcs
pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tablet
Tablet
Tablet
Tablet

57
9

244
15,208
3,126

117

65
59

20
72

17
46

13,203
18
3,363
65
4,349
917

Februari

21
22
28

Maret

April

30
31

152

200
10

174
190

Mei

Juni

Total

114

46

87
143

237
100
6

171
5
90

101

311

158
71

90

500

500
92

500
14
73

500
51
15

1,812
19
75

79
28
3,526
38
8
542
7

8
2,800
58

21
2,800
21

21
1,246
21

46
3,541

349
10

267
2

184

4,094
47
9

4,293
54
6

4,217
60
23

2,881
51
24

12
25
4,231
7
18

30

13

24

318

154

234

188

300

500

500

500

10

1,644

502
151
393
707
200
9
889
194
230
4,900
84
364
158
17,824
195
42
1,715
40
46
23,254
301
80
89
1,921
3,953

39

13

48

44

19

18
81
38

27
23
90

15
323

55
77

70
53

9
316

10
27
325

15
219

10
19
387

120
1

46
2

50
3

56
10

188
1

55

24

70

11
95

65

63

1,247
8

1,146
6

2,627
4

2,400
1

17

54

27

33

18
31

2,000

39

189
90
10
22
3
67
229
367
20
109
2,028
613
17
97
68
424
12,172
22
137

14

20

18

87

36

73

26
100

1
1
437

2
1
1,017

30

20

10

70

1
5
30

57
7

3,340

36
324

38
317

5
75

30

10

201

355
50
14

373
133
15

236
117

164
2
121
6

236
1
70

43
2

420
9

139

161

41
16

57
11

153
6
72

201
275
5
2
2
9
3,622
180
36
12,094
91
971
1
67
230
28
224
1,435
350
52
114
853
11
480
42
-

29

44
16

39
55

50
39

121
41

104
9,165
3,620

214
10,978
1,000

218
9,100

66
1,101

179
4,399

1
2

216
5,850
600

200

200

11
142

151
154

27
156

17

14

51

15

29

3
121

5
84

2,194

4,710

30
97

15
64

1
16

5
17

78

6,650

4,740

8,261
40

1,298
130
5,118
645

65
4,288
510

70
3,000
465

50
1,655
549

80
4,345
694

340
160
1,025
49,951
7,746
1
5
733
5,850
600
299
672
54
167
31
362
39,758
58
4,661
460
22,755
3,780

Penerimaan
No
1
2
3
4
5
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
37
38
39
40
41

Nama obat

Satuan

Asam Mefenamat tablet

Tablet
Asam asetilsalisilat (asetosal) Tab 100 mg Tablet
Aciclovir 400 mg Tablet
Tablet
Alopurinol tablet 100 mg
Tablet
Alat suntik 1 ml
Pcs
Alat suntik 3 ml
Pcs
Alat suntik 5 ml
Pcs
Alat suntik 10 ml
Pcs
Amlodipin 5 mg tablet
Tablet
Amlodipin 10 mg tablet
Tablet
Aminofilin Tablet 200 mg
Tablet
Amitriptilina HCl Tablet salut 25 mg
Tablet
Amoksisilin Kapsul 250 mg
Kapsul
Amoksisilin Kapsul 500 mg
Kapsul
Amoksisilin Sirup Kering 125 mg/5 ml
Botol
Amoksisilin Sirup Kering 250 mg/5 ml
Botol
Antalgin Tablet 500 mg
Tablet
Antasida DOEN II Suspensi kombinasi
Botol
Antasida DOEN Tablet
Tablet
Anti Bakteri DOEN Salep Kombinasi
Pot
Antihemoroid Kombinasi
Supp
Antimigren DOEN Kombinasi
Tablet
Air untuk vial ampul 25 ml
Vial
Asam Folat tablet 0,4 mg
Tablet
Asam askorbat (Vit. C) Tablet 50 mg
Tablet
Betametason Krim 0,1%
Tube
Cat Gut / Benang bedah no . 2/0
Pcs
Cat Gut / Benang bedah no . 2/0 HR 26 M Sachet
Cat Gut / Benang bedah no . 2/0 HR 37 M Sachet
Cat Gut / Benang bedah no . 3/0
Pcs
Cat Gut / Benang bedah no. 3/0 HR 20 MMSachet
Cat Gut / Benang bedah no. 3/0 HR 26 MMSachet
Captopril 12,5 mg
Tablet
Captopril 25 mg
Tablet
Cefadroksil 500 mg tablet
Tablet
Cefadroksil Syrup
Botol
Cefotaksim Injeksi 1 gram
Ampul
Cefiksim 100 mg kapsul
Kapsul
Difenhidramin Injeksi 10 mg/ml (i.v/i.m) Ampul
Deksametason Injeksi 5 mg/ml
Ampul
Deksametason Tablet 0,5 mg
Tablet

Januari

Februari

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Diazepam Injeksi 5 mg/ml

Digoksin Tablet 0,25
Doksisiklin Kapsul 100 mg
Domperidon tablet 10 mg
Epinepri Hcl (Adrenalin) Injeksi 0,1%
Eritromisin Sirup
Eritromisin Kaplet 250 mg
Eritromisin Kaplet 500 mg
Etanol 70% - 100 ml
Etanol 70% - 1.000 ml
Eugenol Cair
FDC 1-3
FDC 2
FDC anak
FDC Sisipan
Fenobarbital Injeksi 50 mg/ml -2 ml
Fenobarbital tablet 30 mg
Fenotoin Natrium Kapsul 100 mg
Fenol griserol tetes telinga
Fitomenadion (Vit K1) Injeksi 2 mg/ml
Fitomenadion (Vit. K) Tab Salut Gula 10 m
Flikonazol 150 mg
Foley Cateter
Furosemid Tablet 40 mg
Garam Oralit 200 ml air
Gentamisin Injeksi 40 mg/ml
Gentamisin Salep Mata
Gentamisin Tetes Mata
Glimiperede 1 mg
Glimiperede 2 mg
Glibenklamid Tablet 5 mg
Glukosa Larutan Infus 5% Steril - 500 ml
Glukosa Larutan Infus 10% Steril - 500 ml
Griseofulvin Tablet 125 mg, micronized
Hidroklortiazid tab 25 mg
Hirokartison krim 2,5 %
Haloperidol tablet 5 mg
Haloperidol Tablet 2 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 0,5 mg
Ibuprofen Tablet 200 mg
Ibuprofen Tablet 400 mg
Ibuprofen syrup 100 mg/5ml
Infuset anak
Infuset dewasa

Ampul
Tablet
Tablet
Tablet
Ampul
Botol
Kapsul
Kaplet
Botol
Botol
Botol
Paket
Paket
Paket
Paket
Ampul
Tablet
Kapsul
Botol
Ampul
Tablet
Kapsul
set
Tablet
Sachet
Ampul
Tube
Botol
Tablet
Tablet
Tablet
Botol
Botol
Tablet
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Botol
set
set

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet

IV. Cateter no. 18
Pcs
IV. Cateter no. 20
Pcs
IV. Cateter no. 22
Pcs
IV. Cateter no. 24
Pcs
Kassa Pembalut 38 X 80
Roll
Kassa Steril 16 X 16
Bungkus
Kassa Pembalut hidrofil 4 X 10 cm
Roll
Kapas Pembalut hidrofil 250 mg
Roll
Kalsium Laktat ( Kalk) tablet 500 mg
Tablet
Kalsium Glukonas Injeksi IV 10 %(100 mg/Ampul
Karbamazepin Tablet 200 mg
Tablet
Ketokonazol krim 2 %
Tube
Ketokonazol 200 mg tablet
Tablet
Kloramfenikol suspensi 125 mg/5ml
Botol
Kloramfenikol salep kulit 2 %
Tube
Kloramfenikol salep Mata
Tube
Kloramfenikol kapsul 500 mg
Kapsul
Klorfeniramin maleat tab 4 mg (CTM)
Tablet
Klindamisin Kapsul 300 Mg
Kapsul
Kodein Tablet 10 mg
Tablet
Kotrimoksazol Suspensi
Botol
Kotrimoksazol Tablet 480 mg Dewasa
Tablet
Lisol
Botol
Lidokain injeksi 2 %
Ampul
Lidokain injeksi 2 % ( HCL ) + Epineprin / Ampul
Loratadin tablet 10 mg
Tablet
Masker
Pcs
Magnesium Sulfat Injeksi 40 %
Ampul
Metildopa tablet salut 250 mg
Tablet
Metilergometrin Inj 0,2 mg/ml
Ampul
Metilergometrin Maleat Tab. Salut 0,125 g Tablet
Metoclopropamamid tablet 5 mg
Tablet
Metronindazol sir 125 mg/ml
Botol
Metronindazol tablet 250 mg
Tablet
Metronindazol tablet 500 mg
Tablet
Metformin 500 mg tablet
Tablet
Mikonazol krim 2 %
Tube
N- Asetilsistein 200 mg
Kapsul
Natrium Diklofenak 25 Mg Tablet
Tablet
Natrium Diklofenak 50 Mg Tablet
Tablet
Natrium Klorida Larutan Infus 0,9% Steril Botol
Nipedipin 10 mg
Tablet
Nistatin Tablet Vagina 100.000 IU/g
Tablet
Nistatin Tablet 500.000 IU
Tablet

132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

Oksitosin Injeksi 10 UI/ml

Oksitetrasiklin hcl 1 % salep kulit
Omeperazol 20 mg
Parasetamol drop 100 mg/ml
Parasetamol Sirup 120 mg/5 ml
Parasetamol Tablet 500 mg
Piridoksin (Vitamin B6 ) Tablet
Plester 1 Inchi
Polikresulen ( Albotyl )
Povidon Iodida 10% - 30 ml
Povidon Iodida 10 % - 60 ml
Povidon Iodida 10% - 300 ml
Propanolol tablet 10 mg
Ranitidin Injeksi 25 mg / 2ml
Ranitidine 150 mg
Retinol (Vit. A) kapsul 100.000 IU
Retinol (Vit. A) kapsul 200.000 IU
Rivanol 300 ml
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Ringer Laktat Larutan Infus Steril
Salbutamol 4 mg
Sarung tangan steril No 8
Sarung tangan steril No 7.5
Sarung tangan steril No 7
Sarung tangan steril No 6.5
Salep 2 - 4
Scabimite cream 10 Permetrin crim 5 %
Salisil Bedak 2% - 50 gram
Setirizin Kapsul 10 mg
Smi Silk Black 3/0 HR 20 MM
Smi Silk Black 3/0 HR 26 MM
Silk no. 3/0 dengan jarum bedah
Simvastatin 10 mg (di spek Kotak )
Simvastatin 20 mg (di spek Kotak )
Siproflokasazin tab 500 mg
Tablet Tambah Darah Kombinasi
Tetrasiklin Kapsul 250 mg
Tetrasiklin Kapsul 500 mg
Tiamin (Vitamin B1) 50 mg
Triheksipenidil 2 mg
Vitamin B Kompleks
Zinc Tablet

Ampul
Tube
Kapsul
Botol
Botol
Tablet
Tablet
Roll
Botol
Botol
Botol
Botol
Tablet
Ampul
Tablet
Kapsul
Kapsul
Botol
Tablet
Tablet
Botol
Tablet
Psng
Psng
Psng
Psng
Pot
Tube
Bungkus
Kapsul
Sachet
pcs
pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tablet
Tablet
Tablet
Tablet

Maret

April

Mei

Juni

Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

rusak
No
1
2
3
4
5
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
37
38
39
40
41

Nama obat
Asam Mefenamat tablet
Asam asetilsalisilat (asetosal) Tab 100 mg
Aciclovir 400 mg Tablet
Alopurinol tablet 100 mg
Alat suntik 1 ml
Alat suntik 3 ml
Alat suntik 5 ml
Alat suntik 10 ml
Amlodipin 5 mg tablet
Amlodipin 10 mg tablet
Aminofilin Tablet 200 mg
Amitriptilina HCl Tablet salut 25 mg
Amoksisilin Kapsul 250 mg
Amoksisilin Kapsul 500 mg
Amoksisilin Sirup Kering 125 mg/5 ml
Amoksisilin Sirup Kering 250 mg/5 ml
Antalgin Tablet 500 mg
Antasida DOEN II Suspensi kombinasi
Antasida DOEN Tablet
Anti Bakteri DOEN Salep Kombinasi
Antihemoroid Kombinasi
Antimigren DOEN Kombinasi
Air untuk vial ampul 25 ml
Asam Folat tablet 0,4 mg
Asam askorbat (Vit. C) Tablet 50 mg
Betametason Krim 0,1%
Cat Gut / Benang bedah no . 2/0
Cat Gut / Benang bedah no . 2/0 HR 26 MM
Cat Gut / Benang bedah no . 2/0 HR 37 MM
Cat Gut / Benang bedah no . 3/0
Cat Gut / Benang bedah no. 3/0 HR 20 MM
Cat Gut / Benang bedah no. 3/0 HR 26 MM
Captopril 12,5 mg
Captopril 25 mg
Cefadroksil 500 mg tablet
Cefadroksil Syrup
Cefotaksim Injeksi 1 gram
Cefiksim 100 mg kapsul
Difenhidramin Injeksi 10 mg/ml (i.v/i.m)
Deksametason Injeksi 5 mg/ml
Deksametason Tablet 0,5 mg

Satuan
Tablet
Tablet
Tablet
Tablet
Pcs
Pcs
Pcs
Pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Botol
Botol
Tablet
Botol
Tablet
Pot
Supp
Tablet
Vial
Tablet
Tablet
Tube
Pcs
Sachet
Sachet
Pcs
Sachet
Sachet
Tablet
Tablet
Tablet
Botol
Ampul
Kapsul
Ampul
Ampul
Tablet

Januari

Februari

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Diazepam Injeksi 5 mg/ml

Digoksin Tablet 0,25
Doksisiklin Kapsul 100 mg
Domperidon tablet 10 mg
Epinepri Hcl (Adrenalin) Injeksi 0,1%
Eritromisin Sirup
Eritromisin Kaplet 250 mg
Eritromisin Kaplet 500 mg
Etanol 70% - 100 ml
Etanol 70% - 1.000 ml
Eugenol Cair
FDC 1-3
FDC 2
FDC anak
FDC Sisipan
Fenobarbital Injeksi 50 mg/ml -2 ml
Fenobarbital tablet 30 mg
Fenotoin Natrium Kapsul 100 mg
Fenol griserol tetes telinga
Fitomenadion (Vit K1) Injeksi 2 mg/ml
Fitomenadion (Vit. K) Tab Salut Gula 10 mg
Flikonazol 150 mg
Foley Cateter
Furosemid Tablet 40 mg
Garam Oralit 200 ml air
Gentamisin Injeksi 40 mg/ml
Gentamisin Salep Mata
Gentamisin Tetes Mata
Glimiperede 1 mg
Glimiperede 2 mg
Glibenklamid Tablet 5 mg
Glukosa Larutan Infus 5% Steril - 500 ml
Glukosa Larutan Infus 10% Steril - 500 ml
Griseofulvin Tablet 125 mg, micronized
Hidroklortiazid tab 25 mg
Hirokartison krim 2,5 %
Haloperidol tablet 5 mg
Haloperidol Tablet 2 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 0,5 mg
Ibuprofen Tablet 200 mg
Ibuprofen Tablet 400 mg
Ibuprofen syrup 100 mg/5ml
Infuset anak
Infuset dewasa

Ampul
Tablet
Tablet
Tablet
Ampul
Botol
Kapsul
Kaplet
Botol
Botol
Botol
Paket
Paket
Paket
Paket
Ampul
Tablet
Kapsul
Botol
Ampul
Tablet
Kapsul
set
Tablet
Sachet
Ampul
Tube
Botol
Tablet
Tablet
Tablet
Botol
Botol
Tablet
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Botol
set
set

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

Isosorbid Dinitrat Tablet Sublingual 5 mg

Tablet
IV. Cateter no. 18
Pcs
IV. Cateter no. 20
Pcs
IV. Cateter no. 22
Pcs
IV. Cateter no. 24
Pcs
Kassa Pembalut 38 X 80
Roll
Kassa Steril 16 X 16
Bungkus
Kassa Pembalut hidrofil 4 X 10 cm
Roll
Kapas Pembalut hidrofil 250 mg
Roll
Kalsium Laktat ( Kalk) tablet 500 mg
Tablet
Kalsium Glukonas Injeksi IV 10 %(100 mg/ml) Ampul
Karbamazepin Tablet 200 mg
Tablet
Ketokonazol krim 2 %
Tube
Ketokonazol 200 mg tablet
Tablet
Kloramfenikol suspensi 125 mg/5ml
Botol
Kloramfenikol salep kulit 2 %
Tube
Kloramfenikol salep Mata
Tube
Kloramfenikol kapsul 500 mg
Kapsul
Klorfeniramin maleat tab 4 mg (CTM)
Tablet
Klindamisin Kapsul 300 Mg
Kapsul
Kodein Tablet 10 mg
Tablet
Kotrimoksazol Suspensi
Botol
Kotrimoksazol Tablet 480 mg Dewasa
Tablet
Lisol
Botol
Lidokain injeksi 2 %
Ampul
Lidokain injeksi 2 % ( HCL ) + Epineprin / 2 mlAmpul
Loratadin tablet 10 mg
Tablet
Masker
Pcs
Magnesium Sulfat Injeksi 40 %
Ampul
Metildopa tablet salut 250 mg
Tablet
Metilergometrin Inj 0,2 mg/ml
Ampul
Metilergometrin Maleat Tab. Salut 0,125 g
Tablet
Metoclopropamamid tablet 5 mg
Tablet
Metronindazol sir 125 mg/ml
Botol
Metronindazol tablet 250 mg
Tablet
Metronindazol tablet 500 mg
Tablet
Metformin 500 mg tablet
Tablet
Mikonazol krim 2 %
Tube
N- Asetilsistein 200 mg
Kapsul
Natrium Diklofenak 25 Mg Tablet
Tablet
Natrium Diklofenak 50 Mg Tablet
Tablet
Natrium Klorida Larutan Infus 0,9% Steril
Botol
Nipedipin 10 mg
Tablet
Nistatin Tablet Vagina 100.000 IU/g
Tablet
Nistatin Tablet 500.000 IU
Tablet

132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

Oksitosin Injeksi 10 UI/ml

Oksitetrasiklin hcl 1 % salep kulit
Omeperazol 20 mg
Parasetamol drop 100 mg/ml
Parasetamol Sirup 120 mg/5 ml
Parasetamol Tablet 500 mg
Piridoksin (Vitamin B6 ) Tablet
Plester 1 Inchi
Polikresulen ( Albotyl )
Povidon Iodida 10% - 30 ml
Povidon Iodida 10 % - 60 ml
Povidon Iodida 10% - 300 ml
Propanolol tablet 10 mg
Ranitidin Injeksi 25 mg / 2ml
Ranitidine 150 mg
Retinol (Vit. A) kapsul 100.000 IU
Retinol (Vit. A) kapsul 200.000 IU
Rivanol 300 ml
Risperidon tablet 1 mg
Risperidon tablet 2 mg
Ringer Laktat Larutan Infus Steril
Salbutamol 4 mg
Sarung tangan steril No 8
Sarung tangan steril No 7.5
Sarung tangan steril No 7
Sarung tangan steril No 6.5
Salep 2 - 4
Scabimite cream 10 Permetrin crim 5 %
Salisil Bedak 2% - 50 gram
Setirizin Kapsul 10 mg
Smi Silk Black 3/0 HR 20 MM
Smi Silk Black 3/0 HR 26 MM
Silk no. 3/0 dengan jarum bedah
Simvastatin 10 mg (di spek Kotak )
Simvastatin 20 mg (di spek Kotak )
Siproflokasazin tab 500 mg
Tablet Tambah Darah Kombinasi
Tetrasiklin Kapsul 250 mg
Tetrasiklin Kapsul 500 mg
Tiamin (Vitamin B1) 50 mg
Triheksipenidil 2 mg
Vitamin B Kompleks
Zinc Tablet

Ampul
Tube
Kapsul
Botol
Botol
Tablet
Tablet
Roll
Botol
Botol
Botol
Botol
Tablet
Ampul
Tablet
Kapsul
Kapsul
Botol
Tablet
Tablet
Botol
Tablet
Psng
Psng
Psng
Psng
Pot
Tube
Bungkus
Kapsul
Sachet
pcs
pcs
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tablet
Tablet
Tablet
Tablet

Maret

April

Mei

Juni

Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

stok awal
No
1
2
3
4
5
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
37
38
39
40
41

Nama obat

Satuan

Asam Mefenamat tablet

Tablet
Asam asetilsalisilat (asetosal) T Tablet
Aciclovir 400 mg Tablet
Tablet
Alopurinol tablet 100 mg
Tablet
Alat suntik 1 ml
Pcs
Alat suntik 3 ml
Pcs
Alat suntik 5 ml
Pcs
Alat suntik 10 ml
Pcs
Amlodipin 5 mg tablet
Tablet
Amlodipin 10 mg tablet
Tablet
Aminofilin Tablet 200 mg
Tablet
Amitriptilina HCl Tablet salut 25 Tablet
Amoksisilin Kapsul 250 mg
Kapsul
Amoksisilin Kapsul 500 mg
Kapsul
Amoksisilin Sirup Kering 125 mg Botol
Amoksisilin Sirup Kering 250 mg Botol
Antalgin Tablet 500 mg
Tablet
Antasida DOEN II Suspensi kombBotol
Antasida DOEN Tablet
Tablet
Anti Bakteri DOEN Salep KombinPot
Antihemoroid Kombinasi
Supp
Antimigren DOEN Kombinasi
Tablet
Air untuk vial ampul 25 ml
Vial
Asam Folat tablet 0,4 mg
Tablet
Asam askorbat (Vit. C) Tablet 50 Tablet
Betametason Krim 0,1%
Tube
Cat Gut / Benang bedah no . 2/0 Pcs
Cat Gut / Benang bedah no . 2/ Sachet
Cat Gut / Benang bedah no . 2/ Sachet
Cat Gut / Benang bedah no . 3/0 Pcs
Cat Gut / Benang bedah no. 3/0 Sachet
Cat Gut / Benang bedah no. 3/0 Sachet
Captopril 12,5 mg
Tablet
Captopril 25 mg
Tablet
Cefadroksil 500 mg tablet
Tablet
Cefadroksil Syrup
Botol
Cefotaksim Injeksi 1 gram
Ampul
Cefiksim 100 mg kapsul
Kapsul
Difenhidramin Injeksi 10 mg/ml (iAmpul
Deksametason Injeksi 5 mg/ml Ampul
Deksametason Tablet 0,5 mg
Tablet

stok awal

31
151
293
507
200
199
109
75
130
88
87
62
2137
20
20
215
20
21
8385
26
26

72

621

309

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Diazepam Injeksi 5 mg/ml

Ampul
Digoksin Tablet 0,25
Tablet
Doksisiklin Kapsul 100 mg
Tablet
Domperidon tablet 10 mg
Tablet
Epinepri Hcl (Adrenalin) Injeksi Ampul
Eritromisin Sirup
Botol
Eritromisin Kaplet 250 mg
Kapsul
Eritromisin Kaplet 500 mg
Kaplet
Etanol 70% - 100 ml
Botol
Etanol 70% - 1.000 ml
Botol
Eugenol Cair
Botol
FDC 1-3
Paket
FDC 2
Paket
FDC anak
Paket
FDC Sisipan
Paket
Fenobarbital Injeksi 50 mg/ml -2 Ampul
Fenobarbital tablet 30 mg
Tablet
Fenotoin Natrium Kapsul 100 mgKapsul
Fenol griserol tetes telinga
Botol
Fitomenadion (Vit K1) Injeksi 2 Ampul
Fitomenadion (Vit. K) Tab Salut Tablet
Flikonazol 150 mg
Kapsul
Foley Cateter
set
Furosemid Tablet 40 mg
Tablet
Garam Oralit 200 ml air
Sachet
Gentamisin Injeksi 40 mg/ml
Ampul
Gentamisin Salep Mata
Tube
Gentamisin Tetes Mata
Botol
Glimiperede 1 mg
Tablet
Glimiperede 2 mg
Tablet
Glibenklamid Tablet 5 mg
Tablet
Glukosa Larutan Infus 5% Steril Botol
Glukosa Larutan Infus 10% SterilBotol
Griseofulvin Tablet 125 mg, micrTablet
Hidroklortiazid tab 25 mg
Tablet
Hirokartison krim 2,5 %
Tube
Haloperidol tablet 5 mg
Tablet
Haloperidol Tablet 2 mg
Tablet
Haloperidol tablet 1,5 mg
Tablet
Haloperidol tablet 0,5 mg
Tablet
Ibuprofen Tablet 200 mg
Tablet
Ibuprofen Tablet 400 mg
Tablet
Ibuprofen syrup 100 mg/5ml
Botol
Infuset anak
set
Infuset dewasa
set

161
90
10

5
3

19
90
121
10
109
1342
50

113
12
155
50
324

372
42
5
117

87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131

Isosorbid Dinitrat Tablet Subling Tablet

IV. Cateter no. 18
Pcs
IV. Cateter no. 20
Pcs
IV. Cateter no. 22
Pcs
IV. Cateter no. 24
Pcs
Kassa Pembalut 38 X 80
Roll
Kassa Steril 16 X 16
Bungkus
Kassa Pembalut hidrofil 4 X 10 Roll
Kapas Pembalut hidrofil 250 mg Roll
Kalsium Laktat ( Kalk) tablet 50 Tablet
Kalsium Glukonas Injeksi IV 10 Ampul
Karbamazepin Tablet 200 mg
Tablet
Ketokonazol krim 2 %
Tube
Ketokonazol 200 mg tablet
Tablet
Kloramfenikol suspensi 125 mg/ Botol
Kloramfenikol salep kulit 2 %
Tube
Kloramfenikol salep Mata
Tube
Kloramfenikol kapsul 500 mg
Kapsul
Klorfeniramin maleat tab 4 mg ( Tablet
Klindamisin Kapsul 300 Mg
Kapsul
Kodein Tablet 10 mg
Tablet
Kotrimoksazol Suspensi
Botol
Kotrimoksazol Tablet 480 mg De Tablet
Lisol
Botol
Lidokain injeksi 2 %
Ampul
Lidokain injeksi 2 % ( HCL ) + EpAmpul
Loratadin tablet 10 mg
Tablet
Masker
Pcs
Magnesium Sulfat Injeksi 40 % Ampul
Metildopa tablet salut 250 mg Tablet
Metilergometrin Inj 0,2 mg/ml Ampul
Metilergometrin Maleat Tab. SaluTablet
Metoclopropamamid tablet 5 mgTablet
Metronindazol sir 125 mg/ml
Botol
Metronindazol tablet 250 mg
Tablet
Metronindazol tablet 500 mg
Tablet
Metformin 500 mg tablet
Tablet
Mikonazol krim 2 %
Tube
N- Asetilsistein 200 mg
Kapsul
Natrium Diklofenak 25 Mg TabletTablet
Natrium Diklofenak 50 Mg TabletTablet
Natrium Klorida Larutan Infus 0, Botol
Nipedipin 10 mg
Tablet
Nistatin Tablet Vagina 100.000 I Tablet
Nistatin Tablet 500.000 IU
Tablet

85
75
21
9
5
6
7
3
2422
7
30
164

2094

91
971
2
200
90
40
224

35
50
35
114
13
120

132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

Oksitosin Injeksi 10 UI/ml

Ampul
Oksitetrasiklin hcl 1 % salep kuli Tube
Omeperazol 20 mg
Kapsul
Parasetamol drop 100 mg/ml
Botol
Parasetamol Sirup 120 mg/5 ml Botol
Parasetamol Tablet 500 mg
Tablet
Piridoksin (Vitamin B6 ) Tablet Tablet
Plester 1 Inchi
Roll
Polikresulen ( Albotyl )
Botol
Povidon Iodida 10% - 30 ml
Botol
Povidon Iodida 10 % - 60 ml
Botol
Povidon Iodida 10% - 300 ml
Botol
Propanolol tablet 10 mg
Tablet
Ranitidin Injeksi 25 mg / 2ml
Ampul
Ranitidine 150 mg
Tablet
Retinol (Vit. A) kapsul 100.000 I Kapsul
Retinol (Vit. A) kapsul 200.000 I Kapsul
Rivanol 300 ml
Botol
Risperidon tablet 1 mg
Tablet
Risperidon tablet 2 mg
Tablet
Ringer Laktat Larutan Infus SteriBotol
Salbutamol 4 mg
Tablet
Sarung tangan steril No 8
Psng
Sarung tangan steril No 7.5
Psng
Sarung tangan steril No 7
Psng
Sarung tangan steril No 6.5
Psng
Salep 2 - 4
Pot
Scabimite cream 10 Permetrin c Tube
Salisil Bedak 2% - 50 gram
Bungkus
Setirizin Kapsul 10 mg
Kapsul
Smi Silk Black 3/0 HR 20 MM
Sachet
Smi Silk Black 3/0 HR 26 MM
pcs
Silk no. 3/0 dengan jarum bedahpcs
Simvastatin 10 mg (di spek Kota Tablet
Simvastatin 20 mg (di spek Kota Tablet
Siproflokasazin tab 500 mg
Tablet
Tablet Tambah Darah Kombinasi Tablet
Tetrasiklin Kapsul 250 mg
Kapsul
Tetrasiklin Kapsul 500 mg
Kapsul
Tiamin (Vitamin B1) 50 mg
Tablet
Triheksipenidil 2 mg
Tablet
Vitamin B Kompleks
Tablet
Zinc Tablet
Tablet

180
88

108
6351
2746
3
2
7

233

231
152

30
167

31
126

19240
101
661
55
4755
1302