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LAPORAN HAR

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

1
2
3
4
5
6
7
8

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg

Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet

Amoksisilin sirup kering 125 mg/5ml - 60ml

Botol

10

Antasida DOEN Suspensi, kombinasi - 60 ml :MgHidroksida 200mg/5 ml+Al. Hidroksida. 200 mg/5 ml

Botol

11

Antasida DOEN tab,kombinasi: Mg-Hidroksida


200mg+Al. Hidroksida. 200 mg

Tablet

12

Antalgin (Metampiron tablet 500 mg)

Tablet

13

Anti Bakteri DOEN salep kombinasi: Basitrasin 500


IU/g + Polimiksin 10.000 IU/g - 5 gram

Tube

14

Anti Hemoroid DOEN Kombinasi : Bismuth subgalat


150 mg + Heksaklorofen 2,5 mg

Supp

15

Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg

Tablet

16

Aqua pro injeksi steril, bebas pirogen 20 ml

17
18
19
20
21
22

Asam Askorbat (Vit C) tablet 50 mg


Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg

Tablet
Tablet
Tablet
Kaplet
Tube
Tablet

23

Besi (II) Sulfat 7 H2O tablet salut 300 mg

Tablet

24
25
26

Betametason krim 0.1% - 5 gram


Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg

Tube
Ampul
Tablet

27

Dekstrometorfan sirup 10 mg/5 ml - 60 ml

28
29
30
31
32
33
34

Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml

STOK
AWAL

1
12

3
40

4
16

5
10

6
16

15
10

56

30

10

50

30

100
90

100
85

90
73

70 95 55
85 104 107

1
192
10

136 176 120 110 160


15
6 27

172

110 147 126 196 126

Vial

38
1
30

40

50
1

15

30

5
52

Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Botol

90

20
36

4
30
30

20
53

28

36

12

45
25

3
75
32

10

26

18

26

35
NO
URUT
36
37

Domperidon tablet 10 mg
NAMA OBAT & PERBEKKES

SATUAN

39
40
41
42

Efedrin HCl tablet 25 mg


Ekstrak Belladon tablet 10 mg
Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina )
Injeksi 0,1% - 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml

Kapsul
Botol
Botol
Botol

43

Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml

Ampul

44

Fenobarbital tablet 30 mg

Tablet

45

Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml

Ampul

46
47
48
49
50
51
52

Tablet
Tablet
Sachet
Tube
Botol
Tablet
Tablet

54
55
56
57
58
59
60
61

Fitomenadion(Vit.K1)tablet salut gula 10mg


Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukosa larutan infus 5 % steril (Produk lokal) - 500
ml
Griseofulvin tablet 125 mg, micronized
Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg

62

Ketokonazol tablet 200 mg

Tablet

63
64
65
66
67
68
69

Klindamisin kapsul 150 mg


Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg
Kodein tablet 10 mg

Kapsul
Kapsul
Tube
Botol
Botol
Tablet
Tablet

70

Kotrimoksazol DOEN I (dewasa) tablet kombinasi:


Sulfametoksazol 400 mg '+ Trimetoprim 80 mg

Tablet

71

Kotrimoksazol Suspensi komb: Sulfametoksazol 200


mg '+ Trimetoprim 40 mg / 5 ml - 60 ml

Botol

72
73
74

Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml

38

53

20

Tablet

Tablet
Tablet

STOK
AWAL

60

20

20

10

15

10

Ampul

10

5
3

4
5

5
80

58

3
58

49

78

4
47

46

20

24
1
22

12
1
16

3
18

1
18

70

78

49

23

85

12

12

46

16

12

18

10
24
5

20
12
2

24
1

Botol
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet

Pot
Tablet
Ampul

12

12

343

2
2
334 313 385 376 261

42

36

52

24

68

12

75
76

Magnesium Sulfat inj (IV) 20% - 25 ml


Metformin HCl tablet 500 mg

Botol
Tablet

12

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

77

Metilergometrin Maleat (Metilergometrin) tablet salut


0,125 mg

Tablet

78

Metilergometrin Maleat inj 0,200 mg - 1 ml

Ampul

79
80
81
82
83
84
85
86
87

Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet
Tablet

89

Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 % steril (Produk
lokal) - 500 ml
Nifedipin tablet 10 mg

90

Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml

Botol

91

Oksitetrasiklin salep kulit 3% (HCl) - 5 gr

Tube

92

Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr

Tube

93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113

Oksitosin injeksi 10 IU/ml - 1 ml


Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml
Ranitidin tablet 150 mg
Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai sulfat)
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% +
Belerang Endap 4% - 30 gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg

Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet
Tablet
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Pot
Kotak
Kapsul

114

Sefadroksil sirup kering 125mg/5ml - 60 ml

Botol

115
116

Sefotaksim injeksi 500 mg/vial


Scabicid krem

Ampul
Tube

88

STOK
AWAL

36
2

16

10

18

51

88

51

57

54

36

10

10

10
10

Botol
Tablet

6
4
3
1
3
236 280 255 328 204

13

50

36

60 116

88

145 115

65 255

46

58

12

36

70

18

50

28

10

42

72

62

20

30

66

40

10

2
1

10

1
2

6
180

1
6

1
32

6
1

117
118
119
NO
URUT

Sianokobalamin (Vit.B12) tablet 50 mcg


Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml
Simvastatin tablet 10 mg
NAMA OBAT & PERBEKKES

SATUAN

120

Siprofloksasin tablet 500 mg (sebagai HCl)

Tablet

121
122
123

Tetrasiklin HCl kapsul 250 mg


Tetrasiklin HCl kapsul 500 mg
Tiamfenicol kapsul 500 mg

Kapsul
Kapsul
Kapsul

124

Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml

Ampul

125
126
127

Tiamin HCl/Mononitrat(Vit.B1) tablet50mg


Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

Tablet
Ampul
Tablet

128
129
130
131
132
133
134

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

135

Catgut/ Benang Bedah No. 2/0 dengan jarum bedah

Sak

136
137
138
139
140

Infusion Set Anak


Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 Steril

141

Set
Set
Pcs
Bungkus
Bungkus
Lbr

148
149
150
151
152

Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr


Kasa Pembalut Hidrofil 4m x 10cm
Kasa Pembalut Hidrofil 4 m x 15 cm Elastic
Masker
Plester 5 yards x 2 inch
Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0 dengan jarum
bedah
OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml
Eugenol cairan - 10 ml
Glass Ionomer Cement ART
Kalsium hidroksida Pasta

153

Klorfenol kamfer Menthol ( CHKM ) - 10 ml

Botol

154
155

Mummifying Pasta
Pehacain inj

Botol
Ampul

156

Semen Seng Fosfat serbuk dan cairan - 30 gram

Botol

157

Silver Amalgam Serbuk 65 - 75 %

Botol

142
143
144
145
146
147

12

Tablet
Ampul
Tablet

Rol
Rol
Lbr
Rol
Bungkus
Sak
Botol
Botol
Botol
Botol
Botol

10
STOK
AWAL

16
2

1
6

3
24

4
4

5
6

20

7
6

48
92

37 145

73

90

50

158

Spons Gelatin cubicles

Botol

159

Temporary Stopping Fletcher (Fletcher) serbuk dan


cairan - 100 gram

Botol

OBAT JIWA
NO
URUT
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179

NAMA OBAT & PERBEKKES


Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg
Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet
(tambah darah kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
Retinol (Vitamin A) kapsul 200.000IU
OBAT TB PARU
Obat Antituberkulosis Kategori 1 dewasa (OAT
Kombipak)
Obat Antituberkulosis Kategori 2 (OAT FDC)
Obat Antituberkulosis Kategori anak (OAT
Kombipak)
Reagensia TB
Slide Microscope
Sputum Pot

SATUAN

STOK
AWAL

187
188
183
184
185
186
187

Anti Malaria DOEN kombinasi Pirimetamin


tablet
25 mg tablet
+ Sulfadoksin
tablet 500 mg
Act (Artesunate
50 mg + Amodiaquine
anhydrate tablet 200 mg) (2 blister @ 12 tablet)
Artemeter injeksi 80 mg/ml / ktk 6 amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0 dengan jarum bedah

Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet
Tablet
Kapsul
Kapsul

118

560 100

Paket
Paket
Paket
Tablet
Set
Buah
Tablet
Tablet
Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set
Sak

90 170

63
3

OBAT MALARIA
180
181
182
183
184
185
186

10

RAN HARIAN PEMAKAIAN OBAT DI APOTIK

10

11 12
12

13

MARET 2014
TANGGAL
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
10 20
12 36 24 24 24 22
20 12 20 36 24

28

45

90

26

12

35

32

24
5

35

24
10

50
85

20
100
75

20
75
93

85
97

18
95
87

98 100
95 75

4
90
90

4
90
87

4
85
95

13
75 45 45
80 105 100

162
25

180 160 180


7 10

84

85 142
20

132
10

25

40

20

31
5

19 16
6
6
100 76 95 57
100 105 126 150

30
55
70

65 150 170 152 168


6

147
10

190

33

20
20

62

30

82 127 153
10

188 170 125 110 126 145

173

67

89

125 103

95 354

27

75
1

50
4
30

28
3
30

36
1

56 146
1
1
15

46
1
30

16
1

74

133 125

45

95

79
1
20
11
37

80

30
3
30

42
2
30

76

16
1

40
1

59

152

55

92 110

86

88

88

77

90 209 106

62

2
21
20

45
26

1
25
30

1
20
5

1
20
50

4
25
24

2
51
30

1
10
30

50
34

1
15
24

30
2

1
20
3

2
95
50

2
55
4

25
15

1
24
16

13

33

26

31

36

49

70

25

55

11

22

48

31

58 100
1
1
15

99 253 158

50

40
10

20
8

15
9

18

10

3
11

5
12

10

10
1

10
2

30

16
13

14

1
8

3
4
65

2
6
56

8
2
20

5
6

2
15
95

3
58

3
6
80 105

20

1
22

12
2
30

12
2

12

3
30

18

19

74

TANGGAL
15 16 17

20
20

21

22

15

3
4
82 102

4
89

20

15

10
1
5

1
10

79

24

25

10

64

97

4
44

56

1
10

10

19 132 102

1
44

78

1
6

4
75

15

20

66

22

14

30

62

45

38

48

16

30

36

12

12

14

12

18

14

20

18

20

32

10

10

20
12
1

12

10

50

36

30
12
2

10

36

24
12
1

36

10

38

12

94

290

30

1
1
1
430 385 405 322 314 270

28

80

27

10

12
1

26

10
5

23

22

20

8
2

1
1
2
331 376 343 357 365 260

1
1
2
395 318 382 396 341

14

30

60

24

64

28

30

60

28

12

66

24

36

24

18

16
8

28
9

10

24
11

20
12

50
13

20
14

20
36 20
6 10
6 22
TANGGAL
15 16 17 18 19 20 21 22 23

33

54

76

32

56

49

24

22
1

33

38

36

10

40

16

20

16
6

2
6

30
6

4
10

30
6

24

78

28
25

26
26

22

33

20
3

1
10

22

20
6

20
10

10

6
27

12
28

26

33

10
1

3
10
6

6
6

10
1

7
6
3
272

39

72

51

12

46

52

23

70

40

26

43

26

31

24 36 12
6
6
9
6
7
2
1
278 260 241 212 211
1
2
36 50
22 29

16

50

72

42

26

42

10

38

38

20

34

52

66

168

52

32

52

48

18

52

20

32

20

26

10

12

35

22

58

26

67
100
100

15

30

80

40

30

28

58

24

30

60

37

78

78

26

32

12

20

20

40

18

36

36

32

24

10

12

1
1

24

3
12

20

18

1
12

1
6

20
12 24 18 12
4
2
8
4
4
390 267 230 200 256 159

2
18
1

18 26
6 10
6
3
2
2
278 285 233 274 265 222

34

1
6

6
1

12

10
6

10

11

14
12

10
13

18

12

18

56

100

30

40

58

30

56

56

70

66

14

20
TANGGAL
15 16 17

14
18

19

20

4
10

21

22

16

18

34

32

20

122

68

42 116

92

40

47

130

80

74

85

20

66

36

20
23

24
24

47

25

26

27

28

16

10

100

37

88

48

74

94

80

59

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

28

50

95

60

65

45 360

30
3

41

195

80

44 231 171

18

155

12

38 403

10

20

20

10

10

10

10

20

10

10

10

10

10

29
24
15

20
70
90
6

30

31

JIH
414
0
756
50
0
180
1996
2349
110
10

55

3350
156
3
0
0

113

36
1

5
80

75
33
31

0
3587
0
0
1279
25
255
0
75
0
1883
27
866
593
0
682
0
0
20

99
30

29

31

JIH
0
89

15
1

10

10

12
75

1
10

34
14

10

255

42
6

0
165
16
0
0
0
158
0
45
9
124
0
19
74
1788
0
80
24
308
0
0
1204
0
435
0
226
200
32
0
15
8547
0
842
78
0
0
0

0
488

18
30

29

31

JIH
0

28

20

10
6

0
1054
0
0
93
35
0
6
196
102
0
10

39

77

2
241
46
58

32

20
3

37
0
242
82
6257
3
1167
0
1252
0
0
898
100
100
0
1021
0
341
0
6
15
194
7
0
0

54
0
124
29
18

84
80

30

31

JIH
318
0
0
0
0
1221
0
1707
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
29

30

31

JIH
0
0
0
0
0
0
0
0
0
50
0

82

3236
3
8
0
0
0
0
0
0
0
0
0
0
0
0
0

20

18
0
20
0
0
160
0

LAPORAN H

NO
URUT

NAMA OBAT & PERBEKKES

1
2
3
4
5
6
7
8
9

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml - 60ml

10

Antasida DOEN Suspensi, kombinasi - 60 ml :MgHidroksida 200mg/5 ml+Al. Hidroksida. 200 mg/5 ml

11
12

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200mg+Al.


Hidroksida. 200 mg
Antalgin (Metampiron tablet 500 mg)

SATUAN
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol

STOK
AWAL

1
10
5

3
4

5
6

10

6
6
30 35 30 38
90 150 130 120
4
3
4
6

Botol
Tablet

4
20
30
3

130

30

91

92

20

98
55

89
45

95

89
30

66
20

42
2
20

68 100
1
3
24

52
2

32
1

Tablet

13

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g - 5 gram

Tube

14

Anti Hemoroid DOEN Kombinasi : Bismuth subgalat 150 mg


+ Heksaklorofen 2,5 mg

Supp

15

Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg

Tablet

16
17
18
19
20
21
22

Aqua pro injeksi steril, bebas pirogen 20 ml


Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg

Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet

23

Besi (II) Sulfat 7 H2O tablet salut 300 mg

Tablet

24
25
26
27
28
29
30
31
32
33
34
35
36

Betametason krim 0.1% - 5 gram


Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml - 60 ml
Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg

Tube
Ampul
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Botol
Tablet
Tablet

13

98

80
2
10
10

86
2
7
5

69
2
5
8

74

20

31

28

20

2
1

LAPORAN H

NO
URUT
37

NAMA OBAT & PERBEKKES

SATUAN

39
40
41
42
43
44

Ekstrak Belladon tablet 10 mg


Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina ) Injeksi
0,1% - 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg

Kapsul
Botol
Botol
Botol
Ampul
Tablet

45

Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml

Ampul

46
47

Fitomenadion(Vit.K1)tablet salut gula 10mg


Furosemid tablet 40 mg

Tablet
Tablet

48
49
50
51
52

Garam Oralit untuk 200 ml air


Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg

Sachet
Tube
Botol
Tablet
Tablet

53

Glukosa larutan infus 5 % steril (Produk lokal) - 500 ml

54
55
56
57
58
59
60
61

Griseofulvin tablet 125 mg, micronized


Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg

Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet

62

Ketokonazol tablet 200 mg

Tablet

63
64
65
66
67
68
69

Klindamisin kapsul 150 mg


Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg
Kodein tablet 10 mg

Kapsul
Kapsul
Tube
Botol
Botol
Tablet
Tablet

70

Kotrimoksazol DOEN I (dewasa) tablet kombinasi:


Sulfametoksazol 400 mg '+ Trimetoprim 80 mg

Tablet

71

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg '+


Trimetoprim 40 mg / 5 ml - 60 ml

72

Levertran salep

38

STOK
AWAL

17

25

10
1

10

Tablet
Ampul

87

3
32

46

10
60

4
30

6
5

8
20

7
10

8
10

30

40

67

34

15

10

15

Botol

10

10
12
2

3
2
3
5
1
272 389 202 217 104

164 150 169 170

Botol

70
3

Pot

LAPORAN H

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

STOK
AWAL

NO
URUT
73
74
75
76
77
78
79
80
81
82
83
84
85
86
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

NAMA OBAT & PERBEKKES

SATUAN

Levofloksasin tablet 500 mg


Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin HCl tablet 500 mg
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125
mg
Metilergometrin Maleat inj 0,200 mg - 1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg

Tablet
Ampul
Botol
Tablet

Natrium diklofenak tablet 25 mg


Natrium Klorida larutan infus 0,9 % steril (Produk lokal) 500 ml
Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml
Oksitetrasiklin salep kulit 3% (HCl) - 5 gr
Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml
Ranitidin tablet 150 mg
Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai sulfat)
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang
Endap 4% - 30 gram
Salisil Bedak 2 % -50 gr

Tablet

STOK
AWAL

18

12

10

34

30

39

52

20

10

2
6

50

50
10

2
3
3

3
4

Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet

70
30

22

1
2
1

1
2
2

Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet
Tablet
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Pot
Kotak

2
2
1
2
1
432 390 385 395 338
5

16

28

28

32

36

40

18

12

34

6
2
3

10

12
10

LAPORAN H

NO
URUT
113

NAMA OBAT & PERBEKKES


Sefadroksil kapsul 500 mg

SATUAN
Kapsul

STOK
AWAL

5
6

114
115
116
117

Sefadroksil sirup kering 125mg/5ml - 60 ml


Sefotaksim injeksi 500 mg/vial
Scabicid krem
Sianokobalamin (Vit.B12) tablet 50 mcg

Botol
Ampul
Tube
Tablet

118

Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml

Ampul

119
120
121
122
123

Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamfenicol kapsul 500 mg

Tablet
Tablet
Kapsul
Kapsul
Kapsul

124

Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml

Ampul

125
126
127

Tiamin HCl/Mononitrat(Vit.B1) tablet50mg


Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

Tablet
Ampul
Tablet

128
129
130
131
132
133
134

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

135

Catgut/ Benang Bedah No. 2/0 dengan jarum bedah

Sak

136
137
138

Infusion Set Anak


Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13

Set
Set
Pcs

139

Kapas Pembalut / Absorben 250 gram

Bungkus

140

Kasa Kompres 40/40 Steril

Bungkus

141
142
143
144
145
146
147

Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr


Kasa Pembalut Hidrofil 4m x 10cm
Kasa Pembalut Hidrofil 4 m x 15 cm Elastic
Masker
Plester 5 yards x 2 inch
Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0 dengan jarum bedah

148
149

OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml

20

114
62

36

30

36

84 102

56

48

92

43

86

Lbr
Rol
Rol
Lbr
Rol
Bungkus
Sak
Botol
Botol

LAPORAN H

NO
URUT
150
151

NAMA OBAT & PERBEKKES


Eugenol cairan - 10 ml
Glass Ionomer Cement ART

SATUAN
Botol
Botol

STOK
AWAL

152
153
154
155

Kalsium hidroksida Pasta


Klorfenol kamfer Menthol ( CHKM ) - 10 ml
Mummifying Pasta
Pehacain inj

Botol
Botol
Botol
Ampul

156

Semen Seng Fosfat serbuk dan cairan - 30 gram

Botol

157
158

Silver Amalgam Serbuk 65 - 75 %


Spons Gelatin cubicles

Botol
Botol

159

Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 100 gram

Botol

160
161
162
163
164
165
166
167
168
169
170

OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg

Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet

171
172
173

Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet
(tambah darah kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
Retinol (Vitamin A) kapsul 200.000IU

Tablet
Kapsul
Kapsul

174
175
176
177
178
179

OBAT TB PARU
Obat Antituberkulosis Kategori 1 dewasa (OAT Kombipak)
Obat Antituberkulosis Kategori 2 (OAT FDC)
Obat Antituberkulosis Kategori anak (OAT Kombipak)
Reagensia TB
Slide Microscope
Sputum Pot

Paket
Paket
Paket
Tablet
Set
Buah

175 180 293

64

10

OBAT MALARIA
180
181
182
183
184
185

Anti Malaria DOEN kombinasi Pirimetamin tablet


25 (Artesunate
mg + Sulfadoksin
tablet
500 mg anhydrate
Act
tablet 50 mg
+ Amodiaquine
tablet 200 mg) (2 blister @ 12 tablet)
Artemeter injeksi 80 mg/ml / ktk 6 amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg

Tablet
Tablet
Ampul
Ampul
Tablet
Tablet

LAPORAN H

NO
URUT
186
187
188

NAMA OBAT & PERBEKKES


Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg

SATUAN
Tablet
Tablet
Tablet

STOK
AWAL

183
184
185
186
187

Doksisiklin kapsul 100 mg


Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0 dengan jarum bedah

Tube
Tablet
Set
Set
Sak

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2014
8
12

40
180
7

6
40
150
4

10

11

TANGGAL
14 15 16 17 18
12 12
6 12

4
2

6 18
50 20
150 110
4
1
3

12
13
10

40
140
2

8 28
50 55 60
110 133 120
3
8
4
2

19 20
6

21 22 23 24 25 26
12 10
6 18 12 18

5
10

5
15

5
16

3
50
80
7

16
50
130
10

6
5
6
6
65 40 60 65 40 30
150 130 201 160 135 120
3
3
8
5
7
4

147 170
10

100
10

185

68
10

98 100
10 10

85

180

72

91

93 100
2 10

80

156

132

95
25

95
35

80
35

60
40

80
25

90
15

80
20

80
10

90
5

80
25

100
40

55
15

80
20

80
10

60
5

90
5

58
3

36
2

80
2

72
1

71
3

90
1
30

70
2

72
1

35
2

32
2
40

50
2
30

52

28
1
15

28

32

40

14
5

10

10

12

16

18

73
2

96

80
4
10

73

49

55
1

60
1

18
4

5
5

40
2
10

10

59 107
1
5 10
10 16

12

18

20

16

1
5

10

10
5

24

23

12

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK

12

16

12

30

APRIL 2014
7

10

15

10

10

11

15

12

13

TANGGAL
14 15 16

10

20

10

17

10

18

19

10

20

21

15

22

23

24

10

25

26

10

12

10
20

5
6

204

40
135

10
76

12
45

6
120

10
103

7
70

6
68

78

64

6
81

7
10

6
30

5
30

5
30

7
36

8
13

5
20

6
30

9
6

6
30

30

15

15

12
77

5
56

6
68

90

5
20

8
20

6
17

10

17

40

30

10

20
12
1

1
226

3
129

42

111

30

30

30

104

42

48

44

12

20

24

34

12

20

2
1
320 195

20

20

10

30
24

3
3
227

38

20

1
2
1
1
349 250 230 267

3
277

10
18
5

30

30

3
2
1
5
1
355 231 265 229 278 246

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2014
TANGGAL

10

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

13

10

20

12

12

12

12

22

20

66

48

14

16

42

25

20

68

95

15

30

46

22

33

20
26

30
6

1
10
20

2
10
12

2
40
26

1
40
10

55
20

1
65
20

2
45
22

1
75
6

30
22

1
20
36

80
6

42

1
6
10

3
1
3

1
1
2

7
2

1
4
1

3
2

8
2

1
5
1

1
7
2

7
2

1
3
1

2
2
394 390

3
390

2
6

3
394

4
389
5

26

2
4

3
4
4
3
453 450 395 330

5
3

3
7
5
2
3
390 349 387 425 399 330

394

26

30

28

22

16

12

26

40

38

16

21

28

38

46

36

30

114

26

40

69

54

25

15

10

123

76

55

76

69 124

112

70

75

28

60

42

42

46

74

62

84

30

72

12

12

20

10

20

16

20

22

10

36

40

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2014
8

7
6

10 11
6

12

13
6

TANGGAL
14 15 16 17 18
6
4
6

19

20

21 22
6

23

24

25

26

52

38

122

77

64

71

7
17

10

12

50

5
12

30

36

30

32

10

26

12

3
40

252 120

114

135

90

76 132

56

102

31

54 106

66

56

50

168

88 104

63

118

38

75

59

20

65

27

55

74

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2014
7

10

11

12

13

TANGGAL
14 15 16

17

18

19

20

21

22

23

24

25

26

53

20

354

85

94

142

58

42 376

24

130 130 150 316 126


3

48

PORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2014
7

10

11

12

13

TANGGAL
14 15 16

17

18

19

20

21

22

23

24

25

26

27

28

29
10

30
31
10

18
10
130
1

192
0
75
48
0
150
993
3184
108

40

103

2643
72

6
5

30
240
7

8
45
95

2
200
10

120

JIH

0
0

80
10

80

100
10

62
1

42

82

15
6

1
10
10
25

71

39

0
0
1992
500
0
1326
32
204
0
63
0
1117
22
101
131
0
471
0
0
5
18
0

27

28

29

30

31

JIH
0
0
217
3
0
0
0
15

10

47

113

135

10
36

10

32

28

28

50

30

2
200

0
11
0
29
0
0
147
1905
0
0
166
379
0
0
335
0
65
0
418
66
23
0
46
5896
15

230

208
15

54

12

102

1500

87
0

JIH

27

28

29

30

31

0
0
0
251

12

54

46

2
6
12

20

20
16

0
0
835
0
0
0
62
0
18
728
394
0
0
23
80
33
0
0
62
9170
0
140
0
633
0
0
1317
0
0
0
1109
0
199
0
2
20

1
1

4
340

325

45

27

2
306
10

25

22

44

101

105

145

52

28

70

28

29

30

JIH

31

JIH
46

5
0
0
28

50

0
15
601
0
0
0
0
2275
0
1680

20

72

130

122

114

45

51

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

27

28

29

30

31

JIH
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
136

300

88

3394
0
55

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

27

28

29

30

31

JIH
0
0
0

0
0
0
0
0

LAPORAN HA

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

1
2
3
4
5
6
7
8
9

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml - 60ml

10

Antasida DOEN Suspensi, kombinasi - 60 ml :Mg-Hidroksida 200mg/5


ml+Al. Hidroksida. 200 mg/5 ml

Botol

11

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200mg+Al. Hidroksida.


200 mg

Tablet

12

Antalgin (Metampiron tablet 500 mg)

Tablet

13

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin


10.000 IU/g - 5 gram

Tube

14

Anti Hemoroid DOEN Kombinasi : Bismuth subgalat 150 mg +


Heksaklorofen 2,5 mg

Supp

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg


Aqua pro injeksi steril, bebas pirogen 20 ml
Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300 mg
Betametason krim 0.1% - 5 gram
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml - 60 ml
Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg

NO
URUT

NAMA OBAT & PERBEKKES

STOK
AWAL

Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol

37

Ekstrak Belladon tablet 10 mg

Tablet

38

Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina ) Injeksi 0,1% - 1 ml

Ampul

20

14
54 50
120 120
2
6

12
60
150
5

130

100

70

Tablet
Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube
Ampul
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Botol
Tablet
Tablet

SATUAN

2
4
3
20 20

167 157

30

174

48

60

2
3
20

10

10

STOK
AWAL

2
4
3
10
5

5
15

39
40
41
42
43
44
45
46
47
48
49
50
51
52

Erytromycin kapsul 500 mg


Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion(Vit.K1)tablet salut gula 10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg

53

Glukosa larutan infus 5 % steril (Produk lokal) - 500 ml

54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tube
Botol
Botol
Tablet
Tablet

72
73
74
75
76

Griseofulvin tablet 125 mg, micronized


Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Ketokonazol tablet 200 mg
Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg
Kodein tablet 10 mg
Kotrimoksazol DOEN I (dewasa) tablet kombinasi: Sulfametoksazol
400 mg '+ Trimetoprim 80 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg '+ Trimetoprim
40 mg / 5 ml - 60 ml
Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin HCl tablet 500 mg

77

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg

Tablet

70
71

NO
URUT
78
79
80
81
82
83
84
85

NAMA OBAT & PERBEKKES


Metilergometrin Maleat inj 0,200 mg - 1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup

10

Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet
Tube
Botol
Tablet
Tablet

42

40

40

60

77

90

10

14

40

10
24

10

Botol

1
202 110

Tablet

40

24

66

1
107

Botol
Pot
Tablet
Ampul
Botol
Tablet

SATUAN
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol

STOK
AWAL

44

22
20

46

5
96

86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103

Natrium Bikarbonat tablet 500 mg


Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 % steril (Produk lokal) - 500 ml
Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml
Oksitetrasiklin salep kulit 3% (HCl) - 5 gr
Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg

Tablet
Tablet
Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet

104
105
106
107
108
109
110

Propanolol tablet 10 mg (HCl)


Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml
Ranitidin tablet 150 mg
Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai sulfat)
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4% - 30
gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg
Sefadroksil sirup kering 125mg/5ml - 60 ml
Sefotaksim injeksi 500 mg/vial
Scabicid krem
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml
Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Tetrasiklin HCl kapsul 250 mg

Tablet
Tablet
Ampul
Tablet
Botol
Tablet
Tablet

111
112
113
114
115
116
117
118
119
120
121
NO
URUT

NAMA OBAT & PERBEKKES

122
123
124
125
126
127

Tetrasiklin HCl kapsul 500 mg


Tiamfenicol kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tiamin HCl/Mononitrat(Vit.B1) tablet50mg
Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

128
129
130
131
132
133

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml

6
10

16

2
2
5

2
6
1

1
3
5

10
3
4
240 187

6
2
235

90 110

170

44

32

196 192

48

110

60

72

Pot

Kotak
Kapsul
Botol
Ampul
Tube
Tablet
Ampul
Tablet
Tablet
Kapsul
SATUAN
Kapsul
Kapsul
Ampul
Tablet
Ampul
Tablet
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

6
STOK
AWAL

10

10

26

34

115 150

168

180 149

130

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
NO
URUT
163
164
165
166
167
168
169
170

Alat Suntik Sekali Pakai 5 ml


Catgut/ Benang Bedah No. 2/0 dengan jarum bedah
Infusion Set Anak
Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 Steril
Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr
Kasa Pembalut Hidrofil 4m x 10cm
Kasa Pembalut Hidrofil 4 m x 15 cm Elastic
Masker
Plester 5 yards x 2 inch
Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0 dengan jarum bedah
OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml
Eugenol cairan - 10 ml
Glass Ionomer Cement ART
Kalsium hidroksida Pasta
Klorfenol kamfer Menthol ( CHKM ) - 10 ml
Mummifying Pasta
Pehacain inj
Semen Seng Fosfat serbuk dan cairan - 30 gram
Silver Amalgam Serbuk 65 - 75 %
Spons Gelatin cubicles
Temporary Stopping Fletcher (Fletcher) serbuk dan cairan - 100 gram
OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
NAMA OBAT & PERBEKKES
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg

Pcs
Sak
Set
Set
Pcs
Bungkus
Bungkus
Lbr
Rol
Rol
Lbr
Rol
Bungkus
Sak
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Ampul
Botol
Botol
Botol
Botol
Tablet
Tablet
Tablet
SATUAN

STOK
AWAL

Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet

171
172
173

Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet (tambah darah
kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
Retinol (Vitamin A) kapsul 200.000IU

Tablet
Kapsul
Kapsul

174
175
176
177
178

OBAT TB PARU
Obat Antituberkulosis Kategori 1 dewasa (OAT Kombipak)
Obat Antituberkulosis Kategori 2 (OAT FDC)
Obat Antituberkulosis Kategori anak (OAT Kombipak)
Reagensia TB
Slide Microscope

Paket
Paket
Paket
Tablet
Set

154

47

430

179

Sputum Pot

Buah

OBAT MALARIA
180
181
182
183
184
185
186
187
188
183
184
185
186
187

Anti Malaria DOEN kombinasi Pirimetamin tablet 25 mg +


Sulfadoksin
500
Act
(Artesunatetablet
tablet 50
mgmg
+ Amodiaquine anhydrate tablet 200 mg)
(2 blister @ 12 tablet)
Artemeter injeksi 80 mg/ml / ktk 6 amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0 dengan jarum bedah

Tablet
Tablet
Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set
Sak

10
10

10
4

AN HARIAN PEMAKAIAN OBAT DI APOTIK


MEI 2014
6

10

10

10 11
10

10

10 58 32
40 30 26
105 150 140
3
6
2

18
35
40
7

110 100

89 135

70

20

80
90
3

36

10

30

10

20 14
4
75 90 40
100 140 250
4
7

28
50 10
100 210
6
8

120

56

20
3

3
103

1
30
2

92
1
10
50
10

76

23
5

20
30

6
8
7
10 20

82

71

56
2
33

10 11
5
5

30

70

18

19 20 21
6 20
20

10

22 23 24 25
6 20
6
10

20

63

80

90

80

27

10

10 46 28
8
7
50 90 55 25 40 40
190 130 100 115 110 150
4
4
4
2
7
5

40

26

12
50
160
10

70 135

90

139 143 177 150 169 164

199

182 198 277

38
1
30

1
10
15

30

158 189 185 152 186

70
1
30

12 13
20

TANGGAL
14 15 16 17
10
6

38

157 105

30
2
45

28

30

20

44
2
15

30
3
30

84
15
10

66
2
20
20

83

10
22

82
3
20
36

30

34

24

34

12

12 13
20

102 115
1
4
10 30
16 30

20
30

18

TANGGAL
14 15 16 17
15
10

18

70
3
15

40
2

40
1
15

40

30
3
50

4
190

36
2
10
10

80
10
20

90 113
1
30 30
10 58

50

30

14

48

19 20
5

21

20
20

12

30

10
2

22 23
5

24

25

26

27

10

5
1

55

55

32

55

28
3

76

24

50

46

19

50

44

40

55

20

16

72

20

25

20

45

33

3
1

68

90

8
1

60

3
1

45

40

55

4
66

5
3

5
1

64

5
101

15
88

20
16

10
2

10

10
56

10
1

26

8
2

10

20
6
53 220 126

150

12

20

10

24

10

46

10

12

10

12

20

20

20

10

50

20

10

10

40

24
2
1
1
125 110

30

10
7
1

3
2
106 277 183

10

10

30

24

1
260 306

1
169 135 120 170 260 240

97

78

85

24

34

36

70

62

26

50

32

15

10

18

12

20

62

12

26

12

40

34

16

58

18

10

30

40

10

11

12

13

14

TANGGAL
15 16 17

19

46

28

36

32

51

20

40

10

30

30

35

18

19
36

20
30

12

21
40

30

16

22

318

20

26

50

10

10

23

24

25

26

12

35

14

36

20

32

13

27

5
10

10
6

1
2

3
2
2

1
4
2

1
3
5

5
1

12

6
6
5
2
3
5
4
192 192 214 130 168

10

20

36

32

32

30

40

10

119 132 110

120

10

28

12

26

30

22

88

84

50

35

26

60

68

10

72

1
18

10

36

44

80

10

10

1
6

10

116 112 184 186 150


165 146 106

85

85

24

11

3
330

20

52 116

10

24

10

6
2

38

10

4
3

65

20

36

30

26

1
2
5

50

50

12

20

46

36

2
2
4

16

80

46

2
3
1

42

12

2
6

2
4
3

38

106

131

18

1
4
1

56

50

62

30

171

53

60

20
10

2
1
108 283

56

54

1
1
2

25
6

6
6 12
4
3
5
3
5
2
103 292 210 200 285 254

56

159 106 183 112 130

1
3

20
10

10 12
8
2
1
5
124 189 198

88

28

12

12

13

14

195 183 172


68

55

94

10

1
6

10

20

12

6
8

TANGGAL
15 16 17

132 155
49

61

10
8

18

19

10
16

20

21

22

15

12

23

48

86

60

50

2
30

18

24

100 150 160 180 140 160


196

18

25

26

154
50

27

36

10

10

140
3

40

11

12

13

14

48

41 330

10

TANGGAL
15 16 17

66 106
10

18

19

20

21

22

23

105 160 180 324 150


2

24

25
3

25

26

200

27

20
4

12
4

22
10

40
10

20

10

10

12
10

10

11

20

20

6
10

28 29
20
80

30 31
6 30
10

14
50
150
7

3 20
60 40
20 280
2
4

JIH
200
0
320
0
0
358
1140
3120
108
0

70

85

1954
0

132

100

90

30
2
40

30

126
1
10
24

36 146

14

24

25

50
10

28

29

30

31

0
0
0
3750
0
0
910
22
343
0
52
0
1620
19
383
476
0
400
0
10
20
0
0
JIH
125
0

55

10

40

45

4
26

10
90

22

80

10
3

56
4
0
0
0
982
0
47
0
70
15
0
74
1697
0
44
0
500
0
2
0
0
0
0
230
79
14
0
11
4120
0

1
202

2
170 290

24

34

624

55

43
0
0
0
0
470

34

16

0
28
41
10

29

30
12

31
31
20

JIH
0
787
0
396
0
0
0
6

6
20

1
7
1

1
2

12
5
2
125 240

3
281
54

54

89

20

10

30

32

16

40

42

24

50

30

10

2
14

30

189
148
0
0
28
66
50
0
94
74
4780
0
1821
0
634
0
0
1875
0
0
0
1153
0
120
0
0
28
68
0
0
0
114
0
38
310
0

10

28

146
112

29

30

31

116 180
33

70

JIH
0
0
0
3504
0
2096
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28

29

30

31

JIH
0
0
0
0
0
0
0
0

210

116
7

2918
3
64
0
0
0
0
0

0
0
0
0
0
0
0
0

20

0
0
166
88
0
61
0

Penerimaan Obat dan Alkes Tahun 2014

NO
URUT
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

NAMA OBAT & PERBEKKES

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml - 60ml
Antasida DOEN Suspensi, kombinasi - 60 ml :Mg-Hidroksida
200mg/5 ml+Al. Hidroksida. 200 mg/5 ml
Antasida DOEN tab,kombinasi: Mg-Hidroksida 200mg+Al.
Hidroksida. 200 mg
Antalgin (Metampiron tablet 500 mg)
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +
Polimiksin 10.000 IU/g - 5 gram
Anti Hemoroid DOEN Kombinasi : Bismuth subgalat 150 mg +
Heksaklorofen 2,5 mg
Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg
Aqua pro injeksi steril, bebas pirogen 20 ml
Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300 mg
Betametason krim 0.1% - 5 gram
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml - 60 ml
Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg

SATUAN

Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol
Botol
Tablet
Tablet
Tube
Supp
Tablet
Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube
Ampul
Tablet
Botol
Tablet
Tablet
Ampul
Tablet

Januari

Februari

Maret

April

Mei

Juni

Juli

Agus
tus

Sep
Tember

32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
NO
URUT
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

Difenhidramin HCl inj 10 mg/ml-1 ml


Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina ) Injeksi 0,1% 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion(Vit.K1)tablet salut gula 10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
NAMA OBAT & PERBEKKES

Gentian Violet larutan 1 % -10 ml


Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukosa larutan infus 5 % steril (Produk lokal) - 500 ml
Griseofulvin tablet 125 mg, micronized
Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Ketokonazol tablet 200 mg
Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg
Kodein tablet 10 mg

Ampul
Tablet
Botol
Tablet
Tablet
Tablet
Ampul
Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet
Tube
SATUAN

Botol
Tablet
Tablet
Botol
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tube
Botol
Botol
Tablet
Tablet

Januari

Februari

Maret

April

Mei

Juni

Juli

Agus
tus

Sep
Tember

72
73
74
75
76
77
78
79
80
81
82
83
84
85
87

Kotrimoksazol DOEN I (dewasa) tablet kombinasi:


Sulfametoksazol 400 mg '+ Trimetoprim 80 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg '+
Trimetoprim 40 mg / 5 ml - 60 ml
Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin HCl tablet 500 mg
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
Metilergometrin Maleat inj 0,200 mg - 1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium diklofenak tablet 25 mg

88

Natrium Klorida larutan infus 0,9 % steril (Produk lokal) - 500 ml

89
90
91
92
93
94
95
96
97
98
99
100
101
102
103

Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml
Oksitetrasiklin salep kulit 3% (HCl) - 5 gr
Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg

70
71

NO
URUT
104
105

NAMA OBAT & PERBEKKES

Propanolol tablet 10 mg (HCl)


Propiltiourasil tablet 100 mg

Tablet
Botol
Pot
Tablet
Ampul
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet
Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet
SATUAN

Tablet
Tablet

Januari

Februari

Maret

April

Mei

Juni

Juli

Agus
tus

Sep
Tember

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
132
133
134
135
136
137
138
139
140
141
142
143
144

Ampul
Ranitidin injeksi 25 mg/ml - 2ml
Tablet
Ranitidin tablet 150 mg
Botol
Ringer laktat larutan infus - 500 ml
Tablet
Salbutamol tablet 2 mg (sebagai sulfat)
Tablet
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4%
Pot
- 30 gram
Kotak
Salisil Bedak 2 % -50 gr
Kapsul
Sefadroksil kapsul 500 mg
Botol
Sefadroksil sirup kering 125mg/5ml - 60 ml
Ampul
Sefotaksim injeksi 500 mg/vial
Tube
Scabicid krem
Tablet
Sianokobalamin (Vit.B12) tablet 50 mcg
Ampul
Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml
Tablet
Simvastatin tablet 10 mg
Tablet
Siprofloksasin tablet 500 mg (sebagai HCl)
Kapsul
Tetrasiklin HCl kapsul 250 mg
Kapsul
Tetrasiklin HCl kapsul 500 mg
Kapsul
Tiamfenicol kapsul 500 mg
Ampul
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tablet
Tiamin HCl/Mononitrat(Vit.B1) tablet50mg
Ampul
Tramadol injeksi 50 mg/ml
Tablet
Vitamin B Kompleks tablet
PERBEKALAN KESEHATAN
Pcs
Abbocath no 20
Pcs
Abbocath no 22
Pcs
Abbocath no 24
Pcs
Alat Suntik Sekali Pakai 1 ml
Pcs
Alat Suntik Sekali Pakai 2,5 ml
Pcs
Alat Suntik Sekali Pakai 3 ml
Pcs
Alat Suntik Sekali Pakai 5 ml
Sak
Catgut/ Benang Bedah No. 2/0 dengan jarum bedah
Set
Infusion Set Anak
Set
Infusion Set Dewasa
Pcs
Jarum jahit (bedah) No. 11, 12, 13
Bungkus
Kapas Pembalut / Absorben 250 gram
Bungkus
Kasa Kompres 40/40 Steril
Lbr
Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr
Rol
Kasa Pembalut Hidrofil 4m x 10cm
Rol
Kasa Pembalut Hidrofil 4 m x 15 cm Elastic
Lbr
Masker

145
146
147
148
149
150
151
152
153
154
155
156
157
NO
URUT
158
159
160
161
162
163
164
165
166
167
168
169
170

171
172
173
174
175
176
177

Plester 5 yards x 2 inch


Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0 dengan jarum bedah
OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml
Eugenol cairan - 10 ml
Glass Ionomer Cement ART
Kalsium hidroksida Pasta
Klorfenol kamfer Menthol ( CHKM ) - 10 ml
Mummifying Pasta
Pehacain inj
Semen Seng Fosfat serbuk dan cairan - 30 gram
Silver Amalgam Serbuk 65 - 75 %
NAMA OBAT & PERBEKKES

Spons Gelatin cubicles


Temporary Stopping Fletcher (Fletcher) serbuk dan cairan - 100
gram
OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg
Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet (tambah
darah kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
Retinol (Vitamin A) kapsul 200.000IU
OBAT TB PARU
Obat Antituberkulosis Kategori 1 dewasa (OAT Kombipak)
Obat Antituberkulosis Kategori 2 (OAT FDC)
Obat Antituberkulosis Kategori anak (OAT Kombipak)
Reagensia TB

Rol
Bungkus
Sak
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Ampul
Botol
Botol
SATUAN

Botol
Botol
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet
Tablet
Kapsul
Kapsul
Paket
Paket
Paket
Tablet

Januari

Februari

Maret

April

Mei

Juni

Juli

Agus
tus

Sep
Tember

178
179

180
181
182
183
184
185
186
187
188
183
184
185
186
187

Slide Microscope
Sputum Pot
OBAT MALARIA
Anti Malaria DOEN kombinasi Pirimetamin tablet 25 mg
+ Sulfadoksin tablet 500 mg
Act (Artesunate tablet 50 mg + Amodiaquine anhydrate tablet
200 mg) (2 blister @ 12 tablet)
Artemeter injeksi 80 mg/ml / ktk 6 amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0 dengan jarum bedah

Set
Buah
Tablet
Tablet
Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set
Sak

Okto
Ber

Novem
ber

Desem
ber

Jumlah

Okto
Ber

Novem
ber

Desem
ber

Jumlah

Okto
Ber

Novem
ber

Desem
ber

Jumlah

Okto
Ber

Novem
ber

Desem
ber

Jumlah

LAPORAN HARIAN PEMAKAIAN OBAT DI APOTIK

NO
URUT
1
2
3
4
5
6
7
8
9
10
11
12

NAMA OBAT & PERBEKKES


Alopurinol tablet 100 mg
Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml - 60ml
Antasida DOEN Suspensi, kombinasi - 60 ml :MgHidroksida 200mg/5 ml+Al. Hidroksida. 200 mg/5 ml
Antasida DOEN tab,kombinasi: Mg-Hidroksida 200mg+Al.
Hidroksida. 200 mg
Antalgin (Metampiron tablet 500 mg)

SATUAN
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol

STOK
AWAL

3
6

Tablet

10

Tube

14

Anti Hemoroid DOEN Kombinasi : Bismuth subgalat 150


mg + Heksaklorofen 2,5 mg

Supp

15

Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg

Tablet

16
17
18
19
20
21
22
23
24

Aqua pro injeksi steril, bebas pirogen 20 ml


Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300 mg
Betametason krim 0.1% - 5 gram

Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube

7
6

1
20

Tablet

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g - 5 gram

24 24
250 250 150 180 180 150
280 140 160 140 190 100
1
2
2
7
5
1

Botol

13

20
6

68

46
1

10 11
4
4

10

36

10

25

67 106
58

30
2

12

24 30 24 14 22 28
250 160 160 150 160 150
180 150 160 170 70 120
1
3
3
3
1
2

54 130 130 140


100
1
30

TANGGAL
13 14 15 16 17
4 10
2

1
20

20

60 182
166
1
30

86

18

19

20 36 24 20
243 140 150 150
166 150 80 60
4
5
2
1

10
10

10

20
10

20

20

84 102

86

20

175 149 123 149

98
2
30

63
3
20

55

178
2

70

10

86

72
1
28

70

25
26

Citirizine tab
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg

Tablet
Ampul
Tablet

27
28
29
30

Dekstrometorfan sirup 10 mg/5 ml - 60 ml


Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml

Botol
Tablet
Tablet
Ampul

NO
URUT
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53

NAMA OBAT & PERBEKKES


Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina ) Injeksi
0,1% - 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion(Vit.K1)tablet salut gula 10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukosa larutan infus 5 % steril (Produk lokal) - 500 ml

SATUAN
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Tablet

10

10

20

10

26

15

102 117

87

91

72

67

30

23

23

40

30
STOK
AWAL

40

4
6
8
3
5
7
6 12
6 18 12 18

3
12

3
10

3
10

3
10

10

2
10
6

25

20

15

35

25

189 155

82

87

90 105

24

20

20

20

30

35

23

40

10

196 104

26

30

10

15

57 109

30

57

TANGGAL
9 10 11 12 13 14 15 16 17 18 19
6 12 52
4 26 24
18 13 32 72

3
30

2
10

3
10

10
2

10

8
6

16

1
20
7

1
12

1
20

2
10

2
20

10

Ampul
Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet
Tube
Botol
Tablet
Tablet
Botol

10
1

10
1

8
10

4
5

92

16
6

60

50

10
4
5

53

8
5

8
5

51

5
50

10

80

12
11

53

80

65

24
6

10
51

12

12
17

56

56

64

50

54
55
56

Griseofulvin tablet 125 mg, micronized


Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg

Tablet
Tube
Tablet

57
58
59
60
61
62
63
64
65
66
67
68

Ibuprofen tablet 400 mg


Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Ketokonazol tablet 200 mg
Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg

Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tube
Botol
Botol
Tablet

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84

Kodein tablet 10 mg
Kotrimoksazol DOEN I (dewasa) tablet kombinasi:
Sulfametoksazol
400 mgkomb:
'+ Trimetoprim
80 mg 200 mg '+
Kotrimoksazol Suspensi
Sulfametoksazol
Trimetoprim 40 mg / 5 ml - 60 ml
Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin HCl tablet 500 mg
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125
mg
Metilergometrin Maleat inj 0,200 mg - 1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet

Tablet
Tablet
Botol
Pot
Tablet
Ampul
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet

10
4
40

14

15
10
60

10

26
4
20

30

42

60

10

10

26
7
30

16
20
10

26
10
30

34

15

10

80

20

10

10
10
40

242 279 196 180 180 150


STOK
AWAL

6
5

24
4

5
4

5
1

6
4

3
6
2

15
3

12
5

10
1

10

40

203 200 218 180 150 150


8

6
5

35
5
60

9
6
12
5

10
6
7

11

12

12
5

24
5

6
10

20

13
12
5

14
24
4

282 200 180 173


TANGGAL
15 16 17 18 19
6
4

8
3

12
1

12
4

10
2

16
1

85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
NO
URUT
107
108
109
110
111
112
113
114

Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 % steril (Produk lokal) 500 ml
Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml
Oksitetrasiklin salep kulit 3% (HCl) - 5 gr
Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml
NAMA OBAT & PERBEKKES
Ranitidin tablet 150 mg
Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai sulfat)
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang
Endap 4% - 30 gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg
Sefadroksil sirup kering 125mg/5ml - 60 ml

Botol
Tablet
Tablet
Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet
Tablet
Tablet
Ampul
SATUAN
Tablet
Botol
Tablet
Tablet

70

22

3
4

10
2
3

26

25

68

2
5
1

5
2

2
7

30
56

56

36

39

30

25

58

40

80

34

1
3
1

3
5

1
2

1
3

4
2
2

1
1

2
4
1

2
2

3
7
1

2
3

1
2

32 18
6 34 24
6
2
6
4
1
2
390 350 280 234 250 287

10
32
23
2
1
8
8
6
3
350 388 394 278 295 280

12 12 32 52
2
4
2
323 347 341 247
20

20
10

STOK
AWAL

10

15

10
15

18

5
10

6
5

10
25

30
10

18

10
15

10
6

20
7

30

20

32
6

16

30

10

13

2
3
4
5
6
7
8
72 56 52 76 66 64

TANGGAL
9 10 11 12 13 14 15 16 17 18 19
50 54 66 38 24 62
64 58 58 60

10

15

Pot
Kotak
Kapsul
Botol

10
30

1
5
20

2
10

10

12

20

16

2
26

2
16

1
10

12

30

26

10

2
1

10

115
116
117

Sefotaksim injeksi 500 mg/vial


Scabicid krem
Sianokobalamin (Vit.B12) tablet 50 mcg

Ampul
Tube
Tablet

118
119
120
121
122
123
124
125
126
127

Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml


Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamfenicol kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tiamin HCl/Mononitrat(Vit.B1) tablet50mg
Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

Ampul
Tablet
Tablet
Kapsul
Kapsul
Kapsul
Ampul
Tablet
Ampul
Tablet

128
129
130
131
132
133
134

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

135

Catgut/ Benang Bedah No. 2/0 dengan jarum bedah

Sak

136
137
138
139
140

Infusion Set Anak


Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 Steril

141
NO
URUT
142

Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr


NAMA OBAT & PERBEKKES
Kasa Pembalut Hidrofil 4m x 10cm

10
8
70

4
71

42

42
50

40

22

46

44

33

48

18
16

14
12

42
40

38

55

49

36

30
26

20
50

38

16
56

12

28

30

32

63

25

46

20

36

16

59

90

53

58

40

35

26

50

14

16

50

24

10

55

Set
Set
Pcs
Bungkus
Bungkus
Lbr
SATUAN
Rol

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

143
144
145

Kasa Pembalut Hidrofil 4 m x 15 cm Elastic


Masker
Plester 5 yards x 2 inch

146

Sarung tangan steril 7

147

Silk (Benang Bedah Sutera) No 3/0 dengan jarum bedah

148
149
150
151
152
153
154
155

OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml
Eugenol cairan - 10 ml
Glass Ionomer Cement ART
Kalsium hidroksida Pasta
Klorfenol kamfer Menthol ( CHKM ) - 10 ml
Mummifying Pasta
Pehacain inj

Botol
Botol
Botol
Botol
Botol
Botol
Botol
Ampul

156 Semen Seng Fosfat serbuk dan cairan - 30 gram

Botol

157 Silver Amalgam Serbuk 65 - 75 %


158 Spons Gelatin cubicles
Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 159
100 gram

Botol
Botol

160
161
162
163
164
165
166
167
168
169
170

OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg
Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI

Rol
Lbr
Rol
Bungkus
Sak

Botol
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet

10

30
6

10

20

12

18

30

30
30
60

18
30

10

12

12
60

12

30

90
30

30

10

6
80
60
30

24

30

171

Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet


(tambah darah kombinasi)

Tablet

172 Retinol (Vitamin A) kapsul 100.000IU

Kapsul

173 Retinol (Vitamin A) kapsul 200.000IU

Kapsul

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

30

30
3

STOK
AWAL

30

3
5

10

11

12

13

14

6
TANGGAL
15 16 17

OBAT TB PARU
174 Obat Antituberkulosis Kategori 1 dewasa (OAT Kombipak)

Paket

175 Obat Antituberkulosis Kategori 2 (OAT FDC)

Paket

176 Obat Antituberkulosis Kategori anak (OAT Kombipak)

Paket

177 Reagensia TB
178 Slide Microscope
179 Sputum Pot

Tablet
Set
Buah

OBAT MALARIA
180

Anti Malaria DOEN kombinasi Pirimetamin


tablet 25 mg + Sulfadoksin tablet 500 mg

Tablet

181

Act (Artesunate tablet 50 mg + Amodiaquine anhydrate


tablet 200 mg) (2 blister @ 12 tablet)

Tablet

182
183
184
185
186
187
188
183
184
185
186
187

Artemeter injeksi 80 mg/ml / ktk 6 amp


Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0 dengan jarum bedah

Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set
Sak

10
50

40
20

20
30

4
10

10

10
10

20

50

22

10

9
18

19

NO
URUT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

NAMA OBAT & PERBEKKES

Alprazolam tab
Burnazin Zalf
Calos Kaplet
Dulcolax tab
Fuladix Zalf
Folavit tab
Gludepatic tab
Gentalec Zalf
livran B plex tab
Levertran Zalf
Nifural Sirup
Nonflamin cap
Muliavit sirup
Mertigo tab
Mucograd sirup
Ometilson tab
Reco Tetes Telinga
Skizon Zalf
Spasminal tab
Scabimite Zalf

SATUAN

Tablet
Tube
Kaplet
Tablet
Tube
Tablet
Tablet
Tube
Tablet
Tube
Botol
Kapsul
Botol
Tablet
Botol
Tablet
Botol
Tube
Tablet
Tube

STOK
AWAL

4
9

7
4

10

10

25

10 11 12 13 14
9
5
4
1
42 114 107
24 12
30
3

Tanggal
15 16 17

20

18

55

30

90
36
20

180
15 92

40 160
10 30

18
18

40
56

20 150
30
6

12
24

60
36

30
10

94
36

16

1
10
36

62

21

16

22

59

20

58

78

70

121

43

56

10
1

22
1

10
1

6
1
6

6
2

20

16
2

40
100

106

10

30

22

76

6
10

18

44

54
1

28
1

10
1

10

36

6
6
22

22

20

41
1

96

21

10

19

1
6

37

51
1

32

21
22
23
24

Topdryl sirup
Tremenza tab
Ulsidex tab
Ultrogestron tab

Botol
Tablet
Tablet
Tablet

36
10

12

50
10

30
30

6
16
15

22
10

16
26

50
20

16

30

5
10

12
10

20
10
10

18
20

31
20

10
30

MARET 2015
20 21
3

24
130
80

22

23 24
3

25 26
6

27

28 29
6

26 40 10 30 10 10
200 150 140 150 150 160
150 150 160 140 150 60
6
7
3
2

30

8
140 150
150 140
5
8

1
20

20

31
6

1
10

10

10

20

JIH
72
0
0
0
0
448
4243
3496
74
10
320
26
0
0

100
34
1

220 108

56

60

68

37

58

80

150

24

56
4
63

69

26
2
20

82

78
1
30

60

40
3
10

0
0
0
2544
0
1841
24
321
0
0

25

30

135

25

20 21
6

1
10

25

15

10

25

16

10

176 149

98

96

60

63

192

61

30

35

12

12

28

35

49

22

53

23 24 25 26 27 28 29
48
6 28 43 22 12

4
10

2
10

10

3
10

4
55

30 31
6 65

3
10

3
65

12
1

56

45

4
19

25

10
40

4
6

5
10

40

14

50

31

60

61

482
0
2740
0
0
745
0
JIH
567
0
0
61
354
23
10
0
62
9
0
0
0
62
0
10
157
131
0
0
25
1279
0

30
4
10

30
4
10
12
1

20

22
4
10

32

36

20

20

26

10

20

10

40

184
20
6
4

10
3

298 226 214 186 150 181


21

22

23
12
9

24
6
9

25
24
5

26
10
6

27
6
2

1
1

28
18
3

200 180
29

30

31
9
6 12
7
8

0
55
0
10
0
0
0
564
82
640
12
23
0
0
4982
JIH
18
288
121
0
0
0
0
0
0
0
0
0
16
83
31
0

20
32

52

20
4
2
1

4
17
2

16
2
245
1

20
28
10
2
2

36

1
7
2

4
3

30
26
10
1
4
1

32

2
6
2

48 38 44
24
3
3
2
5
4
3
365 340 345 270 288 286
1

30

20 21
84

30

30

22

12

10

10

10

1
1
6

10

2
10

1
2
6
1

10

34

4
8

8
4
5

12
6
3
3
340 230
1

10

23 24 25 26 27 28 29
58 52 60 58 68 68

10

20
26

30 31
48 48
6

1
3

1
10

1
10

0
130
991
0
58
61
109
14
0
481
79
7743
3
20
0
100
0
0
367
109
0
0
JIH
1464
0
156
0
6
32
213
1

50

20
82

50

28
55

20
50

10
58

14
28

4
58

50

42

36

28

29

30

27

22

38

38

25

10

60

10

20

20

50

10

42

0
0
10
0
290
1150
0
0
0
0
710
0
934
0
0
0
0
0
0
0
0
0
0
0
0
0
0

20

21

22

23

24

25

26

27

28

29

30

31

JIH
0

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

60
10
20

10
30
6

30

10
40

0
0
20
0
0
100
0
162
200
300
0
300
0

30
3
20

6
21

22

23

3
24

25

120
0
36

3
26

27

28

29

30

31

JIH

0
0
0
0
0
0

0
0
0
0
0
0
0

4
20

10
50

10

10

0
0
0
98
0
322
0

20 21
3
12

230
40

22

23

35
10

24

25

25

65

34

49

58

12

3
18

12

6
4
2

10

28

28
3

28
1

29

30

31

28

10

64
20

52 20
6
1
70 110
6

30

17

28

37

10
1

30
3

260 200 127 170


12
6 26 20

87

27

10

25

26

18

36
1

20

24

6
1
34

46

6
3
6
1
68

30

10

JIH
29
1
717
55
2
2175
687
0
1045
0
3
166
20
60
2
990
11
0
164
1

10
25

23
10
20

16
42

10

24
45

20
10

30

0
487
364
45

LAPORAN PEMAKAIAN OBAT DAN ALKES DI UGD


PUSKESMAS INGIN JAYA
NO
URUT
1
2
3
4
5
6
7
8
9
10

NAMA OBAT & PERBEKKES

SATUAN

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml - 60ml
Antasida DOEN Suspensi, kombinasi - 60 ml :Mg-Hidroksida
200mg/5 ml+Al. Hidroksida. 200 mg/5 ml

Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol
Botol

11

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200mg+Al.


Hidroksida. 200 mg

Tablet

12

Antalgin (Metampiron tablet 500 mg)

Tablet

13

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g - 5 gram

Tube

14

Anti Hemoroid DOEN Kombinasi : Bismuth subgalat 150 mg +


Heksaklorofen 2,5 mg

Supp

15

Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg

Tablet

16
17
18
19
20
21
22
23
24

Aqua pro injeksi steril, bebas pirogen 20 ml


Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300 mg
Betametason krim 0.1% - 5 gram
Citirizine tab
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml - 60 ml
Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60 ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg

Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Tablet

38

Epinefrina HCl/Bitartrat ( Epinefrina / Adrenalina ) Injeksi 0,1%


- 1 ml

Ampul

39
40
41
42
43
44
45
46
47
48

Erytromycin kapsul 500 mg


Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% - 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion(Vit.K1)tablet salut gula 10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air

Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet

25
26
27
28
29
30
31
32
33
34
35
36
37

STOK
AWAL

PEMBE
RIAN

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

49
50
51
52

Gentamisin salep kulit 3 % - 5 gram


Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg

53

Glukosa larutan infus 5 % steril (Produk lokal) - 500 ml

54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

Griseofulvin tablet 125 mg, micronized


Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Ketokonazol tablet 200 mg
Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4 mg
Kodein tablet 10 mg

Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Tube
Botol
Botol
Tablet
Tablet

70

Kotrimoksazol DOEN I (dewasa) tablet kombinasi:


Sulfametoksazol 400 mg '+ Trimetoprim 80 mg

Tablet

71

Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg '+


Trimetoprim 40 mg / 5 ml - 60 ml

72
73
74
75
76

Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin HCl tablet 500 mg

Pot
Tablet
Ampul
Botol
Tablet

77

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg

Tablet

78
79
80
81
82
83
84
85
86
87

Metilergometrin Maleat inj 0,200 mg - 1 ml


Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 % steril (Produk lokal) - 500
ml
Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan - 100 ml
Oksitetrasiklin salep kulit 3% (HCl) - 5 gr
Oksitetrasiklin salep mata 1% (HCl) - 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60 ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg

Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet
Tablet

88
89
90
91
92
93
94
95
96
97
98

Tube
Botol
Tablet
Tablet
Botol

Botol

Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet

STOK
AWAL

PEMBE
RIAN

99
100

NO
URUT
101
102
103
104
105
106
107
108
109
110

Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg

NAMA OBAT & PERBEKKES

Kapsul
Tablet

SATUAN

112
113
114
115
116
117

Povidon Iodida larutan 10 % - 30 ml


Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml
Ranitidin tablet 150 mg
Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai sulfat)
Salbutamol tablet 4 mg (sebagai sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap
4% - 30 gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg
Sefadroksil sirup kering 125mg/5ml - 60 ml
Sefotaksim injeksi 500 mg/vial
Scabicid krem
Sianokobalamin (Vit.B12) tablet 50 mcg

Kotak
Kapsul
Botol
Ampul
Tube
Tablet

118

Sianokobalamin (Vit.B12) injeksi 500 mg/ml-1 ml

Ampul

119
120
121
122
123
124
125
126
127

Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai HCl)
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamfenicol kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tiamin HCl/Mononitrat(Vit.B1) tablet50mg
Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

Tablet
Tablet
Kapsul
Kapsul
Kapsul
Ampul
Tablet
Ampul
Tablet

128
129
130
131
132
133
134

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs

135

Catgut/ Benang Bedah No. 2/0 dengan jarum bedah

Sak

136
137
138
139
140
141
142
143
144
145
146

Infusion Set Anak


Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 Steril

147

Silk (Benang Bedah Sutera) No 3/0 dengan jarum bedah

Sak

148
149

OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml

Botol
Botol

111

Kasa Hidrofil Steril uk.18x22 cm/ktk @ 12 lbr


Kasa Pembalut Hidrofil 4m x 10cm
Kasa Pembalut Hidrofil 4 m x 15 cm Elastic
Masker
Plester 5 yards x 2 inch
Sarung tangan steril 7

Botol
Botol
Tablet
Tablet
Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Pot

Set
Set
Pcs
Bungkus
Bungkus
Lbr
Rol
Rol
Lbr
Rol
Bungkus

STOK
AWAL

PEMBE
RIAN

150
151

NO
URUT

Eugenol cairan - 10 ml
Glass Ionomer Cement ART

NAMA OBAT & PERBEKKES

Botol
Botol

SATUAN

152
153
154
155

Kalsium hidroksida Pasta


Klorfenol kamfer Menthol ( CHKM ) - 10 ml
Mummifying Pasta
Pehacain inj

Botol
Botol
Botol
Ampul

156

Semen Seng Fosfat serbuk dan cairan - 30 gram

Botol

157
158

Silver Amalgam Serbuk 65 - 75 %


Spons Gelatin cubicles
Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 100 gram

Botol
Botol

159
160
161
162
163
164
165
166
167
168
169
170
171
172
173

OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg (HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg
Triheksilfenidil Hidroklorida 2 mg
OBAT GIZI
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet (tambah
darah kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
Retinol (Vitamin A) kapsul 200.000IU

Botol
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet
Tablet
Kapsul
Kapsul

OBAT TB PARU
174

Obat Antituberkulosis Kategori 1 dewasa (OAT Kombipak)

Paket

175

Obat Antituberkulosis Kategori 2 (OAT FDC)

Paket

176

Obat Antituberkulosis Kategori anak (OAT Kombipak)

Paket

177
178
179

Reagensia TB
Slide Microscope
Sputum Pot

Tablet
Set
Buah

OBAT MALARIA
180

Anti Malaria DOEN kombinasi Pirimetamin tablet


25 mg + Sulfadoksin tablet 500 mg

Tablet

181

Act (Artesunate tablet 50 mg + Amodiaquine anhydrate tablet


200 mg) (2 blister @ 12 tablet)

Tablet

182
183
184
185
186
187
188
183
184
185
186

Artemeter injeksi 80 mg/ml / ktk 6 amp


Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet

Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set

STOK
AWAL

PEMBE
RIAN

187

NO
URUT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

catgut / Benang Bedah No. 3/0 dengan jarum bedah

NAMA OBAT & PERBEKKES

Alprazolam tab
Burnazin Zalf
Calos Kaplet
Dulcolax tab
Fuladix Zalf
Folavit tab
Gludepatic tab
Gentalec Zalf
livran B plex tab
Levertran Zalf
Nifural Sirup
Nonflamin cap
Muliavit sirup
Mertigo tab
Mucograd sirup
Ometilson tab
Reco Tetes Telinga
Skizon Zalf
Spasminal tab
Scabimite Zalf
Topdryl sirup
Tremenza tab
Ulsidex tab
Ultrogestron tab

Sak

SATUAN

Tablet
Tube
Kaplet
Tablet
Tube
Tablet
Tablet
Tube
Tablet
Tube
Botol
Kapsul
Botol
Tablet
Botol
Tablet
Botol
Tube
Tablet
Tube
Botol
Tablet
Tablet
Tablet

STOK
AWAL

PEMBE
RIAN

DI UGD
TAHUN
BULAN
PERSE
DIAAN

PEMA
KAIAN

SISA
STOK

PERSE
DIAAN

PEMA
KAIAN

SISA
STOK

PERSE
DIAAN

PEMA
KAIAN

SISA
STOK

PERSE
DIAAN

PEMA
KAIAN

SISA
STOK

PERSE
DIAAN

PEMA
KAIAN

SISA
STOK

LAPORAN HARIAN PEMAKAIAN OBAT DI APOTIK


APRIL 2015
NO
URUT
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

NAMA OBAT & PERBEKKES


Alopurinol tablet 100 mg
Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml Antasida DOEN Suspensi, kombinasi
60ml
- 60 ml :Mg-Hidroksida
200mg/5MgAntasida
DOEN tab,kombinasi:
ml+Al.
Hidroksida.
200 Hidroksida.
mg/5 ml
Hidroksida
200mg+Al.
200
mg (Metampiron tablet 500 mg)
Antalgin
Anti Bakteri
DOEN salep kombinasi:
Basitrasin
500
IU/g + Polimiksin
Anti Hemoroid DOEN
Kombinasi :
10.000
IU/g
5
gram
Bismuth subgalat
150 mg +
Antimigren
: Ergotamin
Heksaklorofen
2,5 mg tartrat 1 mg +
Kofein
50
mg
Aqua pro injeksi steril, bebas pirogen
20 ml
Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300
mg
Betametason krim 0.1% - 5 gram
Citirizine tab
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml 60 ml

STOK
SATUAN
AWAL
Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol
Botol
Tablet
Tablet
Tube
Supp
Tablet
Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube
Tablet
Ampul
Tablet
Botol

2
3
12

8 36
20 40
140 165
2
1
1
50 78
6

4
5
25

16
70
120
4
1
46

61
60
44

44
70
70

6
50
75
4

2
60
10

4 50 24
10 40 20
80 170 110
4
4
5
1
2
27 60 50

78

20

10 11 12
6 10 10

TANGGAL
13 14 15 16 17
6 10 12 40

18

18 12 49
8 12 18
80 30 50 40 40 40
190 143 150 140 101 150
5
5
5
4
1
3
1
3
3
1
116 50 80 40 43 92

64

106

56 142 174

80 120

25

194

35

90

40

40 129
30

82 120

106
2
34

77

55

55
1

60
4
100

78

88

20

68

65

68

71

15
136

136

50

12
2
64

41 136

68

15
34 120 150

30

5
36 135 344

36

19

20

70 103

23
6

20 14
90 20 70 30
180 166 146 160
4
5
4
4
2
3
28 71 20 43
10

48

90

45

80

115

80
4
60

60
20

53
1
15

20
87 148

81

20

30
50

21 22
30

65

28
29
30

Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml

Tablet
Tablet
Ampul

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58

Diazepam tablet 2 mg
Difenhidramin HCl inj 10 mg/ml-1 ml
Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60
ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrina HCl/Bitartrat ( Epinefrina /
Adrenalina ) Injeksi 0,1% - 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10
mg/ml
- 1 ml
Fitomenadion(Vit.K1)tablet
salut gula
10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukosa larutan infus 5 % steril
(Produk
lokal)
- 500125
ml mg,
Griseofulvin
tablet
micronized
Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5
mg

Tablet
Ampul
Tablet
Botol
Tablet
Tablet
Tablet
Ampul
Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet
Tube
Botol
Tablet
Tablet
Botol
Tablet
Tube
Tablet
Tablet
Tablet

12
STOK
AWAL

10

2
1
3
12 16

3
15

39

30

4
5
24

TANGGAL
6
8
7
9 10 11 12 13 14 15 16 17 18 19
44 43 18 14 18 56
102 13 54 16 60 77

1
10

40

10

30

29

10

10

1
26

30

20

20

60

43

1
69

10

20

1
82

32

30

10

10

18

20 21 22 23
41 52 29 70

10
2

20

10

140

9
5

11

10

4
20

4
20

10
1

55 165

15

46

20

70 110

1
20

10

80

1
20

18

6
77

94

150

55

81

53

19

95

10
5

1
6

20
20

30

75

66

72

60

36

30

30

59
60
61

Kalsium Laktat (Kalk) tablet 500 mg


Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg

Tablet
Tablet
Tablet

62
63
64
65
66
67
68

Ketokonazol tablet 200 mg


Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salap mata 1%
Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4
mg

Tablet
Kapsul
Kapsul
Tube
Botol
Botol
Tablet

NAMA OBAT & PERBEKKES

SATUAN

Kodein
tablet 10
mg I (dewasa)
Kotrimoksazol
DOEN
tablet
kombinasi:
Sulfametoksazol
Kotrimoksazol Suspensi
komb:
400
mg
'+
Trimetoprim
80'+mg
Sulfametoksazol 200 mg
Trimetoprim
40 mg / 5 ml - 60 ml
Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin
HCl tablet
500 mg
Metilergometrin
Maleat
(Metilergometrin) tablet salut 0,125
Metilergometrin
Maleat inj 0,200 mg mg
1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 %
steril (Produk lokal) - 500 ml
Nifedipin tablet 10 mg

Tablet
Tablet
Botol
Pot
Tablet
Ampul
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet
Tablet
Botol
Tablet

NO
URUT
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

28
10

10

150 145
STOK
AWAL

24
5

50

10
6
10

213

252 134 171

4
40
3

16

16

10
5

12
14

12
18

16

10

20
4
10

24
8

14
6

10
3

73 180 133

268 212 288 132 113 180


217 190 221 144
TANGGAL
6
8
7
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
5
90 46 54 12 10 114
96 24 22 20 36 24
36 38 18 36
2
3
2
1
2
4
2
6
1
3
4
1

10

20

10
16

20
2

10
2

32

26

5
10
3

30
4

10

46

54

20

10
20

10
10

48
20
4

45

36

28

24

10

6
28

62

12

20
10

30

16

10

40

20
22

Obat Batuk Hitam ( O.B.H. ) cairan 100


ml
Oksitetrasiklin
salep kulit 3% (HCl) 5
gr
Oksitetrasiklin salep mata 1% (HCl) 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60
ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg
Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml
Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml

Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul
Tablet
Botol
Botol
Tablet
Tablet
Tablet
Ampul

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

107
108
109
110
111
112
113
114
115
116
117
118
119
120

Ranitidin tablet 150 mg


Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai
sulfat)
Salbutamol tablet 4 mg (sebagai
sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat
2% + Belerang Endap 4% - 30 gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg
Sefadroksil sirup kering 125mg/5ml 60 ml
Sefotaksim injeksi 500 mg/vial
Scabicid krem
Sianokobalamin (Vit.B12) tablet 50
mcg
Sianokobalamin (Vit.B12) injeksi 500
mg/ml-1 ml
Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai
HCl)

Tablet
Botol
Tablet
Tablet
Pot
Kotak
Kapsul
Botol
Ampul
Tube
Tablet
Ampul
Tablet
Tablet

90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106

1
1

Botol
Tube
Tube

3
5
3

6
1
5
182 240
26

20

38

STOK
AWAL

1
3
5

2
210

1
1

3
3

1
4
3

3
4

2
3
2

56 36 28
6 22
9
3
6
4
3
2
276 180 193 156 293 233

15

51

26

35

8
3
2

3
3
1

2
3
2

4
3
1

4
2
1

130 89
24 24 12
4
6
7
5
2
2
345 219 344 206 254 240

26

30

58

12

10

38

16

17

15

20

10

20

52

44

20

20

20
6

30

4
5
46

TANGGAL
6
7
8
9 10 11 12 13 14 15 16 17 18 19
60 30
6 22 44 36
104 50 108 40 30 74

10

10

22

1
10

1
4

1
24

2
10
1

1
10

10
10
26

4
30

10

12

26

64
70

1
4

12

10

36

4
22

2
3

1
10

30
20

18

18
66

44

1
1
10

86

1
2

12

10

1
3

1
5

36

20

9
2

38

28

10

14

14

10

20 21 22 23
6 82 22 56
30

10

24
6

2
4

70 30 30 30
4
4
6
369 288 229 400
1
25
23 17

41

1
2
3
36 56

11

4
1

6
5

14
67

34

1
20

10
20

20
41

121 Tetrasiklin HCl kapsul 250 mg


122 Tetrasiklin HCl kapsul 500 mg
123 Tiamfenicol kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml124
1
ml HCl/Mononitrat(Vit.B1)
Tiamin
125
tablet50mg
126 Tramadol injeksi 50 mg/ml
127 Vitamin B Kompleks tablet
128
129
130
131
132
133
134
135
136
137
138
139
140
141
NO
URUT

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22
Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml
Catgut/ Benang Bedah No. 2/0
dengan jarum bedah
Infusion Set Anak
Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250
gram
Kasa
40/40
Steril cm/ktk
Kasa Kompres
Hidrofil Steril
uk.18x22
@ 12 lbr
NAMA OBAT & PERBEKKES

142 Kasa Pembalut Hidrofil 4m x 10cm


Kasa Pembalut Hidrofil 4 m x 15 cm
143
Elastic
144 Masker
145 Plester 5 yards x 2 inch
146 Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0
147
dengan jarum bedah
OBAT GIGI
148 Air Raksa dental use
149 Etil Klorida spray -100 ml

Kapsul
Kapsul
Kapsul
Ampul
Tablet
Ampul
Tablet

109

55

50

20

30

16

20

30

36

70

20

46

66

40

90

87

30

22

81

60

15

10

46

25

56

14

49

32

40

30

44

84

67

30

Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Sak
Set
Set
Pcs
Bungkus
Bungkus
Lbr
SATUAN
Rol
Rol
Lbr
Rol
Bungkus
Sak
Botol
Botol

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

150 Eugenol cairan - 10 ml


151 Glass Ionomer Cement ART
152 Kalsium hidroksida Pasta
Klorfenol kamfer Menthol ( CHKM ) 153
10 ml
154 Mummifying Pasta
155 Pehacain inj
Semen Seng Fosfat serbuk dan
156
cairan - 30 gram
157 Silver Amalgam Serbuk 65 - 75 %
158 Spons
Gelatin
cubicles
Temporary
Stopping
Fletcher
159 (Fletcher) serbuk dan cairan - 100
gram
OBAT JIWA
160
161
162
163
164
165
166
167
168
169
170

Amitriptilin HCl tablet salut 25 mg


Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg
(HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg

Triheksilfenidil Hidroklorida 2 mg
OBAT
Besi (II)GIZI
Sulfat 200 MG + Asam Folat
171 0,25 mg tablet (tambah darah
172 kombinasi)
Retinol (Vitamin A) kapsul 100.000IU
173 Retinol (Vitamin A) kapsul 200.000IU
NO
URUT
174
175
176
177

NAMA OBAT & PERBEKKES


OBAT TB PARU
Obat Antituberkulosis Kategori 1
dewasa
(OAT Kombipak)
Obat Antituberkulosis
Kategori 2
(OAT
FDC)
Obat Antituberkulosis Kategori anak
(OAT Kombipak)
Reagensia TB

Botol
Botol
Botol
Botol
Botol
Ampul
Botol
Botol
Botol
Botol

Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet

30
60
30

Paket
Paket
Paket
Tablet

10
70

20

10

30
30

30

30

30

92 160

STOK
AWAL

10

30
60

30

Tablet
Kapsul
Kapsul
SATUAN

30
30

50

150

90

90

40

90

11

110
20

60

70

60

90

90

65

102 250 154 106

12

13

14

5
60

45

30

60

3
10

30

TANGGAL
15 16 17

18

19

20

21

30

22

70

23

178 Slide Microscope


179 Sputum Pot

Set
Buah

OBAT
MALARIA
Anti Malaria
DOEN kombinasi
180
181
182
183
184
185
186
187
188
183
184
185
186
187

NO
URUT

Pirimetamin
Act (Artesunate tablet
tablet 5025
mgmg
+ +
Sulfadoksin
tablet
500
mg
Amodiaquine anhydrate tablet 200
Artemeter
injeksi
80tablet)
mg/ml / ktk 6
mg) (2 blister
@ 12
amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0
dengan jarum bedah

NAMA OBAT & PERBEKKES

Alprazolam tab
Aspilet tab

Tablet
Tablet
Ampul
Ampul
Tablet
Tablet
Tablet

Tablet
Tablet
Tube
Tablet
Set
Set
Sak

SATUAN

Tablet

10

10

STOK
AWAL

10

20

20

10

15

10

10

10

11

12

13

14

Tanggal
15 16 17

18

19

20

21

22

23

2
3
4
5
6
7
8
9
10
11
12
13
14
15

16
17
18
19
20
21
22
23
24

Burnazin Zalf
Calos Kaplet
Dulcolax tab
Fuladix Zalf
Folavit tab
Gludepatic tab
Gentalec Zalf
livran B plex tab
Levertran Zalf
Nifural Sirup
Nonflamin cap
Muliavit sirup
Mertigo tab
Mucograd sirup
Omeroxol Tab
Omeroxol Syr
Ometilson tab
Reco Tetes Telinga
Skizon Zalf
Spasminal tab
Scabimite Zalf
Topdryl sirup
Tremenza tab
Ulsidex tab
Ultrogestron tab
Boraginiol N

Tube
Kaplet
Tablet
Tube
Tablet
Tablet
Tube
Tablet
Tube
Botol
Kapsul
Botol
Tablet
Botol

Tablet
Botol
Tube
Tablet
Tube
Botol
Tablet
Tablet
Tablet

72

84

10

60

30
20

30
36

40
20

120
50

50
6
2
50
72

23

89

50

16

50

10

12

1
4

6
1
6

6
1
6

40
1

32
1

20

44

16

10
10

10
50

82

20

10

25

30
10

22

33

22

41

22

10

5
10

62

28

10

46

86

45

14

64
22

64 107 164
10 26 112

1
90
30

21

52

32

46

36
22
1
4

22
2

30

16

64

12
2
10

12
1

100

37

12

10

20

10

40

10

37
2

16

8
6

52

60

30

40

60

74

28

56

70

18

1
14

10

30

13

47

28

3
6

1
10

1
10
10

1
16

21

10

20
12

12
10

12
1
6

84
1

48

10
6

10

26

41
2
8
5

46
2

10
30
10

APRIL 2015
24

25

4
20 10
100 190
2
3
2
76 45

26

27

28

29

30

40 30 20 90
250 170 180 140
2
2
5
1
54 30 30 110

15 122

129

83

40

70

38
1
15

20

112
2
20

56 120
3
37

60
2
20

40

96

10
40

28

56 190

31

JIH
167
0
0
0
0
404
1080
3530
77
26
1319
104
0
0
0
0
891
1221
0
1689
22
437
0
0
0
95
2461
0

20

27

24 25 26
58 16

21

4
10
3

10
3

10

73 112

6
5

77

20

2
10

10

27 28 29 30 31
58 49 38 18

10
1

10

10

56

2
10

0
386
0
JIH
996
0
0
12
430
0
0
0
46
1
0
0
0
168
0
66
28
76
0
1
6
1789
0
10
18
117
170
0

47

46

54
10

20

12
2

93 180
24
6
3

25
28
3

42
30
1

16
10
1

40

32

0
0
413
91
100
22
34
0
0
4537

56

221 260 146 221


26

27
20
7

70

28

29

10
5

10

10

26

10
20

30
12
1

26
20

12
24

10
44

42
5

31

JIH
5
816
67
0
0
0
0
0
50
0
0
0
394
246
38
0
0
48
596
0
15

4
2

2
1

58 30
3
2
173 405
36

18

12

30

10

24 25 26
52 32

1
1
10

78 34 28 16
5
2
2
5
349 324 175 280
32

12
10

10
22

20

13

27 28 29 30 31
64 40 26 36
16

30

3
12

10

10

12

60

50

60
10

63
55
21
0
837
94
6563
1
440
0
546
0
0
190
0
0
0
JIH
1158
0
199
0
10
50
131
1
0
0
42
0
258
758

46

40

62 100

18

72

29

58

24

20

65

0
0
0
0
1256
0
813
0
0
0
0
0
0
0
0
0
0
0
0
0
0

24

25

26

27

28

29

30

31

JIH
0
0
0
0
0
0
0
0

30

30
4
10

30

30
120

20

30

0
0
0
0
0
0
0
0
0
0
0
5
0
30
190
130
79
420
215
0
350
0

80

30

180

60

60

40

2179
0
20

3
24

25

26

27

28

29

30

31

JIH
0
0
0
0

0
0
0
0
0
0
0
0
0
1

10
10

24

9
0
0
101
0
100
0

25

20

26

27
10

10

28

29

30

31

JIH
0
10

22

36
10

50

1
66

36
1
90

10
1

6
3
114

34
2
68

20

16

10

55

33

5
10

30
1
54
2

54

28

10 108
54

90

12

14
1

10
13
1
6
20

91
15

10

16
1

10
26

40

10
16

1
16
16

12

1
902
36
4
833
906
8
1128
0
1
271
10
70
0
131
1
1005
8
34
191
1
4
106
306
0
13

LAPORAN HARIAN PEMAKAIAN OBAT DI APOTIK

NO
URUT

NAMA OBAT & PERBEKKES

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

Alopurinol tablet 100 mg


Ambroxol syrup 15 mg/ml - 60 ml
Ambroxol tablet 30 mg
Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amlodipin tablet 5 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml Antasida DOEN Suspensi, kombinasi
60ml
- 60 ml :Mg-Hidroksida
200mg/5MgAntasida
DOEN tab,kombinasi:
ml+Al.
Hidroksida.
200 Hidroksida.
mg/5 ml 200
Hidroksida
200mg+Al.
mg
Antalgin
(Metampiron
tablet
500 mg)
Anti Bakteri
DOEN salep
kombinasi:
Basitrasin
500 IU/g
+ Polimiksin
Anti Hemoroid
DOEN
Kombinasi :
10.000
IU/g
5
gram
Bismuth subgalat 150 mg +
Antimigren
: Ergotamin
Heksaklorofen
2,5 mg tartrat 1 mg +
Kofein
50
mg
Aqua pro injeksi steril, bebas pirogen
20 ml
Asam Askorbat (Vit C) tablet 50 mg
Asam Askorbat (Vit C) tablet 100 mg
Asam Askorbat (Vit C) tablet 250 mg
Asam Mefenamat kaplet 500 mg
Asiklovir krim 5 % - 5 gram
Asiklovir tablet 200 mg
Besi (II) Sulfat 7 H2O tablet salut 300
mg
Betametason krim 0.1% - 5 gram
Citirizine tab
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstrometorfan sirup 10 mg/5 ml 60 ml

Tablet
Botol
Tablet
Tablet
Ampul
Tablet
Kapsul
Kaplet
Botol
Botol
Tablet
Tablet
Tube
Supp
Tablet
Vial
Tablet
Tablet
Tablet
Kaplet
Tube
Tablet
Tablet
Tube
Tablet
Ampul
Tablet
Botol

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

29
30
31

Dekstrometorfan tablet 15 mg
Diaform tablet
Diazepam injeksi 5 mg/ml - 2 ml

Tablet
Tablet
Ampul

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

32

Diazepam tablet 2 mg

Tablet

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62

Difenhidramin HCl inj 10 mg/ml-1 ml


Digoksin tablet 0,25 mg
Domperidon suspensi 5 mg/5 ml - 60
ml
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrina HCl/Bitartrat ( Epinefrina /
Adrenalina ) Injeksi 0,1% - 1 ml
Erytromycin kapsul 500 mg
Erytromycin sirup 200 mg/5 ml - 60 ml
Etakridin ( Rivanol ) larutan 0,1% 300 ml
Etanol 70 % 1000 ml
Fenobarbital injeksi i.m/i.v. 50 mg/ml 1 ml
Fenobarbital tablet 30 mg
Fitomenadion (Vit.K1) injeksi 10
mg/ml
- 1 ml
Fitomenadion(Vit.K1)tablet
salut gula
10mg
Furosemid tablet 40 mg
Garam Oralit untuk 200 ml air
Gentamisin salep kulit 3 % - 5 gram
Gentian Violet larutan 1 % -10 ml
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Glukosa larutan infus 5 % steril
(Produk lokal) - 500 ml
Griseofulvin tablet 125 mg, micronized
Hidrokortison krim 2,5 % - 5 gram
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5
mg
Kalsium Laktat (Kalk) tablet 500 mg
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg

Ampul
Tablet
Botol
Tablet
Tablet
Tablet
Ampul
Kapsul
Botol
Botol
Botol
Ampul
Tablet
Ampul
Tablet
Tablet
Sachet
Tube
Botol
Tablet
Tablet
Botol
Tablet
Tube
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

63
64
65

Ketokonazol tablet 200 mg


Klindamisin kapsul 150 mg
Kloramfenikol kapsul 250 mg

Tablet
Kapsul
Kapsul

66
67
68
69

Kloramfenikol salap mata 1%


Kloramfenikol tetes mata 0,5 %
Kloramfenikol tetes telinga 3 % - 5 ml
Klorfeniramin Maleat (CTM) tablet 4
mg

Tube
Botol
Botol
Tablet

NO
URUT
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

NAMA OBAT & PERBEKKES


Kodein
tablet 10
mg I (dewasa)
Kotrimoksazol
DOEN
tablet
kombinasi:
Sulfametoksazol
Kotrimoksazol
Suspensi
komb:
400
mg
'+
Trimetoprim
80'+mg
Sulfametoksazol 200 mg
Trimetoprim
40 mg / 5 ml - 60 ml
Levertran salep
Levofloksasin tablet 500 mg
Lidokain injeksi 2% - 2 ml
Magnesium Sulfat inj (IV) 20% - 25 ml
Metformin
HCl tablet
500 mg
Metilergometrin
Maleat
(Metilergometrin) tablet salut 0,125
Metilergometrin Maleat inj 0,200 mg mg
1 ml
Metilprednisolon tablet 4 mg
Metoklopramide injeksi 5 mg/ml
Metoklopropamide tablet 5 mg
Metronidazol tablet 250 mg
Mikonazole krim/salep 2 % - 10 gram
Multivitamin tablet
Multivitamin Syrup
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 25 mg
Natrium Klorida larutan infus 0,9 %
steril (Produk lokal) - 500 ml
Nifedipin tablet 10 mg
Obat Batuk Hitam ( O.B.H. ) cairan 100
ml
Oksitetrasiklin
salep kulit 3% (HCl) - 5
gr
Oksitetrasiklin salep mata 1% (HCl) 3,5 gr
Oksitosin injeksi 10 IU/ml - 1 ml
Omeprazol 20 mg
Parasetamol sirup 120 mg/5 ml - 60
ml
Parasetamol tablet 500 mg
Pirantel tab score (base) 125 mg
Piridoksin (Vitamin B6) tablet 10 mg
Piroksikam kapsul 20 mg

SATUAN
Tablet
Tablet
Botol
Pot
Tablet
Ampul
Botol
Tablet
Tablet
Ampul
Tablet
Ampul
Tablet
Tablet
Tube
Tablet
Botol
Tablet
Tablet
Botol
Tablet
Botol
Tube
Tube
Ampul
Kapsul
Botol
Tablet
Tablet
Tablet
Kapsul

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

101
102
103

Piroksikam tablet 10 mg
Povidon Iodida larutan 10 % - 30 ml
Povidon Iodida larutan 10 % - 300 ml

Tablet
Botol
Botol

104
105
106
107

Prednison tablet 5 mg
Propanolol tablet 10 mg (HCl)
Propiltiourasil tablet 100 mg
Ranitidin injeksi 25 mg/ml - 2ml

Tablet
Tablet
Tablet
Ampul

NO
URUT

NAMA OBAT & PERBEKKES

SATUAN

108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128

Ranitidin tablet 150 mg


Ringer laktat larutan infus - 500 ml
Salbutamol tablet 2 mg (sebagai
sulfat)
Salbutamol tablet 4 mg (sebagai
sulfat)
Salep 2-4 , Kombinasi: Asam Salisilat
2% + Belerang Endap 4% - 30 gram
Salisil Bedak 2 % -50 gr
Sefadroksil kapsul 500 mg
Sefadroksil sirup kering 125mg/5ml 60 ml
Sefotaksim injeksi 500 mg/vial
Scabicid krem
Sianokobalamin (Vit.B12) tablet 50
mcg
Sianokobalamin (Vit.B12) injeksi 500
mg/ml-1 ml
Simvastatin tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai
HCl)
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamfenicol kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml1
ml HCl/Mononitrat(Vit.B1)
Tiamin
tablet50mg
Tramadol injeksi 50 mg/ml
Vitamin B Kompleks tablet

Tablet
Botol
Tablet
Tablet
Pot
Kotak
Kapsul
Botol
Ampul
Tube
Tablet
Ampul
Tablet
Tablet
Kapsul
Kapsul
Kapsul
Ampul
Tablet
Ampul
Tablet

129
130

PERBEKALAN KESEHATAN
Abbocath no 20
Abbocath no 22

Pcs
Pcs

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

131
132
133

Abbocath no 24
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 2,5 ml

134
135
136
137
138
139
140
141
142

Alat Suntik Sekali Pakai 3 ml


Alat Suntik Sekali Pakai 5 ml
Catgut/ Benang Bedah No. 2/0
dengan jarum bedah
Infusion Set Anak
Infusion Set Dewasa
Jarum jahit (bedah) No. 11, 12, 13
Kapas Pembalut / Absorben 250
gram
Kasa
40/40
Steril cm/ktk
Kasa Kompres
Hidrofil Steril
uk.18x22
@ 12 lbr

Pcs
Pcs
Pcs
Pcs
Pcs
Sak
Set
Set
Pcs
Bungkus
Bungkus
Lbr

NO
URUT
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

NAMA OBAT & PERBEKKES


Kasa Pembalut Hidrofil 4m x 10cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Elastic
Masker
Plester 5 yards x 2 inch
Sarung tangan steril 7
Silk (Benang Bedah Sutera) No 3/0
dengan jarum bedah
OBAT GIGI
Air Raksa dental use
Etil Klorida spray -100 ml
Eugenol cairan - 10 ml
Glass Ionomer Cement ART
Kalsium hidroksida Pasta
Klorfenol kamfer Menthol ( CHKM ) 10 ml
Mummifying Pasta
Pehacain inj
Semen Seng Fosfat serbuk dan
cairan - 30 gram
Silver Amalgam Serbuk 65 - 75 %
Spons
Gelatin
cubicles
Temporary
Stopping
Fletcher
(Fletcher) serbuk dan cairan - 100
gram
OBAT JIWA
Amitriptilin HCl tablet salut 25 mg
Diazepam 5 mg tablet
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Karbamazepin tablet 200 mg
Klorpromazin HCl tablet salut 25 mg
Klorpromazin tablet salut 100 mg
(HCl)
Klorpromazina HCL inj
Risperidon tablet 2 mg
Triheksilfenidil Hidroklorida 2 mg

SATUAN
Rol
Rol
Lbr
Rol
Bungkus
Sak
Botol
Botol
Botol
Botol
Botol
Botol
Botol
Ampul
Botol
Botol
Botol
Botol
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Ampul
Tablet
Tablet

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

172
173

OBAT
Besi (II)GIZI
Sulfat 200 MG + Asam Folat
0,25 mg tablet (tambah darah
kombinasi)
Retinol (Vitamin A) kapsul 100.000IU

Tablet
Kapsul

174

Retinol (Vitamin A) kapsul 200.000IU

Kapsul

NO
URUT
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194

NAMA OBAT & PERBEKKES

SATUAN

OBAT TB PARU
Obat Antituberkulosis Kategori 1
dewasa
(OAT Kombipak)
Obat Antituberkulosis
Kategori 2 (OAT
FDC)
Obat Antituberkulosis Kategori anak
(OAT Kombipak)
Reagensia TB
Slide Microscope
Sputum Pot

Paket
Paket
Paket
Tablet
Set
Buah

OBAT
MALARIA
Anti Malaria
DOEN kombinasi
Pirimetamin
Act (Artesunate tablet
tablet 5025
mgmg
+ +
Sulfadoksinanhydrate
tablet 500
mg
Amodiaquine
tablet
200
mg)
(2 blister
@ 12
Artemeter
injeksi
80tablet)
mg/ml / ktk 6 amp
Artesunate injeksi, vial 60 mg
Arterakin tablet
Kuinin (Kina) tablet 200 mg
Primakuin tablet
OBAT PROGRAM
Albendazol tablet 400 mg
Dietilkarbamazin sitrat tablet 100 mg
Doksisiklin kapsul 100 mg
Loratadin tablet 10 mg
Oseltamavir kaps 75 mg
Zink tablet
catgut / Benang Bedah No. 3/0
dengan jarum bedah

Tablet
Tablet
Ampul
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
Tube
Tablet
Set
Set
Sak

STOK
AWAL

10

11

12

13

14

TANGGAL
15 16 17

18

19

20

21

22

23

24

25

26

27

NO
URUT

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

NAMA OBAT & PERBEKKES

Alprazolam tab
Aspilet tab
Burnazin Zalf
Calos Kaplet
Dulcolax tab
Fuladix Zalf
Folavit tab
Gludepatic tab
Gentalec Zalf
livran B plex tab
Levertran Zalf
Nifural Sirup
Nonflamin cap
Muliavit sirup
Mertigo tab
Mucograd sirup
Omeroxol Tab
Omeroxol Syr
Ometilson tab
Reco Tetes Telinga
Skizon Zalf
Spasminal tab
Scabimite Zalf
Topdryl sirup
Tremenza tab
Ulsidex tab
Ultrogestron tab
Boraginiol N

SATUAN

Tablet
Tube
Kaplet
Tablet
Tube
Tablet
Tablet
Tube
Tablet
Tube
Botol
Kapsul
Botol
Tablet
Botol
Tablet
Botol
Tablet
Botol
Tube
Tablet
Tube
Botol
Tablet
Tablet
Tablet

STOK
AWAL

10

11

12

13

14

Tanggal
15 16 17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

28

29

30

31

JIH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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