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KEADAAN OBAT DAN BHP PUSKESMAS

TAHUN 2015

NO JENIS OBAT/BHP TERSEDIA 1 JAN 2015 PENERIMAAN 2015


JUMLAH
DAU JKN DAU
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) - - 0 -
2 Albendazol tab 400 mg 433 - 433 150
3 Alopurinol 100 409 200 609 800
4 Alopurinol 300 644 - 644 -
5 Ambroxol tablet 30 mg 25 300 325 1,100
6 Aminophilin inj 24 mg/ml-10 ml 32 - 32 30
7 Aminophilin tab 200 mg 1,160 - 1160 1,800
8 Amitriptilin Hcl tab 25 mg 40 - 40 100
9 Amlodipin tab 10 mg 198 - 198 450
10 Amlodipin tab 5 mg 270 480 750 450
11 Amoksisilin 500 mg 10,210 23,000 33210 13,000
12 Amoksisilin kaps 250 mg 2,645 - 2645 -
13 Amoksisilin SK 125mg/5ml - - 0 -
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) - - 0 -
15 Antalgin (metampiron) tab 500 mg - - 0 -
16 Antalgin inj 250 mg/ml-2 ml - - 0 -
17 Antasida DOEN Syrup 28 50 78 50
18 Antasida DOEN tab Komb 7,086 5,000 12086 10,000
19 Antibakteri DOEN salep Komb 28 - 28 -
20 Antifungi DOEN salep Komb 24 - 24 -
21 Antihemoroid DOEN Komb - - 0 -
22 Antimigren DOEN tab Komb 340 - 340 500
23 Antiparkinson DOEN tab Komb - - 0 100
24 Aqua proinjeksi steril bebas pirogen 128 - 128 300
25 Asam Askorbat (Vit C) tab 50 mg 6,894 5,000 11894 8,000
26 Asam folat 1 mg 4,596 2,000 6596 1,000
27 Asam mefenamat 500 mg 13,738 500 14238 5,000
28 Asetosal tab 100 mg 80 - 80 100
29 Asiklovir 400 mg 436 200 636 -
30 Asiklovir 5 % krim 140 100 240 25
31 Atropin Sulfat inj 0,25mg/ml-1 ml - - 0 100
32 Atropin Sulfat tab 0,5 mg - - 0 -
33 Atropin tetes mata 0,5% - - 0 -
34 Benzatin benzil penisilin inj 2.4 jt iu/vial 10 - 10 -
35 Betahistin Mesilat tablet 6 mg - 150 150 240
36 Betametason krim 0,1% 102 - 102 96
37 Bromheksin tablet 8 mg - - 0 -
38 Dapson tab 100 mg - - 0 -
39 Deksametason inj 5 mg/ml-ml 100 - 100 200
40 Deksametason tab 0.5 mg 3,005 - 3005 5,000
41 Dekstrometorphan sirup 10mg/5ml - - 0 -
42 Dekstrometorphan tab 15 mg - - 0 -
43 Diazepam inj 5 mg/ml-2ml - - 0 -
44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) - - 0 20
45 Diazepam tab 2 mg 553 - 553 -
46 Diazepam tab 5 mg - - 0 -
47 Dietilkarbamazin sitrat tab 100 mg - - 0 -
48 Difenhidramin Hcl Inj 10 mg/ml-1ml 539 210 749 510
49 Digoksin tab 0.25 mg 20 - 20 300
50 Digoksin tab 0.5 mg - 100 100 -
51 Dimenhidrinat tablet 50 mg 401 - 401 -
52 Ekstrak Beladon 10 mg - - 0 -
53 Ephedrin Hcl tab 25 mg 518 - 518 -
54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml 74 - 74 -
55 Erithromisin 500 mg tab 220 - 220 300
56 Eritromisin 250 mg - - 0 -
57 Erithromisin sirup 200 mg/5 ml 47 - 47 -
58 Etakridin (Rivanol) Lart 0,1% 60 - 60 -
59 Etambutol Hcl Tb 250 mg - - 0 -
60 Fenitoin Natrium inj 50 mg/ml @ 2ml - - 0 -
61 Fenitoin Natrium kaps 100 mg 250 - 250 250
62 Fenitoin Natrium Kaps 30 mg - - 0 -
63 Fenobarbital inj 50 mg/ml - - 0 -
64 Fenobarbital tab 100 mg 250 - 250 250
65 Fenobarbital tab 30 mg 768 - 768 1,000
66 Fenoksimetil penisilin tab 250 mg 200 - 200 -
67 Fenoksimetil penisilin tab 500 mg - - 0 -
68 Fenol gliserol tetes Telinga 10 % 23 - 23 24
69 Fitomenadion (VitK) inj 10mg/ml-1ml 145 - 145 270
70 Fitomenadion (VitK) tab 10 mg 937 - 937 -
71 Furosemid tab 40 mg 539 - 539 -
72 Furosemid Inj 10 mg/ml - - 0 -
73 Gameksan Lotion 1 % - - 0 -
74 Garam Oralit untuk 200 ml air 1,556 - 1556 2,400
75 Gemfibrozil 300 mg 554 - 554 720
76 Gentamsin Salep Kulit 0,1% 17 400 417 40
77 Gentamycin 80 mg/2 ml injeksi - 10 10 -
78 Gentian Violet lart 1% 2 - 2 -
79 Glibenklamid 5 mg 5,353 3,000 8353 4,000
80 Gliseril Guaiyakolat tab 100 mg 11,288 10,000 21288 9,000
81 Gliserin - - 0 -
82 Glukosa Lart Inf 10 % steril - - 0 -
83 Glukosa Lart Inf 40 % steril - - 0 -
84 Glukosa Lart Inf 5 % steril 44 - 44 200
85 Grisiofulvin tab 125 mg 636 - 636 300
86 Haloperidol tab 0.5 mg - - 0 -
87 Haloperidol tab 1.5 mg 326 - 326 700
88 Hidroklortiazid (HCT) tab 25 mg - - 0 -
89 Hidrokortison krim 2.5 % 126 360 486 120
90 Hiosin N- Butilbromida Tab 10 mg - 500 500 500
91 Hiosin N- Butilbromida Inj 20 mg/ml 95 - 95 100
92 Ibuprofen 200 mg 519 2,000 2519 -
93 Ibuprofen 400 mg 1,524 - 1524 -
94 Ichtyol salp - - 0 -
95 Iodiol softcaps - - 0 -
96 Isoniazid tab 300 mg - - 0 -
97 Isosorbid dinitrat tab 5 mg 153 - 153 100
98 Kalium Permanganat - - 0 -
99 Kalium Diklofenak tab 50 mg - 250 250 -
100 Kalsium Laktas (Kalk) tab 500 mg 4,000 10,000 14000 9,000
101 Kalsium Gluconas Injeksi 24 - 24 -
102 Kaptopril 12,5 mg 1,493 1,000 2493 1,700
103 Kaptopril 25 mg 1,000 500 1500 500
104 Karbamazepin tab 200 mg 410 - 410 2,000
105 Ketamin inj 10 mg/ml - - 0 -
106 Klofazimil kaps 100 mg - - 0 -
107 Klindamycin 150 mg 562 - 562 500
108 Kloramphenikol 250 mg - - 0 -
109 Kloramphenikol salep mata 1 % - 120 120 -
110 Kloramphenikol tetes telinga 3 % 42 120 162 48
111 Kloramfenikol Suspensi 125 mg/5 ml 4 - 4 -
112 Kloramfenikol Tetes mata 0,5% 8 50 58 -
113 Klorfeniramin maleat (CTM) tab 4 mg 11,303 15,000 26303 2,000
114 Klorpromazin Hcl inj 25 mg/I ml 30 - 30 -
115 Klorpromazin Hcl tab 100 mg 467 - 467 800
116 Kodein 10 mg tab 500 - 500 100
117 Kotrimoksazole Dewasa tab 480 mg 4,498 - 4498 5,500
118 Kotrimoksazole ped tab 120 mg 300 - 300 -
119 Kotrimoksazole Susp 248 300 548 200
120 Kuinin Sulfat tab 222 mg - - 0 -
121 Levofloksasin tab 500 mg - - 0 -
122 Lidokain 2% injeksi 280 200 480 300
123 Lidokain Komp Inj 198 150 348 90
124 Loperamid HCl tablet 2 mg - 2,000 2000 -
125 Magnesium sulf inj 20%-25 ml 25 - 25 15
126 Magnesium sulf inj 40%-25 ml 25 - 25 30
127 Mebendazole sirup 100 mg/5 ml - - 0 -
128 Mebendazole tab 100 mg 100 - 100 -
129 Metformin HCl Tab 500 mg 1,582 700 2282 1,600
130 Metil Dopa tab 250 mg - - 0 -
131 Metil Ergometrin Inj 0,200 mg-1 ml 167 100 267 60
132 Metil Ergometrin tab 0.125 mg 952 1,000 1952 1,100
133 Metil Prednisolon tab 4 mg 145 - 145 -
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) 30 - 30 -
135 Metoklopramid tab 10 mg ( Tomit tab ) 936 500 1436 -
136 Metronidazol Infus 500 mg/100 ml 16 - 16 5
137 Metronidazol 250 mg - - 0 -
138 Metronidazol 500 mg 669 - 669 3,000
139 Mikonazole Krim / salep 2% 62 - 62 48
140 Mineral Mix sachet 8gr - - 0 -
141 Mg Sulfat Serbuk 30 gram - - 0 -
142 Na. Bikarbonat tab 500 mg - - 0 -
143 Na. Diklofenac 25 mg - - 0 -
144 Na. Diklofenac 50 mg 248 500 748 500
145 Na. Fluoresin tetes mata 2 % - - 0 -
146 Na. Tiosulfat inj 25 %-10 ml - - 0 -
147 Natrium Klorida lart inf 0.9% 65 - 65 300
148 Nifedipin tab 10 mg - - 0 300
149 Nistatin 100.000 iu tab vag 109 100 209 400
150 Nistatin 500.000 iu tab - - 0 100
151 OAT-FDC Kategori 1 - - 0 -
152 OAT-FDC Kategori 2 - - 0 -
153 Obat Batuk hitam (OBH) sirup 100 ml 62 300 362 100
154 Obat Kategori Anak (kombipak) - - 0 -
155 Obat Kategori Sisipan - - 0 -
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml - - 0 -
157 Oksitetrasiklin SK 3% - - 0 -
158 Oksitetrasiklin SM 1 % 41 100 141 50
159 Oksitosin inj 10 iu/1ml 261 - 261 100
160 Oseltamivir 75 mg - - 0 -
161 Papaverin Injeksi 40 mg/ml - - 0 -
162 Papaverin tab 40 mg - - 0 -
163 Paraformaldehid tab 1 gr - - 0 -
164 Paracetamol Drops - 20 20 -
165 Parasetamol sirup 120 mg/5 ml 201 500 701 180
166 Parasetamol tab 100 mg - - 0 -
167 Parasetamol tab 500 mg 2,841 - 2841 26,000
168 Petidin inj 50 mg/2 ml - - 0 -
169 Pilokarpin tetes mata 2 % - - 0 -
170 Pirantel pamoat tab 125 mg 120 - 120 -
171 Pirazinamid tab 500 mg 200 - 200 100
172 Piridoksin tab 10 mg 7,313 4,000 11313 4,000
173 Piroksicam 10 mg - 500 500 -
174 Piroksicam 20 mg - - 0 -
175 Prazikuantel 600 mg tab - - 0 -
176 Prednison 5 mg tab 8,697 4,000 12697 -
177 Primakuin 15 mg tab - - 0 -
178 Prokain Benzil Penisilin 3 Jt inj - - 0 -
179 Propanolol 40 mg tab 100 - 100 300
180 Propiltiourasil 100 mg tab 100 - 100 -
181 Ranitidin Inj 25 mg/ 2 ml 55 100 155 650
182 Ranitidin tab 150 mg 821 4,000 4821 1,800
183 Reserpin 0,10 mg tab - - 0 -
184 Reserpin 0,25 mg tab - - 0 -
185 Retinol ( Vit A ) 200.000 iu Kap 274 - 274 3,100
186 Retinol ( Vit.A) 100.000 UI 80 - 80 550
187 Rifampisin 300 mg kaps - - 0 -
188 Rifampisin 450 mg tab - - 0 -
189 Rifampisin 600 mg kaplet 40 - 40 -
190 Ringer Laktate lart infus 460 1,000 1460 1,800
191 S. Anti Bisa Ular poli inj 5 ml(ABU I) 3 - 3 -
192 S. Anti Difteri inj 20.000 iu ( ADS ) - - 0 -
193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) 4 - 4 15
194 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) - - 0 -
195 Salbutamol 2 mg tab 500 1,000 1500 -
196 Salbutamol 4 mg tab 770 - 770 500
197 Salep 2-4 komb 65 72 137 -
198 Salisil Bedak 2 % 50 50 100 150
199 Salisil Spiritus 10 % 29 - 29 -
200 Sefadroxil 500 mg kapsul 252 200 452 100
201 Sefotaxim Injeksi 1 gram 90 - 90 500
202 Seftriaxon Inj 1 gram 40 - 40 200
203 Sianokobalamin (Vit B12) inj 345 200 545 -
204 Simetidin tab 200 mg - - 0 -
205 Simvastatin 10 mg tab 300 - 300 960
206 Siprofloksasin 500 mg tab 3,506 1,000 4506 2,000
207 Streptomisin inj 1500 mg /vial - - 0 -
208 Sulfasetamid tts mata 15% 30 240 270 144
209 Tablet tambah darah komb 13,709 - 13709 75,000
210 Tetrakain tetes mata 0,5% - - 0 -
211 Tetrasiklin 250 mg - - 0 -
212 Tetrasiklin 500 mg 633 - 633 -
213 Thiamin ( Vit B1 ) 50 mg tab 4,798 9,000 13798 9,000
214 Thiamin ( Vit B1 ) inj 100 mg/Amp 266 - 266 360
215 Thiamphenkol 500 mg cap 1 5,000 5001 400
216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) - - 0 -
217 Tiopental Na. Serbuk 1000 mg/Amp - - 0 -
218 Tramadol 50 mg 54 - 54 -
219 Triheksipenidil Hcl 2 mg tab - 1,000 1000 50
220 Vitamin B Kompleks tab 4,747 25,000 29747 16,000
221 Yodium povidon 10 % 30 ml 23 - 23 -
222 Yodium Povidon 10 % 300 ml 10 - 10 -
223 Yodium Povidon 10% 1 Liter 5 - 5 -
224 Zink 20 mg Tablet dispersible 431 2,000 2431 1,800
225 Zink Syrup 20 50 70 40
LUAR LPLPO / OBAT PELENGKAP - - 0 -
1 Adona injeksi - - 0 -
2 Alinamin F injeksi - - 0 -
3 Antrain inj 85 100 185 130
4 Asering Larutan Infus 80 - 80 260
5 Attapulgite tablet komb (Diaform/Neo Diaform) 236 - 236 600
6 Bismecon Gel 8 - 8 -
7 Bufacom (Triamsinolon in oral base) - - 0 -
8 Dulcolax supp 5 mg - - 0 -
9 Dulcolax tab - - 0 -
10 demacolin 191 - 191 200
11 Fludane Syrup 36 - 36 -
12 Fludane Tablet 1 - 1 -
13 Gitas Plus Inj - - 0 -
14 Gitas Plus tablet / Spasmal tablet / scopamin - - 0 -
15 Ka-En 3 A 80 20 100 200
16 Ka-En 3 B 120 40 160 200
17 Kombivent Inhalasi - - 0 5
18 Lakto B - - 0 -
19 Lynoral tab 100 - 100 -
20 Lysmin ( Lysin ) Sirup 4 50 54 -
21 Ultravita tab / Kurkumex tab / Lanovit tab - 500 500 -
22 metioson tab - - 0 -
23 Neurobion tablet 40 - 40 -
24 Neurovit E tablet - - 0 60
25 Opixitrol eye drop - - 0 -
26 Pamol 125 mg Supp - 12 12 -
27 Scabicid krim - - 0 -
28 Tensigard 150 - 150 -
OBAT GIGI - - 0 -
1 Air Raksa use Dental - - 0 -
2 Bonding - - 0 1
3 Cresophen - - 0 -
4 Dentorit pasta ( Cavit G ) - - 0 1
5 Devitalisasi pasta (non arsen) - - 0 -
6 Devitalisasi pasta (arsen) - - 0 -
7 Etching - - 0 1
8 Etil Klorida semprot 9 - 9 5
9 Eugenol cairan - - 0 -
10 Glass Ionomer cement ART / Fuji IX ART Besar - - 0 -
11 Kalsium Hidroksida pasta - - 0 -
12 Komposit A2 Anterior - - 0 1
13 Komposit A2 Posterior - - 0 -
14 Monokamper mentol cair (CHKM) - - 0 -
15 Mummifying pasta - - 0 -
16 Polikresulen (Albothyl) 10 - 10 -
17 Semen seng fosfat serbuk & cair - - 0 2
18 Silver Amalgam Serbuk 65-75 % - - 0 -
19 Solare - - 0 -
20 Spon Gelatin 1x1x1 cm - - 0 -
21 Temporary stoping fletcher serbuk&cair - - 0 -
22 Trikresolformalin (TKF) cair - - 0 -
PERBEKALAN KESEHATAN - - 0 -
1 Alat Suntik Sekali Pakai 0,05 ml - - 0 -
2 Alat Suntik Sekali Pakai 0,5 ml - - 0 -
3 Alat Suntik Sekali Pakai 1 ml 1,388 - 1388 200
4 Alat Suntik Sekali Pakai 3 ml 1,837 1,500 3337 4,300
5 Alat Suntik Sekali Pakai 5 ml 205 500 705 600
6 Alat Suntik Sekali Pakai 10 ml 97 - 97 -
7 Aqua Gel 3 - 3 8
8 Blood set 11 10 21 -
9 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 73 24 97 84
10 catgut rol 1 - 1 -
11 Etanol 70 % 1 L 12 - 12 40
12 Hidrogen Peroksida ( H2O2 ) 3% 10 - 10 -
13 Infusion Set Anak 100 100 200 150
14 Infusion Set Dewasa 116 500 616 600
15 Jarum Jahit (Bedah) No 9 s/d 14 132 - 132 24
16 Kapas Berlemak 500 gr - - 0 -
17 Kapas Pembalut/Absorben 250 gr 23 30 53 30
18 Kasa Pembalut 2 X 80 cm 55 - 55 310
19 Kasa Kompres 40/40 steril 60 - 60 -
20 Kasa Pembalut 4 X 15 cm 52 50 102 140
21 Kasa Pembalut 4 X 3 cm 80 - 80 40
22 Lisol (Kresol tersaponifikasi 50%) 1 liter 4 - 4 10
23 Masker 92 - 92 850
24 Mess 260 - 260 200
25 Pembalut gibs 3 inchi - - 0 -
26 Plester 5 yard X 2 inch 19 - 19 65
27 Pot Sputum diameter 7 cm 50 - 50 600
28 Sarung Tangan Steril ( Handscoun) 165 - 165 500
29 hanscoun steril 225 300 525 500
30 Silk ( Benang Bedah Sutera) N0 3/0 45 - 45 -
31 silk rol 1 - 1 -
32 IV. Catheter no. 18 116 100 216 70
33 IV. Catheter no. 20 200 100 300 600
34 IV. Catheter no. 22 80 100 180 100
35 IV. Catheter no. 24 115 100 215 160
36 Wing nedle - - 0 -
REAGEN DASAR - - 0 -
1 Amoniak ( 100 ml ) - - 0 -
2 Anisol ( 100 ml ) - - 0 -
3 Aquadest steril 1 liter - - 0 -
4 Asam asetat 6 % ( 100 ml ) - - 0 -
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) - - 0 1
6 Asam Sulfosalisilat 20 % ( 100 ml ) - - 0 -
7 Barium Klorida ( 100 ml ) - - 0 -
8 Benedict ( 100 ml ) - - 0 -
9 Carbol Gentian Violet ( 100 ml ) - - 0 -
10 EDTA ( 100 ml ) - - 0 2
11 Eosin 2 % ( 100 ml ) - - 0 -
12 Etanol Asam 100ml - - 0 -
13 Eter Alkohol - - 0 -
14 Fauchet ( 100 ml ) - - 0 -
15 Felling A - - 0 -
16 Felling B - - 0 -
17 Giemsa stain - - 0 -
18 Golongan Darah A,B,O - - 0 -
19 Hayem ( 100 ml ) - - 0 -
20 Iodium akohol ( 100 ml ) - - 0 -
21 Karbon Fuksin - - 0 -
22 Kinyoun ( 100 ml ) - - 0 -
23 Lugol 1 % ( 100 ml ) - - 0 -
24 Metanol - - 0 -
25 Metilen Biru ( 100 ml ) - - 0 -
26 NACL 0,9% ( 100 ml ) - - 0 -
27 Oil Imerson ( 100 ml ) - - 0 1
28 Reesecher ( 100 ml ) - - 0 -
29 Schlesinger ( 100 ml ) - - 0 1
30 Spiritus Bakar ( 1 liter ) 5 - 5 -
31 Turk ( 100 ml ) - - 0 -
32 Widal - - 0 -
33 Xylol ( 100 ml ) - - 0 -
34 Zeil nelson set ( ZN set ) - - 0 -
REAGEN KIMIA KLINIK - - 0 -
1 Malaria Test - - 0 -
2 Dengue Test - - 0 -
3 HbsAg Test - - 0 -
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 - - 0 -
5 HCV Test - - 0 -
6 Reagen Albumin - - 0 -
7 Reagen Alkalin Fosfatase - - 0 -
8 Reagen Asam Urat - - 0 -
9 Reagen Billirubin Total - - 0 -
10 Reagen Billirubin Direct - - 0 -
11 Reagen Glukosa - - 0 -
12 Reagen Hb Cyanmeth - - 0 -
13 Reagen Kolesterol - - 0 -
14 Reagen Kreatinin - - 0 -
15 Reagen SGOT - - 0 -
16 Reagen SGPT - - 0 -
17 Reagen Total Protein - - 0 -
18 Reagen Trigliserida - - 0 -
19 Reagen Ureum - - 0 -
20 Reagen VDRL carbon antigen - - 0 -
21 - - - 0 -
22 Urine Strip 10 parameter - - 0 -
TAMBAHAN OBAT - 0 -
1 Slide - 0 14
2 Haloperidol 5 Mg 500 500 -
3 Aseton Alkohol - 0 -
4 KLINDAMICIN 300 - 0 -
5 AS TRANEKSAMAT INJ 50 50 -
6 SOHOBION INJ 5 5 -
7 TISSU - 0 -
8 COVER GLAS - 0 2
9 KARTU GOL.DRH - 0 400
10 CO AMOXICLAV - 0 -
11 HEMOROGARD 120 120 60
12 Articulating paper - 0 -
13 Root canal - 0 -
14 Cocoa butter - 0 -
15 catton roll - 0 -
16 Gutta percha - 0 -
17 Micro brush - 0 -
18 oco - 0 -
19 Vaselin - 0 -
20 Paper point - 0 -
21 Seluloid strip - 0 -
22 Donexan sirup 2 2 40
23 tab reaksi - 0 -
24 pipet 100 100 -
25 amox syr forte 317 317 200
26 HB test - 0 -
27 tes kehamilan - 0 -
28 ondosetron inj 160 160 200
29 alkohol 95% - 0 -
30 lithium carbonat 200 200 -
31 foly catter no 18 2 2 -
32 urin bag 2 2 -
33 blood seet 2 2 -
34 muccus extraktor 2 2 -
35 kertas lakmus 1 1 -
36 sarung tng obgyn 36 36 25
37 sarung tng industri 3 3 -
38 bayclin klorin 3 3 -
39 aseptan 7 7 -
40 reagn protein urine 6 6 -
41 rd 5% 21 21 -
42 kasa steril 235 235 -
43 yodium pov 60 ml 269 269 -
44 bio e - 0 300
45 alkohol 70% 100ml - 0 405
46 wida RD 5% - 0 140
47 Water for irigation - 0 2
48 trifluprazine 5ml - 0 200
49 Haloperidol Inj - 0 5
50 mas hospital feeding tub f6 - 0 -
51 mas hospital feeding tub f8 - 0 -
52 kasa steril 16x16 - 0 -
53 mas noc infant - 0 -
54 mas noc neonatus - 0 -
55 spatula kayu - 0 -
56 bisakodil supp 10 mg - 24 24 -
57 simvastatin 20 mg - 600 600 -
58 vit e 200 Ui - 500 500 -
59 cat gut plain - 24 24 -
60 scabimid slp - 10 10 -
61 amox syr 250 mg - 0 0 -
62 simvastatin 20mg - 0 0 -
63 nasal oxygen canula adult - 0 0 -
64 nasal oxygen canula child - 0 0 -
65 urin bag - 0 0 -
66 onemed onescrub 500cc - 0 0 -
67 terumo disp 3cc - 0 0 -
68 terumo disp 5cc - 0 0 -
69 folycatheter no 18 - 0 0 -
70 folycatheter no 16 - 0 0 -
71 object glas - 0 0 -
72 cover glas - 0 0 -
73 tisu lensa - 0 0 -
74 stik kolesterol - 0 0 -
75 stik asam urat - 0 0 -
76 widal tipe o - 0 0 -
77 widal tipe h - 0 0 -
78 widal tipe ah - 0 0 -
79 widal tipe ab - 0 0 -
80 kertas golongan darah - 0 0 -
81 bioplasenton - 0 0 -
82 serbuk pumice - 0 0 -
83 articulating paper - 0 0 -
84 cotton rol - 0 0 -
85 selluloid strip - 0 0 -
86 hiv test stop 3 - 0 0 -
87 hiv test stop 2 vikia - 0 0 -
88 hiv test intec - 0 0 -
89 lexicam - 0 0 -
90 b.falek salep - 0 0 -
91 lexavon - 0 0 -
92 biolysin syr - 0 0 -
93 stik glukosa protin urine - 0 0 -
94 APD SET - 0 0 -
PUSKESMAS JABUNGSISIR
N 2015
JUMLAH
PENERIMAAN 2015 PEMAKAIAN SISA 31 DES 2015
JUMLAH JUMLAH JUMLAH
JKN DAU JKN DAU JKN
- 0 - - 0 - - 0
- 150 8 - 8 150 - 150
- 800 1,137 - 1137 72 200 272
- 0 497 - 497 147 - 147
1,000 2100 690 - 690 435 1,300 1735
- 30 17 - 17 26 - 26
500 2300 1,871 - 1871 1,089 500 1589
- 100 6 - 6 134 - 134
- 450 230 - 230 418 - 418
- 450 445 - 445 275 480 755
20,000 33000 19,519 - 19519 3,691 43,000 46691
- 0 1,226 - 1226 1,419 - 1419
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 50 48 - 48 30 50 80
15,000 25000 13,309 - 13309 3,777 20,000 23777
- 0 27 - 27 1 - 1
- 0 5 - 5 19 - 19
100 100 - 23 23 - 77 77
500 1000 358 - 358 482 500 982
- 100 - - 0 100 - 100
- 300 388 - 388 40 - 40
10,000 18000 10,932 - 10932 3,962 15,000 18962
- 1000 5,284 - 5284 312 2,000 2312
20,000 25000 15,388 - 15388 3,350 20,500 23850
- 100 - - 0 180 - 180
300 300 279 - 279 157 500 657
100 125 126 - 126 39 200 239
- 100 - - 0 100 - 100
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
600 840 240 - 240 - 750 750
- 96 83 - 83 115 - 115
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 71 - 71 229 - 229
1,000 6000 5,993 - 5993 2,012 1,000 3012
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 20 18 - 18 2 - 2
100 100 63 - 63 490 100 590
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 510 473 - 473 576 210 786
- 300 56 - 56 264 - 264
- 0 - - 0 - 100 100
- 0 101 - 101 300 - 300
- 0 - - 0 - - 0
- 0 - - 0 518 - 518
- 0 25 - 25 49 - 49
- 300 450 - 450 70 - 70
- 0 - - 0 - - 0
- 0 8 - 8 39 - 39
- 0 12 - 12 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 250 - - 0 250 - 250
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 250 - - 0 - - 0
- 1000 1 - 1 767 - 767
- 0 - - 0 - - 0
- 0 - - 0 - - 0
48 72 - - 0 47 48 95
- 270 222 - 222 193 - 193
300 300 305 - 305 632 300 932
- 0 178 - 178 361 - 361
- 0 - - 0 - - 0
- 0 - - 0 - - 0
3,000 5400 2,132 - 2132 1,824 3,000 4824
- 720 986 - 986 288 - 288
100 140 57 127 184 - 373 373
100 100 - 10 10 - 100 100
100 100 2 - 2 - 100 100
300 4300 2,394 - 2394 6,959 3,300 10259
15,000 24000 16,784 - 16784 3,504 25,000 28504
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 244 - 244 - - 0
- 300 528 - 528 408 - 408
- 0 - - 0 - - 0
- 700 552 - 552 474 - 474
- 0 - - 0 - - 0
360 480 138 - 138 108 720 828
3,000 3500 333 332 665 167 3,168 3335
- 100 25 - 25 170 - 170
1,000 1000 519 - 519 - 3,000 3000
2,000 2000 1,192 - 1192 332 2,000 2332
100 100 - - 0 - 100 100
- 0 - - 0 - - 0
- 0 - - 0 - - 0
100 200 65 - 65 188 100 288
- 0 - - 0 - - 0
2,000 2000 - - 0 - 2,250 2250
5,000 14000 10,028 - 10028 2,972 15,000 17972
- 0 - - 0 24 - 24
2,000 3700 2,316 - 2316 877 3,000 3877
2,000 2500 781 - 781 719 2,500 3219
- 2000 2,170 - 2170 240 - 240
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 500 892 - 892 170 - 170
- 0 - - 0 - - 0
120 120 - 46 46 - 194 194
- 48 83 29 112 7 91 98
- 0 4 - 4 - - 0
- 0 8 - 8 - 50 50
20,000 22000 13,104 1,080 14184 199 33,920 34119
- 0 - - 0 30 - 30
1,000 1800 716 - 716 551 1,000 1551
200 300 6 - 6 94 200 294
2,500 8000 3,780 - 3780 6,218 2,500 8718
- 0 - - 0 300 - 300
- 200 205 - 205 243 300 543
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 300 390 - 390 190 200 390
- 90 218 - 218 70 150 220
7,000 7000 - 833 833 - 8,167 8167
- 15 - - 0 5 - 5
- 30 - - 0 20 - 20
- 0 - - 0 - - 0
- 0 - - 0 100 - 100
- 1600 1,382 700 2082 - - 0
- 0 - - 0 - - 0
100 160 110 8 118 12 192 204
1,500 2600 1,357 - 1357 695 2,500 3195
- 0 70 - 70 75 - 75
- 0 - - 0 30 - 30
500 500 336 20 356 - 980 980
- 5 4 - 4 17 - 17
- 0 - - 0 - - 0
4,000 7000 2,648 - 2648 1,021 4,000 5021
50 98 32 - 32 78 50 128
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
2,000 2500 748 32 780 - 2,468 2468
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 300 365 - 365 - - 0
- 300 139 - 139 161 - 161
- 400 72 - 72 437 100 537
- 100 - - 0 100 - 100
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 100 103 - 103 59 300 359
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
100 150 51 - 51 40 200 240
200 300 273 - 273 88 200 288
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - 3 3 - 17 17
800 980 379 73 452 2 1,227 1229
- 0 - - 0 - - 0
35,000 61000 28,807 5,101 33908 34 29,959 29993
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 120 - 120
- 100 - - 0 - - 0
3,000 7000 7,554 - 7554 3,759 7,000 10759
- 0 - 10 10 - 490 490
- 0 - - 0 - - 0
- 0 - - 0 - - 0
5,000 5000 3,636 92 3728 1,061 8,908 9969
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 300 - - 0 100 - 100
- 0 - - 0 - - 0
- 650 675 100 775 30 - 30
8,000 9800 2,621 385 3006 - 11,615 11615
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 3100 2,894 - 2894 480 - 480
- 550 465 - 465 165 - 165
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 20 - 20 20 - 20
4,500 6300 2,260 1,145 3405 - 4,355 4355
- 0 3 - 3 - - 0
- 0 - - 0 - - 0
- 15 14 - 14 - - 0
- 0 - - 0 - - 0
- 0 500 - 500 - 1,000 1000
1,000 1500 1,041 - 1041 229 1,000 1229
- 0 65 15 80 - 57 57
- 150 97 - 97 103 50 153
- 0 - - 0 29 - 29
- 100 160 - 160 192 200 392
- 500 550 - 550 40 - 40
- 200 160 - 160 80 - 80
- 0 145 - 145 200 200 400
- 0 - - 0 - - 0
- 960 1,052 - 1052 8 - 8
4,000 6000 1,506 - 1506 4,000 5,000 9000
- 0 - - 0 - - 0
- 144 140 39 179 - 201 201
200 75200 17,459 - 17459 71,250 200 71450
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 278 - 278 55 - 55
10,000 19000 13,792 921 14713 6 18,079 18085
- 360 259 - 259 7 - 7
6,000 6400 301 885 1186 100 10,115 10215
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 23 - 23 31 - 31
2,000 2050 50 1,000 1050 - 2,000 2000
20,000 36000 20,670 2,376 23046 77 42,624 42701
- 0 13 - 13 10 - 10
- 0 1 - 1 9 - 9
- 0 1 - 1 4 - 4
3,000 4800 1,231 400 1631 1,000 4,600 5600
300 340 39 - 39 21 350 371
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 130 215 100 315 - - 0
- 260 340 - 340 - - 0
- 600 836 - 836 - - 0
- 0 6 - 6 2 - 2
20 20 - - 0 - 20 20
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 346 - 346 45 - 45
- 0 17 - 17 19 - 19
600 600 1 - 1 - 600 600
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 280 - 280 - 20 20
- 200 320 40 360 - - 0
- 5 5 - 5 - - 0
200 200 - - 0 - 200 200
- 0 26 - 26 74 - 74
- 0 4 32 36 - 18 18
- 0 - 400 400 - 100 100
- 0 - - 0 - - 0
- 0 40 - 40 - - 0
- 60 - - 0 60 - 60
- 0 - - 0 - - 0
- 0 - - 0 - 12 12
- 0 - - 0 - - 0
- 0 50 - 50 100 - 100
- 0 - - 0 - - 0
- 0 - - 0 - - 0
1 2 1 1 2 - - 0
- 0 - - 0 - - 0
5 6 1 - 1 - 5 5
1 1 - 1 1 - - 0
- 0 - - 0 - - 0
1 2 1 1 2 - - 0
4 9 5 - 5 9 4 13
2 2 - - 0 - 2 2
5 5 - 1 1 - 4 4
3 3 - - 0 - 3 3
2 3 1 1 2 - 1 1
1 1 - 1 1 - - 0
1 1 - - 0 - 1 1
1 1 - - 0 - 1 1
- 0 10 - 10 - - 0
1 3 2 1 3 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
1 1 - - 0 - 1 1
- 0 - - 0 - - 0
2 2 - - 0 - 2 2
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 746 - 746 842 - 842
- 4300 3,883 31 3914 2,254 1,469 3723
- 600 617 - 617 188 500 688
- 0 7 - 7 90 - 90
- 8 3 - 3 8 - 8
- 0 4 - 4 7 10 17
- 84 77 - 77 80 24 104
- 0 1 - 1 - - 0
- 40 36 - 36 16 - 16
- 0 4 - 4 6 - 6
200 350 250 186 436 - 114 114
400 1000 715 385 1100 1 515 516
- 24 77 - 77 79 - 79
- 0 - - 0 - - 0
- 30 29 - 29 24 30 54
- 310 220 - 220 145 - 145
- 0 - - 0 60 - 60
- 140 192 - 192 - 50 50
- 40 48 - 48 72 - 72
- 10 4 - 4 10 - 10
- 850 792 - 792 150 - 150
- 200 164 - 164 296 - 296
- 0 - - 0 - - 0
- 65 69 - 69 15 - 15
- 600 630 - 630 20 - 20
- 500 537 - 537 128 - 128
- 500 725 296 1021 - 4 4
- 0 13 - 13 32 - 32
- 0 - - 0 1 - 1
100 170 186 71 257 - 129 129
400 1000 613 98 711 187 402 589
150 250 180 90 270 - 160 160
200 360 275 161 436 - 139 139
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
2 3 1 1 2 - 1 1
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 2 2 - 2 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
1 1 - 1 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
2 2 - 1 1 - 1 1
- 1 1 - 1 - - 0
- 0 3 - 3 2 - 2
2 2 - 1 1 - 1 1
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
100 100 - - 0 - - 0
0 - 0 - 0
14 14 14 - 0
0 105 105 395 395
0 - 0 - 0
0 - 0 - 0
0 - 0 50 50
0 5 5 - 0
0 - 0 - 0
2 2 2 - 0
400 350 350 50 50
0 - 0 - 0
60 - 0 180 180
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
40 32 32 10 10
0 - 0 - 0
0 90 90 10 10
200 340 340 177 177
0 - 0 - 0
0 - 0 - 0
200 260 260 100 100
0 - 0 - 0
0 - 0 200 200
0 2 2 - 0
0 2 2 - 0
0 1 1 1 1
0 1 1 1 1
0 1 1 - 0
25 50 50 11 11
0 3 3 - 0
0 3 3 - 0
0 7 7 - 0
0 4 4 2 2
0 14 14 7 7
0 212 212 23 23
0 201 201 68 68
300 210 210 90 90
405 8 8 397 397
140 - 0 140 140
2 - 0 2 2
200 - 0 200 200
5 - 0 5 5
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
0 - 0 - 0
- 0 - 6 6 - 18 18
- 0 - - 0 - 600 600
- 0 - - 0 - 500 500
- 0 - - 0 - 24 24
- 0 - 7 7 - 3 3
300 300 - - 0 - 300 300
- 0 - - 0 - - 0
30 30 - 2 2 - 28 28
10 10 - 2 2 - 8 8
50 50 - 4 4 - 46 46
5 5 - 2 2 - 3 3
1,000 1000 - - 0 - 1,000 1000
100 100 - - 0 - 100 100
30 30 - 2 2 - 28 28
20 20 - 2 2 - 18 18
10 10 - 2 2 - 8 8
2 2 - - 0 - 2 2
2 2 - - 0 - 2 2
70 70 - 10 10 - 60 60
100 100 - 20 20 - 80 80
1 1 - - 0 - 1 1
1 1 - - 0 - 1 1
1 1 - - 0 - 1 1
1 1 - - 0 - 1 1
3 3 - 2 2 - 1 1
35 35 - - 0 - 35 35
1 1 - - 0 - 1 1
2 2 - - 0 - 2 2
1 1 - - 0 - - 0
1 1 - - 0 - 1 1
50 50 - - 0 - 46 46
50 50 - - 0 - 50 50
60 60 - - 0 - 60 60
1,000 1000 - - 0 - 1,000 1000
20 20 - - 0 - 20 20
1,000 1000 - - 0 - 1,000 1000
50 50 - - 0 - 50 50
20 20 - - 0 - - 0
- 0 - - 0 - - 0
KEADAAN OBAT DAN BHP PUSKESMAS JABUNGSISIR
TAHUN 2015
TOTAL
NO JENIS OBAT/BHP TERSDIA TERIMA
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) - -
2 Albendazol tab 400 mg 433 150
3 Alopurinol 100 609 800
4 Alopurinol 300 644 -
5 Ambroxol tablet 30 mg 325 2,100
6 Aminophilin inj 24 mg/ml-10 ml 32 30
7 Aminophilin tab 200 mg 1,160 2,300
8 Amitriptilin Hcl tab 25 mg 40 100
9 Amlodipin tab 10 mg 198 450
10 Amlodipin tab 5 mg 750 450
11 Amoksisilin 500 mg 33,210 33,000
12 Amoksisilin kaps 250 mg 2,645 -
13 Amoksisilin SK 125mg/5ml - -
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) - -
15 Antalgin (metampiron) tab 500 mg - -
16 Antalgin inj 250 mg/ml-2 ml - -
17 Antasida DOEN Syrup 78 50
18 Antasida DOEN tab Komb 12,086 25,000
19 Antibakteri DOEN salep Komb 28 -
20 Antifungi DOEN salep Komb 24 -
21 Antihemoroid DOEN Komb - 100
22 Antimigren DOEN tab Komb 340 1,000
23 Antiparkinson DOEN tab Komb - 100
24 Aqua proinjeksi steril bebas pirogen 128 300
25 Asam Askorbat (Vit C) tab 50 mg 11,894 18,000
26 Asam folat 1 mg 6,596 1,000
27 Asam mefenamat 500 mg 14,238 25,000
28 Asetosal tab 100 mg 80 100
29 Asiklovir 400 mg 636 300
30 Asiklovir 5 % krim 240 125
31 Atropin Sulfat inj 0,25mg/ml-1 ml - 100
32 Atropin Sulfat tab 0,5 mg - -
33 Atropin tetes mata 0,5% - -
34 Benzatin benzil penisilin inj 2.4 jt iu/vial 10 -
35 Betahistin Mesilat tablet 6 mg 150 840
36 Betametason krim 0,1% 102 96
37 Bromheksin tablet 8 mg - -
38 Dapson tab 100 mg - -
39 Deksametason inj 5 mg/ml-ml 100 200
40 Deksametason tab 0.5 mg 3,005 6,000
41 Dekstrometorphan sirup 10mg/5ml - -
42 Dekstrometorphan tab 15 mg - -
43 Diazepam inj 5 mg/ml-2ml - -
44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) - 20
45 Diazepam tab 2 mg 553 100
46 Diazepam tab 5 mg - -
47 Dietilkarbamazin sitrat tab 100 mg - -
48 Difenhidramin Hcl Inj 10 mg/ml-1ml 749 510
49 Digoksin tab 0.25 mg 20 300
50 Digoksin tab 0.5 mg 100 -
51 Dimenhidrinat tablet 50 mg 401 -
52 Ekstrak Beladon 10 mg - -
53 Ephedrin Hcl tab 25 mg 518 -
54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml 74 -
55 Erithromisin 500 mg tab 220 300
56 Eritromisin 250 mg - -
57 Erithromisin sirup 200 mg/5 ml 47 -
58 Etakridin (Rivanol) Lart 0,1% 60 -
59 Etambutol Hcl Tb 250 mg - -
60 Fenitoin Natrium inj 50 mg/ml @ 2ml - -
61 Fenitoin Natrium kaps 100 mg 250 250
62 Fenitoin Natrium Kaps 30 mg - -
63 Fenobarbital inj 50 mg/ml - -
64 Fenobarbital tab 100 mg 250 250
65 Fenobarbital tab 30 mg 768 1,000
66 Fenoksimetil penisilin tab 250 mg 200 -
67 Fenoksimetil penisilin tab 500 mg - -
68 Fenol gliserol tetes Telinga 10 % 23 72
69 Fitomenadion (VitK) inj 10mg/ml-1ml 145 270
70 Fitomenadion (VitK) tab 10 mg 937 300
71 Furosemid tab 40 mg 539 -
72 Furosemid Inj 10 mg/ml - -
73 Gameksan Lotion 1 % - -
74 Garam Oralit untuk 200 ml air 1,556 5,400
75 Gemfibrozil 300 mg 554 720
76 Gentamsin Salep Kulit 0,1% 417 140
77 Gentamycin 80 mg/2 ml injeksi 10 100
78 Gentian Violet lart 1% 2 100
79 Glibenklamid 5 mg 8,353 4,300
80 Gliseril Guaiyakolat tab 100 mg 21,288 24,000
81 Gliserin - -
82 Glukosa Lart Inf 10 % steril - -
83 Glukosa Lart Inf 40 % steril - -
84 Glukosa Lart Inf 5 % steril 44 200
85 Grisiofulvin tab 125 mg 636 300
86 Haloperidol tab 0.5 mg - -
87 Haloperidol tab 1.5 mg 326 700
88 Hidroklortiazid (HCT) tab 25 mg - -
89 Hidrokortison krim 2.5 % 486 480
90 Hiosin N- Butilbromida Tab 10 mg 500 3,500
91 Hiosin N- Butilbromida Inj 20 mg/ml 95 100
92 Ibuprofen 200 mg 2,519 1,000
93 Ibuprofen 400 mg 1,524 2,000
94 Ichtyol salp - 100
95 Iodiol softcaps - -
96 Isoniazid tab 300 mg - -
97 Isosorbid dinitrat tab 5 mg 153 200
98 Kalium Permanganat - -
99 Kalium Diklofenak tab 50 mg 250 2,000
100 Kalsium Laktas (Kalk) tab 500 mg 14,000 14,000
101 Kalsium Gluconas Injeksi 24 -
102 Kaptopril 12,5 mg 2,493 3,700
103 Kaptopril 25 mg 1,500 2,500
104 Karbamazepin tab 200 mg 410 2,000
105 Ketamin inj 10 mg/ml - -
106 Klofazimil kaps 100 mg - -
107 Klindamycin 150 mg 562 500
108 Kloramphenikol 250 mg - -
109 Kloramphenikol salep mata 1 % 120 120
110 Kloramphenikol tetes telinga 3 % 162 48
111 Kloramfenikol Suspensi 125 mg/5 ml 4 -
112 Kloramfenikol Tetes mata 0,5% 58 -
113 Klorfeniramin maleat (CTM) tab 4 mg 26,303 22,000
114 Klorpromazin Hcl inj 25 mg/I ml 30 -
115 Klorpromazin Hcl tab 100 mg 467 1,800
116 Kodein 10 mg tab 500 300
117 Kotrimoksazole Dewasa tab 480 mg 4,498 8,000
118 Kotrimoksazole ped tab 120 mg 300 -
119 Kotrimoksazole Susp 548 200
120 Kuinin Sulfat tab 222 mg - -
121 Levofloksasin tab 500 mg - -
122 Lidokain 2% injeksi 480 300
123 Lidokain Komp Inj 348 90
124 Loperamid HCl tablet 2 mg 2,000 7,000
125 Magnesium sulf inj 20%-25 ml 25 15
126 Magnesium sulf inj 40%-25 ml 25 30
127 Mebendazole sirup 100 mg/5 ml - -
128 Mebendazole tab 100 mg 100 -
129 Metformin HCl Tab 500 mg 2,282 1,600
130 Metil Dopa tab 250 mg - -
131 Metil Ergometrin Inj 0,200 mg-1 ml 267 160
132 Metil Ergometrin tab 0.125 mg 1,952 2,600
133 Metil Prednisolon tab 4 mg 145 -
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) 30 -
135 Metoklopramid tab 10 mg ( Tomit tab ) 1,436 500
136 Metronidazol Infus 500 mg/100 ml 16 5
137 Metronidazol 250 mg - -
138 Metronidazol 500 mg 669 7,000
139 Mikonazole Krim / salep 2% 62 98
140 Mineral Mix sachet 8gr - -
141 Mg Sulfat Serbuk 30 gram - -
142 Na. Bikarbonat tab 500 mg - -
143 Na. Diklofenac 25 mg - -
144 Na. Diklofenac 50 mg 748 2,500
145 Na. Fluoresin tetes mata 2 % - -
146 Na. Tiosulfat inj 25 %-10 ml - -
147 Natrium Klorida lart inf 0.9% 65 300
148 Nifedipin tab 10 mg - 300
149 Nistatin 100.000 iu tab vag 209 400
150 Nistatin 500.000 iu tab - 100
151 OAT-FDC Kategori 1 - -
152 OAT-FDC Kategori 2 - -
153 Obat Batuk hitam (OBH) sirup 100 ml 362 100
154 Obat Kategori Anak (kombipak) - -
155 Obat Kategori Sisipan - -
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml - -
157 Oksitetrasiklin SK 3% - -
158 Oksitetrasiklin SM 1 % 141 150
159 Oksitosin inj 10 iu/1ml 261 300
160 Oseltamivir 75 mg - -
161 Papaverin Injeksi 40 mg/ml - -
162 Papaverin tab 40 mg - -
163 Paraformaldehid tab 1 gr - -
164 Paracetamol Drops 20 -
165 Parasetamol sirup 120 mg/5 ml 701 980
166 Parasetamol tab 100 mg - -
167 Parasetamol tab 500 mg 2,841 61,000
168 Petidin inj 50 mg/2 ml - -
169 Pilokarpin tetes mata 2 % - -
170 Pirantel pamoat tab 125 mg 120 -
171 Pirazinamid tab 500 mg 200 100
172 Piridoksin tab 10 mg 11,313 7,000
173 Piroksicam 10 mg 500 -
174 Piroksicam 20 mg - -
175 Prazikuantel 600 mg tab - -
176 Prednison 5 mg tab 12,697 5,000
177 Primakuin 15 mg tab - -
178 Prokain Benzil Penisilin 3 Jt inj - -
179 Propanolol 40 mg tab 100 300
180 Propiltiourasil 100 mg tab 100 -
181 Ranitidin Inj 25 mg/ 2 ml 155 650
182 Ranitidin tab 150 mg 4,821 9,800
183 Reserpin 0,10 mg tab - -
184 Reserpin 0,25 mg tab - -
185 Retinol ( Vit A ) 200.000 iu Kap 274 3,100
186 Retinol ( Vit.A) 100.000 UI 80 550
187 Rifampisin 300 mg kaps - -
188 Rifampisin 450 mg tab - -
189 Rifampisin 600 mg kaplet 40 -
190 Ringer Laktate lart infus 1,460 6,300
191 S. Anti Bisa Ular poli inj 5 ml(ABU I) 3 -
192 S. Anti Difteri inj 20.000 iu ( ADS ) - -
193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) 4 15
194 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) - -
195 Salbutamol 2 mg tab 1,500 -
196 Salbutamol 4 mg tab 770 1,500
197 Salep 2-4 komb 137 -
198 Salisil Bedak 2 % 100 150
199 Salisil Spiritus 10 % 29 -
200 Sefadroxil 500 mg kapsul 452 100
201 Sefotaxim Injeksi 1 gram 90 500
202 Seftriaxon Inj 1 gram 40 200
203 Sianokobalamin (Vit B12) inj 545 -
204 Simetidin tab 200 mg - -
205 Simvastatin 10 mg tab 300 960
206 Siprofloksasin 500 mg tab 4,506 6,000
207 Streptomisin inj 1500 mg /vial - -
208 Sulfasetamid tts mata 15% 270 144
209 Tablet tambah darah komb 13,709 75,200
210 Tetrakain tetes mata 0,5% - -
211 Tetrasiklin 250 mg - -
212 Tetrasiklin 500 mg 633 -
213 Thiamin ( Vit B1 ) 50 mg tab 13,798 19,000
214 Thiamin ( Vit B1 ) inj 100 mg/Amp 266 360
215 Thiamphenkol 500 mg cap 5,001 6,400
216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) - -
217 Tiopental Na. Serbuk 1000 mg/Amp - -
218 Tramadol 50 mg 54 -
219 Triheksipenidil Hcl 2 mg tab 1,000 2,050
220 Vitamin B Kompleks tab 29,747 36,000
221 Yodium povidon 10 % 30 ml 23 -
222 Yodium Povidon 10 % 300 ml 10 -
223 Yodium Povidon 10% 1 Liter 5 -
224 Zink 20 mg Tablet dispersible 2,431 4,800
225 Zink Syrup 70 340
LUAR LPLPO / OBAT PELENGKAP - -
1 Adona injeksi - -
2 Alinamin F injeksi - -
3 Antrain inj 185 130
4 Asering Larutan Infus 80 260
5 Attapulgite tablet komb (Diaform/Neo Diaform) 236 600
6 Bismecon Gel 8 -
7 Bufacom (Triamsinolon in oral base) - 20
8 Dulcolax supp 5 mg - -
9 Dulcolax tab - -
10 demacolin 191 200
11 Fludane Syrup 36 -
12 Fludane Tablet 1 600
13 Gitas Plus Inj - -
14 Gitas Plus tablet / Spasmal tablet / scopamin - -
15 Ka-En 3 A 100 200
16 Ka-En 3 B 160 200
17 Kombivent Inhalasi - 5
18 Lakto B - 200
19 Lynoral tab 100 -
20 Lysmin ( Lysin ) Sirup 54 -
21 Ultravita tab / Kurkumex tab / Lanovit tab 500 -
22 metioson tab - -
23 Neurobion tablet 40 -
24 Neurovit E tablet - 60
25 Opixitrol eye drop - -
26 Pamol 125 mg Supp 12 -
27 Scabicid krim - -
28 Tensigard 150 -
OBAT GIGI - -
1 Air Raksa use Dental - -
2 Bonding - 2
3 Cresophen - -
4 Dentorit pasta ( Cavit G ) - 6
5 Devitalisasi pasta (non arsen) - 1
6 Devitalisasi pasta (arsen) - -
7 Etching - 2
8 Etil Klorida semprot 9 9
9 Eugenol cairan - 2
10 Glass Ionomer cement ART / Fuji IX ART Besar - 5
11 Kalsium Hidroksida pasta - 3
12 Komposit A2 Anterior - 3
13 Komposit A2 Posterior - 1
14 Monokamper mentol cair (CHKM) - 1
15 Mummifying pasta - 1
16 Polikresulen (Albothyl) 10 -
17 Semen seng fosfat serbuk & cair - 3
18 Silver Amalgam Serbuk 65-75 % - -
19 Solare - -
20 Spon Gelatin 1x1x1 cm - 1
21 Temporary stoping fletcher serbuk&cair - -
22 Trikresolformalin (TKF) cair - 2
PERBEKALAN KESEHATAN - -
1 Alat Suntik Sekali Pakai 0,05 ml - -
2 Alat Suntik Sekali Pakai 0,5 ml - -
3 Alat Suntik Sekali Pakai 1 ml 1,388 200
4 Alat Suntik Sekali Pakai 3 ml 3,337 4,300
5 Alat Suntik Sekali Pakai 5 ml 705 600
6 Alat Suntik Sekali Pakai 10 ml 97 -
7 Aqua Gel 3 8
8 Blood set 21 -
9 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 97 84
10 catgut rol 1 -
11 Etanol 70 % 1 L 12 40
12 Hidrogen Peroksida ( H2O2 ) 3% 10 -
13 Infusion Set Anak 200 350
14 Infusion Set Dewasa 616 1,000
15 Jarum Jahit (Bedah) No 9 s/d 14 132 24
16 Kapas Berlemak 500 gr - -
17 Kapas Pembalut/Absorben 250 gr 53 30
18 Kasa Pembalut 2 X 80 cm 55 310
19 Kasa Kompres 40/40 steril 60 -
20 Kasa Pembalut 4 X 15 cm 102 140
21 Kasa Pembalut 4 X 3 cm 80 40
22 Lisol (Kresol tersaponifikasi 50%) 1 liter 4 10
23 Masker 92 850
24 Mess 260 200
25 Pembalut gibs 3 inchi - -
26 Plester 5 yard X 2 inch 19 65
27 Pot Sputum diameter 7 cm 50 600
28 Sarung Tangan Steril ( Handscoun) 165 500
29 hanscoun steril 525 500
30 Silk ( Benang Bedah Sutera) N0 3/0 45 -
31 silk rol 1 -
32 IV. Catheter no. 18 216 170
33 IV. Catheter no. 20 300 1,000
34 IV. Catheter no. 22 180 250
35 IV. Catheter no. 24 215 360
36 Wing nedle - -
REAGEN DASAR - -
1 Amoniak ( 100 ml ) - -
2 Anisol ( 100 ml ) - -
3 Aquadest steril 1 liter - -
4 Asam asetat 6 % ( 100 ml ) - -
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) - 3
6 Asam Sulfosalisilat 20 % ( 100 ml ) - -
7 Barium Klorida ( 100 ml ) - -
8 Benedict ( 100 ml ) - -
9 Carbol Gentian Violet ( 100 ml ) - -
10 EDTA ( 100 ml ) - 2
11 Eosin 2 % ( 100 ml ) - -
12 Etanol Asam 100ml - -
13 Eter Alkohol - -
14 Fauchet ( 100 ml ) - -
15 Felling A - -
16 Felling B - -
17 Giemsa stain - 1
18 Golongan Darah A,B,O - -
19 Hayem ( 100 ml ) - -
20 Iodium akohol ( 100 ml ) - -
21 Karbon Fuksin - -
22 Kinyoun ( 100 ml ) - -
23 Lugol 1 % ( 100 ml ) - -
24 Metanol - -
25 Metilen Biru ( 100 ml ) - -
26 NACL 0,9% ( 100 ml ) - -
27 Oil Imerson ( 100 ml ) - 1
28 Reesecher ( 100 ml ) - 2
29 Schlesinger ( 100 ml ) - 1
30 Spiritus Bakar ( 1 liter ) 5 -
31 Turk ( 100 ml ) - 2
32 Widal - -
33 Xylol ( 100 ml ) - -
34 Zeil nelson set ( ZN set ) - -
REAGEN KIMIA KLINIK - -
1 Malaria Test - -
2 Dengue Test - -
3 HbsAg Test - -
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 - -
5 HCV Test - -
6 Reagen Albumin - -
7 Reagen Alkalin Fosfatase - -
8 Reagen Asam Urat - -
9 Reagen Billirubin Total - -
10 Reagen Billirubin Direct - -
11 Reagen Glukosa - -
12 Reagen Hb Cyanmeth - -
13 Reagen Kolesterol - -
14 Reagen Kreatinin - -
15 Reagen SGOT - -
16 Reagen SGPT - -
17 Reagen Total Protein - -
18 Reagen Trigliserida - -
19 Reagen Ureum - -
20 Reagen VDRL carbon antigen - -
21 - - -
22 Urine Strip 10 parameter - 100
TAMBAHAN OBAT - -
1 Slide - 14
2 Haloperidol 5 Mg 500 -
3 Aseton Alkohol - -
4 KLINDAMICIN 300 - -
5 AS TRANEKSAMAT INJ 50 -
6 SOHOBION INJ 5 -
7 TISSU - -
8 COVER GLAS - 2
9 KARTU GOL.DRH - 400
10 CO AMOXICLAV - -
11 HEMOROGARD 120 60
12 Articulating paper - -
13 Root canal - -
14 Cocoa butter - -
15 catton roll - -
16 Gutta percha - -
17 Micro brush - -
18 oco - -
19 Vaselin - -
20 Paper point - -
21 Seluloid strip - -
22 Donexan sirup 2 40
23 tab reaksi - -
24 pipet 100 -
25 amox syr forte 317 200
26 HB test - -
27 tes kehamilan - -
28 ondosetron inj 160 200
29 alkohol 95% - -
30 lithium carbonat 200 -
31 foly catter no 18 2 -
32 urin bag 2 -
33 blood seet 2 -
34 muccus extraktor 2 -
35 kertas lakmus 1 -
36 sarung tng obgyn 36 25
37 sarung tng industri 3 -
38 bayclin klorin 3 -
39 aseptan 7 -
40 reagn protein urine 6 -
41 rd 5% 21 -
42 kasa steril 235 -
43 yodium pov 60 ml 269 -
44 bio e - 300
45 alkohol 70% 100ml - 405
46 wida RD 5% - 140
47 Water for irigation - 2
48 trifluprazine 5ml - 200
49 Haloperidol Inj - 5
50 mas hospital feeding tub f6 - -
51 mas hospital feeding tub f8 - -
52 kasa steril 16x16 - -
53 mas noc infant - -
54 mas noc neonatus - -
55 spatula kayu - -
56 bisakodil supp 10 mg 24 -
57 simvastatin 20 mg 600 -
58 vit e 200 Ui 500 -
59 cat gut plain 24 -
60 scabimid slp 10 -
61 amox syr 250 mg - 300
62 simvastatin 20mg - -
63 nasal oxygen canula adult - 30
64 nasal oxygen canula child - 10
65 urin bag - 50
66 onemed onescrub 500cc - 5
67 terumo disp 3cc - 1,000
68 terumo disp 5cc - 100
69 folycatheter no 18 - 30
70 folycatheter no 16 - 20
71 object glas - 10
72 cover glas - 2
73 tisu lensa - 2
74 stik kolesterol - 70
75 stik asam urat - 100
76 widal tipe o - 1
77 widal tipe h - 1
78 widal tipe ah - 1
79 widal tipe ab - 1
80 kertas golongan darah - 3
81 bioplasenton - 35
82 serbuk pumice - 1
83 articulating paper - 2
84 cotton rol - 1
85 selluloid strip - 1
86 hiv test stop 3 - 50
87 hiv test stop 2 vikia - 50
88 hiv test intec - 60
89 lexicam - 1,000
90 b.falek salep - 20
91 lexavon - 1,000
92 biolysin syr - 50
93 stik glukosa protin urine - 20
94 APD SET - -
MAS JABUNGSISIR

TOTAL
PAKAI SISA KET
0 -
8 150
1137 272
497 147
690 1,735
17 26
1871 1,589
6 134
230 418
445 755
19519 46,691
1226 1,419
0 -
0 -
0 -
0 -
48 80
13309 23,777
27 1
5 19
23 77
358 982
0 100
388 40
10932 18,962
5284 2,312
15388 23,850
0 180
279 657
126 239
0 100
0 -
0 -
0 -
240 750
83 115
0 -
0 -
71 229
5993 3,012
0 -
0 -
0 -
18 2
63 590
0 -
0 -
473 786
56 264
0 100
101 300
0 -
0 518
25 49
450 70
0 -
8 39
12 -
0 -
0 -
0 250
0 -
0 -
0 -
1 767
0 -
0 -
0 95
222 193
305 932
178 361
0 -
0 -
2132 4,824
986 288
184 373
10 100
2 100
2394 10,259
16784 28,504
0 -
0 -
0 -
244 -
528 408
0 -
552 474
0 -
138 828
665 3,335
25 170
519 3,000
1192 2,332
0 100
0 -
0 -
65 288
0 -
0 2,250
10028 17,972
0 24
2316 3,877
781 3,219
2170 240
0 -
0 -
892 170
0 -
46 194
112 98
4 -
8 50
14184 34,119
0 30
716 1,551
6 294
3780 8,718
0 300
205 543
0 -
0 -
390 390
218 220
833 8,167
0 5
0 20
0 -
0 100
2082 -
0 -
118 204
1357 3,195
70 75
0 30
356 980
4 17
0 -
2648 5,021
32 128
0 -
0 -
0 -
0 -
780 2,468
0 -
0 -
365 -
139 161
72 537
0 100
0 -
0 -
103 359
0 -
0 -
0 -
0 -
51 240
273 288
0 -
0 -
0 -
0 -
3 17
452 1,229
0 -
33908 29,993
0 -
0 -
0 120
0 -
7554 10,759
10 490
0 -
0 -
3728 9,969
0 -
0 -
0 100
0 -
775 30
3006 11,615
0 -
0 -
2894 480
465 165
0 -
0 -
20 20
3405 4,355
3 -
0 -
14 -
0 -
500 1,000
1041 1,229
80 57
97 153
0 29
160 392
550 40
160 80
145 400
0 -
1052 8
1506 9,000
0 -
179 201
17459 71,450
0 -
0 -
278 55
14713 18,085
259 7
1186 10,215
0 -
0 -
23 31
1050 2,000
23046 42,701
13 10
1 9
1 4
1631 5,600
39 371
0 -
0 -
0 -
315 -
340 -
836 -
6 2
0 20
0 -
0 -
346 45
17 19
1 600
0 -
0 -
280 20
360 -
5 -
0 200
26 74
36 18
400 100
0 -
40 -
0 60
0 -
0 12
0 -
50 100
0 -
0 -
2 -
0 -
1 5
1 -
0 -
2 -
5 13
0 2
1 4
0 3
2 1
1 -
0 1
0 1
10 -
3 -
0 -
0 -
0 1
0 -
0 2
0 -
0 -
0 -
746 842
3914 3,723
617 688
7 90
3 8
4 17
77 104
1 -
36 16
4 6
436 114
1100 516
77 79
0 -
29 54
220 145
0 60
192 50
48 72
4 10
792 150
164 296
0 -
69 15
630 20
537 128
1021 4
13 32
0 1
257 129
711 589
270 160
436 139
0 -
0 -
0 -
0 -
0 -
0 -
2 1
0 -
0 -
0 -
0 -
2 -
0 -
0 -
0 -
0 -
0 -
0 -
1 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 -
1 1
1 -
3 2
1 1
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
14 -
105 395
0 -
0 -
0 50
5 -
0 -
2 -
350 50
0 -
0 180
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
32 10
0 -
90 10
340 177
0 -
0 -
260 100
0 -
0 200
2 -
2 -
1 1
1 1
1 -
50 11
3 -
3 -
7 -
4 2
14 7
212 23
201 68
210 90
8 397
0 140
0 2
0 200
0 5
0 -
0 -
0 -
0 -
0 -
0 -
6 18
0 600
0 500
0 24
7 3
0 300
0 -
2 28
2 8
4 46
2 3
0 1,000
0 100
2 28
2 18
2 8
0 2
0 2
10 60
20 80
0 1
0 1
0 1
0 1
2 1
0 35
0 1
0 2
0 -
0 1
0 46
0 50
0 60
0 1,000
0 20
0 1,000
0 50
0 -
0 -
KEADAAN OBAT DAN BHP PUSKESMAS JABUNGSISIR

TOTAL
NO JENIS OBAT/BHP TERSDIA TERIMA
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) - -
2 Albendazol tab 400 mg 433 150
3 Alopurinol 100 609 800
4 Alopurinol 300 644 -
5 Ambroxol tablet 30 mg 325 2,100
6 Aminophilin inj 24 mg/ml-10 ml 32 30
7 Aminophilin tab 200 mg 1,160 2,300
8 Amitriptilin Hcl tab 25 mg 40 100
9 Amlodipin tab 10 mg 198 450
10 Amlodipin tab 5 mg 750 450
11 Amoksisilin 500 mg 33,210 33,000
12 Amoksisilin kaps 250 mg 2,645 -
13 Amoksisilin SK 125mg/5ml - -
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) - -
15 Antalgin (metampiron) tab 500 mg - -
16 Antalgin inj 250 mg/ml-2 ml - -
17 Antasida DOEN Syrup 78 50
18 Antasida DOEN tab Komb 12,086 25,000
19 Antibakteri DOEN salep Komb 28 -
20 Antifungi DOEN salep Komb 24 -
21 Antihemoroid DOEN Komb - 100
22 Antimigren DOEN tab Komb 340 1,000
23 Antiparkinson DOEN tab Komb - 100
24 Aqua proinjeksi steril bebas pirogen 128 300
25 Asam Askorbat (Vit C) tab 50 mg 11,894 18,000
26 Asam folat 1 mg 6,596 1,000
27 Asam mefenamat 500 mg 14,238 25,000
28 Asetosal tab 100 mg 80 100
29 Asiklovir 400 mg 636 300
30 Asiklovir 5 % krim 240 125
31 Atropin Sulfat inj 0,25mg/ml-1 ml - 100
32 Atropin Sulfat tab 0,5 mg - -
33 Atropin tetes mata 0,5% - -
34 Benzatin benzil penisilin inj 2.4 jt iu/vial 10 -
35 Betahistin Mesilat tablet 6 mg 150 840
36 Betametason krim 0,1% 102 96
37 Bromheksin tablet 8 mg - -
38 Dapson tab 100 mg - -
39 Deksametason inj 5 mg/ml-ml 100 200
40 Deksametason tab 0.5 mg 3,005 6,000
41 Dekstrometorphan sirup 10mg/5ml - -
42 Dekstrometorphan tab 15 mg - -
43 Diazepam inj 5 mg/ml-2ml - -
44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) - 20
45 Diazepam tab 2 mg 553 100
46 Diazepam tab 5 mg - -
47 Dietilkarbamazin sitrat tab 100 mg - -
48 Difenhidramin Hcl Inj 10 mg/ml-1ml 749 510
49 Digoksin tab 0.25 mg 20 300
50 Digoksin tab 0.5 mg 100 -
51 Dimenhidrinat tablet 50 mg 401 -
52 Ekstrak Beladon 10 mg - -
53 Ephedrin Hcl tab 25 mg 518 -
54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml 74 -
55 Erithromisin 500 mg tab 220 300
56 Eritromisin 250 mg - -
57 Erithromisin sirup 200 mg/5 ml 47 -
58 Etakridin (Rivanol) Lart 0,1% 60 -
59 Etambutol Hcl Tb 250 mg - -
60 Fenitoin Natrium inj 50 mg/ml @ 2ml - -
61 Fenitoin Natrium kaps 100 mg 250 250
62 Fenitoin Natrium Kaps 30 mg - -
63 Fenobarbital inj 50 mg/ml - -
64 Fenobarbital tab 100 mg 250 250
65 Fenobarbital tab 30 mg 768 1,000
66 Fenoksimetil penisilin tab 250 mg 200 -
67 Fenoksimetil penisilin tab 500 mg - -
68 Fenol gliserol tetes Telinga 10 % 23 72
69 Fitomenadion (VitK) inj 10mg/ml-1ml 145 270
70 Fitomenadion (VitK) tab 10 mg 937 300
71 Furosemid tab 40 mg 539 -
72 Furosemid Inj 10 mg/ml - -
73 Gameksan Lotion 1 % - -
74 Garam Oralit untuk 200 ml air 1,556 5,400
75 Gemfibrozil 300 mg 554 720
76 Gentamsin Salep Kulit 0,1% 417 140
77 Gentamycin 80 mg/2 ml injeksi 10 100
78 Gentian Violet lart 1% 2 100
79 Glibenklamid 5 mg 8,353 4,300
80 Gliseril Guaiyakolat tab 100 mg 21,288 24,000
81 Gliserin - -
82 Glukosa Lart Inf 10 % steril - -
83 Glukosa Lart Inf 40 % steril - -
84 Glukosa Lart Inf 5 % steril 44 200
85 Grisiofulvin tab 125 mg 636 300
86 Haloperidol tab 0.5 mg - -
87 Haloperidol tab 1.5 mg 326 700
88 Hidroklortiazid (HCT) tab 25 mg - -
89 Hidrokortison krim 2.5 % 486 480
90 Hiosin N- Butilbromida Tab 10 mg 500 3,500
91 Hiosin N- Butilbromida Inj 20 mg/ml 95 100
92 Ibuprofen 200 mg 2,519 1,000
93 Ibuprofen 400 mg 1,524 2,000
94 Ichtyol salp - 100
95 Iodiol softcaps - -
96 Isoniazid tab 300 mg - -
97 Isosorbid dinitrat tab 5 mg 153 200
98 Kalium Permanganat - -
99 Kalium Diklofenak tab 50 mg 250 2,000
100 Kalsium Laktas (Kalk) tab 500 mg 14,000 14,000
101 Kalsium Gluconas Injeksi 24 -
102 Kaptopril 12,5 mg 2,493 3,700
103 Kaptopril 25 mg 1,500 2,500
104 Karbamazepin tab 200 mg 410 2,000
105 Ketamin inj 10 mg/ml - -
106 Klofazimil kaps 100 mg - -
107 Klindamycin 150 mg 562 500
108 Kloramphenikol 250 mg - -
109 Kloramphenikol salep mata 1 % 120 120
110 Kloramphenikol tetes telinga 3 % 162 48
111 Kloramfenikol Suspensi 125 mg/5 ml 4 -
112 Kloramfenikol Tetes mata 0,5% 58 -
113 Klorfeniramin maleat (CTM) tab 4 mg 26,303 22,000
114 Klorpromazin Hcl inj 25 mg/I ml 30 -
115 Klorpromazin Hcl tab 100 mg 467 1,800
116 Kodein 10 mg tab 500 300
117 Kotrimoksazole Dewasa tab 480 mg 4,498 8,000
118 Kotrimoksazole ped tab 120 mg 300 -
119 Kotrimoksazole Susp 548 200
120 Kuinin Sulfat tab 222 mg - -
121 Levofloksasin tab 500 mg - -
122 Lidokain 2% injeksi 480 300
123 Lidokain Komp Inj 348 90
124 Loperamid HCl tablet 2 mg 2,000 7,000
125 Magnesium sulf inj 20%-25 ml 25 15
126 Magnesium sulf inj 40%-25 ml 25 30
127 Mebendazole sirup 100 mg/5 ml - -
128 Mebendazole tab 100 mg 100 -
129 Metformin HCl Tab 500 mg 2,282 1,600
130 Metil Dopa tab 250 mg - -
131 Metil Ergometrin Inj 0,200 mg-1 ml 267 160
132 Metil Ergometrin tab 0.125 mg 1,952 2,600
133 Metil Prednisolon tab 4 mg 145 -
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) 30 -
135 Metoklopramid tab 10 mg ( Tomit tab ) 1,436 500
136 Metronidazol Infus 500 mg/100 ml 16 5
137 Metronidazol 250 mg - -
138 Metronidazol 500 mg 669 7,000
139 Mikonazole Krim / salep 2% 62 98
140 Mineral Mix sachet 8gr - -
141 Mg Sulfat Serbuk 30 gram - -
142 Na. Bikarbonat tab 500 mg - -
143 Na. Diklofenac 25 mg - -
144 Na. Diklofenac 50 mg 748 2,500
145 Na. Fluoresin tetes mata 2 % - -
146 Na. Tiosulfat inj 25 %-10 ml - -
147 Natrium Klorida lart inf 0.9% 65 300
148 Nifedipin tab 10 mg - 300
149 Nistatin 100.000 iu tab vag 209 400
150 Nistatin 500.000 iu tab - 100
151 OAT-FDC Kategori 1 - -
152 OAT-FDC Kategori 2 - -
153 Obat Batuk hitam (OBH) sirup 100 ml 362 100
154 Obat Kategori Anak (kombipak) - -
155 Obat Kategori Sisipan - -
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml - -
157 Oksitetrasiklin SK 3% - -
158 Oksitetrasiklin SM 1 % 141 150
159 Oksitosin inj 10 iu/1ml 261 300
160 Oseltamivir 75 mg - -
161 Papaverin Injeksi 40 mg/ml - -
162 Papaverin tab 40 mg - -
163 Paraformaldehid tab 1 gr - -
164 Paracetamol Drops 20 -
165 Parasetamol sirup 120 mg/5 ml 701 980
166 Parasetamol tab 100 mg - -
167 Parasetamol tab 500 mg 2,841 61,000
168 Petidin inj 50 mg/2 ml - -
169 Pilokarpin tetes mata 2 % - -
170 Pirantel pamoat tab 125 mg 120 -
171 Pirazinamid tab 500 mg 200 100
172 Piridoksin tab 10 mg 11,313 7,000
173 Piroksicam 10 mg 500 -
174 Piroksicam 20 mg - -
175 Prazikuantel 600 mg tab - -
176 Prednison 5 mg tab 12,697 5,000
177 Primakuin 15 mg tab - -
178 Prokain Benzil Penisilin 3 Jt inj - -
179 Propanolol 40 mg tab 100 300
180 Propiltiourasil 100 mg tab 100 -
181 Ranitidin Inj 25 mg/ 2 ml 155 650
182 Ranitidin tab 150 mg 4,821 9,800
183 Reserpin 0,10 mg tab - -
184 Reserpin 0,25 mg tab - -
185 Retinol ( Vit A ) 200.000 iu Kap 274 3,100
186 Retinol ( Vit.A) 100.000 UI 80 550
187 Rifampisin 300 mg kaps - -
188 Rifampisin 450 mg tab - -
189 Rifampisin 600 mg kaplet 40 -
190 Ringer Laktate lart infus 1,460 6,300
191 S. Anti Bisa Ular poli inj 5 ml(ABU I) 3 -
192 S. Anti Difteri inj 20.000 iu ( ADS ) - -
193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) 4 15
194 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) - -
195 Salbutamol 2 mg tab 1,500 -
196 Salbutamol 4 mg tab 770 1,500
197 Salep 2-4 komb 137 -
198 Salisil Bedak 2 % 100 150
199 Salisil Spiritus 10 % 29 -
200 Sefadroxil 500 mg kapsul 452 100
201 Sefotaxim Injeksi 1 gram 90 500
202 Seftriaxon Inj 1 gram 40 200
203 Sianokobalamin (Vit B12) inj 545 -
204 Simetidin tab 200 mg - -
205 Simvastatin 10 mg tab 300 960
206 Siprofloksasin 500 mg tab 4,506 6,000
207 Streptomisin inj 1500 mg /vial - -
208 Sulfasetamid tts mata 15% 270 144
209 Tablet tambah darah komb 13,709 75,200
210 Tetrakain tetes mata 0,5% - -
211 Tetrasiklin 250 mg - -
212 Tetrasiklin 500 mg 633 -
213 Thiamin ( Vit B1 ) 50 mg tab 13,798 19,000
214 Thiamin ( Vit B1 ) inj 100 mg/Amp 266 360
215 Thiamphenkol 500 mg cap 5,001 6,400
216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) - -
217 Tiopental Na. Serbuk 1000 mg/Amp - -
218 Tramadol 50 mg 54 -
219 Triheksipenidil Hcl 2 mg tab 1,000 2,050
220 Vitamin B Kompleks tab 29,747 36,000
221 Yodium povidon 10 % 30 ml 23 -
222 Yodium Povidon 10 % 300 ml 10 -
223 Yodium Povidon 10% 1 Liter 5 -
224 Zink 20 mg Tablet dispersible 2,431 4,800
225 Zink Syrup 70 340
LUAR LPLPO / OBAT PELENGKAP - -
1 Adona injeksi - -
2 Alinamin F injeksi - -
3 Antrain inj 185 130
4 Asering Larutan Infus 80 260
5 Attapulgite tablet komb (Diaform/Neo Diaform) 236 600
6 Bismecon Gel 8 -
7 Bufacom (Triamsinolon in oral base) - 20
8 Dulcolax supp 5 mg - -
9 Dulcolax tab - -
10 demacolin 191 200
11 Fludane Syrup 36 -
12 Fludane Tablet 1 600
13 Gitas Plus Inj - -
14 Gitas Plus tablet / Spasmal tablet / scopamin - -
15 Ka-En 3 A 100 200
16 Ka-En 3 B 160 200
17 Kombivent Inhalasi - 5
18 Lakto B - 200
19 Lynoral tab 100 -
20 Lysmin ( Lysin ) Sirup 54 -
21 Ultravita tab / Kurkumex tab / Lanovit tab 500 -
22 metioson tab - -
23 Neurobion tablet 40 -
24 Neurovit E tablet - 60
25 Opixitrol eye drop - -
26 Pamol 125 mg Supp 12 -
27 Scabicid krim - -
28 Tensigard 150 -
OBAT GIGI - -
1 Air Raksa use Dental - -
2 Bonding - 2
3 Cresophen - -
4 Dentorit pasta ( Cavit G ) - 6
5 Devitalisasi pasta (non arsen) - 1
6 Devitalisasi pasta (arsen) - -
7 Etching - 2
8 Etil Klorida semprot 9 9
9 Eugenol cairan - 2
10 Glass Ionomer cement ART / Fuji IX ART Besar - 5
11 Kalsium Hidroksida pasta - 3
12 Komposit A2 Anterior - 3
13 Komposit A2 Posterior - 1
14 Monokamper mentol cair (CHKM) - 1
15 Mummifying pasta - 1
16 Polikresulen (Albothyl) 10 -
17 Semen seng fosfat serbuk & cair - 3
18 Silver Amalgam Serbuk 65-75 % - -
19 Solare - -
20 Spon Gelatin 1x1x1 cm - 1
21 Temporary stoping fletcher serbuk&cair - -
22 Trikresolformalin (TKF) cair - 2
PERBEKALAN KESEHATAN - -
1 Alat Suntik Sekali Pakai 0,05 ml - -
2 Alat Suntik Sekali Pakai 0,5 ml - -
3 Alat Suntik Sekali Pakai 1 ml 1,388 200
4 Alat Suntik Sekali Pakai 3 ml 3,337 4,300
5 Alat Suntik Sekali Pakai 5 ml 705 600
6 Alat Suntik Sekali Pakai 10 ml 97 -
7 Aqua Gel 3 8
8 Blood set 21 -
9 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 97 84
10 catgut rol 1 -
11 Etanol 70 % 1 L 12 40
12 Hidrogen Peroksida ( H2O2 ) 3% 10 -
13 Infusion Set Anak 200 350
14 Infusion Set Dewasa 616 1,000
15 Jarum Jahit (Bedah) No 9 s/d 14 132 24
16 Kapas Berlemak 500 gr - -
17 Kapas Pembalut/Absorben 250 gr 53 30
18 Kasa Pembalut 2 X 80 cm 55 310
19 Kasa Kompres 40/40 steril 60 -
20 Kasa Pembalut 4 X 15 cm 102 140
21 Kasa Pembalut 4 X 3 cm 80 40
22 Lisol (Kresol tersaponifikasi 50%) 1 liter 4 10
23 Masker 92 850
24 Mess 260 200
25 Pembalut gibs 3 inchi - -
26 Plester 5 yard X 2 inch 19 65
27 Pot Sputum diameter 7 cm 50 600
28 Sarung Tangan Steril ( Handscoun) 165 500
29 hanscoun steril 525 500
30 Silk ( Benang Bedah Sutera) N0 3/0 45 -
31 silk rol 1 -
32 IV. Catheter no. 18 216 170
33 IV. Catheter no. 20 300 1,000
34 IV. Catheter no. 22 180 250
35 IV. Catheter no. 24 215 360
36 Wing nedle - -
REAGEN DASAR - -
1 Amoniak ( 100 ml ) - -
2 Anisol ( 100 ml ) - -
3 Aquadest steril 1 liter - -
4 Asam asetat 6 % ( 100 ml ) - -
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) - 3
6 Asam Sulfosalisilat 20 % ( 100 ml ) - -
7 Barium Klorida ( 100 ml ) - -
8 Benedict ( 100 ml ) - -
9 Carbol Gentian Violet ( 100 ml ) - -
10 EDTA ( 100 ml ) - 2
11 Eosin 2 % ( 100 ml ) - -
12 Etanol Asam 100ml - -
13 Eter Alkohol - -
14 Fauchet ( 100 ml ) - -
15 Felling A - -
16 Felling B - -
17 Giemsa stain - 1
18 Golongan Darah A,B,O - -
19 Hayem ( 100 ml ) - -
20 Iodium akohol ( 100 ml ) - -
21 Karbon Fuksin - -
22 Kinyoun ( 100 ml ) - -
23 Lugol 1 % ( 100 ml ) - -
24 Metanol - -
25 Metilen Biru ( 100 ml ) - -
26 NACL 0,9% ( 100 ml ) - -
27 Oil Imerson ( 100 ml ) - 1
28 Reesecher ( 100 ml ) - 2
29 Schlesinger ( 100 ml ) - 1
30 Spiritus Bakar ( 1 liter ) 5 -
31 Turk ( 100 ml ) - 2
32 Widal - -
33 Xylol ( 100 ml ) - -
34 Zeil nelson set ( ZN set ) - -
REAGEN KIMIA KLINIK - -
1 Malaria Test - -
2 Dengue Test - -
3 HbsAg Test - -
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 - -
5 HCV Test - -
6 Reagen Albumin - -
7 Reagen Alkalin Fosfatase - -
8 Reagen Asam Urat - -
9 Reagen Billirubin Total - -
10 Reagen Billirubin Direct - -
11 Reagen Glukosa - -
12 Reagen Hb Cyanmeth - -
13 Reagen Kolesterol - -
14 Reagen Kreatinin - -
15 Reagen SGOT - -
16 Reagen SGPT - -
17 Reagen Total Protein - -
18 Reagen Trigliserida - -
19 Reagen Ureum - -
20 Reagen VDRL carbon antigen - -
21 - - -
22 Urine Strip 10 parameter - 100
TAMBAHAN OBAT - -
1 Slide - 14
2 Haloperidol 5 Mg 500 -
3 Aseton Alkohol - -
4 KLINDAMICIN 300 - -
5 AS TRANEKSAMAT INJ 50 -
6 SOHOBION INJ 5 -
7 TISSU - -
8 COVER GLAS - 2
9 KARTU GOL.DRH - 400
10 CO AMOXICLAV - -
11 HEMOROGARD 120 60
12 Articulating paper - -
13 Root canal - -
14 Cocoa butter - -
15 catton roll - -
16 Gutta percha - -
17 Micro brush - -
18 oco - -
19 Vaselin - -
20 Paper point - -
21 Seluloid strip - -
22 Donexan sirup 2 40
23 tab reaksi - -
24 pipet 100 -
25 amox syr forte 317 200
26 HB test - -
27 tes kehamilan - -
28 ondosetron inj 160 200
29 alkohol 95% - -
30 lithium carbonat 200 -
31 foly catter no 18 2 -
32 urin bag 2 -
33 blood seet 2 -
34 muccus extraktor 2 -
35 kertas lakmus 1 -
36 sarung tng obgyn 36 25
37 sarung tng industri 3 -
38 bayclin klorin 3 -
39 aseptan 7 -
40 reagn protein urine 6 -
41 rd 5% 21 -
42 kasa steril 235 -
43 yodium pov 60 ml 269 -
44 bio e - 300
45 alkohol 70% 100ml - 405
46 wida RD 5% - 140
47 Water for irigation - 2
48 trifluprazine 5ml - 200
49 Haloperidol Inj - 5
50 mas hospital feeding tub f6 - -
51 mas hospital feeding tub f8 - -
52 kasa steril 16x16 - -
53 mas noc infant - -
54 mas noc neonatus - -
55 spatula kayu - -
56 bisakodil supp 10 mg 24 -
57 simvastatin 20 mg 600 -
58 vit e 200 Ui 500 -
59 cat gut plain 24 -
60 scabimid slp 10 -
61 amox syr 250 mg - 300
62 simvastatin 20mg - -
63 nasal oxygen canula adult - 30
64 nasal oxygen canula child - 10
65 urin bag - 50
66 onemed onescrub 500cc - 5
67 terumo disp 3cc - 1,000
68 terumo disp 5cc - 100
69 folycatheter no 18 - 30
70 folycatheter no 16 - 20
71 object glas - 10
72 cover glas - 2
73 tisu lensa - 2
74 stik kolesterol - 70
75 stik asam urat - 100
76 widal tipe o - 1
77 widal tipe h - 1
78 widal tipe ah - 1
79 widal tipe ab - 1
80 kertas golongan darah - 3
81 bioplasenton - 35
82 serbuk pumice - 1
83 articulating paper - 2
84 cotton rol - 1
85 selluloid strip - 1
86 hiv test stop 3 - 50
87 hiv test stop 2 vikia - 50
88 hiv test intec - 60
89 lexicam - 1,000
90 b.falek salep - 20
91 lexavon - 1,000
92 biolysin syr - 50
93 stik glukosa protin urine - 20
94 APD SET - -
KESMAS JABUNGSISIR

TOTAL
JMLH PAKAI SISA KET SELISIH
- 0 - - -
583 8 575 150 425
1,409 1137 272 272 -
644 497 147 147 -
2,425 690 1,735 1,735 -
62 17 45 26 19
3,460 1871 1,589 1,589 -
140 6 134 134 -
648 230 418 418 -
1,200 445 755 755 -
66,210 19519 46,691 46,691 -
2,645 1226 1,419 1,419 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
128 48 80 80 -
37,086 13309 23,777 23,777 -
28 27 1 1 -
24 5 19 19 -
100 23 77 77 -
1,340 358 982 982 -
100 0 100 100 -
428 388 40 40 -
29,894 10932 18,962 18,962 -
7,596 5284 2,312 2,312 -
39,238 15388 23,850 23,850 -
180 0 180 180 -
936 279 657 657 -
365 126 239 239 -
100 0 100 100 -
- 0 - - -
- 0 - - -
10 0 10 - 10
990 240 750 750 -
198 83 115 115 -
- 0 - - -
- 0 - - -
300 71 229 229 -
9,005 5993 3,012 3,012 -
- 0 - - -
- 0 - - -
- 0 - - -
20 18 2 2 -
653 63 590 590 -
- 0 - - -
- 0 - - -
1,259 473 786 786 -
320 56 264 264 -
100 0 100 100 -
401 101 300 300 -
- 0 - - -
518 0 518 518 -
74 25 49 49 -
520 450 70 70 -
- 0 - - -
47 8 39 39 -
60 12 48 - 48
- 0 - - -
- 0 - - -
500 0 500 250 250
- 0 - - -
- 0 - - -
500 0 500 - 500
1,768 1 1,767 767 1,000
200 0 200 - 200
- 0 - - -
95 0 95 95 -
415 222 193 193 -
1,237 305 932 932 -
539 178 361 361 -
- 0 - - -
- 0 - - -
6,956 2132 4,824 4,824 -
1,274 986 288 288 -
557 184 373 373 -
110 10 100 100 -
102 2 100 100 -
12,653 2394 10,259 10,259 -
45,288 16784 28,504 28,504 -
- 0 - - -
- 0 - - -
- 0 - - -
244 244 - - -
936 528 408 408 -
- 0 - - -
1,026 552 474 474 -
- 0 - - -
966 138 828 828 -
4,000 665 3,335 3,335 -
195 25 170 170 -
3,519 519 3,000 3,000 -
3,524 1192 2,332 2,332 -
100 0 100 100 -
- 0 - - -
- 0 - - -
353 65 288 288 -
- 0 - - -
2,250 0 2,250 2,250 -
28,000 10028 17,972 17,972 -
24 0 24 24 -
6,193 2316 3,877 3,877 -
4,000 781 3,219 3,219 -
2,410 2170 240 240 -
- 0 - - -
- 0 - - -
1,062 892 170 170 -
- 0 - - -
240 46 194 194 -
210 112 98 98 -
4 4 - - -
58 8 50 50 -
48,303 14184 34,119 34,119 -
30 0 30 30 -
2,267 716 1,551 1,551 -
800 6 794 294 500
12,498 3780 8,718 8,718 -
300 0 300 300 -
748 205 543 543 -
- 0 - - -
- 0 - - -
780 390 390 390 -
438 218 220 220 -
9,000 833 8,167 8,167 -
40 0 40 5 35
55 0 55 20 35
- 0 - - -
100 0 100 100 -
3,882 2082 1,800 - 1,800
- 0 - - -
427 118 309 204 105
4,552 1357 3,195 3,195 -
145 70 75 75 -
30 0 30 30 -
1,936 356 1,580 980 600
21 4 17 17 -
- 0 - - -
7,669 2648 5,021 5,021 -
160 32 128 128 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
3,248 780 2,468 2,468 -
- 0 - - -
- 0 - - -
365 365 - - -
300 139 161 161 -
609 72 537 537 -
100 0 100 100 -
- 0 - - -
- 0 - - -
462 103 359 359 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
291 51 240 240 -
561 273 288 288 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
20 3 17 17 -
1,681 452 1,229 1,229 -
- 0 - - -
63,841 33908 29,933 29,993 (60)
- 0 - - -
- 0 - - -
120 0 120 120 -
300 0 300 - 300
18,313 7554 10,759 10,759 -
500 10 490 490 -
- 0 - - -
- 0 - - -
17,697 3728 13,969 9,969 4,000
- 0 - - -
- 0 - - -
400 0 400 100 300
100 0 100 - 100
805 775 30 30 -
14,621 3006 11,615 11,615 -
- 0 - - -
- 0 - - -
3,374 2894 480 480 -
630 465 165 165 -
- 0 - - -
- 0 - - -
40 20 20 20 -
7,760 3405 4,355 4,355 -
3 3 - - -
- 0 - - -
19 14 5 - 5
- 0 - - -
1,500 500 1,000 1,000 -
2,270 1041 1,229 1,229 -
137 80 57 57 -
250 97 153 153 -
29 0 29 29 -
552 160 392 392 -
590 550 40 40 -
240 160 80 80 -
545 145 400 400 -
- 0 - - -
1,260 1052 208 8 200
10,506 1506 9,000 9,000 -
- 0 - - -
414 179 235 201 34
88,909 17459 71,450 71,450 -
- 0 - - -
- 0 - - -
633 278 355 55 300
32,798 14713 18,085 18,085 -
626 259 367 7 360
11,401 1186 10,215 10,215 -
- 0 - - -
- 0 - - -
54 23 31 31 -
3,050 1050 2,000 2,000 -
65,747 23046 42,701 42,701 -
23 13 10 10 -
10 1 9 9 -
5 1 4 4 -
7,231 1631 5,600 5,600 -
410 39 371 371 -
- 0 - - -
- 0 - - -
- 0 - - -
315 315 - - -
340 340 - - -
836 836 - - -
8 6 2 2 -
20 0 20 20 -
- 0 - - -
- 0 - - -
391 346 45 45 -
36 17 19 19 -
601 1 600 600 -
- 0 - - -
- 0 - - -
300 280 20 20 -
360 360 - - -
5 5 - - -
200 0 200 200 -
100 26 74 74 -
54 36 18 18 -
500 400 100 100 -
- 0 - - -
40 40 - - -
60 0 60 60 -
- 0 - - -
12 0 12 12 -
- 0 - - -
150 50 100 100 -
- 0 - - -
- 0 - - -
2 2 - - -
- 0 - - -
6 1 5 5 -
1 1 - - -
- 0 - - -
2 2 - - -
18 5 13 13 -
2 0 2 2 -
5 1 4 4 -
3 0 3 3 -
3 2 1 1 -
1 1 - - -
1 0 1 1 -
1 0 1 1 -
10 10 - - -
3 3 - - -
- 0 - - -
- 0 - - -
1 0 1 1 -
- 0 - - -
2 0 2 2 -
- 0 - - -
- 0 - - -
- 0 - - -
1,588 746 842 842 -
7,637 3914 3,723 3,723 -
1,305 617 688 688 -
97 7 90 90 -
11 3 8 8 -
21 4 17 17 -
181 77 104 104 -
1 1 - - -
52 36 16 16 -
10 4 6 6 -
550 436 114 114 -
1,616 1100 516 516 -
156 77 79 79 -
- 0 - - -
83 29 54 54 -
365 220 145 145 -
60 0 60 60 -
242 192 50 50 -
120 48 72 72 -
14 4 10 10 -
942 792 150 150 -
460 164 296 296 -
- 0 - - -
84 69 15 15 -
650 630 20 20 -
665 537 128 128 -
1,025 1021 4 4 -
45 13 32 32 -
1 0 1 1 -
386 257 129 129 -
1,300 711 589 589 -
430 270 160 160 -
575 436 139 139 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
3 2 1 1 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
2 2 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1 1 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1 1 - - -
2 1 1 1 -
1 1 - - -
5 3 2 2 -
2 1 1 1 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
100 0 100 - 100
- 0 - - -
14 14 - - -
500 105 395 395 -
- 0 - - -
- 0 - - -
50 0 50 50 -
5 5 - - -
- 0 - - -
2 2 - - -
400 350 50 50 -
- 0 - - -
180 0 180 180 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
42 32 10 10 -
- 0 - - -
100 90 10 10 -
517 340 177 177 -
- 0 - - -
- 0 - - -
360 260 100 100 -
- 0 - - -
200 0 200 200 -
2 2 - - -
2 2 - - -
2 1 1 1 -
2 1 1 1 -
1 1 - - -
61 50 11 11 -
3 3 - - -
3 3 - - -
7 7 - - -
6 4 2 2 -
21 14 7 7 -
235 212 23 23 -
269 201 68 68 -
300 210 90 90 -
405 8 397 397 -
140 0 140 140 -
2 0 2 2 -
200 0 200 200 -
5 0 5 5 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
24 6 18 18 -
600 0 600 600 -
500 0 500 500 -
24 0 24 24 -
10 7 3 3 -
300 0 300 300 -
- 0 - - -
30 2 28 28 -
10 2 8 8 -
50 4 46 46 -
5 2 3 3 -
1,000 0 1,000 1,000 -
100 0 100 100 -
30 2 28 28 -
20 2 18 18 -
10 2 8 8 -
2 0 2 2 -
2 0 2 2 -
70 10 60 60 -
100 20 80 80 -
1 0 1 1 -
1 0 1 1 -
1 0 1 1 -
1 0 1 1 -
3 2 1 1 -
35 0 35 35 -
1 0 1 1 -
2 0 2 2 -
1 0 1 - 1
1 0 1 1 -
50 0 50 46 4
50 0 50 50 -
60 0 60 60 -
1,000 0 1,000 1,000 -
20 0 20 20 -
1,000 0 1,000 1,000 -
50 0 50 50 -
20 0 20 - 20
- 0 - - -
NO JENIS OBAT/BHP
PAKAI
2 Albendazol tab 400 mg 8
3 Alopurinol 100 1137
4 Alopurinol 300 497
5 Ambroxol tablet 30 mg 690
6 Aminophilin inj 24 mg/ml-10 ml 17
7 Aminophilin tab 200 mg 1871
8 Amitriptilin Hcl tab 25 mg 6
9 Amlodipin tab 10 mg 230
10 Amlodipin tab 5 mg 445
11 Amoksisilin 500 mg 19519
12 Amoksisilin kaps 250 mg 1226
17 Antasida DOEN Syrup 48
18 Antasida DOEN tab Komb 13309
19 Antibakteri DOEN salep Komb 27
20 Antifungi DOEN salep Komb 5
21 Antihemoroid DOEN Komb 23
22 Antimigren DOEN tab Komb 358
24 Aqua proinjeksi steril bebas pirogen 388
25 Asam Askorbat (Vit C) tab 50 mg 10932
26 Asam folat 1 mg 5284
27 Asam mefenamat 500 mg 15388
29 Asiklovir 400 mg 279
30 Asiklovir 5 % krim 126
35 Betahistin Mesilat tablet 6 mg 240
36 Betametason krim 0,1% 83
39 Deksametason inj 5 mg/ml-ml 71
40 Deksametason tab 0.5 mg 5993
44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) 18
45 Diazepam tab 2 mg 63
48 Difenhidramin Hcl Inj 10 mg/ml-1ml 473
49 Digoksin tab 0.25 mg 56
51 Dimenhidrinat tablet 50 mg 101
54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml 25
55 Erithromisin 500 mg tab 450
57 Erithromisin sirup 200 mg/5 ml 8
58 Etakridin (Rivanol) Lart 0,1% 12
65 Fenobarbital tab 30 mg 1
69 Fitomenadion (VitK) inj 10mg/ml-1ml 222
70 Fitomenadion (VitK) tab 10 mg 305
71 Furosemid tab 40 mg 178
74 Garam Oralit untuk 200 ml air 2132
75 Gemfibrozil 300 mg 986
76 Gentamsin Salep Kulit 0,1% 184
77 Gentamycin 80 mg/2 ml injeksi 10
78 Gentian Violet lart 1% 2
79 Glibenklamid 5 mg 2394
80 Gliseril Guaiyakolat tab 100 mg 16784
84 Glukosa Lart Inf 5 % steril 244
85 Grisiofulvin tab 125 mg 528
87 Haloperidol tab 1.5 mg 552
89 Hidrokortison krim 2.5 % 138
90 Hiosin N- Butilbromida Tab 10 mg 665
91 Hiosin N- Butilbromida Inj 20 mg/ml 25
92 Ibuprofen 200 mg 519
93 Ibuprofen 400 mg 1192
97 Isosorbid dinitrat tab 5 mg 65
100 Kalsium Laktas (Kalk) tab 500 mg 10028
102 Kaptopril 12,5 mg 2316
103 Kaptopril 25 mg 781
104 Karbamazepin tab 200 mg 2170
107 Klindamycin 150 mg 892
109 Kloramphenikol salep mata 1 % 46
110 Kloramphenikol tetes telinga 3 % 112
111 Kloramfenikol Suspensi 125 mg/5 ml 4
112 Kloramfenikol Tetes mata 0,5% 8
113 Klorfeniramin maleat (CTM) tab 4 mg 14184
115 Klorpromazin Hcl tab 100 mg 716
116 Kodein 10 mg tab 6
117 Kotrimoksazole Dewasa tab 480 mg 3780
119 Kotrimoksazole Susp 205
122 Lidokain 2% injeksi 390
123 Lidokain Komp Inj 218
124 Loperamid HCl tablet 2 mg 833
129 Metformin HCl Tab 500 mg 2082
131 Metil Ergometrin Inj 0,200 mg-1 ml 118
132 Metil Ergometrin tab 0.125 mg 1357
133 Metil Prednisolon tab 4 mg 70
135 Metoklopramid tab 10 mg ( Tomit tab ) 356
136 Metronidazol Infus 500 mg/100 ml 4
138 Metronidazol 500 mg 2648
139 Mikonazole Krim / salep 2% 32
144 Na. Diklofenac 50 mg 780
147 Natrium Klorida lart inf 0.9% 365
148 Nifedipin tab 10 mg 139
149 Nistatin 100.000 iu tab vag 72
153 Obat Batuk hitam (OBH) sirup 100 ml 103
158 Oksitetrasiklin SM 1 % 51
159 Oksitosin inj 10 iu/1ml 273
164 Paracetamol Drops 3
165 Parasetamol sirup 120 mg/5 ml 452
167 Parasetamol tab 500 mg 33908
172 Piridoksin tab 10 mg 7554
173 Piroksicam 10 mg 10
176 Prednison 5 mg tab 3728
181 Ranitidin Inj 25 mg/ 2 ml 775
182 Ranitidin tab 150 mg 3006
185 Retinol ( Vit A ) 200.000 iu Kap 2894
186 Retinol ( Vit.A) 100.000 UI 465
189 Rifampisin 600 mg kaplet 20
190 Ringer Laktate lart infus 3405
191 S. Anti Bisa Ular poli inj 5 ml(ABU I) 3
193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) 14
195 Salbutamol 2 mg tab 500
196 Salbutamol 4 mg tab 1041
197 Salep 2-4 komb 80
198 Salisil Bedak 2 % 97
200 Sefadroxil 500 mg kapsul 160
201 Sefotaxim Injeksi 1 gram 550
202 Seftriaxon Inj 1 gram 160
203 Sianokobalamin (Vit B12) inj 145
205 Simvastatin 10 mg tab 1052
206 Siprofloksasin 500 mg tab 1506
208 Sulfasetamid tts mata 15% 179
209 Tablet tambah darah komb 17459
212 Tetrasiklin 500 mg 278
213 Thiamin ( Vit B1 ) 50 mg tab 14713
214 Thiamin ( Vit B1 ) inj 100 mg/Amp 259
215 Thiamphenkol 500 mg cap 1186
218 Tramadol 50 mg 23
219 Triheksipenidil Hcl 2 mg tab 1050
220 Vitamin B Kompleks tab 23046
221 Yodium povidon 10 % 30 ml 13
222 Yodium Povidon 10 % 300 ml 1
223 Yodium Povidon 10% 1 Liter 1
224 Zink 20 mg Tablet dispersible 1631
225 Zink Syrup 39
3 Antrain inj 315
4 Asering Larutan Infus 340
5 Attapulgite tablet komb (Diaform/Neo Diaform) 836
6 Bismecon Gel 6
10 demacolin 346
11 Fludane Syrup 17
12 Fludane Tablet 1
15 Ka-En 3 A 280
16 Ka-En 3 B 360
17 Kombivent Inhalasi 5
19 Lynoral tab 26
20 Lysmin ( Lysin ) Sirup 36
21 Ultravita tab / Kurkumex tab / Lanovit tab 400
23 Neurobion tablet 40
28 Tensigard 50
2 Bonding 2
4 Dentorit pasta ( Cavit G ) 1
5 Devitalisasi pasta (non arsen) 1
7 Etching 2
8 Etil Klorida semprot 5
10 Glass Ionomer cement ART / Fuji IX ART Besar 1
12 Komposit A2 Anterior 2
13 Komposit A2 Posterior 1
16 Polikresulen (Albothyl) 10
17 Semen seng fosfat serbuk & cair 3
3 Alat Suntik Sekali Pakai 1 ml 746
4 Alat Suntik Sekali Pakai 3 ml 3914
5 Alat Suntik Sekali Pakai 5 ml 617
6 Alat Suntik Sekali Pakai 10 ml 7
7 Aqua Gel 3
8 Blood set 4
9 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 77
10 catgut rol 1
11 Etanol 70 % 1 L 36
12 Hidrogen Peroksida ( H2O2 ) 3% 4
13 Infusion Set Anak 436
14 Infusion Set Dewasa 1100
15 Jarum Jahit (Bedah) No 9 s/d 14 77
17 Kapas Pembalut/Absorben 250 gr 29
18 Kasa Pembalut 2 X 80 cm 220
20 Kasa Pembalut 4 X 15 cm 192
21 Kasa Pembalut 4 X 3 cm 48
22 Lisol (Kresol tersaponifikasi 50%) 1 liter 4
23 Masker 792
24 Mess 164
26 Plester 5 yard X 2 inch 69
27 Pot Sputum diameter 7 cm 630
28 Sarung Tangan Steril ( Handscoun) 537
29 hanscoun steril 1021
30 Silk ( Benang Bedah Sutera) N0 3/0 13
32 IV. Catheter no. 18 257
33 IV. Catheter no. 20 711
34 IV. Catheter no. 22 270
35 IV. Catheter no. 24 436
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) 2
10 EDTA ( 100 ml ) 2
17 Giemsa stain 1
27 Oil Imerson ( 100 ml ) 1
28 Reesecher ( 100 ml ) 1
29 Schlesinger ( 100 ml ) 1
30 Spiritus Bakar ( 1 liter ) 3
31 Turk ( 100 ml ) 1
1 Slide 14
2 Haloperidol 5 Mg 105
6 SOHOBION INJ 5
8 COVER GLAS 2
9 KARTU GOL.DRH 350
22 Donexan sirup 32
24 pipet 90
25 amox syr forte 340
28 ondosetron inj 260
31 foly catter no 18 2
32 urin bag 2
33 blood seet 1
34 muccus extraktor 1
35 kertas lakmus 1
36 sarung tng obgyn 50
37 sarung tng industri 3
38 bayclin klorin 3
39 aseptan 7
40 reagn protein urine 4
41 rd 5% 14
42 kasa steril 212
43 yodium pov 60 ml 201
44 bio e 210
45 alkohol 70% 100ml 8
10 OBAT SLOWMOVING TH 2015
JENIS OBAT/BHP
NO
PAKAI
1 Parasetamol tab 500 mg 33908
2 Vitamin B Kompleks tab 23046
3 Amoksisilin 500 mg 19519
4 Tablet tambah darah komb 17459
5 Gliseril Guaiyakolat tab 100 mg 16784
6 Asam mefenamat 500 mg 15388
7 Thiamin ( Vit B1 ) 50 mg tab 14713
8 Klorfeniramin maleat (CTM) tab 4 mg 14184
9 Antasida DOEN tab Komb 13309
10 Asam Askorbat (Vit C) tab 50 mg 10932
12 10028
17 7554
18 5993
19 5284
20 3914
21 3780
22 3728
24 3405
25 3006
26 2894
27 2648
29 2394
30 2316
35 2170
36 2132
39 2082
40 1871
44 1631
45 1506
48 1357
49 1226
51 1192
54 1186
55 1137
57 1100
58 1052
65 1050
69 1041
70 1021
71 986
74 892
75 836
76 833
77 792
78 781
79 780
80 775
84 746
85 716
87 711
89 690
90 665
91 630
92 617
93 552
97 550
100 537
102 528
103 519
104 500
107 497
109 473
110 465
111 452
112 450
113 445
115 436
116 436
117 8
119 400
122 390
123 388
124 365
129 360
131 358
132 356
133 350
135 346
136 340
138 340
139 315
144 305
147 280
148 279
149 278
153 273
158 270
159 260
164 259
165 257
167 244
172 240
173 230
176 222
181 220
182 218
185 212
186 210
189 205
190 201
191 192
193 Gentamsin Salep Kulit 0,1% 184
195 179
196 Furosemid tab 40 mg 178
197 164
198 160
200 160
201 145
202 139
203 Hidrokortison krim 2.5 % 138 Metil
205 Asiklovir 5 % krim 126
206 118
208 Kloramphenikol tetes telinga 3 % 112
209 105 Nista
212 Obat Batuk hitam (OBH) sirup 100 ml 103
213 Dimenhidrinat tablet 50 mg 101
214 Salisil Bedak 2 % 97 Catgut/Benang bedah
215 pipet 90
218 Betametason krim 0,1% 83
219 Salep 2-4 komb 80 Jaru
220 Jarum Jahit (Bedah) No 9 s/d 14 77
221 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 77
222 Nistatin 100.000 iu tab vag 72
223 Deksametason inj 5 mg/ml-ml 71
224 Metil Prednisolon tab 4 mg 70
225 69
3 65
4 63
5 56
6 51
10 50
11 50
12 48
15 48
16 46
17 40
19 39
20 36
21 36
23 32
28 32
2 29
4 27
5 26
7 25
8 25
10 23
12 23
13 20
16 18
17 17
3 17
4 14
5 14
6 14
7 13
8 13
9 12
10 10
11 10
12 10
13 8
14 8
15 8
17 7
18 7
20 6
21 6
22 6
23 5
24 5
26 5
27 5
28 4
29 4
30 4
32 4
33 4
34 4
35 3
5 3
10 3
17 3
27 3
28 3
29 3
30 2
31 2
1 2
2 2
6 2
8 2
9 2
22 2
24 2
25 1
28 1
31 1
32 1
33 1
34 1
35 1
36 1
37 1
38 1
39 1
40 1
41 1
42 1
43 1
44 1
45 1
10 OBAT SLOWMOVING TH 2015

Metil Prednisolon tab 4 mg ; 70; 7.60% Obat Batuk hitam (OBH) sirup 100 ml; 103; 11.18%
Deksametason inj 5 mg/ml-ml; 71; 7.71%

Dimenhidrinat tablet 50 mg; 101; 10.97%


Nistatin 100.000 iu tab vag; 72; 7.82%

Salisil Bedak 2 %; 97; 10.53%


Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah; 77; 8.36%

Jarum Jahit (Bedah) No 9 s/d 14; 77; 8.36%


pipet ; 90; 9.77%

Salep 2-4 komb; 80; 8.69% Betametason krim 0,1%; 83; 9.01%
11.18%
10 OBAT FASTMOVING TH 2015
JENIS OBAT/BHP
NO
PAKAI
1 Parasetamol tab 500 mg 33908
2 Vitamin B Kompleks tab 23046
3 Amoksisilin 500 mg 19519
4 Tablet tambah darah komb 17459
5 Gliseril Guaiyakolat tab 100 mg 16784
6 Asam mefenamat 500 mg 15388
7 Thiamin ( Vit B1 ) 50 mg tab 14713
8 Klorfeniramin maleat (CTM) tab 4 mg 14184
9 Antasida DOEN tab Komb 13309
10 Asam Askorbat (Vit C) tab 50 mg 10932
12 10028
17 7554
18 5993
19 5284 Parasetamol tab 500 mg Vitamin B Kompleks tab Amoksisilin 500 mg Ta
20 3914
21 3780
22 3728
24 3405
25 3006
26 2894
27 2648
29 2394
30 2316
35 2170
36 2132
39 2082
40 1871
44 1631
45 1506
48 1357
49 1226
51 1192
54 1186
55 1137
57 1100
58 1052
65 1050
69 1041
70 1021
71 986
74 892
75 836
76 833
77 792
78 781
79 780
80 775
84 746
85 716
87 711
89 690
90 665
91 630
92 617
93 552
97 550
100 537
102 528
103 519
104 500
107 497
109 473
110 465
111 452
112 450
113 445
115 436
116 436
117 8
119 400
122 390
123 388
124 365
129 360
131 358
132 356
133 350
135 346
136 340
138 340
139 315
144 305
147 280
148 279
149 278
153 273
158 270
159 260
164 259
165 257
167 244
172 240
173 230
176 222
181 220
182 218
185 212
186 210
189 205
190 201
191 192
193 184
195 179
196 178
197 164
198 160
200 160
201 145
202 139
203 138
205 126
206 118
208 112
209 105
212 103
213 101
214 97
215 90
218 83
219 80
220 77
221 77
222 72
223 71
224 70
225 69
3 65
4 63
5 56
6 51
10 50
11 50
12 48
15 48
16 46
17 40
19 39
20 36
21 36
23 32
28 32
2 29
4 27
5 26
7 25
8 25
10 23
12 23
13 20
16 18
17 17
3 17
4 14
5 14
6 14
7 13
8 13
9 12
10 10
11 10
12 10
13 8
14 8
15 8
17 7
18 7
20 6
21 6
22 6
23 5
24 5
26 5
27 5
28 4
29 4
30 4
32 4
33 4
34 4
35 3
5 3
10 3
17 3
27 3
28 3
29 3
30 2
31 2
1 2
2 2
6 2
8 2
9 2
22 2
24 2
25 1
28 1
31 1
32 1
33 1
34 1
35 1
36 1
37 1
38 1
39 1
40 1
41 1
42 1
43 1
44 1
45 1
10 OBAT FASTMOVING TH 2015

33,908 23,046 19,51914184 10932 15,388 14,713 14,184 13,309 10,932 ; 19519
17,459 16,784
14713 1 13309
2 3 4 5 6 7 8 9 10 ; 33908
17459
etamol tab 500 mg Vitamin B Kompleks tab Amoksisilin 500 mg Tablet tambah darah komb Gliseril Guaiyakolat 15388
tab 100 mg Asam mefenamat 500 mg Thiamin ( Vit B1 ) 50 mg tab Klorfeniramin maleat (CTM) tab 4 mg Antasida DOEN tab Komb Asam Askorbat (Vit C) tab 50 mg;
16784
4 mg Antasida DOEN tab Komb Asam Askorbat (Vit C) tab 50 mg; 23046
KEADAAN OBAT DAN BHP PUSKESMAS
TAHUN 2014

NO JENIS OBAT/BHP TERSEDIA 1 JAN 2014 PENERIMAAN 2014


JUMLAH
DAU JKN DAU
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) - - 0 -
2 Albendazol tab 400 mg 580 - 580 -
3 Alopurinol 100 280 - 280 1,100
4 Alopurinol 300 204 - 204 490
5 Ambroxol tablet 30 mg 266 - 266 200
6 Aminophilin inj 24 mg/ml-10 ml 38 - 38 -
7 Aminophilin tab 200 mg 886 - 886 2,800
8 Amitriptilin Hcl tab 25 mg 355 - 355 -
9 Amlodipin tab 10 mg - - 0 300
10 Amlodipin tab 5 mg - - 0 600
11 Amoksisilin 500 mg 5,981 - 5981 27,000
12 Amoksisilin kaps 250 mg 1,800 - 1800 2,500
13 Amoksisilin SK 125mg/5ml 34 - 34 300
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) - - 0 -
15 Antalgin (metampiron) tab 500 mg 258 - 258 -
16 Antalgin inj 250 mg/ml-2 ml 90 - 90 -
17 Antasida DOEN Syrup 35 - 35 70
18 Antasida DOEN tab Komb 2,747 - 2747 19,000
19 Antibakteri DOEN salep Komb 4 - 4 50
20 Antifungi DOEN salep Komb - - 0 24
21 Antihemoroid DOEN Komb 5 - 5 -
22 Antimigren DOEN tab Komb 500 - 500 600
23 Antiparkinson DOEN tab Komb - - 0 -
24 Aqua proinjeksi steril bebas pirogen 143 - 143 200
25 Asam Askorbat (Vit C) tab 50 mg 6,258 - 6258 10,000
26 Asam folat 1 mg - - 0 11,000
27 Asam mefenamat 500 mg 6,626 - 6626 21,000
28 Asetosal tab 100 mg 80 - 80 -
29 Asiklovir 400 mg 440 - 440 300
30 Asiklovir 5 % krim 54 - 54 150
31 Atropin Sulfat inj 0,25mg/ml-1 ml 110 - 110 -
32 Atropin Sulfat tab 0,5 mg - - 0 -
33 Atropin tetes mata 0,5% 24 - 24 -
34 Benzatin benzil penisilin inj 2.4 jt iu/vial 10 - 10 -
35 Betahistin Mesilat tablet 6 mg 140 - 140 30
36 Betametason krim 0,1% 86 - 86 144
37 Bromheksin tablet 8 mg - - 0 -
38 Dapson tab 100 mg - - 0 -
39 Deksametason inj 5 mg/ml-ml 401 - 401 100
40 Deksametason tab 0.5 mg 3,270 - 3270 6,000
41 Dekstrometorphan sirup 10mg/5ml 100 - 100 -
42 Dekstrometorphan tab 15 mg 8,322 - 8322 -
43 Diazepam inj 5 mg/ml-2ml 68 - 68 30
44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) - - 0 20
45 Diazepam tab 2 mg 602 - 602 -
46 Diazepam tab 5 mg - - 0 -
47 Dietilkarbamazin sitrat tab 100 mg - - 0 -
48 Difenhidramin Hcl Inj 10 mg/ml-1ml 497 - 497 900
49 Digoksin tab 0.25 mg 100 - 100 -
50 Digoksin tab 0.5 mg - - 0 -
51 Dimenhidrinat tablet 50 mg 277 - 277 200
52 Ekstrak Beladon 10 mg - - 0 -
53 Ephedrin Hcl tab 25 mg 547 - 547 -
54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml 100 - 100 -
55 Erithromisin 500 mg tab - - 0 400
56 Eritromisin 250 mg 462 - 462 -
57 Erithromisin sirup 200 mg/5 ml 20 - 20 54
58 Etakridin (Rivanol) Lart 0,1% 50 - 50 72
59 Etambutol Hcl Tb 250 mg - - 0 -
60 Fenitoin Natrium inj 50 mg/ml @ 2ml - - 0 -
61 Fenitoin Natrium kaps 100 mg - - 0 250
62 Fenitoin Natrium Kaps 30 mg - - 0 -
63 Fenobarbital inj 50 mg/ml - - 0 -
64 Fenobarbital tab 100 mg 250 - 250 -
65 Fenobarbital tab 30 mg 768 - 768 -
66 Fenoksimetil penisilin tab 250 mg 200 - 200 -
67 Fenoksimetil penisilin tab 500 mg - - 0 -
68 Fenol gliserol tetes Telinga 10 % 31 - 31 24
69 Fitomenadion (VitK) inj 10mg/ml-1ml 194 - 194 300
70 Fitomenadion (VitK) tab 10 mg 489 - 489 900
71 Furosemid tab 40 mg 405 - 405 600
72 Furosemid Inj 10 mg/ml - - 0 25
73 Gameksan Lotion 1 % - - 0 -
74 Garam Oralit untuk 200 ml air 1,029 - 1029 4,000
75 Gemfibrozil 300 mg 240 - 240 480
76 Gentamsin Salep Kulit 0,1% 30 - 30 240
77 Gentamycin 80 mg/2 ml injeksi - - 0 -
78 Gentian Violet lart 1% 1 - 1 20
79 Glibenklamid 5 mg 937 - 937 6,000
80 Gliseril Guaiyakolat tab 100 mg 7,352 - 7352 20,000
81 Gliserin - - 0 -
82 Glukosa Lart Inf 10 % steril 20 - 20 -
83 Glukosa Lart Inf 40 % steril 2 - 2 -
84 Glukosa Lart Inf 5 % steril 144 - 144 100
85 Grisiofulvin tab 125 mg 300 - 300 600
86 Haloperidol tab 0.5 mg - - 0 -
87 Haloperidol tab 1.5 mg 454 - 454 400
88 Hidroklortiazid (HCT) tab 25 mg 1,000 - 1000 -
89 Hidrokortison krim 2.5 % 175 - 175 288
90 Hiosin N- Butilbromida Tab 10 mg 200 - 200 600
91 Hiosin N- Butilbromida Inj 20 mg/ml 9 - 9 140
92 Ibuprofen 200 mg 635 - 635 2,800
93 Ibuprofen 400 mg 315 - 315 1,500
94 Ichtyol salp - - 0 -
95 Iodiol softcaps - - 0 -
96 Isoniazid tab 300 mg 700 - 700 -
97 Isosorbid dinitrat tab 5 mg 99 - 99 100
98 Kalium Permanganat - - 0 -
99 Kalium Diklofenak tab 50 mg 113 - 113 -
100 Kalsium Laktas (Kalk) tab 500 mg 5,411 - 5411 8,000
101 Kalsium Gluconas Injeksi - - 0 25
102 Kaptopril 12,5 mg 1,500 - 1500 2,000
103 Kaptopril 25 mg 143 - 143 1,000
104 Karbamazepin tab 200 mg 140 - 140 1,800
105 Ketamin inj 10 mg/ml - - 0 -
106 Klofazimil kaps 100 mg - - 0 -
107 Klindamycin 150 mg - - 0 700
108 Kloramphenikol 250 mg - - 0 -
109 Kloramphenikol salep mata 1 % 18 - 18 -
110 Kloramphenikol tetes telinga 3 % 128 - 128 120
111 Kloramfenikol Suspensi 125 mg/5 ml 8 - 8 90
112 Kloramfenikol Tetes mata 0,5% 16 - 16 30
113 Klorfeniramin maleat (CTM) tab 4 mg 5,748 - 5748 23,000
114 Klorpromazin Hcl inj 25 mg/I ml - - 0 30
115 Klorpromazin Hcl tab 100 mg 524 - 524 500
116 Kodein 10 mg tab 500 - 500 -
117 Kotrimoksazole Dewasa tab 480 mg 2,326 - 2326 6,500
118 Kotrimoksazole ped tab 120 mg 308 - 308 -
119 Kotrimoksazole Susp 147 - 147 450
120 Kuinin Sulfat tab 222 mg - - 0 -
121 Levofloksasin tab 500 mg 170 - 170 -
122 Lidokain 2% injeksi 146 - 146 300
123 Lidokain Komp Inj 151 - 151 420
124 Loperamid HCl tablet 2 mg 126 - 126 300
125 Magnesium sulf inj 20%-25 ml 25 - 25 -
126 Magnesium sulf inj 40%-25 ml 25 - 25 -
127 Mebendazole sirup 100 mg/5 ml - - 0 -
128 Mebendazole tab 100 mg 100 - 100 -
129 Metformin HCl Tab 500 mg 314 - 314 3,500
130 Metil Dopa tab 250 mg - - 0 -
131 Metil Ergometrin Inj 0,200 mg-1 ml 19 - 19 300
132 Metil Ergometrin tab 0.125 mg 603 - 603 1,800
133 Metil Prednisolon tab 4 mg 155 - 155 -
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) 34 - 34 30
135 Metoklopramid tab 10 mg ( Tomit tab ) 532 - 532 600
136 Metronidazol Infus 500 mg/100 ml - - 0 29
137 Metronidazol 250 mg - - 0 -
138 Metronidazol 500 mg 1,472 - 1472 2,300
139 Mikonazole Krim / salep 2% 29 - 29 48
140 Mineral Mix sachet 8gr - - 0 -
141 Mg Sulfat Serbuk 30 gram - - 0 -
142 Na. Bikarbonat tab 500 mg 2,000 - 2000 -
143 Na. Diklofenac 25 mg - - 0 -
144 Na. Diklofenac 50 mg 300 - 300 750
145 Na. Fluoresin tetes mata 2 % - - 0 -
146 Na. Tiosulfat inj 25 %-10 ml - - 0 -
147 Natrium Klorida lart inf 0.9% - - 0 420
148 Nifedipin tab 10 mg 242 - 242 -
149 Nistatin 100.000 iu tab vag 90 - 90 100
150 Nistatin 500.000 iu tab - - 0 -
151 OAT-FDC Kategori 1 - - 0 19
152 OAT-FDC Kategori 2 - - 0 -
153 Obat Batuk hitam (OBH) sirup 100 ml 30 - 30 390
154 Obat Kategori Anak (kombipak) - - 0 -
155 Obat Kategori Sisipan - - 0 -
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml - - 0 -
157 Oksitetrasiklin SK 3% - - 0 -
158 Oksitetrasiklin SM 1 % 31 - 31 150
159 Oksitosin inj 10 iu/1ml 36 - 36 500
160 Oseltamivir 75 mg - - 0 -
161 Papaverin Injeksi 40 mg/ml - - 0 -
162 Papaverin tab 40 mg - - 0 -
163 Paraformaldehid tab 1 gr 50 - 50 -
164 Paracetamol Drops 22 - 22 76
165 Parasetamol sirup 120 mg/5 ml 79 - 79 800
166 Parasetamol tab 100 mg - - 0 -
167 Parasetamol tab 500 mg 4,440 - 4440 38,000
168 Petidin inj 50 mg/2 ml 10 - 10 -
169 Pilokarpin tetes mata 2 % - - 0 -
170 Pirantel pamoat tab 125 mg 120 - 120 -
171 Pirazinamid tab 500 mg 200 - 200 -
172 Piridoksin tab 10 mg 4,859 - 4859 12,000
173 Piroksicam 10 mg - - 0 -
174 Piroksicam 20 mg - - 0 -
175 Prazikuantel 600 mg tab - - 0 -
176 Prednison 5 mg tab 7,633 - 7633 5,000
177 Primakuin 15 mg tab - - 0 -
178 Prokain Benzil Penisilin 3 Jt inj 10 - 10 10
179 Propanolol 40 mg tab 100 - 100 -
180 Propiltiourasil 100 mg tab - - 0 100
181 Ranitidin Inj 25 mg/ 2 ml 82 - 82 200
182 Ranitidin tab 150 mg 257 - 257 5,300
183 Reserpin 0,10 mg tab - - 0 -
184 Reserpin 0,25 mg tab - - 0 -
185 Retinol ( Vit A ) 200.000 iu Kap 300 - 300 3,400
186 Retinol ( Vit.A) 100.000 UI 100 - 100 500
187 Rifampisin 300 mg kaps - - 0 -
188 Rifampisin 450 mg tab 400 - 400 100
189 Rifampisin 600 mg kaplet - - 0 100
190 Ringer Laktate lart infus 463 - 463 4,200
191 S. Anti Bisa Ular poli inj 5 ml(ABU I) - - 0 5
192 S. Anti Difteri inj 20.000 iu ( ADS ) - - 0 -
193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) - - 0 30
194 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) - - 0 -
195 Salbutamol 2 mg tab 433 - 433 1,000
196 Salbutamol 4 mg tab 1,000 - 1000 700
197 Salep 2-4 komb 88 - 88 48
198 Salisil Bedak 2 % 35 - 35 85
199 Salisil Spiritus 10 % 33 - 33 -
200 Sefadroxil 500 mg kapsul 68 - 68 600
201 Sefotaxim Injeksi 1 gram 48 - 48 240
202 Seftriaxon Inj 1 gram - - 0 60
203 Sianokobalamin (Vit B12) inj 1 - 1 500
204 Simetidin tab 200 mg - - 0 -
205 Simvastatin 10 mg tab 389 - 389 1,000
206 Siprofloksasin 500 mg tab 1,926 - 1926 4,000
207 Streptomisin inj 1500 mg /vial - - 0 -
208 Sulfasetamid tts mata 15% 80 - 80 240
209 Tablet tambah darah komb 4,130 - 4130 24,000
210 Tetrakain tetes mata 0,5% - - 0 -
211 Tetrasiklin 250 mg - - 0 -
212 Tetrasiklin 500 mg 607 - 607 200
213 Thiamin ( Vit B1 ) 50 mg tab 7,525 - 7525 14,000
214 Thiamin ( Vit B1 ) inj 100 mg/Amp 176 - 176 450
215 Thiamphenkol 500 mg cap 809 - 809 2,300
216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) - - 0 -
217 Tiopental Na. Serbuk 1000 mg/Amp - - 0 -
218 Tramadol 50 mg 80 - 80 -
219 Triheksipenidil Hcl 2 mg tab 435 - 435 100
220 Vitamin B Kompleks tab 7,394 - 7394 25,000
221 Yodium povidon 10 % 30 ml 30 - 30 10
222 Yodium Povidon 10 % 300 ml 4 - 4 10
223 Yodium Povidon 10% 1 Liter 2 - 2 5
224 Zink 20 mg Tablet dispersible 576 - 576 3,300
225 Zink Syrup - - 0 40
LUAR LPLPO / OBAT PELENGKAP - - 0 -
1 Adona injeksi - - 0 -
2 Alinamin F injeksi - - 0 -
3 Antrain inj 7 - 7 220
4 Asering Larutan Infus 46 - 46 200
5 Attapulgite tablet komb (Diaform/Neo Diaform) - - 0 1,200
6 Bismecon Gel 4 - 4 15
7 Bufacom (Triamsinolon in oral base) 29 - 29 -
8 Dulcolax supp 5 mg 2 - 2 -
9 Dulcolax tab 57 - 57 -
10 demacolin 384 - 384 -
11 Fludane Syrup 4 - 4 35
12 Fludane Tablet 223 - 223 -
13 Gitas Plus Inj - - 0 -
14 Gitas Plus tablet / Spasmal tablet / scopamin 28 - 28 -
15 Ka-En 3 A 20 - 20 440
16 Ka-En 3 B 28 - 28 360
17 Kombivent Inhalasi 10 - 10 10
18 Lakto B - - 0 -
19 Lynoral tab 43 - 43 100
20 Lysmin ( Lysin ) Sirup 44 - 44 70
21 Ultravita tab / Kurkumex tab / Lanovit tab - - 0 300
22 metioson tab 120 - 120 -
23 Neurobion tablet 100 - 100 -
24 Neurovit E tablet 155 - 155 60
25 Opixitrol eye drop 9 - 9 -
26 Pamol 125 mg Supp - - 0 -
27 Scabicid krim 24 - 24 -
28 Tensigard 100 - 100 100
OBAT GIGI - - 0 -
1 Air Raksa use Dental - - 0 -
2 Bonding - - 0 -
3 Cresophen - - 0 1
4 Dentorit pasta ( Cavit G ) - - 0 3
5 Devitalisasi pasta (non arsen) - - 0 1
6 Devitalisasi pasta (arsen) - - 0 -
7 Etching - - 0 -
8 Etil Klorida semprot 1 - 1 13
9 Eugenol cairan - - 0 5
10 Glass Ionomer cement ART / Fuji IX ART Besar 1 - 1 1
11 Kalsium Hidroksida pasta - - 0 -
12 Komposit A2 Anterior - - 0 1
13 Komposit A2 Posterior - - 0 1
14 Monokamper mentol cair (CHKM) - - 0 -
15 Mummifying pasta - - 0 -
16 Polikresulen (Albothyl) - - 0 -
17 Semen seng fosfat serbuk & cair - - 0 -
18 Silver Amalgam Serbuk 65-75 % - - 0 -
19 Solare - - 0 1
20 Spon Gelatin 1x1x1 cm - - 0 -
21 Temporary stoping fletcher serbuk&cair - - 0 -
22 Trikresolformalin (TKF) cair - - 0 -
PERBEKALAN KESEHATAN - - 0 -
1 Alat Suntik Sekali Pakai 0,05 ml - - 0 -
2 Alat Suntik Sekali Pakai 0,5 ml - - 0 -
3 Alat Suntik Sekali Pakai 1 ml 469 - 469 1,500
4 Alat Suntik Sekali Pakai 3 ml 979 - 979 4,600
5 Alat Suntik Sekali Pakai 5 ml 333 - 333 700
6 Alat Suntik Sekali Pakai 10 ml 100 - 100 -
7 Aqua Gel 5 - 5 -
8 Blood set 1 - 1 20
9 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah 17 - 17 120
10 catgut rol - - 0 1
11 Etanol 70 % 1 L 10 - 10 45
12 Hidrogen Peroksida ( H2O2 ) 3% 6 - 6 5
13 Infusion Set Anak 32 - 32 500
14 Infusion Set Dewasa 214 - 214 900
15 Jarum Jahit (Bedah) No 9 s/d 14 3 - 3 192
16 Kapas Berlemak 500 gr 3 - 3 -
17 Kapas Pembalut/Absorben 250 gr 7 - 7 60
18 Kasa Pembalut 2 X 80 cm 49 - 49 250
19 Kasa Kompres 40/40 steril 60 - 60 -
20 Kasa Pembalut 4 X 15 cm 88 - 88 190
21 Kasa Pembalut 4 X 3 cm 21 - 21 100
22 Lisol (Kresol tersaponifikasi 50%) 1 liter 9 - 9 -
23 Masker 433 - 433 800
24 Mess 231 - 231 200
25 Pembalut gibs 3 inchi 4 - 4 -
26 Plester 5 yard X 2 inch 32 - 32 50
27 Pot Sputum diameter 7 cm 80 - 80 750
28 Sarung Tangan Steril ( Handscoun) 215 - 215 320
29 hanscoun steril 4 - 4 500
30 Silk ( Benang Bedah Sutera) N0 3/0 31 - 31 36
31 silk rol - - 0 1
32 IV. Catheter no. 18 114 - 114 350
33 IV. Catheter no. 20 155 - 155 720
34 IV. Catheter no. 22 74 - 74 200
35 IV. Catheter no. 24 130 - 130 550
36 Wing nedle 200 - 200 -
REAGEN DASAR - - 0 -
1 Amoniak ( 100 ml ) - - 0 -
2 Anisol ( 100 ml ) - - 0 -
3 Aquadest steril 1 liter - - 0 -
4 Asam asetat 6 % ( 100 ml ) 6 - 6 -
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) - - 0 -
6 Asam Sulfosalisilat 20 % ( 100 ml ) - - 0 -
7 Barium Klorida ( 100 ml ) - - 0 -
8 Benedict ( 100 ml ) - - 0 -
9 Carbol Gentian Violet ( 100 ml ) - - 0 -
10 EDTA ( 100 ml ) - - 0 -
11 Eosin 2 % ( 100 ml ) - - 0 -
12 Etanol Asam 100ml - - 0 -
13 Eter Alkohol - - 0 -
14 Fauchet ( 100 ml ) - - 0 -
15 Felling A - - 0 -
16 Felling B - - 0 -
17 Giemsa stain - - 0 -
18 Golongan Darah A,B,O - - 0 1
19 Hayem ( 100 ml ) - - 0 1
20 Iodium akohol ( 100 ml ) - - 0 -
21 Karbon Fuksin - - 0 -
22 Kinyoun ( 100 ml ) - - 0 2
23 Lugol 1 % ( 100 ml ) - - 0 -
24 Metanol - - 0 -
25 Metilen Biru ( 100 ml ) - - 0 -
26 NACL 0,9% ( 100 ml ) - - 0 -
27 Oil Imerson ( 100 ml ) - - 0 -
28 Reesecher ( 100 ml ) - - 0 1
29 Schlesinger ( 100 ml ) - - 0 -
30 Spiritus Bakar ( 1 liter ) - - 0 -
31 Turk ( 100 ml ) 5 - 5 -
32 Widal - - 0 -
33 Xylol ( 100 ml ) - - 0 1
34 Zeil nelson set ( ZN set ) - - 0 -
REAGEN KIMIA KLINIK - - 0 26
1 Malaria Test - - 0 -
2 Dengue Test - - 0 -
3 HbsAg Test - - 0 -
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 - - 0 -
5 HCV Test - - 0 -
6 Reagen Albumin - - 0 -
7 Reagen Alkalin Fosfatase - - 0 -
8 Reagen Asam Urat - - 0 -
9 Reagen Billirubin Total - - 0 -
10 Reagen Billirubin Direct - - 0 -
11 Reagen Glukosa - - 0 -
12 Reagen Hb Cyanmeth - - 0 -
13 Reagen Kolesterol - - 0 -
14 Reagen Kreatinin - - 0 -
15 Reagen SGOT - - 0 -
16 Reagen SGPT - - 0 -
17 Reagen Total Protein - - 0 -
18 Reagen Trigliserida - - 0 -
19 Reagen Ureum - - 0 -
20 Reagen VDRL carbon antigen - - 0 -
21 - - - 0 -
22 Urine Strip 10 parameter - - 0 -
TAMBAHAN OBAT - - 0 1
1 Slide - 0 -
2 Haloperidol 5 Mg - 0 -
3 Aseton Alkohol - 0 -
4 KLINDAMICIN 300 - 0 -
5 AS TRANEKSAMAT INJ - 0 -
6 SOHOBION INJ - 0 -
7 TISSU - 0 -
8 COVER GLAS - 0 -
9 KARTU GOL.DRH - 0 -
10 CO AMOXICLAV - 0 -
11 HEMOROGARD - 0 30
12 Articulating paper - 0 10
13 Root canal - 0 1
14 Cocoa butter - 0 1
15 catton roll - 0 1
16 Gutta percha - 0 1
17 Micro brush - 0 1
18 oco - 0 1
19 Vaselin - 0 1
20 Paper point - 0 1
21 Seluloid strip - 0 1
22 Donexan sirup - 0 -
23 tab reaksi - 0 1
24 pipet - 0 200
25 amox syr forte - 0 500
26 HB test - 0 200
27 tes kehamilan - 0 25
28 ondosetron inj - 0 1
29 alkohol 95% - 0 -
30 lithium carbonat - 0 50
31 foly catter no 18 - 0 10
32 urin bag - 0 -
33 blood seet - 0 -
34 muccus extraktor - 0 5
35 kertas lakmus - 0 5
36 sarung tng obgyn - 0 10
37 sarung tng industri - 0 12
38 bayclin klorin - 0 300
39 aseptan - 0 149
40 reagn protein urine - 0 -
41 rd 5% - 0 -
42 kasa steril - 0 5
43 yodium pov 60 ml - 0 -
44 bio e - 0 -
45 alkohol 70% 100ml - 0 -
46 wida RD 5% - 0 -
47 Water for irigation - 0 -
48 trifluprazine 5ml - 0 -
49 Haloperidol Inj - 0 -
50 mas hospital feeding tub f6 - 0 -
51 mas hospital feeding tub f8 - 0 -
52 kasa steril 16x16 - 0 -
53 mas noc infant - 0 -
54 mas noc neonatus - 0 -
55 spatula kayu - 0 -
56 bisakodil supp 10 mg - - - -
57 simvastatin 20 mg - - - -
58 vit e 200 Ui - - - -
59 cat gut plain - - - -
60 scabimid slp - - - -
61 amox syr 250 mg - - - -
62 simvastatin 20mg - - - -
63 nasal oxygen canula adult - - - -
64 nasal oxygen canula child - - - -
65 urin bag - - - -
66 onemed onescrub 500cc - - - -
67 terumo disp 3cc - - - -
68 terumo disp 5cc - - - -
69 folycatheter no 18 - - - -
70 folycatheter no 16 - - - -
71 object glas - - - -
72 cover glas - - - -
73 tisu lensa - - - -
74 stik kolesterol - - - -
75 stik asam urat - - - -
76 widal tipe o - - - -
77 widal tipe h - - - -
78 widal tipe ah - - - -
79 widal tipe ab - - - -
80 kertas golongan darah - - - -
81 bioplasenton - - - -
82 serbuk pumice - - - -
83 articulating paper - - - -
84 cotton rol - - - -
85 selluloid strip - - - -
86 hiv test stop 3 - - - -
87 hiv test stop 2 vikia - - - -
88 hiv test intec - - - -
89 lexicam - - - -
90 b.falek salep - - - -
91 lexavon - - - -
92 biolysin syr - - - -
93 stik glukosa protin urine - - - -
94 APD SET - - - -
PUSKESMAS JABUNGSISIR
N 2014
JUMLAH
PENERIMAAN 2014 PEMAKAIAN SISA 31 DES 2014
JUMLAH JUMLAH JUMLAH
JKN DAU JKN DAU JKN
- 0 - - 0 - - 0
- 0 147 - 147 433 - 433
200 1300 971 - 971 409 200 609
- 490 50 - 50 644 - 644
300 500 441 - 441 25 300 325
- 0 6 - 6 32 - 32
- 2800 2,526 - 2526 1,160 - 1160
- 0 315 - 315 40 - 40
- 300 102 - 102 198 - 198
480 1080 330 - 330 270 480 750
23,000 50000 22,771 - 22771 10,210 23,000 33210
- 2500 1,655 - 1655 2,645 - 2645
- 300 334 - 334 - - 0
- 0 - - 0 - - 0
- 0 258 - 258 - - 0
- 0 90 - 90 - - 0
50 120 77 - 77 28 50 78
5,000 24000 14,661 - 14661 7,086 5,000 12086
- 50 26 - 26 28 - 28
- 24 - - 0 24 - 24
- 0 5 - 5 - - 0
- 600 760 - 760 340 - 340
- 0 - - 0 - - 0
- 200 215 - 215 128 - 128
5,000 15000 9,364 - 9364 6,894 5,000 11894
2,000 13000 6,404 - 6404 4,596 2,000 6596
500 21500 13,888 - 13888 13,738 500 14238
- 0 - - 0 80 - 80
200 500 304 - 304 436 200 636
100 250 64 - 64 140 100 240
- 0 110 - 110 - - 0
- 0 - - 0 - - 0
- 0 24 - 24 - - 0
- 0 - - 0 10 - 10
150 180 170 - 170 - 150 150
- 144 128 - 128 102 - 102
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 100 401 - 401 100 - 100
- 6000 6,265 - 6265 3,005 - 3005
- 0 100 - 100 - - 0
- 0 8,322 - 8322 - - 0
- 30 98 - 98 - - 0
- 20 20 - 20 - - 0
- 0 49 - 49 553 - 553
- 0 - - 0 - - 0
- 0 - - 0 - - 0
210 1110 858 - 858 539 210 749
- 0 80 - 80 20 - 20
100 100 - - 0 - 100 100
- 200 76 - 76 401 - 401
- 0 - - 0 - - 0
- 0 29 - 29 518 - 518
- 0 26 - 26 74 - 74
- 400 180 - 180 220 - 220
- 0 462 - 462 - - 0
- 54 27 - 27 47 - 47
- 72 62 - 62 60 - 60
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 250 - - 0 250 - 250
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 250 - 250
- 0 - - 0 768 - 768
- 0 - - 0 200 - 200
- 0 - - 0 - - 0
- 24 32 - 32 23 - 23
- 300 349 - 349 145 - 145
- 900 452 - 452 937 - 937
- 600 466 - 466 539 - 539
- 25 25 - 25 - - 0
- 0 - - 0 - - 0
- 4000 3,473 - 3473 1,556 - 1556
- 480 166 - 166 554 - 554
400 640 253 - 253 17 400 417
10 10 - - 0 - 10 10
- 20 19 - 19 2 - 2
3,000 9000 1,584 - 1584 5,353 3,000 8353
10,000 30000 16,064 - 16064 11,288 10,000 21288
- 0 - - 0 - - 0
- 0 20 - 20 - - 0
- 0 2 - 2 - - 0
- 100 200 - 200 44 - 44
- 600 264 - 264 636 - 636
- 0 - - 0 - - 0
- 400 528 - 528 326 - 326
- 0 1,000 - 1000 - - 0
360 648 337 - 337 126 360 486
500 1100 800 - 800 - 500 500
- 140 54 - 54 95 - 95
2,000 4800 2,916 - 2916 519 2,000 2519
- 1500 291 - 291 1,524 - 1524
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 700 - 700 - - 0
- 100 46 - 46 153 - 153
- 0 - - 0 - - 0
250 250 113 - 113 - 250 250
10,000 18000 9,411 - 9411 4,000 10,000 14000
- 25 1 - 1 24 - 24
1,000 3000 2,007 - 2007 1,493 1,000 2493
500 1500 143 - 143 1,000 500 1500
- 1800 1,530 - 1530 410 - 410
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 700 138 - 138 562 - 562
- 0 - - 0 - - 0
120 120 18 - 18 - 120 120
120 240 206 - 206 42 120 162
- 90 94 - 94 4 - 4
50 80 38 - 38 8 50 58
15,000 38000 17,445 - 17445 11,303 15,000 26303
- 30 - - 0 30 - 30
- 500 557 - 557 467 - 467
- 0 - - 0 500 - 500
- 6500 4,328 - 4328 4,498 - 4498
- 0 8 - 8 300 - 300
300 750 349 - 349 248 300 548
- 0 - - 0 - - 0
- 0 170 - 170 - - 0
200 500 166 - 166 280 200 480
150 570 373 - 373 198 150 348
- 300 426 - 426 - - 0
- 0 - - 0 25 - 25
- 0 - - 0 25 - 25
- 0 - - 0 - - 0
- 0 - - 0 100 - 100
700 4200 2,232 - 2232 1,582 700 2282
- 0 - - 0 - - 0
100 400 152 - 152 167 100 267
1,000 2800 1,451 - 1451 952 1,000 1952
- 0 10 - 10 145 - 145
- 30 34 - 34 30 - 30
500 1100 196 - 196 936 500 1436
- 29 13 - 13 16 - 16
- 0 - - 0 - - 0
- 2300 3,103 - 3103 669 - 669
- 48 15 - 15 62 - 62
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 2,000 - 2000 - - 0
- 0 - - 0 - - 0
500 1250 802 - 802 248 500 748
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 420 355 - 355 65 - 65
- 0 242 - 242 - - 0
100 200 81 - 81 109 100 209
- 0 - - 0 - - 0
- 19 19 - 19 - - 0
- 0 - - 0 - - 0
300 690 358 - 358 62 300 362
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
100 250 140 - 140 41 100 141
- 500 275 - 275 261 - 261
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 50 - 50 - - 0
20 96 98 - 98 - 20 20
500 1300 678 - 678 201 500 701
- 0 - - 0 - - 0
- 38000 39,599 - 39599 2,841 - 2841
- 0 10 - 10 - - 0
- 0 - - 0 - - 0
- 0 - - 0 120 - 120
- 0 - - 0 200 - 200
4,000 16000 9,546 - 9546 7,313 4,000 11313
500 500 - - 0 - 500 500
- 0 - - 0 - - 0
- 0 - - 0 - - 0
4,000 9000 3,936 - 3936 8,697 4,000 12697
- 0 - - 0 - - 0
- 10 20 - 20 - - 0
- 0 - - 0 100 - 100
1 101 - - 0 100 1 101
100 300 227 - 227 55 100 155
4,000 9300 4,736 - 4736 821 4,000 4821
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 3400 3,426 - 3426 274 - 274
- 500 520 - 520 80 - 80
- 0 - - 0 - - 0
- 100 500 - 500 - - 0
- 100 60 - 60 40 - 40
1,000 5200 4,203 - 4203 460 1,000 1460
- 5 2 - 2 3 - 3
- 0 - - 0 - - 0
- 30 26 - 26 4 - 4
- 0 - - 0 - - 0
1,000 2000 933 - 933 500 1,000 1500
- 700 930 - 930 770 - 770
72 120 71 - 71 65 72 137
50 135 70 - 70 50 50 100
- 0 4 - 4 29 - 29
200 800 416 - 416 252 200 452
- 240 198 - 198 90 - 90
- 60 20 - 20 40 - 40
200 700 156 - 156 345 200 545
- 0 - - 0 - - 0
- 1000 1,089 - 1089 300 - 300
10,000 14000 2,420 - 2420 3,506 10,000 13506
- 0 - - 0 - - 0
240 480 290 - 290 30 240 270
- 24000 14,421 - 14421 13,709 - 13709
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 200 174 - 174 633 - 633
9,000 23000 16,727 - 16727 4,798 9,000 13798
- 450 360 - 360 266 - 266
5,000 7300 3,108 - 3108 1 5,000 5001
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 26 - 26 54 - 54
1,000 1100 535 - 535 - 1,000 1000
25,000 50000 27,647 - 27647 4,747 25,000 29747
- 10 17 - 17 23 - 23
- 10 4 - 4 10 - 10
- 5 2 - 2 5 - 5
2,000 5300 3,445 - 3445 431 2,000 2431
50 90 20 - 20 20 50 70
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
100 320 142 - 142 85 100 185
- 200 166 - 166 80 - 80
2,000 3200 964 - 964 236 2,000 2236
- 15 11 - 11 8 - 8
- 0 29 - 29 - - 0
- 0 2 - 2 - - 0
- 0 57 - 57 - - 0
- 0 193 - 193 191 - 191
- 35 3 - 3 36 - 36
- 0 222 - 222 1 - 1
- 0 - - 0 - - 0
- 0 28 - 28 - - 0
20 460 380 - 380 80 20 100
40 400 268 - 268 120 40 160
- 10 20 - 20 - - 0
- 0 - - 0 - - 0
- 100 43 - 43 100 - 100
50 120 110 - 110 4 50 54
500 800 300 - 300 - 500 500
- 0 120 - 120 - - 0
- 0 60 - 60 40 - 40
- 60 215 - 215 - - 0
- 0 9 - 9 - - 0
12 12 - - 0 - 12 12
10 10 24 - 24 - 10 10
- 100 50 - 50 150 - 150
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 3 3 - 3 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 13 5 - 5 9 - 9
- 5 5 - 5 - - 0
- 1 2 - 2 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1500 581 - 581 1,388 - 1388
1,500 6100 3,742 - 3742 1,837 1,500 3337
500 1200 828 - 828 205 500 705
- 0 3 - 3 97 - 97
- 0 2 - 2 3 - 3
5 25 10 - 10 11 5 16
24 144 64 - 64 73 24 97
- 1 - - 0 1 - 1
- 45 43 - 43 12 - 12
- 5 1 - 1 10 - 10
100 600 432 - 432 100 100 200
500 1400 998 - 998 116 500 616
- 192 63 - 63 132 - 132
- 0 3 - 3 - - 0
30 90 44 - 44 23 30 53
- 250 244 - 244 55 - 55
- 0 - - 0 60 - 60
50 240 226 - 226 52 50 102
- 100 41 - 41 80 - 80
- 0 5 - 5 4 - 4
- 800 1,141 - 1141 92 - 92
- 200 171 - 171 260 - 260
- 0 4 - 4 - - 0
- 50 63 - 63 19 - 19
- 750 780 - 780 50 - 50
- 320 370 - 370 165 - 165
300 800 279 - 279 225 300 525
- 36 22 - 22 45 - 45
- 1 - - 0 1 - 1
100 450 348 - 348 116 100 216
100 820 675 - 675 200 100 300
100 300 194 - 194 80 100 180
100 650 565 - 565 115 100 215
- 0 200 - 200 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 6 - 6 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 2 2 - 2 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 5 - 5
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
- 0 - - 0 - - 0
- 26 26 - 26 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 0 - - 0 - - 0
- 1 1 - 1 - - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
30 30 - 30 - 0
10 8 - 8 2 2
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
1 1 - 1 - 0
0 - - 0 - 0
1 1 - 1 - 0
200 - - 0 200 200
500 183 - 183 317 317
200 40 - 40 160 160
25 4 - 4 21 21
1 1 - 1 - 0
0 - - 0 - 0
50 14 - 14 36 36
10 7 - 7 3 3
0 - - 0 - 0
0 - - 0 - 0
5 3 - 3 2 2
5 3 - 3 2 2
10 7 - 7 3 3
12 5 - 5 7 7
300 31 - 31 269 269
149 49 - 49 100 100
0 - - 0 - 0
0 - - 0 - 0
5 4 - 4 1 1
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 - 0
0 - - 0 0
0 - - 0 0
0 - - 0 - 0
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - -
- - - - 0 - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -
- - - - 0 - - -