LAMPIRAN PERSEDIAAN OBAT JKN

LAMPIRAN PERSEDIAAN OBAT JKN

PER 31 DESEMBER 2016

NAMA OBAT KEMASAN

A. NAMA OBAT
Albothyl Conc. Kotak/ 5 ml
Ambroxol Syrup Botol/60 ml
Ambroxol Tablet Kotak/100
Antalgin Tab. 500 mg (Metampiron) Kotak/100
Antihemoroid Doen Kombinasi Kotak/6 Supp.
Asam Borat Serbuk kg
Asam salisilat kristal kg
Asam Ascorbat (Vit C) tablet 50 mg Kotak/100
Asiklovir tab/kapsul/kaplet 200 mg Kotak/25
Asiklovir Salep Kulit Kotak/100
Becefort Syrup Botol 60 ml
Bioplasenton salep Tube
Betahistin Maleat Kotak/30
Betametason Krim 0,1 % (sebagai valerat) Box/2 tube
Daryantulle Box
Dekstran 70 - larutan infus 6% steril Botol
Dextrofen Syrup Botol 60 ml
Diazepam Tab/Kapsul/kaplet 2 mg Botol/100
Dulcolax tab Kotak/200
Eugenol Cairan Botol 10 ml
Eritromicin Syrup kering 200 mg/ 5 ml Botol/60 ml
Fitomenadion (vitamin K) Bayi Kotak @ 10 amp
Gentian Violet Box/24@10 ml
Gliseryl Guaiacolas Tab. 100 mg Botol/1000 tab
Glukosa larutan 5 % steril Botol 500 ml
Hemafort Tablet Box
Hidrokortison krim 2,5 % tube/5gram
Kodein tablet 20 mg Kotak/100
Kloramfenikol salep mata 1 % tube/5gram
Lacto B Box/40
Livron Kotak/100
Lysmin Botol/60 ml
Meloksikam 7,5 mg Box 50 Tab
Meloklopramide Tab. 5 mg Kotak/100
Metokloperamid Injeksi/metolon Kotak/5 Amp
Metokloperamid Tab. 5 mg Kotak/100
Metronidazol 250 mg Kotak/100
Metronidazol 500 mg Kotak/100
Mikonazol Krim/salep 2 % (nitrat) Tube/10 gr
NaCI 0,9 % Botol / 500 ml
Oksitetrasiklin S.K Box/24
Oksitetrasiklin S.M 1% Tube/3,5 gr
Pehacain Injeksi Box
Papaverin Tb 40 mg Botol/1000
Pirasetam Kaps. 800 mg Kotak/100 tab
Piracetam Tablet 400 mg Botol/1000
Piroxicam Tab. 20 mg Box/100 tab
Ringer Laktat Lar. Infus Botol 500 ml
Thiamin HCl Tab. 100 ml Botol/1000
Trombhopob gel tube
Vitamin B-Complex dus 10 strip 10 tab
Vomitrol Syrup Botol/30 ml
B.OBAT GIGI
Bonding Botol
Dentorit/Caviton Botol/30gr
Dengue IgG/IgM (Strip) Kotak / 10
Etil klorida Kaleng
 NAMA OBAT KEMASAN

Etsha btl
Glass Ionomer kecil Bungkus/Set
Gutta Percha Kotak
Komposite (a2, a3,a3,5) Set
MATA Bor High set
C. BAHAN HABIS PAKAI/ALAT KESEHATAN
Bisturi No. 15 Box/100 Pcs
Bak Intrumental dengan tutup Pcs
Clip Plastik obat uk. Kecil Bungkus/100
Clip Plastik obat uk. Sedang Bungkus/100
EDTA 10% Botol 100 ml
Gunting Jaringan Pcs
Gunting verban Botol/100
Hipafix Pcs
Jarum Extirpasi
Jarum Hecting (Kulit) Set
Jarum Hecting (Otot) Set
Kertas Puyer bks
Klem Arteri Lurus Pcs
Lancet GEA-1 Box
Lar. H2O2 Liter
Lar. Savion Botol
Larutan Eosin Botol / 100 ml
Larutan Hayem Botol/100 ml
Larutan HCI-Alkohol 3 % Botol/100 ml
Larutan Karbol Fuchsin 0,3 % Botol/100 ml
Larutan Methilen Blue Botol/100 ml
Larutan Spiritus Liter
Larutan Turk Botol/100 ml
Methanol Liter
Nasal Kanul Pcs
Natrium Sitrat Liter
Needle 23 G x 1,5 cc Kotak/ 100 Pcs
Oil Emercy Botol/100 ml
Perhidrol (H2O2) 13 % Liter
Perlak Lembar
Pinset anatomi Pcs
Pinset Chirungel Pcs
Pispot Pcs
Plano Tes (Tes Kehamilan) Kotak / 50
Plester 5 yards sedang Rol
Portex Liter
Rapid Test Hepatitis Kotak/25
Reagen Golongan Darah Box/ 3 x 10 ml
Kotak 8 Vial@5
Reagen Widal Potres
ml
Rees Eker Liquid Btl
Rockless Pot
Slim seher Set
Selimut Pasien Lembar
Stelirisator (Pemanas alkohol) Botol/25 Strip
Uji Tiphoid IgM Kotak/25
Allupurinol tab 100 mg Kotak/100
Ambroxol syrup botol/60 ml
Amlodipin 10 mg kotak/30
Amoxicilin kapsul 250 mg kotak/100
Amoxicilin 500 mg Kotak 100
Amoxicilin syrup kering Botol
Bromhexin tab 8 mg Kotak /100
Ciprofloxacin 500 mg kotak/100
Cefadroksil 500 mg kotak/100
Chrome injeksi kotak 1/10 ampul
Digoxin tab kotak/100
 NAMA OBAT KEMASAN

Domperidon tab 10 mg kotak/ 100

Domperidon syrup Botol/60 ml
Eritromisin kapsul 500 mg Kotak/100
Eritromisin syrup kering 200 mg Botol /60 ml
Furosemide tab 40 mg Kotak /100 tab
Glibenclamide tab 5 mg kotak 100
Ibuprofen 200 mg Botol/100 tab
Ibuprofen 200 mg Kotak/100 tab
Ibuprofen suspensi 100 mg Botol 60 ml
kalk (kalsium laktat 500 mg) kotak /100 tab
Kotrimoksasole syrup 240 mg botol/60 ml
Metilergometrin injeksi kotak /100 ampul
Nifedipine tab Blister/30
OBH indoplus botol/100 ml
Omeprazole 20 mg kotak/30
Piridoxin vit B6 Botol 1000 tab
Zink syrup Botol /60 ml
Zink tab Kotak/100
Strip asam urat Botol/25 strip
Strip Kolesterol Botol/10 strip
Total keseluruhan
 NAMA OBAT KEMASAN GUDANG DINKES PKM Turikale

OBAT CACING :
Albendazole 400 mg Kotak 30 Tablet 0
Albendazole 400 mg Kotak 30 Tablet 1224
total obat cacing
GIZI :
MP ASI BALITA 35
MPT BUMIL 10
total obat gizi
Total keseluruhan -
 NAMA OBAT KEMASAN PKM Turikale

A. NAMA OBAT
Albothyl Conc. Kotak/ 5 ml 10
Ambroxol Syrup Botol/60 ml
Ambroxol Tablet Kotak/100 20
Antalgin Tab. 500 mg (Metampiron) Kotak/100
Antihemoroid Doen Kombinasi Kotak/6 Supp. 50
Asam Borat Serbuk kg
Asam salisilat kristal kg
Asam Ascorbat (Vit C) tablet 50 mg Kotak/100 30000
Asiklovir tab/kapsul/kaplet 200 mg Kotak/25
Asiklovir Salep Kulit Kotak/100
Becefort Syrup Botol 60 ml 50
Bioplasenton salep Tube
Betahistin Maleat Kotak/30
Betametason Krim 0,1 % (sebagai valerat) Box/2 tube 500
Daryantulle Box 5
Dekstran 70 - larutan infus 6% steril Botol
Dextrofen Syrup Botol 60 ml
Diazepam Tab/Kapsul/kaplet 2 mg Botol/100 1000
Dulcolax tab Kotak/200
Eugenol Cairan Botol 10 ml 3
Eritromicin Syrup kering 200 mg/ 5 ml Botol/60 ml
Fitomenadion (vitamin K) Bayi Kotak @ 10 amp
Gentian Violet Box/24@10 ml
Gliseryl Guaiacolas Tab. 100 mg Botol/1000 tab 20
Glukosa larutan 5 % steril Botol 500 ml
Hemafort Tablet Box
Hidrokortison krim 2,5 % tube/5gram 240
Kodein tablet 20 mg Kotak/100
Kloramfenikol salep mata 1 % tube/5gram 72
Lacto B Box/40
Livron Kotak/100
Lysmin Botol/60 ml 50
Meloksikam 7,5 mg Box 50 Tab 20
Meloklopramide Tab. 5 mg Kotak/100
Metokloperamid Injeksi/metolon Kotak/5 Amp 4
Metokloperamid Tab. 5 mg Kotak/100 1000
Metronidazol 250 mg Kotak/100 1000
Metronidazol 500 mg Kotak/100 5000
Mikonazol Krim/salep 2 % (nitrat) Tube/10 gr 150
NaCI 0,9 % Botol / 500 ml
Oksitetrasiklin S.K Box/24 10
Oksitetrasiklin S.M 1% Tube/3,5 gr 100
Pehacain Injeksi Box
Papaverin Tb 40 mg Botol/1000 3
Pirasetam Kaps. 800 mg Kotak/100 tab
Piracetam Tablet 400 mg Botol/1000
Piroxicam Tab. 20 mg Box/100 tab 50
Ringer Laktat Lar. Infus Botol 500 ml
Thiamin HCl Tab. 100 ml Botol/1000 10
Trombhopob gel tube
Vitamin B-Complex dus 10 strip 10 tab
Vomitrol Syrup Botol/30 ml 24
B.OBAT GIGI
Bonding Botol 2
Dentorit/Caviton Botol/30gr 1
Dengue IgG/IgM (Strip) Kotak / 10 2
Etil klorida Kaleng 18
 NAMA OBAT KEMASAN PKM Turikale

Etsha btl 1
Glass Ionomer kecil Bungkus/Set
Gutta Percha Kotak 6
Komposite (a2, a3,a3,5) Set
MATA Bor High set 4
C. BAHAN HABIS PAKAI/ALAT KESEHATAN
Bisturi No. 15 Box/100 Pcs 1
Bak Intrumental dengan tutup Pcs
Clip Plastik obat uk. Kecil Bungkus/100
Clip Plastik obat uk. Sedang Bungkus/100
EDTA 10% Botol 100 ml 12
Gunting Jaringan Pcs
Gunting verban Botol/100
Hipafix Pcs
Jarum Extirpasi
Jarum Hecting (Kulit) Set 2
Jarum Hecting (Otot) Set 3
Kertas Puyer bks
Klem Arteri Lurus Pcs
Lancet GEA-1 Box
Lar. H2O2 Liter 2
Lar. Savion Botol
Larutan Eosin Botol / 100 ml
Larutan Hayem Botol/100 ml
Larutan HCI-Alkohol 3 % Botol/100 ml
Larutan Karbol Fuchsin 0,3 % Botol/100 ml
Larutan Methilen Blue Botol/100 ml
Larutan Spiritus Liter
Larutan Turk Botol/100 ml
Methanol Liter
Nasal Kanul Pcs
Natrium Sitrat Liter
Needle 23 G x 1,5 cc Kotak/ 100 Pcs
Oil Emercy Botol/100 ml
Perhidrol (H2O2) 13 % Liter 6
Perlak Lembar 50
Pinset anatomi Pcs
Pinset Chirungel Pcs
Pispot Pcs
Plano Tes (Tes Kehamilan) Kotak / 50
Plester 5 yards sedang Rol 10
Portex Liter
Rapid Test Hepatitis Kotak/25
Reagen Golongan Darah Box/ 3 x 10 ml 2
Reagen Widal Potres Kotak 8 Vial@5 ml
Rees Eker Liquid Btl
Rockless Pot
Slim seher Set
Selimut Pasien Lembar
Stelirisator (Pemanas alkohol) Botol/25 Strip
Uji Tiphoid IgM Kotak/25
Total keseluruhan 39,513.00
 PKM
No. Nama Obat Kemasan Harga Satuan PKM Camba PKM Bontoa
Cenrana
A. NAMA OBAT
ACT (Artesunate tablet 50 mg +
1 1 blister@24 tablet 34,656 0 0
Amodiaquine anhydrida tablet 200 mg)
2 Adona Injeksi 50 mg Kotak/10 Amp. 280,315 0 0 0
3 Albendazol tablet 400 mg Kotak/30 13,420 0 0 0
4 Albothyl Botol 10 ml 24,700 0 8 0
5 Albothyl Concentrate 5 ml Botol 5 ml 28,870 0 0
6 Allopurinol Tab 100 mg Kotak/100 9,000 0 3 0
7 Allopurinol Tab 300 mg Kotak/30 8,085 0 0 0
8 Allopurinol tab. 300 mg Kotak/100 22,500 0 4 1
9 Ambroksol Tablet Kotak/100 0 0 0
10 Ambroxol Syrup Botol/60 ml 6,510 0 0

11 Ambroxol Syrup Botol/60 ml 3,630 0 66 10

12 Aminofillin Inj. Kotak/30 126,000 0 0 0
13 Aminofillin Tab. 200 mg Botol/100 8,600 0 4 7
14 Amlodipin 5mg Kotak/30 5,910 0 0 0
Dus, 10 blister @ 10
15 Amoksisilin kapsul/kaplet 250 mg 22,000 0 0
kapsul
Amoksisilin kapsul/kaplet/tablet scored Dus, 10 strip @ 10
16 37,000 136 0
500 mg kaptab
17 Amoksisillin Kapl. 250 mg Kapsul/100 22,000 0 16 5
18 Amoksisillin Kapl. 500 mg Kotak/100 29,200 0 34 71

19 Amoksisillin Syr. Kering Botol/60 ml 2,560 47 145 160

20 Ampicillin Injeksi Kotak/10 59,048 0 0 0

21 Ampisillin Kapl. 500 mg Kotak/100 41,910 0 0 0

22 Ampisillin Syrup Kering Botol/60 ml 4,840 0 0 0
23 Antalgin Tab. 500 mg (Metampiron) Kotak/100 12,650 0 0 0
24 Antasida DOEN Kotak/100 7,800 0 0
Antasida DOEN I tablet
kunyah,kombinasi: Alumunium Dus 10 Strip @ 10
25 7,800 0 0
Hidroksida 200 mg Magnesium tablet
Hidroksida 200 mg
26 Antasida DOEN Tab. Kotak/100 17,820 211 221 175
27 Antasida Syr. Botol 2,300 100 95 6
Anti bakteri Doen salep kombinasi :
28 Kotak/25 69,175 4 3 5
Basitrasin 100 IU + polimiksin 10.000 IU
Antifungi Doen Kombinasi : Asam
29 Kotak/24 Pot 91,200 1 0 0
benzoat 6% + asam salisilat 3%
30 Antihemoroid Doen Kombinasi Kotak/10 Supp. 22,000 0 0 1.2
Antihemoroid, kombinasi: bismut
DUS, 10 SUPP @ 2
31 subgalat 150 mg heksaklorofen 2,5 mg 3,350 0 0
GRAM
lidokain 10 mg seng oksida 120 mg
32 Antimigrain Botol/100 13,563 0 2 1
33 Asam Ascorbat (Vit. C) 50 mg Botol/1000 35,200 0 0 0
34 Asam Ascorbat (Vit.C) 50 mg Kotak/100 10,500 0 0 0
35 Asam Folat Kaplet 1 mg Botol/100 5,200 2 1 4
36 Asam mefenamat 500 mg Kotak/100 12,200 86 204 16
Dus, 10 blister @ 10
37 Asam Mefenamat kapsul/kaplet 500 mg 21,978 50 50
kap
38 Asering Lar. Infus Botol/500 ml 19,800 0 160 0
39 Asiklovir SK Kotak/25 82,500 1 3 1
40 Asiklovir Tab. 200 mg Kotak/100 25,100 3 6 4
41 Atropin Sulfat Inj. Kotak/30 36,000 0 1 0
42 Betahistin tab. 6 mg Kotak/30 33,539 0 14 10
43 Betametason Krim Kotak/25 51,315 0 6 0
44 Betametason Krim Tube/5g 1,596 27 0 108
45 Bisacodil tab Kotak/200 257,070 0 1 0
46 Bisakodil suppositoria 5 mg 1 Box @ 6's 1,362 0 0
47 Bromheksin tab. 8 mg kotak/300 66,517 10 3 1
48 Bromheksin Tab. 8 mg Kotak/100 23,830 0 0
49 Bromheksin Tab. 8 mg Kotak/100 4,237 0 3 21
50 Cefadroxil syrup Botol 5,286 0 0 0
51 Cefotaxime injeksi 1 g kotak/10 35,000 0 0 0
52 Cefotaxime Injeksi 1 g Kotak/2 Vial 15,246 0 0 0
53 Cetirizin kotak/100 38,000 0 12 0
54 Cetirizine Tab. 10 mg Kotak/100 14,000 0 0
55 Cetirizine Tab. 10 mg Kotak/50 19,000 0 0 0
56 Chlorfeniramine Maleat (CTM) 4 mg 45,298
57 Chlorfeniramini Maleat (CTM) 4 mg Botol/1000 26,400 0 2 0
Cyanocobalamin (vitamin B12) injeksi Kotak/100 ampul @ 1
58 122,500 0 0
500 mcg ml
59 Cyanocobalamin Inj. Kotak/100 114,070 1 1 0
60 Cyanocobalamin Tab. Botol/1000 14,412 0 15 0
61 Cyanocobalamin Tablet KOTAK/100 1,441 0 0
62 Cyprofloxacin 500 mg Tab. Kotak/50 14,300 0 0 0
63 Cyprofloxacin 500 mg Tab. Kotak/100 26,500 4 13 10
64 Cyprofloxacin tab. 500 mg (sebagai HCl) Dus 10 x 10 35,465 0 0 0
Cyprofloxacin tablet 500 mg (sebagai Dus, 10 blister @ 10 tab
65 26,500 4 0
HCl) ss
66 Daryantula (Supratula) Box/20 Lmbr 312,000 0 3 0
67 Daryantull 10 x 10 cm Kotak/10 202,500 0 0
68 Daryantulle Box/10 Pcs 178,000 1 0 3
69 Deksametason Injeksi Kotak/100 173,800 0 0 0
70 Dekstran 70 - larutan infus 6% steril Botol 0 0 0
71 Dexamethason Tab. 0,5 mg Kotak/100 7,400 0 0
72 Dexamethason Tab. 0,5 mg Kotak/100 9,570 215 111 193
73 Dextrofen Syrup Botol 60 ml 10,100 0 118 45
Dextrometorphan Hydrobromide +
74 Dexchlorpheniramine Maleate + Botol/60 ml 11,810 0 0
Phenylephrine Hydrochloride Syrup
75 Dextrometrophan Syr. Botol 3,152 0 0 0
76 Dextrometrophan Tab. Kotak/100 12,100 0 0 0
77 Diazepam Injeksi Kotak/30 78,147 0 0 0
Diazepam larutan rektal 5 mg/2,5 ml Dus, 5 alubag @1 tube
78 12,751 0 0
(Stesolid) @ 2,5 ml
79 Diazepam Tab. 2 mg Kotak/100 4,400 9 0 2
80 Diazepam tablet/kapsul/kaplet 2 mg Botol 100 4,700 0 0
81 Difenhidramin Injeksi Kotak/30 34,680 17 1 0
82 Digoxin Tab. 0,25 mg Kotak/100 10,300 13 2 0
83 Domperidon suspensi/sirup 5 mg/5 ml Btl @ 60 ml 3,490 0 0
84 Domperidon Tab. 10 mg Kotak /100 17,400 0 14 1
85 Dulcolax Tab 0 0 0
86 Efedrin HCl 25 mg Botol/250 14,097 0 0 0
87 Ekstrak Belladon Botol/100 34,848 0 1 0
88 Epinefrin (Adrenalin) Injeksi 0,1% Kotak/30 267,300 0 1 1
89 Ergotamine cafein Kotak/100 13,563 0 0 0
90 Eritromicin Kaps. 500 mg Kotak/100 102,300 0 0 0
91 Eritromicin Syrup Botol/60 ml 8,090 0 0 7
92 Etakridin larutan 0,1% (Rivanol) Botol/300 ml 1,980 10 5 11
93 Ethanol Botol/1000 22,720 0 0 0
94 Ethanol Botol/100 2,626 0 25 0
95 Eugenol Cairan Botol/10ml 18,333 0 0 2
96 Famotidine kotak/50 6,221 0 0 0
97 Fenilbutason Tab 200 mg (Novason) 152,889
98 Fenilbutason Tab. 200 mg Botol/1000 89,100 0 3 1
99 Fenilbutason Tab. 200 mg (Novason) Botol/100 31,620 7 7
100 Fenobarbital Inj. Kotak/30 0 0 0
101 Fenobarbital Tab. 30 mg Botol/100 7,139 0 0 0
102 Ferrosi sulfas 300 mg tab botol/1000 28,855 0 0 0
103 Fitomenadeon Tab. Botol/100 69,000 3 2 4
Fitomenadion (Vitamin K1) injeksi i.m. 2
104 Dus @ 30 ampul 112,620 0 0
mg/ml
105 Fitomenadion Injeksi Kotak/30 57,420 0 3 3

106 Fitomenadion Tab. Kotak/100 69,000 0 0 0

107 Folic Acid Botol/100 0 0 0
108 Furosemid Tab. 40 mg Kotak/100 8,400 0 0
109 Furosemid Tab. 40 mg Kotak/100 11,229 0 0 0
110 Garam oralit kotak/100 41,800 0 13 0
111 Gentamicin 0,1% Salep Kulit Kotak/25 Tube@5 g 58,030 0 0
112 Gentamicin SK. Kotak/10 20,207 0 6 0
113 Gentamycin 0,1 % SK Kotak/25 55,506 1 0 0
114 Gentian Violet Botol/10 ml 495 3 25 0
115 Glibenclamida 9,900
116 Glibenklamid Tab. 5 mg Kotak/100 6,100 0 4 0
117 Gliseril Guaiacolas Botol/1000 66,790 0 0
118 Gliseril Guaiacolat 52,635
119 Gliseryl Guaiacolas Tab. 100 mg Botol/1000 30,690 9 11 4

120 Glukosa larutan 5 % Botol 500 ml 5,720 40 78 0

121 Griseofulvin tablet 125 mg, micronized Kotak 24,100 0 2 1

122 Hidrochlortiazid Tab. 25 mg Botol/1000 27,104 0 0 0
Dus, 10 strip @ 10
123 Hidroklorotiazid tab 25 mg 16,300 0 0
tablet
124 Hidrokortison krim 2,5 % Tube 2,938 25 50 72
125 Hidrokortison SK Kotak/24 78,650 0 0 0
126 Ibuprofen 200 mg Botol/100 12,705 2 14 14
127 Ibuprofen 400 mg Kotak/100 15,700 0 4 0
128 Ibuprofen Suspensi 200 mg Botol/60 4,949 0 182 25
129 Ibuprofen tablet 200 mg Botol @ 100 tablet 12,100 0 0
130 Ichtiol SK Pot 8,500 0 22 0
131 Ichtiol SK 15 g Kotak/12 Pot 49,720 0 0 0.83
132 Ichtiol SK 15 g Kotak/12 Pot 49,720 0 0
133 Induksin Inj Kotak/10amp 89,700 0 0 0
134 Kalsium Laktat Tab. 500 mg Kotak/100 7,600 13 0 20
135 Kalsium Laktat Tab. 500 mg Botol/1000 43,263 0 0 0
136 Kaptopril 12,5 mg Kotak/100 6,900 0 17 0
137 Kaptopril 25 mg Kotak/100 10,000 0 5 0
138 Ketokonazole 16,000
139 Ketokonazole Tab. 200 mg Kotak/50 22,550 0 6 4
140 Ketokonazole Tab. 200 mg Kotak/100 32,000 0 0 0
141 Ketorolac Injeksi 10 mg Kotak/5 Amp. 41,250 0 0 0
142 Ketorolac Injeksi 30 mg Kotak/6 Amp. 15,990 0 0 0
143 Kloramfenicol Tetes Mata Kotak 0 0 0
144 Kloramfenicol Tetes Telinga 3% Botol 3,150 0 0
145 Kloramfenikol Kaps. 250 mg Kotak/100 29,315 0 0 0
146 Kloramfenikol salep mata kotak/24 41,256 0 0 0
147 Kloramfenikol salep mata Tube/5gr 1,680 0 96 48
148 Kloramfenikol Suspensi Botol/60 ml 4,950 0 8 3
149 Kloramfenikol Tetes Telinga botol/5ml 1,760 10 43 0
150 Klorpromazin HCl inj. 25mg/ml - 1 ml Kotak/Amp 0 0 0
151 Klorpromazin HCl inj. 5mg/ml - 2 ml Kotak/ 30 Amp 34,650 0 0 0
152 Klorpromazin HCl tab 100 mg kotak/100 16,500 0 4 0
153 Klorpromazin HCl tablet salut 100 mg Botol 16,500 0 0 0
154 Klorpromazin HCl tablet salut 25 mg Botol 41,800 0 0 0
155 Kotrimoksasol Tab. 120 mg Kotak/100 8,349 0 0 0
156 Kotrimoksazol 120 mg Kotak/100 10,555 0 0
157 Kotrimoksazol 480 Kotak/100 15,200 5 33 0
158 Kotrimoksazol Syr. Botol/60 2,298 0 166 6
159 Kuinin Dihidroklorida inj.25% - 2 ml Kotak/Amp. 0 0 0
160 Kuinin Sulfat tablet 222 mg (7H2O) Kotak 0 0 0
161 Lacto B Sachet Kotak/4x10 220,000 0 1 1
162 Lacto B Sachet Kotak/4x10 243,510 0 0
163 Lansoprasol 30 mg Kotak/ 30 10,420 0 0 0
164 Lansoprasole 30 mg Kotak/20 10,420 0 2 0
165 Larutan Ringer Laktat botol/100ml 0 0 0
166 Levertran Salep Pot 4,000 0 42 0
167 Levertran Salep Kulit Kotak/12 Pot 37,015 1 0 0
168 Lidocain inj kotak/100 92,900 2 2 2
169 Lidocain Injeksi Kotak/30 37,510 0 0 0
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
170 Dus, 30 ampul @ 2 ml 63,660 0 0
80.000 - 2 ml
171 Lisol Botol/1000 20,000 1 7 7
172 Lisol Botol 800 ml 20,000 0 0 0
173 Loperamide Kotak/100 10,071 1 2 0
174 Loperamide Kotak/100 9,700 0 0
175 Lorazepam 2 mg Kotak/100 142,300 0 7 3
176 Malaria PF/PV casset Kotak 25 1,953,485 0 0 0
177 Meloksikam 7,5 mg Kotak/20 15,222 0 0 0
178 Meloksikam 7,5 mg Kotak/50 38,055 0 18 0
179 Meloksikam 7,5 mg Kotak/30 26,500 0 0
180 Meloxicam 7,5mg Kotak/30 38,050 0 0 0
181 Metamphyron (Antalgin) Tab. 500 mg Kotak/100 12,650 0 0 0
182 Metformin HCl tab 500 mg Kotak/100 19,965 1 6 0
183 Methylergometrin inj kotak/100 16,868 1 1 0
184 Methylprednisolon 4 mg Kotak/100 23,000 0 1 4

185 Methylprednisolon 8 mg Kotak/100 39,000 0 6 0

186 Metilergometrin Injeksi Kotak/30 49,170 0 0 0
 Metilergometrin Maleat injeksi 0,200 mg- Kotak/100 Ampul @ 1
187 275,000 0 0
1 ml ml
188 Metilergometrin Tab 0,125 mg 16,868
189 Metilergometrin Tab. 0,125 mg Kotak/100 13,310 1 5 0
190 Metilergometrin Tab. 0,125 mg Kotak /100 17,715 0 0
191 Metoclorpramide injeksi kotak/5 61,864 0 0 0
192 Metokloperamid Injeksi Kotak/10 Amp @ 2 ml 11,000 0 0 0
193 Metokloperamid Tab. 5 mg Kotak/100 8,668 0 15 1
194 Metokloperamid Tab. 5 mg Kotak/100 11,300 0 0
Metoklopramid Injeksi 5 mg/ml
195 Kotak/5 Ampul 61,870 0 0
(Metolon)
196 Metronidazol 250 mg Kotak/100 15,730 0 0 0
197 Metronidazol 500 mg Kotak/100 24,200 4 9 8
198 Metronidazol 500 mg Kotak/100 16,900 0 0
199 Mikonazol Krim Tube/10 gr 3,300 10 98 64
200 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,150 0 0
201 Myomergin injk Kotak/10 42,500 0 0 0
202 Natrium Diclofenac Tab. 50 mg Kotak/50 9,650 2 23 0
203 Natrium Diklofenak 50 mg Kotak/50 92,333 0 0 0
204 Natrium Klorida (NaCl) 0,9 % Botol / 500 ml 4,545 0 38 19

205 Natrium Klorida (NaCl) 0,9% Botol 500 ml 5,827 0 0

206 Natrium Klorida Larutan Infus Botol 4,545 0 0 0

207 Nifedipin Tab. 20 mg Blister/30 89,970 1 3 4
208 Nistatin Tablet Salut 500.000 IU Kotak/100 70,400 3 0
209 Nistatin Vaginal Kotak/100 40,700 0 0 0
210 Nistatin vaginal tablet 100.000 IU/ g Dus @ 10 X 10 's 52,800 0 0
211 O.B.H. Indo Plus Botol/100 ml 8,052 0 40 3
212 O.B.H. Syr. Botol/100 ml 1,573 0 0 0
213 Obat antituberkulosis kategori 1 Paket 395,900 0 0 0

214 Obat antituberkulosis kategori 2 Paket 1,319,900 0 0 0

215 Obat Batuk Hitam (OBH) Indo Plus Botol/100 ml 13,400 0 0

216 Oksitetra S.K Kotak/25 45,403 0 3 1

217 Oksitetra S.K Tube/10 gr 3,686 0 0 0

218 Oksitetra S.M 1% Kotak/25 52,800 0 0 0

219 Oksitetra S.M 1% Tube/3,5 gr 2,310 50 0 50

220 Oksitetra Salep Mata 1 % 3,327

221 Oksitetrasiklin Salep Kulit 3% Kotak/24 Tube@5 g 61,000 0 0

222 Oksitetrasiklin Salep Mata 1% Tube/3.5 g 3,850 0 0

223 Oksitosin Inj. Kotak/30 Amp. 58,905 0 0 0

Kotak/100 Ampul @ 1
224 Oksitosin injeksi 10 IU/ml 242,000 0 0
ml
225 Omeprazole Tab. 20 mg Kotak/30 6,630 0 0 0

226 Oxitosin inj 10 IU/ml Kotak/100 amp 312,500 0 0 3

227 Papaverin Tab. Botol/1000 264,100 0 0

228 Papaverin Tab 40 mg Botol/1000 109,450 1 2 1

229 Parasetamol Drops Botol 15 ml 5,808 0 0 0

Parasetamol drops 100 mg/ml btl @15 ml
230 Botol 5,720 0 0
(60 mg/0,6 ml)
231 Parasetamol Syrup Botol/60 1,535 20 140 148

232 Parasetamol Tab. 500 mg Kotak/100 8,800 113 155 0

233 Pirantel Pamoat 125 mg Kotak/100 31,800 4 4 6

234 Pirantel Pamoat syr Botol/60 9,100 0 0 0

235 Pirantel suspensi Botol/60 9,100 0 0 0

236 Piridoksin HCl Tab 10 mg 36,685

237 Piridoksin HCl Tab. 10 mg Botol/1000 33,000 2 20 3

238 Piridoksin HCl Tab. 10 mg Kotak/100 12,100 0 0

239 Piroxicam Tab 20 mg 19,816

240 Piroxicam Tab. 20 mg Kotak/100 11,550 7 31 19

241 Piroxicam Tab. 20 mg Kotak/100 21,000 0 0

242 Povidum Iodium Botol/300 ml 15,386 9 12 11

243 Povidum Iodium Botol/30ml 2,640 57 13 4

244 Povidum Iodium Botol/10ml 2,344 0 0 0

245 Povidum Iodium Botol /30 ml 2,344 0 0

246 Predmisone Botol / 100 68,750 8 44 0

247 Prednison Tab. 5 mg Botol/1000 68,750 0 0 0

248 Prednison Tab. 5 mg Kotak/100 12,500 0 12

Dus,10 blister @10
249 Primakuin tablet 15 mg 20,500 0 1
tablet
250 Propanolol Tab. 10 mg Kotak/100 8,000 0 4 0

251 Propiltiourasil Tab 10 mg 35,100

252 Propiltiourasil Tab. 100 mg Botol/100 32,953 6 8 0

253 Pyrantel syrp Botol 9,100 0 0 0

254 Pyrantel tab Kotak/100 31,800 0 0 0

255 Ranitidin Injeksi 25 mg/2 ml Kotak/25 (10 amp) 13,400 4 1 0

256 Ranitidin Tab. 150 mg Kotak/100 13,200 0 1 0

257 Reserpin tablet 0,10 mg Kotak 20,680 0 0 0

258 Reserpin tablet 0,25 mg Kotak 0 0 0

259 Ringer Laktat Botol 1000 ml 8,000 260 45 13

260 Ringer Laktat Lar. Infus Botol 500 ml 5,720 0 0 0

261 Ringer Laktat Lar. Infus Botol 500 ml 6,500 0 0

262 Ringer Laktat Lar. Infus (Tutup karet 3 lub Botol 500 ml 12,000 0 0 0

263 Salbutamol 2 mg Tab. Kotak/100 9,243 0 0 0

264 Salbutamol 4 mg Tab. Kotak/100 9,900 0 15 0

265 Salep 2 - 4 Kotak/24 96,000 0 0 0

Salep 2-4 , Kombinasi : Asam Salisilat 2%
266 Pot @ 30 gram 2,797 0 0
+ Belerang endap 4%
Salep 2-4 Kombinasi:Asam Salisilat 2% +
267 Pot @ 30 gram 2,200 42 0 152
Belerang Endap 4%
268 Salisil Bedak Kotak 1,573 0 36 0

269 Salisil Bedak 1,350

270 Sefadroksil 500 mg Kotak/100 52,900 0 3 0

271 Sefadroksil Syrp Botol 60 ml 5,286 0 42 0

Dus, 3 Strip @ 10
272 Simvastatin scored tablet 10 mg 3,690 0 0
Kaplet salut selaput
273 Simvastatin Tab. 10 mg Kotak/50 28,215 0 0 0

274 Simvastatin Tab. 10 mg Kotak/100 17,700 0 2 0

275 Stesolid Injeksi Kotak/5 Amp. 78,147 0 0 0

276 Stesolid Rektal Tub. Pcs 5 ml 28,512 0 5 0

277 Superhoid Kotak/100 0 0 0

278 Superoid Supp Kotak/6 0 0 0

279 Tablet Tambah Darah (SF) Botol/1000 28,855 0 0 0

280 Tetrasiklin 250 Kaplet Botol/1000 183,425 0 0 0

281 Tetrasiklin 250 Kaplet Kotak/100 16,200 0 6 0

282 Thiamin HCl 100 mg/ml Injeksi Kotak/30 Ampul 37,928 0 0

283 Thiamin HCl 100 mg/ml Injeksi Kotak/30 Ampul 50,090 0 0

284 Thiamin HCl Injeksi Kotak/30 25,300 2 1 0

285 Thiamin HCl Tab. Botol/1000 41,580 2 11 16

286 Thiamin HCl Tab. 50 mg 71,351

287 Thiamin HCl Tablet 50 mg Botol/1000 74,455 0 0

288 Vaksin Rabies kuur 750,000 0 0 0

289 Vomitrol Syrup Botol 5,519 0 0 0

290 Zinc Syrup Botol/60 ml 8,140 5 72 82

291 Zink phosfat Set 276,750 0 0 0

B. PROGRAM GIZI 0
292 Becefort Botol 20,700 7 31 35
293 Hemafort Kotak/100 90,750 0 0 0

294 Livron kotak/100 25,300 1 16 8

295 lysmin Botol/60 ml 25,080 0 0 0

Multivitamin sirup (Vit.A 5000 IU +
Vit.B1 3g + Vit.B2 2.74 mg + Vit.B6 1 mg
296 + Vit.B12 5 mcg + Vit.C 50 mg + Vit.D Botol/60 ml 25,080 10 88 4
400 IU + Niaciamide 20 mg + L. Lysine
Multivitamin
HCl 200 mg/5sirup
ml). (Vit.A 5000 UI + Vit.D
(Lysmin)
1000 UI + Vit. B1 + Vit.B2 + Vit.B6 +
297 Botol/100 ml 26,120 0 0
Vit. B12 + Vit.C + Niaciamide + Lysine
HCl)
Multivitamin Syrup (B Complex + D
298 Botol/60 ml 21,700 0 0
Pantotenat, Vitamin C 100 mg)
Multivitamin Tab. (Ekstrak hati sapi 100,
Vit. B1,B2, B6, B12, Vit. C, Nikotinamid,
299 Kotak/100 27,450 0 0
As. Folat, Fe (II) Glukonat 7,5, MnSO4,
CuSO4 )
Multivitamin untuk anemia (Besi II
fumarat + MgSO4 + CuSO4 + Asam
300 Kotak/100 90,700 0 0
Ascorbat + Asam Folat + B12 + Faktor
intrinstik)
Multivitamin untuk anemia (Besi II
fumarat + MgSO4 + CuSO4 + Asam
301 Kotak/100 90,750 0 55 12
Ascorbat + Asam Folat + B12 + Faktor
intrinstik). (Hemafort)
302 Nistatin Tab salut 500000 IU Kotak/100 70,400 0 1 3
303 Retinol (Vitamin A) 100.000 IU Botol/50 Kaps 14,025 0 0 0
304 Retinol (Vitamin A) 200.000 IU Botol/50 Kaps 18,447 0 0 0
305 Retinol (Vitamin A) 100.000 IU Botol/50 kapsul 14,300 0 0
306 Vitamin B Complex Kotak/100 11,200 0 0
307 Vitamin B-Complex Botol/1000 24,420 0 6 0
C. OBAT GIGI 0 0
308 Air raksa dental use Botol 0 0 0
309 Albothyl 5 ml (obat gigi) Botol/5ml 24,700 0 0 4
310 Bonding 216,000 0 0 0
311 Bonding Botol 356,730 0 0
312 Bonding 283,500
313 Calcinol / Urbical Box/2 Tube 535,095 0 0 0
314 Calcinol/ Urbical 877,500
315 Chlorphenol Kampher Menthol (CHKM) Botol/20 ml 60,500 0 0 0
316 Cresopen Botol/13 ml 538,650 0 0 0
317 Cresopen 762,750
318 Dentorit/Caviton Botol/30gr 155,250 0 0 0
319 Dentorit/Caviton Botol 201,886 0 0
320 Dentorit/caviton 263,250
321 Devitasol Pasta (Devitac) Botol/4,5 610,200 0 0 1
322 Devitasol Pasta (Devitac) Botol 647,660 0 0
323 Etil klorida Kaleng 115,500 4 7 13
324 Etil klorida Kaleng 101,250 0 0
325 Etil klorida Kaleng 109,451 0 0
326 Etsha btl 101,250 0 0 2
327 Etsha Botol 262,683 0 0
328 Eugenol Cairan Kotak 12 Botol @ 15 ml 605,000 0 0 0
329 Glass Ionomer Cement Bungkus/Set 434,500 0 0 0
330 Glass Ionomer Cement (Vitro Molar) Bungkus/Set 1,119,375 0 0
331 Glass Ionomer Cement (Vitro Molar) 1,309,500
332 Gutta Percha Box/200 Stik 67,500 0 0 0
333 Gutta Percha Kotak 54,000 0 0
334 Jarum (Carefull) Set 168,750 0 0 0
335 Jarum (Carefull) Set 182,250 0 0
336 Jarum (Carefull) Set 208,093 0 0
337 Mata Bor High set 217,500 0 0 0
338 Mata Bor High Set 270,000 0 0
339 Natrium Hipoklorit 3% Liter 27,000 0 0
340 Paper Point No. 15 Kotak/200 stik 67,500 0 0 0
341 Paper Point No. 15 Kotak 60,750 0 0
342 Paper Point No. 20 Kotak/200 stik 37,000 0 0 0
343 Pehacain Injeksi Kotak/20 66,510 0 0
344 Rockless Botol 742,500 0 0 0
345 Rockless Botol 988,142 0 0
346 Spongostan Kotak/10 70,000 0 0 22
347 Spongostan Box/10 pcs 168,250 0 0
348 Spongostan Box/10 pcs 181,877 0 0
349 Tambalan Komposit Set 1,464,441 0 0 2
350 Tambalan komposit ( natural look) 1,650,800
351 Tambalan Komposit (Natural Look) Set 1,014,894 0 0
352 Xylestesin Kotak 528,000 0 16 5
353 Xylestesin 573,750
Zinc Phospate/Oxide Cement (Powder &
354 Set/Kotak 276,750 0 0 0
Liquid)
355 Zinc tablet kotak/100 52,250 0 8 0

D. BAHAN HABIS PAKAI 0

356 Alat Suntik / Spoit 1 cc Kotak/100 120,175 0 2 0.63
357 Alat Suntik / Spoit 10 cc Kotak/100 175,000 0 0 0.69
358 Alat Suntik / Spoit 20 cc Kotak/100 185,000 0 0 0
359 Alat suntik / Spoit 3 cc Kotak/100 120,000 6 8 0.29
360 Alat Suntik / Spoit 5 cc Kotak/100 114,180 0 0 1.69
361 Alat Suntik / Spoit 50 cc Kotak/100 168,000 0 0 0
362 Alkohol Swamb Dos 29,563 0 0 0
363 Aqua Pro Injeksi Botol 20 ml 5,225 0 0 360
364 Aquadest Steril Kotak/120@25 Botol 327,600 2 40 0

365 Asam Klorida (HCl) 0,1 N Botol/100 ml 10,800 0 0 1

366 Bisturi No. 15 Box/100 Pcs 91,000 0 0 4

367 Bisturi No.15 Box/100 pcs 101,250 0 0

368 Blood Lancet Kotak/100 27,000 1 0 5

Cat Gut/Benang Bedah No.3/0 dengan
369 Kotak/24 649,000 4 3 1.792
Jarum Bedah
370 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm Box/24 pcs 174,870 0 0

371 Deck Glass Kotak/100 51,300 0 0 1

372 Disp. Syringe with needle 1 cc Tuberculin Box/100 pcs 84,825 0 0

373 Disp. Syringe With Needle 10 cc Box/100 pcs 120,713 0 0
374 Disp. Syringe with Needle 3 cc Box/100 pcs 84,825 0 0

375 Disp. Syringe With Needle 5 cc Box/100 pcs 97,875 0 0

376 EDTA 10% Botol 100 ml 97,500 0 0 1

377 EDTA 10% Botol/100 ml 20,250 0 0
378 Elastis Perban 4 Inch Rol 88,150 0 2 0

379 Foley Catheter Pcs 9,345 0 0 6

380 Folley Catheter 2 way No. 18 Box/10 pcs 104,400 1 0

381 Giemsa Stain Botol/100 100,000 0 0 1

382 Giemsa Stain Botol/100 ml 47,250 0 0

383 Hifavix 5x5 cm Rol 76,050 4 2 10
384 Hipavix 5 x 5 cm Rol 79,446 0 0

385 Hipavix 5 x 5 cm Pcs 70,265 0 0

386 Infus set Anak Kantong/Set 3,850 33 75 0

387 Infus set Dewasa Kantong/Set 4,400 150 231 0

388 Infusion Set Anak/Pediatric (60 drops/ml) Buah 4,568 0 7

389 Infusion Set Dewasa (20 drops/ml) Buah 4,176 0 44
390 IV Catheter No. 18 Kotak/50 428,313 0 2 0.9
391 IV Catheter No. 18 G x 32 mm Buah 4,959 70 0
392 IV Catheter No. 20 Kotak/50 428,313 0 2 0
393 IV Catheter No. 20 G x 11/4 mm Buah 4,959 50 39
394 IV Catheter No. 22 Kotak/50 428,313 0 0 0
395 IV Catheter No. 22 G x 1 mm Buah 4,959 50 0
396 IV Catheter No. 24 Kotak/50 428,313 0 3 0
397 IV Catheter No. 24 G x 3/4 mm Buah 4,959 50 35
398 Jarum Ekstirpasi 142,750
399 Jarum Extirpasi 155,000 0 0 0
400 Jarum Extirpasi Set 199,985 0 0
401 Jarum Kulit No. 11 Pcs 1,950 0 0 48
402 Jarum Kulit No. 11 24,300
403 Jarum Kulit No.11 Set 17,405 0 0
404 Jarum Otot No. 11 Pcs 1,950 0 0 36
405 Jarum Otot No. 11 24,300
406 Jarum Otot No.11 Set 17,405 0 0
407 Kapas Pembalut/absorben 250 g Rol 8,250 7 10 7
408 Kapas pembalut/absorben 250 gram Roll 16,313 0 0
409 Kasa 40 x 80 cm Roll 118,800 0 0 9
410 Kasa Hydrofil Steril 18 m x 22 cm Kotak/12 Lmbr 5,225 88 66 100
411 Kasa Hydrofil Steril 18 m x 22 cm Box/12 7,700 0 0
412 Kasa Hydrofil Steril 36 m x 80 cm Rol 114,500 4 10 0
413 Kasa Hydrophil 40 x 80 cm Roll 137,025 0 0
414 Kasa Pembalut 4 m x 10 cm Roll 1,958 0 50
415 Kasa Pembalut Elastis 3 inci Rol 6,250 0 5 4
416 Kasa Pembalut Elastis 3 inci Rol 7,700 0 0
417 Kasa Pembalut Hydrofil 4 m x 10 cm Rol/50 33,385 0 4 1.6
418 Kasa Pembalut Hydrofil 4 m x 5 cm Rol/100 33,385 0 0 1
419 Kertas Puyer bks 6,250 0 0 15
420 Kertas Puyer Bungkus 7,425 0 0
421 Klip Plastik besar Kotak/100 0 0 0
422 Klip Plastik Obat Ukuran Kecil Bungkus/100 3,500 0 0 0
423 Klip Plastik Obat Ukuran Sedang Bungkus/100 5,000 0 0 40
424 Klip Plastik Obat Ukuran Sedang Bungkus/100 5,000 0 0
Larutan Carbol Fuchsin Decolorizer
425 Botol/100 ml 87,750 0 0
Conc. 30 ml
426 Larutan Eosin Botol/100 114,750 0 0 0
427 Larutan Hayem Botol 49,000 0 0 1
428 Larutan Hayem Botol/100 ml 60,750 0 0
429 Larutan Hayem Botol/100 ml 64,860 0 0
430 Larutan karbol Fuchsin 0,3% Botol/100 ml 105,000 0 0 0
431 Larutan Methilen Blue Botol/100 ml 47,250 0 0 0
Larutan Methylene Blue Concentrate 130
432 Botol/100 ml 55,941 0 0
ml
433 Larutan Spiritus Liter 38,475 0 0 4
434 Larutan Spiritus Liter 47,250 0 0
435 Larutan Spiritus Liter 32,430 0 0
436 Larutan Turk Botol 49,000 0 0 1
437 Larutan Turk Botol/100 ml 13,500 0 0
438 Larutan Turk Botol/100 ml 32,430 0 0
Latex Examination Glove L (Sarung
439 Box/100 Buah 42,413 3 8
Tangan)
440 Latex Examination Glove L, M, S Box/100 Pcs 42,413 0 0 0
Latex Examination Glove M (Sarung
441 Box/100 Buah 42,413 2 12
Tangan)
Latex Examination Glove S (Sarung
442 Box/100 Buah 42,413 3 13
Tangan)
443 Lisol Botol/1000 ml 53,505 0 0
444 Masker Kotak/20 24,750 0 0 0
445 Masker Kotak/50 21,533 2 7 0

446 Methanol Liter 16,250 0 0 1

447 Methanol Liter 33,750 0 0

448 Methylen Blue Botol 47,250 0 0 0

449 Natrium Sitrat Liter 136,000 0 0 0
450 Natrium Sitrat Liter 60,750 0 0

451 Needle 23 G x 1,5 cc Kotak/100 Pcs 27,000 0 0 0

452 Objeck Glass Kotak/100 22,275 0 0 5

453 Objeck Glass Kotak/72 21,620 0 0

454 Oil Emercy Botol/100 ml 490,000 0 0 0
455 Oil Emercy Botol/100 ml 371,250 0 0
456 Oksigen (O2) 6 Kubik 162,500 0 0 0
457 Oksigen (O2) 1 kubik 75,000 0 0 0
458 Oksigen (O2) 1 1/2 kubik 85,000 0 0 0
459 Oksigen (O2) 1 kubik Kubik 74,345 0 0
460 Oksigen (O2) 6 kubik Kubik 138,864 0 0
461 Perhidrol (H2O2) 13% Liter 37,125 0 0 0
462 Perlak lembar 0 0 0

463 Plano Tes (Tes Kehamilan) Kotak/50 74,250 0

464 Plester 5 yard x 2 inci Roll 36,450 0 0
465 Plester 5 yard x 2 inci Roll 34,592 0
466 Plester 5 yards x 2 inci Rol 26,208 7 11 9
467 Porstex botol/1000 20,000 0 6 4

468 Portex Botol 21,620 0

469 Rapid Test Hepatitis Kotak/25 tes 773,795 0 0 0
470 RDT DBD IgG/IgM Kotak/25 3,819,338 0 0 0
471 RDT DBD NS1 Kotak/25 0 0 0
472 RDT DBD NS1 (Dengue Antigen) Kotak/25 2,824,113 0
473 Reagen Golongan Darah Botol/10 ml 280,000 0 0 0
474 Reagen Golongan Darah 365,000
475 Reagen Golongan Darah (A, B, AB) Botol/3X10 ml 248,630 0
476 Reagen Tidal Kotak/4 vial 607,500 0 0 0

477 Reagen Tidal Kotak/4 vial 484,828 0

478 Reagen Widal Kotak 8 Vial@5 ml 1,730,916 0 0 0

Rees Eker Liquid (Pemeriksaan
479 Botol/500 ml 577,254 0
Hemoglobin)
480 Rivanol (Etakridin larutan 0,1%) Botol/300 ml 3,328 0
481 Sarung Tangan (Hands Scoon) Kotak/25 42,500 0 0 0
482 Sarung Tangan L, M, S Kotak/100 42,413 8 0
483 Silk (Benang Bedah Sutra ) Kotak/24 276,540 2 3 0
484 Silk 3/0+Jarum 1/2 GT 35 mm Box/36 143,550 0 0 0.94
485 Strip Asam Urat Botol/25 Strip 120,000 0 0 2
486 Strip Asam Urat Botol/25 Strip 118,910 0
487 Strip Asam Urat 121,500
488 Strip Gula Botol/25 Strip 117,000 0 0 1
489 Strip Gula Botol/25 Strip 121,500 0
490 Strip Gula Botol/25 Strip 108,100 0
491 Strip Kolesterol Botol/10 Strip 183,000 0 0 0

492 Strip Kolesterol Botol/10 Strip 183,600 0

493 Strip Kolesterol Botol/10 Strip 183,770 0

494 Surgical Mask 3 ply Tie on (Masker) Box/50 pcs 21,533 15

495 Tes Tuberkulin Pcs 881,250 0 0 0
496 Test Pack Kotak/50 100,000 0 2 3
497 Uji Dengue IgG/IgM 25 Test 1,932,287 0
498 Uji Hepatitis BsAg Box/25 505,367 0
499 Uji Leptospira IgM Kotak/25 Test 1,932,287 0
500 Uji Malaria Box/25 1,062,757 0
501 Uji Tifoid IgM Box/25 1,545,830 0
502 Uji Tiphoid IgM Kotak/25 1,799,875 0 0 0
503 Urine Bag Pcs 5,000 20 25 1
504 Urine Bag Standard steril 2 Lt Buah 3,915 0
505 Urine Reagen Strip 10 IG Para Meter Botol/100 Stik 459,000 0
506 Urine Reagen Strip 10 IG Para Meter Botol/100 Stik 243,225 0
507 Urine reagen strip 10 lG Para Meter Botol/100 Stik 195,000 0 0 1

39,600,000.00
 LAMPIRAN PERSEDIAAN OBAT
PUSKESMAS CENRANA KAB MAROS
PER 30 JUNI 2016

PKM PKM PKM PKM PKM PKM PKM PKM PKM PKM
Tompobulu Mallawa Tanralili Marusu Simbang Mandai Turikale Moncongloe Bantimurung Maros baru

0 2 1 0 0 0 0
2
2 8 1 0 0 0 0 2
0 0 0 0 0 0 0 0
0 0 0 0 3 13 0 1
0 10 0 0 0 0 0
0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 298 0 0 0 0 17

47 30 0 0 72 40 0 23 33
0 5 1 0 0 0 0 2
0 14 0 0 6 0 8 4
4 0 0 0 0 0 0 1
0 0 0 0 0 0 0

320 638 0 0 0 0 0

0 15 2 0 42 0 0 7
0 210 81 44 585 149 0 115 51

0 190 0 0 0 17 33 75
236
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 315
0 473 0 0 0 160 72

0 150 0 0 0 0 0

169 0 310 209 450 160 277 620 157

62 140 94 0 102 222 127 53 100
0 0 26 5 9 34 1 9.6 1

2 5 4 2 7 5 2 15 4

0 0 0 2 0 0 0 6

0 0 0 0 0 0 0

0 1 6 4 0 4 5 2
0 0 0 0 0 0 0 0
15 75 0 26 0 207 17 0
11 10 0 5 0 0 0 6
266 200 330 357 703 186 162 474 188
70 300 0 0 0 67 0
40 480 20 90 0 0 115 120
0 1 0 0 3 0 3 0 1
21 7 50 0 20 57 20 15 10
1 0 1 0 0 0 1 9
0 30 0 1 0 0 0 3
0 0 0 0 9 0 0 0
148 300 0 170 0 475 40 26
3 0 0 0 0 0 0 1.65
0 5 0 0 0 0 0
13 3 0 3 0 0 0 0
0 68 0 0 0 0 0
0 1 0 0 4 0 0 2 5
0 -80 0 0 0 135 0 0
0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 10
21 0 0 0 0 18 0 18 10
0 40 0 0 0 18 0
0 5 0 0 0 0 5 0
3
5 0 0 0 7 0 0 0
0 3 0 0 0 0 0

1 0 1.5 1 0 0 0 3.8 5
0 0 0 0 8 0 0 0
5
0 0 0 0 0 0 0 0
0 0 0 0 0 42 0 3
33 55 0 12 0 42 25 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 20 0 0 0 0 0
7 0 0 0 2 8 1 5
0 0 0 0 0 0 0 0.75
0 0 0 0 0 0 0 0
0 300 0 0 0 100
119 20 374 311 432 478 353 471 146
51 0 0 0 0 18 0 70
0 300 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0.8 0 0 0 0 0
0 45 0 0 0 0 5

2 26 0 0 0 8 0 0
0 2 0 3 0 0 16
9 1 1 1 0 9 4 11
1 2 7 5 0 0 6 7
0 0 0 0 0 0 0
0 5 0 0 0 0 6 13 7
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
0 27 0 0 5 0 1 4 6
 0 0 6 0 0 0 1 4.8
0 0 0 0 0 0 0 12 5
0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0
2 0 10 6 1 14 0 9
0 0 0 0 0 0 0 1
0 0 21 23 0 0 12 7
0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2
1 0 0.3 2.8 6 3 0 4
0 20 0 0 0 7 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10
2 5 20 0 5 4 3 11 5

0 8 0 0 0 0 3

4 1 2 3 5 3 5 7
0 0 0 0 9 0 0
2 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 10 0 0 0 3 0 21
0 0 0 0 0 4 0 0
0 12 0 0 0 0 0
2 0 0 0 15 2 0 0 1
3 0 0 2 5 0 2 2.8
0 6 69 0 144 0 26 42
15
2 5 0 22 32 11 0 4
0 45 0 0 0 0 8
5
15 1 16 4 2 16 0 0 4

150 20 189 0 0 91 39 255 64

0 1 6 0 40 2 8 9 21
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 114 68 0 110 43
4.5 0 0 0 0 2 0 0
0 0 9 36 15 0 10 0
8 15 0 0 5 0 8 0
62 15 58 15 200 8 40 124 70
0 10 0 0 0 0 5
9 0 0 0 48 48 0 0 16
0 7 0 1 0 4 3 0.21
0 0 0 0 0 0 5
0 0 0 0 0 0 0 0
29 70 10 34 70 48 27 18
0 0 0 0 0 0 0 0
0 0 6 0 40 0 20 1
4 50 0 0 16 19 4 29
2
0 11 0 8 30 0 8 0 17
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 5
0 0 0 0 0 0 0 8.5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 5 0 0 0 48 24 0
0 0 0 0 0 0 0 0
0 2 0 0 74 24 16 98
0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 5
3 2 1 0 0 0 2 0
0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0
0 0 0 0 0 8 0 20
0 0 0 0 0 0 0
12 25 6 11 127 4 7 0
0 5 0 0 0 0 12 12 151
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1 0.5 0 0 1 0 2.75
0 1 0 0 1 1 0
0 0 0 0 0 0 0 0 10
0 35 0 0 0 0 0 0
0 0 0 0 0 0 0
16 0 0 0 66 37 0 7
0 11 21 0 0 3.1 10 2.74
0 2 2.64 0.6 7 7 6 9.55
4 0 0 0 0 0 5 0
0 20 0 0 0 0 0

0 0 0 9 11 4 0 11 3
0 0 0 0 0 0 0 0
3 0 0 10 18 0 1 6 9
0 35 0 0 0 0 1
0 4 1 0 0 5 5 15 2
0 0 0 0 0 0 0 0
0 0 0 0 20 0 0 6.7 5
0 0 0 0 0 0 0 0
0 75 0 0 0 0 0
15 0 21 0 0 11.3 0 0
0 0 0 0 0 0 0 0
0 0 0 0 4 0 2 0 5
0 0 0 0 0 0 0
5 5 0 0 0 0 0 11 5

0 0 0 0 0 0 0 0
0 0 0 0 2 2 0 1
 0 2 0 0 0 0 2

0
3 0 0 3 6 3 0 11
0 0 0 0 0 0 0
0 5 0 0 0 0 4 0.5
0 0 2 0 0 0 0
4 0 1.4 8 0 20 0 1
0 11 0 0 0 0 3
0 10 0 0 0 0 0 0.5
0 0 0 0 0 2 0 0
16 0 0 12 18 23 0 0
0 65 0 0 0 0 12
287 0 0 0 228 26 28 0
0 500 0 0 0 0 100
0 0 0 0 0 0 0 2
0 100 0 11 0 15 16 13 10
14 0 1 0 20 0 0 0
130 5 52 64 0 43 72 187 60

0 100 0 0 0 0 0

0 0 0 0 0 0 0 0
0 5 0 0 4 0 0 1
0 5 0 0 0 0 5
2 0 9 3 0 3 0 5
0 9 0 0 2 0 3
8 5 0 0 25 63 0 41 67
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 150 0 0 0 0 0

3 0 0 3 6 8 0 4.6
0 0 0 30 0 0 83 0
0 0 0 0 0 2 0 0
180 0 0 135 143 45 60
10
0 9 0 0 0 0 2

0 200 0 0 0 0 50

0 1 0 0 0 2 0 0 3

0 4 0.75 0 0 0 0

1 30 0 0 0 18 0 4 5

2 3 0 1 1 2 0 0
0 5 0 0 0 0 1

3 0 2.6 2 1 0 0 2 7

11 0 5 0 112 0 24 50
0 20 0 0 0 0 0

410 280 0 0 740 320 180 65 50

10 130 0 76 50 141 72 17
 0 5 1 4 21 7 4 0 5

0 56 0 0 0 0 0 0
0 0 0 15 24 0 23 5
3
19 0 0 3 0 7 0 0 2

0 0 0 0 0 0 0

3
0 10 0 7 29 41 0 6 11

0 90 0 0 0 0 15

8 12 14 9 25 19 10 11 5

75 0 47 20 26 170 0 70 50

0 70 0 0 0 0 30 6
0 50 0 0 0 0 0

37 0 0 38 0 0 0 0 45

0 0 0 0 0 0 0 0
0 80 1 0 0 82 40

0 2 1 0 0 1 0 1
0 0 10 7 0 0 1 13
2
0 15 3.9 5 4 0 2 3
0 0 0 0 0 7 0 10
0 0 0 0 0 0 0 10
0 0 3 0 0 0 0 0
0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
250 50 100 96 0 42 50 0
200 0 101 0 0 0 0 372 30

0 1200 0 0 0 0 0

0 0 0 0 0 0 0 0 63

0 0 0 0 0 0 0 0
7 9 0 20 49 0 8 1
0 0 0 0 13 7 0 0 7

0 0 0 0 0 0 0

0 5 0 48 0 57 147
6 0 0 12 0 0 13 7
30
0 0 0 0 0 0 0 0
100 300 0 0 70 0 67 39
0 60 0 0 0 0 0 14
0 0 0 0 0 0 0 0 4

0 0 0 0 8 0 0

0 0 0 0 0 0 0
0 0 13 0 0 0 0 20
0 0 0 0 0 0 0 0
0 3 0 0 0 35 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
18 2 0 0 81 0 37 13 5

0 15 0 0 0 0 0

0 5 0 0 0 0 0

3 0 1.7 0 0 0 0 4
11 6 69 3 29 52 0 5
5
0 25 0 0 0 0 5

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3

30 30 0 25 0 0 26 82 50

0 0 0 0 0 0 0 0

0 0 0 0 0 0
24 5 0 5 0 0 0 2 19
0 0 0 0 0 0 0 0

8 2 0 0 16 6 0
0

0 5 0 0 0 0 0
0
87 0 0 0 0 0 0 0

0 220 0 0 0 0 0
14
0 151 0 0 0 0 25

0 35 0 0 0 0 7

0 60 0 0 0 0 4

40 0 0 0 0 12 0
0
2 0 9 6 5 3 4 2 1
5 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0
0 30 0 0 0 0 0 8
5 10 7 0 96 0 14 0 9
0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 2 0 13 0 4
0 0 0 0 0 0 0 3
0 2 0 0 0 0 0
1
0 0 0 0 2 0 0

0
0 0 0 0 0 0 0 3
1 0 0 0 0 0 0 2
1
0 0 0 0 0 0 0 4
0 2 0 0 1 0 0
1
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0
13 4 1 18 5 25 2 15
0 35 0 0 0 0 5
0 5 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 7
0 3 0 0 0 0 0
0
0 0 0 0 10 10 0 2
0 0 0 0 0 0 2
1 0 3 4 0 2 0 2
0 5 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 1 5 0 0 2
0 2 0 0 0 0 0
0 0 3 2 0 0 0
0 0 0 2 0 5 0 12
0 3 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 2 0 1 1
0 3 0 0 0 0 0
1 0 4 12 9 3 0 4
0 10 0 0 0 0 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0 2
0
0 2 0 0 0 0 0
0 0 0 5 0 17 0 3
5
0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0

0 0 0 0 0
2 0 3 6.5 2 1 1 5.8
 2 0 1 0 4 0 2 9 6.77
0 0 0 0 0 2 0 0
11 2 4.3 5 2 0 0 6.35
8 0 0 2 4 2 5 2.5 5.95
0 0 0 0 0 0.8 0 0
0 0 0 4 14 0 5 4 4
0 30 0 89 0 56 26
0 0 26 0 0 0 0 7.85
0 5 0 2 0 0 1 18
1 0 1 3 4 1 0 1 1

0 6 0 0 0 0 1

4 2 0 8 9 12 2 7
7 0 3 3 6 3 2 8.09
0 22 0 0 0 0 2

0 0 0 10 0 0 0

0 21 0 0 0 0 0
0 1 0 0 0 0 0
0 45 0 0 0 0 8

0 19 0 0 0 0 0

0 0 0 2 0 15 0 19
0 0 0 0 0 0 0
0 0 3 0 0 9 0 0
1 0 13 0 20 34 1 17
0 2 1 0 0 0 0

0 0 0 3 0 3 0 4
0 0 0 0 0 0 1
10 0 10 10 10 7 5 3
0 50 0 0 0 0 5

0 10 0 0 0 0 0

73 0 27 83 50 46 2 126
214 25 75 80 50 95 20 12
0 250 15 0 0 7 10
0 850 55 0 0 44 30
4.4 0 0 0 2 0 0.54 0 1
0 450 90 0 0 0 50 89
5 2 0 2 0 0 0 1
0 300 35 50 0 39 0 135
2.4 1 0 1 0 0 0 0 1
0 100 36 50 0 0 0 57
3.4 0 0.75 0 1 0 0.14 0 3
0 350 90 50 0 35 50 42
0
0 0 0 0 0 5 0 13
0 3 0 0 0 0 0
0 0 0 0 6 2 0 0
12
 0 10 0 0 0 0 0
0 0 2 0 8 3 0 0
12
0 10 0 0 0 0 0
12 0 7 13 10 5 0 4 7
0 25 0 0 0 0 8
7 0 14 13 0 3 5 0 2
13 10 39 169 216 3 28 98 5
0 40 0 0 0 0 0
0 0 0 0 7 3 0 0
0 40 0 0 0 0 0
0 150 0 0 0 50 0
0 0 7 0 0 0 17 10
0 5 0 0 0 0 0
20 0 0 5 19 0 3 14 6
0 0 13 0 0 21 0 64
10 2 0 28 0 0 30 10
0 30 0 0 0 0 15
0 0 0 0 0 0 0
0 2 0 0 0 0 18 10
0 5 0 20 0 0 22
0 30 0 0 0 0 0
0 5 0 0 0 0 1

0 0 0 0 0 0 1 7
0 0 0 0 0 2 0 20
0 0 0 0 0 0 1
0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
0 0 0 0 0 0 1 9
0 0 0 0 0 0 0

2 0 1 2 2 0 0 11
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 1 13
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 19 9 0 0 8 0 9 1

17 0 0 0 0 8 1

0 10 3 0 0 12 10 5 4

0 5 6 0 0 13 10 13 5

0 2 5 0 0 0 5
0 0 0 0 9 0 0 0
11 10 3 10 0 10 0 4
0 0 0 0 0 0 0 8
0 0 0 0 0 0 2

0 0 0 0 0 0 0
2 0 0 0 0 0 0 7
 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0
0 0 0 2 8 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0 8
0 0 0 0 0 0 0
0 0 0 0 10 0 0 0
0 0 0 0 10 0 0 0
0 0 0 0 0 0 0 0
0 40 0 0 0 0 0
0 40 0 0 0 0 0
2 0 1 0 0 11 3 14
0 0 0 0 0 40 0

0 21 0 0 0 0 6
0 70 0 0 0 0 6
0 0 0 0 0 0 0
4 0 25 6 14 9 1 15 3
0 5 0 3 0 0 0 3

0 15 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 1 0 0 0 0 0 3
0
0 3 0 0 0 0 0
0 2 0 0 0 0 0

0 2 0 0 0 0 0

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

0 14 0 0 0 0 2
1 0 0 0 27 0 0 0
0 0 0 43 0 0 0
2 0 0 1 4 4 2 0
0 6 0 0 0 0 1 3.24
0 0 0 0 4 0 0 1
0 0 0 0 0 0 0
3
0 0 0 0 3 0 0 4
0 38 0 0 0 0 4
0 0 0 0 0 0 0
0 0 0 0 5 0 0 5
0 30 0 0 0 0 0

0 10 0 0 0 0 0

0 20 0 0 0 15 4
0 0 5 0 0 0 0
4 0 0 6 10 0 2 3.9 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
7 3 41 0 20 5 25 69
0 25 0 0 0 0 0
0 3 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 4 0 0 2
klinik PKM
Total satuan Harga Satuan Jumlah
setda Lau

5 34,656 173,280

13 280,315 3,644,095
0 13,420 -
25 24,700 617,500
10 28,870 288,700
2 7 9,000 63,000
0 8,085 -
5 22,500 112,500
0 -
315 6,510 2,050,650

321 3,630 1,165,230

8 126,000 1,008,000
12 55 8,600 473,000
10 15 5,910 88,650

0 22,000 -

1094 37,000 40,478,000

87 22,000 1,914,000
14 1354 29,200 39,536,800

30 933 2,560 2,388,480

0 59,048 -

0 41,910 -
0 4,840 -
315 12,650 3,984,750
705 7,800 5,499,000

150 7,800 1,170,000

9 2968 17,820 52,889,760

12 1113 2,300 2,559,900
97.6 69,175 6,751,480

47 91,200 4,286,400

9.2 22,000 202,400

0 3350 -

25 13,563 339,075
0 35,200 -
13 353 10,500 3,706,500
39 5,200 202,800
9 3181 12,200 38,808,200
537 21,978 11,802,186
 1025 19,800 20,295,000
13 82,500 1,072,500
3 216 25,100 5,421,600
13 36,000 468,000
58 33,539 1,945,262
15 51,315 769,725
2 1296 1,596 2,068,416
5.65 257,070 1,452,446
5 1,362 6,810
3 36 66,517 2,394,612
68 23,830 1,620,440
36 4,237 152,532
55 5,286 290,730
2 35,000 70,000
10 15,246 152,460
79 38,000 3,002,000
58 14,000 812,000
9 19 19,000 361,000
3 Rp 45,298 135,894
14 26,400 369,600

3 122,500 367,500

14.3 114,070 1,631,201

1 24 14,412 345,888
5 1,441.20 7,206
1 1 14,300 14,300
13 85 26,500 2,252,500
167 35,465 5,922,655

4 8 26,500 212,000

3 312,000 936,000
20 202,500 4,050,000
27 178,000 4,806,000
1 1.75 173,800 304,150
0 -
400 7,400 2,960,000
11 3234 9,570 30,949,380
302 10,100 3,050,200
300 11,810 3,543,000
0 3,152 -
0 12,100 -
0.8 78,147 62,518

50 12,751 637,550

47 4,400 206,800
2 23 4,700 108,100
54 34,680 1,872,720
1 44 10,300 453,200
0 3,490 -
2 48 17,400 835,200
0 -
1 14,097 14,097
44 34,848 1,533,312
1 14.8 267,300 3,956,040
17 13,563 230,571
2 102,300 204,600
7 8,090 56,630
68 1,980 134,640
1 22,720 22,720
7 95 2,626 249,470
4 18,333 73,332
0 6,221 -
2 Rp 152,889 305,778
21.1 89,100 1,880,010
41 31,620 1,296,420
0 -
0 7,139 -
10 28,855 288,550
64 69,000 4,416,000

11 112,620 1,238,820

36 57,420 2,067,120

9 69,000 621,000
2 -
0 8,400 -
2 36 11,229 404,244
17 41,800 710,600
12 58,030 696,360
26 20,207 525,382
15.8 55,506 876,995
315 495 155,925
15 Rp 9,900 148,500
7 87 6,100 530,700
4 57 66,790 3,807,030
5 Rp 52,635 263,175
82 30,690 2,516,580

3 929 5,720 5,313,880

90 24,100 2,169,000
0 27,104 -
0 16300 -
482 2,938 1,416,116
1 7.5 78,650 589,875
100 12,705 1,270,500
6 46 15,700 722,200
5 804 4,949 3,978,996
15 12,100 181,500
143 8,500 1,215,500
16.04 49,720 797,509
5 49,720 248,600
0 89,700 -
339 7,600 2,576,400
0 43,263 -
2 86 6,900 593,400
2 129 10,000 1,290,000
2 Rp 16,000 32,000
84 22,550 1,894,200
0 32,000 -
6 41,250 247,500
8.5 15,990 135,915
0 -
0 3,150 -
0 29,315 -
0 41,256 -
221 1,680 371,280
11 4,950 54,450
267 1,760 469,920
0 -
7 34,650 242,550
12 16,500 198,000
5 16,500 82,500
0 41,800 -
28 8,349 233,772
0 10,555 -
230 15,200 3,496,000
352 2,298 808,896
0 -
0 -
7.25 220,000 1,595,000
3 243,510 730,530
4 14 10,420 145,880
14 51 10,420 531,420
0 -
168 4,000 672,000
48.84 37,015 1,807,813
2 42.79 92,900 3,975,191
9 37,510 337,590

20 63660 1,273,200

53 20,000 1,060,000
0 20,000 -
50 10,071 503,550
36 9,700 349,200
2 44 142,300 6,261,200
0 1,953,485 -
31.7 15,222 482,537
18 38,055 684,990
75 26,500 1,987,500
36 38,050 1,369,800
0 12,650 -
1 19 19,965 379,335
2 16,868 33,736
4 35 23,000 805,000

6 39,000 234,000
5 49,170 245,850
 4 275,000 1,100,000

0 Rp 16,868 -
32 13,310 425,920
0 17,715 -
9.5 61,864 587,708
2 11,000 22,000
50.4 8,668 436,867
14 11,300 158,200
10.5 61,870 649,635
2 15,730 31,460
1 91 24,200 2,202,200
77 16,900 1,301,300
48 789 3,300 2,603,700
600 3,150 1,890,000
2 42,500 85,000
190 9,650 1,833,500
15 50 92,333 4,616,650
670 4,545 3,045,150

100 5827 582,700

0 4,545 -
18 89,970 1,619,460
13 70,400 915,200
22 40,700 895,400
14 52,800 739,200
252 8,052 2,029,104
0 1,573 -
0 395,900 -

0 1,319,900 -

150 13,400 2,010,000

28.6 45,403 1,298,526

25 138 3,686 508,668

2 52,800 105,600

663 2,310 1,531,530

10 Rp 3,327 33,270

11 61,000 671,000

250 3,850 962,500

6 58,905 353,430

4.75 242,000 1,149,500

58 6,630 384,540

12 312,500 3,750,000

6 264,100 1,584,600

21.6 109,450 2,364,120

202 5,808 1,173,216

20 5,720 114,400

50 2403 1,535 3,688,605

5 769 8,800 6,767,200

5 66 31,800 2,098,800

56 9,100 509,600

67 9,100 609,700

3 Rp 36,685 110,055

4 60 33,000 1,980,000

0 12,100 -

3 Rp 19,816 59,448

10 171 11,550 1,975,050

105 21,000 2,205,000

145 15,386 2,230,970

532 2,640 1,404,480

106 2,344 248,464

50 2,344 117,200

172 68,750 11,825,000

0 68,750 -

215 12,500 2,687,500

6 20,500 123,000

35 8,000 280,000

2 Rp 35,100 70,200

46.9 32,953 1,545,496

17 9,100 154,700

10 31,800 318,000

8 13,400 107,200

5 10 13,200 132,000

0 20,680 -

0 -

906 8,000 7,248,000

703 5,720 4,021,160

1200 6,500 7,800,000

63 12,000 756,000

0 9,243 -

1 110 9,900 1,089,000

27 96,000 2,592,000

0 2797 -

451 2,200 992,200

10 84 1,573 132,132

30 Rp 1,350 40,500

3 52,900 158,700

618 5,286 3,266,748

74 3,690 273,060

4 28,215 112,860

10 17,700 177,000

0 78,147 -
 38 28,512 1,083,456

0 -

38 -

0 28,855 -

0 183,425 -

162 16,200 2,624,400

15 37,928 568,920

5 50,090 250,450

11.7 25,300 296,010

204 41,580 8,482,320

5 Rp 71,351 356,755

4 34 74,455 2,531,470

0 750,000 -

3 5,519 16,557

20 422 8,140 3,435,080

0 276,750 -

0 -
128 20,700 2,649,600
4 4 90,750 363,000

57 25,300 1,442,100

5 25,080 125,400

189 25,080 4,740,120

234 26,120 6,112,080

176 21,700 3,819,200

1 43 27,450 1,180,350

64 90,700 5,804,800

119 90,750 10,799,250

36 70,400 2,534,400
5 14,025 70,125
1 18,447 18,447
0 14,300 -
38 11,200 425,600
10 157 24,420 3,833,940
0 -
0 -
 23 24,700 568,100
3 216,000 648,000
2 356,730 713,460
1 Rp 283,500 283,500
2 535,095 1,070,190
0 Rp 877,500 -
3 60,500 181,500
3 538,650 1,615,950
1 Rp 762,750 762,750
4 155,250 621,000
3 201,886 605,658
1 Rp 263,250 263,250
4 610,200 2,440,800
0 647,660 -
107 115,500 12,358,500
40 101,250 4,050,000
5 109,451 547,255
5 101,250 506,250
0 262,683 -
0 605,000 -
9 434,500 3,910,500
3 1,119,375 3,358,125
0 Rp 1,309,500 -
22 67,500 1,485,000
2 54,000 108,000
12 168,750 2,025,000
7 182,250 1,275,750
0 208,093 -
8 217,500 1,740,000
2 270,000 540,000
5 27,000 135,000
19 67,500 1,282,500
3 60,750 182,250
0 37,000 -
0 66,510 -
4 742,500 2,970,000
3 988,142 2,964,426
55 70,000 3,850,000
14 168,250 2,355,500
0 181,877 -
4 1,464,441 5,857,764
0 Rp 1,650,800 -
2 1,014,894 2,029,788
46 528,000 24,288,000
5 Rp 573,750 2,868,750

6 276,750 1,660,500

8 52,250 418,000

0 -
23.93 120,175 2,875,788
25.46 175,000 4,455,500
2 185,000 370,000
44.94 120,000 5,392,800
31.14 114,180 3,555,565
0.8 168,000 134,400
31 29,563 916,453
561 5,225 2,931,225
75.85 327,600 24,848,460

27 10,800 291,600

16 91,000 1,456,000

7 101,250 708,750

50 27,000 1,350,000
40.882 649,000 26,532,418
24 174,870 4,196,880

11 51,300 564,300

21 84,825 1,781,325
1 120,713 120,713
53 84,825 4,495,725

19 97,875 1,859,625

37 97,500 3,607,500
0 20,250 -
14 88,150 1,234,100

92 9,345 859,740

4 104,400 417,600

11 100,000 1,100,000

1 47,250 47,250
71 76,050 5,399,550
55 79,446 4,369,530

10 70,265 702,650

515 3,850 1,982,750

952 4,400 4,188,800

289 4,568 1,320,152

1023 4,176 4,272,048
10.84 428,313 4,642,913
749 4,959 3,714,291
12 428,313 5,139,756
648 4,959 3,213,432
5.4 428,313 2,312,890
293 4,959 1,452,987
11.29 428,313 4,835,654
702 4,959 3,481,218
0 Rp 142,750 -
18 155,000 2,790,000
3 199,985 599,955
56 1,950 109,200
12 Rp 24,300 291,600
 10 17,405 174,050
49 1,950 95,550
12 Rp 24,300 291,600
10 17,405 174,050
82 8,250 676,500
33 16,313 538,329
53 118,800 6,296,400
835 5,225 4,362,875
6 46 7,700 354,200
24 114,500 2,748,000
40 137,025 5,481,000
250 1,958 489,500
43 6,250 268,750
5 7,700 38,500
72.6 33,385 2,423,751
99 33,385 3,305,115
95 6,250 593,750
45 7,425 334,125
0 -
30 3,500 105,000
87 5,000 435,000
30 5,000 150,000
6 87,750 526,500

8 114,750 918,000
23 49,000 1,127,000
1 60,750 60,750
0 64,860 -
5 105,000 525,000
10 47,250 472,500

0 55,941 -

22 38,475 846,450
2 47,250 94,500
0 32,430 -
15 49,000 735,000
0 13,500 -
0 32,430 -

57 42,413 2,417,541

26 42,413 1,102,738

58 42,413 2,459,954

68 42,413 2,884,084

12 53,505 642,060
9 24,750 222,750
57 21,533 1,227,381

9 16,250 146,250

2 33,750 67,500

0 47,250 -
9 136,000 1,224,000
 0 60,750 -

1 27,000 27,000

15 22,275 334,125

0 21,620 -
8 490,000 3,920,000
0 371,250 -
10 162,500 1,625,000
10 75,000 750,000
0 85,000 -
40 74,345 2,973,800
40 138,864 5,554,560
31 37,125 1,150,875
40 -

27 74,250 2,004,750
76 36,450 2,770,200
0 34,592 -
104 26,208 2,725,632
21 20,000 420,000

15 21,620 324,300
0 773,795 -
2 3,819,338 7,638,676
0 -
0 2,824,113 -
5 280,000 1,400,000
0 Rp 365,000 -
3 248,630 745,890
2 607,500 1,215,000

2 484,828 969,656

0 1,730,916 -

0 577,254 -

16 3,328 53,248
28 42,500 1,190,000
51 42,413 2,163,063
18 276,540 4,977,720
11.18 143,550 1,604,889
7 120,000 840,000
0 118,910 -
3 Rp 121,500 364,500
8 117,000 936,000
42 121,500 5,103,000
0 108,100 -
10 183,000 1,830,000

30 183,600 5,508,000

10 183,770 1,837,700

54 21,533 1,162,782
5 881,250 4,406,250
34.9 100,000 3,490,000
0 1,932,287 -
0 505,367 -
0 1,932,287 -
0 1,062,757 -
0 1,545,830 -
0 1,799,875 -
216 5,000 1,080,000
25 3,915 97,875
3 459,000 1,377,000
0 243,225 -
8 195,000 1,560,000
965,781,526

total 1,931,563,052
555,231,511
 REKAP PERSEDIAAN OBAT PUSTU/POSKESDES
PUSKESMAS MARUSU KAB MAROS
PERIODE (JANUARI - DESEMBER TAHUN 2017 )

NAMA PUSTU / POSKESDES :

MUTASI OBAT
STOK AWAL
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17

A. NAMA OBAT
1 Allopurinol Tab 100 mg Tablet 0
2 Allopurinol tab. 300 mg Tablet 0
3 Ambroksol Tablet Tablet
4 Ambroxol Syrup Botol/60 ml 0
5 Amlodipin 5mg Tablet
6 Amlodipin 10 mg Tablet 0
7 Amoksisilin kapsul/kaplet 250 mg Tablet 0
Amoksisilin kapsul/kaplet/tablet scored 500
8 Tablet 0
mg
9 Amoksisillin Syr. Kering Botol/60 ml 0
10 Antasida DOEN Tablet 0
11 Antasida Syr. Botol 0
Anti bakteri Doen salep kombinasi :
12 Tube 0
Basitrasin 100 IU + polimiksin 10.000 IU
Antifungi Doen Kombinasi : Asam benzoat
13 Pot 0
6% + asam salisilat 3%
14 Antihemoroid Doen Kombinasi Suppo
15 Antimigrain Tablet 0
16 Asam Ascorbat (Vit.C) 50 mg Tablet 0
17 Asam Folat Kaplet 1 mg Tablet
18 Asam mefenamat 500 mg Tablet 0
19 Asering Lar. Infus Botol/500 ml
20 Asiklovir SK Tablet
21 Asiklovir Tab. 200 mg Tablet
22 Asiklovir Tab. 400 mg Tablet
23 Albothyl Botol 5 ml
24 Betahistin tab. 6 mg Kotak/300
25 Betametason Krim Tube/5g
26 Bisacodil tab Tablet
27 Bisakodil suppositoria 5 mg Suppo
28 Bromheksin tab. 8 mg Tablet
29 Cetirizine Tab. 10 mg Tablet
30 Chlorfeniramine Maleat (CTM) 4 mg Tablet 0
31 Cyanocobalamin Inj. Tablet
32 Cyanocobalamin Tablet Tablet
33 Cyprofloxacin 500 mg Tab. Tablet 0
34 Diazepam Tablet 2 mg Tablet
35 Dexamethason Tab. 0,5 mg Tablet 0
36 Dextrofen Syrup Botol 60 ml
37 Difenhidramin Injeksi Tablet
38 Digoxin Tab. 0,25 mg Tablet
39 Domperidon suspensi/sirup 5 mg/5 ml Btl @ 60 ml 0
40 Domperidon Tab. 10 mg Tablet 0
41 Eritromicin Kaps. 500 mg Tablet 0
42 Eritromicin Syrup Botol/60 ml 0
43 Etakridin larutan 0,1% (Rivanol) Botol/300 ml
44 Ethanol Botol 100 ml 0
45 Fenilbutason Tab. 200 mg Botol/100 0
 MUTASI OBAT
STOK AWAL
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17

46 Fitomenadeon Tab. Tablet

Fitomenadion (Vitamin K1) injeksi i.m. 2
47 Tablet
mg/ml
48 Folic Acid Tablet
49 Furosemid Tab. 40 mg Tablet
50 Gentamicin 0,1% Salep Kulit Tablet
51 Gentian Violet Botol/10 ml
52 Glibenklamid Tab. 5 mg Tablet 0
53 Gliseril Guaiacolas Tablet 0
54 Glukosa larutan 5 % Tablet 0
55 Griseofulvin tablet 125 mg, micronized Tablet
56 Hidroklorotiazid tab 25 mg Tablet
57 Hidrokortison krim 2,5 % Tube
58 Ibuprofen 200 mg Tablet 0
59 Ibuprofen 400 mg Tablet
60 Ibuprofen Suspensi 200 mg Botol/60 0
61 Ichtiol SK Pot
62 Kalsium laktatTab. 500 mg Tablet 0
63 Kaptopril 12,5 mg Tablet 0
64 Kaptopril 25 mg Tablet
65 Ketokonazole Tab. 200 mg Tablet
66 Kloramfenicol Tetes Mata Botol
67 Kloramfenicol Tetes Telinga 3% Botol
68 Kloramfenikol Kaps. 250 mg Kapsul
69 Kloramfenikol salep mata Tube/5 gr 0
70 Kloramfenikol Suspensi Botol/60 ml
71 Kloramfenikol Tetes Telinga botol/5ml
72 Kotrimoksasol Tab. 120 mg Tablet
73 Kotrimoksazol 480 Tablet 0
74 Kotrimoksazol Syr. Botol/60 0
75 Lacto B Sachet Kotak/4x10
76 Lansoprazol 30 mg Tablet
77 Larutan Ringer Laktat botol/100ml
78 Levertran Salep Pot
79 Lidocain Injeksi Ampul
80 Lisol Botol/1000
81 Loperamide Tablet
82 Loratadine Tab. 10 mg Tablet
83 Meloxicam 7,5mg Tablet
84 Metformin HCl tab 500 mg Tablet 0
85 Methylergometrin inj Tablet
86 Methylprednisolon 4 mg Tablet 0
87 Methylprednisolon 8 mg Tablet
88 Metilergometrin Injeksi Ampul
89 Metilergometrin Tab. 0,125 mg Tablet 0
90 Metokloperamid Tab. 5 mg Tablet 0
91 Metronidazol 500 mg Tablet
92 Mikonazol Krim Tube/10 gr 0
93 Natrium Diclofenac Tab. 25 mg Tablet
94 Natrium Diclofenac Tab. 50 mg Tablet 0
95 Natrium Klorida (NaCl) 0,9% Botol 500 ml 0
96 Nifedipin Tab. 20 mg Tablet
97 Nistatin Tablet Salut 500.000 IU Tablet
 MUTASI OBAT
STOK AWAL
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17

98 Nistatin Vaginal Tablet

99 N-asetil sistein kapsul 200 mg Tablet
100 Nistatin Tab salut 500000 IU Tablet
101 Nistatin vaginal tablet 100.000 iu/g Tablet
102 O.B.H. Indo Plus Botol
103 OBH ITRA Botol
104 Oksitetra Salep Kulit 3% Tube/10 gr
105 Oksitetra Salep Mata 1 % Tube/3,5 gr
106 Oksitosin injeksi 10 IU/ml Ampul 0
107 Omeprazole Tab. 20 mg Tablet
108 Papaverin Tab 40 mg Tablet 0
109 Parasetamol Drops Botol 15 ml
110 Parasetamol Syrup Botol/60 0
111 Parasetamol Tab. 500 mg Tablet 0
112 Pirantel Pamoat 125 mg Tablet 0
113 Pirantel suspensi Botol/60
114 Piridoksin HCl Tab. 10 mg Tablet 0
115 Piroxicam Tab. 20 mg Tablet 0
116 Povidum Iodium Botol/300 ml 0
117 Povidum Iodium Botol/30ml 0
118 Prednison Tab. 5 mg Tablet
119 Primakuin tablet 15 mg Tablet
120 Propanolol Tab. 10 mg Tablet
121 Propiltiourasil Tab 10 mg Tablet
122 Ranitidin Tab. 150 mg Tablet 0
123 Ringer Laktat Lar. Infus Botol 1000 ml 0
124 Salbutamol 2 mg Tab. Tablet 0
125 Salbutamol 4 mg Tab. Tablet
Salep 2-4 , Kombinasi : Asam Salisilat 2% +
126 Pot @ 30 gram 0
Belerang endap 4%
127 Salisil Bedak Kotak
128 Sefadroksil 500 mg Tablet 0
129 Sefadroksil Syrp Botol
130 Simvastatin scored tablet 10 mg Tablet
131 Simvastatin Tab. 10 mg Tablet
132 Stesolid Rektal Suppo
133 Thiamin HCl Tab. Tablet 0
134 Tablet Tambah Darah (Ferrosi Sulfat) Tablet
135 Vitamin B Complex Tablet 0
136 Zinc Syrup 20 mg/5 ml Dus, Botol 60 ml

B. PROGRAM GIZI
137 Becefort Botol/60 ml
138 Hemafort Tablet 0
139 Livron Tablet 0
140 Lysmin Botol/60 ml
141 Lisovit Syrup Botol/60 ml
D. BAHAN HABIS PAKAI
Cat Gut/Benang Bedah No.3/0 dengan Jarum
142 Pcs 0
Bedah
143 Disp. Syringe with needle 1 cc Tuberculin Pcs
144 Disp. Syringe With Needle 10 cc Pcs
145 Disp. Syringe with Needle 3 cc Pcs 0
146 Disp. Syringe With Needle 5 cc Pcs
 MUTASI OBAT
STOK AWAL
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17

147 Foley Catheter Pcs

148 Folley Catheter 2 way No. 18 Pcs
149 Hipavix 5 x 5 cm Rol
150 Infusion Set Anak/Pediatric (60 drops/ml) Buah
151 Infusion Set Dewasa (20 drops/ml) Buah 0
152 IV Catheter No. 18 G x 32 mm Buah 0
153 IV Catheter No. 20 G x 11/4 mm Buah
154 IV Catheter No. 22 G x 1 mm Buah
155 IV Catheter No. 24 G x 3/4 mm Buah 0
156 Kapas Pembalut/absorben 250 g Roll 0
157 Kasa 40 x 80 cm Roll
158 Kasa Pembalut 4 m x 10 cm Roll
159 Kasa Hydrofil Steril 18 m x 22 cm Box/12 0
160 Kasa Pembalut Elatis 3 inci Roll 0
161 Latex Examination Glove L (Sarung Tangan) Pcs
Latex Examination Glove M (Sarung
162 Pcs 0
Tangan)
163 Latex Examination Glove S (Sarung Tangan) Pcs
164 Plester 5 yard x 2 inci Roll
165 Rivanol (Etakridin larutan 0,1%) Botol/300 ml 0
166 Surgical Mask 3 ply Tie on (Masker) Box/50 0
167 Silk (Benang Bedah Sutra ) Pcs

TOTAL 0 0 0

Marusu, 31 Desember 2017

Mengetahui, Yang Melaporkan,
Kepala Puskesmas Marusu Kepala Pustu/Poskesdes

drg. ANDI ILHAM , M.Kes ______________________

Nip. 19651231 200604 1 008 Nip.
 REKAP PERSEDIAAN OBAT PUSTU/POSKESDES
PUSKESMAS MARUSU KAB MAROS
PERIODE (JANUARI - DESEMBER TAHUN 2017 )

NAMA PUSTU / POSKESDES :

MUTASI OBAT
STOK AWAL SISA STOK
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17 PER 31 DES 201

A. NAMA OBAT
1 Allopurinol Tab 100 mg Tablet 0 0
2 Allopurinol tab. 300 mg Tablet 0 0
3 Ambroksol Tablet Tablet 0
4 Ambroxol Syrup Botol/60 ml 0 0
5 Amlodipin 5mg Tablet 0
6 Amlodipin 10 mg Tablet 0 0
7 Amoksisilin kapsul/kaplet 250 mg Tablet 0 0
Amoksisilin kapsul/kaplet/tablet scored 500
8 Tablet 0 0
mg
9 Amoksisillin Syr. Kering Botol/60 ml 0 0
10 Antasida DOEN Tablet 0 0
11 Antasida Syr. Botol 0 0
Anti bakteri Doen salep kombinasi :
12 Tube 0 0
Basitrasin 100 IU + polimiksin 10.000 IU
Antifungi Doen Kombinasi : Asam benzoat
13 Pot 0 0
6% + asam salisilat 3%
14 Antihemoroid Doen Kombinasi Suppo 0
15 Antimigrain Tablet 0 0
16 Asam Ascorbat (Vit.C) 50 mg Tablet 0 0
17 Asam Folat Kaplet 1 mg Tablet 0
18 Asam mefenamat 500 mg Tablet 0 0
19 Asering Lar. Infus Botol/500 ml 0
20 Asiklovir SK Tablet 0
21 Asiklovir Tab. 200 mg Tablet 0
22 Asiklovir Tab. 400 mg Tablet 0
23 Albothyl Botol 5 ml 0
24 Betahistin tab. 6 mg Kotak/300 0
25 Betametason Krim Tube/5g 0
26 Bisacodil tab Tablet 0
27 Bisakodil suppositoria 5 mg Suppo 0
28 Bromheksin tab. 8 mg Tablet 0
29 Cetirizine Tab. 10 mg Tablet 0
30 Chlorfeniramine Maleat (CTM) 4 mg Tablet 0 0
31 Cyanocobalamin Inj. Tablet 0
32 Cyanocobalamin Tablet Tablet 0
33 Cyprofloxacin 500 mg Tab. Tablet 0 0
34 Diazepam Tablet 2 mg Tablet 0
35 Dexamethason Tab. 0,5 mg Tablet 0 0
36 Dextrofen Syrup Botol 60 ml 0
37 Difenhidramin Injeksi Tablet 0
38 Digoxin Tab. 0,25 mg Tablet 0
39 Domperidon suspensi/sirup 5 mg/5 ml Btl @ 60 ml 0 0
40 Domperidon Tab. 10 mg Tablet 0 0
41 Eritromicin Kaps. 500 mg Tablet 0 0
42 Eritromicin Syrup Botol/60 ml 0 0
43 Etakridin larutan 0,1% (Rivanol) Botol/300 ml 0
44 Ethanol Botol 100 ml 0 0
45 Fenilbutason Tab. 200 mg Botol/100 0 0
 MUTASI OBAT
STOK AWAL SISA STOK
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17 PER 31 DES 201

46 Fitomenadeon Tab. Tablet 0

Fitomenadion (Vitamin K1) injeksi i.m. 2
47 Tablet 0
mg/ml
48 Folic Acid Tablet 0
49 Furosemid Tab. 40 mg Tablet 0
50 Gentamicin 0,1% Salep Kulit Tablet 0
51 Gentian Violet Botol/10 ml 0
52 Glibenklamid Tab. 5 mg Tablet 0 0
53 Gliseril Guaiacolas Tablet 0 0
54 Glukosa larutan 5 % Tablet 0 0
55 Griseofulvin tablet 125 mg, micronized Tablet 0
56 Hidroklorotiazid tab 25 mg Tablet 0
57 Hidrokortison krim 2,5 % Tube 0
58 Ibuprofen 200 mg Tablet 0 0
59 Ibuprofen 400 mg Tablet 0
60 Ibuprofen Suspensi 200 mg Botol/60 0 0
61 Ichtiol SK Pot 0
62 Kalsium laktatTab. 500 mg Tablet 0 0
63 Kaptopril 12,5 mg Tablet 0 0
64 Kaptopril 25 mg Tablet 0
65 Ketokonazole Tab. 200 mg Tablet 0
66 Kloramfenicol Tetes Mata Botol 0
67 Kloramfenicol Tetes Telinga 3% Botol 0
68 Kloramfenikol Kaps. 250 mg Kapsul 0
69 Kloramfenikol salep mata Tube/5 gr 0 0
70 Kloramfenikol Suspensi Botol/60 ml 0
71 Kloramfenikol Tetes Telinga botol/5ml 0
72 Kotrimoksasol Tab. 120 mg Tablet 0
73 Kotrimoksazol 480 Tablet 0 0
74 Kotrimoksazol Syr. Botol/60 0 0
75 Lacto B Sachet Kotak/4x10 0
76 Lansoprazol 30 mg Tablet 0
77 Larutan Ringer Laktat botol/100ml 0
78 Levertran Salep Pot 0
79 Lidocain Injeksi Ampul 0
80 Lisol Botol/1000 0
81 Loperamide Tablet 0
82 Loratadine Tab. 10 mg Tablet 0
83 Meloxicam 7,5mg Tablet 0
84 Metformin HCl tab 500 mg Tablet 0 0
85 Methylergometrin inj Tablet 0
86 Methylprednisolon 4 mg Tablet 0 0
87 Methylprednisolon 8 mg Tablet 0
88 Metilergometrin Injeksi Ampul 0
89 Metilergometrin Tab. 0,125 mg Tablet 0 0
90 Metokloperamid Tab. 5 mg Tablet 0 0
91 Metronidazol 500 mg Tablet 0
92 Mikonazol Krim Tube/10 gr 0 0
93 Natrium Diclofenac Tab. 25 mg Tablet 0
94 Natrium Diclofenac Tab. 50 mg Tablet 0 0
95 Natrium Klorida (NaCl) 0,9% Botol 500 ml 0 0
96 Nifedipin Tab. 20 mg Tablet 0
97 Nistatin Tablet Salut 500.000 IU Tablet 0
 MUTASI OBAT
STOK AWAL SISA STOK
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17 PER 31 DES 201

98 Nistatin Vaginal Tablet 0

99 N-asetil sistein kapsul 200 mg Tablet 0
100 Nistatin Tab salut 500000 IU Tablet 0
101 Nistatin vaginal tablet 100.000 iu/g Tablet 0
102 O.B.H. Indo Plus Botol 0
103 OBH ITRA Botol 0
104 Oksitetra Salep Kulit 3% Tube/10 gr 0
105 Oksitetra Salep Mata 1 % Tube/3,5 gr 0
106 Oksitosin injeksi 10 IU/ml Ampul 0 0
107 Omeprazole Tab. 20 mg Tablet 0
108 Papaverin Tab 40 mg Tablet 0 0
109 Parasetamol Drops Botol 15 ml 0
110 Parasetamol Syrup Botol/60 0 0
111 Parasetamol Tab. 500 mg Tablet 0 0
112 Pirantel Pamoat 125 mg Tablet 0 0
113 Pirantel suspensi Botol/60 0
114 Piridoksin HCl Tab. 10 mg Tablet 0 0
115 Piroxicam Tab. 20 mg Tablet 0 0
116 Povidum Iodium Botol/300 ml 0 0
117 Povidum Iodium Botol/30ml 0 0
118 Prednison Tab. 5 mg Tablet 0
119 Primakuin tablet 15 mg Tablet 0
120 Propanolol Tab. 10 mg Tablet 0
121 Propiltiourasil Tab 10 mg Tablet 0
122 Ranitidin Tab. 150 mg Tablet 0 0
123 Ringer Laktat Lar. Infus Botol 1000 ml 0 0
124 Salbutamol 2 mg Tab. Tablet 0 0
125 Salbutamol 4 mg Tab. Tablet 0
Salep 2-4 , Kombinasi : Asam Salisilat 2% +
126 Pot @ 30 gram 0 0
Belerang endap 4%
127 Salisil Bedak Kotak 0
128 Sefadroksil 500 mg Tablet 0 0
129 Sefadroksil Syrp Botol 0
130 Simvastatin scored tablet 10 mg Tablet 0
131 Simvastatin Tab. 10 mg Tablet 0
132 Stesolid Rektal Suppo
133 Thiamin HCl Tab. Tablet 0 0
134 Tablet Tambah Darah (Ferrosi Sulfat) Tablet 0
135 Vitamin B Complex Tablet 0 0
136 Zinc Syrup 20 mg/5 ml Dus, Botol 60 ml 0
0
B. PROGRAM GIZI 0
137 Becefort Botol/60 ml 0
138 Hemafort Tablet 0 0
139 Livron Tablet 0 0
140 Lysmin Botol/60 ml 0
141 Lisovit Syrup Botol/60 ml 0
D. BAHAN HABIS PAKAI 0
Cat Gut/Benang Bedah No.3/0 dengan Jarum
142 Pcs 0 0
Bedah
143 Disp. Syringe with needle 1 cc Tuberculin Pcs 0
144 Disp. Syringe With Needle 10 cc Pcs 0
145 Disp. Syringe with Needle 3 cc Pcs 0 0
146 Disp. Syringe With Needle 5 cc Pcs 0
 MUTASI OBAT
STOK AWAL SISA STOK
NO NAMA OBAT KEMASAN
MASUK KELUAR
1-Jan-17 PER 31 DES 201

147 Foley Catheter Pcs 0

148 Folley Catheter 2 way No. 18 Pcs 0
149 Hipavix 5 x 5 cm Rol 0
150 Infusion Set Anak/Pediatric (60 drops/ml) Buah 0
151 Infusion Set Dewasa (20 drops/ml) Buah 0 0
152 IV Catheter No. 18 G x 32 mm Buah 0 0
153 IV Catheter No. 20 G x 11/4 mm Buah 0
154 IV Catheter No. 22 G x 1 mm Buah 0
155 IV Catheter No. 24 G x 3/4 mm Buah 0 0
156 Kapas Pembalut/absorben 250 g Roll 0 0
157 Kasa 40 x 80 cm Roll 0
158 Kasa Pembalut 4 m x 10 cm Roll 0
159 Kasa Hydrofil Steril 18 m x 22 cm Box/12 0 0
160 Kasa Pembalut Elatis 3 inci Roll 0 0
161 Latex Examination Glove L (Sarung Tangan) Pcs 0
Latex Examination Glove M (Sarung
162 Pcs 0 0
Tangan)
163 Latex Examination Glove S (Sarung Tangan) Pcs 0
164 Plester 5 yard x 2 inci Roll 0
165 Rivanol (Etakridin larutan 0,1%) Botol/300 ml 0 0
166 Surgical Mask 3 ply Tie on (Masker) Box/50 0 0
167 Silk (Benang Bedah Sutra ) Pcs 0

TOTAL 0 0 0 0

Marusu, 31 Desember 2017

Mengetahui, Yang Melaporkan,
Kepala Puskesmas Marusu Kepala Pustu/Poskesdes

drg. ANDI ILHAM , M.Kes ______________________

Nip. 19651231 200604 1 008 Nip.