LAPORAN PENAMBAHAN OBAT / ALAT KESEHATAN

KLINIK : NAYAKA ERA HUSADA MATARAM

CABANG : MATARAM
PERIODE : 1 s/d 31 juni 2018

Sisa TANGGAL OBAT MASUK Jml Obt Stok Awal

No Nama Obat Sedian Pabrik bln Lalu 6/2/2018 6/6/2018 6/7/2018 6/9/2018 6/11/2018 6/21/2018 6/22/2018 6/27/2018 Masuk + Masuk
1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma - - -
- Lostacef 500 mg Tablet Ifars 30 - 30
Cefadroxil 125 mg / 5 ml Sirup Indofarma - - -
- Lostacef 125 mg / 5 mg Sirup Ifars 25 - 25
Sulfadoxine Tablet Indofarma - - -
- Spasmodine Tablet Ifars 67 - 67
- - -
2 Gol. Penisillin - - -
Amoxycillin 500 mg Tablet Indofarma - - -
- Novamox 500 mg / Amostera 500 mg / Brodamox 500 mg Tablet Nova / Hufa 150 700 700 600 400 2,400 2,550
Amoxycillin 250 mg/ 5 ml Sirup Indofarma - - -
- Brodamox 250 mg/5 ml Sirup 7 15 20 35 42
Amoxycillin 125 mg/ 5 ml Sirup Indofarma - - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusimox 125 mg/5 ml Sirup Nova / Hufa 20 20 25 20 10 75 95
Ampicillin 500 mg Tablet Indofarma - - -
-Duramycin 500 mg Tablet - - -
- - -
3 Gol. Kloramfenikol - - -
Klorampenikol Kapsul Indofarma - - -
Klorampenikol Syrup Sirup Errita - - -
- Novachlor 250 mg Sirup Nova - - -
Tiampenicol Tablet Indofarma - - -
- Thiamex / Dionicol Kapsul Ifars 120 - 120
- - -
4 Gol. Kuinolon - - -
Ciprofloxacin Tablet Indofarma - - -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / Nov 90 200 100 200 500 590
- - -
5 Gol. Tetrasiklin - - -
Tetrasiklin 500 mg Tablet Indofarma - - -
- Novabiotic 500 mg Tablet Nova 250 - 250
- Doksisiklin 500 mg Tablet Errita 300 - 300
- - -
6 Antibiotik Kombinasi - - -
Cotrimoxazol 480 mg Tablet Indofarma - - -
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 mg / Wiatrim Tablet Graha 100 200 100 300 400
Cotrimoxazol 5 ml Sirup Sirup Errita - - -
 - Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatrim 5 ml Sirup Dexa Medika 18 10 10 28
Primadex forte / Sisosprim Forte Tablet Dexa Medika - - -
- - -
7 Antibiotik Lain - - -
Unkomisin Tablet Indofarma - - -
Clindamisin Tablet Indofarma - - -
- Milorin Tablet 175 - 175
- - -
8 Analgetik & Antipirentik - - -
Asam mefenamat 500 mg Tablet Indofarma - - -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 290 500 200 200 500 1,400 1,690
Antalgin 500 mg Tablet Indofarma - - -
Parasetamol 500 mg Tablet Indofarma - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg / Alpamol 500 mg Tablet Nova 385 400 400 500 300 1,600 1,985
Parasetamol syrup Sirup Errita - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol 5 ml Sirup Nova 8 25 20 10 10 65 73
-pamol 125 supositoria supos interbat - - -
- Mirasic forte 650 Drops Ifars - - -
-novagesic kaleng Tablet Kalbe Farma 975 - 975
Neuralgin Tablet Mecosin - - -
- Neurophyron V Tablet Harsen - - -
- Analpim Tablet PIM - - -
- - -
9 Anti Piretik & Anti Tusif - - -
- Alpara Tablet Molex Ayus - - -
- Bronchifar Tablet Ifars 4 - 4
- Dextral Tablet Molex Ayus - - -
- Dextral Syrup Sirup Molex Ayus - - -
- Flucadex Tablet Graha farma - - -
- Demacolin / Corhinza Tablet Coronet 180 300 400 400 1,100 1,280
- Tera F Tablet Rama Emeral 350 100 400 500 850
- Rama Flu Tablet Rama Emeral 180 300 400 700 880
- Flutrop / Decotan Tablet Tropica Farma 530 - 530
- Citocetin syrup Sirup Clublos farma - - -
- - -
10 Anti Tusif - - -
Ambroxol 30 mg Tablet Indofarma - - -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 mg Tablet 240 200 200 300 700 940
Ambroxol syrup Sirup Indofarma - - -
- Roverton syrup / Hufaxol Syrup / Erlapect syrup / Zenirex Syrup Sirup Ifars 13 10 10 23
-Bromifar Tablet - - -
- Bronkris Tablet Graha farma - - -
Dextromerthophan Tablet Indofarma - - -
- Code 15 Tablet - - -
Dextromerthophan syrup Sirup Indofarma - - -
Gliceryl Guaikolat (GG) Tablet Berlico 612 - 612
 OBH Itrasal Syrup Sirup Itrasal - - -
OBP Itrasal Syrup Sirup Itrasal - - -
- Grantusif Tablet Graha farma 200 200 200 400
- Graxine Tablet Graha farma 185 100 100 285
- Coparcetin Tablet Sampharindo 130 400 200 200 800 930
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 12 25 20 15 60 72
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM - - -
Kombiven 2,5 ml Ampul 19 20 20 40 59
- - -
11 Anti Histamin - - -
Loratadin Tablet Indofarma - - -
- Winatin Tablet 275 200 60 60 90 410 685
Cetrizin Tablet Indofarma - - -
CTM Tablet Kimia Farma - - -
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet Berlico 300 400 400 700
-ctm kaleng Tablet Erlimplex 1,015 - 1,015
- - -
12 Antasida - - -
Antasida Tablet Kimia Farma - - -
- Novamag / Dexanta Tablet Nova 375 200 100 200 500 875
Antasida Syrup Sirup Kimia Farma - - -
- Hufamag Plus /Hufasid Syrup / Atmasid Syrup / Novamag Syrup Sirup Hufa / Nova 15 20 10 30 45
Ranitidin Tablet Indofarma - - -
- Gasela / Hufadine Tablet Hufa / Nova 340 200 200 400 740
Cimitidin Tablet Indofarma - - -
- Tidifar Tablet 166 - 166
Omeprazol Tablet Indofarma - - -
- Etagastrin / Lanzoprazole / Omekur Tablet 125 300 200 200 700 825
- - -
13 Anti Emetic - - -
Domperidone Tablet Kimia Farma - - -
- Hufadon / Rosidon / Veperum Tablet Hufa 360 - 360
Domperidon syrup Sirup Kimia Farma - - -
- Hufadon syrup / Rosidon syrup Sirup Hufa 24 10 10 34
Metocdopramite syrup Sirup Kimia Farma - - -
- Norvum syrup / Primpen syrup Sirup Sampharindo 19 - 19
Dimenhidranat 50 Tablet Indofarma - - -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 130 - 130
- - -
14 Anti Spasmodik - - -
Papaverin HCL Tablet Kimia Farma - - -
Papaverin Injeksi Vial/Amp Kimia Farma - - -
Spasminal Tablet Hexpharm 220 100 200 300 520
- Scopma Plus Tablet Ifars - - -
- - -
15 Anti Diare - - -
 Oralit Saset Erela - - -
- Bioralit / Ramolit Saset Mecosin 37 50 75 125 162
- Diaform / Corosorb / Mecodiar Tablet Indofarma 405 500 500 1,000 1,405
-akita Tablet - - -
- Novadiar syrup / Guanistrip Syrup / Kanina Syrup Sirup Itrasal 11 10 10 21
Zink Dispersible Tablet Indofarma 285 100 200 300 585
- - -
16 Cordiovaskuler System - - -
ISDN 5 mg Tablet Indofarma - - -
- Farsorbit 5 mg Tablet 100 - 100
Propanolol Tablet Propanolol - -
Nipedipin Tablet Kimia Farma 180 - 180
- - -
17 Anti Hipertensi - - -
Catopril 25 mg Tablet Indofarma 285 100 300 400 685
Catopril 50 mg Tablet Indofarma - - -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 170 140 300 200 320 960 1,130
- - -
18 Dislipidemia (Kolesterol) - - -
Simpastatin Tablet Kimia farma - - -
- Selvim / Pontizoc Tablet Ifars 180 50 50 230
- - -
19 Anti Asma - - -
Aminophylin Tablet Indo Farma - - -
- Grafasma / Grafalin Tablet Graha Farma - - -
- Teosal Tablet Dexa Medika - - -
- Teosal Syrup Tablet Dexa Medika - - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma - - -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 430 400 400 830
- - -
20 Anti Convulsan - - -
Phenytoin Na Tablet Ikapharmindo - - -
Amitriptilin Tablet Indofarma - - -
- - -
21 Anti Vertigo - - -
Histigo Tablet Ifars 65 60 60 60 180 245
- - -
22 Non Steroid Anti Inflamasin - - -
Piroxicame Tablet Indofarma - - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 214 100 100 314
Meloxicam 7,5 mg Tablet Indofarma - - -
Ibuprofen Tablet Indofarma - - -
- Novaxifen/ Bunova / Farsifen / Axofen / Novapex Tablet Nova /Ifars 445 200 200 400 845
Na. Diklofenat Tablet Indofarma - - -
 Renadinac 25 mg Tablet - - -
Renadinac 50 mg Tablet 195 400 200 200 800 995
Diclofenac Potassium Tablet - - -
- Erphaflam, Megatic Tablet - - -
Epirizol HCL Tablet - - -
- Estalex Tablet 42 50 50 92
- - -
23 Dioretik - - -
HCT Tablet Indofarma - - -
Furasemid Tablet Indofarma 70 100 100 170
- - -
24 Hyperuricemia (asam Urat) - - -
Allupurinol Tablet Indofarma - - -
- Alodan / Alofar / Linogra Tablet Ifars 170 100 100 270
- - -
25 Kortikosteroid - - -
Methyl Prenisolon Tablet Indofarma - - -
- Rhemafar 4 mg Tablet Ifars 400 300 300 700
Prednison Tablet Kimia Farma - - -
- Inflason Tablet Berlico - - -
Dexamethasane 0,5 mg Tablet Indofarma - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0,5 mg Tablet Graha Farma 240 700 800 1,500 1,740
-dexa kaleng Tablet Indofarma 405 - 405
- Polofar Plus Tablet Ifars - - -
- - -
26 Hasemostatik - - -
Vitamin K Tablet Kimia Farma - - -
- Danochrom Tablet Hexpharm - - -
- - -
27 Phlebilis Preparation - - -
Nuwasir Tablet Medikon - - -
Anti Hemaroid Supp Suppos - - -
Superoid Supp Suppos 6 12 6 18 36 42
- - -
28 Anti Viral - - -
Acyclovir Tablet Indofarma - - -
- Vipres / Acifar Tablet 100 100 100 200
Acyclovir cream Cream Indofarma - - -
- Acifar cream Tablet 6 20 20 26
- - -
29 Antelmintik - - -
Pyratel Tablet Kimia Farma 199 - 199
Combantrin Tablet - - -
Combantrin syrup Sirup - - -
- - -
30 Vitamin - - -
 - Neurodex Tablet Dexa Medika 700 - 700
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela 20 400 400 100 200 1,100 1,120
- Livron B Plex Tablet Phapros - - -
- Hufabion / Novabion /fermia/ Fondazen Tablet Hufa 345 400 400 745
- Sulfas Ferrosus Tablet Kimia Farma - - -
Vitamin B1 Tablet Kimia Farma - - -
Vitamin B6 Tablet Kimia Farma - - -
Vitamin B12 Tablet Kimia Farma - - -
Vitamin B Komplek Tablet Kimia Farma 1,120 - 1,120
Vitamin C Tablet Kimia Farma 280 - 280
GUCOLIN serbuk 1 - 1
- Licokalk Tablet Berlico - - -
- Calcicus Lactat Tablet Erela 160 - 160
Curviplex Syrup / Tyalisin Syrup / Seltifort syrup / Solvita Syrup Syrup Graha Farma 15 20 20 15 55 70
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet Graha Farma - - -
- - -
31 Anti Fungi - - -
Ketoconazole 200 mg Tablet Kimia Farma - - -
- Solinfec 200 mg / Tokasid 200 mg / Pronazol 200 mg Tablet 45 200 200 245
Ketokonazole 2 % Salep Salep Kimia Farma - - -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 10 20 20 40 50
Metrodinazole 500 mg Tablet Indofarma - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet Graha Farma 140 - 140
Glesilvulvine Tablet Indofarma - - -
- Omevulvin Tablet 100 - 100
- - -
32 Obat KB - - -
Pil Mikrodiol 30 Tablet Kimia farma - - -
Pil Andalan Tablet Triyasa - - -
Cyclogeston Injeksi Ampul Triyasa - - -
Depogeston Injeksi 1 bln Ampul Triyasa 27 - 27
Depo Andalan injeksi 3 bln Ampul 1 20 20 40 41
Kondom Biji - - -
- - -
33 Anti TB - - -
Rifampisin 600 Tablet - - -
Etambutol 500 Tablet - - -
INH 300 Tablet - - -
Pyrazinamid 500 Tablet - - -
- - -
34 Preparat Mata - - -
Oxytetracycline salep mata Salep - - -
Erlamycetin Salep Mata Salep Erela 19 20 20 39
cindo xitrol TM Salep 12 10 10 22
Erlamycetin Tetes Mata/Reco TM Tetes Erela - - -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes 40 - 40
 - - -
35 Preparat Telinga - - -
Erlamycetin Tetes Telinga Tetes Erela - - -
- Reco Tetes Telinga Tetes 17 - 17
- Otopain TT / Santades TT Tetes - - -
Forumen Ear Drop10 ml Tetes Sanbe 1 1 1 2
- - -
36 Perparat Mulut - - -
Bufacomb In Orabase Cream Bufa - - -
GOM Cito Liquid Clubros 28 - 28
- Abotil Liquid - - -
- Mycostatin drop Sirup - - -
- Degirol Permen Hisap Tablet - - -
- Minosep kumur Cair - - -
- - -
37 Preparat Kulit - - -
Gentamisin Sulfat salep Salep Indofarma - - -
- Genalten Salep Salep Hufa 23 10 20 30 53
Hidrocortisone salep Salep Indofarma - - -
- Vanquin Plus Cream / Solacort Cream / Bufacot N Cream Salep Hufa 32 20 20 52
Miconazole salep Salep Indofarma - - -
- Locoriz cream Salep - - -
Salep Kulit 24 Salep Clubros 2 - 2
Oxytetracyclin salep kulit Salep Indofarma 10 - 10
- Erladerem N Cream Salep 46 20 20 66
- Burnazim Cream (luka barar) Salep - - -
Icthiol salep bisul Salep Clubros 11 - 11
Salycil Talk/Bedak Talkum Kimia Farma - - -
Larutan PK Liquid - - -
- - -
38 Vaksin - - -
Vaksin BCG Ampul Biofarma - - -
Vaksin Campak Ampul Biofarma - - -
Vaksin DPT Ampul Biofarma - - -
Vaksin TT Ampul Biofarma - - -
Vaksin Polio Ampul Biofarma - - -
- - -
DIGOXIN Tablet Kimia Farma - - -
- Fargoxine Tablet 100 - 100
- - -
GLIBENCLAMIDA 5 mg Tablet Kimia Farma - - -
- Latibet 5 mg Tablet Ifars 260 100 100 200 460
- - -
METFORMIN Tablet Kimia Farma 170 100 100 270
- - -
LUMINAL Tablet Kimia Farma - - -
 - - -
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma - - -
- Nexitra Tablet Ifars - - -
- - -
39 Obat Injeksi - - -
Adimidon Injeksi Vial - - -
Aminophiline Injeksi Vial - - -
Duradril Injeksi Vial 10 - 10
DIAZEPAM Injeksi Vial - - -
EPINERPHINE Injeksi Ampul - - -
Furasemide Injeksi Vial - - -
Quininen Injeksi Vial - - -
Lidocain / Pehacain Injeksi Vial 51 20 20 71
Metoclhoramide Injeksi Vial - - -
Neurobion / Neuroboran Injeksi Vial 6 10 10 20 26
Scopamin Injeksi Vial - - -
TRAMADOL Injeksi Ampul - - -
Vitamin B Complek Injeksi Ampul - - -
Vitamin B 12 Injeksi Ampul - - -
Vitamin K Injeksi Vial - - -
Xilomidon Injeksi Vial - - -
Ranitidine Injeksi Ampul 2 10 10 12
Dexamethasone Inj Ampul 5 4 4 9
Ketorolac Injeksi Ampul 4 10 10 20 24
Metil prednisolon Inj Ampul - - -
Benodon Ampul 5 10 20 30 35
- - -
40 Lain-lain - - -
Abocet 18 Pcs - - -
Abocet 20 Pcs 1 - 1
Abocet 22 Pcs - - -
Abocet 24 Pcs 1 - 1
Infuset Dewasa / Anak Pcs 1 - 1
Alkohol 70 % Liquid PIM - - -
Rivanol 100 ml/300ml Liquid Molex 1 - 1
Ringer Laktat (RL) Liquid Kimia Farma - - -
Glukosa 5% Liquid Kimia Farma - - -
NHCL Liquid Kimia Farma 1 - 1
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1 - 1
H2O2 3% Liquid Prima Plus 1 - 1
Kasa Steril Husada Pcs Askara - - -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1 - 1
Verban Pcs Unknown 1 - 1
Spuit 1 cc Pcs OneMet 7 - 7
Spuit 3 cc Pcs OneMet 76 - 76
Spuit 5 cc Pcs OneMet - - -
Spuit 10 cc Pcs OneMet - - -
Needle 23 / Jarum Pcs OneMet 163 - 163
Needle komplit Pcs OneMet - - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1 - 1
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6 - 6
Bisturi No. 15 Pcs Unknown - - -
Handscoon S, M, L, XL Pcs Sensi Gloves 300 100 100 400
HCG Test (Test kehamilan) Pcs Care Lamson 47 - 47
Masker 3 Fly Pcs Remedi - - -
Mess Pcs 1 - 1
Lubrikan Pot - - -
Hansaplas (Plester) Liquid OneMet 1 - 1
Aquapro Inj Liquid 3 - 3
Kertas Puyer Bungkus 100 - 100
Klip Obat Bungkus 500 1,000 2,000 3,000 3,500
Plastik Kresek obat Bungkus - - -
Safratule / Daryantulle Bungkus 1 - 1

Total 18,702 7,377 40 110 5,271 1,905 9,823 60 1,130 - - 25,716 44,418

Mengetahui, Mataram, 04 juli 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
REKAP LAPORAN PENGUNAAN OBAT HARIAN

KLINIK : NAYAKA HUSADA

CABANG/UNIT : MATARAM
PERIODE : 01 s/d 30 juni 2018

Stock TANGGAL KELUAR OBAT

No NAMA OBAT Total
Sedian 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Gol. Sefalosporin -
Cefadroxil 500 mg Tablet - -
- Lostacef 500 mg Tablet 30 -
Cefadroxil 125 mg / 5 ml Sirup - -
- Lostacef 125 mg / 5 mg Sirup 25 1 2 1 1 3 1 1 1 11
Sulfadoxine Tablet - -
- Spasmodine Tablet 67 -
- -
2 Gol. Penisillin - -
Amoxycillin 500 mg Tablet - -
- Novamox 500 mg / Amostera 500 mg / B Tablet 2,550 130 140 130 100 50 130 120 40 50 70 120 60 90 130 190 130 140 80 140 120 140 95 90 2,485
Amoxycillin 250 mg/ 5 ml Sirup - -
- Brodamox 250 mg/5 ml Sirup 42 4 1 2 1 1 2 1 2 1 1 1 2 19
Amoxycillin 125 mg/ 5 ml Sirup - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/ Sirup 95 2 2 3 7 2 4 2 4 1 3 4 1 2 6 5 6 2 3 2 8 8 6 83
Ampicillin 500 mg Tablet - -
-Duramycin 500 mg Tablet - -
- -
3 Gol. Kloramfenikol - -
Klorampenikol Kapsul - -
Klorampenikol Syrup Sirup - -
- Novachlor 250 mg Sirup - -
Tiampenicol Tablet - -
- Thiamex / Dionicol Kapsul 120 -
- -
4 Gol. Kuinolon - -
Ciprofloxacin Tablet - -
- Hufaflox / Etaflox / Novaflox Tablet 590 10 20 20 10 30 10 10 20 20 10 30 20 30 50 30 10 20 30 380
- -
5 Gol. Tetrasiklin - -
Tetrasiklin 500 mg Tablet - -
- Novabiotic 500 mg Tablet 250 -
- Doksisiklin 500 mg Tablet 300 -
- -
6 Antibiotik Kombinasi - -
Cotrimoxazol 480 mg Tablet - -
- Primadex 480 mg / Pehatrim 480 mg / Gr Tablet 400 10 10 20 10 10 10 20 10 10 10 10 10 10 10 20 10 20 30 40 280
Cotrimoxazol 5 ml Sirup Sirup - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 Sirup 28 1 1 1 1 1 1 6
Primadex forte / Sisosprim Forte Tablet - -
- -
7 Antibiotik Lain - -
Unkomisin Tablet - -
Clindamisin Tablet - -
 - Milorin Tablet 175 -
- -
8 Analgetik & Antipirentik - -
Asam mefenamat 500 mg Tablet - -
- Novastan 500 mg / Grafamic 500 mg Tablet 1,690 40 90 40 80 30 120 90 40 80 70 30 30 80 20 70 90 10 80 30 80 70 80 90 1,440
Antalgin 500 mg Tablet - -
Parasetamol 500 mg Tablet - -
- Novagesic 500 mg / Procet 500 mg / Mir Tablet 1,985 90 90 30 40 90 150 90 130 30 120 30 80 20 90 80 90 120 90 120 50 55 80 120 1,885
Parasetamol syrup Sirup - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 Sirup 75 1 1 1 4 3 2 1 2 1 5 2 6 7 4 1 4 3 3 5 2 2 60
-pamol 125 supositoria supos - -
- Pamol Drops / Fasidol Drops Drops - -
-novagesic kaleng Tablet 975 4 2 2 3 4 5 3 2 5 3 5 2 2 42
Neuralgin Tablet - -
- Neurophyron V Tablet - -
- Analpim Tablet - -
- -
9 Anti Piretik & Anti Tusif - -
- Alpara Tablet - -
- Bronchifar Tablet 4 -
- Dextral Tablet - -
- Dextral Syrup Sirup - -
- Flucadex Tablet - -
- Demacolin / Corhinza Tablet 1,280 40 60 40 20 30 30 20 30 60 90 50 40 90 90 20 60 70 120 90 140 90 1,280
- Tera F Tablet 850 10 20 10 30 20 30 40 20 30 10 20 30 10 40 20 40 10 40 30 10 30 500
- Rama Flu Tablet 880 70 40 30 20 30 30 20 30 40 30 50 70 20 10 10 13 40 60 22 635
- Flutrop / Decotan Tablet 530 90 50 80 10 20 20 20 20 10 10 10 10 350
- Citocetin syrup Sirup - -
- -
10 Anti Tusif - -
Ambroxol 30 mg Tablet - -
- Roverton 30 mg / Hufaxol 30 mg / Zenire Tablet 940 50 50 40 50 80 50 80 40 60 10 40 10 40 10 15 20 25 670
Ambroxol syrup Sirup - -
- Roverton syrup / Hufaxol Syrup / Erlapec Sirup 23 1 1 1 1 1 1 1 7
-Bromifar Tablet - -
- Bronkris Tablet - -
Dextromerthophan Tablet - -
- Code 15 Tablet - -
Dextromerthophan syrup Sirup - -
Gliceryl Guaikolat (GG) Tablet 612 16 18 10 20 10 15 10 19 17 14 10 5 6 10 10 10 21 21 10 10 3 20 7 292
OBH Itrasal Syrup Sirup - -
OBP Itrasal Syrup Sirup - -
- Grantusif Tablet 400 20 10 10 5 10 10 10 10 30 10 125
- Graxine Tablet 285 10 10 10 10 15 10 10 10 85
- Coparcetin Tablet 930 20 50 20 40 60 40 60 50 70 10 30 20 10 40 35 30 20 90 10 90 795
- Coparcetin Syrup / Remco syrup Sirup 72 2 2 7 1 4 3 2 1 2 1 2 4 3 1 2 1 2 4 3 3 4 3 57
- Pim-Tra-Kol syrup / Pacdin syrup Sirup - -
Kombiven 2,5 ml Ampul 59 2 1 1 3 2 1 1 1 2 1 2 17
- -
11 Anti Histamin - -
Loratadin Tablet - -
- Winatin Tablet 685 80 40 10 30 20 30 80 50 20 20 30 20 20 20 20 30 20 20 16 576
 Cetrizin Tablet - -
CTM Tablet - -
- Dehista / Alleron / Alermax / Orphen / Pal Tablet 700 10 10 20 10 10 10 10 10 20 20 20 10 30 10 200
-ctm kaleng Tablet 1,015 10 10 10 10 20 10 10 10 10 20 10 10 20 10 30 10 40 45 295
- -
12 Antasida - -
Antasida Tablet - -
- Novamag / Dexanta Tablet 875 30 50 90 20 40 40 50 20 10 10 10 10 30 10 20 10 20 40 85 30 625
Antasida Syrup Sirup - -
- Hufamag Plus /Hufasid Syrup / Atmasid Sirup 45 2 1 2 2 3 1 2 1 1 2 1 3 2 3 3 3 1 1 1 35
Ranitidin Tablet - -
- Gasela / Hufadine Tablet 740 20 10 10 50 30 20 10 10 10 20 20 40 10 30 60 20 20 30 10 40 20 30 30 550
Cimitidin Tablet - -
- Tidifar Tablet 166 14 20 34
Omeprazol Tablet - -
- Etagastrin / Lanzoprazole / Omekur Tablet 825 60 20 20 30 20 10 20 10 20 30 12 12 30 30 20 12 50 30 60 60 40 50 44 690
- -
13 Anti Emetic - -
Domperidone Tablet - -
- Hufadon / Rosidon / Veperum Tablet 360 10 15 10 10 10 10 10 10 10 10 10 10 15 5 145
Domperidon syrup Sirup - -
- Hufadon syrup / Rosidon syrup Sirup 34 2 1 1 1 1 1 7
Metocdopramite syrup Sirup - -
- Norvum syrup / Primpen syrup Sirup 19 1 1 2
Dimenhidranat 50 Tablet - -
- Omedrinat 50 / Mantino 50 Tablet 130 10 10
- -
14 Anti Spasmodik - -
Papaverin HCL Tablet - -
Papaverin Injeksi Vial/Amp - -
Spasminal Tablet 520 10 10 10 10 10 20 10 10 10 25 10 10 10 10 10 20 10 15 220
- Scopma Plus Tablet - -
- -
15 Anti Diare - -
Oralit Saset - -
- Bioralit / Ramolit Saset 162 3 8 3 3 3 6 8 3 4 9 4 3 8 5 4 5 3 4 6 92
- Diaform / Corosorb / Mecodiar Tablet 1,405 70 20 10 30 20 90 10 20 20 70 20 10 40 40 10 50 29 20 40 40 80 50 16 805
-akita Tablet - -
- Novadiar syrup / Guanistrip Syrup / Kani Sirup 21 1 1 2 1 1 1 1 1 9
Zink Dispersible Tablet 585 20 10 20 20 20 10 20 20 30 10 10 10 10 10 15 10 20 20 285
- -
16 Cordiovaskuler System - -
ISDN 5 mg Tablet - -
- Farsorbit 5 mg Tablet 100 -
Propanolol Tablet -
Nipedipin Tablet 180 -
- -
17 Anti Hipertensi - -
Catopril 25 mg Tablet 685 20 50 20 20 20 30 20 20 10 30 60 10 10 10 330
Catopril 50 mg Tablet - -
- Forten 25 mg / Forten 50 mg Tablet - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - -
 - Selescordion 5 mg / Selscordion 10 mg Tablet 1,130 40 20 10 10 30 40 30 30 50 10 40 40 30 50 20 40 70 50 80 90 10 90 50 930
- -
18 Dislipidemia (Kolesterol) - -
Simpastatin Tablet - -
- Selvim / Pontizoc Tablet 230 30 10 10 10 20 10 10 10 10 10 20 20 20 10 10 10 10 230
- -
19 Anti Asma - -
Aminophylin Tablet - -
- Grafasma / Grafalin Tablet - -
- Teosal Tablet - -
- Teosal Syrup Tablet - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet - -
- Salbron 2 mg / Saltam 4 mg Tablet 830 10 10 10 10 10 10 10 20 20 10 10 10 40 40 10 50 10 290
- -
20 Anti Convulsan - -
Phenytoin Na Tablet - -
Amitriptilin Tablet - -
- -
21 Anti Vertigo - -
Histigo Tablet 245 10 20 10 13 10 10 10 10 10 10 10 10 10 10 8 161
- -
22 Non Steroid Anti Inflamasin - -
Piroxicame Tablet - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet 314 10 10 10 10 10 6 6 6 6 74
Meloxicam 7,5 mg Tablet - -
Ibuprofen Tablet - -
- Novaxifen/ Bunova / Farsifen / Axofen / Tablet 845 40 20 60 40 30 10 40 20 30 40 30 10 20 15 20 50 70 50 595
Na. Diklofenat Tablet - -
Renadinac 25 mg Tablet - -
Renadinac 50 mg Tablet 995 40 30 90 40 40 90 10 60 20 30 30 40 20 40 20 60 40 30 70 40 30 15 885
Diclofenac Potassium Tablet - -
- Erphaflam, Megatic Tablet - -
Epirizol HCL Tablet - -
- Estalex Tablet 92 5 5 6 6 22
- -
23 Dioretik - -
HCT Tablet - -
Furasemid Tablet 170 10 10 10 10 10 10 15 20 95
- -
24 Hyperuricemia (asam Urat) - -
Allupurinol Tablet - -
- Alodan / Alofar / Linogra Tablet 270 10 10 10 20 20 10 10 10 10 20 10 10 10 10 10 20 10 10 220
- -
25 Kortikosteroid - -
Methyl Prenisolon Tablet - -
- Rhemafar 4 mg Tablet 700 30 10 10 10 10 10 10 10 10 20 10 140
Prednison Tablet - -
- Inflason Tablet - -
Dexamethasane 0,5 mg Tablet - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Ca Tablet 1,740 170 30 90 160 30 90 120 90 20 40 80 80 80 20 80 40 120 40 50 20 20 1,470
-kaleng dexa Tablet 405 30 10 10 10 12 12 10 30 30 12 10 10 10 10 12 10 20 10 5 10 273
- Polofar Plus Tablet - -
 - -
26 Hasemostatik - -
Vitamin K Tablet - -
- Danochrom Tablet - -
- -
27 Phlebilis Preparation - -
Nuwasir Tablet - -
Anti Hemaroid Supp Suppos - -
Superoid Supp Suppos 42 1 1 1 1 1 2 2 2 3 4 1 3 2 2 26
- -
28 Anti Viral - -
Acyclovir Tablet - -
- Vipres / Acifar Tablet 200 20 10 10 20 10 10 10 10 100
Acyclovir cream Cream - -
- Acifar cream Tablet 26 1 1 1 1 1 1 1 1 1 1 10
- -
29 Antelmintik - -
Pyratel Tablet 199 2 1 5 2 10
Combantrin Tablet - -
Combantrin syrup Sirup - -
- -
30 Vitamin - -
- Neurodex Tablet 700 -
- Caviplex /Selviplex /Supravit/Calfero Tablet 1,120 40 80 90 60 90 50 50 40 50 20 10 30 50 90 60 20 90 40 80 30 50 1,120
- Livron B Plex Tablet - -
- Hufabion / Novabion /Etabian/ Fondazen Tablet 745 60 80 10 90 40 10 40 10 40 20 30 40 50 40 10 10 25 40 26 40 20 731
- Sulfas Ferrosus Tablet - -
Vitamin B1 Tablet - -
Vitamin B6 Tablet - -
Vitamin B12 Tablet - -
Vitamin B Komplek Tablet 1,120 10 10 10 10 14 12 12 12 10 10 12 10 10 10 152
Vitamin C Tablet 280 10 10 10 20 20 10 30 20 10 10 10 40 10 60 10 280
GLUCOLIN serbuk 1 -
- Licokalk Tablet - -
- Calcicus Lactat Tablet 160 -
Curviplex Syrup / Tyalisin Syrup / Seltifort Syrup 70 4 1 3 1 3 4 1 3 1 3 1 2 3 3 2 1 4 4 2 2 2 1 2 53
Vastarel (B1, B6, B12), Zecaneuron / GrahaTablet - -
- -
31 Anti Fungi - -
Ketoconazole 200 mg Tablet - -
- Solinfec 200 mg / Tokasid 200 mg / Pro Tablet 245 10 10 10 10 10 10 10 10 10 15 10 30 10 10 10 20 10 10 215
Ketokonazole 2 % Salep Salep - -
- Solifec 2 % salep / Micoticum 2 salep Salep 50 1 3 2 1 2 1 2 1 1 1 1 1 2 4 2 1 26
Metrodinazole 500 mg Tablet - -
- Novagil 500 mg / Selesnizol 500 mg / Far Tablet 140 15 10 10 35
Glesilvulvine Tablet - -
- Omevulvin Tablet 100 -
- -
32 Obat KB - -
Pil Mikrodiol 30 Tablet - -
Pil Andalan Tablet - -
Cyclogeston Injeksi Ampul - -
 Depogeston Injeksi 1 bln Ampul 27 2 1 1 1 1 6
Depo Andalan injeksi 3 bln Ampul 41 2 1 1 1 1 2 4 1 2 3 1 2 1 2 24
Kondom Biji - -
- -
33 Anti TB - -
Rifampisin 600 Tablet - -
Etambutol 500 Tablet - -
INH 300 Tablet - -
Pyrazinamid 500 Tablet - -
- -
34 Preparat Mata - -
Oxytetracycline salep mata Salep - -
Erlamycetin Salep Mata Salep 39 1 3 2 1 1 1 1 1 1 1 13
Cindo xitrol TM Salep 22 1 1 1 1 1 2 1 1 2 1 12
Erlamycetin Tetes Mata/Reco TM Tetes - -
- Isotic Neolysin TM/ Allegtrol TM / Reco T Tetes 40 2 1 1 2 1 1 2 2 1 1 1 2 1 3 1 1 2 1 26
- -
35 Preparat Telinga - -
Erlamycetin Tetes Telinga Tetes - -
- Reco Tetes Telinga Tetes 17 2 1 2 1 1 7
- Otopain TT / Santades TT Tetes - -
Forumen Ear Drop10 ml Tetes 2 1 1
- -
36 Perparat Mulut - -
Bufacomb In Orabase Cream - -
GOM Cito Liquid 28 2 1 1 1 1 2 1 1 1 1 2 14
- Abotil Liquid - -
- Mycostatin drop Sirup - -
- Degirol Permen Hisap Tablet - -
- Minosep kumur Cair - -
- -
37 Preparat Kulit - -
Gentamisin Sulfat salep Salep - -
- Genalten Salep Salep 53 2 3 2 4 3 4 2 3 2 1 2 3 2 1 2 3 2 2 3 46
Hidrocortisone salep Salep - -
- Vanquin Plus Cream / Solacort Cream / Salep 52 1 1 2 1 1 1 3 3 4 4 3 2 1 2 1 30
Miconazole salep Salep - -
- Locoriz cream Salep - -
Salep Kulit 24 Salep 2 1 1 2
Oxytetracyclin salep kulit Salep 10 -
- Erladerem N Cream Salep 66 1 2 2 2 1 1 2 2 1 4 1 3 1 2 2 5 4 2 5 2 5 3 53
- Burnazim Cream (luka barar) Salep - -
Icthiol salep bisul Salep 11 -
Salycil Talk/Bedak Talkum - -
Larutan PK Liquid - -
- -
38 Vaksin - -
Vaksin BCG Ampul - -
Vaksin Campak Ampul - -
Vaksin DPT Ampul - -
Vaksin TT Ampul - -
Vaksin Polio Ampul - -
 - -
DIGOXIN Tablet - -
- Fargoxine Tablet 100 -
- -
GLIBENCLAMIDA 5 mg Tablet - -
- Latibet 5 mg Tablet 460 10 20 10 10 10 10 10 20 10 30 10 10 10 10 20 20 10 230
- -
METFORMIN Tablet 270 10 10 10 10 40
- -
LUMINAL Tablet - -
- -
TRANEXAMIC ACID (ASAM TRANEXAMINTablet - -
- Nexitra Tablet - -
- -
39 Obat Injeksi - -
Adimidon Injeksi Vial - -
Aminophiline Injeksi Vial - -
Duradril Injeksi Vial 10 -
DIAZEPAM Injeksi Vial - -
EPINERPHINE Injeksi Ampul - -
Furasemide Injeksi Vial - -
Quininen Injeksi Vial - -
Lidocain / Pehacain Injeksi Vial 71 1 1 1 3
Metoclhoramide Injeksi Vial - -
Neurobion / Neuroboran Injeksi Vial 26 1 1 1 1 1 5
Scopamin Injeksi Vial - -
TRAMADOL Injeksi Ampul - -
Vitamin B Complek Injeksi Ampul - -
Vitamin B 12 Injeksi Ampul - -
Vitamin K Injeksi Vial - -
Xilomidon Injeksi Vial - -
Ranitidine Injeksi Ampul 12 1 1 1 2 1 1 1 8
Dexamethasone Inj Ampul 9 1 1 1 1 4
Ketorolac Injeksi Ampul 24 1 1 1 1 1 1 1 7
Metil prednisolon Inj Ampul - -
Benodon Ampul 35 2 2 1 1 1 1 8
- -
40 Lain-lain - -
Abocet 18 Pcs - -
Abocet 20 Pcs 1 -
Abocet 22 Pcs - -
Abocet 24 Pcs 1 -
Infuset Dewasa / Anak Pcs 1 -
Alkohol 70 % Liquid - -
Rivanol 100 ml/300ml Liquid 1 -
Ringer Laktat (RL) Liquid - -
Glukosa 5% Liquid - -
NHCL Liquid 1 -
Betadine 300 ml/Iodine Povidone Liquid 1 -
H2O2 3% Liquid 1 -
Kasa Steril Husada Pcs - -
Kapas 250 Husada/HIDROFILL Pcs 1 -
Verban Pcs 1 -
Spuit 1 cc Pcs 7 3 3
Spuit 3 cc Pcs 76 2 2 3 3 2 12
Spuit 5 cc Pcs - -
Spuit 10 cc Pcs - -
Needle 23 / Jarum Pcs 163 1 2 2 3 4 3 2 3 2 3 2 1 2 3 33
Needle komplit Pcs - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs 1 -
Silk 3/0, 4/0 (Black, White) Pcs 6 -
Bisturi No. 15 Pcs - -
Handscoon S, M, L, XL Pcs 400 100 100 200
HCG Test (Test kehamilan) Pcs 47 2 2 4 1 9
Masker 3 Fly Pcs - -
Mess Pot 1 -
Lubrikan Liquid - -
Hansaplas (Plester) Liquid 1 -
Aquapro Inj Bungkus 3 -
Kertas Puyer Bungkus 100 -
Klip Obat Bungkus 3,500 200 200 300 200 200 100 500 100 400 100 100 2,400
Plastik Kresek obat Bungkus - -
Safratule / Daryantulle Bungkus 1 -

JUMLAH 44,420 27,753

Mengetahui, Mataram,04 juli 2018

Koordinator Unit Kerja Klinik Yang membuat,

BUKHARI RAHMAT, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
Stok
Akhir

- 0
30 30
- 0
14 14
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67 67
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65 65
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23 23
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720 720
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135 135
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215 215
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27 27
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17 17
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120 120
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300 300
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70 70
600 600
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12 12
300 300
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100 100
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180 180
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355 355
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200 200
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540 540
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84 84
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50 50
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560 560
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270 270
132 132
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16 16
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100 100
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16 16
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189 189
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700 700
-
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14 14
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- 0
- 0
968 968
- 0
1 1
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160 160
17 17
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30 30
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24 24
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105 105
- 0
100 100
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21 21
17 17
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26 26
10 10
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14 14
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10 10
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1 1
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7 7
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22 22
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-
10 10
13 13
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11 11
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 - 0
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230 230
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10 10
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5 5
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1 1
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 1 1
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38 38
-
1 1
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1 1
3 3
100 100
1,100 1100
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1 1

16,667 16,667
PEMERIKSAAN FISIK AKHIR OBAT

KLINIK : NAYAKA ERA HUSADA

UNIT : MATARAM MALL
PERIODE TANGGAL : 1 s/d. 30 juni 2018

No Nama Obat Sedian Pabrik Sisa Obat

1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma -
- Lostacef 500 mg Tablet Ifars 30
Cefadroxil 125 mg / 5 ml Sirup Indofarma -
- Lostacef 125 mg / 5 mg Sirup Ifars 14
Sulfadoxine Tablet Indofarma -
- Spasmodine Tablet Ifars 67
-
2 Gol. Penisillin -
Amoxycillin 500 mg Tablet Indofarma -
- Novamox 500 mg / Amostera 500 mg / Broda Tablet Nova / Hufa 65
Amoxycillin 250 mg/ 5 ml Sirup Indofarma -
- Brodamox 250 mg/5 ml Sirup 23
Amoxycillin 125 mg/ 5 ml Sirup Indofarma -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Sirup Nova / Hufa 12
Ampicillin 500 mg Tablet Indofarma -
-Duramycin 500 mg Tablet -
-
3 Gol. Kloramfenikol -
Klorampenikol Kapsul Indofarma -
Klorampenikol Syrup Sirup Errita -
- Novachlor 250 mg Sirup Nova -
Tiampenicol Tablet Indofarma -
- Thiamex / Dionicol Kapsul Ifars 120
-
4 Gol. Kuinolon -
Ciprofloxacin Tablet Indofarma -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / Nova 210
-
5 Gol. Tetrasiklin -
Tetrasiklin 500 mg Tablet Indofarma -
- Novabiotic 500 mg Tablet Nova 250
- Doksisiklin 500 mg Tablet Errita 300
-
6 Antibiotik Kombinasi -
Cotrimoxazol 480 mg Tablet Indofarma -
- Primadex 480 mg / Pehatrim 480 mg / GraprimTablet Graha 120
Cotrimoxazol 5 ml Sirup Sirup Errita -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Sirup Dexa Medika 22
Primadex forte / Sisosprim Forte Tablet Dexa Medika -
-
7 Antibiotik Lain -
Unkomisin Tablet Indofarma -
Clindamisin Tablet Indofarma -
- Milorin Tablet 175
-
8 Analgetik & Antipirentik -
Asam mefenamat 500 mg Tablet Indofarma -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 250
Antalgin 500 mg Tablet Indofarma -
Parasetamol 500 mg Tablet Indofarma -
- Novagesic 500 mg / Procet 500 mg / Mirasic Tablet Nova 100
Parasetamol syrup Sirup Errita -
 - Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Sirup Nova 15
-pamol 125 supositoria supos interbat -
- Pamol Drops / Fasidol Drops Drops Ifars -
Neuralgin Tablet Kalbe Farma 933
- Neuromec Tablet Mecosin -
- Neurophyron V Tablet Harsen -
- Analpim Tablet PIM -
-
9 Anti Piretik & Anti Tusif -
- Alpara Tablet Molex Ayus -
- Bronchifar Tablet Ifars 4
- Dextral Tablet Molex Ayus -
- Dextral Syrup Sirup Molex Ayus -
- Flucadex Tablet Graha farma -
- Demacolin / Corhinza Tablet Coronet -
- Tera F Tablet Rama Emeral 350
- Rama Flu Tablet Rama Emeral 245
- Flutrop / Decotan Tablet Tropica Farma 180
- Citocetin syrup Sirup Clublos farma -
-
10 Anti Tusif -
Ambroxol 30 mg Tablet Indofarma -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 Tablet 270
Ambroxol syrup Sirup Indofarma -
- Roverton syrup / Hufaxol Syrup / Erlapect syru Sirup Ifars 16
-Bromifar Tablet -
- Bronkris Tablet Graha farma -
Dextromerthophan Tablet Indofarma -
- Code 15 Tablet -
Dextromerthophan syrup Sirup Indofarma -
Gliceryl Guaikolat (GG) Tablet Berlico 320
OBH Itrasal Syrup Sirup Itrasal -
OBP Itrasal Syrup Sirup Itrasal -
- Grantusif Tablet Graha farma 275
- Graxine Tablet Graha farma 200
- Coparcetin Tablet Sampharindo 135
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 15
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM -
Kombiven 2,5 ml Ampul 42
-
11 Anti Histamin -
Loratadin Tablet Indofarma -
- Winatin Tablet 109
Cetrizin Tablet Indofarma -
CTM Tablet Kimia Farma -
- Dehista / Alleron / Alermax / Orphen / Pallerski Tablet Berlico 500
-ctm kaleng Tablet Erlimplex 720
-
12 Antasida -
Antasida Tablet Kimia Farma -
- Novamag / Dexanta Tablet Nova 250
Antasida Syrup Sirup Kimia Farma -
- Hufamag Plus /Hufasid Syrup / Atmasid Syru Sirup Hufa / Nova 10
Ranitidin Tablet Indofarma -
- Gasela / Hufadine Tablet Hufa / Nova 190
Cimitidin Tablet Indofarma -
- Tidifar Tablet 132
Omeprazol Tablet Indofarma -
- Etagastrin / Lanzoprazole / Omekur Tablet 135
-
13 Anti Emetic -
Domperidone Tablet Kimia Farma -
 - Hufadon / Rosidon / Veperum Tablet Hufa 215
Domperidon syrup Sirup Kimia Farma -
- Hufadon syrup / Rosidon syrup Sirup Hufa 27
Metocdopramite syrup Sirup Kimia Farma -
- Norvum syrup / Primpen syrup Sirup Sampharindo 17
Dimenhidranat 50 Tablet Indofarma -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 120
-
14 Anti Spasmodik -
Papaverin HCL Tablet Kimia Farma -
Papaverin Injeksi Vial/Amp Kimia Farma -
Spasminal Tablet Hexpharm 300
- Scopma Plus Tablet Ifars -
-
15 Anti Diare -
Oralit Saset Erela -
- Bioralit / Ramolit Saset Mecosin 70
- Diaform / Corosorb / Mecodiar Tablet Indofarma 600
-akita Tablet -
- Novadiar syrup / Guanistrip Syrup / Kanina Sy Sirup Itrasal 12
Zink Dispersible Tablet Indofarma 300
-
16 Cordiovaskuler System -
ISDN 5 mg Tablet Indofarma -
- Farsorbit 5 mg Tablet 100
Propanolol Tablet Propanolol -
Nipedipin Tablet Kimia Farma 180
-
17 Anti Hipertensi -
Catopril 25 mg Tablet Indofarma 355
Catopril 50 mg Tablet Indofarma -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 200
-
18 Dislipidemia (Kolesterol) -
Simpastatin Tablet Kimia farma -
- Selvim / Pontizoc Tablet Ifars -
-
19 Anti Asma -
Aminophylin Tablet Indo Farma -
- Grafasma / Grafalin Tablet Graha Farma -
- Teosal Tablet Dexa Medika -
- Teosal Syrup Tablet Dexa Medika -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 540
-
20 Anti Convulsan -
Phenytoin Na Tablet Ikapharmindo -
Amitriptilin Tablet Indofarma -
-
21 Anti Vertigo -
Histigo Tablet Ifars 84
-
22 Non Steroid Anti Inflamasin -
Piroxicame Tablet Indofarma -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 240
Meloxicam 7,5 mg Tablet Indofarma -
Ibuprofen Tablet Indofarma -
- Novaxifen/ Bunova / Farsifen / Axofen / Novap Tablet Nova /Ifars 250
Na. Diklofenat Tablet Indofarma -
Renadinac 25 mg Tablet -
 Renadinac 50 mg Tablet 110
Diclofenac Potassium Tablet -
- Erphaflam, Megatic Tablet -
Epirizol HCL Tablet -
- Estalex Tablet 70
-
23 Dioretik -
HCT Tablet Indofarma -
Furasemid Tablet Indofarma 75
-
24 Hyperuricemia (asam Urat) -
Allupurinol Tablet Indofarma -
- Alodan / Alofar / Linogra Tablet Ifars 50
-
25 Kortikosteroid -
Methyl Prenisolon Tablet Indofarma -
- Rhemafar 4 mg Tablet Ifars 560
Prednison Tablet Kimia Farma -
- Inflason Tablet Berlico -
Dexamethasane 0,5 mg Tablet Indofarma -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmeta Tablet Graha Farma 270
-dexa kaleng Tablet Indofarma 132
- Polofar Plus Tablet Ifars -
-
26 Hasemostatik -
Vitamin K Tablet Kimia Farma -
- Danochrom Tablet Hexpharm -
-
27 Phlebilis Preparation -
Nuwasir Tablet Medikon -
Anti Hemaroid Supp Suppos -
Superoid Supp Suppos 16
-
28 Anti Viral -
Acyclovir Tablet Indofarma -
- Vipres / Acifar Tablet 100
Acyclovir cream Cream Indofarma -
- Acifar cream Tablet 16
-
29 Antelmintik -
Pyratel Tablet Kimia Farma 189
Combantrin Tablet -
Combantrin syrup Sirup -
-
30 Vitamin -
- Neurodex Tablet Dexa Medika 700
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela -
- Livron B Plex Tablet Phapros -
- Hufabion / Novabion /Etabian/ Fondazen Tablet Hufa 14
- Sulfas Ferrosus Tablet Kimia Farma -
Vitamin B1 Tablet Kimia Farma -
Vitamin B6 Tablet Kimia Farma -
Vitamin B12 Tablet Kimia Farma -
Vitamin B Komplek Tablet Kimia Farma 968
Vitamin C Tablet Kimia Farma -
GUCOLIN serbuk 1
- Licokalk Tablet Berlico -
- Calcicus Lactat Tablet Erela 160
Curviplex Syrup / Tyalisin Syrup / Seltifort syrup Syrup Graha Farma 17
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet Graha Farma -
-
31 Anti Fungi -
 Ketoconazole 200 mg Tablet Kimia Farma -
- Solinfec 200 mg / Tokasid 200 mg / Pronazol Tablet 30
Ketokonazole 2 % Salep Salep Kimia Farma -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 24
Metrodinazole 500 mg Tablet Indofarma -
- Novagil 500 mg / Selesnizol 500 mg / Farizol Tablet Graha Farma 105
Glesilvulvine Tablet Indofarma -
- Omevulvin Tablet 100
-
32 Obat KB -
Pil Mikrodiol 30 Tablet Kimia farma -
Pil Andalan Tablet Triyasa -
Cyclogeston Injeksi Ampul Triyasa -
Depogeston Injeksi 1 bln Ampul Triyasa 21
Depo Andalan injeksi 3 bln Ampul 17
Kondom Biji -
-
33 Anti TB -
Rifampisin 600 Tablet -
Etambutol 500 Tablet -
INH 300 Tablet -
Pyrazinamid 500 Tablet -
-
34 Preparat Mata -
Oxytetracycline salep mata Salep -
Erlamycetin Salep Mata Salep Erela 26
Cendo xitrol TM Salep 10
Erlamycetin Tetes Mata/Reco TM Tetes Erela -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes 14
-
35 Preparat Telinga -
Erlamycetin Tetes Telinga Tetes Erela -
- Reco Tetes Telinga Tetes 10
- Otopain TT / Santades TT Tetes -
Forumen Ear Drop10 ml Tetes Sanbe 1
-
36 Perparat Mulut -
Bufacomb In Orabase Cream Bufa -
GOM Cito Liquid Clubros 14
- Abotil Liquid -
- Mycostatin drop Sirup -
- Degirol Permen Hisap Tablet -
- Minosep kumur Cair -
-
37 Preparat Kulit -
Gentamisin Sulfat salep Salep Indofarma -
- Genalten Salep Salep Hufa 7
Hidrocortisone salep Salep Indofarma -
- Vanquin Plus Cream / Solacort Cream / Bufac Salep Hufa 22
Miconazole salep Salep Indofarma -
- Locoriz cream Salep -
Salep Kulit 24 Salep Clubros -
Oxytetracyclin salep kulit Salep Indofarma 10
- Erladerem N Cream Salep 13
- Burnazim Cream (luka barar) Salep -
Icthiol salep bisul Salep Clubros 11
Salycil Talk/Bedak Talkum Kimia Farma -
Larutan PK Liquid -
-
38 Vaksin -
Vaksin BCG Ampul Biofarma -
Vaksin Campak Ampul Biofarma -
 Vaksin DPT Ampul Biofarma -
Vaksin TT Ampul Biofarma -
Vaksin Polio Ampul Biofarma -
-
DIGOXIN Tablet Kimia Farma -
- Fargoxine Tablet 100
-
GLIBENCLAMIDA 5 mg Tablet Kimia Farma -
- Latibet 5 mg Tablet Ifars 230
-
METFORMIN Tablet Kimia Farma 230
-
LUMINAL Tablet Kimia Farma -
-
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma -
- Nexitra Tablet Ifars -
-
39 Obat Injeksi -
Adimidon Injeksi Vial -
Aminophiline Injeksi Vial -
Duradril Injeksi Vial 10
DIAZEPAM Injeksi Vial -
EPINERPHINE Injeksi Ampul -
Furasemide Injeksi Vial -
Quininen Injeksi Vial -
Lidocain / Pehacain Injeksi Vial 68
Metoclhoramide Injeksi Vial -
Neurobion / Neuroboran Injeksi Vial 21
Scopamin Injeksi Vial -
TRAMADOL Injeksi Ampul -
Vitamin B Complek Injeksi Ampul -
Vitamin B 12 Injeksi Ampul -
Vitamin K Injeksi Vial -
Xilomidon Injeksi Vial -
Ranitidine Injeksi Ampul 4
Dexamethasone Inj Ampul 5
Ketorolac Injeksi Ampul 17
Metil prednisolon Inj Ampul -
Benodon Ampul 27
-
40 Lain-lain -
Abocet 18 Pcs -
Abocet 20 Pcs 1
Abocet 22 Pcs -
Abocet 24 Pcs 1
Infuset Dewasa / Anak Pcs 1
Alkohol 70 % Liquid PIM -
Rivanol 100 ml/300ml Liquid Molex 1
Ringer Laktat (RL) Liquid Kimia Farma -
Glukosa 5% Liquid Kimia Farma -
NHCL Liquid Kimia Farma 1
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1
H2O2 3% Liquid Prima Plus 1
Kasa Steril Husada Pcs Askara -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1
Verban Pcs Unknown 1
Spuit 1 cc Pcs OneMet 4
Spuit 3 cc Pcs OneMet 64
Spuit 5 cc Pcs OneMet -
Spuit 10 cc Pcs OneMet -
Needle 23 / Jarum Pcs OneMet 130
Needle komplit Pcs OneMet -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6
Bisturi No. 15 Pcs Unknown -
Handscoon S, M, L, XL Pcs Sensi Gloves 200
HCG Test (Test kehamilan) Pcs Care Lamson 38
Masker 3 Fly Pcs Remedi -
Mess Pcs 1
Lubrikan Pot -
Hansaplas (Plester) Liquid OneMet 1
Aquapro Inj Liquid 3
Kertas Puyer Bungkus 100
Klip Obat Bungkus 1,100
Plastik Kresek obat Bungkus -
Safratule / Daryantulle Bungkus 1

Total 16,667

Mengetahui, Mataram, 04 juli 2018

Koordinator Unit Kerja Klinik

BUKHARI RAHMAT, SE Desi Ratnasari, Amd. Farm

Ast Apoteker
REKAP LAPORAN PENGUNAAN OBAT HARIAN (POLI GIGI)

KLINIK : NAYAKA ERA HUSADA MATARAM

CABANG : MATARAM
PERIODE : 1 s/d 30 juni 2018

Stock Awal TANGGAL KELUAR OBAT Scock

No NAMA OBAT Total
Sedian Lama+ Baru 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Akhir
-
1 Gol. Penisillin - -
Amoxycillin 500 mg Tablet - -
- Novamox 500 mg / Amostera 500 mg / Tablet 615 40 24 6 6 20 50 30 40 50 20 20 30 10 30 20 10 36 20 20 50 15 20 567 48
Amoxycillin 250 mg/ 5 ml Sirup - -
- Brodamox 250 mg/5 ml Sirup - -
Amoxycillin 125 mg/ 5 ml Sirup - -
- Novamox 125 mg/5 ml Hufanoxil 125 m Sirup 2 1 1 1
Ampicillin 500 mg Tablet - -
-Duramycin 500 mg Tablet 15 - 15
- -
2 Gol. Kuinolon - -
Ciprofloxacin Tablet - -
- Hufaflox / Etaflox / Novaflox Tablet - -
- -
3 Gol. Tetrasiklin - -
Tetrasiklin 500 mg Tablet - -
- Novabiotic 500 mg Tablet - -
- Doksisiklin 500 mg Tablet 50 - 50
- -
4 Antibiotik Kombinasi - -
Cotrimoxazol 480 mg Tablet - -
- Primadex 480 mg / Pehatrim 480 mg / Tablet - -
Cotrimoxazol 5 ml Sirup Sirup - -
- Primadex 5 ml / Graprima 5 ml / Aditrim Sirup - -
- -
5 Antibiotik Lain - -
Unkomisin Tablet - -
Clindamisin Tablet - -
- Milorin Tablet - -
- -
6 Analgetik & Antipirentik - -
Asam mefenamat 500 mg Tablet - -
- Novastan 500 mg / Grafamic 500 mg Tablet 514 50 20 30 30 30 10 20 60 30 10 40 20 20 40 34 20 464 50
Parasetamol 500 mg Tablet - -
- Novagesic 500 mg / Procet 500 mg / M Tablet 32 - 32
Parasetamol syrup Sirup - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol Sirup 2 1 1 1
- Pamol 125 supositoria supos - -
- Pamol Drops / Fasidol Drops Drops - -
Neuralgin Tablet - -
- Neuromec Tablet - -
- Neurophyron V Tablet - -
 - -
7 Anti Histamin - -
CTM Tablet - -
- Dehista / Alleron / Alermax / Orphen / P Tablet 110 - 110
- -
8 Cordiovaskuler System - -
ISDN 5 mg Tablet - -
- Farsorbit 5 mg Tablet - -
Propanolol Tablet - -
Nipedipin Tablet - -
- -
9 Anti Hipertensi - -
Catopril 25 mg Tablet - -
Catopril 50 mg Tablet - -
- Forten 25 mg / Forten 50 mg Tablet - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - -
- Selescordion 5 mg / Selscordion 10 mg Tablet - -
- -
10 Non Steroid Anti Inflamasin - -
Na. Diklofenat Tablet - -
Renadinac 25 mg Tablet - -
Renadinac 50 mg Tablet 70 10 10 10 10 40 30
novaxipen Tablet 80 10 10 20 60
- Erphaflam, Megatic Tablet - -
Epirizol HCL Tablet - -
- Estalex Tablet - -
- -
11 Kortikosteroid - -
Dexamethasane 0,5 mg Tablet - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Tablet 440 10 40 20 30 40 20 40 10 40 20 20 30 10 20 30 10 20 410 30
Dexamethasane 0,5 mg + Dexchlorpenira Tablet - -
- -
12 Hasemostatik - -
Vitamin K Tablet - -
- Danochrom Tablet - -
- -
13 Vitamin - -
Vitamin B1 Tablet - -
Vitamin B6 Tablet - -
Vitamin B12 Tablet - -
Vitamin B Komplek Tablet 20 - 20
Vitamin C Tablet 20 10 10 20 -
Vastarel (B1, B6, B12), Zecaneuron / Gra Tablet - -
- -
14 Anti Fungi - -
Metrodinazole 500 mg Tablet - -
- Novagil 500 mg / Selesnizol 500 mg / F Tablet - -
- -
15 Perparat Mulut - -
Bufacomb In Orabase Cream - -
GOM Cito Liquid - -
 - Abotil Liquid - -
- Mycostatin drop Sirup - -
- Minosep kumur Cair - -
- -
16 GLIBENCLAMIDA 5 mg Tablet - -
- Latibet 5 mg Tablet - -
- -
17 TRANEXAMIC ACID Tablet - -
- Asam tranexamin - -
- Nexitra Tablet 10 - 10
- -
18 Obat Injeksi - -
Lidocain / Pehacain Injeksi Vial 6 1 1 2 4
Vitamin K Injeksi Vial - -
Dexamethasone Inj Ampul - -
- -
19 Lain-lain - -
NHCL Liquid - -
Betadine 300 ml/Iodine Povidone Liquid - -
H2O2 3% Liquid - -
Kasa Steril Husada Pcs - -
Kapas 250 Husada/HIDROFILL Pcs - -
Verban Pcs - -
Spuit 1 cc Pcs 1 - 1
Spuit 3 cc Pcs - -
Handscoon S, M, L, XL Pcs 100 3 1 3 1 2 1 4 1 6 4 5 4 5 3 4 47 53
Masker 3 Fly Pcs 100 1 2 3 1 1 1 1 1 1 1 1 1 5 4 2 26 74
Hansaplas (Plester) Liquid - -
Aquapro Inj Bungkus - -
Klip Obat Bungkus 100 10 10 8 12 12 52 48
Plastik Kresek obat Bungkus - -

JUMLAH 2,287 1,650 637

Mengetahui, Mataram, 04 juli 2018

Koordinator Unit Kerja Klinik Yang membuat,

BUKHARI RAHMAT, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
48

15

50

50

32

1
110

30
60

30

20
 10

53
74

48

637
PEMERIKSAAN FISIK AKHIR OBAT (POLI GIGI)

CABANG : MATARAM
PERIODE : 1 -30 juni 2018

No NAMA OBAT
Sedian

1 Gol. Penisillin
Amoxycillin 500 mg Tablet
- Novamox 500 mg / Amostera 500 mg / Brodamox 500 mg Tablet
Amoxycillin 250 mg/ 5 ml Sirup
- Brodamox 250 mg/5 ml Sirup
Amoxycillin 125 mg/ 5 ml Sirup
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusimox 125 mg Sirup
Ampicillin 500 mg Tablet
-Duramycin 500 mg Tablet

2 Gol. Kuinolon
Ciprofloxacin Tablet
- Hufaflox / Etaflox / Novaflox Tablet

3 Gol. Tetrasiklin
Tetrasiklin 500 mg Tablet
- Novabiotic 500 mg Tablet
- Doksisiklin 500 mg Tablet

4 Antibiotik Kombinasi
Cotrimoxazol 480 mg Tablet
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 mg / Wiatr Tablet
Cotrimoxazol 5 ml Sirup Sirup
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatrim 5 ml Sirup

5 Antibiotik Lain
Unkomisin Tablet
Clindamisin Tablet
- Milorin Tablet

6 Analgetik & Antipirentik

Asam mefenamat 500 mg Tablet
- Novastan 500 mg / Grafamic 500 mg Tablet
Parasetamol 500 mg Tablet
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg / Alpamol Tablet
Parasetamol syrup Sirup
 - Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol 5 ml Sirup
- Pamol 125 supositoria supos
- Pamol Drops / Fasidol Drops Drops
Neuralgin Tablet
- Neuromec Tablet
- Neurophyron V Tablet

7 Anti Histamin
CTM Tablet
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet

8 Cordiovaskuler System
ISDN 5 mg Tablet
- Farsorbit 5 mg Tablet
Propanolol Tablet
Nipedipin Tablet

9 Anti Hipertensi
Catopril 25 mg Tablet
Catopril 50 mg Tablet
- Forten 25 mg / Forten 50 mg Tablet
Amlodifine 5 mg / Amlodifine 10 mg Tablet
- Selescordion 5 mg / Selscordion 10 mg Tablet

10 Non Steroid Anti Inflamasin

Na. Diklofenat Tablet
Renadinac 25 mg Tablet
Renadinac 50 mg Tablet
novaxipen Tablet
- Erphaflam, Megatic Tablet
Epirizol HCL Tablet
- Estalex Tablet

11 Kortikosteroid
Dexamethasane 0,5 mg Tablet
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0,5 mg Tablet
Dexamethasane 0,5 mg + Dexchlorpeniramine Maleate Tablet

12 Hasemostatik
Vitamin K Tablet
- Danochrom Tablet

13 Vitamin
Vitamin B1 Tablet
Vitamin B6 Tablet
 Vitamin B12 Tablet
Vitamin B Komplek Tablet
Vitamin C Tablet
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet

14 Anti Fungi
Metrodinazole 500 mg Tablet
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet

15 Perparat Mulut
Bufacomb In Orabase Cream
GOM Cito Liquid
- Abotil Liquid
- Mycostatin drop Sirup
- Minosep kumur Cair

16 GLIBENCLAMIDA 5 mg Tablet
- Latibet 5 mg Tablet

17 TRANEXAMIC ACID Tablet

- Asam tranexamin
- Nexitra Tablet

18 Obat Injeksi
Lidocain / Pehacain Injeksi Vial
Vitamin K Injeksi Vial
Dexamethasone Inj Ampul

19 Lain-lain
NHCL Liquid
Betadine 300 ml/Iodine Povidone Liquid
H2O2 3% Liquid
Kasa Steril Husada Pcs
Kapas 250 Husada/HIDROFILL Pcs
Verban Pcs
Spuit 1 cc Pcs
Spuit 3 cc Pcs
Handscoon S, M, L, XL Pcs
Masker 3 Fly Pcs
Hansaplas (Plester) Liquid
Aquapro Inj Bungkus
Klip Obat Bungkus
Plastik Kresek obat Bungkus

JUMLAH
Mengetahui,

BUKHARI RAHMAT, SE
0 juni 2018

Nama Sisa
Pabrik obat

Indofarma
Nova / Hufa 48
Indofarma

Indofarma
Nova / Hufa 1
Indofarma
15

Indofarma
Hufa / Eta / Nova

Indofarma
Nova
Errita 50

Indofarma
Graha
Errita
Dexa Medika
Dexa Medika

Indofarma
Indofarma

Indofarma
Nova 50
Indofarma
Nova 32
Errita
Nova 1
interbat
Ifars
Kalbe Farma
Mecosin
Harsen

Kimia Farma
Berlico 110

Indofarma

Propanolol
Kimia Farma

Indofarma
Indofarma
Mexa Medica
Indofarma
Kimia Farma

Indofarma

30
60

Indofarma
Graha Farma 30
Indofarma

Kimia Farma
Hexpharm

Kimia Farma
Kimia Farma
Kimia Farma
Kimia Farma 20
Kimia Farma
Graha Farma

Indofarma
Graha Farma

Bufa
Clubros

10

53
74

48

637
Mataram, 04 juli 2018
Yang membuat,

Desi Ratnasari, Amd. Farm

Ast Apoteker
LAPORAN STOK OPNAME OBAT / ALAT KESEHATAN

KLINIK : NAYAKA HUSADA MATARAM

PERIODE : 01 juni s/d 30 juni 2018

Sisa Penambahan Jumlah Pemakaian Sisa Harga satuan Total Harga Pemk
No Nama Obat Sedian Pabrik bln Lalu bln ini bln ini bln ini bulan ini HNA + PPN Stok Obat Pemakaian Sisa Obat Expire Fisik Selisih Keterangan
1 2 3 4 5 6 7=5+6 8 9=7-8 10 11=7x10 12=8x10 13=9x10 14 15 16=9-15 17
1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma - - - - - - - - - -
- Lostacef 500 mg Tablet Ifars 30 - 30 - 30 780 23,400 - 23,400 Juni 2020 30 -
Cefadroxil 125 mg / 5 ml Sirup Indofarma - - - - - - - - - -
- Lostacef 125 mg / 5 mg Sirup Ifars 25 20 25 11 14 4,400 110,000 48,400 61,600 14 -
Sulfadoxine Tablet Indofarma - - - - - - - - - -
- Spasmodine Tablet Ifars 67 - 67 - 67 195 13,065 - 13,065 67 -
- - - - - - - -
2 Gol. Penisillin - - - - - - - -
Amoxycillin 500 mg Tablet Indofarma - - - - - - - - - - -
- Novamox 500 mg / Amostera 500 mg / Brod Tablet Nova / Hufa 150 3,000 2,550 2,485 65 2,700 6,885,000 6,709,500 175,500 Mei 2021 65 -
Amoxycillin 250 mg/ 5 ml Sirup Indofarma - - - - - - - - - - -
- Brodamox 250 mg/5 ml Sirup 7 45 42 19 23 5,800 243,600 110,200 133,400 23 -
Amoxycillin 125 mg/ 5 ml Sirup Indofarma - - - - - - - - - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 mlSirup Nova / Hufa 20 100 95 83 12 4,200 399,000 348,600 50,400 12 -
Ampicillin 500 mg Tablet Indofarma - - - - - - - - - - -
-Duramycin 500 mg Tablet - - - - - - - - - - -
- - - - - - - -
3 Gol. Kloramfenikol - - - - - - - -
Klorampenikol Kapsul Indofarma - - - - - - - - - -
Klorampenikol Syrup Sirup Errita - - - - - - - - - - -
- Novachlor 250 mg Sirup Nova - - - - - - - - - - -
Tiampenicol Tablet Indofarma - - - - - - - - - - -
- Thiamex / Dionicol Kapsul Ifars 120 - 120 - 120 250 30,000 - 30,000 120 -
- - - - - - - - - -
4 Gol. Kuinolon - - - - - - - - - -
Ciprofloxacin Tablet Indofarma - - - - - - - - - -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / 90 500 590 380 210 450 265,500 171,000 94,500 210 -
- - - - - - - - - -
5 Gol. Tetrasiklin - - - - - - - - - -
Tetrasiklin 500 mg Tablet Indofarma - - - - - - - - - -
- Novabiotic 500 mg Tablet Nova 250 - 250 - 250 460 115,000 - 115,000 250 -
- Doksisiklin 500 mg Tablet Errita 300 - 300 - 300 350 105,000 - 105,000 300 -
- - - - - - - - - -
6 Antibiotik Kombinasi - - - - - - - - - -
Cotrimoxazol 480 mg Tablet Indofarma - - - - - - - - - -
- Primadex 480 mg / Pehatrim 480 mg / Grapri Tablet Graha 100 - 400 280 120 350 140,000 98,000 42,000 120 -
Cotrimoxazol 5 ml Sirup Sirup Errita - - - - - - - - - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml Sirup Dexa Medika 18 20 28 6 22 3,800 106,400 22,800 83,600 22 -
 Primadex forte / Sisosprim Forte Tablet Dexa Medika - - - - - - - - - -
- - - - - - - - - -
7 Antibiotik Lain - - - - - - - - - -
Unkomisin Tablet Indofarma - - - - - - - - - -
Clindamisin Tablet Indofarma - - - - - - - - - -
- Milorin Tablet 175 - 175 - 175 125 21,875 - 21,875 175 -
- - - - - - - - - -
8 Analgetik & Antipirentik - - - - - - - - - -
Asam mefenamat 500 mg Tablet Indofarma - - - - - - - - - -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 290 1,200 1,690 1,440 250 190 321,100 273,600 47,500 250 -
Antalgin 500 mg Tablet Indofarma - - - - - - - - - -
Parasetamol 500 mg Tablet Indofarma - - - - - - - - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic Tablet Nova 385 1,600 1,985 1,885 100 135 267,975 254,475 13,500 100 -
Parasetamol syrup Sirup Errita - - - - - - - - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Sirup Nova 8 70 73 60 15 3,500 255,500 210,000 52,500 15 -
-pamol 125 supositoria supos interbat - 24 - - - 11,500 - - - - -
- Pamol Drops / Fasidol Drops Drops Ifars - - - - - - - - - -
-noagesic tab Tablet Kalbe Farma 975 - 975 42 933 80 78,000 3,360 74,640 933 -
- Neuromec Tablet Mecosin - - - - - - - - - -
- Neurophyron V Tablet Harsen - - - - - - - - - -
- Analpim Tablet PIM - - - - - - - - - -
- - - - - - - - - -
9 Anti Piretik & Anti Tusif - - - - - - - - - -
- Alpara Tablet Molex Ayus - - - - - - - - - -
- Bronchifar Tablet Ifars 4 - 4 - 4 120 480 - 480 4 -
- Dextral Tablet Molex Ayus - - - - - - - - - -
- Dextral Syrup Sirup Molex Ayus - - - - - - - - - -
- Flucadex Tablet Graha farma - - - - - - - - - -
- Demacolin / Corhinza Tablet Coronet 180 800 1,280 1,280 - 365 467,200 467,200 - - -
- Tera F Tablet Rama Emeral 350 200 850 500 350 350 297,500 175,000 122,500 350 -
- Rama Flu Tablet Rama Emeral 180 600 880 635 245 280 246,400 177,800 68,600 245 -
- Flutrop / Decotan Tablet Tropica Farm 530 200 530 350 180 120 63,600 42,000 21,600 180 -
- Citocetin syrup Sirup Clublos farma - - - - - - - - - -
- - - - - - - - - -
10 Anti Tusif - - - - - - - - - -
Ambroxol 30 mg Tablet Indofarma - - - - - - - - - -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 Tablet 240 800 940 670 270 150 141,000 100,500 40,500 270 -
Ambroxol syrup Sirup Indofarma - - - - - - - - - -
- Roverton syrup / Hufaxol Syrup / Erlapect syr Sirup Ifars 13 - 23 7 16 5,800 133,400 40,600 92,800 16 -
-Bromifar Tablet - - - - - 120 - - - - -
- Bronkris Tablet Graha farma - - - - - - - - - -
Dextromerthophan Tablet Indofarma - - - - - - - - - -
- Code 15 Tablet - - - - - - - - - -
Dextromerthophan syrup Sirup Indofarma - - - - - - - - - -
Gliceryl Guaikolat (GG) Tablet Berlico 612 - 612 292 320 80 48,960 23,360 25,600 320 -
OBH Itrasal Syrup Sirup Itrasal - - - - - - - - - -
OBP Itrasal Syrup Sirup Itrasal - - - - - - - - - -
- Grantusif Tablet Graha farma 200 200 400 125 275 320 128,000 40,000 88,000 275 -
 - Graxine Tablet Graha farma 185 - 285 85 200 185 52,725 15,725 37,000 200 -
- Coparcetin Tablet Sampharindo 130 1,300 930 795 135 350 325,500 278,250 47,250 135 -
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 12 85 72 57 15 5,800 417,600 330,600 87,000 15 -
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM - - - - - - - - - -
Kombiven 2,5 ml Ampul 19 20 59 17 42 15,650 923,350 266,050 657,300 42 -
- - - - - - - - - -
11 Anti Histamin - - - - - - - - - -
Loratadin Tablet Indofarma - - - - - - - - - -
- Winatin Tablet 275 800 685 576 109 290 198,650 167,040 31,610 109 -
Cetrizin Tablet Indofarma - - - - - - - - - -
CTM Tablet Kimia Farma - - - - - - - - - -
- Dehista / Alleron / Alermax / Orphen / PallerskTablet Berlico 300 - 700 200 500 83 57,750 16,500 41,250 500 -
- CTM kaleng Tablet Erlimplex 1,015 - 1,015 295 720 55 55,825 16,225 39,600 720 -
- - - - - - - - - -
12 Antasida - - - - - - - - - -
Antasida Tablet Kimia Farma - - - - - - - - - -
- Novamag / Dexanta Tablet Nova 375 1,200 875 625 250 190 166,250 118,750 47,500 250 -
Antasida Syrup Sirup Kimia Farma - - - - - - - - - -
- Hufamag Plus /Hufasid Syrup / Atmasid Syr Sirup Hufa / Nova 15 15 45 35 10 3,500 157,500 122,500 35,000 10 -
Ranitidin Tablet Indofarma - - - - - - - - - -
- Gasela / Hufadine Tablet Hufa / Nova 340 600 740 550 190 200 148,000 110,000 38,000 190 -
Cimitidin Tablet Indofarma - - - - - - - - - -
- Tidifar Tablet 166 - 166 34 132 200 33,200 6,800 26,400 132 -
Omeprazol Tablet Indofarma - - - - - - - - - -
- Etagastrin / Lanzoprazole / Omekur Tablet 125 350 825 690 135 500 412,500 345,000 67,500 135 -
- - - - - - - - - -
13 Anti Emetic - - - - - - - - - -
Domperidone Tablet Kimia Farma - - - - - - - - - -
- Hufadon / Rosidon / Veperum Tablet Hufa 360 200 360 145 215 220 79,200 31,900 47,300 215 -
Domperidon syrup Sirup Kimia Farma - - - - - - - - - -
- Hufadon syrup / Rosidon syrup Sirup Hufa 24 20 34 7 27 4,500 153,000 31,500 121,500 27 -
Metocdopramite syrup Sirup Kimia Farma - - - - - - - - - -
- Norvum syrup / Primpen syrup Sirup Sampharindo 19 - 19 2 17 4,500 85,500 9,000 76,500 17 -
Dimenhidranat 50 Tablet Indofarma - - - - - - - - - -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 130 - 130 10 120 195 25,350 1,950 23,400 120 -
- - - - - - - - - -
14 Anti Spasmodik - - - - - - - - - -
Papaverin HCL Tablet Kimia Farma - - - - - - - - - -
Papaverin Injeksi Vial/Amp Kimia Farma - - - - - - - - - -
Spasminal Tablet Hexpharm 220 - 520 220 300 650 338,000 143,000 195,000 300 -
- Scopma Plus Tablet Ifars - - - - - - - - - -
- - - - - - - - - -
15 Anti Diare - - - - - - - - - -
Oralit Saset Erela - - - - - - - - - -
- Bioralit / Ramolit Saset Mecosin 37 100 162 92 70 540 87,480 49,680 37,800 70 -
- Diaform / Corosorb / Mecodiar Tablet Indofarma 405 - 1,405 805 600 230 323,150 185,150 138,000 600 -
-akita Tablet - - - - - - - - - -
- Novadiar syrup / Guanistrip Syrup / Kanina S Sirup Itrasal 11 - 21 9 12 3,500 73,500 31,500 42,000 12 -
 Zink Dispersible Tablet Indofarma 285 300 585 285 300 520 304,200 148,200 156,000 300 -
- - - - - - - - - -
16 Cordiovaskuler System - - - - - - - - - -
ISDN 5 mg Tablet Indofarma - - - - - - - - - -
- Farsorbit 5 mg Tablet 100 - 100 - 100 280 28,000 - 28,000 100 -
Propanolol Tablet Propanolol - - - - - - - - -
Nipedipin Tablet Kimia Farma 180 - 180 - 180 135 24,300 - 24,300 180 -
- - - - - - - - - -
17 Anti Hipertensi - - - - - - - - - -
Catopril 25 mg Tablet Indofarma 285 800 685 330 355 150 102,750 49,500 53,250 355 -
Catopril 50 mg Tablet Indofarma - - - - - - - - - -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica - - - - - - - - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma - - - - - - - - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 170 2,340 1,130 930 200 600 678,000 558,000 120,000 200 -
- - - - - - - - - -
18 Dislipidemia (Kolesterol) - - - - - - - - - -
Simpastatin Tablet Kimia farma - - - - - - - - - -
- Selvim / Pontizoc Tablet Ifars 180 300 230 230 - 500 115,000 115,000 - - -
- - - - - - - - - -
19 Anti Asma - - - - - - - - - -
Aminophylin Tablet Indo Farma - - - - - - - - - -
- Grafasma / Grafalin Tablet Graha Farma - - - - - - - - - -
- Teosal Tablet Dexa Medika - - - - - - - - - -
- Teosal Syrup Tablet Dexa Medika - - - - - - - - - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma - - - - - - - - - -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 430 200 830 290 540 205 170,150 59,450 110,700 540 -
- - - - - - - - - -
20 Anti Convulsan - - - - - - - - - -
Phenytoin Na Tablet Ikapharmindo - - - - - - - - - -
Amitriptilin Tablet Indofarma - - - - - - - - - -
- - - - - - - - - -
21 Anti Vertigo - - - - - - - - - -
Histigo Tablet Ifars 65 100 245 161 84 500 122,500 80,500 42,000 84 -
- - - - - - - - - -
22 Non Steroid Anti Inflamasin - - - - - - - - - -
Piroxicame Tablet Indofarma - - - - - - - - - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 214 100 314 74 240 175 54,950 12,950 42,000 240 -
Meloxicam 7,5 mg Tablet Indofarma - - - - - - - - - -
Ibuprofen Tablet Indofarma - - - - - - - - - -
- Novaxifen/ Bunova / Farsifen / Axofen / Nova Tablet Nova /Ifars 445 500 845 595 250 320 270,400 190,400 80,000 250 -
Na. Diklofenat Tablet Indofarma - - - - - - - - - -
Renadinac 25 mg Tablet - - - - - - - - - -
Renadinac 50 mg Tablet 195 1,000 995 885 110 295 293,525 261,075 32,450 110 -
Diclofenac Potassium Tablet - - - - - - - - - -
- Erphaflam, Megatic Tablet - - - - - - - - - -
Epirizol HCL Tablet - - - - - - - - - -
- Estalex Tablet 42 - 92 22 70 450 41,400 9,900 31,500 70 -
- - - - - - - - - -
23 Dioretik - - - - - - - - - -
HCT Tablet Indofarma - - - - - - - - - -
Furasemid Tablet Indofarma 70 - 170 95 75 150 25,500 14,250 11,250 75 -
- - - - - - - - - -
24 Hyperuricemia (asam Urat) - - - - - - - - - -
Allupurinol Tablet Indofarma - - - - - - - - - -
- Alodan / Alofar / Linogra Tablet Ifars 170 300 270 220 50 240 64,800 52,800 12,000 50 -
- - - - - - - - - -
25 Kortikosteroid - - - - - - - - - -
Methyl Prenisolon Tablet Indofarma - - - - - - - - - -
- Rhemafar 4 mg Tablet Ifars 400 400 700 140 560 380 266,000 53,200 212,800 560 -
Prednison Tablet Kimia Farma - - - - - - - - - -
- Inflason Tablet Berlico - - - - - - - - - -
Dexamethasane 0,5 mg Tablet Indofarma - - - - - - - - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmet Tablet Graha Farma 240 1,800 1,740 1,470 270 120 208,800 176,400 32,400 270 -
-dexa kaleng Tablet Indofarma 405 - 405 273 132 75 30,375 20,475 9,900 132 -
- Polofar Plus Tablet Ifars - - - - - - - - - -
- - - - - - - - - -
26 Hasemostatik - - - - - - - - - -
Vitamin K Tablet Kimia Farma - - - - - - - - - -
- Danochrom Tablet Hexpharm - - - - - - - - - -
- - - - - - - - - -
27 Phlebilis Preparation - - - - - - - - - -
Nuwasir Tablet Medikon - - - - - - - - - - -
Anti Hemaroid Supp Suppos - - - - - - - - - -
Superoid Supp Suppos 6 12 42 26 16 5,187 217,854 134,862 82,992 16 -
- - - - - - - - - -
28 Anti Viral - - - - - - - - - -
Acyclovir Tablet Indofarma - - - - - - - - - -
- Vipres / Acifar Tablet 100 - 200 100 100 1,010 202,000 101,000 101,000 100 -
Acyclovir cream Cream Indofarma - - - - - - - - - -
- Acifar cream Tablet 6 10 26 10 16 4,800 124,800 48,000 76,800 16 -
- - - - - - - - - -
29 Antelmintik - - - - - - - - - -
Pyratel Tablet Kimia Farma 199 - 199 10 189 400 79,600 4,000 75,600 Mei 2021 189 -
Combantrin Tablet - - - - - - - - - -
Combantrin syrup Sirup - - - - - - - - - -
- - - - - - - - - -
30 Vitamin - - - - - - - - - -
- Neurodex Tablet Dexa Medika 700 - 700 - 700 - - - 700 -
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela 20 1,400 1,120 1,120 - 360 403,200 403,200 - - -
- Livron B Plex Tablet Phapros - - - - - - - - - -
- Hufabion / Novabion /Etabian/ Fondazen Tablet Hufa 345 200 745 731 14 185 137,825 135,235 2,590 14 -
- Sulfas Ferrosus Tablet Kimia Farma - - - - - - - - - -
Vitamin B1 Tablet Kimia Farma - - - - - - - - - -
Vitamin B6 Tablet Kimia Farma - - - - - - - - - -
Vitamin B12 Tablet Kimia Farma - - - - - - - - - -
Vitamin B Komplek Tablet Kimia Farma 1,120 - 1,120 152 968 75 84,000 11,400 72,600 968 -
 Vitamin C Tablet Kimia Farma 280 - 280 280 - 35 9,800 9,800 - - -
GUCOLIN serbuk 1 - 1 - 1 30,000 30,000 - 30,000 1 -
- Licokalk Tablet Berlico - - - - - - - - - -
- Calcicus Lactat Tablet Erela 160 - 160 - 160 125 20,000 - 20,000 160 -
Curviplex Syrup / Tyalisin Syrup / Seltifort syru Syrup Graha Farma 15 55 70 53 17 4,500 315,000 238,500 76,500 17 -
Vastarel (B1, B6, B12), Zecaneuron / GrahabianTablet Graha Farma - - - - - 380 - - - - -
- - - - - - - - - -
31 Anti Fungi - - - - - - - - - -
Ketoconazole 200 mg Tablet Kimia Farma - - - - - - - - - -
- Solinfec 200 mg / Tokasid 200 mg / Pronazo Tablet 45 - 245 215 30 350 350 75,250 10,500 30 -
Ketokonazole 2 % Salep Salep Kimia Farma - - - - - 5,000 - - - - -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 10 20 50 26 24 6,500 325,000 169,000 156,000 24 -
Metrodinazole 500 mg Tablet Indofarma - - - - - - - - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol Tablet Graha Farma 140 200 140 35 105 220 30,800 7,700 23,100 105 -
Glesilvulvine Tablet Indofarma - - - - - 320 - - - - -
- Omevulvin Tablet 100 - 100 - 100 320 32,000 - 32,000 100 -
- - - - - - - - - -
32 Obat KB - - - - - - - - - -
Pil Mikrodiol 30 Tablet Kimia farma - - - - - - - - - -
Pil Andalan Tablet Triyasa - - - - - 161 - - - - -
Cyclogeston Injeksi Ampul Triyasa - - - - - - - - - - -
Depogeston Injeksi 1 bln Ampul Triyasa 27 20 27 6 21 9,025 243,675 54,150 189,525 21 -
Depo Andalan injeksi 3 bln Ampul 1 20 41 24 17 9,250 379,250 222,000 157,250 17 -
Kondom Biji - - - - - - - - - -
- - - - - - - - - -
33 Anti TB - - - - - - - - - -
Rifampisin 600 Tablet - - - - - - - - - -
Etambutol 500 Tablet - - - - - - - - - -
INH 300 Tablet - - - - - - - - - -
Pyrazinamid 500 Tablet - - - - - - - - - -
- - - - - - - - - -
34 Preparat Mata - - - - - - - - - -
Oxytetracycline salep mata Salep - - - - - - - - - -
Erlamycetin Salep Mata Salep Erela 19 20 39 13 26 5,600 218,400 72,800 145,600 26 -
Cindo xitrol TM Tetes 12 10 22 12 10 6,300 138,600 75,600 63,000 10 -
Erlamycetin Tetes Mata/Reco TM Tetes Erela - - - - - - - - - -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes 40 20 40 26 14 7,700 308,000 200,200 107,800 14 -
- - - - - -
35 Preparat Telinga - - - - - - - - - -
Erlamycetin Tetes Telinga Tetes Erela - - - - - - - - - -
- Reco Tetes Telinga Tetes 17 - 17 7 10 7,700 130,900 53,900 77,000 10 -
- Otopain TT / Santades TT Tetes - - - - - - - - - -
Forumen Ear Drop10 ml Tetes Sanbe 1 - 2 1 1 27,000 54,000 27,000 27,000 1 -
- - - - - - - - - -
36 Perparat Mulut - - - - - - - - - -
Bufacomb In Orabase Cream Bufa - - - - - - - - - -
GOM Cito Liquid Clubros 28 - 28 14 14 3,500 98,000 49,000 49,000 14 -
- Abotil Liquid - - - - - - - - - -
 - Mycostatin drop Sirup - - - - - - - - - -
- Degirol Permen Hisap Tablet - - - - - - - - - -
- Minosep kumur Cair - - - - - - - - - -
- - - - - - - - - -
37 Preparat Kulit - - - - - - - - - -
Gentamisin Sulfat salep Salep Indofarma - - - - - - - - - -
- Genalten Salep Salep Hufa 23 70 53 46 7 4,500 238,500 207,000 31,500 7 -
Hidrocortisone salep Salep Indofarma - - - - - - - - - -
- Vanquin Plus Cream / Solacort Cream / Bufa Salep Hufa 32 60 52 30 22 4,500 234,000 135,000 99,000 22 -
Miconazole salep Salep Indofarma - - - - - - - - - -
- Locoriz cream Salep - - - - - 5,700 - - - - -
Salep Kulit 24 Salep Clubros 2 20 2 2 - 6,700 13,400 13,400 - - -
Oxytetracyclin salep kulit Salep Indofarma 10 - 10 - 10 - - - 10 -
- Erladerem N Cream Salep 46 40 66 53 13 5,500 363,000 291,500 71,500 13 -
- Burnazim Cream (luka barar) Salep - - - - - - - - - -
Icthiol salep bisul Salep Clubros 11 20 11 - 11 6,700 73,700 - 73,700 11 -
Salycil Talk/Bedak Talkum Kimia Farma - - - - - - - - - -
Larutan PK Liquid - - - - - - - - - -
- - - - - - - - - -
38 Vaksin - - - - - - - - - -
Vaksin BCG Ampul Biofarma - - - - - - - - - -
Vaksin Campak Ampul Biofarma - - - - - - - - - -
Vaksin DPT Ampul Biofarma - - - - - - - - - -
Vaksin TT Ampul Biofarma - - - - - - - - - -
Vaksin Polio Ampul Biofarma - - - - - - - - - -
- - - - - - - - - -
DIGOXIN Tablet Kimia Farma - - - - - - - - - -
- Fargoxine Tablet 100 - 100 - 100 220 22,000 - 22,000 100 -
- - - - - - - - - -
GLIBENCLAMIDA 5 mg Tablet Kimia Farma - - - - - - - - - -
- Latibet 5 mg Tablet Ifars 260 200 460 230 230 150 69,000 34,500 34,500 230 -
- - - - - - - - - -
METFORMIN Tablet Kimia Farma 170 200 270 40 230 260 70,200 10,400 59,800 230 -
- - - - - - - - - -
LUMINAL Tablet Kimia Farma - - - - - - - - - -
- - - - - - - - - -
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma - - - - - - - - - -
- Nexitra Tablet Ifars - - - - - 1,300 - - - - -
- - - - - - - - - -
39 Obat Injeksi - - - - - - - - - -
Adimidon Injeksi Vial - - - - - - - - - -
Aminophiline Injeksi Vial - - - - - - - - - -
Duradril Injeksi Vial 10 - 10 - 10 6,500 65,000 - 65,000 10 -
DIAZEPAM Injeksi Vial - - - - - - - - - -
EPINERPHINE Injeksi Ampul - - - - - - - - - -
Furasemide Injeksi Vial - - - - - - - - - -
Quininen Injeksi Vial - - - - - - - - - -
Lidocain / Pehacain Injeksi Vial 51 10 71 3 68 2,690 190,990 8,070 182,920 68 -
 Metoclhoramide Injeksi Vial - - - - - - - - - -
Neurobion / Neuroboran Injeksi Vial 6 10 26 5 21 7,600 197,600 38,000 159,600 21 -
Scopamin Injeksi Vial - - - - - - - - - -
TRAMADOL Injeksi Ampul - - - - - - - - - -
Vitamin B Complek Injeksi Ampul - - - - - - - - - -
Vitamin B 12 Injeksi Ampul - - - - - - - - - -
Vitamin K Injeksi Vial - - - - - - - - - -
Xilomidon Injeksi Vial - - - - - - - - - -
Ranitidine Injeksi Ampul 2 - 12 8 4 6,400 76,800 51,200 25,600 4 -
Dexamethasone Inj Ampul 5 - 9 4 5 7,700 69,300 30,800 38,500 5 -
Ketorolac Injeksi Ampul 4 - 24 7 17 8,600 206,400 60,200 146,200 17 -
Metil prednisolon Inj Ampul - - - - - - - - - -
Benodon Ampul 5 10 35 8 27 17,000 595,000 136,000 459,000 27 -
- - - - - - - - - -
40 Lain-lain - - - - - - - - - -
Abocet 18 Pcs - - - - - 9,000 - - - - -
Abocet 20 Pcs 1 - 1 - 1 18,000 18,000 - 18,000 1 -
Abocet 22 Pcs - - - - - - - - - -
Abocet 24 Pcs 1 - 1 - 1 22,000 22,000 - 22,000 1 -
Infuset Dewasa / Anak Pcs 1 - 1 - 1 5,500 5,500 - 5,500 1 -
Alkohol 70 % Liquid PIM - 1 - - - 11,500 - - - - -
Rivanol 100 ml/300ml Liquid Molex 1 - 1 - 1 6,000 6,000 - 6,000 1 -
Ringer Laktat (RL) Liquid Kimia Farma - - - - - 11,500 - - - - -
Glukosa 5% Liquid Kimia Farma - - - - - 11,500 - - - - -
NHCL Liquid Kimia Farma 1 1 1 - 1 8,500 8,500 - 8,500 1 -
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1 - 1 - 1 6,500 6,500 - 6,500 1 -
H2O2 3% Liquid Prima Plus 1 - 1 - 1 45,000 45,000 - 45,000 1 -
Kasa Steril Husada Pcs Askara - - - - - - - - - -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1 - 1 - 1 125,000 125,000 - 125,000 1 -
Verban Pcs Unknown 1 - 1 - 1 - - - 1 -
Spuit 1 cc Pcs OneMet 7 - 7 3 4 700 4,900 2,100 2,800 4 -
Spuit 3 cc Pcs OneMet 76 - 76 12 64 1,885 143,260 22,620 120,640 64 -
Spuit 5 cc Pcs OneMet - - - - - 3,000 - - - - -
Spuit 10 cc Pcs OneMet - - - - - - - - - -
Needle 23 / Jarum Pcs OneMet 163 - 163 33 130 175 28,525 5,775 22,750 130 -
Needle komplit Pcs OneMet - - - - - - - - - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1 - 1 - 1 3,500 3,500 - 3,500 1 -
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6 - 6 - 6 5,500 33,000 - 33,000 6 -
Bisturi No. 15 Pcs Unknown - - - - - - - - - -
Handscoon S, M, L, XL Pcs Sensi Gloves 300 900 400 200 200 500 200,000 100,000 100,000 200 -
HCG Test (Test kehamilan) Pcs Care Lamson 47 - 47 9 38 2,000 94,000 18,000 76,000 38 -
Masker 3 Fly Pcs Remedi - - - - - 950 - - - - -
Mess Pcs 1 - 1 - 1 3,000 3,000 - 3,000 1 -
Lubrikan Pot - - - - - - - - - -
Hansaplas (Plester) Liquid OneMet 1 - 1 - 1 3,500 3,500 - 3,500 1 -
Aquapro Inj Liquid 3 - 3 - 3 1,500 4,500 - 4,500 3 -
Kertas Puyer Bungkus 100 - 100 - 100 5,000 500,000 - 500,000 100 -
Klip Obat Bungkus 500 4,000 3,500 2,400 1,100 75 262,500 180,000 82,500 1,100 -
Plastik Kresek obat Bungkus - - - - - 450 - - - - -
Safratule / Daryantulle Bungkus 1 - 1 - 1 13,000 13,000 42 13,000 1 -
Jumlah 18,702 29,738 44,418 27,753 16,667 646,161 25,419,764 16,832,819 8,679,387 16,667

Mengetahui, Mataram, 30 juni 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE Desi Ratnasari, Amd.Farm

LAPORAN STOK OPNAME OBAT / ALAT KESEHATAN

KLINIK : NAYAKA HUSADA MATARAM

PERIODE : 01 juni s/d 30 juni mei 2018

Sisa Penambahan Jumlah Pemakaian Sisa Harga satuan Total Harga Pemk
No Nama Obat Sedian bln Lalu bln ini bln ini bln ini bulan ini HNA + PPN Stok Obat Pemakaian Sisa Obat Expire Fisik Selisih Keterangan
1 2 3 5 6 7=5+6 8 9=7-8 10 11=7x10 12=8x10 13=9x10 14 15 16=9-15 17
- -
1 Gol. Penisillin - - -
Amoxycillin 500 mg Tablet - - - - - - - -
- Novamox 500 mg / Amostera 500 mg / Brodamox 50 Tablet 615 - 615 567 48 390 239,850 221,130 18,720 48 -
Amoxycillin 250 mg/ 5 ml Sirup - - - - - - - -
- Brodamox 250 mg/5 ml Sirup - - - - - - - -
Amoxycillin 125 mg/ 5 ml Sirup - - - - - - - 1
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusim Sirup 2 - 2 1 1 - - - 1 (1)
Ampicillin 500 mg Tablet - - - - - - - -
-Duramycin 500 mg Tablet 15 - 15 - 15 500 7,500 - 7,500 15 -
- - - - - - - -
2 Gol. Kuinolon - - - - - - - -
Ciprofloxacin Tablet - - - - - - - -
- Hufaflox / Etaflox / Novaflox Tablet - - - - - - - -
- - - - - - - -
3 Gol. Tetrasiklin - - - - - - - -
Tetrasiklin 500 mg Tablet - - - - - - - -
- Novabiotic 500 mg Tablet - - - - - - - -
- Doksisiklin 500 mg Tablet 50 - 50 - 50 350 17,500 - 17,500 50 -
- - - - - - - -
4 Antibiotik Kombinasi - - - - - - - -
Cotrimoxazol 480 mg Tablet - - - - - - - -
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 m Tablet - - - - - - - -
Cotrimoxazol 5 ml Sirup Sirup - - - - - - - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatr Sirup - - - - - - - -
- - - - - - - -
5 Antibiotik Lain - - - - - - - -
Unkomisin Tablet - - - - - - - -
Clindamisin Tablet - - - - - - - -
- Milorin Tablet - - - - - - - -
- - - - - - - -
6 Analgetik & Antipirentik - - - - - - - -
Asam mefenamat 500 mg Tablet - - - - - - - -
- Novastan 500 mg / Grafamic 500 mg Tablet 514 - 514 464 50 140 71,960 64,960 7,000 50 -
Parasetamol 500 mg Tablet - - - - - - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg Tablet 32 - 32 - 32 150 4,800 - 4,800 32 -
Parasetamol syrup Sirup - - - - - - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol Sirup 2 - 2 1 1 4,500 9,000 4,500 4,500 1 -
- Pamol 125 supositoria supos - - - - - - - -
 - Pamol Drops / Fasidol Drops Drops - - - - - - - -
Neuralgin Tablet - - - - - - - -
- Neuromec Tablet - - - - - - - -
- Neurophyron V Tablet - - - - - - - -
- - - - - - - -
7 Anti Histamin - - - - - - - -
CTM Tablet - - - - - - - -
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet 110 - 110 - 110 230 25,300 - 25,300 110 -
- - - - - - - -
8 Cordiovaskuler System - - - - - - - -
ISDN 5 mg Tablet - - - - - - - -
- Farsorbit 5 mg Tablet - - - - - - - -
Propanolol Tablet - - - - - - - -
Nipedipin Tablet - - - - - - - -
- - - - - - - -
9 Anti Hipertensi - - - - - - - -
Catopril 25 mg Tablet - - - - - - - -
Catopril 50 mg Tablet - - - - - - - -
- Forten 25 mg / Forten 50 mg Tablet - - - - - - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - - - - - - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet - - - - - - - -
- - - - - - - -
10 Non Steroid Anti Inflamasin - - - - - - - -
Na. Diklofenat Tablet - - - - - - - -
Renadinac 25 mg Tablet - - - - - - - -
Renadinac 50 mg Tablet 70 - 70 40 30 240 16,800 9,600 7,200 30 -
novaxipen Tablet 80 - 80 20 60 190 15,200 3,800 11,400 60 -
- Erphaflam, Megatic Tablet - - - - - - - -
Epirizol HCL Tablet - - - - - - - -
- Estalex Tablet - - - - - - - -
- - - - - - - -
11 Kortikosteroid - - - - - - - -
Dexamethasane 0,5 mg Tablet - - - - - - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0 Tablet 440 - 440 410 30 120 52,800 49,200 3,600 30 -
Dexamethasane 0,5 mg + Dexchlorpeniramine Maleate Tablet - - - - - - - -
- - - - - - - -
12 Hasemostatik - - - - - - - -
Vitamin K Tablet - - - - - - - -
- Danochrom Tablet - - - - - - - -
- - - - - - - -
13 Vitamin - - - - - - - -
Vitamin B1 Tablet - - - - - - - -
Vitamin B6 Tablet - - - - - - - -
Vitamin B12 Tablet - - - - - - - -
Vitamin B Komplek Tablet 20 - 20 - 20 75 1,500 - 1,500 20 -
Vitamin C Tablet 20 - 20 20 - 45 900 900 - - -
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet - - - - - - - -
- - - - - - - -
14 Anti Fungi - - - - - - - -
Metrodinazole 500 mg Tablet - - - - - - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet - - - - - - - -
- - - - - - - -
15 Perparat Mulut - - - - - - - -
Bufacomb In Orabase Cream - - - - - - - -
GOM Cito Liquid - - - - - - - -
- Abotil Liquid - - - - - - - -
- Mycostatin drop Sirup - - - - - - - -
- Minosep kumur Cair - - - - - - - -
- - - - - - - -
16 GLIBENCLAMIDA 5 mg Tablet - - - - - - - -
- Latibet 5 mg Tablet - - - - - - - -
- - - - - - - -
17 TRANEXAMIC ACID Tablet - - - - - - - -
- Asam tranexamin - - - - - - - -
- Nexitra Tablet 10 - 10 - 10 1,300 13,000 - 13,000 10 -
- - - - - - - -
18 Obat Injeksi - - - - - - - -
Lidocain / Pehacain Injeksi Vial 6 - 6 2 4 2,690 16,140 5,380 10,760 4 -
Vitamin K Injeksi Vial - - - - - - - -
Dexamethasone Inj Ampul - - - - - - - -
- - - - - - - -
19 Lain-lain - - - - - - - -
NHCL Liquid - - - - - - - -
Betadine 300 ml/Iodine Povidone Liquid - - - - - - - -
H2O2 3% Liquid - - - - - - - -
Kasa Steril Husada Pcs - - - - - - - -
Kapas 250 Husada/HIDROFILL Pcs - - - - - - - -
Verban Pcs - - - - - - - -
Spuit 1 cc Pcs 1 - 1 - 1 700 700 - 700 1 -
Spuit 3 cc Pcs - - - - - - - -
Handscoon S, M, L, XL Pcs 100 - 100 47 53 500 50,000 23,500 26,500 53 -
Masker 3 Fly Pcs 100 - 100 26 74 950 95,000 24,700 70,300 74 -
Hansaplas (Plester) Liquid - - - - - - - -
Aquapro Inj Bungkus - - - - - - - -
Klip Obat Bungkus 100 - 100 52 48 75 7,500 3,900 3,600 48 -
Plastik Kresek obat Bungkus - - - - - - - -

JUMLAH 2,287 - 2,287 1,650 637 13,145 645,450 411,570 233,880 - 637 - -

Mengetahui, Mataram, 30 juni 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE Desi Ratnasari, Amd.Farm