Professional Documents
Culture Documents
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 45 15480 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 50 4000 0 50
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 0 0 200 52200 200
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 160 11520 200 14400 200
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 0 0 0
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 1 1904 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 20 640 0 20
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 200 22400 200
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 3 9450 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 5 39185 10 78370
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 0 0 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 30 31500 20
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 9 8100 0
123 Glibenklamida tablet 5 mg 80 4480 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 2 5549.46 0 2
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 0
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 180 14580 0 80
158 Kaptopril tablet 12,5 mg 10 620 0 10
159 Kaptopril tablet 25 mg 0 0 0
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 5 7810 0 1
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 0 0 0
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 10 21670 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 6 5100 0 2
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 11 14993 0 5
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 200 44000
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 50 5500 0 40
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 20 2660 0 20
249 Natrium Diklofenak tablet 50 mg 0 0 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 41 213200 0 25
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 0
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 1 31174 1 31174
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 980 148960 0 200
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 120 14400 100 12000 120
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 0 0 0
326 Salisil Bedak 2 % 3 3750 0
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 0 0 10 52000
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 0 0 0
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 20 1620 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 750 25575 0 300
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 90 42660 200 94800
J U M LAH 2774 675680 1151 432844
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 81 88209 50 54450 50
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 2 25000 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 15 22500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 173083.7 50 54450 50
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 0 0
2 Handscoon 0 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 0 0 25000 0
JUMLAH A+B+C+D 2894 848764 1201 512294 50
TAHUN : 2018
BULAN : Januari
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 45 15480 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
4000 0 0 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
52200 0 0 tablet 261
0 0 0 vial 7,396
0 0 0 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
14400 160 11520 tablet 72
0 0 0 botol 2,160
0 0 0 tube 2,516
0 1 1904 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
640 0 0 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
22400 0 0 tablet 112
0 0 0 tablet 112
0 3 9450 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 15 117555 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
0 0 0 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
21000 10 10500 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 9 8100 botol 900
0 80 4480 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
5549.46 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
0 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
6480 100 8100 tablet 81
620 0 0 tablet 62
0 0 0 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
1562 4 6248 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
0 0 0 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
1700 4 3400 ampul 850
0 0 0 ampul 850
6815 6 8178 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 200 44000 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
4400 10 1100 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
2660 0 0 tablet 133
0 0 0 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
130000 16 83200 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
0 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 2 62348 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
30400 780 118560 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
14400 100 12000 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
0 0 0 pot 1,800
0 3 3750 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
0 0 0 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 20 1620 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
10230 450 15345 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
0 290 137460 tablet 474
329456 2430 779068
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 btl 25,000
0 0 0
383906 2550 952151.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN PUS
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
3 Albendazol tablet 400 mg 45 15480 0 0
Antasida DOEN I tablet kunyah, kombinasi :
27 Aluminium Hidroksida 200 mg Magnesium 160 11520 100 7200 100 7200
Hidroksida 200 mg
47 Asiklovir krim 5% 3 9450 0 0
66 Cetirizin sirup 5 mg/5 ml 15 117555 10 78370 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 10 10500 30 31500 23 24150
88 Domperidon tablet 10 mg (EXP) 100 16700 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 100 8100 0 50 4050
159 Kaptopril tablet 25 mg 0 0 300 25200 220 18480
179 Klorfeniramina Maleat (CTM) tablet 4 mg 0 0 200 18200 50 4550
Kotrimoksazol Suspensi komb: Sulfametoksazol 200
190 10 21670 0 0
mg + Trimetoprim 40 mg / 5 ml
203 Lidokain injeksi 2% 4 3400 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 6 8178 0 0
224 Metampiron tablet 500 mg 200 44000 200 44000 320 70400
236 Metoklopramide tablet 10 mg 10 1100 0 0
249 Natrium Diklofenak tablet 50 mg 0 0 100 17600 50 8800
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0 0
275 Parasetamol drops 16 83200 0 6 31200
294 Povidon Iodida larutan 10% 2 62348 0 0
299 Prednison tablet 5 mg 780 118560 0 0
309 Ranitidin tablet 150 mg 100 12000 100 12000 100 12000
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 20 1620 0 0
385 Vitamin B Kompleks tablet 450 15345 0 230 7843
389 Zinc tablet 20 mg 290 137460 0 0
J U M LAH 2430 779068 1545 342580 321665
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0 0
3 Alat suntik sekali pakai 3 ml 81 88209 50 54450 67 72963
4 Alat suntik sekali pakai 5 ml 1 750 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 15 22500 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0 0
J U M LAH 120 173083.7 50 54450 69 97963
C OBAT GIGI
D OBAT TAMBAHAN
1 Masker 0 1 40000 0
2 Handscoon 0 2 425000 0
8 Etanol 70% cairan ( 1000 ml ) 0 0 0
J U M LAH 0 0 3 465000 0 0
JUMLAH A+B+C+D 2550 952151.7 1598 862030 69 419628
TAHUN : 2018
BULAN : februari
SALDO
JUMLAH SATUAN HARGA SATUAN
AKHIR
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1 2
98 1 5
98 3 4
73
303 5 11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 45 15480 0 10
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 0 0 100 8000
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 0 0 300 78300 270
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 10 24450 5
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 160 11520 100 7200 170
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 0 0 0
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 0 0 300 9600 200
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 200 22400 200
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 3 9450 0 1
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 25 195925 0
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 0 0 100 6200 30
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 17 17850 30 31500 30
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 0 0 2 1800
123 Glibenklamida tablet 5 mg 0 0 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 50 4050 0 50
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 80 6720 300 25200 220
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 10 15620 3
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 150 13650 100 9100 160
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 10 21670 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 4 3400 0 4
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 6 8178 0 3
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 80 17600 300 66000 280
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 10 1100 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 50 8800 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 10 52000 0 5
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 0
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 2 62348 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 780 118560 0 150
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 100 12000 100 12000 100
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 0 0 0
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 0 0 20 21560 10
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 20 1620 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 220 7502 0 150
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 290 137460 200 94800
J U M LAH 2224 799983 2372 463730
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 64 69696 50 54450 68
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 15 22500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 129570.7 50 54450 68
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 0
J U M LAH 0 3 0 0 0
JUMLAH A+B+C+D 2344 929556.7 2422 518180 68
TAHUN : 2018
BULAN : maret
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
3440 35 12040 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
0 100 8000 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
70470 30 7830 tablet 261
0 0 0 vial 7,396
12225 5 12225 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
12240 90 6480 tablet 72
0 0 0 botol 2,160
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
6400 100 3200 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
22400 0 0 tablet 112
0 0 0 tablet 112
3150 2 6300 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 25 195925 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
1860 70 4340 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
31500 17 17850 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 2 1800 botol 900
0 0 0 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
4050 0 0 tablet 81
0 0 0 tablet 62
18480 160 13440 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
4686 7 10934 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
14560 90 8190 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
3400 0 0 ampul 850
0 0 0 ampul 850
4089 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
61600 100 22000 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 10 1100 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 50 8800 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
26000 5 26000 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
0 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 2 62348 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
22800 630 95760 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
12000 100 12000 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
0 0 0 pot 1,800
0 0 0 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
10780 10 10780 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 20 1620 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
5115 70 2387 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
0 490 232260 tablet 474
381245 2345 882468
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 btl 25,000
0 0 0
455297 2428 992436.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 35 12040 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 100 8000 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 30 7830 300 78300 260
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 5 12225 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 90 6480 200 14400 270
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 0 0 0
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 100 3200 0 100
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 300 33600 300
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 2 6300 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 25 195925 0
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 70 4340 100 6200 40
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 17 17850 30 31500 27
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 2 1800 0
123 Glibenklamida tablet 5 mg 0 0 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 200 30000 200
149 Ibuprofen tablet 400 mg 0 0 0
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 160 13440 300 25200 300
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 7 10934 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 90 8190 100 9100 50
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 10 21670 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 100 22000 0 100
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 10 1100 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 50 8800 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 5 26000 0 5
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 0
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 2 62348 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 630 95760 0 100
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 100 12000 100 12000 20
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 0 0 0
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 10 10780 20 21560 19
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 20 1620 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 70 2387 0
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 490 232260 0 30
J U M LAH 2345 882468 1650 261860
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 46 50094 50 54450 31
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 15 22500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 109968.7 50 54450 31
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 0
J U M LAH 0 3 0 0 0
JUMLAH A+B+C+D 2465 992439.7 1700 316310 31
TAHUN : 2018
BULAN : april
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 35 12040 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
0 100 8000 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
67860 70 18270 tablet 261
0 0 0 vial 7,396
0 5 12225 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
19440 20 1440 tablet 72
0 0 0 botol 2,160
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
3200 0 0 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
33600 0 0 tablet 112
0 0 0 tablet 112
0 2 6300 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 25 195925 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
2480 130 8060 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
28350 20 21000 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 2 1800 botol 900
0 0 0 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
30000 0 0 tablet 150
0 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
25200 160 13440 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 7 10934 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
4550 140 12740 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
22000 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 10 1100 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 50 8800 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
26000 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
0 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 2 62348 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
15200 530 80560 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
2400 180 21600 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
0 0 0 pot 1,800
0 0 0 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
20482 11 11858 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 20 1620 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
0 70 2387 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
14220 460 218040 tablet 474
314982 2174 829346
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 btl 25,000
0 0 0
348741 2276 960005.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN PUSKE
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0 0
3 Albendazol tablet 400 mg 35 12040 0 0
4 Alopurinol tablet 100 mg 0 0 0 0
5 Alopurinol tablet 300 mg 0 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0 0
8 Alprazolam tablet 1 mg 0 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0 0
11 Ambroxol tablet 30 mg 0 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0 0
13 Aminofilin tablet 150 mg 0 0 0 0
14 Aminofilin tablet 200 mg 100 8000 0 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0 0
16 Amlodipin tablet 10 mg 0 0 0 0
17 Amlodipin tablet 5 mg 0 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0 0
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 5 12225 0 2 4890
23 Amoxsan tab 500 mg 0 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0 0
25 Ampisilin syr 0 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0 0
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida
28 0 0 5 10800 0
200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +
29 0 0 5 12580 0
Polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam
30 0 0 0 0
Salisilat 3%
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg
32 0 0 0 0
Sulfadoksin tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0 0
34 Antrain inj 0 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 0 0 200 6400 120 3840
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0 0
43 Asam Folat tablet 1 mg 0 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 300 33600 300 33600
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0 0
47 Asiklovir krim 5% 2 6300 0 0
48 Asiklovir tablet 200 mg 0 0 0 0
49 Asiklovir tablet 400 mg 0 0 0 0
50 Asiklovir tablet 400 mg 0 0 0 0
51 Atapulgit tablet 600 mg 0 0 0 0
52 Atenolol tablet 100 mg 0 0 0 0
53 Atenolol tablet 50 mg 0 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet 0 0 0 0
58
tambah darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0 0
61 Bioplacenton 0 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0 0
64 Bromheksin tablet 8 mg 0 0 0 0
65 Buscopan inj 0 0 0 0
66 Cetirizin sirup 5 mg/5 ml 25 195925 0 0
67 Cetirizine tablet 10 mg 0 0 0 0
68 Clobazam tablet 10 mg 0 0 0 0
69 Clobetasol krim 0,05% 0 0 0 0
70 Dapson tablet 100 mg 0 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0 0
73 Deksametason tablet 0,5 mg 130 8060 100 6200 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0 0
79 Diazepam tablet 2 mg 0 0 0 0
80 Diazepam tablet 5 mg 0 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0 0
89 Efedrin tablet 25 mg (HCl) 0 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0 0
95 Etakridin larutan 0,1% 0 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0 0
99 Famotidine tablet 20 mg 0 0 0 0
100 Famotidine tablet 40 mg 0 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0 0
113 Flukonazol tablet 150 mg 0 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0 0
115 Furosemid tablet 40 mg 0 0 0 0
116 Garam Oralit I serbuk 0 0 20 5760 20 5760
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0 0
122 Gentian Violet larutan 1 % 2 1800 0 0
123 Glibenklamida tablet 5 mg 0 0 0 0
124 Glimepiride tablet 1 mg 0 0 0 0
125 Glimepiride tablet 2 mg 0 0 0 0
126 Glimepiride tablet 2 mg 0 0 0 0
127 Glimepiride tablet 3 mg 0 0 0 0
128 Glimepiride tablet 4 mg 0 0 0 0
129 Gliquidon tablet 30 mg 0 0 0 0
131 Gliserin 0 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0 0
139 Haloperidol tablet 5 mg 0 0 0 0
140 HCT 25 mg 0 0 0 0
141 Hidrokortison krim 1% 0 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200 30000
150 Iodiol kapsul lunak 0 0 0 0
151 Isoniazid tablet 100 mg 0 0 0 0
152 Isoniazid tablet 300 mg 0 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0 0
160 Kaptopril tablet 50 mg 0 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0 0
162 Ketokonazol krim 2% 0 0 5 12845 0
163 Ketokonazol tablet 200 mg 0 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0 0
170 Klomifen tablet 50 mg 0 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0 0
174 Kloramfenikol salep mata 1 % 7 10934 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0 0
180 Klorokuin tablet 250 mg 0 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0 0
185 Kodein tablet 10 mg 0 0 0 0
186 Kodein tablet 15 mg 0 0 0 0
187 Kodein tablet 20 mg 0 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi :
188 0 0 0 0
Sulfametoksazol 400 mg , Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi :
189 0 0 0 0
Sulfametoksazol 100 mg Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +
190 10 21670 0 0
Trimetoprim 40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0 0
194 Lacto B 0 0 0 0
195 Lamivudine tablet 150 mg 0 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq,
196 0 0 0 0
Ca 3 mEq, Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa
197 0 0 0 0
18.75 gr) (KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr,
198 KCl 1.5 gr, Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B) 0 0 0 0
TAHUN : 2018
BULAN : mei
0 0 vial 3,509
0 0 botol 3,849
35 12040 tablet 344
0 0 tablet 86
0 0 tablet 200
0 0 tablet 435
0 0 tablet 460
0 0 tablet 233
0 0 botol 2,400
0 0 botol 2,400
0 0 tablet 127
0 0 ampul 3,822
0 0 tablet 95
100 8000 tablet 80
0 0 tablet 112
0 0 tablet 330
0 0 tablet 240
0 0 tablet 4,550
0 0 tablet 190
0 0 vial 7,396
3 7335 botol 2,445
0 0 tablet 3,161
0 0 vial 5,100
0 0 botol 5,100
0 0 vial 3,000
5 10800 botol 2,160
0 0 pot 1,904
0 0 suppo 2,450
0 0 tablet 478
0 0 tablet 123
0 0 ampul 9,240
0 0 vial 5,000
0 0 ampul 22,167
0 0 ampul 25,063
0 0 tablet 100
0 0 tablet 162
80 2560 tablet 32
0 0 tablet 51
0 0 tablet 135
0 0 tablet 48
0 0 tablet 121
0 0 tablet 112
0 0 tablet 112
2 6300 tube 3,150
0 0 tablet 237
0 0 tablet 336
0 0 tablet 336
0 0 tablet 190
0 0 tablet 654
0 0 tablet 346
0 0 ampul 1,230
0 0 tablet 74
0 0 ampul 8,935
0 0 ampul 12,185
0 0 tablet 44
0 0 tablet 924
0 0 tube 1,520
0 0 tube 12,650
0 0 suppo 6,045
0 0 tablet 511
0 0 tablet 51
0 0 ampul 21,758
25 195925 botol 7,837
0 0 tablet 181
0 0 tablet 760
0 0 tube 4,000
0 0 tablet 44
0 0 ampul 1,580
0 0 ampul 1,580
230 14260 tablet 62
0 0 botol 39,079
0 0 botol 1,379
0 0 tablet 90
0 0 tablet 90
0 0 ampul 2,344
0 0 tablet 35
0 0 tablet 56
0 0 tablet 93
0 0 tablet 97
0 0 tablet 123
0 0 tablet 104
0 0 tablet 220
0 0 botol 3,624
100 16700 tablet 167
0 0 tablet 51
0 0 tablet 38
0 0 ampul 8,100
0 0 tablet 497
0 0 tablet 864
0 0 botol 7,700
0 0 botol 3,223
0 0 tablet 305
0 0 tablet 410
0 0 botol 2,500
0 0 tablet 113
0 0 tablet 173
0 0 tablet 97
0 0 tablet 133
0 0 ampul 20,250
0 0 tablet 93
0 0 ampul 1,716
0 0 tablet 144
0 0 tablet 165
0 0 tablet 272
0 0 tablet 465
0 0 botol 1,008
0 0 tablet 630
0 0 ampul 3,417
0 0 tablet 22,000
0 0 ampul 1,829
0 0 tablet 85
0 0 sachet 288
0 0 tablet 289
0 0 tablet 680
0 0 ampul 3,104
0 0 tube 1,350
0 0 botol 2,904
2 1800 botol 900
0 0 tablet 56
0 0 tablet 266
0 0 tablet 490
0 0 tablet 490
0 0 tablet 1,000
0 0 tablet 912
0 0 tablet 645
0 0 botol 4,158
0 0 botol 5,727
0 0 botol 1,960
0 0 botol 5,200
0 0 tablet 209
0 0 ampul 83,333
0 0 tablet 59
0 0 tablet 73
0 0 tablet 96
0 0 tablet 36
0 0 tube 2,775
0 0 tube 2,798
0 0 tablet 395
0 0 botol 3,499
0 0 botol 4,455
0 0 tablet 110
0 0 tablet 110
0 0 tablet 150
0 0 tablet 150
0 0 kapsul 980
0 0 tablet 44
0 0 tablet 85
0 0 tablet 88
0 0 tablet 1,300
0 0 tablet 332
0 0 tablet 425
0 0 tablet 81
0 0 tablet 62
0 0 tablet 134
0 0 tablet 245
5 12845 tube 2,569
0 0 tablet 300
0 0 ampul 2,542
0 0 tablet 608
0 0 ampul 1,616
0 0 ampul 7,800
0 0 tablet 361
0 0 tablet 553
0 0 tablet 1,400
0 0 tablet 184
0 0 tablet 188
0 0 tablet 356
7 10934 tube 1,562
0 0 botol 3,700
0 0 botol 3,700
0 0 botol 4,950
0 0 botol 2,343
0 0 tablet 107
0 0 ampul 1,050
0 0 ampul 1,100
0 0 tablet 245
0 0 tablet 168
0 0 tablet 470
0 0 tablet 800
0 0 tablet 1,045
0 0 tablet 138
0 0 tablet 72
0 0 botol 9,000
0 0 botol 10,000
0 0 botol 10,000
0 0 tablet 473
0 0 tablet 528
0 0 tablet 528
0 0 ampul 850
0 0 ampul 850
3 4089 ampul 1,363
0 0 syringe 40,000
0 0 tablet 520
0 0 tablet 550
0 0 tablet 320
0 0 tablet 89
0 0 tablet 154
0 0 tablet 1,341
0 0 botol 11,000
0 0 ampul 6,600
0 0 ampul 6,600
0 0 botol 3,534
0 0 tablet 225
0 0 suppo 6,600
0 0 tablet 506
0 0 tablet 234
0 0 ampul 1,250
0 0 ampul 1,200
0 0 ampul 1,200
0 0 tablet 220
0 0 tablet 145
0 0 tablet 113
0 0 tablet 220
0 0 ampul 3,499
0 0 tablet 140
0 0 ampul 59,000
0 0 tablet 635
0 0 tablet 296
0 0 tablet 370
0 0 ampul 5,500
0 0 botol 2,830
10 1100 tablet 110
0 0 tablet 100
0 0 botol 9,950
0 0 tablet 110
0 0 tablet 160
0 0 tablet 160
0 0 tube 3,000
0 0 sachet 2,450
0 0 tube 17,500
0 0 tube 3,955
0 0 ampul 10,499
0 0 tablet 1,206
0 0 tablet 133
50 8800 tablet 176
0 0 botol 4,700
0 0 ampul 6,006
0 0 tablet 2,613
0 0 tablet 110
0 0 tablet 640
0 0 ovula 407
0 0 ampul 8,030
0 0 paket 359,950
0 0 paket 1,198,000
0 0 paket 214,900
0 0 paket 159,898
0 0 paket 288,100
0 0 paket 171,900
0 0 botol 1,259
0 0 botol 5,940
0 0 tablet 413
0 0 tablet 650
0 0 ampul 8,800
0 0 tube 2,772
0 0 tube 2,010
2 4400 ampul 2,200
0 0 tablet 211
0 0 tablet 13,000
0 0 ampul 1,150
0 0 tablet 119
0 0 botol 1,438
0 0 tablet 32
0 0 tablet 79
0 0 tablet 34
0 0 tube 11,475
0 0 ampul 13,191
0 0 ampul 1,925
0 0 ampul 3,800
0 0 ampul 3,800
0 0 tablet 776
0 0 tablet 194
0 0 tablet 400
0 0 botol 8,360
0 0 tablet 298
0 0 tablet 198
0 0 tablet 17
0 0 tablet 70
0 0 tablet 100
2 62348 botol 31,174
0 0 botol 2,163
0 0 botol 14,203
0 0 botol 2,400
0 0 tablet 2,400
530 80560 tablet 152
0 0 tablet 144
0 0 ampul 9,900
0 0 ampul 6,100
0 0 tablet 65
0 0 tablet 108
0 0 tablet 284
0 0 tablet 300
0 0 tablet 530
0 0 ampul 1,140
0 0 tablet 120
0 0 tablet 81
0 0 tablet 103
0 0 kapsul 242
0 0 kapsul 432
0 0 tablet 376
0 0 tablet 830
0 0 tablet 594
0 0 botol 5,200
0 0 tablet 1,400
0 0 tablet 1,008
0 0 tablet 2,500
0 0 vial 398,420
0 0 tablet 59
0 0 tablet 97
5 9000 pot 1,800
0 0 kotak 1,250
3 3750 kotak 1,250
0 0 botol 10,384
0 0 tablet 242
0 0 tablet 468
0 0 tablet 509
0 0 tablet 510
10 52000 botol 5,200
0 0 tablet 365
0 0 tablet 972
0 0 vial 18,585
0 0 paket 33,000
0 0 tablet 859
0 0 botol 10,558
0 0 vial 3,500
0 0 vial 2,950
0 0 ampul 27,086
0 0 vial 3,300
0 0 vial 3,300
0 0 ampul 137,500
0 0 tablet 14
0 0 tablet 111
0 0 tablet 169
0 0 tablet 391
0 0 tablet 230
0 0 botol 45,000
0 0 tablet 237
0 0 tablet 255
0 0 tablet 517
0 0 tablet 1,386
0 0 tablet 950
0 0 tablet 311
0 0 tablet 843
0 0 vial 3,650
0 0 tablet 415
0 0 botol 3,226
0 0 ampul 12,045
0 0 tablet 1,700
0 0 botol 11,500
0 0 tablet 149
0 0 tablet 300
0 0 tablet 319
0 0 tablet 431
0 0 tablet 38
0 0 tablet 81
0 0 ampul 680
0 0 ampul 680
0 0 ampul 5,200
0 0 tablet 189
0 0 tablet 189
0 0 tablet 1,518
0 0 tablet 405
0 0 tablet 40
0 0 ampul 7,480
0 0 ampul 12,100
0 0 tablet 1,210
0 0 tablet 215
0 0 vial 10,560
70 2387 tablet 34
0 0 tablet 949
0 0 tablet 3,117
0 0 botol 12,840
0 0 botol 189,750
0 0 kotak 550,000
0 0 botol 53,130
0 0 set 822,250
0 0 set 41,745
0 0 set 41,745
0 0 kotak 158,125
0 0 botol 58,300
0 0 buah 360,415
0 0 kotak 170,775
0 0 kotak 232,100
0 0 set 93,500
0 0 set 33,990
0 0
0 0 kotak 40,000
0 0 kotak 212,500
0 0 pcs 3,500
0 0 pcs 1,500
0 0 pcs 27,000
0 0 btl 9,000
0 0 btl 7,400
btl 25,000
0 0
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1 2
98 1 5
98 3 4
73
303 5 11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 35 12040 100 34400 30
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 100 8000 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 90 23490 300 78300 270
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 3 7335 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 30 2160 200 14400 150
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 5 10800 0
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 5 12580 0 4
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 80 2560 200 6400 200
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 300 33600 300
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 2 6300 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 25 195925 0
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 230 14260 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 30 31500 0 23
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 30 8640 12
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 2 1800 5 4500 4
123 Glibenklamida tablet 5 mg 0 0 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 30 1303.5 200 8690 220
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 290 24360 200 16800 220
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 5 12845 0 5
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 7 10934 0 7
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 80 7280 0 80
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 10 21670 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 10 1100 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 50 8800 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 26 135200 0 22
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 0
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 2 62348 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 530 80560 0
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 90 10800 0
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 5 9000 0
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 3 3750 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 19 20482 0 9
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 70 2387 0
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 620 293880 200 94800 20
J U M LAH 2599 1112639 1935 330530
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 52 56628 50 54450 53
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 131502.7 50 54450 53
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 0
J U M LAH 0 3 0 0 0
JUMLAH A+B+C+D 2719 1244144 1985 384980 53
TAHUN : 2018
BULAN : JUNI
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
10320 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
0 100 8000 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
70470 120 31320 tablet 261
0 0 0 vial 7,396
0 3 7335 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
10800 80 5760 tablet 72
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
6400 80 2560 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
33600 0 0 tablet 112
0 0 0 tablet 112
0 2 6300 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 25 195925 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
0 230 14260 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
24150 7 7350 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
3456 18 5184 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
3600 3 2700 botol 900
0 0 0 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
9559 10 434.5 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
18480 270 22680 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
12845 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
10934 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
7280 0 0 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 10 1100 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 50 8800 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
114400 4 20800 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
0 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 2 62348 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
0 530 80560 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
0 90 10800 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
0 5 9000 pot 1,800
0 0 0 kotak 1,250
0 3 3750 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
9702 10 10780 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
0 70 2387 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
9480 800 379200 tablet 474
395540 2758 1047628.5
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 btl 25,000
0 0 0
453257 2854 1175864.2
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 50 23000
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 40 3800
14 Aminofilin tablet 200 mg 100 8000 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 6 1440
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 120 31320 400 104400 340
21 Amoksisilin serbuk injeksi 1000 mg 0 0 2 14792
22 Amoksisilin sirup kering 125 mg/ 5 ml 3 7335 0 3
23 Amoxsan tab 500 mg 0 0 230 727030
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 80 5760 2005 144360 180
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 5 10800 13 28080 4
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 1 2516 5 12580
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 19 9082
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 80 2560 200 6400 200
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 400 44800 400
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 2 6300 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 25 195925 10 78370 17
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 230 14260 100 6200 200
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 7 7350 17 17850 7
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 18 5184 0 18
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 3 2700 0
123 Glibenklamida tablet 5 mg 0 0 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 10 434.5 530 23028.5 320
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 270 22680 300 25200 230
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 5 12845
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 0 0 0
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 10 21670 0 8
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 10 1100 0 10
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 50 8800 50 8800 30
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 4 20800 20 104000 4
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 0
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 2 62348 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 530 80560 0
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 90 10800 0 50
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 5 9000 4 7200 3
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 3 3750 3 3750 2
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 10 10780 20 21560 17
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 20 64520
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 70 2387 0 70
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 800 379200 0 40
J U M LAH 2758 1047629 4649 1523088
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 49 53361 50 54450 67
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 128235.7 50 54450 67
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2878 1175867 4699 1602538 67
TAHUN : 2018
BULAN : JULI
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 50 23000 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 40 3800 tablet 95
0 100 8000 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 6 1440 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
88740 180 46980 tablet 261
0 2 14792 vial 7,396
7335 0 0 botol 2,445
0 230 727030 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
1100 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
5280 70 12320 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
20800 20 104000 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
0 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 2 62348 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
0 530 80560 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
6000 40 4800 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
5400 6 10800 pot 1,800
0 0 0 kotak 1,250
2500 4 5000 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
18326 13 14014 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 20 64520 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
2387 0 0 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
18960 760 360240 tablet 474
488351 5054 2082365
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 btl 25,000
0 0 0
561314 5133 2192087.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 100 8000 0 30
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 180 46980 300 78300 240
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 100 7200 0 100
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 1 2160 10 21600 2
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 1 2516 0 1
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 80 2560 0 50
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 0 0 400 44800 380
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 2 6300 0 1
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 8 62696 0
67 Cetirizine tablet 10 mg 0 0 100 18100
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 30 1860 100 6200 70
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 3 2700 5 4500 3
123 Glibenklamida tablet 5 mg 0 0 100 5600 10
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 190 8255.5 0 160
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 340 28560 200 16800 110
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 0 0 300 27300 240
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 2 4334 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 0 0 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 20 3520 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 5 13860 3
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 0 0 0
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 300 23700 240
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 2 62348 0 1
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 530 80560 0 70
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 40 4800 0 40
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 2 3600 0 1
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 1 1250 0 1
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 13 14014 20 21560 12
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 0 0 0
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 760 360240 0 30
J U M LAH 2625 827762.5 2040 312320
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 32 34848 50 54450 43
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 109722.7 50 54450 43
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2745 937488.2 2090 391770 43
TAHUN : 2018
BULAN : agustus
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
2400 70 5600 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
62640 240 62640 tablet 261
0 0 0 vial 7,396
0 0 0 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
7200 0 0 tablet 72
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
1600 30 960 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
42560 20 2240 tablet 112
0 0 0 tablet 112
3150 1 3150 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 8 62696 botol 7,837
0 100 18100 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
4340 60 3720 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
0 0 0 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
2700 5 4500 botol 900
560 90 5040 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
6952 30 1303.5 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
9240 430 36120 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
21840 60 5460 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 20 3520 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
8316 2 5544 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
0 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
18960 60 4740 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
31174 1 31174 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
10640 460 69920 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
4800 0 0 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
1800 1 1800 pot 1,800
0 0 0 kotak 1,250
1250 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 10 52000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
12936 21 22638 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
0 0 0 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
14220 730 346020 tablet 474
306114 2670 833968.5
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 1 25000 btl 25,000
0 0 0
352941 2756 951314.2
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 0
14 Aminofilin tablet 200 mg 70 5600 0 70
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 240 62640 200 52200 220
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 0 0 0
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 9 19440 0 9
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 30 960 100 3200 80
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 20 2240 400 44800 340
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 1 3150 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 8 62696 0 6
67 Cetirizine tablet 10 mg 100 18100 0 60
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 60 3720 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 5 4500 0
123 Glibenklamida tablet 5 mg 90 5040 0 40
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 30 1303.5 0 30
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 430 36120 200 16800 300
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 60 5460 500 45500
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 2 4334 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 0 0 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 20 3520 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 2 5544 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 0 0 0
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 60 4740 0 60
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 1 31174 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 460 69920 0
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 0 0 0
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 1 1800 0
326 Salisil Bedak 2 % 0 0 0
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 10 52000 0 5
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 21 22638 20 21560 15
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 0 0 0
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 730 346020 0
J U M LAH 2670 833968.5 1620 214060
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 20 13000 0 5
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 39 42471 50 54450 23
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 117345.7 50 54450 28
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2790 951317.2 1670 293510 28
TAHUN : 2018
BULAN : September
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 0 0 tablet 95
5600 0 0 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
57420 220 57420 tablet 261
0 0 0 vial 7,396
0 0 0 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
0 0 0 tablet 72
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
2560 50 1600 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
38080 80 8960 tablet 112
0 0 0 tablet 112
0 1 3150 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
47022 2 15674 botol 7,837
10860 40 7240 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
0 60 3720 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
0 0 0 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 5 4500 botol 900
2240 50 2800 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
1303.5 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
25200 330 27720 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
0 560 50960 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 20 3520 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 2 5544 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
0 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
4740 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 1 31174 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
0 460 69920 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
0 0 0 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
0 1 1800 pot 1,800
0 0 0 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
26000 5 26000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
16170 26 28028 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
0 0 0 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
0 730 346020 tablet 474
286636 2855 761393
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 1 25000 btl 25,000
0 0 0
314933 2963 904891.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 0 0 100 9500
14 Aminofilin tablet 200 mg 0 0 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 220 57420 300 78300 320
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 0
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 0 0 0
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 0 0 20 43200 4
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 50 1600 200 6400 200
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 80 8960 300 33600 230
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 1 3150 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 2 15674 0 2
67 Cetirizine tablet 10 mg 40 7240 0 40
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 60 3720 0 60
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 0
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 5 4500 0
123 Glibenklamida tablet 5 mg 50 2800 100 5600 40
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 330 27720 200 16800 300
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 560 50960 300 27300 340
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 2 4334 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 0 0 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 20 3520 0 20
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 2 5544 0 2
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 0 0 0
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 200 15800 200
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 1 31174 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 460 69920 0
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 0 0 0
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 1 1800 10 18000 5
326 Salisil Bedak 2 % 0 0 10 12500 8
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 5 26000 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 26 28028 0 14
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 0 0 0
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 730 346020 0
J U M LAH 2855 761393 1940 297000
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 15 9750 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 66 71874 50 54450 64
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 143498.7 50 54450 64
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2975 904894.7 1990 376450 64
TAHUN : 2018
BULAN : oktober
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 100 9500 tablet 95
0 0 0 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
83520 200 52200 tablet 261
0 0 0 vial 7,396
0 0 0 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
0 0 0 tablet 72
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
6400 50 1600 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
25760 150 16800 tablet 112
0 0 0 tablet 112
0 1 3150 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
15674 0 0 botol 7,837
7240 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
3720 0 0 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
0 0 0 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
0 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 5 4500 botol 900
2240 110 6160 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
25200 230 19320 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
30940 520 47320 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
3520 0 0 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
5544 0 0 tube 2,772
0 0 0 tube 2,010
0 2 4400 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
0 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
15800 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 1 31174 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
0 460 69920 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
0 0 0 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
9000 6 10800 pot 1,800
10000 2 2500 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 5 26000 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
15092 12 12936 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
0 0 0 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
0 730 346020 tablet 474
298290 2810 760103
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 1 25000 btl 25,000
0 0 0
367986 2904 888355.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 100 9500 0
14 Aminofilin tablet 200 mg 0 0 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 200 52200 300 78300 320
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 0 0 10 24450 4
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 0 0 100 7200 100
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 16 34560 10 21600 5
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 50 1600 100 3200 100
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 150 16800 300 33600 320
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 1 3150 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 0 0 0
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 0 0 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 0
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 30 8640 30
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 5 4500 0
123 Glibenklamida tablet 5 mg 110 6160 100 5600 50
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 230 19320 200 16800 200
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 520 47320 300 27300 300
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 2 4334 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 0 0 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 0 0 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 0
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 2 4400 0 2
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 0 0 20 104000 20
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 200 15800 200
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 1 31174 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 460 69920 0 60
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 0 0 100 12000 100
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 6 10800 0 3
326 Salisil Bedak 2 % 2 2500 5 6250 3
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 5 26000 0 3
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 12 12936 10 10780 4
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 0 0 100 3410 40
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 730 346020 0
J U M LAH 2810 760103 2085 408930
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 15 9750 0
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 52 56628 50 54450 54
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 0
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 128252.7 50 54450 54
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2930 888358.7 2135 488380 54
TAHUN : 2018
BULAN : november
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
0 100 9500 tablet 95
0 0 0 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
83520 180 46980 tablet 261
0 0 0 vial 7,396
9780 6 14670 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
7200 0 0 tablet 72
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
3200 50 1600 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
35840 130 14560 tablet 112
0 0 0 tablet 112
0 1 3150 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 0 0 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
0 0 0 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
0 0 0 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
0 100 16700 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
0 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
8640 0 0 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 5 4500 botol 900
2800 160 8960 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
16800 230 19320 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
27300 520 47320 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 0 0 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
0 0 0 tube 2,772
0 0 0 tube 2,010
4400 0 0 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
104000 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
15800 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 1 31174 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
9120 400 60800 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
12000 0 0 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
5400 3 5400 pot 1,800
3750 4 5000 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
15600 2 10400 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
4312 18 19404 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
1364 60 2046 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
0 730 346020 tablet 474
411626 2831 757407
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 1 25000 btl 25,000
0 0 0
470432 2921 881303.7
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESEHATA
KABUPATEN SITUBONDO
TAHUN 2018
A OBAT - OBATAN
1 Air untuk injeksi ampul 25 ml 0 0 0
2 Albendazol suspensi 200 mg/5 ml 0 0 0
3 Albendazol tablet 400 mg 105 36120 0
4 Alopurinol tablet 100 mg 0 0 0
5 Alopurinol tablet 300 mg 0 0 0
6 Alprazolam tablet 0,25 mg 0 0 0
7 Alprazolam tablet 0,5 mg 0 0 0
8 Alprazolam tablet 1 mg 0 0 0
9 Ambroxol sirup 15 mg/ml 0 0 0
10 Ambroxol sirup 15 mg/ml 0 0 0
11 Ambroxol tablet 30 mg 0 0 0
12 Aminofilin injeksi 24 mg/ml 0 0 0
13 Aminofilin tablet 150 mg 100 9500 0 20
14 Aminofilin tablet 200 mg 0 0 0
15 Amitriptilin tablet salut 25 mg (HCl) 0 0 0
16 Amlodipin tablet 10 mg 0 0 0
17 Amlodipin tablet 5 mg 0 0 0
18 Amoksisilin + As. Klavulanat 625 mg tablet 0 0 0
19 Amoksisilin kapsul/kaplet 250 mg 0 0 0
20 Amoksisilin kapsul/kaplet 500 mg 180 46980 200 52200 320
21 Amoksisilin serbuk injeksi 1000 mg 0 0 0
22 Amoksisilin sirup kering 125 mg/ 5 ml 6 14670 0 3
23 Amoxsan tab 500 mg 0 0 0
24 Ampisilin serbuk injeksi i.m./i.v. 1000 mg/vial 0 0 0
25 Ampisilin syr 0 0 0
26 Ampisilin serbuk injeksi i.m./i.v. 500 mg/vial 0 0 0
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 0 0 100 7200 100
mg Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 21 45360 0 12
Magnesium Hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 0 0
10.000 IU/g
30 Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3% 0 0 0
Antihemoroid DOEN kombinasi : Bismut subgalat 150 mg
31 0 0 0
Heksaklorofen 2,5 mg
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 0 0
tablet 500 mg
33 Antimigren tablet: Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
34 Antrain inj 0 0 0
35 Aqua pro Injeksi steril, bebas pirogen 0 0 0
36 Artemether injeksi 80 mg/ml 0 0 0
37 Artesunate injeksi, vial 60 mg 0 0 0
38 Asam Asetilsalisilat tablet 100 mg (Asetosal) 0 0 0
39 Asam Asetilsalisilat tablet 500 mg (Asetosal) 0 0 0
40 Asam Askorbat (Vitamin C) tablet 50 mg 50 1600 200 6400 120
41 Asam Askorbat (Vitamin C) tablet 100 mg 0 0 0
42 Asam Askorbat (Vitamin C) tablet 250 mg 0 0 0
43 Asam Folat tablet 1 mg 0 0 0
44 Asam Mefenamat kapsul/kaplet 250 mg 0 0 0
45 Asam Mefenamat kapsul/kaplet 500 mg 130 14560 200 22400 200
46 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
47 Asiklovir krim 5% 1 3150 0
48 Asiklovir tablet 200 mg 0 0 0
49 Asiklovir tablet 400 mg 0 0 0
50 Asiklovir tablet 400 mg 0 0 0
51 Atapulgit tablet 600 mg 0 0 0
52 Atenolol tablet 100 mg 0 0 0
53 Atenolol tablet 50 mg 0 0 0
54 Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml (Sulfat) 0 0 0
55 Atropin Sulfat tablet 0,5 mg 0 0 0
56 Benzatin Benzil Penisilin 1,2 juta IU/ vial 0 0 0
57 Benzatin Benzil Penisilin 2,4 juta IU/vial 0 0 0
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah 0 0 0
58
darah kombinasi )
59 Betahistin Mesilat tablet 6 mg 0 0 0
60 Betametason krim 0,1 % (sebagai Valerat) 0 0 0
61 Bioplacenton 0 0 0
62 Bisakodil suppositoria 10 mg 0 0 0
63 Bisoprolol tablet 5 mg 0 0 0
64 Bromheksin tablet 8 mg 0 0 0
65 Buscopan inj 0 0 0
66 Cetirizin sirup 5 mg/5 ml 0 0 0
67 Cetirizine tablet 10 mg 0 0 0
68 Clobazam tablet 10 mg 0 0 0
69 Clobetasol krim 0,05% 0 0 0
70 Dapson tablet 100 mg 0 0 0
71 Deksametason injeksi i.v. 5 mg/ml 0 0 0
72 Deksametason injeksi i.v. 5 mg/ml 0 0 0
73 Deksametason tablet 0,5 mg 0 0 0
74 Dekstran 70 - larutan infus 6% steril 0 0 0
75 Dekstrometorfan sirup 10 mg/5 ml (HBr) 0 0 0
76 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
77 Dekstrometorfan tablet 15 mg (HBr) 0 0 0
78 Diazepam injeksi 10 mg/ml 0 0 0
79 Diazepam tablet 2 mg 0 0 0
80 Diazepam tablet 5 mg 0 0 0
81 Dietilkarbamazin Sitrat tablet 100 mg 0 0 0
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 0
83 Digoksin tablet 0,25 mg 0 0 0
84 Diltiazem HCl tablet 30 mg 0 0 0
85 Dimenhidrinat tablet 50 mg 0 0 0
86 Doksisiklin kapsul/kaplet 100 mg 0 0 0
87 Domperidon suspensi 5 mg/5 ml 0 0 0
88 Domperidon tablet 10 mg (EXP) 100 16700 0 100
89 Efedrin tablet 25 mg (HCl) 0 0 0
90 Ekstraks Belladona tablet 10 mg 0 0 0
91 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 0 0 0
92 Eritromisin kapsul/kaplet 250 mg 0 0 0
93 Eritromisin kapsul/kaplet 500 mg 0 0 0
94 Eritromisin sirup 200 mg/ 5 ml 0 0 0
95 Etakridin larutan 0,1% 0 0 0
96 Etambutol tablet 250 mg (HCl) 0 0 0
97 Etambutol tablet salut 500 mg (HCl) 0 0 0
98 Etanol 70% cairan ( 300 ml ) 0 0 0
99 Famotidine tablet 20 mg 0 0 0
100 Famotidine tablet 40 mg 0 0 0
101 Fenilbutason tablet 200 mg 0 0 0
102 Fenitoin kapsul/kaplet 100 mg 0 0 0
103 Fenitoin Natrium injeksi 50 mg/ml 0 0 0
104 Fenitoin Natrium kapsul/kaplet 30 mg 0 0 0
105 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0 0
106 Fenobarbital tablet 100 mg 0 0 0
107 Fenobarbital tablet 30 mg 0 0 0
108 Fenoksimetil Penisilin tablet 250 mg 0 0 0
109 Fenoksimetil Penisilin tablet 500 mg 0 0 0
110 Fenol Gliserol tetes telinga 10% 0 0 0
111 Fitomenadion (Vit.K1) tablet salut gula 10 mg 0 0 0
112 Fitomenadion (Vitamin K1) injeksi 10 mg/ml 0 0 2 6834 2
113 Flukonazol tablet 150 mg 0 0 0
114 Furosemid injeksi i.v./i.m. 10 mg/ml 0 0 0
115 Furosemid tablet 40 mg 0 0 0
116 Garam Oralit I serbuk 0 0 50 14400 48
117 Gemfibrozil kapsul/kaplet 300 mg 0 0 0
118 Gemfibrozil tablet 600 mg 0 0 0
119 Gentamisin injeksi 40 mg/ ml 0 0 0
120 Gentamisin salep kulit 0.1% 0 0 0
121 Gentamisin Sulfat tetes mata 0,3 % 0 0 0
122 Gentian Violet larutan 1 % 5 4500 0
123 Glibenklamida tablet 5 mg 160 8960 0
124 Glimepiride tablet 1 mg 0 0 0
125 Glimepiride tablet 2 mg 0 0 0
126 Glimepiride tablet 2 mg 0 0 0
127 Glimepiride tablet 3 mg 0 0 0
128 Glimepiride tablet 4 mg 0 0 0
129 Gliquidon tablet 30 mg 0 0 0
130 Gliseril Gualakolat tablet 100 mg 0 0 0
131 Gliserin 0 0 0
132 Glukosa larutan infus 10 % steril 0 0 0
133 Glukosa larutan infus 40 % steril 0 0 0
134 Glukosa larutan infus 5 % steril 0 0 0
135 Griseofulvin tablet 125 mg 0 0 0
136 Haloperidol inj 50 mg/mL 0 0 0
137 Haloperidol tablet 0,5 mg 0 0 0
138 Haloperidol tablet 1,5 mg 0 0 0
139 Haloperidol tablet 5 mg 0 0 0
140 HCT 25 mg 0 0 0
141 Hidrokortison krim 1% 0 0 0
142 Hidrokortison krim 2,5 % 0 0 0
143 Hyoscine -N-Butilbromide tablet 10 mg 0 0 0
144 Ibuprofen suspensi 100 mg/5 ml 0 0 0
145 Ibuprofen suspensi 200 mg/5 ml 0 0 0
146 Ibuprofen tablet 200 mg 0 0 0
147 Ibuprofen tablet 200 mg 0 0 0
148 Ibuprofen tablet 400 mg 0 0 0
149 Ibuprofen tablet 400 mg 0 0 200 30000 200
150 Iodiol kapsul lunak 0 0 0
151 Isoniazid tablet 100 mg 0 0 0
152 Isoniazid tablet 300 mg 0 0 0
153 Isosorbid Dinitrat tablet sublingual 5 mg 0 0 0
154 Itrakonazol kapsul/kaplet 100 mg 0 0 0
155 Kalium Diklofenak tablet 25 mg 0 0 0
156 Kalium Diklofenak tablet 50 mg 0 0 0
157 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0
158 Kaptopril tablet 12,5 mg 0 0 0
159 Kaptopril tablet 25 mg 230 19320 200 16800 70
160 Kaptopril tablet 50 mg 0 0 0
161 Karbamazepin tablet 200 mg 0 0 0
162 Ketokonazol krim 2% 0 0 0
163 Ketokonazol tablet 200 mg 0 0 0
164 Ketoprofen injeksi 100 mg 0 0 0
165 Ketoprofen tablet 100 mg 0 0 0
166 Ketorolac injeksi 10 mg 0 0 0
167 Ketorolac injeksi 30 mg 0 0 0
168 Klindamisin kapsul/kaplet 150 mg 0 0 0
169 Klindamisin kapsul/kaplet 300 mg 0 0 0
170 Klomifen tablet 50 mg 0 0 0
171 Klonidin tablet 0,15 mg 0 0 0
172 Klonidin tablet 0,15 mg 0 0 0
173 Kloramfenikol kapsul/kaplet 250 mg 0 0 0
174 Kloramfenikol salep mata 1 % 0 0 0
175 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
176 Kloramfenikol suspensi 125 mg/ 5 ml 0 0 0
177 Kloramfenicol tetes mata 0,5% 0 0 0
178 Kloramfenikol tetes telinga 3 % 0 0 0
179 Klorfeniramina Maleat (CTM) tablet 4 mg 520 47320 0 250
180 Klorokuin tablet 250 mg 0 0 0
181 Klorpromazin injeksi i.m 5 mg/ml - 2 ml (HCl) 0 0 0
182 Klorpromazin injeksi i.m. 25 mg/ml (HCl) 0 0 0
183 Klorpromazin tablet salut 100 mg (HCl) 0 0 0
184 Klorpromazin tablet salut 25 mg (HCl) 0 0 0
185 Kodein tablet 10 mg 0 0 0
186 Kodein tablet 15 mg 0 0 0
187 Kodein tablet 20 mg 0 0 0
Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg ,
188 0 0 0
Trimetoprim 80 mg
Kotrimoksazol DOEN II (pediatrik) kombinasi : Sulfametoksazol 100 mg
189 0 0 0
Trimetoprim 20 mg
Kotrimoksazol Suspensi komb: Sulfametoksazol 200 mg + Trimetoprim
190 2 4334 0
40 mg / 5 ml
191 Kuinin (Kina) tablet 200 mg 0 0 0
192 Kuinin Dihidroklorida injeksi 25% - 2 ml 0 0 0
193 Kuinin injeksi i.v. 25% (sebagai 2 HCl) 0 0 0
194 Lacto B 0 0 0
195 Lamivudine tablet 150 mg 0 0 0
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq,
196 0 0 0
Asetat 28 mEq) (ASERING)
Larutan mengandung Elektrolit (NaCl 1.125 gr, Dekstrosa 18.75 gr)
197 0 0 0
(KAEN 1B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr,
198 0 0 0
Na Lactat 2.24 gr, Dekstrosa 27 gr) (KAEN 3B)
Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat
199 0 0 0
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KAEN 3A)
200 Lanzoprazol kapsul/kaplet 30 mg 0 0 0
201 Levofloksasin tablet 500 mg 0 0 0
202 Levofloksasin tablet 500 mg 0 0 0
203 Lidokain injeksi 2% 0 0 0
204 Lidokain injeksi 2% 0 0 0
205 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 3 4089 0
206 Lidokain jeli 2% 0 0 0
207 Linkomisin kapsul/kaplet 500 mg 0 0 0
208 Lisinopril tablet 10 mg 0 0 0
209 Lisinopril tablet 5 mg 0 0 0
210 Loperamid tablet 2 mg 0 0 0
211 Loratadin tablet 10 mg 0 0 0
212 Lorazepam tablet 2 mg 0 0 0
213 Lytacur 0 0 0
214 Magnesium Sulfat inj (IV) 20% - 25 ml 0 0 0
215 Magnesium Sulfat inj (IV) 40% - 25 ml 0 0 0
216 Mebendazol sirup 100 mg / 5 ml 0 0 0
217 Mebendazol tablet 100 mg 0 0 0
218 Meloksikam suppositoria 0 0 0
219 Meloksikam tablet 15 mg 0 0 0
220 Meloksikam tablet 7,5 mg 0 0 0
221 Menadion (Vitamin K3) injeksi 10 mg/ml 0 0 0
222 Metampiron injeksi 250 mg 0 0 0
223 Metampiron injeksi 250 mg 0 0 0
224 Metampiron tablet 500 mg 0 0 0
225 Metampiron tablet 500 mg 0 0 0
226 Metformin HCl tablet 500 mg exp 0 0 0
227 Metformin HCl tablet 850 mg 0 0 0
228 Metilergometrin Maleat injeksi 0,200 mg -1 ml 0 0 0
229 Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0 0
230 Metilprednisolon injeksi 500 mg 0 0 0
231 Metilprednisolon tablet 16 mg 0 0 0
232 Metilprednisolon tablet 4 mg 0 0 0
233 Metilprednisolon tablet 8 mg 0 0 0
234 Metoklopramide injeksi 5 mg/ml 0 0 0
235 Metoklopramide sirup 5 mg/ 5 ml 0 0 0
236 Metoklopramide tablet 10 mg 0 0 0
237 Metoklopramide tablet 5 mg 0 0 0
238 Metronidazol infus 500 mg/100 ml 0 0 0
239 Metronidazol tablet 250 mg 0 0 0
240 Metronidazol tablet 500 mg 0 0 0
241 Metronidazol tablet 500 mg 0 0 0
242 Mikonazol krim/salep 2 % (Nitrat) 0 0 0
243 Mineral Mix, kombinasi 0 0 0
244 Momethason krim 0,1 % 0 0 0
245 Momethason krim 0,1 % 0 0 0
246 Morfin injeksi 10 mg/ml 0 0 0
247 Morfin tablet 10 mg 0 0 0
248 Natrium Diklofenak tablet 25 mg 0 0 0
249 Natrium Diklofenak tablet 50 mg 0 0 0
250 Natrium Klorida larutan infus 0,9 % 0 0 0
251 Neurobion 5000 injeksi 0 0 0
252 Nevirapin tablet 200 mg 0 0 0
253 Nifedipin tablet 10 mg 0 0 0
254 Nistatin tablet salut 500.000 IU/ g 0 0 0
255 Nistatin vaginal tablet 100.000 IU/ g 0 0 0
256 Norages inj 0 0 0
257 Obat Antituberkulosis FDC Kategori 1 0 0 0
258 Obat Antituberkulosis FDC Kategori 2 0 0 0
259 Obat Antituberkulosis FDC Kategori Anak 0 0 0
260 Obat Antituberkulosis FDC Sisipan 0 0 0
261 Obat Antituberkulosis Kategori 1 dewasa 0 0 0
262 Obat Antituberkulosis Kategori anak 0 0 0
263 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
264 Obat Batuk Hitam ( O.B.H. ) cairan 0 0 0
265 Ofloxacin tablet 200 mg 0 0 0
266 Ofloxacin tablet 400 mg 0 0 0
267 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 0 0 0
268 Oksitetrasiklin HCl salep mata 1 % 0 0 5 13860 4
269 Oksitetrasiklin salep kulit 3% /Bacitracin 0 0 0
270 Oksitosin injeksi 10 IU/ml - 1 ml 0 0 4 8800 4
271 Omeprazol kapsul/kaplet 20 mg 0 0 0
272 Oseltamivir kapsul/kaplet 75 mg 0 0 0
273 Papaverin injeksi 40 mg/ml 0 0 0
274 Papaverin tablet 40 mg 0 0 0
275 Parasetamol drops 0 0 0
276 Parasetamol sirup 120 mg / 5 ml 0 0 0
277 Parasetamol tablet 100 mg 0 0 0
278 Parasetamol tablet 500 mg 0 0 200 15800 200
279 Perfenazin tablet 4 mg (HCl) 0 0 0
280 Permetrin krim 5% 0 0 0
281 Petidin injeksi 50 mg/ml 0 0 0
282 Piracetam injeksi 1 g/5 ml 0 0 0
283 Piracetam injeksi 3 g/15 ml 0 0 0
284 Piracetam injeksi 3 g/15 ml 0 0 0
285 Piracetam tablet 1200 mg 0 0 0
286 Piracetam tablet 400 mg 0 0 0
287 Piracetam tablet 800 mg 0 0 0
288 Pirantel sirup 125 mg/5 ml 0 0 0
289 Pirantel tablet score (base) 125 mg 0 0 0
290 Pirazinamid tablet 500 mg 0 0 0
291 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 0 0 0
292 Piroksikam kapsul/kaplet/tablet 10 mg 0 0 0
293 Piroksikam kapsul/kaplet/tablet 20 mg 0 0 0
294 Povidon Iodida larutan 10% 1 31174 0
295 Povidon Iodida larutan 10% 30mL 0 0 0
296 Povidon Iodida larutan 10% 300 mL 0 0 0
297 Povidon Iodida larutan 10% 0 0 0
298 Pravastatin tablet 20 mg 0 0 0
299 Prednison tablet 5 mg 400 60800 0
300 Primakuin tablet 15 mg 0 0 0
301 Primperan inj 0 0 0
302 Prokain Benzil Penisilin G. injeksi 3 jt IU/vial 0 0 0
303 Propanolol tablet 10 mg ( HCl ) 0 0 0
304 Propanolol tablet 40 mg (HCl) 0 0 0
305 Propiltiourasil tablet 100 mg 0 0 0
306 Ramipril tablet 2,5 mg 0 0 0
307 Ramipril tablet 5 mg 0 0 0
308 Ranitidin injeksi 25 mg/2 ml 0 0 0
309 Ranitidin tablet 150 mg 0 0 0
310 Ranitidin tablet 150 mg 0 0 0
311 Reserpin tablet 0,10 mg 0 0 0
312 Reserpin tablet 0,25 mg 0 0 0
313 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0 0
314 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0 0
315 Rifampisin kapsul/kaplet 300 mg 0 0 0
316 Rifampisin kapsul/kaplet 600 mg 0 0 0
317 Rifampisin tablet salut 450 mg 0 0 0
318 Ringer Laktat larutan infus 0 0 0
319 Risperidon tablet 1 mg 0 0 0
320 Risperidon tablet 2 mg 0 0 0
321 Risperidon tablet 3 mg 0 0 0
322 SABU I 0 0 0
323 Salbutamol tablet 2 mg (sebagai Sulfat) 0 0 0
324 Salbutamol tablet 4 mg (sebagai Sulfat) 0 0 0
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 3 5400 0 2
326 Salisil Bedak 2 % 4 5000 0 2
327 Salisil Bedak 2 % 0 0 0
328 Sanmol syr 0 0 0
329 Sanmol tab 0 0 0
330 Sefadroksil kapsul/kaplet 250 mg 0 0 0
331 Sefadroksil kapsul/kaplet 500 mg 0 0 0
332 Sefadroksil kapsul/kaplet 500 mg 0 0 0
333 Sefadroksil sirup kering 125 mg/5ml 2 10400 0
334 Sefaleksin kapsul/kaplet 250 mg 0 0 0
335 Sefaleksin kapsul/kaplet 500 mg 0 0 0
336 Sefazolin injeksi 1 g 0 0 0
337 Sefiksim 400 mg + Azitromisin 1000 mg 0 0 0
338 Sefiksim kapsul/kaplet 100 mg 0 0 0
339 Sefiksim sirup kering 100 mg/ 5 ml 0 0 0
340 Sefotaksim injeksi 0,5 g 0 0 0
341 Sefotaksim injeksi 1 g 0 0 0
342 Seftazidim injeksi 1 g 0 0 0
343 Seftriakson injeksi 1 g 0 0 0
344 Seftriakson injeksi 1 g 0 0 0
345 Serum A.T.S injeksi 1.500 UI/amp (i.m.) 0 0 0
346 Sianokobalamin (vitamin B12) injeksi 500 mcg 18 19404 0 6
347 Sianokobalamin (vitamin B12) tablet 50 mcg 0 0 0
348 Simetidin tablet 200 mg 0 0 0
349 Simvastatin tablet 10 mg 0 0 0
350 Simvastatin tablet 20 mg 0 0 0
351 Simvastatin tablet 5 mg 0 0 0
352 Siprofloksasin infus 2% 0 0 0
353 Siprofloksasin tablet 250 mg (sebagai HCl) 0 0 0
354 Siprofloksasin tablet 500 mg (sebagai HCl) 0 0 0
355 Spasminal tab 0 0 0
356 Spiramisin tablet 500 mg 0 0 0
357 Spironolakton tablet 100 mg 0 0 0
358 Spironolakton tablet 25 mg 0 0 0
359 Stavudin tablet 30 mg 0 0 0
360 Streptomisin serbuk injeksi i.v 1000 mg/ml 0 0 0
361 Sulfasalazin tablet 500 mg 0 0 0
362 Sulfasetamida Natrium tetes mata 15 % 0 0 0
363 Syntosinon inj 0 0 0
364 Tamoksifen tablet 20 mg 0 0 0
365 Tetrakain HCl tetes mata 0,5% 0 0 0
366 Tetrasiklin kapsul/kaplet 250 mg 0 0 0
367 Tetrasiklin kapsul/kaplet 500 mg 0 0 0
368 Tiamfenikol kapsul/kaplet 250 mg 0 0 0
369 Tiamfenikol kapsul/kaplet 500 mg 0 0 0
370 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 0 0 0
371 Tiamin (Vitamin B1) 100 mg tablet 0 0 0
372 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
373 Tiamin (Vitamin B1) injeksi 100 mg/ml 0 0 0
374 Tramadol injeksi 50 mg/ml 0 0 0
375 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
376 Tramadol kapsul/kaplet/tablet 50 mg 0 0 0
377 Transamin tab 0 0 0
378 Trifluoperazin tablet 5 mg 0 0 0
379 Triheksifenidil tablet 2 mg 0 0 0
380 Ulsikur inj 0 0 0
381 Valdimex Injeksi 5mg/ml (i.v.) 0 0 0
382 Valdimex tablet 5 mg 0 0 0
383 Verapamil tablet 80 mg (HCl) 0 0 0
384 Vicillin 1gr inj 0 0 0
385 Vitamin B Kompleks tablet 60 2046 100 3410 120
386 Zidovudin tablet 100 mg 0 0 0
387 Zidovudin tablet 300 mg + Lamivudine tablet 150 mg 0 0 0
388 Zinc drop 10 mg/mL 0 0 0
389 Zinc tablet 20 mg 730 346020 0 30
J U M LAH 2831 757407 1461 198104
B PERBEKALAN KESEHATAN
1 Alat suntik sekali pakai 1 ml 15 9750 5 3250
2 Alat suntik sekali pakai 2,5 ml 0 0 0
3 Alat suntik sekali pakai 3 ml 48 52272 50 54450 14
4 Alat suntik sekali pakai 5 ml 1 750 0
5 Catgut/benang bedah no.2/0 dengan jarum bedah 0 0 1 5583.33
6 Catgut/benang bedah no.3/0 dengan jarum bedah 0 0 0
7 Infusion set anak 0 0 0
8 Infusion set dewasa 0 0 0
9 IV Catheter No. 20 G 0 0 0
10 IV Catheter No. 22 G 0 0 0
11 IV Catheter No. 24 G 0 0 0
12 Kapas Berlemak 500 gram 0 0 0
13 Kapas Pembalut / Absorben 250 gram 0 0 0
14 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) 0 0 0
15 Kasa Hidrofil uk. 36 m x 80 cm 0 0 0
16 Kasa Hidrofil uk. 40 m x 80 cm 0 0 0
17 Kasa Pembalut Hidrofil 4 m x 5 0 0 0
18 Kasa Pembalut Hidrofil 4 m x 10 cm 25 37500 0 3
19 Kasa Pembalut Elastic 3 inchi 0 0 0
20 Kasa Pembalut Elastic 4 inchi 0 0 0
21 Kasa Pembalut Elastic 7,5 cm x 4,5m 0 0 0
22 Kasa Pembalut Elastic 10 cm x 4,5m 0 0 0
23 Pembalut Gips 3 ichi 0 0 0
24 Plester 5 yards x 2 inch 1 23624.7 0
25 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah 0 0 0
26 Ultrafix 5x5 0 0 0
27 Urine Bag 0 0 0
28 Foley Catheter 0 0 0
29 Handscoon 0 0 0
30 Masker 0 0 0
J U M LAH 120 123896.7 56 63283.3 17
C OBAT GIGI
1 Etil Klorida spray 0 0
2 Eugenol cairan 0 0
3 Formokresol cairan 0 0
4 Glass Ionomer Cement ART 0 0
5 Gutta Percha dan Paper points 15-40 mm 0 0
6 Gutta Percha dan Paper points 45-80 mm 0 0
7 Kalsium Hidroksida Pasta 0 0
8 Klorfenol kamfer Menthol ( CHKM ) 0 0
9 Komposit resin 0 0
10 Devitalisasi Pasta (Non Arsen) 0 0
11 Mummifying Pasta 0 0
12 Semen Seng Fosfat serbuk dan cairan 0 0
13 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan 0 0
J U M LAH 0 0 0 0 0
D OBAT TAMBAHAN
1 Masker 1 0
2 Handscoon 2 0
3 Spuit insulin 1 cc 0 0
4 Spuit 3 cc 0 0
5 Foley Catheter 0 0
6 Larutan mengandung Elektrolit 0 0
7 Zink syr 0 0
8 Etanol 70% cairan ( 1000 ml ) 0 1 25000
J U M LAH 0 3 0 25000 0
JUMLAH A+B+C+D 2951 881306.7 1517 286387 17
TAHUN : 2018
BULAN : Desember
SALDO
JUMLAH JUMLAH SATUAN HARGA SATUAN
AKHIR
0 0 0 vial 3,509
0 0 0 botol 3,849
0 105 36120 tablet 344
0 0 0 tablet 86
0 0 0 tablet 200
0 0 0 tablet 435
0 0 0 tablet 460
0 0 0 tablet 233
0 0 0 botol 2,400
0 0 0 botol 2,400
0 0 0 tablet 127
0 0 0 ampul 3,822
1900 80 7600 tablet 95
0 0 0 tablet 80
0 0 0 tablet 112
0 0 0 tablet 330
0 0 0 tablet 240
0 0 0 tablet 4,550
0 0 0 tablet 190
83520 60 15660 tablet 261
0 0 0 vial 7,396
7335 3 7335 botol 2,445
0 0 0 tablet 3,161
0 0 0 vial 5,100
0 0 0 botol 5,100
0 0 0 vial 3,000
7200 0 0 tablet 72
0 0 0 tube 2,516
0 0 0 pot 1,904
0 0 0 suppo 2,450
0 0 0 tablet 478
0 0 0 tablet 123
0 0 0 ampul 9,240
0 0 0 vial 5,000
0 0 0 ampul 22,167
0 0 0 ampul 25,063
0 0 0 tablet 100
0 0 0 tablet 162
3840 130 4160 tablet 32
0 0 0 tablet 51
0 0 0 tablet 135
0 0 0 tablet 48
0 0 0 tablet 121
22400 130 14560 tablet 112
0 0 0 tablet 112
0 1 3150 tube 3,150
0 0 0 tablet 237
0 0 0 tablet 336
0 0 0 tablet 336
0 0 0 tablet 190
0 0 0 tablet 654
0 0 0 tablet 346
0 0 0 ampul 1,230
0 0 0 tablet 74
0 0 0 ampul 8,935
0 0 0 ampul 12,185
0 0 0 tablet 44
0 0 0 tablet 924
0 0 0 tube 1,520
0 0 0 tube 12,650
0 0 0 suppo 6,045
0 0 0 tablet 511
0 0 0 tablet 51
0 0 0 ampul 21,758
0 0 0 botol 7,837
0 0 0 tablet 181
0 0 0 tablet 760
0 0 0 tube 4,000
0 0 0 tablet 44
0 0 0 ampul 1,580
0 0 0 ampul 1,580
0 0 0 tablet 62
0 0 0 botol 39,079
0 0 0 botol 1,379
0 0 0 tablet 90
0 0 0 tablet 90
0 0 0 ampul 2,344
0 0 0 tablet 35
0 0 0 tablet 56
0 0 0 tablet 93
0 0 0 ampul 1,050
0 0 0 tablet 97
0 0 0 tablet 123
0 0 0 tablet 104
0 0 0 tablet 220
0 0 0 botol 3,624
16700 0 0 tablet 167
0 0 0 tablet 51
0 0 0 tablet 38
0 0 0 ampul 8,100
0 0 0 tablet 497
0 0 0 tablet 864
0 0 0 botol 7,700
0 0 0 botol 3,223
0 0 0 tablet 305
0 0 0 tablet 410
0 0 0 botol 2,500
0 0 0 tablet 113
0 0 0 tablet 173
0 0 0 tablet 97
0 0 0 tablet 133
0 0 0 ampul 20,250
0 0 0 tablet 93
0 0 0 ampul 1,716
0 0 0 tablet 144
0 0 0 tablet 165
0 0 0 tablet 272
0 0 0 tablet 465
0 0 0 botol 1,008
0 0 0 tablet 630
6834 0 0 ampul 3,417
0 0 0 tablet 22,000
0 0 0 ampul 1,829
0 0 0 tablet 85
13824 2 576 sachet 288
0 0 0 tablet 289
0 0 0 tablet 680
0 0 0 ampul 3,104
0 0 0 tube 1,350
0 0 0 botol 2,904
0 5 4500 botol 900
0 160 8960 tablet 56
0 0 0 tablet 266
0 0 0 tablet 490
0 0 0 tablet 490
0 0 0 tablet 1,000
0 0 0 tablet 912
0 0 0 tablet 645
0 0 0 tablet 43
0 0 0 botol 4,158
0 0 0 botol 5,727
0 0 0 botol 1,960
0 0 0 botol 5,200
0 0 0 tablet 209
0 0 0 ampul 83,333
0 0 0 tablet 59
0 0 0 tablet 73
0 0 0 tablet 96
0 0 0 tablet 36
0 0 0 tube 2,775
0 0 0 tube 2,798
0 0 0 tablet 395
0 0 0 botol 3,499
0 0 0 botol 4,455
0 0 0 tablet 110
0 0 0 tablet 110
0 0 0 tablet 150
30000 0 0 tablet 150
0 0 0 kapsul 980
0 0 0 tablet 44
0 0 0 tablet 85
0 0 0 tablet 88
0 0 0 tablet 1,300
0 0 0 tablet 332
0 0 0 tablet 425
0 0 0 tablet 81
0 0 0 tablet 62
5880 360 30240 tablet 84
0 0 0 tablet 134
0 0 0 tablet 245
0 0 0 tube 2,569
0 0 0 tablet 300
0 0 0 ampul 2,542
0 0 0 tablet 608
0 0 0 ampul 1,616
0 0 0 ampul 7,800
0 0 0 tablet 361
0 0 0 tablet 553
0 0 0 tablet 1,400
0 0 0 tablet 184
0 0 0 tablet 188
0 0 0 tablet 356
0 0 0 tube 1,562
0 0 0 botol 3,700
0 0 0 botol 3,700
0 0 0 botol 4,950
0 0 0 botol 2,343
22750 270 24570 tablet 91
0 0 0 tablet 107
0 0 0 ampul 1,050
0 0 0 ampul 1,100
0 0 0 tablet 245
0 0 0 tablet 168
0 0 0 tablet 470
0 0 0 tablet 800
0 0 0 tablet 1,045
0 0 0 tablet 138
0 0 0 tablet 72
0 0 0 botol 9,000
0 0 0 botol 10,000
0 0 0 botol 10,000
0 0 0 tablet 473
0 0 0 tablet 528
0 0 0 tablet 528
0 0 0 ampul 850
0 0 0 ampul 850
0 3 4089 ampul 1,363
0 0 0 syringe 40,000
0 0 0 tablet 520
0 0 0 tablet 550
0 0 0 tablet 320
0 0 0 tablet 89
0 0 0 tablet 154
0 0 0 tablet 1,341
0 0 0 botol 11,000
0 0 0 ampul 6,600
0 0 0 ampul 6,600
0 0 0 botol 3,534
0 0 0 tablet 225
0 0 0 suppo 6,600
0 0 0 tablet 506
0 0 0 tablet 234
0 0 0 ampul 1,250
0 0 0 ampul 1,200
0 0 0 ampul 1,200
0 0 0 tablet 220
0 0 0 tablet 145
0 0 0 tablet 113
0 0 0 tablet 220
0 0 0 ampul 3,499
0 0 0 tablet 140
0 0 0 ampul 59,000
0 0 0 tablet 635
0 0 0 tablet 296
0 0 0 tablet 370
0 0 0 ampul 5,500
0 0 0 botol 2,830
0 0 0 tablet 110
0 0 0 tablet 100
0 0 0 botol 9,950
0 0 0 tablet 110
0 0 0 tablet 160
0 0 0 tablet 160
0 0 0 tube 3,000
0 0 0 sachet 2,450
0 0 0 tube 17,500
0 0 0 tube 3,955
0 0 0 ampul 10,499
0 0 0 tablet 1,206
0 0 0 tablet 133
0 0 0 tablet 176
0 0 0 botol 4,700
0 0 0 ampul 6,006
0 0 0 tablet 2,613
0 0 0 tablet 110
0 0 0 tablet 640
0 0 0 ovula 407
0 0 0 ampul 8,030
0 0 0 paket 359,950
0 0 0 paket 1,198,000
0 0 0 paket 214,900
0 0 0 paket 159,898
0 0 0 paket 288,100
0 0 0 paket 171,900
0 0 0 botol 1,259
0 0 0 botol 5,940
0 0 0 tablet 413
0 0 0 tablet 650
0 0 0 ampul 8,800
11088 1 2772 tube 2,772
0 0 0 tube 2,010
8800 0 0 ampul 2,200
0 0 0 tablet 211
0 0 0 tablet 13,000
0 0 0 ampul 1,150
0 0 0 tablet 119
0 0 0 botol 5,200
0 0 0 botol 1,438
0 0 0 tablet 32
15800 0 0 tablet 79
0 0 0 tablet 34
0 0 0 tube 11,475
0 0 0 ampul 13,191
0 0 0 ampul 1,925
0 0 0 ampul 3,800
0 0 0 ampul 3,800
0 0 0 tablet 776
0 0 0 tablet 194
0 0 0 tablet 400
0 0 0 botol 8,360
0 0 0 tablet 298
0 0 0 tablet 198
0 0 0 tablet 17
0 0 0 tablet 70
0 0 0 tablet 100
0 1 31174 botol 31,174
0 0 0 botol 2,163
0 0 0 botol 14,203
0 0 0 botol 2,400
0 0 0 tablet 2,400
0 400 60800 tablet 152
0 0 0 tablet 144
0 0 0 ampul 9,900
0 0 0 ampul 6,100
0 0 0 tablet 65
0 0 0 tablet 108
0 0 0 tablet 284
0 0 0 tablet 300
0 0 0 tablet 530
0 0 0 ampul 1,140
0 0 0 tablet 120
0 0 0 tablet 120
0 0 0 tablet 81
0 0 0 tablet 103
0 0 0 kapsul 242
0 0 0 kapsul 432
0 0 0 tablet 376
0 0 0 tablet 830
0 0 0 tablet 594
0 0 0 botol 5,200
0 0 0 tablet 1,400
0 0 0 tablet 1,008
0 0 0 tablet 2,500
0 0 0 vial 398,420
0 0 0 tablet 59
0 0 0 tablet 97
3600 1 1800 pot 1,800
2500 2 2500 kotak 1,250
0 0 0 kotak 1,250
0 0 0 botol 10,384
0 0 0 tablet 242
0 0 0 tablet 468
0 0 0 tablet 509
0 0 0 tablet 510
0 2 10400 botol 5,200
0 0 0 tablet 365
0 0 0 tablet 972
0 0 0 vial 18,585
0 0 0 paket 33,000
0 0 0 tablet 859
0 0 0 botol 10,558
0 0 0 vial 3,500
0 0 0 vial 2,950
0 0 0 ampul 27,086
0 0 0 vial 3,300
0 0 0 vial 3,300
0 0 0 ampul 137,500
6468 12 12936 ampul 1,078
0 0 0 tablet 14
0 0 0 tablet 111
0 0 0 tablet 169
0 0 0 tablet 391
0 0 0 tablet 230
0 0 0 botol 45,000
0 0 0 tablet 237
0 0 0 tablet 255
0 0 0 tablet 517
0 0 0 tablet 1,386
0 0 0 tablet 950
0 0 0 tablet 311
0 0 0 tablet 843
0 0 0 vial 3,650
0 0 0 tablet 415
0 0 0 botol 3,226
0 0 0 ampul 12,045
0 0 0 tablet 1,700
0 0 0 botol 11,500
0 0 0 tablet 149
0 0 0 tablet 300
0 0 0 tablet 319
0 0 0 tablet 431
0 0 0 tablet 38
0 0 0 tablet 81
0 0 0 ampul 680
0 0 0 ampul 680
0 0 0 ampul 5,200
0 0 0 tablet 189
0 0 0 tablet 189
0 0 0 tablet 1,518
0 0 0 tablet 405
0 0 0 tablet 40
0 0 0 ampul 7,480
0 0 0 ampul 12,100
0 0 0 tablet 1,210
0 0 0 tablet 215
0 0 0 vial 10,560
4092 40 1364 tablet 34
0 0 0 tablet 949
0 0 0 tablet 3,117
0 0 0 botol 12,840
14220 700 331800 tablet 474
314671 2479 640840
0 0 0 botol 189,750
0 0 0 kotak 550,000
0 0 0 botol 53,130
0 0 0 set 822,250
0 0 0 set 41,745
0 0 0 set 41,745
0 0 0 kotak 158,125
0 0 0 botol 58,300
0 0 0 buah 360,415
0 0 0 kotak 170,775
0 0 0 kotak 232,100
0 0 0 set 93,500
0 0 0 set 33,990
0 0 0
0 0 0 kotak 40,000
0 0 0 kotak 212,500
0 0 0 pcs 3,500
0 0 0 pcs 1,500
0 0 0 pcs 27,000
0 0 0 btl 9,000
0 0 0 btl 7,400
0 1 25000 btl 25,000
0 0 0
334417 2608 808274.03
PENGELOLA OBAT
MARTINA
NIP. 19710817 200701 2 015
34 1
98 1
98 3
73
303 5
2
5
4
11
LAPORAN MUTASI BARANG PERSEDIAAN OBAT DAN PERBEKALAN KESE
7 Alprazolam tablet 0,5 mg 0 0 50 23000 50
13 Aminofilin tablet 150 mg 0 0 340 32300 340
17 Amlodipin tablet 5 mg 0 0 6 1440 6
21 Amoksisilin serbuk injeksi 1000 mg 0 0 2 14792 2
23 Amoxsan tab 500 mg 0 0 230 727030 230
Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida 200
27 11520 209520
mg Magnesium Hidroksida 200 mg 160 2910 1270
Antasida DOEN II suspensi, kombi : Aluminium Hidroksida 200 mg/5 ml
28 0 222480
Magnesium Hidroksida 200 mg/5 ml 0 103 103
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
29 0 12580
10.000 IU/g 0 5 5
Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin
32 0 32982
tablet 500 mg 0 69 69
66 Cetirizin sirup 5 mg/5 ml 5 39185 20 156740 25
73 Deksametason tablet 0,5 mg 0 0 400 24800 400
82 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 0 0 107 112350 107
130 Gliseril Gualakolat tablet 100 mg 0 0 730 31718.5 730
162 Ketokonazol krim 2% 0 0 5 12845 5
249 Natrium Diklofenak tablet 50 mg 0 0 50 8800 50
275 Parasetamol drops 41 213200 40 208000 81
325 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang endap 4% 0 0 14 25200 14
327 Salisil Bedak 2 % 0 0 3 3750 3
362 Sulfasetamida Natrium tetes mata 15 % 0 0 20 64520 20
ALAN KESEHATAN PUSKESMAS
23000 0 0 tablet 460
32300 0 0 tablet 95
1440 0 0 tablet 240
14792 0 0 vial 7,396
727030 0 0 tablet 3,161
91440 1800 129600 tablet 72