Bukti Pelaksanaan Kalibrasi

LAPORAN PEMAKAIAN
KODE PUSKESMAS :
PUSKESMAS : MEPANGA KAB/KODYA : PARIGI MOUTO
KECAMATAN : MEPANGA PROPINSI : SULAWESI TEN
KODE NAMA OBAT KELAS SATU-
TERAPI AN
1 2 3
1 Spritus 14.1 botol
2 Deksametason tab 0,5mg 32 ktk/100tab
3 Cloramphenikol tetes telinga 32 tube
4 Tablet tambah darah 32 sachet
5 phenobarbital inj 6.1.1 ktk/30amp
6 Zinc tablet dispersible 20 mg 1.2 tablet
7 DehidroArtemisin+piperaquin 26.1 Blister/9tab
8 Diasepam tab 5mg 23.2 btl/250tb
9 MTD MB Dewasa 6.2.1 paket
10 Vit c ktk
11 Vit k inj ktk
12 ineral mik
13 pot seputum
14 Reagen ZN
15 Vit k inj
16 Vitamin A 200.000 IU
1 Calcii Gluconas injek 14.1 ktk / 24 Ampul
2 Magnesium Sulfat 20% - 25 ml 32 ktk / 10 vial
3 Magnesium Sulfat 40% - 25 ml 32 ktk / 10 vial
4 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 32 kotak / 24 pcs
5 Catgut/Benang Bedah Chromic No.2/0-3/0 dg jarum 6.1.1 kotak / 24 pcs
6 Infusion set anak 1.2 Roll
7 Anti fungi doen 26.1 btl
8 phenobarbital inj 23.2 amp
9 pembalut gips 6.2.1 Roll
10 diltiasem 6.2.1 ktk
1 Propanolol tablet 10 mg (HCl) 14.1 tablet
2 Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksin 10.000 UI/g 32 pot
3 Haloperidol tablet 1,5 mg 32 tablet
4 Haloperidol tablet 2 mg 32 tablet
5 Zinc tablet dispersible 20 mg 6.1.1 tablet
6 Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500 mg 1.2 tablet
7 Metilergometrin Maleat tab salut 0,125 mg 26.1 tablet
8 Mikonazol krim/salep 2 % (Nitrat) 23.2 tube
9 Alprazolam tablet 0,5 mg 6.2.1 tablet
10 Difenhidramin injeksi i.m. 10 mg/ml 6.2.1 ampul
11 Epinefrin (adrenalin) injeksi 1 mg/ml 6.2.1 ampul
12 Aqua Pro Injeksi Steril, bebas pirogen 6.2.1 10 vial @20 ml/kotak
13 Gentamycin Salep Kulit 1.2 tube 5 gram
14 Kloramfenikol suspensi 1.2 botol 60 ml
15 Kloramfenikol salep mata 1 % 25.1 tube 5 gram
16 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000 - 2 ml 18.2 ktk / 100 amp @ 2 ml
17 Metampiron injeksi 250 mg 25.3 ktk / 30 ampul @ 2 ml
18 Metilergometrin Maleat injeksi 0,200 mg -1 ml 18.3 100/Ampul
19 Metoklopramide tablet 5 mg 7.2 ktk / 100 tablet
20 Nistatin Vaginal tablet salut 100.000 IU/g 9 ktk / 100 tablet Vaginal
21 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 20.3 10 vial / kotak
22 Oksitosin injeksi 10 UI/ml-1 ml 29 vial/kotak
23 Papaverin tablet 40 mg 31 1000 tablet / botol
24 Scabimite cream 1.2 tube
25 Povidon Iodida larutan 10% 25.4 botol 60 ml
26 Salep 2-4,Kombinasi:AsamSalisilat 2 % + Belerangendap 4 % 9 Ktk / 24 Pot @ 30g
27 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 21.2.4 kotak / 24 pcs
28 Catgut/Benang Bedah Chromic No. 2/0-3/0 dg jarum 6.2.1 kotak / 24 pcs
29 H2O2,0,3-0,5% 6.2.1 Set @ 100 gram / btl
30 lar. HCl 0,1 N 18.4 Botol/100 ml
31 Devitalisasi Pasta Non Arsen 32 set
32 Pot Sputum 3 btl
33 Etil Klorida spray 16.4 btl/ktk
34 B 12 inj ktk/100
1 Propanolol tablet 10 mg (HCl) 14.1 tablet
2 Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksin 10.000 UI/g 32 pot
3 Deksametason injeksi i.v./i.m. 5 mg/ml 32 ampul
4 Glibenklamid tabet 5 mg 32 tablet
5 Haloperidol tablet 5 mg 6.1.1 tablet
6 Isosorbid Dinitrat tablet sublingual 5 mg 1.2 tablet
7 Povidon Iodida Larutan 10 % 26.1 btl/300ml
8 Loperamid tablet 2 mg 23.2 tablet
9 Sefadroksil sirup kering kering 125 mg/5 ml 6.2.1 botol
10 Furosemid tablet 40 mg 6.2.1 tablet
11 Kotrimoksazol suspensi komb : Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5ml 6.2.1 botol
12 Pirantel suspensi 125 mg/5 ml 6.2.1 botol
13 Tetrasiklin kapsul/kaplet 250 mg 1.2 kapsul
14 Metronidazol tablet 500 mg 1.2 tablet
15 Bedak salisil serbuk 2 % 25.1 pot
16 Griseofulvin tablet 125 mg 18.2 tablet
17 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 25.3 tablet
18 Asiklovir tablet/kapsul/kaplet 400 mg 18.3 tablet
19 Ketokonazol krim 2 % 7.2 tube
20 Klonidin tablet 0,15 mg 9 tablet
21 Salbutamol tablet 4 mg (sebagai sulfat) 20.3 tablet
22 Mikonazol krim/salep 2 % (Nitrat) 29 tube
23 Glukosa larutan infus 5 % steril 31 botol
24 Ringer Laktat larutan infus 1.2 botol

25 Alopurinol tablet 100 mg 25.4 ktk/100 tab
26 Setirizin tablet 10 mg 9 tablet
27 Alprazolam tablet 0,5 mg 21.2.4 tablet
28 Amoksisilin tablet scored 500 mg 6.2.1 tablet
29 Haloperidol tablet 0,5 mg 6.2.1 tablet
30 Metilprednisolon tablet 4 mg 18.4 tablet
31 Ranitidin Injeksi 25 mg/2ml 32 ampul
32 Sefotaksim injeksi 1 g 3 vial

Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5ml + Magnesium
33 Hidroksida 200 mg/5 ml 16.4 Btl 60 ml
34 Difenhidramin injeksi i.m. 10 mg/ml 11.2 ampul

Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g
35 Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g 26.2 sachet
36 Kaptopril tablet scored 25 mg 26.2 tablet
37 Natrium Diklofenak tablet 50 mg 14.1 tablet
38 Nistatin tablet salut 500.000 UI/g 5 tablet
39 Digoksin tablet 0,25 mg 5 tablet
40 Fitomenadion (vit.K1) tablet salut gula 10 mg 5 tablet
41 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 botol
42 Domperidone tablet 10 mg 3 tablet
43 Etanol 70% cairan 17.5 botol1000 ml
44 Ibuprofen tablet 400 mg 26.1 tablet
45 Ketokonazol tablet 200 mg 25.4 tablet
46 Omeprazol kapsul/kaplet 20 mg 3 kapsul
47 Parasetamol sirup 120 mg/5 ml 13.2 botol
48 Bisoprolol tablet 5 mg 13.2 tablet
49 Asam Mefenamat kapsul/kaplet 500 mg 6.2.4 tablet
50 Deksametason tablet 0,5 mg 13.2 tablet

Kotrimoksazol DOEN I (Dewasa) Kombinasi : Sulfametoksazol 400 mg + Trimetoprim 80
51 mg 13.2 ktk/100 tablet
52 Loratadin tablet 10 mg 14.1 tablet
53 Asiklovir krim 5 % 14.1 tube 5 gram
54 Asiklovir krim 5 % 5 tube 5 gram
55 Ciprofloxacine 500 mg 5 ktk / 100 tablet
56 Dekstran 70-larutan infus 6% steril 6.2.1 Botol 500 ml
57 Diazepam tablet 2 mg 28.2 ktk / 100 tablet
58 Doksisiklin kapsul 100 mg 10.2 ktk/100kpp
59 Fitomenadion (Vit. K1) injeksi 10 mg/ml 10.2 ampul
60 Gentian Violet Larutan 1 % 14 Botol 10 ml
61 Gliseril Gualakolat tablet 100 mg 20.1 btl/100tb
62 Hidroklorotiazida tablet 25 mg 14.2 ktk / 100 tablet
63 Hidrokortison krim 2,5% 14.1 tube/5gr
64 Hyoscine -N- Butilbromide tablet 10 mg 16.1.1 ktk / 100 tablet
65 Itrakonazol kapsul 100 mg 26.3 ktk / 30 kapsul
66 Kalsium Laktat (Kalk) tablet 500 mg 25.6 ktk/100 tablet
67 Novachlor 250 mg kapsul 20.2 ktk / 100 kapsul
68 Erlamycetin 1 % 20.2 botol 5 ml
69 Klorfeniramina maleat (CTM) tablet 4 mg 20.2 klg/1000
70 Klorpromazin tablet salut 25 mg 6.3 1000 tablet / botol

71 Metampiron injeksi 250 mg 23.4 ktk / 30 ampul @ 2 ml
72 Metampiron tablet 500 mg 23.4 ktk / 100 tablet
73 Metformin HCl tablet 500 mg 15 ktk / 100 tablet
74 Metilergometrin Maleat injeksi 0,200 mg -1 ml 18.4 100 ampul / kotak
75 Obat Batuk hitam ( O.B.H.) 1.2 Botol 100 ml
76 Oksitosin injeksi 10 UI/ml-1 ml 1.2 100 ampul / kotak
77 Papaverin tablet 40 mg 32 btl/1000
78 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 32 btl/1000tb
79 Piroksikam tab 20 mg 17.1 ktk / 100 kapsul
80 Prednison tablet 5 mg 32 ktk / 100 tablet
81 Propiltiourasil tablet 100 mg 13.1 Ktk / 100 tablet
82 Retinol (Vitamin A) 200.000 IU Kapsul Lunak 14.1 btl / 50 Kapsul
83 Sianokobalamin (vit. B 12) injeksi 500 mcg 29 Ktk 100 amp@1 ml
84 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 32 1000 tablet / botol
85 Tiamin (vitamin B1) injeksi 100 mg/ml 5 ktk / 100 amp @ 1 ml
86 Alat suntik sekali pakai 1 ml 32 100/ktk
87 Alat suntik sekali pakai 3 ml 32 100 set / kotak
88 Alat suntik sekali pakai 5 ml 32 100set/ktk
89 Alat Suntik Sekali pakai 10 ml 32 ktk
90 Pipet tetes panjang 6.2.2 pcs
91 Kasa Kompres 16 x 16 steril (isi 16 lembar) 21.2.1 ktk
92 Plester 5 yards x 2 inch 28.1 Roll
93 otsu wi 3 botol
94 Etanol 70% 100ml 6.4.2.1 tube
95 Rivanol 300ml 25.4 botol
96 urin bag 23.4 pcs
97 urin bag 23.4 pics
98 elastis perban 23.4 Roll
99 pembalut gips 16.1.1 Roll
100 phenobarbital inj 26.2 amp
101 obat antituberkulosis 6.2.2

102 b12 tab 6.2.2 ktk
103 aminopilin tab 6.2.2 btl
104 aminopilin inj 6.4.2.2 btl
105 burnasin Perak Sulfadiazin krim 1% 6.4.2.2 amp
106 pirantel tab 32 ktk
107 Retinol(vitamin A)200.000IU Kapsul 32

108 skopma plus 32 ktk
109 aukohol swab 32 ktk
110 benedon inj kombinasi 32 amp
111 metil dopa 14.1 ktk
112 tetrakain hcl tetes mata 0,5 13.2 btl
113 Novadiar sirup 5 btl
114 Lanset steril 5 ktk
115 nepidipin 6.1.1 ktk
116 Pot Sputum 22.1 btl

117 Pehacain injeksi2(hcl)+epineprin1 22.1 amp
118 Haloperidol tab 2mg 6.2.2 ktk/100tb
119 Amitriptilin tab salut 25mg(HCL) 14.1 ktk/100tb
120 Vitamin A 100.000 UI 14.1 btl/50 kap
121 Vitamin A 200.000 UI 20.2 btl/50 kap
122 B12 inj ktk
123 B1 inj ktk
1 Dispo 5 14.1 dus
2 Tes kehamilan 32 dus
3 Strip nesco glukosa 32 dus
4 Strip nesco urid acid 32 dus
5 Strip nesko kolestrol 6.1.1 dus
6 Pengikat tali pusat 1.2 pcs
7 Sarung tangan panjang 26.1 psg
8 Sarung tangan panjang 23.2 psg
9 Folley catheter 6.2.1 pcs
10 Kasa kompres 40x40 6.2.1 ktk
11 One scrub pump 500ml 6.2.1 btl
12 Dispo 3 6.2.1 dus
13 Dispo 1 1.2 dus
14 Kapas 250 gram 1.2 glg
15 Infuset dewasa 25.1 pcs
16 Abocat 20 18.2 pcs
19 Urin bag 7.2 pcs
20 Transmision gel 9 btl
21 Turniquit 20.3 pcs
22 Plester BSN one med 29 roll
23 Pot sputum 31 pcs
24 Lisol 1.2 ktk
1 kasa hydrophil 40 x 80 cm 14.1 roll
2 Kasa hydrophil 16 x 16 cm 32 bok/16
3 Kapas pembalut /absorben 250 gram 32 roll
4 Steracath I.V Catheter no. 18 G x 32 mm 32 pcs
5 Steracath I.V Catheter no. 20 G x 1 1/4" 6.1.1 pcs
6 Steracath I.V Catheter no. 22 G x 1" 1.2 pcs
7 Steracath i.V Catheter no.24 Gx3/4 26.1 pcs
8 Syringe 1 cc tuberculin 27G x1/2 23.2 bok/100
9 Syringe disposable 3 cc x 23G x 1 1/4 6.2.1 bok/100
10 Syringe disposable 5 cc x 22G x 1 1/2 6.2.1 bok/100
11 sarung tangan SurgicalPowderGlove 7,5 6.2.1 pasang
12 Sarung tangan SurgicalPowderGlove 7,0 6.2.1 pasang
13 Sarung tangan non steril s 1.2 ktk
14 Sarung tangan non steril M 1.2 ktk
15 Strip nesco glukosa 25.1 ktk 25 test

16 Strip nesko kolestrol 18.2 ktk 10 test
17 Strip nesco urid acid 25.3 ktk 25 test
18 Surgical mask 3 ply earloop 18.3 bok/50
19 Surgical mask 3 ply tie on 7.2 bok/50
1 reco klorampenikol salep mata 14.1 tube

2 Rivanol 32 btl 100ml
3 Tramadol inj 32 dus
1 Salbutamol cair ih 0,1% 14.1 btl
1 Klorampenikol kap 14.1 klg 1000kp
2 Ketokonazol tablet 200 mg 32 Dus 5 strip
3 Brondisal 2mg 32 Dus 10 strip
4 Brondisal 4mg 32 Dus 10 strip
5 Tramadol 6.1.1 Dus 5 strip
6 Vadrol 1.2 Dus 10 strip
7 Novadium 2 mg tablet 26.1 Dus 10 strip
8 Garam oralit 23.2 Dus 100
9 Mikonasol kream 6.2.1 tube
10 Ketokonazol kream 6.2.1 tube
11 Zolacklor cream 6.2.1 tube
12 Kloram penikol salep mata 6.2.1 tube
13 Asam tranex samat in 1.2 ktk / 10amp
14 tramadol inj 1.2 ktk / 10amp
15 Spasi inj 25.1 ktk / 10amp
16 Strip Glucosa 18.2 Ktk 25 test
17 Strip Cholesterol 25.3 Ktk 10 test
18 Strip Asam Urat 18.3 Ktk 25 test
19 Plester/Isoplast 7.2 Roll
20 Tes Kehamilan 9 Ktk 50 test
21 Sarung Tangan Panjang 20.3 Psg
22 Bisturi Semua Nomor 29 Ktk 100
23 Kertas Puyer Obat 31 Pack
24 Golongan Darah ABO 1.2 Set
25 Kotri sirup 25.4 btl/60ml
26 Cefad sirup 9 botol/60 ml
27 Povidon 21.2.4 btl/60ml
28 Rivanol 6.2.1 bt t/100ml
29 Piracetam 6.2.1 bok 100tb
30 Kapsul kosong 18.4 bks
31 hidrokortisonsalep kulit 32
32 calsium laktat 3
33 Ambroxol sirup 16.4
34 Scabimite kream 11.2 tube 10gram
1 Alopurinol tablet 100 mg 14.1 Box 10 strip
2 Aminofililin inj 24 mg /ml 32 Dus 30 amp
3 Aminofililin tablet scored 200 mg 32 Btl @ 100tablet
4 Difenhidramin injeksi 10 mg/ml ( HCL ) 32 Ampul 1 ml

5 Doksisiklin kapsul 100 mg 6.1.1 Box 10 strip
6 Domperidon tablet 10 mg 1.2 Dus 10 strip
7 Metronidazol tablet 500 mg 26.1 Dus 10 strip
8 Natrium Diklofenak tablet 50 mg 23.2 Dus 5 strip
9 Omeprazol kapsul 20 mg 6.2.1 Dus 3 strip
10 Parasetamol sirup120 mg / 5 ml 6.2.1 Btl 60 ml
11 Metachlor tablet ( CTM ) 6.2.1 Btl 1000 kaplet
12 Metacod syrup 6.2.1 Btl 60 ml
13 Kaometa syrup 1.2 Btl 60 ml
14 Coparcetin Orange syrup 1.2 Btl 60 ml
15 OBH Sekar syrup 25.1 Btl 100 ml
16 Kertas Puyer Obat 18.2 Pack
17 Piracetam 25.3 bok 100
18 Novapiron 18.3 ktk
19 Tramadol tab 7.2 ktk50tab
20 Brondisal 2mg 9 ktk
21 Cepotaksim inj 20.3 dus/10vial 1gr
22 Rl 29 Btl
23 Kapas berlemak 500gr 31 Roll
24 Aseptik gel 1.2 btl
25 surgical mask whit visor 25.4 bok
26 poli kateter no 18 9 pcs
27 poli kateter no 20 21.2.4 pcs
30 Epedrin tab 18.4 ktk
31 Ranitidin inj 32 ktk/100amp
32 sidiadril inj 3 vial/10amp
33 Benedon inj 16.4 vial/10amp
34 Kodein 11.2 ktk
35 masker 26.2 ktk
36 Anti migran 26.2 btl
37 Antasida sirup 14.1 ktk
38 Diasepm larutan rektal 5

1 Alopurinol tablet 100 mg 14.1 Box 10 strip
2 Amlodipin tablet 5 mg 32 Box 100 tab
3 Amoksisillin kaplet 500 mg 32 ktk 100 tablet
4 Parasetamol sirup120 mg / 5 ml 32 Btl 60 ml
5 Parasetamol tablet 500 mg 6.1.1 Dus 10 strip
6 Amlodipin tablet 10 mg 1.2 Bok
7 Asam mefenamat kaplet 500 mg 26.1 Bok
8 Cefatroxil 500mg kap 23.2 Bok
9 Dexametason tablet 0,5 mg tab 6.2.1 Bok
10 Domperidon suspensi 6.2.1 Bok
11 Domperidon tablet 10 mg 6.2.1 Bok
12 Ketorolak inj 10ml 6.2.1 Bok

13 Lanzoprasol 30 mg 100 kap 1.2 Bok
14 Metronidazol tablet 500 mg 1.2 Bok
15 Ondansentron inj 10 amp 25.1 Bok
16 Ranitidin inj 18.2 Bok
17 Ranitidin tablet 150 mg 25.3 Bok
18 sinvastatin 10 mg 18.3 Bok
19 Ciprofloxasin 500 mg tab 7.2 Bok
20 Steracath I.V Catheter no.18Gx32 mm pcs

21 Steracath I.V Catheter no.20 Gx11/4" pcs
22 steracath I,V Catheter no. 22 G x 1" pcs
23 Sringe disposable 1 cc Pcs
24 Sringe disposable 3 cc pcs
25 Infuset dewasa Pcs
26 Kapas berlemak 500gr Pcs
27 Kapas pembalut/Absorben 250 gram Roll
28 Kasa hydrophil 16 x 16 cm ktk
29 Surgical Mask Plus 3Ply Plus Earloop pcs

30 Surgical Mask Plus 3 Plytie On (tali) pcs
31 anti rabies verorab bok
1 Allupurinol 14.1 box
2 Amblodipin 10 mg 32 box
3 Asam mefenamat 32 b0k
4 Deksametason 0,5mg 32 box

5 Domperidon suspensi 6.1.1 btl
6 Domperidon Tab 1.2 b0k
7 Ketorolak inj 26.1 box

8 Lansoprasol kap 23.2 box
9 Metronidasol tab 6.2.1 b0k
10 Ondansentron inj 6.2.1 box

11 Ranitidin inj 6.2.1 box
12 Ranitidin kaplet 6.2.1 b0k
13 Cefadroxil kap 1.2 box

14 Sinvastatin tab 1.2 box
15 Ciprofloxacin tab 25.1 b0k
16 Amoxicillin 500mg 18.2 btl
17 Parasetamol sirup 25.3 box
18 Parasetamol 500mg tab btl 1000ml
19 Alkohol 70% 1 liter pcs
20 Syringe disposable 1cc pcs
21 Syringe disposable 5cc Roll
22 Kasa pembalut 2mx 80cm Roll
23 Plesterin Non Woven Roll 20cmx5m btl 500ml
24 Handsrup 500cc(ones crup) pcs
25 Infuset dewasa pcs
26 Steracath l.v Catheter no.18Gx32mm pcs
27 Steracath l.v Catheter no.20Gx11/4" pcs

28 Steracath l.v catheter no 22Gx1" pcs
29 Steracath I.V catheter no 24Gx3/4" psg
30 Surgical powder free glove size 7,5 psg
31 Surgical powder free glove size 7,0 psg
32 Sarung tangan obgyn bok
33 Superlife Nitrile pcs
34 Tes kehamilan bok
35 Surgical mask 3 ply earloop box@ 50pcs
36 Pengikat tali pusat
1 Ranitidin tablet 150 mg 14.1 ktk/100 tab
2 sefadroksil kapsul/kaplet 500 mg 32 kapsul
3 Asam askorbat (vitamin C) tablet 50 mg 32 tablet
4 NaCL 0,9 % 32 botol
5 Amlodipin tablet 5 mg 6.1.1 ktk/30 tablet
6 Amoksisilin tablet scored 500 mg 1.2 tablet
7 Simvastatin scored tablet 10 mg 26.1 ktk/100 tablet
8 Kaptopril tablet scored 25 mg 23.2 tablet
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 botol
10 Omeprazol kapsul/kaplet 20 mg 6.2.1 kapsul
11 Asam Mefenamat kapsul/kaplet 500 mg 6.2.1 tablet

Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg + Magnesium
12 Hidroksida 200 mg 6.2.1 ktk/100 tablet
13 Ambroxol tablet 30 mg 1.2 ktk/100 tablet
14 Hidroklorotiazida tablet 25 mg 1.2 ktk / 100 tablet
15 Kloramfenikol suspensi 25.1 botol 60 ml
16 Abbocath (IV Catheter) no 20 G setara B'Braun 18.2 ktk / 50 pcs
17 Abbocath (IV Catheter) no 24 G setara B'Braun 25.3 ktk / 50 pcs
18 Abocat 22 18.3 ktk/50pcs
19 Alat suntik sekali pakai 3 ml 7.2 100 set / kotak
20 Infusion set dewasa 9 Set / kantong
21 Kapas Pembalut / Absorben 250 gram 20.3 Bungkus
22 Umbilical cord kleam steril Nylon 29 ktk
23 Antihemoroid 31 Supp
24 Domperidon suspensi 1.2 btl/60ml
25 Multi vitamin sirup anak 25.4 btl/60ml
26 Vikt k tab 9 ktk/100tab
27 Furosemid 21.2.4 tablet
28 Betametason 0,1% kream 6.2.1 tube
29 Vitamin B complek 6.2.1 ktk/100tab
30 Ibuprofen tab 400 mg 18.4 ktk/100tab
31 Paracetamol tab 32 ktk/100tab
32 Ciprofloxacine 500mg 3 ktk/100tab
33 lidokain inj 2%(hcl)+Epineprin 16.4 ktk/30amp
34 Prednison tab 11.2 Btl 1000tab
35 alat suntik sekali pakai 1ml 26.2 100set/ktk
36 masker 26.2 ktk/50pcs
37 Gloves surgical No. 7,0 14.1 50 psg/ktk

38 Gloves surgical No7.5 5 50psg/ktk
39 Hancoen non steril 5 ktk100pcs
40 kasa kompres 16x16 steril(isi 16lbr) 5 ktk
41 Kasa pembalut 36m x80 cm 6.2.1 Roll
42 Plester (leukoplas 7,5 x 4,5m) 3 Roll
43 Novabion kap 17.5 ktk/100kap
44 Novadiar sirup 26.1 btl/60ml
45 dispo 1ml 25.4 ktk
46 Hct 3 bok/100tb
47 Amitriptilin tab salut 25 mg (HCL) 13.2 ktk/100tab
48 Amlodipin tab 10 mg 13.2 ktkl/30tab
49 Akarbose tab 50 mg 6.2.4 ktk/100tab
50 Asiklovir tab 400 mg 13.2 ktk/50tab
51 Bisoprolol tab 5 mg 13.2 ktk/100tab
52 Deksametason tab o,5 mg 14.1 ktk/100tab
53 Bedak salisil serb 2% 14.1 ktk
54 Difenhidramin inj 10mg/ml (i.v./i.m) 5 Ampul
55 Digoksin tab 0,25 mg 5 ktk/100tab
56 Eugenol cairan 6.2.1 botol
57 Fitomenadion (Vit.K 1) inj i.m 2 mg/ml 28.2 Ampul
58 Haloperidol tab 1,5 mg 10.2 ktk/100tab
59 Hidrokortison krim 2,5 % 10.2 tube
60 Ibuprofen sir 100 mg/5 ml 14 botol
61 Isosorbid dinitrat 5 mg 20.1 ktk/100tab
62 Kalsium Laktat (Kalk) tab 500 mg 14.2 ktk/100tab
63 Karbamazepin tab 200 mg 14.1 ktk/100tab
64 Kloramfenikol kaps 500 mg 16.1.1 kapsul
65 Kloramfenikol salep mata 1% 26.3 tube
66 Klorafeniramina Maleat tab 4 mg 25.6 ktk/100tab
67 Klorpromazin tab 25 mg 20.2 ktk/100tab
68 Kotrimoksazol(Dewasa)kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg 20.2 ktk/100tab

Kotrimoksazol(Dewasa)kombinasi setiap 5 mg suspensi: sulfametoksazol 200mg +
69 trimetoprim 40 mg 20.2 botol
70 Ringer Laktat Larutan 6.3 botol
71 Glukosa Larutan Infus 5% steril 23.4 botol
72 Loperamid tab 2 mg 23.4 ktk/100tab
73 Metformin tab 500 mg 15 ktk/100tab
74 Metilergometrin inj 0,2 mg/ml 18.4 Ampul
75 Metilprednisolon tab 4 mg 1.2 ktk/100tab
76 Metronidazol tab 500 mg 1.2 ktk/100tab
77 Mikonazol krim 2% 32 Tube
78 Natriun diklofent tab 50 mg 32 ktk/50 tab
79 Nifedipin kaps 10 mg 17.1 ktk/100kaps
80 Oksitoksin inj 10 UI/ml 32 Ampul
81 Parasetamol sir 120 mg/5 ml 13.1 Botol
82 Permetrin krim 5 % 14.1 Tube
83 Pirantel pamoat tab scored 125 mg 29 ktk/100tab

84 Air untuk injeksi amp 25 ml 32 Ampul
85 Air untuk irigasi lar inf 1000 ml 5 Botol
86 Antifungi DONE salep,kombinasi : Asam Benzoat 6% Asam Salisilat 3% 32 Pot
87 Asam traneksamat inj 100mg/ml 32 Ampul
88 Dihydroantemisin 40 mg + Piperaquin phosphate 320 mg 32 ktk/9 tab
89 Piridoksin ( Vit B6) tab 10 mg 32 ktk/100tab
90 Povidon iodion 10% 6.2.2 botol/60ml
91 Primakuin tab 15 mg 21.2.1 ktk/100tab
92 Propanolol tab 10 mg 28.1 ktk/100tab
93 Salep 2-4,kombinasi: asam salisilat 2%+ belerang endap 4% 3 Pot
94 Sefiksim tab 100mg 6.4.2.1 ktk/50 tab
95 Setirizin ta 10 mg 25.4 ktk/100 kaps
96 Sianokobalamin(Vit.B12) inj 500 mcg/ml 23.4 Ampul
97 Tiamin(Vit.B1) tab 50 mg 23.4 ktk/100tab
98 Zinc tab disp 20 mg 23.4 ktk/100tab
99 Aminofilin tab 200 mg 16.1.1 Botol
100 Aminofilin inj 24 mg/ml 26.2 Ampul
101 Asam folat tab 1 mg 6.2.2 Botol
102 Asam tranekamat tab 500 mg 6.2.2 ktk/100tab
103 Asiklovir krim 5% 6.2.2 Tube
104 Etilkrorida spray 6.4.2.2 botol 100 ml
105 Diazepam tab 2 mg 6.4.2.2 Botol
106 Gentian Violet Lrutan 1 % 32 Botol
107 Glibenklamid tab 5 mg 32 ktk/100tab
108 Griseril Gualakolat (Guaifenesin) tab 100 mg 32 ktk/100tab
109 Griseofulvin tab 125 mg 32 Ktk/100tab
110 Hyocine n-butilbromida tab 10 mg 32 ktk/100tab
111 Ketokonazol tab 200 mg 14.1 ktk/50 tab
112 Kloramfenokol tts mata 0,5% 13.2 Botol
113 Kloramfenikol tts telinga 1% 5 Botol
114 Kombinasi: Multivitami + Analgrtik Tab 5 ktk/100 tab
115 Meloksikam tab 7,5 mg 6.1.1 ktk/50tab
116 Metampiron tab 500 mg 22.1 ktk/100tab
117 Metilergometrin tab salut 0,125 mg 22.1 ktk/100tab
118 Multivitamin Dewasa Tab/lipron b plek 6.2.2 ktk/100tab
119 Obat Batuk hitam ( OBH) 14.1 Botol
120 Papaverin tab 40 mg 14.1 ktk/100tab
121 Perak sulfadiazin krim 1%/ Burnasin 20.2 tube
122 Pirantel pamoat suspen scored 125 mg/5mg 6.3 Botol
123 Piroksikam tab 10 mg 6.3 ktk/100tab
124 Propiltiourasil tab 100mg 6.2.4 ktk/100tab
125 Ranitidin inj 25 mg/ml 6.2.4 Ampul
126 Sefotaksim serb inj 1000 mg/vial 26.3 Vial
127 Seftriakson serb inj 1000mg/ml 6.2.2 Vial
128 Tiamin (Vit.B1) inj 10mg/ml 18.2 Ampul
129 Multivitamin Tambah Darah / novabion 21.2.2 ktk/100kaps

130 BMHP (Bahan Medis Habis Pakai) 22.1
131 Catgut chromin 3-0,75 cm round bodied 1/2 circle ,26mm 1.2 Box
132 Catgut chromin 2-0,75 cm round bodied 1/2 circle,25mm 1.2 Box
133 Catgut plain 2-0 75 cm round bodied 1/2 circle 25mm 1.2 Box
134 Catgut plain 3-0 75 cm round bodied 1/2 circle 25mm 32 Box
135 Silk/sutera 3-0 76cm round bodied,1/2 circle 25mm 6.1.1 Box/24pcs
136 Silk/sutera 2-0 76cm round bodied,1/2 circle 25mm 29 Box
137 Cathy IV.Cannula 18G 32 Box/100pcs
138 Cathy IV.Cannula 20G 16.4 Box/100pcs
139 Cathy IV.Cannula 22G 6.4.2.2 Box/100pcs
140 Cathy IV.Cannula 24G 6.2.1 Box/100pcs
141 Disposble Syringe 1cc 16.3 Box/100pcs
142 Disposble Syringe 5 cc 7.1 Box/pcs
143 Disposble Syringe 10 cc 17.3 Box/pcs
144 Catheter 2 way FR18 17.3 pcs
145 Akohol swab 29 Box
146 Etano 70% cairan 29 Botol
147 Rivanol 0,1% 20.2 Botol
148 Urine Bag standard steril 2L.t (T valve) 26.1 Buah
149 Lisol 18.4 Botol
150 Povidon iodion lar 10% 18.8 Botol/300ml
151 Fixomull stretch 15 cm x 5 m 14.2 Roll
152 Pembalut elastis UK. 10cm x 4,55 m 27.1 Roll
153 Hasndscrub 500 cc 27.1 Botol
154 Kasa pembalut hydrohil 4m x 15 cm 27.1 Roll
155 Aesculap blades /carbon steel scalpel blades #15 27.1 Box/100pcs
156 Aesculap blades /carbon steel scalpel blades #23 27.1 Box/100pcs
157 Objeck Glss frosted/slide 10.1 Box/72 pcs
158 Lancet steril 32 Box/100pcs
159 Strip gula darah nesco 14.1 Botol
160 Strip kolesterol nesco 10.1 Botol
161 Pot Sputum 14.1 Botol
162 Aplicators 6.2.2 Set
163 Bonding 6.2.2 Set
164 Caviton 29 Set
165 Cresopate (Filling of root canals) 29 Set
166 Devitalisasi Pasta Non Arsen 9 Set
167 ETSA 14.2 Set
168 Glass lonomer cemet ART 27.2 Set
169 Kalsium hidroksida pasta 29 Tube
170 Klorfenol kamfer menthol (CHKM) 13.1 Botol
171 LC (Light Curig ) A2-A3 13.1 Set
172 Semen Seng Fosfat serbuk dan cairan Set
173 Trichloro Formalin (TKF) Set
174 RDT Malaria Box/25pcs

175 Tabung EDTA ktk/100 pcs
176 Vacu Needle transparant 22GX1 1/4 ktk/100 pcs
177 Rapid Test HIV Ktk/25 pcs
178 Antasida sirup btl
179 Nistatin tab Ktk
180 Vitamin B12 tab Btl
181 Oksi salep kulit Tube
182 Strip asam urat ktk
183 tablet tambah darah (FE) ktk
184 iodium tes ktk
185 Tiamin (Vit.B1) inj 100mg/ml Ampul
186 Dektran larutan infus 70% btl
187 Asam tranekamat tab 500 mg ktk/100tab
188 Vikt k tab ktk/100tab
189 Ambroxol tablet 30 mg ktk/100 tablet
190 Kloramfenikol tts telinga 1% Botol
191 Etilkrorida spray botol 100 ml
192 kasa kompres 16x16 steril(isi 16lbr) ktk
193 Loratadin tab 10mg ktk/100tab
194 Gloves surgical Non Steril M ktk/100pcs
195 Gloves surgical Non Steril l ktk/100pcs
196 Strip gula darah nesco Botol
197 Strip kolesterol nesco Botol
198 Strip asam urat botol
199 Ergotamin b0tol/100tab
200 Tiamin (Vit.B1) inj 10mg/ml Ampul
201 Glukosa Larutan Infus 5% steril Botol
202 NaCL 0,9 % Botol
203 Retinol (vitamin A)Kaps lunak 100.000UI Btl/50kap
204 Tabung EDTA ktk/100pcs
205 Vacu Needle transparant 22GX1 1/4 ktk/100pcs
206 Surgical powder free glove size 7.0 pasang
207 Surgical powder free glove size 7.5 pasang
208 Alupurinol tab 100mg box
209 Asam assetilsalisilat(aspilet) Bok
210 Infusion set dewasa pcs
211 Syringe 1cc tuberculin 27Gx3/4 Bok/ 100pcs
212 Vitamin B12 tab btl 250 tb
213 Oksi salep kulit Tube
214 Bisakodil Suppositoria 5 mg bok
215 Dexametason inj bok
216 Glimepired tablet 2mg bok
217 Haloperidol tab 0,5 mg bok
218 Haloperidol tab 2 mg bok
219 Haloperidol 5 mg bok
220 Klopidogrel tab 75 mg bok 3stip
221 Klorpromazin tab 25 mg bok

222 metoklopramid tab 10 mg bok
223 Povidon iodin larutan 10% btl 60 ml
224 Salbutamol tab 4mg bok
225 Cefadroxil sirup bok
226 Albendasol tab 400 mg bok/100tb
227 Biocombin inj
228 Diasepam inj bok
229 Natriun Metamizole inj bok
230 Vagistin Suppositoria bok 10 sup
231 Catgut Chromic 2/0 + jarum 1/2 GT 35 mm Box/12 pcs
232 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm Box/12 pcs
233 Catgut Plain 2/0 + jarum 1/2 GT 35 mm Box/12 pcs
234 Catgut Plain 3/0 + jarum 1/2 GT 35 mm Box/12 pcs
235 Silk 2/0 + jarum1/2 GT 35 mm Box/12 pcs
236 Silk /0 + jarum1/2 GT 35 mm Box/12 pcs
237 Steracath I.V Catheter no 18 G X 32 mm Box/50 pcs
238 Steracath I.V Catheter no 20 G X 11/4 Box/50pcs
239 Cathy IV. Cannula 22 G Box/100pcs
240 Streracath IV. Catheter no 22 G x1 Box/50 pcs
241 Cathy IV. Cannula 24 G Box/100pcs
242 Sreracath I.V Catheter 24 G x 3/4 Box/5o pcs
243 Syringe disposable 3cc x 23 G x 1 1/4 Box/100pcs
244 Syringe Disposable 5cc x 22 G x 1 1/2 Box/100pcs
245 Onemed Marsk 3 ply Ear Loop Box/50pcs
246 Folley Chatheter 2 way no 18 pcs
247 Onemed kapas pembalut /Absorben 250 gram bks
248 Onemed kapas pembalut /Absorben 500 gram bks
249 Kasa Hidrofil 40 x80 Roll
250 Etano 70% cairan 1000 Ml Botol 1000 ml
251 Onescrub 500 cc + dispenser Botol 500 Ml
252 Onemed Kasa Pembalut Hydrofil 4 m x 15 cm Roll
253 Abate Pack/1000 gr
254 Iodium tes Botol 10 ml
255 RDT DBD Box/20 pcs
256 RDT MALARIA Box/20 pcs
257 Gloves sugical Sterile Gynaecolog no 7,0 pasang
258 Glaves sugical Sterile Gynaecolog no 7,5 pasang
259 Test kehamilan Box/50 pcs
260 Doksisiklin kapsul 100 mg Box,10 strip
261 Dektran larutan infus 70% botol
262 Strip asam urat btl/25strp
263 FE(kombinasi tablet salut:Besi(ll)sulfat7H20200mg+asam folat0,25mg ktk/ 100tab

264 Glass lonomer cemet ART set/btl
265 Caviton set
266 Aplicators set
267 Nurse cap bok/50 pcs
268 urgical mask earloop dus/50pcs
1 Air untuk injeksi 25 ml ampul 25 ml
2 Akarbose tab 50 mg dus/100tab

3 Albendazol tab 400mg dus/30tab
4 Alopurinol 100mg dus/100tab
5 Aminopilin inj 24mg/ml dus/24amp
6 Amoksisilin tab 500mg dus/100tab
7 Anastetik lokal gigi kombinasi : lidokain hcl 2%+epineprin 1:80000 inj 2ml dus/30 amp
8 Asam traneksamat inj 100ml dus/10 amp
9 Attapugit tab650 mg dus/100tab
10 Atropin inj 0,25mg/ml(i.m./i.v/s.k) dus/ 100amp
11 Betametason krim 0,1% Tube 5gram
12 Bisakodil supositoria 5mg dus/6sup
13 Bisakodil supositoria 10mg dus/50sup
14 Deksametason inj 5mg/ml(i.v/i.m) dus/100amp
15 Deksametason tab 0,5 dus/100tab
16 Difenhidramin inj10mg/ml dus/30amp
17 Digoksin tab 0,25mg dus/100tab
18 Doksisiklin kap100mg dus/100
19 Domperidon suspensi 5mg/5ml botol 60ml
20 Domperidon tab dus/100tab
21 Eritromisin tab 500mg dus/ 100tab
22 Epineprin inj ktk/100Amp
23 fitomenadion (vitamin K 1)inj 2mg/ml dus/ 30amp
24 Furosemid Ktk/100tab
25 Glimepirid tab 1mg dus/50 tab
26 Glukosa larutan infus 5% seteril 500ml botol 500ml
27 Grisofulvin tab 125mg dus/100tab
28 Hidroklortiazid tab 25mg dus/100tab
29 Hidrokortison krim 2,5% tube 5 gram
30 Hyocine n- butilbromida tab 10mg Ktk/100kps
31 Isosorbid Dinitrat tab 5mg dus/100tab
32 Kalsium glukonat inj i.v 10% dus/24 amp
33 Katopril tab skored 5mg dus/100tab
34 Ketokonasol krim 2% tube 10gr
35 Kloramfenikol suspensi 125mg/ml botol 60ml
Kotrimoksasol (dewasa)Kombinasi tiap 5ml suspensi sulfametoksasol 200mg+trimetoprin
36 40mg botol 60ml
37 Loratadin 10mg Ktk/100tab
38 Metformin tab 500mg ktk/100yab
39 Metilergometrin inj 0,2mg/ml dus/100amp
40 Metilprednisolon tab 4mg dus/100tab
41 Nifedipinkap 10 mg ktk/100tab
42 Oksitosin inj10UI mg Ampul/100amp
43 Omeprazol injeksi 40mg/10ml dus 10 vial
44 Permetrin krim 5% tube 10gr
45 Pirantel pamoat tablet 125mg dus/100tab
46 Pirantel pamoat suspensi125mg/5ml botol 60ml
47 Piridoksi vit B6 tab 10mg dus/100tab
48 Propanolol tab 10mg dus/100tab
49 Rnitidin tablet 150mg dus/100tab
50 Salbutamol tablet 4mg dus/100tab
51 Setirizin sirup 5 mg/5 ml botol 60ml
52 Sianokobalamin (vit b12) inj 500 mcg dus/100amp
53 Siprofloksasin tab scored 500mg dus/100tab
54 Tiamin (vit b1) tab 50mg ktk 100 tb
55 Vitamin b complek ktk/100tb
56 Zinc tab dispersible 20mg dus/100tab
57 Zinc sir 20mg/5ml botol 60 ml
58 Ambroxol tab 30 mg dus/100tab
59 Aminopilin tab 200mg dus/100tab
Antihemoroid,kombinasi;bismutsubgalat 150mg heksaklorofen 2,5mg lidokain
60 10mgsengoksida120mgsup ad 2g dus 10 sup
61 Antimigrain kombinasi ergotamin 1mg kafein 50mg tab botol 100tab
62 Asam traneksamat tab 500mg dus/100tab
63 Asiklovir krim 5% Tube 5gram
64 Etil klorida semprot 100ml botol 100ml
65 Gentianviolet larutan1 % botol 1ml
66 Glibenklamid tab 5mg dus/100tab
67 Gliseril guaikolat tab 100mg dus/100tab
68 Kloramfenikol tetes mata 0,5% botol 10ml
69 Kloramfenikol tetes telinga1% botol 10ml
70 Novapiron(kombinasi :Analgetik+multivitamin tab) dus/100tab
71 Novadiar sirup (kombinasi kaolin986mg+pektin 40mg sirup) botol 60ml
72 Antalgin tab(Metampiron tab)
Multivitamin anak sirup:vitamin B 1 1mg,Vitamin b12 1,2 mg,vitamin B6 1,4mg,vit B12
dus/100tab
73 1,4 mg,D-phantothenol 5mg,niacimamide13mg,vit c 45mg,beta carotene 4,2mg,vit d
10mg
botol 60ml
74 Novabin kap dus/100tab
Obat batuk sirup anak pct 130mgdexchlorpheniramine maleate 1mgthiocol
75 20mg,sorbitol sirup with chocolate flavour q.c botol 60ml
76 Obat batuk hitam (obh) sirup Botol 100ml
77 Oksitetrasiklin Hcl salep kulit 3% Tube 5gram
78 papaverin tab 40mg dus/100tab
79 burnasin(perak sulpadiasin)krim 1% tube 35gram
80 Piroksikam tab 10mg dus/100tab
81 Ptu tab 100mg dus/100tab
82 Sianokobolamin(vit B12 tab) botol/100tab
83 Tetrasiklin kap 500mg dus/100kap
84 Garam oralit dus/100sachet
85 CTM(klorfeniramin tab) dus/200tab
86 Strip kolesterol Nesco bt
87 Blood Lancet ktk/100pcs
88 Surgical mask earloop Ktk/50 pcs
89 Kasa hidropil 16x16 bok/16pcs
90 Dispo 1 Ktk/100pcs
91 Lisol btl 1000ml
92 Nasal oxsigen dewasa pcs
93 Nasal oxsigen Anak pcs
94 Nasal oxsigen bayi pcs
95 Catgut plain 2/0 + jarum 1/2 GT 35 mm Dus/24pcs
96 Catgut plain 3/0 + jarum 1/2 GT 35 mm Dus/24pcs
97 Catgut chromic 2/0+jarum 1/2 GT 35 mm Dus/24pcs
98 Catgut Chromic 3/0+jarum 1/2 GT 35 mm Dus/24pcs
99 Slik 2/0+jarum1/2 GT 35 mm Dus/36 pcs
100 Slik 3/0+jarum1/2 GT 35 mm Dus/36 pcs
101 Alkohol Swab Dus/100pcs
102 Surgical powder free glove size 7.0 Pack/Pasang
103 Surgical powder free glove size 7.5 Pack/Pasang
104 Gloves surgical Non Steril M Dus/100pcs
105 Gloves surgical Non Steril L Dus/100pcs
106 Infus Set Dewasa (Tipe Y) pcs
107 Kasa Hydrophil Supergrade 40mx80cm (kasa gulumg) Roll
108 Uniflex 15 cm x 4,5 m Roll
109 Syringe Disposable 3cc Dus,100pcs/1cc
112 Urin Bag Steril 2 Liter Buah
113 Plester roll Kain 7,5 cm x4,5 m Roll
114 Steracath IV Catheter 18Gx1 1/4 pcs
118 Plesterin Non Woven Roll 15 cmx5m Roll
119 Handscrub 500cc+dispenser btl 500ml
120 Rivanol 0,1% Btl 300 ml
121 Etanol 70% Cairan btl 1000ml
122 Providone Lodine 300 ml Btl 300 ml
123 Kapas Pembalut 250 gram Bungkus/Roll
124 Umbilical Cord Klem Steril Nylon Dus/50 pcs
125 Objeck Glass Frosted Dus/72 pcs
126 Aesculap Blades/Carbon Steel Scalpel Blades#15 Dus/100pcs
127 Aesculap Blades/Carbon Steel Scalpel Blades#23 Dus/100pcs
128 RDT Malaria Dus/25pcs
129 Pot Sputum Buah
130 Strip Gula Darah Nesco Btl/25strip
131 Infuset Anak pcs
132 Antasida Tab ktk/100tab
133 Antasida suspensi btl 60ml
134 Sinvastatin ktk/30tab
135 vit C ktk/100tab
136 Nistatin tab ktk/100tab
137 Omeprazol ktk/30tab
1 Anti migren +cafein
Antihemoroid,kombinasi:bismut subgalat 150 mg+heksaklorofen 2,5mg +lidokain
2 lidokain 10mg+seng oksida 120 mg+sup ad 2g
3 Asam mefenamat kaplet 500 mg
4 Asam askorbit (vitamin C) kaplet 50 mg
5 Antasida Suspensi
6 antasida tab
7 Amlodipin tablet 5 mg
8 Amlodipin tablet 10 mg
9 Amoksisilin sir kering 125 mg/ml
10 Ranitidin inj 25 mg/ml
11 Betafort syrup
12 Gliseril Guaiakolat 100 mg tablet
13 Lipron B Plek
14 Novabion kapsul
15 Novadiar syrup
16 Noza tablet
17 Novapyron tab
18 Omeprasol kaps 20 mg
19 Siprofloksasin tab scored 500mg
20 Donperidon suspensi/5mg ml
21 Salbutamol tab 4mg
22 Dulcolak supp 5 mg bisacodyl
23 Dulcolak supp 10 mg bisacodyl
24 Metformin tab 500mg
25 Deksametason tab 0,5 mg
26 Glimepirid tab 1 mg
27 Ibuprofen tab 400 mg
28 Loperamid tab 2 mg
29 Metil prednisolon
30 Prednisolon
31 Vitamin b complek
32 Kotrimoksasol dewasa tab
33 Parasetamol tab 500mg
34 Sinvastatin tab
35 Ambroxol tab 10 mg
36 Amoksisilin tab 500mg
37 Betametason krim 0,1%
38 Gentamisin 1mg krim
39 Skopma kombinasi:hyosine N-buthyl Bromida
40 Ketorolac inj 10 mg
41 Sefadroksil kapsul 500mg
42 Sefadroksil kiring 125 mg/5ml
43 Sefriaxone 1 gr serbuk inj
44 Glimepirid tab 2 mg
45 lidokain inj
46 Ranitidin Tab 150 lnj

47 Sefotaxim inj1 gr
48 Epinefrin inj
49 Ondansentron inj 2 mg/ml
50 Oksitosin inj 10UI/ml
51 Furosemid tab
52 CTm (klorfeniramina Maleat tab 4 mg)
53 IV Cnnula without injection (18)
54 iV Cnnula without injection (20)
55 IV Cannula without injection(22)
56 iV Cannula without injection(24)
57 Leukoplast 7,5 cmx4,5m
58 Catgut Chromic 2/0+jarum 1/2GT 35mm
59 Catgut Chromic 3/0+jarum 1/2GT 35mm
60 Catgut Plain 2/0+Jarum 1/2GT 35mm
61 Catgut aplain 3/0+Jarum 1/2 Gt 35 mm
62 Silk 2/0+jarum 1/2 GT 35 mm
63 Silk 3/0+jarum 1/2 GT 35 mm
64 Strera Syringe 1cc
65 Stera Syringe 3cc
66 Surgica Mask Plus 3ply plus earloop
67 Glove non steril S
68 Glove non steril m
69 Glove Surgical no 7.0
70 Glove Surgical no 7.5
71 Infuset dewasa
72 Kapas pembalut/Absorben 250 gram
73 Kasa hydrophil 16 x 16 cm
74 Alkohol Swab
75 Etanol 70%Cairan 1000ml
76 Rivanol 0,1%
77 penjepit tl pstUmbilical Cord klem seteril nilon
78 Povidon iodin lar 10%
79 Hascrub 500 cc /one scrubb
80 Tes kehamilan
81 Aseptik gel
82 glove non Steril l
83 Nasal Oksigen bayi
84 Oksigen Masker anak
85 Oksegen Masker Dewasa
86 Masker one med tali ti on
87 Masker one med Kait
88 Sarung tangan panjang
89 Strip gula darah nesco
90 Strip kolestrol nesco
91 Strip asam urat nesco
92 Kertas puyer
93 Kertas puyer pres
94 plastik klip sedang (6x10 cm)
95 Plastik klip sedang (5x8 cm)
UMUM
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR
Mengetahui
Kepala Puskesmas Mepanga
Ketut Cita, A.Md.Kep.

NIP : 19730615 199403 1 009
APORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )
: PARIGI MOUTONG BULAN : Desember/Droping propins

: SULAWESI TENGAH TAHUN : 2017
STOK PENERI- PERSE- PEMA- SISA STOK PERMIN- PEMBERIAAN
AWAL MAAN DIAAN KAIAN STOK OPT. TAAN INPRES ASKES
4 5 6=(4+5) 7=(6-8) 8 9 10 11 12
-
-
-
- - - -
150 150 - 150
- - - -
2 2 - 2
171 171 171 -
4 4 - 4
- - -
- - - -
4 4 - 4
200 200 - 200
10 10 - 10
300 300 95 205
- - - -
- - - -
7 7 - 7
8 8 - 8
80 80 5 75
8 8 8 -
- - - -
10 10 10 -
90 90 - 90
143 143 - 143
- -
220 220 - 220
142 142 - 142
330 330 - 330
680 680 - 680
- - - -
640 640 - 640
- - - -
132 132 36 96
- -
- -
- -
- -
- -
- -
0 - -
- -
- 0 - - -
- -
1,550 1,550 100 1,450
170 170 - 170
222 222 18 204
- -
9,700 9,700 100 9,600
109 109 - 109
- -
294 294 - 294
72 72 - 72
40 40 34 6
1 1 - 1
1 1 - 1
- - - -
50 50 - 50
- -
505 96 409
1,000 1,000 - 1,000
240 240 25 215
405 405 70 335
1,100 1,100 750 350
370 370 - 370
1,670 1,670 300 1,370
7 7 7 -
- - - -
6 6 6 -
- -
465 465 5 460
27 27 - 27
- - - -
- -
151 0 151 - 151
- -
0 - -
700 700 100 600
504 504 5 499
- -
200 200 200 -
97 97 25 72
112 112 20 92
- -
- -
- -
168 168 90 78
- -
- -
0 -
0 -
0 -
- -
192 192 52 140
3,860 0 3,860 200 3,660
- -
- -
- -
120 0 - 120
- -
- -
- -
- -
- -
1,400 1,400 - 1,400
- -
- -
- -
- -
- -
50 50 50 -
- -
- -
- -
- -
- -
- -
300 300 - 300
- -
59 0 59 - 59
15,100 15,100 1,400 13,700
- -
- - - -
- -
- -
2,900 2,900 650 2,250
- - - -
- -
- -
208 208 208 -
- - - -
- - - -
- -
1,155 1,155 25 1,130
0 - -
- - - -
3,000 3,000 - 3,000
- - - -
- -
- -
900 900 - 900
- -
- -
0 - -
- -
0 - -
- -
- -
191 191 - 191
100 100 - 100
- -
- -
- -
383 383 26 357
6 6 4 2
- -
- -
13 13 - 13
9 9 - 9
150 150 - 150
8 8 - 8
- -
4,200 4,200 4,200 -
110 110 - 110
1 1 - 1
- - - -
- -
0 - -
- -
0 -
- - - -
47 47 10 37
- -
92 -
- -
46 46 - 46
- -
500 500 - 500
2475 2475 - 2475
0 0 - 0
0 0 - 0
525 275 - 525
0 20 0
- -
- -
- -
- -
-
-
- -
- -
- -
-
-
-
-
- -
0 -
-
0 -
-
-
-
1 1
-
-
- - -
2 2 2 -
- -
- - - -
80 80 - 80
130 130 - 130
75 75 15 60
- - - -
- - - -
- - - -
- -
- - - -
- - - -
- -
- -
- -
- -
- -
- -
- -
- -
10 10 - 10
- -
- - 0 -
- -
150 150 50 100

750 750 50 700
- - - -
- -
- -
- -
- -
- -
- - - -
- - - -
- -
253 253 - 253

- -
15 0 15 - 15
- -
0 - -
- -
- -
- -
220 220 - 220
- -
- -
- -
77 77 17 60
39 39 19 20
- -
20 20 - 20
- -
3 3 - 3
- -
- -
- -
5 5 - 5
- -
- -
700 700 - 700
- -
- -
- -
- -
- -
- -
17 17 17 -
- -
- -
- -
- -
0 - -
- - - -
0 - -
- -
- -
- - - -
10 10 3 7
- -
- - - -
- -
- - - -
6 6 1 5
50 50 - 50
50 50 - 50
50 50 - 50
- - - -
- - - -
- -
- -
- - - -
0 - -
- -
- -
- -
1,100 1,100 - 1,100
- - - -
- -
485 485 - 485

- - - -
- - - -
- - - -
- -
- - - -
- - - -
- - - -
- - - -
- -
1,000 1,000 - 1,000

0 - -
300 300 45 255
5,650 0 5,650 850 4,800

- - - -
950 950 - 950
140 140 - 140
200 200 - 200
- -
- - - -
- - - -
- -
6 6 - 6
2 2 2 -
- -
- -
- -
- - - -
1,350 1,350 250 1,100
300 300 200 100
1100 1100 1,100 0
400 400 - 400
10 10 10 0
0 0 - 0
0 0 - 0
0 0 - 0
1000 1000 - 1000
0 -
100 100 - 100
1150 1150 100 1050
0 0 - 0
0 0 - 0
1000 1000 - 1000
0 0 - 0
0 0 - 0
4850 4850 650 4200
1 1 - 1
25 25 25 0
0 0 - 0
0 - 0
5 5 - 5
1 1 1 0
32 32 20 12
100 - 100
250 250 - 250
120 120 - 120
100 100 - 100
203 83 120
85 85 45 40
101 101 - 101
0 -
7 7 0
0 0 - 0
485 35 450
150 150 150 -
- - - -
- - -
- - - -
4,730 4,730 1,100 3,630
- - - -
60 60 60 0
- - - -
247 247 60 187
- - - -
- - - -
0 0 - 0
0 0 - 0
500 500 - 500
- - - -
- - - -
- -
- -
- - - -
- -
25 25 3 22
0 0 - 0
80 80 - 80
- -
- -
- - - -
- - - -
100 100 60 40
- -
- - - -
9,000 9,000 2,900 6,100
3,000 3,000 650 2,350
- - - -
15,000 15,000 1,000 14,000
- -
- - - -
- -
- -
- 0 - -
- -
2 2 - 2
3 3 1 2
- -
32 32 12 20
- -
1,900 1,900 - 1,900
1,500 1,500 - 1,500
4,830 4,830 400 4,430
2,900 2,900 550 2,350
250 250 - 250
- -
2,050 2,050 1,950 100
20 20 - 20
22 22 - 22
600 600 - 600
4 4 - 4
- - - -
150 150 30 120
263 263 58 205
50 50 3 47
600 600 - 600
- - - -
2,300 2,300 20 2,280
- - - -
14 14 9 5
- -
880 880 - 880
4,900 4,900 350 4,550
432 432 - 432
539 539 302 237
300 300 - 300
500 500 150 350
- - - -
470 470 - 470
- - - -
1,600 1,600 900 700
123 123 - 123
150 1,000 1,150 500 650
500 500 100 400
- - - -
250 250 180 70
60 60 - 60
- - - -
154 154 14 140
57 57 - 57
264 264 2 262
170 170 10 160
24 24 - 24
1,250 1,250 - 1,250
- - - -
1,200 1,200 - 1,200
1,000 1,000 - 1,000
223 223 - 223
1,100 1,100 500 600
1,700 1,700 - 1,700
- - - -
- - - -
2,700 2,700 - 2,700
1,800 1,800 300 1,500
180 180 - 180
27 27 3 24
1,500 1,500 200 1,300
31 31 31 -
- -
500 500 - 500
100 100 - 100
5,200 5,200 - 5,200
2,500 2,500 - 2,500
1,250 1,250 650 600
- -
500 500 - 500
- - - -
- - - -
500 92 - 500
- - - -
2,300 2,300 300 2,000
750 750 250 500
950 950 950 -
35 35 15 20
1,200 1,200 - 1,200
14 14 5 9
33 33 - 33
2,300 2,300 1,150 1,150
600 600 - 600
837 400 1,237 82 755
174 174 4 170
250 250 6 244
10 10 3 7
1,050 1,050 950 100
- -
48 48 - 48
27 27 3 24
40 40 - 40
48 48 - 48
- - - -
4 4 4 -
343 343 - 343
270 270 - 270
- - - -
- - - -
- -
- - - -
396 396 - 396
- -
12 12 2 10
- 0 - -
48 48 - 48
45 45 5 40
- - - -
2 2 2 -
4 4 2 2
3 3 - 3
- - - -
- - - -
500 500 - 500
470 470 - 470
144 144 - 144
- - - -
- - - -
- -
50 50 - 50
- - - -
- - - -
1 1 - 1
- - - -
- -
- - - -
1 1 - 1
1 1 - 1
- -
- - - -
- - - -
- -
- - - -
2 2 - 2
1 1 - 1
- -
- - - -
250 250 - 250
5 5 - 5
4 100 4 -
3 -
- 2500 - -
2 3 - 2
30 -
20 20 - 20
1,000 1000 - 1,000
- 1000 - -
2,000 -
- 30 - -
1 - 5 1 -
- 50 - -
- 1,000 - -
- 2 - -
- 2 - -
- - -
-
- - -
19 - 19
8 8 -
40 - 40
391 70 321
1 - 1
2 - 2
1 - 1
- - -
- - -
200 200 -
500 250 250
560 130 430
- - -
15 15 -
- - -
12 - 12
960 - 960
- - -
200 - 200
200 - 200
200 - 200
- - -
380 380 -
300 - 300
- - -
1,500 - 1,500
300 - 300
300 - 300
- - -
40 - 40
65 - 65
182 - 182
96 - 96
96 - 96
96 - 96
96 - 96
180 30 150
150 10 140
119 40 79
650 270 380
67 - 67 -
650 50 600
38 38 -
450 14 436
2,090 510 1,580
930 160 770
- - -
30 15 15
2 2 -
30 - 30
30 - 30
- - -
2 2 -
250 - 250
10 - 10
45 - 45
1 - 1
2 - 2
- - -
- - -
210 35 175
800 - 800
4 - 4
1 - 1 -
8,694 - 1,094 7,600
1 - - 1
1 - - 1
1 - - 1
1 - 1
4 4 -
240 240 - 240
2,000 2,000 - 2,000
600 600 - 600
3,000 3,000 200 2,800
48 48 - 48
8,450 10,000 2,750 5,700
658 750 188 470
100 100 - 100
1,000 1,000 200 800
190 200 - 190
300 300 - 300
48 48 - 48
50 50 3 47
900 900 - 900
10,000 10,000 - 10,000
270 270 - 270
1,500 1,500 - 1,500
500 500 - 500
60 60 8 52
2,500 2,500 - 2,500
2,300 2,500 - 2,300
85 200 - - 285
300 300 - 300
1,450 250 1,200
2,200 2,500 - 2,200
100 100 - 100
2,000 2,000 - 2,000
1,000 1,000 - 1,000
360 360 - 360
- 1,000 600 400
1,000 1,000 - 1,000
48 48 4 44
7,100 7,400 700 6,400
350 350 - 350
144 150 14 130
350 350 - 350
1,050 1,700 400 650
5,400 4,000 950 4,450
200 200 - 200
1,300 2,000 500 800
2,000 500 - 2,000
296 200 59 237
90 90 5 85
30 30 - 30
800 800 - 800
40 40 - 40
4,000 4,000 - 4,000
1,000 1,000 - 1,000
5,500 5,500 50 5,450
1,500 1,500 - 1,500
60 60 12 48
1,000 1,000 - 1,000
2,000 2,000 - 2,000
2,550 3,000 1,650 900
10,900 10,000 900 10,000
2,500 2,500 - 2,500
50 50 10 40
400 1,000 300 100
1,000 1,000 - 1,000
200 200 - 200
1,200 1,200 - 1,200
900 900 - 900
100 100 5 95
10 10 1 9
50 50 - 50
2,500 2,500 - 2,500
5,000 5,000 - 5,000
30 40 - 30
85 100 - 85
800 800 550 250
300 300 - 300
2,000 2,000 - 2,000
249 100 72 177
1,000 1,000 - 1,000
140 150 10 130
100 100 - 100
150 150 50 100
1,500 1,500 - 1,500
15 15 - 15
2,500 2,500 - 2,500
500 500 - 500
1,000 1,000 - 1,000
1,000 1,000 200 800
1,000 1,000 - 1,000
8,200 9,000 2,000 6,200
3 1 3 -
16 10 2 14
21 25 17 4
- - -
1,070 500 300 770
11 5 1 10
23 15 - 23
23 15 - 23
10 10 - 10
120 120 - 120
120 120 - 120
120 120 - 120
120 120 - 120
144 144 - 144
144 144 - 144
15 15 - 15
400 400 - 400
400 400 - 400
4 8 4 -
8 8 3 5
300 300 - 300
7 7 - 7
15 15 - 15
2,500 2,500 - 2,500
800 800 - 800
200 200 - 200
30 30 - 30
30 30 5 25
100 100 - 100
200 200 - 200
200 200 - 200
100 100 - 100
14 15 - 14
10 10 2 8
50 50 - 50
37 40 7 30
40 40 - 40
20 20 - 20
500 500 - 500
12 12 - 12
500 500 - 500
500 500 - 500
5 5 - 5
50 50 - 50
2 3 2 -
100 - 100
2,000 1,100 900
153 38 115
750 480 270
2,500 1,150 1,350
600 - 600
1,500 390 1,110
2,000 2,000
300 300
27,000 27,000
33,200 33,200
100 100
17,900 17,900
15,000 15,000
8,000 8,000
300 300
500 500
300 300
5,000 5,000
10,000 10,000
10,000 10,000
150 150
1,000 1,000
5,000 5,000
12,000 12,000
8,000 8,000
300 300
5,000 5,000
300 300
150 150
8,500 8,500
40,000 40,000
3,000 3,000
2,000 2,000
500 500
2,000 2,000
15,000 15,000
35,000 35,000
10,000 10,000
35,100 35,100
15,000 15,000
14,200 14,200
9,800 9,800
43 43
264 264
2,000 2,000
500 500
2,000 2,000
200 200
200 200
5,000 5,000
1,200 1,200
28,000 28,000
100 100
200 200
500 500
800 800
2,500 2,500
40,000 40,000
300 300
300 300
300 300
200 200
100 100
120 120
240 240
240 240
240 240
180 180
180 180
4,300 4,300
5,000 5,000
150 150
5 5
10 10
300 300
300 300
500 500
200 200
300 300
10 10
20 20
18 18
200 200
12 12
20 20
300 300
30 30
8 8
15 15
20 20
20 20
30 30
30 30
100 100
18 18
30 30
18 18
1 1
4 4
25 25
8 8
UMUM
ASKES JUMLAH
TIDAK BAYAR
Sumber Agung ,Desember 2017

Petugas
Ni Ketut Suriati, A.Md.Far

NIP/NRPTT : 19790320 201001 2 001
ber/Droping propinsi
PEMBERIAAN KET
APBD LAIN JML
13 14 15 16
ember 2017
320 201001 2 001

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA
( LPLPO )
KODE PUSKESMAS :
PUSKESMAS : MEPANGA KAB/KODYA : PARIGI MOUTONG
KECAMATAN : MEPANGA PROPINSI : SULAWESI TENGAH
KODE NAMA OBAT KELAS SATU- STOK PENERI- PERSE-
TERAPI AN AWAL MAAN DIAAN
1 2 3 4 5 6=(4+5)
1 Abate Pack/1000 gr 10
2 Abbocath (IV Catheter) no 20 G setara B'Braun 18.2 ktk / 50 pcs - -
3 Abbocath (IV Catheter) no 24 G setara B'Braun 25.3 ktk / 50 pcs -
4 Abocat 20 18.2 pcs -
5 Abocat 22 25.3 pcs 0 -
6 Abocat 22 18.3 ktk/50pcs -
7 Abocat 24 18.3 pcs -
8 Aesculap blades /carbon steel scalpel blades #15 27.1 Box/100pcs 500 500
9 Aesculap blades /carbon steel scalpel blades #23 27.1 Box/100pcs 470 470
10 Aesculap Blades/Carbon Steel Scalpel Blades#15 Dus/100pcs 500 500
11 Aesculap Blades/Carbon Steel Scalpel Blades#23 Dus/100pcs 500 500
12 Air untuk injeksi 25 ml ampul 25 ml 240 240
13 Air untuk injeksi amp 25 ml 32 Ampul 154 154

14 Air untuk irigasi lar inf 1000 ml 5 Botol 57 57
15 Akarbose tab 50 mg 6.2.4 ktk/100tab 2,900 2,900
16 Akarbose tab 50 mg dus/100tab 2,000 2,000
Akohol swab 29 Box 12 12
1 Alat suntik sekali pakai 1 ml 32 100/ktk 0 -
2 Alat Suntik Sekali pakai 10 ml 32 ktk 191 191
3 alat suntik sekali pakai 1ml 26.2 100set/ktk -
4 Alat suntik sekali pakai 3 ml 32 100 set / kotak -
5 Alat suntik sekali pakai 3 ml 7.2 100 set / kotak - -
6 Alat suntik sekali pakai 5 ml 32 100set/ktk -
7 Albendasol tab 400 mg bok/100tb 300
8 Albendazol tab 400mg dus/30tab 600 600
9 Alkohol 70% 1 liter pcs 1 1

10 Alkohol Swab Dus/100pcs 15 15
1 Alkohol Swab 10
2 Allupurinol 14.1 box 1,350 1,350

3 Alopurinol 100mg dus/100tab 3,000 3,000
4 Alopurinol tablet 100 mg 25.4 ktk/100 tab -

5 Alopurinol tablet 100 mg 14.1 Box 10 strip -
6 Alopurinol tablet 100 mg 14.1 Box 10 strip 1,100 1,100
7 Alprazolam tablet 0,5 mg 6.2.1 tablet -
8 Alprazolam tablet 0,5 mg 21.2.4 tablet 168 168
9 Alupurinol tab 100mg box 200
10 Amblodipin 10 mg 32 box 300 300

11 Ambroxol sirup 16.4 -
12 Ambroxol tab 10 mg 14,200
13 Ambroxol tab 30 mg dus/100tab 400 1,000
14 Ambroxol tablet 30 mg 1.2 ktk/100 tablet 0 0

15 Ambroxol tablet 30 mg ktk/100 tablet 2,000
16 Aminofililin inj 24 mg /ml 32 Dus 30 amp -

17 Aminofililin tablet scored 200 mg 32 Btl @ 100tablet 700 700
18 Aminofilin inj 24 mg/ml 26.2 Ampul 180 180
19 Aminofilin tab 200 mg 16.1.1 Botol 1,800 1,800
20 aminopilin inj 6.4.2.2 btl 110 110
21 Aminopilin inj 24mg/ml dus/24amp 48 48
22 aminopilin tab 6.2.2 btl 4,200 4,200

23 Aminopilin tab 200mg dus/100tab 1,000 1,000
24 Amitriptilin tab salut 25 mg (HCL) 13.2 ktk/100tab 1,500 1,500

25 Amitriptilin tab salut 25mg(HCL) 14.1 ktk/100tb 2475 2475
26 Amlodipin tab 10 mg 13.2 ktkl/30tab 4,830 4,830
27 Amlodipin tablet 10 mg 1.2 Bok - -
28 Amlodipin tablet 10 mg 8,000
29 Amlodipin tablet 5 mg 32 Box 100 tab - -

30 Amlodipin tablet 5 mg 6.1.1 ktk/30 tablet 4,730 4,730
31 Amlodipin tablet 5 mg 15,000
32 Amoksisilin sir kering 125 mg/ml 300
33 Amoksisilin tab 500mg dus/100tab 8,450 10,000
34 Amoksisilin tab 500mg 9,800
1 Amoksisilin tablet scored 500 mg 6.2.1 tablet -

2 Amoksisilin tablet scored 500 mg 1.2 tablet - -
3 Amoksisillin kaplet 500 mg 32 ktk 100 tablet -
4 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 botol -
5 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 botol 247 247
6 Amoxicillin 500mg 18.2 btl 0 0
7 Anastetik lokal gigi kombinasi : lidokain hcl 2%+epineprin 1:80000 inj 2ml dus/30 amp 658 750
8 Antalgin tab(Metampiron tab) dus/100tab 2,000 2,000

Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 mg + Magnesium
9 Hidroksida 200 mg 6.2.1 ktk/100 tablet 0 0
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 mg/5ml + Magnesium
10 Hidroksida 200 mg/5 ml 16.4 Btl 60 ml -
11 Antasida sirup 14.1 ktk -
12 Antasida sirup btl - -
13 Antasida suspensi btl 60ml 153
14 Antasida Suspensi 100
15 Antasida Tab ktk/100tab 2,000
16 antasida tab 17,900
17 Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksin 10.000 UI/g 32 pot 142 142
18 Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksin 10.000 UI/g 32 pot 240 240
19 Anti fungi doen 26.1 btl 10 10
20 Anti migran 26.2 btl -
21 Anti migren +cafein 2,000
22 anti rabies verorab bok - -

23 Antifungi DONE salep,kombinasi : Asam Benzoat 6% Asam Salisilat 3% 32 Pot 264 264
24 Antihemoroid 31 Supp 80 80
Antihemoroid,kombinasi:bismut subgalat 150 mg+heksaklorofen 2,5mg +lidokain
25 lidokain 10mg+seng oksida 120 mg+sup ad 2g 300
Antihemoroid,kombinasi;bismutsubgalat 150mg heksaklorofen 2,5mg lidokain
26 10mgsengoksida120mgsup ad 2g dus 10 sup 200 200
27 Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500 mg 1.2 tablet 640 640
28 Antimigrain kombinasi ergotamin 1mg kafein 50mg tab botol 100tab 1,200 1,200
29 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 25.3 tablet 0 -

30 Aplicators 6.2.2 Set - -
31 Aplicators set 1 -
32 Aqua Pro Injeksi Steril, bebas pirogen 6.2.1 10 vial @20 ml/kotak -
33 Asam askorbat (vitamin C) tablet 50 mg 32 tablet - -
34 Asam askorbit (vitamin C) kaplet 50 mg 33,200
35 Asam assetilsalisilat(aspilet) Bok 500
36 Asam folat tab 1 mg 6.2.2 Botol 27 27

37 Asam mefenamat 32 b0k 1100 1100
38 Asam mefenamat kaplet 500 mg 26.1 Bok - -
39 Asam mefenamat kaplet 500 mg 27,000
40 Asam Mefenamat kapsul/kaplet 500 mg 6.2.4 tablet -

41 Asam Mefenamat kapsul/kaplet 500 mg 6.2.1 tablet - -
42 Asam tranekamat tab 500 mg 6.2.2 ktk/100tab 1,500 1,500
43 Asam tranekamat tab 500 mg ktk/100tab 1,000 1000
44 Asam traneksamat inj 100mg/ml 32 Ampul 170 170
45 Asam traneksamat inj 100ml dus/10 amp 100 100
46 Asam traneksamat tab 500mg dus/100tab 900 900
47 Asam tranex samat in 1.2 ktk / 10amp 253 253

48 Aseptik gel 1.2 btl -
49 Aseptik gel 30
50 Asiklovir krim 5 % 14.1 tube 5 gram -

51 Asiklovir krim 5 % 5 tube 5 gram -
52 Asiklovir krim 5% 6.2.2 Tube 31 31
53 Asiklovir krim 5% Tube 5gram 100 100
54 Asiklovir tab 400 mg 13.2 ktk/50tab 250 250

55 Asiklovir tablet/kapsul/kaplet 400 mg 18.3 tablet 700 700
56 Atropin inj 0,25mg/ml(i.m./i.v/s.k) dus/ 100amp 190 200
57 Attapugit tab650 mg dus/100tab 1,000 1,000
58 aukohol swab 32 ktk -

59 B 12 inj ktk/100 505
60 B1 inj ktk 0 20
61 B12 inj ktk 525 275
62 b12 tab 6.2.2 ktk -
63 Bedak salisil serb 2% 14.1 ktk 20 20
64 Bedak salisil serbuk 2 % 25.1 pot 151 0 151
65 Benedon inj 16.4 vial/10amp -
66 benedon inj kombinasi 32 amp 0
67 Betafort syrup 300
68 Betametason 0,1% kream 6.2.1 tube 100 100

69 Betametason krim 0,1% Tube 5gram 300 300
70 Betametason krim 0,1% 43
71 Biocombin inj -
72 Bisakodil supositoria 10mg dus/50sup 50 50
73 Bisakodil supositoria 5mg dus/6sup 48 48
74 Bisakodil Suppositoria 5 mg bok 12
75 Bisoprolol tab 5 mg 13.2 ktk/100tab -

76 Bisoprolol tablet 5 mg 13.2 tablet -
77 Bisturi Semua Nomor 29 Ktk 100 -
78 Blood Lancet ktk/100pcs 16 10
79 BMHP (Bahan Medis Habis Pakai) 22.1 -

80 Bonding 6.2.2 Set - -
81 Brondisal 2mg 32 Dus 10 strip 750 750
82 Brondisal 2mg 9 ktk - -
83 Brondisal 4mg 32 Dus 10 strip - -
84 burnasin Perak Sulfadiazin krim 1% 6.4.2.2 amp 1 1
85 burnasin(perak sulpadiasin)krim 1% tube 35gram 15 15
86 Calcii Gluconas injek 14.1 ktk / 24 Ampul - -

87 calsium laktat 3 -
88 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 32 kotak / 24 pcs 80 80
89 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 21.2.4 kotak / 24 pcs 72 72
90 Catgut aplain 3/0+Jarum 1/2 Gt 35 mm 240
91 Catgut Chromic 2/0 + jarum 1/2 GT 35 mm Box/12 pcs 96

92 Catgut chromic 2/0+jarum 1/2 GT 35 mm Dus/24pcs 120 120
93 Catgut Chromic 2/0+jarum 1/2GT 35mm 120
94 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm Box/12 pcs 96
95 Catgut Chromic 3/0+jarum 1/2 GT 35 mm Dus/24pcs 120 120
96 Catgut Chromic 3/0+jarum 1/2GT 35mm 240
97 Catgut chromin 2-0,75 cm round bodied 1/2 circle,25mm 1.2 Box 27 27

98 Catgut chromin 3-0,75 cm round bodied 1/2 circle ,26mm 1.2 Box 48 48
99 Catgut Plain 2/0 + jarum 1/2 GT 35 mm Box/12 pcs 96
100 Catgut plain 2/0 + jarum 1/2 GT 35 mm Dus/24pcs 120 120
101 Catgut Plain 2/0+Jarum 1/2GT 35mm 240
102 Catgut plain 2-0 75 cm round bodied 1/2 circle 25mm 1.2 Box 40 40
103 Catgut Plain 3/0 + jarum 1/2 GT 35 mm Box/12 pcs 96
104 Catgut plain 3/0 + jarum 1/2 GT 35 mm Dus/24pcs 120 120
105 Catgut plain 3-0 75 cm round bodied 1/2 circle 25mm 32 Box 48 48
106 Catgut/Benang Bedah Chromic No. 2/0-3/0 dg jarum 6.2.1 kotak / 24 pcs 40 40
107 Catgut/Benang Bedah Chromic No.2/0-3/0 dg jarum 6.1.1 kotak / 24 pcs 8 8
108 Catheter 2 way FR18 17.3 pcs -
109 Cathy IV. Cannula 22 G Box/100pcs 67 -
110 Cathy IV. Cannula 24 G Box/100pcs 38
111 Cathy IV.Cannula 18G 32 Box/100pcs 343 343

112 Cathy IV.Cannula 20G 16.4 Box/100pcs 270 270
113 Cathy IV.Cannula 22G 6.4.2.2 Box/100pcs - -
114 Cathy IV.Cannula 24G 6.2.1 Box/100pcs - -
115 Caviton 29 Set 1 1
116 Caviton set 1 -
117 Cefad sirup 9 botol/60 ml 39 39

118 Cefadroxil kap 1.2 box 0 0
119 Cefadroxil sirup bok 300
120 Cefatroxil 500mg kap 23.2 Bok -

121 Cepotaksim inj 20.3 dus/10vial 1gr 10 10
122 Ciprofloxacin tab 25.1 b0k 1000 1000
123 Ciprofloxacine 500 mg 5 ktk / 100 tablet -
1 Ciprofloxacine 500mg 3 ktk/100tab 3,000 3,000
2 Ciprofloxasin 500 mg tab 7.2 Bok 950 950
3 Cloramphenikol tetes telinga 32 tube
4 Coparcetin Orange syrup 1.2 Btl 60 ml -

5 Cresopate (Filling of root canals) 29 Set - -
6 CTm (klorfeniramina Maleat tab 4 mg) 40,000
7 CTM(klorfeniramin tab) dus/200tab 8,200 9,000
8 DehidroArtemisin+piperaquin 26.1 Blister/9tab 2 2
9 Deksametason 0,5mg 32 box 400 400

10 Deksametason inj 5mg/ml(i.v/i.m) dus/100amp 900 900
11 Deksametason injeksi i.v./i.m. 5 mg/ml 32 ampul 405 405

12 Deksametason tab 0,5 dus/100tab 10,000 10,000
13 Deksametason tab 0,5 mg 40,000
14 Deksametason tab 0,5mg 32 ktk/100tab
15 Deksametason tab o,5 mg 14.1 ktk/100tab 2,050 2,050

16 Deksametason tablet 0,5 mg 13.2 tablet -
17 Dekstran 70-larutan infus 6% steril 6.2.1 Botol 500 ml -
18 Dektran larutan infus 70% btl 20 20
19 Dektran larutan infus 70% botol 4
20 Devitalisasi Pasta Non Arsen 32 set - -

21 Devitalisasi Pasta Non Arsen 9 Set -
22 Dexametason inj bok 960
23 Dexametason tablet 0,5 mg tab 6.2.1 Bok - -

24 Diasepam inj bok 40
1 Diasepam tab 5mg 23.2 btl/250tb 171 171
2 Diasepm larutan rektal 5 -

3 Diazepam tab 2 mg 6.4.2.2 Botol 500 500
4 Diazepam tablet 2 mg 28.2 ktk / 100 tablet -
5 Difenhidramin inj 10mg/ml (i.v./i.m) 5 Ampul 22 22
6 Difenhidramin inj10mg/ml dus/30amp 270 270
7 Difenhidramin injeksi 10 mg/ml ( HCL ) 32 Ampul 1 ml -

8 Difenhidramin injeksi i.m. 10 mg/ml 6.2.1 ampul -
9 Difenhidramin injeksi i.m. 10 mg/ml 11.2 ampul 192 192
10 Digoksin tab 0,25 mg 5 ktk/100tab 600 600
11 Digoksin tab 0,25mg dus/100tab 1,500 1,500
12 Digoksin tablet 0,25 mg 5 tablet 120 0

13 Dihydroantemisin 40 mg + Piperaquin phosphate 320 mg 32 ktk/9 tab 24 24
14 diltiasem 6.2.1 ktk -
15 Dispo 1 1.2 dus -
16 Dispo 1 Ktk/100pcs 1,070 500
17 dispo 1ml 25.4 ktk -

18 Dispo 3 6.2.1 dus -
19 Dispo 5 14.1 dus -
1 Disposble Syringe 10 cc 17.3 Box/pcs 396 396
2 Disposble Syringe 5 cc 7.1 Box/pcs - -
3 Disposble Syringe 1cc 16.3 Box/100pcs -
1 Doksisiklin kapsul 100 mg 10.2 ktk/100kpp 300 300
1 Doksisiklin kap100mg dus/100 500 500
2 Doksisiklin kapsul 100 mg 6.1.1 Box 10 strip -

3 Doksisiklin kapsul 100 mg Box,10 strip 800
4 Domperidon suspensi 6.2.1 Bok - -

5 Domperidon suspensi 6.1.1 btl 10 10
6 Domperidon suspensi 1.2 btl/60ml -
7 Domperidon suspensi 5mg/5ml botol 60ml 60 60
8 Domperidon Tab 1.2 b0k 0 0

9 Domperidon tab dus/100tab 2,500 2,500
10 Domperidon tablet 10 mg 1.2 Dus 10 strip -

11 Domperidon tablet 10 mg 6.2.1 Bok - -
12 Domperidone tablet 10 mg 3 tablet -
13 Donperidon suspensi/5mg ml 300
14 Dulcolak supp 10 mg bisacodyl 150
15 Dulcolak supp 5 mg bisacodyl 300
16 elastis perban 23.4 Roll 13 13

17 Epedrin tab 18.4 ktk - -
18 Epinefrin (adrenalin) injeksi 1 mg/ml 6.2.1 ampul -
19 Epinefrin inj 200
20 Epineprin inj ktk/100Amp 85 200 -
21 Ergotamin b0tol/100tab 19
22 Eritromisin tab 500mg dus/ 100tab 2,300 2,500
23 Erlamycetin 1 % 20.2 botol 5 ml -

24 Etano 70% cairan 29 Botol - 0
25 Etano 70% cairan 1000 Ml Botol 1000 ml -
26 Etanol 70% 100ml 6.4.2.1 tube 383 383

27 Etanol 70% cairan 17.5 botol1000 ml -
28 Etanol 70% Cairan btl 1000ml 37 40
29 Etanol 70%Cairan 1000ml 20
30 Etil klorida semprot 100ml botol 100ml 10 10
31 Etil Klorida spray 16.4 btl/ktk -

32 Etilkrorida spray 6.4.2.2 botol 100 ml -
33 Etilkrorida spray botol 100 ml 1 - 5
34 ETSA 14.2 Set - -

1 Eugenol cairan 6.2.1 botol 4 4
2 FE(kombinasi tablet salut:Besi(ll)sulfat7H20200mg+asam folat0,25mg ktk/ 100tab 8,694 -
3 Fitomenadion (Vit. K1) injeksi 10 mg/ml 10.2 ampul -

4 Fitomenadion (Vit.K 1) inj i.m 2 mg/ml 28.2 Ampul - -
5 Fitomenadion (vit.K1) tablet salut gula 10 mg 5 tablet -
6 fitomenadion (vitamin K 1)inj 2mg/ml dus/ 30amp 300 300
7 Fixomull stretch 15 cm x 5 m 14.2 Roll 4 4

8 Folley catheter 6.2.1 pcs -
9 Folley Chatheter 2 way no 18 pcs 30
10 Furosemid 21.2.4 tablet - -

11 Furosemid Ktk/100tab 1,450
12 Furosemid tab 2,500
13 Furosemid tablet 40 mg 6.2.1 tablet -

14 Garam oralit 23.2 Dus 100 -
15 Garam oralit dus/100sachet 1,000 1,000
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium klorida 0,30 g
16 Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g 26.2 sachet 3,860 0 3,860
17 Gentamisin 1mg krim 264
18 Gentamycin Salep Kulit 1.2 tube 5 gram -

19 Gentian Violet Larutan 1 % 14 Botol 10 ml 59 0 59
20 Gentian Violet Lrutan 1 % 32 Botol 100 100
21 Gentianviolet larutan1 % botol 1ml 50 50
22 Glass lonomer cemet ART 27.2 Set 1 1

23 Glass lonomer cemet ART set/btl 1 -
24 Glaves sugical Sterile Gynaecolog no 7,5 pasang -
25 Glibenklamid tab 5 mg 32 ktk/100tab 5,200 5,200

26 Glibenklamid tab 5mg dus/100tab 2,500 2,500
27 Glibenklamid tabet 5 mg 32 tablet 1,100 1,100

28 Glimepired tablet 2mg bok -
29 Glimepirid tab 1 mg 3,000
30 Glimepirid tab 1mg dus/50 tab 2,200 2,500
31 Glimepirid tab 2 mg 5,000
32 Gliseril Guaiakolat 100 mg tablet 5,000
33 Gliseril guaikolat tab 100mg dus/100tab 5,000 5,000
34 Gliseril Gualakolat tablet 100 mg 20.1 btl/100tb 15,100 15,100

35 glove non Steril l 8
36 Glove non steril m 10
37 Glove non steril S 5
38 Glove Surgical no 7.0 300
1 Glove Surgical no 7.5 300
2 Gloves sugical Sterile Gynaecolog no 7,0 pasang -
3 Gloves surgical No. 7,0 14.1 50 psg/ktk -

4 Gloves surgical No7.5 5 50psg/ktk -
5 Gloves surgical Non Steril l ktk/100pcs - 2
6 Gloves surgical Non Steril L Dus/100pcs 8 8
7 Gloves surgical Non Steril M ktk/100pcs - 2
8 Gloves surgical Non Steril M Dus/100pcs 4 8
9 Glukosa larutan infus 5 % steril 31 botol 112 112

10 Glukosa larutan infus 5% seteril 500ml botol 500ml 100 100
11 Glukosa Larutan Infus 5% steril 23.4 botol 300 300

12 Glukosa Larutan Infus 5% steril Botol 40
13 Golongan Darah ABO 1.2 Set -

14 Griseofulvin tab 125 mg 32 Ktk/100tab 1,250 1,250
15 Griseofulvin tablet 125 mg 18.2 tablet -
16 Griseril Gualakolat (Guaifenesin) tab 100 mg 32 ktk/100tab 2,500 2,500
17 Grisofulvin tab 125mg dus/100tab 2,000 2,000
18 H2O2,0,3-0,5% 6.2.1 Set @ 100 gram / btl 1 1

19 Haloperidol 5 mg bok 200
20 Haloperidol tab 0,5 mg bok 200
21 Haloperidol tab 1,5 mg 10.2 ktk/100tab 150 150

22 Haloperidol tab 2 mg bok 200
23 Haloperidol tab 2mg 6.2.2 ktk/100tb 500 500

24 Haloperidol tablet 0,5 mg 6.2.1 tablet -
25 Haloperidol tablet 1,5 mg 32 tablet 330 330
26 Haloperidol tablet 2 mg 32 tablet 680 680
27 Haloperidol tablet 5 mg 6.1.1 tablet 370 370
28 Hancoen non steril 5 ktk100pcs - 0
29 Handscrub 500cc+dispenser btl 500ml 10 10
30 Handsrup 500cc(ones crup) pcs 1 1

31 Hascrub 500 cc /one scrubb 20
1 Hasndscrub 500 cc 27.1 Botol - -

2 Hct 3 bok/100tb 1,900 1,900
3 Hidroklorotiazida tablet 25 mg 14.2 ktk / 100 tablet -
4 Hidroklorotiazida tablet 25 mg 1.2 ktk / 100 tablet 500 500
5 Hidroklortiazid tab 25mg dus/100tab 1,000 1,000
6 Hidrokortison krim 2,5 % 10.2 tube 263 263

7 Hidrokortison krim 2,5% 14.1 tube/5gr - -
8 Hidrokortison krim 2,5% tube 5 gram 360 360
9 hidrokortisonsalep kulit 32 -
10 Hyocine n- butilbromida tab 10mg Ktk/100kps - 1,000
11 Hyocine n-butilbromida tab 10 mg 32 ktk/100tab -
12 Hyoscine -N- Butilbromide tablet 10 mg 16.1.1 ktk / 100 tablet -
13 Ibuprofen sir 100 mg/5 ml 14 botol 50 50
14 Ibuprofen tab 400 mg 2,000
15 Ibuprofen tab 400 mg 18.4 ktk/100tab - -

16 Ibuprofen tablet 400 mg 26.1 tablet -
17 ineral mik 4 4
18 Infus Set Dewasa (Tipe Y) pcs 300 300
19 Infuset Anak pcs 100
20 Infuset dewasa 25.1 pcs 0 -

21 Infuset dewasa Pcs -
22 Infuset dewasa pcs 32 32
23 Infuset dewasa 500
24 Infusion set anak 1.2 Roll - -

25 Infusion set dewasa 9 Set / kantong -
26 Infusion set dewasa pcs 560
27 iodium tes ktk 2 3

28 Iodium tes Botol 10 ml 45
29 Isosorbid dinitrat 5 mg 20.1 ktk/100tab 600 600

30 Isosorbid Dinitrat tab 5mg dus/100tab 1,000 1,000
31 Isosorbid Dinitrat tablet sublingual 5 mg 1.2 tablet 1,670 1,670

32 Itrakonazol kapsul 100 mg 26.3 ktk / 30 kapsul -
33 IV Cannula without injection(22) 300
34 iV Cannula without injection(24) 200
35 IV Cnnula without injection (18) 300
36 iV Cnnula without injection (20) 300
1 Kalsium glukonat inj i.v 10% dus/24 amp 48 48
2 Kalsium hidroksida pasta 29 Tube 1 1

3 Kalsium Laktat (Kalk) tab 500 mg 14.2 ktk/100tab - -
4 Kalsium Laktat (Kalk) tablet 500 mg 25.6 ktk/100 tablet 2,900 2,900
5 Kaometa syrup 1.2 Btl 60 ml -
6 Kapas 250 gram 1.2 glg -
7 Kapas berlemak 500gr 31 Roll - -
8 Kapas berlemak 500gr Pcs 6 6
9 Kapas Pembalut / Absorben 250 gram 20.3 Bungkus 25 25
10 Kapas pembalut /absorben 250 gram 32 roll - -
11 Kapas Pembalut 250 gram Bungkus/Roll 20 20
12 Kapas pembalut/Absorben 250 gram Roll 2 2

13 Kapas pembalut/Absorben 250 gram 200
14 Kapsul kosong 18.4 bks 3 3

15 Kaptopril tablet scored 25 mg 26.2 tablet -
16 Kaptopril tablet scored 25 mg 23.2 tablet - -
17 Karbamazepin tab 200 mg 14.1 ktk/100tab 2,300 2,300
18 Kasa Hidrofil 40 x80 Roll 30
19 Kasa hidropil 16x16 bok/16pcs -
20 Kasa hydrophil 16 x 16 cm 32 bok/16 -

21 Kasa hydrophil 16 x 16 cm ktk -
22 Kasa hydrophil 16 x 16 cm 300
23 kasa hydrophil 40 x 80 cm 14.1 roll 2 2

24 Kasa Hydrophil Supergrade 40mx80cm (kasa gulumg) Roll 7 7
25 Kasa Kompres 16 x 16 steril (isi 16 lembar) 21.2.1 ktk -

26 kasa kompres 16x16 steril(isi 16lbr) 5 ktk -
27 kasa kompres 16x16 steril(isi 16lbr) ktk - 50
28 Kasa kompres 40x40 6.2.1 ktk -

29 Kasa pembalut hydrohil 4m x 15 cm 27.1 Roll - -
30 Kasa pembalut 2mx 80cm Roll 0
31 Kasa pembalut 36m x80 cm 6.2.1 Roll 2 2

32 Katopril tab skored 5mg dus/100tab 7,100 7,400
33 Kertas puyer 1
34 Kertas Puyer Obat 31 Pack -

35 Kertas Puyer Obat 18.2 Pack - -
36 Kertas puyer pres 4
37 Ketokonasol krim 2% tube 10gr 350 350
38 Ketokonazol kream 6.2.1 tube - -

39 Ketokonazol krim 2 % 7.2 tube 504 504
40 Ketokonazol tab 200 mg 14.1 ktk/50 tab 500 500
41 Ketokonazol tablet 200 mg 25.4 tablet 1,400 1,400
42 Ketokonazol tablet 200 mg 32 Dus 5 strip 150 150
43 Ketorolac inj 10 mg 500
44 Ketorolak inj 26.1 box 0 0

45 Ketorolak inj 10ml 6.2.1 Bok - -
46 Klonidin tablet 0,15 mg 9 tablet -
47 Klopidogrel tab 75 mg bok 3stip -
48 Klorafeniramina Maleat tab 4 mg 25.6 ktk/100tab -

49 Kloram penikol salep mata 6.2.1 tube -
50 Kloramfenikol kaps 500 mg 16.1.1 kapsul - -
51 Kloramfenikol suspensi 1.2 botol 60 ml -
52 Kloramfenikol suspensi 25.1 botol 60 ml - -
53 Kloramfenikol salep mata 1 % 25.1 tube 5 gram 0 -
54 Kloramfenikol salep mata 1% 26.3 tube 14 14
55 Kloramfenikol suspensi 125mg/ml botol 60ml 144 150
56 Kloramfenikol tetes mata 0,5% botol 10ml 30 40
57 Kloramfenikol tetes telinga1% botol 10ml 85 100
58 Kloramfenikol tts telinga 1% 5 Botol - -

59 Kloramfenikol tts telinga 1% Botol - 30
60 Kloramfenokol tts mata 0,5% 13.2 Botol - -

61 Klorampenikol kap 14.1 klg 1000kp -
62 Klorfeniramina maleat (CTM) tablet 4 mg 20.2 klg/1000 -
63 Klorfenol kamfer menthol (CHKM) 13.1 Botol -
64 Klorpromazin tab 25 mg 20.2 ktk/100tab 880 880
65 Klorpromazin tab 25 mg bok 380
66 Klorpromazin tablet salut 25 mg 6.3 1000 tablet / botol 208 208

67 Kodein 11.2 ktk - -
68 Kombinasi: Multivitami + Analgrtik Tab 5 ktk/100 tab 500 92
69 Kotri sirup 25.4 btl/60ml 77 77
Kotrimoksasol (dewasa)Kombinasi tiap 5ml suspensi sulfametoksasol 200mg+trimetoprin
70 40mg botol 60ml 350 350
71 Kotrimoksasol dewasa tab 10,000
Kotrimoksazol DOEN I (Dewasa) Kombinasi : Sulfametoksazol 400 mg + Trimetoprim 80
72 mg 13.2 ktk/100 tablet 50 50
73 Kotrimoksazol suspensi komb : Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5ml 6.2.1 botol 465 465
Kotrimoksazol(Dewasa)kombinasi setiap 5 mg suspensi: sulfametoksazol 200mg +
74 trimetoprim 40 mg 20.2 botol 432 432
75 Kotrimoksazol(Dewasa)kombinasi: sulfametoksazol 400 mg + trimetoprim 80 mg 20.2 ktk/100tab 4,900 4,900
76 Lancet steril 32 Box/100pcs - -
77 Lanset steril 5 ktk 92
78 Lansoprasol kap 23.2 box 0 0
79 Lanzoprasol 30 mg 100 kap 1.2 Bok -
80 lar. HCl 0,1 N 18.4 Botol/100 ml 1 1
81 LC (Light Curig ) A2-A3 13.1 Set - -
82 Leukoplast 7,5 cmx4,5m 100
83 lidokain inj 1,200
84 lidokain inj 2%(hcl)+Epineprin 16.4 ktk/30amp - -

85 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000 - 2 ml 18.2 ktk / 100 amp @ 2 ml -
86 Lipron B Plek 10,000
87 Lisol 1.2 ktk - -

88 Lisol 18.4 Botol - -
89 Lisol btl 1000ml 11 5
90 Loperamid tab 2 mg 23.4 ktk/100tab 500 500

91 Loperamid tab 2 mg 500
92 Loperamid tablet 2 mg 23.2 tablet - -

93 Loratadin 10mg Ktk/100tab 1,050 1,700
94 Loratadin tab 10mg ktk/100tab - 1,000
95 Loratadin tablet 10 mg 14.1 tablet -

96 Magnesium Sulfat 20% - 25 ml 32 ktk / 10 vial 7 7
97 Magnesium Sulfat 40% - 25 ml 32 ktk / 10 vial 8 8
98 masker 26.2 ktk 0 -
99 masker 26.2 ktk/50pcs - -
100 Masker one med Kait 30
101 Masker one med tali ti on 30
102 Meloksikam tab 7,5 mg 6.1.1 ktk/50tab - -

103 Metachlor tablet ( CTM ) 6.2.1 Btl 1000 kaplet -
104 Metacod syrup 6.2.1 Btl 60 ml -
105 Metampiron injeksi 250 mg 25.3 ktk / 30 ampul @ 2 ml - 0 -
106 Metampiron injeksi 250 mg 23.4 ktk / 30 ampul @ 2 ml - -
107 Metampiron tab 500 mg 22.1 ktk/100tab 2,300 2,300
108 Metampiron tablet 500 mg 23.4 ktk / 100 tablet - -
109 Metformin HCl tablet 500 mg 15 ktk / 100 tablet -
110 Metformin tab 500 mg 15 ktk/100tab - -
111 Metformin tab 500mg ktk/100yab 5,400 4,000
112 Metformin tab 500mg 8,500
113 metil dopa 14.1 ktk - -

114 Metil prednisolon 2,000
115 Metilergometrin inj 0,2 mg/ml 18.4 Ampul 470 470

116 Metilergometrin inj 0,2mg/ml dus/100amp 200 200
117 Metilergometrin Maleat injeksi 0,200 mg -1 ml 18.3 100/Ampul -

118 Metilergometrin Maleat injeksi 0,200 mg -1 ml 18.4 100 ampul / kotak 1,155 1,155
119 Metilergometrin Maleat tab salut 0,125 mg 26.1 tablet - -
120 Metilergometrin tab salut 0,125 mg 22.1 ktk/100tab 750 750
121 Metilprednisolon tab 4 mg 1.2 ktk/100tab - -
122 Metilprednisolon tab 4mg dus/100tab 1,300 2,000
123 Metilprednisolon tablet 4 mg 18.4 tablet 0

124 metoklopramid tab 10 mg bok 300
125 Metoklopramide tablet 5 mg 7.2 ktk / 100 tablet 1,550 1,550

126 Metronidasol tab 6.2.1 b0k 1000 1000
127 Metronidazol tab 500 mg 1.2 ktk/100tab 1,600 1,600
128 Metronidazol tablet 500 mg 1.2 tablet -
129 Metronidazol tablet 500 mg 26.1 Dus 10 strip -
130 Metronidazol tablet 500 mg 1.2 Bok 1,000 1,000
131 Mikonasol kream 6.2.1 tube -
132 Mikonazol krim 2% 32 Tube 123 123
133 Mikonazol krim/salep 2 % (Nitrat) 23.2 tube 132 132
134 Mikonazol krim/salep 2 % (Nitrat) 29 tube 97 97
135 MTD MB Dewasa 6.2.1 paket 4 4
136 Multi vitamin sirup anak

Multivitamin anak sirup:vitamin B 1 1mg,Vitamin b12 1,2 mg,vitamin B6 1,4mg,vit B12
25.4 btl/60ml -
137 1,4 mg,D-phantothenol 5mg,niacimamide13mg,vit c 45mg,beta carotene 4,2mg,vit d
10mg
botol 60ml 249 100
138 Multivitamin Dewasa Tab/lipron b plek 6.2.2 ktk/100tab 950 950

139 Multivitamin Tambah Darah / novabion 21.2.2 ktk/100kaps 1,050 1,050
140 NaCL 0,9 % 32 botol - -
141 NaCL 0,9 % Botol 391
142 Nasal Oksigen bayi 15
143 Nasal oxsigen Anak pcs 23 15
144 Nasal oxsigen bayi pcs 10 10
145 Nasal oxsigen dewasa pcs 23 15
146 Natrium Diklofenak tablet 50 mg 14.1 tablet -

147 Natrium Diklofenak tablet 50 mg 23.2 Dus 5 strip -
148 Natriun diklofent tab 50 mg 32 ktk/50 tab 150 1,000 1,150
149 Natriun Metamizole inj bok 65
150 nepidipin 6.1.1 ktk -

151 Nifedipin kaps 10 mg 17.1 ktk/100kaps 500 500
152 Nifedipinkap 10 mg ktk/100tab 2,000 500
153 Nistatin tab Ktk 250 250

154 Nistatin tab ktk/100tab 600
155 Nistatin tablet salut 500.000 UI/g 5 tablet -

156 Nistatin Vaginal tablet salut 100.000 IU/g 9 ktk / 100 tablet Vaginal 170 170
157 Novabin kap dus/100tab 1,000 1,000
158 Novabion kap 17.5 ktk/100kap -

159 Novabion kapsul 10,000
160 Novachlor 250 mg kapsul 20.2 ktk / 100 kapsul - -

161 Novadiar sirup 5 btl -
162 Novadiar sirup 26.1 btl/60ml 32 32
163 Novadiar sirup (kombinasi kaolin986mg+pektin 40mg sirup) botol 60ml 300 300
164 Novadiar syrup 150
165 Novadium 2 mg tablet 26.1 Dus 10 strip -

166 Novapiron 18.3 ktk -
167 Novapiron(kombinasi :Analgetik+multivitamin tab) dus/100tab 800 800
168 Novapyron tab 5,000
169 Noza tablet 1,000
170 Nurse cap bok/50 pcs 1
171 obat antituberkulosis 6.2.2 8 8

172 Obat Batuk hitam ( O.B.H.) 1.2 Botol 100 ml 0 -
173 Obat Batuk hitam ( OBH) 14.1 Botol 35 35
174 Obat batuk hitam (obh) sirup Botol 100ml 100 100
175 20mg,sorbitol sirup with chocolate flavour q.c botol 60ml 140 150
176 OBH Sekar syrup 25.1 Btl 100 ml 0 -

177 Objeck Glass Frosted Dus/72 pcs 12 12
178 Objeck Glss frosted/slide 10.1 Box/72 pcs 144 144

179 Oksegen Masker Dewasa 20
180 Oksi salep kulit Tube 4 100

181 Oksi salep kulit Tube -
182 Oksigen Masker anak 20
183 Oksitetrasiklin Hcl salep kulit 3% Tube 5gram 150 150
184 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 20.3 10 vial / kotak 222 222
185 Oksitoksin inj 10 UI/ml 32 Ampul - -
186 Oksitosin inj 10UI/ml 800
187 Oksitosin inj10UI mg Ampul/100amp 296 200
188 Oksitosin injeksi 10 UI/ml-1 ml 29 vial/kotak -

189 Oksitosin injeksi 10 UI/ml-1 ml 1.2 100 ampul / kotak - -
190 Omeprasol kaps 20 mg 12,000
191 Omeprazol ktk/30tab 1,500
192 Omeprazol injeksi 40mg/10ml dus 10 vial 90 90
193 Omeprazol kapsul 20 mg 6.2.1 Dus 3 strip -

194 Omeprazol kapsul/kaplet 20 mg 3 kapsul -
195 Omeprazol kapsul/kaplet 20 mg 6.2.1 kapsul - -
196 Ondansentron inj 6.2.1 box 0
197 Ondansentron inj 10 amp 25.1 Bok 0 -
198 Ondansentron inj 2 mg/ml 500
199 One scrub pump 500ml 6.2.1 btl -
200 Onemed kapas pembalut /Absorben 250 gram bks 2
201 Onemed kapas pembalut /Absorben 500 gram bks 30
202 Onemed Kasa Pembalut Hydrofil 4 m x 15 cm Roll 250
203 Onemed Marsk 3 ply Ear Loop Box/50pcs -
204 Onescrub 500 cc + dispenser Botol 500 Ml 2
205 otsu wi 3 botol -

206 Papaverin tab 40 mg 14.1 ktk/100tab 1,200 1,200
207 papaverin tab 40mg dus/100tab 1,500 1,500
208 Papaverin tablet 40 mg 31 1000 tablet / botol 9,700 9,700

209 Papaverin tablet 40 mg 32 btl/1000 3,000 3,000
210 Paracetamol tab 32 ktk/100tab 9,000 9,000
211 Parasetamol 500mg tab btl 1000ml 4850 4850
212 Parasetamol sir 120 mg/5 ml 13.1 Botol 250 250
213 Parasetamol sirup 25.3 box 0 0
214 Parasetamol sirup 120 mg/5 ml 13.2 botol -
215 Parasetamol sirup120 mg / 5 ml 6.2.1 Btl 60 ml 17 17
216 Parasetamol sirup120 mg / 5 ml 32 Btl 60 ml 485 485
217 Parasetamol tab 500mg 35,100
218 Parasetamol tablet 500 mg 6.1.1 Dus 10 strip - -

219 Pehacain injeksi2(hcl)+epineprin1 22.1 amp -
220 Pembalut elastis UK. 10cm x 4,55 m 27.1 Roll 3 3
221 pembalut gips 6.2.1 Roll 143 143
222 pembalut gips 16.1.1 Roll 9 9
223 Pengikat tali pusat 1.2 pcs -
224 Pengikat tali pusat 485
225 penjepit tl pstUmbilical Cord klem seteril nilon 200
226 Perak sulfadiazin krim 1%/ Burnasin 20.2 tube 14 14

227 Permetrin krim 5 % 14.1 Tube 60 60
228 Permetrin krim 5% tube 10gr 30 30
229 phenobarbital inj 6.1.1 ktk/30amp 150 150
230 phenobarbital inj 23.2 amp 90 90

231 phenobarbital inj 26.2 amp 150 150
232 Pipet tetes panjang 6.2.2 pcs 100 100
233 Piracetam 6.2.1 bok 100tb -
234 Piracetam 25.3 bok 100 0 -
235 Pirantel pamoat suspen scored 125 mg/5mg 6.3 Botol 33 33
236 Pirantel pamoat suspensi125mg/5ml botol 60ml 40 40
237 Pirantel pamoat tab scored 125 mg 29 ktk/100tab - -

238 Pirantel pamoat tablet 125mg dus/100tab 800 800
239 Pirantel suspensi 125 mg/5 ml 6.2.1 botol 27 27

240 pirantel tab 32 ktk - -
241 Piridoksi vit B6 tab 10mg dus/100tab 4,000 4,000
242 Piridoksin ( Vit B6) tab 10 mg 32 ktk/100tab 1,250 1,250

243 Piridoksin (Vitamin B6) tablet 10 mg (HCL) 32 btl/1000tb - -
244 Piroksikam tab 10 mg 6.3 ktk/100tab 2,300 2,300
245 Piroksikam tab 10mg dus/100tab 2,500 2,500
246 Piroksikam tab 20 mg 17.1 ktk / 100 kapsul -

247 Plastik klip sedang (5x8 cm) 8
248 plastik klip sedang (6x10 cm) 25
249 Plester (leukoplas 7,5 x 4,5m) 3 Roll 3 3

250 Plester 5 yards x 2 inch 28.1 Roll -
251 Plester BSN one med 29 roll -
252 Plester roll Kain 7,5 cm x4,5 m Roll 30 30
253 Plester/Isoplast 7.2 Roll -

254 Plesterin Non Woven Roll 15 cmx5m Roll 14 15
255 Plesterin Non Woven Roll 20cmx5m btl 500ml 5 5

256 poli kateter no 18 9 pcs 6 6
257 poli kateter no 20 21.2.4 pcs 50 50
260 pot seputum 200 200
261 Pot Sputum 3 btl 50 50

262 Pot Sputum 22.1 btl 46 46
263 Pot sputum 31 pcs -
264 Pot Sputum 14.1 Botol 50 50
265 Pot Sputum Buah 50 50
266 Povidon 21.2.4 btl/60ml -
267 Povidon Iodida larutan 10% 25.4 botol 60 ml -
268 Povidon Iodida Larutan 10 % 26.1 btl/300ml 7 7
1 Povidon iodin lar 10% 12
2 Povidon iodin larutan 10% btl 60 ml -
3 Povidon iodion 10% 6.2.2 botol/60ml - -

4 Povidon iodion lar 10% 18.8 Botol/300ml 2 2
5 Prednisolon 15,000
6 Prednison tab 11.2 Btl 1000tab 15,000 15,000

7 Prednison tablet 5 mg 32 ktk / 100 tablet -
8 Primakuin tab 15 mg 21.2.1 ktk/100tab 1,200 1,200
9 Propanolol tab 10 mg 28.1 ktk/100tab 1,000 1,000
10 Propanolol tab 10mg dus/100tab 1,000 1,000
11 Propanolol tablet 10 mg (HCl) 14.1 tablet 220 220

12 Propanolol tablet 10 mg (HCl) 14.1 tablet 1,000 1,000
13 Propiltiourasil tab 100mg 6.2.4 ktk/100tab 600 600
14 Propiltiourasil tablet 100 mg 13.1 Ktk / 100 tablet 900 900
15 Providone Lodine 300 ml Btl 300 ml 40 40
16 Ptu tab 100mg dus/100tab 500 500
17 Ranitidin inj 32 ktk/100amp - -

18 Ranitidin inj 18.2 Bok 300 300
19 Ranitidin inj 6.2.1 box 100 100
20 Ranitidin inj 25 mg/ml 6.2.4 Ampul 837 400 1,237
21 Ranitidin inj 25 mg/ml 500
22 Ranitidin Injeksi 25 mg/2ml 32 ampul 0

23 Ranitidin kaplet 6.2.1 b0k 1150 1150
24 Ranitidin Tab 150 lnj 28,000
25 Ranitidin tablet 150 mg 25.3 Bok 5,650 0 5,650

26 Ranitidin tablet 150 mg 14.1 ktk/100 tab 150 150
27 Rapid Test HIV Ktk/25 pcs -
28 RDT DBD Box/20 pcs 1
29 RDT Malaria Box/25pcs - -

30 RDT MALARIA Box/20 pcs 2
31 RDT Malaria Dus/25pcs 5 5
32 Reagen ZN 10 10
33 reco klorampenikol salep mata 14.1 tube -

34 Retinol (Vitamin A) 200.000 IU Kapsul Lunak 14.1 btl / 50 Kapsul -
35 Retinol (vitamin A)Kaps lunak 100.000UI Btl/50kap 1
36 Retinol(vitamin A)200.000IU Kapsul 32 -

37 Ringer Laktat Larutan 6.3 botol 539 539
38 Ringer Laktat larutan infus 1.2 botol -
39 Rivanol 6.2.1 bt t/100ml 20 20
40 Rivanol 32 btl 100ml 10 10
41 Rivanol 0,1% 20.2 Botol 48 48
42 Rivanol 0,1% Btl 300 ml 50 50
43 Rivanol 0,1% 18
44 Rivanol 300ml 25.4 botol 6 6

45 Rl 29 Btl -
46 Rnitidin tablet 150mg dus/100tab 5,500 5,500
47 Salbutamol cair ih 0,1% 14.1 btl - -

48 Salbutamol tab 4mg bok 1,500
49 Salbutamol tab 4mg 5,000
50 Salbutamol tablet 4 mg (sebagai sulfat) 20.3 tablet 200 200

51 Salbutamol tablet 4mg dus/100tab 1,500 1,500
52 Salep 2-4,kombinasi: asam salisilat 2%+ belerang endap 4% 3 Pot 223 223
53 Salep 2-4,Kombinasi:AsamSalisilat 2 % + Belerangendap 4 % 9 Ktk / 24 Pot @ 30g 294 294
54 Sarung tangan non steril M 1.2 ktk -
55 Sarung tangan non steril s 1.2 ktk -
56 Sarung tangan obgyn bok 101 101
57 Sarung tangan panjang 26.1 psg -
58 Sarung tangan panjang 23.2 psg -
59 Sarung Tangan Panjang 20.3 Psg 220 220
60 Sarung tangan panjang 100
61 Sarung tangan SurgicalPowderGlove 7,0 6.2.1 pasang - -

62 sarung tangan SurgicalPowderGlove 7,5 6.2.1 pasang - -
63 Scabimite cream 1.2 tube 109 109
64 Scabimite kream 11.2 tube 10gram 5 5
65 Sefadroksil kapsul 500mg 2,000
66 sefadroksil kapsul/kaplet 500 mg 32 kapsul - -

67 Sefadroksil kiring 125 mg/5ml 200
68 Sefadroksil sirup kering kering 125 mg/5 ml 6.2.1 botol 6 6

69 Sefiksim tab 100mg 6.4.2.1 ktk/50 tab 1,100 1,100
70 Sefotaksim injeksi 1 g 3 vial 0
71 Sefotaksim serb inj 1000 mg/vial 26.3 Vial 174 174
72 Sefotaxim inj1 gr 100
73 Sefriaxone 1 gr serbuk inj 200
74 Seftriakson serb inj 1000mg/ml 6.2.2 Vial 250 250

75 Semen Seng Fosfat serbuk dan cairan Set - -
76 Setirizin sirup 5 mg/5 ml botol 60ml 60 60
77 Setirizin ta 10 mg 25.4 ktk/100 kaps 1,700 1,700

78 Setirizin tablet 10 mg 9 tablet -
79 Sianokobalamin (vit b12) inj 500 mcg dus/100amp 1,000 1,000
80 Sianokobalamin (vit. B 12) injeksi 500 mcg 29 Ktk 100 amp@1 ml -

81 Sianokobalamin(Vit.B12) inj 500 mcg/ml 23.4 Ampul - -
82 Sianokobolamin(vit B12 tab) botol/100tab 1,000 1,000
83 sidiadril inj 3 vial/10amp -

84 Silk /0 + jarum1/2 GT 35 mm Box/12 pcs 150
85 Silk 2/0 + jarum1/2 GT 35 mm Box/12 pcs 180
86 Silk 2/0+jarum 1/2 GT 35 mm 180
87 Silk 3/0+jarum 1/2 GT 35 mm 180
88 Silk/sutera 2-0 76cm round bodied,1/2 circle 25mm 29 Box 4 4

89 Silk/sutera 3-0 76cm round bodied,1/2 circle 25mm 6.1.1 Box/24pcs - -
90 Simvastatin scored tablet 10 mg 26.1 ktk/100 tablet 60 60
91 Sinvastatin ktk/30tab 750
92 sinvastatin 10 mg 18.3 Bok - -

93 Sinvastatin tab 1.2 box 0 0
94 Sinvastatin tab 15,000
95 Siprofloksasin tab scored 500mg dus/100tab 2,000 2,000
96 Siprofloksasin tab scored 500mg 8,000
97 Skopma kombinasi:hyosine N-buthyl Bromida 2,000
98 skopma plus 32 ktk 0 -

99 Slik 2/0+jarum1/2 GT 35 mm Dus/36 pcs 144 144
100 Slik 3/0+jarum1/2 GT 35 mm Dus/36 pcs 144 144
101 Spasi inj 25.1 ktk / 10amp 15 0 15

102 Spritus 14.1 botol
103 Sreracath I.V Catheter 24 G x 3/4 Box/5o pcs 450
104 Sringe disposable 1 cc Pcs - -

105 Sringe disposable 3 cc pcs - -
106 Stera Syringe 3cc 5,000
107 steracath I,V Catheter no. 22 G x 1" pcs -

108 Steracath I.V Catheter no 18 G X 32 mm Box/50 pcs 119
109 Steracath I.V Catheter no 20 G X 11/4 Box/50pcs 650
110 Steracath I.V catheter no 24Gx3/4" psg 100 100

111 Steracath I.V Catheter no. 18 G x 32 mm 32 pcs 80 80
112 Steracath I.V Catheter no. 20 G x 1 1/4" 6.1.1 pcs 130 130
113 Steracath I.V Catheter no. 22 G x 1" 1.2 pcs 75 75
114 Steracath I.V Catheter no.18Gx32 mm pcs 140 140
115 Steracath I.V Catheter no.20 Gx11/4" pcs 200 200
116 Steracath i.V Catheter no.24 Gx3/4 26.1 pcs - -
117 Steracath IV Catheter 18Gx1 1/4 pcs 100 100
121 Steracath l.v catheter no 22Gx1" pcs 120 120

122 Steracath l.v Catheter no.18Gx32mm pcs 100
123 Steracath l.v Catheter no.20Gx11/4" pcs 250 250
124 Strera Syringe 1cc 4,300
125 Streracath IV. Catheter no 22 G x1 Box/50 pcs 650
126 Strip Asam Urat 18.3 Ktk 25 test -

127 Strip asam urat ktk 3
128 Strip asam urat botol -
129 Strip asam urat btl/25strp 1 -
130 Strip asam urat nesco 18

131 Strip Cholesterol 25.3 Ktk 10 test 0 -
132 Strip Glucosa 18.2 Ktk 25 test -
133 Strip gula darah nesco 14.1 Botol - -
134 Strip gula darah nesco Botol -
135 Strip Gula Darah Nesco Btl/25strip 2 3
136 Strip gula darah nesco 18
137 Strip kolesterol nesco 10.1 Botol -
1 Strip kolesterol nesco Botol
2 Strip kolesterol Nesco bt 3 1
3 Strip kolestrol nesco 30
4 Strip nesco glukosa 32 dus -

5 Strip nesco glukosa 25.1 ktk 25 test -
6 Strip nesco urid acid 32 dus -
7 Strip nesco urid acid 25.3 ktk 25 test -
8 Strip nesko kolestrol 6.1.1 dus -
9 Strip nesko kolestrol 18.2 ktk 10 test -
10 Superlife Nitrile pcs 0
11 Surgica Mask Plus 3ply plus earloop 150
12 Surgical mask 3 ply earloop 18.3 bok/50 -

13 Surgical mask 3 ply earloop box@ 50pcs 0 0
14 Surgical mask 3 ply tie on 7.2 bok/50 -
15 Surgical mask earloop Ktk/50 pcs 21 25
16 Surgical Mask Plus 3 Plytie On (tali) pcs -

17 Surgical Mask Plus 3Ply Plus Earloop pcs -
18 surgical mask whit visor 25.4 bok - -
19 Surgical powder free glove size 7,0 psg 85 85
20 Surgical powder free glove size 7,5 psg 203
21 Surgical powder free glove size 7.0 pasang -
22 Surgical powder free glove size 7.0 Pack/Pasang 400 400
23 Surgical powder free glove size 7.5 pasang -
24 Surgical powder free glove size 7.5 Pack/Pasang 400 400
25 Syringe 1 cc tuberculin 27G x1/2 23.2 bok/100 - -

26 Syringe 1cc tuberculin 27Gx3/4 Bok/ 100pcs -
27 Syringe Disposable 10cc Dus,100pcs/1cc 200 200
28 Syringe disposable 1cc pcs 25 25

29 Syringe disposable 3 cc x 23G x 1 1/4 6.2.1 bok/100 - -
30 Syringe Disposable 3cc Dus,100pcs/1cc 2,500 2,500
31 Syringe disposable 3cc x 23 G x 1 1/4 Box/100pcs 2,090
32 Syringe disposable 5 cc x 22G x 1 1/2 6.2.1 bok/100 -

33 Syringe disposable 5cc Roll 0 0
34 Syringe Disposable 5cc Dus,100pcs/1cc 800 800
35 Syringe Disposable 5cc x 22 G x 1 1/2 Box/100pcs 930
36 Tablet tambah darah 32 sachet - -
37 tablet tambah darah (FE) ktk - 2500

38 Tabung EDTA ktk/100 pcs 2 2
39 Tabung EDTA ktk/100pcs 2
40 Tes kehamilan 32 dus -

41 Tes Kehamilan 9 Ktk 50 test -
42 Tes kehamilan bok 7
43 Tes kehamilan 300
44 Test kehamilan Box/50 pcs 210
45 tetrakain hcl tetes mata 0,5 13.2 btl 47 47

46 Tetrasiklin kap 500mg dus/100kap 1,000 1,000
47 Tetrasiklin kapsul/kaplet 250 mg 1.2 kapsul - -

48 Tiamin (vit b1) tab 50mg ktk 100 tb 2,550 3,000
49 Tiamin (Vit.B1) inj 100mg/ml Ampul 30

50 Tiamin (Vit.B1) inj 10mg/ml 18.2 Ampul 10 10
51 Tiamin (Vit.B1) inj 10mg/ml Ampul 8
52 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) 32 1000 tablet / botol 0 -

53 Tiamin (vitamin B1) injeksi 100 mg/ml 5 ktk / 100 amp @ 1 ml -
54 Tiamin(Vit.B1) tab 50 mg 23.4 ktk/100tab - -
55 Tramadol 6.1.1 Dus 5 strip -
56 Tramadol inj 32 dus -
57 tramadol inj 1.2 ktk / 10amp -
58 Tramadol tab 7.2 ktk50tab -
59 Transmision gel 9 btl -
60 Trichloro Formalin (TKF) Set -
61 Turniquit 20.3 pcs 1 1
62 Umbilical cord kleam steril Nylon 29 ktk 0 0
63 Umbilical Cord Klem Steril Nylon Dus/50 pcs 500 500
64 Uniflex 15 cm x 4,5 m Roll 15 15
65 urgical mask earloop dus/50pcs 4
66 urin bag 23.4 pcs -

67 urin bag 23.4 pics -
68 Urin bag 7.2 pcs -
69 Urin Bag Steril 2 Liter Buah 30 30
70 Urine Bag standard steril 2L.t (T valve) 26.1 Buah 45 45

71 Vacu Needle transparant 22GX1 1/4 ktk/100 pcs 1 1
72 Vacu Needle transparant 22GX1 1/4 ktk/100pcs 1
73 Vadrol 1.2 Dus 10 strip -

74 Vagistin Suppositoria bok 10 sup 182
75 Vikt k tab 9 ktk/100tab - -

76 Vikt k tab ktk/100tab - 1000
77 Vit c ktk -
78 vit C ktk/100tab 2,500
79 Vit k inj ktk - -
80 Vit k inj 300 300
81 Vitamin A 100.000 UI 14.1 btl/50 kap 0 0

82 Vitamin A 200.000 IU - -
83 Vitamin A 200.000 UI 20.2 btl/50 kap 0 0

84 Vitamin B complek 6.2.1 ktk/100tab -
85 Vitamin b complek ktk/100tb 10,900 10,000
86 Vitamin b complek 35,000
87 Vitamin B12 tab Btl 5 5

88 Vitamin B12 tab btl 250 tb 15
89 Zinc sir 20mg/5ml botol 60 ml 50 50
90 Zinc tab disp 20 mg 23.4 ktk/100tab 2,700 2,700

91 Zinc tab dispersible 20mg dus/100tab 2,500 2,500
92 Zinc tablet dispersible 20 mg 1.2 tablet - -
93 Zinc tablet dispersible 20 mg 6.1.1 tablet - -

94 Zolacklor cream 6.2.1 tube - -
95
UMUM
ASKES JUMLAH
Mengetahui
Kepala Puskesmas Mepanga
Ketut Cita, A.Md.Kep.

NIP : 19730615 199403 1 009
BAR PERMINTAAN OBAT
)
BULAN : Desember/Droping propinsi

TAHUN : 2017
PEMA- SISA STOK PERMIN- PEMBERIAAN KET
KAIAN STOK OPT. TAAN INPRES ASKES APBD LAIN JML
7=(6-8) 8 9 10 11 12 13 14 15 16
- 10
- -
-
- 500
- 470
- 500
- 500
- 240
14 140
- 57
550 2,350
- 2,000
2 10
-
- 191
-
-
- -
-
- 300
- 600
- 1
- 15
10
250 1,100
200 2,800
-
-
- 1,100
-
90 78
200 -
200 100
-
14,200
300 100
- 0
-
-
- 700
- 180
300 1,500
- 110
- 48
4,200 -
- 1,000
- 1,500
- 2475
400 4,430
- -
8,000
- -
1,100 3,630
15,000
300
2,750 5,700
9,800
-
- -
-
-
60 187
- 0
188 470
- 2,000
- 0
-
-
- -
38 115
100
1,100 900
17,900
- 142
25 215
10 -
-
2,000
- -
2 262
- 80
300
- 200
- 640
- 1,200
-
- -
- 1
-
-
33,200
250 250
3 24
1,100 0
- -
27,000
-
- -
200 1,300
- 1,000
10 160
- 100
- 900
- 253
-
30
-
-
31 -
5 95
- 250
100 600
- 190
200 800
-
96 409
0
- 525
-
- 20
- 151
-
-
300
60 40
- 300
43
- -
3 47
- 48
- 12
-
-
-
2 14
-
- -
50 700
- -
- -
- 1
- 15
- -
-
5 75
- 72
240
- 96
- 120
120
- 96
- 120
240
3 24
- 48
- 96
- 120
240
- 40
- 96
- 120
- 48
34 6
8 -
-
67 -
38 -
- 343
- 270
- -
- -
- 1
- 1
19 20
- 0
- 300
-
3 7
- 1000
-
650 2,350
- 950
-
-
- -
40,000
2,000 6,200
- 2
- 400
- 900
70 335
- 10,000
40,000
-
1,950 100
-
-
- 20
- 4
- -
-
- 960
- -
- 40
171 -
-
- 500
-
- 22
- 270
-
-
52 140
- 600
- 1,500
- 120
- 24
-
300 770
-
-
- 396
- -
-
- 300
- 500
-
- 800
- -
10 0
-
8 52
- 0
- 2,500
-
- -
-
300
150
300
- 13
- -
-
200
- 285
- 19
- 2,300
-
- -
- -
26 357
-
7 30
20
1 9
-
-
1 -
- -
- 4
1,094 7,600
-
- -
-
- 300
2 2
-
15 15
- -
250 1,200
2,500
-
-
- 1,000
200 3,660
264
-
- 59
- 100
- 50
- 1
- 1
- -
- 5,200
- 2,500
750 350
- -
3,000
- 2,200
5,000
5,000
- 5,000
1,400 13,700
8
10
5
300
300
- -
-
-
- -
3 5
- -
4 -
20 92
- 100
- 300
- 40
-
650 600
-
- 2,500
- 2,000
- 1
- 200
- 200
30 120
- 200
- 500
-
- 330
- 680
- 370
- -
2 8
1 0
20
- -
- 1,900
-
- 500
- 1,000
58 205
- -
- 360
-
600 400
-
-
3 47
2,000
- -
-
- 4
- 300
- 100
-
20 12
500
- -
-
130 430
- 2
- 45
- 600
- 1,000
300 1,370
-
300
200
300
300
4 44
- 1
- -
650 2,250
-
-
- -
- 6
3 22
- -
- 20
2 -
200
- 3
-
- -
20 2,280
- 30
- -
-
-
300
2 -
- 7
-
-
- -
- -
- 0
- 2
700 6,400
1
-
- -
4
- 350
- -
5 499
- 500
- 1,400
50 100
500
- 0
- -
-
- -
-
-
- -
-
- -
-
9 5
14 130
- 30
- 85
- -
- -
- -
-
-
-
- 880
380 -
208 -
- -
- 500
17 60
- 350
10,000
50 -
5 460
- 432
350 4,550
- -
-
- 0
-
- 1
- -
100
1,200
- -
-
10,000
-
- -
1 10
150 350
500
- -
400 650
- -
-
- 7
- 8
-
- -
30
30
- -
-
-
- -
- -
300 2,000
- -
-
- -
950 4,450
8,500
- -
2,000
- 470
- 200
-
25 1,130
- -
250 500
- -
500 800
-
- 300
100 1,450
- 1000
900 700
-
-
- 1,000
-
- 123
36 96
25 72
- 4
-
72 177
950 -
950 100
- -
70 321
15
- 23
- 10
- 23
-
-
500 650
- 65
-
100 400
- 2,000
- 250
- 600
-
- 170
- 1,000
-
10,000
- -
-
12 20
- 300
150
-
-
550 250
5,000
1,000
- 1
- 8
-
15 20
- 100
10 130
-
- 12
- 144
20
4 -
- -
20
50 100
18 204
- -
800
59 237
-
- -
12,000
390 1,110
5 85
-
-
- -
-
-
500
2 -
- 30
- 250
- -
2 -
-
- 1,200
- 1,500
100 9,600
- 3,000
2,900 6,100
650 4200
180 70
- 0
-
17 -
- 485
35,100
- -
-
- 3
- 143
- 9
35 450
200
5 9
- 60
- 30
- 150
- 90
- 150
- 100
-
-
- 33
- 40
- -
- 800
- 27
- -
- 4,000
- 1,250
- -
1,150 1,150
- 2,500
-
8
25
1 2
-
5 25
-
- 14
- 5
1 5
- 50
- 50
- 50
- 200
- 50
- 46
- 50
- 50
-
-
7 -
12
- -
- -
2 -
15,000
1,000 14,000
-
- 1,200
- 1,000
- 1,000
- 220
- 1,000
- 600
- 900
- 40
- 500
- -
45 255
- 100
82 755
500
-
100 1050
28,000
850 4,800
150 -
-
- 1
- -
- 2
- 5
- 10
-
-
- 1
-
302 237
-
- 20
- 10
- 48
- 50
18
4 2
-
50 5,450
0 -
- 1,500
5,000
200 -
- 1,500
- 223
- 294
-
-
- 101
-
-
- 220
100
- -
- -
- 109
- 5
2,000
- -
200
6 -
500 600
-
4 170
100
200
6 244
- -
12 48
- 1,700
-
- 1,000
-
- -
- 1,000
-
10 140
30 150
180
180
4 -
- -
60 0
480 270
- -
- 0
15,000
- 2,000
8,000
2,000
-
- 144
- 144
- 15
-
14 436
- -
- -
5,000
-
40 79
270 380
- 100
- 80
- 130
15 60
- 140
- 200
- -
- 100
- 200
- 200
- 100
- 120
- 100
- 250
4,300
50 600
-
-
- -
1 -
18
-
-
- -
- -
2 -
18
-
-
3 -
30
-
-
-
-
-
-
150
-
- 0
-
17 4
-
-
- -
45 40
83 120
- -
- 400
- -
- 400
- -
- -
- 200
25 0
- -
- 2,500
510 1,580
-
- 0
- 800
160 770
- -
- -
- 2
- 2
-
-
7 0
300
35 175
10 37
200 800
- -
1,650 900
-
3 7
8 -
-
-
- -
-
-
-
-
- 0
- 500
- 15
4 -
-
-
- 30
5 40
- 1
- 1
-
- 182
- -
- -
- -
1,150 1,350
- -
95 205
- 0
- -
- 0
-
900 10,000
35,000
- 5
15 -
10 40
- 2,700
- 2,500
- -
- -
- -
Sumber Agung ,Desember 2017

Petugas
Ni Ketut Suriati, A.Md.Far

NIP/NRPTT : 19790320 201001 2 001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )
KODE PUSKESMAS :
PUSKESMAS : MEPANGA KAB/KODYA : PARIGI MOUTONG LAPORAN : Juni
KECAMATAN : MEPANGA PROPINSI : SULAWESI TENGAH TAHUN : 2018
KODE NAMA OBAT KELAS SATU- STOK PENERI- PERSE- PEMA- SISA STOK PERMIN- PEMBERIAAN KET
TERAPI AN AWAL MAAN DIAAN KAIAN STOK OPT. TAAN INPRES ASKES APBD LAIN JML
1 2 3 4 5 6=(4+5) 7=(6-8) 8 9 10 11 12 13 14 15 16
1 Abate Pack/1000 gr - - - - -
2 Aesculap blades /carbon steel scalpel blades #15 27.1 Box/100pcs 860 860 - 860
3 Aesculap blades /carbon steel scalpel blades #23 27.1 Box/100pcs 930 930 130 800
4 Air untuk injeksi 25 ml ampul 25 ml 306 306 3 303
5 Air untuk irigasi lar inf 1000 ml 5 Botol 57 57 - 57
6 Akarbose tab 50 mg 6.2.4 ktk/100tab 3,750 3,750 3,750 - 2000
7 Alkohol swab 29 Box 14 14 - 14
8 Alat suntik sekali pakai 1 ml 32 100/ktk 3,870 3,870 450 3,420
9 Alat Suntik Sekali pakai 10 ml 32 ktk 787 787 181 606
10 Alat suntik sekali pakai 3 ml 32 100 set / kotak 5,700 5,700 700 5,000 300
11 Alat suntik sekali pakai 5 ml 32 100set/ktk 550 550 250 300
12 Albendasol tab 400 mg bok/100tb 800 800 - 800
13 Alkohol 70% 1 liter btl 20 20 - 20
14 Allupurinol 14.1 box 2,200 2,000 4,200 2,250 1,950 2000
15 Alprazolam tablet 0,5 mg 21.2.4 tablet - - - -
16 Amblodipin 10 mg 32 box 7,700 7,700 420 7,280
17 Ambroxol tab 10 mg box 5,500 5,500 1,100 4,400
18 Aminofilin inj 24 mg/ml 26.2 Ampul 328 328 - 328
19 aminopilin tab 6.2.2 btl 2,200 2,200 - 2,200
20 Amitriptilin tab salut 25 mg (HCL) 13.2 ktk/100tab 3,700 3,700 - 3,700
21 Amlodipin tablet 5 mg 6.1.1 ktk/30 tablet 13,050 13,050 570 12,480
22 Amoksisilin sir kering 125 mg/ml btl 96 96 61 35 200
23 Amoksisilin tab 500mg dus/100tab - 2,000 2,000 1,200 800 5000
Anastetik lokal gigi kombinasi : lidokain hcl 2%+epineprin 1:80000 inj
24
2ml dus/30 amp 932 932 253 679
25 Antalgin tab(Metampiron tab) dus/100tab 1,500 1,000 2,500 100 2,400
Antasida DOEN I Tablet kunyah, kombinasi : Aluminium Hidroksida 200 ktk/100 tablet 5,350 5,350 2,600 2,750
26
mg + Magnesium Hidroksida 200 mg 6.2.1
Antasida DOEN II suspensi, kombinasi : Aluminium Hidroksida 200 Btl 60 ml 63 313 226 87
27
mg/5ml + Magnesium Hidroksida 200 mg/5 ml 16.4 250 200
Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + Polimiksin pot - -
28
10.000 UI/g 32
29 anti rabies verorab bok - - 10
30 Antifungi DONE salep,kombinasi : Asam Benzoat 6% Asam Salisilat 3% 32 Pot 262 262 - 262
31 Antihemoroid 31 Supp 498 498 - 498
Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500
32
mg 1.2 tablet 640 640 - 640
33 Antimigrain kombinasi ergotamin 1mg kafein 50mg tab botol 100tab 4,500 4,500 500 4,000
34 Aplicators set 2 2 - 2
35 Asam askorbit (vitamin C) kaplet 50 mg bok 22,400 22,400 2,000 20,400
36 Asam assetilsalisilat(aspilet) Bok 1,500 1,500 3,000 1,600 1,400
37 Asam folat tab 1 mg 6.2.2 Botol 900 900 200 700
38 Asam mefenamat 32 b0k 16,650 16,650 1,000 15,650
39 Asam tranekamat tab 500 mg 6.2.2 ktk/100tab 2,800 2,800 - 2,800
40 Asam traneksamat inj 100mg/ml 32 Ampul 425 425 5 420
41 Aseptik gel 43 43 8 35
42 Asiklovir krim 5% 6.2.2 Tube 46 46 - 46
43 Asiklovir tablet/kapsul/kaplet 400 mg 18.3 tablet 2,650 1000 3,650 1,000 2,650
44 Atropin inj 0,25mg/ml(i.m./i.v/s.k) dus/ 100amp 145 145 - 145
45 Attapugit tab650 mg dus/100tab 600 600 - 600
46 Bedak salisil serbuk 2 % 25.1 pot - - - - 50
47 Betafort syrup botol 185 150 335 70 265
48 Basitrasin salep tube 155 155 - 155
49 Betametason 0,1% kream 6.2.1 tube 117 150 267 104 163
50 Bisakodil supositoria 10mg dus/50sup 150 150 - 150
51 Bisakodil supositoria 5mg dus/6sup 354 354 54 300
52 Blood Lancet ktk/100pcs 17 17 2 15
53 Brondisal 2mg 32 Dus 10 strip - -
54 burnasin Perak Sulfadiazin krim 1% 6.4.2.2 amp 12 12 - 12
55 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 32 kotak / 24 pcs 1,070 1,070 24 1,046
56 Catgut Chromic 2/0- + jarum 1/2 GT 35 mm Box/12 pcs 364 364 12 352
57 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm Box/12 pcs 348 348 - 348
58 Cathy IV.Cannula 18G/Abocat 32 Box/100pcs 1,135 1,135 255 880
59 Cathy IV.Cannula 20G/abocat 16.4 Box/100pcs 1,338 1,338 148 1,190
60 Cathy IV.Cannula 22G/abocat 6.4.2.2 Box/100pcs 804 804 120 684
61 Cathy IV.Cannula 24G/abocat 6.2.1 Box/100pcs 491 491 60 431
62 Caviton 29 Set 1 1 - 1
63 Cefadroxil sirup bok 347 347 20 327
64 Cefatroxil 500mg kap 23.2 Bok - - - - 2000
65 Cepotaksim inj 20.3 dus/10vial 1gr 92 92 4 88
66 Ciprofloxacin tab 25.1 b0k 10,000 10,000 1,500 8,500
67 CTm (klorfeniramina Maleat tab 4 mg) bok 30,700 30,700 1,970 28,730
68 Deksametason inj 5mg/ml(i.v/i.m) dus/100amp 1,670 1,670 5 1,665
69 Deksametason tab 0,5 mg bok 41,200 41,200 1,100 40,100
70 Dektran larutan infus 70% btl - - - - -
71 Diasepm larutan rektal 5 10 10 7 3 50
72 Diazepam tab 2 mg 6.4.2.2 Botol 200 200 - 200
73 Difenhidramin injeksi i.m. 10 mg/ml 11.2 ampul 205 205 58 147 200
74 Digoksin tab 0,25mg dus/100tab 1,400 1,400 - 1,400
75 Dihydroantemisin 40 mg + Piperaquin phosphate 320 mg 32 ktk/9 tab 24 24 - 24
76 Doksisiklin kapsul 100 mg 10.2 ktk/100kpp 1,300 1,300 - 1,300
77 Disposable meroaplicators 1 1 - 1
78 Domperidon suspensi 5mg/5ml botol 60ml 264 264 36 228 200
79 Domperidon tab dus/100tab 350 2,500 2,850 1,600 1,250
80 elastis perban 23.4 Roll 13 13 - 13
81 Epineprin inj ktk/100Amp 440 440 - 440
82 Etanol 70% 100ml 6.4.2.1 botol 182 182 9 173
83 Eritromisin ktk 2,300 2,300 - 2,300
84 Etil klorida semprot 100ml botol 100ml 1 10 11 8 3
85 ETSA 14.2 Set 2 2 - 2
86 Eugenol cairan 6.2.1 botol 3 3 - 3
87 FE(kombinasi tablet salut:Besi(ll)sulfat7H20200mg+asam folat0,25mg ktk/ 100tab 3,340 3,340 1,820 1,520 5000
88 Fitomenadion (vit.K1) tablet salut gula 10 mg 5 tablet 150 150 100 50 200
89 fitomenadion (vitamin K 1)inj 2mg/ml dus/ 30amp 125 125 60 65 120
90 Fixomull stretch 15 cm x 5 m 14.2 Roll 1 1 1 -
91 Furosemid Ktk/100tab 1,900 1,900 500 1,400
Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 g kalium sachet 700 700 150 550
92
klorida 0,30 g Trinatrium sitrat dihidrat 0,58 g Glukosa Anhidrat 2,70 g 26.2
93 Gentamisin 1mg krim tube 188 188 - 188
94 Gentian Violet Lrutan 1 % 32 Botol 207 207 9 198
95 Glass lonomer cemet ART 27.2 Set 1 1 - 1
96 Glibenklamid tab 5 mg 32 ktk/100tab 6,000 6,000 600 5,400
97 Glimepirid tab 1 mg ktk/100tab 3,600 3,600 300 3,300
98 Glimepirid tab 2 mg ktk/100tab 4,950 4,950 - 4,950
99 Gliseril guaikolat tab 100mg 20.1 dus/100tab 17,750 17,750 1,150 16,600
100 glove non Steril l (hanskund) ktk 25 25 - 25 200
101 Glove non steril m (hanskund) ktk 26 26 1 25 200
102 Glove non steril S ktk 1 1 1 - 100
103 Glove Surgical no 7.0 ktk/50pcs 433 433 133 300
104 Glove Surgical no 7.5 ktk/50pcs 370 370 70 300
105 Glukosa larutan infus 5 % steril 31 botol 467 467 40 427
106 Griseofulvin tablet 125 mg 32 ktk/100tab 1,500 1,500 3,000 1,200 1,800
107 Haloperidol 5 mg bok 400 400 - 400
108 Haloperidol tab 0,5 mg 10.2 ktk/100tab 100 100 - 100
109 Haloperidol tab 1,5 mg bok - - - -
110 Haloperidol tab 2 mg 6.2.2 ktk/100tb 600 600 - 600
111 Handscrub 500cc+dispenser btl 1 1 1 - 100
112 Hidroklorotiazida (HCT) tablet 25 mg 1.2 ktk / 100 tablet 2,900 2,900 - 2,900
113 Hidrokortison krim 2,5 % 14.1 tube/5gr 380 380 21 359
114 Hyocine n-butilbromida tab 10 mg(skopma plus) 16.1.1 ktk / 100 tablet 450 500 950 950 - 3000
115 Ibuprofen sir 100 mg/5 ml botol 30 30 10 20
116 Ibuprofen tablet 400 mg pcs 1,250 2,500 3,750 700 3,050
117 Infus Set Anak pcs - - - - 500
118 Infus Set Dewasa (Tipe Y) pcs 411 411 271 140
119 iodium tes Botol 10 ml 37 37 - 37
120 Isosorbid Dinitrat tab 5mg 1.2 tablet 1,970 1,970 100 1,870
121 Kalsium glukonat inj i.v 10% 29 Tube 35 35 - 35
122 Kalsium Laktat (Kalk) tab 500 mg 25.6 ktk/100 tablet 1,050 2500 3,550 1,900 1,650
123 Kapas 250 gram Pcs 219 219 5 214
124 Kapas berlemak 500gr 20.3 Bungkus 29 29 1 28
125 Kapsul kosong 23.2 tablet 2,950 2,950 - 2,950
126 Kaptopril tablet scored 25 mg 14.1 ktk/100tab 1,000 1,000 700 300 2000
127 Karbamazepin tab 200 mg Ktk/100tab - 1,000 1,000 100 900 Ed
128 kasa hydrophil 40 x 80 cm/Kasa gulung 5 Roll 29 29 4 25
129 Kasa Kompres 16 x 16 steril (isi 16 lembar) Roll - - - - 200
130 Kertas Puyer Obat bks 9 9 - 9
131 Kertas puyer pres 6.2.1 bks - - - -
132 Ketokonasol krim 2% 7.2 tube 720 720 25 695
133 Ketokonazol tab 200 mg 32 Dus 5 strip 1,500 1,500 100 1,400
134 Ketorolac inj 10 mg 25.1 Ampul/10amp 240 240 80 160 300
135 Kloramfenikol suspensi 26.3 botol/60ml 177 100 277 128 149
136 Kloramfenikol salep mata 1 % tube 45 200 245 110 135
137 Kloramfenikol tetes mata 0,5% 5 Botol 24 50 74 2 72
138 Kloramfenikol tetes telinga1% 13.1 Botol 11 50 61 32 29 50
139 kalsium hidroksida pasta 1 1 - 1
140 Klorpromazin tab 25 mg 6.3 ktk/100 tab 700 700 100 600
141 Kodein 25.4 btl 400 500 900 500 400
142 Kombinasi: Multivitami + Analgrtik Tab botol 60ml 2,200 2,200 800 1,400
Kotrimoksazol DOEN I (Dewasa) Kombinasi : Sulfametoksazol 400 mg + ktk/100tab 11,250 11,250 250 11,000
143
Trimetoprim 80 mg 20.2
144 Kotrimoksasol suspensi 5 botol/60ml 1,119 1,119 39 1,080
145 lar. HCl 0,1 N botol - - - -
146 Leukoplast 7,5 cmx4,5m 1.2 Roll 89 89 5 84
147 Lipron B Plek 18.4 ktk/100tab 350 350 350 - 3000
148 Lisol btl 1000ml 4 4 8 4 4
149 Loperamid tab 2 mg Ktk/100tab 1,450 1,450 400 1,050
150 Loratadin tablet 10 mg 32 ktk / 100 tab 950 950 50 900
151 Magnesium Sulfat 20% - 25 ml 26.2 plakon - - - -
152 Magnesium Sulfat 40% - 25 ml 26.2 plakon 80 80 - 80
153 Masker one med Kait 6.1.1 ktk/50tab - - - -
154 Masker one med tali ti on 6.2.1 Btl 1000 kaplet 119 119 21 98
155 Metampiron (antalgin) injeksi 250 mg 23.4 ktk / 30 ampul @ 2 ml - -
156 Metformin tab 500mg ktk/100yab 8,500 8,500 800 7,700
157 Metil prednisolon tab 4mg dus/100tab 650 2,500 3,150 2,250 900
158 Metilergometrin inj 0,2 mg/ml 18.4 Ampul 515 515 315 200 100 Ed
159 Metilergometrin tab salut 0,125 mg 22.1 ktk/100tab 1,100 1,100 - 1,100
160 Metoklopramide tablet 10 mg 7.2 ktk / 100 tablet 1,000 1,000 - 1,000
161 Metronidazol tab 500 mg 1.2 ktk/100tab 1,800 1,800 750 1,050
162 Mikonazol krim/salep 2 % (Nitrat) 23.2 tube 152 152 9 143
163 MTD kusta PB Deewasa paket - - - 5
164 MTD Kusta PB Anak paket - - - 5
165 MTD MB Dewasa/kusta 6.2.1 paket 2 2 - 2 5
166 MTD MB Anak/kusta 25.4 paket 1 1 - 1 5
167 Mineral mik 4 4 - 4
168 NaCL 0,9 % Botol 60 200 260 180 80 200
169 Nasal Oksigen bayi pcs 22 22 - 22
170 Nasal oxsigen Anak pcs 37 37 - 37
171 Nasal oxsigen dewasa pcs 37 37 4 33
172 Natriun diklofent tab 50 mg 32 ktk/50 tab 1,750 2,500 4,250 550 3,700
173 Natriun Metamizole inj bok - - - -
174 Nifedipin kaps 10 mg 17.1 ktk/100kaps 1,400 1,400 450 950
175 Nistatin tab Ktk 750 400 1,150 400 750
176 Nistatin Vagina 180 180 - 180
177 Novabion kapsul 3,900 3,900 1,850 2,050
178 Novadiar sirup 26.1 btl/60ml 308 308 33 275
179 Noza tablet 457 457 33 424 200
180 Nurse cap bok/50 pcs - -
181 Obat Batuk hitam ( OBH) 14.1 Botol 61 61 16 45 100
182
20mg,sorbitol sirup with chocolate flavour q.c botol 60ml 66 66 - 66
183 Objeck Glass Frosted Dus/72 pcs 10 10 1 9
184 Objeck Glss frosted/slide 10.1 Box/72 pcs 144 144 - 144
185 Oksitetrasiklin Hcl salep kulit 3% Tube 5gram 89 100 189 89 100
186 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 20.3 10 vial / kotak 156 156 156 - 200
187 Oksitosin inj10UI mg Ampul/100amp 762 762 87 675
188 Omeprasol kaps 20 mg Kapsu/3srtip 7,860 7,860 1,180 6,680
189 Omeprazol injeksi 40mg/10ml dus 10 vial 70 70 70 - 100
190 Ondansentron inj 2 mg/ml ampul 95 95 85 10 200
191 Onemed Kasa Pembalut Hydrofil 4 m x 15 cm Roll 245 245 5 240
192 Papaverin tablet 40 mg 31 1000 tablet / botol 14,200 14,200 - 14,200
193 Parasetamol sirup120 mg / 5 ml 6.2.1 Btl 60 ml - - - - 500
194 Parasetamol tab 500mg ktk/100tab 23,000 23,000 4,900 18,100
195 pembalut gips 6.2.1 Roll 152 152 - 152
196 Pelester non women roll 15x15 Roll 12 12 3 9
197 penjepit tl pstUmbilical Cord klem seteril nilon pcs 960 960 270 690
198 Permetrin krim 5 %(skabimite) 14.1 Tube 184 184 - 184
199 phenobarbital inj 6.1.1 ktk/30amp 120 120 - 120
200 Pipet tetes panjang 6.2.2 pcs 100 100 - 100
201 Pirantel pamoat suspen scored 125 mg/5mg 6.3 Botol - - - -
202 Pirantel pamoat tablet 125mg dus/100tab 450 450 - 450
203 Pirantel suspensi 125 mg/5 ml 6.2.1 botol 18 18 - 18
204 Piridoksi vit B6 tab 10mg dus/100tab 1,650 1,650 - 1,650
205 Piroksikam tab 10 mg 6.3 ktk/100tab - - - - 2500
206 Plastik klip sedang (5x8 cm) pak/100buah 10 10 1 9
207 plastik klip sedang (6x10 cm) pak/100buah 31 31 2 29
208 Plesterin Non Woven Roll 20cmx5m btl 500ml 4 4 - 4
209 poli kateter no 18 9 pcs 10 10 - 10
210 poli kateter no 20 21.2.4 pcs 30 30 - 30
213 Pot Sputum 3 btl 30 30 - 30 100
214 Povidon Iodida Larutan 10 % 26.1 btl/300ml 17 17 3 14
215 Povidon iodion 10% 6.2.2 botol/60ml - -
216 Prednison tab 11.2 Btl 1000tab 16,950 16,950 1,200 15,750
217 Primakuin tab 15 mg 21.2.1 ktk/100tab 1,200 1,200 - 1,200
218 Propanolol tab 10 mg 28.1 ktk/100tab 2,200 2,200 300 1,900
219 Propiltiourasil tab 100mg 6.2.4 ktk/100tab 1,200 1,200 - 1,200
220 Ranitidin inj 25 mg/ml 6.2.4 Ampul 630 630 185 445
221 Ranitidin kaplet 6.2.1 b0k 30,900 30,900 700 30,200
222 RDT DBD Box/20 pcs - - - - 1
223 RDT MALARIA Box/20 pcs 3 3 - 3
224 Reagen ZN 10 10 - 10
225 Retinol (vitamin A)Kaps lunak 100.000UI Btl/50kap 13 13 - 13
226 Retinol(vitamin A)200.000IU Kapsul 32 Btl/50kap 72 72 2 70
227 Ringer Laktat Larutan 6.3 botol 280 200 480 200 280 500
228 Rivanol 6.2.1 bt t/100ml 7 7 - 7
229 Rivanol 0,1% Btl 300 ml 101 101 2 99
230 Salbutamol tab 4mg bok 5,900 5,900 750 5,150
231 Salbutamol tab 2mg ktk - -
232 Salep 2-4,kombinasi: asam salisilat 2%+ belerang endap 4% 3 Pot 420 420 - 420
233 Sarung tangan obgyn/panjang bok 401 401 200 201
234 Sefiksim tab 100mg 6.4.2.1 ktk/50 tab - - - - 1000
235 Seftriakson serb inj 1000mg/ml 6.2.2 Vial 396 396 6 390
236 Setirizin sirup 5 mg/5 ml botol 60ml 45 45 - 45
237 Setirizin ta 10 mg 25.4 ktk/100 kaps 900 900 - 900
238 Sianokobalamin (vit b12) inj 500 mcg dus/100amp 625 625 275 350
239 Silk3 /0 + jarum1/2 GT 35 mm Box/12 pcs 367 367 7 360
240 Silk 2/0 + jarum1/2 GT 35 mm Box/12 pcs 410 410 30 380
241 Simvastatin scored tablet 10 mg 26.1 ktk/100 tablet 8,900 8,900 1,110 7,790
242 Spasi inj 25.1 ktk / 10amp - -
243 Spritus 14.1 botol - - 2
244 Strip asam urat btl/25strp 19 19 2 17
245 Strip Gula Darah Nesco Btl/25strip 25 25 3 22
246 Strip kolesterol Nesco bt - - - - 15
247 Tabung EDTA ktk/100 pcs 1 1 - 1
248 Test kehamilan Box/50 pcs 37 37 - 37 100
249 tetrakain hcl tetes mata 0,5 13.2 btl 10 10 - 10
250 Tetrasiklin kap 500mg dus/100kap 500 500 - 500
251 Tetrasiklin kapsul/kaplet 250 mg 1.2 kapsul - -
252 Tiamin (vit b1) tab 50mg ktk 100 tb 1,750 2,500 4,250 3,850 400 2000
253 Tiamin (Vit.B1) inj 10mg/ml 18.2 Ampul 30 25 55 35 20 120
254 Turniquit 20.3 pcs - - 10
255 Uniflex 15 cm x 4,5 m(elastis verban) Roll 15 15 - 15
256 Urine Bag standard steril 2L.t (T valve) 26.1 Buah 50 50 - 50
257 Vacu needle 1 1 1
258 Vagistin Suppositoria bok 10 sup 102 102 - 102
259 vit C ktk/100tab 22,400 22,400 2,000 20,400
260 Vitamin b complek ktk/100tb 37,700 37,700 1,100 36,600
261 Vitamin B12 tab Btl 1,950 1,950 250 1,700
262 Zinc sir 20mg/5ml botol 60 ml 25 25 - 25
263 Zinc tab dispersible 20mg dus/100tab 4,300 4,300 100 4,200
264 OAT Anak dus 3 5 8 5 3 10
265 OAT Dewasa dus 4 2 6 4 2 10
266 Gloves surgical no.6,5 pasang 250 250 - 250
267 Gloves surgical no.8,0 pasang 200 200 - 200
268 Plesterin Non Woven Roll 5cmx5m Roll 13 13 - 13
269 Plesterin Non Women Roll 10cmx5m Roll 7 7 - 7
270 Ecodine 5 liter Botol 5000 ml 1 1 - 1
271 Arm Sling M pcs 5 5 - 5
272 Arm Sling L pcs 5 5 - 5
273 Reagen pemerisaan gol.darah paket 2 2 - 2
274 Strip Haemoglobin botol/25 strip 3 3 2 1 5
275 Haemoglobin test Buah - - - -
276 BCG 20 ds/Ampul vial 10 20 30 15 15 15
277 Polio 10 ds/vial Vial 9 30 39 19 20 20
278 DPT-HB-HIB 11 40 51 34 17 30
279 IPV - 20 20 11 9 10
280 Hel.B 1 ds/Ads 55 30 85 42 43 30
281 Dcampak 10 ds/Vial 5 20 25 16 9 15
282 Td 10 ds/ vial 16 10 26 3 23
283 ADS 0,05 ml - 100 100 40 60
284 ADS 0,5 ml 250 300 550 250 300
285 ADS 5 ml 80 80 40 40
286 Bisoprolol 700 1,000 1,700 1,000 700
287 Klorampenikol kap 2,000 2,500 4,500 3,000 1,500
288 OAT Dewasa kategori 2 - - 4
UMUM
ASKES JUMLAH
Sumber Agung Juni 2018

Mengetahui
Kepala Puskesmas Mepanga Petugas
Ketut Cita, A.Md.Kep. Ni Ketut Suriati, A.Md.Far

NIP : 19730615 199403 1 009 NIP/NRPTT : 19790320 201001 2 001

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LAPORAN PEMAKAIAN

9 MTD MB Dewasa 6.2.1 paket

11 Vit k inj ktk

1 Calcii Gluconas injek 14.1 ktk / 24 Ampul

2 Magnesium Sulfat 20% - 25 ml 32 ktk / 10 vial

3 Magnesium Sulfat 40% - 25 ml 32 ktk / 10 vial

4 Catgut /Benang Bedah plain No.2/0 ,3/0 dg jarum 32 kotak / 24 pcs

5 Catgut/Benang Bedah Chromic No.2/0-3/0 dg jarum 6.1.1 kotak / 24 pcs

6 Infusion set anak 1.2 Roll

7 Anti fungi doen 26.1 btl

8 phenobarbital inj 23.2 amp

9 pembalut gips 6.2.1 Roll

10 diltiasem 6.2.1 ktk

1 Propanolol tablet 10 mg (HCl) 14.1 tablet

3 Haloperidol tablet 1,5 mg 32 tablet

4 Haloperidol tablet 2 mg 32 tablet

5 Zinc tablet dispersible 20 mg 6.1.1 tablet

6 Antimalaria DOEN kombinasi : Pirimetamin 25 mg + Sulfadoksin 500 mg 1.2 tablet

7 Metilergometrin Maleat tab salut 0,125 mg 26.1 tablet

8 Mikonazol krim/salep 2 % (Nitrat) 23.2 tube

9 Alprazolam tablet 0,5 mg 6.2.1 tablet

10 Difenhidramin injeksi i.m. 10 mg/ml 6.2.1 ampul

11 Epinefrin (adrenalin) injeksi 1 mg/ml 6.2.1 ampul

14 Kloramfenikol suspensi 1.2 botol 60 ml

15 Kloramfenikol salep mata 1 % 25.1 tube 5 gram

16 Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000 - 2 ml 18.2 ktk / 100 amp @ 2 ml

17 Metampiron injeksi 250 mg 25.3 ktk / 30 ampul @ 2 ml

18 Metilergometrin Maleat injeksi 0,200 mg -1 ml 18.3 100/Ampul

19 Metoklopramide tablet 5 mg 7.2 ktk / 100 tablet

21 Oksitetrasiklin injeksi I.m. 50 mg/ml-10 ml 20.3 10 vial / kotak

22 Oksitosin injeksi 10 UI/ml-1 ml 29 vial/kotak

23 Papaverin tablet 40 mg 31 1000 tablet / botol

24 Scabimite cream 1.2 tube

25 Povidon Iodida larutan 10% 25.4 botol 60 ml

26 Salep 2-4,Kombinasi:AsamSalisilat 2 % + Belerangendap 4 % 9 Ktk / 24 Pot @ 30g

28 Catgut/Benang Bedah Chromic No. 2/0-3/0 dg jarum 6.2.1 kotak / 24 pcs

29 H2O2,0,3-0,5% 6.2.1 Set @ 100 gram / btl

30 lar. HCl 0,1 N 18.4 Botol/100 ml

31 Devitalisasi Pasta Non Arsen 32 set

32 Pot Sputum 3 btl

33 Etil Klorida spray 16.4 btl/ktk

1 Propanolol tablet 10 mg (HCl) 14.1 tablet

3 Deksametason injeksi i.v./i.m. 5 mg/ml 32 ampul

4 Glibenklamid tabet 5 mg 32 tablet

5 Haloperidol tablet 5 mg 6.1.1 tablet

6 Isosorbid Dinitrat tablet sublingual 5 mg 1.2 tablet

7 Povidon Iodida Larutan 10 % 26.1 btl/300ml

8 Loperamid tablet 2 mg 23.2 tablet

9 Sefadroksil sirup kering kering 125 mg/5 ml 6.2.1 botol

10 Furosemid tablet 40 mg 6.2.1 tablet

11 Kotrimoksazol suspensi komb : Sulfametoksazol 200 mg + Trimetoprim 40 mg / 5ml 6.2.1 botol

12 Pirantel suspensi 125 mg/5 ml 6.2.1 botol

13 Tetrasiklin kapsul/kaplet 250 mg 1.2 kapsul

14 Metronidazol tablet 500 mg 1.2 tablet

15 Bedak salisil serbuk 2 % 25.1 pot

16 Griseofulvin tablet 125 mg 18.2 tablet

17 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 25.3 tablet

18 Asiklovir tablet/kapsul/kaplet 400 mg 18.3 tablet

19 Ketokonazol krim 2 % 7.2 tube

20 Klonidin tablet 0,15 mg 9 tablet

21 Salbutamol tablet 4 mg (sebagai sulfat) 20.3 tablet

22 Mikonazol krim/salep 2 % (Nitrat) 29 tube

23 Glukosa larutan infus 5 % steril 31 botol