DAFTAR PERMINTAAN OBAT PUSKESMAS PERAWATAN BULI

No Nama Obat Kemasan Jumlah Ket

1 Ambroxol tab Tablet 5000
2 Ambroxol syr Tablet 200
3 Ampicilin injeksi Ampul 50
4 Amitriptilin Tablet 1000
5 Antihemorroid Suppo 50
6 Domperidone Tab Pcs 1000
7 Cefixime Tablet 500
8 Dulcolax Tablet 100
9 Vitamin K injeksi Ampul 100
10 Oralit Saset 1000
11 Kaptopril 12,5 mg Tablet 5000
13 Lidocain injeksi HCl Ampul 300
14 Loratadin Tablet 2000
15 Metronidazole 500 mg Tablet 1000
16 Lidocain comp Botol 200
17 Oksitetrasiklin slp kulit Tube 200
18 Ranitidin tablet 150 mg Tablet 50000
19 Ranitidin injeksi Ampul 200
20 Asam tranexamat injeksi Ampul 100
21 Asam Tranexamat Tablet 1000
22 Cairan RL Botol 200
23 Furosemide injeksi Ampul 100
24 Hanscon steril Pcs 500
25 Bisturi Pcs 100
26 Hanscon steril non steril Ampul 500
27 Cefadroxil 500 mg Kapsul 1000
28 Simetidin Tablet 1000
29 Simvastatin 10 mg Tablet 10000
30 Nifedipin Tablet 500
31 Isosorbit dinitrate (ISDN) Tablet 500
32 Tablet tambah darah Tablet 20000
33 Vitamin B kompleks Tablet 2000
34 Mikonazole Tube 10000
35 Primaquin Tablet 500
36 Rivanol Botol 10
37 Gentamicin salep kulit Tube 200
38 OAT Kategori 1 Paket 10
39 Handscoon Steril Pcs 200
40 Handscoon non Steril Pcs 500
41 Plester Rol 10
42 Infuset dewasa Pcs 100
43 Kloramfenikol tetes telinga Botol 100
44 Betametason salep kulit Tube 100
45 Abocat no. 20 Pcs 100
46 Abocat no. 22 Pcs 100
47 Abocat no. 24 Pcs 100
48 Abocat no. 26 Pcs 100
49 Klem tali pusar Pcs 100
50 Bedak salisil pot 20
51 Silk Pcs 10 box
52 Povidon Botol 10
53 NaCl 0,9 % Botol 300
54 Masker Pcs 10000
55 Vitamin B komp injeksi ampul 100
56 Stik kolesterol Pcs 200
57 Catgut Cromic Pcs 200
58 Glibenclamid tablet 10000
59 HCl 0,1 N Botol 5

Buli, 07 Mei 2019

Plt. Kepala Puskesmas

Serlyan Hukom, SKM

NIP : 19680317 200212 2 004