Permintaan Tambahan obat / BMHP

Puskesmas Sudi
April 2016

No Nama Obat Satuan Jumlah Ket

1 Ambroxol 15 mg/5 ml botol 400
2 Ambroxol 30 mg tablet 2500
3 Aminofilin 200 mg tablet 200
4 Amoxicillin 500 mg tablet 5000
5 Antalgin 500 mg tablet 1500
6 Antihemoroid suppo 60
7 Asam Folat 1 mg tablet 1000
8 Asam Mefenamat 500 mg tablet 2000
9 Acyclovir 5 % tube 100
10 Besi (Fe) tambah darah bungkus 300
11 Dexamethasone 0,5 mg tablet 3000
12 Gentamisin tets mata tube 100
13 Gliceryl Guaiacolat 100 mg tablet 3000
14 Carbamazepine 200 mg tablet 300
15 Chloramphenicol salep mata tube 75
16 Chloramphenicol tetes mata botol
17 Chloramphenicol tetes telinga botol
18 Meloxicam 15 mg tablet 200
19 Multivitamin syr (procurma) botol 150
20 Multivitamin tablet tablet 2000
21 OBH syrup botol 200
22 Obat flu tablet (Ponflu) tablet 3100
23 Oxytetracyclin salep mata tube 100
24 Oxytetracyclin salep kulit tube 75
25 Pyridoxin HCl (B6) 10 mg tablet 3000
26 Piroxicam kapsul 20 mg tablet 1000
27 Povidon iodida 30 ml botol 20
28 Prednisone 5 mg tablet 2500
29 Salbutamol Nebulizer ktk 1
30 Salep luka bakar tube 40
31 Syanocobalamin (B12) tablet 1000
32 Sulfacetamid Na tetes mata tablet 96
33 Thiamin HCl (B1) 50 mg tablet 4000
34 Thiamphenicol 500 mg tablet 800
35 Bisturi buah 100
36 Infuset dewasa set 30
37 Etil Klorida cairan semprot 100 ml botol 2
38 Perlengkapan Analis 1 Set

Sudi, 25 April 2016

Mengetahui, Kepala Puskesmas Sudi

H. Yunus Uyus R, SKM

NIP. 19640624 198703 1 005