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PUSKESMAS ....................

DINAS KESEHATAN KAB ENREKANG


PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

JUMLAH PENERIMAAN
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
1 Albendazol 400 mg Tablet - - - - - - - - - - - - - -
2 Albutyl Botol 4 3 - 3 - - - - - - 5 - - 11
3 Allopurinol 100 mg Tablet 200 1,000 - 500 500 500 - - - - - - 1,000 3,500
4 Allopurinol 100 mg Tablet - - - - - - - - - - - - - -
5 Ambroxol 30 mg Tablet 1,600 - 1,000 - 700 1,000 - - - - - - - 2,700
6 Ambroxol sirup Botol 12 20 50 50 - - - 50 - - 200 - - 370
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul - - - - - - - - - - - - - -
8 Aminofilin Tablet 200 mg Tablet - - - - - - - - - - - - - -
9 Amitriptilin HCl 25 mg Tablet 271 - - - - - - - - - - - - -
10 Amitriptilin HCl 25 mg Tablet - - - - - - - - - - - - - -
11 Amoxicilin 500 mg Tablet 3,100 3,600 3,600 - - 3,600 3,600 3,000 7,200 10,000 - - 10,000 44,600
12 Amoxicilin 500 mg Tablet - - - - - - - - - - - - - -
13 Amoxicilin 500 mg Tablet - - - - - - - - - - - - - -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol - - - - - - - 60 - - 300 - 150 510
15 Ampicilin kaplet 500 mg Tablet 200 500 1,000 - - - - - - - - - - 1,500
16 Ampicilin sirup kering 125 mg/5 ml Botol 27 50 50 - - - - - - - - - - 100
17 Ampicilline injeksi Vial - - - - - - - - - - - - - -
18 Amlodipine 5 mg Tablet 450 900 900 - - - - - - - - - - 1,800
19 Amlodipine 5 mg Tablet - - - - - - - - - - - - - -
20 Antalgin 500 mg Tablet 600 100 - - - - - - - 1,000 3,000 - - 4,100
21 Antasida doen tablet kombinasi Tablet 450 - - - - - - 2,000 2,000 5,000 - 2,000 - 11,000
22 Antasida suspensi Botol 35 - - - - 50 - - - - 100 50 - 200
23 Antasida suspensi Botol - 50 100 - - - - - - - - - - 150
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube - 50 - - - - 25 25 25 25 - 25 25 200
25 Anti hemoroid doen kombinasi Suppo - - - - - - - - - - 20 - - 20
26 Antifungi doen kombinasi Pot 10 - 24 - - - - 24 48 - 96 - - 192
27 Alkohol 70% 1000 ml Botol 1 1 - - - - 1 1 - - - - - 3
28 Alkohol 70% 100 ml Botol 46 - 20 - - 20 20 20 20 - 48 24 24 196
29 Aqua pro injeksi Vial 19 - - - - - - - - 10 - - - 10
30 Asam askorbat (Vit.C) 50 mg Tablet 700 5,000 3,000 - 3,000 3,000 3,000 3,000 7,000 7,000 - 5,000 2,000 41,000
31 Asam Mefenamat Tablet 1,300 3,000 2,000 - 1,000 1,000 3,000 3,000 10,000 - - - 10,000 33,000
32 Asam Mefenamat Tablet - - - - - - - - - - - - - -
33 Asetosal 100 mg Tablet - - - - - - - - - - - - - -
34 Asetosal 500 mg Tablet - - - - - - - - - - 500 - - 500
35 Asiklovir 400 mg (Ktk100) Tablet 200 - - - - 300 - - - - - - - 300
36 Asiklovir 400 mg (Ktk100) Tablet - - - - - - - - - - - - - -
37 Asiklovir 400 mg (Ktk50) Tablet - - - - - - - - - - - - - -
38 Asiklovir krim 5 % Tube 10 25 - - - - - - - - - - - 25
39 Asmasolon tablet Tablet 500 - - - - - - - - - - - - -
40 Atropin sulfat injeksi Ampul 84 - - - - - - - - - - - - -
41 Atropin sulfat tablet Tablet - - - - - - - - - - - - - -
42 Atropin sulfat tetes mata Botol - - - - - - - - - - - - - -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet - - - - - - - - - - - - - -
44 Betametason krim 0,1% Tube - - - - - - - - 50 25 100 50 50 275
45 Betafort syrup Botol - - - - - - - - - - - - - -
46 Becefort syrup Botol 35 - - - - - - - - 50 - 50 - 100
Bodrex Migra Tablet 700 - - -
47 Bonding Botol 5 ml 1 - - - - - - - - - - - - -
48 Captopril 25 mg Tablet - 1,000 500 - - 500 - 500 - 3,000 - - - 5,500
49 Captopril 25 mg Tablet - - - - - - - - - - - - - -
50 Captopril 50 mg Tablet - 500 - - - - - - - - - - - 500
51 Captopril 50 mg Tablet - - - - - - - - - - - - - -
52 Cetrizine Tablet 480 - - - - - - - - 450 - 300 - 750
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
53 Cefadroxil 500 mg Tablet 500 500 1,000 - 1,000 1,000 - 500 1,000 1,000 1,000 - - 7,000
54 Cefadroxil 500 mg Tablet - - - - - - - - - - - 1,000 - 1,000
55 Cimetidin 200 mg Tablet 1,000 - - - - - 1,000 1,000 - 1,000 - - - 3,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet - 1,000 - 1,000 - - 200 500 500 1,000 - - - 4,200
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet - - - - - - - - - - - - - -
58 Chloramfenicol 250 mg Tablet 500 - 500 - 500 500 - - - - - - - 1,500
59 Chloramfenicol salep mata 1% Tube 18 24 24 - - 24 24 24 24 24 - 24 48 240
60 Chloramfenicol suspensi Botol 45 - - - - - - - 50 - - - 50 100
61 Chloramfenicol tetes telinga Botol - - - - - - - 20 24 24 50 30 20 168
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 800 - 1,440 864 1,440 1,440 864 2,000 5,000 5,000 10,000 - - 28,048
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul - - - - - - - - - - - - - -
64 Chlorpromazin HCl 25 mg Tablet 616 - 1,000 - - - - - - 200 300 100 - 1,600
65 Codein fosfat 10 mg Tablet 350 100 - - - - - - - - - - - 100
66 Cotrimoksazol suspensi Botol - 50 50 - - 50 - - - - 100 100 - 350
67 Cotrimoksazol 480 mg Tablet 630 - - - - 500 1,000 1,000 - 500 1,000 2,000 - 6,000
68 Cotrimoksazol 120 mg (pediatrik) Tablet - 500 500 - - - 500 - 500 - 500 - 500 3,000
69 Cotrimoksazol Forte Tablet - - - - - - - - - - - - - -
70 Deksametason inj. 5 mg/ml-1 ml Ampul - - - - - - - - 30 - - 30 - 60
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 1,100 3,000 3,000 - - 2,000 - - - 3,000 4,000 3,000 - 18,000
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet - - - - - - - - - - - - - -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul - - - - - - - - - - - - - -
74 Diazepam 2 mg Tablet 272 - - - - - - - - - - - - -
75 Diazepam 2 mg Tablet - - - - - - - - - - - - - -
76 Diazepam 5 mg Tablet 387 - 200 - - - - - - - - - - 200
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul - - - - - - - - - - - - - -
78 Digoksin 0,25 mg Tablet 30 500 - - - - - - - - - - - 500
79 Dulcolax Suppo Suppo 9 - - - 10 - - - - - - - - 10
80 Domperidon 10 mg Tablet 400 500 - - 300 - 200 - - - - - - 1,000
81 Efedrin 25 mg Tablet - - - - - - - - - - - - - -
82 Ekstrak Belladon Tablet 89 - - - - - - - - - - - - -
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
83 Epinefrin injeksi Ampul 34 - - - - - - - - - - - - -
84 Erytromicin syrup kering Botol - - - - - - - - - - - - - -
85 Erytromicin 500 mg Tablet 100 - - - - - - - - - 500 - - 500
86 Erytromicin 500 mg Tablet - - - - - - - - - - - - - -
87 Etil klorida semprot Botol 3 - 5 - - - - - 3 5 5 - - 18
88 Eugenol cairan Botol - - - - - - - - - - - - - -
89 Ergotamin Caffein Tablet 100 300 - - - - - - - - - - - 300
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1 - - - - - - - - - - - - -
91 Fenilbutason 200 mg Tablet - - - - - - - - - - - - - -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28 - - - - - - - - - - - - -
93 Fenobarbital 30 mg Tablet - - - - - - - - - - - - - -
94 Fenol gliserol tetes telinga 10% Botol - - - - - - - - - - - - - -
95 Fitomenadion (vit.k) 10 mg Tablet 300 - 300 - - 300 300 - 500 - 500 - - 1,900
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 15 30 30 30 - - - 30 30 30 60 30 30 300
97 Fitomenadion (vit.k1) Infant injeksi Ampul - - - - - - - - - - - - - -
98 Forumen tetes telinga Botol - - - - - - - - - - - - - -
99 Furosemid 40 mg Tablet 800 - - - - - - - - - - 600 - 600
100 Gentamicin salep kulit Tube - - - - - - - - - 36 - 24 - 60
101 Gentian violet larutan 1% 10 ml Botol 24 - 24 - - 24 - - 24 24 - - 24 120
102 Glass lonomer cement / Fuji 9 Set 1 - 1 - - - - - 1 - - - - 2
103 Glass Ionomer No.7 (Radiopaque) Set - - - - - - - - - - - - - -
104 Glibenklamid 500 mg Tablet - 1,000 - 500 - 500 500 - 1,000 - - 1,000 500 5,000
105 Glibenklamid 500 mg Tablet - - - - - - - - - - - - - -
106 Gliseril guayakolat 100 mg Tablet 1,850 3,000 2,000 - - - 2,000 - 2,000 5,000 5,000 - - 19,000
107 Glukosa lart. Infus 5% 500 ml Botol 19 20 20 - 20 20 20 20 100 - - - - 220
108 Glukosa lart. Infus 5% 500 ml Botol - - - - - - - - - - - - - -
109 Griseofulvin 125 mg Tablet 100 - - - - - - 300 - - - 300 - 600
110 Haloperidol Injeksi Ampul 10 - - - - - - - - - - - - -
111 Haloperidol 0,5 mg Tablet - - - - - - - - - - - - 500 500
112 Haloperidol 0,5 mg Tablet - - - - - - - - - - - - - -
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
113 Haloperidol 1,5 mg Tablet 522 - 500 - - 300 500 - 300 300 300 300 - 2,500
114 Haloperidol 1,5 mg Tablet - - - - - - - - - - - - - -
115 Haloperidol 5 mg Tablet 430 - - - - - - - - - - - - -
116 Hidroklorotiazid (HCT) 25 mg Tablet - - - - - - - - - - - 100 - 100
117 Hidrokortison krim 2,5% Tube 30 24 - - - - - - - 48 48 60 - 180
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet - - - - - - - - - 1,000 1,000 - - 2,000
119 Hemorogard Tablet 180 - - - - - - - - - - - - -
120 Ibuprofen 200 mg Tablet - 1,000 - - - 500 1,000 - - - - 1,000 - 3,500
121 Ibuprofen 400 mg Tablet 850 - - 1,000 500 500 - 1,000 1,000 - 2,000 1,000 - 7,000
122 Ibuprofen 400 mg Tablet - 1,000 - - - - - - - - - - - 1,000
123 Isosorbit Dinitrat Tablet 50 - - - - 200 - - - - - - - 200
Jelly Multimedia 80 gram Tube - - - 5 - - - - - - - - - 5
124 Kalium permanganat serbuk Pot 10 12 12 - - 12 - - - 12 12 - - 60
125 Kalsium hidroksida pasta Kotak 1 - - - - - - - - - - - - -
126 Kalsium laktat (kalk) 500 mg Tablet 4,250 - 3,000 - - - 3,000 3,000 3,000 1,000 - - 3,000 16,000
127 Karbamazepin Tablet - - - - - - - - 500 - - 500 - 1,000
128 Ketokonazole krim Tube 6 - - - - - - - - - - 25 - 25
129 Komposite A 3,5 Pieces 1 - - - - - - - 1 - - - - 1
130 Komposite A3 Pieces 1 - - - - - - - 1 - - - - 1
131 Komposite A2 Pieces 1 - - - - - - - 1 - - - - 1
132 Lidokain injeksi (Pehacain) Ampul 48 120 - - - - - - - - - - - 120
133 Lisol Botol 5 - 3 - 2 - 2 - - - 5 5 - 17
134 Lisol Botol - - - - - - - - - - - - - -
135 Loperamide Tablet 100 - 500 200 - - - 200 500 500 1,000 - - 2,900
136 Lysmin Syrup Botol - - - - - - - - - - - - - -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27 - - - - - - - 30 - 30 - - 60
138 Metilergometrin maleat 0,25 mg Tablet - - - - - - - - - - - - - -
139 Metilprednisolon 16 mg Tablet - - - - - - - - - - - - - -
140 Metilprednisolon 8 mg Tablet 1,400 - 500 - - - - - - - - - - 500
141 Metilprednisolon 4 mg Tablet - - - - - - - - - 2,000 2,000 - - 4,000
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
142 Metoclopramida syrup Botol 50 - - - - - - - 50 - - 50 - 100
143 Metoklopramida 10mg Tablet 300 - 500 - - - - 500 - - 500 - - 1,500
144 Metronidazol 500 mg Tablet 100 500 500 - 500 - 500 500 600 1,000 - - 200 4,300
145 Metronidazol 500 mg Tablet - - - - - - - - - - - - - -
146 Metronidazol 500 mg Tablet - - - - - - - - - - - - - -
147 Metformin 500 mg Tablet 400 - - - 500 1,000 - 500 3,000 - 3,000 - - 8,000
148 Metformin 500 mg Tablet - 1,000 500 - - - - - - - - - - 1,500
149 Metformin 500 mg Tablet - - - - - - - - - - - - - -
150 MgSO4 20% Botol - - - - - - - - - - - - - -
151 MgSO4 40% Botol 2 - - - - - - - - - - - - -
152 Natrium diklofenak 25 mg Tablet 50 - - - - - - - - 500 - 500 1,000 2,000
153 Natrium diklofenak 50 mg Tablet - - - - 500 500 - - - - - 1,000 - 2,000
154 Natrium klorida lart. Infus 0,9 steril Botol 48 40 20 10 40 40 60 60 100 - - 60 - 430
155 Nistatin vaginal 100.000 iu Tablet 60 - - - - - - - - - 100 - - 100
156 Obat batuk hitam (OBH) syrup Botol - - 30 - 30 20 - - - 32 64 64 - 240
157 Oksitetrasiklin Hcl salep kulit 3% Tube - - - - - - - - - - 25 50 - 75
158 Oksitetrasiklin Hcl salep mata 1% Tube 1 - - - - - - - - - - - - -
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul - - - - - - - - - - - - - -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 34 50 10 - - - - - - - - - - 60
161 OAT Kategori I Paket - - - - - - - - - - - 3 5 8
162 Oralit 200 mg Sachet 90 - - - - - - - - - - - 300 300
163 Omeprazol 20mg Kapsul 90 - - - - - - - - - - - - -
164 Papaverin Tablet - - - - - - - - - - - - - -
165 Paracetamol 500 mg Tablet 3,800 - - 3,000 - - - - 2,100 - - 5,000 5,000 15,100
166 Paracetamol 500 mg Tablet - 3,000 - - - - - - - - - - - 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 60 - - - 50 100 200 200 200 200 150 150 150 1,400
168 Parasetamol sirup 120 mg mg/5 ml Botol - 150 200 - - - - - - - - - - 350
169 Paraformadehida Tablet - - - - - - - - - - - - - -
170 Piracetam 400 mg Kaplet 900 - - - - - - - - - - - - -
171 Pirantel Pamoat 125 mg Tablet 210 - 200 - - - - - 500 - - 1,000 - 1,700
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
172 Pirantel Pamoat 125 mg Tablet - - - - - - - - - - - - - -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 550 3,000 - - - - - 3,000 3,000 - 5,000 - - 14,000
174 Piroksikam 20 mg Tablet 300 - 500 - - 500 - - - - - 1,000 - 2,000
175 Piroksikam 20 mg Tablet - 1,000 - - - - - - - - - - - 1,000
176 Prednison 5 mg Tablet 850 1,000 1,000 - - - - - - 2,000 5,000 - - 9,000
177 Propanolol HCl 40 mg Tablet 100 - - - - - - - - - 200 - 300 500
178 Propiltiurasil (PTU) 100 mg Tablet - - - - - - - - - - - - - -
179 Quinine Sulfat 222 mg Tablet - - - - - - - - - - - - - -
180 Ranitidin injeksi. Ampul - - - - - - - - - - - - - -
181 Ranitidin Tablet 2,000 - - 1,000 1,200 2,000 1,000 - 3,000 - 3,000 - - 11,200
182 Ranitidin Tablet - 2,000 - - - - - - - - - - - 2,000
183 Reserpin Tablet - - - - - - - - - - - - - -
184 Retinol (Vitamin A) 100.000 UI Kapsul - - - - - - - - - - - - - -
185 Retinol (Vitamin A) 100.000 UI Kapsul - - - - - - - - - - - - - -
186 Retinol (Vitamin A) 200.000 UI Kapsul - - - - - - - - - - - - - -
187 Ringer Laktat larutan infus 500 ml Botol 250 100 - 200 200 100 200 300 500 300 300 200 200 2,600
188 Rivanol Botol 2 - - 6 - 5 - - 5 - 10 10 - 36
189 Salbutamol 2 mg Tablet - - - - - - - - - - - - - -
190 Salbutamol 4 mg Tablet 370 - - - - - - - 500 500 500 - - 1,500
191 Salep 2-4 kombinasi Pot 35 - - - - - - 24 24 6 - - - 54
192 Salicil bedak 2% Kotak 13 - - - - - - 20 20 - 6 20 - 66
193 Semen Seng Fosfat serbuk dan cairan Botol - - - - - - - - - - - - - -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul - - - - - - - - - - - - - -
195 Sianokobalamin (Vit B12) Tablet - - - - - - - 2,000 - - - - - 2,000
196 Silver Amalgam cair 65-75% Botol - - - - - - - - - - - - - -
197 Silver Amalgam Serbuk 65-75% Botol - - - - - - - - - - - - - -
198 Simvastatin 10 mg (ktk@30 tab) Tablet - 900 - 600 600 600 300 - 600 900 1,200 1,200 1,200 8,100
199 Simvastatin 10 mg (ktk@30 tab) Tablet - - - - - - - - - - - - - -
200 Spironolactone 25 mg Tablet 500 - - - - - - - - - - - - -
201 Tablet tambah darah kombinasi Tablet - - - - - - - - - 3,840 5,760 - - 9,600
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet - - - - - - - - 700 - - - - 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 3,780 - - - 3,000 1,500 4,000 - - - - - - 8,500
204 Temporary stopping (Flecter/Caviton) Ktk - - - - - - - - - - - - - -
205 Test Kit Formalin Set - - - - - - - - - - - - - -
206 Tetrakain Tetes Mata 0,5% Botol 5 - - - 5 - - - - - - - - 5
207 Tetracyclin 500 mg Kapsul 200 - - - - - - - - - - - - -
208 Tetracyclin 500 mg Kapsul - - - - - - - - - - - - - -
209 Tetracyclin 500 mg Kapsul - - - - - - - - - - - - - -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul - - - - - - - - - - - - - -
211 Thiamin HCl (Vit B1) 50 mg Tablet - - - - - - - - - - 3,000 - - 3,000
212 Trihexyphenidyl 2 mg Tablet - - - - - - - - - 200 - - 500 700
213 Trikresol Formalin (TFK) cairan Botol - - - - - - - - - - - - - -
214 Vitamin B Compleks Tablet 1,600 6,000 6,000 - 3,000 6,000 - 7,000 5,000 9,400 - 9,400 9,400 61,200
215 Vitamin B Compleks Tablet - - - - - - - - - - - - - -
216 Neurodex (B komp) Tablet - - - - - - - - - - - - - -
217 Neurophyron (Sianokobalmin) Tablet - - - - - - - - - - - - - -
218 Yodium Povidon 10 % 30 ml Botol 7 20 20 - - 10 27 20 20 - - - - 117
219 Yodium Povidon 10 % 30 ml Botol - - - - - - - - - - - - - -
220 Yodium Povidon 10 % 60 ml Botol - - - - - - - - - 10 - 10 5 25
221 Yodium Povidon 10 % 300 ml Botol 2 - 1 - - - - - - - - - - 1
222 Zinc 20 mg Tablet - - - - - - - - - 500 Err:509 Err:509 Err:509 Err:509

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 26 30 50 - - - 50 20 - 50 - - - 200
2 Abbocath no. 20 pieces 80 50 150 - 50 30 100 100 100 100 100 100 30 910
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
1 Albendazol 400 mg Tablet - -
2 Albutyl Botol 4 - -
3 Allopurinol 100 mg Tablet 200
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 1,600
6 Ambroxol sirup Botol 12
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul - -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 3,100
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 200
16 Ampicilin sirup kering 125 mg/5 ml Botol 27
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 450
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 600
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 35
23 Antasida suspensi Botol -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube -
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 10
27 Alkohol 70% 1000 ml Botol 1
28 Alkohol 70% 100 ml Botol 46
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 700
31 Asam Mefenamat Tablet 1,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 200
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 10
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup @24.756 Botol 35
Becefort syrup @24.750 Botol -
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet -
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet -
51 Captopril 50 mg Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 500
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 500
59 Chloramfenicol salep mata 1% Tube 18
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 800
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 616
65 Codein fosfat 10 mg Tablet 350
66 Cotrimoksazol suspensi Botol -
67 Cotrimoksazol 480 mg Tablet 630
Cotrimoksazol 480 mg Tablet -
68 Cotrimoksazol 120 mg (pediatrik) Tablet -
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 1,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 387
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 30
79 Dulcolax Suppo Suppo 9
80 Domperidon 10 mg Tablet 400
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 3
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 100
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 300
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 15
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 24
102 Glass lonomer cement / Fuji 9 Set 1
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet -
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 1,850
107 Glukosa lart. Infus 5% 500 ml Botol 19
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 522
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 30
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet -
121 Ibuprofen 400 mg Tablet 850
122 Ibuprofen 400 mg Tablet -
123 Isosorbit Dinitrat Tablet 50
Jelly Multimedia 80 gram Tube -
124 Kalium permanganat serbuk Pot 10
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 4,250
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 48
133 Lisol Botol 5
134 Lisol Botol -
135 Loperamide Tablet 100
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
140 Metilprednisolon 8 mg Tablet 1,400
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 300
144 Metronidazol 500 mg Tablet 100
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 400
148 Metformin 500 mg Tablet -
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
MgSO4 40% Botol 5
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet -
154 Natrium klorida lart. Infus 0,9 steril Botol 48
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol -
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 34
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
Omeprazol 20mg Kapsul 60
Omeprazol 20mg Kapsul -
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 3,800
166 Paracetamol 500 mg Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
167 Parasetamol sirup 120 mg mg/5 ml Botol 60
168 Parasetamol sirup 120 mg mg/5 ml Botol -
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 210
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 550
174 Piroksikam 20 mg Tablet 300
175 Piroksikam 20 mg Tablet -
176 Prednison 5 mg Tablet 850
177 Propanolol HCl 40 mg Tablet 100
Propanolol HCl 40 mg Tablet -
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 2,000
182 Ranitidin Tablet -
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 250
188 Rivanol Botol 2
Rivanol Botol 10
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
Salbutamol 4 mg Tablet 1,300
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet -
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 3,780
Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet -
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 5
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 1,600
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet - -
218 Yodium Povidon 10 % 30 ml Botol 7
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 2
222 Zinc 20 mg Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 26
2 Abbocath no. 20 pieces 80
ENREKANG

P E N E R I MAAN

AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - - -
3 - - - - 3
1,000 - 1,000
- -
- -
20 - 20
- -
-
-
-
3,600 3,600
-
-
-
500 500
50 50
-
900 900
-
100 100
-
-
50 50
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

50 50
-
-
1 1
-
-
5,000 5,000
3,000 3,000
-
-
-
-
-
-
25 25
-
-
-
-
-
-
-
-
20 20
-
-
1,000 1,000
-
500 500
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
500 500
-
-
1,000 1,000
-
-
24 24
-
-
-
-
-
100 100
50 50
-
500 500
500 500
-
-
3,000 3,000
-
-
-
-
-
-
500 500
-
500 500
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
300 300
-
-
-
-
-
-
30 30
-
-
-
-
-
-
-
1,000 1,000
-
3,000 3,000
20 20
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
24 24
-
-
1,000 1,000
-
1,000 1,000
-
-
12 12
-
-
-
-
-
-
-
120 120
-
-
-
-
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
500 500
-
-
-
1,000 1,000
-
-
-
-
-
-
40 40
-
-
-
-
-
50 50
-
-
-
-
120 120
-
-
3,000 3,000
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
150 150
- -
-
-
-
3,000 3,000
-
1,000 1,000
1,000 1,000
-
300 300
-
-
-
-
2,000 2,000
-
-
-
-
100 100
-
-
-
-
-
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
900 900
-
-
-
-
-
5,000 5,000
-
-
-
-
-
-
-
-
-
-
6,000 6,000
-
-
-
20 20
-
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

30 30
50 50
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

PERSEDIAAN P E N E R I MAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 7 -
3 Allopurinol 100 mg Tablet 1,200
4 Allopurinol 100 mg Tablet - -
5 Ambroxol 30 mg Tablet 1,600
6 Ambroxol sirup Botol 32
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 6,700
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 700
16 Ampicilin sirup kering 125 mg/5 ml Botol 77
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 1,350
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 35
23 Antasida suspensi Botol 50
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 50
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 10
27 Alkohol 70% 1000 ml Botol 2
28 Alkohol 70% 100 ml Botol 46
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 5,700
31 Asam Mefenamat Tablet 4,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 200
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Becefort syrup Botol 20
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 1,000
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 1,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 1,000
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 500
59 Chloramfenicol salep mata 1% Tube 42
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 800
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 50
67 Cotrimoksazol 480 mg (@158) Tablet 630
Cotrimoksazol 480 mg (@287.98) Tablet 500
68 Cotrimoksazol 120 mg (pediatrik) Tablet 500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 4,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 387
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 9
80 Domperidon 10 mg Tablet 900
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 3
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 300
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 45
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 24
102 Glass lonomer cement / Fuji 9 Kotak 1
103 Glass Ionomer No.7 (Radiopaque) Kotak -
104 Glibenklamid 500 mg Tablet 1,000
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 4,850
107 Glukosa lart. Infus 5% 500 ml Botol 39
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 522
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 1,000
121 Ibuprofen 400 mg Tablet 850
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 50
Jelly Multimedia 80 gram Tube -
124 Kalium permanganat serbuk Pot 22
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 4,250
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 5
134 Lisol Botol -
135 Loperamide Tablet 100
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
140 Metilprednisolon 8 mg Tablet 1,400
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 300
144 Metronidazol 500 mg Tablet 600
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg (@230) Tablet 400
148 Metformin 500 mg (@ Tablet 1,000
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
MgSO4 40% Botol 5
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet -
154 Natrium klorida lart. Infus 0,9 steril Botol 88
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol -
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 84
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
Omeprazol 20mg Kapsul 60
Omeprazol 20mg Kapsul 120
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 3,800
166 Paracetamol 500 mg Tablet 3,000
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
167 Parasetamol sirup 120 mg mg/5 ml Botol 60
168 Parasetamol sirup 120 mg mg/5 ml (@1119) Botol 150
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 210
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550
174 Piroksikam 20 mg Tablet 300
175 Piroksikam 20 mg (@157.5) Tablet 1,000
176 Prednison 5 mg Tablet 1,850
177 Propanolol HCl 40 mg Tablet 100
Propanolol HCl 40 mg Tablet 300
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 2,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 350
188 Rivanol Botol 2
Rivanol Botol 10
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
Salbutamol 4 mg Tablet 1,300
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 900
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 3,780
Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 5,000
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 5
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 7,600
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 27
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 2
222 Zinc 20 mg Tablet -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 56
2 Abbocath no. 20 pieces 130
EKANG

N E R I MAAN

RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

- - -
- - - -
-
-
1,000 1,000
50 50
-
-
-
-
3,600 3,600
-
-
-
1,000 1,000
50 50
-
900 900
-
-
-
-
100 100
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
24 24
-
20 20
-
3,000 3,000
2,000 2,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50 50
-
-
500 500
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
1,000 1,000
-
-
-
-
500 500
24 24
-
-
1,440 1,440
-
1,000 1,000
-
50 50
-
1,000 1,000
500 500
-
-
3,000 3,000
-
-
-
-
200 200
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
-
-
-
-
5 5
-
-
-
-
-
-
-
300 300
30 30
-
-
-
-
24 24
1 1
-
-
-
2,000 2,000
20 20
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
500 500
-
-
-
-
-
-
-
-
-
-
-
12 12
-
3,000 3,000
-
-
-
-
-
-
3 3
-
500 500
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

500 500
-
-
500 500
500 500
-
-
-
500 500
-
-
-
-
-
-
20 20
-
30 30
-
-
-
10 10
-
-
-
-
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

- -
200 200
-
-
200 200
-
-
500 500
-
1,000 1,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6,000 6,000
-
-
-
20 20
-
-
1 1
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

50 50
150 150
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 7 - 3
3 Allopurinol 100 mg Tablet 1,200 500
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 2,600
6 Ambroxol sirup Botol 82 50
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 10,300
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 35
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 50
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 34
27 Alkohol 70% 1000 ml Botol 2
28 Alkohol 70% 100 ml Botol 66
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 8,700
31 Asam Mefenamat Tablet 6,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 200
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Becefort syrup Botol 70
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 1,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 2,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 1,000 1,000
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 1,000
59 Chloramfenicol salep mata 1% Tube 66
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 2,240 864
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 100
67 Cotrimoksazol 480 mg Tablet 630
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,000
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 7,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 9
80 Domperidon 10 mg Tablet 900
81 Efedrin 25 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 600
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 75 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 48
102 Glass lonomer cement / Fuji 9 Set 2
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 1,000 500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 6,850
107 Glukosa lart. Infus 5% 500 ml Botol 59
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 1,022
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 1,000
121 Ibuprofen 400 mg Tablet 850 1,000
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 50
Jelly Multimedia 80 gram Tube - 5
124 Kalium permanganat serbuk Pot 34
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 7,250
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 8
134 Lisol Botol -
135 Loperamide Tablet 600 200
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 800
144 Metronidazol 500 mg Tablet 1,100
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 400
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet -
154 Natrium klorida lart. Infus 0,9 steril Botol 108 10
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 30
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 3,800 3,000
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 60
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
171 Pirantel Pamoat 125 mg Tablet 410
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550
174 Piroksikam 20 mg Tablet 800
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 2,000 1,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 350 200
188 Rivanol Botol 2 6
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 900 600
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 3,780
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 5
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 13,600
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 47
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 106
2 Abbocath no. 20 pieces 280
EKANG

N E R I MAAN

RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- 3
500
-
-
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
1,000
-
-
-
-
-
864
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
-
-
-
-
-
-
500
-
-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
1,000
-
-
5
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
10
-
-
-
-
-
-
-
-
-
-
3,000
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
1,000
-
-
-
-
-
200
6
-
-
-
-
-
-
-
-
-
600
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
MUTA

PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

STOK AWAL
NO NAMA OBAT SATUAN (Per
31/03/2017) 1 2 3 4
A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 1,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 2,600
6 Ambroxol sirup Botol 132
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 10,300
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 35
23 Antasida suspensi Botol 150
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 50
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 34
27 Alkohol 70% 1000 ml Botol 2
28 Alkohol 70% 100 ml Botol 66
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 8,700
31 Asam Mefenamat Tablet 6,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 200
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Becefort syrup Botol -
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 1,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 2,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 2,000
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 1,000
59 Chloramfenicol salep mata 1% Tube 66
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 3,104
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 100
67 Cotrimoksazol 480 mg Tablet 630
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,000
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 7,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 9
80 Domperidon 10 mg Tablet 900
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 600
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 105
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 48
102 Glass lonomer cement / Fuji 9 Set 2
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 1,500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 6,850
107 Glukosa lart. Infus 5% 500 ml Botol 59
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 1,022
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 1,000
121 Ibuprofen 400 mg Tablet 1,850
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 50
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 34
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 7,250
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 8
134 Lisol Botol -
135 Loperamide Tablet 800
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 800
144 Metronidazol 500 mg Tablet 1,100
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 400
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet -
154 Natrium klorida lart. Infus 0,9 steril Botol 118
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 30
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 6,800
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 60
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 410
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550
174 Piroksikam 20 mg Tablet 800
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 3,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 550
188 Rivanol Botol 8
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 1,500
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 3,780
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 5
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 13,600
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 47
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 106
2 Abbocath no. 20 pieces 280
3 Abbocath no. 22 pieces 131
4 Abbocath no. 24 pieces 42
5 Alat Suntik Sekali Pakai 1 ml Set 16
6 Alat Suntik Sekali Pakai 1 ml Set 400
7 Alat Suntik Sekali Pakai 3 ml Set 475
8 Alat Suntik Sekali Pakai 5 ml Set 219
9 Catgut/benang bedah 2/0 (ktk@12 pcs) Set 24
10 Catgut/benang bedah 2/0 (ktk@24 pcs) Set 24
11 Catgut/benang bedah 3/0 Set 76
12 Folleycatheter No. 8 pieces -
13 Folley catheter No. 10 pieces -
14 Folley catheter No. 16 pieces -
15 Folley catheter No.18 pieces 1
16 Folley catheter No.20 pieces 3
17 Folley catheter No.22 pieces -
18 Folley catheter 3 way No.18 pieces -
19 Folley catheter 3 way No.20 pieces -
20 Guttapercha No. 15-45 Kotak -
21 Handscoen Steril Pasang 46
22 Handscoen Non Steril (single use) Pasang 300
23 Handscoen Non Steril (single use) Pasang -
24 Handscoen Ginekologi (Obgin) Pasang 20
25 Infusion set anak Set 18
26 Infusion set dewasa Set 283
27 Infusion set dewasa Set -
28 Jarum Hecting Set 3
29 Jarum Hecting Set -
30 Kapas absorben 250 gram Roll 9
31 Kapas absorben 250 gram Roll -
32 Kasa kompres 40/40 steril Roll 79
33 Kasa pembalut 40 yard x 80cm Roll 2
Kasa pembalut 36 cm x 80cm Roll -
34 Kasa pembalut 2 m x 80 cm Roll 90
35 Kasa pembalut hidrofil 4 m x 15 cm Roll 59
36 Kasa pembalut hidrofil 4 m x 3 cm Roll 135
37 Kertas EKG uk.50mm x 30m Roll -
38 Kertas EKG uk. 110x30 Roll -
39 Karpul Pcs 200
40 Masker Pcs 250
41 Mucus Extraxtor 25 ml Pcs 4
42 Masker N95 Pcs -
43 Masker Oksigen Anak Pcs 1
44 NGT No. 18 Pcs 1
45 NGT No. 16 Pcs 2
46 NGT No. 8 Pcs -
47 NGT No. 5 Pcs -
48 Paper Point No. 15-45 Kotak -
49 Plester 5 yard x 2 inch Roll 1
50 Plester 2,5 Cm x 4,5 m Roll 6
51 Plester 1,25 cm x 4,5 m Roll 5
52 Plester 1,25 cm x 4,5 m Roll -
53 Silk (Benang bedah sutera) No. 3/0 Pcs 29
54 Silk (Benang bedah sutera) No. 2/0 Pcs 25
55 Silk (Benang bedah sutera) No. 2/0 Pcs 36
56 Slang Catheter Pcs -
57 Slang Oksigen Bayi (Infant) Pcs -
58 Slang Oksigen Anak Pcs 5
59 Slang Oksigen dewasa Pcs 4
60 Spons Gelatin Cubicles 1 x 1 x 1 cm Pcs 20
61 Supratul/ Lomatulle Pcs -
62 Spygnoman0meter Buah -
63 Thermometer Pcs -
64 Thermometer Pcs -
65 Timbangan BB Digital Unit -
66 Urine Bag Pcs 23
67 Urine Bag Pcs -
68 Under Pad 60x90 Pcs 54
69 Umblical Cord Clamp Pcs 97
Vagina Speculum Pcs 60
Vagina Speculum Uk. M Pcs -
Vagina Speculum Uk. L Pcs -
70 Vaseline Swab Pcs -

C LABORATORIUM
1 Abate IG Kaleng -
2 Alkohol 96% Botol -
3 Alkohol 3% Botol -
4 Alkohol Eter 100 ml Botol -
5 Aquadest steril 1000 ml Botol 3
6 Aquadest steril 1000 ml Botol -
8 Asam klorida 0,1 N ( HCl) Botol 3
9 Asam Asetat 75% 1000 ml Botol -
10 Ask Lyse Botol -
11 Ask Lyse Botol -
12 Autoclick Pieces -
13 Box Slide Pieces -
14 BT - Probe 17 ml Botol -
15 BT - Probe 17 ml Botol -
16 BT-Probe 50 ml Botol -
17 BT - Clean Botol -
18 BT - Diluent Botol -
19 BT- Rinse Botol -
20 Batang Pengaduk Pieces -
22 Bisturi Pieces -
Chlorin 1000 ml Botol 1
25 Chombur Test 3P Botol 2
26 Chombur Test 10P Botol 2
27 Chombur Test 10P Botol -
28 Control Blood N Botol -
29 Deck Glass Pieces -
30 Easy Touch Device Buah -
31 Easy Touch Test Strip Glucosa Botol -
32 Easy Touch Test Strip Uric Acid Botol -
33 Easy Touch Test Strip Uric Acid Botol -
34 Easy Touch Test Strip Cholesterol Botol -
35 Easy Touch Test Strip Cholesterol Botol -
45 Glucosa Test Kit Set -
46 Gluco Protein Test (Test Strip Urine 2P) Pcs 60
47 Gagang Bisturi Pcs -
49 Haemometer (HB Sahli) Set 1
51 HbSAg Strip 65
Iodium Test Botol -
52 Kamar Hitung Pieces -
53 Kertas Lensa Blok -
54 Larutan Na.Sitrat 3,8 % Botol -
55 Larutan Sablon Botol -
56 Larutan Gelatin Botol -
57 Larutan Amonium Oxalate 1% Botol -
58 Larutan Sevlon Botol -
59 Larutan Ressecker Botol 3
60 Larutan Turk Botol 2
61 Larutan Eosin 2% Botol -
62 Larutan Carbol Fuchsin 0,3% Botol -
63 Larutan Metilen Blue 0,3% Botol -
64 Larutan Buffer Cair Botol -
65 Larutan Giemza Botol -
66 Larutan Sipermetrin(seruni) Botol -
67 Lubrican Gel Botol -
68 Larutan EDTA Botol -
69 Larutan H2O2 Botol -
70 Lancet Pieces 400
71 Lancet Pieces 500
72 Lampu Spiritus/ Bunsen Pieces -
73 Methanol 500 ml Botol -
74 NESCO Test Strip Glucosa Botol 5
75 NESCO Test Strip Uric Acid Botol 10
76 NESCO Test Strip Uric Acid Botol -
77 NESCO Test Strip Chlolesterol Botol -
78 Oil Imersi Botol -
79 Objek Glass (Slide) Pieces -
80 Objek Glass (Slide) Pieces -
81 On Call Device glukosa Buah -
82 On Call strip glukosa Strip -
83 Plano test Pieces 133
84 Plano test Pieces -
85 PH Meter Ktk -
86 Pot Sputum Pot 50
87 Reagen Tydal Paket 2
88 Reagen HDL Paket -
89 Reagen Bovina Albumin Paket -
90 Reagen Golongan Darah (Anti ABO) Paket -
91 Reagen SGOT Paket -
92 Reagen SGPT Paket -
93 Reagen Anti-D (IgG/IgM) Botol -
94 RDT Dengue (IgG/IgM) Strip 20
95 RDT malaria Strip -
96 Rak Tabung Kayu Pieces -
97 Rak Tabung Besi Pieces -
98 Swab Alkohol Kotak 1,200
99 Swab Alkohol Kotak -
100 Stuing (Turniquet) Pieces -
101 Tabung Reaksi Pieces -
102 Tabung Sentrifuge Pieces -
103 Tes Narkoba 3 Parameter Strip -
104 Tes Narkoba 3 Parameter Strip -
105 Tabung EDTA Pieces 300
106 Tabung EDTA Pieces -
107 Tip Blue Pieces -
108 Tip Yellow Pieces -
109 Tes Narkoba (Amphetamin Test) Set -
110 Tes Kit Boraks Kit -
111 Tes Kit Formalin Kit -
112 Tes Kit Iodium Btl -

MENGETAHUI :
KEPALA PKM ..............................

.........................................................
NIP.
MUTASI PENERIMAAN OBAT / BAHAN MEDIS HABIS PAKAI / ALKES TA 2017
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG

P E N E R I MAAN
BULAN APRIL 2017
5 6 7 8 9 10 11 12 13 14 15 16 17 18

500

700

3,000
1,000

1,000

500

1,440
10
300

20
500

500

500
500
40

30

50

1,200

200
600

3,000

3,000

50

100

100
50
50

50

10
6
1
200

25

100
TA 2017
G

MAAN
7
19 20 21 22 23 24 25 26 27 28 29 30

- -
-
-
PENANGGUNGJAWAB OBAT /BMHP/ALKES PKM....................

.........................................................
NIP.
PERSEDIAAN
KET
JUMLAH 30 APRIL 2017

- -
- 10
500 2,200
- -
700 3,300
- 132
- -
- -
- 271
- -
- 10,300
- -
- -
- -
- 1,700
- 127
- -
- 2,250
- -
- 700
- 450
- 35
- 150
- 50
- -
- 34
- 2
- 66
- 19
3,000 11,700
1,000 7,300
- -
- -
- -
- 200
- -
- -
- 35
- 500
- 84
- -
- -
- -
- -
- -
- 35

- 700
- 1
- 1,500
- -
- 500
- -
- 480
1,000 3,000
- -
- 1,000
- 2,000
- -
500 1,500
- 66
- 45
- -
1,440 4,544
- -
- 1,616
- 450
- 100
- 630
- 1,000
- -
- -
- 7,100
- -
- -
- 272
- -
- 587
- -
- 530
10 19
300 1,200
- -
- 89
- 34
- -
- 100
- -
- 8
- -
- 400
- 1
- -
- 28
- -
- -
- 600
- 105
- -
- -
- 800
- -
- 48
- 2
- -
- 1,500
- -
- 6,850
20 79
- -
- 100
- 10
- -
- -
- 1,022
- -
- 430
- -
- 54
- -
- 180
- 1,000
500 2,350
- 1,000
- 50
- 5
- 34
- 1
- 7,250
- -
- 6
- 1
- 1
- 1
- 168
2 10
- -
- 800
- -
- 27
- -
- -
- 1,900
- -
- 50
- 800
500 1,600
- -
- -
500 900
- 1,500
- -
- -
- 2
- 50
500 500
40 158
- 60
30 60
- -
- 1
- -
- 94
- -
- -
- 90
- -
- 6,800
- 3,000
50 110
- 350
- -
- 900
- 410
- -
- 3,550
- 800
- 1,000
- 2,850
- 100
- -
- -
- -
1,200 4,200
- 2,000
- -
- -
- -
- -
200 750
- 8
- -
- 370
- 35
- 13
- -
- -
- -
- -
- -
600 2,100
- -
- 500
- -
- -
3,000 6,780
- -
- -
5 10
- 200
- -
- -
- -
- -
- -
- -
3,000 16,600
- -
- -
- -
- 47
- -
- -
- 3
- -

- 106
50 330
- 131
- 42
100 116
- 400
- 475
100 319
- 24
- 24
- 76
- -
- -
- -
- 1
- 3
- -
- -
- -
- -
- 46
- 300
- -
- 20
50 68
50 333
- -
- 3
- -
- 9
- -
- 79
- 2
- -
50 140
- 59
- 135
- -
- -
- 200
- 250
- 4
10 10
- 1
- 1
- 2
- -
- -
- -
- 1
6 12
- 5
- -
- 29
- 25
- 36
- -
- -
- 5
- 4
- 20
- -
- -
- -
- -
- -
- 23
- -
- 54
- 97
- 60
- -
- -
- -

- -
- -
- -
- -
- 3
- -
- 3
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 1
1 3
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 60
- -
- 1
- 65
- -
- -
- -
- -
- -
- -
- -
- -
- 3
- 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
200 600
- 500
- -
- -
- 5
- 10
- -
- -
- -
- -
- -
- -
25 25
- 133
- -
- -
- 50
- 2
- -
- -
- -
- -
- -
- -
- 20
- -
- -
- -
- 1,200
- -
- -
- -
- -
- -
- -
100 400
- -
- -
- -
- -
- -
- -
- -

AT /BMHP/ALKES PKM.......................................
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 2,200 500
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 3,300 1,000
6 Ambroxol sirup Botol 132
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 10,300
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 35 50
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 50
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 34
27 Alkohol 70% 1000 ml Botol 2
28 Alkohol 70% 100 ml Botol 66 20
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 11,700 3,000
31 Asam Mefenamat Tablet 7,300 1,000
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 200 300
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Becefort syrup Botol -
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 1,500 500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 3,000 1,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 2,000
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 1,500 500
59 Chloramfenicol salep mata 1% Tube 66 24
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 4,544 1,440
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 100 50
67 Cotrimoksazol 480 mg Tablet 630 500
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,000
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 7,100 2,000
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,200
81 Efedrin 25 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 600 300
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 105
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 48 24
102 Glass lonomer cement / Fuji 9 Set 2
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 1,500 500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 6,850
107 Glukosa lart. Infus 5% 500 ml Botol 79 20
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 1,022 300
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 1,000 500
121 Ibuprofen 400 mg Tablet 2,350 500
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 50 200
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 34 12
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 7,250
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 10
134 Lisol Botol -
135 Loperamide Tablet 800
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 800
144 Metronidazol 500 mg Tablet 1,600
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 900 1,000
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet 500 500
154 Natrium klorida lart. Infus 0,9 steril Botol 158 40
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 60 20
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 6,800
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 110 100
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
171 Pirantel Pamoat 125 mg Tablet 410
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550
174 Piroksikam 20 mg Tablet 800 500
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 4,200 2,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 750 100
188 Rivanol Botol 8 5
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 2,100 600
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 6,780 1,500
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 16,600 6,000
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 47 10
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 106
2 Abbocath no. 20 pieces 330 30
KANG

N E R I MAAN

EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
500
-
1,000
-
-
-
-
-
3,600 3,600
-
-
-
-
-
-
-
-
-
-
50
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
20
-
3,000
1,000
-
-
-
300
-
-
-
-
-
-
-
-
-
-
-

-
-
500
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
1,000
-
-
-
-
500
24
-
-
1,440
-
-
-
50
500
-
-
-
2,000
-
-
-
-
-
-
-
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
300
-
-
-
-
-
24
-
-
500
-
-
20
-
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
300
-
-
-
-
-
-
500
500
-
200
-
12
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
1,000
-
-
-
-
-
500
40
-
20
-
-
-
-
-
-
-
-
-
-
100
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
500
-
-
-
-
-
-
2,000
-
-
-
-
-
100
5
-
-
-
-
-
-
-
-
-
600
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
1,500
-
-
-
-
-
-
-
-
-
-
6,000
-
-
-
10
-
-
-
-

-
30
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 132
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 13,900 3,600
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol -
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450
22 Antasida suspensi Botol 85
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 50 25
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 34
27 Alkohol 70% 1000 ml Botol 2 1
28 Alkohol 70% 100 ml Botol 86 20
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 14,700 3,000
31 Asam Mefenamat Tablet 8,300 3,000
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Becefort syrup Botol -
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 2,000
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Cetrizine Tablet 480
53 Cefadroxil 500 mg Tablet 4,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 1,000 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 2,000 200
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 90 24
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 5,984 864
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 150
67 Cotrimoksazol 480 mg Tablet 1,130 1,000
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,000 500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 9,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,200 200
81 Efedrin 25 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
82 Ekstrak Belladon Tablet 89
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 900 300
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 105
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 72
102 Glass lonomer cement / Fuji 9 Set 2
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 2,000 500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 6,850 2,000
107 Glukosa lart. Infus 5% 500 ml Botol 99 20
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
112 Haloperidol 0,5 mg Tablet -
113 Haloperidol 1,5 mg Tablet 1,322 500
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 1,500 1,000
121 Ibuprofen 400 mg Tablet 2,850
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 46
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 7,250 3,000
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 10 2
134 Lisol Botol -
135 Loperamide Tablet 800
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
141 Metilprednisolon 4 mg Tablet -
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 800
144 Metronidazol 500 mg Tablet 1,600 500
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 1,900
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 198 60
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 80
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 6,800
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 210 200
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
171 Pirantel Pamoat 125 mg Tablet 410
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550
174 Piroksikam 20 mg Tablet 1,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 6,200 1,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 850 200
188 Rivanol Botol 13
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
191 Salep 2-4 kombinasi Pot 35
192 Salicil bedak 2% Kotak 13
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet -
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 2,700 300
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
201 Tablet tambah darah kombinasi Tablet -
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 8,280 4,000
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 22,600
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 57 12
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 106 50
2 Abbocath no. 20 pieces 360 100
EKANG

N E R I MAAN

UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
-
-
-
3,600
-
-
-
-
-
-
-
-
-
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

25
-
-
1
20
-
3,000
3,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
1,000
200
-
-
24
-
-
864
-
-
-
-
1,000
500
-
-
-
-
-
-
-
-
-
-
-
200
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
300
-
-
-
-
-
-
-
-
500
-
2,000
20
-
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
500
-
-
-
-
-
-
1,000
-
-
-
-
-
-
3,000
-
-
-
-
-
-
2
-
-
-
-
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
500
-
-
-
-
-
-
-
-
-
60
-
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
1,000
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
300
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
4,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
15 27
-
-
-
-

50
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 132 50
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 17,500 3,000
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol - 60
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 450 2,000
22 Antasida suspensi Botol 85
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 75 25
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 34 24
27 Alkohol 70% 1000 ml Botol 3 1
28 Alkohol 70% 100 ml Botol 106 20
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 17,700 3,000
31 Asam Mefenamat Tablet 11,300 3,000
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube -
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 2,000 500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 480
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 4,000 500
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 2,000 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 2,200 500
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 114 24
60 Chloramfenicol suspensi Botol 45
61 Chloramfenicol tetes telinga Botol - 20
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 6,848 2,000
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 150
67 Cotrimoksazol 480 mg Tablet 2,130 1,000
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul -
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 9,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 1,200
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 105 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 72
102 Glass lonomer cement / Fuji 9 Set 2
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 2,500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 8,850
107 Glukosa lart. Infus 5% 500 ml Botol 119 20
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 100 300
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 1,822
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 2,500
121 Ibuprofen 400 mg Tablet 2,850 1,000
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 46
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 10,250 3,000
127 Karbamazepin Tablet -
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1
130 Komposite A3 Pieces 1
131 Komposite A2 Pieces 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 12
134 Lisol Botol -
135 Loperamide Tablet 800 200
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 50
143 Metoklopramida 10mg Tablet 800 500
144 Metronidazol 500 mg Tablet 2,100 500
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 1,900 500
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 258 60
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 80
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 6,800
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 410 200
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 410
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 3,550 3,000
174 Piroksikam 20 mg Tablet 1,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 7,200
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 1,050 200
188 Rivanol Botol 13
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370
191 Salep 2-4 kombinasi Pot 35 24
192 Salicil bedak 2% Kotak 13 20
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet - 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 3,000
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet -
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 22,600 5,000 2,000
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 84 20
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 156 20
2 Abbocath no. 20 pieces 460
EKANG

N E R I MAAN

ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
50
-
-
-
-
3,000
-
-
60
-
-
-
-
-
-
2,000
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

25
-
24
1
20
-
3,000
3,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
500
-
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

500
-
1,000
500
-
-
24
-
20
2,000
-
-
-
-
1,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
-
-
-
-
-
-
-
-
-
20
-
300
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
1,000
-
-
-
-
-
3,000
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
500
500
-
-
500
-
-
-
-
-
-
60
-
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
3,000
-
-
-
-
-
-
-
-
-
-
-
-
-
100 300
-
-
-
24
20
-
-
2,000
-
-
-
-
-
-
ULI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
7,000
-
-
-
20
-
-
-
-

20
100 100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 182
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 20,500 7,200
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 60
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700
21 Antasida doen tablet kombinasi Tablet 2,450 2,000
22 Antasida suspensi Botol 85
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 100 25
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 58 48
27 Alkohol 70% 1000 ml Botol 4
28 Alkohol 70% 100 ml Botol 126 20
29 Aqua pro injeksi Vial 19
30 Asam askorbat (Vit.C) 50 mg Tablet 20,700 7,000
31 Asam Mefenamat Tablet 14,300 10,000
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube - 50
45 Betafort syrup Botol -
46 Becefort syrup Botol 35
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 2,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 480
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 4,500 1,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 3,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 2,700 500
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 138 24
60 Chloramfenicol suspensi Botol 45 50
61 Chloramfenicol tetes telinga Botol 20 24
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 8,848 5,000
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 150
67 Cotrimoksazol 480 mg Tablet 3,130
68 Cotrimoksazol 120 mg (pediatrik) Tablet 1,500 500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul - 30
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 9,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 8 3
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 1,200 500
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 135 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube -
101 Gentian violet larutan 1% 10 ml Botol 72 24
102 Glass lonomer cement / Fuji 9 Set 2 1
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 2,500 1,000
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 8,850
107 Glukosa lart. Infus 5% 500 ml Botol 139 100
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 400
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 1,822 300
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet -
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 2,500
121 Ibuprofen 400 mg Tablet 3,850 1,000
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 46
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 13,250 3,000
127 Karbamazepin Tablet - 500
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 1 1
130 Komposite A3 Pieces 1 1
131 Komposite A2 Pieces 1 1
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 12
134 Lisol Botol -
135 Loperamide Tablet 1,000
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 27 30
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 50 50
143 Metoklopramida 10mg Tablet 1,300
144 Metronidazol 500 mg Tablet 2,600 600
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 2,400 3,000
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50
153 Natrium diklofenak 50 mg Tablet 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 318 100
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 80
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 6,800 2,100
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 610 200
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 410 500
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 6,550 3,000
174 Piroksikam 20 mg Tablet 1,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 7,200 3,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 1,350 500
188 Rivanol Botol 13
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 370 500
191 Salep 2-4 kombinasi Pot 59 24
192 Salicil bedak 2% Kotak 33 20
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 3,000 600
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet - 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet -
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 29,600 5,000
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 104 20
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol -
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet -

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 176
2 Abbocath no. 20 pieces 560 100
KANG

N E R I MAAN

STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
-
-
-
7,200
-
-
-
-
-
-
-
-
-
2,000
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

25
-
48
-
20
-
7,000
10,000
-
-
-
-
-
-
-
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1,000
-
-
500
-
-
24
50
24
5,000
-
-
-
-
-
500
-
30
-
-
-
-
-
-
-
-
-
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
3
-
-
-
-
-
-
-
500
30
-
-
-
-
24
1
-
1,000
-
2,000 2,000
100
-
-
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

300
-
-
-
-
-
-
-
1,000
-
-
-
-
-
3,000
500
-
1
1
1
-
-
-
500 500
-
30
-
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

50
-
600
-
-
3,000
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
2,100
-
200
-
-
-
500
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
3,000
-
-
-
-
-
-
-
3,000
-
-
-
-
-
500
5 5
-
500
24
20
-
-
-
-
-
600
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

700
-
-
-
-
-
-
-
-
-
-
-
5,000
-
-
-
20
-
-
-
-

-
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 -
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 182
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 27,700 10,000
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 60
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 700 1,000
21 Antasida doen tablet kombinasi Tablet 4,450 5,000
22 Antasida suspensi Botol 85
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 125 25
25 Anti hemoroid doen kombinasi Suppo -
26 Antifungi doen kombinasi Pot 106
27 Alkohol 70% 1000 ml Botol 4
28 Alkohol 70% 100 ml Botol 146
29 Aqua pro injeksi Vial 19 10
30 Asam askorbat (Vit.C) 50 mg Tablet 27,700 7,000
31 Asam Mefenamat Tablet 24,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet -
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube 50 25
45 Betafort syrup Botol -
46 Becefort syrup Botol 35 50
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 2,500 3,000
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 480 450
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 5,500 1,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 3,000 1,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 3,200 1,000
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 162 24
60 Chloramfenicol suspensi Botol 95
61 Chloramfenicol tetes telinga Botol 44 24
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 13,848 5,000
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,616 200
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 150
67 Cotrimoksazol 480 mg Tablet 3,130 500
68 Cotrimoksazol 120 mg (pediatrik) Tablet 2,000
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul 30
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 9,100 3,000
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 11 5
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 1,700
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 165 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube - 36
101 Gentian violet larutan 1% 10 ml Botol 96 24
102 Glass lonomer cement / Fuji 9 Set 3
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 3,500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 10,850 5,000
107 Glukosa lart. Infus 5% 500 ml Botol 239
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 400
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 2,122 300
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 54 48
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet - 1,000
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 2,500
121 Ibuprofen 400 mg Tablet 4,850
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 46 12
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 16,250 1,000
127 Karbamazepin Tablet 500
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 2
130 Komposite A3 Pieces 2
131 Komposite A2 Pieces 2
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 12
134 Lisol Botol -
135 Loperamide Tablet 1,500 500
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 57
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet - 2,000
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 100
143 Metoklopramida 10mg Tablet 1,300
144 Metronidazol 500 mg Tablet 3,200 1,000
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 5,400
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 50 500
153 Natrium diklofenak 50 mg Tablet 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 418
155 Nistatin vaginal 100.000 iu Tablet 60
156 Obat batuk hitam (OBH) syrup Botol 80 32
157 Oksitetrasiklin Hcl salep kulit 3% Tube -
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 8,900
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 810 200
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 910
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 9,550
174 Piroksikam 20 mg Tablet 1,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 2,850 2,000
177 Propanolol HCl 40 mg Tablet 100
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 10,200
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 1,850 300
188 Rivanol Botol 18
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 870 500
191 Salep 2-4 kombinasi Pot 83 6
192 Salicil bedak 2% Kotak 53
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 3,600 900
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet - 3,840
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet -
212 Trihexyphenidyl 2 mg Tablet - 200
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 34,600 9,400
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 124
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol - 10
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet - 500

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 176 50
2 Abbocath no. 20 pieces 660 100
EKANG

N E R I MAAN

MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
- -
-
-
-
-
-
-
-
-
10,000
-
-
-
-
-
-
-
-
1,000
5,000
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

25
-
-
-
-
10
7,000
-
-
-
-
-
-
-
-
-
-
-
-
-
25
-
50
-
-
3,000
-
-
-
450
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

1,000
-
1,000
1,000
-
-
24
-
24
5,000
-
200
-
-
500
-
-
-
3,000
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
5
-
-
-
-
-
-
-
-
30
-
-
-
36
24
-
-
-
-
5,000
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

300
-
-
-
48
1,000
-
-
-
-
-
-
12
-
1,000
-
-
-
-
-
-
-
-
500
-
-
-
-
-
2,000
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
1,000
-
-
-
-
-
-
-
500
-
-
-
32
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
2,000
-
-
-
-
-
-
-
-
-
-
300
-
-
500
6
-
-
-
-
-
-
900
-
-
3,840
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
200
-
9,400
-
-
-
-
-
10
-
500

50
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 10 - 5
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 182 200
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 37,700
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 60 300
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 1,700 3,000
21 Antasida doen tablet kombinasi Tablet 9,450
22 Antasida suspensi Botol 85 100
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 150
25 Anti hemoroid doen kombinasi Suppo - 20
26 Antifungi doen kombinasi Pot 106 96
27 Alkohol 70% 1000 ml Botol 4
28 Alkohol 70% 100 ml Botol 146 48
29 Aqua pro injeksi Vial 29
30 Asam askorbat (Vit.C) 50 mg Tablet 34,700
31 Asam Mefenamat Tablet 24,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet - 500
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube 75 100
45 Betafort syrup Botol -
46 Becefort syrup Botol 85
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 5,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 930
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 6,500 1,000
54 Cefadroxil 500 mg Tablet -
55 Cimetidin 200 mg Tablet 4,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 4,200
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 186
60 Chloramfenicol suspensi Botol 95
61 Chloramfenicol tetes telinga Botol 68 50
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 18,848 10,000
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 1,816 300
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 150 100
67 Cotrimoksazol 480 mg Tablet 3,630 1,000
68 Cotrimoksazol 120 mg (pediatrik) Tablet 2,000 500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul 30
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 12,100 4,000
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 100 500
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 16 5
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 1,700 500
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 195 60
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800
100 Gentamicin salep kulit Tube 36
101 Gentian violet larutan 1% 10 ml Botol 120
102 Glass lonomer cement / Fuji 9 Set 3
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 3,500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 15,850 5,000
107 Glukosa lart. Infus 5% 500 ml Botol 239
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 400
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 2,422 300
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet -
117 Hidrokortison krim 2,5% Tube 102 48
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet 1,000 1,000
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 2,500
121 Ibuprofen 400 mg Tablet 4,850 2,000
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 58 12
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 17,250
127 Karbamazepin Tablet 500
128 Ketokonazole krim Tube 6
129 Komposite A 3,5 Pieces 2
130 Komposite A3 Pieces 2
131 Komposite A2 Pieces 2
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 12 5
134 Lisol Botol -
135 Loperamide Tablet 2,000 1,000
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 57 30
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet 2,000 2,000
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 100
143 Metoklopramida 10mg Tablet 1,300 500
144 Metronidazol 500 mg Tablet 4,200
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 5,400 3,000
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 550
153 Natrium diklofenak 50 mg Tablet 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 418
155 Nistatin vaginal 100.000 iu Tablet 60 100
156 Obat batuk hitam (OBH) syrup Botol 112 64
157 Oksitetrasiklin Hcl salep kulit 3% Tube - 25
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 8,900
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 1,010 150
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 910
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 9,550 5,000
174 Piroksikam 20 mg Tablet 1,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 4,850 5,000
177 Propanolol HCl 40 mg Tablet 100 200
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 10,200 3,000
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 2,150 300
188 Rivanol Botol 18 10
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 1,370 500
191 Salep 2-4 kombinasi Pot 89
192 Salicil bedak 2% Kotak 53 6
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 4,500 1,200
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet 3,840 5,760
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet - 3,000
212 Trihexyphenidyl 2 mg Tablet 200
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 44,000
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 124
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol 10
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet 500

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 226
2 Abbocath no. 20 pieces 760 100
EKANG

N E R I MAAN

OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- 5
-
-
-
200
-
-
-
-
-
-
-
300
-
-
-
-
-
3,000
-
100
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
20
96
-
48
-
-
-
-
-
500
-
-
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1,000
-
-
-
-
-
-
-
50
10,000
-
300
-
100
1,000
500
-
-
4,000
-
-
-
-
-
-
-
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
500
-
5
-
-
-
-
-
-
-
500
60
-
-
-
-
-
-
-
-
-
5,000
-
-
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

300
-
-
-
48
1,000
-
-
2,000
-
-
-
12
-
-
-
-
-
-
-
-
5
-
1,000
-
30
-
-
-
2,000
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
500
-
-
-
3,000
-
-
-
-
-
-
-
100
64
25
-
-
-
-
-
-
-
-
-
150
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5,000
-
-
5,000
200
-
-
-
3,000
-
-
-
-
-
300
10
-
500
-
6
-
-
-
-
-
1,200
-
-
5,760
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
3,000
-
-
-
-
-
-
-
-
-
-
-

-
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 15 -
3 Allopurinol 100 mg Tablet 2,700
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 382
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 37,700
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 360
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 4,700
21 Antasida doen tablet kombinasi Tablet 9,450 2,000
22 Antasida suspensi Botol 185 50
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 150 25
25 Anti hemoroid doen kombinasi Suppo 20
26 Antifungi doen kombinasi Pot 202
27 Alkohol 70% 1000 ml Botol 4
28 Alkohol 70% 100 ml Botol 194 24
29 Aqua pro injeksi Vial 29
30 Asam askorbat (Vit.C) 50 mg Tablet 34,700 5,000
31 Asam Mefenamat Tablet 24,300
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet 500
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube 175 50
45 Betafort syrup Botol -
46 Becefort syrup Botol 85 50
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 5,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 930 300
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 7,500
54 Cefadroxil 500 mg Tablet - 1,000
55 Cimetidin 200 mg Tablet 4,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 4,200
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 186 24
60 Chloramfenicol suspensi Botol 95
61 Chloramfenicol tetes telinga Botol 118 30
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 28,848
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 2,116 100
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 250 100
67 Cotrimoksazol 480 mg Tablet 4,630 2,000
68 Cotrimoksazol 120 mg (pediatrik) Tablet 2,500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul 30 30
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 16,100 3,000
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 600
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 21
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 2,200
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 255 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 800 600
100 Gentamicin salep kulit Tube 36 24
101 Gentian violet larutan 1% 10 ml Botol 120
102 Glass lonomer cement / Fuji 9 Set 3
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 3,500 1,000
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 20,850
107 Glukosa lart. Infus 5% 500 ml Botol 239
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 400 300
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet -
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 2,722 300
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet - 100
117 Hidrokortison krim 2,5% Tube 150 60
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet 2,000
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 2,500 1,000
121 Ibuprofen 400 mg Tablet 6,850 1,000
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 70
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 17,250
127 Karbamazepin Tablet 500 500
128 Ketokonazole krim Tube 6 25
129 Komposite A 3,5 Pieces 2
130 Komposite A3 Pieces 2
131 Komposite A2 Pieces 2
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 17 5
134 Lisol Botol -
135 Loperamide Tablet 3,000
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 87
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet 4,000
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 100 50
143 Metoklopramida 10mg Tablet 1,800
144 Metronidazol 500 mg Tablet 4,200
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 8,400
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 550 500
153 Natrium diklofenak 50 mg Tablet 1,000 1,000
154 Natrium klorida lart. Infus 0,9 steril Botol 418 60
155 Nistatin vaginal 100.000 iu Tablet 160
156 Obat batuk hitam (OBH) syrup Botol 176 64
157 Oksitetrasiklin Hcl salep kulit 3% Tube 25 50
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket -
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 8,900
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 1,160 150
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 910 1,000
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 14,550
174 Piroksikam 20 mg Tablet 1,300 1,000
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 9,850
177 Propanolol HCl 40 mg Tablet 300
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 13,200
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 2,450 200
188 Rivanol Botol 28 10
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 1,870
191 Salep 2-4 kombinasi Pot 89
192 Salicil bedak 2% Kotak 59 20
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 5,700 1,200
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet 9,600
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet 3,000
212 Trihexyphenidyl 2 mg Tablet 200
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 44,000 9,400
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 124
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol 10 10
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet 500

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 226
2 Abbocath no. 20 pieces 860 100
KANG

N E R I MAAN

MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,000
50
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

25
-
-
-
24
-
5,000
-
-
-
-
-
-
-
-
-
-
-
-
-
50
-
50
-
-
-
-
-
-
300
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
1,000
-
-
-
-
24
-
30
-
-
100
-
100
2,000
-
-
30
3,000
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
-
600
24
-
-
-
1,000
-
-
-
-
300
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

300
-
-
100
60
-
-
1,000
1,000
-
-
-
-
-
-
500
25
-
-
-
-
5
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

50
-
-
-
-
-
-
-
-
-
500
1,000
60
-
64
50
-
-
-
3 3
-
-
-
5,000 5,000
-
150
-
-
-
1,000
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
1,000
-
-
-
-
-
-
-
-
-
-
-
-
200
10
-
-
-
20
-
-
-
-
-
1,200
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
9,400
-
-
-
-
-
10
-
-

-
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Albendazol 400 mg Tablet -
2 Albutyl Botol 15 -
3 Allopurinol 100 mg Tablet 2,700 -
4 Allopurinol 100 mg Tablet -
5 Ambroxol 30 mg Tablet 4,300
6 Ambroxol sirup Botol 382
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul -
8 Aminofilin Tablet 200 mg Tablet -
9 Amitriptilin HCl 25 mg Tablet 271
10 Amitriptilin HCl 25 mg Tablet -
11 Amoxicilin 500 mg Tablet 37,700 10,000
12 Amoxicilin 500 mg Tablet -
13 Amoxicilin 500 mg Tablet -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 360 150
15 Ampicilin kaplet 500 mg Tablet 1,700
16 Ampicilin sirup kering 125 mg/5 ml Botol 127
17 Ampicilline injeksi Vial -
18 Amlodipine 5 mg Tablet 2,250
19 Amlodipine 5 mg Tablet -
20 Antalgin 500 mg Tablet 4,700
21 Antasida doen tablet kombinasi Tablet 11,450
22 Antasida suspensi Botol 235
23 Antasida suspensi Botol 150
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube 175 25
25 Anti hemoroid doen kombinasi Suppo 20
26 Antifungi doen kombinasi Pot 202
27 Alkohol 70% 1000 ml Botol 4
28 Alkohol 70% 100 ml Botol 218 24
29 Aqua pro injeksi Vial 29
30 Asam askorbat (Vit.C) 50 mg Tablet 39,700 2,000
31 Asam Mefenamat Tablet 24,300 10,000
32 Asam Mefenamat Tablet -
33 Asetosal 100 mg Tablet -
34 Asetosal 500 mg Tablet 500
35 Asiklovir 400 mg (Ktk100) Tablet 500
36 Asiklovir 400 mg (Ktk100) Tablet -
37 Asiklovir 400 mg (Ktk50) Tablet -
38 Asiklovir krim 5 % Tube 35
39 Asmasolon tablet Tablet 500
40 Atropin sulfat injeksi Ampul 84
41 Atropin sulfat tablet Tablet -
42 Atropin sulfat tetes mata Botol -
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet -
44 Betametason krim 0,1% Tube 225 50
45 Betafort syrup Botol -
46 Becefort syrup Botol 135
Bodrex Migra Tablet 700
47 Bonding Botol 5 ml 1
48 Captopril 25 mg Tablet 5,500
49 Captopril 25 mg Tablet -
50 Captopril 50 mg Tablet 500
51 Captopril 50 mg Tablet -
52 Cetrizine Tablet 1,230
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
53 Cefadroxil 500 mg Tablet 7,500
54 Cefadroxil 500 mg Tablet 1,000
55 Cimetidin 200 mg Tablet 4,000
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet 4,200
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet -
58 Chloramfenicol 250 mg Tablet 2,000
59 Chloramfenicol salep mata 1% Tube 210 48
60 Chloramfenicol suspensi Botol 95 50
61 Chloramfenicol tetes telinga Botol 148 20
62 Chlorfeniramin maleat (CTM) 4 mg Tablet 28,848
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul -
64 Chlorpromazin HCl 25 mg Tablet 2,216
65 Codein fosfat 10 mg Tablet 450
66 Cotrimoksazol suspensi Botol 350
67 Cotrimoksazol 480 mg Tablet 6,630
68 Cotrimoksazol 120 mg (pediatrik) Tablet 2,500 500
69 Cotrimoksazol Forte Tablet -
70 Deksametason inj. 5 mg/ml-1 ml Ampul 60
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet 19,100
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
73 Diazepam injeksi 5 mg/ml-2 ml Ampul -
74 Diazepam 2 mg Tablet 272
75 Diazepam 2 mg Tablet -
76 Diazepam 5 mg Tablet 587
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul -
78 Digoksin 0,25 mg Tablet 530
79 Dulcolax Suppo Suppo 19
80 Domperidon 10 mg Tablet 1,400
81 Efedrin 25 mg Tablet -
82 Ekstrak Belladon Tablet 89
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
83 Epinefrin injeksi Ampul 34
84 Erytromicin syrup kering Botol -
85 Erytromicin 500 mg Tablet 600
86 Erytromicin 500 mg Tablet -
87 Etil klorida semprot Botol 21
88 Eugenol cairan Botol -
89 Ergotamin Caffein Tablet 400
90 Etsa (Acid Etchand Liquid) 10 ml Botol 1
91 Fenilbutason 200 mg Tablet -
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul 28
93 Fenobarbital 30 mg Tablet -
94 Fenol gliserol tetes telinga 10% Botol -
95 Fitomenadion (vit.k) 10 mg Tablet 2,200
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 285 30
97 Fitomenadion (vit.k1) Infant injeksi Ampul -
98 Forumen tetes telinga Botol -
99 Furosemid 40 mg Tablet 1,400
100 Gentamicin salep kulit Tube 60
101 Gentian violet larutan 1% 10 ml Botol 120 24
102 Glass lonomer cement / Fuji 9 Set 3
103 Glass Ionomer No.7 (Radiopaque) Set -
104 Glibenklamid 500 mg Tablet 4,500 500
105 Glibenklamid 500 mg Tablet -
106 Gliseril guayakolat 100 mg Tablet 20,850
107 Glukosa lart. Infus 5% 500 ml Botol 239
108 Glukosa lart. Infus 5% 500 ml Botol -
109 Griseofulvin 125 mg Tablet 700
110 Haloperidol Injeksi Ampul 10
111 Haloperidol 0,5 mg Tablet - 500
112 Haloperidol 0,5 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
113 Haloperidol 1,5 mg Tablet 3,022
114 Haloperidol 1,5 mg Tablet -
115 Haloperidol 5 mg Tablet 430
116 Hidroklorotiazid (HCT) 25 mg Tablet 100
117 Hidrokortison krim 2,5% Tube 210
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet 2,000
119 Hemorogard Tablet 180
120 Ibuprofen 200 mg Tablet 3,500
121 Ibuprofen 400 mg Tablet 7,850
122 Ibuprofen 400 mg Tablet 1,000
123 Isosorbit Dinitrat Tablet 250
Jelly Multimedia 80 gram Tube 5
124 Kalium permanganat serbuk Pot 70
125 Kalsium hidroksida pasta Kotak 1
126 Kalsium laktat (kalk) 500 mg Tablet 17,250 3,000
127 Karbamazepin Tablet 1,000
128 Ketokonazole krim Tube 31
129 Komposite A 3,5 Pieces 2
130 Komposite A3 Pieces 2
131 Komposite A2 Pieces 2
132 Lidokain injeksi (Pehacain) Ampul 168
133 Lisol Botol 22
134 Lisol Botol -
135 Loperamide Tablet 3,000
136 Lysmin Syrup Botol -
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul 87
138 Metilergometrin maleat 0,25 mg Tablet -
139 Metilprednisolon 16 mg Tablet -
140 Metilprednisolon 8 mg Tablet 1,900
141 Metilprednisolon 4 mg Tablet 4,000
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
142 Metoclopramida syrup Botol 150
143 Metoklopramida 10mg Tablet 1,800
144 Metronidazol 500 mg Tablet 4,200 200
145 Metronidazol 500 mg Tablet -
146 Metronidazol 500 mg Tablet -
147 Metformin 500 mg Tablet 8,400
148 Metformin 500 mg Tablet 1,500
149 Metformin 500 mg Tablet -
150 MgSO4 20% Botol -
151 MgSO4 40% Botol 2
152 Natrium diklofenak 25 mg Tablet 1,050 1,000
153 Natrium diklofenak 50 mg Tablet 2,000
154 Natrium klorida lart. Infus 0,9 steril Botol 478
155 Nistatin vaginal 100.000 iu Tablet 160
156 Obat batuk hitam (OBH) syrup Botol 240
157 Oksitetrasiklin Hcl salep kulit 3% Tube 75
158 Oksitetrasiklin Hcl salep mata 1% Tube 1
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul -
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul 94
161 OAT Kategori I Paket 3 5
162 Oralit 200 mg Sachet -
163 Omeprazol 20mg Kapsul 90
164 Papaverin Tablet -
165 Paracetamol 500 mg Tablet 13,900 5,000
166 Paracetamol 500 mg Tablet 3,000
167 Parasetamol sirup 120 mg mg/5 ml Botol 1,310 150
168 Parasetamol sirup 120 mg mg/5 ml Botol 350
169 Paraformadehida Tablet -
170 Piracetam 400 mg Kaplet 900
171 Pirantel Pamoat 125 mg Tablet 1,910
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
172 Pirantel Pamoat 125 mg Tablet -
173 Piridoksin HCl (Vit B6) 10 mg Tablet 14,550
174 Piroksikam 20 mg Tablet 2,300
175 Piroksikam 20 mg Tablet 1,000
176 Prednison 5 mg Tablet 9,850
177 Propanolol HCl 40 mg Tablet 300 300
178 Propiltiurasil (PTU) 100 mg Tablet -
179 Quinine Sulfat 222 mg Tablet -
180 Ranitidin injeksi. Ampul -
181 Ranitidin Tablet 13,200
182 Ranitidin Tablet 2,000
183 Reserpin Tablet -
184 Retinol (Vitamin A) 100.000 UI Kapsul -
185 Retinol (Vitamin A) 100.000 UI Kapsul -
186 Retinol (Vitamin A) 200.000 UI Kapsul -
187 Ringer Laktat larutan infus 500 ml Botol 2,650 200
188 Rivanol Botol 38
189 Salbutamol 2 mg Tablet -
190 Salbutamol 4 mg Tablet 1,870
191 Salep 2-4 kombinasi Pot 89
192 Salicil bedak 2% Kotak 79
193 Semen Seng Fosfat serbuk dan cairan Botol -
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul -
195 Sianokobalamin (Vit B12) Tablet 2,000
196 Silver Amalgam cair 65-75% Botol -
197 Silver Amalgam Serbuk 65-75% Botol -
198 Simvastatin 10 mg (ktk@30 tab) Tablet 6,900 1,200
199 Simvastatin 10 mg (ktk@30 tab) Tablet -
200 Spironolactone 25 mg Tablet 500
201 Tablet tambah darah kombinasi Tablet 9,600
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet 700
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet 12,280
204 Temporary stopping (Flecter/Caviton) Ktk -
205 Test Kit Formalin Set -
206 Tetrakain Tetes Mata 0,5% Botol 10
207 Tetracyclin 500 mg Kapsul 200
208 Tetracyclin 500 mg Kapsul -
209 Tetracyclin 500 mg Kapsul -
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul -
211 Thiamin HCl (Vit B1) 50 mg Tablet 3,000
212 Trihexyphenidyl 2 mg Tablet 200 500
213 Trikresol Formalin (TFK) cairan Botol -
214 Vitamin B Compleks Tablet 53,400 9,400
215 Vitamin B Compleks Tablet -
216 Neurodex (B komp) Tablet -
217 Neurophyron (Sianokobalmin) Tablet -
218 Yodium Povidon 10 % 30 ml Botol 124
219 Yodium Povidon 10 % 30 ml Botol -
220 Yodium Povidon 10 % 60 ml Botol 20 5
221 Yodium Povidon 10 % 300 ml Botol 3
222 Zinc 20 mg Tablet 500

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces 226
2 Abbocath no. 20 pieces 960 30
EKANG

N E R I MAAN

MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
1,000 1,000
-
-
-
-
-
-
-
10,000
-
-
150
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

25
-
-
-
24
-
2,000
10,000
-
-
-
-
-
-
-
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
48
50
20
-
-
-
-
-
-
500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
-
-
-
24
-
-
500
-
-
-
-
-
-
500
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
3,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
200
-
-
-
-
-
-
-
1,000
-
-
-
-
-
-
-
-
5
300 300
-
-
5,000
-
150
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
300
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
1,200
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
500
-
9,400
-
-
-
-
-
5
-
-

-
30

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