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KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 184
2 102 IV CATHETER 24 G SET 16
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 68
10 111 AMINOFILIN 200 MG TABLET 127
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 276
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 11
14 116 AMPISILIN INJ 1 GRAM VIAL 74
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 42
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 313
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 131
27 159 AMLODIPIN TAB 5 MG TABLET 81
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 54
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 0
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 51
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 222
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140
42 404 DEKSAMETASON TAB 0,5 MG TABLET 295
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 8
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 8
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 233
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 81
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 406
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 5
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 307
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 164
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 14
78 904 INFUS SET DEWASA SET/KANTONG 100
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 299
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 83
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 671
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 4
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 139
110 1217 LORATADIN 10 MG TABLET 125
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 287
113 1307 METOKLOPRAMID 10 MG TABLET 195
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 70
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 75
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 25
126 1430 KAOTIN SYRUP BOTOL 11
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 155
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83
133 1604 PARASETAMOL SYR BOTOL 60 ML 4
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 738
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 236
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 148
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 448
145 1901 SALBUTAMOL TABLET 2 MG TABLET 78
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZ BOTOL 18
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 361
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 43
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 124
181 CALORTUSIN TABLET 99
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60
PUSKESMAS KERJO

JUMLAH
PENERIMAAN PERSEDIAAN MUTASI SISA STOK
HARGA
184 3 181
16 1 15
3 3
87 87
0 0
0 0
0 0
0 0
68 68
127 8 119
30 30
276 8 268
11 11
74 2 72
294 294
42 22 20
29 29
0 0
0 0
0 0
0 0
313 14 299
12 12
2 2
12 12
131 16 115
81 81
0 0
54 54
0 0
0 5 -5
288 288
51 1 50
5 5
22 22
8 8
0 0
0 0
222 4 218
190 190
140 140
295 6 289
8 1 7
0 0
8 30 -22
0 0
28 28
0 0
233 233
11 11
0 0
0 0
96 96
0 0
5 5
5 5
81 81
0 0
406 16 390
0 0
5 5
20 20
307 2 305
60 60
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
164 164
0 0
43 43
0 0
14 1 13
100 3 97
0 0
28 28
0 0
294 294
0 0
299 299
0 0
83 4 79
0 0
671 24 647
1 1
3 3
5 5
4 4
148 148
12 1 11
278 278
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 26
0 0
139 139
125 125
0 0
287 11 276
195 18 177
5 5
70 70
0 0
75 5 70
0 0
0 0
124 124
0 0
42 42
100 100
0 0
25 25
11 11
155 15 140
0 0
0 0
0 0
0 0
83 83
4 1 3
0 0
738 15 723
308 308
0 0
0 0
59 59
236 11 225
4 4
1 1
148 11 137
448 11 437
78 16 62
1 1
2 2
0 0
0 0
2 2
0 0
0 0
18 3 15
119 119
0 0
30 30
0 0
311 311
361 2 359
0 0
307 307
54 54
0 0
0 0
43 3 40
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
124 4 120
99 10 89
0 0
0 0
0 0
0 0
60 60
Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 181
2 102 IV CATHETER 24 G SET 15
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 68
10 111 AMINOFILIN 200 MG TABLET 119
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 268
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 11
14 116 AMPISILIN INJ 1 GRAM VIAL 72
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 20
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 299
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 115
27 159 AMLODIPIN TAB 5 MG TABLET 81
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 54
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT -5
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 218
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140
42 404 DEKSAMETASON TAB 0,5 MG TABLET 289
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 7
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -22
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 233
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 81
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 390
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 5
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 164
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 97
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 299
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 79
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 647
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 4
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 139
110 1217 LORATADIN 10 MG TABLET 125
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 276
113 1307 METOKLOPRAMID 10 MG TABLET 177
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 70
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 70
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 25
126 1430 KAOTIN SYRUP BOTOL 11
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 140
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83
133 1604 PARASETAMOL SYR BOTOL 60 ML 3
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 723
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 137
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 437
145 1901 SALBUTAMOL TABLET 2 MG TABLET 62
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 40
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 120
181 CALORTUSIN TABLET 89
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
181 181
15 15
3 3
87 87
0 0
0 0
0 0
0 0
68 68
119 3 116
30 30
268 26 242
11 1 10
72 72
294 294
20 16 4
29 29
0 0
0 0
0 0
0 0
299 8 291
12 12
2 2
12 12
115 8 107
81 6 75
0 0
54 54
0 0
-5 -5
288 288
50 50
5 5
22 22
8 8
0 0
0 0
218 218
190 190
140 140
289 3 286
7 1 6
0 0
-22 -22
0 0
28 28
0 0
233 14 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
81 4 77
0 0
390 6 384
0 0
5 1 4
20 20
305 305
60 60
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
164 164
0 0
43 43
0 0
13 13
97 97
0 0
28 28
0 0
294 294
0 0
299 299
0 0
79 79
0 0
647 647
1 1
3 3
5 5
4 4
148 148
11 13
278 278
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 26
0 0
139 139
125 125
0 0
276 8 268
177 177
5 5
70 70
0 0
70 70
0 0
0 0
124 124
0 0
42 42
100 100
0 0
25 25
11 11
140 140
0 0
0 0
0 0
0 0
83 83
3 3
0 0
723 27 696
308 308
0 0
0 0
59 59
225 225
4 4
1 1
137 137
437 437
62 62
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
307 307
54 54
0 0
0 0
40 40
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 120
89 10 79
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 181
2 102 IV CATHETER 24 G SET 15
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 68
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 242
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 10
14 116 AMPISILIN INJ 1 GRAM VIAL 72
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 4
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 291
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 107
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 54
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT -5
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 218
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140
42 404 DEKSAMETASON TAB 0,5 MG TABLET 286
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 6
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -22
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 384
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 164
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 97
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 299
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 79
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 647
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 4
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 139
110 1217 LORATADIN 10 MG TABLET 125
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 177
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 70
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 70
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 25
126 1430 KAOTIN SYRUP BOTOL 11
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 140
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83
133 1604 PARASETAMOL SYR BOTOL 60 ML 3
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 696
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 137
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 437
145 1901 SALBUTAMOL TABLET 2 MG TABLET 62
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 40
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 120
181 CALORTUSIN TABLET 79
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
181 2 179
15 15
3 3
87 87
0 0
0 0
0 0
0 0
68 68
116 116
30 30
242 242
10 10
72 4 68
294 294
4 14 -10
29 29
0 0
0 0
0 0
0 0
291 291
12 12
2 2
12 12
107 107
75 75
0 0
54 54
0 0
-5 -5
288 288
50 50
5 5
22 22
8 8
0 0
0 0
218 218
190 190
140 140
286 286
6 1 5
0 0
-22 -22
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 77
0 0
384 6 378
0 0
4 4
20 20
305 305
60 60
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
164 164
0 0
43 43
0 0
13 13
97 1 96
0 0
28 28
0 0
294 294
0 0
299 299
0 0
79 79
0 0
647 647
1 1
3 3
5 5
4 4
148 148
13 13
278 278
0 0
0 0
0 0
0 0
0 0
0 0
0 1 -1
0 0
0 0
0 0
0 0
26 26
0 0
139 4 135
125 5 120
0 0
268 268
177 6 171
5 5
70 70
0 0
70 3 67
0 0
0 0
124 124
0 0
42 42
100 100
0 0
25 25
11 11
140 140
0 0
0 0
0 0
0 0
83 83
3 3
0 0
696 16 680
308 308
0 0
0 0
59 59
225 225
4 4
1 1
137 4 133
437 4 433
62 62
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
307 307
54 54
0 0
0 0
40 40
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 120
79 79
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 179
2 102 IV CATHETER 24 G SET 15
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 68
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 242
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 10
14 116 AMPISILIN INJ 1 GRAM VIAL 68
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -10
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 291
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 107
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 54 30
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT -5
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 218
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140
42 404 DEKSAMETASON TAB 0,5 MG TABLET 286
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -22
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 378
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 164
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 96
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 299
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 79
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 647
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL -1
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 135
110 1217 LORATADIN 10 MG TABLET 120
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 171
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 70
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 67
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 25
126 1430 KAOTIN SYRUP BOTOL 11
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 140
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83
133 1604 PARASETAMOL SYR BOTOL 60 ML 3
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 680
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 133
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 433
145 1901 SALBUTAMOL TABLET 2 MG TABLET 62
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 40
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 120
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
179 4 175
15 15
3 3
87 87
0 0
0 0
0 0
0 0
68 68
116 116
30 30
242 6 236
10 10
68 68
294 294
-10 13 -23
29 29
0 0
0 0
0 0
0 0
291 7 284
12 12
2 2
12 12
107 107
75 75
0 0
84 84
0 0
-5 2 -7
288 288
50 50
5 5
22 22
8 8
0 0
0 0
218 1 217
190 190
140 4 136
286 286
5 5
0 0
-22 -22
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 77
0 0
378 378
0 0
4 4
20 20
305 305
60 60
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
164 3 161
0 0
43 43
0 0
13 13
96 2 94
0 0
28 28
0 0
294 294
0 0
299 8 291
0 0
79 6 73
0 0
647 24 623
1 1
3 3
5 5
0 0
148 148
13 13
278 4 274
0 0
0 0
0 0
0 0
0 0
0 0
-1 4 -5
0 0
0 0
0 0
0 0
26 26
0 0
135 135
120 120
0 0
268 268
171 171
5 5
70 3 67
0 0
67 7 60
0 0
0 0
124 6 118
0 0
42 42
100 100
0 0
25 1 24
11 11
140 140
0 0
0 0
0 0
0 0
83 11 72
3 3
0 0
680 25 655
308 308
0 0
0 0
59 59
225 225
4 4
1 1
133 5 128
433 3 430
62 62
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
307 6 301
54 54
0 0
0 0
40 40
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 14 106
125 6 119
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 175
2 102 IV CATHETER 24 G SET 15 50
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 68 100
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 236 500
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 10 10
14 116 AMPISILIN INJ 1 GRAM VIAL 68 150
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -23
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 284 400
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12 70
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 107 500
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT -7 100
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 217
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 136
42 404 DEKSAMETASON TAB 0,5 MG TABLET 286
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 5 20
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -22 30
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 0 10
59 614 FAMOTIDIN 20 MG TABLET 378
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60 100
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 161 200
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 94
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 291
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 73 100
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3 10
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148 300
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 274
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL -5 100
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 135
110 1217 LORATADIN 10 MG TABLET 120 100
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 171 200
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 67
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 60
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 24
126 1430 KAOTIN SYRUP BOTOL 11
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 140 300
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 72
133 1604 PARASETAMOL SYR BOTOL 60 ML 3 30
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 655
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 128 100
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 430
145 1901 SALBUTAMOL TABLET 2 MG TABLET 62 200
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 40 200
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 106
181 CALORTUSIN TABLET 119
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
175 175
65 65
3 3
87 87
0 0
0 0
0 0
0 0
168 168
116 116
30 30
736 736
20 20
218 218
294 294
-23 6 -29
29 29
0 0
0 0
0 0
0 0
684 8 676
82 82
2 2
12 12
607 607
75 75
0 0
84 84
0 0
93 93
288 288
50 50
5 5
22 22
8 8
0 0
0 0
217 6 211
190 190
136 136
286 286
25 25
0 0
8 8
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 77
10 10
378 4 374
0 0
4 4
20 20
305 305
160 160
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
94 94
0 0
28 28
0 0
294 294
0 0
291 291
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
448 448
13 13
274 274
0 0
0 0
0 0
0 0
0 0
0 0
95 95
0 0
0 0
0 0
0 0
26 1 25
0 0
135 6 129
220 220
0 0
268 268
371 371
5 5
67 67
0 0
60 60
0 0
0 0
118 118
0 0
42 42
100 100
0 0
24 24
11 11
440 440
0 0
0 0
10 10
0 0
72 72
33 33
0 0
655 655
308 308
0 0
0 0
59 59
225 225
4 4
1 1
228 228
430 430
262 262
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
301 301
54 54
0 0
0 0
240 240
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
106 367
119 119
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 175
2 102 IV CATHETER 24 G SET 65
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 736
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 20
14 116 AMPISILIN INJ 1 GRAM VIAL 218
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -29
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 676
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 93
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 211
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 136
42 404 DEKSAMETASON TAB 0,5 MG TABLET 286
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 8
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 374
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 160
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 94
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 291
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 448
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 274
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 95
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 129
110 1217 LORATADIN 10 MG TABLET 220
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 371
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 67
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 60
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 24
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 440
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 72
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 655
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 228
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 430
145 1901 SALBUTAMOL TABLET 2 MG TABLET 262
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 240
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 119
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
175 175
65 65
3 3
87 87
0 0
0 0
0 0
0 0
168 168
116 116
30 30
736 736
20 20
218 218
294 294
-29 -29
29 29
0 0
0 0
0 0
0 0
676 676
82 82
2 2
12 12
607 607
75 75
0 0
84 84
0 0
93 93
288 288
50 50
5 5
22 22
8 8
0 0
0 0
211 211
190 190
136 136
286 286
5 5
0 0
8 8
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 77
10 10
374 374
0 0
4 4
20 20
305 305
160 160
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
94 94
0 0
28 28
0 0
294 294
0 0
291 291
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
448 448
13 13
274 274
0 0
0 0
0 0
0 0
0 0
0 0
95 115
0 0
0 0
0 0
0 0
25 25
0 0
129 129
220 220
0 0
268 268
371 371
5 5
67 67
0 0
60 60
0 0
0 0
118 118
0 0
42 42
100 100
0 0
24 24
0 0
440 440
0 0
0 0
10 10
0 0
72 72
33 33
0 0
655 655
308 308
0 0
0 0
59 59
225 225
4 4
1 1
228 228
430 430
262 262
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
301 301
54 54
0 0
0 0
240 240
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
119 119
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 175
2 102 IV CATHETER 24 G SET 65
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 736
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 20
14 116 AMPISILIN INJ 1 GRAM VIAL 218
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -29
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 676
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 93
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 211
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 136
42 404 DEKSAMETASON TAB 0,5 MG TABLET 286
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 8
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 374
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 305
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 160
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 94
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 291
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 448
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 274
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 115
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 129
110 1217 LORATADIN 10 MG TABLET 220
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 371
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 67
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 60
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 24
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 440
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 72
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 655
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 228 100
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 430
145 1901 SALBUTAMOL TABLET 2 MG TABLET 262
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 240
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 119
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
175 5 170
65 65
3 3
87 87
0 0
0 0
0 0
0 0
168 168
116 116
30 30
736 736
20 20
218 218
294 294
-29 16 -45
29 29
0 0
0 0
0 0
0 0
676 676
82 82
2 2
12 12
607 607
75 75
0 0
84 84
0 0
93 1 92
288 288
50 50
5 5
22 22
8 8
0 0
0 0
211 211
190 190
136 136
286 2 284
5 5
0 0
8 8
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 77
10 10
374 374
0 0
4 4
20 20
305 8 297
160 160
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
94 3 91
0 0
28 28
0 0
294 294
0 0
291 291
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
448 2 446
13 13
274 274
0 0
0 0
0 0
0 0
0 0
0 0
115 5 110
0 0
0 0
0 0
0 0
25 25
0 0
129 9 120
220 220
0 0
268 268
371 371
5 5
67 67
0 0
60 3 57
0 0
0 0
118 118
0 2 -2
42 3 39
100 100
0 0
24 1 23
0 0
440 440
0 0
0 0
10 10
0 0
72 72
33 33
0 0
655 17 638
308 308
0 0
0 0
59 59
225 225
4 4
1 1
328 7 321
430 5 425
262 262
1 1
2 2
0 0
0 0
2 2
0 0
0 0
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
301 301
54 54
0 0
0 0
240 240
20 20
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 20 347
119 2 117
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 170
2 102 IV CATHETER 24 G SET 65
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 736
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 20
14 116 AMPISILIN INJ 1 GRAM VIAL 218
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -45
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 676
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 75
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 92
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 211
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 136
42 404 DEKSAMETASON TAB 0,5 MG TABLET 284
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINAS BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 8
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 77
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 374
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 297
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 160
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 91
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 291
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 446
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 274
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 110
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 120
110 1217 LORATADIN 10 MG TABLET 220
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 268
113 1307 METOKLOPRAMID 10 MG TABLET 371
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 67
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 57
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -2
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 39
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 23
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 440
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 72
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 638
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 225
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 321
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 425
145 1901 SALBUTAMOL TABLET 2 MG TABLET 262
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEB BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 240
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 40
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 347
181 CALORTUSIN TABLET 117
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60
T PUSKESMAS KERJO

JUMLAH
PENERIMAAN PERSEDIAAN MUTASI SISA STOK
HARGA
170 6 164
65 65
3 3
87 87
0 0
0 0
0 0
0 0
168 168
116 116
30 30
736 10 726
20 20
218 8 210
294 294
-45 6 -51
29 29
0 0
0 0
0 0
0 0
676 29 647
82 82
2 2
12 12
607 607
75 6 69
0 0
84 84
0 0
92 1 91
288 288
50 50
5 5
22 22
8 8
0 0
0 0
211 6 205
190 190
136 136
284 10 274
5 5
0 0
8 2 6
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
77 3 74
10 10
374 8 366
0 0
4 4
20 20
297 10 287
160 160
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
91 4 87
0 0
28 28
0 0
294 294
0 0
291 15 276
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
446 446
13 13
274 4 270
0 0
0 0
0 0
0 0
0 0
0 0
110 5 105
0 0
0 0
0 0
0 0
25 25
0 0
120 120
220 220
0 0
268 30 238
371 371
5 5
67 16 51
0 0
57 11 46
0 0
0 0
118 118
-2 -2
39 3 36
100 100
0 0
23 1 22
0 0
440 9 431
0 0
0 0
10 10
0 0
72 10 62
33 33
0 0
638 16 622
308 308
0 0
0 0
59 59
225 13 212
4 4
1 1
321 19 302
425 12 413
262 262
1 1
2 2
0 0
0 0
2 2
0 0
0 4 -4
15 15
119 119
0 0
30 30
0 0
311 311
359 359
0 0
301 301
54 54
0 0
0 0
240 240
20 20
40 3 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
347 22 325
117 10 107
0 0
0 0
0 0
0 0
60 60
Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 164
2 102 IV CATHETER 24 G SET 65
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 116
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 726
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 20
14 116 AMPISILIN INJ 1 GRAM VIAL 210
15 120 METHAMPIRON TAB 500 MG TABLET 294
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -51
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 647
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 91
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 205
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 136
42 404 DEKSAMETASON TAB 0,5 MG TABLET 274
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 366
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 287
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 160
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 87
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 446
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 270
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 105
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 120
110 1217 LORATADIN 10 MG TABLET 220
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 238
113 1307 METOKLOPRAMID 10 MG TABLET 371
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 46
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -2
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 36
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 22
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 431
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 622
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 302
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 413
145 1901 SALBUTAMOL TABLET 2 MG TABLET 262
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 15
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 30
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 240
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 325
181 CALORTUSIN TABLET 107
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
164 4 160
65 65
3 3
87 87
0 0
0 0
0 0
0 0
168 168
116 3 113
30 30
726 726
20 20
210 210
294 11 283
-51 3 -54
29 29
0 0
0 0
0 0
0 0
647 647
82 82
2 2
12 12
607 607
69 69
0 0
84 84
0 0
91 91
288 288
50 50
5 5
22 22
8 8
0 0
0 0
205 205
190 190
136 2 134
274 10 264
5 2 3
0 0
6 6
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 74
10 10
366 366
0 0
4 4
20 20
287 287
160 160
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
87 2 85
0 0
28 28
0 0
294 294
0 0
276 276
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
446 7 439
13 13
270 16 254
0 0
0 0
0 0
0 0
0 0
0 0
105 2 103
0 0
0 0
0 0
0 0
25 25
0 0
120 3 117
220 220
0 0
238 238
371 1 370
5 5
51 51
0 0
46 46
0 0
0 0
118 118
-2 4 -6
36 36
100 100
0 0
22 22
0 0
431 431
0 0
0 0
10 10
0 0
62 62
33 1 32
0 0
622 24 598
308 308
0 0
0 0
59 59
212 212
4 4
1 1
302 7 295
413 6 407
262 3 259
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
15 1 14
119 119
0 0
30 1 29
0 0
311 311
359 359
0 0
301 301
54 54
0 0
0 0
240 3 237
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
325 12 313
107 107
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 160
2 102 IV CATHETER 24 G SET 65
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 113
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 726
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 20
14 116 AMPISILIN INJ 1 GRAM VIAL 210
15 120 METHAMPIRON TAB 500 MG TABLET 283
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -54
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 647
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 91
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 205
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 134
42 404 DEKSAMETASON TAB 0,5 MG TABLET 264
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 3
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 366
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 287
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 160
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 85
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 439
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 103
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 220
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 238
113 1307 METOKLOPRAMID 10 MG TABLET 370
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 46
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 36
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 22
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 431
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 32
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 598
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 295
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 407
145 1901 SALBUTAMOL TABLET 2 MG TABLET 259
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 14
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 237
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 313
181 CALORTUSIN TABLET 107
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
160 2 158
65 2 63
3 3
87 87
0 0
0 0
0 0
0 0
168 168
113 5 108
30 30
726 17 709
20 1 19
210 8 202
283 2 281
-54 11 -65
29 29
0 0
0 0
0 0
0 0
647 11 636
82 82
2 2
12 12
607 607
69 69
0 0
84 84
0 0
91 1 90
288 288
50 50
5 5
22 22
8 8
0 0
0 0
205 205
190 190
134 1 133
264 15 249
3 1 2
0 0
6 2 4
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 74
10 10
366 10 356
0 0
4 4
20 20
287 21 266
160 9 151
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
85 3 82
0 0
28 28
0 0
294 294
0 0
276 276
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
439 439
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
103 3 100
0 0
0 0
0 0
0 0
25 25
0 0
117 117
220 2 218
0 0
238 238
370 370
5 5
51 51
0 0
46 8 38
0 0
0 0
118 118
-6 -6
36 36
100 100
0 0
22 22
0 0
431 11 420
0 0
0 0
10 10
0 0
62 62
32 1 31
0 0
598 25 573
308 308
0 0
0 0
59 59
212 212
4 4
1 1
295 5 290
407 10 397
259 7 252
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
14 14
119 119
0 0
29 29
0 0
311 311
359 2 357
0 0
301 301
54 54
0 0
0 0
237 2 235
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
313 20 293
107 107
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 158
2 102 IV CATHETER 24 G SET 63
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 108
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 709
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 202
15 120 METHAMPIRON TAB 500 MG TABLET 281
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -65
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 636
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 90
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 205
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 133
42 404 DEKSAMETASON TAB 0,5 MG TABLET 249
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 2
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 4
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 356
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 266
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 151
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 82
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 439
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 100
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 218
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 238
113 1307 METOKLOPRAMID 10 MG TABLET 370
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 38
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 36
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 22
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 420
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 573
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 290
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 397
145 1901 SALBUTAMOL TABLET 2 MG TABLET 252
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 14
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 235
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 293
181 CALORTUSIN TABLET 107
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
158 3 155
63 63
3 3
87 87
0 0
0 0
0 0
0 0
168 168
108 108
30 30
709 5 704
19 19
202 4 198
281 22 259
-65 25 -90
29 29
0 0
0 0
0 0
0 0
636 636
82 82
2 2
12 12
607 607
69 69
0 0
84 84
0 0
90 90
288 288
50 50
5 5
22 13 9
8 8
0 0
0 0
205 6 199
190 190
133 133
249 249
2 2
0 0
4 4
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 74
10 10
356 14 342
0 0
4 4
20 20
266 266
151 2 149
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
82 2 80
0 0
28 28
0 0
294 294
0 0
276 276
0 0
173 173
0 0
623 623
1 1
13 13
5 5
0 0
439 439
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
100 5 95
0 0
0 0
0 0
0 0
25 25
0 0
117 117
218 218
0 0
238 13 225
370 3 367
5 5
51 51
0 0
38 38
0 0
0 0
118 118
-6 -6
36 6 30
100 100
0 0
22 1 21
0 0
420 420
0 0
0 0
10 10
0 0
62 62
31 31
0 0
573 7 566
308 308
0 0
0 0
59 59
212 212
4 4
1 1
290 2 288
397 4 393
252 252
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
14 14
119 119
0 0
29 29
0 0
311 311
357 357
0 0
301 301
54 54
0 0
0 0
235 21 214
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
293 14 279
107 107
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 155
2 102 IV CATHETER 24 G SET 63
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 108
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 704
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 198
15 120 METHAMPIRON TAB 500 MG TABLET 259
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -90
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 636
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 607
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 90
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 199
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 133
42 404 DEKSAMETASON TAB 0,5 MG TABLET 249
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 2
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 4
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 342
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 266
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 149
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 80
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 173
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 439
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 95
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 218
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 225
113 1307 METOKLOPRAMID 10 MG TABLET 367
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 38
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 21
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 420
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 566
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 288
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 393
145 1901 SALBUTAMOL TABLET 2 MG TABLET 252
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 14
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 311
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 214
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 279
181 CALORTUSIN TABLET 107
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
155 5 150
63 63
3 3
87 87
0 0
0 0
0 0
0 0
168 168
108 108
30 30
704 704
19 19
198 198
259 3 256
-90 15 -105
29 29
0 0
0 0
0 0
0 0
636 8 628
82 82
2 2
12 12
607 9 598
69 69
0 0
84 84
0 0
90 1 89
288 288
50 50
5 5
9 9
8 8
0 0
0 0
199 14 185
190 190
133 133
249 249
2 1 1
0 0
4 4
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 74
10 10
342 18 324
0 0
4 4
20 20
266 9 257
149 1 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
80 4 76
0 0
28 28
0 0
294 294
0 0
276 276
0 0
173 6 167
0 0
623 623
1 1
13 13
5 1 4
0 0
439 439
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
95 15 80
0 0
0 0
0 0
0 0
25 25
0 0
117 117
218 1 217
0 0
225 24 201
367 6 361
5 5
51 51
0 0
38 38
0 0
0 0
118 118
-6 -6
30 30
100 100
0 0
21 1 20
0 0
420 420
0 0
0 0
10 10
0 0
62 62
31 31
0 0
566 52 514
308 308
0 0
0 0
59 59
212 212
4 4
1 1
288 4 284
393 15 378
252 3 249
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
14 14
119 119
0 0
29 29
0 0
311 4 307
357 357
0 0
301 301
54 10 44
0 0
0 0
214 214
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
279 12 267
107 8 99
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 150
2 102 IV CATHETER 24 G SET 63
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 108
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 704
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 198
15 120 METHAMPIRON TAB 500 MG TABLET 256
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 628
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 598
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 89
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20M AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 185
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 133
42 404 DEKSAMETASON TAB 0,5 MG TABLET 249
43 405 DEKSTROMETORFAN SYR 10MG/5ML KO BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 4
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 10
59 614 FAMOTIDIN 20 MG TABLET 324
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 257
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 76
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 167
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 439
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 80
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 217
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 201
113 1307 METOKLOPRAMID 10 MG TABLET 361
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 38
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 420
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 514
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 284
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 378
145 1901 SALBUTAMOL TABLET 2 MG TABLET 249
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNT BOTOL 14
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 307
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 44
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML- AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 214
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 99
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
SMAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
150 3 147
63 63
3 3
87 87
0 0
0 0
0 0
0 0
168 168
108 108
30 30
704 704
19 19
198 9 189
256 256
-105 -105
29 29
0 0
0 0
0 0
0 0
628 628
82 82
2 2
12 12
598 10 588
69 69
0 0
84 84
0 0
89 3 86
288 288
50 50
5 5
9 9
8 8
0 0
0 0
185 185
190 190
133 1 132
249 3 246
1 1
0 0
4 4
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 74
10 1 9
324 324
0 0
4 4
20 20
257 257
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 361
0 0
43 43
0 0
13 13
76 76
0 0
28 28
0 0
294 294
0 0
276 276
0 0
167 167
0 0
623 623
1 1
13 13
4 4
0 0
439 439
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
80 5 75
0 0
0 0
0 0
0 0
25 25
0 0
117 117
217 2 215
0 0
201 201
361 361
5 5
51 51
0 0
38 38
0 0
0 0
118 118
-6 -6
30 30
100 100
0 0
20 20
0 0
420 420
0 0
0 0
10 10
0 0
62 62
31 31
0 0
514 14 500
308 308
0 0
0 0
59 59
212 212
4 4
1 1
284 1 283
378 2 376
249 10 239
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
14 14
119 119
0 0
29 29
0 1 -1
307 307
357 357
0 0
301 301
44 44
0 0
0 0
214 214
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
99 99
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 147
2 102 IV CATHETER 24 G SET 63
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 168
10 111 AMINOFILIN 200 MG TABLET 108
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 704
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 189
15 120 METHAMPIRON TAB 500 MG TABLET 256
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 628
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 588
27 159 AMLODIPIN TAB 5 MG TABLET 69
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 86
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 185
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 132
42 404 DEKSAMETASON TAB 0,5 MG TABLET 246
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 4
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 74
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 324
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 257
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 361
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 13
78 904 INFUS SET DEWASA SET/KANTONG 76
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 276
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 167
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 623
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 439
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 75
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 25
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 215
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 201
113 1307 METOKLOPRAMID 10 MG TABLET 361
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 38
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 420
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 62
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 500
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 283
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 376
145 1901 SALBUTAMOL TABLET 2 MG TABLET 239
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 14
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 307
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 44
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 214
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 99
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
147 4 143
63 1 62
3 3
87 87
0 0
0 0
0 0
0 0
168 6 162
108 2 106
30 30
704 12 692
19 19
189 189
256 256
-105 -105
29 29
0 0
0 0
0 0
0 0
628 20 608
82 82
2 2
12 12
588 3 585
69 2 67
0 0
84 84
0 0
86 2 84
288 288
50 50
5 5
9 9
8 8
0 0
0 0
185 12 173
190 190
132 1 131
246 19 227
1 1
0 0
4 1 3
0 0
28 28
0 0
93 93
11 11
0 0
0 0
96 96
0 0
5 5
5 5
74 2 72
9 9
324 12 312
0 0
4 4
20 20
257 14 243
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
361 20 341
0 0
43 43
0 0
13 1 12
76 2 74
0 0
28 28
0 0
294 294
0 0
276 4 272
0 0
167 8 159
0 0
623 24 599
1 1
13 13
4 4
0 0
439 11 428
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
75 15 60
0 0
0 0
0 0
0 0
25 2 23
0 0
117 117
215 6 209
0 0
201 201
361 361
5 5
51 51
0 0
38 3 35
0 0
0 0
118 118
-6 -6
30 30
100 100
0 0
20 20
0 0
420 420
0 0
0 0
10 10
0 0
62 6 56
31 31
0 0
500 53 447
308 308
0 0
0 0
59 59
212 212
4 4
1 1
283 6 277
376 19 357
239 239
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
14 1 13
119 119
0 0
29 29
-1 -1
307 8 299
357 357
0 0
301 301
44 6 38
0 0
0 0
214 4 210
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
99 99
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 143
2 102 IV CATHETER 24 G SET 62
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 162
10 111 AMINOFILIN 200 MG TABLET 106
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 692
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 189
15 120 METHAMPIRON TAB 500 MG TABLET 256
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 608
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 585
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 84
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 173
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 131
42 404 DEKSAMETASON TAB 0,5 MG TABLET 227
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 72
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 312
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 243
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 341
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 74
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 272
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 159
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 599
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 428
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 60
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 23
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 209
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 201
113 1307 METOKLOPRAMID 10 MG TABLET 361
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 35
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 118
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 420
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 447
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 59
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 277
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 357
145 1901 SALBUTAMOL TABLET 2 MG TABLET 239
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 13
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 299
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 38
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 210
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 99
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
143 3 140
62 62
3 3
87 87
0 0
0 0
0 0
0 0
162 10 152
106 106
30 30
692 10 682
19 19
189 189
256 10 246
-105 -105
29 29
0 0
0 0
0 0
0 0
608 6 602
82 82
2 2
12 12
585 6 579
67 67
0 0
84 84
0 0
84 84
288 288
50 50
5 5
9 9
8 8
0 0
0 0
173 6 167
190 190
131 131
227 17 210
1 1
0 0
3 3
0 0
28 28
0 0
93 93
11 1 10
0 0
0 0
96 96
0 0
5 5
5 5
72 72
9 9
312 312
0 0
4 4
20 20
243 243
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
341 341
0 0
43 43
0 0
12 12
74 2 72
0 0
28 28
0 0
294 294
0 0
272 272
0 0
159 159
0 0
599 599
1 1
13 13
4 4
0 0
428 19 409
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
60 6 54
0 0
0 0
0 0
0 0
23 23
0 0
117 117
209 209
0 0
201 201
361 5 356
5 5
51 51
0 0
35 35
0 0
0 0
118 10 108
-6 -6
30 30
100 100
0 0
20 20
0 0
420 6 414
0 0
0 0
10 10
0 0
56 56
31 1 30
0 0
447 39 408
308 308
0 0
0 0
59 7 52
212 212
4 4
1 1
277 4 273
357 4 353
239 1 238
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
13 1 12
119 119
0 0
29 29
-1 -1
299 10 289
357 357
0 0
301 301
38 38
0 0
0 0
210 16 194
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
99 6 93
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 140
2 102 IV CATHETER 24 G SET 62
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 106
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 682
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 19
14 116 AMPISILIN INJ 1 GRAM VIAL 189
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 602
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 579
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 84
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 167
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 131
42 404 DEKSAMETASON TAB 0,5 MG TABLET 210
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 10
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 72
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 312
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 243
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 341
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 72
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 272
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 159
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 599
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 409
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 54
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 23
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 209
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 201
113 1307 METOKLOPRAMID 10 MG TABLET 356
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 35
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 414
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 10
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 30
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 408
136 1614 PIROKSIKAM 10 MG TABLET 308
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 52
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 273
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 353
145 1901 SALBUTAMOL TABLET 2 MG TABLET 238
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 12
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 289
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 357
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 38
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 194
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 93
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
140 3 137
62 1 61
3 3
87 87
0 0
0 0
0 0
0 0
152 152
106 106
30 30
682 28 654
19 1 18
189 18 171
246 246
-105 -105
29 29
0 0
0 0
0 0
0 0
602 16 586
82 82
2 2
12 12
579 21 558
67 67
0 0
84 84
0 0
84 84
288 288
50 50
5 5
9 9
8 8
0 0
0 0
167 8 159
190 190
131 1 130
210 3 207
1 1
0 0
3 3
0 0
28 28
0 0
93 10 83
10 10
0 0
0 0
96 96
0 0
5 5
5 5
72 72
9 9
312 20 292
0 0
4 4
20 20
243 243
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
341 27 314
0 0
43 43
0 0
12 12
72 4 68
0 0
28 28
0 0
294 294
0 0
272 272
0 0
159 159
0 0
599 599
1 1
13 13
4 4
0 0
409 17 392
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
54 3 51
0 0
0 0
0 0
0 0
23 3 20
0 0
117 117
209 3 206
0 0
201 16 185
356 6 350
5 5
51 51
0 0
35 35
0 0
0 0
108 108
-6 -6
30 30
100 100
0 0
20 20
0 0
414 10 404
0 0
0 0
10 1 9
0 0
56 56
30 1 29
0 0
408 61 347
308 10 298
0 0
0 0
52 13 39
212 212
4 4
1 1
273 14 259
353 8 345
238 3 235
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
12 12
119 119
0 0
29 29
-1 -1
289 289
357 20 337
0 0
301 301
38 3 35
0 0
0 0
194 15 179
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
93 93
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 137
2 102 IV CATHETER 24 G SET 61
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 106
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 654
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 18
14 116 AMPISILIN INJ 1 GRAM VIAL 171
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 586
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 558
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 84
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 159
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 130
42 404 DEKSAMETASON TAB 0,5 MG TABLET 207
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 83
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 10
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 72
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 292
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 243
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 68
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 272
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 159
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 599
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 392
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 51
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 20
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 117
110 1217 LORATADIN 10 MG TABLET 206
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 185
113 1307 METOKLOPRAMID 10 MG TABLET 350
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 35
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 404
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 9
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 29
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 347
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 39
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 259
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 345
145 1901 SALBUTAMOL TABLET 2 MG TABLET 235
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 12
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 289
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 337
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 35
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 179
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 93
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
137 3 134
61 1 60
3 3
87 87
0 0
0 0
0 0
0 0
152 152
106 11 95
30 30
654 25 629
18 1 17
171 6 165
246 246
-105 -105
29 29
0 0
0 0
0 0
0 0
586 33 553
82 82
2 2
12 12
558 14 544
67 67
0 0
84 84
0 0
84 84
288 288
50 50
5 5
9 9
8 8
0 0
0 0
159 12 147
190 190
130 130
207 9 198
1 1
0 0
3 3
0 0
28 28
0 0
83 11 72
10 1 9
0 0
0 0
96 96
0 0
5 5
5 5
72 5 67
9 9
292 6 286
0 0
4 4
20 20
243 19 224
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
314 314
0 0
43 43
0 0
12 12
68 4 64
0 0
28 28
0 0
294 294
0 0
272 10 262
0 0
159 159
0 0
599 599
1 1
13 13
4 4
0 0
392 25 367
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
51 1 50
0 0
0 0
0 0
0 0
20 1 19
0 0
117 8 109
206 206
0 0
185 13 172
350 8 342
5 5
51 51
0 0
35 35
0 0
0 0
108 108
-6 -6
30 30
100 100
0 0
20 20
0 1 -1
404 404
0 0
0 0
9 9
0 0
56 56
29 4 25
0 0
347 45 302
298 298
0 0
0 0
39 6 33
212 212
4 4
1 1
259 13 246
345 5 340
235 14 221
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
12 3 9
119 119
0 0
29 29
-1 -1
289 12 277
337 337
0 0
301 301
35 35
0 0
0 0
179 11 168
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
93 8 85
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 134
2 102 IV CATHETER 24 G SET 60
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 95
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 629
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 17
14 116 AMPISILIN INJ 1 GRAM VIAL 165
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -105
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 553
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 544
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 84
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 147
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 130
42 404 DEKSAMETASON TAB 0,5 MG TABLET 198
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 1
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 72
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 9
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 286
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 224
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 64
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 262
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 159
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 599
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 367
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 50
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 19
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 109
110 1217 LORATADIN 10 MG TABLET 206
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 172
113 1307 METOKLOPRAMID 10 MG TABLET 342
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 35
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 404
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 9
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 25
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 302
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 33
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 246
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 340
145 1901 SALBUTAMOL TABLET 2 MG TABLET 221
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 9
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 337
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 35
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 168
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 85
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
134 4 130
60 2 58
3 3
87 87
0 0
0 0
0 0
0 0
152 152
95 6 89
30 30
629 26 603
17 17
165 12 153
246 246
-105 11 -116
29 29
0 0
0 0
0 0
0 0
553 22 531
82 82
2 1 1
12 12
544 6 538
67 67
0 0
84 84
0 0
84 2 82
288 288
50 50
5 5
9 9
8 8
0 0
0 0
147 6 141
190 190
130 1 129
198 25 173
1 1 0
0 0
3 3
0 0
28 28
0 0
72 72
9 1 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
286 20 266
0 0
4 4
20 20
224 6 218
148 148
0 0
3 3
126 126
0 0
38 38
2 2
0 0
0 0
314 314
0 0
43 43
0 0
12 12
64 5 59
0 0
28 28
0 0
294 294
0 0
262 262
0 0
159 2 157
0 0
599 24 575
1 1
13 13
4 4
0 0
367 27 340
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
50 10 40
0 0
0 0
0 0
0 0
19 19
0 0
109 109
206 206
0 0
172 172
342 342
5 5
51 51
0 0
35 1 34
0 0
0 0
108 108
-6 -6
30 30
100 100
0 0
20 20
-1 -1
404 404
0 0
0 0
9 9
0 0
56 56
25 1 24
0 0
302 52 250
298 298
0 0
0 0
33 6 27
212 212
4 4
1 1
246 12 234
340 11 329
221 8 213
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
9 9
119 119
0 0
29 29
-1 -1
277 277
337 337
0 0
301 301
35 35
0 0
0 0
168 20 148
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
85 85
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 130
2 102 IV CATHETER 24 G SET 58
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 89
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 603
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 17
14 116 AMPISILIN INJ 1 GRAM VIAL 153
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -116
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 531
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 538
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 82
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 141
40 308 CEFADROKSIL 500 MG KAPSUL 190
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 173
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 72
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 266
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 218
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 3
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 59
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 262
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 157
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 575
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 4
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 340
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 40
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 19
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 109
110 1217 LORATADIN 10 MG TABLET 206
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 172
113 1307 METOKLOPRAMID 10 MG TABLET 342
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 34
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 30
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 20
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 404
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 9
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 24
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 250
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 27
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 234
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 329
145 1901 SALBUTAMOL TABLET 2 MG TABLET 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 9
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 337
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 301
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 35
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 148
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 85
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
130 5 125
58 58
3 3
87 80 7
0 0
0 0
0 0
0 0
152 152
89 89
30 30
603 3 600
17 17
153 153
246 246
-116 6 -122
29 29
0 0
0 0
0 0
0 0
531 11 520
82 82
1 1
12 12
538 8 530
67 67
0 0
84 84
0 0
82 1 81
288 288
50 50
5 5
9 9
8 8
0 0
0 0
141 141
190 16 174
129 129
173 14 159
0 0
0 0
3 3
0 0
28 28
0 0
72 72
8 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
266 20 246
0 0
4 4
20 20
218 218
148 148
0 0
3 1 2
126 126
0 0
38 38
2 2
0 0
0 0
314 314
0 0
43 43
0 0
12 12
59 4 55
0 0
28 28
0 0
294 294
0 0
262 6 256
0 0
157 157
0 0
575 575
1 1
13 13
4 1 3
0 0
340 22 318
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
40 16 24
0 0
0 0
0 0
0 0
19 19
0 0
109 109
206 206
0 0
172 172
342 15 327
5 5
51 51
0 0
34 4 30
0 0
0 0
108 108
-6 -6
30 9 21
100 100
0 0
20 1 19
-1 -1
404 27 377
0 0
0 0
9 1 8
0 0
56 56
24 24
0 0
250 44 206
298 298
0 0
0 0
27 27
212 212
4 4
1 1
234 9 225
329 329
213 213
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
9 9
119 119
0 0
29 29
-1 -1
277 277
337 8 329
0 0
301 8 293
35 3 32
0 0
0 0
148 16 132
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
85 3 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 125
2 102 IV CATHETER 24 G SET 58
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 89
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 600
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 17
14 116 AMPISILIN INJ 1 GRAM VIAL 153
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -122
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 520
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 530
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 81
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 141
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 159
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINAS BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 72
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 246
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 218
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 55
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 157
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 575
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 318
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 24
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 19
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 109
110 1217 LORATADIN 10 MG TABLET 206
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 172
113 1307 METOKLOPRAMID 10 MG TABLET 327
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 30
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 21
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 24
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 206
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 27
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 225
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 329
145 1901 SALBUTAMOL TABLET 2 MG TABLET 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEB BOTOL 9
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 329
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 293
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 132
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
125 1 124
58 58
3 3
7 7
0 0
0 0
0 0
0 0
152 152
89 139
30 30
600 600
17 17
153 153
246 246
-122 -122
29 29
0 0
0 0
0 0
0 0
520 6 514
82 82
1 1
12 12
530 530
67 67
0 0
84 84
0 0
81 81
288 288
50 50
5 5
9 9
8 8
0 0
0 0
141 6 135
174 174
129 129
159 159
0 0
0 0
3 3
0 0
28 28
0 0
72 6 66
8 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
246 6 240
0 0
4 4
20 20
218 218
148 148
0 0
2 2
126 126
0 0
38 38
2 2
0 0
0 0
314 314
0 0
43 43
0 0
12 12
55 1 54
0 0
28 28
0 0
294 294
0 0
256 256
0 0
157 157
0 0
575 575
1 1
13 13
3 3
0 0
318 318
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
24 24
0 0
0 0
0 0
0 0
19 19
0 0
109 109
206 12 194
0 0
172 6 166
327 24 303
5 5
51 51
0 0
30 1 29
0 0
0 0
108 108
-6 -6
21 21
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
24 24
0 0
206 32 174
298 298
0 0
0 0
27 27
212 212
4 4
1 1
225 2 223
329 2 327
213 213
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
9 9
119 119
0 0
29 29
-1 -1
277 8 269
329 6 323
0 0
293 6 287
32 32
0 0
0 0
132 132
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 124
2 102 IV CATHETER 24 G SET 58
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 600
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 17
14 116 AMPISILIN INJ 1 GRAM VIAL 153
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -122
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 514
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 530
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 81
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 135
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 159
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 66
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 240
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 218
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 54
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 157
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 575
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 318
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 24
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 19
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 109
110 1217 LORATADIN 10 MG TABLET 194
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 166
113 1307 METOKLOPRAMID 10 MG TABLET 303
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 29
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 21
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 24
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 174
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 27
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 223
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 327
145 1901 SALBUTAMOL TABLET 2 MG TABLET 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 9
154 1936 SIMVASTATIN 20 MG TABLET 119
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 269
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 323
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 287
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 132
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
124 1 123
58 58
3 3
7 7
0 0
0 0
0 0
0 0
152 152
139 139
30 30
600 16 584
17 1 16
153 153
246 246
-122 -122
29 29
0 0
0 0
0 0
0 0
514 32 482
82 82
1 1
12 12
530 530
67 67
0 0
84 84
0 0
81 81
288 288
50 50
5 5
9 9
8 8
0 0
0 0
135 6 129
174 174
129 129
159 159
0 0
0 0
3 2 1
0 0
28 28
0 0
66 66
8 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
240 6 234
0 0
4 4
20 20
218 8 210
148 148
0 0
2 2
126 126
0 0
38 38
2 2
0 0
0 0
314 314
0 0
43 43
0 0
12 12
54 1 53
0 0
28 28
0 0
294 6 288
0 0
256 6 250
0 0
157 157
0 0
575 575
1 1
13 13
3 3
0 0
318 6 312
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
24 3 21
0 0
0 0
0 0
0 0
19 1 18
0 0
109 109
194 3 191
0 0
166 166
303 303
5 5
51 51
0 0
29 6 23
0 0
0 0
108 108
-6 -6
21 21
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
24 1 23
0 0
174 27 147
298 298
0 0
0 0
27 27
212 212
4 4
1 1
223 1 222
327 4 323
213 213
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
9 1 8
119 10 109
0 0
29 29
-1 -1
269 269
323 323
0 0
287 8 279
32 32
0 0
0 0
132 16 116
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 123
2 102 IV CATHETER 24 G SET 58
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 584
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 16
14 116 AMPISILIN INJ 1 GRAM VIAL 153
15 120 METHAMPIRON TAB 500 MG TABLET 246
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -122
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 482
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 530
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 81
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/M AMPUL 9
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 129
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 159
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINAS TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 66
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 234
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 210
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 314
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 53
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 250
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 157
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 575
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 312
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 21
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 18
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 109
110 1217 LORATADIN 10 MG TABLET 191
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 166
113 1307 METOKLOPRAMID 10 MG TABLET 303
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 23
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 21
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 23
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 147
136 1614 PIROKSIKAM 10 MG TABLET 298
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 27
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 222
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 323
145 1901 SALBUTAMOL TABLET 2 MG TABLET 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 8
154 1936 SIMVASTATIN 20 MG TABLET 109
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 323
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 116
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
123 4 119
58 1 57
3 3
7 7
0 0
0 0
0 0
0 0
152 152
139 139
30 30
584 584
16 16
153 6 147
246 16 230
-122 -122
29 29
0 0
0 0
0 0
0 0
482 482
82 82
1 1
12 12
530 530
67 67
0 0
84 84
0 0
81 2 79
288 288
50 50
5 5
9 1 8
8 8
0 0
0 0
129 6 123
174 174
129 129
159 159
0 0
0 0
1 1
0 0
28 28
0 0
66 66
8 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
234 18 216
0 0
4 4
20 20
210 13 197
148 148
0 0
2 2
126 126
0 0
38 38
2 2
0 0
0 0
314 14 300
0 0
43 43
0 0
12 12
53 4 49
0 0
28 28
0 0
288 288
0 0
250 8 242
0 0
157 8 149
0 0
575 48 527
1 1
13 13
3 3
0 0
312 6 306
13 13
254 254
0 0
0 0
0 0
0 0
0 0
0 0
21 7 14
0 0
0 0
0 0
0 0
18 18
0 0
109 6 103
191 191
0 0
166 2 164
303 9 294
5 5
51 51
0 0
23 1 22
0 0
0 0
108 108
-6 -6
21 21
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
23 23
0 0
147 31 116
298 2 296
0 0
0 0
27 27
212 212
4 4
1 1
222 12 210
323 16 307
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
8 8
109 109
0 0
29 29
-1 -1
313 24 289
323 6 317
0 0
279 279
32 32
0 0
0 0
116 8 108
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 119
2 102 IV CATHETER 24 G SET 57
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 584
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 16
14 116 AMPISILIN INJ 1 GRAM VIAL 147
15 120 METHAMPIRON TAB 500 MG TABLET 230
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -122
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 482
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 530
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 79
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 8
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 123
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 159
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 66
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 216
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 197
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 300
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 49
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 242
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 149
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 527
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 306
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 254
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 14
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 18
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 103
110 1217 LORATADIN 10 MG TABLET 191
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 164
113 1307 METOKLOPRAMID 10 MG TABLET 294
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 22
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 21
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 23
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 116
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 27
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 210
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 307
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 8
154 1936 SIMVASTATIN 20 MG TABLET 109
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 289
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 317
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 108
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
119 2 117
57 1 56
3 3
7 7
0 0
0 0
0 0
0 0
152 152
139 139
30 30
584 584
16 1 15
147 147
230 230
-122 -122
29 29
0 0
0 0
0 0
0 0
482 8 474
82 82
1 1
12 12
530 530
67 67
0 0
84 84
0 0
79 79
288 288
50 50
5 5
8 8
8 8
0 0
0 0
123 8 115
174 174
129 129
159 159
0 0
0 0
1 1
0 0
28 28
0 0
66 66
8 8
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
216 12 204
0 0
4 4
20 20
197 197
148 148
0 0
2 2
126 126
0 0
38 38
2 2
0 0
0 0
300 300
0 0
43 43
0 0
12 12
49 2 47
0 0
28 28
0 0
288 288
0 0
242 242
0 0
149 6 143
0 0
527 24 503
1 1
13 13
3 3
0 0
306 6 300
13 1 12
254 6 248
0 0
0 0
0 0
0 0
0 0
0 0
14 4 10
0 0
0 0
0 0
0 0
18 1 17
0 0
103 103
191 191
0 0
164 164
294 6 288
5 5
51 51
0 0
22 5 17
0 0
0 0
108 108
-6 -6
21 17 4
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
23 1 22
0 0
116 37 79
296 296
0 0
0 0
27 6 21
212 212
4 4
1 1
210 7 203
307 9 298
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
8 1 7
109 109
0 0
29 29
-1 -1
289 10 279
317 317
0 0
279 279
32 32
0 0
0 0
108 108
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 117
2 102 IV CATHETER 24 G SET 56
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 584
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 15
14 116 AMPISILIN INJ 1 GRAM VIAL 147
15 120 METHAMPIRON TAB 500 MG TABLET 230
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET -122 500
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 474
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 530
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 79 40
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 8
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 115 100
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 159 300
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 66
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 8
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 204
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 197 300
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 300
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 47 100
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 242
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 143
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 503
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 13
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 300
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 248
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 10 80
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 17
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 103
110 1217 LORATADIN 10 MG TABLET 191
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 164
113 1307 METOKLOPRAMID 10 MG TABLET 288 200
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 17 150
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML -6 18
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 4 100
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 22
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 79 1000
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 21
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 203 80
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 298
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 7 20
154 1936 SIMVASTATIN 20 MG TABLET 109
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 279
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 317
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 108
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
117 2 115
56 2 54
3 3
7 7
0 0
0 0
0 0
0 0
152 152
139 139
30 30
584 8 576
15 15
147 1 146
230 2 228
378 3 375
29 29
0 0
0 0
0 0
0 0
474 16 458
82 82
1 1
12 12
530 8 522
67 67
0 0
84 84
0 0
119 119
288 288
50 50
5 5
8 8
8 8
0 0
0 0
215 215
174 174
129 129
459 459
0 0
0 0
1 1
0 0
28 28
0 0
66 66
8 1 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
204 6 198
0 0
4 4
20 20
497 497
148 148
0 0
2 2
126 126
0 0
38 38
2 1 1
0 0
0 0
300 300
0 0
43 43
0 0
12 12
147 2 145
0 0
28 28
0 0
288 288
0 0
242 242
0 0
143 3 140
0 0
503 503
1 1
13 1 12
3 3
0 0
300 8 292
12 12
248 248
0 0
0 0
0 0
0 0
0 0
0 0
90 5 85
0 0
0 0
0 0
0 0
17 17
0 0
103 103
191 191
0 0
164 164
488 3 485
5 5
51 51
0 0
167 2 165
0 0
0 0
108 108
12 12
104 104
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
22 22
0 0
1079 23 1056
296 296
0 0
0 0
21 21
212 212
4 4
1 1
283 3 280
298 4 294
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
109 109
0 0
29 29
-1 -1
279 279
317 317
0 0
279 279
32 32
0 0
0 0
108 12 96
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 115
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 152
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 576
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 15
14 116 AMPISILIN INJ 1 GRAM VIAL 146
15 120 METHAMPIRON TAB 500 MG TABLET 228
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 375
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 458
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 522
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 119
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 8
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 215
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 459
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 66
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 198
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 4
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 497
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 300
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 145
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 242
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 140
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 503
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 292
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 248
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 85
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 17
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 103
110 1217 LORATADIN 10 MG TABLET 191
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 164
113 1307 METOKLOPRAMID 10 MG TABLET 485
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 165
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 104
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 22
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 1056
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 21
140 1635 PIRACETAM 400 MG KAPSUL 212
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 280
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 294
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 109
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 279
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 317
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 96
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
115 3 112
54 54
3 3
7 7
0 0
0 0
0 0
0 0
152 8 144
139 139
30 30
576 14 562
15 1 14
146 146
228 14 214
375 17 358
29 29
0 0
0 0
0 0
0 0
458 14 444
82 82
1 1 0
12 12
522 522
67 67
0 0
84 84
0 0
119 7 112
288 288
50 50
5 5
8 8
8 8
0 0
0 0
215 6 209
174 174
129 129
459 459
0 0
0 0
1 2 -1
0 0
28 28
0 0
66 11 55
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
198 12 186
0 0
4 1 3
20 20
497 6 491
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
300 300
0 0
43 43
0 0
12 12
145 3 142
0 0
28 28
0 0
288 288
0 0
242 6 236
0 0
140 4 136
0 0
503 24 479
1 1
12 12
3 3
0 0
292 5 287
12 12
248 248
0 0
0 0
0 0
0 0
0 0
0 0
85 85
0 0
0 0
0 0
0 0
17 17
0 0
103 8 95
191 3 188
0 0
164 3 161
485 11 474
5 5
51 51
0 0
165 12 153
0 0
0 0
108 108
12 12
104 3 101
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
22 1 21
0 0
1056 41 1015
296 296
0 0
0 0
21 5 16
212 8 204
4 4
1 1
280 8 272
294 12 282
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
109 5 104
0 0
29 29
-1 -1
279 2 277
317 317
0 0
279 279
32 32
0 0
0 0
96 96
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 112
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 3
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 144
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 562
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14
14 116 AMPISILIN INJ 1 GRAM VIAL 146
15 120 METHAMPIRON TAB 500 MG TABLET 214
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 358
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 444
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 0
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12
26 158 AMBROKSOL 30 MG TABLET 522
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 112
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 8
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 209
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 459
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 55
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 186
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 491
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 300
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 142
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 236
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 136
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 479
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 287
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 248
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 85
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 17
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 95
110 1217 LORATADIN 10 MG TABLET 188
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 161
113 1307 METOKLOPRAMID 10 MG TABLET 474
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 153
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 101
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 21
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 1015
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 16
140 1635 PIRACETAM 400 MG KAPSUL 204
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 272
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 282
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 104
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 317
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 96
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
112 2 110
54 54
3 1 2
7 7
0 0
0 0
0 0
0 0
144 144
139 139
30 30
562 8 554
14 14
146 1 145
214 8 206
358 2 356
29 29
0 0
0 0
0 0
0 0
444 8 436
82 82
0 0
12 1 11
522 8 514
67 67
0 0
84 84
0 0
112 112
288 288
50 50
5 5
8 8
8 8
0 0
0 0
209 6 203
174 174
129 129
459 459
0 0
0 0
-1 -1
0 0
28 28
0 0
55 55
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
186 186
0 0
3 3
20 20
491 491
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
300 11 289
0 0
43 43
0 0
12 12
142 2 140
0 0
28 28
0 0
288 288
0 0
236 236
0 0
136 136
0 0
479 479
1 1
12 12
3 3
0 0
287 287
12 12
248 16 232
0 0
0 0
0 0
0 0
0 0
0 0
85 3 82
0 0
0 0
0 0
0 0
17 17
0 0
95 3 92
188 188
0 0
161 12 149
474 1 473
5 5
51 51
0 0
153 153
0 0
0 0
108 108
12 12
101 1 100
100 100
0 0
19 19
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
21 1 20
0 0
1015 16 999
296 296
0 0
0 0
16 16
204 204
4 4
1 1
272 3 269
282 3 279
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
104 104
0 0
29 29
-1 -1
277 277
317 317
0 0
279 279
32 32
0 0
0 0
96 96
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

enanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 110
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 144
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 554
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14
14 116 AMPISILIN INJ 1 GRAM VIAL 145
15 120 METHAMPIRON TAB 500 MG TABLET 206
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 356
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 436
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 0
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11
26 158 AMBROKSOL 30 MG TABLET 514
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 112
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/M AMPUL 8
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 203
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 129
42 404 DEKSAMETASON TAB 0,5 MG TABLET 459
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINAS TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 55
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 186
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 491
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 289
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 140
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 236
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 136
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 479
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 287
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 232
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 82
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 17
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 92
110 1217 LORATADIN 10 MG TABLET 188
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 149
113 1307 METOKLOPRAMID 10 MG TABLET 473
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 153
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 19
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 20
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 999
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 16
140 1635 PIRACETAM 400 MG KAPSUL 204
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 269
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 279
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 104
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 317
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 96
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
110 3 107
54 54
2 2
7 7
0 0
0 0
0 0
0 0
144 144
139 139
30 30
554 554
14 14
145 145
206 13 193
356 12 344
29 29
0 0
0 0
0 0
0 0
436 8 428
82 82
0 0
11 11
514 28 486
67 67
0 0
84 84
0 0
112 1 111
288 288
50 50
5 5
8 6 2
8 8
0 0
0 0
203 6 197
174 174
129 1 128
459 14 445
0 0
0 0
-1 -1
0 0
28 28
0 0
55 55
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
186 6 180
0 0
3 3
20 20
491 491
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
289 6 283
0 0
43 43
0 0
12 12
140 3 137
0 0
28 28
0 0
288 288
0 0
236 236
0 0
136 2 134
0 0
479 24 455
1 1
12 12
3 3
0 0
287 4 283
12 12
232 12 220
0 0
0 0
0 0
0 0
0 0
0 0
82 9 73
0 0
0 0
0 0
0 0
17 17
0 0
92 4 88
188 188
0 0
149 149
473 473
5 5
51 51
0 0
153 9 144
0 0
0 0
108 108
12 12
100 100
100 100
0 0
19 1 18
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
20 20
0 0
999 24 975
296 296
0 0
0 0
16 16
204 13 191
4 4
1 1
269 4 265
279 15 264
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
104 104
0 0
29 29
-1 -1
277 277
317 8 309
0 0
279 279
32 32
0 0
0 0
96 5 91
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 107
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 144
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 554
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14
14 116 AMPISILIN INJ 1 GRAM VIAL 145
15 120 METHAMPIRON TAB 500 MG TABLET 193
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 344
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 428
23 140 AMOKSISILIN 1 GRAM INJ VIAL 82
24 147 ATS INJ JKN AMPUL 0
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11
26 158 AMBROKSOL 30 MG TABLET 486
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 111
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 197
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 128
42 404 DEKSAMETASON TAB 0,5 MG TABLET 445
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 55
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 180
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 491
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 283
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 137
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 236
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 134
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 455
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 283
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 220
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 73
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 17
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 88
110 1217 LORATADIN 10 MG TABLET 188
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 149
113 1307 METOKLOPRAMID 10 MG TABLET 473
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 144
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 18
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 20
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 975
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 16
140 1635 PIRACETAM 400 MG KAPSUL 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 265
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 264
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 104
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 309
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 91
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
107 2 105
54 54
2 2
7 7
0 0
0 0
0 0
0 0
144 144
139 139
30 30
554 24 530
14 14
145 145
193 193
344 4 340
29 29
0 0
0 0
0 0
0 0
428 16 412
82 4 78
0 1 -1
11 11
486 486
67 67
0 0
84 84
0 0
111 4 107
288 288
50 50
5 5
2 2
8 8
0 0
0 0
197 197
174 174
128 1 127
445 9 436
0 0
0 0
-1 -1
0 0
28 28
0 0
55 55
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
180 180
0 4 -4
3 3
20 20
491 491
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
283 283
0 0
43 43
0 0
12 12
137 2 135
0 0
28 28
0 0
288 288
0 0
236 236
0 0
134 134
0 0
455 455
1 1
12 12
3 3
0 0
283 283
12 12
220 8 212
0 0
0 0
0 0
0 0
0 0
0 0
73 73
0 0
0 0
0 0
0 0
17 1 16
0 0
88 4 84
188 4 184
0 0
149 149
473 3 470
5 5
51 51
0 0
144 3 141
0 0
0 0
108 108
12 12
100 100
100 100
0 0
18 3 15
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
20 20
0 0
975 21 954
296 296
0 0
0 0
16 16
191 191
4 4
1 1
265 3 262
264 8 256
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
104 104
0 0
29 29
-1 -1
277 277
309 309
0 0
279 279
32 32
0 0
0 0
91 4 87
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 105
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 144
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 530
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14
14 116 AMPISILIN INJ 1 GRAM VIAL 145
15 120 METHAMPIRON TAB 500 MG TABLET 193
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 340
17 122 ANTASIDA SYR BOTOL 60 ML 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 412
23 140 AMOKSISILIN 1 GRAM INJ VIAL 78
24 147 ATS INJ JKN AMPUL -1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11
26 158 AMBROKSOL 30 MG TABLET 486
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 107
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 197
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 127
42 404 DEKSAMETASON TAB 0,5 MG TABLET 436
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28 30
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 55
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 180
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG -4
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 491
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 283
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 135
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 28 30
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 236
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 134
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 455
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 283
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 212
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 73
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 16
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 84
110 1217 LORATADIN 10 MG TABLET 184
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 149
113 1307 METOKLOPRAMID 10 MG TABLET 470
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 141
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 15
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 20
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 954
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 16
140 1635 PIRACETAM 400 MG KAPSUL 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 262
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 256
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 104
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 309
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 87
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
105 105
54 54
2 2
7 7
0 0
0 0
0 0
0 0
144 144
139 139
30 30
530 530
14 14
145 145
193 193
340 3 337
29 29
0 0
0 0
0 0
0 0
412 412
78 78
-1 -1
11 11
486 486
67 67
0 0
84 84
0 0
107 107
288 288
50 50
5 5
2 2
8 8
0 0
0 0
197 197
174 174
127 127
436 436
0 0
0 0
-1 -1
0 0
58 58
0 0
55 55
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
180 2 178
-4 -4
3 3
20 20
491 491
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
283 283
0 0
43 43
0 0
12 12
135 135
0 0
58 58
0 0
288 288
0 0
236 236
0 0
134 134
0 0
455 455
1 1
12 12
3 3
0 0
283 283
12 12
212 212
0 0
0 0
0 0
0 0
0 0
0 0
73 73
0 0
0 0
0 0
0 0
16 16
0 0
84 84
184 184
0 0
149 149
470 3 467
5 5
51 51
0 0
141 141
0 0
0 0
108 108
12 12
100 100
100 100
0 0
15 15
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
20 20
0 0
954 954
296 296
0 0
0 0
16 16
191 191
4 4
1 1
262 262
256 256
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
104 104
0 0
29 29
-1 -1
277 277
309 309
0 0
279 279
32 32
0 0
0 0
87 87
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 105
2 102 IV CATHETER 24 G SET 54
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 144
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30
12 114 AMOKSISILIN 500 MG TABLET 530
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14
14 116 AMPISILIN INJ 1 GRAM VIAL 145
15 120 METHAMPIRON TAB 500 MG TABLET 193
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 337
17 122 ANTASIDA SYR BOTOL 60 ML 29 10
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 412
23 140 AMOKSISILIN 1 GRAM INJ VIAL 78
24 147 ATS INJ JKN AMPUL -1
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11
26 158 AMBROKSOL 30 MG TABLET 486
27 159 AMLODIPIN TAB 5 MG TABLET 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 84
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 107
32 184 ASETYL CYSTEIN KAPSUL 288
33 202 BESI II SULFAT TABLET 50
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 197
40 308 CEFADROKSIL 500 MG KAPSUL 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 127
42 404 DEKSAMETASON TAB 0,5 MG TABLET 436
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 58
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 55
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 67
58 612 FOLEY CATHETER SET 9
59 614 FAMOTIDIN 20 MG TABLET 178
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG -4
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 491
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 126
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 283
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 12
78 904 INFUS SET DEWASA SET/KANTONG 135
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 58
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 236
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 134
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 455
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 283
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 212
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 73
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 16
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 84
110 1217 LORATADIN 10 MG TABLET 184
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 149
113 1307 METOKLOPRAMID 10 MG TABLET 467
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 141
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 15
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 20
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 954
136 1614 PIROKSIKAM 10 MG TABLET 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 16
140 1635 PIRACETAM 400 MG KAPSUL 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 262
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 256
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 27
154 1936 SIMVASTATIN 20 MG TABLET 104
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI -1
158 2202 VIT. B KOMPLEKS TABLET 277
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 309
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 87
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
105 4 101
54 54
2 2
7 7
0 0
0 0
0 0
0 0
144 144
139 139
30 30
530 8 522
14 14
145 145
193 14 179
337 14 323
39 39
0 0
0 0
0 0
0 0
412 14 398
78 78
-1 -1
11 11
486 486
67 67
0 0
84 84
0 0
107 2 105
288 2 286
50 50
5 5
2 2
8 8
0 0
0 0
197 6 191
174 174
127 127
436 436
0 0
0 0
-1 -1
0 0
58 58
0 0
55 2 53
7 7
0 0
0 0
96 96
0 0
5 5
5 5
67 67
9 9
178 20 158
-4 -4
3 3
20 20
491 8 483
148 148
0 0
2 2
126 126
0 0
38 38
1 1
0 0
0 0
283 283
0 0
43 43
0 0
12 12
135 4 131
0 0
58 58
0 0
288 288
0 0
236 236
0 0
134 8 126
0 0
455 24 431
1 1
12 12
3 3
0 0
283 8 275
12 12
212 8 204
0 0
0 0
0 0
0 0
0 0
0 0
73 7 66
0 0
0 0
0 0
0 0
16 16
0 0
84 84
184 4 180
0 0
149 14 135
467 6 461
5 5
51 51
0 0
141 141
0 0
0 0
108 108
12 12
100 100
100 100
0 0
15 1 14
-1 -1
377 377
0 0
0 0
8 8
0 0
56 56
20 20
0 0
954 25 929
296 296
0 0
0 0
16 16
191 191
4 4
1 1
262 5 257
256 10 246
118 118
1 1
2 2
0 0
0 0
2 2
0 0
-4 -4
27 27
104 104
0 0
29 29
-1 -1
277 11 266
309 309
0 0
279 279
32 32
0 0
0 0
87 11 76
20 20
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
82 82
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG RAWAT INAP UPT PUSKESMAS KERJO

HARGA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN MUTASI SISA STOK JUMLAH HARGA
SATUAN
1 101 IV CATHETER 22 G SET 101 101 4 97
2 102 IV CATHETER 24 G SET 54 54 54
3 103 ACYCLOVIR CREAM TUBE 2 2 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7 7 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0 0 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0 0 0
9 110 ALOPURINOL TAB 100 MG TABLET 144 144 144
10 111 AMINOFILIN 200 MG TABLET 139 139 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30 30 30
12 114 AMOKSISILIN 500 MG TABLET 522 522 42 480
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14 14 14
14 116 AMPISILIN INJ 1 GRAM VIAL 145 145 145
15 120 METHAMPIRON TAB 500 MG TABLET 179 179 23 156
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 323 323 50 273
17 122 ANTASIDA SYR BOTOL 60 ML 39 39 39
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0 0 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0 0 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0 0 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0 0 0
22 131 ASAM MEFENAMAT 500 MG TABLET 398 398 36 362
23 140 AMOKSISILIN 1 GRAM INJ VIAL 78 78 78
24 147 ATS INJ JKN AMPUL -1 -1 1 -2
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11 11 11
26 158 AMBROKSOL 30 MG TABLET 486 486 486
27 159 AMLODIPIN TAB 5 MG TABLET 67 67 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0
29 166 ARDIOS TABLET 84 84 84
30 174 ALKOHOL SWAB BOK/100 PCS 0 0 0
31 178 ASERING BOTOL/FLABOT 105 105 105
32 184 ASETYL CYSTEIN KAPSUL 286 286 286
33 202 BESI II SULFAT TABLET 50 50 50
34 205 BIOPLACENTON 15 G TUBE 5 5 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 2 2 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8 8 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0 0 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0 0 0
39 305 CIPROFLOKSASIN 500 MG TABLET 191 191 191
40 308 CEFADROKSIL 500 MG KAPSUL 174 174 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 127 127 127
42 404 DEKSAMETASON TAB 0,5 MG TABLET 436 436 10 426
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 0 0 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0 0 0
45 410 DIAZEPAM TAB 2 MG TABLET -1 -1 -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0 0 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 58 58 58
48 418 DASABION KAPSUL 0 0 0
49 419 DIMENHIDRINAT 50 MG TABLET 53 53 53
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7 7 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0 0 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0 0 0
53 513 ERITROMISIN 500 MG KAPSUL 96 96 96
54 519 ETANOL 100 ML BOTOL/100 ML 0 0 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 5 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5 5 5
57 610 FUROSEMID TAB 40 MG TABLET 67 67 10 57
58 612 FOLEY CATHETER SET 9 9 9
59 614 FAMOTIDIN 20 MG TABLET 158 158 6 152
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG -4 -4 -4
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3 3 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20 20 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 483 483 14 469
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148 148 148
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0 0 0
66 716 GENTAMICIN SALEP KULIT TUBE 2 2 2
67 722 GLIMEPIRID 2 MG TABLET 126 126 126
68 802 BROMHEXIN TAB 8 MG TABLET 0 0 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38 38 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1 1 1
71 806 HYPAFIX ROL 0 0 0
72 813 HANDSCHOEN BIJI/PSG 0 0 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 283 283 283
74 822 HANDSCRUB BOTOL 0 0 0
75 901 IBUPROFEN TAB 400 MG TABLET 43 43 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0 0 0
77 903 INFUS SET ANAK SET/KANTONG 12 12 12
78 904 INFUS SET DEWASA SET/KANTONG 131 131 4 127
79 908 ISONIAZID TAB.300 MG TABLET 0 0 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 58 58 58
81 1101 KALIUM PERMANGANAT SERBUK POT 0 0 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288 288 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0 0 0
84 1107 KAPTOPRIL 25 MG TABLET 236 236 21 215
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0 0 0
86 1113 KLORAMFENIKOL INJ VIAL 126 126 6 120
87 1116 KLONIDIN HCL 0,15 MG TABLET 0 0 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 431 431 24 407
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1 1 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12 12 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3 3 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0 0 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 275 275 275
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12 12 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 204 204 204
96 1138 KETOKONAZOLE 200MG TABLET 0 0 0
97 1141 KASA GULUNG PANJANG ROL 0 0 0
98 1145 KEJI BELING KAPSUL 0 0 0
99 1146 GLUKONAS KALSILKUS FLES 0 0 0
100 1148 KLORIN LAR 4 % BOTOL 0 0 0
101 1155 CAVICUR SYRUP BOTOL 0 0 0
102 1162 KAEN - 3B INFUS BOTOL 66 66 4 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 0 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0 0 0
106 1211 LEVERTRAN POT 0 0 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 16 16 4 12
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0 0 0
109 1214 LOPERAMID TABLET 84 84 84
110 1217 LORATADIN 10 MG TABLET 180 180 11 169
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0 0 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 135 135 35 100
113 1307 METOKLOPRAMID 10 MG TABLET 461 461 461
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5 5 5
115 1314 METFORMIN 500 MG TABLET 51 51 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0 0 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 141 141 15 126
118 1320 MASKER BIJI 0 0 0
119 1331 METILPREDNISOLON 8 MG TABLET 0 0 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108 108 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12 12 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100 100 100
123 1408 NIFEDIPIN 10 MG TABLET 100 100 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0 0 0
125 1417 NEUROBION 5000 INJ AMPUL 14 14 14
126 1430 KAOTIN SYRUP BOTOL -1 -1 -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377 377 377
128 1465 PARASETAMOL DROP BOTOL 0 0 0
129 1501 OAT KATEGORI 1 PAKET 0 0 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8 8 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0 0 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56 56 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 20 20 20
134 1605 PARASETAMOL 100MG TABLET 0 0 0
135 1606 PARASETAMOL TAB 500 MG TABLET 929 929 48 881
136 1614 PIROKSIKAM 10 MG TABLET 296 296 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0 0 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0 0 0
139 1619 PREDNISON 5 MG TABLET 16 16 16
140 1635 PIRACETAM 400 MG KAPSUL 191 191 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4 4 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1 1 1
143 1807 RINGER LAKTAT BOTOL 500 ML 257 257 13 244
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 246 246 12 234
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118 118 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1 1 1
147 1903 SALISIL BEDAK 2% KOTAK 2 2 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0 0 0
149 1907 SILK 3/0 BIJI 0 0 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2 2 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0 0 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4 -4 -4
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZER 2,5 MG/2, BOTOL 27 27 1 26
154 1936 SIMVASTATIN 20 MG TABLET 104 104 10 94
155 2004 TETRASIKLIN 500 MG KAPSUL 0 0 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29 29 29
157 2103 URIN BAG BIJI -1 -1 -1
158 2202 VIT. B KOMPLEKS TABLET 266 266 26 240
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 309 309 309
160 2205 VIT. B12 INJ AMPUL 0 0 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279 279 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32 32 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0 0 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0 0 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 76 76 2 74
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20 20 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37 37 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0 0 0
168 2904 Nevirapine 200 mg Tablet 0 0 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0 0 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0 0 0
171 2908 KLINDAMISIN 300 MG TABLET 0 0 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0 0 0
173 2922 PLESTERIN BULAT BOX 0 0 0
174 2923 EFAVIRENZ 600 MG TABLET 0 0 0
175 2924 LAMIVUDIN 150 MG TABLET 0 0 0
176 2925 KETOROLAC INJEKSI AMPUL 0 0 0
177 2928 SURGICAL GLOVES PCS 0 0 0
178 2929 HANDRUB 5 LITER BOTOL 0 0 0
179 2602 ZINK DISPERSIBEL TABLET 0 0 0
180 PROBION TABLET 267 267 267
181 CALORTUSIN TABLET 82 82 82
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0 0 0
183 METILERGOMETRIN INJ AMPUL 0 0 0
184 OKSITOSIN INJ AMPUL 0 0 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0
186 URISPAS TABLET 60 60 60

Penanggung jawab
Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG RAWAT INAP UPT PUSKESMAS KERJO

HARGA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN MUTASI SISA STOK JUMLAH HARGA
SATUAN
1 101 IV CATHETER 22 G SET 101 150 251 87 164
2 102 IV CATHETER 24 G SET 54 54 12 42
3 103 ACYCLOVIR CREAM TUBE 2 2 1 1
4 104 ACYCLOVIR TAB 200 MG TABLET 7 7 80 -73
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0 0 0 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0 0 0 0
9 110 ALOPURINOL TAB 100 MG TABLET 144 144 24 120
10 111 AMINOFILIN 200 MG TABLET 139 139 38 101
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30 30 0 30
12 114 AMOKSISILIN 500 MG TABLET 522 400 922 296 626
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 14 14 7 7
14 116 AMPISILIN INJ 1 GRAM VIAL 145 145 79 66
15 120 METHAMPIRON TAB 500 MG TABLET 179 300 479 138 341
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 323 323 269 54
17 122 ANTASIDA SYR BOTOL 60 ML 39 30 69 0 69
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0 0 0 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0 0 0 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0 0 0 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0 0 0 0
22 131 ASAM MEFENAMAT 500 MG TABLET 398 300 698 351 347
23 140 AMOKSISILIN 1 GRAM INJ VIAL 78 78 4 74
24 147 ATS INJ JKN AMPUL -1 -1 4 -5
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 11 11 1 10
26 158 AMBROKSOL 30 MG TABLET 486 486 145 341
27 159 AMLODIPIN TAB 5 MG TABLET 67 67 14 53
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0
29 166 ARDIOS TABLET 84 30 114 0 114
30 174 ALKOHOL SWAB BOK/100 PCS 0 0 0 0
31 178 ASERING BOTOL/FLABOT 105 100 205 35 170
32 184 ASETYL CYSTEIN KAPSUL 286 286 2 284
33 202 BESI II SULFAT TABLET 50 50 1 49
34 205 BIOPLACENTON 15 G TUBE 5 5 0 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 2 2 20 -18
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8 8 0 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0 0 0 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0 0 0 0
39 305 CIPROFLOKSASIN 500 MG TABLET 191 191 131 60
40 308 CEFADROKSIL 500 MG KAPSUL 174 174 16 158
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 127 127 13 114
42 404 DEKSAMETASON TAB 0,5 MG TABLET 436 436 169 267
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 0 10 10 8 2
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0 0 0 0
45 410 DIAZEPAM TAB 2 MG TABLET -1 -1 39 -40
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0 0 0 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 58 58 0 58
48 418 DASABION KAPSUL 0 30 30 0 30
49 419 DIMENHIDRINAT 50 MG TABLET 53 200 253 54 199
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 7 100 107 4 103
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0 0 0 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0 0 0 0
53 513 ERITROMISIN 500 MG KAPSUL 96 96 0 96
54 519 ETANOL 100 ML BOTOL/100 ML 0 0 0 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 5 0 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5 5 10 0 10
57 610 FUROSEMID TAB 40 MG TABLET 67 67 24 43
58 612 FOLEY CATHETER SET 9 9 1 8
59 614 FAMOTIDIN 20 MG TABLET 158 500 658 254 404
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG -4 -4 4 -8
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3 5 8 2 6
62 706 GLIBENKLAMID TAB 5 MG TABLET 20 20 0 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 483 300 783 138 645
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 148 60 208 12 196
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0 0 0 0
66 716 GENTAMICIN SALEP KULIT TUBE 2 2 1 1
67 722 GLIMEPIRID 2 MG TABLET 126 126 0 126
68 802 BROMHEXIN TAB 8 MG TABLET 0 0 0 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38 38 0 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1 1 1 0
71 806 HYPAFIX ROL 0 0 0 0
72 813 HANDSCHOEN BIJI/PSG 0 0 0 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 283 283 81 202
74 822 HANDSCRUB BOTOL 0 0 0 0
75 901 IBUPROFEN TAB 400 MG TABLET 43 43 0 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0 0 0 0
77 903 INFUS SET ANAK SET/KANTONG 12 12 2 10
78 904 INFUS SET DEWASA SET/KANTONG 131 100 231 73 158
79 908 ISONIAZID TAB.300 MG TABLET 0 0 0 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 58 30 88 0 88
81 1101 KALIUM PERMANGANAT SERBUK POT 0 0 0 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288 288 6 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0 0 0 0
84 1107 KAPTOPRIL 25 MG TABLET 236 236 84 152
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0 0 0 0
86 1113 KLORAMFENIKOL INJ VIAL 126 126 63 63
87 1116 KLONIDIN HCL 0,15 MG TABLET 0 0 0 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 431 431 264 167
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1 1 0 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12 12 1 11
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3 3 2 1
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0 5 5 0 5
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 275 750 1025 173 852
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12 12 2 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 204 204 74 130
96 1138 KETOKONAZOLE 200MG TABLET 0 0 0 0
97 1141 KASA GULUNG PANJANG ROL 0 0 0 0
98 1145 KEJI BELING KAPSUL 0 0 0 0
99 1146 GLUKONAS KALSILKUS FLES 0 0 0 0
100 1148 KLORIN LAR 4 % BOTOL 0 0 0 0
101 1155 CAVICUR SYRUP BOTOL 0 0 0 0
102 1162 KAEN - 3B INFUS BOTOL 66 100 166 138 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 0 0 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0 0 0 0
106 1211 LEVERTRAN POT 0 0 0 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 16 16 14 2
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0 0 0 0
109 1214 LOPERAMID TABLET 84 100 184 55 129
110 1217 LORATADIN 10 MG TABLET 180 180 56 124
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0 0 0 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 135 300 435 187 248
113 1307 METOKLOPRAMID 10 MG TABLET 461 461 134 327
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5 5 0 5
115 1314 METFORMIN 500 MG TABLET 51 51 19 32
116 1315 METRONIDAZOL TAB 500 MG TABLET 0 0 0 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 141 80 221 99 122
118 1320 MASKER BIJI 0 0 0 0
119 1331 METILPREDNISOLON 8 MG TABLET 0 0 0 0
120 1335 MELOKSIKAM 7,5 MG TABLET 108 108 16 92
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 12 12 6 6
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 100 100 42 58
123 1408 NIFEDIPIN 10 MG TABLET 100 100 0 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0 0 0 0
125 1417 NEUROBION 5000 INJ AMPUL 14 10 24 11 13
126 1430 KAOTIN SYRUP BOTOL -1 15 14 1 13
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 377 377 78 299
128 1465 PARASETAMOL DROP BOTOL 0 0 0 0
129 1501 OAT KATEGORI 1 PAKET 0 0 0 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 8 8 2 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0 0 0 0
132 1516 OMEPRAZOL 20 MG KAPSUL 56 56 27 29
133 1604 PARASETAMOL SYR BOTOL 60 ML 20 20 14 6
134 1605 PARASETAMOL 100MG TABLET 0 0 0 0
135 1606 PARASETAMOL TAB 500 MG TABLET 929 1000 1929 857 1072
136 1614 PIROKSIKAM 10 MG TABLET 296 296 12 284
137 1616 PLESTER 5 YD X 2 INCH ROL 0 0 0 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0 0 0 0
139 1619 PREDNISON 5 MG TABLET 16 16 43 -27
140 1635 PIRACETAM 400 MG KAPSUL 191 191 45 146
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4 4 0 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1 1 0 1
143 1807 RINGER LAKTAT BOTOL 500 ML 257 200 457 184 273
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 246 246 214 32
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118 118 65 53
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1 1 0 1
147 1903 SALISIL BEDAK 2% KOTAK 2 2 0 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0 0 0 0
149 1907 SILK 3/0 BIJI 0 0 0 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 2 2 0 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0 0 0 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR -4 -4 4 -8
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZER 2,5 MG/2, BOTOL 27 20 47 12 35
154 1936 SIMVASTATIN 20 MG TABLET 104 100 204 25 179
155 2004 TETRASIKLIN 500 MG KAPSUL 0 0 0 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29 29 1 28
157 2103 URIN BAG BIJI -1 -1 1 -2
158 2202 VIT. B KOMPLEKS TABLET 266 266 115 151
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 309 309 52 257
160 2205 VIT. B12 INJ AMPUL 0 0 0 0
161 2206 VIT. B12 TABLET 50 MG TABLET 279 279 28 251
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32 32 22 10
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0 0 0 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0 0 0 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 76 76 169 -93
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20 20 0 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37 37 3 34
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0 0 0 0
168 2904 Nevirapine 200 mg Tablet 0 0 0 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0 0 0 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0 0 0 0
171 2908 KLINDAMISIN 300 MG TABLET 0 0 0 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0 0 0 0
173 2922 PLESTERIN BULAT BOX 0 0 0 0
174 2923 EFAVIRENZ 600 MG TABLET 0 0 0 0
175 2924 LAMIVUDIN 150 MG TABLET 0 0 0 0
176 2925 KETOROLAC INJEKSI AMPUL 0 0 0 0
177 2928 SURGICAL GLOVES PCS 0 0 0 0
178 2929 HANDRUB 5 LITER BOTOL 0 0 0 0
179 2602 ZINK DISPERSIBEL TABLET 0 0 0 0
180 PROBION TABLET 267 267 118 149
181 CALORTUSIN TABLET 82 82 63 19
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0 0 0 0
183 METILERGOMETRIN INJ AMPUL 0 0 0 0
184 OKSITOSIN INJ AMPUL 0 0 0 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
186 URISPAS TABLET 60 60 0 60

Penanggung jawab
Hartini
NIP. 19680805 199203 2 013
NO NAMA OBAT
1 101 IV CATHETER 22 G
2 102 IV CATHETER 24 G
3 103 ACYCLOVIR CREAM
4 104 ACYCLOVIR TAB 200 MG
5 110 ALOPURINOL TAB 100 MG
6 111 AMINOFILIN 200 MG
7 114 AMOKSISILIN 500 MG
8 115 AMOKSISILIN SYR. 125 MG/5ML
9 116 AMPISILIN INJ 1 GRAM
10 120 METHAMPIRON TAB 500 MG
11 121 ANTASIDA DOEN TAB KOMBINASI
12 122 ANTASIDA SYR
13 131 ASAM MEFENAMAT 500 MG
14 140 AMOKSISILIN 1 GRAM INJ
15 147 ATS INJ JKN
16 157 AMBROXOL SIRUP 15 MG/ML
17 158 AMBROKSOL 30 MG
18 159 AMLODIPIN TAB 5 MG
19 166 ARDIOS
20 178 ASERING
21 184 ASETYL CYSTEIN
22 202 BESI II SULFAT
23 205 BIOPLACENTON 15 G
24 206 SPASI INJ
25 221 BETAMETASON SALEP KULIT 0,1 %
26 305 CIPROFLOKSASIN 500 MG
27 308 CEFADROKSIL 500 MG
28 403 DEKSAMETASON INJ 5 MG/ML-1 ML
29 404 DEKSAMETASON TAB 0,5 MG
30 405 DEKSTROMETORFAN SYR
31 406 DEKSTROMETORFAN TAB
32 410 DIAZEPAM TAB 2 MG
33 414 DIGOKSIN TAB 0,25 MG
34 418 DASABION
35 419 DIMENHIDRINAT 50 MG
36 426 DOMPERIDON SYR 5 MG/5ML
37 513 ERITROMISIN 500 MG
38 607 FENOL GLISEROL TTS TELINGA 10%
39 610 FUROSEMID TAB 40 MG
40 612 FOLEY CATHETER
41 614 FAMOTIDIN 20 MG
42 704 GENTIAN VIOLET LARUTAN 1%
43 706 GLIBENKLAMID TAB 5 MG
44 707 GLISERIL GUAIAKOLAT TAB 100 MG
45 710 GLUKOSA LARUTAN INFUS 5%
46 716 GENTAMICIN SALEP KULIT
47 722 GLIMEPIRID 2 MG
48 803 HIDROKLORTIAZID (HCT) TAB 25 MG
49 804 HIDROKORTISON KRIM 2,5%
50 814 SCOPMA
51 901 IBUPROFEN TAB 400 MG
52 903 INFUS SET ANAK
53 904 INFUS SET DEWASA
54 909 ISDN
55 1101 KALIUM PERMANGANAT SERBUK
56 1103 KALSIUM LAKTAS TAB 500 MG
57 1107 KAPTOPRIL 25 MG
58 1113 KLORAMFENIKOL INJ
59 1117 KLORAMFENIKOL KAPSUL 250 MG
60 1118 KLORAMFENIKOL SALEP MATA 1%
61 1119 KLORAMFENIKOL SYR 125 MG/5ML
62 1120 KLORAMFENIKOL TETES MATA 0,5%
63 1121 KLORAMFENIKOL TETES TELINGA 1%
64 1122 KLORFENIRAMIN MALEAT TAB 4 MG
65 1133 KOTRI SIRUP
66 1135 KOTRIMOKSAZOL TAB 480 MG
67 1162 KAEN - 3B INFUS
68 1165 KALIUM DIKLOFENAK 50 MG
69 1168 KLORAMFENIKOL SALEP KULIT
70 1212 LIDOKAIN INJ /PEHACAIN INJ
71 1214 LOPERAMID
72 1217 LORATADIN 10 MG
73 1303 BETAHISTIN MALEAT 6 MG
74 1307 METOKLOPRAMID 10 MG
75 1310 MIKONAZOL SALEP 2%
76 1314 METFORMIN 500 MG
77 1315 METRONIDAZOL TAB 500 MG
78 1316 METOKLOPRAMID INJ 5 MG/ML
79 1335 MELOKSIKAM 7,5 MG
80 1403 NACL
81 1405 NEO DIAFORM (KAOLIN PEKTIN)
82 1408 NIFEDIPIN 10 MG
83 1417 NEUROBION 5000 INJ
84 1430 KAOTIN SYRUP
85 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG
86 1507 OBAT BATUK HITAM (OBH) CAIRAN
87 1509 OKSITETRASIKLIN HCL SALEP MATA 1%
88 1516 OMEPRAZOL 20 MG
89 1604 PARASETAMOL SYR
90 1606 PARASETAMOL TAB 500 MG
91 1614 PIROKSIKAM 10 MG
92 1619 PREDNISON 5 MG
93 1635 PIRACETAM 400 MG
94 1640 PIRACETAM INJEKSI 1 G/5ML
95 1807 RINGER LAKTAT
96 1810 RANITIDIN INJEKSI 25 MG/ML
97 1901 SALBUTAMOL TABLET 2 MG
98 1902 SALEP 2-4 KOMBINASI
99 1903 SALISIL BEDAK 2%
100 1906 SERUM ANTI BISA ULAR POLIVALEN
101 1914 SULFASETAMID NA. TETES MATA 15%
102 1915 DIAZEPAM SUPP (STESOLID)
103 1917 SUFRATULLE
104 1927 VENTOLIN
105 1936 SIMVASTATIN 20 MG
106 2007 ASAM TRANEKSAMAT 500 MG TABLET
107 2202 VIT. B KOMPLEKS
108 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG
109 2205 VIT. B12 INJ
110 2206 VIT. B12 TABLET 50 MG
111 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG
112 2221 VIT B6 25 MG ( PYRIDOXIN HCL )
113 2213 DOMPERIDON/VOMETA 10 MG
114 2221 ASAM TRANEKSAMAT 500 MG TABLET
115 PROBION
116 CALORTUSIN
117 KLORAMFENIKOL SALEP KULIT
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 107
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 4
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 90
10 111 AMINOFILIN 200 MG TABLET 3
11 112 AMINOFILIN INJ 24MG/ML AMPUL 0
12 114 AMOKSISILIN 500 MG TABLET 540
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 0
14 116 AMPISILIN INJ 1 GRAM VIAL 0
15 120 METHAMPIRON TAB 500 MG TABLET 503
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 406
17 122 ANTASIDA SYR BOTOL 60 ML 8
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 159
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 1
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 412
23 140 AMOKSISILIN 1 GRAM INJ VIAL 0
24 147 ATS INJ JKN AMPUL 30
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 7
26 158 AMBROKSOL 30 MG TABLET 166
27 159 AMLODIPIN TAB 5 MG TABLET 364
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 17
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 0
32 184 ASETYL CYSTEIN KAPSUL 80
33 202 BESI II SULFAT TABLET 150
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 0
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 92
40 308 CEFADROKSIL 500 MG KAPSUL 123
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 0
42 404 DEKSAMETASON TAB 0,5 MG TABLET 162
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 0
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 33
48 418 DASABION KAPSUL 35
49 419 DIMENHIDRINAT 50 MG TABLET 117
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 5
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 102
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 3
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 2
57 610 FUROSEMID TAB 40 MG TABLET 153
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 169
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 21
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 2
62 706 GLIBENKLAMID TAB 5 MG TABLET 135
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 246
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 0
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 5
67 722 GLIMEPIRID 2 MG TABLET 280
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 58
70 804 HIDROKORTISON KRIM 2,5% TUBE 15
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 48
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 138
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 4
77 903 INFUS SET ANAK SET/KANTONG 0
78 904 INFUS SET DEWASA SET/KANTONG 0
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 4
81 1101 KALIUM PERMANGANAT SERBUK POT 4
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 298
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 319
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 0
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 160
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 0
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 2
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 9
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 2
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 538
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 5
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 360
96 1138 KETOKONAZOLE 200MG TABLET 64
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 100
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 4
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 3
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 0
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 24
110 1217 LORATADIN 10 MG TABLET 250
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 165
113 1307 METOKLOPRAMID 10 MG TABLET 57
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 14
115 1314 METFORMIN 500 MG TABLET 19
116 1315 METRONIDAZOL TAB 500 MG TABLET 216
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 0
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 194
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 0
123 1408 NIFEDIPIN 10 MG TABLET 0
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 89
125 1417 NEUROBION 5000 INJ AMPUL 0
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 366
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 1
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 5
132 1516 OMEPRAZOL 20 MG KAPSUL 74
133 1604 PARASETAMOL SYR BOTOL 60 ML 8
134 1605 PARASETAMOL 100MG TABLET 175
135 1606 PARASETAMOL TAB 500 MG TABLET 828
136 1614 PIROKSIKAM 10 MG TABLET 10
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 154
140 1635 PIRACETAM 400 MG KAPSUL 149
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 0
142 1645 POVIDON IODIDA KUMUR BOTOL 6
143 1807 RINGER LAKTAT BOTOL 500 ML 0
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 0
145 1901 SALBUTAMOL TABLET 2 MG TABLET 6
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 8
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 9
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZ BOTOL 0
154 1936 SIMVASTATIN 20 MG TABLET 137
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 513
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 359
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 244
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 484
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 63
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 241
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 180
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 100
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 55
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 246
181 CALORTUSIN TABLET 36
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 90
183 METILERGOMETRIN INJ AMPUL 200
184 OKSITOSIN INJ AMPUL 300
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 50
KESMAS KERJO

PENERIMA PERSEDIA JUMLAH


MUTASI SISA STOK
AN AN HARGA
0 107 107
50 81 10 71
0 4 0 4
87 0 87
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 190 24 166
0 3 33 -30
0 0 0 0
500 1040 255 785
10 10 6 4
150 150 66 84
0 503 89 414
500 906 196 710
0 8 0 8
0 159 0 159
0 1 0 1
0 0 0 0
0 0 0 0
400 812 299 513
70 70 4 66
0 30 4 26
0 7 0 7
500 666 120 546
0 364 14 350
0 0 0 0
30 47 0 47
0 0 0 0
140 140 30 110
0 80 0 80
0 150 1 149
0 5 0 5
0 0 7 -7
0 8 0 8
0 0 0 0
0 0 0 0
100 192 99 93
0 123 0 123
0 0 12 -12
300 462 140 322
20 20 6 14
0 0 0 0
30 30 37 -7
0 0 0 0
30 63 0 63
0 35 0 35
0 117 52 65
0 5 4 1
0 0 0 0
0 0 0 0
0 102 0 102
0 0 0 0
0 3 0 3
0 2 0 2
0 153 24 129
10 10 1 9
0 169 172 -3
0 21 4 17
0 2 2 0
0 135 0 135
300 546 100 446
100 100 0 100
0 0 0 0
0 5 0 5
0 280 0 280
0 0 0 0
0 58 0 58
0 15 1 14
0 0 0 0
0 0 0 0
200 248 70 178
0 0 0 0
0 138 0 138
0 4 0 4
0 0 2 -2
100 100 54 46
0 0 0 0
30 34 0 34
0 4 0 4
0 298 6 292
0 0 0 0
0 319 78 241
0 0 0 0
100 100 49 51
0 0 0 0
0 160 240 -80
0 0 0 0
10 12 1 11
0 9 0 9
0 2 0 2
300 838 143 695
0 5 2 3
0 360 50 310
0 64 0 64
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
180 180 89 91
0 100 0 100
0 4 0 4
0 0 0 0
0 3 0 3
0 0 14 -14
0 0 0 0
0 24 52 -28
100 350 49 301
0 0 0 0
0 165 124 41
400 457 103 354
0 14 0 14
0 19 19 0
0 216 0 216
150 150 87 63
0 0 0 0
0 0 0 0
0 194 16 178
18 18 6 12
100 100 26 74
0 0 0 0
0 89 0 89
0 0 7 -7
0 5 1 4
300 666 40 626
0 0 0 0
0 0 0 0
10 11 1 10
0 5 0 5
0 74 27 47
30 38 12 26
0 175 0 175
1000 1828 688 1140
0 10 12 -2
0 0 0 0
0 0 0 0
0 154 43 111
0 149 45 104
0 0 0 0
0 6 0 6
280 280 156 124
0 0 172 -172
200 206 55 151
0 1 0 1
0 8 0 8
0 0 0 0
0 0 0 0
0 9 0 9
0 0 0 0
0 0 4 -4
20 20 12 8
0 137 25 112
0 0 0 0
0 0 1 -1
0 0 1 -1
0 513 100 413
0 359 42 317
0 0 0 0
0 359 20 339
0 244 9 235
0 484 0 484
0 63 0 63
200 441 119 322
0 180 0 180
0 100 3 97
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 55 0 55
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 246 72 174
0 36 52 -16
0 90 0 90
0 200 0 200
0 300 0 300
0 0 0 0
0 50 0 50

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG RAWAT INAP UPT PUSKESMAS KERJO

HARGA STOK JUMLAH


NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN MUTASI SISA STOK
SATUAN AWAL HARGA
1 101 IV CATHETER 22 G SET 184 184 87 97
2 102 IV CATHETER 24 G SET 16 50 66 12 54
3 103 ACYCLOVIR CREAM TUBE 3 3 1 2
4 104 ACYCLOVIR TAB 200 MG TABLET 87 87 80 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0 0 0 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0 0 0 0
9 110 ALOPURINOL TAB 100 MG TABLET 68 100 168 24 144
10 111 AMINOFILIN 200 MG TABLET 127 127 38 89
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30 30 0 30
12 114 AMOKSISILIN 500 MG TABLET 276 500 776 296 480
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 11 10 21 7 14
14 116 AMPISILIN INJ 1 GRAM VIAL 74 150 224 79 145
15 120 METHAMPIRON TAB 500 MG TABLET 294 294 138 156
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 42 500 542 269 273
17 122 ANTASIDA SYR BOTOL 60 ML 29 29 0 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0 0 0 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0 0 0 0
20 128 AQUA PRO INJ STERIL BEB. PIROGE VIAL 0 0 0 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0 0 0 0
22 131 ASAM MEFENAMAT 500 MG TABLET 313 400 713 351 362
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12 70 82 4 78
24 147 ATS INJ JKN AMPUL 2 10 12 4 8
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12 10 22 1 21
26 158 AMBROKSOL 30 MG TABLET 131 500 631 145 486
27 159 AMLODIPIN TAB 5 MG TABLET 81 81 14 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0
29 166 ARDIOS TABLET 54 54 0 54
30 174 ALKOHOL SWAB BOK/100 PCS 0 0 0 0
31 178 ASERING BOTOL/FLABOT 0 100 100 35 65
32 184 ASETYL CYSTEIN KAPSUL 288 0 288 2 286
33 202 BESI II SULFAT TABLET 51 24 75 1 74
34 205 BIOPLACENTON 15 G TUBE 5 28 33 0 33
35 206 HYOSCINE BUTILBROMIDA INJEKSI AMPUL 22 0 22 20 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8 8 0 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0 0 0 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0 0 0 0
39 305 CIPROFLOKSASIN 500 MG TABLET 222 100 322 131 191
40 308 CEFADROKSIL 500 MG KAPSUL 190 190 16 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140 140 13 127
42 404 DEKSAMETASON TAB 0,5 MG TABLET 295 300 595 169 426
43 405 DEKSTROMETORFAN SYR 10MG/5ML BOTOL 60 ML 8 20 28 8 20
44 406 DEKSTROMETORFAN TAB 15 MG KOM TABLET 0 0 0 0
45 410 DIAZEPAM TAB 2 MG TABLET 8 30 38 39 -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1 AMPUL 0 0 0 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28 28 0 28
48 418 DASABION KAPSUL 0 0 0 0
49 419 DIMENHIDRINAT 50 MG TABLET 233 233 54 179
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11 11 4 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0 0 0 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPR BOTOL 100 ML 0 0 0 0
53 513 ERITROMISIN 500 MG KAPSUL 96 96 0 96
54 519 ETANOL 100 ML BOTOL/100 ML 0 0 0 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 5 0 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5 5 0 5
57 610 FUROSEMID TAB 40 MG TABLET 81 81 24 57
58 612 FOLEY CATHETER SET 0 10 10 1 9
59 614 FAMOTIDIN 20 MG TABLET 406 406 254 152
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 55 55 4 51
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 5 5 2 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20 20 0 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 307 300 607 138 469
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60 60 12 48
65 711 GRISEOFULVIN TAB 125 MG, MICRON TABLET 0 0 0 0
66 716 GENTAMICIN SALEP KULIT TUBE 3 3 1 2
67 722 GLIMEPIRID 2 MG TABLET 126 126 0 126
68 802 BROMHEXIN TAB 8 MG TABLET 0 0 0 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38 38 0 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2 2 1 1
71 806 HYPAFIX ROL 0 0 0 0
72 813 HANDSCHOEN BIJI/PSG 0 0 0 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA TABLET 164 200 364 81 283
74 822 HANDSCRUB BOTOL 0 0 0 0
75 901 IBUPROFEN TAB 400 MG TABLET 43 43 0 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0 0 0 0
77 903 INFUS SET ANAK SET/KANTONG 14 14 2 12
78 904 INFUS SET DEWASA SET/KANTONG 100 100 200 73 127
79 908 ISONIAZID TAB.300 MG TABLET 0 0 0 0
80 909 ISOSORBID DINITRAT TAB SUBLINGU TABLET 28 28 0 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0 0 0 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294 294 6 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0 0 0 0
84 1107 KAPTOPRIL 25 MG TABLET 299 299 84 215
85 1111 KASA PEMBALUT HIDROFIL 4M X 15 ROL 0 0 0 0
86 1113 KLORAMFENIKOL INJ VIAL 83 100 183 63 120
87 1116 KLONIDIN HCL 0,15 MG TABLET 0 0 0 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 671 671 264 407
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1 1 0 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3 10 13 1 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5 5 2 3
92 1121 KLORAMFENIKOL TETES TELINGA 1 BOTOL 5 ML 4 4 0 4
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148 300 448 173 275
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/ BOTOL 60 ML 12 12 2 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278 278 74 204
96 1138 KETOKONAZOLE 200MG TABLET 0 0 0 0
97 1141 KASA GULUNG PANJANG ROL 0 0 0 0
98 1145 KEJI BELING KAPSUL 0 0 0 0
99 1146 GLUKONAS KALSILKUS FLES 0 0 0 0
100 1148 KLORIN LAR 4 % BOTOL 0 0 0 0
101 1155 CAVICUR SYRUP BOTOL 0 20 20 0 20
102 1162 KAEN - 3B INFUS BOTOL 0 180 180 138 42
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 0 0 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0 0 0 0
106 1211 LEVERTRAN POT 0 0 0 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26 26 14 12
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0 0 0 0
109 1214 LOPERAMID TABLET 139 139 55 84
110 1217 LORATADIN 10 MG TABLET 125 100 225 56 169
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0 0 0 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 287 287 187 100
113 1307 METOKLOPRAMID 10 MG TABLET 195 400 595 134 461
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5 5 0 5
115 1314 METFORMIN 500 MG TABLET 70 70 19 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0 0 0 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 75 30 105 99 6
118 1320 MASKER BIJI 0 0 0 0
119 1331 METILPREDNISOLON 8 MG TABLET 0 0 0 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124 124 16 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0 18 18 6 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42 100 142 42 100
123 1408 NIFEDIPIN 10 MG TABLET 100 100 0 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0 0 0 0
125 1417 NEUROBION 5000 INJ AMPUL 25 25 11 14
126 1430 KAOTIN SYRUP BOTOL 11 11 1 10
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 TABLET 155 150 305 78 227
128 1465 PARASETAMOL DROP BOTOL 0 0 0 0
129 1501 OAT KATEGORI 1 PAKET 0 0 0 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0 10 10 2 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA TUBE 0 0 0 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83 83 27 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 4 10 14 14 0
134 1605 PARASETAMOL 100MG TABLET 0 0 0 0
135 1606 PARASETAMOL TAB 500 MG TABLET 738 1000 1738 857 881
136 1614 PIROKSIKAM 10 MG TABLET 308 308 12 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0 0 0 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0 0 0 0
139 1619 PREDNISON 5 MG TABLET 59 59 43 16
140 1635 PIRACETAM 400 MG KAPSUL 236 236 45 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4 4 0 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1 1 0 1
143 1807 RINGER LAKTAT BOTOL 500 ML 148 180 328 184 144
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 448 448 214 234
145 1901 SALBUTAMOL TABLET 2 MG TABLET 78 200 278 65 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1 1 0 1
147 1903 SALISIL BEDAK 2% KOTAK 2 2 0 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0 0 0 0
149 1907 SILK 3/0 BIJI 0 0 0 0
150 1914 SULFASETAMID NA. TETES MATA 15 BOTOL 5 ML 2 2 0 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0 0 0 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATUL LEMBAR 10 10 4 6
153 1927 SALBUTAMOL LARUTAN RESPIRATOR BOTOL 18 20 38 12 26
154 1936 SIMVASTATIN 20 MG TABLET 119 119 25 94
155 2004 TETRASIKLIN 500 MG KAPSUL 0 0 0 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLE TABLET 30 30 1 29
157 2103 URIN BAG BIJI 5 5 1 4
158 2202 VIT. B KOMPLEKS TABLET 311 311 115 196
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 361 361 52 309
160 2205 VIT. B12 INJ AMPUL 0 0 0 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307 307 28 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54 54 22 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ AMPUL 0 0 0 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0 0 0 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 43 200 243 169 74
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20 20 0 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLE TABLET 40 40 3 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin Tab 0 0 0 0
168 2904 Nevirapine 200 mg Tablet 0 0 0 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0 0 0 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0 0 0 0
171 2908 KLINDAMISIN 300 MG TABLET 0 0 0 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0 0 0 0
173 2922 PLESTERIN BULAT BOX 0 0 0 0
174 2923 EFAVIRENZ 600 MG TABLET 0 0 0 0
175 2924 LAMIVUDIN 150 MG TABLET 0 0 0 0
176 2925 KETOROLAC INJEKSI AMPUL 0 0 0 0
177 2928 SURGICAL GLOVES PCS 0 0 0 0
178 2929 HANDRUB 5 LITER BOTOL 0 0 0 0
179 2602 ZINK DISPERSIBEL TABLET 0 0 0 0
180 PROBION TABLET 124 124 118 6
181 CALORTUSIN TABLET 99 99 63 36
182 VIT. K1 (FITOMENADION) INJ 10 MG/ AMPUL 0 0 0 0
183 METILERGOMETRIN INJ AMPUL 0 0 0 0
184 OKSITOSIN INJ AMPUL 0 0 0 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
186 URISPAS TABLET 60 60 60 0

Penanggung jawab
Hartini
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