NO.

NAMA OBAT SISA STOK HIBAH SISA STOK APBD

BAHAN HABIS PAKAI :

Abocath No. 18 0 33
1
Abocath No. 20 0 12
2
Abocath No. 22 0 35
3
Abocath No. 24 0 34
4
Abocath No. 26 35 0
5
Alat Pemeriksaan Gula darah, Kolesterol & Asam Urat 0 0
6
Alat suntik sekali pakai 1 ml 0 90
7
Alat suntik sekali pakai 10 ml 0 0
8
Alat suntik sekali pakai 2,5 ml 0 0
9
Alat suntik sekali pakai 3 ml 0 0
10
Alat suntik sekali pakai 5 ml 0 300
11
Alkohol Swab 0 100
12
Aseptik gel 0 0
13
Armsling uk. L 0 0
14
Armsling uk. M 0 0
15
Bayclin 0 0
16
Bisturi 0 0
17
Blood Lancet 0 420
18
Cervical polar universal 0 0
19
Catgut / Benang Bedah No. 2/0 dgn jarum bedah 0 20
20
Catgut / Benang Bedah No. 3/0 dgn jarum bedah 0 0
21
Cover Glass 0 0
22
Cotton Aplicator sterile 0 0
23
Creatub 0 0
24
Etanol 70% 0 0
25
Etanol 70% 0 0
26
Fican 0 0
27
H2O2 30 % 0 0
28
Hand Brush 0 0
29
Hand Schoon Gynaecolog 0 0
30
 Hand Schoon No. 7 steril 0 0
31
Hand Schoon No. 7,5 non steril Uk. L 0 0
32
Hand Schoon No. 7,5 non steril Uk. M 0 0
33
Hand Schoon No. 7,5 steril 0 100
34
Hand Schoon No. 8 steril 0 39
35
Hand Schoon tangan panjang merah 0 44
36
HB Sahli 0 2
37
Infusion set anak 0 36
38
Infusion set dewasa 0 42
39
Kantong Plastik Biohazard B 0 0
40
Kantong Plastik Biohazard K 0 0
41
Kapas Pembalut / Absorben 250 gram 0 5
42
Kasa hidrofil 40 yard x 80 0 0
43
Kasa Kompres 40/40 steril 0 0
44
Kasa Pembalut 2 m x 80 cm 0 15
45
Kasa Pembalut Hidrofil 4 m x 15 cm elastic 0 0
46
Kasa Pembalut Hidrofil 4 m x 3 cm elastic 0 0
47
Kassa steril 16 x 16 0 39
48
Kertas lakmus 0 0
49
Kertas PH Indikator 0 0
50
Kertas Puyer 0 5
51
Kertas saring 0 0
52
Leg colar universal 0 0
53
Lyofil catgut chrome 0 0
54
Masker 2 Play 0 360
55
Masker N 95 0 0
56
Needle 0 0
57
Objec Glass
0 4
58
Objec Glass Frosted
0 0
59
Paket Peralatan Laboratorium Malaria 0 0
60
Pembalut Gibs 0 0
61
Pemeriksaan Protein Urine/ Tes Kehamilan 0 61
62
Penjepit Tali Pusat / Umbilical Clamb 0 66
63
Plastik Klip obat 7 x 10 cm
0 900
64
 Plester 5 yard x 2 inchi 0 0
65
Pot Sputum 0 75
66
Pot Sputum Steril 0 0
67
Safety Box
0 0
68
Silk (Benang Bedah Sutera) No. 3/0 0 119
69
Slide Box 0 0
70
Spiritus 0 0
71
Strip Tes Asam Urat 0 23
72
Strip Tes Gula Darah 0 4
73
Strip Tes Kolesterol 0 18
74
Tabung Vacuntainer EDTA 3 ml
0 0
75
Tabung Vacuntainer EDTA 5 ml
0 0
76
Undepath refill
0 0
77
Wing Nedle No. 21 G 0 0
78
Wing Nedle No. 23 G 0 0
79
Wing Nedle No. 25 G 0 0
80
Yellow Tip 0 0
81
0 0
Reagen : 0 0
Catridge CD PIMA 0 0
1
2 Control CD 4 0 0
3 Emersi Oil 0 0
4 Larutan Asam Klorida 0,1 N (HCL) 0 0
Larutan Etanol Asam 0 0
5
6 Larutan Giemsa Merck 0 0
7 Larutan KOH 0 0
8 Larutan Metilen Biru 0 0
Larutan Na Cl 0,9 % 0 0
9
10 Larutan Turk 0 0
11 Mantox tes 0 0
12 Rapit Test HIV I /SD Bioline 182 0
Rapit Test HIV II (Focus) 0 0
13
14 Rapit Test HIV III (Vikia) 0 0
15 Rapit Test Syphillis/Hexagon 0 0
16 Rapit Test Syphillis/SD 0 0
RDT SD Bioline HBSAg 0 0
17
18 RDT Syphillis Hexagon / Frambusia 14 0
19 Reagen RPR (Fokus) 0 0
Reagen Sanitarian
20 0 0
RDT MALARIA
21 0 100
Ziehl Neelsen 0 0
22
0 0
REAGEN WIDAL 0 0
Test widal 0 0
1
3 0
OBAT TB 1 0
FDC I 0 0
1
FDC II 0 0
2
FDC Anak 0 0
3
FDC Sisipan 0 0
4
INH tablet 100 mg 0 0
5
INH tablet 300 mg 0 0
6
OAT FDC Intensif 0 0
7
OAT FDC lanjutan 0 0
8
0 0
0 0
OBAT ARV 0 0
1 0 0
Efavirens 600 mg / Efavirens
2 0 0
Lamivudin + Zidovudin (150/300) / Duviral
3 0 0
Lamivudin 150 mg / Hiviral
4 0 0
Lopinavir + Ritonavir (200/50) / Aluvia
5 0 0
Nevirapin 200 mg
6 0 0
Tenofovir 300 mg
7 Tenofovir 300 mg + Entricitabine 200 mg 0 0
8 Tenofovir 300 mg + Lamivudin 300 mg + Efavirens 600 Mg 0 0
9 Triple Ped : Zidovudin 60 mg + Lamivudin 30 mg + Neverapin 50 mg 0 0
10 0 0
Zidovudin 100 mg
0 0
 OBAT KUSTA : 0 0
1 MB Anak 0 0
2 MB Dewasa 0 0
3 PB Anak 0 0
4 PB Dewasa 0 0
0 0
KESEHATAN JIWA : 0 0
1 0 0
Amitriptilin HCl tab 25 mg
2 0 0
Clobazam tab 10 mg
3 0 0
Clorpromazin tab 100 mg
4 0 0
Haloperidol tab 5 mg
5 0 0
Risperidon tab 2 mg
6 0 0
Triheksipenidil tab 2 mg
0 0
OBAT GIGI 0 0
Air Raksa Dental Use 0 0
1
2 Alvogyl septodont 0 0
3 Articulating paper 0 0
4 Capsule nedle 0 0
5 Caustiner rapid 0 0
6 Cavit G 0 0
Celluloid strip 0 0
7
8 Creosophen solution 0 0
9 Dentin conditioner 0 0
10 Dentorit / Caviton 0 0
11 Dentorit / Caviton 0 0
12 Devitalisasi Pasta 0 0
Etching gel 0 0
13
14 Etil Klorida spray 0 0
15 Eugenol cairan 0 0
16 Fletcher serbuk dan cairan 0 0
17 Fluor tablet 0,5 mg 0 0
18 Formokresol 0 0
Fuji VII 0 0
19
20 Fuji IX 0 0
21 Fuji IX GC 0 0
22 Fuji gold GC 0 0
23 Glass Ionomer Cement 0 0
24 Guttapecha No. 15-40 0 0
Jarum endodontin 0 0
25
26 Kalsium Hydroksida Pasta 0 0
27 Kalxyl 0 0
28 Klorfenol Kamfer Mentl (CHKM) 0 0
29 Mummyfing Pasta 0 0
30 Nald citoject 0 0
OCO 0 0
31
32 Paper point 15-40 META 0 0
33 Paper point 15-40 META 0 0
34 Semen Seng Fosfat serbuk dan cairan 0 0
35 Silver Amalgam serbuk 65 - 75 % 0 0
36 Spons Gelatin 0 0
0 0
OBAT 0 0
Allopurinol tablet 100 mg 0 2300
1
Aminofillin tablet 200 mg 0 0
2
Aminofillin Injeksi 24 mg/ml - 10 ml 0 0
3
Amoksisilin kaplet 500 mg 0 900
4
Amoksisilin kapsul 250 mg 0 0
5
Amoksisilin sirup kering 125 mg/5 ml 0 30
6
Antalgin (Metampiron) tablet 500 mg 0 0
7
Antalgin Injeksi 250 mg/ml - 2 ml 0 0
8
Antacida DOEN tab, Kombinasi : Mg. Hydroksida 200 mg + Al. Hydroksida 200
0 700
9 mg
Antasida syrup 0 0
10
Anti Bakteri DOEN salep Kombinasi : Basitrasin 500 IU/g + Polimiksin 10.000
0 0
11 IU/g
Antifungi DOEN Kombinasi : Asam Benzoat 6 % + Asam Salisilat 3 % 1 0
12
Anti Hemoroid DOEN Kombinasi Supp 0 0
13
Aqua Pro Injeksi steril, bebas pirogen 0 0
14
Asam Askorbat (Vit C) tablet 50 mg 0 1500
15
 Asetosal tablet 500 mg 0 0
16
Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml 0 0
17
Aciclovir tablet 200 mg 0 0
18
Aciclovir tablet 400 mg 0 460
19
Aciclovir cream
0 0
20
Albendazol tablet 400 mg 0 0
21
Amlodipin 5 mg 0 0
22
Amlodipin 10 mg 0 0
23
Ampisillin kaplet 500 mg 0 0
24
Ampisillin sirup 125 mg/5 ml
0 0
25
Ampisillin serbuk Injeksi 1 gram 0 0
26
Asam Mefenamat tablet 500 mg 0 1000
27
Azitromisin tab 500 mg 130 0
28
Azitromisin + Cefiksim 0 0
29
ACT/OAM/DHP 0 0
30
Artesunat Injeksi 0 0
31
Bisakodil 5 mg 0 0
32
Betahistin 0 0
33
Bekarbon tablet 0 488
34
Benzatin Benzil Penicillin Injeksi 1,2 juta IU 0 0
35
Benzatin Benzil Penicillin Injeksi 2,4 juta IU 0 0
36
Bioplacenton Yelli 0 0
37
Betametason krim 0,1 % 0 0
38
Captopril tablet 25 mg 0 0
39
Captopril tablet 12,5 mg 0 0
40
Carbamazepin 0 0
41
Cimetidin tablet 200 mg 0 0
42
Cefadroksil kapsul 500 mg 0 0
43
Cefadroksil sirup 0 0
44
Cefixim tablet 0 0
45
Clindamisin kapsul 150 mg 0 0
46
Clindamisin kapsul 300 mg 0 650
47
Ciprofloksasin tablet 500 mg 0 0
48
Cetrizin syr 5 mg/5ml 0 0
49
 Dietil Carbamazin Citrat tablet 0 0
50
Domperidon tablet 0 600
51
Domperidon sirup 0 0
52
Doksisiklin kapsul 100 mg 0 0
53
Dulcolax tablet 0 0
54
Dulcolax Supp 0 0
55
Deksametason Injeksi 5 mg/ml - 1 ml 0 0
56
Deksametason tablet 0,5 mg 0 1300
57
Diazepam Injeksi 5 mg/ml - 2 ml 0 4
58
Diazepam tablet 2 mg 0 0
59
Difenhydramin HCl Inj. 10 mg/ml - 1 ml 0 18
60
Eritromisin sirup 0 0
61
Eritromisin kaplet 500 mg 0 0
62
Efedrin HCl tablet 25 mg 0 0
63
Epinefrin HCL/Bitartrat (Epinefrina / Adrenalina) Injeksi 0,1 % - 1 ml 0 16
64
Etakridin (Rivanol) larutan 0,1 %
0 0
65
Etanol 70 % 0 0
66
Etanol 70 % 0 5
67
Flukonazol tab 0 10
68
Fenilbutason tablet 200 mg 0 0
69
Fenobarbital Injeksi 50 mg/ml - 1 ml 0 0
70
Fenobarbital tablet 30 mg 0 0
71
Fenol Gliserol tetes telinga 0 0
72
Fitomenadion (Vit. K1) Injeksi 2 mg/ml - 1 ml 0 0
73
Fitomenadion (Vit. K1) tablet salut gula 10 mg 0 440
74
Furosemid tablet 40 mg 0 0
75
Furosemid Injeksi 0 0
76
Gentamycin Injeksi 0 0
77
Gentamisin SK 0,1% 0 0
78
Gameksan krim 1 % 12 0
79
Garam Oralit untuk 200 ml air 0 0
80
Gentian Violet larutan 1 % 0 0
81
Glibenklamid tablet 5 mg 0 0
82
Gliseril Guayakolat tablet 100 mg 0 1800
83
 Glukosa larutan infus 5 % steril 0 44
84
Glukosa larutan infus 10 % steril 0 0
85
Glukosa larutan infus 40 % steril 0 0
86
Griseofulvin tablt 125 mg, micronized 0 1600
87
Hidroklorotiazid (HCT) tablet 25 mg 0 700
88
Hidrokortison krim 2,5 % 0 0
89
Ichtiol salep 0 1
90
Ibuprofen syr 0 0
91
Ibuprofen tablet 200 mg
0 200
92
Isosorbid Dinitrat ablet sublingual 5 mg 0 0
93
Kanamycin Injeksi 2 gram 0 1
94
Ketokonazol krem 0 0
95
Ketokonazol tab 200 mg 0 0
96
Kalsium Laktat (Kalk) tablet 500 mg 0 800
97
Kloramfenikol kapsul 250 mg 0 0
98
Kloramfenikol kapsul 500 mg 0 400
99
Kloramfenikol sirup 0 0
100
Kloramfenikol tetes telinga 3 % 0 0
101
Kloramfenikol tetes mata 0,5 % 0 0
102
Kloramfenikol salep mata 1 % 0 46
103
Klorfeniramin Maleat (CTM) tablet 4 mg 300 800
104
Kotrimoksazol Suspensi, Komb. Trimetoprim + Sulfametoksazol 0 55
105
Kotrimoksazol tablet 480 mg, Kombinasi : Trimetoprim 80 mg + Sulfametoksazol
611
106 400 mg 0
Kotrimoksazol tablet pediatrik, Kombinasi : Trimetoprim 20 mg + Sulfametoksazol
100 mg 0
107 0
Kuinin (Kina) tablet 200 mg
0 0
108
Kuinin Dihidroklorida Injeksi 25 % - 2 ml
0 0
109
Levertran salep 0 0
110
Loratadin 0 0
111
Lidokain Komp. Injeksi, kombinasi : Lidokain HCl 2 % + Epinefrin 1 : 80.000 - 2
0 74
112 ml
Lisol, mengandung Kresol tersabun 50 % 0 1
113
Metformin tab 500 mg 0 300
114
Metoklorpramida 0 0
115
Miconazol krem 7 22
116
 Mineral mix 0 0
117
Magnesium Sulfat Injeksi 0 0
118
Methylprednisolon 4 mg 0 0
119
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg 0 0
120
Metilergometrin Maleat Injeksi 0,200 mg/ml - 1 ml (Myomergin Injeksi) 0 5
121
Metronidazol tablet 250 mg 0 305
122
Metronidazol tablet 500 mg 0 0
123
Natrium Diklofenak tablet 25 mg 0 180
124
Natrium Diklofenak tablet 50 mg 0 0
125
Natrium Bikarbonat tab 500 mg 0 0
126
Natrium Klorida larutan infus 0,9 % 0 24
127
Natrium Klorida larutan infus 0,9 % 0 0
128
Nistatin tablet 500.000 IU 0 100
129
Nistatin tablet vaginal 100.000 IU/gr 0 50
130
Nistatin Drops 0 0
131
Nifedipin tablet 0 0
132
Omeprazol tab 20 mg 0 0
133
Obat Batuk Hitam (OBH) cairan 0 0
134
Oksitetrasiklin HCl salep mata 1 % 0 0
135
Oksitetrasiklin HCl Injeksi i.m. 50 mg/ml - 10 ml 0 0
136
Oksitosin Injeksi 10 IU/ml - 1 ml (Pitogin Injeksi) 0 20
137
Pehacain Injeksi 0 0
138
Pharmaton F kapsul 0 0
139
Pyroksikam kapsul 20 mg 0 200
140
PPG Injeksi 3 juta IU 0 10
141
Paraformaldehid tablet 1 gram 0 0
142
Parasetamol drops 0 0
143
Parasetamol sirup 120 mg/5 ml 0 43
144
Parasetamol tablet 100 mg 0 0
145
Parasetamol tablet 500 mg 0 700
146
Papaverin tablet 40 mg 0 0
147
Papaverin HCl Injeksi 0 0
148
Pirantel tablet 125 mg 0 220
149
Piridoksin HCl (Vit B6)tablet 10 mg 0 200
150
 Piridoksin HCl (Vit B6)tablet 10 mg 0 0
151
Piridoksin HCl (Vit B6)tablet 25 mg 0 0
152
Povidon Iodida 10 % 0 2
153
Prednison tablet 5 mg 0 1100
154
Primakuin tablet 15 mg 0 2300
155
Propanolol HCl tablet 40 mg 100 0
156
Ranitidin tablet 100 900
157
Retinol (Vit A) kapsul 100.000 IU 0 0
158
Retinol (Vit A) kapsul 200.000 IU 0 0
159
Ringer Laktat larutan infus steril 0 15
160
Salbutamol tablet 2 mg 0 0
161
Salbutamol tablet 4 mg 0 1200
162
Salbutamol lar respirator untuk nebulizer 2,5 mg/2,5 NaCl 0 0
163
Simvastatin tablet 10 mg 0 0
164
Simvastatin tablet 20 mg 0 0
165
Sirup multivitamin untuk anak-anak 0 0
166
Stesolid Rectal 0 0
167
Salep 2-4, Kombinasi : Asam Salisilat 2 % + Belerang Endap 4 % 0 0
168
Salisil Bedak 2 %
0 10
169
Serum Anti Bisa Ular (ABU II) 0 0
170
Seru Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S) 0 0
171
Sianokobalami (Vit B12) Injeksi 500 mcg/ml - 1 ml 0 70
172
Sulfasetamida Natrium tetes mata 15 % 0 0
173
Tablet Tambah Darah + Asam Folat 0 0
174
Tetrasiklin HCl kapsul 250 mg 0 0
175
Tetrasiklin HCl kapsul 500 mg 0 0
176
Tiamin HCl (Vit B1) Injeksi 100 mg/ml - 1 ml 0 0
177
Tiamin HCl (Vit B1) tablet 50 mg 0 0
178
Vitamin B Komplex tablet 0 800
179
Zegase kapsul 0 0
180
Zegavit 0 0
181
Zink tablet 0 100
182
Zink syrup 0 0
183
0 0
 TAMBAHAN OBAT 0 0
0 0
1 Multivitamin Syrup 0 3
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0
20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
26 0 0
27 0 0
28 0
29 0
TOTAL JUMLAH
PERMINTAAN YANG DIBUTUH KAN

-37.2
-8.4
-39.6
-37.2
-35.2
0
-96
0
0
0
-300
120 200

0 5

0
0
0 5

0 100

-264 100

0
-24
0
0
0
0
0
3.6 10

0
0
0
0
 0
0 200

3.6 100

-100.8
-32.4
-52.8
-2.4
-40.8
-26.4 20

0 100

0 100

-6
1.2
0
-13.2
0
0
-34.8 10

0
0
0 100

0
0
0
-432 100

0
0
2.4 5 BUAH

0
0
0
-26.4
-76.8
0 2000
 0 10 ROLL

-90
0
0
-136.8
0
0 1 BTL

-27.6
-4.8
-21.6
0
0
0 100

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
-36
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-1618.8 1000

168
0
240 1000

1078.8 1000

0
0 500

0 30

720 1000

0
0 1000

28.8 24 POT

0
0 10 VIAL

144 1000
 0
0
120 500

-552
0 50

0
0
0
0
0
0
942
0
0
0
0
0
0
-585.6
0
0
0
0
0
0
0
0 1000

0
0 200

0 200

0 200

-384
0
0
 0
2160 1000

0 100

0
0 100

0 10

0
480 1000

-4.8
0 100

-21.6
0
0 500

0 500

-19.2
0 10

0
0 10

-6
0
0
0
0 20 BTL

0
-528
0
0
0
21.6 50

0
0 100

0
0
-108 2000
-34.8
0
0
-1272
-684
0
-1.2 25

0
3054 2000

0
-1.2
10.8
0
-12 500

0
-96
0
0 50

0 50

-10.8 50

1428 1000

-12 100

0 1000

0
0
0
0
0
-70.8
-1.2
-360
0
6
 0
0
0
0
-6
-366
0 1000

-216
0
0
-14.4 20

0
-36 100

-36 100

0
0
0 500

0 50

0
0
-24
0
0
-204
-12
0
0
16.8 100

0
996 2000

0
0
-264
24 1000
 0
0
1.2 10 BTL

960
-888 1000

0
-354 1000

0
0
-12 20

0
-1032 500

0
0
0
0
14.4 10

28.8
-4.8
0
0
-78
0
0 3000

0
0
0
0
2778 2000

0
0
48 500

39.6
0
0
0
30
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