PEMERINTAH KABUPATEN PENAJAM PASER UTARA

DINAS KESEHATAN
UPT PUSKESMAS PETUNG
Jalan Negara Km. 18 Kel. Petung Kode Pos 76144 Telp. 0543-523949 Kab. Penajam Paser Utara
Website: www.puskesmaspetung.com

PERMINTAAN BELANJA OBAT DAN BMHP DANA JKN

Bulan : FEBRUARI 2021

NO NAMA OBAT & ALKES Satuan

1 Alat Tes Kehamilan Ktk 50 Pcs

2 Alkohol Swab 0,5 % Merek Onemad Kotak 100 Pcs
3 Ambroxol 30 Mg Tab Box @ 100
4 Ambroxol Syr BOTOL
5 Asam Folat Kotak 10 X 10
6 Asam Mefenamat 500 Mg Box @ 100
7 Asam Tranexsamat 100 Mg/Ml Inj Ktk 10 Ampul @5ml
8 Asetil Systein Kotak 10 X 10
9 Aspilets 80 Mg Tab Box @ 100
10 Atropin Sulfat 0,25 Mg/Ml Inj Ktk @100 Ampul
11 Bisacodil 5 Mg Tablet 3 Catch Cover @ 10 Tablet Salut Enterik
12 Ciprofloxacin 500 Mg Tab Box @ 100
13 Combivent UDV Inhalan 2,5 Ml Box @ 20 Botol Kecil
14 Cotrimoxazole 480 Mg Tab Ktk 10 X 10
15 Dexametashon 0,5 Mg Tab Ktk 10 X 10
16 Dexamethason 5 Mg/Ml Inj Box @100ampul
17 Domperidon 5 Mg / Ml Syr BOTOL
18 Dulcolax Supp 10 Mg Box @ 5 Suppo
19 Dulcolax Supp 5 Mg Box @ 5 Suppo
20 Dumin 5 Mg Rectal Box @ 5 Tube
21 Foley Chateter 16 Box @ 10 Pcs
22 Foley Chateter 18 Box @ 10 Pcs
23 Gel Usg/Jelly Doopler BOTOL
24 Gentamisin 5 Mg Sk Box @ 10 Tube
25 Glyceryl Guaiacolate (GG) 100 Mg Tab Botol @100 Tab
26 Grisefulvin 125 Mg Capsule Box @ 50 Capsule
27 Handsound Steril Uk.L Box @100 Pcs
28 Handsound Steril Uk.M Box @100 Pcs
29 Handsound Steril Uk.S Box @100 Pcs
30 Ibu Profen 100mg/Ml Syr BOTOL
31 IV Catheter No. 18 G BOX @ 50 Pcs
32 IV Catheter No. 26 G BOX @ 50 Pcs
33 Kanul Oksigen Anak Dus @50pcs
34 Kanul Oksigen Dewasa Dus @50pcs
35 Kasa Steril 16x16 BOX
36 Ketokonazole 200 Mg Tab Box @50 Tablet
37 Ketorolac Inj 30 Mg Box @ 12 Ampul
38 Lidocain Hcl 2% Inj Box @ 100 Ampul
NO NAMA OBAT & ALKES Satuan

39 Lisol Botol 1000ml

40 Meloksikam 7.5 Mg Tab Kotak 10 X 10
41 Miconazole 2% Krem Tube 10 Gram
42 Micro Pipet Multi Uk.1-50 Mikro Pcs
43 Omeprazole Capsule Box @30 Capsule
44 Ondansetron 4mg/2ml Inj Ktk @10 Ampul
45 Pamol 125 Mg Supp Ktk @ 10 Suppo
46 Paracetamol 120mg/5ml Syr Dus @50 Botol
47 Pehacain 2ml Inj Ktk @20 Ampul
48 Pembalut Elastis 10 Cm X 4,55 M Roll
49 Phenol Gliserol 10% Tetes Telinga Dus@ 24 Botol
50 Phytomenadion 2mg/1ml Inj Box @ 30 Ampul
51 Pot Dahak PCS
52 Pot Urin PCS
53 Ranitidin 150mg Tab Box @ 100 Tablet
54 Reagen Clining Botol
55 Reagen Gol,B Paket
56 Reagen Gol.A Paket
57 Reagen Gol.D Paket
58 Reagen Gol.O Paket
59 Reagengol.Ab Paket
60 Scabimid Cr TUBE
61 Serum Anti Bisa Ular Injeksi VIAL
62 Sianokobalamin 500mcg/Ml ( Vitamin B12 ) Inj Box @ 100 Ampul
63 Silk (Benang Bedah Sutera) No. 2/0 Dus @36 Pcs
64 Silk (Benang Bedah Sutera) No. 3/0 Dus @36 Pcs
65 Slide Kaca(Merek Gea Medical) BOX
66 Stik Asam Urat (Merek Benecheck) Ktk 25 Pcs
67 Stik Gula Darah (Merek Benecheck) Ktk 50 Pcs
68 Stik Hb (Merek Mission) Ktk 50 Pcs
69 Stik Kolestrol (Merek Benecheck) Ktk 10 Pcs
70 Tabung Edeta 3,0ml (Merek Vaculab) Dus @ 100 Pcs
71 Underpad Pak@10 Pcs
72 Urin Bag PCS
73 Ventolin Nebuls 2,5mg In 2.5ml Box 4 X 5 Single Dose Unit
74 White Tip Pcs
75 Yellow Tip Pcs

Apoteker penanggung Jawab Pengelola Gudang

Nurbaya Mandan Marita Huseimah Silawane

Nip. 197602162005022001

PPTK Puskesmas Petung Ka. UPT Puskesmas Petung

NO NAMA OBAT & ALKES Satuan

H.M.Said.,S.ST Hj.Arlena, S.ST

Nip.19841112009041002
UTARA

m Paser Utara

DANA JKN

PERMINTAAN

3.000 Pcs
200.000 Pcs
200.000 Tab
2.000 Botol
200.000 Tab
200.000 Tab
20 Ampul
2000 Tab
2.000 Tab
100 Ampul
15.000 Tab
1.500 Tab
2.000 Botol Kecil
3.000 Tab
200.000 Tab
200 Ampul
1.000 Botol
100 Suppo
100 Suppo
50 Tube
50 Pcs
50 Pcs
5 Botol
500 Tube
5.000 Tab
500 Capsule
5.000 Pcs
5.000 Pcs
2000 Pcs
500 Botol
1.000 Pcs
250 Pcs
50 Pcs
100 Pcs
5,000
2.500 Tablet
500 Ampul
500 Ampul
 PERMINTAAN

25 Botol
3.000 Tablet
500 Tube
1 Pcs
5.000 Capsule
300 Ampul
50 Suppo
1.000 Botol
200 Ampul
30 Roll
148 Botol
90 Ampul
100 Pcs
50 Pcs
5.000 Tablet
1 Botol
1
1
1
1
1
100 Tube
2 Vial
100 Ampul
180 Pcs
180 Pcs
20 Box
2.000 Pcs
2.500 Pcs
750 Pcs
3.000 Pcs
1.000pcs
5.000 Pcs
250 Pcs
2.000 Pcs
2.000 Pcs
1.000 Pcs

ngelola Gudang

Huseimah Silawane

T Puskesmas Petung
 PERMINTAAN

Hj.Arlena, S.ST