Rekapan Harian 2021

Tgl Pemakaian Obat di PKM Bulan Mei 2017 JUMLAH
NO NAMA SEDIAAN PEMAKAI

Stok 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 25 26 27 28 29 30 AN
Awal
A. OBAT
1 Air Raksa Dental Use 0 0
2 Albendazole Tablet 400 mg 0 0
Albendazole Tablet 400 mg 0 0
3 Albendazole susp 200 mg/5 ml 0 0
4 Alopurinol Tablet 100 mg 0 0
Alopurinol Tablet 100 mg 380 0
6 Alprazolam tablet 1 mg 0 0
7 Ambroksol Tablet 30 mg 0 0
Ambroksol Tablet 30 mg 860 30 20 20 20 90
8 Ambroksol sirup 15 mg/5 ml 0 0
Ambroksol sirup 15 mg/5 ml 166 2 2 2 3 1 2 2 2 5 21
9 Aminofillin Injeksi 24 mg/ml-10 ml 0 0
10 Aminofillin Tablet 200 mg 0 0
Aminofillin Tablet 200 mg 2140 0
11 Amitriptillin Hcl Tablet Salut 25 mg 0 0
Amitriptillin Hcl Tablet Salut 25 mg 0 0
12 Amlodipin Tablet 5 mg 0 0
Amlodipin Tablet 5 mg 0 0
Amlodipin Tablet 10 mg 780 50 60 20 20 10 30 20 20 50 10 10 300
14 Amoksisillin Kapsul 250 mg 0 0
Amoksisillin Kapsul 250 mg 0 0
15 Amoksisillin Kaplet 500 mg 0 0
Amoksisillin Kaplet 500 mg 0 0
16 Amoksisillin Serbuk Injeksi 1000 mg 0 0
17 Amoksisillin Sirup Kering 125 mg/5ml 0 0
Amoksisillin Sirup Kering 125 mg/5ml 0 0
18 Amoksisillin Double Strengh Sirup Kering 250
mg/5 ml 0 0
Amoksisillin Double Strengh Sirup Kering 250
mg/5 ml 50 1 2 3
19 Ampisilin Kapsul 250 mg 0 0
20 Ampisillin Kaplet 500 mg 0 0
21 Ampisilin Sirup 125 mg / 5 ml 0 0
22 Ampisillin Injeksi 1000 mg 0 0
Ampisillin Injeksi 1000 mg 0 0
23 Analgetik Plus 0 0
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200
mg/5 ml 0 0
Antasida Doen Suspensi Kombinasi : Magnesium H 0 0
25 Antasida Doen Tablet, Kombinasi : Magnesium Hi 0 0
Antasida Doen Tablet, Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200
mg 0 0
Antasida Doen Tablet, Kombinasi : Magnesium Hi 8140 50 30 10 50 20 60 20 30 60 50 40 40 30 20 30 50 10 600
26 Antasida Plus Tablet 0 0
27 Antalgin (Metampiron) Tablet 500 mg 0 0
28 Antalgin Injeksi 250 mg/ml-2ml 0 0
29 Anti Bakteri DOEN Salep Kombinasi : 29 0
30 Anti Hemoroid Doen komb 0 0
31 Anti Fungi DOEN Kombinasi : 0 0
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg 210 0
33 Anti Diare Suspensi 0 0
34 Anti Diare Tablet 0 0
35 Anti Dotum Oral Tablet 0 0
36 Anti Hipertensi Kapsul 0 0
37 Antihistamin Tablet kombinasi 0 0
38 Antispasmodik Tablet 0 0
39 Antitusiva Sirup 94 10 10 2 22
40 Antitusiva Tablet 0 0
41 Asam Folat Tablet 1 mg 820 50 50
42 Asam Askorbat (Vit. C) Tablet 200 mg 604 10 20 30 10 50 40 160
Asam Askorbat (Vit. C) Tablet 50 mg 0 0
43 Asam Mefenamat Kapsul 500 mg 0 0
Asam Mefenamat Kapsul 500 mg 0 0
Asam Mefenamat Kapsul 500 mg 330 50 100 10 20 30 30 30 20 60 20 370
44 Acetylsistein tablet 0 0
Acetylsistein tablet 1430 20 20
45 Asetosal Tablet 80 mg 0 0
48 Asiklovir Krim 5 % 0 0
Asiklovir Krim 5 % 0 0
49 Asiklovir Tablet 200 mg 0 0
50 Asiklovir Tablet 400 mg 450 40 40
51 Attapulgit 0 0
Attapulgit 1345 50 10 50 50 20 10 190
Attapulgit 2000 0
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml 0 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 0 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 0 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 0 0
54 Bahan Tambal Sementara 0 0
Bahan Tambal Sementara 0 0
55 Benzatin Benzil Penisilin injeksi 0 0
56 Betahistin Mesilat 6 mg 1000 10 20 30
57 Betametason Krim 0,1 %- 5g 20 0
Betametason Krim 0,1 %- 5g 0 0
58 Bisakodil suppositoria 10 mg 0 0
59 Bisoprolol Tablet 5 mg 0 0
60 Bromheksin 8 mg 0 0
Bromheksin 8 mg 0 0
61 Cresotin Pasta 0 0
62 Cresotin Liquid No 2 0 0
63 Deksametason Injeksi 5mg/ml-1ml 0 0
64 Deksametason Tablet 0,5 mg 0 0
65 Devitalisasi Pasta (Non Arsen) 0 0
66 Diazepam tablet 2 mg 290 0
68 Diazepam Injeksi i.v/i.m 5 mg/ml 30 0
69 Diazepam Larutan Rektal 5 mg/ml 0 0
71 Dietilkarbamazin Sitrat Tablet 100 mg 0 0
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml 0 0
Difenhidramin HCl Injeksi 10 mg/ml-1ml 120 0
73 Digoksin Tablet 0,25 mg 0 0
74 Dimenhidrinat Tablet 50 mg 500 0
Dimenhidrinat Tablet 50 mg 0 0
75 Domperidon Tablet 10 mg 0 0
Domperidon Tablet 10 mg 0 0
76 Donperidon Suspensi 5 mg/5ml 0 0
77 Efedrin Hcl Tablet 25 mg 0 0
78 Ekstrak Belladone Tablet 10 mg 0 0
79 Epinefrin HCl / Bitartrat 0 0
80 Eritromisin Kapsul 250 mg 0 0
82 Eritromisin Sirup 200 mg / 5 ml 0 0
83 Etambutol Tablet 500 mg 0 0
84 Etanol 70 % 100 ml 0 0
85 Etil Klorida Semprot -100 ml 0 0
86 Eugenol Cairan -10 ml 0 0
87 Fenitoin Natrium Kapsul 100 mg 195 30 30
88 Fenobarbital tablet 30 mg 220 0
Fenobarbital tablet 30 mg 190 0
89 Fenobarbital injeksi 50 mg / ml 15 0
Fenobarbital injeksi 50 mg / ml 60 0
90 Fenoksimeti Penisilin 250 mg tablet 0 0
Fenoksimeti Penisilin 500 mg tablet 0 0
92 Fenol Gliserol TK 0 0
93 Flufenazine decanoat injeksi 25 mg/ml 0 0
Flufenazine decanoat injeksi 25 mg/ml 0 0
94 Flukonazole tablet 150 mg 0 0
95 Fitomenadion tablet 10 mg 0 0
Fitomenadion tablet 10 mg 0 0
96
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml
0 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml
630 0
97 Furosemid Tablet 40 mg 0 0
Furosemid Tablet 40 mg 0 0
98 Furosemid injeksi 0 0
99 Garam Oralit I serbuk, kombinasi : 0 0
100 Gemfibrozil Tablet 600 mg 0 0
101 Gentian Violet 0 0
102 Gentamisin injeksi 80 mg / 2 ml 0 0
Gentamisin injeksi 80 mg / 2 ml 0 0
103 Gentamisin Salep Kulit 0,1 % 0 0
104 Glass Ionomer 0 0
105 Glibenklamid Tablet 5 mg 300 10 10 20
Glibenklamid Tablet 5 mg 0 0
106 Glimepiride 2 mg 0 0
107 Gliseril Guayakolat Tablet 100 mg 0 0
Gliseril Guayakolat Tablet 100 mg 470 20 50 10 10 90
108 Gliseril Guayakolat sirup 0 0
Gliseril Guayakolat sirup 20 1 1 2
109 Glukonas Kalsikus injeksi 0 0
110 Glukosa Larutan Infus 5 % 0 0
111 Glukosa Larutan Infus10 % 0 0
112 Griseofulvin Tablet 125 mg,micronized 0 0
Griseofulvin Tablet 125 mg,micronized 2000 0
113 Haloperidol Tablet 0,5 mg 470 10 10 60 10 90
Haloperidol Tablet 0,5 mg 0 0
114 Haloperidol Tablet 1,5 mg 600 30 30 60
115 Haloperidol Tablet 5 mg 0 0
Haloperidol Tablet 5 mg 0 0
116 Haloperidol injeksi 5 mg/ml 0 0
118 Hidroklortiazid (HCT) Tablet 25 mg 0 0
Hidroklortiazid (HCT) Tablet 25 mg 1060 10 10 20
119 Hidrokortison Krim 2,5 % 0 0
120 Ibuprofen Tablet 200 mg 0 0
Ibuprofen Tablet 400 mg 0 0
122 Ibuprofen Suspensi 100 mg/5 ml 0 0
Ibuprofen Suspensi 100 mg/5 ml 0 0
123 Ichtyol salep Kulit 0 0
124 Isoniazid tablet 100 mg 0 0
Isoniazid tablet 100 mg 200 0
126 Isosorbid Dinitrat 5 mg 0 0
Isosorbid Dinitrat 5 mg 0 0
127 Kalium Diklofenak Tablet 25 mg 0 0
Kalium Diklofenak Tablet 50 mg 0 0
129 Kalsium Hidroksida Pasta 0 0
130 Kalsium Laktat Tablet 500 mg 250 0
131 Kaptopril 12,5 mg 2920 20 20
132 Kaptopril 25 mg 0 0
Kaptopril 25 mg 0 0
133 Karbamazepin Tablet 200 mg 100 0
134 Ketokonazole Krim 2 % - 15 gr 0 0
Ketokonazole Krim 2 % - 15 gr 0 0
135 Ketokonazole Tablet 200 mg 0 0
136 Ketoprofen Tablet 100 mg 0 0
137 Ketoprofen Injeksi 100 mg / 1 ml 0 0
138 Ketorolac 10 mg injeksi 0 0
140 Klindamisin Kapsul 150 mg 0 0
142 Kloramfenikol Kapsul 250 mg 0 0
143 Kloramfenikol suspensi125mg/5 ml 0 0
144 Kloramfenikol Salep Mata 1%-3,5 g 70 0
145 Kloramfenikol Salep Kulit 2% 0 0
146 Kloramfenikol Tetes Mata -5 ml 0 0
147 Kloramfenikol Tetes Telinga 3%-5 ml 0 0
148 Klorfeniramin Maleat (CTM) Tablet 4 mg 0 0
Klorfeniramin Maleat (CTM) Tablet 4 mg 0 0
149 Klorpromazin Hcl Tablet Salut 25 mg 0 0
Klorpromazin Hcl Tablet Salut 25 mg 0 0
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml 50 0
Klorpromazin Hcl Injeksi 5 mg/ml-2ml 0 0
152
Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml
0 0
153 Kombipak Cefixime+ Azithromisin 0 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : 0 0
155 Kotrimoksazol Tablet, Kombinasi : 480 10 10 20 40
Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg
0 0
156 Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40
mg/5 ml 54 0
Kotrimoksazol Suspensi Kombinasi : 0 0
157 Lansoprazole 30 mg Kapsul 0 0
Lansoprazole 30 mg Kapsul 1105 55 10 65
158 Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28
mEq) /Asering 0 0
Larutan mengadung Elektrolit
(Na 130 mEq,Cl 109 mEq, Asetat 28
mEq) /Asering 0 0
159 Larutan mengadung Elektrolit 0 0
Larutan mengadung Elektrolit 0 0
160 Larutan mengadung Karbohidrat + Elektrolit 0 0
161 Lidokain injeksi 2 % 0 0
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2
ml 0 0
Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2
ml 0 0
163 Lidokain Spray 0 0
164 Loperamid Tablet 2 mg 0 0
Loperamid Tablet 2 mg 0 0
165 Loratadin tablet 10 mg 0 0
Loratadin tablet 10 mg 400 0
166 Magnesium Sulfat (IV) 20 %-25 ml 10 0
168 MB Anak 0 0
MB Anak 0 0
MB Anak 0 0
169 MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
170 Meloksikam tablet 15 mg 0 0
171 Meloksikam Suppositoria 0 0
172 Metformin Hcl Tablet 500 mg 0 0
Metformin Hcl Tablet 500 mg 270 10 10 20 20 10 70
173 Metformin 850 mg 0 0
174 Metildopa 250 mg tablet 0 0
175 Methisoprinol 500 mg 0 0
176 Metilergometrin Maleat (Metergin) Tablet 0,125 m 0 0
Metilergometrin Maleat (Metergin) Tablet 0,125 m 400 0
Metilergometrin Maleat (Metergin) Tablet 0,125
mg 0 0
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml 0 0
178 Metilprednisolon tablet 4 mg 0 0
Metilprednisolon tablet 4 mg 0 0
Metilprednisolon tablet 4 mg 110 10 10
179 Metoklopramid 10 mg 0 0
Metoklopramid 10 mg 600 0
180 Metoklorpropamid Injeksi 5 mg/ 5 ml 0 0
Metoklorpropamid Injeksi 5 mg/ 5 ml 140 0
181 Metronidazol Tablet 250 mg 0 0
182 Metronidazole Tablet 500 mg 0 0
Metronidazole Tablet 500 mg 400 0
183 Metronidazole sirup 125 mg/ml 50 0
184 Metronidazole Infus 500 mg /100 ml 0 0
185 Mikonazole KrIm 2 % - 10 gr 0 0
186 Multivitamin + Mineral tablet 0 0
Multivitamin + Mineral tablet 0 0
187 Multivitamin sirup 0 0
Multivitamin sirup 0 0
188 Mummifying Pasta 0 0
189 Natrium Bikarbonat Tablet 500 mg 0 0
190 Natrum Diklofenak Tablet 25 mg 0 0
191 Natrium Diklofenak Tablet 50 mg 720 50 10 30 20 50 100 260
Natrium Diklofenak Tablet 50 mg 500 0
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml 0 0
193 Nipedifin Tablet 10 mg 0 0
194 Nistatin suspensi 100.000 IU/ml 0 0
Nistatin suspensi 100.000 IU/ml 34 0
195 Nistatin 100.000 IU/gram Tablet Vagina 100 0
196 Nistatin 500.000 IU/gram Tablet Salut 200 0
197 Obat Antitiuberkolosis Kategori Anak 0 0
198 Obat Antitiuberkolosis Kategori 1 Dewasa 0 0
Obat Antitiuberkolosis Kategori 1 Dewasa 0 0
Obat Antitiuberkolosis Kategori 2 Dewasa
0 0
200
Obat Antitiuberkolosis Kategori 3 Dewasa
0 0
201 Obat Anti Tuberkulosis FDC Kat Anak 0 0
202 Obat Anti Tuberkulosis FDC Kat I & II 0 0
203 Obat Anti Tuberkulosis FDC Kat I & III 0 0
Obat Anti Tuberkulosis FDC Kat I & III 0 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa 0 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml 0 0
Obat Batuk Hitam (OBH) Cairan 100 ml 0 0
206 Obat Batuk Cair Sirup (Ekspektoran) 0 0
Obat Batuk Cair Sirup (Ekspektoran) 0 0
207 Obat Batuk Hitam Plus Sirup 0 0
208 Obat Flu Sirup 0 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml 0 0
210 Oksiterasiklin Salep Mata 1%-3,5g 725 0
Oksiterasiklin Salep Mata 1%-3,5g 0 0
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g 0 0
Oksitetrasiklin Hcl Salep Kulit 3%-5g 0 0
Oksitetrasiklin Hcl Salep Kulit 3%-5g 80 2 5 2 9
212 Oksitosin Injeksi 10 IU/ml-1ml 0 0
Oksitosin Injeksi 10 IU/ml-1ml 0 0
213 Omeprazole injeksi 40mg/10ml 0 0
214 Omeprazole Kapsul 20 mg 0 0
215 Ondansetron inj 4 mg/ 2 mL 0 0
216 Parasetamol drop 100 mg/ml btl @15ml
(60mg/0,6ml) 0 0
217 Parasetamol Sirup 120 mg/5ml-60 ml 66 5 2 3 3 1 1 2 1 3 2 23
218 Parasetamol Tablet 100 mg 0 0
Parasetamol Tablet 500 mg 0 0
220 PB Anak 0 0
221 PB Dewasa 0 0
PB Dewasa 0 0
PB Dewasa 0 0
222 Pehacain injeksi 0 0
Pehacain injeksi 0 0
223 Perak Sulfadiazin krim 1 % 35 gr 0 0
224 Permetrin krim 5 % 0 0
225 Piracetam Tablet 400 mg 0 0
227 Piroksikam Tablet 20 mg 0 0
Piroksikam Tablet 20 mg 0 0
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125
mg Basa) 0 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg 1085 50 50 20 50 40 20 20 30 20 10 10 320
Piridoksin Hcl (Vit.B6) Tablet 10 mg 0 0
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg 0 0
231 Povidon Iodida 10% 30 ml 0 0
234 Prednison Tablet 5 mg 0 0
Prednison Tablet 5 mg 6170 35 40 50 15 20 20 10 30 20 30 10 20 10 310
235 Primakuin tablet 15 mg 0 0
236
Prokain Benzil Penisilin Injeksi 3,000,000 IU
0 0
237 Propanolol Hcl Tablet 40 mg 0 0
Propanolol Hcl Tablet 40 mg 0 0
238 Propilturasil Tablet 100 mg 0 0
239 Ranitidin Injeksi 25 mg / ml 0 0
240 Ranitidin Tablet 150 mg 0 0
241 Retinol (Vit. A) 100.000 IU Kapsul 0 0
243 Reserpin Tablet 0, 25 mg 0 0
244 Rifampisin Tablet 450 mg 0 0
245 Ringer Laktat Larutan Infus Steril 500 ml 0 0
Ringer Laktat Larutan Infus Steril 500 ml 0 0
246 Salbutamol Tablet 2 mg 290 0
Salbutamol Tablet 4 mg 100 0
248 Salbutamol solution for Inhalation single dose units 0 0
249 Salep 2-4 Kombinasi : 0 0
Salep 2-4 Kombinasi : 0 0
Salep 2-4 Kombinasi :
Asam Salisilat 2 % + Belerang Endap 4 % -
30 gram 30 2 2
250 Salisil bedak 2% -50 gr 0 2 2
Salisil bedak 2% -50 gr 0 0
251 Salep Luka Bakar 0 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml sirup 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml sirup
50 1 2 3
253 Sefadroksil Tablet 500 mg 0 0
Sefadroksil Tablet 500 mg 0 0
254 Sefiksim Kapsul 100 mg 0 0
255 Sefiksim 400 mg + Azitromisin 1000 mg 0 0
Sefiksim 400 mg + Azitromisin 1000 mg 0 0
256 Sefotaksim Injeksi 1 gr 0 0
257 Seftriakson Injeksi 1 gr / vial 0 0
258 Semen Seng Fosfat Serbuk & Cairan 0 0
259 Setirizin Tablet 10 mg 470 10 10 10 30
260 Setirizin Sirup 5 mg / 5 ml 0 0
Setirizin Sirup 5 mg / 5 ml 0 0
261 Sianokobalamin Injeksi 500 mcg/ml-1ml 0 0
Sianokobalamin Injeksi 500 mcg/ml-1ml 0 0
262 Sianokobalamin Tablet 50 mcg 190 0
263 Silver Amalgam Serbuk 65-75% 0 0
264 Simetidin 200 mg Tablet 0 0
Simetidin 200 mg Tablet 0 0
265 Simvastatin Tablet 10 mg 0 0
Simvastatin Tablet 10 mg 0 0
266 Siprofloksasin 500mg 0 0
Siprofloksasin 500mg 0 0
267 Spironolakton Tablet 25 mg 0 0
268 Sulfacetamid Tetes Mata 15 %-5ml 0 0
269 Tablet Tambah Darah Kombinasi: 0 0
Tablet Tambah Darah Kombinasi: 0 0
270 Temporary Stopping Fletcher (Fletcher) Serbuk & C 0 0
271 Trikesol formalin ( T K F ) Cairan 10 ml 0 0
272 Tetrasiklin Kapsul 250 mg 0 0
Tetrasiklin Kapsul 500 mg 670 0
274
Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml
0 0
275
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg
0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg 0 0
276 Thiamfenikol Kapsul 500 mg 300 0
277 Tramadol Injeksi 50 mg/ ml 0 0
278 Tramadol Tablet 50 mg 0 0
279 Triheksifenidil Hidroklorida Tablet 2 mg 1030 10 30 30 70
Triheksifenidil Hidroklorida Tablet 2 mg 0 0
280 Vitamin B .Komplek Tablet 0 0
Vitamin B .Komplek Tablet 2595 50 40 50 100 150 95 10 30 50 50 300 50 20 30 50 90 1165
281 Vitamin Neurotropik Tablet 0 0
282 Zinc Tablet 20 mg 1680 20 100 100 50 270
283 Zinc Sulfat 20 mg/5 ml 0 0
Zinc Sulfat 20 mg/5 ml 50 0
284 Hepatorotector tablet (Curcuma) 0 0
Hepatorotector tablet (Curcuma) 0 0
285 Obat Batuk Herbal 0 0
286 Obat Kumur 50 0
287 Salep Kloramfenikol + Hidrokortison 0 0
288 Tablet Pemanis 30 0
289 Bahan Pembersih Kavitas 0 0
290 Flour Gel 0 0
291 Glass Lonomer Posterior 0 0
292 Hyposol 3% 0 0
293 Paramonochlorofenol/CHKM 0 0
294 Saliva Ejector 0 0
295 Salep Betametason + Neomisin 0 0
Salep Betametason + Neomisin 0 0
296 Bahan Pemutih Gigi 0 0
297 Metronidazol Inj 0 0
298 Box Slide 0 0
299 Box Slide 0 0
300 Klozapine 25mg 1015 20 10 15 30 10 85
301 Mineral Mix 0 0
302 Risperidon 2mg 1035 15 30 10 10 65
303 Budensoid Cairan Inhalasi (Pulmicort) 20 0
B. BAHAN MEDIS HABIS PAKAI (BMHP) 0 0
1 Abbocath No 18 ( IV Chateter 18 ) 0 0
Abbocath No 18 ( IV Chateter 18 ) 0 0
5 Alat Gula, Kolesterol, Asam Urat 0 0
6 Alat Suntik Sekali Pakai 1 ml 0 0
Alat Suntik Sekali Pakai 3 ml 500 0
10 Alkohol Swab 0 0
11 Auto Disposable Syringe (ADS) 0,05 ml 0 0
Auto Disposable Syringe (ADS) 0,05 ml 0 0
13 Auto Disposable Syringe (ADS) 5 ml 0 0
Auto Disposable Syringe (ADS) 5 ml 0 0
14 Blood Set 0 0
15 Catgut/Benang Bedah No.2/0 Plain 0 0
16 Catgut/Benang Bedah No.3/0 Cromic 0 0
Catgut/Benang Bedah No.3/0 Cromic 0 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml 15 0
Etakridin Larutan (Rivanol) 0,1% - 300 ml 0 0
18 Etanol 70 % 1.000 ml 0 0
Etanol 70 % 1.000 ml 0 0
19 Eter Alkohol 0 0
20 Folley Catheter no 14 35 0
23 Infus set Anak 0 0
24 Infus set Dewasa 0 0
Infus set Dewasa 0 0
25 Iodina Test 0 0
26 Kaca Slide 0 0
Kaca Slide 0 0
27 Kapas Berlemak 500 gram 0 0
28 Kapas Pembalut / Adsorbens 250 gram 0 0
Kapas Pembalut / Adsorbens 250 gram 0 0
29 Kassa Pembalut 2 m x 80 cm 10 0
30 Kassa Pembalut Hidrofil 4 m x 3 cm 0 0
Kassa Pembalut Hidrofil 4 m x 15 cm 0 0
32 Kassa Hidrofil Steril 16 x 16 0 0
Kassa Hidrofil Steril 16 x 16 0 0
33 Kassa Kompres 40 x 40 steril 0 0
Kassa Kompres 40 x 40 steril 0 0
34 Kertas Puyer 0 0
35 Kertas Saring 0 0
36 Kertas Lensa 0 0
37 Lysol 1,000 ml 0 0
38 Masker 0 0
Masker 0 0
Masker 0 0
Masker 0 0
Masker Kain Headloop KEMKES 2400 0
Masker Kain Earloop KEMKES 2400 0
39 Masker N 95 0 0
Masker KN95 145 0
40 Minyak Imersi 0 0
41 Plester Kertas 0 0
42 Polifix 5 cm x 5 m 0 0
Polifix 5 cm x 5 m 0 0
43 Pot Dahak 0 0
Pot Dahak 0 0
44 Rapid 2 HIV Fokus 0 0
Rapid HIV 1+2KHB 0 0
45 Rapid HIV 1 (SD HIV) 0 0
Rapid HIV 1 (SD HIV) 0 0
46 Rapid HIV 2 (Intec HIV) 0 0
47 Rapid HIV 2 (Biomeriux HIV) 0 0
48 Rapid Tes SD Bioline HBSAG 0 0
Rapid Tes SD Bioline HBSAG 0 0
Hepatitis B Imunoglobulin inj 220 IU 0 0
49 Rapid Test Syphilis 0 0
50 Reagen CD 4 Control 0 0
51 Reagen CD 4 0 0
52 Reagen Ziehl Nielsen 0 0
Reagen Ziehl Nielsen 0 0
53 RPR Test Syphilis 0 0
RPR Test Syphilis 0 0
54 Silk( Benang Bedah Sutra ) No 3/0 0 0
Silk( Benang Bedah Sutra ) No 3/1 0 0
55 Safety Box 0 0
Safety Box 0 0
56 Sarung tangan Steril No 6 0 0
58 Sarung tangan Steril No 7,5 0 0
Sarung tangan Steril No 7,5 0 0
59 Sarung tangan Non Steril S 0 0
60 Sarung tangan Non Steril M 0 0
61 Sarung tangan Non Steril L 0 0
62 Sountimer 0 0
63 Stik Pemeriksaan Gula Darah 0 0
64 Stik Pemeriksaan Kolesterol 0 0
65 Stik Pemeriksaan Asam Urat 0 0
66 Supratul 0 0
Supratul 0 0
67 Urine Bag 0 0
68 Wing Neddle No 23 0 0
69 Blood Lancet 0 0
70 Cairan Antiseptik Botol 500 ml 0 0
71 Rapin HIV Oncoprobe 0 0
72 Steryzime Dual Enzymatis 5 Lt 0 0
73 Sterald 30 High Level Surface Desinfektan 5Lt 0 0
74 Gentamisin Sulfat Tetes Mata 0,3% 0 0
75 Bioplacenton Tulle 10 x 10 0 0
76 Vikia Biumeric 0 0
77 Sterad 0 0
78 Hepatitis B Imunolobin 0 0
79 Slide 0 0
80 IV Catheter 20 0 0
81 Stericide 3 Surface Desinfektan 5Lt 0 0
82 Serum Tetagam P Injeksi 0 0
83 Biosave Serum ABU Injeksi 0 0
84 Baju APD (COVER ALL) 0 0
85 Sepatu Boot Saffety 0 0
86 Kacatamata Google 0 0
87 Sarung Tangan Karet Latex 0 0
88 Rapid Test Kit Covid-19 0 0
89 0 0
90 0 0
0 0
C. SERUM DAN VAKSIN 0 0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) 0 0
2 Serum Anti Rabies untuk manusia 0 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul 0 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul 0 0
5 Human Tetanus Imunoglobin inj 250 IU 0 0
6 Vaksin BCG 0 0
Vaksin BCG 0 0
Vaksin BCG 0 0
7 Vaksin Campak 10 Dosis 0 0
8 Vaksin DT 0 0
Vaksin DT 0 0
9 Vaksin TD 0 0
Vaksin TD 0 0
Vaksin TD 0 0
10 Vaksin DTP-HB 0 0
11 Vaksin DPT-HB/Hib 0 0
Vaksin DPT-HB/Hib 0 0
12 Vaksin HB Uniject 0 0
Vaksin HB Uniject 0 0
13 Vaksin MR (VVM.A) 0 0
Vaksin MR (VVM.A) 0 0
14 Vaksin Polio 0 0
Vaksin Polio 0 0
15 Vaksin Polio IPV 5 Dosis 0 0
Vaksin Polio IPV 5 Dosis 0 0
16 Vaksin Polio 10 IPV Dosis 0 0
17 Vaksin TT 0 0
18 Vaksin Campak Bias 0 0
19 0 0
20 0 0
Tgl Pemakaian Obat di PKM Bulan Mei 2017 JUML
NO NAMA SEDIAAN STOK AH
AWAL PEMA
2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 25 26 27 28 29 30 KAIAN
A. O B A T
Ambroksol Tablet 30 mg 0 0
Ambroksol sirup 15 mg/5 ml 141 2 2
Amoksisillin Kaplet 500 mg 19497 40 20 35 30 100 45 60 20 20 40 20 20 450
Amoksisillin Kaplet 500 mg 25420 20 40 10 10 90 100 270
17 Amoksisillin Sirup Kering 125 mg/5ml 347 5 4 2 5 16
18 Amoksisillin Double Strengh Sirup Kering 250 0 0
24 Antasida Doen Suspensi Kombinasi : Magne 247 0
25 Antasida Doen Tablet, Kombinasi : Magnes 0 0
Antasida Doen Tablet, Kombinasi : Magnes 0 0
Antasida Plus Tablet 820 50 50
Antalgin (Metampiron) Tablet 500 mg 0 0
Anti Fungi DOEN Kombinasi : 0 0
32 Antimigren DOEN Kombinasi : 0 0
39 Antitusiva Sirup 0 0
Antitusiva Sirup 0 0
41 Asam Folat Tablet 1 mg 0 0
42 Asam Askorbat (Vit. C) Tablet 50 mg 0 0
48 Asiklovir Krim 5 % 4325 50 50
51 Attapulgit 0 0
Attapulgit 0 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 0 0
56 Betahistin Mesilat 6 mg 1220 0
Betahistin Mesilat 6 mg 0 0
Betametason Krim 0,1 %- 5g 1 1 1
60 Bromheksin 8 mg 4890 100 100 200
Bromheksin 8 mg 17600 0
Deksametason Tablet 0,5 mg 0 0
Digoksin Tablet 0,25 mg 0 0
84 Etanol 70 % 100 ml 0 0
87 Fenitoin Natrium Kapsul 100 mg 0 0
Fenitoin Natrium Kapsul 100 mg 0 0
95 Fitomenadion tablet 10 mg 250 50 50
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml 0 0
97 Furosemid Tablet 40 mg 130 10 10
Garam Oralit I serbuk, kombinasi : 2964 6 6 12 12 36
Gentamisin Salep Kulit 0,1 % 0 0
Gentamisin Salep Kulit 0,1 % 90 10 2 4 2 18
105 Glibenklamid Tablet 5 mg 460 0
Glimepiride 2 mg 0 0
Gliseril Guayakolat Tablet 100 mg 0 0
Gliseril Guayakolat sirup 0 0
113 Haloperidol Tablet 0,5 mg 0 0
Hidroklortiazid (HCT) Tablet 25 mg 8000 0
Hidrokortison Krim 2,5 % 40 2 5 2 9
Hidrokortison Krim 2,5 % 0 0
121 Ibuprofen Tablet 400 mg 9095 10 30 20 30 50 500 400 10 20 200 20 10 10 1310
Ibuprofen Tablet 400 mg 10000 100 10 10 20 140
128 Kalium Diklofenak Tablet 50 mg 7990 40 30 10 10 20 20 10 10 10 160
Kalsium Laktat Tablet 500 mg 12890 30 40 30 20 30 20 20 10 50 250
131 Kaptopril 12,5 mg 19530 20 10 10 10 50
132 Kaptopril 25 mg 19085 20 30 20 10 10 30 10 20 150
Ketokonazole Krim 2 % - 15 gr 200 1 5 6
Ketokonazole Tablet 200 mg 0 0
Kloramfenikol suspensi125mg/5 ml 0 0
Kloramfenikol Salep Mata 1%-3,5 g 0 0
Kloramfenikol Tetes Mata -5 ml 0 0
147 Kloramfenikol Tetes Telinga 3%-5 ml 1107 5 1 2 2 10
Klorfeniramin Maleat (CTM) Tablet 4 mg 78805 90 95 45 10 7 40 30 15 30 20 70 30 20 25 40 45 50 662
152 Kombinasi Ipatropium Bromide + Salbutamol 0 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : 0 0
155 Kotrimoksazol Tablet, Kombinasi : 0 0
Kotrimoksazol Tablet, Kombinasi : 0 0
156 Kotrimoksazol Suspensi Kombinasi : 0 0
Lansoprazole 30 mg Kapsul 0 0
Lansoprazole 30 mg Kapsul 8285 20 50 70
Lidokain injeksi 2 % 930 0
162 Lidokain Komp Injeksi, Kombinasi : 0 0
Lidokain Komp Injeksi, Kombinasi : 0 0
Magnesium Sulfat (IV) 20 %-25 ml 0 0
168 MB Anak 0 0
169 MB Dewasa 0 0
170 Meloksikam tablet 15 mg 5295 15 15 10 10 10 60
Meloksikam tablet 15 mg 0 0
176 Metilergometrin Maleat (Metergin) Tablet 0 0 0
Metilergometrin Maleat (Metergin) Tablet 0 0 0
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml 0 0
Metilergometrin Maleat Injeksi 0,200 mg-1ml 95 0
Mikonazole KrIm 2 % - 10 gr 90 0
Multivitamin + Mineral tablet 4540 40 100 500 640
Natrum Diklofenak Tablet 25 mg 0 0
191 Natrium Diklofenak Tablet 50 mg 2090 0
192 Natrium Klorida Larutan infus 0,9%-Steril 500 345 0
Nistatin 100.000 IU/gram Tablet Vagina 155 0
Nistatin 500.000 IU/gram Tablet Salut 300 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa 0 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml 595 2 1 2 1 6
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml 0 0
216 Parasetamol drop 100 mg/ml btl @15ml (60m 1166 3 2 10 5 1 21
Parasetamol drop 100 mg/ml btl @15ml (60m 0 0
217 Parasetamol Sirup 120 mg/5ml-60 ml 0 0
Parasetamol Sirup 120 mg/5ml-60 ml 0 0
219 Parasetamol Tablet 500 mg 1E+05 90 90 40 70 100 150 120 45 25 85 30 50 60 60 75 40 50 115 50 55 1400
220 PB Anak 0 0
221 PB Dewasa 0 0
227 Piroksikam Tablet 20 mg 16360 10 20 20 50
228 Pirantel Pamoat Tablet 365 mg (Setara dng 1 0 0
0 0
Povidon Iodida 10% 30 ml 0 0
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU 0 0
Retinol (Vit. A) 200.000 IU Kapsul 0 0
248 Salbutamol solution for Inhalation single dose 0 0
Salep 2-4 Kombinasi : 368 1 2 1 1 5
250 Salisil bedak 2% -50 gr 0 0
Salep Luka Bakar 0 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup 0 0
Sefadroksil Tablet 500 mg 12800 10 50 20 10 30 10 130
259 Setirizin Tablet 10 mg 0 0
Setirizin Tablet 10 mg 0 0
Setirizin Sirup 5 mg / 5 ml 1056 5 1 1 5 4 2 3 21
Sianokobalamin Tablet 50 mcg 0 0
264 Simetidin 200 mg Tablet 12360 20 10] 20
Siprofloksasin 500mg 490 10 10
Spironolakton Tablet 25 mg 0 0
270 Temporary Stopping Fletcher (Fletcher) Serb 0 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml 0 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg 21535 40 10 30 30 20 20 30 20 70 10 10 20 10 340
279 Triheksifenidil Hidroklorida Tablet 2 mg 0 0
Vitamin B .Komplek Tablet 0 0
Vitamin Neurotropik Tablet 0 0
Vitamin Neurotropik Tablet 1560 200 200 100 200 50 750
282 Zinc Tablet 20 mg 4060 500 300 500 1300
285 Asam Folat Tablet 0,4 mg 0 0
286 Gentamisin Sulfat tetes mata 0,3% 0 0
287 Obat Kumur 38 0
288 Salep Betametason + Neomisin 60 5 10 2 1 18
289 Salep Kloramfenikol + Hidrokortison 100 1 5 2 8
290 Propanolol 10mg 0 0
Propanolol 10mg 0 0
292 Bisakodil Suppositoria 5 mg 0 0
Bisakodil Suppositoria 5 mg 0 0
293 Obat Batuk Herbal (Herbakof) 1548 5 6 10 10 7 5 2 3 2 6 2 3 5 2 2 70
294 Amoksisillin Drops 44 0
295 Tablet Hepatoprotector (Curcuma) 2280 30 50 50 50 30 100 100 110 70 50 80 50 770
296 Simvastatin 20mg 1110 0
297 Klozapine 25mg 0 0
298 Bisoprolol 2,5mg 0 0
299 Vitamin C 500mg 30000 300 300
300 Vitamin D 1000 IU 3000 150 150
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc 9000 100 1 101
302 Multivitamin Syrup 1500 2 2 1 3 8
0 0
Alat Gula, Kolesterol, Asam Urat 0 0
10 Alkohol Swab 5600 0
14 Blood Set 0 0
Catgut/Benang Bedah No.2/0 Plain 0 0
18 Etanol 70 % 1.000 ml 0 0
19 Eter Alkohol 0 0
Folley Catheter no 16 10 0
Infus set Anak 10 0
25 Iodina Test 0 0
26 Kaca Slide 0 0
Kassa Pembalut 2 m x 80 cm 5 0
34 Kertas Puyer 0 0
36 Kertas Lensa 0 0
37 Lysol 1,000 ml 0 0
38 Masker 800 0
Masker 0 0
Masker Ear Loop 1000 0
Masker Head Loop 1150 0
39 Masker N 95 0 0
Masker N 96 0 0
42 Polifix 15 0
Polifix 5 0
43 Pot Dahak 0 0
51 Reagen CD 4 0 0
55 Safety Box 0 0
Sarung tangan Steril No 6 0 0
Sarung tangan Non Steril S 0 0
Sarung tangan Non Steril M 0 0
Sarung tangan Non Steril L 0 0
62 Sountimer 0 0
Stik Pemeriksaan Gula Darah 0 0
Stik Pemeriksaan Gula Darah Benecheck 0 0
Stik Pemeriksaan Gula Darah One Touch Veri 0 0
Stik Pemeriksaan Kolesterol 0 0
Stik Pemeriksaan Kolesterol Benecheck 0 0
Stik Pemeriksaan Asam Urat 0 0
66 Supratul 0 0
67 Urine Bag 0 0
Urine Bag 0 0
69 Blood Lancet 30 0
Cairan Antiseptik Botol 500 ml 0 0
71 Bisturi 0 0
Bisturi 0 0
Bisturi 25 0
72 Cairan Antiseptik Botol 5 Liter 0 0
73 Cairan Desinfektan 5 Liter 0 0
74 Cairan Detergen 5 Liter 0 0
75 Gel USG 0 0
Gel USG 20 0
76 IV Dressing 0 0
IV Dressing 0 0
77 Mucus Extractor 0 0
78 Nasal Oxygen Anak 0 0
79 Nasal Oxygen Bayi 0 0
80 Nasal Oxygen Dewasa 0 0
81 Plester Bulat Non Woven 0 0
82 Plester Transparan 0 0
83 PP test 0 0
PP test 0 0
85 Sarung Tangan Obgyn Steril 0 0
Sarung Tangan Obgyn Steril 40 0
86 Stik Pemeriksaan Hb 0 0
87 Umbilical Cord Klem Steril Nylon 0 0
Umbilical Cord Klem Steril Nylon 0 0
88 Underpad 60x90 cm Non Steril 0 0
89 Stik Gula Darah Baru 0 0
90 Stik Asam Urat Baru 0 0
91 Stik Hb 0 0
92 ChOLESTROL chod-pap 0 0
93 Creatinin mod iaffe 0 0
94 Glucosa God-pap 0 0
95 GOT (AST) mod iffe 0 0
96 GPT 0 0
97 Trigliserida GPO-PAP 0 0
98 Urea UV-auto,Urease/GLDH 0 0
99 Urid Acid TBHA 0 0
100 Dumacon Auto 0 0
101 Micropipet 5,0-50 Ul 0 0
102 Micropipet 10-100UL 0 0
103 Tabung Vacutainer 0 0
104 HGB Drab Kin 0 0
105 Nasal Kanul Dewasa 9 0
106 Nasal Kanul Anak 4 0
107 Coveral II (APD) Non Woven 49 0
0 0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (AB 0 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/am 0 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/a 0 0
6 Vaksin BCG 0 0
8 Vaksin DT 0 0
9 Vaksin TD 0 0
14 Vaksin Polio 0 0
17 Vaksin TT 0 0
18 Buku Kontrak 0 0
19 0 0
20 0 0
FEBRUARI DAK 2021
Tgl Pemakaian Bulan Februari 2021 JUMLA
NO NAMA SEDIAAN H
Stok PEMAK
2 3 4 5 6 8 9 10 11 13 15 16 17 18 19 20 22 23 24 25 26 27 AIAN
Awal
A. OBAT
Alopurinol Tablet 100 mg 200 10 20 30
Ambroksol Tablet 30 mg 2060 20 10 10 20 40 100
Ambroksol sirup 15 mg/5 ml 441 6 1 2 2 11
Aminofillin Tablet 200 mg 1640 10 10
Amlodipin Tablet 5 mg 0 0
Amlodipin Tablet 10 mg 480 20 20 10 30 10 10 20 10 60 50 10 20 10 20 10 20 330
Amoksisillin Kapsul 250 mg 2500 10 10 20
15 Amoksisillin Kaplet 500 mg 4850 50 50
18 Amoksisillin Double Strengh Sirup Kering 0 0
Amoksisillin Double Strengh Sirup Kering 140 1 2 1 4 2 1 3 14
24 Antasida Doen Suspensi Kombinasi : M 0 0
Antasida Doen Suspensi Kombinasi : M 0 0
25 Antasida Doen Tablet, Kombinasi : Ma 0 0
Antasida Doen Tablet, Kombinasi : Ma 0 0
Antasida Doen Tablet, Kombinasi : Ma 6640 30 30 60 30 20 10 40 10 60 10 20 30 50 10 20 80 40 10 30 590
30 Anti Hemoroid Doen komb 25 5 2 7
39 Antitusiva Sirup 62 3 2 5
42 Asam Askorbat (Vit. C) Tablet 200 mg 1344 40 10 40 10 60 50 20 230
Acetylsistein tablet 1230 10 30 20 60
51 Attapulgit 0 0
Attapulgit 845 10 10
Attapulgit 2500 10 20 30
Atropin Sulfat Injeksi 0,25 mg/ml-1ml 10 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 0 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 0 0
57 Betametason Krim 0,1 %- 5g 60 2 2 2 4 2 5 1 5 23
Bromheksin 8 mg 0 0
84 Etanol 70 % 100 ml 0 0
Fenobarbital tablet 30 mg 190 0
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1m 0 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1m 630 0
### Gemfibrozil Tablet 600 mg 0 0
### Gentian Violet 0 0
### Gentamisin injeksi 80 mg / 2 ml 0 0
### Gentamisin Salep Kulit 0,1 % 0 0
### Glass Ionomer 0 0
### Glibenklamid Tablet 5 mg 280 10 10 20 20 60
### Glimepiride 2 mg 0 0
### Gliseril Guayakolat Tablet 100 mg 0 0
Gliseril Guayakolat Tablet 100 mg 380 20 10 10 10 10 60
### Gliseril Guayakolat sirup 0 0
Gliseril Guayakolat sirup 15 3 2 1 2 1 1 10
### Glukonas Kalsikus injeksi 20 0
### Glukosa Larutan Infus 5 % 0 0
### Glukosa Larutan Infus10 % 0 0
### Griseofulvin Tablet 125 mg,micronized 0 0
Griseofulvin Tablet 125 mg,micronized 5000 50 50
### Haloperidol Tablet 0,5 mg 380 0
### Haloperidol Tablet 1,5 mg 540 15 10 30 30 85
### Haloperidol Tablet 5 mg 0 0
### Haloperidol injeksi 5 mg/ml 0 0
### Haloperidol injeksi 50 mg/ml 0 0
### Hidroklortiazid (HCT) Tablet 25 mg 0 0
### Hidrokortison Krim 2,5 % 0 0
### Ibuprofen Tablet 200 mg 0 0
### Ibuprofen Tablet 400 mg 0 0
### Ibuprofen Suspensi 100 mg/5 ml 0 0
### Ichtyol salep Kulit 0 0
### Isoniazid tablet 100 mg 0 0
### Isoniazid tablet 300 mg 0 0
### Isosorbid Dinitrat 5 mg 0 0
### Kalium Diklofenak Tablet 25 mg 0 0
### Kalium Diklofenak Tablet 50 mg 0 0
### Kalsium Hidroksida Pasta 0 0
### Kalsium Laktat Tablet 500 mg 250 40 10 250 300
### Kaptopril 12,5 mg 2900 0
### Kaptopril 25 mg 0 0
Kaptopril 25 mg 0 0
### Karbamazepin Tablet 200 mg 100 0
### Ketokonazole Krim 2 % - 15 gr 0 0
### Ketokonazole Tablet 200 mg 0 0
### Ketoprofen Tablet 100 mg 0 0
### Ketoprofen Injeksi 100 mg / 1 ml 0 0
### Ketorolac 10 mg injeksi 0 0
### Ketorolac 30 mg injeksi 0 0
### Klindamisin Kapsul 150 mg 0 0
### Klindamisin Kapsul 300 mg 0 0
### Kloramfenikol Kapsul 250 mg 0 0
### Kloramfenikol suspensi125mg/5 ml 0 0
### Kloramfenikol Salep Mata 1%-3,5 g 120 2 2
### Kloramfenikol Salep Kulit 2% 0 0
### Kloramfenikol Tetes Mata -5 ml 0 0
### Kloramfenikol Tetes Telinga 3%-5 ml 0 0
### Klorfeniramin Maleat (CTM) Tablet 4 mg 0 0
### Klorpromazin Hcl Tablet Salut 25 mg 0 0
### Klorpromazin Hcl Tablet Salut 100 mg 0 0
### Klorpromazin Hcl Injeksi 5 mg/ml-2ml 50 0
### Kombinasi Ipatropium Bromide + Salbutamol 0 0
### Kombipak Cefixime+ Azithromisin 0 0
### Kotrimoksazol Pedriatik Tablet, Kombinasi : 0 0
### Kotrimoksazol Tablet, Kombinasi : 420 10 10
### Kotrimoksazol Suspensi Kombinasi : 54 2 2
### Lansoprazole 30 mg Kapsul 0 0
Lansoprazole 30 mg Kapsul 1025 5 10 5 20
### Larutan mengadung Elektrolit 0 0
### Larutan mengadung Elektrolit 0 0
### Larutan mengadung Karbohidrat + Elektrolit 0 0
### Lidokain injeksi 2 % 0 0
### Lidokain Komp Injeksi, Kombinasi : 0 0
### Lidokain Spray 0 0
### Loperamid Tablet 2 mg 0 0
### Loratadin tablet 10 mg 0 0
### Magnesium Sulfat (IV) 20 %-25 ml 10 0
### Magnesium Sulfat (IV) 40 %-25 ml 10 0
### MB Anak 0 0
MB Anak 0 0
MB Anak 0 0
### MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
### Meloksikam tablet 15 mg 0 0
### Meloksikam Suppositoria 0 0
### Metformin Hcl Tablet 500 mg 0 0
Metformin Hcl Tablet 500 mg 500 10 10 10 10 20 20 80
### Metformin 850 mg 0 0
### Metildopa 250 mg tablet 0 0
### Methisoprinol 500 mg 0 0
### Metilergometrin Maleat (Metergin) Tabl 0 0
Metilergometrin Maleat (Metergin) Tabl 300 0
Metilergometrin Maleat (Metergin) Tabl 0 0
### Metilergometrin Maleat Injeksi 0,200 mg 0 0
### Metilprednisolon tablet 4 mg 0 0
### Metoklopramid 10 mg 0 0
### Metoklorpropamid Injeksi 5 mg/ 5 ml 0 0
### Metronidazol Tablet 250 mg 0 0
### Metronidazole Tablet 500 mg 0 0
### Metronidazole sirup 125 mg/ml 50 0
### Metronidazole Infus 500 mg /100 ml 0 0
### Mikonazole KrIm 2 % - 10 gr 0 0
### Multivitamin + Mineral tablet 0 0
### Multivitamin sirup 0 0
### Mummifying Pasta 0 0
### Natrium Bikarbonat Tablet 500 mg 0 0
### Natrum Diklofenak Tablet 25 mg 0 0
### Natrium Diklofenak Tablet 50 mg 360 10 20 10 20 20 40 10 30 20 10 20 20 230
Natrium Diklofenak Tablet 50 mg 500 0
### Natrium Klorida Larutan infus 0,9%-Steril 0 0
### Nipedifin Tablet 10 mg 0 0
### Nistatin suspensi 100.000 IU/ml 0 0
Nistatin suspensi 100.000 IU/ml 84 0
### Nistatin 100.000 IU/gram Tablet Vagina 100 0
### Nistatin 500.000 IU/gram Tablet Salut 200 0
### Obat Antitiuberkolosis Kategori Anak 0 0
### Obat Antitiuberkolosis Kategori 1 Dewas 0 0
Obat Antitiuberkolosis Kategori 1 Dewas 0 0
### Obat Anti Tuberkulosis FDC Kat Anak 0 0
### Obat Anti Tuberkulosis FDC Kat I & II 0 0
### Obat Anti Tuberkulosis FDC Kat I & III 0 0
### Obat Anti Tuberkolosis FDC Sisipan Dewa 0 0
### Obat Batuk Hitam (OBH) Cairan 100 ml 0 0
### Obat Batuk Cair Sirup (Ekspektoran) 0 0
### Obat Batuk Hitam Plus Sirup 0 0
### Obat Flu Sirup 0 0
### Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 0 0
### Oksiterasiklin Salep Mata 1%-3,5g 725 5 5
### Oksitetrasiklin Hcl Salep Kulit 3%-5g 200 0
### Oksitosin Injeksi 10 IU/ml-1ml 0 0
### Omeprazole injeksi 40mg/10ml 0 0
### Omeprazole Kapsul 20 mg 0 0
### Ondansetron inj 4 mg/ 2 mL 0 0
### Parasetamol drop 100 mg/ml btl @15ml 0 0
### Parasetamol Sirup 120 mg/5ml-60 ml 243 2 2 2 1 4 2 1 3 3 2 7 3 4 3 5 44
### Parasetamol Tablet 100 mg 0 0
### Parasetamol Tablet 500 mg 0 0
### PB Anak 0 0
### PB Dewasa 0 0
PB Dewasa 0 0
PB Dewasa 0 0
### Pehacain injeksi 0 0
### Perak Sulfadiazin krim 1 % 35 gr 0 0
### Permetrin krim 5 % 0 0
### Piracetam Tablet 400 mg 0 0
### Piracetam Tablet 800 mg 0 0
### Piroksikam Tablet 20 mg 0 0
### Pirantel Pamoat Tablet 365 mg (Setara d 0 0
### Piridoksin Hcl (Vit.B6) Tablet 10 mg 765 10 10 20 20 40 20 20 20 20 20 10 20 10 240
### Piridoksin Hcl (Vit.B6) Tablet 25 mg 0 0
### Povidon Iodida 10% 30 ml 10 0
### Prednison Tablet 5 mg 0 0
Prednison Tablet 5 mg 5860 10 30 10 60 20 40 20 50 40 60 60 30 40 10 10 20 510
### Primakuin tablet 15 mg 0 0
### Prokain Benzil Penisilin Injeksi 3,000,000 0 0
### Propanolol Hcl Tablet 40 mg 0 0
### Propilturasil Tablet 100 mg 0 0
### Ranitidin Injeksi 25 mg / ml 0 0
### Ranitidin Tablet 150 mg 0 0
### Retinol (Vit. A) 100.000 IU Kapsul 0 0
### Retinol (Vit. A) 200.000 IU Kapsul 0 0
### Reserpin Tablet 0, 25 mg 0 0
### Rifampisin Tablet 450 mg 0 0
### Ringer Laktat Larutan Infus Steril 500 ml 0 0
### Salbutamol Tablet 2 mg 290 0
### Salbutamol Tablet 4 mg 0 0
### Salbutamol solution for Inhalation single 0 0
### Salep 2-4 Kombinasi : 0 0
Salep 2-4 Kombinasi : 25 1 1 2
### Salisil bedak 2% -50 gr 0 0
Salisil bedak 2% -50 gr 25 2 2 2 3 2 2 13
### Salep Luka Bakar 0 0
### Sefadroksil Sirup Kering 125 mg / 5 ml si 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml si 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml si 45 0
### Sefadroksil Tablet 500 mg 0 0
### Sefiksim Kapsul 100 mg 0 0
### Sefiksim 400 mg + Azitromisin 1000 mg 0 0
### Sefotaksim Injeksi 1 gr 0 0
### Seftriakson Injeksi 1 gr / vial 0 0
### Semen Seng Fosfat Serbuk & Cairan 0 0
### Setirizin Tablet 10 mg 420 10 20 20 10 20 30 20 130
### Setirizin Sirup 5 mg / 5 ml 0 0
### Sianokobalamin Injeksi 500 mcg/ml-1ml 0 0
### Sianokobalamin Tablet 50 mcg 390 10 10
### Silver Amalgam Serbuk 65-75% 0 0
### Simetidin 200 mg Tablet 0 0
### Simvastatin Tablet 10 mg 0 0
Simvastatin Tablet 10 mg 710 10 10
### Siprofloksasin 500mg 0 0
Siprofloksasin 500mg 240 10 20 30
### Spironolakton Tablet 25 mg 0 0
### Sulfacetamid Tetes Mata 15 %-5ml 0 0
### Tablet Tambah Darah Kombinasi: 0 0
### Temporary Stopping Fletcher (Fletcher) 0 0
### Trikesol formalin ( T K F ) Cairan 10 ml 0 0
### Tetrasiklin Kapsul 250 mg 0 0
### Tetrasiklin Kapsul 500 mg 0 0
### Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1 0 0
### Tiamin Hcl /Mononitrat (Vit.B1) Tablet 5 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 5 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 5 530 30 60 20 110
### Thiamfenikol Kapsul 500 mg 200 0
Thiamfenikol Kapsul 500 mg 300 0
### Tramadol Injeksi 50 mg/ ml 0 0
### Tramadol Tablet 50 mg 0 0
### Triheksifenidil Hidroklorida Tablet 2 mg 960 10 15 30 55
### Vitamin B .Komplek Tablet 0 0
### Vitamin Neurotropik Tablet 0 0
### Zinc Tablet 20 mg 1330 30 20 50
### Zinc Sulfat 20 mg/5 ml 0 0
### Hepatorotector tablet (Curcuma) 0 0
### Obat Batuk Herbal 0 0
### Obat Kumur 48 2 2
### Salep Kloramfenikol + Hidrokortison 0 0
### Tablet Pemanis 20 0
### Bahan Pembersih Kavitas 0 0
### Flour Gel 0 0
### Glass Lonomer Posterior 0 0
### Hyposol 3% 0 0
### Paramonochlorofenol/CHKM 0 0
### Saliva Ejector 0 0
### Salep Betametason + Neomisin 0 0
### Bahan Pemutih Gigi 0 0
### Metronidazol Inj 0 0
### Box Slide 0 0
### Box Slide 0 0
### Klozapine 25mg 930 10 15 40 10 30 105
### Mineral Mix 0 0
### Risperidon 2mg 970 10 15 10 20 55
### Budensoid Cairan Inhalasi (Pulmicort) 20 0
### Oseltamivir Kapsul 0 0
### Azitromycin 0 0
0
10 Alkohol Swab 0 0
14 Blood Set 0 0
Etakridin Larutan (Rivanol) 0,1% - 300 ml 0 0
18 Etanol 70 % 1.000 ml 0 0
Etanol 70 % 1.000 ml 0 0
19 Eter Alkohol 0 0
25 Iodina Test 0 0
26 Kaca Slide 0 0
Kaca Slide 0 0
34 Kertas Puyer 0 0
36 Kertas Lensa 0 0
37 Lysol 1,000 ml 0 0
38 Masker 0 0
Masker 0 0
Masker 0 0
Masker 0 0
39 Masker N 95 0 0
Masker KN95 100 0
43 Pot Dahak 0 0
Pot Dahak 0 0
Hepatitis B Imunoglobulin inj 220 IU 0 0
51 Reagen CD 4 0 0
55 Safety Box 0 0
Safety Box 0 0
62 Sountimer 0 0
66 Supratul 0 0
Supratul 0 0
67 Urine Bag 0 0
69 Blood Lancet 0 0
73 Sterald 30 High Level Surface Desinfektan 0 0
77 Sterad 0 0
79 Slide 0 0
89 0 0
90 0 0
0 0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 m 0 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 0 0
6 Vaksin BCG 0 0
Vaksin BCG 0 0
Vaksin BCG 0 0
8 Vaksin DT 0 0
Vaksin DT 0 0
9 Vaksin TD 0 0
Vaksin TD 0 0
Vaksin TD 0 0
14 Vaksin Polio 0 0
Vaksin Polio 0 0
17 Vaksin TT 0 0
19 0 0
20 0
Persediaa
Penerimaan
n
NO NAMA SEDIAAN SATUAN
JKN Non JKN
Stok Awal
A. O B A T
1 Air Raksa Dental Use Botol 0
2 Albendazole Tablet 400 mg Tablet 0
3 Albendazole susp 200 mg/5 ml Botol 0
4 Alopurinol Tablet 100 mg Tablet 0
Alopurinol Tablet 100 mg Tablet 0
6 Alprazolam tablet 1 mg Tablet 0
7 Ambroksol Tablet 30 mg Tablet 0
Ambroksol Tablet 30 mg Tablet 0
8 Ambroksol sirup 15 mg/5 ml Botol 0
Ambroksol sirup 15 mg/5 ml Botol 139
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 0
10 Aminofillin Tablet 200 mg Tablet 0
Aminofillin Tablet 200 mg Tablet 0
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 0
12 Amlodipin Tablet 5 mg Tablet 0
14 Amoksisillin Kapsul 250 mg Kapsul 0
Amoksisillin Kapsul 250 mg Kapsul 0
15 Amoksisillin Kaplet 500 mg Kaplet 0
Amoksisillin Kaplet 500 mg Kaplet 19047
16 Amoksisillin Serbuk Injeksi 1000 mg vial 0
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 331
18 Amoksisillin Double Strengh Sirup Kering 2 Botol 0
19 Ampisilin Kapsul 250 mg Kapsul 0
20 Ampisillin Kaplet 500 mg Tablet 0
21 Ampisilin Sirup 125 mg / 5 ml Botol 0
22 Ampisillin Injeksi 1000 mg Vial 0
23 Analgetik Plus Tablet 0
24 Antasida Doen Suspensi Kombinasi : Magn Botol 247
25 Antasida Doen Tablet, Kombinasi : Magne Tablet 0
Antasida Doen Tablet, Kombinasi : Magne Tablet 0
26 Antasida Plus Tablet Tablet 0
Antasida Plus Tablet Tablet 770
27 Antalgin (Metampiron) Tablet 500 mg Tablet 0
Antalgin (Metampiron) Tablet 500 mg Tablet 0
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 0
29 Anti Bakteri DOEN Salep Kombinasi : Tube 0
30 Anti Hemoroid Doen komb Supp 0
31 Anti Fungi DOEN Kombinasi : Pot 0
Anti Fungi DOEN Kombinasi : Pot 0
32 Antimigren DOEN Kombinasi : Tablet 0
33 Anti Diare Suspensi Botol 0
34 Anti Diare Tablet Tablet 0
35 Anti Dotum Oral Tablet Tablet 0
36 Anti Hipertensi Kapsul Tablet 0
37 Antihistamin Tablet kombinasi Tablet 0
38 Antispasmodik Tablet Tablet 0
39 Antitusiva Sirup Botol 0
Antitusiva Sirup Botol 0
40 Antitusiva Tablet Tablet 0
41 Asam Folat Tablet 1 mg Tablet 0
42 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 0
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 0
43 Asam Mefenamat Kapsul 500 mg Kapsul 0
44 Acetylsistein tablet Tablet 0
45 Asetosal Tablet 80 mg Tablet 0
48 Asiklovir Krim 5 % Tube 4275
49 Asiklovir Tablet 200 mg Tablet 0
51 Attapulgit Tablet 0
Attapulgit Tablet 0
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml Vial 0
54 Bahan Tambal Sementara Set 0
55 Benzatin Benzil Penisilin injeksi Vial 0
56 Betahistin Mesilat 6 mg Tablet 1220
Betahistin Mesilat 6 mg Tablet 0
57 Betametason Krim 0,1 %- 5g Tube 0
Betametason Krim 0,1 %- 5g Tube 0
Betametason Krim 0,1 %- 5g 0
58 Bisakodil suppositoria 10 mg Supp 0
59 Bisoprolol Tablet 5 mg Tablet 0
60 Bromheksin 8 mg Tablet 4690
Bromheksin 8 mg Tablet 17600
61 Cresotin Pasta Botol 0
62 Cresotin Liquid No 2 Botol 0
63 Deksametason Injeksi 5mg/ml-1ml Ampul 0
64 Deksametason Tablet 0,5 mg Tablet 0
Deksametason Tablet 0,5 mg Tablet 0
65 Devitalisasi Pasta (Non Arsen) Botol 0
66 Diazepam tablet 2 mg Tablet 0
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 0
69 Diazepam Larutan Rektal 5 mg/ml Supp 0
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 0
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 0
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 0
73 Digoksin Tablet 0,25 mg Tablet 0
Digoksin Tablet 0,25 mg Tablet 0
74 Dimenhidrinat Tablet 50 mg Tablet 0
75 Domperidon Tablet 10 mg Tablet 9649
Domperidon Tablet 10 mg Tablet 0
76 Donperidon Suspensi 5 mg/5ml Botol 0
77 Efedrin Hcl Tablet 25 mg Tablet 0
78 Ekstrak Belladone Tablet 10 mg Tablet 0
79 Epinefrin HCl / Bitartrat Ampul 0
80 Eritromisin Kapsul 250 mg Kapsul 0
82 Eritromisin Sirup 200 mg / 5 ml Botol 0
83 Etambutol Tablet 500 mg Tablet 0
84 Etanol 70 % 100 ml Botol 0
85 Etil Klorida Semprot -100 ml Botol 58
86 Eugenol Cairan -10 ml Botol 0
87 Fenitoin Natrium Kapsul 100 mg Kapsul 0
Fenitoin Natrium Kapsul 100 mg Kapsul 0
88 Fenobarbital tablet 30 mg Tablet 490
89 Fenobarbital injeksi 50 mg / ml Ampul 0
90 Fenoksimeti Penisilin 250 mg tablet Tablet 0
Fenoksimeti Penisilin 250 mg tablet Tablet 0
92 Fenol Gliserol TK Botol 0
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 0
94 Flukonazole tablet 150 mg Tablet 0
95 Fitomenadion tablet 10 mg Tablet 200
Fitomenadion tablet 10 mg Tablet 0
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 0
97 Furosemid Tablet 40 mg Tablet 120
Furosemid Tablet 40 mg Tablet 0
98 Furosemid injeksi Ampul 0
99 Garam Oralit I serbuk, kombinasi : Kantong 0
Garam Oralit I serbuk, kombinasi : Kantong 2928
100 Gemfibrozil Tablet 600 mg Tablet 0
101 Gentian Violet Botol 0
102 Gentamisin injeksi 80 mg / 2 ml Vial 0
103 Gentamisin Salep Kulit 0,1 % Tube 0
Gentamisin Salep Kulit 0,1 % Tube 0
104 Glass Ionomer Set 0
105 Glibenklamid Tablet 5 mg Tablet 460
106 Glimepiride 2 mg Tablet 0
Glimepiride 2 mg Tablet 0
107 Gliseril Guayakolat Tablet 100 mg Tablet 0
Gliseril Guayakolat Tablet 100 mg Tablet 0
108 Gliseril Guayakolat sirup Botol 0
Gliseril Guayakolat sirup Botol 0
109 Glukonas Kalsikus injeksi Ampul 0
110 Glukosa Larutan Infus 5 % Botol 0
111 Glukosa Larutan Infus10 % Botol 0
112 Griseofulvin Tablet 125 mg,micronized Tablet 0
113 Haloperidol Tablet 0,5 mg Tablet 0
Haloperidol Tablet 0,5 mg Tablet 0
115 Haloperidol Tablet 5 mg Tablet 0
116 Haloperidol injeksi 5 mg/ml Ampul 0
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 0
Hidroklortiazid (HCT) Tablet 25 mg Tablet 8000
119 Hidrokortison Krim 2,5 % Tube 0
Hidrokortison Krim 2,5 % Tube 31
120 Ibuprofen Tablet 200 mg Tablet 0
Ibuprofen Tablet 400 mg Tablet 9860
122 Ibuprofen Suspensi 100 mg/5 ml Botol 0
123 Ichtyol salep Kulit Pot 0
124 Isoniazid tablet 100 mg Tablet 0
126 Isosorbid Dinitrat 5 mg Tablet 0
Isosorbid Dinitrat 5 mg Tablet 0
127 Kalium Diklofenak Tablet 25 mg Tablet 0
Kalium Diklofenak Tablet 50 mg Tablet 1910
129 Kalsium Hidroksida Pasta Tube 0
130 Kalsium Laktat Tablet 500 mg Tablet 0
Kalsium Laktat Tablet 500 mg Tablet 12640
131 Kaptopril 12,5 mg Tablet 19480
132 Kaptopril 25 mg Tablet 18935
133 Karbamazepin Tablet 200 mg Tablet 0
134 Ketokonazole Krim 2 % - 15 gr Tube 0
Ketokonazole Krim 2 % - 15 gr Tube 194
135 Ketokonazole Tablet 200 mg Tablet 0
Ketokonazole Tablet 200 mg Tablet 0
136 Ketoprofen Tablet 100 mg Tablet 0
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul 0
138 Ketorolac 10 mg injeksi Ampul 0
140 Klindamisin Kapsul 150 mg Kapsul 0
142 Kloramfenikol Kapsul 250 mg Kapsul 0
143 Kloramfenikol suspensi125mg/5 ml Botol 0
Kloramfenikol suspensi125mg/5 ml Botol 0
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 100
Kloramfenikol Salep Mata 1%-3,5 g Tube 0
145 Kloramfenikol Salep Kulit 2% Tube 0
146 Kloramfenikol Tetes Mata -5 ml Botol 0
Kloramfenikol Tetes Mata -5 ml Botol 0
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 1097
148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 0
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 0
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 0
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 0
152 Kombinasi Ipatropium Bromide + SalbutamolVial 0
153 Kombipak Cefixime+ Azithromisin Kotak 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet 0
155 Kotrimoksazol Tablet, Kombinasi : Tablet 0
Kotrimoksazol Tablet, Kombinasi : Tablet 0
Kotrimoksazol Tablet, Kombinasi : 0
156 Kotrimoksazol Suspensi Kombinasi : Botol 0
157 Lansoprazole 30 mg Kapsul Tablet 0
Lansoprazole 30 mg Kapsul Tablet 0
158 Larutan mengadung Elektrolit Botol 0
160 Larutan mengadung Karbohidrat + ElektrolitBotol 0
161 Lidokain injeksi 2 % Tablet 0
Lidokain injeksi 2 % Ampul 930
162 Lidokain Komp Injeksi, Kombinasi : Ampul 0
Lidokain Komp Injeksi, Kombinasi : Ampul 0
163 Lidokain Spray Botol 0
164 Loperamid Tablet 2 mg Tablet 0
Loperamid Tablet 2 mg Tablet 0
165 Loratadin tablet 10 mg Tablet 0
Loratadin tablet 10 mg Tablet 400
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 0
Magnesium Sulfat (IV) 20 %-25 ml Ampul 0
168 MB Anak Blister 0
169 MB Dewasa Blister 0
170 Meloksikam tablet 15 mg Tablet 5235
Meloksikam tablet 15 mg Tablet 0
171 Meloksikam Suppositoria Supp 0
172 Metformin Hcl Tablet 500 mg Tablet 0
173 Metformin 850 mg Tablet 0
174 Metildopa 250 mg tablet Tablet 740
175 Methisoprinol 500 mg Tablet 0
176 Metilergometrin Maleat (Metergin) Tablet Tablet 0
Metilergometrin Maleat (Metergin) Tablet Tablet 0
177 Metilergometrin Maleat Injeksi 0,200 mg-1 Ampul 0
Metilergometrin Maleat Injeksi 0,200 mg-1 Ampul 95
178 Metilprednisolon tablet 4 mg Tablet 0
179 Metoklopramid 10 mg Tablet 0
Metoklopramid 10 mg Tablet 0
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 0
181 Metronidazol Tablet 250 mg Tablet 0
182 Metronidazole Tablet 500 mg Tablet 0
Metronidazole Tablet 500 mg Tablet 1220
183 Metronidazole sirup 125 mg/ml Botol 0
184 Metronidazole Infus 500 mg /100 ml Ampul 0
185 Mikonazole KrIm 2 % - 10 gr Tube 110
Mikonazole KrIm 2 % - 10 gr Tube 90
186 Multivitamin + Mineral tablet Tablet 0
Multivitamin + Mineral tablet Tablet 0
187 Multivitamin sirup Botol 0
Multivitamin sirup Botol 0
188 Mummifying Pasta Botol 0
189 Natrium Bikarbonat Tablet 500 mg Tablet 0
190 Natrum Diklofenak Tablet 25 mg Tablet 0
Natrum Diklofenak Tablet 25 mg Tablet 0
191 Natrium Diklofenak Tablet 50 mg Tablet 2090
192 Natrium Klorida Larutan infus 0,9%-Steril 5 Botol 345
193 Nipedifin Tablet 10 mg Tablet 0
194 Nistatin suspensi 100.000 IU/ml Botol 0
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 0
Nistatin 100.000 IU/gram Tablet Vagina Tablet 155
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 0
Nistatin 500.000 IU/gram Tablet Salut Tablet 300
197 Obat Antitiuberkolosis Kategori Anak Paket 0
198 Obat Antitiuberkolosis Kategori 1 Dewasa Paket 0
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 0
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 0
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa Paket 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 589
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 0
Obat Batuk Cair Sirup (Ekspektoran) Botol 0
207 Obat Batuk Hitam Plus Sirup Botol 0
208 Obat Flu Sirup Botol 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 mVial 0
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 20
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 0
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 0
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 0
Oksitosin Injeksi 10 IU/ml-1ml Ampul 0
213 Omeprazole injeksi 40mg/10ml Ampul 0
214 Omeprazole Kapsul 20 mg Tablet 0
215 Ondansetron inj 4 mg/ 2 mL Ampul 0
216 Parasetamol drop 100 mg/ml btl @15ml (6 Botol 1145
Parasetamol drop 100 mg/ml btl @15ml (6 Botol 0
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 0
Parasetamol Sirup 120 mg/5ml-60 ml Botol 0
218 Parasetamol Tablet 100 mg Tablet 0
220 PB Anak Blister 0
221 PB Dewasa Blister 0
222 Pehacain injeksi Ampul 0
Pehacain injeksi Ampul 0
223 Perak Sulfadiazin krim 1 % 35 gr Tube 0
224 Permetrin krim 5 % Tube 719
225 Piracetam Tablet 400 mg Tablet 0
227 Piroksikam Tablet 20 mg Tablet 16310
Piroksikam Tablet 20 mg Tablet 0
228 Pirantel Pamoat Tablet 365 mg (Setara dng Tablet 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 0
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 0
231 Povidon Iodida 10% 30 ml Botol 0
Povidon Iodida 10% 30 ml Botol 0
234 Prednison Tablet 5 mg Tablet 0
235 Primakuin tablet 15 mg Tablet 0
236 Prokain Benzil Penisilin Injeksi 3,000,000 IU Vial 0
237 Propanolol Hcl Tablet 40 mg Tablet 0
Propanolol Hcl Tablet 40 mg Tablet 0
238 Propilturasil Tablet 100 mg Tablet 0
239 Ranitidin Injeksi 25 mg / ml Ampul 0
240 Ranitidin Tablet 150 mg Tablet 0
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 0
243 Reserpin Tablet 0, 25 mg Tablet 0
244 Rifampisin Tablet 450 mg Tablet 0
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 0
246 Salbutamol Tablet 2 mg Tablet 0
Salbutamol Tablet 2 mg Tablet 670
248 Salbutamol solution for Inhalation single dosAmpul 0
249 Salep 2-4 Kombinasi : Pot 0
Salep 2-4 Kombinasi : Pot 363
250 Salisil bedak 2% -50 gr Kotak 0
Salisil bedak 2% -50 gr Kotak 0
251 Salep Luka Bakar Tube 0
Salep Luka Bakar Tube 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml siru Botol 0
253 Sefadroksil Tablet 500 mg Tablet 0
Sefadroksil Tablet 500 mg Tablet 12670
254 Sefiksim Kapsul 100 mg Kapsul 0
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 0
256 Sefotaksim Injeksi 1 gr Ampul 0
257 Seftriakson Injeksi 1 gr / vial Ampul 0
258 Semen Seng Fosfat Serbuk & Cairan Botol 0
259 Setirizin Tablet 10 mg Tablet 0
Setirizin Tablet 10 mg Tablet 0
260 Setirizin Sirup 5 mg / 5 ml Botol 0
Setirizin Sirup 5 mg / 5 ml Botol 1035
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 0
262 Sianokobalamin Tablet 50 mcg Tablet 0
Sianokobalamin Tablet 50 mcg Tablet 0
263 Silver Amalgam Serbuk 65-75% Botol 0
264 Simetidin 200 mg Tablet Tablet 12340
265 Simvastatin Tablet 10 mg Tablet 0
Simvastatin Tablet 10 mg Tablet 0
266 Siprofloksasin 500mg Tablet 0
Siprofloksasin 500mg Tablet 0
267 Spironolakton Tablet 25 mg Tablet 0
Spironolakton Tablet 25 mg Tablet 0
268 Sulfacetamid Tetes Mata 15 %-5ml Botol 0
269 Tablet Tambah Darah Kombinasi: Tablet 0
270 Temporary Stopping Fletcher (Fletcher) Ser Set 0
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol 0
272 Tetrasiklin Kapsul 250 mg Kapsul 0
Tetrasiklin Kapsul 500 mg Kapsul 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml Ampul 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 Tablet 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 Tablet 0
276 Thiamfenikol Kapsul 500 mg Kapsul 1000
277 Tramadol Injeksi 50 mg/ ml Ampul 0
278 Tramadol Tablet 50 mg Tablet 0
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 0
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 0
280 Vitamin B .Komplek Tablet Tablet 0
Vitamin B .Komplek Tablet Tablet 0
281 Vitamin Neurotropik Tablet Tablet 0
Vitamin Neurotropik Tablet Tablet 0
282 Zinc Tablet 20 mg Tablet 2760
Zinc Sulfat 20 mg/5 ml Tablet 836
283 Zinc Sulfat 20 mg/5 ml Botol 0
285 Asam Folat Tablet 0,4 mg Tablet 0
286 Gentamisin Sulfat tetes mata 0,3% Botol 0
287 Obat Kumur Botol 38
288 Salep Betametason + Neomisin Tube 42
289 Salep Kloramfenikol + Hidrokortison Tube 92
290 Propanolol 10mg Tablet 0
Propanolol 10mg Tablet 0
291 Tablet Pemanis Botol 300
292 Bisakodil Suppositoria 5 mg Supp 0
Bisakodil Suppositoria 5 mg Supp 0
293 Obat Batuk Herbal (Herbakof) Botol 1478
294 Amoksisillin Drops Botol 44
295 Tablet Hepatoprotector (Curcuma) Pot 1510
296 Simvastatin 20mg Tablet 1110
297 Klozapine 25mg Tablet 0
298 Bisoprolol 2,5mg Tablet 0
299 Vitamin C 500mg Tablet 29700
300 Vitamin D 1000 IU Tablet 2850
301 Multivitamin Tablet Kombinasi VitC,Vit D, ZinTablet 8899
302 Multivitamin Syrup Tablet 1492
0
B. BAHAN MEDIS HABIS PAKAI (BMHP) 0
1 Abbocath No 18 ( IV Chateter 18 ) Buah 0
Abbocath No 18 ( IV Chateter 18 ) Buah 50
5 Alat Gula, Kolesterol, Asam Urat Unit 0
Alat Gula, Kolesterol, Asam Urat Unit 0
6 Alat Suntik Sekali Pakai 1 ml Set 0
Alat Suntik Sekali Pakai 1 ml Set 0
10 Alkohol Swab Kotak 5600
11 Auto Disposable Syringe (ADS) 0,05 ml Set 0
Auto Disposable Syringe (ADS) 0,05 ml Set 0
13 Auto Disposable Syringe (ADS) 5 ml Set 0
14 Blood Set Set 0
15 Catgut/Benang Bedah No.2/0 Plain Sachet 0
Catgut/Benang Bedah No.2/0 Plain Sachet 0
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 0
Catgut/Benang Bedah No.3/0 Cromic Sachet 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 32
18 Etanol 70 % 1.000 ml Botol 0
19 Eter Alkohol Botol 0
20 Folley Catheter no 14 Set 0
Folley Catheter no 16 Set 10
23 Infus set Anak Set 0
Infus set Anak Set 10
24 Infus set Dewasa Set 0
Infus set Dewasa Set 20
25 Iodina Test Botol 0
26 Kaca Slide Pcs 0
27 Kapas Berlemak 500 gram Bungkus 0
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 68
Kapas Pembalut / Adsorbens 250 gram Bungkus 0
29 Kassa Pembalut 2 m x 80 cm Rol 0
Kassa Pembalut 2 m x 80 cm Rol 5
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 0
Kassa Pembalut Hidrofil 4 m x 3 cm Rol 350
32 Kassa Hidrofil Steril 16 x 16 Kotak 445
Kassa Hidrofil Steril 16 x 16 Kotak 0
33 Kassa Kompres 40 x 40 steril Bungkus 0
34 Kertas Puyer Pcs 0
35 Kertas Saring Lembar 0
36 Kertas Lensa Lembar 0
37 Lysol 1,000 ml Botol 0
38 Masker Buah 500
Masker Buah 0
Masker Ear Loop Buah 750
Masker Head Loop Buah 850
39 Masker N 95 Pcs 0
Masker N 96 Pcs 0
40 Minyak Imersi Botol 0
41 Plester Kertas Rol 0
42 Polifix Rol 15
Polifix Rol 5
43 Pot Dahak Pcs 0
44 Rapid 2 HIV Fokus Test 0
45 Rapid HIV 1 (SD HIV) Test 0
46 Rapid HIV 2 (Intec HIV) Test 0
47 Rapid HIV 2 (Biomeriux HIV) Test 0
48 Rapid Tes SD Bioline HBSAG Test 0
49 Rapid Test Syphilis Test 0
50 Reagen CD 4 Control Test 0
51 Reagen CD 4 Test 0
52 Reagen Ziehl Nielsen Botol 0
53 RPR Test Syphilis Test 0
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 0
Silk( Benang Bedah Sutra ) No 3/1 Sachet 40
55 Safety Box Pcs 0
56 Sarung tangan Steril No 6 Pcs 0
Sarung tangan Steril No 6 Pcs 0
58 Sarung tangan Steril No 7,5 Pcs 0
Sarung tangan Steril No 7,5 Pcs 0
59 Sarung tangan Non Steril S Pcs 0
Sarung tangan Non Steril S Pcs 0
60 Sarung tangan Non Steril M Pcs 0
Sarung tangan Non Steril M Pcs 0
61 Sarung tangan Non Steril L Pcs 0
Sarung tangan Non Steril L Pcs 0
62 Sountimer Buah 0
63 Stik Pemeriksaan Gula Darah Test 0
Stik Pemeriksaan Gula Darah Test 0
Stik Pemeriksaan Gula Darah Benecheck Test 0
Stik Pemeriksaan Gula Darah One Touch VeTest 0
64 Stik Pemeriksaan Kolesterol Test 0
Stik Pemeriksaan Kolesterol Test 0
Stik Pemeriksaan Kolesterol Benecheck Test 0
65 Stik Pemeriksaan Asam Urat Test 0
Stik Pemeriksaan Asam Urat Test 0
66 Supratul Lembar 0
67 Urine Bag set 0
Urine Bag set 0
68 Wing Neddle No 23 Set 0
69 Blood Lancet Pcs 25
70 Cairan Antiseptik Botol 500 ml Botol 0
Cairan Antiseptik Botol 500 ml Botol 0
71 Bisturi Pcs 0
Bisturi Pcs 0
Bisturi Pcs 20
72 Cairan Antiseptik Botol 5 Liter Botol 0
73 Cairan Desinfektan 5 Liter Botol 0
74 Cairan Detergen 5 Liter Botol 0
75 Gel USG Botol 0
Gel USG Botol 18
76 IV Dressing Pcs 0
IV Dressing Pcs 0
77 Mucus Extractor Pcs 0
78 Nasal Oxygen Anak Pcs 0
79 Nasal Oxygen Bayi Pcs 0
80 Nasal Oxygen Dewasa Pcs 0
81 Plester Bulat Non Woven Pcs 0
82 Plester Transparan Pcs 0
83 PP test Pcs 0
PP test Pcs 0
85 Sarung Tangan Obgyn Steril Pcs 0
Sarung Tangan Obgyn Steril Pcs 40
86 Stik Pemeriksaan Hb Pcs 0
87 Umbilical Cord Klem Steril Nylon Pcs 0
Umbilical Cord Klem Steril Nylon Pcs 0
88 Underpad 60x90 cm Non Steril Pcs 0
89 Stik Gula Darah Baru Pcs 0
90 Stik Asam Urat Baru Pcs 0
91 Stik Hb Test 0
92 ChOLESTROL chod-pap Kit 0
93 Creatinin mod iaffe Kit 0
94 Glucosa God-pap Kit 0
95 GOT (AST) mod iffe Kit 0
96 GPT Kit 0
97 Trigliserida GPO-PAP Kit 0
98 Urea UV-auto,Urease/GLDH Kit 0
99 Urid Acid TBHA Kit 0
100 Dumacon Auto Kit 0
101 Micropipet 5,0-50 Ul Kit 0
102 Micropipet 10-100UL Kit 0
103 Tabung Vacutainer Kit 0
104 HGB Drab Kin Kit 0
105 Nasal Kanul Dewasa Pcs 9
106 Nasal Kanul Anak Pcs 4
107 Coveral II (APD) Non Woven Pcs 49
0
C. SERUM DAN VAKSIN 0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml ( Vial 0
2 Serum Anti Rabies untuk manusia Vial 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ Ampul 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU Vial 0
5 Human Tetanus Imunoglobin inj 250 IU Vial 0
6 Vaksin BCG Ampul 0
7 Vaksin Campak 10 Dosis Vial 0
8 Vaksin DT Vial 0
9 Vaksin TD Vial 0
10 Vaksin DTP-HB Vial 0
11 Vaksin DPT-HB/Hib Vial 0
12 Vaksin HB Uniject Pcs 0
13 Vaksin MR (VVM.A) Vial 0
14 Vaksin Polio Vial 0
15 Vaksin Polio IPV 5 Dosis Vial 0
16 Vaksin Polio 10 IPV Dosis Vial 0
17 Vaksin TT Vial 0
18 Buku Kontrak 0
19 0
20 0
1 2 3 4 5 6 7 8 9 10
50 70 10 40 15
1
10
6 12
10
10 2
10 40 30 20 50
10
30 60
10 10
10 10
1 1 4
50 50 80 20 10 10 20 45
10 30
20 20
20
60 15 120 30 30 40 40 35
1 1
10 20 10
2
30 30 30 20
60 30
1
2
5
7 2 2 3
20 30 30 100 10 100
2 3 2 1
Tgl Pemakaian Bulan Februari 2021
11 12 13 14 15 16 17 18 19 20
40 30 40 80 70 20
1 1
2
12 6
2 3
20
80 10 30 10
20
50 40
10
10
2 1 1
30 50 20 10 80 20 25
10
10
1 1
60 40 80 50 70 110 105 40
1 1
10 20 10
3 3
60 20 20
30 30
3 2
2
2 5 3
20 100 30 120
10
50
40
4 5 1 2
10 10 10 10 10 10
20 20 20 20 20 20
25 25 25 25 25 25
50 100 100
50 100 100
21 22 23 24 25 26 27 28 29 30
20 50 100 20 25 30
3 1
10
30 10
2 8
10 20
2 2 1
20 20 20 10
20
230 10 50
30
30 20 30 30 33
10
60 10
3 1
80 133 100 50 85 90
1
10 30 20
1 1 2 1 2
10 20
30 20 10 10
20 10
10 20
22
21
3 4 5 3
110 20 100 10
40
10 10 10
2 3 2 3 2
1
10 10 20
20 20 20 50 50
25 25 25 25
20
20
300
300
10
31
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
710
0
0
6
0
0
0
0
0
0
5
0
0
0
10
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
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
36
0
0
0
0
0
15
0
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
18
0
0
0
350
0
0
0
0
0
0
0
0
50
0
0
0
470
60
30
0
0
10
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
6
0
0
0
663
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
1
0
0
0
120
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
1
0
0
0
0
0
2
0
0
0
0
1463
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
5
0
0
0
0
0
0
140
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
280
0
0
0
0
0
0
0
0
0
180
30
6
0
0
0
0
0
24
28
0
0
0
0
0
39
0
800
0
0
0
50
50
70
32
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
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
280
0
0
0
0
0
0
250
0
250
250
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
20
0
0
300
0
0
300
0
0
10
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
0
0
0
0
0
0
0
0
NO NAMA SEDIAAN H
Stok PEMAK
1 2 3 4 5 6 8 9 10 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31 AIAN
Awal
A. OBAT
Alopurinol Tablet 100 mg 470 10 10 20
Ambroksol Tablet 30 mg 1960 10 10 30 20 30 10 10 20 10 20 20 10 20 10 10 20 260
Ambroksol sirup 15 mg/5 ml 430 1 3 1 1 3 1 3 2 5 5 2 2 2 5 36
Amlodipin Tablet 5 mg 600 10 10 20 10 10 20 10 10 50 50 200
Amlodipin Tablet 10 mg 450 10 20 20 10 30 10 20 40 40 10 50 40 10 30 50 10 10 10 50 470
Amoksisillin Kapsul 250 mg 2480 52 20 10 82
18 Amoksisillin Double Strengh Sirup Kerin 0 0
Amoksisillin Double Strengh Sirup Kerin 126 2 1 4 2 4 2 1 2 1 2 3 2 5 31
Antasida Doen Suspensi Kombinasi : M 0 0
25 Antasida Doen Tablet, Kombinasi : M 0 0
Antasida Doen Tablet, Kombinasi : M 0 0
Antasida Doen Tablet, Kombinasi : M 5750 50 20 20 40 30 40 40 40 30 10 30 50 60 30 10 130 50 30 20 10 20 40 40 30 870
30 Anti Hemoroid Doen komb 18 2 2
32 Antimigren DOEN Kombinasi : 190 10 10
41 Asam Folat Tablet 1 mg 770 20 20
42 Asam Askorbat (Vit. C) Tablet 200 mg 1114 10 100 40 35 10 20 20 50 30 315
Asam Mefenamat Kapsul 500 mg 1700 80 40 10 20 40 10 20 10 10 40 40 50 20 10 10 30 440
Acetylsistein tablet 1170 10 10 20
50 Asiklovir Tablet 400 mg 410 25 25
51 Attapulgit 0 0
Attapulgit 835 10 10 10 10 10 10 20 80
Attapulgit 2470 0
Atropin Sulfat Injeksi 0,25 mg/ml-1ml 10 0
56 Betahistin Mesilat 6 mg 950 10 10 30 20 70
57 Betametason Krim 0,1 %- 5g 37 1 1
Betametason Krim 0,1 %- 5g 50 3 1 3 1 1 1 10
58 Bisakodil suppositoria 10 mg 0 5 5
Bromheksin 8 mg 0 0
75 0 0
84 Etanol 70 % 100 ml 0 0
87 Fenitoin Natrium Kapsul 100 mg 265 30 30
Fenobarbital tablet 30 mg 190 10 10
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 0 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 630 0
105 Glibenklamid Tablet 5 mg 220 30 10 20 10 70
Gliseril Guayakolat Tablet 100 mg 320 10 10
Griseofulvin Tablet 125 mg,micronized 4950 10 20 10 40
113 Haloperidol Tablet 0,5 mg 380 30 30
114 Haloperidol Tablet 1,5 mg 455 15 10 25
Hidroklortiazid (HCT) Tablet 25 mg 1040 10 10
131 Kaptopril 12,5 mg 2900 10 10
132 Kaptopril 25 mg 0 0
Kaptopril 25 mg 0 0
134 Ketokonazole Krim 2 % - 15 gr 25 4 4
144 Kloramfenikol Salep Mata 1%-3,5 g 118 3 3
Kombipak Cefixime+ Azithromisin 0 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi 0 0
155 Kotrimoksazol Tablet, Kombinasi : 410 10 10
156 Kotrimoksazol Suspensi Kombinasi : 52 1 1
Lansoprazole 30 mg Kapsul 1005 30 30
168 MB Anak 0 0
MB Anak 0 0
MB Anak 0 0
169 MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
MB Dewasa 0 0
Metformin Hcl Tablet 500 mg 320 40 20 10 10 20 10 20 25 10 20 185
176 Metilergometrin Maleat (Metergin) Tab 0 0
Metilergometrin Maleat (Metergin) Tab 400 0
177 Metilergometrin Maleat Injeksi 0,200 m 50 0
191 Natrium Diklofenak Tablet 50 mg 130 10 40 50
Natrium Diklofenak Tablet 50 mg 500 20 180 200
192 Natrium Klorida Larutan infus 0,9%-Steri 0 0
Nistatin suspensi 100.000 IU/ml 84 5 1 6
198 Obat Antitiuberkolosis Kategori 1 Dewas 0 0
200 Obat Antitiuberkolosis Kategori2 Dewas 0 0
204 Obat Anti Tuberkolosis FDC Sisipan Dew 0 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-1 0 0
210 Oksiterasiklin Salep Mata 1%-3,5g 720 1 2 3
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g 200 1 1
Oksitetrasiklin Hcl Salep Kulit 3%-5g 71 1 1 2 1 8 13
216 Parasetamol drop 100 mg/ml btl @15ml 0 0
217 Parasetamol Sirup 120 mg/5ml-60 ml 399 1 1 4 3 3 1 4 2 1 2 1 7 4 5 2 1 3 3 2 5 55
220 PB Anak 0 0
221 PB Dewasa 0 0
PB Dewasa 0 0
PB Dewasa 0 0
228 Pirantel Pamoat Tablet 365 mg (Setara 0 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg 525 40 30 50 20 20 30 20 20 50 40 10 30 30 10 10 410
Prednison Tablet 5 mg 5350 10 60 25 200 10 95 20 30 20 30 10 40 90 50 10 50 30 40 50 30 50 60 20 20 125 1175
236 Prokain Benzil Penisilin Injeksi 3,000,000 0 0
248 Salbutamol solution for Inhalation single 0 0
Salep 2-4 Kombinasi : 23 1 1 2
Salisil bedak 2% -50 gr 12 2 2 1 5
252 Sefadroksil Sirup Kering 125 mg / 5 ml s 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml s 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml s 45 2 5 7
259 Setirizin Tablet 10 mg 290 10 60 10 80
Sianokobalamin Injeksi 500 mcg/ml-1ml 100 10 10
262 Sianokobalamin Tablet 50 mcg 380 20 10 10 20 60
Simvastatin Tablet 10 mg 700 10 10 20
270 Temporary Stopping Fletcher (Fletcher) 0 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml- 0 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 0 0
Thiamfenikol Kapsul 500 mg 200 0
279 Triheksifenidil Hidroklorida Tablet 2 mg 905 10 30 40
282 Zinc Tablet 20 mg 1280 10 20 10 10 20 70
Zinc Sulfat 20 mg/5 ml 50 1 3 4
284 Hepatorotector tablet (Curcuma) 0 0
285 Obat Batuk Herbal 0 0
286 Obat Kumur 46 0
289 Bahan Pembersih Kavitas 0 0
290 Flour Gel 0 0
291 Glass Lonomer Posterior 0 0
292 Hyposol 3% 0 0
293 Paramonochlorofenol/CHKM 0 0
294 Saliva Ejector 0 0
296 Bahan Pemutih Gigi 0 0
297 Metronidazol Inj 0 0
298 Box Slide 0 0
299 Box Slide 0 0
300 Klozapine 25mg 825 45 30 75
301 Mineral Mix 0 0
302 Risperidon 2mg 915 30 20 15 10 75
303 Budensoid Cairan Inhalasi (Pulmicort) 20 0
304 Oseltamivir Kapsul 0 0
305 Azitromycin 0 0
0 0
10 Alkohol Swab 0 0
14 Blood Set 0 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 m 15 0
Etakridin Larutan (Rivanol) 0,1% - 300 m 0 0
18 Etanol 70 % 1.000 ml 0 0
Etanol 70 % 1.000 ml 0 0
19 Eter Alkohol 0 0
25 Iodina Test 0 0
26 Kaca Slide 0 0
Kaca Slide 0 0
34 Kertas Puyer 0 0
36 Kertas Lensa 0 0
37 Lysol 1,000 ml 0 0
38 Masker 0 0
Masker 0 0
Masker 0 0
Masker 0 0
39 Masker N 95 0 0
Masker KN95 100 0
43 Pot Dahak 0 0
Pot Dahak 0 0
Rapid Test HIV 1/2 Vikia DS 25 0
Hepatitis B Imunoglobulin inj 220 IU (Hb 0 0
51 Reagen CD 4 0 0
55 Safety Box 0 0
Safety Box 0 0
62 Sountimer 0 0
66 Supratul 0 0
Supratul 0 0
67 Urine Bag 0 0
69 Blood Lancet 0 0
73 Sterald 30 High Level Surface Desinfekta 0 0
77 Sterad 0 0
79 Slide 0 0
89 0 0
90 0 0
0 0
6 Vaksin BCG 0 0
Vaksin BCG 0 0
Vaksin BCG 0 0
8 Vaksin DT 0 0
Vaksin DT 0 0
9 Vaksin TD 0 0
Vaksin TD 0 0
Vaksin TD 0 0
14 Vaksin Polio 0 0
Vaksin Polio 0 0
17 Vaksin TT 0 0
19 0 0
20 0 0
Tgl Pemakaian
22 23 24
Stok Awal
A. O B A T
Amoksisillin Kaplet 500 mg Kaplet 17697 70 60 50
24 Antasida Doen Suspensi Kombinasi : Magn Botol 237
25 Antasida Doen Tablet, Kombinasi : Magne Tablet 0
Antasida Doen Tablet, Kombinasi : Magne Tablet 0
Attapulgit Tablet 0
Garam Oralit I serbuk, kombinasi : Kantong 2756
Gentamisin Salep Kulit 0,1 % Tube 57 1
121 Ibuprofen Tablet 400 mg Tablet 7235 10 20
128 Kalium Diklofenak Tablet 50 mg Tablet 7480 30 30
Kalsium Laktat Tablet 500 mg Tablet 11570 20 60
132 Kaptopril 25 mg Tablet 18685 20 11
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 77193 30 30 20
152 Kombinasi Ipatropium Bromide + SalbutamolVial 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : Tablet 0
Lansoprazole 30 mg Kapsul Tablet 8095 10
160 Larutan mengadung Karbohidrat + ElektrolitBotol 0
170 Meloksikam tablet 15 mg Tablet 5110 20
176 Metilergometrin Maleat (Metergin) Tablet Tablet 0
Metilergometrin Maleat (Metergin) Tablet Tablet 0
177 Metilergometrin Maleat Injeksi 0,200 mg-1 Ampul 0
Metilergometrin Maleat Injeksi 0,200 mg-1 Ampul 0
Metronidazole Tablet 500 mg Tablet 870 10
Multivitamin + Mineral tablet Tablet 2450 20
192 Natrium Klorida Larutan infus 0,9%-Steril 5 Botol 335
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 579 2
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 mVial 0
216 Parasetamol drop 100 mg/ml btl @15ml (6 Botol 1140
Parasetamol drop 100 mg/ml btl @15ml (6 Botol 0
219 Parasetamol Tablet 500 mg Tablet 105362 60 70 60
228 Pirantel Pamoat Tablet 365 mg (Setara dng Tablet 0
Salbutamol Tablet 2 mg Tablet 600 100
Salbutamol Tablet 4 mg Tablet 700 100 100
248 Salbutamol solution for Inhalation single dosAmpul 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml siru Botol 0
Sefadroksil Tablet 500 mg Tablet 12320 10
Setirizin Sirup 5 mg / 5 ml Botol 1010 1 2
Siprofloksasin 500mg Tablet 430 10
270 Temporary Stopping Fletcher (Fletcher) Ser Set 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 Tablet 20645 20
Zinc Sulfat 20 mg/5 ml Tablet 826 1
293 Obat Batuk Herbal (Herbakof) Botol 1428 8 10 3
294 Amoksisillin Drops Botol 40 2
295 Tablet Hepatoprotector (Curcuma) Pot 710 90 100
299 Vitamin C 500mg Tablet 29350 30
300 Vitamin D 1000 IU Tablet 2530 10
301 Multivitamin Tablet Kombinasi VitC,Vit D, ZinTablet 8619 10
302 Multivitamin Syrup Tablet 1457 1 1 2
0
14 Blood Set Set 0
26 Kaca Slide Pcs 0
38 Masker Buah 200
Masker Buah 0
Masker N 96 Pcs 0
42 Polifix Rol 14
Polifix Rol 5
43 Pot Dahak Pcs 0
55 Safety Box Pcs 0
62 Sountimer Buah 0
Stik Pemeriksaan Gula Darah One Touch VeTest 0
67 Urine Bag set 0
Urine Bag set 0
71 Bisturi Pcs 0
Bisturi Pcs 0
Bisturi Pcs 20
75 Gel USG Botol 0
Gel USG Botol 14
IV Dressing Pcs 0
83 PP test Pcs 0
PP test Pcs 0
91 Stik Hb Test 0
96 GPT Kit 0
0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml ( Vial 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ Ampul 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU Vial 0
8 Vaksin DT Vial 0
9 Vaksin TD Vial 0
17 Vaksin TT Vial 0
18 Buku Kontrak 0
19 0
20 0
PEMAKAI
AN
25 26 27 28 29 30 31
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
20 60 20 80 40 70 1280 300
0 0
0 0
13 15
0 0
0 0
0 0
0 0
0 0
0 0
10 13 0
0 0
0 0
0 0
150 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
25 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 20 150 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
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
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
6 6 62 100
0 0
0 0
0 0
0 0
0 0
2 2 5 17
0 0
10 100
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
1 1 8 0
0 0
0 0
0 0
10 20 10 20 50 20 760 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 20 20 380 0
0 0
0 0
0 0
80 80 30 770 100
0 100
101 400
0 0
0 0
1 1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 25
0 0
0 0
0 0
0 0
7 20
0 0
0 0
0 0
50 20 40 40 20 40 873 600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 5 10 115 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
20 10 230 400
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
100 100
0 0
0 0
0 5
1 10
0 0
0 0
50 340 200
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
2 4 10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 0
2 10
0 0
0 0
0 0
0 0
0 0
5 10 29 45
0 0
0 0
0 0
0 0
30 110 90 110 30 75 2144 700
0 0
0 0
0 0
0 0
0 0
2 0
0 0
0 0
20 50 200
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
100 0
0 0
0 0
10 230 0
0 0
0 0
1 3 11 0
0 0
0 0
0 0
0 0
0 0
0 0
30 10 10 10 300 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 5 1 2 5 45 5
0 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
0 0
20 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
10 10 10 10 20 535 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 0
50 0
1 2 17 0
0 0
0 0
0 0
0 0
3 3
0 0
2 2 8 5
0 0
0 0
0 0
0 0
0 0
2 2 10 102 20
4 0
50 10 110 750 50
20 50 0
0 0
0 0
20 120 0
112 0
36 0
2 5 33 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
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
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0 0
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0 5
0 0
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0 0
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0 0
0 75
0 0
0 0
0 0
0 0
0 0
0 0
0 10
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
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0 0
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0 0
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0 0
0 0
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0 0
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0 0
0 0
0 0
0 0
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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
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0 0
0 0
0 0
0 0
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0 0
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0 0
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0 0
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0 10
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 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
1280 1580
0 0
0 0
13 28
0 0
0 0
0 0
0 0
0 0
0 0
13 13
0 0
0 0
0 0
150 150
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
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0 0
0 0
0 0
0 0
0 0
25 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
150 150
0 0
0 0
0 0
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0 0
0 0
0 0
0 100
0 0
0 0
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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
0 100
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
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
62 162
0 0
0 0
0 0
0 0
0 0
5 22
0 0
10 110
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
5 5
0 0
8 8
0 0
0 0
0 0
760 860
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
380 380
0 0
0 0
0 0
770 870
0 100
101 501
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 29
0 0
0 0
0 0
0 0
7 27
0 0
0 0
0 0
873 1473
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
115 115
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
230 630
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
100 200
0 0
0 0
0 5
1 11
0 0
0 0
340 540
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
4 14
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 0
2 12
0 0
0 0
0 0
0 0
0 0
29 74
0 0
0 0
0 0
0 0
2144 2844
0 0
0 0
0 0
0 0
0 0
2 2
0 0
0 0
50 250
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
100 100
0 0
0 0
230 230
0 0
0 0
11 11
0 0
0 0
0 0
0 0
0 0
0 0
300 400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
45 50
0 0
0 0
0 0
0 0
10 10
0 0
0 0
0 0
0 0
0 0
20 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
535 535
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 180
50 50
17 17
0 0
0 0
0 0
0 0
3 6
0 0
8 13
0 0
0 0
0 0
0 0
0 0
102 122
4 4
750 800
50 50
0 0
0 0
120 120
112 112
36 36
33 33
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 0
0 0
0 0
0 0
0 0
0 5
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 75
0 0
0 0
0 0
0 0
0 0
0 0
0 10
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 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
0 0
0 0
0 0
0 0
0 0
0 10
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 0
0 0
JUMLAH
NO NAMA SEDIAAN SATUAN PEMAKA
Stok IAN
Awal
A. OBAT
1 Air Raksa Dental Use Botol 0 0
2 Albendazole Tablet 400 mg Tablet 0 0
Albendazole Tablet 400 mg Tablet 0 0
3 Albendazole susp 200 mg/5 ml Botol 0 0
4 Alopurinol Tablet 100 mg Tablet 0 0
Alopurinol Tablet 100 mg Tablet 630 50
5 Alopurinol Tablet 300 mg Tablet 0 0
6 Alprazolam tablet 1 mg Tablet 0 0
7 Ambroksol Tablet 30 mg Tablet 0 0
Ambroksol Tablet 30 mg Tablet 1060 510
8 Ambroksol sirup 15 mg/5 ml Botol 0 0
Ambroksol sirup 15 mg/5 ml Botol 373 26
9 Aminofillin Injeksi 24 mg/ml-10 ml Ampul 0 0
10 Aminofillin Tablet 200 mg Tablet 0 0
Aminofillin Tablet 200 mg Tablet 2130 0
11 Amitriptillin Hcl Tablet Salut 25 mg Tablet 0 0
Amitriptillin Hcl Tablet Salut 25 mg Tablet 0 0
Amitriptillin Hcl Tablet Salut 25 mg Tablet 0 0
12 Amlodipin Tablet 5 mg Tablet 0 0
Amlodipin Tablet 5 mg Tablet 400 360
13 Amlodipin Tablet 10 mg Tablet 0 0
14 Amoksisillin Kapsul 250 mg Kapsul 0 0
Amoksisillin Kapsul 250 mg Kapsul 2848 50
15 Amoksisillin Kaplet 500 mg Kaplet 9650 30
Amoksisillin Kaplet 500 mg Kaplet 0 0
16 Amoksisillin Serbuk Injeksi 1000 mg vial 0 0
17 Amoksisillin Sirup Kering 125 mg/5ml Botol 0 0
Amoksisillin Sirup Kering 125 mg/5ml Botol 0 1
18 Amoksisillin Double Strengh Sirup Kerin Botol 0 0
Amoksisillin Double Strengh Sirup Kerin Botol 92 20
19 Ampisilin Kapsul 250 mg Kapsul 0 0
20 Ampisillin Kaplet 500 mg Tablet 0 0
21 Ampisilin Sirup 125 mg / 5 ml Botol 0 0
22 Ampisillin Injeksi 1000 mg Vial 0 0
Ampisillin Injeksi 1000 mg Vial 0 0
23 Analgetik Plus Tablet 0 0
24 Antasida Doen Suspensi Kombinasi : M Botol 0 0
Antasida Doen Suspensi Kombinasi : M Botol 0 0
25 Antasida Doen Tablet, Kombinasi : M Tablet 0 0
Antasida Doen Tablet, Kombinasi : M Tablet 0 0
26 Antasida Plus Tablet Tablet 0 0
27 Antalgin (Metampiron) Tablet 500 mg Tablet 0 0
28 Antalgin Injeksi 250 mg/ml-2ml Ampul 0 0
29 Anti Bakteri DOEN Salep Kombinasi : Tube 24 0
30 Anti Hemoroid Doen komb Supp 21 6
31 Anti Fungi DOEN Kombinasi : Pot 0 0
Anti Fungi DOEN Kombinasi : Pot 25 0
32 Antimigren DOEN Kombinasi : Tablet 200 10
33 Anti Diare Suspensi Botol 0 0
34 Anti Diare Tablet Tablet 0 0
35 Anti Dotum Oral Tablet Tablet 0 0
36 Anti Hipertensi Kapsul Tablet 0 0
37 Antihistamin Tablet kombinasi Tablet 0 0
38 Antispasmodik Tablet Tablet 0 0
39 Antitusiva Sirup Botol 62 6
40 Antitusiva Tablet Tablet 0 0
41 Asam Folat Tablet 1 mg Tablet 800 255
42 Asam Askorbat (Vit. C) Tablet 200 mg Tablet 799 0
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 0 0
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 0 40
43 Asam Mefenamat Kapsul 500 mg Kapsul 0 0
Asam Mefenamat Kapsul 500 mg Kapsul 0 0
44 Acetylsistein tablet Tablet 0 0
Acetylsistein tablet Tablet 1230 10
45 Asetosal Tablet 80 mg Tablet 0 0
48 Asiklovir Krim 5 % Tube 0 0
Asiklovir Krim 5 % Tube 0 0
49 Asiklovir Tablet 200 mg Tablet 0 0
51 Attapulgit Tablet 0 0
Attapulgit Tablet 1065 70
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 0 0
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 10 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20Vial 0 0
Aqua Pro Injeksi Steril, bebas Pirogen 20Vial 0 0
Aqua Pro Injeksi Steril, bebas Pirogen 1 LVial 20 0
Aqua Pro Injeksi Steril, bebas Pirogen 20Botol 2 0
54 Bahan Tambal Sementara Set 0 0
Bahan Tambal Sementara Set 0 0
Bahan Tambal Sementara Set 0 0
55 Benzatin Benzil Penisilin injeksi Vial 0 0
56 Betahistin Mesilat 6 mg Tablet 800 10
57 Betametason Krim 0,1 %- 5g Tube 120 10
Betametason Krim 0,1 %- 5g Tube 0 0
58 Bisakodil suppositoria 10 mg Supp 0 0
59 Bisoprolol Tablet 5 mg Tablet 200 30
60 Bromheksin 8 mg Tablet 0 0
Bromheksin 8 mg Tablet 0 0
61 Cresotin Pasta Botol 0 0
62 Cresotin Liquid No 2 Botol 0 0
63 Deksametason Injeksi 5mg/ml-1ml Ampul 150 0
64 Deksametason Tablet 0,5 mg Tablet 0 0
65 Devitalisasi Pasta (Non Arsen) Botol 0 0
66 Diazepam tablet 2 mg Tablet 280 0
67 Diazepam tablet 5 mg Tablet 180 0
68 Diazepam Injeksi i.v/i.m 5 mg/ml Ampul 30 0
69 Diazepam Larutan Rektal 5 mg/ml Supp 0 0
70 Diazepam Larutan Rektal 10 mg/ml Supp 0 0
71 Dietilkarbamazin Sitrat Tablet 100 mg Tablet 0 0
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 0 0
Difenhidramin HCl Injeksi 10 mg/ml-1ml Ampul 120 0
73 Digoksin Tablet 0,25 mg Tablet 0 0
74 Dimenhidrinat Tablet 50 mg Tablet 500 0
Dimenhidrinat Tablet 50 mg Tablet 0 0
Dimenhidrinat Tablet 50 mg Tablet 0 0
75 Domperidon Tablet 10 mg Tablet 0 0
Domperidon Tablet 10 mg Tablet 0 0
76 Donperidon Suspensi 5 mg/5ml Botol 0 0
77 Efedrin Hcl Tablet 25 mg Tablet 0 0
78 Ekstrak Belladone Tablet 10 mg Tablet 0 0
79 Epinefrin HCl / Bitartrat Ampul 20 0
80 Eritromisin Kapsul 250 mg Kapsul 0 0
81 Eritromisin Kapsul 500 mg Kapsul 0 0
82 Eritromisin Sirup 200 mg / 5 ml Botol 0 0
83 Etambutol Tablet 500 mg Tablet 0 0
84 Etanol 70 % 100 ml Botol 0 0
85 Etil Klorida Semprot -100 ml Botol 0 0
86 Eugenol Cairan -10 ml Botol 0 0
87 Fenitoin Natrium Kapsul 100 mg Kapsul 235 0
88 Fenobarbital tablet 30 mg Tablet 210 0
Fenobarbital tablet 30 mg Tablet 190 0
89 Fenobarbital injeksi 50 mg / ml Ampul 15 0
Fenobarbital injeksi 50 mg / ml Ampul 60 0
90 Fenoksimeti Penisilin 250 mg tablet Tablet 0 0
91 Fenoksimeti Penisilin 500 mg tablet Tablet 0 0
Fenoksimeti Penisilin 500 mg tablet Tablet 0 0
Fenoksimeti Penisilin 500 mg tablet Tablet 0 0
92 Fenol Gliserol TK Botol 0 0
93 Flufenazine decanoat injeksi 25 mg/ml Ampul 0 0
Flufenazine decanoat injeksi 25 mg/ml Ampul 0 0
94 Flukonazole tablet 150 mg Tablet 0 0
95 Fitomenadion tablet 10 mg Tablet 1000 20
Fitomenadion tablet 10 mg Tablet 0 20
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 Ampul 0 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 Ampul 570 0
97 Furosemid Tablet 40 mg Tablet 0 0
Furosemid Tablet 40 mg Tablet 0 0
Furosemid Tablet 40 mg Tablet 0 0
98 Furosemid injeksi Ampul 0 0
99 Garam Oralit I serbuk, kombinasi : Kantong 0 0
100 Gemfibrozil Tablet 600 mg Tablet 0 0
101 Gentian Violet Botol 0 0
102 Gentamisin injeksi 80 mg / 2 ml Vial 0 0
Gentamisin injeksi 80 mg / 2 ml Vial 0 0
103 Gentamisin Salep Kulit 0,1 % Tube 0 0
104 Glass Ionomer Set 0 0
105 Glibenklamid Tablet 5 mg Tablet 150 70
Glibenklamid Tablet 5 mg Tablet 0 30
106 Glimepiride 2 mg Tablet 0 0
107 Gliseril Guayakolat Tablet 100 mg Tablet 1390 0
Gliseril Guayakolat Tablet 100 mg Tablet 320 50
108 Gliseril Guayakolat sirup Botol 0 0
Gliseril Guayakolat sirup Botol 8 0
109 Glukonas Kalsikus injeksi Ampul 40 0
110 Glukosa Larutan Infus 5 % Botol 0 0
111 Glukosa Larutan Infus10 % Botol 0 0
112 Griseofulvin Tablet 125 mg,micronized Tablet 0 0
Griseofulvin Tablet 125 mg,micronized Tablet 4910 60
113 Haloperidol Tablet 0,5 mg Tablet 350 0
Haloperidol Tablet 0,5 mg Tablet 0 0
Haloperidol Tablet 0,5 mg Tablet 0 0
115 Haloperidol Tablet 5 mg Tablet 0 0
Haloperidol Tablet 5 mg Tablet 0 0
Haloperidol Tablet 5 mg Tablet 500 0
116 Haloperidol injeksi 5 mg/ml Ampul 0 0
117 Haloperidol injeksi 50 mg/ml Ampul 0 0
118 Hidroklortiazid (HCT) Tablet 25 mg Tablet 0 0
Hidroklortiazid (HCT) Tablet 25 mg Tablet 1030 0
119 Hidrokortison Krim 2,5 % Tube 0 2
120 Ibuprofen Tablet 200 mg Tablet 0 0
Ibuprofen Tablet 400 mg Tablet 0 0
122 Ibuprofen Suspensi 100 mg/5 ml Botol 0 2
Ibuprofen Suspensi 100 mg/5 ml Botol 0 0
Ibuprofen Suspensi 100 mg/5 ml Botol 0 0
123 Ichtyol salep Kulit Pot 0 0
124 Isoniazid tablet 100 mg Tablet 0 0
Isoniazid tablet 100 mg Tablet 200 17
125 Isoniazid tablet 300 mg Tablet 0 0
Isoniazid tablet 300 mg Tablet 0 0
126 Isosorbid Dinitrat 5 mg Tablet 0 0
Isosorbid Dinitrat 5 mg Tablet 0 0
127 Kalium Diklofenak Tablet 25 mg Tablet 0 0
Kalium Diklofenak Tablet 50 mg Tablet 0 0
129 Kalsium Hidroksida Pasta Tube 0 0
130 Kalsium Laktat Tablet 500 mg Tablet 500 0
131 Kaptopril 12,5 mg Tablet 2890 0
132 Kaptopril 25 mg Tablet 0 0
Kaptopril 25 mg Tablet 2000 0
133 Karbamazepin Tablet 200 mg Tablet 100 0
134 Ketokonazole Krim 2 % - 15 gr Tube 21 0
Ketokonazole Krim 2 % - 15 gr Tube 0 0
135 Ketokonazole Tablet 200 mg Tablet 0 0
Ketokonazole Tablet 200 mg Tablet 500 0
136 Ketoprofen Tablet 100 mg Tablet 0 0
137 Ketoprofen Injeksi 100 mg / 1 ml Ampul 0 0
138 Ketorolac 10 mg injeksi Ampul 0 0
139 Ketorolac 30 mg injeksi Ampul 0 0
140 Klindamisin Kapsul 150 mg Kapsul 0 0
Klindamisin Kapsul 150 mg Kapsul 300 0
141 Klindamisin Kapsul 300 mg Kapsul 0 0
142 Kloramfenikol Kapsul 250 mg Kapsul 0 0
143 Kloramfenikol suspensi125mg/5 ml Botol 0 0
144 Kloramfenikol Salep Mata 1%-3,5 g Tube 92 2
145 Kloramfenikol Salep Kulit 2% Tube 0 0
146 Kloramfenikol Tetes Mata -5 ml Botol 0 0
147 Kloramfenikol Tetes Telinga 3%-5 ml Botol 0 0
148 Klorfeniramin Maleat (CTM) Tablet 4 mgTablet 0 0
Klorfeniramin Maleat (CTM) Tablet 4 mgTablet 0 0
149 Klorpromazin Hcl Tablet Salut 25 mg Tablet 0 0
Klorpromazin Hcl Tablet Salut 25 mg Tablet 0 0
150 Klorpromazin Hcl Tablet Salut 100 mg Tablet 0 0
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 50 0
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 0 0
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial 0 0
153 Kombipak Cefixime+ Azithromisin Kotak 0 0
Kombipak Cefixime+ Azithromisin Kotak 5 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi
Tablet 0 0
155 Kotrimoksazol Tablet, Kombinasi : Tablet 320 10
Kotrimoksazol Tablet, Kombinasi : Tablet 0 10
156 Kotrimoksazol Suspensi Kombinasi : Botol 36 2
Kotrimoksazol Suspensi Kombinasi : Botol 0 0
Kotrimoksazol Suspensi Kombinasi : Botol 0 0
157 Lansoprazole 30 mg Kapsul Tablet 0 0
158 Larutan mengadung Elektrolit Botol 0 0
Larutan mengadung Elektrolit Botol 0 0
159 Larutan mengadung Elektrolit Botol 0 0
Larutan mengadung Elektrolit Botol 0 0
160 Larutan mengadung Karbohidrat + Elektrolit
Botol 0 0
161 Lidokain injeksi 2 % Tablet 0 0
162 Lidokain Komp Injeksi, Kombinasi : Ampul 0 0
Lidokain Komp Injeksi, Kombinasi : Ampul 330 0
163 Lidokain Spray Botol 0 0
164 Loperamid Tablet 2 mg Tablet 0 0
Loperamid Tablet 2 mg Tablet 0 0
165 Loratadin tablet 10 mg Tablet 0 0
Loratadin tablet 10 mg Tablet 300 0
166 Magnesium Sulfat (IV) 20 %-25 ml Ampul 10 0
167 Magnesium Sulfat (IV) 40 %-25 ml Ampul 10 0
168 MB Anak Blister 0 0
MB Anak Blister 0 0
MB Anak Blister 0 0
169 MB Dewasa Blister 0 0
MB Dewasa Blister 0 0
171 Meloksikam Suppositoria Supp 0 0
172 Metformin Hcl Tablet 500 mg Tablet 0 0
Metformin Hcl Tablet 500 mg Tablet 335 120
173 Metformin 850 mg Tablet 0 0
174 Metildopa 250 mg tablet Tablet 0 0
175 Methisoprinol 500 mg Tablet 0 0
176 Metilergometrin Maleat (Metergin) TabTablet 0 0
Metilergometrin Maleat (Metergin) TabTablet 500 0
Metilergometrin Maleat (Metergin) TabTablet 0 0
177 Metilergometrin Maleat Injeksi 0,200 m Ampul 50 0
178 Metilprednisolon tablet 4 mg Tablet 0 0
Metilprednisolon tablet 4 mg Tablet 0 30
179 Metoklopramid 10 mg Tablet 0 0
Metoklopramid 10 mg Tablet 600 0
180 Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 0 0
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 140 0
181 Metronidazol Tablet 250 mg Tablet 0 0
182 Metronidazole Tablet 500 mg Tablet 0 0
183 Metronidazole sirup 125 mg/ml Botol 50 0
184 Metronidazole Infus 500 mg /100 ml Ampul 0 0
185 Mikonazole KrIm 2 % - 10 gr Tube 0 1
186 Multivitamin + Mineral tablet Tablet 13000 60
187 Multivitamin sirup Botol 0 0
Multivitamin sirup Botol 0 0
188 Mummifying Pasta Botol 0 0
189 Natrium Bikarbonat Tablet 500 mg Tablet 0 0
190 Natrum Diklofenak Tablet 25 mg Tablet 0 0
191 Natrium Diklofenak Tablet 50 mg Tablet 180 0
Natrium Diklofenak Tablet 50 mg Tablet 800 0
192 Natrium Klorida Larutan infus 0,9%-SteriBotol 0 0
193 Nipedifin Tablet 10 mg Tablet 0 0
194 Nistatin suspensi 100.000 IU/ml Botol 0 0
Nistatin suspensi 100.000 IU/ml Botol 68 1
195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 100 0
196 Nistatin 500.000 IU/gram Tablet Salut Tablet 200 0
Nistatin 500.000 IU/gram Tablet Salut Tablet 200 0
197 Obat Antitiuberkolosis Kategori Anak Paket 0 0
198 Obat Antitiuberkolosis Kategori 1 DewasPaket 0 0
Obat Antitiuberkolosis Kategori 1 DewasPaket 0 0
199 Obat Antitiuberkolosis Kategori 2 DewasPaket 0 0
Obat Antitiuberkolosis Kategori 2 DewasPaket 0 0
200 Obat Antitiuberkolosis Kategori2 Dewas Paket 2 0
201 Obat Anti Tuberkulosis FDC Kat Anak Paket 0 0
202 Obat Anti Tuberkulosis FDC Kat I & II Paket 0 0
203 Obat Anti Tuberkulosis FDC Kat I & III Paket 0 0
Obat Anti Tuberkulosis FDC Kat I & III Paket 16 0
204 Obat Anti Tuberkolosis FDC Sisipan Dew Paket 0 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 0 0
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 0 0
206 Obat Batuk Cair Sirup (Ekspektoran) Botol 0 0
Obat Batuk Cair Sirup (Ekspektoran) Botol 0 0
Obat Batuk Cair Sirup (Ekspektoran) Botol 0 0
207 Obat Batuk Hitam Plus Sirup Botol 0 0
208 Obat Flu Sirup Botol 0 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-1 Vial 0 0
210 Oksiterasiklin Salep Mata 1%-3,5g Tube 725 0
Oksiterasiklin Salep Mata 1%-3,5g Tube 0 5
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 199 2
Oksitetrasiklin Hcl Salep Kulit 3%-5g Tube 0 0
212 Oksitosin Injeksi 10 IU/ml-1ml Ampul 200 0
Oksitosin Injeksi 10 IU/ml-1ml Ampul 0 0
213 Omeprazole injeksi 40mg/10ml Ampul 0 0
214 Omeprazole Kapsul 20 mg Tablet 0 0
215 Ondansetron inj 4 mg/ 2 mL Ampul 0 0
216 Parasetamol drop 100 mg/ml btl @15mlBotol 0 0
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 339 49
218 Parasetamol Tablet 100 mg Tablet 0 0
Parasetamol Tablet 500 mg Tablet 0 0
220 PB Anak Blister 0 0
221 PB Dewasa Blister 0 0
PB Dewasa Blister 0 0
PB Dewasa Blister 0 0
222 Pehacain injeksi Ampul 0 0
Pehacain injeksi Ampul 0 0
223 Perak Sulfadiazin krim 1 % 35 gr Tube 0 0
224 Permetrin krim 5 % Tube 0 0
225 Piracetam Tablet 400 mg Tablet 0 0
226 Piracetam Tablet 800 mg Tablet 0 0
227 Piroksikam Tablet 20 mg Tablet 0 0
Piroksikam Tablet 20 mg Tablet 0 0
228 Pirantel Pamoat Tablet 365 mg (Setara Tablet 0 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 15 0
Piridoksin Hcl (Vit.B6) Tablet 10 mg Tablet 0 760
231 Povidon Iodida 10% 30 ml Botol 10 0
Povidon Iodida 10% 300 ml Botol 3 0
234 Prednison Tablet 5 mg Tablet 0 0
Prednison Tablet 5 mg Tablet 3375 1315
235 Primakuin tablet 15 mg Tablet 0 0
236 Prokain Benzil Penisilin Injeksi 3,000,000Vial 0 0
237 Propanolol Hcl Tablet 40 mg Tablet 0 0
Propanolol Hcl Tablet 40 mg Tablet 0 0
Propanolol Hcl Tablet 10 mg Tablet 200 0
238 Propilturasil Tablet 100 mg Tablet 0 0
239 Ranitidin Injeksi 25 mg / ml Ampul 0 0
240 Ranitidin Tablet 150 mg Tablet 0 0
Ranitidin Tablet 150 mg Tablet 3000 240
241 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0 0
Retinol (Vit. A) 100.000 IU Kapsul Kapsul 400 0
242 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 2850 0
Retinol (Vit. A) 200.000 IU Kapsul Kapsul 50 0
243 Reserpin Tablet 0, 25 mg Tablet 0 0
244 Rifampisin Tablet 450 mg Tablet 0 0
245 Ringer Laktat Larutan Infus Steril 500 ml Botol 0 0
Ringer Laktat Larutan Infus Steril 500 ml Botol 0 0
246 Salbutamol Tablet 2 mg Tablet 290 30
247 Salbutamol Tablet 4 mg Tablet 0 0
248 Salbutamol solution for Inhalation singleAmpul 0 0
249 Salep 2-4 Kombinasi : Pot 0 0
Salep 2-4 Kombinasi : Pot 0 0
250 Salisil bedak 2% -50 gr Kotak 0 0
Salisil bedak 2% -50 gr Kotak 0 0
251 Salep Luka Bakar Tube 0 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml s Botol 0 0
Sefadroksil Sirup Kering 125 mg / 5 ml s Botol 0 0
253 Sefadroksil Tablet 500 mg Tablet 0 0
254 Sefiksim Kapsul 100 mg Kapsul 0 0
255 Sefiksim 400 mg + Azitromisin 1000 mg Paket 0 0
Sefiksim 400 mg + Azitromisin 1000 mg Paket 0 0
256 Sefotaksim Injeksi 1 gr Ampul 0 0
257 Seftriakson Injeksi 1 gr / vial Ampul 0 0
258 Semen Seng Fosfat Serbuk & Cairan Botol 0 0
259 Setirizin Tablet 10 mg Tablet 430 120
260 Setirizin Sirup 5 mg / 5 ml Botol 0 0
Setirizin Sirup 5 mg / 5 ml Botol 0 0
261 Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 0 0
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 0 0
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 90 0
262 Sianokobalamin Tablet 50 mcg Tablet 320 60
263 Silver Amalgam Serbuk 65-75% Botol 0 0
264 Simetidin 200 mg Tablet Tablet 0 0
Simetidin 200 mg Tablet Tablet 0 0
265 Simvastatin Tablet 10 mg Tablet 0 0
Simvastatin Tablet 10 mg Tablet 0 0
Simvastatin Tablet 10 mg Tablet 580 20
266 Siprofloksasin 500mg Tablet 0 0
267 Spironolakton Tablet 25 mg Tablet 0 0
268 Sulfacetamid Tetes Mata 15 %-5ml Botol 0 0
269 Tablet Tambah Darah Kombinasi: Tablet 0 0
Tablet Tambah Darah Kombinasi: Tablet 0 0
270 Temporary Stopping Fletcher (Fletcher) Set 0 0
271 Trikesol formalin ( T K F ) Cairan 10 ml Botol 0 0
272 Tetrasiklin Kapsul 250 mg Kapsul 0 0
273 Tetrasiklin Kapsul 500 mg Kapsul 0 0
Tetrasiklin Kapsul 500 mg Kapsul 670 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml- Ampul 0 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0 10
276 Thiamfenikol Kapsul 500 mg Kapsul 300 0
Thiamfenikol Kapsul 500 mg Kapsul 300 0
277 Tramadol Injeksi 50 mg/ ml Ampul 0 0
278 Tramadol Tablet 50 mg Tablet 0 0
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 865 25
Triheksifenidil Hidroklorida Tablet 2 mg Tablet 0 0
280 Vitamin B .Komplek Tablet Tablet 0 0
Vitamin B .Komplek Tablet Tablet 1200 610
281 Vitamin Neurotropik Tablet Tablet 0 0
282 Zinc Tablet 20 mg Tablet 1290 0
283 Zinc Sulfat 20 mg/5 ml Botol 0 0
Zinc Sulfat 20 mg/5 ml Botol 22 0
284 Hepatorotector tablet (Curcuma) Tablet 0 0
Hepatorotector tablet (Curcuma) Tablet 0 0
285 Obat Batuk Herbal Botol 0 0
286 Obat Kumur Botol 48 0
287 Salep Kloramfenikol + Hidrokortison Tube 0 0
288 Tablet Pemanis Botol 25 0
289 Bahan Pembersih Kavitas Botol 0 0
290 Flour Gel Botol 0 0
291 Glass Lonomer Posterior set 0 0
292 Hyposol 3% Botol 0 0
293 Paramonochlorofenol/CHKM Botol 0 0
294 Saliva Ejector Pcs 0 0
295 Salep Betametason + Neomisin Tube 0 0
Salep Betametason + Neomisin Tube 0 1
296 Bahan Pemutih Gigi Pot 0 0
297 Metronidazol Inj Ampul 0 0
298 Box Slide Pcs 0 0
299 Box Slide Pcs 0 0
300 Klozapine 25mg Tablet 750 85
301 Mineral Mix Sachet 0 0
302 Risperidon 2mg Tablet 840 55
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 20 0
304 Oseltamivir Kapsul Kapsul 0 0
Oseltamivir Kapsul Kapsul 0 0
305 Azitromycin Tablet 0 0
306 Box Object Glass isi 50 Grey Orange Pcs 7 0
308 Multivitamin Tablet 750 0
0 0
0 0
1 Abbocath No 18 ( IV Chateter 18 ) Buah 0 0
Abbocath No 18 ( IV Chateter 18 ) Buah 0 0
5 Alat Gula, Kolesterol, Asam Urat Unit 0 0
6 Alat Suntik Sekali Pakai 1 ml Set 200 0
Alat Suntik Sekali Pakai 3 ml Set 500 0
Alat Suntik Sekali Pakai 5 ml Set 0 0
10 Alkohol Swab Kotak 0 0
11 Auto Disposable Syringe (ADS) 0,05 ml Set 0 0
Auto Disposable Syringe (ADS) 0,05 ml Set 0 0
12 Auto Disposable Syringe (ADS) 0,5 ml Set 500 0
Auto Disposable Syringe (ADS) 0,5 ml Set 500 200
13 Auto Disposable Syringe (ADS) 5 ml Set 0 0
Auto Disposable Syringe (ADS) 5 ml Set 0 5
14 Blood Set Set 0 0
15 Catgut/Benang Bedah No.2/0 Plain Sachet 0 0
16 Catgut/Benang Bedah No.3/0 Cromic Sachet 0 0
Catgut/Benang Bedah No.3/0 Cromic Sachet 0 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 m Botol 15 0
Etakridin Larutan (Rivanol) 0,1% - 300 m Botol 0 0
18 Etanol 70 % 1.000 ml Botol 0 0
Etanol 70 % 1.000 ml Botol 0 0
19 Eter Alkohol Botol 0 0
20 Folley Catheter no 14 Set 35 0
23 Infus set Anak Set 0 0
24 Infus set Dewasa Set 0 0
Infus set Dewasa Set 0 0
Infus set Dewasa Set 100 0
25 Iodina Test Botol 0 0
26 Kaca Slide Pcs 0 0
Kaca Slide Pcs 0 0
27 Kapas Berlemak 500 gram Bungkus 0 0
28 Kapas Pembalut / Adsorbens 250 gram Bungkus 0 0
Kapas Pembalut / Adsorbens 250 gram Bungkus 0 0
29 Kassa Pembalut 2 m x 80 cm Rol 10 0
30 Kassa Pembalut Hidrofil 4 m x 3 cm Rol 0 0
31 Kassa Pembalut Hidrofil 4 m x 15 cm Rol 0 0
Kassa Pembalut Hidrofil 4 m x 15 cm Rol 0 0
32 Kassa Hidrofil Steril 16 x 16 Kotak 0 0
Kassa Hidrofil Steril 16 x 16 Kotak 90 2
33 Kassa Kompres 40 x 40 steril Bungkus 0 0
Kassa Kompres 40 x 40 steril Bungkus 80 0
34 Kertas Puyer Bungkus 0 0
35 Kertas Saring Lembar 0 0
36 Kertas Lensa Lembar 0 0
37 Lysol 1,000 ml Botol 0 0
38 Masker Buah 0 0
Masker Buah 0 0
Masker Buah 0 0
Masker Buah 1050 0
Masker Kain Headloop KEMKES Pcs 2400 0
Masker Kain Earloop KEMKES Pcs 2400 0
39 Masker N 95 Pcs 0 0
Masker N 96 Pcs 4 0
Masker KN95 Pcs 145 0
40 Minyak Imersi Botol 0 0
Minyak Imersi Botol 1 0
41 Plester Kertas Rol 0 0
42 Polifix 5 cm x 5 m Rol 0 0
Polifix 5 cm x 5 m Rol 0 0
43 Pot Dahak Pcs 0 0
Pot Dahak Pcs 0 0
Pot Dahak Pcs 300 0
44 Rapid 2 HIV Fokus Test 0 0
Rapid HIV 1+2KHB Test 0 0
Rapid Test HIV 1/2 Vikia DS Test 0 0
45 Rapid HIV 1 (SD HIV) Test 0 0
Rapid HIV 1 (SD HIV) Test 700 0
46 Rapid HIV 2 (Intec HIV) Test 0 0
47 Rapid HIV 2 (Biomeriux HIV) Test 0 0
48 Rapid Tes SD Bioline HBSAG Test 0 0
Rapid Tes SD Bioline HBSAG Test 0 0
Hepatitis B Imunoglobulin inj 220 IU (Hb Vial 0 0
49 Rapid Test Syphilis Test 0 0
50 Reagen CD 4 Control Test 0 0
51 Reagen CD 4 Test 0 0
52 Reagen Ziehl Nielsen Botol 0 0
Reagen Ziehl Nielsen Botol 5 0
Reagen Ziehl Nielsen Botol 16 0
53 RPR Test Syphilis Test 0 0
RPR Test Syphilis Test 0 0
54 Silk( Benang Bedah Sutra ) No 3/0 Sachet 0 0
Silk( Benang Bedah Sutra ) No 3/1 Sachet 0 0
55 Safety Box Pcs 0 0
Safety Box Pcs 0 0
56 Sarung tangan Steril No 6 Pcs 0 0
57 Sarung tangan Steril No 7 Pcs 0 0
58 Sarung tangan Steril No 7,5 Pcs 0 0
Sarung tangan Steril No 7,5 Pcs 0 0
59 Sarung tangan Non Steril S Pcs 0 0
60 Sarung tangan Non Steril M Pcs 0 0
61 Sarung tangan Non Steril L Pcs 0 0
62 Sountimer Buah 0 0
63 Stik Pemeriksaan Gula Darah Test 0 0
64 Stik Pemeriksaan Kolesterol Test 0 0
65 Stik Pemeriksaan Asam Urat Test 0 0
66 Supratul Lembar 0 0
Supratul Lembar 0 0
67 Urine Bag set 0 0
68 Wing Neddle No 23 Set 0 0
69 Blood Lancet Pcs 0 0
70 Cairan Antiseptik Botol 500 ml Botol 0 0
71 Rapin HIV Oncoprobe Test 0 0
72 Steryzime Dual Enzymatis 5 Lt Galon 0 0
73 Sterald 30 High Level Surface DesinfektaGalon 0 0
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 0 0
75 Bioplacenton Tulle 10 x 10 Lembar 0 0
76 Vikia Biumeric Test 0 0
77 Sterad Galon 0 0
78 Hepatitis B Imunolobin syringe 2 0
79 Slide 0 0
80 IV Catheter 20 Pcs 0 0
81 Stericide 3 Surface Desinfektan 5Lt Galon 0 0
82 Serum Tetagam P Injeksi PFS 0 0
83 Biosave Serum ABU Injeksi Vial 0 0
84 Baju APD (COVER ALL) Pcs 0 0
85 Sepatu Boot Saffety Pcs 0 0
86 Kacatamata Google Pcs 0 0
87 Sarung Tangan Karet Latex Pcs 0 0
88 Rapid Test Kit Covid-19 Test 0 0
89 VTM & Swab Dacron Citodia Pcs 100 0
90 Panbio Covid-19 Antigen Test 75 0
91 ADS 0,5 ml Alokasi Vial 600 0
92 Alkohol Swab Alokasi Pcs 600 0
93 Safety Box Alokasi Pcs 7 0
Pcs 0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) 0 0
2 Serum Anti Rabies untuk manusia Vial 0 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 Vial 0 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 Ampul 0 0
5 Human Tetanus Imunoglobin inj 250 IU Vial 0 0
6 Vaksin BCG Vial 0 0
Vaksin BCG Ampul 0 0
Vaksin BCG Ampul 2 0
7 Vaksin Campak 10 Dosis Ampul 0 0
8 Vaksin DT Vial 0 0
Vaksin DT Vial 0 0
9 Vaksin TD Vial 0 0
Vaksin TD Vial 0 0
Vaksin TD Vial 8 0
10 Vaksin DTP-HB Vial 0 0
11 Vaksin DPT-HB/Hib Vial 0 0
Vaksin DPT-HB/Hib Vial 3 0
12 Vaksin HB Uniject Vial 0 0
Vaksin HB Uniject Pcs 12 0
13 Vaksin MR (VVM.A) Pcs 0 0
Vaksin MR (VVM.A) Vial 0 0
Vaksin MR (VVM.A) Vial 3 0
14 Vaksin Polio Vial 0 0
Vaksin Polio Vial 15 0
15 Vaksin Polio IPV 5 Dosis Vial 0 0
Vaksin Polio IPV 5 Dosis Vial 0 0
16 Vaksin Polio 10 IPV Dosis Vial 0 0
17 Vaksin TT Vial 0 0
18 Vaksin Campak Bias Vial 0 0
19 Vaksin Covid-19 (10 d0sis) Vial 0 0
20 0 0
JUMLA
NO NAMA SEDIAAN H
Stok PEMAK
Awal AIAN
A. O B A T
Ambroksol Tablet 30 mg 0 0
Ambroksol sirup 15 mg/5 ml 140 9
18 Amoksisillin Double Strengh Sirup Kerin 0 0
25 Antasida Doen Tablet, Kombinasi : M 0 0
Antasida Doen Tablet, Kombinasi : M 0 0
Antasida Plus Tablet 610 90
Antalgin (Metampiron) Tablet 500 mg 0 0
Antitusiva Sirup 0 0
42 Asam Askorbat (Vit. C) Tablet 50 mg 0 0
51 Attapulgit 0 0
Attapulgit 0 0
Betahistin Mesilat 6 mg 0 0
Bromheksin 8 mg 17600 0
Deksametason Tablet 0,5 mg 0 0
Digoksin Tablet 0,25 mg 0 0
84 Etanol 70 % 100 ml 0 0
Fenitoin Natrium Kapsul 100 mg 0 0
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 0 0
Garam Oralit I serbuk, kombinasi : 2730 16
Glimepiride 2 mg 0 0
Gliseril Guayakolat Tablet 100 mg 0 0
Kalsium Laktat Tablet 500 mg 11300 570
131 Kaptopril 12,5 mg 19320 0
132 Kaptopril 25 mg 18404 220
Kloramfenikol suspensi125mg/5 ml 0 0
Kloramfenikol Salep Mata 1%-3,5 g 0 0
Kloramfenikol Tetes Mata -5 ml 0 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi 0 0
155 Kotrimoksazol Tablet, Kombinasi : 0 0
156 Kotrimoksazol Suspensi Kombinasi : 0 0
Lidokain injeksi 2 % 930 0
168 MB Anak 0 0
169 MB Dewasa 0 0
Meloksikam tablet 15 mg 0 170
176 Metilergometrin Maleat (Metergin) Tab 0 0
177 Metilergometrin Maleat Injeksi 0,200 m 0 0
Metilergometrin Maleat Injeksi 0,200 m 95 0
Natrum Diklofenak Tablet 25 mg 0 0
191 Natrium Diklofenak Tablet 50 mg 0 0
192 Natrium Klorida Larutan infus 0,9%-Steri 340 5
Nistatin 100.000 IU/gram Tablet Vagina 155 0
204 Obat Anti Tuberkolosis FDC Sisipan Dew 0 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-1 0 0
216 Parasetamol drop 100 mg/ml btl @15ml 1069 8
Parasetamol drop 100 mg/ml btl @15ml 0 13
217 Parasetamol Sirup 120 mg/5ml-60 ml 0 0
Parasetamol Sirup 120 mg/5ml-60 ml 0 0
219 Parasetamol Tablet 500 mg 1E+05 2518
220 PB Anak 0 0
221 PB Dewasa 0 0
228 Pirantel Pamoat Tablet 365 mg (Setara 0 0
236 Prokain Benzil Penisilin Injeksi 3,000,000 0 0
248 Salbutamol solution for Inhalation single 0 0
Salep Luka Bakar 0 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml s 0 0
259 Setirizin Tablet 10 mg 0 0
Setirizin Tablet 10 mg 0 0
Sianokobalamin Tablet 50 mcg 0 0
Spironolakton Tablet 25 mg 0 0
270 Temporary Stopping Fletcher (Fletcher) 0 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml- 0 0
279 Triheksifenidil Hidroklorida Tablet 2 mg 0 0
282 Zinc Tablet 20 mg 2680 10
285 Asam Folat Tablet 0,4 mg 0 0
286 Gentamisin Sulfat tetes mata 0,3% 0 0
287 Obat Kumur 32 0
290 Propanolol 10mg 0 0
Propanolol 10mg 0 0
292 Bisakodil Suppositoria 5 mg 0 0
Bisakodil Suppositoria 5 mg 0 0
293 Obat Batuk Herbal (Herbakof) 1317 118
294 Amoksisillin Drops 40 11
295 Tablet Hepatoprotector (Curcuma) 710 390
296 Simvastatin 20mg 1060 60
297 Klozapine 25mg 0 0
298 Bisoprolol 2,5mg 0 0
299 Vitamin C 500mg 29230 325
300 Vitamin D 1000 IU 2418 203
301 Multivitamin Tablet Kombinasi VitC,Vit D, 8594 20
302 Multivitamin Syrup 1427 42
0 0
Alat Gula, Kolesterol, Asam Urat 0 0
10 Alkohol Swab 5400 0
14 Blood Set 0 0
Catgut/Benang Bedah No.2/0 Plain 0 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 m 29 1
18 Etanol 70 % 1.000 ml 0 0
19 Eter Alkohol 0 0
Infus set Anak 10 0
25 Iodina Test 0 0
26 Kaca Slide 0 0
Kassa Pembalut 2 m x 80 cm 5 0
34 Kertas Puyer 0 0
36 Kertas Lensa 0 0
37 Lysol 1,000 ml 0 0
38 Masker 700 0
Masker 0 0
Masker Ear Loop 800 0
Masker Head Loop 1100 0
39 Masker N 95 0 0
Masker N 96 0 0
42 Polifix 15 0
Polifix 5 0
43 Pot Dahak 0 0
51 Reagen CD 4 0 0
55 Safety Box 0 0
62 Sountimer 0 0
Stik Pemeriksaan Gula Darah Benechec 0 0
Stik Pemeriksaan Gula Darah One Touch 0 0
Stik Pemeriksaan Kolesterol Benecheck 0 0
66 Supratul 0 0
67 Urine Bag 0 0
Urine Bag 0 0
69 Blood Lancet 25 0
71 Bisturi 0 0
Bisturi 0 0
Bisturi 25 0
72 Cairan Antiseptik Botol 5 Liter 0 0
73 Cairan Desinfektan 5 Liter 0 0
74 Cairan Detergen 5 Liter 0 0
75 Gel USG 0 0
Gel USG 20 0
76 IV Dressing 0 0
IV Dressing 0 0
77 Mucus Extractor 0 0
78 Nasal Oxygen Anak 0 0
79 Nasal Oxygen Bayi 0 0
80 Nasal Oxygen Dewasa 0 0
81 Plester Bulat Non Woven 0 0
82 Plester Transparan 0 0
83 PP test 0 0
PP test 0 0
85 Sarung Tangan Obgyn Steril 0 0
Sarung Tangan Obgyn Steril 40 0
86 Stik Pemeriksaan Hb 0 0
87 Umbilical Cord Klem Steril Nylon 0 0
88 Underpad 60x90 cm Non Steril 0 0
89 Stik Gula Darah Baru 0 0
90 Stik Asam Urat Baru 0 0
91 Stik Hb 0 0
92 ChOLESTROL chod-pap 0 0
93 Creatinin mod iaffe 0 0
94 Glucosa God-pap 0 0
95 GOT (AST) mod iffe 0 0
96 GPT 0 0
97 Trigliserida GPO-PAP 0 0
98 Urea UV-auto,Urease/GLDH 0 0
99 Urid Acid TBHA 0 0
100 Dumacon Auto 0 0
101 Micropipet 5,0-50 Ul 0 0
102 Micropipet 10-100UL 0 0
103 Tabung Vacutainer 0 0
104 HGB Drab Kin 0 0
105 Nasal Kanul Dewasa 8 0
106 Nasal Kanul Anak 3 0
107 Coveral II (APD) Non Woven 44 0
0 0
6 Vaksin BCG 0 0
8 Vaksin DT 0 0
9 Vaksin TD 0 0
14 Vaksin Polio 0 0
17 Vaksin TT 0 0
18 Buku Kontrak 0 0
19 0 0
20 0 0
PENERIMAAN OBAT BULAN MEI DAK
Penerimaan Persediaan Tgl Pema
Stok JKN Non JKN 1 2 3 4 5 6 7 8 9 10 11 12
Awal
A. OBAT
Albendazole Tablet 400 mg Tablet 0
Ambroksol Tablet 30 mg Tablet 550 10 20 20 60
Ambroksol sirup 15 mg/5 ml Botol 347 2 4
Amitriptillin Hcl Tablet Salut 25 mg Tablet 0
Amlodipin Tablet 10 mg Tablet 690 10 20 30
Amoksisillin Kapsul 250 mg Kapsul 2798 30 10 20
15 Amoksisillin Kaplet 500 mg Kaplet 16620 70 10 20 40
Amoksisillin Sirup Kering 125 mg/5ml Botol 0
18 Amoksisillin Double Strengh Sirup Kerin Botol 0
Amoksisillin Double Strengh Sirup Kerin Botol 72 6 2 2
Ampisillin Injeksi 1000 mg Vial 0
24 Antasida Doen Suspensi Kombinasi : M Botol 0
Antasida Doen Suspensi Kombinasi : M Botol 0
25 Antasida Doen Tablet, Kombinasi : Ma Tablet 0
Antasida Doen Tablet, Kombinasi : Ma Tablet 0
Antasida Doen Tablet, Kombinasi : Ma Tablet 6210 50 20 10 50 50 30 40
39 Antitusiva Sirup Botol 56 1 2 3
Asam Mefenamat Kapsul 500 mg Kapsul 0
Asam Mefenamat Kapsul 500 mg Kapsul 2290 10 20 20 30
Acetylsistein tablet Tablet 0
Asiklovir Krim 5 % Tube 0
50 Asiklovir Tablet 400 mg Tablet 365 25 20
Attapulgit Tablet 2740
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 10
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 Vial 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 Vial 0
Aqua Pro Injeksi Steril, bebas Pirogen 1 L Vial 20
Aqua Pro Injeksi Steril, bebas Pirogen 20 Botol 2
Bahan Tambal Sementara Set 0
Dimenhidrinat Tablet 50 mg Tablet 0
Fenobarbital tablet 30 mg Tablet 190
Fenobarbital injeksi 50 mg / ml Ampul 60
Flufenazine decanoat injeksi 25 mg/ml Ampul 0
95 Fitomenadion tablet 10 mg Tablet 960 10 10
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 Ampul 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1 Ampul 570
Gentamisin injeksi 80 mg / 2 ml Vial 0
Glibenklamid Tablet 5 mg Tablet 0
106 Glimepiride 2 mg Tablet 1000 10 20 10
Glukosa Larutan Infus 5 % 5
Haloperidol Tablet 1,5 mg 0
Haloperidol Tablet 5 mg Tablet 0
Ibuprofen Suspensi 100 mg/5 ml Botol 0
Isoniazid tablet 100 mg Tablet 180
130 Kalsium Laktat Tablet 500 mg Tablet 500 10
Kaptopril 25 mg Tablet 2000
Klindamisin Kapsul 150 mg Kapsul 300 10 10
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 7400 20 120
Klorpromazin Hcl Tablet Salut 25 mg Tablet 0
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 0
152 Kombinasi Ipatropium Bromide + Salbutamol
Vial 0
Kombipak Cefixime+ Azithromisin Kotak 5
154 Kotrimoksazol Pedriatik Tablet, KombinasiTablet 0
Kotrimoksazol Suspensi Kombinasi : Botol 0
Lansoprazole 30 mg Kapsul Tablet 800 10 20
Larutan mengadung Elektrolit Botol 0
Larutan mengadung Elektrolit Botol 0
160 Larutan mengadung Karbohidrat + Elektrolit
Botol 0
MB Anak Blister 0
MB Anak Blister 6
MB Dewasa Blister 0
MB Dewasa Blister 0
MB Dewasa Blister 0
Metformin Hcl Tablet 500 mg Tablet 0 10 10 30 20 10 50
176 Metilergometrin Maleat (Metergin) Tab Tablet 0
Metilergometrin Maleat (Metergin) Tab Tablet 500
Metilergometrin Maleat (Metergin) Tab Tablet 0
177 Metilergometrin Maleat Injeksi 0,200 m Ampul 50
Metilprednisolon tablet 4 mg Tablet 0
Metilprednisolon tablet 4 mg Tablet 320 10 10
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 0
Natrium Diklofenak Tablet 50 mg Tablet 1350
192 Natrium Klorida Larutan infus 0,9%-Steri Botol 0
Nistatin suspensi 100.000 IU/ml Botol 67 1 2
Nistatin 100.000 IU/gram Tablet Vagina 100
198 Obat Antitiuberkolosis Kategori 1 Dewas Paket 0
Obat Antitiuberkolosis Kategori 1 Dewas Paket 0
199 Obat Antitiuberkolosis Kategori 2 Dewas Paket 0
Obat Antitiuberkolosis Kategori 2 Dewas Paket 0
200 Obat Antitiuberkolosis Kategori2 Dewas Paket 0
Obat Anti Tuberkulosis FDC Kat I & III Paket 0
204 Obat Anti Tuberkolosis FDC Sisipan Dew Paket 0
Obat Batuk Hitam (OBH) Cairan 100 ml Botol 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-1 Vial 0
Oksiterasiklin Salep Mata 1%-3,5g Tube 0
Omeprazole Kapsul 20 mg 600
216 Parasetamol drop 100 mg/ml btl @15ml Botol 0
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 390 4 10 10 10 4 2 5
Parasetamol Tablet 500 mg Tablet 0
PB Dewasa Blister 0
PB Dewasa Blister 0
228 Pirantel Pamoat Tablet 365 mg (Setara Tablet 0
Prednison Tablet 5 mg Tablet 2060 70 30 20 20 40 120 70
236 Prokain Benzil Penisilin Injeksi 3,000,000 Vial 0
Ranitidin Tablet 150 mg Tablet 4760 10 40 10
Ringer Laktat Larutan Infus Steril 500 ml Botol 40
248 Salbutamol solution for Inhalation single Ampul 0
Salisil bedak 2% -50 gr Kotak 27 2 5
252 Sefadroksil Sirup Kering 125 mg / 5 ml s Botol 0
Sefadroksil Sirup Kering 125 mg / 5 ml s Botol 0
Sefiksim 400 mg + Azitromisin 1000 mg Paket 0
259 Setirizin Tablet 10 mg Tablet 200 10 20
Sianokobalamin Injeksi 500 mcg/ml-1ml Ampul 0
Simetidin 200 mg Tablet Tablet 0
Tablet Tambah Darah Kombinasi: Tablet 0
270 Temporary Stopping Fletcher (Fletcher) Set 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1 Ampul 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet Tablet 0
Thiamfenikol Kapsul 500 mg Kapsul 300
Vitamin B .Komplek Tablet Tablet 590 10 20 30 10 40 40
Zinc Sulfat 20 mg/5 ml Botol 22
284 Hepatorotector tablet (Curcuma) Tablet 0
Hepatorotector tablet (Curcuma) Tablet 0
285 Obat Batuk Herbal Botol 0
Salep Kloramfenikol + Hidrokortison 0
289 Bahan Pembersih Kavitas Botol 0
290 Flour Gel Botol 0
291 Glass Lonomer Posterior set 0
292 Hyposol 3% Botol 0
293 Paramonochlorofenol/CHKM Botol 0
294 Saliva Ejector Pcs 0
Salep Betametason + Neomisin Tube 0
296 Bahan Pemutih Gigi Pot 0
297 Metronidazol Inj Ampul 0
298 Box Slide Pcs 0
299 Box Slide Pcs 0
301 Mineral Mix Sachet 0
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 20
304 Oseltamivir Kapsul Kapsul 0
Oseltamivir Kapsul Kapsul 0
305 Azitromycin Tablet 0
306 Box Object Glass isi 50 Grey Orange Pcs 7
308 Multivitamin Tablet 700
309 Poli Aid 1 Liter Botol 3
0
Alkohol Swab Kotak 0
Auto Disposable Syringe (ADS) 5 ml Set 0
14 Blood Set Set 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 mlBotol 15
Etakridin Larutan (Rivanol) 0,1% - 300 mlBotol 0
Etanol 70 % 1.000 ml Botol 0
26 Kaca Slide Pcs 0
Kaca Slide Pcs 0
Kassa Kompres 40 x 40 steril Bungkus 0
34 Kertas Puyer Bungkus 0
38 Masker Buah 0
Masker Buah 0
Masker Buah 0
Masker Buah 0
Masker Kain Headloop KEMKES Pcs 2400
Masker Kain Earloop KEMKES Pcs 2400
Masker N 96 Pcs 4
Masker KN95 Pcs 145
Minyak Imersi Botol 1
42 Polifix 5 cm x 5 m Rol 0
Polifix 5 cm x 5 m Rol 0
43 Pot Dahak Pcs 0
Pot Dahak Pcs 0
Pot Dahak Pcs 300
Rapid HIV 1+2KHB Test 0
Rapid Test HIV 1/2 Vikia DS Test 0
Rapid HIV 1 (SD HIV) Test 700
Rapid Tes SD Bioline HBSAG Test 0
Hepatitis B Imunoglobulin inj 220 IU (HbiVial 1
Reagen Ziehl Nielsen Botol 5
RPR Test Syphilis Test 0
55 Safety Box Pcs 0
Safety Box Pcs 0
Safety Box Pcs 2
62 Sountimer Buah 0
Supratul Lembar 0
67 Urine Bag set 0
71 Rapin HIV Oncoprobe Test 0
72 Steryzime Dual Enzymatis 5 Lt Galon 0
73 Sterald 30 High Level Surface Desinfekta Galon 0
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 0
75 Bioplacenton Tulle 10 x 10 Lembar 0
76 Vikia Biumeric Test 0
77 Sterad Galon 0
78 Hepatitis B Imunolobin syringe 2
79 Slide 0
80 IV Catheter 20 Pcs 0
81 Stericide 3 Surface Desinfektan 5Lt Galon 0
82 Serum Tetagam P Injeksi PFS 0
83 Biosave Serum ABU Injeksi Vial 0
84 Baju APD (COVER ALL) Pcs 0
85 Sepatu Boot Saffety Pcs 0
86 Kacatamata Google Pcs 0
87 Sarung Tangan Karet Latex Pcs 0
88 Rapid Test Kit Covid-19 Test 0
89 VTM & Swab Dacron Citodia Pcs 0
VTM + Swab (KH Medial) Test 300
90 Panbio Covid-19 Antigen Test 50
91 ADS 0,5 ml Alokasi Pcs 0
92 Alkohol Swab Alokasi Pcs 0
93 Safety Box Alokasi Pcs 0

1 Serum Anti Bisa Ular Polivalen Injeksi 5 mVial 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 Ampul 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 Vial 0
Vaksin BCG Ampul 0
Vaksin BCG Ampul 5
8 Vaksin DT Vial 0
Vaksin DT Vial 0
9 Vaksin TD Vial 0
Vaksin TD Vial 0
Vaksin TD Vial 0
Vaksin DPT-HB/Hib Vial 20
Vaksin HB Uniject Pcs 9
Vaksin MR (VVM.A) Vial 0
Vaksin Polio Vial 0
Vaksin Polio IPV 5 Dosis Vial 0
17 Vaksin TT Vial 0
18 Vaksin Campak Bias Vial 0
19 Vaksin Covid-19 (10 d0sis) Vial 0
20 0
Tgl Pemakaian Bulan Februari 2021 JUMLAH
PEMAKA
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 IAN
0
0
0
0
0
50 50
0
0
0
80 190
0
1 2 3 3 11 26
0
0
0
0
0
0
0
30 60
0
20 50 25 75 10 20 260
0
10 10 10 20 10 10 50 10 190
30 80 2 60 10 50 50 70 492
0
0
0
0
0
2 1 5 2 20
1 1
0
0
0
20 20
0
0
0
0
0
20 40 80 40 10 20 70 60 10 600
0
0
0
0
0
0
0
60 60
0
0
0
0
0
0
1 2 4 13
0
200 200
0
0
0
0
0
10 20 10 10 130
0
0
0
0
0
0
0
0
20 65
0
20 100 130
740 740
0
0
0
0
0
0
0
0
0
0
90 90
0
0
4 4
2 2
0
0
0
0
0
20 20
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
30 50
0
0
0
0
0
0
0
0
0
0
0
0
10 30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30 10 10 60
0
10 10 30 90
25 20 40 10 10 105
0 0 0
0
2 2
0
0
0
50 200 250
0
10
0
0
0
10 15 10 50
0
0
20 20
0
0
0
40 40
20 20
1 3
0
0
0
0
0
0
1 2 5
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
1 1
0
0
0
0
0
0
0
0
10 30
0
0
0
0
0
0
0
0
0
160 100 100 20 60 70 650
0
0
0
0
0
0
0
0
0
0
0
1 1
0
30 30
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30 30
0
0
10 50 20 10 220
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
20 30
0
0
0
0
0
0
0
0
0
0
0
0
1 1
0
0
2 5
0
0
0
0
0
0
0
180 95 275
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 7
0
0
0
0
0
0
0
0
0
10 1 2 2 2 5 5 1 5 5 83
0
0
0
0
0
0
0
0
0
0
0
0
2 2
0
0
0
0
0
0
30 30
0
0
0
0
90 80 50 80 60 10 20 80 70 10 20 940
0
0
0
5 5
0
0
0
0
10 10 20 70 60 50 50 330
0
0
0
0
0
0
0
0
0
0
10 30
0
0
0
6 6
0
0
3 5 1 16
90 90
0
0
1 3
0
0
0
0
0
0
0
0
10 20 20 10 90
0
0
0
0
0
0
10 10 10 30
0
0
0
0
0
15 8 23
0
170 170
0
0
0
30 45 75
30 30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 20 40 80 70 30 90 40 80 650
0
300 150 470
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15 20 10 60
0
35 50
0
0
0
0
0
35 10 45
30 30 50 50 100 100 360
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
PEMAKAIAN BULAN MEI OBAT JKN
Penerimaan Persediaan Tgl P
NO NAMA SEDIAAN
Stok JKN Non JKN 1 2 3 4 5 6 7 8 9 10 11 12
Awal
A. O B A T
1 Air Raksa Dental Use 0
2 Albendazole Tablet 400 mg 0
3 Albendazole susp 200 mg/5 ml 0
4 Alopurinol Tablet 100 mg 0
Alopurinol Tablet 100 mg 0
5 Alopurinol Tablet 300 mg 0
6 Alprazolam tablet 1 mg 0
7 Ambroksol Tablet 30 mg 0
Ambroksol Tablet 30 mg 0
8 Ambroksol sirup 15 mg/5 ml 0
Ambroksol sirup 15 mg/5 ml 131 1 3
9 Aminofillin Injeksi 24 mg/ml-10 ml 0
10 Aminofillin Tablet 200 mg 0
Aminofillin Tablet 200 mg 0
11 Amitriptillin Hcl Tablet Salut 25 mg 0
12 Amlodipin Tablet 5 mg 0
13 Amlodipin Tablet 10 mg 0
14 Amoksisillin Kapsul 250 mg 0
Amoksisillin Kapsul 250 mg 0
Amoksisillin Kapsul 250 mg 0
15 Amoksisillin Kaplet 500 mg 0
Amoksisillin Kaplet 500 mg 15517 40 60 20 30 30 50
Amoksisillin Kaplet 500 mg 24710
16 Amoksisillin Serbuk Injeksi 1000 mg 0
17 Amoksisillin Sirup Kering 125 mg/5ml 294 2 2 1 1 2 1
18 Amoksisillin Double Strengh Sirup Kering 0
19 Ampisilin Kapsul 250 mg 0
20 Ampisillin Kaplet 500 mg 0
21 Ampisilin Sirup 125 mg / 5 ml 0
22 Ampisillin Injeksi 1000 mg 0
23 Analgetik Plus 0
24 Antasida Doen Suspensi Kombinasi : Ma 219 2 2 2 1
25 Antasida Doen Tablet, Kombinasi : Mag 0
Antasida Doen Tablet, Kombinasi : Mag 0
26 Antasida Plus Tablet 0
Antasida Plus Tablet 520 10 10 10 10 10
27 Antalgin (Metampiron) Tablet 500 mg 0
Antalgin (Metampiron) Tablet 500 mg 0
28 Antalgin Injeksi 250 mg/ml-2ml 0
29 Anti Bakteri DOEN Salep Kombinasi : 0
30 Anti Hemoroid Doen komb 0
31 Anti Fungi DOEN Kombinasi : 0
Anti Fungi DOEN Kombinasi : 0
Anti Fungi DOEN Kombinasi : 0
32 Antimigren DOEN Kombinasi : 0
33 Anti Diare Suspensi 0
34 Anti Diare Tablet 0
35 Anti Dotum Oral Tablet 0
36 Anti Hipertensi Kapsul 0
37 Antihistamin Tablet kombinasi 0
38 Antispasmodik Tablet 0
39 Antitusiva Sirup 0
Antitusiva Sirup 0
40 Antitusiva Tablet 0
41 Asam Folat Tablet 1 mg 0
42 Asam Askorbat (Vit. C) Tablet 50 mg 0
Asam Askorbat (Vit. C) Tablet 50 mg 0
43 Asam Mefenamat Kapsul 500 mg 0
44 Acetylsistein tablet 0
45 Asetosal Tablet 80 mg 0
48 Asiklovir Krim 5 % 4244 2 4
49 Asiklovir Tablet 200 mg 0
50 Asiklovir Tablet 400 mg 0
51 Attapulgit 0
Attapulgit 0
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 0
54 Bahan Tambal Sementara 0
55 Benzatin Benzil Penisilin injeksi 0
56 Betahistin Mesilat 6 mg 1070
Betahistin Mesilat 6 mg 0
57 Betametason Krim 0,1 %- 5g 0
58 Bisakodil suppositoria 10 mg 0
59 Bisoprolol Tablet 5 mg 0
60 Bromheksin 8 mg 4580
Bromheksin 8 mg 17600
61 Cresotin Pasta 0
62 Cresotin Liquid No 2 0
63 Deksametason Injeksi 5mg/ml-1ml 0
64 Deksametason Tablet 0,5 mg 0
Deksametason Tablet 0,5 mg 0
65 Devitalisasi Pasta (Non Arsen) 0
66 Diazepam tablet 2 mg 0
67 Diazepam tablet 5 mg 0
68 Diazepam Injeksi i.v/i.m 5 mg/ml 0
69 Diazepam Larutan Rektal 5 mg/ml 0
70 Diazepam Larutan Rektal 10 mg/ml 0
71 Dietilkarbamazin Sitrat Tablet 100 mg 0
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml 0
Difenhidramin HCl Injeksi 10 mg/ml-1ml 0
73 Digoksin Tablet 0,25 mg 0
Digoksin Tablet 0,25 mg 0
74 Dimenhidrinat Tablet 50 mg 0
75 Domperidon Tablet 10 mg 9409
Domperidon Tablet 10 mg 0
76 Donperidon Suspensi 5 mg/5ml 0
77 Efedrin Hcl Tablet 25 mg 0
78 Ekstrak Belladone Tablet 10 mg 0
79 Epinefrin HCl / Bitartrat 0
80 Eritromisin Kapsul 250 mg 0
81 Eritromisin Kapsul 500 mg 0
82 Eritromisin Sirup 200 mg / 5 ml 0
83 Etambutol Tablet 500 mg 0
84 Etanol 70 % 100 ml 0
85 Etil Klorida Semprot -100 ml 58
86 Eugenol Cairan -10 ml 0
87 Fenitoin Natrium Kapsul 100 mg 0
Fenitoin Natrium Kapsul 100 mg 0
88 Fenobarbital tablet 30 mg 475
89 Fenobarbital injeksi 50 mg / ml 0
90 Fenoksimeti Penisilin 250 mg tablet 0
Fenoksimeti Penisilin 250 mg tablet 0
91 Fenoksimeti Penisilin 500 mg tablet 0
Fenoksimeti Penisilin 500 mg tablet 0
92 Fenol Gliserol TK 0
93 Flufenazine decanoat injeksi 25 mg/ml 0
94 Flukonazole tablet 150 mg 0
95 Fitomenadion tablet 10 mg 0
Fitomenadion tablet 10 mg 0
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1m 0
97 Furosemid Tablet 40 mg 0
Furosemid Tablet 40 mg 0
98 Furosemid injeksi 0
99 Garam Oralit I serbuk, kombinasi : 0
Garam Oralit I serbuk, kombinasi : 2714
100 Gemfibrozil Tablet 600 mg 0
101 Gentian Violet 0
102 Gentamisin injeksi 80 mg / 2 ml 0
103 Gentamisin Salep Kulit 0,1 % 0
Gentamisin Salep Kulit 0,1 % 0
Gentamisin Salep Kulit 0,1 % 15
104 Glass Ionomer 0
106 Glimepiride 2 mg 0
Glimepiride 2 mg 0
107 Gliseril Guayakolat Tablet 100 mg 0
Gliseril Guayakolat Tablet 100 mg 0
108 Gliseril Guayakolat sirup 0
Gliseril Guayakolat sirup 0
109 Glukonas Kalsikus injeksi 0
110 Glukosa Larutan Infus 5 % 0
111 Glukosa Larutan Infus10 % 0
112 Griseofulvin Tablet 125 mg,micronized 0
113 Haloperidol Tablet 0,5 mg 0
114 Haloperidol Tablet 1,5 mg 0
115 Haloperidol Tablet 5 mg 0
116 Haloperidol injeksi 5 mg/ml 0
117 Haloperidol injeksi 50 mg/ml 0
118 Hidroklortiazid (HCT) Tablet 25 mg 0
Hidroklortiazid (HCT) Tablet 25 mg 7990
119 Hidrokortison Krim 2,5 % 0
Hidrokortison Krim 2,5 % 14
120 Ibuprofen Tablet 200 mg 0
121 Ibuprofen Tablet 400 mg 4635 300 160 200 200 200 150 150 250
Ibuprofen Tablet 400 mg 10000 50 100 200 200 100 300 200
122 Ibuprofen Suspensi 100 mg/5 ml 0
123 Ichtyol salep Kulit 0
124 Isoniazid tablet 100 mg 0
125 Isoniazid tablet 300 mg 0
126 Isosorbid Dinitrat 5 mg 0
Isosorbid Dinitrat 5 mg 0
127 Kalium Diklofenak Tablet 25 mg 0
128 Kalium Diklofenak Tablet 50 mg 7090 20 40
Kalium Diklofenak Tablet 50 mg 1910
129 Kalsium Hidroksida Pasta 0
130 Kalsium Laktat Tablet 500 mg 0
Kalsium Laktat Tablet 500 mg 10730 20 50
131 Kaptopril 12,5 mg 19320
132 Kaptopril 25 mg 18184 20 10 20 20
133 Karbamazepin Tablet 200 mg 0
134 Ketokonazole Krim 2 % - 15 gr 0
135 Ketokonazole Tablet 200 mg 0
Ketokonazole Tablet 200 mg 0
136 Ketoprofen Tablet 100 mg 0
137 Ketoprofen Injeksi 100 mg / 1 ml 0
138 Ketorolac 10 mg injeksi 0
139 Ketorolac 30 mg injeksi 0
140 Klindamisin Kapsul 150 mg 0
141 Klindamisin Kapsul 300 mg 0
142 Kloramfenikol Kapsul 250 mg 0
143 Kloramfenikol suspensi125mg/5 ml 0
Kloramfenikol suspensi125mg/5 ml 0
144 Kloramfenikol Salep Mata 1%-3,5 g 0
Kloramfenikol Salep Mata 1%-3,5 g 0
145 Kloramfenikol Salep Kulit 2% 0
146 Kloramfenikol Tetes Mata -5 ml 0
Kloramfenikol Tetes Mata -5 ml 0
148 Klorfeniramin Maleat (CTM) Tablet 4 mg 0
Klorfeniramin Maleat (CTM) Tablet 4 mg 0
Klorfeniramin Maleat (CTM) Tablet 4 mg 0
Klorfeniramin Maleat (CTM) Tablet 4 mg 74754 60 20 15 40 60 60
149 Klorpromazin Hcl Tablet Salut 25 mg 0
150 Klorpromazin Hcl Tablet Salut 100 mg 0
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml 0
152 Kombinasi Ipatropium Bromide + Salbutamol 0
153 Kombipak Cefixime+ Azithromisin 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi : 0
155 Kotrimoksazol Tablet, Kombinasi : 0
156 Kotrimoksazol Suspensi Kombinasi : 0
157 Lansoprazole 30 mg Kapsul 0
Lansoprazole 30 mg Kapsul 0
Lansoprazole 30 mg Kapsul 7810 10 30
158 Larutan mengadung Elektrolit 0
159 Larutan mengadung Elektrolit 0
160 Larutan mengadung Karbohidrat + Elektrolit 0
161 Lidokain injeksi 2 % 0
Lidokain injeksi 2 % 930
162 Lidokain Komp Injeksi, Kombinasi : 0
Lidokain Komp Injeksi, Kombinasi : 0
163 Lidokain Spray 0
164 Loperamid Tablet 2 mg 0
Loperamid Tablet 2 mg 0
165 Loratadin tablet 10 mg 0
Loratadin tablet 10 mg 390
166 Magnesium Sulfat (IV) 20 %-25 ml 0
Loperamid Tablet 2 mg 0
Magnesium Sulfat (IV) 20 %-25 ml 0
167 Magnesium Sulfat (IV) 40 %-25 ml 0
Magnesium Sulfat (IV) 40 %-25 ml 0
168 MB Anak 0
169 MB Dewasa 0
170 Meloksikam tablet 15 mg 3990 100 10
Meloksikam tablet 15 mg 0
171 Meloksikam Suppositoria 0
172 Metformin Hcl Tablet 500 mg 0
173 Metformin 850 mg 0
174 Metildopa 250 mg tablet 500
175 Methisoprinol 500 mg 0
176 Metilergometrin Maleat (Metergin) Tabl 0
Metilergometrin Maleat (Metergin) Tabl 0
177 Metilergometrin Maleat Injeksi 0,200 mg 0
Metilergometrin Maleat Injeksi 0,200 mg 95
178 Metilprednisolon tablet 4 mg 0
179 Metoklopramid 10 mg 0
Metoklopramid 10 mg 0
Metoklopramid 10 mg 0
180 Metoklorpropamid Injeksi 5 mg/ 5 ml 0
181 Metronidazol Tablet 250 mg 0
182 Metronidazole Tablet 500 mg 0
183 Metronidazole sirup 125 mg/ml 0
184 Metronidazole Infus 500 mg /100 ml 0
185 Mikonazole KrIm 2 % - 10 gr 0
186 Multivitamin + Mineral tablet 0
Multivitamin + Mineral tablet 0
Multivitamin + Mineral tablet 1790 20 100
187 Multivitamin sirup 0
Multivitamin sirup 0
Multivitamin sirup 0
188 Mummifying Pasta 0
189 Natrium Bikarbonat Tablet 500 mg 0
190 Natrum Diklofenak Tablet 25 mg 0
Natrum Diklofenak Tablet 25 mg 0
191 Natrium Diklofenak Tablet 50 mg 0
192 Natrium Klorida Larutan infus 0,9%-Steril 335
193 Nipedifin Tablet 10 mg 0
194 Nistatin suspensi 100.000 IU/ml 0
195 Nistatin 100.000 IU/gram Tablet Vagina 0
196 Nistatin 500.000 IU/gram Tablet Salut 0
Nistatin 500.000 IU/gram Tablet Salut 300
197 Obat Antitiuberkolosis Kategori Anak 0
198 Obat Antitiuberkolosis Kategori 1 Dewasa 0
201 Obat Anti Tuberkulosis FDC Kat Anak 0
202 Obat Anti Tuberkulosis FDC Kat I & II 0
203 Obat Anti Tuberkulosis FDC Kat I & III 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewa 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml 0
206 Obat Batuk Cair Sirup (Ekspektoran) 0
Obat Batuk Cair Sirup (Ekspektoran) 0
207 Obat Batuk Hitam Plus Sirup 0
208 Obat Flu Sirup 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 0
210 Oksiterasiklin Salep Mata 1%-3,5g 17
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g 0
Oksitetrasiklin Hcl Salep Kulit 3%-5g 0
Oksitetrasiklin Hcl Salep Kulit 3%-5g 98 2 6
212 Oksitosin Injeksi 10 IU/ml-1ml 0
Oksitosin Injeksi 10 IU/ml-1ml 0
213 Omeprazole injeksi 40mg/10ml 0
214 Omeprazole Kapsul 20 mg 0
215 Ondansetron inj 4 mg/ 2 mL 0
216 Parasetamol drop 100 mg/ml btl @15ml 1048
Parasetamol drop 100 mg/ml btl @15ml 0
217 Parasetamol Sirup 120 mg/5ml-60 ml 0
Parasetamol Sirup 120 mg/5ml-60 ml 0
218 Parasetamol Tablet 100 mg 0
219 Parasetamol Tablet 500 mg 100000 170 115 90 50 110 100
220 PB Anak 0
221 PB Dewasa 0
222 Pehacain injeksi 0
Pehacain injeksi 0
223 Perak Sulfadiazin krim 1 % 35 gr 0
224 Permetrin krim 5 % 719
225 Piracetam Tablet 400 mg 0
226 Piracetam Tablet 800 mg 0
227 Piroksikam Tablet 20 mg 16000 10 10
Piroksikam Tablet 20 mg 0
228 Pirantel Pamoat Tablet 365 mg (Setara d 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg 0
Piridoksin Hcl (Vit.B6) Tablet 10 mg 0
Piridoksin Hcl (Vit.B6) Tablet 10 mg 0
231 Povidon Iodida 10% 30 ml 0
Povidon Iodida 10% 30 ml 0
Povidon Iodida 10% 60 ml 0
234 Prednison Tablet 5 mg 0
235 Primakuin tablet 15 mg 0
236 Prokain Benzil Penisilin Injeksi 3,000,000 0
237 Propanolol Hcl Tablet 40 mg 0
Propanolol Hcl Tablet 40 mg 0
238 Propilturasil Tablet 100 mg 0
239 Ranitidin Injeksi 25 mg / ml 0
240 Ranitidin Tablet 150 mg 0
241 Retinol (Vit. A) 100.000 IU Kapsul 0
242 Retinol (Vit. A) 200.000 IU Kapsul 0
Retinol (Vit. A) 200.000 IU Kapsul 0
243 Reserpin Tablet 0, 25 mg 0
244 Rifampisin Tablet 450 mg 0
245 Ringer Laktat Larutan Infus Steril 500 ml 0
246 Salbutamol Tablet 2 mg 0
247 Salbutamol Tablet 4 mg 0
Salbutamol Tablet 4 mg 0
248 Salbutamol solution for Inhalation single d 0
249 Salep 2-4 Kombinasi : 0
Salep 2-4 Kombinasi : 335 3 3
250 Salisil bedak 2% -50 gr 0
Salisil bedak 2% -50 gr 0
251 Salep Luka Bakar 0
Salep Luka Bakar 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml si 0
253 Sefadroksil Tablet 500 mg 0
Sefadroksil Tablet 500 mg 11810 10 30 20 20 30
254 Sefiksim Kapsul 100 mg 0
255 Sefiksim 400 mg + Azitromisin 1000 mg 0
256 Sefotaksim Injeksi 1 gr 0
257 Seftriakson Injeksi 1 gr / vial 0
258 Semen Seng Fosfat Serbuk & Cairan 0
259 Setirizin Tablet 10 mg 0
Setirizin Tablet 10 mg 0
260 Setirizin Sirup 5 mg / 5 ml 0
Setirizin Sirup 5 mg / 5 ml 903 4 3 3 2
261 Sianokobalamin Injeksi 500 mcg/ml-1ml 0
262 Sianokobalamin Tablet 50 mcg 0
Sianokobalamin Tablet 50 mcg 0
263 Silver Amalgam Serbuk 65-75% 0
265 Simvastatin Tablet 10 mg 0
Simvastatin Tablet 10 mg 0
Simvastatin Tablet 10 mg 0
266 Siprofloksasin 500mg 0
Siprofloksasin 500mg 0
267 0 0
Spironolakton Tablet 25 mg 0
268 Sulfacetamid Tetes Mata 15 %-5ml 0
269 Tablet Tambah Darah Kombinasi: 0
270 Temporary Stopping Fletcher (Fletcher) S 0
271 Trikesol formalin ( T K F ) Cairan 10 ml 0
272 Tetrasiklin Kapsul 250 mg 0
273 Tetrasiklin Kapsul 500 mg 0
Tetrasiklin Kapsul 500 mg 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1m 0
276 Thiamfenikol Kapsul 500 mg 1000
277 Tramadol Injeksi 50 mg/ ml 0
278 Tramadol Tablet 50 mg 0
279 Triheksifenidil Hidroklorida Tablet 2 mg 0
Triheksifenidil Hidroklorida Tablet 2 mg 0
280 Vitamin B .Komplek Tablet 0
Vitamin B .Komplek Tablet 0
281 Vitamin Neurotropik Tablet 0
Vitamin Neurotropik Tablet 0
Vitamin Neurotropik Tablet 430
282 Zinc Tablet 20 mg 2640
Zinc Sulfat 20 mg/5 ml 816
283 Zinc Sulfat 20 mg/5 ml 0
284 Aminofillin Tablet 150 mg 0
285 Asam Folat Tablet 0,4 mg 0
286 Gentamisin Sulfat tetes mata 0,3% 0
287 Obat Kumur 32 2
288 Salep Betametason + Neomisin 30
289 Salep Kloramfenikol + Hidrokortison 41 2 4
290 Propanolol 10mg 0
Propanolol 10mg 0
291 Tablet Pemanis 300
292 Bisakodil Suppositoria 5 mg 0
Bisakodil Suppositoria 5 mg 0
293 Obat Batuk Herbal (Herbakof) 1199 10 1 2 4 2 1
294 Amoksisillin Drops 29
295 Tablet Hepatoprotector (Curcuma) 320 50 10 20 50 10
296 Simvastatin 20mg 970
297 Klozapine 25mg 0
298 Bisoprolol 2,5mg 0
299 Vitamin C 500mg 28905 50
300 Vitamin D 1000 IU 2215
301 Multivitamin Tablet Kombinasi VitC,Vit D, 8574 70 30
302 Multivitamin Syrup 1385 8 3 1 2 1
0
1 Abbocath No 18 ( IV Chateter 18 ) 0
Abbocath No 18 ( IV Chateter 18 ) 25
5 Alat Gula, Kolesterol, Asam Urat 0
Alat Gula, Kolesterol, Asam Urat 0
6 Alat Suntik Sekali Pakai 1 ml 0
Alat Suntik Sekali Pakai 1 ml 0
10 Alkohol Swab 4400
11 Auto Disposable Syringe (ADS) 0,05 ml 0
Auto Disposable Syringe (ADS) 0,05 ml 0
12 Auto Disposable Syringe (ADS) 0,5 ml 0
13 Auto Disposable Syringe (ADS) 5 ml 0
14 Blood Set 0
15 Catgut/Benang Bedah No.2/0 Plain 0
Catgut/Benang Bedah No.2/0 Plain 0
16 Catgut/Benang Bedah No.3/0 Cromic 0
Catgut/Benang Bedah No.3/0 Cromic 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml 28
18 Etanol 70 % 1.000 ml 0
19 Eter Alkohol 0
20 Folley Catheter no 14 0
Folley Catheter no 16 10
Folley Catheter no 18 0
23 Infus set Anak 0
Infus set Anak 10
24 Infus set Dewasa 0
Infus set Dewasa 15
Infus set Dewasa 0
Infus set Dewasa 10
25 Iodina Test 0
26 Kaca Slide 0
27 Kapas Berlemak 500 gram 0
28 Kapas Pembalut / Adsorbens 250 gram 60
Kapas Pembalut / Adsorbens 250 gram 0
29 Kassa Pembalut 2 m x 80 cm 0
Kassa Pembalut 2 m x 80 cm 5
30 Kassa Pembalut Hidrofil 4 m x 3 cm 0
Kassa Pembalut Hidrofil 4 m x 3 cm 250
31 Kassa Pembalut Hidrofil 4 m x 15 cm 0
32 Kassa Hidrofil Steril 16 x 16 340
Kassa Hidrofil Steril 16 x 16 0
33 Kassa Kompres 40 x 40 steril 0
34 Kertas Puyer 0
35 Kertas Saring 0
36 Kertas Lensa 0
37 Lysol 1,000 ml 0
38 Masker 700
Masker 0
Masker Ear Loop 600
Masker Head Loop 1100
39 Masker N 95 0
Masker N 96 0
40 Minyak Imersi 0
41 Plester Kertas 0
42 Polifix 15
Polifix 5
43 Pot Dahak 0
44 Rapid 2 HIV Fokus 0
45 Rapid HIV 1 (SD HIV) 0
46 Rapid HIV 2 (Intec HIV) 0
47 Rapid HIV 2 (Biomeriux HIV) 0
48 Rapid Tes SD Bioline HBSAG 0
49 Rapid Test Syphilis 0
50 Reagen CD 4 Control 0
51 Reagen CD 4 0
52 Reagen Ziehl Nielsen 0
53 RPR Test Syphilis 0
54 Silk( Benang Bedah Sutra ) No 3/0 0
Silk( Benang Bedah Sutra ) No 3/1 40
Silk( Benang Bedah Sutra ) No 3/1 0
55 Safety Box 0
56 Sarung tangan Steril No 6 0
Sarung tangan Steril No 6 0
57 Sarung tangan Steril No 7 0
Sarung tangan Steril No 7 289
58 Sarung tangan Steril No 7,5 0
Sarung tangan Steril No 7,5 0
Sarung tangan Steril No 7,5 190
59 Sarung tangan Non Steril S 0
Sarung tangan Non Steril S 0
Sarung tangan Non Steril S 975
60 Sarung tangan Non Steril M 0
Sarung tangan Non Steril M 0
Sarung tangan Non Steril M 150
61 Sarung tangan Non Steril L 0
Sarung tangan Non Steril L 0
Sarung tangan Non Steril L 50
62 Sountimer 0
63 Stik Pemeriksaan Gula Darah 0
Stik Pemeriksaan Gula Darah 0
Stik Pemeriksaan Gula Darah 0
Stik Pemeriksaan Gula Darah Benecheck 0
Stik Pemeriksaan Gula Darah One Touch 0
64 Stik Pemeriksaan Kolesterol 0
Stik Pemeriksaan Kolesterol 0
Stik Pemeriksaan Kolesterol 0
Stik Pemeriksaan Kolesterol Benecheck 0
65 Stik Pemeriksaan Asam Urat 0
Stik Pemeriksaan Asam Urat 0
66 Supratul 0
67 Urine Bag 0
Urine Bag 0
68 Wing Neddle No 23 0
69 Blood Lancet 25
70 Cairan Antiseptik Botol 500 ml 0
Cairan Antiseptik Botol 500 ml 0
Cairan Antiseptik Botol 500 ml 40
71 Bisturi 0
Bisturi 0
Bisturi 25
72 Cairan Antiseptik Botol 5 Liter 0
73 Cairan Desinfektan 5 Liter 0
74 Cairan Detergen 5 Liter 0
75 Gel USG 0
Gel USG 20
76 IV Dressing 0
IV Dressing 0
77 Mucus Extractor 0
78 Nasal Oxygen Anak 0
79 Nasal Oxygen Bayi 0
80 Nasal Oxygen Dewasa 0
81 Plester Bulat Non Woven 0
82 Plester Transparan 0
83 PP test 0
PP test 0
84 Sarung tangan Steril No 6,5 0
85 Sarung Tangan Obgyn Steril 0
Sarung Tangan Obgyn Steril 40
86 Stik Pemeriksaan Hb 0
87 Umbilical Cord Klem Steril Nylon 0
Umbilical Cord Klem Steril Nylon 0
Umbilical Cord Klem Steril Nylon 90
88 Underpad 60x90 cm Non Steril 0
89 Stik Gula Darah Baru 0
90 Stik Asam Urat Baru 0
91 Stik Hb 0
92 ChOLESTROL chod-pap 0
93 Creatinin mod iaffe 0
94 Glucosa God-pap 0
95 GOT (AST) mod iffe 0
96 GPT 0
97 Trigliserida GPO-PAP 0
98 Urea UV-auto,Urease/GLDH 0
99 Urid Acid TBHA 0
100 Dumacon Auto 0
101 Micropipet 5,0-50 Ul 0
102 Micropipet 10-100UL 0
103 Tabung Vacutainer 0
104 HGB Drab Kin 0
105 Nasal Kanul Dewasa 8
106 Nasal Kanul Anak 3
107 Coveral II (APD) Non Woven 44
0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml 0
2 Serum Anti Rabies untuk manusia 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 I 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 I 0
5 Human Tetanus Imunoglobin inj 250 IU 0
6 Vaksin BCG 0
7 Vaksin Campak 10 Dosis 0
8 Vaksin DT 0
9 Vaksin TD 0
10 Vaksin DTP-HB 0
11 Vaksin DPT-HB/Hib 0
12 Vaksin HB Uniject 0
13 Vaksin MR (VVM.A) 0
14 Vaksin Polio 0
15 Vaksin Polio IPV 5 Dosis 0
16 Vaksin Polio 10 IPV Dosis 0
17 Vaksin TT 0
18 Buku Kontrak 0
19 0
20 0
H
PEMAK
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 AIAN
0
0
0
0
0
0
0
0
0
0
1 5
1 1
0
0
0
0
0
0
0
0
0
50 100 20 30 30 40 50 10 560
0
10 10
6 1 2 1 1 20
0
0
0
0
0
2 2
1 1 2 3 14
0
0
0
20 10 20 20 120
0
0
0
0
0
40 40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4 4
0
0
0
0
0
2 8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 20 30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 20 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
0
0
0
0
12 12
0
0
0
0
0
0
0
10 20 10 90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40 40
0
0
1 2 3
0
0
0
100 220 50 200 110 110 300 200 40 100 100 50 200 200 3590
100 150 200 250 350 600 200 200 10 10 250 25 500 3995
0
0
0
0
0
0
0
40 10 10 20 20 120 20 140 50 490
0
0
0
30 40 50 40 50 30 100 410
0
20 10 20 10 130
0
0
25 7 38
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 2 2 15
0
0
0
25 20 55 95 70 60 100 680
0
0
0
0
0
0
0
0
0
0
0
0
10 20 10 20 100
0
0
0
0
0
100 100
0
0
0
0
0
0
0
0
0
0
0
0
0
20 10 30 10 10 10 10 300 510
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
2 7
0
0
30 40 60 20 270
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 20
0
0
0
0
0
0
0
0
0
0
0
0
2 1 2 2 4 19
0
0
0
0
0
5 1 1 8 10 25
0
0
0
0
35 190 115 180 95 125 30 125 105 80 100 10 50 50 1925
0
0
0
0
0
2 2
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 2
0
0
0
0
0
0
60 20 100
0
0
30 10 60
0
0
2 2 2 1 13
0
0
0
0
0
0
20 20 30 10 10 20 10 230
0
0
0
0
50 50
0
0
0
2 4 1 5 5 2 3 7 2 12 2 2 2 61
0
0
0
0
20 20 60
0
0
0
0
0
10 10 40
0
0
0
0
0
0
0
0
0
0
0
0
50 20 90 30 35 50 10 100 30 525
0
0
0
0
0
0
0
0
0
0
0
2 2
0
0
0
0
2 4
0
10 2 1 1 20
0
0
0
0
0
6 1 15 10 14 6 6 11 11 6 4 12 122
2 2
20 10 170 30 10 10 390
100 20 120
0
0
25 30 45 10 160
24 30 54
10 110
2 1 4 3 1 2 1 2 5 5 41
0
0
0
0
0
0.2 0.2
0
0
0
0
0
0
0
0
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
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
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
REKAP HARIAN JUNI DAK
JUMLAH
NO NAMA SEDIAAN SATUAN PEMAKA
Stok IAN
Awal
A. OBAT
Alopurinol Tablet 100 mg Tablet 530 240
Amoksisillin Kapsul 250 mg Kapsul 2608 100
15 Amoksisillin Kaplet 500 mg Kaplet 16028 780
Amoksisillin Double Strengh Sirup Kerin Botol 161 28
Antasida Doen Suspensi Kombinasi : M Botol 100 1
39 Antitusiva Sirup Botol 43 4
Acetylsistein tablet Tablet 1200 330
59 Bisoprolol Tablet 5 mg Tablet 170 10
95 Fitomenadion tablet 10 mg Tablet 930 40
106 Glimepiride 2 mg Tablet 910 40
107 Gliseril Guayakolat Tablet 100 mg Tablet 1135 200
122 Ibuprofen Suspensi 100 mg/5 ml Botol 0 1
Kaptopril 25 mg Tablet 1800 10
134 Ketokonazole Krim 2 % - 15 gr Tube 69 3
Ketokonazole Tablet 200 mg Tablet 1700 10
Klindamisin Kapsul 150 mg Kapsul 270 40
155 Kotrimoksazol Tablet, Kombinasi : Tablet 500 40
156 Kotrimoksazol Suspensi Kombinasi : Botol 59 4
Loratadin tablet 10 mg Tablet 300 10
Metformin Hcl Tablet 500 mg Tablet 950 160
174 Metildopa 250 mg tablet Tablet 200 30
183 Metronidazole sirup 125 mg/ml Botol 50 1
Natrium Diklofenak Tablet 50 mg Tablet 1300 10
Nistatin suspensi 100.000 IU/ml Botol 60 8
Omeprazole Kapsul 20 mg 600 90
217 Parasetamol Sirup 120 mg/5ml-60 ml Botol 292 59
Prednison Tablet 5 mg Tablet 1020 1005
Ranitidin Tablet 150 mg Tablet 4030 990
250 Salisil bedak 2% -50 gr Kotak 0 3
259 Setirizin Tablet 10 mg Tablet 610 50
262 Sianokobalamin Tablet 50 mcg Tablet 430 170
279 Triheksifenidil Hidroklorida Tablet 2 mg Tablet 820 70
Vitamin B .Komplek Tablet Tablet 400 845
Zinc Sulfat 20 mg/5 ml Botol 20 2
Salep Kloramfenikol + Hidrokortison Tube 50 5
JUMLA
NO NAMA SEDIAAN SATUAN H
Stok PEMAK
Awal AIAN
A. O B A T
17 Amoksisillin Sirup Kering 125 mg/5 Botol 264 14
24 Antasida Doen Suspensi Kombinas Botol 203 11
Antasida Plus Tablet Tablet 400 50
42 Asam Askorbat (Vit. C) Tablet 50 m Tablet 0 20
44 Acetylsistein tablet Tablet 0 10
48 Asiklovir Krim 5 % Tube 4236 2
60 Bromheksin 8 mg Tablet 4250 70
75 Domperidon Tablet 10 mg Tablet 9369 169
Garam Oralit I serbuk, kombinasi : Kantong 2660 84
Gentamisin Salep Kulit 0,1 % Tube 15 2
Hidrokortison Krim 2,5 % Tube 11 8
Kalsium Laktat Tablet 500 mg Tablet 10320 630
Ketokonazole Krim 2 % - 15 gr Tube 149 4
147 Kloramfenikol Tetes Telinga 3%-5 mBotol 1041 8
Klorfeniramin Maleat (CTM) Tablet Tablet 73874 1475
Mikonazole KrIm 2 % - 10 gr Tube 76 33
Oksitetrasiklin Hcl Salep Kulit 3%-5gTube 79 9
216 Parasetamol drop 100 mg/ml btl @ Botol 1013 8
224 Permetrin krim 5 % Tube 717 8
227 Piroksikam Tablet 20 mg Tablet 15880 225
264 Simetidin 200 mg Tablet Tablet 12220 60
Tiamin Hcl /Mononitrat (Vit.B1) TabTablet 17185 695
276 Thiamfenikol Kapsul 500 mg Kapsul 900 470
Zinc Sulfat 20 mg/5 ml Tablet 814 14
287 Obat Kumur Botol 28 5
289 Salep Kloramfenikol + Hidrokortiso Tube 21 5
293 Obat Batuk Herbal (Herbakof) Botol 1077 261
294 Amoksisillin Drops Botol 27 3
295 Tablet Hepatoprotector (Curcuma) Pot 300 230
296 Simvastatin 20mg Tablet 850 70
301 Multivitamin Tablet Kombinasi VitC,V
Tablet 8464 955
302 Multivitamin Syrup Tablet 1344 46
Persediaa
Penerimaan
n
JKN Non JKN
Stok Awal
A. OBAT
Albendazole Tablet 400 mg Tablet 0
Amlodipin Tablet 5 mg Tablet 320
Amlodipin Tablet 10 mg Tablet 410
Amoksisillin Sirup Kering 125 mg/5ml Botol 0
Amoksisillin Double Strengh Sirup Kering
250 mg/5 ml Botol 233
Ampisillin Injeksi 1000 mg Vial 0
24 Antasida Doen Suspensi Kombinasi : Mag Botol 0
Antasida Doen Suspensi Kombinasi :

Magnesium Hidroksida 200 mg+
Alumunium Hidroksida 200 mg/5 ml Botol 100
25 Antasida Doen Tablet, Kombinasi : Magn Tablet 0
Antasida Doen Tablet, Kombinasi :

Alumunium Hidroksida 200 mg Tablet 0
Antasida Doen Tablet, Kombinasi :

Alumunium Hidroksida 200 mg Tablet 4730
Acetylsistein tablet Tablet 350
Asiklovir Krim 5 % Tube 0
Attapulgit Tablet 0
Attapulgit Tablet 0
Atropin Sulfat Injeksi 0,25 mg/ml-1ml Ampul 10
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 m Vial 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 m Vial 0
Aqua Pro Injeksi Steril, bebas Pirogen 1 LiteVial 0
Aqua Pro Injeksi Steril, bebas Pirogen 20 m Botol 0
59 Bisoprolol Tablet 2,5 mg Tablet 150
Epinefrin HCl / Bitartrat

(Epinefrina /
79 Adrenalina) Injeksi 0,1%/- 1ml Ampul 20
Fenobarbital tablet 30 mg Tablet 190
Fenobarbital injeksi 50 mg / ml Ampul 60
Flufenazine decanoat injeksi 25 mg/ml Ampul 0
Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml Ampul 570
Gentamisin injeksi 80 mg / 2 ml Vial 0
Glibenklamid Tablet 5 mg Tablet 0
Glukosa Larutan Infus 5 % 25
Griseofulvin Tablet 125 mg,micronized Tablet 870
Ibuprofen Suspensi 100 mg/5 ml 33
Kaptopril 25 mg Tablet 1800
Klindamisin Kapsul 150 mg Kapsul 230

Klorpromazin Hcl Tablet Salut 25 mg Tablet 0
Klorpromazin Hcl Injeksi 5 mg/ml-2ml Ampul 0
152 Kombinasi Ipatropium Bromide + Salbutamol Vial 0
Kombipak Cefixime+ Azithromisin Kotak 0
154 Kotrimoksazol Pedriatik Tablet, Kombinasi :Tablet 0

(Na 130 mEq,Cl 109
mEq, Asetat 28 mEq) /Asering Botol 0
(Nacl 1,125 gr ,
159 Dekstrosa 18,75 gr) Botol 0
(Nacl 1,125 gr ,
Dekstrosa 18,75 gr) Botol 0
Larutan mengadung Karbohidrat +

Elektrolit (Nacl 1,75
gr, KCL 1,5 gr, Na Lactat 2,24 gr,
160 Dekstrosa 27 gr) Botol 0
MB Anak Blister 0
MB Anak Blister 0
MB Dewasa Blister 0
MB Dewasa Blister 0
MB Dewasa Blister 0
Metformin Hcl Tablet 500 mg Tablet 750
176 Metilergometrin Maleat (Metergin) Table Tablet 0
Metilergometrin Maleat (Metergin) Table Tablet 0
Metilergometrin Maleat (Metergin) Table Tablet 0
177 Metilergometrin Maleat Injeksi 0,200 mg- Ampul 50
Metoklorpropamid Injeksi 5 mg/ 5 ml Ampul 0
Natrium Diklofenak Tablet 50 mg Tablet 1100
192 Natrium Klorida Larutan infus 0,9%-Steril Botol 0
Nistatin suspensi 100.000 IU/ml Botol 52

Obat Antitiuberkolosis Kategori 1 Dewasa Paket 0
Obat Antitiuberkolosis Kategori 2 Dewasa Paket 0
200 Obat Antitiuberkolosis Kategori2 Dewasa Paket 0
Obat Anti Tuberkulosis FDC Kat I & III Paket 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewas Paket 0

Obat Batuk Hitam (OBH) Cairan 100 ml Botol 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 Vial 0
Oksiterasiklin Salep Mata 1%-3,5g Tube 0
Omeprazole Kapsul 20 mg 300
216 Parasetamol drop 100 mg/ml btl @15ml ( Botol 0
Parasetamol Tablet 500 mg Tablet 0
PB Dewasa Blister 0
PB Dewasa Blister 0
228 Pirantel Pamoat Tablet 365 mg (Setara dn Tablet 0
Prednison Tablet 5 mg Tablet 1000
Prokain Benzil Penisilin Injeksi 3,000,000
236 IU Vial 0
Ranitidin Tablet 150 mg Tablet 3030

Ringer Laktat Larutan Infus Steril 500 ml Botol 40
248 Salbutamol solution for Inhalation single doAmpul 0

Asam Salisilat 2 % +
249 Belerang Endap 4 % - 30 gram Pot 0

Belerang Endap 4 % - 30 gram Pot 0

Belerang Endap 4 % - 30 gram Pot 69
Sefadroksil Sirup Kering 125 mg / 5 ml
252 sirup Botol 0
Sefadroksil Sirup Kering 125 mg / 5 ml
sirup Botol 0
Sefadroksil Sirup Kering 125 mg / 5 ml siru Botol 29
Sefiksim 400 mg + Azitromisin 1000 mg Paket 0
Simetidin 200 mg Tablet Tablet 0
Tablet Tambah Darah Kombinasi: Tablet 0
270 Temporary Stopping Fletcher (Fletcher) Se Set 0
Thiamfenikol Kapsul 500 mg Kapsul 0
Zinc Sulfat 20 mg/5 ml Botol 20
284 Hepatorotector tablet (Curcuma) Tablet 0
Hepatorotector tablet (Curcuma) Tablet 0
285 Obat Batuk Herbal Botol 0
Salep Kloramfenikol + Hidrokortison 45
289 Bahan Pembersih Kavitas Botol 0
290 Flour Gel Botol 0
291 Glass Lonomer Posterior set 0
292 Hyposol 3% Botol 0
293 Paramonochlorofenol/CHKM Botol 0
294 Saliva Ejector Pcs 0
Salep Betametason + Neomisin Tube 0
296 Bahan Pemutih Gigi Pot 0
297 Metronidazol Inj Ampul 0
298 Box Slide Pcs 0
299 Box Slide Pcs 0
301 Mineral Mix Sachet 0
302 Risperidon 2mg Tablet 650
303 Budensoid Cairan Inhalasi (Pulmicort) Respules 50
304 Oseltamivir Kapsul Kapsul 0
Oseltamivir Kapsul Kapsul 0
305 Azitromycin Tablet 0
306 Box Object Glass isi 50 Grey Orange Pcs 7
308 Multivitamin Tablet 0
309 Poli Aid 1 Liter Botol 3
Poli Aid 1 Liter Botol 1

Auto Disposable Syringe (ADS) 5 ml Set 0
14 Blood Set Set 0
Etakridin Larutan (Rivanol) 0,1% - 300 ml Botol 0
Etanol 70 % 1.000 ml Botol 0
26 Kaca Slide Pcs 0
Kaca Slide Pcs 0
Kassa Kompres 40 x 40 steril Bungkus 100
34 Kertas Puyer Bungkus 0
38 Masker Buah 0
Masker Buah 0
Masker Buah 0
Masker Buah 0
Masker Kain Headloop KEMKES Pcs 2400
Masker Kain Earloop KEMKES Pcs 2400
Masker N 96 Pcs 4
Masker KN95 Pcs 145
Minyak Imersi Botol 1
Plester Kertas Rol 7
42 Polifix 5 cm x 5 m Rol 0
Polifix 5 cm x 5 m Rol 0
43 Pot Dahak Pcs 0
Pot Dahak Pcs 0
Pot Dahak Pcs 300
Rapid HIV 1+2KHB Test 0
Rapid Test HIV 1/2 Vikia DS Test 0
Rapid HIV 1 (SD HIV) Test 0
Hepatitis B Imunoglobulin inj 220 IU (Hbig) Vial 0
RPR Test Syphilis Test 0
55 Safety Box Pcs 0
Safety Box Pcs 0
Safety Box Pcs 110
62 Sountimer Buah 0
Supratul Lembar 0
67 Urine Bag set 0
Blood Lancet Pcs 100
71 Rapin HIV Oncoprobe Test 0
72 Steryzime Dual Enzymatis 5 Lt Galon 0
73 Sterald 30 High Level Surface Desinfektan Galon 0
74 Gentamisin Sulfat Tetes Mata 0,3% Botol 0
75 Bioplacenton Tulle 10 x 10 Lembar 0
76 Vikia Biumeric Test 0
77 Sterald Galon 0
78 Hepatitis B Imunolobin syringe 0
79 Slide 0
80 IV Catheter 20 Pcs 0
81 Stericide 3 Surface Desinfektan 5Lt Galon 0
82 Serum Tetagam P Injeksi PFS 0
83 Biosave Serum ABU Injeksi Vial 0
84 Baju APD (COVER ALL) Pcs 0
85 Sepatu Boot Saffety Pcs 0
86 Kacatamata Google Pcs 0
87 Sarung Tangan Karet Latex Pcs 0
88 Rapid Test Kit Covid-19 Test 0
89 VTM & Swab Dacron Citodia Pcs 0
VTM + Swab (KH Medial) Test 0
90 Panbio Covid-19 Antigen Test 0
91 ADS 0,5 ml Alokasi Pcs 0
92 Alkohol Swab Alokasi Pcs 0
93 Safety Box Alokasi Pcs 0
94 Parafilm Pcs 1
95 Vaccum Tube Sterile EDTA K-3 (3ml Pcs 2
Vaccum Tube Sterile Clot Activator(3ml Pcs 2

1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml Vial 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU Ampul 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 I Vial 0
Vaksin BCG Ampul 0
Vaksin BCG Ampul 0
8 Vaksin DT Vial 0
Vaksin DT Vial 0
9 Vaksin TD Vial 0
Vaksin TD Vial 0
Vaksin TD Vial 0
Vaksin DPT-HB/Hib Vial 0
Vaksin HB Uniject Pcs 0
Vaksin Polio Vial 0
17 Vaksin TT Vial 0
18 Vaksin Campak Bias Vial 0
19 Vaksin Covid-19 (10 d0sis) Vial 0
20 0
1 2 3 4 5 6 7 8 9 10
10
2 20 10 15
30 30
30
30
50 30 40 10
30 10
1
40
5 1
30
10
40 30 60 20
20 20
30
20 10
30 30 70 20 20
10 60 20
2
20
20
5 15
10
12
30
10
10
15
30 25 20
30 30
50
50
190
50
90 75
20
55
100
10
30 30
2
1
10 10
50 60
1 5
10
30 30
2 2 1 1
20
20 45 70
4 10
40
30 10
1
20
15
1
10
1
10 50 10
10 10
70 10
15
3 2
30 20 10
180
4
11 12 13 14 15 16 17 18 19 20
10 5
20
50 10 10
30 30
50
5 3 2
20 10 10 20 20 40
20 30 20 10 40 10
10 10 70
4 2
20
15
10
10 10 50 20
10
20 10
20 30
10 15 10
10 10
50
10 20
10 10
20
10
20
3 1 4
40 10 10
10 10 40 20 50
30 30 20
20 40 10
20 10 10
20
10
10 10 10
6
10
21 22 23 24 25 26 27 28 29 30
10
50 20
10 20 10
10
30 10 40 20
2 3 2 1 1 2
30 50 50 30 20 20 20 20 100
10 60 10 30 10 20 20
30 40 10
10
200
50
10
20
50 10 40
15 15
20
30
10
2 2
20
40
10
10
1
50
105
1 10
1 1 3 1 2 2 2
40 20 20 30 30 30 10 70
50 70 20 10 10 20 10 60
3
30 30 10 20
10
10
200
10 10 10 20
20 10 10
10
20
90
2
30 20 10 30
30 10
15 10
TOTAL
31
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 10
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 10
0 0 0 0
62 62 0 62
0 0 0 0
0 0 0 0
0 0 0 0
60 60 0 60
0 0 0 0
0 0 0 0
30 30 0 30
120 120 0 120
0 0 0 0
240 240 0 240
0 0 0 0
10 10 200 210
100 100 800 900
1 1 0 1
190 190 600 790
0 0 0 0
0 0 0 0
0 0 0 0
2 2 0 2
27 27 10 37
0 0 0 0
30 30 0 30
0 0 0 0
10 10 0 10
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10 10
0 0 0 0
0 0 0 0
610 610 400 1010

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 0 300 300
0 0 0 0
2 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 45 45 0 45
30 30 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
30 30 0 30
460 460 200 660
0 0 0 0
260 260 290 550
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 100 100
10 10 0 10
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
220 220 200 420
0 0 0 0
0 0 0 0
6 6 0 6
0 0 0 0
70 70 0 70
0 0 0 0
0 0 0 0
20 20 0 20
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 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
40 40 0 40
12 12 0 12
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
30 30 0 30
0 0 0 0
0 0 0 0
10 10 0 10
10 10 200 210
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
15 15 0 15
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
15 15 0 15
0 0 0 0
30 30 0 30
265 265 200 465
0 0 0 0
0 0 0 0
2 2 0 2
0 0 0 0
60 60 0 60
0 0 0 0
0 0 0 0
0 0 0 0
10 10 700 710
30 30 0 30
0 0 0 0
0 0 0 0
50 50 0 50
50 50 0 50
0 0 0 0
0 0 0 0
65 65 0 65
50 50 0 50
0 0 0 0
190 190 0 190
0 0 0 0
4 4 0 4
2 2 0 2
0 0 0 0
0 0 0 0
20 20 0 20
0 0 0 0
0 0 0 0
0 0 0 0
1 1 12 13
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
4 4 0 4
0 0 0 0
100 100 0 100
0 0 0 0
165 165 0 165
10 10 0 10
0 0 0 0
4 4 0 4
0 0 0 0
0 0 0 0
20 20 120 140
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 20 0 20
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
105 105 0 105
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 0 100 100
100 100 0 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 80 120 200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
60 60 0 60
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 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
2 2 0 2
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
20 20 100 120
0 0 100 100
30 30 100 130
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 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 10 100 110
0 0 0 0
0 0 0 0
1 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
0 0 0 0
80 80 300 380
0 0 0 0
0 0 0 0
0 0 0 0
2 2 10 12
0 0 10 10
2 2 0 2
0 0 0 0
0 0 100 100
215 215 0 215
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
6 6 0 6
0 0 0 0
0 0 0 0
10 10 0 10
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
2 2 25 27
0 0 0 0
0 0 25 25
0 0 0 0
11 11 0 11
0 0 0 0
0 0 0 0
0 0 0 0
60 60 0 60
20 20 210 230
0 0 0 0
0 0 0 0
2 28 28 0 28
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
20 20 0 20
0 0 0 0
60 505 505 100 605
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
380 380 100 480
17 17 0 17
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 40 0 40
0 0 0 0
0 0 0 0
210 210 800 1010
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
80 80 0 80
0 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
30 30 0 30
200 200 0 200
0 0 0 0
0 0 0 0
0 0 0 0
15 15 0 15
1 1 5 6
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 10
1 1 0 1
0 0 0 0
0 0 0 0
160 160 200 360
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 5
0 0 0 0
0 0 0 0
60 60 0 60
0 0 0 0
0 0 0 0
30 30 0 30
0 0 0 0
80 80 0 80
0 0 300 300
15 15 0 15
0 0 0 0
30 30 0 30
0 0 0 0
90 90 0 90
7 7 0 7
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 200 200
0 0 0 0
0 0 0 0
0 0 0 0
180 180 0 180
0 0 0 0
0 0 200 200
0 0 0 0
0 0 0 0
40 40 0 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
180 180 0 180
0 0 0 0
6 6 0 6
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
35 35 0 35
0 0 0 0
10 10 10 0 10
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 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 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 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
4 4 0 4
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 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 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 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
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 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 0 0
Tgl Pemakaian
26
Stok Awal
A. O B A T
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 0

Antasida Doen Suspensi Kombinasi : Magnesium

24 Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 ml Botol 192
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida
25 200 mg+ Alumunium Hidroksida 200 mg Tablet 0
Antasida Doen Tablet, Kombinasi : Magnesium Hidroksida
200 mg+ Alumunium Hidroksida 200 mg Tablet 0
Anti Bakteri DOEN Salep Kombinasi :
29 Basitrasin 500 IU/g + Polimiksin 1000 IU/g Tube 0
Anti Fungi DOEN Kombinasi :
31 Asam Benzoat 6% + Asam Salisilat 3% Pot 0
Asam Benzoat 6% + Asam Salisilat 3% Pot 0
Asam Benzoat 6% + Asam Salisilat 3% Pot 0
Antimigren DOEN Kombinasi :
32 Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet 0
Attapulgit Tablet 0
Epinefrin HCl / Bitartrat
79 (Epinefrina / Adrenalina) Injeksi 0,1%/- 1ml Ampul 0
Garam Oralit I serbuk, kombinasi :

( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Sitrat
99 dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air Kantong 0
Garam Oralit I serbuk, kombinasi :

( Nacl 0,52 gr, Kalium Klorida 0,30 gr, Trinatrium Sitrat
dihidrat 0,58 gr, Glukosa Anhidrat 2,70 g )200 ml Air Kantong 2576
Kalsium Laktat Tablet 500 mg Tablet 9690
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 72399 90
Kombinasi Ipatropium Bromide + Salbutamol
152 Sulphate for inhalation 2,5 ml Vial 0
Kotrimoksazol Pedriatik Tablet, Kombinasi :
154 Sulfametoksazol 100 mg + Trimetroprim 20 mg Tablet 0
155 Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet 0
Sulfametoksazol 400 mg + Trimetroprim 80 mg Tablet 0
Sulfametoksazol 400 mg + Trimetroprim 80 mg 0
Kotrimoksazol Suspensi Kombinasi :
156 Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 ml Botol 0
158 (Na 130 mEq,Cl 109 mEq, Asetat 28 mEq) /Asering Botol 0
159 (Nacl 1,125 gr , Dekstrosa 18,75 gr) Botol 0
Larutan mengadung Karbohidrat + Elektrolit

(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat 2,24 gr, Dekstrosa
160 27 gr) Botol 0
162 Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul 0
Lidokain Hcl 2% +Epinefrin 1 : 80.000-2 ml Ampul 0
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 0
Metilergometrin Maleat (Metergin) Tablet 0,125 mg Tablet 0
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 0
Metilergometrin Maleat Injeksi 0,200 mg-1ml Ampul 95
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml Botol 335
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml Vial 0
216 Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 1005
Parasetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) Botol 0
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg Basa) Tablet 0
248 Salbutamol solution for Inhalation single dose units 2,5 ml Ampul 0
249 Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram Pot 0
Asam Salisilat 2 % + Belerang Endap 4 % - 30 gram Pot 315
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup Botol 0
Tablet Tambah Darah Kombinasi:
269 Besi II Sulfat 200 mg + Asam Folat 0,25 mg Tablet 0
270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set 0

275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 0
Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg Tablet 16490 40
Zinc Sulfat 20 mg/5 ml Tablet 800
293 Obat Batuk Herbal (Herbakof) Botol 814 16
294 Amoksisillin Drops Botol 22
295 Tablet Hepatoprotector (Curcuma) Pot 0
301 Multivitamin Tablet Kombinasi VitC,Vit D, Zinc, Folic Acid Tablet 7509 90
302 Multivitamin Syrup Tablet 1294 2
0
14 Blood Set Set 0
26 Kaca Slide Pcs 0
38 Masker Buah 700
Masker Buah 0
Masker N 96 Pcs 0
42 Polifix Rol 15
Polifix Rol 4
43 Pot Dahak Pcs 0
55 Safety Box Pcs 0
62 Sountimer Buah 0
Stik Pemeriksaan Gula Darah One Touch Verio Test 0
67 Urine Bag set 0
Urine Bag set 0
71 Bisturi Pcs 0
Bisturi Pcs 0
Bisturi Pcs 25
75 Gel USG Botol 0
Gel USG Botol 20
IV Dressing Pcs 0
83 PP test Pcs 0
PP test Pcs 0
91 Stik Hb Test 0
96 GPT Kit 0
0
1 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I ) Vial 0
3 Serum Anti Tetanus (ATS) Injeksi 1.500 IU/ampul Ampul 0
4 Serum Anti Tetanus (ATS) Injeksi 20.000 IU/ampul Vial 0
8 Vaksin DT Vial 0
9 Vaksin TD Vial 0
17 Vaksin TT Vial 0
18 Buku Kontrak 0
19 0
20 0
Tgl Pemakaian Bulan Februari 2021 JUMLAH
PEMAKAI
27 28 29 30 31 AN
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
24 24 0 24
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
40 30 410 410 300 710
0 0 0 0
0 0 0 0
5 5 0 5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
6 6 0 6
0 0 0 0
0 0 0 0
0 0 0 0
20 20 0 20
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
10 10 0 10
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 25 25
0 0 0 0
0 0 0 0
225 225 0 225
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
70 70 600 670
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
15 15 600 615
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 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 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
2 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 10
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 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
60 40 80 50 1275 1275 100 1375
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
20 190 190 450 640
0 0 0 0
0 0 0 0
0 0 0 0
10 30 140 140 400 540
0 0 0 0
50 50 400 450
0 0 0 0
0 0 0 0
2 2 5 7
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
10 11 11 20 31
0 0 0 0
0 0 0 0
0 0 0 0
70 90 45 120 60 1070 1070 600 1670
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
80 80 0 80
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
20 20 0 20
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
410 410 0 410
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
10 10 0 10
0 0 0 0
0 0 0 0
0 0 0 0
3 3 0 3
0 0 0 0
0 0 0 0
30 290 290 200 490
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 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
0 0 0 0
0 0 0 0
2 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 6 6 15 21
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 45 50 80 50 1465 1465 1200 2665
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
10 10 85 85 400 485
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 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 100 100
10 10 0 10
0 0 0 0
20 20 0 20
0 0 0 0
1 1 0 1
2 4 4 0 4
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
140 140 400 540
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
1 1 2 38 38 60 98
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 30 200 230
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
50 470 470 300 770
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
300 300 300 600
1 1 24 25
1 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
1 1 0 1
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
10 4 2 3 8 123 123 20 143
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 730 730 300 1030
52 262 262 0 262
50 30 40 10 1160 1160 200 1360

2 1 1 1 2 20 20 10 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
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 0 500 500
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 8 8
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 10 10
0 0 10 10
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 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 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 50 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 125 125
0 0 0 0
0 0 0 0
0 0 5 5
0 0 0 0
0 0 0 0
0 0 4 4
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 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 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 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
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

Rekapan Harian 2021

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Rekapan Harian 2021

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Tgl Pemakaian Obat di PKM Bulan Mei 2017 JUMLAH

NO NAMA SEDIAAN PEMAKAI

C. SERUM DAN VAKSIN 0

Antasida Doen Suspensi Kombinasi :

Antasida Doen Tablet, Kombinasi :

Antasida Doen Tablet, Kombinasi :

Epinefrin HCl / Bitartrat

148 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 0

Larutan mengadung Elektrolit

Larutan mengadung Karbohidrat +

195 Nistatin 100.000 IU/gram Tablet Vagina Tablet 100

205 Obat Batuk Hitam (OBH) Cairan 100 ml Botol 0

245 Ringer Laktat Larutan Infus Steril 500 ml Botol 0

Salep 2-4 Kombinasi :

Salep 2-4 Kombinasi :

Salep 2-4 Kombinasi :

B. BAHAN MEDIS HABIS PAKAI (BMHP) 0

C. SERUM DAN VAKSIN 0

610 610 400 1010

18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 ml Botol 0

Antasida Doen Suspensi Kombinasi : Magnesium

Garam Oralit I serbuk, kombinasi :

Garam Oralit I serbuk, kombinasi :

Larutan mengadung Karbohidrat + Elektrolit

270 Temporary Stopping Fletcher (Fletcher) Serbuk & Cairan Set 0

50 30 40 10 1160 1160 200 1360

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