LAMPIRAN : SURAT KEPUTUSAN KEPALA UPT

PUSKESMAS KECAMATAN CIKANDE

NOMOR : 073/KAPUS/SK/III/2017

TANGGAL : 16 MARET 2017

PERSEDIAAN APOTEK
SATUA
NO NAMA PERSEDIAAN KETERANGAN
N
1 Alat Suntik 1 ml Set  
2 Alat suntik 20 ml Set  
3 Alat Suntik 3 ml Set  
4 Alat suntik 5 ml set  
5 Albendazole Tablet  
6 Allopurinol 100 mg Tablet  
7 Ambroxol sirup 15 mg/ml Botol  
8 Ambroxol tablet 30 mg Tablet  
9 Aminophilin 200 mg Tablet  
10 Aminophilin inj Ampul  
11 Amitriptillin tab 25 mg Tablet  
12 Amlodipin 5 mg Tablet  
13 Amlodipin 10 mg Tablet  
14 Amoxicillin Inj Vial  
15 Amoxicillin Syrup Forte 250 mg/ml Botol  
16 Amoxisilin 125 mg syr Botol  
17 Amoxisilin 250 mg Kapsul  
18 Amoxisilin 500 mg Kapsul  
19 Ampicillin 1 gr injeksi Ampul  
20 Antalgin 500 mg Tablet  
21 Antasida Doen Tablet  
22 Antasida Doen Sirup Botol  
23 Anti vertigo (Betahistin maleat) Tablet  
24 Antibakteri Doen Salep Tube  
25 Antihaemoroid Doen Komb. Supp Supp  
26 Antimigrain Doen Komb. Tablet  
27 Aqua Pro inj Steril 20 ml Ampul  
28 Artesunate inj Ampul  
29 Asam Aselilsalisilat 100mg Tablet  
30 Asam Askorbat 250 mg Tablet  
31 Asam Askorbat 50 mg Tablet  
32 Asam Mefenamat 500 mg Tablet  
33 Asam Traneksamat inj 250 mg / ml Ampul  
34 Asering 500 cc Botol  
35 Asiclovir 400 mg Tablet  
36 Asiclovir cream Tube  
37 Atrofin Sulfat inj 0,25 mg / ml Ampul  
38 Attapulgit 600 mg Tablet  
39 Azythromycin 500 mg Tablet  
Benzatin Benzilpenisillin 1,2 Juta Vial
40 IU/Vial  
41 Betamethason Krim Tube  
42 Bisacodyl Tablet  
43 Bisturi pcs  
44 Ca glukonas Vial  
Calsium Hidroksida Pasta Set
45 (Dorident)  
46 Captopril 12,5 mg Tablet  
47 Captopril 25 mg Tablet  
48 Cat- Gut/Benang Bedah Set  
49 Cefadroxil 250 mg syr Botol  
50 Cefadroxyl sirup kering 125mg/ml Botol  
51 Cefadroxyl 500 mg Kapsul  
52 Cefixime 100 mg Kapsul Kapsul  
53 Cendo Lyteers Botol  
54 Cetirizine Tablet  
55 Cetirizine 5 mg/5 ml Syrup 60 ml Botol  
56 Cimetidine 200 mg Tablet  
57 Clobazam 10 mg Tablet  
58 Clozapine Tablet  
59 Composit (Diafil) Tube  
60 Cresophene Botol  
61 Deksametason 0,5 mg Tablet  
62 Deksametason inj 5 mg Ampul  
63 Devitalisasi pasta (non arsen) Botol  
64 Dextrose 40% inj Ampul  
65 Diazepam inj 5 mg / ml Ampul  
Diazepam rektal 5mg /2.5 ml Tube
66 (Stesolid)  
67 Dietylcarbamazin Sitrat 100 mg Tablet  
68 Difenhidramin HCL inj 10 mg/ml Ampul  
69 Digoksin 0,25 mg Tablet  
70 Diltiazem HCl 30 mg Tablet  
71 Doksisiklin 100 mg Capsul  
72 Domperidon susp 5mg/ml Botol  
73 Domperidone tab Tablet  
74 Ekstraks Belladona tab 10 mg Tablet  
75 Epinefrin HCL inj 0,1%-1 ml Ampul  
76 Erythromycin 500 mg Tablet Salut Tablet  
77 Erytromisin syr Botol  
78 Etakridin ( Rivanol ) 0.1% Botol  
79 Etanol 70% - 1.000 ml Botol  
80 Etanol 70% - 100 ml Botol  
81 Etilklorida Semprot - 100 ml Botol  
82 Eugenol cairan Botol  
83 FDC KAT II Paket  
84 FDC Kat. I Paket  
85 Fenobarbital inj Ampul  
86 Fenol Glicerol TT Botol  
87 Fitomenadion 10 mg Tablet  
88 Fitomenadion inj 10 mg / ml Ampul  
89 Fluconazole 150 mg Tablet  
90 Fluoxetine 10 mg Tablet  
91 Fluphenazine Decanoate Ampul  
 92 Foley Catheter Pcs  
93 Furalex Tablet  
94 Furosemida 40 mg Tablet  
95 Furosemida inj 10 mg/ml Ampul  
96 Garam Oralit 200 ml Sachet  
97 Gentamisin TT 2% tube  
98 Gentamycine inj Ampul  
99 Gentamycine salep kulit 0,1 % Tube  
100 Gentamysin tetes mata Botol  
101 Glass Ionomer Semen Set  
102 Glibenklamid 5 mg Tablet  
103 Gliseril Guaiacolat 100 mg Tablet  
104 Glucosa 5% Botol  
105 Glukosa 10 % Botol  
106 Griseovulfin 125 mg Tablet  
107 Haloperidol 5 mg Tablet  
108 Haloperidol decanoat Ampul  
109 Haloperidol inj Ampul  
110 Hand schoon non steril Kotak  
111 Handscrub (Cutisoft) Botol  
112 Hidrocortison Cream 2,5% Tube  
113 Hidroklortiazid (HCT) Tablet  
Hyoscine-N-Butilbromide 20 Ampul
114 mg/ml inj  
115 Hyoscine-N-Butilbromide 10 mg Tablet  
116 I.V catheter no : 18 Pcs  
117 I.V catheter no : 20 Pcs  
118 I.V catheter no : 24 Set  
119 I.V Catheter no 26 Set  
120 I.V Catheter No.22 Tablet  
121 Ibuprofen 200 mg Tablet  
122 Ibuprofen 400 mg Set  
123 Infus Set Anak Set  
124 Infus Set Dewasa Tablet  
125 Isosorbit Dinitrat 5 mg Set  
126 IV. Catheter no. 16 Pcs  
127 Kalium Permanganat Serbuk Pot  
128 Kalsium Laktas 500 mg Tablet  
129 Kanamycin inj Vial  
130 Kapas Pembalut Adsorben Rol  
131 Kasa 36 m x 80 cm Rol  
132 Kasa Elastis 4 Inch Roll  
133 Kasa Kompres 40/40 Steril Bungkus  
134 Kasa Pemb.Hidropil 4mx10cm Rol  
135 Kasa Pemb.Hidropil 4mx15cm Rol  
136 Kassa 16 x 16 cm Steril Kotak  
137 Ketokonazol cream 2 % Tube  
138 Ketokonazol Tab Tablet  
139 Ketorolac Ampul  
140 Klindamisin kap 150 mg Kapsul  
141 Klindamisin kap 300 mg Kapsul  
142 Kloramfenikol 250 mg Kapsul  
143 Kloramfenikol SM 1% Tube  
144 Kloramfenikol Suspensi Botol  
145 Kloramfenikol TT Botol  
146 Klorfeniramin Maleat ( CTM ) 4 mg Tablet  
147 Klorpromazin tab 100 mg Tablet  
148 Kotrimoksazol 480 mg Tablet  
149 Kotrimoksazol susp. Botol  
150 Laxadin Emulsi 60 ml Botol  
151 Levofloxacin tab 500 mg Tablet  
152 Lidocain Jelly 2 % Tube  
Lidocain kombinasi inj : lidokain Ampul
153 HCl 2% + Epinefrin 1:80.000  
154 Lidokain inj Ampul  
155 Loperamide 2 mg tab Tablet  
156 Loratadine 10 mg Tablet  
157 Lysol 1 Ltr Botol  
158 Magnesium Sulfat 20 % Ampul  
159 Magnesium Sulfat 40 % Vial  
160 Masker pcs  
161 MDT MB Anak Blister  
162 MDT MB Dewasa Blister  
163 MDT PB Anak blister  
164 MDT PB Dewasa Blister  
165 Meloxicam 15 Tablet  
166 Metformin 500 mg Tablet  
167 Metildopa tab 250 mg Tablet  
168 Metilergometrin Maleat 0,125 mg Tablet  
169 Metilergometrin Maleat inj Ampul  
170 Metilprednisolon 8 mg Tablet  
171 Metoclorpropamid injeksi Ampul  
172 Metoclorpropamid 10 mg Tablet  
173 Metronidazol 250mg Tablet  
174 Metronidazol 500 mg/ml infus Botol  
175 Metronidazol 500mg Tablet  
176 Miconazole cream Tube  
177 Mumifying Pasta Botol  
178 Nalokson Hcl inj Vial  
179 Nasal Cannula Anak Set  
180 Nasal Cannula Dewasa Set  
181 Natrium Bicarbonat 500 mg Tablet  
182 Natrium Bicarbonat lar 8,4 % Botol  
183 Natrium dikloffenak tab 25 mg Tablet  
184 Natrium dikloffenak tab 50 mg Tablet  
185 Natrium Klorida 0,9% Botol  
186 Neo K (fitomenadion 2 mg/ml) Ampul  
187 Neokolina syr Botol  
188 Nifedipin tab Tablet  
189 Nistatin Vaginal tab 100.000 IU Tablet  
190 Nistatin Vaginal tab 500.000 IU Tablet  
191 O.B.H.Sirup Botol  
192 OAT Kat Anak Paket  
193 Ofloxacin Tablet  
194 Oksitetrasiklin HCL inj Vial  
195 Oksitetrasiklin HCL SK 3% Tube  
196 Oksitetrasiklin HCL SM 1% Tube  
197 Oksitosin Inj Vial  
198 Omeprazol kap 20 mg Kapsul  
199 Papaverin 40 mg Tablet  
200 Parasetamol 100 mg Tablet  
201 Parasetamol 160 mg supp supp  
202 Parasetamol 240 mg supp supp  
203 Parasetamol 500 mg Tablet  
204 Parasetamol 80 mg supp supp  
205 Parasetamol Sirup Botol  
206 Peahavral tab Tablet  
207 Perak Sulfadiazin 1 % Tube  
Pine oil 7,0%+benzyl clorophenol Botol
208 0,6%  
209 Pirantel Pamoat 125 mg Tablet  
210 Piridoksin HCL 10 mg Tablet  
211 Piridoksin HCL 25 mg Tablet  
212 Piroksikam 20 mg Tablet  
213 Plester 10 yard x 1 inch Roll  
214 Plester 5 yards x 1 inc Roll  
215 Povidon Yodida 30 ml Botol  
216 Povidon Yodida 300 ml Botol  
217 Prednison 5 mg Tablet  
218 Primaquine Tablet  
219 Propanolol HCL 40 mg Tablet  
220 Ranitidine Tablet  
221 Ranitidine inj Ampul  
222 Retinol 100.000 IU Kapsul  
223 Retinol 200.000 iu Kapsul  
224 Ringer Laktat Botol  
225 Risperidon tab 20 mg Tablet  
226 Salbutamol 2 mg Tablet  
227 Salbutamol 4 mg Tablet  
228 Salep 2-4 Kombinasi Pot  
229 Salisil Bedak 2% - 50 gr Kotak  
230 Sanadril syr Botol  
231 sanvita B syr Botol  
232 Semen Seng Fosfat Set  
233 Serum ABU I Vial  
234 Serum ADS Ampul  
235 Serum ATS 1.500 IU Vial  
236 Sianokobalamin inj. Ampul  
237 Sianokobalamin tab Tablet  
238 Silk Benang Bedah Sutra Set  
239 Simvastatin 10 mg Kapsul  
240 Siprofloksasin 250 mg Tablet  
241 Siprofloxacin 500 mg Tablet  
242 Spironolactone Tablet  
243 Tablet tambah darah Tablet  
244 Temporary Stopping Fletcher Set  
245 Tetrakain 0,5 % T.M (PANTOCAIN) Botol  
246 Tetrasiklin 250 mg Tablet  
247 Tetrasiklin 500 mg Tablet  
248 Thiamin HCL 50 mg Tablet  
249 Thiamin HCL inj Ampul  
250 Tiamfenikol kap 500 mg Kapsul  
251 Tramadol inj Ampul  
252 Transfusi Bag Set  
253 Triamcinolone asetonide cream Tube  
254 Trifluoperazine Tablet  
255 Trihexyphenidyl 2 mg Tablet  
256 Urine Bag Set  
257 Vaksin rabies verro Vial  
258 Ventolin Nebules 2,5 mg Ampul  
259 Vitamin B.Komplek Tablet  
260 Zinc Dispersible tab Tablet  
261 Zink Syrup (ZIRCUM KID SYRUP) Botol  
262 Permethrin Cream Tube  
263 Alat Suntik 10 ml Set  
264 Handscoon Non steril S Kotak  
265 Handscoon Non Steril M Kotak  
266 Handscoon Non Steril L Kotak  
267 Foley Catheter no. 16 Set  
268 Foley Catheter no. 18 Set  
269 Fenitoin 100 mg Kapsul  
270 Omeprazole Injeksi 40mg/ml Ampul  
271 Paracetamol Drops Botol  
272 Kloramfenikol Salp Kulit Tube  
273 Asetil systein 200 mg Tablet  
274 Simvastatin 20 mg Tablet  
275 Lytacur Botol  
276 Megatic Gel Tube  
277 Minyak Kayu Putih Botol  
278 Neo kaolina Syrup Botol  
279 Protexinal syrup Botol  
280 Quantidex Botol  
281 Under Pad pcs  
282 Albendazole Syrup Botol  
283 Cefixime Syrup Botol  
284 Gentamicin Salp Mata Tube  
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