II.

BAHAN MEDIS HABIS PAKAI FORMULARIUM KABUPATEN LOMBOK TIMUR

NO NAMA KEMASAN
1 Benang operasi chromic catgut with needle 3.0 Kotak @ 12 Sachet
2 Benang operasi plain catgut with needle 3.0 Kotak @ 12 Sachet
3 Chlorin 1 Liter Botol
4 Foley Catheter 2 Way Fr. 18 Kotak @ 10 Pcs
5 Foley Catheter 2 Way Fr.20 Kotak @ 10 Pcs
6 Infus Set Anak Set
7 Infus Set Dewasa Set
8 IV Catheter 18G X 1-1/4" Kotak @ 50 Pcs
9 IV Catheter 20G X 1-1/4" Kotak @ 50 Pcs
10 IV Catheter 22G X 1" Kotak @ 50 Pcs
11 IV Catheter 24G X 3/4" Kotak @ 50 Pcs
12 Jarum Suntik 23G Kotak @ 50 Pcs
13 Kapas Pembalut 250 gram Kotak @ 50 Pcs
14 Kasa Hydrofile 40 X 80 cm Kotak @ 50 Pcs
15 Kasa Pembalut Hydrofil 4 m x 15 cm Kotak @ 50 Pcs
16 Masker Kotak @ 50 Pcs
19 Oxyflow Nasal Oxygen Anak Pcs
20 Oxyflow Nasal Oxygen Bayi Pcs
Oxyflow Nasal Oxygen Dewasa Pcs
21 Plester Rol Kain 5 cm x 4.5 m (dengan snap ring) Roll
22 Plesterin Bulat Non Woven
23 Sarung Tangan Non Steril Ukuran L (100 Pcs/kotak) Kotak @ 100 Pcs
24 Sarung Tangan Non Steril Ukuran M (100 Pcs/kotak) Kotak @ 100 Pcs
25 Sarung Tangan Obgin Steril Pasang
26 Sarung Tangan Steril No. 6,5 Pcs
27 Sarung Tangan Steril No. 7,0 Pcs
28 Sarung Tangan Steril No. 7,5 Pcs
29 Silk 3/0 + Jarum 1/2 GT 35 mm (36 pcs/kotak) Kotak @ 36 Pcs
30 Softpad (Underpad) 60 x 90 cm Non Steril Bag
31 Spalk First Aid Anak Set
32 Spalk First Aid Dewasa Set
33 Spuit 20 cc
34 Surgical Mask Tie On
35 Syringe 10cc Luer Lock With Needle 21G x 1-1/2" Elektron Beam Sterilization
36 Syringe 1cc Tuberculin With Needle 26G x 1/2" E Beam Sterilization
37 Syringe 3cc Luer Lock With Needle 23G x 1-1/4" Elektron Beam Sterilization
38 Syringe 5cc Luer Lock With Needle 22G x 1-1/2" Elektron Beam Sterilization
39 Klem Tali Pusar
40 Urine bag
41 Gelang Pasien Dewasa (Merah Muda) Kotak @ 100 Pcs
42 Gelang Pasien Dewasa (Biru) Kotak @ 100 Pcs
43 Gelang Pasien Dewasa (Kuning) Kotak @ 100 Pcs
 Gelang Pasien Dewasa (Putih)
44 Kertas Puyer Pack @ 500 Lembar
45 Klip Obat Sablon Besar Pack @ 100 Lembar
46 Klip Obat Sablon Kecil Pack @ 100 Lembar
47 Klip Obat Sablon Sedang Pack @ 100 Lembar
48 Steril Scapel Blade No.11 Kotak
49 Pembersih Lantai Refill Sachet @ 800 ML
50 Perhidrol (H2O2) 3% Botol @ 1 Liter
51 Tissue Sachet @ 250 Sheet
52 Spiritus 1 Liter Botol @ 1 Liter
53 Pengharum Ruangan Refill Matic Botol @ 250 ml
54 Bahan Pengharum Ruangan Set
55 Tissue Gulung Roll
56 Kertas USG UPP 110HG Roll
57 Kertas EKG 63mm x 30m Roll
58 Kertas EKG 50mm x 30m Roll
59 Kantong Puyer Pack @ 120 Lembar
60 Kartu Golongan Darah PCS
61 Maternity Softex Sachet @ 12 Pad
62 Antiseptik Gel Galon @ 5 Liter
63 Tabung EDTA Pack @ 100 Pcs
64 Jarum Vacutainer No.22 Pack @ 50 Pcs
65 Kemasan Obat Sablon (Kresek) Pack @ 50 Lembar
Kapas 500 mg Bungkus
Kapas 1 kg Bungkus
Povidone Iodine 300 ml Botol
Aquadest Steril 1 Liter Botol
Torniquet Pcs
Gell Dopler 250 ml Tube
Masker Nebulizer Dewasa Pcs
Masker Nebulizer Anak Pcs
Alkohol Swab
Blood Lancet
Alkohol 70% 1 Liter
SATUAN
Sachet
Sachet
Botol
Pcs
Pcs
Set
Set
Pcs
Pcs
Pcs
Pcs
Pcs
Bungkus
Roll
Biji
Pcs
Pcs
Pcs
Pcs
Roll

Pcs
Pcs
Pasang
Pcs
Pcs
Pcs
Pcs
Bag
Set
Set

Pcs
Pcs
Pcs
Pcs

Pcs
Pcs
Pcs
I. OBAT FORMULARIUM KABUPATEN LOMBOK TIMUR
NO KELAS TERAPI NAMA GENERIK BENTUK SEDIAAN DOSIS SEDIAAN