Januari 20019 IGD 1

RAWAT INAP AMBIL igd
Jan-19
supatmi
sukinah
warsini
Mrinah
naumi
NO NAMA OBAT NAMA
UMUR 65 45 53 56 41
ALAMAT pagah sambi jenawi musuk gading
JANIS
PASIEN
A Obat Generik
A1 Acetosal 80 mg tab Tablet
A2 ACT tab Kotak 24 tab
A3 Albendasol Tablet
A4 Allopurinol 100 mg tab Tablet
A5 Ambroxol sirup Botol
A6 Ambroxol tab Tablet
A7 Aminofilin inj. Ampul
A8 Aminofilin tab 200 mg Tablet
A9 Amitriptilin tab 25 mg Tablet
A10 Amlodipin 5mg Tablet
A11 Amoksisilin + As. Klavunalat 625 mg Tablet
A12 Amoksisilin injeksi Vial
A13 Amoksisilin kab 500 mg Tablet 12
A14 Amoksisilin kap 250 mg Kapsul
A15 Amoksisilin Sirup 125 mg Botol
A16 Ampisilin injeksi 1 gram Vial
A17 Antalgin injeksi Ampul
A18 Antalgin tab 500 mg Tablet
A19 Antasida Doen tab Tablet 9 7 9 6 3
A20 Antasida sirup Botol
A21 Anti Bacteri Doen salep kulit Tube
A22 Anti Hemoroid suppo Suppo
A23 Antifungi Kombinasi salep kulit Pot
A24 Artemeter inj 80 mg Ktk 6 amp
A25 Artesunate Inj ktk 8 amp
A26 Asam Askorbat tab 50 mg tab Tablet
A27 Asam Mefenamat kap 500 mg Kaplet
A28 Asam traneksamat inj 250 mg Ampul
A29 Asiklovir salep kulit Tube
A30 Asiklovir tab 200 mg Tablet
A31 Atropin Sulfas inj Ampul
A32 Benzatin Benzyl Penisilin Inj 2,4jt UI Flacon
A33 Besi II Sulfat Tablet + asam folat Tablet
A34 Betahistin mesilat tab Tablet 6
A35 Betamethason salep kulit Tube
A36 Bisakodil tab Tablet
A37 Deksametason inj Ampul
A38 Deksametason tab 0,5 mg Tablet
A39 Dekstromethorpan sirup Botol
A40 Dekstromethorpan tab Tablet
A41 Diazepam inj. 5mg/2ml Ampul
A42 Diazepam tab 2 mg Tablet
A44 Difenhydramin HCl inj Ampul
A45 Digoxin tab 0,25 mg Tablet
A46 Dimenhydrinat tab Tablet
A47 Doksisiklin 100 Tablet
A48 Domperidon suspensi Botol
A49 Domperidon tab 10 mg Tablet 2
A50 Efedrin tab 25 mg Tablet
A51 Efinefrin ( Adrenalin inj ) Ampul
A52 Ekstrak Belladon tab 10 mg Tablet
A53 Erytromicin kap 250 mg Kapsul
A55 Erytromicin sirup Botol
A56 Etakridin Lakt. ( Rivanol ) Botol
A57 Ethambutol tab 250 mg Tablet
A58 Fenitoin Na. kap 100 mg Kapsul
A59 Fenobarbital inj 50mg/ml Ampul
A60 Fenobarbital tab30 mg Tablet
A61 Fenol Gliserol Botol
A62 Fitomenadion inj Ampul
A63 Fitomenadion tab 10 mg Tablet
A64 Furosemide tab 40 mg Tablet
A65 Furosemide injeksi Ampul
A66 Gameksan salep kulit Tube
A67 Garam Oralit 200ml Sak
A68 Gentamicin tetes mata 0,3 % Botol
A69 Gentamicin injeksi Ampul
A70 Gentamisin salep kulit Tube
A71 Gentian Violet Botol
A72 Glibenklamide tab 5 mg Tablet 2 4
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 40 % larutan infus Ampul
A76 Glukose 10 % larutan infus Flabot
A78 Griseofulvin tab 125 mg Tablet
A79 Haloperidol tab 0,5 mg Tablet
A81 Hidrokhlorotiazide (HCT) tab 25 mg Tablet
A82 Hidrokortison salep kulit Tube
A83 Hiosine-N- butilbromide tablet 10 mg Tablet
A84 Ibuprofen tab 200 mg Tablet
A86 Isoniazide tab ( INH ) Tablet
A87 Isosorbid Dinitrat Tablet
A88 Kalium Diklofenak 25 mg Tablet
A90 Kalsium Laktat tab 500 mg Tablet
A91 Kaptopril tab 25 mg Tablet 6 6
A92 Karbamazepin tab 200 mg Tablet
A93 Ketokonazole 200 mg Tablet
A94 Ketokonazole krim tube
A95 Ketoprofen inj Ampul
A96 Kinina Dihydroklorid inj Ampul
A97 Kinina HCl. Tab Tablet
A98 Klobazam tab Tablet
A99 Klonidin tab Tablet
A100 Klorafeniramin ( CTM ) tab Tablet
A101 Kloramfenikol inj Vial
A102 Kloramfenikol salep mata 1 % Tube
A103 Kloramfenikol sirup Botol
A104 Kloramfenikol tetes mata 0,5 % Tube
A105 Kloramfenikol tetes telinga Kapsul
A106 Kloramfenikol kap 250 mg Botol
A107 Klorokuin tab 150 mg Tablet
A108 Klorpromasin injeksi Ampul
A109 Klorpromasin tab 25 mg Tablet
A110 Kontrasepsi implant set
A111 Kontrasepsi inj depo prog 3 bln vial
A112 Kotrimoksazol suspensi Botol
A113 Kotrimoksazol tab 120 mg Tablet
A115 Lidokain comp injeksi Ampul
A116 Loperamid Tablet
A117 Mebendazol tab100 mg Tablet
A118 Metformin 500 Tablet 6 4
A119 Methoklopramide injeksi Ampul
A120 Methoklopramide sirup Botol
A121 Methoklopramide tab10 mg Tablet
A122 Metilergomet injeksi 0,2 mg Ampul
A123 Metilergomet tab 0,125 mg Tablet
A124 Metilprednisolon 4 Tablet
A125 Metronidazol inf Ampul
A126 Metronidazol tab 250 mg Tablet
A128 MgSO4 20 % Vial
A130 Mineral mix Sak
A131 Misoprostol Tablet
A132 Myconazol salep kulit Tube
A133 Na tiroksin Tablet
A134 Na. Bic. Tab 500 mg Tablet
A135 Na. Cl. Infus Flabot
A136 Natrium Dikofenak 50 Tablet
A137 Natrium Tiosulfas inj Ampul
A138 Nifedipin Tablet
A139 O A T Anak Paket
A140 O A T - FDC anak Paket
A141 O A T - FDC kat 1 & 3 Paket
A142 O A T - FDC kat 2 Paket
A143 O A T - FDC sisipan Paket
A144 O A T Katagori - 1 Paket
A147 O A T Sisipan Paket
A148 Obat Batuk Hitam sirup Botol
A149 Oksitetrasiklin salep kulit 3 % Tube
A150 Oksitetrasiklin salep mata Tube
A151 Oksitetrasiklin 50mg/ml inj Flacon
A152 Oksitocin 10mg/ml inj Ampul
A153 Omeprazol kaps Kapsul
A154 Papaverin inj Ampul
A155 Papaverin tab 40 mg Tablet
A156 Parasetamol sirup Botol
A157 Parasetamol tab 100 mg Tablet
A158 Parasetamol tab 500 mg Tablet 9 10 9 8
A159 Perhidrol 2 % Botol
A160 Piracetam 400 Kapsul
A161 Pirazinamid tab 500 mg Tablet
A162 Piridoksin tab 10 mg Tablet
A163 Piroksikam tab 10 mg Kapsul
A165 Polykrusulen ( Albothyl ) Botol
A166 Povidon Iodium 10% 30 ml Botol
A168 Prednison tab 5 mg Tablet
A169 Primakuin tab 15 mg Tablet
A170 Proc. Pen. 3 juta inj Vial
A171 Prokain Benzil Penisilin Vial
A172 Propanolol tab 40 mg Tablet
A173 Propylthioracil ( PTU ) tab 100 mg Tablet
A174 Pyrantel tab 125 mg Tablet
A175 Ranitidine 150 mg Tablet 1 2
A176 Ranitidine inj ampul 1 1
A177 Reserpin tab 0,25 mg Tablet
A178 Retinol 100.000 iu Kab Btl @50
A180 Rifampisin kap 300 mg Kapsul
A181 Ringer Laktat Infus Flabot 5 7 8
A182 Salbutamol tab 2 mg Tablet
A183 Salep 2 - 4 kombinasi Pot
A184 Salysil bedak 2 % Botol
A185 Sefadroksil 500 cps Kapsul
A186 Sefotaxim 1g inj Vial
A187 Seftriaxon inj Vial
A188 Serum ABU 5 ml inj. Flacon
A189 Serum ATS 1.500 iu inj Ampul
A190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
A191 Sianokobalamin tab ( Vit. B12 ) tab Tablet
A192 Simetidin tab Tablet
A193 Simvastatin 10 Tablet
A194 Siprofloxacin tab 500 mg Tablet
A195 Streptomicin 1.500 mg inj Vial
A196 Sulfacetamid tetes mata Botol
A197 Sulfadimidin 500 mg tab Tablet
A198 Sulfadoksin + Piritamin tab Tablet
A199 Tetracyklin kap 250 mg Kapsul
A201 Thiamin HCl / B1 tab 100 mg Tablet
A202 Tiamfenikol kap 500 mg Kapsul 8
A203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
A204 Tiamin HCl / B1 Tab 50 mg Tablet
A205 Triheksifenidil tab 2 mg Tablet
A206 Vitamin B Komplek tab Tablet 9 6 2
A207 Zink Tablet
B
B1 Antasida + Simetikon Tablet
B2 Antasida + simetikon sirup Botol
B3 Anti Diare kombinasi ( Dewasa ) Tablet 3
B4 Anti Diare kombinasi sirup ( Anak ) Botol
B5 Anti hemorhoid kapsul Kapsul
B6 Anti radang topikal mengandung triamsinolTube
B7 Anti spasmodik inj / spasi inj Ampul
B8 Asam Askorbat tab 500 + Vitamin Tablet
B9 Asering infus Flabot
B10 Asifit Kapsul
B11 Batugin eliksir Botol
B12 Betamethason + Antibiotik salep kulit Tube
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B15 Diazepam rectal Tube
B16 Flunarizin 5 mg Tablet
B17 Mecobalamin 500 Kapsul
B18 Minyak kayu putih Botol
B19 Minyak telon Botol
B20 Multivitamin sirup ( Anak ) Botol
B21 Multivitamin tab ( Dewasa ) Tablet
B22 Neprolit Kapsul
B23 Salep Luka Bakar Tube
B24 Simetidin inj Ampul
B25 Tablet Tambah Darah + Vitamin Tablet
B26 Tensigard Kapsul
B27 Vitamin neurotropik inj Ampul
B28 Xylomidon inj Vial
C
C1 Air raksa dental use Botol
C2 Bahan bonding botol
C3 Bahan Etsa botol
C4 Devitalisasi Pasta Botol
C5 Etil Klorida semprot Botol
C6 Eugenol sol Pot
C7 Flour tablet Tablet
C8 Glass Ionomer Cement Pot
C9 Kalsium hydroksi pasta dos
C10 Monokror Kamfer Menthol ( CHKM ) Pot
C11 Mumiying Pasta Biji
C12 Semen Seng Fosfat p+liq Botol
C13 Silver Amalgam Botol
C14 Solare Tube
C15 Spons Gelatin Cubices Dos
C16 Temp+Stopp Fletc p+liq Set
C17 Trikresol Formalin ( TKF ) Botol
C18 Yodium Gliserin Cc
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D4 Alat suntik 1 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji 1 1 1
D6 Alat Suntik 5 ml Biji
D7 Antiseptik/Bayclin Botol
D8 Aqua Pro injeksi Flacon
D9 Aquadest steril 500ml Botol
D10 Cat Gut Biji
D11 Etanol 70 % Botol
D12 Hand Scoen Biji
D13 Infus Set anak Biji
D14 Infus Set dewasa Biji 1 1
D15 IV Cateter No. 18 Biji
D16 IV Cateter No. 20 ( Dewasa ) Biji
D17 IV Cateter No. 22 ( Dewasa ) Biji 1 1
D18 IV Cateter No. 24 ( Anak ) Biji
D19 Jarum Bengkok / Jahit Biji
D20 Jarum Suntik Biji
D21 Kapas Adsorben 250 gr Roll
D22 Kasa panjang 40 cmx80 yard Roll
D23 Kasa Pemb 4 m x 10 cm Roll
D24 Kasa Pemb Hydro 4 m x 15 cm Roll
D25 Kasa Pemb Hydro 4 x 80 cm Biji
D26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
D27 Kasa steril mengand:Framasetin 10% Biji
D28 Kasa uk 36 m x 80 cm Roll
D29 Kertas Puyer Pak
D30 Lisol Botol
D31 Masker Biji
D32 Masker N 95 Biji
D33 Mess Biji
D34 Penjernih Air Cepat ( PAC ) Set
D35 Plastik obat pak
D36 Plester 5 yardx2inch Roll
D37 Poly Cateter No. 14 Biji
D40 Selang oksigen anak Biji
D41 Selang Oksigen dws Biji
D42 Silk Biji
D43 Tranfusi set Biji
D44 Urine Bag Biji
D45 Wing Needle No 23 Biji
D47 Pot dahak Biji
E
E1 Alkohol swab 100pcs/box
E2 Amphetamin dos 50 test dus 50
E3 Asam urat Kit 4 x 30 ml
E4 Benzodiazepin dos 50 test dus 50
E5 Blue tips set @100
E6 BOD Nutrient Mixture Botol
E7 BOD Standart Botol
E8 Briliant green 2% Bile Broth (BGLB) Btl dlm dus
E9 Cannabinoides dos 50 test dus 50
E10 Cell clean Btl 50 ml
E11 Cellpack (PK-30 ) box 20 lt
E12 Cholinesterase botol
E13 Cocain dos 50 test dus 50
E14 COD cell test Botol
E15 COD sol A Refil Botol
E16 Combur test kit 100test Kit 100 test
E17 Deck glass box 100 biji
E18 EDTA 10 % btl 250 ml
E19 Eight check ( L,N,H ) serial 3x1.5ml
E20 Glukosa Botol 5 x 100 ml
E21 HbsAg test Test
E22 Iodida Test Botol
E23 Kertas ECG lembar
E24 Kolesterol Botol 5 x 100 ml
E25 Kreatinin Botol 2 x 125 ml
E26 Lactosa Broth Botol
E27 Larutan Asam Klorida 1 % Botol
E28 Larutan Asam Sulfosalisilat Botol
E29 Larutan Benedick Botol
E30 Larutan Eosin Botol
E31 Larutan Etanol Asam Botol
E32 Larutan Gabbet Botol
E33 Larutan Giemsa Botol
E34 Larutan Hayem Botol
E35 Larutan Karbol Fuksin Botol
E36 Larutan Kinyoun Botol
E37 Larutan Metanol Botol
E38 Larutan Metilen Biru Botol
E39 Larutan Turk Botol
E40 Larutan Drabkin Botol 500 ml
E41 Larutan Rees Ecker Botol 100 ml
E42 LDL kit
E43 Minyak emersi botol
E44 Morphines dos 50 test dus 50
E45 Needle boorner dus 100
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E49 Poch-L box 500ml
E50 Reagen A/B ( GOLDA ) Set
E51 Reagen amonium Botol
E52 Reagen Cu Btl dlm dus
E53 Reagen Fe ( Iron ) Btl dlm dus
E54 Reagen Mn Btl dlm dus
E55 Reagen Nitrat Btl dlm dus
E56 Reagen Nitrit Btl dlm dus
E57 Reagen Phospat Botol
E58 Reagen Zn Botol
E59 Reagen Cyanmet kit/500ml Kit 500ml
E60 Serum Widal AO Vial 5 ml
E61 Serum Widal H Vial 5 ml
E62 Serum Widal O Vial 5 ml
E63 Serum widal S thypi H parathyphi AH vial 5 ml
E64 SGOT Botol 2 x 62,5 ml
E65 SGPT Botol 2 x 62,5 ml
E66 Stromatolyser-WH Btl 500 ml
E67 Tabung EDTA 3 ml dus 100
E69 Test Gula Darah Biji
E70 Test hematokrit/asisten Tube 100 biji
E71 Thermal roll paper roll
E72 Tissue lensa biji
E73 Trigliserida Botol 6 x 50 ml
E74 Ultrasonic gel set
E75 Ureum Kit 2 x 100 ml
E76 Urine Test Biji
E77 Vacum tainer dus 100
E78 Yellow tips set @1000
F
F1 Fluoconazol 150 mg Dus @ 10 Kap
F2 KOH 10% Botol
F3 Aminofluid Infus 500 cc Bag 500 cc
F4 Methylen Blue 0.3% Botol
F5 NaCl 0.9% Botol
F6 pH Paper Cat 9555 Merck Roll
F7 Rapid Tes HIV Ke-1 Test
F10 Rapid Tes Shipilis ( SD ) Test
F11 Xylol Botol
F12 Paket Kusta MB Dewasa Blister
F13 Paket Kusta MB Anak Blister
F14 Paket Kusta PB Dewasa Blister
F15 Paket Kusta PB Anak Blister
F16 Iodium Test Botol
F17 Dihydro Artemisin 40mg + Piperaquin 32 Tablet
F18 Cefixime Azithromycin 1000 mg Paket
F19 Acyclovir 400 mg Dus
F20 Clindamycin 150 mg Dus
F21 Box Slide Box
F22 RDT Leptospirosis Test
F23 Vaksin Anti Rabies ( VAR ) Vial
F24 Dewasa FDC Triple: Tenofovir 300mg + L Tablet
F25 Lamivudine (3TC) 150 mg Tablet
F26 Efavirenz 600 mg Tablet
F27 Tenofovir (TDF) 300 mg Tablet
F28 Nevirapine 200 mg Tablet
F29 Zidovudine + Lamivudine ( 300 mg / 150 mTablet
F30 Lopinavir 200 mg, Ritonavir ( LPV/r ) 50 Botol@120 Tablet
F31 Cotton Aplikator Buah
F32 RDT Malaria Test
F33 Masker N 95 + Aura Biji
F34 Glimepiride 1 mg Tablet
F35 Salbutamol Cairan ih 0,1% Nebule
F36 Setirizin 10 mg Tablet
F37 Masker Nebulizer Biji
F38 Oseltamivir Kapsul Kapsul
F39 HBIG ( Hiperhep-B ) Syringe @ 0,5 ml
F40 Cartridge Expert Buah
F41 Safeglove PF Pasang
F42 Zidovudine Tablet
F43 RDT DBD Combo ( NS1 + IgG/IgM ) Test
M1 Borax Test kit Kit
M2 Formaldehyde Test kit Kit
M3 Hemoglobin Botol
M4 Syphilis (TPHA) Test Kit Strip Box
M5 Stik Uric Acid Test Box
M6 Stik Cholesterol Test Box
M7 Urine Test Strip 10 Parameter Box
F44 Mikroskop Unit
F45 Expert Check Kit Unit
V1 BCG + Pelarut Ampul
V2 Campak + Pelarut Vial
V3 DT Vial
V4 DPT-HB-Hib Vial
V5 HEP.B (PID) / HB 0 Buah
V6 MR Vial
V7 Polio bOPV + Dropper Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F50 Hand Scoen Steril Pasang
F51 Parasetamol Drops Botol
F52 Setirizin Sirup Botol
F53 Asetilsistein 200 mg Tablet
F54 Anti Septik Handrub Box@10
F55 Lugol Botol 100 ml
F56 Tenofovir 300 mg + Emtricitabine 200 mg Tablet
F58 Sirup Flu dan Batuk Kombinasi Botol
F59 Glass Ionomer Cement ( Fuji VII ) Pot
F60 RDT Anti HCV ( Hepatitis C ) Test
F61 TCM Cartridge Xpert MTB/Rif Buah
F62 Ocugard Kapsul
saminem
inmawati
rahmadi
warjoko
valesca
suryani
janem
iman
rani
dwi
28 65 37 16 30 50 55 7 18 22
ngarum musuk blimbing pelang seloromo gedangan musuk srimulyo dawung kerjo
6 3 2
1 2
3 9 3
4
2 6 1 1
9
2 6 9 4 1 3 2
2
4
2 2 2 2
9
1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1
1
yani
16
purworejo
3
1
1
4
2
1
1
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
4
0
0
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
11
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
9
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
67
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
2
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
12
0
0
0
27
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
13
0
0
12
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
saminem
warsini
wantin
janem
NO NAMA OBAT NAMA
UMUR 53 50 56 55
ALAMAT wonorejo pulorejo musuk musuk
JANIS
PASIEN
A Obat Generik
A13 Amoksisilin kab 500 mg Tablet
A19 Antasida Doen tab Tablet
A34 Betahistin mesilat tab Tablet
A72 Glibenklamide tab 5 mg Tablet
A91 Kaptopril tab 25 mg Tablet
A114 Kotrimoksazol tab 480 mg Tablet 8
A118 Metformin 500 Tablet
A175 Ranitidine 150 mg Tablet 6
A176 Ranitidine inj ampul 1
A181 Ringer Laktat Infus Flabot 4 2 10 7
A202 Tiamfenikol kap 500 mg Kapsul
A206 Vitamin B Komplek tab Tablet
A207 Zink Tablet 3
B
B3 Anti Diare kombinasi ( Dewasa ) Tablet
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D14 Infus Set dewasa Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
supatmi
warjoko
suryani
sukijo
rani
30 37 41 60 18
seloromo blimbing gadingrejo trengguling jebukan
3
3
5 8 3
1
2
3
1
1
1
TOTAL
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
3
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
0
0
0
0
39
0
0
0
2
0
0
1
0
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
1
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
dwi apriyanto
wagimin
rohmadi
sukijo
iman
NO NAMA OBAT NAMA
UMUR 46 65 28 16 60
ALAMAT tromoyo musuk ngolong peyang trengguling
JANIS
PASIEN
A Obat Generik
A49 Domperidon tab 10 mg Tablet
A175 Ranitidine 150 mg Tablet
A176 Ranitidine inj ampul
A181 Ringer Laktat Infus Flabot 4 7 7 10 4
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
wagimin
sarikem
sartono
sukardi
giyanto
sayem
soleh
ratno
harjo
yani
arif
77 46 70 16 60 3 18 65 80 62 55
ngablak tromoyo melikan salam lempong sarirejo pondok dawung kuywut sambirejo jatimalang
1 3 2 1 1
2 1
3
1 2 1
3 1 1 3
1
2
1
2 2 3
2
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1
sayem
80
jambeyan
1
1
TOTAL
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
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
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
8
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
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
7
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
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
0
0
0
0
0
0
0
0
9
0
0
8
1
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
Irmawati
suharni
NO NAMA OBAT NAMA
UMUR 22 sukoharjo
ALAMAT NGELEDOK57
JANIS
PASIEN
A Obat Generik
A19 Antasida Doen tab Tablet 3
A34 Betahistin mesilat tab Tablet 3
A158 Parasetamol tab 500 mg Tablet 3
A181 Ringer Laktat Infus Flabot 6
A206 Vitamin B Komplek tab Tablet 2
A207 Zink Tablet 1
B
B3 Anti Diare kombinasi ( Dewasa ) Tablet 2
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D14 Infus Set dewasa Biji 1
D17 IV Cateter No. 22 ( Dewasa ) Biji 1
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
2
1
0
0
0
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
0
0
0
0
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
wagiman
sarikem
giyatmo
m. Arif
yani
NO NAMA OBAT NAMA
UMUR 3 16 46 80 55
ALAMAT sari rejo purworejo kuwungsarijetis tawangsari
JANIS
PASIEN
A Obat Generik
A10 Amlodipin 5mg Tablet 2
A30 Asiklovir tab 200 mg Tablet 8
A91 Kaptopril tab 25 mg Tablet 4
A100 Klorafeniramin ( CTM ) tab Tablet 4 4
A136 Natrium Dikofenak 50 Tablet 4
A158 Parasetamol tab 500 mg Tablet 6 6
A175 Ranitidine 150 mg Tablet 4 4 4
A202 Tiamfenikol kap 500 mg Kapsul 6
A206 Vitamin B Komplek tab Tablet 2 6 4 6
A207 Zink Tablet 2 2
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sartono
suharni
wiknyo
sayem
sayem
sukadi
ratno
rani
18 60 sukoharjo 70 60 65 57 62
jebugan jambeyan 57 melikan lempong nangsri samilandakbangunrejo
6 6 3 3 3 3 3
3 3
3 3
4 2 2 2
1 2
6 6 3 3 3 3
4 2
1
13 6
2 2
8
6 6 2 2 2
1 1
6 6
1
1
TOTAL
0
0
0
0
0
0
0
0
0
3
0
0
3
0
0
0
0
0
29
0
0
0
0
0
0
0
0
0
0
8
0
0
0
6
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
1
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
1
0
0
0
0
56
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
36
6
0
0
0
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
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
1
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
sartono
suharni
soleh
ratno
NO NAMA OBAT NAMA
UMUR sukoharjo 70 60 18
ALAMAT 57 melikan lempong pondok
JANIS
PASIEN
A Obat Generik
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sugiyanto
heryanto
wiknyo
sayem
sukadi
pujiati
parji
65 57 62 44 51 50 22
nangsri samilandak bangunrejo jetis bonggo sambi ngarum
3 3 3
2
3
3
2
3 3 3
2
1 1
2
2
1
1
1 1
1 1
1 1
TOTAL
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
2
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
0
0
0
0
34
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
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
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
2
0
0
0
0
0
0
0
0
2
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
ngadinem
sukadi
pujiati
darmi
parji
NO NAMA OBAT NAMA
UMUR 60 36 62 44 51
ALAMAT gedangan dawung bangunrejojetis bonggo
JANIS
PASIEN
A Obat Generik
A19 Antasida Doen tab Tablet 6 6 6
A127 Metronidazol tab 500 mg Tablet 6 6
A158 Parasetamol tab 500 mg Tablet 6 6 6
A162 Piridoksin tab 10 mg Tablet 6 6
A207 Zink Tablet 3 3 6
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sugiyanto
heryanto
wignyo
wiknyo
tugiyo
50 22 75 57 46
sambi ngarum srimulyo sambilandadampak
3 3 1 3
3 3 1
2
1
3 3 1 1
3
1 2
2 2
3
1 1
1 1
TOTAL
0
0
0
0
0
0
0
0
0
1
0
0
6
0
0
0
0
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
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
12
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
26
3
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
25
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
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
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
sugiyanto
heryanto
ihwan
NO NAMA OBAT NAMA
UMUR 50 22 13
ALAMAT sambi ngarum jetis
JANIS PASIEN
A Obat Generik
A181 Ringer Laktat Infus Flabot 4 4
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D18 IV Cateter No. 24 ( Anak ) Biji 1
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sri suparti
sugiyem
kaliyem
maruful
wignyo
faurika
rubini
citro
65 63 30 33 75 25 16 70
sambirejo sambi jambeyan kedawubg srimulyo tirip cengklik pokoh
1 3 3 3
3
1 3 3 1 3
1 1 2 2
1 1
1 3 3
1 1
3
3
1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
TOTAL
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
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
2
0
0
0
0
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
7
2
0
0
0
0
3
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
8
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
RAWAT INAP AMBIL KO
Jan-19
wakiyo
tugiyo
ihwan
rubini
NO NAMA OBAT NAMA
UMUR 13 46 30 57
ALAMAT jetis musuk bayanan sambilandak
JANIS PASIEN
A Obat Generik
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sri yuliani
cita suci
sriyatun
maratul
sayono
manto
parti
eri
41 50 12 32 25 60 42 83
blimbing kerjo LEMPONG jetis tirip jumog kedawung blimbing
50
3 3 3 3 3
3
3
2 2 3
3 3 2 3 3 3 3
2 2
1
2
2 3 3
1
1 1 1 1 1 1
1 1 1 1 1 1
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
2
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
1
0
0
0
0
24
3
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
1
0
0
0
0
0
0
0
0
6
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
cita suci
kaliyem
parti
NO NAMA OBAT NAMA
UMUR 50 63 12
ALAMAT duwet sambi LEMPONG
JANIS PASIEN
A Obat Generik
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
maratul
sujiati
warsi
sri
25 34 70 67
tirip jetis sampo gempol
3 3 3 1
1
3 3 3 1
2
2
2 2 2
1 1
1 1
TOTAL
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
2
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
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
3
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-18
maratul
sayono
sujiati
NO NAMA OBAT NAMA
ebi
UMUR 25 42 34 83
ALAMAT tirip rejosari jetis blimbing
JANIS PASIEN
A Obat Generik
A19 Antasida Doen tab Tablet 6 3 3 6
A73 Gliseril guaiakolat tab Tablet 6
A91 Kaptopril tab 25 mg Tablet 2
A158 Parasetamol tab 500 mg Tablet 6 3 3 6
A194 Siprofloxacin tab 500 mg Tablet 3
A206 Vitamin B Komplek tab Tablet 6 2 2
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
sri suparti
sri yuliani
sugiyem
sriyatun
sri istini
fausika
manto
SUCI
warsi
saiful
citro
33 16 32 41 60 70 65 12 70 14 67
kedawung cengklik sambirejo mangir jumog pokoh sambirejo lempong sampo kedawung gempol
3 6 6 6 3 3 4
6 3 3
4
4 6
2 4 4 6 3
6
6
6 6 6 6 3 3 3 4
3
2 4 4 2
1
6 4 5 7 7 7 6
6 4
6 2 3
3
1
1 1
1 1
4
nurden
saiful
ira
sri
14 17 67 31
kedawung dawung gempol sambirejo
3 4
3 3 3 3
3
3
3 3 3 4
2
1
3 1
1
1 1 1
1 1
1
TOTAL
0
0
0
0
0
0
0
0
0
2
0
0
6
0
0
0
0
0
56
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
6
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
68
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
14
2
0
0
0
0
57
10
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
25
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
5
0
0
4
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-18
wignyo
sujiati
SUCI
NO NAMA OBAT NAMA
ebi
UMUR 42 34 25 12
ALAMAT rejosari jetis srimulyo lempong
JANIS PASIEN
A Obat Generik
A30 Asiklovir tab 200 mg Tablet 4
A158 Parasetamol tab 500 mg Tablet 6 6 3
A194 Siprofloxacin tab 500 mg Tablet 4
A207 Zink Tablet 4
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
ngadinem
ngadinem
sri istini
nurden
anton
warsi
saiful
saiful
ira
sri
70 14 67 72 14 17 72 67 31 20
sampo kedawung gempol nggalgah kedawung dawung mojorejo gempol sambirejo wonorejo
3 3 3 3 3 3 1
3 3 3 3 3 3
3
3 3 1
3 3 3 3 3 3 3 3 3 1
1
2 3 2 3
4
2 2 2
1 1
3 3
1 1
1 1 1
1 1 1
sami
sami
adib
90 80 19
blimbing mangir bangunrejo
3 1
2 2
1
3 3 1
2
1
2 2
1
3
1
1 1 1
1 1 1
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
38
0
0
0
0
0
0
0
0
0
0
4
0
0
0
18
0
0
2
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
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
0
0
0
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
1
0
0
0
0
27
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
16
7
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
6
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-18
wahyu
SUCI
NO NAMA OBAT NAMA
UMUR 12 20
ALAMAT lempong tawangsari
JANIS PASIEN
A Obat Generik
A72 Glibenklamide tab 5 mg Tablet 2
A118 Metformin 500 Tablet 2
A127 Metronidazol tab 500 mg Tablet 3
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
sumarniningsih
lia mutiara
ngadinem
sri istini
NO NAMA OBAT NAMA
UMUR 17 72 67 38
ALAMAT kliro mojorejo sambirejo wonomulyo
JANIS PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
1
TOTAL
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
1
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
budiyanto
wagimin
surani
adib
NO NAMA OBAT NAMA
UMUR 38 51 19 48
ALAMAT sejeruk sambi bangunrejo tawangsari
JANIS PASIEN
A Obat Generik

A26 Asam Askorbat tab 50 mg tab Tablet 6

A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
mangir
80
sami
70
sri wahyuningsih
sambi
kadipiro
40
sunarsih
siwalan
40
supriyanto
1
3
1
3 1
3 3
7
1
1 1
3 3
1 1 1
1 1 1
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
0
0
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
3
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
sri wahyuningsih
sumarniningsih
sunarsih
NO NAMA OBAT NAMA
UMUR 38 70 40
ALAMAT wonomulyo sambi kadipiro
JANIS PASIEN
A Obat Generik

A19 Antasida Doen tab Tablet 3 3
A44 Difenhydramin HCl inj Ampul 1
A100 Klorafeniramin ( CTM ) tab Tablet 2
A162 Piridoksin tab 10 mg Tablet 3
A181 Ringer Laktat Infus Flabot
A190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 1

B
B3 Anti Diare kombinasi ( Dewasa ) Tablet 3 3

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
B27 Vitamin neurotropik inj Ampul 1
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji 1
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
supriyanto
suwarjo
ginem
sani
suti
ani
40 65 75 45 69 75
siwalan jetis bakung basan jetis dawung
3 2
3
3
3
3
1 2
3
3
3 3 3 3
2 2 2
3
3
1
3
1 1
1 1 1
1 1 1
4
TOTAL
0
0
0
0
0
0
0
5
0
3
0
0
0
0
0
6
0
0
0
0
0
0
3
3
0
0
0
0
0
0
0
0
0
3
3
0
0
0
0
0
2
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
3
0
0
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
0
3
0
0
0
0
0
0
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
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
3
0
0
0
0
0
0
0
0
0
0
0
0
4
3
0
0
0
0
9
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
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
3
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
sri wahyuningsih
sumarniningsih
supriyanto
sunarsih
NO NAMA OBAT NAMA
UMUR 38 70 40 40
ALAMAT wonomulyo sambi kadipiro siwalan
JANIS PASIEN
A Obat Generik

A26 Asam Askorbat tab 50 mg tab Tablet 6
A38 Deksametason tab 0,5 mg Tablet 6

A207 Zink Tablet 3
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol


F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
mohtarudin
fahrudin
suwarsi
wahyu
parto
celsi
sani
wito
suti
fitri
65 60 80 90 20 18 2 6 53 80
jetis srimulyo jatirejo salam singget pondok gempol jenawi dawung mojorejo
6 2
6 6 6
1
2 3
6 6 1
6 6
6 6 6
6
6 6
1 1
6 6 1 2 3
2
6 4 7 8 5
1 2 3
3
1
1 1 1 1
1 1 1 1
suwarjo
maruf
ksrdo
sani
fira
fitri
18 73 22 8 69 75
pondok kr.rejo blimbing sumberejo jetis dawung
3
1 1
1
2 3
3 3 3 3
2 3 2
2
1 1
3
1 1 1
1 1 1
1 1
TOTAL
0
0
0
0
0
0
0
5
0
6
0
2
0
0
0
23
0
0
0
0
0
0
24
0
0
0
0
0
0
1
0
0
0
7
19
0
0
0
0
0
1
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
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
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
23
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
1
0
36
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
15
2
0
0
0
0
56
0
0
0
0
0
0
0
0
1
0
3
2
0
0
0
0
0
0
0
0
0
0
0
8
8
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
7
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
ginem
celsi
NO NAMA OBAT NAMA
ani
UMUR 6 45 75
ALAMAT kerjo pinangmas bakung
JANIS PASIEN
A Obat Generik


A193 Simvastatin 10 Tablet 2
A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
5
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jan-19
suwarjo
suwarsi
sani
NO NAMA OBAT NAMA
fira
UMUR 75 8 69 53
ALAMAT jatiarum bendungan jetis ledoksari
JANIS PASIEN
A Obat Generik

A100 Klorafeniramin ( CTM ) tab Tablet 4
A156 Parasetamol sirup Botol 1
A162 Piridoksin tab 10 mg Tablet 6
A176 Ranitidine inj ampul 2

A193 Simvastatin 10 Tablet 2
B

B9 Asering infus Flabot 3
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji 2
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
saliyem
70
jambeyan
6
6
5
TOTAL
0
0
0
0
0
0
0
4
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
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
0
0
0
0
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
6
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
4
2
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik


A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji

D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji

E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol

E76 Urine Test Biji
F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol

F21 Box Slide Box


M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik

A207 Zink Tablet
B

B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji

F2 KOH 10% Botol

F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box

M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RAWAT INAP AMBIL KO
Jul-18
NO NAMA OBAT NAMA

UMUR
ALAMAT
JANIS
PASIEN
A Obat Generik
A207 Zink Tablet
B
B10 Asifit Kapsul
B13 Bioprost Kapsul
B14 D 1/2NS Flabot
B22 Neprolit Kapsul
C
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C14 Solare Tube
D
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D10 Cat Gut Biji
D12 Hand Scoen Biji
D30 Lisol Botol
D31 Masker Biji
D33 Mess Biji
D42 Silk Biji
D44 Urine Bag Biji
D47 Pot dahak Biji
E
E21 HbsAg test Test
E42 LDL kit
E46 Obyek glass set
E47 Oksigen m3
E48 Poch-D box 5 lt
E58 Reagen Zn Botol
E76 Urine Test Biji
F
F2 KOH 10% Botol
F5 NaCl 0.9% Botol
F11 Xylol Botol
F21 Box Slide Box
M3 Hemoglobin Botol
F44 Mikroskop Unit
V3 DT Vial
V4 DPT-HB-Hib Vial
V6 MR Vial
V8 Polio IPV Vial
V9 Td Vial
V10 TT Vial
F46 Safety box Buah
F47 Rotator Buah
F48 IV Dresing Biji
F49 Xylocain Botol
F62 Ocugard Kapsul
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS :
:
MUTASI OBAT KAMAR OBAT :
JANUARI 2018
SISA PENERIMAAN PERSEDIAAN
NO NAMA OBAT SATUAN
STOK 26 27
A Obat Generik
A1 Acetosal 80 mg tab Tablet 0 0
A2 ACT tab Kotak 24 tab 0 0
A3 Albendasol Tablet 0 0
A4 Allopurinol 100 mg tab Tablet 0 0
A5 Ambroxol sirup Botol 0 0
A6 Ambroxol tab Tablet 0 0
A7 Aminofilin inj. Ampul 0 0
A8 Aminofilin tab 200 mg Tablet 0 0
A9 Amitriptilin tab 25 mg Tablet 0 0
A10 Amlodipin 5mg Tablet 0 0
A11 Amoksisilin + As. Klavunalat 625 mgTablet 0 0
A12 Amoksisilin injeksi Vial 0 2
A13 Amoksisilin kab 500 mg Tablet 12 0
A14 Amoksisilin kap 250 mg Kapsul 0 0
A15 Amoksisilin Sirup 125 mg Botol 0 0
A16 Ampisilin injeksi 1 gram Vial 0 0
A17 Antalgin injeksi Ampul 0 0
A18 Antalgin tab 500 mg Tablet 0 0
A20 Antasida sirup Botol 0 0
A21 Anti Bacteri Doen salep kulit Tube 0 0
A22 Anti Hemoroid suppo Suppo 0 0

A23 Antifungi Kombinasi salep kulit Pot 0 0
A24 Artemeter inj 80 mg Ktk 6 amp 0 0
A25 Artesunate Inj ktk 8 amp 0 0
A26 Asam Askorbat tab 50 mg tab Tablet 0 0
A27 Asam Mefenamat kap 500 mg Kaplet 0 0
A28 Asam traneksamat inj 250 mg Ampul 0 0
A29 Asiklovir salep kulit Tube 0 0
A30 Asiklovir tab 200 mg Tablet 0 0
A31 Atropin Sulfas inj Ampul 0 0
A32 Benzatin Benzyl Penisilin Inj 2,4jt UI Flacon 0 0
A33 Besi II Sulfat Tablet + asam folat Tablet 0 0
A34 Betahistin mesilat tab Tablet 6 0
A35 Betamethason salep kulit Tube 0 0
A36 Bisakodil tab Tablet 0 0
A37 Deksametason inj Ampul 0 0
A38 Deksametason tab 0,5 mg Tablet 4 0
A39 Dekstromethorpan sirup Botol 0 0
A40 Dekstromethorpan tab Tablet 0 0
A41 Diazepam inj. 5mg/2ml Ampul 0 0
A42 Diazepam tab 2 mg Tablet 0 0
A43 Diazepam tab 5 mg Tablet 0 0
A44 Difenhydramin HCl inj Ampul 0 0
A45 Digoxin tab 0,25 mg Tablet 0 0
A46 Dimenhydrinat tab Tablet 0 0
A47 Doksisiklin 100 Tablet 0 0
A48 Domperidon suspensi Botol 0 0
A49 Domperidon tab 10 mg Tablet 17 6
A50 Efedrin tab 25 mg Tablet 0 0
A51 Efinefrin ( Adrenalin inj ) Ampul 0 0

A52 Ekstrak Belladon tab 10 mg Tablet 0 0
A53 Erytromicin kap 250 mg Kapsul 0 0
A54 Erytromicin kap 500 mg Kapsul 0 0
A55 Erytromicin sirup Botol 0 0
A56 Etakridin Lakt. ( Rivanol ) Botol 0 0
A57 Ethambutol tab 250 mg Tablet 0 0
A58 Fenitoin Na. kap 100 mg Kapsul 0 0
A59 Fenobarbital inj 50mg/ml Ampul 0 0
A60 Fenobarbital tab30 mg Tablet 0 0
A61 Fenol Gliserol Botol 0 0
A62 Fitomenadion inj Ampul 0 0
A63 Fitomenadion tab 10 mg Tablet 0 0
A64 Furosemide tab 40 mg Tablet 0 0
A65 Furosemide injeksi Ampul 0 0
A66 Gameksan salep kulit Tube 0 0
A67 Garam Oralit 200ml Sak 0 0
A68 Gentamicin tetes mata 0,3 % Botol 0 0
A69 Gentamicin injeksi Ampul 0 0
A70 Gentamisin salep kulit Tube 0 0
A71 Gentian Violet Botol 0 0
A72 Glibenklamide tab 5 mg Tablet 6 0
A73 Gliseril guaiakolat tab Tablet 0 0
A74 Glukonas kalsikus Ampul 0 0
A75 Glukose 40 % larutan infus Ampul 0 0
A76 Glukose 10 % larutan infus Flabot 0 0
A77 Glukose 5 % larutan infus Flabot 0 0
A78 Griseofulvin tab 125 mg Tablet 0 0
A79 Haloperidol tab 0,5 mg Tablet 0 0
A80 Haloperidol tab 1,5 mg Tablet 0 0

A81 Hidrokhlorotiazide (HCT) tab 25 mg Tablet 0 0
A82 Hidrokortison salep kulit Tube 0 0
A83 Hiosine-N- butilbromide tablet 10 mg Tablet 0 0
A84 Ibuprofen tab 200 mg Tablet 0 0
A85 Ibuprofen tab 400 mg Tablet 0 0
A86 Isoniazide tab ( INH ) Tablet 0 0
A87 Isosorbid Dinitrat Tablet 0 0
A88 Kalium Diklofenak 25 mg Tablet 0 0
A89 Kalium Diklofenak 50 mg Tablet 0 0
A90 Kalsium Laktat tab 500 mg Tablet 0 0
A91 Kaptopril tab 25 mg Tablet 16 0
A92 Karbamazepin tab 200 mg Tablet 0 0
A93 Ketokonazole 200 mg Tablet 0 0
A94 Ketokonazole krim tube 0 0
A95 Ketoprofen inj Ampul 0 0
A96 Kinina Dihydroklorid inj Ampul 0 0
A97 Kinina HCl. Tab Tablet 0 0
A98 Klobazam tab Tablet 0 0
A99 Klonidin tab Tablet 0 0
A100 Klorafeniramin ( CTM ) tab Tablet 11 0
A101 Kloramfenikol inj Vial 0 0
A102 Kloramfenikol salep mata 1 % Tube 0 0
A103 Kloramfenikol sirup Botol 0 0
A104 Kloramfenikol tetes mata 0,5 % Tube 0 0
A105 Kloramfenikol tetes telinga Kapsul 0 0
A106 Kloramfenikol kap 250 mg Botol 0 0
A107 Klorokuin tab 150 mg Tablet 0 0
A108 Klorpromasin injeksi Ampul 0 0
A109 Klorpromasin tab 25 mg Tablet 0 0

A110 Kontrasepsi implant set 0 0
A111 Kontrasepsi inj depo prog 3 bln vial 0 0
A112 Kotrimoksazol suspensi Botol 0 0
A113 Kotrimoksazol tab 120 mg Tablet 0 0
A114 Kotrimoksazol tab 480 mg Tablet 0 8
A115 Lidokain comp injeksi Ampul 0 0
A116 Loperamid Tablet 0 0
A117 Mebendazol tab100 mg Tablet 0 0
A118 Metformin 500 Tablet 10 0
A119 Methoklopramide injeksi Ampul 0 0
A120 Methoklopramide sirup Botol 0 0
A121 Methoklopramide tab10 mg Tablet 0 0
A122 Metilergomet injeksi 0,2 mg Ampul 0 0
A123 Metilergomet tab 0,125 mg Tablet 0 0
A124 Metilprednisolon 4 Tablet 0 0
A125 Metronidazol inf Ampul 0 0
A128 MgSO4 20 % Vial 0 0
A129 MgSO4 40 % Vial 0 0
A130 Mineral mix Sak 0 0
A131 Misoprostol Tablet 0 0
A132 Myconazol salep kulit Tube 0 0
A133 Na tiroksin Tablet 0 0
A134 Na. Bic. Tab 500 mg Tablet 0 0
A135 Na. Cl. Infus Flabot 0 0
A136 Natrium Dikofenak 50 Tablet 1 0
A137 Natrium Tiosulfas inj Ampul 0 0
A138 Nifedipin Tablet 0 0

A139 O A T Anak Paket 0 0
A140 O A T - FDC anak Paket 0 0
A141 O A T - FDC kat 1 & 3 Paket 0 0
A142 O A T - FDC kat 2 Paket 0 0
A143 O A T - FDC sisipan Paket 0 0
A144 O A T Katagori - 1 Paket 0 0
A147 O A T Sisipan Paket 0 0
A148 Obat Batuk Hitam sirup Botol 0 0
A149 Oksitetrasiklin salep kulit 3 % Tube 0 0
A150 Oksitetrasiklin salep mata Tube 0 0
A151 Oksitetrasiklin 50mg/ml inj Flacon 0 0
A152 Oksitocin 10mg/ml inj Ampul 0 0
A153 Omeprazol kaps Kapsul 0 0
A154 Papaverin inj Ampul 0 0
A155 Papaverin tab 40 mg Tablet 0 0
A156 Parasetamol sirup Botol 0 0
A159 Perhidrol 2 % Botol 0 0
A160 Piracetam 400 Kapsul 0 0
A161 Pirazinamid tab 500 mg Tablet 0 0
A163 Piroksikam tab 10 mg Kapsul 0 0
A164 Piroksikam tab 20 mg Kapsul 0 0
A165 Polykrusulen ( Albothyl ) Botol 0 0
A166 Povidon Iodium 10% 30 ml Botol 0 0
A167 Povidon Iodium 10% 300 ml Botol 0 0

A168 Prednison tab 5 mg Tablet 0 0
A169 Primakuin tab 15 mg Tablet 0 0
A170 Proc. Pen. 3 juta inj Vial 0 0
A171 Prokain Benzil Penisilin Vial 0 0
A172 Propanolol tab 40 mg Tablet 0 0
A173 Propylthioracil ( PTU ) tab 100 mg Tablet 0 0
A174 Pyrantel tab 125 mg Tablet 0 0
A176 Ranitidine inj ampul 2 1
A177 Reserpin tab 0,25 mg Tablet 0 0
A178 Retinol 100.000 iu Kab Btl @50 0 0
A179 Retinol 200.000 iu Kab Btl @50 0 0
A180 Rifampisin kap 300 mg Kapsul 0 0
A182 Salbutamol tab 2 mg Tablet 0 0
A183 Salep 2 - 4 kombinasi Pot 0 0
A184 Salysil bedak 2 % Botol 0 0
A185 Sefadroksil 500 cps Kapsul 0 2
A186 Sefotaxim 1g inj Vial 0 0
A187 Seftriaxon inj Vial 0 0
A188 Serum ABU 5 ml inj. Flacon 0 1
A189 Serum ATS 1.500 iu inj Ampul 0 0
A190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 0 0
A191 Sianokobalamin tab ( Vit. B12 ) tab Tablet 0 0
A192 Simetidin tab Tablet 0 0
A193 Simvastatin 10 Tablet 0 1
A194 Siprofloxacin tab 500 mg Tablet 0 2
A195 Streptomicin 1.500 mg inj Vial 0 0
A196 Sulfacetamid tetes mata Botol 0 0

A197 Sulfadimidin 500 mg tab Tablet 0 0
A198 Sulfadoksin + Piritamin tab Tablet 0 0
A199 Tetracyklin kap 250 mg Kapsul 0 0
A200 Tetracyklin kap 500 mg Kapsul 0 0
A201 Thiamin HCl / B1 tab 100 mg Tablet 0 0
A202 Tiamfenikol kap 500 mg Kapsul 12 0
A203 Tiamin HCl / B1 injeksi 100mg /ml Ampul 0 0
A204 Tiamin HCl / B1 Tab 50 mg Tablet 0 0
A205 Triheksifenidil tab 2 mg Tablet 0 0
A206 Vitamin B Komplek tab Tablet 27 0
0 0
B 0 0
B1 Antasida + Simetikon Tablet 0 0
B2 Antasida + simetikon sirup Botol 0 0
B3 Anti Diare kombinasi ( Dewasa ) Tablet 12 0
B4 Anti Diare kombinasi sirup ( Anak ) Botol 0 0
B5 Anti hemorhoid kapsul Kapsul 0 0
B6 Anti radang topikal mengandung triamTube 0 0
B7 Anti spasmodik inj / spasi inj Ampul 0 0
B8 Asam Askorbat tab 500 + Vitamin Tablet 0 0
B9 Asering infus Flabot 0 0
B10 Asifit Kapsul 0 0
B11 Batugin eliksir Botol 0 0
B12 Betamethason + Antibiotik salep kulitTube 0 0
B13 Bioprost Kapsul 0 0
B14 D 1/2NS Flabot 0 0
B15 Diazepam rectal Tube 0 0
B16 Flunarizin 5 mg Tablet 0 0

B17 Mecobalamin 500 Kapsul 0 0
B18 Minyak kayu putih Botol 0 0
B19 Minyak telon Botol 0 0
B20 Multivitamin sirup ( Anak ) Botol 0 0
B21 Multivitamin tab ( Dewasa ) Tablet 0 0
B22 Neprolit Kapsul 0 0
B23 Salep Luka Bakar Tube 0 0
B24 Simetidin inj Ampul 0 0
B25 Tablet Tambah Darah + Vitamin Tablet 0 0
B26 Tensigard Kapsul 0 0
B27 Vitamin neurotropik inj Ampul 0 0
B28 Xylomidon inj Vial 0 0
0 0
C 0 0
C1 Air raksa dental use Botol 0 0
C2 Bahan bonding botol 0 0
C3 Bahan Etsa botol 0 0
C4 Devitalisasi Pasta Botol 0 0
C5 Etil Klorida semprot Botol 0 0
C6 Eugenol sol Pot 0 0
C7 Flour tablet Tablet 0 0
C8 Glass Ionomer Cement Pot 0 0
C9 Kalsium hydroksi pasta dos 0 0
C10 Monokror Kamfer Menthol ( CHKM Pot 0 0
C11 Mumiying Pasta Biji 0 0
C12 Semen Seng Fosfat p+liq Botol 0 0
C13 Silver Amalgam Botol 0 0
C14 Solare Tube 0 0
C15 Spons Gelatin Cubices Dos 0 0

C16 Temp+Stopp Fletc p+liq Set 0 0
C17 Trikresol Formalin ( TKF ) Botol 0 0
C18 Yodium Gliserin Cc 0 0
0 0
D 0 0
D1 ADS 0,05 ml Biji 0 0
D2 ADS 0,5 ml Biji 0 0
D3 ADS 5 ml Biji 0 0
D4 Alat suntik 1 ml Biji 0 0
D5 Alat suntik 2,5 ml / 3ml Biji 3 3
D6 Alat Suntik 5 ml Biji 0 0
D7 Antiseptik/Bayclin Botol 0 0
D8 Aqua Pro injeksi Flacon 0 0
D9 Aquadest steril 500ml Botol 0 0
D10 Cat Gut Biji 0 0
D11 Etanol 70 % Botol 0 0
D12 Hand Scoen Biji 0 0
D13 Infus Set anak Biji 0 0
D14 Infus Set dewasa Biji 13 1
D15 IV Cateter No. 18 Biji 0 0
D18 IV Cateter No. 24 ( Anak ) Biji 1 0
D19 Jarum Bengkok / Jahit Biji 0 0
D20 Jarum Suntik Biji 0 0
D21 Kapas Adsorben 250 gr Roll 0 0
D22 Kasa panjang 40 cmx80 yard Roll 0 0
D23 Kasa Pemb 4 m x 10 cm Roll 0 0
D24 Kasa Pemb Hydro 4 m x 15 cm Roll 0 0

D25 Kasa Pemb Hydro 4 x 80 cm Biji 0 0
D26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 0 0
D27 Kasa steril mengand:Framasetin 10% Biji 0 0
D28 Kasa uk 36 m x 80 cm Roll 0 0
D29 Kertas Puyer Pak 0 0
D30 Lisol Botol 0 0
D31 Masker Biji 0 0
D32 Masker N 95 Biji 0 0
D33 Mess Biji 0 0
D34 Penjernih Air Cepat ( PAC ) Set 0 0
D35 Plastik obat pak 0 0
D36 Plester 5 yardx2inch Roll 0 0
D37 Poly Cateter No. 14 Biji 0 0
D40 Selang oksigen anak Biji 0 0
D41 Selang Oksigen dws Biji 0 0
D42 Silk Biji 0 0
D43 Tranfusi set Biji 0 0
D44 Urine Bag Biji 0 0
D45 Wing Needle No 23 Biji 0 0
D46 Wing Needle No 25 Biji 0 0
D47 Pot dahak Biji 0 0
0 0
E 0 0
E1 Alkohol swab 100pcs/box 0 0
E2 Amphetamin dos 50 test dus 50 0 0
E3 Asam urat Kit 4 x 30 ml 0 0
E4 Benzodiazepin dos 50 test dus 50 0 0

E5 Blue tips set @100 0 0
E6 BOD Nutrient Mixture Botol 0 0
E7 BOD Standart Botol 0 0
E8 Briliant green 2% Bile Broth (BGLB) Btl dlm dus 0 0
E9 Cannabinoides dos 50 test dus 50 0 0
E10 Cell clean Btl 50 ml 0 0
E11 Cellpack (PK-30 ) box 20 lt 0 0
E12 Cholinesterase botol 0 0
E13 Cocain dos 50 test dus 50 0 0
E14 COD cell test Botol 0 0
E15 COD sol A Refil Botol 0 0
E16 Combur test kit 100test Kit 100 test 0 0
E17 Deck glass box 100 biji 0 0
E18 EDTA 10 % btl 250 ml 0 0
E19 Eight check ( L,N,H ) serial 3x1.5ml 0 0
E20 Glukosa Botol 5 x 100 ml 0 0
E21 HbsAg test Test 0 0
E22 Iodida Test Botol 0 0
E23 Kertas ECG lembar 0 0
E24 Kolesterol Botol 5 x 100 ml 0 0
E25 Kreatinin Botol 2 x 125 ml 0 0
E26 Lactosa Broth Botol 0 0
E27 Larutan Asam Klorida 1 % Botol 0 0
E28 Larutan Asam Sulfosalisilat Botol 0 0
E29 Larutan Benedick Botol 0 0
E30 Larutan Eosin Botol 0 0
E31 Larutan Etanol Asam Botol 0 0
E32 Larutan Gabbet Botol 0 0
E33 Larutan Giemsa Botol 0 0

E34 Larutan Hayem Botol 0 0
E35 Larutan Karbol Fuksin Botol 0 0
E36 Larutan Kinyoun Botol 0 0
E37 Larutan Metanol Botol 0 0
E38 Larutan Metilen Biru Botol 0 0
E39 Larutan Turk Botol 0 0
E40 Larutan Drabkin Botol 500 ml 0 0
E41 Larutan Rees Ecker Botol 100 ml 0 0
E42 LDL kit 0 0
E43 Minyak emersi botol 0 0
E44 Morphines dos 50 test dus 50 0 0
E45 Needle boorner dus 100 0 0
E46 Obyek glass set 0 0
E47 Oksigen m3 0 0
E48 Poch-D box 5 lt 0 0
E49 Poch-L box 500ml 0 0
E50 Reagen A/B ( GOLDA ) Set 0 0
E51 Reagen amonium Botol 0 0
E52 Reagen Cu Btl dlm dus 0 0
E53 Reagen Fe ( Iron ) Btl dlm dus 0 0
E54 Reagen Mn Btl dlm dus 0 0
E55 Reagen Nitrat Btl dlm dus 0 0
E56 Reagen Nitrit Btl dlm dus 0 0
E57 Reagen Phospat Botol 0 0
E58 Reagen Zn Botol 0 0
E59 Reagen Cyanmet kit/500ml Kit 500ml 0 0
E60 Serum Widal AO Vial 5 ml 0 0
E61 Serum Widal H Vial 5 ml 0 0
E62 Serum Widal O Vial 5 ml 0 0

E63 Serum widal S thypi H parathyphi AHvial 5 ml 0 0
E64 SGOT Botol 2 x 62,5 ml 0 0
E65 SGPT Botol 2 x 62,5 ml 0 0
E66 Stromatolyser-WH Btl 500 ml 0 0
E67 Tabung EDTA 3 ml dus 100 0 0
E68 Tabung EDTA 5 ml dus 100 0 0
E69 Test Gula Darah Biji 0 0
E70 Test hematokrit/asisten Tube 100 biji 0 0
E71 Thermal roll paper roll 0 0
E72 Tissue lensa biji 0 0
E73 Trigliserida Botol 6 x 50 ml 0 0
E74 Ultrasonic gel set 0 0
E75 Ureum Kit 2 x 100 ml 0 0
E76 Urine Test Biji 0 0
E77 Vacum tainer dus 100 0 0
E78 Yellow tips set @1000 0 0
0 0
F 0 0
F1 Fluoconazol 150 mg Dus @ 10 Kap 0 0
F2 KOH 10% Botol 0 0
F3 Aminofluid Infus 500 cc Bag 500 cc 0 1
F4 Methylen Blue 0.3% Botol 0 0
F5 NaCl 0.9% Botol 0 0
F6 pH Paper Cat 9555 Merck Roll 0 0
F7 Rapid Tes HIV Ke-1 Test 0 0
F10 Rapid Tes Shipilis ( SD ) Test 0 0
F11 Xylol Botol 0 0
F12 Paket Kusta MB Dewasa Blister 0 0
F13 Paket Kusta MB Anak Blister 0 0
F14 Paket Kusta PB Dewasa Blister 0 0
F15 Paket Kusta PB Anak Blister 0 0
F16 Iodium Test Botol 0 0
F17 Dihydro Artemisin 40mg + Piperaqu Tablet 0 0
F18 Cefixime Azithromycin 1000 mg Paket 0 0
F19 Acyclovir 400 mg Dus 0 0
F20 Clindamycin 150 mg Dus 0 0
F21 Box Slide Box 0 0
F22 RDT Leptospirosis Test 0 0
F23 Vaksin Anti Rabies ( VAR ) Vial 0 0
F24 Dewasa FDC Triple: Tenofovir 300mgTablet 0 0
F25 Lamivudine (3TC) 150 mg Tablet 0 0
F26 Efavirenz 600 mg Tablet 0 0
F27 Tenofovir (TDF) 300 mg Tablet 0 0
F28 Nevirapine 200 mg Tablet 0 0
F29 Zidovudine + Lamivudine ( 300 mg / Tablet 0 0
F30 Lopinavir 200 mg, Ritonavir ( LPV/r Botol@120 Tablet 0 0
F31 Cotton Aplikator Buah 0 0
F32 RDT Malaria Test 0 0
F33 Masker N 95 + Aura Biji 0 0
F34 Glimepiride 1 mg Tablet 0 0
F35 Salbutamol Cairan ih 0,1% Nebule 0 0
F36 Setirizin 10 mg Tablet 0 0
F37 Masker Nebulizer Biji 0 0
F38 Oseltamivir Kapsul Kapsul 0 0
F39 HBIG ( Hiperhep-B ) Syringe @ 0,5 ml 0 0
F40 Cartridge Expert Buah 0 0
F41 Safeglove PF Pasang 0 0
F42 Zidovudine Tablet 0 0
F43 RDT DBD Combo ( NS1 + IgG/IgM )Test 0 0
M1 Borax Test kit Kit 0 0
M2 Formaldehyde Test kit Kit 0 0
M3 Hemoglobin Botol 0 0
M4 Syphilis (TPHA) Test Kit Strip Box 0 0
M5 Stik Uric Acid Test Box 0 0
M6 Stik Cholesterol Test Box 0 0
M7 Urine Test Strip 10 Parameter Box 0 0
M8 Urine Test Strip 3 Parameter Box 0 0
F44 Mikroskop Unit 0 0
F45 Expert Check Kit Unit 0 0
V1 BCG + Pelarut Ampul 0 0
V2 Campak + Pelarut Vial 0 0
V3 DT Vial 0 0
V4 DPT-HB-Hib Vial 0 0
V5 HEP.B (PID) / HB 0 Buah 0 0
V6 MR Vial 0 0
V7 Polio bOPV + Dropper Vial 0 0
V8 Polio IPV Vial 0 0
V9 Td Vial 0 0
V10 TT Vial 0 0
F46 Safety box Buah 0 0
F47 Rotator Buah 0 0
F48 IV Dresing Biji 0 0
F49 Xylocain Botol 0 0
F50 Hand Scoen Steril Pasang 0 0
F51 Parasetamol Drops Botol 0 0
F52 Setirizin Sirup Botol 0 0
F53 Asetilsistein 200 mg Tablet 0 0
F54 Anti Septik Handrub Box@10 0 0
F55 Lugol Botol 100 ml 0 0
F56 Tenofovir 300 mg + Emtricitabine 20 Tablet 0 0
F57 Efavirenz 200 mg Tablet 0 0
F58 Sirup Flu dan Batuk Kombinasi Botol 0 0
F59 Glass Ionomer Cement ( Fuji VII ) Pot 0 0
F60 RDT Anti HCV ( Hepatitis C ) Test 0 0
F61 TCM Cartridge Xpert MTB/Rif Buah 0 0
F62 Ocugard Kapsul 0 0
0 0
28 29 30 2 3 4 5 6 8 9 10 11 12 13 15 16 17
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 3 1 1 0 0 0 2 0 0 0 0 5 5 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 3 0 6 0 3 0 6 0 0 0 0 3 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 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 3 29 9 28 10 15 10 56 38 0 1 0 6 23 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 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 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 3 24 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 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 2 0 0 0 0 0 0 0 0 0 0 1 0 0
0 3 6 3 0 0 3 0 24 18 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 0 0 0 3 7 0 0
0 0 0 0 0 0 2 0 0 0 0 0 1 3 19 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 5 3 0 3 3 1 7 3 0 0 3 6 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 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 3 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 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 0 0 0 0 0 0
3 0 6 3 7 0 3 0 16 3 0 0 0 3 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 0 14 2 2 0 0 0 2 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
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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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 0 0 0 7 0 22 8 0 0 1 5 18 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
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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
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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 2 0 0 0 6 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 12 0 0 0 6 0 3 0 0 3 23 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
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0 0 4 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 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 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 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6
8 3 36 9 26 11 20 10 68 50 0 1 4 12 36 1 0
0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 12 0 0 0 3 0 0 0 0 3 10 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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
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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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2 0 18 2 7 6 4 2 14 12 2 1 6 11 15 0 4
1 0 1 2 0 2 1 0 2 1 0 0 0 0 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 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 6 56 34 25 8 24 10 57 27 10 20 30 0 56 5 22
0 0 0 0 0 0 3 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 4 2 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 2 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 2 2
0 0 0 0 0 0 2 2 3 4 0 0 0 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 0 0 0 0
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0 0 14 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 0 0 0 0 0 0 0 0 0 0
7 2 36 2 3 7 8 6 25 16 1 0 1 4 8 0 0
2 1 6 1 12 2 0 0 3 7 0 0 2 3 8 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 2 12 6 0 3 0 0 0 9 0 0 6 9 3 0 0
0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
LAPORAN PEMAKAIAN OBAT
PUSKESMAS SAMBIREJO
PUSKESMAS :
KECAMATAN :
KABUPATEN :
desember 2017
NO NAMA OBATSATUAN
1 2 3 4 5 6 7
Obat
A
Generik
Acetosal
1 500 mg Tablet
tab
Kotak 24
2 ACT tab
tab
Albendas
3 Tablet
ol
Allopurino
4 l 100 mg Tablet
tab
Ambroxol
5 Botol
sirup
Ambroxol
6 Tablet
tab
Aminofilin
7 Ampul
inj.
Aminofilin
8 tab 200 Tablet
mg
Amitriptilin
9 Tablet
tab 25 mg
Amlodipin
10 Tablet
5mg
Amoksisili
n + As.
11 Tablet
Klavunalat
625 mg
Amoksisili
12 Vial
n injeksi
Amoksisili
13 n kab 500 Tablet
mg
Amoksisili
14 n kap 250 Kapsul
mg
Amoksisili
15 n Sirup Botol
125 mg
Ampisilin
16 injeksi 1 Vial
gram
Antalgin
17 Ampul
injeksi
Antalgin
18 tab 500 Tablet
mg
Antasida
19 Tablet
Doen tab
Antasida
20 Botol
sirup
Anti
Bacteri
21 Tube
Doen
salep kulit
Anti
22 Hemoroid Suppo
suppo
Antifungi
23 Kombinasi Pot
salep kulit
Artemeter
24 Ktk 6 amp
inj 80 mg
Artesunat
25 ktk 8 amp
e Inj
Asam
Askorbat
26 Tablet
tab 50
mg tab
Asam
Mefenam
27 Kaplet
at kap 500
mg
Asam
traneksam
28 Ampul
at inj 250
mg
Asiklovir
29 Tube
salep kulit
Asiklovir
30 tab 200 Tablet
mg
Atropin
31 Ampul
Sulfas inj
Benzatin
Benzyl
32 Flacon
Penisilin
Inj 2,4jt UI
Besi II
Sulfat
33 Tablet
Tablet +
asam folat
Betahistin
34 mesilat Tablet
tab
Betameth
35 ason Tube
salep kulit
Bisakodil
36 Tablet
tab
Deksamet
37 Ampul
ason inj
Deksamet
38 ason tab Tablet
0,5 mg
Dekstrom
39 ethorpan Botol
sirup
Dekstrom
40 ethorpan Tablet
tab
Diazepam
41 inj. Ampul
5mg/2ml
Diazepam
42 Tablet
tab 2 mg
Diazepam
43 Tablet
tab 5 mg
Difenhydr
44 amin HCl Ampul
inj
Digoxin
45 tab 0,25 Tablet
mg
Dimenhyd
46 Tablet
rinat tab
Doksisikli
47 Tablet
n 100
Domperid
48 on Botol
suspensi
Domperid
49 on tab 10 Tablet
mg
Efedrin
50 Tablet
tab 25 mg
Efinefrin
51 ( Adrenali Ampul
n inj )
Ekstrak
52 Belladon Tablet
tab 10 mg
Erytromici
53 n kap 250 Kapsul
mg
Erytromici
54 n kap 500 Kapul
mg
Erytromici
55 Botol
n sirup
Etakridin
56 Lakt. Botol
( Rivanol )
Ethambut
57 ol tab 250 Tablet
mg
Fenitoin
58 Na. kap Kapsul
100 mg
Fenobarbi
59 tal inj Ampul
50mg/ml
Fenobarbi
60 tal tab30 Tablet
mg
Fenol
61 Botol
Gliserol
Fitomena
62 Ampul
dion inj
Fitomena
63 dion tab Tablet
10 mg
Furosemi
64 de tab 40 Tablet
mg
Furosemi
65 Ampul
de injeksi
Gameksa
66 n salep Tube
kulit
Garam
67 Oralit Sak
200ml
Gentamici
n tetes
68 Botol
mata 0,3
%
Gentamici
69 Ampul
n injeksi
Gentamisi
70 n salep Tube
kulit
Gentian
71 Botol
Violet
Glibenkla
72 mide tab 5 Tablet
mg
Gliseril
73 guaiakolat Tablet
tab
Glukonas
74 Ampul
kalsikus
Glukose
40 %
75 Ampul
larutan
infus
Glukose
10 %
76
larutan
infus
Glukose
5%
77 Flabot
larutan
infus
Griseofulv
78 in tab 125 Tablet
mg
Haloperid
79 ol tab 0,5 Tablet
mg
Haloperid
mg
Hidrokhlor
otiazide
81 Tablet
(HCT) tab
25 mg
Hidrokorti
82 son salep Tube
kulit
Hiosine-
N-
83 butilbromi Tablet
de tablet
10 mg
Ibuprofen
84 tab 200 Tablet
mg
Ibuprofen
85 tab 400 Tablet
mg
Isoniazide
86 tab Tablet
( INH )
Isosorbid
87 Tablet
Dinitrat
Kalium
88 Diklofenak Tablet
25 mg
Kalium
89 Diklofenak
50 mg
Kalsium
90 Laktat tab Tablet
500 mg
Kaptopril
91 Tablet
tab 25 mg
Karbamaz
92 epin tab Tablet
200 mg
Ketokona
93 zole 200 Tablet
mg
94 Ketokonazotube
Ketoprofe
95 Ampul
n inj
Kinina
96 Dihydrokl Ampul
orid inj
Kinina
97 Tablet
HCl. Tab
Klobazam
98 Tablet
tab
Klonidin
99 Tablet
tab
Klorafenir
amin
100 Tablet
( CTM )
tab
Kloramfen
101 Vial
ikol inj
Kloramfen
102 ikol salep Tube
mata 1 %
Kloramfen
103 Botol
ikol sirup
Kloramfen
ikol tetes
104 Tube
mata 0,5
%
Kloramfen
105 ikol tetes Kapsul
telinga
Kloramfen
106 ikol kap Botol
250 mg
Klorokuin
107 tab 150 Tablet
mg
Klorproma
108 sin Ampul
injeksi
Klorproma
109 sin tab 25 Tablet
mg
Kontrasep
110 set
si implant
Kontrasep
111 si inj depo vial
prog 3 bln
Kotrimoks
112 azol Botol
suspensi
Kotrimoks
113 azol tab Tablet
120 mg
Kotrimoks
114 azol tab Tablet
480 mg
Lidokain
115 comp Ampul
injeksi
Loperami
116 Tablet
d
Mebendaz
117 ol tab100 Tablet
mg
Metformin
118 Tablet
500
Methoklop
119 ramide Ampul
injeksi
Methoklop
120 ramide Botol
sirup
Methoklop
121 ramide Tablet
tab10 mg
Metilergo
met
122 Ampul
injeksi 0,2
mg
Metilergo
123 met tab Tablet
0,125 mg
Metilpredn
124 Tablet
isolon 4
Metronida
125 Ampul
zol inf
Metronida
126 zol tab Tablet
250 mg
Metronida
127 zol tab Tablet
500 mg
MgSO4
128 Vial
20 %
MgSO4
129 Vial
40 %
Mineral
130 Sak
mix
Misoprost
131
ol
Myconazo
132 l salep Tube
kulit
Na
133 Tablet
tiroksin
Na. Bic.
134 Tab 500 Tablet
mg
Na. Cl.
135 Flabot
Infus
Natrium
136 Dikofenak Tablet
50
Natrium
137 Tiosulfas Ampul
inj
138 Nifedipin Tablet
OAT
139 Paket
Anak
OAT-
140 Paket
FDC anak
OAT-
141 FDC kat 1 Paket
&3
OAT-
142 Paket
FDC kat 2
OAT-
143 FDC Paket
sisipan
OAT
144 Katagori - Paket
1
OAT
2
OAT
3
OAT
147 Paket
Sisipan
Obat
Batuk
148 Botol
Hitam
sirup
Oksitetras
149 iklin salep Tube
kulit 3 %
Oksitetras
mata
Oksitetras
iklin
151 Flacon
50mg/ml
inj
Oksitocin
152 10mg/ml Ampul
inj
Omeprazo
153 Kapsul
l kaps
Papaverin
154 Ampul
inj
Papaverin
155 Tablet
tab 40 mg
Paraseta
156 Botol
mol sirup
Paraseta
157 mol tab Tablet
100 mg
Paraseta
158 mol tab Tablet
500 mg
Perhidrol
159 Botol
2%
Piracetam
160 Kapsul
400
Pirazinami
161 d tab 500 Tablet
mg
Piridoksin
162 Tablet
tab 10 mg
Piroksika
163 m tab 10 Kapsul
mg
Piroksika
164 m tab 20 Kapsul
mg
Polykrusul
en
165 Botol
( Albothyl
)
Povidon
Iodium
166 Botol
10% 30
ml
Povidon
Iodium
167 Botol
10% 300
ml
Prednison
168 Tablet
tab 5 mg
Primakuin
169 Tablet
tab 15 mg
Proc. Pen.
170 Vial
3 juta inj
Prokain
171 Benzil Vial
Penisilin
Propanolo
172 l tab 40 Tablet
mg
Propylthio
racil
173 ( PTU ) Tablet
tab 100
mg
Pyrantel
174 tab 125 Tablet
mg
175 Ranitidine Tablet
176 Ranitidine iampul
Reserpin
177 tab 0,25 Tablet
mg
Retinol
178 100.000 iu Btl @50
Kab
Retinol
179 200.000 iu Btl @50
Kab
Rifampisin
180 kap 300 Kapsul
mg
Ringer
181 Laktat Flabot
Infus
Salbutam
182 ol tab 2 Tablet
mg
Salep 2 -
183 4 Pot
kombinasi
Salysil
184 bedak 2 Botol
%
Sefadroks
185 Kapsul
il 500 cps
Sefotaxim
186 1g inj Vial
Seftriaxon
187 Vial
inj
Serum
188 ABU 5 ml Flacon
inj.
Serum
ATS
189 Ampul
1.500 iu
inj
Sianokob
alamin inj
190 Ampul
( Vit.
B12 ) inj
Sianokob
alamin tab
191 Tablet
( Vit.
B12 ) tab
Simetidin
192 Tablet
tab
Simvastati
193 Tablet
n 10
Siprofloxa
194 cin tab Tablet
500 mg
Streptomi
195 cin 1.500 Vial
mg inj
Sulfaceta
196 mid tetes Botol
mata
Sulfadimid
197 in 500 mg Tablet
tab
Sulfadoksi
n+
198 Tablet
Piritamin
tab
Tetracykli
199 n kap 250 Kapsul
mg
Tetracykli
mg
201 Thiamin HCTablet
Tiamfenik
202 ol kap Kapsul
500 mg
Tiamin
HCl / B1
203 Ampul
injeksi
100mg /ml
Tiamin
HCl / B1
204 Tablet
Tab 50
mg
Triheksife
205 nidil tab 2 Tablet
mg
Vitamin B
206 Komplek Tablet
tab
207 Zink Tablet
Obat Non
B
Generik
Antasida
1 + Tablet
Simetikon
Antasida
+
2 Botol
simetikon
sirup
Anti Diare
kombinasi
3 Tablet
( Dewasa
)
Anti Diare
kombinasi
4 Botol
sirup
( Anak )
Anti
5 hemorhoi Kapsul
d kapsul
Anti Tube
radang
topikal
mengand
ung
6 triamsinol
on
acetonide
1 mg
Anti
spasmodi
7 Ampul
k inj /
spasi inj
Asam
Askorbat
8 Tablet
tab 500 +
Vitamin
Asering
9 Flabot
infus
10 Asifit Kapsul
Batugin
11 Botol
eliksir
Betameth
ason +
12 Tube
Antibiotik
salep kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
Diazepam
15 Tube
rectal
Flunarizin
16 Tablet
5 mg
Mecobala
17 Kapsul
min 500
Minyak
18 Botol
kayu putih
Minyak
19 Botol
telon
Multivitam
20 in sirup Botol
( Anak )
Multivitam
in tab
21 Tablet
( Dewasa
)
22 Neprolit Kapsul
Salep
23 Luka Tube
Bakar
Simetidin
24 Ampul
inj
Tablet
Tambah
25 Tablet
Darah +
Vitamin
26 Tensigard Kapsul
Vitamin
27 neurotropi Ampul
k inj
Xylomidon
28 Vial
inj
C Obat Gigi
Air raksa
1 Botol
dental use
Bahan
2 botol
bonding
3 Bahan Etsabotol
Devitalisa
4 Botol
si Pasta
Etil
5 Klorida Botol
semprot
Eugenol
6 Pot
sol
Flour
7 Tablet
tablet
Glass
8 Ionomer Pot
Cement
Kalsium
9 hydroksi dos
pasta
Monokror
Kamfer
10 Pot
Menthol (
CHKM )
Mumiying
11 Biji
Pasta
Semen
Seng
12 Botol
Fosfat
p+liq
Silver
13 Botol
Amalgam
14 Solare Tube
Spons
15 Gelatin Dos
Cubices
Temp+Sto
16 pp Fletc Set
p+liq
Trikresol
17 Formalin Botol
( TKF )
Yodium
18 Cc
Gliserin
Alkes
D Pakai
Habis
ADS 0,05
1 Biji
ml
ADS 0,5
2 Biji
ml
3 ADS 5 ml
Alat suntik
4 Biji
1 ml
Alat suntik
5 2,5 ml / Biji
3ml
Alat
6 Suntik 5 Biji
ml
Antiseptik/
7 Botol
Bayclin
Aqua Pro
8 Flacon
injeksi
Aquadest
9 steril Botol
500ml
10 Cat Gut Biji
Etanol 70
11 Botol
%
Hand
12 Biji
Scoen
Infus Set
13 Biji
anak
Infus Set
14 Biji
dewasa
IV Cateter
15
No. 18
IV Cateter
No. 20
16 Biji
( Dewasa
)
IV Cateter
No. 22
17 Biji
( Dewasa
)
IV Cateter
18 No. 24 Biji
( Anak )
Jarum
19 Bengkok / Biji
Jahit
Jarum
20 Biji
Suntik
Kapas
21 Adsorben Roll
250 gr
Kasa
panjang
22 Roll
40 cmx80
yard
Kasa
23 Pemb 4 m Roll
x 10 cm
Kasa
Pemb
24 Roll
Hydro 4
m x 15 cm
Kasa
Pemb
25 Biji
Hydro 4 x
80 cm
Kasa
Steril 16 x
26 Dos
16 ( 16
lmb )
Kasa steril
mengand:
27 Biji
Framaseti
n 10%
Kasa uk
28 36 m x 80 Roll
cm
Kertas
29 Pak
Puyer
30 Lisol Botol
31 Masker Biji
Masker N
32
95
33 Mess Biji
Penjernih
34 Air Cepat Set
( PAC )
Plastik
35 pak
obat
Plester 5
36 yardx2inc Roll
h
Poly
37 Cateter Biji
No. 14
Poly
38 Cateter Biji
No. 16
Poly
39 Cateter Biji
No. 18
Selang
40 oksigen Biji
anak
Selang
41 Oksigen Biji
dws
42 Silk Biji
Tranfusi
43 Biji
set
44 Urine Bag Biji
Wing
45 Needle Biji
No 23
Wing
46 Needle Biji
No 25
47 Pot dahak Biji
Laboratori
E um Dan
Reagen
1 Alkohol sw100pcs/box
Ampheta
2 min dos dus 50
50 test
Kit 4 x 30
3 Asam urat
ml
Benzodiaz
4 epin dos dus 50
50 test
5 Blue tips set @100

BOD
6 Nutrient Botol
Mixture
BOD
7 Botol
Standart
Briliant
green 2% Btl dlm
8
Bile Broth dus
(BGLB)
Cannabin
9 oides dos dus 50
50 test
10 Cell clean Btl 50 ml
Cellpack
11 box 20 lt
(PK-30 )
12 Cholineste botol
Cocain
13 dos 50 dus 50
test
COD cell
14 Botol
test
COD sol
15 Botol
A Refil
Combur
Kit 100
16 test kit
test
100test
17 Deck glassbiji
18 EDTA 10 %btl 250 ml
Eight
serial
19 check
3x1.5ml
( L,N,H )
Botol 5 x
20 Glukosa
100 ml
HbsAg Dus 50
21
test pcs
Iodida
22 Botol
Test
23 Kertas EC lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
Lactosa
26 Botol
Broth
Larutan
Asam
27 Botol
Klorida 1
%
Larutan
Asam
28 Botol
Sulfosalisi
lat
Larutan
29 Botol
Benedick
Larutan
30 Botol
Eosin
Larutan
31 Etanol Botol
Asam
Larutan
32 Botol
Gabbet
Larutan
33 Botol
Giemsa
Larutan
34 Botol
Hayem
Larutan
35 Karbol Botol
Fuksin
Larutan
36 Botol
Kinyoun
Larutan
37 Botol
Metanol
Larutan
38 Metilen Botol
Biru
Larutan
39 Botol
Turk
Larutan Botol 500
40
Drabkin ml
Larutan
Botol 100
41 Rees
ml
Ecker
42 LDL kit
43 Minyak emebotol
Morphines
44 dos 50 dus 50
test
Needle
45 dus 100
boorner
46 Obyek glasset
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
Reagen
A/B
50 Set
( GOLDA
)
Reagen
51 Botol
amonium
Reagen Btl dlm
52
Cu dus
Reagen Btl dlm

53
Fe ( Iron ) dus
Reagen Btl dlm

54
Mn dus
Reagen Btl dlm
55
Nitrat dus
Reagen Btl dlm
56
Nitrit dus
Reagen
57 Botol
Phospat
Reagen
58 Botol
Zn
Reagen
59 Cyanmet Kit 500ml
kit/500ml
Serum
60 Vial 5 ml
Widal AO
Serum
61 Vial 5 ml
Widal H
Serum
62 Vial 5 ml
Widal O
Serum
widal S
63 thypi H
parathyphi
AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Stromatol
66 Btl 500 ml
yser-WH
Tabung
67 EDTA 3 dus 100
ml
Tabung
68 EDTA 5 dus 100
ml
Test Gula
69 Biji
Darah
Test
Tube 100
70 hematokrit
biji
/asisten
Thermal
71 roll
roll paper
72 Tissue
lensa biji
Trigliserid Botol 6 x
73
a 50 ml
74 Ultrasonic
gel set
Kit 2 x
75 Ureum
100 ml
76 Urine Test Biji
Vacum
77 dus 100
tainer
78 Yellow set
tips @1000
Obat
F Tambaha
n
Dus @ 10
F1 Fluoconazol
Kap
F2 KOH 10% Botol
F3 Aminofluid Bag 500 cc
F4 Methylen BlBotol
F5 NaCl 0.9% Botol
F6 pH Paper CaRoll
F7 Rapid Tes Test
F8 Rapid Tes Test
F9 Rapid Tes Test
F10 Rapid Tes Sh
Test
F11 Xylol Botol
F12 Paket Kust Blister
F14 Paket KustaBlister
F16 Iodium TestBotol
F17 Dihydro ArtTablet
F18 Cefixime AzPaket
F19 Acyclovir 4Dus
F20 Clindamyci Dus
F21 Box Slide Box
F22 RDT Leptosp Test
F23 Vaksin AntiVial
F24 Dewasa FDC Tablet
F25 LamivudineTablet
F26 Efavirenz 6 Tablet
F27 Tenofovir ( Tablet
F28 Nevirapine Tablet
Botol@12
F30 Lopinavir 2
0 Tablet
F31 Cotton ApliBuah
F32 RDT MalariTest
F33 Masker N 95Biji
F34 GlimepirideTablet
F35 Salbutamol Nebule
F36 Setirizin 10 Tablet
F37 Masker Nebu Biji
F38 OseltamivirKapsul
Syringe @
F39 HBIG ( Hipe
0,5 ml
8 9 10 11 12 13 14 15 16 17
PENG
18 19 20 21 22 23 24 25 26 27
PENGELUARAN
28 29 30 31 32 33 34 35 36 37
38 39 40 41 42 43 44 45 46 47
48 49 50 51 52 53 54 55 56 57
58 59 60 61 62 63 64 65 66 67
68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87
88 89 90 91 92 93 94 95 96 97
TOT
98 99 100 101 102 103 104 105 106
PUSKESMAS SAMBIREJO
PUSKESMAS :
KECAMATAN :
KABUPATEN :
desember 2017
NO NAMA OBATSATUAN
1 2 3 4 5 6 7
Obat
A
Generik
Acetosal
1 500 mg Tablet
tab
Kotak 24
2 ACT tab
tab
Albendas
3 Tablet
ol
Allopurino
4 l 100 mg Tablet
tab
Ambroxol
5 Botol
sirup
Ambroxol
6 Tablet
tab
Aminofilin
7 Ampul
inj.
Aminofilin
8 tab 200 Tablet
mg
Amitriptilin
9 Tablet
tab 25 mg
Amlodipin
10 Tablet
5mg
Amoksisili
n + As.
11 Tablet
Klavunalat
625 mg
Amoksisili
12 Vial
n injeksi
Amoksisili
13 n kab 500 Tablet
mg
Amoksisili
14 n kap 250 Kapsul
mg
Amoksisili
15 n Sirup Botol
125 mg
Ampisilin
16 injeksi 1 Vial
gram
Antalgin
17 Ampul
injeksi
Antalgin
18 tab 500 Tablet
mg
Antasida
19 Tablet
Doen tab
Antasida
20 Botol
sirup
Anti
Bacteri
21 Tube
Doen
salep kulit
Anti
22 Hemoroid Suppo
suppo
Antifungi
23 Kombinasi Pot
salep kulit
Artemeter
24 Ktk 6 amp
inj 80 mg
Artesunat
25 ktk 8 amp
e Inj
Asam
Askorbat
26 Tablet
tab 50
mg tab
Asam
Mefenam
27 Kaplet
at kap 500
mg
Asam
traneksam
28 Ampul
at inj 250
mg
Asiklovir
29 Tube
salep kulit
Asiklovir
30 tab 200 Tablet
mg
Atropin
31 Ampul
Sulfas inj
Benzatin
Benzyl
32 Flacon
Penisilin
Inj 2,4jt UI
Besi II
Sulfat
33 Tablet
Tablet +
asam folat
Betahistin
34 mesilat Tablet
tab
Betameth
35 ason Tube
salep kulit
Bisakodil
36 Tablet
tab
Deksamet
37 Ampul
ason inj
Deksamet
38 ason tab Tablet
0,5 mg
Dekstrom
39 ethorpan Botol
sirup
Dekstrom
40 ethorpan Tablet
tab
Diazepam
41 inj. Ampul
5mg/2ml
Diazepam
42 Tablet
tab 2 mg
Diazepam
43 Tablet
tab 5 mg
Difenhydr
44 amin HCl Ampul
inj
Digoxin
45 tab 0,25 Tablet
mg
Dimenhyd
46 Tablet
rinat tab
Doksisikli
47 Tablet
n 100
Domperid
48 on Botol
suspensi
Domperid
49 on tab 10 Tablet
mg
Efedrin
50 Tablet
tab 25 mg
Efinefrin
51 ( Adrenali Ampul
n inj )
Ekstrak
52 Belladon Tablet
tab 10 mg
Erytromici
53 n kap 250 Kapsul
mg
Erytromici
54 n kap 500 Kapul
mg
Erytromici
55 Botol
n sirup
Etakridin
56 Lakt. Botol
( Rivanol )
Ethambut
mg
Fenitoin
58 Na. kap Kapsul
100 mg
Fenobarbi
59 tal inj Ampul
50mg/ml
Fenobarbi
60 tal tab30 Tablet
mg
Fenol
61 Botol
Gliserol
Fitomena
62 Ampul
dion inj
Fitomena
63 dion tab Tablet
10 mg
Furosemi
64 de tab 40 Tablet
mg
Furosemi
65 Ampul
de injeksi
Gameksa
66 n salep Tube
kulit
Garam
67 Oralit Sak
200ml
Gentamici
n tetes
68 Botol
mata 0,3
%
Gentamici
69 Ampul
n injeksi
Gentamisi
70 n salep Tube
kulit
Gentian
71 Botol
Violet
Glibenkla
mg
Gliseril
tab
Glukonas
74 Ampul
kalsikus
Glukose
40 %
75 Ampul
larutan
infus
Glukose
10 %
76
larutan
infus
Glukose
5%
77 Flabot
larutan
infus
Griseofulv
mg
Haloperid
mg
Haloperid
mg
Hidrokhlor
otiazide
81 Tablet
(HCT) tab
25 mg
Hidrokorti
82 son salep Tube
kulit
Hiosine-
N-
de tablet
10 mg
Ibuprofen
84 tab 200 Tablet
mg
Ibuprofen
85 tab 400 Tablet
mg
Isoniazide
86 tab Tablet
( INH )
Isosorbid
87 Tablet
Dinitrat
Kalium
25 mg
Kalium
89 Diklofenak
50 mg
Kalsium
500 mg
Kaptopril
91 Tablet
tab 25 mg
Karbamaz
92 epin tab Tablet
200 mg
Ketokona
93 zole 200 Tablet
mg
94 Ketokonazotube
Ketoprofe
95 Ampul
n inj
Kinina
96 Dihydrokl Ampul
orid inj
Kinina
97 Tablet
HCl. Tab
Klobazam
98 Tablet
tab
Klonidin
99 Tablet
tab
Klorafenir
amin
100 Tablet
( CTM )
tab
Kloramfen
101 Vial
ikol inj
Kloramfen
102 ikol salep Tube
mata 1 %
Kloramfen
103 Botol
ikol sirup
Kloramfen
ikol tetes
104 Tube
mata 0,5
%
Kloramfen
telinga
Kloramfen
106 ikol kap Botol
250 mg
Klorokuin
107 tab 150 Tablet
mg
Klorproma
108 sin Ampul
injeksi
Klorproma
mg
Kontrasep
110 set
si implant
Kontrasep
prog 3 bln
Kotrimoks
112 azol Botol
suspensi
Kotrimoks
113 azol tab Tablet
120 mg
Kotrimoks
114 azol tab Tablet
480 mg
Lidokain
115 comp Ampul
injeksi
Loperami
116 Tablet
d
Mebendaz
mg
Metformin
118 Tablet
500
Methoklop
119 ramide Ampul
injeksi
Methoklop
120 ramide Botol
sirup
Methoklop
121 ramide Tablet
tab10 mg
Metilergo
met
122 Ampul
injeksi 0,2
mg
Metilergo
123 met tab Tablet
0,125 mg
Metilpredn
124 Tablet
isolon 4
Metronida
125 Ampul
zol inf
Metronida
126 zol tab Tablet
250 mg
Metronida
127 zol tab Tablet
500 mg
MgSO4
128 Vial
20 %
MgSO4
129 Vial
40 %
Mineral
130 Sak
mix
Misoprost
131
ol
Myconazo
132 l salep Tube
kulit
Na
133 Tablet
tiroksin
Na. Bic.
134 Tab 500 Tablet
mg
Na. Cl.
135 Flabot
Infus
Natrium
50
Natrium
137 Tiosulfas Ampul
inj
OAT
139 Paket
Anak
OAT-
140 Paket
FDC anak
OAT-
141 FDC kat 1 Paket
&3
OAT-
142 Paket
FDC kat 2
OAT-
143 FDC Paket
sisipan
OAT
1
OAT
2
OAT
3
OAT
147 Paket
Sisipan
Obat
Batuk
148 Botol
Hitam
sirup
Oksitetras
kulit 3 %
Oksitetras
mata
Oksitetras
iklin
151 Flacon
50mg/ml
inj
Oksitocin
152 10mg/ml Ampul
inj
Omeprazo
153 Kapsul
l kaps
Papaverin
154 Ampul
inj
Papaverin
155 Tablet
tab 40 mg
Paraseta
156 Botol
mol sirup
Paraseta
157 mol tab Tablet
100 mg
Paraseta
158 mol tab Tablet
500 mg
Perhidrol
159 Botol
2%
Piracetam
160 Kapsul
400
Pirazinami
mg
Piridoksin
162 Tablet
tab 10 mg
Piroksika
163 m tab 10 Kapsul
mg
Piroksika
164 m tab 20 Kapsul
mg
Polykrusul
en
165 Botol
( Albothyl
)
Povidon
Iodium
166 Botol
10% 30
ml
Povidon
Iodium
167 Botol
10% 300
ml
Prednison
168 Tablet
tab 5 mg
Primakuin
169 Tablet
tab 15 mg
Proc. Pen.
170 Vial
3 juta inj
Prokain
171 Benzil Vial
Penisilin
Propanolo
172 l tab 40 Tablet
mg
Propylthio
racil
173 ( PTU ) Tablet
tab 100
mg
Pyrantel
174 tab 125 Tablet
mg
Reserpin
177 tab 0,25 Tablet
mg
Retinol
178 100.000 iu Btl @50
Kab
Retinol
179 200.000 iu Btl @50
Kab
Rifampisin
180 kap 300 Kapsul
mg
Ringer
181 Laktat Flabot
Infus
Salbutam
182 ol tab 2 Tablet
mg
Salep 2 -
183 4 Pot
kombinasi
Salysil
184 bedak 2 Botol
%
Sefadroks
185 Kapsul
il 500 cps
Sefotaxim
186 1g inj Vial
Seftriaxon
187 Vial
inj
Serum
188 ABU 5 ml Flacon
inj.
Serum
ATS
189 Ampul
1.500 iu
inj
Sianokob
alamin inj
190 Ampul
( Vit.
B12 ) inj
Sianokob
alamin tab
191 Tablet
( Vit.
B12 ) tab
Simetidin
192 Tablet
tab
Simvastati
193 Tablet
n 10
Siprofloxa
194 cin tab Tablet
500 mg
Streptomi
195 cin 1.500 Vial
mg inj
Sulfaceta
196 mid tetes Botol
mata
Sulfadimid
tab
Sulfadoksi
n+
198 Tablet
Piritamin
tab
Tetracykli
mg
Tetracykli
mg
Tiamfenik
202 ol kap Kapsul
500 mg
Tiamin
HCl / B1
203 Ampul
injeksi
100mg /ml
Tiamin
HCl / B1
204 Tablet
Tab 50
mg
Triheksife
mg
Vitamin B
206 Komplek Tablet
tab
207 Zink Tablet
Obat Non
B
Generik
Antasida
1 + Tablet
Simetikon
Antasida
+
2 Botol
simetikon
sirup
Anti Diare
kombinasi
3 Tablet
( Dewasa
)
Anti Diare
kombinasi
4 Botol
sirup
( Anak )
Anti
5 hemorhoi Kapsul
d kapsul
Anti Tube
radang
topikal
mengand
ung
6 triamsinol
on
acetonide
1 mg
Anti
spasmodi
7 Ampul
k inj /
spasi inj
Asam
Askorbat
8 Tablet
tab 500 +
Vitamin
Asering
9 Flabot
infus
10 Asifit Kapsul
Batugin
11 Botol
eliksir
Betameth
ason +
12 Tube
Antibiotik
salep kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
Diazepam
15 Tube
rectal
Flunarizin
16 Tablet
5 mg
Mecobala
17 Kapsul
min 500
Minyak
18 Botol
kayu putih
Minyak
19 Botol
telon
Multivitam
20 in sirup Botol
( Anak )
Multivitam
in tab
21 Tablet
( Dewasa
)
22 Neprolit Kapsul
Salep
23 Luka Tube
Bakar
Simetidin
24 Ampul
inj
Tablet
Tambah
25 Tablet
Darah +
Vitamin
26 Tensigard Kapsul
Vitamin
27 neurotropi Ampul
k inj
Xylomidon
28 Vial
inj
C Obat Gigi
Air raksa
1 Botol
dental use
Bahan
2 botol
bonding
3 Bahan Etsabotol
Devitalisa
4 Botol
si Pasta
Etil
5 Klorida Botol
semprot
Eugenol
6 Pot
sol
Flour
7 Tablet
tablet
Glass
8 Ionomer Pot
Cement
Kalsium
9 hydroksi dos
pasta
Monokror
Kamfer
10 Pot
Menthol (
CHKM )
Mumiying
11 Biji
Pasta
Semen
Seng
12 Botol
Fosfat
p+liq
Silver
13 Botol
Amalgam
14 Solare Tube
Spons
15 Gelatin Dos
Cubices
Temp+Sto
16 pp Fletc Set
p+liq
Trikresol
17 Formalin Botol
( TKF )
Yodium
18 Cc
Gliserin
Alkes
D Pakai
Habis
ADS 0,05
1 Biji
ml
ADS 0,5
2 Biji
ml
3 ADS 5 ml
Alat suntik
4 Biji
1 ml
Alat suntik
5 2,5 ml / Biji
3ml
Alat
6 Suntik 5 Biji
ml
Antiseptik/
7 Botol
Bayclin
Aqua Pro
8 Flacon
injeksi
Aquadest
9 steril Botol
500ml
10 Cat Gut Biji
Etanol 70
11 Botol
%
Hand
12 Biji
Scoen
Infus Set
13 Biji
anak
Infus Set
14 Biji
dewasa
IV Cateter
15
No. 18
IV Cateter
No. 20
16 Biji
( Dewasa
)
IV Cateter
No. 22
17 Biji
( Dewasa
)
IV Cateter
18 No. 24 Biji
( Anak )
Jarum
19 Bengkok / Biji
Jahit
Jarum
20 Biji
Suntik
Kapas
21 Adsorben Roll
250 gr
Kasa
panjang
22 Roll
40 cmx80
yard
Kasa
23 Pemb 4 m Roll
x 10 cm
Kasa
Pemb
24 Roll
Hydro 4
m x 15 cm
Kasa
Pemb
25 Biji
Hydro 4 x
80 cm
Kasa
Steril 16 x
26 Dos
16 ( 16
lmb )
Kasa steril
mengand:
27 Biji
Framaseti
n 10%
Kasa uk
28 36 m x 80 Roll
cm
Kertas
29 Pak
Puyer
30 Lisol Botol
31 Masker Biji
Masker N
32
95
33 Mess Biji
Penjernih
34 Air Cepat Set
( PAC )
Plastik
35 pak
obat
Plester 5
36 yardx2inc Roll
h
Poly
37 Cateter Biji
No. 14
Poly
38 Cateter Biji
No. 16
Poly
39 Cateter Biji
No. 18
Selang
40 oksigen Biji
anak
Selang
41 Oksigen Biji
dws
42 Silk Biji
Tranfusi
43 Biji
set
44 Urine Bag Biji
Wing
45 Needle Biji
No 23
Wing
46 Needle Biji
No 25
47 Pot dahak Biji
Laboratori
E um Dan
Reagen
Ampheta
2 min dos dus 50
50 test
Kit 4 x 30
3 Asam urat
ml
Benzodiaz
4 epin dos dus 50
50 test

BOD
6 Nutrient Botol
Mixture
BOD
7 Botol
Standart
Briliant
green 2% Btl dlm
8
Bile Broth dus
(BGLB)
Cannabin
9 oides dos dus 50
50 test
Cellpack
11 box 20 lt
(PK-30 )
12 Cholineste botol
Cocain
13 dos 50 dus 50
test
COD cell
14 Botol
test
COD sol
15 Botol
A Refil
Combur
Kit 100
16 test kit
test
100test
17 Deck glassbiji
Eight
serial
19 check
3x1.5ml
( L,N,H )
Botol 5 x
20 Glukosa
100 ml
HbsAg Dus 50
21
test pcs
Iodida
22 Botol
Test
23 Kertas EC lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
Lactosa
26 Botol
Broth
Larutan
Asam
27 Botol
Klorida 1
%
Larutan
Asam
28 Botol
Sulfosalisi
lat
Larutan
29 Botol
Benedick
Larutan
30 Botol
Eosin
Larutan
31 Etanol Botol
Asam
Larutan
32 Botol
Gabbet
Larutan
33 Botol
Giemsa
Larutan
34 Botol
Hayem
Larutan
35 Karbol Botol
Fuksin
Larutan
36 Botol
Kinyoun
Larutan
37 Botol
Metanol
Larutan
38 Metilen Botol
Biru
Larutan
39 Botol
Turk
Larutan Botol 500
40
Drabkin ml
Larutan
Botol 100
41 Rees
ml
Ecker
42 LDL kit
43 Minyak emebotol
Morphines
44 dos 50 dus 50
test
Needle
45 dus 100
boorner
46 Obyek glasset
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
Reagen
A/B
50 Set
( GOLDA
)
Reagen
51 Botol
amonium
Reagen Btl dlm
52
Cu dus
Reagen Btl dlm

53
Fe ( Iron ) dus
Reagen Btl dlm

54
Mn dus
Reagen Btl dlm
55
Nitrat dus
Reagen Btl dlm
56
Nitrit dus
Reagen
57 Botol
Phospat
Reagen
58 Botol
Zn
Reagen
kit/500ml
Serum
60 Vial 5 ml
Widal AO
Serum
61 Vial 5 ml
Widal H
Serum
62 Vial 5 ml
Widal O
Serum
widal S
63 thypi H
parathyphi
AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Stromatol
66 Btl 500 ml
yser-WH
Tabung
67 EDTA 3 dus 100
ml
Tabung
68 EDTA 5 dus 100
ml
Test Gula
69 Biji
Darah
Test
Tube 100
70 hematokrit
biji
/asisten
Thermal
71 roll
roll paper
72 Tissue
lensa biji
73
a 50 ml
74 Ultrasonic
gel set
Kit 2 x
75 Ureum
100 ml
76 Urine Test Biji
Vacum
77 dus 100
tainer
78 Yellow set
tips @1000
Obat
F Tambaha
n
Dus @ 10
F1 Fluoconazol
Kap
F2 KOH 10% Botol
F4 Methylen BlBotol
F5 NaCl 0.9% Botol
F6 pH Paper CaRoll
F7 Rapid Tes Test
F8 Rapid Tes Test
F9 Rapid Tes Test
F10 Rapid Tes Sh
Test
F11 Xylol Botol
F19 Acyclovir 4Dus
F20 Clindamyci Dus
F21 Box Slide Box
F23 Vaksin AntiVial
Botol@12
F30 Lopinavir 2
0 Tablet
F31 Cotton ApliBuah
F32 RDT MalariTest
F33 Masker N 95Biji
Syringe @
F39 HBIG ( Hipe
0,5 ml
8 9 10 11 12 13 14 15 16 17
PENG
18 19 20 21 22 23 24 25 26 27
PENGELUARAN
28 29 30 31 32 33 34 35 36 37
38 39 40 41 42 43 44 45 46 47
48 49 50 51 52 53 54 55 56 57
58 59 60 61 62 63 64 65 66 67
68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87
88 89 90 91 92 93 94 95 96 97
TOT
98 99 100 101 102 103 104 105 106
PUSKESMAS SAMBIREJO
PUSKESMAS :
KECAMATAN :
KABUPATEN :
desember 2017
NO NAMA OBATSATUAN
1 2 3 4 5 6 7
Obat
A
Generik
Acetosal
1 500 mg Tablet
tab
Kotak 24
2 ACT tab
tab
Albendas
3 Tablet
ol
Allopurino
4 l 100 mg Tablet
tab
Ambroxol
5 Botol
sirup
Ambroxol
6 Tablet
tab
Aminofilin
7 Ampul
inj.
Aminofilin
8 tab 200 Tablet
mg
Amitriptilin
9 Tablet
tab 25 mg
Amlodipin
10 Tablet
5mg
Amoksisili
n + As.
11 Tablet
Klavunalat
625 mg
Amoksisili
12 Vial
n injeksi
Amoksisili
13 n kab 500 Tablet
mg
Amoksisili
14 n kap 250 Kapsul
mg
Amoksisili
15 n Sirup Botol
125 mg
Ampisilin
16 injeksi 1 Vial
gram
Antalgin
17 Ampul
injeksi
Antalgin
18 tab 500 Tablet
mg
Antasida
19 Tablet
Doen tab
Antasida
20 Botol
sirup
Anti
Bacteri
21 Tube
Doen
salep kulit
Anti
22 Hemoroid Suppo
suppo
Antifungi
23 Kombinasi Pot
salep kulit
Artemeter
24 Ktk 6 amp
inj 80 mg
Artesunat
25 ktk 8 amp
e Inj
Asam
Askorbat
26 Tablet
tab 50
mg tab
Asam
Mefenam
27 Kaplet
at kap 500
mg
Asam
traneksam
28 Ampul
at inj 250
mg
Asiklovir
29 Tube
salep kulit
Asiklovir
30 tab 200 Tablet
mg
Atropin
31 Ampul
Sulfas inj
Benzatin
Benzyl
32 Flacon
Penisilin
Inj 2,4jt UI
Besi II
Sulfat
33 Tablet
Tablet +
asam folat
Betahistin
34 mesilat Tablet
tab
Betameth
35 ason Tube
salep kulit
Bisakodil
36 Tablet
tab
Deksamet
37 Ampul
ason inj
Deksamet
38 ason tab Tablet
0,5 mg
Dekstrom
39 ethorpan Botol
sirup
Dekstrom
40 ethorpan Tablet
tab
Diazepam
41 inj. Ampul
5mg/2ml
Diazepam
42 Tablet
tab 2 mg
Diazepam
43 Tablet
tab 5 mg
Difenhydr
44 amin HCl Ampul
inj
Digoxin
45 tab 0,25 Tablet
mg
Dimenhyd
46 Tablet
rinat tab
Doksisikli
47 Tablet
n 100
Domperid
48 on Botol
suspensi
Domperid
49 on tab 10 Tablet
mg
Efedrin
50 Tablet
tab 25 mg
Efinefrin
51 ( Adrenali Ampul
n inj )
Ekstrak
52 Belladon Tablet
tab 10 mg
Erytromici
53 n kap 250 Kapsul
mg
Erytromici
54 n kap 500 Kapul
mg
Erytromici
55 Botol
n sirup
Etakridin
56 Lakt. Botol
( Rivanol )
Ethambut
mg
Fenitoin
58 Na. kap Kapsul
100 mg
Fenobarbi
59 tal inj Ampul
50mg/ml
Fenobarbi
60 tal tab30 Tablet
mg
Fenol
61 Botol
Gliserol
Fitomena
62 Ampul
dion inj
Fitomena
63 dion tab Tablet
10 mg
Furosemi
64 de tab 40 Tablet
mg
Furosemi
65 Ampul
de injeksi
Gameksa
66 n salep Tube
kulit
Garam
67 Oralit Sak
200ml
Gentamici
n tetes
68 Botol
mata 0,3
%
Gentamici
69 Ampul
n injeksi
Gentamisi
70 n salep Tube
kulit
Gentian
71 Botol
Violet
Glibenkla
mg
Gliseril
tab
Glukonas
74 Ampul
kalsikus
Glukose
40 %
75 Ampul
larutan
infus
Glukose
10 %
76
larutan
infus
Glukose
5%
77 Flabot
larutan
infus
Griseofulv
mg
Haloperid
mg
Haloperid
mg
Hidrokhlor
otiazide
81 Tablet
(HCT) tab
25 mg
Hidrokorti
82 son salep Tube
kulit
Hiosine-
N-
de tablet
10 mg
Ibuprofen
84 tab 200 Tablet
mg
Ibuprofen
85 tab 400 Tablet
mg
Isoniazide
86 tab Tablet
( INH )
Isosorbid
87 Tablet
Dinitrat
Kalium
25 mg
Kalium
89 Diklofenak
50 mg
Kalsium
500 mg
Kaptopril
91 Tablet
tab 25 mg
Karbamaz
92 epin tab Tablet
200 mg
Ketokona
93 zole 200 Tablet
mg
94 Ketokonazotube
Ketoprofe
95 Ampul
n inj
Kinina
96 Dihydrokl Ampul
orid inj
Kinina
97 Tablet
HCl. Tab
Klobazam
98 Tablet
tab
Klonidin
99 Tablet
tab
Klorafenir
amin
100 Tablet
( CTM )
tab
Kloramfen
101 Vial
ikol inj
Kloramfen
102 ikol salep Tube
mata 1 %
Kloramfen
103 Botol
ikol sirup
Kloramfen
ikol tetes
104 Tube
mata 0,5
%
Kloramfen
telinga
Kloramfen
106 ikol kap Botol
250 mg
Klorokuin
107 tab 150 Tablet
mg
Klorproma
108 sin Ampul
injeksi
Klorproma
mg
Kontrasep
110 set
si implant
Kontrasep
prog 3 bln
Kotrimoks
112 azol Botol
suspensi
Kotrimoks
113 azol tab Tablet
120 mg
Kotrimoks
114 azol tab Tablet
480 mg
Lidokain
115 comp Ampul
injeksi
Loperami
116 Tablet
d
Mebendaz
mg
Metformin
118 Tablet
500
Methoklop
119 ramide Ampul
injeksi
Methoklop
120 ramide Botol
sirup
Methoklop
121 ramide Tablet
tab10 mg
Metilergo
met
122 Ampul
injeksi 0,2
mg
Metilergo
123 met tab Tablet
0,125 mg
Metilpredn
124 Tablet
isolon 4
Metronida
125 Ampul
zol inf
Metronida
126 zol tab Tablet
250 mg
Metronida
127 zol tab Tablet
500 mg
MgSO4
128 Vial
20 %
MgSO4
129 Vial
40 %
Mineral
130 Sak
mix
Misoprost
131
ol
Myconazo
132 l salep Tube
kulit
Na
133 Tablet
tiroksin
Na. Bic.
134 Tab 500 Tablet
mg
Na. Cl.
135 Flabot
Infus
Natrium
50
Natrium
137 Tiosulfas Ampul
inj
OAT
139 Paket
Anak
OAT-
140 Paket
FDC anak
OAT-
141 FDC kat 1 Paket
&3
OAT-
142 Paket
FDC kat 2
OAT-
143 FDC Paket
sisipan
OAT
1
OAT
2
OAT
3
OAT
147 Paket
Sisipan
Obat
Batuk
148 Botol
Hitam
sirup
Oksitetras
kulit 3 %
Oksitetras
mata
Oksitetras
iklin
151 Flacon
50mg/ml
inj
Oksitocin
152 10mg/ml Ampul
inj
Omeprazo
153 Kapsul
l kaps
Papaverin
154 Ampul
inj
Papaverin
155 Tablet
tab 40 mg
Paraseta
156 Botol
mol sirup
Paraseta
157 mol tab Tablet
100 mg
Paraseta
158 mol tab Tablet
500 mg
Perhidrol
159 Botol
2%
Piracetam
160 Kapsul
400
Pirazinami
mg
Piridoksin
162 Tablet
tab 10 mg
Piroksika
163 m tab 10 Kapsul
mg
Piroksika
164 m tab 20 Kapsul
mg
Polykrusul
en
165 Botol
( Albothyl
)
Povidon
Iodium
166 Botol
10% 30
ml
Povidon
Iodium
167 Botol
10% 300
ml
Prednison
168 Tablet
tab 5 mg
Primakuin
169 Tablet
tab 15 mg
Proc. Pen.
170 Vial
3 juta inj
Prokain
171 Benzil Vial
Penisilin
Propanolo
172 l tab 40 Tablet
mg
Propylthio
racil
173 ( PTU ) Tablet
tab 100
mg
Pyrantel
174 tab 125 Tablet
mg
Reserpin
177 tab 0,25 Tablet
mg
Retinol
178 100.000 iu Btl @50
Kab
Retinol
179 200.000 iu Btl @50
Kab
Rifampisin
180 kap 300 Kapsul
mg
Ringer
181 Laktat Flabot
Infus
Salbutam
182 ol tab 2 Tablet
mg
Salep 2 -
183 4 Pot
kombinasi
Salysil
184 bedak 2 Botol
%
Sefadroks
185 Kapsul
il 500 cps
Sefotaxim
186 1g inj Vial
Seftriaxon
187 Vial
inj
Serum
188 ABU 5 ml Flacon
inj.
Serum
ATS
189 Ampul
1.500 iu
inj
Sianokob
alamin inj
190 Ampul
( Vit.
B12 ) inj
Sianokob
alamin tab
191 Tablet
( Vit.
B12 ) tab
Simetidin
192 Tablet
tab
Simvastati
193 Tablet
n 10
Siprofloxa
194 cin tab Tablet
500 mg
Streptomi
195 cin 1.500 Vial
mg inj
Sulfaceta
196 mid tetes Botol
mata
Sulfadimid
tab
Sulfadoksi
n+
198 Tablet
Piritamin
tab
Tetracykli
mg
Tetracykli
mg
Tiamfenik
202 ol kap Kapsul
500 mg
Tiamin
HCl / B1
203 Ampul
injeksi
100mg /ml
Tiamin
HCl / B1
204 Tablet
Tab 50
mg
Triheksife
mg
Vitamin B
206 Komplek Tablet
tab
207 Zink Tablet
Obat Non
B
Generik
Antasida
1 + Tablet
Simetikon
Antasida
+
2 Botol
simetikon
sirup
Anti Diare
kombinasi
3 Tablet
( Dewasa
)
Anti Diare
kombinasi
4 Botol
sirup
( Anak )
Anti
5 hemorhoi Kapsul
d kapsul
Anti Tube
radang
topikal
mengand
ung
6 triamsinol
on
acetonide
1 mg
Anti
spasmodi
7 Ampul
k inj /
spasi inj
Asam
Askorbat
8 Tablet
tab 500 +
Vitamin
Asering
9 Flabot
infus
10 Asifit Kapsul
Batugin
11 Botol
eliksir
Betameth
ason +
12 Tube
Antibiotik
salep kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
Diazepam
15 Tube
rectal
Flunarizin
16 Tablet
5 mg
Mecobala
17 Kapsul
min 500
Minyak
18 Botol
kayu putih
Minyak
19 Botol
telon
Multivitam
20 in sirup Botol
( Anak )
Multivitam
in tab
21 Tablet
( Dewasa
)
22 Neprolit Kapsul
Salep
23 Luka Tube
Bakar
Simetidin
24 Ampul
inj
Tablet
Tambah
25 Tablet
Darah +
Vitamin
26 Tensigard Kapsul
Vitamin
27 neurotropi Ampul
k inj
Xylomidon
28 Vial
inj
C Obat Gigi
Air raksa
1 Botol
dental use
Bahan
2 botol
bonding
3 Bahan Etsabotol
Devitalisa
4 Botol
si Pasta
Etil
5 Klorida Botol
semprot
Eugenol
6 Pot
sol
Flour
7 Tablet
tablet
Glass
8 Ionomer Pot
Cement
Kalsium
9 hydroksi dos
pasta
Monokror
Kamfer
10 Pot
Menthol (
CHKM )
Mumiying
11 Biji
Pasta
Semen
Seng
12 Botol
Fosfat
p+liq
Silver
13 Botol
Amalgam
14 Solare Tube
Spons
15 Gelatin Dos
Cubices
Temp+Sto
16 pp Fletc Set
p+liq
Trikresol
17 Formalin Botol
( TKF )
Yodium
18 Cc
Gliserin
Alkes
D Pakai
Habis
ADS 0,05
1 Biji
ml
ADS 0,5
2 Biji
ml
3 ADS 5 ml
Alat suntik
4 Biji
1 ml
Alat suntik
5 2,5 ml / Biji
3ml
Alat
6 Suntik 5 Biji
ml
Antiseptik/
7 Botol
Bayclin
Aqua Pro
8 Flacon
injeksi
Aquadest
9 steril Botol
500ml
10 Cat Gut Biji
Etanol 70
11 Botol
%
Hand
12 Biji
Scoen
Infus Set
13 Biji
anak
Infus Set
14 Biji
dewasa
IV Cateter
15
No. 18
IV Cateter
No. 20
16 Biji
( Dewasa
)
IV Cateter
No. 22
17 Biji
( Dewasa
)
IV Cateter
18 No. 24 Biji
( Anak )
Jarum
19 Bengkok / Biji
Jahit
Jarum
20 Biji
Suntik
Kapas
21 Adsorben Roll
250 gr
Kasa
panjang
22 Roll
40 cmx80
yard
Kasa
23 Pemb 4 m Roll
x 10 cm
Kasa
Pemb
24 Roll
Hydro 4
m x 15 cm
Kasa
Pemb
25 Biji
Hydro 4 x
80 cm
Kasa
Steril 16 x
26 Dos
16 ( 16
lmb )
Kasa steril
mengand:
27 Biji
Framaseti
n 10%
Kasa uk
28 36 m x 80 Roll
cm
Kertas
29 Pak
Puyer
30 Lisol Botol
31 Masker Biji
Masker N
32
95
33 Mess Biji
Penjernih
34 Air Cepat Set
( PAC )
Plastik
35 pak
obat
Plester 5
36 yardx2inc Roll
h
Poly
37 Cateter Biji
No. 14
Poly
38 Cateter Biji
No. 16
Poly
39 Cateter Biji
No. 18
Selang
40 oksigen Biji
anak
Selang
41 Oksigen Biji
dws
42 Silk Biji
Tranfusi
43 Biji
set
44 Urine Bag Biji
Wing
45 Needle Biji
No 23
Wing
46 Needle Biji
No 25
47 Pot dahak Biji
Laboratori
E um Dan
Reagen
Ampheta
2 min dos dus 50
50 test
Kit 4 x 30
3 Asam urat
ml
Benzodiaz
4 epin dos dus 50
50 test

BOD
6 Nutrient Botol
Mixture
BOD
7 Botol
Standart
Briliant
green 2% Btl dlm
8
Bile Broth dus
(BGLB)
Cannabin
9 oides dos dus 50
50 test
Cellpack
11 box 20 lt
(PK-30 )
12 Cholineste botol
Cocain
13 dos 50 dus 50
test
COD cell
14 Botol
test
COD sol
15 Botol
A Refil
Combur
Kit 100
16 test kit
test
100test
17 Deck glassbiji
Eight
serial
19 check
3x1.5ml
( L,N,H )
Botol 5 x
20 Glukosa
100 ml
HbsAg Dus 50
21
test pcs
Iodida
22 Botol
Test
23 Kertas EC lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
Lactosa
26 Botol
Broth
Larutan
Asam
27 Botol
Klorida 1
%
Larutan
Asam
28 Botol
Sulfosalisi
lat
Larutan
29 Botol
Benedick
Larutan
30 Botol
Eosin
Larutan
31 Etanol Botol
Asam
Larutan
32 Botol
Gabbet
Larutan
33 Botol
Giemsa
Larutan
34 Botol
Hayem
Larutan
35 Karbol Botol
Fuksin
Larutan
36 Botol
Kinyoun
Larutan
37 Botol
Metanol
Larutan
38 Metilen Botol
Biru
Larutan
39 Botol
Turk
Larutan Botol 500
40
Drabkin ml
Larutan
Botol 100
41 Rees
ml
Ecker
42 LDL kit
43 Minyak emebotol
Morphines
44 dos 50 dus 50
test
Needle
45 dus 100
boorner
46 Obyek glasset
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
Reagen
A/B
50 Set
( GOLDA
)
Reagen
51 Botol
amonium
Reagen Btl dlm
52
Cu dus
Reagen Btl dlm

53
Fe ( Iron ) dus
Reagen Btl dlm

54
Mn dus
Reagen Btl dlm
55
Nitrat dus
Reagen Btl dlm
56
Nitrit dus
Reagen
57 Botol
Phospat
Reagen
58 Botol
Zn
Reagen
kit/500ml
Serum
60 Vial 5 ml
Widal AO
Serum
61 Vial 5 ml
Widal H
Serum
62 Vial 5 ml
Widal O
Serum
widal S
63 thypi H
parathyphi
AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Stromatol
66 Btl 500 ml
yser-WH
Tabung
67 EDTA 3 dus 100
ml
Tabung
68 EDTA 5 dus 100
ml
Test Gula
69 Biji
Darah
Test
Tube 100
70 hematokrit
biji
/asisten
Thermal
71 roll
roll paper
72 Tissue
lensa biji
73
a 50 ml
74 Ultrasonic
gel set
Kit 2 x
75 Ureum
100 ml
76 Urine Test Biji
Vacum
77 dus 100
tainer
78 Yellow set
tips @1000
Obat
F Tambaha
n
Dus @ 10
F1 Fluoconazol
Kap
F2 KOH 10% Botol
F4 Methylen BlBotol
F5 NaCl 0.9% Botol
F6 pH Paper CaRoll
F7 Rapid Tes Test
F8 Rapid Tes Test
F9 Rapid Tes Test
F10 Rapid Tes Sh
Test
F11 Xylol Botol
F19 Acyclovir 4Dus
F20 Clindamyci Dus
F21 Box Slide Box
F23 Vaksin AntiVial
Botol@12
F30 Lopinavir 2
0 Tablet
F31 Cotton ApliBuah
F32 RDT MalariTest
F33 Masker N 95Biji
Syringe @
F39 HBIG ( Hipe
0,5 ml
8 9 10 11 12 13 14 15 16 17
PENG
18 19 20 21 22 23 24 25 26 27
PENGELUARAN
28 29 30 31 32 33 34 35 36 37
38 39 40 41 42 43 44 45 46 47
48 49 50 51 52 53 54 55 56 57
58 59 60 61 62 63 64 65 66 67
68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87
88 89 90 91 92 93 94 95 96 97
TOT
98 99 100 101 102 103 104 105 106
PUSKESMAS SAMBIREJO
PUSKESMAS :
KECAMATAN :
KABUPATEN :
desember 2017
NO NAMA OBATSATUAN
1 2 3 4 5 6 7
Obat
A
Generik
Acetosal
1 500 mg Tablet
tab
Kotak 24
2 ACT tab
tab
Albendas
3 Tablet
ol
Allopurino
4 l 100 mg Tablet
tab
Ambroxol
5 Botol
sirup
Ambroxol
6 Tablet
tab
Aminofilin
7 Ampul
inj.
Aminofilin
8 tab 200 Tablet
mg
Amitriptilin
9 Tablet
tab 25 mg
Amlodipin
10 Tablet
5mg
Amoksisili
n + As.
11 Tablet
Klavunalat
625 mg
Amoksisili
12 Vial
n injeksi
Amoksisili
13 n kab 500 Tablet
mg
Amoksisili
14 n kap 250 Kapsul
mg
Amoksisili
15 n Sirup Botol
125 mg
Ampisilin
16 injeksi 1 Vial
gram
Antalgin
17 Ampul
injeksi
Antalgin
18 tab 500 Tablet
mg
Antasida
19 Tablet
Doen tab
Antasida
20 Botol
sirup
Anti
Bacteri
21 Tube
Doen
salep kulit
Anti
22 Hemoroid Suppo
suppo
Antifungi
23 Kombinasi Pot
salep kulit
Artemeter
24 Ktk 6 amp
inj 80 mg
Artesunat
25 ktk 8 amp
e Inj
Asam
Askorbat
26 Tablet
tab 50
mg tab
Asam
Mefenam
27 Kaplet
at kap 500
mg
Asam
traneksam
28 Ampul
at inj 250
mg
Asiklovir
29 Tube
salep kulit
Asiklovir
30 tab 200 Tablet
mg
Atropin
31 Ampul
Sulfas inj
Benzatin
Benzyl
32 Flacon
Penisilin
Inj 2,4jt UI
Besi II
Sulfat
33 Tablet
Tablet +
asam folat
Betahistin
34 mesilat Tablet
tab
Betameth
35 ason Tube
salep kulit
Bisakodil
36 Tablet
tab
Deksamet
37 Ampul
ason inj
Deksamet
38 ason tab Tablet
0,5 mg
Dekstrom
39 ethorpan Botol
sirup
Dekstrom
40 ethorpan Tablet
tab
Diazepam
41 inj. Ampul
5mg/2ml
Diazepam
42 Tablet
tab 2 mg
Diazepam
43 Tablet
tab 5 mg
Difenhydr
44 amin HCl Ampul
inj
Digoxin
45 tab 0,25 Tablet
mg
Dimenhyd
46 Tablet
rinat tab
Doksisikli
47 Tablet
n 100
Domperid
48 on Botol
suspensi
Domperid
49 on tab 10 Tablet
mg
Efedrin
50 Tablet
tab 25 mg
Efinefrin
51 ( Adrenali Ampul
n inj )
Ekstrak
52 Belladon Tablet
tab 10 mg
Erytromici
53 n kap 250 Kapsul
mg
Erytromici
54 n kap 500 Kapul
mg
Erytromici
55 Botol
n sirup
Etakridin
56 Lakt. Botol
( Rivanol )
Ethambut
mg
Fenitoin
58 Na. kap Kapsul
100 mg
Fenobarbi
59 tal inj Ampul
50mg/ml
Fenobarbi
60 tal tab30 Tablet
mg
Fenol
61 Botol
Gliserol
Fitomena
62 Ampul
dion inj
Fitomena
63 dion tab Tablet
10 mg
Furosemi
64 de tab 40 Tablet
mg
Furosemi
65 Ampul
de injeksi
Gameksa
66 n salep Tube
kulit
Garam
67 Oralit Sak
200ml
Gentamici
n tetes
68 Botol
mata 0,3
%
Gentamici
69 Ampul
n injeksi
Gentamisi
70 n salep Tube
kulit
Gentian
71 Botol
Violet
Glibenkla
mg
Gliseril
tab
Glukonas
74 Ampul
kalsikus
Glukose
40 %
75 Ampul
larutan
infus
Glukose
10 %
76
larutan
infus
Glukose
5%
77 Flabot
larutan
infus
Griseofulv
mg
Haloperid
mg
Haloperid
mg
Hidrokhlor
otiazide
81 Tablet
(HCT) tab
25 mg
Hidrokorti
82 son salep Tube
kulit
Hiosine-
N-
de tablet
10 mg
Ibuprofen
84 tab 200 Tablet
mg
Ibuprofen
85 tab 400 Tablet
mg
Isoniazide
86 tab Tablet
( INH )
Isosorbid
87 Tablet
Dinitrat
Kalium
25 mg
Kalium
89 Diklofenak
50 mg
Kalsium
500 mg
Kaptopril
91 Tablet
tab 25 mg
Karbamaz
92 epin tab Tablet
200 mg
Ketokona
93 zole 200 Tablet
mg
94 Ketokonazotube
Ketoprofe
95 Ampul
n inj
Kinina
96 Dihydrokl Ampul
orid inj
Kinina
97 Tablet
HCl. Tab
Klobazam
98 Tablet
tab
Klonidin
99 Tablet
tab
Klorafenir
amin
100 Tablet
( CTM )
tab
Kloramfen
101 Vial
ikol inj
Kloramfen
102 ikol salep Tube
mata 1 %
Kloramfen
103 Botol
ikol sirup
Kloramfen
ikol tetes
104 Tube
mata 0,5
%
Kloramfen
telinga
Kloramfen
106 ikol kap Botol
250 mg
Klorokuin
107 tab 150 Tablet
mg
Klorproma
108 sin Ampul
injeksi
Klorproma
mg
Kontrasep
110 set
si implant
Kontrasep
prog 3 bln
Kotrimoks
112 azol Botol
suspensi
Kotrimoks
113 azol tab Tablet
120 mg
Kotrimoks
114 azol tab Tablet
480 mg
Lidokain
115 comp Ampul
injeksi
Loperami
116 Tablet
d
Mebendaz
mg
Metformin
118 Tablet
500
Methoklop
119 ramide Ampul
injeksi
Methoklop
120 ramide Botol
sirup
Methoklop
121 ramide Tablet
tab10 mg
Metilergo
met
122 Ampul
injeksi 0,2
mg
Metilergo
123 met tab Tablet
0,125 mg
Metilpredn
124 Tablet
isolon 4
Metronida
125 Ampul
zol inf
Metronida
126 zol tab Tablet
250 mg
Metronida
127 zol tab Tablet
500 mg
MgSO4
128 Vial
20 %
MgSO4
129 Vial
40 %
Mineral
130 Sak
mix
Misoprost
131
ol
Myconazo
132 l salep Tube
kulit
Na
133 Tablet
tiroksin
Na. Bic.
134 Tab 500 Tablet
mg
Na. Cl.
135 Flabot
Infus
Natrium
50
Natrium
137 Tiosulfas Ampul
inj
OAT
139 Paket
Anak
OAT-
140 Paket
FDC anak
OAT-
141 FDC kat 1 Paket
&3
OAT-
142 Paket
FDC kat 2
OAT-
143 FDC Paket
sisipan
OAT
1
OAT
2
OAT
3
OAT
147 Paket
Sisipan
Obat
Batuk
148 Botol
Hitam
sirup
Oksitetras
kulit 3 %
Oksitetras
mata
Oksitetras
iklin
151 Flacon
50mg/ml
inj
Oksitocin
152 10mg/ml Ampul
inj
Omeprazo
153 Kapsul
l kaps
Papaverin
154 Ampul
inj
Papaverin
155 Tablet
tab 40 mg
Paraseta
156 Botol
mol sirup
Paraseta
157 mol tab Tablet
100 mg
Paraseta
158 mol tab Tablet
500 mg
Perhidrol
159 Botol
2%
Piracetam
160 Kapsul
400
Pirazinami
mg
Piridoksin
162 Tablet
tab 10 mg
Piroksika
163 m tab 10 Kapsul
mg
Piroksika
164 m tab 20 Kapsul
mg
Polykrusul
en
165 Botol
( Albothyl
)
Povidon
Iodium
166 Botol
10% 30
ml
Povidon
Iodium
167 Botol
10% 300
ml
Prednison
168 Tablet
tab 5 mg
Primakuin
169 Tablet
tab 15 mg
Proc. Pen.
170 Vial
3 juta inj
Prokain
171 Benzil Vial
Penisilin
Propanolo
172 l tab 40 Tablet
mg
Propylthio
racil
173 ( PTU ) Tablet
tab 100
mg
Pyrantel
174 tab 125 Tablet
mg
Reserpin
177 tab 0,25 Tablet
mg
Retinol
178 100.000 iu Btl @50
Kab
Retinol
179 200.000 iu Btl @50
Kab
Rifampisin
180 kap 300 Kapsul
mg
Ringer
181 Laktat Flabot
Infus
Salbutam
182 ol tab 2 Tablet
mg
Salep 2 -
183 4 Pot
kombinasi
Salysil
184 bedak 2 Botol
%
Sefadroks
185 Kapsul
il 500 cps
Sefotaxim
186 1g inj Vial
Seftriaxon
187 Vial
inj
Serum
188 ABU 5 ml Flacon
inj.
Serum
ATS
189 Ampul
1.500 iu
inj
Sianokob
alamin inj
190 Ampul
( Vit.
B12 ) inj
Sianokob
alamin tab
191 Tablet
( Vit.
B12 ) tab
Simetidin
192 Tablet
tab
Simvastati
193 Tablet
n 10
Siprofloxa
194 cin tab Tablet
500 mg
Streptomi
195 cin 1.500 Vial
mg inj
Sulfaceta
196 mid tetes Botol
mata
Sulfadimid
tab
Sulfadoksi
n+
198 Tablet
Piritamin
tab
Tetracykli
mg
Tetracykli
mg
Tiamfenik
202 ol kap Kapsul
500 mg
Tiamin
HCl / B1
203 Ampul
injeksi
100mg /ml
Tiamin
HCl / B1
204 Tablet
Tab 50
mg
Triheksife
mg
Vitamin B
206 Komplek Tablet
tab
207 Zink Tablet
Obat Non
B
Generik
Antasida
1 + Tablet
Simetikon
Antasida
+
2 Botol
simetikon
sirup
Anti Diare
kombinasi
3 Tablet
( Dewasa
)
Anti Diare
kombinasi
4 Botol
sirup
( Anak )
Anti
5 hemorhoi Kapsul
d kapsul
Anti Tube
radang
topikal
mengand
ung
6 triamsinol
on
acetonide
1 mg
Anti
spasmodi
7 Ampul
k inj /
spasi inj
Asam
Askorbat
8 Tablet
tab 500 +
Vitamin
Asering
9 Flabot
infus
10 Asifit Kapsul
Batugin
11 Botol
eliksir
Betameth
ason +
12 Tube
Antibiotik
salep kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
Diazepam
15 Tube
rectal
Flunarizin
16 Tablet
5 mg
Mecobala
17 Kapsul
min 500
Minyak
18 Botol
kayu putih
Minyak
19 Botol
telon
Multivitam
20 in sirup Botol
( Anak )
Multivitam
in tab
21 Tablet
( Dewasa
)
22 Neprolit Kapsul
Salep
23 Luka Tube
Bakar
Simetidin
24 Ampul
inj
Tablet
Tambah
25 Tablet
Darah +
Vitamin
26 Tensigard Kapsul
Vitamin
27 neurotropi Ampul
k inj
Xylomidon
28 Vial
inj
C Obat Gigi
Air raksa
1 Botol
dental use
Bahan
2 botol
bonding
3 Bahan Etsabotol
Devitalisa
4 Botol
si Pasta
Etil
5 Klorida Botol
semprot
Eugenol
6 Pot
sol
Flour
7 Tablet
tablet
Glass
8 Ionomer Pot
Cement
Kalsium
9 hydroksi dos
pasta
Monokror
Kamfer
10 Pot
Menthol (
CHKM )
Mumiying
11 Biji
Pasta
Semen
Seng
12 Botol
Fosfat
p+liq
Silver
13 Botol
Amalgam
14 Solare Tube
Spons
15 Gelatin Dos
Cubices
Temp+Sto
16 pp Fletc Set
p+liq
Trikresol
17 Formalin Botol
( TKF )
Yodium
18 Cc
Gliserin
Alkes
D Pakai
Habis
ADS 0,05
1 Biji
ml
ADS 0,5
2 Biji
ml
3 ADS 5 ml
Alat suntik
4 Biji
1 ml
Alat suntik
5 2,5 ml / Biji
3ml
Alat
6 Suntik 5 Biji
ml
Antiseptik/
7 Botol
Bayclin
Aqua Pro
8 Flacon
injeksi
Aquadest
9 steril Botol
500ml
10 Cat Gut Biji
Etanol 70
11 Botol
%
Hand
12 Biji
Scoen
Infus Set
13 Biji
anak
Infus Set
14 Biji
dewasa
IV Cateter
15
No. 18
IV Cateter
No. 20
16 Biji
( Dewasa
)
IV Cateter
No. 22
17 Biji
( Dewasa
)
IV Cateter
18 No. 24 Biji
( Anak )
Jarum
19 Bengkok / Biji
Jahit
Jarum
20 Biji
Suntik
Kapas
21 Adsorben Roll
250 gr
Kasa
panjang
22 Roll
40 cmx80
yard
Kasa
23 Pemb 4 m Roll
x 10 cm
Kasa
Pemb
24 Roll
Hydro 4
m x 15 cm
Kasa
Pemb
25 Biji
Hydro 4 x
80 cm
Kasa
Steril 16 x
26 Dos
16 ( 16
lmb )
Kasa steril
mengand:
27 Biji
Framaseti
n 10%
Kasa uk
28 36 m x 80 Roll
cm
Kertas
29 Pak
Puyer
30 Lisol Botol
31 Masker Biji
Masker N
32
95
33 Mess Biji
Penjernih
34 Air Cepat Set
( PAC )
Plastik
35 pak
obat
Plester 5
36 yardx2inc Roll
h
Poly
37 Cateter Biji
No. 14
Poly
38 Cateter Biji
No. 16
Poly
39 Cateter Biji
No. 18
Selang
40 oksigen Biji
anak
Selang
41 Oksigen Biji
dws
42 Silk Biji
Tranfusi
43 Biji
set
44 Urine Bag Biji
Wing
45 Needle Biji
No 23
Wing
46 Needle Biji
No 25
47 Pot dahak Biji
Laboratori
E um Dan
Reagen
Ampheta
2 min dos dus 50
50 test
Kit 4 x 30
3 Asam urat
ml
Benzodiaz
4 epin dos dus 50
50 test

BOD
6 Nutrient Botol
Mixture
BOD
7 Botol
Standart
Briliant
green 2% Btl dlm
8
Bile Broth dus
(BGLB)
Cannabin
9 oides dos dus 50
50 test
Cellpack
11 box 20 lt
(PK-30 )
12 Cholineste botol
Cocain
13 dos 50 dus 50
test
COD cell
14 Botol
test
COD sol
15 Botol
A Refil
Combur
Kit 100
16 test kit
test
100test
17 Deck glassbiji
Eight
serial
19 check
3x1.5ml
( L,N,H )
Botol 5 x
20 Glukosa
100 ml
HbsAg Dus 50
21
test pcs
Iodida
22 Botol
Test
23 Kertas EC lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
Lactosa
26 Botol
Broth
Larutan
Asam
27 Botol
Klorida 1
%
Larutan
Asam
28 Botol
Sulfosalisi
lat
Larutan
29 Botol
Benedick
Larutan
30 Botol
Eosin
Larutan
31 Etanol Botol
Asam
Larutan
32 Botol
Gabbet
Larutan
33 Botol
Giemsa
Larutan
34 Botol
Hayem
Larutan
35 Karbol Botol
Fuksin
Larutan
36 Botol
Kinyoun
Larutan
37 Botol
Metanol
Larutan
38 Metilen Botol
Biru
Larutan
39 Botol
Turk
Larutan Botol 500
40
Drabkin ml
Larutan
Botol 100
41 Rees
ml
Ecker
42 LDL kit
43 Minyak emebotol
Morphines
44 dos 50 dus 50
test
Needle
45 dus 100
boorner
46 Obyek glasset
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
Reagen
A/B
50 Set
( GOLDA
)
Reagen
51 Botol
amonium
Reagen Btl dlm
52
Cu dus
Reagen Btl dlm

53
Fe ( Iron ) dus
Reagen Btl dlm

54
Mn dus
Reagen Btl dlm
55
Nitrat dus
Reagen Btl dlm
56
Nitrit dus
Reagen
57 Botol
Phospat
Reagen
58 Botol
Zn
Reagen
kit/500ml
Serum
60 Vial 5 ml
Widal AO
Serum
61 Vial 5 ml
Widal H
Serum
62 Vial 5 ml
Widal O
Serum
widal S
63 thypi H
parathyphi
AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Stromatol
66 Btl 500 ml
yser-WH
Tabung
67 EDTA 3 dus 100
ml
Tabung
68 EDTA 5 dus 100
ml
Test Gula
69 Biji
Darah
Test
Tube 100
70 hematokrit
biji
/asisten
Thermal
71 roll
roll paper
72 Tissue
lensa biji
73
a 50 ml
74 Ultrasonic
gel set
Kit 2 x
75 Ureum
100 ml
76 Urine Test Biji
Vacum
77 dus 100
tainer
78 Yellow set
tips @1000
Obat
F Tambaha
n
Dus @ 10
F1 Fluoconazol
Kap
F2 KOH 10% Botol
F4 Methylen BlBotol
F5 NaCl 0.9% Botol
F6 pH Paper CaRoll
F7 Rapid Tes Test
F8 Rapid Tes Test
F9 Rapid Tes Test
F10 Rapid Tes Sh
Test
F11 Xylol Botol
F19 Acyclovir 4Dus
F20 Clindamyci Dus
F21 Box Slide Box
F23 Vaksin AntiVial
Botol@12
F30 Lopinavir 2
0 Tablet
F31 Cotton ApliBuah
F32 RDT MalariTest
F33 Masker N 95Biji
Syringe @
F39 HBIG ( Hipe
0,5 ml
8 9 10 11 12 13 14 15 16 17
PENG
18 19 20 21 22 23 24 25 26 27
PENGELUARAN
28 29 30 31 32 33 34 35 36 37
38 39 40 41 42 43 44 45 46 47
48 49 50 51 52 53 54 55 56 57
58 59 60 61 62 63 64 65 66 67
68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87
88 89 90 91 92 93 94 95 96 97
TOT
98 99 100 101 102 103 104 105 106
PUSKESMAS SAMBIREJO
PUSKESMAS :
KECAMATAN :
KABUPATEN :
desember 2017
NO NAMA OBATSATUAN
1 2 3 4 5 6 7
Obat
A
Generik
Acetosal
1 500 mg Tablet
tab
Kotak 24
2 ACT tab
tab
Albendas
3 Tablet
ol
Allopurino
4 l 100 mg Tablet
tab
Ambroxol
5 Botol
sirup
Ambroxol
6 Tablet
tab
Aminofilin
7 Ampul
inj.
Aminofilin
8 tab 200 Tablet
mg
Amitriptilin
9 Tablet
tab 25 mg
Amlodipin
10 Tablet
5mg
Amoksisili
n + As.
11 Tablet
Klavunalat
625 mg
Amoksisili
12 Vial
n injeksi
Amoksisili
13 n kab 500 Tablet
mg
Amoksisili
14 n kap 250 Kapsul
mg
Amoksisili
15 n Sirup Botol
125 mg
Ampisilin
16 injeksi 1 Vial
gram
Antalgin
17 Ampul
injeksi
Antalgin
18 tab 500 Tablet
mg
Antasida
19 Tablet
Doen tab
Antasida
20 Botol
sirup
Anti
Bacteri
21 Tube
Doen
salep kulit
Anti
22 Hemoroid Suppo
suppo
Antifungi
23 Kombinasi Pot
salep kulit
Artemeter
24 Ktk 6 amp
inj 80 mg
Artesunat
25 ktk 8 amp
e Inj
Asam
Askorbat
26 Tablet
tab 50
mg tab
Asam
Mefenam
27 Kaplet
at kap 500
mg
Asam
traneksam
28 Ampul
at inj 250
mg
Asiklovir
29 Tube
salep kulit
Asiklovir
30 tab 200 Tablet
mg
Atropin
31 Ampul
Sulfas inj
Benzatin
Benzyl
32 Flacon
Penisilin
Inj 2,4jt UI
Besi II
Sulfat
33 Tablet
Tablet +
asam folat
Betahistin
34 mesilat Tablet
tab
Betameth
35 ason Tube
salep kulit
Bisakodil
36 Tablet
tab
Deksamet
37 Ampul
ason inj
Deksamet
38 ason tab Tablet
0,5 mg
Dekstrom
39 ethorpan Botol
sirup
Dekstrom
40 ethorpan Tablet
tab
Diazepam
41 inj. Ampul
5mg/2ml
Diazepam
42 Tablet
tab 2 mg
Diazepam
43 Tablet
tab 5 mg
Difenhydr
44 amin HCl Ampul
inj
Digoxin
45 tab 0,25 Tablet
mg
Dimenhyd
46 Tablet
rinat tab
Doksisikli
47 Tablet
n 100
Domperid
48 on Botol
suspensi
Domperid
49 on tab 10 Tablet
mg
Efedrin
50 Tablet
tab 25 mg
Efinefrin
51 ( Adrenali Ampul
n inj )
Ekstrak
52 Belladon Tablet
tab 10 mg
Erytromici
53 n kap 250 Kapsul
mg
Erytromici
54 n kap 500 Kapul
mg
Erytromici
55 Botol
n sirup
Etakridin
56 Lakt. Botol
( Rivanol )
Ethambut
mg
Fenitoin
58 Na. kap Kapsul
100 mg
Fenobarbi
59 tal inj Ampul
50mg/ml
Fenobarbi
60 tal tab30 Tablet
mg
Fenol
61 Botol
Gliserol
Fitomena
62 Ampul
dion inj
Fitomena
63 dion tab Tablet
10 mg
Furosemi
64 de tab 40 Tablet
mg
Furosemi
65 Ampul
de injeksi
Gameksa
66 n salep Tube
kulit
Garam
67 Oralit Sak
200ml
Gentamici
n tetes
68 Botol
mata 0,3
%
Gentamici
69 Ampul
n injeksi
Gentamisi
70 n salep Tube
kulit
Gentian
71 Botol
Violet
Glibenkla
mg
Gliseril
tab
Glukonas
74 Ampul
kalsikus
Glukose
40 %
75 Ampul
larutan
infus
Glukose
10 %
76
larutan
infus
Glukose
5%
77 Flabot
larutan
infus
Griseofulv
mg
Haloperid
mg
Haloperid
mg
Hidrokhlor
otiazide
81 Tablet
(HCT) tab
25 mg
Hidrokorti
82 son salep Tube
kulit
Hiosine-
N-
de tablet
10 mg
Ibuprofen
84 tab 200 Tablet
mg
Ibuprofen
85 tab 400 Tablet
mg
Isoniazide
86 tab Tablet
( INH )
Isosorbid
87 Tablet
Dinitrat
Kalium
25 mg
Kalium
89 Diklofenak
50 mg
Kalsium
500 mg
Kaptopril
91 Tablet
tab 25 mg
Karbamaz
92 epin tab Tablet
200 mg
Ketokona
93 zole 200 Tablet
mg
94 Ketokonazotube
Ketoprofe
95 Ampul
n inj
Kinina
96 Dihydrokl Ampul
orid inj
Kinina
97 Tablet
HCl. Tab
Klobazam
98 Tablet
tab
Klonidin
99 Tablet
tab
Klorafenir
amin
100 Tablet
( CTM )
tab
Kloramfen
101 Vial
ikol inj
Kloramfen
102 ikol salep Tube
mata 1 %
Kloramfen
103 Botol
ikol sirup
Kloramfen
ikol tetes
104 Tube
mata 0,5
%
Kloramfen
telinga
Kloramfen
106 ikol kap Botol
250 mg
Klorokuin
107 tab 150 Tablet
mg
Klorproma
108 sin Ampul
injeksi
Klorproma
mg
Kontrasep
110 set
si implant
Kontrasep
prog 3 bln
Kotrimoks
112 azol Botol
suspensi
Kotrimoks
113 azol tab Tablet
120 mg
Kotrimoks
114 azol tab Tablet
480 mg
Lidokain
115 comp Ampul
injeksi
Loperami
116 Tablet
d
Mebendaz
mg
Metformin
118 Tablet
500
Methoklop
119 ramide Ampul
injeksi
Methoklop
120 ramide Botol
sirup
Methoklop
121 ramide Tablet
tab10 mg
Metilergo
met
122 Ampul
injeksi 0,2
mg
Metilergo
123 met tab Tablet
0,125 mg
Metilpredn
124 Tablet
isolon 4
Metronida
125 Ampul
zol inf
Metronida
126 zol tab Tablet
250 mg
Metronida
127 zol tab Tablet
500 mg
MgSO4
128 Vial
20 %
MgSO4
129 Vial
40 %
Mineral
130 Sak
mix
Misoprost
131
ol
Myconazo
132 l salep Tube
kulit
Na
133 Tablet
tiroksin
Na. Bic.
134 Tab 500 Tablet
mg
Na. Cl.
135 Flabot
Infus
Natrium
50
Natrium
137 Tiosulfas Ampul
inj
OAT
139 Paket
Anak
OAT-
140 Paket
FDC anak
OAT-
141 FDC kat 1 Paket
&3
OAT-
142 Paket
FDC kat 2
OAT-
143 FDC Paket
sisipan
OAT
1
OAT
2
OAT
3
OAT
147 Paket
Sisipan
Obat
Batuk
148 Botol
Hitam
sirup
Oksitetras
kulit 3 %
Oksitetras
mata
Oksitetras
iklin
151 Flacon
50mg/ml
inj
Oksitocin
152 10mg/ml Ampul
inj
Omeprazo
153 Kapsul
l kaps
Papaverin
154 Ampul
inj
Papaverin
155 Tablet
tab 40 mg
Paraseta
156 Botol
mol sirup
Paraseta
157 mol tab Tablet
100 mg
Paraseta
158 mol tab Tablet
500 mg
Perhidrol
159 Botol
2%
Piracetam
160 Kapsul
400
Pirazinami
mg
Piridoksin
162 Tablet
tab 10 mg
Piroksika
163 m tab 10 Kapsul
mg
Piroksika
164 m tab 20 Kapsul
mg
Polykrusul
en
165 Botol
( Albothyl
)
Povidon
Iodium
166 Botol
10% 30
ml
Povidon
Iodium
167 Botol
10% 300
ml
Prednison
168 Tablet
tab 5 mg
Primakuin
169 Tablet
tab 15 mg
Proc. Pen.
170 Vial
3 juta inj
Prokain
171 Benzil Vial
Penisilin
Propanolo
172 l tab 40 Tablet
mg
Propylthio
racil
173 ( PTU ) Tablet
tab 100
mg
Pyrantel
174 tab 125 Tablet
mg
Reserpin
177 tab 0,25 Tablet
mg
Retinol
178 100.000 iu Btl @50
Kab
Retinol
179 200.000 iu Btl @50
Kab
Rifampisin
180 kap 300 Kapsul
mg
Ringer
181 Laktat Flabot
Infus
Salbutam
182 ol tab 2 Tablet
mg
Salep 2 -
183 4 Pot
kombinasi
Salysil
184 bedak 2 Botol
%
Sefadroks
185 Kapsul
il 500 cps
Sefotaxim
186 1g inj Vial
Seftriaxon
187 Vial
inj
Serum
188 ABU 5 ml Flacon
inj.
Serum
ATS
189 Ampul
1.500 iu
inj
Sianokob
alamin inj
190 Ampul
( Vit.
B12 ) inj
Sianokob
alamin tab
191 Tablet
( Vit.
B12 ) tab
Simetidin
192 Tablet
tab
Simvastati
193 Tablet
n 10
Siprofloxa
194 cin tab Tablet
500 mg
Streptomi
195 cin 1.500 Vial
mg inj
Sulfaceta
196 mid tetes Botol
mata
Sulfadimid
tab
Sulfadoksi
n+
198 Tablet
Piritamin
tab
Tetracykli
mg
Tetracykli
mg
Tiamfenik
202 ol kap Kapsul
500 mg
Tiamin
HCl / B1
203 Ampul
injeksi
100mg /ml
Tiamin
HCl / B1
204 Tablet
Tab 50
mg
Triheksife
mg
Vitamin B
206 Komplek Tablet
tab
207 Zink Tablet
Obat Non
B
Generik
Antasida
1 + Tablet
Simetikon
Antasida
+
2 Botol
simetikon
sirup
Anti Diare
kombinasi
3 Tablet
( Dewasa
)
Anti Diare
kombinasi
4 Botol
sirup
( Anak )
Anti
5 hemorhoi Kapsul
d kapsul
Anti Tube
radang
topikal
mengand
ung
6 triamsinol
on
acetonide
1 mg
Anti
spasmodi
7 Ampul
k inj /
spasi inj
Asam
Askorbat
8 Tablet
tab 500 +
Vitamin
Asering
9 Flabot
infus
10 Asifit Kapsul
Batugin
11 Botol
eliksir
Betameth
ason +
12 Tube
Antibiotik
salep kulit
13 Bioprost Kapsul
14 D 1/2NS Flabot
Diazepam
15 Tube
rectal
Flunarizin
16 Tablet
5 mg
Mecobala
17 Kapsul
min 500
Minyak
18 Botol
kayu putih
Minyak
19 Botol
telon
Multivitam
20 in sirup Botol
( Anak )
Multivitam
in tab
21 Tablet
( Dewasa
)
22 Neprolit Kapsul
Salep
23 Luka Tube
Bakar
Simetidin
24 Ampul
inj
Tablet
Tambah
25 Tablet
Darah +
Vitamin
26 Tensigard Kapsul
Vitamin
27 neurotropi Ampul
k inj
Xylomidon
28 Vial
inj
C Obat Gigi
Air raksa
1 Botol
dental use
Bahan
2 botol
bonding
3 Bahan Etsabotol
Devitalisa
4 Botol
si Pasta
Etil
5 Klorida Botol
semprot
Eugenol
6 Pot
sol
Flour
7 Tablet
tablet
Glass
8 Ionomer Pot
Cement
Kalsium
9 hydroksi dos
pasta
Monokror
Kamfer
10 Pot
Menthol (
CHKM )
Mumiying
11 Biji
Pasta
Semen
Seng
12 Botol
Fosfat
p+liq
Silver
13 Botol
Amalgam
14 Solare Tube
Spons
15 Gelatin Dos
Cubices
Temp+Sto
16 pp Fletc Set
p+liq
Trikresol
17 Formalin Botol
( TKF )
Yodium
18 Cc
Gliserin
Alkes
D Pakai
Habis
ADS 0,05
1 Biji
ml
ADS 0,5
2 Biji
ml
3 ADS 5 ml
Alat suntik
4 Biji
1 ml
Alat suntik
5 2,5 ml / Biji
3ml
Alat
6 Suntik 5 Biji
ml
Antiseptik/
7 Botol
Bayclin
Aqua Pro
8 Flacon
injeksi
Aquadest
9 steril Botol
500ml
10 Cat Gut Biji
Etanol 70
11 Botol
%
Hand
12 Biji
Scoen
Infus Set
13 Biji
anak
Infus Set
14 Biji
dewasa
IV Cateter
15
No. 18
IV Cateter
No. 20
16 Biji
( Dewasa
)
IV Cateter
No. 22
17 Biji
( Dewasa
)
IV Cateter
18 No. 24 Biji
( Anak )
Jarum
19 Bengkok / Biji
Jahit
Jarum
20 Biji
Suntik
Kapas
21 Adsorben Roll
250 gr
Kasa
panjang
22 Roll
40 cmx80
yard
Kasa
23 Pemb 4 m Roll
x 10 cm
Kasa
Pemb
24 Roll
Hydro 4
m x 15 cm
Kasa
Pemb
25 Biji
Hydro 4 x
80 cm
Kasa
Steril 16 x
26 Dos
16 ( 16
lmb )
Kasa steril
mengand:
27 Biji
Framaseti
n 10%
Kasa uk
28 36 m x 80 Roll
cm
Kertas
29 Pak
Puyer
30 Lisol Botol
31 Masker Biji
Masker N
32
95
33 Mess Biji
Penjernih
34 Air Cepat Set
( PAC )
Plastik
35 pak
obat
Plester 5
36 yardx2inc Roll
h
Poly
37 Cateter Biji
No. 14
Poly
38 Cateter Biji
No. 16
Poly
39 Cateter Biji
No. 18
Selang
40 oksigen Biji
anak
Selang
41 Oksigen Biji
dws
42 Silk Biji
Tranfusi
43 Biji
set
44 Urine Bag Biji
Wing
45 Needle Biji
No 23
Wing
46 Needle Biji
No 25
47 Pot dahak Biji
Laboratori
E um Dan
Reagen
Ampheta
2 min dos dus 50
50 test
Kit 4 x 30
3 Asam urat
ml
Benzodiaz
4 epin dos dus 50
50 test

BOD
6 Nutrient Botol
Mixture
BOD
7 Botol
Standart
Briliant
green 2% Btl dlm
8
Bile Broth dus
(BGLB)
Cannabin
9 oides dos dus 50
50 test
Cellpack
11 box 20 lt
(PK-30 )
12 Cholineste botol
Cocain
13 dos 50 dus 50
test
COD cell
14 Botol
test
COD sol
15 Botol
A Refil
Combur
Kit 100
16 test kit
test
100test
17 Deck glassbiji
Eight
serial
19 check
3x1.5ml
( L,N,H )
Botol 5 x
20 Glukosa
100 ml
HbsAg Dus 50
21
test pcs
Iodida
22 Botol
Test
23 Kertas EC lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
Lactosa
26 Botol
Broth
Larutan
Asam
27 Botol
Klorida 1
%
Larutan
Asam
28 Botol
Sulfosalisi
lat
Larutan
29 Botol
Benedick
Larutan
30 Botol
Eosin
Larutan
31 Etanol Botol
Asam
Larutan
32 Botol
Gabbet
Larutan
33 Botol
Giemsa
Larutan
34 Botol
Hayem
Larutan
35 Karbol Botol
Fuksin
Larutan
36 Botol
Kinyoun
Larutan
37 Botol
Metanol
Larutan
38 Metilen Botol
Biru
Larutan
39 Botol
Turk
Larutan Botol 500
40
Drabkin ml
Larutan
Botol 100
41 Rees
ml
Ecker
42 LDL kit
43 Minyak emebotol
Morphines
44 dos 50 dus 50
test
Needle
45 dus 100
boorner
46 Obyek glasset
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
Reagen
A/B
50 Set
( GOLDA
)
Reagen
51 Botol
amonium
Reagen Btl dlm
52
Cu dus
Reagen Btl dlm

53
Fe ( Iron ) dus
Reagen Btl dlm

54
Mn dus
Reagen Btl dlm
55
Nitrat dus
Reagen Btl dlm
56
Nitrit dus
Reagen
57 Botol
Phospat
Reagen
58 Botol
Zn
Reagen
kit/500ml
Serum
60 Vial 5 ml
Widal AO
Serum
61 Vial 5 ml
Widal H
Serum
62 Vial 5 ml
Widal O
Serum
widal S
63 thypi H
parathyphi
AH vial 5 ml
Botol 2 x
64 SGOT
62,5 ml
Botol 2 x
65 SGPT
62,5 ml
Stromatol
66 Btl 500 ml
yser-WH
Tabung
67 EDTA 3 dus 100
ml
Tabung
68 EDTA 5 dus 100
ml
Test Gula
69 Biji
Darah
Test
Tube 100
70 hematokrit
biji
/asisten
Thermal
71 roll
roll paper
72 Tissue
lensa biji
73
a 50 ml
74 Ultrasonic
gel set
Kit 2 x
75 Ureum
100 ml
76 Urine Test Biji
Vacum
77 dus 100
tainer
78 Yellow set
tips @1000
Obat
F Tambaha
n
Dus @ 10
F1 Fluoconazol
Kap
F2 KOH 10% Botol
F4 Methylen BlBotol
F5 NaCl 0.9% Botol
F6 pH Paper CaRoll
F7 Rapid Tes Test
F8 Rapid Tes Test
F9 Rapid Tes Test
F10 Rapid Tes Sh
Test
F11 Xylol Botol
F19 Acyclovir 4Dus
F20 Clindamyci Dus
F21 Box Slide Box
F23 Vaksin AntiVial
Botol@12
F30 Lopinavir 2
0 Tablet
F31 Cotton ApliBuah
F32 RDT MalariTest
F33 Masker N 95Biji
Syringe @
F39 HBIG ( Hipe
0,5 ml
8 9 10 11 12 13 14 15 16 17
PENG
18 19 20 21 22 23 24 25 26 27
PENGELUARAN
28 29 30 31 32 33 34 35 36 37
38 39 40 41 42 43 44 45 46 47
48 49 50 51 52 53 54 55 56 57
58 59 60 61 62 63 64 65 66 67
68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87
88 89 90 91 92 93 94 95 96 97
TOT
98 99 100 101 102 103 104 105 106

Januari 20019 IGD 1

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RAWAT INAP AMBIL igd

A2 ACT tab Kotak 24 tab

A11 Amoksisilin + As. Klavunalat 625 mg Tablet

A12 Amoksisilin injeksi Vial

A191 Sianokobalamin tab ( Vit. B12 ) tab Tablet

A192 Simetidin tab Tablet

B4 Anti Diare kombinasi sirup ( Anak ) Botol

D27 Kasa steril mengand:Framasetin 10% Biji

D28 Kasa uk 36 m x 80 cm Roll

E1 Alkohol swab 100pcs/box

E2 Amphetamin dos 50 test dus 50

E63 Serum widal S thypi H parathyphi AH vial 5 ml

E64 SGOT Botol 2 x 62,5 ml

F1 Fluoconazol 150 mg Dus @ 10 Kap

F2 KOH 10% Botol

F3 Aminofluid Infus 500 cc Bag 500 cc

F4 Methylen Blue 0.3% Botol

F17 Dihydro Artemisin 40mg + Piperaquin 32 Tablet

F18 Cefixime Azithromycin 1000 mg Paket

F24 Dewasa FDC Triple: Tenofovir 300mg + L Tablet

F25 Lamivudine (3TC) 150 mg Tablet

F29 Zidovudine + Lamivudine ( 300 mg / 150 mTablet

F30 Lopinavir 200 mg, Ritonavir ( LPV/r ) 50 Botol@120 Tablet

F31 Cotton Aplikator Buah

A2 ACT tab Kotak 24 tab

A11 Amoksisilin + As. Klavunalat 625 mg Tablet

A12 Amoksisilin injeksi Vial

A191 Sianokobalamin tab ( Vit. B12 ) tab Tablet

A192 Simetidin tab Tablet

B4 Anti Diare kombinasi sirup ( Anak ) Botol

B5 Anti hemorhoid kapsul Kapsul

D27 Kasa steril mengand:Framasetin 10% Biji

D28 Kasa uk 36 m x 80 cm Roll

E1 Alkohol swab 100pcs/box

E2 Amphetamin dos 50 test dus 50

E63 Serum widal S thypi H parathyphi AH vial 5 ml

E64 SGOT Botol 2 x 62,5 ml

F1 Fluoconazol 150 mg Dus @ 10 Kap

F2 KOH 10% Botol

F3 Aminofluid Infus 500 cc Bag 500 cc

F4 Methylen Blue 0.3% Botol

F17 Dihydro Artemisin 40mg + Piperaquin 32 Tablet

F18 Cefixime Azithromycin 1000 mg Paket

F24 Dewasa FDC Triple: Tenofovir 300mg + L Tablet

F25 Lamivudine (3TC) 150 mg Tablet

F29 Zidovudine + Lamivudine ( 300 mg / 150 mTablet

F30 Lopinavir 200 mg, Ritonavir ( LPV/r ) 50 Botol@120 Tablet

F31 Cotton Aplikator Buah

A2 ACT tab Kotak 24 tab

A11 Amoksisilin + As. Klavunalat 625 mg Tablet

A12 Amoksisilin injeksi Vial

A191 Sianokobalamin tab ( Vit. B12 ) tab Tablet

A192 Simetidin tab Tablet

B4 Anti Diare kombinasi sirup ( Anak ) Botol

B5 Anti hemorhoid kapsul Kapsul

D27 Kasa steril mengand:Framasetin 10% Biji

D28 Kasa uk 36 m x 80 cm Roll

E1 Alkohol swab 100pcs/box

E2 Amphetamin dos 50 test dus 50

E63 Serum widal S thypi H parathyphi AH vial 5 ml

E64 SGOT Botol 2 x 62,5 ml

F1 Fluoconazol 150 mg Dus @ 10 Kap

F2 KOH 10% Botol

F3 Aminofluid Infus 500 cc Bag 500 cc