LPLPO Oktober

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Januari

Kecamatan : Skanto Tahun : 2020
Kabupaten : Keerom
Provinsi : Papua
BULAN: :Januari TAHUN: 2020

NO Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum Permintaan Pemberian Keterangan
1 ACYCLOVIR SALEP 5 % SALEP 0 25 25 25 0 33 100
2 ACYCLOVIR TABLET 400 MG TABLET 150 200 350 250 100 233 200
3 ALBENDAZOLE TABLET 400 MG TABLET 2000 0 2000 0 2000 (2,000) 0
4 ALKOHOL 70% 1 LITER BOTOL 0 13 13 0 13 (13) 0
5 ALKOHOL SWAB 2 PLY 100 PCS PIECES 2300 7200 9500 100 9400 (9,267) 0
6 ALLOPURINOL TABLET 100 MG TABLET 1600 5000 6600 2200 4400 (1,467) 0
7 AMBROXOL SIRUP 15 MG/5 ML SIRUP 280 0 280 55 225 (152) 0
8 AMBROXOL TABLET 30 MG TABLET 0 2000 2000 600 1400 (600) -
9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 0 0 0 0 - 0

10 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 5 0 5 0 5 (5) 0
11 AMINOPHYLLINE TABLET 150 MG TABLET 0 0 0 0 0 - 0
12 AMINOPHYLLINE TABLET 200 MG TABLET 1600 0 1600 200 1400 (1,133) 0
13 AMITRIPTYLINE TABLET 25 MG TABLET 100 0 100 0 100 (100) 0
14 AMLODIPINE TABLET 10 MG TABLET 400 1000 1400 0 1400 (1,400) 0
15 AMLODIPINE TABLET 5 MG TABLET 0 0 0 0 0 - 1000
16 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 110 120 230 85 145 (32) 0
17 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 0 180 180 0 180 (180) 0
18 AMOXYCILLIN TABLET 250 MG TABLET 3700 0 3700 900 2800 (1,600) 0
20 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 20 10 30 0 30 (30) 0
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
22 ANTACIDA SIRUP 400 MG\/5 ML SIRUP 280 0 280 190 90 163 200
23 ANTACIDA TABLET TABLET 2900 5000 7900 3700 4200 733 1000
24 ANTIFUNGI: ASAM SALICYLICUM 30 MG, ASAM BENZOICUM 60 MG POT 0 72 72 2 70 (67) 0
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 57 0 57 57 0 76 100
26 AQUA PRO INJEKSI INJEKSI INJEKSI 63 0 63 0 63 (63) 0
27 ARTESUNATE INJEKSI 60 MG INJEKSI 48 0 48 48 0 64 100
28 ARTICULATING PAPER FARCIAL 0 0 0 0 0 0 - 0
29 ASAM ASETAT Botol 0 0 0 0 0 - 0
30 ASAM FOLAT 400 MCG TABLET 0 0 0 0 0 - 0 PROFOLAT
31 ASAM MEFENAMAT TABLET 500 MG TABLET 0 500 500 500 0 667 1000
Asam Trahexamat TABLET 30 0 30 0 30 (30) 0
32 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 2700 7000 9700 1200 8500 (6,900) 0
33 ASEPTIC GEL 500 CC PIECES 4 0 4 0 4 (4) 0
34 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI 30 0 30 0 30 (30) 0
NO Nama Obat Sediaan Sisa Stok Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum Permintaan Pemberian Keterangan
35 ATTAPULGITE TABLET 600 MG TABLET 0 0 0 0 0 - 0
Atrovent Botol 0 0 0 0 0 - 0
36 AUTOCHECK 3 IN 1 ALAT PEMERIKSAAN PIECES 0 0 0 0 0 - 0
37 AZITHROMYCIN TABLET 500 MG TABLET 40 0 40 0 40 (40) 0
Bayckin Botol 1 1 2 0 2 (2) 0
38 BACITRACIN|POLYMYXIN B SULPHATE SALEP 5 G SALEP 97 95 192 0 192 (192) 0
39 BENZATHINE BENZYLPENICILLIN INJEKSI 120000 IU INJEKSI 3 0 3 0 3 (3) 0
42 BETAMETHASONE DIPROPIONATE CREAM 0.5% 10 GR TUBE TUBE 0 0 0 0 0 - 0
43 BETAMETHASONE SALEP 0.1% SALEP 0 0 0 0 0 - 100
Berotek Botol 3 0 3 0 3 (3) 0
44 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORIA 10 0 10 0 10 (10) 0
46 BISACODYL TABLET 5 MG TABLET 120 0 120 0 120 (120) 0
47 BISTURI NO. 22 PIECES 0 300 300 300 0 400 400
48 BLOOD LANCETS 26 G PIECES 6500 10000 16500 100 16400 (16,267) 0
49 BLOOD TRANSFUSION SET ONEMED PIECES 0 0 0 0 0 - 0
50 BOX SLIDE box 0 0 0 0 0 - 0
51 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MG TABLET 0 0 0 0 0 - 0
52 Calcium hydroxide cavity liner 0 0 0 0 0 0 - 0
53 CALCIUM LACTATE TABLET 500 MG TABLET 0 3000 3000 1500 1500 500 500
54 CAPTOPRIL TABLET 12.5 MG TABLET 400 1000 1400 900 500 700 1000
55 CAPTOPRIL TABLET 25 MG TABLET 400 0 400 400 0 533 1000 JKN
56 CARBAMAZEPINE TABLET 200 MG TABLET 0 0 0 0 0 - 0
57 CAT GUT CHROMIC 2\/0 (24 PCS) PIECES 24 0 24 0 24 (24) 0
58 CAT GUT CHROMIC NO.3\/0 PIECES 0 24 24 24 0 32 24
CAT GUT PALIN NO 1/0 PICES 0 0 0 0 0 - 48
59 CAT GUT PLAIN 2\/0 PIECES 0 72 72 0 72 (72) 0
61 CEFADROXIL SIRUP 125 MG/ML SIRUP 50 0 50 0 50 (50) 0
62 CEFADROXIL SIRUP 250 MG SIRUP 0 0 0 0 0 - 0
63 CEFADROXIL TABLET 500 MG TABLET 0 0 0 0 0 - 5000
64 CETIRIZINE SIRUP 5 MG/ML SIRUP 50 0 50 50 0 67 50
65 CETIRIZINE TABLET 10 MG TABLET 400 0 400 0 400 (400) 0
66 CHLORAMPHENICOL DROPS 0.5% DROPS 0 0 0 0 0 - 0
67 CHLORAMPHENICOL KAPSUL 250 MG KAPSUL 0 0 0 0 0 - 5000
CHORAMPHENICOL KAPSUL 500MG KAPSUL 0 0 0 0 0 - 5000
68 CHLORAMPHENICOL SALEP MATA 1% SALEP 0 0 0 0 0 - 0
69 CHLORAMPHENICOL SALEP KULIT 2% SALEP 39 0 39 6 33 (25) 0
70 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 240 0 240 0 240 (240) 0
71 CHLORAMPHENICOL TABLET 500 MG TABLET 0 0 0 0 0 - 0
72 CHLORINE 1000 ppm 1 TABLET\/1 LITER BOTOL 0 0 0 0 0 - 0
73 CHLORPHENIRAMINE TABLET 4 MG TABLET 5800 0 5800 1300 4500 (2,767) 0
74 CHLORPROMAZIN HCL TABLET SALUT SELAPUT TABLET 0 0 0 0 0 - 0
75 CHLORPROMAZINE HCL INJEKSI 5 MG\/ML INJEKSI 0 0 0 0 0 - 0
76 CHLORPROMAZINE HCL TABLET 100 MG TABLET 0 0 0 0 0 - 0
77 CHLORPROMAZINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 - 0
78 Cholesterol (total) test system SET 200 0 200 0 200 (200) 0 JKN
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 0 1000 1000 0 1000 (1,000) 0
80 CLINDAMYCIN TABLET 150 MG TABLET 300 100 400 0 400 (400) 0
81 CODEINE TABLET 10 MG TABLET 0 0 0 0 0 - 0
82 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI 10 0 10 0 10 (10) 0
83 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 0 100 100 100 0 133 200
84 COTRIMOXAZOLE TABLET 480 MG TABLET 0 5000 5000 1700 3300 (1,033) 0
85 COTRIMOXAZOLE TABLET 960 MG TABLET 0 0 0 0 0 - 3000
86 CRESOPHATE PASTE 25 GR BOTOL 0 0 0 0 0 - 0
87 CRESOPHEN LIQUID NO.2 15 ML BOTOL 0 0 0 0 0 - 0
88 CRESOPHENE BOTOL 0 0 0 0 0 - 0
89 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 132 0 132 132 0 176 200
90 CYANOCOBALAMIN TABLET 50 MCG TABLET 3000 1000 4000 0 4000 (4,000) 0
91 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0 0 - 0
92 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 250 0 250 30 220 (180) 0
93 DEXAMETHASONE TABLET 0.5 MG TABLET 400 3500 3900 1300 2600 (867) 0
94 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 - 0
95 DIAZEPAM INJEKSI 5 MG\/ML AMPUL 10 0 10 0 10 (10) 0
96 DIAZEPAM TABLET 5 MG TABLET 200 0 200 0 200 (200) 0
97 DIETHYLCARBAMAZINE TABLET 100 MG TABLET 2000 0 2000 0 2000 (2,000) 0
98 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET 40 MG|320 MG TABLET 1320 7776 9096 2514 6582 (3,230) 0
99 DILTIAZEM TABLET 30 MG TABLET 0 0 0 0 0 - 0
100 DIPHENHYDRAMINE INJEKSI INJEKSI 110 30 140 20 120 (93) 0
101 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 50 0 50 0 50 (50) 0
102 DOMPERIDONE TABLET 10 MG TABLET 200 0 200 0 200 (200) 0
103 DOXYCYCLINE TABLET 100 MG TABLET 2200 0 2200 200 2000 (1,733) 0
104 ELASTIC VERBAND ROLL 0 0 0 0 0 - 0
105 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 40 0 40 0 40 (40) 0
106 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 0 0 0 0 0 - 0
107 ERYTHROMYCIN TABLET 500 MG TABLET 1000 0 1000 0 1000 (1,000) 0
108 ETAKRIDIN LIQUID 0.1 % LIQUID 0 0 0 0 0 - 11
Etil Kloride Btl 0 2 2 0 2 (2)
109 EUGENOL LIQUID 10 ML BOTOL 5 0 5 0 5 (5) 0

110 FEEDING TUBE NO 5 100 CM SET 0 0 0 0 0 - 0
111 FENOTEROL HYDROBROMIDE LIQUID 0.1 % LIQUID 0 0 0 0 0 - 0
112 FERROUS FUMARATE TABLET TABLET 4620 10800 15420 1070 14350 (12,923) 0
113 FLUCONAZOLE TABLET 150 MG TABLET 0 0 0 0 0 - 0
114 FOLEY CATHETER 2 WAY NO 10 SET 0 10 10 0 10 (10) 0
115 FOLEY CATHETER 2 WAY NO 14 SET 0 0 0 0 0 - 0
116 FOLIC ACID TABLET 1 MG TABLET 0 200 200 0 200 (200) 0
117 FOLLEY CATHETER 2 WAY NO. 18 PIECES 0 0 0 0 0 - 0
118 FORMALIN 1000 ML BOTOL 5 0 5 0 5 (5) 0
119 FRAMYCETIN SULPHATE TULLE 1 % TULLE 0 0 0 0 0 - 0
120 FUROSEMIDE TABLET 40 MG TABLET 1200 0 1200 0 1200 (1,200) 0
121 GARAM ORALIT SERBUK SERBUK 150 0 150 55 95 (22) 0
122 GENTAMYCIN SALEP 0.1 % SALEP 0 0 0 0 0 - 0
123 GENTAMYCIN SALEP 1 % SALEP 0 0 0 0 0 - 0
124 GIPS PUTIH PIECES 2 0 2 0 2 (2) 0
125 GLIBENCLAMIDE TABLET 5 MG TABLET 200 200 400 100 300 (167) 0
126 GLIMEPIRIDE TABLET 2 MG TABLET 200 0 200 50 150 (83) 0
127 GLUCOSE INFUS 10 % INFUS 0 0 0 0 0 - 0
128 GLUCOSE INFUS 5 % INFUS 220 400 620 260 360 (13) 0
129 Glucose test system SET 400 0 400 0 400 (400) 0
130 GLYCEROL LIQUID LIQUID 0 0 0 0 0 - 0
131 GLYCERYL DISTEARATE TABLET 100 MG TABLET 8700 0 8700 1900 6800 (4,267) 0 6000jkn
132 GRISEOFULVIN TABLET 125 MG TABLET 1100 0 1100 700 400 533 1000
133 GRISEOFULVIN TABLET 500 MG TABLET 0 0 0 0 0 - 0
134 GUTTAP POINT NO 45 - 80 META 0 1 0 1 0 1 (1) 0
136 HYDCAL CALCIUM HYDROXIDE LINER SET 0 0 0 0 0 - 0
137 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 600 0 600 100 500 (367) 0
138 HYDROCORTISONE SALEP 2.5 % SALEP 0 48 48 22 26 3 100
139 HYOSCINE TABLET 10 MG TABLET 0 0 0 0 0 - 0
140 IBUPROFEN SIRUP 100 MG/5 ML SIRUP 100 0 100 100 0 133 200
141 IBUPROFEN TABLET 200 MG TABLET 0 5000 5000 0 5000 (5,000) 0
143 ICHTHYOL SALEP 10 % SALEP 0 0 0 0 0 - 100
144 Immersion hydrobath BOTOL 1 0 1 0 1 (1) 0
145 INFUS SET PIECES 100 300 400 100 300 (167) 0
146 INFUS SET PEDIATRIC PIECES 550 400 950 0 950 (950) 0
147 Iodoform (Mummifying Pasta) BOTOL 1 0 1 0 1 (1) 0
148 ISONIAZID TABLET 300 MG TABLET 500 0 500 0 500 (500) 0
149 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 100 0 100 0 100 (100) 0
150 JARUM JAHIT KULIT G 12 PIECES 0 0 0 0 0 - 0
153 JARUM JAHIT KULIT NO 13 PIECES 0 0 0 0 0 - 0
154 JARUM JAHIT OTOT E 000 PIECES 0 0 0 0 0 - 0
155 JARUM JAHIT OTOT GR 11 PIECES 0 0 0 0 0 - 0
159 KACA SLIDE PIECES 1368 7200 8568 0 8568 (8,568) 0 7101
160 KACA SLIDE TES TB PIECES 3600 0 3600 0 3600 (3,600) 0 7105
161 KALSIUM GLUKONAT INJEKSI 100 MG\/ML AMPUL 0 0 0 0 0 - 0
162 Kalsium Hidroksida Pasta BOTOL 0 0 0 0 0 - 0
163 KANAMYCIN INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 - 0
164 KAPAS PEMBALUT SET 250 G SET 3 20 23 3 20 (16) 0
Kasa Medricrep roll 10 0 10 7 3 6 0
165 KASA 2Y X 80 CM ROLL 79 0 79 3 76 (72) 0
166 KASA HYDROFIL 4 M X 15 CM ROLL 27 0 27 12 15 1 0
167 KASA HYDROFIL 4 M X 3 CM ROLL 100 0 100 25 75 (42) 0
169 KASA HYDROFIL STERIL 16 x 16 ROLL 156 0 156 2 154 (151) 0
170 KASA LIPAT 40 X 40 STERIL PIECES 117 0 117 0 117 (117) 0
171 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
172 KERTAS PUYER LEMBAR 40 0 40 25 15 18 50
173 KERTAS SARING 58 X 58 CM PIECES 0 0 0 0 0 - 0
174 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 - 0
175 KETOCONAZOLE TABLET 200 MG TABLET 1300 0 1300 0 1300 (1,300) 0
176 Klorfenol Kamfer Menthol (CHKM) BOTOL 1 0 1 0 1 (1) 0
177 KUININ TABLET 200 MG TABLET 810 0 810 390 420 100 0
178 LARUTAN EOSIN 2% 100 ML LARUTAN 0 0 0 0 0 - 0
179 LARUTAN HCL 0,1 N 100 ML BOTOL 1 0 1 0 1 (1) 0
180 LARUTAN TURK 100 ML BOTOL 1 0 1 0 1 (1) 0
181 LIDOCAINE INJEKSI 2% INJEKSI 0 100 100 15 85 (65) 0
182 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY 0 0 0 0 0 - 4
183 LIDOKAIN INJEKSI 2% HCL + EPINEPHRINE INJEKSI 1:80.000 - 2 ML(PEHACAIN) INJEKSI 0 0 0 0 0 - 100
184 LOPERAMIDE TABLET 2 MG TABLET 0 0 0 0 0 - 0
185 LORATADINE TABLET 10 MG TABLET 0 2000 2000 0 2000 (2,000) 0
186 LYSOL CONCENTRATE BOTOL 11 0 11 1 10 (9) 0
187 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 5 5 0 5 (5) 0
189 MASKER (KARET) PIECES 1350 0 1350 285 1065 (685) 0
190 MASKER N95 PIECES 80 0 80 0 80 (80) 0
191 MASKER OKSIGEN BAYI (MAXIFLOW) PIECES 0 0 0 0 0 - 0
192 MASKER OKSIGEN DEWASA (MAXIFLOW) PIECES 0 0 0 0 0 - 0
193 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSON 100 MG TABLET 12 0 12 0 12 (12) 0
194 MDT COMBI MB CHILD : RIFAMPICIN 300 MG, CLOFAZIMINE 50 MG | DAPSON 50 MG TABLET 0 0 0 0 0 - 0
195 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG |DAPSON 100 MG TABLET 0 0 0 0 0 - 0
196 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + 150 MG | DAPSON 100 MG TABLET 0 0 0 0 0 - 0
197 MEDROXYPROGESTERONE ACETATE INJEKSI 3 ML INJEKSI 0 0 0 0 0 - 0
198 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI 0 0 0 0 0 - 200
199 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET 0 0 0 0 0 - 2000
200 METFORMIN HCL TABLET 500 MG TABLET 1500 0 1500 300 1200 (800) 0
201 METFORMIN TABLET 850 MG TABLET 0 0 0 0 0 - 1000
202 METHANOL 2,5 LITER BOTOL 0 0 0 0 0 - 10
203 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 20 0 20 0 20 (20) 0
204 METHYLERGOMETRINE TABLET 0.125 MG TABLET 0 1000 1000 100 900 (767) 0
205 METHYLPREDNISOLONE TABLET 16 MG TABLET 1700 0 1700 0 1700 (1,700) 0
206 METOCLOPRAMIDE TABLET 5 MG TABLET 200 0 200 0 200 (200) 0
207 METRONIDAZOLE INFUS 5 G/100 ML INFUS 2 0 2 0 2 (2) 0
208 METRONIDAZOLE TABLET 500 MG TABLET 0 0 0 0 0 - 5000
209 MICONAZOLE SALEP 2% SALEP 0 0 0 0 0 - 50
210 MINERAL MIX SERBUK 8 G SACHET 0 0 0 0 0 - 0
211 MUCUS EXTRACTOR PIECES 0 0 0 0 0 - 0
212 MULTIVITAMIN DROPS DROPS 0 0 0 0 0 - 50
213 MULTIVITAMIN SIRUP SIRUP 80 50 130 8 122 (111) 0
214 MY JELLY TUBE 13 0 13 0 13 (13) 0
215 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 1000 4000 5000 2300 2700 367 1000
216 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 0 0 0 0 0 - 2000
217 NIFEDIPINE TABLET 10 MG TABLET 1200 0 1200 -100 1300 (1,433) 0
218 NYSTATIN TABLET 10000 IU TABLET 1970 0 1970 0 1970 (1,970) 0
219 NYSTATIN TABLET 50000 IU TABLET 200 0 200 0 200 (200) 0
220 OAT KATEGORI II- (FDC) PAKET 0 0 0 0 0 - 0
221 OBH SIRUP 100 ML SIRUP 0 0 0 0 0 - 200
222 OBH SIRUP 60 ML SIRUP 0 240 240 150 90 110 160
223 OMEPRAZOLE KAPSUL 20 MG KAPSUL 0 0 0 0 0 - 5000
224 OXYCAN BOTOL 1 0 1 0 1 (1) 0
225 Oxygen gas analyzer TABUNG 1 0 1 0 1 (1) 0 OXYGEN
226 OXYTETRACYCLINE 3 % SALEP KULIT SALEP KULIT 0 0 0 0 0 - 0
227 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 0 100 100 0 100 (100) 0
228 PAKET STOP TB KATEGORI 1 PAKET 0 5 5 5 0 7 10
229 PAKET STOP TB OAT ANAK PAKET 2 5 7 4 3 2 5
230 PAMPERS DEWASA PIECES 0 0 0 0 0 - 200
231 PAPAVERINE INJEKSI 40 MG/ML INJEKSI 0 0 0 0 0 - 20
232 PAPAVERINE TABLET 40 MG TABLET 800 1000 1800 200 1600 (1,333) 0
233 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
234 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
Paractamol Infus btl 0 5 5 2 3 (0) 0
235 PARACETAMOL DROPS 100 MG/ML DROPS 0 0 0 0 0 - 0
236 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 214 80 294 124 170 (5) 0
237 PARACETAMOL TABLET 500 MG TABLET 8700 3000 11700 5200 6500 433 1000
238 PERMETHRIN SALEP 5 % SALEP 0 0 0 0 0 - 0
239 PHENOBARBITAL INJEKSI 50 MG\/ML INJEKSI 30 0 30 0 30 (30) 0
240 PHENOL GLYCEROL 10% (TETES TELINGA) CAIRAN 0 48 48 0 48 (48) 0
241 PHENOXYMETHYLPENICILLIN TABLET 250 MG TABLET 0 0 0 0 0 - 0
242 PHENOXYMETHYLPENICILLIN TABLET 500 TABLET 0 0 0 0 0 - 0
243 PHENYTOIN TABLET 30 MG TABLET 0 0 0 0 0 - 0
244 PHYTOMENADIONE (VITAMIN K) INJEKSI INJEKSI 30 90 120 30 90 (50) 0
245 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 400 0 400 200 200 67 100
246 PIPETMAN P 200 N ( 20 - 200 UL ) MICROPIPETTE PIECES 900 0 900 0 900 (900) 0
247 PIROXICAM TABLET 10 MG TABLET 0 0 0 0 0 - 0
248 PIROXICAM TABLET 20 MG TABLET 300 1000 1300 0 1300 (1,300) 0
249 PLESTER ROLL 40 20 60 17 43 (20) 0 40 jkn
250 PLESTER BULAT PIECES 0 0 0 0 0 - 0
251 PLESTER HIPOALERGENIC 1/2 DGN DISPENSER ROLL 0 0 0 0 0 - 0
252 POT SPUTUM PIECES 75 0 75 75 0 100 100
5
253 POVIDONE IODINE 30 ML BOTTLE 7 0 7 5 2 10
(14)
254 POVIDONE IODINE 10% 300ML CAIRAN 21 0 21 3 18 0
(3)
255 POVIDONE IODINE 1000 ML BOTOL 3 0 3 0 3 0
(2,633)
256 PREDNISONE TABLET 5 MG TABLET 3000 1500 4500 800 3700 0
4,400
257 PRIMAQUINE TABLET 15 MG TABLET 300 3000 3300 3300 0 5000
(38)
258 PYRANTEL PAMOATE SIRUP SIRUP 50 0 50 5 45 0
(1,167)
259 PYRANTEL PAMOATE TABLET 125 MG TABLET 1400 0 1400 100 1300 0
-
260 PYRANTEL PAMOATE TABLET 250 MG (BASE) TABLET 0 0 0 0 0 0
(2,900)
261 PYRIDOXINE TABLET 10 MG TABLET 1300 3000 4300 600 3700 0
-
262 RANITIDINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 0
113
263 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 120 0 120 100 20 120
-
264 RANITIDINE TABLET 150 MG TABLET 0 0 0 0 0 0
(200)
265 RAPID 1 HIV (SD) KIT 100 100 200 0 200 0
(75)
266 Rapid HIV 2 TEST PIECES 75 0 75 0 75 0
(230)
267 RAPID TEST MALARIA PIECES 75 400 475 105 370 0
133
268 RDT SYPHILIS (HUMAN) PIECES 100 0 100 100 0 150
(100)
269 RDT SYPHILIS RPR 100 ANTIGEN TEST PIECES 100 0 100 0 100 0
0
270 REAGEN GIEMSA 500 ML BOTOL 1 1 2 1 1 0
2
271 REAGEN ZIEHL NEELSEN 100 ML BOTOL 0 3 3 2 1 5
(417)
272 RETINOL PALMITATE TABLET 100000 IU TABLET 450 200 650 100 550 0
(1,500)
112
274 SAFEGLOVE PF (ONEMED) SIZE 6,5 PIECES 84 0 84 84 0 150
-
-
276 SAFEGLOVE PP (ONEMED) SIZE 6,5 PIECES 0 0 0 0 0 0
-
277 SAFEGLOVE PP (ONEMED) SIZE 7.5 PIECES PIECES 0 0 0 0 0 0
-
278 SAFETY BOX (POLYSAFE) BOX 0 0 0 0 0 0
-
279 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT) TABLET 0 0 0 0 0 1000
(500)
44
281 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP 4% TUBE 9 24 33 33 0 50
8
282 SALICYLIC ACID SERBUK 2% SERBUK 70 20 90 42 48 12
(3,433)
283 SARUNG TANGAN ANCEL NON POWDER M PIECES 5300 0 5300 800 4500 0 4500jkn Latex M
(767)
284 SARUNG TANGAN ANCEL NON POWDER S PIECES 300 700 1000 100 900 0 Latex S
-
285 SARUNG TANGAN MICROGRIP NO 6.5 PIECES 0 0 0 0 0 0 Skifa 6,5
133
286 SARUNG TANGAN NON STERIL SIZE M PIECES 100 0 100 100 0 200 Skifa M
887
287 SARUNG TANGAN PANJANG KARET NON STERIL PIECES 840 0 840 740 100 0 Obgyn
48
288 SILK SUTURE 3\/0 PIECES 0 36 36 36 0 50
-
sILK SUTURE 1\/0 PIECES 0 0 0 0 0 50
(1,820)
289 SIMVASTATIN TABLET 10 MG TABLET 150 3000 3150 570 2580 0
45
290 SODIUM CHLORIDE INFUS 0.9 % INFUS 40 200 240 122 118 60
(260)
291 SODIUM LACTATE INFUS INFUS 240 1000 1240 420 820 0
-
292 SONY PAPER USG PIECES 0 0 0 0 0 50
-
293 SPIRITUS 250 ML BOTOL 0 0 0 0 0 1
-
294 SPUIT 0.5 CC INSULIN PIECES 0 0 0 0 0 0
133
295 SPUIT 1 CC INSULIN PIECES 0 100 100 100 0 200
-
296 SPUIT 10 CC PIECES 0 0 0 0 0 0
(458)
297 SPUIT 2,5 CC PIECES 5 500 505 20 485 0
155
298 SPUIT 3 CC PIECES 0 300 300 195 105 200
(177)
299 SPUIT 5 CC PIECES 245 200 445 115 330 0
(200)
300 STERACATH MEDICAL CATHETER 18G X 33 MM PIECES 0 200 200 0 200 0
(53)
(83)
(200)
(50)
304 STERACATH MEDICAL CATHETER 26G X 3\/4 MM PIECES 50 0 50 0 50 0
-
305 STOMACH TUBE 14 FR (125 CM) PIECES 0 0 0 0 0 0
-
-
(150)
308 STRIP HbsAg PIECES 150 0 150 0 150 0
67
309 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 50 0 50 50 0 100
-
310 SUCTION CATHETER NO 14 PIECES 0 0 0 0 0 0
-
311 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET 0 0 0 0 0 0
(20)
312 SURGICAL GOWN PIECES 20 0 20 0 20 0
(30)
313 TETANUS ANTITOXIN INJEKSI 1500 IU\/ML INJEKSI 10 20 30 0 30 0
-
314 TETRACYCLINE TABLET 250 MG TABLET 0 0 0 0 0 0
-
(2,200)
316 THIAMINE TABLET 50 MG TABLET 2400 4000 6400 1800 4600 0
-
317 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI 0 0 0 0 0 0
-
318 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI 0 0 0 0 0 0
-
319 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0
(100)
320 TRIHEXYPHENIDYL TABLET 2 MG TABLET 100 0 100 0 100 0
-
321 TUBE EDTA PLH 13 X 75 3.0 BLBE LAV (VACUTAINER WITH EDTA) PIECES 0 0 0 0 0 0 MERAH
(683)
322 UMBILICAL CORD CLAMP PIECES 800 0 800 50 750 0
-
323 UNDERPAD 60 X 90 LEMBAR 0 0 0 0 0 100
-
324 URETHER CATHETER NO 6 PIECES 0 0 0 0 0 0
(200)
325 Uric acid test system SET 200 0 200 0 200 0
(3)
326 URINE BAG PIECES 3 0 3 0 3 0
-
327 VACUTAINER K3 EDTA 3 ML PIECES 0 0 0 0 0 0 UNGU
(25)
328 VIKIA HIV 1\/2 TEST 25 0 25 0 25 0
(4,200)
329 VITAMIN B COMPLEX TABLET 25 MG TABLET 1900 6500 8400 1800 6600 0
-
330 WING NEEDLE NO. 23 (ONEMED) PCS 0 0 0 0 0 0
-
(1,000)
332 YELLOW TIP AXYGEN PIECES 0 1000 1000 0 1000 0
(72)
333 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML BOTOL 72 0 72 0 72 0
(1,600)
334 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 800 1500 2300 300 2000 0
-
Fuji IX Set 0 0 0 0 0 3 JKN
(2)
WidalTest Set 2 0 2 0 2 0
-
SPONGSOSTAN SET 0 0 0 0 0 50
-
CAVITON TAMBALAN SEMENTARA SET 0 0 0 0 0 5
JKN UMUM TOTAL
JUMLAH KUNJUNGAN RESEP
ARSO,3 FEBRUARI 2020
Mengetahui / Menyetujui Yang Menyerahkan Yang Meminta Yang Menerima
Kepala Dinas Kesehatan kab. Keerom Petugas IFK Keerom An.Kepala Puskesmas................... Petugas Puskesmas....
Kepala Tata Usaha

Ririn Januarintin
(dr. Ronny. J.A. Situmorang) ( Herlina Pabuntang, S. Si, Apt ) Dyah Aritaningrum,SKM
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19880627 201104 2 001 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Februari

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Februari TAHUN: 2020

2 ACYCLOVIR TABLET 400 MG TABLET 100 200 300 0 300 (300) 0
4 ALKOHOL 70% 1 LITER BOTOL 13 0 13 6 7 1 5
6 ALLOPURINOL TABLET 100 MG TABLET 4400 0 4400 1800 2600 (200) 0
8 AMBROXOL TABLET 30 MG TABLET 1400 0 1400 1400 0 1,867 2,000
9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 0 0 0 0 - 0

10 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 5 0 5 5 0 7 10
12 AMINOPHYLLINE TABLET 200 MG TABLET 1400 0 1400 200 1200 (933) 0
15 AMLODIPINE TABLET 5 MG TABLET 0 0 0 0 0 - 1000
16 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 145 0 145 82 63 46 50
18 AMOXYCILLIN TABLET 250 MG TABLET 2800 0 2800 1500 1300 700 1000
19 AMOXYCILLIN TABLET 500 MG TABLET 13100 0 13100 8400 4700 6,500 7000
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 4200 1000 5200 4000 1200 4,133 5000
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 0 100 100 3 97 (93) 0
27 ARTESUNATE INJEKSI 60 MG INJEKSI 0 120 120 24 96 (64) 0
31 ASAM MEFENAMAT TABLET 500 MG TABLET 0 1000 1000 1000 0 1,333 5000
32 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 8500 0 8500 4700 3800 2,467 3000
33 ASEPTIC GEL 500 CC PIECES 4 0 4 2 2 1 5
Berotek Botol 3 0 3 3 3 0 4 4
47 BISTURI NO. 22 PIECES 0 300 300 0 300 (300) 0
50 BOX SLIDE box 0 0 0 0 0 - 0
53 CALCIUM LACTATE TABLET 500 MG TABLET 1500 500 2000 1400 600 1,267 5000
54 CAPTOPRIL TABLET 12.5 MG TABLET 500 1000 1500 1100 400 1,067 2000
55 CAPTOPRIL TABLET 25 MG TABLET 0 1000 1000 700 300 633 1000
58 CAT GUT CHROMIC NO.3\/0 PIECES 0 24 24 -46 70 (131) 0
59 CAT GUT PLAIN 2\/0 PIECES 72 72 144 96 48 80 100
63 CEFADROXIL TABLET 500 MG TABLET 0 500 500 300 200 200 5000
64 CETIRIZINE SIRUP 5 MG/ML SIRUP 0 0 0 0 0 - 50
73 CHLORPHENIRAMINE TABLET 4 MG TABLET 4500 0 4500 2800 1700 2,033 3000
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 1000 0 1000 600 400 400 1000
84 COTRIMOXAZOLE TABLET 480 MG TABLET 3300 0 3300 3200 100 4,167 5000
89 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 0 0 0 0 0 - 200
93 DEXAMETHASONE TABLET 0.5 MG TABLET 2600 0 2600 2600 0 3,467 5000
94 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 - 0
98 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET 40 MG|320 MG TABLET 6582 0 6582 3834 2748 2,364 3000
102 DOMPERIDONE TABLET 10 MG TABLET 200 0 200 200 0 267 0
107 ERYTHROMYCIN TABLET 500 MG TABLET 1000 0 1000 500 500 167 200
Etil Kloride Btl 2 0 2 0 2 (2) 0
125 GLIBENCLAMIDE TABLET 5 MG TABLET 300 0 300 300 0 400 1000
128 GLUCOSE INFUS 5 % INFUS 360 0 360 180 180 60 500
131 GLYCERYL DISTEARATE TABLET 100 MG TABLET 6800 0 6800 5700 1100 6,500 7000 6000jkn
138 HYDROCORTISONE SALEP 2.5 % SALEP 26 72 98 11 87 (72) 0
140 IBUPROFEN SIRUP 100 MG/5 ML SIRUP 0 200 200 0 200 (200) 0
141 IBUPROFEN TABLET 200 MG TABLET 5000 0 5000 4100 900 4,567 5000
145 INFUS SET PIECES 300 0 300 200 100 167 200
164 KAPAS PEMBALUT SET 250 G SET 20 0 20 9 11 1 5
Kasa Medricrep roll 3 0 3 0 3 (3) 0
165 KASA 2Y X 80 CM ROLL 76 0 76 4 72 (67) 0
167 KASA HYDROFIL 4 M X 3 CM ROLL 75 0 75 -100 175 (308) 0
171 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
172 KERTAS PUYER LEMBAR 15 50 65 15 50 (30) 0
175 KETOCONAZOLE TABLET 200 MG TABLET 1300 0 1300 1300 0 1,733 2000
179 LARUTAN HCL 0,1 N 100 ML BOTOL 1 0 1 1 0 1 5
189 MASKER (KARET) PIECES 1065 0 1065 715 350 603 1000
190 MASKER N95 PIECES 80 0 80 0 80 (80) 0
193 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSON 100 M TABLET 12 0 12 6 6 2 6
196 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + 150 MG | DAPSON 100 TABLET 0 0 0 0 0 - 0
198 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI 0 30 30 20 10 17 200
200 METFORMIN HCL TABLET 500 MG TABLET 1200 0 1200 0 1200 (1,200) 0
202 METHANOL 2,5 LITER BOTOL 0 1 1 0 1 (1) 0
213 MULTIVITAMIN SIRUP SIRUP 122 0 122 122 0 163 200
214 MY JELLY TUBE 13 0 13 0 13 (13) 0
215 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 2700 1000 3700 2400 1300 1,900 2000
217 NIFEDIPINE TABLET 10 MG TABLET 1300 0 1300 0 1300 (1,300) 0
222 OBH SIRUP 60 ML SIRUP 90 160 250 15 235 (215) 0
224 OXYCAN BOTOL 1 0 1 0 1 (1) 0
225 Oxygen gas analyzer TABUNG 0 0 0 0 0 - 0 OXYGEN
227 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 100 0 100 100 0 133 200
229 PAKET STOP TB OAT ANAK PAKET 3 2 5 1 4 (3) 0
232 PAPAVERINE TABLET 40 MG TABLET 1600 0 1600 1200 400 1,200 2000
233 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
234 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
236 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 170 0 170 170 0 227 300
237 PARACETAMOL TABLET 500 MG TABLET 6500 1000 7500 7500 0 10,000 10000
249 PLESTER ROLL 43 0 43 12 31 (15) 0
253 POVIDONE IODINE 30 ML BOTTLE 2 10 12 0 12 (12) 0
254 POVIDONE IODINE 10% 300ML CAIRAN 18 0 18 6 12 (4) 0
255 POVIDONE IODINE 1000 ML BOTOL 3 0 3 0 3 (3) 0
256 PREDNISONE TABLET 5 MG TABLET 3700 0 3700 1800 1900 500 1000
257 PRIMAQUINE TABLET 15 MG TABLET 0 5000 5000 1700 3300 (1,033) 0
258 PYRANTEL PAMOATE SIRUP SIRUP 45 0 45 20 25 2 0
259 PYRANTEL PAMOATE TABLET 125 MG TABLET 1300 0 1300 220 1080 (787) 0
260 PYRANTEL PAMOATE TABLET 250 MG (BASE) TABLET 0 0 0 0 0 - 0
261 PYRIDOXINE TABLET 10 MG TABLET 3700 0 3700 900 2800 (1,600) 0
262 RANITIDINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 - 0
(120)
263 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 20 100 120 0 120 0
(500)
264 RANITIDINE TABLET 150 MG TABLET 0 500 500 0 500 0
(200)
265 RAPID 1 HIV (SD) KIT 200 0 200 0 200 0
(17)
266 Rapid HIV 2 TEST PIECES 75 0 75 25 50 0
618
267 RAPID TEST MALARIA PIECES 370 400 770 595 175 1000
-
268 RDT SYPHILIS (HUMAN) PIECES 0 0 0 0 0 150
33
269 RDT SYPHILIS RPR 100 ANTIGEN TEST PIECES 100 100 200 100 100 0
(1)
270 REAGEN GIEMSA 500 ML BOTOL 1 0 1 0 1 5
(6)
271 REAGEN ZIEHL NEELSEN 100 ML BOTOL 1 5 6 0 6 0
(317)
1,067
200
-
133
276 SAFEGLOVE PP (ONEMED) SIZE 6,5 PIECES 0 100 100 100 0 200
133
277 SAFEGLOVE PP (ONEMED) SIZE 7.5 PIECES PIECES 0 100 100 100 0 200
-
278 SAFETY BOX (POLYSAFE) BOX 0 0 0 0 0 0
(767)
267
(25)
281 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP 4% TUBE 0 48 48 10 38 0
(37)
282 SALICYLIC ACID SERBUK 2% SERBUK 48 12 60 10 50 0
(4,000)
283 SARUNG TANGAN ANCEL NON POWDER M PIECES 4500 200 4700 300 4400 0 Latex M
733
284 SARUNG TANGAN ANCEL NON POWDER S PIECES 900 0 900 700 200 1000 Latex S
-
285 SARUNG TANGAN MICROGRIP NO 6.5 PIECES 0 0 0 0 0 0 Skifa 6,5
-
286 SARUNG TANGAN NON STERIL SIZE M PIECES 0 0 0 0 0 0 Skifa M
(100)
287 SARUNG TANGAN PANJANG KARET NON STERIL PIECES 100 0 100 0 100 0 Obgyn
48
288 SILK SUTURE 3\/0 PIECES 0 36 36 36 0 50
-
sILK SUTURE 1\/0 PIECES 0 0 0 0 0 50
(270)
289 SIMVASTATIN TABLET 10 MG TABLET 2580 0 2580 990 1590 0
(38)
290 SODIUM CHLORIDE INFUS 0.9 % INFUS 118 60 178 60 118 0
673
291 SODIUM LACTATE INFUS INFUS 820 0 820 640 180 1000
-
292 SONY PAPER USG PIECES 0 0 0 0 0 50
-
293 SPIRITUS 250 ML BOTOL 0 0 0 0 0 5
-
294 SPUIT 0.5 CC INSULIN PIECES 0 0 0 0 0 0
(135)
295 SPUIT 1 CC INSULIN PIECES 0 135 135 0 135 0
-
296 SPUIT 10 CC PIECES 0 0 0 0 0 0
28
297 SPUIT 2,5 CC PIECES 485 0 485 220 265 0
247
298 SPUIT 3 CC PIECES 105 150 255 215 40 1000
90
299 SPUIT 5 CC PIECES 330 0 330 180 150 0
(83)
37
83
(200)
(50)
-
-
-
(33)
-
-
-
(20)
(3)
-
-
(1,567)
-
-
-
(100)
-
(750)
-
-
(200)
Nama Obat Sediaan Sisa Stok Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum Permintaan Pemberian Keterangan
(3)
-
(25)
328 VIKIA HIV 1\/2 TEST 25 0 25 0 25 0
1,567
-
-
(1,000)
12
333 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML BOTOL 72 0 72 36 36 0
100
-
Fuji IX Set 0 0 0 0 0 3
(2)
-
-
JKN UMUM TOTAL
ARSO,3 Maret 2020
Kepala Tata Usaha
Ririn Januarintin
(dr. Ronny. J.A. Situmorang) ( Herlina Pabuntang, S. Si, Apt ) Dr.Yani Cahyo Susilo
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Maret

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Maret TAHUN: 2020

2 ACYCLOVIR TABLET 400 MG TABLET 300 1300 1600 0 1600 (1,600) 0
6 ALLOPURINOL TABLET 100 MG TABLET 2600 0 2600 2600 0 3,467 5000
7 AMBROXOL SIRUP 15 MG/5 ML SIRUP 215 0 215 125 90 77 100
9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 10 10 0 10 (10) 0

10 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 - 0
15 AMLODIPINE TABLET 5 MG TABLET 0 500 500 200 300 (33) 0
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
31 ASAM MEFENAMAT TABLET 500 MG TABLET 0 0 0 0 0 - 5000
Berotek Botol 0 0 0 0 0 - 4
50 BOX SLIDE box 0 0 0 0 0 - 0
52 Calcium hydroxide cavity liner 0 0 1 1 0 1 (1) 0
54 CAPTOPRIL TABLET 12.5 MG TABLET 400 1000 1400 600 800 - 0
55 CAPTOPRIL TABLET 25 MG TABLET 300 1000 1300 1300 0 1,733 2000
58 CAT GUT CHROMIC NO.3\/0 PIECES 70 0 70 0 70 (70) 0
61 CEFADROXIL SIRUP 125 MG/ML SIRUP 50 0 50 50 0 67 100
65 CETIRIZINE TABLET 10 MG TABLET 400 0 400 400 0 533 1000
69 CHLORAMPHENICOL SALEP KULIT 2% SALEP 33 0 33 33 0 44 50
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 400 0 400 400 0 533 1000
86 CRESOPHATE PASTE 25 GR BOTOL 0 1 1 0 1 (1) 0
94 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 10 10 10 0 13 20
101 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 50 0 50 50 0 67 100
102 DOMPERIDONE TABLET 10 MG TABLET 0 0 0 0 0 - 0
107 ERYTHROMYCIN TABLET 500 MG TABLET 500 200 700 500 200 467 500
118 FORMALIN 1000 ML BOTOL 3 0 3 -1 4 (5) 0
120 FUROSEMIDE TABLET 40 MG TABLET 1200 0 1200 600 600 200 200
121 GARAM ORALIT SERBUK SERBUK 95 0 95 95 0 127 200
132 GRISEOFULVIN TABLET 125 MG TABLET 600 2000 2600 800 1800 (733) 0
136 HYDCAL CALCIUM HYDROXIDE LINER SET 0 1 1 0 1 (1) 0
142 IBUPROFEN TABLET 400 MG TABLET 1600 2000 3600 1300 2300 (567) 0
145 INFUS SET PIECES 100 300 400 150 250 (50) 0
165 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
169 KASA HYDROFIL STERIL 16 x 16 ROLL 104 0 104 104 0 139 150
171 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
176 Klorfenol Kamfer Menthol (CHKM) BOTOL 1 1 2 1 1 0 0
177 KUININ TABLET 200 MG TABLET 180 600 780 0 780 (780) 0
181 LIDOCAINE INJEKSI 2% INJEKSI 85 0 85 85 0 113 150
185 LORATADINE TABLET 10 MG TABLET 2000 0 2000 800 1200 (133) 0
189 MASKER (KARET) PIECES 350 850 1200 1200 0 1,600 2000
190 MASKER N95 PIECES 80 0 80 40 40 13 40
193 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSON 100 MG TABLET 6 0 6 -6 12 (20) 0
202 METHANOL 2,5 LITER BOTOL 1 1 2 2 0 3 5
214 MY JELLY TUBE 13 0 13 0 13 (13) 0
219 NYSTATIN TABLET 50000 IU TABLET 200 0 200 100 100 33 0
224 OXYCAN BOTOL 1 0 1 0 1 (1) 0
228 PAKET STOP TB KATEGORI 1 PAKET 3 2 5 2 3 (0) 10
232 PAPAVERINE TABLET 40 MG TABLET 400 700 1100 200 900 (633) 0
233 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
234 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
Paractamol Infus btl 3 0 3 3 0 4 5
245 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 100 200 300 0 300 (300) 0
248 PIROXICAM TABLET 20 MG TABLET 1300 0 1300 300 1000 (600) 0
249 PLESTER ROLL 31 0 31 31 0 41 50
256 PREDNISONE TABLET 5 MG TABLET 1900 1000 2900 1700 1200 1,067 1100
257 PRIMAQUINE TABLET 15 MG TABLET 3300 3600 6900 5750 1150 6,517 7000
258 PYRANTEL PAMOATE SIRUP SIRUP 25 0 25 0 25 (25) 0
259 PYRANTEL PAMOATE TABLET 125 MG TABLET 1080 0 1080 0 1080 (1,080) 0
263 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 120 0 120 120 0 160 200
264 RANITIDINE TABLET 150 MG TABLET 500 0 500 0 500 (500) 0
265 RAPID 1 HIV (SD) KIT 200 0 200 75 125 (25) 0
266 Rapid HIV 2 TEST PIECES 50 0 50 0 50 (50) 0
267 RAPID TEST MALARIA PIECES 175 200 375 309 66 346 500
268 RDT SYPHILIS (HUMAN) PIECES 0 50 50 50 0 67 100
269 RDT SYPHILIS RPR 100 ANTIGEN TEST PIECES 100 0 100 0 100 (100) 0
270 REAGEN GIEMSA 500 ML BOTOL 1 1 2 2 0 3 5
271 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 2 4 (1) 0
272 RETINOL PALMITATE TABLET 100000 IU TABLET 450 0 450 100 350 (217) 0
273 RETINOL PALMITATE TABLET 200000 IU TABLET 400 0 400 200 200 67 100
274 SAFEGLOVE PF (ONEMED) SIZE 6,5 PIECES 0 50 50 0 50 (50) 0
275 SAFEGLOVE PF (ONEMED) SIZE 7,5 PIECES 0 0 0 0 0 - 100
276 SAFEGLOVE PP (ONEMED) SIZE 6,5 PIECES 0 100 100 0 100 (100) 0
277 SAFEGLOVE PP (ONEMED) SIZE 7.5 PIECES PIECES 0 50 50 0 50 (50) 0
278 SAFETY BOX (POLYSAFE) BOX 0 0 0 0 0 - 0
279 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT) TABLET 900 0 900 900 0 1,200 1500
280 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT) TABLET 400 500 900 200 700 (433) 0
281 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP 4% TUBE 38 0 38 38 0 51 100
282 SALICYLIC ACID SERBUK 2% SERBUK 50 0 50 37 13 36 50
283 SARUNG TANGAN ANCEL NON POWDER M PIECES 4400 0 4400 600 3800 (3,000) 0 Latex M
284 SARUNG TANGAN ANCEL NON POWDER S PIECES 200 500 700 100 600 (467) 0 Latex S
285 SARUNG TANGAN MICROGRIP NO 6.5 PIECES 0 0 0 0 0 - 0 Skifa 6,5
286 SARUNG TANGAN NON STERIL SIZE M PIECES 0 0 0 0 0 - 0 Skifa M
287 SARUNG TANGAN PANJANG KARET NON STERIL PIECES 100 0 100 100 0 133 200 Obgyn
288 SILK SUTURE 3\/0 PIECES 0 36 36 36 0 48 50
sILK SUTURE 1\/0 PIECES 0 0 0 0 0 - 50
289 SIMVASTATIN TABLET 10 MG TABLET 1590 0 1590 660 930 (50) 0
290 SODIUM CHLORIDE INFUS 0.9 % INFUS 118 182 300 20 280 (253) 0
291 SODIUM LACTATE INFUS INFUS 180 500 680 520 160 533 600
292 SONY PAPER USG PIECES 0 0 0 0 0 - 50
293 SPIRITUS 250 ML BOTOL 0 0 0 0 0 - 5
294 SPUIT 0.5 CC INSULIN PIECES 0 0 0 0 0 - 0
295 SPUIT 1 CC INSULIN PIECES 135 0 135 135 0 180 200
296 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
297 SPUIT 2,5 CC PIECES 265 0 265 130 135 38 1000
298 SPUIT 3 CC PIECES 40 0 40 0 40 (40) 1000
299 SPUIT 5 CC PIECES 150 0 150 150 0 200 1000
300 STERACATH MEDICAL CATHETER 18G X 33 MM PIECES 150 0 150 50 100 (33) 0
302 STERACATH MEDICAL CATHETER 22G X 25 MM PIECES 50 100 150 150 0 200 200
304 STERACATH MEDICAL CATHETER 26G X 3\/4 MM PIECES 50 0 50 0 50 (50) 0
305 STOMACH TUBE 14 FR (125 CM) PIECES 0 0 0 0 0 - 0
308 STRIP HbsAg PIECES 100 0 100 100 0 133 200
309 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 0 0 0 0 0 - 1000
310 SUCTION CATHETER NO 14 PIECES 0 0 0 0 0 - 0
311 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET 0 0 0 0 0 - 0
312 SURGICAL GOWN PIECES 20 0 20 20 0 27 100
313 TETANUS ANTITOXIN INJEKSI 1500 IU\/ML INJEKSI 30 0 30 0 30 (30) 0
314 TETRACYCLINE TABLET 250 MG TABLET 0 0 0 0 0 - 0
316 THIAMINE TABLET 50 MG TABLET 3300 0 3300 2100 1200 1,600 2000
317 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI 0 0 0 0 0 - 0
318 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI 0 0 0 0 0 - 0
319 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 - 0
320 TRIHEXYPHENIDYL TABLET 2 MG TABLET 100 0 100 100 0 133 200
321 TUBE EDTA PLH 13 X 75 3.0 BLBE LAV (VACUTAINER WITH EDTA) PIECES 0 0 0 0 0 - 0 MERAH
322 UMBILICAL CORD CLAMP PIECES 750 0 750 0 750 (750) 0
323 UNDERPAD 60 X 90 LEMBAR 0 0 0 0 0 - 500
324 URETHER CATHETER NO 6 PIECES 0 0 0 0 0 - 0
325 Uric acid test system SET 200 0 200 0 200 (200) 0
326 URINE BAG PIECES 3 0 3 0 3 (3) 0
327 VACUTAINER K3 EDTA 3 ML PIECES 0 0 0 0 0 - 0 UNGU
328 VIKIA HIV 1\/2 TEST 25 0 25 0 25 (25) 0
329 VITAMIN B COMPLEX TABLET 25 MG TABLET 3100 2000 5100 4800 300 6,100 7000
330 WING NEEDLE NO. 23 (ONEMED) PCS 0 0 0 0 0 - 0
332 YELLOW TIP AXYGEN PIECES 1000 0 1000 0 1000 (1,000) 0
334 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 1100 0 1100 600 500 300 1000
Fuji IX Set 0 0 0 0 0 - 3
WidalTest Set 2 0 2 0 2 (2) 0
SPONGSOSTAN SET 0 0 0 0 0 - 50
CAVITON TAMBALAN SEMENTARA SET 0 0 0 0 0 - 5
Paket TB 02 SET 0 0 0 0 0 - 3
JKN UMUM TOTAL
ARSO,31 Maret 2020
Kepala Tata Usaha
(dr. Ronny. J.A. Situmorang) ( Herlina Pabuntang, S. Si, Apt ) Dr.Yani Cahyo Susilo Ririn Januarintin
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : April

Kabupaten : Keerom
Provinsi : Papua
BULAN: :April TAHUN: 2020

1 ACYCLOVIR SALEP 5 % SALEP 0 0 0 0 0 - 50
6 ALLOPURINOL TABLET 100 MG TABLET 0 2000 2000 0 2000 (2,000) 0

21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
22 ANTACIDA SIRUP 400 MG\/5 ML SIRUP 80 200 280 80 200 (93) 0
50 BOX SLIDE box 0 0 0 0 0 - 0
53 CALCIUM LACTATE TABLET 500 MG TABLET 900 1500 2400 500 1900 (1,233) 0
54 CAPTOPRIL TABLET 12.5 MG TABLET 800 0 800 200 600 (333) 0
55 CAPTOPRIL TABLET 25 MG TABLET 0 1500 1500 0 1500 (1,500) 0
69 CHLORAMPHENICOL SALEP KULIT 2% SALEP 0 0 0 0 0 - 50
78 Cholesterol (total) test system SET 200 0 200 160 40 173 200 JKN
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 0 0 0 0 0 - 1000
93 DEXAMETHASONE TABLET 0.5 MG TABLET 0 4500 4500 1100 3400 (1,933) 0
101 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 0 0 0 0 0 - 100
120 FUROSEMIDE TABLET 40 MG TABLET 600 200 800 0 800 (800) 0
132 GRISEOFULVIN TABLET 125 MG TABLET 1800 0 1800 600 1200 (400) 0
145 INFUS SET PIECES 250 0 250 150 100 100 1000
165 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
169 KASA HYDROFIL STERIL 16 x 16 ROLL 0 200 200 -88 288 (405) 0
171 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
180 LARUTAN TURK 100 ML BOTOL 1 0 1 1 0 1 1
185 LORATADINE TABLET 10 MG TABLET 1200 0 1200 1000 200 1,133 2000
190 MASKER N95 PIECES 40 0 40 20 20 7 40
193 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSON TABLET 12 0 12 6 6 2 0
194 MDT COMBI MB CHILD : RIFAMPICIN 300 MG, CLOFAZIMINE 50 MG | DAPSON 50TABLET 0 0 0 0 0 - 0
196 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + 150 MG | DAPSO TABLET 0 0 0 0 0 - 0
198 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI 0 60 60 0 60 (60) 0
214 MY JELLY TUBE 13 0 13 0 13 (13) 0
215 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 1250 2000 3250 1000 2250 (917) 0
224 OXYCAN BOTOL 1 0 1 0 1 (1) 0
228 PAKET STOP TB KATEGORI 1 PAKET 3 4 7 3 4 - 10
233 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
234 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
Paractamol Infus btl 0 5 5 3 2 2 0
237 PARACETAMOL TABLET 500 MG TABLET 1300 10500 11800 2900 8900 (5,033) 0
249 PLESTER ROLL 0 10 10 0 10 (10) 0
256 PREDNISONE TABLET 5 MG TABLET 1200 2000 3200 0 3200 (3,200) 0
261 PYRIDOXINE TABLET 10 MG TABLET 2200 0 2200 1000 1200 133 0
263 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 0 0 0 0 0 - 200
265 RAPID 1 HIV (SD) KIT 125 0 125 0 125 (125) 0
267 RAPID TEST MALARIA PIECES 66 400 466 0 466 (466) 0
268 RDT SYPHILIS (HUMAN) PIECES 0 100 100 0 100 (100) 0
270 REAGEN GIEMSA 500 ML BOTOL 0 2 2 0 2 (2) 0
279 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT) TABLET 0 1000 1000 500 500 167 0
281 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP 4% TUBE 0 120 120 0 120 (120) 0
282 SALICYLIC ACID SERBUK 2% SERBUK 13 50 63 0 63 (63) 0
283 SARUNG TANGAN ANCEL NON POWDER M PIECES 3800 1000 4800 4800 0 6,400 6500 Latex M
284 SARUNG TANGAN ANCEL NON POWDER S PIECES 600 0 600 600 0 800 1000 Latex S
287 SARUNG TANGAN PANJANG KARET NON STERIL PIECES 0 200 200 0 200 (200) 0 Obgyn
288 SILK SUTURE 3\/0 PIECES 0 0 0 0 0 - 50
289 SIMVASTATIN TABLET 10 MG TABLET 930 0 930 300 630 (230) 0
291 SODIUM LACTATE INFUS INFUS 160 560 720 240 480 (160) 0
292 SONY PAPER USG PIECES 0 1 1 0 1 (1) 0
295 SPUIT 1 CC INSULIN PIECES 0 100 100 0 100 (100) 0
296 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
297 SPUIT 2,5 CC PIECES 135 500 635 535 100 613 1000
298 SPUIT 3 CC PIECES 40 0 40 40 0 53 1000
299 SPUIT 5 CC PIECES 0 1000 1000 60 940 (860) 1000
27
(77)
(117)
67
-
-
-
(100)
-
-
-
27
(30)
-
-
(400)
-
-
-
(250)
-
(745)
-
-
92
(3)
-
(25)
328 VIKIA HIV 1\/2 TEST 25 0 25 0 25 0
(3,100)
-
-
(1,000)
(800)
-
Fuji IX Set 0 0 0 0 0 3
(2)
-
-
-
Paket TB 02 SET 0 0 0 0 0 3
JKN UMUM TOTAL
ARSO,31 Maret 2020
Kepala Tata Usaha
Ririn Januarintin
(dr. Ronny. J.A. Situmorang) ( Herlina Pabuntang, S. Si, Apt ) Dr.Yani Cahyo Susilo
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Mei

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Mei TAHUN: 2020

6 ALLOPURINOL TABLET 100 MG TABLET 2000 0 2000 1000 1000 333 500
8 AMBROXOL TABLET 30 MG TABLET 800 0 800 500 300 367 1,000

21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 2400 3000 5400 0 5400 (5,400) 0
43 BETAMETHASONE SALEP 0.1% SALEP 0 25 25 0 25 (25) 0
50 BOX SLIDE box 0 0 0 0 0 - 0
53 CALCIUM LACTATE TABLET 500 MG TABLET 1900 0 1900 0 1900 (1,900) 0
63 CEFADROXIL TABLET 500 MG TABLET 0 500 500 0 500 (500) 0
68 CHLORAMPHENICOL SALEP MATA 1% SALEP 0 24 24 24 0 32 50
78 Cholesterol (total) test system SET 40 0 40 0 40 (40) 0
83 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 0 100 100 0 100 (100) 0
84 COTRIMOXAZOLE TABLET 480 MG TABLET 3000 0 3000 1000 2000 (667) 0
131 GLYCERYL DISTEARATE TABLET 100 MG TABLET 4500 0 4500 2000 2500 167 500
132 GRISEOFULVIN TABLET 125 MG TABLET 1200 0 1200 0 1200 (1,200) 0
145 INFUS SET PIECES 100 1000 1100 0 1100 (1,100) 0
165 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
171 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
175 KETOCONAZOLE TABLET 200 MG TABLET 2000 0 2000 1000 1000 333 500
180 LARUTAN TURK 100 ML BOTOL 0 0 0 0 0 - 5
181 LIDOCAINE INJEKSI 2% INJEKSI 0 0 0 0 0 - 100
183 LIDOKAIN INJEKSI 2% HCL + EPINEPHRINE INJEKSI 1:80.000 - 2 ML(PEHACAIN) INJEKSI 0 30 30 30 0 40 50
190 MASKER N95 PIECES 20 0 20 20 0 27 40
200 METFORMIN HCL TABLET 500 MG TABLET 700 0 700 700 0 933 1000
204 METHYLERGOMETRINE TABLET 0.125 MG TABLET 700 0 700 700 700 0 933 1000
214 MY JELLY TUBE 13 0 13 0 13 (13) 0
215 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 2250 0 2250 1000 1250 83 0
224 OXYCAN BOTOL 1 0 1 0 1 (1) 0
232 PAPAVERINE TABLET 40 MG TABLET 0 500 500 500 0 667 1000
233 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
234 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
249 PLESTER ROLL 10 0 10 10 0 13 50
252 POT SPUTUM PIECES 0 150 150 0 150 (150) 0
255 POVIDONE IODINE 1000 ML BOTOL 2 0 2 1 1 0 0
256 PREDNISONE TABLET 5 MG TABLET 3200 0 3200 3200 3200 0 4,267 5000
257 PRIMAQUINE TABLET 15 MG TABLET 7000 0 7000 3000 4000 - 0
258 PYRANTEL PAMOATE SIRUP SIRUP 25 0 25 25 25 0 33 50
262 RANITIDINE INJEKSI 25 MG/ML INJEKSI 0 100 100 0 100 (100) 0
265 RAPID 1 HIV (SD) KIT 125 0 125 0 125 (125) 0
283 SARUNG TANGAN ANCEL NON POWDER M PIECES 0 2000 2000 1600 400 1,733 2000 Latex M
284 SARUNG TANGAN ANCEL NON POWDER S PIECES 0 2000 2000 2000 0 2,667 3000 Latex S
289 SIMVASTATIN TABLET 10 MG TABLET 630 0 630 300 330 70 0
296 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
297 SPUIT 2,5 CC PIECES 100 500 600 600 0 800 1000
298 SPUIT 3 CC PIECES 0 0 0 0 0 - 1000
299 SPUIT 5 CC PIECES 940 0 940 800 140 927 1000
301 STERACATH MEDICAL CATHETER 20G X 33 MM PIECES 0 0 0 0 0 - 50
308 STRIP HbsAg PIECES 100 0 100 0 100 (100) 0
312 SURGICAL GOWN PIECES 0 10 10 10 0 13 100
316 THIAMINE TABLET 50 MG TABLET 2000 0 2000 0 2000 (2,000) 0

320 TRIHEXYPHENIDYL TABLET 2 MG TABLET 250 0 250 250 0 333 1000
326 URINE BAG PIECES 3 0 3 0 3 (3) 0
328 VIKIA HIV 1\/2 TEST 25 0 25 0 25 (25) 0
329 VITAMIN B COMPLEX TABLET 25 MG TABLET 5500 0 5500 0 5500 (5,500) 0
WidalTest Set 2 0 2 0 2 (2) 0
SPONGSOSTAN SET 0 0 0 0 0 - 0
CAVITON TAMBALAN SEMENTARA SET 0 0 0 0 0 - 50
APD lengkap Set 0 10 10 4 6 (1) 0
Boho Disposible Protective Coverall Pcs 0 50 50 0 50 (50) 0
Paket TB 02 SET 0 0 0 0 0 - 3
CLOROQUINE TAB 250MG TAB 0 400 400 0 400 (400) 0
JKN UMUM TOTAL
ARSO,8 Juni 2020
Kepala Tata Usaha
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Juni

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Juni TAHUN: 2020

6 ALLOPURINOL TABLET 100 MG TABLET 1000 500 1500 1000 500 833 1000

18 AMOXYCILLIN TABLET 250 MG TABLET 2400 0 2400 1000 1400 (67) 0
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 5400 0 5400 2000 3400 (733) 0
43 BETAMETHASONE SALEP 0.1% SALEP 25 50 75 50 25 42 50
44 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORIA 10 0 10 10 0 13 20
50 BOX SLIDE box 0 0 0 0 0 - 0
70 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 240 0 240 190 190 50 203 0
78 Cholesterol (total) test system SET 40 140 180 40 140 (87) 0 jkn
90 CYANOCOBALAMIN TABLET 50 MCG TABLET 2600 0 2600 1000 1600 (267) 0
92 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 130 0 130 130 0 173 200
94 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 10 0 10 0 10 (10) 0
103 DOXYCYCLINE TABLET 100 MG TABLET 1900 0 1900 1900 1900 0 2,533 3000
107 ERYTHROMYCIN TABLET 500 MG TABLET 1200 0 1200 1200 1200 0 1,600 2000
129 Glucose test system SET 300 250 550 350 200 267 300 jkn
131 GLYCERYL DISTEARATE TABLET 100 MG TABLET 2500 500 3000 1000 2000 (667) 0
132 GRISEOFULVIN TABLET 125 MG TABLET 1200 0 1200 1000 200 1,133 2000
142 IBUPROFEN TABLET 400 MG TABLET 2300 0 2300 1000 1300 33 0
145 INFUS SET PIECES 1100 0 1100 100 1000 (867) 0
165 Kasa Medricrep roll 3 0 3 0 3 (3) 0
166 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
167 KASA HYDROFIL 4 M X 15 CM ROLL 0 0 0 0 0 - 0
172 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
182 LIDOCAINE INJEKSI 2% INJEKSI 0 0 0 0 0 - 100
184 LIDOKAIN INJEKSI 2% HCL + EPINEPHRINE INJEKSI 1:80.000 - 2 ML(PEHACAIN) INJEKSI 0 25 25 0 25 (25) 0
191 MASKER N95 PIECES 0 0 0 0 0 - 100
194 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSO TABLET 6 0 6 0 6 (6) 0
195 MDT COMBI MB CHILD : RIFAMPICIN 300 MG, CLOFAZIMINE 50 MG | DAPSON TABLET 0 0 0 0 0 - 0
197 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + 150 MG | DAP TABLET 0 0 0 0 0 - 0
201 METFORMIN HCL TABLET 500 MG TABLET 0 1000 1000 1000 0 1,333 2000
205 METHYLERGOMETRINE TABLET 0.125 MG TABLET 0 1000 1000 500 500 167 200
209 METRONIDAZOLE TABLET 500 MG TABLET 0 1000 1000 0 1000 (1,000) 0
215 MY JELLY TUBE 13 0 13 0 13 (13) 0
225 OXYCAN BOTOL 1 0 1 0 1 (1) 0
233 PAPAVERINE TABLET 40 MG TABLET 0 1000 1000 0 1000 (1,000) 0
234 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
235 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
236 Paractamol Infus btl 2 0 2 0 2 (2) 0
238 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 20 0 20 -330 350 (790) 0
250 PIROXICAM TABLET 20 MG TABLET 700 0 700 500 200 467 1000
251 PLESTER ROLL 0 20 20 0 20 (20) 0
258 PREDNISONE TABLET 5 MG TABLET 0 5000 5000 0 0 5000 (5,000) 0
259 PRIMAQUINE TABLET 15 MG TABLET 4000 0 4000 4000 0 5,333 6000
261 PYRANTEL PAMOATE TABLET 125 MG TABLET 1080 0 1080 1080 1080 0 1,440 2000
263 PYRIDOXINE TABLET 10 MG TABLET 1200 0 1200 1200 0 1,600 2000
264 RANITIDINE INJEKSI 25 MG/ML INJEKSI 100 0 100 100 0 133 20
266 RANITIDINE TABLET 150 MG TABLET 500 0 500 500 0 667 1000
267 RAPID 1 HIV (SD) KIT 125 0 125 0 125 (125) 0
268 Rapid HIV 2 TEST PIECES 50 0 50 50 50 0 67 100
269 RAPID TEST MALARIA PIECES 466 2225 2691 1905 786 1,754 2000
282 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT) TABLET 700 0 700 300 400 - 0
285 SARUNG TANGAN ANCEL NON POWDER M PIECES 400 4100 4500 4100 400 5,067 5000 jkn2100 Latex M
291 sILK SUTURE 1\/0 PIECES 0 0 0 0 0 - 50
292 SIMVASTATIN TABLET 10 MG TABLET 330 0 330 330 0 440 3000
299 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
300 SPUIT 2,5 CC PIECES 0 600 600 0 600 (600) 0
301 SPUIT 3 CC PIECES 0 500 500 0 500 (500) 0
302 SPUIT 5 CC PIECES 140 0 140 0 140 (140) 0
315 SURGICAL GOWN PIECES 0 0 0 0 0 - 100
316 TETANUS ANTITOXIN INJEKSI 1500 IU\/ML INJEKSI 30 0 30 30 30 0 40 40
319 THIAMINE TABLET 50 MG TABLET 2000 0 2000 2000 0 2,667 3000
323 TRIHEXYPHENIDYL TABLET 2 MG TABLET 0 500 500 0 500 (500) 0
329 URINE BAG PIECES 3 0 3 0 3 (3) 0
331 VIKIA HIV 1\/2 TEST 25 0 25 25 25 0 33 25
336 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 300 500 800 0 800 (800) 0
337 WidalTest Set 2 0 2 0 2 (2) 0
338 SPONGSOSTAN SET 0 0 0 0 0 - 0
339 CAVITON TAMBALAN SEMENTARA SET 0 0 0 0 0 - 50
APD lengkap Set 6 0 6 0 6 (6) 0
340 Boho Disposible Protective Coverall Pcs 50 0 50 50 0 67 100
341 Paket TB 02 SET 0 0 0 0 0 - 3
JKN UMUM TOTAL
ARSO,6 Juni2020
Kepala Tata Usaha
Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Juli

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Juli TAHUN: 2021

6 ALLOPURINOL TABLET 100 MG TABLET 0 0 0 0 0 - 1000
8 AMBROXOL TABLET 30 MG TABLET 3800 0 3800 1000 2800 (1,467) 200
9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 10 0 10 10 0 13 0

13 AMITRIPTYLINE TABLET 25 MG TABLET 0 0 0 0 0 - 0
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
22 ANTACIDA SIRUP 400 MG\/5 ML SIRUP 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 2000 0 2000 500 1500 (833) 0
24 ANTIFUNGI: ASAM SALICYLICUM 30 MG, ASAM BENZOICUM 60 MG POT 48 48 96 48 48 16 0
31 ASAM MEFENAMAT TABLET 500 MG TABLET 2300 0 2300 0 2300 (2,300) 0
Asam Trahexamat TABLET 0 0 0 0 0 - 20
34 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI 0 0 0 0 0 - 0
37 AZITHROMYCIN TABLET 500 MG TABLET 200 0 200 200 0 267 0
Bayckin Botol 0 0 0 0 0 - 0
39 BENZATHINE BENZYLPENICILLIN INJEKSI 120000 IU INJEKSI 0 0 0 0 0 - 0
44 BENECHEK GLUKOSA PIECES 500 0 500 0 0 (500) 0
45 BENECHEK ASAM URAT PIECES 25 0 25 0 0 75 100
46 BENECHEK Cholesterol PIECES 0 0 0 0 0 0
53 BOX SLIDE box 0 0 0 0 0 - 0
56 CALCIUM LACTATE TABLET 500 MG TABLET 0 0 0 0 0 - 0
58 CAPTOPRIL TABLET 25 MG TABLET 0 500 500 0 500 (500) 0
62 CAT GUT PALIN NO 1/0 PICES 0 0 0 0 0 - 48
69 CETIRIZINE TABLET 10 MG TABLET 0 0 0 0 0 - 0
74 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 0 0 0 0 0 - 0
82 Cholesterol (total) test system SET 0 0 0 0 0 - 0 jkn
86 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 - 0
87 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 0 0 0 0 0 - 0
93 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 100 0 100 0 100 (100) 200
96 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 60 60 120 60 60 20 0
101 DIETHYLCARBAMAZINE TABLET 100 MG TABLET 0 0 0 0 0 - 3000
107 DOXYCYCLINE TABLET 100 MG TABLET 2000 2000 0 2000 (2,000) 0
109 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 20 0 20 20 0 27 0
111 ERYTHROMYCIN TABLET 500 MG TABLET 0 0 0 0 0 - 2000
Etil Kloride Btl 0 0 0 0 0 - 0
126 GENTAMYCIN SALEP 0.3 % SALEP 25 0 25 25 0 33 100
133 Glucose test system SET 0 0 0 0 0 - 0 jkn
135 GLYCERYL DISTEARATE TABLET 100 MG TABLET 8000 0 8000 1000 7000 (5,667) 0
138 GUTTAP POINT NO 45 - 80 META 0 0 0 0 0 0 - 0
143 IBUPROFEN SIRUP 100 MG/5 ML SIRUP 0 0 0 0 0 - 0
148 INFUS SET PIECES 131 0 131 77 54 49 0
151 ISONIAZID TABLET 300 MG TABLET 0 0 0 0 0 - 0
152 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 0 0 0 0 0 - 0
162 KACA SLIDE PIECES 114 0 114 0 114 (114) 0 7101
163 KACA SLIDE TES TB PIECES 50 0 50 0 50 (50) 0 7105
169 KASA 2Y X 80 CM ROLL 72 0 72 3 69 (65) 0
175 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
179 KETOCONAZOLE TABLET 200 MG TABLET 300 0 300 0 300 (300) 0
180 Klorfenol Kamfer Menthol (CHKM) BOTOL 0 0 0 0 0 - 0
190 LYSOL CONCENTRATE BOTOL 20 20 40 20 20 7 0
191 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 - 0
194 MASKER N95 PIECES 0 0 0 0 0 - 0
195 MASKER OKSIGEN BAYI (MAXIFLOW) PIECES 20 0 20 20 0 27 0
207 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 100 0 100 0 100 100 (100) 0
210 METOCLOPRAMIDE TABLET 5 MG TABLET 0 0 0 0 0 - 0
213 MICONAZOLE SALEP 2% SALEP 148 0 148 0 148 (148) 50
215 MUCUS EXTRACTOR PIECES 9 0 9 0 9 (9) 0
216 MULTIVITAMIN DROPS DROPS 0 30 30 0 30 (30) 50
218 MY JELLY TUBE 0 0 0 0 0 - 100
221 NIFEDIPINE TABLET 10 MG TABLET 100 0 100 0 100 (100) 0
223 NYSTATIN TABLET 50000 IU TABLET 0 0 0 0 0 - 0
227 OMEPRAZOLE KAPSUL 20 MG KAPSUL 900 0 900 600 300 500 5000
228 OXYCAN BOTOL 0 0 0 0 0 - 0
236 PAPAVERINE TABLET 40 MG TABLET 0 0 0 0 0 - 200
237 PAPER POINT NO 15 - 40 0 0 0 0 0 0 - 0
238 PAPER POINT NO 45 - 80 0 0 0 0 0 0 - 0
240 PARACETAMOL DROPS 100 MG/ML DROPS 0 20 20 0 20 (20) 100
245 PHENOL GLYCEROL 10% (TETES TELINGA) CAIRAN 48 0 48 48 0 64 0
249 PHYTOMENADIONE (VITAMIN K) INJEKSI INJEKSI 30 30 60 30 30 10 0
254 PLESTER ROLL 0 10 10 4 6 (1) 0
258 POVIDONE IODINE 30 ML BOTTLE 4 0 4 4 0 5 0
259 POVIDONE IODINE 10% 300ML CAIRAN 68 0 68 48 20 44 0
264 PYRANTEL PAMOATE TABLET 125 MG TABLET 0 0 0 0 0 - 2000
269 RANITIDINE TABLET 150 MG TABLET 1500 0 1500 0 1500 (1,500) 200
270 RAPID 1 HIV (SD) KIT 25 0 25 0 25 (25) 0
271 Rapid HIV 2 TEST PIECES 0 0 0 0 0 - 50
274 RDT SYPHILIS RPR 100 ANTIGEN TEST PIECES 0 0 0 0 0 - 100
283 SAFETY BOX (POLYSAFE) BOX 9 0 9 0 9 (9) 0
288 SARUNG TANGAN ANCEL NON POWDER M PIECES 0 0 0 0 0 - 3000 jkn2100 Latex M
293 SILK SUTURE 3\/0 PIECES 43 0 43 0 43 (43) 50
295 SIMVASTATIN TABLET 10 MG TABLET 930 0 930 0 0 - 0
302 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
303 SPUIT 2,5 CC PIECES 800 0 800 90 710 (590) 0
304 SPUIT 3 CC PIECES 893 0 893 206 687 (412) 0
305 SPUIT 5 CC PIECES 406 0 406 148 258 (61) 200
315 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 50 50 100 50 50 17 1000
319 TETANUS ANTITOXIN INJEKSI 1500 IU\/ML INJEKSI 0 0 0 0 0 - 30
320 TETRACYCLINE TABLET 250 MG TABLET 2500 0 2500 2500 0 3,333 0
321 TETRACYCLINE TABLET 500 MG TABLET 2500 0 2500 0 2500 (2,500) 0
322 THIAMINE TABLET 50 MG TABLET 0 0 0 0 0 - 1000
326 TRIHEXYPHENIDYL TABLET 2 MG TABLET 0 0 0 0 0 - 500
331 Uric acid test system SET 25 0 25 0 0 - 0
332 URINE BAG PIECES 2 0 2 0 0 - 10
333 VACUTAINER K3 EDTA 3 ML PIECES 100 0 100 0 100 (100) 0 UNGU
334 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
337 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 1600 0 1600 0 1600 (1,600) 0
340 Boho Disposible Protective Coverall Pcs 250 0 250 0 250 (250) 0
341 Paket TB 02 SET 0 50 50 0 50 (50) 0
342 CLOROQUINE TAB 250 MG TAB 200 0 200 0 200 (200) 3
343 WIDAL TEST PAKET 1 0 1 0 1 (1) 0
344 Rapid Covid Set 150 0 150 0 30 (30) 0
345 Iudium Test Set 0 0 0 0 0 - 10
346 ILIADYN SEMPROT HIDUNG BTL 10 0 10 0 9 (9) 0
347 3M Filtex z250 Universal Restorative Set 0 0 0 0 0 - 0
348 Endoseal Root Canal Obturation Cement Btl 0 0 0 0 0 - 0
349 Zitemp Zoe Quik Center Set 0 0 0 0 0 - 0
350 Neurobion Injeksi Vial 0 0 0 0 0 - 100
No Nama Obat Sediaan Sisa Stok Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum Permintaan Pemberiaan Keterangan
351 Methanol 250ml Set 12 0 0 0 11 (11) 0
352 Allopurinol Tablet 300mg Tablet 1000 0 0 0 500 (1,000) 0
353 Handscoon Steril No.7 Set 0 0 0 0 0 67 100
354 Nurse Cp Set 200 0 0 0 200 (200) 0
355 Standart Covid-19 Test Set 25 100 125 75 50 50 50
356 Levopar Tab 500 500 0 0 200 200 0
357 Masker Ukuran L Set 0 2000 2000 1500 500 2,000 0
358 Pembalut Bersalin Pcs 0 20 20 0 20 (20) 0
JKN UMUM TOTAL
Kepala Tata Usaha
(Yulian Franklyn Uriager, S.Km, M.Kes) ( Herlina Pabuntang, S. Si, Apt ) Dr.Yani Cahyo Susilo Ririn Januarintin
Nip. 19700707 199403 1 011 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Agustus

Kabupaten : Keerom
Provinsi : Papua
BULAN: :Agustus TAHUN: 2021

7 AMBROXOL SIRUP 15 MG/5 ML SIRUP 150 0 150 100 50 83 100
8 AMBROXOL TABLET 30 MG TABLET 2800 0 2800 2800 1800 0 3,733 2,000 Sep-21
16 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 60 120 180 180 180 0 240 240 Sep-21
20 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 19 0 19 19 0 25 30
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
24 ANTIFUNGI: ASAM SALICYLICUM 30 MG, ASAM BENZOICUM 60 MG POT 48 48 96 46 50 11 24
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 75 0 75 75 75 0 100 50 Sep-21
26 AQUA PRO INJEKSI INJEKSI INJEKSI 54 0 54 54 42 0 72 100 Agustus 2021
37 AZITHROMYCIN TABLET 500 MG TABLET 200 500 700 600 100 700 1000
43 BETAMETHASONE SALEP 0.1% SALEP 25 0 25 25 25 0 33 50 Mei 2021
50 BISTURI NO. 22 PIECES 195 0 195 195 100 0 260 200 Agustus 2021
51 BLOOD LANCETS 26 G PIECES 16000 0 16000 8000 8000 2,667 3000
53 BOX SLIDE box 0 0 0 0 0 - 0
61 CAT GUT CHROMIC NO.3\/0 PIECES 74 0 74 32 42 1 0
72 CHLORAMPHENICOL SALEP MATA 1% SALEP 24 0 24 0 24 (24) 0
84 CLINDAMYCIN TABLET 150 MG TABLET 700 0 700 300 400 - 0
96 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 60 100 160 160 150 0 213 100 Sep-21
107 DOXYCYCLINE TABLET 100 MG TABLET 2000 2000 1000 1000 333 0
109 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 0 0 0 0 0 - 0
124 FUROSEMIDE TABLET 40 MG TABLET 1200 0 1200 600 600 200 0
128 GIPS PUTIH PIECES 2 0 2 2 2 0 3 0 Agustus 2021
130 GLIMEPIRIDE TABLET 2 MG TABLET 150 0 150 150 0 200 0
132 GLUCOSE INFUS 5 % INFUS 217 0 217 109 108 37 100
148 INFUS SET PIECES 54 600 654 85 569 (456) 0
163 KACA SLIDE TES TB PIECES 3600 0 3600 3600 0 4,800 5000 7105
169 KASA 2Y X 80 CM ROLL 69 0 69 0 69 (69) 0
174 KASA LIPAT 40 X 40 STERIL PIECES 106 0 106 106 0 141 200
175 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
189 LORATADINE TABLET 10 MG TABLET 1050 1000 2050 2050 1050 0 2,733 3000 Agustus 2021
192 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 6 0 6 6 6 8 0 Agustus 2021
194 MASKER N95 PIECES 0 0 0 0 0 - 0
195 MASKER OKSIGEN BAYI (MAXIFLOW) PIECES 20 0 20 20 0 27 0
197 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSOTABLET 12 0 12 0 12 (12) 6
200 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + 150 MG | DA TABLET 0 0 0 0 0 - 0
204 METFORMIN HCL TABLET 500 MG TABLET 1200 300 1500 1500 1200 0 2,000 2000 Agustus 2021
216 MULTIVITAMIN DROPS DROPS 30 30 60 30 30 10 30
218 MY JELLY TUBE 0 0 0 0 0 - 30
221 NIFEDIPINE TABLET 10 MG TABLET 0 0 0 0 0 - 0
226 OBH SIRUP 60 ML SIRUP 90 120 210 150 60 140 120
228 OXYCAN BOTOL 0 0 0 0 0 - 0
231 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 400 400 0 400 (400) 0
237 PAPER POINT NO 15 - 40 0 0 0 0 0 0 - 0
238 PAPER POINT NO 45 - 80 0 0 0 0 0 0 - 0
239 Paractamol Infus btl 7 0 7 4 3 2 2
242 PARACETAMOL TABLET 500 MG TABLET 4100 10000 14100 6200 7900 367 1000
245 PHENOL GLYCEROL 10% (TETES TELINGA) CAIRAN 0 0 0 0 0 - 0
249 PHYTOMENADIONE (VITAMIN K) INJEKSI INJEKSI 30 30 60 30 30 10 30
254 PLESTER ROLL 0 10 10 4 6 (1) 0
258 POVIDONE IODINE 30 ML BOTTLE 0 0 0 0 0 - 0
259 POVIDONE IODINE 10% 300ML CAIRAN 20 0 20 20 20 0 27 20 Juni 2021
261 PREDNISONE TABLET 5 MG TABLET 2500 0 2500 1500 1000 1,000 1000
263 PYRANTEL PAMOATE SIRUP SIRUP 50 0 50 50 50 0 67 0 Agustus 2021
270 RAPID 1 HIV (SD) KIT 25 25 50 0 50 (50) 0
272 RAPID TEST MALARIA PIECES 634 0 634 563 71 680 700
276 REAGEN ZIEHL NEELSEN 100 ML BOTOL 4 0 4 4 4 0 5 5 Juli 2021
277 RETINOL PALMITATE TABLET 100000 IU TABLET 0 0 0 0 0 - 0
295 SIMVASTATIN TABLET 10 MG TABLET 930 0 930 930 930 0 1,240 3000 Juli 2021
296 SODIUM CHLORIDE INFUS 0.9 % INFUS 45 0 45 45 0 60 0
302 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
303 SPUIT 2,5 CC PIECES 710 0 710 10 700 (687) 0
304 SPUIT 3 CC PIECES 687 0 687 27 660 (624) 0
305 SPUIT 5 CC PIECES 258 0 258 78 180 (76) 200
314 STRIP HbsAg PIECES 175 0 175 175 0 233 300
318 SURGICAL GOWN PIECES 234 0 234 50 184 (117) 100
334 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
335 VITAMIN B COMPLEX TABLET 25 MG TABLET 600 3000 3600 3600 2600 0 4,800 5000 Sep-21
341 Paket TB 02 SET 50 0 50 0 50 (50) 0
342 CLOROQUINE TAB 250 MG TAB 200 0 200 100 100 33 0
343 WIDAL TEST PAKET 1 0 1 0 1 (1) 0
344 Rapid Covid Set 25 0 25 0 25 (25) 0
345 Iudium Test Set 0 0 0 0 0 - 10
346 ILIADYN SEMPROT HIDUNG BTL 9 0 10 6 4 4 10
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : September

Kabupaten : Keerom
Provinsi : Papua
BULAN: : September TAHUN: 2021

5 ALKOHOL SWAB 2 PLY 100 PCS PIECES 7200 7200 0 7200 (7,200) 0
8 AMBROXOL TABLET 30 MG TABLET 0 2000 2000 1000 1000 333 2,000

21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 0 0 0 0 0 - 50
26 AQUA PRO INJEKSI INJEKSI INJEKSI 0 0 0 0 0 - 100
53 BOX SLIDE box 0 0 0 0 0 - 0
58 CAPTOPRIL TABLET 25 MG TABLET 0 0 0 0 0 - 1000
77 CHLORPHENIRAMINE TABLET 4 MG TABLET 4900 0 4900 2000 2900 (233) 2000
84 CLINDAMYCIN TABLET 150 MG TABLET 400 0 400 400 0 533 2000
124 FUROSEMIDE TABLET 40 MG TABLET 0 0 0 0 0 - 2000
128 GIPS PUTIH PIECES 0 0 0 0 0 - 0
130 GLIMEPIRIDE TABLET 2 MG TABLET 0 0 0 0 0 - 0
144 IBUPROFEN TABLET 200 MG TABLET 0 0 0 0 0 - 3000
148 INFUS SET PIECES 569 0 569 29 540 (501) 0
169 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
175 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
189 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 - 3000
190 LYSOL CONCENTRATE BOTOL 36 0 36 19 19 17 8 0 Jul-21
194 MASKER N95 PIECES 0 0 0 0 0 - 20
204 METFORMIN HCL TABLET 500 MG TABLET 0 0 0 0 0 - 2000
207 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 200 200 0 200 (200) 0
209 METHYLPREDNISOLONE TABLET 16 MG TABLET 1000 0 1000 100 900 (767) 0
218 MY JELLY TUBE 0 0 0 0 0 - 30
227 OMEPRAZOLE KAPSUL 20 MG KAPSUL 300 0 300 0 300 (300) 1000
228 OXYCAN BOTOL 0 0 0 0 0 - 0
237 PAPER POINT NO 15 - 40 0 0 0 0 0 0 - 0
238 PAPER POINT NO 45 - 80 0 0 0 0 0 0 - 0
241 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 350 0 350 150 200 - 0
250 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 300 500 800 0 1300 (1,300) 0
254 PLESTER ROLL 6 0 6 0 6 (6) 10
259 POVIDONE IODINE 10% 300ML CAIRAN 0 0 0 0 0 - 20
263 PYRANTEL PAMOATE SIRUP SIRUP 0 0 0 0 0 0 - 1000
266 PYRIDOXINE TABLET 10 MG TABLET 1000 0 2000 2000 0 2,667 3000
270 RAPID 1 HIV (SD) KIT 50 0 50 0 50 (50) 0
276 REAGEN ZIEHL NEELSEN 100 ML BOTOL 0 0 0 0 0 - 5
295 SIMVASTATIN TABLET 10 MG TABLET 0 0 0 0 0 - 3000
302 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
303 SPUIT 2,5 CC PIECES 710 0 710 710 700 947 700 Rusak
304 SPUIT 3 CC PIECES 660 200 860 32 828 (785) 0
305 SPUIT 5 CC PIECES 180 0 180 30 150 (110) 200
314 STRIP HbsAg PIECES 0 0 0 0 0 - 300
327 TUBE EDTA PLH 13 X 75 3.0 BLBE LAV (VACUTAINER WITH EDTA) PIECES 100 0 100 0 100 (100) 0 MERAH
333 VACUTAINER K3 EDTA 3 ML PIECES 100 0 100 100 0 133 100 UNGU
334 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
341 Paket TB 02 SET 50 0 50 0 50 (50) 0
343 WIDAL TEST PAKET 1 0 1 0 1 (1) 0
344 Rapid Covid Antibody Set 25 0 25 0 25 (25) 0
345 Iudium Test Set 0 0 0 0 0 - 10
346 ILIADYN SEMPROT HIDUNG BTL 4 10 10 0 10 (10) 0
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Oktober

Kabupaten : Keerom
Provinsi : Papua
BULAN: : Oktober TAHUN: 2021

5 ALKOHOL SWAB 2 PLY 100 PCS PIECES 7200 7200 200 7000 (6,733) 0
8 AMBROXOL TABLET 30 MG TABLET 1000 3000 4000 200 3800 (3,533) -

20 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 10 30 40 40 0 53 50
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 0 0 0 0 0 - 50
32 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 3900 2000 5900 2400 3500 (300) 0
45 BENECHEK ASAM URAT PIECES 0 0 0 0 0 - 100
46 BENECHEK Cholesterol PIECES 0 0 0 0 0 - 0
47 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORIA 10 0 10 10 10 0 13 10 ed
48 BISACODYL SUPPOSITORIA 5 MG SUPPOSITORIA 6 0 6 6 0 8 10
53 BOX SLIDE box 0 0 0 0 0 - 0
65 CEFADROXIL SIRUP 125 MG/ML SIRUP 180 0 180 100 80 53 100
84 CLINDAMYCIN TABLET 150 MG TABLET 0 0 0 0 0 - 2000
94 CYANOCOBALAMIN TABLET 50 MCG TABLET 2000 0 2000 1300 700 1,033 1000
117 FLUCONAZOLE TABLET 150 MG TABLET 0 2000 2000 0 2000 (2,000) 0
122 FORMALIN 1000 ML BOTOL 1 0 1 1 0 1 10
127 GENTAMYCIN SALEP 1 % SALEP 0 125 125 0 125 (125) 0
128 GIPS PUTIH PIECES 0 0 0 0 0 - 0
129 GLIBENCLAMIDE TABLET 5 MG TABLET 700 0 700 300 400 - 0
130 GLIMEPIRIDE TABLET 2 MG TABLET 0 0 0 0 0 - 0
148 INFUS SET PIECES 540 0 540 41 499 (444) 0
167 KAPAS PEMBALUT SET 250 G SET 10 0 10 5 5 2 5
169 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
175 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
176 KERTAS PUYER LEMBAR 20 0 20 20 0 27 30
189 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 - 3000
190 LYSOL CONCENTRATE BOTOL 17 0 17 0 17 (17) 0 Jul-21
192 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 - 100
194 MASKER N95 PIECES 0 0 0 0 0 - 20
204 METFORMIN HCL TABLET 500 MG TABLET 0 0 0 0 0 - 2000
207 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 200 200 0 200 (200) 0
209 METHYLPREDNISOLONE TABLET 16 MG TABLET 900 0 900 0 900 (900) 0
210 METOCLOPRAMIDE TABLET 5 MG TABLET 0 1200 1200 0 1200 (1,200) 0
217 MULTIVITAMIN SIRUP SIRUP 0 0 0 0 0 - 50
218 MY JELLY TUBE 0 0 0 0 0 - 30
228 OXYCAN BOTOL 0 0 0 0 0 - 0
237 PAPER POINT NO 15 - 40 0 0 0 0 0 0 - 0
238 PAPER POINT NO 45 - 80 0 0 0 0 0 0 - 0
250 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 1300 0 1300 0 1300 (1,300) 0
254 PLESTER ROLL 6 6 12 0 12 (12) 0
259 POVIDONE IODINE 10% 300ML CAIRAN 0 0 0 0 0 - 20
263 PYRANTEL PAMOATE SIRUP SIRUP 0 0 0 0 0 - 1000
266 PYRIDOXINE TABLET 10 MG TABLET 0 3000 3000 1000 2000 (667) 0
270 RAPID 1 HIV (SD) KIT 50 0 50 50 50 0 67 100
273 RDT SYPHILIS (HUMAN) PIECES 100 0 100 50 50 17 50
276 REAGEN ZIEHL NEELSEN 100 ML BOTOL 0 0 0 0 0 - 5
278 RETINOL PALMITATE TABLET 200000 IU TABLET 0 1300 1300 0 1300 (1,300) 0
281 SAFEGLOVE PP (ONEMED) SIZE 6,5 PIECES 19 0 19 19 0 25 50
284 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT) TABLET 300 1000 1300 0 1300 (1,300) 0
288 SARUNG TANGAN ANCEL NON POWDER M PIECES 0 1000 1000 1000 0 1,333 2000 jkn2100 Latex M
289 SARUNG TANGAN ANCEL NON POWDER S PIECES 500 1000 1500 -100 1600 (1,733) 0 Latex S
295 SIMVASTATIN TABLET 10 MG TABLET 0 3000 3000 0 3000 (3,000) 0
302 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
303 SPUIT 2,5 CC PIECES 0 0 0 0 - 700
304 SPUIT 3 CC PIECES 828 0 828 169 659 (434) 0
305 SPUIT 5 CC PIECES 150 200 350 58 292 (215) 0
327 TUBE EDTA PLH 13 X 75 3.0 BLBE LAV (VACUTAINER WITH EDTA) PIECES 100 100 200 100 100 33 0 MERAH
334 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
337 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 1600 1000 2600 2000 600 2,067 3000
341 Paket TB 02 SET 50 0 50 0 50 (50) 0
343 WIDAL TEST PAKET 1 0 1 0 1 (1) 0
344 Rapid Covid Antibody Set 25 0 25 0 25 (25) 0
345 Iudium Test Set 0 0 0 0 0 - 10
346 ILIADYN SEMPROT HIDUNG BTL 10 10 20 10 10 3 0
351 Methanol 250ml Set 11 0 11 0 11 (11) 0
352 Allopurinol Tablet 300mg Tablet 200 0 200 0 200 (200) 0
353 Handscoon Steril No.7 Set 100 0 100 0 100 (100) 0
354 Nurse Cp Set 100 200 300 10 290 (277) 0
355 Standart Covid-19 Test Set 125 50 175 25 150 (117) 0
356 Levopar Tab 100 300 400 0 400 (400) 0
357 Handscoen Ukuran L Set 1500 0 1500 1000 500 833 100
358 Pembalut Bersalin Pcs 20 0 20 0 20 (20) 0
359 Masker Kain Pcs 100 0 100 0 100 (100) 0
360 AMOXYCILLIN DROPS DROPS 0 24 24 10 14 (1) 0
361 ASEPTIC GEL 100 CC BTL 0 24 24 1 23 (22) 0
362 Apron Set 0 48 48 0 48 (48) 0
363 Biolacenton Zalf Klit Tube 0 6 6 0 6 (6) 0
364 Cetriazon Injeksi Ampul 0 20 20 0 20 (20) 0
JKN UMUM TOTAL

Kepala Tata Usaha
(Yulian Franklyn Uriager, S.Km, M.Kes) ( Herlina Pabuntang, S. Si, Apt ) Dr.Yani Cahyo Susilo Apt. Maria Taruli Nainggolan, S.Farm
Nip. 19700707 199403 1 011 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19940125 202001 1 22022
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : November

Kabupaten : Keerom
Provinsi : Papua
BULAN: : November TAHUN: 2020

5 ALKOHOL SWAB 2 PLY 100 PCS PIECES 2400 0 2400 800 1600 (533) 0
6 ALLOPURINOL TABLET 100 MG TABLET 1800 0 1800 1800 0 2,400 3000
8 AMBROXOL TABLET 30 MG TABLET 3000 0 3000 3000 0 4,000 4,000

12 AMINOPHYLLINE TABLET 200 MG TABLET 300 800 1100 800 300 767 1000
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 3000 0 3000 1500 1500 500 0
24 ANTIFUNGI: ASAM SALICYLICUM 30 MG, ASAM BENZOICUM 60 POT 31 0 31 0 31 (31) 0
25 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORI 75 0 75 0 75 (75) 0
32 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 7700 0 7700 3000 4700 (700) 0
44 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORI 20 0 20 15 5 15 15
45 BISACODYL SUPPOSITORIA 5 MG SUPPOSITORI 6 0 6 0 6 (6) 0
47 BISTURI NO. 22 PIECES 200 100 300 200 100 167 200
50 BOX SLIDE box 0 0 0 0 0 - 0
54 CAPTOPRIL TABLET 12.5 MG TABLET 1600 0 1600 800 800 267 300
63 CEFADROXIL TABLET 500 MG TABLET 1000 0 1000 0 1000 (1,000) 0
67 CHLORAMPHENICOL KAPSUL 250 MG KAPSUL 600 0 600 600 0 800 800
73 CHLORPHENIRAMINE TABLET 4 MG TABLET 3000 0 3000 1500 1500 500 500
78 Cholesterol (total) test system SET 0 50 50 50 0 67 100 jkn
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 0 400 400 0 400 (400) 0
80 CLINDAMYCIN TABLET 150 MG TABLET 0 1000 1000 -300 1300 (1,700) 0
82 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI 10 0 10 10 10 0 13 20
96 DIAZEPAM TABLET 5 MG TABLET 100 0 100 100 0 133 150
98 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET 40 M TABLET 2429 2592 5021 1394 3627 (1,768) 0
122 GENTAMYCIN SALEP 0.3 % SALEP 0 30 30 0 30 (30) 0
129 Glucose test system SET 175 650 825 447 378 218 200 250jkn
131 GLYCERYL DISTEARATE TABLET 100 MG TABLET 5000 0 5000 2000 3000 (333) 0
145 INFUS SET PIECES 582 0 582 50 532 (465) 0
166 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
172 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
175 KETOCONAZOLE SALEP 2% SALEP 0 50 50 0 50 (50) 0
184 LIDOKAIN INJEKSI 2% HCL + EPINEPHRINE INJEKSI 1:80.000 - 2 M INJEKSI 139 0 139 49 90 (25) 0
191 MASKER N95 PIECES 15 0 15 0 15 (15) 0
194 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 TABLET 6 0 6 6 0 8 12
195 MDT COMBI MB CHILD : RIFAMPICIN 300 MG, CLOFAZIMINE 50 TABLET 0 0 0 0 0 - 0
196 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG |DAPSON 100 MTABLET 0 0 0 0 0 - 0
197 MDT COMBI PB CHILD : RIFAMPICIN BP\/RIMACTANE 300 MG + TABLET 0 0 0 0 0 - 0
200 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET 0 500 500 0 500 (500) 0
208 METRONIDAZOLE INFUS 5 G/100 ML INFUS 2 0 2 2 0 3 5
209 METRONIDAZOLE TABLET 500 MG TABLET 1000 0 1000 700 300 633 1000
215 MY JELLY TUBE 10 0 10 2 8 (5) 0
216 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 600 2000 2600 600 2000 (1,200) 0
225 OXYCAN BOTOL 0 0 0 0 0 - 0
227 OXYTETRACYCLINE 3 % SALEP KULIT SALEP KULIT 25 50 75 25 50 (17) 0
234 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
235 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
236 Paractamol Infus btl 3 0 3 3 0 4 5
242 PHENOL GLYCEROL 10% (TETES TELINGA) CAIRAN 24 0 24 24 0 32 48
251 PLESTER ROLL 8 10 18 13 5 12 50 jkn
267 RAPID 1 HIV (SD) KIT 125 50 175 75 100 - 0
269 RAPID TEST MALARIA PIECES 737 400 1137 0 1137 (1,137) 0
283 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP TUBE 48 0 48 0 48 (48) 0
285 SARUNG TANGAN ANCEL NON POWDER M PIECES 2000 3100 5100 2000 3100 (433) 0 jkn2100 Latex M
288 SARUNG TANGAN NON STERIL SIZE M PIECES 0 2900 2900 0 2900 (2,900) 0 Skifa M
299 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
300 SPUIT 2,5 CC PIECES 0 0 0 0 0 - 300
301 SPUIT 3 CC PIECES 187 600 787 190 597 (344) 0
302 SPUIT 5 CC PIECES 200 0 200 125 75 92 100
306 STERACATH MEDICAL CATHETER 24G X 19 MM PIECES 0 1000 1000 0 1000 (1,000) 0
307 STERACATH MEDICAL CATHETER 26G X 3\/4 MM PIECES 47 0 47 32 15 28 50
323 TRIHEXYPHENIDYL TABLET 2 MG TABLET 500 0 500 500 500 0 667 1000
328 Uric acid test system SET 50 750 800 375 425 75 100 250jkn
329 URINE BAG PIECES 10 0 10 1 9 (8) 0
331 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
APD Lengkap Set 6 0 6 0 6 (6) 0
341 Paket TB 02 SET 0 0 0 0 0 - 3
Rapid Covid Set 150 0 150 0 75 (75) 0
Methanol 100ml Btl 0 0 0 0 0 - 0
Iudium Test Set 0 0 0 0 0 - 10
3M Filtex z250 Universal Restorative Set 1 0 1 0 1 (1) 0
Endoseal Root Canal Obturation Cement Btl 1 0 1 0 1 (1) 0
Zitemp Zoe Quik Cement Set 1 0 1 0 1 (1) 0
Neurobion Injeksi Vial 0 50 50 50 0 67 100
Metahanol 250ml Set 0 20 20 6 14 (6) 0
JKN UMUM TOTAL

Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
(LPLPO)
Unit Penerima : Puskesmas Arso III Bulan : Desemberber

Kabupaten : Keerom
Provinsi : Papua
BULAN: : Desember TAHUN: 2020

8 AMBROXOL TABLET 30 MG TABLET 0 0 0 0 0 - 4,000

18 AMOXYCILLIN TABLET 250 MG TABLET 0 0 0 0 0 - 0
21 ANISOL 100 ML BOTOL 0 0 0 0 0 - 0
23 ANTACIDA TABLET TABLET 1500 0 1500 0 1500 (1,500) 0
50 BOX SLIDE box 0 0 0 0 0 - 0
63 CEFADROXIL TABLET 500 MG TABLET 1000 0 1000 0 1000 (1,000) 0
79 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 400 0 400 0 400 (400) 0
80 CLINDAMYCIN TABLET 150 MG TABLET 1300 0 1300 0 1300 (1,300) 0
82 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 10 0 - 20
96 DIAZEPAM TABLET 5 MG TABLET 0 0 0 0 0 - 150
122 GENTAMYCIN SALEP 0.3 % SALEP 30 0 30 0 30 (30) 0
129 Glucose test system SET 378 0 378 0 378 (378) 200 250jkn
145 INFUS SET PIECES 532 0 532 0 532 (532) 0
166 KASA 2Y X 80 CM ROLL 72 0 72 0 72 (72) 0
172 KERTAS EKG ROLL 3 0 3 0 3 (3) 0
175 KETOCONAZOLE SALEP 2% SALEP 50 0 50 0 50 (50) 0
190 MASKER (KARET) PIECES 0 0 0 0 0 - 2500
191 MASKER N95 PIECES 15 0 15 0 15 (15) 0
194 MDT COMBI MB ADULT : RIFAMPICIN 300 MG, CLOFAZIMINE 100 MG | DAPSON 100 MG TABLET 0 0 0 0 0 - 12
200 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET 500 0 500 0 500 (500) 0
201 METFORMIN HCL TABLET 500 MG TABLET 2000 0 2000 0 2000 (2,000) 0
208 METRONIDAZOLE INFUS 5 G/100 ML INFUS 0 0 0 0 0 - 5
209 METRONIDAZOLE TABLET 500 MG TABLET 300 0 300 0 300 (300) 1000
214 MULTIVITAMIN SIRUP SIRUP 0 0 0 0 0 - 100
215 MY JELLY TUBE 8 0 8 0 8 (8) 0
216 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 2000 0 2000 0 2000 (2,000) 0
225 OXYCAN BOTOL 0 0 0 0 0 - 0
227 OXYTETRACYCLINE 3 % SALEP KULIT SALEP KULIT 50 0 50 0 50 (50) 0
228 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 0 0 0 0 0 - 200
234 PAPER POINT NO 15 - 40 0 1 0 1 0 1 (1) 0
235 PAPER POINT NO 45 - 80 0 1 0 1 0 1 (1) 0
236 Paractamol Infus btl 0 0 0 0 0 - 5
251 PLESTER ROLL 5 0 5 0 5 (5) 50 jkn
267 RAPID 1 HIV (SD) KIT 100 0 100 0 100 (100) 0
269 RAPID TEST MALARIA PIECES 1137 0 1137 0 1137 (1,137) 0
285 SARUNG TANGAN ANCEL NON POWDER M PIECES 3100 0 3100 0 3100 (3,100) 0 jkn2100 Latex M
288 SARUNG TANGAN NON STERIL SIZE M PIECES 2900 0 2900 0 2900 (2,900) 0 Skifa M
299 SPUIT 10 CC PIECES 0 0 0 0 0 - 0
300 SPUIT 2,5 CC PIECES 0 0 0 0 0 - 300
301 SPUIT 3 CC PIECES 597 0 597 0 597 (597) 0
302 SPUIT 5 CC PIECES 75 0 75 0 75 (75) 100
306 STERACATH MEDICAL CATHETER 24G X 19 MM PIECES 1000 0 1000 0 1000 (1,000) 0
323 TRIHEXYPHENIDYL TABLET 2 MG TABLET 0 0 0 0 500 0 - 1000
328 Uric acid test system SET 425 0 425 0 425 (425) 100 250jkn
329 URINE BAG PIECES 9 0 9 0 9 (9) 0
331 VIKIA HIV 1\/2 TEST 0 0 0 0 0 - 100
APD Lengkap Set 6 0 6 0 6 (6) 0
341 Paket TB 02 SET 0 0 0 0 0 - 3
Rapid Covid Set 75 0 75 0 75 (75) 0
Methanol 100ml Btl 0 0 0 0 0 - 0
Iudium Test Set 0 0 0 0 0 - 10
3M Filtex z250 Universal Restorative Set 1 0 1 0 1 (1) 0
Endoseal Root Canal Obturation Cement Btl 1 0 1 0 1 (1) 0
Zitemp Zoe Quik Cement Set 1 0 1 0 1 (1) 0
Neurobion Injeksi Vial 0 0 0 0 0 - 100
Metahanol 250ml Set 14 0 14 0 14 (14) 0
JKN UMUM TOTAL

Nip. 19740223 200502 1 002 NIP. 19800809 200502 1 003 Nip.19760529 200801 1 011 Nip.19870117 201104 2 001
0
Penerimaan Obat / BHP Periode Jan - Des 2019
Sumber
Kemasan Stok
No Nama Obat / BHP Januari Februari Maret April
Satuan Awal
APBD
1 2 3 4 5 6 7
Kode Nama Obat Sediaan
AK0301 Peralatan Diagnostika 0 0 0 #NAME?
AK0201 Pewarna Biologikal 0 Penerimaan
Penerimaan#NAME?
10315 2 - 4 SALEP SALEP 25 25 #NAME?
108 ACYCLOVIR SALEP 5 % SALEP 200 200 #NAME?
120 ACYCLOVIR TABLET 400 MG TABLET 0 0 #NAME?
175 ALBENDAZOLE TABLET 400 MG TABLET 13 0 #NAME?
239 ALKOHOL LIQUID 85 % LIQUID 7200 0 #NAME?
247 ALLOPURINOL TABLET 100 MG TABLET 5000 0 #NAME?
332 ALUMINIUM HYDROXIDE|ACETYLSALICYLI TABLET 0 0 #NAME?
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 2000 0 #NAME?
379 AMBROXOL TABLET 30 MG TABLET 0 0 #NAME?
415 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 0 0 #NAME?
417 AMINOPHYLLINE TABLET 200 MG TABLET 0 0 #NAME?
444 AMITRIPTYLINE TABLET 25 MG TABLET 0 0 #NAME?
446 AMLODIPINE TABLET 5 MG TABLET 0 0 #NAME?
540 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 1000 1000 #NAME?
507 AMOXYCILLIN TABLET 250 MG TABLET 120 0 ####NAME?
511 AMOXYCILLIN TABLET 500 MG TABLET 180 0 #NAME?
706 AMPICILLIN INJEKSI 1 G/VIAL INJEKSI 0 0 #NAME?
AK0204002 Analyte specific reagents 0 0 0 #NAME?
804 ANTACIDA SIRUP 400 MG/5 ML SIRUP 10 0 #NAME?
302 ANTACIDA TABLET TABLET 0 0 #NAME?
AK9000687 AQUASONIC JELLY 5 L 0 0 200 #NAME?
886 ARTESUNATE INJEKSI 60 MG INJEKSI 5000 1000 #NAME?
AK9000716 ARTICULATING PAPER FARCIAL 0 ### 0 #NAME?
963 ASAM LIPOAT TABLET TABLET ### 100 #NAME?
966 ASAM MEFENAMAT TABLET 500 MG TABLET ### 0 #NAME?
Asam Trahexamat Tablet TABLET ### 120 #NAME?
1274 ATROPINE SULPHATE INJEKSI 0.25 MG/MINJEKSI ### 0 #NAME?
1289 ATTAPULGITE TABLET 600 MG TABLET ### 0 #NAME?
1347 AZITHROMYCIN TABLET 500 MG TABLET ### 0 #NAME?
1362 BACITRACIN|NEOMYCIN SULPHATE|POLYSALEP ### 1000 #NAME?
AK9012172 BAYCLIN 4 L 0 ### 0 #NAME?
1461 BENZATHINE BENZYLPENICILLIN INJEKSIINJEKSI ### 0 #NAME?
1599 BETAMETHASONE SALEP 0.1% SALEP ### Penerimaan#NAME?
1690 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORIA ### 0 #NAME?
1691 BISACODYL SUPPOSITORIA 5 MG SUPPOSITORIA ### 0 #NAME?
1693 BISACODYL TABLET 5 MG TABLET ### 0 #NAME?
1695 BISMUTH RESORCIN|BISMUTH SUBGALLAT SUPPOSITORIA ### 0 #NAME?
AK9001913 BLOOD B KETON TEST STRIP OPTIUM 0 ### 0 #NAME?
AK9001917 BLOOD LANCET 0 ### 0 #NAME?
AK9002009 BOX SLIDE 0 ### 0 #NAME?
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLTABLET ### 0 #NAME?
2002 CALCIUM GLUCONATE|CALCIUM INJEKSIINJEKSI ### 0 #NAME?
6441 CALCIUM LACTATE TABLET 500 G TABLET ### 0 #NAME?
2075 CAPTOPRIL TABLET 25 MG TABLET ### 0 #NAME?
2084 CARBAMAZEPINE TABLET 200 MG TABLET ### 0 #NAME?
AK9002709 CAT GUT CHROMIC 2 - 0 0 ### 0 #NAME?
AK9002710 CAT GUT CHROMIC 3 - 0 0 ### 0 #NAME?
AK9002715 CAT GUT PLAIN 2 - 0 0 ### 0 #NAME?
AK9002716 CAT GUT PLAIN 3 - 0 0 ### 300 #NAME?
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP ### 0 #NAME?
2176 CEFADROXIL TABLET 500 MG TABLET ### 0 #NAME?
2537 CETIRIZINE SIRUP 5 MG/ML SIRUP ### 0 #NAME?
2546 CETIRIZINE TABLET 10 MG TABLET ### 0 #NAME?
2574 CHLORAMPHENICOL DROPS 0.5% DROPS ### 0 #NAME?
2581 CHLORAMPHENICOL DROPS 1 % DROPS ### 500 #NAME?
2589 CHLORAMPHENICOL INJEKSI 1 G/VIAL INJEKSI ### 1000 #NAME?
2600 CHLORAMPHENICOL SALEP 1% SALEP ### 1000 #NAME?
2601 CHLORAMPHENICOL SALEP 2%/ IkamisetiSALEP ### 0 #NAME?
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP ### 0 #NAME?
2620 CHLORAMPHENICOL TABLET 250 MG TABLET ### 24 #NAME?
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET ### 72 #NAME?
2761 CHLORPROMAZINE INJEKSI 5 MG/ML INJEKSI ### 0 #NAME?
2762 CHLORPROMAZINE TABLET 100 MG TABLET ### 0 #NAME?
AK0101034 Cholesterol (total) test system 0 ### 0 #NAME?
2828 CIPROFLOXACIN TABLET 500 MG TABLET ### 500 #NAME?
3018 CLINDAMYCIN TABLET 150 MG TABLET ### 0 #NAME?
3157 CODEINE TABLET 10 MG TABLET ### 0 #NAME?
3196 CORTISONE ACETATE INJEKSI 25 MG/MLINJEKSI ### 0 #NAME?
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP ### 0 #NAME?
3206 COTRIMOXAZOLE TABLET 120 MG TABLET ### 0 #NAME?
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI ### 0 #NAME?
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI ### 0 #NAME?
3443 DEXAMETHASONE TABLET 0.5 MG TABLET ### 0 #NAME?
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA ### 0 #NAME?
DIAZEPAM TABLET 5MG TABLET ### 0 #NAME?
3688 DICLOFENAC SODIUM TABLET 25 MG TABLET ### 0 #NAME?
3728 DIETHYLCARBAMAZINE TABLET 100 MG TABLET ### Penerimaan#NAME?
3756 DIGOXIN TABLET 0.25 MG TABLET ### 0 #NAME?
3759 DIHYDROARTEMISININ|PIPERAQUINE PHOTABLET ### 0 #NAME?
3787 DILTIAZEM TABLET 30 MG TABLET ### 0 #NAME?
3734 DIPHENHYDRAMINE INJEKSI INJEKSI ### 0 #NAME?
AK9003961 DISPOSIBLE BLADE 0 ### 0 #NAME?
AK9003966 DISPOSIBLE INJECTION NEEDLE FORCE 0 ### 0 #NAME?
3973 DOMPERIDONE SIRUP SIRUP ### 0 #NAME?
3983 DOMPERIDONE TABLET 10 MG TABLET ### 0 #NAME?
4030 DOXYCYCLINE TABLET 100 MG TABLET ### 200 #NAME?
AK9004116 EASY CARE WASH GLOVES ANTISEPTIC 0 ### 0 #NAME?
4303 EPINEPHRINE INJEKSI 0.1 % INJEKSI ### 0 #NAME?
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP ### 0 #NAME?
4461 ERYTHROMYCIN TABLET 500 MG TABLET ### 0 #NAME?
4551 ETAKRIDIN LIQUID 0.1 % LIQUID ### 0 #NAME?
4560 ETHANOL 100 ML ### 0 #NAME?
4561 ETHANOL 1000 ML ### 0 #NAME?
4663 EUGENOL LIQUID LIQUID ### 0 #NAME?
AK9004503 FEEDING TUBE NO 5 100 CM 0 ### 0 #NAME?
AK9004504 FEEDING TUBE NO 5 120 CM 0 ### 0 #NAME?
AK9004509 FEMALE CATHETER 12 0 ### 0 #NAME?
4732 FENOL GLISEROL DROPS 10 % DROPS ### 0 #NAME?
4734 FENOTEROL HYDROBROMIDE LIQUID 0.1LIQUID ### 0 #NAME?
4767 FERROUS FUMARATE TABLET TABLET ### 0 #NAME?
4791 FERROUS GLUCONATE|VITAMIN C|VITAMIN
TABLET ### 0 #NAME?
4807 FERROUS SULPHATE SIRUP 150 MG/5 MLSIRUP ### 0 #NAME?
4863 FLUCONAZOLE TABLET 150 MG TABLET ### 0 #NAME?
4906 FLUORESCEIN SODIUM DROPS 2.5 MG/MDROPS ### 0 #NAME?
AK9004697 FOLEY CATHETER 2 WAY NO 10 0 ### 0 #NAME?
938 FOLIC ACID TABLET 1 MG TABLET ### 0 #NAME?
5051 FRAMYCETIN SULPHATE TULLE 1 % TULLE ### 0 #NAME?
FurOSEMIDE Tablet Tablet ### 0 #NAME?
5071 FUROSEMIDE INJEKSI 10 MG/ML INJEKSI ### 0 #NAME?
5126 GARAM ORALIT SERBUK SERBUK ### 0 #NAME?
AK0204001 General purpose reagent ML ### 0 #NAME?
5166 GENTAMYCIN SALEP 0.1 % SALEP ### 0 #NAME?
5193 GENTAMYCIN SALEP 1 % SALEP ### 0 #NAME?
AK9004881 GIPS PUTIH 0 ### 0 #NAME?
5252 GLIBENCLAMIDE TABLET 5 MG TABLET ### 0 #NAME?
5265 GLIMEPIRIDE TABLET 2 MG TABLET ### 0 #NAME?
5291 GLUCOSE INFUS 10 % INFUS ### 0 #NAME?
AK0101069 Glucose test system 0 ### 0 #NAME?
5436 GLYCEROL LIQUID LIQUID ### 0 #NAME?
5448 GLYCERYL DISTEARATE TABLET 100 MGTABLET ### Penerimaan#NAME?
5522 GRISEOFULVIN TABLET 125 MG TABLET ### 0 #NAME?
5635 HALOPERIDOL INJEKSI 5 MG/ML INJEKSI ### 0 #NAME?
5636 HALOPERIDOL TABLET 0.5 MG TABLET ### 0 #NAME?
5642 HALOPERIDOL TABLET 5 MG TABLET ### 0 #NAME?
5747 HUMAN ALBUMINE INJEKSI 20 % INJEKSI ### 0 #NAME?
5862 HYDROGEN PEROXIDE LIQUID 3 % LIQUID ### 0 #NAME?
5788 HYDROCHLOROTHIAZIDE TABLET 25 MGTABLET ### 0 #NAME?
5843 HYDROCORTISONE SALEP 2.5 % SALEP ### 0 #NAME?
5904 HYOSCINE TABLET 10 MG TABLET ### 0 #NAME?
H202 30% 1000ml Botol ### 0 #NAME?
5949 IBUPROFEN SIRUP 100 MG/5 ML SIRUP ### 0 #NAME?
5964 IBUPROFEN TABLET 200 MG TABLET ### 1000 #NAME?
5991 ICHTHYOL SALEP 10 % SALEP ### 0 #NAME?
AK1403002 Immersion hydrobath BTL500ML ### 0 #NAME?
AK9005570 INFUS SET 0 ### 0 #NAME?
AK9005571 INFUS SET PEDIATRIC 0 ### 0 #NAME?
6179 IODIUM POVIDON LIQUID 10 % LIQUID ### 72 #NAME?
AK9012183 Iodoform (Mummifying Pasta) 0 ### 0 #NAME?
6225 IPRATROPIUM BROMIDE LIQUID 25% LIQUID ### 200 #NAME?
6224 IPRATROPIUM BROMIDE SPRAY SPRAY ### 0 #NAME?
6322 ISONIAZID TABLET 100 MG TABLET ### 0 #NAME?
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET ### 0 #NAME?
AK9005687 IV CATHETER NO 18 0 ### 0 #NAME?
AK9005733 JARUM JAHIT KULIT G 12 0 ### 0 #NAME?
AK9005739 JARUM JAHIT KULIT NO 11 0 ### 0 #NAME?
AK9005740 JARUM JAHIT KULIT NO 13 0 ### 0 #NAME?
AK9005741 JARUM JAHIT OTOT E 000 0 ### 0 #NAME?
AK9005742 JARUM JAHIT OTOT GR 11 0 ### 0 #NAME?
Kalsium Hidroksida Pasta/Calsidor ### 0 #NAME?
6467 KANAMYCIN INJEKSI 1 G/VIAL INJEKSI ### 0 #NAME?
6500 KAPAS PEMBALUT SET 500 G SET ### 0 #NAME?
AK9005943 KAPAS PUTIH 250 G 0 ### 0 #NAME?
AK9005961 KASA 2Y X 80 CM 0 ### Penerimaan#NAME?
AK90121071KASA HYDROFIL 4 M X 15 CM 0 ### 0 #NAME?
AK9005982 KASA HYDROFIL 40 M X 80 CM 0 ### 0 #NAME?
AK9006000 KASA LIPAT 40 X 40 STERIL 0 ### 0 #NAME?
AK9006004 KASA LIPAT KOTAK 16 X 16 STERIL 0 ### 0 #NAME?
AK9006009 KASA ROL GAAS 0 ### 0 #NAME?
AK9006059 KERTAS EKG 0 ### 0 #NAME?
AK9006066 KERTAS PUYER 0 ### 0 #NAME?
AK9006069 KERTAS SARING 58 X 58 CM 0 ### 50 #NAME?
6535 KETOCONAZOLE SALEP 2% SALEP ### 0 #NAME?
6546 KETOCONAZOLE TABLET 200 MG TABLET ### 0 #NAME?
AK9012185 Klorfenol Kamfer Menthol (CHKM) 0 ### 0 #NAME?
Levopar TABLET ### 0 #NAME?
6809 LEVODOPA TABLET TABLET ### 0 #NAME?
6864 LEVONORGESTREL|ETHINYLESTRADIOL TABLET
T ### 0 #NAME?
Lembar TB 01 Lembar ### 0 #NAME?
6906 LIDOCAINE INJEKSI 2% INJEKSI ### 0 #NAME?
6890 LIDOCAINE SALEP 2% SALEP ### 30 #NAME?
6909 LIDOCAINE SPRAY 10 % SPRAY ### 0 #NAME?
6892 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY ### 0 #NAME?
6899 LIDOCAINE|EPINEPHRINE INJEKSI INJEKSI ### 0 #NAME?
6998 LOPERAMIDE TABLET 2 MG TABLET ### 0 #NAME?
7013 LORATADINE TABLET 10 MG TABLET ### 0 #NAME?
7153 MAGNESIUM SULPHATE INJEKSI 20 % INJEKSI ### 0 #NAME?
AK9006974 MASKER N95 0 ### 0 #NAME?
AK9006980 MASKER OKSIGEN ADULT 0 ### 0 #NAME?
AK9006982 MASKER PAKAI KARET 0 ### 0 #NAME?
AK9006983 MASKER PAKAI TALI 0 ### 0 #NAME?
AK9006987 MASKER TALI 3 PLY HD 0 ### 0 #NAME?
7247 MEDROXYPROGESTERONE ACETATE INJE INJEKSI ### 0 #NAME?
AK9007087 MERSILK 2 - 0 0 ### 0 #NAME?
7405 METACRESOLSULPHONIC ACID-FORMALD LIQUID ### 0 #NAME?
799 METAMPIRON (ANTALGIN) INJEKSI 250 MINJEKSI ### 0 #NAME?
803 METAMPIRON (ANTALGIN) TABLET 500 MTABLET ### 30 #NAME?
7491 METFORMIN TABLET 500 MG TABLET ### 0 #NAME?
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ INJEKSI ### 0 #NAME?
7605 METHYLERGOMETRINE TABLET 0.125 MTABLET ### 1 #NAME?
7586 METHYLPREDNISOLONE TABLET 8 MG TABLET ### 0 #NAME?
7678 METRONIDAZOLE INFUS 5 G/100 ML INFUS ### 0 #NAME?
7695 METRONIDAZOLE TABLET 250 MG TABLET ### 0 #NAME?
7727 MICONAZOLE SALEP 2% SALEP ### 0 #NAME?
AK9007346 MUCUS EXTRACTOR 0 ### 0 #NAME?
7902 MULTIVITAMIN DROPS DROPS ### Penerimaan#NAME?
7908 MULTIVITAMIN SIRUP SIRUP ### 0 #NAME?
AK0403023 Nasal oxygen cannula 0 ### 0 #NAME?
8023 NASETIL SISTEIN INJEKSI 100 MG/ML INJEKSI ### 0 #NAME?
8160 NIFEDIPINE TABLET 10 MG TABLET ### 0 #NAME?
8255 NYSTATIN DROPS 100000 IU/ML DROPS ### 0 #NAME?
8268 NYSTATIN TABLET 10000 IU TABLET ### 0 #NAME?
8286 OBH SIRUP 60 ML SIRUP ### 0 #NAME?
AK9007599 OBJECK GLASS 0 ### 0 #NAME?
AK9007601 OBJECK GLASS 76 X 26 MM 0 ### 0 #NAME?
Odex Botol ### 0 #NAME?
8320 OFLOXACIN DROPS 3 MG/ML DROPS ### 0 #NAME?
8363 OMEPRAZOLE INJEKSI 40 MG/VIAL INJEKSI ### 0 #NAME?
8373 OMEPRAZOLE TABLET 20 MG TABLET ### 160 #NAME?
8378 ONDANSETRON TABLET 4 MG TABLET ### 0 #NAME?
8451 OXYMETAZOLINE DROPS 25% DROPS ### 0 #NAME?
8481 OXYTOCIN INJEKSI 10 IU/ML INJEKSI ### 0 #NAME?
OYTTERTRA ZALF KULIT 3%50 ### 0 #NAME?
8546 PAPAVERINE INJEKSI 40 MG/ML INJEKSI ### 0 #NAME?
8544 PAPAVERINE TABLET 40 MG TABLET ### 7 #NAME?
AK9007777 PAPER POINT NO 15 - 40 0 ### 2 #NAME?
AK9007778 PAPER POINT NO 45 - 80 0 ### 0 #NAME?
8601 PARACETAMOL SIRUP 120 MG/5 ML SIRUP ### 0 #NAME?
8593 PARACETAMOL TABLET 500 MG TABLET ### 0 #NAME?
9086 PERMETHRIN SALEP 5 % SALEP ### 0 #NAME?
9120 PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI ### 0 #NAME?
9125 PHENOBARBITAL TABLET 30 MG TABLET ### 0 #NAME?
9134 PHENOL LIQUID LIQUID ### 0 #NAME?
9139 PHENOL|BENZOCAINE LIQUID LIQUID ### 0 #NAME?
9151 PHENOXYMETHYLPENICILLIN TABLET 25TABLET ### 1000 #NAME?
9152 PHENOXYMETHYLPENICILLIN TABLET 50TABLET ### 0 #NAME?
9242 PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI ### 0 #NAME?
9246 PHENYTOIN TABLET 100 MG TABLET ### 0 #NAME?
4832 PHYTOMENADIONE (VITAMIN K) INJEKSI INJEKSI ### 0 #NAME?
9261 PHYTOMENADIONE (VITAMIN K) TABLET TABLET ### 0 #NAME?
9392 PIROXICAM TABLET 20 MG TABLET ### 120 #NAME?
9409 PLACENTA EXTRACT|NEOMYCIN SULPHATE SALEPSALEP ### 0 #NAME?
AK9008127 PLESTER HIPOALERGENIC 1/2 DGN DIS 0 ### 0 #NAME?
AK9008129 PLESTERKU 0 ### 0 #NAME?
9415 POLICRESULEN LIQUID 36 % LIQUID ### 0 #NAME?
AK9008212 POT 10 ML 0 ### 0 #NAME?
9490 POVIDONE IODINE 30 ML ML ### 0 #NAME?
9496 POVIDONE IODINE ML ### 0 #NAME?
9583 PREDNISONE TABLET 5 MG TABLET ### 100 #NAME?
9597 PRIMAQUINE TABLET 15 MG TABLET ### Penerimaan#NAME?
9689 PROPRANOLOL TABLET 10 MG TABLET ### 10 #NAME?
9692 PROPYLTHIOURACIL TABLET 100 MG TABLET ### 0 #NAME?
9789 PYRANTEL PAMOATE SIRUP SIRUP ### 0 #NAME?
9790 PYRANTEL PAMOATE TABLET 125 MG TABLET ### 0 #NAME?
9799 PYRAZINAMIDE KOMBINASI KOMBINASI ### 5000 #NAME?
9810 PYRIDOXINE INJEKSI 100 MG/ML INJEKSI ### 0 #NAME?
1684 PYRIDOXINE TABLET 10 MG TABLET ### 0 #NAME?
9958 QUININE TABLET 222 MG TABLET ### 0 #NAME?
10012 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI ### 0 #NAME?
10014 RANITIDINE TABLET 150 MG TABLET ### 0 #NAME?
Reagensia HCl 0,1 N Btl100ml ### 100 #NAME?
11896 RETINOL PALMITATE TABLET 100000 IU TABLET ### 500 #NAME?
10109 RIFAMPICIN KOMBINASI KOMBINASI ### 0 #NAME?
10115 RIFAMPICIN TABLET 300 MG TABLET ### 400 #NAME?
10126 RIFAMPICIN|ISONIAZID KOMBINASI KOMBINASI ### 0 #NAME?
10134 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KKOMBINASI ### 100 #NAME?
10146 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID| KOMBINASI ### 0 #NAME?
10149 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIKOMBINASI ### 5 #NAME?
AK9008713 RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0 ### 0 #NAME?
10288 SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY ### 0 #NAME?
10295 SALBUTAMOL TABLET 2 MG TABLET ### 150 #NAME?
10312 SALBUTAMOL|IPRATROPIUM SPRAY 3 MG| SPRAY ### 100 #NAME?
10316 SALICYCLIC ACID|SULPHUR COMPOUND SALEP ### 100 #NAME?
10331 SALICYLIC ACID SERBUK 2% SERBUK ### 0 #NAME?
AK9008957 SARUNG TANGAN MICROTOUCH NITRILE 0 ### 1000 #NAME?
AK9008958 SARUNG TANGAN MICROTOUCH NITRILE 0 ### 0 #NAME?
AK9008960 SARUNG TANGAN NON STERIL 0 ### 48 #NAME?
AK9008962 SARUNG TANGAN PANJANG KARET NON 0 ### 12 #NAME?
AK9008968 SARUNG TANGAN STERIL NO 6.5 0 ### 200 #NAME?
AK9008970 SARUNG TANGAN STERIL NO 7.5 0 ### 0 #NAME?
AK9008971 SARUNG TANGAN STERIL NO 8 0 ### 0 #NAME?
AK9009378 SILK 3 - 0 0 ### 0 #NAME?
10482 SIMVASTATIN TABLET 10 MG TABLET ### 0 #NAME?
10515 SODIUM BICARBONATE TABLET 500 MG TABLET ### 36 #NAME?
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS ### Penerimaan#NAME?
10635 SODIUM LACTATE INFUS INFUS ### 0 #NAME?
AK9009541 SONY PAPER USG 0 ### 0 #NAME?
10734 SPIRONOLACTONE TABLET 25 MG TABLET ### 60 #NAME?
AK9009622 SPUIT 1 CC INSULIN 0 ### 0 #NAME?
AK9009624 SPUIT 10 CC 0 ### 0 #NAME?
AK9009627 SPUIT 2,5 CC 0 ### 0 #NAME?
AK9009628 SPUIT 20 CC 0 ### 0 #NAME?
AK9009629 SPUIT 3 CC 0 ### 135 #NAME?
AK9009632 SPUIT 5 CC 0 ### 0 #NAME?
10749 STERILIZED WATER FOR INJECTION INJEINJEKSI ### 0 #NAME?
AK9010873 SUCTION CATHETER NO 12 0 ### 150 #NAME?
10865 SULFADOXINE|PYRIMETHAMINE TABLET TABLET ### 0 #NAME?
AK9010907 SURGICAL GOWN 0 ### 0 #NAME?
AK9011231 TENSOCREPE 4 INCHI 0 ### 0 #NAME?
AK9011236 TES HIV 1/2/0 TRI - LINE TEST 0 ### 0 #NAME?
11102 TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI ### 0 #NAME?
11116 TETRACYCLINE TABLET 500 MG TABLET ### 0 #NAME?
11210 THIAMINE INJEKSI 100 MG/ML INJEKSI ### 0 #NAME?
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET ### 0 #NAME?
11215 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJEKSI ### 0 #NAME?
AK1604005 Topical oxygen chamber for extremities 0 ### 0 #NAME?
11478 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI ### 0 #NAME?
11480 TRAMADOL TABLET 50 MG TABLET ### 0 #NAME?
11523 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI ### 0 #NAME?
AK9011594 TRANSPORT SWAB 0 ### 0 #NAME?
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET ### 20 #NAME?
AK9011730 ULTRA TEST STRIP ( 50 STRIP ) 0 ### 0 #NAME?
AK9011753 UMBILICAL CORD CLAMP 0 ### 0 #NAME?
AK9011756 UNDERPAD 60 X 90 0 ### 0 #NAME?
AK9011798 URETHER CATHETER NO 6 0 ### 0 #NAME?
AK0101147 Uric acid test system 0 ### 0 #NAME?
AK0101068 Urinary glucose (nonquantitative) test syste 0 ### 0 #NAME?
AK9011806 URINE BAG 0 ### 0 #NAME?
11793 VALSARTAN TABLET 80 MG TABLET ### 0 #NAME?
11921 VITAMIN B COMPLEX TABLET 25 MG TABLET ### 0 #NAME?
11927 VITAMIN Livron B coplex TABLET ### 0 #NAME?
11952 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI ### Penerimaan#NAME?
11888 VITAMIN C TABLET 50 MG TABLET ### 0 #NAME?
AK9012054 WING NEEDLE NO 23 0 ### 0 #NAME?
AK9012056 WING NEEDLE NO 25 0 ### 0 #NAME?
AK9012152 YELLOW TIP AXYGEN 0 ### 0 #NAME?
12193 ZINC SULPHATE TABLET 20 MG/TABLET TABLET ### 0 #NAME?
Citodur Tube ### 0 #NAME?
Scabisis ZK Tbe ### 0 #NAME?
Bufacetin Zalf Kulit Tube ### 0 #NAME?
Hydcal ktk ### 0 #NAME?
TKF Btl ### 0 #NAME?
Tes HIV SD Set ### 0 #NAME?
Tes HIV Casette Fokus Set ### 0 #NAME?
Tes HIV Vikia Set ### 0 #NAME?
Selang Suction no 8 Set ### 0 #NAME?
Multivitamin Embion TABLET ### 0 #NAME?
Iodium test Tes ### TOTAL #NAME?
Paracetamol Drop 100mg/ml Btl ### 0 #NAME?
Cianokobalamin tab TABLET ### 0 #NAME?
Natrium Diklofenak 50mg TABLET ### 0 #NAME?
Diaepam Injeksi Ampul ### 0 #NAME?
Strip HbsAg Strip ### 0 #NAME?
Methanol Btl ### 0 #NAME?
Daftar Obat Expaired & Obat Rusak Tahun 2018
No Nama Obat / BHP Kemasan Satuan Tahun Expaired
1 2 3 4
2 Peralatan Diagnostika 0
3 Pewarna Biologikal 0
4 2 - 4 SALEP SALEP
5 ACYCLOVIR SALEP 5 % SALEP
6 ACYCLOVIR TABLET 400 MG TABLET
7 ALBENDAZOLE TABLET 400 MG TABLET
8 ALKOHOL LIQUID 85 % LIQUID
9 ALLOPURINOL TABLET 100 MG TABLET
10 ALUMINIUM HYDROXIDE|ACETYLSALICYLIC ACID TABLET TABLET
11 AMBROXOL SIRUP 15 MG/5 ML SIRUP
12 AMBROXOL TABLET 30 MG TABLET
13 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI
14 AMINOPHYLLINE TABLET 200 MG TABLET
15 AMITRIPTYLINE TABLET 25 MG TABLET
16 AMLODIPINE TABLET 5 MG TABLET
17 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP
19 AMOXYCILLIN TABLET 250 MG TABLET
21 AMPICILLIN INJEKSI 1 G/VIAL INJEKSI
22 Analyte specific reagents 0
23 ANTACIDA SIRUP 400 MG/5 ML SIRUP
24 ANTACIDA TABLET TABLET
25 AQUASONIC JELLY 5 L 0
26 ARTESUNATE INJEKSI 60 MG INJEKSI
27 ARTICULATING PAPER FARCIAL 0
28 ASAM LIPOAT TABLET TABLET
29 ASAM MEFENAMAT TABLET 500 MG TABLET
30 Asam Trahexamat inj INJEKSI
31 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI
32 ATTAPULGITE TABLET 600 MG TABLET
33 AZITHROMYCIN TABLET 500 MG TABLET
34 BACITRACIN|NEOMYCIN SULPHATE|POLYMYXIN B SULPHA SALEP
35 BAYCLIN 4 L 0
36 BENZATHINE BENZYLPENICILLIN INJEKSI 120000 IU INJEKSI
39 BETAMETHASONE SALEP 0.1% SALEP
40 BISACODYL SUPPOSITORIA 10 MG SUPPOSITORIA
42 BISACODYL TABLET 5 MG TABLET
43 BISMUTH RESORCIN|BISMUTH SUBGALLATE|BISMUTH IOD
SUPPOSITORIA
44 BLOOD B KETON TEST STRIP OPTIUM 0
45 BLOOD LANCET 0
46 BOX SLIDE 0
47 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MGTABLET
48 CALCIUM GLUCONATE|CALCIUM INJEKSI INJEKSI
49 CALCIUM LACTATE TABLET 500 G TABLET
50 CAPTOPRIL TABLET 25 MG TABLET
51 CARBAMAZEPINE TABLET 200 MG TABLET
52 CAT GUT CHROMIC 2 - 0 0
53 CAT GUT CHROMIC 3 - 0 0
54 CAT GUT PLAIN 2 - 0 0
55 CAT GUT PLAIN 3 - 0 0
56 CEFADROXIL SIRUP 125 MG/ML SIRUP
57 CEFADROXIL TABLET 500 MG TABLET
58 CETIRIZINE SIRUP 5 MG/ML SIRUP
59 CETIRIZINE TABLET 10 MG TABLET
60 CHLORAMPHENICOL DROPS 0.5% DROPS
61 CHLORAMPHENICOL DROPS 1 % DROPS
62 CHLORAMPHENICOL INJEKSI 1 G/VIAL INJEKSI
63 CHLORAMPHENICOL SALEP 1% SALEP
64 CHLORAMPHENICOL SALEP 2%/ Ikamisetin SALEP
65 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP
66 CHLORAMPHENICOL TABLET 250 MG TABLET
68 CHLORPHENIRAMINE TABLET 4 MG TABLET
69 CHLORPROMAZINE INJEKSI 5 MG/ML INJEKSI
70 CHLORPROMAZINE TABLET 100 MG TABLET
71 Cholesterol (total) test system 0
72 CIPROFLOXACIN TABLET 500 MG TABLET
73 CLINDAMYCIN TABLET 150 MG TABLET
74 CODEINE TABLET 10 MG TABLET
75 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI
76 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP
77 COTRIMOXAZOLE TABLET 120 MG TABLET
79 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI
80 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI
81 DEXAMETHASONE TABLET 0.5 MG TABLET
82 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA
83 DICLOFENAC SODIUM TABLET 25 MG TABLET
84 DIETHYLCARBAMAZINE TABLET 100 MG TABLET
85 DIGOXIN TABLET 0.25 MG TABLET
86 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABL TABLET
87 DILTIAZEM TABLET 30 MG TABLET
88 DIPHENHYDRAMINE INJEKSI INJEKSI
89 DISPOSIBLE BLADE 0
90 DISPOSIBLE INJECTION NEEDLE FORCE 23 G 0
91 DOMPERIDONE SIRUP SIRUP
92 DOMPERIDONE TABLET 10 MG TABLET
93 DOXYCYCLINE TABLET 100 MG TABLET
94 EASY CARE WASH GLOVES ANTISEPTIC 0
95 EPINEPHRINE INJEKSI 0.1 % INJEKSI
96 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP
97 ERYTHROMYCIN TABLET 500 MG TABLET
98 ETAKRIDIN LIQUID 0.1 % LIQUID
99 ETHANOL 100 ML
100 ETHANOL 1000 ML
101 EUGENOL LIQUID LIQUID
102 FEEDING TUBE NO 5 100 CM 0
103 FEEDING TUBE NO 5 120 CM 0
104 FEMALE CATHETER 12 0
105 FENOL GLISEROL DROPS 10 % DROPS
106 FENOTEROL HYDROBROMIDE LIQUID 0.1 % LIQUID
107 FERROUS FUMARATE TABLET TABLET
108 FERROUS GLUCONATE|VITAMIN C|VITAMIN B12|VITAMITABLET
109 FERROUS SULPHATE SIRUP 150 MG/5 ML SIRUP
110 FLUCONAZOLE TABLET 150 MG TABLET
111 FLUORESCEIN SODIUM DROPS 2.5 MG/ML DROPS
112 FOLEY CATHETER 2 WAY NO 10 0
115 FOLIC ACID TABLET 1 MG TABLET
116 FRAMYCETIN SULPHATE TULLE 1 % TULLE
117 FUROSEMIDE Tablet Tablet
118 FUROSEMIDE INJEKSI 10 MG/ML INJEKSI
119 GARAM ORALIT SERBUK SERBUK
120 General purpose reagent ML 100
121 GENTAMYCIN SALEP 0.1 % SALEP
122 GENTAMYCIN SALEP 1 % SALEP
123 GIPS PUTIH 0
124 GLIBENCLAMIDE TABLET 5 MG TABLET
125 GLIMEPIRIDE TABLET 2 MG TABLET
126 GLUCOSE INFUS 10 % INFUS
128 Glucose test system 0
129 GLYCEROL LIQUID LIQUID
130 GLYCERYL DISTEARATE TABLET 100 MG TABLET
131 GRISEOFULVIN TABLET 125 MG TABLET
133 HALOPERIDOL INJEKSI 5 MG/ML INJEKSI
134 HALOPERIDOL TABLET 0.5 MG TABLET
136 HALOPERIDOL TABLET 5 MG TABLET
137 HUMAN ALBUMINE INJEKSI 20 % INJEKSI
138 HYDROGEN PEROXIDE LIQUID 3 % LIQUID
139 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET
140 HYDROCORTISONE SALEP 2.5 % SALEP
141 HYOSCINE TABLET 10 MG TABLET
142 H202 30% 1000ml Botol
143 IBUPROFEN SIRUP 100 MG/5 ML SIRUP
144 IBUPROFEN TABLET 200 MG TABLET
145 ICHTHYOL SALEP 10 % SALEP
146 Immersion hydrobath btl500ml
147 INFUS SET 0
148 INFUS SET PEDIATRIC 0
149 IODIUM POVIDON LIQUID 10 % LIQUID
150 Iodoform (Mummifying Pasta) 0
151 IPRATROPIUM BROMIDE LIQUID 25% LIQUID
152 IPRATROPIUM BROMIDE SPRAY SPRAY
153 ISONIAZID TABLET 100 MG TABLET
155 ISOSORBIDE DINITRATE TABLET 5 MG TABLET
156 IV CATHETER NO 18 0
161 JARUM JAHIT KULIT G 12 0
164 JARUM JAHIT KULIT NO 11 0
165 JARUM JAHIT KULIT NO 13 0
166 JARUM JAHIT OTOT E 000 0
167 JARUM JAHIT OTOT GR 11 0
172 Kalsium Hidroksida Pasta/Calsidor
173 KANAMYCIN INJEKSI 1 G/VIAL INJEKSI
174 KAPAS PEMBALUT SET 500 G SET
175 KAPAS PUTIH 250 G 0
176 KASA 2Y X 80 CM 0
177 KASA HYDROFIL 4 M X 15 CM 0
180 KASA LIPAT 40 X 40 STERIL 0
181 KASA LIPAT KOTAK 16 X 16 STERIL 0
182 KASA ROL GAAS
183 KERTAS EKG 0
184 KERTAS PUYER 0
185 KERTAS SARING 58 X 58 CM 0
186 KETOCONAZOLE SALEP 2% SALEP
187 KETOCONAZOLE TABLET 200 MG TABLET
188 Klorfenol Kamfer Menthol (CHKM) 0
189 Levopar TABLET
190 LEVODOPA TABLET TABLET
191 LEVONORGESTREL|ETHINYLESTRADIOL TABLET 03 MG|0 TABLET
192 Lembar TB 01 Lembar
193 LIDOCAINE INJEKSI 2% INJEKSI
194 LIDOCAINE SALEP 2% SALEP
195 LIDOCAINE SPRAY 10 % SPRAY
196 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY
197 LIDOCAINE|EPINEPHRINE INJEKSI INJEKSI
198 LOPERAMIDE TABLET 2 MG TABLET
199 LORATADINE TABLET 10 MG TABLET
200 MAGNESIUM SULPHATE INJEKSI 20 % INJEKSI
202 MASKER N95 0
203 MASKER OKSIGEN ADULT 0
204 MASKER PAKAI KARET 0
205 MASKER PAKAI TALI 0
206 MASKER TALI 3 PLY HD 0
207 MEDROXYPROGESTERONE ACETATE INJEKSI 3 ML INJEKSI
208 MERSILK 2 - 0 0
209 METACRESOLSULPHONIC ACID-FORMALDEHYDE LIQUID 3LIQUID
METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI
210 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET
211 METFORMIN TABLET 500 MG TABLET
213 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI
214 METHYLERGOMETRINE TABLET 0.125 MG TABLET
METHYLPREDNISOLONE TABLET 8 MG TABLET
215 METRONIDAZOLE INFUS 5 G/100 ML INFUS
216 METRONIDAZOLE TABLET 250 MG TABLET
218 MICONAZOLE SALEP 2% SALEP
219 MUCUS EXTRACTOR 0
220 MULTIVITAMIN DROPS DROPS
221 MULTIVITAMIN SIRUP SIRUP
222 Nasal oxygen cannula 0
223 NASETIL SISTEIN INJEKSI 100 MG/ML INJEKSI
224 NIFEDIPINE TABLET 10 MG TABLET
225 NYSTATIN DROPS 100000 IU/ML DROPS
226 NYSTATIN TABLET 10000 IU TABLET
228 OBH SIRUP 60 ML SIRUP
229 OBJECK GLASS 0
230 OBJECK GLASS 76 X 26 MM 0
231 Odex Botol
232 OFLOXACIN DROPS 3 MG/ML DROPS
233 OMEPRAZOLE INJEKSI 40 MG/VIAL INJEKSI
234 OMEPRAZOLE TABLET 20 MG TABLET
235 ONDANSETRON TABLET 4 MG TABLET
236 OXYMETAZOLINE DROPS 25% DROPS
237 OXYTOCIN INJEKSI 10 IU/ML INJEKSI
238 PAPAVERINE INJEKSI 40 MG/ML INJEKSI
239 PAPAVERINE TABLET 40 MG TABLET
PAPER POINT NO 15 - 40 0
PAPER POINT NO 45 - 80 0
PARACETAMOL SIRUP 120 MG/5 ML SIRUP
PARACETAMOL TABLET 500 MG TABLET
PERMETHRIN SALEP 5 % SALEP
PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI
PHENOBARBITAL TABLET 30 MG TABLET
PHENOL LIQUID LIQUID
PHENOL|BENZOCAINE LIQUID LIQUID
PHENOXYMETHYLPENICILLIN TABLET 250 MG TABLET
PHENOXYMETHYLPENICILLIN TABLET 500 TABLET
PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI
PHENYTOIN TABLET 100 MG TABLET
PHENYTOIN TABLET 30 MG TABLET
PHYTOMENADIONE (VITAMIN K) INJEKSI 1 ML INJEKSI
PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET
PIROXICAM TABLET 20 MG TABLET
PLACENTA EXTRACT|NEOMYCIN SULPHATE SALEP SALEP
PLESTER HIPOALERGENIC 1/2 DGN DISPENSER 0
PLESTERKU 0
POLICRESULEN LIQUID 36 % LIQUID
POT 10 ML 0
POVIDONE IODINE 30 ML ML
POVIDONE IODINE ML
PREDNISONE TABLET 5 MG TABLET
PRIMAQUINE TABLET 15 MG TABLET
PROPRANOLOL TABLET 10 MG TABLET
PROPYLTHIOURACIL TABLET 100 MG TABLET
PYRANTEL PAMOATE SIRUP SIRUP
PYRANTEL PAMOATE TABLET 125 MG TABLET
PYRAZINAMIDE KOMBINASI KOMBINASI
PYRIDOXINE INJEKSI 100 MG/ML INJEKSI
PYRIDOXINE TABLET 10 MG TABLET
QUININE TABLET 222 MG TABLET
RANITIDINE INJEKSI 50 MG/2 ML INJEKSI
RANITIDINE TABLET 150 MG TABLET
Reagensia HCl 0,1 N Btl100ml
RETINOL PALMITATE TABLET 100000 IU TABLET
RETINOL PALMITATE TABLET 200000 IU TABLET
RIFAMPICIN KOMBINASI KOMBINASI
RIFAMPICIN TABLET 300 MG TABLET
RIFAMPICIN|ISONIAZID KOMBINASI KOMBINASI
RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KOMBINASI KOMBINASI
RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|ETHAMBUTOL KKOMBINASI
RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIFAMPICIN|ISOKOMBINASI
RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0
SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY
SALBUTAMOL TABLET 2 MG TABLET
SALBUTAMOL TABLET 4 MG TABLET
SALBUTAMOL|IPRATROPIUM SPRAY 3 MG|0.5 MG/2.5MSPRAY
SALICYCLIC ACID|SULPHUR COMPOUND SALEP 3.6 MG| SALEP
SALICYLIC ACID SERBUK 2% SERBUK
SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION 0
SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION 0
SARUNG TANGAN NON STERIL 0
SARUNG TANGAN PANJANG KARET NON STERIL 0
SARUNG TANGAN STERIL NO 6.5 0
SARUNG TANGAN STERIL NO 7.5 0
SARUNG TANGAN STERIL NO 8 0
SILK 3 - 0 0
SIMVASTATIN TABLET 10 MG TABLET
SODIUM BICARBONATE TABLET 500 MG TABLET
SODIUM CHLORIDE INFUS 0.9 % INFUS
SODIUM LACTATE INFUS INFUS
SONY PAPER USG 0
SPIRONOLACTONE TABLET 25 MG TABLET
SPUIT 1 CC INSULIN 0
SPUIT 10 CC 0
SPUIT 2,5 CC 0
SPUIT 20 CC 0
SPUIT 3 CC 0
SPUIT 5 CC 0
STERILIZED WATER FOR INJECTION INJEKSI INJEKSI
SUCTION CATHETER NO 12 0
SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MGTABLET
SURGICAL GOWN 0
TENSOCREPE 4 INCHI 0
TES HIV 1/2/0 TRI - LINE TEST 0
TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI
TETRACYCLINE TABLET 500 MG TABLET
THIAMINE INJEKSI 100 MG/ML INJEKSI
THIAMINE (VITAMIN B1) TABLET 50 MG TABLET
THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJEKSI INJEKSI
Topical oxygen chamber for extremities 0
TRAMADOL INJEKSI 100 MG/2 ML INJEKSI
TRAMADOL TABLET 50 MG TABLET
TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI
TRANSPORT SWAB 0
TRIHEXYPHENIDYL TABLET 2 MG TABLET
ULTRA TEST STRIP ( 50 STRIP ) 0
UMBILICAL CORD CLAMP 0
UNDERPAD 60 X 90 0
URETHER CATHETER NO 6 0
Uric acid test system 0
Urinary glucose (nonquantitative) test system 0
URINE BAG 0
VALSARTAN TABLET 80 MG TABLET
VITAMIN B COMPLEX TABLET 25 MG TABLET
VITAMIN Livron B coplex TABLET
VITAMIN B12 INJEKSI 500 MG/ML INJEKSI
VITAMIN C TABLET 50 MG TABLET
WING NEEDLE NO 23 0
WING NEEDLE NO 25 0
YELLOW TIP AXYGEN 0
ZINC SULPHATE TABLET 20 MG/TABLET TABLET
Citodur Tube
Scabisis ZK Tbe
Bufacetin Zalf Kulit Tube
Hydcal ktk
TKF Btl
Tes HIV SD Set
Tes HIV Casette Fokus Set
Tes HIV Vikia Set
Selang Suction no 8 Set
Multivitamin Embion TABLET
Iodium test Tes
Paracetamol Drop 100mg/ml Btl
Cianokobalamin tab TABLET
Natrium Diklofenak 50mg TABLET
Diaepam Injeksi Ampul
Strip HbsAg Strip
Methanol Btl
Jumlah Jumlah
Expaired Rusak Total Keterangan
5 6 7 8
Pemakaian Obat / BHP Periode Jan - Des2018
Kemasan
Kode Nama Obat/BHP Januari Februari Maret
Satuan
Kode Nama Obat Sediaan

AK0301 Peralatan Diagnostika 0 0 0 #NAME?
AK0201 Pewarna Biologikal 0Pemakaian
Pemakaian#NAME?
10315 2 - 4 SALEP SALEP 25 13 #NAME?
108 ACYCLOVIR SALEP 5 % SALEP 250 0 #NAME?
120 ACYCLOVIR TABLET 400 MG TABLET 0 0 #NAME?
175 ALBENDAZOLE TABLET 400 MG TABLET 0 6 #NAME?
239 ALKOHOL LIQUID 85 % LIQUID 100 300 #NAME?
247 ALLOPURINOL TABLET 100 MG TABLET 2200 1800 #NAME?
332 ALUMINIUM HYDROXIDE|ACETYLSALICYLIC ATABLET 55 10 #NAME?
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 600 1400 #NAME?
379 AMBROXOL TABLET 30 MG TABLET 0 0 #NAME?
415 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 0 5 #NAME?
417 AMINOPHYLLINE TABLET 200 MG TABLET 0 0 #NAME?
444 AMITRIPTYLINE TABLET 25 MG TABLET 200 200 #NAME?
446 AMLODIPINE TABLET 5 MG TABLET 0 0 #NAME?
706 AMPICILLIN INJEKSI 1 G/VIAL INJEKSI 900 1500 #NAME?
AK020400Analyte specific reagents 0 6700 8400 #NAME?
804 ANTACIDA SIRUP 400 MG/5 ML SIRUP 0 0 #NAME?
302 ANTACIDA TABLET TABLET 0 0 #NAME?
AK900068AQUASONIC JELLY 5 L 0 190 205 #NAME?
886 ARTESUNATE INJEKSI 60 MG INJEKSI 3700 4000 #NAME?
AK900071ARTICULATING PAPER FARCIAL 0 ### 7 #NAME?
963 ASAM LIPOAT TABLET TABLET ### 3 #NAME?
966 ASAM MEFENAMAT TABLET 500 MG TABLET ### 5 #NAME?
Asam Trahexamat Tablet TABLET ### 24 #NAME?
1274 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI ### 0 #NAME?
1289 ATTAPULGITE TABLET 600 MG TABLET ### 0 #NAME?
1347 AZITHROMYCIN TABLET 500 MG TABLET ### 0 #NAME?
1362 BACITRACIN|NEOMYCIN SULPHATE|POLYMYX SALEP ### 1000 #NAME?
AK901217BAYCLIN 4 L 0 ### 0 #NAME?
1461 BENZATHINE BENZYLPENICILLIN INJEKSI 120INJEKSI ### 4700 #NAME?
1599 BETAMETHASONE SALEP 0.1% SALEP ### Pemakaian#NAME?
1690 BISACODYL SUPPOSITORIA 10 MG SUPPOSIT ### 0 #NAME?
1691 BISACODYL SUPPOSITORIA 5 MG SUPPOSIT ### 0 #NAME?
1693 BISACODYL TABLET 5 MG TABLET ### 0 #NAME?
1695 BISMUTH RESORCIN|BISMUTH SUBGALLATE|B SUPPOSIT ### 0 #NAME?
AK900191BLOOD B KETON TEST STRIP OPTIUM 0 ### 0 #NAME?
AK900191BLOOD LANCET 0 ### 0 #NAME?
AK900200BOX SLIDE 0 ### 0 #NAME?
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLETTABLET ### 0 #NAME?
2002 CALCIUM GLUCONATE|CALCIUM INJEKSI INJEKSI ### 0 #NAME?
6441 CALCIUM LACTATE TABLET 500 G TABLET ### 0 #NAME?
2075 CAPTOPRIL TABLET 25 MG TABLET ### 0 #NAME?
2084 CARBAMAZEPINE TABLET 200 MG TABLET ### 3 #NAME?
AK900270CAT GUT CHROMIC 2 - 0 0 ### 0 #NAME?
AK900271CAT GUT CHROMIC 3 - 0 0 ### 0 #NAME?
AK900271CAT GUT PLAIN 2 - 0 0 ### 0 #NAME?
AK900271CAT GUT PLAIN 3 - 0 0 ### 0 #NAME?
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP ### 200 #NAME?
2176 CEFADROXIL TABLET 500 MG TABLET ### 0 #NAME?
2537 CETIRIZINE SIRUP 5 MG/ML SIRUP ### 0 #NAME?
2546 CETIRIZINE TABLET 10 MG TABLET ### 0 #NAME?
2574 CHLORAMPHENICOL DROPS 0.5% DROPS ### 0 #NAME?
2581 CHLORAMPHENICOL DROPS 1 % DROPS ### 1400 #NAME?
2589 CHLORAMPHENICOL INJEKSI 1 G/VIAL INJEKSI ### 1100 #NAME?
2600 CHLORAMPHENICOL SALEP 1% SALEP ### 700 #NAME?
2601 CHLORAMPHENICOL SALEP 2%/ Ikamisetin SALEP ### 0 #NAME?
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP ### 3 #NAME?
2620 CHLORAMPHENICOL TABLET 250 MG TABLET ### -46 #NAME?
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET ### 96 #NAME?
2761 CHLORPROMAZINE INJEKSI 5 MG/ML INJEKSI ### 24 #NAME?
2762 CHLORPROMAZINE TABLET 100 MG TABLET ### 0 #NAME?
AK010103Cholesterol (total) test system 0 ### 0 #NAME?
2828 CIPROFLOXACIN TABLET 500 MG TABLET ### 300 #NAME?
3018 CLINDAMYCIN TABLET 150 MG TABLET ### 0 #NAME?
3157 CODEINE TABLET 10 MG TABLET ### 0 #NAME?
3196 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI ### 0 #NAME?
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP ### 0 #NAME?
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI ### 0 #NAME?
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI ### 0 #NAME?
3443 DEXAMETHASONE TABLET 0.5 MG TABLET ### 0 #NAME?
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA ### 0 #NAME?
DIAZEPAM TABLET 5MG TABLET ### 2800 #NAME?
3688 DICLOFENAC SODIUM TABLET 25 MG TABLET ### 0 #NAME?
3728 DIETHYLCARBAMAZINE TABLET 100 MG TABLET ### Pemakaian#NAME?
3756 DIGOXIN TABLET 0.25 MG TABLET ### 0 #NAME?
3759 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHTABLET ### 0 #NAME?
3787 DILTIAZEM TABLET 30 MG TABLET ### 0 #NAME?
3734 DIPHENHYDRAMINE INJEKSI INJEKSI ### 0 #NAME?
AK900396DISPOSIBLE BLADE 0 ### 600 #NAME?
AK900396DISPOSIBLE INJECTION NEEDLE FORCE 23 0 ### 0 #NAME?
3973 DOMPERIDONE SIRUP SIRUP ### 0 #NAME?
3983 DOMPERIDONE TABLET 10 MG TABLET ### 0 #NAME?
4030 DOXYCYCLINE TABLET 100 MG TABLET ### 120 #NAME?
AK900411EASY CARE WASH GLOVES ANTISEPTIC 0 ### 3200 #NAME?
4303 EPINEPHRINE INJEKSI 0.1 % INJEKSI ### 0 #NAME?
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP ### 0 #NAME?
4461 ERYTHROMYCIN TABLET 500 MG TABLET ### 0 #NAME?
4551 ETAKRIDIN LIQUID 0.1 % LIQUID ### 0 #NAME?
4560 ETHANOL 100 ML ### 0 #NAME?
4561 ETHANOL 1000 ML ### 0 #NAME?
4663 EUGENOL LIQUID LIQUID ### 0 #NAME?
AK900450FEEDING TUBE NO 5 100 CM 0 ### 70 #NAME?
AK900450FEEDING TUBE NO 5 120 CM 0 ### 2600 #NAME?
AK900450FEMALE CATHETER 12 0 ### 0 #NAME?
4732 FENOL GLISEROL DROPS 10 % DROPS ### 0 #NAME?
4734 FENOTEROL HYDROBROMIDE LIQUID 0.1 % LIQUID ### 0 #NAME?
4767 FERROUS FUMARATE TABLET TABLET ### 0 #NAME?
4791 FERROUS GLUCONATE|VITAMIN C|VITAMIN B12
TABLET ### 3834 #NAME?
4807 FERROUS SULPHATE SIRUP 150 MG/5 ML SIRUP ### 0 #NAME?
4863 FLUCONAZOLE TABLET 150 MG TABLET ### 10 #NAME?
4906 FLUORESCEIN SODIUM DROPS 2.5 MG/ML DROPS ### 0 #NAME?
AK900469FOLEY CATHETER 2 WAY NO 10 0 ### 200 #NAME?
938 FOLIC ACID TABLET 1 MG TABLET ### 0 #NAME?
5051 FRAMYCETIN SULPHATE TULLE 1 % TULLE ### 0 #NAME?
FurOSEMIDE Tablet Tablet ### 500 #NAME?
5071 FUROSEMIDE INJEKSI 10 MG/ML INJEKSI ### 0 #NAME?
5126 GARAM ORALIT SERBUK SERBUK ### 0 #NAME?
AK020400General purpose reagent ML ### 0 #NAME?
5166 GENTAMYCIN SALEP 0.1 % SALEP ### 0 #NAME?
5193 GENTAMYCIN SALEP 1 % SALEP ### 0 #NAME?
AK900488GIPS PUTIH 0 ### 1860 #NAME?
5252 GLIBENCLAMIDE TABLET 5 MG TABLET ### 0 #NAME?
5265 GLIMEPIRIDE TABLET 2 MG TABLET ### 0 #NAME?
AK010106Glucose test system 0 ### 0 #NAME?
5436 GLYCEROL LIQUID LIQUID ### 2 #NAME?
5448 GLYCERYL DISTEARATE TABLET 100 MG TABLET ### Pemakaian#NAME?
5635 HALOPERIDOL INJEKSI 5 MG/ML INJEKSI ### 0 #NAME?
5642 HALOPERIDOL TABLET 5 MG TABLET ### 0 #NAME?
5747 HUMAN ALBUMINE INJEKSI 20 % INJEKSI ### 300 #NAME?
5862 HYDROGEN PEROXIDE LIQUID 3 % LIQUID ### 0 #NAME?
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET ### 0 #NAME?
5843 HYDROCORTISONE SALEP 2.5 % SALEP ### 180 #NAME?
5904 HYOSCINE TABLET 10 MG TABLET ### 0 #NAME?
H202 30% 1000ml Botol ### 0 #NAME?
5949 IBUPROFEN SIRUP 100 MG/5 ML SIRUP ### 5700 #NAME?
5964 IBUPROFEN TABLET 200 MG TABLET ### 800 #NAME?
5991 ICHTHYOL SALEP 10 % SALEP ### 0 #NAME?
AK140300Immersion hydrobath BTL500ML ### 0 #NAME?
AK900557INFUS SET 0 ### 0 #NAME?
AK900557INFUS SET PEDIATRIC 0 ### 0 #NAME?
6179 IODIUM POVIDON LIQUID 10 % LIQUID ### 11 #NAME?
AK901218Iodoform (Mummifying Pasta) 0 ### 0 #NAME?
6225 IPRATROPIUM BROMIDE LIQUID 25% LIQUID ### 0 #NAME?
6224 IPRATROPIUM BROMIDE SPRAY SPRAY ### 4100 #NAME?
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET ### 0 #NAME?
AK900568IV CATHETER NO 18 0 ### 200 #NAME?
AK900573JARUM JAHIT KULIT G 12 0 ### 0 #NAME?
AK900573JARUM JAHIT KULIT NO 11 0 ### 0 #NAME?
AK900574JARUM JAHIT KULIT NO 13 0 ### 0 #NAME?
AK900574JARUM JAHIT OTOT E 000 0 ### 0 #NAME?
AK900574JARUM JAHIT OTOT GR 11 0 ### 0 #NAME?
Kalsium Hidroksida Pasta/Calsidor ### 0 #NAME?
6467 KANAMYCIN INJEKSI 1 G/VIAL INJEKSI ### 0 #NAME?
6500 KAPAS PEMBALUT SET 500 G SET ### 0 #NAME?
AK900594KAPAS PUTIH 250 G 0 ### 9 #NAME?
AK900596KASA 2Y X 80 CM 0 ### Pemakaian#NAME?
AK900600KASA LIPAT 40 X 40 STERIL 0 ### -100 #NAME?
AK900600KASA LIPAT KOTAK 16 X 16 STERIL 0 ### 3 #NAME?
AK900600KASA ROL GAAS 0 ### 50 #NAME?
AK900605KERTAS EKG 0 ### 4 #NAME?
AK900606KERTAS PUYER 0 ### 0 #NAME?
AK900606KERTAS SARING 58 X 58 CM 0 ### 15 #NAME?
6535 KETOCONAZOLE SALEP 2% SALEP ### 0 #NAME?
6546 KETOCONAZOLE TABLET 200 MG TABLET ### 0 #NAME?
AK901218Klorfenol Kamfer Menthol (CHKM) 0 ### 1300 #NAME?
Levopar TABLET ### 0 #NAME?
6809 LEVODOPA TABLET TABLET ### 240 #NAME?
6864 LEVONORGESTREL|ETHINYLESTRADIOL TABL
TABLET ### 0 #NAME?
Lembar TB 01 Lembar ### 1 #NAME?
6906 LIDOCAINE INJEKSI 2% INJEKSI ### 0 #NAME?
6890 LIDOCAINE SALEP 2% SALEP ### 30 #NAME?
6909 LIDOCAINE SPRAY 10 % SPRAY ### 0 #NAME?
6892 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY ### 0 #NAME?
6899 LIDOCAINE|EPINEPHRINE INJEKSI INJEKSI ### 0 #NAME?
6998 LOPERAMIDE TABLET 2 MG TABLET ### 0 #NAME?
7013 LORATADINE TABLET 10 MG TABLET ### 0 #NAME?
AK900697MASKER N95 0 ### 715 #NAME?
AK900698MASKER OKSIGEN ADULT 0 ### 0 #NAME?
AK900698MASKER PAKAI KARET 0 ### 0 #NAME?
AK900698MASKER PAKAI TALI 0 ### 0 #NAME?
AK900698MASKER TALI 3 PLY HD 0 ### 6 #NAME?
7247 MEDROXYPROGESTERONE ACETATE INJEKSI INJEKSI ### 0 #NAME?
AK900708MERSILK 2 - 0 0 ### 0 #NAME?
7405 METACRESOLSULPHONIC ACID-FORMALDEHY LIQUID ### 0 #NAME?
799 METAMPIRON (ANTALGIN) INJEKSI 250 MG/MINJEKSI ### 0 #NAME?
803 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET ### 20 #NAME?
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI ### 0 #NAME?
7605 METHYLERGOMETRINE TABLET 0.125 MG TABLET ### 0 #NAME?
7586 METHYLPREDNISOLONE TABLET 8 MG TABLET ### 0 #NAME?
7678 METRONIDAZOLE INFUS 5 G/100 ML INFUS ### 0 #NAME?
7727 MICONAZOLE SALEP 2% SALEP ### 0 #NAME?
AK900734MUCUS EXTRACTOR 0 ### 0 #NAME?
7902 MULTIVITAMIN DROPS DROPS ### Pemakaian#NAME?
7908 MULTIVITAMIN SIRUP SIRUP ### 0 #NAME?
AK040302Nasal oxygen cannula 0 ### 0 #NAME?
8023 NASETIL SISTEIN INJEKSI 100 MG/ML INJEKSI ### 0 #NAME?
8160 NIFEDIPINE TABLET 10 MG TABLET ### 0 #NAME?
8255 NYSTATIN DROPS 100000 IU/ML DROPS ### 122 #NAME?
8286 OBH SIRUP 60 ML SIRUP ### 0 #NAME?
AK900759OBJECK GLASS 0 ### 0 #NAME?
AK900760OBJECK GLASS 76 X 26 MM 0 ### 0 #NAME?
Odex Botol ### 0 #NAME?
8320 OFLOXACIN DROPS 3 MG/ML DROPS ### 0 #NAME?
8363 OMEPRAZOLE INJEKSI 40 MG/VIAL INJEKSI ### 0 #NAME?
8373 OMEPRAZOLE TABLET 20 MG TABLET ### 15 #NAME?
8378 ONDANSETRON TABLET 4 MG TABLET ### 0 #NAME?
8451 OXYMETAZOLINE DROPS 25% DROPS ### 0 #NAME?
8481 OXYTOCIN INJEKSI 10 IU/ML INJEKSI ### 0 #NAME?
OYTTERTRA ZALF KULIT 3%50 ### 0 #NAME?
8546 PAPAVERINE INJEKSI 40 MG/ML INJEKSI ### 100 #NAME?
8544 PAPAVERINE TABLET 40 MG TABLET ### 4 #NAME?
AK900777PAPER POINT NO 15 - 40 0 ### 1 #NAME?
AK900777PAPER POINT NO 45 - 80 0 ### 0 #NAME?
8601 PARACETAMOL SIRUP 120 MG/5 ML SIRUP ### 0 #NAME?
8593 PARACETAMOL TABLET 500 MG TABLET ### 1200 #NAME?
9086 PERMETHRIN SALEP 5 % SALEP ### 0 #NAME?
9120 PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI ### 0 #NAME?
9125 PHENOBARBITAL TABLET 30 MG TABLET ### 0 #NAME?
9134 PHENOL LIQUID LIQUID ### 0 #NAME?
9139 PHENOL|BENZOCAINE LIQUID LIQUID ### 170 #NAME?
9151 PHENOXYMETHYLPENICILLIN TABLET 250 MTABLET ### 7500 #NAME?
9152 PHENOXYMETHYLPENICILLIN TABLET 500 TABLET ### 0 #NAME?
9242 PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI ### 0 #NAME?
4832 PHYTOMENADIONE (VITAMIN K) INJEKSI 1 MINJEKSI ### 0 #NAME?
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 TABLET ### 0 #NAME?
9392 PIROXICAM TABLET 20 MG TABLET ### 0 #NAME?
9409 PLACENTA EXTRACT|NEOMYCIN SULPHATE SALEP SALEP ### 100 #NAME?
AK900812PLESTER HIPOALERGENIC 1/2 DGN DISPEN 0 ### 0 #NAME?
AK900812PLESTERKU 0 ### 0 #NAME?
9415 POLICRESULEN LIQUID 36 % LIQUID ### 0 #NAME?
AK900821POT 10 ML 0 ### 12 #NAME?
9490 POVIDONE IODINE 30 ML ML ### 0 #NAME?
9496 POVIDONE IODINE ML ### 0 #NAME?
9583 PREDNISONE TABLET 5 MG TABLET ### 100 #NAME?
9597 PRIMAQUINE TABLET 15 MG TABLET ### Pemakaian#NAME?
9689 PROPRANOLOL TABLET 10 MG TABLET ### 0 #NAME?
9692 PROPYLTHIOURACIL TABLET 100 MG TABLET ### 6 #NAME?
9789 PYRANTEL PAMOATE SIRUP SIRUP ### 0 #NAME?
9790 PYRANTEL PAMOATE TABLET 125 MG TABLET ### 1800 #NAME?
9799 PYRAZINAMIDE KOMBINASI KOMBINAS ### 1700 #NAME?
9810 PYRIDOXINE INJEKSI 100 MG/ML INJEKSI ### 20 #NAME?
1684 PYRIDOXINE TABLET 10 MG TABLET ### 220 #NAME?
9958 QUININE TABLET 222 MG TABLET ### 0 #NAME?
10012 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI ### 900 #NAME?
10014 RANITIDINE TABLET 150 MG TABLET ### 0 #NAME?
Reagensia HCl 0,1 N Btl100ml ### 0 #NAME?
10109 RIFAMPICIN KOMBINASI KOMBINAS ### 25 #NAME?
10115 RIFAMPICIN TABLET 300 MG TABLET ### 595 #NAME?
10126 RIFAMPICIN|ISONIAZID KOMBINASI KOMBINAS ### 0 #NAME?
10134 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KOMBKOMBINAS ### 100 #NAME?
10146 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|ETH KOMBINAS ### 0 #NAME?
10149 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIFAM
KOMBINAS ### 0 #NAME?
AK900871RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0 ### 100 #NAME?
10288 SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY ### 1100 #NAME?
10312 SALBUTAMOL|IPRATROPIUM SPRAY 3 MG|0.5SPRAY ### 100 #NAME?
10316 SALICYCLIC ACID|SULPHUR COMPOUND SAL SALEP ### 100 #NAME?
10331 SALICYLIC ACID SERBUK 2% SERBUK ### 0 #NAME?
AK900895SARUNG TANGAN MICROTOUCH NITRILE EX 0 ### 100 #NAME?
AK900895SARUNG TANGAN MICROTOUCH NITRILE EX 0 ### 500 #NAME?
AK900896SARUNG TANGAN NON STERIL 0 ### 10 #NAME?
AK900896SARUNG TANGAN PANJANG KARET NON STE 0 ### 10 #NAME?
AK900896SARUNG TANGAN STERIL NO 6.5 0 ### 300 #NAME?
AK900897SARUNG TANGAN STERIL NO 7.5 0 ### 700 #NAME?
AK900897SARUNG TANGAN STERIL NO 8 0 ### 0 #NAME?
AK900937SILK 3 - 0 0 ### 0 #NAME?
10482 SIMVASTATIN TABLET 10 MG TABLET ### 0 #NAME?
10515 SODIUM BICARBONATE TABLET 500 MG TABLET ### 36 #NAME?
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS ### Pemakaian#NAME?
10635 SODIUM LACTATE INFUS INFUS ### 0 #NAME?
AK900954SONY PAPER USG 0 ### 990 #NAME?
10734 SPIRONOLACTONE TABLET 25 MG TABLET ### 60 #NAME?
AK900962SPUIT 1 CC INSULIN 0 ### 640 #NAME?
AK900962SPUIT 10 CC 0 ### 0 #NAME?
AK900962SPUIT 2,5 CC 0 ### 0 #NAME?
AK900962SPUIT 20 CC 0 ### 0 #NAME?
AK900962SPUIT 3 CC 0 ### 0 #NAME?
AK900963SPUIT 5 CC 0 ### 0 #NAME?
10749 STERILIZED WATER FOR INJECTION INJEKSIINJEKSI ### 220 #NAME?
AK901087SUCTION CATHETER NO 12 0 ### 215 #NAME?
10865 SULFADOXINE|PYRIMETHAMINE TABLET 500TABLET ### 180 #NAME?
AK901090SURGICAL GOWN 0 ### 50 #NAME?
AK901123TENSOCREPE 4 INCHI 0 ### 50 #NAME?
AK901123TES HIV 1/2/0 TRI - LINE TEST 0 ### 100 #NAME?
11102 TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI ### 0 #NAME?
11116 TETRACYCLINE TABLET 500 MG TABLET ### 0 #NAME?
11210 THIAMINE INJEKSI 100 MG/ML INJEKSI ### 0 #NAME?
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET ### 0 #NAME?
11215 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJEKSI ### 0 #NAME?
AK160400Topical oxygen chamber for extremities 0 ### 50 #NAME?
11478 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI ### 0 #NAME?
11480 TRAMADOL TABLET 50 MG TABLET ### 0 #NAME?
11523 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI ### 0 #NAME?
AK901159TRANSPORT SWAB 0 ### 0 #NAME?
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET ### 20 #NAME?
AK901173ULTRA TEST STRIP ( 50 STRIP ) 0 ### 0 #NAME?
AK901175UMBILICAL CORD CLAMP 0 ### 0 #NAME?
AK901175UNDERPAD 60 X 90 0 ### 1300 #NAME?
AK901179URETHER CATHETER NO 6 0 ### 0 #NAME?
AK010114Uric acid test system 0 ### 0 #NAME?
AK010106Urinary glucose (nonquantitative) test system 0 ### 0 #NAME?
AK901180URINE BAG 0 ### 0 #NAME?
11793 VALSARTAN TABLET 80 MG TABLET ### 0 #NAME?
11921 VITAMIN B COMPLEX TABLET 25 MG TABLET ### 0 #NAME?
11927 VITAMIN Livron B coplex TABLET ### 0 #NAME?
11952 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI ### Pemakaian#NAME?
11888 VITAMIN C TABLET 50 MG TABLET ### 0 #NAME?
AK901205WING NEEDLE NO 23 0 ### 0 #NAME?
AK901205WING NEEDLE NO 25 0 ### 0 #NAME?
AK901215YELLOW TIP AXYGEN 0 ### 0 #NAME?
12193 ZINC SULPHATE TABLET 20 MG/TABLET TABLET ### 0 #NAME?
Citodur Tube ### 3500 #NAME?
Scabisis ZK Tbe ### 0 #NAME?
Bufacetin Zalf Kulit Tube ### 0 #NAME?
Hydcal ktk ### 0 #NAME?
TKF Btl ### 36 #NAME?
Tes HIV SD Set ### 900 #NAME?
Tes HIV Casette Fokus Set ### 0 #NAME?
Tes HIV Vikia Set ### 0 #NAME?
Selang Suction no 8 Set ### 0 #NAME?
Multivitamin Embion TABLET ### 0 #NAME?
Iodium test Tes ### 0 #NAME?
Paracetamol Drop 100mg/ml Btl ### 0 #NAME?
Cianokobalamin tab TABLET ### 0 #NAME?
Natrium Diklofenak 50mg TABLET ###Yang Meminta
#NAME?
Diaepam Injeksi Ampul An.Kepala
### Puskesmas...................
#NAME?
Strip HbsAg Strip ###
Kepala Tata Usaha
#NAME?
Methanol Btl ### 0 #NAME?
PEMERINTAH KAB
DINAS KES
LAMPIRAN BERITA A
DATA ASET/PERSEDIAAN OBAT DAN BHP(BAHAN HABIS PAKAI)PADA PUSK
KODE NAMA OBAT/PERBEKKES KEMASAN NO BATCH ED

1 3 4 5
AK0301 Peralatan Diagnostika 0
AK0201 Pewarna Biologikal 0
10315 2 - 4 SALEP SALEP
AK020400Analyte specific reagents 0
AK900068AQUASONIC JELLY 5 L 0
AK900071ARTICULATING PAPER FARCIAL 0
Asam Trahexamat inj INJEKSI
1362 BACITRACIN|NEOMYCIN SULPHATE|POLYMYXIN B SULPHATESALEP
AK901217BAYCLIN 4 L 0
1695 BISMUTH RESORCIN|BISMUTH SUBGALLATE|BISMUTH IODIDE
SUPPOSITORIA
AK900191BLOOD B KETON TEST STRIP OPTIUM 0
AK900191BLOOD LANCET 0
AK900200BOX SLIDE 0
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MG TABLET
AK900270CAT GUT CHROMIC 2 - 0 0
AK900271CAT GUT PLAIN 2 - 0 0
AK010103Cholesterol (total) test system 0
3759 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET TABLET
AK900396DISPOSIBLE BLADE 0
AK900396DISPOSIBLE INJECTION NEEDLE FORCE 23 G 0
AK900411EASY CARE WASH GLOVES ANTISEPTIC 0
4560 ETHANOL 100 ML
4561 ETHANOL 1000 ML
AK900450FEEDING TUBE NO 5 100 CM 0
AK900450FEMALE CATHETER 12 0
4791 FERROUS GLUCONATE|VITAMIN C|VITAMIN B12|VITAMIN BTABLET
AK900469FOLEY CATHETER 2 WAY NO 10 0
FUROSEMIDE Tablet Tablet
AK020400General purpose reagent ML 100
AK900488GIPS PUTIH 0
AK010106Glucose test system 0
H202 30% 1000ml Botol
AK140300Immersion hydrobath btl500ml
AK900557INFUS SET 0
AK900557INFUS SET PEDIATRIC 0
AK901218Iodoform (Mummifying Pasta) 0
AK900568IV CATHETER NO 18 0
AK900573JARUM JAHIT KULIT G 12 0
AK900573JARUM JAHIT KULIT NO 11 0
AK900574JARUM JAHIT OTOT E 000 0
AK900574JARUM JAHIT OTOT GR 11 0
Kalsium Hidroksida Pasta/Calsidor
AK900594KAPAS PUTIH 250 G 0
AK900596KASA 2Y X 80 CM 0
AK901210KASA HYDROFIL 4 M X 15 CM 0
AK900600KASA LIPAT 40 X 40 STERIL 0
AK900600KASA LIPAT KOTAK 16 X 16 STERIL 0
AK900600KASA ROL GAAS
AK900605KERTAS EKG 0
AK900606KERTAS PUYER 0
AK900606KERTAS SARING 58 X 58 CM 0
AK901218Klorfenol Kamfer Menthol (CHKM) 0
Levopar TABLET
6864 LEVONORGESTREL|ETHINYLESTRADIOL TABLET 03 MG|0.15 TABLET
Lembar TB 01 Lembar
AK900697MASKER N95 0
AK900698MASKER OKSIGEN ADULT 0
AK900698MASKER PAKAI KARET 0
AK900698MASKER PAKAI TALI 0
AK900698MASKER TALI 3 PLY HD 0
AK900708MERSILK 2 - 0 0
7405 METACRESOLSULPHONIC ACID-FORMALDEHYDE LIQUID 36 %LIQUID
799 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI
7586 METHYLPREDNISOLONE TABLET 8 MG TABLET
AK900734MUCUS EXTRACTOR 0
AK040302Nasal oxygen cannula 0
AK900759OBJECK GLASS 0
AK900760OBJECK GLASS 76 X 26 MM 0
Odex Botol
AK900777PAPER POINT NO 15 - 40 0
8601 PARACETAMOL SIRUP 120 MG/5 ML SIRUP
8593 PARACETAMOL TABLET 500 MG TABLET
9086 PERMETHRIN SALEP 5 % SALEP
9120 PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI
9125 PHENOBARBITAL TABLET 30 MG TABLET
9134 PHENOL LIQUID LIQUID
9139 PHENOL|BENZOCAINE LIQUID LIQUID
9151 PHENOXYMETHYLPENICILLIN TABLET 250 MG TABLET
9152 PHENOXYMETHYLPENICILLIN TABLET 500 TABLET
9242 PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI
9246 PHENYTOIN TABLET 100 MG TABLET
4832 PHYTOMENADIONE (VITAMIN K) INJEKSI 1 ML INJEKSI
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET
9392 PIROXICAM TABLET 20 MG TABLET
9409 PLACENTA EXTRACT|NEOMYCIN SULPHATE SALEP SALEP
AK900812PLESTER HIPOALERGENIC 1/2 DGN DISPENSER 0
AK900812PLESTERKU 0
9415 POLICRESULEN LIQUID 36 % LIQUID
AK900821POT 10 ML 0
9490 POVIDONE IODINE 30 ML ML
9496 POVIDONE IODINE ML
9583 PREDNISONE TABLET 5 MG TABLET
9597 PRIMAQUINE TABLET 15 MG TABLET
9689 PROPRANOLOL TABLET 10 MG TABLET
9692 PROPYLTHIOURACIL TABLET 100 MG TABLET
9789 PYRANTEL PAMOATE SIRUP SIRUP
9790 PYRANTEL PAMOATE TABLET 125 MG TABLET
9799 PYRAZINAMIDE KOMBINASI KOMBINASI
9810 PYRIDOXINE INJEKSI 100 MG/ML INJEKSI
1684 PYRIDOXINE TABLET 10 MG TABLET
9958 QUININE TABLET 222 MG TABLET
10012 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI
10014 RANITIDINE TABLET 150 MG TABLET
11896 RETINOL PALMITATE TABLET 100000 IU TABLET
10109 RIFAMPICIN KOMBINASI KOMBINASI
10115 RIFAMPICIN TABLET 300 MG TABLET
10126 RIFAMPICIN|ISONIAZID KOMBINASI KOMBINASI
10134 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KOMBINASI KOMBINASI
10146 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|ETHAMBUTOL KOMB KOMBINASI
10149 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIFAMPICIN|ISONIAKOMBINASI
AK900871RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0
10288 SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY
10295 SALBUTAMOL TABLET 2 MG TABLET
10312 SALBUTAMOL|IPRATROPIUM SPRAY 3 MG|0.5 MG/2.5ML SPRAY
10316 SALICYCLIC ACID|SULPHUR COMPOUND SALEP 3.6 MG|2.4 SALEP
10331 SALICYLIC ACID SERBUK 2% SERBUK
AK900895SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION GL 0
AK900895SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION GLO 0
AK900896SARUNG TANGAN NON STERIL 0
AK900896SARUNG TANGAN PANJANG KARET NON STERIL 0
AK900896SARUNG TANGAN STERIL NO 6.5 0
AK900897SARUNG TANGAN STERIL NO 8 0
AK900937SILK 3 - 0 0
10482 SIMVASTATIN TABLET 10 MG TABLET
10515 SODIUM BICARBONATE TABLET 500 MG TABLET
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS
10635 SODIUM LACTATE INFUS INFUS
AK900954SONY PAPER USG 0
10734 SPIRONOLACTONE TABLET 25 MG TABLET
AK900962SPUIT 1 CC INSULIN 0
AK900962SPUIT 10 CC 0
AK900962SPUIT 2,5 CC 0
10749 STERILIZED WATER FOR INJECTION INJEKSI INJEKSI
AK901087SUCTION CATHETER NO 12 0
10865 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET
AK901090SURGICAL GOWN 0
AK901123TENSOCREPE 4 INCHI 0
AK901123TES HIV 1/2/0 TRI - LINE TEST 0
11102 TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI
11116 TETRACYCLINE TABLET 500 MG TABLET
11210 THIAMINE INJEKSI 100 MG/ML INJEKSI
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET
11215 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJEKSI INJEKSI
AK160400Topical oxygen chamber for extremities 0
11478 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI
11480 TRAMADOL TABLET 50 MG TABLET
11523 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI
AK901159TRANSPORT SWAB 0
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET
AK901173ULTRA TEST STRIP ( 50 STRIP ) 0
AK901175UMBILICAL CORD CLAMP 0
AK901175UNDERPAD 60 X 90 0
AK901179URETHER CATHETER NO 6 0
AK010114Uric acid test system 0
AK010106Urinary glucose (nonquantitative) test system 0
AK901180URINE BAG 0
11793 VALSARTAN TABLET 80 MG TABLET
11921 VITAMIN B COMPLEX TABLET 25 MG TABLET
11927 VITAMIN Livron B coplex TABLET
11952 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI
11888 VITAMIN C TABLET 50 MG TABLET
AK901205WING NEEDLE NO 23 0
AK901215YELLOW TIP AXYGEN 0
12193 ZINC SULPHATE TABLET 20 MG/TABLET TABLET
Citodur Tube
Scabisis ZK Tbe
Hydcal ktk
TKF Btl
Tes HIV SD Set
Tes HIV Vikia Set
Iodium test Tes
Strip HbsAg Strip
Methanol Btl
PEMERINTAH KABUPATEN KEEROM
DINAS KESEHATAN
LAMPIRAN BERITA ACARA N0: / /2018
BAHAN HABIS PAKAI)PADA PUSKESMAS ARSO III KABUPATEN KEEROM PER TANGGAL 31 DESEMBER 2018
APBD(DAK/DAU)
SALDO AWAL Pembelian Pemakaian Sisa
Unit Harga Jumlah Unit Harga Jumlah Unit Harga Jumlah Unit
6 7 8 9 10 11 12 13 14 15
0 #NAME? 0 0
Stok Awal 1 0
0 0 0
150 25 0
2000 0 0
0 0 0
2300 0 0
1600 0 0
280 0 0
0 100 0
0 0 0
5 0 0
0 1000 0
1600 0 0
100 0 0
400 96 0
0 0 0
110 1000 0
0 27000 0
3700 0 0
19800 0 0
20 0 0
0 0 0
280 0 0
2900 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 1900 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 100 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 1000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 2500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 400 0
#NAME? 0 0
#NAME? 0 0
#NAME? 30 0
#NAME? 30 0
#NAME? 0 0
#NAME? 30 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 200 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 270 0
#NAME? 500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 200 0
#NAME? 0 0
#NAME? 2500 0
#NAME? 300 0
#NAME? 100 0
#NAME? 3600 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 120 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 7 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 30 0
#NAME? 4 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 2 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 4 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 48 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 1000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 96 0
#NAME? 0 0
#NAME? 1 0
#NAME? 200 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 100 0
#NAME? 150 0
#NAME? 0 0
#NAME? 2 0
#NAME? 1 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 50 0
#NAME? 100 0
#NAME? 200 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 70 0
#NAME? 0 0
#NAME? 0 0
#NAME? 1000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 135 0
#NAME? 1500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 50 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 50 0
#NAME? 100 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 60 0
#NAME? 1440 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 3000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 48 0
#NAME? 3 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 3500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 5000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 550 0
#NAME? 500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 1 0
#NAME? 0 0
#NAME? 0 0
#NAME? 5 0
#NAME? 500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 24 0
#NAME? 50 0
#NAME? 1200 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 80 0
#NAME? 300 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 600 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 500 0
#NAME? 70 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 50 0
#NAME? 0 0
#NAME? 0 0
#NAME? 150 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 3500 0
#NAME? 0 0
#NAME? 0 0
#NAME? 8000 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 2 0
#NAME? 0 0
#NAME? 24 0
#NAME? 1 0
#NAME? 1 0
#NAME? 100 0
#NAME? 25 0
#NAME? 25 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
#NAME? 0 0
KET
Sisa
Harga Jumlah
16 17 18
PEMERINTAH KABUP
DINAS KESEH
LAMPIRAN BERITA ACA
DATA ASET/PERSEDIAAN OBAT DAN BHP(BAHAN HABIS PAKAI)PADA PUSKES
KODE NAMA OBAT/PERBEKKES KEMASAN NO BATCH ED

1 3 4 5
AK0301 Peralatan Diagnostika 0
AK0201 Pewarna Biologikal 0
10315 2 - 4 SALEP SALEP
AK0204002Analyte specific reagents 0
AK9000687AQUASONIC JELLY 5 L 0
AK9000716ARTICULATING PAPER FARCIAL 0
Asam Trahexamat inj INJEKSI
1362 BACITRACIN|NEOMYCIN SULPHATE|POLYMYXIN B SULPHATE SALEP
AK9012172BAYCLIN 4 L 0
1695 BISMUTH RESORCIN|BISMUTH SUBGALLATE|BISMUTH IODIDE|
SUPPOSITORIA
AK9001913BLOOD B KETON TEST STRIP OPTIUM 0
AK9001917BLOOD LANCET 0
AK9002009BOX SLIDE 0
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MG TABLET
AK0101034Cholesterol (total) test system 0
3759 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET 4 TABLET
AK9003961DISPOSIBLE BLADE 0
AK9003966DISPOSIBLE INJECTION NEEDLE FORCE 23 G 0
AK9004116EASY CARE WASH GLOVES ANTISEPTIC 0
4560 ETHANOL 100 ML
4561 ETHANOL 1000 ML
AK9004509FEMALE CATHETER 12 0
4791 FERROUS GLUCONATE|VITAMIN C|VITAMIN B12|VITAMIN B1TABLET
FUROSEMIDE Tablet Tablet
AK0204001General purpose reagent ML 100
AK9004881GIPS PUTIH 0
AK0101069Glucose test system 0
H202 30% 1000ml Botol
AK1403002Immersion hydrobath btl500ml
AK9005570INFUS SET 0
AK9005571INFUS SET PEDIATRIC 0
AK9012183Iodoform (Mummifying Pasta) 0
AK9005741JARUM JAHIT OTOT E 000 0
Kalsium Hidroksida Pasta/Calsidor
AK9005943KAPAS PUTIH 250 G 0
AK9005961KASA 2Y X 80 CM 0
AK9006000KASA LIPAT 40 X 40 STERIL 0
AK9006004KASA LIPAT KOTAK 16 X 16 STERIL 0
AK9006009KASA ROL GAAS
AK9006059KERTAS EKG 0
AK9006066KERTAS PUYER 0
AK9006069KERTAS SARING 58 X 58 CM 0
AK9012185Klorfenol Kamfer Menthol (CHKM) 0
Levopar TABLET
6864 LEVONORGESTREL|ETHINYLESTRADIOL TABLET 03 MG|0.150 TABLET
Lembar TB 01 Lembar
AK9006974MASKER N95 0
AK9006980MASKER OKSIGEN ADULT 0
AK9006982MASKER PAKAI KARET 0
AK9006983MASKER PAKAI TALI 0
AK9006987MASKER TALI 3 PLY HD 0
AK9007087MERSILK 2 - 0 0
7405 METACRESOLSULPHONIC ACID-FORMALDEHYDE LIQUID 36 % LIQUID
799 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI
7586 METHYLPREDNISOLONE TABLET 8 MG TABLET
AK9007346MUCUS EXTRACTOR 0
AK0403023Nasal oxygen cannula 0
AK9007599OBJECK GLASS 0
AK9007601OBJECK GLASS 76 X 26 MM 0
Odex Botol
8601 PARACETAMOL SIRUP 120 MG/5 ML SIRUP
8593 PARACETAMOL TABLET 500 MG TABLET
9086 PERMETHRIN SALEP 5 % SALEP
9120 PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI
9125 PHENOBARBITAL TABLET 30 MG TABLET
9134 PHENOL LIQUID LIQUID
9139 PHENOL|BENZOCAINE LIQUID LIQUID
9151 PHENOXYMETHYLPENICILLIN TABLET 250 MG TABLET
9152 PHENOXYMETHYLPENICILLIN TABLET 500 TABLET
9242 PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI
4832 PHYTOMENADIONE (VITAMIN K) INJEKSI 1 ML INJEKSI
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET
9392 PIROXICAM TABLET 20 MG TABLET
9409 PLACENTA EXTRACT|NEOMYCIN SULPHATE SALEP SALEP
AK9008127PLESTER HIPOALERGENIC 1/2 DGN DISPENSER 0
AK9008129PLESTERKU 0
9415 POLICRESULEN LIQUID 36 % LIQUID
AK9008212POT 10 ML 0
9490 POVIDONE IODINE 30 ML ML
9496 POVIDONE IODINE ML
9583 PREDNISONE TABLET 5 MG TABLET
9597 PRIMAQUINE TABLET 15 MG TABLET
9689 PROPRANOLOL TABLET 10 MG TABLET
9692 PROPYLTHIOURACIL TABLET 100 MG TABLET
9789 PYRANTEL PAMOATE SIRUP SIRUP
9790 PYRANTEL PAMOATE TABLET 125 MG TABLET
9799 PYRAZINAMIDE KOMBINASI KOMBINASI
9810 PYRIDOXINE INJEKSI 100 MG/ML INJEKSI
1684 PYRIDOXINE TABLET 10 MG TABLET
9958 QUININE TABLET 222 MG TABLET
10012 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI
10014 RANITIDINE TABLET 150 MG TABLET
10109 RIFAMPICIN KOMBINASI KOMBINASI
10115 RIFAMPICIN TABLET 300 MG TABLET
10126 RIFAMPICIN|ISONIAZID KOMBINASI KOMBINASI
10134 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KOMBINASI KOMBINASI
10146 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|ETHAMBUTOL KOMBI KOMBINASI
10149 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIFAMPICIN|ISONIAZKOMBINASI
AK9008713RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0
10288 SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY
10312 SALBUTAMOL|IPRATROPIUM SPRAY 3 MG|0.5 MG/2.5ML SPRAY
10316 SALICYCLIC ACID|SULPHUR COMPOUND SALEP 3.6 MG|2.4 SALEP
10331 SALICYLIC ACID SERBUK 2% SERBUK
AK9008957SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION GLO 0
AK9008958SARUNG TANGAN MICROTOUCH NITRILE EXAMINATION GLOV 0
AK9008960SARUNG TANGAN NON STERIL 0
AK9008962SARUNG TANGAN PANJANG KARET NON STERIL 0
AK9008971SARUNG TANGAN STERIL NO 8 0
AK9009378SILK 3 - 0 0
10482 SIMVASTATIN TABLET 10 MG TABLET
10515 SODIUM BICARBONATE TABLET 500 MG TABLET
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS
10635 SODIUM LACTATE INFUS INFUS
AK9009541SONY PAPER USG 0
10734 SPIRONOLACTONE TABLET 25 MG TABLET
AK9009622SPUIT 1 CC INSULIN 0
AK9009627SPUIT 2,5 CC 0
10749 STERILIZED WATER FOR INJECTION INJEKSI INJEKSI
AK9010873SUCTION CATHETER NO 12 0
10865 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET
AK9010907SURGICAL GOWN 0
AK9011231TENSOCREPE 4 INCHI 0
AK9011236TES HIV 1/2/0 TRI - LINE TEST 0
11102 TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI
11116 TETRACYCLINE TABLET 500 MG TABLET
11210 THIAMINE INJEKSI 100 MG/ML INJEKSI
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET
11215 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJEKSI INJEKSI
AK1604005Topical oxygen chamber for extremities 0
11478 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI
11480 TRAMADOL TABLET 50 MG TABLET
11523 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI
AK9011594TRANSPORT SWAB 0
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET
AK9011730ULTRA TEST STRIP ( 50 STRIP ) 0
AK9011753UMBILICAL CORD CLAMP 0
AK9011756UNDERPAD 60 X 90 0
AK9011798URETHER CATHETER NO 6 0
AK0101147Uric acid test system 0
AK0101068Urinary glucose (nonquantitative) test system 0
AK9011806URINE BAG 0
11793 VALSARTAN TABLET 80 MG TABLET
11921 VITAMIN B COMPLEX TABLET 25 MG TABLET
11927 VITAMIN Livron B coplex TABLET
11952 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI
11888 VITAMIN C TABLET 50 MG TABLET
AK9012152YELLOW TIP AXYGEN 0
12193 ZINC SULPHATE TABLET 20 MG/TABLET TABLET
Citodur Tube
Scabisis ZK Tbe
Hydcal ktk
TKF Btl
Tes HIV SD Set
Tes HIV Vikia Set
Iodium test Tes
Strip HbsAg Strip
Methanol Btl
DINAS KESEHATAN
HAN HABIS PAKAI)PADA PUSKESMAS ARSO III KABUPATEN KEEROM PER TANGGAL 31 DESEMBER 2018
APBD(DAK/DAU)
SALDO AWAL Pembelian Pemakaian Sisa
Unit Harga Jumlah Unit Harga Jumlah Unit Harga Jumlah Unit
6 7 8 9 10 11 12 13 14 15
0 #NAME?
Stok Awal
0
150
2000
0
2300
1600
280
0
0
5
0
1600
100
400
0
110
0
3700
19800
20
0
280
2900
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
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#NAME?
#NAME?
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#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
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#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
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#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
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#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
KET
Sisa
Harga Jumlah
16 17 18
DINAS KESEHATAN
DATA ASET/PERSEDIAAN OBAT DAN BHP(BAHAN HABIS PAKAI)PADA PUSKESMAS ARSO III KABUPATEN
APBD(DAK/DAU
SALDO AWAL Pembelian
KODE
NAMA OBAT/PERBEKKES
KEMASAN NO BATCH ED Unit Harga Jumlah Unit Harga
1 3 4 5 6 7 8 9 10
AK0301 Peralatan 0 0 #NAME? 0
AK0201 Pewarna Bi 0 Stok Awal
10315 2 - 4 SALEPSALEP 0
108 ACYCLOVIRSALEP 150
120 ACYCLOVIRTABLET 2000
175 ALBENDAZO TABLET 0
239 ALKOHOL LIQUID 2300
247 ALLOPURINTABLET 1600
332 ALUMINIUM TABLET 280
377 AMBROXOLSIRUP 0
379 AMBROXOLTABLET 0
415 AMINOPHYL INJEKSI 5
417 AMINOPHYL TABLET 0
444 AMITRIPTYTABLET 1600
446 AMLODIPINTABLET 100
540 AMOXYCILLSIRUP 400
523 AMOXYCILLSIRUP 0
507 AMOXYCILLTABLET 110
511 AMOXYCILLTABLET 0
706 AMPICILLININJEKSI 3700
AK0204002Analyte spe 0 19800
804 ANTACIDA SIRUP 20
302 ANTACIDA TABLET 0
AK9000687AQUASONIC 0 280
886 ARTESUNAT INJEKSI 2900
AK9000716ARTICULAT 0 #NAME?
963 ASAM LIPOTABLET #NAME?
966 ASAM MEFTABLET #NAME?
Asam TraheINJEKSI #NAME?
1274 ATROPINE INJEKSI #NAME?
1289 ATTAPULGITABLET #NAME?
1347 AZITHROMY TABLET #NAME?
1362 BACITRACISALEP #NAME?
AK9012172BAYCLIN 4 0 #NAME?
1461 BENZATHINE INJEKSI #NAME?
1463 BENZATHINE INJEKSI #NAME?
1535 BENZATHINEINJEKSI #NAME?
1599 BETAMETHA SALEP #NAME?
1690 BISACODYLSUPPOSITORIA #NAME?
1691 BISACODYLSUPPOSITORIA #NAME?
1693 BISACODYLTABLET #NAME?
1695 BISMUTH RSUPPOSITORIA #NAME?
AK9001913BLOOD B K 0 #NAME?
AK9001917BLOOD LA 0 #NAME?
AK9002009BOX SLIDE 0 #NAME?
1879 CAFFEINE|TABLET #NAME?
2002 CALCIUM GINJEKSI #NAME?
6441 CALCIUM LTABLET #NAME?
2075 CAPTOPRILTABLET #NAME?
2084 CARBAMAZE TABLET #NAME?
AK9002709CAT GUT C 0 #NAME?
AK9002710CAT GUT C 0 #NAME?
AK9002715CAT GUT PL 0 #NAME?
AK9002716CAT GUT PL 0 #NAME?
10418 CEFADROXISIRUP #NAME?
2176 CEFADROXITABLET #NAME?
2537 CETIRIZINESIRUP #NAME?
2546 CETIRIZINETABLET #NAME?
2574 CHLORAMPH DROPS #NAME?
2581 CHLORAMPH DROPS #NAME?
2589 CHLORAMPH INJEKSI #NAME?
2600 CHLORAMPH SALEP #NAME?
2601 CHLORAMPH SALEP #NAME?
2593 CHLORAMPH SIRUP #NAME?
2620 CHLORAMPH TABLET #NAME?
2621 CHLORAMPH TABLET #NAME?
2745 CHLORPHEN TABLET #NAME?
2761 CHLORPROM INJEKSI #NAME?
2762 CHLORPROM TABLET #NAME?
AK0101034Cholesterol 0 #NAME?
2828 CIPROFLOXTABLET #NAME?
3018 CLINDAMYC TABLET #NAME?
3157 CODEINE TTABLET #NAME?
3196 CORTISONEINJEKSI #NAME?
3202 COTRIMOXA SIRUP #NAME?
3206 COTRIMOXA TABLET #NAME?
3207 COTRIMOXA TABLET #NAME?
11951 CYANOCOBA INJEKSI #NAME?
3416 DEXAMETHA INJEKSI #NAME?
3443 DEXAMETHA TABLET #NAME?
3628 DIAZEPAMENEMA #NAME?
3688 DICLOFENATABLET #NAME?
3728 DIETHYLCATABLET #NAME?
3756 DIGOXIN TTABLET #NAME?
3759 DIHYDROAR TABLET #NAME?
3787 DILTIAZEMTABLET #NAME?
3734 DIPHENHYDINJEKSI #NAME?
AK9003961DISPOSIBL 0 #NAME?
AK9003966DISPOSIBLE 0 #NAME?
3973 DOMPERIDO SIRUP #NAME?
3983 DOMPERIDO TABLET #NAME?
4030 DOXYCYCLITABLET #NAME?
AK9004116EASY CARE 0 #NAME?
4303 EPINEPHRININJEKSI #NAME?
4445 ERYTHROMY SIRUP #NAME?
4461 ERYTHROMY TABLET #NAME?
4551 ETAKRIDINLIQUID #NAME?
4560 ETHANOL 100 ML #NAME?
4561 ETHANOL 1000 ML #NAME?
4663 EUGENOL LLIQUID #NAME?
AK9004503FEEDING T 0 #NAME?
AK9004504FEEDING T 0 #NAME?
AK9004509FEMALE CA 0 #NAME?
4732 FENOL GLI DROPS #NAME?
4734 FENOTEROLLIQUID #NAME?
4767 FERROUS FTABLET #NAME?
4791 FERROUS GTABLET #NAME?
4807 FERROUS SSIRUP #NAME?
4863 FLUCONAZO TABLET #NAME?
4906 FLUORESCEDROPS #NAME?
AK9004697FOLEY CAT 0 #NAME?
938 FOLIC ACIDTABLET #NAME?
5051 FRAMYCETITULLE #NAME?
FUROSEMID Tablet #NAME?
5071 FUROSEMID INJEKSI #NAME?
5126 GARAM ORA SERBUK #NAME?
AK0204001General puML 100 #NAME?
5166 GENTAMYCI SALEP #NAME?
5193 GENTAMYCI SALEP #NAME?
AK9004881GIPS PUTIH 0 #NAME?
5252 GLIBENCLATABLET #NAME?
5265 GLIMEPIRI TABLET #NAME?
5291 GLUCOSE IINFUS #NAME?
5300 GLUCOSE IINFUS #NAME?
AK0101069Glucose te 0 #NAME?
5436 GLYCEROL LIQUID #NAME?
5448 GLYCERYL TABLET #NAME?
5522 GRISEOFULTABLET #NAME?
5525 GRISEOFULTABLET #NAME?
5635 HALOPERIDINJEKSI #NAME?
5636 HALOPERIDTABLET #NAME?
5747 HUMAN ALB INJEKSI #NAME?
5862 HYDROGENLIQUID #NAME?
5788 HYDROCHLO TABLET #NAME?
5843 HYDROCORT SALEP #NAME?
5904 HYOSCINE TABLET #NAME?
H202 30% Botol #NAME?
5949 IBUPROFENSIRUP #NAME?
5964 IBUPROFENTABLET #NAME?
5991 ICHTHYOL SALEP #NAME?
AK1403002Immersionbtl500ml #NAME?
AK9005570INFUS SET 0 #NAME?
AK9005571INFUS SET 0 #NAME?
6179 IODIUM POLIQUID #NAME?
AK9012183Iodoform ( 0 #NAME?
6225 IPRATROPILIQUID #NAME?
6224 IPRATROPISPRAY #NAME?
6322 ISONIAZID TABLET #NAME?
6323 ISONIAZID TABLET #NAME?
6386 ISOSORBIDTABLET #NAME?
AK9005687IV CATHET 0 #NAME?
AK9005733JARUM JAHI 0 #NAME?
AK9005739JARUM JAH 0 #NAME?
Kalsium Hidroksida Pasta/Calsidor #NAME?
6467 KANAMYCIN INJEKSI #NAME?
6500 KAPAS PEMSET #NAME?
AK9005943KAPAS PUT 0 #NAME?
AK9005961KASA 2Y X 0 #NAME?
AK9012107KASA HYDR 0 #NAME?
AK9006000KASA LIPAT 0 #NAME?
AK9006004KASA LIPAT 0 #NAME?
AK9006009KASA ROL GAAS #NAME?
AK9006059KERTAS EK 0 #NAME?
AK9006066KERTAS PU 0 #NAME?
AK9006069KERTAS SA 0 #NAME?
6535 KETOCONAZ SALEP #NAME?
6546 KETOCONAZ TABLET #NAME?
AK9012185Klorfenol 0 #NAME?
Levopar TABLET #NAME?
6809 LEVODOPATABLET #NAME?
6864 LEVONORGE TABLET #NAME?
Lembar TB Lembar #NAME?
6906 LIDOCAINEINJEKSI #NAME?
6890 LIDOCAINESALEP #NAME?
6909 LIDOCAINESPRAY #NAME?
6892 LIDOCAINESPRAY #NAME?
6899 LIDOCAINE|INJEKSI #NAME?
6998 LOPERAMID TABLET #NAME?
7013 LORATADINTABLET #NAME?
7153 MAGNESIUM INJEKSI #NAME?
7159 MAGNESIUM INJEKSI #NAME?
AK9006974MASKER N 0 #NAME?
AK9006980MASKER OK 0 #NAME?
AK9006982MASKER PA 0 #NAME?
AK9006983MASKER PA 0 #NAME?
AK9006987MASKER TAL 0 #NAME?
7247 MEDROXYPR INJEKSI #NAME?
AK9007087MERSILK 2 0 #NAME?
7405 METACRESO LIQUID #NAME?
799 METAMPIRO INJEKSI #NAME?
803 METAMPIRO TABLET #NAME?
7491 METFORMIN TABLET #NAME?
7493 METFORMIN TABLET #NAME?
7536 METHYLERG INJEKSI #NAME?
7605 METHYLERG TABLET #NAME?
7586 METHYLPRE TABLET #NAME?
7678 METRONIDA INFUS #NAME?
7695 METRONIDA TABLET #NAME?
7697 METRONIDA TABLET #NAME?
7727 MICONAZOL SALEP #NAME?
AK9007346MUCUS EX 0 #NAME?
7902 MULTIVITADROPS #NAME?
7908 MULTIVITASIRUP #NAME?
AK0403023Nasal oxyg 0 #NAME?
8023 NASETIL SI INJEKSI #NAME?
8160 NIFEDIPIN TABLET #NAME?
8255 NYSTATIN DROPS #NAME?
8268 NYSTATIN TABLET #NAME?
8269 NYSTATIN TABLET #NAME?
8286 OBH SIRUPSIRUP #NAME?
AK9007599OBJECK GL 0 #NAME?
AK9007601OBJECK GL 0 #NAME?
Odex Botol #NAME?
8320 OFLOXACINDROPS #NAME?
8363 OMEPRAZOL INJEKSI #NAME?
8373 OMEPRAZOL TABLET #NAME?
8378 ONDANSETTABLET #NAME?
8451 OXYMETAZO DROPS #NAME?
8481 OXYTOCIN INJEKSI
I #NAME?
8546 PAPAVERINE INJEKSI #NAME?
8544 PAPAVERINTABLET #NAME?
AK9007777PAPER POIN 0 #NAME?
AK9007778PAPER POIN 0 #NAME?
8601 PARACETAM SIRUP #NAME?
8593 PARACETAM TABLET #NAME?
9086 PERMETHRISALEP #NAME?
9120 PHENOBARB INJEKSI #NAME?
9125 PHENOBARB TABLET #NAME?
9134 PHENOL LI LIQUID #NAME?
9139 PHENOL|BELIQUID #NAME?
9151 PHENOXYME TABLET #NAME?
9152 PHENOXYME TABLET #NAME?
9242 PHENYTOININJEKSI #NAME?
9246 PHENYTOINTABLET #NAME?
9247 PHENYTOINTABLET #NAME?
4832 PHYTOMENA INJEKSI #NAME?
9261 PHYTOMENA TABLET #NAME?
9392 PIROXICAMTABLET #NAME?
9409 PLACENTA SALEP #NAME?
AK9008127PLESTER H 0 #NAME?
AK9008129PLESTERKU 0 #NAME?
9415 POLICRESULIQUID #NAME?
AK9008212POT 10 ML 0 #NAME?
9490 POVIDONE IODINE 30 ML ML #NAME?
9496 POVIDONE IODINE ML #NAME?
9583 PREDNISONTABLET #NAME?
9597 PRIMAQUIN TABLET #NAME?
9689 PROPRANOL TABLET #NAME?
9692 PROPYLTHITABLET #NAME?
9789 PYRANTEL SIRUP #NAME?
9790 PYRANTEL TABLET #NAME?
9799 PYRAZINAM KOMBINASI #NAME?
9810 PYRIDOXINE INJEKSI #NAME?
1684 PYRIDOXINTABLET #NAME?
9958 QUININE TTABLET #NAME?
10012 RANITIDINEINJEKSI #NAME?
10014 RANITIDINTABLET #NAME?
Reagensia Btl100ml #NAME?
11896 RETINOL P TABLET #NAME?
11900 RETINOL P TABLET #NAME?
10109 RIFAMPICI KOMBINASI #NAME?
10115 RIFAMPICI TABLET #NAME?
AK9008713RIGHT SIGN 0 #NAME?
10288 SALBUTAMO SPRAY #NAME?
10295 SALBUTAMO TABLET #NAME?
10307 SALBUTAMO TABLET #NAME?
10312 SALBUTAMO SPRAY #NAME?
10316 SALICYCLI SALEP #NAME?
10331 SALICYLIC SERBUK #NAME?
AK9008957SARUNG TA 0 #NAME?
AK9009378SILK 3 - 0 0 #NAME?
10482 SIMVASTATTABLET #NAME?
10515 SODIUM BITABLET #NAME?
10532 SODIUM CHINFUS #NAME?
10635 SODIUM LAINFUS #NAME?
AK9009541SONY PAPE 0 #NAME?
10734 SPIRONOLATABLET #NAME?
AK9009622SPUIT 1 CC 0 #NAME?
AK9009624SPUIT 10 C 0 #NAME?
AK9009627SPUIT 2,5 0 #NAME?
AK9009628SPUIT 20 C 0 #NAME?
10749 STERILIZEDINJEKSI #NAME?
AK9010873SUCTION C 0 #NAME?
10865 SULFADOXITABLET #NAME?
AK9010907SURGICAL 0 #NAME?
AK9011231TENSOCREP 0 #NAME?
AK9011236TES HIV 1/2 0 #NAME?
11102 TETANUS AN INJEKSI #NAME?
11116 TETRACYCLTABLET #NAME?
11210 THIAMINE INJEKSI #NAME?
11328 THIAMINE TABLET #NAME?
11215 THIAMINE|INJEKSI #NAME?
AK1604005Topical ox 0 #NAME?
11478 TRAMADOLINJEKSI #NAME?
11480 TRAMADOLTABLET #NAME?
11523 TRANEXAMI INJEKSI #NAME?
AK9011594TRANSPOR 0 #NAME?
11636 TRIHEXYPHTABLET #NAME?
AK9011730ULTRA TEST 0 #NAME?
AK9011753UMBILICAL 0 #NAME?
AK9011756UNDERPAD 0 #NAME?
AK9011798URETHER C 0 #NAME?
AK0101147Uric acid t 0 #NAME?
AK0101068Urinary glu 0 #NAME?
AK9011806URINE BAG 0 #NAME?
11793 VALSARTANTABLET #NAME?
11921 VITAMIN BTABLET #NAME?
11927 VITAMIN LiTABLET #NAME?
11952 VITAMIN BINJEKSI #NAME?
11888 VITAMIN TABLET #NAME?
AK9012054WING NEED 0 #NAME?
AK9012056WING NEED 0 #NAME?
AK9012152YELLOW TI 0 #NAME?
12193 ZINC SULP TABLET #NAME?
Citodur Tube #NAME?
Scabisis ZKTbe #NAME?
Bufacetin ZTube #NAME?
Hydcal ktk #NAME?
TKF Btl #NAME?
Tes HIV SDSet #NAME?
Tes HIV CaSet #NAME?
Tes HIV VikSet #NAME?
Selang SuctSet #NAME?
MultivitamTABLET #NAME?
Iodium tesTes #NAME?
ParacetamBtl #NAME?
CianokobalTABLET #NAME?
Natrium DiTABLET #NAME?
Diaepam InAmpul #NAME?
Strip HbsA Strip #NAME?
Methanol Btl
BUPATEN KEEROM
ESEHATAN
ACARA N0: / /2018
KESMAS ARSO III KABUPATEN KEEROM PER TANGGAL 31 DESEMBER 2018
APBD(DAK/DAU) KET
Pembelian Pemakaian Sisa
Jumlah Unit Harga Jumlah Unit Harga Jumlah
11 12 13 14 15 16 17 18
Saldo Awal
Kode Nama Obat Sediaan Stok Awal Apbd Otsus

1 Peralatan Diagnostika 0 960 0 0
2 Pewarna Biologikal 0 4 4 0
3 2 - 4 SALEP SALEP 15 15 0
4 ACYCLOVIR SALEP 5 % SALEP 25 0 25
5 ACYCLOVIR TABLET 400 MG TABLET 300 300 0
6 ALBENDAZOLE TABLET 400 MG TABLET 0 0 0
7 ALKOHOL LIQUID 85 % LIQUID 0 0 0
8 ALLOPURINOL TABLET 100 MG TABLET 8000 8000 0
9 ALUMINIUM HYDROXIDE|ACETYLSALICYLIC ACITABLET 0 0 0
10 AMBROXOL SIRUP 15 MG/5 ML SIRUP 190 190 0
11 AMBROXOL TABLET 30 MG TABLET 0 0 0
12 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 10 10 0
13 AMINOPHYLLINE TABLET 200 MG TABLET 400 400 0
14 AMITRIPTYLINE TABLET 25 MG TABLET 100 100 0
15 AMLODIPINE TABLET 5 MG TABLET 0 0 0
16 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 96 96 0
17 AMOXYCILLIN SIRUP 250 MG/5 ML SIRUP 100 100 0
18 AMOXYCILLIN TABLET 250 MG TABLET 300 300 0
19 AMOXYCILLIN TABLET 500 MG TABLET 13000 13000 0
20 AMPICILLIN INJEKSI 1 G/VIAL INJEKSI 20 20 0
21 Analyte specific reagents 0 2 0 2
22 ANTACIDA SIRUP 400 MG/5 ML SIRUP 0 0 0
23 ANTACIDA TABLET TABLET 0 0 0
24 AQUASONIC JELLY 5 L 0 0 0 0
25 ARTESUNATE INJEKSI 60 MG INJEKSI 8 8 0
26 ARTICULATING PAPER FARCIAL 0 0 0 0
27 ASAM LIPOAT TABLET TABLET 0 0 0
28 ASAM MEFENAMAT TABLET 500 MG TABLET 3500 3500 0
29 Asam Trahexamat inj INJEKSI 40 40 0
30 ATROPINE SULPHATE INJEKSI 0.25 MG/ML INJEKSI 0 0 0
31 ATTAPULGITE TABLET 600 MG TABLET 0 0 0
32 AZITHROMYCIN TABLET 500 MG TABLET 0 0 0
33 BACITRACIN|NEOMYCIN SULPHATE|POLYMYXIN SALEP 0 0 0
34 BAYCLIN 4 L 0 0 0 0
35 BENZATHINE BENZYLPENICILLIN INJEKSI 120000INJEKSI 0 0 0
36 BENZATHINE BENZYLPENICILLIN INJEKSI 240000INJEKSI 10 10 0
37 BENZATHINE BENZYLPENICILLIN INJEKSI 30000 INJEKSI 20 20 0
38 BETAMETHASONE SALEP 0.1% SALEP 100 100 0
39 BISACODYL SUPPOSITORIA 10 MG SUPPOSITO 0 0 0
40 BISACODYL SUPPOSITORIA 5 MG SUPPOSITO 0 0 0
41 BISACODYL TABLET 5 MG TABLET 150 150 0
42 BISMUTH RESORCIN|BISMUTH SUBGALLATE|BIS SUPPOSITO 10 10 0
43 BLOOD B KETON TEST STRIP OPTIUM 0 970 970 0
44 BLOOD LANCET 0 0 0 0
45 BOX SLIDE 0 0 0 0
46 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 TABLET 0 0 0
47 CALCIUM GLUCONATE|CALCIUM INJEKSI INJEKSI 0 0 0
48 CALCIUM LACTATE TABLET 500 G TABLET 3000 3000 0
49 CAPTOPRIL TABLET 25 MG TABLET 2400 2400 0
50 CARBAMAZEPINE TABLET 200 MG TABLET 0 0 0
51 CAT GUT CHROMIC 2 - 0 0 0 0 0
52 CAT GUT CHROMIC 3 - 0 0 0 0 0
53 CAT GUT PLAIN 2 - 0 0 0 0 0
54 CAT GUT PLAIN 3 - 0 0 0 0 0
55 CEFADROXIL SIRUP 125 MG/ML SIRUP 48 48 0
56 CEFADROXIL TABLET 500 MG TABLET 0 0 0
57 CETIRIZINE SIRUP 5 MG/ML SIRUP 0 0 0
58 CETIRIZINE TABLET 10 MG TABLET 0 0 0
59 CHLORAMPHENICOL DROPS 0.5% DROPS 0 0 0
60 CHLORAMPHENICOL DROPS 1 % DROPS 0 0 0
61 CHLORAMPHENICOL INJEKSI 1 G/VIAL INJEKSI 20 20 0
62 CHLORAMPHENICOL SALEP 1% SALEP 0 0 0
63 CHLORAMPHENICOL SALEP 2%/ Ikamisetin SALEP 140 140 0
64 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 30 30 0
65 CHLORAMPHENICOL TABLET 250 MG TABLET 2000 2000 0
66 CHLORAMPHENICOL TABLET 500 MG TABLET 0 0 0
67 CHLORPHENIRAMINE TABLET 4 MG TABLET 3000 0 3000
68 CHLORPROMAZINE INJEKSI 5 MG/ML INJEKSI 0 0 0
69 CHLORPROMAZINE TABLET 100 MG TABLET 0 0 0
70 Cholesterol (total) test system 0 150 150 0
71 CIPROFLOXACIN TABLET 500 MG TABLET 1000 1000 0
72 CLINDAMYCIN TABLET 150 MG TABLET 1700 1700 0
73 CODEINE TABLET 10 MG TABLET 1200 1200 0
74 CORTISONE ACETATE INJEKSI 25 MG/ML INJEKSI 0 0 0
75 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 150 150 0
76 COTRIMOXAZOLE TABLET 120 MG TABLET 0 0 0
77 COTRIMOXAZOLE TABLET 480 MG TABLET 700 700 0
78 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 100 100 0
79 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 45 45 0
80 DEXAMETHASONE TABLET 0.5 MG TABLET 6000 6000 0
81 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 10 0 0
82 DICLOFENAC SODIUM TABLET 25 MG TABLET 0 0 0
83 DIETHYLCARBAMAZINE TABLET 100 MG TABLET 0 0 0
84 DIGOXIN TABLET 0.25 MG TABLET 0 0 0
85 DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATABLET 9072 0 0
86 DILTIAZEM TABLET 30 MG TABLET 0 0 0
87 DIPHENHYDRAMINE INJEKSI INJEKSI 65 65 0
88 DISPOSIBLE BLADE 0 0 0 0
89 DISPOSIBLE INJECTION NEEDLE FORCE 23 G 0 0 0 0
90 DOMPERIDONE SIRUP SIRUP 0 0 0
91 DOMPERIDONE TABLET 10 MG TABLET 2000 2000 0
92 DOXYCYCLINE TABLET 100 MG TABLET 3000 3000 0
93 EASY CARE WASH GLOVES ANTISEPTIC 0 0 0 0
94 EPINEPHRINE INJEKSI 0.1 % INJEKSI 59 59 0
95 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 40 40 0
96 ERYTHROMYCIN TABLET 500 MG TABLET 0 0 0
97 ETAKRIDIN LIQUID 0.1 % LIQUID 5 0 5
98 ETHANOL 100 ML 40 40 0
99 ETHANOL 1000 ML 5 5 0
100 EUGENOL LIQUID LIQUID 6 6 0
101 FEEDING TUBE NO 5 100 CM 0 0 0 0
102 FEEDING TUBE NO 5 120 CM 0 0 0 0
103 FEMALE CATHETER 12 0 0 0 0
104 FENOL GLISEROL DROPS 10 % DROPS 0 0 0
105 FENOTEROL HYDROBROMIDE LIQUID 0.1 % LIQUID 1 1 0
106 FERROUS FUMARATE TABLET TABLET 1800 1800 0
107 FERROUS GLUCONATE|VITAMIN C|VITAMIN B1TABLET 0 0 0
108 FERROUS SULPHATE SIRUP 150 MG/5 ML SIRUP 0 0 0
109 FLUCONAZOLE TABLET 150 MG TABLET 0 0 0
110 FLUORESCEIN SODIUM DROPS 2.5 MG/ML DROPS 0 0 0
111 FOLEY CATHETER 2 WAY NO 10 0 0 0 0
114 FOLIC ACID TABLET 1 MG TABLET 0 0 0
115 FRAMYCETIN SULPHATE TULLE 1 % TULLE 8 8 0
116 FUROSEMIDE Tablet Tablet 300 300 0
117 FUROSEMIDE INJEKSI 10 MG/ML INJEKSI 0 0 0
118 GARAM ORALIT SERBUK SERBUK 400 400 0
119 General purpose reagent ML 100 0 0 0
120 GENTAMYCIN SALEP 0.1 % SALEP 33 33 0
121 GENTAMYCIN SALEP 1 % SALEP 0 0 0
122 GIPS PUTIH 0 1 1 0
123 GLIBENCLAMIDE TABLET 5 MG TABLET 800 800 0
124 GLIMEPIRIDE TABLET 2 MG TABLET 0 0 0
125 GLUCOSE INFUS 10 % INFUS 0 0 0
126 GLUCOSE INFUS 5 % INFUS 460 460 0
127 Glucose test system 0 100 100 0
128 GLYCEROL LIQUID LIQUID 0 0 0
129 GLYCERYL DISTEARATE TABLET 100 MG TABLET 0 0 0
130 GRISEOFULVIN TABLET 125 MG TABLET 0 0 0
131 GRISEOFULVIN TABLET 500 MG TABLET 0 0 0
132 HALOPERIDOL INJEKSI 5 MG/ML INJEKSI 0 0 0
133 HALOPERIDOL TABLET 0.5 MG TABLET 0 0 0
134 HALOPERIDOL TABLET 1.5 MG TABLET 0 0 0
135 HALOPERIDOL TABLET 5 MG TABLET 0 0 0
136 HUMAN ALBUMINE INJEKSI 20 % INJEKSI 0 0 0
137 HYDROGEN PEROXIDE LIQUID 3 % LIQUID 0 0 0
138 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 500 500 0
139 HYDROCORTISONE SALEP 2.5 % SALEP 96 96 0
140 HYOSCINE TABLET 10 MG TABLET 0 0 0
141 H202 30% 1000ml Botol 1 1 0
142 IBUPROFEN SIRUP 100 MG/5 ML SIRUP 0 0 0
143 IBUPROFEN TABLET 200 MG TABLET 0 0 0
144 ICHTHYOL SALEP 10 % SALEP 48 48 0
145 Immersion hydrobath btl500ml 3 0 0
146 INFUS SET 0 300 300 0
147 INFUS SET PEDIATRIC 0 100 0 100
148 IODIUM POVIDON LIQUID 10 % LIQUID 2 2 0
149 Iodoform (Mummifying Pasta) 0 0 0 0
150 IPRATROPIUM BROMIDE LIQUID 25% LIQUID 1 1 0
151 IPRATROPIUM BROMIDE SPRAY SPRAY 0 0 0
152 ISONIAZID TABLET 100 MG TABLET 0 0 0
153 ISONIAZID TABLET 300 MG TABLET 0 0 0
154 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 300 300 0
155 IV CATHETER NO 18 0 50 50 0
156 IV CATHETER NO 20 0 100 100 0
157 IV CATHETER NO 22 0 150 150 0
158 IV CATHETER NO 24 0 0 0 0
159 IV CATHETER NO 26 0 150 150 0
160 JARUM JAHIT KULIT G 12 0 0 0 0
163 JARUM JAHIT KULIT NO 11 0 0 0 0
164 JARUM JAHIT KULIT NO 13 0 0 0 0
165 JARUM JAHIT OTOT E 000 0 0 0 0
166 JARUM JAHIT OTOT GR 11 0 0 0 0
171 Kalsium Hidroksida Pasta/Calsidor 1 0 0
172 KANAMYCIN INJEKSI 1 G/VIAL INJEKSI 0 0 0
173 KAPAS PEMBALUT SET 500 G SET 0 0 0
174 KAPAS PUTIH 250 G 0 0 0 0
175 KASA 2Y X 80 CM 0 0 0 0
176 KASA HYDROFIL 4 M X 15 CM 0 28 0 28
179 KASA LIPAT 40 X 40 STERIL 0 20 0 0
180 KASA LIPAT KOTAK 16 X 16 STERIL 0 7 0 0
181 KASA ROL GAAS 0 0 0
182 KERTAS EKG 0 0 0 0
183 KERTAS PUYER 0 0 70 0
184 KERTAS SARING 58 X 58 CM 0 0 0 0
185 KETOCONAZOLE SALEP 2% SALEP 0 0 0
186 KETOCONAZOLE TABLET 200 MG TABLET 150 1000 0
187 Klorfenol Kamfer Menthol (CHKM) 0 1 0 0
188 Levopar TABLET 250 0 200
189 LEVODOPA TABLET TABLET 0 0 0
190 LEVONORGESTREL|ETHINYLESTRADIOL TABLETTABLET 0 0 0
191 Lembar TB 01 Lembar 30 0 0
192 LIDOCAINE INJEKSI 2% INJEKSI 69 0 100
193 LIDOCAINE SALEP 2% SALEP 0 0 0
194 LIDOCAINE SPRAY 10 % SPRAY 3 0 0
195 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY 0 0 0
196 LIDOCAINE|EPINEPHRINE INJEKSI INJEKSI 20 0 0
197 LOPERAMIDE TABLET 2 MG TABLET 0 0 0
198 LORATADINE TABLET 10 MG TABLET 1500 0 0
199 MAGNESIUM SULPHATE INJEKSI 20 % INJEKSI 0 0 0
200 MAGNESIUM SULPHATE INJEKSI 40 % INJEKSI 0 0 0
201 MASKER N95 0 40 0 0
202 MASKER OKSIGEN ADULT 0 0 0 0
203 MASKER PAKAI KARET 0 0 0 0
204 MASKER PAKAI TALI 0 0 0 0
205 MASKER TALI 3 PLY HD 0 140 0 0
206 MEDROXYPROGESTERONE ACETATE INJEKSI 3 INJEKSI 0 0 0
207 MERSILK 2 - 0 0 0 0 0
208 METACRESOLSULPHONIC ACID-FORMALDEHYDE LIQUID 2 0 0
209 METAMPIRON (ANTALGIN) INJEKSI 250 MG/MLINJEKSI 0 135 0
210 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET 1500 1500 0
211 METFORMIN TABLET 500 MG TABLET 1300 0 1600
212 METFORMIN TABLET 850 MG TABLET 1800 0 0
213 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 0 50 0
214 METHYLERGOMETRINE TABLET 0.125 MG TABLET 1300 0 0
215 METHYLPREDNISOLONE TABLET 8 MG TABLET 0 0 0
216 METRONIDAZOLE INFUS 5 G/100 ML INFUS 0 0 0
217 METRONIDAZOLE TABLET 250 MG TABLET 500 0 0
218 METRONIDAZOLE TABLET 500 MG TABLET 500 0 0
219 MICONAZOLE SALEP 2% SALEP 37 0 0
220 MUCUS EXTRACTOR 0 0 0 0
221 MULTIVITAMIN DROPS DROPS 0 50 0
222 MULTIVITAMIN SIRUP SIRUP 0 100 0
223 Nasal oxygen cannula 0 0 0 0
224 NASETIL SISTEIN INJEKSI 100 MG/ML INJEKSI 0 0 0
225 NIFEDIPINE TABLET 10 MG TABLET 500 0 0
226 NYSTATIN DROPS 100000 IU/ML DROPS 970 0 0
227 NYSTATIN TABLET 10000 IU TABLET 0 0 0
228 NYSTATIN TABLET 50000 IU TABLET 500 0 0
229 OBH SIRUP 60 ML SIRUP 240 60 0
230 OBJECK GLASS 0 720 1440 0
231 OBJECK GLASS 76 X 26 MM 0 0 0 0
232 Odex Botol 1 0 0
233 OFLOXACIN DROPS 3 MG/ML DROPS 0 0 0
234 OMEPRAZOLE INJEKSI 40 MG/VIAL INJEKSI 0 0 0
235 OMEPRAZOLE TABLET 20 MG TABLET 0 0 0
236 ONDANSETRON TABLET 4 MG TABLET 0 0 900
237 OXYMETAZOLINE DROPS 25% DROPS 0 0 0
238 OXYTOCIN INJEKSI 10 IU/ML INJEKSI 50 0 0
239 PAPAVERINE INJEKSI 40 MG/ML INJEKSI 0 0 0
240 PAPAVERINE TABLET 40 MG TABLET 1300 0 0
241 PAPER POINT NO 15 - 40 0 0 0 0
242 PAPER POINT NO 45 - 80 0 0 0 0
243 PARACETAMOL SIRUP 120 MG/5 ML SIRUP 100 0 0
244 PARACETAMOL TABLET 500 MG TABLET 7700 0 0
245 PERMETHRIN SALEP 5 % SALEP 0 0 0
246 PHENOBARBITAL INJEKSI 50 MG/ML INJEKSI 0 0 0
247 PHENOBARBITAL TABLET 30 MG TABLET 400 0 0
248 PHENOL LIQUID LIQUID 38 0 0
249 PHENOL|BENZOCAINE LIQUID LIQUID 2 0 0
250 PHENOXYMETHYLPENICILLIN TABLET 250 MG TABLET 0 0 0
251 PHENOXYMETHYLPENICILLIN TABLET 500 TABLET 0 0 0
252 PHENYTOIN INJEKSI 100 MG/2 ML INJEKSI 0 0 0
253 PHENYTOIN TABLET 100 MG TABLET 0 0 0
254 PHENYTOIN TABLET 30 MG TABLET 0 0 0
255 PHYTOMENADIONE (VITAMIN K) INJEKSI 1 ML INJEKSI 30 0 0
256 PHYTOMENADIONE (VITAMIN K) TABLET 10 M TABLET 400 0 0
257 PIROXICAM TABLET 20 MG TABLET 0 3000 0
258 PLACENTA EXTRACT|NEOMYCIN SULPHATE SALSALEP 10 0 0
259 PLESTER HIPOALERGENIC 1/2 DGN DISPENSER 0 6 0 0
260 PLESTERKU 0 0 48 2
261 POLICRESULEN LIQUID 36 % LIQUID 3 3 0
262 POT 10 ML 0 60 0 0
263 POVIDONE IODINE 30 ML ML 0 0 0
264 POVIDONE IODINE ML 9 0 0
265 PREDNISONE TABLET 5 MG TABLET 2000 3500 0
266 PRIMAQUINE TABLET 15 MG TABLET 5200 0 0
267 PROPRANOLOL TABLET 10 MG TABLET 0 0 0
268 PROPYLTHIOURACIL TABLET 100 MG TABLET 0 0 0
269 PYRANTEL PAMOATE SIRUP SIRUP 30 0 0
270 PYRANTEL PAMOATE TABLET 125 MG TABLET 1900 0 0
271 PYRAZINAMIDE KOMBINASI KOMBINAS 0 0 0
272 PYRIDOXINE INJEKSI 100 MG/ML INJEKSI 0 0 0
273 PYRIDOXINE TABLET 10 MG TABLET 10000 5000 0
274 QUININE TABLET 222 MG TABLET 180 0 0
275 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 80 0 0
276 RANITIDINE TABLET 150 MG TABLET 0 0 0
277 Reagensia HCl 0,1 N Btl100ml 2 0 0
278 RETINOL PALMITATE TABLET 100000 IU TABLET 1050 550 0
279 RETINOL PALMITATE TABLET 200000 IU TABLET 550 500 0
280 RIFAMPICIN KOMBINASI KOMBINAS 0 0 0
281 RIFAMPICIN TABLET 300 MG TABLET 0 0 0
282 RIFAMPICIN|ISONIAZID KOMBINASI KOMBINAS 1 0 0
283 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE KOMBIKOMBINAS 0 0 0
284 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|ETHA KOMBINAS 0 1 0
285 RIFAMPICIN|PYRAZINAMIDE|ISONIAZID|RIFAMKOMBINAS 30 0 0
286 RIGHT SIGN HIV 1/2/0 TRI-LINE TEST 0 0 0 0
287 SALBUTAMOL SPRAY 200 MCG/DOSIS SPRAY 0 5 0
288 SALBUTAMOL TABLET 2 MG TABLET 300 500 0
289 SALBUTAMOL TABLET 4 MG TABLET 800 0 0
290 SALBUTAMOL|IPRATROPIUM SPRAY 3 MG|0.5 SPRAY 0 0 0
291 SALICYCLIC ACID|SULPHUR COMPOUND SALEPSALEP 59 24 0
292 SALICYLIC ACID SERBUK 2% SERBUK 50 50 0
293 SARUNG TANGAN MICROTOUCH NITRILE EXAM 0 100 1200 0
294 SARUNG TANGAN MICROTOUCH NITRILE EXAM 0 0 0 0
295 SARUNG TANGAN NON STERIL 0 0 0 2000
296 SARUNG TANGAN PANJANG KARET NON STERIL 0 100 0 0
297 SARUNG TANGAN STERIL NO 6.5 0 100 0 50
298 SARUNG TANGAN STERIL NO 7.5 0 0 0 0
299 SARUNG TANGAN STERIL NO 8 0 10 0 0
300 SILK 3 - 0 0 69 0 108
301 SIMVASTATIN TABLET 10 MG TABLET 0 0 0
302 SODIUM BICARBONATE TABLET 500 MG TABLET 0 0 0
303 SODIUM CHLORIDE INFUS 0.9 % INFUS 20 80 0
304 SODIUM LACTATE INFUS INFUS 280 300 0
305 SONY PAPER USG 0 0 0 0
306 SPIRONOLACTONE TABLET 25 MG TABLET 500 0 0
307 SPUIT 1 CC INSULIN 0 150 0 0
308 SPUIT 10 CC 0 0 0 0
309 SPUIT 2,5 CC 0 280 0 300
310 SPUIT 20 CC 0 100 0 0
311 SPUIT 3 CC 0 700 600 0
312 SPUIT 5 CC 0 150 0 300
313 STERILIZED WATER FOR INJECTION INJEKSI INJEKSI 0 0 0
314 SUCTION CATHETER NO 12 0 0 0 0
315 SULFADOXINE|PYRIMETHAMINE TABLET 500 TABLET 0 0 0
316 SURGICAL GOWN 0 0 0 0
317 TENSOCREPE 4 INCHI 0 0 0 0
318 TES HIV 1/2/0 TRI - LINE TEST 0 0 0 0
319 TETANUS ANTITOXIN INJEKSI 250 IU/ML INJEKSI 0 0 0
320 TETRACYCLINE TABLET 500 MG TABLET 0 500 0
321 THIAMINE INJEKSI 100 MG/ML INJEKSI 30 70 0
322 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET 2200 0 0
323 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE INJ INJEKSI 20 0 0
324 Topical oxygen chamber for extremities 0 0 0 0
325 TRAMADOL INJEKSI 100 MG/2 ML INJEKSI 0 0 0
326 TRAMADOL TABLET 50 MG TABLET 0 500 0
327 TRANEXAMIC ACID INJEKSI 250 MG/ML INJEKSI 0 0 0
328 TRANSPORT SWAB 0 0 0 2000
329 TRIHEXYPHENIDYL TABLET 2 MG TABLET 200 0 0
330 ULTRA TEST STRIP ( 50 STRIP ) 0 250 0 0
331 UMBILICAL CORD CLAMP 0 100 50 50
332 UNDERPAD 60 X 90 0 30 0 20
333 URETHER CATHETER NO 6 0 0 0 0
334 Uric acid test system 0 100 150 0
335 Urinary glucose (nonquantitative) test system 0 0 0 0
336 URINE BAG 0 0 0 0
337 VALSARTAN TABLET 80 MG TABLET 150 0 0
338 VITAMIN B COMPLEX TABLET 25 MG TABLET 11800 3500 0
339 VITAMIN Livron B coplex TABLET 400 0 0
340 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI 0 0 0
341 VITAMIN C TABLET 50 MG TABLET 2200 8000 0
342 WING NEEDLE NO 23 0 0 0 0
343 WING NEEDLE NO 25 0 0 0 0
344 YELLOW TIP AXYGEN 0 0 0 0
345 ZINC SULPHATE TABLET 20 MG/TABLET TABLET 0 0 0
346 Citodur Tube 2 0
347 Scabisis ZK Tbe 0 0
348 Bufacetin Zalf Kulit Tube 24 0
349 Hydcal ktk 1 0
350 TKF Btl 1 0
351 Tes HIV SD Set 100 0
352 Tes HIV Casette Fokus Set 25 0
353 Tes HIV Vikia Set 25 0
354 Selang Suction no 8 Set 0 0
355 Multivitamin Embion TABLET 0 0
356 Iodium test Tes 0 0
357 Paracetamol Drop 100mg/ml Btl 0 0
358 Cianokobalamin tab TABLET 0 0
359 Natrium Diklofenak 50mg TABLET 0 0
360 Diaepam Injeksi Ampul 0 0
361 Strip HbsAg Strip 0 0
362 Methanol Btl 0 0
BS prof
960
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
9072
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
5
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6000
0
0
0
0
0
0
0
0
0
0
0
0
350
1
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
0
0
0
0
0
0
0
0
0
0

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

Unit Penerima : Puskesmas Arso III Bulan : Januari

BULAN: :Januari TAHUN: 2020

9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 0 0 0 0 - 0

109 EUGENOL LIQUID 10 ML BOTOL 5 0 5 0 5 (5) 0

JKN UMUM TOTAL

JUMLAH KUNJUNGAN RESEP

ARSO,3 FEBRUARI 2020

Mengetahui / Menyetujui Yang Menyerahkan Yang Meminta Yang Menerima

Kepala Tata Usaha

Unit Penerima : Puskesmas Arso III Bulan : Februari

BULAN: :Februari TAHUN: 2020

9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 0 0 0 0 - 0

JKN UMUM TOTAL

JUMLAH KUNJUNGAN RESEP

ARSO,3 Maret 2020

Mengetahui / Menyetujui Yang Menyerahkan Yang Meminta Yang Menerima

Kepala Tata Usaha

Unit Penerima : Puskesmas Arso III Bulan : Maret

BULAN: :Maret TAHUN: 2020

9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 0 10 10 0 10 (10) 0

Unit Penerima : Puskesmas Arso III Bulan : April

BULAN: :April TAHUN: 2020

9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 10 0 10 0 10 (10) 0

JKN UMUM TOTAL

JUMLAH KUNJUNGAN RESEP

ARSO,31 Maret 2020

Mengetahui / Menyetujui Yang Menyerahkan Yang Meminta Yang Menerima

Unit Penerima : Puskesmas Arso III Bulan : Mei

BULAN: :Mei TAHUN: 2020

9 AMINOPHYLLINE INJEKSI 24 MG\/ML INJEKSI 10 0 10 0 10 (10) 0

263 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 0 0 0 0 0 - 0

264 RANITIDINE TABLET 150 MG TABLET 500 0 500 0 500 (500) 0

265 RAPID 1 HIV (SD) KIT 125 0 125 0 125 (125) 0

266 Rapid HIV 2 TEST PIECES 50 0 50 0 50 (50) 0

267 RAPID TEST MALARIA PIECES 466 0 466 0 466 (466) 0

268 RDT SYPHILIS (HUMAN) PIECES 100 0 100 0 100 (100) 0

270 REAGEN GIEMSA 500 ML BOTOL 2 0 2 0 2 (2) 0

271 REAGEN ZIEHL NEELSEN 100 ML BOTOL 4 0 4 0 4 (4) 0

274 SAFEGLOVE PF (ONEMED) SIZE 6,5 PIECES 50 0 50 0 50 (50) 0

275 SAFEGLOVE PF (ONEMED) SIZE 7,5 PIECES 0 0 0 0 0 - 100

277 SAFEGLOVE PP (ONEMED) SIZE 7.5 PIECES PIECES 64 0 64 0 64 (64) 0

278 SAFETY BOX (POLYSAFE) BOX 0 0 0 0 0 - 0

282 SALICYLIC ACID SERBUK 2% SERBUK 63 0 63 8 55 (44) 0

286 SARUNG TANGAN NON STERIL SIZE M PIECES 0 0 0 0 0 - 0 Skifa M

288 SILK SUTURE 3\/0 PIECES 0 36 36 36 0 48 50

sILK SUTURE 1\/0 PIECES 0 0 0 0 0 - 50

289 SIMVASTATIN TABLET 10 MG TABLET 630 0 630 300 330 70 0

292 SONY PAPER USG PIECES 1 0 1 0 1 (1) 0

293 SPIRITUS 250 ML BOTOL 0 0 0 0 0 - 5

294 SPUIT 0.5 CC INSULIN PIECES 0 0 0 0 0 - 0

295 SPUIT 1 CC INSULIN PIECES 100 0 100 0 100 (100) 0

296 SPUIT 10 CC PIECES 0 0 0 0 0 - 0

298 SPUIT 3 CC PIECES 0 0 0 0 0 - 1000

299 SPUIT 5 CC PIECES 940 0 940 800 140 927 1000

301 STERACATH MEDICAL CATHETER 20G X 33 MM PIECES 0 0 0 0 0 - 50

302 STERACATH MEDICAL CATHETER 22G X 25 MM PIECES 90 0 90 90 0 120 150

305 STOMACH TUBE 14 FR (125 CM) PIECES 0 0 0 0 0 - 0

306 STOMACH TUBE 16 FR (125 CM) PIECES 0 0 0 0 0 - 0

307 STOMACH TUBE 18 FR (125 CM) PIECES 0 0 0 0 0 - 0

308 STRIP HbsAg PIECES 100 0 100 0 100 (100) 0

309 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 0 0 0 0 0 - 1000

310 SUCTION CATHETER NO 14 PIECES 0 0 0 0 0 - 0

311 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET 0 0 0 0 0 - 0