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STOK OBAT POSKESRI

Unit : POSKESRI
BULAN :

Harga Stok Peneri Persedi Pemak Stok


No. Nama Obat No. Batch Satuan
satuan awal maan aan aian akhir

1 2 3 4 5 6 7 8 9 10
1 Albendazol Tab 345267 Tablet 230 0 0 0 0 0
2 Attapulgit Tab 1705-22-106 Tablet 145 0 0 0 0 0
3 Alopurinol Tab 100 mg 1705-08-106 Tablet 113 0 0 0 0 0
4 Alopurinol Tab 100 mg A91035 Tablet 99 0 0 0 0 0
5 Alopurinol Tab 100 mg 1705-15-10 Tablet 113 0 0 0 0 0
6 Aminofilin Tab 200 mg 17CE014 Tablet 92 0 0 0 0 0
7 Aminofilin Tab 150 mg 8E308118 Tablet 142 0 0 0 0 0
8 Amlodipin Tab 10 mg AF09HO33 Tablet 95 0 0 0 0 0
9 Amlodipin Tab 10 mg HH098037 Tablet 106 0 0 0 0 0
10 Amlodipin Tab 10 mg HG098036 Tablet 106 0 0 0 0 0
11 Amlodipin Tab 5 mg 71098 Tablet 73 0 0 0 0 0
12 Amitryptilin 25 mg A1411DW Tablet 168 0 0 0 0 0
13 Amoksisilin Kap 500 mg HJ018385 Kaplet 191 0 0 0 0 0
14 Amoksisilin Kap 500 mg B90037 Kaplet 270 0 0 0 0 0
15 Amoksisilin Kap 500 mg 260134 Kaplet 245 0 0 0 0 0
16 Amoksisilin Kap 500 mg HJ018441 Kaplet 191 0 0 0 0 0
17 Amoksisilin Kap 500 mg 260027 Kaplet 270 0 0 0 0 0
18 Amoksisilin Kap 500 mg HJ018384 Kaplet 191 0 0 0 0 0
19 Amoksisilin Kap 500 mg 260542 Kaplet 270 0 0 0 0 0
20 Amoksisilin Kap 500 mg HJ018440 Kaplet 191 0 0 0 0 0
21 Amoksisilin Kap 500 mg 250392 Kaplet 270 0 0 0 0 0
22 Diazepam 5 mg A810480 Tablet 109 0 0 0 0 0
23 Diazepam 2 mg tablet A3113FVW Tablet 86 0 0 0 0 0
24 Amoksisilin Sirup Forte 250 mg/ml 180734193 Botol 2,152 0 0 0 0 0
25 Amoksisilin Sirup Forte 250 mg/ml 19041596 Botol 3,737 0 0 0 0 0
26 Amoksisilin Sirup 125 mg/ml 19041596 Botol 4,415 0 0 0 0 0
27 Antasida Sirup 18SE108 Botol 2,051 0 0 0 0 0
28 Antasida Sirup 18SE108 Botol 4,043 0 0 0 0 0
29 Antasida Tab 171669 Tablet 59 0 0 0 0 0
30 Antasida Tab A80957 Tablet 56 0 0 0 0 0
31 Antibakteri DOEN 1805005 Tube 3,187 0 0 0 0 0
32 Antihemorrhoid Suppos 172187W Tube 3,325 0 0 0 0 0
33 Antifungi DOEN 17SD034 Tube 4,540 0 0 0 0 0
34 Antihemorrhoid Suppos 172187W Suppos 3,800 0 0 0 0 0
35 Aqua Pro Injeksi 93A7A Ampul 2,750 0 0 0 0 0
36 Aquabidest 22071788 Botol 14,960 0 0 0 0 0
37 Asam Askorbat Tab 50 mg C800551BI Tablet 110 0 0 0 0 0
38 Asam Askorbat Tab 250 mg E809079 Tablet 225 0 0 0 0 0
39 Asam Folat Tab 1 mg 16T3020 Tablet 79 0 0 0 0 0
40 Asam Folat Tab 1 mg 16T3020 Tablet 74 0 0 0 0 0
41 Domperidon Tab 10 mg 48J0578 Tablet 86 0 0 0 0 0
42 Asam Mefenamat Tab 500 mg A91101 Tablet 102 0 0 0 0 0
43 Asam Mefenamat Tab 500 mg 171106 Tablet 102 0 0 0 0 0
44 Asetosal 80 mg 171102 Tablet 94 0 0 0 0 0
45 Asiklovir Tab 400 mg GE1523J Tablet 360 0 0 0 0 0
46 Attapulgit Tab MGO191 Tablet 152 0 0 0 0 0
47 Betametason Krim 0,1 % G708771 Tube 1,340 0 0 0 0 0
48 Betametason Krim 0,1 % G708771 Tube 1,520 0 0 0 0 0
49 Bisakodil tablet 5 mg E51165 tablet 327 0 0 0 0 0
50 Bisakodil Supposs 5 mg 19030457 Suppos 6,000 0 0 0 0 0
51 Combivent Nebules 6984003 Ampul 4,995 0 0 0 0 0
52 Deksametason Tab 0,5 mg 18083215 Tablet 33 0 0 0 0 0
53 Deksametason Injeksi PIG65945 Ampul 1,647 0 0 0 0 0
54 Diazepam Injeksi T2071108 Ampul 13,300 0 0 0 0 0
55 Diazepam Rektal 5 mg/2,5 ml W23681701 Suppos 13,202 0 0 0 0 0
Tanggal
Harga Harga Stok
Kadaluars
Pemakaian akhir
a
11 12 13
03/2020 - -
05/2022 - -
05/2020 - -
04/2022 - -
05/2020 - -
05/2020 - -
05/2020 - -
06/2021 - -
06/2021 - -
08/2020 - -
06/2020 - -
04/2023 - -
09/2021 - -
08/2021 - -
08/2021 - -
09/2021 - -
02/2020 - -
09/2021 - -
11/2020 - -
09/2021 - -
09/2019 - -
02/2022 - -
06/2023 - -
07/2020 - -
04/2021 - -
04/2021 - -
05/2022 - -
08/2021 - -
08/2019 - -
04/2022 - -
05/2022 - -
09/2022 - -
04/2021 - -
09/2021 - -
01/2020 - -
06/2021 - -
02/2021 - -
04/2021 - -
07/2021 - -
07/2021 - -
10/2021 - -
05/2022 - -
06/2019 - -
06/2021 - -
06/2020 - -
07/2021 - -
08/2022 - -
07/2020 - -
09/2020 - -
03/2023 - -
04/2021 - -
08/2020 - -
03/2020 - -
10/2021 - -
01/2022 - -
DAFTAR PENERIMAAN OBAT POSKESRI

SUMBER : Tanggal :

No. Nama Obat Nomor Batch Satuan Harga Jumlah Total


satuan Harga
1 2 3 4 5 6 7
1 Albendazol Tab 345267 Tablet 230 0
2 Attapulgit Tab 1705-22-106 Tablet 145 0
3 Alopurinol Tab 100 mg 1705-08-106 Tablet 113 0
4 Alopurinol Tab 100 mg A91035 Tablet 99 0
5 Alopurinol Tab 100 mg 1705-15-10 Tablet 113 0
6 Aminofilin Tab 200 mg 17CE014 Tablet 92 0
7 Aminofilin Tab 150 mg 8E308118 Tablet 142 0
8 Amlodipin Tab 10 mg AF09HO33 Tablet 95 0
9 Amlodipin Tab 10 mg HH098037 Tablet 106 0
10 Amlodipin Tab 10 mg HG098036 Tablet 106 0
11 Amlodipin Tab 5 mg 71098 Tablet 73 0
12 Amitryptilin 25 mg A1411DW Tablet 168 0
13 Amoksisilin Kap 500 mg HJ018385 Kaplet 191 0
14 Amoksisilin Kap 500 mg B90037 Kaplet 270 0
15 Amoksisilin Kap 500 mg 260134 Kaplet 245 0
16 Amoksisilin Kap 500 mg HJ018441 Kaplet 191 0
17 Amoksisilin Kap 500 mg 260027 Kaplet 270 0
18 Amoksisilin Kap 500 mg HJ018384 Kaplet 191 0
19 Amoksisilin Kap 500 mg 260542 Kaplet 270 0
20 Amoksisilin Kap 500 mg HJ018440 Kaplet 191 0
21 Amoksisilin Kap 500 mg 250392 Kaplet 270 0
22 Diazepam 5 mg A810480 Tablet 109 0
23 Diazepam 2 mg tablet A3113FVW Tablet 86 0
24 Amoksisilin Sirup Forte 250 mg/ml 180734193 Botol 2152 0
25 Amoksisilin Sirup Forte 250 mg/ml 19041596 Botol 3737 0
26 Amoksisilin Sirup 125 mg/ml 19041596 Botol 4415 0
27 Antasida Sirup 18SE108 Botol 2051 0
28 Antasida Sirup 18SE108 Botol 4043 0
29 Antasida Tab 171669 Tablet 59 0
30 Antasida Tab A80957 Tablet 56 0
31 Antibakteri DOEN 1805005 Tube 3187 0
32 Antihemorrhoid Suppos 172187W Tube 3325 0
33 Antifungi DOEN 17SD034 Tube 4540 0
34 Antihemorrhoid Suppos 172187W Suppos 3800 0
35 Aqua Pro Injeksi 93A7A Ampul 2750 0
36 Aquabidest 22071788 Botol 14960 0
37 Asam Askorbat Tab 50 mg C800551BI Tablet 110 0
38 Asam Askorbat Tab 250 mg E809079 Tablet 225 0
39 Asam Folat Tab 1 mg 16T3020 Tablet 79 0
40 Asam Folat Tab 1 mg 16T3020 Tablet 74 0
41 Domperidon Tab 10 mg 48J0578 Tablet 86 0
42 Asam Mefenamat Tab 500 mg A91101 Tablet 102 0
43 Asam Mefenamat Tab 500 mg 171106 Tablet 102 0
44 Asetosal 80 mg 171102 Tablet 94 0
45 Asiklovir Tab 400 mg GE1523J Tablet 360 0
46 Attapulgit Tab MGO191 Tablet 152 0
47 Betametason Krim 0,1 % G708771 Tube 1340 0
48 Betametason Krim 0,1 % G708771 Tube 1520 0
49 Bisakodil tablet 5 mg E51165 tablet 327 0
50 Bisakodil Supposs 5 mg 19030457 Suppos 6000 0
51 Combivent Nebules 6984003 Ampul 4995 0
52 Deksametason Tab 0,5 mg 18083215 Tablet 33 0
53 Deksametason Injeksi PIG65945 Ampul 1647 0
54 Diazepam Injeksi T2071108 Ampul 13300 0
55 Diazepam Rektal 5 mg/2,5 ml W23681701 Suppos 13202 0
56 Diazepam Tab 2 mg A70037JR Tablet 105 0
57 Diltiazem Tab D140418B Tablet 135 0
58 Domperidon Tab 10 mg 47K0395 Tablet 95 0
59 Efedrin Tab C1601828 Tablet 210 0
60 Epinefrin Inj 0,1 % 97LL0072 Ampul 1408 0
61 Eritromisin Kap 500 mg T08010AG kapsul 751 0
62 Eritromisin Sirup 200 mg/5 ml BE920319 Botol 6303 0
63 Eritromisin Sirup 200 mg/5 ml BE920318 Botol 6303 0
64 Etanol 70 % 07041788 Botol 25000 0
65 Etanol 70 % 22051788 Botol 27500 0
66 Endo Frost Cold Spray 104027W Botol 358000 0
67 Fenitoin Natrium 30 mg 7E409422 kapsul 158 0
68 Fenobarbital Tab 30 mg E81093B Tablet 180 0
69 Fenobarbital Injeksi 6803001 ampul 3500 0
70 Fenobarbital Tab 100 mg H71702B Tablet 165 0
71 Fenolgliserol Tetes Telinga 18sl017 Botol 2590 0
72 Fitomenadion Injeksi 95478038 Ampul 4167 0
73 Fitomenadion Tab 06381006 Tablet 721 0
74 Furosemid Tab 40 mg FE090I Tablet 81 0
75 Glibenklamid Tab 5 mg 1704032 Tablet 125 0
76 Glimepirid Tab 2 mg 50D0176 Tablet 207 0
77 Glukosa 5 % 270821 Botol 5313 0
78 Griseofulvin Tab 125 mg C70145B Tablet 245 0
79 Griseofulvin Tab 125 mg 19060117 Tablet 232 0
80 Gentian Violet 78022 Botol 2750 0
81 Haloperidol Tab 0,5 mg 1705114 Tablet 58 0
82 Glimepirid Tab 2 mg 49E0860 Tablet 207 0
83 Haloperidol Tab 1,5 mg 1705098 Tablet 63 0
84 Haloperidol Tab 1,5 mg 1705093 Tablet 63 0
85 Haloperidol Tab 2 mg 150438 Tablet 130 0
86 Haloperidol Tab 5 mg 1406007 Tablet 100 0
87 Haloperidol Tab 5 mg 1503017 Tablet 100 0
88 Haloperidol Tab 5 mg 160533 Tablet 100 0
89 Hidrogen Peroksida (H2O2) 3% 18001 Botol 30000 0
90 Hidroklortiazid Tab 25 mg G7114B Tablet 156 0
91 Hidroklortiazid Tab 25 mg H151202B Tablet 156 0
92 Hidrokortison Krim 2,5% G60778I Tube 2650 0
93 Hidrokortison Krim 2,5% G60768I Tube 2475 0
94 Hyosin HBr Tab 70603 Tablet 1500 0
95 Ibuprofen Suspensi 100 mg/5 ml S08006AG Botol 2550 0
96 Hyosin HBr Tab 70603 Tablet 1445 0
97 Ibuprofen Tab 200 mg 1706-09-177 Tablet 105 0
98 Ibuprofen Tab 200 mg 1807-23-17 Tablet 108 0
99 Ibuprofen Tab 400 mg BH911938 Tablet 112 0
100 Ibuprofen Tab 400 mg 1904058 Tablet 310 0
101 Ibuprofen Tab 400 mg BH911913 Tablet 112 0
102 Ibuprofen Tab 400 mg AE91196 Tablet 153 0
103 Ibuprofen Tab 400 mg BH911949 Tablet 112 0
104 Ibuprofen Tab 400 mg BH911937 Tablet 112 0
105 ISDN Tab 5 mg 1610044 Tablet 93 0
106 Isoniazid Tab 100 mg K501856 Tablet 78 0
107 Isoniazid Tab 100 mg F140694B Tablet 78 0
108 Kalsium Glukonas Inj 14F0556 Ampul 9955 0
109 Kalsium Laktat Tab 500 mg A81162 Tablet 73 0
110 Kalsium Laktat Tab 500 mg 171642 Tablet 57 0
111 Lidokain 2% injeksi A3113FVW vial 1289 0
112 Kaptopril Tab 12,5 mg 95323021 Tablet 64 0
113 Kaptopril Tab 25 mg 6324010 Tablet 88 0
114 Karbamazepin Tab 200 mg A90980 Tablet 230 0
115 Ketokonazol Krim 2 % B70153T Tube 2545 0
116 Ketokonazol Krim 2 % C60256T Tube 2545 0
117 Ketokonazol Tab 1706-06-103 Tablet 288 0
118 Kloramfenikol kapsul U2388136 Kapsul 1145 0
119 Ketokonazol Tab 19053210 kapsul 297 0
120 Klindamisin 300 mg 170694 kapsul 589 0
121 Kloramfenikol Salep kulit I0206721 Tube 3140 0
122 Kloramfenikol Salep mata 1% H71834W Tube 1810 0
123 Kloramfenikol Suspensi 125 mg/5 ml 1707-08-82 Botol 3978 0
124 Kloramfenikol Tetes Mata 0,5% D0652060 Botol 3500 0
125 Kloramfenikol Tetes Telinga 3% D0652060 Botol 7400 0
126 Kloramfenikol Tetes Mata 0,5% D0652060 Botol 8900 0
127 Kloramfenikol Tetes Telinga 3% D0652060 Botol 6300 0
128 Kaptopril Tab 12,5 mg 95323021 Tablet 85 0
129 Kaptopril Tab 25 mg 49EO446 Tablet 127 0
130 Klorfeniramin Maleat Tab 4 mg 20324704 Tablet 37 0
131 Klorfeniramin Maleat Tab 4 mg 1609-54-152 Tablet 37 0
132 Klorfeniramin Maleat Tab 4 mg 1609-55-152 Tablet 37 0
133 Klorfeniramin Maleat Tab 4 mg 1609-67-152 Tablet 37 0
134 Kloramfenikol Suspensi 125 mg/5 ml 18072582 Botol 4834 0
135 Klorpromazin Tab 100 mg 172897 Tablet 155 0
136 Kodein Tab 10 mg B703027 Tablet 577 0
137 Komb. Lidokain + Epinefrin Inj 16815077 Ampul 1205 0
138 Kotrimoksazol Dewasa 480 mg A81458 Tablet 131 0
139 Kotrimoksazol Suspensi 240 mg/5 ml 2711013 Botol 2183 0
140 Kotrimoksazol tablet 960 mg A81458 Tablet 131 0
141 Lidokain Spray LARA0 Botol 170400 0
142 Lisol 06061788 Botol 26000 0
143 Loratadin Tab 10 mg TLRTA90205 Tablet 125 0
144 Loratadin Tab 10 mg TLRTA70011 Tablet 125 0
145 Magnesium Sulfat 20 % 89G44 Ampul 3650 0
146 Magnesium Sulfat 40 % 71C44 Ampul 3650 0
147 Metformin Tab 500 mg HTMFNA9179Tablet 99 0
148 Metil ergometrin Inj 0,2 mg/ml 97LA0053 Ampul 2750 0
149 Metil ergometrin Tab 0,125 mg AG0003J Tablet 290 0
150 Metil prednisolon Tab 4 mg ZL050 Tablet 137 0
151 Metil ergometrin Tab 0,125 mg AG0003J Tablet 221 0
152 Metoklopramid Tab 10 mg H140818B Tablet 80 0
153 Metoklopramid Tab 10 mg G151065B Tablet 87 0
154 Multifunction Gel 0 botol 32141 0
155 Metronidazol Tab 500 mg B1912613 Tablet 114 0
156 Metronidazol Tab 500 mg B1912612 Tablet 114 0
157 Mikonazol Krim 2 % 046020W Tube 3585 0
158 Metronidazol Tab 500 mg B191267 Tablet 114 0
159 Metronidazol Tab 500 mg 1906024 Tablet 270 0
160 Mineral Mix 1808046 Sachet 2727 0
161 N-Asetil Sistein Tab 200 mg ECC110 Tablet 357 0
162 Natrium Diklofenak Tab 25 mg 16364020 Tablet 132 0
163 Natrium Diklofenak Tab 50 mg 16365070 Tablet 127 0
164 Natrium Klorida 0,9 % 160518 Botol 6410 0
165 Natrium Klorida 0,9 % 379404 Botol 6410 0
166 Nifedipin Tab 10 mg 48B4207 Tablet 110 0
167 Nistatin 100.000 IU 06672003 Tablet 572 0
168 Nistatin Dropp 70310 Botol 23472 0
169 Oksitosin Inj 10 UI/ml 9618m03 Ampul 1199 0
170 OAT Kategori I 1804048 Paket 377980 0
171 OAT Kategori I 064610xx Paket 377980 0
172 OAT Kategori II 1502002 Paket 1200000 0
173 OAT Kategori II K73S29J Paket 1200000 0
174 Oksitosin Inj 10 UI/ml 97LA0065 Ampul 1900 0
175 Omeprazol Kap 20 mg 17080453 kapsul 144 0
176 Omeprazol injeksi 20F265 vial 9999 0
177 Parasetamol Drop 60 mg/0,5 ml 1809072 Botol 6981 0
178 Parasetamol Drop 60 mg/0,5 ml A600097 Botol 9200 0
179 Parasetamol Sirup 120 mg/5 ml 171954 Botol 1110 0
180 Parasetamol Tab 500 mg A81662 Tablet 56 0
181 Parasetamol Tab 500 mg 173009 Tablet 51 0
182 Parasetamol Tab 500 mg 172998 Tablet 51 0
183 Parasetamol Tab 500 mg 173011 Tablet 51 0
184 Perak Sulfadiazin krim 0564AB Krim 20700 0
185 Pirantel Pamoat Tab F130756B Tablet 288 0
186 Piridoksin Tab 10 mg K60191B Tablet 129 0
187 Pot Sputum 0000x Buah 2950 0
188 Povidon Iodium 300 ml 02081788 Botol 18000 0
189 Prednison Tab 5 mg 1706075 Tablet 82 0
190 Prednison Tab 5 mg 63009 Tablet 119 0
191 Prednison Tab 5 mg 1706078 Tablet 82 0
192 Prednison Tab 5 mg 1706076 Tablet 82 0
193 Propanolol Tab 10 mg 19077118 Tablet 61 0
194 Propanolol Tab 10 mg 1804002 Tablet 78 0
195 Propiltiourasil Tab 100 mg 48H0665 Tablet 500 0
196 Ranitidin Tab 150 mg HTRNTA74109Tablet 100 0
197 Ranitidin Tab 150 mg 49K4196 Tablet 155 0
198 Reagen ZN 170716 Kotak 276600 0
199 Retinol 100.000 IU 18KB010 Kapsul 273 0
200 Retinol 100.000 IU C70420W Kapsul 273 0
201 Retinol 200.000 IU 046066W Kapsul 519 0
202 Ringer Laktat 580906 Botol 7150 0
203 Risperidon Tab 2 mg 50C0290 Tablet 273 0
204 Risperidon Tab 2 mg 50C0290 Tablet 273 0
205 Rivanol 29071788 Botol 3000 0
206 Salbutamol Tab 2 mg L60521 Tablet 62 0
207 Scabimite Krim 5 % C083E1701 Tube 11825 0
208 Scabimite Krim 5 % C083E1701 Tube 12155 0
209 Setirizin Sirup 5 mg/5 ml SO452039 botol 2907 0
210 Sefadroksil tablet 500 mg 816847 Tablet 488 0
211 Setirizin Sirup 5 mg/5 ml S0452039 Botol 2973 0
212 Sefadroksil Sirup 1605085 Botol 4066 0
213 Sianokobalamin Tab 50 mg 17TD006 Tablet 52 0
214 Simvastatin Tab 10 mg A8730DS Tablet 113 0
215 Simvastatin Tab 10 mg 170678 Tablet 113 0
216 Siprofloksasin Tab 500 mg 1706-24-108 Tablet 247 0
217 Siprofloksasin Tab 500 mg 1607-66-108 Tablet 289 0
218 Siprofloksasin Tab 500 mg 1607-48-108 Tablet 289 0
219 Siprofloksasin Tab 500 mg 1607-46-108 Tablet 289 0
220 Siprofloksasin Tab 500 mg 1607-47-108 Tablet 289 0
221 Spironolakton 25 mg 48F4185 Tablet 244 0
222 Tablet Tambah Darah 06818018CC Kaplet 370 0
223 Tablet Tambah Darah 06818175 Kaplet 370 0
224 Terikortin salf 90106 tube 5500 0
225 Fuji FX(Glass Lonomer Cement) 06818181 Set 380000 0
226 Tehnodent Iodin Pasta LOT 08 pot 96500 0
227 Tehnodent Cresotin Pasta LOT 0118 pot 112000 0
228 Tehnodent Cresotin Liquid LOT 0418 pot 160500 0
229 Tehnodent Rootdent LOT 18 pot 311800 0
230 Lidocain Spray 10% LARU Botol 177216 0
231 Tetagam Injeksi 250 UI 34045831C unit 176800 0
232 Terikortin salep 90205 tube 5500 0
233 Thiamin Tab 50 mg 1706-08-158 Tablet 84 0
234 Thiamin Tab 50 mg 1605-13-158 Tablet 86 0
235 Trifluoperazin Tab 5 mg A80262 Tablet 282 0
236 Triheksifenidil Tab 2 mg 1708052 Tablet 80 0
237 Triheksifenidil Tab 2 mg 1708154 Tablet 80 0
238 Vaksin Anti Rabies P18511M Paket 312000 0
239 Vaksin Anti Rabies 3399xx Paket 312000 0
240 Vaksin Anti Rabies NIE961M Paket 656120 0
241 Vaksin BCG 20 dosis 037G7060 Ampul 59950 0
242 Vaksin BCG 20 dosis 037G7066 Ampul 59950 0
243 Vaksin Campak 2504316 Ampul 28204 0
244 Vaksin DPT HiB 5043017 Ampul 76285 0
245 Vaksin DPT HiB 5042618 Ampul 76285 0
246 Vaksin IPV IPQ008A18 Ampul 139000 0
247 Vaksin Polio 10 dosis 2052418 Ampul 19954 0
248 Vaksin TD 0414817 Ampul 16500 0
249 Vaksin Uniject 3651417 Ampul 20900 0
250 Vaksin Uniject 3651517 Ampul 20900 0
251 Vitamin B kompleks F70726T Tablet 121 0
252 Vitamin B kompleks 21501605 Tablet 45 0
253 Vitamin B kompleks 21502605 Tablet 45 0
254 Vitamin B kompleks F70727T Tablet 121 0
255 Vitamin B kompleks F70725T Tablet 121 0
256 Vaksin MR 012N7220 Ampul 28204 0
257 Vaksin MR 012N7220 Ampul 28204 0
258 Zink Tab 20 mg 182C1069 Tablet 490 0
259 Cuticell Classic 10 x 10 160304521 Sachet 5520 0
260 Blood Lancet P1903-149096Buah 12822 0
261 Catgut Chromic 3/0 180804AV Buah 58700 0
262 Cutisorb Steril 820021 Buah 7425 0
263 Catgut Plain 4/0 180609BF Buah 48134 0
264 Folley Catheter 18 1411021811 Buah 7561 0
265 Handschoen L 1000872504 Kotak 48977 0
266 Handschoen Non Steril 80731091 Kotak 55100 0
267 Handschoen Non Steril 1001232503 Kotak 49900 0
268 Handschoen Gynekolog 1004722502 Kotak 17400 0
269 Infuset Anak 170210 Buah 3800 0
270 Infuset Dewasa 170402 Buah 6061 0
271 IV Cath 18 180706SD Buah 6270 0
272 IV Cath 18 170114SD Buah 8355 0
273 IV Cath 20 160523SD Buah 8355 0
274 IV Cath 22 160409SE Buah 8355 0
275 IV Cath 24 160525SB Buah 8355 0
276 IV Cath 24 170214SB Buah 8355 0
277 Kanul Oksigen Anak Serenity 20161030 Buah 7040 0
278 Kanul Oksigen Bayi Serenity 20160620 Buah 5280 0
279 Kanul Oksigen Dewasa Serenity 20170410 Buah 4000 0
280 Kapas Absorben 500 g 11604300142 Roll 57400 0
281 Kapas Absorben 500 g 1707072 Roll 54697 0
282 Kassa 2 m x 80 cm 072288 Roll 10079 0
283 Kassa 2 m x 80 cm 30416 Roll 10079 0
284 Kassa Besar 40 x 80 1703314 Roll 156600 0
285 Kassa Hydrofil 16 x 16 10518 Kotak 7218 0
286 Kassa Hydrofil 16 x 16 15051788 Kotak 8000 0
287 Kassa Hydrofil 4 x 15 012188MX Roll 3986 0
288 Kassa Hydrofil 4 x 15 780218 Roll 3800 0
289 Kassa Hydrofil 4 x 3 112088MX Roll 842 0
290 Kassa Steril 40 x 40 01021788 Kotak 1905 0
291 Episiotomy 2-0 190528BH Kotak 76464 0
292 Policlean 1703018 Botol 74494 0
293 Sungkup Oksigen dewasa 0 piece 11500 0
294 Sungkup Oksigen anak 0 piece 11500 0
295 Plester 71338909 Roll 35532 0
296 Polifix 10 cm x 5 m 1610781 Roll 73937 0
297 Polifix 5 cm x 5 m 1806466 Roll 39217 0
298 Poliwash 1801003 Botol 55569 0
299 Safety Box 00001 Buah 20490 0
300 Silk 3/0 180703CF Buah 41400 0
301 Silk 3/0 41170 Buah 41316 0
302 Spuit 0,05 cc 17001 Buah 1650 0
303 Spuit 0,5 cc 16502 Buah 1240 0
304 Spuit 1 cc 180303D Buah 1614 0
305 Spuit 10 cc 170406L Buah 2000 0
306 Spuit 3 cc 180326F Buah 1138 0
307 Spuit 3 cc 170324P Buah 1138 0
308 Spuit 3 cc 160624K Buah 957 0
309 Spuit 1 cc 180303D Buah 1430 0
310 Spuit 5 cc 160605R Buah 1348 0
311 Spuit 5 cc 170204C Buah 1600 0
312 Spuit 5 cc 16501 Buah 1348 0
313 Urine Bag 20170105 Buah 4290 0
314 Garam Oralit E91274B Sachet 625 0
315 OAT Anak H72175J Paket 225648 0
316 Underpad 20181122 piece 7900 0
317 Hospitec Umbilical Cord UCC180351AXpiece 2750 0
318 Natrium Bikarbonat 1805111 tablet 45 0
319 Salisil Bedak 781161 bungkus 2000 0
320 Ventolin FV0601 Ampul 10400 0
321 Povidon Iodium 60 ml DB18133 botol 23890 0
322 Dimenhidrinat 50 mg 0 tablet 110 0
323 Diltiazem Tab D80655B Tablet 133 0
324 Metoclopramid injeksi PIE49347 ampul 4158 0
325 Deksametason Injeksi 0 ampul 1152 0
326 Asiklovir Tab 400 mg 16304022 Tablet 399 0
327 Fenolgliserol Tetes Telinga 18sl017 Botol 2590 0
328 Fitomenadion Tab 16381009 Tablet 747 0
329 Ketokonazol Tab 1706-06-103 Tablet 278 0
330 Komb. Lidokain + Epinefrin Inj 16815037 Ampul 1205 0
331 Kloramfenikol Salep kulit 07804 Tube 3171 0
332 Ergotamin Coffein tablet A90111B Tablet 182 0
333 Natrium Bikarbonat Tab 500 mg 01901111 Tablet 110 0
334 Nistatin 100.000 IU 16372010 Tablet 590 0
335 Serum Anti Bisa Ular 4702918 Vial 479996 0
336 Serum Anti Tetanus 4202418 Vial 130999 0
337 Catgut Chromic 3/0 171013 Buah 51022 0
338 Handschoen 7,5 (L) 15370-04 pair 6595 0
339 Handschoen 7 (M) 15370-03 pair 6595 0
340 Handschoen 6,5 (S) 15655-01 pair 6595 0
341 Infuset Anak 171018K Buah 10406 0
342 Kassa Hydrofil 16 x 16 10518 Kotak 7900 0
343 Kassa Hydrofil 4 x 3 112088MX Roll 800 0
344 Kassa Steril 40 x 40 01021788 Kotak 1800 0
345 Kassa Besar 40 x 80 1806601 Roll 149158 0
346 Masker Tie On 1001002 Kotak 32200 0
347 Ranitidin Tab 150 mg HTRNTA74108Tablet 200 0
348 Oksitetrasiklin Salep Mata 1% E81338W tube 2600 0
349 Salep 2-4 16SH113A Tube 2753 0
350 Silk 5/0 190205AB piece 48300 0

JUMLAH 0
Tgl
Kadaluarsa
8
03/2020
05/2022
05/2020
04/2022
05/2020
05/2020
05/2020
06/2021
06/2021
08/2020
06/2020
04/2023
09/2021
08/2021
08/2021
09/2021
02/2020
09/2021
11/2020
09/2021
09/2019
02/2022
06/2023
07/2020
04/2021
04/2021
05/2022
08/2021
08/2019
04/2022
05/2022
09/2022
04/2021
09/2021
01/2020
06/2021
02/2021
04/2021
07/2021
07/2021
10/2021
05/2022
06/2019
06/2021
06/2020
07/2021
08/2022
07/2020
09/2020
03/2023
04/2021
08/2020
03/2020
10/2021
01/2022
01/2020
04/2020
10/2020
03/2019
11/2020
02/2021
08/2020
08/2020
03/2021
04/2021
10/2021
06/2022
01/2023
12/2021
07/2022
05/2021
06/2022
08/2020
05/2021
04/2023
02/2022
07/2020
02/2022
06/2021
07/2021
05/2020
05/2021
05/2020
05/2020
08/2019
07/2018
04/2019
06/2018
07/2020
06/2022
08/2020
06/2020
06/2022
03/2021
08/2019
03/2022
06/2020
07/2020
08/2021
04/2022
08/2021
05/2020
08/2021
08/2021
11/2020
02/2020
06/2019
06/2018
05/2020
08/2019
06/2023
11/2021
07/2023
04/2023
02/2021
03/2020
06/2021
01/2020
05/2021
05/2019
06/2020
08/2020
07/2020
05/2019
05/2020
09/2019
05/2021
11/2021
07/2021
04/2021
09/2020
09/2020
09/2020
07/2020
12/2019
02/2021
11/2021
07/2020
11/2019
07/2020
12/2019
05/2020
03/2022
07/2020
07/2019
03/2021
02/2021
01/2020
01/2021
07/2020
06/2022
08/2021
07/2019
04/2022
09/2021
09/2021
09/2021
09/2021
07/2021
04/2020
03/2021
05/2023
07/2021
04/2021
03/2022
01/2021
03/2021
10/2020
12/2020
03/2020
01/2020
02/2018
08/2020
01/2020
08/2021
01/2021
09/2020
06/2020
04/2022
08/2020
11/2019
11/2019
11/2019
01/2021
06/2018
11/2022
01/2021
07/2020
01/2020
09/2021
06/2019
06/2019
07/2021
04/2021
07/2021
07/2020
01/2021
04/2020
02/2021
03/2020
04/2022
02/2023
02/2022
02/2022
06/2020
11/2021
05/2022
05/2020
11/2021
08/2020
07/2022
05/2020
04/2022
04/2020
05/2019
06/2020
06/2020
06/2020
06/2020
06/2020
05/2019
02/2019
08/2021
12/2020
08/2021
09/2020
01/2021
02/2021
07/2020
01/2020
09/2019
11/2020
06/2021
06/2021
02/2020
08/2019
08/2019
07/2020
04/2020
05/2019
04/2020
10/2019
06/2019
11/2019
07/2020
04/2020
04/2020
11/2020
09/2019
05/2020
06/2020
05/2019
05/2019
06/2020
06/2020
12/2019
12/2019
02/2022
03/2022
03/2022
08/2023
04/2023
06/2023
10/2019
12/2021
07/2023
01/2022
03/2023
01/2022
04/2022
06/2023
12/2021
04/2021
03/2021
04/2021
01/2022
10/2021
06/2021
04/2022
07/2022
07/2022
04/2020
04/2020
03/2022
05/2022
04/2022
06/2020
02/2022
11/2019
01/2022
07/2022
05/2021
04/2022
04/2022
04/2020
12/2019
01/2021
01/2020
01/2021
07/2023
06/2021
01/2021
07/2021
02/2023
03/2022
02/2023
02/2022
05/2021
02/2023
05/2021
01/2022
04/2021
01/2022
04/2022
11/2020
11/2023
03/2023
05/2023
07/2021
08/2021
03/2022
03/2022
03/2023
04/2022
04/2022
05/2022
05/2020
05/2021
06/2021
05/2021
07/2021
12/2021
01/2023
05/2022
11/2020
09/2020
09/2022
09/2022
09/2022
03/2023
03/2020
05/2022
11/2021
01/2022
08/2023
05/2023
07/2020
05/2021
08/2021
02/2024
DAFT
SUMBER :

No. Nama Obat Nomor Batch Satuan Harga


satuan 1 2 3 4 5

1 Albendazol Tab 345267 Tablet 230


2 Attapulgit Tab 1705-22-106 Tablet 145
3 Alopurinol Tab 100 mg 1705-08-106 Tablet 113
4 Alopurinol Tab 100 mg A91035 Tablet 99
5 Alopurinol Tab 100 mg 1705-15-10 Tablet 113
6 Aminofilin Tab 200 mg 17CE014 Tablet 92
7 Aminofilin Tab 150 mg 8E308118 Tablet 142
8 Amlodipin Tab 10 mg AF09HO33 Tablet 95
9 Amlodipin Tab 10 mg HH098037 Tablet 106
10 Amlodipin Tab 10 mg HG098036 Tablet 106
11 Amlodipin Tab 5 mg 71098 Tablet 73
12 Amitryptilin 25 mg A1411DW Tablet 168
13 Amoksisilin Kap 500 mg HJ018385 Kaplet 191
14 Amoksisilin Kap 500 mg B90037 Kaplet 270
15 Amoksisilin Kap 500 mg 260134 Kaplet 245
16 Amoksisilin Kap 500 mg HJ018441 Kaplet 191
17 Amoksisilin Kap 500 mg 260027 Kaplet 270
18 Amoksisilin Kap 500 mg HJ018384 Kaplet 191
19 Amoksisilin Kap 500 mg 260542 Kaplet 270
20 Amoksisilin Kap 500 mg HJ018440 Kaplet 191
21 Amoksisilin Kap 500 mg 250392 Kaplet 270
22 Diazepam 5 mg A810480 Tablet 109
23 Diazepam 2 mg tablet A3113FVW Tablet 86
24 Amoksisilin Sirup Forte 250 mg/ 180734193 Botol 2152
25 Amoksisilin Sirup Forte 250 mg/ 19041596 Botol 3737
26 Amoksisilin Sirup 125 mg/ml 19041596 Botol 4415
27 Antasida Sirup 18SE108 Botol 2051
28 Antasida Sirup 18SE108 Botol 4043
29 Antasida Tab 171669 Tablet 59
30 Antasida Tab A80957 Tablet 56
31 Antibakteri DOEN 1805005 Tube 3187
32 Antihemorrhoid Suppos 172187W Tube 3325
33 Antifungi DOEN 17SD034 Tube 4540
34 Antihemorrhoid Suppos 172187W Suppos 3800
35 Aqua Pro Injeksi 93A7A Ampul 2750
36 Aquabidest 22071788 Botol 14960
37 Asam Askorbat Tab 50 mg C800551BI Tablet 110
38 Asam Askorbat Tab 250 mg E809079 Tablet 225
39 Asam Folat Tab 1 mg 16T3020 Tablet 79
40 Asam Folat Tab 1 mg 16T3020 Tablet 74
41 Domperidon Tab 10 mg 48J0578 Tablet 86
42 Asam Mefenamat Tab 500 mg A91101 Tablet 102
43 Asam Mefenamat Tab 500 mg 171106 Tablet 102
44 Asetosal 80 mg 171102 Tablet 94
45 Asiklovir Tab 400 mg GE1523J Tablet 360
46 Attapulgit Tab MGO191 Tablet 152
47 Betametason Krim 0,1 % G708771 Tube 1340
48 Betametason Krim 0,1 % G708771 Tube 1520
49 Bisakodil tablet 5 mg E51165 tablet 327
50 Bisakodil Supposs 5 mg 19030457 Suppos 6000
51 Combivent Nebules 6984003 Ampul 4995
52 Deksametason Tab 0,5 mg 18083215 Tablet 33
53 Deksametason Injeksi PIG65945 Ampul 1647
54 Diazepam Injeksi T2071108 Ampul 13300
55 Diazepam Rektal 5 mg/2,5 ml W23681701 Suppos 13202
56 Diazepam Tab 2 mg A70037JR Tablet 105
57 Diltiazem Tab D140418B Tablet 135
58 Domperidon Tab 10 mg 47K0395 Tablet 95
59 Efedrin Tab C1601828 Tablet 210
60 Epinefrin Inj 0,1 % 97LL0072 Ampul 1408
61 Eritromisin Kap 500 mg T08010AG kapsul 751
62 Eritromisin Sirup 200 mg/5 ml BE920319 Botol 6303
63 Eritromisin Sirup 200 mg/5 ml BE920318 Botol 6303
64 Etanol 70 % 07041788 Botol 25000
65 Etanol 70 % 22051788 Botol 27500
66 Endo Frost Cold Spray 104027W Botol 358000
67 Fenitoin Natrium 30 mg 7E409422 kapsul 158
68 Fenobarbital Tab 30 mg E81093B Tablet 180
69 Fenobarbital Injeksi 6803001 ampul 3500
70 Fenobarbital Tab 100 mg H71702B Tablet 165
71 Fenolgliserol Tetes Telinga 18sl017 Botol 2590
72 Fitomenadion Injeksi 95478038 Ampul 4167
73 Fitomenadion Tab 06381006 Tablet 721
74 Furosemid Tab 40 mg FE090I Tablet 81
75 Glibenklamid Tab 5 mg 1704032 Tablet 125
76 Glimepirid Tab 2 mg 50D0176 Tablet 207
77 Glukosa 5 % 270821 Botol 5313
78 Griseofulvin Tab 125 mg C70145B Tablet 245
79 Griseofulvin Tab 125 mg 19060117 Tablet 232
80 Gentian Violet 78022 Botol 2750
81 Haloperidol Tab 0,5 mg 1705114 Tablet 58
82 Glimepirid Tab 2 mg 49E0860 Tablet 207
83 Haloperidol Tab 1,5 mg 1705098 Tablet 63
84 Haloperidol Tab 1,5 mg 1705093 Tablet 63
85 Haloperidol Tab 2 mg 150438 Tablet 130
86 Haloperidol Tab 5 mg 1406007 Tablet 100
87 Haloperidol Tab 5 mg 1503017 Tablet 100
88 Haloperidol Tab 5 mg 160533 Tablet 100
89 Hidrogen Peroksida (H2O2) 3% 18001 Botol 30000
90 Hidroklortiazid Tab 25 mg G7114B Tablet 156
91 Hidroklortiazid Tab 25 mg H151202B Tablet 156
92 Hidrokortison Krim 2,5% G60778I Tube 2650
93 Hidrokortison Krim 2,5% G60768I Tube 2475
94 Hyosin HBr Tab 70603 Tablet 1500
95 Ibuprofen Suspensi 100 mg/5 mlS08006AG Botol 2550
96 Hyosin HBr Tab 70603 Tablet 1445
97 Ibuprofen Tab 200 mg 1706-09-177 Tablet 105
98 Ibuprofen Tab 200 mg 1807-23-17 Tablet 108
99 Ibuprofen Tab 400 mg BH911938 Tablet 112
100 Ibuprofen Tab 400 mg 1904058 Tablet 310
101 Ibuprofen Tab 400 mg BH911913 Tablet 112
102 Ibuprofen Tab 400 mg AE91196 Tablet 153
103 Ibuprofen Tab 400 mg BH911949 Tablet 112
104 Ibuprofen Tab 400 mg BH911937 Tablet 112
105 ISDN Tab 5 mg 1610044 Tablet 93
106 Isoniazid Tab 100 mg K501856 Tablet 78
107 Isoniazid Tab 100 mg F140694B Tablet 78
108 Kalsium Glukonas Inj 14F0556 Ampul 9955
109 Kalsium Laktat Tab 500 mg A81162 Tablet 73
110 Kalsium Laktat Tab 500 mg 171642 Tablet 57
111 Lidokain 2% injeksi A3113FVW vial 1289
112 Kaptopril Tab 12,5 mg 95323021 Tablet 64
113 Kaptopril Tab 25 mg 6324010 Tablet 88
114 Karbamazepin Tab 200 mg A90980 Tablet 230
115 Ketokonazol Krim 2 % B70153T Tube 2545
116 Ketokonazol Krim 2 % C60256T Tube 2545
117 Ketokonazol Tab 1706-06-103 Tablet 288
118 Kloramfenikol kapsul U2388136 Kapsul 1145
119 Ketokonazol Tab 19053210 kapsul 297
120 Klindamisin 300 mg 170694 kapsul 589
121 Kloramfenikol Salep kulit I0206721 Tube 3140
122 Kloramfenikol Salep mata 1% H71834W Tube 1810
123 Kloramfenikol Suspensi 125 mg/1707-08-82 Botol 3978
124 Kloramfenikol Tetes Mata 0,5% D0652060 Botol 3500
125 Kloramfenikol Tetes Telinga 3% D0652060 Botol 7400
126 Kloramfenikol Tetes Mata 0,5% D0652060 Botol 8900
127 Kloramfenikol Tetes Telinga 3% D0652060 Botol 6300
128 Kaptopril Tab 12,5 mg 95323021 Tablet 85
129 Kaptopril Tab 25 mg 49EO446 Tablet 127
130 Klorfeniramin Maleat Tab 4 mg 20324704 Tablet 37
131 Klorfeniramin Maleat Tab 4 mg 1609-54-152 Tablet 37
132 Klorfeniramin Maleat Tab 4 mg 1609-55-152 Tablet 37
133 Klorfeniramin Maleat Tab 4 mg 1609-67-152 Tablet 37
134 Kloramfenikol Suspensi 125 mg/ 18072582 Botol 4834
135 Klorpromazin Tab 100 mg 172897 Tablet 155
136 Kodein Tab 10 mg B703027 Tablet 577
137 Komb. Lidokain + Epinefrin Inj 16815077 Ampul 1205
138 Kotrimoksazol Dewasa 480 mg A81458 Tablet 131
139 Kotrimoksazol Suspensi 240 mg/ 2711013 Botol 2183
140 Kotrimoksazol tablet 960 mg A81458 Tablet 131
141 Lidokain Spray LARA0 Botol 170400
142 Lisol 06061788 Botol 26000
143 Loratadin Tab 10 mg TLRTA90205 Tablet 125
144 Loratadin Tab 10 mg TLRTA70011 Tablet 125
145 Magnesium Sulfat 20 % 89G44 Ampul 3650
146 Magnesium Sulfat 40 % 71C44 Ampul 3650
147 Metformin Tab 500 mg HTMFNA91791 Tablet 99
148 Metil ergometrin Inj 0,2 mg/ml 97LA0053 Ampul 2750
149 Metil ergometrin Tab 0,125 mg AG0003J Tablet 290
150 Metil prednisolon Tab 4 mg ZL050 Tablet 137
151 Metil ergometrin Tab 0,125 mg AG0003J Tablet 221
152 Metoklopramid Tab 10 mg H140818B Tablet 80
153 Metoklopramid Tab 10 mg G151065B Tablet 87
154 Multifunction Gel 0 botol 32141
155 Metronidazol Tab 500 mg B1912613 Tablet 114
156 Metronidazol Tab 500 mg B1912612 Tablet 114
157 Mikonazol Krim 2 % 046020W Tube 3585
158 Metronidazol Tab 500 mg B191267 Tablet 114
159 Metronidazol Tab 500 mg 1906024 Tablet 270
160 Mineral Mix 1808046 Sachet 2727
161 N-Asetil Sistein Tab 200 mg ECC110 Tablet 357
162 Natrium Diklofenak Tab 25 mg 16364020 Tablet 132
163 Natrium Diklofenak Tab 50 mg 16365070 Tablet 127
164 Natrium Klorida 0,9 % 160518 Botol 6410
165 Natrium Klorida 0,9 % 379404 Botol 6410
166 Nifedipin Tab 10 mg 48B4207 Tablet 110
167 Nistatin 100.000 IU 06672003 Tablet 572
168 Nistatin Dropp 70310 Botol 23472
169 Oksitosin Inj 10 UI/ml 9618m03 Ampul 1199
170 OAT Kategori I 1804048 Paket 377980
171 OAT Kategori I 064610xx Paket 377980
172 OAT Kategori II 1502002 Paket 1200000
173 OAT Kategori II K73S29J Paket 1200000
174 Oksitosin Inj 10 UI/ml 97LA0065 Ampul 1900
175 Omeprazol Kap 20 mg 17080453 kapsul 144
176 Omeprazol injeksi 20F265 vial 9999
177 Parasetamol Drop 60 mg/0,5 ml 1809072 Botol 6981
178 Parasetamol Drop 60 mg/0,5 mlA600097 Botol 9200
179 Parasetamol Sirup 120 mg/5 ml 171954 Botol 1110
180 Parasetamol Tab 500 mg A81662 Tablet 56
181 Parasetamol Tab 500 mg 173009 Tablet 51
182 Parasetamol Tab 500 mg 172998 Tablet 51
183 Parasetamol Tab 500 mg 173011 Tablet 51
184 Perak Sulfadiazin krim 0564AB Krim 20700
185 Pirantel Pamoat Tab F130756B Tablet 288
186 Piridoksin Tab 10 mg K60191B Tablet 129
187 Pot Sputum 0000x Buah 2950
188 Povidon Iodium 300 ml 02081788 Botol 18000
189 Prednison Tab 5 mg 1706075 Tablet 82
190 Prednison Tab 5 mg 63009 Tablet 119
191 Prednison Tab 5 mg 1706078 Tablet 82
192 Prednison Tab 5 mg 1706076 Tablet 82
193 Propanolol Tab 10 mg 19077118 Tablet 61
194 Propanolol Tab 10 mg 1804002 Tablet 78
195 Propiltiourasil Tab 100 mg 48H0665 Tablet 500
196 Ranitidin Tab 150 mg HTRNTA74109 Tablet 100
197 Ranitidin Tab 150 mg 49K4196 Tablet 155
198 Reagen ZN 170716 Kotak 276600
199 Retinol 100.000 IU 18KB010 Kapsul 273
200 Retinol 100.000 IU C70420W Kapsul 273
201 Retinol 200.000 IU 046066W Kapsul 519
202 Ringer Laktat 580906 Botol 7150
203 Risperidon Tab 2 mg 50C0290 Tablet 273
204 Risperidon Tab 2 mg 50C0290 Tablet 273
205 Rivanol 29071788 Botol 3000
206 Salbutamol Tab 2 mg L60521 Tablet 62
207 Scabimite Krim 5 % C083E1701 Tube 11825
208 Scabimite Krim 5 % C083E1701 Tube 12155
209 Setirizin Sirup 5 mg/5 ml SO452039 botol 2907
210 Sefadroksil tablet 500 mg 816847 Tablet 488
211 Setirizin Sirup 5 mg/5 ml S0452039 Botol 2973
212 Sefadroksil Sirup 1605085 Botol 4066
213 Sianokobalamin Tab 50 mg 17TD006 Tablet 52
214 Simvastatin Tab 10 mg A8730DS Tablet 113
215 Simvastatin Tab 10 mg 170678 Tablet 113
216 Siprofloksasin Tab 500 mg 1706-24-108 Tablet 247
217 Siprofloksasin Tab 500 mg 1607-66-108 Tablet 289
218 Siprofloksasin Tab 500 mg 1607-48-108 Tablet 289
219 Siprofloksasin Tab 500 mg 1607-46-108 Tablet 289
220 Siprofloksasin Tab 500 mg 1607-47-108 Tablet 289
221 Spironolakton 25 mg 48F4185 Tablet 244
222 Tablet Tambah Darah 06818018CC Kaplet 370
223 Tablet Tambah Darah 06818175 Kaplet 370
224 Terikortin salf 90106 tube 5500
225 Fuji FX(Glass Lonomer Cement) 06818181 Set 380000
226 Tehnodent Iodin Pasta LOT 08 pot 96500
227 Tehnodent Cresotin Pasta LOT 0118 pot 112000
228 Tehnodent Cresotin Liquid LOT 0418 pot 160500
229 Tehnodent Rootdent LOT 18 pot 311800
230 Lidocain Spray 10% LARU Botol 177216
231 Tetagam Injeksi 250 UI 34045831C unit 176800
232 Terikortin salep 90205 tube 5500
233 Thiamin Tab 50 mg 1706-08-158 Tablet 84
234 Thiamin Tab 50 mg 1605-13-158 Tablet 86
235 Trifluoperazin Tab 5 mg A80262 Tablet 282
236 Triheksifenidil Tab 2 mg 1708052 Tablet 80
237 Triheksifenidil Tab 2 mg 1708154 Tablet 80
238 Vaksin Anti Rabies P18511M Paket 312000
239 Vaksin Anti Rabies 3399xx Paket 312000
240 Vaksin Anti Rabies NIE961M Paket 656120
241 Vaksin BCG 20 dosis 037G7060 Ampul 59950
242 Vaksin BCG 20 dosis 037G7066 Ampul 59950
243 Vaksin Campak 2504316 Ampul 28204
244 Vaksin DPT HiB 5043017 Ampul 76285
245 Vaksin DPT HiB 5042618 Ampul 76285
246 Vaksin IPV IPQ008A18 Ampul 139000
247 Vaksin Polio 10 dosis 2052418 Ampul 19954
248 Vaksin TD 0414817 Ampul 16500
249 Vaksin Uniject 3651417 Ampul 20900
250 Vaksin Uniject 3651517 Ampul 20900
251 Vitamin B kompleks F70726T Tablet 121
252 Vitamin B kompleks 21501605 Tablet 45
253 Vitamin B kompleks 21502605 Tablet 45
254 Vitamin B kompleks F70727T Tablet 121
255 Vitamin B kompleks F70725T Tablet 121
256 Vaksin MR 012N7220 Ampul 28204
257 Vaksin MR 012N7220 Ampul 28204
258 Zink Tab 20 mg 182C1069 Tablet 490
259 Cuticell Classic 10 x 10 160304521 Sachet 5520
260 Blood Lancet P1903-1490965 Buah 12822
261 Catgut Chromic 3/0 180804AV Buah 58700
262 Cutisorb Steril 820021 Buah 7425
263 Catgut Plain 4/0 180609BF Buah 48134
264 Folley Catheter 18 1411021811 Buah 7561
265 Handschoen L 1000872504 Kotak 48977
266 Handschoen Non Steril 80731091 Kotak 55100
267 Handschoen Non Steril 1001232503 Kotak 49900
268 Handschoen Gynekolog 1004722502 Kotak 17400
269 Infuset Anak 170210 Buah 3800
270 Infuset Dewasa 170402 Buah 6061
271 IV Cath 18 180706SD Buah 6270
272 IV Cath 18 170114SD Buah 8355
273 IV Cath 20 160523SD Buah 8355
274 IV Cath 22 160409SE Buah 8355
275 IV Cath 24 160525SB Buah 8355
276 IV Cath 24 170214SB Buah 8355
277 Kanul Oksigen Anak Serenity 20161030 Buah 7040
278 Kanul Oksigen Bayi Serenity 20160620 Buah 5280
279 Kanul Oksigen Dewasa Serenity 20170410 Buah 4000
280 Kapas Absorben 500 g 11604300142 Roll 57400
281 Kapas Absorben 500 g 1707072 Roll 54697
282 Kassa 2 m x 80 cm 072288 Roll 10079
283 Kassa 2 m x 80 cm 30416 Roll 10079
284 Kassa Besar 40 x 80 1703314 Roll 156600
285 Kassa Hydrofil 16 x 16 10518 Kotak 7218
286 Kassa Hydrofil 16 x 16 15051788 Kotak 8000
287 Kassa Hydrofil 4 x 15 012188MX Roll 3986
288 Kassa Hydrofil 4 x 15 780218 Roll 3800
289 Kassa Hydrofil 4 x 3 112088MX Roll 842
290 Kassa Steril 40 x 40 01021788 Kotak 1905
291 Episiotomy 2-0 190528BH Kotak 76464
292 Policlean 1703018 Botol 74494
293 Sungkup Oksigen dewasa 0 piece 11500
294 Sungkup Oksigen anak 0 piece 11500
295 Plester 71338909 Roll 35532
296 Polifix 10 cm x 5 m 1610781 Roll 73937
297 Polifix 5 cm x 5 m 1806466 Roll 39217
298 Poliwash 1801003 Botol 55569
299 Safety Box 00001 Buah 20490
300 Silk 3/0 180703CF Buah 41400
301 Silk 3/0 41170 Buah 41316
302 Spuit 0,05 cc 17001 Buah 1650
303 Spuit 0,5 cc 16502 Buah 1240
304 Spuit 1 cc 180303D Buah 1614
305 Spuit 10 cc 170406L Buah 2000
306 Spuit 3 cc 180326F Buah 1138
307 Spuit 3 cc 170324P Buah 1138
308 Spuit 3 cc 160624K Buah 957
309 Spuit 1 cc 180303D Buah 1430
310 Spuit 5 cc 160605R Buah 1348
311 Spuit 5 cc 170204C Buah 1600
312 Spuit 5 cc 16501 Buah 1348
313 Urine Bag 20170105 Buah 4290
314 Garam Oralit E91274B Sachet 625
315 OAT Anak H72175J Paket 225648
316 Underpad 20181122 piece 7900
317 Hospitec Umbilical Cord UCC180351AX piece 2750
318 Natrium Bikarbonat 1805111 tablet 45
319 Salisil Bedak 781161 bungkus 2000
320 Ventolin FV0601 Ampul 10400
321 Povidon Iodium 60 ml DB18133 botol 23890
322 Dimenhidrinat 50 mg 0 tablet 110
323 Diltiazem Tab D80655B Tablet 133
324 Metoclopramid injeksi PIE49347 ampul 4158
325 Deksametason Injeksi 0 ampul 1152
326 Asiklovir Tab 400 mg 16304022 Tablet 399
327 Fenolgliserol Tetes Telinga 18sl017 Botol 2590
328 Fitomenadion Tab 16381009 Tablet 747
329 Ketokonazol Tab 1706-06-103 Tablet 278
330 Komb. Lidokain + Epinefrin Inj 16815037 Ampul 1205
331 Kloramfenikol Salep kulit 07804 Tube 3171
332 Ergotamin Coffein tablet A90111B Tablet 182
333 Natrium Bikarbonat Tab 500 mg01901111 Tablet 110
334 Nistatin 100.000 IU 16372010 Tablet 590
335 Serum Anti Bisa Ular 4702918 Vial 479996
336 Serum Anti Tetanus 4202418 Vial 130999
337 Catgut Chromic 3/0 171013 Buah 51022
338 Handschoen 7,5 (L) 15370-04 pair 6595
339 Handschoen 7 (M) 15370-03 pair 6595
340 Handschoen 6,5 (S) 15655-01 pair 6595
341 Infuset Anak 171018K Buah 10406
342 Kassa Hydrofil 16 x 16 10518 Kotak 7900
343 Kassa Hydrofil 4 x 3 112088MX Roll 800
344 Kassa Steril 40 x 40 01021788 Kotak 1800
345 Kassa Besar 40 x 80 1806601 Roll 149158
346 Masker Tie On 1001002 Kotak 32200
347 Ranitidin Tab 150 mg HTRNTA74108 Tablet 200
348 Oksitetrasiklin Salep Mata 1% E81338W tube 2600
349 Salep 2-4 16SH113A Tube 2753
350 Silk 5/0 190205AB piece 48300
DAFTAR PENGELUARAN OBAT POSKESRI

TANGGAL
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Jumlah Tanggal
25 26 27 28 29 30 31 Kadaluarsa

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO)
POSKESRI TANJUNG UDANI
BULAN : JANUARI 2020
Stok Peneri Persed Pemak Stok Permint
No. Nama Obat Satuan
awal maan iaan aian akhir aan
1 2 3 4 5 6 7 8 9
1 Albendazol Tab Tablet 0 0 0 0 0
2 Attapulgit Tab Tablet 0 0 0 0 0
3 Alopurinol Tab 100 mg Tablet 0 0 0 0 0
4 Alopurinol Tab 100 mg Tablet 0 0 0 0 0
5 Alopurinol Tab 100 mg Tablet 0 0 0 0 0
6 Aminofilin Tab 200 mg Tablet 0 0 0 0 0
7 Aminofilin Tab 150 mg Tablet 0 0 0 0 0
8 Amlodipin Tab 10 mg Tablet 0 0 0 0 0
9 Amlodipin Tab 10 mg Tablet 0 0 0 0 0
10 Amlodipin Tab 10 mg Tablet 0 0 0 0 0
11 Amlodipin Tab 5 mg Tablet 0 0 0 0 0
12 Amitryptilin 25 mg Tablet 0 0 0 0 0
13 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
14 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
15 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
16 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
17 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
18 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
19 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
20 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
21 Amoksisilin Kap 500 mg Kaplet 0 0 0 0 0
22 Diazepam 5 mg Tablet 0 0 0 0 0
23 Diazepam 2 mg tablet Tablet 0 0 0 0 0
24 Amoksisilin Sirup Forte 250 mg/ml Botol 0 0 0 0 0
25 Amoksisilin Sirup Forte 250 mg/ml Botol 0 0 0 0 0
26 Amoksisilin Sirup 125 mg/ml Botol 0 0 0 0 0
27 Antasida Sirup Botol 0 0 0 0 0
28 Antasida Sirup Botol 0 0 0 0 0
29 Antasida Tab Tablet 0 0 0 0 0
30 Antasida Tab Tablet 0 0 0 0 0
31 Antibakteri DOEN Tube 0 0 0 0 0
32 Antihemorrhoid Suppos Tube 0 0 0 0 0
33 Antifungi DOEN Tube 0 0 0 0 0
34 Antihemorrhoid Suppos Suppos 0 0 0 0 0
35 Aqua Pro Injeksi Ampul 0 0 0 0 0
36 Aquabidest Botol 0 0 0 0 0
37 Asam Askorbat Tab 50 mg Tablet 0 0 0 0 0
38 Asam Askorbat Tab 250 mg Tablet 0 0 0 0 0
39 Asam Folat Tab 1 mg Tablet 0 0 0 0 0
40 Asam Folat Tab 1 mg Tablet 0 0 0 0 0
41 Domperidon Tab 10 mg Tablet 0 0 0 0 0
42 Asam Mefenamat Tab 500 mg Tablet 0 0 0 0 0
43 Asam Mefenamat Tab 500 mg Tablet 0 0 0 0 0
44 Asetosal 80 mg Tablet 0 0 0 0 0
45 Asiklovir Tab 400 mg Tablet 0 0 0 0 0
46 Attapulgit Tab Tablet 0 0 0 0 0
47 Betametason Krim 0,1 % Tube 0 0 0 0 0
48 Betametason Krim 0,1 % Tube 0 0 0 0 0
49 Bisakodil tablet 5 mg tablet 0 0 0 0 0
50 Bisakodil Supposs 5 mg Suppos 0 0 0 0 0
51 Combivent Nebules Ampul 0 0 0 0 0
52 Deksametason Tab 0,5 mg Tablet 0 0 0 0 0
53 Deksametason Injeksi Ampul 0 0 0 0 0
54 Diazepam Injeksi Ampul 0 0 0 0 0
55 Diazepam Rektal 5 mg/2,5 ml Suppos 0 0 0 0 0
56 Diazepam Tab 2 mg Tablet 0 0 0 0 0
57 Diltiazem Tab Tablet 0 0 0 0 0
58 Domperidon Tab 10 mg Tablet 0 0 0 0 0
59 Efedrin Tab Tablet 0 0 0 0 0
60 Epinefrin Inj 0,1 % Ampul 0 0 0 0 0
61 Eritromisin Kap 500 mg kapsul 0 0 0 0 0
62 Eritromisin Sirup 200 mg/5 ml Botol 0 0 0 0 0
63 Eritromisin Sirup 200 mg/5 ml Botol 0 0 0 0 0
64 Etanol 70 % Botol 0 0 0 0 0
65 Etanol 70 % Botol 0 0 0 0 0
66 Endo Frost Cold Spray Botol 0 0 0 0 0
67 Fenitoin Natrium 30 mg kapsul 0 0 0 0 0
68 Fenobarbital Tab 30 mg Tablet 0 0 0 0 0
69 Fenobarbital Injeksi ampul 0 0 0 0 0
70 Fenobarbital Tab 100 mg Tablet 0 0 0 0 0
71 Fenolgliserol Tetes Telinga Botol 0 0 0 0 0
72 Fitomenadion Injeksi Ampul 0 0 0 0 0
73 Fitomenadion Tab Tablet 0 0 0 0 0
74 Furosemid Tab 40 mg Tablet 0 0 0 0 0
75 Glibenklamid Tab 5 mg Tablet 0 0 0 0 0
76 Glimepirid Tab 2 mg Tablet 0 0 0 0 0
77 Glukosa 5 % Botol 0 0 0 0 0
78 Griseofulvin Tab 125 mg Tablet 0 0 0 0 0
79 Griseofulvin Tab 125 mg Tablet 0 0 0 0 0
80 Gentian Violet Botol 0 0 0 0 0
81 Haloperidol Tab 0,5 mg Tablet 0 0 0 0 0
82 Glimepirid Tab 2 mg Tablet 0 0 0 0 0
83 Haloperidol Tab 1,5 mg Tablet 0 0 0 0 0
84 Haloperidol Tab 1,5 mg Tablet 0 0 0 0 0
85 Haloperidol Tab 2 mg Tablet 0 0 0 0 0
86 Haloperidol Tab 5 mg Tablet 0 0 0 0 0
87 Haloperidol Tab 5 mg Tablet 0 0 0 0 0
88 Haloperidol Tab 5 mg Tablet 0 0 0 0 0
89 Hidrogen Peroksida (H2O2) 3% Botol 0 0 0 0 0
90 Hidroklortiazid Tab 25 mg Tablet 0 0 0 0 0
91 Hidroklortiazid Tab 25 mg Tablet 0 0 0 0 0
92 Hidrokortison Krim 2,5% Tube 0 0 0 0 0
93 Hidrokortison Krim 2,5% Tube 0 0 0 0 0
94 Hyosin HBr Tab Tablet 0 0 0 0 0
95 Ibuprofen Suspensi 100 mg/5 ml Botol 0 0 0 0 0
96 Hyosin HBr Tab Tablet 0 0 0 0 0
97 Ibuprofen Tab 200 mg Tablet 0 0 0 0 0
98 Ibuprofen Tab 200 mg Tablet 0 0 0 0 0
99 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
100 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
101 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
102 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
103 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
104 Ibuprofen Tab 400 mg Tablet 0 0 0 0 0
105 ISDN Tab 5 mg Tablet 0 0 0 0 0
106 Isoniazid Tab 100 mg Tablet 0 0 0 0 0
107 Isoniazid Tab 100 mg Tablet 0 0 0 0 0
108 Kalsium Glukonas Inj Ampul 0 0 0 0 0
109 Kalsium Laktat Tab 500 mg Tablet 0 0 0 0 0
110 Kalsium Laktat Tab 500 mg Tablet 0 0 0 0 0
111 Lidokain 2% injeksi vial 0 0 0 0 0
112 Kaptopril Tab 12,5 mg Tablet 0 0 0 0 0
113 Kaptopril Tab 25 mg Tablet 0 0 0 0 0
114 Karbamazepin Tab 200 mg Tablet 0 0 0 0 0
115 Ketokonazol Krim 2 % Tube 0 0 0 0 0
116 Ketokonazol Krim 2 % Tube 0 0 0 0 0
117 Ketokonazol Tab Tablet 0 0 0 0 0
118 Kloramfenikol kapsul Kapsul 0 0 0 0 0
119 Ketokonazol Tab kapsul 0 0 0 0 0
120 Klindamisin 300 mg kapsul 0 0 0 0 0
121 Kloramfenikol Salep kulit Tube 0 0 0 0 0
122 Kloramfenikol Salep mata 1% Tube 0 0 0 0 0
123 Kloramfenikol Suspensi 125 mg/5 ml Botol 0 0 0 0 0
124 Kloramfenikol Tetes Mata 0,5% Botol 0 0 0 0 0
125 Kloramfenikol Tetes Telinga 3% Botol 0 0 0 0 0
126 Kloramfenikol Tetes Mata 0,5% Botol 0 0 0 0 0
127 Kloramfenikol Tetes Telinga 3% Botol 0 0 0 0 0
128 Kaptopril Tab 12,5 mg Tablet 0 0 0 0 0
129 Kaptopril Tab 25 mg Tablet 0 0 0 0 0
130 Klorfeniramin Maleat Tab 4 mg Tablet 0 0 0 0 0
131 Klorfeniramin Maleat Tab 4 mg Tablet 0 0 0 0 0
132 Klorfeniramin Maleat Tab 4 mg Tablet 0 0 0 0 0
133 Klorfeniramin Maleat Tab 4 mg Tablet 0 0 0 0 0
134 Kloramfenikol Suspensi 125 mg/5 ml Botol 0 0 0 0 0
135 Klorpromazin Tab 100 mg Tablet 0 0 0 0 0
136 Kodein Tab 10 mg Tablet 0 0 0 0 0
137 Komb. Lidokain + Epinefrin Inj Ampul 0 0 0 0 0
138 Kotrimoksazol Dewasa 480 mg Tablet 0 0 0 0 0
139 Kotrimoksazol Suspensi 240 mg/5 ml Botol 0 0 0 0 0
140 Kotrimoksazol tablet 960 mg Tablet 0 0 0 0 0
141 Lidokain Spray Botol 0 0 0 0 0
142 Lisol Botol 0 0 0 0 0
143 Loratadin Tab 10 mg Tablet 0 0 0 0 0
144 Loratadin Tab 10 mg Tablet 0 0 0 0 0
145 Magnesium Sulfat 20 % Ampul 0 0 0 0 0
146 Magnesium Sulfat 40 % Ampul 0 0 0 0 0
147 Metformin Tab 500 mg Tablet 0 0 0 0 0
148 Metil ergometrin Inj 0,2 mg/ml Ampul 0 0 0 0 0
149 Metil ergometrin Tab 0,125 mg Tablet 0 0 0 0 0
150 Metil prednisolon Tab 4 mg Tablet 0 0 0 0 0
151 Metil ergometrin Tab 0,125 mg Tablet 0 0 0 0 0
152 Metoklopramid Tab 10 mg Tablet 0 0 0 0 0
153 Metoklopramid Tab 10 mg Tablet 0 0 0 0 0
154 Multifunction Gel botol 0 0 0 0 0
155 Metronidazol Tab 500 mg Tablet 0 0 0 0 0
156 Metronidazol Tab 500 mg Tablet 0 0 0 0 0
157 Mikonazol Krim 2 % Tube 0 0 0 0 0
158 Metronidazol Tab 500 mg Tablet 0 0 0 0 0
159 Metronidazol Tab 500 mg Tablet 0 0 0 0 0
160 Mineral Mix Sachet 0 0 0 0 0
161 N-Asetil Sistein Tab 200 mg Tablet 0 0 0 0 0
162 Natrium Diklofenak Tab 25 mg Tablet 0 0 0 0 0
163 Natrium Diklofenak Tab 50 mg Tablet 0 0 0 0 0
164 Natrium Klorida 0,9 % Botol 0 0 0 0 0
165 Natrium Klorida 0,9 % Botol 0 0 0 0 0
166 Nifedipin Tab 10 mg Tablet 0 0 0 0 0
167 Nistatin 100.000 IU Tablet 0 0 0 0 0
168 Nistatin Dropp Botol 0 0 0 0 0
169 Oksitosin Inj 10 UI/ml Ampul 0 0 0 0 0
170 OAT Kategori I Paket 0 0 0 0 0
171 OAT Kategori I Paket 0 0 0 0 0
172 OAT Kategori II Paket 0 0 0 0 0
173 OAT Kategori II Paket 0 0 0 0 0
174 Oksitosin Inj 10 UI/ml Ampul 0 0 0 0 0
175 Omeprazol Kap 20 mg kapsul 0 0 0 0 0
176 Omeprazol injeksi vial 0 0 0 0 0
177 Parasetamol Drop 60 mg/0,5 ml Botol 0 0 0 0 0
178 Parasetamol Drop 60 mg/0,5 ml Botol 0 0 0 0 0
179 Parasetamol Sirup 120 mg/5 ml Botol 0 0 0 0 0
180 Parasetamol Tab 500 mg Tablet 0 0 0 0 0
181 Parasetamol Tab 500 mg Tablet 0 0 0 0 0
182 Parasetamol Tab 500 mg Tablet 0 0 0 0 0
183 Parasetamol Tab 500 mg Tablet 0 0 0 0 0
184 Perak Sulfadiazin krim Krim 0 0 0 0 0
185 Pirantel Pamoat Tab Tablet 0 0 0 0 0
186 Piridoksin Tab 10 mg Tablet 0 0 0 0 0
187 Pot Sputum Buah 0 0 0 0 0
188 Povidon Iodium 300 ml Botol 0 0 0 0 0
189 Prednison Tab 5 mg Tablet 0 0 0 0 0
190 Prednison Tab 5 mg Tablet 0 0 0 0 0
191 Prednison Tab 5 mg Tablet 0 0 0 0 0
192 Prednison Tab 5 mg Tablet 0 0 0 0 0
193 Propanolol Tab 10 mg Tablet 0 0 0 0 0
194 Propanolol Tab 10 mg Tablet 0 0 0 0 0
195 Propiltiourasil Tab 100 mg Tablet 0 0 0 0 0
196 Ranitidin Tab 150 mg Tablet 0 0 0 0 0
197 Ranitidin Tab 150 mg Tablet 0 0 0 0 0
198 Reagen ZN Kotak 0 0 0 0 0
199 Retinol 100.000 IU Kapsul 0 0 0 0 0
200 Retinol 100.000 IU Kapsul 0 0 0 0 0
201 Retinol 200.000 IU Kapsul 0 0 0 0 0
202 Ringer Laktat Botol 0 0 0 0 0
203 Risperidon Tab 2 mg Tablet 0 0 0 0 0
204 Risperidon Tab 2 mg Tablet 0 0 0 0 0
205 Rivanol Botol 0 0 0 0 0
206 Salbutamol Tab 2 mg Tablet 0 0 0 0 0
207 Scabimite Krim 5 % Tube 0 0 0 0 0
208 Scabimite Krim 5 % Tube 0 0 0 0 0
209 Setirizin Sirup 5 mg/5 ml botol 0 0 0 0 0
210 Sefadroksil tablet 500 mg Tablet 0 0 0 0 0
211 Setirizin Sirup 5 mg/5 ml Botol 0 0 0 0 0
212 Sefadroksil Sirup Botol 0 0 0 0 0
213 Sianokobalamin Tab 50 mg Tablet 0 0 0 0 0
214 Simvastatin Tab 10 mg Tablet 0 0 0 0 0
215 Simvastatin Tab 10 mg Tablet 0 0 0 0 0
216 Siprofloksasin Tab 500 mg Tablet 0 0 0 0 0
217 Siprofloksasin Tab 500 mg Tablet 0 0 0 0 0
218 Siprofloksasin Tab 500 mg Tablet 0 0 0 0 0
219 Siprofloksasin Tab 500 mg Tablet 0 0 0 0 0
220 Siprofloksasin Tab 500 mg Tablet 0 0 0 0 0
221 Spironolakton 25 mg Tablet 0 0 0 0 0
222 Tablet Tambah Darah Kaplet 0 0 0 0 0
223 Tablet Tambah Darah Kaplet 0 0 0 0 0
224 Terikortin salf tube 0 0 0 0 0
225 Fuji FX(Glass Lonomer Cement) Set 0 0 0 0 0
226 Tehnodent Iodin Pasta pot 0 0 0 0 0
227 Tehnodent Cresotin Pasta pot 0 0 0 0 0
228 Tehnodent Cresotin Liquid pot 0 0 0 0 0
229 Tehnodent Rootdent pot 0 0 0 0 0
230 Lidocain Spray 10% Botol 0 0 0 0 0
231 Tetagam Injeksi 250 UI unit 0 0 0 0 0
232 Terikortin salep tube 0 0 0 0 0
233 Thiamin Tab 50 mg Tablet 0 0 0 0 0
234 Thiamin Tab 50 mg Tablet 0 0 0 0 0
235 Trifluoperazin Tab 5 mg Tablet 0 0 0 0 0
236 Triheksifenidil Tab 2 mg Tablet 0 0 0 0 0
237 Triheksifenidil Tab 2 mg Tablet 0 0 0 0 0
238 Vaksin Anti Rabies Paket 0 0 0 0 0
239 Vaksin Anti Rabies Paket 0 0 0 0 0
240 Vaksin Anti Rabies Paket 0 0 0 0 0
241 Vaksin BCG 20 dosis Ampul 0 0 0 0 0
242 Vaksin BCG 20 dosis Ampul 0 0 0 0 0
243 Vaksin Campak Ampul 0 0 0 0 0
244 Vaksin DPT HiB Ampul 0 0 0 0 0
245 Vaksin DPT HiB Ampul 0 0 0 0 0
246 Vaksin IPV Ampul 0 0 0 0 0
247 Vaksin Polio 10 dosis Ampul 0 0 0 0 0
248 Vaksin TD Ampul 0 0 0 0 0
249 Vaksin Uniject Ampul 0 0 0 0 0
250 Vaksin Uniject Ampul 0 0 0 0 0
251 Vitamin B kompleks Tablet 0 0 0 0 0
252 Vitamin B kompleks Tablet 0 0 0 0 0
253 Vitamin B kompleks Tablet 0 0 0 0 0
254 Vitamin B kompleks Tablet 0 0 0 0 0
255 Vitamin B kompleks Tablet 0 0 0 0 0
256 Vaksin MR Ampul 0 0 0 0 0
257 Vaksin MR Ampul 0 0 0 0 0
258 Zink Tab 20 mg Tablet 0 0 0 0 0
259 Cuticell Classic 10 x 10 Sachet 0 0 0 0 0
260 Blood Lancet Buah 0 0 0 0 0
261 Catgut Chromic 3/0 Buah 0 0 0 0 0
262 Cutisorb Steril Buah 0 0 0 0 0
263 Catgut Plain 4/0 Buah 0 0 0 0 0
264 Folley Catheter 18 Buah 0 0 0 0 0
265 Handschoen L Kotak 0 0 0 0 0
266 Handschoen Non Steril Kotak 0 0 0 0 0
267 Handschoen Non Steril Kotak 0 0 0 0 0
268 Handschoen Gynekolog Kotak 0 0 0 0 0
269 Infuset Anak Buah 0 0 0 0 0
270 Infuset Dewasa Buah 0 0 0 0 0
271 IV Cath 18 Buah 0 0 0 0 0
272 IV Cath 18 Buah 0 0 0 0 0
273 IV Cath 20 Buah 0 0 0 0 0
274 IV Cath 22 Buah 0 0 0 0 0
275 IV Cath 24 Buah 0 0 0 0 0
276 IV Cath 24 Buah 0 0 0 0 0
277 Kanul Oksigen Anak Serenity Buah 0 0 0 0 0
278 Kanul Oksigen Bayi Serenity Buah 0 0 0 0 0
279 Kanul Oksigen Dewasa Serenity Buah 0 0 0 0 0
280 Kapas Absorben 500 g Roll 0 0 0 0 0
281 Kapas Absorben 500 g Roll 0 0 0 0 0
282 Kassa 2 m x 80 cm Roll 0 0 0 0 0
283 Kassa 2 m x 80 cm Roll 0 0 0 0 0
284 Kassa Besar 40 x 80 Roll 0 0 0 0 0
285 Kassa Hydrofil 16 x 16 Kotak 0 0 0 0 0
286 Kassa Hydrofil 16 x 16 Kotak 0 0 0 0 0
287 Kassa Hydrofil 4 x 15 Roll 0 0 0 0 0
288 Kassa Hydrofil 4 x 15 Roll 0 0 0 0 0
289 Kassa Hydrofil 4 x 3 Roll 0 0 0 0 0
290 Kassa Steril 40 x 40 Kotak 0 0 0 0 0
291 Episiotomy 2-0 Kotak 0 0 0 0 0
292 Policlean Botol 0 0 0 0 0
293 Sungkup Oksigen dewasa piece 0 0 0 0 0
294 Sungkup Oksigen anak piece 0 0 0 0 0
295 Plester Roll 0 0 0 0 0
296 Polifix 10 cm x 5 m Roll 0 0 0 0 0
297 Polifix 5 cm x 5 m Roll 0 0 0 0 0
298 Poliwash Botol 0 0 0 0 0
299 Safety Box Buah 0 0 0 0 0
300 Silk 3/0 Buah 0 0 0 0 0
301 Silk 3/0 Buah 0 0 0 0 0
302 Spuit 0,05 cc Buah 0 0 0 0 0
303 Spuit 0,5 cc Buah 0 0 0 0 0
304 Spuit 1 cc Buah 0 0 0 0 0
305 Spuit 10 cc Buah 0 0 0 0 0
306 Spuit 3 cc Buah 0 0 0 0 0
307 Spuit 3 cc Buah 0 0 0 0 0
308 Spuit 3 cc Buah 0 0 0 0 0
309 Spuit 1 cc Buah 0 0 0 0 0
310 Spuit 5 cc Buah 0 0 0 0 0
311 Spuit 5 cc Buah 0 0 0 0 0
312 Spuit 5 cc Buah 0 0 0 0 0
313 Urine Bag Buah 0 0 0 0 0
314 Garam Oralit Sachet 0 0 0 0 0
315 OAT Anak Paket 0 0 0 0 0
316 Underpad piece 0 0 0 0 0
317 Hospitec Umbilical Cord piece 0 0 0 0 0
318 Natrium Bikarbonat tablet 0 0 0 0 0
319 Salisil Bedak bungkus 0 0 0 0 0
320 Ventolin Ampul 0 0 0 0 0
321 Povidon Iodium 60 ml botol 0 0 0 0 0
322 Dimenhidrinat 50 mg tablet 0 0 0 0 0
323 Diltiazem Tab Tablet 0 0 0 0 0
324 Metoclopramid injeksi ampul 0 0 0 0 0
325 Deksametason Injeksi ampul 0 0 0 0 0
326 Asiklovir Tab 400 mg Tablet 0 0 0 0 0
327 Fenolgliserol Tetes Telinga Botol 0 0 0 0 0
328 Fitomenadion Tab Tablet 0 0 0 0 0
329 Ketokonazol Tab Tablet 0 0 0 0 0
330 Komb. Lidokain + Epinefrin Inj Ampul 0 0 0 0 0
331 Kloramfenikol Salep kulit Tube 0 0 0 0 0
332 Ergotamin Coffein tablet Tablet 0 0 0 0 0
333 Natrium Bikarbonat Tab 500 mg Tablet 0 0 0 0 0
334 Nistatin 100.000 IU Tablet 0 0 0 0 0
335 Serum Anti Bisa Ular Vial 0 0 0 0 0
336 Serum Anti Tetanus Vial 0 0 0 0 0
337 Catgut Chromic 3/0 Buah 0 0 0 0 0
338 Handschoen 7,5 (L) pair 0 0 0 0 0
339 Handschoen 7 (M) pair 0 0 0 0 0
340 Handschoen 6,5 (S) pair 0 0 0 0 0
341 Infuset Anak Buah 0 0 0 0 0
342 Kassa Hydrofil 16 x 16 Kotak 0 0 0 0 0
343 Kassa Hydrofil 4 x 3 Roll 0 0 0 0 0
344 Kassa Steril 40 x 40 Kotak 0 0 0 0 0
345 Kassa Besar 40 x 80 Roll 0 0 0 0 0
346 Masker Tie On Kotak 0 0 0 0 0
347 Ranitidin Tab 150 mg Tablet 0 0 0 0 0
348 Oksitetrasiklin Salep Mata 1% tube 0 0 0 0 0
349 Salep 2-4 Tube 0 0 0 0 0
350 Silk 5/0 piece 0 0 0 0 0

Tanjung Udani, 31 Januari 2020


Lia Dwi Fenasia, Amd.Keb
Nip.19860502 201704 2 012
Pember
Ket.
ian
10 11
ng Udani, 31 Januari 2020
a Dwi Fenasia, Amd.Keb
p.19860502 201704 2 012
55 Prednison Tab 5 mg Tablet 93 0 93 0 93
56 Ranitidin Tab 150 mg Tablet 0 0 0 0 0
57 Ranitidin Tab 150 mg Tablet 0 0 0 0 0
58 Ringer Laktat Botol 2 0 2 0 2
59 Rivanol Botol 1 0 1 0 1
60 Salbutamol Tab 2 mg Tablet 0 0 0 0 0
61 Simvastatin Tab 10 mg Tablet 0 0 0 0 0
62 Tablet Tambah Darah Kaplet 0 0 0 0 0
63 Tiamin HCL (Vit B1) 50mg Tablet 0 0 0 0 0
64 Vitamin B kompleks Tablet 0 0 0 0 0
65 Zink Tab 20 mg Tablet 50 0 50 0 50
66 Vitamin C Buah 80 0 80 10 70
67 Vitamin B6 Buah 30 0 30 10 20
68 Folley Catheter 18 Buah 0 0 0 0 0
69 Handschoen L Kotak 0 0 0 0 0
70 Handschoen Non Steril Kotak 0 0 0 0 0
71 Handschoen Non Steril Kotak 0 0 0 0 0
72 Handschoen Gynekolog Kotak 0 0 0 0 0
73 Infuset Anak Buah 0 0 0 0 0
74 Infuset Dewasa Buah 2 0 2 0 2
75 Kapas Absorben 500 g Roll 0 0 0 0 0
76 Kassa 2 m x 80 cm Roll 3 0 3 0 3
77 Kassa Besar 40 x 80 Roll 0 0 0 0 0
78 Kassa Hydrofil 16 x 16 Kotak 0 0 0 0 0
79 Kassa Hydrofil 4 x 15 Roll 0 0 0 0 0
80 Kassa Hydrofil 4 x 3 Roll 0 0 0 0 0
81 Kassa Steril 40 x 40 Kotak 0 0 0 0 0
82 Plester Roll 0 0 0 0 0
83 Polifix 10 cm x 5 m Roll 0 0 0 0 0
84 Polifix 5 cm x 5 m Roll 0 0 0 0 0
85 Silk 3/0 Buah 0 0 0 0 0
86 Silk 3/0 Buah 10 0 10 2 8
87 Spuit 0,5 cc Buah 0 0 0 0 0
88 Spuit 1 cc Buah 0 0 0 0 0
89 Spuit 10 cc Buah 0 0 0 0 0
90 Spuit 3 cc Buah 20 0 20 3 17
91 Spuit 5 cc Buah 0 0 0 0 0
92 Urine Bag Buah 0 0 0 0 0
93 Garam Oralit Sachet 15 0 0 0 0
94 OAT Anak Paket 0 0 0 0 0
95 Underpad piece 0 0 0 0 0
96 Hospitec Umbilical Cord piece 0 0 0 0 0
97 Natrium Bikarbonat tablet 0 0 0 0 0
98 Salisil Bedak bungkus 0 0 0 0 0
99 Natrium Bikarbonat Tab 500 mg Tablet 0 0 0 0 0

Lintas Harapan, 28 Februari 2022

Welli Herpika, AMd. Keb

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