KEADAAN FISIK KETERSEDIAAN OBAT DAN BAHAN MEDIS HAB

PER 31 DESEMBER 2019

PUSKESMAS ………………………………..

NO NAMA BARANG SATUAN

GUDANG OBAT
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet
2 Alprazolam 0,5 mg Tablet
3 Allopurinol 100 mg Tablet
4 Aminofilin 200 mg Tablet
5 Amitriptilin 25 mg Tablet
6 Amlodipin 5 mg Tablet
7 Amlodipin 10 mg Tablet
8 Amoksisilin 250 mg Kapsul
9 Amoksisilin 500 mg Tablet
10 Antasida Doen Tablet
11 Asam Folat 0,4 mg Tablet
12 Asam Folat 1 mg Tablet
13 Asam Mefenamat 500 mg Tablet
14 Asetyl Cystein 200 mg Kapsul
15 Asiklovir 200 mg Tablet
16 Asiklovir 400 mg Tablet
17 Azytromizin 500 mg Tablet
18 Betahistine 6 mg Tablet
19 Captopril 12,5 mg Tablet
20 Captopril 25 mg Tablet
21 Captopril 50 mg Tablet
22 Carbamazepin 200 mg Tablet
23 Cefadroxil 500 mg Kapsul
24 Cefixim 100 mg Tablet
25 Cetirizine 10 mg Tablet
26 Chlorfeniramina Maleat (CTM) 4 mg Tablet
27 Chlorpromazin 25 mg Tablet
28 Chlorpromazin 100 mg Tablet
29 Ciprofloxacin 500 mg Tablet
30 Clobazam 10 mg Tablet
31 Clozapine 25 mg Tablet
32 Cotrimoxazole 120 mg Tablet
33 Cotrimoxazole 480 mg Tablet
34 Cotrimoxazole Forte Kombinasi 960 mg Tablet
35 Codein Phospate 10 mg Tablet
36 Deksametason 0,5 mg Tablet
37 Diltiazem 30 mg Tablet
38 Diazepam 2 mg Tablet
39 Doksisiklin 100 mg Kapsul
40 Domperidon 10 mg Tablet
41 Ergotamin Caffein Tablet
42 Eritromisin 250 mg Tablet
43 Eritromisin 500 mg Tablet
44 FDC KAT Anak Paket
45 FDC KAT I Paket
46 FDC KAT II Paket
47 Fervital Tablet
48 Fitomenadion (Vit. K1) 10 mg Tablet
49 Furosemid 40 mg Tablet
50 Garam Oralit Sachet
51 Glibenklamid 5 mg Tablet
52 Griseofulvin 125 mg Tablet
53 Haloperidol 1,5 mg Tablet
54 Ibuprofen 200 mg Tablet
55 Ibuprofen 400 mg Tablet
56 Isoniasid (INH) 100 mg Tablet
57 Isoniasid (INH) 300 mg Tablet
58 Isosorbid Dinitrat 5 mg Tablet
59 Kalsium Laktat (Kalk) 500 mg Tablet
60 Ketokonazole 200 mg Tablet
61 Klindamisin 300 mg Kapsul
62 Klindamycin 150 mg Kapsul
63 Lanzoprazole 30 mg Kapsul
64 Loperamid 2 mg Tablet
65 Loratadin 10 mg Tablet
66 Metformin 500 mg Tablet
67 Metilergometrin 0,125 mg Tablet
68 Metilprednisolon 4 mg Tablet
69 Metilprednisolon 8 mg Tablet
70 Metoklopramide 5 mg Tablet
71 Metoklopramide 10 mg Tablet
72 Metrodinazole 500 mg Tablet
73 Mineral MIX, Kombinasi Sachet
74 Natrium diklofenak 25 mg Tablet
75 Nifedipin 10 mg Tablet
76 Nystatin 500.000 IU Tablet
77 Nystatin tablet vagina 100.000 IU Tablet
78 Omeprazole 20 mg Kapsul
79 Ondasetron 4 mg Tablet
80 Ondasetron 8 mg Tablet
81 Paracetamol 500 mg Tablet
82 Pil KB Oral kombinasi Tablet
83 Prednison 5 mg Tablet
84 Propiltiourasil (PTU) 100 mg Tablet
85 Pyrantel 125 mg Tablet
86 Phenobarbital 30 mg Tablet
87 Ranitidin 150 mg Tablet
88 Resperidon 2 mg Tablet
 89 Rifampicin 300 mg Kapsul
90 Salbutamol 2 mg Tablet
91 Salbutamol 4 mg Tablet
92 Simvastatin 10 mg Tablet
93 Simvastatin 20 mg Tablet
94 Spironolakton 100 mg Tablet
95 Tablet Tambah Darah Tablet
96 Tetrasiklin 250 mg Kapsul
97 Tetrasiklin 500 mg Kapsul
98 Triheksilfenidil 2 mg Tablet
99 Vitamin A (Retinol) 100.000 IU Kapsul
100 Vitamin A (Retinol) 200.000 IU Kapsul
101 Vitamin B Complex Tablet
102 Vitamin B1 (Thiamin) Tablet
103 Vitamin B12 (Sianokobalamin) Tablet
104 Vitamin B6 (Piridoksin) Tablet
105 Vitamin C 50 mg Tablet
106 Vitamin C 250 mg Tablet
107 Zinc 20 mg Tablet
B. SIRUP
108 Albendazole Sirup 200 mg Botol
109 Amoksisilin sirup kering 125 mg/5 ml Botol
110 Amoxicillin syrup Kering 250 mg/5ml Botol
111 Antasida Suspensi Botol
112 Cefadroxil sirup Kering 125 mg/5ml Botol
113 Cefadroxil Sirup Kering 250 mg/5 ml Botol
114 Ceterizin Sirup Botol
115 Chloramfenikol suspensi 125 mg/5 ml Botol
116 Cotrimoksazole Sirup 60 ml Botol
117 Domperidon Suspensi / Sirup 5 mg/ml Botol
118 Eritromisin Sirup Botol
119 Ibuprofen Suspensi 100 mg/ 5 ml Botol
120 Multivitamin Syr (Supralysin Sirup) Botol
121 Parasetamol drops Botol
122 Parasetamol sirup 120 mg /5 ml Botol
123 Pyrantel Sirup Botol
124 Sefiksim Sirup kering 100 mg / 5 ml Botol
125 Zink Sulfate syr 20 mg/5ml Botol
C. INJEKSI & INFUS
126 Aminofilin inj 24 mg/ml Ampul
127 Amoksisilin Serbuk Injeksi 1000 mg Vial
128 Antalgin Ampul
129 Aqua Pro Injeksi Vial
130 Asam Traneksamat Ampul
131 Asering Infus Botol
132 Atropin Sulfat 0,25 mg Ampul
133 Calcii Gluconas Inj Ampul
134 Dexamethason Inj 5 mg/ml Ampul
135 Diazepam Injeksi 5 mg/ml Ampul
136 Difenhidramin Injeksi 10 mg/ml (HCl) Ampul
137 Epinefrin (Adrenalin) inj 0,1 % Ampul
138 Fenobarbital Inj. Ampul
139 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul
140 Furosemide Inj Ampul
141 Gentamicin Inj Ampul
142 Glukosa 5% Infus Botol 500 ml
143 Glukosa 10 % Infus Botol 500 ml
144 Glukosa 40 % Botol
145 Haloperidol 5 mg/ml (Lodomer Inj) Ampul
146 Haloperidol 50 mg (Haldol Inj) Ampul
147 hyocine N-buthylbromide inj Ampul
148 KA-EN 3B Botol
149 Lidocain inj 2 % Ampul
150 Lidocain injeksi 2 % + Epinefrin 1 : 80.000-inj 2 ml Ampul
151 Metilergometrin inj Ampul
152 Metilprednisolon inj 125 mg/ml Vial
153 Metoklopramide inj 5 mg/ml Ampul
154 MGSO4 20 % Ampul
155 MGSO4 40 % Ampul
156 Metronidazol Infus Botol
157 NaCl 0,9 % Infus Botol 500 ml
158 Oksitocin inj 10 ui/ml Ampul
159 Ranitidine HCl inj. Ampul
160 Ringer Laktat Infus Botol 500 ml
161 Tramadol Injeksi Ampul
162 Vitamin B1 (Tiamin) inj. Ampul
163 Vitamin B12 (Sianokabalamin) Inj Ampul
164 Vitamin B6 (Piridoksin) inj Ampul
165 Xylestecin inj Ampul
D. OBAT LUAR
166 Antihemoroid Supp
167 As. Sal + Bel. Endap (2 - 4 Salep) Pot
168 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot
169 Asiklovir Cr Tube
170 Betametason krim 0,1% Tube
171 Betamethason Dipropionate krim 0,05 % Tube
172 Ceivitron Pink 30 gr Pot
173 Ceivitron White 30 gr Pot
174 Dulcolax ( Bisacodil Supp) 10 mg Supp
175 Dulcolax ( Bisacodil Supp) 5 mg Supp
176 Eugenol Cairan Botol
177 Etakridine Larutan 0,1 % Botol
178 Fenol Gliserol TT Botol
179 Gentian Violet Botol
180 Gentamicin 0,3 % Salep Mata Tube
181 Gentamicin 0,3 % Salep Kulit Tube
 182 Gentamisin Tetes Mata Botol
183 Glass Ionomer Pcs
184 Hydrocortison cream 1 % Tube
185 Hidrokortison krim 2,5% Tube
186 Ketokenazole Cr 2 % Tube
187 Kloramfenikol Salep Mata 1 % Tube
188 Kloramfenikol tetes telinga 3% Botol
189 Miconazole 2 % Tube
190 Oksitetrasiklin 1% SM Tube
191 Povidon Iodida larutan 10% 30 ml Botol
192 Povidon Iodida larutan 60 ml Botol
193 Povidon Iodida larutan 300 ml Botol
194 Povidon Iodida larutan 1000 ml Botol
195 Salisil bedak 2% Kotak
196 Xilocaine Jelly 2 % Syringe
197 Xilocaine Spray Botol
E. BAHAN MEDIS HABIS PAKAI
198 Alkohol 70% Botol 1 Liter
199 Alkohol Swab Kotak
200 ARM Sling M Pcs
201 ARM Sling L Pcs
202 Aseptan 500 cc + Pump Botol
203 Alkazime sachet 25 mg Sachet
204 Alkacide 1 L High Level Disinfectant botol
205 Bood Lancet Kotak
206 Bood Tranfusion Set Pcs
207 Blood Tranfusion Set (Troge ) Pcs
208 Bracket Hand Wash Plasik Pcs
209 Cannofix-PU Pcs
210 Cannula Oksigen Bayi Pcs
211 Cannula Oksigen Anak Pcs
212 Cannula Oksigen Dewasa Pcs
213 Catgut Crhomic No. 2/0 Pcs
214 Catgut Crhomic No. 3/0 Pcs
215 Crhomic No. 2/0 (Gabler) Pcs
216 Crhomic No. 3/0 (Gabler) Pcs
217 Crhomic No. 4/0 (Gabler) Pcs
218 Catgut Plain No. 2/0 Pcs
219 Catgut Plain No. 3/0 Pcs
220 Cavidagel 15g Tube
221 Dermafix 10 x 15 Pcs
222 Disposable (Spoit) 1 cc Pcs
223 Disposable (Spoit) 3 cc Pcs
224 Disposable (Spoit) 5 cc Pcs
225 Disposable (Spoit) 10 cc Pcs
226 Dental BIP Pack
227 Ethyl Chloride Botol
228 Foley Catheter No. 16 Pcs
229 Foley Catheter No. 18 Pcs
230 Foley Catheter No. 20 Pcs
231 Foley Catheter No. 22 Pcs
232 Foley Catheter No, 24 Pcs
233 Hanschoen Gynecolog Glove No. 6,5 Pasang
234 Hanschoen Gynecolog Glove No. 7 Pasang
235 Hanschoen Gynecolog Glove No. 7,5 Pasang
236 Hanschoen Gynecolog Glove No. 8 Pasang
237 Hanschoen Gynecolog Glove No. 8,5 Pasang
238 Handschoen Steril Free Powder No. 6,5 Pasang
239 Handschoen Steril Free Powder No. 7 Pasang
240 Handschoen Steril Free Powder No. 7,5 Pasang
241 Handschoen Steril Free Powder No. 8 Pasang
242 Handschoen Nitrile S Pasang
243 Handschoen Nitrile M Pasang
244 Handschoen Nitrile L Pasang
245 Handschoen Non Steril S Pcs
246 Handschoen Non Steril M Pcs
247 Handschoen Non Steril L Pcs
248 I.V. Catheter No. 18 Pcs
249 I.V. Catheter No. 20 Pcs
250 I.V. Catheter No. 22 Pcs
251 I.V. Catheter No. 24 Pcs
252 I.V. Catheter No. 18 (Troge Medical) Pcs
253 I.V. Catheter No. 20 (Troge Medical) Pcs
254 I.V. Catheter No. 22 (Troge Medical) Pcs
255 I.V. Catheter No. 24 (Troge Medical) Pcs
256 I.V. Catheter No. 26 (Troge Medical) Pcs
257 Infus Set Makro (Dewasa) Pcs
258 Infus Set Mikro (Anak) Pcs
259 Jelly Catheter Tube
260 Jelly USG Botol
261 Jarum Intraligamen Pcs
262 Kapas 250 g Roll
263 Kapas Berlemak 500 g Roll
264 Kapas 1000 g Roll
265 Kasa Hidrofil 40 m x 80 cm Roll
266 Kasa Kompres 40 x 40 cm Pcs
267 Kasa Steril 16 x 16 cm Ktk
268 Kasa Pembalut Hydrofil 4 x 5 cm Roll
269 Kasa Pembalut Hydrofil 4 x 10 cm Roll
270 Kasa Pembalut Hydrofil 4 x 15 cm Roll
271 Lysol larutan 1 liter Botol
272 Masker Earloop Pcs
273 Masker Headloop 3 Ply (Masker Hijab) Pcs
274 Masker Tali Pcs
275 Nasal Oxigen M Pcs
276 Nasal Oxigen L Pcs
277 Nylon Non Absorbable 5/0 Pcs
278 Optime 4/0 Pcs
279 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs
280 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs
281 One Scrub 5 Liter Botol
282 One Scrub 500 ml Botol
283 One Test Hamil Pcs
284 Plesterin 10 cm x 5 m Pcs
285 Plesterin 5 cm x 5 m Set
286 Pot Urine Pot
287 Pot Dahak Steril Pot
288 Paper Tape 2,5 cm x 9,14 m Roll
289 Paper Tape 5,0 cm x 9,14 m Roll
290 Pharmafix ( 5 cm x 500 cm ) Roll
291 Pharmafix ( 10 cm x 500 cm ) Roll
292 Pharmafix ( 15 cm x 500 cm ) Roll
293 Postofix-PU Pcs
294 Reagen Zn Paket
295 Sharp Container 1 Liter bh
296 Shoe cover Pasang
297 Silk No. 2/0 Pcs
298 Silk No. 3/0 Pcs
299 Silk No. 2/0 (Gabler) Pcs
300 Silk No. 3/0 (Gabler) Pcs
301 Silk No. 4/0 Pcs
302 Sungkup Oksigen Bayi Pcs
303 Sungkup Oksigen Anak Pcs
304 Sungkup Oksigen Dewasa Pcs
305 Tape Fescoplast 2.5 cm x 4,5 M Roll
306 Tape Fescoplast 5 cm x 4.5 M Roll
307 Tro-Venoflow 3-way Pcs
308 T-Silk/Sutra 3-0, 76 cm Pcs
309 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs
310 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs
311 T-Handrub Chlorhexidine 250 ml Botol
312 Umbilical Cord Klem Steril Nylon Pcs
313 Urine Bag Pcs
314 Water One 1 liter botol
315 Wing Needle 19 G Pcs
316 Wing Needle 21 G Pcs
F. VAKSIN DAN LAIN-LAIN
317 Vaksin HB.Pid Pouch
318 Vaksin BCG Vial
319 Vaksin Polio Oral Vial
320 Vaksin IPV Vial
321 Vaksin Campak Vial
322 Vaksin DPT-HB-Hib Vial
323 Vaksin TD Vial
324 Vaksin DT Vial
325 Vaksin MR Vial
326 Kombipak Kategori I Paket
327 ADS 0,05 ml Pcs
328 ADS 0,5 ml Pcs
329 ADS 5 ml Pcs
330 Safety Box Pcs
331 Vaksin Rabies Pcs
332 Box Slide Box
333 Masker N95 Box
334 MC Side (Slide Enforst) Pack
335 Pot Dahak Pot
336 Pot Urine Pot
337 Reagen DBD Botol
338 Reagen TB Botol
339 Rapid Test Syphilis Paket
340 Styrofom Box Pcs

Mengetahui,
Kepala Puskesmas

NIP. 198 60130 201111 2 001

 AHAN MEDIS HABIS PAKAI (BMHP)
R 2019
…………………..

STOK
KET
APOTEK LAINNYA JUMLAH
Bantaeng, 31 Desember 2019

Pengelola Obat,

Nip. 19870712 201001 2 026

 KEADAAN FISIK KETERSEDIAAN OBAT DAN BAHAN MEDIS H
(PENGADAAN MELALUI DANA KAPITASI JK
PER 31 DESEMBER 2019
PUSKESMAS………………………………………

STOK
NO NAMA BARANG SATUAN
GUDANG OBAT APOTEK

T O T A L (Rp)

Mengetahui,
 Kepala Puskesmas

NIP. 198 60130 201111 2 001

DAN BAHAN MEDIS HABIS PAKAI (BMHP)
I DANA KAPITASI JKN)
EMBER 2019
……………………………..

STOK HARGA JUMLAH

KET
LAINNYA JUMLAH SATUAN (Rp) HARGA (Rp)

Bantaeng, 31 Desember 2019

 Pengelola Obat,

Nip. 19870712 201001 2 026