RKO BLUD 2023

PUSKESMAS RAJABASA LAMA

NAMA
NO NAMA OBAT "G" PENYEDIA
DAGANG
1 Vitamin B6 tablet n/a PT. Marlin Liza Farmasi
2 Vitamin B12 tablet n/a PT. Marlin Liza Farmasi
3 Salep Mata Antibiotik (oxytetra) n/a PT. Kimia Farma Tbk
4 Salep Mata Antibiotik (gentamisin) n/a PT. Erela
5 Vaselin Swab n/a
6 Sucralfat tab n/a PT. Dexa Medica
7 Sucralfat sy n/a PT. Dexa Medica
8 Berotec (Fenoterol Hbr) n/a PT. Boehringer Ingelheim Indo
9 Ibuprofen 400 mg n/a PT. Holi pharma
10 Chlor Ethyl spray n/a
11 Vitamin sy anak Berotect
12 Lidocain compositum (Lidocain & Epinefrin) n/a PT. Phapros Tbk
13 Nistatin supp vaginal n/a
14 Phenitoin 100mg/2ml inj n/a PT. Ikapharmindo Putramas
15 Phenitoin kapsul n/a PT. Ikapharmindo Putramas
16 Asam Folat 1 mg n/a PT. Phapros Tbk
17 Asam Folat 5 mg n/a PT. Dipa Pharmalab Intersains
18 Kurkumin n/a
19 Methyl ergometrin n/a PT. Meprofarm
20 Asetosal/ Asam asetilsalisilat n/a PT. Phapros Tbk
21 Vitamin B komplek inj n/a
22 Cut gut plain n/a
23 Cut gut cromic n/a
24 Hemoglobin strip Family Dr n/a
25 Kolestrol strip Easy Touch n/a
26 PK n/a
27 Oxican n/a
28 Oxyflow n/a
29 Kapas n/a
30 Alkohol cair n/a
31 Viccillin (Ampisilin inj 250mg) n/a PT. Meiji Indonesia
31 Tranexamic Acid inj n/a PT. Hexpharm Jaya Laboratoris
31 Dimenhydramine HCl inj n/a PT. Meprofarm
31 Ketorolac Trometamol inj n/a PT. Meprofarm
31 Fitomenadion inj n/a PT. Meprofarm

Mengetahui
Ka. UPTD PKM Rajabasa Lama
Suhartatik, S.ST
NIP.19800805 200604 2018

ULTRASOUND GEL
VITAMIN B KOMPLEK
KASA STERIL
 2023
ABASA LAMA
JUMLAH
HARGA SATUAN (Rp) TOTAL HARGA
USULAN OBAT
74 -
50 -
5934 -
6,127 -
-
300 -
7,150 -
87,720 -
267 -
-
-
1,332 -
-
5,400 -
179 -
134 -
1,500 -
-
2,350 -
222 -
-
-
-
-
-
-
-
-
-
-
7,490 -
2,500 -
1,800 -
1,200 -
1,386 -
-

Rajabasa Lama, 2023

Pengelola Program Obat
Apt. Nafi'ah Ema Suryani, S.Farm
NIP. 19960402 202203 2 010
 RKO BLUD 2022
PUSKESMAS RAJABASA LAMA
NAMA
NO NAMA OBAT "G" PENYEDIA
DAGANG
1 Omeprazol inj n/a PT. Pharos Tbk
2 SUKRALFAT SIRUP n/a PT. DEXA MEDICA
3 vitamin b1 tab n/a PT. Imfarmind Farmasi Industri
4 vitamin b12 tab n/a PT. Imfarmind Farmasi Industri
5 Flutop C Sy/ sirup obat batuk anak n/a PT. Aria Jiwa Farma
6 Gliseril Guaicolat /GG Pot n/a PT. Aria Jiwa Farma
7 Furosemid tab n/a
8 Asiklovir salep n/a
9 Amitriptilin tab n/a
10 Diazepam Inj 5mg/ ml n/a
11 Magnesium Sulfat inj n/a
12 Difenhidramin inj 10mg/ml n/a
13 Oksitosin inj n/a
14 Methylegometrin maleat inj n/a
15 Aminopyllin inj n/a
16 Vitamin anak (Lysin sy) n/a
17 Chlor Ethyl spray n/a

Mengetahui
Ka. UPTD PKM Rajabasa Lama

Yusnita, As, SKM, MKM

NIP. 19700708 198912 1 001
LUD 2022
RAJABASA LAMA
JUMLAH
HARGA SATUAN (Rp) TOTAL HARGA
USULAN OBAT
100 -
300 -
5,000 -
5,000 -
500 -
50 -
300 -
144 -
1,000 -
20 -
20 -
20 -
20 -
20 -
20 -
400 -
6 0
-

Rajabasa Lama, 2021

Pengelola Program Obat

Nirma Reni, A.Md., Farm

NIP. 19941026 201903 1 002