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DATA PENGELUARAN OBAT HARIAN

UPT

Bulan : Januari 2020 46,212


NO Nama Obat Kode Isi Satuan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Total
1 ABATE O 1 KG -
2 ACETYLCYSTEIN KAPS 200 MG O 60 KAPSUL 50 30 10 30 30 10 10 70 170 30 60 10 50 20 100 30 10 30 30 20 800
3 ACYCLOVIR CREAM O 10 TUBE 1 1 1 1 2 1 1 1 2 3 1 1 16
4 ACYCLOVIR TAB 400 O 100 TABLET 10 10 10 10 10 50
5 ALBENDAZOL 400 MG O 30 TABLET -
6 ALPRAZOLAM TABLET 0.5 MG O 100 TABLET -
7 ALUPURINOL TAB 100 MG O 100 TABLET 10 20 40 20 40 10 30 20 40 20 10 10 40 30 20 10 20 10 10 8 418
8 AMBROXOL 30 MG O 100 TABLET -
9 AMINOFILIN INJ 24 MG/ML 10 ML O 1 AMPUL -
10 AMINOFILIN TAB 200 MG O 100 TABLET -
11 AMITRIPTILINA HCL TAB SALUT 25 MG O 100 TABLET -
12 AMLODIPINE 10 MG O 300 TABLET -
13 AMLODIPINE 5 MG O 300 TABLET 130 125 150 100 70 50 20 40 30 50 70 30 50 75 20 110 30 50 20 60 70 20 80 30 20 29 1,529
14 AMOKSISILIN 500 MG O 100 TABLET -
15 AMOKSISILIN SYR KERING 125 MG/ML O 50 BOTOL -
16 AMOKSISILIN SYR KERING 250 MG/ML O 60 BOTOL -
17 AMOXCICILLIN DROP O 27 BOTOL 72 72
18 AMPISILIN 1 GR INJ O 1 VIAL -
19 ANTALGIN TAB 500 MG STRIP O 100 TABLET -
20 ANTASIDA DOEN SUSPENSI O 50 BOTOL -
21 ANTASIDA DOEN TAB O 100 TABLET -
22 ANTI BAKTERI DOEN O 25 TUBE -
23 ANTI FUNGI DOEN KOMBINASI O 24 POT 1 1 1 1 1 1 1 1 2 1 2 4 1 1 1 2 1 1 24
24 ANTI HEMMOROID DOEN O 10 SUPP 2 5 5 5 3 5 1 26
25 ANTI MIGREN DOEN O 100 TABLET -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML O 10 BOTOL 2 2 1 2 3 10
27 ARTESUNATE INJEKSI O 1 AMP -
28 AS TRANEKSAMAT INJ 50 MG/ML O 1 AMPUL -
29 ASAM ASKORBAT (VIT C) TAB 50 MG O 100 TABLET 200 130 40 120 100 120 170 50 50 60 40 50 60 70 10 60 30 50 9 45 30 20 20 20 1,554
30 ASAM MEFENAMAT 500MG O 100 TABLET 100 70 30 70 60 60 80 30 50 120 75 50 30 75 60 130 60 90 40 30 60 70 50 90 25 100 1,705
31 ASAM TRANEKSAMAT TAB 500 O 100 TABLET -
32 ASERING 500 CC (LAR ELEKTROLIT) O 1 BOTOL -
33 ASETOSAL TAB 80 MG O 100 TABLET -
34 ATORVASTATIN TAB 20 MG O 1 TABLET -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML O 1 AMPUL -
36 ATTAPULGITE TAB 600 MG O 100 TABLET 30 10 30 40 50 60 10 40 10 10 40 40 70 40 10 30 20 10 20 20 10 30 15 645
37 AZITROMISIN TAB 500 MG O 10 TABLET -
38 BACTIVEC 30 ML O 1 BOTOL -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT O 1 VIAL -
40 BETAHISTIN MESILATE TAB O 100 TABLET 10 30 10 20 30 30 10 30 10 30 10 30 20 10 10 20 30 10 30 380
41 BETAMETASON KRIM 0,1 % O 25 TUBE 3 5 2 3 2 2 1 8 2 3 6 3 6 1 6 3 6 4 5 3 3 5 3 85
42 BISAKODIL SUP 10 MG O 10 SUPP -
43 BISOPROLOL TAB 5 MG O 30 TABLET -
44 BORAX GLISERIN 10% O 24 BOTOL -
45 BROMHEXIN HCL NEBULIZER O 1 BOTOL -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG O 1 PAKET -
47 CIMETIDIN 200 MG O 100 TABLET -
48 CITODUR (TAMBAL GIGI SEMENTARA) O 1 BOTOL -
49 CLOPIDOGREL TAB 75 MG O 30 TABLET -
50 CLOZAPINE TAB 25 MG O 50 TABLET -
51 COLTOSOL F TEMPORARY FILLING MATERIAL O 1 SET -
52 CURCUMA TAB O 100 TABLET -
53 DEHIDROARTEMISIN O 100 TABLET -
54 DEKSAMETASON INJ 5 MG/ML 1 ML O 1 AMPUL -
55 DEKSAMETASON TAB 0,5 MG O 100 TABLET -
56 DEVITALISASI PASTA O 1 BOTOL -
57 DEXTROSE POWDER O 1 KG -
58 DIAZEPAM INJ 5 MG/ML 2 ML O 1 AMPUL -
59 DIAZEPAM RECTAL 10MG O 1 TUBE 1 1
60 DIAZEPAM RECTAL 5MG O 1 TUBE 1 1
61 DIAZEPAM TAB 2 MG O 100 TABLET 10 10
62 DIETILKARBAMAZIN SITRAT TAB 100 MG O 100 TABLET -
63 DIFENHIDRAMIN INJ 10 MG/ML O 1 TABLET -
64 DIGOXIN TAB 0,25 MG O 100 TABLET 182 182
65 DILTIAZEM HCL 30 MG TAB O 100 TABLET -
66 DIMENHIDRINAT TAB 50 MG O 100 TABLET -
67 DOKSISIKLIN 100MG O 100 CAP -
68 DOMPERIDON 10 MG O 100 TABLET 20 10 5 5 10 10 10 10 10 10 100
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML O 50 BOTOL -
70 DOPAMINE HCL INJ 40 MG/ML O 1 AMPUL -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ O 1 AMPUL -
72 ERITROMISIN KAPL 250 MG O 100 KAPLET -
73 ERITROMISIN KAPL 500 MG O 100 KAPLET -
74 ERITROMISIN SYRUP O 10 BOTOL -
75 ETANOL 70% 100 ML O 1 BOTOL 2 2
76 EUGENOL CAIRAN 1 O 1 BOTOL -
77 FE SYRUP O 1 BOTOL -
78 FENITOIN NATRIUM INJ 50 MG/ML O 1 AMPUL -
79 FENITOIN NATRIUM KAPS 100 MG O 100 KAPSUL -
80 FENOBARBITAL INJ 50MG/ML O 1 AMPUL -
81 FENOBARBITAL TAB 30 MG O 100 TABLET -
82 FENOFIBRATE 100 MG KAPS O 50 TABLET -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML O 5 AMPUL -
84 FITOMENADION (VIT K) TAB SALUT 10 MG O 100 TABLET 10 10 10 10 10 10 10 5 75
85 FLUCONAZOLE 150 MG O 100 TABLET -
86 FUROSEMID TAB 40 MG O 100 TABLET 10 10 10 9 39
87 FUROSEMIDE 10 MG/ML INJEKESI O 1 AMPUL -
88 GARAM ORALIT 200 ML AIR O 100 SACHET 30 20 40 30 40 40 50 10 10 20 20 20 20 30 6 386
89 GEMFIBROZIL 300 MG KAPSUL O 100 KAPSUL 10 30 10 15 65
90 GENTAMISIN INJN O 1 AMPUL -
91 GENTAMISIN SALEP KULIT O 10 TUBE -
92 GLIBENKLAMID TAB 5 MG O 100 TABLET 20 10 10 50 20 10 10 40 10 40 10 15 10 10 20 8 15 15 323
93 GLIMEPIRIDE TAB 1 MG O 100 TABLET -
94 GLISERIL GUAIAKOLAT TAB 100 MG O 100 TABLET -
95 GLUCONAS KALSIUM INJ 10% O 1 AMPUL -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML O 5 BOTOL -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML O 5 BOTOL -
98 GRISEOFULVIN TAB 125 MG MICRONIZED O 100 TABLET 20 10 10 10 10 10 10 10 10 10 110
99 HALOPERIDOL INJ 5 MG/ML O 1 AMPUL -
100 HALOPERIDOL TAB 0,5 MG O 100 TABLET -
101 HALOPERIDOL TAB 1,5 MG O 100 TABLET -
102 HALOPERIDOL TAB 5 MG O 100 TABLET -
103 HEMAFORT TAB O 100 TABLET 40 20 50 60 20 30 40 40 10 30 20 20 10 30 30 30 30 40 40 20 30 40 20 700
104 HIDROKLORTIAZID (HCT) TAB 25 MG O 100 TABLET 19 19
105 HIDROKORTISON KRIM 2.5% O 24 TUBE -
106 IBUPROFEN SUP 125 MG O 10 SUP -
107 IBUPROFEN SYR 100 MG/5 ML O 50 BOTOL -
108 IBUPROFEN SYR 200 MG/5ML O 50 BOTOL -
109 IBUPROFEN TAB 200 MG O 100 TABLET -
110 IBUPROFEN TAB 400 MG O 100 TABLET -
111 ISONIAZID TAB 300 MG O 100 TABLET -
112 ISONIAZIDE 100 MG O 100 TABLET -
113 ISOSORBID DINITRAT TAB 10 MG O 100 TABLET -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG O 100 TABLET 20 10 10 20 10 20 14 104
115 KALSIUM HIDROKSIDA PASTA O 1 TUBE -
116 KALSIUM LAKTAT TAB 500 MG O 100 TABLET 30 20 10 80 30 20 190 30 10 30 50 20 70 60 5 5 70 20 750
117 KARBAMAZEPIN TAB 200 MG O 100 TABLET 10 30 10 30 10 30 20 40 20 200
118 KARBAZOKROM NA SULFONAT TAB O 100 TABLET -
119 KARBOGLISERIN TETES TELINGA 10 % O 24 BOTOL -
120 KATOPRIL 25MG O 100 TABLET 10 40 20 12 10 10 10 10 5 5 132
121 KATOPRIL TAB 12.5 MG O 24 TABLET -
122 KETOKONAZOL KRIM 2% O 5 TUBE -
123 KETOKONAZOL TAB 200 MG O 50 TABLET 20 30 10 20 30 10 20 10 30 10 20 10 20 30 30 10 10 12 332
124 KETOPROFEN SUPP 100 MG O 10 SUPP -
125 KETOROLAC INJ 30 MG O 1 AMPUL -
126 KLINDAMISIN 300 MG O 30 KAPSUL -
127 KLORAMFENICOL SUSPENSI O 50 BOTOL -
128 KLORAMFENIKOL KAPS O 100 KAPSUL 20 20 10 40 10 100
129 KLORAMFENIKOL KAPS 500 MG O 100 KAPSUL -
130 KLORAMFENIKOL SALEP KULIT 2% O 24 TUBE -
131 KLORAMFENIKOL SALEP MATA 1% O 24 TUBE -
132 KLORAMFENIKOL TETES MATA 0,5% O 25 BOTOL 2 3 4 2 1 1 2 4 1 1 1 3 25
133 KLORAMFENIKOL TETES TELINGA 3 % O 10 BOTOL 1 1 1 1 2 2 1 1 1 1 12
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG O 100 TABLET 300 200 120 270 190 110 210 70 115 400 300 200 210 220 150 510 430 450 330 160 180 250 420 120 100 85 6,100
135 KLORPROMAZIN TAB SALUT 100 ML O 100 TABLET -
136 KLORPROMAZIN TAB SALUT 25 MG O 100 TABLET -
137 KODEIN TAB 10 MG O 100 TABLET -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 O 50 BOTOL 3 2 1 2 3 2 2 2 1 3 1 1 3 3 1 3 1 4 2 1 1 1 43
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM O 100 #N/A 27 27
140 KOTRIMOKSAZOL TAB FORTE 960 MG O 100 TABLET -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 O 100 TABLET -
142 KUININ KINA TAB 200 MG O 50 TABLET -
143 LAXADINE EMULSI 30 ML O 10 BOTOL -
144 LEVOFLOKSASIN  TABLET 500 MG O 30 TABLET -
145 LIDOKAIN INJ 2% O 30 AMPUL -
146 LIDOKAIN INJ KOMPLEX 2 ML O 30 AMPUL 2 2 2 2 1 9
147 LIDOKAIN JELLY 2% O 1 TUBE -
148 LORATADIN TAB 10MG O 100 TABLET -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML O 5 VIAL -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML O 5 VIAL -
151 MB DEWASA O 1 PAKET -
152 MEROPENEM INJ 1 GR O 1 VIAL -
153 METFORMIN 500 MG O 100 TABLET 40 20 40 50 30 20 30 10 80 30 50 60 50 30 80 20 30 30 20 30 30 20 15 815
154 METFROMIN 850 MG O 100 TABLET -
155 METILDOPA TAB 250 MG O 100 TABLET -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML O 10 AMPUL 100 70 170
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 O 100 TABLET -
158 METILPREDNISOLON INJ 125MG O 1 VIAL -
159 METILPREDNISOLON TAB 4 MG O 100 TABLET 30 40 30 90 30 60 70 40 10 50 30 10 20 60 130 100 60 80 70 50 60 80 60 27 45 1,332
160 METOCLOPRAMIDE 10 MG O 100 TABLET -
161 METOCLOPRAMIDE 5 MG O 100 TABLET 20 10 20 20 20 10 10 20 130
162 METRONIDAZOL 500 MG O 100 TABLET -
163 METRONIDAZOLE SYR 125 MG/5 ML O 10 BOTOL -
164 MICONAZOLE CREAM O 24 TUBE 3 2 3 2 1 1 1 2 2 2 3 2 4 4 5 3 7 4 51
165 MONOKLORKAMFER MENTOL CAIRAN O 1 BOTOL -
166 NAT DIKLOFENAC 50MG O 50 TABLET -
167 NATRIUM BIKARBONAT TAB 500 MG O 100 TABLET 10 30 30 20 20 10 30 10 30 10 10 20 10 30 15 285
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL O 10 BOTOL -
169 NATRIUM TIROKSIN TABLET O 10 TABLET -
170 NEVIRAPINE (NVP) 200 MG O 1 BOTOL -
171 NIFEDIPINE 10 MG O 100 TABLET -
172 NISTATIN TAB VAGINAL 100.000 IU/G O 10 TABLET 5 5 5 3 18
173 NOREPINEPHRINE BITARTRATE INJ O 1 AMPUL -
174 OAT FDC KATAGORI 1 O 1 PAKET 19 19
175 OAT FDC KATAGORI ANAK O 1 PAKET -
176 OAT FDC KATAGORI II O 1 PAKET -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 O 1 PAKET -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML O 50 BOTOL -
179 OBAT BATUK PILEK SYRUP O 50 BOTOL -
180 OBAT BATUK PILEK TAB O 100 TABLET 20 10 30 40 20 10 20 10 20 30 30 20 10 10 280
181 OKSITETRASIKLIN HCL 1% SALEP MATA O 25 TUBE 1 2 1 3 1 1 2 1 1 3 1 1 3 1 1 2 2 3 1 1 32
182 OKSITETRASIKLIN HCL 3% SALEP KULIT O 25 TUBE -
183 OKSITOKSIN INJ 10 IU/ML 1 ML O 10 AMPUL -
184 OMEPRAZOLE INJ 40 MG/10 ML O 1 AMPUL -
185 OMEPRAZOLE KAPSUL 20 MG O 30 KAPSUL -
186 ONDANCENTRON 4 MG INJ O 1 AMPUL -
187 ONDANSETRON TABLET 8 MG O 24 TABLET -
188 OSELTAMIVIR KAP O 10 KAPSUL -
189 PAPAVERIN HCL.40 MG TABLET O 100 TABLET 27 27
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI O 1 BOTOL -
191 PARASETAMOL DROP O 1 BOTOL -
192 PARASETAMOL INFUS O 1 BOTOL -
193 PARASETAMOL SYR 120 ML/5 ML O 100 BOTOL -
194 PARASETAMOL TAB 500 MG STRIP O 100 TABLET 300 200 100 560 430 180 230 280 170 240 360 170 160 70 100 120 150 144 190 90 80 440 320 5,084
195 PERMETRIN KRIM 5 % O 1 TUBE 2 1 1 1 1 1 2 1 1 2 1 1 3 2 2 1 2 2 2 1 30
196 PIRANTEL PAMOAT SUSP O 10 BOTOL -
197 PIRIDOKSIN (VIT B6) TAB 10 MG O 100 TABLET -
198 PIRIDOKSIN (VIT B6) TAB 25 MG O 100 TABLET -
199 PIROXICAM 10 MG O 100 TABLET 100 90 60 120 90 120 100 190 180 140 150 170 70 50 50 130 100 80 40 60 50 110 100 60 18 2,428
200 PREDNISON TAB 5 MG O 100 TABLET -
201 PRIMAKUIN TAB 15 MG O 10 TABLET -
202 PYRAZINAMIDE 500 MG O 100 AMPUL -
203 RANITIDIN INJ O 10 AMPUL -
204 RANITIDINE TAB 150 MG O 100 TABLET -
205 RDT MALARIA O 1 TEST -
206 RETINOL (VIT A) KAPS 200.000 IU O 50 KAPSUL 1600 1,600
207 RETINOL 100.000 IU O 50 KAPSUL 250 250
208 RINGER LAKTAT LAR INFUS STERIL O 1 BOTOL -
209 RISPERIDON TAB 2 MG O 50 TABLET -
210 SALBUTAMOL CAIRAN IH O 1 NEB -
211 SALBUTAMOL TAB 2 MG O 100 TABLET 20 10 30 20 10 10 30 20 10 60 20 10 10 13 10 10 10 10 313
212 SALEP 2-4 KOMBINASI O 24 POT 3 2 4 4 2 3 1 3 2 2 4 4 2 5 5 3 2 1 1 1 54
213 SALEP LUKA BAKAR O 1 TUBE -
214 SALISIL BEDAK 2% 50 GRAM O 8 KOTAK -
215 SEFADROKSIL KAPSUL 500 MG O 100 KAPSUL -
216 SEFADROKSIL SYR 125 MG O 50 BOTOL -
217 SEFADROKSIL SYR 250 MG O 50 BOTOL -
218 SEFIKSIM KAPSUL 100MG O 100 KAPSUL -
219 SEFIKSIM SYR 100MG/5ML O 50 BOTOL -
220 SEFOTAXIM INJ 1 GR O 1 VIAL -
221 SEFTRIAKSON INJ 1 GRM O 1 VIAL -
222 SETIRIZIN KAPSUL 10 MG O 100 KAPSUL -
223 SETIRIZIN SYRUP O 100 BOTOL 3 3 1 5 4 3 3 3 4 5 4 3 3 2 4 50
224 SIMVASTATIN 10 MG O 30 TABLET 30 10 30 70 40 40 60 20 40 20 10 30 40 30 20 40 20 10 40 600
225 SIPROFLOKSASIN 500 MG O 100 TABLET 20 20 20 30 4 94
226 SIPROFLOKSASIN INFUS 2 % O 1 BOTOL -
227 SPIRONOLACTON TAB 100 MG O 30 TABLET -
228 SPIRONOLACTON TAB 25MG O 50 TABLET -
229 STREPTOMISIN INJ 1.000 MG/VIAL O 1 VIAL -
230 SUKRALFAT SUSPENSI O 50 BOTOL -
231 SULFASETAMID NATRIUM TETES MATA 15% O 24 BOTOL -
232 TAB TAMBAH DARAH O 30 TABLET 2000 120 20 2090 2010 2500 20 10 10 10 2500 30 50 100 10 20 30 10 30 130 57 11,757
233 TABLET ZINK DISPERTSIBLE O 100 TABLET 50 70 30 90 60 60 55 110 20 85 50 40 60 80 50 30 6 40 50 70 85 1,191
234 TABURIA O 50 SACHET -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB O 1 SET -
236 TETRASIKLIN KAPS 250 MG O 100 #N/A -
237 THIAMFENICOL 500 MG KAPSUL O 100 KAPSUL -
238 TIAMIN HCL (VIT B1) TAB 50 MG O 100 TABLET -
239 TRAMADOL INJ 50 MG/ML O 1 AMPUL -
240 TRIHEKSIFENIDIL HCL TAB 2 MG O 100 TABLET -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML O 1 BOTOL -
242 TUBERKULIN TEST O 1 VIAL -
243 VAKSIN ANTI RABIES (VAR) O 1 VIAL -
244 VAKSIN BCG O 1 VIAL -
245 VAKSIN CAMPAK O 1 VIAL -
246 VAKSIN DPT-HB/HIB O 1 VIAL -
247 VAKSIN DT O 1 VIAL -
248 VAKSIN HB UNIJECT O 1 POUCH -
249 VAKSIN HEPATITIS O 1 POUCH -
250 VAKSIN MEASLES RUBELLA (MR) O 1 VIAL -
251 VAKSIN POLIO (BOPV) O 1 VIAL -
252 VAKSIN POLIO IPV 5 DS O 1 VIAL -
253 VAKSIN TD O 1 VIAL -
254 VITAMIN B KOMPLEX TAB O 100 #N/A 120 130 50 100 170 180 60 140 20 80 70 50 100 50 60 110 80 40 20 30 10 200 30 60 20 20 2,000
255 VITAMIN NEUROTROPIK O 100 TABLET -
256 VITAMIN NEUROTROPIK 5000 INJ O 30 AMPUL -
257 WIDA BES ASETAT RINGER INFUS O 1 BOTOL 1 1 1 1 4
258 VAKSIN MENINGITIS (WALVAX) O 1 -
259 OSELTAMIVIR TAB O 1 -
260 MASKER FFP2 NR O 1 -
261 MASKER KAIN O 1 -
262 O 1 -
263 O 1 -
264 O 1 -
265 O 1 -
266 O 1 -
267 O 1 -
268 O 1 -
269 O 1 -
270 O 1 -
271 O 1 -
272 O 1 -
273 O 1 -
274 O 1 -
275 O 1 -
276 O 1 -
277 O 1 -
278 O 1 -
279 O 1 -
280 O 1 -
281 O 1 -
282 O 1 -
283 O 1 -
O 1 -
1 ABBOCATH 18 G B 1 PCS -
2 ABBOCATH 20 B 1 PCS -
3 ADS 0.05 ML B 100 PCS 100 100
4 ADS 0.5 ML B 100 PCS 36 36
5 ADS 5 ML B 100 PCS -
6 ALAT SUNTIK 1 ML B 100 PCS -
7 ALAT SUNTIK 10 ML B 100 PCS -
8 ALAT SUNTIK 3 ML B 100 PCS -
9 ALAT SUNTIK 3ML BD B 100 PCS -
10 ALAT SUNTIK 5 ML B 100 PCS 100 100
11 ALAT SUNTIK 50 ML B 10 PCS -
12 ALAT SUNTIK BD 1ML B 100 PCS -
13 ALAT SUNTIK SEKALI PAKAI 1 ML B 100 SET -
14 ALKOHOL 70 % 100 ML B 1 BUAH -
15 ALKOHOL SWAB B 100 PCS 100 100 200
16 ANIOSGEL 85 5 LT B 1 GALON -
17 ANIOSGEL 85 500 ML B 1 BOTOL -
18 BATANG PENGADUK 10 CM B 1 BUAH -
19 BATANG PENGADUK 30 CM B 1 BUAH -
20 BEAKER GLASS 50 ML B 1 BUAH -
21 BISTURI NO 21 B 5 PCS 1 1
22 BLUE TIP B 100 BUAH -
23 BOX SLIDE B 1 PCS -
24 BULP PIPET UKUR B 1 BUAH -
25 CATGUT CHROMIC B 5 SET -
26 CATGUT PLAIN 3/0 B 5 SACHET -
27 CAWAN PETRI 10 CM B 1 BUAH -
28 CRYO TUBE B 5 PCS -
29 CUVETTE SEGMENT B 1 BOX -
30 DECK GLASS B 1 BUAH -
31 DEVITALISASI PASTA (NON ARSEN) B 1 BOTOL -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML B 1 BOTOL -
33 ETIKET B 1 RIM -
34 ETIL KLORIDA SEPROT 100 ML B 1 BOTOL -
35 EUGENOL CAIRAN B 1 BOTOL -
36 FOLY CATETHER 16 B 1 PCS -
37 FOLY CATETHER 18 B 1 PCS -
38 FOOGING MASKER SINGLE FILTER B 1 BUAH -
39 GELAS UKUR 100 ML B 1 BUAH -
40 GLASS IONOMER CERMENT (GC IX) B 1 BOTOL -
41 HAEMOMETER SAHLI B 1 UNIT -
42 HOLDER VACUTAINER B 1 BUAH -
43 ID BAND BAYI B 1 PCS -
44 INFUSION SET ANAK B 1 SET -
45 INFUSION SET DEWASA B 1 SET 1 2 4 2 2 11
46 IV CATHETHER 18 B 1 PCS -
47 IV CATHETHER 20 B 1 PCS 1 3 3 2 9
48 IV CATHETHER 22 B 1 PCS -
49 IV CATHETHER 22 WING B 1 PCS -
50 IV CATHETHER 24 B 1 PCS -
51 IV CATHETHER 24 WING B 1 PCS -
52 IV CATHETHER 26 B 1 PCS -
53 JARUM KULIT 10 B 1 LUSIN -
54 JARUM KULIT 12 B 1 LUSIN -
55 JARUM KULIT 32 B 1 LUSIN -
56 JARUM KULIT 36 B 1 LUSIN -
57 JARUM LANSET B 1 BOX -
58 JARUM OTOT 32 B 1 LUSIN -
59 JARUM OTOT 36 B 1 LUSIN -
60 KAPAS PEMBALUT / ABSORBEN 250 MG B 1 BUNGKUS 3 3
61 KAPAS PEMBALUT 100 GRAM B 1 BUNGKUS 1 1
62 KAPAS PEMBALUT 100 GRAM B 1 BUNGKUS -
63 KARTU GOLONGAN DARAH B 100 LBR -
64 KASA +TULE 1% STERIL 10X10 B 1 LEMBAR 1 1
65 KASA 80 CM X 40 YARD B 1 ROL -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM B 10 ROL -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM B 10 ROL -
68 KASA STERIL 16X16 CM B 10 KOTAK -
69 KERTAS LENSA B 1 BUKU -
70 KERTAS PH B 100 LEMBAR -
71 KERTAS PUYER B 1 RIM -
72 LEUKOPLAST 2.5X4.5 B 1 ROLL 1 13 14
73 LIDI STIK B 50 PAK -
74 LIDI WATEN B 50 PCS -
75 LUBRICAN GEL B 1 BOTOL -
76 LYSOL 1 LITER B 1 BOTOL -
77 MASKER DISPOSIBLE KARET B 50 BUAH -
78 MASKER DISPOSIBLE TALI B 50 PCS -
79 MASKER HIJAB B 50 PCS -
80 MASKER N95 B 20 PCS -
81 MEDIA AMIS B 1 SET -
82 MICROPIPETTES 10 MICRON B 100 PCS -
83 MICROPIPETTES 1000 MICRON B 100 PCS -
84 MICROPIPETTES 200 MICRON B 100 PCS -
85 MICROPORE 1.25 CM B 1 BUAH 1 1 1 3
86 MICROPORE 5 CM B 1 BUAH -
87 MORTIR 13 CM B 1 BUAH -
88 MORTIR 16 CM B 1 BUAH -
89 MUCUS EXTRACTOR B 1 BUAH -
90 NASAL O2 L B 1 PCS -
91 NASAL O2 XS B 1 PCS -
92 NEEDLE 24G B 1 SET 10 10
93 NEEDLE 25 G B 1 SET -
94 NELATON CATETER 18/20 B 1 BUAH -
95 OBJECK GLASS B 1 PCS -
96 PIPET HB B 1 BUAH -
97 PIPET PLASTIK 5 ML B 1 BUAH -
98 PIPET UKUR 1 ML B 1 BUAH -
99 PIPET UKUR 10 ML B 1 BUAH -
100 PIPET UKUR 5 ML B 1 BUAH -
101 PLASTIK KLIP B 1 KG -
102 PLASTIK KLIP 13X8 B 1 BAL -
103 PLESTER 1.25 CM B 1 ROL -
104 PLESTER 4.5 CM B 1 ROL -
105 PLESTER 5 YARD X 2 INCH B 1 ROL -
106 PLESTERIN BULAT NON WOVEN B 1 BUAH -
107 POT DAHAK B 50 BUAH -
108 POT URINE B 50 BUAH -
109 POVIDON IODIDA 10% 30 ML B 1 BOTOL -
110 POVIDON IODIDA 60 ML B 1 BOTOL 1 1
111 SAFETY BOX B 5 PCS -
112 SAMPLE CUP B 1 BOX -
113 SARUNG TANGAN GYNECOLOG 7 B 1 PASANG -
114 SARUNG TANGAN NON STERIL L B 50 PASANG 100 100
115 SARUNG TANGAN NON STERIL M B 50 PASANG -
116 SARUNG TANGAN NON STERIL S B 50 PASANG -
117 SARUNG TANGAN OBGYN STERIL B 1 PASANG -
118 SARUNG TANGAN STERIL 6.5 B 1 PASANG -
119 SARUNG TANGAN STERIL 7 B 1 PASANG 1 1
120 SEMEN SENG FOSFAT SERBUK CAIRAN B 1 BOTOL -
121 SENDOK OBAT B 250 PCS -
122 SILK NO 2/0 & JARUM BEDAH B 1 SACHET -
123 SILK NO 3/0 & JARUM BEDAH B 1 SACHET -
124 SPECULUM VAGINAL DISPOSABLE B 1 BUAH -
125 STOMACH 18 B 1 BUAH -
126 TABUNG 3 MI B 1 PCS -
127 TABUNG CENTRIFUGE B 1 BUAH -
128 TABUNG DURHAM B 1 BUAH -
129 TABUNG EDTA B 1 PAK -
130 TABUNG HB B 1 BUAH -
131 TABUNG HB B 1 BUAH -
132 TABUNG HEMATOKRIT KAPILER B 1 BUAH -
133 TABUNG REAKSI 10 CM B 1 BUAH -
134 TABUNG WESTERGEEN B 1 BUAH -
135 TABUNG WINTROB B 1 BUAH -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML B 1 BOTOL -
137 UMBILICLEM B 1 BUAH 10 10 20
138 UNDERPAD B 1 PCS -
139 UNIFLEX 4.5 M X 10 CM B 1 ROL -
140 URINE BAG B 1 BUAH -
141 USG GEL 250 ML B 1 BOTOL -
142 VACUTAINER K3E PLUS TUBE B 1 PCS -
143 VACUTAINER NEEDLE 21 G B 1 PCS -
144 VACUTAINER SERUM TUBE B 1 PCS -
145 VACUTAINER TUBE PLAIN 10 ML B 1 PCS -
146 YELLOW TIP B 100 BUAH -
147 COVER SHOES B 1 -
148 COVERALL DISPRO B 1 -
149 FACE SHIEL AKRILIK INJAK B 1 -
150 FACE SHIEL MIKA LEGION B 1 -
151 KACAMATA GOGGLE B 1 -
152 MASKER KAIN POLOS EARLOOP B 1 -
153 MASKER KAIN POLOS HEADLOP B 1 -
154 PLESTER HYPAFIX B 1 ROLL -
155 B 1 -
B 1 -
1 AQUADEST 20 LT R 1 JERIGEN -
2 ASAM ASETAT 6% 100 ML R 1 BOTOL -
3 ASAM KLORIDA 0,1 N 100 ML R 1 BOTOL -
4 ASAM SULFOSALISILAT 20% 100 ML R 1 BOTOL -
5 BENECHECK PLUS GLUCOSE TEST STRIP R 1 BOX 2 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST R 1 BOX 8 8
7 BENECHECK PLUS URIC TEST STRIP R 1 BOX 2 2
8 BILIRUBIN TOTAL/DIRECT R 1 SET -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE R 1 BOX -
10 CELL CLEAN R 1 BOTOL -
11 CELLPACK R 1 SET -
12 CHOLESTEROL R 1 PAKET -
13 CHOLESTEROL ELLITEC R 1 SET -
14 CHOLESTEROL TOT+STD 2X120 ML R 1 BOTOL -
15 CHOLESTEROL TOT+STD 4X100 ML R 1 SET -
16 CLEANAC R 1 BOTOL -
17 CLEANAC 3 R 1 BOTOL -
18 CLEANER R 1 BOTOL -
19 CLEANING KIT R 1 SET -
20 CLEANSER R 1 SET -
21 CONTROL DARAH SYSMEX R 1 SET -
22 CONTROL SERUM R 1 SET -
23 CONTROL SERUM MICROLAB R 1 SET -
24 COPPER TEST R 1 BOX -
25 CREATININ PLUS R 1 PAKET -
26 CYANIDE TEST R 1 BOTOL -
27 DENGUE IGG IGM R 1 STRIP/TEST -
28 DILUENT 10 LITER R 1 BOTOL -
29 DILUENT 20 LITER R 1 BOTOL -
30 ETANOL 70 % 1000 ML R 1 BOTOL -
31 GLUCOSA + STANDAR R 1 PAKET -
32 GLUCOSA ELLITEC R 1 SET -
33 GLUCOSA+STD 4X100 ML R 1 BOTOL -
34 GLUKOSA HK R 1 SET -
35 GLUKOSA STIK (GLUCO DR) R 1 STIK -
36 HB CONTROL MICROLAB R 1 SET -
37 HBA1C STIK R 1 TUBE -
38 HCV VIRAL LOAD R 1 TEST -
39 HDL CHOLESTEROL R 1 PAKET -
40 HDL CHOLESTEROL PLUS GEN,3 R 1 SET -
41 HDL CHOLESTEROL+STD 4X10 ML R 1 BOTOL -
42 HDL CHOLSTEROL+STD 4X80 ML R 1 BOTOL -
43 HEMOLYNAC R 1 BOTOL -
44 HEPATITIS B IMMUNOGLOBULIN R 1 SYRINGE -
45 ISOTONAC 3 R 1 GALON -
46 KALIBRATOR C FAS LIPID R 1 PAKET -
47 KONTROL PCC MULTI R 1 PAKET -
48 KREATIN + STDR 200 ML R 1 SET -
49 LARUTAN DRABKIN R 1 BOTOL -
50 LARUTAN EDTA 10% R 1 BOTOL -
51 LARUTAN ETANOL ASAM 100 ML R 1 BOTOL -
52 LARUTAN ETHER ALKOHOL R 1 BOTOL -
53 LARUTAN GIEMSA STAIN 100 ML R 1 BOTOL -
54 LARUTAN IODIUM R 1 BOTOL -
55 LARUTAN KARBOL FUCHIN 100 ML R 1 BOTOL -
56 LARUTAN KOH 10% R 1 BOTOL -
57 LARUTAN METHYLEN BLUE R 1 BOTOL -
58 LARUTAN NA-SITRAT 100 ML R 1 BOTOL -
59 LARUTAN NA-SITRAT 3,8% 100ML R 1 BOTOL -
60 LARUTAN PEWARNA RAPID R 1 BOTOL -
61 LARUTAN REAGEN REES ECKER R 1 BOTOL -
62 LARUTAN TURK 100 ML R 1 BOTOL -
63 LDL CHOLESTEROL GEN.3 R 1 SET -
64 LYZE 5 LITER R 1 BOTOL -
65 LYZE 500 ML R 1 BOTOL -
66 MINYAK IMERSI R 1 BOTOL -
67 NARKOTES 5 PARAMETER R 20 STRIP/TEST -
68 NARKOTES AMPHETAMIN R 20 STRIP/TEST -
69 NARKOTES BENZODIAZEPIN R 20 STRIP/TEST -
70 NARKOTES COCAIN R 20 STRIP/TEST -
71 NARKOTES OPIATE R 20 STRIP/TEST -
72 NARKOTES THC R 20 STRIP/TEST -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN R 1 PAKET -
74 QC SOLUTION MICROLAB R 1 SET -
75 RAPID 2 HIV FOKUS R 25 TEST -
76 RAPID TES HBSAG R 100 TES -
77 RAPID TES HIV 1 R 100 STRIP/TEST -
78 RAPID TES HIV 2 R 100 STRIP/TEST -
79 RAPID TES SIFILIS R 25 STRIP -
80 RAPID TEST HIV 1/2 SD R 100 TEST -
81 RAPID TEST HIV VIKIA R 25 STRIP -
82 RDD ANTI HCV R 1 TEST -
83 REAGEN PEWARNA GRAM R 1 BOTOL -
84 REAGEN TEST GOLONGAN DARAH (A-B) R 1 SET -
85 REGENT P2 TBC R 1 BTL -
86 RPR SIFILIS R 1 STRIP -
87 SEDIPLAST R 1 BOX -
88 SERUM KONTROL HEMATOLOGI R 1 BOTOL -
89 SERUM KONTROL HEMATOLOGI MEDONIC R 1 SET -
90 SGOT R 1 SET -
91 SGOT (2X120,2X30) R 1 BOTOL -
92 SGPT R 1 SET -
93 SGPT (2X120,2X30) R 1 BOTOL -
94 SPIRTUS R 1 BOTOL -
95 STOMATOLYZER 4DL R 1 SET -
96 STOMATOLYZER 4DS R 1 SET -
97 STROMATOLIZER R 1 BOTOL -
98 SULFOLYSER R 1 SET -
99 TEST KEHAMILAN STRIP R 10 STRIP -
100 THERMAL PAPER R 1 PCS -
101 TOTAL CHROMIUM R 1 BOX -
102 TRIGLICERIDA + STANDAR R 1 PAKET -
103 TRIGLYSERIDE R 1 SET -
104 TRYGLYSERIDE+STD 4X100 ML R 1 SET -
105 UREA R 1 SET -
106 UREUM + STD 2X100 ML R 1 BOTOL -
107 UREUM+STD 2X120 ML R 1 BOTOL -
108 URIC ACID R 1 PAKET -
109 URIC ACID + STD (4X100ML) R 1 BOTOL -
110 URIC ACID + STD 2X120ML R 1 BOTOL -
111 URIC ACID ELLITEC R 1 SET -
112 URINE RAPID TEST R 1 STRIP -
113 URINE STIK 10 PARAMETER R 1 STIRP -
114 WATER ONE 1 LT R 1 BOTOL -
115 WIDAL 8 PARAMETER R 1 SET -
116 XILOL (ETHER ALKOHOL) 500 ML R 1 BOTOL -
117 R 1 -
118 R 1 -
119 R 1 -
120 R 1 -
121 R 1 -
122 R 1 -
123 R 1 -
124 R 1 -
125 R 1 -
126 R 1 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : PUSKESMAS LIMUSNUNGGAL DOKUMEN NOMOR TANGGAL
KECAMATAN : CIBEUREUM PELAPORAN BULAN /PERIODE : January 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : February 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
1 2 4 5 6 7 10 11 12 13 14 15 16 17 18
1 ABATE KG - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL 800 800 800 - 1,360
3 ACYCLOVIR CREAM TUBE 36 36 16 20 27 30
4 ACYCLOVIR TAB 400 TABLET 200 200 50 150 85 50
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - -
7 ALUPURINOL TAB 100 MG TABLET 118 500 618 418 200 711 500
8 AMBROXOL 30 MG TABLET - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - -
10 AMINOFILIN TAB 200 MG TABLET 500 500 - 500 - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - -
12 AMLODIPINE 10 MG TABLET - - - - -
13 AMLODIPINE 5 MG TABLET 629 1,500 2,129 1,529 600 2,599 2,100
14 AMOKSISILIN 500 MG TABLET - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - - - - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - - - - -
17 AMOXCICILLIN DROP BOTOL 72 72 72 - 122
18 AMPISILIN 1 GR INJ VIAL - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 33 33 - 33 - -
21 ANTASIDA DOEN TAB TABLET - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 72 72 24 48 41 -
24 ANTI HEMMOROID DOEN SUPP 46 46 26 20 44 20
25 ANTI MIGREN DOEN TABLET - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 13 13 10 3 17 10
27 ARTESUNATE INJEKSI AMP - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 1,854 2,000 3,854 1,554 2,300 2,642 1,000
30 ASAM MEFENAMAT 500MG TABLET 2,605 2,605 1,705 900 2,899 3,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 1,045 1,045 645 400 1,097 700
37 AZITROMISIN TAB 500 MG TABLET - - - - -
38 BACTIVEC 30 ML BOTOL - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - -
40 BETAHISTIN MESILATE TAB TABLET 280 300 580 380 200 646 400
41 BETAMETASON KRIM 0,1 % TUBE 160 160 85 75 145 100
42 BISAKODIL SUP 10 MG SUPP - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - -
47 CIMETIDIN 200 MG TABLET - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - -
52 CURCUMA TAB TABLET - - - - -
53 DEHIDROARTEMISIN TABLET - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - -
56 DEVITALISASI PASTA BOTOL - - - - -
57 DEXTROSE POWDER KG - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 45 45 - 45 - -
59 DIAZEPAM RECTAL 10MG TUBE 1 1 1 - 2 2
60 DIAZEPAM RECTAL 5MG TUBE 1 1 2 1 1 2 1
61 DIAZEPAM TAB 2 MG TABLET 88 88 10 78 17 -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - - - - -
64 DIGOXIN TAB 0,25 MG TABLET 182 182 182 - 309 100
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - -
67 DOKSISIKLIN 100MG CAP - - - - -
68 DOMPERIDON 10 MG TABLET 200 200 100 100 170 100
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 112 112 - 112 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - -
75 ETANOL 70% 100 ML BOTOL 11 11 2 9 3 -
76 EUGENOL CAIRAN 1 BOTOL - - - - -
77 FE SYRUP BOTOL - - - - 5
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30 30 60 - 60 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 275 275 75 200 128 -
85 FLUCONAZOLE 150 MG TABLET - - - - -
86 FUROSEMID TAB 40 MG TABLET 239 239 39 200 66 -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 386 100 486 386 100 656 600
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL 65 65 65 - 111 100
90 GENTAMISIN INJN AMPUL - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
92 GLIBENKLAMID TAB 5 MG TABLET 423 423 323 100 549
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 310 310 110 200 187 -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - -
103 HEMAFORT TAB TABLET 300 800 1,100 700 400 1,190 800
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 219 219 19 200 32 -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET 70 70 - 70 - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 104 104 104 - 177 200
115 KALSIUM HIDROKSIDA PASTA TUBE 1 1 - 1 - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 3,150 2,000 5,150 750 4,400 1,275 1,000
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 200 - 340 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 23 23 - 23 - -
120 KATOPRIL 25MG TABLET 332 332 132 200 224 -
121 KATOPRIL TAB 12.5 MG TABLET - - - - -
122 KETOKONAZOL KRIM 2% TUBE 7 7 - 7 - -
123 KETOKONAZOL TAB 200 MG TABLET 432 432 332 100 564
124 KETOPROFEN SUPP 100 MG SUPP - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - -
128 KLORAMFENIKOL KAPS KAPSUL 100 100 100 - 170 50
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - 48
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL 50 50 25 25 43
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 22 20 42 12 30 20 -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 3,000 5,200 8,200 6,100 2,100 10,370 6,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - -
137 KODEIN TAB 10 MG TABLET - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 93 93 43 50 73 -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 1,627 1,627 27 1,600 46 -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - 3
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - -
145 LIDOKAIN INJ 2% AMPUL - - - - 30
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 30 30 9 21 15 -
147 LIDOKAIN JELLY 2% TUBE - - - - -
148 LORATADIN TAB 10MG TABLET - - - - 300
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - 6
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - -
151 MB DEWASA PAKET 1 1 - 1 - -
152 MEROPENEM INJ 1 GR VIAL - - - - -
153 METFORMIN 500 MG TABLET 915 500 1,415 815 600 1,386 800
154 METFROMIN 850 MG TABLET - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 270 270 170 100 289
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 4,532 2,000 6,532 1,332 5,200 2,264 2,000
160 METOCLOPRAMIDE 10 MG TABLET - - - - -
161 METOCLOPRAMIDE 5 MG TABLET 130 130 130 - 221
162 METRONIDAZOL 500 MG TABLET - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - -
164 MICONAZOLE CREAM TUBE 51 48 99 51 48 87 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 185 200 385 285 100 485 400
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - - - - 5
169 NATRIUM TIROKSIN TABLET TABLET 20 20 - 20 - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 18 40 58 18 40 31 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - -
174 OAT FDC KATAGORI 1 PAKET 19 19 19 - 32
175 OAT FDC KATAGORI ANAK PAKET 2 2 - 2 - -
176 OAT FDC KATAGORI II PAKET - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - -
180 OBAT BATUK PILEK TAB TABLET 480 800 1,280 280 1,000 476 -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 32 32 32 - 54 48
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 20 10 30 - 30 - 30
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET 27 27 27 - 46 -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - -
191 PARASETAMOL DROP BOTOL - - - - -
192 PARASETAMOL INFUS BOTOL - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET 484 10,000 10,484 5,084 5,400 8,643
195 PERMETRIN KRIM 5 % TUBE 90 90 30 60 51 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 3,558 3,558 - 3,558 - -
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - -
199 PIROXICAM 10 MG TABLET 3,228 2,000 5,228 2,428 2,800 4,128 1,000
200 PREDNISON TAB 5 MG TABLET - - - - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - -
203 RANITIDIN INJ AMPUL - - - - -
204 RANITIDINE TAB 150 MG TABLET - - - - -
205 RDT MALARIA TEST - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL 1,600 1,600 1,600 - 2,720
207 RETINOL 100.000 IU KAPSUL 250 250 250 - 425
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - -
210 SALBUTAMOL CAIRAN IH NEB - - - - -
211 SALBUTAMOL TAB 2 MG TABLET 713 713 313 400 532 200
212 SALEP 2-4 KOMBINASI POT 102 102 54 48 92 48
213 SALEP LUKA BAKAR TUBE - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK 58 58 - 58 - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - 200
223 SETIRIZIN SYRUP BOTOL 150 150 50 100 85 50
224 SIMVASTATIN 10 MG TABLET 360 750 1,110 600 510 1,020 510
225 SIPROFLOKSASIN 500 MG TABLET 494 494 94 400 160 -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - -
232 TAB TAMBAH DARAH TABLET 657 14,100 14,757 11,757 3,000 19,987 3,000
233 TABLET ZINK DISPERTSIBLE TABLET 491 1,200 1,691 1,191 500 2,025 1,000
234 TABURIA SACHET - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120 120 - 120 - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - -
242 TUBERKULIN TEST VIAL 2 2 - 2 - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - -
244 VAKSIN BCG VIAL 5 5 - 5 - -
245 VAKSIN CAMPAK VIAL - - - - -
246 VAKSIN DPT-HB/HIB VIAL 20 20 - 20 - -
247 VAKSIN DT VIAL - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - -
249 VAKSIN HEPATITIS POUCH - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL 5 5 - 5 - -
251 VAKSIN POLIO (BOPV) VIAL 20 20 - 20 - -
252 VAKSIN POLIO IPV 5 DS VIAL - - - - -
253 VAKSIN TD VIAL 10 10 - 10 - -
254 VITAMIN B KOMPLEX TAB #N/A 4,000 4,000 2,000 2,000 3,400 2,000
255 VITAMIN NEUROTROPIK TABLET - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 15 15 4 11 7 -
258 VAKSIN MENINGITIS (WALVAX) - - - - - -
259 OSELTAMIVIR TAB - - - - - -
260 MASKER FFP2 NR - - - - - -
261 MASKER KAIN - - - - - -
262 - - - - - - -
263 - - - - - - -
264 - - - - - - -
265 - - - - - - -
266 - - - - - - -
267 - - - - - - -
268 - - - - - - -
269 - - - - - - -
270 - - - - - - -
271 - - - - - - -
272 - - - - - - -
273 - - - - - - -
274 - - - - - - -
275 - - - - - - -
276 - - - - - - -
277 - - - - - - -
278 - - - - - - -
279 - - - - - - -
280 - - - - - - -
281 - - - - - - -
282 - - - - - - -
283 - - - - - - -
- - - - -
1 ABBOCATH 18 G PCS - - - - -
2 ABBOCATH 20 PCS - - - - -
3 ADS 0.05 ML PCS 100 100 100 - - -
4 ADS 0.5 ML PCS 36 36 36 - - -
5 ADS 5 ML PCS - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - -
8 ALAT SUNTIK 3 ML PCS 100 100 - 100 - 100
9 ALAT SUNTIK 3ML BD PCS - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
10 ALAT SUNTIK 5 ML PCS 100 100 100 - - -
11 ALAT SUNTIK 50 ML PCS - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - -
15 ALKOHOL SWAB PCS 300 300 200 100 - 500
16 ANIOSGEL 85 5 LT GALON - - - - -
17 ANIOSGEL 85 500 ML BOTOL - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - -
21 BISTURI NO 21 PCS 38 38 1 37 - -
22 BLUE TIP BUAH - - - - -
23 BOX SLIDE PCS - - - - -
24 BULP PIPET UKUR BUAH - - - - -
25 CATGUT CHROMIC SET 12 12 - 12 - 12
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - -
28 CRYO TUBE PCS - - - - -
29 CUVETTE SEGMENT BOX - - - - -
30 DECK GLASS BUAH - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 3 3 - 3 - -
33 ETIKET RIM - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL - - - - 2
35 EUGENOL CAIRAN BOTOL - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - -
39 GELAS UKUR 100 ML BUAH - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - -
41 HAEMOMETER SAHLI UNIT - - - - -
42 HOLDER VACUTAINER BUAH - - - - -
43 ID BAND BAYI PCS - - - - -
44 INFUSION SET ANAK SET 2 2 - 2 - -
45 INFUSION SET DEWASA SET 29 29 11 18 - -
46 IV CATHETHER 18 PCS 19 19 - 19 - -
47 IV CATHETHER 20 PCS 29 29 9 20 - -
48 IV CATHETHER 22 PCS - - - - -
49 IV CATHETHER 22 WING PCS - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - -
52 IV CATHETHER 26 PCS - - - - -
53 JARUM KULIT 10 LUSIN - - - - -
54 JARUM KULIT 12 LUSIN - - - - -
55 JARUM KULIT 32 LUSIN - - - - -
56 JARUM KULIT 36 LUSIN - - - - -
57 JARUM LANSET BOX 6 6 - 6 - 4
58 JARUM OTOT 32 LUSIN - - - - -
59 JARUM OTOT 36 LUSIN - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 4 4 3 1 - 2
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 2 2 1 1 - 2
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 3 3 1 2 - 5
65 KASA 80 CM X 40 YARD ROL - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - -
69 KERTAS LENSA BUKU - - - - -
70 KERTAS PH LEMBAR - - - - -
71 KERTAS PUYER RIM - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL 14 14 14 - - -
73 LIDI STIK PAK - - - - -
74 LIDI WATEN PCS - - - - -
75 LUBRICAN GEL BOTOL - - - - -
76 LYSOL 1 LITER BOTOL - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - -
79 MASKER HIJAB PCS - - - - -
80 MASKER N95 PCS - - - - -
81 MEDIA AMIS SET - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - -
85 MICROPORE 1.25 CM BUAH 4 5 9 3 6 - 12
86 MICROPORE 5 CM BUAH - - - - -
87 MORTIR 13 CM BUAH - - - - -
88 MORTIR 16 CM BUAH - - - - -
89 MUCUS EXTRACTOR BUAH 5 5 - 5 - -
90 NASAL O2 L PCS 3 3 - 3 - -
91 NASAL O2 XS PCS 2 2 - 2 - -
92 NEEDLE 24G SET 100 100 10 90 - -
93 NEEDLE 25 G SET - - - - -
94 NELATON CATETER 18/20 BUAH - - - - -
95 OBJECK GLASS PCS - - - - -
96 PIPET HB BUAH - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - -
98 PIPET UKUR 1 ML BUAH - - - - -
99 PIPET UKUR 10 ML BUAH - - - - -
100 PIPET UKUR 5 ML BUAH - - - - -
101 PLASTIK KLIP KG - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - -
103 PLESTER 1.25 CM ROL - - - - -
104 PLESTER 4.5 CM ROL 5 5 - 5 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - -
107 POT DAHAK BUAH - - - - -
108 POT URINE BUAH - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - -
110 POVIDON IODIDA 60 ML BOTOL 8 8 1 7 - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
111 SAFETY BOX PCS - - - - -
112 SAMPLE CUP BOX - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - -
114 SARUNG TANGAN NON STERIL L PASANG 100 100 100 - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - -
116 SARUNG TANGAN NON STERIL S PASANG - - - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - -
119 SARUNG TANGAN STERIL 7 PASANG 1 10 11 1 10 - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - -
121 SENDOK OBAT PCS - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 8 8 - 8 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - -
125 STOMACH 18 BUAH - - - - -
126 TABUNG 3 MI PCS - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - -
128 TABUNG DURHAM BUAH - - - - -
129 TABUNG EDTA PAK - - - - 1
130 TABUNG HB BUAH - - - - -
131 TABUNG HB BUAH - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - -
134 TABUNG WESTERGEEN BUAH - - - - -
135 TABUNG WINTROB BUAH - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - -
137 UMBILICLEM BUAH 40 40 20 20 - 20
138 UNDERPAD PCS - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - -
142 VACUTAINER K3E PLUS TUBE PCS 100 100 - 100 - -
143 VACUTAINER NEEDLE 21 G PCS - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - -
146 YELLOW TIP BUAH - - - - -
147 COVER SHOES - - - - - -
148 COVERALL DISPRO - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - -
151 KACAMATA GOGGLE - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - -
154 PLESTER HYPAFIX ROLL - - - - -
155 - - - - - - -
- - - - -
1 AQUADEST 20 LT JERIGEN - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX 2 2 2 - - 3
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 8 8 8 - - 4
7 BENECHECK PLUS URIC TEST STRIP BOX 2 2 2 - - 2
8 BILIRUBIN TOTAL/DIRECT SET - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - -
10 CELL CLEAN BOTOL - - - - -
11 CELLPACK SET - - - - -
12 CHOLESTEROL PAKET - - - - -
13 CHOLESTEROL ELLITEC SET - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - -
16 CLEANAC BOTOL - - - - -
17 CLEANAC 3 BOTOL - - - - -
18 CLEANER BOTOL - - - - -
19 CLEANING KIT SET - - - - -
20 CLEANSER SET - - - - -
21 CONTROL DARAH SYSMEX SET - - - - -
22 CONTROL SERUM SET - - - - -
23 CONTROL SERUM MICROLAB SET - - - - -
24 COPPER TEST BOX - - - - -
25 CREATININ PLUS PAKET - - - - -
26 CYANIDE TEST BOTOL - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - -
28 DILUENT 10 LITER BOTOL - - - - -
29 DILUENT 20 LITER BOTOL - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - -
31 GLUCOSA + STANDAR PAKET - - - - -
32 GLUCOSA ELLITEC SET - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - -
34 GLUKOSA HK SET - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - -
36 HB CONTROL MICROLAB SET - - - - -
37 HBA1C STIK TUBE - - - - -
38 HCV VIRAL LOAD TEST - - - - -
39 HDL CHOLESTEROL PAKET - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - -
43 HEMOLYNAC BOTOL - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - -
45 ISOTONAC 3 GALON - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - -
47 KONTROL PCC MULTI PAKET - - - - -
48 KREATIN + STDR 200 ML SET - - - - -
49 LARUTAN DRABKIN BOTOL - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - -
54 LARUTAN IODIUM BOTOL - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
56 LARUTAN KOH 10% BOTOL - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - -
64 LYZE 5 LITER BOTOL - - - - -
65 LYZE 500 ML BOTOL - - - - -
66 MINYAK IMERSI BOTOL - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - -
72 NARKOTES THC STRIP/TEST - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - -
74 QC SOLUTION MICROLAB SET - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - -
76 RAPID TES HBSAG TES - - - - 100
77 RAPID TES HIV 1 STRIP/TEST - - - - 100
78 RAPID TES HIV 2 STRIP/TEST - - - - -
79 RAPID TES SIFILIS STRIP 100 100 - 100 - -
80 RAPID TEST HIV 1/2 SD TEST - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - -
82 RDD ANTI HCV TEST - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - -
85 REGENT P2 TBC BTL - - - - -
86 RPR SIFILIS STRIP - - - - -
87 SEDIPLAST BOX - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - -
90 SGOT SET - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - -
92 SGPT SET - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - -
94 SPIRTUS BOTOL - - - - -
95 STOMATOLYZER 4DL SET - - - - -
96 STOMATOLYZER 4DS SET - - - - -
97 STROMATOLIZER BOTOL - - - - -
98 SULFOLYSER SET - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - -
100 THERMAL PAPER PCS - - - - -
101 TOTAL CHROMIUM BOX - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - -
103 TRIGLYSERIDE SET - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - -
105 UREA SET - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - -
108 URIC ACID PAKET - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - -
111 URIC ACID ELLITEC SET - - - - -
112 URINE RAPID TEST STRIP 100 - 100 - -
113 URINE STIK 10 PARAMETER STIRP - - - - -
114 WATER ONE 1 LT BOTOL - - - - -
115 WIDAL 8 PARAMETER SET - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - -
117 - - - - - - -
118 - - - - - - -
119 - - - - - - -
120 - - - - - - -
121 - - - - - - -
122 - - - - - - -
123 - - - - - - -
124 - - - - - - -
125 - - - - - - -
126 - - - - - - -

PKM/ PUSTU NON JKN JKN


1,204 1,400

JUMLAH KUNJUNGAN

TOTAL 1,204 1,400

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Februai 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 2 2 1
4 ACYCLOVIR TAB 400 TABLET 10 10 10
5 ALBENDAZOL 400 MG TABLET 5
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 20 40 30 10 30
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 40 60 70 60 70
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 3 5 3
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP 1 1
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 40 40 50 70 50
30 ASAM MEFENAMAT 500MG TABLET 40 50 70 50 40
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 40 40 50 30
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 10 20 40 20 10
41 BETAMETASON KRIM 0,1 % TUBE 1 1 2 1
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET 1
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 10
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 10 10 20
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 2 3 4 2
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 10 20
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET 10 20 40 10 20
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 5 10 5 5 5
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET 5 5
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET 30 40 30 20 60
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET 20 30
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 10 10 10 10
115 KALSIUM HIDROKSIDA PASTA TUBE 1
116 KALSIUM LAKTAT TAB 500 MG TABLET 30 10 30 40 20
117 KARBAMAZEPIN TAB 200 MG TABLET 10 30
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET 10 10 10
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL 20 20
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL 2 1
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 1 1
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 220 430 270 310 260
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 1 3
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 1
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET 1
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET 20 40 50 20 10
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 70 30 40 30
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 2 0 4 4 4 5
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 20 10 30
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET 4
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET 60 340 450 470 360
195 PERMETRIN KRIM 5 % TUBE
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 20 40 50 30 50
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 30 160 60 70 70
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL 50
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 10 5 5 30 5
212 SALEP 2-4 KOMBINASI POT 1 1 1 1
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK 3 4 1 4
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 2 4 2 4
224 SIMVASTATIN 10 MG TABLET 30 20 35 20 15
225 SIPROFLOKSASIN 500 MG TABLET 20 10 10
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 120 350 30 10 400
233 TABLET ZINK DISPERTSIBLE TABLET 40 80 40 20 50
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL 2
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL 105
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL 50
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL 15
251 VAKSIN POLIO (BOPV) VIAL 40
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL 30
254 VITAMIN B KOMPLEX TAB #N/A 100 210 160 180 160
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL 1 1
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS 1
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET 12
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 1 1
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL 2
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET 1 3
46 IV CATHETHER 18 PCS 1 2
47 IV CATHETHER 20 PCS 4 2 4
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL 1
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG 10
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET 1
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 4
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET 2
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP 100
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1 1 1 1
10 10 10 10 10 10
5 5 5 5

10 20 10 10 30 10 10 20 10 10

80 50 100 60 60 70 60 70 40 50 70 70 40 30

3 4 4 5 6

1 1 1 2 1

80 40 60 50 30 60 50 70 80 80 50 40 60 70
60 60 40 50 60 50 40 40 50 70 50 90 60 50

20 10 40 30 20 50 20 10 50 40 20 40 20 40

20 20 20 30 10 20 20 30 20 10 10 20
1 6 1 3 2 1 5 3 4 5 5 2
10 10 10 10 10
1 3 4 1 4 1 4 2 4 4 2

30
10 10 5 10 10 10

20 5 5 10 5 5 5 5 5 5

5 10 5 5 5 5 5 5

5 5 5 10 5 10 10
10 30 30 40 40 50 20

10 10
10 10 10 10 10 10

10 30 120 40 30 70 50 60 90 60 40 70 70 90
20 20

10 10 10 10 10 10

40 20

3 3 2 4 4 2
1 1 1 1 1
220 200 320 230 380 230 250 100 320 240 210 180 160 110

2 3 1 1 2 1 1 1

1 1 1 1
30 20 30 30 10 40 10 30 90 40 30 10 40 50

60 20 40 40 60 40 60 20 40 70 70 40 30 60

2 1 3 3 4 1 3 2 1 3 1 1

10 30

280 180 540 430 230 380 370 190 170 320 170 60 400

70 30 40 60 50 40 50 60 60 80 40 50 60 90

60 70 180 170 50 180 30 40 100 60 90 160 90 120


10 10 5 20 40 10 5 10 5 5 5 5
2 2 1 2 1 2 4 5 3 4 3 1

1 1 4 4 2 2 1 4 4 5

2 4 4 5 2 2 5 5 3
5 10 40 30 20 15 30 40 20 10 30 40 10 10
20 20 10 10

240 100 450 220 330 380 230 160 380 240 460 520 440 120
80 10 50 30 10 10 20 10 50 20 10 30 20

100 130 120 160 170 110 90 80 160 130 160 130 140 70
1 1 1 1

600

100 100 100

1 1
1

1 1 1 1 1
1 1 2 1 1 1 2 1
2 1 1

10

1
1 1 1 1

80

1 1 1 1
100

100
100
38,940
24 25 26 27 28 29 30 31 Total

-
-
2 1 1 1 2 20
10 100
5 30
-
10 10 10 300
-
-
-
-
-
50 50 70 60 50 70 1,500
-
-
-
-
-
-
33
-
-
-
1 1 10
-
-
-
-
100 90 80 50 80 30 1,500
150 60 60 70 80 60 1,500
-
-
-
-
-
20 10 600
-
-
-
20 20 10 10 10 400
4 7 7 4 6 4 75
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
10
-
-
-
-
-
-
-
-
-
10 100
4 4 5 5 3 62
-
-
-
-
-
1
-
-
-
-
-
-
-
30
10 5 100
-
5 5 10 10 200
-
5 5 5 10 100
-
-
-
10 10 20 100
-
-
-
-
-
-
-
-
-
-
400
-
-
-
-
-
-
-
-
-
70
100
1
100 50 60 70 50 10 1,300
20 100
-
-
10 100
-
-
-
-
-
-
-
100
-
-
-
1 3 25
1 1 1 10
320 230 220 210 190 190 6,000
-
-
-
-
-
-
-
-
-
-
-
3 1 1 21
-
-
1 6
-
1
-
600
-
-
-
-
-
70 20 20 50 1,000
-
-
-
-
1 1 2 48
-
-
100
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,400
-
-
100 30 70 80 50 58 1,358
-
170 60 80 40 30 30 2,200
-
-
-
-
-
-
-
50
-
-
-
5 5 5 200
3 3 3 3 2 48
-
6 3 5 4 58
-
-
-
-
-
-
-
-
5 1 50
30 20 10 10 10 510
100
-
-
-
-
-
-
620 230 340 320 270 180 7,140
40 10 20 50 700
-
-
-
-
-
-
-
-
2
-
105
-
50
-
-
-
15
40
-
30
110 170 160 3,000
-
-
6

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
600
-
-
-
-
-
-
100 500
-
-
-
-
-
3
-
-
-
12
-
-
-
-
-
-
3
-
-
-
-
-
-
-
2
-
-
-
-
1 10
2 1 3 19
1 1 16
-
-
-
-
-
1 1
-
-
-
10
-
-
1
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
80
-
-
-
-
-
-
-
-
-
-
-
10
-
-
1 6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
100
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : PKM LIMUSNUNGGAL DOKUMEN
KECAMATAN : CIBEUREUM PELAPORAN BULAN /PERIODE : February 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : March 2020

PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK
1 2 4 5 6 7 10 11 12 13
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 20 30 50 20 30 34 10
4 ACYCLOVIR TAB 400 TABLET 150 200 350 100 250 170 -
5 ALBENDAZOL 400 MG TABLET 30 30 30 - 51 30
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 200 600 800 300 500 510 400
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 500 500 - 500 - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - - - - - -
13 AMLODIPINE 5 MG TABLET 600 2,700 3,300 1,500 1,800 2,550 900
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - - - - - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - - - - - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 33 33 33 - 56 200
21 ANTASIDA DOEN TAB TABLET - - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP 20 20 40 10 30 17 20
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 3 20 23 - 23 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 2,300 1,000 3,300 1,500 1,800 2,550 1,000
30 ASAM MEFENAMAT 500MG TABLET 900 3,000 3,900 1,500 2,400 2,550 500
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 400 700 1,100 600 500 1,020 500
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 200 400 600 400 200 680 500
41 BETAMETASON KRIM 0,1 % TUBE 75 100 175 75 100 128 75
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - 1 1 1 - 2
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 45 45 10 35 17 -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 1 2 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 78 78 - 78 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - - - - - -
64 DIGOXIN TAB 0,25 MG TABLET - 100 100 - 100 - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 100 200 300 100 200 170 100
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 112 112 62 50 105 100
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL 9 9 1 8 2 12
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 60 60 30 30 51
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 200 200 100 100 170 100
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 400 200 200 340
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 100 600 700 100 600 170 -
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET 100 100 100 - 170
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 200 200 - 200 - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET 400 400 400 - 680 700
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 200 200 - 200 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - 50
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET 70 70 70 - 119
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - 200 200 100 100 170 200
115 KALSIUM HIDROKSIDA PASTA TUBE 1 1 1 - 2
116 KALSIUM LAKTAT TAB 500 MG TABLET 4,400 4,400 1,300 3,100 2,210 500
117 KARBAMAZEPIN TAB 200 MG TABLET - 200 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 23 23 - 23 - -
120 KATOPRIL 25MG TABLET 200 200 100 100 170
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 7 7 - 7 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - 50
128 KLORAMFENIKOL KAPS KAPSUL - 100 100 100 - 170
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL 25 25 25 - 43
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 30 30 10 20 17 -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 2,100 7,000 9,100 6,000 3,100 10,200 7,100
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 1,600 1,600 - 1,600 - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL - 30 30 - 30 - 30
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 21 30 51 21 30 36 30
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET - 300 300 - 300 - -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 6 - 10 6
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET 600 600 600 - 1,020 1,000
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 - 100 - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 5,200 5,200 1,000 4,200 1,700 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 48 48 96 48 48 82 24
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 100 100 100 - 170 100
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - - - - - -
169 NATRIUM TIROKSIN TABLET TABLET 20 20 - 20 - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 40 40 - 40 - -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET 2 2 4 4 - 7
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET 1,000 1,000 - 1,000 - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE - 75 75 - 75 - 50
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 30 30 - 30 - 30
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET 5,400 5,400 5,400 - 9,180
195 PERMETRIN KRIM 5 % TUBE 60 60 - 60 - -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 3,558 3,558 1,358 2,200 2,309 100
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 2,800 1,000 3,800 2,200 1,600 3,740 3,000
200 PREDNISON TAB 5 MG TABLET - - - - - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET - - - - - -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - 50 50 50 - 85
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB - 20 20 - 20 - -
211 SALBUTAMOL TAB 2 MG TABLET 400 200 600 200 400 340 -
212 SALEP 2-4 KOMBINASI POT 48 48 96 48 48 82
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK 58 58 58 - 99
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 100 50 150 50 100 85 50
224 SIMVASTATIN 10 MG TABLET 510 510 1,020 510 510 867 510
225 SIPROFLOKSASIN 500 MG TABLET 400 400 100 300 170 -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 3,000 7,320 10,320 7,140 3,180 12,138 6,000
233 TABLET ZINK DISPERTSIBLE TABLET 500 1,000 1,500 700 800 1,190 500
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120 120 - 120 - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL 2 2 2 3
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL 5 100 105 105 - 179
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL 20 30 50 50 - 85
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL 5 10 15 15 - 26
251 VAKSIN POLIO (BOPV) VIAL 20 20 40 40 - 68
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL 10 20 30 30 - 51
254 VITAMIN B KOMPLEX TAB #N/A 2,000 2,000 4,000 3,000 1,000 5,100 5,000
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 11 11 6 5 10 6
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - -
1 ABBOCATH 18 G PCS - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS - 100 100 - 100 - -
4 ADS 0.5 ML PCS - 500 500 - 500 - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS 100 500 600 600 - - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS - - - - - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 100 500 600 500 100 - -
16 ANIOSGEL 85 5 LT GALON - - - - - -
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 37 37 3 34 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 24 12 12 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 3 3 3 - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL - 2 2 - 2 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - 2 2 2 - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 2 2 - 2 - -
45 INFUSION SET DEWASA SET 18 18 10 8 - -
46 IV CATHETHER 18 PCS 19 19 19 - - -
47 IV CATHETHER 20 PCS 20 20 16 4 - -
48 IV CATHETHER 22 PCS - - - - - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - 1 1 1 - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX 6 4 10 10 - - 4
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1 2 3 1 2 - -
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 1 2 3 - 3 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 2 5 7 1 6 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL - 1 1 - 1 - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - - - - - -
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 6 12 18 6 12 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 5 5 - 5 - -
90 NASAL O2 L PCS 3 3 - 3 - -
91 NASAL O2 XS PCS 2 2 - 2 - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 5 5 1 4 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - 80 80 80 - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 7 7 - 7 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - -
116 SARUNG TANGAN NON STERIL S PASANG - - - - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG 10 10 10 - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS - - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 8 8 6 2 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - 1
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 20 20 40 - 40 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS 100 100 200 - 200 - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 4 4 4 - - 5
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - 2 2 2 - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - 100 100 100 - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP 100 100 100 - - -
80 RAPID TEST HIV 1/2 SD TEST - 100 100 100 - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - 50
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP 100 100 100 - - 50
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


1,420 1,201

JUMLAH KUNJUNGAN

TOTAL 1,420 1,201

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta :


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001
AN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
DOKUMEN NOMOR TANGGAL
SEKSI KEFARMASIAN

PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


14 15 16 17 18
PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat
PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Maret 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 1
4 ACYCLOVIR TAB 400 TABLET 10 10
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 20 10 30 20 10
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET 10 10 10
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 110 40 50 60 40
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 5 7 7 5 3
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 60 50 100 120 70
30 ASAM MEFENAMAT 500MG TABLET 60 60 60 80 40
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 10 20 20 10
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 20 20 30 20 10
41 BETAMETASON KRIM 0,1 % TUBE 1 2 1 2 1
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 10
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET 8
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET 100
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 30 20 30 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 2 1 3 2 1
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1 1 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 10 20
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 10 30 40 30 10
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 200
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 10 30 10
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 110 30 50 120 30
117 KARBAMAZEPIN TAB 200 MG TABLET 20 1-
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 2 1 1
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 1 1 1
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 230 250 230 160 70
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 10 30
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 20 10 20 30 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET 1
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 10 20 30 10
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 2 1
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET 10
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 5
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET 5
175 OAT FDC KATAGORI ANAK PAKET 5
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET 30 40 20 40 60
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 3 2 4 4 5
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 30
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 2 1 2
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 30 100 30 40 60
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 120 70 70 70 70
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB 1
211 SALBUTAMOL TAB 2 MG TABLET 20 30 20 10
212 SALEP 2-4 KOMBINASI POT 2 4 2
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 3 4 5 5 3
224 SIMVASTATIN 10 MG TABLET 40 30 40 20 50
225 SIPROFLOKSASIN 500 MG TABLET 20 30 40
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 230 30 60 180 20
233 TABLET ZINK DISPERTSIBLE TABLET 30 40 20 20 20
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 180 160 100 90 120
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL 1 1
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS 4
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX 2
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 1
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR 1
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 200
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1 3
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS 3
91 NASAL O2 XS PCS 2
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 5
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 2 1 1 1 1
10 10 10 10 10

20 30 10 30 10 30 20 10 20 10

10 20 10 10 10 10

30 70 70 90 125 90 70 120 170 60 105 80 80 40

2 4 5 6 3 6 3 6 3 5 6 3 5

70 150 110 90 90 40 70 140 120 90 100 100 80 70


60 70 80 40 90 70 40 110 50 80 60 60 80 120

10 30 10 10 30 10 10

20 10 30 30 20 10 10 20 30 20 10 20 30 10
1 2 1 1 3 2 2 2 3 1 4 2 2
10

10 20 10 10 10 10 10 10 10
2 4 1 1 1 3 3 1 4 3 3 2 2

1 1 1 1 1

10 10 10 10 10 10 10

10 10 20 20 10 10 10 10 20
10 30 10 20 20 10 10

40 240 100 90 20 40 70 40 60 30 120 40 50 30


10 10 10 10 10

2 1 1 1 1 1 2

1 1 1 1 1
100 320 240 260 200 260 90 260 250 270 180 180 190 390

20 10 10 20 1,500

10 20 10 10 20 10 10 10

1
10 30 50 60 20 30 10 80 40 60 70 50 80 40

1 3 1 1 3 1 1 1

10

10 30 10 40 30 10 10 10 20
3 2 2 5 2 3 3 5 4 2 4 2 2 2

50

2 1 1 2 3 1 1

50 70 60 90 40 50 10 30 50 40

40 130 100 110 190 160 80 140 120 120 70 40 30 40


20 40 10 20 30 20 10 10 10
1 1 2 1 3 1 1

3 6 7 4 3 2 1 4 3 4 1 3 3 5
10 10 20 10 20 5 5 10 5
20 10 10 20 40 50 20 40

30 320 70 20 190 30 50 340 20 40 310 30 40 280


40 40 30 10 30 30 20 20 10 20 30 30 10 10

50 140 160 170 80 180 110 320 160 160 170 170 20 390
1 1
12

1 1
1 1

1 1 1
1 1 1 1

1
31,072
24 25 26 27 28 29 30 31 Total

-
-
1 10
10 10 10 100
-
-
10 10 300
-
-
100
-
-
90 130 100 130 80 70 2,100
-
-
-
-
-
-
3 2 2 4 5 100
-
-
-
-
-
-
-
-
40 100 120 90 80 50 2,200
90 90 70 60 70 110 1,800
-
-
-
-
-
20 10 200
-
-
-
10 10 10 400
2 4 3 2 4 2 50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20
-
-
8
-
-
100
-
-
-
10 200
3 1 2 1 1 3 50
-
-
-
-
-
8
-
-
-
-
-
-
-
30
100
-
-
-
30 10 20 300
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
30 10 200
-
40 150 80 30 130 60 1,800
10 20 100
-
3 2 3 1 1 23
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1 10
200 270 220 210 310 260 5,600
-
-
-
-
1,600
-
-
-
-
-
-
-
-
10 200
-
-
2
-
-
-
-
-
-
-
50 30 60 10 10 20 900
-
-
-
-
1 2 1 1 3 24
-
-
-
-
20
-
-
10
-
5
5
-
-
-
-
30 10 400
2 2 2 1 4 5 75
-
80
-
-
-
-
-
-
-
-
-
-
-
1 3 20
-
30 20 800
-
70 100 70 40 70 80 2,200
-
-
-
-
-
-
-
-
-
-
1
20 10 20 300
3 1 1 1 24
-
-
-
-
-
-
-
-
-
-
3 6 5 6 5 6 100
5 10 5 5 300
300
-
-
-
-
-
-
20 360 100 50 220 140 3,180
10 10 20 500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
150 160 190 100 120 150 3,800
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
1 1
-
-
-
-
-
-
-
-
12
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
2
-
-
2
1 4
-
-
1 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
8
-
-
-
5
3
2
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : DOKUMEN NOMOR
KECAMATAN : PELAPORAN BULAN /PERIODE : March 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : April 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 30 10 40 10 30 17 -
4 ACYCLOVIR TAB 400 TABLET 250 250 100 150 170 100
5 ALBENDAZOL 400 MG TABLET - 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 500 400 900 300 600 510 -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 500 500 100 400 170 -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - - - - - -
13 AMLODIPINE 5 MG TABLET 1,800 900 2,700 2,100 600 3,570 3,000
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - - - - - 200
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - - - - - 200
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - 100
20 ANTASIDA DOEN SUSPENSI BOTOL - 300 300 100 200 170 200
21 ANTASIDA DOEN TAB TABLET - - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP 30 10 40 - 40 - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 23 23 - 23 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 1,800 3,000 4,800 2,200 2,600 3,740 6,000
30 ASAM MEFENAMAT 500MG TABLET 2,400 500 2,900 1,800 1,100 3,060 2,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 500 500 1,000 200 800 340 -
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 200 600 800 400 400 680 300
41 BETAMETASON KRIM 0,1 % TUBE 100 75 175 50 125 85 -
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 35 35 20 15 34
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 78 78 8 70 14 -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - - - - - -
64 DIGOXIN TAB 0,25 MG TABLET 100 100 100 - 170 200
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 200 100 300 200 100 340 300
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 50 100 150 50 100 85 50
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
75 ETANOL 70% 100 ML BOTOL 8 8 8 - 14 20
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30 30 30 - 51
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 100 100 200 100 100 170 100
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 600 600 300 300 510 200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 200 200 200 - 340
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 200 200 - 200 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 100 100 200 200 - 340 300
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 3,100 500 3,600 1,800 1,800 3,060 1,300
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 23 48 71 23 48 39 -
120 KATOPRIL 25MG TABLET 100 100 - 100 - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 7 7 - 7 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 20 20 10 10 17 20
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 3,100 8,100 11,200 5,600 5,600 9,520 5,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 1,600 1,600 1,600 - 2,720
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 30 30 60 - 60 - -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 30 30 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 300 300 200 100 340 500
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 2 2 2 - 3
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 - 100 - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
159 METILPREDNISOLON TAB 4 MG TABLET 4,200 4,200 900 3,300 1,530 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 48 24 72 24 48 41 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - - - - - -
169 NATRIUM TIROKSIN TABLET TABLET 20 20 20 - 34
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 40 40 10 30 17 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - 5 5 5 - 9
175 OAT FDC KATAGORI ANAK PAKET - 5 5 5 - 9
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET 1,000 1,000 400 600 680 200
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 75 50 125 75 50 128 50
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 30 70 100 80 20 136 20
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 60 60 20 40 34 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 2,200 100 2,300 800 1,500 1,360 1,000
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 1,600 3,000 4,600 2,200 2,400 3,740 1,300
200 PREDNISON TAB 5 MG TABLET - - - - - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET - - - - - -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 20 20 1 19 2 -
211 SALBUTAMOL TAB 2 MG TABLET 400 400 300 100 510 400
212 SALEP 2-4 KOMBINASI POT 48 48 24 24 41 24
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 100 50 150 100 50 170 100
224 SIMVASTATIN 10 MG TABLET 510 510 1,020 300 720 510 300
225 SIPROFLOKSASIN 500 MG TABLET 300 300 300 - 510 200
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 3,180 6,480 9,660 3,180 6,480 5,406 -
233 TABLET ZINK DISPERTSIBLE TABLET 800 800 500 300 850 500
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120 120 - 120 - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - - - - - -
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - - - - - -
251 VAKSIN POLIO (BOPV) VIAL - - - - - -
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 1,000 7,000 8,000 3,800 4,200 6,460 2,300
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 5 6 11 4 7 7 -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS - - - 19 - -
2 ABBOCATH 20 PCS - 10 10 - 14 - -
3 ADS 0.05 ML PCS 100 100 - 200 - -
4 ADS 0.5 ML PCS 500 500 - 36 - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS - - - 100 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS - - - 100 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 100 500 600 100 500 - -
16 ANIOSGEL 85 5 LT GALON - 1 1 1 - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - 4
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 34 34 - 34 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 24 12 12 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 2 2 - 2 - 2
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 2 2 - 2 - -
45 INFUSION SET DEWASA SET 8 8 - 8 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS 4 4 4 - - -
48 IV CATHETHER 22 PCS - - - - - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 4 4 2 2 - 2
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 2 3 5 2 3 - 2
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 3 2 5 4 1 - 3
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 6 10 16 5 11 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 200 200 200 - - 2,000
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 12 12 24 8 16 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 5 5 10 5 5 - -
90 NASAL O2 L PCS 3 3 3 - - -
91 NASAL O2 XS PCS 2 2 2 - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - 3 3 3 - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 4 4 - 4 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 7 7 2 5 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - 10
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - -
116 SARUNG TANGAN NON STERIL S PASANG - 200 200 - 200 - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS - - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 2 2 - 2 - 10
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - 1
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 40 40 - 40 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS 200 200 - 200 - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 5 5 5 - - 5
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - 2
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - 1
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - 4 4 - 4 - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST - - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - 50 50 - 50 - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - 50 50 - 50 - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - 2 2 - 2 - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


1,382 1,235

JUMLAH KUNJUNGAN

TOTAL 1,382 1,235

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2019
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat
PEMBERIAN

APBD2 PROGRAM LAINNYA

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : April 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1
4 ACYCLOVIR TAB 400 TABLET 20 40
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 120 100
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 3 6
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP 3 3
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 160 70
30 ASAM MEFENAMAT 500MG TABLET
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 10 40
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 50 30
41 BETAMETASON KRIM 0,1 % TUBE 1 2
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 30 40
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 10 20
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 20 10
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 20 40
117 KARBAMAZEPIN TAB 200 MG TABLET 20 10
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET 100
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE 1
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 1 2
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 120 60
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 10 30
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 30
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 2 1
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 5
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET 20 30
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 2
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 20 40
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 30 50
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 10 20
212 SALEP 2-4 KOMBINASI POT 2 3
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 5 3
224 SIMVASTATIN 10 MG TABLET 10
225 SIPROFLOKSASIN 500 MG TABLET
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 20 40
233 TABLET ZINK DISPERTSIBLE TABLET 20 40
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 140 130
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX 4
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 1
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 50
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH 1
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH 20
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 5
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL 1
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP 50
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP 50
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL 2
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1 1 1 1
10 10 10 10

70 40 20 60 110 150 90 50

7 5 4 5 3 5 3 6

3 3 3 3 3 3

230 50 40 70 110 50 60 120

20 30 20 10 20 20

10 20 30 20 30 40 20 10
2 2 3 1 3 2 1 3
20 50 20 30 40 10 10 30

30 10 10 10 10
10 10

100

100 20 20
20 10 20

1 1 1 1 1

1 1 1 1 1
50 120 110 140 120 150 150 160

20 40 20 10 20 10 30

1
10 30 40 30 20 30 20 10

3 4 1 3 1 3 2 1

2
2

50 30 20 40 30 10 30

1 1 1 1 1 1

30 40 40 20 50 10 30 10

20 30 130 60 70 40 30 20
10 10 10 10 20
1 3 4 1 2 2 1

4 3 5 5 4 3 4 3
20 10 10 20 10 10 10
200

50 300 20 30 10 30
30 20 40 20 40 30

20

30

10

10
80 190 120 100 210 110 160 170
1
11

10

11

100 11
50 50

1
200
1 1
11,318
24 25 26 27 28 29 30 31 Total

-
-
1 1 10
100
-
-
-
-
-
-
-
-
140 100 150 1,200
-
-
7 6 60
-
-
-
-
-
-
-
3 3 30
-
-
-
-
110 140 90 1,300
-
-
-
-
-
-
20 10 200
-
-
-
40 300
3 2 25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 10 20 100
-
-
-
-
-
-
-
-
100
-
-
200
10 10 100
-
-
100
-
6
-
-
-
-
-
-
-
-
-
-
1 1 10
130 130 160 1,600
-
-
-
-
-
-
-
-
-
-
-
-
-
10 200
-
-
1
-
-
-
-
-
-
-
10 30 20 300
-
-
-
-
1 1 1 24
-
-
-
-
-
-
-
10
-
-
2
2
-
-
-
10 10 20 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 10
-
10 300
-
40 40 40 600
-
-
-
-
-
-
-
-
-
-
-
10 100
3 1 1 24
-
-
-
-
-
-
-
-
-
-
4 4 3 50
10 10 120
200
-
-
-
-
-
-
100 600
20 40 300
-
-
-
-
-
-
120
-
-
-
-
-
20
-
30
-
-
10
-
10
190 170 130 1,900
-
-
1
11
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10
-
-
-
11
-
-
-
-
-
-
-
-
211
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
1
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
150
-
-
-
-
-
2
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
-
-
-
50
-
2
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : DOKUMEN NOMOR TANGGAL
KECAMATAN : PELAPORAN BULAN /PERIODE : Apr-20 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : May-20

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AAN AN AN AKHIR OPT AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
1 2 4 5 6 7 10 11 12 13 14 15 16 17 18
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 30 30 10 20 17 -
4 ACYCLOVIR TAB 400 TABLET 150 100 250 100 150 170 -
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 600 600 - 600 - -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 400 400 - 400 - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - - - - - -
13 AMLODIPINE 5 MG TABLET 600 3,000 3,600 1,200 2,400 2,040 -
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - - - - - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - 240 240 60 180 102 -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 200 100 300 - 300 - -
21 ANTASIDA DOEN TAB TABLET - - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP 40 40 30 10 51 40
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 23 23 - 23 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 2,600 5,000 7,600 1,300 6,300 2,210 -
30 ASAM MEFENAMAT 500MG TABLET 1,100 2,000 3,100 - 3,100 - -
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
36 ATTAPULGITE TAB 600 MG TABLET 800 800 200 600 340 -
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 400 100 500 300 200 510 300
41 BETAMETASON KRIM 0,1 % TUBE 125 125 25 100 43 -
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 - 15 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 70 70 - 70 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - - - - - -
64 DIGOXIN TAB 0,25 MG TABLET - 100 100 - 100 - -
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 100 300 400 300 100 510 400
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 100 50 150 - 150 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL - - - - - -
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL - - - - - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 100 100 100 - 170 200
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 300 200 500 - 500 - -
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 200 200 100 100 170 100
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - 100 100 100 - 170
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - -
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 1,800 1,300 3,100 200 2,900 340 -
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 - 48 - -
120 KATOPRIL 25MG TABLET 100 100 100 - 170
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 7 7 6 1 10 10
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 10 10 10 - 17 20
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 5,600 5,000 10,600 1,600 9,000 2,720 -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 60 60 - 62 - -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 100 500 600 200 400 340 -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 - 100 - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 3,300 3,300 300 3,000 510 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 48 48 96 24 72 41 -
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - - - - - -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 30 30 10 20 17 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - 2 2 2 - 3
176 OAT FDC KATAGORI II PAKET - 2 2 2 - 3
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET 600 600 300 300 510 200
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 50 50 100 - 100 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 20 20 40 - 40 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 40 40 10 30 17 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,500 1,500 300 1,200 510 600
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 2,400 1,300 3,700 600 3,100 1,020 -
200 PREDNISON TAB 5 MG TABLET - - - - - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET - - - - - -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 19 19 - 19 - -
211 SALBUTAMOL TAB 2 MG TABLET 100 400 500 100 400 170 500
212 SALEP 2-4 KOMBINASI POT 24 24 48 24 24 41 24
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 50 100 150 50 100 85 -
224 SIMVASTATIN 10 MG TABLET 720 300 1,020 120 900 204 -
225 SIPROFLOKSASIN 500 MG TABLET - 200 200 200 - 340 300
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 6,480 6,480 600 5,880 1,020 -
233 TABLET ZINK DISPERTSIBLE TABLET 300 600 900 300 600 510 -
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120 120 120 - 204
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 20 20 20 - 34
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - 30 30 30 - 51
249 VAKSIN HEPATITIS POUCH - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - - - - - -
251 VAKSIN POLIO (BOPV) VIAL - 10 10 10 - 17
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - 10 10 10 - 17
254 VITAMIN B KOMPLEX TAB #N/A 4,200 2,300 6,500 1,900 4,600 3,230 -
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 7 7 1 6 2 -
258 VAKSIN MENINGITIS (WALVAX) - - 11 11 11 - 19
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 - 19 - -
2 ABBOCATH 20 PCS 14 14 10 4 - -
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS 36 36 - 36 - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - 11 11 11 - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS 100 100 - 100 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 100 100 - 100 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 500 11 511 211 300 - 500
16 ANIOSGEL 85 5 LT GALON - - - - - -
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 34 34 - 34 - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 - 12 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 2 2 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 2 2 - 3 - -
45 INFUSION SET DEWASA SET 8 8 - 8 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - -
48 IV CATHETHER 22 PCS - - - 8 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX 2 2 4 4 - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 3 2 5 1 4 - -
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 1 3 4 1 3 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 11 11 - 11 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 450 450 150 300 - -
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 16 16 2 14 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 5 5 1 4 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 4 4 - 4 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 5 5 - 5 - -
111 SAFETY BOX PCS - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - -
116 SARUNG TANGAN NON STERIL S PASANG 200 200 - 200 - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS - - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 2 5 7 - 7 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 40 40 20 20 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS 200 200 200 - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - 4 4 - 4 - -
148 COVERALL DISPRO - - 4 4 - 4 - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 5 5 5 - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL 4 2 6 3 3 - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST - - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP 50 50 50 - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP 50 50 50 - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL 2 2 2 - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK PERMINT
AWAL AKHIR OPT
AAN AN AN AAN DAK ASKES APBD1 APBD2 PROGRAM LAINNYA
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


498 406

JUMLAH KUNJUNGAN

TOTAL 498 406

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Mei 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE
4 ACYCLOVIR TAB 400 TABLET
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 20 20
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 30 130
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 3 4
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 60 50
30 ASAM MEFENAMAT 500MG TABLET 40 110
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 30 10
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 10 10
41 BETAMETASON KRIM 0,1 % TUBE 2 3
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET 100
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 30 40
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 5 10
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 130 90
117 KARBAMAZEPIN TAB 200 MG TABLET 20
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 140 80
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 30 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET 1
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 30 50
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 2 2
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 5
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET 20 10
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 1
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 50 60
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 20 40
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 20 40
212 SALEP 2-4 KOMBINASI POT 4 7
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL
224 SIMVASTATIN 10 MG TABLET 10 10
225 SIPROFLOKSASIN 500 MG TABLET 20 20
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 240 80
233 TABLET ZINK DISPERTSIBLE TABLET 20
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL 10
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL 10
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH 10
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL 10
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 220 230
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS 4
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS 36
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS 48
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET 2
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR 1
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 100
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG 100
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

50 10

80 50 210 100 80 50

6 7 5 4 4 3

40 80 50 30 50 60
110 150 90 130 70 90

30 20 30 40 10 10

10 10 10 10 10
5 2 1 3 1 3
10 30 40 20

20 10 5 10 10
110 140 50 120 40 120
10 20 10 10

80 90 140 210 50 80

40 30 10 10 20
40 20 50 40 40 20

3 1 4 2 1 4

10 20 10 10 10

1 1 1 1 1 1

70 20 50 10 30

50 30 60 120 100 10
1
10 10 20 20 30 20
5 3 4 6 1 3

10 10 5
10 10 10 10

280 120 120 70 70 150


20 10 10

150 150 100 20 170 30


100
1 1

1 1

1
100 100 100

1 1 1

25

100
24 25 26 27 28 29 30 31 Total

-
-
-
-
-
-
100
-
-
-
-
-
40 50 30 10 40 900
-
-
-
-
-
-
6 4 4 50
-
-
-
-
-
1
-
-
20 40 30 60 30 600
140 70 150 60 90 1,300
-
-
-
-
-
10 10 200
-
-
-
10 10 10 100
2 1 1 1 25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
-
10 10 10 200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
70 40 60 90 40 1,100
20 10 100
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
50 20 70 90 1,100
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 30 200
-
-
1
-
-
-
-
-
-
-
10 300
-
-
-
-
4 1 24
-
-
-
-
-
-
-
10
-
-
-
-
-
-
-
10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2 10
-
60 30 20 50 50 500
-
50 80 40 600
-
-
-
-
-
-
-
-
-
-
1
20 10 200
5 4 2 2 2 48
-
-
-
-
-
-
-
-
-
-
-
5 5 5 60
10 10 100
-
-
-
-
-
-
70 1,200
10 10 10 10 100
-
-
-
-
-
-
-
-
-
-
10
-
10
-
10

10
-

130 240 170 80 110 1,800


-

-
-
-
-
-
-
-
-
-
-
-
4
-
36
-
-
-
-
-
48
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 50 550
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
25
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : LIMUSNUNGGAL DOKUMEN NOMOR
KECAMATAN : CIBEUREUM PELAPORAN BULAN /PERIODE : May 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : June 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 20 20 - 20 - -
4 ACYCLOVIR TAB 400 TABLET 150 150 - 150 - -
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 600 600 100 500 170 -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 400 400 - 400 - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - - - - - -
13 AMLODIPINE 5 MG TABLET 2,400 2,400 900 1,500 1,530 -
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - - - - - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 180 180 - 180 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 300 300 50 250 85 -
21 ANTASIDA DOEN TAB TABLET - - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP 10 40 50 - 50 - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 23 23 1 22 2 -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 6,300 6,300 600 5,700 1,020 -
30 ASAM MEFENAMAT 500MG TABLET 3,100 3,100 1,300 1,800 2,210 400
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 600 600 200 400 340 -
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 200 200 100 100 170 100
41 BETAMETASON KRIM 0,1 % TUBE 100 100 25 75 43 -
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 - 15 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 70 70 - 70 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - - - - - -
64 DIGOXIN TAB 0,25 MG TABLET 100 100 100 - 170 200
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 100 400 500 200 300 340 -
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 150 150 - 150 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL - - - - - -
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL - - - - - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - - - - - -
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 500 500 100 400 170 -
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 200 - 200 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - -
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 2,900 2,900 1,100 1,800 1,870 100
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 - 48 - -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 1 10 11 1 10 2 -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 9,000 9,000 1,100 7,900 1,870 -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 62 62 - 62 - -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 400 400 200 200 340 100
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 - 100 - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 3,000 3,000 300 2,700 510 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 72 72 24 48 41 -
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - - - - - -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 20 20 10 10 17 10
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET 300 300 100 200 170 -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 100 100 - 100 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 40 40 - 40 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 30 30 10 20 17 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,200 600 1,800 500 1,300 850 -
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 3,100 3,100 600 2,500 1,020 -
200 PREDNISON TAB 5 MG TABLET - - - - - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET - - - - - -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 19 19 1 18 2 -
211 SALBUTAMOL TAB 2 MG TABLET 400 500 900 200 700 340 -
212 SALEP 2-4 KOMBINASI POT 24 24 48 48 - 82 72
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 100 100 - 100 - -
224 SIMVASTATIN 10 MG TABLET 900 900 60 840 102 -
225 SIPROFLOKSASIN 500 MG TABLET - 300 300 100 200 170 -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 5,880 5,880 1,200 4,680 2,040 -
233 TABLET ZINK DISPERTSIBLE TABLET 600 600 100 500 170 -
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - 10 10 10 - 17
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 10 10 10 - 17
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - 10 10 10 - 17
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 10 10 10 - 17
251 VAKSIN POLIO (BOPV) VIAL - - - - - -
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 4,600 4,600 1,800 2,800 3,060 300
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 6 6 - 6 - -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 - 19 - -
2 ABBOCATH 20 PCS 4 4 4 - - -
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS 36 36 36 - - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS 100 100 - 100 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 100 100 48 52 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 300 500 800 200 600 - -
16 ANIOSGEL 85 5 LT GALON - - - - - -
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 34 34 - 34 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 - 12 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 3 3 - 3 - -
45 INFUSION SET DEWASA SET 8 8 5 3 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - -
48 IV CATHETHER 22 PCS 8 8 - 8 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - - - - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 4 4 3 1 - -
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 3 3 - 3 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 11 11 2 9 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS 300 250 550 550 - - -
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 14 14 4 10 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 4 4 - 4 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 4 4 - 4 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 5 5 1 4 - -
111 SAFETY BOX PCS - 25 25 25 - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - -
116 SARUNG TANGAN NON STERIL S PASANG 200 200 200 - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
121 SENDOK OBAT PCS - - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 7 7 - 7 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 20 20 - 20 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - 4 4 - 4 - -
148 COVERALL DISPRO - 4 30 34 - 34 - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - - - - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL 3 3 - 3 - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST - - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - - - - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


-

JUMLAH KUNJUNGAN
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
JUMLAH KUNJUNGAN

TOTAL - -

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2019
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Juni 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 1 1
4 ACYCLOVIR TAB 400 TABLET 10
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 10 20
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 10 5 10 30 5 20
13 AMLODIPINE 5 MG TABLET 50 60 50 70 30 40
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 2 2 4 6 4
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 2 3 4 4 2
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP 2 2
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 2
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 20 20 30 40 30 40
30 ASAM MEFENAMAT 500MG TABLET 20 40 10 50 10 50
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 20 20 30 20
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 10 10 10
41 BETAMETASON KRIM 0,1 % TUBE 2 1 1
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 20 20 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 10 20 10 20
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 10 20 40 10 10
117 KARBAMAZEPIN TAB 200 MG TABLET 10 10 10
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 1 1 2
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE 1
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 100 240 160 90 60 20
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL 1 1
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 10 20 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 40 30 50 20
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET 20 40 30
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 1
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 20 40 10 20
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 30 30 50 10 30 30
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 10 10
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 10 20 10
212 SALEP 2-4 KOMBINASI POT 1 2 1
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 1 1 2
224 SIMVASTATIN 10 MG TABLET 20 10 5 5
225 SIPROFLOKSASIN 500 MG TABLET 10 20
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 420 140 310 440 20 10
233 TABLET ZINK DISPERTSIBLE TABLET 30 10 30 20 10 10
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 120 110 90 60 90 40
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL 1
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS 100
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 500
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH 1
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG 100
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET 1
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1 1
10 10 10

10 20 10 20 10

400

20 5 20 30 5 5 10 20
100 50 30 40 40 45 65 30 50 40 50 30 40 30

6 5 4 4 3 3 5

4 5 2 2 2 1 2 3 1 4

2 2 2

40 40 60 30 30 60 20 30 40 20 10 20 30 50
30 30 20 10 30 10 30 70 80 50 60 30 50 70

20 10 30 40 20 10 10 30 20

20 10 10 10 10
1 2 1 3 4 2 2
10 30 30 20 10 50 30 40

30 10 10 30 30 10 10 20 30
10 20 30 10 30 10 10 10 10 10 10 30
10 10 10 10 10

1 2 2 1 1 3 2 1 1 1

110 150 130 60 50 30 180 50 90 90 80 100 120 130

1 1 1 1

10 10 10 10 10

1
40 20 10 10 40 40 20 40 20 10 10 10

10 20 40 30 10

2 1 1 1 1 1

20 30 10 10 20 10 0 40 10 20 10

20 60 30 30 20 40 30 40 30 40 20 40 30 20
20 10 10 10 10

10 20 10 20 30 10 10 30
3 1 2 1 2 1 1

3 4 4 2 2 4 5 3 4 3
5 10 5 10 10 5 5 10 5 10 10 5
10 10 10 20

380 130 240 330 10 20 360 190 220 410 40 10 330 160
30 20 10 30 10 10 20 30 10 15 5 5 50

90 40 110 40 70 80 90 120 70 90 40 70 120 50


1

2
3

200
1
500

1 1 1

1 1

100

100 100 100


1

4
34

1
5
1 1

50

1
1
19,147
24 25 26 27 28 29 30 31 Total

-
-
1 1 10
10 50
-
-
20 30 50 200
-
-
400
-
45 20 10 10 20 300
30 40 50 30 40 70 1,200
-
-
1 1 1 4 5 60
-
-
-
1 1 3 1 2 1 50
-
-
-
40 50
-
2
-
-
60 40 10 20 10 800
90 50 90 40 70 110 1,200
-
-
-
-
-
10 10 300
-
-
-
10 100
2 3 1 25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
30 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 10 10 10 10 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 40 10 10 20 30 400
10 10 100
-
1 1 2 1 24
-
-
1
-
-
-
-
-
-
-
-
-
-
-
70 80 80 110 70 150 2,600
-
-
-
-
-
-
-
-
-
-
6
-
-
10 100
-
-
1
-
-
-
-
-
-
-
30 30 10 500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 10
-
20 10 300
-
20 10 20 20 700
-
-
-
-
10 10 100
-
-
-
-
-
-
10 10 200
3 2 1 2 1 24
-
-
-
-
-
-
-
-
-
-
2 2 1 4 2 1 50
5 5 5 5 150
10 10 100
-
-
-
-
-
-
70 420 20 40 320 90 5,130
5 5 30 5 400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
90 160 140 200 150 170 2,500
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
2
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
1
-
-
200
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 1,100
-
-
-
-
-
5
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
1
-
-
-
-
100 500
-
-
-
-
-
-
1
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
34
-
-
-
-
-
-
-
-
-
-
-
-
1
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 3
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50
-
-
-
-
1
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : PUSKESMAS LIMUSNUNGGAL DOKUMEN
KECAMATAN : CIBEUREUM PELAPORAN BULAN /PERIODE : June 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : July 2020

PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK
1 2 4 5 6 7 10 11 12 13
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 20 20 40 10 30 17 -
4 ACYCLOVIR TAB 400 TABLET 150 100 250 50 200 85 -
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 500 500 200 300 340 300
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 400 400 400 - 680 100
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - 1,200 1,200 300 900 510 900
13 AMLODIPINE 5 MG TABLET 1,500 1,200 2,700 1,200 1,500 2,040 900
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - 200 200 - 200 - 100
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 180 120 300 60 240 102
17 AMOXCICILLIN DROP BOTOL - - - - - 24
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 250 250 50 200 85 100
21 ANTASIDA DOEN TAB TABLET - - - - - -
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP 50 50 50 - 85 20
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 22 22 2 20 3 -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 5,700 5,700 800 4,900 1,360 -
30 ASAM MEFENAMAT 500MG TABLET 1,800 600 2,400 1,200 1,200 2,040 800
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 400 400 300 100 510 500
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 100 100 100 - 170 500
41 BETAMETASON KRIM 0,1 % TUBE 75 50 125 25 100 43 50
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - - - - - 10
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 - 15 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 70 70 - 70 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - 5 5 - 5 - 5
64 DIGOXIN TAB 0,25 MG TABLET - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 300 300 600 300 300 510 300
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 150 150 - 150 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - 10
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL - - - - -
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL - - - - - 10
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - - - - - 200
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 400 200 600 300 300 510 200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - 100
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - 100
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 200 200 - 200 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - 200
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 1,800 1,800 400 1,400 680 2,000
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 100 100 170 200
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 96 24 72 41 -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 10 10 1 9 2 -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - 48
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 7,900 7,900 2,600 5,300 4,420 1,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 62 62 6 56 10 -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 200 500 700 100 600 170 -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 - 100 - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 2,700 2,700 500 2,200 850 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 48 48 96 - 96 - 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - 15 15 - 15 - -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 10 20 30 - 30 - -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - 100
180 OBAT BATUK PILEK TAB TABLET 200 200 200 - 340 500
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 100 100 - 100 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 40 40 - 40 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - 24
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 20 30 50 10 40 17 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,300 1,300 300 1,000 510 -
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 2,500 500 3,000 700 2,300 1,190 1,000
200 PREDNISON TAB 5 MG TABLET - 300 300 - 300 - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET - 500 500 100 400 170 -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 18 18 - 18 - -
211 SALBUTAMOL TAB 2 MG TABLET 700 700 200 500 340 -
212 SALEP 2-4 KOMBINASI POT - 120 120 24 96 41 -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 100 50 150 50 100 85 50
224 SIMVASTATIN 10 MG TABLET 840 840 150 690 255 -
225 SIPROFLOKSASIN 500 MG TABLET 200 200 100 100 170
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - 50
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 4,680 8,640 13,320 5,130 8,190 8,721 5,000
233 TABLET ZINK DISPERTSIBLE TABLET 500 200 700 400 300 680 600
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - - - - - -
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - - - - - -
251 VAKSIN POLIO (BOPV) VIAL - - - - - -
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 2,800 1,000 3,800 2,500 1,300 4,250 4,000
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 6 6 2 4 3 -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 - 19 - -
2 ABBOCATH 20 PCS - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS - - - - - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS 100 100 100 - - 300
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 52 52 2 50 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - 30
15 ALKOHOL SWAB PCS 600 600 100 500 - -
16 ANIOSGEL 85 5 LT GALON - - - - - -
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 34 34 - 34 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 - 12 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 3 3 - 3 - 3
45 INFUSION SET DEWASA SET 3 3 - 3 - 5
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - -
48 IV CATHETHER 22 PCS 8 8 - 8 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 3 3 3 - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1 3 4 1 3 - 3
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 3 3 - 3 - 3
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - 200 200 200 - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 9 9 1 8 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 1,100 1,100 1,100 - - 1,000
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 10 17 27 5 22 - 10
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 4 4 3 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 4 4 - 4 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - 100 100 100 - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 4 6 10 1 9 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - 500 500 500 - - 500
116 SARUNG TANGAN NON STERIL S PASANG - - - - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS - - - - - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 7 7 1 6 - 10
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - 1 1 1 - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 20 20 - 20 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - 4 4 4 - - -
148 COVERALL DISPRO - 34 34 34 - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - 1 1 1 - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 5 5 5 - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL 3 3 3 - - 3
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - 1 1 1 - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - 50 50 50 - - -
80 RAPID TEST HIV 1/2 SD TEST - - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - 1 1 1 - - -
85 REGENT P2 TBC BTL - 1 1 1 - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - - - - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


776 692

JUMLAH KUNJUNGAN

TOTAL 776 692

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta :


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S
PE
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN STOK OPT
AWAL AAN AN AN AKHIR AAN
DAK

NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001


AN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
DOKUMEN NOMOR TANGGAL
SEKSI KEFARMASIAN

PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


14 15 16 17 18
PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


PEMBERIAN

ASKES APBD1 APBD2 PROGRAM LAINNYA

NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Juli 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE
4 ACYCLOVIR TAB 400 TABLET 10
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 20 10 20
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 30 20 10 20
13 AMLODIPINE 5 MG TABLET 40 30 10 30
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 2 1 10
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 3 1 2 3
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET
30 ASAM MEFENAMAT 500MG TABLET 50 50 30 60
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 20 10 40 20
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET
41 BETAMETASON KRIM 0,1 % TUBE 2 3 2
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 10 20 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 1 1 3
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 100 20 30 40 40
117 KARBAMAZEPIN TAB 200 MG TABLET
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE 1
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 120 80 40 80 160
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 10 30 10 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 10 10 10
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 1 3
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 1
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 1 1 3
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 1
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 20 40 10 40 30
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 30 50 80 50 40
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 20 20 30
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 10 10
212 SALEP 2-4 KOMBINASI POT 1 1 2
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 1 3 4 1
224 SIMVASTATIN 10 MG TABLET 20 10 5
225 SIPROFLOKSASIN 500 MG TABLET 10 10
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 120 80 140 20 240
233 TABLET ZINK DISPERTSIBLE TABLET 20 10 10 20
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL 5
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL 20
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL 5
251 VAKSIN POLIO (BOPV) VIAL 10
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 130 50 40 60 160
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS
16 ANIOSGEL 85 5 LT GALON 1
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET 1
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX 4
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 100
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG 100
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 4
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES 25
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST 100
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET 1
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP 100
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

10 10 10 10

20 10 10 10 20 10 10 10

20 10 20 10 40 20 10 5 5 10 10
30 30 20 40 20 20 50 50 30 30 40 30 30 40 50

5 1 3 1 9 8 4 6 1 3 8 5 1 3

2 4 4 1 1 1 4 4 1 4 4 1

80 50 40 50 70 60 40 60 50 70 40 70 90 60 30

30 10 10 30 30 20 10 10 10

3 1 1 3 3 1 4 1 2 1 4 1 4
10 20 20 10 20 10 10 20 10
3 5 2 3 1 3 2 2 4 2 2 3

1 1
70 30 20 10 30 230 30 20 10 20 30 30 30 10 30

140 120 150 140 110 160 140 110 90 90 20 70 50 80 90

30 10 20 30 30 10 10 20 10

1
100

20 30 10 10 60 20 40 70 20 40 70 40 20 10

3 1 2 1 2 4 2

1 1 1 1 1

5
1

1 3 1 1 1 1 1 1 1

1 1

1 1 1 1

40 20 10 10 20 20 10 20 10 20 40 80 50

20 40 30 50 40 50 60 70 50 30 70 40 30 50 40
30 20 20 20 20

1,900
450

10 10 10 20 10 10 10
1 1 1 1 1 2 2 1 3

1 2 1 7 2 2 4 3 1 3 1 2 2
5 10 20 5 10 10 10 5 20 10 10
10 10 10 10

80 80 350 120 70 390 90 60 410 180 130 340 150 70 350


30 20 20 20 30 10 10 40 30 20 20 40 20 10

140 40 70 40 40 160 140 110 140 40 30 160 50 30 40


100

1
1 1 1

1 1

1
100 100 100 100

1 1

100 100 100

1 1
1
21,023
24 25 26 27 28 29 30 31 Total

-
-
-
50
-
-
10 10 20 10 200
-
-
-
-
10 10 20 20 300
50 30 60 30 50 60 900
-
3 7 5 2 2 90
-
-
-
-
3 3 3 1 50
-
-
-
-
-
-
-
-
-
40 60 100 50 50 50 1,400
-
-
-
-
-
10 10 10 10 10 300
-
-
-
-
1 4 2 3 4 50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 10 200
4 3 2 4 50
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
30 120 50 50 20 1,100
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
50 90 50 70 30 70 2,400
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 250
-
-
1
-
-
-
-
100
-
-
60 30 60 60 30 50 800
-
-
-
-
4 24
-
-
-
6
-
-
-
-
-
-
5
1
-
-
-
-
1 2 2 1 1 2 25
-
3
-
-
-
-
-
-
-
-
-
-
-
4
-
60 50 80 40 60 20 800
-
40 80 90 30 60 80 1,300
-
-
-
-
10 10 200
-
1,900
450
-
-
-
100
1 1 1 1 2 1 24
-
-
-
-
-
-
-
-
-
-
2 3 1 2 1 1 50
5 5 20 20 5 5 210
10 10 10 10 100
-
-
-
-
-
-
80 80 320 100 70 410 4,530
40 30 10 10 20 10 500
-
-
-
-
-
-
-
-
-
-
5
-
20
-
-
-
5
10
-
-
40 100 180 130 90 90 2,300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
1
-
-
-
-
1
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
1 1 4
-
-
-
-
-
-
-
-
-
-
-
4
-
-
1
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 100 700
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
2
-
-
-
-
100 500
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
25
-
-
-
100
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : DOKUMEN NOMOR
KECAMATAN : PELAPORAN BULAN /PERIODE : July 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : August 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 30 30 - 30 - -
4 ACYCLOVIR TAB 400 TABLET 200 200 50 150 85 -
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 300 300 600 200 400 340 -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET - 100 100 - 100 - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET 900 900 1,800 300 1,500 510 900
13 AMLODIPINE 5 MG TABLET 1,500 900 2,400 900 1,500 1,530 900
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 200 100 300 90 210 153 100
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 200 100 300 50 250 85 -
21 ANTASIDA DOEN TAB TABLET - 2,500 2,500 - 2,500 - 5,000
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 - 20 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 4,900 4,900 - 4,900 - -
30 ASAM MEFENAMAT 500MG TABLET 1,200 800 2,000 1,400 600 2,380 2,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 100 500 600 300 300 510
37 AZITROMISIN TAB 500 MG TABLET - - - - - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET - - - - - -
41 BETAMETASON KRIM 0,1 % TUBE 100 50 150 50 100 85 50
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - 5 5 - 5 - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 - 15 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 70 70 - 70 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - -
64 DIGOXIN TAB 0,25 MG TABLET - - - - - -
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 300 300 600 200 400 340 300
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 150 150 50 100 85 -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - -
75 ETANOL 70% 100 ML BOTOL - 10 10 3 7 5 12
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL - 10 10 - 10 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - - - - - 100
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 300 200 500 - 500 - -
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 200 200 100 100 170 100
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - 50
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - 200
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - 200
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 1,400 2,000 3,400 1,100 2,300 1,870 1,000
117 KARBAMAZEPIN TAB 200 MG TABLET 100 200 300 - 300 - -
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 72 72 - 72 - -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 9 9 1 8 2 10
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 5,300 1,000 6,300 2,400 3,900 4,080 4,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 56 56 - 56 - -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 600 600 250 350 425 500
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 100 100 100 - 170
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 2,200 2,200 800 1,400 1,360 -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 96 48 144 24 120 41 -
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 15 15 6 9 10 15
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 30 30 - 30 - -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - 5 5 5 - 9
176 OAT FDC KATAGORI II PAKET - 1 1 1 - 2
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 100 100 25 75 43 -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 40 40 3 37 5 -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 40 40 4 36 7 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,000 500 1,500 800 700 1,360 700
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 2,300 1,000 3,300 1,300 2,000 2,210 3,000
200 PREDNISON TAB 5 MG TABLET 300 300 - 300 - -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 400 500 900 200 700 340 300
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - 1,900 1,900 1,900 - 3,230
207 RETINOL 100.000 IU KAPSUL - 450 450 450 - 765
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 18 18 - 18 - -
211 SALBUTAMOL TAB 2 MG TABLET 500 500 100 400 170 -
212 SALEP 2-4 KOMBINASI POT 96 96 24 72 41 -
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 100 100 50 50 85 -
224 SIMVASTATIN 10 MG TABLET 690 690 210 480 357 -
225 SIPROFLOKSASIN 500 MG TABLET 100 100 100 - 170 200
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 8,190 6,480 14,670 4,530 10,140 7,701 -
233 TABLET ZINK DISPERTSIBLE TABLET 300 600 900 500 400 850 600
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - 5 5 5 - 9
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 20 20 20 - 34
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 5 5 5 - 9
251 VAKSIN POLIO (BOPV) VIAL - 10 10 10 - 17
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 1,300 4,000 5,300 2,300 3,000 3,910 2,000
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - - - - - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 - 19 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS - - - - - -
5 ADS 5 ML PCS - - - - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS - 300 300 - 300 - 300
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 50 50 - 50 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 500 500 100 400 - 300
16 ANIOSGEL 85 5 LT GALON - 1 1 1 - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 34 34 1 33 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 12 12 3 9 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 3 3 6 1 5 - -
45 INFUSION SET DEWASA SET 3 5 8 4 4 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - -
48 IV CATHETHER 22 PCS 8 8 - 8 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 4 4 4 - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 3 3 6 1 5 - -
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 3 3 6 - 6 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 8 8 1 7 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 700 700 700 - 800
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 22 10 32 3 29 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 - 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - 2
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 4 4 1 3 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 9 9 2 7 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - 500 500 500 - - 500
116 SARUNG TANGAN NON STERIL S PASANG - - - - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS - - - - - 500
122 SILK NO 2/0 & JARUM BEDAH SACHET 6 6 2 4 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - - - - - 12
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 20 20 - 20 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 4 4 4 - - 4
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - 2
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - 1 1 1 - - 3
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - 25 25 25 - - 100
77 RAPID TES HIV 1 STRIP/TEST - - - - - 100
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - 100
80 RAPID TEST HIV 1/2 SD TEST - 100 100 100 - - 100
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - 1 1 1 - - -
85 REGENT P2 TBC BTL - - - - - 1
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - 100 100 100 - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


LIMUS 755 563
NUNGGAL

JUMLAH KUNJUNGAN

TOTAL 755 563

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2019
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Agustus 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 1 1
4 ACYCLOVIR TAB 400 TABLET 10 10 10
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET 10 10
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 20 10 30 30 20
13 AMLODIPINE 5 MG TABLET 30 40 30 50 50
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 1 1
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 2 3 2 2 4
21 ANTASIDA DOEN TAB TABLET 80 120 110 230 160
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 110 50 50 50 30
30 ASAM MEFENAMAT 500MG TABLET 20 40 50 40 40
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 20 10 40 30
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET
41 BETAMETASON KRIM 0,1 % TUBE 1 2 1 3
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 10 10 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 10 20 30
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 20 100 30 60 80
117 KARBAMAZEPIN TAB 200 MG TABLET 10 20
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 30 130 150 130 110
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL 1
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 10 20 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET 1
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 20 30 10 10
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 2 1
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 1
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 10
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 1
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 1 2 2
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 30 20 40 60 50
200 PREDNISON TAB 5 MG TABLET 10
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 20 10
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 10 10
212 SALEP 2-4 KOMBINASI POT 1 3 2
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL
224 SIMVASTATIN 10 MG TABLET 10 10
225 SIPROFLOKSASIN 500 MG TABLET
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 2160 30 60 430
233 TABLET ZINK DISPERTSIBLE TABLET 20 30
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL 10
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL 10
251 VAKSIN POLIO (BOPV) VIAL 10
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS 100
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS 100
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL 1
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET 1
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 100
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG 100
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH 1 1
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1
10 10

10 10 10 10

10 40 30 50 30 30 10 20 30 40 30
20 30 40 40 30 20 30 20 10 20 20 20

1 1 1 1 1 1

5 3 3 2 2 4 2 4 2
170 90 120 240 170 90 100 60 30 110 130 90

60 20 170 70 150 80 80 40 150 70 90 60


10 20 50 40 80 40 40 30 20 50 50 60

10 10 10 10 20 30 10 10

1 1 3 3 4 4 2 3 1 3 4 1
10 10 10 10 10 10

5 5 5 10 10 20 10 10 5
20 40 70 30 20 110 80 10 20 30 30
10 10 10 10 10

30 10 230 140 110 130 140 60 120 70 110 40

20 30 10 10 10 30 20 40
20 20 10 10 20 20 20 10 30

1 2 4 1 1 2

1 1

10 10

2 1 1 1 3 1 1 2 1 2

20 20 50 30 50 40 20 60 20 60 90 40
10 10 10 10 20
10 10 20 20 10 10 20 30

10 10 10
2 3 2 3 2 2 2

10 20 10 20 10 10 10 20

20 10 560 40 70 260 80 50 2160 40 240


20 20 40 10 20 40
100

100
1

1
100 200

1 1 1

25

100 100

100
1 1 1 1

10
10
10
10
10

4
3

50
100

100
1
23,175
24 25 26 27 28 29 30 31 Total

-
-
1 1 1 10
50
-
-
-
-
-
10 20 10 100
-
40 50 40 10 10 20 600
30 30 20 10 10 600
-
1 1 10
-
-
-
-
1 2 4 2 1 50
70 30 70 80 50 120 80 2,600
-
-
-
-
-
-
-
90 60 90 70 100 70 90 1,900
150 50 10 110 40 40 120 1,200
-
-
-
-
-
20 30 10 10 10 10 300
-
-
-
-
1 2 2 4 1 3 50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 100
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
10 10 10 10 10 10 200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
30 10 20 30 20 20 20 900
10 10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
40 60 70 40 120 70 60 2,200
-
-
-
-
-
-
-
-
-
-
2
-
-
10 10 10 10 250
-
-
1
-
-
-
-
-
-
-
10 20 30 10 30 20 50 400
-
-
-
-
2 3 1 1 1 1 24
-
-
-
3
-
-
-
30
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
1 2 1 1 26
-
-
-
30 40 40 50 20 20 900
10 10 10 100
-
-
-
10 10 10 10 200
-
-
-
-
-
-
10 20 10 10 100
2 24
-
-
-
-
-
-
-
-
-
-
-
10 20 10 10 180
-
-
-
-
-
-
-
2160 70 80 490 20 9,030
30 20 40 10 300
-
-
-
-
-
-
-
-
-
-
10
-
-
-
-
-
10
10
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
100
-
-
100
-
-
-
-
-
-
100 300
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 50 550
-
-
-
-
-
1 1 6
-
-
-
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
25
-
-
-
100 100 500
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 7
-
-
-
-
-
-
-
-
-
10
10
10
10
10
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50
100
-
-
-
100
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2020
UPT : DOKUMEN NOMOR
KECAMATAN : PELAPORAN BULAN /PERIODE : August 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : September 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 30 30 10 20 17 20
4 ACYCLOVIR TAB 400 TABLET 150 150 50 100 85 100
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 400 400 - 400 - -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET 100 100 100 - 170
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET 1,500 1,500 600 900 1,020 900
13 AMLODIPINE 5 MG TABLET 1,500 900 2,400 600 1,800 1,020 900
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 210 100 310 10 300 17 100
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 250 250 50 200 85 -
21 ANTASIDA DOEN TAB TABLET 2,500 8,000 10,500 2,600 7,900 4,420 3,000
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - 20
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 - 20 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 4,900 4,900 1,900 3,000 3,230
30 ASAM MEFENAMAT 500MG TABLET 600 2,500 3,100 1,200 1,900 2,040 1,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET 300 300 300 - 510
37 AZITROMISIN TAB 500 MG TABLET - 60 60 - 60 - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET - - - - - -
41 BETAMETASON KRIM 0,1 % TUBE 100 50 150 50 100 85 75
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 5 5 - 5 - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 - 15 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 - 3 - -
61 DIAZEPAM TAB 2 MG TABLET 70 70 - 70 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - 5
64 DIGOXIN TAB 0,25 MG TABLET - - - - - -
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 400 300 700 100 600 170 -
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 100 100 - 100 - 50
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 3 - 3 - 10
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL 7 12 19 2 17 3 24
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 10 10 - 20 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - 100 100 - 100 - 100
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - 200
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 500 500 200 300 340 200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - 100
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - -
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - 100
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - 500
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 - 100 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - 100
106 IBUPROFEN SUP 125 MG SUP 14 14 - 14 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - 100
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - 100
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 2,300 1,000 3,300 900 2,400 1,530 -
117 KARBAMAZEPIN TAB 200 MG TABLET 300 300 100 200 170 -
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 72 72 - 72 - -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - 100
122 KETOKONAZOL KRIM 2% TUBE 8 10 18 - 18 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 3,900 3,900 2,200 1,700 3,740 5,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 - 50 - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - 6
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 56 56 2 54 3 -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 350 500 850 250 600 425 -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 - 6 - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - - - - - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 1,400 1,400 400 1,000 680 1,000
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 120 120 24 96 41 24
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 9 10 19 3 16 5 -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - 100
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 30 30 30 - 51 50
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 75 75 - 75 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 37 37 1 36 2 -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 36 36 26 10 44
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 700 700 1,400 - 1,400 - 500
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 2,000 2,000 4,000 900 3,100 1,530 1,000
200 PREDNISON TAB 5 MG TABLET 300 300 100 200 170 -
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 700 300 1,000 200 800 340 500
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 18 18 - 18 - -
211 SALBUTAMOL TAB 2 MG TABLET 400 400 100 300 170 -
212 SALEP 2-4 KOMBINASI POT 72 72 24 48 41 -
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 50 50 - 50 - 100
224 SIMVASTATIN 10 MG TABLET 480 480 180 300 306 600
225 SIPROFLOKSASIN 500 MG TABLET - 200 200 - 200 - 200
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 10,140 4,320 14,460 9,030 5,430 15,351
233 TABLET ZINK DISPERTSIBLE TABLET 400 500 900 300 600 510 500
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - 10 10 10 - 17
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - - - - - -
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 10 10 10 - 17
251 VAKSIN POLIO (BOPV) VIAL - 10 10 10 - 17
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 3,000 2,000 5,000 - 5,000 - -
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - - 50 50 - 50 - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 - 19 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS 200 100 300 100 200 - -
4 ADS 0.5 ML PCS - - - - - -
5 ADS 5 ML PCS 100 100 100 - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - -
8 ALAT SUNTIK 3 ML PCS 300 300 600 100 500 - 200
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 50 50 - 50 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 400 300 700 300 400 - 300
16 ANIOSGEL 85 5 LT GALON - - - - - 1
17 ANIOSGEL 85 500 ML BOTOL - 1 1 1 - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 33 33 - 33 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 9 9 - 9 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 5 5 1 4 - -
45 INFUSION SET DEWASA SET 4 4 - 4 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - -
48 IV CATHETHER 22 PCS 8 8 - 8 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - - - - - 2
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 5 5 2 3 - 3
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 6 6 - 6 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 7 7 1 6 - -
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 550 550 550 - - 1,000
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 29 29 6 23 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 - 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - 2 2 2 - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 3 3 - 3 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - - - - - 40
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 7 7 - 7 - -
111 SAFETY BOX PCS - 25 25 25 - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - 3
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - 500 500 500 - - -
116 SARUNG TANGAN NON STERIL S PASANG - - - - - 500
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - - - - - 10
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
121 SENDOK OBAT PCS - 500 500 100 400 - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 4 4 - 4 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - 12 12 - 12 - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 20 20 7 13 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - 10 10 10 - - -
148 COVERALL DISPRO - - 10 10 10 - - -
149 FACE SHIEL AKRILIK INJAK - - 10 10 10 - - -
150 FACE SHIEL MIKA LEGION - - 10 10 10 - - -
151 KACAMATA GOGGLE - - 10 10 10 - - -
152 MASKER KAIN POLOS EARLOOP - - - - - - -
153 MASKER KAIN POLOS HEADLOP - - - - - - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - 1
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - 1
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 4 4 4 - - 2
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - 3 3 3 - - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - 1
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - 50 50 50 - - -
76 RAPID TES HBSAG TES - 100 100 100 - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST - 100 100 100 - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - 1 1 1 - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - - - - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - 100
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


LIMUS 674 600
NUNGGAL

JUMLAH KUNJUNGAN
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1

JUMLAH KUNJUNGAN

TOTAL 674 600

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2020
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : September 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE
4 ACYCLOVIR TAB 400 TABLET
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 10 20 10 10
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 10 10 30 10 20
13 AMLODIPINE 5 MG TABLET 40 60 30 50 30
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 5 6 4 7 7
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 1 3 1 4
21 ANTASIDA DOEN TAB TABLET 230 100 70 130 50
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 20 40 20 30 30
30 ASAM MEFENAMAT 500MG TABLET 20 50 30 70
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET
41 BETAMETASON KRIM 0,1 % TUBE 1 3 2 1 3
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 1
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 20 10 20 10 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 1 2 1
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET 10 20 10
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 100
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP 1
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 60 30 10 20
117 KARBAMAZEPIN TAB 200 MG TABLET
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 1
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE 1 1 1
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 150 110 20 10 10
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 3 4 1 2 1
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 20 10 10
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 30 30 10 20 10
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 2 3 2 3 3
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 1
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 1 1 2
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 1
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 140 50 30 20
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 150 120 70 40 20
200 PREDNISON TAB 5 MG TABLET 20 10
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 20 40 60 20
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB 1
211 SALBUTAMOL TAB 2 MG TABLET 10 20 10
212 SALEP 2-4 KOMBINASI POT 1 1 2 1
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 1 2 1 1 2
224 SIMVASTATIN 10 MG TABLET 20 10 130 130 10
225 SIPROFLOKSASIN 500 MG TABLET 10 10 10
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 120 60 60 40 20
233 TABLET ZINK DISPERTSIBLE TABLET 20 40 50 30 30
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 90 30 70
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS 1
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

2,940

10 10 10 20 10 10 10

10 30 10 10 20 10 10 10 10 20 10 10
90 40 30 10 20 10 20 30 20 10 10 30 40 30

5 5 7 8 5 4 4 3 1 5 2 1 4 5 5

4 3 4 3 1 4 5 4 5 6 4 7 3 4 4 5
230 200 160 140 40 90 220 160 150 40 150 70 160 70 180

30 10 30 40 70 40 30 60 50 50 60 40 70 60 40 30
30 40 30 40 30 40 50 30 40 20 140 40 50 30 40

3 4 2 4 2 2 4 4 5 3 5 2 4 3 1
1

1 1

1 1 1
10

10 10 10 20 10 10 10 10 10 10 10

1 1 1

1 1 1

20 10 10 10 20 10 10 10 10 10 10

100
1 1 1

40 30 30 50 40 10 80 20 10 20 10 30 50 30

1 1 1 1 1 1 2 1 3

1 1 1 1 1 1 1

140 50 30 30 40 20 210 60 80 20 10 40 100 150 30

7 3 1 1 3 1 1 2 3 1 2 3 1 1 2

10 20 10 20 10 20 10 40 10 70 10 10 30
6

1
50 50

30 10 20 10 30 30 10 20 30 40 50

1 3 1 4 2 3 2 1 1 2 2 4 3 1

7
4

3 4 1 1 2 1 1

1 1 1 1 1

60 10 10 10 10 10 30 10 10 10 30 20

90 60 80 50 30 60 100 80 80 30 50 60 120 50 130


10 10 10 10 20 10 20 10 10
10 20 10 30 10 20 30 20 40 20

10 20 10 20 10 20 10 10 30 10
2 1 2 1 1 1 2 1 1 1 1 2

2 1 2 2 1 3 3 3 2 2 2 3 2 1
120 10 10 10 20 10 120 10 10 10 10 180 10 10
10 20 10 10 10 10

240 40 50 240 50 60 210 30 20 170 50 30 220 120 30


30 30 20 30 10 10 60 10 30 10 20 80 20

20

10

35
20

50 80 10 40 20 60 40 60 70 70 40 60 30 50 20
4

100 100 100 100


1
4

1 1

1 1 1
1

1
100 100

50 50 50 50 50 50

1 1 1 1

1 1

100 100 100

1 1 1 1 1

100
2
1

2
5
1
24,006
24 25 26 27 28 29 30 31 Total

-
-
-
-
2,940
-
20 20 10 20 200
-
-
-
-
10 10 10 10 10 10 300
30 60 30 100 30 50 900
-
2 2 2 1 100
-
-
-
-
6 4 3 5 5 2 100
230 170 80 240 270 70 3,700
-
-
-
-
-
-
-
10 30 40 20 30 20 1,000
30 20 10 60 30 30 1,000
-
-
-
-
-
-
-
-
-
-
3 4 2 4 2 2 75
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
-
2
-
3
10
-
-
-
-
-
-
10 200
-
-
1 8
-
-
-
4
-
-
-
-
-
-
-
-
-
-
10 10 10 200
-
100 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1 6
-
-
-
-
-
-
-
-
-
70 10 50 700
-
-
3 1 3 3 1 24
-
-
10
-
-
-
-
-
-
-
-
-
-
-
80 120 50 50 50 40 1,700
-
-
-
1 1 2 3 50
-
-
-
-
-
-
-
-
-
10 30 60 30 10 450
6
-
1
-
-
-
100
-
-
-
10 40 30 30 10 500
-
-
-
-
2 1 1 1 48
-
-
-
2
-
-
-
-
-
7
4
-
-
-
-
-
1 2 1 2 1 1 25
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1 1 10
-
10 20 10 500
-
150 100 90 60 70 60 2,000
30 10 20 200
-
-
-
30 10 10 400
-
-
-
-
-
1
10 10 10 50 20 10 300
1 1 1 24
-
-
-
-
-
-
-
-
-
-
3 2 2 2 3 2 50
10 10 10 10 10 10 900
100
-
-
-
-
-
-
100 70 40 70 60 50 2,250
30 10 10 10 10 600
-
-
-
-
-
-
-
-
-
-
-
-
20
-
10
-
35
20
-
-
50 40 30 30 40 20 1,100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
-
-
-
-
-
-
-
-
-
-
100 200 800
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
-
3
-
-
-
-
-
-
-
-
2
-
-
3
1
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
200
-
50 100 450
-
-
-
-
-
1 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
-
-
-
1
-
-
-
-
-
300
-
-
1 6
-
100
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
2
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2019
UPT : DOKUMEN NOMOR
KECAMATAN : PELAPORAN BULAN /PERIODE : September 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : October 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 20 20 - 20 - 20
4 ACYCLOVIR TAB 400 TABLET 100 100 - 100 - 100
5 ALBENDAZOL 400 MG TABLET 30 2,940 2,970 2,940 30 4,998
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 400 400 200 200 340
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET - - - - - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET 900 900 300 600 510 300
13 AMLODIPINE 5 MG TABLET 1,800 1,800 3,600 900 2,700 1,530 300
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 300 300 100 200 170 -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 200 200 100 100 170 50
21 ANTASIDA DOEN TAB TABLET 7,900 7,900 3,700 4,200 6,290 5,000
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - 20
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 - 20 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 3,000 3,000 1,000 2,000 1,700 -
30 ASAM MEFENAMAT 500MG TABLET 1,900 1,000 2,900 1,000 1,900 1,700 1,500
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET - - - - - -
37 AZITROMISIN TAB 500 MG TABLET 60 60 - 60 - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET - - - - - 200
41 BETAMETASON KRIM 0,1 % TUBE 100 75 175 75 100 128 75
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 5 5 2 3 3 -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15 15 2 13 3 -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 3 3 3 - 5 5
61 DIAZEPAM TAB 2 MG TABLET 70 70 10 60 17 -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - -
64 DIGOXIN TAB 0,25 MG TABLET - - - - - 200
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 600 600 200 400 340 -
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 100 100 - 100 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 10 13 8 5 14
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL 17 17 4 13 7 12
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 20 20 - 20 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 100 100 - 100 - -
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 200 - 340 300
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 300 200 500 300 200 510 400
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - - - - - 1,000
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 - 100 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - 75
106 IBUPROFEN SUP 125 MG SUP 14 14 6 8 10 -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - -
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 2,400 2,400 700 1,700 1,190 -
117 KARBAMAZEPIN TAB 200 MG TABLET 200 200 - 200 - -
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 72 72 24 48 41 -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 18 18 10 8 17 10
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 1,700 1,700 1,700 - 2,890
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 50 50 50 - 85
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - 5
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 54 54 - 54 - -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 600 600 450 150 765 600
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 6 6 - 10
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - 1 1 1 - 2
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET - 200 200 100 100 170
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 1,000 1,000 500 500 850 1,000
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 96 48 144 48 96 82 72
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 16 16 2 14 3 -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - 100
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET - 50 50 - 50 - -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - 7 7 7 - 12
175 OAT FDC KATAGORI ANAK PAKET - 4 4 4 - 7
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 75 75 25 50 43 -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 36 36 - 36 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE 10 10 10 - 17
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,400 500 1,900 500 1,400 850 500
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 3,100 3,100 2,000 1,100 3,400
200 PREDNISON TAB 5 MG TABLET 200 200 200 - 340
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 800 500 1,300 400 900 680 -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 18 18 1 17 2 -
211 SALBUTAMOL TAB 2 MG TABLET 300 300 300 - 510 500
212 SALEP 2-4 KOMBINASI POT 48 48 24 24 41 72
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - -
223 SETIRIZIN SYRUP BOTOL 50 50 50 - 85
224 SIMVASTATIN 10 MG TABLET 300 600 900 900 - 1,530 500
225 SIPROFLOKSASIN 500 MG TABLET 200 200 400 100 300 170 -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 5,430 5,430 2,250 3,180 3,825 3,000
233 TABLET ZINK DISPERTSIBLE TABLET 600 500 1,100 600 500 1,020 500
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 20 20 20 - 34
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - 10 10 10 - 17
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 35 35 35 - 60
251 VAKSIN POLIO (BOPV) VIAL - 20 20 20 - 34
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 5,000 5,000 1,100 3,900 1,870 -
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - 50 50 - 50 - -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 19 19 4 15 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS - 400 400 - 400 - -
5 ADS 5 ML PCS - 100 100 - 100 - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS - - - - - 100
8 ALAT SUNTIK 3 ML PCS 500 500 - 500 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 50 50 - 50 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 400 600 1,000 800 200 - 500
16 ANIOSGEL 85 5 LT GALON - 1 1 1 - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 33 33 - 33 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 9 9 - 9 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 4 4 4 - - 5
45 INFUSION SET DEWASA SET 4 4 - 4 - 5
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - - - - - 5
48 IV CATHETHER 22 PCS 8 8 3 5 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 2 2 2 - - 4
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 3 3 6 3 3 - 3
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 6 6 1 5 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 6 6 1 5 - 10
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - 5
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - 200 200 200 - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 450 450 450 - - 1,000
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 23 23 5 18 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 - 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 3 5 8 2 6 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH - 300 300 - 300 - 100
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 7 7 1 6 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - 3
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - 1,000
116 SARUNG TANGAN NON STERIL S PASANG - 300 300 300 - - 1,000
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG - 7 7 6 1 - 10
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
121 SENDOK OBAT PCS 400 400 100 300 - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 4 4 2 2 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET 12 12 - 12 - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - 1
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 13 13 - 13 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - - 3,500 3,500 - 3,500 - -
153 MASKER KAIN POLOS HEADLOP - - 3,800 3,800 - 3,800 - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - 1 1 1 - - 1
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - 2 2 2 - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 5 5 5 - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - - 3
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - 1 1 1 - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID BOTOL - - - - - -
61 LARUTAN REAGEN REES ECKER BOTOL - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST - - - - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - - - - - 100
113 URINE STIK 10 PARAMETER STIRP - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


-

JUMLAH KUNJUNGAN
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
JUMLAH KUNJUNGAN

TOTAL - -

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2019
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Oktober 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 3
4 ACYCLOVIR TAB 400 TABLET 10 10
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 10 20
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 20 10 30 10 30
13 AMLODIPINE 5 MG TABLET 40 50 10 50 30
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 2 1 1 3 3
21 ANTASIDA DOEN TAB TABLET 130 150 100 200 220
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 20 50 10 70 80
30 ASAM MEFENAMAT 500MG TABLET 60 50 30 60 70
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 10 20 10 10
41 BETAMETASON KRIM 0,1 % TUBE 11 2 1
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET 10 10
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 10 10 10 20
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 2 1 2 1 3
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1 2
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 10 10 20
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 5 10 20
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET 20 10 10 20 30
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 30 40 10 160 10
117 KARBAMAZEPIN TAB 200 MG TABLET 10 10 20
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL 1
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 10 10 10 20
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 10 20 10 20 10
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 2 1 3
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 40 20 10 20 20
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 20 30 60 70 50
200 PREDNISON TAB 5 MG TABLET 10 20
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 10 10 40
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 20 80
212 SALEP 2-4 KOMBINASI POT 1 2
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL
224 SIMVASTATIN 10 MG TABLET
225 SIPROFLOKSASIN 500 MG TABLET
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 150 10 30 250 160
233 TABLET ZINK DISPERTSIBLE TABLET 20 10 20
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 90 120 20 160 160
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB - 10
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET 1
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 100
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS 50
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

2 1 1 1
10 10 10 20

10 10 20 10 20 10 30 10

20 10 10 20 10 20 10 30 10 10 10
10 30 10 30 60 60 40 40 40 20 90 40 30 60 10

1 2 3 1 3 4 2 4 3 2 2 1 2 2
150 180 90 10 170 190 230 150 180 90 180 170 190 170 190

60 90 40 60 40 50 30 30 20 40 10 40 30 20 50
30 10 50 60 90 120 50 60 40 20 20 40 10 30 20

10 20 20 10 20 10 10 10
1 2 2 4 1 1
10 10 10 10 10 10

10 10 10 10
1 1 1 4 2 3 3 1 4 4 3 4 1 1

3 1 6 4 1

10 10 10 10 10 10

5 5 10 10 5 30 10 10 10 5 15 10 5 10

10 10 40 10 10 30 20 10 10 20 10 30 20 20
50 100 10 10 120 20 10 30 10 120 10 20 100
10 20 10 10

1 1

10 10 10 10 10
10 40 20 40 10 10 20 40 50 20 10 20

1 1 2 3 1 1 3 2 1

60 30 60 10 40 40 20 10 30 10 40 70 10 40 30

40 60 40 20 80 40 50 40 70 10 100 30 50 40 20
30 10 10 10 10
10 30 10 30 10 10 10 10 10

20 10 20 30 20 30 80 20 20
3 1 1 1 1 3 1 1 2 1

100 340 20 80 120 80 20 150 30 30 170 60 80 30 60


10 10 10 20 10 20 10

15

20

100 160 30 100 160 190 170 150 140 80 160 190 130 150 110
1

200 200 200

200 101
2 1 1

1
100 100

1 1 1

300

100 100
100 100
3

1 1

50
19,392
24 25 26 27 28 29 30 31 Total

-
-
1 10
10 10 10 100
-
-
30 10 10 200
-
-
-
-
10 20 10 300
20 40 40 50 900
-
-
-
-
-
-
3 2 3 50
90 170 180 120 3,700
-
-
-
-
-
-
-
70 60 50 80 1,100
10 30 10 30 1,000
-
-
-
-
-
-
-
-
-
20 10 10 200
25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 100
-
-
-
10 100
1 3 4 50
-
-
-
-
-
3 1 22
-
-
-
-
-
-
-
-
100
-
-
-
5 10 10 200
-
-
-
10 20 10 20 400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 20 900
10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
100
-
-
-
-
-
-
-
-
-
-
10 30 50 50 500
-
-
-
-
1 1 24
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 30 10 40 700
-
40 60 40 40 1,100
100
-
-
-
10 200
-
-
-
-
-
-
10 10 30 400
1 2 1 2 24
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 40 50 60 2,130
20 20 20 200
-
-
-
-
-
-
-
-
-
-
-
-
15
-
-
-
-
-
20
-
130 210 210 180 3,300
-
-
-
1
10
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
600
-
1
-
-
-
-
-
-
-
-
401
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
1
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
300
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
300
-
-
-
-
-
-
-
100 300
100 300
3
-
2
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2020
UPT : LIMUSNUNGGAL
KECAMATAN : PELAPORAN BULAN /PERIODE : October 2020
KAB/KOTA : SUKABUMI
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : November 2020

STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT


NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

1 2 4 5 6 7 10 11 12
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 20 20 10 10 17 10
4 ACYCLOVIR TAB 400 TABLET 100 100 200 100 100 170 100
5 ALBENDAZOL 400 MG TABLET 30 30 - 30 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET 200 200 200 - 340
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET - - - - - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET 600 600 300 300 510 300
13 AMLODIPINE 5 MG TABLET 2,700 300 3,000 900 2,100 1,530 300
14 AMOKSISILIN 500 MG TABLET - - - - - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 200 200 - 200 - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 100 50 150 50 100 85 100
21 ANTASIDA DOEN TAB TABLET 4,200 3,000 7,200 3,700 3,500 6,290 3,500
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 - 20 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 2,000 2,000 1,100 900 1,870
30 ASAM MEFENAMAT 500MG TABLET 1,900 1,000 2,900 1,000 1,900 1,700 1,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET - - - - - -
37 AZITROMISIN TAB 500 MG TABLET 60 60 - 60 - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET - 500 500 200 300 340 200
41 BETAMETASON KRIM 0,1 % TUBE 100 50 150 25 125 43 50
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 3 3 - 3 - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13 13 - 13 - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

59 DIAZEPAM RECTAL 10MG TUBE - - - - - -


60 DIAZEPAM RECTAL 5MG TUBE - 5 5 - 5 - -
61 DIAZEPAM TAB 2 MG TABLET 60 60 - 60 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - -
64 DIGOXIN TAB 0,25 MG TABLET - 200 200 100 100 170 100
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 400 400 100 300 170 200
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 100 100 50 50 85 50
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 5 5 - 5 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL 13 12 25 22 3 37 34
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 20 20 - 20 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 100 100 100 - 170 200
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET - 300 300 - 300 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 200 300 500 200 300 340 200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET - 500 500 400 100 680 1,000
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - 200
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 - 100 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 8 8 - 8 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - -
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 1,700 1,700 900 800 1,530 1,000
117 KARBAMAZEPIN TAB 200 MG TABLET 200 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 - 48 - -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 8 10 18 - 18 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -


128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET - - - - - -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL - - - - - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 54 54 3 51 5 -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 150 600 750 100 650 170 300
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - - - - - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - - - - - -
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET 100 100 - 100 - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - - - - - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET 500 500 500 - 850 1,000
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 96 96 24 72 41 -
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 14 14 - 14 - -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 50 50 - 50 - -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 50 50 - 50 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 36 36 - 36 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

195 PERMETRIN KRIM 5 % TUBE - - - - - -


196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,400 1,400 700 700 1,190 1,000
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET 1,100 1,100 1,100 - 1,870
200 PREDNISON TAB 5 MG TABLET - 500 500 100 400 170 300
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 900 900 200 700 340 400
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 17 17 - 17 - -
211 SALBUTAMOL TAB 2 MG TABLET - 500 500 400 100 680
212 SALEP 2-4 KOMBINASI POT 24 48 72 24 48 41 -
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - - - - - 500
223 SETIRIZIN SYRUP BOTOL - - - - - -
224 SIMVASTATIN 10 MG TABLET - - - - - 1,000
225 SIPROFLOKSASIN 500 MG TABLET 300 300 - 300 - -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 3,180 3,000 6,180 2,130 4,050 3,621 8,640
233 TABLET ZINK DISPERTSIBLE TABLET 500 500 1,000 200 800 340 -
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 15 15 15 - 26
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - - - - - -
251 VAKSIN POLIO (BOPV) VIAL - - - - - -
252 VAKSIN POLIO IPV 5 DS VIAL - 20 20 20 - 34
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 3,900 3,900 3,300 600 5,610 5,000
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) - - 1 1 1 - 2
259 OSELTAMIVIR TAB - 50 50 10 40 17 -
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 15 15 1 14 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS 200 200 - 200 - -
4 ADS 0.5 ML PCS 400 200 600 600 - - -
5 ADS 5 ML PCS 100 100 - 100 - -
6 ALAT SUNTIK 1 ML PCS - 1 1 1 - - -
7 ALAT SUNTIK 10 ML PCS - 20 20 - 20 - -
8 ALAT SUNTIK 3 ML PCS 500 500 - 500 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 50 50 - 50 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 - 300 - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 200 701 901 401 500 - 300
16 ANIOSGEL 85 5 LT GALON - - - - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 33 33 - 33 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 9 9 - 9 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - - - - - 6
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET - 5 5 5 - - 3
45 INFUSION SET DEWASA SET 4 5 9 - 9 - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS - 5 5 - 5 - -
48 IV CATHETHER 22 PCS 5 5 - 5 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 4 4 4 - - 2
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 3 2 5 1 4 - 3
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 5 5 - 5 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 5 5 1 4 - 10
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 300 300 300 - - 500
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 18 18 3 15 - -
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 - 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 6 6 - 6 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - - - - - -
107 POT DAHAK BUAH 300 300 300 - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 6 6 - 6 - 10
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - 10
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

114 SARUNG TANGAN NON STERIL L PASANG - - - - - -


115 SARUNG TANGAN NON STERIL M PASANG - 300 300 300 - - 500
116 SARUNG TANGAN NON STERIL S PASANG - 300 300 300 - - 300
117 SARUNG TANGAN OBGYN STERIL PASANG - 3 3 3 - - 10
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG 1 10 11 2 9 - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
121 SENDOK OBAT PCS 300 300 100 200 - 100
122 SILK NO 2/0 & JARUM BEDAH SACHET 2 2 - 2 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET 12 12 - 12 - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - 1
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 13 13 - 13 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - 3,500 3,500 - 3,500 - -
153 MASKER KAIN POLOS HEADLOP - 3,800 3,800 100 3,700 - -
154 PLESTER HYPAFIX ROLL - - - - - 3
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - 1 1 - 1 - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - - - - 4
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - 2
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

26 CYANIDE TEST BOTOL - - - - - -


27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - - 2
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID [''']\]]\ - - - - - -
61 LARUTAN REAGEN REES ECKER #NAME? - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - 50
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - 50
80 RAPID TEST HIV 1/2 SD TEST - 50 50 - 50 - -
81 RAPID TEST HIV VIKIA STRIP - 25 25 - 25 - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN

94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - 20
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - 50 50 - 50 - -
113 URINE STIK 10 PARAMETER STIRP - - - - - 100
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


LIMUS -
NUNGGAL
720 632
JUMLAH KUNJUNGAN

TOTAL 720 632

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta :


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2020
DOKUMEN NOMOR TANGGAL
SEKSI KEFARMASIAN
UPT

PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


13 14 15 16 17 18
PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

DAK ASKES APBD1 APBD2 PROGRAM LAINNYA

Yang meminta : Yang menerima


Kepala Puskesmas Petugas Pengelola Obat

dr.Fenny Novita D.S Iis Nuraisyah, S. Farm


NIP.197611192009012001 NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Nopember 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE
4 ACYCLOVIR TAB 400 TABLET
5 ALBENDAZOL 400 MG TABLET 10
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET 10 10 30
13 AMLODIPINE 5 MG TABLET 30 40 50 10 40
14 AMOKSISILIN 500 MG TABLET 30 50 30
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 3 4 5 6 2
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 6 6 4 2 4
21 ANTASIDA DOEN TAB TABLET 160 170 120 180 200
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 30 40 10 30 40
30 ASAM MEFENAMAT 500MG TABLET 90 50 70 10 30
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 20 30 10 20 10
41 BETAMETASON KRIM 0,1 % TUBE 5 4 3 3 2
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 10 10 10
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET 10 10 10 10 10
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 5 5 10 10
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET 10 10
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP 1
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET 10 30 20 80 20
117 KARBAMAZEPIN TAB 200 MG TABLET
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL 1
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 20 40 10 40 30
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 2 1
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 10
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 3 2 1
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET 300
195 PERMETRIN KRIM 5 % TUBE
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 10 20 10 20
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET
200 PREDNISON TAB 5 MG TABLET 20 10 30 10 10
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 10 10 30
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET
212 SALEP 2-4 KOMBINASI POT 2 3 1 3 4
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL
224 SIMVASTATIN 10 MG TABLET
225 SIPROFLOKSASIN 500 MG TABLET 10 20
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 230 70 30 320 60
233 TABLET ZINK DISPERTSIBLE TABLET 30 40 20 50 30
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 160 280 100 70 40
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS 100
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS 100
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS 10
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS 100
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET 1
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR 1
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 100
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP - 48
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

10 10

10 40 20 10 10 20 30 20 10 10 10 10 10
30 50 30 10 40 40 60 50 40 30 10 40 40 50
20 50 30 40 20 10 40 40 30 30 10 30
3 7 2 4 3 6 4 6 5 4 3 3 5 6

5 7 5 6 2 4 1 4 3 4 4 2 4
80 210 180 110 130 40 70 190 210 170 160 130 90 210

40 100 10 40 30 30 30 40 60 70 50 70 30
10 50 80 30 40 80 20 70 30 40 50 60 30 70

20 30 10 10 20 20 10 20 20
1 3 3 3 2 4 1 5 3 4 2 3 4 1
3

10 10 10 10 10 10

10 5 5 5 5 10

20 10 10 10 20 20 10 10 10

10 10 10 10 10 10
1

10 150 20 40 80 10 10 160 20 10 30 40 10

1 1 1 1

10 30 40 10 30 10 5 10 10 30 10 5
1 1 1 2 1 2 1 1 3

3 1 1 3 1 1 1 1 3 1

200

30 70 30 10 30 40 10 30 10 30 10 10 30

30 20 10 10 10 10 40 10 10 10 30 10
10 10 10 10

5 3 4 3 1 3 1 3 1 3 2 1 1

10 10 10 10

20 350 20 40 270 60 280 40 50 10 310 280


10 10 30 10 10 30 10 30 10 20 10 30 50 10

10

30
20
10

5
30

60
50 170 80 170 220 10 40 150 120 270 110 160 40 160
10 10

100 100
800

100

10

100 100

200 1,300
1 1

1 1
1

1
100 100 100
150

2 1

1 1 1
1

100 100 100


100 100 100

1 1 1

100
48 45 49 48

2
4
50
25
20

50
21,459
24 25 26 27 28 29 30 31 Total

-
-
-
-
30
-
-
-
-
-
-
10 10 10 10 300
60 30 50 30 10 30 900
40 40 40 50 20 50 700
2 3 3 3 3 5 100
-
-
-
-
5 5 5 4 5 3 100
200 170 110 30 130 150 3,600
-
-
-
-
-
-
-
20 40 40 10 40 900
50 60 40 60 40 40 1,200
-
-
-
-
-
-
-
-
-
20 30 300
4 5 3 1 4 2 75
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3
-
-
-
-
-
-
10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5 5 100
-
20 10 10 10 200
-
-
-
10 10 100
-
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
-
-
-
-
-
-
-
20 30 800
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 6
-
-
10 10 10 20 10 400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2 1 1 3 24
-
-
-
1
-
-
-
10
-
7
-
-
-
-
-
-
1 1 1 25
-
-
-
-
-
-
-
-
-
-
-
-
500
-
-
10 50 10 30 500
-
-
10 10 300
-
-
-
10 100
-
-
-
-
-
-
-
1 3 48
-
-
-
-
-
-
-
-
-
-
-
-
20 10 100
-
-
-
-
-
-
30 70 220 50 30 160 3,000
10 10 10 10 20 500
-
-
-
-
-
-
-
-
-
-
10
-
30
20
10
-
5
30
-
60
140 60 130 80 90 100 3,000
-
-
-
-
20 40
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
300
800
-
-
-
200
-
20
-
300
-
-
1,600
-
-
-
-
-
-
-
-
-
3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2
-
-
3
1
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
200 600
150
-
-
-
-
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 6
1
-
-
-
300
300
-
-
3
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
48 48 334
-
-
-
-
-
1
-
2
4
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50
25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20
-
-
-
-
-
-
-
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2020
UPT : limusnunggal DOKUMEN NOMOR
KECAMATAN : PELAPORAN BULAN /PERIODE : November 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : December 2020

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES APBD1
1 2 4 5 6 7 10 11 12 13 14 15
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 10 10 - 10 - 10
4 ACYCLOVIR TAB 400 TABLET 100 100 - 100 - -
5 ALBENDAZOL 400 MG TABLET 30 30 30 - 51 60
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - - -
7 ALUPURINOL TAB 100 MG TABLET - - - - - -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET - - - - - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET 300 300 300 - 510 600
13 AMLODIPINE 5 MG TABLET 2,100 300 2,400 900 1,500 1,530 900
14 AMOKSISILIN 500 MG TABLET - 5,000 5,000 700 4,300 1,190 -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 200 200 100 100 170
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 100 100 200 100 100 170
21 ANTASIDA DOEN TAB TABLET 3,500 3,500 7,000 3,600 3,400 6,120 3,000
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 - 20 - -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 900 900 900 - 1,530
30 ASAM MEFENAMAT 500MG TABLET 1,900 1,000 2,900 1,200 1,700 2,040
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET - - - - - -
37 AZITROMISIN TAB 500 MG TABLET 60 60 - 60 - -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 300 200 500 300 200 510
41 BETAMETASON KRIM 0,1 % TUBE 125 50 175 75 100 128 50
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - -
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - -
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 3 3 - 3 - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13 13 - 13 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 5 5 - 5 - -
61 DIAZEPAM TAB 2 MG TABLET 60 60 3 57 5 -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - -
64 DIGOXIN TAB 0,25 MG TABLET 100 100 - 100 - -
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 300 200 500 100 400 170 -
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 50 50 100 - 100 - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 5 5 - 5 - -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
74 ERITROMISIN SYRUP BOTOL - - - - - -
75 ETANOL 70% 100 ML BOTOL 3 10 13 - 13 - 12
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 20 20 - 20 - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - - - - - 200
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 300 300 100 200 170 -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 300 200 500 200 300 340 200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - -
92 GLIBENKLAMID TAB 5 MG TABLET 100 100 100 - 170 1,000
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 - 100 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 8 8 2 6 3 -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - -
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET 800 800 800 - 1,360 2,000
117 KARBAMAZEPIN TAB 200 MG TABLET 100 100 200 - 200 - 200
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 - 48 - -
120 KATOPRIL 25MG TABLET - - - - - -
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 18 18 - 18 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 - 100 - -
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET - - - - - -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL - - - - - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 51 51 6 45 10 -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 650 300 950 400 550 680 200
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - - - - - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - - - - - -
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET 100 100 - 100 - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET - - - - - -
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 72 72 24 48 41 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 14 14 1 13 2 -
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 50 50 10 40 17 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - 7 7 7 - 12
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 50 50 25 25 43 50
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 36 36 - 36 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET 500 500 500 - 850
195 PERMETRIN KRIM 5 % TUBE - - - - - -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 700 1,000 1,700 500 1,200 850 500
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET - - - - - -
200 PREDNISON TAB 5 MG TABLET 400 300 700 300 400 510 100
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 700 400 1,100 100 1,000 170 -
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 17 17 - 17 - -
211 SALBUTAMOL TAB 2 MG TABLET 100 100 - 100 - -
212 SALEP 2-4 KOMBINASI POT 48 48 96 48 48 82 24
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - 500 500 - 500 - -
223 SETIRIZIN SYRUP BOTOL - - - - - -
224 SIMVASTATIN 10 MG TABLET - - - - - -
225 SIPROFLOKSASIN 500 MG TABLET 300 300 100 200 170 -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 4,050 6,900 10,950 3,000 7,950 5,100 -
233 TABLET ZINK DISPERTSIBLE TABLET 800 800 500 300 850 700
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - 10 10 10 - 17
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - 30 30 30 - 51
247 VAKSIN DT VIAL - 20 20 20 - 34
248 VAKSIN HB UNIJECT POUCH - 10 10 10 - 17
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 5 5 5 - 9
251 VAKSIN POLIO (BOPV) VIAL - 30 30 30 - 51
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - 60 60 60 - 102
254 VITAMIN B KOMPLEX TAB #N/A 600 6,000 6,600 3,000 3,600 5,100 2,500
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) - - - - - - -
259 OSELTAMIVIR TAB - 40 40 40 - 68
260 MASKER FFP2 NR - - - - - - -
261 MASKER KAIN - - - - - - -
262 - - - - - - - -
263 - - - - - - - -
264 - - - - - - - -
265 - - - - - - - -
266 - - - - - - - -
267 - - - - - - - -
268 - - - - - - - -
269 - - - - - - - -
270 - - - - - - - -
271 - - - - - - - -
272 - - - - - - - -
273 - - - - - - - -
274 - - - - - - - -
275 - - - - - - - -
276 - - - - - - - -
277 - - - - - - - -
278 - - - - - - - -
279 - - - - - - - -
280 - - - - - - - -
281 - - - - - - - -
282 - - - - - - - -
283 - - - - - - - -
- - - - - - -
1 ABBOCATH 18 G PCS 14 14 - 14 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS 200 100 300 300 - - -
4 ADS 0.5 ML PCS - 800 800 800 - - -
5 ADS 5 ML PCS 100 100 - 100 - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS 20 20 - 20 - -
8 ALAT SUNTIK 3 ML PCS 500 500 200 300 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 50 50 20 30 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS 300 300 300 - - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 500 1,700 2,200 1,600 600 - -
16 ANIOSGEL 85 5 LT GALON - - - - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - -
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 33 33 - 33 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 9 9 3 6 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - 6 6 - 6 - -
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 - 4 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET - 3 3 - 3 - -
45 INFUSION SET DEWASA SET 9 9 - 9 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS 5 5 - 5 - -
48 IV CATHETHER 22 PCS 5 5 - 5 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - 2 2 2 - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 4 3 7 3 4 - 4
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 5 5 1 4 - 4
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 4 4 2 2 - 10
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 600 600 600 - - 600
80 MASKER N95 PCS - 150 150 150 - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 15 15 5 10 - 10
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 - 1 - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - -
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - - - - - -
104 PLESTER 4.5 CM ROL 6 6 - 6 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH - 3 3 - 3 - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 6 10 16 6 10 - -
111 SAFETY BOX PCS - 1 1 1 - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - - - - - -
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - 300 300 300 - - -
116 SARUNG TANGAN NON STERIL S PASANG - 300 300 300 - - -
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG 9 9 3 6 - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
121 SENDOK OBAT PCS 200 250 450 100 350 - -
122 SILK NO 2/0 & JARUM BEDAH SACHET 2 2 - 2 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET 12 12 - 12 - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - -
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 13 13 - 13 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES - - - - - - -
148 COVERALL DISPRO - - - - - - -
149 FACE SHIEL AKRILIK INJAK - - - - - - -
150 FACE SHIEL MIKA LEGION - - - - - - -
151 KACAMATA GOGGLE - - - - - - -
152 MASKER KAIN POLOS EARLOOP - 3,500 3,500 - 3,500 - -
153 MASKER KAIN POLOS HEADLOP - 3,700 3,700 334 3,366 - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 - - - - - - - -
- - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL 1 1 1 - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - 2 2 2 - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 4 4 4 - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID [''']\]]\ - - - - - -
61 LARUTAN REAGEN REES ECKER #NAME? - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - -
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - - - - - -
80 RAPID TEST HIV 1/2 SD TEST 50 50 50 - - -
81 RAPID TEST HIV VIKIA STRIP 25 25 25 - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - 20 20 20 - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP 50 50 50 - - -
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 - - - - - - - -
118 - - - - - - - -
119 - - - - - - - -
120 - - - - - - - -
121 - - - - - - - -
122 - - - - - - - -
123 - - - - - - - -
124 - - - - - - - -
125 - - - - - - - -
126 - - - - - - - -

PKM/ PUSTU NON JKN JKN


LIMUS 825 703
NUNGGAL

JUMLAH KUNJUNGAN
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES APBD1

JUMLAH KUNJUNGAN

TOTAL 825 703

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta : Yang menerima


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas Petugas Pengelola Obat

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S Iis Nuraisyah, S. Farm
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001 NIP .197003072009012002
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2020
NOMOR TANGGAL

PEMBERIAN

APBD2 PROGRAM LAINNYA


16 17 18
PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
DATA PENGELUARAN OBAT HARIAN
UPT

Bulan : Desember 2020


NO Nama Obat Satuan 1 2 3 4 5 6

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL
3 ACYCLOVIR CREAM TUBE 1 1
4 ACYCLOVIR TAB 400 TABLET
5 ALBENDAZOL 400 MG TABLET
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 20 30 70 30
14 AMOKSISILIN 500 MG TABLET 50 100 50 80 30
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL
21 ANTASIDA DOEN TAB TABLET 160 200 80 140 60
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT
24 ANTI HEMMOROID DOEN SUPP
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 1 1 2
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 20 20 10
30 ASAM MEFENAMAT 500MG TABLET 30 10 30 30 10
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET
37 AZITROMISIN TAB 500 MG TABLET 5
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET
41 BETAMETASON KRIM 0,1 % TUBE 2 2 3 2
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL -
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL
59 DIAZEPAM RECTAL 10MG TUBE
60 DIAZEPAM RECTAL 5MG TUBE
61 DIAZEPAM TAB 2 MG TABLET
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 20 30 20 10 30
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 1
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 1 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 10 20
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET 10 10
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET
115 KALSIUM HIDROKSIDA PASTA TUBE
116 KALSIUM LAKTAT TAB 500 MG TABLET
117 KARBAMAZEPIN TAB 200 MG TABLET 10 10
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET 10
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL 1
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET 20 10 20
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 1 2
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 1 2
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET
175 OAT FDC KATAGORI ANAK PAKET
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET
195 PERMETRIN KRIM 5 % TUBE 1 1
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 20 30 10 10
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET
200 PREDNISON TAB 5 MG TABLET 20 10 20
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET 20 30 30 10 20
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL
207 RETINOL 100.000 IU KAPSUL
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET
212 SALEP 2-4 KOMBINASI POT
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL
224 SIMVASTATIN 10 MG TABLET
225 SIPROFLOKSASIN 500 MG TABLET 20 10
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 120 240 20 20
233 TABLET ZINK DISPERTSIBLE TABLET 10 - 10 20
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL
251 VAKSIN POLIO (BOPV) VIAL
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL
254 VITAMIN B KOMPLEX TAB #N/A 160 180 100 60 70
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS 1
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS
4 ADS 0.5 ML PCS
5 ADS 5 ML PCS 100
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 100
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS 1 1
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 1
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET 1
46 IV CATHETHER 18 PCS
47 IV CATHETHER 20 PCS 5
48 IV CATHETHER 22 PCS 2
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS
61 KAPAS PEMBALUT 100 GRAM BUNGKUS
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR 1
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS 150
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 1
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG 2
114 SARUNG TANGAN NON STERIL L PASANG
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS 100
122 SILK NO 2/0 & JARUM BEDAH SACHET 1
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX
7 BENECHECK PLUS URIC TEST STRIP BOX
8 BILIRUBIN TOTAL/DIRECT SET
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP
80 RAPID TEST HIV 1/2 SD TEST
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1 1 1

40 40 60 30 60 60 50 30 70 50 10 50 40 20
30 50 40 60 40 50 40 20 40 60 30 50 60 30

130 `40 110 60 40 260 270 160 280 90 90 150 160 160

1 1

10 20 30 60 80 40 20
30 10 10 10 30 30 40 40 30 20 30 30 10

10

2 2 3 2 2 2 2 1
20 10 10 10 10 10 10

1 1 1 1

20
10 10 10 10

20 10 10 10 20 10
10 10 10 20 10 10

10 10 10 10

1 1 1 1 1

20 20 20 30 10 30 10 10 30 20
1 1 1 1 2 2 1 2 2 2 1

1 1 1 1 1

1 1 1 1

20 30 20 10 30 30 30 10 20

30 30 20 30 20 10 20 20 10
30 40 40 30 60 20 40 10 10

10 10 10 10 10

30 10 10 320 20 210 10 20 10 20 30
10 10 10 30 20 40 40 30 30

120 140 150 30 50 120 70 40 30 20 120 210 60 90


90

1 9

100
1

1 1 1 15
1 1

1 1

1
1

1
150

1 2 1 2

1 1 1

1 3 2
48
100
100
15,355
24 25 26 27 28 29 30 31 Total

-
-
1 1 10
-
-
-
-
-
-
-
-
-
30 40 45 60 35 2,030 3,000
30 70 10 50 30 1,100
-
-
-
-
-
-
40 70 170 210 220 190 3,500
-
-
-
-
6
-
-
20 20 40 50 60 500
10 40 20 500
-
-
-
-
-
-
15
-
-
-
25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 200
-
-
1
-
-
-
1 7
-
-
-
-
-
-
-
20
10 10 10 100
-
-
-
-
-
-
-
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 100
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6
-
-
250
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1 1 2 24
-
-
-
8
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6
-
10 20 300
-
-
10 30 20 300
-
-
-
10 400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 10 100
-
-
-
-
-
-
20 30 180 30 150 1,500
10 20 10 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
120 90 170 120 90 90 2,500
-
-
-
-
90
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
11
-
-
-
100
-
-
-
-
-
-
-
-
-
200
1
-
-
-
-
1 21
-
-
-
-
-
-
-
-
-
-
3
-
1
-
-
-
-
-
-
-
-
-
-
3
-
5
2
-
-
-
-
-
-
-
-
-
-
-
1
1
-
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
300
-
-
-
-
-
7
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
-
-
2 10
-
-
-
-
-
-
-
100
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
48
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
TAHUN 2021
UPT : LIMUS NUNGGAL DOKUMEN
KECAMATAN : CIBEUREUM PELAPORAN BULAN /PERIODE : December 2020 SEKSI KEFARMASIAN
KAB/KOTA : SUKABUMI UPT
PROPINSI : JAWA BARAT PERMINTAAN BULAN /PERIODE : January 2021

PEMBERIAN
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI STOK STOK OPT PERMINT
AWAL AAN AN AN AKHIR AAN
DAK ASKES
1 2 4 5 6 7 10 11 12 13 14
1 ABATE KG - - - - - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - - - - - -
3 ACYCLOVIR CREAM TUBE 10 10 20 10 10 17 10
4 ACYCLOVIR TAB 400 TABLET 100 100 - 100 -
5 ALBENDAZOL 400 MG TABLET - 200 200 - 200 - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - - - - -
7 ALUPURINOL TAB 100 MG TABLET - - - - - -
8 AMBROXOL 30 MG TABLET - - - - - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - - - - - -
10 AMINOFILIN TAB 200 MG TABLET - - - - - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - - - - - -
12 AMLODIPINE 10 MG TABLET - - - - - 1,500
13 AMLODIPINE 5 MG TABLET 1,500 1,500 3,000 3,000 - 5,100 1,500
14 AMOKSISILIN 500 MG TABLET 4,300 4,300 1,100 3,200 1,870 -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL 100 100 - 100 - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL 240 240 - 240 - -
17 AMOXCICILLIN DROP BOTOL - - - - - -
18 AMPISILIN 1 GR INJ VIAL - - - - - -
19 ANTALGIN TAB 500 MG STRIP TABLET - - - - - -
20 ANTASIDA DOEN SUSPENSI BOTOL 100 100 - 100 - 100
21 ANTASIDA DOEN TAB TABLET 3,400 3,000 6,400 3,500 2,900 5,950 5,000
22 ANTI BAKTERI DOEN TUBE - - - - - -
23 ANTI FUNGI DOEN KOMBINASI POT 48 48 - 48 - -
24 ANTI HEMMOROID DOEN SUPP - - - - - -
25 ANTI MIGREN DOEN TABLET - - - - - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 20 20 6 14 10 -
27 ARTESUNATE INJEKSI AMP - - - - - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - - - - - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET - 3,000 3,000 500 2,500 850 1,000
30 ASAM MEFENAMAT 500MG TABLET 1,700 1,700 500 1,200 850 1,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - - - - - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - - - - - -
33 ASETOSAL TAB 80 MG TABLET - - - - - -
34 ATORVASTATIN TAB 20 MG TABLET - - - - - 50
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - - - - - -
36 ATTAPULGITE TAB 600 MG TABLET - - - - - -
37 AZITROMISIN TAB 500 MG TABLET 60 45 105 15 90 26 -
38 BACTIVEC 30 ML BOTOL - - - - - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - - - - - -
40 BETAHISTIN MESILATE TAB TABLET 200 200 - 200 - -
41 BETAMETASON KRIM 0,1 % TUBE 100 50 150 25 125 43 -
42 BISAKODIL SUP 10 MG SUPP - - - - - -
43 BISOPROLOL TAB 5 MG TABLET - - - - - -
44 BORAX GLISERIN 10% BOTOL - - - - - -
45 BROMHEXIN HCL NEBULIZER BOTOL - - - - - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - - - - - -
47 CIMETIDIN 200 MG TABLET - - - - - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - - - - - 1
49 CLOPIDOGREL TAB 75 MG TABLET - - - - - -
50 CLOZAPINE TAB 25 MG TABLET - - - - - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - - - - - 1
52 CURCUMA TAB TABLET - - - - - -
53 DEHIDROARTEMISIN TABLET - - - - - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL 3 3 - 3 - -
55 DEKSAMETASON TAB 0,5 MG TABLET - - - - - -
56 DEVITALISASI PASTA BOTOL - - - - - -
57 DEXTROSE POWDER KG - - - - - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13 13 - 13 - -
59 DIAZEPAM RECTAL 10MG TUBE - - - - - -
60 DIAZEPAM RECTAL 5MG TUBE 5 5 - 5 - -
61 DIAZEPAM TAB 2 MG TABLET 57 57 - 57 - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - - - - - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET 5 5 - 5 - -
64 DIGOXIN TAB 0,25 MG TABLET 100 100 - 100 - -
65 DILTIAZEM HCL 30 MG TAB TABLET - - - - - -
66 DIMENHIDRINAT TAB 50 MG TABLET - - - - - -
67 DOKSISIKLIN 100MG CAP - - - - - -
68 DOMPERIDON 10 MG TABLET 400 400 200 200 340 200
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 100 100 - 100 - 50
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - - - - - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 5 5 1 4 2 -
72 ERITROMISIN KAPL 250 MG KAPLET - - - - - -
73 ERITROMISIN KAPL 500 MG KAPLET - - - - - 100
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
74 ERITROMISIN SYRUP BOTOL - - - - - 25
75 ETANOL 70% 100 ML BOTOL 13 10 23 7 16 12 -
76 EUGENOL CAIRAN 1 BOTOL - - - - - -
77 FE SYRUP BOTOL - - - - - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - - - - - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - - - - - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 40 - 40 - -
81 FENOBARBITAL TAB 30 MG TABLET - - - - - -
82 FENOFIBRATE 100 MG KAPS TABLET - - - - - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 20 20 20 - 34 35
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - 200 200 100 100 170 100
85 FLUCONAZOLE 150 MG TABLET - - - - - -
86 FUROSEMID TAB 40 MG TABLET 200 200 - 200 - -
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - - - - - -
88 GARAM ORALIT 200 ML AIR SACHET 300 200 500 - 500 - -
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - - - - - -
90 GENTAMISIN INJN AMPUL - - - - - -
91 GENTAMISIN SALEP KULIT TUBE - - - - - 100
92 GLIBENKLAMID TAB 5 MG TABLET - 400 400 100 300 170 1,000
93 GLIMEPIRIDE TAB 1 MG TABLET - - - - - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - - - - - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - - - - - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - - - - - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - - - - - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - - - - - 100
99 HALOPERIDOL INJ 5 MG/ML AMPUL - - - - - -
100 HALOPERIDOL TAB 0,5 MG TABLET - - - - - -
101 HALOPERIDOL TAB 1,5 MG TABLET - - - - - -
102 HALOPERIDOL TAB 5 MG TABLET - - - - - -
103 HEMAFORT TAB TABLET - - - - - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 100 100 - 100 - -
105 HIDROKORTISON KRIM 2.5% TUBE - - - - - -
106 IBUPROFEN SUP 125 MG SUP 6 6 - 6 - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - - - - - 50
108 IBUPROFEN SYR 200 MG/5ML BOTOL - - - - - -
109 IBUPROFEN TAB 200 MG TABLET - - - - - -
110 IBUPROFEN TAB 400 MG TABLET - - - - - -
111 ISONIAZID TAB 300 MG TABLET - - - - -
112 ISONIAZIDE 100 MG TABLET - - - - - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - - - - - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - - - - - 200
115 KALSIUM HIDROKSIDA PASTA TUBE - - - - - -
116 KALSIUM LAKTAT TAB 500 MG TABLET - 200 200 - 200 - 1,500
117 KARBAMAZEPIN TAB 200 MG TABLET 200 200 100 100 170 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - - - - - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 48 48 - 48 - -
120 KATOPRIL 25MG TABLET - - - - - 100
121 KATOPRIL TAB 12.5 MG TABLET - - - - - -
122 KETOKONAZOL KRIM 2% TUBE 18 18 - 18 - -
123 KETOKONAZOL TAB 200 MG TABLET 100 100 50 50 85 50
124 KETOPROFEN SUPP 100 MG SUPP - - - - - -
125 KETOROLAC INJ 30 MG AMPUL - - - - - -
126 KLINDAMISIN 300 MG KAPSUL - - - - - -
127 KLORAMFENICOL SUSPENSI BOTOL - - - - - -
128 KLORAMFENIKOL KAPS KAPSUL - - - - - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - - - - - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - - - - - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - - - - - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - - - - - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - - - - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET - - - - - -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - - - - - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - - - - - -
137 KODEIN TAB 10 MG TABLET - - - - - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL - - - - - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - - - - - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - - - - - 100
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - - - - - -
142 KUININ KINA TAB 200 MG TABLET - - - - - -
143 LAXADINE EMULSI 30 ML BOTOL - - - - - 5
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - - - - - -
145 LIDOKAIN INJ 2% AMPUL 45 45 6 39 10 -
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 60 60 - 60 - -
147 LIDOKAIN JELLY 2% TUBE - - - - - -
148 LORATADIN TAB 10MG TABLET 550 200 750 250 500 425 -
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - - - - - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - - - - - -
151 MB DEWASA PAKET - - - - - -
152 MEROPENEM INJ 1 GR VIAL - - - - - -
153 METFORMIN 500 MG TABLET - - - - - -
154 METFROMIN 850 MG TABLET - - - - - -
155 METILDOPA TAB 250 MG TABLET 100 100 - 100 - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - - - - - -
158 METILPREDNISOLON INJ 125MG VIAL - - - - - -
159 METILPREDNISOLON TAB 4 MG TABLET - - - - - 500
160 METOCLOPRAMIDE 10 MG TABLET - - - - - -
161 METOCLOPRAMIDE 5 MG TABLET - - - - - -
162 METRONIDAZOL 500 MG TABLET - - - - - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - - - - - -
164 MICONAZOLE CREAM TUBE 48 48 96 24 72 41 -
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - - - - -
166 NAT DIKLOFENAC 50MG TABLET - - - - - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - - - - - 500
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL 13 13 8 5 14 10
169 NATRIUM TIROKSIN TABLET TABLET - - - - - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - - - - - -
171 NIFEDIPINE 10 MG TABLET - - - - - 100
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 40 40 - 40 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - - - - - -
174 OAT FDC KATAGORI 1 PAKET - - - - - -
175 OAT FDC KATAGORI ANAK PAKET - - - - - -
176 OAT FDC KATAGORI II PAKET - - - - - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - - - - - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - - - - - -
179 OBAT BATUK PILEK SYRUP BOTOL - - - - - -
180 OBAT BATUK PILEK TAB TABLET - - - - - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 25 50 75 - 75 - -
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - - - - - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 36 36 - 36 - -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - - - - - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - - - - - -
186 ONDANCENTRON 4 MG INJ AMPUL - - - - - -
187 ONDANSETRON TABLET 8 MG TABLET - - - - - -
188 OSELTAMIVIR KAP KAPSUL - - - - - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - - - - - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - - - - - -
191 PARASETAMOL DROP BOTOL - - - - - -
192 PARASETAMOL INFUS BOTOL - - - - - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - - - - - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - - - - - -
195 PERMETRIN KRIM 5 % TUBE - 50 50 6 44 10 -
196 PIRANTEL PAMOAT SUSP BOTOL - - - - - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,200 500 1,700 300 1,400 510 -
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - - - - - -
199 PIROXICAM 10 MG TABLET - - - - - -
200 PREDNISON TAB 5 MG TABLET 400 100 500 300 200 510 300
201 PRIMAKUIN TAB 15 MG TABLET - - - - - -
202 PYRAZINAMIDE 500 MG AMPUL - - - - - -
203 RANITIDIN INJ AMPUL - - - - - -
204 RANITIDINE TAB 150 MG TABLET 1,000 1,000 400 600 680
205 RDT MALARIA TEST - - - - - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - - - - - -
207 RETINOL 100.000 IU KAPSUL - - - - - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - - - - - -
209 RISPERIDON TAB 2 MG TABLET - - - - - -
210 SALBUTAMOL CAIRAN IH NEB 17 17 - 17 - -
211 SALBUTAMOL TAB 2 MG TABLET 100 100 - 100 - -
212 SALEP 2-4 KOMBINASI POT 48 24 72 - 72 - -
213 SALEP LUKA BAKAR TUBE - - - - - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - - - - - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - - - - - -
216 SEFADROKSIL SYR 125 MG BOTOL - - - - - -
217 SEFADROKSIL SYR 250 MG BOTOL - - - - - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - - - - - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - - - - - -
220 SEFOTAXIM INJ 1 GR VIAL - - - - - -
221 SEFTRIAKSON INJ 1 GRM VIAL - - - - - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL 500 500 - 500 - -
223 SETIRIZIN SYRUP BOTOL - - - - - -
224 SIMVASTATIN 10 MG TABLET - - - - - -
225 SIPROFLOKSASIN 500 MG TABLET 200 200 100 100 170 100
226 SIPROFLOKSASIN INFUS 2 % BOTOL - - - - - -
227 SPIRONOLACTON TAB 100 MG TABLET - - - - - -
228 SPIRONOLACTON TAB 25MG TABLET - - - - - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - - - - - -
230 SUKRALFAT SUSPENSI BOTOL - - - - - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - - - - - -
232 TAB TAMBAH DARAH TABLET 7,950 7,950 1,500 6,450 2,550 5,000
233 TABLET ZINK DISPERTSIBLE TABLET 300 500 800 300 500 510 500
234 TABURIA SACHET - - - - - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - - - - - -
236 TETRASIKLIN KAPS 250 MG #N/A - - - - - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - - - - - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
239 TRAMADOL INJ 50 MG/ML AMPUL - - - - - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - - - - - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
242 TUBERKULIN TEST VIAL - - - - - -
243 VAKSIN ANTI RABIES (VAR) VIAL - - - - - -
244 VAKSIN BCG VIAL - - - - - -
245 VAKSIN CAMPAK VIAL - - - - - -
246 VAKSIN DPT-HB/HIB VIAL - - - - - -
247 VAKSIN DT VIAL - - - - - -
248 VAKSIN HB UNIJECT POUCH - - - - - -
249 VAKSIN HEPATITIS POUCH - - - - - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - - - - - -
251 VAKSIN POLIO (BOPV) VIAL - - - - - -
252 VAKSIN POLIO IPV 5 DS VIAL - - - - - -
253 VAKSIN TD VIAL - - - - - -
254 VITAMIN B KOMPLEX TAB #N/A 3,600 2,500 6,100 2,500 3,600 4,250 1,000
255 VITAMIN NEUROTROPIK TABLET - - - - - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - - - - - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 4 - 4 - -
258 VAKSIN MENINGITIS (WALVAX) 0 - - - - - -
259 OSELTAMIVIR TAB 0 - 90 90 90 - 153
260 MASKER FFP2 NR 0 - 25 25 - 25 - -
261 MASKER KAIN 0 - 50 50 - 50 - -
262 0 0 - - - - - -
263 0 0 - - - - - -
264 0 0 - - - - - -
265 0 0 - - - - - -
266 0 0 - - - - - -
267 0 0 - - - - - -
268 0 0 - - - - - -
269 0 0 - - - - - -
270 0 0 - - - - - -
271 0 0 - - - - - -
272 0 0 - - - - - -
273 0 0 - - - - - -
274 0 0 - - - - - -
275 0 0 - - - - - -
276 0 0 - - - - - -
277 0 0 - - - - - -
278 0 0 - - - - - -
279 0 0 - - - - - -
280 0 0 - - - - - -
281 0 0 - - - - - -
282 0 0 - - - - - -
283 0 0 - - - - - -
0 - - - - - -
1 ABBOCATH 18 G PCS 14 14 11 3 - -
2 ABBOCATH 20 PCS - - - - - -
3 ADS 0.05 ML PCS - - - - - -
4 ADS 0.5 ML PCS - - - - - -
5 ADS 5 ML PCS 100 100 100 - - -
6 ALAT SUNTIK 1 ML PCS - - - - - -
7 ALAT SUNTIK 10 ML PCS 20 20 - 20 - -
8 ALAT SUNTIK 3 ML PCS 300 300 - 300 - -
9 ALAT SUNTIK 3ML BD PCS - - - - - -
10 ALAT SUNTIK 5 ML PCS 30 30 - 30 - -
11 ALAT SUNTIK 50 ML PCS - - - - - -
12 ALAT SUNTIK BD 1ML PCS - - - - - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - - - - - -
14 ALKOHOL 70 % 100 ML BUAH - - - - - -
15 ALKOHOL SWAB PCS 600 600 200 400 - -
16 ANIOSGEL 85 5 LT GALON - 1 1 1 - - 1
17 ANIOSGEL 85 500 ML BOTOL - - - - - 4
18 BATANG PENGADUK 10 CM BUAH - - - - - -
19 BATANG PENGADUK 30 CM BUAH - - - - - -
20 BEAKER GLASS 50 ML BUAH - - - - - -
21 BISTURI NO 21 PCS 33 33 21 12 - -
22 BLUE TIP BUAH - - - - - -
23 BOX SLIDE PCS - - - - - -
24 BULP PIPET UKUR BUAH - - - - - -
25 CATGUT CHROMIC SET 6 6 - 6 - -
26 CATGUT PLAIN 3/0 SACHET 17 17 - 17 - -
27 CAWAN PETRI 10 CM BUAH - - - - - -
28 CRYO TUBE PCS - - - - - -
29 CUVETTE SEGMENT BOX - - - - - -
30 DECK GLASS BUAH - - - - - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - - - - - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 6 6 3 3 - 5
33 ETIKET RIM - - - - - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL 4 4 1 3 - -
35 EUGENOL CAIRAN BOTOL - - - - - -
36 FOLY CATETHER 16 PCS 1 1 - 1 - -
37 FOLY CATETHER 18 PCS - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
38 FOOGING MASKER SINGLE FILTER BUAH - - - - - -
39 GELAS UKUR 100 ML BUAH - - - - - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - - - - - -
41 HAEMOMETER SAHLI UNIT - - - - - -
42 HOLDER VACUTAINER BUAH - - - - - -
43 ID BAND BAYI PCS - - - - - -
44 INFUSION SET ANAK SET 3 3 - 3 - -
45 INFUSION SET DEWASA SET 9 9 3 6 - -
46 IV CATHETHER 18 PCS - - - - - -
47 IV CATHETHER 20 PCS 5 5 5 - - -
48 IV CATHETHER 22 PCS 5 5 2 3 - -
49 IV CATHETHER 22 WING PCS - - - - - -
50 IV CATHETHER 24 PCS 16 16 - 16 - -
51 IV CATHETHER 24 WING PCS - - - - - -
52 IV CATHETHER 26 PCS - - - - - -
53 JARUM KULIT 10 LUSIN - - - - - -
54 JARUM KULIT 12 LUSIN - - - - - -
55 JARUM KULIT 32 LUSIN - - - - - -
56 JARUM KULIT 36 LUSIN - - - - - -
57 JARUM LANSET BOX - - - - - -
58 JARUM OTOT 32 LUSIN - - - - - -
59 JARUM OTOT 36 LUSIN - - - - - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 4 4 8 1 7 - -
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 4 4 8 1 7 - -
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - - - - - -
63 KARTU GOLONGAN DARAH LBR - - - - - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR 2 2 2 - - 10
65 KASA 80 CM X 40 YARD ROL - - - - - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - - - - - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - - - - - -
68 KASA STERIL 16X16 CM KOTAK - - - - - -
69 KERTAS LENSA BUKU - - - - - -
70 KERTAS PH LEMBAR - - - - - -
71 KERTAS PUYER RIM - - - - - -
72 LEUKOPLAST 2.5X4.5 ROLL - - - - - -
73 LIDI STIK PAK - - - - - -
74 LIDI WATEN PCS - - - - - -
75 LUBRICAN GEL BOTOL 1 1 - 1 - -
76 LYSOL 1 LITER BOTOL - - - - - -
77 MASKER DISPOSIBLE KARET BUAH - - - - - -
78 MASKER DISPOSIBLE TALI PCS - - - - - -
79 MASKER HIJAB PCS - 600 600 300 300 - 600
80 MASKER N95 PCS - - - - - -
81 MEDIA AMIS SET - - - - - -
82 MICROPIPETTES 10 MICRON PCS - - - - - -
83 MICROPIPETTES 1000 MICRON PCS - - - - - -
84 MICROPIPETTES 200 MICRON PCS - - - - - -
85 MICROPORE 1.25 CM BUAH 10 10 7 3 - 10
86 MICROPORE 5 CM BUAH - - - - - -
87 MORTIR 13 CM BUAH - - - - - -
88 MORTIR 16 CM BUAH - - - - - -
89 MUCUS EXTRACTOR BUAH 1 1 1 - - -
90 NASAL O2 L PCS - - - - - -
91 NASAL O2 XS PCS - - - - - -
92 NEEDLE 24G SET 90 90 - 90 - -
93 NEEDLE 25 G SET - - - - - -
94 NELATON CATETER 18/20 BUAH - - - - - -
95 OBJECK GLASS PCS - - - - - -
96 PIPET HB BUAH - - - - - -
97 PIPET PLASTIK 5 ML BUAH - - - - - 20
98 PIPET UKUR 1 ML BUAH - - - - - -
99 PIPET UKUR 10 ML BUAH - - - - - -
100 PIPET UKUR 5 ML BUAH - - - - - -
101 PLASTIK KLIP KG - - - - - -
102 PLASTIK KLIP 13X8 BAL - - - - - -
103 PLESTER 1.25 CM ROL - 10 10 - 10 - -
104 PLESTER 4.5 CM ROL 6 6 - 6 - -
105 PLESTER 5 YARD X 2 INCH ROL - - - - - -
106 PLESTERIN BULAT NON WOVEN BUAH 3 3 - 3 - -
107 POT DAHAK BUAH - - - - - -
108 POT URINE BUAH - - - - - -
109 POVIDON IODIDA 10% 30 ML BOTOL - - - - - -
110 POVIDON IODIDA 60 ML BOTOL 10 10 4 6 - -
111 SAFETY BOX PCS - - - - - -
112 SAMPLE CUP BOX - - - - - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - 10 10 10 - - 10
114 SARUNG TANGAN NON STERIL L PASANG - - - - - -
115 SARUNG TANGAN NON STERIL M PASANG - - - - - 500
116 SARUNG TANGAN NON STERIL S PASANG - - - - - 500
117 SARUNG TANGAN OBGYN STERIL PASANG - - - - - -
118 SARUNG TANGAN STERIL 6.5 PASANG - - - - - -
119 SARUNG TANGAN STERIL 7 PASANG 6 6 - 6 - -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
121 SENDOK OBAT PCS 350 350 100 250 - 100
122 SILK NO 2/0 & JARUM BEDAH SACHET 2 2 1 1 - -
123 SILK NO 3/0 & JARUM BEDAH SACHET 12 12 - 12 - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - - - - - -
125 STOMACH 18 BUAH - - - - - -
126 TABUNG 3 MI PCS - - - - - -
127 TABUNG CENTRIFUGE BUAH - - - - - -
128 TABUNG DURHAM BUAH - - - - - -
129 TABUNG EDTA PAK - - - - - 1
130 TABUNG HB BUAH - - - - - -
131 TABUNG HB BUAH - - - - - -
132 TABUNG HEMATOKRIT KAPILER BUAH - - - - - -
133 TABUNG REAKSI 10 CM BUAH - - - - - -
134 TABUNG WESTERGEEN BUAH - - - - - -
135 TABUNG WINTROB BUAH - - - - - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - - - - - -
137 UMBILICLEM BUAH 13 13 - 13 - -
138 UNDERPAD PCS - - - - - -
139 UNIFLEX 4.5 M X 10 CM ROL - - - - - -
140 URINE BAG BUAH 7 7 - 7 - -
141 USG GEL 250 ML BOTOL - - - - - -
142 VACUTAINER K3E PLUS TUBE PCS - - - - - -
143 VACUTAINER NEEDLE 21 G PCS - - - - - -
144 VACUTAINER SERUM TUBE PCS - - - - - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - - - - - -
146 YELLOW TIP BUAH - - - - - -
147 COVER SHOES 0 - - - - - -
148 COVERALL DISPRO 0 - 100 100 - 100 - -
149 FACE SHIEL AKRILIK INJAK 0 - - - - - -
150 FACE SHIEL MIKA LEGION 0 - - - - - -
151 KACAMATA GOGGLE 0 - - - - - -
152 MASKER KAIN POLOS EARLOOP 0 3,500 3,500 - 3,500 - -
153 MASKER KAIN POLOS HEADLOP 0 3,366 3,366 48 3,318 - -
154 PLESTER HYPAFIX ROLL - - - - - -
155 0 0 - - - - - -
0 - - - - - -
1 AQUADEST 20 LT JERIGEN - - - - - -
2 ASAM ASETAT 6% 100 ML BOTOL - - - - - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - - - - - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - - - - - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - - - - - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - - - - - -
7 BENECHECK PLUS URIC TEST STRIP BOX - - - - - -
8 BILIRUBIN TOTAL/DIRECT SET - - - - - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - - - - - -
10 CELL CLEAN BOTOL - - - - - -
11 CELLPACK SET - - - - - -
12 CHOLESTEROL PAKET - - - - - -
13 CHOLESTEROL ELLITEC SET - - - - - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - - - - - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - - - - - -
16 CLEANAC BOTOL - - - - - -
17 CLEANAC 3 BOTOL - - - - - -
18 CLEANER BOTOL - - - - - -
19 CLEANING KIT SET - - - - - -
20 CLEANSER SET - - - - - -
21 CONTROL DARAH SYSMEX SET - - - - - -
22 CONTROL SERUM SET - - - - - -
23 CONTROL SERUM MICROLAB SET - - - - - -
24 COPPER TEST BOX - - - - - -
25 CREATININ PLUS PAKET - - - - - -
26 CYANIDE TEST BOTOL - - - - - -
27 DENGUE IGG IGM STRIP/TEST - - - - - -
28 DILUENT 10 LITER BOTOL - - - - - -
29 DILUENT 20 LITER BOTOL - - - - - -
30 ETANOL 70 % 1000 ML BOTOL - - - - - -
31 GLUCOSA + STANDAR PAKET - - - - - -
32 GLUCOSA ELLITEC SET - - - - - -
33 GLUCOSA+STD 4X100 ML BOTOL - - - - - -
34 GLUKOSA HK SET - - - - - -
35 GLUKOSA STIK (GLUCO DR) STIK - - - - - -
36 HB CONTROL MICROLAB SET - - - - - -
37 HBA1C STIK TUBE - - - - - -
38 HCV VIRAL LOAD TEST - - - - - -
39 HDL CHOLESTEROL PAKET - - - - - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - - - - - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - - - - - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - - - - - -
43 HEMOLYNAC BOTOL - - - - - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - - - - - -
45 ISOTONAC 3 GALON - - - - - -
46 KALIBRATOR C FAS LIPID PAKET - - - - - -
47 KONTROL PCC MULTI PAKET - - - - - -
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES
48 KREATIN + STDR 200 ML SET - - - - - -
49 LARUTAN DRABKIN BOTOL - - - - - -
50 LARUTAN EDTA 10% BOTOL - - - - - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - - - - - -
52 LARUTAN ETHER ALKOHOL BOTOL - - - - - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - - - - - -
54 LARUTAN IODIUM BOTOL - - - - - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - - - - - -
56 LARUTAN KOH 10% BOTOL - - - - - -
57 LARUTAN METHYLEN BLUE BOTOL - - - - - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - - - - - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - - - - - -
60 LARUTAN PEWARNA RAPID [''']\]]\ - - - - - -
61 LARUTAN REAGEN REES ECKER #NAME? - - - - - -
62 LARUTAN TURK 100 ML BOTOL - - - - - -
63 LDL CHOLESTEROL GEN.3 SET - - - - - -
64 LYZE 5 LITER BOTOL - - - - - -
65 LYZE 500 ML BOTOL - - - - - -
66 MINYAK IMERSI BOTOL - - - - - -
67 NARKOTES 5 PARAMETER STRIP/TEST - - - - - -
68 NARKOTES AMPHETAMIN STRIP/TEST - - - - - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - - - - - -
70 NARKOTES COCAIN STRIP/TEST - - - - - -
71 NARKOTES OPIATE STRIP/TEST - - - - - -
72 NARKOTES THC STRIP/TEST - - - - - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - - - - - -
74 QC SOLUTION MICROLAB SET - - - - - -
75 RAPID 2 HIV FOKUS TEST - - - - - -
76 RAPID TES HBSAG TES - - - - - 100
77 RAPID TES HIV 1 STRIP/TEST - - - - - -
78 RAPID TES HIV 2 STRIP/TEST - - - - - -
79 RAPID TES SIFILIS STRIP - 100 100 100 - - -
80 RAPID TEST HIV 1/2 SD TEST - 100 100 100 - - -
81 RAPID TEST HIV VIKIA STRIP - - - - - -
82 RDD ANTI HCV TEST - - - - - -
83 REAGEN PEWARNA GRAM BOTOL - - - - - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - - - - - -
85 REGENT P2 TBC BTL - - - - - -
86 RPR SIFILIS STRIP - - - - - -
87 SEDIPLAST BOX - - - - - -
88 SERUM KONTROL HEMATOLOGI BOTOL - - - - - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - - - - - -
90 SGOT SET - - - - - -
91 SGOT (2X120,2X30) BOTOL - - - - - -
92 SGPT SET - - - - - -
93 SGPT (2X120,2X30) BOTOL - - - - - -
94 SPIRTUS BOTOL - - - - - -
95 STOMATOLYZER 4DL SET - - - - - -
96 STOMATOLYZER 4DS SET - - - - - -
97 STROMATOLIZER BOTOL - - - - - -
98 SULFOLYSER SET - - - - - -
99 TEST KEHAMILAN STRIP STRIP - - - - - -
100 THERMAL PAPER PCS - - - - - -
101 TOTAL CHROMIUM BOX - - - - - -
102 TRIGLICERIDA + STANDAR PAKET - - - - - -
103 TRIGLYSERIDE SET - - - - - -
104 TRYGLYSERIDE+STD 4X100 ML SET - - - - - -
105 UREA SET - - - - - -
106 UREUM + STD 2X100 ML BOTOL - - - - - -
107 UREUM+STD 2X120 ML BOTOL - - - - - -
108 URIC ACID PAKET - - - - - -
109 URIC ACID + STD (4X100ML) BOTOL - - - - - -
110 URIC ACID + STD 2X120ML BOTOL - - - - - -
111 URIC ACID ELLITEC SET - - - - - -
112 URINE RAPID TEST STRIP - - - - - 1
113 URINE STIK 10 PARAMETER STIRP - - - - - -
114 WATER ONE 1 LT BOTOL - - - - - -
115 WIDAL 8 PARAMETER SET - - - - - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - - - - - -
117 0 0 - - - - - -
118 0 0 - - - - - -
119 0 0 - - - - - -
120 0 0 - - - - - -
121 0 0 - - - - - -
122 0 0 - - - - - -
123 0 0 - - - - - -
124 0 0 - - - - - -
125 0 0 - - - - - -
126 0 0 - - - - - -

PKM/ PUSTU NON JKN JKN

JUMLAH KUNJUNGAN
PEMBERIAN
STOK PENERIM PERSEDIA PEMAKAI STOK PERMINT
NO NAMA OBAT SATUAN AWAL AAN AN AN AKHIR STOK OPT AAN
DAK ASKES

PKM
LIMUSNUNGGAL 675 540

JUMLAH KUNJUNGAN

TOTAL 675 540

Mengetahui/Menyetujui : Yang menyerahkan : Yang meminta :


Kepala Dinas Kesehatan Kota Sukabumi Kepala Seksi Kefarmasian Kepala Puskesmas

dr. Hj. Rita Fitrianingsih, M.Kes Supriyanto, S.Kom, MKM dr.Fenny Novita D.S
NIP 19640223 199010 2 001 NIP 19721109 200501 1010 NIP.197611192009012001
N LEMBAR PERMINTAAN OBAT (LPLPO)
UPT
AHUN 2021
NOMOR TANGGAL

PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


15 16 17 18
PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA


PEMBERIAN

APBD1 APBD2 PROGRAM LAINNYA

Yang menerima
Petugas Pengelola Obat

Iis Nuraisyah, S. Farm


NIP .197003072009012002
REKAP PEMAKAIAN 2020
UPT

NO Nama Obat Satuan Jan Feb

1 ABATE KG
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL 800
3 ACYCLOVIR CREAM TUBE 16 20
4 ACYCLOVIR TAB 400 TABLET 50 100
5 ALBENDAZOL 400 MG TABLET 30
6 ALPRAZOLAM TABLET 0.5 MG TABLET
7 ALUPURINOL TAB 100 MG TABLET 418 300
8 AMBROXOL 30 MG TABLET
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL
10 AMINOFILIN TAB 200 MG TABLET
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET
12 AMLODIPINE 10 MG TABLET
13 AMLODIPINE 5 MG TABLET 1,529 1,500
14 AMOKSISILIN 500 MG TABLET
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL
17 AMOXCICILLIN DROP BOTOL 72
18 AMPISILIN 1 GR INJ VIAL
19 ANTALGIN TAB 500 MG STRIP TABLET
20 ANTASIDA DOEN SUSPENSI BOTOL 33
21 ANTASIDA DOEN TAB TABLET
22 ANTI BAKTERI DOEN TUBE
23 ANTI FUNGI DOEN KOMBINASI POT 24
24 ANTI HEMMOROID DOEN SUPP 26 10
25 ANTI MIGREN DOEN TABLET
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 10
27 ARTESUNATE INJEKSI AMP
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 1,554 1,500
30 ASAM MEFENAMAT 500MG TABLET 1,705 1,500
31 ASAM TRANEKSAMAT TAB 500 TABLET
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL
33 ASETOSAL TAB 80 MG TABLET
34 ATORVASTATIN TAB 20 MG TABLET
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL
36 ATTAPULGITE TAB 600 MG TABLET 645 600
37 AZITROMISIN TAB 500 MG TABLET
38 BACTIVEC 30 ML BOTOL
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL
40 BETAHISTIN MESILATE TAB TABLET 380 400
41 BETAMETASON KRIM 0,1 % TUBE 85 75
42 BISAKODIL SUP 10 MG SUPP
43 BISOPROLOL TAB 5 MG TABLET
44 BORAX GLISERIN 10% BOTOL
45 BROMHEXIN HCL NEBULIZER BOTOL
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET
47 CIMETIDIN 200 MG TABLET
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL
49 CLOPIDOGREL TAB 75 MG TABLET
50 CLOZAPINE TAB 25 MG TABLET
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET 1
52 CURCUMA TAB TABLET
53 DEHIDROARTEMISIN TABLET
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL
55 DEKSAMETASON TAB 0,5 MG TABLET
56 DEVITALISASI PASTA BOTOL
57 DEXTROSE POWDER KG
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 10
59 DIAZEPAM RECTAL 10MG TUBE 1
60 DIAZEPAM RECTAL 5MG TUBE 1
61 DIAZEPAM TAB 2 MG TABLET 10
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET
64 DIGOXIN TAB 0,25 MG TABLET 182
65 DILTIAZEM HCL 30 MG TAB TABLET
66 DIMENHIDRINAT TAB 50 MG TABLET
67 DOKSISIKLIN 100MG CAP
68 DOMPERIDON 10 MG TABLET 100 100
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 62
70 DOPAMINE HCL INJ 40 MG/ML AMPUL
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL
72 ERITROMISIN KAPL 250 MG KAPLET
73 ERITROMISIN KAPL 500 MG KAPLET
74 ERITROMISIN SYRUP BOTOL
75 ETANOL 70% 100 ML BOTOL 2 1
76 EUGENOL CAIRAN 1 BOTOL
77 FE SYRUP BOTOL
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL
80 FENOBARBITAL INJ 50MG/ML AMPUL
81 FENOBARBITAL TAB 30 MG TABLET
82 FENOFIBRATE 100 MG KAPS TABLET
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 75 100
85 FLUCONAZOLE 150 MG TABLET
86 FUROSEMID TAB 40 MG TABLET 39 200
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL
88 GARAM ORALIT 200 ML AIR SACHET 386 100
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL 65
90 GENTAMISIN INJN AMPUL
91 GENTAMISIN SALEP KULIT TUBE
92 GLIBENKLAMID TAB 5 MG TABLET 323 100
93 GLIMEPIRIDE TAB 1 MG TABLET
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET
95 GLUCONAS KALSIUM INJ 10% AMPUL
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 110
99 HALOPERIDOL INJ 5 MG/ML AMPUL
100 HALOPERIDOL TAB 0,5 MG TABLET
101 HALOPERIDOL TAB 1,5 MG TABLET
102 HALOPERIDOL TAB 5 MG TABLET
103 HEMAFORT TAB TABLET 700 400
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 19
105 HIDROKORTISON KRIM 2.5% TUBE
106 IBUPROFEN SUP 125 MG SUP
107 IBUPROFEN SYR 100 MG/5 ML BOTOL
108 IBUPROFEN SYR 200 MG/5ML BOTOL
109 IBUPROFEN TAB 200 MG TABLET
110 IBUPROFEN TAB 400 MG TABLET
111 ISONIAZID TAB 300 MG TABLET
112 ISONIAZIDE 100 MG TABLET
113 ISOSORBID DINITRAT TAB 10 MG TABLET 70
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 104 100
115 KALSIUM HIDROKSIDA PASTA TUBE 1
116 KALSIUM LAKTAT TAB 500 MG TABLET 750 1,300
117 KARBAMAZEPIN TAB 200 MG TABLET 200 100
118 KARBAZOKROM NA SULFONAT TAB TABLET
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL
120 KATOPRIL 25MG TABLET 132 100
121 KATOPRIL TAB 12.5 MG TABLET
122 KETOKONAZOL KRIM 2% TUBE
123 KETOKONAZOL TAB 200 MG TABLET 332
124 KETOPROFEN SUPP 100 MG SUPP
125 KETOROLAC INJ 30 MG AMPUL
126 KLINDAMISIN 300 MG KAPSUL
127 KLORAMFENICOL SUSPENSI BOTOL
128 KLORAMFENIKOL KAPS KAPSUL 100 100
129 KLORAMFENIKOL KAPS 500 MG KAPSUL
130 KLORAMFENIKOL SALEP KULIT 2% TUBE
131 KLORAMFENIKOL SALEP MATA 1% TUBE
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL 25 25
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 12 10
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 6,100 6,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET
136 KLORPROMAZIN TAB SALUT 25 MG TABLET
137 KODEIN TAB 10 MG TABLET
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 43
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 27
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET
142 KUININ KINA TAB 200 MG TABLET
143 LAXADINE EMULSI 30 ML BOTOL
144 LEVOFLOKSASIN  TABLET 500 MG TABLET
145 LIDOKAIN INJ 2% AMPUL
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 9 21
147 LIDOKAIN JELLY 2% TUBE
148 LORATADIN TAB 10MG TABLET
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL
151 MB DEWASA PAKET 1
152 MEROPENEM INJ 1 GR VIAL
153 METFORMIN 500 MG TABLET 815 600
154 METFROMIN 850 MG TABLET
155 METILDOPA TAB 250 MG TABLET
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 170
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET
158 METILPREDNISOLON INJ 125MG VIAL
159 METILPREDNISOLON TAB 4 MG TABLET 1,332 1,000
160 METOCLOPRAMIDE 10 MG TABLET
161 METOCLOPRAMIDE 5 MG TABLET 130
162 METRONIDAZOL 500 MG TABLET
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL
164 MICONAZOLE CREAM TUBE 51 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL
166 NAT DIKLOFENAC 50MG TABLET
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 285 100
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL
169 NATRIUM TIROKSIN TABLET TABLET
170 NEVIRAPINE (NVP) 200 MG BOTOL
171 NIFEDIPINE 10 MG TABLET
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 18
173 NOREPINEPHRINE BITARTRATE INJ AMPUL
174 OAT FDC KATAGORI 1 PAKET 19
175 OAT FDC KATAGORI ANAK PAKET 4
176 OAT FDC KATAGORI II PAKET
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL
179 OBAT BATUK PILEK SYRUP BOTOL
180 OBAT BATUK PILEK TAB TABLET 280
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 32
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL
186 ONDANCENTRON 4 MG INJ AMPUL
187 ONDANSETRON TABLET 8 MG TABLET
188 OSELTAMIVIR KAP KAPSUL
189 PAPAVERIN HCL.40 MG TABLET TABLET 27
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL
191 PARASETAMOL DROP BOTOL
192 PARASETAMOL INFUS BOTOL
193 PARASETAMOL SYR 120 ML/5 ML BOTOL
194 PARASETAMOL TAB 500 MG STRIP TABLET 5,084 5,400
195 PERMETRIN KRIM 5 % TUBE 30
196 PIRANTEL PAMOAT SUSP BOTOL
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 1,358
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET
199 PIROXICAM 10 MG TABLET 2,428 2,200
200 PREDNISON TAB 5 MG TABLET
201 PRIMAKUIN TAB 15 MG TABLET
202 PYRAZINAMIDE 500 MG AMPUL
203 RANITIDIN INJ AMPUL
204 RANITIDINE TAB 150 MG TABLET
205 RDT MALARIA TEST
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL 1,600
207 RETINOL 100.000 IU KAPSUL 250 50
208 RINGER LAKTAT LAR INFUS STERIL BOTOL
209 RISPERIDON TAB 2 MG TABLET
210 SALBUTAMOL CAIRAN IH NEB
211 SALBUTAMOL TAB 2 MG TABLET 313 200
212 SALEP 2-4 KOMBINASI POT 54 48
213 SALEP LUKA BAKAR TUBE
214 SALISIL BEDAK 2% 50 GRAM KOTAK 58
215 SEFADROKSIL KAPSUL 500 MG KAPSUL
216 SEFADROKSIL SYR 125 MG BOTOL
217 SEFADROKSIL SYR 250 MG BOTOL
218 SEFIKSIM KAPSUL 100MG KAPSUL
219 SEFIKSIM SYR 100MG/5ML BOTOL
220 SEFOTAXIM INJ 1 GR VIAL
221 SEFTRIAKSON INJ 1 GRM VIAL
222 SETIRIZIN KAPSUL 10 MG KAPSUL
223 SETIRIZIN SYRUP BOTOL 50 50
224 SIMVASTATIN 10 MG TABLET 600 510
225 SIPROFLOKSASIN 500 MG TABLET 94 100
226 SIPROFLOKSASIN INFUS 2 % BOTOL
227 SPIRONOLACTON TAB 100 MG TABLET
228 SPIRONOLACTON TAB 25MG TABLET
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL
230 SUKRALFAT SUSPENSI BOTOL
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL
232 TAB TAMBAH DARAH TABLET 11,757 7,140
233 TABLET ZINK DISPERTSIBLE TABLET 1,191 700
234 TABURIA SACHET
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET
236 TETRASIKLIN KAPS 250 MG #N/A
237 THIAMFENICOL 500 MG KAPSUL KAPSUL
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET
239 TRAMADOL INJ 50 MG/ML AMPUL
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
242 TUBERKULIN TEST VIAL 2
243 VAKSIN ANTI RABIES (VAR) VIAL
244 VAKSIN BCG VIAL 105
245 VAKSIN CAMPAK VIAL
246 VAKSIN DPT-HB/HIB VIAL 50
247 VAKSIN DT VIAL
248 VAKSIN HB UNIJECT POUCH
249 VAKSIN HEPATITIS POUCH
250 VAKSIN MEASLES RUBELLA (MR) VIAL 15
251 VAKSIN POLIO (BOPV) VIAL 40
252 VAKSIN POLIO IPV 5 DS VIAL
253 VAKSIN TD VIAL 30
254 VITAMIN B KOMPLEX TAB #N/A 2,000 3,000
255 VITAMIN NEUROTROPIK TABLET
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL
257 WIDA BES ASETAT RINGER INFUS BOTOL 4 6
258 VAKSIN MENINGITIS (WALVAX) -
259 OSELTAMIVIR TAB -
260 MASKER FFP2 NR -
261 MASKER KAIN -
262 - -
263 - -
264 - -
265 - -
266 - -
267 - -
268 - -
269 - -
270 - -
271 - -
272 - -
273 - -
274 - -
275 - -
276 - -
277 - -
278 - -
279 - -
280 - -
281 - -
282 - -
283 - -
- -
1 ABBOCATH 18 G PCS
2 ABBOCATH 20 PCS
3 ADS 0.05 ML PCS 100
4 ADS 0.5 ML PCS 36
5 ADS 5 ML PCS
6 ALAT SUNTIK 1 ML PCS
7 ALAT SUNTIK 10 ML PCS
8 ALAT SUNTIK 3 ML PCS 600
9 ALAT SUNTIK 3ML BD PCS
10 ALAT SUNTIK 5 ML PCS 100
11 ALAT SUNTIK 50 ML PCS
12 ALAT SUNTIK BD 1ML PCS
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET
14 ALKOHOL 70 % 100 ML BUAH
15 ALKOHOL SWAB PCS 200 500
16 ANIOSGEL 85 5 LT GALON
17 ANIOSGEL 85 500 ML BOTOL
18 BATANG PENGADUK 10 CM BUAH
19 BATANG PENGADUK 30 CM BUAH
20 BEAKER GLASS 50 ML BUAH
21 BISTURI NO 21 PCS 1 3
22 BLUE TIP BUAH
23 BOX SLIDE PCS
24 BULP PIPET UKUR BUAH
25 CATGUT CHROMIC SET 12
26 CATGUT PLAIN 3/0 SACHET
27 CAWAN PETRI 10 CM BUAH
28 CRYO TUBE PCS
29 CUVETTE SEGMENT BOX
30 DECK GLASS BUAH
31 DEVITALISASI PASTA (NON ARSEN) BOTOL
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 3
33 ETIKET RIM
34 ETIL KLORIDA SEPROT 100 ML BOTOL
35 EUGENOL CAIRAN BOTOL
36 FOLY CATETHER 16 PCS
37 FOLY CATETHER 18 PCS
38 FOOGING MASKER SINGLE FILTER BUAH
39 GELAS UKUR 100 ML BUAH
40 GLASS IONOMER CERMENT (GC IX) BOTOL 2
41 HAEMOMETER SAHLI UNIT
42 HOLDER VACUTAINER BUAH
43 ID BAND BAYI PCS
44 INFUSION SET ANAK SET
45 INFUSION SET DEWASA SET 11 10
46 IV CATHETHER 18 PCS 19
47 IV CATHETHER 20 PCS 9 16
48 IV CATHETHER 22 PCS
49 IV CATHETHER 22 WING PCS
50 IV CATHETHER 24 PCS
51 IV CATHETHER 24 WING PCS
52 IV CATHETHER 26 PCS
53 JARUM KULIT 10 LUSIN 1
54 JARUM KULIT 12 LUSIN
55 JARUM KULIT 32 LUSIN
56 JARUM KULIT 36 LUSIN
57 JARUM LANSET BOX 10
58 JARUM OTOT 32 LUSIN
59 JARUM OTOT 36 LUSIN
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 3 1
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 1
62 KAPAS PEMBALUT 100 GRAM BUNGKUS
63 KARTU GOLONGAN DARAH LBR
64 KASA +TULE 1% STERIL 10X10 LEMBAR 1 1
65 KASA 80 CM X 40 YARD ROL
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
68 KASA STERIL 16X16 CM KOTAK
69 KERTAS LENSA BUKU
70 KERTAS PH LEMBAR
71 KERTAS PUYER RIM
72 LEUKOPLAST 2.5X4.5 ROLL 14
73 LIDI STIK PAK
74 LIDI WATEN PCS
75 LUBRICAN GEL BOTOL
76 LYSOL 1 LITER BOTOL
77 MASKER DISPOSIBLE KARET BUAH
78 MASKER DISPOSIBLE TALI PCS
79 MASKER HIJAB PCS
80 MASKER N95 PCS
81 MEDIA AMIS SET
82 MICROPIPETTES 10 MICRON PCS
83 MICROPIPETTES 1000 MICRON PCS
84 MICROPIPETTES 200 MICRON PCS
85 MICROPORE 1.25 CM BUAH 3 6
86 MICROPORE 5 CM BUAH
87 MORTIR 13 CM BUAH
88 MORTIR 16 CM BUAH
89 MUCUS EXTRACTOR BUAH
90 NASAL O2 L PCS
91 NASAL O2 XS PCS
92 NEEDLE 24G SET 10
93 NEEDLE 25 G SET
94 NELATON CATETER 18/20 BUAH
95 OBJECK GLASS PCS
96 PIPET HB BUAH
97 PIPET PLASTIK 5 ML BUAH
98 PIPET UKUR 1 ML BUAH
99 PIPET UKUR 10 ML BUAH
100 PIPET UKUR 5 ML BUAH
101 PLASTIK KLIP KG
102 PLASTIK KLIP 13X8 BAL
103 PLESTER 1.25 CM ROL
104 PLESTER 4.5 CM ROL 1
105 PLESTER 5 YARD X 2 INCH ROL
106 PLESTERIN BULAT NON WOVEN BUAH
107 POT DAHAK BUAH 80
108 POT URINE BUAH
109 POVIDON IODIDA 10% 30 ML BOTOL
110 POVIDON IODIDA 60 ML BOTOL 1
111 SAFETY BOX PCS
112 SAMPLE CUP BOX
113 SARUNG TANGAN GYNECOLOG 7 PASANG
114 SARUNG TANGAN NON STERIL L PASANG 100
115 SARUNG TANGAN NON STERIL M PASANG
116 SARUNG TANGAN NON STERIL S PASANG
117 SARUNG TANGAN OBGYN STERIL PASANG
118 SARUNG TANGAN STERIL 6.5 PASANG
119 SARUNG TANGAN STERIL 7 PASANG 1 10
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL
121 SENDOK OBAT PCS
122 SILK NO 2/0 & JARUM BEDAH SACHET 6
123 SILK NO 3/0 & JARUM BEDAH SACHET
124 SPECULUM VAGINAL DISPOSABLE BUAH
125 STOMACH 18 BUAH
126 TABUNG 3 MI PCS
127 TABUNG CENTRIFUGE BUAH
128 TABUNG DURHAM BUAH
129 TABUNG EDTA PAK
130 TABUNG HB BUAH
131 TABUNG HB BUAH
132 TABUNG HEMATOKRIT KAPILER BUAH
133 TABUNG REAKSI 10 CM BUAH
134 TABUNG WESTERGEEN BUAH
135 TABUNG WINTROB BUAH
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL
137 UMBILICLEM BUAH 20
138 UNDERPAD PCS
139 UNIFLEX 4.5 M X 10 CM ROL
140 URINE BAG BUAH
141 USG GEL 250 ML BOTOL
142 VACUTAINER K3E PLUS TUBE PCS
143 VACUTAINER NEEDLE 21 G PCS
144 VACUTAINER SERUM TUBE PCS
145 VACUTAINER TUBE PLAIN 10 ML PCS
146 YELLOW TIP BUAH
147 COVER SHOES -
148 COVERALL DISPRO -
149 FACE SHIEL AKRILIK INJAK -
150 FACE SHIEL MIKA LEGION -
151 KACAMATA GOGGLE -
152 MASKER KAIN POLOS EARLOOP -
153 MASKER KAIN POLOS HEADLOP -
154 PLESTER HYPAFIX ROLL
155 - -
- -
1 AQUADEST 20 LT JERIGEN
2 ASAM ASETAT 6% 100 ML BOTOL
3 ASAM KLORIDA 0,1 N 100 ML BOTOL
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX 2
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 8 4
7 BENECHECK PLUS URIC TEST STRIP BOX 2
8 BILIRUBIN TOTAL/DIRECT SET 2
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX
10 CELL CLEAN BOTOL
11 CELLPACK SET
12 CHOLESTEROL PAKET
13 CHOLESTEROL ELLITEC SET
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL
15 CHOLESTEROL TOT+STD 4X100 ML SET
16 CLEANAC BOTOL
17 CLEANAC 3 BOTOL
18 CLEANER BOTOL
19 CLEANING KIT SET
20 CLEANSER SET
21 CONTROL DARAH SYSMEX SET
22 CONTROL SERUM SET
23 CONTROL SERUM MICROLAB SET
24 COPPER TEST BOX
25 CREATININ PLUS PAKET
26 CYANIDE TEST BOTOL
27 DENGUE IGG IGM STRIP/TEST
28 DILUENT 10 LITER BOTOL
29 DILUENT 20 LITER BOTOL
30 ETANOL 70 % 1000 ML BOTOL
31 GLUCOSA + STANDAR PAKET
32 GLUCOSA ELLITEC SET
33 GLUCOSA+STD 4X100 ML BOTOL
34 GLUKOSA HK SET
35 GLUKOSA STIK (GLUCO DR) STIK
36 HB CONTROL MICROLAB SET
37 HBA1C STIK TUBE
38 HCV VIRAL LOAD TEST
39 HDL CHOLESTEROL PAKET
40 HDL CHOLESTEROL PLUS GEN,3 SET
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL
43 HEMOLYNAC BOTOL
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE
45 ISOTONAC 3 GALON
46 KALIBRATOR C FAS LIPID PAKET
47 KONTROL PCC MULTI PAKET
48 KREATIN + STDR 200 ML SET
49 LARUTAN DRABKIN BOTOL
50 LARUTAN EDTA 10% BOTOL
51 LARUTAN ETANOL ASAM 100 ML BOTOL
52 LARUTAN ETHER ALKOHOL BOTOL
53 LARUTAN GIEMSA STAIN 100 ML BOTOL
54 LARUTAN IODIUM BOTOL
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL
56 LARUTAN KOH 10% BOTOL
57 LARUTAN METHYLEN BLUE BOTOL
58 LARUTAN NA-SITRAT 100 ML BOTOL
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL
60 LARUTAN PEWARNA RAPID BOTOL
61 LARUTAN REAGEN REES ECKER BOTOL
62 LARUTAN TURK 100 ML BOTOL
63 LDL CHOLESTEROL GEN.3 SET
64 LYZE 5 LITER BOTOL
65 LYZE 500 ML BOTOL
66 MINYAK IMERSI BOTOL
67 NARKOTES 5 PARAMETER STRIP/TEST
68 NARKOTES AMPHETAMIN STRIP/TEST
69 NARKOTES BENZODIAZEPIN STRIP/TEST
70 NARKOTES COCAIN STRIP/TEST
71 NARKOTES OPIATE STRIP/TEST
72 NARKOTES THC STRIP/TEST
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET
74 QC SOLUTION MICROLAB SET
75 RAPID 2 HIV FOKUS TEST
76 RAPID TES HBSAG TES 100
77 RAPID TES HIV 1 STRIP/TEST
78 RAPID TES HIV 2 STRIP/TEST
79 RAPID TES SIFILIS STRIP 100
80 RAPID TEST HIV 1/2 SD TEST 100
81 RAPID TEST HIV VIKIA STRIP
82 RDD ANTI HCV TEST
83 REAGEN PEWARNA GRAM BOTOL
84 REAGEN TEST GOLONGAN DARAH (A-B) SET
85 REGENT P2 TBC BTL
86 RPR SIFILIS STRIP
87 SEDIPLAST BOX
88 SERUM KONTROL HEMATOLOGI BOTOL
89 SERUM KONTROL HEMATOLOGI MEDONIC SET
90 SGOT SET
91 SGOT (2X120,2X30) BOTOL
92 SGPT SET
93 SGPT (2X120,2X30) BOTOL
94 SPIRTUS BOTOL
95 STOMATOLYZER 4DL SET
96 STOMATOLYZER 4DS SET
97 STROMATOLIZER BOTOL
98 SULFOLYSER SET
99 TEST KEHAMILAN STRIP STRIP
100 THERMAL PAPER PCS
101 TOTAL CHROMIUM BOX
102 TRIGLICERIDA + STANDAR PAKET
103 TRIGLYSERIDE SET
104 TRYGLYSERIDE+STD 4X100 ML SET
105 UREA SET
106 UREUM + STD 2X100 ML BOTOL
107 UREUM+STD 2X120 ML BOTOL
108 URIC ACID PAKET
109 URIC ACID + STD (4X100ML) BOTOL
110 URIC ACID + STD 2X120ML BOTOL
111 URIC ACID ELLITEC SET
112 URINE RAPID TEST STRIP 100
113 URINE STIK 10 PARAMETER STIRP
114 WATER ONE 1 LT BOTOL
115 WIDAL 8 PARAMETER SET
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
Mar Apr Mei Juni Juli

10 10 10
100 100 50 50

300 100 200 200

100 400

300 300
2,100 1,200 900 1,200 900

90
60 60

100 50 50 50

30 50

1 2

2,200 1,300 600 800


1,800 1,300 1,200 1,400

200 200 200 300 300

400 300 100 100


50 25 25 25 50
20

100 100

200 300 200 300 200


50 50

8 3

30
100 100

300 100 300

200
100 100

100
200

1,800 200 1,100 400 1,100


100 100 100 100

23 24
100

6 1 1 1

10 10
5,600 1,600 1,100 2,600 2,400

1,600

200 200 200 100 250

2 1 1 1 1
100

900 300 300 500 800

24 24 24 24

6
20

10 10 10

5
5 2 5
2 1

400 300 100 200


75 25

80 3

20 10 10 10 4

800 300 500 300 800

2,200 600 600 700 1,300


100 200

1,900
450

1 1
300 100 200 200 100
24 24 48 24 24

100 50 50 50
300 120 60 150 210
300 200 100 100 100

3,180 600 1,200 5,130 4,530


500 300 100 400 500

120

10 5

20 10 20

30 10

10 5
10 10

10
3,800 1,900 1,800 2,500 2,300
4 1 2
11

10 4

36

11

100

48 2

100 211 200 100 100


1 1

1
12 3

1
5 4

2 4 3 4

2 1 3 1 1
4 1

200
5 2 1 1
200 150 550 1,100 700

8 2 4 5 3

5 1 3
3
2

100

2 1 1 2
25

500 500
200

1 2
1

20

200

4
34

1
5 5 5 4
3 3 1

25

50
100

1 1
1

50

50 100

2
Agust Sept Okt Nop Des

10 10 10
50 100
2,940 30

200 200

100

600 300 300 300


600 900 900 900 3,000
700 1,100
10 100 100

50 100 50 100
2,600 3,700 3,700 3,600 3,500

1,900 1,000 1,100 900 500


1,200 1,000 1,000 1,200 500

300
15

200 300
50 75 25 75 25
2

3
10 3

100

100 200 100 100 200


50

8 1

2 4 22 7

20
100 100

200 100

200 300 200 200

400 100 100


6 2

900 700 900 800


100 100 100

24

10
50

2,200 1,700

50

2 3 6 6

250 450 100 400 250


6

1 1
100

400 500 500

24 48 24 24 24

3 2 1 8

30 10

7 7
4

25 25

500
26 10 6

500 700 500 300

900 2,000 1,100


100 200 100 300 300
200 400 200 100 400

1
100 300 400
24 24 24 48

50
180 900
100 100 100

9,030 2,250 2,130 3,000 1,500


300 600 200 500 300

10 10

20 15 30
20
10 10

10 35 5
10 20 30
20
60
1,100 3,300 3,000 2,500
1
10 40 90

4 1 11

100 300
600 800
100 100
1

100 200

20

300

300 800 401 1,600 200


1 1
1

21
3

1 4 5
3

5
3 2

2 4 2

2 3 1 3 1
1 1 1

1 1 1 2 2
200

550 450 300 600 300


150

6 5 3 5 7

300

1 6 4
25 1

10

500 300 300


300 300 300
3

6 2 3

100 100 100 100 100


2 1
7

10
10
10
10
10

100 334 48

1 1

2 2
4 5 4
3

50
100

100
100 50 100
25
1

20

50
282,658
Total Rata-Rata di bagi 12 bln

- - -
800 800 67
96 12 8
600 75 50
3,000 1,000 250
- - -
1,918 240 160
- - -
- - -
600 200 50
- - -
2,100 350 175
15,629 1,302 1,302
1,800 900 150
300 75 25
120 60 10
72 72 6
- - -
- - -
583 65 49
17,100 3,420 1,425
- - -
24 24 2
116 29 10
- - -
19 5 2
- - -
- - -
13,354 1,214 1,113
13,805 1,255 1,150
- - -
- - -
- - -
- - -
- - -
2,745 343 229
15 15 1
- - -
- - -
2,180 273 182
585 49 49
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 1 0
- - -
- - -
2 2 0
- - -
- - -
- - -
32 11 3
1 1 0
4 2 0
31 8 3
- - -
- - -
482 121 40
- - -
- - -
- - -
2,100 175 175
212 53 18
- - -
9 5 1
- - -
- - -
- - -
49 6 4
- - -
- - -
- - -
- - -
- - -
- - -
- - -
80 27 7
575 96 48
- - -
539 135 45
- - -
2,086 232 174
65 65 5
- - -
- - -
1,023 205 85
- - -
- - -
- - -
- - -
- - -
310 155 26
- - -
- - -
- - -
- - -
1,100 550 92
219 73 18
- - -
8 4 1
- - -
- - -
- - -
- - -
- - -
- - -
170 85 14
404 135 34
1 1 0
9,950 905 829
1,000 111 83
- - -
71 24 6
332 111 28
- - -
19 4 2
382 191 32
- - -
- - -
- - -
- - -
200 100 17
- - -
- - -
- - -
50 25 4
42 11 4
29,300 3,256 2,442
- - -
- - -
- - -
93 47 8
1,627 814 136
- - -
- - -
- - -
- - -
- - -
23 5 2
30 15 3
- - -
2,400 240 200
12 6 1
- - -
9 1 1
- - -
1,415 708 118
- - -
100 100 8
270 135 23
- - -
- - -
6,532 653 544
- - -
130 130 11
- - -
- - -
339 31 28
- - -
- - -
385 193 32
20 4 2
20 20 2
- - -
- - -
88 15 7
- - -
38 10 3
20 4 2
3 2 0
- - -
- - -
- - -
1,280 256 107
182 36 15
- - -
84 28 7
- - -
- - -
- - -
- - -
- - -
27 27 2
- - -
- - -
- - -
- - -
10,984 3,661 915
126 14 11
- - -
6,058 606 505
- - -
14,028 1,403 1,169
1,000 200 83
- - -
- - -
- - -
1,600 229 133
- - -
3,500 1,750 292
750 250 63
- - -
- - -
3 1 0
2,213 221 184
366 33 31
- - -
58 58 5
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
400 57 33
3,030 337 253
1,294 129 108
- - -
- - -
- - -
- - -
- - -
- - -
51,447 4,287 4,287
5,591 466 466
- - -
- - -
- - -
- - -
- - -
- - -
120 120 10
- - -
2 2 0
- - -
140 28 12
- - -
165 24 14
20 20 2
60 15 5
- - -
80 13 7
120 20 10
20 20 2
100 33 8
27,200 2,473 2,267
- - -
- - -
17 3 1
12 6 1
140 47 12
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
16 5 1
14 7 1
500 167 42
1,472 368 123
200 100 17
12 6 1
- - -
1,000 250 83
- - -
170 43 14
- - -
300 300 25
- - -
- - -
4,712 393 393
4 1 0
1 1 0
- - -
- - -
- - -
26 7 2
- - -
- - -
- - -
30 8 3
- - -
- - -
- - -
- - -
- - -
- - -
6 3 1
- - -
1 1 0
- - -
- - -
- - -
- - -
- - -
2 2 0
- - -
- - -
- - -
11 3 1
33 7 3
19 19 2
34 9 3
5 3 0
- - -
- - -
- - -
- - -
1 1 0
- - -
- - -
- - -
31 4 3
- - -
- - -
22 2 2
9 2 1
- - -
200 200 17
18 2 2
- - -
- - -
- - -
- - -
- - -
- - -
- - -
14 14 1
- - -
- - -
- - -
- - -
200 200 17
- - -
4,900 490 408
150 150 13
- - -
- - -
- - -
- - -
57 5 5
- - -
- - -
- - -
10 3 1
3 3 0
2 2 0
10 10 1
- - -
- - -
5 3 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
4 1 0
- - -
- - -
480 160 40
- - -
- - -
18 2 2
51 17 4
- - -
10 10 1
100 100 8
2,100 420 175
1,100 275 92
3 3 0
- - -
22 4 2
- - -
500 100 42
12 2 1
- - -
- - -
- - -
- - -
- - -
- - -
1 1 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47 16 4
- - -
- - -
- - -
- - -
200 200 17
- - -
- - -
- - -
- - -
14 7 1
44 22 4
10 10 1
10 10 1
10 10 1
- - -
482 161 40
- - -
- - -
- - -
- - -
- - -
2 1 0
- - -
7 2 1
44 5 4
2 2 0
2 2 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 3 1
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 1 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 1 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
50 50 4
225 75 19
- - -
- - -
250 83 21
450 90 38
25 25 2
- - -
- - -
2 1 0
2 1 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
70 35 6
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
300 75 25
- - -
2 2 0
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
REKAP PENERIMAAN 2020
UPT

NO Nama Obat Satuan Jan Feb

1 ABATE KG - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - -
3 ACYCLOVIR CREAM TUBE - 30
4 ACYCLOVIR TAB 400 TABLET - 200
5 ALBENDAZOL 400 MG TABLET - -
6 ALPRAZOLAM TABLET 0.5 MG TABLET - -
7 ALUPURINOL TAB 100 MG TABLET 500 600
8 AMBROXOL 30 MG TABLET - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - -
10 AMINOFILIN TAB 200 MG TABLET - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - -
12 AMLODIPINE 10 MG TABLET - -
13 AMLODIPINE 5 MG TABLET 1,500 2,700
14 AMOKSISILIN 500 MG TABLET - -
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - -
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - -
17 AMOXCICILLIN DROP BOTOL - -
18 AMPISILIN 1 GR INJ VIAL - -
19 ANTALGIN TAB 500 MG STRIP TABLET - -
20 ANTASIDA DOEN SUSPENSI BOTOL - -
21 ANTASIDA DOEN TAB TABLET - -
22 ANTI BAKTERI DOEN TUBE - -
23 ANTI FUNGI DOEN KOMBINASI POT - -
24 ANTI HEMMOROID DOEN SUPP - 20
25 ANTI MIGREN DOEN TABLET - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL - 20
27 ARTESUNATE INJEKSI AMP - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 2,000 1,000
30 ASAM MEFENAMAT 500MG TABLET - 3,000
31 ASAM TRANEKSAMAT TAB 500 TABLET - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - -
33 ASETOSAL TAB 80 MG TABLET - -
34 ATORVASTATIN TAB 20 MG TABLET - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - -
36 ATTAPULGITE TAB 600 MG TABLET - 700
37 AZITROMISIN TAB 500 MG TABLET - -
38 BACTIVEC 30 ML BOTOL - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - -
40 BETAHISTIN MESILATE TAB TABLET 300 400
41 BETAMETASON KRIM 0,1 % TUBE - 100
42 BISAKODIL SUP 10 MG SUPP - -
43 BISOPROLOL TAB 5 MG TABLET - -
44 BORAX GLISERIN 10% BOTOL - -
45 BROMHEXIN HCL NEBULIZER BOTOL - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - -
47 CIMETIDIN 200 MG TABLET - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - -
49 CLOPIDOGREL TAB 75 MG TABLET - -
50 CLOZAPINE TAB 25 MG TABLET - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - 1
52 CURCUMA TAB TABLET - -
53 DEHIDROARTEMISIN TABLET - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - -
55 DEKSAMETASON TAB 0,5 MG TABLET - -
56 DEVITALISASI PASTA BOTOL - -
57 DEXTROSE POWDER KG - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL - -
59 DIAZEPAM RECTAL 10MG TUBE 1 -
60 DIAZEPAM RECTAL 5MG TUBE 1 2
61 DIAZEPAM TAB 2 MG TABLET - -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - -
64 DIGOXIN TAB 0,25 MG TABLET - 100
65 DILTIAZEM HCL 30 MG TAB TABLET - -
66 DIMENHIDRINAT TAB 50 MG TABLET - -
67 DOKSISIKLIN 100MG CAP - -
68 DOMPERIDON 10 MG TABLET 200 200
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL - -
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL - -
72 ERITROMISIN KAPL 250 MG KAPLET - -
73 ERITROMISIN KAPL 500 MG KAPLET - -
74 ERITROMISIN SYRUP BOTOL - -
75 ETANOL 70% 100 ML BOTOL - -
76 EUGENOL CAIRAN 1 BOTOL - -
77 FE SYRUP BOTOL - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - -
80 FENOBARBITAL INJ 50MG/ML AMPUL - -
81 FENOBARBITAL TAB 30 MG TABLET - -
82 FENOFIBRATE 100 MG KAPS TABLET - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30 -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - -
85 FLUCONAZOLE 150 MG TABLET - -
86 FUROSEMID TAB 40 MG TABLET - 200
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - -
88 GARAM ORALIT 200 ML AIR SACHET 100 600
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - -
90 GENTAMISIN INJN AMPUL - -
91 GENTAMISIN SALEP KULIT TUBE - -
92 GLIBENKLAMID TAB 5 MG TABLET - -
93 GLIMEPIRIDE TAB 1 MG TABLET - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - -
100 HALOPERIDOL TAB 0,5 MG TABLET - -
101 HALOPERIDOL TAB 1,5 MG TABLET - -
102 HALOPERIDOL TAB 5 MG TABLET - -
103 HEMAFORT TAB TABLET 800 -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET - -
105 HIDROKORTISON KRIM 2.5% TUBE - -
106 IBUPROFEN SUP 125 MG SUP - -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - -
109 IBUPROFEN TAB 200 MG TABLET - -
110 IBUPROFEN TAB 400 MG TABLET - -
111 ISONIAZID TAB 300 MG TABLET - -
112 ISONIAZIDE 100 MG TABLET - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - 200
115 KALSIUM HIDROKSIDA PASTA TUBE 1 -
116 KALSIUM LAKTAT TAB 500 MG TABLET 2,000 -
117 KARBAMAZEPIN TAB 200 MG TABLET 100 200
118 KARBAZOKROM NA SULFONAT TAB TABLET - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL - -
120 KATOPRIL 25MG TABLET - -
121 KATOPRIL TAB 12.5 MG TABLET - -
122 KETOKONAZOL KRIM 2% TUBE - -
123 KETOKONAZOL TAB 200 MG TABLET - -
124 KETOPROFEN SUPP 100 MG SUPP - -
125 KETOROLAC INJ 30 MG AMPUL - -
126 KLINDAMISIN 300 MG KAPSUL - -
127 KLORAMFENICOL SUSPENSI BOTOL - -
128 KLORAMFENIKOL KAPS KAPSUL 100 100
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL 50 -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 20 -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 5,200 7,000
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - -
137 KODEIN TAB 10 MG TABLET - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - -
142 KUININ KINA TAB 200 MG TABLET - -
143 LAXADINE EMULSI 30 ML BOTOL - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - -
145 LIDOKAIN INJ 2% AMPUL - 30
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL - 30
147 LIDOKAIN JELLY 2% TUBE - -
148 LORATADIN TAB 10MG TABLET - 300
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL 6 -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - -
151 MB DEWASA PAKET 1 -
152 MEROPENEM INJ 1 GR VIAL - -
153 METFORMIN 500 MG TABLET 500 -
154 METFROMIN 850 MG TABLET - -
155 METILDOPA TAB 250 MG TABLET - -
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - -
158 METILPREDNISOLON INJ 125MG VIAL - -
159 METILPREDNISOLON TAB 4 MG TABLET 2,000 -
160 METOCLOPRAMIDE 10 MG TABLET - -
161 METOCLOPRAMIDE 5 MG TABLET - -
162 METRONIDAZOL 500 MG TABLET - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - -
164 MICONAZOLE CREAM TUBE 48 48
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - -
166 NAT DIKLOFENAC 50MG TABLET - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 200 -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - -
169 NATRIUM TIROKSIN TABLET TABLET - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - -
171 NIFEDIPINE 10 MG TABLET - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 40 -
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - -
174 OAT FDC KATAGORI 1 PAKET 19 -
175 OAT FDC KATAGORI ANAK PAKET 2 2
176 OAT FDC KATAGORI II PAKET - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - -
179 OBAT BATUK PILEK SYRUP BOTOL - -
180 OBAT BATUK PILEK TAB TABLET 800 -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE - 75
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 10 -
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - -
186 ONDANCENTRON 4 MG INJ AMPUL - -
187 ONDANSETRON TABLET 8 MG TABLET - -
188 OSELTAMIVIR KAP KAPSUL - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - -
191 PARASETAMOL DROP BOTOL - -
192 PARASETAMOL INFUS BOTOL - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - -
194 PARASETAMOL TAB 500 MG STRIP TABLET 10,000 -
195 PERMETRIN KRIM 5 % TUBE 90 -
196 PIRANTEL PAMOAT SUSP BOTOL - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET - -
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - -
199 PIROXICAM 10 MG TABLET 2,000 1,000
200 PREDNISON TAB 5 MG TABLET - -
201 PRIMAKUIN TAB 15 MG TABLET - -
202 PYRAZINAMIDE 500 MG AMPUL - -
203 RANITIDIN INJ AMPUL - -
204 RANITIDINE TAB 150 MG TABLET - -
205 RDT MALARIA TEST - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL 1,600 -
207 RETINOL 100.000 IU KAPSUL 250 50
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - -
209 RISPERIDON TAB 2 MG TABLET - -
210 SALBUTAMOL CAIRAN IH NEB - 20
211 SALBUTAMOL TAB 2 MG TABLET - 200
212 SALEP 2-4 KOMBINASI POT - 48
213 SALEP LUKA BAKAR TUBE - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - -
216 SEFADROKSIL SYR 125 MG BOTOL - -
217 SEFADROKSIL SYR 250 MG BOTOL - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - -
220 SEFOTAXIM INJ 1 GR VIAL - -
221 SEFTRIAKSON INJ 1 GRM VIAL - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - -
223 SETIRIZIN SYRUP BOTOL 150 50
224 SIMVASTATIN 10 MG TABLET 750 510
225 SIPROFLOKSASIN 500 MG TABLET - -
226 SIPROFLOKSASIN INFUS 2 % BOTOL - -
227 SPIRONOLACTON TAB 100 MG TABLET - -
228 SPIRONOLACTON TAB 25MG TABLET - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - -
230 SUKRALFAT SUSPENSI BOTOL - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - -
232 TAB TAMBAH DARAH TABLET 14,100 7,320
233 TABLET ZINK DISPERTSIBLE TABLET 1,200 1,000
234 TABURIA SACHET - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - -
236 TETRASIKLIN KAPS 250 MG #N/A - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - -
239 TRAMADOL INJ 50 MG/ML AMPUL - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
242 TUBERKULIN TEST VIAL 2 -
243 VAKSIN ANTI RABIES (VAR) VIAL - -
244 VAKSIN BCG VIAL 5 100
245 VAKSIN CAMPAK VIAL - -
246 VAKSIN DPT-HB/HIB VIAL 20 30
247 VAKSIN DT VIAL - -
248 VAKSIN HB UNIJECT POUCH - -
249 VAKSIN HEPATITIS POUCH - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL 5 10
251 VAKSIN POLIO (BOPV) VIAL 20 20
252 VAKSIN POLIO IPV 5 DS VIAL - -
253 VAKSIN TD VIAL 10 20
254 VITAMIN B KOMPLEX TAB #N/A 4,000 2,000
255 VITAMIN NEUROTROPIK TABLET - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - -
257 WIDA BES ASETAT RINGER INFUS BOTOL - -
258 VAKSIN MENINGITIS (WALVAX) - - -
259 OSELTAMIVIR TAB - - -
260 MASKER FFP2 NR - - -
261 MASKER KAIN - - -
262 - - - -
263 - - - -
264 - - - -
265 - - - -
266 - - - -
267 - - - -
268 - - - -
269 - - - -
270 - - - -
271 - - - -
272 - - - -
273 - - - -
274 - - - -
275 - - - -
276 - - - -
277 - - - -
278 - - - -
279 - - - -
280 - - - -
281 - - - -
282 - - - -
283 - - - -
- - - -
1 ABBOCATH 18 G PCS - -
2 ABBOCATH 20 PCS - -
3 ADS 0.05 ML PCS - 100
4 ADS 0.5 ML PCS - 500
5 ADS 5 ML PCS - -
6 ALAT SUNTIK 1 ML PCS - -
7 ALAT SUNTIK 10 ML PCS - -
8 ALAT SUNTIK 3 ML PCS - 500
9 ALAT SUNTIK 3ML BD PCS - -
10 ALAT SUNTIK 5 ML PCS - -
11 ALAT SUNTIK 50 ML PCS - -
12 ALAT SUNTIK BD 1ML PCS - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - -
14 ALKOHOL 70 % 100 ML BUAH - -
15 ALKOHOL SWAB PCS - 500
16 ANIOSGEL 85 5 LT GALON - -
17 ANIOSGEL 85 500 ML BOTOL - -
18 BATANG PENGADUK 10 CM BUAH - -
19 BATANG PENGADUK 30 CM BUAH - -
20 BEAKER GLASS 50 ML BUAH - -
21 BISTURI NO 21 PCS - -
22 BLUE TIP BUAH - -
23 BOX SLIDE PCS - -
24 BULP PIPET UKUR BUAH - -
25 CATGUT CHROMIC SET 12 12
26 CATGUT PLAIN 3/0 SACHET - -
27 CAWAN PETRI 10 CM BUAH - -
28 CRYO TUBE PCS - -
29 CUVETTE SEGMENT BOX - -
30 DECK GLASS BUAH - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - -
33 ETIKET RIM - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL - 2
35 EUGENOL CAIRAN BOTOL - -
36 FOLY CATETHER 16 PCS - -
37 FOLY CATETHER 18 PCS - -
38 FOOGING MASKER SINGLE FILTER BUAH - -
39 GELAS UKUR 100 ML BUAH - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - 2
41 HAEMOMETER SAHLI UNIT - -
42 HOLDER VACUTAINER BUAH - -
43 ID BAND BAYI PCS - -
44 INFUSION SET ANAK SET - -
45 INFUSION SET DEWASA SET - -
46 IV CATHETHER 18 PCS - -
47 IV CATHETHER 20 PCS - -
48 IV CATHETHER 22 PCS - -
49 IV CATHETHER 22 WING PCS - -
50 IV CATHETHER 24 PCS - -
51 IV CATHETHER 24 WING PCS - -
52 IV CATHETHER 26 PCS - -
53 JARUM KULIT 10 LUSIN - 1
54 JARUM KULIT 12 LUSIN - -
55 JARUM KULIT 32 LUSIN - -
56 JARUM KULIT 36 LUSIN - -
57 JARUM LANSET BOX - 4
58 JARUM OTOT 32 LUSIN - -
59 JARUM OTOT 36 LUSIN - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS 4 2
61 KAPAS PEMBALUT 100 GRAM BUNGKUS 2 2
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - -
63 KARTU GOLONGAN DARAH LBR - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR - 5
65 KASA 80 CM X 40 YARD ROL - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - -
68 KASA STERIL 16X16 CM KOTAK - -
69 KERTAS LENSA BUKU - -
70 KERTAS PH LEMBAR - -
71 KERTAS PUYER RIM - -
72 LEUKOPLAST 2.5X4.5 ROLL - -
73 LIDI STIK PAK - -
74 LIDI WATEN PCS - -
75 LUBRICAN GEL BOTOL - 1
76 LYSOL 1 LITER BOTOL - -
77 MASKER DISPOSIBLE KARET BUAH - -
78 MASKER DISPOSIBLE TALI PCS - -
79 MASKER HIJAB PCS - -
80 MASKER N95 PCS - -
81 MEDIA AMIS SET - -
82 MICROPIPETTES 10 MICRON PCS - -
83 MICROPIPETTES 1000 MICRON PCS - -
84 MICROPIPETTES 200 MICRON PCS - -
85 MICROPORE 1.25 CM BUAH 5 12
86 MICROPORE 5 CM BUAH - -
87 MORTIR 13 CM BUAH - -
88 MORTIR 16 CM BUAH - -
89 MUCUS EXTRACTOR BUAH - -
90 NASAL O2 L PCS - -
91 NASAL O2 XS PCS - -
92 NEEDLE 24G SET - -
93 NEEDLE 25 G SET - -
94 NELATON CATETER 18/20 BUAH - -
95 OBJECK GLASS PCS - -
96 PIPET HB BUAH - -
97 PIPET PLASTIK 5 ML BUAH - -
98 PIPET UKUR 1 ML BUAH - -
99 PIPET UKUR 10 ML BUAH - -
100 PIPET UKUR 5 ML BUAH - -
101 PLASTIK KLIP KG - -
102 PLASTIK KLIP 13X8 BAL - -
103 PLESTER 1.25 CM ROL - -
104 PLESTER 4.5 CM ROL - -
105 PLESTER 5 YARD X 2 INCH ROL - -
106 PLESTERIN BULAT NON WOVEN BUAH - -
107 POT DAHAK BUAH - 80
108 POT URINE BUAH - -
109 POVIDON IODIDA 10% 30 ML BOTOL - -
110 POVIDON IODIDA 60 ML BOTOL - -
111 SAFETY BOX PCS - -
112 SAMPLE CUP BOX - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - -
114 SARUNG TANGAN NON STERIL L PASANG - -
115 SARUNG TANGAN NON STERIL M PASANG - -
116 SARUNG TANGAN NON STERIL S PASANG - -
117 SARUNG TANGAN OBGYN STERIL PASANG - -
118 SARUNG TANGAN STERIL 6.5 PASANG - -
119 SARUNG TANGAN STERIL 7 PASANG 10 -
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - -
121 SENDOK OBAT PCS - -
122 SILK NO 2/0 & JARUM BEDAH SACHET - -
123 SILK NO 3/0 & JARUM BEDAH SACHET - -
124 SPECULUM VAGINAL DISPOSABLE BUAH - -
125 STOMACH 18 BUAH - -
126 TABUNG 3 MI PCS - -
127 TABUNG CENTRIFUGE BUAH - -
128 TABUNG DURHAM BUAH - -
129 TABUNG EDTA PAK - -
130 TABUNG HB BUAH - -
131 TABUNG HB BUAH - -
132 TABUNG HEMATOKRIT KAPILER BUAH - -
133 TABUNG REAKSI 10 CM BUAH - -
134 TABUNG WESTERGEEN BUAH - -
135 TABUNG WINTROB BUAH - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
137 UMBILICLEM BUAH - 20
138 UNDERPAD PCS - -
139 UNIFLEX 4.5 M X 10 CM ROL - -
140 URINE BAG BUAH - -
141 USG GEL 250 ML BOTOL - -
142 VACUTAINER K3E PLUS TUBE PCS 100 100
143 VACUTAINER NEEDLE 21 G PCS - -
144 VACUTAINER SERUM TUBE PCS - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - -
146 YELLOW TIP BUAH - -
147 COVER SHOES - - -
148 COVERALL DISPRO - - -
149 FACE SHIEL AKRILIK INJAK - - -
150 FACE SHIEL MIKA LEGION - - -
151 KACAMATA GOGGLE - - -
152 MASKER KAIN POLOS EARLOOP - - -
153 MASKER KAIN POLOS HEADLOP - - -
154 PLESTER HYPAFIX ROLL - -
155 - - - -
- - - -
1 AQUADEST 20 LT JERIGEN - -
2 ASAM ASETAT 6% 100 ML BOTOL - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX 8 4
7 BENECHECK PLUS URIC TEST STRIP BOX 2 -
8 BILIRUBIN TOTAL/DIRECT SET - 2
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - -
10 CELL CLEAN BOTOL - -
11 CELLPACK SET - -
12 CHOLESTEROL PAKET - -
13 CHOLESTEROL ELLITEC SET - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - -
16 CLEANAC BOTOL - -
17 CLEANAC 3 BOTOL - -
18 CLEANER BOTOL - -
19 CLEANING KIT SET - -
20 CLEANSER SET - -
21 CONTROL DARAH SYSMEX SET - -
22 CONTROL SERUM SET - -
23 CONTROL SERUM MICROLAB SET - -
24 COPPER TEST BOX - -
25 CREATININ PLUS PAKET - -
26 CYANIDE TEST BOTOL - -
27 DENGUE IGG IGM STRIP/TEST - -
28 DILUENT 10 LITER BOTOL - -
29 DILUENT 20 LITER BOTOL - -
30 ETANOL 70 % 1000 ML BOTOL - -
31 GLUCOSA + STANDAR PAKET - -
32 GLUCOSA ELLITEC SET - -
33 GLUCOSA+STD 4X100 ML BOTOL - -
34 GLUKOSA HK SET - -
35 GLUKOSA STIK (GLUCO DR) STIK - -
36 HB CONTROL MICROLAB SET - -
37 HBA1C STIK TUBE - -
38 HCV VIRAL LOAD TEST - -
39 HDL CHOLESTEROL PAKET - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - -
43 HEMOLYNAC BOTOL - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - -
45 ISOTONAC 3 GALON - -
46 KALIBRATOR C FAS LIPID PAKET - -
47 KONTROL PCC MULTI PAKET - -
48 KREATIN + STDR 200 ML SET - -
49 LARUTAN DRABKIN BOTOL - -
50 LARUTAN EDTA 10% BOTOL - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - -
52 LARUTAN ETHER ALKOHOL BOTOL - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - -
54 LARUTAN IODIUM BOTOL - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - -
56 LARUTAN KOH 10% BOTOL - -
57 LARUTAN METHYLEN BLUE BOTOL - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - -
60 LARUTAN PEWARNA RAPID BOTOL - -
61 LARUTAN REAGEN REES ECKER BOTOL - -
62 LARUTAN TURK 100 ML BOTOL - -
63 LDL CHOLESTEROL GEN.3 SET - -
64 LYZE 5 LITER BOTOL - -
65 LYZE 500 ML BOTOL - -
66 MINYAK IMERSI BOTOL - -
67 NARKOTES 5 PARAMETER STRIP/TEST - -
68 NARKOTES AMPHETAMIN STRIP/TEST - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - -
70 NARKOTES COCAIN STRIP/TEST - -
71 NARKOTES OPIATE STRIP/TEST - -
72 NARKOTES THC STRIP/TEST - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - -
74 QC SOLUTION MICROLAB SET - -
75 RAPID 2 HIV FOKUS TEST - -
76 RAPID TES HBSAG TES - 100
77 RAPID TES HIV 1 STRIP/TEST - -
78 RAPID TES HIV 2 STRIP/TEST - -
79 RAPID TES SIFILIS STRIP 100 -
80 RAPID TEST HIV 1/2 SD TEST - 100
81 RAPID TEST HIV VIKIA STRIP - -
82 RDD ANTI HCV TEST - -
83 REAGEN PEWARNA GRAM BOTOL - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - -
85 REGENT P2 TBC BTL - -
86 RPR SIFILIS STRIP - -
87 SEDIPLAST BOX - -
88 SERUM KONTROL HEMATOLOGI BOTOL - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - -
90 SGOT SET - -
91 SGOT (2X120,2X30) BOTOL - -
92 SGPT SET - -
93 SGPT (2X120,2X30) BOTOL - -
94 SPIRTUS BOTOL - -
95 STOMATOLYZER 4DL SET - -
96 STOMATOLYZER 4DS SET - -
97 STROMATOLIZER BOTOL - -
98 SULFOLYSER SET - -
99 TEST KEHAMILAN STRIP STRIP - -
100 THERMAL PAPER PCS - -
101 TOTAL CHROMIUM BOX - -
102 TRIGLICERIDA + STANDAR PAKET - -
103 TRIGLYSERIDE SET - -
104 TRYGLYSERIDE+STD 4X100 ML SET - -
105 UREA SET - -
106 UREUM + STD 2X100 ML BOTOL - -
107 UREUM+STD 2X120 ML BOTOL - -
108 URIC ACID PAKET - -
109 URIC ACID + STD (4X100ML) BOTOL - -
110 URIC ACID + STD 2X120ML BOTOL - -
111 URIC ACID ELLITEC SET - -
112 URINE RAPID TEST STRIP - -
113 URINE STIK 10 PARAMETER STIRP - -
114 WATER ONE 1 LT BOTOL - -
115 WIDAL 8 PARAMETER SET - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - -
117 - - - -
118 - - - -
119 - - - -
120 - - - -
121 - - - -
122 - - - -
123 - - - -
124 - - - -
125 - - - -
126 - - - -
Mar Apr Mei Juni Juli

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10 - - 20 -
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30 - - - -
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400 - - - 300
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900 3,000 - 1,200 900
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- 240 - 120 -
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300 100 - - 100
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10 - 40 - -
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3,000 5,000 - - -
500 2,000 - 600 800
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500 - - - 500
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600 100 - - -
75 - - 50 50
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100 300 400 300 300
100 50 - - -
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100 - - - -
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- 200 - 200 200
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- 100 - - -
100 - - - -
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500 1,300 - - 2,000
100 100 100 100 200
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48 - - 48 -
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- - 10 - -
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8,100 5,000 - - 1,000
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30 - - - -
30 - - - -
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- 500 - 500 -
6 - - - -
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2 1 1 1 1
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24 48 - 48 48
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- - - 15 -
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- - - 20 -
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5 - - - -
5 2 - - 5
- 2 - - 1
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50 50 - - -
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70 20 - - -
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100 - 600 - 500
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3,000 1,300 - 500 1,000
- - - 300 -
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- - - 500 500
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- - - - 1,900
- - - - 450
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- 400 500 - -
- 24 24 120 -
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50 100 - 50 -
510 300 - - -
- 200 300 - -
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6,480 - - 8,640 6,480
- 600 - 200 600
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- - 10 - 5
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- 20 10 - 20
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- 30 10 - -
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- - 10 - 5
- 10 - - 10
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- 10 - - -
7,000 2,300 - 1,000 4,000
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6 - - - -
- 11 - - -
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10 - - - -
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- - - - 300
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500 11 500 - -
1 - - - 1
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12 - - - -
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4 2 - 3 4
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3 2 - 3 3
2 3 - - 3
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10 - - - -
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200 450 250 1,100 700
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12 - - 17 10
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5 - - - -
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3 - - - -
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200 - - - -
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5 5 - 5 4
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4 2 - - 1
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- - - - -
- - - 50 -
- - - - 100
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- - - - -
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- - - 1 -
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50 - - - -
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50 - - - 100
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2 - - - -
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Agust Sept Okt Nop Des

- - - - -
- - - - -
- - - - 10
- - 100 - -
- 2,940 - - 200
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
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900 1,800 300 300 1,500
- - - 5,000 -
100 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 50 100 -
8,000 - 3,000 3,500 3,000
- - - - -
- - - - -
- - - - -
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- - - - -
- - - - -
- - - - -
- - - - 3,000
2,500 1,000 1,000 1,000 -
- - - - -
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60 - - - 45
- - - - -
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- - 500 200 -
50 75 50 50 50
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- - 5 - -
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- - 200 - -
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- - - - -
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300 - - 200 -
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- 10 - - -
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12 - 12 10 10
- - - - -
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- - - - -
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100 - - - 200
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- 200 300 200 200
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- - 500 - 400
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1,000 - - - 200
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10 - 10 - -
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500 - 600 300 200
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1 1 - - -
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10 - - - -
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700 500 - 1,000 500
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2,000 - - - -
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300 500 - 400 -
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200 200 - - -
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4,320 - 3,000 6,900 -
500 500 500 - 500
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10 - - 10 -
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- 20 15 30 -
- - - 20 -
- 10 - 10 -
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10 35 - 5 -
10 20 - 30 -
- - 20 - -
- - - 60 -
2,000 - - 6,000 2,500
- - - - -
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50 - - - 90
- - - - 25
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100 - - 100 -
- 400 200 800 -
100 100 - - -
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300 - - - -
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300 600 701 1,700 -
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1 - - - -
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550 450 300 600 600
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25 - - 1 -
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500 - - 250 -
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12 - - - -
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100 - 50 - 100
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- - - - -
1 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 20 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - 50 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
273,182
Total

-
-
70
500
3,170
-
1,800
-
-
100
-
2,100
15,000
5,000
400
360
-
-
-
650
20,000
-
-
70
-
20
-
-
14,000
12,400
-
-
-
-
-
1,700
105
-
-
2,100
550
-
-
-
-
-
-
-
-
-
1
-
-
5
-
-
-
-
1
8
-
-
5
400
-
-
-
2,300
200
-
10
-
-
-
54
-
-
-
-
-
-
-
40
400
-
500
-
2,200
-
-
-
900
-
-
-
-
-
-
-
-
-
-
800
100
-
-
-
-
-
-
-
-
100
300
1
7,000
1,000
-
96
-
-
30
-
-
-
-
-
200
-
-
-
50
20
26,300
-
-
-
-
-
-
-
-
-
-
60
60
-
2,900
12
-
9
-
500
-
200
-
-
-
2,000
-
-
-
-
360
-
-
200
25
-
-
-
110
-
38
20
3
-
-
-
800
225
-
100
-
-
-
-
-
-
-
-
-
-
10,500
170
-
3,900
-
10,800
1,200
-
-
-
2,200
-
3,500
750
-
-
20
1,600
336
-
-
-
-
-
-
-
-
-
500
400
2,670
900
-
-
-
-
-
-
57,240
5,600
-
-
-
-
-
-
-
-
2
-
140
-
165
20
60
-
80
120
20
100
30,800
-
-
6
12
140
25
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10
300
1,900
200
12
20
1,100
-
-
-
-
-
-
4,812
4
1
-
-
-
-
-
-
-
36
-
-
-
-
-
-
6
-
4
-
-
-
-
-
2
-
-
-
11
10
-
5
-
-
-
-
-
1
-
-
-
25
-
-
29
16
-
200
15
-
-
-
-
-
-
-
-
-
-
1
-
200
-
5,200
150
-
-
-
-
56
-
-
-
5
-
-
-
-
-
5
-
-
-
-
-
-
-
10
5
-
3
480
-
-
16
51
-
10
-
2,100
1,100
3
-
27
-
750
5
12
-
-
-
-
-
1
-
-
-
-
-
-
-
20
-
-
-
-
200
-
-
-
-
14
144
10
10
10
3,500
3,800
-
-
-
-
-
2
-
5
44
2
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50
225
-
-
250
450
25
-
-
2
2
-
-
-
-
-
-
-
-
-
-
-
-
-
70
-
-
-
-
-
-
-
-
-
-
-
-
200
-
2
-
-
-
-
-
-
-
-
-
-
-
-
STOK OFNAME PUSKESMAS 2020
UPT

NO Nama Obat Satuan Stok Awal 01 Penerimaan 2020


Januari 2020

1 ABATE KG - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL 800 -
3 ACYCLOVIR CREAM TUBE 36 70
4 ACYCLOVIR TAB 400 TABLET 200 500
5 ALBENDAZOL 400 MG TABLET 30 3,170
6 ALPRAZOLAM TABLET 0.5 MG TABLET - -
7 ALUPURINOL TAB 100 MG TABLET 118 1,800
8 AMBROXOL 30 MG TABLET - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - -
10 AMINOFILIN TAB 200 MG TABLET 500 100
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - -
12 AMLODIPINE 10 MG TABLET - 2,100
13 AMLODIPINE 5 MG TABLET 629 15,000
14 AMOKSISILIN 500 MG TABLET - 5,000
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - 400
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - 360
17 AMOXCICILLIN DROP BOTOL 72 -
18 AMPISILIN 1 GR INJ VIAL - -
19 ANTALGIN TAB 500 MG STRIP TABLET - -
20 ANTASIDA DOEN SUSPENSI BOTOL 33 650
21 ANTASIDA DOEN TAB TABLET - 20,000
22 ANTI BAKTERI DOEN TUBE - -
23 ANTI FUNGI DOEN KOMBINASI POT 72 -
24 ANTI HEMMOROID DOEN SUPP 46 70
25 ANTI MIGREN DOEN TABLET - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL 13 20
27 ARTESUNATE INJEKSI AMP - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET 1,854 14,000
30 ASAM MEFENAMAT 500MG TABLET 2,605 12,400
31 ASAM TRANEKSAMAT TAB 500 TABLET - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - -
33 ASETOSAL TAB 80 MG TABLET - -
34 ATORVASTATIN TAB 20 MG TABLET - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - -
36 ATTAPULGITE TAB 600 MG TABLET 1,045 1,700
37 AZITROMISIN TAB 500 MG TABLET - 105
38 BACTIVEC 30 ML BOTOL - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - -
40 BETAHISTIN MESILATE TAB TABLET 280 2,100
41 BETAMETASON KRIM 0,1 % TUBE 160 550
42 BISAKODIL SUP 10 MG SUPP - -
43 BISOPROLOL TAB 5 MG TABLET - -
44 BORAX GLISERIN 10% BOTOL - -
45 BROMHEXIN HCL NEBULIZER BOTOL - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - -
47 CIMETIDIN 200 MG TABLET - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - -
49 CLOPIDOGREL TAB 75 MG TABLET - -
50 CLOZAPINE TAB 25 MG TABLET - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - 1
52 CURCUMA TAB TABLET - -
53 DEHIDROARTEMISIN TABLET - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - 5
55 DEKSAMETASON TAB 0,5 MG TABLET - -
56 DEVITALISASI PASTA BOTOL - -
57 DEXTROSE POWDER KG - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 45 -
59 DIAZEPAM RECTAL 10MG TUBE - 1
60 DIAZEPAM RECTAL 5MG TUBE 1 8
61 DIAZEPAM TAB 2 MG TABLET 88 -
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - 5
64 DIGOXIN TAB 0,25 MG TABLET 182 400
65 DILTIAZEM HCL 30 MG TAB TABLET - -
66 DIMENHIDRINAT TAB 50 MG TABLET - -
67 DOKSISIKLIN 100MG CAP - -
68 DOMPERIDON 10 MG TABLET - 2,300
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL 112 200
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL 3 10
72 ERITROMISIN KAPL 250 MG KAPLET - -
73 ERITROMISIN KAPL 500 MG KAPLET - -
74 ERITROMISIN SYRUP BOTOL - -
75 ETANOL 70% 100 ML BOTOL 11 54
76 EUGENOL CAIRAN 1 BOTOL - -
77 FE SYRUP BOTOL - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - -
80 FENOBARBITAL INJ 50MG/ML AMPUL 40 -
81 FENOBARBITAL TAB 30 MG TABLET - -
82 FENOFIBRATE 100 MG KAPS TABLET - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL 30 40
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET 275 400
85 FLUCONAZOLE 150 MG TABLET - -
86 FUROSEMID TAB 40 MG TABLET 239 500
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - -
88 GARAM ORALIT 200 ML AIR SACHET 386 2,200
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL 65 -
90 GENTAMISIN INJN AMPUL - -
91 GENTAMISIN SALEP KULIT TUBE - -
92 GLIBENKLAMID TAB 5 MG TABLET 423 900
93 GLIMEPIRIDE TAB 1 MG TABLET - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET 310 -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - -
100 HALOPERIDOL TAB 0,5 MG TABLET - -
101 HALOPERIDOL TAB 1,5 MG TABLET - -
102 HALOPERIDOL TAB 5 MG TABLET - -
103 HEMAFORT TAB TABLET 300 800
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 219 100
105 HIDROKORTISON KRIM 2.5% TUBE - -
106 IBUPROFEN SUP 125 MG SUP 14 -
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - -
109 IBUPROFEN TAB 200 MG TABLET - -
110 IBUPROFEN TAB 400 MG TABLET - -
111 ISONIAZID TAB 300 MG TABLET - -
112 ISONIAZIDE 100 MG TABLET - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET 70 100
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 104 300
115 KALSIUM HIDROKSIDA PASTA TUBE - 1
116 KALSIUM LAKTAT TAB 500 MG TABLET 3,150 7,000
117 KARBAMAZEPIN TAB 200 MG TABLET 100 1,000
118 KARBAZOKROM NA SULFONAT TAB TABLET - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL 23 96
120 KATOPRIL 25MG TABLET 332 -
121 KATOPRIL TAB 12.5 MG TABLET - -
122 KETOKONAZOL KRIM 2% TUBE 7 30
123 KETOKONAZOL TAB 200 MG TABLET 432 -
124 KETOPROFEN SUPP 100 MG SUPP - -
125 KETOROLAC INJ 30 MG AMPUL - -
126 KLINDAMISIN 300 MG KAPSUL - -
127 KLORAMFENICOL SUSPENSI BOTOL - -
128 KLORAMFENIKOL KAPS KAPSUL - 200
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - 50
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 22 20
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET 3,000 26,300
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - -
137 KODEIN TAB 10 MG TABLET - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL 93 -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A 1,627 -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - -
142 KUININ KINA TAB 200 MG TABLET - -
143 LAXADINE EMULSI 30 ML BOTOL - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - -
145 LIDOKAIN INJ 2% AMPUL - 60
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL 30 60
147 LIDOKAIN JELLY 2% TUBE - -
148 LORATADIN TAB 10MG TABLET - 2,900
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - 12
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - -
151 MB DEWASA PAKET - 9
152 MEROPENEM INJ 1 GR VIAL - -
153 METFORMIN 500 MG TABLET 915 500
154 METFROMIN 850 MG TABLET - -
155 METILDOPA TAB 250 MG TABLET - 200
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL 270 -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - -
158 METILPREDNISOLON INJ 125MG VIAL - -
159 METILPREDNISOLON TAB 4 MG TABLET 4,532 2,000
160 METOCLOPRAMIDE 10 MG TABLET - -
161 METOCLOPRAMIDE 5 MG TABLET 130 -
162 METRONIDAZOL 500 MG TABLET - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - -
164 MICONAZOLE CREAM TUBE 51 360
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - -
166 NAT DIKLOFENAC 50MG TABLET - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET 185 200
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - 25
169 NATRIUM TIROKSIN TABLET TABLET 20 -
170 NEVIRAPINE (NVP) 200 MG BOTOL - -
171 NIFEDIPINE 10 MG TABLET - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET 18 110
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - -
174 OAT FDC KATAGORI 1 PAKET - 38
175 OAT FDC KATAGORI ANAK PAKET - 20
176 OAT FDC KATAGORI II PAKET - 3
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - -
179 OBAT BATUK PILEK SYRUP BOTOL - -
180 OBAT BATUK PILEK TAB TABLET 480 800
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE 32 225
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL 20 100
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - -
186 ONDANCENTRON 4 MG INJ AMPUL - -
187 ONDANSETRON TABLET 8 MG TABLET - -
188 OSELTAMIVIR KAP KAPSUL - -
189 PAPAVERIN HCL.40 MG TABLET TABLET 27 -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - -
191 PARASETAMOL DROP BOTOL - -
192 PARASETAMOL INFUS BOTOL - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - -
194 PARASETAMOL TAB 500 MG STRIP TABLET 484 10,500
195 PERMETRIN KRIM 5 % TUBE - 170
196 PIRANTEL PAMOAT SUSP BOTOL - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET 3,558 3,900
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - -
199 PIROXICAM 10 MG TABLET 3,228 10,800
200 PREDNISON TAB 5 MG TABLET - 1,200
201 PRIMAKUIN TAB 15 MG TABLET - -
202 PYRAZINAMIDE 500 MG AMPUL - -
203 RANITIDIN INJ AMPUL - -
204 RANITIDINE TAB 150 MG TABLET - 2,200
205 RDT MALARIA TEST - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - 3,500
207 RETINOL 100.000 IU KAPSUL - 750
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - -
209 RISPERIDON TAB 2 MG TABLET - -
210 SALBUTAMOL CAIRAN IH NEB - 20
211 SALBUTAMOL TAB 2 MG TABLET 713 1,600
212 SALEP 2-4 KOMBINASI POT 102 336
213 SALEP LUKA BAKAR TUBE - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK 58 -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - -
216 SEFADROKSIL SYR 125 MG BOTOL - -
217 SEFADROKSIL SYR 250 MG BOTOL - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - -
220 SEFOTAXIM INJ 1 GR VIAL - -
221 SEFTRIAKSON INJ 1 GRM VIAL - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - 500
223 SETIRIZIN SYRUP BOTOL - 400
224 SIMVASTATIN 10 MG TABLET 360 2,670
225 SIPROFLOKSASIN 500 MG TABLET 494 900
226 SIPROFLOKSASIN INFUS 2 % BOTOL - -
227 SPIRONOLACTON TAB 100 MG TABLET - -
228 SPIRONOLACTON TAB 25MG TABLET - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - -
230 SUKRALFAT SUSPENSI BOTOL - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - -
232 TAB TAMBAH DARAH TABLET 657 57,240
233 TABLET ZINK DISPERTSIBLE TABLET 491 5,600
234 TABURIA SACHET - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - -
236 TETRASIKLIN KAPS 250 MG #N/A - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - -
239 TRAMADOL INJ 50 MG/ML AMPUL - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET 120 -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
242 TUBERKULIN TEST VIAL - 2
243 VAKSIN ANTI RABIES (VAR) VIAL - -
244 VAKSIN BCG VIAL - 140
245 VAKSIN CAMPAK VIAL - -
246 VAKSIN DPT-HB/HIB VIAL - 165
247 VAKSIN DT VIAL - 20
248 VAKSIN HB UNIJECT POUCH - 60
249 VAKSIN HEPATITIS POUCH - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - 80
251 VAKSIN POLIO (BOPV) VIAL - 120
252 VAKSIN POLIO IPV 5 DS VIAL - 20
253 VAKSIN TD VIAL - 100
254 VITAMIN B KOMPLEX TAB #N/A - 30,800
255 VITAMIN NEUROTROPIK TABLET - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - -
257 WIDA BES ASETAT RINGER INFUS BOTOL 15 6
258 VAKSIN MENINGITIS (WALVAX) 0 - 12
259 OSELTAMIVIR TAB 0 - 140
260 MASKER FFP2 NR 0 - 25
261 MASKER KAIN 0 - 50
262 0 0 - -
263 0 0 - -
264 0 0 - -
265 0 0 - -
266 0 0 - -
267 0 0 - -
268 0 0 - -
269 0 0 - -
270 0 0 - -
271 0 0 - -
272 0 0 - -
273 0 0 - -
274 0 0 - -
275 0 0 - -
276 0 0 - -
277 0 0 - -
278 0 0 - -
279 0 0 - -
280 0 0 - -
281 0 0 - -
282 0 0 - -
283 0 0 - -
0 0 - -
1 ABBOCATH 18 G PCS - -
2 ABBOCATH 20 PCS - 10
3 ADS 0.05 ML PCS 100 300
4 ADS 0.5 ML PCS 36 1,900
5 ADS 5 ML PCS - 200
6 ALAT SUNTIK 1 ML PCS - 12
7 ALAT SUNTIK 10 ML PCS - 20
8 ALAT SUNTIK 3 ML PCS 100 1,100
9 ALAT SUNTIK 3ML BD PCS - -
10 ALAT SUNTIK 5 ML PCS 100 -
11 ALAT SUNTIK 50 ML PCS - -
12 ALAT SUNTIK BD 1ML PCS 300 -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - -
14 ALKOHOL 70 % 100 ML BUAH - -
15 ALKOHOL SWAB PCS 300 4,812
16 ANIOSGEL 85 5 LT GALON - 4
17 ANIOSGEL 85 500 ML BOTOL - 1
18 BATANG PENGADUK 10 CM BUAH - -
19 BATANG PENGADUK 30 CM BUAH - -
20 BEAKER GLASS 50 ML BUAH - -
21 BISTURI NO 21 PCS 38 -
22 BLUE TIP BUAH - -
23 BOX SLIDE PCS - -
24 BULP PIPET UKUR BUAH - -
25 CATGUT CHROMIC SET - 36
26 CATGUT PLAIN 3/0 SACHET 17 -
27 CAWAN PETRI 10 CM BUAH - -
28 CRYO TUBE PCS - -
29 CUVETTE SEGMENT BOX - -
30 DECK GLASS BUAH - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL 3 6
33 ETIKET RIM - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL - 4
35 EUGENOL CAIRAN BOTOL - -
36 FOLY CATETHER 16 PCS 1 -
37 FOLY CATETHER 18 PCS - -
38 FOOGING MASKER SINGLE FILTER BUAH - -
39 GELAS UKUR 100 ML BUAH - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - 2
41 HAEMOMETER SAHLI UNIT - -
42 HOLDER VACUTAINER BUAH - -
43 ID BAND BAYI PCS - -
44 INFUSION SET ANAK SET 2 11
45 INFUSION SET DEWASA SET 29 10
46 IV CATHETHER 18 PCS 19 -
47 IV CATHETHER 20 PCS 29 5
48 IV CATHETHER 22 PCS - -
49 IV CATHETHER 22 WING PCS - -
50 IV CATHETHER 24 PCS 16 -
51 IV CATHETHER 24 WING PCS - -
52 IV CATHETHER 26 PCS - -
53 JARUM KULIT 10 LUSIN - 1
54 JARUM KULIT 12 LUSIN - -
55 JARUM KULIT 32 LUSIN - -
56 JARUM KULIT 36 LUSIN - -
57 JARUM LANSET BOX 6 25
58 JARUM OTOT 32 LUSIN - -
59 JARUM OTOT 36 LUSIN - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS - 29
61 KAPAS PEMBALUT 100 GRAM BUNGKUS - 16
62 KAPAS PEMBALUT 100 GRAM BUNGKUS - -
63 KARTU GOLONGAN DARAH LBR - 200
64 KASA +TULE 1% STERIL 10X10 LEMBAR 3 15
65 KASA 80 CM X 40 YARD ROL - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - -
68 KASA STERIL 16X16 CM KOTAK - -
69 KERTAS LENSA BUKU - -
70 KERTAS PH LEMBAR - -
71 KERTAS PUYER RIM - -
72 LEUKOPLAST 2.5X4.5 ROLL 14 -
73 LIDI STIK PAK - -
74 LIDI WATEN PCS - -
75 LUBRICAN GEL BOTOL - 1
76 LYSOL 1 LITER BOTOL - -
77 MASKER DISPOSIBLE KARET BUAH - 200
78 MASKER DISPOSIBLE TALI PCS - -
79 MASKER HIJAB PCS - 5,200
80 MASKER N95 PCS - 150
81 MEDIA AMIS SET - -
82 MICROPIPETTES 10 MICRON PCS - -
83 MICROPIPETTES 1000 MICRON PCS - -
84 MICROPIPETTES 200 MICRON PCS - -
85 MICROPORE 1.25 CM BUAH 4 56
86 MICROPORE 5 CM BUAH - -
87 MORTIR 13 CM BUAH - -
88 MORTIR 16 CM BUAH - -
89 MUCUS EXTRACTOR BUAH 5 5
90 NASAL O2 L PCS 3 -
91 NASAL O2 XS PCS 2 -
92 NEEDLE 24G SET 100 -
93 NEEDLE 25 G SET - -
94 NELATON CATETER 18/20 BUAH - -
95 OBJECK GLASS PCS - 5
96 PIPET HB BUAH - -
97 PIPET PLASTIK 5 ML BUAH - -
98 PIPET UKUR 1 ML BUAH - -
99 PIPET UKUR 10 ML BUAH - -
100 PIPET UKUR 5 ML BUAH - -
101 PLASTIK KLIP KG - -
102 PLASTIK KLIP 13X8 BAL - -
103 PLESTER 1.25 CM ROL - 10
104 PLESTER 4.5 CM ROL 5 5
105 PLESTER 5 YARD X 2 INCH ROL - -
106 PLESTERIN BULAT NON WOVEN BUAH - 3
107 POT DAHAK BUAH - 480
108 POT URINE BUAH - -
109 POVIDON IODIDA 10% 30 ML BOTOL - -
110 POVIDON IODIDA 60 ML BOTOL 8 16
111 SAFETY BOX PCS - 51
112 SAMPLE CUP BOX - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - 10
114 SARUNG TANGAN NON STERIL L PASANG 100 -
115 SARUNG TANGAN NON STERIL M PASANG - 2,100
116 SARUNG TANGAN NON STERIL S PASANG - 1,100
117 SARUNG TANGAN OBGYN STERIL PASANG - 3
118 SARUNG TANGAN STERIL 6.5 PASANG - -
119 SARUNG TANGAN STERIL 7 PASANG 1 27
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - -
121 SENDOK OBAT PCS - 750
122 SILK NO 2/0 & JARUM BEDAH SACHET 8 5
123 SILK NO 3/0 & JARUM BEDAH SACHET - 12
124 SPECULUM VAGINAL DISPOSABLE BUAH - -
125 STOMACH 18 BUAH - -
126 TABUNG 3 MI PCS - -
127 TABUNG CENTRIFUGE BUAH - -
128 TABUNG DURHAM BUAH - -
129 TABUNG EDTA PAK - 1
130 TABUNG HB BUAH - -
131 TABUNG HB BUAH - -
132 TABUNG HEMATOKRIT KAPILER BUAH - -
133 TABUNG REAKSI 10 CM BUAH - -
134 TABUNG WESTERGEEN BUAH - -
135 TABUNG WINTROB BUAH - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
137 UMBILICLEM BUAH 40 20
138 UNDERPAD PCS - -
139 UNIFLEX 4.5 M X 10 CM ROL - -
140 URINE BAG BUAH 7 -
141 USG GEL 250 ML BOTOL - -
142 VACUTAINER K3E PLUS TUBE PCS - 200
143 VACUTAINER NEEDLE 21 G PCS - -
144 VACUTAINER SERUM TUBE PCS - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - -
146 YELLOW TIP BUAH - -
147 COVER SHOES 0 - 14
148 COVERALL DISPRO 0 - 144
149 FACE SHIEL AKRILIK INJAK 0 - 10
150 FACE SHIEL MIKA LEGION 0 - 10
151 KACAMATA GOGGLE 0 - 10
152 MASKER KAIN POLOS EARLOOP 0 - 3,500
153 MASKER KAIN POLOS HEADLOP 0 - 3,800
154 PLESTER HYPAFIX ROLL - -
155 0 0 - -
0 0 - -
1 AQUADEST 20 LT JERIGEN - -
2 ASAM ASETAT 6% 100 ML BOTOL - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - 2
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX 2 5
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - 44
7 BENECHECK PLUS URIC TEST STRIP BOX - 2
8 BILIRUBIN TOTAL/DIRECT SET - 2
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - -
10 CELL CLEAN BOTOL - -
11 CELLPACK SET - -
12 CHOLESTEROL PAKET - -
13 CHOLESTEROL ELLITEC SET - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - -
16 CLEANAC BOTOL - -
17 CLEANAC 3 BOTOL - -
18 CLEANER BOTOL - -
19 CLEANING KIT SET - -
20 CLEANSER SET - -
21 CONTROL DARAH SYSMEX SET - -
22 CONTROL SERUM SET - -
23 CONTROL SERUM MICROLAB SET - -
24 COPPER TEST BOX - -
25 CREATININ PLUS PAKET - -
26 CYANIDE TEST BOTOL - -
27 DENGUE IGG IGM STRIP/TEST - -
28 DILUENT 10 LITER BOTOL - -
29 DILUENT 20 LITER BOTOL - -
30 ETANOL 70 % 1000 ML BOTOL - 10
31 GLUCOSA + STANDAR PAKET - -
32 GLUCOSA ELLITEC SET - -
33 GLUCOSA+STD 4X100 ML BOTOL - -
34 GLUKOSA HK SET - -
35 GLUKOSA STIK (GLUCO DR) STIK - -
36 HB CONTROL MICROLAB SET - -
37 HBA1C STIK TUBE - -
38 HCV VIRAL LOAD TEST - -
39 HDL CHOLESTEROL PAKET - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - -
43 HEMOLYNAC BOTOL - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - 1
45 ISOTONAC 3 GALON - -
46 KALIBRATOR C FAS LIPID PAKET - -
47 KONTROL PCC MULTI PAKET - -
48 KREATIN + STDR 200 ML SET - -
49 LARUTAN DRABKIN BOTOL - -
50 LARUTAN EDTA 10% BOTOL - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - -
52 LARUTAN ETHER ALKOHOL BOTOL - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - -
54 LARUTAN IODIUM BOTOL - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - -
56 LARUTAN KOH 10% BOTOL - 1
57 LARUTAN METHYLEN BLUE BOTOL - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - -
60 LARUTAN PEWARNA RAPID BOTOL - -
61 LARUTAN REAGEN REES ECKER BOTOL - -
62 LARUTAN TURK 100 ML BOTOL - -
63 LDL CHOLESTEROL GEN.3 SET - -
64 LYZE 5 LITER BOTOL - -
65 LYZE 500 ML BOTOL - -
66 MINYAK IMERSI BOTOL - -
67 NARKOTES 5 PARAMETER STRIP/TEST - -
68 NARKOTES AMPHETAMIN STRIP/TEST - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - -
70 NARKOTES COCAIN STRIP/TEST - -
71 NARKOTES OPIATE STRIP/TEST - -
72 NARKOTES THC STRIP/TEST - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - -
74 QC SOLUTION MICROLAB SET - -
75 RAPID 2 HIV FOKUS TEST - 50
76 RAPID TES HBSAG TES - 225
77 RAPID TES HIV 1 STRIP/TEST - -
78 RAPID TES HIV 2 STRIP/TEST - -
79 RAPID TES SIFILIS STRIP - 250
80 RAPID TEST HIV 1/2 SD TEST - 450
81 RAPID TEST HIV VIKIA STRIP - 25
82 RDD ANTI HCV TEST - -
83 REAGEN PEWARNA GRAM BOTOL - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - 2
85 REGENT P2 TBC BTL - 2
86 RPR SIFILIS STRIP - -
87 SEDIPLAST BOX - -
88 SERUM KONTROL HEMATOLOGI BOTOL - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - -
90 SGOT SET - -
91 SGOT (2X120,2X30) BOTOL - -
92 SGPT SET - -
93 SGPT (2X120,2X30) BOTOL - -
94 SPIRTUS BOTOL - -
95 STOMATOLYZER 4DL SET - -
96 STOMATOLYZER 4DS SET - -
97 STROMATOLIZER BOTOL - -
98 SULFOLYSER SET - -
99 TEST KEHAMILAN STRIP STRIP - 70
100 THERMAL PAPER PCS - -
101 TOTAL CHROMIUM BOX - -
102 TRIGLICERIDA + STANDAR PAKET - -
103 TRIGLYSERIDE SET - -
104 TRYGLYSERIDE+STD 4X100 ML SET - -
105 UREA SET - -
106 UREUM + STD 2X100 ML BOTOL - -
107 UREUM+STD 2X120 ML BOTOL - -
108 URIC ACID PAKET - -
109 URIC ACID + STD (4X100ML) BOTOL - -
110 URIC ACID + STD 2X120ML BOTOL - -
111 URIC ACID ELLITEC SET - -
112 URINE RAPID TEST STRIP - 200
113 URINE STIK 10 PARAMETER STIRP - -
114 WATER ONE 1 LT BOTOL - 2
115 WIDAL 8 PARAMETER SET - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - -
117 0 0 - -
118 0 0 - -
119 0 0 - -
120 0 0 - -
121 0 0 - -
122 0 0 - -
123 0 0 - -
124 0 0 - -
125 0 0 - -
126 0 0 - -
Pemakaian 2020 Stok Akhir 31 Des Cek Stok
2020

- - -
800 - -
96 10 10
600 100 100
3,000 200 200
- - -
1,918 - -
- - -
- - -
600 - -
- - -
2,100 - -
15,629 - -
1,800 3,200 3,200
300 100 100
120 240 240
72 - -
- - -
- - -
583 100 100
17,100 2,900 2,900
- - -
24 48 48
116 - -
- - -
19 14 14
- - -
- - -
13,354 2,500 2,500
13,805 1,200 1,200
- - -
- - -
- - -
- - -
- - -
2,745 - -
15 90 90
- - -
- - -
2,180 200 200
585 125 125
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 - -
- - -
- - -
2 3 3
- - -
- - -
- - -
32 13 13
1 - -
4 5 5
31 57 57
- - -
- 5 5
482 100 100
- - -
- - -
- - -
2,100 200 200
212 100 100
- - -
9 4 4
- - -
- - -
- - -
49 16 16
- - -
- - -
- - -
- - -
- 40 40
- - -
- - -
80 (10) -
575 100 100
- - -
539 200 200
- - -
2,086 500 500
65 - -
- - -
- - -
1,023 300 300
- - -
- - -
- - -
- - -
- - -
310 - -
- - -
- - -
- - -
- - -
1,100 - -
219 100 100
- - -
8 6 6
- - -
- - -
- - -
- - -
- - -
- - -
170 - -
404 - -
1 - -
9,950 200 200
1,000 100 100
- - -
71 48 48
332 - -
- - -
19 18 18
382 50 50
- - -
- - -
- - -
- - -
200 - -
- - -
- - -
- - -
50 - -
42 - -
29,300 - -
- - -
- - -
- - -
93 - -
1,627 - -
- - -
- - -
- - -
- - -
- - -
23 37 39
30 60 60
- - -
2,400 500 500
12 - -
- - -
9 - -
- - -
1,415 - -
- - -
100 100 100
270 - -
- - -
- - -
6,532 - -
- - -
130 - -
- - -
- - -
339 72 72
- - -
- - -
385 - -
20 5 5
20 - -
- - -
- - -
88 40 40
- - -
38 - -
20 - -
3 - -
- - -
- - -
- - -
1,280 - -
182 75 75
- - -
84 36 36
- - -
- - -
- - -
- - -
- - -
27 - -
- - -
- - -
- - -
- - -
10,984 - -
126 44 44
- - -
6,058 1,400 1,400
- - -
14,028 - -
1,000 200 200
- - -
- - -
- - -
1,600 600 600
- - -
3,500 - -
750 - -
- - -
- - -
3 17 17
2,213 100 100
366 72 72
- - -
58 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 500 500
400 - -
3,030 - -
1,294 100 100
- - -
- - -
- - -
- - -
- - -
- - -
51,447 6,450 6,450
5,591 500 500
- - -
- - -
- - -
- - -
- - -
- - -
120 - -
- - -
2 - -
- - -
140 - -
- - -
165 - -
20 - -
60 - -
- - -
80 - -
120 - -
20 - -
100 - -
27,200 3,600 3,600
- - -
- - -
17 4 4
12 - -
140 - -
- 25 25
- 50 50
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
16 (16) 3
14 (4) -
500 (100) -
1,472 464 -
200 - -
12 - -
- 20 20
1,000 200 300
- - -
170 (70) 30
- - -
300 - -
- - -
- - -
4,712 400 400
4 - -
1 - -
- - -
- - -
- - -
26 12 12
- - -
- - -
- - -
30 6 6
- 17 17
- - -
- - -
- - -
- - -
- - -
6 3 3
- - -
1 3 3
- - -
- 1 1
- - -
- - -
- - -
2 - -
- - -
- - -
- - -
11 2 3
33 6 6
19 - -
34 - -
5 (5) 3
- - -
- 16 16
- - -
- - -
1 - -
- - -
- - -
- - -
31 - -
- - -
- - -
22 7 7
9 7 7
- - -
200 - -
18 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
14 - -
- - -
- - -
- 1 1
- - -
200 - -
- - -
4,900 300 300
150 - -
- - -
- - -
- - -
- - -
57 3 3
- - -
- - -
- - -
10 - -
3 - -
2 - -
10 90 90
- - -
- - -
5 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 10 10
4 6 6
- - -
- 3 3
480 - -
- - -
- - -
18 6 6
51 - -
- - -
10 - -
100 - -
2,100 - -
1,100 - -
3 - -
- - -
22 6 6
- - -
500 250 250
12 1 1
- 12 12
- - -
- - -
- - -
- - -
- - -
1 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47 13 13
- - -
- - -
- 7 7
- - -
200 - -
- - -
- - -
- - -
- - -
14 - -
44 100 100
10 - -
10 - -
10 - -
- 3,500 3,500
482 3,318 3,318
- - -
- - -
- - -
- - -
- - -
2 - -
- - -
7 - -
44 - -
2 - -
2 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
50 - -
225 - -
- - -
- - -
250 - -
450 - -
25 - -
- - -
- - -
2 - -
2 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
70 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
300 (100) -
- - -
2 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
RENCANA KEBUTUHAN OBAT, BAHAN KIMIA DAN BMHP 2020
UPT

STOK 31 DESEMBER
NO Nama Obat Satuan HARGA 2020

a b c d e
1 ABATE KG - -
2 ACETYLCYSTEIN KAPS 200 MG KAPSUL - -
3 ACYCLOVIR CREAM TUBE - 10
4 ACYCLOVIR TAB 400 TABLET - 100
5 ALBENDAZOL 400 MG TABLET - 200
6 ALPRAZOLAM TABLET 0.5 MG TABLET - -
7 ALUPURINOL TAB 100 MG TABLET - -
8 AMBROXOL 30 MG TABLET - -
9 AMINOFILIN INJ 24 MG/ML 10 ML AMPUL - -
10 AMINOFILIN TAB 200 MG TABLET - -
11 AMITRIPTILINA HCL TAB SALUT 25 MG TABLET - -
12 AMLODIPINE 10 MG TABLET - -
13 AMLODIPINE 5 MG TABLET - -
14 AMOKSISILIN 500 MG TABLET - 3,200
15 AMOKSISILIN SYR KERING 125 MG/ML BOTOL - 100
16 AMOKSISILIN SYR KERING 250 MG/ML BOTOL - 240
17 AMOXCICILLIN DROP BOTOL - -
18 AMPISILIN 1 GR INJ VIAL - -
19 ANTALGIN TAB 500 MG STRIP TABLET - -
20 ANTASIDA DOEN SUSPENSI BOTOL - 100
21 ANTASIDA DOEN TAB TABLET - 2,900
22 ANTI BAKTERI DOEN TUBE - -
23 ANTI FUNGI DOEN KOMBINASI POT - 48
24 ANTI HEMMOROID DOEN SUPP - -
25 ANTI MIGREN DOEN TABLET - -
26 AQUA PRO INJ STERIL BEBAS PIROGEN 20 ML BOTOL - 14
27 ARTESUNATE INJEKSI AMP - -
28 AS TRANEKSAMAT INJ 50 MG/ML AMPUL - -
29 ASAM ASKORBAT (VIT C) TAB 50 MG TABLET - 2,500
30 ASAM MEFENAMAT 500MG TABLET - 1,200
31 ASAM TRANEKSAMAT TAB 500 TABLET - -
32 ASERING 500 CC (LAR ELEKTROLIT) BOTOL - -
33 ASETOSAL TAB 80 MG TABLET - -
34 ATORVASTATIN TAB 20 MG TABLET - -
35 ATROPIN SULFAT INJ 0,25 MG/ML 1 ML AMPUL - -
36 ATTAPULGITE TAB 600 MG TABLET - -
37 AZITROMISIN TAB 500 MG TABLET - 90
38 BACTIVEC 30 ML BOTOL - -
39 BENZATIN BENZIL PENISILIN INJ.2,4 JT VIAL - -
40 BETAHISTIN MESILATE TAB TABLET - 200
41 BETAMETASON KRIM 0,1 % TUBE - 125
42 BISAKODIL SUP 10 MG SUPP - -
43 BISOPROLOL TAB 5 MG TABLET - -
44 BORAX GLISERIN 10% BOTOL - -
45 BROMHEXIN HCL NEBULIZER BOTOL - -
46 CEFIXIME 400 MG + AZITROMISIN 1000 MG PAKET - -
47 CIMETIDIN 200 MG TABLET - -
48 CITODUR (TAMBAL GIGI SEMENTARA) BOTOL - -
49 CLOPIDOGREL TAB 75 MG TABLET - -
50 CLOZAPINE TAB 25 MG TABLET - -
51 COLTOSOL F TEMPORARY FILLING MATERIAL SET - -
52 CURCUMA TAB TABLET - -
53 DEHIDROARTEMISIN TABLET - -
54 DEKSAMETASON INJ 5 MG/ML 1 ML AMPUL - 3
55 DEKSAMETASON TAB 0,5 MG TABLET - -
56 DEVITALISASI PASTA BOTOL - -
57 DEXTROSE POWDER KG - -
58 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL - 13
59 DIAZEPAM RECTAL 10MG TUBE - -
60 DIAZEPAM RECTAL 5MG TUBE - 5
61 DIAZEPAM TAB 2 MG TABLET - 57
62 DIETILKARBAMAZIN SITRAT TAB 100 MG TABLET - -
63 DIFENHIDRAMIN INJ 10 MG/ML TABLET - 5
64 DIGOXIN TAB 0,25 MG TABLET - 100
65 DILTIAZEM HCL 30 MG TAB TABLET - -
66 DIMENHIDRINAT TAB 50 MG TABLET - -
67 DOKSISIKLIN 100MG CAP - -
68 DOMPERIDON 10 MG TABLET - 200
69 DOMPERIDONE SUSPENSI 5 MG/ 5 ML BOTOL - 100
70 DOPAMINE HCL INJ 40 MG/ML AMPUL - -
71 EPINEPRINA HCL/BITARTRAT(ADERNALIN) INJ AMPUL - 4
72 ERITROMISIN KAPL 250 MG KAPLET - -
73 ERITROMISIN KAPL 500 MG KAPLET - -
74 ERITROMISIN SYRUP BOTOL - -
75 ETANOL 70% 100 ML BOTOL - 16
76 EUGENOL CAIRAN 1 BOTOL - -
77 FE SYRUP BOTOL - -
78 FENITOIN NATRIUM INJ 50 MG/ML AMPUL - -
79 FENITOIN NATRIUM KAPS 100 MG KAPSUL - -
80 FENOBARBITAL INJ 50MG/ML AMPUL - 40
81 FENOBARBITAL TAB 30 MG TABLET - -
82 FENOFIBRATE 100 MG KAPS TABLET - -
83 FITOMENADION (VIT K) INJ 10 MG/ML 1 ML AMPUL - -
84 FITOMENADION (VIT K) TAB SALUT 10 MG TABLET - 100
85 FLUCONAZOLE 150 MG TABLET - -
86 FUROSEMID TAB 40 MG TABLET - 200
87 FUROSEMIDE 10 MG/ML INJEKESI AMPUL - -
88 GARAM ORALIT 200 ML AIR SACHET - 500
89 GEMFIBROZIL 300 MG KAPSUL KAPSUL - -
90 GENTAMISIN INJN AMPUL - -
91 GENTAMISIN SALEP KULIT TUBE - -
92 GLIBENKLAMID TAB 5 MG TABLET - 300
93 GLIMEPIRIDE TAB 1 MG TABLET - -
94 GLISERIL GUAIAKOLAT TAB 100 MG TABLET - -
95 GLUCONAS KALSIUM INJ 10% AMPUL - -
96 GLUKOSA LAR INFUS 40% STERIL 25 ML BOTOL - -
97 GLUKOSA LAR INFUS 5% STERIL 500 ML BOTOL - -
98 GRISEOFULVIN TAB 125 MG MICRONIZED TABLET - -
99 HALOPERIDOL INJ 5 MG/ML AMPUL - -
100 HALOPERIDOL TAB 0,5 MG TABLET - -
101 HALOPERIDOL TAB 1,5 MG TABLET - -
102 HALOPERIDOL TAB 5 MG TABLET - -
103 HEMAFORT TAB TABLET - -
104 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET - 100
105 HIDROKORTISON KRIM 2.5% TUBE - -
106 IBUPROFEN SUP 125 MG SUP - 6
107 IBUPROFEN SYR 100 MG/5 ML BOTOL - -
108 IBUPROFEN SYR 200 MG/5ML BOTOL - -
109 IBUPROFEN TAB 200 MG TABLET - -
110 IBUPROFEN TAB 400 MG TABLET - -
111 ISONIAZID TAB 300 MG TABLET - -
112 ISONIAZIDE 100 MG TABLET - -
113 ISOSORBID DINITRAT TAB 10 MG TABLET - -
114 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET - -
115 KALSIUM HIDROKSIDA PASTA TUBE - -
116 KALSIUM LAKTAT TAB 500 MG TABLET - 200
117 KARBAMAZEPIN TAB 200 MG TABLET - 100
118 KARBAZOKROM NA SULFONAT TAB TABLET - -
119 KARBOGLISERIN TETES TELINGA 10 % BOTOL - 48
120 KATOPRIL 25MG TABLET - -
121 KATOPRIL TAB 12.5 MG TABLET - -
122 KETOKONAZOL KRIM 2% TUBE - 18
123 KETOKONAZOL TAB 200 MG TABLET - 50
124 KETOPROFEN SUPP 100 MG SUPP - -
125 KETOROLAC INJ 30 MG AMPUL - -
126 KLINDAMISIN 300 MG KAPSUL - -
127 KLORAMFENICOL SUSPENSI BOTOL - -
128 KLORAMFENIKOL KAPS KAPSUL - -
129 KLORAMFENIKOL KAPS 500 MG KAPSUL - -
130 KLORAMFENIKOL SALEP KULIT 2% TUBE - -
131 KLORAMFENIKOL SALEP MATA 1% TUBE - -
132 KLORAMFENIKOL TETES MATA 0,5% BOTOL - -
133 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - -
134 KLORFENIRAMIN MALEAT (CTM) TAB 4 MG TABLET - -
135 KLORPROMAZIN TAB SALUT 100 ML TABLET - -
136 KLORPROMAZIN TAB SALUT 25 MG TABLET - -
137 KODEIN TAB 10 MG TABLET - -
138 KOTRIMOKSAZOL SUSP : SULF 200+TRIM 20 BOTOL - -
139 KOTRIMOKSAZOL TAB DWS :SULF 400+TRIM #N/A - -
140 KOTRIMOKSAZOL TAB FORTE 960 MG TABLET - -
141 KOTRIMOKSAZOL TAB PED : SULF 100+TRIM 20 TABLET - -
142 KUININ KINA TAB 200 MG TABLET - -
143 LAXADINE EMULSI 30 ML BOTOL - -
144 LEVOFLOKSASIN  TABLET 500 MG TABLET - -
145 LIDOKAIN INJ 2% AMPUL - 39
146 LIDOKAIN INJ KOMPLEX 2 ML AMPUL - 60
147 LIDOKAIN JELLY 2% TUBE - -
148 LORATADIN TAB 10MG TABLET - 500
149 MAGNESIUM SULFAT INJ (IV) 20% 25 ML VIAL - -
150 MAGNESIUM SULFAT INJ (IV) 40% 25 ML VIAL - -
151 MB DEWASA PAKET - -
152 MEROPENEM INJ 1 GR VIAL - -
153 METFORMIN 500 MG TABLET - -
154 METFROMIN 850 MG TABLET - -
155 METILDOPA TAB 250 MG TABLET - 100
156 METILERGOMETRIN MALEAT INJ 0,200MG/ML AMPUL - -
157 METILERGOMETRIN MALEAT TAB SALUT 0,125 TABLET - -
158 METILPREDNISOLON INJ 125MG VIAL - -
159 METILPREDNISOLON TAB 4 MG TABLET - -
160 METOCLOPRAMIDE 10 MG TABLET - -
161 METOCLOPRAMIDE 5 MG TABLET - -
162 METRONIDAZOL 500 MG TABLET - -
163 METRONIDAZOLE SYR 125 MG/5 ML BOTOL - -
164 MICONAZOLE CREAM TUBE - 72
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - -
166 NAT DIKLOFENAC 50MG TABLET - -
167 NATRIUM BIKARBONAT TAB 500 MG TABLET - -
168 NATRIUM KLORIDA LAR INFUS 0,9% STERIL BOTOL - 5
169 NATRIUM TIROKSIN TABLET TABLET - -
170 NEVIRAPINE (NVP) 200 MG BOTOL - -
171 NIFEDIPINE 10 MG TABLET - -
172 NISTATIN TAB VAGINAL 100.000 IU/G TABLET - 40
173 NOREPINEPHRINE BITARTRATE INJ AMPUL - -
174 OAT FDC KATAGORI 1 PAKET - -
175 OAT FDC KATAGORI ANAK PAKET - -
176 OAT FDC KATAGORI II PAKET - -
177 OBAT ANTI TUBERKULOSIS KATAGORI 1 PAKET - -
178 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL - -
179 OBAT BATUK PILEK SYRUP BOTOL - -
180 OBAT BATUK PILEK TAB TABLET - -
181 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE - 75
182 OKSITETRASIKLIN HCL 3% SALEP KULIT TUBE - -
183 OKSITOKSIN INJ 10 IU/ML 1 ML AMPUL - 36
184 OMEPRAZOLE INJ 40 MG/10 ML AMPUL - -
185 OMEPRAZOLE KAPSUL 20 MG KAPSUL - -
186 ONDANCENTRON 4 MG INJ AMPUL - -
187 ONDANSETRON TABLET 8 MG TABLET - -
188 OSELTAMIVIR KAP KAPSUL - -
189 PAPAVERIN HCL.40 MG TABLET TABLET - -
190 PARAFIN GLISERIN FENOLFTALEIN SUSPENSI BOTOL - -
191 PARASETAMOL DROP BOTOL - -
192 PARASETAMOL INFUS BOTOL - -
193 PARASETAMOL SYR 120 ML/5 ML BOTOL - -
194 PARASETAMOL TAB 500 MG STRIP TABLET - -
195 PERMETRIN KRIM 5 % TUBE - 44
196 PIRANTEL PAMOAT SUSP BOTOL - -
197 PIRIDOKSIN (VIT B6) TAB 10 MG TABLET - 1,400
198 PIRIDOKSIN (VIT B6) TAB 25 MG TABLET - -
199 PIROXICAM 10 MG TABLET - -
200 PREDNISON TAB 5 MG TABLET - 200
201 PRIMAKUIN TAB 15 MG TABLET - -
202 PYRAZINAMIDE 500 MG AMPUL - -
203 RANITIDIN INJ AMPUL - -
204 RANITIDINE TAB 150 MG TABLET - 600
205 RDT MALARIA TEST - -
206 RETINOL (VIT A) KAPS 200.000 IU KAPSUL - -
207 RETINOL 100.000 IU KAPSUL - -
208 RINGER LAKTAT LAR INFUS STERIL BOTOL - -
209 RISPERIDON TAB 2 MG TABLET - -
210 SALBUTAMOL CAIRAN IH NEB - 17
211 SALBUTAMOL TAB 2 MG TABLET - 100
212 SALEP 2-4 KOMBINASI POT - 72
213 SALEP LUKA BAKAR TUBE - -
214 SALISIL BEDAK 2% 50 GRAM KOTAK - -
215 SEFADROKSIL KAPSUL 500 MG KAPSUL - -
216 SEFADROKSIL SYR 125 MG BOTOL - -
217 SEFADROKSIL SYR 250 MG BOTOL - -
218 SEFIKSIM KAPSUL 100MG KAPSUL - -
219 SEFIKSIM SYR 100MG/5ML BOTOL - -
220 SEFOTAXIM INJ 1 GR VIAL - -
221 SEFTRIAKSON INJ 1 GRM VIAL - -
222 SETIRIZIN KAPSUL 10 MG KAPSUL - 500
223 SETIRIZIN SYRUP BOTOL - -
224 SIMVASTATIN 10 MG TABLET - -
225 SIPROFLOKSASIN 500 MG TABLET - 100
226 SIPROFLOKSASIN INFUS 2 % BOTOL - -
227 SPIRONOLACTON TAB 100 MG TABLET - -
228 SPIRONOLACTON TAB 25MG TABLET - -
229 STREPTOMISIN INJ 1.000 MG/VIAL VIAL - -
230 SUKRALFAT SUSPENSI BOTOL - -
231 SULFASETAMID NATRIUM TETES MATA 15% BOTOL - -
232 TAB TAMBAH DARAH TABLET - 6,450
233 TABLET ZINK DISPERTSIBLE TABLET - 500
234 TABURIA SACHET - -
235 TEMPORARY STOPPING FLETCHER CAIR & SERB SET - -
236 TETRASIKLIN KAPS 250 MG #N/A - -
237 THIAMFENICOL 500 MG KAPSUL KAPSUL - -
238 TIAMIN HCL (VIT B1) TAB 50 MG TABLET - -
239 TRAMADOL INJ 50 MG/ML AMPUL - -
240 TRIHEKSIFENIDIL HCL TAB 2 MG TABLET - -
241 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
242 TUBERKULIN TEST VIAL - -
243 VAKSIN ANTI RABIES (VAR) VIAL - -
244 VAKSIN BCG VIAL - -
245 VAKSIN CAMPAK VIAL - -
246 VAKSIN DPT-HB/HIB VIAL - -
247 VAKSIN DT VIAL - -
248 VAKSIN HB UNIJECT POUCH - -
249 VAKSIN HEPATITIS POUCH - -
250 VAKSIN MEASLES RUBELLA (MR) VIAL - -
251 VAKSIN POLIO (BOPV) VIAL - -
252 VAKSIN POLIO IPV 5 DS VIAL - -
253 VAKSIN TD VIAL - -
254 VITAMIN B KOMPLEX TAB #N/A - 3,600
255 VITAMIN NEUROTROPIK TABLET - -
256 VITAMIN NEUROTROPIK 5000 INJ AMPUL - -
257 WIDA BES ASETAT RINGER INFUS BOTOL - 4
258 VAKSIN MENINGITIS (WALVAX) 0 - -
259 OSELTAMIVIR TAB 0 - -
260 MASKER FFP2 NR 0 - 25
261 MASKER KAIN 0 - 50
262 0 0 - -
263 0 0 - -
264 0 0 - -
265 0 0 - -
266 0 0 - -
267 0 0 - -
268 0 0 - -
269 0 0 - -
270 0 0 - -
271 0 0 - -
272 0 0 - -
273 0 0 - -
274 0 0 - -
275 0 0 - -
276 0 0 - -
277 0 0 - -
278 0 0 - -
279 0 0 - -
280 0 0 - -
281 0 0 - -
282 0 0 - -
283 0 0 - -
0 0 - -
1 ABBOCATH 18 G PCS - 3
2 ABBOCATH 20 PCS - -
3 ADS 0.05 ML PCS - -
4 ADS 0.5 ML PCS - -
5 ADS 5 ML PCS - -
6 ALAT SUNTIK 1 ML PCS - -
7 ALAT SUNTIK 10 ML PCS - 20
8 ALAT SUNTIK 3 ML PCS - 300
9 ALAT SUNTIK 3ML BD PCS - -
10 ALAT SUNTIK 5 ML PCS - 30
11 ALAT SUNTIK 50 ML PCS - -
12 ALAT SUNTIK BD 1ML PCS - -
13 ALAT SUNTIK SEKALI PAKAI 1 ML SET - -
14 ALKOHOL 70 % 100 ML BUAH - -
15 ALKOHOL SWAB PCS - 400
16 ANIOSGEL 85 5 LT GALON - -
17 ANIOSGEL 85 500 ML BOTOL - -
18 BATANG PENGADUK 10 CM BUAH - -
19 BATANG PENGADUK 30 CM BUAH - -
20 BEAKER GLASS 50 ML BUAH - -
21 BISTURI NO 21 PCS - 12
22 BLUE TIP BUAH - -
23 BOX SLIDE PCS - -
24 BULP PIPET UKUR BUAH - -
25 CATGUT CHROMIC SET - 6
26 CATGUT PLAIN 3/0 SACHET - 17
27 CAWAN PETRI 10 CM BUAH - -
28 CRYO TUBE PCS - -
29 CUVETTE SEGMENT BOX - -
30 DECK GLASS BUAH - -
31 DEVITALISASI PASTA (NON ARSEN) BOTOL - -
32 ETAKRIDIN (RIVANOL) LAR 0,1% 300 ML BOTOL - 3
33 ETIKET RIM - -
34 ETIL KLORIDA SEPROT 100 ML BOTOL - 3
35 EUGENOL CAIRAN BOTOL - -
36 FOLY CATETHER 16 PCS - 1
37 FOLY CATETHER 18 PCS - -
38 FOOGING MASKER SINGLE FILTER BUAH - -
39 GELAS UKUR 100 ML BUAH - -
40 GLASS IONOMER CERMENT (GC IX) BOTOL - -
41 HAEMOMETER SAHLI UNIT - -
42 HOLDER VACUTAINER BUAH - -
43 ID BAND BAYI PCS - -
44 INFUSION SET ANAK SET - 3
45 INFUSION SET DEWASA SET - 6
46 IV CATHETHER 18 PCS - -
47 IV CATHETHER 20 PCS - -
48 IV CATHETHER 22 PCS - 3
49 IV CATHETHER 22 WING PCS - -
50 IV CATHETHER 24 PCS - 16
51 IV CATHETHER 24 WING PCS - -
52 IV CATHETHER 26 PCS - -
53 JARUM KULIT 10 LUSIN - -
54 JARUM KULIT 12 LUSIN - -
55 JARUM KULIT 32 LUSIN - -
56 JARUM KULIT 36 LUSIN - -
57 JARUM LANSET BOX - -
58 JARUM OTOT 32 LUSIN - -
59 JARUM OTOT 36 LUSIN - -
60 KAPAS PEMBALUT / ABSORBEN 250 MG BUNGKUS - 7
61 KAPAS PEMBALUT 100 GRAM BUNGKUS - 7
62 KAPAS PEMBALUT 100 GRAM BUNGKUS 14,566 -
63 KARTU GOLONGAN DARAH LBR - -
64 KASA +TULE 1% STERIL 10X10 LEMBAR - -
65 KASA 80 CM X 40 YARD ROL - -
66 KASA PEMBALUT HIDROFIL 3M X 15 CM ROL - -
67 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL - -
68 KASA STERIL 16X16 CM KOTAK - -
69 KERTAS LENSA BUKU - -
70 KERTAS PH LEMBAR - -
71 KERTAS PUYER RIM - -
72 LEUKOPLAST 2.5X4.5 ROLL - -
73 LIDI STIK PAK - -
74 LIDI WATEN PCS - -
75 LUBRICAN GEL BOTOL - 1
76 LYSOL 1 LITER BOTOL - -
77 MASKER DISPOSIBLE KARET BUAH - -
78 MASKER DISPOSIBLE TALI PCS - -
79 MASKER HIJAB PCS - 300
80 MASKER N95 PCS - -
81 MEDIA AMIS SET - -
82 MICROPIPETTES 10 MICRON PCS - -
83 MICROPIPETTES 1000 MICRON PCS - -
84 MICROPIPETTES 200 MICRON PCS - -
85 MICROPORE 1.25 CM BUAH - 3
86 MICROPORE 5 CM BUAH - -
87 MORTIR 13 CM BUAH - -
88 MORTIR 16 CM BUAH - -
89 MUCUS EXTRACTOR BUAH - -
90 NASAL O2 L PCS - -
91 NASAL O2 XS PCS - -
92 NEEDLE 24G SET - 90
93 NEEDLE 25 G SET - -
94 NELATON CATETER 18/20 BUAH - -
95 OBJECK GLASS PCS - -
96 PIPET HB BUAH - -
97 PIPET PLASTIK 5 ML BUAH - -
98 PIPET UKUR 1 ML BUAH - -
99 PIPET UKUR 10 ML BUAH - -
100 PIPET UKUR 5 ML BUAH - -
101 PLASTIK KLIP KG - -
102 PLASTIK KLIP 13X8 BAL - -
103 PLESTER 1.25 CM ROL - 10
104 PLESTER 4.5 CM ROL - 6
105 PLESTER 5 YARD X 2 INCH ROL - -
106 PLESTERIN BULAT NON WOVEN BUAH - 3
107 POT DAHAK BUAH - -
108 POT URINE BUAH - -
109 POVIDON IODIDA 10% 30 ML BOTOL - -
110 POVIDON IODIDA 60 ML BOTOL - 6
111 SAFETY BOX PCS - -
112 SAMPLE CUP BOX - -
113 SARUNG TANGAN GYNECOLOG 7 PASANG - -
114 SARUNG TANGAN NON STERIL L PASANG - -
115 SARUNG TANGAN NON STERIL M PASANG - -
116 SARUNG TANGAN NON STERIL S PASANG - -
117 SARUNG TANGAN OBGYN STERIL PASANG - -
118 SARUNG TANGAN STERIL 6.5 PASANG - -
119 SARUNG TANGAN STERIL 7 PASANG - 6
120 SEMEN SENG FOSFAT SERBUK CAIRAN BOTOL - -
121 SENDOK OBAT PCS - 250
122 SILK NO 2/0 & JARUM BEDAH SACHET - 1
123 SILK NO 3/0 & JARUM BEDAH SACHET - 12
124 SPECULUM VAGINAL DISPOSABLE BUAH - -
125 STOMACH 18 BUAH - -
126 TABUNG 3 MI PCS - -
127 TABUNG CENTRIFUGE BUAH - -
128 TABUNG DURHAM BUAH - -
129 TABUNG EDTA PAK - -
130 TABUNG HB BUAH - -
131 TABUNG HB BUAH - -
132 TABUNG HEMATOKRIT KAPILER BUAH - -
133 TABUNG REAKSI 10 CM BUAH - -
134 TABUNG WESTERGEEN BUAH - -
135 TABUNG WINTROB BUAH - -
136 TRIKRESOL FORMALIN (TKF) CAIRAN 10 ML BOTOL - -
137 UMBILICLEM BUAH - 13
138 UNDERPAD PCS - -
139 UNIFLEX 4.5 M X 10 CM ROL - -
140 URINE BAG BUAH - 7
141 USG GEL 250 ML BOTOL - -
142 VACUTAINER K3E PLUS TUBE PCS - -
143 VACUTAINER NEEDLE 21 G PCS - -
144 VACUTAINER SERUM TUBE PCS - -
145 VACUTAINER TUBE PLAIN 10 ML PCS - -
146 YELLOW TIP BUAH - -
147 COVER SHOES 0 - -
148 COVERALL DISPRO 0 - 100
149 FACE SHIEL AKRILIK INJAK 0 - -
150 FACE SHIEL MIKA LEGION 0 - -
151 KACAMATA GOGGLE 0 - -
152 MASKER KAIN POLOS EARLOOP 0 - 3,500
153 MASKER KAIN POLOS HEADLOP 0 - 3,318
154 PLESTER HYPAFIX ROLL - -
155 0 0 - -
0 0 - -
1 AQUADEST 20 LT JERIGEN - -
2 ASAM ASETAT 6% 100 ML BOTOL - -
3 ASAM KLORIDA 0,1 N 100 ML BOTOL - -
4 ASAM SULFOSALISILAT 20% 100 ML BOTOL - -
5 BENECHECK PLUS GLUCOSE TEST STRIP BOX - -
6 BENECHECK PLUS TOTAL CHOLESTEROL TEST BOX - -
7 BENECHECK PLUS URIC TEST STRIP BOX - -
8 BILIRUBIN TOTAL/DIRECT SET - -
9 CARRETZ SOLUTION A&B FOR FORMALDEHYDE BOX - -
10 CELL CLEAN BOTOL - -
11 CELLPACK SET - -
12 CHOLESTEROL PAKET - -
13 CHOLESTEROL ELLITEC SET - -
14 CHOLESTEROL TOT+STD 2X120 ML BOTOL - -
15 CHOLESTEROL TOT+STD 4X100 ML SET - -
16 CLEANAC BOTOL - -
17 CLEANAC 3 BOTOL - -
18 CLEANER BOTOL - -
19 CLEANING KIT SET - -
20 CLEANSER SET - -
21 CONTROL DARAH SYSMEX SET - -
22 CONTROL SERUM SET - -
23 CONTROL SERUM MICROLAB SET - -
24 COPPER TEST BOX - -
25 CREATININ PLUS PAKET - -
26 CYANIDE TEST BOTOL - -
27 DENGUE IGG IGM STRIP/TEST - -
28 DILUENT 10 LITER BOTOL - -
29 DILUENT 20 LITER BOTOL - -
30 ETANOL 70 % 1000 ML BOTOL - -
31 GLUCOSA + STANDAR PAKET - -
32 GLUCOSA ELLITEC SET - -
33 GLUCOSA+STD 4X100 ML BOTOL - -
34 GLUKOSA HK SET - -
35 GLUKOSA STIK (GLUCO DR) STIK - -
36 HB CONTROL MICROLAB SET - -
37 HBA1C STIK TUBE - -
38 HCV VIRAL LOAD TEST - -
39 HDL CHOLESTEROL PAKET - -
40 HDL CHOLESTEROL PLUS GEN,3 SET - -
41 HDL CHOLESTEROL+STD 4X10 ML BOTOL - -
42 HDL CHOLSTEROL+STD 4X80 ML BOTOL - -
43 HEMOLYNAC BOTOL - -
44 HEPATITIS B IMMUNOGLOBULIN SYRINGE - -
45 ISOTONAC 3 GALON - -
46 KALIBRATOR C FAS LIPID PAKET - -
47 KONTROL PCC MULTI PAKET - -
48 KREATIN + STDR 200 ML SET - -
49 LARUTAN DRABKIN BOTOL - -
50 LARUTAN EDTA 10% BOTOL - -
51 LARUTAN ETANOL ASAM 100 ML BOTOL - -
52 LARUTAN ETHER ALKOHOL BOTOL - -
53 LARUTAN GIEMSA STAIN 100 ML BOTOL - -
54 LARUTAN IODIUM BOTOL - -
55 LARUTAN KARBOL FUCHIN 100 ML BOTOL - -
56 LARUTAN KOH 10% BOTOL - -
57 LARUTAN METHYLEN BLUE BOTOL - -
58 LARUTAN NA-SITRAT 100 ML BOTOL - -
59 LARUTAN NA-SITRAT 3,8% 100ML BOTOL - -
60 LARUTAN PEWARNA RAPID BOTOL - -
61 LARUTAN REAGEN REES ECKER BOTOL - -
62 LARUTAN TURK 100 ML BOTOL - -
63 LDL CHOLESTEROL GEN.3 SET - -
64 LYZE 5 LITER BOTOL - -
65 LYZE 500 ML BOTOL - -
66 MINYAK IMERSI BOTOL - -
67 NARKOTES 5 PARAMETER STRIP/TEST - -
68 NARKOTES AMPHETAMIN STRIP/TEST - -
69 NARKOTES BENZODIAZEPIN STRIP/TEST - -
70 NARKOTES COCAIN STRIP/TEST - -
71 NARKOTES OPIATE STRIP/TEST - -
72 NARKOTES THC STRIP/TEST - -
73 PAKET ALAT DETEKSI RESIKO KEHAMILAN PAKET - -
74 QC SOLUTION MICROLAB SET - -
75 RAPID 2 HIV FOKUS TEST - -
76 RAPID TES HBSAG TES - -
77 RAPID TES HIV 1 STRIP/TEST - -
78 RAPID TES HIV 2 STRIP/TEST - -
79 RAPID TES SIFILIS STRIP - -
80 RAPID TEST HIV 1/2 SD TEST - -
81 RAPID TEST HIV VIKIA STRIP - -
82 RDD ANTI HCV TEST - -
83 REAGEN PEWARNA GRAM BOTOL - -
84 REAGEN TEST GOLONGAN DARAH (A-B) SET - -
85 REGENT P2 TBC BTL - -
86 RPR SIFILIS STRIP - -
87 SEDIPLAST BOX - -
88 SERUM KONTROL HEMATOLOGI BOTOL - -
89 SERUM KONTROL HEMATOLOGI MEDONIC SET - -
90 SGOT SET - -
91 SGOT (2X120,2X30) BOTOL - -
92 SGPT SET - -
93 SGPT (2X120,2X30) BOTOL - -
94 SPIRTUS BOTOL - -
95 STOMATOLYZER 4DL SET - -
96 STOMATOLYZER 4DS SET - -
97 STROMATOLIZER BOTOL - -
98 SULFOLYSER SET - -
99 TEST KEHAMILAN STRIP STRIP - -
100 THERMAL PAPER PCS - -
101 TOTAL CHROMIUM BOX - -
102 TRIGLICERIDA + STANDAR PAKET - -
103 TRIGLYSERIDE SET - -
104 TRYGLYSERIDE+STD 4X100 ML SET - -
105 UREA SET - -
106 UREUM + STD 2X100 ML BOTOL - -
107 UREUM+STD 2X120 ML BOTOL - -
108 URIC ACID PAKET - -
109 URIC ACID + STD (4X100ML) BOTOL - -
110 URIC ACID + STD 2X120ML BOTOL - -
111 URIC ACID ELLITEC SET - -
112 URINE RAPID TEST STRIP - -
113 URINE STIK 10 PARAMETER STIRP - -
114 WATER ONE 1 LT BOTOL - -
115 WIDAL 8 PARAMETER SET - -
116 XILOL (ETHER ALKOHOL) 500 ML BOTOL - -
117 0 0 - -
118 0 0 - -
119 0 0 - -
120 0 0 - -
121 0 0 - -
122 0 0 - -
123 0 0 - -
124 0 0 - -
125 0 0 - -
126 0 0 - -
PEMAKAIAN TAHUN RATA-RATA JUMLAH KEBUTUHAN RENCANA PENGADAAN
2020 PEMAKAIAN Per TAHUN 2021 TAHUN 2021 TOTAL HARGA
BULAN TAHUN 2020

f g = f/12 h= g x 20,4 I=h-e j= I x d


- - - - -
800 800 16,320 16,320 -
96 12 245 235 -
600 75 1,530 1,430 50
3,000 1,000 20,400 20,200 -
- - - - -
1,918 240 4,891 4,891 200
- - - - -
- - - - -
600 200 4,080 4,080 -
- - - - -
2,100 350 7,140 7,140 300
15,629 1,302 26,569 26,569 900
1,800 900 18,360 15,160 -
300 75 1,530 1,430 90
120 60 1,224 984 -
72 72 1,469 1,469 -
- - - - -
- - - - -
583 65 1,321 1,221 50
17,100 3,420 69,768 66,868 -
- - - - -
24 24 490 442 -
116 29 592 592 -
- - - - -
19 5 97 83 -
- - - - -
- - - - -
13,354 1,214 24,766 22,266 -
13,805 1,255 25,602 24,402 1,400
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2,745 343 7,000 7,000 300
15 15 306 216 -
- - - - -
- - - - -
2,180 273 5,559 5,359 -
585 49 995 870 50
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 1 20 20 -
- - - - -
- - - - -
2 2 41 38 -
- - - - -
- - - - -
- - - - -
32 11 218 205 -
1 1 20 20 -
4 2 41 36 -
31 8 158 101 -
- - - - -
- - - (5) -
482 121 2,458 2,358 -
- - - - -
- - - - -
- - - - -
2,100 175 3,570 3,370 200
212 53 1,081 981 50
- - - - -
9 5 92 88 -
- - - - -
- - - - -
- - - - -
49 6 125 109 3
- - - - -
- - - - -
- - - - -
- - - - -
- - - (40) -
- - - - -
- - - - -
80 27 544 544 -
575 96 1,955 1,855 -
- - - - -
539 135 2,749 2,549 -
- - - - -
2,086 232 4,728 4,228 -
65 65 1,326 1,326 -
- - - - -
- - - - -
1,023 205 4,174 3,874 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
310 155 3,162 3,162 -
- - - - -
- - - - -
- - - - -
- - - - -
1,100 550 11,220 11,220 -
219 73 1,489 1,389 100
- - - - -
8 4 82 76 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
170 85 1,734 1,734 -
404 135 2,747 2,747 -
1 1 20 20 -
9,950 905 18,453 18,253 1,100
1,000 111 2,267 2,167 -
- - - - -
71 24 483 435 -
332 111 2,258 2,258 -
- - - - -
19 4 78 60 1
382 191 3,896 3,846 -
- - - - -
- - - - -
- - - - -
- - - - -
200 100 2,040 2,040 -
- - - - -
- - - - -
- - - - -
50 25 510 510 -
42 11 214 214 -
29,300 3,256 66,413 66,413 2,400
- - - - -
- - - - -
- - - - -
93 47 949 949 -
1,627 814 16,595 16,595 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
23 5 94 55 -
30 15 306 246 -
- - - - -
2,400 240 4,896 4,396 250
12 6 122 122 -
- - - - -
9 1 23 23 1
- - - - -
1,415 708 14,433 14,433 -
- - - - -
100 100 2,040 1,940 -
270 135 2,754 2,754 100
- - - - -
- - - - -
6,532 653 13,325 13,325 800
- - - - -
130 130 2,652 2,652 -
- - - - -
- - - - -
339 31 629 557 24
- - - - -
- - - - -
385 193 3,927 3,927 -
20 4 82 77 6
20 20 408 408 -
- - - - -
- - - - -
88 15 299 259 -
- - - - -
38 10 194 194 -
20 4 82 82 5
3 2 31 31 1
- - - - -
- - - - -
- - - - -
1,280 256 5,222 5,222 -
182 36 743 668 25
- - - - -
84 28 571 535 3
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
27 27 551 551 -
- - - - -
- - - - -
- - - - -
- - - - -
10,984 3,661 74,691 74,691 -
126 14 286 242 4
- - - - -
6,058 606 12,358 10,958 800
- - - - -
14,028 1,403 28,617 28,617 1,300
1,000 200 4,080 3,880 -
- - - - -
- - - - -
- - - - -
1,600 229 4,663 4,063 200
- - - - -
3,500 1,750 35,700 35,700 1,900
750 250 5,100 5,100 450
- - - - -
- - - - -
3 1 20 3 -
2,213 221 4,515 4,415 100
366 33 679 607 24
- - - - -
58 58 1,183 1,183 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - (500) -
400 57 1,166 1,166 50
3,030 337 6,868 6,868 210
1,294 129 2,640 2,540 100
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
51,447 4,287 87,460 81,010 4,530
5,591 466 9,505 9,005 500
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
120 120 2,448 2,448 -
- - - - -
2 2 41 41 -
- - - - -
140 28 571 571 5
- - - - -
165 24 481 481 20
20 20 408 408 -
60 15 306 306 -
- - - - -
80 13 272 272 5
120 20 408 408 10
20 20 408 408 -
100 33 680 680 -
27,200 2,473 50,444 46,844 2,300
- - - - -
- - - - -
17 3 69 65 -
12 6 122 122 -
140 47 952 952 -
- - - (25) -
- - - (50) -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
16 5 109 106 -
14 7 143 143 -
500 167 3,400 3,400 -
1,472 368 7,507 7,507 -
200 100 2,040 2,040 -
12 6 122 122 -
- - - (20) -
1,000 250 5,100 4,800 -
- - - - -
170 43 867 837 -
- - - - -
300 300 6,120 6,120 -
- - - - -
- - - - -
4,712 393 8,010 7,610 100
4 1 20 20 1
1 1 20 20 -
- - - - -
- - - - -
- - - - -
26 7 133 121 1
- - - - -
- - - - -
- - - - -
30 8 153 147 3
- - - (17) -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
6 3 61 58 -
- - - - -
1 1 20 17 -
- - - - -
- - - (1) -
- - - - -
- - - - -
- - - - -
2 2 41 41 -
- - - - -
- - - - -
- - - - -
11 3 56 53 1
33 7 135 129 4
19 19 388 388 -
34 9 173 173 -
5 3 51 48 -
- - - - -
- - - (16) -
- - - - -
- - - - -
1 1 20 20 -
- - - - -
- - - - -
- - - - -
31 4 79 79 4
- - - - -
- - - - -
22 2 37 30 1
9 2 31 24 -
- - - - -
200 200 4,080 4,080 -
18 2 33 33 1
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
14 14 286 286 -
- - - - -
- - - - -
- - - (1) -
- - - - -
200 200 4,080 4,080 -
- - - - -
4,900 490 9,996 9,696 700
150 150 3,060 3,060 -
- - - - -
- - - - -
- - - - -
- - - - -
57 5 97 94 3
- - - - -
- - - - -
- - - - -
10 3 51 51 -
3 3 61 61 -
2 2 41 41 -
10 10 204 114 -
- - - - -
- - - - -
5 3 51 51 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - (10) -
4 1 27 21 1
- - - - -
- - - (3) -
480 160 3,264 3,264 -
- - - - -
- - - - -
18 2 46 40 2
51 17 347 347 -
- - - - -
10 10 204 204 -
100 100 2,040 2,040 -
2,100 420 8,568 8,568 500
1,100 275 5,610 5,610 -
3 3 61 61 -
- - - - -
22 4 90 84 -
- - - - -
500 100 2,040 1,790 -
12 2 49 48 2
- - - (12) -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 1 20 20 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
47 16 320 307 -
- - - - -
- - - - -
- - - (7) -
- - - - -
200 200 4,080 4,080 -
- - - - -
- - - - -
- - - - -
- - - - -
14 7 143 143 -
44 22 449 349 -
10 10 204 204 -
10 10 204 204 -
10 10 204 204 -
- - - (3,500) -
482 161 3,278 (40) -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
2 1 20 20 -
- - - - -
7 2 36 36 -
44 5 100 100 4
2 2 41 41 -
2 2 41 41 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
10 3 51 51 1
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 1 20 20 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
1 1 20 20 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
50 50 1,020 1,020 -
225 75 1,530 1,530 25
- - - - -
- - - - -
250 83 1,700 1,700 -
450 90 1,836 1,836 100
25 25 510 510 -
- - - - -
- - - - -
2 1 20 20 1
2 1 20 20 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
70 35 714 714 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
300 75 1,530 1,530 100
- - - - -
2 2 41 41 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
LAPORAN PSIKOTROPIKA
Kota : ……………………….
UPT : ……………………….
Periode : Januari 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 45
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 1
5 DIAZEPAM TAB 2 MG TABLET 88
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
UPT : ……………………….
Periode : Februari 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 45
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 1
5 DIAZEPAM TAB 2 MG TABLET 78
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
UPT : ……………………….
Periode : Maret 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 35
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 78
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
UPT : ……………………….
Periode : April 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
UPT : ……………………….
Periode : Mei 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Juni 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Juli 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Agustus 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -
LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : September 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 15
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 3
5 DIAZEPAM TAB 2 MG TABLET 70
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Oktober 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP -
5 DIAZEPAM TAB 2 MG TABLET 60
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Nopember 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 5
5 DIAZEPAM TAB 2 MG TABLET 60
6 FENOBARBITAL TAB 30 MG TABLET -

LAPORAN PSIKOTROPIKA
Kota : ……………………….
Puskesmas : ……………………….
Periode : Desember 2020

PEMASUKAN
NO NAMA OBAT SATUAN SALDO AWAL
PBF
1 ALPRAZOLAM TABLET 0.5 MG TABLET -
2 DIAZEPAM INJ 5 MG/ML 2 ML AMPUL 13
3 DIAZEPAM RECTAL 10MG SUPP -
4 DIAZEPAM RECTAL 5MG SUPP 5
5 DIAZEPAM TAB 2 MG TABLET 57
6 FENOBARBITAL TAB 30 MG TABLET -
SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 45
1 1 -
1 1 1
- 10 78
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
0 - -
0 10 35
0 - -
2 - 3
0 - 78
0 - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
0 - -
0 20 15
0 - -
0 - 3
0 8 70
0 - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 15
- - -
- - 3
- - 70
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 15
- - -
- - 3
- - 70
- - -

SIKOTROPIKA
PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 15
- - -
- - 3
- - 70
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 15
- - -
- - 3
- - 70
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 15
- - -
- - 3
- - 70
- - -
SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- 2 13
- - -
- 3 -
- 10 60
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 13
- - -
5 - 5
- - 60
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
- - -
- - 13
- - -
- - 5
- 3 57
- - -

SIKOTROPIKA

PEMASUKAN PENGGUNAAN
SALDO AKHIR
JUMLAH NO RESEP JUMLAH
0 - -
0 - 13
0 - -
0 - 5
0 - 57
0 - -

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