PENGELUARAN

STOK PENERIM PERSEDIA Pol. Pol.

No Nama Obat Satuan Loket Pol. Prog
AWAL AAN AN LAB Ganjaresi Pol. Cikut Mulyajay
Obat Sukapura Remaja
k1 a
1 2 3
1 Acetyl Cysteine 200 mg Kapsul 0 3000 3000 1500 60 60
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 0 0
3 Alat Suntik Sekali Pakai 1 ml Pcs 85 130 215 30 100 50 25 10
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah 0 0
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 90 90
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 100 100 200 25 10
7 Alat Suntik Sekali Pakai 20 ml Buah 0 0
8 Alat Suntik Sekali Pakai 3 ml Pcs 0 500 500 100
9 Alat Suntik Sekali Pakai 5 ml Pcs 100 100 10
10 Albendazol 400 mg Tablet 0 0
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase 0 2000 2000 100 200
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 0 0
13 Alopurinol tablet 100 mg Tablet 0 500 500 300
14 Alopurinol tablet 300 mg Tablet 0 300 300 200
15 Ambroxol Sirup Botol 0 0
16 Ambroxol Tablet 30 mg Tablet 0 0
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 0 0
18 Aminofilin Tablet 200 mg Tablet 0 0
19 Aminofluid Botol 0 0
20 Amitriptilina HCl tablet salut 25 mg Tablet 0 0
21 Amlodipin tablet 10 mg Tablet 0 3,600 3600 1600 250 100
22 Amlodipin tablet 5 mg Tablet 400 3,000 3400 1500 300 100
23 Amoksilin 500 mg Kaplet 0 16,000 16000 7000 50 300 250 400
24 Amoksilin Kapsul 250 mg Kapsul 0 0
25 Amoksilin sirup kering 125 mg/5ml Botol 0 200 200 100 20
26 Amoksilin sirup kering forte 250 mg/5ml Botol 0 85 85 35 3 10
27 Ampisilin 1 gr inj Ampul 0 0
28 Ampisilin Kaplet 500 mg Kaplet 0 0
29 Ampisilin Kaplet 500 mg Kaplet 0 0
30 Ampisilin Serbuk Injeksi Vial 0 0
31 Antalgin(Metampiron) Tablet 500 mg Tablet 200 200 100 100
32 Antasida DOEN I tablet kombinasi Tablet 800 16,000 16800 4500 50 600 250 300
33 Antasida DOEN II suspensi kombinasi Botol 60 60
34 Anti hemoroid suppositorida Supp 20 30 50 20
35 Antifungi DOEN kombinasi : Pot 0 24 24 10
36 Antimigren DOEN/Ergotamin kafein Tablet 0 200 200 100
37 Antiseptik Hand Rub 5 lt Galon 1 1
38 Antiseptik Hand Rub 500 ml Botol 0 0
39 Antiseptik Surgical Hand Scrub 5 lt Galon 0 0
40 Antiseptik Surgical Hand Scrub 500 ml Botol 0 0
41 Aqua Pro Injeksi steril bebas pirogen- 20 mlAmpul 10 10
42 Aquadest steril -500 ml Botol 2 2 1
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 550 1,500 2050 1000 200 100
44 Asam folat tablet 0,4 mg Tablet 200 200 50 100
45 Asam Mefenamat 500 mg Tablet 500 2,500 3000 1300 100 300 200
46 Asering Botol 0 400 400 120
47 Asetosal tablet 80 mg Tablet 100 100 100
48 Asiklovir cr Tube 0 24 24 10 3 5
49 Asiklovir tab 200 mg Tablet 0 0
50 Asiklovir tab 400 mg Tablet 0 200 200 100
51 Atapulgit Tablet 100 200 300 200
52 Atorvastatin 10 mg Tablet 0 360 360 180
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 0 0
54 Azitromisin 500 mg Kaplet 200 200
55 Bedak Salisil serbuk 2 % Buah 10 70 80 40 3 5
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 0 0
57 Betametason Krim 0.1 % Tube 0 150 150 50 3 20
58 Bisturi no 10 Buah 0 0
59 Bloodseet Buah 0 50 50 25
60 Camabion Tablet 0 0
61 Carpul (Articain & Adrenalin) Ampul 0 0
62 Catgut Chromic 2/0 90 cm 36 mm Roll 9 24 33 12 5 4
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MRRoll 0 0
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MRRoll 0 0
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 0 0
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 0 0
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum Roll 0 0
68 Cefiksim 100 mg Kapsul 0 0
69 Cetirizine Kapsul 0 800 800 400
70 Citoject Pcs 0 0
71 Clorofenol (CHKM) Ples 0 0
72 Deksametason inj 5 mg/ml-1 ml Ampul 10 10
73 Deksametason Tablet 0,5 mg Tablet 0 1200 1200 500 50 100 50
74 Devitalisasi Pasta (Non arsen) Botol 0 0
75 Difenhidramin inj 10 mg/ml Ampul 10 10
76 Digoksin tablet 0,25 mg Tablet 0 0
77 Dimenhidrinat tablet 50 mg Tablet 0 250 250 150
78 Doksisiklin 100 mg Kapsul 0 0
79 Domperidon Syrup Botol 0 0
80 Domperidon tablet 10 mg Tablet 0 1000 1000 600
81 Ekstrak Belladona tablet 10 mg Tablet 0 0
82 Eosin 2% 1x100 ml Botol 0 0
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/mAmpul 3 3 2
84 Eritromisin 250 mg Tablet 0 0
85 Eritromisin 500 mg Tablet 0 0
86 Eritromisin sirup kering 200 mg/5 ml Botol 0 0
87 Etambutol Hcl tablet 250 mg Tablet 0 0
88 Etambutol Hcl Tablet 500 mg Tablet 0 0
89 Etanol 70 %- 100 ml Botol 0 0
90 Etanol 70% - 1 L Botol 1 6 7 3 1
91 Etil Klorida semprot-100 ml Botol 1 1 2 1
92 Eugenol Cairan Botol 1 1
 93 Female Catheter no 16 Pcs 0 0
94 Female Catheter no 18 Pcs 0 0
95 Fenitoin Kapsul100 mg Kapsul 0 0
96 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0
97 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0
98 Fenol Gliserol Tetes telinga 10 % Botol 0 0
99 Film IV Dressing 6x7 P Pcs 0 0
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 0 0
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 25 163 188 60
102 Fitomenadion(Vit K1) tablet salut gula 10 mTablet 100 100 200 100
103 Fluconazol 150 mg kapsul 0 0
104 Folley Cathether 2 way no 20 Pcs 0 0
105 Folley Cathether no 16 Pcs 11 11 2
106 Folley Cathether no 18 Pcs 15 15 3
107 Furosemid tablet 40 mg Tablet 200 200
108 Garam Oralit 200 ml air Sachet 100 1000 1100 300 50 100 100
109 Gentamisin Inj 40 mg/ml Vial 0 0
110 Gentamycin Salep Kulit Tube 0 24 24 12
111 Gentamycin Salep Mata Tube 0 24 24 5 9
112 Gentamycin Tetes Mata Tube 0 24 24 14
113 Gentian violet larutan 1 %-10 ml Botol 0 0
114 Glas Lonomer Cement Set 0 0
115 Glibenklamid tablet 5 mg Tablet 0 500 500 200
116 Glimepiride tablet 1 mg Tablet 0 0
117 Gliseril Gyayakolat tablet 100 mg Tablet 0 0
118 Glukosa Larutan infus 10% steril-500 ml Botol 5 5 10
119 Glukosa Larutan infus 5% steril-500 ml Botol 5 5 10
120 Griseofulvin tablet 125 mg micronized Tablet 0 0
121 Haloperidol Injeksi (Lodomer) Ampul 0 0
122 Haloperidol tablet 0,5 mg Tablet 0 0
123 Haloperidol tablet 1,5 mg Tablet 100 100
124 Haloperidol tablet 2 mg Tablet 100 100
125 Haloperidol tablet 5 mg Tablet 300 300
126 Hansaplast 2,5 cm x 4,5 m Roll 0 0
127 Hansaplast 7,5 cm x 4,5 m Roll 0 0
128 Hidrogen Peroksida 3% (H2O2) Botol 0 0
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0
130 Hidrokortison krim 2,5 % Tube 5 48 53 24 5
131 Ibuprofen sirup 100 mg/5 ml Botol 0 0
132 Ibuprofen tablet 200 mg Tablet 0 600 600 150 250 100
133 Ibuprofen tablet 400 mg Tablet 600 600 300
134 Infusion set anak Set 5 100 105
135 Infusion set dewasa Set 35 200 235 100 10
136 Isoniazida ( INH ) tablet 300 mg Tablet 0 0
137 Isosorbit 5 mg Tablet 0 100 100
138 IV Cateter 18 Buah 0 50 50 20 5 5
139 IV Cateter 20 Buah 0 0
140 IV Cateter 22 Buah 50 45 95 50
141 IV Cateter 24 Buah 0 100 100 50
142 IV Cateter no 26 wings & port Buah 0 20 20 10
143 IV Cateter with injection port 26 G Buah 0 0
144 Jarum Citojek No 16 Pcs 0 0
145 Jarum Jahit kulit No.12 Pcs 0 0
146 Jarum Jahit Otot No.12 Pcs 0 0
147 Kalium Permanganat Pot 0 0
148 Kalsium Glukonat injeksi i.v 10 % Ampul 3 3 2
149 Kalsium Hidroksida Pasta Set 0 0
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 1700 2,000 3700 400 600 800 500 300
151 Kapas pembalut/absorben 250 mg Buah 3 3 1
152 Kaptropil 12,5 mg Tablet 350 350 100
153 Kaptropil 25 mg Tablet 0 500 500 200
154 Karbamazepin tablet 200 mg Tablet 100 100
155 Karbogliserin Tetes Telinga Botol 0 36 36 20
156 Kasa hidrofil 36 m x 80 cm Roll 0 3 3 2
157 Kasa hidrofile 3 yard x 10 cm Buah 40 40
158 Kasa hidrofile 40 yard x 80 cm Roll 0 0
159 Kasa kompres 16x16 steril Buah 0 96 96 48
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 0 0
161 Ketokonazol 200 mg Tablet 0 200 200 100
162 Ketokonazol Krim 2% Tube 0 20 20 10
163 Klindamisin 150 mg Tablet 0 0
164 Kloramfenikol kapsul 500 mg Kapsul 200 200 400 200
165 Kloramfenikol salep kulit 2 % Tube 0 70 70 30
166 Kloramfenikol salep mata 1 % Tube 0 0
167 Kloramfenikol susp 125 ml Botol 10 10
168 Kloramfenikol tetes telinga 3 % Ples 0 18 18 10
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 0 2,400 2400 1000 100 100
170 Klorine Botol 0 0
171 Klorpromazin 100 MG Tablet 0 0
172 Klorpromazin 25 mg Tablet 0 0
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 0 0
174 Kotrimoksazol anak Tablet 0 0
175 Kotrimoksazol Susp Botol 15 15
176 Kotrimoksazol Tablet 480 mg Tablet 0 400 400 100
177 Leucoplast 2,50 cm x 4,5 m Roll 2 10 12 5
178 Leucoplast 7,50 cm x 4,5 m Roll 0 10 10 5 1
179 Lidocain compositum inj kombinasi Ampul 60 60 30
180 Lidocain Injeksi 2% Ampul 90 90 50
181 Lidocain Jeli 2% Syringe 0 0
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol 0 0
183 Lisol Botol 0 0
184 Loratadine 10 mg Tablet 0 400 400 200
185 Magnesium Sulfat Inj 20% Vial 0 0
186 Magnesium Sulfat Inj 40% Ampul 23 23
187 Masker Karet Buah 1244 3000 4244 2000 30
188 Masker Tali Buah 0 0
189 Metformin Tablet 0 3,000 3000 1500
190 Metildopa 250 mg / Dopamet Tablet 300 300 100
191 Metilergometrin Maleat Inj Ampul 20 20 40 20
192 Metilergometrin Maleat tab Tablet 0 200 200
193 Metoklopramide Inj Ampul 0 0
194 Metronidazol tablet 250 mg Tablet 0 0
195 Metronidazol tablet 500 mg Tablet 0 300 300 100 50 100
196 Mikonazol krim 2% Tube 0 30 30 12 3 5
197 Mummying Pasta Botol 0 0
198 Nasal Oxygen, O2 cannula size L Pcs 0 30 30 15 4
199 Nasal Oxygen, O2 cannula size M Pcs 2 2
200 Nasal Oxygen, O2 cannula size S Pcs 5 15 20 5
201 Nasal Oxygen, O2 cannula size XS Pcs 0 0
202 Natrium Bikarbonat tablet 500 mg Tablet 0 500 500 200 100 100
203 Natrium Diklofenak Tablet 0 2000 2000 800 50
204 Natrium Klorida Lar.infus 0,9 % steril Botol 15 15 15
205 Natrium Tiroksin Tablet 0 0
206 Nifedipin 10 mg Tablet 0 0
207 Nistatin Suspensi 100.000 IU/ml Botol 0 0
208 Nistatin tablet vaginal 100.000 IU/g Tablet 45 45 35
209 Nistatin tablet vaginal 500.000 IU/g Tablet 0 0
210 Norit Tablet 0 0
211 OAT Sisipan/FDC Sisipan Paket 0 0
212 Obat antituberkolosis Kombipak Kat.I DewaPaket 0 0
213 Obat antituberkulosis anak/FDC Anak Paket 0 6 6
214 Obat antituberkulosis kategori 1/FDC 1 Paket 0 0
215 Obat antituberkulosis kategori 2/FDC 2 Paket 0 0
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 0 0
217 OBH Nusantara Menthol Botol 0 0
218 OBH Plus Botol 0 0
219 Oksitetrasiklin HCl 1 % Salep mata Tube 0 20 20 10 2
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 0 0
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 0 0
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 60 60 20 5
223 Omeprazol Kapsul 0 900 900 500
224 Omeprazol Injeksi Vial 0 0
225 Papaverin tab Tablet 0 0
226 Paraformaldehid Tablet 0 0
227 Parasetamol drop Botol 0 0
228 Parasetamol sirup 120 mg / 5ml Botol 90 90 50 10
229 Parasetamol tablet 500 mg Tablet 5500 35,000 40500 10000 100 800 1300 700
230 Parasetamol tablet 100 mg Tablet 0 0
231 Pehakain Ampul 0 0
232 Permetrin Krim 5% (Scabimite) Tube 25 20 45 25
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 0 0
234 Piralent Inj Ampul 0 0
235 Pirazinamid 500 mg Tablet 0 0
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 0 1,200 1200 100 100
237 Piroxicam 10 mg Tablet 0 500 500 300
238 Plester 5 yard x 2 inch Roll 0 0
239 Plester 7,5 cm x 5 m Buah 0 0
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 0 0
241 Povidon Iodiada 10 %-30 ml Botol 0 0
242 Povidon Iodiada 10 %-300 ml Botol 1 5 6 2
243 Prednison tablet 5 mg Tablet 200 2,000 2200 1000 150
244 Probenesid 500 mg Tablet 0 0
245 Propanolol HCl tablet 10 mg Tablet 0 0
246 Propanolol HCl tablet 40 mg Tablet 0 0
247 Propiltiourasil tablet 100 mg Tablet 0 0
248 Ranitidin inj Ampul 15 10 25
249 Ranitidine 150 mg Tablet 0 4000 4000 2000 200
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 0 438 438
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 100 2950 3050 100 150
252 Rifampisin kapsul 300 mg Kapsul 0 0
253 Rifampisin kapsul 450 mg Kapsul 0 0
254 Ringer Laktat Larutan Infus Steril Botol 8 400 408 100 5
255 Rivanol 300 ml Botol 0 0
256 Salbutamol tablet 2 mg Tablet 0 100 100 100
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 0 24 24 14
258 Salisil Spiritus Botol 0 0
259 Sarung Tangan non steril no 6,5 Pasang 0 0
260 Sarung Tangan non steril no 7 Pasang 0 0
261 Sarung Tangan non steril no 7,5 Pasang 0 0
262 Sarung Tangan Obgyn steril Pasang 13 13 3
263 Sarung tangan steril no 6,5 Pasang 0 0
264 Sarung tangan steril no 7 Pasang 215 300 515 300 5 20 10
265 Sarung tangan steril no 7,5 Pasang 0 0
266 Semen Seng Fosfat Serbuk Cairan Set 0 0
267 Semillas non Woven Medical Tape Pcs 0 0
268 Serum anti tetanus (ATS) / Biosat Ampul 0 0
269 Serum anti tetanus (ATS) / Tetagam Ampul 0 0
270 Serum antibisa ular Polivalen inj 5 ml (SABU)Ampul 0 0
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 12 12 24
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase 0 0
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 0 0
274 Silk Black 2/0 DS 24 MM Sase 0 0
275 Silk Black 2/0 HR 26 MM Sase 0 0
276 Silk Black 3/0 DS 24 MM Sase 0 0
277 Silk Black 3/0 HR 26 MM Sase 0 0
278 Silk Black PFM 2/0 100 m Roll 0 0
279 Simvastatin tablet 10 mg Tablet 0 0
280 Simvastatin tablet 20 mg Tablet 0 600 600 300
281 Siprofloksasin 500 mg Tablet 200 100 300 200
282 Softanol antimicrobial 500 ml Botol 0 0
283 Softanol antimicrobial galon 5 liter Galon 0 0
284 Spironolakton 25 mg Tablet 100 100 100
285 Streptomisin Inj Vial 0 0
286 Sulfasetamid Natrium Tetes mata 15 % Ples 0 24 24 14
287 Tablet Tambah darah kombinasi : Besi II SulTablet 60970 4,000 64970 1000 800 2000 600 2000 1800
288 Temporary Filling Material (Fermin) Botol 1 1
289 Temporary Stopping Fletcher serbuk &cairaSet 1 1
290 Tetrakain HCl tetes mata 0,5 % Botol 0 0
291 Tetrasiklin Kapsul 250 mg Kapsul 0 0
292 Tetrasiklin Kapsul 500 mg Kapsul 0 0
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 1450 1,500 2950 1200 350 300 200
294 Transfusion Set Set 0 0
295 Triheksifenidil HCl tablet 2 mg Tablet 300 300
296 Trikesol Formalin (TKF) Botol 0 0
297 Umbilical cord klem steril Pcs 35 35 10 10 5
298 Urine bag pcs 18 18 6
299 Urine Drainage Bag, T valve with hanger Pcs 0 0
300 Ventolin nebules Nebule 0 0
301 Viorex no rinse antimicrobial Galon 0 0
302 Viorex no rinse antimicrobial Botol 2 2 2
303 Vitamin B 12 Injeksi Ampul 0 0
304 Vitamin B 12 tab Tablet 1400 1400 400
305 Vitamin B Kompleks tablet Tablet 5200 1,800 7000 2000 50 500 200 200
306 Wing Nedle no 25 Tablet 0 0
307 Zink Tablet 0 700 700 300 100 100
308 Dextaco Tablet 0 0
309 Dextrofen Syrup 60 ml Botol 0 0
310 Hemafort Tablet 0 0
311 Lodecon Forte Tablet 0 0
312 Scandonest Ampul 0 0
313 Seledril Tablet Tablet 0 0
314 Solacort krim /Armacort Tube 0 0
315 Solafluz Botol 0 0
316 Soldextam Tablet 0 0
317 Solvitral Tablet 0 0
318 Truvit Syr Botol 0 0
319 Widabest Botol 0 0
320 Metronidazol sirup Botol 0 0
321 Cefadroksil sirup Botol 0 0
322 Metilprednisolon 16 mg Tablet 0 0
323 Albendazole Suspensi Botol 0 0
324 Asam Askorbat (VIT C) Tablet 250 mg Tablet 500 500 300
325 Bisakodil Supp Supp 18 18 10
326 Povidone Iod 10 % 60 ml Botol 6 6 2
327 Biolisin Tab Tablet 0 0
328 Obat Kusta MB Dewasa Blister 0 0
329 Bundavin Tablet 0 0
330 Herbakof Syr Botol 0 96 96 48
331 Stimuno Syr Botol 0 0
332 Vitamin B6 25 mg Tablet 0 200 200
333 Vitamin C 500 mg Tablet 0 0
334 Kotrimoxazole 960 mg Tablet 0 0
335 Leukomed IV Film Pcs 0 0
336 OAT KDT harian Paket 0 2 2 2
337 Zegavit Tablet 0 0
338 Favipiravir 200 mg Tablet 0 0
339 INH 100 mg Tablet 0 0
340 Paper Tape 2,5 x9,14 Roll 3 10 13 5 2
341 NRM Anak Pcs 3 5 8 3
342 NRM Dewasa Pcs 0 10 10 5
343 Clindamycin 300 mg Kapsul 0 0
344 Mineral Mix serbuk sachet 0 0
345 Glimepiride tablet 2 mg Tablet 0 200 200 100
346 Lytacur Syr Botol 0 0
347 Methylprednisolon 4 mg Tablet 0 1200 1200 500
348 Stimuno Forte Kapsul 240 240 120
349 Lodecon Tablet 0 0
350 Metoclopramide 5 mg Tablet 100 100 200
351 Novadryl Tablet 0 1200 1200 600
352 Calsidor Set 0 1 1 1
0
OBAT PREKURSOR DAN PSIKOTROPIKA 0
1 Diazepam inj 5 mg/ml-2 ml Ampul 5 5 5
2 Diazepam tablet 2 mg Tablet 0 0
3 Diazepam tablet 5 mg Tablet 100 100 100
4 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
5 Fenobarbital tablet 30 mg Tablet 0 0
6 Stesolid (Diazepam Rectal) Tube 0 10 10 5
 REAGEN DAN PROGRAM JANUARI 2023
PENGELUARAN
STOK PENERIM PERSEDIA
No Nama Obat Satuan ED JUMLAH SISA
AWAL AAN AN PROG TB LAB

1 Abate Gr 0 0 0 0
2 CGXMTB/RIF-50-XPERT MTB/RIF Pcs 0 0 0 0
3 Cynoff Botol 0 0 0 0
4 Ekomed Blood Lancet Pcs 32000 32000 0 32000
5 Forsch Alkohol Swab Pcs 32000 32000 0 32000
6 Hepatitis B Imumoglobulin Syringe Syringe 0 0 0 0
7 Genexpert MTB/RIF Cartidge Test 0 300 300 300 300 0
8 On Call Plus Blood Glucose Test Strips Test 32000 32000 0 32000
9 Pot Dahak Buah 130 130 24 106 130 0
10 Rapid Test Antigen Covid-19 Test 0 250 250 250 250 0
11 SD Bioline HIV/Syphilis Duo (6FK30) Test 0 0 0 0
12 Tuberkulin PPD RT23 SSI Vial 0 0 0 0
13 Reagen Ziehl Neelsen Kit 16 16 0 16
14 Rapid Test HBSAG Test 0 200 200 100 100 100
15 RDT DBD Combo (IgG dan NS1) Test 0 0 0 0
16 Reagen Widal Set (BLUD) Box 1 1 1 1 0
17 Stik Glucose easy touch (BLLUD) Box 13 13 3 3 10
18 Yellow tip (BLUD) Box 1 1 0 1
19 Blue tip (BLUD) Box 1 1 0 1
20 Medonic Diluent 20 L Kit 0 0 0 0
21 Medonic Lyse 5 L Kit 0 0 0 0
22 Tabung reaksi Iwaki Box 4 4 2 2 2
23 Kontrol darah hematology Kit 0 0 0 0
24 Rapid test antigen Covid-19 (BLUD) Box 13 13 0 13
25 Masker N95 Pcs 0 0 0 0
26 Kondom Pcs 250 250 0 250
27 Lubricant Cupid Pcs 75 75 0 75
28 Strip Hb meter Strip 300 300 0 300
29 Hb Meter dan Pen Lancing Buah 1 1 0 1
30 Alkohol swab Boks 3 3 0 3
31 Gloves Boks 3 3 0 3
32 Blood Lancet Boks 3 3 0 3
 ED RECALL JUMLAH SISA
Imunisasi

1620 1380
0 0
215 0
0 0
0 90
35 165
0 0
100 400
10 90
0 0
100 400 1600
0 0
300 200
200 100
0 0
0 0
0 0
0 0
0 0
0 0
1950 1650
1900 1500
8000 8000
0 0
120 80
48 37
0 0
0 0
 0 0
0 0
200 0
5700 11100
60 60 0
20 30
10 14
100 100
0 1
0 0
0 0
0 0
0 10
1 1
1300 750
150 50
1900 1100
120 280
100 0
18 6
0 0
100 100
200 100
180 180
0 0
0 200
48 32
0 0
73 77
0 0
25 25
0 0
 0 0
21 12
0 0
0 0
0 0
0 0
0 0
0 0
400 400
0 0
0 0
0 10
700 500
0 0
0 10
0 0
150 100
0 0
0 0
600 400
0 0
0 0
2 1
0 0
0 0
0 0
0 0
0 0
0 0
4 3
1 1
0 1
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 128
100 100
0 0
0 0
2 9
3 12
0 200
550 550
0 0
12 12
14 10
14 10
0 0
0 0
200 300
0 0
0 0
0 10
0 10
0 0
0 0
0 0
0 100
0 100
 0 300
0 0
0 0
0 0
0 0
29 24
0 0
500 100
300 300
0 105
110 125
0 0
0 100
30 20
0 0
50 45
50 50
10 10
0 0
0 0
0 0
0 0
0 0
2 1 4 (lebih)
0 0
2600 1100
1 2
100 250
200 300
0 100
20 16
2 1
 0 40
0 0
48 48
0 0
100 100
10 10 -2
0 0
200 200
30 40
0 0
0 10
10 8
1200 1200
0 0
0 0
0 0
0 0
0 0
0 15
100 300
5 7
6 4
30 30
50 40
0 0
0 0
0 0
200 200
0 0
0 23
2030 2214
0 0
1500 1500
100 200
20 20
0 200
0 0
0 0
250 50
20 10
0 0
19 11
0 2
5 15
0 0
400 100
850 1150
15 0
0 0
0 0
0 0
35 10
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 0
0 0
0 0
12 8
0 0
 0 0
25 35
500 400
0 0
0 0
0 0
0 0
60 30
12900 27600
0 0
0 0
25 20
0 0
0 0
0 0
200 1000
300 200
0 0
0 0
0 0
0 0
2 4
1150 1050
0 0
0 0
0 0
0 0
0 25
2200 1800
0 438
250 2800
0 0
 0 0
105 303
0 0
100 0
14 10
0 0
0 0
0 0
0 0
3 10
0 0
335 180
0 0
0 0
0 0
0 0
0 0
0 0
0 24
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300
200 100
0 0
0 0
100 0
 0 0
14 10
8200 56770
0 1
0 1
0 0
0 0
0 0
2050 900
0 0
0 300
0 0
25 10
6 12
0 0
0 0
0 0
2 0
0 0
400 1000
2950 4050
0 0
500 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 200
10 8
2 4
0 0
0 0
0 0
48 48
0 0
0 200
0 0
0 0
0 0
2 0
0 0
0 0
0 0
7 6
3 5
5 5
0 0
0 0
100 100
0 0
500 700
120 120
 0 0
0 200
600 600
1 0
0 0

5 0
0 0
100 0
0 0
0 0
5 5
 PENGELUARAN
STOK PENERIM PERSEDIA PP. PP.
No Nama Obat Satuan AWAL AAN AN Loket Pol. Prog ED RECALL JUMLAH
LAB Pol. Wado cilengkran Cimungka GIZI Pol. Cikut
Obat Cisurat Remaja
g l
1 2 3
1 Acetyl Cysteine 200 mg Kapsul 1380 1380 900 900
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 0 0 0
3 Alat Suntik Sekali Pakai 1 ml Pcs 0 0 0
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah 0 0 0
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 90 90 0
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 165 165 40 40
7 Alat Suntik Sekali Pakai 20 ml Buah 0 0 0
8 Alat Suntik Sekali Pakai 3 ml Pcs 400 400 100 40 140
9 Alat Suntik Sekali Pakai 5 ml Pcs 90 90 40 40
10 Albendazol 400 mg Tablet 0 0 0
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase 1600 1600 100 50 150
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 0 0 0
13 Alopurinol tablet 100 mg Tablet 200 200 100 100
14 Alopurinol tablet 300 mg Tablet 100 100 0
15 Ambroxol Sirup Botol 0 0 0
16 Ambroxol Tablet 30 mg Tablet 0 0 0
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 0 0 0
18 Aminofilin Tablet 200 mg Tablet 0 0 0
19 Aminofluid Botol 0 0 0
20 Amitriptilina HCl tablet salut 25 mg Tablet 0 0 0
21 Amlodipin tablet 10 mg Tablet 1650 1650 1300 100 100 50 1550
22 Amlodipin tablet 5 mg Tablet 1500 1500 1400 100 1500
23 Amoksilin 500 mg Kaplet 8000 8000 6000 400 200 250 600 7450
24 Amoksilin Kapsul 250 mg Kapsul 0 0 0
25 Amoksilin sirup kering 125 mg/5ml Botol 80 80 80 80
26 Amoksilin sirup kering forte 250 mg/5ml Botol 37 37 37 37
27 Ampisilin 1 gr inj Ampul 0 0 0
28 Ampisilin Kaplet 500 mg Kaplet 0 0 0
29 Ampisilin Kaplet 500 mg Kaplet 0 0 0
30 Ampisilin Serbuk Injeksi Vial 0 0 0
31 Antalgin(Metampiron) Tablet 500 mg Tablet 0 0 0
32 Antasida DOEN I tablet kombinasi Tablet 11100 11100 6500 300 200 500 500 8000
33 Antasida DOEN II suspensi kombinasi Botol 0 0
34 Anti hemoroid suppositorida Supp 30 30 20 20
35 Antifungi DOEN kombinasi : Pot 14 14 10 10
36 Antimigren DOEN/Ergotamin kafein Tablet 100 100 100 100
37 Antiseptik Hand Rub 5 lt Galon 1 1 0
38 Antiseptik Hand Rub 500 ml Botol 0 0 0
39 Antiseptik Surgical Hand Scrub 5 lt Galon 0 0 0
40 Antiseptik Surgical Hand Scrub 500 ml Botol 0 0 0
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 10 10 0
42 Aquadest steril -500 ml Botol 1 1 1 1
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 750 750 300 250 100 100 750
44 Asam folat tablet 0,4 mg Tablet 50 50 50 50
45 Asam Mefenamat 500 mg Tablet 1100 1100 1100 1100
46 Asering Botol 280 280 120 5 125
47 Asetosal tablet 80 mg Tablet 0 0 0
48 Asiklovir cr Tube 6 6 6 6
49 Asiklovir tab 200 mg Tablet 0 0 0
50 Asiklovir tab 400 mg Tablet 100 100 0
51 Atapulgit Tablet 100 100 100 100
52 Atorvastatin 10 mg Tablet 180 180 180 180
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 0 0 0
54 Azitromisin 500 mg Kaplet 200 200 0
55 Bedak Salisil serbuk 2 % Buah 32 32 27 5 32
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 0 0 0
57 Betametason Krim 0.1 % Tube 77 77 30 6 6 15 57
58 Bisturi no 10 Buah 0 0 0
59 Bloodseet Buah 25 25 5 5
60 Camabion Tablet 0 0 0
61 Carpul (Articain & Adrenalin) Ampul 0 0 0
62 Catgut Chromic 2/0 90 cm 36 mm Roll 12 12 5 5
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 0 0 0
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 0 0 0
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 0 0 0
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 0 0 0
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum b Roll 0 0 0
68 Cefiksim 100 mg Kapsul 0 0 0
69 Cetirizine Kapsul 400 400 400 400
70 Citoject Pcs 0 0 0
71 Clorofenol (CHKM) Ples 0 0 0
72 Deksametason inj 5 mg/ml-1 ml Ampul 10 10 0
73 Deksametason Tablet 0,5 mg Tablet 500 500 500 500
74 Devitalisasi Pasta (Non arsen) Botol 0 0 0
75 Difenhidramin inj 10 mg/ml Ampul 10 10 0
76 Digoksin tablet 0,25 mg Tablet 0 0 0
77 Dimenhidrinat tablet 50 mg Tablet 100 100 0
78 Doksisiklin 100 mg Kapsul 0 0 0
 79 Domperidon Syrup Botol 0 0 0
80 Domperidon tablet 10 mg Tablet 400 400 400 400
81 Ekstrak Belladona tablet 10 mg Tablet 0 0 0
82 Eosin 2% 1x100 ml Botol 0 0 0
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 1 1 1 1
84 Eritromisin 250 mg Tablet 0 0 0
85 Eritromisin 500 mg Tablet 0 0 0
86 Eritromisin sirup kering 200 mg/5 ml Botol 0 0 0
87 Etambutol Hcl tablet 250 mg Tablet 0 0 0
88 Etambutol Hcl Tablet 500 mg Tablet 0 0 0
89 Etanol 70 %- 100 ml Botol 0 0 0
90 Etanol 70% - 1 L Botol 3 3 1 1 1 3
91 Etil Klorida semprot-100 ml Botol 1 1 0
92 Eugenol Cairan Botol 1 1 0
93 Female Catheter no 16 Pcs 0 0 0
94 Female Catheter no 18 Pcs 0 0 0
95 Fenitoin Kapsul100 mg Kapsul 0 0 0
96 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0 0
97 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0 0
98 Fenol Gliserol Tetes telinga 10 % Botol 0 0 0
99 Film IV Dressing 6x7 P Pcs 0 0 0
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 0 0 0
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 128 128 60 10 70
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 100 100 0
103 Fluconazol 150 mg kapsul 0 0 0
104 Folley Cathether 2 way no 20 Pcs 0 0 0
105 Folley Cathether no 16 Pcs 9 9 3 3
106 Folley Cathether no 18 Pcs 12 12 3 3
107 Furosemid tablet 40 mg Tablet 200 200 100 100
108 Garam Oralit 200 ml air Sachet 550 550 200 150 350
109 Gentamisin Inj 40 mg/ml Vial 0 0 0
110 Gentamycin Salep Kulit Tube 12 12 12 12
111 Gentamycin Salep Mata Tube 10 10 10 10
112 Gentamycin Tetes Mata Tube 10 10 7 3 10
113 Gentian violet larutan 1 %-10 ml Botol 0 0 0
114 Glas Lonomer Cement Set 0 0 0
115 Glibenklamid tablet 5 mg Tablet 300 300 300 300
116 Glimepiride tablet 1 mg Tablet 0 0 0
117 Gliseril Gyayakolat tablet 100 mg Tablet 0 0 0
118 Glukosa Larutan infus 10% steril-500 ml Botol 10 10 0
119 Glukosa Larutan infus 5% steril-500 ml Botol 10 10 5 5 10
120 Griseofulvin tablet 125 mg micronized Tablet 0 0 0
121 Haloperidol Injeksi (Lodomer) Ampul 0 0 0
122 Haloperidol tablet 0,5 mg Tablet 0 0 0
123 Haloperidol tablet 1,5 mg Tablet 100 100 0
124 Haloperidol tablet 2 mg Tablet 100 100 0
125 Haloperidol tablet 5 mg Tablet 300 300 0
126 Hansaplast 2,5 cm x 4,5 m Roll 0 0 0
127 Hansaplast 7,5 cm x 4,5 m Roll 0 0 0
128 Hidrogen Peroksida 3% (H2O2) Botol 0 0 0
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0 0
130 Hidrokortison krim 2,5 % Tube 24 24 15 5 4 24
131 Ibuprofen sirup 100 mg/5 ml Botol 0 0 0
132 Ibuprofen tablet 200 mg Tablet 100 100 100 100
133 Ibuprofen tablet 400 mg Tablet 300 300 100 100 100 300
134 Infusion set anak Set 105 105 30 30
135 Infusion set dewasa Set 125 125 10 10
136 Isoniazida ( INH ) tablet 300 mg Tablet 0 0 0
137 Isosorbit 5 mg Tablet 100 100 0
138 IV Cateter 18 Buah 20 20 5 5
139 IV Cateter 20 Buah 0 0 0
140 IV Cateter 22 Buah 45 45 40 5 45
141 IV Cateter 24 Buah 50 50 50 50
142 IV Cateter no 26 wings & port Buah 10 10 10 10
143 IV Cateter with injection port 26 G Buah 0 0 0
144 Jarum Citojek No 16 Pcs 0 0 0
145 Jarum Jahit kulit No.12 Pcs 0 0 0
146 Jarum Jahit Otot No.12 Pcs 0 0 0
147 Kalium Permanganat Pot 0 0 0
148 Kalsium Glukonat injeksi i.v 10 % Ampul 1 1 1 1
149 Kalsium Hidroksida Pasta Set 0 0 0
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 1100 1100 550 300 150 1000
151 Kapas pembalut/absorben 250 mg Buah 2 2 1 1
152 Kaptopril 12,5 mg Tablet 250 250 100 100 50 250
153 Kaptopril 25 mg Tablet 300 300 250 50 300
154 Karbamazepin tablet 200 mg Tablet 100 100 0
155 Karbogliserin Tetes Telinga Botol 16 16 16 16
156 Kasa hidrofil 36 m x 80 cm Roll 1 1 1 1
157 Kasa hidrofile 3 yard x 10 cm Buah 40 40 0
158 Kasa hidrofile 40 yard x 80 cm Roll 0 0 0
159 Kasa kompres 16x16 steril Buah 48 48 0
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 0 0 0
161 Ketokonazol 200 mg Tablet 100 100 100 100
162 Ketokonazol Krim 2% Tube 10 10 10 10
163 Klindamisin 150 mg Tablet 0 0 0
164 Kloramfenikol kapsul 500 mg Kapsul 200 200 200 200
165 Kloramfenikol salep kulit 2 % Tube 40 40 40 40
166 Kloramfenikol salep mata 1 % Tube 0 0 0
167 Kloramfenikol susp 125 ml Botol 10 10 0
168 Kloramfenikol tetes telinga 3 % Ples 8 8 5 5
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 1200 1200 1200 1200
170 Klorine Botol 0 0 0
171 Klorpromazin 100 MG Tablet 0 0 0
172 Klorpromazin 25 mg Tablet 0 0 0
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 0 0 0
174 Kotrimoksazol anak Tablet 0 0 0
175 Kotrimoksazol Susp Botol 15 15 15 0
176 Kotrimoksazol Tablet 480 mg Tablet 300 300 100 100
177 Leucoplast 2,50 cm x 4,5 m Roll 7 7 1 1
178 Leucoplast 7,50 cm x 4,5 m Roll 4 4 1 1
179 Lidocain compositum inj kombinasi Ampul 30 30 0
180 Lidocain Injeksi 2% Ampul 40 40 10 10
181 Lidocain Jeli 2% Syringe 0 0 0
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol 0 0 0
183 Lisol Botol 0 0 0
184 Loratadine 10 mg Tablet 200 200 100 100 200
185 Magnesium Sulfat Inj 20% Vial 0 0 0
186 Magnesium Sulfat Inj 40% Ampul 23 23 0
187 Masker Karet Buah 2214 2214 1500 30 1530
188 Masker Tali Buah 0 0 0
189 Metformin Tablet 1500 1500 1500 1500
190 Metildopa 250 mg / Dopamet Tablet 200 200 100 100
191 Metilergometrin Maleat Inj Ampul 20 20 10 10
192 Metilergometrin Maleat tab Tablet 200 200 0
193 Metoklopramide Inj Ampul 0 0 0
194 Metronidazol tablet 250 mg Tablet 0 0 0
195 Metronidazol tablet 500 mg Tablet 50 50 50 50
196 Mikonazol krim 2% Tube 10 10 10 10
197 Mummying Pasta Botol 0 0 0
198 Nasal Oxygen, O2 cannula size L Pcs 11 11 8 3 11
199 Nasal Oxygen, O2 cannula size M Pcs 2 2 0
200 Nasal Oxygen, O2 cannula size S Pcs 15 15 15 15
201 Nasal Oxygen, O2 cannula size XS Pcs 0 0 0
202 Natrium Bikarbonat tablet 500 mg Tablet 100 100 0
203 Natrium Diklofenak Tablet 1150 1150 1050 100 1150
204 Natrium Klorida Lar.infus 0,9 % steril Botol 0 0 0
205 Natrium Tiroksin Tablet 0 0 0
206 Nifedipin 10 mg Tablet 0 0 0
207 Nistatin Suspensi 100.000 IU/ml Botol 0 0 0
208 Nistatin tablet vaginal 100.000 IU/g Tablet 10 10 10 10
209 Nistatin tablet vaginal 500.000 IU/g Tablet 0 0 0
210 Norit Tablet 0 0 0
211 OAT Sisipan/FDC Sisipan Paket 0 0 0
212 Obat antituberkolosis Kombipak Kat.I Dewasa Paket 0 0 0
213 Obat antituberkulosis anak/FDC Anak Paket 6 6 0
214 Obat antituberkulosis kategori 1/FDC 1 Paket 0 0 0
215 Obat antituberkulosis kategori 2/FDC 2 Paket 0 0 0
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 0 0 0
217 OBH Nusantara Menthol Botol 0 0 0
218 OBH Plus Botol 0 0 0
219 Oksitetrasiklin HCl 1 % Salep mata Tube 8 8 8 8
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 0 0 0
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 0 0 0
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 35 35 30 5 35
223 Omeprazol Kapsul 400 400 400 400
224 Omeprazol Injeksi Vial 0 0 0
225 Papaverin tab Tablet 0 0 0
226 Paraformaldehid Tablet 0 0 0
227 Parasetamol drop Botol 0 0 0
228 Parasetamol sirup 120 mg / 5ml Botol 30 30 20 10 20
229 Parasetamol tablet 500 mg Tablet 27600 27600 13000 500 200 700 800 15200
230 Parasetamol tablet 100 mg Tablet 0 0 0
231 Pehakain Ampul 0 0 0
232 Permetrin Krim 5% (Scabimite) Tube 20 20 20 20
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 0 0 0
234 Piralent Inj Ampul 0 0 0
235 Pirazinamid 500 mg Tablet 0 0 0
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 1000 1000 600 200 100 100 1000
237 Piroxicam 10 mg Tablet 200 200 200 200
238 Plester 5 yard x 2 inch Roll 0 0 0
239 Plester 7,5 cm x 5 m Buah 0 0 0
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 0 0 0
241 Povidon Iodiada 10 %-30 ml Botol 0 0 0
242 Povidon Iodiada 10 %-300 ml Botol 4 4 0
243 Prednison tablet 5 mg Tablet 1050 1050 1050 1050
244 Probenesid 500 mg Tablet 0 0 0
245 Propanolol HCl tablet 10 mg Tablet 0 0 0
246 Propanolol HCl tablet 40 mg Tablet 0 0 0
247 Propiltiourasil tablet 100 mg Tablet 0 0 0
248 Ranitidin inj Ampul 25 25 0
249 Ranitidine 150 mg Tablet 1800 1800 1200 100 300 1600
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 438 438 400 400
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 2800 2800 2800 2800
252 Rifampisin kapsul 300 mg Kapsul 0 0 0
253 Rifampisin kapsul 450 mg Kapsul 0 0 0
254 Ringer Laktat Larutan Infus Steril Botol 303 303 100 13 10 123
255 Rivanol 300 ml Botol 0 0 0
256 Salbutamol tablet 2 mg Tablet 0 0 0
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 10 10 7 3 10
258 Salisil Spiritus Botol 0 0 0
259 Sarung Tangan non steril no 6,5 Pasang 0 0 0
260 Sarung Tangan non steril no 7 Pasang 0 0 0
261 Sarung Tangan non steril no 7,5 Pasang 0 0 0
262 Sarung Tangan Obgyn steril Pasang 10 10 3 3
263 Sarung tangan steril no 6,5 Pasang 0 0 0
264 Sarung tangan steril no 7 Pasang 180 180 25 5 30
265 Sarung tangan steril no 7,5 Pasang 0 0 0
266 Semen Seng Fosfat Serbuk Cairan Set 0 0 0
267 Semillas non Woven Medical Tape Pcs 0 0 0
268 Serum anti tetanus (ATS) / Biosat Ampul 0 0 0
269 Serum anti tetanus (ATS) / Tetagam Ampul 0 0 0
270 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul 0 0 0
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 24 24 12 12
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase 0 0 0
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 0 0 0
274 Silk Black 2/0 DS 24 MM Sase 0 0 0
275 Silk Black 2/0 HR 26 MM Sase 0 0 0
276 Silk Black 3/0 DS 24 MM Sase 0 0 0
277 Silk Black 3/0 HR 26 MM Sase 0 0 0
278 Silk Black PFM 2/0 100 m Roll 0 0 0
279 Simvastatin tablet 10 mg Tablet 0 0 0
280 Simvastatin tablet 20 mg Tablet 300 300 300 300
281 Siprofloksasin 500 mg Tablet 100 100 0
282 Softanol antimicrobial 500 ml Botol 0 0 0
283 Softanol antimicrobial galon 5 liter Galon 0 0 0
284 Spironolakton 25 mg Tablet 0 0 0
285 Streptomisin Inj Vial 0 0 0
286 Sulfasetamid Natrium Tetes mata 15 % Ples 10 10 10 10
287 Tablet Tambah darah kombinasi : Besi II SulfaTablet 56770 56770 600 1000 360 300 9620 270 12150
288 Temporary Filling Material (Fermin) Botol 1 1 0
289 Temporary Stopping Fletcher serbuk &cairan Set 1 1 0
290 Tetrakain HCl tetes mata 0,5 % Botol 0 0 0
291 Tetrasiklin Kapsul 250 mg Kapsul 0 0 0
292 Tetrasiklin Kapsul 500 mg Kapsul 0 0 0
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 900 900 700 200 900
294 Transfusion Set Set 0 0 0
295 Triheksifenidil HCl tablet 2 mg Tablet 300 300 0
296 Trikesol Formalin (TKF) Botol 0 0 0
297 Umbilical cord klem steril Pcs 10 10 5 5 10
298 Urine bag pcs 12 12 0
299 Urine Drainage Bag, T valve with hanger Pcs 0 0 0
300 Ventolin nebules Nebule 0 0 0
301 Viorex no rinse antimicrobial Galon 0 0 0
302 Viorex no rinse antimicrobial Botol 0 0 0
303 Vitamin B 12 Injeksi Ampul 0 0 0
304 Vitamin B 12 tab Tablet 1000 1000 200 200 400 800
305 Vitamin B Kompleks tablet Tablet 4050 4050 2000 100 100 500 2700
306 Wing Nedle no 25 Tablet 0 0 0
307 Zink Tablet 200 200 200 200
308 Dextaco Tablet 0 0 0
309 Dextrofen Syrup 60 ml Botol 0 0 0
310 Hemafort Tablet 0 0 0
311 Lodecon Forte Tablet 0 0 0
312 Scandonest Ampul 0 0 0
313 Seledril Tablet Tablet 0 0 0
314 Solacort krim /Armacort Tube 0 0 0
315 Solafluz Botol 0 0 0
316 Soldextam Tablet 0 0 0
317 Solvitral Tablet 0 0 0
318 Truvit Syr Botol 0 0 0
319 Widabest Botol 0 0 0
320 Metronidazol sirup Botol 0 0 0
321 Cefadroksil sirup Botol 0 0 0
322 Metilprednisolon 16 mg Tablet 0 0 0
323 Albendazole Suspensi Botol 0 0 0
324 Asam Askorbat (VIT C) Tablet 250 mg Tablet 200 200 100 100
325 Bisakodil Supp Supp 8 8 0
326 Povidone Iod 10 % 60 ml Botol 4 4 2 2
327 Biolisin Tab Tablet 0 0 0
328 Obat Kusta MB Dewasa Blister 0 0 0
329 Bundavin Tablet 0 0 0
330 Herbakof Syr Botol 48 48 48 48
331 Stimuno Syr Botol 0 0 0
332 Vitamin B6 25 mg Tablet 200 200 0
333 Vitamin C 500 mg Tablet 0 0 0
334 Kotrimoxazole 960 mg Tablet 0 0 0
335 Leukomed IV Film Pcs 0 0 0
336 OAT KDT harian Paket 0 0 0
337 Zegavit Tablet 0 0 0
338 Favipiravir 200 mg Tablet 0 0 0
339 INH 100 mg Tablet 0 0 0
340 Paper Tape 2,5 x9,14 Roll 6 6 1 1
341 NRM Anak Pcs 5 5 3 3
342 NRM Dewasa Pcs 5 5 0
343 Clindamycin 300 mg Kapsul 0 0 0
344 Mineral Mix serbuk sachet 0 0 0
345 Glimepiride tablet 2 mg Tablet 100 100 100 100
346 Lytacur Syr Botol 0 0 0
347 Methylprednisolon 4 mg Tablet 700 700 600 600
348 Stimuno Forte Kapsul 120 120 0
349 Lodecon Tablet 0 0 0
350 Metoclopramide 5 mg Tablet 200 200 200 200
351 Novadryl Tablet 600 600 100 100 200
352 Calsidor Set 0 0 0
0 0 0
OBAT PREKURSOR DAN PSIKOTROPIKA 0
1 Diazepam inj 5 mg/ml-2 ml Ampul 0 0 0
2 Diazepam tablet 2 mg Tablet 0 0 0
3 Diazepam tablet 5 mg Tablet 0 0 0
4 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0 0
5 Fenobarbital tablet 30 mg Tablet 0 0 0
6 Stesolid (Diazepam Rectal) Tube 5 5 0
 REAGEN DAN PROGRAM JANUARI 2023
PENGELUARAN
No Nama Obat Satuan STOK PENERIM PERSEDIA ED JUMLAH SISA
AWAL AAN AN PROG HIV LAB PROG
REMAJA
1 Abate Gr 0 0 0 0
2 CGXMTB/RIF-50-XPERT MTB/RIF Pcs 0 0 0 0
3 Cynoff Botol 0 0 0 0
4 Ekomed Blood Lancet Pcs 32000 32000 0 32000
5 Forsch Alkohol Swab Pcs 32000 32000 0 32000
6 Hepatitis B Imumoglobulin Syringe Syringe 0 0 0 0
7 Genexpert MTB/RIF Cartidge Test 0 1000 1000 500 500 500
8 On Call Plus Blood Glucose Test Strips Test 32000 32000 0 32000
9 Pot Dahak Buah 0 1000 1000 400 400 600
10 Rapid Test Antigen Covid-19 Test 0 0 0 0
11 SD Bioline HIV/Syphilis Duo (6FK30) Test 0 0 0 0
12 Tuberkulin PPD RT23 SSI Vial 0 0 0 0
13 Reagen Ziehl Neelsen Kit 16 16 0 16
14 Rapid Test HBSAG Test 100 100 0 100
15 RDT DBD Combo (IgG dan NS1) Test 0 0 0 0
16 Reagen Widal Set (BLUD) Box 0 0 0 0
17 Stik Glucose easy touch (BLLUD) Box 10 10 0 10
18 Yellow tip (BLUD) Box 1 1 0 1
19 Blue tip (BLUD) Box 1 1 0 1
20 Medonic Diluent 20 L Kit 0 0 0 0
21 Medonic Lyse 5 L Kit 0 0 0 0
22 Tabung reaksi Iwaki Box 2 2 2 2 0
23 Kontrol darah hematology Kit 0 0 0 0
24 Rapid test antigen Covid-19 (BLUD) Box 13 13 0 13
25 Masker N95 Pcs 0 0 0 0
26 Kondom Pcs 250 250 106 106 144
27 Lubricant Cupid Pcs 75 75 75 75 0
28 Strip Hb meter Strip 300 300 300 300 0
29 Hb Meter dan Pen Lancing Buah 1 1 1 1 0
30 Alkohol swab Boks 3 3 3 3 0
31 Gloves Boks 3 3 3 3 0
32 Blood Lancet Boks 3 3 3 3 0
SISA

480
0
0
0
90
125
0
260
50
0
1450
0
100
100
0
0
0
0
0
0
100
0
550
0
0
0
0
0
0
0
0
3100
0
10
4
0
1
 0
0
0
10
0
0
0
0
155
0
0
0
100
0
0
0
200
0
0
20
0
20
0
0
7
0
0
0
0
0
0
0
0
0
10
0
0
10
0
100
0
 0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
58
100
0
0
6
9
100
200
0
0
0
0
0
0
0
0
0
10
0
 0
0
0
100
100
300
0
0
0
0
0
0
0
0
75
115
0
100
15
0
0
0
0
0
0
0
0
0
0
0
100
1
0
0
100
0
0
40
0
48
0
 0
0
0
0
0
0
10
3
0
0
0
0
0
0
15
200
6
3
30
30
0
0
0
0
0
23
684
0
0
100
10
200
0
0
0
0
0
0
2
0
0
 100
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12400
0
0
0
0
0
0
0
0
0
0
0
0
4
 0
0
0
0
0
25
200
38
0
0
0
180
0
0
0
0
0
0
0
7
0
150
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
100
0
0
 0
0
0
44620
1
1
0
0
0
0
0
300
0
0
12
0
0
0
0
0
200
1350
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
 8
2
0
0
0
0
0
200
0
0
0
0
0
0
0
5
2
5
0
0
0
0
100
120
0
0
400
0
0

0
0
0
0
0
5
 STOK PENERIM PERSEDIA
No Nama Obat Satuan
AWAL AAN AN

1 2 3
1 Acetyl Cysteine 200 mg Kapsul 480 1500 1980
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 0 0 0
3 Alat Suntik Sekali Pakai 1 ml Pcs 0 300 300
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah 0 0 0
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 90 0 90
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 125 0 125
7 Alat Suntik Sekali Pakai 20 ml Buah 0 0 0
8 Alat Suntik Sekali Pakai 3 ml Pcs 260 100 360
9 Alat Suntik Sekali Pakai 5 ml Pcs 50 48 98
10 Albendazol 400 mg Tablet 0 0 0
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase 1450 0 1450
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 0 0 0
13 Alopurinol tablet 100 mg Tablet 100 400 500
14 Alopurinol tablet 300 mg Tablet 100 200 300
15 Ambroxol Sirup Botol 0 0 0
16 Ambroxol Tablet 30 mg Tablet 0 0 0
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 0 0 0
18 Aminofilin Tablet 200 mg Tablet 0 0 0
19 Aminofluid Botol 0 0 0
20 Amitriptilina HCl tablet salut 25 mg Tablet 0 100 100
21 Amlodipin tablet 10 mg Tablet 100 4,200 4300
22 Amlodipin tablet 5 mg Tablet 0 4,200 4200
23 Amoksilin 500 mg Kaplet 550 18,000 18550
24 Amoksilin Kapsul 250 mg Kapsul 0 0 0
25 Amoksilin sirup kering 125 mg/5ml Botol 0 300 300
26 Amoksilin sirup kering forte 250 mg/5ml Botol 0 150 150
27 Ampisilin 1 gr inj Ampul 0 0 0
28 Ampisilin Kaplet 500 mg Kaplet 0 0 0
29 Ampisilin Kaplet 500 mg Kaplet 0 0 0
30 Ampisilin Serbuk Injeksi Vial 0 0 0
31 Antalgin(Metampiron) Tablet 500 mg Tablet 0 300 300
32 Antasida DOEN I tablet kombinasi Tablet 3100 14,000 17100
33 Antasida DOEN II suspensi kombinasi Botol 0 0 0
34 Anti hemoroid suppositorida Supp 10 40 50
35 Antifungi DOEN kombinasi : Pot 4 20 24
36 Antimigren DOEN/Ergotamin kafein Tablet 0 200 200
37 Antiseptik Hand Rub 5 lt Galon 1 2 3
38 Antiseptik Hand Rub 500 ml Botol 0 10 10
39 Antiseptik Surgical Hand Scrub 5 lt Galon 0 0 0
40 Antiseptik Surgical Hand Scrub 500 ml Botol 0 0 0
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 10 0 10
42 Aquadest steril -500 ml Botol 0 3 3
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 0 2,000 2000
44 Asam folat tablet 0,4 mg Tablet 0 100 100
45 Asam Mefenamat 500 mg Tablet 0 3,600 3600
46 Asering Botol 155 140 295
47 Asetosal tablet 80 mg Tablet 0 200 200
48 Asiklovir cr Tube 0 20 20
 49 Asiklovir tab 200 mg Tablet 0 0 0
50 Asiklovir tab 400 mg Tablet 100 100 200
51 Atapulgit Tablet 0 300 300
52 Atorvastatin 10 mg Tablet 0 450 450
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 0 0 0
54 Azitromisin 500 mg Kaplet 200 0 200
55 Bedak Salisil serbuk 2 % Buah 0 100 100
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 0 0 0
57 Betametason Krim 0.1 % Tube 20 120 140
58 Bisturi no 10 Buah 0 0 0
59 Bloodseet Buah 20 20 40
60 Camabion Tablet 0 0 0
61 Carpul (Articain & Adrenalin) Ampul 0 0 0
62 Catgut Chromic 2/0 90 cm 36 mm Roll 7 12 19
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 0 0 0
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 0 0 0
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 0 0 0
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 0 0 0
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum bed Roll 0 0 0
68 Cefiksim 100 mg Kapsul 0 0 0
69 Cetirizine Kapsul 0 600 600
70 Citoject Pcs 0 0 0
71 Clorofenol (CHKM) Ples 0 0 0
72 Deksametason inj 5 mg/ml-1 ml Ampul 10 0 10
73 Deksametason Tablet 0,5 mg Tablet 0 800 800
74 Devitalisasi Pasta (Non arsen) Botol 0 0 0
75 Difenhidramin inj 10 mg/ml Ampul 10 0 10
76 Digoksin tablet 0,25 mg Tablet 0 0 0
77 Dimenhidrinat tablet 50 mg Tablet 100 100 200
78 Doksisiklin 100 mg Kapsul 0 0 0
79 Domperidon Syrup Botol 0 0 0
80 Domperidon tablet 10 mg Tablet 0 800 800
81 Ekstrak Belladona tablet 10 mg Tablet 0 0 0
82 Eosin 2% 1x100 ml Botol 0 0 0
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 0 5 5
84 Eritromisin 250 mg Tablet 0 0 0
85 Eritromisin 500 mg Tablet 0 0 0
86 Eritromisin sirup kering 200 mg/5 ml Botol 0 0 0
87 Etambutol Hcl tablet 250 mg Tablet 0 0 0
88 Etambutol Hcl Tablet 500 mg Tablet 0 0 0
89 Etanol 70 %- 100 ml Botol 0 0 0
90 Etanol 70% - 1 L Botol 0 9 9
91 Etil Klorida semprot-100 ml Botol 1 1 2
92 Eugenol Cairan Botol 1 0 1
93 Female Catheter no 16 Pcs 0 0 0
94 Female Catheter no 18 Pcs 0 0 0
95 Fenitoin Kapsul100 mg Kapsul 0 0 0
96 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0 0
97 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0 0
98 Fenol Gliserol Tetes telinga 10 % Botol 0 0 0
99 Film IV Dressing 6x7 P Pcs 0 0 0
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 0 0 0
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 58 90 148
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 100 100 200
103 Fluconazol 150 mg kapsul 0 0 0
104 Folley Cathether 2 way no 20 Pcs 0 0 0
105 Folley Cathether no 16 Pcs 6 0 6
106 Folley Cathether no 18 Pcs 9 0 9
107 Furosemid tablet 40 mg Tablet 100 100 200
108 Garam Oralit 200 ml air Sachet 200 1000 1200
109 Gentamisin Inj 40 mg/ml Vial 0 0 0
110 Gentamycin Salep Kulit Tube 0 20 20
111 Gentamycin Salep Mata Tube 0 24 24
112 Gentamycin Tetes Mata Tube 0 24 24
113 Gentian violet larutan 1 %-10 ml Botol 0 0 0
114 Glas Lonomer Cement Set 0 1 1
115 Glibenklamid tablet 5 mg Tablet 0 500 500
116 Glimepiride tablet 1 mg Tablet 0 0 0
117 Gliseril Gyayakolat tablet 100 mg Tablet 0 0 0
118 Glukosa Larutan infus 10% steril-500 ml Botol 10 0 10
119 Glukosa Larutan infus 5% steril-500 ml Botol 0 10 10
120 Griseofulvin tablet 125 mg micronized Tablet 0 0 0
121 Haloperidol Injeksi (Lodomer) Ampul 0 0 0
122 Haloperidol tablet 0,5 mg Tablet 0 0 0
123 Haloperidol tablet 1,5 mg Tablet 100 0 100
124 Haloperidol tablet 2 mg Tablet 100 0 100
125 Haloperidol tablet 5 mg Tablet 300 0 300
126 Hansaplast 2,5 cm x 4,5 m Roll 0 0 0
127 Hansaplast 7,5 cm x 4,5 m Roll 0 0 0
128 Hidrogen Peroksida 3% (H2O2) Botol 0 0 0
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0 0
130 Hidrokortison krim 2,5 % Tube 0 48 48
131 Ibuprofen sirup 100 mg/5 ml Botol 0 0 0
132 Ibuprofen tablet 200 mg Tablet 0 800 800
133 Ibuprofen tablet 400 mg Tablet 0 800 800
134 Infusion set anak Set 75 0 75
135 Infusion set dewasa Set 115 50 165
136 Isoniazida ( INH ) tablet 300 mg Tablet 0 0 0
137 Isosorbit 5 mg Tablet 100 0 100
138 IV Cateter 18 Buah 15 50 65
139 IV Cateter 20 Buah 0 20 20
140 IV Cateter 22 Buah 0 10 10
141 IV Cateter 24 Buah 0 50 50
142 IV Cateter no 26 wings & port Buah 0 20 20
143 IV Cateter with injection port 26 G Buah 0 0 0
144 Jarum Citojek No 16 Pcs 0 0 0
145 Jarum Jahit kulit No.12 Pcs 0 0 0
146 Jarum Jahit Otot No.12 Pcs 0 0 0
147 Kalium Permanganat Pot 0 0 0
148 Kalsium Glukonat injeksi i.v 10 % Ampul 0 5 5
149 Kalsium Hidroksida Pasta Set 0 0 0
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 100 5,000 5100
151 Kapas pembalut/absorben 250 mg Buah 1 2 3
152 Kaptopril 12,5 mg Tablet 0 500 500
153 Kaptopril 25 mg Tablet 0 500 500
154 Karbamazepin tablet 200 mg Tablet 100 0 100
155 Karbogliserin Tetes Telinga Botol 0 24 24
156 Kasa hidrofil 36 m x 80 cm Roll 0 4 4
157 Kasa hidrofile 3 yard x 10 cm Buah 40 0 40
158 Kasa hidrofile 40 yard x 80 cm Roll 0 0 0
159 Kasa kompres 16x16 steril Buah 48 0 48
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 0 0 0
161 Ketokonazol 200 mg Tablet 0 200 200
162 Ketokonazol Krim 2% Tube 0 20 20
163 Klindamisin 150 mg Tablet 0 0 0
164 Kloramfenikol kapsul 500 mg Kapsul 0 500 500
165 Kloramfenikol salep kulit 2 % Tube 0 48 48
166 Kloramfenikol salep mata 1 % Tube 0 0 0
167 Kloramfenikol susp 125 ml Botol 10 0 10
168 Kloramfenikol tetes telinga 3 % Ples 3 18 21
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 0 1,000 1000
170 Klorine Botol 0 0 0
171 Klorpromazin 100 MG Tablet 0 0 0
172 Klorpromazin 25 mg Tablet 0 0 0
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 0 0 0
174 Kotrimoksazol anak Tablet 0 0 0
175 Kotrimoksazol Susp Botol 15 0 15
176 Kotrimoksazol Tablet 480 mg Tablet 200 100 300
177 Leucoplast 2,50 cm x 4,5 m Roll 6 2 8
178 Leucoplast 7,50 cm x 4,5 m Roll 3 7 10
179 Lidocain compositum inj kombinasi Ampul 30 30 60
180 Lidocain Injeksi 2% Ampul 30 50 80
181 Lidocain Jeli 2% Syringe 0 0 0
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol 0 0 0
183 Lisol Botol 0 0 0
184 Loratadine 10 mg Tablet 0 400 400
185 Magnesium Sulfat Inj 20% Vial 0 10 10
186 Magnesium Sulfat Inj 40% Ampul 23 0 23
187 Masker Karet Buah 684 3000 3684
188 Masker Tali Buah 0 0 0
189 Metformin Tablet 0 1,200 1200
190 Metildopa 250 mg / Dopamet Tablet 100 200 300
191 Metilergometrin Maleat Inj Ampul 10 30 40
192 Metilergometrin Maleat tab Tablet 200 200
193 Metoklopramide Inj Ampul 0 0
194 Metronidazol tablet 250 mg Tablet 0 0
195 Metronidazol tablet 500 mg Tablet 0 400 400
196 Mikonazol krim 2% Tube 0 24 24
197 Mummying Pasta Botol 0 0
198 Nasal Oxygen, O2 cannula size L Pcs 0 10 10
199 Nasal Oxygen, O2 cannula size M Pcs 2 10 12
200 Nasal Oxygen, O2 cannula size S Pcs 0 10 10
201 Nasal Oxygen, O2 cannula size XS Pcs 0 0 0
202 Natrium Bikarbonat tablet 500 mg Tablet 100 400 500
203 Natrium Diklofenak Tablet 0 1500 1500
204 Natrium Klorida Lar.infus 0,9 % steril Botol 0 20 20
205 Natrium Tiroksin Tablet 0 0 0
206 Nifedipin 10 mg Tablet 0 0 0
207 Nistatin Suspensi 100.000 IU/ml Botol 0 0 0
208 Nistatin tablet vaginal 100.000 IU/g Tablet 0 40 40
209 Nistatin tablet vaginal 500.000 IU/g Tablet 0 0 0
210 Norit Tablet 0 0 0
211 OAT Sisipan/FDC Sisipan Paket 0 0 0
212 Obat antituberkolosis Kombipak Kat.I Dewasa Paket 0 0 0
213 Obat antituberkulosis anak/FDC Anak Paket 6 0 6
214 Obat antituberkulosis kategori 1/FDC 1 Paket 0 0 0
215 Obat antituberkulosis kategori 2/FDC 2 Paket 0 0 0
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 0 0 0
217 OBH Nusantara Menthol Botol 0 0 0
218 OBH Plus Botol 0 0 0
219 Oksitetrasiklin HCl 1 % Salep mata Tube 0 10 10
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 0 0 0
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 0 0 0
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 0 100 100
223 Omeprazol Kapsul 0 1200 1200
224 Omeprazol Injeksi Vial 0 0 0
225 Papaverin tab Tablet 0 0 0
226 Paraformaldehid Tablet 0 0 0
227 Parasetamol drop Botol 0 0 0
228 Parasetamol sirup 120 mg / 5ml Botol 0 0 0
229 Parasetamol tablet 500 mg Tablet 12400 21,500 33900
230 Parasetamol tablet 100 mg Tablet 0 0 0
231 Pehakain Ampul 0 0 0
232 Permetrin Krim 5% (Scabimite) Tube 0 24 24
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 0 0 0
234 Piralent Inj Ampul 0 0 0
235 Pirazinamid 500 mg Tablet 0 0 0
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 0 800 800
237 Piroxicam 10 mg Tablet 0 400 400
238 Plester 5 yard x 2 inch Roll 0 0 0
239 Plester 7,5 cm x 5 m Buah 0 0 0
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 0 0 0
241 Povidon Iodiada 10 %-30 ml Botol 0 0 0
242 Povidon Iodiada 10 %-300 ml Botol 4 0 4
243 Prednison tablet 5 mg Tablet 0 2,700 2700
244 Probenesid 500 mg Tablet 0 0 0
245 Propanolol HCl tablet 10 mg Tablet 0 0 0
246 Propanolol HCl tablet 40 mg Tablet 0 0 0
247 Propiltiourasil tablet 100 mg Tablet 0 0 0
248 Ranitidin inj Ampul 25 0 25
249 Ranitidine 150 mg Tablet 200 4400 4600
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 38 0 38
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 0 200 200
252 Rifampisin kapsul 300 mg Kapsul 0 0 0
253 Rifampisin kapsul 450 mg Kapsul 0 0 0
254 Ringer Laktat Larutan Infus Steril Botol 180 100 280
255 Rivanol 300 ml Botol 0 0 0
256 Salbutamol tablet 2 mg Tablet 0 0 0
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 0 24 24
258 Salisil Spiritus Botol 0 0 0
259 Sarung Tangan non steril no 6,5 Pasang 0 0 0
260 Sarung Tangan non steril no 7 Pasang 0 1800 1800
261 Sarung Tangan non steril no 7,5 Pasang 0 0 0
262 Sarung Tangan Obgyn steril Pasang 7 0 7
263 Sarung tangan steril no 6,5 Pasang 0 0 0
264 Sarung tangan steril no 7 Pasang 150 300 450
265 Sarung tangan steril no 7,5 Pasang 0 0 0
266 Semen Seng Fosfat Serbuk Cairan Set 0 0 0
267 Semillas non Woven Medical Tape Pcs 0 0 0
268 Serum anti tetanus (ATS) / Biosat Ampul 0 0 0
269 Serum anti tetanus (ATS) / Tetagam Ampul 0 5 5
270 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul 0 0 0
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 12 0 12
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase 0 0 0
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 0 12 12
274 Silk Black 2/0 DS 24 MM Sase 0 0 0
275 Silk Black 2/0 HR 26 MM Sase 0 0 0
276 Silk Black 3/0 DS 24 MM Sase 0 0 0
277 Silk Black 3/0 HR 26 MM Sase 0 0 0
278 Silk Black PFM 2/0 100 m Roll 0 0 0
279 Simvastatin tablet 10 mg Tablet 0 600 600
280 Simvastatin tablet 20 mg Tablet 0 0 0
281 Siprofloksasin 500 mg Tablet 100 200 300
282 Softanol antimicrobial 500 ml Botol 0 0 0
283 Softanol antimicrobial galon 5 liter Galon 0 0 0
284 Spironolakton 25 mg Tablet 0 0 0
285 Streptomisin Inj Vial 0 0 0
286 Sulfasetamid Natrium Tetes mata 15 % Ples 0 24 24
287 Tablet Tambah darah kombinasi : Besi II Sulfat Tablet 44890 0 44890
288 Temporary Filling Material (Fermin) Botol 1 0 1
289 Temporary Stopping Fletcher serbuk &cairan Set 1 0 1
290 Tetrakain HCl tetes mata 0,5 % Botol 0 0 0
291 Tetrasiklin Kapsul 250 mg Kapsul 0 0 0
292 Tetrasiklin Kapsul 500 mg Kapsul 0 0 0
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 0 3,500 3500
294 Transfusion Set Set 0 0 0
295 Triheksifenidil HCl tablet 2 mg Tablet 300 0 300
296 Trikesol Formalin (TKF) Botol 0 0 0
297 Umbilical cord klem steril Pcs 0 10 10
298 Urine bag pcs 12 0 12
299 Urine Drainage Bag, T valve with hanger Pcs 0 0 0
300 Ventolin nebules Nebule 0 0 0
301 Viorex no rinse antimicrobial Galon 0 0 0
302 Viorex no rinse antimicrobial Botol 0 0 0
303 Vitamin B 12 Injeksi Ampul 0 0 0
304 Vitamin B 12 tab Tablet 200 1400 1600
305 Vitamin B Kompleks tablet Tablet 1350 5,500 6850
306 Wing Nedle no 25 Tablet 0 0 0
307 Zink Tablet 0 900 900
308 Dextaco Tablet 0 0 0
309 Dextrofen Syrup 60 ml Botol 0 0 0
310 Hemafort Tablet 0 0 0
311 Lodecon Forte Tablet 0 0 0
312 Scandonest Ampul 0 0 0
313 Seledril Tablet Tablet 0 0 0
314 Solacort krim /Armacort Tube 0 0 0
315 Solafluz Botol 0 0 0
316 Soldextam Tablet 0 0 0
317 Solvitral Tablet 0 0 0
318 Truvit Syr Botol 0 0 0
319 Widabest Botol 0 0 0
320 Metronidazol sirup Botol 0 0 0
321 Cefadroksil sirup Botol 0 0 0
322 Metilprednisolon 16 mg Tablet 0 0 0
323 Albendazole Suspensi Botol 0 0 0
324 Asam Askorbat (VIT C) Tablet 250 mg Tablet 100 100
325 Bisakodil Supp Supp 8 6 14
326 Povidone Iod 10 % 60 ml Botol 2 3 5
327 Biolisin Tab Tablet 0 0 0
328 Obat Kusta MB Dewasa Blister 0 0 0
329 Bundavin Tablet 0 0 0
330 Herbakof Syr Botol 0 192 192
331 Stimuno Syr Botol 0 50 50
332 Vitamin B6 25 mg Tablet 200 0 200
333 Vitamin C 500 mg Tablet 0 0 0
334 Kotrimoxazole 960 mg Tablet 0 0 0
335 Leukomed IV Film Pcs 0 100 100
336 OAT KDT harian Paket 0 2 2
337 Zegavit Tablet 0 0 0
338 Favipiravir 200 mg Tablet 0 0 0
339 INH 100 mg Tablet 0 0 0
340 Paper Tape 2,5 x9,14 Roll 5 10 15
341 NRM Anak Pcs 2 6 8
342 NRM Dewasa Pcs 5 6 11
343 Clindamycin 300 mg Kapsul 0 0 0
344 Mineral Mix serbuk sachet 0 0 0
345 Glimepiride tablet 2 mg Tablet 0 100 100
346 Lytacur Syr Botol 0 50 50
347 Methylprednisolon 4 mg Tablet 100 1000 1100
348 Stimuno Forte Kapsul 120 120 240
349 Lodecon Tablet 0 0 0
350 Metocloperamide 5 mg Tablet 0 300 300
351 Novadryl Tablet 500 400 900
352 Calsidor Set 0 0 0
353 Bisturi no 22 Pcs 0 17 17
353 Plesterin Bulat Pcs 0 100 100
0 0 0
OBAT PREKURSOR DAN PSIKOTROPIKA 0
1 Diazepam inj 5 mg/ml-2 ml Ampul 0 5 5
2 Diazepam tablet 2 mg Tablet 0 60 60
3 Diazepam tablet 5 mg Tablet 0 100 100
4 Fenobarbital inj 50 mg/ml-2ml Ampul 0 5 5
5 Fenobarbital tablet 30 mg Tablet 0 0
6 Stesolid (Diazepam Rectal) Tube 5 3 8

BLUD 0
1 Salbuatmol 2 mg Tablet 300 300
2 Guafenesin 100 mg Tablet 1000 1000
3 CTM 4 mg Tablet 2000 2000
4 Chlorampenicol SM Tube 12 12
5 Ventolin Nebulizer 2.5 mg Ampul 20 20
6 0

REAGEN DAN PROGRAM

STOK PENERIM PERSEDIA

No Nama Obat Satuan
AWAL AAN AN

1 Abate Gr 0 0
2 CGXMTB/RIF-50-XPERT MTB/RIF Pcs 0 0
3 Cynoff Botol 0 0
4 Ekomed Blood Lancet Pcs 32000 32000
5 Forsch Alkohol Swab Pcs 32000 32000
6 Hepatitis B Imumoglobulin Syringe Syringe 0 0
7 Genexpert MTB/RIF Cartidge Test 500 500
8 On Call Plus Blood Glucose Test Strips Test 32000 32000
9 Pot Dahak Buah 600 600
10 Rapid Test Antigen Covid-19 Test 0 50 50
11 SD Bioline HIV/Syphilis Duo (6FK30) Test 0 0
12 Tuberkulin PPD RT23 SSI Vial 0 0
13 Reagen Ziehl Neelsen Kit 16 16
14 Rapid Test HBSAG Test 100 100
15 RDT DBD Combo (IgG dan NS1) Test 0 0
16 Reagen Widal Set (BLUD) Box 0 0
17 Stik Glucose easy touch (BLLUD) Box 10 10
18 Yellow tip (BLUD) Box 1 1
19 Blue tip (BLUD) Box 1 1
20 Medonic Diluent 20 L Kit 0 0
21 Medonic Lyse 5 L Kit 0 0
22 Tabung reaksi Iwaki Box 0 0
23 Kontrol darah hematology Kit 0 0
24 Rapid test antigen Covid-19 (BLUD) Box 13 13
25 Masker N95 Pcs 0 0
26 Kondom Pcs 144 144
27 Lubricant Cupid Pcs 0 0
28 Strip Hb meter Strip 0 0
29 Hb Meter dan Pen Lancing Buah 0 0
30 Alkohol swab Boks 0 0
31 Gloves Boks 0 0
32 Blood Lancet Boks 0 0
33 Strip Cholesterol Easytouch (BLUD) Pcs 0 50 50
34 Strip Asam Urat Easytouch (BLUD) Pcs 0 125 125
35
36
37
38
39
40
41
42
 PENGELUARAN
PP. ED
Loket PP. Prog
LAB Pol. Ciksel Cilengkran PMB WUS-PUS
Obat Sukajadi Remaja
g

1000

100

100 60

100

100
1600 200 100
1000 100 200
3000 300 400 300

100 10 10
72

100 100
4500 400 1000 800

10
4
110

1
300
50
1200 100 100
100 3
100
12
100
100
240

40 5 5

50 10 5 5

7 3

400

500

100

400 50

1
 8 30
100

3
6
100
300 100

10
10
14

300

10 5 10

100
300
10

30
10

500
 100

24

10

300
24 4

6
1000

100

20

200

5
1500

800
50
5

100 100 50
14

6
2

100 100
1000 50
3
 10

10
600

7000 600 1500 1500

14

200 100
200

1400 200 100

1500 200

50

100 5
 10 3 3

1000 10

40 10

300

100

10 3
5000 1500 1500 6000 3000

1500 300 400 400

100

10
5

500 100
2000 300 400 200

200 100 50
100
6

48 10
20
200

50
2

100
20
600

400
 100
500

6
10

MARET 2023
PENGELUARAN
PROG ED JUMLAH SISA
PROG PTM LAB
REMAJA
0 0
0 0
0 0
500 500 31500
500 500 31500
0 0
0 500
500 500 31500
0 600
50 50 0
0 0
0 0
0 16
100 100 0
0 0
0 0
0 10
0 1
 0 1
0 0
0 0
0 0
0 0
0 13
0 0
0 144
0 0
0 0
0 0
0 0
0 0
0 0
30 30 20
75 75 50
RECALL JUMLAH SISA

1000 980
0 0
100 200
0 0
0 90
0 125
0 0
160 200
0 98
0 0
0 1450
0 0
0 500
100 200
0 0
0 0
0 0
0 0
0 0
100 0
1900 2400
1300 2900
4000 14550
0 0
120 180
72 78
0 0
0 0
0 0
0 0
200 100
6700 10400
0
10 40
4 20
110 90
0 3
0 10
0 0
0 0
0 10
1 2
300 1700
50 50
1400 2200
103 192
100 100
12 8
 0 0
100 100
100 200
240 210
0 0
0 200
50 50
0 0
70 70
0 0
0 40
0 0
0 0
10 9
0 0
0 0
0 0
0 0
0 0
0 0
400 200
0 0
0 0
0 10
500 300
0 0
5 5
0 0
100 100
0 0
0 0
450 350
0 0
0 0
3 2
0 0
0 0
0 0
0 0
0 0
0 0
1 8
0 2
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 38 110
100 100
0 0
0 0
3 3
6 3
100 100
400 800
0 0
10 10
10 14
14 10
0 0
0 1
300 200
0 0
0 0
0 10
0 10
0 0
0 0
0 0
0 100
0 100
0 300
0 0
0 0
0 0
0 0
25 23
0 0
100 700
300 500
10 65
0 165
0 0
0 100
0 65
5 15
0 10
30 20
10 10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
500 4600
0 3
0 500
 100 400
0 100
0 24
0 4
0 40
0 0
24 24
0 0
0 200
10 10
0 0
300 200
28 20
0 0
0 10
6 15
1000 0
0 0
0 0
0 0
0 0
0 0
15 0
100 200
0 8
0 10
0 60
20 60
0 0
0 0
0 0
200 200
0 10
5 18
1500 2184
0 0
800 400
50 250
5 35
0 200
0 0
0 0
250 150
14 10
0 0
6 4
2 10
0 10
0 0
200 300
1050 450
3 17
 0 0
0 0
0 0
0 40
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 0
0 0
0 0
10 0
0 0
0 0
10 90
600 600
0 0
0 0
0 0
0 0
0 0
10600 23300
0 0
0 0
14 10
0 0
0 0
0 0
300 500
200 200
0 0
0 0
0 0
0 0
0 4
1700 1000
0 0
0 0
0 0
0 0
0 25
1700 2900
0 38
50 150
0 0
0 0
105 175
0 0
0 0
 16 8
0 0
0 0
1010 790
0 0
5 2
0 0
50 400
0 0
0 0
0 0
0 0
0 5
0 0
0 12
0 0
0 12
0 0
0 0
0 0
0 0
0 0
300 300
0 0
100 200
0 0
0 0
0 0
0 0
13 11
17000 27890
0 1
0 1
0 0
0 0
0 0
2600 900
0 0
100 200
0 0
10 0
5 7
0 0
0 0
0 0
0 0
0 0
600 1000
2900 3950
0 0
350 550
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
6 8
0 5
0 0
0 0
0 0
58 134
20 30
200 0
0 0
0 0
50 50
2 0
0 0
0 0
0 0
2 13
0 8
0 11
0 0
0 0
100 0
20 30
600 500
0 240
0 0
0 300
400 500
0 0

0 0

0 5
0 60
0 100
0 5
 0 0
0 8

100 200
500 500
0 2000
6 6
10 10
0 0
 PENGELUARAN
STOK PENERIM PERSEDIA
No Nama Obat Satuan Loket
AWAL AAN AN
Obat
1 2 3
1 Acetyl Cysteine 200 mg Kapsul 980 980 980
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 0 0
3 Alat Suntik Sekali Pakai 1 ml Pcs 200 200 20
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah 0 0
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 90 90
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 125 125
7 Alat Suntik Sekali Pakai 20 ml Buah 0 0
8 Alat Suntik Sekali Pakai 3 ml Pcs 200 200 100
9 Alat Suntik Sekali Pakai 5 ml Pcs 98 98
10 Albendazol 400 mg Tablet 0 0
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase 1450 1450 100
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 0 0
13 Alopurinol tablet 100 mg Tablet 500 500 400
14 Alopurinol tablet 300 mg Tablet 200 200 200
15 Ambroxol Sirup Botol 0 0
16 Ambroxol Tablet 30 mg Tablet 0 0
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 0 0
18 Aminofilin Tablet 200 mg Tablet 0 0
19 Aminofluid Botol 0 0
20 Amitriptilina HCl tablet salut 25 mg Tablet 0 0
21 Amlodipin tablet 10 mg Tablet 2400 2400 1000
22 Amlodipin tablet 5 mg Tablet 2900 2900 1500
23 Amoksilin 500 mg Kaplet 14550 14550 6000
24 Amoksilin Kapsul 250 mg Kapsul 0 0
25 Amoksilin sirup kering 125 mg/5ml Botol 180 180 100
26 Amoksilin sirup kering forte 250 mg/5ml Botol 78 78
27 Ampisilin 1 gr inj Ampul 0 0
28 Ampisilin Kaplet 500 mg Kaplet 0 0
29 Ampisilin Kaplet 500 mg Kaplet 0 0
30 Ampisilin Serbuk Injeksi Vial 0 0
31 Antalgin(Metampiron) Tablet 500 mg Tablet 100 100
32 Antasida DOEN I tablet kombinasi Tablet 10400 10400 6000
33 Antasida DOEN II suspensi kombinasi Botol 0 0
34 Anti hemoroid suppositorida Supp 40 40 30
35 Antifungi DOEN kombinasi : Pot 20 20 10
36 Antimigren DOEN/Ergotamin kafein Tablet 90 90 90
37 Antiseptik Hand Rub 5 lt Galon 2 2
38 Antiseptik Hand Rub 500 ml Botol 8 8
39 Antiseptik Surgical Hand Scrub 5 lt Galon 0 0
40 Antiseptik Surgical Hand Scrub 500 ml Botol 0 0
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 10 10
42 Aquadest steril -500 ml Botol 2 2
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 1700 1700 500
44 Asam folat tablet 0,4 mg Tablet 50 50 50
45 Asam Mefenamat 500 mg Tablet 2200 2200 1300
46 Asering Botol 192 192 127
47 Asetosal tablet 80 mg Tablet 100 100
48 Asiklovir cr Tube 8 8 8
49 Asiklovir tab 200 mg Tablet 0 0
50 Asiklovir tab 400 mg Tablet 100 100 100
51 Atapulgit Tablet 200 200 200
52 Atorvastatin 10 mg Tablet 210 210 210
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 0 0
54 Azitromisin 500 mg Kaplet 200 200
55 Bedak Salisil serbuk 2 % Buah 50 50 30
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 0 0
57 Betametason Krim 0.1 % Tube 70 70 50
58 Bisturi no 10 Buah 0 0
59 Bloodseet Buah 40 40
60 Camabion Tablet 0 0
61 Carpul (Articain & Adrenalin) Ampul 0 0
62 Catgut Chromic 2/0 90 cm 36 mm Roll 9 9 9
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 0 0
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 0 0
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 0 0
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 0 0
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum bedah Roll 0 0
68 Cefiksim 100 mg Kapsul 0 0
69 Cetirizine Kapsul 200 200 200
70 Citoject Pcs 0 0
71 Clorofenol (CHKM) Ples 0 0
72 Deksametason inj 5 mg/ml-1 ml Ampul 10 10
73 Deksametason Tablet 0,5 mg Tablet 300 300 300
74 Devitalisasi Pasta (Non arsen) Botol 0 0
75 Difenhidramin inj 10 mg/ml Ampul 5 5
76 Digoksin tablet 0,25 mg Tablet 0 0
77 Dimenhidrinat tablet 50 mg Tablet 100 100 50
78 Doksisiklin 100 mg Kapsul 0 0
79 Domperidon Syrup Botol 0 0
80 Domperidon tablet 10 mg Tablet 350 350 350
81 Ekstrak Belladona tablet 10 mg Tablet 0 0
82 Eosin 2% 1x100 ml Botol 0 0
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 2 2
84 Eritromisin 250 mg Tablet 0 0
85 Eritromisin 500 mg Tablet 0 0
86 Eritromisin sirup kering 200 mg/5 ml Botol 0 0
 87 Etambutol Hcl tablet 250 mg Tablet 0 0
88 Etambutol Hcl Tablet 500 mg Tablet 0 0
89 Etanol 70 %- 100 ml Botol 0 0
90 Etanol 70% - 1 L Botol 8 8
91 Etil Klorida semprot-100 ml Botol 2 2
92 Eugenol Cairan Botol 1 1
93 Female Catheter no 16 Pcs 0 0
94 Female Catheter no 18 Pcs 0 0
95 Fenitoin Kapsul100 mg Kapsul 0 0
96 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0
97 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0
98 Fenol Gliserol Tetes telinga 10 % Botol 0 0
99 Film IV Dressing 6x7 P Pcs 0 0
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 0 0
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 110 110 30
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 100 100
103 Fluconazol 150 mg kapsul 0 0
104 Folley Cathether 2 way no 20 Pcs 0 0
105 Folley Cathether no 16 Pcs 3 3
106 Folley Cathether no 18 Pcs 3 3
107 Furosemid tablet 40 mg Tablet 100 100
108 Garam Oralit 200 ml air Sachet 800 800 200
109 Gentamisin Inj 40 mg/ml Vial 0 0
110 Gentamycin Salep Kulit Tube 10 10 10
111 Gentamycin Salep Mata Tube 14 14 10
112 Gentamycin Tetes Mata Tube 10 10 10
113 Gentian violet larutan 1 %-10 ml Botol 0 0
114 Glas Lonomer Cement Set 1 1
115 Glibenklamid tablet 5 mg Tablet 200 200
116 Glimepiride tablet 1 mg Tablet 0 0
117 Gliseril Gyayakolat tablet 100 mg Tablet 0 0
118 Glukosa Larutan infus 10% steril-500 ml Botol 10 10
119 Glukosa Larutan infus 5% steril-500 ml Botol 10 10 5
120 Griseofulvin tablet 125 mg micronized Tablet 0 0
121 Haloperidol Injeksi (Lodomer) Ampul 0 0
122 Haloperidol tablet 0,5 mg Tablet 0 0
123 Haloperidol tablet 1,5 mg Tablet 100 100
124 Haloperidol tablet 2 mg Tablet 100 100
125 Haloperidol tablet 5 mg Tablet 300 300
126 Hansaplast 2,5 cm x 4,5 m Roll 0 0
127 Hansaplast 7,5 cm x 4,5 m Roll 0 0
128 Hidrogen Peroksida 3% (H2O2) Botol 0 0
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0
130 Hidrokortison krim 2,5 % Tube 23 23 23
131 Ibuprofen sirup 100 mg/5 ml Botol 0 0
132 Ibuprofen tablet 200 mg Tablet 700 700 200
133 Ibuprofen tablet 400 mg Tablet 500 500 300
134 Infusion set anak Set 65 65 25
135 Infusion set dewasa Set 165 165 50
136 Isoniazida ( INH ) tablet 300 mg Tablet 0 0
137 Isosorbit 5 mg Tablet 100 100
138 IV Cateter 18 Buah 65 65
139 IV Cateter 20 Buah 15 15 15
140 IV Cateter 22 Buah 10 10 10
141 IV Cateter 24 Buah 20 20 20
142 IV Cateter no 26 wings & port Buah 10 10 10
143 IV Cateter with injection port 26 G Buah 0 0
144 Jarum Citojek No 16 Pcs 0 0
145 Jarum Jahit kulit No.12 Pcs 0 0
146 Jarum Jahit Otot No.12 Pcs 0 0
147 Kalium Permanganat Pot 0 0
148 Kalsium Glukonat injeksi i.v 10 % Ampul 5 5
149 Kalsium Hidroksida Pasta Set 0 0
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 4600 4600 400
151 Kapas pembalut/absorben 250 mg Buah 3 3
152 Kaptopril 12,5 mg Tablet 500 500
153 Kaptopril 25 mg Tablet 400 400
154 Karbamazepin tablet 200 mg Tablet 100 100
155 Karbogliserin Tetes Telinga Botol 24 24
156 Kasa hidrofil 36 m x 80 cm Roll 4 4 1
157 Kasa hidrofile 3 yard x 10 cm Buah 40 40
158 Kasa hidrofile 40 yard x 80 cm Roll 0 0
159 Kasa kompres 16x16 steril Buah 24 24
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 0 0
161 Ketokonazol 200 mg Tablet 200 200 100
162 Ketokonazol Krim 2% Tube 10 10 10
163 Klindamisin 150 mg Tablet 0 0
164 Kloramfenikol kapsul 500 mg Kapsul 200 200
165 Kloramfenikol salep kulit 2 % Tube 20 20 20
166 Kloramfenikol salep mata 1 % Tube 0 0
167 Kloramfenikol susp 125 ml Botol 10 10
168 Kloramfenikol tetes telinga 3 % Ples 15 15 15
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 0 0
170 Klorine Botol 0 0
171 Klorpromazin 100 MG Tablet 0 0
172 Klorpromazin 25 mg Tablet 0 0
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 0 0
174 Kotrimoksazol anak Tablet 0 0
175 Kotrimoksazol Susp Botol 0 0
176 Kotrimoksazol Tablet 480 mg Tablet 200 200 100
177 Leucoplast 2,50 cm x 4,5 m Roll 8 8
178 Leucoplast 7,50 cm x 4,5 m Roll 10 10
179 Lidocain compositum inj kombinasi Ampul 60 60 30
180 Lidocain Injeksi 2% Ampul 60 60 30
181 Lidocain Jeli 2% Syringe 0 0
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol 0 0
183 Lisol Botol 0 0
184 Loratadine 10 mg Tablet 200 200 100
185 Magnesium Sulfat Inj 20% Vial 10 10
186 Magnesium Sulfat Inj 40% Ampul 18 18
187 Masker Karet Buah 2184 2184 1500
188 Masker Tali Buah 0 0
189 Metformin Tablet 400 400 400
190 Metildopa 250 mg / Dopamet Tablet 250 250
191 Metilergometrin Maleat Inj Ampul 35 35 20
192 Metilergometrin Maleat tab Tablet 200 200
193 Metoklopramide Inj Ampul 0 0
194 Metronidazol tablet 250 mg Tablet 0 0
195 Metronidazol tablet 500 mg Tablet 150 150 100
196 Mikonazol krim 2% Tube 10 10
197 Mummying Pasta Botol 0 0
198 Nasal Oxygen, O2 cannula size L Pcs 4 4 4
199 Nasal Oxygen, O2 cannula size M Pcs 10 10 10
200 Nasal Oxygen, O2 cannula size S Pcs 10 10 10
201 Nasal Oxygen, O2 cannula size XS Pcs 0 0
202 Natrium Bikarbonat tablet 500 mg Tablet 300 300 200
203 Natrium Diklofenak Tablet 450 450 450
204 Natrium Klorida Lar.infus 0,9 % steril Botol 17 17 10
205 Natrium Tiroksin Tablet 0 0
206 Nifedipin 10 mg Tablet 0 0
207 Nistatin Suspensi 100.000 IU/ml Botol 0 0
208 Nistatin tablet vaginal 100.000 IU/g Tablet 40 40 20
209 Nistatin tablet vaginal 500.000 IU/g Tablet 0 0
210 Norit Tablet 0 0
211 OAT Sisipan/FDC Sisipan Paket 0 0
212 Obat antituberkolosis Kombipak Kat.I Dewasa Paket 0 0
213 Obat antituberkulosis anak/FDC Anak Paket 6 6
214 Obat antituberkulosis kategori 1/FDC 1 Paket 0 0
215 Obat antituberkulosis kategori 2/FDC 2 Paket 0 0
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 0 0
217 OBH Nusantara Menthol Botol 0 0
218 OBH Plus Botol 0 0
219 Oksitetrasiklin HCl 1 % Salep mata Tube 0 0
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 0 0
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 0 0
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 90 660 750 50
223 Omeprazol Kapsul 600 600 600
224 Omeprazol Injeksi Vial 0 0
225 Papaverin tab Tablet 0 0
226 Paraformaldehid Tablet 0 0
227 Parasetamol drop Botol 0 0
228 Parasetamol sirup 120 mg / 5ml Botol 0 0
229 Parasetamol tablet 500 mg Tablet 23300 23300 14000
230 Parasetamol tablet 100 mg Tablet 0 0
231 Pehakain Ampul 0 0
232 Permetrin Krim 5% (Scabimite) Tube 10 10 10
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 0 0
234 Piralent Inj Ampul 0 0
235 Pirazinamid 500 mg Tablet 0 0
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 500 500 500
237 Piroxicam 10 mg Tablet 200 200 200
238 Plester 5 yard x 2 inch Roll 0 0
239 Plester 7,5 cm x 5 m Buah 0 0
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 0 0
241 Povidon Iodiada 10 %-30 ml Botol 0 0
242 Povidon Iodiada 10 %-300 ml Botol 4 4
243 Prednison tablet 5 mg Tablet 1000 1000 1000
244 Probenesid 500 mg Tablet 0 0
245 Propanolol HCl tablet 10 mg Tablet 0 0
246 Propanolol HCl tablet 40 mg Tablet 0 0
247 Propiltiourasil tablet 100 mg Tablet 0 0
248 Ranitidin inj Ampul 25 25
249 Ranitidine 150 mg Tablet 2900 2900 2300
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 38 38
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 150 150 100
252 Rifampisin kapsul 300 mg Kapsul 0 0
253 Rifampisin kapsul 450 mg Kapsul 0 0
254 Ringer Laktat Larutan Infus Steril Botol 175 175 100
255 Rivanol 300 ml Botol 0 0
256 Salbutamol tablet 2 mg Tablet 0 0
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 8 8 8
258 Salisil Spiritus Botol 0 0
259 Sarung Tangan non steril no 6,5 Pasang 0 0
260 Sarung Tangan non steril no 7 Pasang 790 790 700
261 Sarung Tangan non steril no 7,5 Pasang 0 0
262 Sarung Tangan Obgyn steril Pasang 2 2 2
263 Sarung tangan steril no 6,5 Pasang 0 0
264 Sarung tangan steril no 7 Pasang 400 400 100
265 Sarung tangan steril no 7,5 Pasang 0 0
266 Semen Seng Fosfat Serbuk Cairan Set 0 0
267 Semillas non Woven Medical Tape Pcs 0 0
268 Serum anti tetanus (ATS) / Biosat Ampul 0 0
269 Serum anti tetanus (ATS) / Tetagam Ampul 5 5 5
270 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul 0 0
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 12 12
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase 0 0
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 12 12
274 Silk Black 2/0 DS 24 MM Sase 0 0
275 Silk Black 2/0 HR 26 MM Sase 0 0
276 Silk Black 3/0 DS 24 MM Sase 0 0
277 Silk Black 3/0 HR 26 MM Sase 0 0
278 Silk Black PFM 2/0 100 m Roll 0 0
279 Simvastatin tablet 10 mg Tablet 300 300 300
280 Simvastatin tablet 20 mg Tablet 0 0
281 Siprofloksasin 500 mg Tablet 200 200 200
282 Softanol antimicrobial 500 ml Botol 0 0
283 Softanol antimicrobial galon 5 liter Galon 0 0
284 Spironolakton 25 mg Tablet 0 0
285 Streptomisin Inj Vial 0 0
286 Sulfasetamid Natrium Tetes mata 15 % Ples 11 11 11
287 Tablet Tambah darah kombinasi : Besi II Sulfat Tablet 27890 27890 3000
288 Temporary Filling Material (Fermin) Botol 1 1
289 Temporary Stopping Fletcher serbuk &cairan Set 1 1
290 Tetrakain HCl tetes mata 0,5 % Botol 0 0
291 Tetrasiklin Kapsul 250 mg Kapsul 0 0
292 Tetrasiklin Kapsul 500 mg Kapsul 0 0
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 900 900
294 Transfusion Set Set 0 0
295 Triheksifenidil HCl tablet 2 mg Tablet 200 200
296 Trikesol Formalin (TKF) Botol 0 0
297 Umbilical cord klem steril Pcs 0 0
298 Urine bag pcs 7 7
299 Urine Drainage Bag, T valve with hanger Pcs 0 0
300 Ventolin nebules Nebule 0 0
301 Viorex no rinse antimicrobial Galon 0 0
302 Viorex no rinse antimicrobial Botol 0 0
303 Vitamin B 12 Injeksi Ampul 0 0
304 Vitamin B 12 tab Tablet 1000 1000 600
305 Vitamin B Kompleks tablet Tablet 3950 3950 3200
306 Wing Nedle no 25 Tablet 0 0
307 Zink Tablet 550 550 400
308 Dextaco Tablet 0 0
309 Dextrofen Syrup 60 ml Botol 0 0
310 Hemafort Tablet 0 0
311 Lodecon Forte Tablet 0 0
312 Scandonest Ampul 0 0
313 Seledril Tablet Tablet 0 0
314 Solacort krim /Armacort Tube 0 0
315 Solafluz Botol 0 0
316 Soldextam Tablet 0 0
317 Solvitral Tablet 0 0
318 Truvit Syr Botol 0 0
319 Widabest Botol 0 0
320 Metronidazol sirup Botol 0 0
321 Cefadroksil sirup Botol 0 0
322 Metilprednisolon 16 mg Tablet 0 0
323 Albendazole Suspensi Botol 0 0
324 Asam Askorbat (VIT C) Tablet 250 mg Tablet 0 0
325 Bisakodil Supp Supp 8 8
326 Povidone Iod 10 % 60 ml Botol 5 5
327 Biolisin Tab Tablet 0 0
328 Obat Kusta MB Dewasa Blister 0 0
329 Bundavin Tablet 0 0
330 Herbakof Syr Botol 134 134 112
331 Stimuno Syr Botol 30 30 25
332 Vitamin B6 25 mg Tablet 0 0
333 Vitamin C 500 mg Tablet 0 0
334 Kotrimoxazole 960 mg Tablet 0 0
335 Leukomed IV Film Pcs 50 50
336 OAT KDT harian Paket 0 0
337 Zegavit Tablet 0 0
338 Favipiravir 200 mg Tablet 0 0
339 INH 100 mg Tablet 0 0
340 Paper Tape 2,5 x9,14 Roll 13 13
341 NRM Anak Pcs 8 8
342 NRM Dewasa Pcs 11 11
343 Clindamycin 300 mg Kapsul 0 0
344 Mineral Mix serbuk sachet 0 0
345 Glimepiride tablet 2 mg Tablet 0 0
346 Lytacur Syr Botol 30 30 25
347 Methylprednisolon 4 mg Tablet 500 500 500
348 Stimuno Forte Kapsul 240 240
349 Lodecon Tablet 0 0
350 Metocloperamide 5 mg Tablet 300 300 300
351 Novadryl Tablet 500 500 500
352 Calsidor Set 0 0
353 Bisturi no 22 Pcs 0
353 Plesterin Bulat Pcs 0
0 0
OBAT PREKURSOR DAN PSIKOTROPIKA 0
1 Diazepam inj 5 mg/ml-2 ml Ampul 5 5
2 Diazepam tablet 2 mg Tablet 60 60
3 Diazepam tablet 5 mg Tablet 100 100
4 Fenobarbital inj 50 mg/ml-2ml Ampul 5 5
5 Fenobarbital tablet 30 mg Tablet 0 0
6 Stesolid (Diazepam Rectal) Tube 8 8

BLUD 0
1 Salbutamol 2 mg Tablet 200 200
2 Guafenesin 100 mg Tablet 500 500 500
3 CTM 4 mg Tablet 2000 2000 1500
4 Chlorampenicol SM Tube 6 6
5 Ventolin Nebulizer 2.5 mg Ampul 10 10
6

REAGEN DAN PROGRAM

PENGELU
STOK PENERIM PERSEDIA
No Nama Obat Satuan PROG
AWAL AAN AN
PTM
1 Abate Gr 0
2 CGXMTB/RIF-50-XPERT MTB/RIF Pcs 0
3 Cynoff Botol 0
4 Ekomed Blood Lancet Pcs 0
5 Forsch Alkohol Swab Pcs 0
6 Hepatitis B Imumoglobulin Syringe Syringe 0
7 Genexpert MTB/RIF Cartidge Test 0
8 On Call Plus Blood Glucose Test Strips Test 0
9 Pot Dahak Buah 0
10 Rapid Test Antigen Covid-19 Test 0
11 SD Bioline HIV/Syphilis Duo (6FK30) Test 0
12 Tuberkulin PPD RT23 SSI Vial 0
13 Reagen Ziehl Neelsen Kit 0
14 Rapid Test HBSAG Test 0
15 RDT DBD Combo (IgG dan NS1) Test 0
16 Reagen Widal Set (BLUD) Box 0
17 Stik Glucose easy touch (BLLUD) Box 0
18 Yellow tip (BLUD) Box 0
19 Blue tip (BLUD) Box 0
20 Medonic Diluent 20 L Kit 0
21 Medonic Lyse 5 L Kit 0
22 Tabung reaksi Iwaki Box 0
23 Kontrol darah hematology Kit 0
24 Rapid test antigen Covid-19 (BLUD) Box 0
25 Masker N95 Pcs 0
26 Kondom Pcs 0
27 Lubricant Cupid Pcs 0
28 Strip Hb meter Strip 0
29 Hb Meter dan Pen Lancing Buah 0
30 Alkohol swab Boks 0
31 Gloves Boks 0
32 Blood Lancet Boks 0
33 Strip Cholesterol Easytouch (BLUD) Pcs 0
34 Strip Asam Urat Easytouch (BLUD) Pcs 0
PENGELUARAN
Pol. PP. ED JUMLAH SISA
LAB GANJARES Pol. Cilengkran PMB POSKO Prog
Sukajadi Remaja
IK 1 g

980 0
0 0
5 2 27 173
0 0
0 90
0 125
0 0
10 110 90
0 98
0 0
100 200 1250
0 0
400 100
200 0
0 0
0 0
0 0
0 0
0 0
0 0
100 1100 1300
100 1600 1300
200 200 6400 8150
0 0
10 5 115 65
0 78
0 0
0 0
0 0
0 0
100 100 0
700 6700 3700
0
30 10
3 13 7
90 0
0 2
1 1 7
0 0
0 0
0 10
 0 2
500 1200
50 0
100 250 100 1750 450
5 132 60
0 100
8 0
0 0
100 0
200 0
210 0
0 0
0 200
30 20
0 0
5 7 62 8
0 0
0 40
0 0
0 0
9 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
1 1 9
300 0
0 0
0 5
0 0
50 100 0
0 0
0 0
350 0
0 0
0 0
1 1 1
0 0
0 0
0 0
 0 0
0 0
0 0
0 8
0 2
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 46 81 29
0 100
0 0
0 0
0 3
0 3
0 100
50 250 550
0 0
10 0
10 4
10 0
0 0
0 1
0 200
0 0
0 0
0 10
5 5
0 0
0 0
0 0
0 100
0 100
0 300
0 0
0 0
0 0
0 0
23 0
0 0
 100 300 400
300 200
25 40
2 52 113
0 0
0 100
5 5 60
15 0
10 0
20 0
10 0
0 0
0 0
0 0
0 0
0 0
0 5
0 0
300 800 1500 3100
0 3
100 100 400
0 400
0 100
5 5 19
1 3
5 5 35
0 0
0 24
0 0
100 100
10 0
0 0
0 200
20 0
0 0
0 10
15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 150 50
 0 8
0 10
30 30
30 30
0 0
0 0
0 0
100 100
0 10
0 18
1500 684
0 0
400 0
0 250
10 5 35 0
50 50 150
0 0
0 0
100 50
0 10
0 0
4 0
10 0
10 0
0 0
100 300 0
450 0
1 11 6
0 0
0 0
0 0
10 30 10
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 10 5 65 685
600 0
0 0
0 0
0 0
0 0
0 0
200 600 200 15000 8300
0 0
0 0
10 0
0 0
0 0
0 0
500 0
200 0
0 0
0 0
0 0
0 0
0 4
1000 0
0 0
0 0
0 0
0 0
0 25
100 2400 500
0 38
100 50
0 0
0 0
100 75
0 0
0 0
8 0
0 0
0 0
15 715 75
0 0
2 0
0 0
5 105 295
0 0
0 0
 0 0
0 0
5 0
0 0
0 12
0 0
0 12
0 0
0 0
0 0
0 0
0 0
300 0
0 0
200 0
0 0
0 0
0 0
0 0
11 0
600 3000 900 150 7650 20240
0 1
0 1
0 0
0 0
0 0
200 200 400 500
0 0
0 200
0 0
0 0
0 7
0 0
0 0
0 0
0 0
0 0
600 400
200 100 3500 450
0 0
50 450 100
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 8
0 5
0 0
0 0
0 0
112 22
25 5
0 0
0 0
0 0
0 50
0 0
0 0
0 0
0 0
0 13
0 8
0 11
0 0
0 0
0 0
25 5
500 0
0 240
0 0
300 0
500 0
0 0

0 0
 0 5
0 60
0 100
0 5
0 0
0 8
0 0
0 0
0 0
50 50 150
500 0
200 100 1800 200
6 6 0
0 10
0 0

APRIL 2023
PENGELUARAN
PROG ED JUMLAH SISA
LAB
REMAJA
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
sudah 1800
 PENGELUARAN
STOK PENERIM PERSEDIA
No Nama Obat Satuan PP.
AWAL AAN AN
Sukajadi
1 2 3
1 Acetyl Cysteine 200 mg Kapsul 0 1200 1200
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 0 0
3 Alat Suntik Sekali Pakai 1 ml Pcs 173 173
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah 0 0
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 90 90
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 125 125
7 Alat Suntik Sekali Pakai 20 ml Buah 0 0
8 Alat Suntik Sekali Pakai 3 ml Pcs 90 300 390
9 Alat Suntik Sekali Pakai 5 ml Pcs 98 98
10 Albendazol 400 mg Tablet 0 0
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase 1250 1250
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 0 0
13 Alopurinol tablet 100 mg Tablet 100 400 500
14 Alopurinol tablet 300 mg Tablet 0 200 200
15 Ambroxol Sirup Botol 0 0
16 Ambroxol Tablet 30 mg Tablet 0 0
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 0 0
18 Aminofilin Tablet 200 mg Tablet 0 0
19 Aminofluid Botol 0 0
20 Amitriptilina HCl tablet salut 25 mg Tablet 0 0
21 Amlodipin tablet 10 mg Tablet 1300 1,500 2800
22 Amlodipin tablet 5 mg Tablet 1300 1,500 2800
23 Amoksilin 500 mg Kaplet 8150 4,500 12650 150
24 Amoksilin Kapsul 250 mg Kapsul 0 0
25 Amoksilin sirup kering 125 mg/5ml Botol 65 100 165
26 Amoksilin sirup kering forte 250 mg/5ml Botol 78 100 178
27 Ampisilin 1 gr inj Ampul 0 0
28 Ampisilin Kaplet 500 mg Kaplet 0 0
29 Ampisilin Kaplet 500 mg Kaplet 0 0
30 Ampisilin Serbuk Injeksi Vial 0 0
31 Antalgin(Metampiron) Tablet 500 mg Tablet 0 400 400
32 Antasida DOEN I tablet kombinasi Tablet 3700 12,500 16200 200
33 Antasida DOEN II suspensi kombinasi Botol 0 0
34 Anti hemoroid suppositorida Supp 10 40 50
35 Antifungi DOEN kombinasi : Pot 7 20 27
36 Antimigren DOEN/Ergotamin kafein Tablet 0 60 60
37 Antiseptik Hand Rub 5 lt Galon 2 4 6
38 Antiseptik Hand Rub 500 ml Botol 7 7
39 Antiseptik Surgical Hand Scrub 5 lt Galon 0 0
40 Antiseptik Surgical Hand Scrub 500 ml Botol 0 0
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 10 10
42 Aquadest steril -500 ml Botol 2 2
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 1200 1200
44 Asam folat tablet 0,4 mg Tablet 0 0
45 Asam Mefenamat 500 mg Tablet 450 3,300 3750
46 Asering Botol 60 100 160
47 Asetosal tablet 80 mg Tablet 100 100 200
48 Asiklovir cr Tube 0 5 5
49 Asiklovir tab 200 mg Tablet 0 0
50 Asiklovir tab 400 mg Tablet 0 0
51 Atapulgit Tablet 0 400 400
52 Atorvastatin 10 mg Tablet 0 300 300
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 0 0
54 Azitromisin 500 mg Kaplet 200 200
55 Bedak Salisil serbuk 2 % Buah 20 70 90
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 0 0
57 Betametason Krim 0.1 % Tube 8 72 80
58 Bisturi no 10 Buah 0 0
59 Bloodseet Buah 40 40
60 Camabion Tablet 0 0
61 Carpul (Articain & Adrenalin) Ampul 0 0
62 Catgut Chromic 2/0 90 cm 36 mm Roll 0 12 12
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 0 0
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 0 0
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 0 0
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 0 0
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum be Roll 0 0
68 Cefiksim 100 mg Kapsul 0 0
69 Cetirizine Kapsul 0 500 500
70 Citoject Pcs 0 0
71 Clorofenol (CHKM) Ples 0 0
72 Deksametason inj 5 mg/ml-1 ml Ampul 9 9
73 Deksametason Tablet 0,5 mg Tablet 0 600 600
74 Devitalisasi Pasta (Non arsen) Botol 0 0
75 Difenhidramin inj 10 mg/ml Ampul 5 5 10
76 Digoksin tablet 0,25 mg Tablet 0 0
77 Dimenhidrinat tablet 50 mg Tablet 0 100 100
78 Doksisiklin 100 mg Kapsul 0 0
79 Domperidon Syrup Botol 0 0
80 Domperidon tablet 10 mg Tablet 0 300 300
81 Ekstrak Belladona tablet 10 mg Tablet 0 0
82 Eosin 2% 1x100 ml Botol 0 0
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 1 3 4
84 Eritromisin 250 mg Tablet 0 0
85 Eritromisin 500 mg Tablet 0 0
86 Eritromisin sirup kering 200 mg/5 ml Botol 0 0
87 Etambutol Hcl tablet 250 mg Tablet 0 0
88 Etambutol Hcl Tablet 500 mg Tablet 0 0
89 Etanol 70 %- 100 ml Botol 0 0
90 Etanol 70% - 1 L Botol 8 8
91 Etil Klorida semprot-100 ml Botol 2 2
92 Eugenol Cairan Botol 1 1
93 Female Catheter no 16 Pcs 0 0
94 Female Catheter no 18 Pcs 0 0
95 Fenitoin Kapsul100 mg Kapsul 0 0
96 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0
97 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0
98 Fenol Gliserol Tetes telinga 10 % Botol 0 0
99 Film IV Dressing 6x7 P Pcs 0 0
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 0 0
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 29 30 59
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 100 100 200
103 Fluconazol 150 mg kapsul 0 0
104 Folley Cathether 2 way no 20 Pcs 0 0
105 Folley Cathether no 16 Pcs 3 2 5
106 Folley Cathether no 18 Pcs 3 3 6
107 Furosemid tablet 40 mg Tablet 100 100 200
108 Garam Oralit 200 ml air Sachet 550 500 1050
109 Gentamisin Inj 40 mg/ml Vial 0 0
110 Gentamycin Salep Kulit Tube 0 0
111 Gentamycin Salep Mata Tube 4 20 24
112 Gentamycin Tetes Mata Tube 0 24 24
113 Gentian violet larutan 1 %-10 ml Botol 0 0
114 Glas Lonomer Cement Set 1 1
115 Glibenklamid tablet 5 mg Tablet 200 200 400
116 Glimepiride tablet 1 mg Tablet 0 0
117 Gliseril Gyayakolat tablet 100 mg Tablet 0 0
118 Glukosa Larutan infus 10% steril-500 ml Botol 10 10
119 Glukosa Larutan infus 5% steril-500 ml Botol 5 5
120 Griseofulvin tablet 125 mg micronized Tablet 0 0
121 Haloperidol Injeksi (Lodomer) Ampul 0 0
122 Haloperidol tablet 0,5 mg Tablet 0 0
123 Haloperidol tablet 1,5 mg Tablet 100 100
124 Haloperidol tablet 2 mg Tablet 100 100
125 Haloperidol tablet 5 mg Tablet 300 300
126 Hansaplast 2,5 cm x 4,5 m Roll 0 0
127 Hansaplast 7,5 cm x 4,5 m Roll 0 0
128 Hidrogen Peroksida 3% (H2O2) Botol 0 0
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0
130 Hidrokortison krim 2,5 % Tube 0 48 48
131 Ibuprofen sirup 100 mg/5 ml Botol 0 0
132 Ibuprofen tablet 200 mg Tablet 400 400 800
133 Ibuprofen tablet 400 mg Tablet 200 500 700
134 Infusion set anak Set 40 40
135 Infusion set dewasa Set 113 113
136 Isoniazida ( INH ) tablet 300 mg Tablet 0 0
137 Isosorbit 5 mg Tablet 100 100
138 IV Cateter 18 Buah 60 60
139 IV Cateter 20 Buah 0 5 5
140 IV Cateter 22 Buah 0 2 2
141 IV Cateter 24 Buah 0 30 30
142 IV Cateter no 26 wings & port Buah 0 5 5
143 IV Cateter with injection port 26 G Buah 0 0
144 Jarum Citojek No 16 Pcs 0 0
145 Jarum Jahit kulit No.12 Pcs 0 0
146 Jarum Jahit Otot No.12 Pcs 0 0
147 Kalium Permanganat Pot 0 0
148 Kalsium Glukonat injeksi i.v 10 % Ampul 5 5
149 Kalsium Hidroksida Pasta Set 0 0
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 3100 3100
151 Kapas pembalut/absorben 250 mg Buah 3 3
152 Kaptopril 12,5 mg Tablet 400 400
153 Kaptopril 25 mg Tablet 400 400
154 Karbamazepin tablet 200 mg Tablet 100 100
155 Karbogliserin Tetes Telinga Botol 19 19
156 Kasa hidrofil 36 m x 80 cm Roll 3 3
157 Kasa hidrofile 3 yard x 10 cm Buah 35 35
158 Kasa hidrofile 40 yard x 80 cm Roll 0 0
159 Kasa kompres 16x16 steril Buah 24 24
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 0 50 50
161 Ketokonazol 200 mg Tablet 100 100 200
162 Ketokonazol Krim 2% Tube 0 0
163 Klindamisin 150 mg Tablet 0 0
164 Kloramfenikol kapsul 500 mg Kapsul 200 200 400
165 Kloramfenikol salep kulit 2 % Tube 0 48 48
166 Kloramfenikol salep mata 1 % Tube 0 0
167 Kloramfenikol susp 125 ml Botol 10 10
168 Kloramfenikol tetes telinga 3 % Ples 0 20 20
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 0 800 800
170 Klorine Botol 0 0
171 Klorpromazin 100 MG Tablet 0 0
172 Klorpromazin 25 mg Tablet 0 0
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 0 0
174 Kotrimoksazol anak Tablet 0 0
175 Kotrimoksazol Susp Botol 0 0
176 Kotrimoksazol Tablet 480 mg Tablet 50 300 350
177 Leucoplast 2,50 cm x 4,5 m Roll 8 8
178 Leucoplast 7,50 cm x 4,5 m Roll 10 10
179 Lidocain compositum inj kombinasi Ampul 30 30 60
180 Lidocain Injeksi 2% Ampul 30 50 80
181 Lidocain Jeli 2% Syringe 0 0
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol 0 0
183 Lisol Botol 0 0
184 Loratadine 10 mg Tablet 100 300 400
185 Magnesium Sulfat Inj 20% Vial 10 10
186 Magnesium Sulfat Inj 40% Ampul 18 18
187 Masker Karet Buah 684 3000 3684
188 Masker Tali Buah 0 0
189 Metformin Tablet 0 1,000 1000
190 Metildopa 250 mg / Dopamet Tablet 250 250
191 Metilergometrin Maleat Inj Ampul 0 50 50
192 Metilergometrin Maleat tab Tablet 150 400 550
193 Metoklopramide Inj Ampul 0 20 20
194 Metronidazol tablet 250 mg Tablet 0 0
195 Metronidazol tablet 500 mg Tablet 50 50
196 Mikonazol krim 2% Tube 10 24 34
197 Mummying Pasta Botol 0 0
198 Nasal Oxygen, O2 cannula size L Pcs 0 0
199 Nasal Oxygen, O2 cannula size M Pcs 0 15 15
200 Nasal Oxygen, O2 cannula size S Pcs 0 10 10
201 Nasal Oxygen, O2 cannula size XS Pcs 0 0
202 Natrium Bikarbonat tablet 500 mg Tablet 0 600 600
203 Natrium Diklofenak Tablet 0 600 600
204 Natrium Klorida Lar.infus 0,9 % steril Botol 6 20 26
205 Natrium Tiroksin Tablet 0 0
206 Nifedipin 10 mg Tablet 0 0
207 Nistatin Suspensi 100.000 IU/ml Botol 0 0
208 Nistatin tablet vaginal 100.000 IU/g Tablet 10 30 40
209 Nistatin tablet vaginal 500.000 IU/g Tablet 0 0
210 Norit Tablet 0 0
211 OAT Sisipan/FDC Sisipan Paket 0 0
212 Obat antituberkolosis Kombipak Kat.I Dewasa Paket 0 0
213 Obat antituberkulosis anak/FDC Anak Paket 6 6
214 Obat antituberkulosis kategori 1/FDC 1 Paket 0 0
215 Obat antituberkulosis kategori 2/FDC 2 Paket 0 0
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 0 0
217 OBH Nusantara Menthol Botol 0 0
218 OBH Plus Botol 0 0
219 Oksitetrasiklin HCl 1 % Salep mata Tube 0 0
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 0 0
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 0 0
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 685 685
223 Omeprazol Kapsul 0 600 600
224 Omeprazol Injeksi Vial 0 0
225 Papaverin tab Tablet 0 0
226 Paraformaldehid Tablet 0 0
227 Parasetamol drop Botol 0 0
228 Parasetamol sirup 120 mg / 5ml Botol 0 0
229 Parasetamol tablet 500 mg Tablet 8300 22,500 30800 200
230 Parasetamol tablet 100 mg Tablet 0 0
231 Pehakain Ampul 0 0
232 Permetrin Krim 5% (Scabimite) Tube 0 24 24
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 0 0
234 Piralent Inj Ampul 0 0
235 Pirazinamid 500 mg Tablet 0 0
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 0 600 600
237 Piroxicam 10 mg Tablet 0 100 100
238 Plester 5 yard x 2 inch Roll 0 0
239 Plester 7,5 cm x 5 m Buah 0 0
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 0 0
241 Povidon Iodiada 10 %-30 ml Botol 0 0
242 Povidon Iodiada 10 %-300 ml Botol 4 4
243 Prednison tablet 5 mg Tablet 0 3,500 3500
244 Probenesid 500 mg Tablet 0 0
245 Propanolol HCl tablet 10 mg Tablet 0 0
246 Propanolol HCl tablet 40 mg Tablet 0 0
247 Propiltiourasil tablet 100 mg Tablet 0 0
248 Ranitidin inj Ampul 25 25
249 Ranitidine 150 mg Tablet 500 4500 5000
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 38 38
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 50 350 400
252 Rifampisin kapsul 300 mg Kapsul 0 0
253 Rifampisin kapsul 450 mg Kapsul 0 0
254 Ringer Laktat Larutan Infus Steril Botol 75 75
255 Rivanol 300 ml Botol 0 0
256 Salbutamol tablet 2 mg Tablet 0 0
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 0 30 30
258 Salisil Spiritus Botol 0 0
259 Sarung Tangan non steril no 6,5 Pasang 0 0
260 Sarung Tangan non steril no 7 Pasang 75 2000 2075
261 Sarung Tangan non steril no 7,5 Pasang 0 0
262 Sarung Tangan Obgyn steril Pasang 0 20 20
263 Sarung tangan steril no 6,5 Pasang 0 0
264 Sarung tangan steril no 7 Pasang 295 295
265 Sarung tangan steril no 7,5 Pasang 0 0
266 Semen Seng Fosfat Serbuk Cairan Set 0 0
267 Semillas non Woven Medical Tape Pcs 0 0
268 Serum anti tetanus (ATS) / Biosat Ampul 0 3 3
269 Serum anti tetanus (ATS) / Tetagam Ampul 0 0
270 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul 0 0
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 12 12
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase 0 0
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 12 12
274 Silk Black 2/0 DS 24 MM Sase 0 0
275 Silk Black 2/0 HR 26 MM Sase 0 0
276 Silk Black 3/0 DS 24 MM Sase 0 0
277 Silk Black 3/0 HR 26 MM Sase 0 0
278 Silk Black PFM 2/0 100 m Roll 0 0
279 Simvastatin tablet 10 mg Tablet 0 200 200
280 Simvastatin tablet 20 mg Tablet 0 0
281 Siprofloksasin 500 mg Tablet 0 400 400
282 Softanol antimicrobial 500 ml Botol 0 0
283 Softanol antimicrobial galon 5 liter Galon 0 0
284 Spironolakton 25 mg Tablet 0 0
285 Streptomisin Inj Vial 0 0
286 Sulfasetamid Natrium Tetes mata 15 % Ples 0 24 24
287 Tablet Tambah darah kombinasi : Besi II SulfatTablet 20240 20240
288 Temporary Filling Material (Fermin) Botol 1 1
289 Temporary Stopping Fletcher serbuk &cairan Set 1 1
290 Tetrakain HCl tetes mata 0,5 % Botol 0 0
291 Tetrasiklin Kapsul 250 mg Kapsul 0 0
292 Tetrasiklin Kapsul 500 mg Kapsul 0 0
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 500 3,000 3500 100
294 Transfusion Set Set 0 0
295 Triheksifenidil HCl tablet 2 mg Tablet 200 200
296 Trikesol Formalin (TKF) Botol 0 0
297 Umbilical cord klem steril Pcs 0 0
298 Urine bag pcs 7 7
299 Urine Drainage Bag, T valve with hanger Pcs 0 0
300 Ventolin nebules Nebule 0 0
301 Viorex no rinse antimicrobial Galon 0 0
302 Viorex no rinse antimicrobial Botol 0 0
303 Vitamin B 12 Injeksi Ampul 0 0
304 Vitamin B 12 tab Tablet 400 1000 1400
305 Vitamin B Kompleks tablet Tablet 450 7,500 7950
306 Wing Nedle no 25 Tablet 0 0
307 Zink Tablet 100 800 900
308 Dextaco Tablet 0 0
309 Dextrofen Syrup 60 ml Botol 0 0
310 Hemafort Tablet 0 0
311 Lodecon Forte Tablet 0 0
312 Scandonest Ampul 0 0
313 Seledril Tablet Tablet 0 0
314 Solacort krim /Armacort Tube 0 0
315 Solafluz Botol 0 0
316 Soldextam Tablet 0 0
317 Solvitral Tablet 0 0
318 Truvit Syr Botol 0 0
319 Widabest Botol 0 0
320 Metronidazol sirup Botol 0 0
321 Cefadroksil sirup Botol 0 0
322 Metilprednisolon 16 mg Tablet 0 0
323 Albendazole Suspensi Botol 0 0
324 Asam Askorbat (VIT C) Tablet 250 mg Tablet 0 0
325 Bisakodil Supp Supp 8 8
326 Povidone Iod 10 % 60 ml Botol 5 5
327 Biolisin Tab Tablet 0 0
328 Obat Kusta MB Dewasa Blister 0 0
329 Bundavin Tablet 0 0
330 Herbakof Syr Botol 22 192 214
331 Stimuno Syr Botol 5 50 55
332 Vitamin B6 25 mg Tablet 0 1000 1000
333 Vitamin C 500 mg Tablet 0 0
334 Kotrimoxazole 960 mg Tablet 0 0
335 Leukomed IV Film Pcs 50 50
336 OAT KDT harian Paket 0 0
337 Zegavit Tablet 0 0
338 Favipiravir 200 mg Tablet 0 0
339 INH 100 mg Tablet 0 0
340 Paper Tape 2,5 x9,14 Roll 13 13
341 NRM Anak Pcs 8 8
342 NRM Dewasa Pcs 11 11
343 Clindamycin 300 mg Kapsul 0 0
344 Mineral Mix serbuk sachet 0 0
345 Glimepiride tablet 2 mg Tablet 0 50 50
346 Lytacur Syr Botol 5 50 55
347 Methylprednisolon 4 mg Tablet 0 800 800
348 Stimuno Forte Kapsul 240 3000 3240
349 Lodecon Tablet 0 0
350 Metocloperamide 5 mg Tablet 0 400 400
351 Novadryl Tablet 0 1000 1000
352 Calsidor Set 0 0
353 Bisturi no 22 Pcs 0
353 Plesterin Bulat Pcs 0
0 0
OBAT PREKURSOR DAN PSIKOTROPIKA 0
1 Diazepam inj 5 mg/ml-2 ml Ampul 5 5
2 Diazepam tablet 2 mg Tablet 60 60
3 Diazepam tablet 5 mg Tablet 100 100
4 Fenobarbital inj 50 mg/ml-2ml Ampul 5 5
5 Fenobarbital tablet 30 mg Tablet 0 0
6 Stesolid (Diazepam Rectal) Tube 8 8
0
0
BLUD 0
1 Salbutamol 2 mg Tablet 0
2 Guafenesin 100 mg Tablet 0
3 CTM 4 mg Tablet 0
4 Chlorampenicol SM Tube 0
5 Ventolin Nebulizer 2.5 mg Ampul 0
6 0

REAGEN DAN PROGRAM

PENGELUARAN
No Nama Obat Satuan STOK PENERIM PERSEDIA
AWAL AAN AN PROG
PTM
1 Abate Gr 0
2 CGXMTB/RIF-50-XPERT MTB/RIF Pcs 0
3 Cynoff Botol 0
4 Ekomed Blood Lancet Pcs 0
5 Forsch Alkohol Swab Pcs 0
6 Hepatitis B Imumoglobulin Syringe Syringe 0
7 Genexpert MTB/RIF Cartidge Test 600 600
8 On Call Plus Blood Glucose Test Strips Test 0
9 Pot Dahak Buah 0
10 Rapid Test Antigen Covid-19 Test 50 50
11 SD Bioline HIV/Syphilis Duo (6FK30) Test 0
12 Tuberkulin PPD RT23 SSI Vial 0
13 Reagen Ziehl Neelsen Kit 0
14 Rapid Test HBSAG Test 150 150
15 RDT DBD Combo (IgG dan NS1) Test 0
16 Reagen Widal Set (BLUD) Box 0
17 Stik Glucose easy touch (BLLUD) Box 0
18 Yellow tip (BLUD) Box 0
19 Blue tip (BLUD) Box 0
20 Medonic Diluent 20 L Kit 0
21 Medonic Lyse 5 L Kit 0
22 Tabung reaksi Iwaki Box 0
23 Kontrol darah hematology Kit 0
24 Rapid test antigen Covid-19 (BLUD) Box 0
25 Masker N95 Pcs 0
26 Kondom Pcs 0
27 Lubricant Cupid Pcs 0
28 Strip Hb meter Strip 0
29 Hb Meter dan Pen Lancing Buah 0
30 Alkohol swab Boks 0
31 Gloves Boks 0
32 Blood Lancet Boks 0
33 Strip Cholesterol Easytouch (BLUD) Pcs 0
34 Strip Asam Urat Easytouch (BLUD) Pcs 0
PENGELUARAN
Pol. ED JUMLAH SISA
LAB SUKAPUR Pol CIKUT Cilengkra Loket WUS Prog
ng Obat Remaja
A

90 60 600 750 450

0 0
20 20 153
0 0
0 90
0 125
0 0
100 50 100 250 140
0 98
0 0
100 50 100 250 1000
0 0
100 200 300 200
100 100 100
0 0
0 0
0 0
0 0
0 0
0 0
100 100 500 700 2100
200 100 900 1200 1600
300 200 200 3000 3850 8800
0 0
25 3 5 50 83 82
10 5 25 40 138
0 0
0 0
0 0
0 0
100 100 200 200
300 400 100 3000 4000 12200
0
40 40 10
10 10 17
60 60 0
0 6
0 7
0 0
0 0
0 10
1 1 1
100 100 200 1000
0 0
200 700 900 2850
150 150 10
0 200
5 5 0
0 0
0 0
300 300 100
300 300 0
0 0
0 200
2 2 88
0 0
5 5 20 30 50
0 0
0 40
0 0
0 0
12 12 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300 200
0 0
0 0
0 9
100 50 450 600 0
0 0
0 10
0 0
0 100
0 0
0 0
300 300 0
0 0
0 0
0 4
0 0
0 0
0 0
 0 0
0 0
0 0
2 2 6
0 2
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 30 29
100 100 100
0 0
0 0
0 5
0 6
100 100 100
100 50 100 250 800
0 0
- 0 0
3 5 8 16
5 15 20 4
0 0
0 1
200 200 200
0 0
- 50 50 -50
0 10
0 5
0 0
0 0
0 0
0 100
0 100
100 100 200
0 0
0 0
0 0
0 0
3 5 20 28 20
0 0
100 100 100 300 500
0 700
25 25 15
50 50 63
0 0
0 100
5 30 35 25
5 5 0
2 2 0
30 30 0
5 5 0
0 0
0 0
0 0
0 0
0 0
0 5
0 0
500 600 500 200 1800 1300
0 3
0 400
0 400
0 100
0 19
2 2 1
30 30 5
0 0
0 24
0 50
0 200
0 0
0 0
200 200 200
5 25 30 18
0 0
0 10
3 10 13 7
200 100 100 400 800 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 250
 0 8
1 5 6 4
30 30 30
5 30 35 45
0 0
0 0
0 0
200 200 200
0 10
0 18
10 10 3674
0 0
1000 1000 0
50 100 150 100
0 50
100 50 100 250 300
0 20
0 0
10 10 40
3 3 6 28
0 0
0 0
10 10 5
0 10
0 0
100 100 500
600 600 0
2 2 24
0 0
0 0
0 0
10 10 30
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 20 20 665
600 600 0
0 0
0 0
0 0
0 0
0 0
600 1000 400 5000 7200 23600
0 0
0 0
15 15 9
0 0
0 0
0 0
300 300 300
100 100 0
0 0
0 0
0 0
0 0
0 4
2000 2000 1500
0 0
0 0
0 0
0 0
0 25
2000 2000 3000
0 38
0 400
0 0
0 0
60 60 15
0 0
0 0
3 10 13 17
0 0
0 0
20 1000 1020 1055
0 0
0 20
0 0
100 100 195
0 0
0 0
 0 0
0 3
0 0
0 0
1 1 11
0 0
0 12
0 0
0 0
0 0
0 0
0 0
200 200 0
0 0
200 200 200
0 0
0 0
0 0
0 0
15 15 9
1500 2000 1300 1000 420 6220 14020
0 1
0 1
0 0
0 0
0 0
200 300 50 650 2850
0 0
0 200
0 0
0 0
2 2 5
0 0
0 0
0 0
0 0
0 0
100 50 300 450 950
100 200 2500 2800 5150
0 0
100 20 500 620 280
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 6 2
0 5
0 0
0 0
0 0
86 86 128
30 30 25
200 200 800
0 0
0 0
0 50
0 0
0 0
0 0
0 0
2 2 11
0 8
0 11
0 0
0 0
0 50
30 30 25
600 600 200
1600 1600 1640
0 0
300 300 100
500 500 500
0 0

0 0
 0 5
0 60
0 100
0 5
0 0
0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

MEI 2023
PENGELUARAN
PROG ED JUMLAH SISA
LAB
REMAJA
0 0
0 0
0 0
0 0
0 0
0 0
0 600
0 0
0 0
50 50 0
0 0
0 0
0 0
125 125 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0