SURAT BUKTI BARANG KELUAR (SBBK)

JADWAL PENGAMBILAN OBAT TRIBULAN II 2023

PUSKESMAS Jajag
TANGGAL 15 Juni 2023

No Nama Barang Permintaan Pemberian Satuan

1 Acetylcysteine 200mg Kapsul - 5,000 Tablet

2 Allopurinol 100mg Tablet - Tablet
3 amlodipin tab 5 mg - 5,000 Tablet
4 Antasida DOEN Tablet - 10,000 Tablet
5 Bisacodyl 5mg Tablet - TABLET
6 dimenhidrinat tab 50 mg - Tablet
7 Ergotamin 1mg Tablet - tablet
8 Eritromisin tab 500 mg - TABLET
9 Fenitoin 100mg kapsul - generik KAPSUL
10 Furosemid 40mg Tablet - 1,000 Tablet
11 Glibenclamide 5mg Tablet - 5,000 Tablet
12 Glyceryl Guaiacolate 50mg Tablet - 5,000 Tablet
13 Hidroklorotiazid 25mg Tablet - 1,000 Tablet
14 Isosorbid Dinitrat 5mg Tablet - TABLET
15 Klorfeniramin Maleat 4 mg (CTM) - 5,000 Tablet
16 Loperamide 2mg Tablet - TABLET
17 metoklopramid tab 10 mg - generik Tablet
18 Natrium Diklofenak 50mg Tablet - tablet
19 Nifedipine 10mg Tablet - TABLET
20 Paracetamol 500mg Tablet - 5,000 Tablet
21 Piracetam 1200mg Tablet - TABLET
22 Piridoksin (Vitamin B6) tablet 25 mg (HCI) - - 3,000 TABLET
23 Propanolol 10mg Tablet - TABLET
24 Ranitidine 150mg Tablet - Tablet
25 Salbutamol 2mg Tablet - TABLET
26 Simvastatin 20mg Tablet - Tablet
27 Spironolactone 25mg Tablet - TABLET
28 Stimuno - Kapsul
29 Tetracycline 500mg Kapsul - KAPSUL
30 Vitamin B Complex Tablet - 5,000 Tablet
31 Vitamin D1000 IU - TABLET
INJEKSI & CCP
32 Ampicillin 1gr Injeksi - Vial
33 Atropin inj 0.25mg - Ampul
34 Cyanocobalamine B12 500mcg/mL 1mL Injeksi Botol
35 Dexamethasone 5mg/mL 1mL Injeksi - 10 AMPUL
36 Diphenhydramine Hcl 10mg/mL 1mL Injeksi - Ampul
37 Dulcolax Ped 5mg/gr Supp - SUPP
38 fitomenadion (vitamin K1) inj 2 mg/mL (i.m.) - 10 Ampul
No Nama Barang Permintaan Pemberian Satuan

39 Lidocain Comp 2mL Injeksi - 150 Ampul

40 Magnesium Sulfat Injeksi 20 % 25 ml - ampul
41 Magnesium Sulfat Injeksi 40 % 25 ml - 20 Ampul
42 Methylergometrine 0,2mg/mL 1mL Injeksi - AMPUL
43 Metoklopramid inj 5mg - BOTOL
44 Metronidazole Infus Botol
45 Oksitosin 10Unit/mL 10mL Injeksi - 20 Ampul
46 Ondansetron 4mg/2mL 2mL Injeksi - AMPUL
OBAT TERTENTU
47 Codein 10mg Tablet - Tablet
48 Amitriptillin 25 mg - Tablet
49 Azithromycin 500mg Tablet - tablet
50 Carbamazepine 200mg Tablet - Tablet
51 Clobazam 10mg Tablet - TABLET
52 Cloroquin 250mg Tablet - TABLET
53 Clozapine 25mg Tablet - Tablet
54 Diazepam 5 mg - 2,000 Tablet
55 Diazepam 5mg/mL 2mL Injeksi - Ampul
56 Fenobarbital Injeksi 50 mg/ml - (@Box 30 Ampul) Ampul
57 Fenobarbital tab 30mg - TABLET
58 Haloperidol HCL 5mg/mL 1mL Injeksi - 2,000 AMPUL
59 Oseltamivir 75mg Tablet Hibah - TABLET
60 Risperidone 2mg Tablet - 2,000 Tablet
61 Trifluoperazin 5mg Tablet - TABLET
62 Trihexyphenidyl 2mg Tablet - 1,000 Tablet
TOPIKAL
63 Asiklovir krim 5% - TUBE
64 Bedak Salisil serb 2% - Pot
65 Calamin Lotion 100mL - BOTOL
66 Hydrocortisone 2,5% 5gr Krim SK - 240 Tube
67 Iliadin 0,05% Nasal Spray 10mL TH - BOX
68 Iliadin Kinder 0,025% Nasal Drop 10mL TH - Box
69 Karbo Gliserin TT - 240 BOTOL
70 Kloramfenikol tetes telinga 3 % - generik botol
71 Oksitetrasiklin HCl 1% 5gr SM - 100 tube
72 Perak Sulfadiazin 35gr Krim SK TUBE
CAIRAN
73 amoksisilin sir kering 125 mg/5 mL - BOTOL
74 Chloramphenicol 125mg/5mL 60mL Sirup - BOTOL
75 Curcuma Plus DHA Orange 60mL Sirup - 200 BOTOL
76 Dextrose 10% 500mL Infus - Botol
No Nama Barang Permintaan Pemberian Satuan

77 Metronidazole 125mg/5mL 60mL Sirup Botol

78 Multivitamin Anak Sirup - 100 Botol
79 Natrium Klorida larutan Infus 0,9% 500ml - Botol
80 Ringer Laktat 500mL Infus - Botol
81 Sodium Chloride 0,9% 100mL Infus - AMPUL
82 Thiamphenicol 125mg/5mL 60mL Sirup - botol
BMHP
1 Alat suntik sekali pakai 0.05 ml - Pcs
2 Alat suntik sekali pakai 0.3 ml - Pcs
3 Alat suntik sekali pakai 0.5 ml - 5,000 Pcs
4 Alat Suntik Sekali Pakai 1mL - Pcs
5 Alat Suntik Sekali Pakai 3mL - Pcs
6 Alkohol Swab - Box
7 APD LENGKAP - Paket
8 Baju Hazmat (Baju APD Coverall Seam Tape Putih) Pcs
9 Catgut Chromic 3 Sachet - Pcs
10 Catgut plain 3/0 + jarum 1/2 GT 35mm - Box
11 Catgut Silk 3/0 Sachet - Pcs
12 Cavit - lokal Pcs
13 Devitalisasi Pasta - Pot
14 D-piece smokerlizer - Box
15 Duk Lubang - lokal Pcs
16 Enzimatic Detergent - BOTOL
17 Etil Chorida - Botol
18 Gelang Pasien - Pcs
19 glove/handscun - 3,000 Box
20 Google Standart - Pcs
21 Handsanitizer pump 500 mL - 20 Botol
22 hidrogen peroksida - generik Botol
23 Infuset Ped - Pcs
24 IV Catheter 18 Abbocath - Pcs
25 IV Catheter 20 Abbocath - Pcs
26 IV Catheter 24 Abbocath - Pcs
27 Kapas Putih 250gr - Roll
28 Kapsul Kosong 00 - Bungkus
29 Kapsul Kosong 2 - Bungkus
30 Kapsul Kosong 3 - Bungkus
31 Kasa pembalut Hidrofil DRC 3.6 m x 5 cm - Roll
32 Kertas EKG 1 Channel - Kotak
33 Klorfenol kamfer Menthol (CHKM) - Botol
34 Masker FFP2 NR - Pcs
35 Masker Medis Earloop - Box
36 Masker N95 - Pcs
37 Masker Oksigen Anak - Pcs
No Nama Barang Permintaan Pemberian Satuan

38 Master Bond Biodinamika / Bonding - Botol

39 mouthpiece smokerlizer - Box
40 Nasal Canul Oksigen Anak - PCS
41 Nasal Canul Oksigen Bayi - Pcs
42 Nurse Cap - PCS
43 plesterin bulat - Box
44 Povidon Iodida 10% 30mL - Botol
45 RIVANOL 300ML BOTOL
46 Safety Box - Pcs
47 Sendok Takar - Pcs
48 Steril Pouch 9 x 26 cm - Pcs
49 TABUNG EDTA - Box
50 Tes Kehamilan Strip Blue Cross Laboratorium - 300 Pcs
51 Thermometer Gun Infrared - Pcs
52 Tri Kresol Formalin - biodinamika Botol
53 Umbilical Klem - Box