Format LPLPO 2022 Kab. Landak New Juli 2022 (Puskesmas Karangan)

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
KABUPATEN : LANDAK
PUSKESMAS : PUSKESMAS KARANGAN
BULAN/TAHUN : JULI / 2022
OBAT
No Nama Item SATUAN Kelas Terapi Stok Awal Penerimaan Persediaan Pemakaian
1 Acyclovir 400mg Tablet 500 500 50
2 Acyclovir Salep Tube 75 75 -
3 Albendazole 400 mg Tablet 1,300 5500 6,800 6,800
4 Albendazole Suspensi Botol - 330 330 330
5 Allopurinol 100 mg Tablet 1,000 1,000 400
6 Allopurinol 300 mg Tablet 1,400 1000 2,400 900
7 Alprazolam 0,5 mg Tablet 275 275 100
8 Alprazolam 1 mg Tablet 320 320 125
9 Ambroxol 30 mg tab Tablet 6,900 6,900 2,900
10 Ambroxol Syrup Botol - - -
11 Aminofilin injeksi 24 mg/ml Ampul - - -
12 Amitriptillin 25 mg Tablet - - -
13 Amlodipin Tab 10 mg Tablet 10,000 5000 15,000 2,100
14 Amlodipin Tab 5 mg Tablet 6,400 6,400 500
15 Amoxicillin 100 mg/ml Drops Botol 96 96 30
16 Amoxicillin 500 mg Tablet 6,800 5000 11,800 7,200
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 376 100 476 176
18 Ampicillin injeksi Ampul - - -
19 Antasida DOEN Kombinasi Tablet 13,100 13,100 6,100
20 Antasida DOEN Syrup Botol 289 100 389 235
21 Antifungi DOEN Kombinasi Tube 57 48 105 -
22 Antihemoroid DOEN Kombinasi Supp 10 20 30 10
23 Apricot Syrup Botol 109 96 205 60
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 10,500 5000 15,500 5,300
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - -
26 Asam Mefenamat 500 mg Tablet 4,200 2000 6,200 2,500
27 Asam Tranexamat inj 100 mg/ml Ampul 50 50 5
28 Asam Tranexamat inj 50 mg/ml Ampul 20 20 5
29 Asering Infuse 500 ml Kolf - - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 40 40 -
31 Betahistine Besilat 6 mg Tablet - 1000 1,000 -
32 Betametason cream 0,1 % Tube - - -
33 BIOSAT 1.500 (anti tetanus) Vial - - -
34 BIOSAVE (anti bisa ular) VIAL - - -
35 Bisoprolol 5 mg Tablet 600 600 -
36 Bufacetin salep kulit 1% Tube 96 96 -
37 Calcii Glukonas Inj Ampul 18 18 -
38 Captopril 12,5 mg Tablet 1,500 2000 3,500 600
39 Captopril 25 mg Tablet 4,600 4,600 1,000
40 Cefadroxil 250 mg Tablet - - -
41 Cefadroxil 500 mg Tablet 1,400 1,400 1,000
42 Cefadroxil Dry Syrup 125 mg Botol 82 82 22
43 Cefotaxime Injeksi 1 gr Vial 18 18 18
44 Ceftriaxon Inj 1000 mg Vial - 20 20 20
45 Cetirizin 10 mg tab Tablet - - -
46 Cetirizin Syrup Botol 150 50 200 88
47 Chloramfenicol 250 mg Capsul - - -
48 Chloramfenicol 500 mg Capsul - - -
49 Chloramfenicol tetes telinga Botol - - -
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 4,000 4,000 3,300
51 Chlorpromazine 100 mg Tablet 730 730 150
52 Chlorpromazine 25mg Tablet 1,250 1,250 90
53 Ciprofloxacin 500 mg Tablet 300 300 300
54 Clindamicin 150 mg Capsul 500 500 50
55 Clozapin 100 mg Tablet 975 500 1,475 160
56 Clozapin 25 mg Tablet 1,409 500 1,909 482
57 Codein hcl Tablet 10 mg Tablet - - -
58 Combivent Nebules Vial - - -
59 Cotrimoxazole 480mg Tablet 1,600 1,600 -
60 Cotrimoxazole 960 mg Tablet - - -
61 Cotrimoxazole sirup Botol 114 114 53
62 Desoximetasone Krim 0.25% Tube 36 20 56 (4)
63 Dexamethason Tab 0,5 mg Tablet 6,800 5000 11,800 3,800
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 100 100 200 20
65 Dextrose monohydrat 40% Flacon 20 20 2
66 Diabetadex Fitofarmaka Tablet 444 444 -
67 Diazepam injeksi 5 mg / 2 ml Ampul 4 4 -
68 Diazepam Tablet 5 mg Tablet 29 29 29
69 Digoxin tablet 0,25 mg Tablet - - -
70 Diltiazem HCL Tablet 30 mg Tablet - - -
71 Dimenhidrinat 50 mg Tablet 800 800 100
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 30 30 9
73 Domperidon Tablet Tablet 2,600 1000 3,600 300
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 30 30 60 16
75 Ergotamin Coffein Tablet - - -
76 Febrinex Ped Suspensi 60 ml Botol 45 50 95 71
77 Fenol Gliserol Tetes Telinga 10% Botol 13 13 2
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 30 30 30
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet - 1000 1,000 100
80 Flutamol Syr Botol - - -
81 Flutamol Tab Tablet 100 100 100
82 Furosemid 10 Mg/ml Injeksi Ampul - - -
83 Furosemid Tablet 40 mg Tablet 400 400 200
84 Garam Oralit 200 mg Bungkus 710 710 -
85 Gentamicin Salep Mata 0,3% Tube 10 10 -
86 Gentamicin Tetes Mata 0,3% Tube 48 48 96 48
87 Glibenklamid Tablet 5 mg Tablet 2,900 2,900 -
88 Glukosa 10% Infus Kolf - - -
89 Glukosa 5% Infus Kolf - - -
90 Griseolfulvin Tablet 125 mg Micronized Tablet 1,000 1,000 -
91 Haloperidol 0,5 mg Tablet 1,412 1,412 330
92 Haloperidol 1,5 mg Tablet - - -
93 Haloperidol 5 mg Tablet 458 458 122
94 Herbakof Syrup Botol - - -
95 Herbakof Tablet Tablet 1,020 1800 2,820 600
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet 930 930 -
97 Herbavomitz obat herbal Botol
98 Herbavomitz Tablet Tablet 660 660 -
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 1,000 1,000 200
100 Hidrokortison Krim 2,5% Tube 170 72 242 26
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 700 700 500
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - -
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol - - -
104 Iliadin Drop Tetes Hidung Botol 27 27 2
105 Imunomodulator anak Syr 25 mg Botol - - -
106 Imunomodulator Forte 50 mg Tablet - - -
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - - -
108 KA EN 3A Kolf 20 20 (20)
109 KA EN 3B Kolf 60 60 25
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 12,400 5000 17,400 5,900
111 Karbamazepin 200 mg Tablet 837 837 120
112 Ketoconazole 200 mg Tablet 900 1000 1,900 200
113 Ketoconazole Zalp Tube - - -
114 Ketorolac Inj 30mg/ml Ampul - - -
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 86 86 5
116 Lansoprazole Tablet 30mg Tablet 1,300 1,300 800
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul - 100 100 -
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 150 150 120
119 Loperamide 2 mg Tablet 1,100 2000 3,100 100
120 Loratadine tab Tablet 500 500 1,000 -
121 Magnesium sulfat 20% (MgSO4) Ampul - -
122 Magnesium sulfat 40% (MgSO4) Ampul - 10 10 -
123 Maltiron Syr 60 ml Botol - - -
124 Mersibion Inj Ampul - - -
125 Metformin HCl 500 mg Tablet 7,600 2000 9,600 1,600
126 Metilergometrin Inj 0,2 mg/ml Ampul - - -
127 Metilergometrin maleat Tab 0,125 mg Tablet - - -
128 Metilprednisolon 16 mg Tablet 1,700 1000 2,700 500
129 Metilprednisolon 4 mg Tablet 1,200 1000 2,200 400
130 Metilprednisolon 8 mg Tablet - - -
131 Metoklorpamide Tablet 10 mg Tablet - - -
132 Metoklorpamide Tablet 5 mg Tablet 700 700 -
133 Metronidazol Tab 500mg Tablet - - -
134 Metronidazole Infus Kolf - - -
135 Metronidazole Suspensi 125mg/5ml Botol 59 48 107 29
136 Metyldopa (Dopamet) 250 mg Tablet - 300 300 -
137 Miconazole krim 2 % Tube 120 120 120
138 Mineral Mix Bungkus 880 880 -
139 Multivitamin Becefort Tablet 500 500 500
140 Multivitamin Becefort Syr 60 ml Botol 99 50 149 49
141 Multivitamin Natabion Dws Capsul - - -
142 Multivitamin Oxyvit Tablet 1,320 1,320 1,260
143 Natrium Diklofenak tab 25 mg Tablet 3,250 3000 6,250 1,250
144 Natrium Diklofenak tab 50 mg Tablet 8,500 8,500 3,000
145 Natrium Klorida 0,9% OTSU Botol 180 80 260 65
146 Nifedipin 10 Mg Tablet - - -
147 Nistatin 100.000 IU tab vaginal Tablet - - -
148 Nistatin 500.000 IU Tablet - 200 200 100
149 Nistatin suspensi 100.000 IU/mL Botol 127 127 4
150 Noza Kaplet Kaplet 1,900 1,900 1,300
151 OBH Kaca Berlico 100ml Botol 7 7 7
152 Ofloxacin 200 mg Tablet - - -
153 Oksimetazolin tetes hidung 0,05% Botol - - -
154 Oksitetrasiklin HCl 1 % zalp mata Tube - - -
155 Oksitosin Inj 10 IU/ml Ampul - - -
156 Omeprazole caps (Lokev) Capsul 550 550 250
157 Ondansentron Injeksi Ampul - - -
158 Ondansentron Tab 4 mg Tablet 528 528 408
159 Parasetamol Drops Botol - - -
160 Parasetamol Infus btl - - -
161 Parasetamol sirup 120mg/5ml Botol 250 200 450 125
162 Parasetamol Tab Tablet 15,000 10000 25,000 10,300
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - - -
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet - - -
165 Prednison tab 5 mg Tablet 4,700 2000 6,700 3,100
166 Procurma Syr Botol - - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 -
168 Pularex Tablet Tablet 1,150 1,150 150
169 Pyrantel Pamoat 125 mg Tablet - - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - - -
171 Ranitidin 150 mg tab Tablet 5,300 1000 6,300 1,500
172 Ranitidin Injeksi Ampul 25 25 25
173 Retinol 100.000 IU BIRU Caps - 600 600 600
174 Retinol 200.000 IU MERAH Caps 2,800 500 3,300 2,900
175 Ringer Laktat Infus Botol 380 400 780 420
176 Risperidon 1 mg Tablet - - -
177 Risperidon 2 mg Tablet 1,008 1,008 854
178 Salbutamol 2 mg Tablet 1,400 1000 2,400 -
179 Salbutamol 4 mg Tablet 1,700 1000 2,700 100
180 Salbutamol Cairan inhalasi Ampul - 20 20 -
181 Salbutamol Syrup Botol 102 60 162 39
182 Salep 2- 4 kombinasi Tube - - -
183 Sianokobalamin (Vit. B12) Tab Tablet 2,500 2000 4,500 2,100
184 Simvastatin Tablet 10 mg Tablet 300 1000 1,300 -
185 Simvastatin Tablet 20 mg Tablet 1,800 1000 2,800 450
186 Soft U Derm 10% Crema 20gr Tube - - -
187 Spironolactone 25 mg Tablet - - -
188 Stesolid rectal 10 mg / 2,5 ml Tube 20 20 -
189 Stesolid rectal 5 mg / 2,5 ml Tube 18 18 -
190 Sukralfat Suspensi 500mg/ 5ml Botol 150 100 250 150
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - -
192 Tablet Tambah Darah FE Tablet 26,000 26,000 3,200
193 Tetagam Inj Vial - - -
194 Tetrasiklin 500 mg Tablet - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - -
196 Tramadol Inj Ampul - - -
197 Trifluoperazin 5 mg Tablet 415 415 150
198 Trihexylphenidil 2 mg Tablet 1,214 1,214 580
199 Vitamin B komplek Tablet - - -
200 Vitamin D3 1000IU Tablet 720 600 1,320 240
201 Voltadex Gel 1% 20 gr Tube 9 9 4
202 Zinc 20 Mg Tablet Tablet 2,300 1000 3,300 200
203 Zinc Syr Botol - - -
204 Zincpro Drop 15 ml Botol - - -
205 Acetyl cysteine tablet 200 mg Tablet -
206 Cefotaxime sodium serb inj 500 mg Injeksi -
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol -
208 Chloramphenicol salep mata 1 % Tube -
209 Curcuma Plus 60 mL Botol 45 50 95 35
210 Diazepam enema 10 mg/2,5 mL Tube -
212 Domperidone drops 5 mg/mL Botol -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol -
214 Farbivent cairan inhalasi Ampul -
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol -
216 Glimepiride tablet 2 mg Tablet -
217 Hidrokortison krim 1% Tube -
218 Hyaloph Natrium hialuronat tetes mata Botol -
219 Hyoscine Butylbromide Tab Tablet -
220 Midric 0,5% Tropikamid tts mata 0,5% Botol -
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet -
222 Multivitamin Ferbion Kapsul -
223 Novadryl Tablet Tablet -
224 Nuvopec Syrup Botol -
225 Obat Batuk Hitam Combi Botol 120 120 22
226 Obat Batuk Hitam Anak Combi Botol 96 96 53
227 Obat Flu Anak (HUFA) Botol -
228 Obat Flu Kombinasi (Noza) Tablet 1,900 1,900 1,300
229 Obat Flu Kombinasi Syrup (Febrinex) Botol 45 45 21
230 Octenic Gel 20 g Tube -
231 Parafen Kaplet Kaplet -
232 Permetrin Krim 5% Tube -
233 Propranolol tablet 10 mg Tablet -
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul -
235 Vip Albumin Obat Herbal Tablet -
236 Vitamin C 1000mg/ Provit C Tablet 600 600 1,200
BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

1 Alat Suntik 1 ml Stera Buah - - -
2 Alat suntik 1 ml TP Pcs 670 670 70
3 Alat Suntik 10 cc Stera Buah - - -
4 Alat suntik 10 ml TP Pcs 100 100 -
5 Alat Suntik 3 cc Stera Buah - - -
6 Alat suntik 3 ml TP Pcs - 500 500 -
7 Alat Suntik 5 cc Stera buah 300 300 200
8 Alkohol 1 Liter Onemed Botol 14 14 5
9 Alkohol 70% 300 ml Botol 5 5 -
10 Alkohol swab Aximed Pcs 7,800 7,800 2,200
11 Apron Plastik one Pcs 70 70 30
12 Aqua proinjeksi steril 20 ml Vial 118 118 30
13 Arm Sling Comfort L Buah - - -
14 Arm Sling Comfort S Buah 2 10 12 -
15 Bactivec BTI DBD SL Botol 86 86 86
16 Baju APD Coverall Pcs - - -
17 Bioplacenton Tulle Pcs 10 10 -
18 Blood Lancet Serenity Pcs 2,000 2000 4,000 400
19 Blood transfusion set ABADA Pcs 90 90 60
20 Blue Tips Bks - - -
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs - - -
22 Catgut Chromic Surgical Sutures Pcs - - -
23 Catgut Plain Surgical Sutures box - - -
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - - -
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - - -
26 Cervical collar Buah - - -
27 Derm transport dressing remedi Pcs - - -
28 Dermafix S 4,4 x 4,4 cm Buah - - -
29 Dermafix S 6 x 7 cm buah - - -
30 Dermafix T 15cm x 20 cm Roll - - -
31 Dermafix T 5x7 Buah - - -
32 Dressing IV canulla non woven remedi Pcs - - -
33 Endotracheal Tube (ETT) uk. 6,0 fesco Pcs - - -
37 Female Cateter No 16 Aximed Pcs - - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 8 8 8
40 Pcs - - -
Foley catheter no. 18 (2 way standard) serenity
41 Foley catheter no. 18 latex 2 way ABADA Pcs 5 5 5
42 - - -
Folley catheter uro one 2 way, FR 16, FR 18 Buah
43 Hand Gel H1 100 ml+flip top Botol 9 9 2
44 Handrub 5 L Medika Ken - - -
45 Handrub 500 ml Medika Botol 49 49 4
46 Handrub e-care 500 ml Botol 2 2 -
47 Handscrub e-care 500 ml Botol 1 1 1
48 Hazmat suit Winner Pcs - - -
49 Indodent Saliva ejector Buah - - -
50 Infusion set anak set - - -
51 Infusion set dewasa ST01 set - - -
52 Infusion set microdrip ABADA Pcs - - -
53 Infusion set microdrip Otsu Pcs 200 200 45
54 Infusion Set Y Adaptor Otsu Pcs 341 341 146
55 IV Catheter No. 18G Cath Pro Pcs 145 150 295 95
57 IV Catheter No. 20G Otsu Pcs - - -
58 IV Catheter No. 22G Cath Pro Pcs 100 100 85
60 IV Catheter With Teflon Catheter 1 way 18 G Set - - -
61 IV Catheter With Teflon Catheter 1 way 24 G set - - -

63 IV Catheter WP No. 26G Aximed Pcs - 50 50 -
64 Kantong Jenazah Pcs - - -
65 Kantong limbah biohazard uk. L Pack 1 5 6 1
66 Kantong limbah biohazard uk. M Pack 11 11 1
67 Kantong limbah biohazard uk. S Pack - - -
68 Kapas 250 gram Rol 5 10 15 6
69 Kapas 500 gram Bks - - -
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs - - -
71 Kasa hidrofil 2 m x 10 cm ABADA Rol - - -
72 Kasa hidrofil 2 m x 80 cm Roll 18 18 1
73 Kasa hidrofil 20y x 80 cm ABADA Rol - - -
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - - -
75 Kasa hidrofil 4 m x 10 cm Roll - - -
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol - - -
81 Kasa hidrofil 40 cm x 80 cm Rol - - -
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak 60 60 60
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll 300 300 300
84 - - -
Kasa Steril 10 cm x 10 cm 16 Ply isi 10 LDX Roll
85 Kasa Steril 16 x 16 cm Roll 100 100 200 90
86 Kasa Steril 18 cm x 22 cm Roll - - -
87 Rol 5 5 -
Kertas EKG 4.5 in (11.4 cm) x 65.6 ft (20 m)
88 Kertas EKG 112 mm Rol - - -
89 Kertas EKG Z-fold : 215×280mm Rol - - -
90 Latex Examination Gloves Uk. L Pcs - - -
91 Latex Examination Gloves Uk. M Pcs 7,100 7,100 2,100
92 Latex Examination Gloves Uk. S Pcs - - -
93 Latex Examination Gloves Uk. XS Pcs - - -
94 Masker Ear Loop Pcs 4,000 4,000 2,600
95 Masker N95 Particulate Respirator unit 200 200 5
96 Masker Nebulizer Anak Unit - - -
97 Masker Nebulizer Dewasa Unit - - -
98 Masker Nebulizer Dewasa Cosmo Pcs 8 8 8
99 Masker Nebulizer Uk M Anak ABADA Pcs 32 32 -
100 Masker Nebulizer Uk. L Dewasa ABADA Pcs - - -
101 Masker Oksigen Adult Serenity Pcs 7 7 -
102 Masker Oksigen Anak Semillas Pcs - - -
103 Masker Oksigen Dwsa Semillas Pcs - - -
104 Masker Oksigen Infant Serenity Pcs 20 20 -
105 Masker Oksigen Pediatric Serenity Pcs 33 33 -
106 Maxiflow Anak Unit - - -
107 Maxiflow Bayi unit - - -
108 Maxiflow Dewasa unit - - -
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs - - -
110 Micropipet Adjust Vol. 0,5-10 UL Pcs - - -
111 Micropipet Adjust Vol. 100-1.000 UL Pcs - - -
112 Micropipet Adjust Vol. 10-100 UL Pcs - - -
117 Micropipet Fixed Vol. 10 UL Pcs - - -
124 Mucus Extractor buah 35 35 17
125 Mucus Extractor Serenity Pcs - - -
126 M-Y Jelly 82 Gram Tube Buah 39 39 6
127 Nasal Oksigen Canula Anak Pcs - - -
128 Nasal Oxygen Canula Adult Serenity Pcs - - -
129 Nasal Oxygen Canula Infant Serenity Pcs 8 8 8
130 Nasal Oxygen Canula Pediatric Serenity Pcs - - -
131 Needle CNV 21 x 1,5 ml (BD vacutainer) Pcs - - -
132 Needle CNV 22 x 1,5 ml MLTSMPCE Pcs - - -
133 Non Woven IV Dressing 6 x 8 cm Pcs - - -
134 Nurse Cap Box 12 5 17 4
135 One Scrub 2% Antiseptic surgical scrub dispense Botol - - -
136 One Scrub 4 %, 500 cc + dispenser Botol 2 5 7 2
137 Oxyflow Anak Buah 50 50 -
138 Oxyflow bayi Buah 20 20 40 1
139 Oxyflow Dewasa Buah 69 69 48
140 Paper tape 1,25 cm x 9,14 cm Aximed Rol 30 5 35 1
141 Paper tape 7,5 cm x 9,14 cm Aximed Rol 14 14 -
142 Papsmer Kit M Buah - - -
143 Papsmer Kit S Buah - - -
144 Parafilm 4 in x 125 FT Box - - -
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 3 3 -
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll - - -
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 2 2 2
148 Policrepe 10 cm x 4,55 m Rol 19 19 -
149 Policrepe 15 cm x 4,55 m Rol 36 36 -
150 Povidon Iodine 60 ml medika Botol - - -
151 Povidone Iodine 300 ml BOTOL 43 43 -
152 Pot Sputum Buah - 200 200 60
153 RDT Antigen - Healgen Pcs 60 60 60
154 Reagen Afinion HbA1c Botol - - -
155 Reagen Afinion HbA1C Control KIT - - -
156 Reagen Anti A 1 x 10 ml KIT - - -
157 Reagen Anti AB 1 x 10 ml KIT - - -
158 Reagen Anti B 1 x 10 ml KIT - - -
159 Reagen Anti D 1 x 10 ml KIT - - -
160 Reagen Diluent M-30 20 L Mindray Botol - - -
161 Reagen Lyse 500 ml Zenix Botol - - -
162 Reagen Proline Tryglicerides KIT - - -
163 Reagen Rinse 20 L Mindray Botol - - -
164 Reagen Salmonella Paratyphi AH 1x5 ml KIT - - -
165 Reagen Salmonella Paratyphi AO 1x5 ml KIT - - -
166 Reagen Salmonella Paratyphi BH 1x5 ml KIT - - -
167 Reagen Salmonella Paratyphi BO 1x5 ml KIT - - -
168 Reagen Salmonella Paratyphi CH 1x5 ml KIT - - -
169 Reagen Salmonella Paratyphi CO 1x5 ml KIT - - -
170 Reagen Salmonella Paratyphi H 1x5 ml KIT - - -
171 Reagen Salmonella Paratyphi O 1x5 ml KIT - - -
172 Rivanol 300 cc Botol 31 31 -
173 Safety box Buah 28 28 20
174 Saniswiss biosanitizer H1 500 ml Botol 11 11 1
175 Sepatu Boots Pair - - -
176 Servical Collar Serenity Pcs - - -
177 Silk Braided Surgical Sutures USP 3/0 box 36 36 24
178 Spalk first AID Pcs - - -
179 Sterile Scalpel Blade#10F#3 Box - - -
182 Sterile Scalpel Blade#24F#4 Box 1 1 -
183 Stomach Tube 85 cm No 16.Aximed Pcs - 10 10 4
184 Stomach Tube 85 cm No.12 Aximed Pcs 4 4 2
185 Stomach Tube 85 cm No.14 Aximed Pcs 7 7 -
186 Stomach Tube 85 cm No.18 Aximed Pcs - 10 10 5
187 Strip Test Cholestrol Autocheck Box 7 10 17 3
188 Strip Test Detecto HbsAg Onemed Buah 125 125 25
189 Strip Test Focus New HIV 1/2 3 Line Pcs 325 100 425 75
190 Strip Test Glucosa On Call Plus Box 50' 3 5 8 3
191 Strip test Hb Hemoglobin Mission Pcs 400 400 100
192 Strip Test Health Mate Syphilis Ab Plus Box 5 120 125 5
193 Strip test SD HIV Bioline Pcs - - -
194 Strip Test Ultra One (Test kehamilan) Buah - - -
195 Strip Test Uric Acid Autocheck Box 11 11 3
196 Strip test Uritest 11G Botol 13 13 1
197 Strip test Virotec dengue Combo Unit 75 75 25
198 Suction Catheter FR 10 unit - - -
200 Surfaces S 5000 ml Biosanitizer KEN 5 5 -
201 Surfaces S 750 ml Biosanitizer Botol 3 3 3
202 Surgical Examination Gynecolog Onemed Set 50 50 -
203 Surgical Gloves No. 6.5 Serenity Pcs 100 100 2
204 Thermal Paper EFG Roll Roll - - -
205 Tips For Micro MT 200 IU Pcs - - -
206 Tips For Micro MT II 1 ml Pcs - - -
207 Tips For Micropipet MSTP Pcs - - -
208 Umbilical cord clame fesco Pcs 50 50 50
209 Umbilical Cord Clamp Buah - - -
210 Underpad (Softpad) 60 x 90 cm Pcs - - -
211 U-Pad Steril Buah 300 300 160
212 Urine bag + hanger Pcs 128 128 128
213 Urine bag + hanger Semilas Pcs - - -
214 USG Gel 250 ml Botol - - -
215 Viorex liquid Botol - - -
216 White Tips Bks - - -
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 -
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 -
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 -
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 -
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs - - -
222 Yellow Tip Bks - - -
Bahan Gigi
1 Articulating Paper Pcs - - -
2 Calcimol LC Botol - - -
3 Cavit G ( Ceivitron) Pot - - -
4 Cement Spatula Pcs - - -
5 CHKM Botol - - -
6 Dycal/ Hydcal Botol - - -
7 GC Fuji 9 Mini Pack Box - - -
8 Mikroaplikator Tips Botol - - -
9 Oco/ Poliren No. 1 Botol - - -
10 Bedaquilline 100 mg Tablet 564 564 188
11 Clofazimin Tablet 300 300 100
12 DHP-Frimal - - -
13 Etambutol 400 mg Tablet 448 448 -
14 Ethionamid 250 mg Tablet 400 400 200
15 Isoniazid 300 mg Tablet 200 200 200
16 KDT Dosis Harian 10 10 10
17 Levofloxacin 250 mg Tablet 100 100 84
18 Moxyfloxacin 400 mg Tablet - - -
19 OAT Kategori Anak 2 2 -
20 OAT Kategori Dewasa - - (4)
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - - -
22 Primaquine Tablet - - -
23 Pyrazinamide 400 mg Tablet 448 448 -
24 Rapid tes Malaria Test 100 100 100
25 Sarung Tangan Obgyn - - -
27 plester Winner 10x5 m 18 18 -
28 plester Winner 5x5 m 7 7 -
29 Tabung Merah - - -
30 Stelosi 5 mg Tablet 500 500 -
33 Alat suntik 3 ml JMI Pcs 400 400 400
34 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs 15 15 15
35 Isoniazid 100 mg Tablet 100 100 96
36 Rifampicin 75 mg + Isoniazid 50 mg Tablet 84 84 -
37 Rifapentin 150 mg Tablet 90 90 -
38 Rifapentin 300 mg/Isoniazid 300 mg Tablet 90 90 -
39 Tuberkulin PPD RT 23 Vial 1 1 -
40 Curcuma Plus Lysine 60 ml Botol 45 50 95 35
41 Surgical gloves No. 7,5 Trosensosurge Botol 100 100 100
42 Pehavral Tablet 2,000 2,000 4,000 1,100
Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

2000 500 2,500
Mengetahui,
Kepala Puskesmas Karangan
Kabupaten Landak
Marta Rahyu,SKM
NIP. 196603031987032009
LPO)
Kadaluarsa Sisa Stok Permintaan Pemberian Ket

450
75
-
-
600 500
1,500
175
195
4,000 5,000
100
12,900
5,900
66
4,600 10,000
300
30
7,000 10,000
154 400
105
20
145
10,200 5,000
2,000
3,700 4,000
45
15
40
1,000 1,000
600
96
18
2,900
3,600
400 2,000
60 50
100
100
5,000
112 100
20
700 10,000
580
1,160
2,000
450
1,315 500
1,427 500
50
1,600
500
61 50
60
8,000 2,000
180
18
444
4 50
500
500
700
21 20
3,300
44 30
300
24 200
11
100
900
200
5,000
50
200
710
10 48
48 48
2,900
1,000
1,082
2,000
336 300
2,220
930
660
800
216
200 2,000
50
25
100
1,000
500
40
35
11,500 5,000
717
1,700 1,000
100
81
500 2,000
100 100
30
3,000 2,000
1,000 1,000
10
100
100
8,000
2,200 1,000
1,800 1,000
700
5,000
78
300 500
200
880
2,000
100 100
2,000
60 1,800
5,000
5,500 2,800
195
500
100
100 500
123
600 2,000
100
2,000
200
300 1,000
120
100
100
325 200
14,700 10,000
2,000
3,600
100
200
1,000
4,800 2,000
400
360 500
154 2,000
2,400
2,600
20 50
123 50
2,400 2,000
1,300 1,000
2,350 1,000
20
18
100 200
22,800 5,000
2,000
265 500
634 2,000
10,000
1,080
5
3,100 1,000
100
100
-
- 100
- 100
-
60 100
-
-
- 50
- 100
- 100
- 24
-
-
- 10
- 1,000
- 10
- 1,000
- 2,000
- 1,000
- 100
98 100
43 100
-
600 2,000
24 200
-
- 1,000
- 100
- 300
- 100
- 1,000
1,200 1000
600 500
100 200
500 500
100 500
9
5
5,600
40
88
12
-
10
3,600
30 100
72
72
- 20
- 20
45
2 10
- 10
155
195
200 100
318
15 200
245 100
50
50
5
10
10
9 5
17
110 100
2,000
5,000
2,000
1,400 4,000
195
-
32
20
33
18
33
13
5 5
50
39
21 50
34
14
3
-
19
36
43
140
-
1
1
1
1
31
8
10
12
1
6 10
2 10
7 10
5 10
14 10
100 200
350
5
300
120 120
100
8
12
50
5
-
50
98
- 100
140 100
- 100
100
100
200
100
376
200
448
200
-
16
2
4
448
-
18
7
500
0
0
4
84
90
90
1
60
2900
Yang meminta/Melapor
Pengelola Obat Puskesmas Karangan
apt. M. Agustine Dwi Steviana, S.Farm

NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : AGUSTUS / 2022
OBAT
No Nama Item SATUAN Kelas Terapi Stok Awal Penerimaan Persediaan Pemakaian Kadaluarsa Sisa Stok Permintaan Pemberian Ket
1 Acyclovir 400mg Tablet 450 450 - 450
2 Acyclovir Salep Tube 75 75 - 75
3 Albendazole 400 mg Tablet - 1000 1,000 500 500
4 Albendazole Suspensi Botol - - - -
5 Allopurinol 100 mg Tablet 600 500 1,100 500 600 500
6 Allopurinol 300 mg Tablet 1,500 1,500 200 1,300
7 Alprazolam 0,5 mg Tablet 175 175 - 175 500
8 Alprazolam 1 mg Tablet 195 195 135 60 500
9 Ambroxol 30 mg tab Tablet 4,000 4000 8,000 5,000 3,000 5,000
10 Ambroxol Syrup Botol - - - 100
11 Aminofilin injeksi 24 mg/ml Ampul - - -
12 Amitriptillin 25 mg Tablet - - -
13 Amlodipin Tab 10 mg Tablet 12,900 12,900 2,400 10,500
14 Amlodipin Tab 5 mg Tablet 5,900 5,900 1,900 4,000 1,000
15 Amoxicillin 100 mg/ml Drops Botol 66 66 18 48 100
16 Amoxicillin 500 mg Tablet 4,600 8000 12,600 5,000 7,600 10,000
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 300 300 - 300
18 Ampicillin injeksi Ampul - 30 30 - 30 30
19 Antasida DOEN Kombinasi Tablet 7,000 10000 17,000 5,000 12,000 5,000
20 Antasida DOEN Syrup Botol 154 200 354 214 140 400
21 Antifungi DOEN Kombinasi Tube 105 105 - 105
22 Antihemoroid DOEN Kombinasi Supp 20 20 - 20
23 Apricot Syrup Botol 145 145 49 96 96
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 10,200 5000 15,200 2,600 12,600 5,000
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - 2,000
26 Asam Mefenamat 500 mg Tablet 3,700 3,700 3,700 - 4,000
27 Asam Tranexamat inj 100 mg/ml Ampul 45 45 5 40
28 Asam Tranexamat inj 50 mg/ml Ampul 15 15 5 10
29 Asering Infuse 500 ml Kolf - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 40 40 10 30
31 Betahistine Besilat 6 mg Tablet 1,000 500 1,500 200 1,300
32 Betametason cream 0,1 % Tube - -
33 BIOSAT 1.500 (anti tetanus) Vial - -
34 BIOSAVE (anti bisa ular) VIAL - -
35 Bisoprolol 5 mg Tablet 600 600 90 510
36 Bufacetin salep kulit 1% Tube 96 96 - 96
37 Calcii Glukonas Inj Ampul 18 18 - 18
38 Captopril 12,5 mg Tablet 2,900 2,900 800 2,100
39 Captopril 25 mg Tablet 3,600 3,600 900 2,700
40 Cefadroxil 250 mg Tablet - -
41 Cefadroxil 500 mg Tablet 400 2000 2,400 700 1,700 2,000
42 Cefadroxil Dry Syrup 125 mg Botol 60 72 132 20 112 50
43 Cefotaxime Injeksi 1 gr Vial - - 100
44 Ceftriaxon Inj 1000 mg Vial 90 90 80 10 100
45 Cetirizin 10 mg tab Tablet 5000 5,000 300 4,700 5,000
46 Cetirizin Syrup Botol 112 100 212 62 150 100
47 Chloramfenicol 250 mg Capsul - -
49 Chloramfenicol tetes telinga Botol - - 20
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 700 3600 4,300 2,300 2,000 10,000
51 Chlorpromazine 100 mg Tablet 580 580 150 430 500
52 Chlorpromazine 25mg Tablet 1,160 1,160 60 1,100
53 Ciprofloxacin 500 mg Tablet - - 2,000
54 Clindamicin 150 mg Capsul 450 450 150 300 500
55 Clozapin 100 mg Tablet 1,315 500 1,815 197 1,618
56 Clozapin 25 mg Tablet 1,427 500 1,927 360 1,567
57 Codein hcl Tablet 10 mg Tablet - -
58 Combivent Nebules Vial - - 50
59 Cotrimoxazole 480mg Tablet 1,600 1,600 1,000 600 1,000
60 Cotrimoxazole 960 mg Tablet - - 1,000
61 Cotrimoxazole sirup Botol 61 100 161 48 113 50
62 Desoximetasone Krim 0.25% Tube 60 60 24 36
63 Dexamethason Tab 0,5 mg Tablet 8,000 2000 10,000 3,000 7,000 2,000
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 180 180 35 145 100
65 Dextrose monohydrat 40% Flacon 18 18 - 18
66 Diabetadex Fitofarmaka Tablet 444 444 60 384
67 Diazepam injeksi 5 mg / 2 ml Ampul 4 60 64 18 46 50
68 Diazepam Tablet 5 mg Tablet - - 500
69 Digoxin tablet 0,25 mg Tablet - -
70 Diltiazem HCL Tablet 30 mg Tablet - - 500
71 Dimenhidrinat 50 mg Tablet 700 700 300 400
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 21 21 21 - 20
73 Domperidon Tablet Tablet 3,300 3,300 - 3,300
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 44 30 74 5 69 30
75 Ergotamin Coffein Tablet - - 300
76 Febrinex Ped Suspensi 60 ml Botol 24 50 74 30 44 200
77 Fenol Gliserol Tetes Telinga 10% Botol 11 11 - 11
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 90 90 - 90 100
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 900 900 200 700
80 Flutamol Syr Botol - - 200
81 Flutamol Tab Tablet 4000 4,000 500 3,500 5,000
82 Furosemid 10 Mg/ml Injeksi Ampul - - 50
83 Furosemid Tablet 40 mg Tablet 200 200 - 200
84 Garam Oralit 200 mg Bungkus 710 710 - 710
85 Gentamicin Salep Mata 0,3% Tube 10 10 10 - 48
86 Gentamicin Tetes Mata 0,3% Tube 48 48 96 24 72 48
87 Glibenklamid Tablet 5 mg Tablet 2,900 2,900 100 2,800
88 Glukosa 10% Infus Kolf - -
90 Griseolfulvin Tablet 125 mg Micronized Tablet 1,000 1,000 - 1,000
91 Haloperidol 0,5 mg Tablet 1,082 1,082 240 842
92 Haloperidol 1,5 mg Tablet - - 2,000
93 Haloperidol 5 mg Tablet 336 300 636 96 540 300
94 Herbakof Syrup Botol - -
95 Herbakof Tablet Tablet 2,220 2,220 870 1,350
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet 930 930 150 780
98 Herbavomitz Tablet Tablet 660 660 30 630
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 800 800 300 500
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 200 200 200 - 2,000
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - 50
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol - -
104 Iliadin Drop Tetes Hidung Botol 25 25 - 25
105 Imunomodulator anak Syr 25 mg Botol 48 48 - 48
106 Imunomodulator Forte 50 mg Tablet 600 600 - 600
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 500 500 - 500
108 KA EN 3A Kolf 40 40 27 13
109 KA EN 3B Kolf 35 35 - 35
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 11,500 5000 16,500 4,600 11,900 5,000
111 Karbamazepin 200 mg Tablet 717 717 70 647
112 Ketoconazole 200 mg Tablet 1,700 1000 2,700 800 1,900 1,000
113 Ketoconazole Zalp Tube - - 100
114 Ketorolac Inj 30mg/ml Ampul - -
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 81 81 4 77
116 Lansoprazole Tablet 30mg Tablet 500 500 500 - 2,000
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 100 100 200 20 180 100
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 30 30 30 - 100
119 Loperamide 2 mg Tablet 3,000 2000 5,000 100 4,900
120 Loratadine tab Tablet 1,000 1000 2,000 300 1,700 1,000
122 Magnesium sulfat 40% (MgSO4) Ampul 10 10 - 10
123 Maltiron Syr 60 ml Botol - - 100
124 Mersibion Inj Ampul 100 100 - 100 50
125 Metformin HCl 500 mg Tablet 8,000 8,000 1,200 6,800 1,000
126 Metilergometrin Inj 0,2 mg/ml Ampul - -
127 Metilergometrin maleat Tab 0,125 mg Tablet - -
128 Metilprednisolon 16 mg Tablet 2,200 1000 3,200 - 3,200 1,000
129 Metilprednisolon 4 mg Tablet 1,800 1000 2,800 500 2,300 1,000
130 Metilprednisolon 8 mg Tablet 1000 1,000 - 1,000
131 Metoklorpamide Tablet 10 mg Tablet - -
132 Metoklorpamide Tablet 5 mg Tablet 700 700 - 700
133 Metronidazol Tab 500mg Tablet 1000 1,000 - 1,000 5,000
134 Metronidazole Infus Kolf 10 10 - 10
135 Metronidazole Suspensi 125mg/5ml Botol 78 78 - 78
136 Metyldopa (Dopamet) 250 mg Tablet 300 300 300 500
137 Miconazole krim 2 % Tube 50 96 146 6 140 200
138 Mineral Mix Bungkus 880 880 80 800
139 Multivitamin Becefort Tablet - - 2,000
140 Multivitamin Becefort Syr 60 ml Botol 100 100 49 51 100
141 Multivitamin Natabion Dws Capsul - - 2,000
142 Multivitamin Oxyvit Tablet 60 60 60 1,800
143 Natrium Diklofenak tab 25 mg Tablet 5,000 5,000 4,750 250 2,000
144 Natrium Diklofenak tab 50 mg Tablet 5,500 3000 8,500 600 7,900
145 Natrium Klorida 0,9% OTSU Botol 195 195 60 135
146 Nifedipin 10 Mg Tablet 500 500 - 500
147 Nistatin 100.000 IU tab vaginal Tablet - - 100
148 Nistatin 500.000 IU Tablet 100 300 400 200 200 500
149 Nistatin suspensi 100.000 IU/mL Botol 123 123 13 110
150 Noza Kaplet Kaplet 600 1000 1,600 600 1,000 2,000
151 OBH Kaca Berlico 100ml Botol - - 100
152 Ofloxacin 200 mg Tablet - - 2,000
153 Oksimetazolin tetes hidung 0,05% Botol - -
154 Oksitetrasiklin HCl 1 % zalp mata Tube - -
155 Oksitosin Inj 10 IU/ml Ampul 200 200 - 200 200
156 Omeprazole caps (Lokev) Capsul 300 300 200 100 1,000
157 Ondansentron Injeksi Ampul - -
158 Ondansentron Tab 4 mg Tablet 120 120 120 - 500
159 Parasetamol Drops Botol - - 100
160 Parasetamol Infus btl - - 100
161 Parasetamol sirup 120mg/5ml Botol 325 200 525 102 423 200
162 Parasetamol Tab Tablet 14,700 10000 24,700 11,500 13,200 10,000
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - -
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 2000 2,000 200 1,800 1,000
165 Prednison tab 5 mg Tablet 3,600 3,600 3,600 - 5,000
166 Procurma Syr Botol - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 - 200
168 Pularex Tablet Tablet 1,000 1,000 - 1,000
169 Pyrantel Pamoat 125 mg Tablet - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - -
171 Ranitidin 150 mg tab Tablet 4,800 2000 6,800 2,600 4,200 2,000
172 Ranitidin Injeksi Ampul - -
173 Retinol 100.000 IU BIRU Caps - -
174 Retinol 200.000 IU MERAH Caps 400 400 200 200 500
175 Ringer Laktat Infus Botol 360 500 860 160 700 300
176 Risperidon 1 mg Tablet - -
177 Risperidon 2 mg Tablet 154 2000 2,154 459 1,695 1,000
178 Salbutamol 2 mg Tablet 2,400 2,400 400 2,000
180 Salbutamol Cairan inhalasi Ampul 20 20 10 10 50
181 Salbutamol Syrup Botol 123 60 183 44 139 50
182 Salep 2- 4 kombinasi Tube - -
183 Sianokobalamin (Vit. B12) Tab Tablet 2,400 2000 4,400 2,600 1,800 2,000
184 Simvastatin Tablet 10 mg Tablet 1,300 1000 2,300 100 2,200 1,000
186 Soft U Derm 10% Crema 20gr Tube - -
187 Spironolactone 25 mg Tablet - -
188 Stesolid rectal 10 mg / 2,5 ml Tube 20 20 - 20 - 10
189 Stesolid rectal 5 mg / 2,5 ml Tube 18 18 - 18 10
190 Sukralfat Suspensi 500mg/ 5ml Botol 100 100 200 100 100 200
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - -
192 Tablet Tambah Darah FE Tablet 22,800 22,800 2,600 20,200 5,000
193 Tetagam Inj Vial - -
194 Tetrasiklin 500 mg Tablet - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - 2,000
196 Tramadol Inj Ampul - -
197 Trifluoperazin 5 mg Tablet 265 500 765 680 85 500
198 Trihexylphenidil 2 mg Tablet 634 1000 1,634 840 794 2,000
199 Vitamin B komplek Tablet - - 10,000
200 Vitamin D3 1000IU Tablet 1,080 1,080 540 540
201 Voltadex Gel 1% 20 gr Tube 5 5 - 5
202 Zinc 20 Mg Tablet Tablet 3,100 1000 4,100 800 3,300 1,000
203 Zinc Syr Botol - - - 100
204 Zincpro Drop 15 ml Botol - - - 100
205 Acetyl cysteine tablet 200 mg Tablet - -
206 Cefotaxime sodium serb inj 500 mg Injeksi - - 100
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - 100
208 Chloramphenicol salep mata 1 % Tube - -
209 Curcuma Plus 60 mL Botol 60 50 110 67 43 100
210 Diazepam enema 10 mg/2,5 mL Tube - -
211 Diazepam enema 5 mg/2,5 mL Tube - -
212 Domperidone drops 5 mg/mL Botol - - 50
213 Domperidone sirup/suspensi 5 mg/5 ml Botol - 100 100 85 100
214 Farbivent cairan inhalasi Ampul - 100 100 100 100
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - 24
216 Glimepiride tablet 2 mg Tablet - -
217 Hidrokortison krim 1% Tube - -
218 Hyaloph Natrium hialuronat tetes mata Botol - - 10
219 Hyoscine Butylbromide Tab Tablet - - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - 10
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - - 1,000
222 Multivitamin Ferbion Kapsul - - 2,000
223 Novadryl Tablet Tablet - - 1,000
224 Nuvopec Syrup Botol - - 100
225 Obat Batuk Hitam Combi Botol 98 120 218 104 114 100
226 Obat Batuk Hitam Anak Combi Botol 43 96 139 28 111 100
227 Obat Flu Anak (HUFA) Botol - 60 60 60
228 Obat Flu Kombinasi (Noza) Tablet 600 600 600 2,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol
230 Octenic Gel 20 g Tube - 10 10 10
231 Parafen Kaplet Kaplet - - 1,000
232 Permetrin Krim 5% Tube - -
233 Propranolol tablet 10 mg Tablet - - - 300
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul - - 100
235 Vip Albumin Obat Herbal Tablet - 300 300 270 600
236 Vitamin C 1000mg/ Provit C Tablet 1,200 600 1,800 1,770 1000

1 Alat Suntik 1 ml Stera Buah - -
2 Alat suntik 1 ml TP Pcs 600 500 1,100 200 900 200
3 Alat Suntik 10 cc Stera Buah - -
4 Alat suntik 10 ml TP Pcs 100 100 100 - 200
7 Alat Suntik 5 cc Stera buah 100 100 200 - 200 500
8 Alkohol 1 Liter Onemed Botol 9 9 1 8
9 Alkohol 70% 300 ml Botol 5 5 - 5
10 Alkohol swab Aximed Pcs 5,600 5,600 1,600 4,000
11 Apron Plastik one Pcs 40 40 20 20 100
12 Aqua proinjeksi steril 20 ml Vial 88 88 43 45
13 Arm Sling Comfort L Buah - - 5
14 Arm Sling Comfort S Buah 12 12 - 12 5
15 Bactivec BTI DBD SL Botol - - -
17 Bioplacenton Tulle Pcs 10 10 10 - 50
18 Blood Lancet Serenity Pcs 3,600 3,600 200 3,400
19 Blood transfusion set ABADA Pcs 30 50 80 15 65 100
22 Catgut Chromic Surgical Sutures Pcs - 72 72 36 36 72
23 Catgut Plain Surgical Sutures box - 72 72 12 60 72
37 Female Cateter No 16 Aximed Pcs - - - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 70 70 30 40 20
40 Pcs - - -
41 Foley catheter no. 18 latex 2 way ABADA Pcs - - - 20
42 - - -
43 Hand Gel H1 100 ml+flip top Botol 7 7 1 6
45 Handrub 500 ml Medika Botol 45 45 2 43
46 Handrub e-care 500 ml Botol 2 2 - 2 10
47 Handscrub e-care 500 ml Botol - - - - 10
53 Infusion set microdrip Otsu Pcs 155 155 25 130
54 Infusion Set Y Adaptor Otsu Pcs 195 195 140 55
55 IV Catheter No. 18G Cath Pro Pcs 200 100 300 25 275 100

63 IV Catheter WP No. 26G Aximed Pcs 50 50 100 40 60 50
66 Kantong limbah biohazard uk. M Pack 10 10 - 10
67 Kantong limbah biohazard uk. S Pack - - - 10
68 Kapas 250 gram Rol 9 5 14 3 11 5
72 Kasa hidrofil 2 m x 80 cm Roll 17 17 - 17
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - - -
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll - - -
84 - - -
85 Kasa Steril 16 x 16 cm Roll 110 100 210 30 180 100
87 Rol 5 5 - 5
90 Latex Examination Gloves Uk. L Pcs - - - 2,000
91 Latex Examination Gloves Uk. M Pcs 5,000 2000 7,000 2,600 4,400 2,000
92 Latex Examination Gloves Uk. S Pcs - - - 2,000
93 Latex Examination Gloves Uk. XS Pcs - - -
94 Masker Ear Loop Pcs 1,400 4000 5,400 1,400 4,000 2,000
95 Masker N95 Particulate Respirator unit 195 195 - 195
98 Masker Nebulizer Dewasa Cosmo Pcs - - -
99 Masker Nebulizer Uk M Anak ABADA Pcs 32 32 - 32
101 Masker Oksigen Adult Serenity Pcs 7 7 1 6
104 Masker Oksigen Infant Serenity Pcs 20 20 - 20
105 Masker Oksigen Pediatric Serenity Pcs 33 33 - 33
124 Mucus Extractor buah 18 18 - 18
126 M-Y Jelly 82 Gram Tube Buah 33 33 - 33
129 Nasal Oxygen Canula Infant Serenity Pcs - - -
134 Nurse Cap Box 13 13 2 11
136 One Scrub 4 %, 500 cc + dispenser Botol 5 5 10 4 6 5
137 Oxyflow Anak Buah 50 50 2 48
139 Oxyflow Dewasa Buah 21 50 71 19 52 50
141 Paper tape 7,5 cm x 9,14 cm Aximed Rol 14 14 - 14
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 3 3 3 -
147 Plesterin Roll Non Woven roll 5cm x 5m Roll - - - -
148 Policrepe 10 cm x 4,55 m Rol 19 19 - 19
150 Povidon Iodine 60 ml medika Botol - -
151 Povidone Iodine 300 ml BOTOL 43 43 4 39
152 Pot Sputum Buah 140 140 - 140
153 RDT Antigen - Healgen Pcs 750 750 400 350
156 Reagen Anti A 1 x 10 ml KIT - - - 1
157 Reagen Anti AB 1 x 10 ml KIT - - - 1
158 Reagen Anti B 1 x 10 ml KIT - - - 1
159 Reagen Anti D 1 x 10 ml KIT - - - 1
172 Rivanol 300 cc Botol 31 31 - 31
173 Safety box Buah 8 8 - 8
174 Saniswiss biosanitizer H1 500 ml Botol 10 20 30 4 26
177 Silk Braided Surgical Sutures USP 3/0 box 12 12 - 12
182 Sterile Scalpel Blade#24F#4 Box 1 1 - 1
183 Stomach Tube 85 cm No 16.Aximed Pcs 6 5 11 1 10 10
184 Stomach Tube 85 cm No.12 Aximed Pcs 2 5 7 - 7 10
185 Stomach Tube 85 cm No.14 Aximed Pcs 7 7 - 7 10
186 Stomach Tube 85 cm No.18 Aximed Pcs 5 5 10 - 10 10
187 Strip Test Cholestrol Autocheck Box 14 14 5 9 10
188 Strip Test Detecto HbsAg Onemed Buah 100 100 50 50 200
190 Strip Test Glucosa On Call Plus Box 50' 5 5 4 1
191 Strip test Hb Hemoglobin Mission Pcs 300 300 100 200
192 Strip Test Health Mate Syphilis Ab Plus Box 120 120 60 60 120
194 Strip Test Ultra One (Test kehamilan) Buah - - - 100
195 Strip Test Uric Acid Autocheck Box 8 8 3 5
196 Strip test Uritest 11G Botol 12 12 - 12
197 Strip test Virotec dengue Combo Unit 50 50 - 50
200 Surfaces S 5000 ml Biosanitizer KEN 5 5 - 5
201 Surfaces S 750 ml Biosanitizer Botol - - -
202 Surgical Examination Gynecolog Onemed Set 50 50 - 50
203 Surgical Gloves No. 6.5 Serenity Pcs 98 98 - 98
208 Umbilical cord clame fesco Pcs - - - 100
210 Underpad (Softpad) 60 x 90 cm Pcs - - -
211 U-Pad Steril Buah 140 100 240 60 180 100
212 Urine bag + hanger Pcs - 100 100 100 - 100
217 Write On ID Bracelet Adult blue remedi Pcs 100 100 - 100
218 Write On ID Bracelet Adult pink remedi Pcs 100 100 - 100
219 Write On ID Bracelet Child hijau remedi Pcs 200 200 - 200
220 Write On ID Bracelet Child ungu remedi Pcs 100 100 - 100
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs - 300 300 300 -
Bahan Gigi
5 CHKM Botol - - -
10 Bedaquilline 100 mg Tablet 376 376 - 376
11 Clofazimin Tablet 200 200 - 200
12 DHP-Frimal - -
13 Etambutol 400 mg Tablet 448 448 - 448
14 Ethionamid 250 mg Tablet 200 200 - 200
15 Isoniazid 300 mg Tablet - - -
16 KDT Dosis Harian - -
17 Levofloxacin 250 mg Tablet 16 500 516 - 516
18 Moxyfloxacin 400 mg Tablet - -
19 OAT Kategori Anak 2 2 1 1
20 OAT Kategori Dewasa 4 10 14 10 4
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - 400 400 400 -
23 Pyrazinamide 400 mg Tablet 448 448 - 448
24 Rapid tes Malaria Test - - -
25 Sarung Tangan Obgyn - -
27 plester Winner 10x5 m 18 18 8 10
28 plester Winner 5x5 m 7 7 - 7
29 Tabung Merah - -
30 Stelosi 5 mg Tablet 500 500 1,000 - 1,000
33 Alat suntik 3 ml JMI Pcs 0 - -
34 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs 0 - -
35 Isoniazid 100 mg Tablet 4 300 304 - 304
36 Rifampicin 75 mg + Isoniazid 50 mg Tablet 84 84 - 84
37 Rifapentin 150 mg Tablet 90 90 - 90
38 Rifapentin 300 mg/Isoniazid 300 mg Tablet 90 90 - 90
39 Tuberkulin PPD RT 23 Vial 1 1 - 1
40 Surgical gloves No. 7,5 Trosensosurge Botol - -
41 Pehavral Tablet 2900 2,000 4,900 2,900 2000
42 Hiperhep Box 5 5 5 5

2500 700 3,200
Mengetahui, Yang meminta/Melapor

Kepala Puskesmas Karangan Pengelola Obat Puskesmas Karangan
Kabupaten Landak
Marta Rahyu,SKM apt. M. Agustine Dwi Steviana, S.Farm

NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : SEPTEMBER / 2022
OBAT
1 Acyclovir 400mg Tablet 450 450 200 250
2 Acyclovir Salep Tube 75 75 - 75
3 Albendazole 400 mg Tablet 500 500 - 500
4 Albendazole Suspensi Botol - - -
5 Allopurinol 100 mg Tablet 600 500 1,100 100 1,000 500
6 Allopurinol 300 mg Tablet 1,300 1,300 400 900 500
7 Alprazolam 0,5 mg Tablet 175 500 675 40 635 300
8 Alprazolam 1 mg Tablet 60 500 560 60 500 300 Obat masih di DINKES
10 Ambroxol Syrup Botol - - 100
11 Aminofilin injeksi 24 mg/ml Ampul - -
12 Amitriptillin 25 mg Tablet - -
14 Amlodipin Tab 5 mg Tablet 4,000 4,000 850 3,150 1,000
15 Amoxicillin 100 mg/ml Drops Botol 48 100 148 16 132 100
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 300 300 13 287 100
18 Ampicillin injeksi Ampul 30 30 60 40 20 60
20 Antasida DOEN Syrup Botol 140 140 140 - 400
21 Antifungi DOEN Kombinasi Tube 105 105 9 96
22 Antihemoroid DOEN Kombinasi Supp 20 20 - 20
23 Apricot Syrup Botol 96 96 48 48 96
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet 12,600 3000 15,600 5,800 9,800
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - -
26 Asam Mefenamat 500 mg Tablet - - - - 4,000
27 Asam Tranexamat inj 100 mg/ml Ampul 40 40 20 20 20
28 Asam Tranexamat inj 50 mg/ml Ampul 10 10 10 -
29 Asering Infuse 500 ml Kolf - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 30 30 - 30
31 Betahistine Besilat 6 mg Tablet 1,300 1,300 900 400
32 Betametason cream 0,1 % Tube - -
33 BIOSAT 1.500 (anti tetanus) Vial - -
34 BIOSAVE (anti bisa ular) VIAL - -
35 Bisoprolol 5 mg Tablet 510 510 510 - 500
36 Bufacetin salep kulit 1% Tube 96 96 - 96
37 Calcii Glukonas Inj Ampul 18 18 - 18
38 Captopril 12,5 mg Tablet 2,100 2,100 - 2,100 500
39 Captopril 25 mg Tablet 2,700 2,700 500 2,200 500
40 Cefadroxil 250 mg Tablet - -
41 Cefadroxil 500 mg Tablet 1,700 1000 2,700 700 2,000 2,000
42 Cefadroxil Dry Syrup 125 mg Botol 112 72 184 - 184 50
43 Cefotaxime Injeksi 1 gr Vial - - 100
44 Ceftriaxon Inj 1000 mg Vial 10 100 110 10 100 100
45 Cetirizin 10 mg tab Tablet 4,700 2000 6,700 1,200 5,500
46 Cetirizin Syrup Botol 150 100 250 40 210 100
49 Chloramfenicol tetes telinga Botol - - 20
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet 2,000 6000 8,000 2,800 5,200 10,000
51 Chlorpromazine 100 mg Tablet 430 430 30 400 500
52 Chlorpromazine 25mg Tablet 1,100 1,100 60 1,040
53 Ciprofloxacin 500 mg Tablet 2000 2,000 500 1,500 2,000
54 Clindamicin 150 mg Capsul 300 300 - 300 500
55 Clozapin 100 mg Tablet 1,618 1,618 308 1,310
56 Clozapin 25 mg Tablet 1,567 1,567 832 735
57 Codein hcl Tablet 10 mg Tablet - -
58 Combivent Nebules Vial - - 50
59 Cotrimoxazole 480mg Tablet 600 600 600 - 1,000
60 Cotrimoxazole 960 mg Tablet - - - 1,000
61 Cotrimoxazole sirup Botol 113 113 51 62 50
62 Desoximetasone Krim 0.25% Tube 36 36 - 36
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 145 100 245 10 235 100
66 Diabetadex Fitofarmaka Tablet 384 384 174 210
67 Diazepam injeksi 5 mg / 2 ml Ampul 46 46 19 27 50
68 Diazepam Tablet 5 mg Tablet - - 500
69 Digoxin tablet 0,25 mg Tablet - -
70 Diltiazem HCL Tablet 30 mg Tablet 300 300 - 300 500
71 Dimenhidrinat 50 mg Tablet 400 400 200 200
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul - 30 30 - 30 20
73 Domperidon Tablet Tablet 3,300 3,300 300 3,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 69 30 99 - 99 30
75 Ergotamin Coffein Tablet - - 300
76 Febrinex Ped Suspensi 60 ml Botol 44 44 44 - 200
77 Fenol Gliserol Tetes Telinga 10% Botol 11 11 - 11
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 90 90 60 30 100
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 700 700 100 600
80 Flutamol Syr Botol - - 200
81 Flutamol Tab Tablet 3,500 3,500 2,000 1,500 5,000
82 Furosemid 10 Mg/ml Injeksi Ampul - - 50
83 Furosemid Tablet 40 mg Tablet 200 200 - 200
84 Garam Oralit 200 mg Bungkus 710 710 - 710
85 Gentamicin Salep Mata 0,3% Tube - - - 48
87 Glibenklamid Tablet 5 mg Tablet 2,800 2,800 - 2,800
90 Griseolfulvin Tablet 125 mg Micronized Tablet 1,000 1,000 - 1,000
91 Haloperidol 0,5 mg Tablet 842 842 300 542
92 Haloperidol 1,5 mg Tablet - - - 2,000
93 Haloperidol 5 mg Tablet 540 300 840 210 630 300
94 Herbakof Syrup Botol - - -
95 Herbakof Tablet Tablet 1,350 1,350 630 720
98 Herbavomitz Tablet Tablet 630 630 - 630
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 500 500 - 500
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet - 2000 2,000 400 1,600 2,000
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - - 50
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 60 60 - 60
105 Imunomodulator anak Syr 25 mg Botol 48 48 15 33
106 Imunomodulator Forte 50 mg Tablet 600 600 90 510
108 KA EN 3A Kolf 13 13 - 13
109 KA EN 3B Kolf 35 35 - 35
111 Karbamazepin 200 mg Tablet 647 647 67 580
113 Ketoconazole Zalp Tube - - 100
114 Ketorolac Inj 30mg/ml Ampul - -
116 Lansoprazole Tablet 30mg Tablet - - - 2,000
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul - - - 100
119 Loperamide 2 mg Tablet 4,900 4,900 100 4,800
120 Loratadine tab Tablet 1,700 500 2,200 - 2,200 1,000
122 Magnesium sulfat 40% (MgSO4) Ampul 10 10 6 4 10
123 Maltiron Syr 60 ml Botol - - 100
124 Mersibion Inj Ampul 100 100 50 50 50
126 Metilergometrin Inj 0,2 mg/ml Ampul - -
127 Metilergometrin maleat Tab 0,125 mg Tablet - -
128 Metilprednisolon 16 mg Tablet 3,200 3,200 - 3,200 1,000
129 Metilprednisolon 4 mg Tablet 2,300 1000 3,300 900 2,400 1,000
130 Metilprednisolon 8 mg Tablet 1,000 1,000 - 1,000
131 Metoklorpamide Tablet 10 mg Tablet - -
133 Metronidazol Tab 500mg Tablet 1,000 1000 2,000 200 1,800 5,000
135 Metronidazole Suspensi 125mg/5ml Botol 78 78 12 66
136 Metyldopa (Dopamet) 250 mg Tablet 200 200 - 200 500
137 Miconazole krim 2 % Tube 140 140 44 96 200
138 Mineral Mix Bungkus 800 800 800 -
139 Multivitamin Becefort Tablet - - -
140 Multivitamin Becefort Syr 60 ml Botol 51 51 51 - 200
141 Multivitamin Natabion Dws Capsul - - - 2,000
142 Multivitamin Oxyvit Tablet - - - 1,800
143 Natrium Diklofenak tab 25 mg Tablet 250 3000 3,250 - 3,250 1,000
144 Natrium Diklofenak tab 50 mg Tablet 7,900 7,900 4,550 3,350 1,000
145 Natrium Klorida 0,9% OTSU Botol 135 135 55 80 40
147 Nistatin 100.000 IU tab vaginal Tablet - - 100
148 Nistatin 500.000 IU Tablet 200 200 400 - 400 500
149 Nistatin suspensi 100.000 IU/mL Botol 110 110 - 110
150 Noza Kaplet Kaplet 1,000 500 1,500 1,000 500 2,000
151 OBH Kaca Berlico 100ml Botol - - 100
152 Ofloxacin 200 mg Tablet - - 2,000
153 Oksimetazolin tetes hidung 0,05% Botol - - -
154 Oksitetrasiklin HCl 1 % zalp mata Tube - - -
155 Oksitosin Inj 10 IU/ml Ampul 200 200 400 100 300
156 Omeprazole caps (Lokev) Capsul 100 100 100 - 1,000
157 Ondansentron Injeksi Ampul 300 300 - 300
158 Ondansentron Tab 4 mg Tablet - 480 480 - 480 500
159 Parasetamol Drops Botol - - - 100
160 Parasetamol Infus btl - - - 100
161 Parasetamol sirup 120mg/5ml Botol 423 423 116 307 200
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - - -
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet 1,800 1000 2,800 1,000 1,800 1,000
165 Prednison tab 5 mg Tablet - 1000 1,000 200 800 5,000
166 Procurma Syr Botol - - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 - 200
168 Pularex Tablet Tablet 1,000 1,000 - 1,000
169 Pyrantel Pamoat 125 mg Tablet - - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - - -
172 Ranitidin Injeksi Ampul - - -
173 Retinol 100.000 IU BIRU Caps - - -
174 Retinol 200.000 IU MERAH Caps 200 500 700 100 600 200
175 Ringer Laktat Infus Botol 700 300 1,000 440 560 100
176 Risperidon 1 mg Tablet - -
177 Risperidon 2 mg Tablet 1,695 1000 2,695 740 1,955 1,000
180 Salbutamol Cairan inhalasi Ampul 10 10 - 10 50
181 Salbutamol Syrup Botol 139 60 199 72 127 50
182 Salep 2- 4 kombinasi Tube - -
186 Soft U Derm 10% Crema 20gr Tube - - -
187 Spironolactone 25 mg Tablet - - -
188 Stesolid rectal 10 mg / 2,5 ml Tube - - - 20 10 10
189 Stesolid rectal 5 mg / 2,5 ml Tube 18 10 28 14 14 10
190 Sukralfat Suspensi 500mg/ 5ml Botol 100 200 300 120 180 200
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - -
193 Tetagam Inj Vial - - -
194 Tetrasiklin 500 mg Tablet - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - - 2,000
196 Tramadol Inj Ampul - - -
197 Trifluoperazin 5 mg Tablet 85 85 30 55 500
198 Trihexylphenidil 2 mg Tablet 794 1000 1,794 810 984 2,000
199 Vitamin B komplek Tablet 10000 10,000 - 10,000
200 Vitamin D3 1000IU Tablet 540 540 180 360
201 Voltadex Gel 1% 20 gr Tube 5 5 - 5 10
202 Zinc 20 Mg Tablet Tablet 3,300 3,300 3,000 300 1,000
203 Zinc Syr Botol - -
204 Zincpro Drop 15 ml Botol - -
205 Acetyl cysteine tablet 200 mg Tablet 600 600 600
206 Cefotaxime sodium serb inj 500 mg Injeksi - 100
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - 100
208 Chloramphenicol salep mata 1 % Tube -
209 Curcuma Plus 60 mL Botol 43 43 43 0 100
210 Diazepam enema 10 mg/2,5 mL Tube 10 10 0 10
212 Domperidone drops 5 mg/mL Botol - - 50
213 Domperidone sirup/suspensi 5 mg/5 ml Botol 85 100 185 55 130 100
214 Farbivent cairan inhalasi Ampul 100 50 150 50 100 100
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - 24
216 Glimepiride tablet 2 mg Tablet - -
217 Hidrokortison krim 1% Tube - -
218 Hyaloph Natrium hialuronat tetes mata Botol - - 10
219 Hyoscine Butylbromide Tab Tablet - - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - 10
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet - 500 500 100 400 1,000
222 Multivitamin Ferbion Kapsul - - 2,000
223 Novadryl Tablet Tablet - - 1,000
224 Nuvopec Syrup Botol - - 100
227 Obat Flu Anak (HUFA) Botol 60 60 - 60
228 Obat Flu Kombinasi (Noza) Tablet - - 2,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol -
230 Octenic Gel 20 g Tube 10 10 10 - 10
231 Parafen Kaplet Kaplet - - - 1,000
232 Permetrin Krim 5% Tube - - -
233 Propranolol tablet 10 mg Tablet - - - - 300
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul - - - - 100
235 Vip Albumin Obat Herbal Tablet 270 270 130 140 600
236 Vitamin C 1000mg/ Provit C Tablet 1,770 1,770 330 1,440 1000

1 Alat Suntik 1 ml Stera Buah - -
2 Alat suntik 1 ml TP Pcs 900 200 1,100 - 1,100 200
4 Alat suntik 10 ml TP Pcs - - - - 200
7 Alat Suntik 5 cc Stera buah 200 100 300 120 180 500
8 Alkohol 1 Liter Onemed Botol 8 8 2 6
9 Alkohol 70% 300 ml Botol 5 5 2 3
10 Alkohol swab Aximed Pcs 4,000 4,000 2,300 1,700 5,000
11 Apron Plastik one Pcs 20 100 120 20 100 100
12 Aqua proinjeksi steril 20 ml Vial 45 45 25 20
13 Arm Sling Comfort L Buah - - - 5
14 Arm Sling Comfort S Buah 12 12 1 11 5
15 Bactivec BTI DBD SL Botol - - -
17 Bioplacenton Tulle Pcs - - - - 50
22 Catgut Chromic Surgical Sutures Pcs 36 72 108 108 - 72
23 Catgut Plain Surgical Sutures box 60 72 132 132 - 72
39 Foley catheter no. 16 latex 2 way ABADA Pcs 40 20 60 50 10 20
40 Pcs - - -
41 Foley catheter no. 18 latex 2 way ABADA Pcs 40 40 - 40 20
42 - - -
43 Hand Gel H1 100 ml+flip top Botol 6 6 1 5
45 Handrub 500 ml Medika Botol 43 43 43 -
46 Handrub e-care 500 ml Botol 2 10 12 - 12 10
53 Infusion set microdrip Otsu Pcs 130 130 20 110
54 Infusion Set Y Adaptor Otsu Pcs 55 55 - 55

63 IV Catheter WP No. 26G Aximed Pcs 60 50 110 20 90 50
67 Kantong limbah biohazard uk. S Pack - - - 10
68 Kapas 250 gram Rol 11 5 16 1 15 5
72 Kasa hidrofil 2 m x 80 cm Roll 17 17 - 17
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak 100 100 - 100
84 - - -
85 Kasa Steril 16 x 16 cm Roll 180 180 40 140 100
87 Rol 5 5 - 5
90 Latex Examination Gloves Uk. L Pcs - - - - 2,000
92 Latex Examination Gloves Uk. S Pcs - - - - 2,000
93 Latex Examination Gloves Uk. XS Pcs - - - -
94 Masker Ear Loop Pcs 4,000 2000 6,000 6,000 - 2,000
98 Masker Nebulizer Dewasa Cosmo Pcs - - -
101 Masker Oksigen Adult Serenity Pcs 6 6 - 6
126 M-Y Jelly 82 Gram Tube Buah 33 33 10 23
134 Nurse Cap Box 11 11 3 8
136 One Scrub 4 %, 500 cc + dispenser Botol 6 6 6 - 5
137 Oxyflow Anak Buah 48 48 8 40
139 Oxyflow Dewasa Buah 52 25 77 17 60 50
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 3 3 - 3
147 Plesterin Roll Non Woven roll 5cm x 5m Roll - - -
148 Policrepe 10 cm x 4,55 m Rol 19 19 16 3
149 Policrepe 15 cm x 4,55 m Rol 36 36 33 3
150 Povidon Iodine 60 ml medika Botol - -
152 Pot Sputum Buah 140 400 540 300 240
153 RDT Antigen - Healgen Pcs 350 350 150 200
156 Reagen Anti A 1 x 10 ml KIT - - - 1
157 Reagen Anti AB 1 x 10 ml KIT - - - 1
158 Reagen Anti B 1 x 10 ml KIT - - - 1
159 Reagen Anti D 1 x 10 ml KIT - - - 1
172 Rivanol 300 cc Botol 31 31 3 28
174 Saniswiss biosanitizer H1 500 ml Botol 26 26 26 -
183 Stomach Tube 85 cm No 16.Aximed Pcs 10 10 - 10 10
187 Strip Test Cholestrol Autocheck Box 9 9 9 - 10
188 Strip Test Detecto HbsAg Onemed Buah 50 75 125 125 - 200
190 Strip Test Glucosa On Call Plus Box 50' 1 1 1 -
191 Strip test Hb Hemoglobin Mission Pcs 200 200 100 100
192 Strip Test Health Mate Syphilis Ab Plus Box 60 100 160 110 50 100
194 Strip Test Ultra One (Test kehamilan) Buah - - - 100
195 Strip Test Uric Acid Autocheck Box 5 5 5 -
197 Strip test Virotec dengue Combo Unit 50 50 25 25
200 Surfaces S 5000 ml Biosanitizer KEN 5 5 5 -
203 Surgical Gloves No. 6.5 Serenity Pcs 98 98 - 98
208 Umbilical cord clame fesco Pcs - - - 100
210 Underpad (Softpad) 60 x 90 cm Pcs - 100 100 100 -
211 U-Pad Steril Buah 180 180 140 40 100
212 Urine bag + hanger Pcs - 100 100 10 90 100
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs - 150 150 100 50
Bahan Gigi
5 CHKM Botol - - -
12 DHP-Frimal - - -
15 Isoniazid 300 mg Tablet - - - -
16 KDT Dosis Harian - - -
17 Levofloxacin 250 mg Tablet 516 516 - 516
18 Moxyfloxacin 400 mg Tablet - - -
19 OAT Kategori Anak 1 3 4 1 3
20 OAT Kategori Dewasa 4 16 20 8 12
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet -
24 Rapid tes Malaria Test - 50 50 50
25 Sarung Tangan Obgyn - -
26 plester Winner 10x5 m 10 10 10
27 plester Winner 5x5 m 7 7 7
28 Tabung Merah - -
29 Stelosi 5 mg Tablet 1,000 500 1,500 180 1,320
30 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs 0 - -
31 Isoniazid 100 mg Tablet 304 304 - 304
36 Surgical gloves No. 7,5 Trosensosurge Botol - -
37 Pehavral Tablet 2000 2,000 - 2000
38 Hiperhep Box 5 5 - 5
39 HIV R2 Pcs 50 50 - 50
40 HIV R3 Pcs 50 50 - 50
41 VAR Vial 30 30 30 0

2500 700 3,200

Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : OKTOBER / 2022
OBAT
1 Acyclovir 400mg Tablet 250 250 - 250 600
2 Acyclovir Salep Tube 75 75 25 50
5 Allopurinol 100 mg Tablet 1,000 1,000 700 300 4,000
6 Allopurinol 300 mg Tablet 900 1000 1,900 900 1,000 4,000
7 Alprazolam 0,5 mg Tablet 635 635 162 473 600
8 Alprazolam 1 mg Tablet 500 300 800 - 800
10 Ambroxol Syrup Botol - - - -
11 Aminofilin injeksi 24 mg/ml Ampul - - - -
12 Amitriptillin 25 mg Tablet - - - -
15 Amoxicillin 100 mg/ml Drops Botol 132 132 24 108
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 287 287 87 200 200
19 Antasida DOEN Kombinasi Tablet 12,600 12,600 8,800 3,800 10,000
20 Antasida DOEN Syrup Botol - - - -
21 Antifungi DOEN Kombinasi Tube 96 96 10 86
22 Antihemoroid DOEN Kombinasi Supp 20 20 20 - 10
23 Apricot Syrup Botol 48 48 13 35
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - - -
26 Asam Mefenamat 500 mg Tablet - - - - 10,000
27 Asam Tranexamat inj 100 mg/ml Ampul 20 20 40 - 40 40
28 Asam Tranexamat inj 50 mg/ml Ampul - 30 30 - 30 40
29 Asering Infuse 500 ml Kolf - - - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 30 30 - 30
31 Betahistine Besilat 6 mg Tablet 400 1000 1,400 200 1,200 2,000
32 Betametason cream 0,1 % Tube - 100 100 - 100
33 BIOSAT 1.500 (anti tetanus) Vial - - - - 30
34 BIOSAVE (anti bisa ular) VIAL - - - - 30
35 Bisoprolol 5 mg Tablet - 300 300 - 300 300
36 Bufacetin salep kulit 1% Tube 96 96 24 72
37 Calcii Glukonas Inj Ampul 18 18 - 18 50
38 Captopril 12,5 mg Tablet 2,100 2,100 400 1,700 1,200
39 Captopril 25 mg Tablet 2,200 2,200 700 1,500 1,200
40 Cefadroxil 250 mg Tablet - - - -
41 Cefadroxil 500 mg Tablet 2,000 2000 4,000 1,400 2,600 4,000
42 Cefadroxil Dry Syrup 125 mg Botol 184 184 36 148 100
43 Cefotaxime Injeksi 1 gr Vial - - - - 100
45 Cetirizin 10 mg tab Tablet 5,500 2000 7,500 5,200 2,300 10,000
46 Cetirizin Syrup Botol 210 210 75 135
47 Chloramfenicol 250 mg Capsul - - - -
49 Chloramfenicol tetes telinga Botol - - - - 20
51 Chlorpromazine 100 mg Tablet 400 400 - 400 500
52 Chlorpromazine 25mg Tablet 1,040 1,040 150 890
53 Ciprofloxacin 500 mg Tablet 1,500 2000 3,500 1,000 2,500 3,000
54 Clindamicin 150 mg Capsul 300 300 300 - 1,000
55 Clozapin 100 mg Tablet 1,310 1,310 183 1,127 1,000
56 Clozapin 25 mg Tablet 735 1000 1,735 41 1,694 1,000
57 Codein hcl Tablet 10 mg Tablet - - - -
58 Combivent Nebules Vial - - - - 100
59 Cotrimoxazole 480mg Tablet - - - - 1,000
61 Cotrimoxazole sirup Botol 62 62 29 33
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 235 235 - 235
66 Diabetadex Fitofarmaka Tablet 210 210 - 210
68 Diazepam Tablet 5 mg Tablet - - - - 500
69 Digoxin tablet 0,25 mg Tablet - - - -
70 Diltiazem HCL Tablet 30 mg Tablet 300 500 800 - 800
71 Dimenhidrinat 50 mg Tablet 200 200 100 100 500
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 30 30 60 - 60
73 Domperidon Tablet Tablet 3,000 3,000 300 2,700
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 99 99 - 99
75 Ergotamin Coffein Tablet - - - - 300
76 Febrinex Ped Suspensi 60 ml Botol - - - -
77 Fenol Gliserol Tetes Telinga 10% Botol 11 11 1 10
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 30 30 - 30 200
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 600 600 100 500 500
80 Flutamol Syr Botol - - - -
81 Flutamol Tab Tablet 1,500 2000 3,500 1,500 2,000 10,000
82 Furosemid 10 Mg/ml Injeksi Ampul - 50 50 - 50 50
83 Furosemid Tablet 40 mg Tablet 200 200 200 - 600
84 Garam Oralit 200 mg Bungkus 710 710 110 600
85 Gentamicin Salep Mata 0,3% Tube - - - - 96
87 Glibenklamid Tablet 5 mg Tablet 2,800 2,800 800 2,000
88 Glukosa 10% Infus Kolf - - - -
90 Griseolfulvin Tablet 125 mg Micronized Tablet 1,000 1,000 100 900
91 Haloperidol 0,5 mg Tablet 542 500 1,042 125 917
92 Haloperidol 1,5 mg Tablet - - - - 2,000
93 Haloperidol 5 mg Tablet 630 500 1,130 120 1,010
94 Herbakof Syrup Botol - - - -
95 Herbakof Tablet Tablet 720 720 720 - 1,800
97 Herbavomitz obat herbal Botol - - - -
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 500 500 - 500
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 1,600 2000 3,600 1,100 2,500 4,000
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - - -
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 60 60 120 62 58
105 Imunomodulator anak Syr 25 mg Botol 33 33 28 5
106 Imunomodulator Forte 50 mg Tablet 510 600 1,110 60 1,050
108 KA EN 3A Kolf 13 13 - 13 40
109 KA EN 3B Kolf 35 35 - 35 20
111 Karbamazepin 200 mg Tablet 580 580 130 450 700
113 Ketoconazole Zalp Tube - - - - 100
114 Ketorolac Inj 30mg/ml Ampul - - - - 100
116 Lansoprazole Tablet 30mg Tablet - - - - 5,000
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul - 90 90 - 90
119 Loperamide 2 mg Tablet 4,800 4,800 400 4,400
120 Loratadine tab Tablet 2,200 2,200 700 1,500 1,000
121 Magnesium sulfat 20% (MgSO4) Ampul - - - -
122 Magnesium sulfat 40% (MgSO4) Ampul 4 10 14 - 14 10
123 Maltiron Syr 60 ml Botol - - - -
124 Mersibion Inj Ampul 50 50 30 20 200
126 Metilergometrin Inj 0,2 mg/ml Ampul - - - -
127 Metilergometrin maleat Tab 0,125 mg Tablet - - - -
128 Metilprednisolon 16 mg Tablet 3,200 3,200 - 3,200
129 Metilprednisolon 4 mg Tablet 2,400 2,400 1,800 600 3,000
130 Metilprednisolon 8 mg Tablet 1,000 1,000 600 400 1,000
131 Metoklorpamide Tablet 10 mg Tablet - - - - 500
133 Metronidazol Tab 500mg Tablet 1,800 1,800 - 1,800 1,000
136 Metyldopa (Dopamet) 250 mg Tablet 200 200 - 200
138 Mineral Mix Bungkus - - - -
139 Multivitamin Becefort Tablet - - - - 2,000
140 Multivitamin Becefort Syr 60 ml Botol - - - -
141 Multivitamin Natabion Dws Capsul - - - - 2,000
142 Multivitamin Oxyvit Tablet - - - - 1,800
143 Natrium Diklofenak tab 25 mg Tablet 3,250 2800 3,250 650 2,600 2,800
144 Natrium Diklofenak tab 50 mg Tablet 3,350 2800 6,150 3,450 2,700 5,600
145 Natrium Klorida 0,9% OTSU Botol 80 40 120 20 100 100
147 Nistatin 100.000 IU tab vaginal Tablet - - - - 100
148 Nistatin 500.000 IU Tablet 400 400 - 400 200
149 Nistatin suspensi 100.000 IU/mL Botol 110 110 - 110
150 Noza Kaplet Kaplet 500 500 1,000 800 200 2,500
151 OBH Kaca Berlico 100ml Botol - - - -
152 Ofloxacin 200 mg Tablet - - - - 2,000
153 Oksimetazolin tetes hidung 0,05% Botol - - - - 20
154 Oksitetrasiklin HCl 1 % zalp mata Tube - - - -
155 Oksitosin Inj 10 IU/ml Ampul 300 300 10 290
156 Omeprazole caps (Lokev) Capsul - - - - 2,000
157 Ondansentron Injeksi Ampul 300 300 25 275
158 Ondansentron Tab 4 mg Tablet 480 480 60 420
159 Parasetamol Drops Botol - - - -
160 Parasetamol Infus btl - - - 50
161 Parasetamol sirup 120mg/5ml Botol 307 200 507 56 451
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - - - -
165 Prednison tab 5 mg Tablet 800 2000 2,800 1,600 1,200 10,000
166 Procurma Syr Botol - - - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 200 200 100 100 300
168 Pularex Tablet Tablet 1,000 1,000 100 900
169 Pyrantel Pamoat 125 mg Tablet - - - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - - - -
172 Ranitidin Injeksi Ampul - - - -
173 Retinol 100.000 IU BIRU Caps - - - -
174 Retinol 200.000 IU MERAH Caps 600 200 800 100 700 300
176 Risperidon 1 mg Tablet - - - -
177 Risperidon 2 mg Tablet 1,955 1000 2,955 930 2,025 1,500
178 Salbutamol 2 mg Tablet 1,300 1000 2,300 800 1,500 2,000
179 Salbutamol 4 mg Tablet 1,500 1,500 400 1,100 1,500
180 Salbutamol Cairan inhalasi Ampul 10 10 3 7 200
181 Salbutamol Syrup Botol 127 60 187 22 165
182 Salep 2- 4 kombinasi Tube - - - - 50
184 Simvastatin Tablet 10 mg Tablet 3,000 3,000 600 2,400 2,000
185 Simvastatin Tablet 20 mg Tablet 3,100 3,100 900 2,200 2,000
186 Soft U Derm 10% Crema 20gr Tube - - - -
187 Spironolactone 25 mg Tablet - - - -
188 Stesolid rectal 10 mg / 2,5 ml Tube - - - -
190 Sukralfat Suspensi 500mg/ 5ml Botol 180 100 280 10 270
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - - -
192 Tablet Tambah Darah FE Tablet 17,500 17,500 2,900 14,600
193 Tetagam Inj Vial - - - - 10
194 Tetrasiklin 500 mg Tablet - - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - - - 2,000
196 Tramadol Inj Ampul - - - -
197 Trifluoperazin 5 mg Tablet 55 55 55 - 1,000
198 Trihexylphenidil 2 mg Tablet 984 1000 1,984 690 1,294 2,000
199 Vitamin B komplek Tablet 10,000 5000 15,000 7,500 7,500 15,000
200 Vitamin D3 1000IU Tablet 360 300 660 150 510
201 Voltadex Gel 1% 20 gr Tube 5 5 3 2 10
202 Zinc 20 Mg Tablet Tablet 300 1000 1,300 800 500 3,000
203 Zinc Syr Botol - - - -
204 Zincpro Drop 15 ml Botol - - - -
205 Acetyl cysteine tablet 200 mg Tablet 600 600 120 480
206 Cefotaxime sodium serb inj 500 mg Injeksi - - - - 100
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - - - 100
208 Chloramphenicol salep mata 1 % Tube - - - -
209 Curcuma Plus 60 mL Botol - - - -
210 Diazepam enema 10 mg/2,5 mL Tube 10 10 - 10
211 Diazepam enema 5 mg/2,5 mL Tube - 10 10 - 10
212 Domperidone drops 5 mg/mL Botol - - - -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol 130 130 70 60
214 Farbivent cairan inhalasi Ampul 100 100 200 60 140 200
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - - - 24
216 Glimepiride tablet 2 mg Tablet - - - - 500
217 Hidrokortison krim 1% Tube - - - -
218 Hyaloph Natrium hialuronat tetes mata Botol - - - - 10
219 Hyoscine Butylbromide Tab Tablet - 1000 1,000 - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - - - 10
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet 400 400 100 300 200
222 Multivitamin Ferbion Kapsul - - - - 2,000
223 Novadryl Tablet Tablet - - - - 1,000
224 Nuvopec Syrup Botol - - - -
227 Obat Flu Anak (HUFA) Botol 60 60 120 26 94
228 Obat Flu Kombinasi (Noza) Tablet - - - - 2,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - -
230 Octenic Gel 20 g Tube - 10 10 - 10 10
231 Parafen Kaplet Kaplet - - - - 1,000
232 Permetrin Krim 5% Tube - 10 10 - 10
233 Propranolol tablet 10 mg Tablet - 300 300 100 200 400
235 Vip Albumin Obat Herbal Tablet 140 300 440 35 405 600
236 Vitamin C 1000mg/ Provit C Tablet 1,440 300 1,740 240 1,500 1000

1 Alat Suntik 1 ml Stera Buah - - - -
2 Alat suntik 1 ml TP Pcs 1,100 200 1,300 300 1,000
3 Alat Suntik 10 cc Stera Buah - - - -
4 Alat suntik 10 ml TP Pcs - - - - 400
6 Alat suntik 3 ml TP Pcs 500 500 1,000 700 300 2,000
7 Alat Suntik 5 cc Stera buah 180 100 280 - 280 500
8 Alkohol 1 Liter Onemed Botol 6 6 1 5 10
9 Alkohol 70% 300 ml Botol 3 3 2 1
10 Alkohol swab Aximed Pcs 1,700 4800 6,500 2,100 4,400 3,000
11 Apron Plastik one Pcs 100 100 92 8 200
12 Aqua proinjeksi steril 20 ml Vial 20 80 100 32 68 150
13 Arm Sling Comfort L Buah - 5 5 - 5
14 Arm Sling Comfort S Buah 11 5 16 4 12
15 Bactivec BTI DBD SL Botol - - - -
16 Baju APD Coverall Pcs - - - -
20 Blue Tips Bks - - - -
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs - - - -
22 Catgut Chromic Surgical Sutures Pcs - 36 36 28 8 72
23 Catgut Plain Surgical Sutures box - 36 36 24 12 72
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - - - -
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - - - -
26 Cervical collar Buah - - - -
27 Derm transport dressing remedi Pcs - - - -
28 Dermafix S 4,4 x 4,4 cm Buah - - - -
29 Dermafix S 6 x 7 cm buah - - - -
30 Dermafix T 15cm x 20 cm Roll - - - -
31 Dermafix T 5x7 Buah - - - -
32 Dressing IV canulla non woven remedi Pcs - - - -
33 Endotracheal Tube (ETT) uk. 6,0 fesco Pcs - - - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 10 40 50 10 40 20
40 Pcs - - - -
41 Foley catheter no. 18 latex 2 way ABADA Pcs 40 40 - 40 20
42 - - - -
43 Hand Gel H1 100 ml+flip top Botol 5 5 - 5
44 Handrub 5 L Medika Ken - - - - 5
45 Handrub 500 ml Medika Botol 43 43 19 24 30
46 Handrub e-care 500 ml Botol 12 12 - 12 10
48 Hazmat suit Winner Pcs - - - -
49 Indodent Saliva ejector Buah - - - -
50 Infusion set anak set - - - -
51 Infusion set dewasa ST01 set - - - -
52 Infusion set microdrip ABADA Pcs - - - -
53 Infusion set microdrip Otsu Pcs 110 110 30 80 100
54 Infusion Set Y Adaptor Otsu Pcs 55 55 50 5
55 IV Catheter No. 18G Cath Pro Pcs 305 100 405 5 400
56 IV Catheter No. 20G Cath Pro Pcs 200 200 - 200
57 IV Catheter No. 20G Otsu Pcs - - - -
60 IV Catheter With Teflon Catheter 1 way 18 G Set - - - -
61 IV Catheter With Teflon Catheter 1 way 24 G set - - - -
63 IV Catheter WP No. 26G Aximed Pcs 90 50 140 - 140
64 Kantong Jenazah Pcs - - - -
65 Kantong limbah biohazard uk. L Pack 1 1 - 1
66 Kantong limbah biohazard uk. M Pack 10 10 1 9
67 Kantong limbah biohazard uk. S Pack - 5 5 - 5
68 Kapas 250 gram Rol 15 15 - 15
69 Kapas 500 gram Bks - - - -
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs - - - -
71 Kasa hidrofil 2 m x 10 cm ABADA Rol - - - -
72 Kasa hidrofil 2 m x 80 cm Roll 17 10 27 17 10 20
73 Kasa hidrofil 20y x 80 cm ABADA Rol - - - -
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - - - -
75 Kasa hidrofil 4 m x 10 cm Roll - - - -
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol - - - -
81 Kasa hidrofil 40 cm x 80 cm Rol - - - -
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak 100 100 100 - 100
84 - - - -
85 Kasa Steril 16 x 16 cm Roll 140 100 240 - 240 100
86 Kasa Steril 18 cm x 22 cm Roll - - - -
87 Rol 5 5 1 4
88 Kertas EKG 112 mm Rol - - - -
89 Kertas EKG Z-fold : 215×280mm Rol - - - -
94 Masker Ear Loop Pcs - 2000 2,000 2,000 - 4,000
96 Masker Nebulizer Anak Unit - - - -
97 Masker Nebulizer Dewasa Unit - - - -
98 Masker Nebulizer Dewasa Cosmo Pcs - - - -
100 Masker Nebulizer Uk. L Dewasa ABADA Pcs - - - -
102 Masker Oksigen Anak Semillas Pcs - - - -
103 Masker Oksigen Dwsa Semillas Pcs - - - -
105 Masker Oksigen Pediatric Serenity Pcs 33 33 10 23
106 Maxiflow Anak Unit - - - -
107 Maxiflow Bayi unit - - - -
108 Maxiflow Dewasa unit - - - -
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs - - - -
110 Micropipet Adjust Vol. 0,5-10 UL Pcs - - - -
111 Micropipet Adjust Vol. 100-1.000 UL Pcs - - - -
112 Micropipet Adjust Vol. 10-100 UL Pcs - - - -
117 Micropipet Fixed Vol. 10 UL Pcs - - - -
125 Mucus Extractor Serenity Pcs - - - -
126 M-Y Jelly 82 Gram Tube Buah 23 23 3 20
127 Nasal Oksigen Canula Anak Pcs - - - -
128 Nasal Oxygen Canula Adult Serenity Pcs - - - -
130 Nasal Oxygen Canula Pediatric Serenity Pcs - - - -
131 Needle CNV 21 x 1,5 ml (BD vacutainer) Pcs - - - -
132 Needle CNV 22 x 1,5 ml MLTSMPCE Pcs - - - -
133 Non Woven IV Dressing 6 x 8 cm Pcs - - - -
134 Nurse Cap Box 8 8 4 4 5
135 One Scrub 2% Antiseptic surgical scrub dispense Botol - - - -
136 One Scrub 4 %, 500 cc + dispenser Botol - 5 5 5 - 5
137 Oxyflow Anak Buah 40 40 - 40
138 Oxyflow bayi Buah 10 10 - 10
139 Oxyflow Dewasa Buah 60 60 - 60
142 Papsmer Kit M Buah - - - -
143 Papsmer Kit S Buah - - - -
144 Parafilm 4 in x 125 FT Box - - - -
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 3 3 3 - 10
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll - - - -
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 13 13 13 - 10
150 Povidon Iodine 60 ml medika Botol - - - -
152 Pot Sputum Buah 240 240 50 190 100
153 RDT Antigen - Healgen Pcs 200 200 25 175 100
154 Reagen Afinion HbA1c Botol - - - -
155 Reagen Afinion HbA1C Control KIT - - - -
156 Reagen Anti A 1 x 10 ml KIT - - - - 1
157 Reagen Anti AB 1 x 10 ml KIT - - - - 1
158 Reagen Anti B 1 x 10 ml KIT - - - - 1
159 Reagen Anti D 1 x 10 ml KIT - - - - 1
160 Reagen Diluent M-30 20 L Mindray Botol - - - -
161 Reagen Lyse 500 ml Zenix Botol - - - -
162 Reagen Proline Tryglicerides KIT - - - -
163 Reagen Rinse 20 L Mindray Botol - - - -
164 Reagen Salmonella Paratyphi AH 1x5 ml KIT - - - -
165 Reagen Salmonella Paratyphi AO 1x5 ml KIT - - - -
166 Reagen Salmonella Paratyphi BH 1x5 ml KIT - - - -
167 Reagen Salmonella Paratyphi BO 1x5 ml KIT - - - -
168 Reagen Salmonella Paratyphi CH 1x5 ml KIT - - - -
169 Reagen Salmonella Paratyphi CO 1x5 ml KIT - - - -
170 Reagen Salmonella Paratyphi H 1x5 ml KIT - - - -
171 Reagen Salmonella Paratyphi O 1x5 ml KIT - - - -
172 Rivanol 300 cc Botol 28 28 - 28
174 Saniswiss biosanitizer H1 500 ml Botol 23 23 - 23
175 Sepatu Boots Pair - - - -
176 Servical Collar Serenity Pcs - - - -
178 Spalk first AID Pcs - - - -
179 Sterile Scalpel Blade#10F#3 Box - - - -
187 Strip Test Cholestrol Autocheck Box - - - - 10
188 Strip Test Detecto HbsAg Onemed Buah - 200 200 - 200 200
189 Strip Test Focus New HIV 1/2 3 Line Pcs 175 50 225 125 100
190 Strip Test Glucosa On Call Plus Box 50' - - - - 10
191 Strip test Hb Hemoglobin Mission Pcs 100 100 - 100
192 Strip Test Health Mate Syphilis Ab Plus Box 50 200 250 - 250 100
193 Strip test SD HIV Bioline Pcs - - - -
194 Strip Test Ultra One (Test kehamilan) Buah - - - - 100
195 Strip Test Uric Acid Autocheck Box - - - - 10
197 Strip test Virotec dengue Combo Unit 25 25 - 25
198 Suction Catheter FR 10 unit - - - -
200 Surfaces S 5000 ml Biosanitizer KEN - - - -
202 Surgical Examination Gynecolog Onemed Set 50 50 50 - 50
203 Surgical Gloves No. 6.5 Serenity Pcs 98 50 148 123 25 100
204 Thermal Paper EFG Roll Roll - - - -
205 Tips For Micro MT 200 IU Pcs - - - -
206 Tips For Micro MT II 1 ml Pcs - - - -
207 Tips For Micropipet MSTP Pcs - - - -
208 Umbilical cord clame fesco Pcs - - - - 500
209 Umbilical Cord Clamp Buah - - - - 500
210 Underpad (Softpad) 60 x 90 cm Pcs - 100 100 40 60 300
211 U-Pad Steril Buah 40 40 40 -
212 Urine bag + hanger Pcs 90 50 140 60 80 100
213 Urine bag + hanger Semilas Pcs - - - -
214 USG Gel 250 ml Botol - - - -
215 Viorex liquid Botol - - - -
216 White Tips Bks - - - -
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs 50 150 100 -
222 Yellow Tip Bks - - - -
Bahan Gigi
1 Articulating Paper Pcs - - - - 100
2 Calcimol LC Botol - - - - 50
3 Cavit G ( Ceivitron) Pot - - - - 50
4 Cement Spatula Pcs - - - - 10
5 CHKM Botol - - - - 10
6 Dycal/ Hydcal Botol - - - - 10
7 GC Fuji 9 Mini Pack Box - - - - 10
8 Mikroaplikator Tips Botol - - - - 10
9 Oco/ Poliren No. 1 Botol - - - - 10
12 DHP-Frimal - - -
16 KDT Dosis Harian - - - -
18 Moxyfloxacin 400 mg Tablet - - - -
19 OAT Kategori Anak 3 3 - 3
20 OAT Kategori Dewasa 12 12 4 8
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - -
22 Primaquine Tablet - - - -
24 Rapid tes Malaria Test - 50 50 50 - 50
25 Sarung Tangan Obgyn - - - -
26 plester Winner 10x5 m 10 10 20 10 10
27 plester Winner 5x5 m 7 10 17 4 13
28 Tabung EDTA 3 ml - 200 200 - 200
30 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs 0 - - 0
36 Surgical gloves No. 7,5 Trosensosurge Botol 0 - - 0
37 Pehavral Tablet 2000 2,000 - 2000
39 HIV R2 Pcs 50 50 50 0
40 HIV R3 Pcs 50 50 50 0
41 VAR Vial - - - 0

2500 700 3,200

Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010
KABUPATEN : LANDAK
BULAN/TAHUN : NOVEMBER / 2022
OBAT
1 Acyclovir 400mg Tablet 250 300 550 250 300 600
2 Acyclovir Salep Tube 50 50 - 50 50
5 Allopurinol 100 mg Tablet 300 2000 2,300 300 2,000 4,000
6 Allopurinol 300 mg Tablet 1,000 2000 3,000 400 2,600 4,000
7 Alprazolam 0,5 mg Tablet 473 473 30 443 600
8 Alprazolam 1 mg Tablet 800 800 60 740
10 Ambroxol Syrup Botol - - - -
11 Aminofilin injeksi 24 mg/ml Ampul - - - -
12 Amitriptillin 25 mg Tablet - - - -
14 Amlodipin Tab 5 mg Tablet 1,250 3000 4,250 1,150 3,100 5,000
15 Amoxicillin 100 mg/ml Drops Botol 108 108 12 96 100
17 Amoxicillin dry syrup 125 mg / 5 ml Botol 200 120 320 38 282 200
20 Antasida DOEN Syrup Botol - - - -
21 Antifungi DOEN Kombinasi Tube 86 86 - 86
22 Antihemoroid DOEN Kombinasi Supp - 50 50 - 50
23 Apricot Syrup Botol 35 35 - 35
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet - - - -
26 Asam Mefenamat 500 mg Tablet - 5000 5,000 - 5,000 10,000
27 Asam Tranexamat inj 100 mg/ml Ampul 40 20 60 10 50 40
28 Asam Tranexamat inj 50 mg/ml Ampul 30 20 50 10 40 40
29 Asering Infuse 500 ml Kolf - - - -
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul 30 30 30 - 100
31 Betahistine Besilat 6 mg Tablet 1,200 1000 2,200 1,900 300 3,000
32 Betametason cream 0,1 % Tube 100 100 200 125 75 100
33 BIOSAT 1.500 (anti tetanus) Vial - - - - 30
34 BIOSAVE (anti bisa ular) VIAL - - - - 30
35 Bisoprolol 5 mg Tablet 300 300 600 - 600 300
36 Bufacetin salep kulit 1% Tube 72 72 18 54 72
37 Calcii Glukonas Inj Ampul 18 18 - 18 50
38 Captopril 12,5 mg Tablet 1,700 1000 2,700 700 2,000 1,200
39 Captopril 25 mg Tablet 1,500 1000 2,500 700 1,800 1,200
40 Cefadroxil 250 mg Tablet - - - -
41 Cefadroxil 500 mg Tablet 2,600 1000 3,600 400 3,200 4,000
42 Cefadroxil Dry Syrup 125 mg Botol 148 72 220 - 220 100
43 Cefotaxime Injeksi 1 gr Vial - - - - 100
45 Cetirizin 10 mg tab Tablet 2,300 5000 7,300 1,900 5,400 10,000
46 Cetirizin Syrup Botol 135 135 - 135
49 Chloramfenicol tetes telinga Botol - - - - 20
51 Chlorpromazine 100 mg Tablet 400 400 210 190 1,000
52 Chlorpromazine 25mg Tablet 890 890 - 890 500
53 Ciprofloxacin 500 mg Tablet 2,500 1000 3,500 1,100 2,400 3,000
54 Clindamicin 150 mg Capsul - - - - 1,000
55 Clozapin 100 mg Tablet 1,127 1,127 415 712 1,000
56 Clozapin 25 mg Tablet 1,694 1,694 629 1,065 1,000
57 Codein hcl Tablet 10 mg Tablet - - - -
58 Combivent Nebules Vial - - - - 100
59 Cotrimoxazole 480mg Tablet - - - - 1,000
61 Cotrimoxazole sirup Botol 33 33 33 -
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul 235 235 45 190
65 Dextrose monohydrat 40% Flacon 18 18 - 18 10
66 Diabetadex Fitofarmaka Tablet 210 210 - 210
68 Diazepam Tablet 5 mg Tablet - - - - 500
69 Digoxin tablet 0,25 mg Tablet - - - -
70 Diltiazem HCL Tablet 30 mg Tablet 800 800 - 800
71 Dimenhidrinat 50 mg Tablet 100 500 600 100 500 500
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul 60 60 - 60
73 Domperidon Tablet Tablet 2,700 2,700 600 2,100 1,000
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul 99 99 - 99
75 Ergotamin Coffein Tablet - - - - 300
76 Febrinex Ped Suspensi 60 ml Botol - - - -
77 Fenol Gliserol Tetes Telinga 10% Botol 10 10 - 10 10
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul 30 210 240 30 210 200
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet 500 500 200 300 500
80 Flutamol Syr Botol - - - -
81 Flutamol Tab Tablet 2,000 2,000 2,000 - 10,000
82 Furosemid 10 Mg/ml Injeksi Ampul 50 50 100 - 100 50
83 Furosemid Tablet 40 mg Tablet - 1000 1,000 - 1,000 600
84 Garam Oralit 200 mg Bungkus 600 600 20 580
85 Gentamicin Salep Mata 0,3% Tube - - - - 96
87 Glibenklamid Tablet 5 mg Tablet 2,000 2,000 - 2,000 1,000
90 Griseolfulvin Tablet 125 mg Micronized Tablet 900 900 100 800
91 Haloperidol 0,5 mg Tablet 917 917 391 526 1,000
92 Haloperidol 1,5 mg Tablet - - - - 2,000
93 Haloperidol 5 mg Tablet 1,010 1,010 90 920 500
94 Herbakof Syrup Botol - - - -
95 Herbakof Tablet Tablet - 1800 1,800 - 1,800 1,800
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet 600 600 - 600
97 Herbavomitz obat herbal Botol - - - -
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 500 500 500 500 - 1,000
100 Hidrokortison Krim 2,5% Tube 115 115 19 96 100
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet 2,500 2000 4,500 900 3,600 2,000
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol - - - -
103 Ibuprofen Suspensi 200 mg/ 5 ml Botol 58 58 - 58
104 Iliadin Drop Tetes Hidung Botol 25 25 2 23
105 Imunomodulator anak Syr 25 mg Botol 5 5 - 5
106 Imunomodulator Forte 50 mg Tablet 1,050 1,050 90 960
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 500 500 100 400 200
108 KA EN 3A Kolf 13 13 13 - 40
109 KA EN 3B Kolf 35 35 - 35
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet 12,300 12,300 3,200 9,100 5,000
111 Karbamazepin 200 mg Tablet 450 500 950 70 880 700
112 Ketoconazole 200 mg Tablet 2,500 1000 3,500 1,300 2,200 1,000
113 Ketoconazole Zalp Tube - - - - 100
114 Ketorolac Inj 30mg/ml Ampul - 100 100 - 100 100
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol 54 54 - 54
116 Lansoprazole Tablet 30mg Tablet - 2000 2,000 - 2,000 5,000
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul 200 200 10 190 200
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul 90 90 - 90
119 Loperamide 2 mg Tablet 4,400 4,400 - 4,400
120 Loratadine tab Tablet 1,500 1000 2,500 - 2,500 1,000
121 Magnesium sulfat 20% (MgSO4) Ampul - - - -
122 Magnesium sulfat 40% (MgSO4) Ampul 14 14 5 9 10
123 Maltiron Syr 60 ml Botol - - - -
124 Mersibion Inj Ampul 20 100 120 40 80 200
125 Metformin HCl 500 mg Tablet 3,800 1000 4,800 2,400 2,400 2,000
126 Metilergometrin Inj 0,2 mg/ml Ampul - - - -
127 Metilergometrin maleat Tab 0,125 mg Tablet - - - -
128 Metilprednisolon 16 mg Tablet 3,200 3,200 400 2,800
129 Metilprednisolon 4 mg Tablet 600 2000 2,600 600 2,000 3,000
130 Metilprednisolon 8 mg Tablet 400 1000 1,400 100 1,300 1,000
131 Metoklorpamide Tablet 10 mg Tablet - - - -
133 Metronidazol Tab 500mg Tablet 1,800 1,800 600 1,200 1,500
136 Metyldopa (Dopamet) 250 mg Tablet 200 200 100 100 200
138 Mineral Mix Bungkus - - - -
139 Multivitamin Becefort Tablet - - - - 2,000
140 Multivitamin Becefort Syr 60 ml Botol - - - -
141 Multivitamin Natabion Dws Capsul - - - - 2,000
142 Multivitamin Oxyvit Tablet - - - - 1,800
145 Natrium Klorida 0,9% OTSU Botol 100 100 40 60 120
146 Nifedipin 10 Mg Tablet 500 500 100 400 200
147 Nistatin 100.000 IU tab vaginal Tablet - - - - 100
148 Nistatin 500.000 IU Tablet 400 400 - 400 200
149 Nistatin suspensi 100.000 IU/mL Botol 110 110 3 107
150 Noza Kaplet Kaplet 200 200 200 - 5,000
151 OBH Kaca Berlico 100ml Botol - - - -
152 Ofloxacin 200 mg Tablet - - - - 2,000
153 Oksimetazolin tetes hidung 0,05% Botol - - - - 20
154 Oksitetrasiklin HCl 1 % zalp mata Tube - - - -
155 Oksitosin Inj 10 IU/ml Ampul 290 290 90 200 100
156 Omeprazole caps (Lokev) Capsul - - - - 5,000
157 Ondansentron Injeksi Ampul 275 275 - 275 100
158 Ondansentron Tab 4 mg Tablet 420 420 30 390
159 Parasetamol Drops Botol - - - -
160 Parasetamol Infus btl - 10 10 - 10 20
161 Parasetamol sirup 120mg/5ml Botol 451 451 - 451
163 Phenobarbital injeksi 50 mg / 2 ml Ampul - - - -
165 Prednison tab 5 mg Tablet 1,200 5000 6,200 1,200 5,000 10,000
166 Procurma Syr Botol - - - -
167 Propiltiourasil (PTU) tab 100 mg Tablet 100 200 300 - 300 300
168 Pularex Tablet Tablet 900 900 - 900
169 Pyrantel Pamoat 125 mg Tablet - - - -
170 Pyrantel Pamoat Susp 125mg / 5ml Botol - - - -
172 Ranitidin Injeksi Ampul - - - -
173 Retinol 100.000 IU BIRU Caps - - - -
174 Retinol 200.000 IU MERAH Caps 700 700 50 650 300
176 Risperidon 1 mg Tablet - - - -
177 Risperidon 2 mg Tablet 2,025 1000 3,025 641 2,384 500
180 Salbutamol Cairan inhalasi Ampul 7 7 7 - 200
181 Salbutamol Syrup Botol 165 60 225 1 224
182 Salep 2- 4 kombinasi Tube - - - - 50
183 Sianokobalamin (Vit. B12) Tab Tablet 1,200 1000 2,200 300 1,900 3,000
186 Soft U Derm 10% Crema 20gr Tube - - - -
187 Spironolactone 25 mg Tablet - - - -
188 Stesolid rectal 10 mg / 2,5 ml Tube - - - - 20
190 Sukralfat Suspensi 500mg/ 5ml Botol 270 270 18 252
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet - - - -
193 Tetagam Inj Vial - 5 5 - 5 10 Barang masih di DINKES
194 Tetrasiklin 500 mg Tablet - - - -
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet - - - - 2,000
196 Tramadol Inj Ampul - - - -
197 Trifluoperazin 5 mg Tablet - - - - 1,000
198 Trihexylphenidil 2 mg Tablet 1,294 1000 2,294 615 1,679 2,000
199 Vitamin B komplek Tablet 7,500 7000 14,500 4,400 10,100 10,000
200 Vitamin D3 1000IU Tablet 510 510 510 - 3,000
201 Voltadex Gel 1% 20 gr Tube 2 2 - 2 20
202 Zinc 20 Mg Tablet Tablet 500 2000 2,500 500 2,000 4,000
203 Zinc Syr Botol - - - -
204 Zincpro Drop 15 ml Botol - - - -
205 Acetyl cysteine tablet 200 mg Tablet 480 480 60 420
206 Cefotaxime sodium serb inj 500 mg Injeksi - - - - 100
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol - - - - 100
208 Chloramphenicol salep mata 1 % Tube - - - -
209 Curcuma Plus 60 mL Botol - - - -
210 Diazepam enema 10 mg/2,5 mL Tube 10 10 - 10 20
211 Diazepam enema 5 mg/2,5 mL Tube 10 10 - 10 20
212 Domperidone drops 5 mg/mL Botol - - - -
213 Domperidone sirup/suspensi 5 mg/5 ml Botol 60 60 - 60
214 Farbivent cairan inhalasi Ampul 140 140 20 120 200
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol - - - - 24
216 Glimepiride tablet 2 mg Tablet - 500 500 - 500 500
217 Hidrokortison krim 1% Tube - - - -
218 Hyaloph Natrium hialuronat tetes mata Botol - - - - 10
219 Hyoscine Butylbromide Tab Tablet 1,000 1,000 - 1,000
220 Midric 0,5% Tropikamid tts mata 0,5% Botol - - - - 10
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet 300 300 - 300 500
222 Multivitamin Ferbion Kapsul - - - - 2,000
223 Novadryl Tablet Tablet - - - - 1,000
224 Nuvopec Syrup Botol - - - -
225 Obat Batuk Hitam Combi Botol 262 262 30 232 100
226 Obat Batuk Hitam Anak Combi Botol 160 160 14 146 100
227 Obat Flu Anak (HUFA) Botol 94 94 - 94
228 Obat Flu Kombinasi (Noza) Tablet - - - - 5,000
229 Obat Flu Kombinasi Syrup (Febrinex) Botol - - -
230 Octenic Gel 20 g Tube 10 10 3 7 30
231 Parafen Kaplet Kaplet - - - - 1,000
232 Permetrin Krim 5% Tube 10 10 - 10 50
233 Propranolol tablet 10 mg Tablet 200 300 500 100 400 400
235 Vip Albumin Obat Herbal Tablet 405 405 75 330 300
236 Vitamin C 1000mg/ Provit C Tablet 1,500 300 1,800 570 1,230 2000

1 Alat Suntik 1 ml Stera Buah - - - -
2 Alat suntik 1 ml TP Pcs 1,000 1,000 100 900 500
4 Alat suntik 10 ml TP Pcs - 100 100 - 100 400
6 Alat suntik 3 ml TP Pcs 300 500 800 300 500 1,000
7 Alat Suntik 5 cc Stera buah 280 280 180 100 1,000
8 Alkohol 1 Liter Onemed Botol 5 5 1 4 10
9 Alkohol 70% 300 ml Botol 1 1 - 1
10 Alkohol swab Aximed Pcs 4,400 2400 6,800 1,100 5,700 3,000
11 Apron Plastik one Pcs 8 100 108 91 17 100
12 Aqua proinjeksi steril 20 ml Vial 68 80 148 31 117 150
13 Arm Sling Comfort L Buah 5 5 10 1 9
14 Arm Sling Comfort S Buah 12 12 - 12
15 Bactivec BTI DBD SL Botol - - - -
16 Baju APD Coverall Pcs - - - -
18 Blood Lancet Serenity Pcs 2,200 2,200 - 2,200 5,000
20 Blue Tips Bks - - - -
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs - - - -
22 Catgut Chromic Surgical Sutures Pcs 96 72 168 12 156
23 Catgut Plain Surgical Sutures box 96 72 168 12 156
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs - - - -
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs - - - -
26 Cervical collar Buah - - - -
27 Derm transport dressing remedi Pcs - - - -
28 Dermafix S 4,4 x 4,4 cm Buah - - - -
29 Dermafix S 6 x 7 cm buah - - - -
30 Dermafix T 15cm x 20 cm Roll - - - -
31 Dermafix T 5x7 Buah - - - -
32 Dressing IV canulla non woven remedi Pcs - - - -
39 Foley catheter no. 16 latex 2 way ABADA Pcs 40 40 30 10 100
40 Pcs - - - -
41 Foley catheter no. 18 latex 2 way ABADA Pcs 40 50 90 - 100
42 - - - -
43 Hand Gel H1 100 ml+flip top Botol 5 5 - 5
44 Handrub 5 L Medika Ken - - - -
45 Handrub 500 ml Medika Botol 24 48 72 7 65 30
46 Handrub e-care 500 ml Botol 12 10 22 1 21 10
47 Handscrub e-care 500 ml Botol - 5 5 1 4 10
48 Hazmat suit Winner Pcs - - - -
49 Indodent Saliva ejector Buah - - - -
50 Infusion set anak set - 100 100 - 100 100
51 Infusion set dewasa ST01 set - - - -
52 Infusion set microdrip ABADA Pcs - - - -
53 Infusion set microdrip Otsu Pcs 80 80 10 70 100
54 Infusion Set Y Adaptor Otsu Pcs 5 5 5 - 200
57 IV Catheter No. 20G Otsu Pcs - - - -
60 IV Catheter With Teflon Catheter 1 way 18 G Set - - - -
63 IV Catheter WP No. 26G Aximed Pcs 150 150 - 150 200
64 Kantong Jenazah Pcs - - - -
65 Kantong limbah biohazard uk. L Pack 1 1 - 1
67 Kantong limbah biohazard uk. S Pack 5 5 - 5
68 Kapas 250 gram Rol 15 15 3 12
69 Kapas 500 gram Bks - - - -
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs - - - -
72 Kasa hidrofil 2 m x 80 cm Roll 17 17 - 17 20
73 Kasa hidrofil 20y x 80 cm ABADA Rol - - - -
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol - - - -
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol - - - -
81 Kasa hidrofil 40 cm x 80 cm Rol - - - -
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak - - - -
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll 45 45 - 45
84 - - - -
85 Kasa Steril 16 x 16 cm Roll 240 100 340 - 340
86 Kasa Steril 18 cm x 22 cm Roll - - - -
87 Rol 5 5 - 5
88 Kertas EKG 112 mm Rol - - - -
89 Kertas EKG Z-fold : 215×280mm Rol - - - -
91 Latex Examination Gloves Uk. M Pcs 4,600 1000 5,600 600 5,000 2,000
94 Masker Ear Loop Pcs - - - - 4,000
95 Masker N95 Particulate Respirator unit 195 195 10 185
96 Masker Nebulizer Anak Unit - - - -
97 Masker Nebulizer Dewasa Unit - - - -
98 Masker Nebulizer Dewasa Cosmo Pcs - - - -
100 Masker Nebulizer Uk. L Dewasa ABADA Pcs - - - -
102 Masker Oksigen Anak Semillas Pcs - - - -
103 Masker Oksigen Dwsa Semillas Pcs - - - -
106 Maxiflow Anak Unit - - - -
107 Maxiflow Bayi unit - - - -
108 Maxiflow Dewasa unit - - - -
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs - - - -
110 Micropipet Adjust Vol. 0,5-10 UL Pcs - - - -
125 Mucus Extractor Serenity Pcs - - - -
126 M-Y Jelly 82 Gram Tube Buah 20 20 6 14 24
127 Nasal Oksigen Canula Anak Pcs - - - -
128 Nasal Oxygen Canula Adult Serenity Pcs - - - -
129 Nasal Oxygen Canula Infant Serenity Pcs - - - -
130 Nasal Oxygen Canula Pediatric Serenity Pcs - - - -
131 Needle CNV 21 x 1,5 ml (BD vacutainer) Pcs - - - -
132 Needle CNV 22 x 1,5 ml MLTSMPCE Pcs - - - -
133 Non Woven IV Dressing 6 x 8 cm Pcs - - - -
134 Nurse Cap Box 4 10 14 2 12 10
135 One Scrub 2% Antiseptic surgical scrub dispense Botol - - - -
136 One Scrub 4 %, 500 cc + dispenser Botol - - - -
137 Oxyflow Anak Buah 40 40 - 40
138 Oxyflow bayi Buah 10 10 - 10
139 Oxyflow Dewasa Buah 60 60 60 - 200
142 Papsmer Kit M Buah - - - -
143 Papsmer Kit S Buah - - - -
144 Parafilm 4 in x 125 FT Box - - - -
145 Plesterin Roll Non Woven roll 10cm x 5m Roll 19 19 - 19 10
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll 5 5 - 5 5
147 Plesterin Roll Non Woven roll 5cm x 5m Roll 20 20 - 20 10
150 Povidon Iodine 60 ml medika Botol - - - -
151 Povidone Iodine 300 ml BOTOL 34 34 2 32 24
152 Pot Sputum Buah 190 190 100 90 100
153 RDT Antigen - Healgen Pcs 175 175 175 -
154 Reagen Afinion HbA1c Botol - - - -
155 Reagen Afinion HbA1C Control KIT - - - -
156 Reagen Anti A 1 x 10 ml KIT - - - - 1
157 Reagen Anti AB 1 x 10 ml KIT - - - - 1
158 Reagen Anti B 1 x 10 ml KIT - - - - 1
159 Reagen Anti D 1 x 10 ml KIT - - - - 1
160 Reagen Diluent M-30 20 L Mindray Botol - - - -
161 Reagen Lyse 500 ml Zenix Botol - - - -
162 Reagen Proline Tryglicerides KIT - - - -
163 Reagen Rinse 20 L Mindray Botol - - - -
164 Reagen Salmonella Paratyphi AH 1x5 ml KIT - - - -
165 Reagen Salmonella Paratyphi AO 1x5 ml KIT - - - -
166 Reagen Salmonella Paratyphi BH 1x5 ml KIT - - - -
167 Reagen Salmonella Paratyphi BO 1x5 ml KIT - - - -
168 Reagen Salmonella Paratyphi CH 1x5 ml KIT - - - -
169 Reagen Salmonella Paratyphi CO 1x5 ml KIT - - - -
170 Reagen Salmonella Paratyphi H 1x5 ml KIT - - - -
171 Reagen Salmonella Paratyphi O 1x5 ml KIT - - - -
172 Rivanol 300 cc Botol 29 29 - 29 24
173 Safety box Buah 8 25 33 2 31
174 Saniswiss biosanitizer H1 500 ml Botol 23 23 1 22
176 Servical Collar Serenity Pcs - - - -
178 Spalk first AID Pcs - - - -
187 Strip Test Cholestrol Autocheck Box - - - - 50
188 Strip Test Detecto HbsAg Onemed Buah 200 200 - 200 500
189 Strip Test Focus New HIV 1/2 3 Line Pcs 100 100 50 50 500
190 Strip Test Glucosa On Call Plus Box 50' - 500 500 - 500 500
191 Strip test Hb Hemoglobin Mission Pcs 100 250 350 150 200 500
192 Strip Test Health Mate Syphilis Ab Plus Box 250 250 25 225 500
193 Strip test SD HIV Bioline Pcs - - - -
194 Strip Test Ultra One (Test kehamilan) Buah - - - - 100
195 Strip Test Uric Acid Autocheck Box - - - - 50
197 Strip test Virotec dengue Combo Unit 25 50 75 - 75
200 Surfaces S 5000 ml Biosanitizer KEN - - - -
201 Surfaces S 750 ml Biosanitizer Botol - - - -
203 Surgical Gloves No. 6.5 Serenity Pcs 25 25 - 25 100
204 Thermal Paper EFG Roll Roll - - - -
205 Tips For Micro MT 200 IU Pcs - - - -
206 Tips For Micro MT II 1 ml Pcs - - - -
207 Tips For Micropipet MSTP Pcs - - - -
208 Umbilical cord clame fesco Pcs - - - -
209 Umbilical Cord Clamp Buah 200 200 - 200
210 Underpad (Softpad) 60 x 90 cm Pcs 60 60 60 - 300
211 U-Pad Steril Buah - - - -
212 Urine bag + hanger Pcs 80 200 280 - 280
213 Urine bag + hanger Semilas Pcs - - - -
214 USG Gel 250 ml Botol - - - -
215 Viorex liquid Botol - - - -
216 White Tips Bks - - - -
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs - 150 100 -
222 Yellow Tip Bks - - - -
Bahan Gigi
1 Articulating Paper Pcs - - - - 100
2 Calcimol LC Botol - - - - 50
3 Cavit G ( Ceivitron) Pot - - - - 50
4 Cement Spatula Pcs - - - - 10
5 CHKM Botol - - - - 10
6 Dycal/ Hydcal Botol - - - - 10
7 GC Fuji 9 Mini Pack Box - - - - 10
8 Mikroaplikator Tips Botol - - - - 10
9 Oco/ Poliren No. 1 Botol - - - - 10
12 DHP-Frimal - - -
16 KDT Dosis Harian - - - -
18 Moxyfloxacin 400 mg Tablet - - - -
19 OAT Kategori Anak 3 3 - 3
20 OAT Kategori Dewasa 8 8 - 8
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet - -
22 Primaquine Tablet - - - -
24 Rapid tes Malaria Test - - 100
25 Sarung Tangan Obgyn - - - -
26 plester Winner 10x5 m
28 Tabung EDTA 3 ml 200 200 400 200 200
30 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs 0 - - 0
36 Surgical gloves No. 7,5 Trosensosurge Botol 0 - - 0
37 Pehavral Tablet 2000 2,000 400 1600
39 HIV R2 Pcs 0 - - 0
40 HIV R3 Pcs - - - 0
41 VAR Vial - 125 125 20 105
42 STRIP TEST HIV/SHYPILIS DUO Pcs 250 250

3000 700 3,700

Kabupaten Landak

NIP. 196603031987032009 NIP. 199508042022032010
OBAT GUDANG APOTEK IGD RANAP PONED KIA LAB

No Nama Item SATUAN Jumlah ED Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah
1 Acyclovir 400mg Tablet
2 Acyclovir Salep Tube
3 Albendazole 400 mg Tablet
4 Albendazole Suspensi Botol
5 Allopurinol 100 mg Tablet
7 Alprazolam 0,5 mg Tablet
8 Alprazolam 1 mg Tablet
9 Ambroxol 30 mg tab Tablet
10 Ambroxol Syrup Botol
11 Aminofilin injeksi 24 mg/ml Ampul
12 Amitriptillin 25 mg Tablet
13 Amlodipin Tab 10 mg Tablet
15 Amoxicillin 100 mg/ml Drops Botol
16 Amoxicillin 500 mg Tablet
17 Amoxicillin dry syrup 125 mg / 5 ml Botol
18 Ampicillin injeksi Ampul
19 Antasida DOEN Kombinasi Tablet
20 Antasida DOEN Syrup Botol
21 Antifungi DOEN Kombinasi Tube
22 Antihemoroid DOEN Kombinasi Supp
23 Apricot Syrup Botol
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet
26 Asam Mefenamat 500 mg Tablet
27 Asam Tranexamat inj 100 mg/ml Ampul
29 Asering Infuse 500 ml Kolf
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul
31 Betahistine Besilat 6 mg Tablet
32 Betametason cream 0,1 % Tube
33 BIOSAT 1.500 (anti tetanus) Vial
34 BIOSAVE (anti bisa ular) VIAL
35 Bisoprolol 5 mg Tablet
36 Bufacetin salep kulit 1% Tube
37 Calcii Glukonas Inj Ampul
38 Captopril 12,5 mg Tablet
39 Captopril 25 mg Tablet
40 Cefadroxil 250 mg Tablet
42 Cefadroxil Dry Syrup 125 mg Botol
43 Cefotaxime Injeksi 1 gr Vial
44 Ceftriaxon Inj 1000 mg Vial
45 Cetirizin 10 mg tab Tablet
46 Cetirizin Syrup Botol
47 Chloramfenicol 250 mg Capsul
49 Chloramfenicol tetes telinga Botol
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet
51 Chlorpromazine 100 mg Tablet
52 Chlorpromazine 25mg Tablet
53 Ciprofloxacin 500 mg Tablet
54 Clindamicin 150 mg Capsul
55 Clozapin 100 mg Tablet
57 Codein hcl Tablet 10 mg Tablet
58 Combivent Nebules Vial
59 Cotrimoxazole 480mg Tablet
60 Cotrimoxazole 960 mg Tablet
61 Cotrimoxazole sirup Botol
62 Desoximetasone Krim 0.25% Tube
63 Dexamethason Tab 0,5 mg Tablet
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul
65 Dextrose monohydrat 40% Flacon
66 Diabetadex Fitofarmaka Tablet
67 Diazepam injeksi 5 mg / 2 ml Ampul
68 Diazepam Tablet 5 mg Tablet
69 Digoxin tablet 0,25 mg Tablet
70 Diltiazem HCL Tablet 30 mg Tablet
71 Dimenhidrinat 50 mg Tablet
72 Diphenhydramin HCl injeksi 10 mg/ml-1 Ampul
73 Domperidon Tablet Tablet
Epineprin HCl (adrenalin ) inj 0,1 % - 1
74 Ampul
ml
75 Ergotamin Coffein Tablet
76 Febrinex Ped Suspensi 60 ml Botol
77 Fenol Gliserol Tetes Telinga 10% Botol
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet
80 Flutamol Syr Botol
81 Flutamol Tab Tablet
82 Furosemid 10 Mg/ml Injeksi Ampul
83 Furosemid Tablet 40 mg Tablet
84 Garam Oralit 200 mg Bungkus
85 Gentamicin Salep Mata 0,3% Tube
86 Gentamicin Tetes Mata 0,3% Tube
87 Glibenklamid Tablet 5 mg Tablet
88 Glukosa 10% Infus Kolf
90 Griseolfulvin Tablet 125 mg Micronized Tablet
91 Haloperidol 0,5 mg Tablet
93 Haloperidol 5 mg Tablet
94 Herbakof Syrup Botol
95 Herbakof Tablet Tablet
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet
98 Herbavomitz Tablet Tablet
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet
100 Hidrokortison Krim 2,5% Tube
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet
102 Ibuprofen Suspensi 100 mg/ 5 ml Botol
104 Iliadin Drop Tetes Hidung Botol
105 Imunomodulator anak Syr 25 mg Botol
106 Imunomodulator Forte 50 mg Tablet
107 Isosorbid Dinitrat Tablet Sublingual 5 m Tablet
108 KA EN 3A Kolf
109 KA EN 3B Kolf
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet
111 Karbamazepin 200 mg Tablet
112 Ketoconazole 200 mg Tablet
113 Ketoconazole Zalp Tube
114 Ketorolac Inj 30mg/ml Ampul
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol
116 Lansoprazole Tablet 30mg Tablet
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul
119 Loperamide 2 mg Tablet
120 Loratadine tab Tablet
121 Magnesium sulfat 20% (MgSO4) Ampul
123 Maltiron Syr 60 ml Botol
124 Mersibion Inj Ampul
125 Metformin HCl 500 mg Tablet
126 Metilergometrin Inj 0,2 mg/ml Ampul
127 Metilergometrin maleat Tab 0,125 mg Tablet
128 Metilprednisolon 16 mg Tablet
131 Metoklorpamide Tablet 10 mg Tablet
133 Metronidazol Tab 500mg Tablet
134 Metronidazole Infus Kolf
135 Metronidazole Suspensi 125mg/5ml Botol
136 Metyldopa (Dopamet) 250 mg Tablet
137 Miconazole krim 2 % Tube
138 Mineral Mix Bungkus
139 Multivitamin Becefort Tablet
140 Multivitamin Becefort Syr 60 ml Botol
141 Multivitamin Natabion Dws Capsul
142 Multivitamin Oxyvit Tablet
143 Natrium Diklofenak tab 25 mg Tablet
145 Natrium Klorida 0,9% OTSU Botol
146 Nifedipin 10 Mg Tablet
147 Nistatin 100.000 IU tab vaginal Tablet
148 Nistatin 500.000 IU Tablet
149 Nistatin suspensi 100.000 IU/mL Botol
150 Noza Kaplet Kaplet
151 OBH Kaca Berlico 100ml Botol
152 Ofloxacin 200 mg Tablet
153 Oksimetazolin tetes hidung 0,05% Botol
154 Oksitetrasiklin HCl 1 % zalp mata Tube
155 Oksitosin Inj 10 IU/ml Ampul
156 Omeprazole caps (Lokev) Capsul
157 Ondansentron Injeksi Ampul
158 Ondansentron Tab 4 mg Tablet
159 Parasetamol Drops Botol
160 Parasetamol Infus btl
161 Parasetamol sirup 120mg/5ml Botol
162 Parasetamol Tab Tablet
163 Phenobarbital injeksi 50 mg / 2 ml Ampul
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet
165 Prednison tab 5 mg Tablet
166 Procurma Syr Botol
167 Propiltiourasil (PTU) tab 100 mg Tablet
168 Pularex Tablet Tablet
169 Pyrantel Pamoat 125 mg Tablet
170 Pyrantel Pamoat Susp 125mg / 5ml Botol
171 Ranitidin 150 mg tab Tablet
172 Ranitidin Injeksi Ampul
173 Retinol 100.000 IU BIRU Caps
174 Retinol 200.000 IU MERAH Caps
175 Ringer Laktat Infus Botol
176 Risperidon 1 mg Tablet
178 Salbutamol 2 mg Tablet
180 Salbutamol Cairan inhalasi Ampul
181 Salbutamol Syrup Botol
182 Salep 2- 4 kombinasi Tube
183 Sianokobalamin (Vit. B12) Tab Tablet
184 Simvastatin Tablet 10 mg Tablet
186 Soft U Derm 10% Crema 20gr Tube
187 Spironolactone 25 mg Tablet
188 Stesolid rectal 10 mg / 2,5 ml Tube
190 Sukralfat Suspensi 500mg/ 5ml Botol
191 Tablet
Sulfadoxine-Pyrimethamine (Suldox)
192 Tablet Tambah Darah FE Tablet
193 Tetagam Inj Vial
194 Tetrasiklin 500 mg Tablet
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet
196 Tramadol Inj Ampul
197 Trifluoperazin 5 mg Tablet
198 Trihexylphenidil 2 mg Tablet
199 Vitamin B komplek Tablet
200 Vitamin D3 1000IU Tablet
201 Voltadex Gel 1% 20 gr Tube
202 Zinc 20 Mg Tablet Tablet
203 Zinc Syr Botol
204 Zincpro Drop 15 ml Botol
205 Acetyl cysteine tablet 200 mg Tablet
206 Cefotaxime sodium serb inj 500 mg Injeksi
207 Cendo Lyteers tetes mata, botol @ 15 m Botol
208 Chloramphenicol salep mata 1 % Tube
209 Curcuma Plus 60 mL Botol
210 Diazepam enema 10 mg/2,5 mL Tube
212 Domperidone drops 5 mg/mL Botol
213 Domperidone sirup/suspensi 5 mg/5 ml Botol
214 Farbivent cairan inhalasi Ampul
215 Flamar Natrium diklofenak tetes mata 1 Botol
216 Glimepiride tablet 2 mg Tablet
217 Hidrokortison krim 1% Tube
218 Hyaloph Natrium hialuronat tetes mata Botol
219 Hyoscine Butylbromide Tab Tablet
220 Midric 0,5% Tropikamid tts mata 0,5% Botol
221 Miniaspi Asam Asetilsalisilat tablet 80 Tablet
222 Multivitamin Ferbion Kapsul
223 Novadryl Tablet Tablet
224 Nuvopec Syrup Botol
225 Obat Batuk Hitam Combi Botol
226 Obat Batuk Hitam Anak Combi Botol
227 Obat Flu Anak (HUFA) Botol
228 Obat Flu Kombinasi (Noza) Tablet
230 Octenic Gel 20 g Tube
231 Parafen Kaplet Kaplet
232 Permetrin Krim 5% Tube
233 Propranolol tablet 10 mg Tablet
234 Sianokobalamin (vitamin B12) injeksi Ampul
235 Vip Albumin Obat Herbal Tablet
236 Vitamin C 1000mg/ Provit C Tablet

1 Alat Suntik 1 ml Stera Buah
2 Alat suntik 1 ml TP Pcs
3 Alat Suntik 10 cc Stera Buah
7 Alat Suntik 5 cc Stera buah
8 Alkohol 1 Liter Onemed Botol
9 Alkohol 70% 300 ml Botol
10 Alkohol swab Aximed Pcs
11 Apron Plastik one Pcs
12 Aqua proinjeksi steril 20 ml Vial
13 Arm Sling Comfort L Buah
14 Arm Sling Comfort S Buah
15 Bactivec BTI DBD SL Botol
16 Baju APD Coverall Pcs
17 Bioplacenton Tulle Pcs
18 Blood Lancet Serenity Pcs
19 Blood transfusion set ABADA Pcs
20 Blue Tips Bks
21 Catgut chromic 3/0 70 cm violet reverse Pcs
22 Catgut Chromic Surgical Sutures Pcs
23 Catgut Plain Surgical Sutures box
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs
26 Cervical collar Buah
27 Derm transport dressing remedi Pcs
28 Dermafix S 4,4 x 4,4 cm Buah
29 Dermafix S 6 x 7 cm buah
30 Dermafix T 15cm x 20 cm Roll
31 Dermafix T 5x7 Buah
32 Dressing IV canulla non woven remedi Pcs
33 Endotracheal Tube (ETT) uk. 6,0 fesco Pcs
37 Female Cateter No 16 Aximed Pcs
39 Foley catheter no. 16 latex 2 way ABA Pcs
Foley catheter no. 18 (2 way standard)
40 Pcs
serenity
41 Foley catheter no. 18 latex 2 way ABA Pcs
Folley catheter uro one 2 way, FR 16,
42
FR 18 Buah
43 Hand Gel H1 100 ml+flip top Botol
44 Handrub 5 L Medika Ken
45 Handrub 500 ml Medika Botol
46 Handrub e-care 500 ml Botol
47 Handscrub e-care 500 ml Botol
48 Hazmat suit Winner Pcs
49 Indodent Saliva ejector Buah
50 Infusion set anak set
51 Infusion set dewasa ST01 set
52 Infusion set microdrip ABADA Pcs
53 Infusion set microdrip Otsu Pcs
54 Infusion Set Y Adaptor Otsu Pcs
55 IV Catheter No. 18G Cath Pro Pcs
57 IV Catheter No. 20G Otsu Pcs
IV Catheter With Teflon Catheter 1
60 Set
way 18 G
61 IV Catheter With Teflon Catheter 1 way set
62 IV Catheter With Teflon Catheter 1 way set
63 IV Catheter WP No. 26G Aximed Pcs
64 Kantong Jenazah Pcs
65 Kantong limbah biohazard uk. L Pack
66 Kantong limbah biohazard uk. M Pack
67 Kantong limbah biohazard uk. S Pack
68 Kapas 250 gram Rol
69 Kapas 500 gram Bks
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs
71 Kasa hidrofil 2 m x 10 cm ABADA Rol
72 Kasa hidrofil 2 m x 80 cm Roll
73 Kasa hidrofil 20y x 80 cm ABADA Rol
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol
81 Kasa hidrofil 40 cm x 80 cm Rol
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll
Kasa Steril 10 cm x 10 cm 16 Ply isi 10
84
LDX Roll
85 Kasa Steril 16 x 16 cm Roll
86 Kasa Steril 18 cm x 22 cm Roll
Kertas EKG 4.5 in (11.4 cm) x 65.6 ft
87 Rol
(20 m)
88 Kertas EKG 112 mm Rol
89 Kertas EKG Z-fold : 215×280mm Rol
90 Latex Examination Gloves Uk. L Pcs
91 Latex Examination Gloves Uk. M Pcs
92 Latex Examination Gloves Uk. S Pcs
93 Latex Examination Gloves Uk. XS Pcs
94 Masker Ear Loop Pcs
95 Masker N95 Particulate Respirator unit
96 Masker Nebulizer Anak Unit
97 Masker Nebulizer Dewasa Unit
98 Masker Nebulizer Dewasa Cosmo Pcs
99 Masker Nebulizer Uk M Anak ABADA Pcs
100 Masker Nebulizer Uk. L Dewasa ABAD Pcs
101 Masker Oksigen Adult Serenity Pcs
102 Masker Oksigen Anak Semillas Pcs
103 Masker Oksigen Dwsa Semillas Pcs
104 Masker Oksigen Infant Serenity Pcs
105 Masker Oksigen Pediatric Serenity Pcs
106 Maxiflow Anak Unit
107 Maxiflow Bayi unit
108 Maxiflow Dewasa unit
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs
110 Micropipet Adjust Vol. 0,5-10 UL Pcs
111 Micropipet Adjust Vol. 100-1.000 UL Pcs
112 Micropipet Adjust Vol. 10-100 UL Pcs
117 Micropipet Fixed Vol. 10 UL Pcs
124 Mucus Extractor buah
125 Mucus Extractor Serenity Pcs
126 M-Y Jelly 82 Gram Tube Buah
127 Nasal Oksigen Canula Anak Pcs
128 Nasal Oxygen Canula Adult Serenity Pcs
129 Nasal Oxygen Canula Infant Serenity Pcs

Nasal Oxygen Canula Pediatric
130 Pcs
Serenity
Needle CNV 21 x 1,5 ml (BD
131
vacutainer) Pcs
132
Needle CNV 22 x 1,5 ml MLTSMPCE Pcs
133 Non Woven IV Dressing 6 x 8 cm Pcs
134 Nurse Cap Box
135 One Scrub 2% Antiseptic surgical scrub Botol
136
One Scrub 4 %, 500 cc + dispenser Botol
137 Oxyflow Anak Buah
138 Oxyflow bayi Buah
139 Oxyflow Dewasa Buah
140 Paper tape 1,25 cm x 9,14 cm Aximed
Rol
141 Paper tape 7,5 cm x 9,14 cm Aximed
Rol
142 Papsmer Kit M Buah
143 Papsmer Kit S Buah
144 Parafilm 4 in x 125 FT Box
Plesterin Roll Non Woven roll 10cm x
145
5m Roll
Plesterin Roll Non Woven roll 15 cm x
146
5m Roll
Plesterin Roll Non Woven roll 5cm x
147
5m Roll
148 Policrepe 10 cm x 4,55 m Rol
150 Povidon Iodine 60 ml medika Botol
151 Povidone Iodine 300 ml BOTOL
152 Pot Sputum Buah
153 RDT Antigen - Healgen Pcs
154 Reagen Afinion HbA1c Botol
155 Reagen Afinion HbA1C Control KIT
156 Reagen Anti A 1 x 10 ml KIT
157 Reagen Anti AB 1 x 10 ml KIT
158 Reagen Anti B 1 x 10 ml KIT
159 Reagen Anti D 1 x 10 ml KIT
160 Reagen Diluent M-30 20 L Mindray Botol
161 Reagen Lyse 500 ml Zenix Botol
162 Reagen Proline Tryglicerides KIT
163 Reagen Rinse 20 L Mindray Botol
164 Reagen Salmonella Paratyphi AH 1x5 m KIT
165 Reagen Salmonella Paratyphi AO 1x5 m KIT
166 Reagen Salmonella Paratyphi BH 1x5 m KIT
167 Reagen Salmonella Paratyphi BO 1x5 m KIT
168 Reagen Salmonella Paratyphi CH 1x5 m KIT
169 Reagen Salmonella Paratyphi CO 1x5 m KIT
170 Reagen Salmonella Paratyphi H 1x5 ml KIT
171 Reagen Salmonella Paratyphi O 1x5 ml KIT
172 Rivanol 300 cc Botol
173 Safety box Buah
174 Saniswiss biosanitizer H1 500 ml Botol
175 Sepatu Boots Pair
176 Servical Collar Serenity Pcs
177 Silk Braided Surgical Sutures USP 3/0 box
178 Spalk first AID Pcs
179 Sterile Scalpel Blade#10F#3 Box
183 Stomach Tube 85 cm No 16.Aximed Pcs
184 Stomach Tube 85 cm No.12 Aximed Pcs

187 Strip Test Cholestrol Autocheck Box
188 Strip Test Detecto HbsAg Onemed Buah
189 Strip Test Focus New HIV 1/2 3 Line Pcs
190 Strip Test Glucosa On Call Plus Box 50'
191 Strip test Hb Hemoglobin Mission Pcs
192 Strip Test Health Mate Syphilis Ab Plus Box
193 Strip test SD HIV Bioline Pcs
194
Strip Test Ultra One (Test kehamilan) Buah
195 Strip Test Uric Acid Autocheck Box
196 Strip test Uritest 11G Botol
197 Strip test Virotec dengue Combo Unit
198 Suction Catheter FR 10 unit
200 Surfaces S 5000 ml Biosanitizer KEN
201 Surfaces S 750 ml Biosanitizer Botol
202 Surgical Examination Gynecolog Onem Set
203 Surgical Gloves No. 6.5 Serenity Pcs
204 Thermal Paper EFG Roll Roll
205 Tips For Micro MT 200 IU Pcs
206 Tips For Micro MT II 1 ml Pcs
207 Tips For Micropipet MSTP Pcs
208 Umbilical cord clame fesco Pcs
209 Umbilical Cord Clamp Buah
210 Underpad (Softpad) 60 x 90 cm Pcs
211 U-Pad Steril Buah
212 Urine bag + hanger Pcs
213 Urine bag + hanger Semilas Pcs
214 USG Gel 250 ml Botol
215 Viorex liquid Botol
216 White Tips Bks
217 Pcs
Write On ID Bracelet Adult blue remedi
218 Pcs
Write On ID Bracelet Adult pink remedi
Write On ID Bracelet Child hijau
219 Pcs
remedi
Write On ID Bracelet Child ungu
220 Pcs
remedi
221 Xpert MTB/ RIF Assay Kit Cartrigde TC Pcs
222 Yellow Tip Bks
Bahan Gigi
1 Articulating Paper Pcs
2 Calcimol LC Botol
3 Cavit G ( Ceivitron) Pot
4 Cement Spatula Pcs
5 CHKM Botol
6 Dycal/ Hydcal Botol
7 GC Fuji 9 Mini Pack Box
8 Mikroaplikator Tips Botol
9 Oco/ Poliren No. 1 Botol
10 Bedaquilline 100 mg Tablet
11 Clofazimin Tablet
12 DHP-Frimal
13 Etambutol 400 mg Tablet
14 Ethionamid 250 mg Tablet
15 Isoniazid 300 mg Tablet
16 KDT Dosis Harian
17 Levofloxacin 250 mg Tablet
18 Moxyfloxacin 400 mg Tablet
19 OAT Kategori Anak
20 OAT Kategori Dewasa
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet
22 Primaquine Tablet
23 Pyrazinamide 400 mg Tablet
24 Rapid tes Malaria Test
25 Sarung Tangan Obgyn
28 Tabung EDTA 3 ml
29 Stelosi 5 mg Tablet
30 Foley Cateter 2 Fly FR 16 FR 18 - ABA Pcs
32 Rifampicin 75 mg + Isoniazid 50 mg Tablet
33 Rifapentin 150 mg Tablet
34 Rifapentin 300 mg/Isoniazid 300 mg Tablet
35 Tuberkulin PPD RT 23 Vial
36 Surgical gloves No. 7,5 Trosensosurge Botol
37 Pehavral Tablet
38 Hiperhep Box
39 HIV R2 Pcs
40 HIV R3 Pcs
41 VAR Vial
42 STRIP TEST HIV/SHYPILIS DUO Pcs
SO OBAT & BMHP
PUSKESMAS KARANGAN
BULAN: NOVEMBER 2022
No Nama Item SATUAN JUMLAH ED

1 Acyclovir 400mg Tablet
2 Acyclovir Salep Tube
3 Albendazole 400 mg Tablet
4 Albendazole Suspensi Botol
7 Alprazolam 0,5 mg Tablet
8 Alprazolam 1 mg Tablet
9 Ambroxol 30 mg tab Tablet
10 Ambroxol Syrup Botol
11 Aminofilin injeksi 24 mg/ml Ampul
12 Amitriptillin 25 mg Tablet
15 Amoxicillin 100 mg/ml Drops Botol
16 Amoxicillin 500 mg Tablet
17 Amoxicillin dry syrup 125 mg / 5 ml Botol
18 Ampicillin injeksi Ampul
19 Antasida DOEN Kombinasi Tablet
20 Antasida DOEN Syrup Botol
21 Antifungi DOEN Kombinasi Tube
22 Antihemoroid DOEN Kombinasi Supp
23 Apricot Syrup Botol
24 Asam Ascorbat (Vit c) Tab 50 mg Tablet
25 Asam asetilsalisilat (Miniaspi 80 mg) Tablet
26 Asam Mefenamat 500 mg Tablet
29 Asering Infuse 500 ml Kolf
30 Atropin sulfat injeksi 0,25 mg/mil -1 ml Ampul
31 Betahistine Besilat 6 mg Tablet
32 Betametason cream 0,1 % Tube
33 BIOSAT 1.500 (anti tetanus) Vial
34 BIOSAVE (anti bisa ular) VIAL
35 Bisoprolol 5 mg Tablet
36 Bufacetin salep kulit 1% Tube
37 Calcii Glukonas Inj Ampul
38 Captopril 12,5 mg Tablet
39 Captopril 25 mg Tablet
42 Cefadroxil Dry Syrup 125 mg Botol
43 Cefotaxime Injeksi 1 gr Vial
44 Ceftriaxon Inj 1000 mg Vial
45 Cetirizin 10 mg tab Tablet
46 Cetirizin Syrup Botol
49 Chloramfenicol tetes telinga Botol
50 Chlorfeniramin Maleat 4 mg (CTM) Tablet
51 Chlorpromazine 100 mg Tablet
52 Chlorpromazine 25mg Tablet
53 Ciprofloxacin 500 mg Tablet
54 Clindamicin 150 mg Capsul
57 Codein hcl Tablet 10 mg Tablet
58 Combivent Nebules Vial
59 Cotrimoxazole 480mg Tablet
60 Cotrimoxazole 960 mg Tablet
61 Cotrimoxazole sirup Botol
62 Desoximetasone Krim 0.25% Tube
63 Dexamethason Tab 0,5 mg Tablet
64 Dexamethasone injeksi 5 mg/ml - 1 ml Ampul
65 Dextrose monohydrat 40% Flacon
66 Diabetadex Fitofarmaka Tablet
67 Diazepam injeksi 5 mg / 2 ml Ampul
68 Diazepam Tablet 5 mg Tablet
69 Digoxin tablet 0,25 mg Tablet
70 Diltiazem HCL Tablet 30 mg Tablet
71 Dimenhidrinat 50 mg Tablet
72 Diphenhydramin HCl injeksi 10 mg/ml-1 ml Ampul
73 Domperidon Tablet Tablet
74 Epineprin HCl (adrenalin ) inj 0,1 % - 1 ml Ampul
75 Ergotamin Coffein Tablet
76 Febrinex Ped Suspensi 60 ml Botol
77 Fenol Gliserol Tetes Telinga 10% Botol
78 Fitomenadion (Vit K) Injeksi 2 mg Ampul
79 Fitomenadion (Vit K) Tablet Salut 10 mg Tablet
80 Flutamol Syr Botol
81 Flutamol Tab Tablet
82 Furosemid 10 Mg/ml Injeksi Ampul
83 Furosemid Tablet 40 mg Tablet
84 Garam Oralit 200 mg Bungkus
85 Gentamicin Salep Mata 0,3% Tube
86 Gentamicin Tetes Mata 0,3% Tube
87 Glibenklamid Tablet 5 mg Tablet
90 Griseolfulvin Tablet 125 mg Micronized Tablet
93 Haloperidol 5 mg Tablet
94 Herbakof Syrup Botol
95 Herbakof Tablet Tablet
96 Herbapain (OHT) Obat Anti Nyeri Tablet Tablet
98 Herbavomitz Tablet Tablet
99 Hidroklorotiazid (HCT) Tablet 25 mg Tablet
100 Hidrokortison Krim 2,5% Tube
101 Ibuprofen (Zentarin) Tablet 400 mg Tablet
104 Iliadin Drop Tetes Hidung Botol
105 Imunomodulator anak Syr 25 mg Botol
106 Imunomodulator Forte 50 mg Tablet
107 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet
108 KA EN 3A Kolf
109 KA EN 3B Kolf
110 Kalsium Laktat (kalk) Tablet 500 mg Tablet
111 Karbamazepin 200 mg Tablet
112 Ketoconazole 200 mg Tablet
113 Ketoconazole Zalp Tube
114 Ketorolac Inj 30mg/ml Ampul
115 Lactulosa Syr 3,335 g/5ml (Kompolax) Botol
116 Lansoprazole Tablet 30mg Tablet
117 Lidocain (HCI) 2 % 2 ml Injeksi Ampul
118 Lidocain (HCI) 2% + Epinefrin 2 mg Ampul
119 Loperamide 2 mg Tablet
120 Loratadine tab Tablet
123 Maltiron Syr 60 ml Botol
124 Mersibion Inj Ampul
125 Metformin HCl 500 mg Tablet
126 Metilergometrin Inj 0,2 mg/ml Ampul
127 Metilergometrin maleat Tab 0,125 mg Tablet
133 Metronidazol Tab 500mg Tablet
134 Metronidazole Infus Kolf
135 Metronidazole Suspensi 125mg/5ml Botol
136 Metyldopa (Dopamet) 250 mg Tablet
137 Miconazole krim 2 % Tube
138 Mineral Mix Bungkus
139 Multivitamin Becefort Tablet
140 Multivitamin Becefort Syr 60 ml Botol
141 Multivitamin Natabion Dws Capsul
142 Multivitamin Oxyvit Tablet
145 Natrium Klorida 0,9% OTSU Botol
146 Nifedipin 10 Mg Tablet
147 Nistatin 100.000 IU tab vaginal Tablet
148 Nistatin 500.000 IU Tablet
149 Nistatin suspensi 100.000 IU/mL Botol
150 Noza Kaplet Kaplet
151 OBH Kaca Berlico 100ml Botol
152 Ofloxacin 200 mg Tablet
153 Oksimetazolin tetes hidung 0,05% Botol
154 Oksitetrasiklin HCl 1 % zalp mata Tube
155 Oksitosin Inj 10 IU/ml Ampul
156 Omeprazole caps (Lokev) Capsul
157 Ondansentron Injeksi Ampul
158 Ondansentron Tab 4 mg Tablet
159 Parasetamol Drops Botol
160 Parasetamol Infus btl
161 Parasetamol sirup 120mg/5ml Botol
162 Parasetamol Tab Tablet
163 Phenobarbital injeksi 50 mg / 2 ml Ampul
164 Piridoksin HCl Tablet 10 mg ( Vit B6 ) Tablet
165 Prednison tab 5 mg Tablet
166 Procurma Syr Botol
167 Propiltiourasil (PTU) tab 100 mg Tablet
168 Pularex Tablet Tablet
169 Pyrantel Pamoat 125 mg Tablet
170 Pyrantel Pamoat Susp 125mg / 5ml Botol
171 Ranitidin 150 mg tab Tablet
172 Ranitidin Injeksi Ampul
173 Retinol 100.000 IU BIRU Caps
174 Retinol 200.000 IU MERAH Caps
175 Ringer Laktat Infus Botol
180 Salbutamol Cairan inhalasi Ampul
181 Salbutamol Syrup Botol
182 Salep 2- 4 kombinasi Tube
183 Sianokobalamin (Vit. B12) Tab Tablet
186 Soft U Derm 10% Crema 20gr Tube
187 Spironolactone 25 mg Tablet
190 Sukralfat Suspensi 500mg/ 5ml Botol
191 Sulfadoxine-Pyrimethamine (Suldox) Tablet
192 Tablet Tambah Darah FE Tablet
193 Tetagam Inj Vial
194 Tetrasiklin 500 mg Tablet
195 Thiamin Hcl (Vit B1) Tablet 50 mg Tablet
196 Tramadol Inj Ampul
197 Trifluoperazin 5 mg Tablet
198 Trihexylphenidil 2 mg Tablet
199 Vitamin B komplek Tablet
200 Vitamin D3 1000IU Tablet
201 Voltadex Gel 1% 20 gr Tube
202 Zinc 20 Mg Tablet Tablet
203 Zinc Syr Botol
204 Zincpro Drop 15 ml Botol
205 Acetyl cysteine tablet 200 mg Tablet
206 Cefotaxime sodium serb inj 500 mg Injeksi
207 Cendo Lyteers tetes mata, botol @ 15 ml Botol
208 Chloramphenicol salep mata 1 % Tube
209 Curcuma Plus 60 mL Botol
212 Domperidone drops 5 mg/mL Botol
213 Domperidone sirup/suspensi 5 mg/5 ml Botol
214 Farbivent cairan inhalasi Ampul
215 Flamar Natrium diklofenak tetes mata 1 mg/ml Botol
216 Glimepiride tablet 2 mg Tablet
217 Hidrokortison krim 1% Tube
218 Hyaloph Natrium hialuronat tetes mata Botol
219 Hyoscine Butylbromide Tab Tablet
220 Midric 0,5% Tropikamid tts mata 0,5% Botol
221 Miniaspi Asam Asetilsalisilat tablet 80 mg Tablet
222 Multivitamin Ferbion Kapsul
223 Novadryl Tablet Tablet
224 Nuvopec Syrup Botol
225 Obat Batuk Hitam Combi Botol
226 Obat Batuk Hitam Anak Combi Botol
227 Obat Flu Anak (HUFA) Botol
228 Obat Flu Kombinasi (Noza) Tablet
230 Octenic Gel 20 g Tube
231 Parafen Kaplet Kaplet
232 Permetrin Krim 5% Tube
233 Propranolol tablet 10 mg Tablet
234 Sianokobalamin (vitamin B12) injeksi 500 mcg/m Ampul
235 Vip Albumin Obat Herbal Tablet
236 Vitamin C 1000mg/ Provit C Tablet

1 Alat Suntik 1 ml Stera Buah
7 Alat Suntik 5 cc Stera buah
8 Alkohol 1 Liter Onemed Botol
9 Alkohol 70% 300 ml Botol
10 Alkohol swab Aximed Pcs
11 Apron Plastik one Pcs
12 Aqua proinjeksi steril 20 ml Vial
13 Arm Sling Comfort L Buah
14 Arm Sling Comfort S Buah
15 Bactivec BTI DBD SL Botol
16 Baju APD Coverall Pcs
17 Bioplacenton Tulle Pcs
18 Blood Lancet Serenity Pcs
19 Blood transfusion set ABADA Pcs
20 Blue Tips Bks
21 Catgut chromic 3/0 70 cm violet reverse cutting Pcs
22 Catgut Chromic Surgical Sutures Pcs
23 Catgut Plain Surgical Sutures box
24 Catgut provein 5/0 PV888 45 cm 18 mm Pcs
25 Catgut silk 3/0 75 cm 3/8 CC 19 mm Pcs
26 Cervical collar Buah
27 Derm transport dressing remedi Pcs
28 Dermafix S 4,4 x 4,4 cm Buah
29 Dermafix S 6 x 7 cm buah
30 Dermafix T 15cm x 20 cm Roll
31 Dermafix T 5x7 Buah
32 Dressing IV canulla non woven remedi Pcs
39 Foley catheter no. 16 latex 2 way ABADA Pcs
40 Pcs
41 Foley catheter no. 18 latex 2 way ABADA Pcs
42
43 Hand Gel H1 100 ml+flip top Botol
44 Handrub 5 L Medika Ken
45 Handrub 500 ml Medika Botol
46 Handrub e-care 500 ml Botol
47 Handscrub e-care 500 ml Botol
48 Hazmat suit Winner Pcs
49 Indodent Saliva ejector Buah
50 Infusion set anak set
51 Infusion set dewasa ST01 set
52 Infusion set microdrip ABADA Pcs
53 Infusion set microdrip Otsu Pcs
54 Infusion Set Y Adaptor Otsu Pcs
57 IV Catheter No. 20G Otsu Pcs
60 IV Catheter With Teflon Catheter 1 way 18 G Set
61 IV Catheter With Teflon Catheter 1 way 24 G set
62 IV Catheter With Teflon Catheter 1 way 26 G set
63 IV Catheter WP No. 26G Aximed Pcs
64 Kantong Jenazah Pcs
65 Kantong limbah biohazard uk. L Pack
66 Kantong limbah biohazard uk. M Pack
67 Kantong limbah biohazard uk. S Pack
68 Kapas 250 gram Rol
69 Kapas 500 gram Bks
70 Kasa hidrofil 15 x 4 cm BIOKASA Pcs
73 Kasa hidrofil 20y x 80 cm ABADA Rol
74 Kasa hidrofil 36 cm x 80 cm BIOKASA Rol
80 Kasa hidrofil 4 m x 7,5 cm ABADA Rol
81 Kasa hidrofil 40 cm x 80 cm Rol
82 Kasa hidropil 16 cm x 16 cm ABADA Kotak
83 Kasa Steril 10 cm x 10 cm 16 Ply isi 10 Roll
84
85 Kasa Steril 16 x 16 cm Roll
86 Kasa Steril 18 cm x 22 cm Roll
87 Rol
88 Kertas EKG 112 mm Rol
89 Kertas EKG Z-fold : 215×280mm Rol
90 Latex Examination Gloves Uk. L Pcs
91 Latex Examination Gloves Uk. M Pcs
92 Latex Examination Gloves Uk. S Pcs
93 Latex Examination Gloves Uk. XS Pcs
94 Masker Ear Loop Pcs
95 Masker N95 Particulate Respirator unit
96 Masker Nebulizer Anak Unit
97 Masker Nebulizer Dewasa Unit
98 Masker Nebulizer Dewasa Cosmo Pcs
99 Masker Nebulizer Uk M Anak ABADA Pcs
100 Masker Nebulizer Uk. L Dewasa ABADA Pcs
101 Masker Oksigen Adult Serenity Pcs
102 Masker Oksigen Anak Semillas Pcs
103 Masker Oksigen Dwsa Semillas Pcs
104 Masker Oksigen Infant Serenity Pcs
105 Masker Oksigen Pediatric Serenity Pcs
106 Maxiflow Anak Unit
107 Maxiflow Bayi unit
108 Maxiflow Dewasa unit
109 Micropipet Adjust Vol. 0,1-2,5 UL Pcs
110 Micropipet Adjust Vol. 0,5-10 UL Pcs
124 Mucus Extractor buah
125 Mucus Extractor Serenity Pcs
126 M-Y Jelly 82 Gram Tube Buah
127 Nasal Oksigen Canula Anak Pcs
128 Nasal Oxygen Canula Adult Serenity Pcs
129 Nasal Oxygen Canula Infant Serenity Pcs
130 Nasal Oxygen Canula Pediatric Serenity Pcs
131 Needle CNV 21 x 1,5 ml (BD vacutainer) Pcs
132 Needle CNV 22 x 1,5 ml MLTSMPCE Pcs
133 Non Woven IV Dressing 6 x 8 cm Pcs
134 Nurse Cap Box
135 One Scrub 2% Antiseptic surgical scrub dispense Botol
136 One Scrub 4 %, 500 cc + dispenser Botol
137 Oxyflow Anak Buah
138 Oxyflow bayi Buah
139 Oxyflow Dewasa Buah
140 Paper tape 1,25 cm x 9,14 cm Aximed Rol
141 Paper tape 7,5 cm x 9,14 cm Aximed Rol
142 Papsmer Kit M Buah
143 Papsmer Kit S Buah
144 Parafilm 4 in x 125 FT Box
145 Plesterin Roll Non Woven roll 10cm x 5m Roll
146 Plesterin Roll Non Woven roll 15 cm x 5 m Roll
147 Plesterin Roll Non Woven roll 5cm x 5m Roll
150 Povidon Iodine 60 ml medika Botol
151 Povidone Iodine 300 ml BOTOL
152 Pot Sputum Buah
153 RDT Antigen - Healgen Pcs
154 Reagen Afinion HbA1c Botol
155 Reagen Afinion HbA1C Control KIT
156 Reagen Anti A 1 x 10 ml KIT
157 Reagen Anti AB 1 x 10 ml KIT
158 Reagen Anti B 1 x 10 ml KIT
159 Reagen Anti D 1 x 10 ml KIT
160 Reagen Diluent M-30 20 L Mindray Botol
161 Reagen Lyse 500 ml Zenix Botol
162 Reagen Proline Tryglicerides KIT
163 Reagen Rinse 20 L Mindray Botol
164 Reagen Salmonella Paratyphi AH 1x5 ml KIT
165 Reagen Salmonella Paratyphi AO 1x5 ml KIT
166 Reagen Salmonella Paratyphi BH 1x5 ml KIT
167 Reagen Salmonella Paratyphi BO 1x5 ml KIT
168 Reagen Salmonella Paratyphi CH 1x5 ml KIT
169 Reagen Salmonella Paratyphi CO 1x5 ml KIT
170 Reagen Salmonella Paratyphi H 1x5 ml KIT
171 Reagen Salmonella Paratyphi O 1x5 ml KIT
172 Rivanol 300 cc Botol
173 Safety box Buah
174 Saniswiss biosanitizer H1 500 ml Botol
175 Sepatu Boots Pair
176 Servical Collar Serenity Pcs
177 Silk Braided Surgical Sutures USP 3/0 box
178 Spalk first AID Pcs
183 Stomach Tube 85 cm No 16.Aximed Pcs
187 Strip Test Cholestrol Autocheck Box
188 Strip Test Detecto HbsAg Onemed Buah
189 Strip Test Focus New HIV 1/2 3 Line Pcs
190 Strip Test Glucosa On Call Plus Box 50'
191 Strip test Hb Hemoglobin Mission Pcs
192 Strip Test Health Mate Syphilis Ab Plus Box
193 Strip test SD HIV Bioline Pcs
194 Strip Test Ultra One (Test kehamilan) Buah
195 Strip Test Uric Acid Autocheck Box
196 Strip test Uritest 11G Botol
197 Strip test Virotec dengue Combo Unit
200 Surfaces S 5000 ml Biosanitizer KEN
201 Surfaces S 750 ml Biosanitizer Botol
202 Surgical Examination Gynecolog Onemed Set
203 Surgical Gloves No. 6.5 Serenity Pcs
204 Thermal Paper EFG Roll Roll
205 Tips For Micro MT 200 IU Pcs
206 Tips For Micro MT II 1 ml Pcs
207 Tips For Micropipet MSTP Pcs
208 Umbilical cord clame fesco Pcs
209 Umbilical Cord Clamp Buah
210 Underpad (Softpad) 60 x 90 cm Pcs
211 U-Pad Steril Buah
212 Urine bag + hanger Pcs
213 Urine bag + hanger Semilas Pcs
214 USG Gel 250 ml Botol
215 Viorex liquid Botol
216 White Tips Bks
217 Write On ID Bracelet Adult blue remedi Pcs
218 Write On ID Bracelet Adult pink remedi Pcs
219 Write On ID Bracelet Child hijau remedi Pcs
220 Write On ID Bracelet Child ungu remedi Pcs
221 Xpert MTB/ RIF Assay Kit Cartrigde TCM Pcs
222 Yellow Tip Bks
Bahan Gigi
1 Articulating Paper Pcs
2 Calcimol LC Botol
3 Cavit G ( Ceivitron) Pot
4 Cement Spatula Pcs
5 CHKM Botol
6 Dycal/ Hydcal Botol
7 GC Fuji 9 Mini Pack Box
8 Mikroaplikator Tips Botol
9 Oco/ Poliren No. 1 Botol
10 Bedaquilline 100 mg Tablet
11 Clofazimin Tablet
12 DHP-Frimal
13 Etambutol 400 mg Tablet
14 Ethionamid 250 mg Tablet
16 KDT Dosis Harian
17 Levofloxacin 250 mg Tablet
18 Moxyfloxacin 400 mg Tablet
19 OAT Kategori Anak
20 OAT Kategori Dewasa
21 Piridosin Hcl Tablet 25 mg (Vit. B6) Tablet
22 Primaquine Tablet
23 Pyrazinamide 400 mg Tablet
24 Rapid tes Malaria Test
25 Sarung Tangan Obgyn
29 Tabung Merah
30 Stelosi 5 mg Tablet
33 Alat suntik 3 ml JMI Pcs
34 Foley Cateter 2 Fly FR 16 FR 18 - ABADA Pcs
36 Rifampicin 75 mg + Isoniazid 50 mg Tablet
37 Rifapentin 150 mg Tablet
38 Rifapentin 300 mg/Isoniazid 300 mg Tablet
39 Tuberkulin PPD RT 23 Vial
40 Surgical gloves No. 7,5 Trosensosurge Botol
41 Pehavral Tablet
42 Hiperhep Box

Format LPLPO 2022 Kab. Landak New Juli 2022 (Puskesmas Karangan)

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Format LPLPO 2022 Kab. Landak New Juli 2022 (Puskesmas Karangan)

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

60 IV Catheter With Teflon Catheter 1 way 18 G Set - - -

61 IV Catheter With Teflon Catheter 1 way 24 G set - - -

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Kadaluarsa Sisa Stok Permintaan Pemberian Ket

apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

61 IV Catheter With Teflon Catheter 1 way 24 G set - - -

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahyu,SKM apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

61 IV Catheter With Teflon Catheter 1 way 24 G set - - -

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahyu,SKM apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahyu,SKM apt. M. Agustine Dwi Steviana, S.Farm

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

Jumlah Kunjungan Resep Rawat Jalan Rawat Inap Total

Mengetahui, Yang meminta/Melapor

Marta Rahyu,SKM apt. M. Agustine Dwi Steviana, S.Farm

OBAT GUDANG APOTEK IGD RANAP PONED KIA LAB

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

129 Nasal Oxygen Canula Infant Serenity Pcs

184 Stomach Tube 85 cm No.12 Aximed Pcs

185 Stomach Tube 85 cm No.14 Aximed Pcs

No Nama Item SATUAN JUMLAH ED

BAHAN MEDIS HABIS PAKAI, REAGEN DAN LARUTAN

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