NO.

NAMA OBAT SATUAN SUMBER DANA PROGRAM

1 2 3 4 5
5.1.02.01.01.0037 Belanja Obat_Obat-Obatan
Belanja Obat_Obat-Obatan_Perbekkes
1 Alopurinol Tablet 100 mg Tablet APBD 2023
2 Acyclovir 400 mg Tablet APBD 2023
3 Aminofilin 200 mg Tablet Tablet DAK NON KAT 2022
4 Amitriptilin HCl Tablet Salut 25 mg Tablet DAK KESWA
5 Amlodipin tablet 10 mg Tablet DAK 2022
6 Amlodipin tablet 5 mg Tablet DAK 2022
7 Amoksisilin 500 mg kaplet APBD 2023
8 Amoksisilin 500mg kaplet
9 Amoksisilin Sirup Kering Forte 250 mg/5 ml Botol DAK 2022
10 Antasida DOEN Tablet Kombinasi Tablet DAK 2021
11 Antasida DOEN Suspensi Botol
12 Anti Bakteri DOEN Salep Kombinasi : Basitrasin + Polimiksin
13 Antimigren DOEN Kombinasi : Ergotamin Tartrat + Kofein Tablet
14 Anti Hemorhoid DOEN ktk 10 supp. Supp DAK 2021
15 Antidiare Tablet
16 Asam Askorbat (Vit. C) Tablet 50 mg DAK 2021
17 Asam Askorbat (Vit. C) Tablet 50 mg Tablet DAK 2022
18 Asam Mefenamat 500 mg Tablet Tablet DAK 2022 HTMECA22339,3
19 Asam Mefenamat 500 mg Tablet APBD 2023
20 Asiklovir Cream 5% - 5 g DAK NON KAT 2021
21 Asiklovir tablet 400 mg Tablet DAK NON CAT 2022
22 Bisakodil Supp 5 mg Supp DAK 2019
23 Borax Gliserin Botol DAK NON KAT 2021
24 Cetirizin sirup 5 mg/5ml Botol DAK 2022
25 Cetirizin 10 mg Kapsul APBD 2023
26 Deksametason Injeksi 5 mg/ml-1 ml Ampul DAK NON KAT 2022
27 Deksametason Tablet 0,5 mg Tablet APBD 2023
28 Diazepam Rectal Supp DAK 2020
29 Diazepam Tablet 2 mg Tablet DAK 19
30 Dimenhydrinate 50 mg Tablet DAK 2022
31 Digoksin Tablet 0,25 mg Tablet DAK NON KAT 2022
32 Domperidon Tablet 10 mg Tablet APBD 2023
33 Domperidon suspensi 5 mg/5ml mg Botol
34 Efinephrin 1mg/ml inj ampul
35 Eritromisin 500 mg Kapsul Kaplet
36 Eritromisin Sirop 200 mg /5ml Btl 60 ml
37 Fenobarbital Injeksi 5 mg/ml -2 ml
38 Fenobarbital tablet 30 mg Tablet DAK 2021
39 Fenol Gliserol Tetes Telinga 10% - 5 ml Botol DAK 2022
40 Fitomenadion (Vit. K1) tablet 10 mg
41 Fitomenadion inj 2 mg/ml (PEHA)
42 Furosemid Tablet 40 mg Tablet DAK NON KAT 2022
43 Furosemid inj 10 mg/mL Ampul DAK 2021
44 Gentamisin 0,3% TM fls DAK NON KAT 2022 D0857007,D05
45 Gentamisin Salep Kulit 0,1% - 5 g DAK NON KAT 2022
46 Gentamisin Salep Mata 0,3 % Tube
47 Glibenklamid Tablet 5 mg Tablet DAK 2021
48 Glimepiride 1 mg Tablet
49 Glimepiride 2 mg Tablet DAK 2022 HTMGPK22173,1
50 Glukosa Larutan Infus 5% Steril 500 ml Botol DAK 2022
51 Griseofulvin Tablet 125 mg, Micronized Tablet
52 Haloperidol 1,5 mg Tablet Tablet DAK 19 KESWA
53 Hidroklorotiazid (HCT) Tablet 25 mg Tablet DAK 2022
54 Hidrokortison Krim 2,5% Tube DAK 2021
55 Hidrokortison Krim 2,5% Tube DAK 2022 F21192W,F212
56 Ibuprofen Tablet 400 mg Tablet APBD 2023
57 Ibuprofen Tablet 400 mg Tablet DAK NON KAT 2022
58 Isosorbid Dinitrat sublingual tab 5 mg Tablet DAK 2022
59 Isosorbid Dinitrat sublingual tab 5 mg Ampul
60 Kalsium Laktat (Kalk) Tablet 500 mg Tablet DAK 2022
61 Kaptopril tablet 25 mg ktk 100 tab
62 Ketokonazol cream Tube
63 Ketokonazol tab 200 mg (ktk 50 tab) Tablet DAK 2022
64 Klindamisin kapsul 300mg
65 Klobazam 10 mg (kotak 100 tab)
66 Kloramfenikol Salep Kulit 1% Tube
67 Kloramfenikol Tetes Telinga 3% Botol DAK NON KAT 2022
68 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet
69 Kotrimoksazol Suspensi Kombinasi DAK 2022
70 Kotrimoksazol Tablet Kombinasi/Dewasa: DAK 2022
71 Lidokain Injeksi DAK 2021
72 Lisinopril Tablet 5 mg tablet DAK 2021
73 Loratadin 10 mg Tablet DAK 2022
74 Magnesium Sulfas Inj. 20%-25ml vial DAK 2021
75 Magnesium Sulfas Inj. 40%-25ml vial DAK 2021
76 Meloxicam 15 mg Tablet DAK NON KAT 2022
77 Metformin HCl 500 mg tab Tablet DAK 2021
78 Metformin HCl 500 mg tab Tablet DAK 2022
 79 Metildopa Tablet 250 mg Tablet DAK 2020
80 Metildopa Tablet 250 mg DAK 2020
81 Metilergometrin Tablet Salut 0,125 g Tablet DAK 2022
82 Metilergometrin Maleat Injeksi 0,200 mg/ml Ampul DAK 2021
83 Metilprednison tablet 4 mg Tablet DAK 2022
84 Metronidazol Infus 5 mg/ml DAK 2021
85 Metronidazol 500mg Tablet APBD 2023
86 Multi vitamin kaplet Tablet DAK NON KAT 2022
87 Multi vitamin syrup Botol DAK NON KAT 2021
88 Multi vitamin syrup Botol DAK 2022
89 N-asetil sistein 200 mg Dak 2022
90 Natrium Bikarbonat Tablet 500 mg Tablet DAK NON KAT 2022
91 Natrium Clorida Lrt. Infus 0,9% Steril Btl 500ml DAK 2021
92 Natrium Clorida Lrt. Infus 0,9% Steril APBD 2023
93 Natrium Diklofenak 25 mg (ktk 50 tab) DAK 2022
94 Neocenta Gell Pcs DAK NON KAT 2022
95 Nifedipin 10 mg Tablet DAK 20/ NON KAT
96 Nistatin 500.000 IU/gram Tablet Vaginal Tablet
97 Nistatin 100.000 IU/gram Tablet Vaginal Tablet DAK 2020
98 Norit Tablet DAK 18/ NON KAT
99 Obat batuk kombinasi tablet Tablet DAK NON KAT 2022
100 Obat batuk kombinasi syrup Botol DAK NON KAT 2022 DOSEM023,027,DOSEA
101 Obat Batuk Hitam (OBH) Cairan- 100 ml Botol DAK 2022
102 Oksitetrasiklin HCl Salep Kulit 3% - 5 g Tube
103 Omeprazol Kaps 20 mg Kapsul
104 Parasetamol drops
105 Parasetamol Tablet 500 mg Tablet DAK NON KAT 2022
106 Parasetamol Syrup Botol DAK 2022
107 Permetrin krim 5% (Scabimite Krim) Tube DAK 2022
108 Piroksikam 20 mg Tablet DAK NON KAT 2022
109 Prednison Tablet 5 mg DAK 2022
110 Ranitidin inj. 50 mg/2ml Ampul
111 Ranitidin tablet 150 mg Tablet DAK 2022 HTRNTB2211
112 Ringer Laktat Larutan Infus Steril-500 ml Botol APBD 2023
113 Salbutamol tablet 2 mg Tablet DAK 2022
114 salbutamol Sol.for inhalation Ampul DAK NON KAT 2022
115 Salep 2-4, Kombinasi pot DAK 2022
116 Salisil Bedak 2%-75 gram
117 Sefadroksil Tablet 500 mg Tablet DAK NON KAT 2022 22030757,22030857,2206
118 Sefadroksil sirup kering 125mg/5ml botol DAK 2022
119 Serum Anti Bisa Ular Inj.5 ml (ABU I) vial DAK 2022
120 Serum Anti Bisa Ular Inj.5 ml (ABU I) vial DAK 2022
121 Serum Anti Tetanus injeksi vial DAK NON KAT 2022
122 Serum Anti Rabies Vero 4"s set
123 Sianokobalamin (Vit.B12) Tablet Tablet DAK 2022
124 Sianokobalamin (Vit.B12) Tablet DAK 2020
125 Simvastatin Tablet 10 mg Tablet DAK 2022
126 Siprofloksasin 500 mg Tablet DAK 2022
127 Stimuno Syrup Orange Berry 100 ml Botol DAK 2021
128 Stimuno Forte tablet DAK 2021
129 Tiamin HCI/Mononitrat (Vit.B1) Tablet 50 mg Tablet DAK 2022
130 Vitamin B Komplek Tablet DAK 2022
131 ZINC Tablet dis 20 mg DAK 2020 DIARE
Belanja Obat_Obat-Obatan_P2P
1 Alopurinol Tablet 100 mg Tablet DAK P2P 2022
2 Amlodipin tablet 10 mg Tablet DAK P2P 2022
3 Amlodipin tablet 5 mg Tablet DAK P2P 2022
4 Amoksisilin 500 mg Kaplet DAK P2P 2022
 5 Amoksisilin Sirup Kering 125 mg/5 ml Botol DAK P2P 2022
6 Antasida DOEN Tablet Kombinasi Tablet DAK P2P 2022 2209010, 2211067
7 Antasida DOEN Suspensi Botol DAK P2P 2022 S2357042, S235
8 Antidiare Tablet Tablet DAK P2P 2022
9 Asam Askorbat (Vit. C) Tablet 50 mg Tablet DAK P2P 2022
10 Asam Mefenamat 500 mg Tablet Kaplet DAK P2P 2022 2209074, 2209073
11 Asiklovir tablet 400 mg Tablet DAK P2P 2022
12 Betametason Krim 0,1%-5g Tube DAK P2P 2022
13 Betahistin Mesilate Tablet DAK P2P 2022
14 Domperidon Tablet 10 mg @ 50 TAB Tablet DAK P2P 2022
15 Furosemid Tablet 40 mg Tablet DAK P2P 2022
16 Gentamisin Salep Kulit 0,1% - 5 g Tablet DAK P2P 2022
17 Gliseril Guaikolat Tablet 100 mg (Guaiafenisin) Tablet DAK P2P 2022
18 Gliseril Guaikolat Tablet 100 mg (Guaiafenisin) Tablet DAK P2P 2022
19 Hidrokortison Krim 2,5% Tube DAK P2P 2022
20 Ibuprofen Tablet 400 mg Tablet DAK P2P 2022
21 Kalsium Laktat (Kalk) Tablet 500 mg Tablet DAK P2P 2022
22 Ketokonazol tab 200 mg (ktk 50 tab) Tablet DAK P2P 2022
23 Kloramfenikol Tetes Telinga 3% (RECO) Botol DAK P2P 2022
24 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet DAK P2P 2022
25 Lidokain Injeksi Ampul DAK 2022 P2P
26 N-asetil sistein 200 mg Tablet DAK P2P 2022
27 Natrium Diklofenak 50 mg (ktk 50 tab) Tablet DAK P2P 2022
28 Obat batuk Pilek kombinasi tablet (molexflu) Tablet DAK P2P 2022
29 Omeprazol Kaps 20 mg Kapsul DAK P2P 2022
30 Parasetamol Tablet 500 mg Tablet DAK P2P 2022
31 Parasetamol Syrup Botol DAK P2P 2022
32 Piridoksin HCl. Tablet Tablet DAK P2P 2022
33 Prednison Tablet 5 mg Tablet DAK P2P 2022
34 Ranitidin tablet 150 mg Tablet DAK P2P 2022
35 Salbutamol tablet 2 mg Tablet DAK P2P 2022
36 Sefadroksil Tablet 500 mg Kapsul DAK P2P 2022
37 Sefadroksil sirup kering 125mg/5ml Botol DAK P2P 2022
OBAT_PROGRAM (HIBAH)
1 Albendazol Tablet 400 mg Tablet PROGRAM 2021 FILARIASIS
2 Albendazol Suspensi 200 mg/5 mL Botol Program 2023 FILARIASIS
3 Amitriptilin HCl Tablet Salut 25 mg Tablet PROGRAM 2022 KESWA
4 Amoksisilin 500 mg Tablet PROGRAM 2023
5 Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah Kombinas) Tablet PROGRAM 2022 GIZI
6 Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah Kombinas) Tablet PROGRAM 2022 GIZI
7 Clozapin 25 mg (KTK 50 TAB) Tablet PROGRAM 2022 KESWA
8 Clozapin 25 mg (KTK 50 TAB) Tablet PROGRAM 2022 KESWA
9 Diazepam Injeksi 5 mg/ml-2 ml Ampul PROGRAM 2022 KESWA
10 Diazepam Injeksi 5 mg/ml-2 ml Ampul PROGRAM 2022 KESWA
11 Diazepam tablet 5 mg Tablet PROGRAM 2022 KESWA
12 Dietilkarbamazin sitrat (DEC) tab 100 mg Tablet PROGRAM 19 FILARIASIS
13 Diphenhidramin inj 10ml Ampul PROGRAM 2023
14 Flufenazine Dekanoat injk 25mg/ml Ampul PROGRAM 2022 KESWA
15 Garam Oralit 200 ml air Sachet PROGRAM 2021 DIARE
16 Garam Oralit 200 ml air Sachet PROGRAM 2023 DIARE
17 Gentamisin inj 40 mg/ 2 mL Ampul KIA
18 Haloperidol Dekanoat Injeksi 50 mg/ml Ampul PROGRAM 2022
19 Haloperidol Dekanoat Injeksi 50 mg/ml Ampul PROGRAM 2022
20 Haloperidol 5 mg Tablet Tablet PROGRAM 2022 KESWA
21 Haloperidol 5 mg Tablet Tablet PROGRAM 2022 KESWA
22 Haloperidol 5 mg Tablet Tablet PROGRAM 2022 KESWA
23 Magnesium Sulfas Inj. 20%-25ml Vial PROGRAM 2022
24 Mineral Mix Sachet PROGRAM
25 Oksitetrasiklin HCl Salep Mata 1% - 3,5 g Tube PROGRAM 22 KIA
26 Oksitosin Injeksi 10 IU/ml-1 ml Ampul Program 2023 KIA
27 Retinol (Vit.A) 100.000 IU Kapsul (biru) Kapsul Lunak PROGRAM 2022 GIZI
28 Retinol (Vit.A) 100.000 IU Kapsul (biru) Kapsul Lunak PROGRAM 2023
29 Retinol (Vit.A) 200.000 IU Kapsul (merah) Kapsul Lunak PROGRAM 2022 GIZI
30 Retinol (Vit.A) 200.000 IU Kapsul (merah) Kapsul Lunak PROGRAM 2023 GIZI
31 Risperidon 2 mg Tablet PROGRAM 2022 KESWA
32 Salbutamol tablet 2 mg Tablet PROGRAM 2023
33 Simvastatin Tablet 10 mg Tablet PROGRAM 2023
34 Trifluoperazin HCl Tab 5 mg Tablet PROGRAM 2020 KESWA
35 Triheksifenidil Tablet Tablet PROGRAM 2022 KESWA
36 Triheksifenidil Tablet Tablet PROGRAM 2022 Keswa
37 ZINC Tablet dis 20 mg Tab Disp PROGRAM 2022 DIARE
38 ZINC Tablet dis 20 mg Tab Disp PROGRAM 2022 DIARE
39 Efavirenz 600 mg @ 30 PROGRAM 2021 HIV
40 Efavirenz 600 mg PROGRAM 2022 HIV
41 Lamivudine 150 mg @60 PROGRAM 2021 HIV
42 Lamivudine 150 mg PROGRAM 2021 HIV
43 Lamivudine 150 mg PROGRAM 2021 HIV
44 Lamivudine 150 mg PROGRAM 2022 HIV
45 Lamivudine 150 mg PROGRAM 2022 HIV
46 Neviraphine 200 mg @60 PROGRAM 2021 HIV
47 Neviraphine 200 mg PROGRAM 2022 HIV
48 Neviraphine 200 mg PROGRAM 2022 HIV
49 Neviraphine 200 mg PROGRAM 2023 HIV
50 TDF (300) + 3TC (300) + EFV (600) atrifla @30 Tablet PROGRAM 2022 HIV
51 TDF (300) + 3TC (300) + EFV (600) atrifla PROGRAM 2022 HIV
52 Tenofovir 300 mg @30 PROGRAM 2022 HIV
53 Tenofovir 300 mg PROGRAM 2022 HIV
54 Zidovudin (300) Lamivudine (150) @60 PROGRAM 2022 HIV
55 Zidovudin (300) Lamivudine (150) PROGRAM 2022 HIV
56 Zidovudin 100 mg @60 PROGRAM 2021 HIV
57 Zidovudin 100 mg PROGRAM 2022 HIV
58 Zidovudin 100 mg PROGRAM 2023 HIV
59 Lovinapir 200 mg/Ritonavir 50 mg (Aluvia) @120 tablet PROGRAM 2022 HIV
60 Lovinapir 200 mg/Ritonavir 50 mg (Aluvia) tablet PROGRAM 2022 HIV
61 Lovinapir 200 mg/Ritonavir 50 mg (Aluvia) tablet PROGRAM 2022 HIV
62 Efavirenz 200 mg @90 tablet PROGRAM 2021 HIV
63 Efavirenz 200 mg tablet PROGRAM 2022 HIV
64 Rilpivirin 25 mg (Edurant) @30
65 Cefixime+ Azithromisin Kombipak Paket PROGRAM 2022 HIV
66 Kotrimoksazol 960 mg PROGRAM 2022 HIV
67 Isoniazid 300 mg (INH) Tablet PROGRAM 2022 HIV
68 Flukonazol 150 mg PROGRAM 2023 HIV
69 Dolutegravir comprimes @30 tablet PROGRAM 2022 HIV
70 TDF(300)+3TC(300)+DTG(50) TLD @30 tablet PROGRAM 2021 HIV
71 Benzatin Penisilin inj 2,4 mg PROGRAM 2021 HIV
72 Primetamine Tablet PROGRAM 2021 HIV
73 Vit B6 25 Mg PROGRAM 2022 HIV
74 Abacavir 300 mg @60 Tablet PROGRAM 2021 HIV
OBAT_PROGRAM KUSTA
1 MB Anak Blister PROGRAM 2022 KUSTA
2 MB Anak Blister PROGRAM 2023 KUSTA
3 MB Dewasa Blister PROGRAM 2022 KUSTA
4 MB Dewasa Blister PROGRAM 2023 KUSTA
5 PB Dewasa Blister PROGRAM 2022 KUSTA
6 PB Dewasa Blister PROGRAM 2022 KUSTA
7 PB Dewasa Blister PROGRAM 2023 KUSTA
8 PB Anak Blister PROGRAM 2022 KUSTA
OBAT_PROGRAM DBD
1 ABATE (LAVARSIDA) PROGRAM 2022 DBD
2 Bactivec Btl 30 mL PROGRAM 2021 DBD
3 Sipermetrin Zeta 15 UL liter PROGRAM 2022 DBD
4 Sipermetrin Zeta 15 UL liter PROGRAM 2022 DBD
5 Sipermetrin Zeta 15 UL liter PROGRAM 2022 DBD
6 Sipermetrin Zeta 15 UL LITER PROGRAM 2023 DBD
7 Temephos 1 Gr (Abate 1kg/btl) Kg PROGRAM 2023 DBD
OBAT_ PROGRAM MALARIA
1 Dehidroartemisin+Piperaqine (DHP) Tablet PROGRAM 2022
2 Kuinin tablet 200 mg Tablet PROGRAM 2021 Malaria
3 Primakuin tablet 15 mg Tablet PROGRAM 2021 Malaria
4 Primakuin tablet 15 mg Tablet PROGRAM 2022
OBAT_ PROGRAM RABIES
1 Vaksin Anti Rabies (VAR) vial PROGRAM 2022 Rabies
2 Vaksin Anti Rabies (VAR) vial PROGRAM 2023 Rabies
OBAT_PROGRAM TB
1 Isoniazid tablet 300mg Tablet PROGRAM 2022 TB PARU
2 Isoniazid tablet 300mg Tablet PROGRAM 2023 TB PARU
3 Isoniazid tablet 300mg Tablet PROGRAM 2023 TB PARU
4 Isoniazid tablet 300mg Tablet PROGRAM 2023 TB PARU
5 Isoniazid 300 MG/ Rifapentin 300mg (3HP) PACK PROGRAM 2023 TB PARU
6 Isoniazid 300 MG/ Rifapentin 300mg (3HP) PACK PROGRAM 2023 TB PARU
7 Isoniazid 300 MG/ Rifapentin 300mg (3HP) PACK PROGRAM 2022 TB PARU
8 Rifampicin 75/ Inh 50 (3HR) Tablet PROGRAM 2023 TB PARU
9 RIFTIN (Rifapentin 150 mg) tablet PROGRAM 2023 TB PARU
10 Obat Anti tuberkulosis FDC kategori I (INTERMITEN) Tablet PROGRAM 2022 TB PARU
11 Obat Anti tuberkulosis FDC kategori I (INTERMITEN) Tablet PROGRAM 2022 TB PARU
 12 Obat Anti tuberkulosis FDC kategori I (INTERMITEN) Tablet PROGRAM 2021 TB PARU
13 Obat Anti tuberkulosis KDT Dosis Harian Paket PROGRAM 2022 TB PARU
14 Obat Anti tuberkulosis KDT Dosis Harian Paket PROGRAM 2023 TB PARU
15 Obat Anti tuberkulosis FDC kategori II Paket TB PARU
16 Obat Anti tuberkulosis kategori anak Paket PROGRAM 2022 TB PARU
17 Obat Anti tuberkulosis kategori anak Paket PROGRAM 2023 TB PARU
18 Obat Anti tuberkulosis kategori anak Paket PROGRAM 2023 TB PARU
19 Piridoksin HCl 25 mg Tablet PROGRAM 2022
20 Pyrazinamid 500 mg tablet PROGRAM 2023 TB PARU
21 Ethambutol tab salut 400 mg tablet PROGRAM 2023 TB PARU
22 Ethambutol tab salut 100 mg PROGRAM 2023 TB PARU
23 Levofloxacin 100mg Tablet PROGRAM 2023 TB PARU
24 Levofloxacin 250mg PROGRAM 2023 TB PARU
5.1.02.01.01.0015 Belanja Suku Cadang_Suku Cadang Alat Kedokteran
Suku Cadang Alat Kedokteran_Perbekkes
1 Alat suntik sekali pakai 1 cc pcs DAK 2022
2 Alat Suntik Sekali Pakai 3 ml pcs DAK 2022
3 Alat suntik sekali pakai 5 cc pcs DAK 2022
4 Alat suntik 10 mL PCS DAK 18
5 Catgut chromic no. 2/0 1 ktk=12pcs pcs DAK 2021
6 Catgut chromic no. 3/0 1 ktk=12pcs pcs DAK 2021
7 Infuset Dewasa pcs
8 IV catheter no. 18 G x 1" pcs DAK 2022
9 IV Chateter No-20G x 1 1/4" pcs DAK 2022
10 IV Catheter no. 22 G x 1" pcs DAK 2022
11 IV Chateter No-24G pcs DAK 2022
12 Kapas berlemak 500g Bungkus DAK
13 Kapas Pembalut/Absorben 250 g DAK 19
14 Kassa Pembalut Hidrofil 4 m x 5 cm Roll P.DAK
15 Kassa Pembalut Hidrofil 4 m x 6 cm Roll DAK 2022
16 Kasa Pembalut 2 m x 80 cm Roll DAK 17
17 Kasa Pembalut 40 y x 80 cm Roll DAK 2022
18 Kasa Pembalut Hidrofil 4 m x 15 cm Roll DAK 2022
19 Kertas puyer pak
20 Masker Tali Box DAK 2022
21 Masker N95
22 Masker O2 Anak Pcs
23 Masker O2 Anak Pcs DAK 19
24 Masker O2 Dewasa Pcs DAK 19
25 Nasal Oksigen Canula Dewasa pcs DAK 2021
26 Nasal Oksigen Canula anak DAK 2021
27 Nasal Oksigen Canula Bayi(Neonatal) pcs DAK 2021
28 Needle 27 pcs
29 Sarung Tangan non steril (S) (box isi 100 pair) psg/set DAK 2021
30 Sarung Tangan non steril M psg/set DAK 2021
31 Sarung Tangan non steril M box DAK 2022
32 Sarung tangan non steril uk. L psg/set DAK 2021
33 Sarung tangan obgyn steril psng/set DAK 19
34 Sarung tangan steril No. 6.5 pasang DAK 2021
35 Sarung tangan steril No. 7,5 pasang
36 Sarung tangan steril No. 8 pasang DAK 2021
37 Silk (Benang Bedah Sutra)No.3/0 pcs DAK NON KAT 2022
38 Umbilical cord pcs DAK 19
39 Urine Bag (disterilisasi oleh EO) pcs DAK 2021
Suku Cadang Alat Kedokteran_Program (HIBAH)
1 Face Shield safety helm Pcs DAK P2P 2022 P2P
2 Hand Sanitizer 5L BPOM Jerigen DAK P2P 2022 P2P
3 Masker Tali Box DAK P2P 2022 P2P
 4 Masker N95 Box DAK P2P 2022 P2P
5 Sarung Tangan Latex Non Powder Box DAK P2P 2022 p2p
6 Surgical Gown Pcs DAK P2P 2022 P2P
Suku Cadang Alat Kedokteran_PROGRAM HIV
1 Kondom Rubber Latex pcs PROGRAM 2022 HIV
2 Lubricant Cupid pcs PROGRAM 2022 HIV
Suku Cadang Alat Kedokteran_PROGRAM DBD
1 Alat Pelindung Diri paket PROGRAM 2021 DBD
2 APD Penyemprot Petugas DBD PAKET PROGRAM 2022 DBD
3 Jumantik KIT kit PROGRAM 2021 DBD
4 Media Promosi Package PROGRAM 2021 DBD
5 Media Promosi Package PROGRAM 2022 DBD
Suku Cadang Alat Kedokteran_ PROGRAM FILARIASIS
1 Filariasis Kit Kit PROGRAM 19 Filariasis
Suku Cadang Alat Kedokteran_ PROGRAM TB
1 Masker Tali PCS PROGRAM 2023 TB PARU
2 Masker Tali PCS PROGRAM 2023 TB PARU
3 Masker Bedah box program 2022 TB PARU
4 Masker N95 (Dream Can) boks 3PROGRAM 2022 TB PARU
5 Masker Bedah box PROGRAM 2022 TB PARU
6 Masker Bedah box program 2023 TB PARU
7 Masker Bedah (SURGICAL) box program 2023 TB PARU
5.1.02.01.01.0016 Belanja Suku Cadang_Suku Cadang Alat Laboratorium
Suku Cadang Alat Laboratorium_Perbekkes
1 Oxister Pro H2O2 2% 750 mL DAK 2022
2 Oxister Pro H2O2 2% 5L DAK 2022
3 Handsanitizer 2% 500 mL DAK 2022
4 handsanitizer 2% 5L DAK 2022
Suku Cadang Alat Laboratorium_Program (HIBAH)
1 Stik glukosa Benecheck Tube (50 pcs) DAK 2021 P2P P2P
2 Rotator unit PROGRAM 2020 HIV
3 Centrifuse unit PROGRAM 2020 HIV
Suku Cadang Alat Laboratorium_ PROGRAM HIV
1 DBS Collection Kit kit/20 tes PROGRAM 22 HIV
2 VIROCHECK HIV (R1) PCS PROGRAM 2022 HIV
3 VIROCHECK HIV (R1) PCS PROGRAM 2022 HIV
4 VIROCHECK HIV (R1) PCS PROGRAM 2023 HIV
5 DIAGNOSTAR DS HIV TEST (R2) PCS PROGRAM 2022 HIV
6 STANDAR HIV AB 3 LINE (R2) PROGRAM 2022 HIV
7 Rapid Test HIV TURKLAB (R3) PROGRAM 2022 HIV
8 Rapid Test Syphilis trepocheck pcs PROGRAM 2022 HIV
9 Reagen CD4 Control test PROGRAM 19 HIV
10 Reagen CD4 Tipe 1 test test PROGRAM 22 HIV
11 SD Bioline HIV/Syphilis Duo (6FK30) pcs PROGRAM 2022 HIV
12 HBsAg strip PCS PROGRAM 2022 HEPATITIS
13 Rapid Test Anti HCV Pcs PROGRAM 2023 HEPATITIS
Suku Cadang Alat Laboratorium_ PROGRAM KUSTA
1 RAPID FRAMBUSIA (HEXAGOM) TEST PROGRAM 2022 KUSTA
Suku Cadang Alat Laboratorium_ PROGRAM DBD
1 RDT Chikungunya test PROGRAM 2022 DBD
2 RDT DBD Combo (IGG & NS1) test PROGRAM 2023 DBD
3 RDT Chikungunya test PROGRAM 2021 DBD
Suku Cadang Alat Laboratorium_ PROGRAM MALARIA
1 RDT Malaria test PROGRAM 19 Malaria
Suku Cadang Alat Laboratorium_ PROGRAM TB
1 Catridge TCM Pcs Program 2022 TB PARU
2 Catridge TCM test Program 2022 TB PARU
3 Catridge TCM test Program 2022 TB PARU
 4 Object glass frosted isi 72 / slide box PROGRAM 2022 TB PARU
5 Object glass/ Kaca preparat boks PROGRAM 2022 TB PARU
6 Pot Dahak pot PROGRAM 2022 TB PARU
7 Pot Dahak pot PROGRAM 2023 TB PARU
8 Tuberkulin PPD RT 23 SSI vial PROGRAM 2021 TB PARU
9 Tuberkulin PPD RT 23 SSI vial ALOKASI KAB.GARUT TB PARU
10 Zeil Nelson (ZN set) 100 ml) No.Cat. 17134) PROGRAM 2021 TB PARU
 SALDO AWAL
HARGA SO GUDANG
SO
TOTAL
SATUAN PELAYANAN
NO BATCH ED

6 7 8 9 10 11

Y22010, E23028 12-24 300

20130 11-25 1221
T0222034 05-25 158.76
19AT1003 07-23 167
AC2050 09-24 70 1000 290
102071 10-23 53 300 60
TAMX834067 03-26 546.12
05-25, 06-25 700 1500 335
20326 06-25 3498 60 30
A01928, A01938 10-23 54

E11415(6)W 05-23 3250

433.63
21TD007 04-25 42
21320111 11-23 42
HTMECA22339,368,23400,401,421 04-26 111 900
F23014 06-25 350
4617 03-24 3495 20 25
 HTACVE16037 06-24 554.43
19091245 08-23 6000
V01 032 03-25 3443
AC4151 03-24 2090
AB1461 08-24 307.47
56337049 04-25 1960.16
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 X2344101 01-23 946
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A20438 03-25 1160
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 A22029 01-25 222.75 286
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D11054J Apr-23 6630
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BLM62111A Jul-23 5150
7247325 May-24 1620
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H92814J 08-23 18720

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3132963 Mar-25 2161

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BLR4050 11-24 31928
BLG614-4452 Sep-24 40526
BMF0987 02-26 51858
BLH2422 May-24 15304
BKE6422 Jul-23 12617
BLH2422 05-24 12617
 APBN2021 Aug-23 64691
- -
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587814 Aug-23
apbn2021 Dec-23 239800
120739 Sep-24 200000
224R090011-0016 Jul-24 71500

210502 May-23 1900

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46386002 Mar-24
46386002 Mar-24 100

1481M045 Jul-24 153000

1481M045 Jul-24 153000

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Jan-24 310
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nrt224A Jul-24 1087
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56461086 11-25 419500
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 56461086/56461091 11-25/12-25 419500
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LBC2281-82 Feb-28 331

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 Jun-26 15350
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6500132 1/31/2024 608280
020-026 Sep-24 177891