Lplpo Jan-Des 2021 (BPK)

LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( JANUARI 2021 )
PUSKESMAS NON RAWAT INAP CANDRA MUKTI

KABUPATEN TULANG BAWANG BARAT
STOK
NO NAMA 0BAT SATUAN HARGA SATUAN
Stok Awal Stok Awal (Rp) Penerimaan Penerimaan (Rp) Persediaan Pemakaian
1 2 3 4 5 6 7
I DAK
1 Allopurinol tablet 100 mg tab 110 2,300 253,000 - 2,300 700

2 Albendazol 400 mg tab 402 700 281,400 - 700 100
3 Albendazol susp 200mg/5ml botol 3,849 - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 3,100 3,193,000 - 3,100 700
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 256 3,449,600 - 256 40
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 55 163,680 - 55
7 Aminofilin tablet 200 mg tab 139 300 41,700 - 300
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - - -
9 Amlodipin 5 mg tab 73 - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - -
11 Amoksilin kapsul 500 mg kaplet 249 21,900 5,453,100 2,000 498,000 23,900 4,100
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 335 630,135 100 188,100 435 105
13 Antalgin (Metampiron) tablet 500 mg tablet 234 - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - -
15 Antasida DOEN Tab tablet 58 8,700 504,600 2,000 116,000 10,700 2,050
16 Antasida DOEN susp botol 2,129 172 366,188 100 212,900 272 37
17 Anti Bakteri DOEN salep kombinasi tube 2,516 - - - -
18 Anti Hemoroid supp 3,167 36 114,012 - 36 10
19 Antifungi DOEN kombinasi pot 2,904 176 511,104 - 176 5
20 Anti Migren tablet 185 - - - -
21 Aqua Pro Inj Steril 20 ml botol 5,500 - - - -
22 Aqua Pro Inj Steril 25 ml botol 2,860 342 978,120 - 342
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 8,100 850,500 800 84,000 8,900 1,000
24 Asam Folat 1 mg tablet 48 - - - -
STOK
1 2 3 4 5 6 7
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 5,100 7,905,000 700 1,085,000 5,800 1,900
26 Asam Traneksamat inj 50mg/ ml amp 1,748 330 576,840 - 330
27 Asetosal tab 100 mg tablet 133 - - - -
29 Asiklovir Krim 5% tube 3,150 - - - -
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100
31 Asiklovir tablet 400 mg tablet 380 2,750 1,045,000 900 342,000 3,650 150
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - - -
33 Betametason krim 0,1% tube 3,350 115 385,250 50 167,500 165 113
34 Bionemi kapsul 1,640 - - - -
35 Cefixime 100mg tab 2,394 - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - -
37 Cetirizine kaps kapsul 96 1,600 153,600 250 24,000 1,850 350
38 Cetirizine syr botol 2,850 - - - -
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 290 458,200 100 158,000 390 30
40 Deksametason tablet 0,5 mg tablet 32 16,300 521,600 - 16,300 1,660
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - -
42 Diazepam tablet 2 mg tablet 27 - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 120 140,160 - 120 20
44 Digoksin tablet 0,25 mg tab 97 - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 200 53,600 - 200
46 Domperidone tab 10 mg tablet 167 1,400 233,800 - 1,400 900
47 Domperidone syrup botol 19,750 10 197,500 10 197,500 20 5
48 Efedrin HCI tablet 25 mg tablet 51 - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 20 28,160 - 20
50 Eritromisin kapsul kapsul 1,000 100 100,000 - 100
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - -
STOK
1 2 3 4 5 6 7
52 Etakridin (Rivanol) 300 ml botol 3,400 4 13,600 - 4
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - -
54 Etanol 70% 100 ml botol 2,500 - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - -
56 Fenilbutazon 200 mg tablet 143 - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - -
58 Forasma tab 600mg tab 1,200 - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 90 307,530 - 90 20
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,500 1,065,000 - 1,500
61 Furosemid tablet 40 mg tablet 77 - - 1,000 77,000 1,000 200
62 Furosemid inj 10 mg/ml vial 91 - - - -
63 Garam oralit untuk 200 ml air kantong 257 200 51,400 500 128,500 700
64 Gential violet larutan 1% botol 2,500 - - - -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - -
67 Glibenklamid tablet 5 mg tablet 119 800 95,200 - 800 600
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - -
69 Gliserin botol 5,333 12 63,996 - 12
70 Glukosa larutan infus 10% steril botol 5,700 30 171,000 - 30
71 Glukosa larutan infus 5% steril botol 7,363 27 198,801 - 27 5
72 Griseofulvin tablet 125 mg,micronized tab 210 2,200 462,000 - 2,200
73 Haloperidoi tablet 0,5 mg tab 60 - - - -
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 400 62,000 1,000 155,000 1,400
76 Hidrokortison krim 2,5% tube 2,640 - - - -
77 Ibuprofen tablet 400mg tab 105 - - - -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - -
STOK
1 2 3 4 5 6 7
79 Kalium Diklofenak 50mg tablet 778 - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 100 6,300 200 12,600 300 100
81 Kaptopril tablet 12,5mg tablet 62 200 12,400 400 24,800 600
82 Kaptopril tablet 25mg tablet 84 - - - -
83 Karbamazepin 200mg tablet 270 - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - -
85 Ketoconazol tab 200mg tab 270 300 81,000 - 300 50
86 Ketoconazole 2% krim 10g tube 2,518 90 226,620 - 90 16
87 Kloramfenikol kapsul 250mg kapsul 310 - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 23,600 519,200 1,000 22,000 24,600 3,400
92 Klorpromazin tablet salut 25 mg tablet 149 - - - -
93 Klorpromazin tablet salut 100 mg tablet 149 180 26,820 - 180
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 - - - -
95 Klindamycin kap 150mg kapsul 382 - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 270 591,300 - 270 30
98 Kotrimoksazol tablet komb 480 mg tab 133 1,800 239,400 - 1,800 600
99 Kuinin tablet 222mg tab 670 120 80,400 - 120
100 Kuinin Inj 25% amp 6,200 - - - -
101 Lansoprazol 30mg kapsul 323 2,400 775,200 1,360 439,280 3,760 780
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 40 45,800 150 171,750 190 45
103 Loperamid 2 mg tab 89 - - - -
104 Loratadin 10mg tablet 154 - - - -
105 Metformin tablet 150 800 120,000 500 75,000 1,300 200
STOK
1 2 3 4 5 6 7
106 Magnesium Sulfat inj 40%(Otsu MGSO4 40%) vial 3,796 - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 20%) vial 3328 - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 - - - -
109 Metilergometrin Maleat inj.0,200mg-1ml amp 2,959 7 20,713 - 7
110 Metilprednisolone 16mg tab 551 - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200
112 Metronidazol tablet 250 mg tablet 110 - - - -
113 Metronidazol tablet 500mg tablet 160 - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 68 232,152 - 68 43
115 Molasma tab 2,5mg tab 78 - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - -
117 Natrium Diklofenak 25mg tablet 128 450 57,600 500 64,000 950 650
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 33 211,530 - 33 10
119 Neurohax 500mg tab 1,210 - - - -
120 Nerva 5000 kaplet 3,020 - - - -
121 Nifedipine tablet 110 - - - -
122 Nistatin tablet salut 500.000 IU tab 790 100 79,000 - 100
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600
124 Ofloxacin 400mg tab sal sel tab 553 350 193,550 - 350
125 Obat Batuk Hitam (OBH) cairan botol 10,500 269 2,824,500 - 269 55
126 Oksitetrasklin HCI salep mata 1% tube 2,059 35 72,065 - 35 5
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - -
128 Ondansetron 4mg inj amp 1124 70 78,680 - 70 5
129 Ondansetron 4mg tab tablet 351 - - - - 380
130 Omeprazole 20mg kapsul 130 60 7,800 - 60 60
131 Paracetamol Syrup 120 mg/5ml botol 1,181 475 560,975 100 118,100 575 103
132 Parasetamol drops botol 5,200 - - - -
STOK
1 2 3 4 5 6 7
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 12,100 10,648,000 5,000 4,400,000 17,100 4,700
134 Phenobarbital inj amp 1,800 - - - -
135 Phenobarbital 30 mg tablet 65 - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - -
137 Pirantel tablet tablet 287 500 143,500 - 500
138 Pirantel Syr botol 9,510 26 247,260 - 26 11
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 13,000 1,703,000 2,000 262,000 15,000 1,700
140 Piroxicam 20 mg kapsul 163 6,100 994,300 - 6,100 1,500
141 Povidon Iodida 10% 30 ml botol 2,163 2 4,326 5 10,815 7 1
142 Povidon Iodida 10% 300 ml botol 16,500 - - - -
143 Prednisone tablet 5 mg tablet 68 20,500 1,394,000 - 20,500 3,800
144 Propiltiouracyl tablet 319 - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100
146 Ranitidine inj amp 1,140 - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 76 579,880 - 76 19
148 RDT DBD test 1,200,000 - - - -
149 RDT Malaria test 1,200,000 - - - -
150 Salbutamol 2mg tablet 63 1,500 94,500 - 1,500 400
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - -
152 Salep 2-4 , 30g pot 2,000 5 10,000 - 5 5
153 Salisil bedak 2% kotak 1,120 - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 450 1,435,500 - 450 130
155 Sefadroxyl syr botol 3,926 - - - -
156 Sefotaxim inj vial 6,012 - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 37 174,196 - 37
158 Serum anti bisa ular Polivalen inj 5ml (ABU I) vial 512,204 3 1,536,612 - 3
159 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S) ampul 130,999 30 3,929,970 - 30
STOK
1 2 3 4 5 6 7
160 Sianokobalamin (Vit. B12) Injeksi 500 mcg-ml amp 1,035 300 310,500 - 300 5
161 Simetidin tablet tablet 180 - - - -
162 Simvastatin 10mg tablet 205 1,020 209,100 150 30,750 1,170 300
163 Siprofloksasin tablet 500 mg tablet 265 5,600 1,484,000 1,000 265,000 6,600 800
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 200 60,600 - 200
165 Thiamphenikol kap 500 mg kapsul 615 - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1ml amp 1,283 - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 mg tablet 85 3,100 263,500 - 3,100 1,200
168 Tramadol inj 50mg/ml amp 1,710 - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - -
170 Trihexyphenidil tab 91 - - - -
171 Vaksin Rabies Vero kuur 660,000 6 3,960,000 - 6
172 Vitamin B komplek tablet tablet 117 6,100 713,700 2,000 234,000 8,100 1,700
173 Zinkid 10mg/5ml syr botol 2,972 - - - -
174 Miniaspi 80mg tab 130 - - - -
175 Indanox 300mg kapsul 6,930 - - - -
176 Ponsamic 500mg tablet 1,375 - - - -
177 Maganol tablet 451 - - - -
178 Lopiten 5mg tablet 6,050 - - - -
179 Getidin inj 2 ml amp 20,900 - - - -
180 Wida KN2 mengandung elektrolit(KCL0,3%+NaCl 0,9%) botol 11,011 - - - -
181 Wida KDN 1 mengandung karbohidrat+elektrolit botol 11,435 - - - -
182 Alprazolam tab 1mg tab 143 - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanolamine) kaplet 621 - - - -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,placenta extr 10%) tube 19,958 - - - -
STOK
1 2 3 4 5 6 7
187 Bevalex cream (betametasone 1mg,neomycin sulfate 5mg) tube 10,300 - - - -
188 Panviton tab tablet 1,435 - - - -
189 Dextral syr botol 8,700 - - - -
190 Neo-Kaominal syr botol 7,200 - - - -
191 Mulsanol syr botol 18,000 - - - -
192 Salesbion plus tablet 1,182 - - - -
193 Selferro tablet 659 - - - -
194 Stimuno sry 60ml botol 20,000 - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - -
Komb.ferro fumarat 60mg+as.folat 0,4mg ( Tablet tambah
darah ) tab 354 - - - -
197
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - -
199 Vagizol Ovula 500mg supp tab 3,590 - - - -
200 Propanolol 40mg tab 73 - - - -
201 Kaptopril 50mg tab 124 200 24,800 3,000 372,000 3,200 920
202 Betahistine Besilat 6mg tab 110 1,500 165,000 - 1,500 100
203 Metronidazole infus 500mg/100ml botol 8,110 - - - -
204 Spironolactone 25mg tab 195 - - - -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 - - - -
206 Etanol 70 % 1000ml botol 18,700 8 149,600 5 93,500 13 3
207 Natrium Diklofenak 50mg/ Sodium diklofenak 50mg tab 115 - - - -
208 Clobazam 10mg tab 776 - - - -
209 Neo diagon 659mg tab 206 - - - -
210 Asam Tranexamat tab 500mg tab 1,584 500 792,000 - 500
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - -
212 Metamizole Sodium Monohidrate 1000mg/2ml tab 3,960 295 1,168,200 - 295
STOK
1 2 3 4 5 6 7
213 Erytromycin 250mg tab 546 600 327,600 - 600 500
214 Zink dispersible tab 524 1,000 524,000 - 1,000 200
216 Haloperidol 5mg tab 56 - - - -
218 Mineral Mix sacc 2,805 80 224,400 80 224,400 160
219 Guaifenisin tab 145 6,600 957,000 1,000 145,000 7,600 1,100
220 Neurotropik inj amp 905 - - - -
221 Solatim 500mg tab 1,176 - - 300 352,800 300 100
222 Molacort tab tab 169 - - 5,000 845,000 5,000
223 Betason N Cream 6 g tube 13,475 - - - -
224 Chloramfecort H Cream 10 g tube 12,650 - - 192 2,428,800 192 24
226 Retinol 100.000IU kapsul 306 - - - -
228 Parasetamol infus botol 12,389 - - - -
229 Clozapin 25mg tablet 1,121 - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - -
231 Risperidon tablet 240 - - - -
232 Ramipril tab 5mg tab 245 600 147,000 500 122,500 1,100 200
233 Povidon 10 % 100ml botol 6,050 - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 - - - -
236 Chlodine 0,5% 500ml Handrub botol 82,500 - - - -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - -
238 Ambroxol generik tablet 180 - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - 150 1,608,750 150
STOK
1 2 3 4 5 6 7
240 Etamox syr tablet 6,488 - - - -
241 Fluanza tab tablet 200 - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - - -
243 Etaneural ( multivitamin ) tablet 776 - - - -
244 Metilon ( metilprednisolon ) tablet 280 - - - -
245 Metilprednisolone 4 mg metilon tablet 281 - - 1,000 281,000 1,000 500
246 Salep Whitefield tube 4,798 - - 48 230,304 48 27
- 16,267,649
OBAT GIGI - - -
247 Devitalisasi pasta (non arsen) Botol 390,000 - - - -
248 Ethyl Clorida spray botol 100,000 - - - -
249 Eugenol cair botol 16,667 3 50,001 - 3
250 Mummifying pasta/Iodoform Pasta Botol 176,000 3 528,000 - 3
251 Semen seng fosfat serbuk dan cairan Botol 93,500 - - - -
252 Temporary Stopping Fletcher serbuk dan cair botol 34,000 - - - -
- - -
ALAT KESEHATAN - - -
253 Alat Suntik sekali pakai 1 ml set 650 2,300 1,495,000 - 2,300
254 Alat Suntik Sekali Pakai 2,5 ml set 888 500 444,000 500 444,000 1,000
255 Alat Suntik Sekali Pakai 5 ml set 1,038 1,600 1,660,800 1,000 1,038,000 2,600 300
256 Alat Suntik Sekali Pakai 10 ml set 1,200 800 960,000 200 240,000 1,000
257 Alat Suntik Sekali Pakai 20 ml set 2,168 278 602,704 - 278
258 Catgut/Benang No. 2/0-3/0 set 11,166 40 446,640 - 40 15
259 Folley Cateter NO. 18 Pcs 8,490 8 67,920 - 8
261 Infusion set anak set 5,100 270 1,377,000 - 270
262 Infusion set dewasa set 4,800 114 547,200 - 114 18
STOK
1 2 3 4 5 6 7
263 IV Catheter No.18 buah 7,000 77 539,000 - 77
264 IV Catheter No.20 buah 7,000 118 826,000 - 118 1
265 IV Catheter No.22 buah 7,000 94 658,000 - 94 6
266 IV Catheter No.24 buah 7,000 199 1,393,000 - 199 8
267 IV Catheter Supercath 5 No.24 buah 15,000 - - - -
268 Wing Neddle No.21 pcs 5,770 - - - -
271 Handscoon 7 set 7,600 198 1,504,800 - 198 98
272 Handscoon 7,5 set 7,600 - - - -
273 Handscoon M set 6,000 1,300 7,800,000 50 300,000 1,350 80
274 Handscoon L set 6,000 199 1,194,000 250 1,500,000 449
275 Pembalut Gips rol 23,500 - - - -
276 Plester 5 yard x 2 inch rol 23,625 6 141,750 - 6
277 Plester 5 cm x 4,5 m rol 23,635 2 47,270 - 2
278 Plester 4,5 m x 12,5 mm rol 6,000 3 18,000 - 3
279 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 53 161,915 - 53 15
280 Kasa Gulung 15X4 gulung 3,373 - - - -
281 Kasa Kompres 16x16 steril kotak 7,370 100 737,000 - 100
282 Kapas pembalut absorben250 mg gulung 25,000 1 25,000 - 1
283 Kasa Hidrofil 4x 10 cm gulung 607 - - - -
284 Kasa Pembalut 4 cm elastis gulung 10,000 - - - -
285 Urine bag Pcs 5,088 10 50,880 - 10 1
286 Aximed Swab 2 Ply Pcs 115 1,100 126,500 - 1,100 800
287 Aximed Syringe 50 cc set 4,451 - - - -
288 Strip ET Gula set 250,000 - - - -
289 Strip ET Chol set 348,500 - - - -
STOK
1 2 3 4 5 6 7
290 Strip ET Asam Urat set 250,000 3 750,000 - 3
291 Kertas EKG rol 200,000 - - - -
292 Kertas USG rol 300,000 - - - -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - -
294 Nassal O2 bayi Pcs 10,000 - - - -
295 Nassal O2 dewasa Pcs 10,000 - - - -
296 NGT semua nomor Pcs 150,000 - - - -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 - - - -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - -
301 Developer/ RENDOL DEVELOPER MANUAL 25 L set 556,000 - - - -
302 Bunaskan amp 91,200 - - - -
303 Decain Inj amp 81,840 - - - -
304 Jarum Spinal no. 25 Pcs 30,000 - - - -
306 Propofol Lipuro Fls 120,000 - - - -
307 Terrel 100ml Fls 702,000 - - - -
308 Tramus 5mg amp 111,500 - - - -
309 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 - - - -
310 Blood Lancet box 22,950 - - - -
311 Cover Glass 22x22 box 202,500 - - - -
312 HBSAg Multi Device 100 SD box 3,510,000 - - - -
313 HBSAg Strip Smart box 484,500 - - - -
314 HCG Strip mono box 202,500 - - - -
315 Kartu golongan darah box 50,000 - - - -
316 Lyse 1 L FLS 2,362,500 - - - -
STOK
1 2 3 4 5 6 7
317 Multidrug 3 panel box 2,223,450 - - - -
318 Slide Objek Glass box 130,000 - - - -
319 Strip Urine Ferivy Fls 308,000 - - - -
320 Tabung EDTA Pcs 3,400 - - - -
321 Yellow Tip Pcs 500 - - - -
322 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 - - - -
323 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 - - - -
325 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 - - - -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - -
327 Safil 1 hr 48 kode 31361 90cm Pcs 160,000 - - - -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - -
331 Silkam 2/0 hr 26 kode 32161 HR black 75cm Pcs 87,300 - - - -
332 Premilene Mesh 5x10 cm kode 31672 5x10 box 725,500 - - - -
333 Premilene Mesh 5x10 cm kode 31671 30x30 box 2,400,000 - - - -
334 Alat cek GD,KOLESTEROL,TRIGLISERIDA set 660,000 - - - -
335 Kapas pembalut absorben 1000 g gulung 100,000 - - 1 100,000 1
336 Plaster 7,5cm x 4,5 m rol 37,371 - - 20 747,420 20
337 Plaster 2,5cm x 4,5 m rol 12,675 - - 30 380,250 30
338 Kasa gulung 5X4 gulung 1,500 - - 100 150,000 100 20.00
339 Performa meter set 420,000 - - - -
340 Accu check performa 100 set 453,750 - - - -
341 Accu safe T pro u no.20 set 127,050 - - - -
342 Multidrug 6 panel box 37,286 - - - -
343 Masker surgical face mask tie on Pcs 1,000 - - - -
STOK
1 2 3 4 5 6 7
344 Masker surgical face mask ear loop jilbab pcs 1,000 - - 10 10,000 10
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - -
346 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 - - 100 160,000 100
348 One scrub 2% 100ml botol 22,000 - - - -
349 Softpad 60x90 Pcs 4,162 - - - -
350 Aximed iv cath NP Pen type 18 Pcs 6,000 - - - -
354 Handscoon churgic gloves size 6,5 set 7,872 - - - -
355 Aximed Swab 4 Ply boks 20,000 - - 30 600,000 30
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 - - - -
357 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 - - - -
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 - - - -
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 - - 108 4,780,836 108
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 - - - -
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 23 886,857 - 23
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 - - - -
365 Cuticell classic 10cm x 40cm Pcs 15,600 - - - -
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 - - 10 428,000 10 2.00
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - -
368 Cannula without injection port & wings ( 20 ) pcs 10,000 - - - -
370 Cannula without injection port & wings ( 24 ) pcs 10,000 - - -
STOK
1 2 3 4 5 6 7
371 Cannula with inj port snap fit cap & suturable wings ( 22 ) pcs 12,078 - - - -
372 Infusion set with needle pcs 8,200 - - 50 410,000 50
373 Micro Drip Infusion set Pcs 9,200 - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - -
376 Masker headloop box 22,000 - - - -
377 Salmonella IgM Cassete pcs 21,650 - - - -
378 Leukomed IV Film 6x8cm box 138,000 - - - -
379 Cutimed gel 15g tube 52,110 - - - -
380 IV Cath No. 20 G ( TRO-VENSITE ) Pcs 23,100 - - - -
383 Alkazym botol 801,000 - - - -
384 Alkazyd 1 L botol 2,702,700 - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 - - - -
386 Aximed Chirurgic gloves 6,0 set 7,872 - - - -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 - - - -
388 Silk ( scimitar ) Pcs 38,559 - - - -
389 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - -
390 Trosensosurge, sterglove 6,0 Pcs 6,595 - - - -
392 Pembalut Gips delta lite conformable rol 100,401 - - - -
393 Benecheck plus blood glucose strip box 160,000 - - - -
394 Benecheck asam urat strip box 150,000 - - - -
395 Benecheck cholesterol strip box 250,000 - - - -
396 Pot dahak buah 3,000 - - - -
397 Pewarna Ziiehl Nelson botol 214,500 - - - -
STOK
1 2 3 4 5 6 7
398 Rivanol 300 ml botol 3,740 - 10 37,400 10 1.00
399 Bedfont D-Piece Smokerlyzer 12s box 730,000 - - - -
400 Bedfont Steribreath Mouthpiece Smokerlyzer 250s box 987,000 - - - -
- 11,325,906
II OBAT APBD I - -
2 Amoksilin kapsul 500 mg kaplet 420 - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - -
5 Kaptopril 12,5mg tablet 62 - - - -
6 Ketokonazol cr 2% tube 2,569 - - - -
7 Lansoprazole kap 30mg kap 473 - - - -
8 Metilprednisolon tab 8mg tab 150 - - - -
9 Natrium Diklofenak tab 25mg tab 128 - - - -
10 NaCl 0,9% botol 6,410 - - - -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - -
14 Parasetamol tab 500mg tab 53 - - - -
15 Povidon Iodida 10% 30ml botol 2,163 - - - -
17 Propanolol tab tab 107 - - - -
18 Ringer Laktat lar infus botol 7,150 - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosis botol 63,750 - - - -
20 Salep 2-4 pot 2,000 - - - -
21 Spironolakton 25mg tablet 244 - - - -
22 Aciklofir 400mg tab 192 - - - -
STOK
1 2 3 4 5 6 7
23 Salep Whitefield kotak 115,152 - - - -
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - -
25 Neo Diagon 659 mg tablet 206 800 164,800 - 800 400.00
26 Reliv Multivitamin tablet 4,950 - 630 3,118,500 630
27 Griseovulvin 500 mg tablet 1,800 - - 1,800 400.00
- 3,118,500
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 500 6,000,000 - 500
29 Handscoon 7 set 8,500 198 1,683,000 - 198
30 Handscoon 7,5 set 7,692 - - - -
31 Infus Set anak pcs 5,600 - - -
32 Infus Set Dewasa pcs 3,200 - - -
33 IV Catheter No.20 pcs 24,255 - - -
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - -
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - -
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - -
39 Kasa Pembalut 4x10cm roll 607 - - -
40 Masker Pcs 756 - - -
41 Urin Bag pcs 6,036 - - -
42 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - -
43 Hidrogel wound dressing pcs 29,000 - - -
44 Iodine Povidone botol 6,550 - - -
45 Ciprofloxacin kap kap 240 - - -
46 Chloramex- Kloramfenikol 500mg kap 1,007 - - -
47 Glimepirid 3mg tab 319 - - -
STOK
1 2 3 4 5 6 7
48 Ibuprofen 400mg tab 102 - - -
49 Loperamid 2mg tab 80 - - -
50 Metoklopramid 10mg tab 90 - - -
51 Nifedipine tab 110 - - -
52 Omeprazole 20mg kap 140 - - -
53 Prednisone tab 96 - - -
54 Simvastatin 20mg tab 813 - - -
55 Etanol 70 % 300ml botol 21,500 - - -
56 Aminophylin tab 200mg tablet 91 - - -
57 Metformin 500mg tablet 100 - - -
58 Alkohol swab pcs 170 - - -
59 Cutgut plain 2/0 set 5,583 - - -
60 Cutgut chromic 3/0 set 5,583 - - -
61 Kapas pembalut 100g gulung 7,275 - - -
62 Kasa hidrofil 4x 5 cm roll 760 - - -
63 Spuit 5 cc pcs 8,000 - - -
64 Haloperidol 0,5mg tab - - -
65 Haloperidol 1,5mg tab 69 - - -
66 Furosemid 40mg tab 80 - - -
67 Kaptopril 25mg tab 80 - - -
68 Etanol 70 % 1000ml botol 21,500 - - -
69 Bacitracin+polimicsin salep tube 3,035 - - -
70 Salisil bedak 2% 50g kotak 1,020 - - -
71 Klorpheniramin Maleat ( CTM ) tab 36 - - -
72 Decacetine / Kloramphenikol TM botol 3,250 - - -
73 Dexametasone tablet tablet 32 - - -
74 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408 - - -
STOK
1 2 3 4 5 6 7
75 Gentamisin Salep Mata 0,3% tube 2,675 - - -
76 Lidocain inj amp 1,145 - - -
77 Oxyticin inj 10 IU/ ml amp 1,199 - - -
78 Salbutamol tab tablet 63 - - -
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - -
80 Underpads pcs 8,268 - - -
81 IV Cateter no. 18 buah - - -
- -
III BRANDED - -
1 Bricasma turb 0,5 mg box 71,100 - - - -
2 Curcuma syr botol 10,500 - - - -
3 Metroklopramid inj amp 9,000 - - - -
4 Kombinasi Metampiron dan vit B ( Goralgin ) tablet 1,315 - - - -
5 Metoklopramid tablet 1,000 - - - -
6 Multivitamin ibu hamil dan menyusui (Ironyl) tablet 2,308 - - - -
7 Multivitamin anak komb. Probiotik+DHA (Dhavit) Botol 27,300 - - - -
8 Multivitamin anak komb.mengandung lysin botol 12,000 - - - -
9 Multivitamin Plus DHA Sirup (bionick plus) Botol 18,700 - - - -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 - - - -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 - - - -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 - - - -
13 Obat Batuk Flu kombinasi anak ( Protexinal syr ) botol 8,200 - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - -
15 Obat Batuk Flu kombinasi dewasa (Protexinal tab) tablet 410 - - - -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - -
STOK
1 2 3 4 5 6 7
18 Obat Diare Tablet (nodiar) Tablet 924 - - - -
19 Obat Gangguan Cerna/Multienzim (progastrik) Tablet 303 - - - -
20 Obat Infeksi Kulit dan Peradangan (Chloramfecort) Tube 10gr 9,955 - - - -
21 Pulmicort turb 200 box 93,000 - - - -
22 Symbicort turb 160 dos box 117,600 - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - -
28 Zincpro drops 15 ml botol 12,840 - - - -
- -
IV OBAT PROGRAM - -
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - -
4 Calcii Glukonas Ampul 7,800 - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 9 19,440 - 9
7 Garam oralit untuk 200 ml air kantong 264 - - - -
8 Gentamicyn Injeksi Ampul 3,090 - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - -
10 Metilergometrin Maleat inj.0,200mg-1ml amp 1,305 - - - -
11 Mineral Mix Sacc 2,805 - - - -
12 Natrium Tiroksin Tablet 1,694 - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 - - - -
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - -
STOK
1 2 3 4 5 6 7
15 Obat Anti Tuberculosis anak Paket 214,990 - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - -
20 Retinol 100.000 IU kapsul lunak 284 - - - -
22 Tablet Tambah Darah tablet 352 - - - -
23 Quinin inj amp 6,200 500 3,100,000 - 500
24 Zink Tablet 474 800 379,200 - 800
25 Oxytosin inj 40% amp 2,200 - - - -
26 Primakuin tab tablet 224 - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - - -
29 Arthesunate inj , vial 60mg Vial 57,585 - - - -
30 PP-INH (Pengobatan Pencegahan Dengan Isoniazid) 300 mg tablet - -
- -
V VAKSIN - - -
1 HB 0-7 20,900 0 - - - -
2 MR 141,648 0 - - - -
3 Polio 18,140 0 - - - -
4 Td 16,500 0 - - - -
5 DPT-HB-Hib 71,810 0 - - - -
6 BCG 60,140 0 - - - -
-
TOTAL PENERIMAAN Rp
TOTAL STOK AWAL Rp
TOTAL PEMAKAIAN Rp
TOTAL AKHIR Rp
STOK
1 2 3 4 5 6 7
MENGETAHUI YANG MELAPORKAN
KEPALA UPTD PUSKESMAS NON RAWAT INAP CANDRA MUKTI PENGELOLA OBAT
KAB. TULANG BAWANG BARAT
A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

NIP. 19680709 198711 1 001 NIK. 08.2.21015
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( FEBRUARI 2021 )
STOK
HARGA
NO NAMA 0BAT SATUAN Penerimaan Pemakaian Stok Akhir
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Persediaan Pemakaian
(Rp) (Rp)
1 2 3 4 5 6 7 8=5+6+7
I DAK
1 Allopurinol tablet 100 mg tab 110 1,600 176,000 - 1,600 700 77,000 900
2 Albendazol 400 mg tab 402 600 241,200 - 600 100 40,200 500
3 Albendazol susp 200mg/5ml botol 3,849 - - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 2,400 2,472,000 - 2,400 600 618,000 1,800
5 Ambroxol syr ( Molepect ) 15 mg/ botol 13,475 216 2,910,600 - 216 10 134,750 206
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 55 163,680 - 55 - 55
7 Aminofilin tablet 200 mg tab 139 300 41,700 - 300 - 300
8 Aminitriptilin HCL tablet salut 25 tab 167 - - - - - -
9 Amlodipin 5 mg tab 73 - - - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - - - -
11 Amoksilin kapsul 500 mg kaplet 249 19,800 4,930,200 - 19,800 2,900 722,100 16,900
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 330 620,730 100 188,100 430 76 142,956 354
13 Antalgin (Metampiron) tablet 500 tablet 234 - - - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - - - -
15 Antasida DOEN Tab tablet 58 8,650 501,700 1,000 58,000 9,650 2,100 121,800 7,550
16 Antasida DOEN susp botol 2,129 235 500,315 - 235 25 53,225 210
17 Anti Bakteri DOEN salep kombinas tube 2,516 - - - - - -
18 Anti Hemoroid supp 3,167 26 82,342 100 316,700 126 - 126
19 Antifungi DOEN kombinasi pot 2,904 171 496,584 - 171 - 171
20 Anti Migren tablet 185 - - - - - -
21 Aqua Pro Inj Steril 20 ml botol 5,500 - - - - - -
22 Aqua Pro Inj Steril 25 ml botol 2,860 342 978,120 - 342 - 342
23 Asam Askorbat (VIT c) tablet 50 tablet 105 7,900 829,500 - 7,900 700 73,500 7,200
24 Asam Folat 1 mg tablet 48 - - - - - -
25 Asam Mefenamat 500 mg ( Mefix tablet 1,550 3,900 6,045,000 - 3,900 1,300 2,015,000 2,600
26 Asam Traneksamat inj 50mg/ ml amp 1,748 - - - - - -
27 Asetosal tab 100 mg tablet 133 - - - - - -
29 Asiklovir Krim 5% tube 3,150 - - - - - -
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100 - 100
31 Asiklovir tablet 400 mg tablet 380 3,500 1,330,000 - 3,500 700 266,000 2,800
32 Atropin Sulfat injeksi 0,25 mg/ml- amp 1,639 - - - - - -
33 Betametason krim 0,1% tube 3,350 52 174,200 25 83,750 77 31 103,850 46
34 Bionemi kapsul 1,640 - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - - - -
37 Cetirizine kaps kapsul 96 1,500 144,000 250 24,000 1,750 300 28,800 1,450
38 Cetirizine syr botol 2,850 - - - - - -
39 Deksametason injeksi 5 mg.ml-1m amp 1,580 360 568,800 - 360 - 360
40 Deksametason tablet 0,5 mg tablet 32 14,600 467,200 - 14,600 1,300 41,600 13,300
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - - - -
42 Diazepam tablet 2 mg tablet 27 - - - - - -
43 Difenhidramin HCI injeksi 10 mg/m amp 1,168 100 116,800 - 100 - 100
44 Digoksin tablet 0,25 mg tab 97 - - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 200 53,600 - 200 - 200
46 Domperidone tab 10 mg tablet 167 500 83,500 - 500 300 50,100 200
47 Domperidone syrup botol 19,750 15 296,250 10 197,500 25 5 98,750 20
48 Efedrin HCI tablet 25 mg tablet 51 - - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 20 28,160 - 20 - 20
50 Eritromisin kapsul kapsul 1,000 100 100,000 - 100 - 100
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 4 13,600 - 4 - 4
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - - - -
54 Etanol 70% 100 ml botol 2,500 - - - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - - - -
56 Fenilbutazon 200 mg tablet 143 - - - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - - - -
58 Forasma tab 600mg tab 1,200 - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/m amp 3,417 70 239,190 - 70 - 70
60 Fitomenadion (Vit.K1) tablet 10 m tablet 710 1,500 1,065,000 - 1,500 100 71,000 1,400
61 Furosemid tablet 40 mg tablet 77 800 61,600 - 800 100 7,700 700
62 Furosemid inj 10 mg/ml vial 91 - - - - - -
63 Garam oralit untuk 200 ml air kantong 257 700 179,900 - 700 - 700
64 Gential violet larutan 1% botol 2,500 - - - - - -
65 Gentamisin/Genoint SM 0,3% 3,5 tube 2,600 - - - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 200 23,800 2,000 238,000 2,200 400 47,600 1,800
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - - - -
69 Gliserin botol 5,333 12 63,996 - 12 - 12
70 Glukosa larutan infus 10% steril botol 5,700 30 171,000 - 30 - 30
71 Glukosa larutan infus 5% steril botol 7,363 22 161,986 - 22 1 7,363 21
72 Griseofulvin tablet 125 mg,micron tab 210 2,200 462,000 - 2,200 - 2,200
73 Haloperidoi tablet 0,5 mg tab 60 - - - - - -
75 Hidroklorotiazid (HCI) tablet 25 m tablet 155 1,400 217,000 - 1,400 - 1,400
76 Hidrokortison krim 2,5% tube 2,640 - - 48 126,720 48 - 48
77 Ibuprofen tablet 400mg tab 105 - - - - - -
78 Isosorbid Dinitrat tablet sublingua tab 88 - - - - - -
79 Kalium Diklofenak 50mg tablet 778 - - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 200 12,600 - 200 200 12,600 -
81 Kaptopril tablet 12,5mg tablet 62 600 37,200 - 600 300 18,600 300
82 Kaptopril tablet 25mg tablet 84 - - - - - -
83 Karbamazepin 200mg tablet 270 - - - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - - - -
85 Ketoconazol tab 200mg tab 270 250 67,500 3,000 810,000 3,250 200 54,000 3,050
86 Ketoconazole 2% krim 10g tube 2,518 74 186,332 - 74 15 37,770 59
87 Kloramfenikol kapsul 250mg kapsul 310 - - - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - - - -
91 Klorfeniramin maleat (CTM) table tablet 22 21,200 466,400 - 21,200 2,300 50,600 18,900
92 Klorpromazin tablet salut 25 mg tablet 149 - - - - - -
93 Klorpromazin tablet salut 100 mg tablet 149 180 26,820 - 180 - 180
94 Klorpromazin inj i.m 5mg/ml 2ml( amp 1,050 - - - - - -
95 Klindamycin kap 150mg kapsul 382 - - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 240 525,600 100 219,000 340 10 21,900 330
98 Kotrimoksazol tablet komb 480 m tab 133 1,200 159,600 - 1,200 100 13,300 1,100
99 Kuinin tablet 222mg tab 670 120 80,400 - 120 - 120
100 Kuinin Inj 25% amp 6,200 - - - - - -
101 Lansoprazol 30mg kapsul 323 2,980 962,540 1,360 439,280 4,340 820 264,860 3,520
102 Lidokain Komp. Injeksi, Kombinasi amp 1,145 145 166,025 - 145 - 145
103 Loperamid 2 mg tab 89 - - - - - -
104 Loratadin 10mg tablet 154 - - - - - -
105 Metformin tablet 150 1,100 165,000 - 1,100 200 30,000 900
106 Magnesium Sulfat inj 40%(Otsu vial 3,796 - - - - - -
107 Magnesium Sulfat inj 20%(Otsu vial 3328 - - - - - -
108 Metilergometrin Maleat tablet 0,1 tab 210 - - - - - -
109 Metilergometrin Maleat inj.0,200m amp 2,959 7 20,713 - 7 - 7
110 Metilprednisolone 16mg tab 551 - - - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200 - 200
112 Metronidazol tablet 250 mg tablet 110 - - - - - -
113 Metronidazol tablet 500mg tablet 160 - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 25 85,350 - 25 - 25
115 Molasma tab 2,5mg tab 78 - - - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - - - -
117 Natrium Diklofenak 25mg tablet 128 300 38,400 250 32,000 550 350 44,800 200
118 Natrium Klorida larutan infus 0,9% botol 6,410 23 147,430 - 23 1 6,410 22
119 Neurohax 500mg tab 1,210 - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - -
121 Nifedipine tablet 110 - - - - - -
122 Nistatin tablet salut 500.000 IU tab 790 100 79,000 - 100 - 100
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 - 600
124 Ofloxacin 400mg tab sal sel tab 553 350 193,550 - 350 - 350
125 Obat Batuk Hitam (OBH) cairan botol 10,500 214 2,247,000 - 214 15 157,500 199
126 Oksitetrasklin HCI salep mata 1% tube 2,059 30 61,770 - 30 - 30
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - - - -
128 Ondansetron 4mg inj amp 1124 65 73,060 - 65 - 65
129 Ondansetron 4mg tab tablet 351 - - 440 154,440 440 440 154,440 -
130 Omeprazole 20mg kapsul 130 - - - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 472 557,432 - 472 85 100,385 387
132 Parasetamol drops botol 5,200 - - - - - -
133 Paracetamol Tablet 500 mg ( Miras tablet 880 12,400 10,912,000 1,200 1,056,000 13,600 3,800 3,344,000 9,800
134 Phenobarbital inj amp 1,800 - - - - - -
135 Phenobarbital 30 mg tablet 65 - - - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - - - -
137 Pirantel tablet tablet 287 500 143,500 - 500 - 500
138 Pirantel Syr botol 9,510 15 142,650 - 15 6 57,060 9
139 Piridoksin HCI (Vit.B6) tablet 10 tablet 131 13,300 1,742,300 1,000 131,000 14,300 900 117,900 13,400
140 Piroxicam 20 mg kapsul 163 4,600 749,800 - 4,600 800 130,400 3,800
141 Povidon Iodida 10% 30 ml botol 2,163 6 12,978 - 6 - 6
142 Povidon Iodida 10% 300 ml botol 16,500 - - - - - -
143 Prednisone tablet 5 mg tablet 68 16,700 1,135,600 - 16,700 3,100 210,800 13,600
144 Propiltiouracyl tablet 319 - - - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100 - 100
146 Ranitidine inj amp 1,140 - - - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 57 434,910 - 57 - 57
148 RDT DBD test 1,200,000 - - - - - -
149 RDT Malaria test 1,200,000 - - - - - -
150 Salbutamol 2mg tablet 63 1,100 69,300 - 1,100 - 1,100
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - - - -
152 Salep 2-4 , 30g pot 2,000 - - - - - -
153 Salisil bedak 2% kotak 1,120 - - - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 - - - - -
155 Sefadroxyl syr botol 3,926 - - - - - -
156 Sefotaxim inj vial 6,012 - - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 37 174,196 - 37 - 37
158 Serum anti bisa ular Polivalen inj vial 512,204 3 1,536,612 1 512,204 4 - 4
159 Serum Anti Tetanus Injeksi 1.500 ampul 130,999 8 1,047,992 10 1,309,990 18 1 130,999 17
160 Sianokobalamin (Vit. B12) Injeksi amp 1,035 295 305,325 - 295 100 103,500 195
161 Simetidin tablet tablet 180 - - - - - -
162 Simvastatin 10mg tablet 205 870 178,350 - 870 300 61,500 570
163 Siprofloksasin tablet 500 mg tablet 265 5,800 1,537,000 - 5,800 300 79,500 5,500
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 - - - - -
165 Thiamphenikol kap 500 mg kapsul 615 - - - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 amp 1,283 - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) t tablet 85 1,900 161,500 - 1,900 900 76,500 1,000
168 Tramadol inj 50mg/ml amp 1,710 - - - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - - - -
170 Trihexyphenidil tab 91 - - - - - -
171 Vaksin Rabies Vero kuur 660,000 3 1,980,000 12 7,920,000 15 - 15
172 Vitamin B komplek tablet tablet 117 6,400 748,800 - 6,400 1,800 210,600 4,600
173 Zinkid 10mg/5ml syr botol 2,972 - - - - - -
174 Miniaspi 80mg tab 130 - - - - - -
175 Indanox 300mg kapsul 6,930 - - - - - -
176 Ponsamic 500mg tablet 1,375 - - - - - -
177 Maganol tablet 451 - - - - - -
178 Lopiten 5mg tablet 6,050 - - - - - -
179 Getidin inj 2 ml amp 20,900 - - - - - -
180 Wida KN2 mengandung elektrolit botol 11,011 - - - - - -
181 Wida KDN 1 mengandung karbohidrabotol 11,435 - - - - - -
182 Alprazolam tab 1mg tab 143 - - - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropa kaplet 621 - - - - - -
185 Akita (pectin 50mg,attapulgite 60 tablet 454 - - - - - -
186 Neocenta gel ( neomycin sulfat 0, tube 19,958 - - - - - -
187 Bevalex cream (betametasone 1mg tube 10,300 - - - - - -
188 Panviton tab tablet 1,435 - - - - - -
189 Dextral syr botol 8,700 - - - - - -
190 Neo-Kaominal syr botol 7,200 - - - - - -
191 Mulsanol syr botol 18,000 - - - - - -
192 Salesbion plus tablet 1,182 - - - - - -
193 Selferro tablet 659 - - - - - -
194 Stimuno sry 60ml botol 20,000 - - - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - - - -
Komb.ferro fumarat
60mg+as.folat 0,4mg ( Tablet tab 354 - - - - - -
197 tambah darah )
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - - -
199 Vagizol Ovula 500mg supp tab 3,590 - - - - - -
200 Propanolol 40mg tab 73 - - - - - -
201 Kaptopril 50mg tab 124 2,280 282,720 - 2,280 400 49,600 1,880
202 Betahistine Besilat 6mg tab 110 1,400 154,000 - 1,400 200 22,000 1,200
203 Metronidazole infus 500mg/100ml botol 8,110 - - - - - -
204 Spironolactone 25mg tab 195 - - - - - -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 - - - - - -
206 Etanol 70 % 1000ml botol 18,700 10 187,000 5 93,500 15 9 168,300 6
207 Natrium Diklofenak 50mg/ Sodium tab 115 - - - - - -
208 Clobazam 10mg tab 776 - - - - - -
209 Neo diagon 659mg tab 206 - - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 500 792,000 - 500 - 500
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - - - -
212 Metamizole Sodium Monohidrate tab 3,960 295 1,168,200 - 295 - 295
213 Erytromycin 250mg tab 546 100 54,600 - 100 - 100
214 Zink dispersible tab 524 800 419,200 - 800 100 52,400 700
216 Haloperidol 5mg tab 56 - - - - - -
217 Amlodipin 10 mg tab 92 - - - - - -
218 Mineral Mix sacc 2,805 160 448,800 - 160 - 160
219 Guaifenisin tab 145 1,000 145,000 - 1,000 400 58,000 600
220 Neurotropik inj amp 905 - - - - - -
221 Solatim 500mg tab 1,176 200 235,200 500 588,000 700 150 176,400 550
222 Molacort tab tab 169 5,000 845,000 - 5,000 - 5,000
223 Betason N Cream 6 g tube 13,475 - - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 168 2,125,200 - 168 24 303,600 144
226 Retinol 100.000IU kapsul 306 - - - - - -
228 Parasetamol infus botol 12,389 - - - - - -
229 Clozapin 25mg tablet 1,121 - - - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - - - -
231 Risperidon tablet 240 - - - - - -
232 Ramipril tab 5mg tab 245 900 220,500 1,000 245,000 1,900 400 98,000 1,500
233 Povidon 10 % 100ml botol 6,050 - - - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 - - - - - -
236 Chlodine 0,5% 500ml Handrub botol 82,500 - - - - - -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - - - -
238 Ambroxol generik tablet 180 - - - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 450 4,826,250 - 450 60 643,500 390
240 Etamox syr tablet 6,488 - - - - - -
241 Fluanza tab tablet 200 600 120,000 500 100,000 1,100 200 40,000 900
242 Etaflox ( Ciprofloxacin tab 500mg tablet 793 - - - - - -
243 Etaneural ( multivitamin ) tablet 776 - - 3,000 2,328,000 3,000 - 3,000
244 Metilon ( metilprednisolon ) tablet 280 - - - - - -
245 Metilprednisolone 4 mg metilon tablet 281 500 140,500 1,000 281,000 1,500 500 140,500 1,000
246 Salep Whitefield tube 4,798 21 100,758 48 230,304 69 - 69
247 Bionicom Zinc tablet - 500 - 500 - 500
- 17,682,488 - - -
OBAT GIGI - - - - -
247 Devitalisasi pasta (non arsen) Botol 390,000 - - - - - -
248 Ethyl Clorida spray botol 100,000 - - - - - -
249 Eugenol cair botol 16,667 3 50,001 - 3 1 16,667 2
250 Mummifying pasta/Iodoform Pasta Botol 176,000 3 528,000 - 3 1 176,000 2
251 Semen seng fosfat serbuk dan cai Botol 93,500 - - - - - -
252 Temporary Stopping Fletcher serb botol 34,000 - - - - - -
- - - - -
ALAT KESEHATAN - - - - -
253 Alat Suntik sekali pakai 1 ml set 650 2,300 1,495,000 - 2,300 - 2,300
254 Alat Suntik Sekali Pakai 2,5 ml set 888 1,000 888,000 - 1,000 100 88,800 900
255 Alat Suntik Sekali Pakai 5 ml set 1,038 2,300 2,387,400 - 2,300 - 2,300
257 Alat Suntik Sekali Pakai 20 ml set 2,168 278 602,704 - 278 - 278
258 Catgut/Benang No. 2/0-3/0 set 11,166 25 279,150 - 25 5 55,830 20
259 Folley Cateter NO. 18 Pcs 8,490 8 67,920 - 8 - 8
261 Infusion set anak set 5,100 270 1,377,000 - 270 - 270
262 Infusion set dewasa set 4,800 96 460,800 - 96 2 9,600 94
263 IV Catheter No.18 buah 7,000 77 539,000 - 77 - 77
266 IV Catheter No.24 buah 7,000 191 1,337,000 - 191 - 191
267 IV Catheter Supercath 5 No.24 buah 15,000 - - - - - -
268 Wing Neddle No.21 pcs 5,770 - - - - - -
271 Handscoon 7 set 7,600 100 760,000 100 760,000 200 5 38,000 195
272 Handscoon 7,5 set 7,600 - - - - - -
273 Handscoon M set 6,000 500 3,000,000 - 500 100 600,000 400
274 Handscoon L set 6,000 500 3,000,000 - 500 300 1,800,000 200
275 Pembalut Gips rol 23,500 - - - - - -
276 Plester 5 yard x 2 inch rol 23,625 6 141,750 - 6 - 6
277 Plester 5 cm x 4,5 m rol 23,635 2 47,270 - 2 - 2
278 Plester 4,5 m x 12,5 mm rol 6,000 3 18,000 - 3 - 3
279 Silk (Benang Bedah Sutera) No. 3 set 3,055 38 116,090 - 38 - 38
280 Kasa Gulung 15X4 gulung 3,373 - - - - - -
281 Kasa Kompres 16x16 steril kotak 7,370 100 737,000 100 737,000 200 - 200
282 Kapas pembalut absorben250 mg gulung 25,000 1 25,000 - 1 - 1
283 Kasa Hidrofil 4x 10 cm gulung 607 - - - - - -
284 Kasa Pembalut 4 cm elastis gulung 10,000 - - - - - -
285 Urine bag Pcs 5,088 9 45,792 - 9 - 9
286 Aximed Swab 2 Ply Pcs 115 - 100 11,500 100 - 100
287 Aximed Syringe 50 cc set 4,451 - - - - - -
288 Strip ET Gula set 250,000 - - - - - -
289 Strip ET Chol set 348,500 - - - - - -
290 Strip ET Asam Urat set 250,000 3 750,000 - 3 1 250,000 2
291 Kertas EKG rol 200,000 - - - - - -
292 Kertas USG rol 300,000 - - - - - -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - -
295 Nassal O2 dewasa Pcs 10,000 - - - - - -
296 NGT semua nomor Pcs 150,000 - - - - - -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - - - -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35, Box 4,500,000 - - - - - -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - - - -
301 Developer/ RENDOL DEVELOPE set 556,000 - - - - - -
302 Bunaskan amp 91,200 - - - - - -
303 Decain Inj amp 81,840 - - - - - -
304 Jarum Spinal no. 25 Pcs 30,000 - - - - - -
306 Propofol Lipuro Fls 120,000 - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - -
308 Tramus 5mg amp 111,500 - - - - - -
309 Albumin 50ml ( plasbumin 25ml/50 Fls 2,212,650 - - - - - -
310 Blood Lancet box 22,950 - - - - - -
311 Cover Glass 22x22 box 202,500 - - - - - -
312 HBSAg Multi Device 100 SD box 3,510,000 - - - - - -
313 HBSAg Strip Smart box 484,500 - - - - - -
314 HCG Strip mono box 202,500 - - - - - -
315 Kartu golongan darah box 50,000 - - - - - -
316 Lyse 1 L FLS 2,362,500 - - - - - -
317 Multidrug 3 panel box 2,223,450 - - - - - -
318 Slide Objek Glass box 130,000 - - - - - -
319 Strip Urine Ferivy Fls 308,000 - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - -
321 Yellow Tip Pcs 500 - - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 7 Pcs 4,963 - - - - - -
323 Prolene 3/0 ds 19 kode 8832 H 7 Pcs 5,319 - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H Pcs 5,750 - - - - - -
325 Prolene 4/0 ds 19 kode W8557 9 Pcs 7,025 - - - - - -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - - - -
327 Safil 1 hr 48 kode 31361 90cm Pcs 160,000 - - - - - -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR Pcs 87,300 - - - - - -
332 Premilene Mesh 5x10 cm kode 31 box 725,500 - - - - - -
333 Premilene Mesh 5x10 cm kode 31 box 2,400,000 - - - - - -
334 Alat cek GD,KOLESTEROL,TRIG set 660,000 - - - - - -
335 Kapas pembalut absorben 1000 g gulung 100,000 1 100,000 - 1 - 1
336 Plaster 7,5cm x 4,5 m rol 37,371 20 747,420 - 20 1.00 37,371 19
337 Plaster 2,5cm x 4,5 m rol 12,675 30 380,250 - 30 2.00 25,350 28
338 Kasa gulung 5X4 gulung 1,500 80 120,000 - 80 - 80
339 Performa meter set 420,000 - - - - - -
340 Accu check performa 100 set 453,750 - - - - - -
341 Accu safe T pro u no.20 set 127,050 - - - - - -
342 Multidrug 6 panel box 37,286 - - - - - -
343 Masker surgical face mask tie on Pcs 1,000 - - - - - -
344 Masker surgical face mask ear loop pcs 1,000 10 10,000 10 10,000 20 5.00 5,000 15
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - - - -
346 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 100 160,000 - 100 10.00 16,000 90
348 One scrub 2% 100ml botol 22,000 - - - - - -
349 Softpad 60x90 Pcs 4,162 - - - - - -
350 Aximed iv cath NP Pen type 18 Pcs 6,000 - - - - - -
354 Handscoon churgic gloves size 6, set 7,872 - - - - - -
355 Aximed Swab 4 Ply boks 20,000 33 660,000 - 33 1.00 20,000 32
356 Chromic 2/0 75cm,1/2 RC Pcs 51,622 - - - - - -
357 Plain 2/0 75cm, 3/BRC Pcs 49,042 - - - - - -
358 Chromic 3/0 75cm, 3/BRC Pcs 46,627 - - - - - -
359 Plain 3/0 75cm, 1/2 TP Pcs 44,267 108 4,780,836 - 108 - 108
360 Chromic 3/0 75cm, 1/2 TP Pcs 44,240 - - - - - -
361 Silk 3/0 75cm, 3/8 CC Pcs 38,559 23 886,857 - 23 - 23
362 Silk 2/0 75cm, 3/8 RC Pcs 38,065 - - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 - - - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 - - 100 552,000 100 - 100
365 Cuticell classic 10cm x 40cm Pcs 15,600 - - - - - -
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 8 342,400 10 428,000 18 2.00 85,600 16
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - - - -
368 Cannula without injection port & wi pcs 10,000 - - - - - -
370 Cannula without injection port & wi pcs 10,000 - - - - -
371 Cannula with inj port snap fit cap pcs 12,078 - - - - - -
372 Infusion set with needle pcs 8,200 50 410,000 - 50 - 50
373 Micro Drip Infusion set Pcs 9,200 - - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - -
376 Masker headloop box 22,000 - - - - - -
377 Salmonella IgM Cassete pcs 21,650 - - - - - -
378 Leukomed IV Film 6x8cm box 138,000 - - - - - -
379 Cutimed gel 15g tube 52,110 - - - - - -
380 IV Cath No. 20 G ( TRO-VENSITE Pcs 23,100 - - - - - -
383 Alkazym botol 801,000 - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 - - - - - -
386 Aximed Chirurgic gloves 6,0 set 7,872 - - - - - -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 - - - - - -
388 Silk ( scimitar ) Pcs 38,559 - - - - - -
389 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - - - -
390 Trosensosurge, sterglove 6,0 Pcs 6,595 - - - - - -
392 Pembalut Gips delta lite conforma rol 100,401 - - - - - -
393 Benecheck plus blood glucose stri box 160,000 - - - - - -
394 Benecheck asam urat strip box 150,000 - - - - - -
395 Benecheck cholesterol strip box 250,000 - - - - - -
396 Pot dahak buah 3,000 - - - - - -
397 Pewarna Ziiehl Nelson botol 214,500 - - - - - -
398 Rivanol 300 ml botol 3,740 9 33,660 - 9 1.00 3,740 8
399 Bedfont D-Piece Smokerlyzer 12s box 730,000 - - - - - -
400 Bedfont Steribreath Mouthpiece S box 987,000 - - - - - -
- 2,498,500 -
II OBAT APBD I - - -
1 Amlodipin 5 mg tab 187 - - - - - -
2 Amoksilin kapsul 500 mg kaplet 420 - - - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - - - -
5 Kaptopril 12,5mg tablet 62 - - - - - -
6 Ketokonazol cr 2% tube 2,569 - - - - - -
7 Lansoprazole kap 30mg kap 473 - - - - - -
8 Metilprednisolon tab 8mg tab 150 - - - - - -
9 Natrium Diklofenak tab 25mg tab 128 - - - - - -
10 NaCl 0,9% botol 6,410 - - - - - -
11 Obat Batuk Pilek Kombinasi( Hust kaplet 312 - - - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - - - -
14 Parasetamol tab 500mg tab 53 - - - - - -
15 Povidon Iodida 10% 30ml botol 2,163 - - - - - -
17 Propanolol tab tab 107 - - - - - -
18 Ringer Laktat lar infus botol 7,150 - - - - - -
19 Salbutamol inhalasi/ Aerosol 100 botol 63,750 - - - - - -
20 Salep 2-4 pot 2,000 - - - - - -
21 Spironolakton 25mg tablet 244 - - - - - -
22 Aciklofir 400mg tab 192 - - - - - -
23 Salep Whitefield kotak 115,152 - - - - - -
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - - - -
25 Neo Diagon 659 mg tablet 206 400 82,400 - 400 100.00 20,600 300
26 Reliv Multivitamin tablet 4,950 630 3,118,500 - 630 225.00 1,113,750 405
27 Griseovulvin 500 mg tablet 1,400 - - 1,400 100.00 - 1,300
- - -
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 500 6,000,000 - 500 - 500
29 Handscoon 7 set 8,500 198 1,683,000 - 198 - 198
30 Handscoon 7,5 set 7,692 - - - - - -
31 Infus Set anak pcs 5,600 - - - - -
32 Infus Set Dewasa pcs 3,200 - - - - -
33 IV Catheter No.20 pcs 24,255 - - - - -
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - - - -
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - - - -
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - - - -
39 Kasa Pembalut 4x10cm roll 607 - - - - -
40 Masker Pcs 756 - - - - -
41 Urin Bag pcs 6,036 - - - - -
42 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - - - -
43 Hidrogel wound dressing pcs 29,000 - - - - -
44 Iodine Povidone botol 6,550 - - - - -
45 Ciprofloxacin kap kap 240 - - - - -
46 Chloramex- Kloramfenikol 500mg kap 1,007 - - - - -
47 Glimepirid 3mg tab 319 - - - - -
48 Ibuprofen 400mg tab 102 - - - - -
49 Loperamid 2mg tab 80 - - - - -
50 Metoklopramid 10mg tab 90 - - - - -
51 Nifedipine tab 110 - - - - -
52 Omeprazole 20mg kap 140 - - - - -
53 Prednisone tab 96 - - - - -
54 Simvastatin 20mg tab 813 - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - -
56 Aminophylin tab 200mg tablet 91 - - - - -
57 Metformin 500mg tablet 100 - - - - -
58 Alkohol swab pcs 170 - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - -
60 Cutgut chromic 3/0 set 5,583 - - - - -
61 Kapas pembalut 100g gulung 7,275 - - - - -
62 Kasa hidrofil 4x 5 cm roll 760 - - - - -
63 Spuit 5 cc pcs 8,000 - - - - -
64 Haloperidol 0,5mg tab - - - - -
65 Haloperidol 1,5mg tab 69 - - - - -
66 Furosemid 40mg tab 80 - - - - -
67 Kaptopril 25mg tab 80 - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - -
69 Bacitracin+polimicsin salep tube 3,035 - - - - -
70 Salisil bedak 2% 50g kotak 1,020 - - - - -
71 Klorpheniramin Maleat ( CTM ) tab 36 - - - - -
72 Decacetine / Kloramphenikol TM botol 3,250 - - - - -
73 Dexametasone tablet tablet 32 - - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 amp 1,408 - - - - -
75 Gentamisin Salep Mata 0,3% tube 2,675 - - - - -
76 Lidocain inj amp 1,145 - - - - -
77 Oxyticin inj 10 IU/ ml amp 1,199 - - - - -
78 Salbutamol tab tablet 63 - - - - -
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - - - -
80 Underpads pcs 8,268 - - - - -
81 IV Cateter no. 18 buah - - - - -
- - -
III BRANDED - - -
1 Bricasma turb 0,5 mg box 71,100 - - - - - -
2 Curcuma syr botol 10,500 - - - - - -
3 Metroklopramid inj amp 9,000 - - - - - -
4 Kombinasi Metampiron dan vit B ( tablet 1,315 - - - - - -
5 Metoklopramid tablet 1,000 - - - - - -
6 Multivitamin ibu hamil dan menyusu tablet 2,308 - - - - - -
7 Multivitamin anak komb. Probioti Botol 27,300 - - - - - -
8 Multivitamin anak komb.mengandu botol 12,000 - - - - - -
9 Multivitamin Plus DHA Sirup (bioni Botol 18,700 - - - - - -
10 Neurotropik Plus Vit E Tablet (neu Tablet 924 - - - - - -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 - - - - - -
12 Obat Antibiotik Kombinasi (miracla Tablet 13,200 - - - - - -
13 Obat Batuk Flu kombinasi anak ( Pr botol 8,200 - - - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - - - -
15 Obat Batuk Flu kombinasi dewasa ( tablet 410 - - - - - -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 - - - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - - - -
18 Obat Diare Tablet (nodiar) Tablet 924 - - - - - -
19 Obat Gangguan Cerna/Multienzim ( Tablet 303 - - - - - -
20 Obat Infeksi Kulit dan PeradanganTube 10gr 9,955 - - - - - -
21 Pulmicort turb 200 box 93,000 - - - - - -
22 Symbicort turb 160 dos box 117,600 - - - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - - - -
24 Ulsafate / Sukralfat Susp 500mg/ botol 13,424 - - - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - - - -
26 Vitamin Peningkat Sistem Imun (fi Kapsul 3,014 - - - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - - - -
28 Zincpro drops 15 ml botol 12,840 - - - - - -
- - -
IV OBAT PROGRAM - - -
1 ACT (Arthesunate+Amodiaquin) t Tablet 1,375 - - - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - - - -
4 Calcii Glukonas Ampul 7,800 - - - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - - - -
6 DHP ( Dehidro Artemycin + Pipera Tablet 2,160 9 19,440 - 9 - 9
7 Garam oralit untuk 200 ml air kantong 264 - - - - - -
8 Gentamicyn Injeksi Ampul 3,090 - - - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - - - -
10 Metilergometrin Maleat inj.0,200m amp 1,305 - - - - - -
11 Mineral Mix Sacc 2,805 - - - - - -
12 Natrium Tiroksin Tablet 1,694 - - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 10 3,743,840 - 10 6.00 2,246,304 4
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - - - -
15 Obat Anti Tuberculosis anak Paket 214,990 - - - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - - - -
20 Retinol 100.000 IU kapsul lunak 284 - - - - - -
22 Tablet Tambah Darah tablet 352 - - - - - -
23 Quinin inj amp 6,200 500 3,100,000 - 500 - 500
24 Zink Tablet 474 800 379,200 - 800 - 800
25 Oxytosin inj 40% amp 2,200 - - - - - -
26 Primakuin tab tablet 224 - - - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - - - - -
29 Arthesunate inj , vial 60mg Vial 57,585 - - - - - -
30 PP-INH (Pengobatan Pencegahan tablet - - -
- - -
V VAKSIN - - - - -
1 HB 0-7 20,900 0 - - - - - -
2 MR 141,648 0 - - - - - -
3 Polio 18,140 0 - - - - - -
4 Td 16,500 0 - - - - - -
5 DPT-HB-Hib 71,810 0 - - - - - -
6 BCG 60,140 0 - - - - - -
-
TOTAL PENERIMAAN Rp 20,180,988
TOTAL STOK AWAL Rp 117,159,196
TOTAL PEMAKAIAN Rp 18,572,130
TOTAL AKHIR Rp 118,768,054

NIP. 19680709 198711 1 001 NIK. 08.2.21015
JUMLAH
(RUPIAH)
9=8x4
99,000
201,000
-
1,854,000
2,775,850
163,680
41,700
-
-
-
4,208,100
665,874
-
-
437,900
447,090
-
399,042
496,584
-
-
978,120
756,000
-
4,030,000
-
-
-
-
23,700
1,064,000
-
154,100
-
-
-
139,200
-
568,800
425,600
-
-
116,800
-
53,600
33,400
395,000
-
28,160
100,000
-
13,600
-
-
-
-
-
-
239,190
994,000
53,900
-
179,900
-
-
-
214,200
-
63,996
171,000
154,623
462,000
-
-
217,000
126,720
-
-
-
-
18,600
-
-
-
823,500
148,562
-
-
-
-
415,800
-
26,820
-
-
-
722,700
146,300
80,400
-
1,136,960
166,025
-
-
135,000
-
-
-
20,713
-
17,400
-
-
85,350
-
-
25,600
141,020
-
-
-
79,000
336,000
193,550
2,089,500
61,770
-
73,060
-
-
457,047
-
8,624,000
-
-
-
143,500
85,590
1,755,400
619,400
12,978
-
924,800
-
20,500
-
434,910
-
-
69,300
-
-
-
-
-
-
174,196
2,048,816
2,226,983
201,825
-
116,850
1,457,500
-
-
-
85,000
-
-
-
9,900,000
538,200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
233,120
132,000
-
-
-
112,200
-
-
-
792,000
-
1,168,200
54,600
366,800
-
-
-
448,800
87,000
-
646,800
845,000
-
1,821,600
-
-
-
-
-
-
-
367,500
-
-
-
-
-
-
4,182,750
-
180,000
-
2,328,000
-
281,000
331,062
-
74,765,286
-
-
-
33,334
352,000
-
-
385,334
-
1,495,000
799,200
2,387,400
1,200,000
602,704
223,320
67,920
67,200
1,377,000
451,200
539,000
819,000
616,000
1,337,000
-
-
-
-
1,482,000
-
2,400,000
1,200,000
-
141,750
47,270
18,000
116,090
-
1,474,000
25,000
-
-
45,792
11,500
-
-
-
500,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100,000
710,049
354,900
120,000
-
-
-
-
-
15,000
-
-
144,000
-
-
-
-
-
-
-
640,000
-
-
-
4,780,836
-
886,857
-
-
552,000
-
684,800
-
-
-
-
-
410,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
29,920
-
-
28,871,708
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
61,800
2,004,750
-
2,066,550
-
6,000,000
1,683,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
7,683,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
19,440
-
-
-
-
-
-
1,497,536
-
-
-
-
-
-
-
-
-
3,100,000
379,200
-
-
-
-
-
-
4,996,176
-
-
-
-
-
-
-
-
20,180,988
117,159,196
18,572,130
118,768,054
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( MARET 2021 )
STOK
HARGA
NO NAMA 0BAT SATUAN Pemakaian Stok Akhir
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Penerimaan (Rp) Persediaan Pemakaian
(Rp)
1 2 3 4 5 6 7 8=5+6+7
I DAK
1 Allopurinol tablet 100 mg tab 110 900 99,000 - 900 - 900
2 Albendazol 400 mg tab 402 500 201,000 - 500 - 500
5 Ambroxol syr ( Molepect ) 15 mg/m botol 13,475 193 2,600,675 - 193 25 336,875 168
7 Aminofilin tablet 200 mg tab 139 - - - - -
8 Aminitriptilin HCL tablet salut 25 m tab 167 - - - - - -
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 204 383,724 - 204 95 178,695 109
13 Antalgin (Metampiron) tablet 500 tablet 234 - - - - - -
15 Antasida DOEN Tab tablet 58 6,200 359,600 - 6,200 2,000 116,000 4,200
17 Anti Bakteri DOEN salep kombinasi tube 2,516 - - - - - -
18 Anti Hemoroid supp 3,167 130 411,710 - 130 - 130
19 Antifungi DOEN kombinasi pot 2,904 - - - - - -
23 Asam Askorbat (VIT c) tablet 50 m tablet 105 6,500 682,500 - 6,500 1,600 168,000 4,900
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 2,900 4,495,000 - 2,900 800 1,240,000 2,100
31 Asiklovir tablet 400 mg tablet 380 2,700 1,026,000 - 2,700 250 95,000 2,450
32 Atropin Sulfat injeksi 0,25 mg/ml-1 amp 1,639 - - - - - -
33 Betametason krim 0,1% tube 3,350 76 254,600 - 76 62 207,700 14
34 Bionemi kapsul 1,640 - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - -
37 Cetirizine kaps kapsul 96 1,450 139,200 - 1,450 200 19,200 1,250
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 370 584,600 - 370 - 370
40 Deksametason tablet 0,5 mg tablet 32 21,200 678,400 - 21,200 - 21,200
43 Difenhidramin HCI injeksi 10 mg/ml amp 1,168 120 140,160 - 120 - 120
46 Domperidone tab 10 mg tablet 167 150 25,050 - 150 - 150
47 Domperidone syrup botol 19,750 20 395,000 - 20 6 118,500 14
54 Etanol 70% 100 ml botol 2,500 - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml amp 3,417 70 239,190 - 70 - 70
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,400 994,000 - 1,400 - 1,400
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 - 400
65 Gentamisin/Genoint SM 0,3% 3,5m tube 2,600 - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 1,800 214,200 - 1,800 100 11,900 1,700
69 Gliserin botol 5,333 - - - - - -
70 Glukosa larutan infus 10% steril botol 5,700 - - - - - -
72 Griseofulvin tablet 125 mg,microni tab 210 2,200 462,000 - 2,200 - 2,200
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 800 124,000 - 800 - 800
76 Hidrokortison krim 2,5% tube 2,640 48 126,720 - 48 26 68,640 22
78 Isosorbid Dinitrat tablet sublingual tab 88 - - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - - - -
81 Kaptopril tablet 12,5mg tablet 62 300 18,600 - 300 300 18,600 -
85 Ketoconazol tab 200mg tab 270 1,400 378,000 - 1,400 - 1,400
86 Ketoconazole 2% krim 10g tube 2,518 75 188,850 - 75 30 75,540 45
91 Klorfeniramin maleat (CTM) tablet tablet 22 16,600 365,200 - 16,600 3,400 74,800 13,200
94 Klorpromazin inj i.m 5mg/ml 2ml(H amp 1,050 - - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 220 481,800 - 220 - 220
98 Kotrimoksazol tablet komb 480 mg tab 133 1,100 146,300 - 1,100 - 1,100
99 Kuinin tablet 222mg tab 670 - - - - - -
100 Kuinin Inj 25% amp 6,200 - - - - - -
101 Lansoprazol 30mg kapsul 323 3,040 981,920 - 3,040 700 226,100 2,340
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 160 183,200 - 160 - 160
103 Loperamid 2 mg tab 89 - - - - - -
105 Metformin tablet 150 1,000 150,000 - 1,000 - 1,000
106 Magnesium Sulfat inj 40%(Otsu vial 3,796 - - - - - -
107 Magnesium Sulfat inj 20%(Otsu vial 3328 - - - - - -
108 Metilergometrin Maleat tablet 0,12 tab 210 - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 34 116,076 - 34 2 6,828 32
117 Natrium Diklofenak 25mg tablet 128 200 25,600 - 200 200 25,600 -
118 Natrium Klorida larutan infus 0,9% s botol 6,410 21 134,610 - 21 - 21
119 Neurohax 500mg tab 1,210 - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - -
122 Nistatin tablet salut 500.000 IU tab 790 - - - - - -
129 Ondansetron 4mg tab tablet 351 330 115,830 - 330 - 330
133 Paracetamol Tablet 500 mg ( Mirasi tablet 880 9,700 8,536,000 - 9,700 6,200 5,456,000 3,500
137 Pirantel tablet tablet 287 - - - - - -
138 Pirantel Syr botol 9,510 9 85,590 - 9 - 9
139 Piridoksin HCI (Vit.B6) tablet 10 m tablet 131 13,700 1,794,700 - 13,700 1,700 222,700 12,000
143 Prednisone tablet 5 mg tablet 68 14,100 958,800 - 14,100 800 54,400 13,300
147 Ringer Laktat Larutan infus steril botol 7,630 64 488,320 - 64 11 83,930 53
148 RDT DBD test 1,200,000 - - - - - -
149 RDT Malaria test 1,200,000 - - - - - -
150 Salbutamol 2mg tablet 63 1,200 75,600 - 1,200 200 12,600 1,000
152 Salep 2-4 , 30g pot 2,000 - - - - - -
158 Serum anti bisa ular Polivalen inj 5 vial 512,204 4 2,048,816 - 4 - 4
159 Serum Anti Tetanus Injeksi 1.500 I ampul 130,999 17 2,226,983 - 17 5 654,995 12
160 Sianokobalamin (Vit. B12) Injeksi amp 1,035 295 305,325 - 295 - 295
163 Siprofloksasin tablet 500 mg tablet 265 3,400 901,000 - 3,400 200 53,000 3,200
166 Thiamin HCI (Vit.B1) injeksi 100 m amp 1,283 - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) ta tablet 85 1,000 85,000 - 1,000 800 68,000 200
171 Vaksin Rabies Vero kuur 660,000 15 9,900,000 - 15 - 15
174 Miniaspi 80mg tab 130 - - - - - -
177 Maganol tablet 451 - - - - - -
180 Wida KN2 mengandung elektrolit( botol 11,011 - - - - - -
181 Wida KDN 1 mengandung karbohidra botol 11,435 - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropan kaplet 621 - - - - - -
185 Akita (pectin 50mg,attapulgite 600 tablet 454 - - - - - -
186 Neocenta gel ( neomycin sulfat 0,5 tube 19,958 - - - - - -
187 Bevalex cream (betametasone 1mg tube 10,300 - - - - - -
Komb.ferro fumarat 60mg+as.folat
0,4mg ( Tablet tambah darah ) tab 354 - - - - - -
197
201 Kaptopril 50mg tab 124 1,700 210,800 - 1,700 400 49,600 1,300
202 Betahistine Besilat 6mg tab 110 1,100 121,000 - 1,100 300 33,000 800
206 Etanol 70 % 1000ml botol 18,700 6 112,200 - 6 5 93,500 1
207 Natrium Diklofenak 50mg/ Sodium tab 115 - - - - - -
208 Clobazam 10mg tab 776 - - - - - -
209 Neo diagon 659mg tab 206 - - - - - -
212 Metamizole Sodium Monohidrate tab 3,960 - - - - - -
214 Zink dispersible tab 524 800 419,200 - 800 400 209,600 400
217 Amlodipin 10 mg tab 92 - - - - - -
218 Mineral Mix sacc 2,805 - - - - - -
219 Guaifenisin tab 145 6,100 884,500 - 6,100 1,800 261,000 4,300
221 Solatim 500mg tab 1,176 650 764,400 - 650 200 235,200 450
222 Molacort tab tab 169 5,000 845,000 - 5,000 2,700 456,300 2,300
224 Chloramfecort H Cream 10 g tube 12,650 210 2,656,500 - 210 23 290,950 187
232 Ramipril tab 5mg tab 245 1,300 318,500 - 1,300 600 147,000 700
233 Povidon 10 % 100ml botol 6,050 - - - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 450 4,826,250 - 450 210 2,252,250 240
241 Fluanza tab tablet 200 1,100 220,000 - 1,100 400 80,000 700
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - - - - -
243 Etaneural ( multivitamin ) tablet 776 3,000 2,328,000 - 3,000 1,500 1,164,000 1,500
245 Metilprednisolone 4 mg metilon tablet 281 2,100 590,100 - 2,100 - 2,100
246 Salep Whitefield tube 4,798 240 1,151,520 - 240 6 28,788 234
247 Bionicom Zinc tablet 500 - - 500 - 500
- - - - -
OBAT GIGI - - - - -
249 Eugenol cair botol 16,667 2 33,334 - 2 - 2
250 Mummifying pasta/Iodoform Pasta Botol 176,000 2 352,000 - 2 - 2
251 Semen seng fosfat serbuk dan cair Botol 93,500 - - - - - -
252 Temporary Stopping Fletcher serbu botol 34,000 - - - - - -
- - - - -
254 Alat Suntik Sekali Pakai 2,5 ml set 888 600 532,800 - 600 200 177,600 400
258 Catgut/Benang No. 2/0-3/0 set 11,166 114 1,272,924 - 114 5 55,830 109
262 Infusion set dewasa set 4,800 94 451,200 - 94 - 94
271 Handscoon 7 set 7,600 195 1,482,000 - 195 95 722,000 100
272 Handscoon 7,5 set 7,600 2 15,200 - 2 - 2
273 Handscoon M set 6,000 400 2,400,000 - 400 200 1,200,000 200
274 Handscoon L set 6,000 200 1,200,000 - 200 100 600,000 100
277 Plester 5 cm x 4,5 m rol 23,635 2 47,270 - 2 - 2
278 Plester 4,5 m x 12,5 mm rol 6,000 3 18,000 - 3 - 3
279 Silk (Benang Bedah Sutera) No. 3/ set 3,055 38 116,090 - 38 - 38
281 Kasa Kompres 16x16 steril kotak 7,370 160 1,179,200 - 160 - 160
285 Urine bag Pcs 5,088 9 45,792 - 9 - 9
286 Aximed Swab 2 Ply Pcs 115 10 1,150 - 10 3 345 7
288 Strip ET Gula set 250,000 - - - - - -
289 Strip ET Chol set 348,500 - - - - - -
290 Strip ET Asam Urat set 250,000 - - - - - -
291 Kertas EKG rol 200,000 - - - - - -
292 Kertas USG rol 300,000 - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 - - - - - -
301 Developer/ RENDOL DEVELOPER set 556,000 - - - - - -
302 Bunaskan amp 91,200 - - - - - -
303 Decain Inj amp 81,840 - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - -
308 Tramus 5mg amp 111,500 - - - - - -
309 Albumin 50ml ( plasbumin 25ml/50m Fls 2,212,650 - - - - - -
310 Blood Lancet box 22,950 - - - - - -
311 Cover Glass 22x22 box 202,500 - - - - - -
315 Kartu golongan darah box 50,000 - - - - - -
316 Lyse 1 L FLS 2,362,500 - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - -
321 Yellow Tip Pcs 500 - - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 75 Pcs 4,963 - - - - - -
323 Prolene 3/0 ds 19 kode 8832 H 75 Pcs 5,319 - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H Pcs 5,750 - - - - - -
325 Prolene 4/0 ds 19 kode W8557 90 Pcs 7,025 - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR b Pcs 87,300 - - - - - -
334 Alat cek GD,KOLESTEROL,TRIGL set 660,000 - - - - - -
336 Plaster 7,5cm x 4,5 m rol 37,371 20 747,420 - 20 - 20
337 Plaster 2,5cm x 4,5 m rol 12,675 28 354,900 - 28 - 28
344 Masker surgical face mask ear loop pcs 1,000 15 15,000 - 15 6.00 6,000 9
347 Kasa kompres steril 40 x 40 Pcs 1,600 300 480,000 - 300 - 300
349 Softpad 60x90 Pcs 4,162 - - - - - -
354 Handscoon churgic gloves size 6,5 set 7,872 - - - - - -
356 Chromic 2/0 75cm,1/2 RC 2 Pcs 51,622 - - - - - -
357 Plain 2/0 75cm, 3/BRC 2 Pcs 49,042 - - - - - -
358 Chromic 3/0 75cm, 3/BRC 2 Pcs 46,627 - - - - - -
359 Plain 3/0 75cm, 1/2 TP Pcs 44,267 108 4,780,836 - 108 - 108
360 Chromic 3/0 75cm, 1/2 TP Pcs 44,240 - - - - - -
361 Silk 3/0 75cm, 3/8 CC 1 Pcs 38,559 23 886,857 - 23 - 23
362 Silk 2/0 75cm, 3/8 RC 3 Pcs 38,065 - - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 100 552,000 - 100 3.00 16,560 97
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 16 684,800 - 16 - 16
368 Cannula without injection port & win pcs 10,000 - - - - - -
369 Cannula without injection port & win pcs 10,000 - - - - - -
370 Cannula without injection port & win pcs 10,000 - - - - -
371 Cannula with inj port snap fit cap & pcs 12,078 - - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - -
383 Alkazym botol 801,000 - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - -
392 Pembalut Gips delta lite conformab rol 100,401 - - - - - -
393 Benecheck plus blood glucose strip box 160,000 - - - - - -
394 Benecheck asam urat strip box 150,000 - - - - - -
395 Benecheck cholesterol strip box 250,000 - - - - - -
396 Pot dahak buah 3,000 - - - - - -
398 Rivanol 300 ml botol 3,740 8 29,920 - 8 - 8
400 Bedfont Steribreath Mouthpiece Sm box 987,000 - - - - - -
- - -
1 Amlodipin 5 mg tab 187 - - - - - -
10 NaCl 0,9% botol 6,410 - - - - - -
11 Obat Batuk Pilek Kombinasi( Husta kaplet 312 - - - - - -
19 Salbutamol inhalasi/ Aerosol 100m botol 63,750 - - - - - -
20 Salep 2-4 pot 2,000 - - - - - -
22 Aciklofir 400mg tab 192 - - - - - -
23 Salep Whitefield kotak 115,152 - - - - - -
25 Neo Diagon 659 mg tablet 206 400 82,400 - 400 - 400
26 Reliv Multivitamin tablet 4,950 405 2,004,750 - 405 405.00 2,004,750 -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 - 1,300
- - -
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 - - - - -
29 Handscoon 7 set 8,500 - - - - -
30 Handscoon 7,5 set 7,692 - - - - - -
40 Masker Pcs 756 - - - - -
41 Urin Bag pcs 6,036 - - - - -
48 Ibuprofen 400mg tab 102 - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - -
63 Spuit 5 cc pcs 8,000 - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 amp 1,408 - - - - -
80 Underpads pcs 8,268 - - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( G tablet 1,315 - - - - - -
6 Multivitamin ibu hamil dan menyusui tablet 2,308 - - - - - -
7 Multivitamin anak komb. Probiotik Botol 27,300 - - - - - -
8 Multivitamin anak komb.mengandun botol 12,000 - - - - - -
9 Multivitamin Plus DHA Sirup (bionic Botol 18,700 - - - - - -
10 Neurotropik Plus Vit E Tablet (neur Tablet 924 - - - - - -
12 Obat Antibiotik Kombinasi (miraclav Tablet 13,200 - - - - - -
13 Obat Batuk Flu kombinasi anak ( Pro botol 8,200 - - - - - -
15 Obat Batuk Flu kombinasi dewasa ( tablet 410 - - - - - -
19 Obat Gangguan Cerna/Multienzim ( Tablet 303 - - - - - -
20 Obat Infeksi Kulit dan Peradangan Tube 10gr 9,955 - - - - - -
24 Ulsafate / Sukralfat Susp 500mg/5 botol 13,424 - - - - - -
26 Vitamin Peningkat Sistem Imun (fit Kapsul 3,014 - - - - - -
- - -
1 ACT (Arthesunate+Amodiaquin) ta Tablet 1,375 - - - - - -
6 DHP ( Dehidro Artemycin + Piperaq Tablet 2,160 9 19,440 - 9 - 9
11 Mineral Mix Sacc 2,805 - - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 4 1,497,536 10 3,743,840 14 4.00 1,497,536 10
22 Tablet Tambah Darah tablet 352 - - - - - -
23 Quinin inj amp 6,200 - - - - - -
24 Zink Tablet 474 800 379,200 - 800 400.00 189,600 400
25 Oxytosin inj 40% amp 2,200 - - - - - -
30 PP-INH (Pengobatan Pencegahan D tablet - - -
- 3,743,840 -
V VAKSIN - - - - -
1 HB 0-7 20,900 80 1,672,000 80 1,672,000 160 40 836,000 120
2 MR 141,648 39 5,524,272 50 7,082,400 89 20 2,832,960 69
3 Polio 18,140 0 - - - 10 9 163,260 1
4 Td 16,500 34 561,000 30 495,000 64 16 264,000 48
5 DPT-HB-Hib 71,810 0 - - - - - -
6 BCG 60,140 14 841,960 25 1,503,500 39 15 902,100 24
7 Pentavalen 10 - 100 - 110 48 - 62
8 IPV 0 - 25 - 25 19 - 6
9 Spuit 0,05 ml 0 - 200 - 200 50 - 150
10 Spuit 0,5 ml 0 - 1,600 - 1,600 300 - 1,300
10,752,900
TOTAL PENERIMAAN Rp 14,496,
TOTAL STOK AWAL Rp 114,612,
TOTAL PEMAKAIAN Rp 28,605,
TOTAL AKHIR Rp 100,504,

NIP. 19680709 198711 1 001 NIK. 08.2.21015
JUMLAH
(RUPIAH)
9=8x4
99,000
201,000
-
1,751,000
2,263,800
163,680
-
-
-
-
3,560,700
205,029
-
-
243,600
378,962
-
411,710
-
-
-
-
514,500
-
3,255,000
-
-
-
-
23,700
931,000
-
46,900
-
-
-
120,000
-
584,600
678,400
-
-
140,160
-
53,600
25,050
276,500
-
28,160
100,000
-
40,800
-
-
-
-
-
-
239,190
994,000
30,800
-
231,300
-
-
-
202,300
-
-
-
-
462,000
-
-
124,000
58,080
-
-
-
-
-
-
-
-
378,000
113,310
-
-
-
-
290,400
-
-
-
-
-
481,800
146,300
-
-
755,820
183,200
-
-
150,000
-
-
-
-
-
17,400
-
-
109,248
-
-
-
134,610
-
-
-
-
336,000
193,550
1,312,500
41,180
-
59,572
115,830
-
273,992
-
3,080,000
-
-
-
-
85,590
1,572,000
521,600
-
16,500
904,400
-
20,500
-
404,390
-
-
63,000
-
-
-
-
-
-
174,196
2,048,816
1,571,988
305,325
-
67,650
848,000
-
-
-
17,000
-
-
-
9,900,000
304,200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
161,200
88,000
-
-
-
18,700
-
-
-
792,000
-
-
54,600
209,600
-
-
-
-
623,500
-
529,200
388,700
-
2,365,550
-
-
-
-
-
-
-
171,500
-
-
-
-
-
-
2,574,000
-
140,000
-
1,164,000
-
590,100
1,122,732
-
56,429,770
-
-
-
33,334
352,000
-
-
385,334
-
1,495,000
355,200
1,349,400
1,200,000
602,704
1,217,094
67,920
67,200
1,377,000
451,200
497,000
819,000
616,000
1,337,000
-
-
-
-
760,000
15,200
1,200,000
600,000
-
141,750
47,270
18,000
116,090
-
1,179,200
25,000
-
-
45,792
805
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100,000
747,420
354,900
120,000
-
-
-
-
-
9,000
-
-
480,000
-
-
-
-
-
-
-
560,000
-
-
-
4,780,836
-
886,857
-
-
535,440
-
684,800
-
-
-
-
-
410,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
29,920
-
-
25,299,998
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
82,400
-
-
82,400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
19,440
-
-
-
-
-
-
3,743,840
-
-
-
-
-
-
-
-
-
-
189,600
-
-
-
-
-
-
3,952,880
-
2,508,000
9,773,712
(163,260)
792,000
-
1,443,360
-
-
-
-
14,353,812
14,496,740
114,612,598
28,605,144
100,504,194
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( TRIWULAN 2021 )
JANUARI FEBRUARI MARET

NO NAMA 0BAT SATUAN HARGA SATUAN Stok Awal
Penerimaan Pemakaian Penerimaan Pemakaian Penerimaan Pemakaian
I DAK
1 Allopurinol tablet 100 mg tab 110 2,300 700 700
2 Albendazol 400 mg tab 402 700 100 100
3 Albendazol susp 200mg/5ml botol 3,849 -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 3,100 700 600 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 256 40 10 25
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 55
7 Aminofilin tablet 200 mg tab 139 300
8 Aminitriptilin HCL tablet salut 25 mg tab 167 -
9 Amlodipin 5 mg tab 73 -
10 Amoksilin kapsul 250 mg kapsul 184 -
11 Amoksilin kapsul 500 mg kaplet 249 21,900 2,000 4,100 2,900 2,600
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 335 100 105 100 76 95
13 Antalgin (Metampiron) tablet 500 mg tablet 234 -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 -
15 Antasida DOEN Tab tablet 58 8,700 2,000 2,050 1,000 2,100 2,000
16 Antasida DOEN susp botol 2,129 172 100 37 25 18
17 Anti Bakteri DOEN salep kombinasi tube 2,516 -
18 Anti Hemoroid supp 3,167 36 10 100
19 Antifungi DOEN kombinasi pot 2,904 176 5
20 Anti Migren tablet 185 -
21 Aqua Pro Inj Steril 20 ml botol 5,500 -
22 Aqua Pro Inj Steril 25 ml botol 2,860 342
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 8,100 800 1,000 700 1,600
24 Asam Folat 1 mg tablet 48 -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 5,100 700 1,900 1,300 800
26 Asam Traneksamat inj 50mg/ ml amp 1,748 330
27 Asetosal tab 100 mg tablet 133 -
29 Asiklovir Krim 5% tube 3,150 -
30 Asiklovir tablet 200 mg tablet 237 100
31 Asiklovir tablet 400 mg tablet 380 2,750 900 150 700 250
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 -
33 Betametason krim 0,1% tube 3,350 115 50 113 25 31 62
34 Bionemi kapsul 1,640 -
35 Cefixime 100mg tab 2,394 -
36 Cefixime 100mg/5ml botol 8,800 -
37 Cetirizine kaps kapsul 96 1,600 250 350 250 300 200
38 Cetirizine syr botol 2,850 -
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 290 100 30
40 Deksametason tablet 0,5 mg tablet 32 16,300 1,660 1,300
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 -
42 Diazepam tablet 2 mg tablet 27 -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 120 20
44 Digoksin tablet 0,25 mg tab 97 -
45 Doksisiklin kapsul 100 mg kapsul 268 200
46 Domperidone tab 10 mg tablet 167 1,400 900 300
47 Domperidone syrup botol 19,750 10 10 5 10 5 6
48 Efedrin HCI tablet 25 mg tablet 51 -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 20
50 Eritromisin kapsul kapsul 1,000 100
51 Eritromisin sirup 200 mg/5 ml botol 7,700 -
52 Etakridin (Rivanol) 300 ml botol 3,400 4
53 Etakridin (Rivanol) 100 ml botol 2,275 -
54 Etanol 70% 100 ml botol 2,500 -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 -
56 Fenilbutazon 200 mg tablet 143 -
57 Fenol Gliserol TT 10% botol 2,590 -
58 Forasma tab 600mg tab 1,200 -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 90 20
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,500 100
61 Furosemid tablet 40 mg tablet 77 - 1,000 200 100
62 Furosemid inj 10 mg/ml vial 91 -
63 Garam oralit untuk 200 ml air kantong 257 200 500
64 Gential violet larutan 1% botol 2,500 -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 -
67 Glibenklamid tablet 5 mg tablet 119 800 600 2,000 400 100
68 Gliseril Guayacolat tablet 100 mg tablet 44 -
69 Gliserin botol 5,333 12
70 Glukosa larutan infus 10% steril botol 5,700 30
71 Glukosa larutan infus 5% steril botol 7,363 27 5 1
72 Griseofulvin tablet 125 mg,micronized tab 210 2,200
73 Haloperidoi tablet 0,5 mg tab 60 -
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 400 1,000
76 Hidrokortison krim 2,5% tube 2,640 - 48 26
77 Ibuprofen tablet 400mg tab 105 -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 -
79 Kalium Diklofenak 50mg tablet 778 -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 100 200 100 200
81 Kaptopril tablet 12,5mg tablet 62 200 400 300 300
82 Kaptopril tablet 25mg tablet 84 -
83 Karbamazepin 200mg tablet 270 -
84 Ketoprofen inj 100mg ampul 5,650 -
85 Ketoconazol tab 200mg tab 270 300 50 3,000 200
86 Ketoconazole 2% krim 10g tube 2,518 90 16 15 30
87 Kloramfenikol kapsul 250mg kapsul 310 -
88 Kloramfenikol suspensi 125mg 7,000 -
89 Kloramfenikol Salep Mata 1% tube 1,810 -
90 Kloramfenikol tetes telinga 3% botol 1,815 -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 23,600 1,000 3,400 2,300 3,400
92 Klorpromazin tablet salut 25 mg tablet 149 -
93 Klorpromazin tablet salut 100 mg tablet 149 180
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 -
95 Klindamycin kap 150mg kapsul 382 -
97 Kotrimoksazol Suspensi komb botol 2,190 270 30 100 10
98 Kotrimoksazol tablet komb 480 mg tab 133 1,800 600 100
99 Kuinin tablet 222mg tab 670 120
100 Kuinin Inj 25% amp 6,200 -
101 Lansoprazol 30mg kapsul 323 2,400 1,360 780 1,360 820 700
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 40 150 45
103 Loperamid 2 mg tab 89 -
104 Loratadin 10mg tablet 154 -
105 Metformin tablet 150 800 500 200 200
106 Magnesium Sulfat inj 40%(Otsu MGSO4 vial 3,796 -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 vial 3328 -
108 Metilergometrin Maleat tablet 0,125mg tab 210 -
109 Metilergometrin Maleat inj.0,200mg-1ml amp 2,959 7
110 Metilprednisolone 16mg tab 551 -
111 Metoklopramid tab 10 mg tablet 87 200
112 Metronidazol tablet 250 mg tablet 110 -
113 Metronidazol tablet 500mg tablet 160 -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 68 43 2
115 Molasma tab 2,5mg tab 78 -
116 Natrium Bikarbonat tablet 500mg tablet 52 -
117 Natrium Diklofenak 25mg tablet 128 450 500 650 250 350 200
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 33 10 1
119 Neurohax 500mg tab 1,210 -
120 Nerva 5000 kaplet 3,020 -
121 Nifedipine tablet 110 -
122 Nistatin tablet salut 500.000 IU tab 790 100
123 Nistatin Tablet salut 100.000 IU/g tab 560 600
124 Ofloxacin 400mg tab sal sel tab 553 350
125 Obat Batuk Hitam (OBH) cairan botol 10,500 269 55 15 80
126 Oksitetrasklin HCI salep mata 1% tube 2,059 35 5
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199
128 Ondansetron 4mg inj amp 1124 70 5
129 Ondansetron 4mg tab tablet 351 - 380 440
130 Omeprazole 20mg kapsul 130 60 60
131 Paracetamol Syrup 120 mg/5ml botol 1,181 475 100 103 85 140
132 Parasetamol drops botol 5,200 -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 12,100 5,000 4,700 1,200 3,800 6,200
134 Phenobarbital inj amp 1,800 -
135 Phenobarbital 30 mg tablet 65 -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 -
137 Pirantel tablet tablet 287 500
138 Pirantel Syr botol 9,510 26 11 6
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 13,000 2,000 1,700 1,000 900 1,700
140 Piroxicam 20 mg kapsul 163 6,100 1,500 800 700
141 Povidon Iodida 10% 30 ml botol 2,163 2 5 1
142 Povidon Iodida 10% 300 ml botol 16,500 -
143 Prednisone tablet 5 mg tablet 68 20,500 3,800 3,100 800
144 Propiltiouracyl tablet 319 -
145 Primaquin Tab tablet 205 100
146 Ranitidine inj amp 1,140 -
147 Ringer Laktat Larutan infus steril botol 7,630 76 19 11
148 RDT DBD test 1,200,000 -
149 RDT Malaria test 1,200,000 -
150 Salbutamol 2mg tablet 63 1,500 400 200
151 Salbutamol 2mg/ 5ml syr botol 4,446 -
152 Salep 2-4 , 30g pot 2,000 5 5
153 Salisil bedak 2% kotak 1,120 -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 450 130
155 Sefadroxyl syr botol 3,926 -
156 Sefotaxim inj vial 6,012 -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 37
158 Serum anti bisa ular Polivalen inj 5ml (ABU vial 512,204 3 1
159 Serum Anti Tetanus Injeksi 1.500 IU/ampu ampul 130,999 30 10 1 5
160 Sianokobalamin (Vit. B12) Injeksi 500 mc amp 1,035 300 5 100
161 Simetidin tablet tablet 180 -
162 Simvastatin 10mg tablet 205 1,020 150 300 300 210
163 Siprofloksasin tablet 500 mg tablet 265 5,600 1,000 800 300 200
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 200
165 Thiamphenikol kap 500 mg kapsul 615 -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1m amp 1,283 -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 tablet 85 3,100 1,200 900 800
168 Tramadol inj 50mg/ml amp 1,710 -
169 Tramadol kapsul 50mg kapsul 321 -
170 Trihexyphenidil tab 91 -
171 Vaksin Rabies Vero kuur 660,000 6 12
172 Vitamin B komplek tablet tablet 117 6,100 2,000 1,700 1,800 1,800
173 Zinkid 10mg/5ml syr botol 2,972 -
174 Miniaspi 80mg tab 130 -
175 Indanox 300mg kapsul 6,930 -
176 Ponsamic 500mg tablet 1,375 -
177 Maganol tablet 451 -
178 Lopiten 5mg tablet 6,050 -
179 Getidin inj 2 ml amp 20,900 -
180 Wida KN2 mengandung elektrolit(KCL0, botol 11,011 -
181 Wida KDN 1 mengandung karbohidrat+elekt botol 11,435 -
182 Alprazolam tab 1mg tab 143 -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 -
184 Alpara (Pct,dmp,ctm,phenylpropanolamine kaplet 621 -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 -
186 Neocenta gel ( neomycin sulfat 0,5%,plac tube 19,958 -
187 Bevalex cream (betametasone 1mg,neomyc tube 10,300 -
188 Panviton tab tablet 1,435 -
189 Dextral syr botol 8,700 -
190 Neo-Kaominal syr botol 7,200 -
191 Mulsanol syr botol 18,000 -
192 Salesbion plus tablet 1,182 -
193 Selferro tablet 659 -
194 Stimuno sry 60ml botol 20,000 -
195 Stimuno grape sry 60ml botol 20,000 -
196 Dexocort 5%/10g krim tube 7,250 -
0,4mg ( Tablet tambah darah ) tab 354 -
197
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 -
199 Vagizol Ovula 500mg supp tab 3,590 -
200 Propanolol 40mg tab 73 -
201 Kaptopril 50mg tab 124 200 3,000 920 400 400
202 Betahistine Besilat 6mg tab 110 1,500 100 200 300
203 Metronidazole infus 500mg/100ml botol 8,110 -
204 Spironolactone 25mg tab 195 -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 -
206 Etanol 70 % 1000ml botol 18,700 8 5 3 5 9 5
207 Natrium Diklofenak 50mg/ Sodium diklof tab 115 -
208 Clobazam 10mg tab 776 -
209 Neo diagon 659mg tab 206 -
210 Asam Tranexamat tab 500mg tab 1,584 500
211 Metoklopramid inj 10 ml/2ml amp 3,960 -
212 Metamizole Sodium Monohidrate 1000mg tab 3,960 295
213 Erytromycin 250mg tab 546 600 500
214 Zink dispersible tab 524 1,000 200 100 400
216 Haloperidol 5mg tab 56 -
218 Mineral Mix sacc 2,805 80 80
219 Guaifenisin tab 145 6,600 1,000 1,100 400 1,800
220 Neurotropik inj amp 905 -
221 Solatim 500mg tab 1,176 - 300 100 500 150 200
222 Molacort tab tab 169 - 5,000 2,700
223 Betason N Cream 6 g tube 13,475 -
224 Chloramfecort H Cream 10 g tube 12,650 - 192 24 24 23
226 Retinol 100.000IU kapsul 306 -
228 Parasetamol infus botol 12,389 -
229 Clozapin 25mg tablet 1,121 -
230 Omeprazole Inj 40mg vial 10,393 -
231 Risperidon tablet 240 -
232 Ramipril tab 5mg tab 245 600 500 200 1,000 400 600
233 Povidon 10 % 100ml botol 6,050 -
234 Alkohol 70 % 300ml botol 6,820 -
235 Ephedrine HCL 50 mg/ml amp 8,569 -
236 Chlodine 0,5% 500ml Handrub botol 82,500 -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 -
238 Ambroxol generik tablet 180 -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - 150 60 210
240 Etamox syr tablet 6,488 -
241 Fluanza tab tablet 200 - 200 500 200 400
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 -
243 Etaneural ( multivitamin ) tablet 776 - 3,000 1,500
244 Metilon ( metilprednisolon ) tablet 280 -
245 Metilprednisolone 4 mg metilon tablet 281 - 1,000 500 1,000 500
246 Salep Whitefield tube 4,798 - 48 27 48 6
247 Bionicom Zink tablet 500
OBAT GIGI
247 Devitalisasi pasta (non arsen) Botol 390,000 -
248 Ethyl Clorida spray botol 100,000 -
249 Eugenol cair botol 16,667 3
250 Mummifying pasta/Iodoform Pasta Botol 176,000 3 1
251 Semen seng fosfat serbuk dan cairan Botol 93,500 - 1
252 Temporary Stopping Fletcher serbuk dan c botol 34,000 -
ALAT KESEHATAN
253 Alat Suntik sekali pakai 1 ml set 650 2,300
254 Alat Suntik Sekali Pakai 2,5 ml set 888 500 500
255 Alat Suntik Sekali Pakai 5 ml set 1,038 1,600 1,000 300 100 200
256 Alat Suntik Sekali Pakai 10 ml set 1,200 800 200
257 Alat Suntik Sekali Pakai 20 ml set 2,168 278
258 Catgut/Benang No. 2/0-3/0 set 11,166 40 15
259 Folley Cateter NO. 18 Pcs 8,490 8 5 5
260 Folley Cateter NO. 16 Pcs 8,400 8
261 Infusion set anak set 5,100 270
262 Infusion set dewasa set 4,800 114 18
263 IV Catheter No.18 buah 7,000 77 2
267 IV Catheter Supercath 5 No.24 buah 15,000 -
268 Wing Neddle No.21 pcs 5,770 -
271 Handscoon 7 set 7,600 198 98
272 Handscoon 7,5 set 7,600 - 100 5 95
273 Handscoon M set 6,000 1,300 50 80
274 Handscoon L set 6,000 199 250 100 200
275 Pembalut Gips rol 23,500 - 300 100
276 Plester 5 yard x 2 inch rol 23,625 6
277 Plester 5 cm x 4,5 m rol 23,635 2
278 Plester 4,5 m x 12,5 mm rol 6,000 3
279 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 53 15
280 Kasa Gulung 15X4 gulung 3,373 -
281 Kasa Kompres 16x16 steril kotak 7,370 100
282 Kapas pembalut absorben250 mg gulung 25,000 1 100
283 Kasa Hidrofil 4x 10 cm gulung 607 -
284 Kasa Pembalut 4 cm elastis gulung 10,000 -
285 Urine bag Pcs 5,088 10 1
286 Aximed Swab 2 Ply Pcs 115 1,100 800
287 Aximed Syringe 50 cc set 4,451 - 100 3
288 Strip ET Gula set 250,000 -
289 Strip ET Chol set 348,500 -
290 Strip ET Asam Urat set 250,000 3
291 Kertas EKG rol 200,000 - 1
292 Kertas USG rol 300,000 -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 -
294 Nassal O2 bayi Pcs 10,000 -
295 Nassal O2 dewasa Pcs 10,000 -
296 NGT semua nomor Pcs 150,000 -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 -
301 Developer/ RENDOL DEVELOPER MANU set 556,000 -
302 Bunaskan amp 91,200 -
303 Decain Inj amp 81,840 -
304 Jarum Spinal no. 25 Pcs 30,000 -
306 Propofol Lipuro Fls 120,000 -
307 Terrel 100ml Fls 702,000 -
308 Tramus 5mg amp 111,500 -
309 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 -
310 Blood Lancet box 22,950 -
311 Cover Glass 22x22 box 202,500 -
312 HBSAg Multi Device 100 SD box 3,510,000 -
313 HBSAg Strip Smart box 484,500 -
314 HCG Strip mono box 202,500 -
315 Kartu golongan darah box 50,000 -
316 Lyse 1 L FLS 2,362,500 -
317 Multidrug 3 panel box 2,223,450 -
318 Slide Objek Glass box 130,000 -
319 Strip Urine Ferivy Fls 308,000 -
320 Tabung EDTA Pcs 3,400 -
321 Yellow Tip Pcs 500 -
322 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 -
323 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 -
324 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 -
325 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 -
327 Safil 1 hr 48 kode 31361 90cm Pcs 160,000 -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 -
331 Silkam 2/0 hr 26 kode 32161 HR black 7 Pcs 87,300 -
332 Premilene Mesh 5x10 cm kode 31672 5x1 box 725,500 -
333 Premilene Mesh 5x10 cm kode 31671 30 box 2,400,000 -
334 Alat cek GD,KOLESTEROL,TRIGLISERI set 660,000 -
335 Kapas pembalut absorben 1000 g gulung 100,000 - 1
336 Plaster 7,5cm x 4,5 m rol 37,371 - 20
337 Plaster 2,5cm x 4,5 m rol 12,675 - 30 1.00
338 Kasa gulung 5X4 gulung 1,500 - 100 20.00 2.00
339 Performa meter set 420,000 -
340 Accu check performa 100 set 453,750 -
341 Accu safe T pro u no.20 set 127,050 -
342 Multidrug 6 panel box 37,286 -
343 Masker surgical face mask tie on Pcs 1,000 -
344 Masker surgical face mask ear loop jilbab pcs 1,000 - 10
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - 10 5.00 6.00
346 Mas nursing cap ( 0/0 ) Pcs 1,320 -
347 Kasa kompres steril 40 x 40 Pcs 1,600 - 100
348 One scrub 2% 100ml botol 22,000 - 10.00
349 Softpad 60x90 Pcs 4,162 -
350 Aximed iv cath NP Pen type 18 Pcs 6,000 -
354 Handscoon churgic gloves size 6,5 set 7,872 -
355 Aximed Swab 4 Ply boks 20,000 - 30
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 - 1.00 4.00
357 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 -
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 -
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 - 108
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 -
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 23
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065
363 Kasa Hidrofil 40 x 80 cm rol 250,250 -
364 Cuticell classic 10cm x 10cm Pcs 5,520 -
365 Cuticell classic 10cm x 40cm Pcs 15,600 - 100 3.00
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 - 10 2.00
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - 10 2.00
368 Cannula without injection port & wings ( 20 pcs 10,000 -
369 Cannula without injection port & wings ( 22 pcs 10,000 -
370 Cannula without injection port & wings ( 24 pcs 10,000
371 Cannula with inj port snap fit cap & sutura pcs 12,078 -
372 Infusion set with needle pcs 8,200 - 50
373 Micro Drip Infusion set Pcs 9,200 -
374 Uniflex 15cm x 4,5 m rol 33,700 -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 -
376 Masker headloop box 22,000 -
377 Salmonella IgM Cassete pcs 21,650 -
378 Leukomed IV Film 6x8cm box 138,000 -
379 Cutimed gel 15g tube 52,110 -
380 IV Cath No. 20 G ( TRO-VENSITE ) Pcs 23,100 -
383 Alkazym botol 801,000 -
384 Alkazyd 1 L botol 2,702,700 -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 -
386 Aximed Chirurgic gloves 6,0 set 7,872 -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 -
388 Silk ( scimitar ) Pcs 38,559 -
389 stomact touch ( NGT NO 18 ) Pcs 150,000 -
390 Trosensosurge, sterglove 6,0 Pcs 6,595 -
392 Pembalut Gips delta lite conformable rol 100,401 -
393 Benecheck plus blood glucose strip box 160,000 -
394 Benecheck asam urat strip box 150,000 -
395 Benecheck cholesterol strip box 250,000 -
396 Pot dahak buah 3,000 -
397 Pewarna Ziiehl Nelson botol 214,500 -
398 Rivanol 300 ml botol 3,740 10 1.00
399 Bedfont D-Piece Smokerlyzer 12s box 730,000 - 1.00
400 Bedfont Steribreath Mouthpiece Smokerly box 987,000 -
II OBAT APBD I
2 Amoksilin kapsul 500 mg kaplet 420 -
3 Antasida DOEN I tablet kunyah tablet 72 -
4 Asiklovir kapl 200mg kaplet 198 -
5 Kaptopril 12,5mg tablet 62 -
6 Ketokonazol cr 2% tube 2,569 -
7 Lansoprazole kap 30mg kap 473 -
8 Metilprednisolon tab 8mg tab 150 -
9 Natrium Diklofenak tab 25mg tab 128 -
10 NaCl 0,9% botol 6,410 -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 -
13 Parasetamol Syr 120mg/5ml botol 1,107 -
14 Parasetamol tab 500mg tab 53 -
15 Povidon Iodida 10% 30ml botol 2,163 -
17 Propanolol tab tab 107 -
18 Ringer Laktat lar infus botol 7,150 -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosi botol 63,750 -
20 Salep 2-4 pot 2,000 -
21 Spironolakton 25mg tablet 244 -
22 Aciklofir 400mg tab 192 -
23 Salep Whitefield kotak 115,152 -
24 Urea ( Soft U Derm ) krim 10% tube 3,941 -
25 Neo Diagon 659 mg tablet 206 800 400.00 100.00
26 Reliv Multivitamin tablet 4,950 630 225.00
27 Griseovulvin 500 mg tablet 1,800 400.00 100.00 405.00
ALAT KESEHATAN
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 500
29 Handscoon 7 set 8,500 198
30 Handscoon 7,5 set 7,692 -
31 Infus Set anak pcs 5,600
32 Infus Set Dewasa pcs 3,200
33 IV Catheter No.20 pcs 24,255
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100
39 Kasa Pembalut 4x10cm roll 607
40 Masker Pcs 756
41 Urin Bag pcs 6,036
42 Kasa hidrofil 40 yard x 80 cm roll 255,750
43 Hidrogel wound dressing pcs 29,000
44 Iodine Povidone botol 6,550
45 Ciprofloxacin kap kap 240
46 Chloramex- Kloramfenikol 500mg kap 1,007
47 Glimepirid 3mg tab 319
48 Ibuprofen 400mg tab 102
49 Loperamid 2mg tab 80
50 Metoklopramid 10mg tab 90
51 Nifedipine tab 110
52 Omeprazole 20mg kap 140
53 Prednisone tab 96
54 Simvastatin 20mg tab 813
55 Etanol 70 % 300ml botol 21,500
56 Aminophylin tab 200mg tablet 91
57 Metformin 500mg tablet 100
58 Alkohol swab pcs 170
59 Cutgut plain 2/0 set 5,583
60 Cutgut chromic 3/0 set 5,583
61 Kapas pembalut 100g gulung 7,275
62 Kasa hidrofil 4x 5 cm roll 760
63 Spuit 5 cc pcs 8,000
64 Haloperidol 0,5mg tab
65 Haloperidol 1,5mg tab 69
66 Furosemid 40mg tab 80
67 Kaptopril 25mg tab 80
68 Etanol 70 % 1000ml botol 21,500
69 Bacitracin+polimicsin salep tube 3,035
70 Salisil bedak 2% 50g kotak 1,020
71 Klorpheniramin Maleat ( CTM ) tab 36
72 Decacetine / Kloramphenikol TM botol 3,250
73 Dexametasone tablet tablet 32
74 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408
75 Gentamisin Salep Mata 0,3% tube 2,675
76 Lidocain inj amp 1,145
77 Oxyticin inj 10 IU/ ml amp 1,199
78 Salbutamol tab tablet 63
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577
80 Underpads pcs 8,268
81 IV Cateter no. 18 buah
III BRANDED
1 Bricasma turb 0,5 mg box 71,100 -
2 Curcuma syr botol 10,500 -
3 Metroklopramid inj amp 9,000 -
4 Kombinasi Metampiron dan vit B ( Goralgi tablet 1,315 -
5 Metoklopramid tablet 1,000 -
6 Multivitamin ibu hamil dan menyusui (Irony tablet 2,308 -
7 Multivitamin anak komb. Probiotik+DHA (D Botol 27,300 -
8 Multivitamin anak komb.mengandung lysi botol 12,000 -
9 Multivitamin Plus DHA Sirup (bionick plus) Botol 18,700 -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 -
13 Obat Batuk Flu kombinasi anak ( Protexina botol 8,200 -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 -
15 Obat Batuk Flu kombinasi dewasa (Protexi tablet 410 -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 -
18 Obat Diare Tablet (nodiar) Tablet 924 -
19 Obat Gangguan Cerna/Multienzim (progast Tablet 303 -
20 Obat Infeksi Kulit dan Peradangan (Chlor Tube 10gr 9,955 -
21 Pulmicort turb 200 box 93,000 -
22 Symbicort turb 160 dos box 117,600 -
23 Thiamphenicol 500 mg kapsul 4,200 -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 -
27 Ventolin/Salbutamol inhalasi botol 63,750 -
28 Zincpro drops 15 ml botol 12,840 -
IV OBAT PROGRAM
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 -
3 Benzatin benzil penicillin injeksi Vial 8,935 -
4 Calcii Glukonas Ampul 7,800 -
5 Copper T ( Andalan) Pcs 17,710 -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 9
7 Garam oralit untuk 200 ml air kantong 264 -
8 Gentamicyn Injeksi Ampul 3,090 -
9 Magnesium Sulfat 40 % Vial 2,629 -
10 Metilergometrin Maleat inj.0,200mg-1ml amp 1,305 -
11 Mineral Mix Sacc 2,805 -
12 Natrium Tiroksin Tablet 1,694 -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 -
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - 6.00 4.00
15 Obat Anti Tuberculosis anak Paket 214,990 -
16 OAT Kombipak Kategori 1 Paket 288,199 -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 -
18 Phytomenadion inj 2mg/ml amp 3,417 -
19 Prokain Benzil Penisillin Vial 7,190 -
20 Retinol 100.000 IU kapsul lunak 284 -
22 Tablet Tambah Darah tablet 352 -
23 Quinin inj amp 6,200 500
24 Zink Tablet 474 800
25 Oxytosin inj 40% amp 2,200 - 400.00
26 Primakuin tab tablet 224 -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 -
29 Arthesunate inj , vial 60mg Vial 57,585 -
30 PP-INH (Pengobatan Pencegahan Dengan tablet
V VAKSIN
1 HB 0-7 20,900 0 - 40
2 MR 141,648 0 - 20
3 Polio 18,140 0 - 9
4 Td 16,500 0 - 16
5 DPT-HB-Hib 71,810 0
6 BCG 60,140 15
7 Pentavalen 48
8 IPV 19
9 Spuit 0,05 ml 50
10 Spuit 0,5 ml 300


NIP. 19680709 198711 1 001 NIK. 08.2.21015
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( APRIL 2021 )
STOK
HARGA
(Rp) (Rp)
1 2 3 4 5 6 7 8=5+6+7
I DAK
1 Allopurinol tablet 100 mg tab 110 900 99,000 - 900 400 44,000 500
2 Albendazol 400 mg tab 402 500 201,000 - 500 - 500
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 168 2,263,800 - 168 - 168
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - - - - -
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 109 205,029 - 109 - 109
13 Antalgin (Metampiron) tablet 500 mg tablet 234 - - - - - -
15 Antasida DOEN Tab tablet 58 4,200 243,600 2,000 116,000 6,200 1,500 87,000 4,700
16 Antasida DOEN susp botol 2,129 178 378,962 - 178 - 178
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 4,900 514,500 - 4,900 900 94,500 4,000
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 2,100 3,255,000 - 2,100 700 1,085,000 1,400
31 Asiklovir tablet 400 mg tablet 380 2,450 931,000 - 2,450 - 2,450
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - - - - -
33 Betametason krim 0,1% tube 3,350 14 46,900 - 14 11 36,850 3
34 Bionemi kapsul 1,640 - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - -
37 Cetirizine kaps kapsul 96 1,250 120,000 - 1,250 - 1,250
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 370 584,600 - 370 - 370
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 120 140,160 - 120 - 120
46 Domperidone tab 10 mg tablet 167 150 25,050 - 150 - 150
47 Domperidone syrup botol 19,750 14 276,500 - 14 - 14
54 Etanol 70% 100 ml botol 2,500 - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 70 239,190 - 70 - 70
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,400 994,000 - 1,400 - 1,400
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 - 400
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 1,700 202,300 - 1,700 200 23,800 1,500
69 Gliserin botol 5,333 - - - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 2,200 462,000 - 2,200 - 2,200
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 800 124,000 - 800 - 800
76 Hidrokortison krim 2,5% tube 2,640 22 58,080 - 22 10 26,400 12
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - - -
85 Ketoconazol tab 200mg tab 270 1,400 378,000 - 1,400 - 1,400
86 Ketoconazole 2% krim 10g tube 2,518 45 113,310 - 45 - 45
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 13,200 290,400 - 13,200 2,200 48,400 11,000
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 - - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 220 481,800 - 220 - 220
100 Kuinin Inj 25% amp 6,200 - - - - - -
101 Lansoprazol 30mg kapsul 323 2,340 755,820 680 219,640 3,020 - 3,020
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 160 183,200 - 160 - 160
103 Loperamid 2 mg tab 89 - - - - - -
105 Metformin tablet 150 1,000 150,000 - 1,000 300 45,000 700
106 Magnesium Sulfat inj 40%(Otsu MGSO4 vial 3,796 - - - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 vial 3328 - - - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 - - - - - -
109 Metilergometrin Maleat inj.0,200mg-1ml amp 2,959 - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 32 109,248 - 32 - 32
117 Natrium Diklofenak 25mg tablet 128 - - - - - -
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 21 134,610 - 21 - 21
119 Neurohax 500mg tab 1,210 - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - -
129 Ondansetron 4mg tab tablet 351 330 115,830 - 330 - 330
131 Paracetamol Syrup 120 mg/5ml botol 1,181 232 273,992 - 232 - 232
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 3,500 3,080,000 - 3,500 2,500 2,200,000 1,000
137 Pirantel tablet tablet 287 - - - - - -
138 Pirantel Syr botol 9,510 9 85,590 - 9 - 9
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 12,000 1,572,000 - 12,000 800 104,800 11,200
143 Prednisone tablet 5 mg tablet 68 13,300 904,400 - 13,300 1,400 95,200 11,900
148 RDT DBD test 1,200,000 - - - - - -
149 RDT Malaria test 1,200,000 - - - - - -
150 Salbutamol 2mg tablet 63 1,000 63,000 - 1,000 100 6,300 900
152 Salep 2-4 , 30g pot 2,000 - - - - - -
158 Serum anti bisa ular Polivalen inj 5ml (AB vial 512,204 4 2,048,816 - 4 - 4
159 Serum Anti Tetanus Injeksi 1.500 IU/amp ampul 130,999 12 1,571,988 - 12 - 12
160 Sianokobalamin (Vit. B12) Injeksi 500 m amp 1,035 295 305,325 - 295 - 295
163 Siprofloksasin tablet 500 mg tablet 265 3,200 848,000 - 3,200 600 159,000 2,600
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1 amp 1,283 - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 5 tablet 85 200 17,000 - 200 100 8,500 100
174 Miniaspi 80mg tab 130 - - - - - -
177 Maganol tablet 451 - - - - - -
180 Wida KN2 mengandung elektrolit(KCL0, botol 11,011 - - - - - -
181 Wida KDN 1 mengandung karbohidrat+elekbotol 11,435 - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanolamin kaplet 621 - - - - - -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 - - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,pla tube 19,958 - - - - - -
187 Bevalex cream (betametasone 1mg,neomy tube 10,300 - - - - - -
197 0,4mg ( Tablet tambah darah ) tab 354 - - - - - -
201 Kaptopril 50mg tab 124 1,300 161,200 2,000 248,000 3,300 400 49,600 2,900
202 Betahistine Besilat 6mg tab 110 800 88,000 - 800 200 22,000 600
206 Etanol 70 % 1000ml botol 18,700 1 18,700 8 149,600 9 4 74,800 5
207 Natrium Diklofenak 50mg/ Sodium diklo tab 115 - - - - - -
208 Clobazam 10mg tab 776 - - - - - -
209 Neo diagon 659mg tab 206 - - - - - -
212 Metamizole Sodium Monohidrate 1000m tab 3,960 - - - - - -
214 Zink dispersible tab 524 400 209,600 - 400 - 400
217 Amlodipin 10 mg tab 92 - - - - - -
218 Mineral Mix sacc 2,805 - - - - - -
219 Guaifenisin tab 145 4,300 623,500 - 4,300 400 58,000 3,900
221 Solatim 500mg tab 1,176 450 529,200 - 450 - 450
222 Molacort tab tab 169 2,300 388,700 - 2,300 - 2,300
224 Chloramfecort H Cream 10 g tube 12,650 187 2,365,550 - 187 - 187
232 Ramipril tab 5mg tab 245 700 171,500 900 220,500 1,600 200 49,000 1,400
233 Povidon 10 % 100ml botol 6,050 - - - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 240 2,574,000 - 240 - 240
241 Fluanza tab tablet 200 700 140,000 200 40,000 900 100 20,000 800
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - - - - -
243 Etaneural ( multivitamin ) tablet 776 1,500 1,164,000 - 1,500 100 77,600 1,400
245 Metilprednisolone 4 mg metilon tablet 281 2,100 590,100 - 2,100 - 2,100
246 Salep Whitefield tube 4,798 234 1,122,732 - 234 - 234
247 Bionicom Zinc tablet 500 - - 500 - 500
248 Tablet Tambah Darah tablet 352 - - 18,900 6,652,800 18,900 - 18,900
- 7,646,540 - - -
OBAT GIGI - - - - -
253 Semen seng fosfat serbuk dan cairan Botol 93,500 - - - - - -
254 Temporary Stopping Fletcher serbuk dan botol 34,000 - - - - - -
- - - - -
255 Alat Suntik Sekali Pakai 5 ml set 1,038 1,300 1,349,400 - 1,300 300 311,400 1,000
258 Catgut/Benang No. 2/0-3/0 set 11,166 109 1,217,094 - 109 - 109
262 Infusion set dewasa set 4,800 94 451,200 - 94 - 94
271 Handscoon 7 set 6,595 100 659,500 100 659,500 200 100 659,500 100
272 Handscoon 7,5 set 6,595 2 13,190 - 2 - 2
273 Handscoon M set 6,000 200 1,200,000 - 200 - 200
274 Handscoon L set 6,000 100 600,000 - 100 100 600,000 -
277 Plester 5 cm x 4,5 m rol 23,635 2 47,270 - 2 - 2
278 Plester 4,5 m x 12,5 mm rol 6,000 3 18,000 - 3 - 3
279 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 38 116,090 - 38 - 38
281 Kasa Kompres 16x16 steril kotak 7,370 160 1,179,200 - 160 - 160
285 Urine bag Pcs 5,088 9 45,792 - 9 - 9
286 Aximed Swab 2 Ply Pcs 115 7 805 10 1,150 17 2 230 15
288 Strip ET Gula set 250,000 - - - - - -
289 Strip ET Chol set 348,500 - - - - - -
291 Kertas EKG rol 200,000 - - - - - -
292 Kertas USG rol 300,000 - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - -
301 Developer/ RENDOL DEVELOPER MANU set 556,000 - - - - - -
302 Bunaskan amp 91,200 - - - - - -
303 Decain Inj amp 81,840 - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - -
308 Tramus 5mg amp 111,500 - - - - - -
309 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 - - - - - -
310 Blood Lancet box 22,950 - - 100 2,295,000 100 - 100
311 Cover Glass 22x22 box 202,500 - - - - - -
315 Kartu golongan darah box 50,000 - - 2 100,000 2 - 2
316 Lyse 1 L FLS 2,362,500 - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - -
321 Yellow Tip Pcs 500 - - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 - - - - - -
323 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 - - - - - -
325 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR black Pcs 87,300 - - - - - -
332 Premilene Mesh 5x10 cm kode 31672 5x box 725,500 - - - - - -
333 Premilene Mesh 5x10 cm kode 31671 3 box 2,400,000 - - - - - -
334 Alat cek GD,KOLESTEROL,TRIGLISERI set 660,000 - - - - - -
336 Plaster 7,5cm x 4,5 m rol 37,371 20 747,420 - 20 2.00 74,742 18
337 Plaster 2,5cm x 4,5 m rol 12,675 28 354,900 - 28 2.00 25,350 26
344 Masker surgical face mask ear loop jilba pcs 1,000 9 9,000 - 9 5.00 5,000 4
349 Softpad 60x90 Pcs 4,162 - - - - - -
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 - - - - - -
357 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 - - - - - -
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 - - - - - -
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 108 4,780,836 - 108 - 108
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 - - - - - -
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 23 886,857 - 23 - 23
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 97 535,440 - 97 - 97
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 16 684,800 - 16 3.00 128,400 13
368 Cannula without injection port & wings ( 2 pcs 10,000 - - - - - -
370 Cannula without injection port & wings ( 2 pcs 10,000 - - - - -
371 Cannula with inj port snap fit cap & sutur pcs 12,078 - - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - -
380 IV Cath No. 20 G ( TRO-VENSITE ) Pcs 23,100 - - - - - -
383 Alkazym botol 801,000 - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - -
392 Pembalut Gips delta lite conformable rol 100,401 - - - - - -
393 Benecheck plus blood glucose strip box 160,000 - - 5 800,000 5 - 5
394 Benecheck asam urat strip box 150,000 - - 5 750,000 5 - 5
395 Benecheck cholesterol strip box 250,000 - - 5 1,250,000 5 - 5
396 Pot dahak buah 3,000 - - 200 600,000 200 - 200
398 Rivanol 300 ml botol 3,740 8 29,920 - 8 - 8
400 Bedfont Steribreath Mouthpiece Smokerl box 987,000 - - - - - -
401 Handscoon 6 set 6,595 - - -
- 6,455,650 -
1 Amlodipin 5 mg tab 187 - - - - - -
9 Natrium Diklofenak tab 25mg tab 128 - - 100 12,800 100 - 100
10 NaCl 0,9% botol 6,410 - - - - - -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 - - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/dos botol 63,750 - - - - - -
20 Salep 2-4 pot 2,000 - - - - - -
22 Aciklofir 400mg tab 192 - - - - - -
23 Salep Whitefield kotak 115,152 - - 12 1,381,824 12 - 12
25 Neo Diagon 659 mg tablet 206 400 82,400 - 400 - 400
26 Reliv Multivitamin tablet 4,950 - - - - - -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 - 1,300
- 1,394,624 -
29 Handscoon 7 set 8,500 - - - - -
30 Handscoon 7,5 set 7,692 - - - - - -
40 Masker Pcs 756 - - - - -
41 Urin Bag pcs 6,036 - - - - -
48 Ibuprofen 400mg tab 102 - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - -
63 Spuit 5 cc pcs 8,000 - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408 - - - - -
80 Underpads pcs 8,268 - - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( Goralg tablet 1,315 - - - - - -
6 Multivitamin ibu hamil dan menyusui (Iron tablet 2,308 - - - - - -
7 Multivitamin anak komb. Probiotik+DHA ( Botol 27,300 - - - - - -
8 Multivitamin anak komb.mengandung lys botol 12,000 - - - - - -
9 Multivitamin Plus DHA Sirup (bionick plus Botol 18,700 - - - - - -
10 Neurotropik Plus Vit E Tablet (neurovit-E Tablet 924 - - - - - -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 - - - - - -
13 Obat Batuk Flu kombinasi anak ( Protexin botol 8,200 - - - - - -
15 Obat Batuk Flu kombinasi dewasa (Protex tablet 410 - - - - - -
19 Obat Gangguan Cerna/Multienzim (progas Tablet 303 - - - - - -
20 Obat Infeksi Kulit dan Peradangan (Chlo Tube 10gr 9,955 - - - - - -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 - - - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - - - -
- - -
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 - - - - - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 9 19,440 - 9 - 9
11 Mineral Mix Sacc 2,805 - - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 10 3,743,840 - 10 - 10
22 Tablet Tambah Darah tablet 352 - - 41,580 14,636,160 41,580 12,240.00 4,308,480 29,340
23 Quinin inj amp 6,200 - - - - - -
24 Zink Tablet 474 400 189,600 - 400 - 400
25 Oxytosin inj 40% amp 2,200 - - - - - -
30 PP-INH (Pengobatan Pencegahan Dengan tablet - - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - 1,200 360,000 1,200 - 1,200
32 Masker medis earloop multione plus boks 100 - - 30 3,000 30 - 30
33 Apd Level 3 pcs - - 16 - 16 - 16
34 Apd Level 3 Kemensos set - - 4 - 4 - 4
- 14,999,160 -
V VAKSIN - - - - -
1 HB 0-7 20,900 120 2,508,000 - 120 - 120
2 MR 141,648 69 9,773,712 - 69 - 69
3 Polio 18,140 1 18,140 - - 10 - 10
4 Td 16,500 48 792,000 - 48 - 48
5 DPT-HB-Hib 71,810 0 - - - - - -
6 BCG 60,140 24 1,443,360 - 24 - 24
7 Pentavalen 62 - - 62 - 62
8 IPV 6 - - 6 - 6
9 Spuit 0,05 ml 150 - - 150 - 150
10 Spuit 0,5 ml 1300 - - 1,300 - 1,300
-

NIP. 19680709 198711 1 001 NIK. 08.2.21015
JUMLAH
(RUPIAH)
9=8x4
55,000
201,000
-
1,545,000
2,263,800
163,680
-
-
-
-
3,112,500
205,029
-
-
272,600
378,962
-
411,710
-
-
-
-
420,000
-
2,170,000
-
-
-
-
23,700
931,000
-
10,050
-
-
-
120,000
-
584,600
636,800
-
-
140,160
-
53,600
25,050
276,500
-
28,160
100,000
-
40,800
-
-
-
-
-
-
239,190
994,000
30,800
-
231,300
-
-
-
178,500
-
-
-
-
462,000
-
-
124,000
31,680
-
-
-
-
-
-
-
-
378,000
113,310
-
-
-
-
242,000
-
-
-
-
-
481,800
146,300
-
-
975,460
183,200
-
-
105,000
-
-
-
-
-
17,400
-
-
109,248
-
-
-
134,610
-
-
-
-
336,000
193,550
1,176,000
41,180
-
59,572
115,830
-
273,992
-
880,000
-
-
-
-
85,590
1,467,200
407,500
-
16,500
809,200
-
20,500
-
366,240
-
-
56,700
-
-
-
-
-
-
174,196
2,048,816
1,571,988
305,325
-
30,750
689,000
-
-
-
8,500
-
-
-
9,900,000
140,400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
359,600
66,000
-
-
-
93,500
-
-
-
792,000
-
-
54,600
209,600
-
-
-
-
565,500
-
529,200
388,700
-
2,365,550
-
-
-
-
-
-
-
343,000
-
-
-
-
-
-
2,574,000
-
160,000
-
1,086,400
-
590,100
1,122,732
-
6,652,800
58,475,310
-
-
-
33,334
352,000
-
-
385,334
-
1,495,000
177,600
1,038,000
1,200,000
602,704
1,217,094
67,920
67,200
1,377,000
451,200
497,000
819,000
616,000
1,337,000
-
-
-
-
659,500
13,190
1,200,000
-
-
141,750
47,270
18,000
116,090
-
1,179,200
25,000
-
-
45,792
1,725
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,295,000
-
-
-
-
100,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100,000
672,678
329,550
120,000
-
-
-
-
-
4,000
-
-
480,000
-
-
-
-
-
-
-
460,000
-
-
-
4,780,836
-
886,857
-
-
535,440
-
556,400
-
-
-
-
-
410,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
800,000
750,000
1,250,000
600,000
-
29,920
-
-
-
29,570,916
-
-
-
-
-
-
-
-
-
12,800
-
-
-
-
-
-
-
-
-
-
-
-
-
1,381,824
-
82,400
-
-
1,477,024
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
19,440
-
-
-
-
-
-
3,743,840
-
-
-
-
-
-
-
-
10,327,680
-
189,600
-
-
-
-
-
-
360,000
3,000
-
-
14,643,560
-
2,508,000
9,773,712
18,140
792,000
-
1,443,360
-
-
-
-
14,535,212
60,991,948
100,583,084
11,991,702
149,583,330
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( MEI 2021 )
STOK
HARGA
NO NAMA 0BAT SATUAN
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Penerimaan Persediaan Pemakaian
Pemakaian
(Rp) (Rp)
1 2 3 4 5 6 7
I DAK
1 Allopurinol tablet 100 mg tab 110 500 55,000 - 500 300 33,000
2 Albendazol 400 mg tab 402 500 201,000 - 500 -
3 Albendazol susp 200mg/5ml botol 3,849 - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 1,500 1,545,000 - 1,500 400 412,000
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 168 2,263,800 - 168 85 1,145,375
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 55 163,680 - 55 -
7 Aminofilin tablet 200 mg tab 139 - - - -
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - - - -
9 Amlodipin 5 mg tab 73 - - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - - -
11 Amoksilin kapsul 500 mg kaplet 249 12,500 3,112,500 - 12,500 2,300 572,700
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 109 205,029 - 109 87 163,647
13 Antalgin (Metampiron) tablet 500 mg tablet 234 - - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - - -
15 Antasida DOEN Tab tablet 58 4,700 272,600 - 4,700 2,000 116,000
16 Antasida DOEN susp botol 2,129 178 378,962 - 178 51 108,579
17 Anti Bakteri DOEN salep kombinasi tube 2,516 - - - - -
18 Anti Hemoroid supp 3,167 130 411,710 - 130 -
19 Antifungi DOEN kombinasi pot 2,904 - - - - -
20 Anti Migren tablet 185 - - - - -
21 Aqua Pro Inj Steril 20 ml botol 5,500 - - - - -
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 4,000 420,000 - 4,000 1,200 126,000
24 Asam Folat 1 mg tablet 48 - - - - -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 1,400 2,170,000 - 1,400 400 620,000
26 Asam Traneksamat inj 50mg/ ml amp 1,748 - - - - -
27 Asetosal tab 100 mg tablet 133 - - - - -
29 Asiklovir Krim 5% tube 3,150 - - - - -
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100 -
31 Asiklovir tablet 400 mg tablet 380 2,450 931,000 - 2,450 300 114,000
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - - - -
33 Betametason krim 0,1% tube 3,350 3 10,050 - 3 3 10,050
34 Bionemi kapsul 1,640 - - - - -
35 Cefixime 100mg tab 2,394 - - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - - -
37 Cetirizine kaps kapsul 96 1,250 120,000 - 1,250 100 9,600
38 Cetirizine syr botol 2,850 - - - - -
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 370 584,600 - 370 5 7,900
40 Deksametason tablet 0,5 mg tablet 32 19,900 636,800 - 19,900 2,000 64,000
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - - -
42 Diazepam tablet 2 mg tablet 27 - - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1 amp 1,168 120 140,160 - 120 40 46,720
44 Digoksin tablet 0,25 mg tab 97 - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - - -
46 Domperidone tab 10 mg tablet 167 150 25,050 - 150 100 16,700
47 Domperidone syrup botol 19,750 14 276,500 - 14 -
48 Efedrin HCI tablet 25 mg tablet 51 - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 20 28,160 - 20 2 2,816
50 Eritromisin kapsul kapsul 1,000 - - - - -
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 12 40,800 - 12 1 3,400
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - - -
54 Etanol 70% 100 ml botol 2,500 - - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - - -
56 Fenilbutazon 200 mg tablet 143 - - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - - -
58 Forasma tab 600mg tab 1,200 - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1 amp 3,417 70 239,190 - 70 30 102,510
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,400 994,000 - 1,400 100 71,000
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 -
62 Furosemid inj 10 mg/ml vial 91 - - - - -
63 Garam oralit untuk 200 ml air kantong 257 900 231,300 - 900 100 25,700
64 Gential violet larutan 1% botol 2,500 - - - - -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 - - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - - -
67 Glibenklamid tablet 5 mg tablet 119 1,500 178,500 - 1,500 500 59,500
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - - -
69 Gliserin botol 5,333 - - - - -
70 Glukosa larutan infus 10% steril botol 5,700 - - - - -
72 Griseofulvin tablet 125 mg,micronize tab 210 2,200 462,000 - 2,200 200 42,000
73 Haloperidoi tablet 0,5 mg tab 60 - - - - -
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 800 124,000 - 800 -
76 Hidrokortison krim 2,5% tube 2,640 12 31,680 - 12 12 31,680
77 Ibuprofen tablet 400mg tab 105 - - - - -
78 Isosorbid Dinitrat tablet sublingual 5 tab 88 - - - - -
79 Kalium Diklofenak 50mg tablet 778 - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - -
82 Kaptopril tablet 25mg tablet 84 - - - - -
83 Karbamazepin 200mg tablet 270 - - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - - -
85 Ketoconazol tab 200mg tab 270 1,400 378,000 - 1,400 400 108,000
86 Ketoconazole 2% krim 10g tube 2,518 45 113,310 - 45 -
87 Kloramfenikol kapsul 250mg kapsul 310 - - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - - -
91 Klorfeniramin maleat (CTM) tablet 4 tablet 22 11,000 242,000 - 11,000 1,500 33,000
92 Klorpromazin tablet salut 25 mg tablet 149 - - - - -
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL amp 1,050 - - - - -
95 Klindamycin kap 150mg kapsul 382 - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 220 481,800 - 220 20 43,800
98 Kotrimoksazol tablet komb 480 mg tab 133 1,100 146,300 - 1,100 200 26,600
99 Kuinin tablet 222mg tab 670 - - - - -
100 Kuinin Inj 25% amp 6,200 - - - - -
101 Lansoprazol 30mg kapsul 323 3,020 975,460 - 3,020 860 277,780
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 160 183,200 - 160 25 28,625
103 Loperamid 2 mg tab 89 - - - - -
104 Loratadin 10mg tablet 154 - - - - -
105 Metformin tablet 150 700 105,000 - 700 200 30,000
106 Magnesium Sulfat inj 40%(Otsu MG vial 3,796 - - - - -
107 Magnesium Sulfat inj 20%(Otsu MG vial 3328 - - - - -
108 Metilergometrin Maleat tablet 0,125m tab 210 - - - - -
109 Metilergometrin Maleat inj.0,200mg-1 amp 2,959 - - - - -
110 Metilprednisolone 16mg tab 551 - - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200 -
112 Metronidazol tablet 250 mg tablet 110 - - - - -
113 Metronidazol tablet 500mg tablet 160 - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 32 109,248 - 32 11 37,554
115 Molasma tab 2,5mg tab 78 - - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - - -
117 Natrium Diklofenak 25mg tablet 128 - - - - -
118 Natrium Klorida larutan infus 0,9% ster botol 6,410 21 134,610 - 21 9 57,690
119 Neurohax 500mg tab 1,210 - - - - -
120 Nerva 5000 kaplet 3,020 - - - - -
121 Nifedipine tablet 110 - - - - -
122 Nistatin tablet salut 500.000 IU tab 790 - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 -
124 Ofloxacin 400mg tab sal sel tab 553 350 193,550 - 350 -
125 Obat Batuk Hitam (OBH) cairan botol 10,500 112 1,176,000 - 112 35 367,500
126 Oksitetrasklin HCI salep mata 1% tube 2,059 20 41,180 - 20 20 41,180
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - - -
128 Ondansetron 4mg inj amp 1124 53 59,572 - 53 -
129 Ondansetron 4mg tab tablet 351 330 115,830 - 330 240 84,240
130 Omeprazole 20mg kapsul 130 - - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 232 273,992 - 232 60 70,860
132 Parasetamol drops botol 5,200 - - - - -
133 Paracetamol Tablet 500 mg ( Mirasic tablet 880 1,000 880,000 - 1,000 1,000 880,000
134 Phenobarbital inj amp 1,800 - - - - -
135 Phenobarbital 30 mg tablet 65 - - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - - -
137 Pirantel tablet tablet 287 - - - - -
138 Pirantel Syr botol 9,510 9 85,590 - 9 -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 11,200 1,467,200 - 11,200 -
140 Piroxicam 20 mg kapsul 163 2,500 407,500 - 2,500 -
141 Povidon Iodida 10% 30 ml botol 2,163 - - - - -
142 Povidon Iodida 10% 300 ml botol 16,500 1 16,500 - 1 -
143 Prednisone tablet 5 mg tablet 68 11,900 809,200 - 11,900 -
144 Propiltiouracyl tablet 319 - - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100 -
146 Ranitidine inj amp 1,140 - - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 48 366,240 - 48 -
148 RDT DBD test 1,200,000 - - - - -
149 RDT Malaria test 1,200,000 - - - - -
150 Salbutamol 2mg tablet 63 900 56,700 - 900 -
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - - -
152 Salep 2-4 , 30g pot 2,000 - - - - -
153 Salisil bedak 2% kotak 1,120 - - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 - - - -
155 Sefadroxyl syr botol 3,926 - - - - -
156 Sefotaxim inj vial 6,012 - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 37 174,196 - 37 -
158 Serum anti bisa ular Polivalen inj 5ml vial 512,204 4 2,048,816 - 4 -
159 Serum Anti Tetanus Injeksi 1.500 IU/ ampul 130,999 12 1,571,988 - 12 6 785,994
160 Sianokobalamin (Vit. B12) Injeksi 50 amp 1,035 295 305,325 - 295 10 10,350
161 Simetidin tablet tablet 180 - - - - -
162 Simvastatin 10mg tablet 205 150 30,750 - 150 120 24,600
163 Siprofloksasin tablet 500 mg tablet 265 2,600 689,000 - 2,600 1000 265,000
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 - - - -
165 Thiamphenikol kap 500 mg kapsul 615 - - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ amp 1,283 - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tabl tablet 85 100 8,500 - 100 100 8,500
168 Tramadol inj 50mg/ml amp 1,710 - - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - - -
170 Trihexyphenidil tab 91 - - - - -
171 Vaksin Rabies Vero kuur 660,000 15 9,900,000 - 15 -
172 Vitamin B komplek tablet tablet 117 1,200 140,400 - 1,200 900 105,300
173 Zinkid 10mg/5ml syr botol 2,972 - - - - -
174 Miniaspi 80mg tab 130 - - - - -
175 Indanox 300mg kapsul 6,930 - - - - -
176 Ponsamic 500mg tablet 1,375 - - - - -
177 Maganol tablet 451 - - - - -
178 Lopiten 5mg tablet 6,050 - - - - -
179 Getidin inj 2 ml amp 20,900 - - - - -
180 Wida KN2 mengandung elektrolit(KC botol 11,011 - - - - -
181 Wida KDN 1 mengandung karbohidrat+ebotol 11,435 - - - - -
182 Alprazolam tab 1mg tab 143 - - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanol kaplet 621 - - - - -
185 Akita (pectin 50mg,attapulgite 600mg tablet 454 - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%, tube 19,958 - - - - -
187 Bevalex cream (betametasone 1mg,ne tube 10,300 - - - - -
188 Panviton tab tablet 1,435 - - - - -
189 Dextral syr botol 8,700 - - - - -
190 Neo-Kaominal syr botol 7,200 - - - - -
191 Mulsanol syr botol 18,000 - - - - -
192 Salesbion plus tablet 1,182 - - - - -
193 Selferro tablet 659 - - - - -
194 Stimuno sry 60ml botol 20,000 - - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - - -
197 0,4mg ( Tablet tambah darah ) tab 354 - - - - -
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - -

199 Vagizol Ovula 500mg supp tab 3,590 - - - - -
200 Propanolol 40mg tab 73 - - - - -
201 Kaptopril 50mg tab 124 2,900 359,600 - 2,900 500 62,000
202 Betahistine Besilat 6mg tab 110 600 66,000 - 600 100 11,000
203 Metronidazole infus 500mg/100ml botol 8,110 - - - - -
204 Spironolactone 25mg tab 195 - - - - -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 - - - - -
206 Etanol 70 % 1000ml botol 18,700 5 93,500 - 5 3 56,100
207 Natrium Diklofenak 50mg/ Sodium di tab 115 - - - - -
208 Clobazam 10mg tab 776 - - - - -
209 Neo diagon 659mg tab 206 - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 500 792,000 - 500 -
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - - -
212 Metamizole Sodium Monohidrate 10 tab 3,960 - - - - -
213 Erytromycin 250mg tab 546 100 54,600 - 100 -
214 Zink dispersible tab 524 400 209,600 - 400 100 52,400
216 Haloperidol 5mg tab 56 - - - - -
217 Amlodipin 10 mg tab 92 - - - - -
218 Mineral Mix sacc 2,805 - - - - -
219 Guaifenisin tab 145 3,900 565,500 - 3,900 1,000 145,000
220 Neurotropik inj amp 905 - - - - -
221 Solatim 500mg tab 1,176 450 529,200 - 450 450 529,200
222 Molacort tab tab 169 2,300 388,700 - 2,300 1,500 253,500
223 Betason N Cream 6 g tube 13,475 - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 187 2,365,550 - 187 10 126,500
226 Retinol 100.000IU kapsul 306 - - - - -
228 Parasetamol infus botol 12,389 - - - - -
229 Clozapin 25mg tablet 1,121 - - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - - -
231 Risperidon tablet 240 - - - - -
232 Ramipril tab 5mg tab 245 1,400 343,000 - 1,400 400 98,000
233 Povidon 10 % 100ml botol 6,050 - - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 - - - - -
236 Chlodine 0,5% 500ml Handrub botol 82,500 - - - - -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - - -
238 Ambroxol generik tablet 180 - - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 240 2,574,000 - 240 120 1,287,000
240 Etamox syr tablet 6,488 - - - - -
241 Fluanza tab tablet 200 800 160,000 - 800 300 60,000
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - - - -
243 Etaneural ( multivitamin ) tablet 776 1,400 1,086,400 - 1,400 800 620,800
244 Metilon ( metilprednisolon ) tablet 280 - - - - -
245 Metilprednisolone 4 mg metilon tablet 281 2,100 590,100 - 2,100 1,000 281,000
246 Salep Whitefield tube 4,798 234 1,122,732 - 234 10 47,980
247 Bionicom Zinc tablet 500 - - 500 100 -
248 Tablet Tambah Darah tablet 352 18,900 6,652,800 - 18,900 600 211,200
- - - -
- - -
OBAT GIGI - - - -
247 Devitalisasi pasta (non arsen) Botol 390,000 - - - - -
248 Ethyl Clorida spray botol 100,000 - - - - -
249 Eugenol cair botol 16,667 2 33,334 - 2 -
250 Mummifying pasta/Iodoform Pasta Botol 176,000 2 352,000 - 2 -
251 Semen seng fosfat serbuk dan cairan Botol 93,500 - - - - -
252 Temporary Stopping Fletcher serbuk botol 34,000 - - - - -
- - - -
ALAT KESEHATAN - - - -
253 Alat Suntik sekali pakai 1 ml set 650 2,300 1,495,000 - 2,300 100 65,000
254 Alat Suntik Sekali Pakai 2,5 ml set 888 200 177,600 - 200 100 88,800
255 Alat Suntik Sekali Pakai 5 ml set 1,038 1,000 1,038,000 - 1,000 500 519,000
256 Alat Suntik Sekali Pakai 10 ml set 1,200 1,000 1,200,000 - 1,000 200 240,000
257 Alat Suntik Sekali Pakai 20 ml set 2,168 - - - -
258 Catgut/Benang No. 2/0-3/0 set 11,166 109 1,217,094 - 109 20 223,320
259 Folley Cateter NO. 18 Pcs 8,490 8 67,920 - 8 2 16,980
260 Folley Cateter NO. 16 Pcs 8,400 8 67,200 - 8 2 16,800
261 Infusion set anak set 5,100 270 1,377,000 - 270 10 51,000
262 Infusion set dewasa set 4,800 94 451,200 - 94 15 72,000
263 IV Catheter No.18 buah 7,000 71 497,000 - 71 3 21,000
266 IV Catheter No.24 buah 7,000 191 1,337,000 - 191 17 119,000
267 IV Catheter Supercath 5 No.24 buah 15,000 - - - - -
268 Wing Neddle No.21 pcs 5,770 - - - - -
271 Handscoon 7 set 6,595 100 659,500 - 100 50 329,750
272 Handscoon 7,5 set 6,595 2 13,190 - 2 -
273 Handscoon M set 6,000 200 1,200,000 - 200 200 1,200,000
274 Handscoon L set 6,000 - - - - -
275 Pembalut Gips rol 23,500 - - - - -
276 Plester 5 yard x 2 inch rol 23,625 6 141,750 - 6 1 23,625
277 Plester 5 cm x 4,5 m rol 23,635 2 47,270 - 2 1 23,635
278 Plester 4,5 m x 12,5 mm rol 6,000 3 18,000 - 3 1 6,000
279 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 38 116,090 - 38 5 15,275
280 Kasa Gulung 15X4 gulung 3,373 - - - - -
281 Kasa Kompres 16x16 steril kotak 7,370 160 1,179,200 - 160 3 22,110
282 Kapas pembalut absorben250 mg gulung 25,000 1 25,000 - 1 -
283 Kasa Hidrofil 4x 10 cm gulung 607 - - - - -
284 Kasa Pembalut 4 cm elastis gulung 10,000 - - - - -
285 Urine bag Pcs 5,088 9 45,792 - 9 1 5,088
286 Aximed Swab 2 Ply Pcs 115 15 1,725 - 15 3 345
287 Aximed Syringe 50 cc set 4,451 - - - - -
288 Strip ET Gula set 250,000 - - - - -
289 Strip ET Chol set 348,500 - - - - -
290 Strip ET Asam Urat set 250,000 - - - - -
291 Kertas EKG rol 200,000 - - - - -
292 Kertas USG rol 300,000 - - - - -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - -
295 Nassal O2 dewasa Pcs 10,000 - - - - -
296 NGT semua nomor Pcs 150,000 - - - - -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - - -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 - - - - -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - - -
301 Developer/ RENDOL DEVELOPER M set 556,000 - - - - -
302 Bunaskan amp 91,200 - - - - -
303 Decain Inj amp 81,840 - - - - -
304 Jarum Spinal no. 25 Pcs 30,000 - - - - -
306 Propofol Lipuro Fls 120,000 - - - - -
307 Terrel 100ml Fls 702,000 - - - - -
308 Tramus 5mg amp 111,500 - - - - -
309 Albumin 50ml ( plasbumin 25ml/50ml Fls 2,212,650 - - - - -
310 Blood Lancet box 22,950 - - 100 2,295,000 100 -
311 Cover Glass 22x22 box 202,500 - - - - -
312 HBSAg Multi Device 100 SD box 3,510,000 - - - - -
313 HBSAg Strip Smart box 484,500 - - - - -
314 HCG Strip mono box 202,500 - - - - -
315 Kartu golongan darah box 50,000 - - 2 100,000 2 -
316 Lyse 1 L FLS 2,362,500 - - - - -
317 Multidrug 3 panel box 2,223,450 - - - - -
318 Slide Objek Glass box 130,000 - - - - -
319 Strip Urine Ferivy Fls 308,000 - - - - -
320 Tabung EDTA Pcs 3,400 - - - - -
321 Yellow Tip Pcs 500 - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 - - - - -
323 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H 75 Pcs 5,750 - - - - -
325 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 - - - - -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - - -
327 Safil 1 hr 48 kode 31361 90cm Pcs 160,000 - - - - -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR bla Pcs 87,300 - - - - -
332 Premilene Mesh 5x10 cm kode 31672 box 725,500 - - - - -
333 Premilene Mesh 5x10 cm kode 31671 box 2,400,000 - - - - -
334 Alat cek GD,KOLESTEROL,TRIGLIS set 660,000 - - - - -
335 Kapas pembalut absorben 1000 g gulung 100,000 1 100,000 - 1 -
336 Plaster 7,5cm x 4,5 m rol 37,371 18 672,678 - 18 1.00 37,371
337 Plaster 2,5cm x 4,5 m rol 12,675 26 329,550 - 26 1.00 12,675
338 Kasa gulung 5X4 gulung 1,500 80 120,000 - 80 10.00 15,000
339 Performa meter set 420,000 - - - - -
340 Accu check performa 100 set 453,750 - - - - -
341 Accu safe T pro u no.20 set 127,050 - - - - -
342 Multidrug 6 panel box 37,286 - - - - -
343 Masker surgical face mask tie on Pcs 1,000 - - - - -
344 Masker surgical face mask ear loop ji pcs 1,000 4 4,000 - 4 4.00 4,000
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - - -
346 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 300 480,000 - 300 10.00 16,000
348 One scrub 2% 100ml botol 22,000 - - - - -
349 Softpad 60x90 Pcs 4,162 - - - - -
350 Aximed iv cath NP Pen type 18 Pcs 6,000 - - - - -
354 Handscoon churgic gloves size 6,5 set 7,872 - - - - -
355 Aximed Swab 4 Ply boks 20,000 23 460,000 - 23 5.00 100,000
356 Chromic 2/0 75cm,1/2 RC 26m Pcs 51,622 - - - - -
357 Plain 2/0 75cm, 3/BRC 24m Pcs 49,042 - - - - -
358 Chromic 3/0 75cm, 3/BRC 24m Pcs 46,627 - - - - -
359 Plain 3/0 75cm, 1/2 TP 30 Pcs 44,267 108 4,780,836 - 108 5.00 221,335
360 Chromic 3/0 75cm, 1/2 TP 25 Pcs 44,240 - - - - -
361 Silk 3/0 75cm, 3/8 CC 19m Pcs 38,559 23 886,857 - 23 5.00 192,795
362 Silk 2/0 75cm, 3/8 RC 30m Pcs 38,065 - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 - - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 97 535,440 - 97 5.00 27,600
365 Cuticell classic 10cm x 40cm Pcs 15,600 - - - - -
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 13 556,400 - 13 3.00 128,400
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - - -
368 Cannula without injection port & wings pcs 10,000 - - - - -
370 Cannula without injection port & wings pcs 10,000 - - - -
371 Cannula with inj port snap fit cap & s pcs 12,078 - - - - -
372 Infusion set with needle pcs 8,200 50 410,000 - 50 5.00 41,000
373 Micro Drip Infusion set Pcs 9,200 - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - -
376 Masker headloop box 22,000 - - - - -
377 Salmonella IgM Cassete pcs 21,650 - - - - -
378 Leukomed IV Film 6x8cm box 138,000 - - - - -
379 Cutimed gel 15g tube 52,110 - - - - -
380 IV Cath No. 20 G ( TRO-VENSITE ) Pcs 23,100 - - - - -
383 Alkazym botol 801,000 - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 - - - - -
386 Aximed Chirurgic gloves 6,0 set 7,872 - - - - -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 - - - - -
388 Silk ( scimitar ) Pcs 38,559 - - - - -
389 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - - -
390 Trosensosurge, sterglove 6,0 Pcs 6,595 - - - - -
392 Pembalut Gips delta lite conformable rol 100,401 - - - - -
393 Benecheck plus blood glucose strip box 160,000 5 800,000 - 5 2.00 320,000
394 Benecheck asam urat strip box 150,000 5 750,000 - 5 1.00 150,000
395 Benecheck cholesterol strip box 250,000 5 1,250,000 - 5 2.00 500,000
396 Pot dahak buah 3,000 200 600,000 - 200 -
397 Pewarna Ziiehl Nelson botol 214,500 - - - - -
398 Rivanol 300 ml botol 3,740 8 29,920 - 8 1.00 3,740
399 Bedfont D-Piece Smokerlyzer 12s box 730,000 - - - - -
400 Bedfont Steribreath Mouthpiece Smok box 987,000 - - - - -
401 Handscoon 6 set 6,595 - - -
- 2,395,000 -
2 Amoksilin kapsul 500 mg kaplet 420 - - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - - -
5 Kaptopril 12,5mg tablet 62 - - - - -
6 Ketokonazol cr 2% tube 2,569 - - - - -
7 Lansoprazole kap 30mg kap 473 - - - - -
8 Metilprednisolon tab 8mg tab 150 - - - - -
9 Natrium Diklofenak tab 25mg tab 128 100 12,800 - 100 50.00 6,400
10 NaCl 0,9% botol 6,410 - - - - -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 - - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - - -
14 Parasetamol tab 500mg tab 53 - - - - -
15 Povidon Iodida 10% 30ml botol 2,163 - - - - -
17 Propanolol tab tab 107 - - - - -
18 Ringer Laktat lar infus botol 7,150 - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg botol 63,750 - - - - -
20 Salep 2-4 pot 2,000 - - - - -
21 Spironolakton 25mg tablet 244 - - - - -
22 Aciklofir 400mg tab 192 - - - - -
23 Salep Whitefield kotak 115,152 12 1,381,824 - 12 -
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - - -
25 Neo Diagon 659 mg tablet 206 400 82,400 - 400 100.00 20,600
26 Reliv Multivitamin tablet 4,950 - - - - -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 -
- - -
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 - - - -
29 Handscoon 7 set 8,500 - - - -
30 Handscoon 7,5 set 7,692 - - - - -
31 Infus Set anak pcs 5,600 - - - -
32 Infus Set Dewasa pcs 3,200 - - - -
33 IV Catheter No.20 pcs 24,255 - - - -
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - - -
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - - -
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - - -
39 Kasa Pembalut 4x10cm roll 607 - - - -
40 Masker Pcs 756 - - - -
41 Urin Bag pcs 6,036 - - - -
42 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - - -
43 Hidrogel wound dressing pcs 29,000 - - - -
44 Iodine Povidone botol 6,550 - - - -
45 Ciprofloxacin kap kap 240 - - - -
46 Chloramex- Kloramfenikol 500mg kap 1,007 - - - -
47 Glimepirid 3mg tab 319 - - - -
48 Ibuprofen 400mg tab 102 - - - -
49 Loperamid 2mg tab 80 - - - -
50 Metoklopramid 10mg tab 90 - - - -
51 Nifedipine tab 110 - - - -
52 Omeprazole 20mg kap 140 - - - -
53 Prednisone tab 96 - - - -
54 Simvastatin 20mg tab 813 - - - -
55 Etanol 70 % 300ml botol 21,500 - - - -
56 Aminophylin tab 200mg tablet 91 - - - -
57 Metformin 500mg tablet 100 - - - -
58 Alkohol swab pcs 170 - - - -
59 Cutgut plain 2/0 set 5,583 - - - -
60 Cutgut chromic 3/0 set 5,583 - - - -
61 Kapas pembalut 100g gulung 7,275 - - - -
62 Kasa hidrofil 4x 5 cm roll 760 - - - -
63 Spuit 5 cc pcs 8,000 - - - -
64 Haloperidol 0,5mg tab - - - -
65 Haloperidol 1,5mg tab 69 - - - -
66 Furosemid 40mg tab 80 - - - -
67 Kaptopril 25mg tab 80 - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - -
69 Bacitracin+polimicsin salep tube 3,035 - - - -
70 Salisil bedak 2% 50g kotak 1,020 - - - -
71 Klorpheniramin Maleat ( CTM ) tab 36 - - - -
72 Decacetine / Kloramphenikol TM botol 3,250 - - - -
73 Dexametasone tablet tablet 32 - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408 - - - -
75 Gentamisin Salep Mata 0,3% tube 2,675 - - - -
76 Lidocain inj amp 1,145 - - - -
77 Oxyticin inj 10 IU/ ml amp 1,199 - - - -
78 Salbutamol tab tablet 63 - - - -
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - - -
80 Underpads pcs 8,268 - - - -
81 IV Cateter no. 18 buah - - - -
- - -
III BRANDED - - -
1 Bricasma turb 0,5 mg box 71,100 - - - - -
2 Curcuma syr botol 10,500 - - - - -
3 Metroklopramid inj amp 9,000 - - - - -
4 Kombinasi Metampiron dan vit B ( Gor tablet 1,315 - - - - -
5 Metoklopramid tablet 1,000 - - - - -
6 Multivitamin ibu hamil dan menyusui ( tablet 2,308 - - - - -
7 Multivitamin anak komb. Probiotik+D Botol 27,300 - - - - -
8 Multivitamin anak komb.mengandung botol 12,000 - - - - -
9 Multivitamin Plus DHA Sirup (bionick Botol 18,700 - - - - -
10 Neurotropik Plus Vit E Tablet (neurovi Tablet 924 - - - - -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 - - - - -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 - - - - -
13 Obat Batuk Flu kombinasi anak ( Prote botol 8,200 - - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - - -
15 Obat Batuk Flu kombinasi dewasa (Pro tablet 410 - - - - -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 - - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - - -
18 Obat Diare Tablet (nodiar) Tablet 924 - - - - -
19 Obat Gangguan Cerna/Multienzim (pro Tablet 303 - - - - -
20 Obat Infeksi Kulit dan Peradangan (CTube 10gr 9,955 - - - - -
21 Pulmicort turb 200 box 93,000 - - - - -
22 Symbicort turb 160 dos box 117,600 - - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - - -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 - - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - - -
26 Vitamin Peningkat Sistem Imun (fitun Kapsul 3,014 - - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - - -
28 Zincpro drops 15 ml botol 12,840 - - - - -
- - -
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 - - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - - -
4 Calcii Glukonas Ampul 7,800 - - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - - -
6 DHP ( Dehidro Artemycin + Piperaqui Tablet 2,160 9 19,440 - 9 -
7 Garam oralit untuk 200 ml air kantong 264 - - - - -
8 Gentamicyn Injeksi Ampul 3,090 - - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - - -
10 Metilergometrin Maleat inj.0,200mg-1 amp 1,305 - - - - -
11 Mineral Mix Sacc 2,805 - - - - -
12 Natrium Tiroksin Tablet 1,694 - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 10 3,743,840 - 10 -
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - - -
15 Obat Anti Tuberculosis anak Paket 214,990 - - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - - -
20 Retinol 100.000 IU kapsul lunak 284 - - - - -
22 Tablet Tambah Darah tablet 352 29,340 10,327,680 - 29,340 5,580.00 1,964,160
23 Quinin inj amp 6,200 - - - - -
24 Zink Tablet 474 400 189,600 - 400 200.00 94,800
25 Oxytosin inj 40% amp 2,200 - - - - -
26 Primakuin tab tablet 224 - - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - - - -
29 Arthesunate inj , vial 60mg Vial 57,585 - - - - -
30 PP-INH (Pengobatan Pencegahan Den tablet - - - -
31 Parasetamol ( Farmadol ) Tablet 300 1,200 360,000 - 1,200 700.00 210,000
32 Masker medis earloop multione plus boks 100 30 3,000 - 30 10.00 1,000
33 Apd Level 3 pcs 16 - - 16 -
34 Apd Level 3 Kemensos set 4 - - 4 -
- - -
V VAKSIN - - - -
1 HB 0-7 20,900 0 - - - -
2 MR 141,648 0 - - - -
3 Polio 18,140 0 - - - - -
4 Td 16,500 0 - - - -
5 DPT-HB-Hib 71,810 0 - - - - -
6 BCG 60,140 0 - - - -
7 Pentavalen 0 - - - -
8 IPV 0 - - - -
9 Spuit 0,05 ml 0 - - - -
10 Spuit 0,5 ml 0 - - - -
-

NIP. 19680709 198711 1 001 NIK. 08.2.21015
JUMLAH
Stok Akhir
(RUPIAH)
8=5+6+7 9=8x4
200 22,000
500 201,000
- -
1,100 1,133,000
83 1,118,425
55 163,680
- -
- -
- -
- -
10,200 2,539,800
22 41,382
- -
- -
2,700 156,600
127 270,383
- -
130 411,710
- -
- -
- -
- -
2,800 294,000
- -
1,000 1,550,000
- -
- -
- -
- -
100 23,700
2,150 817,000
- -
- -
- -
- -
- -
1,150 110,400
- -
365 576,700
17,900 572,800
- -
- -
80 93,440
- -
- -
50 8,350
14 276,500
- -
18 25,344
- -
- -
11 37,400
- -
- -
- -
- -
- -
- -
40 136,680
1,300 923,000
400 30,800
- -
800 205,600
- -
- -
- -
1,000 119,000
- -
- -
- -
- -
2,000 420,000
- -
- -
800 124,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,000 270,000
45 113,310
- -
- -
- -
- -
9,500 209,000
- -
- -
- -
- -
- -
200 438,000
900 119,700
- -
- -
2,160 697,680
135 154,575
- -
- -
500 75,000
- -
- -
- -
- -
- -
200 17,400
- -
- -
21 71,694
- -
- -
- -
12 76,920
- -
- -
- -
- -
600 336,000
350 193,550
77 808,500
- -
- -
53 59,572
90 31,590
- -
172 203,132
- -
- -
- -
- -
- -
- -
9 85,590
11,200 1,467,200
2,500 407,500
- -
1 16,500
11,900 809,200
- -
100 20,500
- -
48 366,240
- -
- -
900 56,700
- -
- -
- -
- -
- -
- -
37 174,196
4 2,048,816
6 785,994
285 294,975
- -
30 6,150
1,600 424,000
- -
- -
- -
- -
- -
- -
- -
15 9,900,000
300 35,100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2,400 297,600
500 55,000
- -
- -
- -
2 37,400
- -
- -
- -
500 792,000
- -
- -
100 54,600
300 157,200
- -
- -
- -
- -
2,900 420,500
- -
- -
800 135,200
- -
177 2,239,050
- -
- -
- -
- -
- -
- -
- -
1,000 245,000
- -
- -
- -
- -
- -
- -
120 1,287,000
- -
500 100,000
- -
600 465,600
- -
1,100 309,100
224 1,074,752
400 -
18,300 6,441,600
- 47,288,580
-
- -
- -
- -
2 33,334
2 352,000
- -
- -
- 385,334
- -
2,200 1,430,000
100 88,800
500 519,000
800 960,000
- -
89 993,774
6 50,940
6 50,400
260 1,326,000
79 379,200
68 476,000
114 798,000
83 581,000
174 1,218,000
- -
- -
- -
- -
50 329,750
2 13,190
- -
- -
- -
5 118,125
1 23,635
2 12,000
33 100,815
- -
157 1,157,090
1 25,000
- -
- -
8 40,704
12 1,380
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 2,295,000
- -
- -
- -
- -
2 100,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 100,000
17 635,307
25 316,875
70 105,000
- -
- -
- -
- -
- -
- -
- -
- -
290 464,000
- -
- -
- -
- -
- -
- -
- -
18 360,000
- -
- -
- -
103 4,559,501
- -
18 694,062
- -
- -
92 507,840
- -
10 428,000
- -
- -
- -
- -
- -
45 369,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 480,000
4 600,000
3 750,000
200 600,000
- -
7 26,180
- -
- -
-
24,083,568
-
- -
- -
- -
- -
- -
- -
- -
- -
50 6,400
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
12 1,381,824
- -
300 61,800
- -
1,300 -
1,450,024
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
9 19,440
- -
- -
- -
- -
- -
- -
10 3,743,840
- -
- -
- -
- -
- -
- -
- -
- -
23,760 8,363,520
- -
200 94,800
- -
- -
- -
- -
- -
- -
500 150,000
20 2,000
16 -
4 -
12,373,600
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
4,790,000
101,400,840
18,214,734
87,976,106
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( JUNI 2021 )
STOK
HARGA JUMLAH
NO NAMA 0BAT SATUAN Stok Akhir
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Penerimaan Persediaan Pemakaian Pemakaian (RUPIAH)
(Rp) (Rp)
1 2 3 4 5 6 7 8=5+6+7 9=8x4
I DAK
1 Allopurinol tablet 100 mg tab 110 200 22,000 - 200 200 22,000 - -
2 Albendazol 400 mg tab 402 500 201,000 - 500 500 201,000 - -
3 Albendazol susp 200mg/5ml botol 3,849 - - - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 1,100 1,133,000 - 1,100 500 515,000 600 618,000
5 Ambroxol syr ( Molepect ) 15 mg/m botol 13,475 83 1,118,425 - 83 41 552,475 42 565,950
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - - - -
7 Aminofilin tablet 200 mg tab 139 - - - - - -
8 Aminitriptilin HCL tablet salut 25 tab 167 - - - - - - -
9 Amlodipin 5 mg tab 73 - - - - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - - - - -
11 Amoksilin kapsul 500 mg kaplet 249 10,200 2,539,800 - 10,200 2,400 597,600 7,800 1,942,200
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 22 41,382 - 22 22 41,382 - -
13 Antalgin (Metampiron) tablet 500 tablet 234 - - - - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - - - - -
15 Antasida DOEN Tab tablet 58 2,700 156,600 - 2,700 2,000 116,000 700 40,600
16 Antasida DOEN susp botol 2,129 127 270,383 - 127 82 174,578 45 95,805
17 Anti Bakteri DOEN salep kombinas tube 2,516 - - - - - - -
18 Anti Hemoroid supp 3,167 130 411,710 - 130 - 130 411,710
19 Antifungi DOEN kombinasi pot 2,904 - - - - - - -
20 Anti Migren tablet 185 - - - - - - -
21 Aqua Pro Inj Steril 20 ml botol 5,500 - - - - - - -
23 Asam Askorbat (VIT c) tablet 50 tablet 105 2,800 294,000 - 2,800 1,400 147,000 1,400 147,000
24 Asam Folat 1 mg tablet 48 - - - - - - -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 1,000 1,550,000 - 1,000 600 930,000 400 620,000
26 Asam Traneksamat inj 50mg/ ml amp 1,748 - - - - - - -
27 Asetosal tab 100 mg tablet 133 - - - - - - -
29 Asiklovir Krim 5% tube 3,150 - - - - - - -
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100 - 100 23,700
31 Asiklovir tablet 400 mg tablet 380 2,150 817,000 - 2,150 100 38,000 2,050 779,000
32 Atropin Sulfat injeksi 0,25 mg/ml-1 amp 1,639 - - - - - - -
33 Betametason krim 0,1% tube 3,350 - - - - - - -
34 Bionemi kapsul 1,640 - - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - - - - -
37 Cetirizine kaps kapsul 96 1,150 110,400 - 1,150 350 33,600 800 76,800
38 Cetirizine syr botol 2,850 - - - - - - -
39 Deksametason injeksi 5 mg.ml-1m amp 1,580 - - - - - - -
40 Deksametason tablet 0,5 mg tablet 32 17,900 572,800 - 17,900 1,300 41,600 16,600 531,200
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - - - - -
42 Diazepam tablet 2 mg tablet 27 - - - - - - -
43 Difenhidramin HCI injeksi 10 mg/m amp 1,168 80 93,440 - 80 80 93,440 - -
44 Digoksin tablet 0,25 mg tab 97 - - - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - - - - -
46 Domperidone tab 10 mg tablet 167 50 8,350 - 50 50 8,350 - -
47 Domperidone syrup botol 19,750 14 276,500 - 14 11 217,250 3 59,250
48 Efedrin HCI tablet 25 mg tablet 51 - - - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 18 25,344 - 18 1 1,408 17 23,936
50 Eritromisin kapsul kapsul 1,000 - - - - - - -
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 11 37,400 - 11 2 6,800 9 30,600
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - - - - -
54 Etanol 70% 100 ml botol 2,500 - - - - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - - - - -
56 Fenilbutazon 200 mg tablet 143 - - - - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - - - - -
58 Forasma tab 600mg tab 1,200 - - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/m amp 3,417 - - - - - - -
60 Fitomenadion (Vit.K1) tablet 10 m tablet 710 1,300 923,000 - 1,300 - 1,300 923,000
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 - 400 30,800
62 Furosemid inj 10 mg/ml vial 91 - - - - - - -
63 Garam oralit untuk 200 ml air kantong 257 800 205,600 - 800 - 800 205,600
64 Gential violet larutan 1% botol 2,500 - - - - - - -
65 Gentamisin/Genoint SM 0,3% 3,5 tube 2,600 - - - - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 1,000 119,000 - 1,000 600 71,400 400 47,600
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - - - - -
69 Gliserin botol 5,333 - - - - - - -
70 Glukosa larutan infus 10% steril botol 5,700 - - - - - - -
72 Griseofulvin tablet 125 mg,micron tab 210 2,000 420,000 - 2,000 - 2,000 420,000
73 Haloperidoi tablet 0,5 mg tab 60 - - - - - - -
75 Hidroklorotiazid (HCI) tablet 25 m tablet 155 800 124,000 - 800 - 800 124,000
76 Hidrokortison krim 2,5% tube 2,640 - - - - - - -
77 Ibuprofen tablet 400mg tab 105 - - - - - - -
78 Isosorbid Dinitrat tablet sublingua tab 88 - - - - - - -
79 Kalium Diklofenak 50mg tablet 778 - - - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - - - -
82 Kaptopril tablet 25mg tablet 84 - - - - - - -
83 Karbamazepin 200mg tablet 270 - - - - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - - - - -
85 Ketoconazol tab 200mg tab 270 1,000 270,000 - 1,000 50 13,500 950 256,500
86 Ketoconazole 2% krim 10g tube 2,518 45 113,310 - 45 - 45 113,310
87 Kloramfenikol kapsul 250mg kapsul 310 - - - - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - - - - -
91 Klorfeniramin maleat (CTM) table tablet 22 9,500 209,000 - 9,500 3,900 85,800 5,600 123,200
92 Klorpromazin tablet salut 25 mg tablet 149 - - - - - - -
94 Klorpromazin inj i.m 5mg/ml 2ml( amp 1,050 - - - - - - -
95 Klindamycin kap 150mg kapsul 382 - - - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 200 438,000 - 200 21 45,990 179 392,010
98 Kotrimoksazol tablet komb 480 mg tab 133 900 119,700 - 900 - 900 119,700
99 Kuinin tablet 222mg tab 670 - - - - - - -
100 Kuinin Inj 25% amp 6,200 - - - - - - -
101 Lansoprazol 30mg kapsul 323 2,160 697,680 - 2,160 1,040 335,920 1,120 361,760
102 Lidokain Komp. Injeksi, Kombinasi amp 1,145 135 154,575 - 135 15 17,175 120 137,400
103 Loperamid 2 mg tab 89 - - - - - - -
104 Loratadin 10mg tablet 154 - - - - - - -
105 Metformin tablet 150 500 75,000 - 500 100 15,000 400 60,000
106 Magnesium Sulfat inj 40%(Otsu vial 3,796 - - - - - - -
107 Magnesium Sulfat inj 20%(Otsu vial 3328 - - - - - - -
108 Metilergometrin Maleat tablet 0,1 tab 210 - - - - - - -
109 Metilergometrin Maleat inj.0,200m amp 2,959 - - - - - - -
110 Metilprednisolone 16mg tab 551 - - - - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200 - 200 17,400
112 Metronidazol tablet 250 mg tablet 110 - - - - - - -
113 Metronidazol tablet 500mg tablet 160 - - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 21 71,694 - 21 - 21 71,694
115 Molasma tab 2,5mg tab 78 - - - - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - - - - -
117 Natrium Diklofenak 25mg tablet 128 - - - - - - -
118 Natrium Klorida larutan infus 0,9% s botol 6,410 12 76,920 - 12 5 32,050 7 44,870
119 Neurohax 500mg tab 1,210 - - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - - -
121 Nifedipine tablet 110 - - - - - - -
122 Nistatin tablet salut 500.000 IU tab 790 - - - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 - 600 336,000
124 Ofloxacin 400mg tab sal sel tab 553 350 193,550 - 350 - 350 193,550
125 Obat Batuk Hitam (OBH) cairan botol 10,500 77 808,500 - 77 49 514,500 28 294,000
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - - - -
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - - - - -
128 Ondansetron 4mg inj amp 1124 53 59,572 - 53 - 53 59,572
129 Ondansetron 4mg tab tablet 351 90 31,590 - 90 - 90 31,590
130 Omeprazole 20mg kapsul 130 - - - - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 172 203,132 - 172 96 113,376 76 89,756
132 Parasetamol drops botol 5,200 - - - - - - -
133 Paracetamol Tablet 500 mg ( Miras tablet 880 - - - - - - -
134 Phenobarbital inj amp 1,800 - - - - - - -
135 Phenobarbital 30 mg tablet 65 - - - - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - - - - -
137 Pirantel tablet tablet 287 - - - - - - -
138 Pirantel Syr botol 9,510 9 85,590 - 9 3 28,530 6 57,060
139 Piridoksin HCI (Vit.B6) tablet 10 m tablet 131 11,200 1,467,200 - 11,200 2,500 327,500 8,700 1,139,700
140 Piroxicam 20 mg kapsul 163 2,500 407,500 - 2,500 1,700 277,100 800 130,400
141 Povidon Iodida 10% 30 ml botol 2,163 - - - - - - -
142 Povidon Iodida 10% 300 ml botol 16,500 1 16,500 - 1 - 1 16,500
143 Prednisone tablet 5 mg tablet 68 11,900 809,200 - 11,900 2,700 183,600 9,200 625,600
144 Propiltiouracyl tablet 319 - - - - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100 - 100 20,500
146 Ranitidine inj amp 1,140 - - - - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 48 366,240 - 48 11 83,930 37 282,310
148 RDT DBD test 1,200,000 - - - - - - -
149 RDT Malaria test 1,200,000 - - - - - - -
150 Salbutamol 2mg tablet 63 700 44,100 - 700 - 700 44,100
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - - - - -
152 Salep 2-4 , 30g pot 2,000 - - - - - - -
153 Salisil bedak 2% kotak 1,120 - - - - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 - - - - - -
155 Sefadroxyl syr botol 3,926 - - - - - - -
156 Sefotaxim inj vial 6,012 - - - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - - - -
158 Serum anti bisa ular Polivalen inj vial 512,204 4 2,048,816 - 4 - 4 2,048,816
159 Serum Anti Tetanus Injeksi 1.500 ampul 130,999 6 785,994 - 6 4 523,996 2 261,998
160 Sianokobalamin (Vit. B12) Injeksi amp 1,035 285 294,975 - 285 10 10,350 275 284,625
161 Simetidin tablet tablet 180 - - - - - - -
162 Simvastatin 10mg tablet 205 30 6,150 - 30 - 30 6,150
163 Siprofloksasin tablet 500 mg tablet 265 1,600 424,000 - 1,600 600 159,000 1,000 265,000
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 - - - - - -
165 Thiamphenikol kap 500 mg kapsul 615 - - - - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 amp 1,283 - - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) t tablet 85 - - - - - - -
168 Tramadol inj 50mg/ml amp 1,710 - - - - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - - - - -
170 Trihexyphenidil tab 91 - - - - - - -
171 Vaksin Rabies Vero kuur 660,000 - - - - - - -
172 Vitamin B komplek tablet tablet 117 300 35,100 - 300 300 35,100 - -
173 Zinkid 10mg/5ml syr botol 2,972 - - - - - - -
174 Miniaspi 80mg tab 130 - - - - - - -
175 Indanox 300mg kapsul 6,930 - - - - - - -
176 Ponsamic 500mg tablet 1,375 - - - - - - -
177 Maganol tablet 451 - - - - - - -
178 Lopiten 5mg tablet 6,050 - - - - - - -
179 Getidin inj 2 ml amp 20,900 - - - - - - -
180 Wida KN2 mengandung elektrolit botol 11,011 - - - - - - -
181 Wida KDN 1 mengandung karbohidrabotol 11,435 - - - - - - -
182 Alprazolam tab 1mg tab 143 - - - - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropan kaplet 621 - - - - - - -
185 Akita (pectin 50mg,attapulgite 60 tablet 454 - - - - - - -
186 Neocenta gel ( neomycin sulfat 0, tube 19,958 - - - - - - -
187 Bevalex cream (betametasone 1mg tube 10,300 - - - - - - -
188 Panviton tab tablet 1,435 - - - - - - -
189 Dextral syr botol 8,700 - - - - - - -
190 Neo-Kaominal syr botol 7,200 - - - - - - -
191 Mulsanol syr botol 18,000 - - - - - - -
192 Salesbion plus tablet 1,182 - - - - - - -
193 Selferro tablet 659 - - - - - - -
194 Stimuno sry 60ml botol 20,000 - - - - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - - - - -
Komb.ferro fumarat
197 60mg+as.folat 0,4mg ( Tablet tab 354 - - - - - - -
tambah darah )
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - - - -
199 Vagizol Ovula 500mg supp tab 3,590 - - - - - - -
200 Propanolol 40mg tab 73 - - - - - - -
201 Kaptopril 50mg tab 124 2,400 297,600 - 2,400 200 24,800 2,200 272,800
202 Betahistine Besilat 6mg tab 110 500 55,000 - 500 200 22,000 300 33,000
203 Metronidazole infus 500mg/100ml botol 8,110 - - - - - - -
204 Spironolactone 25mg tab 195 - - - - - - -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 - - - - - - -
206 Etanol 70 % 1000ml botol 18,700 2 37,400 - 2 2 37,400 - -
207 Natrium Diklofenak 50mg/ Sodium tab 115 - - - - - - -
208 Clobazam 10mg tab 776 - - - - - - -
209 Neo diagon 659mg tab 206 - - - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 500 792,000 - 500 300 475,200 200 316,800
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - - - - -
212 Metamizole Sodium Monohidrate tab 3,960 - - - - - - -
213 Erytromycin 250mg tab 546 100 54,600 - 100 - 100 54,600
214 Zink dispersible tab 524 300 157,200 - 300 100 52,400 200 104,800
216 Haloperidol 5mg tab 56 - - - - - - -
217 Amlodipin 10 mg tab 92 - - - - - - -
218 Mineral Mix sacc 2,805 - - - - - - -
219 Guaifenisin tab 145 2,900 420,500 - 2,900 1,200 174,000 1,700 246,500
220 Neurotropik inj amp 905 - - - - - - -
221 Solatim 500mg tab 1,176 - - - - - - -
222 Molacort tab tab 169 800 135,200 - 800 - 800 135,200
223 Betason N Cream 6 g tube 13,475 - - - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 177 2,239,050 - 177 - 177 2,239,050
226 Retinol 100.000IU kapsul 306 - - - - - - -
228 Parasetamol infus botol 12,389 - - - - - - -
229 Clozapin 25mg tablet 1,121 - - - - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - - - - -
231 Risperidon tablet 240 - - - - - - -
232 Ramipril tab 5mg tab 245 1,000 245,000 - 1,000 400 98,000 600 147,000
233 Povidon 10 % 100ml botol 6,050 - - - - - - -
234 Alkohol 70 % 300ml botol 6,820 - - - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 - - - - - - -
236 Chlodine 0,5% 500ml Handrub botol 82,500 - - - - - - -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - - - - -
238 Ambroxol generik tablet 180 - - - - - - -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 120 1,287,000 - 120 120 1,287,000 - -
240 Etamox syr tablet 6,488 - - - - - - -
241 Fluanza tab tablet 200 500 100,000 - 500 500 100,000 - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - - - - - -
243 Etaneural ( multivitamin ) tablet 776 600 465,600 - 600 600 465,600 - -
244 Metilon ( metilprednisolon ) tablet 280 - - - - - - -
245 Metilprednisolone 4 mg metilon tablet 281 1,100 309,100 - 1,100 900 252,900 200 56,200
246 Salep Whitefield tube 4,798 224 1,074,752 - 224 8 38,384 216 1,036,368
247 Bionicom Zinc tablet 400 - - 400 - 400 -
248 Tablet Tambah Darah tablet 352 18,300 6,441,600 - 18,300 300 105,600 18,000 6,336,000
249 Reliv Multivitamin tablet 4,950 2,199 10,885,050 - 2,199 300 1,485,000 1,899 9,400,050
- - - - - 35,980,190
OBAT GIGI - - - - - -
247 Devitalisasi pasta (non arsen) Botol 390,000 - - - - - - -
248 Ethyl Clorida spray botol 100,000 - - - - - - -
249 Eugenol cair botol 16,667 2 33,334 - 2 - 2 33,334
250 Mummifying pasta/Iodoform Pasta Botol 176,000 2 352,000 - 2 - 2 352,000
251 Semen seng fosfat serbuk dan cai Botol 93,500 - - - - - - -
252 Temporary Stopping Fletcher serb botol 34,000 - - - - - - -
- - - - - 385,334
ALAT KESEHATAN - - - - - -
253 Alat Suntik sekali pakai 1 ml set 650 2,200 1,430,000 - 2,200 300 195,000 1,900 1,235,000
254 Alat Suntik Sekali Pakai 2,5 ml set 888 100 88,800 - 100 100 88,800 - -
255 Alat Suntik Sekali Pakai 5 ml set 1,038 500 519,000 - 500 400 415,200 100 103,800
257 Alat Suntik Sekali Pakai 20 ml set 2,168 - - - - - -
258 Catgut/Benang No. 2/0-3/0 set 11,166 89 993,774 - 89 16 178,656 73 815,118
259 Folley Cateter NO. 18 Pcs 8,490 6 50,940 - 6 - 6 50,940
261 Infusion set anak set 5,100 260 1,326,000 - 260 - 260 1,326,000
262 Infusion set dewasa set 4,800 79 379,200 - 79 6 28,800 73 350,400
263 IV Catheter No.18 buah 7,000 68 476,000 - 68 - 68 476,000
264 IV Catheter No.20 buah 7,000 114 798,000 - 114 - 114 798,000
265 IV Catheter No.22 buah 7,000 83 581,000 - 83 3 21,000 80 560,000
266 IV Catheter No.24 buah 7,000 174 1,218,000 - 174 5 35,000 169 1,183,000
267 IV Catheter Supercath 5 No.24 buah 15,000 - - - - - - -
268 Wing Neddle No.21 pcs 5,770 - - - - - - -
271 Handscoon 7 set 6,595 50 329,750 - 50 50 329,750 - -
272 Handscoon 7,5 set 6,595 2 13,190 - 2 - 2 13,190
273 Handscoon M set 6,000 - - - - - - -
274 Handscoon L set 6,000 - - - - - - -
275 Pembalut Gips rol 23,500 - - - - - - -
276 Plester 5 yard x 2 inch rol 23,625 5 118,125 - 5 - 5 118,125
277 Plester 5 cm x 4,5 m rol 23,635 1 23,635 - 1 - 1 23,635
278 Plester 4,5 m x 12,5 mm rol 6,000 2 12,000 - 2 - 2 12,000
279 Silk (Benang Bedah Sutera) No. 3 set 3,055 33 100,815 - 33 - 33 100,815
280 Kasa Gulung 15X4 gulung 3,373 - - - - - - -
281 Kasa Kompres 16x16 steril kotak 7,370 157 1,157,090 - 157 5 36,850 152 1,120,240
282 Kapas pembalut absorben250 mg gulung 25,000 1 25,000 - 1 - 1 25,000
283 Kasa Hidrofil 4x 10 cm gulung 607 - - - - - - -
284 Kasa Pembalut 4 cm elastis gulung 10,000 - - - - - - -
285 Urine bag Pcs 5,088 8 40,704 - 8 - 8 40,704
286 Aximed Swab 2 Ply Pcs 115 12 1,380 - 12 - 12 1,380
287 Aximed Syringe 50 cc set 4,451 - - - - - - -
288 Strip ET Gula set 250,000 - - - - - - -
289 Strip ET Chol set 348,500 - - - - - - -
290 Strip ET Asam Urat set 250,000 - - - - - - -
291 Kertas EKG rol 200,000 - - - - - - -
292 Kertas USG rol 300,000 - - - - - - -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - - -
295 Nassal O2 dewasa Pcs 10,000 - - - - - - -
296 NGT semua nomor Pcs 150,000 - - - - - - -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - - - - -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 - - - - - - -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - - - - -
301 Developer/ RENDOL DEVELOPE set 556,000 - - - - - - -
302 Bunaskan amp 91,200 - - - - - - -
303 Decain Inj amp 81,840 - - - - - - -
304 Jarum Spinal no. 25 Pcs 30,000 - - - - - - -
306 Propofol Lipuro Fls 120,000 - - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - - -
308 Tramus 5mg amp 111,500 - - - - - - -
309 Albumin 50ml ( plasbumin 25ml/50 Fls 2,212,650 - - - - - - -
310 Blood Lancet box 22,950 - - 100 2,295,000 100 100.00 2,295,000 - -
311 Cover Glass 22x22 box 202,500 - - - - - - -
312 HBSAg Multi Device 100 SD box 3,510,000 - - - - - - -
313 HBSAg Strip Smart box 484,500 - - - - - - -
314 HCG Strip mono box 202,500 - - - - - - -
315 Kartu golongan darah box 50,000 - - 2 100,000 2 - 2 100,000
316 Lyse 1 L FLS 2,362,500 - - - - - - -
317 Multidrug 3 panel box 2,223,450 - - - - - - -
318 Slide Objek Glass box 130,000 - - - - - - -
319 Strip Urine Ferivy Fls 308,000 - - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - - -
321 Yellow Tip Pcs 500 - - - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 75 Pcs 4,963 - - - - - - -
323 Prolene 3/0 ds 19 kode 8832 H 7 Pcs 5,319 - - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H Pcs 5,750 - - - - - - -
325 Prolene 4/0 ds 19 kode W8557 9 Pcs 7,025 - - - - - - -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - - - - -
327 Safil 1 hr 48 kode 31361 90cm Pcs 160,000 - - - - - - -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 - - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR Pcs 87,300 - - - - - - -
332 Premilene Mesh 5x10 cm kode 31 box 725,500 - - - - - - -
333 Premilene Mesh 5x10 cm kode 31 box 2,400,000 - - - - - - -
334 Alat cek GD,KOLESTEROL,TRIG set 660,000 - - - - - - -
335 Kapas pembalut absorben 1000 g gulung 100,000 1 100,000 - 1 - 1 100,000
336 Plaster 7,5cm x 4,5 m rol 37,371 17 635,307 - 17 2.00 74,742 15 560,565
337 Plaster 2,5cm x 4,5 m rol 12,675 25 316,875 - 25 2.00 25,350 23 291,525
338 Kasa gulung 5X4 gulung 1,500 70 105,000 - 70 - 70 105,000
339 Performa meter set 420,000 - - - - - - -
340 Accu check performa 100 set 453,750 - - - - - - -
341 Accu safe T pro u no.20 set 127,050 - - - - - - -
342 Multidrug 6 panel box 37,286 - - - - - - -
343 Masker surgical face mask tie on Pcs 1,000 - - - - - - -
344 Masker surgical face mask ear loop pcs 1,000 - - - - - - -
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - - - - -
346 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 290 464,000 - 290 - 290 464,000
348 One scrub 2% 100ml botol 22,000 - - - - - - -
349 Softpad 60x90 Pcs 4,162 - - - - - - -
350 Aximed iv cath NP Pen type 18 Pcs 6,000 - - - - - - -
354 Handscoon churgic gloves size 6, set 7,872 - - - - - - -
355 Aximed Swab 4 Ply boks 20,000 18 360,000 - 18 2.00 40,000 16 320,000
356 Chromic 2/0 75cm,1/2 RC Pcs 51,622 - - - - - - -
357 Plain 2/0 75cm, 3/BRC Pcs 49,042 - - - - - - -
358 Chromic 3/0 75cm, 3/BRC Pcs 46,627 - - - - - - -
359 Plain 3/0 75cm, 1/2 TP Pcs 44,267 103 4,559,501 - 103 4.00 177,068 99 4,382,433
360 Chromic 3/0 75cm, 1/2 TP Pcs 44,240 - - - - - - -
361 Silk 3/0 75cm, 3/8 CC Pcs 38,559 18 694,062 - 18 - 18 694,062
362 Silk 2/0 75cm, 3/8 RC Pcs 38,065 - - - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 - - - - - - -
364 Cuticell classic 10cm x 10cm Pcs 5,520 92 507,840 - 92 3.00 16,560 89 491,280
365 Cuticell classic 10cm x 40cm Pcs 15,600 - - - - - - -
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 10 428,000 - 10 2.00 85,600 8 342,400
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - - - - -
368 Cannula without injection port & wi pcs 10,000 - - - - - - -
369 Cannula without injection port & wi pcs 10,000 - - - - - - -
371 Cannula with inj port snap fit cap pcs 12,078 - - - - - - -
372 Infusion set with needle pcs 8,200 45 369,000 - 45 3.00 24,600 42 344,400
373 Micro Drip Infusion set Pcs 9,200 - - - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - - -
376 Masker headloop box 22,000 - - - - - - -
377 Salmonella IgM Cassete pcs 21,650 - - - - - - -
378 Leukomed IV Film 6x8cm box 138,000 - - - - - - -
379 Cutimed gel 15g tube 52,110 - - - - - - -
380 IV Cath No. 20 G ( TRO-VENSITE Pcs 23,100 - - - - - - -
383 Alkazym botol 801,000 - - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 - - - - - - -
386 Aximed Chirurgic gloves 6,0 set 7,872 - - - - - - -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 - - - - - - -
388 Silk ( scimitar ) Pcs 38,559 - - - - - - -
389 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - - - - -
390 Trosensosurge, sterglove 6,0 Pcs 6,595 - - - - - - -
392 Pembalut Gips delta lite conforma rol 100,401 - - - - - - -
393 Benecheck plus blood glucose stri box 160,000 3 480,000 - 3 1.00 160,000 2 320,000
394 Benecheck asam urat strip box 150,000 4 600,000 - 4 1.00 150,000 3 450,000
395 Benecheck cholesterol strip box 250,000 3 750,000 - 3 1.00 250,000 2 500,000
396 Pot dahak buah 3,000 200 600,000 - 200 - 200 600,000
397 Pewarna Ziiehl Nelson botol 214,500 - - - - - - -
398 Rivanol 300 ml botol 3,740 7 26,180 - 7 - 7 26,180
399 Bedfont D-Piece Smokerlyzer 12s box 730,000 - - - - - - -
400 Bedfont Steribreath Mouthpiece S box 987,000 - - - - - - -
401 Handscoon 6 set 6,595 - - - -
- 2,395,000 - 18,975,592
1 Amlodipin 5 mg tab 187 - - - - - - -
2 Amoksilin kapsul 500 mg kaplet 420 - - - - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - - - - -
5 Kaptopril 12,5mg tablet 62 - - - - - - -
6 Ketokonazol cr 2% tube 2,569 - - - - - - -
7 Lansoprazole kap 30mg kap 473 - - - - - - -
8 Metilprednisolon tab 8mg tab 150 - - - - - - -
9 Natrium Diklofenak tab 25mg tab 128 50 6,400 - 50 50.00 6,400 - -
10 NaCl 0,9% botol 6,410 - - - - - - -
11 Obat Batuk Pilek Kombinasi( Hust kaplet 312 - - - - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - - - - -
14 Parasetamol tab 500mg tab 53 - - - - - - -
15 Povidon Iodida 10% 30ml botol 2,163 - - - - - - -
17 Propanolol tab tab 107 - - - - - - -
18 Ringer Laktat lar infus botol 7,150 - - - - - - -
19 Salbutamol inhalasi/ Aerosol 100m botol 63,750 - - - - - - -
20 Salep 2-4 pot 2,000 - - - - - - -
21 Spironolakton 25mg tablet 244 - - - - - - -
22 Aciklofir 400mg tab 192 - - - - - - -
23 Salep Whitefield kotak 115,152 12 1,381,824 - 12 - 12 1,381,824
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - - - - -
25 Neo Diagon 659 mg tablet 206 - - - - - - -
26 Reliv Multivitamin tablet 4,950 - - - - - - -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 - 1,300 -
- - - 1,381,824
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 - - - - - -
29 Handscoon 7 set 8,500 - - - - - -
30 Handscoon 7,5 set 7,692 - - - - - - -
31 Infus Set anak pcs 5,600 - - - - - -
32 Infus Set Dewasa pcs 3,200 - - - - - -
33 IV Catheter No.20 pcs 24,255 - - - - - -
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - - - - -
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - - - - -
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - - - - -
39 Kasa Pembalut 4x10cm roll 607 - - - - - -
40 Masker Pcs 756 - - - - - -
41 Urin Bag pcs 6,036 - - - - - -
42 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - - - - -
43 Hidrogel wound dressing pcs 29,000 - - - - - -
44 Iodine Povidone botol 6,550 - - - - - -
45 Ciprofloxacin kap kap 240 - - - - - -
46 Chloramex- Kloramfenikol 500mg kap 1,007 - - - - - -
47 Glimepirid 3mg tab 319 - - - - - -
48 Ibuprofen 400mg tab 102 - - - - - -
49 Loperamid 2mg tab 80 - - - - - -
50 Metoklopramid 10mg tab 90 - - - - - -
51 Nifedipine tab 110 - - - - - -
52 Omeprazole 20mg kap 140 - - - - - -
53 Prednisone tab 96 - - - - - -
54 Simvastatin 20mg tab 813 - - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - - -
56 Aminophylin tab 200mg tablet 91 - - - - - -
57 Metformin 500mg tablet 100 - - - - - -
58 Alkohol swab pcs 170 - - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - - -
60 Cutgut chromic 3/0 set 5,583 - - - - - -
61 Kapas pembalut 100g gulung 7,275 - - - - - -
62 Kasa hidrofil 4x 5 cm roll 760 - - - - - -
63 Spuit 5 cc pcs 8,000 - - - - - -
64 Haloperidol 0,5mg tab - - - - - -
65 Haloperidol 1,5mg tab 69 - - - - - -
66 Furosemid 40mg tab 80 - - - - - -
67 Kaptopril 25mg tab 80 - - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - - -
69 Bacitracin+polimicsin salep tube 3,035 - - - - - -
70 Salisil bedak 2% 50g kotak 1,020 - - - - - -
71 Klorpheniramin Maleat ( CTM ) tab 36 - - - - - -
72 Decacetine / Kloramphenikol TM botol 3,250 - - - - - -
73 Dexametasone tablet tablet 32 - - - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 amp 1,408 - - - - - -
75 Gentamisin Salep Mata 0,3% tube 2,675 - - - - - -
76 Lidocain inj amp 1,145 - - - - - -
77 Oxyticin inj 10 IU/ ml amp 1,199 - - - - - -
78 Salbutamol tab tablet 63 - - - - - -
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - - - - -
80 Underpads pcs 8,268 - - - - - -
81 IV Cateter no. 18 buah - - - - - -
- - - -
III BRANDED - - - -
1 Bricasma turb 0,5 mg box 71,100 - - - - - - -
2 Curcuma syr botol 10,500 - - - - - - -
3 Metroklopramid inj amp 9,000 - - - - - - -
4 Kombinasi Metampiron dan vit B ( tablet 1,315 - - - - - - -
5 Metoklopramid tablet 1,000 - - - - - - -
6 Multivitamin ibu hamil dan menyusu tablet 2,308 - - - - - - -
7 Multivitamin anak komb. Probiotik Botol 27,300 - - - - - - -
8 Multivitamin anak komb.mengandu botol 12,000 - - - - - - -
9 Multivitamin Plus DHA Sirup (bioni Botol 18,700 - - - - - - -
10 Neurotropik Plus Vit E Tablet (neur Tablet 924 - - - - - - -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 - - - - - - -
12 Obat Antibiotik Kombinasi (miracla Tablet 13,200 - - - - - - -
13 Obat Batuk Flu kombinasi anak ( Pr botol 8,200 - - - - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - - - - -
15 Obat Batuk Flu kombinasi dewasa ( tablet 410 - - - - - - -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 - - - - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - - - - -
18 Obat Diare Tablet (nodiar) Tablet 924 - - - - - - -
19 Obat Gangguan Cerna/Multienzim ( Tablet 303 - - - - - - -
20 Obat Infeksi Kulit dan Peradangan Tube 10gr 9,955 - - - - - - -
21 Pulmicort turb 200 box 93,000 - - - - - - -
22 Symbicort turb 160 dos box 117,600 - - - - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - - - - -
24 Ulsafate / Sukralfat Susp 500mg/5 botol 13,424 - - - - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - - - - -
26 Vitamin Peningkat Sistem Imun (fi Kapsul 3,014 - - - - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - - - - -
28 Zincpro drops 15 ml botol 12,840 - - - - - - -
- - - -
IV OBAT PROGRAM - - - -
1 ACT (Arthesunate+Amodiaquin) ta Tablet 1,375 - - - - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - - - - -
4 Calcii Glukonas Ampul 7,800 - - - - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - - - - -
6 DHP ( Dehidro Artemycin + Pipera Tablet 2,160 9 19,440 - 9 - 9 19,440
7 Garam oralit untuk 200 ml air kantong 264 - - - - - - -
8 Gentamicyn Injeksi Ampul 3,090 - - - - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - - - - -
10 Metilergometrin Maleat inj.0,200m amp 1,305 - - - - - - -
11 Mineral Mix Sacc 2,805 - - - - - - -
12 Natrium Tiroksin Tablet 1,694 - - - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 10 3,743,840 - 10 2.00 748,768 8 2,995,072
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - - - - -
15 Obat Anti Tuberculosis anak Paket 214,990 - - - - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - - - - -
20 Retinol 100.000 IU kapsul lunak 284 - - - - - - -
22 Tablet Tambah Darah tablet 352 23,760 8,363,520 - 23,760 - 23,760 8,363,520
23 Quinin inj amp 6,200 - - - - - - -
24 Zink Tablet 474 - - - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - - - -
26 Primakuin tab tablet 224 - - - - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - - - - - -
29 Arthesunate inj , vial 60mg Vial 57,585 - - - - - - -
30 PP-INH (Pengobatan Pencegahan tablet - - - - - -
31 Parasetamol ( Farmadol ) Tablet 300 500 150,000 - 500 500.00 150,000 - -
32 Masker medis earloop multione pl boks 100 20 2,000 - 20 12.00 1,200 8 800
33 Apd Level 3 pcs 16 - - 16 - 16 -
34 Apd Level 3 Kemensos set 4 - - 4 - 4 -
- - - 11,378,832
V VAKSIN - - - - - -
1 HB 0-7 20,900 0 - - - - - -
2 MR 141,648 0 - - - - - -
3 Polio 18,140 0 - - - - - - -
4 Td 16,500 0 - - - - - -
5 DPT-HB-Hib 71,810 0 - - - - - - -
6 BCG 60,140 0 - - - - - -
7 Pentavalen 0 - - - - - -
8 IPV 0 - - - - - -
9 Spuit 0,05 ml 0 - - - - - -
10 Spuit 0,5 ml 0 - - - - - -
- -

NIP. 19680709 198711 1 001 NIK. 08.2.21015
APRIL MEI JUNI

NO NAMA 0BAT SATUAN Stok Awal
I DAK
1 Allopurinol tablet 100 mg tab 900 400 300 200
2 Albendazol 400 mg tab 500 500
3 Albendazol susp 200mg/5ml botol -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,700 200 400 500
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 168 85 41
6 Aminofilin injeksi 24 mg/ml-10ml tab 55
7 Aminofilin tablet 200 mg tab
8 Aminitriptilin HCL tablet salut 25 mg tab -
9 Amlodipin 5 mg tab -
10 Amoksilin kapsul 250 mg kapsul -
11 Amoksilin kapsul 500 mg kaplet 14,300 1800 2,300 2,400
12 Amoksilin sirup kering 125 mg/5ml botol 109 87 22
13 Antalgin (Metampiron) tablet 500 mg tablet -
14 Antalgin Injeksi 250 mg/ml-2ml amp -
15 Antasida DOEN Tab tablet 4,200 2000 1500 2,000 2,000
16 Antasida DOEN susp botol 178 51 82
17 Anti Bakteri DOEN salep kombinasi tube -
18 Anti Hemoroid supp 130
19 Antifungi DOEN kombinasi pot -
20 Anti Migren tablet -
21 Aqua Pro Inj Steril 20 ml botol -
23 Asam Askorbat (VIT c) tablet 50 mg tablet 4,900 900 1,200 1,400
24 Asam Folat 1 mg tablet -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 2,100 700 400 600
26 Asam Traneksamat inj 50mg/ ml amp -
27 Asetosal tab 100 mg tablet -
29 Asiklovir Krim 5% tube -
30 Asiklovir tablet 200 mg tablet 100
31 Asiklovir tablet 400 mg tablet 2,450 300 100
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp -
33 Betametason krim 0,1% tube 14 11 3
34 Bionemi kapsul -
35 Cefixime 100mg tab -
36 Cefixime 100mg/5ml botol -
37 Cetirizine kaps kapsul 1,250 100
38 Cetirizine syr botol -
39 Deksametason injeksi 5 mg.ml-1ml amp 370 5
40 Deksametason tablet 0,5 mg tablet 21,200 1300 2,000
41 Diazepam injeksi 5 mg/ml-2 ml amp -
42 Diazepam tablet 2 mg tablet -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 120 40 80
44 Digoksin tablet 0,25 mg tab -
45 Doksisiklin kapsul 100 mg kapsul 200
46 Domperidone tab 10 mg tablet 150 100 50
47 Domperidone syrup botol 14 11
48 Efedrin HCI tablet 25 mg tablet -
49 Epinefrina HCI/Bitartrat inj. amp 20 2 1
50 Eritromisin kapsul kapsul 100
51 Eritromisin sirup 200 mg/5 ml botol -
52 Etakridin (Rivanol) 300 ml botol 12 1 2
53 Etakridin (Rivanol) 100 ml botol -
54 Etanol 70% 100 ml botol -
55 Fenitoin Natrium kapsul 30 mg kapsul -
56 Fenilbutazon 200 mg tablet -
57 Fenol Gliserol TT 10% botol -
58 Forasma tab 600mg tab -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 70 30
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 1,400 100
61 Furosemid tablet 40 mg tablet 400
62 Furosemid inj 10 mg/ml vial -
63 Garam oralit untuk 200 ml air kantong 900 100
64 Gential violet larutan 1% botol -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube -
66 Gentamisin Sulfat TM 3mg/ml botol -
67 Glibenklamid tablet 5 mg tablet 1,700 200 500 600
68 Gliseril Guayacolat tablet 100 mg tablet -
69 Gliserin botol -
70 Glukosa larutan infus 10% steril botol -
72 Griseofulvin tablet 125 mg,micronized tab 2,200 200
73 Haloperidoi tablet 0,5 mg tab -
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 800
76 Hidrokortison krim 2,5% tube 22 10 12
77 Ibuprofen tablet 400mg tab -
78 Isosorbid Dinitrat tablet sublingual 5mg tab -
79 Kalium Diklofenak 50mg tablet -
80 Kalsium laktat (kalk) tablet 500mg tablet -
81 Kaptopril tablet 12,5mg tablet -
82 Kaptopril tablet 25mg tablet -
83 Karbamazepin 200mg tablet -
84 Ketoprofen inj 100mg ampul -
85 Ketoconazol tab 200mg tab 1,400 400 50
86 Ketoconazole 2% krim 10g tube 45
87 Kloramfenikol kapsul 250mg kapsul -
88 Kloramfenikol suspensi 125mg -
89 Kloramfenikol Salep Mata 1% tube -
90 Kloramfenikol tetes telinga 3% botol -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 13,200 2200 1,500 3,900
92 Klorpromazin tablet salut 25 mg tablet -
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp -
95 Klindamycin kap 150mg kapsul -
97 Kotrimoksazol Suspensi komb botol 220 20 21
98 Kotrimoksazol tablet komb 480 mg tab 1,100 200
99 Kuinin tablet 222mg tab -
100 Kuinin Inj 25% amp -
101 Lansoprazol 30mg kapsul 2,340 680 860 1,040
102 Lidokain Komp. Injeksi, Kombinasi: amp 160 25 15
103 Loperamid 2 mg tab -
104 Loratadin 10mg tablet -
105 Metformin tablet 1,000 300 200 100
106 Magnesium Sulfat inj 40%(Otsu MGSO4 vial -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 vial -
108 Metilergometrin Maleat tablet 0,125mg tab -
109 Metilergometrin Maleat inj.0,200mg-1ml amp -
110 Metilprednisolone 16mg tab -
111 Metoklopramid tab 10 mg tablet 200
112 Metronidazol tablet 250 mg tablet -
113 Metronidazol tablet 500mg tablet -
114 Mikonazol krim/salep 2% (nitrat) tube 32 11
115 Molasma tab 2,5mg tab -
116 Natrium Bikarbonat tablet 500mg tablet -
117 Natrium Diklofenak 25mg tablet -
118 Natrium Klorida larutan infus 0,9% steril botol 21 9 5
119 Neurohax 500mg tab -
120 Nerva 5000 kaplet -
121 Nifedipine tablet -
122 Nistatin tablet salut 500.000 IU tab -
123 Nistatin Tablet salut 100.000 IU/g tab 600
124 Ofloxacin 400mg tab sal sel tab 350
125 Obat Batuk Hitam (OBH) cairan botol 125 13 35 49
126 Oksitetrasklin HCI salep mata 1% tube 20 20
127 Oksitosin injeksi 10 IU/ml-1ml amp
128 Ondansetron 4mg inj amp 53
129 Ondansetron 4mg tab tablet 330 240
130 Omeprazole 20mg kapsul -
131 Paracetamol Syrup 120 mg/5ml botol 232 60 96
132 Parasetamol drops botol -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 3,500 2500 1,000
134 Phenobarbital inj amp -
135 Phenobarbital 30 mg tablet -
136 Piracetam inj ( Gotropil 3g inj ) amp -
137 Pirantel tablet tablet -
138 Pirantel Syr botol 9 3
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 12,000 800 2,500
140 Piroxicam 20 mg kapsul 3,200 700 1,700
141 Povidon Iodida 10% 30 ml botol -
142 Povidon Iodida 10% 300 ml botol 1
143 Prednisone tablet 5 mg tablet 13,300 1400 2,700
144 Propiltiouracyl tablet -
145 Primaquin Tab tablet 100
146 Ranitidine inj amp -
147 Ringer Laktat Larutan infus steril botol 53 5 11
148 RDT DBD test -
149 RDT Malaria test -
150 Salbutamol 2mg tablet 1,000 100
151 Salbutamol 2mg/ 5ml syr botol -
152 Salep 2-4 , 30g pot -
153 Salisil bedak 2% kotak -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul
155 Sefadroxyl syr botol -
156 Sefotaxim inj vial -
157 Seftriaxone Serbuk Inj 1 g vial 37
158 Serum anti bisa ular Polivalen inj 5ml (AB vial 4
159 Serum Anti Tetanus Injeksi 1.500 IU/ampu ampul 12 6 4
160 Sianokobalamin (Vit. B12) Injeksi 500 mc amp 295 10 10
161 Simetidin tablet tablet -
162 Simvastatin 10mg tablet 330 180 120
163 Siprofloksasin tablet 500 mg tablet 3,200 600 1000 600
164 Tetrasiklin HCI kapsul 500 mg kapsul
165 Thiamphenikol kap 500 mg kapsul -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1 amp -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 5 tablet 200 100 100
168 Tramadol inj 50mg/ml amp -
169 Tramadol kapsul 50mg kapsul -
170 Trihexyphenidil tab -
171 Vaksin Rabies Vero kuur 15
172 Vitamin B komplek tablet tablet 2,600 1400 900 300
173 Zinkid 10mg/5ml syr botol -
174 Miniaspi 80mg tab -
175 Indanox 300mg kapsul -
176 Ponsamic 500mg tablet -
177 Maganol tablet -
178 Lopiten 5mg tablet -
179 Getidin inj 2 ml amp -
180 Wida KN2 mengandung elektrolit(KCL0, botol -
181 Wida KDN 1 mengandung karbohidrat+elek botol -
182 Alprazolam tab 1mg tab -
183 Ibuprofen 200mg/5ml susp 60ml botol -
184 Alpara (Pct,dmp,ctm,phenylpropanolamin kaplet -
185 Akita (pectin 50mg,attapulgite 600mg) tablet -
186 Neocenta gel ( neomycin sulfat 0,5%,plac tube -
187 Bevalex cream (betametasone 1mg,neomy tube -
188 Panviton tab tablet -
189 Dextral syr botol -
190 Neo-Kaominal syr botol -
191 Mulsanol syr botol -
192 Salesbion plus tablet -
193 Selferro tablet -
194 Stimuno sry 60ml botol -
195 Stimuno grape sry 60ml botol -
196 Dexocort 5%/10g krim tube -
0,4mg ( Tablet tambah darah ) tab -
197
198 Cupanol syr 60ml ( parasetamol ) botol -
199 Vagizol Ovula 500mg supp tab -
200 Propanolol 40mg tab -
201 Kaptopril 50mg tab 1,300 2000 400 500 200
202 Betahistine Besilat 6mg tab 800 200 100 200
203 Metronidazole infus 500mg/100ml botol -
204 Spironolactone 25mg tab -
205 Asam Traneksamat inj 100mg/5ml amp -
206 Etanol 70 % 1000ml botol 1 8 4 3 2
207 Natrium Diklofenak 50mg/ Sodium diklof tab -
208 Clobazam 10mg tab -
209 Neo diagon 659mg tab -
210 Asam Tranexamat tab 500mg tab 500 300
211 Metoklopramid inj 10 ml/2ml amp -
212 Metamizole Sodium Monohidrate 1000mg tab -
213 Erytromycin 250mg tab 100
214 Zink dispersible tab 400 100 100
216 Haloperidol 5mg tab -
218 Mineral Mix sacc -
219 Guaifenisin tab 4,300 400 1,000 1,200
220 Neurotropik inj amp -
221 Solatim 500mg tab 450 450
222 Molacort tab tab 2,300 1,500
223 Betason N Cream 6 g tube -
224 Chloramfecort H Cream 10 g tube 187 10
226 Retinol 100.000IU kapsul -
228 Parasetamol infus botol -
229 Clozapin 25mg tablet -
230 Omeprazole Inj 40mg vial -
231 Risperidon tablet -
232 Ramipril tab 5mg tab 700 900 200 400 400
233 Povidon 10 % 100ml botol -
234 Alkohol 70 % 300ml botol -
235 Ephedrine HCL 50 mg/ml amp -
236 Chlodine 0,5% 500ml Handrub botol -
237 Chlodine 0,5% 5 liter Handrub Je -
238 Ambroxol generik tablet -
239 ancefa ( Cefadroxyl 500mg ) tablet 240 120 120
240 Etamox syr tablet -
241 Fluanza tab tablet 700 200 100 300 500
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet -
243 Etaneural ( multivitamin ) tablet 1,500 100 800 600
244 Metilon ( metilprednisolon ) tablet -
245 Metilprednisolone 4 mg metilon tablet 2,100 1,000 900
246 Salep Whitefield tube 234 10 8
247 Bionicom Zinc tablet 500 100
248 Tablet Tambah Darah tablet - 18900 600 300
Reliv Multivitamin tablet 2199 300
OBAT GIGI
249 Devitalisasi pasta (non arsen) Botol -
250 Ethyl Clorida spray botol -
251 Eugenol cair botol 2
252 Mummifying pasta/Iodoform Pasta Botol 2
253 Semen seng fosfat serbuk dan cairan Botol -
254 Temporary Stopping Fletcher serbuk dan botol -
255 ALAT KESEHATAN

256 Alat Suntik sekali pakai 1 ml set 2,300 100 300
257 Alat Suntik Sekali Pakai 2,5 ml set 400 200 100 100
258 Alat Suntik Sekali Pakai 5 ml set 1,300 300 500 400
260 Alat Suntik Sekali Pakai 20 ml set 278
261 Catgut/Benang No. 2/0-3/0 set 109 20 16
262 Folley Cateter NO. 18 Pcs 8 2
264 Infusion set anak set 270 10
265 Infusion set dewasa set 94 15 6
266 IV Catheter No.18 buah 71 3
267 IV Catheter No.20 buah 117 3
268 IV Catheter No.22 buah 88 5 3
270 IV Catheter Supercath 5 No.24 buah -
271 Wing Neddle No.21 pcs -
274 Handscoon 7 set 100 100 100 50 50
275 Handscoon 7,5 set 2
276 Handscoon M set 200 200
277 Handscoon L set 100 100
278 Pembalut Gips rol -
279 Plester 5 yard x 2 inch rol 6 1
280 Plester 5 cm x 4,5 m rol 2 1
281 Plester 4,5 m x 12,5 mm rol 3 1
282 Silk (Benang Bedah Sutera) No. 3/0 set 38 5
283 Kasa Gulung 15X4 gulung -
284 Kasa Kompres 16x16 steril kotak 160 3 5
285 Kapas pembalut absorben250 mg gulung 1
286 Kasa Hidrofil 4x 10 cm gulung -
287 Kasa Pembalut 4 cm elastis gulung -
288 Urine bag Pcs 9 1
289 Aximed Swab 2 Ply Pcs 7 10 2 3
290 Aximed Syringe 50 cc set -
291 Strip ET Gula set -
292 Strip ET Chol set -
293 Strip ET Asam Urat set -
294 Kertas EKG rol -
295 Kertas USG rol -
296 Nassal O2 anak 9 oxyflo Pcs -
297 Nassal O2 bayi Pcs -
298 Nassal O2 dewasa Pcs -
299 NGT semua nomor Pcs -
300 Film Fuji 24x30 shr-u 24x30 Box -
301 Film Fuji 30 x 40 SHR -U 30X40 Box -
302 Fuji Film 35x35 SHR-U 35,6X 35,6 Box -
303 Fixer LIQUID AUTOMETIC 20L set -
304 Developer/ RENDOL DEVELOPER MANU set -
305 Bunaskan amp -
306 Decain Inj amp -
307 Jarum Spinal no. 25 Pcs -
309 Propofol Lipuro Fls -
310 Terrel 100ml Fls -
311 Tramus 5mg amp -
312 Albumin 50ml ( plasbumin 25ml/50ml ) Fls -
313 Blood Lancet box - 100 100.00
314 Cover Glass 22x22 box -
315 HBSAg Multi Device 100 SD box -
316 HBSAg Strip Smart box -
317 HCG Strip mono box -
318 Kartu golongan darah box - 2
319 Lyse 1 L FLS -
320 Multidrug 3 panel box -
321 Slide Objek Glass box -
322 Strip Urine Ferivy Fls -
323 Tabung EDTA Pcs -
324 Yellow Tip Pcs -
325 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs -
326 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs -
327 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs -
328 Prolene 4/0 ds 19 kode W8557 90cm Pcs -
329 Safil 0 hr 40s kode 31271 90cm Pcs -
330 Safil 1 hr 48 kode 31361 90cm Pcs -
332 Safil 3/0 ds 24 kode 31051 70cm Pcs -
333 Safil 3/0 hr 26 kode 31081 Pcs -
334 Silkam 2/0 hr 26 kode 32161 HR black 7 Pcs -
335 Premilene Mesh 5x10 cm kode 31672 5x box -
336 Premilene Mesh 5x10 cm kode 31671 30 box -
337 Alat cek GD,KOLESTEROL,TRIGLISERI set -
338 Kapas pembalut absorben 1000 g gulung 1
339 Plaster 7,5cm x 4,5 m rol 20 2 1.00 2.00
340 Plaster 2,5cm x 4,5 m rol 28 2 1.00 2.00
341 Kasa gulung 5X4 gulung 80 10.00
342 Performa meter set -
343 Accu check performa 100 set -
344 Accu safe T pro u no.20 set -
346 Masker surgical face mask tie on Pcs -
347 Masker surgical face mask ear loop jilbab pcs 9 5 4.00
348 Mas surgical cap ( 0/0 ) Pcs -
349 Mas nursing cap ( 0/0 ) Pcs -
350 Kasa kompres steril 40 x 40 Pcs 300 10.00
351 One scrub 2% 100ml botol -
352 Softpad 60x90 Pcs -
353 Aximed iv cath NP Pen type 18 Pcs -
357 Handscoon churgic gloves size 6,5 set -
358 Aximed Swab 4 Ply boks 28 5 5.00 2.00
359 Chromic 2/0 75cm,1/2 RC 26mm Pcs -
360 Plain 2/0 75cm, 3/BRC 24mm Pcs -
361 Chromic 3/0 75cm, 3/BRC 24mm Pcs -
362 Plain 3/0 75cm, 1/2 TP 30mm Pcs 108 5.00 4.00
363 Chromic 3/0 75cm, 1/2 TP 25mm Pcs -
364 Silk 3/0 75cm, 3/8 CC 19mm Pcs 23 5.00
365 Silk 2/0 75cm, 3/8 RC 30mm Pcs
366 Kasa Hidrofil 40 x 80 cm rol -
367 Cuticell classic 10cm x 10cm Pcs 97 5.00 3.00
368 Cuticell classic 10cm x 40cm Pcs -
369 Fixomul 76992 strecth 5cmx 5m pcs 16 3 3.00 2.00
370 Fixomul 76993 strecht 10cmx 5m pcs -
371 Cannula without injection port & wings ( 2 pcs -
372 Cannula without injection port & wings ( 2 pcs -
373 Cannula without injection port & wings ( 2 pcs
374 Cannula with inj port snap fit cap & sutura pcs -
375 Infusion set with needle pcs 50 5.00 3.00
376 Micro Drip Infusion set Pcs -
377 Uniflex 15cm x 4,5 m rol -
378 Uniflex 7,5 cm x 4,5 m rol -
379 Masker headloop box -
380 Salmonella IgM Cassete pcs -
381 Leukomed IV Film 6x8cm box -
382 Cutimed gel 15g tube -
383 IV Cath No. 20 G ( TRO-VENSITE ) Pcs -
386 Alkazym botol -
387 Alkazyd 1 L botol -
388 Aximed Paper tape 2,5 x 9,14 rol -
389 Aximed Chirurgic gloves 6,0 set -
390 Disp.syringe BD Luer Lock 3ml Pcs -
391 Silk ( scimitar ) Pcs -
392 stomact touch ( NGT NO 18 ) Pcs -
393 Trosensosurge, sterglove 6,0 Pcs -
395 Pembalut Gips delta lite conformable rol -
396 Benecheck plus blood glucose strip box - 5 2.00 1.00
397 Benecheck asam urat strip box - 5 1.00 1.00
398 Benecheck cholesterol strip box - 5 2.00 1.00
399 Pot dahak buah - 200
400 Pewarna Ziiehl Nelson botol -
401 Rivanol 300 ml botol 8 1.00
402 Bedfont D-Piece Smokerlyzer 12s box -
403 Bedfont Steribreath Mouthpiece Smokerly box -
404 Handscoon 6 set
II OBAT APBD I
2 Amoksilin kapsul 500 mg kaplet -
3 Antasida DOEN I tablet kunyah tablet -
4 Asiklovir kapl 200mg kaplet -
5 Kaptopril 12,5mg tablet -
6 Ketokonazol cr 2% tube -
7 Lansoprazole kap 30mg kap -
8 Metilprednisolon tab 8mg tab -
9 Natrium Diklofenak tab 25mg tab - 100 50 50
10 NaCl 0,9% botol -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet -
12 Obat Anti Neuralgia(Neurodial) tablet -
13 Parasetamol Syr 120mg/5ml botol -
14 Parasetamol tab 500mg tab -
15 Povidon Iodida 10% 30ml botol -
17 Propanolol tab tab -
18 Ringer Laktat lar infus botol -
19 Salbutamol inhalasi/ Aerosol 100mcg/dos botol -
20 Salep 2-4 pot -
21 Spironolakton 25mg tablet -
22 Aciklofir 400mg tab -
23 Salep Whitefield kotak - 12
24 Urea ( Soft U Derm ) krim 10% tube -
25 Neo Diagon 659 mg tablet 400 100
26 Reliv Multivitamin tablet -
27 Griseovulvin 500 mg tablet 1,300
ALAT KESEHATAN
28 Alat Suntik Sekali Pakai 2,5 ml pcs
29 Handscoon 7 set
30 Handscoon 7,5 set
31 Infus Set anak pcs
32 Infus Set Dewasa pcs
33 IV Catheter No.20 pcs
36 Kassa Steril 16 x 16 cm ktl/lmbr
37 Kasa Kompres Steril 40 x 40 cm pcs
38 Kasa Pembalut Hidrofil 4 x 15 cm roll
39 Kasa Pembalut 4x10cm roll
40 Masker Pcs
41 Urin Bag pcs
42 Kasa hidrofil 40 yard x 80 cm roll
43 Hidrogel wound dressing pcs
44 Iodine Povidone botol
45 Ciprofloxacin kap kap
46 Chloramex- Kloramfenikol 500mg kap
47 Glimepirid 3mg tab
48 Ibuprofen 400mg tab
49 Loperamid 2mg tab
50 Metoklopramid 10mg tab
51 Nifedipine tab
52 Omeprazole 20mg kap
53 Prednisone tab
54 Simvastatin 20mg tab
55 Etanol 70 % 300ml botol
56 Aminophylin tab 200mg tablet
57 Metformin 500mg tablet
58 Alkohol swab pcs
59 Cutgut plain 2/0 set
60 Cutgut chromic 3/0 set
61 Kapas pembalut 100g gulung
62 Kasa hidrofil 4x 5 cm roll
63 Spuit 5 cc pcs
66 Furosemid 40mg tab
67 Kaptopril 25mg tab
69 Bacitracin+polimicsin salep tube
70 Salisil bedak 2% 50g kotak
71 Klorpheniramin Maleat ( CTM ) tab
72 Decacetine / Kloramphenikol TM botol
73 Dexametasone tablet tablet
74 Ephineprine ( Adrenaline ) inj 0,1 % amp
75 Gentamisin Salep Mata 0,3% tube
76 Lidocain inj amp
77 Oxyticin inj 10 IU/ ml amp
78 Salbutamol tab tablet
79 Kassa Steril 3 yard x 15 cm ktk/roll
80 Underpads pcs
III BRANDED
1 Bricasma turb 0,5 mg box
2 Curcuma syr botol
3 Metroklopramid inj amp
4 Kombinasi Metampiron dan vit B ( Goralgi tablet
5 Metoklopramid tablet
6 Multivitamin ibu hamil dan menyusui (Iron tablet
7 Multivitamin anak komb. Probiotik+DHA ( Botol
8 Multivitamin anak komb.mengandung lysi botol
9 Multivitamin Plus DHA Sirup (bionick plus Botol
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet
11 Neurotropik Injeksi (bioneuron inj) Ampul
12 Obat Antibiotik Kombinasi (miraclav) Tablet
13 Obat Batuk Flu kombinasi anak ( Protexina botol
14 Obat Flu Sirup (febrinex susp) Botol
15 Obat Batuk Flu kombinasi dewasa (Protexi tablet
16 Obat Flu Tablet Dewasa ( Flutab ) tablet
17 Obat Batuk Pilek Tablet (noza) Tablet
18 Obat Diare Tablet (nodiar) Tablet
19 Obat Gangguan Cerna/Multienzim (progast Tablet
20 Obat Infeksi Kulit dan Peradangan (Chlor Tube 10gr
21 Pulmicort turb 200 box
22 Symbicort turb 160 dos box
23 Thiamphenicol 500 mg kapsul
24 Ulsafate / Sukralfat Susp 500mg/5ml botol
25 Vitamin Penambah Asi (asifit) Tablet
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul
27 Ventolin/Salbutamol inhalasi botol
28 Zincpro drops 15 ml botol
IV OBAT PROGRAM
1 ACT (Arthesunate+Amodiaquin) tab Tablet -
2 Arthemeter inj 1 ml : 80 mg Ampul -
3 Benzatin benzil penicillin injeksi Vial -
4 Calcii Glukonas Ampul -
5 Copper T ( Andalan) Pcs -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 9
7 Garam oralit untuk 200 ml air kantong -
8 Gentamicyn Injeksi Ampul -
9 Magnesium Sulfat 40 % Vial -
11 Mineral Mix Sacc -
12 Natrium Tiroksin Tablet -
13 Obat Anti Tuberculosis kat. 1 Paket 10 2.00
14 Obat Anti Tuberculosis kat. 2 Paket -
15 Obat Anti Tuberculosis anak Paket -
16 OAT Kombipak Kategori 1 Paket -
17 Phenobarbital injeksi 50 mg/ml ampul -
18 Phytomenadion inj 2mg/ml amp -
19 Prokain Benzil Penisillin Vial -
20 Retinol 100.000 IU kapsul lunak -
22 Tablet Tambah Darah tablet - 41580 12240 5580
23 Quinin inj amp -
24 Zink Tablet 400 200
25 Oxytosin inj 40% amp -
26 Primakuin tab tablet -
27 Ampicillin serbuk inj 1000mg/ml Vial -
28 Oxytetrasiklin SM 1% ( HCL ) tube -
29 Arthesunate inj , vial 60mg Vial -
30 PP-INH (Pengobatan Pencegahan Dengan tablet
31 Parasetamol ( Farmadol ) Tablet - 1200 700 500.00
32 Masker medis earloop multione plus boks - 30 10 12.00
33 Apd Level 3 pcs - 16
34 Apd Level 3 Kemensos set - 4


NIP. 19680709 198711 1 001 NIK. 08.2.21015
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( JULI 2021 )
STOK
NO NAMA 0BAT SATUAN HARGA SATUAN Penerimaan Pemakaian
Stok Awal Stok Awal (Rp) Penerimaan Persediaan Pemakaian
(Rp) (Rp)
1 2 3 4 5 6 7
I DAK
1 Allopurinol tablet 100 mg tab 110 200 22,000 1,000 110,000 1,200 500 55,000
2 Albendazol 400 mg tab 402 - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 600 618,000 - 600 300 309,000
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 42 565,950 - 42 10 134,750
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - -
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - - - -
11 Amoksilin kapsul 500 mg kaplet 249 7,800 1,942,200 10,000 2,490,000 17,800 1,700 423,300
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - - - - -
15 Antasida DOEN Tab tablet 58 700 40,600 800 46,400 1,500 900 52,200
16 Antasida DOEN susp botol 2,129 45 95,805 100 212,900 145 35 74,515
18 Anti Hemoroid supp 3,167 130 411,710 50 158,350 180 100 316,700
20 Anti Migren tablet 185 - - 500 92,500 500 -
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 1,400 147,000 - 1,400 600 63,000
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 400 620,000 - 400 200 310,000
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100 -
31 Asiklovir tablet 400 mg tablet 380 2,050 779,000 300 114,000 2,350 150 57,000
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - 10 16,390 10 10 16,390
33 Betametason krim 0,1% tube 3,350 - - - - -
34 Bionemi kapsul 1,640 - - - - -
35 Cefixime 100mg tab 2,394 - - - - -
37 Cetirizine kaps kapsul 96 800 76,800 500 48,000 1,300 300 28,800
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 - - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 - - - - -
46 Domperidone tab 10 mg tablet 167 - - - - -
47 Domperidone syrup botol 19,750 3 59,250 - 3 3 59,250
49 Epinefrina HCI/Bitartrat inj. amp 1,408 17 23,936 - 17 2 2,816
52 Etakridin (Rivanol) 300 ml botol 3,400 9 30,600 5 17,000 14 1 3,400
54 Etanol 70% 100 ml botol 2,500 - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 - - - - -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 1,300 923,000 - 1,300 -
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 400 30,800
63 Garam oralit untuk 200 ml air kantong 257 400 102,800 - 400 400 102,800
67 Glibenklamid tablet 5 mg tablet 119 400 47,600 1,000 119,000 1,400 500 59,500
69 Gliserin botol 5,333 - - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 2,000 420,000 5,200 1,092,000 7,200 300 63,000
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 800 124,000 - 800 -
76 Hidrokortison krim 2,5% tube 2,640 - - - - -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - -
85 Ketoconazol tab 200mg tab 270 950 256,500 - 950 50 13,500
86 Ketoconazole 2% krim 10g tube 2,518 45 113,310 - 45 15 37,770
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 5,600 123,200 - 5,600 1,700 37,400
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 179 392,010 10 21,900 189 30 65,700
98 Kotrimoksazol tablet komb 480 mg tab 133 900 119,700 500 66,500 1,400 200 26,600
100 Kuinin Inj 25% amp 6,200 - - - - -
101 Lansoprazol 30mg kapsul 323 1,120 361,760 - 1,120 900 290,700
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 120 137,400 - 120 25 28,625
105 Metformin tablet 150 400 60,000 - 400 -
106 Magnesium Sulfat inj 40%(Otsu MGSO vial 3,796 - - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO vial 3328 - - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 - - 500 105,000 500 -
109 Metilergometrin Maleat inj.0,200mg-1ml amp 2,959 - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 21 71,694 - 21 15 51,210
117 Natrium Diklofenak 25mg tablet 128 - - - - -
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 7 44,870 - 7 -
119 Neurohax 500mg tab 1,210 - - - - -
120 Nerva 5000 kaplet 3,020 - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 -
124 Ofloxacin 400mg tab sal sel tab 553 350 193,550 500 276,500 850 -
125 Obat Batuk Hitam (OBH) cairan botol 10,500 28 294,000 120 1,260,000 148 42 441,000
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - -
128 Ondansetron 4mg inj amp 1124 53 59,572 30 33,720 83 55 61,820
129 Ondansetron 4mg tab tablet 351 90 31,590 - 90 -
130 Omeprazole 20mg kapsul 130 - - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 76 89,756 200 236,200 276 61 72,041
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 - - 10,400 9,152,000 10,400 2,500 2,200,000
137 Pirantel tablet tablet 287 - - 500 143,500 500 -
138 Pirantel Syr botol 9,510 6 57,060 - 6 -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 8,700 1,139,700 - 8,700 1,200 157,200
140 Piroxicam 20 mg kapsul 163 800 130,400 500 81,500 1,300 400 65,200
143 Prednisone tablet 5 mg tablet 68 9,200 625,600 - 9,200 6,900 469,200
147 Ringer Laktat Larutan infus steril botol 7,630 37 282,310 100 763,000 137 30 228,900
148 RDT DBD test 1,200,000 - - - - -
149 RDT Malaria test 1,200,000 - - - - -
150 Salbutamol 2mg tablet 63 700 44,100 7,000 441,000 7,700 -
152 Salep 2-4 , 30g pot 2,000 - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - -
158 Serum anti bisa ular Polivalen inj 5ml ( vial 512,204 4 2,048,816 - 4 -
159 Serum Anti Tetanus Injeksi 1.500 IU/am ampul 130,999 2 261,998 10 1,309,990 12 3 392,997
160 Sianokobalamin (Vit. B12) Injeksi 500 amp 1,035 275 284,625 - 275 35 36,225
162 Simvastatin 10mg tablet 205 30 6,150 - 30 -
163 Siprofloksasin tablet 500 mg tablet 265 1,000 265,000 - 1,000 300 79,500
165 Thiamphenikol kap 500 mg kapsul 615 - - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml amp 1,283 - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet tablet 85 - - - - -
171 Vaksin Rabies Vero kuur 660,000 - - 2 1,320,000 2 -
172 Vitamin B komplek tablet tablet 117 - - 500 58,500 500 300 35,100
174 Miniaspi 80mg tab 130 - - - - -
180 Wida KN2 mengandung elektrolit(KCL botol 11,011 - - - - -
181 Wida KDN 1 mengandung karbohidrat+el botol 11,435 - - - - -
182 Alprazolam tab 1mg tab 143 - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanolam kaplet 621 - - - - -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,pl tube 19,958 - - - - -
187 Bevalex cream (betametasone 1mg,neo tube 10,300 - - - - -
194 Stimuno sry 60ml botol 20,000 - - - - -
197 0,4mg ( Tablet tambah darah ) tab 354 - - - - -

201 Kaptopril 50mg tab 124 2,200 272,800 500 62,000 2,700 600 74,400
202 Betahistine Besilat 6mg tab 110 300 33,000 500 55,000 800 300 33,000
206 Etanol 70 % 1000ml botol 18,700 - - 10 187,000 10 6 112,200
207 Natrium Diklofenak 50mg/ Sodium dikl tab 115 - - 500 57,500 500 250 28,750
208 Clobazam 10mg tab 776 - - 200 155,200 200 -
209 Neo diagon 659mg tab 206 - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 200 316,800 - 200 -
212 Metamizole Sodium Monohidrate 1000 tab 3,960 - - - - -
213 Erytromycin 250mg tab 546 100 54,600 - 100 -
214 Zink dispersible tab 524 200 104,800 - 200 200 104,800
217 Amlodipin 10 mg tab 92 - - - - -
218 Mineral Mix sacc 2,805 - - - - -
219 Guaifenisin tab 145 1,700 246,500 - 1,700 900 130,500
221 Solatim 500mg tab 1,176 - - - - -
222 Molacort tab tab 169 800 135,200 - 800 -
224 Chloramfecort H Cream 10 g tube 12,650 177 2,239,050 - 177 15 189,750
229 Clozapin 25mg tablet 1,121 - - - - -
232 Ramipril tab 5mg tab 245 600 147,000 800 196,000 1,400 700 171,500
233 Povidon 10 % 100ml botol 6,050 - - 5 30,250 5 1 6,050
234 Alkohol 70 % 300ml botol 6,820 - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 - - 10 85,690 10 -
236 Chlodine 0,5% 500ml Handrub botol 82,500 - - 9 742,500 9 -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - - -
238 Ambroxol generik tablet 180 - - 1,000 180,000 1,000 -
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - - -
240 Etamox syr tablet 6,488 - - 200 1,297,600 200 37 240,056
241 Fluanza tab tablet 200 - - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 - - 500 396,500 500 -
243 Etaneural ( multivitamin ) tablet 776 - - 1,000 776,000 1,000 300 232,800
244 Metilon ( metilprednisolon ) tablet 280 - - 500 140,000 500 400 112,000
245 Metilprednisolone 4 mg metilon tablet 281 200 56,200 - 200 -
246 Salep Whitefield tube 4,798 216 1,036,368 - 216 72 345,456
247 Bionicom Zinc tablet 400 - - 400 -
249 Reliv Multivitamin tablet 4,950 1,899 9,400,050 - 1,899 150 742,500
250 Attagip tablet - 480 - 480 -
251 Coparcetin tablet dewasa tablet - 500 - 500 -
252 Coparcetin syr botol - 50 - 50 -
253 Dianos syr botol - 50 - 50 -
254 Deksametasone tablet 0,5mg (Mexon) tablet - 500 - 500 -
256 Mirafon - 500 - 500 -
257 Meloxicam tablet - 250 - 250 -
258 Thiampenicol (Zethatiam) tablet - 500 - 500 200 -
- 24,147,090 -
- - -
OBAT GIGI - - - -
252 Temporary Stopping Fletcher serbuk da botol 34,000 - - - - -
- - - -
253 Alat Suntik sekali pakai 1 ml set 650 1,900 1,235,000 500 325,000 2,400 300 195,000
254 Alat Suntik Sekali Pakai 2,5 ml set 888 - - 500 444,000 500 200 177,600
255 Alat Suntik Sekali Pakai 5 ml set 1,038 100 103,800 500 519,000 600 200 207,600
256 Alat Suntik Sekali Pakai 10 ml set 1,200 400 480,000 - 400 -
258 Catgut/Benang No. 2/0-3/0 set 11,166 73 815,118 24 267,984 97 36 401,976
259 Folley Cateter NO. 18 Pcs 8,490 6 50,940 - 6 -
261 Infusion set anak set 5,100 260 1,326,000 - 260 -
271 Handscoon 7 set 6,595 - - - - -
272 Handscoon 7,5 set 6,595 2 13,190 - 2 2 13,190
273 Handscoon M set 6,000 - - - - -
274 Handscoon L set 6,000 - - - - -
276 Plester 5 yard x 2 inch rol 23,625 5 118,125 - 5 -
277 Plester 5 cm x 4,5 m rol 23,635 1 23,635 - 1 -
278 Plester 4,5 m x 12,5 mm rol 6,000 2 12,000 - 2 -
279 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 33 100,815 - 33 24 73,320
281 Kasa Kompres 16x16 steril kotak 7,370 152 1,120,240 - 152 15 110,550
285 Urine bag Pcs 5,088 8 40,704 100 508,800 108 -
286 Aximed Swab 2 Ply Pcs 115 12 1,380 10 1,150 22 9 1,035
288 Strip ET Gula set 250,000 - - - - -
289 Strip ET Chol set 348,500 - - - - -
291 Kertas EKG rol 200,000 - - - - -
292 Kertas USG rol 300,000 - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - -
301 Developer/ RENDOL DEVELOPER MA set 556,000 - - - - -
302 Bunaskan amp 91,200 - - - - -
303 Decain Inj amp 81,840 - - - - -
307 Terrel 100ml Fls 702,000 - - - - -
308 Tramus 5mg amp 111,500 - - - - -
309 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 - - - - -
310 Blood Lancet box 22,950 - - - - -
311 Cover Glass 22x22 box 202,500 - - - - -
315 Kartu golongan darah box 50,000 2 100,000 - 2 -
316 Lyse 1 L FLS 2,362,500 - - - - -
318 Slide Objek Glass box 130,000 - - - - -
320 Tabung EDTA Pcs 3,400 - - - - -
321 Yellow Tip Pcs 500 - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H 75c Pcs 5,750 - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR black Pcs 87,300 - - - - -
332 Premilene Mesh 5x10 cm kode 31672 box 725,500 - - - - -
333 Premilene Mesh 5x10 cm kode 31671 box 2,400,000 - - - - -
334 Alat cek GD,KOLESTEROL,TRIGLISE set 660,000 - - - - -
336 Plaster 7,5cm x 4,5 m rol 37,371 15 560,565 50 1,868,550 65 -
337 Plaster 2,5cm x 4,5 m rol 12,675 23 291,525 100 1,267,500 123 -
338 Kasa gulung 5X4 gulung 1,500 70 105,000 - 70 -
344 Masker surgical face mask ear loop jilb pcs 1,000 - - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 290 464,000 - 290 -
349 Softpad 60x90 Pcs 4,162 - - - - -
352 Aximed iv cath NP Pen type 22 Pcs 6,000 - - 50 300,000 50 -
353 Aximed iv cath NP Pen type 24 Pcs 6,000 - - 100 600,000 100 -
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 - - 60 3,097,320 60 -
357 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 - - - - -
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 - - 48 2,238,096 48 -
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 4,382,433 - 99 -
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 - - 24 1,061,760 24 -
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18 694,062 - 18 -
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 - - 2 500,500 2 -
364 Cuticell classic 10cm x 10cm Pcs 5,520 89 491,280 50 276,000 139 15.00 82,800
365 Cuticell classic 10cm x 40cm Pcs 15,600 - - 20 312,000 20 -
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 8 342,400 5 214,000 13 -
367 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - - -
368 Cannula without injection port & wings ( pcs 10,000 - - - - -
369 Cannula without injection port & wings ( pcs 10,000 - - - - -
370 Cannula without injection port & wings ( pcs 10,000 - - - -
371 Cannula with inj port snap fit cap & sutu pcs 12,078 - - - - -
372 Infusion set with needle pcs 8,200 42 344,400 - 42 -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - -
377 Salmonella IgM Cassete pcs 21,650 - - 50 1,082,500 50 -
378 Leukomed IV Film 6x8cm box 138,000 - - 100 13,800,000 100 -
379 Cutimed gel 15g tube 52,110 - - 10 521,100 10 -
383 Alkazym botol 801,000 - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 - - 12 138,996 12 -
387 Disp.syringe BD Luer Lock 3ml Pcs 920 - - 100 92,000 100 -
388 Silk ( scimitar ) Pcs 38,559 - - 12 462,708 12 -
393 Benecheck plus blood glucose strip box 160,000 2 320,000 - 2 -
394 Benecheck asam urat strip box 150,000 3 450,000 - 3 -
395 Benecheck cholesterol strip box 250,000 2 500,000 - 2 -
396 Pot dahak buah 3,000 200 600,000 200 600,000 400 -
397 Pewarna Ziiehl Nelson botol 214,500 - - 10 2,145,000 10 -
398 Rivanol 300 ml botol 3,740 7 26,180 - 7 -
400 Bedfont Steribreath Mouthpiece Smoker box 987,000 - - - - -
401 Handscoon 6 set 6,595 - - -
- 32,643,964 -
9 Natrium Diklofenak tab 25mg tab 128 - - - - -
10 NaCl 0,9% botol 6,410 - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/d botol 63,750 - - - - -
20 Salep 2-4 pot 2,000 - - - - -
22 Aciklofir 400mg tab 192 - - - - -
23 Salep Whitefield kotak 115,152 12 1,381,824 10 1,151,520 22 -
25 Neo Diagon 659 mg tablet 206 - - - - -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 -
28 Metformin 500mg tablet 150 - 500 75,000 500 -
29 Kapas pembalut 100g gulung 7,275 - 5 36,375 5 -
30 Furosemid 40mg tablet 80 - 1,000 80,000 1,000 -
31 IV Cateter No. 18 buah 7,000 - 100 700,000 100 -
- 2,042,895 -
- - -
29 Handscoon 7 set 8,500 - - - -
30 Handscoon 7,5 set 7,692 - - - - -
40 Masker Pcs 756 - - - -
41 Urin Bag pcs 6,036 - - - -
55 Etanol 70 % 300ml botol 21,500 - - - -
59 Cutgut plain 2/0 set 5,583 - - - -
63 Spuit 5 cc pcs 8,000 - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( Goral tablet 1,315 - - - - -
6 Multivitamin ibu hamil dan menyusui (Ir tablet 2,308 - - - - -
7 Multivitamin anak komb. Probiotik+DHA Botol 27,300 - - - - -
8 Multivitamin anak komb.mengandung ly botol 12,000 - - - - -
9 Multivitamin Plus DHA Sirup (bionick pl Botol 18,700 - - - - -
10 Neurotropik Plus Vit E Tablet (neurovit- Tablet 924 - - - - -
13 Obat Batuk Flu kombinasi anak ( Protexi botol 8,200 - - - - -
15 Obat Batuk Flu kombinasi dewasa (Prote tablet 410 - - - - -
19 Obat Gangguan Cerna/Multienzim (prog Tablet 303 - - - - -
20 Obat Infeksi Kulit dan Peradangan (ChlTube 10gr 9,955 - - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - - -
- - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 9 19,440 - 9 -
7 Garam oralit untuk 200 ml air kantong 264 - - 3,600 950,400 3,600 -
22 Tablet Tambah Darah tablet 352 23,760 8,363,520 - 23,760 -
23 Quinin inj amp 6,200 - - - - -
24 Zink Tablet 474 - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - 50 102,950 50 -
30 PP-INH (Pengobatan Pencegahan Dengatablet - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - - -
32 Masker medis earloop multione plus boks 100 8 800 - 8 -
33 Apd Level 3 pcs 16 - 3 - 19 19.00 -
34 Apd Level 3 Kemensos set 4 - - 4 4.00 -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - 120 21,000,000 120 120.00 21,000,000
36 Astavit tablet tablet 3,849 - 150 577,350 150 -
37 BD Gard tab tablet 1,030 - 600 618,000 600 -
38 Termogun set - 1 - 1 -
39 Cito Swab pcs - 200 - 200 -
40 Face Shield Dewasa pcs 20,000 - 20 400,000 20 -
41 Masker N 95 pcs 21,500 - 10 215,000 10 -
42 Masker KN 95 pcs 21,500 - 25 537,500 25 -
43 Zegavit Tab tablet 3,920 - 500 1,960,000 500 230.00 901,600
44 Masker Medis headloop book - 4 - 4 -
45 Blood Lancet book - 1 - 1 -
46 Handscoon M book - 3 - 3 3.00 -
- 26,361,200 -
V VAKSIN - - - -
1 HB 0-7 20,900 0 - - - -
2 MR 141,648 0 - - - -
3 Polio 18,140 0 - - - - -
4 Td 16,500 0 - - - -
5 DPT-HB-Hib 71,810 0 - - - - -
6 BCG 60,140 0 - - - -
8 IPV 0 - - - -
9 Spuit 0,05 ml 0 - - - -
10 Spuit 0,5 ml 0 - - - -
TOTAL PENERIMAAN Rp 1
TOTAL STOK AWAL Rp
TOTAL PEMAKAIAN Rp
TOTAL AKHIR Rp 2
Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

NIP. 19870305 200902 1 002 NIK. 08.2.21015
JUMLAH
Stok Akhir
(RUPIAH)
8=5+6+7 9=8x4
700 77,000
- -
- -
300 309,000
32 431,200
- -
- -
- -
- -
- -
16,100 4,008,900
- -
- -
- -
600 34,800
110 234,190
- -
80 253,360
- -
500 92,500
- -
- -
800 84,000
- -
200 310,000
- -
- -
- -
- -
100 23,700
2,200 836,000
- -
- -
- -
- -
- -
1,000 96,000
- -
- -
15,400 492,800
- -
- -
- -
- -
- -
- -
- -
- -
15 21,120
- -
- -
13 44,200
- -
- -
- -
- -
- -
- -
- -
1,300 923,000
- -
- -
- -
- -
- -
- -
900 107,100
- -
- -
- -
- -
6,900 1,449,000
- -
- -
800 124,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
900 243,000
30 75,540
- -
- -
- -
- -
3,900 85,800
- -
- -
- -
- -
- -
159 348,210
1,200 159,600
- -
- -
220 71,060
95 108,775
- -
- -
400 60,000
- -
- -
500 105,000
- -
- -
200 17,400
- -
- -
6 20,484
- -
- -
- -
7 44,870
- -
- -
- -
- -
600 336,000
850 470,050
106 1,113,000
- -
- -
28 31,472
90 31,590
- -
215 253,915
- -
7,900 6,952,000
- -
- -
- -
500 143,500
6 57,060
7,500 982,500
900 146,700
- -
1 16,500
2,300 156,400
- -
100 20,500
- -
107 816,410
- -
- -
7,700 485,100
- -
- -
- -
- -
- -
- -
- -
4 2,048,816
9 1,178,991
240 248,400
- -
30 6,150
700 185,500
- -
- -
- -
- -
- -
- -
- -
2 1,320,000
200 23,400
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2,100 260,400
500 55,000
- -
- -
- -
4 74,800
250 28,750
200 155,200
- -
200 316,800
- -
- -
100 54,600
- -
- -
- -
- -
- -
800 116,000
- -
- -
800 135,200
- -
162 2,049,300
- -
- -
- -
- -
- -
- -
- -
700 171,500
4 24,200
- -
10 85,690
9 742,500
- -
1,000 180,000
- -
163 1,057,544
- -
500 396,500
700 543,200
100 28,000
200 56,200
144 690,912
400 -
17,250 6,072,000
1,749 8,657,550
480 -
500 -
50 -
50 -
500 -
500 -
250 -
300 -
50,267,409
-
- -
- -
- -
2 33,334
2 352,000
- -
- -
- 385,334
- -
2,100 1,365,000
300 266,400
400 415,200
400 480,000
- -
61 681,126
6 50,940
6 50,400
260 1,326,000
58 278,400
53 371,000
99 693,000
55 385,000
154 1,078,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
5 118,125
1 23,635
2 12,000
9 27,495
- -
137 1,009,690
1 25,000
- -
- -
108 549,504
13 1,495
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 100,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 100,000
65 2,429,115
123 1,559,025
70 105,000
- -
- -
- -
- -
- -
- -
- -
- -
290 464,000
- -
- -
- -
- -
50 300,000
100 600,000
- -
14 280,000
60 3,097,320
- -
48 2,238,096
99 4,382,433
24 1,061,760
18 694,062
- -
2 500,500
124 684,480
20 312,000
13 556,400
- -
- -
- -
- -
- -
42 344,400
- -
- -
- -
- -
50 1,082,500
100 13,800,000
10 521,100
- -
- -
- -
- -
- -
12 138,996
- -
100 92,000
12 462,708
- -
- -
- -
- -
2 320,000
3 450,000
2 500,000
400 1,200,000
10 2,145,000
7 26,180
- -
- -
-
49,754,485
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
22 2,533,344
- -
- -
- -
1,300 -
500 75,000
5 36,375
1,000 80,000
100 700,000
3,424,719
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
9 19,440
3,600 950,400
- -
- -
- -
- -
- -
8 2,995,072
- -
- -
- -
- -
- -
- -
- -
- -
23,760 8,363,520
- -
- -
- -
- -
- -
50 102,950
- -
- -
- -
8 800
- -
- -
- -
150 577,350
600 618,000
1 -
200 -
20 400,000
10 215,000
25 537,500
270 1,058,400
4 -
1 -
- -
15,838,432
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
170,390,298
68,020,972
33,545,742
204,865,528
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( AGUSTUS 2021 )
STOK
HARGA JUMLAH
NO NAMA 0BAT SATUAN Stok Akhir
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Penerimaan Persediaan Pemakaian Pemakaian (Rp) (RUPIAH)
(Rp)
1 2 3 4 5 6 7 8=5+6+7 9=8x4
I DAK
1 Allopurinol tablet 100 mg tab 110 700 77,000 - 700 - 700 77,000
2 Albendazol 400 mg tab 402 - - - - - - -
3 Albendazol susp 200mg/5ml botol 3,849 - - - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 300 309,000 - 300 100 103,000 200 206,000
5 Ambroxol syr ( Molepect ) 15 mg/ botol 13,475 32 431,200 - 32 15 202,125 17 229,075
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - - - -
7 Aminofilin tablet 200 mg tab 139 - - - - - -
8 Aminitriptilin HCL tablet salut 25 tab 167 - - - - - - -
9 Amlodipin 5 mg tab 73 - - - - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - - - - -
11 Amoksilin kapsul 500 mg kaplet 249 16,100 4,008,900 - 16,100 1,000 249,000 15,100 3,759,900
12 Amoksilin sirup kering 125 mg/5m botol 1,881 - - - - - - -
13 Antalgin (Metampiron) tablet 500 tablet 234 - - - - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - - - - -
15 Antasida DOEN Tab tablet 58 600 34,800 - 600 200 11,600 400 23,200
16 Antasida DOEN susp botol 2,129 110 234,190 - 110 25 53,225 85 180,965
17 Anti Bakteri DOEN salep kombina tube 2,516 - - - - - - -
18 Anti Hemoroid supp 3,167 80 253,360 - 80 - 80 253,360
19 Antifungi DOEN kombinasi pot 2,904 - - - - - - -
20 Anti Migren tablet 185 500 92,500 - 500 - 500 92,500
23 Asam Askorbat (VIT c) tablet 50 tablet 105 800 84,000 - 800 300 31,500 500 52,500
24 Asam Folat 1 mg tablet 48 - - - - - - -
25 Asam Mefenamat 500 mg ( Mefix tablet 1,550 200 310,000 - 200 200 310,000 - -
26 Asam Traneksamat inj 50mg/ ml amp 1,748 - - - - - - -
29 Asiklovir Krim 5% tube 3,150 - - - - - - -
30 Asiklovir tablet 200 mg tablet 237 100 23,700 - 100 100 23,700 - -
31 Asiklovir tablet 400 mg tablet 380 2,200 836,000 - 2,200 50 19,000 2,150 817,000
32 Atropin Sulfat injeksi 0,25 mg/ml amp 1,639 - - - - - - -
33 Betametason krim 0,1% tube 3,350 - - - - - - -
34 Bionemi kapsul 1,640 - - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - - - - -
37 Cetirizine kaps kapsul 96 1,000 96,000 - 1,000 100 9,600 900 86,400
38 Cetirizine syr botol 2,850 - - - - - - -
39 Deksametason injeksi 5 mg.ml-1 amp 1,580 - - - - - - -
40 Deksametason tablet 0,5 mg tablet 32 15,400 492,800 - 15,400 - 15,400 492,800
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - - - - -
42 Diazepam tablet 2 mg tablet 27 - - - - - - -
43 Difenhidramin HCI injeksi 10 mg/ amp 1,168 - - - - - - -
44 Digoksin tablet 0,25 mg tab 97 - - - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - - - - -
46 Domperidone tab 10 mg tablet 167 - - - - - - -
47 Domperidone syrup botol 19,750 - - - - - - -
48 Efedrin HCI tablet 25 mg tablet 51 - - - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 15 21,120 - 15 - 15 21,120
50 Eritromisin kapsul kapsul 1,000 - - - - - - -
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 13 44,200 - 13 2 6,800 11 37,400
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - - - - -
54 Etanol 70% 100 ml botol 2,500 - - - - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - - - - -
56 Fenilbutazon 200 mg tablet 143 - - - - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - - - - -
58 Forasma tab 600mg tab 1,200 - - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ amp 3,417 - - - - - - -
60 Fitomenadion (Vit.K1) tablet 10 tablet 710 1,300 923,000 - 1,300 1,300 923,000 - -
61 Furosemid tablet 40 mg tablet 77 - - - - - - -
62 Furosemid inj 10 mg/ml vial 91 - - - - - - -
63 Garam oralit untuk 200 ml air kantong 257 - - - - - - -
64 Gential violet larutan 1% botol 2,500 - - - - - - -
65 Gentamisin/Genoint SM 0,3% 3, tube 2,600 - - - - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 900 107,100 - 900 200 23,800 700 83,300
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - - - - -
69 Gliserin botol 5,333 - - - - - - -
72 Griseofulvin tablet 125 mg,micro tab 210 6,900 1,449,000 - 6,900 400 84,000 6,500 1,365,000
75 Hidroklorotiazid (HCI) tablet 25 tablet 155 800 124,000 - 800 - 800 124,000
76 Hidrokortison krim 2,5% tube 2,640 - - - - - - -
77 Ibuprofen tablet 400mg tab 105 - - - - - - -
78 Isosorbid Dinitrat tablet sublingu tab 88 - - - - - - -
79 Kalium Diklofenak 50mg tablet 778 - - - - - - -
80 Kalsium laktat (kalk) tablet 500m tablet 63 - - - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - - - -
82 Kaptopril tablet 25mg tablet 84 - - - - - - -
83 Karbamazepin 200mg tablet 270 - - - - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - - - - -
85 Ketoconazol tab 200mg tab 270 900 243,000 - 900 - 900 243,000
86 Ketoconazole 2% krim 10g tube 2,518 30 75,540 - 30 25 62,950 5 12,590
87 Kloramfenikol kapsul 250mg kapsul 310 - - - - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - - - - -
91 Klorfeniramin maleat (CTM) table tablet 22 3,900 85,800 - 3,900 900 19,800 3,000 66,000
94 Klorpromazin inj i.m 5mg/ml 2ml amp 1,050 - - - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 159 348,210 - 159 - 159 348,210
98 Kotrimoksazol tablet komb 480 m tab 133 1,200 159,600 - 1,200 200 26,600 1,000 133,000
99 Kuinin tablet 222mg tab 670 - - - - - - -
100 Kuinin Inj 25% amp 6,200 - - - - - - -
101 Lansoprazol 30mg kapsul 323 220 71,060 - 220 220 71,060 - -
102 Lidokain Komp. Injeksi, Kombinas amp 1,145 95 108,775 - 95 - 95 108,775
103 Loperamid 2 mg tab 89 - - - - - - -
104 Loratadin 10mg tablet 154 - - - - - - -
105 Metformin tablet 150 400 60,000 - 400 - 400 60,000
106 Magnesium Sulfat inj 40%(Otsu vial 3,796 - - - - - - -
107 Magnesium Sulfat inj 20%(Otsu vial 3328 - - - - - - -
108 Metilergometrin Maleat tablet 0, tab 210 500 105,000 - 500 - 500 105,000
109 Metilergometrin Maleat inj.0,200 amp 2,959 - - - - - - -
110 Metilprednisolone 16mg tab 551 - - - - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200 - 200 17,400
112 Metronidazol tablet 250 mg tablet 110 - - - - - - -
113 Metronidazol tablet 500mg tablet 160 - - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 6 20,484 - 6 6 20,484 - -
115 Molasma tab 2,5mg tab 78 - - - - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - - - - -
117 Natrium Diklofenak 25mg tablet 128 - - - - - - -
118 Natrium Klorida larutan infus 0,9% botol 6,410 7 44,870 - 7 2 12,820 5 32,050
119 Neurohax 500mg tab 1,210 - - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - - -
121 Nifedipine tablet 110 - - - - - - -
122 Nistatin tablet salut 500.000 IU tab 790 - - - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 - 600 336,000
124 Ofloxacin 400mg tab sal sel tab 553 850 470,050 - 850 600 331,800 250 138,250
125 Obat Batuk Hitam (OBH) cairan botol 10,500 106 1,113,000 - 106 3 31,500 103 1,081,500
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - - - -
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - - - - -
128 Ondansetron 4mg inj amp 1124 28 31,472 - 28 15 16,860 13 14,612
129 Ondansetron 4mg tab tablet 351 90 31,590 - 90 30 10,530 60 21,060
130 Omeprazole 20mg kapsul 130 - - - - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 215 253,915 - 215 48 56,688 167 197,227
132 Parasetamol drops botol 5,200 - - - - - - -
133 Paracetamol Tablet 500 mg ( Mira tablet 880 7,900 6,952,000 - 7,900 1,300 1,144,000 6,600 5,808,000
134 Phenobarbital inj amp 1,800 - - - - - - -
135 Phenobarbital 30 mg tablet 65 - - - - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - - - - -
137 Pirantel tablet tablet 287 500 143,500 - 500 - 500 143,500
138 Pirantel Syr botol 9,510 6 57,060 - 6 - 6 57,060
139 Piridoksin HCI (Vit.B6) tablet 10 tablet 131 7,500 982,500 - 7,500 600 78,600 6,900 903,900
140 Piroxicam 20 mg kapsul 163 900 146,700 - 900 400 65,200 500 81,500
141 Povidon Iodida 10% 30 ml botol 2,163 - - - - - - -
142 Povidon Iodida 10% 300 ml botol 16,500 1 16,500 - 1 - 1 16,500
143 Prednisone tablet 5 mg tablet 68 2,300 156,400 - 2,300 2,300 156,400 - -
144 Propiltiouracyl tablet 319 - - - - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100 - 100 20,500
146 Ranitidine inj amp 1,140 - - - - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 107 816,410 - 107 19 144,970 88 671,440
148 RDT DBD test 1,200,000 - - - - - - -
149 RDT Malaria test 1,200,000 - - - - - - -
150 Salbutamol 2mg tablet 63 7,700 485,100 - 7,700 300 18,900 7,400 466,200
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - - - - -
152 Salep 2-4 , 30g pot 2,000 - - - - - - -
153 Salisil bedak 2% kotak 1,120 - - - - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 - - - - - -
155 Sefadroxyl syr botol 3,926 - - - - - - -
156 Sefotaxim inj vial 6,012 - - - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - - - -
158 Serum anti bisa ular Polivalen inj vial 512,204 4 2,048,816 - 4 - 4 2,048,816
159 Serum Anti Tetanus Injeksi 1.500 ampul 130,999 9 1,178,991 - 9 3 392,997 6 785,994
160 Sianokobalamin (Vit. B12) Injeks amp 1,035 240 248,400 - 240 20 20,700 220 227,700
161 Simetidin tablet tablet 180 - - - - - - -
162 Simvastatin 10mg tablet 205 30 6,150 - 30 - 30 6,150
163 Siprofloksasin tablet 500 mg tablet 265 700 185,500 - 700 - 700 185,500
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 - - - - - -
165 Thiamphenikol kap 500 mg kapsul 615 - - - - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 amp 1,283 - - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 85 - - - - - - -
168 Tramadol inj 50mg/ml amp 1,710 - - - - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - - - - -
170 Trihexyphenidil tab 91 - - - - - - -
171 Vaksin Rabies Vero kuur 660,000 2 1,320,000 - 2 - 2 1,320,000
172 Vitamin B komplek tablet tablet 117 200 23,400 - 200 200 23,400 - -
173 Zinkid 10mg/5ml syr botol 2,972 - - - - - - -
174 Miniaspi 80mg tab 130 - - - - - - -
175 Indanox 300mg kapsul 6,930 - - - - - - -
176 Ponsamic 500mg tablet 1,375 - - - - - - -
177 Maganol tablet 451 - - - - - - -
178 Lopiten 5mg tablet 6,050 - - - - - - -
179 Getidin inj 2 ml amp 20,900 - - - - - - -
180 Wida KN2 mengandung elektroli botol 11,011 - - - - - - -
181 Wida KDN 1 mengandung karbohidrbotol 11,435 - - - - - - -
182 Alprazolam tab 1mg tab 143 - - - - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropa kaplet 621 - - - - - - -
185 Akita (pectin 50mg,attapulgite 6 tablet 454 - - - - - - -
186 Neocenta gel ( neomycin sulfat 0 tube 19,958 - - - - - - -
187 Bevalex cream (betametasone 1m tube 10,300 - - - - - - -
188 Panviton tab tablet 1,435 - - - - - - -
189 Dextral syr botol 8,700 - - - - - - -
190 Neo-Kaominal syr botol 7,200 - - - - - - -
191 Mulsanol syr botol 18,000 - - - - - - -
192 Salesbion plus tablet 1,182 - - - - - - -
193 Selferro tablet 659 - - - - - - -
194 Stimuno sry 60ml botol 20,000 - - - - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - - - - -
Komb.ferro fumarat
197 60mg+as.folat 0,4mg ( Tablet tab 354 - - - - - - -
tambah darah )
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - - - -
199 Vagizol Ovula 500mg supp tab 3,590 - - - - - - -
201 Kaptopril 50mg tab 124 2,100 260,400 - 2,100 100 12,400 2,000 248,000
202 Betahistine Besilat 6mg tab 110 500 55,000 - 500 100 11,000 400 44,000
203 Metronidazole infus 500mg/100m botol 8,110 - - - - - - -
204 Spironolactone 25mg tab 195 - - - - - - -
205 Asam Traneksamat inj 100mg/5m amp 1,945 - - - - - - -
206 Etanol 70 % 1000ml botol 18,700 4 74,800 - 4 3 56,100 1 18,700
207 Natrium Diklofenak 50mg/ Sodiu tab 115 250 28,750 - 250 100 11,500 150 17,250
208 Clobazam 10mg tab 776 200 155,200 - 200 - 200 155,200
209 Neo diagon 659mg tab 206 - - - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 200 316,800 - 200 - 200 316,800
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - - - - -
212 Metamizole Sodium Monohidrate tab 3,960 - - - - - - -
213 Erytromycin 250mg tab 546 100 54,600 - 100 - 100 54,600
214 Zink dispersible tab 524 - - - - - - -
217 Amlodipin 10 mg tab 92 - - - - - - -
218 Mineral Mix sacc 2,805 - - - - - - -
219 Guaifenisin tab 145 800 116,000 - 800 100 14,500 700 101,500
220 Neurotropik inj amp 905 - - - - - - -
221 Solatim 500mg tab 1,176 - - - - - - -
222 Molacort tab tab 169 800 135,200 - 800 800 135,200 - -
223 Betason N Cream 6 g tube 13,475 - - - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 162 2,049,300 - 162 50 632,500 112 1,416,800
228 Parasetamol infus botol 12,389 - - - - - - -
229 Clozapin 25mg tablet 1,121 - - - - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - - - - -
231 Risperidon tablet 240 - - - - - - -
232 Ramipril tab 5mg tab 245 700 171,500 - 700 - 700 171,500
233 Povidon 10 % 100ml botol 6,050 4 24,200 - 4 - 4 24,200
234 Alkohol 70 % 300ml botol 6,820 - - - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 10 85,690 - 10 - 10 85,690
236 Chlodine 0,5% 500ml Handrub botol 82,500 9 742,500 - 9 5 412,500 4 330,000
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - - - - -
238 Ambroxol generik tablet 180 1,000 180,000 - 1,000 - 1,000 180,000
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - - - - -
240 Etamox syr tablet 6,488 163 1,057,544 - 163 20 129,760 143 927,784
241 Fluanza tab tablet 200 - - - - - - -
242 Etaflox ( Ciprofloxacin tab 500mg tablet 793 500 396,500 - 500 - 500 396,500
243 Etaneural ( multivitamin ) tablet 776 700 543,200 - 700 700 543,200 - -
244 Metilon ( metilprednisolon ) tablet 280 100 28,000 - 100 100 28,000 - -
245 Metilprednisolone 4 mg metilon tablet 281 200 56,200 - 200 200 56,200 - -
246 Salep Whitefield tube 4,798 144 690,912 - 144 28 134,344 116 556,568
247 Bionicom Zinc tablet 400 - - 400 - 400 -
248 Tablet Tambah Darah tablet 352 17,250 6,072,000 - 17,250 600 211,200 16,650 5,860,800
249 Reliv Multivitamin tablet 4,950 1,749 8,657,550 - 1,749 480 2,376,000 1,269 6,281,550
250 Attagip tablet 480 - - 480 - 480 -
251 Coparcetin tablet dewasa tablet 500 - - 500 - 500 -
252 Coparcetin syr botol 50 - - 50 5 - 45 -
253 Dianos syr botol 50 - - 50 5 - 45 -
254 Deksametasone tablet 0,5mg (M tablet 500 - - 500 - 500 -
256 Mirafon 500 - - 500 - 500 -
257 Meloxicam tablet 250 - - 250 - 250 -
258 Thiampenicol (Zethatiam) tablet 300 - - 300 - 300 -
- - 40,746,396
- - - -
OBAT GIGI - - - - - -
247 Devitalisasi pasta (non arsen) Botol 390,000 - - - - - - -
248 Ethyl Clorida spray botol 100,000 - - - - - - -
249 Eugenol cair botol 16,667 2 33,334 - 2 - 2 33,334
250 Mummifying pasta/Iodoform Past Botol 176,000 2 352,000 - 2 - 2 352,000
251 Semen seng fosfat serbuk dan ca Botol 93,500 - - - - - - -
252 Temporary Stopping Fletcher ser botol 34,000 - - - - - - -
- - - - - 385,334
253 Alat Suntik sekali pakai 1 ml set 650 2,100 1,365,000 - 2,100 200 130,000 1,900 1,235,000
254 Alat Suntik Sekali Pakai 2,5 ml set 888 300 266,400 - 300 250 222,000 50 44,400
256 Alat Suntik Sekali Pakai 10 ml set 1,200 400 480,000 - 400 - 400 480,000
257 Alat Suntik Sekali Pakai 20 ml set 2,168 - - - - - -
258 Catgut/Benang No. 2/0-3/0 set 11,166 61 681,126 - 61 15 167,490 46 513,636
261 Infusion set anak set 5,100 260 1,326,000 - 260 - 260 1,326,000
262 Infusion set dewasa set 4,800 58 278,400 - 58 15 72,000 43 206,400
266 IV Catheter No.24 buah 7,000 154 1,078,000 - 154 5 35,000 149 1,043,000
267 IV Catheter Supercath 5 No.24 buah 15,000 - - - - - - -
271 Handscoon 7 set 6,595 - - 100 659,500 100 100 659,500 - -
272 Handscoon 7,5 set 6,595 - - 100 659,500 100 50 329,750 50 329,750
273 Handscoon M set 6,000 - - - - - - -
274 Handscoon L set 6,000 - - - - - - -
275 Pembalut Gips rol 23,500 - - - - - - -
276 Plester 5 yard x 2 inch rol 23,625 5 118,125 - 5 3 70,875 2 47,250
277 Plester 5 cm x 4,5 m rol 23,635 1 23,635 - 1 - 1 23,635
278 Plester 4,5 m x 12,5 mm rol 6,000 2 12,000 - 2 - 2 12,000
279 Silk (Benang Bedah Sutera) No. set 3,055 9 27,495 - 9 - 9 27,495
280 Kasa Gulung 15X4 gulung 3,373 - - - - - - -
281 Kasa Kompres 16x16 steril kotak 7,370 137 1,009,690 - 137 15 110,550 122 899,140
282 Kapas pembalut absorben250 m gulung 25,000 1 25,000 - 1 - 1 25,000
283 Kasa Hidrofil 4x 10 cm gulung 607 - - - - - - -
284 Kasa Pembalut 4 cm elastis gulung 10,000 - - - - - - -
285 Urine bag Pcs 5,088 108 549,504 - 108 - 108 549,504
286 Aximed Swab 2 Ply Pcs 115 13 1,495 - 13 3 345 10 1,150
287 Aximed Syringe 50 cc set 4,451 - - - - - - -
288 Strip ET Gula set 250,000 - - - - - - -
289 Strip ET Chol set 348,500 - - - - - - -
290 Strip ET Asam Urat set 250,000 - - - - - - -
291 Kertas EKG rol 200,000 - - - - - - -
292 Kertas USG rol 300,000 - - - - - - -
293 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - - -
295 Nassal O2 dewasa Pcs 10,000 - - - - - - -
296 NGT semua nomor Pcs 150,000 - - - - - - -
297 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - - - - -
298 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - - - - -
299 Fuji Film 35x35 SHR-U 35,6X 35, Box 4,500,000 - - - - - - -
300 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - - - - -
301 Developer/ RENDOL DEVELOPE set 556,000 - - - - - - -
302 Bunaskan amp 91,200 - - - - - - -
303 Decain Inj amp 81,840 - - - - - - -
306 Propofol Lipuro Fls 120,000 - - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - - -
308 Tramus 5mg amp 111,500 - - - - - - -
309 Albumin 50ml ( plasbumin 25ml/5 Fls 2,212,650 - - - - - - -
310 Blood Lancet box 22,950 - - - - - - -
311 Cover Glass 22x22 box 202,500 - - - - - - -
312 HBSAg Multi Device 100 SD box 3,510,000 - - - - - - -
313 HBSAg Strip Smart box 484,500 - - - - - - -
314 HCG Strip mono box 202,500 - - - - - - -
315 Kartu golongan darah box 50,000 2 100,000 - 2 1.00 50,000 1 50,000
316 Lyse 1 L FLS 2,362,500 - - - - - - -
317 Multidrug 3 panel box 2,223,450 - - - - - - -
318 Slide Objek Glass box 130,000 - - - - - - -
319 Strip Urine Ferivy Fls 308,000 - - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - - -
321 Yellow Tip Pcs 500 - - - - - - -
322 Prolene 2/0 hr 26 kode 8833 H 7 Pcs 4,963 - - - - - - -
323 Prolene 3/0 ds 19 kode 8832 H Pcs 5,319 - - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 Pcs 5,750 - - - - - - -
325 Prolene 4/0 ds 19 kode W8557 Pcs 7,025 - - - - - - -
326 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - - - - -
329 Safil 3/0 ds 24 kode 31051 70c Pcs 140,000 - - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR Pcs 87,300 - - - - - - -
332 Premilene Mesh 5x10 cm kode 3 box 725,500 - - - - - - -
333 Premilene Mesh 5x10 cm kode 3 box 2,400,000 - - - - - - -
334 Alat cek GD,KOLESTEROL,TRI set 660,000 - - - - - - -
335 Kapas pembalut absorben 1000 gulung 100,000 1 100,000 - 1 - 1 100,000
336 Plaster 7,5cm x 4,5 m rol 37,371 65 2,429,115 - 65 10.00 373,710 55 2,055,405
337 Plaster 2,5cm x 4,5 m rol 12,675 123 1,559,025 - 123 10.00 126,750 113 1,432,275
338 Kasa gulung 5X4 gulung 1,500 70 105,000 - 70 15.00 22,500 55 82,500
339 Performa meter set 420,000 - - - - - - -
340 Accu check performa 100 set 453,750 - - - - - - -
341 Accu safe T pro u no.20 set 127,050 - - - - - - -
342 Multidrug 6 panel box 37,286 - - - - - - -
343 Masker surgical face mask tie on Pcs 1,000 - - - - - - -
344 Masker surgical face mask ear loo pcs 1,000 - - - - - - -
345 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - - - - -
346 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - - - - -
347 Kasa kompres steril 40 x 40 Pcs 1,600 290 464,000 - 290 - 290 464,000
348 One scrub 2% 100ml botol 22,000 - - - - - - -
349 Softpad 60x90 Pcs 4,162 - - - - - - -
352 Aximed iv cath NP Pen type 22 Pcs 6,000 50 300,000 - 50 - 50 300,000
353 Aximed iv cath NP Pen type 24 Pcs 6,000 100 600,000 - 100 - 100 600,000
354 Handscoon churgic gloves size 6 set 7,872 - - - - - - -
355 Aximed Swab 4 Ply boks 20,000 14 280,000 - 14 2.00 40,000 12 240,000
356 Chromic 2/0 75cm,1/2 RC Pcs 51,622 60 3,097,320 - 60 - 60 3,097,320
357 Plain 2/0 75cm, 3/BRC Pcs 49,042 - - - - - - -
358 Chromic 3/0 75cm, 3/BRC Pcs 46,627 48 2,238,096 - 48 - 48 2,238,096
359 Plain 3/0 75cm, 1/2 TP Pcs 44,267 99 4,382,433 - 99 - 99 4,382,433
360 Chromic 3/0 75cm, 1/2 TP Pcs 44,240 24 1,061,760 - 24 - 24 1,061,760
361 Silk 3/0 75cm, 3/8 CC Pcs 38,559 18 694,062 - 18 - 18 694,062
362 Silk 2/0 75cm, 3/8 RC Pcs 38,065 - - - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 2 500,500 - 2 1.00 250,250 1 250,250
364 Cuticell classic 10cm x 10cm Pcs 5,520 124 684,480 - 124 10.00 55,200 114 629,280
365 Cuticell classic 10cm x 40cm Pcs 15,600 20 312,000 - 20 - 20 312,000
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 13 556,400 - 13 4.00 171,200 9 385,200
367 Fixomul 76993 strecht 10cmx 5 pcs 90,000 - - - - - - -
368 Cannula without injection port & w pcs 10,000 - - - - - - -
369 Cannula without injection port & w pcs 10,000 - - - - - - -
370 Cannula without injection port & w pcs 10,000 - - - - - -
371 Cannula with inj port snap fit cap pcs 12,078 - - - - - - -
372 Infusion set with needle pcs 8,200 42 344,400 - 42 - 42 344,400
373 Micro Drip Infusion set Pcs 9,200 - - - - - - -
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - - -
376 Masker headloop box 22,000 - - - - - - -
377 Salmonella IgM Cassete pcs 21,650 50 1,082,500 - 50 - 50 1,082,500
378 Leukomed IV Film 6x8cm box 138,000 100 13,800,000 - 100 - 100 13,800,000
379 Cutimed gel 15g tube 52,110 10 521,100 - 10 - 10 521,100
383 Alkazym botol 801,000 - - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 12 138,996 - 12 - 12 138,996
387 Disp.syringe BD Luer Lock 3ml Pcs 920 100 92,000 - 100 - 100 92,000
388 Silk ( scimitar ) Pcs 38,559 12 462,708 - 12 - 12 462,708
389 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - - - - -
392 Pembalut Gips delta lite conform rol 100,401 - - - - - - -
393 Benecheck plus blood glucose str box 160,000 2 320,000 - 2 1.00 160,000 1 160,000
394 Benecheck asam urat strip box 150,000 3 450,000 - 3 1.00 150,000 2 300,000
395 Benecheck cholesterol strip box 250,000 2 500,000 - 2 1.00 250,000 1 250,000
396 Pot dahak buah 3,000 400 1,200,000 - 400 - 400 1,200,000
397 Pewarna Ziiehl Nelson botol 214,500 10 2,145,000 - 10 - 10 2,145,000
398 Rivanol 300 ml botol 3,740 7 26,180 - 7 2.00 7,480 5 18,700
399 Bedfont D-Piece Smokerlyzer 12 box 730,000 - - - - - - -
400 Bedfont Steribreath Mouthpiece box 987,000 - - - - - - -
401 Handscoon 6,5 set 6,595 - 100 659,500 100 50.00 329,750 50 329,750
- 1,978,500 - 47,636,035
II OBAT APBD I - - - -
1 Amlodipin 5 mg tab 187 - - - - - - -
2 Amoksilin kapsul 500 mg kaplet 420 - - - - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - - - - -
5 Kaptopril 12,5mg tablet 62 - - - - - - -
6 Ketokonazol cr 2% tube 2,569 - - - - - - -
7 Lansoprazole kap 30mg kap 473 - - - - - - -
8 Metilprednisolon tab 8mg tab 150 - - - - - - -
9 Natrium Diklofenak tab 25mg tab 128 - - - - - - -
10 NaCl 0,9% botol 6,410 - - - - - - -
11 Obat Batuk Pilek Kombinasi( Hus kaplet 312 - - - - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - - - - -
14 Parasetamol tab 500mg tab 53 - - - - - - -
17 Propanolol tab tab 107 - - - - - - -
18 Ringer Laktat lar infus botol 7,150 - - - - - - -
19 Salbutamol inhalasi/ Aerosol 100 botol 63,750 - - - - - - -
20 Salep 2-4 pot 2,000 - - - - - - -
21 Spironolakton 25mg tablet 244 - - - - - - -
22 Aciklofir 400mg tab 192 - - - - - - -
23 Salep Whitefield kotak 115,152 22 2,533,344 - 22 - 22 2,533,344
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - - - - -
25 Neo Diagon 659 mg tablet 206 - - - - - - -
26 Reliv Multivitamin tablet 4,950 - - - - - - -
27 Griseovulvin 500 mg tablet 1,300 - - 1,300 1,300.00 - - -
28 Metformin 500mg tablet 150 500 75,000 - 500 200.00 30,000 300 45,000
29 Kapas pembalut 100g gulung 7,275 5 36,375 - 5 - 5 36,375
30 Furosemid 40mg tablet 80 1,000 80,000 - 1,000 200.00 16,000 800 64,000
31 IV Cateter No. 18 buah 7,000 100 700,000 - 100 - 100 700,000
- - - 3,378,719
- - - -
28 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 - - - - - -
29 Handscoon 7 set 8,500 - - - - - -
30 Handscoon 7,5 set 7,692 - - - - - - -
31 Infus Set anak pcs 5,600 - - - - - -
32 Infus Set Dewasa pcs 3,200 - - - - - -
36 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - - - - -
37 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - - - - -
38 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - - - - -
39 Kasa Pembalut 4x10cm roll 607 - - - - - -
40 Masker Pcs 756 - - - - - -
41 Urin Bag pcs 6,036 - - - - - -
42 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - - - - -
43 Hidrogel wound dressing pcs 29,000 - - - - - -
44 Iodine Povidone botol 6,550 - - - - - -
45 Ciprofloxacin kap kap 240 - - - - - -
46 Chloramex- Kloramfenikol 500mg kap 1,007 - - - - - -
47 Glimepirid 3mg tab 319 - - - - - -
48 Ibuprofen 400mg tab 102 - - - - - -
49 Loperamid 2mg tab 80 - - - - - -
50 Metoklopramid 10mg tab 90 - - - - - -
51 Nifedipine tab 110 - - - - - -
52 Omeprazole 20mg kap 140 - - - - - -
53 Prednisone tab 96 - - - - - -
54 Simvastatin 20mg tab 813 - - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - - -
56 Aminophylin tab 200mg tablet 91 - - - - - -
58 Alkohol swab pcs 170 - - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - - -
60 Cutgut chromic 3/0 set 5,583 - - - - - -
61 Kapas pembalut 100g gulung 7,275 - - - - - -
62 Kasa hidrofil 4x 5 cm roll 760 - - - - - -
63 Spuit 5 cc pcs 8,000 - - - - - -
64 Haloperidol 0,5mg tab - - - - - -
65 Haloperidol 1,5mg tab 69 - - - - - -
66 Furosemid 40mg tab 80 - - - - - -
67 Kaptopril 25mg tab 80 - - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - - -
69 Bacitracin+polimicsin salep tube 3,035 - - - - - -
70 Salisil bedak 2% 50g kotak 1,020 - - - - - -
71 Klorpheniramin Maleat ( CTM ) tab 36 - - - - - -
72 Decacetine / Kloramphenikol TM botol 3,250 - - - - - -
73 Dexametasone tablet tablet 32 - - - - - -
74 Ephineprine ( Adrenaline ) inj 0,1 amp 1,408 - - - - - -
75 Gentamisin Salep Mata 0,3% tube 2,675 - - - - - -
76 Lidocain inj amp 1,145 - - - - - -
77 Oxyticin inj 10 IU/ ml amp 1,199 - - - - - -
78 Salbutamol tab tablet 63 - - - - - -
79 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - - - - -
80 Underpads pcs 8,268 - - - - - -
- - - -
III BRANDED - - - -
1 Bricasma turb 0,5 mg box 71,100 - - - - - - -
2 Curcuma syr botol 10,500 - - - - - - -
3 Metroklopramid inj amp 9,000 - - - - - - -
4 Kombinasi Metampiron dan vit B ( tablet 1,315 - - - - - - -
5 Metoklopramid tablet 1,000 - - - - - - -
6 Multivitamin ibu hamil dan menyus tablet 2,308 - - - - - - -
7 Multivitamin anak komb. Probioti Botol 27,300 - - - - - - -
8 Multivitamin anak komb.mengand botol 12,000 - - - - - - -
9 Multivitamin Plus DHA Sirup (bion Botol 18,700 - - - - - - -
10 Neurotropik Plus Vit E Tablet (neu Tablet 924 - - - - - - -
11 Neurotropik Injeksi (bioneuron inj Ampul 4,341 - - - - - - -
12 Obat Antibiotik Kombinasi (miracl Tablet 13,200 - - - - - - -
13 Obat Batuk Flu kombinasi anak ( P botol 8,200 - - - - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - - - - -
15 Obat Batuk Flu kombinasi dewasa tablet 410 - - - - - - -
16 Obat Flu Tablet Dewasa ( Flutab tablet 713 - - - - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - - - - -
18 Obat Diare Tablet (nodiar) Tablet 924 - - - - - - -
19 Obat Gangguan Cerna/Multienzim Tablet 303 - - - - - - -
20 Obat Infeksi Kulit dan PeradangaTube 10gr 9,955 - - - - - - -
21 Pulmicort turb 200 box 93,000 - - - - - - -
22 Symbicort turb 160 dos box 117,600 - - - - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - - - - -
24 Ulsafate / Sukralfat Susp 500mg/ botol 13,424 - - - - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - - - - -
26 Vitamin Peningkat Sistem Imun (f Kapsul 3,014 - - - - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - - - - -
28 Zincpro drops 15 ml botol 12,840 - - - - - - -
- - - -
IV OBAT PROGRAM - - - -
1 ACT (Arthesunate+Amodiaquin) t Tablet 1,375 - - - - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - - - - -
4 Calcii Glukonas Ampul 7,800 - - - - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - - - - -
6 DHP ( Dehidro Artemycin + Piper Tablet 2,160 9 19,440 - 9 - 9 19,440
7 Garam oralit untuk 200 ml air kantong 264 3,600 950,400 - 3,600 200.00 52,800 3,400 897,600
8 Gentamicyn Injeksi Ampul 3,090 - - - - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - - - - -
10 Metilergometrin Maleat inj.0,200 amp 1,305 - - - - - - -
11 Mineral Mix Sacc 2,805 - - - - - - -
12 Natrium Tiroksin Tablet 1,694 - - - - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 8 2,995,072 - 8 2.00 748,768 6 2,246,304
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - - - - -
15 Obat Anti Tuberculosis anak Paket 214,990 - - - - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - - - - -
22 Tablet Tambah Darah tablet 352 23,760 8,363,520 - 23,760 7,560.00 2,661,120 16,200 5,702,400
23 Quinin inj amp 6,200 - - - - - - -
24 Zink Tablet 474 - - - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - - - -
26 Primakuin tab tablet 224 - - - - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 50 102,950 - 50 24.00 49,416 26 53,534
29 Arthesunate inj , vial 60mg Vial 57,585 - - - - - - -
30 PP-INH (Pengobatan Pencegahan tablet - - - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - - - - -
32 Masker medis earloop multione p boks 100 8 800 - 8 4.00 400 4 400
33 Apd Level 3 pcs - - - - - - -
34 Apd Level 3 Kemensos set - - - - - - -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - - - - - - -
36 Astavit tablet tablet 3,849 150 577,350 - 150 120.00 461,880 30 115,470
37 BD Gard tab tablet 1,030 600 618,000 - 600 430.00 442,900 170 175,100
38 Termogun set 1 - - 1 - 1 -
39 Cito Swab pcs 200 - - 200 - 200 -
40 Face Shield Dewasa pcs 20,000 20 400,000 - 20 - 20 400,000
41 Masker N 95 pcs 21,500 10 215,000 - 10 - 10 215,000
42 Masker KN 95 pcs 21,500 25 537,500 - 25 - 25 537,500
43 Zegavit Tab tablet 3,920 270 1,058,400 - 270 - 270 1,058,400
44 Masker Medis headloop book 4 - - 4 2.00 - 2 -
45 Blood Lancet book 1 - - 1 - 1 -
46 Handscoon M book 3 - - 3 3.00 - - -
47 Rapit Antigen pcs 135,000 - 75 10,125,000 75 25.00 3,375,000 50 6,750,000
- 10,125,000 - 18,171,148
V VAKSIN - - - - - -
1 HB 0-7 20,900 0 - - - - - -
2 MR 141,648 0 - - - - - -
3 Polio 18,140 0 - - - - - - -
4 Td 16,500 0 - - - - - -
5 DPT-HB-Hib 71,810 0 - - - - - - -
6 BCG 60,140 0 - - - - - -
7 Pentavalen 0 - - - - - -
8 IPV 0 - - - - - -
9 Spuit 0,05 ml 0 - - - - - -
10 Spuit 0,5 ml 0 - - - - - -
-

NIP. 19870305 200902 1 002 NIK. 08.2.21015
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( SEPTEMBER 2021 )
STOK
HARGA
(Rp) (Rp)
1 2 3 4 5 6 7 8=5+6+7
I DAK
1 Allopurinol tablet 100 mg tab 110 700 77,000 - 700 200 22,000 500
2 Albendazol 400 mg tab 402 - - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 200 206,000 - 200 100 103,000 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 17 229,075 - 17 17 229,075 -
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - - -
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - - - - - -
15 Antasida DOEN Tab tablet 58 400 23,200 - 400 400 23,200 -
20 Anti Migren tablet 185 500 92,500 - 500 - 500
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 500 52,500 - 500 500 52,500 -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 - - - - - -
30 Asiklovir tablet 200 mg tablet 237 - - - - - -
31 Asiklovir tablet 400 mg tablet 380 2,150 817,000 - 2,150 - 2,150
33 Betametason krim 0,1% tube 3,350 - - - - - -
34 Bionemi kapsul 1,640 - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - -
37 Cetirizine kaps kapsul 96 900 86,400 - 900 150 14,400 750
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 - - - - - -
40 Deksametason tablet 0,5 mg tablet 32 15,400 492,800 - 15,400 800 25,600 14,600
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 - - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - - - -
46 Domperidone tab 10 mg tablet 167 - - - - - -
47 Domperidone syrup botol 19,750 - - - - - -
50 Eritromisin kapsul kapsul 1,000 - - - - - -
54 Etanol 70% 100 ml botol 2,500 - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 - - - - - -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 - - - - - -
61 Furosemid tablet 40 mg tablet 77 - - - - - -
67 Glibenklamid tablet 5 mg tablet 119 700 83,300 - 700 200 23,800 500
69 Gliserin botol 5,333 - - - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 6,500 1,365,000 - 6,500 100 21,000 6,400
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 800 124,000 - 800 100 15,500 700
76 Hidrokortison krim 2,5% tube 2,640 - - - - - -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - - - -
85 Ketoconazol tab 200mg tab 270 900 243,000 - 900 100 27,000 800
86 Ketoconazole 2% krim 10g tube 2,518 5 12,590 - 5 5 12,590 -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 3,000 66,000 - 3,000 1,300 28,600 1,700
97 Kotrimoksazol Suspensi komb botol 2,190 159 348,210 - 159 22 48,180 137
100 Kuinin Inj 25% amp 6,200 - - - - - -
101 Lansoprazol 30mg kapsul 323 - - - - - -
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 95 108,775 - 95 75 85,875 20
103 Loperamid 2 mg tab 89 - - - - - -
105 Metformin tablet 150 400 60,000 - 400 - 400
106 Magnesium Sulfat inj 40%(Otsu MGSO4 vial 3,796 - - - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 vial 3328 - - - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 500 105,000 - 500 - 500
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 - - - - - -
117 Natrium Diklofenak 25mg tablet 128 - - - - - -
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 5 32,050 - 5 - 5
119 Neurohax 500mg tab 1,210 - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 200 112,000 400
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - - -
128 Ondansetron 4mg inj amp 1124 13 14,612 - 13 10 11,240 3
129 Ondansetron 4mg tab tablet 351 60 21,060 - 60 60 21,060 -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 6,600 5,808,000 - 6,600 2,000 1,760,000 4,600
137 Pirantel tablet tablet 287 500 143,500 - 500 300 86,100 200
138 Pirantel Syr botol 9,510 6 57,060 - 6 6 57,060 -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 6,900 903,900 - 6,900 800 104,800 6,100
140 Piroxicam 20 mg kapsul 163 500 81,500 - 500 200 32,600 300
143 Prednisone tablet 5 mg tablet 68 - - - - - -
148 RDT DBD test 1,200,000 - - - - - -
149 RDT Malaria test 1,200,000 - - - - - -
150 Salbutamol 2mg tablet 63 7,400 466,200 - 7,400 - 7,400
152 Salep 2-4 , 30g pot 2,000 - - - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - - -
158 Serum anti bisa ular Polivalen inj 5ml (AB vial 512,204 4 2,048,816 - 4 1 512,204 3
159 Serum Anti Tetanus Injeksi 1.500 IU/ampu ampul 130,999 6 785,994 - 6 1 130,999 5
160 Sianokobalamin (Vit. B12) Injeksi 500 mc amp 1,035 220 227,700 - 220 67 69,345 153
162 Simvastatin 10mg tablet 205 30 6,150 - 30 30 6,150 -
163 Siprofloksasin tablet 500 mg tablet 265 700 185,500 - 700 - 700
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1 amp 1,283 - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 5 tablet 85 - - - - - -
172 Vitamin B komplek tablet tablet 117 - - - - - -
174 Miniaspi 80mg tab 130 - - - - - -
177 Maganol tablet 451 - - - - - -
180 Wida KN2 mengandung elektrolit(KCL0, botol 11,011 - - - - - -
181 Wida KDN 1 mengandung karbohidrat+elek botol 11,435 - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanolamin kaplet 621 - - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,plac tube 19,958 - - - - - -
187 Bevalex cream (betametasone 1mg,neomy tube 10,300 - - - - - -
201 Kaptopril 50mg tab 124 2,000 248,000 - 2,000 2,000 248,000 -
202 Betahistine Besilat 6mg tab 110 400 44,000 - 400 - 400
206 Etanol 70 % 1000ml botol 18,700 1 18,700 - 1 - 1
207 Natrium Diklofenak 50mg/ Sodium diklof tab 115 150 17,250 - 150 150 17,250 -
208 Clobazam 10mg tab 776 200 155,200 - 200 - 200
209 Neo diagon 659mg tab 206 - - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 200 316,800 - 200 200 316,800 -
212 Metamizole Sodium Monohidrate 1000mg tab 3,960 - - - - - -
213 Erytromycin 250mg tab 546 100 54,600 - 100 100 54,600 -
214 Zink dispersible tab 524 - - - - - -
217 Amlodipin 10 mg tab 92 - - - - - -
218 Mineral Mix sacc 2,805 - - - - - -
219 Guaifenisin tab 145 700 101,500 - 700 300 43,500 400
221 Solatim 500mg tab 1,176 - - - - - -
222 Molacort tab tab 169 - - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 112 1,416,800 - 112 112 1,416,800 -
232 Ramipril tab 5mg tab 245 700 171,500 - 700 200 49,000 500
233 Povidon 10 % 100ml botol 6,050 4 24,200 - 4 - 4
234 Alkohol 70 % 300ml botol 6,820 - - - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 10 85,690 - 10 - 10
236 Chlodine 0,5% 500ml Handrub botol 82,500 4 330,000 - 4 2 165,000 2
238 Ambroxol generik tablet 180 1,000 180,000 - 1,000 200 36,000 800
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - - - -
240 Etamox syr tablet 6,488 143 927,784 - 143 35 227,080 108
241 Fluanza tab tablet 200 - - - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 500 396,500 - 500 - 500
243 Etaneural ( multivitamin ) tablet 776 - - - - - -
245 Metilprednisolone 4 mg metilon tablet 281 - - - - - -
246 Salep Whitefield tube 4,798 116 556,568 - 116 - 116
247 Bionicom Zinc tablet 400 - - 400 200 - 200
248 Tablet Tambah Darah tablet 352 16,650 5,860,800 - 16,650 3,810 1,341,120 12,840
249 Reliv Multivitamin tablet 4,950 1,269 6,281,550 - 1,269 186 920,700 1,083
250 Attagip tablet 480 - - 480 - 480
251 Coparcetin tablet dewasa tablet 500 - - 500 200 - 300
252 Coparcetin syr botol 45 - - 45 5 - 40
253 Dianos syr botol 45 - - 45 - 45
254 Deksametasone tablet 0,5mg (Mexon) tablet 500 - - 500 - 500
256 Mirafon 500 - - 500 - 500
257 Meloxicam tablet 250 - - 250 50 - 200
258 Thiampenicol (Zethatiam) tablet 300 - - 300 - 300
- - -
- - -
OBAT GIGI - - - - -
249 Eugenol cair botol 16,667 2 33,334 - 2 1 16,667 1
250 Mummifying pasta/Iodoform Pasta Botol 176,000 2 352,000 - 2 1 176,000 1
252 Temporary Stopping Fletcher serbuk dan botol 34,000 - - - - - -
- - - - -
257 Alat Suntik Sekali Pakai 20 ml set 2,168 - - - - -
258 Catgut/Benang No. 2/0-3/0 set 11,166 46 513,636 - 46 - 46
259 Folley Cateter NO. 18 Pcs 8,490 6 50,940 - 6 2 16,980 4
260 Folley Cateter NO. 16 Pcs 8,400 6 50,400 - 6 2 16,800 4
261 Infusion set anak set 5,100 260 1,326,000 - 260 10 51,000 250
262 Infusion set dewasa set 4,800 43 206,400 - 43 10 48,000 33
271 Handscoon 7 set 6,595 - - - - - -
272 Handscoon 7,5 set 6,595 50 329,750 - 50 - 50
273 Handscoon M set 6,000 - - - - - -
274 Handscoon L set 6,000 - - - - - -
276 Plester 5 yard x 2 inch rol 23,625 2 47,250 - 2 2 47,250 -
277 Plester 5 cm x 4,5 m rol 23,635 1 23,635 - 1 1 23,635 -
278 Plester 4,5 m x 12,5 mm rol 6,000 2 12,000 - 2 2 12,000 -
281 Kasa Kompres 16x16 steril kotak 7,370 122 899,140 - 122 - 122
285 Urine bag Pcs 5,088 108 549,504 - 108 - 108
286 Aximed Swab 2 Ply Pcs 115 10 1,150 - 10 - 10
288 Strip ET Gula set 250,000 - - - - - -
289 Strip ET Chol set 348,500 - - - - - -
291 Kertas EKG rol 200,000 - - - - - -
292 Kertas USG rol 300,000 - - - - - -
294 Nassal O2 bayi Pcs 10,000 - - - - - -
301 Developer/ RENDOL DEVELOPER MANU set 556,000 - - - - - -
302 Bunaskan amp 91,200 - - - - - -
303 Decain Inj amp 81,840 - - - - - -
307 Terrel 100ml Fls 702,000 - - - - - -
308 Tramus 5mg amp 111,500 - - - - - -
310 Blood Lancet box 22,950 - - - - - -
311 Cover Glass 22x22 box 202,500 - - - - - -
315 Kartu golongan darah box 50,000 1 50,000 - 1 - 1
316 Lyse 1 L FLS 2,362,500 - - - - - -
320 Tabung EDTA Pcs 3,400 - - - - - -
321 Yellow Tip Pcs 500 - - - - - -
324 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 - - - - - -
330 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - -
331 Silkam 2/0 hr 26 kode 32161 HR black 7 Pcs 87,300 - - - - - -
332 Premilene Mesh 5x10 cm kode 31672 5x box 725,500 - - - - - -
333 Premilene Mesh 5x10 cm kode 31671 30 box 2,400,000 - - - - - -
334 Alat cek GD,KOLESTEROL,TRIGLISERI set 660,000 - - - - - -
336 Plaster 7,5cm x 4,5 m rol 37,371 55 2,055,405 - 55 14.00 523,194 41
337 Plaster 2,5cm x 4,5 m rol 12,675 113 1,432,275 - 113 - 113
344 Masker surgical face mask ear loop jilbab pcs 1,000 - - - - - -
349 Softpad 60x90 Pcs 4,162 - - - - - -
352 Aximed iv cath NP Pen type 22 Pcs 6,000 50 300,000 - 50 - 50
353 Aximed iv cath NP Pen type 24 Pcs 6,000 100 600,000 - 100 - 100
355 Aximed Swab 4 Ply boks 20,000 12 240,000 - 12 - 12
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 60 3,097,320 - 60 - 60
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 48 2,238,096 - 48 - 48
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 4,382,433 - 99 - 99
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 24 1,061,760 - 24 - 24
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18 694,062 - 18 - 18
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - - - -
363 Kasa Hidrofil 40 x 80 cm rol 250,250 1 250,250 - 1 - 1
366 Fixomul 76992 strecth 5cmx 5m pcs 42,800 9 385,200 - 9 1.00 42,800 8
370 Cannula without injection port & wings ( 2 pcs 10,000 - - - - -
371 Cannula with inj port snap fit cap & sutura pcs 12,078 - - - - - -
372 Infusion set with needle pcs 8,200 42 344,400 - 42 5.00 41,000 37
374 Uniflex 15cm x 4,5 m rol 33,700 - - - - - -
375 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - -
377 Salmonella IgM Cassete pcs 21,650 50 1,082,500 - 50 - 50
378 Leukomed IV Film 6x8cm box 138,000 100 13,800,000 - 100 - 100
379 Cutimed gel 15g tube 52,110 10 521,100 - 10 - 10
383 Alkazym botol 801,000 - - - - - -
384 Alkazyd 1 L botol 2,702,700 - - - - - -
385 Aximed Paper tape 2,5 x 9,14 rol 11,583 12 138,996 - 12 - 12
387 Disp.syringe BD Luer Lock 3ml Pcs 920 100 92,000 - 100 - 100
388 Silk ( scimitar ) Pcs 38,559 12 462,708 - 12 - 12
393 Benecheck plus blood glucose strip box 160,000 1 160,000 - 1 1.00 160,000 -
394 Benecheck asam urat strip box 150,000 2 300,000 - 2 1.00 150,000 1
395 Benecheck cholesterol strip box 250,000 1 250,000 - 1 1.00 250,000 -
396 Pot dahak buah 3,000 400 1,200,000 - 400 - 400
397 Pewarna Ziiehl Nelson botol 214,500 10 2,145,000 - 10 - 10
398 Rivanol 300 ml botol 3,740 5 18,700 - 5 - 5
400 Bedfont Steribreath Mouthpiece Smokerly box 987,000 - - - - - -
401 Handscoon 6,5 set 6,595 50 329,750 - 50 18.00 118,710 32
- - -
1 Amlodipin 5 mg tab 187 - - - - - -
10 NaCl 0,9% botol 6,410 - - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/dos botol 63,750 - - - - - -
20 Salep 2-4 pot 2,000 - - - - - -
22 Aciklofir 400mg tab 192 - - - - - -
23 Salep Whitefield kotak 115,152 22 2,533,344 - 22 - 22
25 Neo Diagon 659 mg tablet 206 - - - - - -
27 Griseovulvin 500 mg tablet - - - - - -
28 Metformin 500mg tablet 150 300 45,000 - 300 100.00 15,000 200
29 Kapas pembalut 100g gulung 7,275 5 36,375 - 5 - 5
30 Furosemid 40mg tablet 80 800 64,000 - 800 800.00 64,000 -
31 IV Cateter No. 18 buah 7,000 100 700,000 - 100 5.00 35,000 95
- - -
- - -
29 Handscoon 7 set 8,500 - - - - -
30 Handscoon 7,5 set 7,692 - - - - - -
40 Masker Pcs 756 - - - - -
41 Urin Bag pcs 6,036 - - - - -
48 Ibuprofen 400mg tab 102 - - - - -
55 Etanol 70 % 300ml botol 21,500 - - - - -
59 Cutgut plain 2/0 set 5,583 - - - - -
63 Spuit 5 cc pcs 8,000 - - - - -
68 Etanol 70 % 1000ml botol 21,500 - - - - -
80 Underpads pcs 8,268 - - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( Goralgi tablet 1,315 - - - - - -
6 Multivitamin ibu hamil dan menyusui (Iron tablet 2,308 - - - - - -
7 Multivitamin anak komb. Probiotik+DHA ( Botol 27,300 - - - - - -
8 Multivitamin anak komb.mengandung lysi botol 12,000 - - - - - -
9 Multivitamin Plus DHA Sirup (bionick plus Botol 18,700 - - - - - -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 - - - - - -
13 Obat Batuk Flu kombinasi anak ( Protexina botol 8,200 - - - - - -
15 Obat Batuk Flu kombinasi dewasa (Protexi tablet 410 - - - - - -
19 Obat Gangguan Cerna/Multienzim (progas Tablet 303 - - - - - -
20 Obat Infeksi Kulit dan Peradangan (Chlor Tube 10gr 9,955 - - - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - - - -
- - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 9 19,440 - 9 - 9
7 Garam oralit untuk 200 ml air kantong 264 3,400 897,600 - 3,400 100.00 26,400 3,300
11 Mineral Mix Sacc 2,805 - - - - - -
22 Tablet Tambah Darah tablet 352 16,200 5,702,400 - 16,200 4,170.00 1,467,840 12,030
23 Quinin inj amp 6,200 - - - - - -
24 Zink Tablet 474 - - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 26 53,534 - 26 - 26
30 PP-INH (Pengobatan Pencegahan Dengan tablet - - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - - - -
32 Masker medis earloop multione plus boks 100 4 400 - 4 - 4
33 Apd Level 3 pcs - - - - - -
34 Apd Level 3 Kemensos set - - - - - -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - - - - - -
36 Astavit tablet tablet 3,849 30 115,470 - 30 - 30
37 BD Gard tab tablet 1,030 170 175,100 - 170 20.00 20,600 150
38 Termogun set 1 - - 1 - 1
39 Cito Swab pcs 200 - - 200 - 200
40 Face Shield Dewasa pcs 20,000 20 400,000 - 20 - 20
41 Masker N 95 pcs 21,500 10 215,000 - 10 - 10
42 Masker KN 95 pcs 21,500 25 537,500 - 25 - 25
43 Zegavit Tab tablet 3,920 270 1,058,400 - 270 65.00 254,800 205
44 Masker Medis headloop book 2 - - 2 - 2
45 Blood Lancet book 1 - - 1 - 1
46 Handscoon M book - - - - - -
47 Rapit Antigen pcs 135,000 50 6,750,000 - 50 25.00 3,375,000 25
- - -
V VAKSIN - - - - -
1 HB 0-7 20,900 0 - - - - -
2 MR 141,648 0 - - - - -
3 Polio 18,140 0 - - - - - -
4 Td 16,500 0 - - - - -
5 DPT-HB-Hib 71,810 0 - - - - - -
6 BCG 60,140 0 - - - - -
7 Pentavalen 0 - - - - -
8 IPV 0 - - - - -
9 Spuit 0,05 ml 0 - - - - -
10 Spuit 0,5 ml 0 - - - - -
TOTAL PENERIMAAN Rp -

NIP. 19870305 200902 1 002 NIK. 08.2.21015
JUMLAH
(RUPIAH)
9=8x4
55,000
-
-
103,000
-
-
-
-
-
-
3,436,200
-
-
-
-
153,288
-
253,360
-
92,500
-
-
-
-
-
-
-
-
-
-
817,000
-
-
-
-
-
72,000
-
-
467,200
-
-
-
-
-
-
-
-
21,120
-
-
37,400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
59,500
-
-
-
-
1,344,000
-
-
108,500
-
-
-
-
-
-
-
-
-
216,000
-
-
-
-
-
37,400
-
-
-
-
-
300,030
133,000
-
-
-
22,900
-
-
60,000
-
-
105,000
-
-
17,400
-
-
-
-
-
-
32,050
-
-
-
-
224,000
138,250
871,500
-
-
3,372
-
-
144,082
-
4,048,000
-
-
-
57,400
-
799,100
48,900
-
16,500
-
-
20,500
-
404,390
-
-
466,200
-
-
-
-
-
-
-
1,536,612
654,995
158,355
-
-
185,500
-
-
-
-
-
-
-
1,320,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
44,000
-
-
-
18,700
-
155,200
-
-
-
-
-
-
-
-
-
-
58,000
-
-
-
-
-
-
-
-
-
-
-
-
122,500
24,200
-
85,690
165,000
-
144,000
-
700,704
-
396,500
-
-
-
556,568
-
4,519,680
5,360,850
-
-
-
-
-
-
-
-
31,393,096
-
-
-
-
16,667
176,000
-
-
192,667
-
1,235,000
17,760
207,600
480,000
-
513,636
33,960
33,600
1,275,000
158,400
336,000
658,000
350,000
1,043,000
-
-
-
-
-
329,750
-
-
-
-
-
-
27,495
-
899,140
25,000
-
-
549,504
1,150
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
50,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100,000
1,532,211
1,432,275
82,500
-
-
-
-
-
-
-
-
464,000
-
-
-
-
300,000
600,000
-
240,000
3,097,320
-
2,238,096
4,382,433
1,061,760
694,062
-
250,250
629,280
312,000
342,400
-
-
-
-
-
303,400
-
-
-
-
1,082,500
13,800,000
521,100
-
-
-
-
-
138,996
-
92,000
462,708
-
-
-
-
-
150,000
-
1,200,000
2,145,000
18,700
-
-
211,040
46,108,026
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,533,344
-
-
-
-
30,000
36,375
-
665,000
3,264,719
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
19,440
871,200
-
-
-
-
-
2,246,304
-
-
-
-
-
-
-
-
4,234,560
-
-
-
-
-
53,534
-
-
-
400
-
-
-
115,470
154,500
-
-
400,000
215,000
537,500
803,600
-
-
-
3,375,000
13,026,508
-
-
-
-
-
-
-
-
-
-
-
-
-
110,317,632
16,332,616
93,985,016
JULI AGUSTUS SEPTEMBER

NO NAMA 0BAT SATUAN Stok Awal
1 2 3 4 5 6 7 8 9 10
I DAK
1 Allopurinol tablet 100 mg tab 200 1,000 500 200
2 Albendazol 400 mg tab -
3 Albendazol susp 200mg/5ml botol -
4 Ambroxol tab ( Mirapect 30mg ) tab 600 300 100 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 42 10 15 17
6 Aminofilin injeksi 24 mg/ml-10ml tab -
7 Aminofilin tablet 200 mg tab
8 Aminitriptilin HCL tablet salut 25 mg tab -
10 Amoksilin kapsul 250 mg kapsul -
11 Amoksilin kapsul 500 mg kaplet 7,800 10,000 1,700 1,000 1,300
12 Amoksilin sirup kering 125 mg/5ml botol -
13 Antalgin (Metampiron) tablet 500 mg tablet -
14 Antalgin Injeksi 250 mg/ml-2ml amp -
15 Antasida DOEN Tab tablet 700 800 900 200 400
16 Antasida DOEN susp botol 45 100 35 25 13
17 Anti Bakteri DOEN salep kombinasi tube -
18 Anti Hemoroid supp 130 50 100
19 Antifungi DOEN kombinasi pot -
20 Anti Migren tablet - 500
23 Asam Askorbat (VIT c) tablet 50 mg tablet 1,400 600 300 500
24 Asam Folat 1 mg tablet -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 400 200 200
26 Asam Traneksamat inj 50mg/ ml amp -
29 Asiklovir Krim 5% tube -
30 Asiklovir tablet 200 mg tablet 100 100
31 Asiklovir tablet 400 mg tablet 2,050 300 150 50
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp - 10 10
33 Betametason krim 0,1% tube -
34 Bionemi kapsul -
35 Cefixime 100mg tab -
36 Cefixime 100mg/5ml botol -
37 Cetirizine kaps kapsul 800 500 300 100 150
38 Cetirizine syr botol -
39 Deksametason injeksi 5 mg.ml-1ml amp -
40 Deksametason tablet 0,5 mg tablet 16,600 1,200 800
41 Diazepam injeksi 5 mg/ml-2 ml amp -
42 Diazepam tablet 2 mg tablet -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp -
44 Digoksin tablet 0,25 mg tab -
45 Doksisiklin kapsul 100 mg kapsul -
46 Domperidone tab 10 mg tablet -
47 Domperidone syrup botol 3 3
48 Efedrin HCI tablet 25 mg tablet -
49 Epinefrina HCI/Bitartrat inj. amp 17 2
50 Eritromisin kapsul kapsul -
51 Eritromisin sirup 200 mg/5 ml botol -
52 Etakridin (Rivanol) 300 ml botol 9 5 1 2
53 Etakridin (Rivanol) 100 ml botol -
54 Etanol 70% 100 ml botol -
55 Fenitoin Natrium kapsul 30 mg kapsul -
56 Fenilbutazon 200 mg tablet -
57 Fenol Gliserol TT 10% botol -
58 Forasma tab 600mg tab -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 1,300 1,300
61 Furosemid tablet 40 mg tablet 400 400
62 Furosemid inj 10 mg/ml vial -
63 Garam oralit untuk 200 ml air kantong 400 400
64 Gential violet larutan 1% botol -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube -
66 Gentamisin Sulfat TM 3mg/ml botol -
67 Glibenklamid tablet 5 mg tablet 400 1,000 500 200 200
68 Gliseril Guayacolat tablet 100 mg tablet -
69 Gliserin botol -
72 Griseofulvin tablet 125 mg,micronized tab 2,000 5,200 300 400 100
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 800 100
76 Hidrokortison krim 2,5% tube -
77 Ibuprofen tablet 400mg tab -
78 Isosorbid Dinitrat tablet sublingual 5mg tab -
79 Kalium Diklofenak 50mg tablet -
80 Kalsium laktat (kalk) tablet 500mg tablet -
81 Kaptopril tablet 12,5mg tablet -
82 Kaptopril tablet 25mg tablet -
83 Karbamazepin 200mg tablet -
84 Ketoprofen inj 100mg ampul -
85 Ketoconazol tab 200mg tab 950 50 100
86 Ketoconazole 2% krim 10g tube 45 15 25 5
87 Kloramfenikol kapsul 250mg kapsul -
88 Kloramfenikol suspensi 125mg -
89 Kloramfenikol Salep Mata 1% tube -
90 Kloramfenikol tetes telinga 3% botol -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 5,600 1,700 900 1,300
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp -
97 Kotrimoksazol Suspensi komb botol 179 10 30 22
98 Kotrimoksazol tablet komb 480 mg tab 900 500 200 200
99 Kuinin tablet 222mg tab -
100 Kuinin Inj 25% amp -
101 Lansoprazol 30mg kapsul 1,120 900 220
102 Lidokain Komp. Injeksi, Kombinasi: amp 120 25 75
103 Loperamid 2 mg tab -
104 Loratadin 10mg tablet -
105 Metformin tablet 400
106 Magnesium Sulfat inj 40%(Otsu MGSO4 40%) vial -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 20%) vial -
108 Metilergometrin Maleat tablet 0,125mg tab - 500
110 Metilprednisolone 16mg tab -
111 Metoklopramid tab 10 mg tablet 200
112 Metronidazol tablet 250 mg tablet -
113 Metronidazol tablet 500mg tablet -
114 Mikonazol krim/salep 2% (nitrat) tube 21 15 6
115 Molasma tab 2,5mg tab -
116 Natrium Bikarbonat tablet 500mg tablet -
117 Natrium Diklofenak 25mg tablet -
118 Natrium Klorida larutan infus 0,9% steril botol 7 2
119 Neurohax 500mg tab -
120 Nerva 5000 kaplet -
121 Nifedipine tablet -
122 Nistatin tablet salut 500.000 IU tab -
123 Nistatin Tablet salut 100.000 IU/g tab 600 200
124 Ofloxacin 400mg tab sal sel tab 350 500 600
125 Obat Batuk Hitam (OBH) cairan botol 28 120 42 3 20
126 Oksitetrasklin HCI salep mata 1% tube -
127 Oksitosin injeksi 10 IU/ml-1ml amp
128 Ondansetron 4mg inj amp 53 30 55 15 10
129 Ondansetron 4mg tab tablet 90 30 60
130 Omeprazole 20mg kapsul -
131 Paracetamol Syrup 120 mg/5ml botol 76 200 61 48 45
132 Parasetamol drops botol -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet - 10,400 2,500 1,300 2,000
134 Phenobarbital inj amp -
135 Phenobarbital 30 mg tablet -
136 Piracetam inj ( Gotropil 3g inj ) amp -
137 Pirantel tablet tablet - 500 300
138 Pirantel Syr botol 6 6
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 8,700 1,200 600 800
140 Piroxicam 20 mg kapsul 800 500 400 400 200
141 Povidon Iodida 10% 30 ml botol -
142 Povidon Iodida 10% 300 ml botol 1
143 Prednisone tablet 5 mg tablet 9,200 6,900 2,300
144 Propiltiouracyl tablet -
145 Primaquin Tab tablet 100
146 Ranitidine inj amp -
147 Ringer Laktat Larutan infus steril botol 37 100 30 19 35
148 RDT DBD test -
149 RDT Malaria test -
150 Salbutamol 2mg tablet 700 7,000 300
151 Salbutamol 2mg/ 5ml syr botol -
152 Salep 2-4 , 30g pot -
153 Salisil bedak 2% kotak -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul
155 Sefadroxyl syr botol -
156 Sefotaxim inj vial -
157 Seftriaxone Serbuk Inj 1 g vial -
158 Serum anti bisa ular Polivalen inj 5ml (ABU I) vial 4 1
159 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T. ampul 2 10 3 3 1
160 Sianokobalamin (Vit. B12) Injeksi 500 mcg-ml amp 275 35 20 67
161 Simetidin tablet tablet -
162 Simvastatin 10mg tablet 30 30
163 Siprofloksasin tablet 500 mg tablet 1,000 300
164 Tetrasiklin HCI kapsul 500 mg kapsul
165 Thiamphenikol kap 500 mg kapsul -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1ml amp -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 mg tablet -
168 Tramadol inj 50mg/ml amp -
169 Tramadol kapsul 50mg kapsul -
170 Trihexyphenidil tab -
171 Vaksin Rabies Vero kuur - 2
172 Vitamin B komplek tablet tablet - 500 300 200
173 Zinkid 10mg/5ml syr botol -
174 Miniaspi 80mg tab -
175 Indanox 300mg kapsul -
176 Ponsamic 500mg tablet -
177 Maganol tablet -
178 Lopiten 5mg tablet -
179 Getidin inj 2 ml amp -
180 Wida KN2 mengandung elektrolit(KCL0,3%+NaC botol -
181 Wida KDN 1 mengandung karbohidrat+elektrolit botol -
182 Alprazolam tab 1mg tab -
183 Ibuprofen 200mg/5ml susp 60ml botol -
184 Alpara (Pct,dmp,ctm,phenylpropanolamine) kaplet -
185 Akita (pectin 50mg,attapulgite 600mg) tablet -
186 Neocenta gel ( neomycin sulfat 0,5%,placenta e tube -
187 Bevalex cream (betametasone 1mg,neomycin su tube -
188 Panviton tab tablet -
189 Dextral syr botol -
190 Neo-Kaominal syr botol -
191 Mulsanol syr botol -
192 Salesbion plus tablet -
193 Selferro tablet -
194 Stimuno sry 60ml botol -
195 Stimuno grape sry 60ml botol -
196 Dexocort 5%/10g krim tube -
Komb.ferro fumarat 60mg+as.folat 0,4mg
197 ( Tablet tambah darah ) tab -
198 Cupanol syr 60ml ( parasetamol ) botol -
199 Vagizol Ovula 500mg supp tab -
201 Kaptopril 50mg tab 2,200 500 600 100 2,000
202 Betahistine Besilat 6mg tab 300 500 300 100
203 Metronidazole infus 500mg/100ml botol -
204 Spironolactone 25mg tab -
205 Asam Traneksamat inj 100mg/5ml amp -
206 Etanol 70 % 1000ml botol - 10 6 3
207 Natrium Diklofenak 50mg/ Sodium diklofenak 5 tab - 500 250 100 150
208 Clobazam 10mg tab - 200
209 Neo diagon 659mg tab -
210 Asam Tranexamat tab 500mg tab 200 200
211 Metoklopramid inj 10 ml/2ml amp -
212 Metamizole Sodium Monohidrate 1000mg/2ml tab -
213 Erytromycin 250mg tab 100 100
214 Zink dispersible tab 200 200
218 Mineral Mix sacc -
219 Guaifenisin tab 1,700 900 100 300
220 Neurotropik inj amp -
221 Solatim 500mg tab -
222 Molacort tab tab 800 800
223 Betason N Cream 6 g tube -
224 Chloramfecort H Cream 10 g tube 177 15 50 112
228 Parasetamol infus botol -
229 Clozapin 25mg tablet -
230 Omeprazole Inj 40mg vial -
231 Risperidon tablet -
232 Ramipril tab 5mg tab 600 800 700 200
233 Povidon 10 % 100ml botol - 5 1
234 Alkohol 70 % 300ml botol -
235 Ephedrine HCL 50 mg/ml amp - 10
236 Chlodine 0,5% 500ml Handrub botol - 9 5 2
237 Chlodine 0,5% 5 liter Handrub Je -
238 Ambroxol generik tablet - 1,000 200
239 ancefa ( Cefadroxyl 500mg ) tablet -
240 Etamox syr tablet - 200 37 20 35
241 Fluanza tab tablet -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet - 500
243 Etaneural ( multivitamin ) tablet - 1,000 300 700
244 Metilon ( metilprednisolon ) tablet - 500 400 100
245 Metilprednisolone 4 mg metilon tablet 200 200
246 Salep Whitefield tube 216 72 28
248 Tablet Tambah Darah tablet 18,000 750 600 3,810
249 Reliv Multivitamin tablet 1,899 150 480 186
250 Attagip tablet 480
251 Coparcetin tablet dewasa tablet 500 200
252 Coparcetin syr botol 50 5 5
253 Dianos syr botol 50 5
254 Deksametasone tablet 0,5mg (Mexon) tablet 500
256 Mirafon 500
257 Meloxicam tablet 250 50
258 Thiampenicol (Zethatiam) tablet 500 200
OBAT GIGI
247 Devitalisasi pasta (non arsen) Botol
248 Ethyl Clorida spray botol
249 Eugenol cair botol 2 2
250 Mummifying pasta/Iodoform Pasta Botol 2 2
251 Semen seng fosfat serbuk dan cairan Botol
252 Temporary Stopping Fletcher serbuk dan cair botol
ALAT KESEHATAN
253 Alat Suntik sekali pakai 1 ml set 1,900 500 300 200
254 Alat Suntik Sekali Pakai 2,5 ml set - 500 200 250 30
255 Alat Suntik Sekali Pakai 5 ml set 100 500 200 200
256 Alat Suntik Sekali Pakai 10 ml set 400
257 Alat Suntik Sekali Pakai 20 ml set
258 Catgut/Benang No. 2/0-3/0 set 73 24 36 15
261 Infusion set anak set 260 10
262 Infusion set dewasa set 73 15 15 10
267 IV Catheter Supercath 5 No.24 buah -
271 Handscoon 7 set - 100
272 Handscoon 7,5 set 2 2 50
273 Handscoon M set -
274 Handscoon L set -
275 Pembalut Gips rol -
276 Plester 5 yard x 2 inch rol 5 3 2
277 Plester 5 cm x 4,5 m rol 1 1
278 Plester 4,5 m x 12,5 mm rol 2 2
279 Silk (Benang Bedah Sutera) No. 3/0 set 33 24
280 Kasa Gulung 15X4 gulung -
281 Kasa Kompres 16x16 steril kotak 152 15 15
282 Kapas pembalut absorben250 mg gulung 1
283 Kasa Hidrofil 4x 10 cm gulung -
284 Kasa Pembalut 4 cm elastis gulung -
285 Urine bag Pcs 8 100
286 Aximed Swab 2 Ply Pcs 12 10 9 3
287 Aximed Syringe 50 cc set -
288 Strip ET Gula set -
289 Strip ET Chol set -
290 Strip ET Asam Urat set -
291 Kertas EKG rol -
292 Kertas USG rol -
293 Nassal O2 anak 9 oxyflo Pcs -
294 Nassal O2 bayi Pcs -
295 Nassal O2 dewasa Pcs -
296 NGT semua nomor Pcs -
297 Film Fuji 24x30 shr-u 24x30 Box -
298 Film Fuji 30 x 40 SHR -U 30X40 Box -
299 Fuji Film 35x35 SHR-U 35,6X 35,6 Box -
300 Fixer LIQUID AUTOMETIC 20L set -
301 Developer/ RENDOL DEVELOPER MANUAL 25 set -
302 Bunaskan amp -
303 Decain Inj amp -
306 Propofol Lipuro Fls -
307 Terrel 100ml Fls -
308 Tramus 5mg amp -
309 Albumin 50ml ( plasbumin 25ml/50ml ) Fls -
310 Blood Lancet box -
311 Cover Glass 22x22 box -
312 HBSAg Multi Device 100 SD box -
313 HBSAg Strip Smart box -
314 HCG Strip mono box -
315 Kartu golongan darah box 2 1.00
316 Lyse 1 L FLS -
318 Slide Objek Glass box -
319 Strip Urine Ferivy Fls -
320 Tabung EDTA Pcs -
321 Yellow Tip Pcs -
322 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs -
323 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs -
324 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs -
325 Prolene 4/0 ds 19 kode W8557 90cm Pcs -
326 Safil 0 hr 40s kode 31271 90cm Pcs -
329 Safil 3/0 ds 24 kode 31051 70cm Pcs -
330 Safil 3/0 hr 26 kode 31081 Pcs -
331 Silkam 2/0 hr 26 kode 32161 HR black 75cm Pcs -
332 Premilene Mesh 5x10 cm kode 31672 5x10 box -
333 Premilene Mesh 5x10 cm kode 31671 30x30 box -
334 Alat cek GD,KOLESTEROL,TRIGLISERIDA set -
335 Kapas pembalut absorben 1000 g gulung 1
336 Plaster 7,5cm x 4,5 m rol 15 50 10.00 14.00
337 Plaster 2,5cm x 4,5 m rol 23 100 10.00
338 Kasa gulung 5X4 gulung 70 15.00
339 Performa meter set -
340 Accu check performa 100 set -
341 Accu safe T pro u no.20 set -
343 Masker surgical face mask tie on Pcs -
344 Masker surgical face mask ear loop jilbab pcs -
345 Mas surgical cap ( 0/0 ) Pcs -
346 Mas nursing cap ( 0/0 ) Pcs -
347 Kasa kompres steril 40 x 40 Pcs 290
348 One scrub 2% 100ml botol -
349 Softpad 60x90 Pcs -
352 Aximed iv cath NP Pen type 22 Pcs - 50
353 Aximed iv cath NP Pen type 24 Pcs - 100
354 Handscoon churgic gloves size 6,5 set -
355 Aximed Swab 4 Ply boks 16 2.00 2.00
356 Chromic 2/0 75cm,1/2 RC 26mm Pcs - 60
357 Plain 2/0 75cm, 3/BRC 24mm Pcs -
358 Chromic 3/0 75cm, 3/BRC 24mm Pcs - 48
359 Plain 3/0 75cm, 1/2 TP 30mm Pcs 99
360 Chromic 3/0 75cm, 1/2 TP 25mm Pcs - 24
361 Silk 3/0 75cm, 3/8 CC 19mm Pcs 18
362 Silk 2/0 75cm, 3/8 RC 30mm Pcs
363 Kasa Hidrofil 40 x 80 cm rol - 2 1.00
364 Cuticell classic 10cm x 10cm Pcs 89 50 15.00 10.00
365 Cuticell classic 10cm x 40cm Pcs - 20
366 Fixomul 76992 strecth 5cmx 5m pcs 8 5 4.00 1.00
367 Fixomul 76993 strecht 10cmx 5m pcs -
368 Cannula without injection port & wings ( 20 ) pcs -
369 Cannula without injection port & wings ( 22 ) pcs -
370 Cannula without injection port & wings ( 24 ) pcs
371 Cannula with inj port snap fit cap & suturable win pcs -
372 Infusion set with needle pcs 42 5.00
373 Micro Drip Infusion set Pcs -
374 Uniflex 15cm x 4,5 m rol -
375 Uniflex 7,5 cm x 4,5 m rol -
376 Masker headloop box -
377 Salmonella IgM Cassete pcs - 50
378 Leukomed IV Film 6x8cm box - 100
379 Cutimed gel 15g tube - 10
383 Alkazym botol -
384 Alkazyd 1 L botol -
385 Aximed Paper tape 2,5 x 9,14 rol - 12
386 Aximed Chirurgic gloves 6,0 set -
387 Disp.syringe BD Luer Lock 3ml Pcs - 100
388 Silk ( scimitar ) Pcs - 12
389 stomact touch ( NGT NO 18 ) Pcs -
392 Pembalut Gips delta lite conformable rol -
393 Benecheck plus blood glucose strip box 2 1.00 1.00
394 Benecheck asam urat strip box 3 1.00 1.00
395 Benecheck cholesterol strip box 2 1.00 1.00
396 Pot dahak buah 200 200
397 Pewarna Ziiehl Nelson botol - 10
398 Rivanol 300 ml botol 7 2.00
399 Bedfont D-Piece Smokerlyzer 12s box -
400 Bedfont Steribreath Mouthpiece Smokerlyzer 25 box -
401 Handscoon 6,5 set 50.00 18.00
II OBAT APBD I
2 Amoksilin kapsul 500 mg kaplet -
3 Antasida DOEN I tablet kunyah tablet -
4 Asiklovir kapl 200mg kaplet -
5 Kaptopril 12,5mg tablet -
6 Ketokonazol cr 2% tube -
7 Lansoprazole kap 30mg kap -
8 Metilprednisolon tab 8mg tab -
9 Natrium Diklofenak tab 25mg tab -
10 NaCl 0,9% botol -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet -
12 Obat Anti Neuralgia(Neurodial) tablet -
13 Parasetamol Syr 120mg/5ml botol -
14 Parasetamol tab 500mg tab -
17 Propanolol tab tab -
18 Ringer Laktat lar infus botol -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosis botol -
20 Salep 2-4 pot -
21 Spironolakton 25mg tablet -
22 Aciklofir 400mg tab -
23 Salep Whitefield kotak 12 10
24 Urea ( Soft U Derm ) krim 10% tube -
25 Neo Diagon 659 mg tablet -
26 Reliv Multivitamin tablet -
27 Griseovulvin 500 mg tablet 1,300 1,300.00
28 Metformin 500mg tablet 500 200.00 100.00
29 Kapas pembalut 100g gulung 5
30 Furosemid 40mg tablet 1,000 200.00 800.00
31 IV Cateter No. 18 buah 100 5.00
ALAT KESEHATAN
28 Alat Suntik Sekali Pakai 2,5 ml pcs
29 Handscoon 7 set
30 Handscoon 7,5 set
31 Infus Set anak pcs
32 Infus Set Dewasa pcs
36 Kassa Steril 16 x 16 cm ktl/lmbr
37 Kasa Kompres Steril 40 x 40 cm pcs
38 Kasa Pembalut Hidrofil 4 x 15 cm roll
39 Kasa Pembalut 4x10cm roll
40 Masker Pcs
41 Urin Bag pcs
42 Kasa hidrofil 40 yard x 80 cm roll
43 Hidrogel wound dressing pcs
44 Iodine Povidone botol
45 Ciprofloxacin kap kap
46 Chloramex- Kloramfenikol 500mg kap
47 Glimepirid 3mg tab
48 Ibuprofen 400mg tab
49 Loperamid 2mg tab
50 Metoklopramid 10mg tab
51 Nifedipine tab
52 Omeprazole 20mg kap
53 Prednisone tab
54 Simvastatin 20mg tab
56 Aminophylin tab 200mg tablet
57 Metformin 500mg tablet
58 Alkohol swab pcs
59 Cutgut plain 2/0 set
60 Cutgut chromic 3/0 set
61 Kapas pembalut 100g gulung
62 Kasa hidrofil 4x 5 cm roll
63 Spuit 5 cc pcs
66 Furosemid 40mg tab
67 Kaptopril 25mg tab
69 Bacitracin+polimicsin salep tube
70 Salisil bedak 2% 50g kotak
71 Klorpheniramin Maleat ( CTM ) tab
72 Decacetine / Kloramphenikol TM botol
73 Dexametasone tablet tablet
74 Ephineprine ( Adrenaline ) inj 0,1 % amp
75 Gentamisin Salep Mata 0,3% tube
76 Lidocain inj amp
77 Oxyticin inj 10 IU/ ml amp
78 Salbutamol tab tablet
79 Kassa Steril 3 yard x 15 cm ktk/roll
80 Underpads pcs
III BRANDED
1 Bricasma turb 0,5 mg box
2 Curcuma syr botol
3 Metroklopramid inj amp
4 Kombinasi Metampiron dan vit B ( Goralgin ) tablet
5 Metoklopramid tablet
6 Multivitamin ibu hamil dan menyusui (Ironyl) tablet
7 Multivitamin anak komb. Probiotik+DHA (Dhavit) Botol
8 Multivitamin anak komb.mengandung lysin botol
9 Multivitamin Plus DHA Sirup (bionick plus) Botol
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet
11 Neurotropik Injeksi (bioneuron inj) Ampul
12 Obat Antibiotik Kombinasi (miraclav) Tablet
13 Obat Batuk Flu kombinasi anak ( Protexinal syr ) botol
14 Obat Flu Sirup (febrinex susp) Botol
15 Obat Batuk Flu kombinasi dewasa (Protexinal ta tablet
16 Obat Flu Tablet Dewasa ( Flutab ) tablet
17 Obat Batuk Pilek Tablet (noza) Tablet
18 Obat Diare Tablet (nodiar) Tablet
19 Obat Gangguan Cerna/Multienzim (progastrik) Tablet
20 Obat Infeksi Kulit dan Peradangan (Chloramfeco Tube 10gr
21 Pulmicort turb 200 box
22 Symbicort turb 160 dos box
23 Thiamphenicol 500 mg kapsul
24 Ulsafate / Sukralfat Susp 500mg/5ml botol
25 Vitamin Penambah Asi (asifit) Tablet
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul
27 Ventolin/Salbutamol inhalasi botol
28 Zincpro drops 15 ml botol
IV OBAT PROGRAM
1 ACT (Arthesunate+Amodiaquin) tab Tablet -
2 Arthemeter inj 1 ml : 80 mg Ampul -
3 Benzatin benzil penicillin injeksi Vial -
4 Calcii Glukonas Ampul -
5 Copper T ( Andalan) Pcs -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 9
7 Garam oralit untuk 200 ml air kantong - 3,600 200.00 100.00
8 Gentamicyn Injeksi Ampul -
9 Magnesium Sulfat 40 % Vial -
11 Mineral Mix Sacc -
12 Natrium Tiroksin Tablet -
13 Obat Anti Tuberculosis kat. 1 Paket 8 2.00
14 Obat Anti Tuberculosis kat. 2 Paket -
15 Obat Anti Tuberculosis anak Paket -
16 OAT Kombipak Kategori 1 Paket -
17 Phenobarbital injeksi 50 mg/ml ampul -
18 Phytomenadion inj 2mg/ml amp -
19 Prokain Benzil Penisillin Vial -
22 Tablet Tambah Darah tablet 23,760 7,560.00 4,170.00
23 Quinin inj amp -
24 Zink Tablet -
25 Oxytosin inj 40% amp -
26 Primakuin tab tablet -
27 Ampicillin serbuk inj 1000mg/ml Vial -
28 Oxytetrasiklin SM 1% ( HCL ) tube - 50 24.00
29 Arthesunate inj , vial 60mg Vial -
30 PP-INH (Pengobatan Pencegahan Dengan Isoni tablet
31 Parasetamol ( Farmadol ) Tablet -
32 Masker medis earloop multione plus boks 8 4.00
33 Apd Level 3 pcs 16 3 19.00
34 Apd Level 3 Kemensos set 4 4.00
35 Alat Pelindung Diri (APD) level 1 set 120 120.00
36 Astavit tablet tablet 150 120.00
37 BD Gard tab tablet 600 430.00 20.00
38 Termogun set 1
39 Cito Swab pcs 200
40 Face Shield Dewasa pcs 20
41 Masker N 95 pcs 10
42 Masker KN 95 pcs 25
43 Zegavit Tab tablet 500 230.00 65.00
44 Masker Medis headloop book 4 2.00
45 Blood Lancet book 1
46 Handscoon M book 3 3.00 3.00
47 Rapit Antigen pcs 25.00 25.00


NIP. 19870305 200902 1 002 NIK. 08.2.21015
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( OKTOBER 2021 )
STOK
HARGA
NO NAMA 0BAT SATUAN
SATUAN Stok Awal Stok Awal (Rp) Penerimaan Penerimaan Persediaan Pemakaian
(Rp)
1 2 3 4 5 6 7
I DAK
1 Allopurinol tablet 100 mg tab 110 500 55,000 - 500 100
2 Albendazol 400 mg tab 402 - - - -
3 Albendazol susp 200mg/5ml botol 3,849 - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 100 103,000 - 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 - - - -
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - -
7 Aminofilin tablet 200 mg tab 139 - - -
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - - -
10 Amoksilin kapsul 250 mg kapsul 184 - - - -
11 Amoksilin kapsul 500 mg kaplet 249 13,800 3,436,200 - 13,800 700
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - - - -
13 Antalgin (Metampiron) tablet 500 mg tablet 234 - - - -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 - - - -
15 Antasida DOEN Tab tablet 58 - - - -
16 Antasida DOEN susp botol 2,129 72 153,288 - 72 72
17 Anti Bakteri DOEN salep kombinasi tube 2,516 - - - -
18 Anti Hemoroid supp 3,167 80 253,360 - 80
19 Antifungi DOEN kombinasi pot 2,904 - - - -
20 Anti Migren tablet 185 500 92,500 - 500
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 - - - -
24 Asam Folat 1 mg tablet 48 - - - -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 - - - -
26 Asam Traneksamat inj 50mg/ ml amp 1,748 - - - -
29 Asiklovir Krim 5% tube 3,150 - - - -
30 Asiklovir tablet 200 mg tablet 237 - - - -
31 Asiklovir tablet 400 mg tablet 380 2,150 817,000 - 2,150
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - - -
33 Betametason krim 0,1% tube 3,350 - - - -
34 Bionemi kapsul 1,640 - - - -
35 Cefixime 100mg tab 2,394 - - - -
36 Cefixime 100mg/5ml botol 8,800 - - - -
37 Cetirizine kaps kapsul 96 750 72,000 - 750
38 Cetirizine syr botol 2,850 - - - -
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 - - - -
40 Deksametason tablet 0,5 mg tablet 32 14,600 467,200 - 14,600 1,600
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 - - - -
42 Diazepam tablet 2 mg tablet 27 - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 - - - -
44 Digoksin tablet 0,25 mg tab 97 - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - -
46 Domperidone tab 10 mg tablet 167 - - - -
47 Domperidone syrup botol 19,750 - - - -
48 Efedrin HCI tablet 25 mg tablet 51 - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 15 21,120 - 15
50 Eritromisin kapsul kapsul 1,000 - - - -
51 Eritromisin sirup 200 mg/5 ml botol 7,700 - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 11 37,400 - 11
53 Etakridin (Rivanol) 100 ml botol 2,275 - - - -
54 Etanol 70% 100 ml botol 2,500 - - - -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 - - - -
56 Fenilbutazon 200 mg tablet 143 - - - -
57 Fenol Gliserol TT 10% botol 2,590 - - - -
58 Forasma tab 600mg tab 1,200 - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 - - - -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 - - - -
61 Furosemid tablet 40 mg tablet 77 - - - -
62 Furosemid inj 10 mg/ml vial 91 - - - -
63 Garam oralit untuk 200 ml air kantong 257 - - - -
64 Gential violet larutan 1% botol 2,500 - - - -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 - - - -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 - - - -
67 Glibenklamid tablet 5 mg tablet 119 500 59,500 - 500 200
68 Gliseril Guayacolat tablet 100 mg tablet 44 - - - -
69 Gliserin botol 5,333 - - - -
70 Glukosa larutan infus 10% steril botol 5,700 - - - -
71 Glukosa larutan infus 5% steril botol 7,363 - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 6,400 1,344,000 - 6,400
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 700 108,500 - 700
76 Hidrokortison krim 2,5% tube 2,640 - - - -
77 Ibuprofen tablet 400mg tab 105 - - - -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - -
79 Kalium Diklofenak 50mg tablet 778 - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - -
81 Kaptopril tablet 12,5mg tablet 62 - - - -
82 Kaptopril tablet 25mg tablet 84 - - - -
83 Karbamazepin 200mg tablet 270 - - - -
84 Ketoprofen inj 100mg ampul 5,650 - - - -
85 Ketoconazol tab 200mg tab 270 800 216,000 - 800 800
86 Ketoconazole 2% krim 10g tube 2,518 - - - -
87 Kloramfenikol kapsul 250mg kapsul 310 - - - -
88 Kloramfenikol suspensi 125mg 7,000 - - - -
89 Kloramfenikol Salep Mata 1% tube 1,810 - - - -
90 Kloramfenikol tetes telinga 3% botol 1,815 - - - -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 1,700 37,400 - 1,700 1,400
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 137 300,030 - 137
98 Kotrimoksazol tablet komb 480 mg tab 133 1,000 133,000 - 1,000 100
99 Kuinin tablet 222mg tab 670 - - - -
100 Kuinin Inj 25% amp 6,200 - - - -
101 Lansoprazol 30mg kapsul 323 - - - -
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 20 22,900 - 20
103 Loperamid 2 mg tab 89 - - - -
104 Loratadin 10mg tablet 154 - - - -
105 Metformin tablet 150 400 60,000 - 400 100
106 Magnesium Sulfat inj 40%(Otsu MGSO4 vial 3,796 - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 vial 3328 - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 500 105,000 - 500
110 Metilprednisolone 16mg tab 551 - - - -
111 Metoklopramid tab 10 mg tablet 87 200 17,400 - 200
112 Metronidazol tablet 250 mg tablet 110 - - - -
113 Metronidazol tablet 500mg tablet 160 - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 - - - -
115 Molasma tab 2,5mg tab 78 - - - -
116 Natrium Bikarbonat tablet 500mg tablet 52 - - - -
117 Natrium Diklofenak 25mg tablet 128 - - - -
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 5 32,050 - 5
119 Neurohax 500mg tab 1,210 - - - -
120 Nerva 5000 kaplet 3,020 - - - -
121 Nifedipine tablet 110 - - - -
122 Nistatin tablet salut 500.000 IU tab 790 - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 400 224,000 - 400
124 Ofloxacin 400mg tab sal sel tab 553 250 138,250 - 250
125 Obat Batuk Hitam (OBH) cairan botol 10,500 83 871,500 - 83 20
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - -
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199 - - -
128 Ondansetron 4mg inj amp 1124 3 3,372 - 3
129 Ondansetron 4mg tab tablet 351 - - - -
130 Omeprazole 20mg kapsul 130 - - - -
131 Paracetamol Syrup 120 mg/5ml botol 1,181 122 144,082 - 122 50
132 Parasetamol drops botol 5,200 - - - -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 4,600 4,048,000 - 4,600 2,100
134 Phenobarbital inj amp 1,800 - - - -
135 Phenobarbital 30 mg tablet 65 - - - -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 - - - -
137 Pirantel tablet tablet 287 200 57,400 - 200 200
138 Pirantel Syr botol 9,510 - - - -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 6,100 799,100 - 6,100 1,200
140 Piroxicam 20 mg kapsul 163 300 48,900 - 300 300
141 Povidon Iodida 10% 30 ml botol 2,163 - - - -
142 Povidon Iodida 10% 300 ml botol 16,500 1 16,500 - 1
143 Prednisone tablet 5 mg tablet 68 - - - -
144 Propiltiouracyl tablet 319 - - - -
145 Primaquin Tab tablet 205 100 20,500 - 100
146 Ranitidine inj amp 1,140 - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 53 404,390 - 53
148 RDT DBD test 1,200,000 - - - -
149 RDT Malaria test 1,200,000 - - - -
150 Salbutamol 2mg tablet 63 7,400 466,200 - 7,400
151 Salbutamol 2mg/ 5ml syr botol 4,446 - - - -
152 Salep 2-4 , 30g pot 2,000 - - - -
153 Salisil bedak 2% kotak 1,120 - - - -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190 - - -
155 Sefadroxyl syr botol 3,926 - - - -
156 Sefotaxim inj vial 6,012 - - - -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - -
158 Serum anti bisa ular Polivalen inj 5ml (AB vial 512,204 3 1,536,612 - 3
159 Serum Anti Tetanus Injeksi 1.500 IU/ampu ampul 130,999 5 654,995 - 5
160 Sianokobalamin (Vit. B12) Injeksi 500 mc amp 1,035 153 158,355 - 153
161 Simetidin tablet tablet 180 - - - -
162 Simvastatin 10mg tablet 205 - - - -
163 Siprofloksasin tablet 500 mg tablet 265 700 185,500 - 700
164 Tetrasiklin HCI kapsul 500 mg kapsul 303 - - -
165 Thiamphenikol kap 500 mg kapsul 615 - - - -
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1 amp 1,283 - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 tablet 85 - - - -
168 Tramadol inj 50mg/ml amp 1,710 - - - -
169 Tramadol kapsul 50mg kapsul 321 - - - -
170 Trihexyphenidil tab 91 - - - -
171 Vaksin Rabies Vero kuur 660,000 2 1,320,000 - 2
172 Vitamin B komplek tablet tablet 117 - - - -
173 Zinkid 10mg/5ml syr botol 2,972 - - - -
174 Miniaspi 80mg tab 130 - - - -
175 Indanox 300mg kapsul 6,930 - - - -
176 Ponsamic 500mg tablet 1,375 - - - -
177 Maganol tablet 451 - - - -
178 Lopiten 5mg tablet 6,050 - - - -
179 Getidin inj 2 ml amp 20,900 - - - -
180 Wida KN2 mengandung elektrolit(KCL0, botol 11,011 - - - -
181 Wida KDN 1 mengandung karbohidrat+elektbotol 11,435 - - - -
182 Alprazolam tab 1mg tab 143 - - - -
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanolamin kaplet 621 - - - -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,plac tube 19,958 - - - -
187 Bevalex cream (betametasone 1mg,neomy tube 10,300 - - - -
188 Panviton tab tablet 1,435 - - - -
189 Dextral syr botol 8,700 - - - -
190 Neo-Kaominal syr botol 7,200 - - - -
191 Mulsanol syr botol 18,000 - - - -
192 Salesbion plus tablet 1,182 - - - -
193 Selferro tablet 659 - - - -
194 Stimuno sry 60ml botol 20,000 - - - -
195 Stimuno grape sry 60ml botol 20,000 - - - -
196 Dexocort 5%/10g krim tube 7,250 - - - -
197 0,4mg ( Tablet tambah darah ) tab 354 - - - -
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - -
199 Vagizol Ovula 500mg supp tab 3,590 - - - -
202 Betahistine Besilat 6mg tab 110 400 44,000 - 400 100
203 Metronidazole infus 500mg/100ml botol 8,110 - - - -
204 Spironolactone 25mg tab 195 - - - -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 - - - -
206 Etanol 70 % 1000ml botol 18,700 1 18,700 - 1 1
207 Natrium Diklofenak 50mg/ Sodium diklof tab 115 - - - -
208 Clobazam 10mg tab 776 200 155,200 - 200
209 Neo diagon 659mg tab 206 - - - -
210 Asam Tranexamat tab 500mg tab 1,584 - - - -
211 Metoklopramid inj 10 ml/2ml amp 3,960 - - - -
212 Metamizole Sodium Monohidrate 1000mg tab 3,960 - - - -
213 Erytromycin 250mg tab 546 - - - -
214 Zink dispersible tab 524 - - - -
218 Mineral Mix sacc 2,805 - - - -
219 Guaifenisin tab 145 400 58,000 - 400 400
220 Neurotropik inj amp 905 - - - -
221 Solatim 500mg tab 1,176 - - - -
222 Molacort tab tab 169 - - - -
223 Betason N Cream 6 g tube 13,475 - - - -
224 Chloramfecort H Cream 10 g tube 12,650 - - - -
228 Parasetamol infus botol 12,389 - - - -
229 Clozapin 25mg tablet 1,121 - - - -
230 Omeprazole Inj 40mg vial 10,393 - - - -
231 Risperidon tablet 240 - - - -
232 Ramipril tab 5mg tab 245 500 122,500 - 500 300
233 Povidon 10 % 100ml botol 6,050 4 24,200 - 4
234 Alkohol 70 % 300ml botol 6,820 - - - -
235 Ephedrine HCL 50 mg/ml amp 8,569 10 85,690 - 10
236 Chlodine 0,5% 500ml Handrub botol 82,500 2 165,000 - 2
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - - -
238 Ambroxol generik tablet 180 800 144,000 - 800
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - -
240 Etamox syr tablet 6,488 108 700,704 - 108 33
241 Fluanza tab tablet 200 - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 500 396,500 - 500
243 Etaneural ( multivitamin ) tablet 776 - - - -
244 Metilon ( metilprednisolon ) tablet 280 - - - -
245 Metilprednisolone 4 mg metilon tablet 281 - - - -
246 Salep Whitefield tube 4,798 116 556,568 - 116 24
247 Bionicom Zinc tablet 200 - - 200
248 Tablet Tambah Darah tablet 352 12,840 4,519,680 - 12,840 1,350
249 Reliv Multivitamin tablet 4,950 1,083 5,360,850 - 1,083 150
250 Attagip tablet 480 - - 480
251 Coparcetin tablet dewasa tablet 300 - - 300 100
252 Coparcetin syr botol 40 - - 40
253 Dianos syr botol 45 - - 45
254 Deksametasone tablet 0,5mg (Mexon) tablet 500 - - 500
256 Mirafon 500 - - 500 100
257 Meloxicam tablet 200 - - 200
258 Thiampenicol (Zethatiam) tablet 300 - - 300
- -
- -
- -
OBAT GIGI - - -
259 Devitalisasi pasta (non arsen) Botol 390,000 - - - -
260 Ethyl Clorida spray botol 100,000 - - - -
261 Eugenol cair botol 16,667 1 16,667 - 1
262 Mummifying pasta/Iodoform Pasta Botol 176,000 1 176,000 - 1
263 Semen seng fosfat serbuk dan cairan Botol 93,500 - - - -
264 Temporary Stopping Fletcher serbuk dan c botol 34,000 - - - -
- - -
- -
265 Alat Suntik sekali pakai 1 ml set 650 1,900 1,235,000 - 1,900
266 Alat Suntik Sekali Pakai 2,5 ml set 888 20 17,760 - 20
269 Alat Suntik Sekali Pakai 20 ml set 2,168 - - -
270 Catgut/Benang No. 2/0-3/0 set 11,166 46 513,636 - 46
273 Infusion set anak set 5,100 250 1,275,000 - 250
274 Infusion set dewasa set 4,800 33 158,400 - 33
278 IV Catheter No.24 buah 7,000 149 1,043,000 - 149
279 IV Catheter Supercath 5 No.24 buah 15,000 - - - -
283 Handscoon 7 set 6,595 - - - -
284 Handscoon 7,5 set 6,595 50 329,750 - 50 41
285 Handscoon M set 6,000 - - - -
286 Handscoon L set 6,000 - - - -
287 Pembalut Gips rol 23,500 - - - -
288 Plester 5 yard x 2 inch rol 23,625 - - - -
289 Plester 5 cm x 4,5 m rol 23,635 - - - -
290 Plester 4,5 m x 12,5 mm rol 6,000 - - - -
291 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 9 27,495 - 9
292 Kasa Gulung 15X4 gulung 3,373 - - - -
293 Kasa Kompres 16x16 steril kotak 7,370 122 899,140 - 122
294 Kapas pembalut absorben250 mg gulung 25,000 1 25,000 - 1
295 Kasa Hidrofil 4x 10 cm gulung 607 - - - -
296 Kasa Pembalut 4 cm elastis gulung 10,000 - - - -
297 Urine bag Pcs 5,088 108 549,504 - 108
298 Aximed Swab 2 Ply Pcs 115 10 1,150 - 10
299 Aximed Syringe 50 cc set 4,451 - - - -
300 Strip ET Gula set 250,000 - - - -
301 Strip ET Chol set 348,500 - - - -
302 Strip ET Asam Urat set 250,000 - - - -
303 Kertas EKG rol 200,000 - - - -
304 Kertas USG rol 300,000 - - - -
305 Nassal O2 anak 9 oxyflo Pcs 10,000 - - - -
306 Nassal O2 bayi Pcs 10,000 - - - -
307 Nassal O2 dewasa Pcs 10,000 - - - -
308 NGT semua nomor Pcs 150,000 - - - -
309 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 - - - -
310 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 - - - -
311 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 - - - -
312 Fixer LIQUID AUTOMETIC 20L set 950,000 - - - -
313 Developer/ RENDOL DEVELOPER MANU set 556,000 - - - -
314 Bunaskan amp 91,200 - - - -
315 Decain Inj amp 81,840 - - - -
318 Propofol Lipuro Fls 120,000 - - - -
319 Terrel 100ml Fls 702,000 - - - -
320 Tramus 5mg amp 111,500 - - - -
321 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 - - - -
322 Blood Lancet box 22,950 - - - -
323 Cover Glass 22x22 box 202,500 - - - -
324 HBSAg Multi Device 100 SD box 3,510,000 - - - -
325 HBSAg Strip Smart box 484,500 - - - -
326 HCG Strip mono box 202,500 - - - -
327 Kartu golongan darah box 50,000 1 50,000 - 1
328 Lyse 1 L FLS 2,362,500 - - - -
329 Multidrug 3 panel box 2,223,450 - - - -
330 Slide Objek Glass box 130,000 - - - -
331 Strip Urine Ferivy Fls 308,000 - - - -
332 Tabung EDTA Pcs 3,400 - - - -
333 Yellow Tip Pcs 500 - - - -
334 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 - - - -
335 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 - - - -
336 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 - - - -
337 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 - - - -
338 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 - - - -
341 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 - - - -
342 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - -
343 Silkam 2/0 hr 26 kode 32161 HR black 7 Pcs 87,300 - - - -
344 Premilene Mesh 5x10 cm kode 31672 5x box 725,500 - - - -
345 Premilene Mesh 5x10 cm kode 31671 30 box 2,400,000 - - - -
346 Alat cek GD,KOLESTEROL,TRIGLISERI set 660,000 - - - -
347 Kapas pembalut absorben 1000 g gulung 100,000 1 100,000 - 1
348 Plaster 7,5cm x 4,5 m rol 37,371 41 1,532,211 - 41
349 Plaster 2,5cm x 4,5 m rol 12,675 113 1,432,275 - 113
350 Kasa gulung 5X4 gulung 1,500 55 82,500 - 55
351 Performa meter set 420,000 - - - -
352 Accu check performa 100 set 453,750 - - - -
353 Accu safe T pro u no.20 set 127,050 - - - -
354 Multidrug 6 panel box 37,286 - - - -
355 Masker surgical face mask tie on Pcs 1,000 - - - -
356 Masker surgical face mask ear loop jilbab pcs 1,000 - - - -
357 Mas surgical cap ( 0/0 ) Pcs 14,400 - - - -
358 Mas nursing cap ( 0/0 ) Pcs 1,320 - - - -
359 Kasa kompres steril 40 x 40 Pcs 1,600 290 464,000 - 290
360 One scrub 2% 100ml botol 22,000 - - - -
361 Softpad 60x90 Pcs 4,162 - - - -
364 Aximed iv cath NP Pen type 22 Pcs 6,000 50 300,000 - 50
365 Aximed iv cath NP Pen type 24 Pcs 6,000 100 600,000 - 100
366 Handscoon churgic gloves size 6,5 set 7,872 - - - -
367 Aximed Swab 4 Ply boks 20,000 12 240,000 - 12
368 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 60 3,097,320 - 60
369 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 - - - -
370 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 48 2,238,096 - 48
371 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 4,382,433 - 99
372 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 24 1,061,760 - 24
373 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18 694,062 - 18
374 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - -
375 Kasa Hidrofil 40 x 80 cm rol 250,250 1 250,250 - 1
376 Cuticell classic 10cm x 10cm Pcs 5,520 114 629,280 - 114
377 Cuticell classic 10cm x 40cm Pcs 15,600 20 312,000 - 20
378 Fixomul 76992 strecth 5cmx 5m pcs 42,800 8 342,400 - 8
379 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - - -
380 Cannula without injection port & wings ( 2 pcs 10,000 - - - -
381 Cannula without injection port & wings ( 2 pcs 10,000 - - - -
382 Cannula without injection port & wings ( 2 pcs 10,000 - - -
383 Cannula with inj port snap fit cap & sutura pcs 12,078 - - - -
384 Infusion set with needle pcs 8,200 37 303,400 - 37
385 Micro Drip Infusion set Pcs 9,200 - - - -
386 Uniflex 15cm x 4,5 m rol 33,700 - - - -
387 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - -
388 Masker headloop box 22,000 - - - -
389 Salmonella IgM Cassete pcs 21,650 50 1,082,500 - 50
390 Leukomed IV Film 6x8cm box 138,000 100 13,800,000 - 100
391 Cutimed gel 15g tube 52,110 10 521,100 - 10
395 Alkazym botol 801,000 - - - -
396 Alkazyd 1 L botol 2,702,700 - - - -
397 Aximed Paper tape 2,5 x 9,14 rol 11,583 12 138,996 - 12
398 Aximed Chirurgic gloves 6,0 set 7,872 - - -
399 Disp.syringe BD Luer Lock 3ml Pcs 920 100 92,000 - 100
400 Silk ( scimitar ) Pcs 38,559 12 462,708 - 12
401 stomact touch ( NGT NO 18 ) Pcs 150,000 - - - -
404 Pembalut Gips delta lite conformable rol 100,401 - - - -
405 Benecheck plus blood glucose strip box 160,000 - - - -
406 Benecheck asam urat strip box 150,000 1 150,000 - 1
407 Benecheck cholesterol strip box 250,000 - - - -
408 Pot dahak buah 3,000 400 1,200,000 - 400
409 Pewarna Ziiehl Nelson botol 214,500 10 2,145,000 - 10
410 Rivanol 300 ml botol 3,740 5 18,700 - 5
411 Bedfont D-Piece Smokerlyzer 12s box 730,000 - - - -
412 Bedfont Steribreath Mouthpiece Smokerly box 987,000 - - - -
413 Handscoon 6,5 set 6,595 32 211,040 - 32
- -
- -
- -
II OBAT APBD I - -
2 Amoksilin kapsul 500 mg kaplet 420 - - - -
3 Antasida DOEN I tablet kunyah tablet 72 - - - -
4 Asiklovir kapl 200mg kaplet 198 - - - -
5 Kaptopril 12,5mg tablet 62 - - - -
6 Ketokonazol cr 2% tube 2,569 - - - -
7 Lansoprazole kap 30mg kap 473 - - - -
8 Metilprednisolon tab 8mg tab 150 - - - -
9 Natrium Diklofenak tab 25mg tab 128 - - - -
10 NaCl 0,9% botol 6,410 - - - -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 - - - -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 - - - -
13 Parasetamol Syr 120mg/5ml botol 1,107 - - - -
14 Parasetamol tab 500mg tab 53 - - - -
17 Propanolol tab tab 107 - - - -
18 Ringer Laktat lar infus botol 7,150 - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosi botol 63,750 - - - -
20 Salep 2-4 pot 2,000 - - - -
21 Spironolakton 25mg tablet 244 - - - -
22 Aciklofir 400mg tab 192 - - - -
23 Salep Whitefield kotak 115,152 22 2,533,344 - 22
24 Urea ( Soft U Derm ) krim 10% tube 3,941 - - - -
25 Neo Diagon 659 mg tablet 206 - - - -
26 Reliv Multivitamin tablet 4,950 - - - -
27 Griseovulvin 500 mg tablet - - - -
28 Metformin 500mg tablet 150 200 30,000 - 200 200.00
29 Kapas pembalut 100g gulung 7,275 5 36,375 - 5
30 Furosemid 40mg tablet 80 - - - -
31 IV Cateter No. 18 buah 7,000 95 665,000 - 95
- -
- -
- -
32 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000 - - -
33 Handscoon 7 set 8,500 - - -
34 Handscoon 7,5 set 7,692 - - - -
35 Infus Set anak pcs 5,600 - - -
36 Infus Set Dewasa pcs 3,200 - - -
40 Kassa Steril 16 x 16 cm ktl/lmbr 5,800 - - -
41 Kasa Kompres Steril 40 x 40 cm pcs 1,579 - - -
42 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100 - - -
43 Kasa Pembalut 4x10cm roll 607 - - -
44 Masker Pcs 756 - - -
45 Urin Bag pcs 6,036 - - -
46 Kasa hidrofil 40 yard x 80 cm roll 255,750 - - -
47 Hidrogel wound dressing pcs 29,000 - - -
48 Iodine Povidone botol 6,550 - - -
49 Ciprofloxacin kap kap 240 - - -
50 Chloramex- Kloramfenikol 500mg kap 1,007 - - -
51 Glimepirid 3mg tab 319 - - -
52 Ibuprofen 400mg tab 102 - - -
53 Loperamid 2mg tab 80 - - -
54 Metoklopramid 10mg tab 90 - - -
55 Nifedipine tab 110 - - -
56 Omeprazole 20mg kap 140 - - -
57 Prednisone tab 96 - - -
58 Simvastatin 20mg tab 813 - - -
59 Etanol 70 % 300ml botol 21,500 - - -
60 Aminophylin tab 200mg tablet 91 - - -
61 Metformin 500mg tablet 100 - - -
62 Alkohol swab pcs 170 - - -
63 Cutgut plain 2/0 set 5,583 - - -
64 Cutgut chromic 3/0 set 5,583 - - -
65 Kapas pembalut 100g gulung 7,275 - - -
66 Kasa hidrofil 4x 5 cm roll 760 - - -
67 Spuit 5 cc pcs 8,000 - - -
68 Haloperidol 0,5mg tab - - -
69 Haloperidol 1,5mg tab 69 - - -
70 Furosemid 40mg tab 80 - - -
71 Kaptopril 25mg tab 80 - - -
72 Etanol 70 % 1000ml botol 21,500 - - -
73 Bacitracin+polimicsin salep tube 3,035 - - -
74 Salisil bedak 2% 50g kotak 1,020 - - -
75 Klorpheniramin Maleat ( CTM ) tab 36 - - -
76 Decacetine / Kloramphenikol TM botol 3,250 - - -
77 Dexametasone tablet tablet 32 - - -
78 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408 - - -
79 Gentamisin Salep Mata 0,3% tube 2,675 - - -
80 Lidocain inj amp 1,145 - - -
81 Oxyticin inj 10 IU/ ml amp 1,199 - - -
82 Salbutamol tab tablet 63 - - -
83 Kassa Steril 3 yard x 15 cm ktk/roll 1,577 - - -
84 Underpads pcs 8,268 - - -
- -
III BRANDED - -
1 Bricasma turb 0,5 mg box 71,100 - - - -
2 Curcuma syr botol 10,500 - - - -
3 Metroklopramid inj amp 9,000 - - - -
4 Kombinasi Metampiron dan vit B ( Goralgi tablet 1,315 - - - -
5 Metoklopramid tablet 1,000 - - - -
6 Multivitamin ibu hamil dan menyusui (Irony tablet 2,308 - - - -
7 Multivitamin anak komb. Probiotik+DHA (D Botol 27,300 - - - -
8 Multivitamin anak komb.mengandung lysi botol 12,000 - - - -
9 Multivitamin Plus DHA Sirup (bionick plus Botol 18,700 - - - -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 - - - -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 - - - -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 - - - -
13 Obat Batuk Flu kombinasi anak ( Protexina botol 8,200 - - - -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 - - - -
15 Obat Batuk Flu kombinasi dewasa (Protexi tablet 410 - - - -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 - - - -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 - - - -
18 Obat Diare Tablet (nodiar) Tablet 924 - - - -
19 Obat Gangguan Cerna/Multienzim (progast Tablet 303 - - - -
20 Obat Infeksi Kulit dan Peradangan (Chlor Tube 10gr 9,955 - - - -
21 Pulmicort turb 200 box 93,000 - - - -
22 Symbicort turb 160 dos box 117,600 - - - -
23 Thiamphenicol 500 mg kapsul 4,200 - - - -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 - - - -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - -
27 Ventolin/Salbutamol inhalasi botol 63,750 - - - -
28 Zincpro drops 15 ml botol 12,840 - - - -
- -
IV OBAT PROGRAM - -
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 - - - -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 - - - -
3 Benzatin benzil penicillin injeksi Vial 8,935 - - - -
4 Calcii Glukonas Ampul 7,800 - - - -
5 Copper T ( Andalan) Pcs 17,710 - - - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 - - - -
7 Garam oralit untuk 200 ml air kantong 264 3,300 871,200 - 3,300 100.00
8 Gentamicyn Injeksi Ampul 3,090 - - - -
9 Magnesium Sulfat 40 % Vial 2,629 - - - -
11 Mineral Mix Sacc 2,805 - - - -
12 Natrium Tiroksin Tablet 1,694 - - - -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 6 2,246,304 - 6 2.00
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 - - - -
15 Obat Anti Tuberculosis anak Paket 214,990 - - - -
16 OAT Kombipak Kategori 1 Paket 288,199 - - - -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 - - - -
18 Phytomenadion inj 2mg/ml amp 3,417 - - - -
19 Prokain Benzil Penisillin Vial 7,190 - - - -
22 Tablet Tambah Darah tablet 352 12,030 4,234,560 - 12,030 4,470.00
23 Quinin inj amp 6,200 - - - -
24 Zink Tablet 474 - - - -
25 Oxytosin inj 40% amp 2,200 - - - -
26 Primakuin tab tablet 224 - - - -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 26 53,534 - 26 26.00
29 Arthesunate inj , vial 60mg Vial 57,585 - - - -
30 PP-INH (Pengobatan Pencegahan Dengan tablet - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - -
32 Masker medis earloop multione plus boks 100 4 400 - 4
33 Apd Level 3 pcs - - - -
34 Apd Level 3 Kemensos set - - - -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - - - -
36 Astavit tablet tablet 3,849 30 115,470 - 30 30.00
37 BD Gard tab tablet 1,030 150 154,500 - 150
38 Termogun set 1 - - 1 1.00
39 Cito Swab pcs 200 - - 200
40 Face Shield Dewasa pcs 20,000 20 400,000 - 20
41 Masker N 95 pcs 21,500 10 215,000 - 10
42 Masker KN 95 pcs 21,500 25 537,500 - 25
43 Zegavit Tab tablet 3,920 205 803,600 - 205
44 Masker Medis headloop book 2 - - 2
45 Blood Lancet book 1 - - 1
46 Handscoon M book - - - -
47 Rapit Antigen pcs 135,000 25 3,375,000 - 25 25.00
- -
- -
V VAKSIN - - -
1 HB 0-7 20,900 0 - - -
2 MR 141,648 0 - - -
3 Polio 18,140 0 - - - -
4 Td 16,500 0 - - -
5 DPT-HB-Hib 71,810 0 - - - -
6 BCG 60,140 0 - - -
7 Pentavalen 0 - - -
8 IPV 0 - - -
9 Spuit 0,05 ml 0 - - -
10 Spuit 0,5 ml 0 - - -
TOTAL PENERIMAAN Rp
TOTAL STOK AWAL Rp
TOTAL PEMAKAIAN Rp
TOTAL AKHIR Rp

NIP. 19870305 200902 1 002 NIK. 08.2.21015
JUMLAH
Stok Akhir
Pemakaian (Rp) (RUPIAH)
8=5+6+7 9=8x4
11,000 400 44,000

- - -
- - -
- 100 103,000
- - -
- - -
- - -
- - -
- - -
- - -
174,300 13,100 3,261,900
- - -
- - -
- - -
- - -
153,288 - -
- - -
- 80 253,360
- - -
- 500 92,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2,150 817,000
- - -
- - -
- - -
- - -
- - -
- 750 72,000
- - -
- - -
51,200 13,000 416,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 15 21,120
- - -
- - -
- 11 37,400
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
23,800 300 35,700
- - -
- - -
- - -
- - -
- 6,400 1,344,000
- - -
- - -
- 700 108,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
216,000 - -
- - -
- - -
- - -
- - -
- - -
30,800 300 6,600
- - -
- - -
- - -
- - -
- - -
- 137 300,030
13,300 900 119,700
- - -
- - -
- - -
- 20 22,900
- - -
- - -
15,000 300 45,000
- - -
- - -
- 500 105,000
- - -
- - -
- 200 17,400
- - -
- - -
- - -
- - -
- - -
- - -
- 5 32,050
- - -
- - -
- - -
- - -
- 400 224,000
- 250 138,250
210,000 63 661,500
- - -
- - -
- 3 3,372
- - -
- - -
59,050 72 85,032
- - -
1,848,000 2,500 2,200,000
- - -
- - -
- - -
57,400 - -
- - -
157,200 4,900 641,900
48,900 - -
- - -
- 1 16,500
- - -
- - -
- 100 20,500
- - -
- 53 404,390
- - -
- - -
- 7,400 466,200
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 3 1,536,612
- 5 654,995
- 153 158,355
- - -
- - -
- 700 185,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2 1,320,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
11,000 300 33,000
- - -
- - -
- - -
18,700 - -
- - -
- 200 155,200
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
58,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
73,500 200 49,000
- 4 24,200
- - -
- 10 85,690
- 2 165,000
- - -
- 800 144,000
- - -
214,104 75 486,600
- - -
- 500 396,500
- - -
- - -
- - -
115,152 92 441,416
- 200 -
475,200 11,490 4,044,480
742,500 933 4,618,350
- 480 -
- 200 -
- 40 -
- 45 -
- 500 -
- 400 -
- 200 -
- 300 -
- 26,615,702
- -
- -
- - -
- - -
- - -
- 1 16,667
- 1 176,000
- - -
- - -
- - 192,667
- -
- - -
- 1,900 1,235,000
- 20 17,760
- 200 207,600
- 400 480,000
- - -
- 46 513,636
- 4 33,960
- 4 33,600
- 250 1,275,000
- 33 158,400
- 48 336,000
- 94 658,000
- 50 350,000
- 149 1,043,000
- - -
- - -
- - -
- - -
- - -
270,395 9 59,355
- - -
- - -
- - -
- - -
- - -
- - -
- 9 27,495
- - -
- 122 899,140
- 1 25,000
- - -
- - -
- 108 549,504
- 10 1,150
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 50,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 100,000
- 41 1,532,211
- 113 1,432,275
- 55 82,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 290 464,000
- - -
- - -
- - -
- - -
- 50 300,000
- 100 600,000
- - -
- 12 240,000
- 60 3,097,320
- - -
- 48 2,238,096
- 99 4,382,433
- 24 1,061,760
- 18 694,062
- - -
- 1 250,250
- 114 629,280
- 20 312,000
- 8 342,400
- - -
- - -
- - -
- - -
- - -
- 37 303,400
- - -
- - -
- - -
- - -
- 50 1,082,500
- 100 13,800,000
- 10 521,100
- - -
- - -
- - -
- - -
- - -
- 12 138,996
- - -
- 100 92,000
- 12 462,708
- - -
- - -
- - -
- - -
- - -
- 1 150,000
- - -
- 400 1,200,000
- 10 2,145,000
- 5 18,700
- - -
- - -
- 32 211,040
- 45,837,631
- -
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 22 2,533,344
- - -
- - -
- - -
- - -
30,000 - -
- 5 36,375
- - -
- 95 665,000
- 3,234,719
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- -
- - -
- - -
- - -
- - -
- - -
- - -
26,400 3,200 844,800
- - -
- - -
- - -
- - -
- - -
748,768 4 1,497,536
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1,573,440 7,560 2,661,120
- - -
- - -
- - -
- - -
- - -
53,534 - -
- - -
- - -
- - -
- 4 400
- - -
- - -
- - -
115,470 - -
- 150 154,500
- - -
- 200 -
- 20 400,000
- 10 215,000
- 25 537,500
- 205 803,600
- 2 -
- 1 -
- - -
3,375,000 - -
- 7,114,456
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
-
-
93,965,576
10,970,401
82,995,175
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( NOVEMBER 2021 )
STOK
HARGA
(Rp) (Rp)
1 2 3 4 5 6 7 8=5+6+7
I DAK
1 Allopurinol tablet 100 mg tab 110 400 44,000 2,500 275,000 2,900 800 88,000 2,100
2 Albendazol 400 mg tab 402 - - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 100 103,000 - 100 - 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 - - - - - -
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - - -
9 Amlodipin 5 mg tab 73 - - 1,500 109,500 1,500 300 21,900 1,200
11 Amoksilin kapsul 500 mg kaplet 249 13,100 3,261,900 5,000 1,245,000 18,100 3,600 896,400 14,500
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - - 12 22,572 12 12 22,572 -
15 Antasida DOEN Tab tablet 58 - - 2,000 116,000 2,000 600 34,800 1,400
16 Antasida DOEN susp botol 2,129 - - 100 212,900 100 30 63,870 70
20 Anti Migren tablet 185 500 92,500 200 37,000 700 100 18,500 600
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 - - - - - -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 - - 400 620,000 400 200 310,000 200
30 Asiklovir tablet 200 mg tablet 237 - - - - - -
31 Asiklovir tablet 400 mg tablet 380 2,150 817,000 500 190,000 2,650 200 76,000 2,450
33 Betametason krim 0,1% tube 3,350 - - 100 335,000 100 15 50,250 85
34 Bionemi kapsul 1,640 - - - - - -
35 Cefixime 100mg tab 2,394 - - - - - -
37 Cetirizine kaps kapsul 96 750 72,000 500 48,000 1,250 500 48,000 750
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 - - - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1 amp 1,168 - - - - - -
45 Doksisiklin kapsul 100 mg kapsul 268 - - - - - -
46 Domperidone tab 10 mg tablet 167 - - - - - -
47 Domperidone syrup botol 19,750 - - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 15 21,120 - 15 3 4,224 12
50 Eritromisin kapsul kapsul 1,000 - - - - - -
52 Etakridin (Rivanol) 300 ml botol 3,400 11 37,400 - 11 6 20,400 5
54 Etanol 70% 100 ml botol 2,500 - - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1m amp 3,417 - - - - - -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 - - - - - -
61 Furosemid tablet 40 mg tablet 77 - - 400 30,800 400 - 400
67 Glibenklamid tablet 5 mg tablet 119 300 35,700 800 95,200 1,100 500 59,500 600
69 Gliserin botol 5,333 - - - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 6,400 1,344,000 - 6,400 - 6,400
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 700 108,500 500 77,500 1,200 - 1,200
76 Hidrokortison krim 2,5% tube 2,640 - - - - - -
78 Isosorbid Dinitrat tablet sublingual 5m tab 88 - - - - - -
81 Kaptopril tablet 12,5mg tablet 65 - - 1,000 65,000 1,000 400 26,000 600
85 Ketoconazol tab 200mg tab 270 - - - - - -
86 Ketoconazole 2% krim 10g tube 2,518 - - - - - -
91 Klorfeniramin maleat (CTM) tablet 4m tablet 22 300 6,600 - 300 - 300
97 Kotrimoksazol Suspensi komb botol 2,190 137 300,030 10 21,900 147 5 10,950 142
98 Kotrimoksazol tablet komb 480 mg tab 133 900 119,700 200 26,600 1,100 200 26,600 900
100 Kuinin Inj 25% amp 6,200 - - - - - -
101 Lansoprazol 30mg kapsul 323 - - - - - -
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 20 22,900 - 20 10 11,450 10
103 Loperamid 2 mg tab 89 - - - - - -
105 Metformin tablet 150 300 45,000 800 120,000 1,100 300 45,000 800
106 Magnesium Sulfat inj 40%(Otsu MGS vial 3,796 - - - - - -
107 Magnesium Sulfat inj 20%(Otsu MGS vial 3328 - - - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 500 105,000 200 42,000 700 - 700
109 Metilergometrin Maleat inj.0,200mg-1 amp 2,959 - - - - - -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 - - - - - -
117 Natrium Diklofenak 25mg tablet 115 - - 500 57,500 500 300 34,500 200
118 Natrium Klorida larutan infus 0,9% steri botol 6,410 5 32,050 20 128,200 25 2 12,820 23
119 Neurohax 500mg tab 1,210 - - - - - -
120 Nerva 5000 kaplet 3,020 - - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 400 224,000 200 112,000 600 - 600
125 Obat Batuk Hitam (OBH) cairan botol 10,500 63 661,500 120 1,260,000 183 30 315,000 153
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - - -
129 Ondansetron 4mg tab tablet 351 - - 300 105,300 300 - 300
130 Omeprazole 20mg kapsul 130 - - 1,000 130,000 1,000 200 26,000 800
131 Paracetamol Syrup 120 mg/5ml botol 1,181 72 85,032 200 236,200 272 30 35,430 242
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 2,500 2,200,000 - 2,500 1,700 1,496,000 800
137 Pirantel tablet tablet 287 - - 400 114,800 400 - 400
138 Pirantel Syr botol 9,510 - - - - - -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 4,900 641,900 - 4,900 600 78,600 4,300
140 Piroxicam 20 mg kapsul 163 - - 500 81,500 500 100 16,300 400
143 Prednisone tablet 5 mg tablet 68 - - - - - -
147 Ringer Laktat Larutan infus steril botol 7,630 53 404,390 20 152,600 73 5 38,150 68
148 RDT DBD test 1,200,000 - - - - - -
149 RDT Malaria test 1,200,000 - - - - - -
150 Salbutamol 2mg tablet 63 7,400 466,200 300 18,900 7,700 - 7,700
152 Salep 2-4 , 30g pot 2,333 - - 48 111,984 48 12 27,996 36
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - - -
158 Serum anti bisa ular Polivalen inj 5ml vial 512,204 3 1,536,612 1 512,204 4 - 4
159 Serum Anti Tetanus Injeksi 1.500 IU/a ampul 130,999 5 654,995 20 2,619,980 25 5 654,995 20
160 Sianokobalamin (Vit. B12) Injeksi 500 amp 1,035 153 158,355 - 153 10 10,350 143
162 Simvastatin 20mg tablet 68 - - 500 34,000 500 100 6,800 400
163 Siprofloksasin tablet 500 mg tablet 265 700 185,500 - 700 - 700
165 Thiamphenikol kap 500 mg kapsul 615 - - 500 307,500 500 100 61,500 400
166 Thiamin HCI (Vit.B1) injeksi 100 mg/m amp 1,283 - - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) table tablet 85 - - - - - -
171 Vaksin Rabies Vero kuur 660,000 2 1,320,000 - 2 1 660,000 1
172 Vitamin B komplek tablet tablet 117 - - - - - -
174 Miniaspi 80mg tab 130 - - - - - -
177 Maganol tablet 451 - - - - - -
180 Wida KN2 mengandung elektrolit(KC botol 11,011 - - - - - -
181 Wida KDN 1 mengandung karbohidrat+ebotol 11,435 - - - - - -
184 Alpara (Pct,dmp,ctm,phenylpropanola kaplet 621 - - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,p tube 19,958 - - - - - -
187 Bevalex cream (betametasone 1mg,ne tube 10,300 - - - - - -
194 Stimuno sry 60ml botol 20,000 - - 48 960,000 48 5 100,000 43

200 Propanolol 40mg tab 56 - - 200 11,200 200 - 200
201 Kaptopril 50mg tab 124 - - - - - -
202 Betahistine Besilat 6mg tab 110 300 33,000 500 55,000 800 100 11,000 700
206 Etanol 70 % 1000ml botol 18,700 - - 5 93,500 5 1 18,700 4
207 Natrium Diklofenak 50mg/ Sodium dik tab 115 - - - - - -
208 Clobazam 10mg tab 776 200 155,200 - 200 - 200
209 Neo diagon 659mg tab 206 - - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 - - - - - -
212 Metamizole Sodium Monohidrate 100 tab 3,960 - - - - - -
213 Erytromycin 250mg tab 546 - - - - - -
214 Zink dispersible tab 524 - - 200 104,800 200 100 52,400 100
217 Amlodipin 10 mg tab 92 - - - - - -
218 Mineral Mix sacc 2,805 - - - - - -
219 Guaifenisin tab 145 - - - - - -
221 Solatim 500mg tab 1,176 - - - - - -
222 Molacort tab tab 169 - - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 - - - - - -
232 Ramipril tab 5mg tab 245 200 49,000 500 122,500 700 200 49,000 500
233 Povidon 10 % 100ml botol 6,050 4 24,200 - 4 - 4
234 Alkohol 70 % 300ml botol 6,820 - - 24 163,680 24 3 20,460 21
235 Ephedrine HCL 50 mg/ml amp 8,569 10 85,690 - 10 - 10
236 Chlodine 0,5% 500ml Handrub botol 82,500 2 165,000 - 2 - 2
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - - 2 1,100,000 2 1 550,000 1
238 Ambroxol generik tablet 180 800 144,000 - 800 - 800
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - - - -
240 Etamox syr tablet 6,488 75 486,600 - 75 25 162,200 50
241 Fluanza tab tablet 200 - - - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 500 396,500 200 158,600 700 100 79,300 600
243 Etaneural ( multivitamin ) tablet 776 - - - - - -
245 Metilprednisolone 4 mg metilon tablet 551 - - 1,500 826,500 1,500 400 220,400 1,100
246 Salep Whitefield tube 4,798 92 441,416 - 92 - 92
247 Bionicom Zinc tablet 200 - - 200 100 - 100
248 Tablet Tambah Darah tablet 352 11,490 4,044,480 - 11,490 300 105,600 11,190
249 Reliv Multivitamin tablet 4,950 933 4,618,350 - 933 663 3,281,850 270
250 Attagip tablet 480 - 480 - 960 - 960
251 Coparcetin tablet dewasa tablet 1,334 200 266,800 400 533,600 600 200 266,800 400
252 Coparcetin syr botol 10,000 40 400,000 100 1,000,000 140 35 350,000 105
253 Dianos syr botol 18,000 45 810,000 100 1,800,000 145 5 90,000 140
254 Deksametasone tablet 0,5mg (Mexon) tablet 500 - - 500 300 - 200
256 Miravon (Bromhexin) Tab tablet 396 400 158,400 800 316,800 1,200 - 1,200
257 Meloxicam 15mg tablet 409 200 81,800 500 204,500 700 200 81,800 500
258 Thiampenicol (Zethatiam) tablet 300 - - 300 - 300
259 Ibuprofen 100mg/5ml susp 60ml botol 4,465 - 100 446,500 100 5 22,325 95
260 Mexon tablet 935 - 500 467,500 500 100 93,500 400
261 Aqua steril 250ml botol 5,984 - 10 59,840 10 - 10
262 Becevort tablet 1,548 - 1,000 1,548,000 1,000 200 309,600 800
263 Supralisyn botol 27,500 - 50 1,375,000 50 15 412,500 35
264 X-Gra kaplet 924 - 80 73,920 80 - 80
265 Livron B-Pleks tablet 280 - 500 140,000 500 - 500
266 Maltiron tablet 1,650 - 800 1,320,000 800 - 800
267 Loremid tablet 1,210 - 500 605,000 500 - 500
268 Meloxicam 7,5mg tablet 823 - 300 246,900 300 150 123,450 150
269 Noza tablet 797 - 200 159,400 200 - 200
270 Stimuno Tablet botol 30,000 - 10 300,000 10 - 10
271 Termofen Suspensi botol 27,500 - 50 1,375,000 50 - 50
272 Water For Injection 25ml amp 2,650 - 10 26,500 10 - 10
273 Becevort Sirup botol 17,366 - 100 1,736,600 100 - 100
274 Herbacof Sirup botol 14,273 - 48 685,104 48 5 71,365 43
275 Ondansetron Tab 8mg tablet 270 - 300 81,000 300 100 27,000 200
- 27,769,584 -
- - -
OBAT GIGI - - - - -
281 Temporary Stopping Fletcher serbuk d botol 34,000 - - - - - -
- - - - -
- - -
282 Alat Suntik sekali pakai 1 ml set 650 1,900 1,235,000 500 325,000 2,400 - 2,400
283 Alat Suntik Sekali Pakai 2,5 ml set 888 20 17,760 500 444,000 520 20 17,760 500
284 Alat Suntik Sekali Pakai 5 ml set 1,038 200 207,600 500 519,000 700 - 700
285 Alat Suntik Sekali Pakai 10 ml set 1,200 400 480,000 500 600,000 900 - 900
286 Alat Suntik Sekali Pakai 20 ml set 2,168 - - - - -
287 Catgut/Benang No. 2/0-3/0 set 11,166 46 513,636 36 401,976 82 12 133,992 70
290 Infusion set anak set 5,100 250 1,275,000 20 102,000 270 - 270
291 Infusion set dewasa set 4,800 33 158,400 50 240,000 83 - 83
292 IV Catheter No.18 buah 7,000 48 336,000 - 48 2 14,000 46
295 IV Catheter No.24 buah 7,000 149 1,043,000 - 149 2 14,000 147
300 Handscoon 7 set 6,595 - - - - - -
301 Handscoon 7,5 set 6,595 9 59,355 - 9 9 59,355 -
302 Handscoon M set 6,000 - - - - - -
303 Handscoon L set 6,000 - - - - - -
305 Plester 5 yard x 2 inch rol 23,625 - - - - - -
306 Plester 5 cm x 4,5 m rol 23,635 - - - - - -
307 Plester 4,5 m x 12,5 mm rol 6,000 - - - - - -
310 Kasa Kompres 16x16 steril kotak 7,370 122 899,140 - 122 5 36,850 117
314 Urine bag Pcs 5,088 108 549,504 - 108 - 108
315 Aximed Swab 2 Ply Pcs 115 10 1,150 8 920 18 5 575 13
317 Strip ET Gula set 250,000 - - - - - -
318 Strip ET Chol set 348,500 - - - - - -
320 Kertas EKG rol 200,000 - - - - - -
321 Kertas USG rol 300,000 - - - - - -
323 Nassal O2 bayi Pcs 10,000 - - - - - -
330 Developer/ RENDOL DEVELOPER MA set 556,000 - - - - - -
331 Bunaskan amp 91,200 - - - - - -
332 Decain Inj amp 81,840 - - - - - -
336 Terrel 100ml Fls 702,000 - - - - - -
337 Tramus 5mg amp 111,500 - - - - - -
339 Blood Lancet (Savety lancet) box 1,650 - - 200 330,000 200 - 200
340 Cover Glass 22x22 box 202,500 - - - - - -
344 Kartu golongan darah box 50,000 1 50,000 - 1 - 1
345 Lyse 1 L FLS 2,362,500 - - - - - -
347 Slide Objek Glass box 130,000 - - 144 18,720,000 144 - 144
349 Tabung EDTA Pcs 3,400 - - - - - -
350 Yellow Tip Pcs 500 - - - - - -
353 Prolene 4/0 2x hr 26 kode 8831 H 75 Pcs 5,750 - - - - - -
359 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - - -
360 Silkam 2/0 hr 26 kode 32161 HR blac Pcs 87,300 - - - - - -
363 Alat cek GD,KOLESTEROL,TRIGLIS set 660,000 - - - - - -
365 Plaster 7,5cm x 4,5 m rol 37,371 41 1,532,211 10 373,710 51 2.00 74,742 49
366 Plaster 2,5cm x 4,5 m rol 12,675 113 1,432,275 10 126,750 123 2.00 25,350 121
367 Kasa gulung 5X4 gulung 1,500 55 82,500 20 30,000 75 10.00 15,000 65
373 Masker surgical face mask ear loop jil pcs 1,000 - - - - - -
378 Softpad 60x90 Pcs 4,162 - - - - - -
379 Aximed iv cath NP Pen type 18 Pcs 6,000 - - 100 600,000 100 - 100
380 Aximed iv cath NP Pen type 20 Pcs 6,000 - - 100 600,000 100 - 100
381 Aximed iv cath NP Pen type 22 Pcs 6,000 50 300,000 100 600,000 150 - 150
382 Aximed iv cath NP Pen type 24 Pcs 6,000 100 600,000 100 600,000 200 - 200
385 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 60 3,097,320 36 1,858,392 96 12.00 619,464 84
387 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 48 2,238,096 36 1,678,572 84 - 84
388 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 4,382,433 - 99 - 99
389 Chromic 3/0 75cm, 1/2 TP 25m Pcs 44,240 24 1,061,760 - 24 - 24
390 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18 694,062 - 18 - 18
391 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - - - -
392 Kasa Hidrofil 40 x 80 cm rol 250,250 1 250,250 10 2,502,500 11 - 11
395 Fixomul 76992 strecth 5cmx 5m pcs 42,800 8 342,400 5 214,000 13 2.00 85,600 11
396 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - - 5 450,000 5 1.00 90,000 4
397 Cannula without injection port & wings pcs 10,000 - - - - - -
398 Cannula without injection port & wings pcs 10,000 - - - - - -
400 Cannula with inj port snap fit cap & su pcs 12,078 - - - - - -
401 Infusion set with needle pcs 8,200 37 303,400 - 37 5.00 41,000 32
403 Uniflex 15cm x 4,5 m rol 33,700 - - - - - -
404 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - - -
406 Salmonella IgM Cassete pcs 21,650 50 1,082,500 - 50 - 50
407 Leukomed IV Film 6x8cm box 138,000 100 13,800,000 - 100 - 100
408 Cutimed gel 15g tube 52,110 10 521,100 - 10 - 10
412 Alkazym botol 801,000 - - - - - -
413 Alkazyd 1 L botol 2,702,700 - - - - - -
414 Aximed Paper tape 2,5 x 9,14 rol 11,583 12 138,996 5 57,915 17 2.00 23,166 15
415 Aximed Chirurgic gloves 6,0 set 7,872 - 150 1,180,800 150 - 150
416 Disp.syringe BD Luer Lock 3ml Pcs 920 100 92,000 100 92,000 200 - 200
417 Silk ( scimitar ) Pcs 38,559 12 462,708 - 12 - 12
422 Benecheck plus blood glucose strip box 160,000 - - 5 800,000 5 - 5
423 Benecheck asam urat strip box 150,000 1 150,000 5 750,000 6 1.00 150,000 5
424 Benecheck cholesterol strip box 250,000 - - 5 1,250,000 5 - 5
425 Pot dahak buah 3,000 400 1,200,000 - 400 - 400
426 Pewarna Ziiehl Nelson botol 214,500 10 2,145,000 5 1,072,500 15 - 15
427 Rivanol 300 ml botol 3,740 5 18,700 - 5 2.00 7,480 3
429 Bedfont Steribreath Mouthpiece Smok box 987,000 - - - - - -
430 Handscoon 6,5 set 6,595 32 211,040 - 32 15.00 98,925 17
- 36,520,035 -
- - -
- - -
1 Amlodipin 5 mg tab 187 - - - - - -
10 NaCl 0,9% botol 6,410 - - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/ botol 63,750 - - - - - -
20 Salep 2-4 pot 2,000 - - - - - -
22 Aciklofir 400mg tab 192 - - - - - -
23 Salep Whitefield kotak 115,152 22 2,533,344 - 22 - 22
25 Neo Diagon 659 mg tablet 206 - - - - - -
27 Griseovulvin 500 mg tablet - - - - - -
29 Kapas pembalut 100g gulung 7,275 5 36,375 - 5 - 5
30 Furosemid 40mg tablet 80 - - - - - -
31 IV Cateter No. 18 buah 7,000 95 665,000 - 95 - 95
- - -
- - -
- - -
33 Handscoon 7 set 8,500 - - - - -
34 Handscoon 7,5 set 7,692 - - - - - -
44 Masker Pcs 756 - - - - -
45 Urin Bag pcs 6,036 - - - - -
52 Ibuprofen 400mg tab 102 - - - - -
59 Etanol 70 % 300ml botol 21,500 - - - - -
63 Cutgut plain 2/0 set 5,583 - - - - -
67 Spuit 5 cc pcs 8,000 - - - - -
72 Etanol 70 % 1000ml botol 21,500 - - - - -
84 Underpads pcs 8,268 - - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( Gora tablet 1,315 - - - - - -
6 Multivitamin ibu hamil dan menyusui (I tablet 2,308 - - - - - -
7 Multivitamin anak komb. Probiotik+DH Botol 27,300 - - - - - -
8 Multivitamin anak komb.mengandung l botol 12,000 - - - - - -
9 Multivitamin Plus DHA Sirup (bionick p Botol 18,700 - - - - - -
10 Neurotropik Plus Vit E Tablet (neurovit Tablet 924 - - - - - -
13 Obat Batuk Flu kombinasi anak ( Protex botol 8,200 - - - - - -
15 Obat Batuk Flu kombinasi dewasa (Pro tablet 410 - - - - - -
19 Obat Gangguan Cerna/Multienzim (pro Tablet 303 - - - - - -
20 Obat Infeksi Kulit dan Peradangan (ChTube 10gr 9,955 - - - - - -
26 Vitamin Peningkat Sistem Imun (fituno Kapsul 3,014 - - - - - -
- - -
6 DHP ( Dehidro Artemycin + Piperaquin Tablet 2,160 - - - - - -
7 Garam oralit untuk 200 ml air kantong 264 3,200 844,800 - 3,200 - 3,200
10 Metilergometrin Maleat inj.0,200mg-1 amp 1,305 - - - - - -
11 Mineral Mix Sacc 2,805 - - - - - -
22 Tablet Tambah Darah tablet 352 7,560 2,661,120 - 7,560 - 7,560
23 Quinin inj amp 6,200 - - - - - -
24 Zink Tablet 474 - - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - - -
30 PP-INH (Pengobatan Pencegahan Den tablet - - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - - - -
32 Masker medis earloop multione plus boks 100 4 400 - 4 - 4
33 Apd Level 3 pcs - - - - - -
34 Apd Level 3 Kemensos set - - - - - -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - - - - - -
36 Astavit tablet tablet 3,849 - - - - - -
37 BD Gard tab tablet 1,030 150 154,500 - 150 - 150
38 Termogun set - - - - - -
39 Cito Swab pcs 200 - - 200 - 200
40 Face Shield Dewasa pcs 20,000 20 400,000 - 20 - 20
41 Masker N 95 pcs 21,500 10 215,000 - 10 - 10
42 Masker KN 95 pcs 21,500 25 537,500 - 25 - 25
43 Zegavit Tab tablet 3,920 205 803,600 - 205 - 205
44 Masker Medis headloop book 2 - - 2 - 2
45 Blood Lancet book 1 - - 1 - 1
46 Handscoon M book - - - - - -
47 Rapit Antigen pcs 135,000 - - - - - -
- - -
- - -
V VAKSIN - - - - -
1 HB 0-7 20,900 0 - - - - -
2 MR 141,648 0 - - - - -
3 Polio 18,140 0 - - - - - -
4 Td 16,500 0 - - - - -
5 DPT-HB-Hib 71,810 0 - - - - - -
6 BCG 60,140 0 - - - - -
7 Pentavalen 0 - - - - -
8 IPV 0 - - - - -
9 Spuit 0,05 ml 0 - - - - -
10 Spuit 0,5 ml 0 - - - - -

NIP. 19870305 200902 1 002 NIK. 08.2.21015
JUMLAH
(RUPIAH)
9=8x4
231,000
-
-
103,000
-
-
-
-
87,600
-
3,610,500
-
-
-
81,200
149,030
-
253,360
-
111,000
-
-
-
-
310,000
-
-
-
-
-
931,000
-
284,750
-
-
-
72,000
-
-
384,000
-
-
-
-
-
-
-
-
16,896
-
-
17,000
-
-
-
-
-
-
-
-
30,800
-
-
-
-
-
71,400
-
-
-
-
1,344,000
-
-
186,000
-
-
-
-
-
39,000
-
-
-
-
-
-
-
-
-
6,600
-
-
-
-
-
310,980
119,700
-
-
-
11,450
-
-
120,000
-
-
147,000
-
-
17,400
-
-
-
-
-
23,000
147,430
-
-
-
-
336,000
138,250
1,606,500
-
-
3,372
105,300
104,000
285,802
-
704,000
-
-
-
114,800
-
563,300
65,200
-
16,500
-
-
20,500
-
518,840
-
-
485,100
-
83,988
-
-
-
-
-
2,048,816
2,619,980
148,005
-
27,200
185,500
-
246,000
-
-
-
-
-
660,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
860,000
-
-
-
-
11,200
-
77,000
-
-
-
74,800
-
155,200
-
-
-
-
-
52,400
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
122,500
24,200
143,220
85,690
165,000
550,000
144,000
-
324,400
-
475,800
-
-
606,100
441,416
-
3,938,880
1,336,500
-
533,600
1,050,000
2,520,000
-
475,200
204,500
-
424,175
374,000
59,840
1,238,400
962,500
73,920
140,000
1,320,000
605,000
123,450
159,400
300,000
1,375,000
26,500
1,736,600
613,739
54,000
44,262,179
-
-
-
-
16,667
176,000
-
-
192,667
-
-
1,560,000
444,000
726,600
1,080,000
-
781,620
33,960
33,600
1,377,000
398,400
322,000
644,000
336,000
1,029,000
-
-
-
-
-
-
-
-
-
-
-
-
27,495
-
862,290
25,000
-
-
549,504
1,495
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
330,000
-
-
-
-
50,000
-
-
18,720,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100,000
1,831,179
1,533,675
97,500
-
-
-
-
-
-
-
-
464,000
-
-
600,000
600,000
900,000
1,200,000
-
180,000
4,336,248
-
3,916,668
4,382,433
1,061,760
694,062
-
2,752,750
618,240
280,800
470,800
360,000
-
-
-
-
262,400
-
-
-
-
1,082,500
13,800,000
521,100
-
-
-
-
-
173,745
1,180,800
184,000
462,708
-
-
-
-
800,000
750,000
1,250,000
1,200,000
3,217,500
11,220
-
-
112,115
80,720,167
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,533,344
-
-
-
-
-
36,375
-
665,000
3,234,719
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
844,800
-
-
-
-
-
1,497,536
-
-
-
-
-
-
-
-
2,661,120
-
-
-
-
-
-
-
-
-
400
-
-
-
-
154,500
-
-
400,000
215,000
537,500
803,600
-
-
-
-
7,114,456
-
-
-
-
-
-
-
-
-
-
-
-
-
128,579,238
84,712,175
13,477,606
199,813,807
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( DESEMBER 2021 )
STOK
HARGA
NO NAMA 0BAT SATUAN Penerimaan Pemakaian
(Rp) (Rp)
1 2 3 4 5 6 7
I DAK
1 Allopurinol tablet 100 mg tab 110 2,100 231,000 - 2,100 1,000 110,000
2 Albendazol 400 mg tab 402 - - - - -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 100 103,000 - 100 -
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 - - - - -
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 - - - - -
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - - 200 33,400 200 -
9 Amlodipin 5 mg tab 73 1,200 87,600 - 1,200 600 43,800
11 Amoksilin kapsul 500 mg kaplet 249 14,500 3,610,500 - 14,500 2,500 622,500
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - - 12 22,572 12 12 22,572
15 Antasida DOEN Tab tablet 58 1,400 81,200 3,000 174,000 4,400 1,700 98,600
16 Antasida DOEN susp botol 2,129 70 149,030 - 70 42 89,418
18 Anti Hemoroid supp 3,167 80 253,360 - 80 30 95,010
20 Anti Migren tablet 185 600 111,000 - 600 200 37,000
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 - - - - -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 200 310,000 100 155,000 300 200 310,000
30 Asiklovir tablet 200 mg tablet 237 - - - - -
31 Asiklovir tablet 400 mg tablet 380 2,450 931,000 - 2,450 250 95,000
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 - - - - -
33 Betametason krim 0,1% tube 3,350 85 284,750 - 85 30 100,500
34 Bionemi kapsul 1,640 - - - - -
35 Cefixime 100mg tab 2,394 - - - - -
37 Cetirizine kaps kapsul 96 750 72,000 - 750 300 28,800
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 - - - - -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 - - - - -
46 Domperidone tab 10 mg tablet 167 - - - - -
47 Domperidone syrup botol 19,750 - - - - -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 12 16,896 100 140,800 112 -
52 Etakridin (Rivanol) 300 ml botol 3,400 5 17,000 - 5 -
54 Etanol 70% 100 ml botol 2,500 - - - - -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 - - - - -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 - - - - -
61 Furosemid tablet 40 mg tablet 77 400 30,800 - 400 -
63 Garam oralit untuk 200 ml air kantong 257 - - - - -
67 Glibenklamid tablet 5 mg tablet 119 600 71,400 - 600 300 35,700
69 Gliserin botol 5,333 - - - - -
72 Griseofulvin tablet 125 mg,micronized tab 210 6,400 1,344,000 - 6,400 1,200 252,000
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 1,200 186,000 - 1,200 600 93,000
76 Hidrokortison krim 2,5% tube 2,640 - - 48 126,720 48 10 26,400
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 - - - - -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - - 200 12,600 200 -
81 Kaptopril tablet 12,5mg tablet 65 600 39,000 1,000 65,000 1,600 1,200 78,000
85 Ketoconazol tab 200mg tab 270 - - - - -
86 Ketoconazole 2% krim 10g tube 2,518 - - - - -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 300 6,600 1,000 22,000 1,300 700 15,400
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 - - - - -
97 Kotrimoksazol Suspensi komb botol 2,190 142 310,980 - 142 24 52,560
98 Kotrimoksazol tablet komb 480 mg tab 133 900 119,700 - 900 600 79,800
100 Kuinin Inj 25% amp 6,200 - - - - -
101 Lansoprazol 30mg kapsul 323 - - - - -
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 10 11,450 - 10 -
105 Metformin tablet 150 800 120,000 1,200 180,000 2,000 600 90,000
106 Magnesium Sulfat inj 40%(Otsu MGSO4 40%) vial 3,796 - - - - -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 20%) vial 3328 - - - - -
108 Metilergometrin Maleat tablet 0,125mg tab 210 700 147,000 - 700 -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 - - - - -
117 Natrium Diklofenak 25mg tablet 115 200 23,000 - 200 100 11,500
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 23 147,430 - 23 7 44,870
119 Neurohax 500mg tab 1,210 - - - - -
120 Nerva 5000 kaplet 3,020 - - - - -
123 Nistatin Tablet salut 100.000 IU/g tab 560 600 336,000 - 600 300 168,000
124 Ofloxacin 400mg tab sal sel tab 553 250 138,250 - 250 -
125 Obat Batuk Hitam (OBH) cairan botol 10,500 153 1,606,500 - 153 42 441,000
126 Oksitetrasklin HCI salep mata 1% tube 2,059 - - - - -
128 Ondansetron 4mg inj amp 1124 3 3,372 - 3 -
129 Ondansetron 4mg tab tablet 351 300 105,300 - 300 120 42,120
130 Omeprazole 20mg kapsul 130 800 104,000 - 800 400 52,000
131 Paracetamol Syrup 120 mg/5ml botol 1,181 242 285,802 - 242 40 47,240
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 800 704,000 10,400 9,152,000 11,200 5,000 4,400,000
137 Pirantel tablet tablet 287 400 114,800 - 400 -
138 Pirantel Syr botol 9,510 - - - - -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 4,300 563,300 - 4,300 1,200 157,200
140 Piroxicam 20 mg kapsul 163 400 65,200 - 400 200 32,600
143 Prednisone tablet 5 mg tablet 68 - - 10,000 680,000 10,000 2,500 170,000
147 Ringer Laktat Larutan infus steril botol 7,630 68 518,840 - 68 20 152,600
148 RDT DBD test 1,200,000 - - - - -
149 RDT Malaria test 1,200,000 - - - - -
150 Salbutamol 2mg tablet 63 7,700 485,100 - 7,700 2,400 151,200
152 Salep 2-4 , 30g pot 2,333 36 83,988 - 36 12 27,996
157 Seftriaxone Serbuk Inj 1 g vial 4,708 - - - - -
158 Serum anti bisa ular Polivalen inj 5ml (ABU I) vial 512,204 3 1,536,612 - 3 -
159 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S ampul 130,999 20 2,619,980 - 20 2 261,998
160 Sianokobalamin (Vit. B12) Injeksi 500 mcg-ml amp 1,035 143 148,005 - 143 35 36,225
162 Simvastatin 20mg tablet 68 400 27,200 - 400 150 10,200
163 Siprofloksasin tablet 500 mg tablet 265 700 185,500 - 700 200 53,000
165 Thiamphenikol kap 500 mg kapsul 615 400 246,000 - 400 100 61,500
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1ml amp 1,283 - - - - -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 mg tablet 85 - - - - -
171 Vaksin Rabies Vero kuur 660,000 1 660,000 - 1 -
172 Vitamin B komplek tablet tablet 117 - - - - -
174 Miniaspi 80mg tab 130 - - - - -
180 Wida KN2 mengandung elektrolit(KCL0,3%+NaCl botol 11,011 - - - - -
181 Wida KDN 1 mengandung karbohidrat+elektrolit botol 11,435 - - - - -
182 Alprazolam tab 1mg tab 143 - - 200 28,600 200 -
184 Alpara (Pct,dmp,ctm,phenylpropanolamine) kaplet 621 - - - - -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 - - - - -
186 Neocenta gel ( neomycin sulfat 0,5%,placenta ext tube 19,958 - - - - -
187 Bevalex cream (betametasone 1mg,neomycin sulf tube 10,300 - - - - -
194 Stimuno sry 60ml botol 20,000 43 860,000 - 43 5 100,000
Komb.ferro fumarat 60mg+as.folat 0,4mg ( Tablet
197 tambah darah ) tab 354 - - - - -
200 Propanolol 40mg tab 56 200 11,200 - 200 -
201 Kaptopril 50mg tab 124 - - - - -
202 Betahistine Besilat 6mg tab 110 700 77,000 - 700 200 22,000
206 Etanol 70 % 1000ml botol 18,700 4 74,800 - 4 2 37,400
207 Natrium Diklofenak 50mg/ Sodium diklofenak 50m tab 115 - - - - -
208 Clobazam 10mg tab 776 200 155,200 200 155,200 400 -
209 Neo diagon 659mg tab 206 - - - - -
210 Asam Tranexamat tab 500mg tab 1,584 - - - - -
212 Metamizole Sodium Monohidrate 1000mg/2ml tab 3,960 - - - - -
213 Erytromycin 250mg tab 546 - - - - -
214 Zink dispersible tab 524 100 52,400 - 100 -
217 Amlodipin 10 mg tab 92 - - - - -
218 Mineral Mix sacc 2,805 - - - - -
219 Guaifenisin tab 145 - - - - -
221 Solatim 500mg tab 1,176 - - - - -
222 Molacort tab tab 169 - - - - -
224 Chloramfecort H Cream 10 g tube 12,650 - - - - -
229 Clozapin 25mg tablet 1,121 - - 200 224,200 200 -
232 Ramipril tab 5mg tab 245 500 122,500 - 500 300 73,500
233 Povidon 10 % 100ml botol 6,050 4 24,200 - 4 -
234 Alkohol 70 % 300ml botol 6,820 21 143,220 - 21 5 34,100
235 Ephedrine HCL 50 mg/ml amp 8,569 10 85,690 - 10 -
236 Chlodine 0,5% 500ml Handrub botol 82,500 2 165,000 - 2 -
237 Chlodine 0,5% 5 liter Handrub Je 550,000 1 550,000 - 1 -
238 Ambroxol generik tablet 180 800 144,000 - 800 200 36,000
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 - - - - -
240 Etamox syr tablet 6,488 50 324,400 - 50 25 162,200
241 Fluanza tab tablet 200 - - - - -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 600 475,800 - 600 200 158,600
243 Etaneural ( multivitamin ) tablet 776 - - - - -
244 Metilon ( metilprednisolon ) tablet 280 - - - - -
245 Metilprednisolone 4 mg metilon tablet 551 1,100 606,100 - 1,100 400 220,400
246 Salep Whitefield tube 4,798 92 441,416 - 92 8 38,384
247 Bionicom Zinc tablet 100 - - 100 -
249 Reliv Multivitamin tablet 4,950 270 1,336,500 - 270 150 742,500
250 Attagip tablet 960 - - 960 -
251 Coparcetin tablet dewasa tablet 1,334 400 533,600 - 400 200 266,800
252 Coparcetin syr botol 10,000 105 1,050,000 - 105 40 400,000
253 Dianos syr botol 18,000 140 2,520,000 - 140 27 486,000
254 Deksametasone tablet 0,5mg (Mexon) tablet 200 - - 200 -
256 Miravon (Bromhexin) Tab tablet 396 1,200 475,200 - 1,200 500 198,000
257 Meloxicam 15mg tablet 409 500 204,500 - 500 250 102,250
258 Thiampenicol (Zethatiam) tablet 300 - - 300 -
259 Ibuprofen 100mg/5ml susp 60ml botol 4,465 95 424,175 - 95 15 66,975
260 Mexon tablet 935 400 374,000 - 400 100 93,500
261 Aqua steril 250ml botol 5,984 10 59,840 - 10 3 17,952
262 Becevort tablet 1,548 800 1,238,400 - 800 200 309,600
263 Supralisyn botol 27,500 35 962,500 - 35 15 412,500
264 X-Gra kaplet 924 80 73,920 - 80 -
265 Livron B-Pleks tablet 280 500 140,000 - 500 -
266 Maltiron tablet 1,650 800 1,320,000 - 800 200 330,000
267 Loremid tablet 1,210 500 605,000 - 500 -
268 Meloxicam 7,5mg tablet 823 150 123,450 - 150 50 41,150
269 Noza tablet 797 200 159,400 - 200 -
270 Stimuno Tablet botol 30,000 10 300,000 - 10 3 90,000
271 Termofen Suspensi botol 27,500 50 1,375,000 - 50 10 275,000
272 Water For Injection 25ml amp 2,650 10 26,500 - 10 5 13,250
273 Becevort Sirup botol 17,366 100 1,736,600 - 100 15 260,490
274 Herbacof Sirup botol 14,273 43 613,739 - 43 10 142,730
275 Ondansetron Tab 8mg tablet 270 200 54,000 - 200 180 48,600
276 Azytromicyn Tab tablet 1,595 - 150 239,250 150 -
277 Mucos tablet 880 - 200 176,000 200 -
- 11,587,342 -
- - -
OBAT GIGI - - - -
283 Temporary Stopping Fletcher serbuk dan cair botol 34,000 - - - - -
- - - -
- - -
284 Alat Suntik sekali pakai 1 ml set 650 2,400 1,560,000 - 2,400 -
285 Alat Suntik Sekali Pakai 2,5 ml set 888 500 444,000 - 500 300 266,400
286 Alat Suntik Sekali Pakai 5 ml set 1,038 700 726,600 - 700 200 207,600
287 Alat Suntik Sekali Pakai 10 ml set 1,200 900 1,080,000 - 900 -
289 Catgut/Benang No. 2/0-3/0 set 11,166 70 781,620 - 70 12 133,992
292 Infusion set anak set 5,100 270 1,377,000 - 270 18 91,800
302 Handscoon 7 set 6,595 - - - - -
303 Handscoon 7,5 set 6,595 - - - - -
304 Handscoon M set 6,000 - - - - -
305 Handscoon L set 6,000 - - - - -
307 Plester 5 yard x 2 inch rol 23,625 - - - - -
308 Plester 5 cm x 4,5 m rol 23,635 - - - - -
309 Plester 4,5 m x 12,5 mm rol 6,000 - - - - -
310 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 9 27,495 - 9 -
312 Kasa Kompres 16x16 steril kotak 7,370 117 862,290 - 117 9 66,330
316 Urine bag Pcs 5,088 108 549,504 - 108 -
317 Aximed Swab 2 Ply Pcs 115 13 1,495 - 13 5 575
319 Strip ET Gula set 250,000 - - - - -
320 Strip ET Chol set 348,500 - - - - -
322 Kertas EKG rol 200,000 - - - - -
323 Kertas USG rol 300,000 - - - - -
325 Nassal O2 bayi Pcs 10,000 - - - - -
332 Developer/ RENDOL DEVELOPER MANUAL 25 L set 556,000 - - - - -
333 Bunaskan amp 91,200 - - - - -
334 Decain Inj amp 81,840 - - - - -
338 Terrel 100ml Fls 702,000 - - - - -
339 Tramus 5mg amp 111,500 - - - - -
340 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 - - - - -
341 Blood Lancet (Savety lancet) box 1,650 200 330,000 - 200 100.00 165,000
342 Cover Glass 22x22 box 202,500 - - - - -
346 Kartu golongan darah box 50,000 1 50,000 - 1 -
347 Lyse 1 L FLS 2,362,500 - - - - -
349 Slide Objek Glass box 130,000 144 18,720,000 - 144 -
351 Tabung EDTA Pcs 3,400 - - - - -
352 Yellow Tip Pcs 500 - - - - -
355 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 - - - - -
361 Safil 3/0 hr 26 kode 31081 Pcs 165,300 - - - - -
362 Silkam 2/0 hr 26 kode 32161 HR black 75cm Pcs 87,300 - - - - -
363 Premilene Mesh 5x10 cm kode 31672 5x10 box 725,500 - - - - -
364 Premilene Mesh 5x10 cm kode 31671 30x30 box 2,400,000 - - - - -
365 Alat cek GD,KOLESTEROL,TRIGLISERIDA set 660,000 - - - - -
367 Plaster 7,5cm x 4,5 m rol 37,371 49 1,831,179 - 49 6.00 224,226
368 Plaster 2,5cm x 4,5 m rol 12,675 121 1,533,675 - 121 12.00 152,100
369 Kasa gulung 5X4 gulung 1,500 65 97,500 - 65 9.00 13,500
375 Masker surgical face mask ear loop jilbab pcs 1,000 - - - - -
378 Kasa kompres steril 40 x 40 Pcs 1,600 290 464,000 - 290 12.00 19,200
380 Softpad 60x90 Pcs 4,162 - - - - -
381 Aximed iv cath NP Pen type 18 Pcs 6,000 100 600,000 - 100 -
384 Aximed iv cath NP Pen type 24 Pcs 6,000 200 1,200,000 - 200 -
387 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 84 4,336,248 - 84 9.00 464,598
388 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 - - - - -
389 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 84 3,916,668 - 84 9.00 419,643
390 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 4,382,433 - 99 9.00 398,403
391 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 24 1,061,760 - 24 9.00 398,160
392 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18 694,062 - 18 -
393 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065 - - - -
394 Kasa Hidrofil 40 x 80 cm rol 250,250 11 2,752,750 - 11 -
395 Cuticell classic 10cm x 10cm Pcs 5,520 112 618,240 - 112 15.00 82,800
396 Cuticell classic 10cm x 40cm Pcs 15,600 18 280,800 - 18 -
397 Fixomul 76992 strecth 5cmx 5m pcs 42,800 11 470,800 - 11 2.00 85,600
398 Fixomul 76993 strecht 10cmx 5m pcs 90,000 4 360,000 - 4 -
399 Cannula without injection port & wings ( 20 ) pcs 10,000 - - - - -
400 Cannula without injection port & wings ( 22 ) pcs 10,000 - - - - -
402 Cannula with inj port snap fit cap & suturable wings pcs 12,078 - - - - -
403 Infusion set with needle pcs 8,200 32 262,400 - 32 5.00 41,000
405 Uniflex 15cm x 4,5 m rol 33,700 - - - - -
406 Uniflex 7,5 cm x 4,5 m rol 20,300 - - - - -
408 Salmonella IgM Cassete pcs 21,650 50 1,082,500 - 50 -
409 Leukomed IV Film 6x8cm box 138,000 100 13,800,000 - 100 -
410 Cutimed gel 15g tube 52,110 10 521,100 - 10 -
414 Alkazym botol 801,000 - - - - -
415 Alkazyd 1 L botol 2,702,700 - - - - -
416 Aximed Paper tape 2,5 x 9,14 rol 11,583 15 173,745 - 15 -
417 Aximed Chirurgic gloves 6,0 set 7,872 150 1,180,800 - 150 -
418 Disp.syringe BD Luer Lock 3ml Pcs 920 200 184,000 - 200 -
419 Silk ( scimitar ) Pcs 38,559 12 462,708 - 12 -
424 Benecheck plus blood glucose strip box 160,000 5 800,000 - 5 1.00 160,000
425 Benecheck asam urat strip box 150,000 5 750,000 - 5 1.00 150,000
426 Benecheck cholesterol strip box 250,000 5 1,250,000 - 5 1.00 250,000
427 Pot dahak buah 3,000 400 1,200,000 - 400 -
428 Pewarna Ziiehl Nelson botol 214,500 15 3,217,500 - 15 -
429 Rivanol 300 ml botol 3,740 3 11,220 - 3 -
431 Bedfont Steribreath Mouthpiece Smokerlyzer 250s box 987,000 - - - - -
432 Handscoon 6,5 set 6,595 17 112,115 - 17 17.00 112,115
433 Handscoon Latex Size S Box 6,000 - 2 12,000 2 1.00 6,000
434 Handscoon Latex Size M Box 6,000 - 2 12,000 2 1.00 6,000
435 Handscoon Latex Size L Box 6,000 - 2 12,000 2 -
- 36,000 -
- - -
9 Natrium Diklofenak tab 25mg tab 128 - - - - -
10 NaCl 0,9% botol 6,410 - - - - -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosis botol 63,750 - - - - -
20 Salep 2-4 pot 2,000 - - - - -
22 Aciklofir 400mg tab 192 - - - - -
23 Salep Whitefield kotak 115,152 22 2,533,344 - 22 -
25 Neo Diagon 659 mg tablet 206 - - - - -
27 Griseovulvin 500 mg tablet - - - - -
29 Kapas pembalut 100g gulung 7,275 5 36,375 - 5 -
30 Furosemid 40mg tablet 80 - - - - -
31 IV Cateter No. 18 buah 7,000 95 665,000 - 95 -
- - -
- - -
- - -
33 Handscoon 7 set 8,500 - - - -
34 Handscoon 7,5 set 7,692 - - - - -
44 Masker Pcs 756 - - - -
45 Urin Bag pcs 6,036 - - - -
59 Etanol 70 % 300ml botol 21,500 - - - -
63 Cutgut plain 2/0 set 5,583 - - - -
67 Spuit 5 cc pcs 8,000 - - - -
72 Etanol 70 % 1000ml botol 21,500 - - - -
- - -
III BRANDED - - -
4 Kombinasi Metampiron dan vit B ( Goralgin ) tablet 1,315 - - - - -
6 Multivitamin ibu hamil dan menyusui (Ironyl) tablet 2,308 - - - - -
7 Multivitamin anak komb. Probiotik+DHA (Dhavit) Botol 27,300 - - - - -
8 Multivitamin anak komb.mengandung lysin botol 12,000 - - - - -
9 Multivitamin Plus DHA Sirup (bionick plus) Botol 18,700 - - - - -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 - - - - -
13 Obat Batuk Flu kombinasi anak ( Protexinal syr ) botol 8,200 - - - - -
15 Obat Batuk Flu kombinasi dewasa (Protexinal tab) tablet 410 - - - - -
19 Obat Gangguan Cerna/Multienzim (progastrik) Tablet 303 - - - - -
20 Obat Infeksi Kulit dan Peradangan (Chloramfecort Tube 10gr 9,955 - - - - -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 - - - - -
- - -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 - - - - -
7 Garam oralit untuk 200 ml air kantong 264 3,200 844,800 - 3,200 700.00 184,800
22 Tablet Tambah Darah tablet 352 7,560 2,661,120 - 7,560 -
23 Quinin inj amp 6,200 - - - - -
24 Zink Tablet 474 - - - - -
25 Oxytosin inj 40% amp 2,200 - - - - -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 - - - - -
30 PP-INH (Pengobatan Pencegahan Dengan Isoniaz tablet - - - -
31 Parasetamol ( Farmadol ) Tablet 300 - - - - -
32 Masker medis earloop multione plus boks 100 4 400 - 4 -
33 Apd Level 3 pcs - - - - -
34 Apd Level 3 Kemensos set - - - - -
35 Alat Pelindung Diri (APD) level 1 set 175,000 - - - - -
36 Astavit tablet tablet 3,849 - - - - -
37 BD Gard tab tablet 1,030 150 154,500 - 150 -
38 Termogun set - - - - -
39 Cito Swab pcs 200 - - 200 -
40 Face Shield Dewasa pcs 20,000 20 400,000 - 20 -
41 Masker N 95 pcs 21,500 10 215,000 - 10 -
42 Masker KN 95 pcs 21,500 25 537,500 - 25 -
43 Zegavit Tab tablet 3,920 205 803,600 - 205 -
44 Masker Medis headloop book 2 - - 2 -
45 Blood Lancet book 1 - - 1 -
46 Handscoon M book - - - - -
47 Rapit Antigen pcs 135,000 - - - - -
- - -
- - -
V VAKSIN - - - -
1 HB 0-7 20,900 0 - - - -
2 MR 141,648 0 - - - -
3 Polio 18,140 0 - - - - -
4 Td 16,500 0 - - - -
5 DPT-HB-Hib 71,810 0 - - - - -
6 BCG 60,140 0 - - - -
8 IPV 0 - - - -
9 Spuit 0,05 ml 0 - - - -
10 Spuit 0,5 ml 0 - - - -
TOTAL PENERIMAAN Rp
TOTAL STOK AWAL Rp
TOTAL PEMAKAIAN Rp
TOTAL AKHIR Rp

NIP. 19870305 200902 1 002 NIK. 08.2.21015
JUMLAH
Stok Akhir
(RUPIAH)
8=5+6+7 9=8x4
1,100 121,000
- -
- -
100 103,000
- -
- -
- -
200 33,400
600 43,800
- -
12,000 2,988,000
- -
- -
- -
2,700 156,600
28 59,612
- -
50 158,350
- -
400 74,000
- -
- -
- -
- -
100 155,000
- -
- -
- -
- -
- -
2,200 836,000
- -
55 184,250
- -
- -
- -
450 43,200
- -
- -
10,100 323,200
- -
- -
- -
- -
- -
- -
- -
- -
112 157,696
- -
- -
5 17,000
- -
- -
- -
- -
- -
- -
- -
- -
400 30,800
- -
- -
- -
- -
- -
300 35,700
- -
- -
- -
- -
5,200 1,092,000
- -
- -
600 93,000
38 100,320
- -
- -
- -
200 12,600
400 26,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
600 13,200
- -
- -
- -
- -
- -
118 258,420
300 39,900
- -
- -
- -
10 11,450
- -
- -
1,400 210,000
- -
- -
700 147,000
- -
- -
200 17,400
- -
- -
- -
- -
- -
100 11,500
16 102,560
- -
- -
- -
- -
300 168,000
250 138,250
111 1,165,500
- -
- -
3 3,372
180 63,180
400 52,000
202 238,562
- -
6,200 5,456,000
- -
- -
- -
400 114,800
- -
3,100 406,100
200 32,600
- -
1 16,500
7,500 510,000
- -
100 20,500
- -
48 366,240
- -
- -
5,300 333,900
- -
24 55,992
- -
- -
- -
- -
- -
3 1,536,612
18 2,357,982
108 111,780
- -
250 17,000
500 132,500
- -
300 184,500
- -
- -
- -
- -
- -
1 660,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
200 28,600
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
38 760,000
- -
- -
- -
- -
- -
200 11,200
- -
500 55,000
- -
- -
- -
2 37,400
- -
400 310,400
- -
- -
- -
- -
- -
100 52,400
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
200 224,200
- -
- -
200 49,000
4 24,200
16 109,120
10 85,690
2 165,000
1 550,000
600 108,000
- -
25 162,200
- -
400 317,200
- -
- -
700 385,700
84 403,032
100 -
10,290 3,622,080
120 594,000
960 -
200 266,800
65 650,000
113 2,034,000
200 -
700 277,200
250 102,250
300 -
80 357,200
300 280,500
7 41,888
600 928,800
20 550,000
80 73,920
500 140,000
600 990,000
500 605,000
100 82,300
200 159,400
7 210,000
40 1,100,000
5 13,250
85 1,476,110
33 471,009
20 5,400
150 239,250
200 176,000
41,082,527
-
- -
- -
- -
1 16,667
1 176,000
- -
- -
- 192,667
-
- -
2,400 1,560,000
200 177,600
500 519,000
900 1,080,000
- -
58 647,628
4 33,960
4 33,600
252 1,285,200
63 302,400
40 280,000
86 602,000
42 294,000
127 889,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 27,495
- -
108 795,960
1 25,000
- -
- -
108 549,504
8 920
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 165,000
- -
- -
- -
- -
1 50,000
- -
- -
144 18,720,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 100,000
43 1,606,953
109 1,381,575
56 84,000
- -
- -
- -
- -
- -
- -
- -
- -
278 444,800
- -
- -
100 600,000
100 600,000
150 900,000
200 1,200,000
- -
7 140,000
75 3,871,650
- -
75 3,497,025
90 3,984,030
15 663,600
18 694,062
- -
11 2,752,750
97 535,440
18 280,800
9 385,200
4 360,000
- -
- -
- -
- -
27 221,400
- -
- -
- -
- -
50 1,082,500
100 13,800,000
10 521,100
- -
- -
- -
- -
- -
15 173,745
150 1,180,800
200 184,000
12 462,708
- -
- -
- -
- -
4 640,000
4 600,000
4 1,000,000
400 1,200,000
15 3,217,500
3 11,220
- -
- -
- -
1 6,000
1 6,000
2 12,000
76,439,125
-
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
22 2,533,344
- -
- -
- -
- -
- -
5 36,375
- -
95 665,000
3,234,719
-
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
-
- -
- -
- -
- -
- -
- -
2,500 660,000
- -
- -
- -
- -
- -
4 1,497,536
- -
- -
- -
- -
- -
- -
- -
- -
7,560 2,661,120
- -
- -
- -
- -
- -
- -
- -
- -
- -
4 400
- -
- -
- -
- -
150 154,500
- -
200 -
20 400,000
10 215,000
25 537,500
205 803,600
2 -
1 -
- -
- -
6,929,656
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
23,246,684
135,011,984
18,756,632
139,502,036
HARGA OKTOBER NOVEMBER DESEMBER

NO NAMA 0BAT SATUAN STOK AWAL
SATUAN Penerimaan Pemakaian Penerimaan Pemakaian Penerimaan Pemakaian
1 2 3 4 5 6 7 8 9 10 11
I DAK
1 Allopurinol tablet 100 mg tab 110 500 100 2,500 800 1,000
2 Albendazol 400 mg tab 402 -
3 Albendazol susp 200mg/5ml botol 3,849 -
4 Ambroxol tab ( Mirapect 30mg ) tab 1,030 100
5 Ambroxol syr ( Molepect ) 15 mg/ml botol 13,475 -
6 Aminofilin injeksi 24 mg/ml-10ml tab 2,976 -
7 Aminofilin tablet 200 mg tab 139
8 Aminitriptilin HCL tablet salut 25 mg tab 167 - 200
9 Amlodipin 5 mg tab 73 - 1,500 300 600
10 Amoksilin kapsul 250 mg kapsul 184 -
11 Amoksilin kapsul 500 mg kaplet 249 13,800 700 5,000 3,600 2,500
12 Amoksilin sirup kering 125 mg/5ml botol 1,881 - 12 12 12 12
13 Antalgin (Metampiron) tablet 500 mg tablet 234 -
14 Antalgin Injeksi 250 mg/ml-2ml amp 3,500 -
15 Antasida DOEN Tab tablet 58 - 2,000 600 3,000 1,700
16 Antasida DOEN susp botol 2,129 72 72 100 30 42
17 Anti Bakteri DOEN salep kombinasi tube 2,516 -
18 Anti Hemoroid supp 3,167 80 30
19 Antifungi DOEN kombinasi pot 2,904 -
20 Anti Migren tablet 185 500 200 100 200
23 Asam Askorbat (VIT c) tablet 50 mg tablet 105 -
24 Asam Folat 1 mg tablet 48 -
25 Asam Mefenamat 500 mg ( Mefix ) tablet 1,550 - 400 200 100 200
26 Asam Traneksamat inj 50mg/ ml amp 1,748 -
29 Asiklovir Krim 5% tube 3,150 -
30 Asiklovir tablet 200 mg tablet 237 -
31 Asiklovir tablet 400 mg tablet 380 2,150 500 200 250
32 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp 1,639 -
33 Betametason krim 0,1% tube 3,350 - 100 15 30
34 Bionemi kapsul 1,640 -
35 Cefixime 100mg tab 2,394 -
36 Cefixime 100mg/5ml botol 8,800 -
37 Cetirizine kaps kapsul 96 750 500 500 300
38 Cetirizine syr botol 2,850 -
39 Deksametason injeksi 5 mg.ml-1ml amp 1,580 -
40 Deksametason tablet 0,5 mg tablet 32 14,600 1,600 1,000 1,900
41 Diazepam injeksi 5 mg/ml-2 ml amp 4,180 -
42 Diazepam tablet 2 mg tablet 27 -
43 Difenhidramin HCI injeksi 10 mg/ml-1ml amp 1,168 -
44 Digoksin tablet 0,25 mg tab 97 -
45 Doksisiklin kapsul 100 mg kapsul 268 -
46 Domperidone tab 10 mg tablet 167 -
47 Domperidone syrup botol 19,750 -
48 Efedrin HCI tablet 25 mg tablet 51 -
49 Epinefrina HCI/Bitartrat inj. amp 1,408 15 3 100
50 Eritromisin kapsul kapsul 1,000 -
51 Eritromisin sirup 200 mg/5 ml botol 7,700 -
52 Etakridin (Rivanol) 300 ml botol 3,400 11 6
53 Etakridin (Rivanol) 100 ml botol 2,275 -
54 Etanol 70% 100 ml botol 2,500 -
55 Fenitoin Natrium kapsul 30 mg kapsul 183 -
56 Fenilbutazon 200 mg tablet 143 -
57 Fenol Gliserol TT 10% botol 2,590 -
58 Forasma tab 600mg tab 1,200 -
59 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp 3,417 -
60 Fitomenadion (Vit.K1) tablet 10 mg tablet 710 -
61 Furosemid tablet 40 mg tablet 77 - 400
62 Furosemid inj 10 mg/ml vial 91 -
63 Garam oralit untuk 200 ml air kantong 257 -
64 Gential violet larutan 1% botol 2,500 -
65 Gentamisin/Genoint SM 0,3% 3,5mg tube 2,600 -
66 Gentamisin Sulfat TM 3mg/ml botol 4,000 -
67 Glibenklamid tablet 5 mg tablet 119 500 200 800 500 300
68 Gliseril Guayacolat tablet 100 mg tablet 44 -
69 Gliserin botol 5,333 -
70 Glukosa larutan infus 10% steril botol 5,700 -
71 Glukosa larutan infus 5% steril botol 7,363 -
72 Griseofulvin tablet 125 mg,micronized tab 210 6,400 1,200
75 Hidroklorotiazid (HCI) tablet 25 mg tablet 155 700 500 600
76 Hidrokortison krim 2,5% tube 2,640 - 48 10
77 Ibuprofen tablet 400mg tab 105 -
78 Isosorbid Dinitrat tablet sublingual 5mg tab 88 -
79 Kalium Diklofenak 50mg tablet 778 -
80 Kalsium laktat (kalk) tablet 500mg tablet 63 - 200
81 Kaptopril tablet 12,5mg tablet 62 - 1,000 400 1,000 1,200
82 Kaptopril tablet 25mg tablet 84 -
83 Karbamazepin 200mg tablet 270 -
84 Ketoprofen inj 100mg ampul 5,650 -
85 Ketoconazol tab 200mg tab 270 800 800
86 Ketoconazole 2% krim 10g tube 2,518 -
87 Kloramfenikol kapsul 250mg kapsul 310 -
88 Kloramfenikol suspensi 125mg 7,000 -
89 Kloramfenikol Salep Mata 1% tube 1,810 -
90 Kloramfenikol tetes telinga 3% botol 1,815 -
91 Klorfeniramin maleat (CTM) tablet 4mg tablet 22 1,700 1,400 1,000 700
94 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp 1,050 -
97 Kotrimoksazol Suspensi komb botol 2,190 137 10 5 24
98 Kotrimoksazol tablet komb 480 mg tab 133 1,000 100 200 200 600
99 Kuinin tablet 222mg tab 670 -
100 Kuinin Inj 25% amp 6,200 -
101 Lansoprazol 30mg kapsul 323 -
102 Lidokain Komp. Injeksi, Kombinasi: amp 1,145 20 10
103 Loperamid 2 mg tab 89 -
104 Loratadin 10mg tablet 154 -
105 Metformin tablet 150 400 100 800 300 1,200 600
106 Magnesium Sulfat inj 40%(Otsu MGSO4 40 vial 3,796 -
107 Magnesium Sulfat inj 20%(Otsu MGSO4 20 vial 3328 -
108 Metilergometrin Maleat tablet 0,125mg tab 210 500 200
110 Metilprednisolone 16mg tab 551 -
111 Metoklopramid tab 10 mg tablet 87 200
112 Metronidazol tablet 250 mg tablet 110 -
113 Metronidazol tablet 500mg tablet 160 -
114 Mikonazol krim/salep 2% (nitrat) tube 3,414 -
115 Molasma tab 2,5mg tab 78 -
116 Natrium Bikarbonat tablet 500mg tablet 52 -
117 Natrium Diklofenak 25mg tablet 128 - 500 300 100
118 Natrium Klorida larutan infus 0,9% steril botol 6,410 5 20 2 7
119 Neurohax 500mg tab 1,210 -
120 Nerva 5000 kaplet 3,020 -
121 Nifedipine tablet 110 -
122 Nistatin tablet salut 500.000 IU tab 790 -
123 Nistatin Tablet salut 100.000 IU/g tab 560 400 200 300
124 Ofloxacin 400mg tab sal sel tab 553 250
125 Obat Batuk Hitam (OBH) cairan botol 10,500 83 20 120 30 42
126 Oksitetrasklin HCI salep mata 1% tube 2,059 -
127 Oksitosin injeksi 10 IU/ml-1ml amp 1199
128 Ondansetron 4mg inj amp 1124 3
129 Ondansetron 4mg tab tablet 351 - 300 120
130 Omeprazole 20mg kapsul 130 - 1,000 200 400
131 Paracetamol Syrup 120 mg/5ml botol 1,181 122 50 200 30 40
132 Parasetamol drops botol 5,200 -
133 Paracetamol Tablet 500 mg ( Mirasic ) tablet 880 4,600 2,100 1,700 10,400 5,000
134 Phenobarbital inj amp 1,800 -
135 Phenobarbital 30 mg tablet 65 -
136 Piracetam inj ( Gotropil 3g inj ) amp 26,950 -
137 Pirantel tablet tablet 287 200 200 400
138 Pirantel Syr botol 9,510 -
139 Piridoksin HCI (Vit.B6) tablet 10 mg tablet 131 6,100 1,200 600 1,200
140 Piroxicam 20 mg kapsul 163 300 300 500 100 200
141 Povidon Iodida 10% 30 ml botol 2,163 -
142 Povidon Iodida 10% 300 ml botol 16,500 1
143 Prednisone tablet 5 mg tablet 68 - 10,000 2,500
144 Propiltiouracyl tablet 319 -
145 Primaquin Tab tablet 205 100
146 Ranitidine inj amp 1,140 -
147 Ringer Laktat Larutan infus steril botol 7,630 53 20 5 20
148 RDT DBD test 1,200,000 -
149 RDT Malaria test 1,200,000 -
150 Salbutamol 2mg tablet 63 7,400 300 2,400
151 Salbutamol 2mg/ 5ml syr botol 4,446 -
152 Salep 2-4 , 30g pot 2,000 - 48 12 12
153 Salisil bedak 2% kotak 1,120 -
154 Sefadroxyl 500 mg ( Lostacef ) kapsul 3,190
155 Sefadroxyl syr botol 3,926 -
156 Sefotaxim inj vial 6,012 -
157 Seftriaxone Serbuk Inj 1 g vial 4,708 -
158 Serum anti bisa ular Polivalen inj 5ml (ABU I vial 512,204 3 1
159 Serum Anti Tetanus Injeksi 1.500 IU/ampul ampul 130,999 5 20 5 2
160 Sianokobalamin (Vit. B12) Injeksi 500 mcg- amp 1,035 153 10 35
161 Simetidin tablet tablet 180 -
162 Simvastatin 10mg tablet 205 - 500 100 150
163 Siprofloksasin tablet 500 mg tablet 265 700 200
164 Tetrasiklin HCI kapsul 500 mg kapsul 303
165 Thiamphenikol kap 500 mg kapsul 615 - 500 100 100
166 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1ml amp 1,283 -
167 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 m tablet 85 -
168 Tramadol inj 50mg/ml amp 1,710 -
169 Tramadol kapsul 50mg kapsul 321 -
170 Trihexyphenidil tab 91 -
171 Vaksin Rabies Vero kuur 660,000 2 1
172 Vitamin B komplek tablet tablet 117 -
173 Zinkid 10mg/5ml syr botol 2,972 -
174 Miniaspi 80mg tab 130 -
175 Indanox 300mg kapsul 6,930 -
176 Ponsamic 500mg tablet 1,375 -
177 Maganol tablet 451 -
178 Lopiten 5mg tablet 6,050 -
179 Getidin inj 2 ml amp 20,900 -
180 Wida KN2 mengandung elektrolit(KCL0,3% botol 11,011 -
181 Wida KDN 1 mengandung karbohidrat+elektro botol 11,435 -
182 Alprazolam tab 1mg tab 143 - 200
183 Ibuprofen 200mg/5ml susp 60ml botol 4,465 -
184 Alpara (Pct,dmp,ctm,phenylpropanolamine) kaplet 621 -
185 Akita (pectin 50mg,attapulgite 600mg) tablet 454 -
186 Neocenta gel ( neomycin sulfat 0,5%,placen tube 19,958 -
187 Bevalex cream (betametasone 1mg,neomyci tube 10,300 -
188 Panviton tab tablet 1,435 -
189 Dextral syr botol 8,700 -
190 Neo-Kaominal syr botol 7,200 -
191 Mulsanol syr botol 18,000 -
192 Salesbion plus tablet 1,182 -
193 Selferro tablet 659 -
194 Stimuno sry 60ml botol 20,000 - 48 5 5
195 Stimuno grape sry 60ml botol 20,000 -
196 Dexocort 5%/10g krim tube 7,250 -
Komb.ferro fumarat 60mg+as.folat 0,4mg (
197 Tablet tambah darah ) tab 354 -
198 Cupanol syr 60ml ( parasetamol ) botol 19,800 -
199 Vagizol Ovula 500mg supp tab 3,590 -
200 Propanolol 40mg tab 73 - 200
201 Kaptopril 50mg tab 124 -
202 Betahistine Besilat 6mg tab 110 400 100 500 100 200
203 Metronidazole infus 500mg/100ml botol 8,110 -
204 Spironolactone 25mg tab 195 -
205 Asam Traneksamat inj 100mg/5ml amp 1,945 -
206 Etanol 70 % 1000ml botol 18,700 1 1 5 1 2
207 Natrium Diklofenak 50mg/ Sodium diklofen tab 115 -
208 Clobazam 10mg tab 776 200 200
209 Neo diagon 659mg tab 206 -
210 Asam Tranexamat tab 500mg tab 1,584 -
211 Metoklopramid inj 10 ml/2ml amp 3,960 -
212 Metamizole Sodium Monohidrate 1000mg/2 tab 3,960 -
213 Erytromycin 250mg tab 546 -
214 Zink dispersible tab 524 - 200 100
218 Mineral Mix sacc 2,805 -
219 Guaifenisin tab 145 400 400
220 Neurotropik inj amp 905 -
221 Solatim 500mg tab 1,176 -
222 Molacort tab tab 169 -
223 Betason N Cream 6 g tube 13,475 -
224 Chloramfecort H Cream 10 g tube 12,650 -
228 Parasetamol infus botol 12,389 -
229 Clozapin 25mg tablet 1,121 - 200
230 Omeprazole Inj 40mg vial 10,393 -
231 Risperidon tablet 240 -
232 Ramipril tab 5mg tab 245 500 300 500 200 300
233 Povidon 10 % 100ml botol 6,050 4
234 Alkohol 70 % 300ml botol 6,820 - 24 3 5
235 Ephedrine HCL 50 mg/ml amp 8,569 10
236 Chlodine 0,5% 500ml Handrub botol 82,500 2
237 Chlodine 0,5% 5 liter Handrub Je 550,000 - 2 1
238 Ambroxol generik tablet 180 800 200
239 ancefa ( Cefadroxyl 500mg ) tablet 10,725 -
240 Etamox syr tablet 6,488 108 33 25 25
241 Fluanza tab tablet 200 -
242 Etaflox ( Ciprofloxacin tab 500mg ) tablet 793 500 200 100 200
243 Etaneural ( multivitamin ) tablet 776 -
244 Metilon ( metilprednisolon ) tablet 280 -
245 Metilprednisolone 4 mg metilon tablet 281 - 1,500 400 400
246 Salep Whitefield tube 4,798 116 24 8
248 Tablet Tambah Darah tablet 352 12,840 1,350 300 900
249 Reliv Multivitamin tablet 4,950 1,083 150 663 150
250 Attagip tablet 480 480
251 Coparcetin tablet dewasa tablet 1,334 300 100 400 200 200
252 Coparcetin syr botol 10,000 40 100 35 40
253 Dianos syr botol 18,000 45 100 5 27
254 Deksametasone tablet 0,5mg (Mexon) tablet 500 300
256 Mirafon 396 500 100 800 500
257 Meloxicam tablet 409 200 500 200 250
258 Thiampenicol (Zethatiam) tablet 300
259 Ibuprofen 100mg/5ml susp 60ml botol 4,465 100 5 15
260 Mexon tablet 935 500 100 100
261 Aqua steril 250ml botol 5,984 10 3
262 Becevort tablet 1,548 1,000 200 200
263 Supralisyn botol 27,500 50 15 15
264 X-Gra kaplet 924 80
265 Livron B-Pleks tablet 280 500
266 Maltiron tablet 1,650 800 200
267 Loremid tablet 1,210 500
268 Meloxicam 7,5mg tablet 823 300 150 50
269 Noza tablet 797 200
270 Stimuno Tablet botol 30,000 10 3
271 Termofen Suspensi botol 27,500 50 10
272 Water For Injection 25ml amp 2,650 10 5
273 Becevort Sirup botol 17,366 100 15
274 Herbacof Sirup botol 14,273 48 5 10
275 Ondansetron Tab 8mg tablet 270 300 100 180
276 Azytromicyn Tab tablet 1,595 150
277 Mucos tablet 880 200
OBAT GIGI
278 Devitalisasi pasta (non arsen) Botol 390,000 -
279 Ethyl Clorida spray botol 100,000 -
280 Eugenol cair botol 16,667 1
281 Mummifying pasta/Iodoform Pasta Botol 176,000 1
282 Semen seng fosfat serbuk dan cairan Botol 93,500 -
283 Temporary Stopping Fletcher serbuk dan ca botol 34,000 -
ALAT KESEHATAN
284 Alat Suntik sekali pakai 1 ml set 650 1,900 500
285 Alat Suntik Sekali Pakai 2,5 ml set 888 20 500 20 300
286 Alat Suntik Sekali Pakai 5 ml set 1,038 200 500 200
288 Alat Suntik Sekali Pakai 20 ml set 2,168
289 Catgut/Benang No. 2/0-3/0 set 11,166 46 36 12 12
292 Infusion set anak set 5,100 250 20 18
293 Infusion set dewasa set 4,800 33 50 20
294 IV Catheter No.18 buah 7,000 48 2 6
298 IV Catheter Supercath 5 No.24 buah 15,000 -
302 Handscoon 7 set 6,595 -
303 Handscoon 7,5 set 6,595 50 41 9
304 Handscoon M set 6,000 -
305 Handscoon L set 6,000 -
306 Pembalut Gips rol 23,500 -
307 Plester 5 yard x 2 inch rol 23,625 -
308 Plester 5 cm x 4,5 m rol 23,635 -
309 Plester 4,5 m x 12,5 mm rol 6,000 -
310 Silk (Benang Bedah Sutera) No. 3/0 set 3,055 9
311 Kasa Gulung 15X4 gulung 3,373 -
312 Kasa Kompres 16x16 steril kotak 7,370 122 5 9
313 Kapas pembalut absorben250 mg gulung 25,000 1
314 Kasa Hidrofil 4x 10 cm gulung 607 -
315 Kasa Pembalut 4 cm elastis gulung 10,000 -
316 Urine bag Pcs 5,088 108
317 Aximed Swab 2 Ply Pcs 115 10 8 5 5
318 Aximed Syringe 50 cc set 4,451 -
319 Strip ET Gula set 250,000 -
320 Strip ET Chol set 348,500 -
321 Strip ET Asam Urat set 250,000 -
322 Kertas EKG rol 200,000 -
323 Kertas USG rol 300,000 -
324 Nassal O2 anak 9 oxyflo Pcs 10,000 -
325 Nassal O2 bayi Pcs 10,000 -
326 Nassal O2 dewasa Pcs 10,000 -
327 NGT semua nomor Pcs 150,000 -
328 Film Fuji 24x30 shr-u 24x30 Box 2,967,030 -
329 Film Fuji 30 x 40 SHR -U 30X40 Box 4,717,845 -
330 Fuji Film 35x35 SHR-U 35,6X 35,6 Box 4,500,000 -
331 Fixer LIQUID AUTOMETIC 20L set 950,000 -
332 Developer/ RENDOL DEVELOPER MANUAL set 556,000 -
333 Bunaskan amp 91,200 -
334 Decain Inj amp 81,840 -
337 Propofol Lipuro Fls 120,000 -
338 Terrel 100ml Fls 702,000 -
339 Tramus 5mg amp 111,500 -
340 Albumin 50ml ( plasbumin 25ml/50ml ) Fls 2,212,650 -
341 Blood Lancet box 22,950 - 200 100.00
342 Cover Glass 22x22 box 202,500 -
343 HBSAg Multi Device 100 SD box 3,510,000 -
344 HBSAg Strip Smart box 484,500 -
345 HCG Strip mono box 202,500 -
346 Kartu golongan darah box 50,000 1
347 Lyse 1 L FLS 2,362,500 -
348 Multidrug 3 panel box 2,223,450 -
349 Slide Objek Glass box 130,000 - 144
350 Strip Urine Ferivy Fls 308,000 -
351 Tabung EDTA Pcs 3,400 -
352 Yellow Tip Pcs 500 -
353 Prolene 2/0 hr 26 kode 8833 H 75cm Pcs 4,963 -
354 Prolene 3/0 ds 19 kode 8832 H 75cm Pcs 5,319 -
355 Prolene 4/0 2x hr 26 kode 8831 H 75cm Pcs 5,750 -
356 Prolene 4/0 ds 19 kode W8557 90cm Pcs 7,025 -
357 Safil 0 hr 40s kode 31271 90cm Pcs 176,300 -
360 Safil 3/0 ds 24 kode 31051 70cm Pcs 140,000 -
361 Safil 3/0 hr 26 kode 31081 Pcs 165,300 -
362 Silkam 2/0 hr 26 kode 32161 HR black 75c Pcs 87,300 -
363 Premilene Mesh 5x10 cm kode 31672 5x10 box 725,500 -
364 Premilene Mesh 5x10 cm kode 31671 30x3 box 2,400,000 -
365 Alat cek GD,KOLESTEROL,TRIGLISERIDA set 660,000 -
366 Kapas pembalut absorben 1000 g gulung 100,000 1
367 Plaster 7,5cm x 4,5 m rol 37,371 41 10 2.00 6.00
368 Plaster 2,5cm x 4,5 m rol 12,675 113 10 2.00 12.00
369 Kasa gulung 5X4 gulung 1,500 55 20 10.00 9.00
370 Performa meter set 420,000 -
371 Accu check performa 100 set 453,750 -
372 Accu safe T pro u no.20 set 127,050 -
373 Multidrug 6 panel box 37,286 -
374 Masker surgical face mask tie on Pcs 1,000 -
375 Masker surgical face mask ear loop jilbab pcs 1,000 -
376 Mas surgical cap ( 0/0 ) Pcs 14,400 -
377 Mas nursing cap ( 0/0 ) Pcs 1,320 -
378 Kasa kompres steril 40 x 40 Pcs 1,600 290 12.00
379 One scrub 2% 100ml botol 22,000 -
380 Softpad 60x90 Pcs 4,162 -
381 Aximed iv cath NP Pen type 18 Pcs 6,000 - 100
382 Aximed iv cath NP Pen type 20 Pcs 6,000 - 100
383 Aximed iv cath NP Pen type 22 Pcs 6,000 50 100
384 Aximed iv cath NP Pen type 24 Pcs 6,000 100 100
385 Handscoon churgic gloves size 6,5 set 7,872 -
386 Aximed Swab 4 Ply boks 20,000 12 3.00 2.00
387 Chromic 2/0 75cm,1/2 RC 26mm Pcs 51,622 60 36 12.00 9.00
388 Plain 2/0 75cm, 3/BRC 24mm Pcs 49,042 -
389 Chromic 3/0 75cm, 3/BRC 24mm Pcs 46,627 48 36 9.00
390 Plain 3/0 75cm, 1/2 TP 30mm Pcs 44,267 99 9.00
391 Chromic 3/0 75cm, 1/2 TP 25mm Pcs 44,240 24 9.00
392 Silk 3/0 75cm, 3/8 CC 19mm Pcs 38,559 18
393 Silk 2/0 75cm, 3/8 RC 30mm Pcs 38,065
394 Kasa Hidrofil 40 x 80 cm rol 250,250 1 10
395 Cuticell classic 10cm x 10cm Pcs 5,520 114 2.00 15.00
396 Cuticell classic 10cm x 40cm Pcs 15,600 20 2.00
397 Fixomul 76992 strecth 5cmx 5m pcs 42,800 8 5 2.00 2.00
398 Fixomul 76993 strecht 10cmx 5m pcs 90,000 - 5 1.00
399 Cannula without injection port & wings ( 20 ) pcs 10,000 -
400 Cannula without injection port & wings ( 22 ) pcs 10,000 -
401 Cannula without injection port & wings ( 24 ) pcs 10,000
402 Cannula with inj port snap fit cap & suturabl pcs 12,078 -
403 Infusion set with needle pcs 8,200 37 5.00 5.00
404 Micro Drip Infusion set Pcs 9,200 -
405 Uniflex 15cm x 4,5 m rol 33,700 -
406 Uniflex 7,5 cm x 4,5 m rol 20,300 -
407 Masker headloop box 22,000 -
408 Salmonella IgM Cassete pcs 21,650 50
409 Leukomed IV Film 6x8cm box 138,000 100
410 Cutimed gel 15g tube 52,110 10
414 Alkazym botol 801,000 -
415 Alkazyd 1 L botol 2,702,700 -
416 Aximed Paper tape 2,5 x 9,14 rol 11,583 12 5 2.00
417 Aximed Chirurgic gloves 6,0 set 7,872 150
418 Disp.syringe BD Luer Lock 3ml Pcs 920 100 100
419 Silk ( scimitar ) Pcs 38,559 12
420 stomact touch ( NGT NO 18 ) Pcs 150,000 -
423 Pembalut Gips delta lite conformable rol 100,401 -
424 Benecheck plus blood glucose strip box 160,000 - 5 1.00
425 Benecheck asam urat strip box 150,000 1 5 1.00 1.00
426 Benecheck cholesterol strip box 250,000 - 5 1.00
427 Pot dahak buah 3,000 400
428 Pewarna Ziiehl Nelson botol 214,500 10 5
429 Rivanol 300 ml botol 3,740 5 2.00
430 Bedfont D-Piece Smokerlyzer 12s box 730,000 -
431 Bedfont Steribreath Mouthpiece Smokerlyze box 987,000 -
432 Handscoon 6,5 set 6,595 32 15.00 17.00
433 Handscoon Latex Size S Box 6,000 2 1.00
434 Handscoon Latex Size M Box 6,000 2 1.00
435 Handscoon Latex Size L Box 6,000 2
II OBAT APBD I
2 Amoksilin kapsul 500 mg kaplet 420 -
3 Antasida DOEN I tablet kunyah tablet 72 -
4 Asiklovir kapl 200mg kaplet 198 -
5 Kaptopril 12,5mg tablet 62 -
6 Ketokonazol cr 2% tube 2,569 -
7 Lansoprazole kap 30mg kap 473 -
8 Metilprednisolon tab 8mg tab 150 -
9 Natrium Diklofenak tab 25mg tab 128 -
10 NaCl 0,9% botol 6,410 -
11 Obat Batuk Pilek Kombinasi( Hustab) kaplet 312 -
12 Obat Anti Neuralgia(Neurodial) tablet 1,200 -
13 Parasetamol Syr 120mg/5ml botol 1,107 -
14 Parasetamol tab 500mg tab 53 -
17 Propanolol tab tab 107 -
18 Ringer Laktat lar infus botol 7,150 -
19 Salbutamol inhalasi/ Aerosol 100mcg/dosis botol 63,750 -
20 Salep 2-4 pot 2,000 -
21 Spironolakton 25mg tablet 244 -
22 Aciklofir 400mg tab 192 -
23 Salep Whitefield kotak 115,152 22
24 Urea ( Soft U Derm ) krim 10% tube 3,941 -
25 Neo Diagon 659 mg tablet 206 -
26 Reliv Multivitamin tablet 4,950 -
27 Griseovulvin 500 mg tablet -
28 Metformin 500mg tablet 150 200
29 Kapas pembalut 100g gulung 7,275 5
30 Furosemid 40mg tablet 80 -
31 IV Cateter No. 18 buah 7,000 95
ALAT KESEHATAN
32 Alat Suntik Sekali Pakai 2,5 ml pcs 12,000
33 Handscoon 7 set 8,500
34 Handscoon 7,5 set 7,692 -
35 Infus Set anak pcs 5,600
36 Infus Set Dewasa pcs 3,200
40 Kassa Steril 16 x 16 cm ktl/lmbr 5,800
41 Kasa Kompres Steril 40 x 40 cm pcs 1,579
42 Kasa Pembalut Hidrofil 4 x 15 cm roll 2,100
43 Kasa Pembalut 4x10cm roll 607
44 Masker Pcs 756
45 Urin Bag pcs 6,036
46 Kasa hidrofil 40 yard x 80 cm roll 255,750
47 Hidrogel wound dressing pcs 29,000
48 Iodine Povidone botol 6,550
49 Ciprofloxacin kap kap 240
50 Chloramex- Kloramfenikol 500mg kap 1,007
51 Glimepirid 3mg tab 319
52 Ibuprofen 400mg tab 102
53 Loperamid 2mg tab 80
54 Metoklopramid 10mg tab 90
55 Nifedipine tab 110
56 Omeprazole 20mg kap 140
57 Prednisone tab 96
58 Simvastatin 20mg tab 813
59 Etanol 70 % 300ml botol 21,500
60 Aminophylin tab 200mg tablet 91
61 Metformin 500mg tablet 100 200
62 Alkohol swab pcs 170
63 Cutgut plain 2/0 set 5,583
64 Cutgut chromic 3/0 set 5,583
65 Kapas pembalut 100g gulung 7,275
66 Kasa hidrofil 4x 5 cm roll 760
67 Spuit 5 cc pcs 8,000
69 Haloperidol 1,5mg tab 69
70 Furosemid 40mg tab 80
71 Kaptopril 25mg tab 80
72 Etanol 70 % 1000ml botol 21,500
73 Bacitracin+polimicsin salep tube 3,035
74 Salisil bedak 2% 50g kotak 1,020
75 Klorpheniramin Maleat ( CTM ) tab 36
76 Decacetine / Kloramphenikol TM botol 3,250
77 Dexametasone tablet tablet 32
78 Ephineprine ( Adrenaline ) inj 0,1 % amp 1,408
79 Gentamisin Salep Mata 0,3% tube 2,675
80 Lidocain inj amp 1,145
81 Oxyticin inj 10 IU/ ml amp 1,199
82 Salbutamol tab tablet 63
83 Kassa Steril 3 yard x 15 cm ktk/roll 1,577
84 Underpads pcs 8,268
III BRANDED
1 Bricasma turb 0,5 mg box 71,100 -
2 Curcuma syr botol 10,500 -
3 Metroklopramid inj amp 9,000 -
4 Kombinasi Metampiron dan vit B ( Goralgin tablet 1,315 -
5 Metoklopramid tablet 1,000 -
6 Multivitamin ibu hamil dan menyusui (Ironyl) tablet 2,308 -
7 Multivitamin anak komb. Probiotik+DHA (Dha Botol 27,300 -
8 Multivitamin anak komb.mengandung lysin botol 12,000 -
9 Multivitamin Plus DHA Sirup (bionick plus) Botol 18,700 -
10 Neurotropik Plus Vit E Tablet (neurovit-E) Tablet 924 -
11 Neurotropik Injeksi (bioneuron inj) Ampul 4,341 -
12 Obat Antibiotik Kombinasi (miraclav) Tablet 13,200 -
13 Obat Batuk Flu kombinasi anak ( Protexinal botol 8,200 -
14 Obat Flu Sirup (febrinex susp) Botol 15,855 -
15 Obat Batuk Flu kombinasi dewasa (Protexina tablet 410 -
16 Obat Flu Tablet Dewasa ( Flutab ) tablet 713 -
17 Obat Batuk Pilek Tablet (noza) Tablet 399 -
18 Obat Diare Tablet (nodiar) Tablet 924 -
19 Obat Gangguan Cerna/Multienzim (progastri Tablet 303 -
20 Obat Infeksi Kulit dan Peradangan (Chloram Tube 10gr 9,955 -
21 Pulmicort turb 200 box 93,000 -
22 Symbicort turb 160 dos box 117,600 -
23 Thiamphenicol 500 mg kapsul 4,200 -
24 Ulsafate / Sukralfat Susp 500mg/5ml botol 13,424 -
25 Vitamin Penambah Asi (asifit) Tablet 1,584 -
26 Vitamin Peningkat Sistem Imun (fituno) Kapsul 3,014 -
27 Ventolin/Salbutamol inhalasi botol 63,750 -
28 Zincpro drops 15 ml botol 12,840 -
IV OBAT PROGRAM
1 ACT (Arthesunate+Amodiaquin) tab Tablet 1,375 -
2 Arthemeter inj 1 ml : 80 mg Ampul 25,490 -
3 Benzatin benzil penicillin injeksi Vial 8,935 -
4 Calcii Glukonas Ampul 7,800 -
5 Copper T ( Andalan) Pcs 17,710 -
6 DHP ( Dehidro Artemycin + Piperaquin) Tablet 2,160 -
7 Garam oralit untuk 200 ml air kantong 264 3,300 700
8 Gentamicyn Injeksi Ampul 3,090 -
9 Magnesium Sulfat 40 % Vial 2,629 -
11 Mineral Mix Sacc 2,805 -
12 Natrium Tiroksin Tablet 1,694 -
13 Obat Anti Tuberculosis kat. 1 Paket 374,384 6
14 Obat Anti Tuberculosis kat. 2 Paket 1,247,980 -
15 Obat Anti Tuberculosis anak Paket 214,990 -
16 OAT Kombipak Kategori 1 Paket 288,199 -
17 Phenobarbital injeksi 50 mg/ml ampul 1,800 -
18 Phytomenadion inj 2mg/ml amp 3,417 -
19 Prokain Benzil Penisillin Vial 7,190 -
22 Tablet Tambah Darah tablet 352 12,030
23 Quinin inj amp 6,200 -
24 Zink Tablet 474 -
25 Oxytosin inj 40% amp 2,200 -
26 Primakuin tab tablet 224 -
27 Ampicillin serbuk inj 1000mg/ml Vial 9,500 -
28 Oxytetrasiklin SM 1% ( HCL ) tube 2,059 26
29 Arthesunate inj , vial 60mg Vial 57,585 -
30 PP-INH (Pengobatan Pencegahan Dengan I tablet
31 Parasetamol ( Farmadol ) Tablet 300 -
32 Masker medis earloop multione plus boks 100 4
33 Apd Level 3 pcs -
34 Apd Level 3 Kemensos set -
35 Alat Pelindung Diri (APD) level 1 set 175,000 -
36 Astavit tablet tablet 3,849 30
37 BD Gard tab tablet 1,030 150
38 Termogun set 1
39 Cito Swab pcs 200
40 Face Shield Dewasa pcs 20,000 20
41 Masker N 95 pcs 21,500 10
42 Masker KN 95 pcs 21,500 25
43 Zegavit Tab tablet 3,920 205
44 Masker Medis headloop book 2
45 Blood Lancet book 1
46 Handscoon M book -
47 Rapit Antigen pcs 135,000 25
V VAKSIN
1 HB 0-7 20,900 0
2 MR 141,648 0
3 Polio 18,140 0
4 Td 16,500 0
5 DPT-HB-Hib 71,810 0
6 BCG 60,140 0
7 Pentavalen 0
8 IPV 0
9 Spuit 0,05 ml 0
10 Spuit 0,5 ml 0

NIP. 19870305 200902 1 002 NIK. 08.2.21015
LAPORAN TAHUNAN PENERIMAAN OBAT & ALKES PKM CANDRA MUKTI (2021)
OBAT ALKES JUMLAH

JANUARI 19,386,149 11,325,906 30,712,055
FEBRUARI 17,682,488 2,498,500 20,180,988
MARET 14,496,740 0 14,496,740
APRIL 24,040,324 6,455,650 30,495,974
MEI 0 2,395,500 2,395,500
JUNI 0 2,395,500 2,395,500
JULI 26,189,985 59,005,164 85,195,149
AGUSTUS 0 12,103,500 12,103,500
SEPTEMBER 0 0 0
OKTOBER 0 0 0
NOVEMBER 27,769,584 36,520,035 64,289,619
DESEMBER 11,587,342 36,000 11,623,342
TOTAL PENERIMAAN 273,888,367

Lplpo Jan-Des 2021 (BPK)

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Lplpo Jan-Des 2021 (BPK)

Uploaded by

Copyright:

Available Formats

LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT ( JANUARI 2021 )

PUSKESMAS NON RAWAT INAP CANDRA MUKTI

1 Allopurinol tablet 100 mg tab 110 2,300 253,000 - 2,300 700

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

JANUARI FEBRUARI MARET

MENGETAHUI YANG MELAPORKAN

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - -

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

APRIL MEI JUNI

255 ALAT KESEHATAN

MENGETAHUI YANG MELAPORKAN

A. Sobri Lakoni, Amd. Kep Dila Yuni Antika, Amd. F

198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - -

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

JULI AGUSTUS SEPTEMBER

MENGETAHUI YANG MELAPORKAN

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

11,000 400 44,000

198 Cupanol syr 60ml ( parasetamol ) botol 19,800 - - - - - -

TOTAL PENERIMAAN Rp 128,579,238

Muslam Aziz, S. Kep Dila Yuni Antika, Amd. F

HARGA OKTOBER NOVEMBER DESEMBER

MENGETAHUI YANG MELAPORKAN

OBAT ALKES JUMLAH

TOTAL PENERIMAAN 273,888,367

You might also like