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LAPORAN JANUARI

LPLPO PUSTU POLINDES


LAP PSIKOTROPIK TOTAL PEMAKAIAN
TANGGAL
1 11 21
2 12 22
3 13 23
4 14 24
5 15 25
6 16 26
7 17 27
8 18 28
9 19 29
10 20 30
31

BACK
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT PUSKE

KODE PUSKESMAS NO KODE PUSKESMAS BULAN


PUSKESMAS NAMA PUSKESMAS TAHUN
KECAMATAN NAMA KECAMATAN
KABUPATEN / KOTA KUBU RAYA
HOME
SATUAN / STOK PENERI PERSE PEMAK
NO NAMA OBAT
KEMASAN AWAL MAAN DIAAN AIAN

1 ALOPURINOL TABLET 100 MG TABLET


2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABUVIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT
211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DROP BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI H BOTOL
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL
373 LARUTAN SALMONELLA PARATYPHI O BOTOL
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS
380 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427
428
429
VAKSIN
430 VAKSIN POLIO VIAL
431 VAKSIN CAMPAK VIAL
432 VAKSIN BCG VIAL
433 VAKSIN DPT HB HIB / PENTABIO VIAL
434 VAKSIN DPT HB UNIJECT / HB O VIAL
435 VAKSIN TT VIAL
436 VAKSIN TD VIAL
437 VAKSIN DT VIAL
438 SAFETY BOX PCS
439 HEPATITIS B 0,5ML ADS VIAL
440 ADS 0.05 ML PCS
441 ADS 0.5 ML PCS
442 ADS 5 ML PCS
443 POLIO PIN VIAL
444 VAKSIN POLIO BOPV VIAL
445 VAKSIN IPV VIAL
446 VAKSIN MENINGITIS 200 Mcg VIAL
447 VAKSIN DPT HB UNIJECT DEWASA PCS
448 VAKSIN MEASLES AND RUBELLA VIAL
449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL

UMUM
BPJS JUMLAH
JUMLAH KUNJUNGAN RESEP TIDAK BAYAR
BAYAR

Mengetahui / Menyetujui Mengetahui Yang Meminta / Melapor


Kepala Seksi Farmasi Kepala Puskemas Petugas Obat Puskesmas

DINA RISTIANTI, S.Si., Apt NAMA KAPUS NAMA PETUGAS OBAT


NIP. 19821002 200604 2 014 NIP KAPUS NIP PETUGAS OBAT
N OBAT PUSKESMAS

1 Terima
2020 No. Dok
Input
B.A

SISA
PENGELUARAN TANGGAL
STOK 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0

- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
- 0
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- 0
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- 0
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- 0

- 0
- 0
- 0
- 0
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- 0
- 0
- 0
- 0
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- 0
- 0

ang Meminta / Melapor


Yang Menyerahkan
etugas Obat Puskesmas
Petugas IFK Kubu Raya

AMA PETUGAS
HERUOBAT
TOPO SUSILO, Amd. Farm
NIP PETUGASNIP.19740909
OBAT 200604 1 007
19 20 21 22 23 24 25 26 27
28 29 30 31
LAPORAN PENGGUNAAN OBAT PSIK

NAMA PUSKESMAS NAMA PUSKESMAS


ALAMAT
TELP
HOME
SALDO
NO NAMA OBAT SATUAN
AWAL
1 2 3 4
1 ALPRAZOLAM TABLET 0,5 MG TABLET -
2 CLOBAZAM TAB 10 MG TABLET -
3 DIAZEPAM TABLET 2MG TABLET -
4 DIAZEPAM TABLET 5 MG TABLET -
5 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET -
6 DIAZEPAM INJ.5MG/ML-2ML AMPUL -
7 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL -
8
9

Kepala Puskesmas

NAMA KAPUS
NIP KAPUS
GUNAAN OBAT PSIKOTROPIKA

BULAN : JANUARI
TAHUN : 2020

PEMASUKAN PENGGUNAAN SALDO


DARI JUMLAH UNTUK JUMLAH AKHIR
5 6 7 8 9
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -

Penanggung Jawab

NAMA PETUGAS OBAT


NIP PETUGAS OBAT
PEMERIAN PUSTU/POLINDES
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 5 TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 M TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1M AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG- AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 M VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG. AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT POT
211 SERUM ANTI BISA ULAR POLIVALEN INJ 50 VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DROP BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBIO TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUBE NO. PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI H BOTOL
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL
373 LARUTAN SALMONELLA PARATYPHI O BOTOL
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS
380 REAGEN TEST CHLONESTERASE BCHE (DIGI BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427
428
429
VAKSIN
430 VAKSIN POLIO VIAL
431 VAKSIN CAMPAK VIAL
432 VAKSIN BCG VIAL
433 VAKSIN DPT HB HIB / PENTABIO VIAL
434 VAKSIN DPT HB UNIJECT / HB O VIAL
435 VAKSIN TT VIAL
436 VAKSIN TD VIAL
437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS


441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL


PUSTU
PUSTU/POLINDES
JUMLAH

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT
211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DROP BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI H BOTOL
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL
373 LARUTAN SALMONELLA PARATYPHI O BOTOL
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS
380 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL


NOMOR RESEP
JUMLAH

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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
0
0
0
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0
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0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
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0
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0
0
0
0
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0
0
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0
0
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0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
0
0
0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
0 ergotamin : 1 R7
0 natrium diklofenak : 10 R11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
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0
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0
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0
0
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0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0 batas
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
0
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0
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0
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0
0
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0
0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
0
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0
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0
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0
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0
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0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
0
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0
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0
0
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0
0
0
0
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0
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0
0
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0
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0
0
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0
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0
0
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0
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0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 M TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 M TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,125 M TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.5 TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1M AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1 AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPU AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MC AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT POT
211 SERUM ANTI BISA ULAR POLIVALEN INJ 5 VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DROP BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBI TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUBE NO PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN CAIRA BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI H BOTOL
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL
373 LARUTAN SALMONELLA PARATYPHI O BOTOL
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS
380 REAGEN TEST CHLONESTERASE BCHE (DIG BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE (FOKUS STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL


NOMOR RESEP
JUMLAH

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
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0
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0
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0
0
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0
0
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0
0
0
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0
0
0
0
0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
0
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0
0
0
0
0
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0
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0
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0
0
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0
0
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0
0
0
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0
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0
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0
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0

0
0

0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

0
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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN
1 ALOPURINOL TABLET 100 MG TABLET
2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 2 TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 5 TABLET
12 ANTASIDA DOEN TABLET KOMB. (100 TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 M TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 TABLET
51 KALIUM DIKLOFENAK TABLET 50 M TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TA TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFAD TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRI TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,1 TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABL TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA T TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,2 AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN IN VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISI PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10 BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3 BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BE POT
211 SERUM ANTI BISA ULAR POLIVALEN VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/M BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DRO BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TA TABLET
264 VITAMIN NEUROTROPIK 5000 MG (ME TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/ SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 G BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSE BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUB PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI BOTOL
371 LARUTAN SALMONELLA PARATYPHI BOTOL
372 LARUTAN SALMONELLA PARATYPHI BOTOL
373 LARUTAN SALMONELLA PARATYPHI BOTOL
374 LARUTAN SALMONELLA PARATYPHI BOTOL
375 LARUTAN SALMONELLA PARATYPHI BOTOL
376 LARUTAN SALMONELLA PARATYPHI BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/ PCS
380 REAGEN TEST CHLONESTERASE BCHE BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE ( STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRA VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL

438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (H VIAL


NOMOR RESEP
JUMLAH

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0
RESEP HARIAN PUSKESMAS
PUSKESMAS :
HARI :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN

1 ALOPURINOL TABLET 100 MG TABLET


2 ALPRAZOLAM TABLET 0,5 MG TABLET
3 AMBROXOL TAB. 30 MG TABLET
4 AMINOFILIN TABLET 200 MG TABLET
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET
6 AMLODIPIN 10 MG TABLET
7 AMLODIPIN 5 MG TABLET
8 AMOKSISILIN KAPSUL 250 MG CAPSUL
9 AMOKSISILIN KAPSUL 500 MG CAPSUL
10 AMPISILINA 500 MG TAB TABLET
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET
15 ASAM MEFENAMAT 500 MG KAPLET
16 ASAM TRANEXAMAT TAB 500MG TABLET
17 ASETOSAL TABLET 100 MG TABLET
18 ASETOSAL TABLET 500 MG TABLET
19 ASIKLOVIR TABLET 200 MG TABLET
20 ASIKLOVIR TABLET 400 MG TABLET
21 BETAHISTIN MALEAT TABLET
22 CEFADROXIL TABLET 500 MG TABLET
23 CIPROFLOXACIN 500 MG TABLET
24 CITRIZINE TABLET 10 MG TABLET
25 CLOBAZAM TAB 10 MG TABLET
26 CLOPIDOGREL 75 MG TABLET
27 CO AMOXICLAV 625 MG TABLET
28 DEXAMETASON TAB.0,5MG TABLET
29 DIAZEPAM TABLET 2MG TABLET
30 DIAZEPAM TABLET 5 MG TABLET
31 DIGOKSIN TAB. 0,25 MG TABLET
32 DOKSISIKLIN 100 MG CAPSUL
33 DOMPERIDON TAB 10 MG TABLET
34 EFEDRIN HCL TABLET 25 MG TABLET
35 ERYTROMISIN 250 MG CAPSUL
36 ERYTROMISIN 500 MG KAPLET
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET
39 FUROSEMID TAB.40 MG TABLET
40 GARAM ORALIT UNTUK 200 ML BUNGKUS
41 GLIBENKELAMID TABLET 5 MG TABLET
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET
43 GRISEOFULVIN TAB. 125 MG TABLET
44 HALOPERIDOL TABLET 0.5 MG TABLET
45 HALOPERIDOL TABLET 1.5 MG TABLET
46 HALOPERIDOL 2 MG TABLET
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET
48 IBUPROFEN TABLET 200 MG TABLET
49 IBUPROFEN TABLET 400 MG TABLET
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET
53 KAPTOPRIL 12,5 MG TABLET
54 KAPTOPRIL 25 MG TABLET
55 KAPTOPRIL 50 MG TABLET
56 KARBAMAZEPIN TAB.200 MG TABLET
57 KETOKONAZOLE TAB 200 MG TABLET
58 KLINDAMSIN 150 MG TABLET
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET
61 KLOROKUIN TAB. 150 MG TABLET
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 TABLET
65 KOTRIMOKSAZOL TABLET 480 MG TABLET
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET
67 KUININ SULFAT TAB.222 MG TABLET
68 LANSOPRAZOL KAP 30 MG CAPSUL
69 LOPERAMIDE HCL 2 MG TABLET
70 LORATADINE TAB 10 MG TABLET
71 METFORMIN 500 MG TABLET
72 METHYL PREDNISOLON TAB 4 MG TABLET
73 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET
74 METOKLOPRAMID 10 MG TABLET
75 METRONIDAZOL TAB 500 MG TABLET
76 METRONIDAZOL TAB.250 MG TABLET
77 NATRIUM BICARBONAT TABLET TABLET
78 NATRIUM DIKLOFENAK 25 MG TABLET
79 NATRIUM DIKLOFENAK 50 MG TABLET
80 NIFEDIPINE 10 MG TABLET
81 NISTATIN SALUT 500.000 IU TABLET
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET
83 OMEPRAZOL KAP 20 MG CAPSUL
84 PARASETAMOL TAB.100 MG TABLET
85 PARASETAMOL TAB.500 MG TABLET
86 PIRACETAM TAB. 400 MG KAPLET
87 PIRACETAM TAB. 800 MG KAPLET
88 PIRANTEL TABLET 125 MG TABLET
89 PIRIDOKSIN HCL TAB. 10 MG TABLET
90 PIROXICAM 10 MG TABLET
91 PIROXICAM 20 MG TABLET
92 PREDNISON TAB.5 MG TABLET
93 PRIMAKUIN TAB.15 MG TABLET
94 PROPANOLOL HCL TABLET 10 MG TABLET
95 PROPANOLOL HCL TABLET 40 MG TABLET
96 PROPILTIOURASIL TABLET 100 MG TABLET
97 RANITIDINE TABLET 150 MG TABLET
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL
100 RIFAMPICIN 450 MG CAPSUL
101 RIFAMPICIN 600 MG KAPLET
102 RISPERIDON TAB 2 MG TABLET
103 SALBUTAMOL 4 MG TABLET
104 SALBUTAMOL 2 MG TABLET
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET
106 SIMETIDIN TABLET TABLET
107 SIMVASTATIN TAB. 10 MG TABLET
108 TABLET TAMBAH DARAH KOMB. TABLET
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL
111 THIAMPHENICOL KAP. 500 MG CAPSUL
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET
113 TRAMADOL KAPSUL 50 MG CAPSUL
114 TRIFLUOPERAZIN 5 MG TABLET
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET
116 VITAMIN B COMPLEKS TAB TABLET
117 ZINC TABLET TABLET
118 AMBROXOL SYR 15 MG/ML BOTOL
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL
120 ANTASIDA DOEN SUSPENSI BOTOL
121 CITRIZINE SYRUP BOTOL
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL
123 ERYTROMISIN SYRUP BOTOL
124 IBUPROFEN SUSPENSI BOTOL
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL
126 PARASETAMOL DROP BOTOL
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL
128 THIAMFENICOL SYR BOTOL
129 ZINK SYRUP BOTOL
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL
131 AMPISILINA SERBUK INJ 1GR VIAL
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL
133 ASAM TRANEXAMAT INJ AMPUL
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL
135 DEXTROSE 5 + 1/4 NS BOTOL
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL
142 FUROSEMID INJ 10 ML AMPUL
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL
146 HALOPERIDOL INJEKSI AMPUL
147 KETOPROFEN INJEKSI 100 MG AMPUL
148 KETOROLAC INJEKSI 30 MG AMPUL
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL
151 LIDOKAIN INJ. 2% AMPUL
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL
158 PIRACETAM INJ 1 GR AMPUL
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL
161 SEFOTAKSIM INJEKSI 0,5 G VIAL
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (A VIAL
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (AT AMPUL
165 SERUM ANTI DIFTERI 20000 UI VIAL
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL
167 TRAMADOL INJEKSI 50 MG/ML AMPUL
168 ANTI BAKTERI DOEN SALEP POT
169 ASIKLOVIR KRIM TUBE
170 BETAMETASON KRIM 0,1 % TUBE
171 BISAKODIL SUPPOSITORIA 5 MG SUPP
172 DIAZEPAM RECTAL 10 MG TUBE
173 BISOPPROLOL TAB 5MG TABLET
174 DILTIAZEM TABLET
175 ASAM FOLAT 1 MG TABLET
176 SULFASALAZINE TABLET
177 GLICLAZID TABLET
178 GEMFIBROZIL KAPLET
179 GLIMEPIRID TABLET
180 MELOXICAM 15 TABLET
181 KODEIN TABLET TABLET
182 ISONIAZID TAB 300 MG TABLET
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE
186 GENTIAN VIOLET LARUTAN 1 % BOTOL
187 HIDROKORTISON KRIM 2,5% TUBE
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL
190 KETOKONAZOLE KRIM 2 % TUBE
191 KLORAMFENIKOL SALEP MATA 1% TUBE
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL
194 MIKONAZOLE SALEP TUBE
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE
197 SALEP 2-4 KOMB. POT
198 SALISIL BEDAK 2 % KOTAK
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL
200 ANTI HAEMOROID DOEN SUPP
201 OAT/FDC KAT I KOTAK
202 OAT/FDC KAT II KOTAK
203 OAT/FDC KAT anak KOTAK
204 DEC 100mg tablet TABLET
205 ALBENDAZOLE TABLET 400mg KOTAK
206 PROKAIN BENZIL PENISILIN VIAL
207 GENTAMISIN INJ 40ml AMPUL
208 GLUKONAS KALSIKUS 10% AMPUL
209 MINERAL MIX KOTAK
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT
211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL
212 STREPTOMYCIN INJ. 1000MG VIAL
213 ASAM FOLAT 0,4 MG TABLET
214 GENTAMICYN SALEP MATA TUBE
215 SUCRALFAT SIRUP BOTOL
216 BROMHEXIN 8 MG TABLET
217 METFORMIN 850 MG TABLET
218 KLINDAMYCIN 300 MG TABLET
219 DULCOLAX 10 MG SUPP SUPP
220 N ACETYLCYSTEIN 200 MG CAPSUL
221 ISONIAZID TAB 100 MG TABLET
222 MDT COMBI ADULT (KUSTA) STRIP
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL
224 AZITHROMYCIN 500 MG TABLET
225 MULTIVITAMIN TABLET TABLET
226 THROMBO ASPILETS TABLET
227 VENTOLIN NEBU AMPUL
228 SCABIMITE KRIM TUBE
229 BRONSOLVAN TABLET
230 AMINOFLUID BOTOL
231 ASERING BOTOL
232 COMBIVEN NEBU BOTOL
233 ATROVENT SPRAY BOTOL
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL
235 AQUA GEL BOTOL
236 ARTEM INJ AMPUL
237 CITICOLLIN INJ AMPUL
238 KANDISTATIN DROPS BOTOL
239 ONDANCENTRON 4MG INJ AMPUL
240 PEHACAIN INJ AMPUL
241 HALOPERIDOL DROP/LODOMER DROP BOTOL
242 ZIRCUM KID DROP BOTOL
243 OBAT BATUK HITAM SYRUP BOTOL
244 MULTI VITAMIN SYRUP BOTOL
245 BISOLVON DROP BOTOL
246 AQUA PRO INJEKSI VIAL
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL
248 ETANOL 70 % 300 ML BOTOL
249 ETHIL KLORIDA SEMPROT BOTOL
250 EUGENOL CAIRAN BOTOL
251 SAMCOBION CAPSUL
252 ETANOL 70% 1 LITER BOTOL
253 OBAT BATUK SIRUP KOMBINASI BOTOL
254 RAPID HIV 1 SD SET
255 RAPID 2 HIV INTEC SET
256 RAPID 3 HIV ONCOPROBE SET
257 PYRIMETHAMIN 25 MG TAB TABLET
258 DHP/OAM TABLET
259 ARTESUNATE INJ.250 MG AMPUL
260 EUTHYROX 100 UG TABLET
261 CAMABION KAPSUL CAPSUL
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL
266 KLORAMFENICOL 500 MG CAPSUL
267
268
BMHP
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET
273 BISTURI NO. 12 (carbon steel capel) KOTAK
274 BLOOD LANCET KOTAK
275 BOX SLIDE PCS
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET
277 FOLLEY CATHETHER NO.12 PCS
278 FOLLEY CATHETHER NO.16 PCS
279 FOLLEY CATHETHER NO.18 PCS
280 HAND SCHOEN L NON STERIL KOTAK
281 HAND SCHOEN M NON STERIL KOTAK
282 HAND SCHOEN S NON STERIL KOTAK
283 HAND SCHOEN L STERIL PCS
284 HAND SCHOEN M STERIL PCS
285 HAND SCHOEN S STERIL PCS
286 HAND SCHOEN OBSETRIKAL PCS
287 INFUS SET ANAK PCS
288 INFUS SET DEWASA PCS
289 IV CATHETER NO. 18 PCS
290 IV CATHETER NO. 20 PCS
291 IV CATHETER NO. 22 PCS
292 IV CATHETER NO. 24 PCS
293 IV CATHETER NO. 26 PCS
294 JARUM KULIT PCS
295 JARUM OTOT PCS
296 KACA SLIDE KOTAK
297 KAPAS ADSORBEN 500 GR BUNGKUS
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS
299 KASA KOMPRES 40/40 STERIL ROL
300 KASA PEMBALUT 2M X 80 CM ROL
301 KASA PEMBALUT 36 X 80 CM ROL
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL
304 KASA STERIL 16 X 16 HK KOTAK
305 LARUTAN ANISOL BOTOL
306 LARUTAN EDTA 100 ml BOTOL
307 LARUTAN EOSIN 2 % BOTOL
308 LARUTAN GIEMSA STAIN BOTOL
309 LARUTAN H2O2 BOTOL
310 LARUTAN HCL 0,1 N BOTOL
311 LARUTAN HAYEM BOTOL
312 LARUTAN KARBOL FUKSIN BOTOL
313 LARUTAN METANOL BOTOL
314 LARUTAN REAGENT ANTI A BOTOL
315 LARUTAN REAGENT ANTI AB BOTOL
316 LARUTAN REAGENT ANTI B BOTOL
317 LARUTAN REAGENT ANTI D BOTOL
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL
319 LEUCOPLAST 7.5 CM X 5 CM ROL
320 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS
321 MASKER KARET KOTAK
322 MASKER TALI KOTAK
323 NEEDLE 23 PCS
324 NEEDLE 24 PCS
325 PLASTER 5 YARD X 2 INCH ROL
326 RAPID TES PROTEIN KOTAK
327 RDT TYPUS KOTAK
328 SELANG OKSIGEN ANAK PCS
329 SELANG OKSIGEN BAYI PCS
330 TEST DENGUE DEVICE KOTAK
331 TEST HBsAG STRIP KOTAK
332 TEST HCG STRIP KOTAK
333 TEST MALARIA DEVICE KOTAK
334 TEST URINE TRIP 10 PARAMETER KOTAK
335 THREE WAY BUAH
336 ULTRASOUND GEL 250 ML BOTOL
337 UNDERPAD BUNGKUS
338 URINE BAG PCS
339 AIR RAKSA DENTAL USE BOTOL
340 ARTICULATING PAPER KOTAK
341 BONDING SINGLE BOND BUAH
342 CELLULOID STRIP BUAH
343 COMPOSITE PASTE (SOLARE) BUAH
344 ETCHING BUAH
345 FUJI 9 ART (MINI) BUAH
346 FUJI II LC BUAH
347 FUJI IX GC BUAH
348 FUJI VII GC WHITE BUAH
349 MATRIX ROLL + MATRIX BOND BUAH
350 MICRO BRUSH BUAH
351 OCHO BUAH
352 SALIVA EJECTOR BUAH
353 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH
354 SILVER AMALGAM SERBUK 65-75% BUAH
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH
356 TABUNG VENOJECT EDTA BUAH
357 MASKER RESPIRATOR BUAH
358 PIPET TETES BUAH
359 THERMAROL BUAH
360 LIPID PANEL TEST BUAH
361 ALKOHOL SWAB BUAH
362 LYSOL BOTOL
363 JARUM AUTO CLICK PCS
364 ALAT SUNTIK 0.05ML PCS
365 ALAT SUNTIK 0.5ML PCS
366 DIAMOND BOOR SET M BUAH
367 DIAMOND BOOR SET S BUAH
368 FEEDING TUBE BUAH
369 FISURE LANCIP LONG BUAH
370 LARUTAN SALMONELLA PARATYPHI H BOTOL
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL
373 LARUTAN SALMONELLA PARATYPHI O BOTOL
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL
377 SUAB TENGGOROKAN BOTOL
378 SELANG OKSIGEN DEWASA BUAH
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS
380 REAGEN TEST CHLONESTERASE BCHE (DIGITAL BOTOL
381 POLIFIX 5 CM X 5 CM ROL
382 CATGUT PLAIN 2/0 BUNGKUS
383 POLIBAN 5 CM X 2.7 M ROL
384 CATGUT PLAIN 3/0 PCS
385 CATGUT CROM 3/0 PCS
386 SABUN ANTI SEPTIK (DETTOL) BOTOL
387 POT SPUTUM BOTOL
388 VERORAB REGULAR VIAL
389 INFUS SET TIPE Y PCS
390 CHOLESTEROL TEST PCS
391 GLUCOSE TEST STRIP 50'S PCS
392 URIC ACID STRIP PCS
393 POLIFIX 10 CM X 5 CM PCS
394 TEST HIV SET
395 LARUTAN ICON OS BOTOL
396 CYNOFF LITER
397 RDT MALARIA PCS
398 ABATE BOTOL
399 LARVASIDA ABATE KOTAK
400 INSEKTISIDA GOKILATH BOTOL
401 SOFRATULLE/FRAMICETINE KOTAK
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL
403 TEST AMPHETAMIN STRIP KOTAK
404 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP
405 TEST RPR (SEPHILIS) STRIP
406 HAND RUB BOTOL
407 MASKER KARET HIJAB KOTAK
408 FEEDING TUBE NO. 6 PCS
409 FEEDING TUBE NO. 8 PCS
410 STOMACH TUBE NO. 16 PCS
411 TEST HAEMOGLOBIN STRIP KOTAK
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL
413 KETAC UNIVERSAL PCS
414 KETAC MOLAR PCS
415 CARVIT RF BOTOL
416 FILTEX Z250 PCS
417 TRICRESOLFORMALINA KOTAK
418 HAND SCHOEN STERIL UK.6 PCS
419 HAND SCHOEN STERIL UK.6,5 PCS
420 HAND SCHOEN STERIL UK.7 PCS
421 HAND SCHOEN STERIL UK.7,5 PCS
422
423
424
425
426
427

428

429
VAKSIN

430 VAKSIN POLIO VIAL

431 VAKSIN CAMPAK VIAL

432 VAKSIN BCG VIAL

433 VAKSIN DPT HB HIB / PENTABIO VIAL

434 VAKSIN DPT HB UNIJECT / HB O VIAL

435 VAKSIN TT VIAL

436 VAKSIN TD VIAL

437 VAKSIN DT VIAL


438 SAFETY BOX PCS

439 HEPATITIS B 0,5ML ADS VIAL

440 ADS 0.05 ML PCS

441 ADS 0.5 ML PCS

442 ADS 5 ML PCS

443 POLIO PIN VIAL

444 VAKSIN POLIO BOPV VIAL

445 VAKSIN IPV VIAL

446 VAKSIN MENINGITIS 200 Mcg VIAL

447 VAKSIN DPT HB UNIJECT DEWASA PCS

448 VAKSIN MEASLES AND RUBELLA VIAL

449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL


NOMOR RESEP
JUMLAH

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
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0
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0
0
0
0
0
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0
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0
0
0
0
0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
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0
0
0
0
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0
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0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
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0
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0
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0

0
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0
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0
TOTAL RESEP BULANAN PUSKESMAS
PUSKESMAS :
BULAN :
TAHUN :
HOME
SATUAN /
NO NAMA OBAT
KEMASAN 1 2 3 4 5 6 7 8
1 ALOPURINOL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0
2 ALPRAZOLAM TABLET 0,5 MG TABLET 0 0 0 0 0 0 0 0
3 AMBROXOL TAB. 30 MG TABLET 0 0 0 0 0 0 0 0
4 AMINOFILIN TABLET 200 MG TABLET 0 0 0 0 0 0 0 0
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET 0 0 0 0 0 0 0 0
6 AMLODIPIN 10 MG TABLET 0 0 0 0 0 0 0 0
7 AMLODIPIN 5 MG TABLET 0 0 0 0 0 0 0 0
8 AMOKSISILIN KAPSUL 250 MG CAPSUL 0 0 0 0 0 0 0 0
9 AMOKSISILIN KAPSUL 500 MG CAPSUL 0 0 0 0 0 0 0 0
10 AMPISILINA 500 MG TAB TABLET 0 0 0 0 0 0 0 0
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET 0 0 0 0 0 0 0 0
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET 0 0 0 0 0 0 0 0
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET 0 0 0 0 0 0 0 0
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET 0 0 0 0 0 0 0 0
15 ASAM MEFENAMAT 500 MG KAPLET 0 0 0 0 0 0 0 0
16 ASAM TRANEXAMAT TAB 500MG TABLET 0 0 0 0 0 0 0 0
17 ASETOSAL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0
18 ASETOSAL TABLET 500 MG TABLET 0 0 0 0 0 0 0 0
19 ASIKLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 0
20 ASIKLOVIR TABLET 400 MG TABLET 0 0 0 0 0 0 0 0
21 BETAHISTIN MALEAT TABLET 0 0 0 0 0 0 0 0
22 CEFADROXIL TABLET 500 MG TABLET 0 0 0 0 0 0 0 0
23 CIPROFLOXACIN 500 MG TABLET 0 0 0 0 0 0 0 0
24 CITRIZINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0
25 CLOBAZAM TAB 10 MG TABLET 0 0 0 0 0 0 0 0
26 CLOPIDOGREL 75 MG TABLET 0 0 0 0 0 0 0 0
27 CO AMOXICLAV 625 MG TABLET 0 0 0 0 0 0 0 0
28 DEXAMETASON TAB.0,5MG TABLET 0 0 0 0 0 0 0 0
29 DIAZEPAM TABLET 2MG TABLET 0 0 0 0 0 0 0 0
30 DIAZEPAM TABLET 5 MG TABLET 0 0 0 0 0 0 0 0
31 DIGOKSIN TAB. 0,25 MG TABLET 0 0 0 0 0 0 0 0
32 DOKSISIKLIN 100 MG CAPSUL 0 0 0 0 0 0 0 0
33 DOMPERIDON TAB 10 MG TABLET 0 0 0 0 0 0 0 0
34 EFEDRIN HCL TABLET 25 MG TABLET 0 0 0 0 0 0 0 0
35 ERYTROMISIN 250 MG CAPSUL 0 0 0 0 0 0 0 0
36 ERYTROMISIN 500 MG KAPLET 0 0 0 0 0 0 0 0
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL 0 0 0 0 0 0 0 0
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET 0 0 0 0 0 0 0 0
39 FUROSEMID TAB.40 MG TABLET 0 0 0 0 0 0 0 0
40 GARAM ORALIT UNTUK 200 ML BUNGKUS 0 0 0 0 0 0 0 0
41 GLIBENKELAMID TABLET 5 MG TABLET 0 0 0 0 0 0 0 0
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET 0 0 0 0 0 0 0 0
43 GRISEOFULVIN TAB. 125 MG TABLET 0 0 0 0 0 0 0 0
44 HALOPERIDOL TABLET 0.5 MG TABLET 0 0 0 0 0 0 0 0
45 HALOPERIDOL TABLET 1.5 MG TABLET 0 0 0 0 0 0 0 0
46 HALOPERIDOL 2 MG TABLET 0 0 0 0 0 0 0 0
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET 0 0 0 0 0 0 0 0
48 IBUPROFEN TABLET 200 MG TABLET 0 0 0 0 0 0 0 0
49 IBUPROFEN TABLET 400 MG TABLET 0 0 0 0 0 0 0 0
50 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET 0 0 0 0 0 0 0 0
51 KALIUM DIKLOFENAK TABLET 50 MG TABLET 0 0 0 0 0 0 0 0
52 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET 0 0 0 0 0 0 0 0
53 KAPTOPRIL 12,5 MG TABLET 0 0 0 0 0 0 0 0
54 KAPTOPRIL 25 MG TABLET 0 0 0 0 0 0 0 0
55 KAPTOPRIL 50 MG TABLET 0 0 0 0 0 0 0 0
56 KARBAMAZEPIN TAB.200 MG TABLET 0 0 0 0 0 0 0 0
57 KETOKONAZOLE TAB 200 MG TABLET 0 0 0 0 0 0 0 0
58 KLINDAMSIN 150 MG TABLET 0 0 0 0 0 0 0 0
59 KLORAMFENIKOL KAPSUL 250 MG CAPSUL 0 0 0 0 0 0 0 0
60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET 0 0 0 0 0 0 0 0
61 KLOROKUIN TAB. 150 MG TABLET 0 0 0 0 0 0 0 0
62 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET 0 0 0 0 0 0 0 0
63 KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET 0 0 0 0 0 0 0 0
64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG TABLET 0 0 0 0 0 0 0 0
65 KOTRIMOKSAZOL TABLET 480 MG TABLET 0 0 0 0 0 0 0 0
66 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET 0 0 0 0 0 0 0 0
67 KUININ SULFAT TAB.222 MG TABLET 0 0 0 0 0 0 0 0
68 LANSOPRAZOL KAP 30 MG CAPSUL 0 0 0 0 0 0 0 0
69 LOPERAMIDE HCL 2 MG TABLET 0 0 0 0 0 0 0 0
70 LORATADINE TAB 10 MG TABLET 0 0 0 0 0 0 0 0
71 METFORMIN 500 MG TABLET 0 0 0 0 0 0 0 0
72 METHYL PREDNISOLON TAB 4 MG TABLET 0 0 0 0 0 0 0 0
73 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET 0 0 0 0 0 0 0 0
74 METOKLOPRAMID 10 MG TABLET 0 0 0 0 0 0 0 0
75 METRONIDAZOL TAB 500 MG TABLET 0 0 0 0 0 0 0 0
76 METRONIDAZOL TAB.250 MG TABLET 0 0 0 0 0 0 0 0
77 NATRIUM BICARBONAT TABLET TABLET 0 0 0 0 0 0 0 0
78 NATRIUM DIKLOFENAK 25 MG TABLET 0 0 0 0 0 0 0 0
79 NATRIUM DIKLOFENAK 50 MG TABLET 0 0 0 0 0 0 0 0
80 NIFEDIPINE 10 MG TABLET 0 0 0 0 0 0 0 0
81 NISTATIN SALUT 500.000 IU TABLET 0 0 0 0 0 0 0 0
82 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET 0 0 0 0 0 0 0 0
83 OMEPRAZOL KAP 20 MG CAPSUL 0 0 0 0 0 0 0 0
84 PARASETAMOL TAB.100 MG TABLET 0 0 0 0 0 0 0 0
85 PARASETAMOL TAB.500 MG TABLET 0 0 0 0 0 0 0 0
86 PIRACETAM TAB. 400 MG KAPLET 0 0 0 0 0 0 0 0
87 PIRACETAM TAB. 800 MG KAPLET 0 0 0 0 0 0 0 0
88 PIRANTEL TABLET 125 MG TABLET 0 0 0 0 0 0 0 0
89 PIRIDOKSIN HCL TAB. 10 MG TABLET 0 0 0 0 0 0 0 0
90 PIROXICAM 10 MG TABLET 0 0 0 0 0 0 0 0
91 PIROXICAM 20 MG TABLET 0 0 0 0 0 0 0 0
92 PREDNISON TAB.5 MG TABLET 0 0 0 0 0 0 0 0
93 PRIMAKUIN TAB.15 MG TABLET 0 0 0 0 0 0 0 0
94 PROPANOLOL HCL TABLET 10 MG TABLET 0 0 0 0 0 0 0 0
95 PROPANOLOL HCL TABLET 40 MG TABLET 0 0 0 0 0 0 0 0
96 PROPILTIOURASIL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0
97 RANITIDINE TABLET 150 MG TABLET 0 0 0 0 0 0 0 0
98 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL 0 0 0 0 0 0 0 0
99 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL 0 0 0 0 0 0 0 0
100 RIFAMPICIN 450 MG CAPSUL 0 0 0 0 0 0 0 0
101 RIFAMPICIN 600 MG KAPLET 0 0 0 0 0 0 0 0
102 RISPERIDON TAB 2 MG TABLET 0 0 0 0 0 0 0 0
103 SALBUTAMOL 4 MG TABLET 0 0 0 0 0 0 0 0
104 SALBUTAMOL 2 MG TABLET 0 0 0 0 0 0 0 0
105 SIANOKOBALAMINA ( VITB 12) TABLET TABLET 0 0 0 0 0 0 0 0
106 SIMETIDIN TABLET TABLET 0 0 0 0 0 0 0 0
107 SIMVASTATIN TAB. 10 MG TABLET 0 0 0 0 0 0 0 0
108 TABLET TAMBAH DARAH KOMB. TABLET 0 0 0 0 0 0 0 0
109 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL 0 0 0 0 0 0 0 0
110 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL 0 0 0 0 0 0 0 0
111 THIAMPHENICOL KAP. 500 MG CAPSUL 0 0 0 0 0 0 0 0
112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET 0 0 0 0 0 0 0 0
113 TRAMADOL KAPSUL 50 MG CAPSUL 0 0 0 0 0 0 0 0
114 TRIFLUOPERAZIN 5 MG TABLET 0 0 0 0 0 0 0 0
115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET 0 0 0 0 0 0 0 0
116 VITAMIN B COMPLEKS TAB TABLET 0 0 0 0 0 0 0 0
117 ZINC TABLET TABLET 0 0 0 0 0 0 0 0
118 AMBROXOL SYR 15 MG/ML BOTOL 0 0 0 0 0 0 0 0
119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL 0 0 0 0 0 0 0 0
120 ANTASIDA DOEN SUSPENSI BOTOL 0 0 0 0 0 0 0 0
121 CITRIZINE SYRUP BOTOL 0 0 0 0 0 0 0 0
122 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL 0 0 0 0 0 0 0 0
123 ERYTROMISIN SYRUP BOTOL 0 0 0 0 0 0 0 0
124 IBUPROFEN SUSPENSI BOTOL 0 0 0 0 0 0 0 0
125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL 0 0 0 0 0 0 0 0
126 PARASETAMOL DROP BOTOL 0 0 0 0 0 0 0 0
127 PARASETAMOL SYRUP 120 MG/5 ML BOTOL 0 0 0 0 0 0 0 0
128 THIAMFENICOL SYR BOTOL 0 0 0 0 0 0 0 0
129 ZINK SYRUP BOTOL 0 0 0 0 0 0 0 0
130 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL 0 0 0 0 0 0 0 0
131 AMPISILINA SERBUK INJ 1GR VIAL 0 0 0 0 0 0 0 0
132 ANTALGIN INJ. 250 MG /ML-2ML AMPUL 0 0 0 0 0 0 0 0
133 ASAM TRANEXAMAT INJ AMPUL 0 0 0 0 0 0 0 0
134 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL 0 0 0 0 0 0 0 0
135 DEXTROSE 5 + 1/4 NS BOTOL 0 0 0 0 0 0 0 0
136 DEXAMETASON INJ.5MG/ML-1ML AMPUL 0 0 0 0 0 0 0 0
137 DIAZEPAM INJ.5MG/ML-2ML AMPUL 0 0 0 0 0 0 0 0
138 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL 0 0 0 0 0 0 0 0
139 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL 0 0 0 0 0 0 0 0
140 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL 0 0 0 0 0 0 0 0
141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL 0 0 0 0 0 0 0 0
142 FUROSEMID INJ 10 ML AMPUL 0 0 0 0 0 0 0 0
143 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL 0 0 0 0 0 0 0 0
144 GLUKOSA LAR,INFUS 10 % STERIL BOTOL 0 0 0 0 0 0 0 0
145 GLUKOSA LAR.INFUS 5 % STERIL BOTOL 0 0 0 0 0 0 0 0
146 HALOPERIDOL INJEKSI AMPUL 0 0 0 0 0 0 0 0
147 KETOPROFEN INJEKSI 100 MG AMPUL 0 0 0 0 0 0 0 0
148 KETOROLAC INJEKSI 30 MG AMPUL 0 0 0 0 0 0 0 0
149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL 0 0 0 0 0 0 0 0
150 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL 0 0 0 0 0 0 0 0
151 LIDOKAIN INJ. 2% AMPUL 0 0 0 0 0 0 0 0
152 LIDOKAIN KOMB.INJ. HCL 2% AMPUL 0 0 0 0 0 0 0 0
153 MAGNESIUM SULFAT 20 % INJEKSI AMPUL 0 0 0 0 0 0 0 0
154 MAGNESIUM SULFAT 40 % INJEKSI AMPUL 0 0 0 0 0 0 0 0
155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL 0 0 0 0 0 0 0 0
156 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL 0 0 0 0 0 0 0 0
157 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL 0 0 0 0 0 0 0 0
158 PIRACETAM INJ 1 GR AMPUL 0 0 0 0 0 0 0 0
159 RANITIDINE INJ 25 MG/ML-2ML AMPUL 0 0 0 0 0 0 0 0
160 RINGER LAKTAT LAR.INFUS STERIL BOTOL 0 0 0 0 0 0 0 0
161 SEFOTAKSIM INJEKSI 0,5 G VIAL 0 0 0 0 0 0 0 0
162 SEFOTAKSIM SERBUK INJ. 1 G VIAL 0 0 0 0 0 0 0 0
163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) VIAL 0 0 0 0 0 0 0 0
164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) AMPUL 0 0 0 0 0 0 0 0
165 SERUM ANTI DIFTERI 20000 UI VIAL 0 0 0 0 0 0 0 0
166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL 0 0 0 0 0 0 0 0
167 TRAMADOL INJEKSI 50 MG/ML AMPUL 0 0 0 0 0 0 0 0
168 ANTI BAKTERI DOEN SALEP POT 0 0 0 0 0 0 0 0
169 ASIKLOVIR KRIM TUBE 0 0 0 0 0 0 0 0
170 BETAMETASON KRIM 0,1 % TUBE 0 0 0 0 0 0 0 0
171 BISAKODIL SUPPOSITORIA 5 MG SUPP 0 0 0 0 0 0 0 0
172 DIAZEPAM RECTAL 10 MG TUBE 0 0 0 0 0 0 0 0
173 BISOPPROLOL TAB 5MG TABLET 0 0 0 0 0 0 0 0
174 DILTIAZEM TABLET 0 0 0 0 0 0 0 0
175 ASAM FOLAT 1 MG TABLET 0 0 0 0 0 0 0 0
176 SULFASALAZINE TABLET 0 0 0 0 0 0 0 0
177 GLICLAZID TABLET 0 0 0 0 0 0 0 0
178 GEMFIBROZIL KAPLET 0 0 0 0 0 0 0 0
179 GLIMEPIRID TABLET 0 0 0 0 0 0 0 0
180 MELOXICAM 15 TABLET 0 0 0 0 0 0 0 0
181 KODEIN TABLET TABLET 0 0 0 0 0 0 0 0
182 ISONIAZID TAB 300 MG TABLET 0 0 0 0 0 0 0 0
183 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET 0 0 0 0 0 0 0 0
184 GENTAMYCIN SALEP KULIT 0,1 % TUBE 0 0 0 0 0 0 0 0
185 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE 0 0 0 0 0 0 0 0
186 GENTIAN VIOLET LARUTAN 1 % BOTOL 0 0 0 0 0 0 0 0
187 HIDROKORTISON KRIM 2,5% TUBE 0 0 0 0 0 0 0 0
188 IODIUM POVIDON IODIDA 30 ML 10% BOTOL 0 0 0 0 0 0 0 0
189 IODIUM POVIDON IODIDA 300 ML 10% BOTOL 0 0 0 0 0 0 0 0
190 KETOKONAZOLE KRIM 2 % TUBE 0 0 0 0 0 0 0 0
191 KLORAMFENIKOL SALEP MATA 1% TUBE 0 0 0 0 0 0 0 0
192 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0 0 0 0 0 0 0
193 KLORAMFENIKOL TETES TELINGA 3% BOTOL 0 0 0 0 0 0 0 0
194 MIKONAZOLE SALEP TUBE 0 0 0 0 0 0 0 0
195 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0 0 0 0
196 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0 0 0 0 0 0 0
197 SALEP 2-4 KOMB. POT 0 0 0 0 0 0 0 0
198 SALISIL BEDAK 2 % KOTAK 0 0 0 0 0 0 0 0
199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL 0 0 0 0 0 0 0 0
200 ANTI HAEMOROID DOEN SUPP 0 0 0 0 0 0 0 0
201 OAT/FDC KAT I KOTAK 0 0 0 0 0 0 0 0
202 OAT/FDC KAT II KOTAK 0 0 0 0 0 0 0 0
203 OAT/FDC KAT anak KOTAK 0 0 0 0 0 0 0 0
204 DEC 100mg tablet TABLET 0 0 0 0 0 0 0 0
205 ALBENDAZOLE TABLET 400mg KOTAK 0 0 0 0 0 0 0 0
206 PROKAIN BENZIL PENISILIN VIAL 0 0 0 0 0 0 0 0
207 GENTAMISIN INJ 40ml AMPUL 0 0 0 0 0 0 0 0
208 GLUKONAS KALSIKUS 10% AMPUL 0 0 0 0 0 0 0 0
209 MINERAL MIX KOTAK 0 0 0 0 0 0 0 0
210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT 0 0 0 0 0 0 0 0
211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL 0 0 0 0 0 0 0 0
212 STREPTOMYCIN INJ. 1000MG VIAL 0 0 0 0 0 0 0 0
213 ASAM FOLAT 0,4 MG TABLET 0 0 0 0 0 0 0 0
214 GENTAMICYN SALEP MATA TUBE 0 0 0 0 0 0 0 0
215 SUCRALFAT SIRUP BOTOL 0 0 0 0 0 0 0 0
216 BROMHEXIN 8 MG TABLET 0 0 0 0 0 0 0 0
217 METFORMIN 850 MG TABLET 0 0 0 0 0 0 0 0
218 KLINDAMYCIN 300 MG TABLET 0 0 0 0 0 0 0 0
219 DULCOLAX 10 MG SUPP SUPP 0 0 0 0 0 0 0 0
220 N ACETYLCYSTEIN 200 MG CAPSUL 0 0 0 0 0 0 0 0
221 ISONIAZID TAB 100 MG TABLET 0 0 0 0 0 0 0 0
222 MDT COMBI ADULT (KUSTA) STRIP 0 0 0 0 0 0 0 0
223 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL 0 0 0 0 0 0 0 0
224 AZITHROMYCIN 500 MG TABLET 0 0 0 0 0 0 0 0
225 MULTIVITAMIN TABLET TABLET 0 0 0 0 0 0 0 0
226 THROMBO ASPILETS TABLET 0 0 0 0 0 0 0 0
227 VENTOLIN NEBU AMPUL 0 0 0 0 0 0 0 0
228 SCABIMITE KRIM TUBE 0 0 0 0 0 0 0 0
229 BRONSOLVAN TABLET 0 0 0 0 0 0 0 0
230 AMINOFLUID BOTOL 0 0 0 0 0 0 0 0
231 ASERING BOTOL 0 0 0 0 0 0 0 0
232 COMBIVEN NEBU BOTOL 0 0 0 0 0 0 0 0
233 ATROVENT SPRAY BOTOL 0 0 0 0 0 0 0 0
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL 0 0 0 0 0 0 0 0
235 AQUA GEL BOTOL 0 0 0 0 0 0 0 0
236 ARTEM INJ AMPUL 0 0 0 0 0 0 0 0
237 CITICOLLIN INJ AMPUL 0 0 0 0 0 0 0 0
238 KANDISTATIN DROPS BOTOL 0 0 0 0 0 0 0 0
239 ONDANCENTRON 4MG INJ AMPUL 0 0 0 0 0 0 0 0
240 PEHACAIN INJ AMPUL 0 0 0 0 0 0 0 0
241 HALOPERIDOL DROP/LODOMER DROP BOTOL 0 0 0 0 0 0 0 0
242 ZIRCUM KID DROP BOTOL 0 0 0 0 0 0 0 0
243 OBAT BATUK HITAM SYRUP BOTOL 0 0 0 0 0 0 0 0
244 MULTI VITAMIN SYRUP BOTOL 0 0 0 0 0 0 0 0
245 BISOLVON DROP BOTOL 0 0 0 0 0 0 0 0
246 AQUA PRO INJEKSI VIAL 0 0 0 0 0 0 0 0
247 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL 0 0 0 0 0 0 0 0
248 ETANOL 70 % 300 ML BOTOL 0 0 0 0 0 0 0 0
249 ETHIL KLORIDA SEMPROT BOTOL 0 0 0 0 0 0 0 0
250 EUGENOL CAIRAN BOTOL 0 0 0 0 0 0 0 0
251 SAMCOBION CAPSUL 0 0 0 0 0 0 0 0
252 ETANOL 70% 1 LITER BOTOL 0 0 0 0 0 0 0 0
253 OBAT BATUK SIRUP KOMBINASI BOTOL 0 0 0 0 0 0 0 0
254 RAPID HIV 1 SD SET 0 0 0 0 0 0 0 0
255 RAPID 2 HIV INTEC SET 0 0 0 0 0 0 0 0
256 RAPID 3 HIV ONCOPROBE SET 0 0 0 0 0 0 0 0
257 PYRIMETHAMIN 25 MG TAB TABLET 0 0 0 0 0 0 0 0
258 DHP/OAM TABLET 0 0 0 0 0 0 0 0
259 ARTESUNATE INJ.250 MG AMPUL 0 0 0 0 0 0 0 0
260 EUTHYROX 100 UG TABLET 0 0 0 0 0 0 0 0
261 CAMABION KAPSUL CAPSUL 0 0 0 0 0 0 0 0
262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET 0 0 0 0 0 0 0 0
263 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET 0 0 0 0 0 0 0 0
264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET 0 0 0 0 0 0 0 0
265 METAMIZOLE 500 MG/ML INJEKSI AMPUL 0 0 0 0 0 0 0 0
266 KLORAMFENICOL 500 MG CAPSUL 0 0 0 0 0 0 0 0
267 0 0 0 0 0 0 0 0
268 0 0 0 0 0 0 0 0
BMHP 0 0 0 0 0 0 0 0
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0 0 0 0
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0 0 0 0
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0 0 0 0 0
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0 0 0 0
273 BISTURI NO. 12 (carbon steel capel) KOTAK 0 0 0 0 0 0 0 0
274 BLOOD LANCET KOTAK 0 0 0 0 0 0 0 0
275 BOX SLIDE PCS 0 0 0 0 0 0 0 0
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET 0 0 0 0 0 0 0 0
277 FOLLEY CATHETHER NO.12 PCS 0 0 0 0 0 0 0 0
278 FOLLEY CATHETHER NO.16 PCS 0 0 0 0 0 0 0 0
279 FOLLEY CATHETHER NO.18 PCS 0 0 0 0 0 0 0 0
280 HAND SCHOEN L NON STERIL KOTAK 0 0 0 0 0 0 0 0
281 HAND SCHOEN M NON STERIL KOTAK 0 0 0 0 0 0 0 0
282 HAND SCHOEN S NON STERIL KOTAK 0 0 0 0 0 0 0 0
283 HAND SCHOEN L STERIL PCS 0 0 0 0 0 0 0 0
284 HAND SCHOEN M STERIL PCS 0 0 0 0 0 0 0 0
285 HAND SCHOEN S STERIL PCS 0 0 0 0 0 0 0 0
286 HAND SCHOEN OBSETRIKAL PCS 0 0 0 0 0 0 0 0
287 INFUS SET ANAK PCS 0 0 0 0 0 0 0 0
288 INFUS SET DEWASA PCS 0 0 0 0 0 0 0 0
289 IV CATHETER NO. 18 PCS 0 0 0 0 0 0 0 0
290 IV CATHETER NO. 20 PCS 0 0 0 0 0 0 0 0
291 IV CATHETER NO. 22 PCS 0 0 0 0 0 0 0 0
292 IV CATHETER NO. 24 PCS 0 0 0 0 0 0 0 0
293 IV CATHETER NO. 26 PCS 0 0 0 0 0 0 0 0
294 JARUM KULIT PCS 0 0 0 0 0 0 0 0
295 JARUM OTOT PCS 0 0 0 0 0 0 0 0
296 KACA SLIDE KOTAK 0 0 0 0 0 0 0 0
297 KAPAS ADSORBEN 500 GR BUNGKUS 0 0 0 0 0 0 0 0
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS 0 0 0 0 0 0 0 0
299 KASA KOMPRES 40/40 STERIL ROL 0 0 0 0 0 0 0 0
300 KASA PEMBALUT 2M X 80 CM ROL 0 0 0 0 0 0 0 0
301 KASA PEMBALUT 36 X 80 CM ROL 0 0 0 0 0 0 0 0
302 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL 0 0 0 0 0 0 0 0
303 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL 0 0 0 0 0 0 0 0
304 KASA STERIL 16 X 16 HK KOTAK 0 0 0 0 0 0 0 0
305 LARUTAN ANISOL BOTOL 0 0 0 0 0 0 0 0
306 LARUTAN EDTA 100 ml BOTOL 0 0 0 0 0 0 0 0
307 LARUTAN EOSIN 2 % BOTOL 0 0 0 0 0 0 0 0
308 LARUTAN GIEMSA STAIN BOTOL 0 0 0 0 0 0 0 0
309 LARUTAN H2O2 BOTOL 0 0 0 0 0 0 0 0
310 LARUTAN HCL 0,1 N BOTOL 0 0 0 0 0 0 0 0
311 LARUTAN HAYEM BOTOL 0 0 0 0 0 0 0 0
312 LARUTAN KARBOL FUKSIN BOTOL 0 0 0 0 0 0 0 0
313 LARUTAN METANOL BOTOL 0 0 0 0 0 0 0 0
314 LARUTAN REAGENT ANTI A BOTOL 0 0 0 0 0 0 0 0
315 LARUTAN REAGENT ANTI AB BOTOL 0 0 0 0 0 0 0 0
316 LARUTAN REAGENT ANTI B BOTOL 0 0 0 0 0 0 0 0
317 LARUTAN REAGENT ANTI D BOTOL 0 0 0 0 0 0 0 0
318 LARUTAN REAGENT ZIENIL NEELSEN BOTOL 0 0 0 0 0 0 0 0
319 LEUCOPLAST 7.5 CM X 5 CM ROL 0 0 0 0 0 0 0 0
320 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS 0 0 0 0 0 0 0 0
321 MASKER KARET KOTAK 0 0 0 0 0 0 0 0
322 MASKER TALI KOTAK 0 0 0 0 0 0 0 0
323 NEEDLE 23 PCS 0 0 0 0 0 0 0 0
324 NEEDLE 24 PCS 0 0 0 0 0 0 0 0
325 PLASTER 5 YARD X 2 INCH ROL 0 0 0 0 0 0 0 0
326 RAPID TES PROTEIN KOTAK 0 0 0 0 0 0 0 0
327 RDT TYPUS KOTAK 0 0 0 0 0 0 0 0
328 SELANG OKSIGEN ANAK PCS 0 0 0 0 0 0 0 0
329 SELANG OKSIGEN BAYI PCS 0 0 0 0 0 0 0 0
330 TEST DENGUE DEVICE KOTAK 0 0 0 0 0 0 0 0
331 TEST HBsAG STRIP KOTAK 0 0 0 0 0 0 0 0
332 TEST HCG STRIP KOTAK 0 0 0 0 0 0 0 0
333 TEST MALARIA DEVICE KOTAK 0 0 0 0 0 0 0 0
334 TEST URINE TRIP 10 PARAMETER KOTAK 0 0 0 0 0 0 0 0
335 THREE WAY BUAH 0 0 0 0 0 0 0 0
336 ULTRASOUND GEL 250 ML BOTOL 0 0 0 0 0 0 0 0
337 UNDERPAD BUNGKUS 0 0 0 0 0 0 0 0
338 URINE BAG PCS 0 0 0 0 0 0 0 0
339 AIR RAKSA DENTAL USE BOTOL 0 0 0 0 0 0 0 0
340 ARTICULATING PAPER KOTAK 0 0 0 0 0 0 0 0
341 BONDING SINGLE BOND BUAH 0 0 0 0 0 0 0 0
342 CELLULOID STRIP BUAH 0 0 0 0 0 0 0 0
343 COMPOSITE PASTE (SOLARE) BUAH 0 0 0 0 0 0 0 0
344 ETCHING BUAH 0 0 0 0 0 0 0 0
345 FUJI 9 ART (MINI) BUAH 0 0 0 0 0 0 0 0
346 FUJI II LC BUAH 0 0 0 0 0 0 0 0
347 FUJI IX GC BUAH 0 0 0 0 0 0 0 0
348 FUJI VII GC WHITE BUAH 0 0 0 0 0 0 0 0
349 MATRIX ROLL + MATRIX BOND BUAH 0 0 0 0 0 0 0 0
350 MICRO BRUSH BUAH 0 0 0 0 0 0 0 0
351 OCHO BUAH 0 0 0 0 0 0 0 0
352 SALIVA EJECTOR BUAH 0 0 0 0 0 0 0 0
353 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH 0 0 0 0 0 0 0 0
354 SILVER AMALGAM SERBUK 65-75% BUAH 0 0 0 0 0 0 0 0
355 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH 0 0 0 0 0 0 0 0
356 TABUNG VENOJECT EDTA BUAH 0 0 0 0 0 0 0 0
357 MASKER RESPIRATOR BUAH 0 0 0 0 0 0 0 0
358 PIPET TETES BUAH 0 0 0 0 0 0 0 0
359 THERMAROL BUAH 0 0 0 0 0 0 0 0
360 LIPID PANEL TEST BUAH 0 0 0 0 0 0 0 0
361 ALKOHOL SWAB BUAH 0 0 0 0 0 0 0 0
362 LYSOL BOTOL 0 0 0 0 0 0 0 0
363 JARUM AUTO CLICK PCS 0 0 0 0 0 0 0 0
364 ALAT SUNTIK 0.05ML PCS 0 0 0 0 0 0 0 0
365 ALAT SUNTIK 0.5ML PCS 0 0 0 0 0 0 0 0
366 DIAMOND BOOR SET M BUAH 0 0 0 0 0 0 0 0
367 DIAMOND BOOR SET S BUAH 0 0 0 0 0 0 0 0
368 FEEDING TUBE BUAH 0 0 0 0 0 0 0 0
369 FISURE LANCIP LONG BUAH 0 0 0 0 0 0 0 0
370 LARUTAN SALMONELLA PARATYPHI H BOTOL 0 0 0 0 0 0 0 0
371 LARUTAN SALMONELLA PARATYPHI HA BOTOL 0 0 0 0 0 0 0 0
372 LARUTAN SALMONELLA PARATYPHI HC BOTOL 0 0 0 0 0 0 0 0
373 LARUTAN SALMONELLA PARATYPHI O BOTOL 0 0 0 0 0 0 0 0
374 LARUTAN SALMONELLA PARATYPHI OA BOTOL 0 0 0 0 0 0 0 0
375 LARUTAN SALMONELLA PARATYPHI OB BOTOL 0 0 0 0 0 0 0 0
376 LARUTAN SALMONELLA PARATYPHI OC BOTOL 0 0 0 0 0 0 0 0
377 SUAB TENGGOROKAN BOTOL 0 0 0 0 0 0 0 0
378 SELANG OKSIGEN DEWASA BUAH 0 0 0 0 0 0 0 0
379 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS 0 0 0 0 0 0 0 0
380 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) BOTOL 0 0 0 0 0 0 0 0
381 POLIFIX 5 CM X 5 CM ROL 0 0 0 0 0 0 0 0
382 CATGUT PLAIN 2/0 BUNGKUS 0 0 0 0 0 0 0 0
383 POLIBAN 5 CM X 2.7 M ROL 0 0 0 0 0 0 0 0
384 CATGUT PLAIN 3/0 PCS 0 0 0 0 0 0 0 0
385 CATGUT CROM 3/0 PCS 0 0 0 0 0 0 0 0
386 SABUN ANTI SEPTIK (DETTOL) BOTOL 0 0 0 0 0 0 0 0
387 POT SPUTUM BOTOL 0 0 0 0 0 0 0 0
388 VERORAB REGULAR VIAL 0 0 0 0 0 0 0 0
389 INFUS SET TIPE Y PCS 0 0 0 0 0 0 0 0
390 CHOLESTEROL TEST PCS 0 0 0 0 0 0 0 0
391 GLUCOSE TEST STRIP 50'S PCS 0 0 0 0 0 0 0 0
392 URIC ACID STRIP PCS 0 0 0 0 0 0 0 0
393 POLIFIX 10 CM X 5 CM PCS 0 0 0 0 0 0 0 0
394 TEST HIV SET 0 0 0 0 0 0 0 0
395 LARUTAN ICON OS BOTOL 0 0 0 0 0 0 0 0
396 CYNOFF LITER 0 0 0 0 0 0 0 0
397 RDT MALARIA PCS 0 0 0 0 0 0 0 0
398 ABATE BOTOL 0 0 0 0 0 0 0 0
399 LARVASIDA ABATE KOTAK 0 0 0 0 0 0 0 0
400 INSEKTISIDA GOKILATH BOTOL 0 0 0 0 0 0 0 0
401 SOFRATULLE/FRAMICETINE KOTAK 0 0 0 0 0 0 0 0
402 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL 0 0 0 0 0 0 0 0
403 TEST AMPHETAMIN STRIP KOTAK 0 0 0 0 0 0 0 0
404 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP 0 0 0 0 0 0 0 0
405 TEST RPR (SEPHILIS) STRIP 0 0 0 0 0 0 0 0
406 HAND RUB BOTOL 0 0 0 0 0 0 0 0
407 MASKER KARET HIJAB KOTAK 0 0 0 0 0 0 0 0
408 FEEDING TUBE NO. 6 PCS 0 0 0 0 0 0 0 0
409 FEEDING TUBE NO. 8 PCS 0 0 0 0 0 0 0 0
410 STOMACH TUBE NO. 16 PCS 0 0 0 0 0 0 0 0
411 TEST HAEMOGLOBIN STRIP KOTAK 0 0 0 0 0 0 0 0
412 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL 0 0 0 0 0 0 0 0
413 KETAC UNIVERSAL PCS 0 0 0 0 0 0 0 0
414 KETAC MOLAR PCS 0 0 0 0 0 0 0 0
415 CARVIT RF BOTOL 0 0 0 0 0 0 0 0
416 FILTEX Z250 PCS 0 0 0 0 0 0 0 0
417 TRICRESOLFORMALINA KOTAK 0 0 0 0 0 0 0 0
418 HAND SCHOEN STERIL UK.6 PCS 0 0 0 0 0 0 0 0
419 HAND SCHOEN STERIL UK.6,5 PCS 0 0 0 0 0 0 0 0
420 HAND SCHOEN STERIL UK.7 PCS 0 0 0 0 0 0 0 0
421 HAND SCHOEN STERIL UK.7,5 PCS 0 0 0 0 0 0 0 0
422 0 0 0 0 0 0 0 0
423 0 0 0 0 0 0 0 0
424 0 0 0 0 0 0 0 0
425 0 0 0 0 0 0 0 0
426 0 0 0 0 0 0 0 0
427 0 0 0 0 0 0 0 0
428 0 0 0 0 0 0 0 0
429 0 0 0 0 0 0 0 0
VAKSIN 0 0 0 0 0 0 0 0
430 VAKSIN POLIO VIAL 0 0 0 0 0 0 0 0
431 VAKSIN CAMPAK VIAL 0 0 0 0 0 0 0 0
432 VAKSIN BCG VIAL 0 0 0 0 0 0 0 0
433 VAKSIN DPT HB HIB / PENTABIO VIAL 0 0 0 0 0 0 0 0
434 VAKSIN DPT HB UNIJECT / HB O VIAL 0 0 0 0 0 0 0 0
435 VAKSIN TT VIAL 0 0 0 0 0 0 0 0
436 VAKSIN TD VIAL 0 0 0 0 0 0 0 0
437 VAKSIN DT VIAL 0 0 0 0 0 0 0 0
438 SAFETY BOX PCS 0 0 0 0 0 0 0 0
439 HEPATITIS B 0,5ML ADS VIAL 0 0 0 0 0 0 0 0
440 ADS 0.05 ML PCS 0 0 0 0 0 0 0 0
441 ADS 0.5 ML PCS 0 0 0 0 0 0 0 0
442 ADS 5 ML PCS 0 0 0 0 0 0 0 0
443 POLIO PIN VIAL 0 0 0 0 0 0 0 0
444 VAKSIN POLIO BOPV VIAL 0 0 0 0 0 0 0 0
445 VAKSIN IPV VIAL 0 0 0 0 0 0 0 0
446 VAKSIN MENINGITIS 200 Mcg VIAL 0 0 0 0 0 0 0 0
447 VAKSIN DPT HB UNIJECT DEWASA PCS 0 0 0 0 0 0 0 0
448 VAKSIN MEASLES AND RUBELLA VIAL 0 0 0 0 0 0 0 0
449 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL 0 0 0 0 0 0 0 0
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pustu / Polindes
JUMLAH
28 29 30 31 PERSEDIAAN PEMAKAIAN SISA GUDANG apotek lab
0 0 0 0 0 1470 1470 1470
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 400 400 400
0 0 0 0 0 1480 1480 1480
0 0 0 0 0 907 907 907
0 0 0 0 0 1545 1545 1545
0 0 0 0 0 305 305 305
0 0 0 0 0 9215 9215 9215
0 0 0 0 0 0 0 0
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0 0 0 0 0 7482 7482 7482
0 0 0 0 0 0 0 0
0 0 0 0 0 5547 5547 5547
0 0 0 0 0 1425 1425 1425
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 503 503 503
0 0 0 0 0 1783 1783 1783
0 0 0 0 0 1952 1952 1952
0 0 0 0 0 0 0 0
0 0 0 0 0 2346 2346 2346
0 0 0 0 0 618 618 618
0 0 0 0 0 0 0 0
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0 0 0 0 0 8400 8400 8400
0 0 0 0 0 0 0 0
0 0 0 0 0 285 285 285
0 0 0 0 0 300 300 300
0 0 0 0 0 1200 1200 1200
0 0 0 0 0 230 230 230
0 0 0 0 0 0 0 0
0 0 0 0 0 1980 1980 1980
0 0 0 0 0 733 733 733
0 0 0 0 0 770 770 770
0 0 0 0 0 1007 1007 1007
0 0 0 0 0 759 759 759
0 0 0 0 0 313 313 313
0 0 0 0 0 1274 1274 1274
0 0 0 0 0 0 0 0
0 0 0 0 0 502 502 502
0 0 0 0 0 580 580 580
0 0 0 0 0 324 324 324
0 0 0 0 0 0 0 0
0 0 0 0 0 335 335 335
0 0 0 0 0 1668 1668 1668
0 0 0 0 0 1758 1758 1758
0 0 0 0 0 202 202 202
0 0 0 0 0 0 0 0
0 0 0 0 0 4829 4829 4829
0 0 0 0 0 719 719 719
0 0 0 0 0 1310 1310 1310
0 0 0 0 0 0 0 0
0 0 0 0 0 420 420 420
0 0 0 0 0 1712 1712 1712
0 0 0 0 0 0 0 0
0 0 0 0 0 725 725 725
0 0 0 0 0 8570 8570 8570
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0 0 0 0 0 1298 1298 1298
0 0 0 0 0 0 0 0
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0 0 0 0 0 970 970 970
0 0 0 0 0 352 352 352
0 0 0 0 0 2020 2020 2020
0 0 0 0 0 2260 2260 2260
0 0 0 0 0 1053 1053 1053
0 0 0 0 0 0 0 0
0 0 0 0 0 116 116 116
0 0 0 0 0 900 900 900
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2416 2416 2416
0 0 0 0 0 2606 2606 2606
0 0 0 0 0 364 364 364
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2472 2472 2472
0 0 0 0 0 0 0 0
0 0 0 0 0 25774 25774 25774
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 161 161 161
0 0 0 0 0 2842 2842 2842
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1856 1856 1856
0 0 0 0 0 0 0 0
0 0 0 0 0 100 100 100
0 0 0 0 0 0 0 0
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0 0 0 0 0 940 940 940
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0 0 0 0 0 4985 4985 4985
0 0 0 0 0 0 0 0
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0 0 0 0 0 100 100 100
0 0 0 0 0 0 0 0
0 0 0 0 0 1880 1880 1880
0 0 0 0 0 5260 5260 5260
0 0 0 0 0 0 0 0
0 0 0 0 0 2194 2194 2194
0 0 0 0 0 12967 12967 12967
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 3858 3858 3858
0 0 0 0 0 0 0 0
0 0 0 0 0 200 200 200
0 0 0 0 0 0 0 0
0 0 0 0 0 12840 12840 12840
0 0 0 0 0 845 845 845
0 0 0 0 0 0 0 0
0 0 0 0 0 152 152 152
0 0 0 0 0 150 150 150
0 0 0 0 0 64 64 64
0 0 0 0 0 103 103 103
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 62 62 62
0 0 0 0 0 73 73 73
0 0 0 0 0 155 155 155
0 0 0 0 0 0 0 0
0 0 0 0 0 135 135 135
0 0 0 0 0 10 10 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 75 75 75
0 0 0 0 0 0 0 0
0 0 0 0 0 52 52 52
0 0 0 0 0 30 30 30
0 0 0 0 0 24 24 24
0 0 0 0 0 84 84 84
0 0 0 0 0 0 0 0
0 0 0 0 0 30 30 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 17 17 17
0 0 0 0 0 14 14 14
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 43 43 43
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 81 81 81
0 0 0 0 0 0 0 0
0 0 0 0 0 18 18 18
0 0 0 0 0 100 100 100
0 0 0 0 0 4 4 4
0 0 0 0 0 100 100 100
0 0 0 0 0 0 0 0
0 0 0 0 0 85 85 85
0 0 0 0 0 4 4 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 4 4 4
0 0 0 0 0 0 0 0
0 0 0 0 0 10 10 10
0 0 0 0 0 0 0 0
0 0 0 0 0 233 233 233
0 0 0 0 0 100 100 100
0 0 0 0 0 211 211 211
0 0 0 0 0 0 0 0
0 0 0 0 0 8 8 8
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 153 153 153
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 100 100 100
0 0 0 0 0 323 323 323
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 96 96 96
0 0 0 0 0 0 0 0
0 0 0 0 0 131 131 131
0 0 0 0 0 0 0 0
0 0 0 0 0 5 5 5
0 0 0 0 0 128 128 128
0 0 0 0 0 18 18 18
0 0 0 0 0 117 117 117
0 0 0 0 0 132 132 132
0 0 0 0 0 0 0 0
0 0 0 0 0 216 216 216
0 0 0 0 0 100 100 100
0 0 0 0 0 41 41 41
0 0 0 0 0 19 19 19
0 0 0 0 0 0 0 0
0 0 0 0 0 20 20 20
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 30 30 30
0 0 0 0 0 1682 1682 1682
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 15 15 15
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 22 22 22
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 21 21 21
0 0 0 0 0 0 0 0
0 0 0 0 0 16 16 16
0 0 0 0 0 2 2 2
0 0 0 0 0 5 5 5
0 0 0 0 0 0 0 0
0 0 0 0 0 3 3 3
0 0 0 0 0 0 0 0
0 0 0 0 0 373 376 373 3
0 0 0 0 0 10 10 10
0 0 0 0 0 10 10 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 466 539 466 73
0 0 0 0 0 384 397 384 13
0 0 0 0 0 241 241 241
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 -53 14 -53 67
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 7 7 7
0 0 0 0 0 0 0 0
0 0 0 0 0 10 10 10
0 0 0 0 0 16 16 16
0 0 0 0 0 3 3 3
0 0 0 0 0 2 2 2
0 0 0 0 0 5 5 5
0 0 0 0 0 0 0 0
0 0 0 0 0 14 14 14
0 0 0 0 0 6 6 6
0 0 0 0 0 0 0 0
0 0 0 0 0 17 17 17
0 0 0 0 0 5 5 5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 9 9 9
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 95 95 95
0 0 0 0 0 4 4 4
0 0 0 0 0 2 2 2
0 0 0 0 0 3 3 3
0 0 0 0 0 20 20 20
0 0 0 0 0 10 10 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 2
0 0 0 0 0 2 2 2
0 0 0 0 0 2 2 2
0 0 0 0 0 2 2 2
0 0 0 0 0 10 10 10
0 0 0 0 0 4 4 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 407 417 407 10
0 0 0 0 0 138 150 138 12
0 0 0 0 0 0 0 0
0 0 0 0 0 408 500 408 92
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 7 7 7
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 100 100 100
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 971 1123 971 152
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 24 24 24
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 331 331 331
0 0 0 0 0 5 5 5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 3600 3702 3600 102
0 0 0 0 0 186 237 186 51
0 0 0 0 0 2 2 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 45 45 45
0 0 0 0 0 0 0 0
0 0 0 0 0 40 40 40
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 38 38 38
0 0 0 0 0 19 19 19
0 0 0 0 0 4 4 4
0 0 0 0 0 0 0 0
0 0 0 0 0 19 19 19
0 0 0 0 0 102 102 102
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 150 150 150
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 21 21 21
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 82 82 82
0 0 0 0 0 0 0 0
total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
73
13
0
0
0
67
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
12
0
92
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
152
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
102
51
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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