LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : JANUARI
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL
3 ALOPURINOL TABLET 100 MG TAB
4 AMLODIPIN TABLET 10 MG TAB
5 AMLODIPIN TABLET 5 MG TAB
6 AMOKSISILIN KAPLET 500 MG KAPL
7 AMOKSISILIN KAPSUL 250 MG KAP
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL
9 ANTASIDA DOEN SUSPENSI BTL
10 ANTASIDA DOEN TABLET KOMBINASI TAB
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB
12 ANTI FUNGI DOEN KOMBINASI POT
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP
14 ANTI INFEKSI KRIM TUB
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP

17 ASAM ASETIL SALISILAT TABLET 80 MG TAB

18 ASAM ASKORBAT TABLET 250 MG TAB
19 ASAM ASKORBAT TABLET 50 MG TAB
20 ASAM ASKORBAT TABLET 500 MG TAB
21 ASAM FOLAT TABLET 0,4 MG TAB
22 ASAM FOLAT TABLET 1 MG TAB
23 ASAM MEFENAMAT TABLET 500 MG TAB
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP
25 ASAM TRANEKSAMAT TABLET 500 MG TAB
26 ASIKLOVIR TABLET 200 MG TAB
27 ASIKLOVIR TABLET 400 MG TAB
28 ASIKLOVIR KRIM 5 % TUB
29 ATAPULGIT TABLET 600 MG TAB
30 ATROPIN SULFAT TABLET 0,5 MG TAB
31 BETAHISTIN MESILAT TABLET 6 MG TAB
32 BETAMETASON KRIM 0,1 % TUB
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP
34 BISAKODIL TABLET 5 MG TAB
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP
36 DEKSAMETASON TABLET 0,5 MG TAB
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP
39 DIAZEPAM TABLET 2 MG TAB
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML
41 DIGOKSIN TABLET 0,25 MG TAB
42 DIMENHIDRINAT TABLET 50 MG TAB
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL
44 DOMPERIDON TABLET 10 MG TAB
45 EPINEPRIN HCL INJEKSI 0,1 % AMP
46 ERITROMISIN KAPSUL 500 MG KAP
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL
48 ETANOL 70 % BTL
49 ETIL KLORIDA SEMPROT BTL
50 FENITOIN NATRIUM KAPSUL KAP
51 FENITOIN INJEKSI 50 MG / ML AMP
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP
53 FENOBARBITAL TABLET 30 MG TAB
54 FENOL GLISEROL TETES TELINGA 10 % BTL
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP
57 FITOMENADION TABLET SALUT 10 MG TAB
58 FUROSEMID INJEKSI 10 MG AMP
59 FUROSEMID TABLET 40 MG TAB
60 GARAM ORALIT KOMBINASI SAK
61 GENTAMISIN TETES MATA 0,3 % BTL
62 GENTAMISIN SALEP KULIT 0,1 % TUB
63 GENTAMISIN SALEP MATA 0,3 % TUB
64 GENTIAN VIOLET LARUTAN 1 % BTL
65 GLIBENKLAMID TABLET 5 MG TAB
66 GLIMEPIRIDE TABLET 2 MG TAB
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP
70 HALOPERIDOL INJEKSI 5 MG / ML AMP
71 HALOPERIDOL INJEKSI 50 MG / ML AMP
72 HALOPERIDOL TABLET 0,5 MG TAB
73 HALOPERIDOL TABLET 1,5 MG TAB
74 HALOPERIDOL TABLET 5 MG TAB
75 HIDROKLORTIAZID TABLET 25 MG TAB
76 HIDROKORTISON KRIM 2,5 % TUB
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL
80 IBUPROFEN TABLET 200 MG TAB
81 IBUPROFEN TABLET 400 MG TAB
82 ISONIAZID TABLET 100 MG TAB
83 ISONIAZID TABLET 300 MG TAB
84 ISOSORBID DINITRAT TABLET 5 MG TAB
85 KALSIUM GLUKONAT INJEKSI 10 % AMP
86 KALSIUM LAKTAT TABLET 500 MG TAB
87 KAPTOPRIL TABLET 25 MG TAB
88 KETOKONAZOLE KRIM 2 % TUB
89 KETOKONAZOLE TABLET 200 MG TAB
90 KLINDAMISIN KAPSUL 300 MG KAP
91 KLOBAZAM TABLET 10 MG TAB
92 KLORAMFENIKOL KAPSUL 250 MG KAP
93 KLORAMFENIKOL SALEP MATA 1% TUB
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL
95 KLORAMFENIKOL TETES MATA 0,5 % BTL
96 KLORAMFENIKOL TETES TELINGA 3 % BTL
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB

100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB

101 KODEIN HCL TABLET 10 MG TAB
102 KOTRIMOKSAZOL 480 MG TAB
103 KOTRIMOKSAZOL 960 MG TAB
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL
105 KURKUMA SIRUP BTL
106 KURKUMA TABLET TAB
107 LAKTULOSA SIRUP BTL
108 LIDOKAIN INJEKSI 20 MG / ML AMP
109 LIDOKAIN KOMPOSITUM INJEKSI AMP
110 LIDOKAIN SPRAY ORAL 10 % BTL
111 LOPERAMID TABLET 2 MG TAB
112 LORATADIN TABLET 10 MG TAB
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML
115 MELOKSIKAM TABLET 15 MG TAB
116 METFORMIN TABLET 500 MG TAB
117 METHISOPRINOL 500 MG TAB
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML
119 METIL ERGOMETRIN TABLET 0,125 MG TAB
120 METIL PREDNISOLON INJEKSI 125 MG AMP
121 METIL PREDNISOLON TABLET 4 MG TAB
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL
123 METRONIDAZOL TABLET 250 MG TAB
124 METRONIDAZOL TABLET 500 MG TAB
125 MIKONAZOL KRIM 2% TUB
126 MINERAL MIXTURE SACHE
T
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP
128 NATRIUM DIKLOFENAK 50 MG TAB
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML
132 NIFEDIPIN TABLET 10 MG TAB
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB
134 NISTATIN 500.000 IU TABLET SALUT TAB
135 NISTATIN SUSPENSI 100.000 IU / ML BTL
136 OBAT ANTI TUBERKULOSIS ANAK PKT
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN
141 OBAT BATUK HITAM SIRUP BTL
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP
148 OMEPRAZOLE INJEKSI 40 MG VIAL
149 OMEPRAZOLE KAPSUL 20 MG KAP
150 PARASETAMOL DROPS 100 MG / ML BTL
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL
152 PARASETAMOL TABLET 500 MG TAB
153 PERAK SULFADIAZIN KRIM 1% TUB
154 PERMETRIN KRIM 5% TUB
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP
156 PIRACETAM TABLET 400 MG TAB
157 PIRIDOKSIN HCL TABLET 10 MG TAB
158 PREDNISON TABLET 5 MG TAB
159 RANITIDIN INJEKSI 25 MG / ML AMP
160 RANITIDIN TABLET 150 MG TAB
161 RETINOL KAPSUL 100.000 IU KAP
162 RETINOL KAPSUL 200.000 IU KAP
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL
164 RISPERIDON TABLET 2 MG TAB
165 SALBUTAMOL INHALASI BTL
166 SALBUTAMOL NEBUL AMP
167 SALBUTAMOL TABLET 4 MG TAB
168 SALEP 2 0 4 KOMBINASI TUB
169 SALISIL BEDAK 2 % KTK
170 SALISIL SPIRITUS 10 % BTL
171 SEFADROKSIL KAPSUL 500 MG KAP
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL

173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL

174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP

175 SETIRIZIN SYR 5 MG / 5ML BTL

176 SETIRIZIN TABLET 10 MG TAB
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP
178 SIMVASTATIN TABLET 10 MG TAB
179 SIMVASTATIN TABLET 20 MG TAB
180 SIPROFLOKSASIN TABLET 500 MG TAB
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL

182 TABLET TAMBAH DARAH KOMBINASI TAB

183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB
186 VITAMIN B KOMPLEKS TABLET TAB
187 VITAMIN D3 5000 IU TAB
188 YODIUM POVIDON GARGLE 240 ML BTL
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
191 ZINK DROPS 10 MG / ML BTL
192 ZINK SIRUP 20 MG / 5 ML BTL
193 ZINK TABLET 20 MG TAB
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL
195 ANESTESI / ANTISEPTIK PASTA POT
196 BONDING KOMPOSIT TUB
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL
198 DEVITALISASI PASTA ( NON ARSEN ) BTL
199 EUGENOL CAIRAN BTL
200 FORMOKRESOL CAIRAN BTL
201 GEL ETCHING TUB
202 GLASS IONOMER ART BTL
203 KALSIUM HIDROKSIDA PASTA BTL
204 KOMPOSIT WARNA A2 TUB
205 KOMPOSIT WARNA A3 TUB
206 KOMPOSIT WARNA A3,5 TUB
207 MUMMIFYING PASTA BTL
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL

209 TEMPORARY STOPPING FLETCHER SET

210 TUMPATAN SEMENTARA BTL
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT
212 ALKOHOL PEROXIDE BTL
213 ALUMINIUM TEST PKT
214 AQUADEST 1 L BTL
215 AQUADEST 5 L BTL
216 AQUADEST 20 L GALON
217 ARSENIC TEST KIT
218 ASAM ASETAT 6 % BTL
219 ASAM ASETAT 25 % BTL
220 ASAM KLORIDA 0,1 N BTL
221 ASAM SULFASALISILAT 20 % BTL
222 ASAM URAT KIT
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT
224 BLOOD AGAR 500 G BTL
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 )
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK
228 BORAKS TEST PKT
229 BOWIE & DICK TEST BOX
230 BOX SLIDE / BOX OBJECT GLASS KOTAK
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL
232 BUFFER GIEMSA BTL
233 BUFFER WRIGHT BTL
234 BUFFER SOLUTION PH 7 BTL
235 BUFFER SOLUTION PH 10 BTL
236 CADMIUM 55 TEST KIT
237 CALCIUM 100 TEST KIT
238 CARBONAT HARDNESS TEST KIT
239 CARREZ I PKT
240 CARREZ II PKT
241 CD 4 CONTROL PCS
242 CD 4 MOBILE PCS
243 CHLORIDE 175 TEST KIT
244 CHLORINE 1 L BTL
245 CHROMATE (250 TEST) KIT
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK
247 COLESTEROL BTL
248 COPPER TEST PKT
249 COVER GLASS PCS
250 CREATININ BTL
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB)
252 CYANIDA TEST KIT
253 DESINFEKTAN SPRAY BTL
254 DIRECT BILIRUBIN KIT
255 DIRUI BCC03600 CLEANSER PAK
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL
257 DIRUI BCC03600 DILUENT PAK
258 DIRUI BCC03600 LYSE PAK
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL
260 EDTA 10 % BTL
261 EMB AGAR 500 G BTL
262 EMERSI OIL BTL
263 ENZYMATIC CLEANER SACHE
T
264 ETANOL 96 % 1 L BTL
265 EXTRAN MA O2 NETRAL 107553.2500 PKT
266 FLUORIDE TEST SPQ 11476100002 PKT
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK
268 FOOD SECURITY KIT KIT
269 FORMALDEHIDE TEST (100 TEST) KIT
270 GLUCOSA BTL
271 GOLONGAN DARAH ANTI SERA A BTL
272 GOLONGAN DARAH ANTI SERA B BTL
273 GOLONGAN DARAH ANTI SERA AB BTL
274 GOLONGAN DARAH ANTI D RHESUS BTL
275 GRAM CRYSTAL VIOLET BTL
276 GRAM SAFRANIN BTL
277 HB METER SAHLI KIT
278 HDL 0C KIT
279 INDIKATOR STEAM STRIP PCS
280 IODINA TEST SET
281 IRON TEST PKT
282 KALIUM PERMANGANAT SERBUK POT
283 KAPORIT (GALON) LT
284 KAPORIT (BOTOL) BTL
285 KERTAS KURKUMIN / TUMERIC PAPER PKT
286 KOVACS INDOL KIT
287 LACTOSE BROTH 500 G BTL
288 LARUTAN BARIUM CHLORIDE BTL
289 LARUTAN BENEDICT BTL
290 LARUTAN DESINFEKTAN 500 ML BTL
291 LARUTAN DESINFEKTAN 750 ML BTL
292 LARUTAN DESINFEKTAN 1 L BTL
293 LARUTAN DESINFEKTAN 5 L GALON
294 LARUTAN EOSIN 2 % BTL
295 LARUTAN ETANOL ASAM BTL
296 LARUTAN FOUCHET BTL
297 LARUTAN GIEMSASTEIN BTL
298 LARUTAN HAYEM BTL
299 LARUTAN KARBOL FUCHSIN BTL
300 LARUTAN KINYOUN BTL
301 LARUTAN LUGOL 1 % BTL
302 LARUTAN METILEN BIRU BTL
303 LARUTAN NATRIUM CITRAT BTL
304 LARUTAN REES ECKER BTL
305 LARUTAN TURK BTL
306 LARUTAN WRIGHT BTL
307 LAURYL SULFATE KIT
308 LDL KIT
309 LEAD TEST (50TEST) KIT
310 LISOL BTL
311 MAC CONKEY AGAR BTL
312 MANGANESE TEST PAK
313 MANNITOL SALT PHENOL RED AGAR BTL
314 METANOL BTL
315 METANIL YELLOW TEST KIT PKT
316 NITRAT TEST PAK
317 NITRIT TEST PAK
318 NUTRIENT AGAR BTL
319 OBYEK GLASS PCS
320 OKSIGEN GAS DALAM TABUNG TBG
321 OXYGEN REACTION BOTTLE UNIT
322 PERHIDROL (H2O2) 3 % BTL
323 PLATE COUNT AGAR BTL
324 POLI ALUMINIUM CHLORID (PAC) KG
325 POTATO DEXTRAN AGAR PKT
326 RHODAMIN B TEST KIT KIT
327 SELENITE BROTH BTL
328 SGOT BTL
329 SGPT BTL
330 SPECTROQUANT PHOTO CHECK KIT
331 SQ COD KIT
332 SULFAT TEST PAK
333 TEST HAMIL URINE / HCG TEST TEST
334 TEST ANTI HCV TEST
335 TEST COVID ANTIBODI TEST
336 TEST COVID ANTIGEN TEST
337 TEST DENGUE TEST
338 TEST HBsAG TEST
339 TEST HIV TEST
340 TEST MALARIA TEST
341 TEST SYPHILIS SD TEST
342 TEST SYPHILIS TPHA TEST
343 TOTAL PROTEIN KIT
344 TRIGLISERIDA BTL
345 TRYPTONE WATER KIT
346 TUBERCULIN SKIN TEST TEST
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 )
348 UREA / BUN KIT
349 URIN STRIP 2 PARAMETER TEST
350 URIN STRIP 3 PARAMETER TEST
351 URIN STRIP 10 PARAMETER TEST
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB
353 VACUTAINER TUBE K3 EDTA 3 ML TUB
354 WIDAL REAGEN TEST KIT KIT
355 XYLOL BTL
356 ZIEH NEELSEN REAGEN KIT KIT
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET
368 ALKOHOL SWAB BJ
369 ANTISEPTIK HANDRUB 50 ML BTL
370 ANTISEPTIK HANDRUB 100 ML BTL
371 ANTISEPTIK HANDRUB 250 ML BTL
372 ANTISEPTIK HANDRUB 500 ML BTL
373 ANTISEPTIK HANDSCRUB 500 ML BTL
374 APRON PLASTIK PCS
375 BIST MESS BJ
376 BLOOD LANCET 26 G / 28 G SET
377 BLOOD SET SET
378 BOR AKSES SET
379 BOR FINISHING SET
380 BOR PREPARASI GIGI SET
381 CAIRAN PENCUCI LUKA BTL
382 CARTRIDGE GENEXPERT SET
383 CATGUT CHROMIC NO. 3/0 SACHE
T
384 CATGUT CHROMIC NO. 4/0 SACHE
T
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T
387 CERVICAL COLLAR PCS
388 COOL BOX UNIT
389 COVERALL EA
390 DERMAFIX PCS
391 DEVELOPER KIT
392 ELDON CARD LEMBA
R
393 FACE SHIELD PCS
394 FIXER KIT
395 FOLLEY CATHETER 2 WAY NO. 16 SET
396 FOLLEY CATHETER 2 WAY NO. 18 SET
397 GEL PERAWATAN LUKA TUB
398 ICE GEL PCS
399 ID BAND PCS
400 INFUS SET ANAK SET
401 INFUS SET DEWASA SET
402 IV CATHETER NO. 18 SET
403 IV CATHETER NO. 20 SET
404 IV CATHETER NO. 22 SET
405 IV CATHETER NO. 24 SET
406 IV CATHETER NO. 26 SET
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ
408 K 0 FILE SET
409 KACAMATA GOGGLE PCS
410 KANTONG MAYAT BJ
411 KAPAS BERLEMAK 500 GRAM ROL
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL
413 KARTU GOLONGAN DARAH PCS
414 KASA 16x16 PCS
415 KASA 40X80 ROL
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM
417 KASA KOMPRES 40/40 STERIL ROL
418 KASA PEMBALUT 2 M X 80 CM ROL
419 KASA PEMBALUT ELASTIS 4 INCI ROL
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL
424 KASA PERAWATAN LUKA LBR
425 KASET WITH SCREEN GREEN PKT
426 KERTAS EKG 80 MM X 30 M ROL
427 KERTAS LAKMUS PCS
428 MASKER PCS
429 MASKER N95 PCS
430 MASKER NEBUL ANAK SET
431 MASKER NEBUL DEWASA SET
432 MASKER NON REBREATHING DEWASA SET
433 MASKER OKSIGEN ANAK SET
434 MASKER OKSIGEN DEWASA SET
435 MICRO BRUSH PAK
436 MICROLIT TIP 10 µl / WHITE TIP SET
437 MICROLIT TIP 200 µl / YELLOW TIP SET
438 MICROLIT TIP 1 ML / BLUE TIP SET
439 NASAL CANULA ANAK SET
440 NASAL CANULA BAYI SET
441 NASAL CANULA DEWASA SET
442 NEEDLE INSULIN SET
443 NURSE CAP PCS
444 PARAFILM ROL
445 PEMBALUT GIPS 4 INCI ROL
446 PLESTER 5 CM x 5 M ROL
447 PLESTER 10 CM X 5 M ROL
448 PLESTER 15 CM X 5 M ROL
449 PLESTER 20 CM X 5 M ROL
450 PLESTER BULAT NON WOVEN PCS
451 PLESTER KAIN 5 X 4,5 M ROL
452 PLESTER KAIN 7,5 X 4,5 M ROL
453 POT SPUTUM SET
454 POT URINE SET
455 SAFETY BOX 2,5 L KTK
456 SAFETY BOX 5 L KTK
457 SALIVA EJECTOR PAK
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG
460 SARUNG TANGAN NON STERIL PSG
461 SARUNG TANGAN STERIL PSG
462 SCALPVEIN / WING NEDLE NO. 23 SET
463 SCALPVEIN / WING NEDLE NO. 25 SET
464 SENDOK SIRUP PCS
465 SEPATU BOOTS PASAN
G
466 SHOES COVER PASAN
G
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T
468 SLIM ZUIKER / MUCUS EXTRACTOR SET
469 SPALK DEWASA SET
470 SPATULA VAGINA KAYU SET
471 SPONS GELATIN PCS
472 STERILIZATION POUCHES 7X26 PCS
473 STERILIZATION POUCHES 9X26 PCS
474 SURGICAL GOWN DISPOSABLE EA
475 SURGICAL GOWN REUSE EA
476 TEST STRIP ASAM URAT TEST
477 TEST STRIP GLUKOSA TEST
478 TEST STRIP HB MISSION TEST
479 TEST STRIP KOLESTEROL TEST
480 TISU PEMBERSIH HIGIENIS UNIT
481 UMBILICAL CORD KLEM PCS
482 UNDERPAD PCS
483 URINE BAG STERIL
484 USG GEL
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG
486 DOLUTEGAVIR 50 MG
487 EFAVIRENZ 600 MG
488 LAMIVUDINE 150 MG
489 LOPINAVIR 200 MG + RITONAVIR 50 MG
490 NEVIRAPINE 200 MG
491 TENOFOVIR 300 MG
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA
495 ZIDOFUDINE 100 MG
496 ZIDOFUDINE SIRUP
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPINE 50 MG (TRIPLE FDC) ANAK
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG
500 MB ANAK
501 MB DEWASA
502 PB ANAK
503 PB DEWASA
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU
505 BCG 20 DOSIS
506 CAMPAK 10 DOSIS
507 DPT0HB0Hib 5 DOSIS
508 DT 10 DOSIS
509 HEPATITIS B
510 HEPATITIS B IMUNOGLOBULIN (Hbig)
511 IPV 10 DOSIS
512 MEASLES RUBELLA (MR)
513 MENINGITIS
514 POLIO b0OPV 10 DOSIS
515 POLIO t0OPV 10 DOSIS
516 POLIO t0OPV 20 DOSIS
517 Td 10 DOSIS
518 TT 10 DOSIS
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG
521 KUININ 222 MG
522 PRIMAKUIN 15 MG
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON
524 PIL KOMBINASI
525 EXLUTON
526 DEPO GESTON
527 DEPO PROVERA
528 SUNTIK KB KOMBINASI
529 IMPLANON 1 ROD
530 INDOPLANT 2 RODS
531 SINOPLANT 2 RODS
532 SUSUK KB 2 RODS
533 IUD COPPER T
534 IUD NON CT
535 IUD PREGNA
536 KONDOM AROMA
537 DUK STERIL
538 IUD KIT STERILISATOR LISTRIK
539 REMOVAL IMPLANT KIT
540 VTP KIT
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 4
0 0 100 100
0 0 4
0 0 4
0 0 2
0 0 4
0 0 50

0 0 10
0 0 50
0 0 200
0 0 200 100
0 0 100
0 0 100
0 0 50
0 0 200 100
0 0 0
0 0 50
0 0 50
0 0 50
0 0 4 4
0 0 50 20
0 0 10
0 0 0
0 0 4
0 0 0
0 0 10
0 0 2
0 0 100 100
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0
0 0 1
0 0 20 20
0 0 2
0 0 20
0 0 2
0 0 2 2
0 0 0
0 0 20
0 0 0
0 0 0
0 0 2
0 0
0 0 4
0 0 4
0 0 50
0 0 0
0 0 0
0 0 100 20
0 0 1
0 0 2
0 0 4
0 0 4
0 0 0
0 0 0
0 0 1
0 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 2
0 0 0
0 0 0
0 0 1
0 0 100
0 0 200 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 100 100
0 0 0
0 0 2 2
0 0 50
0 0 0
0 0 0
0 0 0
0 0 1
0 0 0
0 0 1
0 0 1
0 0 50 50

0 0 0

0 0 0
0 0 0
0 0 50
0 0 50
0 0 50
0 0 2
0 0 2
0 0 100
0 0 2
0 0 10
0 0
0 0
0 0 50
0 0 10 10

0 0 0

0 0 0
0 0 50 50
0 0 0
0 0 0

0 0 0
0 0 30
0 0 0
0 0 30
0 0
0 0 50
0 0 20
0 0 2 2

0 0 20
0 0 0
0 0 50 50
0 0 1

0 0

0 0 1
0 0 50
0 0 10
0 0 20
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 4 4
0 0 0
0 0 0

0 0 0
0 0 2
0 0 2 2
0 0 2
0 0 0
0 0 20 20
0 0 2
0 0 2
0 0 200 100
0 0 0
0 0 0
0 0 0
0 0 20
0 0 100 20
0 0 100
0 0 0
0 0 100
0 0 30
0 0 100
0 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 4
0 0 2
0 0 2
0 0 20

0 0 0
0 0 0

0 0 0
0 0 0
0 0 30
0 0 0
0 0 0
0 0 0
0 0 30

0 0
0 0 100 300
0 0 0
0 0 100 20
0 0 50
0 0 100
0 0 1
0 0 1
0 0 3
0 0
0 0 2
0 0
0 0 50 100

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

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

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

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

0 0
0 0 5
0 0
0 0 50
0 0
0 0
0 0 1
0 0
0 0
0 0
0 0
0 0 1
0 0
0 0
0 0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 1
0 0

0 0

0 0

0 0 1

0 0 1
0 0
0 0
0 0
0 0 1
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 1
0 0
0 0 1
0 0
0 0
0 0
0 0 1
0 0
0 0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0 1
0 0 1
0 0 1
0 0 1
0 0
0 0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0 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 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 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
G (TRIPLE FDC) ANAK 0 0

0 0
0 0
0 0
0 0
0 0

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

0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : FEBRUARI
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 0 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 0 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 0 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 0 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 0 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 0 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 0
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 0
128 NATRIUM DIKLOFENAK 50 MG TAB 0 0
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 0
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 0 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ 0 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET 0 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT 0 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 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
100 0 100 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
100 0 60 40 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0 80 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4 0 3 1 0
20 0 20 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
100 0 60 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
20 0 10 10 0
0 0 0 0
0 0 0 0
0 0 0 0
2 0 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
20 0 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
100 0 100 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0 50 50 0
0 0 0 0
2 0 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
50 0 50 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 10 0 0

0 0 0 0

0 0 0 0
50 0 50 0 0
0 0 0 0
0 0 0 0

0 0 0 0
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 0 2 0 0

0 0 0 0
0 0 0 0
50 0 50 0 0
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 3 1 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
2 0 1 1 0
0 0 0 0
0 0 0 0
20 0 20 0 0
0 0 0 0
0 0 0 0
100 0 60 40 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 0 20 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0

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

0 0 0 0
300 0 120 180 0
0 0 0 0
20 0 20 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0 60 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
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 80 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 80 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : MARET
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 0 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 40 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 20 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 1 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 40 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 10 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 1 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 10 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 0 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 50 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 1 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 0 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 0
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 0
128 NATRIUM DIKLOFENAK 50 MG TAB 0 0
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 0
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 1 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 1 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 40 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 180 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 40 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 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 40 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 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 10 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 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 50 0
0 0 0 0
0 0 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
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

0 0 0 0

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

0 0 0 0
0 0 0 0
0 0 1 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 180 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : APRIL
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 0 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 40 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 20 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 1 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 40 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 10 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 1 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 10 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 0 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 50 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 1 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 0 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 0
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 0
128 NATRIUM DIKLOFENAK 50 MG TAB 0 0
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 0
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 1 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 1 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 40 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 180 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 40 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

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
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : MEI
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 0 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 40 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 20 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 1 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 40 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 10 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 1 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 10 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 0 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 50 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 1 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 0 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 0
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 0
128 NATRIUM DIKLOFENAK 50 MG TAB 0 0
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 0
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 1 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 1 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 40 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 180 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 40 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 100 100
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 40 0 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1 0
0 0 0 0 50 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 40 0 0 100 100
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 10 0 50 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 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 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 50 0 0
0 0 0 0
0 0 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 0 100 100

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 50 50

0 0 0 0

0 0 0 0
0 0 0 0 50 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
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 0

0 0 0 0
0 0 0 0
0 0 0 0 100 50
0 0 0 0

0 0 0 0

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

0 0 0 0
0 0 0 0
0 0 1 0 0
0 0 0 0
0 0 0 0
0 0 0 0 30 30
0 0 0 0
0 0 0 0
0 0 40 0 0 100 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 50 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 120 60 0
0 0 0 0
0 0 0 0 50 100
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 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 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUST

POLINDES / PUSTU : JOMBOK

BULAN : JUNI
TAHUN : 2023

STOK AWAL
NO. NAMA OBAT SATUAN
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 0 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 0 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 0 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 1 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 0 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG/ML 01 ML AMP 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 10 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
 80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 0 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 ML AMP 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 0 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 ML AMP 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 ML AMP 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 0
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 ML AMP 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHET 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 0
128 NATRIUM DIKLOFENAK 50 MG TAB 0 0
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 ML AMP
0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9% 500ML BTL 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 0
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS HARIAN PKT 0 0
141 OBAT BATUK HITAM SIRUP BTL 1 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 ML AMP
0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL 0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP 0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL 0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 60 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ 1.00688.0001 ) PAK 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND (CK0MB) KIT 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHET 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 ( 1.09535.0001 ) PAK 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS PAKAI

358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0

359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHET
0 0
384 CATGUT CHROMIC NO. 4/0 SACHET
0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET
0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHET
0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBAR 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 CM ROL 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASANG 0 0
466 SHOES COVER PASANG
0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHET 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200 MG
0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPINE 50 M 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0

JUMLAH KUNJUNGAN RESEP

UMUM
KTP PNS
9

JUMLAH DAN JENIS OB

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHK

KEPALA PUSKESMAS PETUGAS GUDANG
PUSKESMAS KEBO

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRA

NIP. 19681121 19881201 1 002 NIP. 19910408 2020
OLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 20
0 0 0 0 20
100 0 80 20 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100 0 90 10 0 100
0 0 0 0 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 30
0 0 0 0 0
100 0 40 60 0 100
0 0 0 0 0
0 0 0 0 20
0 0 0 0 20
100 0 70 30 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 10
0 0 0 0 10
0 0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
100 0 70 30 0 100
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 10 0 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
100 0 70 30 0 100
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
100 0 80 20 0 100
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
50 0 30 20 0
0 0 0 0
0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 50
50 0 20 30 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 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 0 0 3
0 0 0 0
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 0 30 0 0 20
0 0 0 0
0 0 0 0
100 0 100 0 0 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
50 0 50 0 0 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 40 20 0
0 0 0 0
100 0 100 0 0 100
0 0 0 0
0 0 0 0 100
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 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 100
0 0 0 0
0 0 0 0
0 0 -10 0 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
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
UM JKN K
K
KTP PNS
17 26

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt. SUPRIYANTI Amd.Keb

NIP. 19910408 202012 2 008 NIP.197308252002122004
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : JULI
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 60 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 0 50
0 0 30 50
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : AGUSTUS
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 60 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 0 50
0 0 30 50
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : SEPTEMBER
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 60 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 0 50
0 0 30 50
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : OKTOBER
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 60 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 0 50
0 0 30 50
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : NOVEMBER
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

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

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0 0 0 0

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0 0 0 0
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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
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008
 LPLPO POLINDES / PUSTU

POLINDES / PUSTU : JOMBOK

BULAN : DESEMBER
TAHUN : 2023

SATUA STOK AWAL

NO. NAMA OBAT
N
APBD JKN
1 2 3 4
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMLODIPIN TABLET 10 MG TAB 0 0
5 AMLODIPIN TABLET 5 MG TAB 0 0
6 AMOKSISILIN KAPLET 500 MG KAPL 20 0
7 AMOKSISILIN KAPSUL 250 MG KAP 0 0
8 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0
9 ANTASIDA DOEN SUSPENSI BTL 0 0
10 ANTASIDA DOEN TABLET KOMBINASI TAB 10 0
11 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
12 ANTI FUNGI DOEN KOMBINASI POT 0 0
13 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
14 ANTI INFEKSI KRIM TUB 0 0
15 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0
16 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP
0 0
17 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
18 ASAM ASKORBAT TABLET 250 MG TAB 0 0
19 ASAM ASKORBAT TABLET 50 MG TAB 60 0
20 ASAM ASKORBAT TABLET 500 MG TAB 0 0
21 ASAM FOLAT TABLET 0,4 MG TAB 0 0
22 ASAM FOLAT TABLET 1 MG TAB 0 0
23 ASAM MEFENAMAT TABLET 500 MG TAB 30 0
24 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATAPULGIT TABLET 600 MG TAB 0 0
30 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 DEKSAMETASON INJEKSI 5 MG / ML 0 1 ML AMP 0 0
36 DEKSAMETASON TABLET 0,5 MG TAB 30 0
37 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0
38 DIAZEPAM INJEKSI 5 MG / ML 0 2 ML AMP 0 0
39 DIAZEPAM TABLET 2 MG TAB 0 0
40 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML 0 1 AMP
ML 0 0
41 DIGOKSIN TABLET 0,25 MG TAB 0 0
42 DIMENHIDRINAT TABLET 50 MG TAB 0 0
43 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0
44 DOMPERIDON TABLET 10 MG TAB 0 0
45 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
46 ERITROMISIN KAPSUL 500 MG KAP 0 0
47 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0
48 ETANOL 70 % BTL 0 0
49 ETIL KLORIDA SEMPROT BTL 0 0
50 FENITOIN NATRIUM KAPSUL KAP 0 0
51 FENITOIN INJEKSI 50 MG / ML AMP 0 0
52 FENOBARBITAL INJEKSI 50 MG / ML 0 2 ML AMP 0 0
53 FENOBARBITAL TABLET 30 MG TAB 0 0
54 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
55 FITOMENADION INJEKSI 2 MG / ML 0 1 ML AMP 0 0
56 FITOMENADION INJEKSI 10 MG / ML 0 1 ML AMP 0 0
57 FITOMENADION TABLET SALUT 10 MG TAB 0 0
58 FUROSEMID INJEKSI 10 MG AMP 0 0
59 FUROSEMID TABLET 40 MG TAB 0 0
60 GARAM ORALIT KOMBINASI SAK 0 0
61 GENTAMISIN TETES MATA 0,3 % BTL 0 0
62 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
63 GENTAMISIN SALEP MATA 0,3 % TUB 0 0
64 GENTIAN VIOLET LARUTAN 1 % BTL 0 0
65 GLIBENKLAMID TABLET 5 MG TAB 0 0
66 GLIMEPIRIDE TABLET 2 MG TAB 0 0
67 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
68 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
69 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0
70 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0
71 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0
72 HALOPERIDOL TABLET 0,5 MG TAB 0 0
73 HALOPERIDOL TABLET 1,5 MG TAB 0 0
74 HALOPERIDOL TABLET 5 MG TAB 0 0
75 HIDROKLORTIAZID TABLET 25 MG TAB 0 0
76 HIDROKORTISON KRIM 2,5 % TUB 0 0
77 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0
78 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0
79 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0
80 IBUPROFEN TABLET 200 MG TAB 0 0
81 IBUPROFEN TABLET 400 MG TAB 30 0
82 ISONIAZID TABLET 100 MG TAB 0 0
83 ISONIAZID TABLET 300 MG TAB 0 0
84 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0
85 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0
86 KALSIUM LAKTAT TABLET 500 MG TAB 0 0
87 KAPTOPRIL TABLET 25 MG TAB 0 0
88 KETOKONAZOLE KRIM 2 % TUB 0 0
89 KETOKONAZOLE TABLET 200 MG TAB 0 0
90 KLINDAMISIN KAPSUL 300 MG KAP 0 0
91 KLOBAZAM TABLET 10 MG TAB 0 0
92 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0
93 KLORAMFENIKOL SALEP MATA 1% TUB 0 0
94 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0
95 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0
96 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
97 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 20 0
98 KLORPROMAZIN HCL INJEKSI 25 MG / ML 0 1 AMP
ML 0 0
99 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB
0 0
100 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0
101 KODEIN HCL TABLET 10 MG TAB 0 0
102 KOTRIMOKSAZOL 480 MG TAB 0 0
103 KOTRIMOKSAZOL 960 MG TAB 0 0
104 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0
105 KURKUMA SIRUP BTL 0 0
106 KURKUMA TABLET TAB 0 0
107 LAKTULOSA SIRUP BTL 0 0
108 LIDOKAIN INJEKSI 20 MG / ML AMP 0 0
109 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0
110 LIDOKAIN SPRAY ORAL 10 % BTL 0 0
111 LOPERAMID TABLET 2 MG TAB 0 0
112 LORATADIN TABLET 10 MG TAB 20 0
113 MAGNESIUM SULFAT INJEKSI / IV 20% 0 25 AMP
ML 0 0
114 MAGNESIUM SULFAT INJEKSI / IV 40% 0 25 AMP
ML 0 0
115 MELOKSIKAM TABLET 15 MG TAB 0 50
116 METFORMIN TABLET 500 MG TAB 0 0
117 METHISOPRINOL 500 MG TAB 0 0
118 METIL ERGOMETRIN INJEKSI 0,2 MG / ML 0 1 AMP
ML 0 0
119 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0
120 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0
121 METIL PREDNISOLON TABLET 4 MG TAB 0 0
122 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0
123 METRONIDAZOL TABLET 250 MG TAB 0 0
124 METRONIDAZOL TABLET 500 MG TAB 0 0
125 MIKONAZOL KRIM 2% TUB 0 0
126 MINERAL MIXTURE SACHE
T 0 0
127 N0ASETIL SISTEIN KAPSUL 200 MG KAP 0 50
128 NATRIUM DIKLOFENAK 50 MG TAB 30 50
129 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0
130 NATRIUM KLORIDA LARUTAN INFUS 0,9 % 10 AMP
ML 0 0
131 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL
500 ML 0 0
132 NIFEDIPIN TABLET 10 MG TAB 0 30
133 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0
134 NISTATIN 500.000 IU TABLET SALUT TAB 0 0
135 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0
136 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0
137 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0
138 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0
139 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0
140 OBAT ANTI TUBERKULOSIS KDT DOSIS PKT
HARIAN 0 0
141 OBAT BATUK HITAM SIRUP BTL 0 0
142 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0
143 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0
144 OKSITETRASIKLIN HCL IM 50 MG / ML 0 10 AMP
ML 0 0
145 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0
146 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0
147 OKSITOSIN INJEKSI 10 IU / ML 0 1 ML AMP 0 0
148 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0
149 OMEPRAZOLE KAPSUL 20 MG KAP 0 0
150 PARASETAMOL DROPS 100 MG / ML BTL 0 0
151 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0
152 PARASETAMOL TABLET 500 MG TAB 0 0
153 PERAK SULFADIAZIN KRIM 1% TUB 0 0
154 PERMETRIN KRIM 5% TUB 0 0
155 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0
156 PIRACETAM TABLET 400 MG TAB 0 0
157 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0
158 PREDNISON TABLET 5 MG TAB 0 0
159 RANITIDIN INJEKSI 25 MG / ML AMP 0 0
160 RANITIDIN TABLET 150 MG TAB 0 0
161 RETINOL KAPSUL 100.000 IU KAP 0 0
162 RETINOL KAPSUL 200.000 IU KAP 0 0
163 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0
164 RISPERIDON TABLET 2 MG TAB 0 0
165 SALBUTAMOL INHALASI BTL 0 0
166 SALBUTAMOL NEBUL AMP 0 0
167 SALBUTAMOL TABLET 4 MG TAB 0 0
168 SALEP 2 0 4 KOMBINASI TUB 0 0
169 SALISIL BEDAK 2 % KTK 0 0
170 SALISIL SPIRITUS 10 % BTL 0 0
171 SEFADROKSIL KAPSUL 500 MG KAP 0 0
172 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL
0 0
173 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0
174 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP
0 0
175 SETIRIZIN SYR 5 MG / 5ML BTL 0 0
176 SETIRIZIN TABLET 10 MG TAB 0 0
177 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0
178 SIMVASTATIN TABLET 10 MG TAB 0 0
179 SIMVASTATIN TABLET 20 MG TAB 0 0
180 SIPROFLOKSASIN TABLET 500 MG TAB 0 0
181 SULFASETAMID NATRIUM TETES MATA 15 % BTL
0 0
182 TABLET TAMBAH DARAH KOMBINASI TAB 20 0
183 TIAMIN HCL INJEKSI 1.000 MCG / ML 0 1 ML AMP 0 0
184 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0
185 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0
186 VITAMIN B KOMPLEKS TABLET TAB 0 0
187 VITAMIN D3 5000 IU TAB 0 0
188 YODIUM POVIDON GARGLE 240 ML BTL 0 0
189 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
190 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
191 ZINK DROPS 10 MG / ML BTL 0 0
192 ZINK SIRUP 20 MG / 5 ML BTL 0 0
193 ZINK TABLET 20 MG TAB 0 0
B. OBAT DAN BAHAN PERAWATAN GIGI
194 AIR RAKSA DENTAL USE BTL 0 0
195 ANESTESI / ANTISEPTIK PASTA POT 0 0
196 BONDING KOMPOSIT TUB 0 0
197 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0
198 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0
199 EUGENOL CAIRAN BTL 0 0
200 FORMOKRESOL CAIRAN BTL 0 0
201 GEL ETCHING TUB 0 0
202 GLASS IONOMER ART BTL 0 0
203 KALSIUM HIDROKSIDA PASTA BTL 0 0
204 KOMPOSIT WARNA A2 TUB 0 0
205 KOMPOSIT WARNA A3 TUB 0 0
206 KOMPOSIT WARNA A3,5 TUB 0 0
207 MUMMIFYING PASTA BTL 0 0
208 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL
0 0
209 TEMPORARY STOPPING FLETCHER SET 0 0
210 TUMPATAN SEMENTARA BTL 0 0
C. BAHAN KIMIA
211 ALKALINE PHOSPHATASE KIT 0 0
212 ALKOHOL PEROXIDE BTL 0 0
213 ALUMINIUM TEST PKT 0 0
214 AQUADEST 1 L BTL 0 0
215 AQUADEST 5 L BTL 0 0
216 AQUADEST 20 L GALON 0 0
217 ARSENIC TEST KIT 0 0
218 ASAM ASETAT 6 % BTL 0 0
219 ASAM ASETAT 25 % BTL 0 0
220 ASAM KLORIDA 0,1 N BTL 0 0
221 ASAM SULFASALISILAT 20 % BTL 0 0
222 ASAM URAT KIT 0 0
223 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0
224 BLOOD AGAR 500 G BTL 0 0
225 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0
226 BOD NUTRIENT SALT MIXT ( SPQ PAK
1.00688.0001 ) 0 0
227 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0
228 BORAKS TEST PKT 0 0
229 BOWIE & DICK TEST BOX 0 0
230 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0
231 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0
232 BUFFER GIEMSA BTL 0 0
233 BUFFER WRIGHT BTL 0 0
234 BUFFER SOLUTION PH 7 BTL 0 0
235 BUFFER SOLUTION PH 10 BTL 0 0
236 CADMIUM 55 TEST KIT 0 0
237 CALCIUM 100 TEST KIT 0 0
238 CARBONAT HARDNESS TEST KIT 0 0
239 CARREZ I PKT 0 0
240 CARREZ II PKT 0 0
241 CD 4 CONTROL PCS 0 0
242 CD 4 MOBILE PCS 0 0
243 CHLORIDE 175 TEST KIT 0 0
244 CHLORINE 1 L BTL 0 0
245 CHROMATE (250 TEST) KIT 0 0
246 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0
247 COLESTEROL BTL 0 0
248 COPPER TEST PKT 0 0
249 COVER GLASS PCS 0 0
250 CREATININ BTL 0 0
251 CREATININ KINASE MYOCARDIAL BAND KIT
(CK0MB) 0 0
252 CYANIDA TEST KIT 0 0
253 DESINFEKTAN SPRAY BTL 0 0
254 DIRECT BILIRUBIN KIT 0 0
255 DIRUI BCC03600 CLEANSER PAK 0 0
256 DIRUI BCC03600 CONTROL CBC NORMAL BTL 0 0
257 DIRUI BCC03600 DILUENT PAK 0 0
258 DIRUI BCC03600 LYSE PAK 0 0
259 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0
260 EDTA 10 % BTL 0 0
261 EMB AGAR 500 G BTL 0 0
262 EMERSI OIL BTL 0 0
263 ENZYMATIC CLEANER SACHE
T 0 0
264 ETANOL 96 % 1 L BTL 0 0
265 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0
266 FLUORIDE TEST SPQ 11476100002 PKT 0 0
267 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0
268 FOOD SECURITY KIT KIT 0 0
269 FORMALDEHIDE TEST (100 TEST) KIT 0 0
270 GLUCOSA BTL 0 0
271 GOLONGAN DARAH ANTI SERA A BTL 0 0
272 GOLONGAN DARAH ANTI SERA B BTL 0 0
273 GOLONGAN DARAH ANTI SERA AB BTL 0 0
274 GOLONGAN DARAH ANTI D RHESUS BTL 0 0
275 GRAM CRYSTAL VIOLET BTL 0 0
276 GRAM SAFRANIN BTL 0 0
277 HB METER SAHLI KIT 0 0
278 HDL 0C KIT 0 0
279 INDIKATOR STEAM STRIP PCS 0 0
280 IODINA TEST SET 0 0
281 IRON TEST PKT 0 0
282 KALIUM PERMANGANAT SERBUK POT 0 0
283 KAPORIT (GALON) LT 0 0
284 KAPORIT (BOTOL) BTL 0 0
285 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0
286 KOVACS INDOL KIT 0 0
287 LACTOSE BROTH 500 G BTL 0 0
288 LARUTAN BARIUM CHLORIDE BTL 0 0
289 LARUTAN BENEDICT BTL 0 0
290 LARUTAN DESINFEKTAN 500 ML BTL 0 0
291 LARUTAN DESINFEKTAN 750 ML BTL 0 0
292 LARUTAN DESINFEKTAN 1 L BTL 0 0
293 LARUTAN DESINFEKTAN 5 L GALON 0 0
294 LARUTAN EOSIN 2 % BTL 0 0
295 LARUTAN ETANOL ASAM BTL 0 0
296 LARUTAN FOUCHET BTL 0 0
297 LARUTAN GIEMSASTEIN BTL 0 0
298 LARUTAN HAYEM BTL 0 0
299 LARUTAN KARBOL FUCHSIN BTL 0 0
300 LARUTAN KINYOUN BTL 0 0
301 LARUTAN LUGOL 1 % BTL 0 0
302 LARUTAN METILEN BIRU BTL 0 0
303 LARUTAN NATRIUM CITRAT BTL 0 0
304 LARUTAN REES ECKER BTL 0 0
305 LARUTAN TURK BTL 0 0
306 LARUTAN WRIGHT BTL 0 0
307 LAURYL SULFATE KIT 0 0
308 LDL KIT 0 0
309 LEAD TEST (50TEST) KIT 0 0
310 LISOL BTL 0 0
311 MAC CONKEY AGAR BTL 0 0
312 MANGANESE TEST PAK 0 0
313 MANNITOL SALT PHENOL RED AGAR BTL 0 0
314 METANOL BTL 0 0
315 METANIL YELLOW TEST KIT PKT 0 0
316 NITRAT TEST PAK 0 0
317 NITRIT TEST PAK 0 0
318 NUTRIENT AGAR BTL 0 0
319 OBYEK GLASS PCS 0 0
320 OKSIGEN GAS DALAM TABUNG TBG 0 0
321 OXYGEN REACTION BOTTLE UNIT 0 0
322 PERHIDROL (H2O2) 3 % BTL 0 0
323 PLATE COUNT AGAR BTL 0 0
324 POLI ALUMINIUM CHLORID (PAC) KG 0 0
325 POTATO DEXTRAN AGAR PKT 0 0
326 RHODAMIN B TEST KIT KIT 0 0
327 SELENITE BROTH BTL 0 0
328 SGOT BTL 0 0
329 SGPT BTL 0 0
330 SPECTROQUANT PHOTO CHECK KIT 0 0
331 SQ COD KIT 0 0
332 SULFAT TEST PAK 0 0
333 TEST HAMIL URINE / HCG TEST TEST 0 0
334 TEST ANTI HCV TEST 0 0
335 TEST COVID ANTIBODI TEST 0 0
336 TEST COVID ANTIGEN TEST 0 0
337 TEST DENGUE TEST 0 0
338 TEST HBsAG TEST 0 0
339 TEST HIV TEST 0 0
340 TEST MALARIA TEST 0 0
341 TEST SYPHILIS SD TEST 0 0
342 TEST SYPHILIS TPHA TEST 0 0
343 TOTAL PROTEIN KIT 0 0
344 TRIGLISERIDA BTL 0 0
345 TRYPTONE WATER KIT 0 0
346 TUBERCULIN SKIN TEST TEST 0 0
347 UNIVERSAL INDIKATOR PH 0014 PAK
( 1.09535.0001 ) 0 0
348 UREA / BUN KIT 0 0
349 URIN STRIP 2 PARAMETER TEST 0 0
350 URIN STRIP 3 PARAMETER TEST 0 0
351 URIN STRIP 10 PARAMETER TEST 0 0
352 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0
353 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0
354 WIDAL REAGEN TEST KIT KIT 0 0
355 XYLOL BTL 0 0
356 ZIEH NEELSEN REAGEN KIT KIT 0 0
357 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0
D. ALAT KESEHATAN DAN BAHAN HABIS
PAKAI
358 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0
359 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0
360 ALAT SUNTIK SEKALI PAKAI 0,3 ML SET 0 0
361 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0
362 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
363 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
364 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
365 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
366 ALAT SUNTIK SEKALI PAKAI 20 ML SET 0 0
367 ALAT SUNTIK SEKALI PAKAI 50 ML SET 0 0
368 ALKOHOL SWAB BJ -80 0
369 ANTISEPTIK HANDRUB 50 ML BTL 0 0
370 ANTISEPTIK HANDRUB 100 ML BTL 0 0
371 ANTISEPTIK HANDRUB 250 ML BTL 0 0
372 ANTISEPTIK HANDRUB 500 ML BTL 0 0
373 ANTISEPTIK HANDSCRUB 500 ML BTL 0 0
374 APRON PLASTIK PCS 0 0
375 BIST MESS BJ 0 0
376 BLOOD LANCET 26 G / 28 G SET -80 0
377 BLOOD SET SET 0 0
378 BOR AKSES SET 0 0
379 BOR FINISHING SET 0 0
380 BOR PREPARASI GIGI SET 0 0
381 CAIRAN PENCUCI LUKA BTL 0 0
382 CARTRIDGE GENEXPERT SET 0 0
383 CATGUT CHROMIC NO. 3/0 SACHE
T 0 0
384 CATGUT CHROMIC NO. 4/0 SACHE
T 0 0
385 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHE
T 0 0
386 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHE
T 0 0
387 CERVICAL COLLAR PCS 0 0
388 COOL BOX UNIT 0 0
389 COVERALL EA 0 0
390 DERMAFIX PCS 0 0
391 DEVELOPER KIT 0 0
392 ELDON CARD LEMBA
R 0 0
393 FACE SHIELD PCS 0 0
394 FIXER KIT 0 0
395 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0
396 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0
397 GEL PERAWATAN LUKA TUB 0 0
398 ICE GEL PCS 0 0
399 ID BAND PCS 0 0
400 INFUS SET ANAK SET 0 0
401 INFUS SET DEWASA SET 0 0
402 IV CATHETER NO. 18 SET 0 0
403 IV CATHETER NO. 20 SET 0 0
404 IV CATHETER NO. 22 SET 0 0
405 IV CATHETER NO. 24 SET 0 0
406 IV CATHETER NO. 26 SET 0 0
407 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0
408 K 0 FILE SET 0 0
409 KACAMATA GOGGLE PCS 0 0
410 KANTONG MAYAT BJ 0 0
411 KAPAS BERLEMAK 500 GRAM ROL 0 0
412 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0
413 KARTU GOLONGAN DARAH PCS 0 0
414 KASA 16x16 PCS 0 0
415 KASA 40X80 ROL 0 0
416 KASA HIDROFIL STERIL UKURAN 18 M X22 ROL
CM 0 0
417 KASA KOMPRES 40/40 STERIL ROL 0 0
418 KASA PEMBALUT 2 M X 80 CM ROL 0 0
419 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0
420 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
421 KASA PEMBALUT HIDROFIL 4 M X 15 CM ROL 0 0
422 KASA PEMBALUT HIDROFIL 4 M X 3 CM ROL 0 0
423 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 0 0
424 KASA PERAWATAN LUKA LBR 0 0
425 KASET WITH SCREEN GREEN PKT 0 0
426 KERTAS EKG 80 MM X 30 M ROL 0 0
427 KERTAS LAKMUS PCS 0 0
428 MASKER PCS 0 0
429 MASKER N95 PCS 0 0
430 MASKER NEBUL ANAK SET 0 0
431 MASKER NEBUL DEWASA SET 0 0
432 MASKER NON REBREATHING DEWASA SET 0 0
433 MASKER OKSIGEN ANAK SET 0 0
434 MASKER OKSIGEN DEWASA SET 0 0
435 MICRO BRUSH PAK 0 0
436 MICROLIT TIP 10 µl / WHITE TIP SET 0 0
437 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0
438 MICROLIT TIP 1 ML / BLUE TIP SET 0 0
439 NASAL CANULA ANAK SET 0 0
440 NASAL CANULA BAYI SET 0 0
441 NASAL CANULA DEWASA SET 0 0
442 NEEDLE INSULIN SET 0 0
443 NURSE CAP PCS 0 0
444 PARAFILM ROL 0 0
445 PEMBALUT GIPS 4 INCI ROL 0 0
446 PLESTER 5 CM x 5 M ROL 0 0
447 PLESTER 10 CM X 5 M ROL 0 0
448 PLESTER 15 CM X 5 M ROL 0 0
449 PLESTER 20 CM X 5 M ROL 0 0
450 PLESTER BULAT NON WOVEN PCS 0 0
451 PLESTER KAIN 5 X 4,5 M ROL 0 0
452 PLESTER KAIN 7,5 X 4,5 M ROL 0 0
453 POT SPUTUM SET 0 0
454 POT URINE SET 0 0
455 SAFETY BOX 2,5 L KTK 0 0
456 SAFETY BOX 5 L KTK 0 0
457 SALIVA EJECTOR PAK 0 0
458 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0
459 SARUNG TANGAN KERJA (TEBAL) M 0 L PSG 0 0
460 SARUNG TANGAN NON STERIL PSG 0 0
461 SARUNG TANGAN STERIL PSG 0 0
462 SCALPVEIN / WING NEDLE NO. 23 SET 0 0
463 SCALPVEIN / WING NEDLE NO. 25 SET 0 0
464 SENDOK SIRUP PCS 0 0
465 SEPATU BOOTS PASAN
G 0 0
466 SHOES COVER PASAN
G 0 0
467 SILK / BENANG SUTERA NO. 3/0 SACHE
T 0 0
468 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0
469 SPALK DEWASA SET 0 0
470 SPATULA VAGINA KAYU SET 0 0
471 SPONS GELATIN PCS 0 0
472 STERILIZATION POUCHES 7X26 PCS 0 0
473 STERILIZATION POUCHES 9X26 PCS 0 0
474 SURGICAL GOWN DISPOSABLE EA 0 0
475 SURGICAL GOWN REUSE EA 0 0
476 TEST STRIP ASAM URAT TEST 0 0
477 TEST STRIP GLUKOSA TEST 0 0
478 TEST STRIP HB MISSION TEST 0 0
479 TEST STRIP KOLESTEROL TEST 0 0
480 TISU PEMBERSIH HIGIENIS UNIT -10 0
481 UMBILICAL CORD KLEM PCS 0 0
482 UNDERPAD PCS 0 0
483 URINE BAG STERIL 0 0
484 USG GEL 0 0
E. OBAT PROGRAM HIV / AIDS
485 ABACAVIR 300 MG 0 0
486 DOLUTEGAVIR 50 MG 0 0
487 EFAVIRENZ 600 MG 0 0
488 LAMIVUDINE 150 MG 0 0
489 LOPINAVIR 200 MG + RITONAVIR 50 MG 0 0
490 NEVIRAPINE 200 MG 0 0
491 TENOFOVIR 300 MG 0 0
492 TENOVOFIR 300 MG + EMTRICITABINE 200
MG 0 0
493 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
DOLUTEGAVIR 50 MG 0 0
494 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA 0 0
495 ZIDOFUDINE 100 MG 0 0
496 ZIDOFUDINE SIRUP 0 0
497 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG 0 0
498 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + NEVIRAPIN 0 0
F. OBAT PROGRAM KUSTA
499 KLOFAZIMINE TABLET 100 MG 0 0
500 MB ANAK 0 0
501 MB DEWASA 0 0
502 PB ANAK 0 0
503 PB DEWASA 0 0
G. OBAT VAKSIN
504 ANTI DIFTERI SERUM 10.000 IU 0 0
505 BCG 20 DOSIS 0 0
506 CAMPAK 10 DOSIS 0 0
507 DPT0HB0Hib 5 DOSIS 0 0
508 DT 10 DOSIS 0 0
509 HEPATITIS B 0 0
510 HEPATITIS B IMUNOGLOBULIN (Hbig) 0 0
511 IPV 10 DOSIS 0 0
512 MEASLES RUBELLA (MR) 0 0
513 MENINGITIS 0 0
514 POLIO b0OPV 10 DOSIS 0 0
515 POLIO t0OPV 10 DOSIS 0 0
516 POLIO t0OPV 20 DOSIS 0 0
517 Td 10 DOSIS 0 0
518 TT 10 DOSIS 0 0
H. OBAT PROGRAM MALARIA
519 ARTESUNATE INJEKSI 60 MG 0 0
520 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG 0 0
521 KUININ 222 MG 0 0
522 PRIMAKUIN 15 MG 0 0
I. OBAT DAN BHP PROGRAM KB
523 MICROGYNON 0 0
524 PIL KOMBINASI 0 0
525 EXLUTON 0 0
526 DEPO GESTON 0 0
527 DEPO PROVERA 0 0
528 SUNTIK KB KOMBINASI 0 0
529 IMPLANON 1 ROD 0 0
530 INDOPLANT 2 RODS 0 0
531 SINOPLANT 2 RODS 0 0
532 SUSUK KB 2 RODS 0 0
533 IUD COPPER T 0 0
534 IUD NON CT 0 0
535 IUD PREGNA 0 0
536 KONDOM AROMA 0 0
537 DUK STERIL 0 0
538 IUD KIT STERILISATOR LISTRIK 0 0
539 REMOVAL IMPLANT KIT 0 0
540 VTP KIT 0 0
JUMLAH KUNJUNGAN RESEP
UMUM
KTP PNS

JUMLAH DAN JENIS OBAT (PK

KETERSEDIAAN OBAT
LPLPO

MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN

KEPALA PUSKESMAS PETUGAS GUDANG OBAT
PUSKESMAS KEBONHARJ

BUDY UTOMO, S.Kep, Ns, M.M AINUN APRIANI PRATIWI,

NIP. 19681121 19881201 1 002 NIP. 19910408 202012 2 00
POLINDES / PUSTU

PENERIMAAN PEMAKAIAN SISA STOCK PERMIN PEMBERIAN

TAAN
APBD JKN APBD JKN APBD JKN APBD JKN
5 6 7 9 10

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 60 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 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 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
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 30 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
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0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 20 0

0 0 0 0

0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0

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

0 0 0 0
0 0 0 50
0 0 30 50
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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
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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 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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
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0 0 0 0
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0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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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 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

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

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

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

0 0 0 0

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

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

0 0 0 0

0 0 0 0

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

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

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

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

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 JUMLA
%
JUMLA H
RESEP
H RESEP
GENERI
TOTAL GENERI
MUM JKN K
K
KTP PNS

% KETERSEDIAAN
MLAH DAN JENIS OBAT (PKD) OBAT
LPO YANG ADA

YANG MENYERAHKAN YANG MENERIMA/ YANG MEMINTA

PETUGAS GUDANG OBAT PETUGAS PUSTU/POLINDES
PUSKESMAS KEBONHARJO

AINUN APRIANI PRATIWI, S.Farm, Apt.

NIP. 19910408 202012 2 008