Anda di halaman 1dari 180

REKAPITULASI P

TAHU
NAMA OBAT

JAN

FEB

MAR

3
Acyclovir tablet 200 mg
Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida
200mg +AL.Hidroksida 200mg

50
500
1000
100

1000
100

1200
50

600
5000
120

1200
2500
60

600
2500
60

1000
2000

Antasida DOEN sirup kombinasi : Mg Hidroksida 200mg


+AL.Hidroksida 200mg
Anti Bakteri DOEN salep kombinasi :Basitrasin 500 IU/g
+ Polimiksin 1000 IU/g
Antifungi DOEN kombinasi : Asam Benzoat 6 % +
Asam Salisilat 3 %
Anti Hemoroid DOEN kombinasi
Antimigren DOEN tablet kombinasi : Ergotamin Tartrat
1 mg + Kofein 50 mg
Aqua pro Injeksi steril, bebas pirogen
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi

500

2000
100

25

2000
50
25

24
50

30

NAMA OBAT
3
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstran 70 - larutan infus 6 o/o steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) Injeksi
0,1 % - 1 ml
Erytromycin 250 mg kapsul

2000
2000

2000
1800

4000
2000
200

25
2000

1500
32

1500
40

500

300

300

1000

500

1000

100
2000

50

300

1000
1000

500

200
1000

100
1000

NAMA OBAT
3
Erytromycin 500 mg kaplet
Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg

300
5
3

5
4

24
60

60
200

200

300

400
10

300

400

50
2000

300

1000
1000
2000

200

2000
24
2000
10

1500

NAMA OBAT
3
Kaen 3B infus
Kalium Klorida infus 25 ml
Kalium Permanganat serbuk
Kalium Hidroksida Pasta
Kalsium Laktat (Kalk) tablet 500 mg
Kanamisin inj 1 g
Karbamazepin tablet 200 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %
Kloramfenikol tetes mata 0,5 %
Klorfeniramin Maleat ( CTM ) tablet 4 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg

2000
10

3000

1080

480

25
2000

25
4000

24
25
2000

Kotrimoksazol tablet kombinasi : Sulfametoksazol400


mg + Trimetoprim 80 mg

500

Kotrimoksazol tablet pediatrik, kombinasi :


Sulfametoksazol 100 mg + Trimetoprim 20 mg
Kotrimoksazol Suspensi , kombinasi : Sulfametoksazol
200 mg + Trimetoprim 40 mg/ 5 ml
Kuinin Duhidroklorida injeksi 25 % - 2 ml
Kuinin ( Kina ) tablet 200 mg
Lavertran salep
Lidokain Komp.injeksi, Kombinasi : Lidokain HC 12 % +
Epinefrin 1 : 80.000 - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Magnesium Sulfat inj ( IV ) 20 % - 25 ml
Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg
Metformin tablet 500 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Metilergametrin Tablet salut 0,125 mg

100

10

12

60
2

60
2

120

400
30

500

500
60
300

NAMA OBAT
3
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml
Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Obat Batuk Hitam ( OBH ) cairan
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg

300

300

300
500

300
800

500

300

1000
1000

10
5

60

120

120

100
90

48
50
150
20

1000
4000

200
1000
6000

120

120

1000

1000

50
5000

200
3000

NAMA OBAT
3
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg
Polikresulen ( Kondensasi Metrakresol Sulfonat dan
Metanal ) 360 mg / g
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg
Salep 2 - 4, Kombinasi : Asam Salisilat 2 % +Belerang
Endap 4 %
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml

800

300
10
15

1000

1000
20

1000
20

1750
20
700

20
24

24
30

40
500
24
30
2

620

1000
100
420

1000
600

NAMA OBAT
3
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tablet tambah Darah Kombinasi : Besi II Sulfat 200 mg
+ Asam Folat 0,25 mg
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Tetraksklin HCI Kapsul 500 mg
Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop
Pehavral
Asiklovir 400mg
Ketokonazole Tablet

3000

1800

3000
300

3000
500

10
4000
500

200
24

200
24

56

112

2000

500

50

NAMA OBAT
3
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)

1800

Etil Klorida semprot


Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair

NAMA ALKES HABIS PAKAI


Alat
Alat
Alat
Alat
Alat

suntik
suntik
suntik
suntik
suntik

sekali
sekali
sekali
sekali
sekali

pakai
pakai
pakai
pakai
pakai

0,05 ml
0,5 ml
1 ml
2,5 ml / 3 ml
5 ml

300
300

Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum


bedah
Daryantull
Folley Catch No. 16
Folley Catch No. 18
Infusion set anak
Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril

200

24

500
200

24

5
10
24

20

10
20

20
5
30

5
50

100

100

NAMA ALKES HABIS PAKAI


3
Kasa Hidrofil Steril ukuran 16 x 16 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips

60
100

100

Plester 5 yards x 2 inch


Sarung Tangan ukuran S
Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag
NAMA REAGEN

6
200
300
200
10
24

50

Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain
Larutan Hidrogen Peroksida / H2O2
Larutan Kalium Hidroksida / KOH
Larutan Karbol Fuksin
Larutan Metilen Biru
Larutan Na.Sitrat
Larutan Resekker
Larutan Truk

NAMA REAGEN
3
Larutan Xylene
Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B

200
200
200

200

300
100
100
10

Reagen Gol Darah B


Reagen Gol Darah O
Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex
Kapas 100gr
Darplex
Bromhexin HCl
Hufabinic Tab
New Diatab
Kasa 4x10
Kasa 4x5
Asam Folat
Cefadroxil Sirup
Domperidone Sirup
Ibuprofen Sirup
Multivitamin Sirup
Selang Nebula
Underpad
Benang tali pusat
Gemfibrozil 300mg
Safety Box
Sarung Tangan no. 7,5
Zinkid Sirup
Pirantel Sirup
Loperamid
Hustab
Sulfasetamid tetes mata
Amlodipin 5 mg
Hemafort
Bisturi no. 10
Bisturi no. 20
Kasa Pembalut 2mx80cm

600
12
45
200
100

500

100

300

200

Blade Holder
Cetirizin sirup
Permetrin Krim
Betahistin
H2O2
Bisakodil Suppositoria
Nistatin Drop
Tambah Darah Sirup

EKAPITULASI PENERIMAAN OBAT


TAHUN 2014
APR

MEI

30
200
1000

JULI

AGS

SEPT

25

200
25

100

300

200

700

3500
150
300

1700

100
30

3000

JUNI

480
4800
60

OKT

200
500
50

1200
300

960
6000
360

1000
60

600
3700

3500
120

100

200

300

500

500

3000

9000

3000

3500

100

50

50

100

25

100

2000

50

50

48

10

10

10

5000
2000

2000
3000

10000
4000

5000
2500

1000
1000

7000
3000

60

48
1500
10
120
500

2000

1000

72

24

48

4500
24
90
700

1500
20
300
500

1000
10

2000
10

200

300

1500

2000

1000

2000

50

200

30
100
100

300
100
500

300
500

30
100

500

200

100

100

200

4
2

500

200

200
48

2
4

24
60
100

30
300

300

400

10
200
1000

30
200

300
40
25
600
3000

200

300

600

200

3000

24
400

400

10

20

300

24
2500
10
100

600
1000

2000
24
10000

1000
2200

4000

2000
10

100

24

24

1000

1000

4000

2000

1000

4000

480

1560

240
24

48
25
2000

1200
25
500

1200
24
24

50
3000

10000

1200
48
24
125
5000

300

100

200

500

700

100

50

120
2

30

200

1000

1000

100

100

200

12

300

12

180

30
1

210
4

500

800
30
200

1500

100

500

2000

150

200

200
200

500
500

500

700

300
300

500

700

500

300
100
100

100

120

120

50
200
100
10
10

120

120

50
24

48
150

50
60

100
120

210

90

300

100

150

400

300

250

350

5000

3000

10000

500

5500

7000

240
3000

120

330
2000

1000

2000

1000

1200

300

15

10

10
3

10
8

20

200

10
5

2000

300

700
20

1000
20

200

4000
30

500

300

60
400

40
500

30

24
50

200

1500
30

1500
30

20
600

60
500

250
500
20

80
300

24
20

30

2
1000

1000

3000

2000
100

100
600

900

900

480

3600

600

9000

2000

2000

1000

4000
500

20
12000
1500

4200

6000

30

5000
200

2000

6000
500
1000

4000
500

8000
200
1000
4

200
24

300

200

200
24

200

56

112

100

100

200

56
500

50

1
1
1

100

300
200

500

300
100

300

300
200

24

14

10

10
20

12
20

10

10
50

7
50

30

100

50

50

100

70
100

24
24

100

50

100

302

50

50
50

300
300

300
100

6
500
200

12
400
200
200

10

10

24

100

6
200
200
200
20
36

50
2

300

48
600

200

100

300

500

48
800

1400
24

15

500

200

300

12

500

120

200
30
400
48

50
60
1
10
2
200
2

48
200
24

50
60

60
3
90

300

300
20

200
48
50

100
20
100
300
24
300
500
200
200
180

NOV

DES

TOTAL

50
90
200

200

200
150
120
2400
0
14800
550
900
30
0
6240
38500
1200
0
100
0
0
2500

1500
50
200

1500
50

1200
3500
180

600
3000
180

3000

3000

32500

100

100

650

25

50

350

24

96
50

10

20

0
95
0
0
0
0
0
0
0

5000
1500

4000
3000

300

24

24

1500

2000

300

300
200

1000

1000

50

200

0
0
0
47000
25800
0
500
0
0
0
0
60
0
0
0
265
0
21000
146
810
3800
0
12000
0
250
2000
0
500
0
0
30
0
400
1300
4000
1000
30
1000
0
0
0
0
0
0

200
2
2

30

100

200

500

20
300
3000

1000
2000
10

2000

0
0
0
0
0
1800
48
18
32
0
0
0
0
0
0
0
24
84
210
800
0
0
3100
50
129
6500
9000
0
0
0
30
600
0
0
6000
72
20800
13000
40
0
400
0
0
0
0

1000

3000

600
24

24

2000

100
2000

300

300

0
0
0
0
0
0
0
0
0
0
48
0
22000
10
0
8040
193
596
375
34000
0
0
0
0
3700
0

50

10

500
30
300

120
2

500

300
0
0
56
1080
16
0
0
0
0
0
7400
150
1300
0

200
300
200

300
300

1000

1000
20
200

120

100
120

120

500

500

3000

5000

1000

0
0
0
0
0
0
0
0
1200
0
2200
2600
0
1000
6700
0
70
0
700
100
300
20
25
0
0
0
0
900
0
50
120
400
1530
20
0
2800
2000
54000
0
0
0
0
810
200
14000

600

600
20
10

200

2000

1600

300

60
200

200

20

20

2
1000
900
10

0
0
0
0
0
0
0
0
0
0
5000
60
0
75
30
0
2000
0
0
900
0
0
15800
170
0
300
550
2250
0
420
3924
96
230
0
2
0
0
12
0
10000
300
5420
10

0
0
0
0
0
0
0
0
0
0
0
2400

200

200
60

2000

10

32400
0
0
400
0
90
11000
0
0
0
50
54000
5600
2000
8

200

10
5000
700

300

100

2400
96

56
800
300
50

448
1300
1000
350
0
0
0
0
0
1
1
0
1
0

500

11
0
0
0
0
0
0
0
0
0
0

300
200

300
100

24
10

20
20
20
20
4

20

24
2
20

100

0
0
0
3400
1300
0
96
10
0
5
30
124
76
104
98
23
180
0
0
0
0
0
0
0
0
0
752
0
230
750
0
0

100
200

100

100
300
300

30
2300
2100
1500
60
84
0
0
500
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

96
800

1000

100

200

200
48
50
60

120

300

300

15
50
600
300

0
0
0
0
0
0
0
0
0
0
800
0
0
0
0
240
5600
36
91
0
200
2100
0
30
2100
96
150
0
492
4
100
2
1400
22
300
83
100
100
900
24
600
500
200
200
180

20
24
300
10
12
20
72

4
20
24
300
10
12
20
72
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0

REKAPITULASI P
TAHU
NAMA OBAT

JAN

FEB

MAR

3
Acyclovir tablet 200 mg
Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida
200mg +AL.Hidroksida 200mg

155
7
5
231

50
14
3
300

40
24
60
254

1400
52

910
66

850
23
100

865
3407
65

371
2944
69

504
3057
51

695

265

265

1771

2017

51

53

12

26

14
13

14

2296

Antasida DOEN sirup kombinasi : Mg Hidroksida 200mg


+AL.Hidroksida 200mg

47

Anti Bakteri DOEN salep kombinasi :Basitrasin 500 IU/g


+ Polimiksin 1000 IU/g

27

Antifungi DOEN kombinasi : Asam Benzoat 6 % +


Asam Salisilat 3 %
Anti Hemoroid DOEN kombinasi

11

Antimigren DOEN tablet kombinasi : Ergotamin Tartrat


1 mg + Kofein 50 mg
Aqua pro Injeksi steril, bebas pirogen
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi

10

27

10

0
0
0
0

110

11
10

NAMA OBAT
0
3
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstran 70 - larutan infus 6 o/o steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) Injeksi
0,1 % - 1 ml
Erytromycin 250 mg kapsul

2849
1235

3678
1890

3733
2011

165

31

1751
7

1620
21

304

316

1519
25
95
429

932

1347

1100

24
811
1
89.75

20
201

44
290

118

158

10
90
37
709
20

158
671
40

195

10
30
48
420
75
3

NAMA OBAT
3
Erytromycin 500 mg kaplet
Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg

41
2
3

170
6
3
4

94
13
1
4

22
14
80
25

2
35
10
10

20
75
10

244

296

49

1
225
187

5
322
404

6
276
241

3
10

5
70

230

150
4

1245
3
200
1340
1

184
22
300
2170
7

35

1725

170

NAMA OBAT
3
Kaen 3B infus
Kalium Klorida infus 25 ml
Kalium Permanganat serbuk
Kalium Hidroksida Pasta
Kalsium Laktat (Kalk) tablet 500 mg
Kanamisin inj 1 g
Karbamazepin tablet 200 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %
Kloramfenikol tetes mata 0,5 %
Klorfeniramin Maleat ( CTM ) tablet 4 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg
Kotrimoksazol tablet kombinasi : Sulfametoksazol400
mg + Trimetoprim 80 mg

2100

1651

178
2
4
20
461

515
1
3
28
3251

648

22
2875

280

280

334

32

11

171
1

100

95
3

520

417
25

460
21
200

Kotrimoksazol tablet pediatrik, kombinasi :


Sulfametoksazol 100 mg + Trimetoprim 20 mg
Kotrimoksazol Suspensi , kombinasi : Sulfametoksazol
200 mg + Trimetoprim 40 mg/ 5 ml
Kuinin Duhidroklorida injeksi 25 % - 2 ml
Kuinin ( Kina ) tablet 200 mg
Lavertran salep
Lidokain Komp.injeksi, Kombinasi : Lidokain HC 12 % +
Epinefrin 1 : 80.000 - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Magnesium Sulfat inj ( IV ) 20 % - 25 ml
Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg
Metformin tablet 500 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Metilergametrin Tablet salut 0,125 mg

NAMA OBAT
3
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml
Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Obat Batuk Hitam ( OBH ) cairan
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg

159

142

215

50
60

254
330

44
278

282

513

285
2

100
7
10

38
30
2
5

40

92

85

1
6
25
110

12
70
90

5
13
25
110
2

1135
5589

75
973
4119

4662

119

58

51

1207

1327

2620

107

NAMA OBAT
3
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg
Polikresulen ( Kondensasi Metrakresol Sulfonat dan
Metanal ) 360 mg / g
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg
Salep 2 - 4, Kombinasi : Asam Salisilat 2 % +Belerang
Endap 4 %
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml

200

351

449
9

9
3

10
10

30

100
30

10
4

391

20

30

1041
20

873
11

500
1972

17
230

28
258

46
417

7
5

15
20
3
3

6
22
83

30
430

600
20
521

900
10
595

951

NAMA OBAT
3
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tablet tambah Darah Kombinasi : Besi II Sulfat 200 mg
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Tetraksklin HCI Kapsul 500 mg
Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop
Pehavral
Asiklovir 400mg
Ketokonazole Tablet
0
NAMA OBAT
3
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)

1176

2106

2488

1010

1030

10
1070

1
3372
395

5
3660
370

145
15

190
10

295
6

55

35

15

20
30

215
31

296

3640
320
10
1

Etil Klorida semprot


Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair
NAMA ALKES HABIS PAKAI
Alat suntik sekali pakai 0,05 ml
Alat suntik sekali pakai 0,5 ml
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2,5 ml / 3 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum
bedah
Daryantull
Folley Catch No. 16
Folley Catch No. 18
Infusion set anak
Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril

223
89
17

330
138
15

13

2
2
8

228
20
6

9
8
3
11

18
15
15
7
1
2
34

8
7
9
7
2
11

18

50

87

85

21
70

3
39

NAMA ALKES HABIS PAKAI


3
Kasa Hidrofil Steril ukuran 16 x 16 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips

Plester 5 yards x 2 inch


Sarung Tangan ukuran S
Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag
NAMA REAGEN

3
220
170
100

252
230
30
4

12

50

Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain
Larutan Hidrogen Peroksida / H2O2
Larutan Kalium Hidroksida / KOH
Larutan Karbol Fuksin
Larutan Metilen Biru
Larutan Na.Sitrat
Larutan Resekker
Larutan Truk

NAMA REAGEN
3
Larutan Xylene
Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B

4
290
132
190
8

62

Reagen Gol Darah B


Reagen Gol Darah O
Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex
Kapas 100gr
Darplex
Bromhexin HCl
Hufabinic Tab
New Diatab
Kasa 4x10
Kasa 4x5
Asam Folat
Cefadroxil Sirup
Domperidone Sirup
Ibuprofen Sirup
Multivitamin Sirup
Selang Nebula
Underpad
Benang tali pusat
Gemfibrozil 300mg
Safety Box
Sarung Tangan no. 7,5
Zinkid Sirup
Pirantel Sirup
Loperamid
Hustab
Sulfasetamid tetes mata
Amlodipin 5 mg
Hemafort
Bisturi no. 10
Bisturi no. 20
Kasa Pembalut 2mx80cm

7
4

6
580
40
3
290
10
9
5

28
500
3
10

135

120

16
100

19

3
2

2
7
2

Blade Holder
Cetirizin sirup
Permetrin Krim
Betahistin
H2O2
Bisakodil Suppositoria
Nistatin Drop
Tambah Darah Sirup

EKAPITULASI PEMAKAIAN OBAT


TAHUN 2014
APR

MEI

JUNI

125
7
3
270

85
9

810
45

1164
51
100

630
3603
92

497
2815
118

88

330

10

2421

3143

34

54

18

29

14
5

20
11

20
11

70
3

85

JULI

AGS

SEPT

OKT

2887
2203

3950
1872

50

30

29

22

1680
11
96
390

1731
10
55
225

818

497

16
175

1
228
4
139.75

19

10
10
60
54
252
119

60
33
213
40

80

4
20

170
1
1
3

80
2
2
1

5
30
250
30

5
30
30

319

153
15
10
359
1215

19
325
1205

1
100

375
13
400
1691
6

1141
12
100
2163
1

110

20

1430
2

1540

1008
4
12
40
2901

438
8
8
13
3399

196

140
100

27

20

9
160

112
1

595
30
200

608
5
10

120
206
127

200
255

495

330
17
5

21
4

87

39

12
50
100
7

18
12
100

133

162

4196

4044

40

80

1210

1205

369

471

4
1

3
3

20
14

146
19

200
50
911
22

1459
13

300
76
55
480

14
119

3
25

14
17

920
40
710

1020
1
481

1826

2834

112

2010

5
4150
455

10
690

6
4575
480
16
1

70

26

24

59

75
40

1
1

320
227
15

280
65
21

15

1
7
16
9
10
3
16

6
5
4
3
18

30
16
120

20
57

65

2
164
270
100
5
2

3
238
182
20
2
8

42

15

14

1
290
6

209
10
304
3
6
8
30

1
70

2
610
5
12

96
5
2
166
5
4
49
10
1
80
1
20
3
24
10
70
150

NOV

DES

TOTAL

RATA2
PERBULAN

KEBUTUHAN
SETAHUN

455
61
71
1140
0
5134
237
200
0
0
2867
15826
395
0
93
0
0
1565

91
12.2
17.75
228
#DIV/0!
1026.8
47.4
100
#DIV/0!
#DIV/0!
573.4
3165.2
79
#DIV/0!
46.5
#DIV/0!
#DIV/0!
313

1092
146.4
213
2736
#DIV/0!
12321.6
568.8
1200
#DIV/0!
#DIV/0!
6880.8
37982.4
948
#DIV/0!
558
#DIV/0!
#DIV/0!
3756

11648

2329.6

27955.2

239

47.8

573.6

112

22.4

268.8

73
56

14.6
14

175.2
168

37
0
0
0
0
0
0
0

44.2
7.4
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

530.4
88.8
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

221

STOK AWAL

1255
47
138
165
430
17
210
22
661
937
124
0
88
10
30
1047
1127
102
46
23
40
121
28

0
0
0
17097
9211
0
250
0
0
0
0
0
0
0
0
94
0
8301
74
246
1664
0
4694
0
105
1705
5
524.5
0
0
20
20
240
330
2265
294

#DIV/0!
#DIV/0!
#DIV/0!
3419.4
1842.2
#DIV/0!
62.5
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
18.8
#DIV/0!
1660.2
14.8
82
332.8
#DIV/0!
938.8
#DIV/0!
21
341
2.5
104.9
#DIV/0!
#DIV/0!
10
10
60
66
453
58.8

#DIV/0!
#DIV/0!
#DIV/0!
41032.8
22106.4
#DIV/0!
750
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
225.6
#DIV/0!
19922.4
177.6
984
3993.6
#DIV/0!
11265.6
#DIV/0!
252
4092
30
1258.8
#DIV/0!
#DIV/0!
120
120
720
792
5436
705.6

7
300
0
0
0
0
0
0

3.5
75
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

42
900
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

3127
0
265
30

10
33
636
12
245
134
131
1521
6
947
44
436.5

48
340
315
327
90
617
68
11

0
0
0
0
0
555
22
9
15
0
0
0
0
0
0
0
0
34
129
445
75
0
1061
15
41
1507
3252
0
0
0
13
410
0
0
3095
54
1000
9089
15
0
320
0
0
0
0

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
111
5.5
1.8
3
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
8.5
25.8
89
18.75
#DIV/0!
212.2
15
8.2
301.4
650.4
#DIV/0!
#DIV/0!
#DIV/0!
3.25
102.5
#DIV/0!
#DIV/0!
619
10.8
250
1817.8
3.75
#DIV/0!
80
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
1332
66
21.6
36
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
102
309.6
1068
225
#DIV/0!
2546.4
180
98.4
3616.8
7804.8
#DIV/0!
#DIV/0!
#DIV/0!
39
1230
#DIV/0!
#DIV/0!
7428
129.6
3000
21813.6
45
#DIV/0!
960
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

251
70
2
3

58
410

22
14
240
376
201
5
420
1422

25
110

921
33
665

200

38

0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
41
8.2
0
#DIV/0!
6726
1345.2
2
2
0
#DIV/0!
2787
557.4
15
3.75
27
6.75
161 26.8333333333
12887
2577.4
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
98.4
#DIV/0!
16142.4
24
#DIV/0!
6688.8
45
81
322
30928.8
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

8
21
616

381
35
26
712

1230

246

2952

640

100

100

1200

800

92
0
0
22

18.4
#DIV/0!
#DIV/0!
7.3333333333

220.8
#DIV/0!
#DIV/0!
88

118

638
127.6
5 1.6666666667
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
2600
520
81
20.25
410 136.666666667
0
#DIV/0!

1531.2
20
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
6240
243
1640
#DIV/0!

325
1
2
18

170
6
170

0
0
0
0
0
0
0
0
636
0
754
1050
0
0
1905
0
19
0
105
70
40
6
15
0
0
0
0
343
0
6
61
182
510
9
0
477
2108
22610
0
0
0
0
348
0
7569

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
159
#DIV/0!
150.8
210
#DIV/0!
#DIV/0!
381
#DIV/0!
9.5
#DIV/0!
52.5
17.5
20
3
5
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
68.6
#DIV/0!
3
12.2
36.4
102
4.5
#DIV/0!
119.25
1054
4522
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
69.6
#DIV/0!
1513.8

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
1908
#DIV/0!
1809.6
2520
#DIV/0!
#DIV/0!
4572
#DIV/0!
114
#DIV/0!
630
210
240
36
60
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
823.2
#DIV/0!
36
146.4
436.8
1224
54
#DIV/0!
1431
12648
54264
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
835.2
#DIV/0!
18165.6

230
104

862

33
125
167
203

37
16
30
36
10
120

393
1889

123
235
1552

0
0
0
0
0
0
0
0
0
0
1840

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
368

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
4416

18
0
35
11
0
206
434
0
300
130
0
5235
66
0
0
800
2056
0
160
1504

6
#DIV/0!
7
2.75
#DIV/0!
51.5
108.5
#DIV/0!
150
32.5
#DIV/0!
1047
16.5
#DIV/0!
#DIV/0!
400
514
#DIV/0!
32
300.8

72
#DIV/0!
84
33
#DIV/0!
618
1302
#DIV/0!
1800
390
#DIV/0!
12564
198
#DIV/0!
#DIV/0!
4800
6168
#DIV/0!
384
3609.6

45
89
86
3
0
0
7
0
3440
101
2737
0

9
17.8
43
3
#DIV/0!
#DIV/0!
1.4
#DIV/0!
860
20.2
547.4
#DIV/0!

108
213.6
516
36
#DIV/0!
#DIV/0!
16.8
#DIV/0!
10320
242.4
6568.8
#DIV/0!

18

1516
2117
400
227
640

800
536
25

476
3
1
1

69
81

0
0
0
0
0
0
0
0
0
0
0

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

10430
0
0
112
0
20
5810
0
0
0
17
19397
2020
26
2

2086
#DIV/0!
#DIV/0!
112
#DIV/0!
10
1162
#DIV/0!
#DIV/0!
#DIV/0!
4.25
3879.4
404
13
1
#DIV/0!
175
10.3333333333
#DIV/0!
31
520
151.5
40
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
1
1
#DIV/0!
#DIV/0!
#DIV/0!

25032
#DIV/0!
#DIV/0!
1344
#DIV/0!
120
13944
#DIV/0!
#DIV/0!
#DIV/0!
51
46552.8
4848
156
12
#DIV/0!
2100
124
#DIV/0!
372
6240
1818
480
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
12
12
#DIV/0!
#DIV/0!
#DIV/0!

700
31

520

155
520
606
160
0
0
0
0
0
1
1
0
0
0

13
812
68
2685

10
2272
215
1723
1
10
90
27
39
831
111

4
0
0
0
0
0
0
0
0
0
0

1.3333333333
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

16
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
0
0
1381
539
74

#DIV/0!
#DIV/0!
#DIV/0!
276.2
107.8
14.8

#DIV/0!
#DIV/0!
#DIV/0!
3314.4
1293.6
177.6

31 10.3333333333
1
1
0
#DIV/0!
2
2
21
7
44
8.8
38 12.6666666667
39
7.8
30
6
13
2.6
90
18
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
250
50
0
#DIV/0!
60
15
371
74.2
0
#DIV/0!
0
#DIV/0!

124
12
#DIV/0!
24
84
105.6
152
93.6
72
31.2
216
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
600
#DIV/0!
180
890.4
#DIV/0!
#DIV/0!

155
223
407
8
8
42
10
6
28
47
3
15

1
1
102

12
1164
984
440
19
25
0
0
169
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3
232.8
196.8
88
4.75
6.25
#DIV/0!
#DIV/0!
42.25
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

36
2793.6
2361.6
1056
57
75
#DIV/0!
#DIV/0!
507
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

3
200
2

0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
14
14
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
40
8
1400 466.666666667
12
4
28 9.3333333333
6
6
580
580
600
120
5
5
50
10
860
215
15
5
30
6
21
4.2
79
39.5
0
#DIV/0!
10
10
2
1
150
75
1
1
20
20
3
3
24
24
0
#DIV/0!
10
10
0
#DIV/0!
70
70
150
150
0
0

#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
168
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
96
5600
48
112
72
6960
1440
60
120
2580
60
72
50.4
474
#DIV/0!
120
12
900
12
240
36
288
#DIV/0!
120
#DIV/0!
840
1800
0
#DIV/0!

12
12
12
12
37
6
19
6
380
45
100
110
45
47
296

4
182
1
2
1

0
4
0
182
1
0
2
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

#DIV/0!
4
#DIV/0!
182
1
#DIV/0!
2
1
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
48
#DIV/0!
2184
12
#DIV/0!
24
12
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
0
0

#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!

PERSEDIAAN

1455
197
258
2565
0
15230
567
1110
52
0
6901
39437
1324
0
188
10
30
3547
33627
752
396
119
90
121
123
0
0
0
0
0
0
0

0
0
0
50127
25800
0
765
0
30
0
0
60
0
0
10
298
0
21636
158
1055
3934
131
13521
0
256
2947
44
936.5
0
0
78
340
715
1627
4090
1617
98
1011
0
0
0
0
0
0

0
0
0
0
0
2051
118
20
35
0
0
0
58
0
410
0
24
106
224
1040
376
0
3301
55
129
6920
10422
0
0
0
55
710
0
0
6921
105
20800
13665
40
0
600
0
0
0
0

0
0
0
0
0
0
0
0
0
8
69
0
22616
10
0
8421
193
631
401
34712
0
0
0
0
4340
800
418
0
0
56
1405
17
2
18
0
0
0
7570
156
1470
0

0
0
0
0
0
0
0
0
1430
0
2304
2600
0
1862
6700
0
103
0
825
267
503
20
25
0
0
0
0
937
16
80
156
410
1650
20
0
2800
2393
55889
0
0
0
0
933
435
15552

0
0
0
0
0
0
0
0
0
0
5004
60
0
93
30
0
3516
2117
0
1300
227
0
16440
170
0
300
1350
2786
0
445
3924
96
230
476
5
0
1
13
0
10000
369
5501
10

0
0
0
0
0
0
0
0
0
0
0
32400
13
0
1212
0
158
13685
0
0
0
60
56272
5815
3723
9
10
2490
96
27
487
1300
1831
461
0
0
0
0
0
1
1
0
1
0

13
0
0
0
0
2
0
0
2
0
0
0
0
0
3555
1523
407
104
10
8
5
72
134
82
132
145
26
195
0
0
0
0
0
0
0
0
0
752
1
231
852
0
0

33
2500
2102
1500
60
84
2
0
500
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
800
12
12
12
12
277
5600
42
110
6
580
2100
45
130
2210
141
197
296
492
4
100
2
1400
22
300
83
100
100
900
24
600
500
200
200
180

4
20
24
300
10
12
20
72
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0

TABEL KETERSEDIAAN OBAT


TAHUN 2014
PUSKESMAS KECAMATAN SINGKAWANG UTARA
NO

NAMA OBAT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Acyclovir tablet 200 mg


Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida
19 200mg +AL.Hidroksida 200mg
Antasida DOEN sirup kombinasi : Mg Hidroksida
20 200mg +AL.Hidroksida 200mg
Anti Bakteri DOEN salep kombinasi :Basitrasin
21 500 IU/g + Polimiksin 1000 IU/g
Antifungi DOEN kombinasi : Asam Benzoat 6 %
22 + Asam Salisilat 3 %
23 Anti Hemoroid DOEN kombinasi
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45

Antimigren DOEN tablet kombinasi : Ergotamin


Tartrat 1 mg + Kofein 50 mg
Aqua pro Injeksi steril, bebas pirogen
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet

TOTAL
PERSEDIAAN
1455
197
258
2565
15230
567
1110
52
0
6901
39437
1324
188
10
30
3547
33627
752
396
119
90
121
123

50127
25800
765
30

60

10
298
21636
158
1055

NO
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

NAMA OBAT
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstran 70 - larutan infus 6 o/o steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina)
Injeksi 0,1 % - 1 ml
Erytromycin 250 mg kapsul
Erytromycin 500 mg kaplet
Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg

TOTAL
PERSEDIAAN
3934
131
13521
256
2947
44
936.5

78
340
715
1627
4090
1617
98
1011
2051
118
20
35

58
410
24
106
224
1040
376
3301
55
129
6920
10422

55
710

6921
105
20800
13665
40
600

NO
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116

NAMA OBAT
Kaen 3B infus
Kalium Klorida infus 25 ml
Kalium Permanganat serbuk
Kalium Hidroksida Pasta
Kalsium Laktat (Kalk) tablet 500 mg
Kanamisin inj 1 g
Karbamazepin tablet 200 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %
Kloramfenikol tetes mata 0,5 %
Klorfeniramin Maleat ( CTM ) tablet 4 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg

TOTAL
PERSEDIAAN
8
69
22616
10
8421
193
631
401
34712

Kotrimoksazol tablet kombinasi :


117 Sulfametoksazol400 mg + Trimetoprim 80 mg

4340

Kotrimoksazol tablet pediatrik, kombinasi :


118 Sulfametoksazol 100 mg + Trimetoprim 20 mg

800

119
120
121
122

Kotrimoksazol Suspensi , kombinasi :


Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5
ml
Kuinin Duhidroklorida injeksi 25 % - 2 ml
Kuinin ( Kina ) tablet 200 mg
Lavertran salep

123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148

Lidokain Komp.injeksi, Kombinasi : Lidokain HC


12 % + Epinefrin 1 : 80.000 - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Magnesium Sulfat inj ( IV ) 20 % - 25 ml
Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg
Metformin tablet 500 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Metilergametrin Tablet salut 0,125 mg
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml
Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa

418

56
1405
17
2
18

7570
156
1470
1430
2304
2600
1862
6700
103
825
267
503
20
25

149 Obat Antituberkulosis Kategori 3 Dewasa


150 Obat Antituberkulosis Sisispan Dewasa
151 Obat Anti Tuberkolosis Anak

NO
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171

NAMA OBAT
Obat Batuk Hitam ( OBH ) cairan
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg

TOTAL
PERSEDIAAN
937
16
80
156
410
1650
20

172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191

Polikresulen ( Kondensasi Metrakresol Sulfonat


dan Metanal ) 360 mg / g
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg

192
193
194
195
196
197
198
199
200
201
202
203

Salep 2 - 4, Kombinasi : Asam Salisilat 2 %


+Belerang Endap 4 %
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml

2800
2393
55889

933
435
15552
5004
60
93
30
3516
2117
1300
227
16440
170
300
1350
2786
445
3924
96
230
476
5
1
13
10000
369
5501
10

NO

NAMA OBAT

TOTAL
PERSEDIAAN

204 Sulfadimidin tablet 500 mg


205 Sulfasetamida Natrium tetes mata 15 %
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245

Tablet tambah Darah Kombinasi : Besi II Sulfat


200 mg + Asam Folat 0,25 mg
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Tetraksklin HCI Kapsul 500 mg
Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop
Pehavral
Asiklovir 400mg
Ketokonazole Tablet
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)
Etil Klorida semprot
Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair

32400
13
1212
158
13685

60
56272
5815
3723
9
10
2490
96
27
487
1300
1831
461
1
1
1
13

NO
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277

NAMA ALAT KESEHATAN


Alat
Alat
Alat
Alat
Alat

suntik
suntik
suntik
suntik
suntik

sekali
sekali
sekali
sekali
sekali

pakai
pakai
pakai
pakai
pakai

0,05 ml
0,5 ml
1 ml
2,5 ml / 3 ml
5 ml

Catgut / Benang bedah No. 2/0 - 3/0 dengan


jarum bedah
Daryantull
Folley Catch No. 16
Folley Catch No. 18
Infusion set anak
Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril
Kasa Hidrofil Steril ukuran 16 x 16 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips
Plester 5 yards x 2 inch
Sarung Tangan ukuran S
Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bed
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag

TOTAL
PERSEDIAAN

3555
1523
407
104
10
8
5
72
134
82
132
145
26
195
752
1
231
852

33
2500
2102
1500
60
84
2
500
2

NO
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326

NAMA REAGEN
Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain
Larutan Hidrogen Peroksida / H2O2
Larutan Kalium Hidroksida / KOH
Larutan Karbol Fuksin
Larutan Metilen Biru
Larutan Na.Sitrat
Larutan Resekker
Larutan Truk
Larutan Xylene
Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B
Reagen Gol Darah B
Reagen Gol Darah O
Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex
Kapas 100gr
Darplex
Bromhexin HCl
Hufabinic Tab
New Diatab
Kasa 4x10
Kasa 4x5
Asam Folat

TOTAL
PERSEDIAAN

800
12
12
12
12
277
5600
42
110
6
580
2100
45
130
2210

327
328
329
330
331
332
333
334
335
336

NO
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354

Cefadroxil Sirup
Domperidone Sirup
Ibuprofen Sirup
Multivitamin Sirup
Selang Nebula
Underpad
Benang tali pusat
Gemfibrozil 300mg
Safety Box
Sarung Tangan no. 7,5

NAMA OBAT
Zinkid Sirup
Pirantel Sirup
Loperamid
Hustab
Sulfasetamid tetes mata
Amlodipin 5 mg
Hemafort
Bisturi no. 10
Bisturi no. 20
Kasa Pembalut 2mx80cm
Blade Holder
Cetirizin sirup
Permetrin Krim
Betahistin
H2O2
Bisakodil Suppositoria
Nistatin Drop
Tambah Darah Sirup

Mengetahui
Kepala Puskesmas Kecamatan
Singkawang Utara

SRI SUMIATI,SKM. M.Kes


NIP.19670330 198603 2 001

141
197
296
492
4
100
2
1400
22
300

TOTAL
PERSEDIAAN
83
100
100
900
24
600
500
200
200
180
4
20
24
300
10
12
20
72

OBAT

KAWANG UTARA
TOTAL
KEBUTUHAN
1092
146.4
213
2736

%
KETERSEDIAAN
OBAT
133.2%
134.6%
121.1%
93.8%

12321.6
568.8
1200
0
0
6880.8
37982.4
948

123.6%
99.7%
92.5%
0.0%

558
0
0
3756

33.7%
0.0%
0.0%
94.4%

27955.2

120.3%

573.6

131.1%

268.8

147.3%

175.2

67.9%

168

53.6%

530.4

22.8%

88.8

138.5%

41032.8
22106.4

122.2%
116.7%

750

102.0%

0.0%

0.0%

0
225.6

0.0%
132.1%

19922.4
177.6
984

108.6%
89.0%
107.2%

100.3%
103.8%
139.7%

TOTAL
KEBUTUHAN
3993.6
0
11265.6

%
KETERSEDIAAN
OBAT
98.5%
0.0%
120.0%

252
4092
30
1258.8

101.6%
72.0%
146.7%
74.4%

120
120
720
792
5436
705.6

65.0%
283.3%
99.3%
205.4%
75.2%
229.2%

42

233.3%

900
1332
66
21.6
36

112.3%
154.0%
178.8%
92.6%
97.2%

0.0%

0.0%

0
102
309.6
1068
225

0.0%
103.9%
72.4%
97.4%
167.1%

2546.4
180
98.4
3616.8
7804.8

129.6%
30.6%
131.1%
191.3%
133.5%

39
1230

141.0%
57.7%

7428
129.6
3000
21813.6
45

93.2%
81.0%
693.3%
62.6%
88.9%

960

62.5%

TOTAL
KEBUTUHAN

%
KETERSEDIAAN
OBAT

0
98.4

0.0%
70.1%

16142.4
24

140.1%
41.7%

6688.8
45
81
322
30928.8

125.9%
428.9%
779.0%
124.5%
112.2%

2952

147.0%

1200

66.7%

220.8

189.3%

88

63.6%

1531.2

91.8%

20
0
0

85.0%
0.0%
0.0%

6240
243
1640
1908

121.3%
64.2%
89.6%
74.9%

1809.6
2520

127.3%
103.2%

0
4572

0.0%
146.5%

114

90.4%

630
210
240
36
60

131.0%
127.1%
209.6%
55.6%
41.7%

TOTAL
KEBUTUHAN
823.2
0
36
146.4
436.8
1224
54

%
KETERSEDIAAN
OBAT
113.8%
0.0%
222.2%
106.6%
93.9%
134.8%
37.0%

1431
12648
54264

195.7%
18.9%
103.0%

835.2
0
18165.6

111.7%
0.0%
85.6%

4416

113.3%

72

83.3%

84
33

110.7%
90.9%

618
1302

568.9%
162.6%

1800
390

72.2%
58.2%

12564
198

130.9%
85.9%

0
4800
6168

0.0%
28.1%
45.2%

384
3609.6

115.9%
108.7%

108

88.9%

213.6
516
36

107.7%
92.2%
13.9%

0
16.8

0.0%
77.4%

10320
242.4
6568.8
0

96.9%
152.2%
83.7%
0.0%

TOTAL
KEBUTUHAN

%
KETERSEDIAAN
OBAT

25032

129.4%

0.0%

1344

90.2%

120
13944

131.7%
98.1%

51
46552.8
4848
156
12
0
2100
124
0
372
6240
1818
480

117.6%
120.9%
119.9%
2386.5%
75.0%
0.0%
118.6%
77.4%
0.0%
130.9%
20.8%
100.7%
96.0%

12
12

8.3%
8.3%

100.0%

16

81.3%

0.0%

0.0%

TOTAL
KEBUTUHAN

%
KETERSEDIAAN
OBAT

3314.4
1293.6
177.6

107.3%
117.7%
229.2%

124

83.9%

12
0
24
84
105.6
152
93.6
72
31.2
216
600
0
180
890.4

83.3%
0.0%
20.8%
85.7%
126.9%
53.9%
141.0%
201.4%
83.3%
90.3%
125.3%
0.0%
128.3%
95.7%

36
2793.6
2361.6
1056
57
75
0

91.7%
89.5%
89.0%
142.0%
105.3%
112.0%
0.0%

507
0

98.6%
0.0%

TOTAL
KEBUTUHAN

14
0
0
0
0
96
5600
48
112
72
6960
1440
60
120
2580

%
KETERSEDIAAN
OBAT

5714.3%
0.0%
0.0%
0.0%
0.0%
288.5%
100.0%
87.5%
98.2%
8.3%
8.3%
145.8%
75.0%
108.3%
85.7%

60
72
50.4
474
0
120
12
900
12
240

235.0%
273.6%
587.3%
103.8%
0.0%
83.3%
16.7%
155.6%
183.3%
125.0%

TOTAL
KEBUTUHAN
36
288
0
120
0
840
1800
0
0
0
0
48
0
2184
12
0
24
12

%
KETERSEDIAAN
OBAT
230.6%
34.7%
0.0%
750.0%
0.0%
71.4%
27.8%
0.0%
0.0%
0.0%
0.0%
41.7%
0.0%
13.7%
83.3%
0.0%
83.3%
600.0%

Pengelola Obat

WIDIYA OKTAVIANTI,S.Farm Apt


NIP.19821009 200604 2 016

TABEL BUFFER STOK APOTEK


TAHUN 2015
UPT. PUSKESMAS KECAMATAN SINGKAWA
NO

NAMA OBAT

Acyclovir tablet 200 mg


Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida 200mg
19 +AL.Hidroksida 200mg
Antasida DOEN sirup kombinasi : Mg Hidroksida 200mg
20 +AL.Hidroksida 200mg
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Anti Bakteri DOEN salep kombinasi :Basitrasin 500 IU/g +


Polimiksin 1000 IU/g
Antifungi DOEN kombinasi : Asam Benzoat 6 % + Asam
22 Salisilat 3 %
23 Anti Hemoroid DOEN kombinasi
21

24
25
26
27
28
29
30
31
32
33
34

Antimigren DOEN tablet kombinasi : Ergotamin Tartrat 1 mg +


Kofein 50 mg
Aqua pro Injeksi steril, bebas pirogen
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi

NAMA OBAT

SISA STOK per 31


PAKAI RATA2 /
DES 2014
BLN

1255
47
138
165

91
12.2
17.75
228

430
17
210
22

1026.8
47.4
100

661
937
124

573.4
3165.2
79

88
10
30
1047

46.5

1127
102
46
23
40
121
28

313
2329.6
47.8
22.4
14.6
14
44.2
7.4

35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78

3
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstran 70 - larutan infus 6 o/o steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) Injeksi 0,1 % 1 ml
Erytromycin 250 mg kapsul

3127
0

3419.4
1842.2
Err:512
265
62.5
Err:512
30 Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
10 Err:512
33
18.8
Err:512
636
1660.2
12
14.8
245
82
134
332.8
131 Err:512
1521
938.8
Err:512
6
21
947
341
44
2.5
436.5
104.9
Err:512
Err:512
48
10
340
10
315
60
327
66
90
453
617
58.8
68
11

3.5
75
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

79
80

NAMA OBAT

Err:512
Err:512
Err:512

NO
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114

Erytromycin 500 mg kaplet


Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg

251
70
2
3

111
5.5
1.8
3

Err:512
Err:512
Err:512
58 Err:512
Err:512
410 Err:512
Err:512
Err:512
22
8.5
14
25.8
240
89
376
18.75
Err:512
201
212.2
5
15
8.2
420
301.4
1422
650.4
Err:512
Err:512
Err:512
25
3.25
110
102.5
Err:512
Err:512
921
619
33
10.8
250
665
1817.8
3.75
Err:512
200
80
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

115
116
117
118 NAMA OBAT
119
120
121 Kaen 3B infus
122 Kalium Klorida infus 25 ml
123 Kalium Permanganat serbuk
124 Kalium Hidroksida Pasta
125 Kalsium Laktat (Kalk) tablet 500 mg
126 Kanamisin inj 1 g
127 Karbamazepin tablet 200 mg
128 Kloramfenikol kapsul 250 mg
129 Kloramfenikol salep mata 1 %
130 Kloramfenikol tetes telinga 3 %
131 Kloramfenikol tetes mata 0,5 %
132 Klorfeniramin Maleat ( CTM ) tablet 4 mg
133 Klorokuin tablet 150 mg
134 Klotrimazol Vaginal Supp 500 mg
135 Kodein Fosfat tablet 10 mg
136 Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
8 Err:512
21
8.2
Err:512
616
1345.2
2
Err:512
381
557.4
3.75
35
6.75
26 26.8333333
712
2577.4
Err:512
Err:512
Err:512
Err:512

Kotrimoksazol tablet kombinasi : Sulfametoksazol400 mg +


137 Trimetoprim 80 mg

640

246

800

100

118

18.4
Err:512
Err:512
7.33333333

Kotrimoksazol tablet pediatrik, kombinasi : Sulfametoksazol


138 100 mg + Trimetoprim 20 mg

Kotrimoksazol Suspensi , kombinasi : Sulfametoksazol 200 mg


139 + Trimetoprim 40 mg/ 5 ml
140 Kuinin Duhidroklorida injeksi 25 % - 2 ml
141 Kuinin ( Kina ) tablet 200 mg
142 Lavertran salep

Lidokain Komp.injeksi, Kombinasi : Lidokain HC 12 % +


143 Epinefrin 1 : 80.000 - 2 ml
144 Lisol, mengandung Kresol tersabun 50 %
145 Magnesium Sulfat inj ( IV ) 20 % - 25 ml
146 Magnesium Sulfat inj ( IV ) 40 % - 25 ml
147 Magnesium Sulfat serbuk 30 gram
148 Mebendazol sirup 100 mg / 5 ml
149 Mebendazol tablet 100 mg
150 Metformin tablet 500 mg
151 Metilergametrin Maleat inj 0,200 mg - 1 ml

Metilergametrin Tablet salut 0,125 mg

325
127.6
1 1.66666667
2 Err:512
18 Err:512
Err:512
Err:512
Err:512
170
520
6
20.25
170 136.666667
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

NAMA OBAT
3
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml
Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Obat Batuk Hitam ( OBH ) cairan
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg

230

159

Err:512
150.8
210
Err:512
862 Err:512
381
Err:512
33
9.5
Err:512
125
52.5
167
17.5
203
20
3
5
Err:512
Err:512
Err:512
Err:512
37
68.6
16 Err:512
30
3
36
12.2
10
36.4
120
102
4.5
Err:512
119.25
393
1054
1889
4522
Err:512
Err:512
Err:512
Err:512
123
69.6
235 Err:512
1552
1513.8
104

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

NAMA OBAT
3
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg
Polikresulen ( Kondensasi Metrakresol Sulfonat dan Metanal )
360 mg / g
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg
Salep 2 - 4, Kombinasi : Asam Salisilat 2 % +Belerang Endap 4
%
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml

368
6
Err:512

18

7
2.75
Err:512

1516
2117

51.5
108.5
Err:512
400
150
227
32.5
Err:512
640
1047
16.5
Err:512
Err:512
800
400
536
514
Err:512
25
32
300.8

476
3

9
17.8
43
3

Err:512
1 Err:512
1
1.4
Err:512
860
69
20.2
81
547.4
Err:512

NAMA OBAT
3
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tablet tambah Darah Kombinasi : Besi II Sulfat 200 mg + Asam
Folat 0,25 mg
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Tetraksklin HCI Kapsul 500 mg
Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop
Pehavral
Asiklovir 400mg
Ketokonazole Tablet
NAMA OBAT
3
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
2086
13 Err:512
Err:512
812
112
Err:512
68
10
2685
1162
Err:512
Err:512
Err:512
10
4.25
2272
3879.4
215
404
1723
13
1
1
10 Err:512
90
175
10.3333333
27 Err:512
39
31
520
831
151.5
111
40
Err:512
Err:512
Err:512
Err:512
Err:512
1
1
Err:512
Err:512
Err:512

Etil Klorida semprot


Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair
NAMA ALKES HABIS PAKAI
Alat suntik sekali pakai 0,05 ml
Alat suntik sekali pakai 0,5 ml
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2,5 ml / 3 ml
Alat suntik sekali pakai 5 ml

2 1.33333333
Err:512
Err:512
Err:512
Err:512
2 Err:512
Err:512
Err:512
2 Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
155
276.2
223
107.8
407
14.8

Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum bedah


Daryantull
Folley Catch No. 16
Folley Catch No. 18
Infusion set anak
Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril

8 10.3333333
1
8 Err:512
2
42
7
10
8.8
6 12.6666667
28
7.8
47
6
3
2.6
15
18
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
50
1 Err:512
1
15
102
74.2
Err:512
Err:512
3
3

NAMA ALKES HABIS PAKAI


3
Kasa Hidrofil Steril ukuran 16 x 16 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips
Plester 5 yards x 2 inch

Sarung Tangan ukuran S


Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag
NAMA REAGEN

200
2

Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain
Larutan Hidrogen Peroksida / H2O2
Larutan Kalium Hidroksida / KOH
Larutan Karbol Fuksin
Larutan Metilen Biru
Larutan Na.Sitrat
Larutan Resekker
Larutan Truk

NAMA REAGEN
3
Larutan Xylene
Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B
Reagen Gol Darah B

232.8
196.8
88
4.75
6.25
2 Err:512
Err:512
42.25
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Reagen Gol Darah O


Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex
Kapas 100gr
Darplex
Bromhexin HCl
Hufabinic Tab
New Diatab
Kasa 4x10
Kasa 4x5
Asam Folat
Cefadroxil Sirup
Domperidone Sirup
Ibuprofen Sirup
Multivitamin Sirup
Selang Nebula
Underpad
Benang tali pusat
Gemfibrozil 300mg
Safety Box
Sarung Tangan no. 7,5
Zinkid Sirup
Pirantel Sirup
Loperamid
Hustab
Sulfasetamid tetes mata
Amlodipin 5 mg
Hemafort
Bisturi no. 10
Bisturi no. 20
Kasa Pembalut 2mx80cm
Blade Holder

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
14
12 Err:512
12 Err:512
12 Err:512
12 Err:512
37
8
466.666667
6
4
19 9.33333333
6
6
380
580
120
45
5
100
10
110
215
45
5
47
6
296
4.2
39.5
Err:512
10
1
75
1
20
3
24
Err:512
10
Err:512
70
150
Err:512
Err:512
Err:512

Cetirizin sirup
Permetrin Krim
Betahistin
H2O2
Bisakodil Suppositoria
Nistatin Drop
Tambah Darah Sirup

4
Err:512
182
1
Err:512
2
1
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

FFER STOK APOTEK


AHUN 2015
CAMATAN SINGKAWANG UTARA
PAKAI DALAM
SETAHUN

STOK
PENGAMANAN

LEAD TIME 3
BULAN

KEBUTUHAN
TAHUN 2015

RENCANA PENGADAAN
2015

RENCANA
PERBULAN

1092
146
213
2736

218
29
43
547

273
37
53
684

1583
212
309
3967

328
165
0
0

132
18
26
331

12322
569
1200

2464
114
240

3080
142
300

17866
825
1740

17436
808
1530

1489
69
145

6881
37982
948

1376
7596
190

1720
9496
237

9977
55074
1375

9316
54137
1251

831
4590
115

558

112

140

809

721

67

3756

751

939

5446

4399

454

27955

5591

6989

40535

39408

3378

574

115

143

832

730

69

269

54

67

390

344

32

175
168

35
34

44
42

254
244

231
204

21
20

530
89

106
18

133
22

769
129

648
101

64
11

41033
22106
Err:512
750
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
226
Err:512
19922
178
984
3994
Err:512
11266
Err:512
252
4092
30
1259
Err:512
Err:512
120
120
720
792
5436
706

8207
4421
Err:512
150
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
45
Err:512
3984
36
197
799
Err:512
2253
Err:512
50
818
6
252
Err:512
Err:512
24
24
144
158
1087
141

10258
5527
Err:512
188
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
56
Err:512
4981
44
246
998
Err:512
2816
Err:512
63
1023
8
315
Err:512
Err:512
30
30
180
198
1359
176

59498
32054
Err:512
1088
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
327
Err:512
28887
258
1427
5791
Err:512
16335
Err:512
365
5933
44
1825
Err:512
Err:512
174
174
1044
1148
7882
1023

56371
32054
Err:512
823
Err:512
Err:512
Err:512
Err:512
0
Err:512
Err:512
Err:512
294
Err:512
28251
246
1182
5657
Err:512
14814
Err:512
359
4986
-1
1389
Err:512
Err:512
126
-166
729
821
7792
406

4958
2671
Err:512
91
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
27
Err:512
2407
21
119
483
Err:512
1361
Err:512
30
494
4
152
Err:512
Err:512
15
15
87
96
657
85

42
900
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

8
180
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

11
225
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

61
1305
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

0
1294
Err:512
Err:512
Err:512
Err:512
Err:512

5
109
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512

Err:512
Err:512

Err:512
Err:512

Err:512
Err:512

Err:512
Err:512

PKI DLM

STOK

LEAD TIME

KEBUT

RCN

SETAHUN

PENGAMANAN

3 BLN

TH 2011

PENGADAAN 2011

Err:512
Err:512
Err:512
Err:512
102
310
1068
225
Err:512
2546
180
98
3617
7805
Err:512
Err:512
Err:512
39
1230
Err:512
Err:512
7428
130
3000
21814
45
Err:512
960
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
20
62
214
45
Err:512
509
36
20
723
1561
Err:512
Err:512
Err:512
8
246
Err:512
Err:512
1486
26
600
4363
9
Err:512
192
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
26
77
267
56
Err:512
637
45
25
904
1951
Err:512
Err:512
Err:512
10
308
Err:512
Err:512
1857
32
750
5453
11
Err:512
240
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
148
449
1549
326
Err:512
3692
261
143
5244
11317
Err:512
Err:512
Err:512
57
1784
Err:512
Err:512
10771
188
4350
31630
65
Err:512
1392
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512

RCN

Err:512
Err:512
Err:512
0
126
435
1309
-50
Err:512
3491
256
143
0
9895
Err:512
Err:512
Err:512
32
1674
Err:512
Err:512
9850
155
4350
30965
65
Err:512
0
Err:512
Err:512
Err:512
0
Err:512
Err:512

/BLN

Err:512
Err:512
Err:512
Err:512
12
37
129
27
Err:512
308
22
12
437
943
Err:512
Err:512
Err:512
5
149
Err:512
Err:512
898
16
363
2636
5
Err:512
116
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
98
Err:512
16142
24
Err:512
6689
45
81
322
30929
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
20
Err:512
3228
5
Err:512
1338
9
16
64
6186
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
25
Err:512
4036
6
Err:512
1672
11
20
81
7732
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
143
Err:512
23406
35
Err:512
9699
65
117
467
44847
Err:512
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
122
0
22790
35
Err:512
9318
65
82
441
0
0
Err:512
Err:512
Err:512

Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
Err:512
12
Err:512
1951
3
Err:512
808
5
10
39
3737
Err:512
Err:512
Err:512
Err:512

2952

590

738

4280

3640

357

1200

240

300

1740

940

145

221
Err:512
Err:512
88

44
Err:512
Err:512
18

55
Err:512
Err:512
22

320
Err:512
Err:512
128

202
Err:512
Err:512
128

27
Err:512
Err:512
11

1531
20
Err:512
Err:512
Err:512
Err:512
Err:512
6240
243

306
4
Err:512
Err:512
Err:512
Err:512
Err:512
1248
49

383
5
Err:512
Err:512
Err:512
Err:512
Err:512
1560
61

2220
29
Err:512
Err:512
Err:512
Err:512
Err:512
9048
352

1895
28
0
Err:512
Err:512
0
Err:512
8878
346

185
2
Err:512
Err:512
Err:512
Err:512
Err:512
754
29

TABEL BUFFER STOK APOTEK


TAHUN 2015
UPT. PUSKESMAS KECAMATAN SINGKAWANG UTARA
NO

NAMA OBAT

SISA STOK per


31 DES 2014

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Acyclovir tablet 200 mg


Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg

19

Antasida DOEN tablet kombinasi : Mg Hidroksida


200mg +AL.Hidroksida 200mg

1127

Antasida DOEN sirup kombinasi : Mg Hidroksida


200mg +AL.Hidroksida 200mg

102

20

21

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

1255
47
138
165

91
12.2
17.75
228

1092
146
213
2736

218
29
43
547

273
37
53
684

430
17
210
22

1026.8
47.4
100

12322
569
1200

2464
114
240

3080
142
300

661
937
124

573.4
3165.2
79

6881
37982
948

1376
7596
190

1720
9496
237

88
10
30
1047

46.5

558

112

140

313

3756

751

939

2329.6

27955

5591

6989

47.8

574

115

143

22.4

269

54

67

14.6
14

175
168

35
34

44
42

28

44.2
7.4

530
89

106
18

133
22

3127
0

3419.4
1842.2

41033
22106

8207
4421

10258
5527

265

62.5

750

150

188

18.8

226

45

56

1660.2
14.8
82
332.8

19922
178
984
3994

3984
36
197
799

4981
44
246
998

938.8

11266

2253

2816

Anti Bakteri DOEN salep kombinasi :Basitrasin


500 IU/g + Polimiksin 1000 IU/g
Antifungi DOEN kombinasi : Asam Benzoat 6 % +
Asam Salisilat 3 %

46

23

Anti Hemoroid DOEN kombinasi

40

24

Antimigren DOEN tablet kombinasi : Ergotamin


Tartrat 1 mg + Kofein 50 mg

25
26
27
28
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

Aqua pro Injeksi steril, bebas pirogen


Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg

22

PAKAI
RATA2 /
BLN

23

121

30

10
33
636
12
245
134
131
1521

56

NO

57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

Dekstran 70 - larutan infus 6 o/o steril

NAMA OBAT

Dekstrometorfan sirup 10 mg/5 ml


Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina)
Injeksi 0,1 % - 1 ml
Erytromycin 250 mg kapsul
Erytromycin 500 mg kaplet
Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg
Kaen 3B infus
Kalium Klorida infus 25 ml

SISA STOK per


31 DES 2014

PAKAI
RATA2 /
BLN

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

6
947
44
436.5

21
341
2.5
104.9

252
4092
30
1259

50
818
6
252

63
1023
8
315

48
340
315
327
90
617

10
10
60
66
453
58.8

120
120
720
792
5436
706

24
24
144
158
1087
141

30
30
180
198
1359
176

68
11
251
70
2
3

3.5
75
111
5.5
1.8
3

42
900
1332
66
22
36

8
180
266
13
4
7

11
225
333
17
5
9

22
14
240
376

8.5
25.8
89
18.75

102
310
1068
225

20
62
214
45

26
77
267
56

201
5
420
1422

212.2
15
8.2
301.4
650.4

2546
180
98
3617
7805

509
36
20
723
1561

637
45
25
904
1951

25
110

3.25
102.5

39
1230

8
246

10
308

921
33

619
10.8
250
1817.8
3.75

7428
130
3000
21814
45

1486
26
600
4363
9

1857
32
750
5453
11

80

960

192

240

58
410

665

200

110
111
112
113
114
115
116
117

Kalium Permanganat serbuk


Kalium Hidroksida Pasta
Kalsium Laktat (Kalk) tablet 500 mg
Kanamisin inj 1 g
Karbamazepin tablet 200 mg
Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %

21

8.2

98

20

25

616

1345.2
2

16142
24

3228
5

4036
6

381

557.4
3.75
6.75

6689
45
81

1338
9
16

1672
11
20

35

SISA STOK per


31 DES 2014

NO

NAMA OBAT

118
119
120
121
122
123

Kloramfenikol tetes mata 0,5 %


Klorfeniramin Maleat ( CTM ) tablet 4 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg

124

Kotrimoksazol tablet kombinasi :


Sulfametoksazol400 mg + Trimetoprim 80 mg

640

Kotrimoksazol tablet pediatrik, kombinasi :


Sulfametoksazol 100 mg + Trimetoprim 20 mg

125

Kotrimoksazol Suspensi , kombinasi :


126 Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5
ml
127 Kuinin Duhidroklorida injeksi 25 % - 2 ml
128 Kuinin ( Kina ) tablet 200 mg
129 Lavertran salep
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159

Lidokain Komp.injeksi, Kombinasi : Lidokain HC


12 % + Epinefrin 1 : 80.000 - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Magnesium Sulfat inj ( IV ) 20 % - 25 ml
Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg
Metformin tablet 500 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Metilergametrin Tablet salut 0,125 mg
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml
Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Obat Batuk Hitam ( OBH ) cairan

PAKAI
RATA2 /
BLN

26 26.833333
712
2577.4

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

322
30929

64
6186

81
7732

246

2952

590

738

800

100

1200

240

300

118

18.4

221

44

55

7.3333333

88

18

22

325
127.6
1 1.6666667
2
18

1531
20

306
4

383
5

170
520
6
20.25
170 136.66667
230
159

6240
243
1640
1908

1248
49
328
382

1560
61
410
477

104

150.8
210

1810
2520

362
504

452
630

381

4572

914

1143

33

9.5

114

23

29

125
167
203

52.5
17.5
20
3
5

630
210
240
36
60

126
42
48
7
12

158
53
60
9
15

37

68.6

823

165

206

862

160
161
162
163
164
165
166
167
168
169
170
171
172

Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml


Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %

NO

NAMA OBAT

173
174
175
176
177
178
179
180
181
182
183

Piracetam injeksi / Etopill injeksi


Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg
Polikresulen
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg
Salep 2 - 4, Kombinasi : Asam Salisilat 2 %
+Belerang Endap 4 %
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen inj 5 ml ( ABU I )
Serum Anti Bisa Ular Polivalen injeksi 50 ml
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Serum Anti Tetanus injeksi 20.000 IU
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tablet tambah Darah Kombinasi
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg

184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215

16
30
36
10
120

393
1889

SISA STOK per


31 DES 2014

123
235
1552

3
12.2
36.4
102
4.5

36
146
437
1224
54

7
29
87
245
11

9
37
109
306
14

119.25
1054
4522

1431
12648
54264

286
2530
10853

358
3162
13566

PAKAI
RATA2 /
BLN

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

69.6

835

167

209

1513.8

18166

3633

4541

368
6

4416
72

883
14

1104
18

18

7
2.75

84
33

17
7

21
8

1516
2117

51.5
108.5

618
1302

124
260

155
326

400
227

150
32.5

1800
390

360
78

450
98

640

1047
16.5

12564
198

2513
40

3141
50

800
536

400
514

4800
6168

960
1234

1200
1542

25

32
300.8

384
3610

77
722

96
902

476
3

9
17.8
43
3

108
214
516
36

22
43
103
7

27
53
129
9

1
1

1.4

17

69
81

860
20.2
547.4

10320
242
6569

2064
48
1314

2580
61
1642

2086

25032

5006

6258

13

216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232

NO

233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270

Tetraksklin HCI Kapsul 500 mg


Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop

NAMA OBAT

Pehavral
Asiklovir 400mg
Ketokonazole Tablet
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)
Etil Klorida semprot
Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair
NAMA ALKES HABIS PAKAI
Alat suntik sekali pakai 0,05 ml
Alat suntik sekali pakai 0,5 ml
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2,5 ml / 3 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum
bedah
Daryantull
Folley Catch No. 16
Folley Catch No. 18
Infusion set anak
Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril
Kasa Hidrofil Steril ukuran 16 x 16 cm

812

112

1344

269

336

68
2685

10
1162

120
13944

24
2789

30
3486

10
2272
215
1723
1
10
90

4.25
3879.4
404
13
1

51
46553
4848
156
12

10
9311
970
31
2

13
11638
1212
39
3

10.333333

124

25

31

31

372

74

93

27
39

SISA STOK per


31 DES 2014

PAKAI
RATA2 /
BLN

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

520
151.5
40

6240
1818
480

1248
364
96

1560
455
120

1
1

12
12

2
2

3
3

1.3

16

155
223
407

276.2
107.8
14.8

3314
1294
178

663
259
36

829
323
44

10.3
1

124
12

25
2

31
3

2
7
8.8
12.666667
7.8
6
2.6
18
50

24
84
106
152
94
72
31
216
600

5
17
21
30
19
14
6
43
120

6
21
26
38
23
18
8
54
150

831
111

8
42
10
6
28
47
3
15

271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292

NO

Kasa Pembalut Hidrofil 4 m x 3 cm


Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips
Plester 5 yards x 2 inch
Sarung Tangan ukuran S
Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex

NAMA OBAT

293 Kapas 100gr


294 Darplex
295 Bromhexin HCl
296 Hufabinic Tab
297 New Diatab
298 Kasa 4x10
299 Kasa 4x5
300 Asam Folat
301 Cefadroxil Sirup
302 Domperidone Sirup
303 Ibuprofen Sirup
304 Multivitamin Sirup
305 Selang Nebula
306 Underpad
307 Benang tali pusat
308 Gemfibrozil 300mg
309 Safety Box
310 Sarung Tangan no. 7,5
311 Zinkid Sirup
312 Pirantel Sirup
313 Loperamid
314 Hustab
315 Sulfasetamid tetes mata
316 Amlodipin 5 mg
317 Hemafort
318 Bisturi no. 10
319 Bisturi no. 20
320 Kasa Pembalut 2mx80cm
321 Blade Holder
322 Cetirizin sirup
323 Permetrin Krim
324 Betahistin
325 H2O2

1
1
102

3
200
2

15
74.2

180
890

36
178

45
223

3
232.8
196.8
88
4.75
6.25

36
2794
2362
1056
57
75

7
559
472
211
11
15

9
698
590
264
14
19

42.25

507

101

127

14

168

34

42

8
466.7

96
5600

19
1120

24
1400

12
12
12
12
37

SISA STOK per


31 DES 2014

6
19
6
380
45
100
110
45
47
296

PAKAI
RATA2 /
BLN

PAKAI DALAM
STOK
LEAD TIME
SETAHUN
PENGAMANAN 3 BULAN

4
9.3
6
580
120
5
10
215
5
6
4.2
39.5

48
112
72
6960
1440
60
120
2580
60
72
50
474

10
22
14
1392
288
12
24
516
12
14
10
95

12
28
18
1740
360
15
30
645
15
18
13
119

10
1
75
1
20
3
24

120
12
900
12
240
36
288

24
2
180
2
48
7
58

30
3
225
3
60
9
72

10

120

24

30

70
150

840
1800
0
0
0
0
48
0
2184
12

168
360
0
0
0
0
10
0
437
2

210
450
0
0
0
0
12
0
546
3

4
182
1

326 Bisakodil Suppositoria


327 Nistatin Drop
328 Tambah Darah Sirup

2
1

0
24
12

0
5
2

0
6
3

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

1583
212
309
3967

328
165
0
0

132
18
26
331

17866
825
1740

17436
808
1530

1489
69
145

9977
55074
1375

9316
54137
1251

831
4590
115

809

721

67

5446

4399

454

40535

39408

3378

832

730

69

390

344

32

254
244

231
204

21
20

769
129

648
101

64
11

59498
32054

56371
32054

4958
2671

1088

823

91

327

294

27

28887
258
1427
5791

28251
246
1182
5657

2407
21
119
483

16335

14814

1361

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

365
5933
44
1825

359
4986
-1
1389

30
494
4
152

174
174
1044
1148
7882
1023

126
-166
729
821
7792
406

15
15
87
96
657
85

61
1305
1931
96
31
52

0
1294
1680
26
29
49

5
109
161
8
3
4

148
449
1549
326

126
435
1309
-50

12
37
129
27

3692
261
143
5244
11317

3491
256
143
0
9895

308
22
12
437
943

57
1784

32
1674

5
149

10771
188
4350
31630
65

9850
155
4350
30965
65
0
1192

898
16
363
2636
5

1392

116

143

122

12

23406
35

22790
35

1951
3

9699
65
117

9318
65
82

808
5
10

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

467
44847

441
44135

39
3737

4280

3640

357

1740

940

145

320

202

27

128

128

11

2220
29

1895
28

185
2

9048
352
2378
2767

8878
346
2208
2537

754
29
198
231

2624
3654

2520
3654

219
305

6629

6629

552

165

132

14

914
305
348
52
87

789
138
145
52
87

76
25
29
4
7

1194

1157

99

52
212
633
1775
78

22
176
623
1655
78

4
18
53
148
7

2075
18340
78683

2075
17947
76794

173
1528
6557

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

1211

1088

101

26340

24788

2195

6403
104

6399
104

534
9

122
48

104
48

10
4

896
1888

-620
-229

75
157

2610
566

2210
339

218
47

18218
287

17578
287

1518
24

6960
8944

6160
8408

580
745

557
5234

532
5234

46
436

157
310
748
52

157
310
272
49

13
26
62
4

24

23

14964
351
9525

14964
282
9444

1247
29
794

36296

36296

3025

1949

1137

162

174
20219

106
17534

15
1685

74
67502
7030
226
17

64
65230
6815
-1497
16

6
5625
586
19
1

180

180

15

539

500

45

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

9048
2636
696

9048
1805
585

754
220
58

17
17

17
17

1
1

23

21

4806
1876
258

4651
1653
-149

400
156
21

180
17

172
17

15
1

35
122
153
220
136
104
45
313
870

35
80
143
214
108
57
42
298
870

3
10
13
18
11
9
4
26
73

261
1291

260
1189

22
108

52
4051
3424
1531
83
109

49
3851
3422
1531
83
109

4
338
285
128
7
9

735

735

61

244

244

20

139
8120

102
8120

12
677

RCN
KBTUHAN TH
RCN PER
PENGADAAN
2015
BULAN
2015

70
162
104
10092
2088
87
174
3741
87
104
73
687

64
143
98
9712
2088
42
74
3631
42
57
-223
687

6
14
9
841
174
7
15
312
7
9
6
57

174
17
1305
17
348
52
418

174
17
1305
17
348
52
418

15
1
109
1
29
4
35

174

174

15

1218
2610
0
0
0
0
70
0
3167
17

1218
2610
0
0
0
0
70
0
3167
17

102
218
0
0
0
0
6
0
264
1

0
35
17

0
35
17

0
3
1

Parasetamol tablet 500 mg


Vitamin B Kompleks tablet
Asam Askorbat (Vit C) tablet 50 mg
Amoksisilin kaplet 500 mg
Klorfeniramin Maleat ( CTM ) tablet 4 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida 200mg +AL.Hidroksida 200mg
Tablet tambah Darah Kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg
Asam Mefenamat kaplet 500 mg
Ibuprofen tablet 400 mg
Captopril tablet 25 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg
Kalsium Laktat (Kalk) tablet 500 mg
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Ranitidine tablet 150 mg
Ambroxol tablet 30 mg
Deksametason tablet 0,5 mg
Sianokobalamin (Vit.B12) tablet 50 mcg
Gliseril Guayakolat tablet 100 mg
Hidroklorotiazid (HCT) tablet 25 mg
Amoksisilin kapsul 250 mg
Kloramfenikol kapsul 250 mg
Simvastatin tablet 10 mg
Metformin tablet 500 mg
Efedrin HCl tablet 25 mg
Parasetamol tablet 100 mg
Retinol ( Vitamin A ) kapsul 200.000 IU
Zinc tablet
Natrium diklofenak tablet 50 mg
Piroksikam kapsul 20 mg
Dekstrometorfan tablet 15 mg
Cyprofloxacin tab 500 mg
Antalgin (Metampiron) tablet 500 mg
Glibenklamid tablet 5 mg
Salbutamol tablet 2 mg
Neurodex
Alat suntik sekali pakai 1 ml
Kotrimoksazol tablet kombinasi : Sulfametoksazol400 mg + Trimetoprim 80 mg
Sarung Tangan ukuran S
Alopurinol tablet 100 mg
Garam Oralit untuk 200 ml air
Metronidazol tablet 500 mg
Ibuprofen tablet 200 mg
Sarung Tangan ukuran M
Asam Folat
Retinol ( Vitamin A ) kapsul 100.000 IU

Metronidazol tablet 250 mg


Cefadroksil tab
Lidokain Komp.injeksi, Kombinasi : Lidokain HC 12 % + Epinefrin 1 : 80.000 - 2 ml
Metoclorpramid tablet
Asiklovir 400mg
New Diatab
Hufabinic Tab
Erytromycin 500 mg kaplet
Alat suntik sekali pakai 2,5 ml / 3 ml
Diazepam tablet 2 mg
Pehavral
Omeprazole kapsul
Parasetamol sirup 120 mg / 5 ml
Acyclovir tablet 200 mg
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Sarung Tangan ukuran L
Primakuin tablet 15 mg
Griseofulvin tablet 125 mg, micronized
Metilergametrin Tablet salut 0,125 mg
Amoksisilin sirup kering 125 mg/5 ml
Masker
Pirantel tablet 125 mg
Obat Batuk Hitam ( OBH ) cairan
Domperidon tablet 10 mg
Isosorbit Dinitrat tablet sublingual 5 mg
Erytromycin 250 mg kapsul
Proiltiourasil tablet 100 mg
Ekstrak Belladon tablet 10 mg
Asetosal tablet 100 mg
Kasa Hidrofil Steril ukuran 16 x 16 cm
Co Amoxiclav tablet
Doksisiklin kapsul 100 mg
Antasida DOEN sirup kombinasi : Mg Hidroksida 200mg +AL.Hidroksida 200mg
Ambroxol sirup 15 mg/5 ml
Antimigren DOEN tablet kombinasi : Ergotamin Tartrat 1 mg + Kofein 50 mg
Prednison tablet 5 mg
Aminofilina tablet 200 mg
Oksitosin injeksi 10 IU / ml - ml
Betahistin
Test Kehamilan
Kloramfenikol tetes mata 0,5 %
Ringer laktat larutan infus steril
Ketokonazole Tablet
PCT Drop
Gemfibrozil 300mg

Hemafort
Propranolol HCl tablet 40 mg
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Anti Bakteri DOEN salep kombinasi :Basitrasin 500 IU/g + Polimiksin 1000 IU/g
Tetraksklin HCI Kapsul 500 mg
Dekstrometorfan sirup 10 mg/5 ml
Nifedifin tablet
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Kotrimoksazol tablet pediatrik, kombinasi : Sulfametoksazol 100 mg + Trimetoprim 20
Betametason krim 0,1 o/o
Ampisilin sirup kering 125 mg/5 ml
Kotrimoksazol Suspensi , kombinasi : Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5 m
Kasa Kompres 40 / 40 steril
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Multivitamin Sirup
Furosemid tablet 40 mg
Cefotaxime injeksi
Alat suntik sekali pakai 5 ml
Antifungi DOEN kombinasi : Asam Benzoat 6 % + Asam Salisilat 3 %
Albendazol tablet 400 mg
Nistatin Tablet Vaginal 100.000 IU / g
Amlodipin 5 mg
Ranitidine injeksi
Acyclovir krim 5 %
Oksitetrasiklin HCI salep 3 %
Kasa Pembalut Hidrofil 4 m x 15 cm
Anti Hemoroid DOEN kombinasi
Hidrokortison krim 2,5 o/o
Kasa 4x5
Salep 2 - 4, Kombinasi : Asam Salisilat 2 % +Belerang Endap 4 %
Infusion set dewasa
Gentian violet 1 o/o
Kalium Permanganat serbuk
Nistatin Tablet salut 500.000 IU
Kloramfenikol Sirup
IV. Cateter No. 22 G
IV. Cateter No. 20 G
Aqua pro Injeksi steril, bebas pirogen
Pavidon lodida 10 %
Fenol Gliserol tetes telinga 10 o/o
Ketokonazol krim
Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum bedah
IV. Cateter No. 24 G

Domperidone Sirup
Darplex
Kloramfenikol tetes telinga 3 %
Papaverin tab
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Pirantel Sirup
Erytromycin sirup
Lavertran salep
Infusion set anak
Ibuprofen Sirup
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Sarung Tangan no. 7,5
Natrium Klorida larutan infus 0,9 % Steril
Sarung Tangan Panjang
Polikresulen ( Kondensasi Metrakresol Sulfonat dan Metanal ) 360 mg / g
Ventolin
Etanol ( Alkohol ) 70 o/o
Gentamycin injeksi
Ichtyol salep
Kloramfenikol salep mata 1 %
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Cefadroxil Sirup
Blood Lancet
Glukosa larutan infus 5 o/o
Kapas pembalut / Absorben 250 gram
Plester 5 yards x 2 inch
Kapas 100gr
Pavidon lodida 10 % 300 ml
Underpad
Hustab
Etakridin ( Rivanol ) larutan 0,1 o/o
Ondansentron injeksi 4 mg / 2 ml
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) Injeksi 0,1 % - 1 ml
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Novamidon injeksi
Oksitetrasiklin HCI salep mata 1 %
Bromhexin HCl
Diazepam injeksi 5 mg/ml - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Kasa 4x10
Etil Klorida semprot
Cetirizin sirup
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )

Zinkid Sirup
Kanamisin inj 1 g
Gelly USG
Folley Catch No. 18
Benang tali pusat
Nistatin Drop
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Daryantull
Safety Box
H2O2
Tambah Darah Sirup
Alprazolam tablet 1 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin injeksi 1 g
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi
0
0
0
0
NAMA OBAT
0
3
Asering infus
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg
Benzatin Benzil Penisilin inj 1,2 juta IU/vial
Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Captopril tablet 12,5 mg
Deksametason injeksi 5 mg/ml - 1 ml
Dekstran 70 - larutan infus 6 o/o steril
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg

NAMA OBAT
3
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Furosemid injeksi
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Isoniazida tablet
Itrakonazol kapsul 100 mg

NAMA OBAT
3
Kaen 3B infus
Kalium Klorida infus 25 ml
Kalium Hidroksida Pasta
Karbamazepin tablet 200 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg
Kuinin Duhidroklorida injeksi 25 % - 2 ml
Kuinin ( Kina ) tablet 200 mg

Magnesium Sulfat inj ( IV ) 20 % - 25 ml


Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg

NAMA OBAT
3
Metoclorpramid injeksi
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium Fluoresein tetes mata 2 %
Natrium Tiosulfat injeksi 25 % - 10 ml
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Paraformaldehid tablet 1 gram
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirazinamid tablet 500 mg

NAMA OBAT
3
Piroksikam tablet 10 mg
Polipeptida Kombinasi DOEN, lart infus steril
Prazikuantel tablet 600 mg
Prokain Benzil Penisilin injeksi 3 juta IU/Vial
Rabies Immune Globulin ( human ) 150 IU/ml
Reserpin tablet 0,10 mg

Reserpin tablet 0,25 mg


Rifampisin kapsul 300 mg
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Stesolid rectal 5 mg/ml

NAMA OBAT
3
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Thiamphenikol tablet 500 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg
Vaksin Rabies Vero
0
NAMA OBAT
3
Air raksa dental use
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)
Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair
NAMA ALKES HABIS PAKAI
Alat suntik sekali pakai 0,05 ml
Alat suntik sekali pakai 0,5 ml
Folley Catch No. 16

NAMA ALKES HABIS PAKAI


3
Kasa Pembalut Hidrofil 4 m x 3 cm
Oksigen gas dalam tabung
Pembalut Gips
Stomach Tube Dewasa
Stomach Tube Anak
Urine bag
NAMA REAGEN
Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain
Larutan Hidrogen Peroksida / H2O2
Larutan Kalium Hidroksida / KOH
Larutan Karbol Fuksin
Larutan Metilen Biru
Larutan Na.Sitrat
Larutan Resekker
Larutan Truk

NAMA REAGEN
3
Larutan Xylene

Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B
Reagen Gol Darah B
Reagen Gol Darah O
Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Selang Nebula
Loperamid
Sulfasetamid tetes mata
Bisturi no. 20
Kasa Pembalut 2mx80cm
Blade Holder
Permetrin Krim
Bisakodil Suppositoria
Tranfusi set
Urine Strip
Bisturi no. 10

22610
19397
17097
15826
12887
11648
10430
9211
9089
8301
7569
6726
5810
5235
5134
4694
3440
3252
3095
2867
2787
2737
2600
2265
2108
2056
2020
1905
1840
1705
1664
1565
1507
1504
1400
1381
1230
1164
1140
1061
1050
1000
984
860
800

455
61
71
1140
0
5134
237
200
0
0
2867
15826
395
0
93
0
0
1565
11648
239
112
73
56
221
37
0
0
0
0
0
0
0
0
0
0
17097
9211
0
250
0
0
0
0
0
0

754
700
638
636
606
600
580
555
539
524.5
520
510
477
455
445
440
434
410
410
395
371
348
343
330
320
300
300
294
250
250
246
240
239
237
221
206
200
182
182
169
161
160
160
155
150

0
0
94
0
8301
74
246
1664
0
4694
0
105
1705
5
524.5
0
0
20
20
240
330
2265
294
7
300
0
0
0
0
0
0
0
0
0
0
0
555
22
9
15
0
0
0
0
0

150
130
129
112
112
105
105
101
100
94
93
92
90
89
86
81
79
75
74
74
73
71
70
70
66
61
61
60
56
54
50
45
44
41
41
40
40
39
38
37
35
34
31
31
30

0
0
0
34
129
445
75
0
1061
15
41
1507
3252
0
0
0
13
410
0
0
3095
54
1000
9089
15
0
320
0
0
0
0
0
0
0
0
0
0
0
0
0
0
41
0
6726
2

30
28
27
26
25
24
22
22
21
21
20
20
20
20
19
19
18
17
15
15
15
15
15
15
14
13
13
12
12
11
10
10
9
9
7
7
6
6
6
5
5
5
4
4
3

0
2787
15
27
161
12887
0
0
0
0
1230
100
92
0
0
22
638
5
0
0
0
0
0
2600
81
410
0
0
0
0
0
0
0
0
0
636
0
754
1050
0
0
1905
0
19
0

3
2
2
2
2
2
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

105
70
40
6
15
0
0
0
0
343
0
6
61
182
510
9
0
477
2108
22610
0
0
0
0
348
0
7569
0
0
0
0
0
0
0
0
0
0
1840
18
0
35
11
0
206
434

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
130
0
5235
66
0
0
800
2056
0
160
1504
45
89
86
3
0
0
7
0
3440
101
2737
0
0
0
0
0
0
0
0
0
0
0
0
10430
0
0
112
0
20
5810
0
0

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

0
17
19397
2020
26
2
700
31
155
520
606
160
0
0
0
0
0
1
1
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
1381
539
74
31
1
0
2

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

21
44
38
39
30
13
90
0
0
0
0
0
0
0
0
0
250
0
60
371
0
0
12
1164
984
440
19
25
0
0
169
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
40
1400
12
28
6
580
600
5

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

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

50
860
15
30
21
79
0
10
2
150
1
20
3
24
0
10
0
70
150
0
0
0
4
0
182
1
0
2
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

Acyclovir tablet 200 mg


Acyclovir krim 5 %
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alprazolam tablet 1 mg
Ambroxol tablet 30 mg
Ambroxol sirup 15 mg/5 ml
Aminofilina tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5 ml
Amoksisilin injeksi 1 g
Ampisilin sirup kering 125 mg/5 ml
Ampisilin injeksi 1 g
Antalgin injeksi 250 mg/ml - 2 ml
Antalgin (Metampiron) tablet 500 mg
Antasida DOEN tablet kombinasi : Mg Hidroksida 200mg +AL.Hidroksida 200mg
Antasida DOEN sirup kombinasi : Mg Hidroksida 200mg +AL.Hidroksida 200mg
Anti Bakteri DOEN salep kombinasi :Basitrasin 500 IU/g + Polimiksin 1000 IU/g
Antifungi DOEN kombinasi : Asam Benzoat 6 % + Asam Salisilat 3 %
Anti Hemoroid DOEN kombinasi
Antimigren DOEN tablet kombinasi : Ergotamin Tartrat 1 mg + Kofein 50 mg
Aqua pro Injeksi steril, bebas pirogen
Arsuamoon tablet
Artemer injeksi 80 mg
Artesunat injeksi
0
0
0
0
NAMA OBAT
0
3
Asam Askorbat (Vit C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asering infus
Asetosal tablet 100 mg
Asetosal tablet 500 mg
Atropin Sulfat injeksi 0,25 mg/ml - 1 ml
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5 o/o
Azitromicin kapsul 250 mg
Azitromicin kapsul 500 mg

Benzatin Benzil Penisilin inj 1,2 juta IU/vial


Benzatin Benzil Penisilin inj 2,4 juta IU/vial
Betametason krim 0,1 o/o
Captopril tablet 12,5 mg
Captopril tablet 25 mg
Cefotaxime injeksi
Co Amoxiclav tablet
Cyprofloxacin tab 500 mg
Deksametason injeksi 5 mg/ml - 1 ml
Deksametason tablet 0,5 mg
Dekstran 70 - larutan infus 6 o/o steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5 mg/ml - 2 ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Dietilkarbamazin Sitrat tablet 100 mg
Difenhidramin HCl inj 10 mg/ml - 1 ml
Digoksin tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Efedrin HCl tablet 25 mg
Ekstrak Belladon tablet 10 mg
Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) Injeksi 0,1 % - 1 ml
Erytromycin 250 mg kapsul

NAMA OBAT
3
Erytromycin 500 mg kaplet
Erytromycin sirup
Etakridin ( Rivanol ) larutan 0,1 o/o
Etanol ( Alkohol ) 70 o/o
Fenitoin Natrium injeksi 50 mg/ml
Fenitoin Natrium kapsul 100 mg
Fenitoin Natrium kapsul 30 mg
Fenobarbital injeksi 50 mg/ml - 2 ml
Fenobarbital tablet 100 mg

Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10 o/o
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenodion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Furosemid injeksi
Garam Oralit untuk 200 ml air
Gentamycin injeksi
Gentian violet 1 o/o
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 40 o/o
Glukosa larutan infus 10 o/o
Glukosa larutan infus 5 o/o
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Hidroklorotiazid (HCT) tablet 25 mg
Hidrokortison krim 2,5 o/o
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Ichtyol salep
Isoniazida tablet
Isosorbit Dinitrat tablet sublingual 5 mg
Itrakonazol kapsul 100 mg

NAMA OBAT
3
Kaen 3B infus
Kalium Klorida infus 25 ml
Kalium Permanganat serbuk
Kalium Hidroksida Pasta
Kalsium Laktat (Kalk) tablet 500 mg
Kanamisin inj 1 g

Karbamazepin tablet 200 mg


Kloramfenikol kapsul 250 mg
Kloramfenikol salep mata 1 %
Kloramfenikol tetes telinga 3 %
Kloramfenikol tetes mata 0,5 %
Klorfeniramin Maleat ( CTM ) tablet 4 mg
Klorokuin tablet 150 mg
Klotrimazol Vaginal Supp 500 mg
Kodein Fosfat tablet 10 mg
Kombinasi Pirimetamin 25 mg + Sulfadoxin 500 mg
Kotrimoksazol tablet kombinasi : Sulfametoksazol400 mg + Trimetoprim 80 mg
Kotrimoksazol tablet pediatrik, kombinasi : Sulfametoksazol 100 mg + Trimetoprim 20 mg
Kotrimoksazol Suspensi , kombinasi : Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5 ml
Kuinin Duhidroklorida injeksi 25 % - 2 ml
Kuinin ( Kina ) tablet 200 mg
Lavertran salep
Lidokain Komp.injeksi, Kombinasi : Lidokain HC 12 % + Epinefrin 1 : 80.000 - 2 ml
Lisol, mengandung Kresol tersabun 50 %
Magnesium Sulfat inj ( IV ) 20 % - 25 ml
Magnesium Sulfat inj ( IV ) 40 % - 25 ml
Magnesium Sulfat serbuk 30 gram
Mebendazol sirup 100 mg / 5 ml
Mebendazol tablet 100 mg
Metformin tablet 500 mg
Metilergametrin Maleat inj 0,200 mg - 1 ml
Metilergametrin Tablet salut 0,125 mg

NAMA OBAT
3
Metoclorpramid tablet
Metoclorpramid injeksi
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Mikonazol krim
Natrium Bikarbonat tablet 500 mg
Natrium diklofenak tablet 50 mg
Natrium Fluoresein tetes mata 2 %
Natrium Klorida larutan infus 0,9 % Steril
Natrium Tiosulfat injeksi 25 % - 10 ml

Nifedifin tablet
Nistatin Tablet Vaginal 100.000 IU / g
Nistatin Tablet salut 500.000 IU
Novamidon injeksi
Obat Antituberkulosis / FDC Kategori 1 Dewasa
Obat Antituberkulosis Kategori 2 Dewasa
Obat Antituberkulosis Kategori 3 Dewasa
Obat Antituberkulosis Sisispan Dewasa
Obat Anti Tuberkolosis Anak
Obat Batuk Hitam ( OBH ) cairan
Oksitetrasiklin HCI injeksi i.m. 50 mg/ml - 10 ml
Oksitetrasiklin HCI salep mata 1 %
Oksitetrasiklin HCI salep 3 %
Oksitosin injeksi 10 IU / ml - ml
Omeprazole kapsul
Ondansentron injeksi 4 mg / 2 ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Parfenazin HCI tablet 4 mg
Parfenazin HCI tablet 16 mg
Pilokarpin HCI / Nitrat tetes mata 2 %
Piracetam injeksi / Etopill injeksi
Pirantel tablet 125 mg
Pirazinamid tablet 500 mg
Piridoksin HCI (Vit. B6 ) tablet 10 mg

NAMA OBAT
3
Piroksikam tablet 10 mg
Piroksikam kapsul 20 mg
Polikresulen ( Kondensasi Metrakresol Sulfonat dan Metanal ) 360 mg / g
Polipeptida Kombinasi DOEN, lart infus steril
Pavidon lodida 10 %
Pavidon lodida 10 % 300 ml
Prazikuantel tablet 600 mg
Prednison tablet 5 mg
Primakuin tablet 15 mg

Prokain Benzil Penisilin injeksi 3 juta IU/Vial


Proiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Rabies Immune Globulin ( human ) 150 IU/ml
Ranitidine tablet 150 mg
Ranitidine injeksi
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol ( Vitamin A ) kapsul 100.000 IU
Retinol ( Vitamin A ) kapsul 200.000 IU
Rifampisin kapsul 300 mg
Ringer laktat larutan infus steril
Salbutamol tablet 2 mg
Salep 2 - 4, Kombinasi : Asam Salisilat 2 % +Belerang Endap 4 %
Salisil Bedak 2 %
Sefiksim kapsul 100 mg
Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I )
Serum Anti Bisa Ular Polivalen injeksi 50 ml ( ABU II )
Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S )
Serum Anti Tetanus injeksi 20.000 IU/ampul ( A.T.S )
Sianokobalamin (Vit.B12) tablet 50 mcg
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml
Simvastatin tablet 10 mg
Stesolid rectal 5 mg/ml

NAMA OBAT
3
Sulfadimidin tablet 500 mg
Sulfasetamida Natrium tetes mata 15 %
Tablet tambah Darah Kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg
Tetrakain HCI tetes mata 0,5 %
Tetraksklin HCI Kapsul 250 mg
Tetraksklin HCI Kapsul 500 mg
Thiamphenikol tablet 500 mg
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml
Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg
Tramadol injeksi 50 mg / ml
Triheksifenidil Hidroklorida tablet 2 mg

Vaksin Rabies Vero


Ventolin
Vitamin B Kompleks tablet
Zinc tablet
Papaverin tab
Gelly USG
Tranfusi set
Cefadroksil tab
Ketokonazol krim
Urine Strip
PCT Drop
Pehavral
Asiklovir 400mg
Ketokonazole Tablet
0
NAMA OBAT
3
Air raksa dental use
Bahan Tampal Gigi Komposit (A2)
Bahan Tampal Gigi Komposit (A3)
Bahan Tampal Gigi Komposit (A3,5)
Bonding + Etsa (G. Bond)
Devitalisasi Pasta (Non Arsen)
Etil Klorida semprot
Eugenol cairan
Fluor tablet 0,5 mg
Forinokresol ( Pengganti TKF )
Glass Ionomer Cement (GC IX)
Klorfenol kamfer Menthol ( CHKM )
Mummyifying Pasta
Semen seng Fosfat serbuk dan cairan
Silver Amalgam serbuk 65 - 75 %
Spons Gelatin Cubicles 1 x 1 x 1 cm
Temporary Stopping Flatcher serbuk dan cair
NAMA ALKES HABIS PAKAI
Alat suntik sekali pakai 0,05 ml
Alat suntik sekali pakai 0,5 ml
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2,5 ml / 3 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang bedah No. 2/0 - 3/0 dengan jarum bedah
Daryantull
Folley Catch No. 16
Folley Catch No. 18

Infusion set anak


Infusion set dewasa
IV. Cateter No. 20 G
IV. Cateter No. 22 G
IV. Cateter No. 24 G
Kapas pembalut / Absorben 250 gram
Kasa Kompres 40 / 40 steril

NAMA ALKES HABIS PAKAI


3
Kasa Hidrofil Steril ukuran 16 x 16 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Masker
Oksigen gas dalam tabung
Pembalut Gips
Plester 5 yards x 2 inch
Sarung Tangan ukuran S
Sarung Tangan ukuran M
Sarung Tangan ukuran L
Sarung Tangan Panjang
Silk (Benang Bedah Sutera) No.3/0 dgn jarum bedah
Stomach Tube Dewasa
Stomach Tube Anak
Test Kehamilan
Urine bag
NAMA REAGEN
Aquadest steril
Combur 10 Test Urine
EDTA serbuk
Larutan Amonium Oxalat
Larutan Asam Klorida 0,1 N / HCl
Larutan Asam Sulfosalisilat 20 %
Larutan Benedict
Larutan Eosin 2 %
Larutan Etanol Asam
Larutan Erlich
Larutan Giemsa Stain

Larutan
Larutan
Larutan
Larutan
Larutan
Larutan
Larutan

Hidrogen Peroksida / H2O2


Kalium Hidroksida / KOH
Karbol Fuksin
Metilen Biru
Na.Sitrat
Resekker
Truk

NAMA REAGEN
3
Larutan Xylene
Metanol
Minyak Emersi
Reagen Gol Darah A
Reagen Gol Darah AB
Reagen Gol Darah Anti B
Reagen Gol Darah B
Reagen Gol Darah O
Salmonella O Antigen Grup A
Salmonella O Antigen Grup B
Salmonella O Antigen Grup C
Salmonella O Antigen Grup D
Salmonella H Antigen Grup A
Salmonella H Antigen Grup B
Salmonella H Antigen Grup C
Salmonella H Antigen Grup D
Blood Lancet
Jarum otot G 15
Jarum no. 11
Jarum no.10
Jarum no. 9
Kloramfenikol Sirup
Neurodex
Kapas 100gr
Darplex
Bromhexin HCl
Hufabinic Tab
New Diatab
Kasa 4x10

Kasa 4x5
Asam Folat
Cefadroxil Sirup
Domperidone Sirup
Ibuprofen Sirup
Multivitamin Sirup
Selang Nebula
Underpad
Benang tali pusat
Gemfibrozil 300mg
Safety Box
Sarung Tangan no. 7,5
Zinkid Sirup
Pirantel Sirup
Loperamid
Hustab
Sulfasetamid tetes mata
Amlodipin 5 mg
Hemafort
Bisturi no. 10
Bisturi no. 20
Kasa Pembalut 2mx80cm
Blade Holder
Cetirizin sirup
Permetrin Krim
Betahistin
H2O2
Bisakodil Suppositoria
Nistatin Drop
Tambah Darah Sirup

Anda mungkin juga menyukai