Anda di halaman 1dari 12

PERMINTAAN OBAT

NO
URUT
1
2
3
4
5
6
7
8
9
10
11
12

NO
CATALOGUE
1
6
7
15
16
17
28
29
30
31
32
34

13

44

14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

45
46
48
54
55
58
62
63
65
79
113
117
122
128
131
132
148
149
156
160
169
186
187
205
210
217
218
238
250
271
273
274
311
312
322
326
330
331

NO
URUT
52
53

NO
CATALOGUE
352
353

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

354
360
361
362
432
433
458
466
467
468
473
476
483
499
507
533
544
545
560
565
571
584
606
607
608
610
637
640
706
711

PERMINTAAN OBAT
NAMA OBAT
ACT (Artesunate tab 50 mg + Amodiquine anhydrida tab 200 mg
Albendazol Suspensi 200 mg / 5 ml
Albendazol tablet 400 mg
Alopurinol tablet 100 mg
Alopurinol tablet / kaplet 300 mg
Alprazolam tablet 0,25 mg
Amitriptilin tablet salut 25 mg (Hcl)
Amlodipin tablet 10 mg
Amlodipin tablet 5 mg
Amoksisilin 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg / 5 ml
Antasida Doen I tab kunyah
Kombinasi Hidrosida 200 mg, Magnesium H 200 mg
Antasida Doen II Suspensi
Anti Bakteri Doen Salep kombinasi
Anti Migren : Ergotamin tratat 1 mg + kafein 50 mg
Asam Askorbat (Vit. C) tablet 50 mg
Asam Folat tablet 0,4 mg
Asam Mefenamat kaplet 500 mg
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg
Atapulgit tablet 600 mg
Betametason krim 0,1% (sebagai Valerat)
Diazepam tablet 2 mg
Diltiazem Hcl tablet 30 mg
Dimenhidrinat tablet 50 mg
Doksisiklin tablet 100 mg
Domperidon suspensi / sirup 5 mg / 5 mg
Domperidon tablet 10 mg
Eritromisin sirup kering 200 mg / 5 ml
Eritromisin tablet / kaplet 250 mg
Etanol 70% Cairan
Eugenol Cairan
Fenitoin kaplet 100 mg
Fitomenadion (Vit. K1) tablet salut gula 10 mg
Fitomenadion (Vit. K1) injeksi im 2 mg / ml
Furusemid tablet 40 mg
Garam Oralit I
Gentamisin salep mata 0,3%
Gentamisin tetes mata 0,3%
Griseofulvin tablet 125 mg
Hydrocortison krim 2,5%
Ibuprofen suspensi 100 mg / 5 ml
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Kaptopril tablet scored 25 mg
Kaptopril tablet scored 12,5 mg
Ketokonazole krim 2 %
Ketokonazole tablet 200 mg
Klindamisin kapsul / kaplet 150 mg
Klindamisin kapsul / kaplet 300 mg

NAMA OBAT
Kombinasi tablet salut besi (II) sulfat 7H2O 200 mg, asam folat 0,25 mg
Kombinasi tetes mata 2,5 mg / ml Natrium Klorida 8,664 mg,
Kalium Klorida 1,32 mg
Kombinasi Arthemeter 20 mg, lumefantrin 120 mg
Kontrasepsi pil oral
Kotrimoksazol Doen I (Dewasa)
Kotrimoksazol suspensi kombinasi : sulfametoksazol 200 mg + Trimetropin
Lidokain injeksi 2 % (Hcl)
Lidokain injeksi 2 % (Hcl) + Epineprin 1 : 80.000 - 2 ml
Metilergometrin Maleal tablet salut 0,125 mg
Metoklopramid drop botol 10 ml
Metoklopramid sirup 5 mg / 5 ml
Metoklopramid tablet 5 mg
Metronidazol Ovula 500 mg
Metronidazol tablet 500 mg
Mikonazol krim / salep 2 % nitrat
Natrium Diklofenak tablet 50 mg
Nifedipin tablet 10 mg
Omeprazol kaplet 25 mg
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 500 mg
Pirantel tablet score (base) 125 mg
Povidon Iodida larutan 10 % 30 ml
Prednison tablet 5 mg
Ranitidin tablet 150 mg
Salbutamol tablet 4 mg
Salep 2-4, kombinasi Asam Salisilat 2 % + Belerang Endap 4 %
Sefadroksil sirup kering 125 mg / 5 ml
Sefadroksil kaplet 500 mg
Simvastatin Scored tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai Hcl)
Vitamin B Kompleks tablet
Zinc tablet dispersible 20 mg
Ambroxol tablet 30 mg
Antalgin tablet tablet 500 mg
Chlorfeniramin Maleat (CTM) 4 mg
Fenobarbital tab 30 mg
Parasetamol tablet 100 mg
Piridoksin (Vit. B6)
Selfiplex

PERMINTAAN

KET

50
25
50
24
100
10
10
25
25
200
230
200

Botol
Botol
Dus
Box
Box
Dus
Dus
Box
Box
Box
Box
Botol

100

Dus

50
100
25
200
100
110
100
50
20
140
25
5
5
20
100
50
50
25
25
2
2
2
1
20
6
100
100
25
100
100
15
10
10
15
100
50
50
25

Botol
Tube
Botol
Dus
Kotak
Dus
Box
Dus
Dus
Tube
Botol
Dus
Botol
Box
Botol
Dus
Botol
Kotak
Botol
Botol
Botol
Botol
Dus
Dus
Dus
Tube
Botol
Dus
Tube
Botol
Botol
Dus
Dus
Dus
Box
Dus
Dus
Dus

PERMINTAAN

KET

5
50

Dus
Botol

100
6
75
250

Dus
Dus
Dus
Botol

15
5
50
50
50
20
50
100
100
30
50
275
200
100
50
70
100
15
75
100
100
75
50
275
50
100
100
25
10
100
2
100

Dus
Dus
Botol
Botol
Kotak
Dus
Tube
Dus
Dus
Dus
Botol
Dus
Dus
Botol
Dus
Dus
Dus
Dus
Pot
Botol
Dus
Box
Dus
Dus
Box
Dus
Dus
Botol
Botol
Botol
Botol
Dus

PERMINTAAN OBAT
PUSKESMAS TULEHU
NO
URUT
1
4
5
10
11
12
13
14
16
17
19
20
21
22
23
24
27
32
35
36
37
38
39
40
41
42
44
45
46
47
48
49
53
54
56
57
58
59
60
63
65
66
67
68
70
71
72
73
74
75

NO
URUT
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

PERMINTAAN OBAT
PUSKESMAS TULEHU

NAMA OBAT
ACT (Artesunate tab 50 mg + Amodiquine anhydrida tab 200 mg
Alopurinol tablet 100 mg
Alopurinol tablet / kaplet 300 mg
Amoksisilin 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg / 5 ml
Antasida Doen I tab kunyah
Antasida Doen II Suspensi
Anti Migren : Ergotamin tratat 1 mg + kafein 50 mg
Asam Askorbat (Vit. C) tablet 50 mg
Asam Mefenamat kaplet 500 mg
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg
Atapulgit tablet 600 mg
Betametason krim 0,1% (sebagai Valerat)
Diazepam tablet 2 mg
Doksisiklin tablet 100 mg
Etanol 70% Cairan
Fitomenadion (Vit. K1) tablet salut gula 10 mg
Fitomenadion (Vit. K1) injeksi im 2 mg / ml
Furusemid tablet 40 mg
Garam Oralit I
Gentamisin salep mata 0,3%
Gentamisin tetes mata 0,3%
Griseofulvin tablet 125 mg
Hydrocortison krim 2,5%
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Kaptopril tablet scored 25 mg
Kaptopril tablet scored 12,5 mg
Ketokonazole krim 2 %
Ketokonazole tablet 200 mg
Kombinasi tetes mata 2,5 mg / ml Natrium Klorida 8,664 mg,
Kombinasi Arthemeter 20 mg, lumefantrin 120 mg
Kotrimoksazol Doen I (Dewasa)
Kotrimoksazol suspensi kombinasi : sulfametoksazol 200 mg + Trimetropin
Lidokain injeksi 2 % (Hcl)
Lidokain injeksi 2 % (Hcl) + Epineprin 1 : 80.000 - 2 ml
Metilergometrin Maleal tablet salut 0,125 mg
Metoklopramid tablet 5 mg
Metronidazol tablet 500 mg
Mikonazol krim / salep 2 % nitrat
Natrium Diklofenak tablet 50 mg
Nifedipin tablet 10 mg
Parasetamol sirup 120 mg / 5 ml
Parasetamol tablet 500 mg
Pirantel tablet score (base) 125 mg
Povidon Iodida larutan 10 % 30 ml
Prednison tablet 5 mg
Ranitidin tablet 150 mg

NAMA OBAT
Salbutamol tablet 4 mg
Salep 2-4, kombinasi Asam Salisilat 2 % + Belerang Endap 4 %
Sefadroksil sirup kering 125 mg / 5 ml
Sefadroksil kaplet 500 mg
Simvastatin Scored tablet 10 mg
Siprofloksasin tablet 500 mg (sebagai Hcl)
Vitamin B Kompleks tablet
Zinc tablet dispersible 20 mg
Ambroxol tablet 30 mg
Antalgin tablet tablet 500 mg
Chlorfeniramin Maleat (CTM) 4 mg
Fenobarbital tab 30 mg
Parasetamol tablet 100 mg
Piridoksin (Vit. B6)
Selfiplex

PERMINTAAN

KET
Botol
Box
Box
Box
Box
Botol
Dus
Botol
Botol
Dus
Dus
Box
Dus
Dus
Tube
Botol
Box
Botol
Botol
Dus
Dus
Dus
Tube
Botol
Dus
Tube
Botol
Dus
Dus
Dus
Box
Dus
Botol
Dus
Dus
Botol
Dus
Dus
Kotak
Tube
Dus
Dus
Dus
Dus
Dus
Botol
Dus
Dus
Dus

PERMINTAAN

KET
Dus
Pot
Botol
Dus
Box
Dus
Dus
Box
Dus
Dus
Botol
Botol
Botol
Botol
Dus